Western Maine Health Menu
Items | |||||
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Lab - Blood Clotting Activity Measurement (305000019) | $107.10 |
N/A
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Lab - Blood Cell Function Test And Detection Of Genetic Marker (300000182) | $265.00 |
N/A
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Lab - Bleeding Time (301000391) | $169.05 |
N/A
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Lab - Bilirubin Measurement (300000014) | $27.30 |
N/A
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Lab - Bilirubin Level In Blood (Total) (301000107) | $75.60 |
N/A
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Lab - Bilirubin Level In Blood (Total) (301000434) | $37.00 |
N/A
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Lab - Bilirubin Level In Blood (Direct) (301000108) | $75.60 |
N/A
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Lab - Bile Acids Level (Total) (301000106) | $113.00 |
N/A
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Lab - Beta-2 Microglobulin Protein Level (301000428) | $192.00 |
N/A
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Lab - Beta-2 Microglobulin Protein Level (301000105) | $147.00 |
N/A
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Lab - Beta 2 Glycoprotein Antibody Analysis (302000016) | $42.00 |
N/A
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Lab - Basic Group Of Blood Chemicals (With Total Calcium) (301000001) | $151.20 |
N/A
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Lab - Bartonella Antibody Analysis (302000087) | $108.00 |
N/A
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Lab - Bacterial Urine Culture With Colony Count (300000055) | $58.80 |
N/A
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Lab - Bacterial Stool Culture With Preliminary Examination For Salmonella And Shigella Species (Aerobic) (300000037) | $114.45 |
N/A
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Lab - Bacterial Stool Culture For Additional Pathogens (Aerobic) (300000038) | $29.40 |
N/A
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Lab - Bacterial Culture Verification Through Additional Testing (Aerobic) (300000052) | $82.95 |
N/A
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Lab - Bacterial Culture Verification Through Additional Testing (Aerobic) (300000053) | $82.95 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (306000032) | $227.85 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000045) | $139.65 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (306000033) | $112.35 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000049) | $110.25 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000040) | $110.25 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000041) | $107.10 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000042) | $107.10 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000047) | $107.10 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000046) | $107.10 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000039) | $107.10 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000044) | $107.10 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000043) | $107.10 |
N/A
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Lab - Bacterial Culture Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000048) | $82.95 |
N/A
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Lab - Bacterial Culture Using Source Other Than Blood (Anaerobic) (300000051) | $210.00 |
N/A
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Lab - Bacterial Culture And Colony Count Using Source Other Than Urine, Blood, Or Stool (Aerobic) (300000050) | $227.85 |
N/A
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Lab - Bacterial Blood Culture (Aerobic) (300000036) | $124.95 |
N/A
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Lab - Bacterial Antibody Analysis (302000086) | $126.00 |
N/A
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Lab - Automated Blood Cell Count Without White Cell Differential Count (301000398) | $79.80 |
N/A
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Lab - Automated Blood Cell Count With Automated White Cell Differential Count (301000397) | $102.90 |
N/A
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Lab - Aspergillus Antibody Analysis (302000085) | $95.00 |
N/A
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Lab - Ascorbic Acid Level In Blood (301000103) | $101.00 |
N/A
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Lab - Arsenic Level (301000102) | $191.00 |
N/A
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Lab - Arsenic Level (301000453) | $70.00 |
N/A
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Lab - Arsenic Level (300000172) | $66.00 |
N/A
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Lab - Apolipoprotein Level (301000433) | $112.00 |
N/A
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Lab - Apolipoprotein Level (301000101) | $89.00 |
N/A
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Lab - Apolipoprotein Level (301000099) | $67.00 |
N/A
