DESCRIPCION-SERVICIO,CPT-Code,ID-ASEGURADORA,TARIFA-CONTRATADA
ABDOM/PELV WITHOUT & W/C CT,74178,MENONITA VITAL,$178.13
ABDOM/PELV WITHOUT & W/C CT,74178,ACAA,$178.50
ABDOM/PELV WITHOUT & W/C CT,74178,MCS CLASS,$250.96
ABDOM/PELV WITHOUT & W/C CT,74178,FONDO,$258.82
ABDOM/PELV WITHOUT & W/C CT,74178,MMM IN,$273.19
ABDOM/PELV WITHOUT & W/C CT,74178,MMM VITAL,$152.79
ABDOM/PELV WITHOUT & W/C CT,74178,ASOCIACION OUT,
ABDOM/PELV WITHOUT & W/C CT,74178,MMM OUT,$250.96
ABDOM/PELV WITHOUT & W/C CT,74178,HUMANA,$213.75
ABDOM/PELV WITHOUT & W/C CT,74178,FM VITAL,$124.54
ABDOM/PELV WITHOUT & W/C CT,74178,MCS PREF,$236.50
ABDOM/PELV WITHOUT & W/C CT,74178,HUM GOLD OUT,$273.19
ABDOM/PELV WITHOUT & W/C CT,74178,PALIC,$237.50
ABDOM/PELV WITHOUT & W/C CT,74178,IMC,$137.50
ABDOM/PELV WITHOUT & W/C CT,74178,MENONITA COM,
ABDOM/PELV WITHOUT & W/C CT,74178,BELLA VISTA,$150.00
ABDOM/PELV WITHOUT & W/C CT,74178,CHAMPVA,$250.96
ABDOM/PELV WITHOUT & W/C CT,74178,MEDICARE B,$273.19
ABDOM/PELV WITHOUT & W/C CT,74178,ASOCIACION IN,$450.00
ABDOM/PELV WITHOUT & W/C CT,74178,MEDICARE A,$250.96
ABDOM/PELV WITHOUT & W/C CT,74178,HUM GOLD IN,$273.19
ABDOM/PELV WITHOUT & W/C CT,74178,TRIPLE S COM,$225.00
ABDOM/PELV WITHOUT & W/C CT,74178,TSADV IN,$254.47
ABDOM/PELV WITHOUT & W/C CT,74178,PMC OUT,$250.96
ABDOM/PELV WITHOUT & W/C CT,74178,SSS BLUE CARD,$225.00
ABDOM/PELV WITHOUT & W/C CT,74178,TSADV OUT,$254.47
ABDOM/PELV WITHOUT & W/C CT,74178,PMC IN,$273.19
ABDOM/PELV WITHOUT & W/C CT,74178,TRICARE,$250.96
ABDOM/PELV WITHOUT & W/C CT,74178,VETERANS,$250.96
ABDOM/PELV WITHOUT & W/C CT,74178,TS VITAL,$207.18
ABDOMEN  CT,74150,MEDICARE B,$91.30
ABDOMEN  CT,74150,MEDICARE A,$73.66
ABDOMEN  CT,74150,ASOCIACION IN,$260.00
ABDOMEN  CT,74150,ACAA,$81.81
ABDOMEN  CT,74150,BELLA VISTA,$125.00
ABDOMEN  CT,74150,HUM GOLD IN,$91.30
ABDOMEN  CT,74150,HUM GOLD OUT,$91.30
ABDOMEN  CT,74150,PALIC,$150.00
ABDOMEN  CT,74150,MCS PREF,$120.00
ABDOMEN  CT,74150,IMC,$137.50
ABDOMEN  CT,74150,MMM VITAL,$54.35
ABDOMEN  CT,74150,HUMANA,$137.50
ABDOMEN  CT,74150,FM VITAL,$44.25
ABDOMEN  CT,74150,MMM IN,$91.30
ABDOMEN  CT,74150,CHAMPVA,$73.66
ABDOMEN  CT,74150,FONDO,$92.07
ABDOMEN  CT,74150,MENONITA COM,$150.00
ABDOMEN  CT,74150,ASOCIACION OUT,
ABDOMEN  CT,74150,MCS CLASS,$73.66
ABDOMEN  CT,74150,MMM OUT,$73.66
ABDOMEN  CT,74150,MENONITA VITAL,$64.45
ABDOMEN  CT,74150,TRICARE,$73.66
ABDOMEN  CT,74150,TRIPLE S COM,$150.00
ABDOMEN  CT,74150,PMC IN,$91.30
ABDOMEN  CT,74150,TS VITAL,$120.00
ABDOMEN  CT,74150,SSS BLUE CARD,$150.00
ABDOMEN  CT,74150,TSADV IN,$92.07
ABDOMEN  CT,74150,PMC OUT,$73.66
ABDOMEN  CT,74150,VETERANS,$73.66
ABDOMEN  CT,74150,TSADV OUT,$92.07
ABDOMEN (ABD) XR,74018,ASOCIACION OUT,
ABDOMEN (ABD) XR,74018,ASOCIACION IN,$12.00
ABDOMEN (ABD) XR,74018,MEDICARE B,$20.36
ABDOMEN (ABD) XR,74018,ACAA,$9.80
ABDOMEN (ABD) XR,74018,MEDICARE A,$52.45
ABDOMEN (ABD) XR,74018,HUMANA,$8.50
ABDOMEN (ABD) XR,74018,MENONITA COM,
ABDOMEN (ABD) XR,74018,FONDO,$18.48
ABDOMEN (ABD) XR,74018,FM VITAL,$6.40
ABDOMEN (ABD) XR,74018,MENONITA VITAL,$12.94
ABDOMEN (ABD) XR,74018,BELLA VISTA,$7.00
ABDOMEN (ABD) XR,74018,HUM GOLD IN,$20.36
ABDOMEN (ABD) XR,74018,IMC,$7.00
ABDOMEN (ABD) XR,74018,HUM GOLD OUT,$20.36
ABDOMEN (ABD) XR,74018,PALIC,$10.00
ABDOMEN (ABD) XR,74018,MMM VITAL,$12.94
ABDOMEN (ABD) XR,74018,MCS CLASS,$52.45
ABDOMEN (ABD) XR,74018,MMM IN,$20.36
ABDOMEN (ABD) XR,74018,CHAMPVA,$52.45
ABDOMEN (ABD) XR,74018,MMM OUT,$52.45
ABDOMEN (ABD) XR,74018,MCS PREF,$8.00
ABDOMEN (ABD) XR,74018,TS VITAL,$6.83
ABDOMEN (ABD) XR,74018,TSADV IN,$18.48
ABDOMEN (ABD) XR,74018,PMC IN,$20.36
ABDOMEN (ABD) XR,74018,VETERANS,$52.45
ABDOMEN (ABD) XR,74018,TSADV OUT,$18.48
ABDOMEN (ABD) XR,74018,TRICARE,$52.45
ABDOMEN (ABD) XR,74018,TRIPLE S COM,$14.00
ABDOMEN (ABD) XR,74018,SSS BLUE CARD,$14.00
ABDOMEN (ABD) XR,74018,PMC OUT,$52.45
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,ASOCIACION IN,$23.00
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MEDICARE B,$24.73
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,ASOCIACION OUT,
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,PALIC,$15.00
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MENONITA VITAL,$15.48
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MMM OUT,$73.66
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,FONDO,$22.11
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,FM VITAL,$9.21
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MMM VITAL,$15.48
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,ACAA,$12.60
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,BELLA VISTA,$9.50
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MCS CLASS,$73.66
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MENONITA COM,
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,HUM GOLD OUT,$24.73
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MEDICARE A,$73.66
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,CHAMPVA,$73.66
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MCS PREF,$12.00
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,MMM IN,$24.73
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,IMC,$14.00
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,HUMANA,$13.50
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,HUM GOLD IN,$24.73
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,TSADV OUT,$22.11
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,TRIPLE S COM,$16.00
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,VETERANS,$73.66
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,TSADV IN,$22.11
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,PMC IN,$24.73
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,PMC OUT,$73.66
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,SSS BLUE CARD,$16.00
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,TRICARE,$73.66
ABDOMEN ANTEPOST. AND OBLIQ XR,74019,TS VITAL,$9.21
ABDOMEN COMP.(2 VIEWS) XR,74021,PALIC,$21.00
ABDOMEN COMP.(2 VIEWS) XR,74021,FONDO,$25.73
ABDOMEN COMP.(2 VIEWS) XR,74021,HUMANA,$14.00
ABDOMEN COMP.(2 VIEWS) XR,74021,CHAMPVA,$73.66
ABDOMEN COMP.(2 VIEWS) XR,74021,MCS CLASS,$73.66
ABDOMEN COMP.(2 VIEWS) XR,74021,MENONITA COM,$16.50
ABDOMEN COMP.(2 VIEWS) XR,74021,ACAA,$19.60
ABDOMEN COMP.(2 VIEWS) XR,74021,FM VITAL,$10.12
ABDOMEN COMP.(2 VIEWS) XR,74021,MENONITA VITAL,$18.01
ABDOMEN COMP.(2 VIEWS) XR,74021,ASOCIACION OUT,
ABDOMEN COMP.(2 VIEWS) XR,74021,IMC,
ABDOMEN COMP.(2 VIEWS) XR,74021,HUM GOLD IN,$28.73
ABDOMEN COMP.(2 VIEWS) XR,74021,MCS PREF,$24.00
ABDOMEN COMP.(2 VIEWS) XR,74021,MEDICARE A,$73.66
ABDOMEN COMP.(2 VIEWS) XR,74021,MMM VITAL,$18.01
ABDOMEN COMP.(2 VIEWS) XR,74021,MMM OUT,$73.66
ABDOMEN COMP.(2 VIEWS) XR,74021,MMM IN,$28.73
ABDOMEN COMP.(2 VIEWS) XR,74021,HUM GOLD OUT,$28.73
ABDOMEN COMP.(2 VIEWS) XR,74021,ASOCIACION IN,$23.00
ABDOMEN COMP.(2 VIEWS) XR,74021,MEDICARE B,$28.73
ABDOMEN COMP.(2 VIEWS) XR,74021,BELLA VISTA,$10.50
ABDOMEN COMP.(2 VIEWS) XR,74021,TS VITAL,$12.19
ABDOMEN COMP.(2 VIEWS) XR,74021,VETERANS,$73.66
ABDOMEN COMP.(2 VIEWS) XR,74021,SSS BLUE CARD,$17.50
ABDOMEN COMP.(2 VIEWS) XR,74021,TSADV OUT,$25.73
ABDOMEN COMP.(2 VIEWS) XR,74021,TRICARE,$73.66
ABDOMEN COMP.(2 VIEWS) XR,74021,PMC OUT,$73.66
ABDOMEN COMP.(2 VIEWS) XR,74021,PMC IN,$28.73
ABDOMEN COMP.(2 VIEWS) XR,74021,TRIPLE S COM,$17.50
ABDOMEN COMP.(2 VIEWS) XR,74021,TSADV IN,$25.73
ABDOMEN W/CONTRAST CT,74160,MENONITA COM,$137.50
ABDOMEN W/CONTRAST CT,74160,BELLA VISTA,$145.00
ABDOMEN W/CONTRAST CT,74160,HUMANA,$142.50
ABDOMEN W/CONTRAST CT,74160,PALIC,$175.00
ABDOMEN W/CONTRAST CT,74160,IMC,$137.50
ABDOMEN W/CONTRAST CT,74160,ASOCIACION IN,$260.00
ABDOMEN W/CONTRAST CT,74160,FONDO,$171.10
ABDOMEN W/CONTRAST CT,74160,MENONITA VITAL,$119.77
ABDOMEN W/CONTRAST CT,74160,MMM VITAL,$101.02
ABDOMEN W/CONTRAST CT,74160,MEDICARE A,$119.76
ABDOMEN W/CONTRAST CT,74160,MMM OUT,$119.76
ABDOMEN W/CONTRAST CT,74160,ACAA,$89.25
ABDOMEN W/CONTRAST CT,74160,ASOCIACION OUT,
ABDOMEN W/CONTRAST CT,74160,MEDICARE B,$183.70
ABDOMEN W/CONTRAST CT,74160,MMM IN,$183.70
ABDOMEN W/CONTRAST CT,74160,MCS CLASS,$119.76
ABDOMEN W/CONTRAST CT,74160,MCS PREF,$140.00
ABDOMEN W/CONTRAST CT,74160,CHAMPVA,$119.76
ABDOMEN W/CONTRAST CT,74160,FM VITAL,$82.42
ABDOMEN W/CONTRAST CT,74160,HUM GOLD OUT,$183.70
ABDOMEN W/CONTRAST CT,74160,HUM GOLD IN,$183.70
ABDOMEN W/CONTRAST CT,74160,TRIPLE S COM,$150.00
ABDOMEN W/CONTRAST CT,74160,TSADV IN,$171.10
ABDOMEN W/CONTRAST CT,74160,TSADV OUT,$171.10
ABDOMEN W/CONTRAST CT,74160,PMC OUT,$119.76
ABDOMEN W/CONTRAST CT,74160,VETERANS,$119.76
ABDOMEN W/CONTRAST CT,74160,SSS BLUE CARD,$150.00
ABDOMEN W/CONTRAST CT,74160,PMC IN,$183.70
ABDOMEN W/CONTRAST CT,74160,TRICARE,$119.76
ABDOMEN W/CONTRAST CT,74160,TS VITAL,$120.00
ABDOMEN WITHOUT AND W/C CT,74170,MENONITA VITAL,$137.79
ABDOMEN WITHOUT AND W/C CT,74170,HUM GOLD IN,$183.70
ABDOMEN WITHOUT AND W/C CT,74170,ASOCIACION OUT,
ABDOMEN WITHOUT AND W/C CT,74170,ASOCIACION IN,$260.00
ABDOMEN WITHOUT AND W/C CT,74170,FONDO,$196.84
ABDOMEN WITHOUT AND W/C CT,74170,MMM IN,$183.70
ABDOMEN WITHOUT AND W/C CT,74170,BELLA VISTA,$125.00
ABDOMEN WITHOUT AND W/C CT,74170,MCS PREF,$157.50
ABDOMEN WITHOUT AND W/C CT,74170,MCS CLASS,$119.76
ABDOMEN WITHOUT AND W/C CT,74170,PALIC,$200.00
ABDOMEN WITHOUT AND W/C CT,74170,FM VITAL,$94.96
ABDOMEN WITHOUT AND W/C CT,74170,MEDICARE A,$119.76
ABDOMEN WITHOUT AND W/C CT,74170,HUMANA,$142.50
ABDOMEN WITHOUT AND W/C CT,74170,MENONITA COM,$137.50
ABDOMEN WITHOUT AND W/C CT,74170,HUM GOLD OUT,$183.70
ABDOMEN WITHOUT AND W/C CT,74170,MEDICARE B,$183.70
ABDOMEN WITHOUT AND W/C CT,74170,CHAMPVA,$119.76
ABDOMEN WITHOUT AND W/C CT,74170,ACAA,
ABDOMEN WITHOUT AND W/C CT,74170,MMM OUT,$119.76
ABDOMEN WITHOUT AND W/C CT,74170,MMM VITAL,$116.29
ABDOMEN WITHOUT AND W/C CT,74170,IMC,$137.50
ABDOMEN WITHOUT AND W/C CT,74170,TS VITAL,$120.00
ABDOMEN WITHOUT AND W/C CT,74170,TSADV IN,$196.84
ABDOMEN WITHOUT AND W/C CT,74170,TRICARE,$119.76
ABDOMEN WITHOUT AND W/C CT,74170,SSS BLUE CARD,$150.00
ABDOMEN WITHOUT AND W/C CT,74170,TRIPLE S COM,$150.00
ABDOMEN WITHOUT AND W/C CT,74170,PMC IN,$183.70
ABDOMEN WITHOUT AND W/C CT,74170,TSADV OUT,$196.84
ABDOMEN WITHOUT AND W/C CT,74170,VETERANS,$119.76
ABDOMEN WITHOUT AND W/C CT,74170,PMC OUT,$119.76
ABDOMINAL COMPLETE US,76700,MAP LIFE,$50.00
ABDOMINAL COMPLETE US,76700,MCS CLASS,$73.66
ABDOMINAL COMPLETE US,76700,MEDICARE A,$73.66
ABDOMINAL COMPLETE US,76700,FM VITAL,$40.89
ABDOMINAL COMPLETE US,76700,MENONITA COM,$50.00
ABDOMINAL COMPLETE US,76700,SSS BLUE CARD,$50.00
ABDOMINAL COMPLETE US,76700,BELLA VISTA,$37.50
ABDOMINAL COMPLETE US,76700,MMM IN,$84.03
ABDOMINAL COMPLETE US,76700,HUM GOLD PLUS,$84.03
ABDOMINAL COMPLETE US,76700,PMC IN,$84.03
ABDOMINAL COMPLETE US,76700,PSM VITAL,$59.37
ABDOMINAL COMPLETE US,76700,PALIC,$45.00
ABDOMINAL COMPLETE US,76700,HUMANA,$45.00
ABDOMINAL COMPLETE US,76700,ACAA,$49.00
ABDOMINAL COMPLETE US,76700,TRICARE,$73.66
ABDOMINAL COMPLETE US,76700,ASOCIACION OUT,
ABDOMINAL COMPLETE US,76700,PMC OUT,$73.66
ABDOMINAL COMPLETE US,76700,ASOCIACION INP,$90.00
ABDOMINAL COMPLETE US,76700,MEDICARE B,$84.03
ABDOMINAL COMPLETE US,76700,FONDO,$84.82
ABDOMINAL COMPLETE US,76700,MOLINA VITAL,$59.37
ABDOMINAL COMPLETE US,76700,TS ADV OUT,$84.82
ABDOMINAL COMPLETE US,76700,MMM OUT,$73.66
ABDOMINAL COMPLETE US,76700,MCS PREF,$45.00
ABDOMINAL COMPLETE US,76700,TS VITAL,$36.56
ABDOMINAL COMPLETE US,76700,CHAMPVA,$73.66
ABDOMINAL COMPLETE US,76700,MMM VITAL,$50.05
ABDOMINAL COMPLETE US,76700,SSS COM,$50.00
ABDOMINAL COMPLETE US,76700,IMC,$35.00
ABDOMINAL COMPLETE US,76700,VETERANS,$73.66
ABDOMINAL COMPLETE US,76700,TS ADV IN,$84.82
ABDOMINO/PELVICO CT,74176,CHAMPVA,$153.16
ABDOMINO/PELVICO CT,74176,MCS PREF,$180.00
ABDOMINO/PELVICO CT,74176,MEDICARE B,$114.95
ABDOMINO/PELVICO CT,74176,HUM GOLD IN,$114.95
ABDOMINO/PELVICO CT,74176,HUMANA,$206.25
ABDOMINO/PELVICO CT,74176,BELLA VISTA,$137.50
ABDOMINO/PELVICO CT,74176,MEDICARE A,$153.16
ABDOMINO/PELVICO CT,74176,MMM IN,$114.95
ABDOMINO/PELVICO CT,74176,MENONITA COM,
ABDOMINO/PELVICO CT,74176,FM VITAL,$55.56
ABDOMINO/PELVICO CT,74176,IMC,$137.50
ABDOMINO/PELVICO CT,74176,ASOCIACION IN,$450.00
ABDOMINO/PELVICO CT,74176,MENONITA VITAL,$81.20
ABDOMINO/PELVICO CT,74176,MMM VITAL,$68.55
ABDOMINO/PELVICO CT,74176,ASOCIACION OUT,
ABDOMINO/PELVICO CT,74176,MMM OUT,$153.16
ABDOMINO/PELVICO CT,74176,ACAA,$89.50
ABDOMINO/PELVICO CT,74176,PALIC,$225.00
ABDOMINO/PELVICO CT,74176,HUM GOLD OUT,$114.95
ABDOMINO/PELVICO CT,74176,FONDO,$116.00