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Lab - Antithrombin Iii Clotting Inhibitor Activity (305000013) | $73.50 |
N/A
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Lab - Antinuclear Antibodies Analysis (Ana Titer) (302000026) | $56.70 |
N/A
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Lab - Antinuclear Antibodies Analysis (Ana Screen) (302000025) | $135.45 |
N/A
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Lab - Antihuman Globulin Antibody Analysis (Direct Each Antiserum) (302000155) | $111.30 |
N/A
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Lab - Antihuman Globulin Antibody Analysis (Direct Each Antiserum) (302000156) | $111.30 |
N/A
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Lab - Antihuman Globulin Antibody Analysis (Direct Each Antiserum) (302000158) | $67.00 |
N/A
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Lab - Antihuman Globulin Antibody Analysis (Direct Each Antiserum) (302000157) | $40.95 |
N/A
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Lab - Antihuman Globulin Antibody Analysis (Indirect Each Titer) (302000159) | $105.00 |
N/A
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Lab - Antigen Compatability Test Of Donor Blood (390000026) | $278.25 |
N/A
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Lab - Antiduretic Hormone Level (301000615) | $148.00 |
N/A
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Lab - Antiduretic Hormone Level (307000026) | $148.00 |
N/A
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Lab - Antibody-Antigen Reaction Identification (Qualitative Gel Immunodiffusion) (302000211) | $54.00 |
N/A
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Lab - Angiotensin Converting Enzyme Level (301000098) | $275.00 |
N/A
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Lab - Angiotensin Converting Enzyme Level (301000097) | $196.00 |
N/A
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Lab - Analysis Of Urine, Non-Automated Without Miscroscope (307000006) | $86.10 |
N/A
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Lab - Analysis Of Urine, Non-Automated Without Miscroscope (307000005) | $86.10 |
N/A
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Lab - Analysis Of Urine, Non-Automated Without Miscroscope (307000028) | $86.10 |
N/A
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Lab - Analysis Of Urine, Non-Automated Without Miscroscope (307000008) | $67.20 |
N/A
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Lab - Analysis Of Urine, Non-Automated Without Miscroscope (307000007) | $35.70 |
N/A
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Lab - Analysis Of Urine, Non-Automated Without Miscroscope (300000107) | $27.30 |
N/A
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Lab - Analysis Of Urine, Non-Automated Without Miscroscope (300000096) | $19.95 |
N/A
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Lab - Analysis Of Urine, Non-Automated With Microscope (307000003) | $79.80 |
N/A
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Lab - Analysis Of Urine, Non-Automated With Microscope (307000001) | $75.60 |
N/A
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Lab - Analysis Of Urine, Non-Automated With Microscope (307000002) | $35.70 |
N/A
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Lab - Analysis Of Urine, Non-Automated With Microscope (307000004) | $17.85 |
N/A
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Lab - Analysis Of Urine, Microscope Only (307000009) | $29.40 |
N/A
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Lab - Analysis Of Urine, Automated Without Microscope (307000030) | $79.80 |
N/A
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Lab - Analysis Of Urine, Automated With Microscope (307000031) | $101.85 |
N/A
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Lab - Amylase Enzyme Level (301000095) | $152.00 |
N/A
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Lab - Amylase Enzyme Level (301000094) | $75.60 |
N/A
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Lab - Amniotic Fluid Scan (301000091) | $145.95 |
N/A
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Lab - Ammonia Level (301000090) | $147.00 |
N/A
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Lab - Ammonia Level (301000587) | $36.00 |
N/A
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Lab - Aminolevulinic Acid Protein Level (301000087) | $212.00 |
N/A
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Lab - Amino Acids Level, 6 Or More Per Specimen (301000088) | $1,045.00 |
N/A
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Lab - Amino Acids Level, 1 Per Specimen (301000086) | $148.00 |
N/A
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Lab - Amikacin Level (301000033) | $130.20 |
N/A
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Lab - Aluminum Level (301000085) | $248.00 |
N/A
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Lab - Alpha-Fetoprotein Level In Blood (301000082) | $165.00 |
N/A
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Lab - Alpha-Fetoprotein Level In Blood (301000084) | $103.00 |
N/A
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Lab - Alpha-Fetoprotein Level In Blood (300000143) | $103.00 |