ABDOMINO/PELVICO CT,74176,MCS CLASS,$153.16
ABDOMINO/PELVICO CT,74176,VETERANS,$153.16
ABDOMINO/PELVICO CT,74176,TRIPLE S COM,$225.00
ABDOMINO/PELVICO CT,74176,TRICARE,$153.16
ABDOMINO/PELVICO CT,74176,TS VITAL,$207.18
ABDOMINO/PELVICO CT,74176,TSADV OUT,$116.00
ABDOMINO/PELVICO CT,74176,TSADV IN,$116.00
ABDOMINO/PELVICO CT,74176,PMC OUT,$153.16
ABDOMINO/PELVICO CT,74176,PMC IN,$114.95
ABDOMINO/PELVICO CT,74176,SSS BLUE CARD,$225.00
ABDOMINO/PELVICO W CONTRAST CT,74177,MOLINA VITAL,$157.84
ABDOMINO/PELVICO W CONTRAST CT,74177,MEDICARE A,$250.96
ABDOMINO/PELVICO W CONTRAST CT,74177,PSM VITAL,$157.84
ABDOMINO/PELVICO W CONTRAST CT,74177,FM VITAL,$108.57
ABDOMINO/PELVICO W CONTRAST CT,74177,MENONITA COM,
ABDOMINO/PELVICO W CONTRAST CT,74177,SSS COM,$225.00
ABDOMINO/PELVICO W CONTRAST CT,74177,IMC,$137.50
ABDOMINO/PELVICO W CONTRAST CT,74177,MMM VITAL,$133.06
ABDOMINO/PELVICO W CONTRAST CT,74177,TS VITAL,$207.18
ABDOMINO/PELVICO W CONTRAST CT,74177,HUMANA,$213.75
ABDOMINO/PELVICO W CONTRAST CT,74177,MMM OUT,$250.96
ABDOMINO/PELVICO W CONTRAST CT,74177,SSS BLUE CARD,$225.00
ABDOMINO/PELVICO W CONTRAST CT,74177,PMC OUT,$250.96
ABDOMINO/PELVICO W CONTRAST CT,74177,ASOCIACION INP,$450.00
ABDOMINO/PELVICO W CONTRAST CT,74177,MCS PREF,$210.00
ABDOMINO/PELVICO W CONTRAST CT,74177,MEDICARE B,$240.81
ABDOMINO/PELVICO W CONTRAST CT,74177,FONDO,$225.48
ABDOMINO/PELVICO W CONTRAST CT,74177,TRICARE,$250.96
ABDOMINO/PELVICO W CONTRAST CT,74177,TS ADV OUT,$225.48
ABDOMINO/PELVICO W CONTRAST CT,74177,ASOCIACION OUT,
ABDOMINO/PELVICO W CONTRAST CT,74177,MAP LIFE,$200.00
ABDOMINO/PELVICO W CONTRAST CT,74177,MMM IN,$240.81
ABDOMINO/PELVICO W CONTRAST CT,74177,MCS CLASS,$250.96
ABDOMINO/PELVICO W CONTRAST CT,74177,PALIC,$225.00
ABDOMINO/PELVICO W CONTRAST CT,74177,ACAA,$137.50
ABDOMINO/PELVICO W CONTRAST CT,74177,TS ADV IN,$225.48
ABDOMINO/PELVICO W CONTRAST CT,74177,VETERANS,$250.96
ABDOMINO/PELVICO W CONTRAST CT,74177,PMC IN,$240.81
ABDOMINO/PELVICO W CONTRAST CT,74177,CHAMPVA,$250.96
ABDOMINO/PELVICO W CONTRAST CT,74177,BELLA VISTA,$225.00
ABDOMINO/PELVICO W CONTRAST CT,74177,HUM GOLD PLUS,$240.81
Abortion Procedures,59812,FM VITAL,$652.00
Abortion Procedures,59812,MMM IN,
Abortion Procedures,59812,ACAA,$450.00
Abortion Procedures,59812,MENONITA COM,$788.00
Abortion Procedures,59812,MMM OUT,$735.00
Abortion Procedures,59812,MEDICARE A,
Abortion Procedures,59812,CHAMPVA,
Abortion Procedures,59812,BELLA VISTA,$650.00
Abortion Procedures,59812,MCS CLASS,
Abortion Procedures,59812,IMC,$605.00
Abortion Procedures,59812,MENONITA VITAL,$660.00
Abortion Procedures,59812,MCS PREF,$712.00
Abortion Procedures,59812,HUMANA,"$1,595.00"
Abortion Procedures,59812,HUM GOLD IN,
Abortion Procedures,59812,MEDICARE B,
Abortion Procedures,59812,PALIC,$740.00
Abortion Procedures,59812,FONDO,
Abortion Procedures,59812,HUM GOLD OUT,$806.00
Abortion Procedures,59812,ASOCIACION OUT,$770.00
Abortion Procedures,59812,ASOCIACION IN,
Abortion Procedures,59812,MMM VITAL,$611.00
Abortion Procedures,59812,TRIPLE S COM,$706.00
Abortion Procedures,59812,TRICARE,
Abortion Procedures,59812,VETERANS,
Abortion Procedures,59812,TS VITAL,$611.00
Abortion Procedures,59812,SSS BLUE CARD,$706.00
Abortion Procedures,59812,TSADV IN,
Abortion Procedures,59812,PMC OUT,$735.00
Abortion Procedures,59812,PMC IN,
Abortion Procedures,59812,TSADV OUT,
ACETAMINOPHEN,80329,IMC,
ACETAMINOPHEN,80329,MMM IN,
ACETAMINOPHEN,80329,HUM GOLD IN,
ACETAMINOPHEN,80329,CHAMPVA,$0.00
ACETAMINOPHEN,80329,MEDICARE B,
ACETAMINOPHEN,80329,MCS CLASS,
ACETAMINOPHEN,80329,HUMANA,
ACETAMINOPHEN,80329,ACAA,
ACETAMINOPHEN,80329,MCS PREF,
ACETAMINOPHEN,80329,ASOCIACION OUT,
ACETAMINOPHEN,80329,MENONITA VITAL,$13.26
ACETAMINOPHEN,80329,MMM VITAL,$13.26
ACETAMINOPHEN,80329,MENONITA COM,
ACETAMINOPHEN,80329,HUM GOLD OUT,
ACETAMINOPHEN,80329,FONDO,$11.46
ACETAMINOPHEN,80329,BELLA VISTA,
ACETAMINOPHEN,80329,FM VITAL,$13.26
ACETAMINOPHEN,80329,MMM OUT,
ACETAMINOPHEN,80329,MEDICARE A,$0.00
ACETAMINOPHEN,80329,ASOCIACION IN,$50.00
ACETAMINOPHEN,80329,PALIC,
ACETAMINOPHEN,80329,TRICARE,$0.00
ACETAMINOPHEN,80329,TSADV IN,
ACETAMINOPHEN,80329,PMC OUT,
ACETAMINOPHEN,80329,SSS BLUE CARD,$16.26
ACETAMINOPHEN,80329,TRIPLE S COM,$16.26
ACETAMINOPHEN,80329,TS VITAL,$13.26
ACETAMINOPHEN,80329,TSADV OUT,
ACETAMINOPHEN,80329,VETERANS,$0.00
ACETAMINOPHEN,80329,PMC IN,
ALBUMIN URINE; MICROALBUMIN QN,82043,MCS PREF,$35.00
ALBUMIN URINE; MICROALBUMIN QN,82043,MENONITA COM,$50.00
ALBUMIN URINE; MICROALBUMIN QN,82043,FONDO,$7.14
ALBUMIN URINE; MICROALBUMIN QN,82043,MMM OUT,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,BELLA VISTA,$18.03
ALBUMIN URINE; MICROALBUMIN QN,82043,CHAMPVA,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,HUM GOLD OUT,
ALBUMIN URINE; MICROALBUMIN QN,82043,FM VITAL,$6.30
ALBUMIN URINE; MICROALBUMIN QN,82043,PALIC,
ALBUMIN URINE; MICROALBUMIN QN,82043,MEDICARE B,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,ASOCIACION OUT,
ALBUMIN URINE; MICROALBUMIN QN,82043,ASOCIACION IN,
ALBUMIN URINE; MICROALBUMIN QN,82043,HUM GOLD IN,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,IMC,$35.00
ALBUMIN URINE; MICROALBUMIN QN,82043,MCS CLASS,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,MENONITA VITAL,$5.51
ALBUMIN URINE; MICROALBUMIN QN,82043,HUMANA,
ALBUMIN URINE; MICROALBUMIN QN,82043,ACAA,
ALBUMIN URINE; MICROALBUMIN QN,82043,MMM VITAL,$5.51
ALBUMIN URINE; MICROALBUMIN QN,82043,MMM IN,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,PMC IN,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,MEDICARE A,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,TRICARE,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,PMC OUT,$5.78
ALBUMIN URINE; MICROALBUMIN QN,82043,TSADV IN,$7.14
ALBUMIN URINE; MICROALBUMIN QN,82043,SSS BLUE CARD,$70.00
ALBUMIN URINE; MICROALBUMIN QN,82043,TRIPLE S COM,$70.00
ALBUMIN URINE; MICROALBUMIN QN,82043,TS VITAL,$8.19
ALBUMIN URINE; MICROALBUMIN QN,82043,TSADV OUT,$7.14
ALBUMIN URINE; MICROALBUMIN QN,82043,VETERANS,$5.78
ALBUMIN; SERUM,82040,MMM IN,$4.95
ALBUMIN; SERUM,82040,FM VITAL,$1.46
ALBUMIN; SERUM,82040,FONDO,$6.11
ALBUMIN; SERUM,82040,MMM VITAL,$4.72
ALBUMIN; SERUM,82040,MENONITA COM,$1.40
ALBUMIN; SERUM,82040,BELLA VISTA,$7.00
ALBUMIN; SERUM,82040,HUMANA,$6.00
ALBUMIN; SERUM,82040,MMM OUT,$4.95
ALBUMIN; SERUM,82040,HUM GOLD OUT,
ALBUMIN; SERUM,82040,MEDICARE B,$4.95
ALBUMIN; SERUM,82040,CHAMPVA,$4.95
ALBUMIN; SERUM,82040,MEDICARE A,$4.95
ALBUMIN; SERUM,82040,ASOCIACION IN,$7.00
ALBUMIN; SERUM,82040,ACAA,$7.00
ALBUMIN; SERUM,82040,IMC,$7.00
ALBUMIN; SERUM,82040,PMC IN,$4.95
ALBUMIN; SERUM,82040,PALIC,$8.00
ALBUMIN; SERUM,82040,MCS PREF,$8.00
ALBUMIN; SERUM,82040,MCS CLASS,$4.95
ALBUMIN; SERUM,82040,MENONITA VITAL,$4.72
ALBUMIN; SERUM,82040,ASOCIACION OUT,
ALBUMIN; SERUM,82040,HUM GOLD IN,$4.95
ALBUMIN; SERUM,82040,TSADV IN,$6.11
ALBUMIN; SERUM,82040,PMC OUT,$4.95
ALBUMIN; SERUM,82040,VETERANS,$4.95
ALBUMIN; SERUM,82040,TRIPLE S COM,$1.50
ALBUMIN; SERUM,82040,SSS BLUE CARD,$1.50
ALBUMIN; SERUM,82040,TSADV OUT,$6.11
ALBUMIN; SERUM,82040,TS VITAL,$7.01
ALBUMIN; SERUM,82040,TRICARE,$4.95
AMMONIA,82140,MENONITA VITAL,$12.75
AMMONIA,82140,MCS CLASS,$14.57
AMMONIA,82140,MMM VITAL,$13.90
AMMONIA,82140,HUMANA,$20.00
AMMONIA,82140,ACAA,$19.00
AMMONIA,82140,FONDO,$17.99
AMMONIA,82140,PALIC,$30.00
AMMONIA,82140,HUM GOLD OUT,
AMMONIA,82140,MMM IN,$14.57
AMMONIA,82140,ASOCIACION IN,$22.00
AMMONIA,82140,CHAMPVA,$14.57
AMMONIA,82140,MEDICARE A,$14.57
AMMONIA,82140,MENONITA COM,$14.20
AMMONIA,82140,MMM OUT,$14.57
AMMONIA,82140,BELLA VISTA,$15.00
AMMONIA,82140,MEDICARE B,$14.57
AMMONIA,82140,ASOCIACION OUT,
AMMONIA,82140,HUM GOLD IN,$14.57
AMMONIA,82140,MCS PREF,$30.00
AMMONIA,82140,PMC IN,$14.57
AMMONIA,82140,FM VITAL,$12.75
AMMONIA,82140,IMC,$18.00
AMMONIA,82140,PMC OUT,$14.57
AMMONIA,82140,TSADV IN,$17.99
AMMONIA,82140,SSS BLUE CARD,$18.49
AMMONIA,82140,TRICARE,$14.57
AMMONIA,82140,TSADV OUT,$17.99
AMMONIA,82140,VETERANS,$14.57
AMMONIA,82140,TRIPLE S COM,$18.49
AMMONIA,82140,TS VITAL,$18.95
AMYLASE,82150,ASOCIACION IN,$11.00
AMYLASE,82150,MEDICARE B,$6.48
AMYLASE,82150,ASOCIACION OUT,
AMYLASE,82150,MENONITA VITAL,$6.18
AMYLASE,82150,HUMANA,$12.00
AMYLASE,82150,MMM VITAL,$6.18
AMYLASE,82150,ACAA,$10.00
AMYLASE,82150,PALIC,$14.00
AMYLASE,82150,FONDO,$8.00
AMYLASE,82150,MEDICARE A,$6.48
AMYLASE,82150,HUM GOLD IN,$6.48
AMYLASE,82150,PMC IN,$6.48
AMYLASE,82150,MMM IN,$6.48
AMYLASE,82150,MENONITA COM,$6.80
AMYLASE,82150,BELLA VISTA,$10.40
AMYLASE,82150,CHAMPVA,$6.48
AMYLASE,82150,MCS CLASS,$6.48
AMYLASE,82150,FM VITAL,$6.18
AMYLASE,82150,IMC,$10.00
AMYLASE,82150,MMM OUT,$6.48
AMYLASE,82150,MCS PREF,$12.00
AMYLASE,82150,HUM GOLD OUT,
AMYLASE,82150,TSADV OUT,$8.00
AMYLASE,82150,TSADV IN,$8.00
AMYLASE,82150,VETERANS,$6.48
AMYLASE,82150,TRICARE,$6.48
AMYLASE,82150,TRIPLE S COM,$10.31
AMYLASE,82150,SSS BLUE CARD,$10.31
AMYLASE,82150,PMC OUT,$6.48
AMYLASE,82150,TS VITAL,$9.18
ANGIO CHEST W/O AND W/C CT,71275,MENONITA VITAL,$149.71
ANGIO CHEST W/O AND W/C CT,71275,HUM GOLD IN,$183.70
ANGIO CHEST W/O AND W/C CT,71275,HUMANA,$165.00
ANGIO CHEST W/O AND W/C CT,71275,MENONITA COM,
ANGIO CHEST W/O AND W/C CT,71275,FONDO,$213.87
ANGIO CHEST W/O AND W/C CT,71275,MEDICARE A,$119.76
ANGIO CHEST W/O AND W/C CT,71275,MCS CLASS,$119.76
ANGIO CHEST W/O AND W/C CT,71275,MMM IN,$183.70
ANGIO CHEST W/O AND W/C CT,71275,CHAMPVA,$119.76
ANGIO CHEST W/O AND W/C CT,71275,MMM VITAL,$126.34
ANGIO CHEST W/O AND W/C CT,71275,ACAA,$89.25
ANGIO CHEST W/O AND W/C CT,71275,MEDICARE B,$183.70
ANGIO CHEST W/O AND W/C CT,71275,FM VITAL,$102.99
ANGIO CHEST W/O AND W/C CT,71275,MCS PREF,$175.00
ANGIO CHEST W/O AND W/C CT,71275,HUM GOLD OUT,$183.70
ANGIO CHEST W/O AND W/C CT,71275,ASOCIACION IN,$400.00
ANGIO CHEST W/O AND W/C CT,71275,ASOCIACION OUT,
ANGIO CHEST W/O AND W/C CT,71275,PALIC,$200.00
ANGIO CHEST W/O AND W/C CT,71275,MMM OUT,$119.76
ANGIO CHEST W/O AND W/C CT,71275,BELLA VISTA,$150.00
ANGIO CHEST W/O AND W/C CT,71275,IMC,$137.50
ANGIO CHEST W/O AND W/C CT,71275,TSADV OUT,$213.87
ANGIO CHEST W/O AND W/C CT,71275,PMC OUT,$119.76
ANGIO CHEST W/O AND W/C CT,71275,TRICARE,$119.76
ANGIO CHEST W/O AND W/C CT,71275,TSADV IN,$213.87
ANGIO CHEST W/O AND W/C CT,71275,PMC IN,$183.70
ANGIO CHEST W/O AND W/C CT,71275,SSS BLUE CARD,$150.00
ANGIO CHEST W/O AND W/C CT,71275,TS VITAL,$120.00
ANGIO CHEST W/O AND W/C CT,71275,VETERANS,$119.76
ANGIO CHEST W/O AND W/C CT,71275,TRIPLE S COM,$150.00
ANGIO NECK W/O AND W/C CT,70498,HUM GOLD IN,$183.70
ANGIO NECK W/O AND W/C CT,70498,MENONITA VITAL,$146.66
ANGIO NECK W/O AND W/C CT,70498,MMM IN,$183.70
ANGIO NECK W/O AND W/C CT,70498,BELLA VISTA,$165.00
ANGIO NECK W/O AND W/C CT,70498,HUMANA,$165.00
ANGIO NECK W/O AND W/C CT,70498,ASOCIACION OUT,
ANGIO NECK W/O AND W/C CT,70498,MCS CLASS,$119.76
ANGIO NECK W/O AND W/C CT,70498,FM VITAL,$101.57
ANGIO NECK W/O AND W/C CT,70498,ACAA,$91.00
ANGIO NECK W/O AND W/C CT,70498,CHAMPVA,$119.76
ANGIO NECK W/O AND W/C CT,70498,PALIC,$200.00
ANGIO NECK W/O AND W/C CT,70498,FONDO,$209.52
ANGIO NECK W/O AND W/C CT,70498,MMM VITAL,$123.76
ANGIO NECK W/O AND W/C CT,70498,ASOCIACION IN,$400.00
ANGIO NECK W/O AND W/C CT,70498,HUM GOLD OUT,$183.70
ANGIO NECK W/O AND W/C CT,70498,MENONITA COM,
ANGIO NECK W/O AND W/C CT,70498,IMC,$137.50
ANGIO NECK W/O AND W/C CT,70498,MEDICARE B,$183.70
ANGIO NECK W/O AND W/C CT,70498,MEDICARE A,$119.76
ANGIO NECK W/O AND W/C CT,70498,MCS PREF,$175.00
ANGIO NECK W/O AND W/C CT,70498,MMM OUT,$119.76
ANGIO NECK W/O AND W/C CT,70498,TRICARE,$119.76
ANGIO NECK W/O AND W/C CT,70498,TSADV OUT,$209.52
ANGIO NECK W/O AND W/C CT,70498,VETERANS,$119.76
ANGIO NECK W/O AND W/C CT,70498,TS VITAL,$110.00
ANGIO NECK W/O AND W/C CT,70498,TSADV IN,$209.52
ANGIO NECK W/O AND W/C CT,70498,PMC OUT,$119.76
ANGIO NECK W/O AND W/C CT,70498,SSS BLUE CARD,$137.50
ANGIO NECK W/O AND W/C CT,70498,TRIPLE S COM,$137.50
ANGIO NECK W/O AND W/C CT,70498,PMC IN,$183.70
ANKLE COMP. XR,73610,HUM GOLD IN,$26.55
ANKLE COMP. XR,73610,FONDO,$23.19
ANKLE COMP. XR,73610,HUM GOLD OUT,$26.55
ANKLE COMP. XR,73610,MEDICARE B,$26.55
ANKLE COMP. XR,73610,CHAMPVA,$52.45
ANKLE COMP. XR,73610,MENONITA VITAL,$16.23
ANKLE COMP. XR,73610,BELLA VISTA,$13.00
ANKLE COMP. XR,73610,MMM IN,$26.55
ANKLE COMP. XR,73610,FM VITAL,$10.85
ANKLE COMP. XR,73610,ASOCIACION IN,$23.00
ANKLE COMP. XR,73610,MEDICARE A,$52.45
ANKLE COMP. XR,73610,PMC IN,$26.55
ANKLE COMP. XR,73610,MENONITA COM,$12.00
ANKLE COMP. XR,73610,IMC,$13.00
ANKLE COMP. XR,73610,PALIC,$16.00
ANKLE COMP. XR,73610,HUMANA,$13.00
ANKLE COMP. XR,73610,ACAA,$16.80
ANKLE COMP. XR,73610,MMM VITAL,$13.71
ANKLE COMP. XR,73610,MCS PREF,$16.00
ANKLE COMP. XR,73610,MMM OUT,$52.45
ANKLE COMP. XR,73610,MCS CLASS,$52.45
ANKLE COMP. XR,73610,ASOCIACION OUT,
ANKLE COMP. XR,73610,TSADV IN,$23.19
ANKLE COMP. XR,73610,TS VITAL,$12.68
ANKLE COMP. XR,73610,PMC OUT,$52.45
ANKLE COMP. XR,73610,SSS BLUE CARD,$14.00
ANKLE COMP. XR,73610,TRICARE,$52.45
ANKLE COMP. XR,73610,TRIPLE S COM,$14.00
ANKLE COMP. XR,73610,VETERANS,$52.45
ANKLE COMP. XR,73610,TSADV OUT,$23.19
ANKLE XR,73600,MMM VITAL,$12.85
ANKLE XR,73600,PMC IN,$23.64
ANKLE XR,73600,HUM GOLD OUT,$23.64
ANKLE XR,73600,FONDO,$21.74
ANKLE XR,73600,BELLA VISTA,$9.50
ANKLE XR,73600,MEDICARE A,$52.45
ANKLE XR,73600,MMM OUT,$52.45
ANKLE XR,73600,CHAMPVA,$52.45
ANKLE XR,73600,HUM GOLD IN,$23.64
ANKLE XR,73600,MCS CLASS,$52.45
ANKLE XR,73600,MCS PREF,$12.00
ANKLE XR,73600,MENONITA VITAL,$15.22
ANKLE XR,73600,FM VITAL,$10.50
ANKLE XR,73600,IMC,$9.50
ANKLE XR,73600,ACAA,$14.70
ANKLE XR,73600,HUMANA,$10.00
ANKLE XR,73600,PALIC,$13.00
ANKLE XR,73600,ASOCIACION IN,$17.00
ANKLE XR,73600,MENONITA COM,$9.00
ANKLE XR,73600,MMM IN,$23.64
ANKLE XR,73600,MEDICARE B,$23.64
ANKLE XR,73600,ASOCIACION OUT,
ANKLE XR,73600,TS VITAL,$9.26
ANKLE XR,73600,VETERANS,$52.45
ANKLE XR,73600,TRICARE,$52.45
ANKLE XR,73600,TSADV OUT,$21.74
ANKLE XR,73600,PMC OUT,$52.45
ANKLE XR,73600,TRIPLE S COM,$13.00
ANKLE XR,73600,TSADV IN,$21.74
ANKLE XR,73600,SSS BLUE CARD,$13.00
ANTIBODY; MYCOPLASMA,86738,MENONITA VITAL,$12.63
ANTIBODY; MYCOPLASMA,86738,IMC,$12.63
ANTIBODY; MYCOPLASMA,86738,BELLA VISTA,$17.75
ANTIBODY; MYCOPLASMA,86738,ACAA,
ANTIBODY; MYCOPLASMA,86738,HUM GOLD OUT,
ANTIBODY; MYCOPLASMA,86738,FM VITAL,$12.63
ANTIBODY; MYCOPLASMA,86738,MENONITA COM,$37.80
ANTIBODY; MYCOPLASMA,86738,MCS PREF,$50.00
ANTIBODY; MYCOPLASMA,86738,MCS CLASS,$13.24
ANTIBODY; MYCOPLASMA,86738,MMM VITAL,$12.63
ANTIBODY; MYCOPLASMA,86738,PALIC,
ANTIBODY; MYCOPLASMA,86738,MEDICARE A,$13.24
ANTIBODY; MYCOPLASMA,86738,HUM GOLD IN,$13.24
ANTIBODY; MYCOPLASMA,86738,MEDICARE B,$13.24
ANTIBODY; MYCOPLASMA,86738,ASOCIACION OUT,
ANTIBODY; MYCOPLASMA,86738,ASOCIACION IN,
ANTIBODY; MYCOPLASMA,86738,MMM IN,$13.24
ANTIBODY; MYCOPLASMA,86738,HUMANA,
ANTIBODY; MYCOPLASMA,86738,PMC IN,$13.24
ANTIBODY; MYCOPLASMA,86738,FONDO,$16.34
ANTIBODY; MYCOPLASMA,86738,CHAMPVA,$13.24
ANTIBODY; MYCOPLASMA,86738,MMM OUT,$13.24
ANTIBODY; MYCOPLASMA,86738,VETERANS,$13.24
ANTIBODY; MYCOPLASMA,86738,TSADV IN,$16.34
ANTIBODY; MYCOPLASMA,86738,SSS BLUE CARD,$67.86
ANTIBODY; MYCOPLASMA,86738,PMC OUT,$13.24
ANTIBODY; MYCOPLASMA,86738,TRICARE,$13.24
ANTIBODY; MYCOPLASMA,86738,TS VITAL,$18.76
ANTIBODY; MYCOPLASMA,86738,TSADV OUT,$16.34
ANTIBODY; MYCOPLASMA,86738,TRIPLE S COM,$67.86
ANTIGEN; INFLUENZA A VIRUS,87276,FONDO,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,MENONITA VITAL,$10.38
ANTIGEN; INFLUENZA A VIRUS,87276,ACAA,
ANTIGEN; INFLUENZA A VIRUS,87276,MMM OUT,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,HUM GOLD IN,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,MCS CLASS,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,PALIC,$25.00
ANTIGEN; INFLUENZA A VIRUS,87276,MEDICARE A,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,MCS PREF,$15.25
ANTIGEN; INFLUENZA A VIRUS,87276,HUM GOLD OUT,
ANTIGEN; INFLUENZA A VIRUS,87276,BELLA VISTA,$35.00
ANTIGEN; INFLUENZA A VIRUS,87276,MEDICARE B,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,MENONITA COM,$16.00
ANTIGEN; INFLUENZA A VIRUS,87276,ASOCIACION OUT,$18.00
ANTIGEN; INFLUENZA A VIRUS,87276,ASOCIACION IN,$18.00
ANTIGEN; INFLUENZA A VIRUS,87276,MMM VITAL,$11.43
ANTIGEN; INFLUENZA A VIRUS,87276,IMC,$40.00
ANTIGEN; INFLUENZA A VIRUS,87276,HUMANA,$60.00
ANTIGEN; INFLUENZA A VIRUS,87276,MMM IN,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,FM VITAL,$13.35
ANTIGEN; INFLUENZA A VIRUS,87276,CHAMPVA,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,TRIPLE S COM,$29.75
ANTIGEN; INFLUENZA A VIRUS,87276,PMC IN,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,SSS BLUE CARD,$29.75
ANTIGEN; INFLUENZA A VIRUS,87276,TS VITAL,$15.43
ANTIGEN; INFLUENZA A VIRUS,87276,TSADV IN,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,TRICARE,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,PMC OUT,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,VETERANS,$16.07
ANTIGEN; INFLUENZA A VIRUS,87276,TSADV OUT,$16.07
ANTIGEN; INFLUENZA B VIRUS,87275,MMM IN,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,MEDICARE A,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,ASOCIACION IN,$18.00
ANTIGEN; INFLUENZA B VIRUS,87275,CHAMPVA,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,MENONITA COM,
ANTIGEN; INFLUENZA B VIRUS,87275,HUM GOLD OUT,
ANTIGEN; INFLUENZA B VIRUS,87275,PALIC,$25.00
ANTIGEN; INFLUENZA B VIRUS,87275,IMC,$40.00
ANTIGEN; INFLUENZA B VIRUS,87275,HUM GOLD IN,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,BELLA VISTA,$35.00
ANTIGEN; INFLUENZA B VIRUS,87275,ASOCIACION OUT,$18.00
ANTIGEN; INFLUENZA B VIRUS,87275,MCS PREF,$15.25
ANTIGEN; INFLUENZA B VIRUS,87275,FM VITAL,$13.35
ANTIGEN; INFLUENZA B VIRUS,87275,MMM OUT,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,ACAA,
ANTIGEN; INFLUENZA B VIRUS,87275,HUMANA,$60.00
ANTIGEN; INFLUENZA B VIRUS,87275,MMM VITAL,$11.43
ANTIGEN; INFLUENZA B VIRUS,87275,MEDICARE B,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,FONDO,$14.80
ANTIGEN; INFLUENZA B VIRUS,87275,MENONITA VITAL,$10.38
ANTIGEN; INFLUENZA B VIRUS,87275,MCS CLASS,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,SSS BLUE CARD,$38.00
ANTIGEN; INFLUENZA B VIRUS,87275,TRICARE,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,TRIPLE S COM,$38.00
ANTIGEN; INFLUENZA B VIRUS,87275,TSADV IN,$14.80
ANTIGEN; INFLUENZA B VIRUS,87275,TS VITAL,$15.43
ANTIGEN; INFLUENZA B VIRUS,87275,PMC OUT,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,VETERANS,$12.25
ANTIGEN; INFLUENZA B VIRUS,87275,TSADV OUT,$14.80
ANTIGEN; INFLUENZA B VIRUS,87275,PMC IN,$12.25
ANTIMICROBIAL AGENT (MIC),87186,FONDO,$10.67
ANTIMICROBIAL AGENT (MIC),87186,PMC IN,$8.65
ANTIMICROBIAL AGENT (MIC),87186,IMC,$10.00
ANTIMICROBIAL AGENT (MIC),87186,BELLA VISTA,$3.00
ANTIMICROBIAL AGENT (MIC),87186,ACAA,
ANTIMICROBIAL AGENT (MIC),87186,MCS CLASS,$8.65
ANTIMICROBIAL AGENT (MIC),87186,HUM GOLD IN,$8.65
ANTIMICROBIAL AGENT (MIC),87186,MMM VITAL,$8.25
ANTIMICROBIAL AGENT (MIC),87186,MEDICARE B,$8.65
ANTIMICROBIAL AGENT (MIC),87186,MENONITA COM,$7.20
ANTIMICROBIAL AGENT (MIC),87186,HUMANA,
ANTIMICROBIAL AGENT (MIC),87186,MCS PREF,$50.00
ANTIMICROBIAL AGENT (MIC),87186,MENONITA VITAL,$8.25
ANTIMICROBIAL AGENT (MIC),87186,MMM IN,$8.65
ANTIMICROBIAL AGENT (MIC),87186,MMM OUT,$8.65
ANTIMICROBIAL AGENT (MIC),87186,FM VITAL,$8.25
ANTIMICROBIAL AGENT (MIC),87186,ASOCIACION IN,
ANTIMICROBIAL AGENT (MIC),87186,ASOCIACION OUT,
ANTIMICROBIAL AGENT (MIC),87186,PALIC,
ANTIMICROBIAL AGENT (MIC),87186,CHAMPVA,$8.65
ANTIMICROBIAL AGENT (MIC),87186,MEDICARE A,$8.65
ANTIMICROBIAL AGENT (MIC),87186,HUM GOLD OUT,
ANTIMICROBIAL AGENT (MIC),87186,TRIPLE S COM,
ANTIMICROBIAL AGENT (MIC),87186,TSADV OUT,$10.67
ANTIMICROBIAL AGENT (MIC),87186,TSADV IN,$10.67
ANTIMICROBIAL AGENT (MIC),87186,SSS BLUE CARD,
ANTIMICROBIAL AGENT (MIC),87186,PMC OUT,$8.65
ANTIMICROBIAL AGENT (MIC),87186,VETERANS,$8.65
ANTIMICROBIAL AGENT (MIC),87186,TRICARE,$8.65
ANTIMICROBIAL AGENT (MIC),87186,TS VITAL,
Appendectomy Laparoscopic,44970,IMC,"$1,147.00"
Appendectomy Laparoscopic,44970,MCS CLASS,
Appendectomy Laparoscopic,44970,ACAA,$475.00
Appendectomy Laparoscopic,44970,MMM OUT,"$1,450.00"
Appendectomy Laparoscopic,44970,HUM GOLD OUT,"$1,380.00"
Appendectomy Laparoscopic,44970,FONDO,"$1,500.00"
Appendectomy Laparoscopic,44970,MENONITA VITAL,"$1,005.00"
Appendectomy Laparoscopic,44970,FM VITAL,$652.00
Appendectomy Laparoscopic,44970,MEDICARE B,
Appendectomy Laparoscopic,44970,ASOCIACION IN,"$1,362.00"
Appendectomy Laparoscopic,44970,MEDICARE A,
Appendectomy Laparoscopic,44970,HUMANA,"$1,595.00"
Appendectomy Laparoscopic,44970,PALIC,"$1,200.00"
Appendectomy Laparoscopic,44970,MMM VITAL,"$1,000.00"
Appendectomy Laparoscopic,44970,CHAMPVA,
Appendectomy Laparoscopic,44970,BELLA VISTA,"$1,250.00"
Appendectomy Laparoscopic,44970,MCS PREF,"$1,157.00"
Appendectomy Laparoscopic,44970,MENONITA COM,"$1,400.00"
Appendectomy Laparoscopic,44970,MMM IN,"$1,450.00"
Appendectomy Laparoscopic,44970,ASOCIACION OUT,"$1,442.00"
Appendectomy Laparoscopic,44970,HUM GOLD IN,"$1,400.00"
Appendectomy Laparoscopic,44970,PMC OUT,"$1,450.00"
Appendectomy Laparoscopic,44970,TRICARE,
Appendectomy Laparoscopic,44970,TS VITAL,$611.00
Appendectomy Laparoscopic,44970,TSADV IN,
Appendectomy Laparoscopic,44970,SSS BLUE CARD,$706.00
Appendectomy Laparoscopic,44970,VETERANS,
Appendectomy Laparoscopic,44970,TSADV OUT,
Appendectomy Laparoscopic,44970,TRIPLE S COM,$706.00
Appendectomy Laparoscopic,44970,PMC IN,"$1,450.00"
ARM (HUMERUS) XR,73060,PMC IN,$23.27
ARM (HUMERUS) XR,73060,FONDO,$21.02
ARM (HUMERUS) XR,73060,MMM VITAL,$12.42
ARM (HUMERUS) XR,73060,IMC,$9.50
ARM (HUMERUS) XR,73060,HUM GOLD IN,$23.27
ARM (HUMERUS) XR,73060,MEDICARE B,$23.27
ARM (HUMERUS) XR,73060,MCS CLASS,$52.45
ARM (HUMERUS) XR,73060,FM VITAL,$9.97
ARM (HUMERUS) XR,73060,ASOCIACION OUT,
ARM (HUMERUS) XR,73060,CHAMPVA,$52.45
ARM (HUMERUS) XR,73060,MMM OUT,$52.45
ARM (HUMERUS) XR,73060,MMM IN,$23.27
ARM (HUMERUS) XR,73060,ACAA,$14.70
ARM (HUMERUS) XR,73060,ASOCIACION IN,$17.00
ARM (HUMERUS) XR,73060,BELLA VISTA,$9.50
ARM (HUMERUS) XR,73060,HUM GOLD OUT,$23.27
ARM (HUMERUS) XR,73060,MENONITA COM,$10.00
ARM (HUMERUS) XR,73060,HUMANA,$11.50
ARM (HUMERUS) XR,73060,MCS PREF,$12.00
ARM (HUMERUS) XR,73060,MEDICARE A,$52.45
ARM (HUMERUS) XR,73060,MENONITA VITAL,$14.71
ARM (HUMERUS) XR,73060,PALIC,$15.00
ARM (HUMERUS) XR,73060,VETERANS,$52.45
ARM (HUMERUS) XR,73060,TRICARE,$52.45
ARM (HUMERUS) XR,73060,PMC OUT,$52.45
ARM (HUMERUS) XR,73060,SSS BLUE CARD,$14.50
ARM (HUMERUS) XR,73060,TRIPLE S COM,$14.50
ARM (HUMERUS) XR,73060,TSADV OUT,$21.02
ARM (HUMERUS) XR,73060,TSADV IN,$21.02
ARM (HUMERUS) XR,73060,TS VITAL,$9.26
"Arthroscopy, knee, surgical",29881,ASOCIACION INP,
"Arthroscopy, knee, surgical",29881,PALIC,$740.00
"Arthroscopy, knee, surgical",29881,TRICARE,
"Arthroscopy, knee, surgical",29881,MOLINA VITAL,"$1,300.00"
"Arthroscopy, knee, surgical",29881,ACAA,$475.00
"Arthroscopy, knee, surgical",29881,SSS BLUE CARD,"$1,300.00"
"Arthroscopy, knee, surgical",29881,MENONITA COM,"$1,475.00"
"Arthroscopy, knee, surgical",29881,PMC OUT,$735.00
"Arthroscopy, knee, surgical",29881,SSS COM,"$1,300.00"
"Arthroscopy, knee, surgical",29881,ASOCIACION OUT,"$1,505.00"
"Arthroscopy, knee, surgical",29881,TS VITAL,"$1,300.00"
"Arthroscopy, knee, surgical",29881,PMC IN,$735.00
"Arthroscopy, knee, surgical",29881,MMM VITAL,"$1,300.00"
"Arthroscopy, knee, surgical",29881,TS ADV OUT,
"Arthroscopy, knee, surgical",29881,MMM OUT,$735.00
"Arthroscopy, knee, surgical",29881,MEDICARE B,
"Arthroscopy, knee, surgical",29881,MMM IN,
"Arthroscopy, knee, surgical",29881,MEDICARE A,
"Arthroscopy, knee, surgical",29881,MAP LIFE,"$1,393.00"
"Arthroscopy, knee, surgical",29881,IMC,"$1,100.00"
"Arthroscopy, knee, surgical",29881,MCS CLASS,
"Arthroscopy, knee, surgical",29881,BELLA VISTA,$650.00
"Arthroscopy, knee, surgical",29881,FM VITAL,"$1,300.00"
"Arthroscopy, knee, surgical",29881,FONDO,$528.00
"Arthroscopy, knee, surgical",29881,CHAMPVA,
"Arthroscopy, knee, surgical",29881,HUMANA,"$1,595.00"
"Arthroscopy, knee, surgical",29881,TS ADV IN,
"Arthroscopy, knee, surgical",29881,MCS PREF,$712.00
"Arthroscopy, knee, surgical",29881,VETERANS,
"Arthroscopy, knee, surgical",29881,PSM VITAL,"$1,350.00"
"Arthroscopy, knee, surgical",29881,HUM GOLD PLUS,
"Arthroscopy, shoulder, surgical",29826,VETERANS,
"Arthroscopy, shoulder, surgical",29826,MMM OUT,$735.00
"Arthroscopy, shoulder, surgical",29826,ASOCIACION OUT,"$1,505.00"
"Arthroscopy, shoulder, surgical",29826,MENONITA COM,"$1,475.00"
"Arthroscopy, shoulder, surgical",29826,FM VITAL,"$1,300.00"
"Arthroscopy, shoulder, surgical",29826,MEDICARE B,
"Arthroscopy, shoulder, surgical",29826,MCS CLASS,
"Arthroscopy, shoulder, surgical",29826,SSS COM,"$1,300.00"
"Arthroscopy, shoulder, surgical",29826,PALIC,$740.00
"Arthroscopy, shoulder, surgical",29826,MOLINA VITAL,"$1,300.00"
"Arthroscopy, shoulder, surgical",29826,CHAMPVA,
"Arthroscopy, shoulder, surgical",29826,TS ADV IN,
"Arthroscopy, shoulder, surgical",29826,TS VITAL,"$1,300.00"