N/A
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Lab - Alpha-Fetoprotein Level In Blood (301000606) | $39.90 |
N/A
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Lab - Alpha-1-Antitrypsin Protein Level (Total) (301000081) | $286.00 |
N/A
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Lab - Alpha-1-Antitrypsin Protein Level (Total) (301000490) | $106.00 |
N/A
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Lab - Alpha-1-Antitrypsin Protein Level (Total) (301000080) | $79.80 |
N/A
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Lab - Alpha-1-Antitrypsin Protein Level (Phenotype) (301000553) | $102.00 |
N/A
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Lab - Allergy Specific Antibodies Analysis (Multi-Substance Screen) (302000187) | $123.90 |
N/A
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Lab - Allergy Antibody Levels (Immunoglobulin E), Each Crude Substance (305000045) | $43.05 |
N/A
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Lab - Alkaline Phosphatase Level (Serum) (301000317) | $75.60 |
N/A
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Lab - Alkaline Phosphatase Level (Serum) (301000318) | $72.00 |
N/A
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Lab - Alkaline Phosphatase Level (Isoenzyme) (301000319) | $67.00 |
N/A
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Lab - Aldolase Enzyme Level (307000025) | $63.00 |
N/A
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Lab - Albumin Protein Level In Urine (Semiquantitative) (300000116) | $18.90 |
N/A
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Lab - Albumin Protein Level In Urine (Quantitative) (307000022) | $116.55 |
N/A
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Lab - Albumin Protein Level In Spinal Or Amniotic Fluid (307000021) | $87.00 |
N/A
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Lab - Albumin Protein Level In Spinal Or Amniotic Fluid (307000020) | $29.40 |
N/A
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Lab - Albumin Protein Level In Blood (307000018) | $75.60 |
N/A
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Lab - Albumin Protein Level In Blood (307000019) | $69.00 |
N/A
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Lab - Adrenal Hormone Level (Cortisol Total) (301000148) | $301.35 |
N/A
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Lab - Adrenal Hormone Level (Cortisol Total) (301000149) | $221.00 |
N/A
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Lab - Adrenal Hormone Level (Cortisol Total) (301000147) | $202.65 |
N/A
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Lab - Adrenal Hormone Level (Cortisol Free) (301000146) | $497.00 |
N/A
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Lab - Adrenal Hormone Level (Aldosterone) (307000027) | $148.00 |
N/A
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Lab - Adrenal Gland Hormone Levels (Catecholamines Fractionated) (301000127) | $127.00 |
N/A
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Lab - Adrenal Gland Hormone Levels (Catecholamines Fractionated) (301000128) | $95.00 |
N/A
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Lab - Acylcarnitines Analysis For Levels (307000015) | $62.00 |
N/A
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Lab - Acute Hepatitis Panel (301000006) | $428.40 |
N/A
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Lab - 17-Hydroxypregnenolone Hormone Level (301000330) | $435.00 |
N/A
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Lab - 17-Hydroxypregnenolone Hormone Level (301000431) | $82.00 |
N/A
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Lab (300000105) | $1,007.00 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Under The Skin Or Into Muscle (720000023) | $218.40 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Into Vein (720000024) | $444.15 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of Same Substance Into Vein (510000415) | $50.40 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of New Substance Into Vein (720000025) | $193.20 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Up To 1 Hour (720000019) | $444.15 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Concurrent With Another Infusion (456000115) | $50.40 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Additional Hour (720000020) | $101.85 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy Prevention Or Diagnosis, Additional Sequential Infusion Up To 1 Hour (720000022) | $101.85 |
N/A
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Infusion Therapy - Hydration Infusion Into A Vein, Additional Hour (720000018) | $101.85 |
N/A
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Infusion Therapy - Hydration Infusion Into A Vein, 31 Minutes To 1 Hour (96360) | $340.20 |
N/A
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Infusion Therapy - Hydration Infusion Into A Vein, 31 Minutes To 1 Hour (720000017) | $170.10 |
N/A
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Infusion Therapy - Application Of On-Body Injector For Timed Injection Under Skin (260000030) | $405.30 |
N/A