"Arthroscopy, shoulder, surgical",29826,MMM IN,
"Arthroscopy, shoulder, surgical",29826,FONDO,$528.00
"Arthroscopy, shoulder, surgical",29826,HUM GOLD PLUS,
"Arthroscopy, shoulder, surgical",29826,PSM VITAL,"$1,350.00"
"Arthroscopy, shoulder, surgical",29826,TRICARE,
"Arthroscopy, shoulder, surgical",29826,HUMANA,"$1,595.00"
"Arthroscopy, shoulder, surgical",29826,TS ADV OUT,
"Arthroscopy, shoulder, surgical",29826,SSS BLUE CARD,"$1,300.00"
"Arthroscopy, shoulder, surgical",29826,IMC,"$1,100.00"
"Arthroscopy, shoulder, surgical",29826,MEDICARE A,
"Arthroscopy, shoulder, surgical",29826,MMM VITAL,"$1,300.00"
"Arthroscopy, shoulder, surgical",29826,ASOCIACION INP,
"Arthroscopy, shoulder, surgical",29826,PMC OUT,$735.00
"Arthroscopy, shoulder, surgical",29826,BELLA VISTA,$650.00
"Arthroscopy, shoulder, surgical",29826,MAP LIFE,"$1,393.00"
"Arthroscopy, shoulder, surgical",29826,PMC IN,$735.00
"Arthroscopy, shoulder, surgical",29826,ACAA,$475.00
"Arthroscopy, shoulder, surgical",29826,MCS PREF,$712.00
Arthrotom wrist jnt w jnt expl,25101,MMM VITAL,$611.00
Arthrotom wrist jnt w jnt expl,25101,MCS CLASS,"$1,549.24"
Arthrotom wrist jnt w jnt expl,25101,ACAA,$475.00
Arthrotom wrist jnt w jnt expl,25101,MEDICARE B,
Arthrotom wrist jnt w jnt expl,25101,MMM OUT,$735.00
Arthrotom wrist jnt w jnt expl,25101,MMM IN,
Arthrotom wrist jnt w jnt expl,25101,HUM GOLD OUT,$806.00
Arthrotom wrist jnt w jnt expl,25101,BELLA VISTA,$650.00
Arthrotom wrist jnt w jnt expl,25101,PALIC,$740.00
Arthrotom wrist jnt w jnt expl,25101,HUM GOLD IN,
Arthrotom wrist jnt w jnt expl,25101,IMC,$605.00
Arthrotom wrist jnt w jnt expl,25101,FONDO,
Arthrotom wrist jnt w jnt expl,25101,ASOCIACION IN,
Arthrotom wrist jnt w jnt expl,25101,MCS PREF,$712.00
Arthrotom wrist jnt w jnt expl,25101,CHAMPVA,
Arthrotom wrist jnt w jnt expl,25101,MEDICARE A,
Arthrotom wrist jnt w jnt expl,25101,HUMANA,$700.00
Arthrotom wrist jnt w jnt expl,25101,FM VITAL,$652.00
Arthrotom wrist jnt w jnt expl,25101,ASOCIACION OUT,$770.00
Arthrotom wrist jnt w jnt expl,25101,MENONITA COM,$788.00
Arthrotom wrist jnt w jnt expl,25101,MENONITA VITAL,$660.00
Arthrotom wrist jnt w jnt expl,25101,TRIPLE S COM,"$1,300.00"
Arthrotom wrist jnt w jnt expl,25101,PMC IN,$735.00
Arthrotom wrist jnt w jnt expl,25101,VETERANS,
Arthrotom wrist jnt w jnt expl,25101,PMC OUT,$735.00
Arthrotom wrist jnt w jnt expl,25101,TS VITAL,"$1,300.00"
Arthrotom wrist jnt w jnt expl,25101,SSS BLUE CARD,"$1,300.00"
Arthrotom wrist jnt w jnt expl,25101,TSADV IN,
Arthrotom wrist jnt w jnt expl,25101,TSADV OUT,$470.56
Arthrotom wrist jnt w jnt expl,25101,TRICARE,
BASIC METABOLIC PANEL CTOTAL,80048,CHAMPVA,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,FM VITAL,$8.06
BASIC METABOLIC PANEL CTOTAL,80048,MAP LIFE,$40.00
BASIC METABOLIC PANEL CTOTAL,80048,TS VITAL,$11.98
BASIC METABOLIC PANEL CTOTAL,80048,PMC IN,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,SSS COM,$12.00
BASIC METABOLIC PANEL CTOTAL,80048,ACAA,
BASIC METABOLIC PANEL CTOTAL,80048,PALIC,$30.00
BASIC METABOLIC PANEL CTOTAL,80048,IMC,$16.00
BASIC METABOLIC PANEL CTOTAL,80048,ASOCIACION INP,$11.00
BASIC METABOLIC PANEL CTOTAL,80048,TS ADV OUT,$10.44
BASIC METABOLIC PANEL CTOTAL,80048,MENONITA COM,
BASIC METABOLIC PANEL CTOTAL,80048,MEDICARE A,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,BELLA VISTA,$13.60
BASIC METABOLIC PANEL CTOTAL,80048,MEDICARE B,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,MMM IN,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,ASOCIACION OUT,
BASIC METABOLIC PANEL CTOTAL,80048,MMM VITAL,$8.06
BASIC METABOLIC PANEL CTOTAL,80048,MCS PREF,$12.00
BASIC METABOLIC PANEL CTOTAL,80048,MCS CLASS,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,MOLINA VITAL,$7.31
BASIC METABOLIC PANEL CTOTAL,80048,TS ADV IN,$10.44
BASIC METABOLIC PANEL CTOTAL,80048,PMC OUT,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,PSM VITAL,$11.12
BASIC METABOLIC PANEL CTOTAL,80048,VETERANS,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,HUM GOLD PLUS,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,TRICARE,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,SSS BLUE CARD,$12.00
BASIC METABOLIC PANEL CTOTAL,80048,HUMANA,$15.00
BASIC METABOLIC PANEL CTOTAL,80048,MMM OUT,$8.46
BASIC METABOLIC PANEL CTOTAL,80048,FONDO,$10.44
BETA SUB UNIT (PREGNA) QL HCG,84703,MMM VITAL,$7.17
BETA SUB UNIT (PREGNA) QL HCG,84703,MMM IN,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,ACAA,$15.00
BETA SUB UNIT (PREGNA) QL HCG,84703,MENONITA COM,$11.60
BETA SUB UNIT (PREGNA) QL HCG,84703,HUM GOLD OUT,
BETA SUB UNIT (PREGNA) QL HCG,84703,FM VITAL,$7.17
BETA SUB UNIT (PREGNA) QL HCG,84703,PALIC,$25.00
BETA SUB UNIT (PREGNA) QL HCG,84703,CHAMPVA,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,MCS CLASS,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,BELLA VISTA,$11.00
BETA SUB UNIT (PREGNA) QL HCG,84703,MMM OUT,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,FONDO,$9.29
BETA SUB UNIT (PREGNA) QL HCG,84703,MCS PREF,$25.00
BETA SUB UNIT (PREGNA) QL HCG,84703,IMC,$15.00
BETA SUB UNIT (PREGNA) QL HCG,84703,HUMANA,$15.00
BETA SUB UNIT (PREGNA) QL HCG,84703,MEDICARE B,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,ASOCIACION IN,
BETA SUB UNIT (PREGNA) QL HCG,84703,MEDICARE A,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,ASOCIACION OUT,$13.00
BETA SUB UNIT (PREGNA) QL HCG,84703,HUM GOLD IN,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,PMC IN,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,MENONITA VITAL,$7.17
BETA SUB UNIT (PREGNA) QL HCG,84703,SSS BLUE CARD,$15.00
BETA SUB UNIT (PREGNA) QL HCG,84703,TRIPLE S COM,$15.00
BETA SUB UNIT (PREGNA) QL HCG,84703,TSADV OUT,$9.29
BETA SUB UNIT (PREGNA) QL HCG,84703,TRICARE,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,TSADV IN,$9.29
BETA SUB UNIT (PREGNA) QL HCG,84703,VETERANS,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,PMC OUT,$7.52
BETA SUB UNIT (PREGNA) QL HCG,84703,TS VITAL,$10.64
BETA SUB UNIT (PREGNA) QN HCG,84702,PMC IN,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,HUM GOLD IN,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,FONDO,$18.59
BETA SUB UNIT (PREGNA) QN HCG,84702,PALIC,$60.00
BETA SUB UNIT (PREGNA) QN HCG,84702,CHAMPVA,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,MEDICARE A,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,ASOCIACION OUT,
BETA SUB UNIT (PREGNA) QN HCG,84702,MEDICARE B,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,MMM OUT,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,HUMANA,$30.00
BETA SUB UNIT (PREGNA) QN HCG,84702,MMM VITAL,$14.36
BETA SUB UNIT (PREGNA) QN HCG,84702,MMM IN,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,MENONITA COM,$22.00
BETA SUB UNIT (PREGNA) QN HCG,84702,MCS PREF,$29.00
BETA SUB UNIT (PREGNA) QN HCG,84702,HUM GOLD OUT,
BETA SUB UNIT (PREGNA) QN HCG,84702,ASOCIACION IN,$29.00
BETA SUB UNIT (PREGNA) QN HCG,84702,IMC,$28.00
BETA SUB UNIT (PREGNA) QN HCG,84702,MCS CLASS,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,MENONITA VITAL,$14.36
BETA SUB UNIT (PREGNA) QN HCG,84702,BELLA VISTA,$28.00
BETA SUB UNIT (PREGNA) QN HCG,84702,ACAA,$21.00
BETA SUB UNIT (PREGNA) QN HCG,84702,FM VITAL,$14.36
BETA SUB UNIT (PREGNA) QN HCG,84702,TRIPLE S COM,$29.00
BETA SUB UNIT (PREGNA) QN HCG,84702,VETERANS,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,SSS BLUE CARD,$29.00
BETA SUB UNIT (PREGNA) QN HCG,84702,TS VITAL,$16.41
BETA SUB UNIT (PREGNA) QN HCG,84702,TSADV OUT,$18.59
BETA SUB UNIT (PREGNA) QN HCG,84702,TRICARE,$15.05
BETA SUB UNIT (PREGNA) QN HCG,84702,TSADV IN,$18.59
BETA SUB UNIT (PREGNA) QN HCG,84702,PMC OUT,$15.05
BILATERAL MAMMOGRAPH DIGITAL,77066,CHAMPVA,$143.37
BILATERAL MAMMOGRAPH DIGITAL,77066,MMM OUT,$121.50
BILATERAL MAMMOGRAPH DIGITAL,77066,BELLA VISTA,$46.00
BILATERAL MAMMOGRAPH DIGITAL,77066,ACAA,
BILATERAL MAMMOGRAPH DIGITAL,77066,HUM GOLD PLUS,$121.50
BILATERAL MAMMOGRAPH DIGITAL,77066,PALIC,$43.00
BILATERAL MAMMOGRAPH DIGITAL,77066,MMM VITAL,$72.85
BILATERAL MAMMOGRAPH DIGITAL,77066,TS ADV IN,$123.61
BILATERAL MAMMOGRAPH DIGITAL,77066,SSS BLUE CARD,$41.00
BILATERAL MAMMOGRAPH DIGITAL,77066,ASOCIACION INP,$85.00
BILATERAL MAMMOGRAPH DIGITAL,77066,PMC IN,$121.50
BILATERAL MAMMOGRAPH DIGITAL,77066,MCS PREF,$52.50
BILATERAL MAMMOGRAPH DIGITAL,77066,MAP LIFE,$54.00
BILATERAL MAMMOGRAPH DIGITAL,77066,TS ADV OUT,$123.61
BILATERAL MAMMOGRAPH DIGITAL,77066,FONDO,$123.61
BILATERAL MAMMOGRAPH DIGITAL,77066,HUMANA,$52.50
BILATERAL MAMMOGRAPH DIGITAL,77066,IMC,$40.00
BILATERAL MAMMOGRAPH DIGITAL,77066,MCS CLASS,$143.37
BILATERAL MAMMOGRAPH DIGITAL,77066,TRICARE,$143.37
BILATERAL MAMMOGRAPH DIGITAL,77066,ASOCIACION OUT,
BILATERAL MAMMOGRAPH DIGITAL,77066,MMM IN,$121.50
BILATERAL MAMMOGRAPH DIGITAL,77066,PMC OUT,$121.50
BILATERAL MAMMOGRAPH DIGITAL,77066,SSS COM,$41.00
BILATERAL MAMMOGRAPH DIGITAL,77066,PSM VITAL,$86.53
BILATERAL MAMMOGRAPH DIGITAL,77066,FM VITAL,$36.64
BILATERAL MAMMOGRAPH DIGITAL,77066,VETERANS,$143.37
BILATERAL MAMMOGRAPH DIGITAL,77066,MENONITA COM,
BILATERAL MAMMOGRAPH DIGITAL,77066,MEDICARE B,$121.50
BILATERAL MAMMOGRAPH DIGITAL,77066,TS VITAL,$28.77
BILATERAL MAMMOGRAPH DIGITAL,77066,MOLINA VITAL,$86.53
BILATERAL MAMMOGRAPH DIGITAL,77066,MEDICARE A,$121.50
BILIRUBIN; DIRECT,82248,MMM IN,$5.02
BILIRUBIN; DIRECT,82248,ASOCIACION IN,$9.00
BILIRUBIN; DIRECT,82248,CHAMPVA,$5.02
BILIRUBIN; DIRECT,82248,HUM GOLD OUT,
BILIRUBIN; DIRECT,82248,PALIC,$12.00
BILIRUBIN; DIRECT,82248,HUM GOLD IN,$5.02
BILIRUBIN; DIRECT,82248,MMM VITAL,$4.78
BILIRUBIN; DIRECT,82248,BELLA VISTA,$6.00
BILIRUBIN; DIRECT,82248,MMM OUT,$5.02
BILIRUBIN; DIRECT,82248,MENONITA COM,$8.80
BILIRUBIN; DIRECT,82248,HUM GOLD OUT,
BILIRUBIN; DIRECT,82248,FM VITAL,$4.78
BILIRUBIN; DIRECT,82248,FONDO,$6.19
BILIRUBIN; DIRECT,82248,MENONITA VITAL,$4.78
BILIRUBIN; DIRECT,82248,MEDICARE A,$5.02
BILIRUBIN; DIRECT,82248,CHAMPVA,$5.02
BILIRUBIN; DIRECT,82248,PALIC,$12.00
BILIRUBIN; DIRECT,82248,MMM IN,$5.02
BILIRUBIN; DIRECT,82248,HUMANA,$10.00
BILIRUBIN; DIRECT,82248,IMC,$8.00
BILIRUBIN; DIRECT,82248,ACAA,
BILIRUBIN; DIRECT,82248,HUM GOLD IN,$5.02
BILIRUBIN; DIRECT,82248,FM VITAL,$4.78
BILIRUBIN; DIRECT,82248,MENONITA VITAL,$4.78
BILIRUBIN; DIRECT,82248,ACAA,
BILIRUBIN; DIRECT,82248,MENONITA COM,$8.80
BILIRUBIN; DIRECT,82248,PMC IN,$5.02
BILIRUBIN; DIRECT,82248,MCS CLASS,$5.02
BILIRUBIN; DIRECT,82248,MMM OUT,$5.02
BILIRUBIN; DIRECT,82248,ASOCIACION IN,$9.00
BILIRUBIN; DIRECT,82248,MEDICARE B,$5.02
BILIRUBIN; DIRECT,82248,MCS CLASS,$5.02
BILIRUBIN; DIRECT,82248,MCS PREF,$8.00
BILIRUBIN; DIRECT,82248,ASOCIACION OUT,
BILIRUBIN; DIRECT,82248,MMM VITAL,$4.78
BILIRUBIN; DIRECT,82248,BELLA VISTA,$6.00
BILIRUBIN; DIRECT,82248,HUMANA,$10.00
BILIRUBIN; DIRECT,82248,ASOCIACION OUT,
BILIRUBIN; DIRECT,82248,FONDO,$6.19
BILIRUBIN; DIRECT,82248,MEDICARE B,$5.02
BILIRUBIN; DIRECT,82248,MCS PREF,$8.00
BILIRUBIN; DIRECT,82248,IMC,$8.00
BILIRUBIN; DIRECT,82248,MEDICARE A,$5.02
BILIRUBIN; DIRECT,82248,TRIPLE S COM,$9.00
BILIRUBIN; DIRECT,82248,TRICARE,$5.02
BILIRUBIN; DIRECT,82248,VETERANS,$5.02
BILIRUBIN; DIRECT,82248,PMC OUT,$5.02
BILIRUBIN; DIRECT,82248,TSADV IN,$6.19
BILIRUBIN; DIRECT,82248,PMC IN,$5.02
BILIRUBIN; DIRECT,82248,SSS BLUE CARD,$9.00
BILIRUBIN; DIRECT,82248,PMC OUT,$5.02
BILIRUBIN; DIRECT,82248,VETERANS,$5.02
BILIRUBIN; DIRECT,82248,TSADV IN,$6.19
BILIRUBIN; DIRECT,82248,TRIPLE S COM,$9.00
BILIRUBIN; DIRECT,82248,TS VITAL,$7.10
BILIRUBIN; DIRECT,82248,TS VITAL,$7.10
BILIRUBIN; DIRECT,82248,SSS BLUE CARD,$9.00
BILIRUBIN; DIRECT,82248,TSADV OUT,$6.19
BILIRUBIN; DIRECT,82248,TRICARE,$5.02
BILIRUBIN; DIRECT,82248,TSADV OUT,$6.19
BILIRUBIN; TOTAL,82247,FONDO,$6.19
BILIRUBIN; TOTAL,82247,ACAA,
BILIRUBIN; TOTAL,82247,PALIC,$8.00
BILIRUBIN; TOTAL,82247,MMM IN,$5.02
BILIRUBIN; TOTAL,82247,MMM VITAL,$4.78
BILIRUBIN; TOTAL,82247,MENONITA COM,$8.80
BILIRUBIN; TOTAL,82247,MCS PREF,$24.00
BILIRUBIN; TOTAL,82247,FM VITAL,$4.78
BILIRUBIN; TOTAL,82247,IMC,$5.00
BILIRUBIN; TOTAL,82247,HUM GOLD OUT,
BILIRUBIN; TOTAL,82247,MMM OUT,$5.02
BILIRUBIN; TOTAL,82247,BELLA VISTA,$6.00
BILIRUBIN; TOTAL,82247,HUMANA,$6.00
BILIRUBIN; TOTAL,82247,MENONITA VITAL,$4.78
BILIRUBIN; TOTAL,82247,HUM GOLD IN,$5.02
BILIRUBIN; TOTAL,82247,CHAMPVA,$5.02
BILIRUBIN; TOTAL,82247,MCS CLASS,$5.02
BILIRUBIN; TOTAL,82247,MEDICARE B,$5.02
BILIRUBIN; TOTAL,82247,PMC IN,$5.02
BILIRUBIN; TOTAL,82247,ASOCIACION OUT,
BILIRUBIN; TOTAL,82247,ASOCIACION IN,$9.00
BILIRUBIN; TOTAL,82247,MEDICARE A,$5.02
BILIRUBIN; TOTAL,82247,VETERANS,$5.02
BILIRUBIN; TOTAL,82247,TRICARE,$5.02
BILIRUBIN; TOTAL,82247,PMC OUT,$5.02
BILIRUBIN; TOTAL,82247,TSADV OUT,$6.19
BILIRUBIN; TOTAL,82247,TS VITAL,$7.10
BILIRUBIN; TOTAL,82247,SSS BLUE CARD,$9.00
BILIRUBIN; TOTAL,82247,TSADV IN,$6.19
BILIRUBIN; TOTAL,82247,TRIPLE S COM,$9.00
Biopsy of prostate gland,55700,PSM VITAL,
Biopsy of prostate gland,55700,BELLA VISTA,
Biopsy of prostate gland,55700,PMC OUT,
Biopsy of prostate gland,55700,TS VITAL,
Biopsy of prostate gland,55700,ASOCIACION OUT,
Biopsy of prostate gland,55700,MOLINA VITAL,
Biopsy of prostate gland,55700,HUM GOLD PLUS,
Biopsy of prostate gland,55700,FONDO,
Biopsy of prostate gland,55700,FM VITAL,
Biopsy of prostate gland,55700,MCS CLASS,
Biopsy of prostate gland,55700,SSS BLUE CARD,
Biopsy of prostate gland,55700,ASOCIACION INP,
Biopsy of prostate gland,55700,VETERANS,
Biopsy of prostate gland,55700,CHAMPVA,
Biopsy of prostate gland,55700,HUMANA,
Biopsy of prostate gland,55700,MCS PREF,
Biopsy of prostate gland,55700,SSS COM,
Biopsy of prostate gland,55700,ACAA,
Biopsy of prostate gland,55700,MEDICARE B,
Biopsy of prostate gland,55700,TRICARE,
Biopsy of prostate gland,55700,MENONITA COM,
Biopsy of prostate gland,55700,TS ADV IN,
Biopsy of prostate gland,55700,MMM IN,
Biopsy of prostate gland,55700,MAP LIFE,
Biopsy of prostate gland,55700,TS ADV OUT,
Biopsy of prostate gland,55700,PMC IN,
Biopsy of prostate gland,55700,IMC,
Biopsy of prostate gland,55700,MEDICARE A,
Biopsy of prostate gland,55700,MMM OUT,
Biopsy of prostate gland,55700,MMM VITAL,
Biopsy of prostate gland,55700,PALIC,
BLEEDING TIME,85002,MCS CLASS,$4.82
BLEEDING TIME,85002,MEDICARE B,$4.82
BLEEDING TIME,85002,FONDO,$5.57
BLEEDING TIME,85002,PMC IN,$4.82
BLEEDING TIME,85002,MEDICARE A,$4.82
BLEEDING TIME,85002,MCS PREF,$3.00
BLEEDING TIME,85002,ASOCIACION OUT,
BLEEDING TIME,85002,CHAMPVA,$4.82
BLEEDING TIME,85002,ACAA,$4.00
BLEEDING TIME,85002,IMC,$3.00
BLEEDING TIME,85002,HUM GOLD IN,$4.82
BLEEDING TIME,85002,BELLA VISTA,$2.00
BLEEDING TIME,85002,HUMANA,
BLEEDING TIME,85002,MMM OUT,$4.82
BLEEDING TIME,85002,MMM VITAL,$4.30
BLEEDING TIME,85002,FM VITAL,$3.35
BLEEDING TIME,85002,MENONITA VITAL,$3.35
BLEEDING TIME,85002,ASOCIACION IN,
BLEEDING TIME,85002,HUM GOLD OUT,
BLEEDING TIME,85002,PALIC,
BLEEDING TIME,85002,MENONITA COM,$3.50
BLEEDING TIME,85002,MMM IN,$4.82
BLEEDING TIME,85002,TRIPLE S COM,$5.04
BLEEDING TIME,85002,TRICARE,$4.82
BLEEDING TIME,85002,PMC OUT,$4.82
BLEEDING TIME,85002,SSS BLUE CARD,$5.04
BLEEDING TIME,85002,TSADV OUT,$5.57
BLEEDING TIME,85002,VETERANS,$4.82
BLEEDING TIME,85002,TS VITAL,$4.99
BLEEDING TIME,85002,TSADV IN,$5.57
"BLOOD OCCULT,QUAL,FECES,1-3",82270,BELLA VISTA,$4.00
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MEDICARE B,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,HUM GOLD IN,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,FONDO,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,ASOCIACION OUT,
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MENONITA VITAL,$3.10
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MEDICARE A,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,HUMANA,
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MMM VITAL,$3.10
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MMM OUT,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MCS CLASS,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,HUM GOLD OUT,
"BLOOD OCCULT,QUAL,FECES,1-3",82270,IMC,$5.00
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MCS PREF,$24.00
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MMM IN,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,ASOCIACION IN,
"BLOOD OCCULT,QUAL,FECES,1-3",82270,PMC IN,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,CHAMPVA,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,FM VITAL,$3.10
"BLOOD OCCULT,QUAL,FECES,1-3",82270,PALIC,
"BLOOD OCCULT,QUAL,FECES,1-3",82270,MENONITA COM,$3.50
"BLOOD OCCULT,QUAL,FECES,1-3",82270,ACAA,$3.00
"BLOOD OCCULT,QUAL,FECES,1-3",82270,TSADV IN,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,TSADV OUT,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,TRICARE,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,PMC OUT,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,SSS BLUE CARD,$5.00
"BLOOD OCCULT,QUAL,FECES,1-3",82270,TS VITAL,$4.61
"BLOOD OCCULT,QUAL,FECES,1-3",82270,VETERANS,$4.38
"BLOOD OCCULT,QUAL,FECES,1-3",82270,TRIPLE S COM,$5.00
BLOOD TYPING; ABO,86900,ACAA,$15.00
BLOOD TYPING; ABO,86900,MMM VITAL,$2.58
BLOOD TYPING; ABO,86900,MCS PREF,$9.00
BLOOD TYPING; ABO,86900,PMC IN,$2.99
BLOOD TYPING; ABO,86900,HUM GOLD OUT,
BLOOD TYPING; ABO,86900,BELLA VISTA,$7.00
BLOOD TYPING; ABO,86900,IMC,$25.00
BLOOD TYPING; ABO,86900,MEDICARE B,$2.99
BLOOD TYPING; ABO,86900,MCS CLASS,$2.99
BLOOD TYPING; ABO,86900,PALIC,$28.75
BLOOD TYPING; ABO,86900,MMM IN,$2.99
BLOOD TYPING; ABO,86900,MEDICARE A,$2.99
BLOOD TYPING; ABO,86900,MENONITA VITAL,$2.85
BLOOD TYPING; ABO,86900,MMM OUT,$2.99
BLOOD TYPING; ABO,86900,HUMANA,$7.00
BLOOD TYPING; ABO,86900,CHAMPVA,$2.99
BLOOD TYPING; ABO,86900,HUM GOLD IN,$2.99
BLOOD TYPING; ABO,86900,FM VITAL,$4.00
BLOOD TYPING; ABO,86900,FONDO,$3.69
BLOOD TYPING; ABO,86900,ASOCIACION OUT,
BLOOD TYPING; ABO,86900,MENONITA COM,$5.00
BLOOD TYPING; ABO,86900,ASOCIACION IN,$28.75
BLOOD TYPING; ABO,86900,TS VITAL,$7.00
BLOOD TYPING; ABO,86900,SSS BLUE CARD,$7.00
BLOOD TYPING; ABO,86900,TRICARE,$2.99
BLOOD TYPING; ABO,86900,TRIPLE S COM,$7.00
BLOOD TYPING; ABO,86900,TSADV OUT,$7.00
BLOOD TYPING; ABO,86900,TSADV IN,$7.00
BLOOD TYPING; ABO,86900,PMC OUT,$2.99
BLOOD TYPING; ABO,86900,VETERANS,$2.99
BLOOD TYPING; RH (D),86901,ASOCIACION IN,$23.00
BLOOD TYPING; RH (D),86901,IMC,$20.00
BLOOD TYPING; RH (D),86901,MMM VITAL,$2.58
BLOOD TYPING; RH (D),86901,FONDO,$3.69
BLOOD TYPING; RH (D),86901,MEDICARE A,$2.99
BLOOD TYPING; RH (D),86901,MMM OUT,$2.99
BLOOD TYPING; RH (D),86901,MCS CLASS,$2.99
BLOOD TYPING; RH (D),86901,MENONITA VITAL,$2.85
BLOOD TYPING; RH (D),86901,CHAMPVA,$2.99
BLOOD TYPING; RH (D),86901,MEDICARE B,$2.99
BLOOD TYPING; RH (D),86901,PMC IN,$2.99
BLOOD TYPING; RH (D),86901,HUMANA,$7.00
BLOOD TYPING; RH (D),86901,HUM GOLD IN,$2.99
BLOOD TYPING; RH (D),86901,FM VITAL,$6.49
BLOOD TYPING; RH (D),86901,ASOCIACION OUT,
BLOOD TYPING; RH (D),86901,MMM IN,$2.99
BLOOD TYPING; RH (D),86901,ACAA,$15.00
BLOOD TYPING; RH (D),86901,MCS PREF,$9.00
BLOOD TYPING; RH (D),86901,MENONITA COM,$5.00
BLOOD TYPING; RH (D),86901,HUM GOLD OUT,
BLOOD TYPING; RH (D),86901,BELLA VISTA,$6.00
BLOOD TYPING; RH (D),86901,PALIC,$23.00
BLOOD TYPING; RH (D),86901,TSADV OUT,$6.49
BLOOD TYPING; RH (D),86901,TSADV IN,$6.49
BLOOD TYPING; RH (D),86901,TRICARE,$2.99
BLOOD TYPING; RH (D),86901,VETERANS,$2.99
BLOOD TYPING; RH (D),86901,TRIPLE S COM,$6.49
BLOOD TYPING; RH (D),86901,TS VITAL,$6.49
BLOOD TYPING; RH (D),86901,PMC OUT,$2.99
BLOOD TYPING; RH (D),86901,SSS BLUE CARD,$6.49
Bonegraft any donor area sm,20900,MCS CLASS,
Bonegraft any donor area sm,20900,FONDO,$450.00
Bonegraft any donor area sm,20900,MMM IN,
Bonegraft any donor area sm,20900,MMM OUT,$735.00
Bonegraft any donor area sm,20900,HUM GOLD IN,
Bonegraft any donor area sm,20900,IMC,$605.00
Bonegraft any donor area sm,20900,MEDICARE B,
Bonegraft any donor area sm,20900,BELLA VISTA,$650.00
Bonegraft any donor area sm,20900,MEDICARE A,
Bonegraft any donor area sm,20900,ASOCIACION IN,
Bonegraft any donor area sm,20900,CHAMPVA,
Bonegraft any donor area sm,20900,HUMANA,$700.00
Bonegraft any donor area sm,20900,MMM VITAL,$611.00
Bonegraft any donor area sm,20900,HUM GOLD OUT,$806.00
Bonegraft any donor area sm,20900,FM VITAL,$652.00
Bonegraft any donor area sm,20900,PALIC,$740.00
Bonegraft any donor area sm,20900,ACAA,$475.00
Bonegraft any donor area sm,20900,ASOCIACION OUT,$770.00
Bonegraft any donor area sm,20900,MCS PREF,$712.00
Bonegraft any donor area sm,20900,MENONITA COM,$788.00
Bonegraft any donor area sm,20900,MENONITA VITAL,$660.00
Bonegraft any donor area sm,20900,PMC IN,$735.00
Bonegraft any donor area sm,20900,TRIPLE S COM,"$1,300.00"
Bonegraft any donor area sm,20900,TS VITAL,"$1,300.00"
Bonegraft any donor area sm,20900,VETERANS,
Bonegraft any donor area sm,20900,PMC OUT,$735.00
Bonegraft any donor area sm,20900,TRICARE,
Bonegraft any donor area sm,20900,SSS BLUE CARD,"$1,300.00"
Bonegraft any donor area sm,20900,TSADV IN,
Bonegraft any donor area sm,20900,TSADV OUT,$774.61
BRAIN CT,70450,MEDICARE A,$73.66
BRAIN CT,70450,TRICARE,$73.66
BRAIN CT,70450,TS ADV IN,$75.03
BRAIN CT,70450,HUM GOLD PLUS,$74.20
BRAIN CT,70450,PSM VITAL,$52.52
BRAIN CT,70450,SSS BLUE CARD,$137.50
BRAIN CT,70450,PMC OUT,$73.66
BRAIN CT,70450,PMC IN,$74.20
BRAIN CT,70450,SSS COM,$137.50
BRAIN CT,70450,MCS CLASS,$73.66
BRAIN CT,70450,MENONITA COM,$137.50
BRAIN CT,70450,ASOCIACION INP,$260.00
BRAIN CT,70450,MOLINA VITAL,$52.52
BRAIN CT,70450,PALIC,$150.00
BRAIN CT,70450,ASOCIACION OUT,
BRAIN CT,70450,ACAA,$81.81
BRAIN CT,70450,MMM VITAL,$44.25
BRAIN CT,70450,TS VITAL,$110.00
BRAIN CT,70450,IMC,$137.50
BRAIN CT,70450,HUMANA,$137.50
BRAIN CT,70450,FM VITAL,$36.12
BRAIN CT,70450,CHAMPVA,$73.66
BRAIN CT,70450,MAP LIFE,$150.00
BRAIN CT,70450,MEDICARE B,$74.20
BRAIN CT,70450,VETERANS,$73.66
BRAIN CT,70450,MMM IN,$74.20
BRAIN CT,70450,FONDO,$75.03
BRAIN CT,70450,MCS PREF,$150.00
BRAIN CT,70450,BELLA VISTA,$150.00
BRAIN CT,70450,MMM OUT,$73.66
BRAIN CT,70450,TS ADV OUT,$75.03
BRAIN W/CONTRAST CT,70460,MCS PREF,$175.00
BRAIN W/CONTRAST CT,70460,HUM GOLD OUT,$108.76
BRAIN W/CONTRAST CT,70460,MENONITA COM,$137.50
BRAIN W/CONTRAST CT,70460,HUMANA,$140.00
BRAIN W/CONTRAST CT,70460,ASOCIACION OUT,
BRAIN W/CONTRAST CT,70460,MEDICARE A,$119.76
BRAIN W/CONTRAST CT,70460,MEDICARE B,$108.76
BRAIN W/CONTRAST CT,70460,IMC,$137.50
BRAIN W/CONTRAST CT,70460,MMM OUT,$119.76
BRAIN W/CONTRAST CT,70460,PALIC,$175.00
BRAIN W/CONTRAST CT,70460,FM VITAL,$51.85
BRAIN W/CONTRAST CT,70460,ACAA,$89.25
BRAIN W/CONTRAST CT,70460,MMM IN,$108.76
BRAIN W/CONTRAST CT,70460,MMM VITAL,$63.81
BRAIN W/CONTRAST CT,70460,MCS CLASS,$119.76
BRAIN W/CONTRAST CT,70460,MENONITA VITAL,$76.13
BRAIN W/CONTRAST CT,70460,CHAMPVA,$119.76
BRAIN W/CONTRAST CT,70460,HUM GOLD IN,$108.76
BRAIN W/CONTRAST CT,70460,ASOCIACION IN,$260.00
BRAIN W/CONTRAST CT,70460,FONDO,$108.75
BRAIN W/CONTRAST CT,70460,BELLA VISTA,$170.00
BRAIN W/CONTRAST CT,70460,TSADV IN,$108.75
BRAIN W/CONTRAST CT,70460,TRICARE,$119.76
BRAIN W/CONTRAST CT,70460,TS VITAL,$110.00
BRAIN W/CONTRAST CT,70460,SSS BLUE CARD,$137.50
BRAIN W/CONTRAST CT,70460,PMC IN,$108.76
BRAIN W/CONTRAST CT,70460,VETERANS,$119.76
BRAIN W/CONTRAST CT,70460,TSADV OUT,$108.75
BRAIN W/CONTRAST CT,70460,PMC OUT,$119.76
BRAIN W/CONTRAST CT,70460,TRIPLE S COM,$137.50
BRAIN WITHOUT AND W/C CT,70470,PALIC,$200.00
BRAIN WITHOUT AND W/C CT,70470,ASOCIACION IN,$260.00
BRAIN WITHOUT AND W/C CT,70470,MCS CLASS,$119.76
BRAIN WITHOUT AND W/C CT,70470,HUM GOLD OUT,$130.23
BRAIN WITHOUT AND W/C CT,70470,MMM OUT,$119.76
BRAIN WITHOUT AND W/C CT,70470,FONDO,$130.86
BRAIN WITHOUT AND W/C CT,70470,IMC,$137.50
BRAIN WITHOUT AND W/C CT,70470,MENONITA COM,$137.50
BRAIN WITHOUT AND W/C CT,70470,CHAMPVA,$119.76
BRAIN WITHOUT AND W/C CT,70470,MMM IN,$130.23
BRAIN WITHOUT AND W/C CT,70470,FM VITAL,$63.16
BRAIN WITHOUT AND W/C CT,70470,MENONITA VITAL,$91.60
BRAIN WITHOUT AND W/C CT,70470,ASOCIACION OUT,
BRAIN WITHOUT AND W/C CT,70470,HUMANA,$150.00
BRAIN WITHOUT AND W/C CT,70470,HUM GOLD IN,$130.23
BRAIN WITHOUT AND W/C CT,70470,MCS PREF,$175.00
BRAIN WITHOUT AND W/C CT,70470,BELLA VISTA,$125.00
BRAIN WITHOUT AND W/C CT,70470,MEDICARE A,$119.76
BRAIN WITHOUT AND W/C CT,70470,MEDICARE B,$130.23
BRAIN WITHOUT AND W/C CT,70470,MMM VITAL,$77.36
BRAIN WITHOUT AND W/C CT,70470,ACAA,
BRAIN WITHOUT AND W/C CT,70470,TS VITAL,$110.00
BRAIN WITHOUT AND W/C CT,70470,SSS BLUE CARD,$137.50
BRAIN WITHOUT AND W/C CT,70470,PMC IN,$130.23
BRAIN WITHOUT AND W/C CT,70470,TSADV IN,$130.86
BRAIN WITHOUT AND W/C CT,70470,TSADV OUT,$130.86
BRAIN WITHOUT AND W/C CT,70470,PMC OUT,$119.76
BRAIN WITHOUT AND W/C CT,70470,TRIPLE S COM,$137.50
BRAIN WITHOUT AND W/C CT,70470,VETERANS,$119.76
BRAIN WITHOUT AND W/C CT,70470,TRICARE,$119.76
BREAST COMPL.SONOMAMOGRA US LT,76641,HUM GOLD OUT,$72.39
BREAST COMPL.SONOMAMOGRA US LT,76641,HUM GOLD IN,$72.39
BREAST COMPL.SONOMAMOGRA US LT,76641,MEDICARE A,$73.66
BREAST COMPL.SONOMAMOGRA US LT,76641,FONDO,$73.22
BREAST COMPL.SONOMAMOGRA US LT,76641,MENONITA VITAL,$51.25
BREAST COMPL.SONOMAMOGRA US LT,76641,MMM OUT,$73.66