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Heart Monitoring - Tracing Of Electrical Heart Activity Using 1 To 3 Leads, Tracing Only (893041) | $151.20 |
N/A
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Heart Monitoring - Tracing Of Electrical Heart Activity Using 1 To 3 Leads, Interpretation And Report Only (93042) | $56.70 |
N/A
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Heart Monitoring - Routine Ekg Using At Least 12 Leads, Tracing Only (730000001) | $246.75 |
N/A
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Heart Monitoring - Routine Ekg Using At Least 12 Leads, Tracing Only (893005) | $246.75 |
N/A
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Heart Monitoring - Heart Rhythm Symptom-Related Tracing Of 24-Hour Ekg Monitoring Up To 30 Days, Transmission And Analysis (731000009) | $240.45 |
N/A
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Heart Monitoring - Heart Rhythm Symptom-Related Tracing Of 24-Hour Ekg Monitoring Up To 30 Days, Transmission And Analysis (893271) | $240.45 |
N/A
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Heart Monitoring - Heart Rhythm Symptom-Related Tracing Of 24-Hour Ekg Monitoring Up To 30 Days, Review And Interpretation (93272) | $260.40 |
N/A
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Heart Monitoring - Heart Rhythm Symptom-Related Tracing Of 24-Hour Ekg Monitoring Up To 30 Days, Connection, Recording And Disconnection (893270) | $240.45 |
N/A
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Heart Monitoring - Heart Rhythm Symptom-Related Tracing Of 24-Hour Ekg Monitoring Up To 30 Days, Connection, Recording And Disconnection (730000006) | $240.45 |
N/A
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Heart Monitoring - Continuous Heart Rhythm Recording Up To 48 Hours, Recording Only (731000008) | $249.90 |
N/A
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Heart Monitoring - Continuous Heart Rhythm Recording Up To 48 Hours, Recording Only (893225) | $249.90 |
N/A
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Heart Monitoring - Continuous Heart Rhythm Recording Up To 48 Hours, Analysis With Report (731000002) | $289.80 |
N/A
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Heart Monitoring - Continuous Heart Rhythm Recording Up To 48 Hours, Analysis With Report (893226) | $289.80 |
N/A
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Hc Thoracentesis (490000055) | $912.45 |
N/A
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Hc Sigmoidoscopy W/surgery (360000214) | $292.95 |
N/A
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Hc Or 4 Staff Per .5 Hr (360000006) | $3,470.25 |
N/A
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Hc Or 3 Staff Per .5 Hr (360000005) | $3,470.25 |
N/A
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Hc Or 0-2 Staff Per .5 Hr (360000004) | $3,470.25 |
N/A
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Hc Lesion Procedure (360000223) | $842.10 |
N/A
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Hc Hc Aspirate/inj Ganglion Cyst Any Location (360000003) | $35.70 |
N/A
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Hc Handle/proc Spec (300000091) | $55.65 |
N/A
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Hc Gastroscopy (360000177) | $2,001.30 |
N/A
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Hc Gastro W/surgery (360000212) | $243.60 |
N/A
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Hc Epidural Steroid Injection (761000869) | $2,449.65 |
N/A
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Hc Dna Extraction & Storage (301000255) | $185.85 |
N/A
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Hc Colonoscopy W/surger (360000213) | $292.95 |
N/A
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Hc Catheter Change (360000237) | $347.55 |
N/A
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Hc Bone Marrow Wright Stain (300000118) | $187.95 |
N/A
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Hc Bone Marrow Iron Stain Prep (300000117) | $136.50 |
N/A
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Hc Bone Biopsy (360000238) | $842.10 |
N/A
|
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Hc Asp Blad W/ins Suprapub Cath (361000104) | $206.85 |
N/A
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Hc A Port Removal (360000236) | $842.10 |
N/A
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Emergency Room - Wound Repair Separation By Simple Closure (450000265) | $139.65 |
N/A
|
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||
Emergency Room - Withdrawal Of Arterial Blood For Diagnosis (450000095) | $211.05 |
N/A
|
|
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Emergency Room - Vaginal Delivery (450000644) | $823.20 |
N/A
|
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Emergency Room - Treatment Of Upper Arm Fracture Without Incision (450000300) | $196.35 |
N/A
|
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||
Emergency Room - Treatment Of Spontaneous Hip Dislocation Under Anesthesia (450000650) | $235.20 |
N/A
|
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Emergency Room - Treatment Of Hip Dislocation (450000337) | $405.30 |
N/A
|