BREAST COMPL.SONOMAMOGRA US LT,76641,ACAA,
BREAST COMPL.SONOMAMOGRA US LT,76641,MMM VITAL,$43.17
BREAST COMPL.SONOMAMOGRA US LT,76641,ASOCIACION OUT,
BREAST COMPL.SONOMAMOGRA US LT,76641,MENONITA COM,
BREAST COMPL.SONOMAMOGRA US LT,76641,MCS PREF,$27.84
BREAST COMPL.SONOMAMOGRA US LT,76641,CHAMPVA,$73.66
BREAST COMPL.SONOMAMOGRA US LT,76641,BELLA VISTA,$37.50
BREAST COMPL.SONOMAMOGRA US LT,76641,PALIC,$40.00
BREAST COMPL.SONOMAMOGRA US LT,76641,MCS CLASS,$73.66
BREAST COMPL.SONOMAMOGRA US LT,76641,FM VITAL,$35.24
BREAST COMPL.SONOMAMOGRA US LT,76641,MMM IN,$72.39
BREAST COMPL.SONOMAMOGRA US LT,76641,ASOCIACION IN,$83.00
BREAST COMPL.SONOMAMOGRA US LT,76641,IMC,$30.00
BREAST COMPL.SONOMAMOGRA US LT,76641,HUMANA,$29.00
BREAST COMPL.SONOMAMOGRA US LT,76641,MEDICARE B,$72.39
BREAST COMPL.SONOMAMOGRA US LT,76641,PMC IN,$72.39
BREAST COMPL.SONOMAMOGRA US LT,76641,SSS BLUE CARD,$30.00
BREAST COMPL.SONOMAMOGRA US LT,76641,VETERANS,$73.66
BREAST COMPL.SONOMAMOGRA US LT,76641,TRICARE,$73.66
BREAST COMPL.SONOMAMOGRA US LT,76641,TRIPLE S COM,$30.00
BREAST COMPL.SONOMAMOGRA US LT,76641,TSADV OUT,$73.22
BREAST COMPL.SONOMAMOGRA US LT,76641,TS VITAL,$26.50
BREAST COMPL.SONOMAMOGRA US LT,76641,PMC OUT,$73.66
BREAST COMPL.SONOMAMOGRA US LT,76641,TSADV IN,$73.22
BREAST LIMITED SONOMAMOG US,76642,MMM IN,$54.92
BREAST LIMITED SONOMAMOG US,76642,ASOCIACION OUT,
BREAST LIMITED SONOMAMOG US,76642,ACAA,
BREAST LIMITED SONOMAMOG US,76642,MCS PREF,$22.86
BREAST LIMITED SONOMAMOG US,76642,MENONITA COM,
BREAST LIMITED SONOMAMOG US,76642,PALIC,$30.00
BREAST LIMITED SONOMAMOG US,76642,MEDICARE A,$52.45
BREAST LIMITED SONOMAMOG US,76642,HUM GOLD IN,$54.92
BREAST LIMITED SONOMAMOG US,76642,MCS CLASS,$52.45
BREAST LIMITED SONOMAMOG US,76642,MMM VITAL,$33.06
BREAST LIMITED SONOMAMOG US,76642,BELLA VISTA,$40.00
BREAST LIMITED SONOMAMOG US,76642,HUM GOLD OUT,$54.92
BREAST LIMITED SONOMAMOG US,76642,MMM OUT,$52.45
BREAST LIMITED SONOMAMOG US,76642,MENONITA VITAL,$39.07
BREAST LIMITED SONOMAMOG US,76642,FONDO,$55.82
BREAST LIMITED SONOMAMOG US,76642,IMC,$15.00
BREAST LIMITED SONOMAMOG US,76642,ASOCIACION IN,$70.00
BREAST LIMITED SONOMAMOG US,76642,HUMANA,
BREAST LIMITED SONOMAMOG US,76642,CHAMPVA,$52.45
BREAST LIMITED SONOMAMOG US,76642,MEDICARE B,$54.92
BREAST LIMITED SONOMAMOG US,76642,FM VITAL,$13.00
BREAST LIMITED SONOMAMOG US,76642,SSS BLUE CARD,$15.00
BREAST LIMITED SONOMAMOG US,76642,TSADV OUT,$55.82
BREAST LIMITED SONOMAMOG US,76642,TSADV IN,$55.82
BREAST LIMITED SONOMAMOG US,76642,VETERANS,$52.45
BREAST LIMITED SONOMAMOG US,76642,TRICARE,$52.45
BREAST LIMITED SONOMAMOG US,76642,PMC OUT,$52.45
BREAST LIMITED SONOMAMOG US,76642,TS VITAL,$13.00
BREAST LIMITED SONOMAMOG US,76642,TRIPLE S COM,$15.00
BREAST LIMITED SONOMAMOG US,76642,PMC IN,$54.92
BUN (UREA NITROGEN) SERUM,84520,MMM OUT,$3.95
BUN (UREA NITROGEN) SERUM,84520,IMC,$7.00
BUN (UREA NITROGEN) SERUM,84520,HUM GOLD OUT,
BUN (UREA NITROGEN) SERUM,84520,MEDICARE B,$3.95
BUN (UREA NITROGEN) SERUM,84520,MCS CLASS,$3.95
BUN (UREA NITROGEN) SERUM,84520,BELLA VISTA,$6.00
BUN (UREA NITROGEN) SERUM,84520,MCS PREF,$7.00
BUN (UREA NITROGEN) SERUM,84520,PALIC,$7.00
BUN (UREA NITROGEN) SERUM,84520,MEDICARE A,$3.95
BUN (UREA NITROGEN) SERUM,84520,HUM GOLD IN,$3.95
BUN (UREA NITROGEN) SERUM,84520,MMM VITAL,$3.76
BUN (UREA NITROGEN) SERUM,84520,CHAMPVA,$3.95
BUN (UREA NITROGEN) SERUM,84520,MMM IN,$3.95
BUN (UREA NITROGEN) SERUM,84520,ASOCIACION OUT,
BUN (UREA NITROGEN) SERUM,84520,MENONITA COM,$6.00
BUN (UREA NITROGEN) SERUM,84520,FM VITAL,$3.77
BUN (UREA NITROGEN) SERUM,84520,MENONITA VITAL,$3.77
BUN (UREA NITROGEN) SERUM,84520,ACAA,$5.00
BUN (UREA NITROGEN) SERUM,84520,HUMANA,$6.00
BUN (UREA NITROGEN) SERUM,84520,ASOCIACION IN,$6.00
BUN (UREA NITROGEN) SERUM,84520,FONDO,$4.88
BUN (UREA NITROGEN) SERUM,84520,PMC IN,$3.95
BUN (UREA NITROGEN) SERUM,84520,VETERANS,$3.95
BUN (UREA NITROGEN) SERUM,84520,TSADV OUT,$4.88
BUN (UREA NITROGEN) SERUM,84520,SSS BLUE CARD,$8.00
BUN (UREA NITROGEN) SERUM,84520,TRICARE,$3.95
BUN (UREA NITROGEN) SERUM,84520,TSADV IN,$4.88
BUN (UREA NITROGEN) SERUM,84520,TS VITAL,$4.30
BUN (UREA NITROGEN) SERUM,84520,TRIPLE S COM,$8.00
BUN (UREA NITROGEN) SERUM,84520,PMC OUT,$3.95
CALCIUM;TOTAL,82310,PALIC,$8.00
CALCIUM;TOTAL,82310,MENONITA COM,$5.00
CALCIUM;TOTAL,82310,FONDO,$6.37
CALCIUM;TOTAL,82310,MEDICARE A,$5.16
CALCIUM;TOTAL,82310,ASOCIACION IN,$6.50
CALCIUM;TOTAL,82310,MMM IN,$5.16
CALCIUM;TOTAL,82310,MMM VITAL,$4.92
CALCIUM;TOTAL,82310,MCS CLASS,$5.16
CALCIUM;TOTAL,82310,ACAA,$6.00
CALCIUM;TOTAL,82310,HUMANA,$6.00
CALCIUM;TOTAL,82310,MMM OUT,$5.16
CALCIUM;TOTAL,82310,MENONITA VITAL,$4.92
CALCIUM;TOTAL,82310,ASOCIACION OUT,
CALCIUM;TOTAL,82310,MCS PREF,$8.00
CALCIUM;TOTAL,82310,CHAMPVA,$5.16
CALCIUM;TOTAL,82310,HUM GOLD OUT,
CALCIUM;TOTAL,82310,IMC,$7.00
CALCIUM;TOTAL,82310,FM VITAL,$4.92
CALCIUM;TOTAL,82310,MEDICARE B,$5.16
CALCIUM;TOTAL,82310,HUM GOLD IN,$5.16
CALCIUM;TOTAL,82310,BELLA VISTA,$6.00
CALCIUM;TOTAL,82310,TS VITAL,$7.30
CALCIUM;TOTAL,82310,PMC OUT,$5.16
CALCIUM;TOTAL,82310,SSS BLUE CARD,$7.07
CALCIUM;TOTAL,82310,TSADV OUT,$6.37
CALCIUM;TOTAL,82310,PMC IN,$5.16
CALCIUM;TOTAL,82310,TSADV IN,$6.37
CALCIUM;TOTAL,82310,TRIPLE S COM,$7.07
CALCIUM;TOTAL,82310,VETERANS,$5.16
CALCIUM;TOTAL,82310,TRICARE,$5.16
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MENONITA COM,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MCS PREF,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,PMC IN,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,SSS COM,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,FM VITAL,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,FONDO,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,TS ADV IN,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,PSM VITAL,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MEDICARE B,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,ASOCIACION OUT,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,BELLA VISTA,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MEDICARE A,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,PALIC,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,PMC OUT,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,HUM GOLD PLUS,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MMM VITAL,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,IMC,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,TS ADV OUT,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,VETERANS,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MCS CLASS,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,SSS BLUE CARD,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MAP LIFE,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,TS VITAL,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,CHAMPVA,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,ASOCIACION INP,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MOLINA VITAL,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,TRICARE,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,ACAA,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MMM OUT,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,HUMANA,
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities,216,MMM IN,
Carpal Tunnel Release,64721,MCS PREF,$712.00
Carpal Tunnel Release,64721,MMM OUT,$735.00
Carpal Tunnel Release,64721,MMM IN,
Carpal Tunnel Release,64721,PALIC,$740.00
Carpal Tunnel Release,64721,MEDICARE A,
Carpal Tunnel Release,64721,MENONITA COM,$788.00
Carpal Tunnel Release,64721,ASOCIACION IN,
Carpal Tunnel Release,64721,MENONITA VITAL,$660.00
Carpal Tunnel Release,64721,HUM GOLD OUT,$806.00
Carpal Tunnel Release,64721,CHAMPVA,
Carpal Tunnel Release,64721,MMM VITAL,$611.00
Carpal Tunnel Release,64721,MCS CLASS,$450.29
Carpal Tunnel Release,64721,HUM GOLD IN,
Carpal Tunnel Release,64721,FONDO,
Carpal Tunnel Release,64721,BELLA VISTA,$650.00
Carpal Tunnel Release,64721,HUMANA,$700.00
Carpal Tunnel Release,64721,FM VITAL,$652.00
Carpal Tunnel Release,64721,ACAA,$475.00
Carpal Tunnel Release,64721,ASOCIACION OUT,$770.00
Carpal Tunnel Release,64721,IMC,$605.00
Carpal Tunnel Release,64721,MEDICARE B,
Carpal Tunnel Release,64721,TRICARE,
Carpal Tunnel Release,64721,PMC IN,$735.00
Carpal Tunnel Release,64721,PMC OUT,$735.00
Carpal Tunnel Release,64721,TSADV OUT,$450.29
Carpal Tunnel Release,64721,SSS BLUE CARD,"$1,300.00"
Carpal Tunnel Release,64721,TRIPLE S COM,"$1,300.00"
Carpal Tunnel Release,64721,TS VITAL,$611.00
Carpal Tunnel Release,64721,TSADV IN,
Carpal Tunnel Release,64721,VETERANS,
CBC,85025,CHAMPVA,$7.77
CBC,85025,MAP LIFE,$11.00
CBC,85025,MCS CLASS,$7.77
CBC,85025,HUMANA,$9.00
CBC,85025,MMM OUT,$7.77
CBC,85025,ASOCIACION OUT,
CBC,85025,PSM VITAL,$7.41
CBC,85025,MEDICARE A,$7.77
CBC,85025,TS ADV OUT,$9.59
CBC,85025,TS VITAL,$11.02
CBC,85025,VETERANS,$7.77
CBC,85025,MOLINA VITAL,$6.71
CBC,85025,MMM IN,$7.77
CBC,85025,MENONITA COM,$6.40
CBC,85025,FONDO,$9.59
CBC,85025,MCS PREF,$9.00
CBC,85025,ASOCIACION INP,$8.00
CBC,85025,TS ADV IN,$9.59
CBC,85025,PALIC,$11.00
CBC,85025,SSS COM,$9.00
CBC,85025,BELLA VISTA,$8.00
CBC,85025,ACAA,
CBC,85025,MMM VITAL,$7.41
CBC,85025,PMC IN,$7.77
CBC,85025,MEDICARE B,$7.77
CBC,85025,PMC OUT,$7.77
CBC,85025,FM VITAL,$7.41
CBC,85025,HUM GOLD PLUS,$7.77
CBC,85025,IMC,
CBC,85025,TRICARE,$7.77
CBC,85025,SSS BLUE CARD,$9.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MEDICARE B,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MCS PREF,$45.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,ASOCIACION IN,$32.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,CHAMPVA,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,IMC,$32.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MMM OUT,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,HUM GOLD IN,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,HUM GOLD OUT,
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MENONITA VITAL,$18.09
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MEDICARE A,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MCS CLASS,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,BELLA VISTA,$39.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,PALIC,$45.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,FONDO,$23.41
CEA (CARCINOEMBRYONIC ANTIGEN,82378,PMC IN,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,ACAA,
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MMM VITAL,$18.09
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MENONITA COM,$27.20
CEA (CARCINOEMBRYONIC ANTIGEN,82378,MMM IN,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,FM VITAL,$18.09
CEA (CARCINOEMBRYONIC ANTIGEN,82378,HUMANA,$35.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,ASOCIACION OUT,
CEA (CARCINOEMBRYONIC ANTIGEN,82378,TS VITAL,$26.87
CEA (CARCINOEMBRYONIC ANTIGEN,82378,TRICARE,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,TSADV OUT,$23.41
CEA (CARCINOEMBRYONIC ANTIGEN,82378,TSADV IN,$23.41
CEA (CARCINOEMBRYONIC ANTIGEN,82378,TRIPLE S COM,$32.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,VETERANS,$18.96
CEA (CARCINOEMBRYONIC ANTIGEN,82378,SSS BLUE CARD,$32.00
CEA (CARCINOEMBRYONIC ANTIGEN,82378,PMC OUT,$18.96
Cervical Cone Biopsy,57522,MENONITA VITAL,$660.00
Cervical Cone Biopsy,57522,ASOCIACION IN,
Cervical Cone Biopsy,57522,HUM GOLD OUT,$806.00
Cervical Cone Biopsy,57522,FM VITAL,$652.00
Cervical Cone Biopsy,57522,CHAMPVA,
Cervical Cone Biopsy,57522,BELLA VISTA,$650.00
Cervical Cone Biopsy,57522,MENONITA COM,$788.00
Cervical Cone Biopsy,57522,MCS PREF,$712.00
Cervical Cone Biopsy,57522,MEDICARE A,
Cervical Cone Biopsy,57522,HUMANA,$700.00
Cervical Cone Biopsy,57522,MMM OUT,$735.00
Cervical Cone Biopsy,57522,ACAA,$475.00
Cervical Cone Biopsy,57522,MCS CLASS,
Cervical Cone Biopsy,57522,ASOCIACION OUT,$770.00
Cervical Cone Biopsy,57522,IMC,$559.00
Cervical Cone Biopsy,57522,MEDICARE B,
Cervical Cone Biopsy,57522,MMM VITAL,$611.00
Cervical Cone Biopsy,57522,FONDO,
Cervical Cone Biopsy,57522,MMM IN,
Cervical Cone Biopsy,57522,HUM GOLD IN,
Cervical Cone Biopsy,57522,PALIC,$740.00
Cervical Cone Biopsy,57522,VETERANS,
Cervical Cone Biopsy,57522,TSADV OUT,
Cervical Cone Biopsy,57522,SSS BLUE CARD,$706.00
Cervical Cone Biopsy,57522,TRICARE,
Cervical Cone Biopsy,57522,TS VITAL,$611.00
Cervical Cone Biopsy,57522,TSADV IN,
Cervical Cone Biopsy,57522,TRIPLE S COM,$706.00
Cervical Cone Biopsy,57522,PMC IN,$735.00
Cervical Cone Biopsy,57522,PMC OUT,$735.00
CERVICAL SP. COMP. XR,72052,IMC,$22.50
CERVICAL SP. COMP. XR,72052,MEDICARE B,$45.10
CERVICAL SP. COMP. XR,72052,MENONITA VITAL,$26.89
CERVICAL SP. COMP. XR,72052,HUMANA,$25.50
CERVICAL SP. COMP. XR,72052,HUM GOLD IN,$45.10
CERVICAL SP. COMP. XR,72052,ASOCIACION IN,$40.00
CERVICAL SP. COMP. XR,72052,PALIC,$30.00
CERVICAL SP. COMP. XR,72052,ACAA,$33.60
CERVICAL SP. COMP. XR,72052,MMM OUT,$73.66
CERVICAL SP. COMP. XR,72052,FM VITAL,$18.63
CERVICAL SP. COMP. XR,72052,MCS CLASS,$73.66
CERVICAL SP. COMP. XR,72052,MMM VITAL,$22.74
CERVICAL SP. COMP. XR,72052,FONDO,$38.42
CERVICAL SP. COMP. XR,72052,PMC IN,$45.10
CERVICAL SP. COMP. XR,72052,HUM GOLD OUT,$45.10
CERVICAL SP. COMP. XR,72052,MENONITA COM,$22.00
CERVICAL SP. COMP. XR,72052,ASOCIACION OUT,
CERVICAL SP. COMP. XR,72052,CHAMPVA,$73.66
CERVICAL SP. COMP. XR,72052,MEDICARE A,$73.66
CERVICAL SP. COMP. XR,72052,MMM IN,$45.10
CERVICAL SP. COMP. XR,72052,BELLA VISTA,$22.50
CERVICAL SP. COMP. XR,72052,MCS PREF,$25.00
CERVICAL SP. COMP. XR,72052,TSADV OUT,$38.42
CERVICAL SP. COMP. XR,72052,TSADV IN,$38.42
CERVICAL SP. COMP. XR,72052,SSS BLUE CARD,$27.50
CERVICAL SP. COMP. XR,72052,TRICARE,$73.66
CERVICAL SP. COMP. XR,72052,VETERANS,$73.66
CERVICAL SP. COMP. XR,72052,PMC OUT,$73.66
CERVICAL SP. COMP. XR,72052,TRIPLE S COM,$27.50
CERVICAL SP. COMP. XR,72052,TS VITAL,$21.94
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MEDICARE A,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MMM IN,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MCS CLASS,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,IMC,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MCS PREF,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MENONITA COM,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,CHAMPVA,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,PSM VITAL,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,FONDO,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,SSS COM,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MEDICARE B,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,BELLA VISTA,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,TS ADV OUT,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,TS ADV IN,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,ASOCIACION OUT,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,ACAA,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,SSS BLUE CARD,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,PMC IN,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,TS VITAL,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,HUMANA,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MMM VITAL,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,TRICARE,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MOLINA VITAL,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MMM OUT,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,MAP LIFE,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,HUM GOLD PLUS,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,PALIC,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,PMC OUT,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,VETERANS,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,FM VITAL,
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).,473,ASOCIACION INP,
CERVICAL SPINE AP & LAT XR,72040,PMC IN,$27.28
CERVICAL SPINE AP & LAT XR,72040,CHAMPVA,$52.45
CERVICAL SPINE AP & LAT XR,72040,MENONITA VITAL,$15.73
CERVICAL SPINE AP & LAT XR,72040,IMC,$9.50
CERVICAL SPINE AP & LAT XR,72040,HUM GOLD IN,$27.28
CERVICAL SPINE AP & LAT XR,72040,MCS CLASS,$52.45
CERVICAL SPINE AP & LAT XR,72040,PALIC,$16.50
CERVICAL SPINE AP & LAT XR,72040,MMM VITAL,$13.06
CERVICAL SPINE AP & LAT XR,72040,FONDO,$22.47
CERVICAL SPINE AP & LAT XR,72040,MENONITA COM,$8.50
CERVICAL SPINE AP & LAT XR,72040,MEDICARE A,$52.45
CERVICAL SPINE AP & LAT XR,72040,HUM GOLD OUT,$27.28
CERVICAL SPINE AP & LAT XR,72040,MMM OUT,$52.45
CERVICAL SPINE AP & LAT XR,72040,ASOCIACION OUT,
CERVICAL SPINE AP & LAT XR,72040,MCS PREF,$12.00
CERVICAL SPINE AP & LAT XR,72040,HUMANA,$9.00
CERVICAL SPINE AP & LAT XR,72040,MEDICARE B,$27.28
CERVICAL SPINE AP & LAT XR,72040,ACAA,$14.70
CERVICAL SPINE AP & LAT XR,72040,ASOCIACION IN,$17.00
CERVICAL SPINE AP & LAT XR,72040,FM VITAL,$10.68
CERVICAL SPINE AP & LAT XR,72040,BELLA VISTA,$9.50
CERVICAL SPINE AP & LAT XR,72040,MMM IN,$27.28
CERVICAL SPINE AP & LAT XR,72040,PMC OUT,$52.45
CERVICAL SPINE AP & LAT XR,72040,TRICARE,$52.45
CERVICAL SPINE AP & LAT XR,72040,TS VITAL,$9.26
CERVICAL SPINE AP & LAT XR,72040,TRIPLE S COM,$16.00
CERVICAL SPINE AP & LAT XR,72040,TSADV OUT,$22.47
CERVICAL SPINE AP & LAT XR,72040,VETERANS,$52.45
CERVICAL SPINE AP & LAT XR,72040,SSS BLUE CARD,$16.00
CERVICAL SPINE AP & LAT XR,72040,TSADV IN,$22.47
CERVICAL SPINE CT,72125,ASOCIACION IN,$260.00
CERVICAL SPINE CT,72125,HUMANA,$137.50
CERVICAL SPINE CT,72125,FONDO,$134.12
CERVICAL SPINE CT,72125,PALIC,$150.00
CERVICAL SPINE CT,72125,MEDICARE A,$73.66
CERVICAL SPINE CT,72125,IMC,$137.50
CERVICAL SPINE CT,72125,MEDICARE B,$107.67
CERVICAL SPINE CT,72125,MCS PREF,$150.00
CERVICAL SPINE CT,72125,BELLA VISTA,$150.00
CERVICAL SPINE CT,72125,MMM OUT,$73.66
CERVICAL SPINE CT,72125,ASOCIACION OUT,
CERVICAL SPINE CT,72125,ACAA,$81.81
CERVICAL SPINE CT,72125,HUM GOLD OUT,$107.67
CERVICAL SPINE CT,72125,MENONITA VITAL,$80.69
CERVICAL SPINE CT,72125,MCS CLASS,$73.66
CERVICAL SPINE CT,72125,HUM GOLD IN,$107.67
CERVICAL SPINE CT,72125,MMM VITAL,$79.30
CERVICAL SPINE CT,72125,FM VITAL,$55.38
CERVICAL SPINE CT,72125,MMM IN,$107.67
CERVICAL SPINE CT,72125,MENONITA COM,$132.50
CERVICAL SPINE CT,72125,CHAMPVA,$73.66
CERVICAL SPINE CT,72125,VETERANS,$73.66
CERVICAL SPINE CT,72125,TSADV IN,$119.62
CERVICAL SPINE CT,72125,PMC IN,$107.67
CERVICAL SPINE CT,72125,TRICARE,$73.66
CERVICAL SPINE CT,72125,TS VITAL,$110.00
CERVICAL SPINE CT,72125,TRIPLE S COM,$137.50
CERVICAL SPINE CT,72125,TSADV OUT,$119.62
CERVICAL SPINE CT,72125,PMC OUT,$73.66
CERVICAL SPINE CT,72125,SSS BLUE CARD,$137.50
CERVICAL SPINE W/CONTRAST CT,72126,MENONITA VITAL,$119.52
CERVICAL SPINE W/CONTRAST CT,72126,BELLA VISTA,$170.00
CERVICAL SPINE W/CONTRAST CT,72126,FONDO,$170.74
CERVICAL SPINE W/CONTRAST CT,72126,MMM OUT,$250.96
CERVICAL SPINE W/CONTRAST CT,72126,MEDICARE B,$137.14
CERVICAL SPINE W/CONTRAST CT,72126,MMM IN,$137.14
CERVICAL SPINE W/CONTRAST CT,72126,IMC,$137.50
CERVICAL SPINE W/CONTRAST CT,72126,HUM GOLD OUT,$137.14
CERVICAL SPINE W/CONTRAST CT,72126,MCS PREF,$175.00
CERVICAL SPINE W/CONTRAST CT,72126,MMM VITAL,$101.23
CERVICAL SPINE W/CONTRAST CT,72126,CHAMPVA,$250.96
CERVICAL SPINE W/CONTRAST CT,72126,FM VITAL,$82.95
CERVICAL SPINE W/CONTRAST CT,72126,ASOCIACION OUT,
CERVICAL SPINE W/CONTRAST CT,72126,PALIC,$175.00
CERVICAL SPINE W/CONTRAST CT,72126,MEDICARE A,$250.96
CERVICAL SPINE W/CONTRAST CT,72126,MCS CLASS,$250.96
CERVICAL SPINE W/CONTRAST CT,72126,ACAA,$89.25
CERVICAL SPINE W/CONTRAST CT,72126,HUMANA,$142.50
CERVICAL SPINE W/CONTRAST CT,72126,ASOCIACION IN,$260.00
CERVICAL SPINE W/CONTRAST CT,72126,HUM GOLD IN,$137.14
CERVICAL SPINE W/CONTRAST CT,72126,MENONITA COM,$135.00
CERVICAL SPINE W/CONTRAST CT,72126,TRICARE,$250.96
CERVICAL SPINE W/CONTRAST CT,72126,TRIPLE S COM,$137.50
CERVICAL SPINE W/CONTRAST CT,72126,TSADV IN,$170.74
CERVICAL SPINE W/CONTRAST CT,72126,PMC IN,$137.14
CERVICAL SPINE W/CONTRAST CT,72126,TSADV OUT,$170.74
CERVICAL SPINE W/CONTRAST CT,72126,TS VITAL,$110.00
CERVICAL SPINE W/CONTRAST CT,72126,PMC OUT,$250.96
CERVICAL SPINE W/CONTRAST CT,72126,VETERANS,$250.96
CERVICAL SPINE W/CONTRAST CT,72126,SSS BLUE CARD,$137.50
CERVICAL WITHOUT & WITH CON CT,72127,FONDO,$211.70
CERVICAL WITHOUT & WITH CON CT,72127,ASOCIACION IN,$260.00
CERVICAL WITHOUT & WITH CON CT,72127,MMM VITAL,$124.89
CERVICAL WITHOUT & WITH CON CT,72127,MENONITA COM,$135.00
CERVICAL WITHOUT & WITH CON CT,72127,PALIC,$200.00
CERVICAL WITHOUT & WITH CON CT,72127,FM VITAL,$102.56
CERVICAL WITHOUT & WITH CON CT,72127,IMC,$137.50
CERVICAL WITHOUT & WITH CON CT,72127,MMM IN,$170.24
CERVICAL WITHOUT & WITH CON CT,72127,HUMANA,$142.50
CERVICAL WITHOUT & WITH CON CT,72127,CHAMPVA,$119.76
CERVICAL WITHOUT & WITH CON CT,72127,MCS PREF,$175.00
CERVICAL WITHOUT & WITH CON CT,72127,MMM OUT,$119.76
CERVICAL WITHOUT & WITH CON CT,72127,ACAA,
CERVICAL WITHOUT & WITH CON CT,72127,ASOCIACION OUT,
CERVICAL WITHOUT & WITH CON CT,72127,BELLA VISTA,$170.50
CERVICAL WITHOUT & WITH CON CT,72127,MENONITA VITAL,$148.19
CERVICAL WITHOUT & WITH CON CT,72127,MEDICARE B,$170.24
CERVICAL WITHOUT & WITH CON CT,72127,MEDICARE A,$119.76
CERVICAL WITHOUT & WITH CON CT,72127,MCS CLASS,$119.76
CERVICAL WITHOUT & WITH CON CT,72127,HUM GOLD OUT,$170.24
CERVICAL WITHOUT & WITH CON CT,72127,HUM GOLD IN,$170.24
CERVICAL WITHOUT & WITH CON CT,72127,TRICARE,$119.76
CERVICAL WITHOUT & WITH CON CT,72127,SSS BLUE CARD,$137.50
CERVICAL WITHOUT & WITH CON CT,72127,PMC IN,$170.24
CERVICAL WITHOUT & WITH CON CT,72127,TRIPLE S COM,$137.50
CERVICAL WITHOUT & WITH CON CT,72127,VETERANS,$119.76
CERVICAL WITHOUT & WITH CON CT,72127,TSADV OUT,$211.70
CERVICAL WITHOUT & WITH CON CT,72127,TS VITAL,$110.00
CERVICAL WITHOUT & WITH CON CT,72127,PMC OUT,$119.76
CERVICAL WITHOUT & WITH CON CT,72127,TSADV IN,$211.70
Cesarean Delivery Procedures,59510,CHAMPVA,
Cesarean Delivery Procedures,59510,TS VITAL,
Cesarean Delivery Procedures,59510,MMM VITAL,
Cesarean Delivery Procedures,59510,MMM IN,
Cesarean Delivery Procedures,59510,TS ADV IN,
Cesarean Delivery Procedures,59510,PALIC,
Cesarean Delivery Procedures,59510,BELLA VISTA,
Cesarean Delivery Procedures,59510,ASOCIACION INP,
Cesarean Delivery Procedures,59510,HUM GOLD PLUS,
Cesarean Delivery Procedures,59510,MAP LIFE,
Cesarean Delivery Procedures,59510,SSS BLUE CARD,
Cesarean Delivery Procedures,59510,PMC IN,
Cesarean Delivery Procedures,59510,HUMANA,
Cesarean Delivery Procedures,59510,TS ADV OUT,
Cesarean Delivery Procedures,59510,SSS COM,
Cesarean Delivery Procedures,59510,MENONITA COM,
Cesarean Delivery Procedures,59510,MEDICARE A,
Cesarean Delivery Procedures,59510,MCS PREF,
Cesarean Delivery Procedures,59510,PSM VITAL,
Cesarean Delivery Procedures,59510,MMM OUT,
Cesarean Delivery Procedures,59510,PMC OUT,
Cesarean Delivery Procedures,59510,MOLINA VITAL,
Cesarean Delivery Procedures,59510,IMC,
Cesarean Delivery Procedures,59510,FM VITAL,
Cesarean Delivery Procedures,59510,FONDO,
Cesarean Delivery Procedures,59510,VETERANS,
Cesarean Delivery Procedures,59510,MEDICARE B,
Cesarean Delivery Procedures,59510,TRICARE,
Cesarean Delivery Procedures,59510,MCS CLASS,
Cesarean Delivery Procedures,59510,ASOCIACION OUT,
Cesarean Delivery Procedures,59510,ACAA,
CHEST CT,71250,MMM OUT,$73.66
CHEST CT,71250,ACAA,$81.81
CHEST CT,71250,HUM GOLD IN,$102.22
CHEST CT,71250,HUM GOLD OUT,$102.22
CHEST CT,71250,ASOCIACION IN,$260.00
CHEST CT,71250,PALIC,$150.00
CHEST CT,71250,FM VITAL,$55.38
CHEST CT,71250,MMM IN,$102.22
CHEST CT,71250,IMC,$137.50
CHEST CT,71250,CHAMPVA,$73.66
CHEST CT,71250,MCS CLASS,$73.66
CHEST CT,71250,MENONITA COM,$150.00
CHEST CT,71250,MENONITA VITAL,$74.86
CHEST CT,71250,FONDO,$106.94
CHEST CT,71250,BELLA VISTA,$125.00
CHEST CT,71250,ASOCIACION OUT,
CHEST CT,71250,HUMANA,$137.50
CHEST CT,71250,MEDICARE B,$102.22
CHEST CT,71250,MCS PREF,$150.00
CHEST CT,71250,MMM VITAL,$78.22
CHEST CT,71250,MEDICARE A,$73.66
CHEST CT,71250,VETERANS,$73.66
CHEST CT,71250,SSS BLUE CARD,$150.00
CHEST CT,71250,TSADV IN,$106.94
CHEST CT,71250,PMC IN,$102.22
CHEST CT,71250,TRIPLE S COM,$150.00
CHEST CT,71250,TRICARE,$73.66
CHEST CT,71250,TS VITAL,$120.00
CHEST CT,71250,TSADV OUT,$106.94
CHEST CT,71250,PMC OUT,$73.66
CHEST PA & LAT XR,71046,MMM OUT,$52.45
CHEST PA & LAT XR,71046,ASOCIACION IN,$17.00
CHEST PA & LAT XR,71046,HUM GOLD OUT,$22.18
CHEST PA & LAT XR,71046,PALIC,$12.50
CHEST PA & LAT XR,71046,FM VITAL,$7.60
CHEST PA & LAT XR,71046,IMC,$10.50
CHEST PA & LAT XR,71046,CHAMPVA,$52.45
CHEST PA & LAT XR,71046,HUM GOLD IN,$22.18
CHEST PA & LAT XR,71046,MENONITA COM,
CHEST PA & LAT XR,71046,BELLA VISTA,$10.50
CHEST PA & LAT XR,71046,MCS CLASS,$52.45
CHEST PA & LAT XR,71046,MEDICARE A,$52.45
CHEST PA & LAT XR,71046,ACAA,$14.70
CHEST PA & LAT XR,71046,FONDO,$19.93
CHEST PA & LAT XR,71046,MMM IN,$22.18
CHEST PA & LAT XR,71046,MCS PREF,$15.55
CHEST PA & LAT XR,71046,ASOCIACION OUT,
CHEST PA & LAT XR,71046,MENONITA VITAL,$13.95
CHEST PA & LAT XR,71046,HUMANA,$11.50
CHEST PA & LAT XR,71046,MMM VITAL,$13.95
CHEST PA & LAT XR,71046,MEDICARE B,$22.18
CHEST PA & LAT XR,71046,PMC IN,$22.18