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Emergency Room - Treatment Of Dislocated Jaw Without Incision (450000286) | $38.85 |
N/A
|
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||
Emergency Room - Treatment Of Dislocated Elbow Without Incision (450000061) | $194.25 |
N/A
|
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Emergency Room - Treatment Of Dislocated Elbow Of Child (450000062) | $72.45 |
N/A
|
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Emergency Room - Treatment Of Broken Upper Arm Without Incision (450000293) | $137.55 |
N/A
|
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Emergency Room - Treatment Of Broken Shoulder Blade Without Incision (450000292) | $107.10 |
N/A
|
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Emergency Room - Treatment Of Broken Nose Without Incision (450000284) | $36.75 |
N/A
|
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Emergency Room - Treatment Of Broken Collarbone Without Incision (450000289) | $101.85 |
N/A
|
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Emergency Room - Temporary Pacemaker To Regulate Heart Beat (450000130) | $21.00 |
N/A
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Emergency Room - Suture Of Non-Obstetrical Vaginal Injury (450000655) | $233.10 |
N/A
|
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Emergency Room - Suture Of Mouth Laceration (450000404) | $170.10 |
N/A
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Emergency Room - Suture Of Mouth Laceration (450000403) | $128.10 |
N/A
|
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Emergency Room - Subsequent Control Of Nose Bleed And Insertion Of Packing (450000375) | $100.80 |
N/A
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Emergency Room - Spinal Tap With Drainage Of Spinal Fluid (450000550) | $57.75 |
N/A
|
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Emergency Room - Simple Wound Repair Of The Scalp, Neck, Underarms, Trunk, Arms, Or Legs (450000016) | $134.40 |
N/A
|
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||
Emergency Room - Simple Wound Repair Of The Scalp, Neck, Underarms, Trunk, Arms, Or Legs (450000015) | $107.10 |
N/A
|
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||
Emergency Room - Simple Wound Repair Of The Scalp, Neck, Underarms, Trunk, Arms, Or Legs (450000017) | $88.20 |
N/A
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||
Emergency Room - Simple Wound Repair Of The Scalp, Neck, Underarms, Trunk, Arms, Or Legs (450000014) | $88.20 |
N/A
|
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||
Emergency Room - Simple Wound Repair Of The Face, Ears, Eyelids, Nose, Lips, Or Mucous Membranes (450000023) | $182.70 |
N/A
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Emergency Room - Simple Wound Repair Of The Face, Ears, Eyelids, Nose, Lips, Or Mucous Membranes (450000022) | $149.10 |
N/A
|
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||
Emergency Room - Simple Wound Repair Of The Face, Ears, Eyelids, Nose, Lips, Or Mucous Membranes (450000021) | $115.50 |
N/A
|
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||
Emergency Room - Simple Wound Repair Of The Face, Ears, Eyelids, Nose, Lips, Or Mucous Membranes (450000024) | $101.85 |
N/A
|
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||
Emergency Room - Simple Wound Repair Of The Face, Ears, Eyelids, Nose, Lips, Or Mucous Membranes (450000020) | $93.45 |
N/A
|
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||
Emergency Room - Simple Wound Repair Of The Face, Ears, Eyelids, Nose, Lips, Or Mucous Membranes (450000019) | $88.20 |
N/A
|
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||
Emergency Room - Simple Control Of Nose Bleed (450000084) | $114.45 |
N/A
|
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||
Emergency Room - Second Repair Of Surgical Wound (450000645) | $580.65 |
N/A
|
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Emergency Room - Replacement Of Stomach Stoma Tube Accessed Through Skin With Revision Of Stoma Opening (450000696) | $94.50 |
N/A
|
|
||
Emergency Room - Replacement Of Stomach Stoma Tube Accessed Through Skin (450000695) | $69.30 |
N/A
|
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Emergency Room - Repair Of Wound At Roof Of Mouth (450000639) | $476.70 |
N/A
|
|
||
Emergency Room - Repair Of Wound At Roof Of Mouth (450000449) | $324.45 |
N/A
|
|
||
Emergency Room - Repair Of Tendon Or Muscle Of Forearm Or Wrist (450000307) | $452.55 |
N/A
|
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Emergency Room - Repair Of Lip And Border (450000400) | $216.30 |
N/A
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Emergency Room - Repair Of Laceration To Floor Of Mouth Or Tongue (450000405) | $110.25 |
N/A
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Emergency Room - Repair Of Hand Tendon (450000324) | $386.40 |
N/A
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Emergency Room - Repair Of Foot Tendon (450000351) | $257.25 |
N/A
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Emergency Room - Repair Of Finger Tendon (450000325) | $195.30 |
N/A
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