CHEST PA & LAT XR,71046,TS VITAL,$10.24
CHEST PA & LAT XR,71046,PMC OUT,$52.45
CHEST PA & LAT XR,71046,TRIPLE S COM,$16.00
CHEST PA & LAT XR,71046,TSADV OUT,$19.93
CHEST PA & LAT XR,71046,VETERANS,$52.45
CHEST PA & LAT XR,71046,TSADV IN,$19.93
CHEST PA & LAT XR,71046,SSS BLUE CARD,$16.00
CHEST PA & LAT XR,71046,TRICARE,$52.45
CHEST PA XR,71045,CHAMPVA,$52.45
CHEST PA XR,71045,MMM OUT,$52.45
CHEST PA XR,71045,MMM IN,$16.73
CHEST PA XR,71045,HUM GOLD IN,$16.73
CHEST PA XR,71045,MCS CLASS,$52.45
CHEST PA XR,71045,PALIC,$8.00
CHEST PA XR,71045,FM VITAL,$6.13
CHEST PA XR,71045,BELLA VISTA,$7.00
CHEST PA XR,71045,MMM VITAL,$7.61
CHEST PA XR,71045,MEDICARE A,$52.45
CHEST PA XR,71045,HUM GOLD OUT,$16.73
CHEST PA XR,71045,FONDO,$10.87
CHEST PA XR,71045,ASOCIACION OUT,
CHEST PA XR,71045,MEDICARE B,$16.73
CHEST PA XR,71045,IMC,$7.00
CHEST PA XR,71045,MCS PREF,$10.12
CHEST PA XR,71045,ASOCIACION IN,$12.00
CHEST PA XR,71045,ACAA,$9.80
CHEST PA XR,71045,MENONITA VITAL,$7.61
CHEST PA XR,71045,HUMANA,$8.00
CHEST PA XR,71045,MENONITA COM,
CHEST PA XR,71045,VETERANS,$52.45
CHEST PA XR,71045,SSS BLUE CARD,$13.00
CHEST PA XR,71045,TRICARE,$52.45
CHEST PA XR,71045,PMC OUT,$52.45
CHEST PA XR,71045,TSADV OUT,$13.04
CHEST PA XR,71045,TS VITAL,$6.83
CHEST PA XR,71045,TSADV IN,$13.04
CHEST PA XR,71045,PMC IN,$16.73
CHEST PA XR,71045,TRIPLE S COM,$13.00
CHEST W/CONTRAST CT,71260,MEDICARE A,$119.76
CHEST W/CONTRAST CT,71260,FM VITAL,$82.42
CHEST W/CONTRAST CT,71260,MMM OUT,$119.76
CHEST W/CONTRAST CT,71260,ASOCIACION OUT,
CHEST W/CONTRAST CT,71260,CHAMPVA,$119.76
CHEST W/CONTRAST CT,71260,MENONITA VITAL,$96.17
CHEST W/CONTRAST CT,71260,MENONITA COM,$137.50
CHEST W/CONTRAST CT,71260,ACAA,$89.25
CHEST W/CONTRAST CT,71260,IMC,$137.50
CHEST W/CONTRAST CT,71260,HUM GOLD OUT,$136.41
CHEST W/CONTRAST CT,71260,HUMANA,$142.50
CHEST W/CONTRAST CT,71260,BELLA VISTA,$145.00
CHEST W/CONTRAST CT,71260,MEDICARE B,$136.41
CHEST W/CONTRAST CT,71260,MCS PREF,$175.00
CHEST W/CONTRAST CT,71260,PALIC,$175.00
CHEST W/CONTRAST CT,71260,MMM VITAL,$101.02
CHEST W/CONTRAST CT,71260,MCS CLASS,$119.76
CHEST W/CONTRAST CT,71260,FONDO,$137.39
CHEST W/CONTRAST CT,71260,ASOCIACION IN,$260.00
CHEST W/CONTRAST CT,71260,HUM GOLD IN,$136.41
CHEST W/CONTRAST CT,71260,MMM IN,$136.41
CHEST W/CONTRAST CT,71260,TSADV OUT,$137.39
CHEST W/CONTRAST CT,71260,VETERANS,$119.76
CHEST W/CONTRAST CT,71260,SSS BLUE CARD,$150.00
CHEST W/CONTRAST CT,71260,TSADV IN,$137.39
CHEST W/CONTRAST CT,71260,PMC OUT,$119.76
CHEST W/CONTRAST CT,71260,TRIPLE S COM,$150.00
CHEST W/CONTRAST CT,71260,TRICARE,$119.76
CHEST W/CONTRAST CT,71260,PMC IN,$136.41
CHEST W/CONTRAST CT,71260,TS VITAL,$120.00
"CHEST, THORAX WITHOUT & W/C CT",71270,IMC,$137.50
"CHEST, THORAX WITHOUT & W/C CT",71270,MCS CLASS,$119.76
"CHEST, THORAX WITHOUT & W/C CT",71270,MENONITA COM,$137.50
"CHEST, THORAX WITHOUT & W/C CT",71270,ASOCIACION OUT,
"CHEST, THORAX WITHOUT & W/C CT",71270,HUM GOLD IN,$166.61
"CHEST, THORAX WITHOUT & W/C CT",71270,HUMANA,$137.50
"CHEST, THORAX WITHOUT & W/C CT",71270,FONDO,$170.01
"CHEST, THORAX WITHOUT & W/C CT",71270,ACAA,$89.25
"CHEST, THORAX WITHOUT & W/C CT",71270,ASOCIACION IN,$260.00
"CHEST, THORAX WITHOUT & W/C CT",71270,HUM GOLD OUT,$166.61
"CHEST, THORAX WITHOUT & W/C CT",71270,MEDICARE A,$119.76
"CHEST, THORAX WITHOUT & W/C CT",71270,MCS PREF,$175.00
"CHEST, THORAX WITHOUT & W/C CT",71270,FM VITAL,$101.85
"CHEST, THORAX WITHOUT & W/C CT",71270,MENONITA VITAL,$119.01
"CHEST, THORAX WITHOUT & W/C CT",71270,MMM VITAL,$124.46
"CHEST, THORAX WITHOUT & W/C CT",71270,BELLA VISTA,$125.00
"CHEST, THORAX WITHOUT & W/C CT",71270,CHAMPVA,$119.76
"CHEST, THORAX WITHOUT & W/C CT",71270,PALIC,$200.00
"CHEST, THORAX WITHOUT & W/C CT",71270,MEDICARE B,$166.61
"CHEST, THORAX WITHOUT & W/C CT",71270,MMM OUT,$119.76
"CHEST, THORAX WITHOUT & W/C CT",71270,MMM IN,$166.61
"CHEST, THORAX WITHOUT & W/C CT",71270,PMC OUT,$119.76
"CHEST, THORAX WITHOUT & W/C CT",71270,VETERANS,$119.76
"CHEST, THORAX WITHOUT & W/C CT",71270,TS VITAL,$120.00
"CHEST, THORAX WITHOUT & W/C CT",71270,TSADV OUT,$170.01
"CHEST, THORAX WITHOUT & W/C CT",71270,SSS BLUE CARD,$150.00
"CHEST, THORAX WITHOUT & W/C CT",71270,TRIPLE S COM,$150.00
"CHEST, THORAX WITHOUT & W/C CT",71270,TSADV IN,$170.01
"CHEST, THORAX WITHOUT & W/C CT",71270,PMC IN,$166.61
"CHEST, THORAX WITHOUT & W/C CT",71270,TRICARE,$119.76
CHLORIDE; URINE,82436,IMC,$5.00
CHLORIDE; URINE,82436,PALIC,$11.00
CHLORIDE; URINE,82436,ASOCIACION OUT,
CHLORIDE; URINE,82436,MMM IN,$5.75
CHLORIDE; URINE,82436,MMM VITAL,$4.80
CHLORIDE; URINE,82436,MEDICARE B,$5.75
CHLORIDE; URINE,82436,MEDICARE A,$5.75
CHLORIDE; URINE,82436,HUM GOLD OUT,
CHLORIDE; URINE,82436,MENONITA COM,$3.00
CHLORIDE; URINE,82436,MCS PREF,$11.00
CHLORIDE; URINE,82436,FM VITAL,$3.90
CHLORIDE; URINE,82436,HUM GOLD IN,$5.75
CHLORIDE; URINE,82436,BELLA VISTA,$5.00
CHLORIDE; URINE,82436,ASOCIACION IN,$4.00
CHLORIDE; URINE,82436,CHAMPVA,$5.75
CHLORIDE; URINE,82436,ACAA,$5.00
CHLORIDE; URINE,82436,FONDO,$6.21
CHLORIDE; URINE,82436,MCS CLASS,$5.75
CHLORIDE; URINE,82436,MENONITA VITAL,$4.80
CHLORIDE; URINE,82436,HUMANA,$6.00
CHLORIDE; URINE,82436,MMM OUT,$5.75
CHLORIDE; URINE,82436,SSS BLUE CARD,$4.00
CHLORIDE; URINE,82436,VETERANS,$5.75
CHLORIDE; URINE,82436,TS VITAL,$7.12
CHLORIDE; URINE,82436,TRICARE,$5.75
CHLORIDE; URINE,82436,PMC IN,$5.75
CHLORIDE; URINE,82436,TRIPLE S COM,$4.00
CHLORIDE; URINE,82436,PMC OUT,$5.75
CHLORIDE; URINE,82436,TSADV IN,$6.21
CHLORIDE; URINE,82436,TSADV OUT,$6.21
Cholecystectomy Laparoscopic,47562,MMM OUT,"$1,450.00"
Cholecystectomy Laparoscopic,47562,BELLA VISTA,"$1,250.00"
Cholecystectomy Laparoscopic,47562,TS VITAL,$611.00
Cholecystectomy Laparoscopic,47562,TS ADV IN,
Cholecystectomy Laparoscopic,47562,MMM IN,"$1,450.00"
Cholecystectomy Laparoscopic,47562,HUMANA,"$1,595.00"
Cholecystectomy Laparoscopic,47562,MMM VITAL,"$1,000.00"
Cholecystectomy Laparoscopic,47562,FM VITAL,$652.00
Cholecystectomy Laparoscopic,47562,MEDICARE B,
Cholecystectomy Laparoscopic,47562,TRICARE,"$2,587.57"
Cholecystectomy Laparoscopic,47562,ASOCIACION OUT,"$1,442.00"
Cholecystectomy Laparoscopic,47562,MAP LIFE,"$1,393.00"
Cholecystectomy Laparoscopic,47562,PSM VITAL,"$1,005.00"
Cholecystectomy Laparoscopic,47562,SSS BLUE CARD,$706.00
Cholecystectomy Laparoscopic,47562,TS ADV OUT,
Cholecystectomy Laparoscopic,47562,MOLINA VITAL,"$1,365.00"
Cholecystectomy Laparoscopic,47562,IMC,"$1,147.00"
Cholecystectomy Laparoscopic,47562,HUM GOLD PLUS,"$1,400.00"
Cholecystectomy Laparoscopic,47562,ACAA,$475.00
Cholecystectomy Laparoscopic,47562,PMC IN,"$1,450.00"
Cholecystectomy Laparoscopic,47562,PALIC,"$1,200.00"
Cholecystectomy Laparoscopic,47562,MCS PREF,"$1,157.00"
Cholecystectomy Laparoscopic,47562,MEDICARE A,"$2,587.57"
Cholecystectomy Laparoscopic,47562,MENONITA COM,"$1,400.00"
Cholecystectomy Laparoscopic,47562,ASOCIACION INP,"$1,362.00"
Cholecystectomy Laparoscopic,47562,FONDO,"$1,500.00"
Cholecystectomy Laparoscopic,47562,MCS CLASS,"$2,587.57"
Cholecystectomy Laparoscopic,47562,PMC OUT,"$1,450.00"
Cholecystectomy Laparoscopic,47562,CHAMPVA,
Cholecystectomy Laparoscopic,47562,VETERANS,
Cholecystectomy Laparoscopic,47562,SSS COM,$706.00
CHOLESTER SERUM OR WHLE BLD T,82465,MCS PREF,$8.00
CHOLESTER SERUM OR WHLE BLD T,82465,CHAMPVA,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,MEDICARE B,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,IMC,$7.00
CHOLESTER SERUM OR WHLE BLD T,82465,MMM IN,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,FONDO,$5.37
CHOLESTER SERUM OR WHLE BLD T,82465,FM VITAL,$4.14
CHOLESTER SERUM OR WHLE BLD T,82465,MMM VITAL,$4.14
CHOLESTER SERUM OR WHLE BLD T,82465,BELLA VISTA,$7.00
CHOLESTER SERUM OR WHLE BLD T,82465,MEDICARE A,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,MENONITA VITAL,$4.14
CHOLESTER SERUM OR WHLE BLD T,82465,ASOCIACION OUT,
CHOLESTER SERUM OR WHLE BLD T,82465,MMM OUT,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,HUMANA,
CHOLESTER SERUM OR WHLE BLD T,82465,HUM GOLD OUT,
CHOLESTER SERUM OR WHLE BLD T,82465,PALIC,
CHOLESTER SERUM OR WHLE BLD T,82465,ACAA,$5.00
CHOLESTER SERUM OR WHLE BLD T,82465,MENONITA COM,$5.20
CHOLESTER SERUM OR WHLE BLD T,82465,MCS CLASS,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,ASOCIACION IN,
CHOLESTER SERUM OR WHLE BLD T,82465,HUM GOLD IN,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,TRICARE,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,TSADV IN,$5.37
CHOLESTER SERUM OR WHLE BLD T,82465,TRIPLE S COM,$7.00
CHOLESTER SERUM OR WHLE BLD T,82465,VETERANS,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,TSADV OUT,$5.37
CHOLESTER SERUM OR WHLE BLD T,82465,PMC IN,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,SSS BLUE CARD,$7.00
CHOLESTER SERUM OR WHLE BLD T,82465,PMC OUT,$4.35
CHOLESTER SERUM OR WHLE BLD T,82465,TS VITAL,$6.16
Circumcision,54160,FONDO,
Circumcision,54160,MCS CLASS,$974.21
Circumcision,54160,MENONITA VITAL,$660.00
Circumcision,54160,MMM OUT,$735.00
Circumcision,54160,MEDICARE B,
Circumcision,54160,PALIC,$740.00
Circumcision,54160,ACAA,$475.00
Circumcision,54160,MMM VITAL,$611.00
Circumcision,54160,BELLA VISTA,$650.00
Circumcision,54160,HUM GOLD IN,
Circumcision,54160,HUM GOLD OUT,$974.21
Circumcision,54160,MCS PREF,$712.00
Circumcision,54160,ASOCIACION IN,
Circumcision,54160,ASOCIACION OUT,$770.00
Circumcision,54160,MENONITA COM,$788.00
Circumcision,54160,MMM IN,
Circumcision,54160,IMC,$559.00
Circumcision,54160,CHAMPVA,
Circumcision,54160,MEDICARE A,
Circumcision,54160,FM VITAL,$652.00
Circumcision,54160,HUMANA,$700.00
Circumcision,54160,TS VITAL,$611.00
Circumcision,54160,PMC OUT,$735.00
Circumcision,54160,TSADV IN,
Circumcision,54160,VETERANS,
Circumcision,54160,TRICARE,
Circumcision,54160,PMC IN,$735.00
Circumcision,54160,TSADV OUT,
Circumcision,54160,SSS BLUE CARD,$250.00
Circumcision,54160,TRIPLE S COM,$250.00
Cleaning and Debridement (C&D),11042,PALIC,$740.00
Cleaning and Debridement (C&D),11042,HUM GOLD OUT,$806.00
Cleaning and Debridement (C&D),11042,ACAA,$475.00
Cleaning and Debridement (C&D),11042,MEDICARE A,
Cleaning and Debridement (C&D),11042,MMM VITAL,$611.00
Cleaning and Debridement (C&D),11042,FM VITAL,$652.00
Cleaning and Debridement (C&D),11042,MCS PREF,$712.00
Cleaning and Debridement (C&D),11042,MCS CLASS,$535.00
Cleaning and Debridement (C&D),11042,CHAMPVA,
Cleaning and Debridement (C&D),11042,HUMANA,$700.00
Cleaning and Debridement (C&D),11042,FONDO,
Cleaning and Debridement (C&D),11042,ASOCIACION IN,
Cleaning and Debridement (C&D),11042,ASOCIACION OUT,$770.00
Cleaning and Debridement (C&D),11042,HUM GOLD IN,
Cleaning and Debridement (C&D),11042,MMM OUT,$735.00
Cleaning and Debridement (C&D),11042,IMC,$559.00
Cleaning and Debridement (C&D),11042,MMM IN,
Cleaning and Debridement (C&D),11042,MEDICARE B,
Cleaning and Debridement (C&D),11042,BELLA VISTA,$650.00
Cleaning and Debridement (C&D),11042,MENONITA VITAL,$660.00
Cleaning and Debridement (C&D),11042,MENONITA COM,$788.00
Cleaning and Debridement (C&D),11042,TRIPLE S COM,$706.00
Cleaning and Debridement (C&D),11042,PMC IN,$735.00
Cleaning and Debridement (C&D),11042,SSS BLUE CARD,$706.00
Cleaning and Debridement (C&D),11042,TRICARE,
Cleaning and Debridement (C&D),11042,TS VITAL,$611.00
Cleaning and Debridement (C&D),11042,TSADV IN,
Cleaning and Debridement (C&D),11042,PMC OUT,$735.00
Cleaning and Debridement (C&D),11042,VETERANS,
Cleaning and Debridement (C&D),11042,TSADV OUT,
Clos tx bimaleol ankle fra fix,27814,CHAMPVA,
Clos tx bimaleol ankle fra fix,27814,MCS PREF,$712.00
Clos tx bimaleol ankle fra fix,27814,MMM IN,
Clos tx bimaleol ankle fra fix,27814,MEDICARE A,
Clos tx bimaleol ankle fra fix,27814,MCS CLASS,"$3,213.65"
Clos tx bimaleol ankle fra fix,27814,IMC,$605.00
Clos tx bimaleol ankle fra fix,27814,PALIC,$740.00
Clos tx bimaleol ankle fra fix,27814,ASOCIACION IN,
Clos tx bimaleol ankle fra fix,27814,MEDICARE B,
Clos tx bimaleol ankle fra fix,27814,MENONITA COM,$788.00
Clos tx bimaleol ankle fra fix,27814,HUM GOLD OUT,$806.00
Clos tx bimaleol ankle fra fix,27814,ASOCIACION OUT,$770.00
Clos tx bimaleol ankle fra fix,27814,HUMANA,$700.00
Clos tx bimaleol ankle fra fix,27814,ACAA,$475.00
Clos tx bimaleol ankle fra fix,27814,FONDO,
Clos tx bimaleol ankle fra fix,27814,MMM OUT,$735.00
Clos tx bimaleol ankle fra fix,27814,MMM VITAL,$611.00
Clos tx bimaleol ankle fra fix,27814,BELLA VISTA,$650.00
Clos tx bimaleol ankle fra fix,27814,FM VITAL,$652.00
Clos tx bimaleol ankle fra fix,27814,MENONITA VITAL,$660.00
Clos tx bimaleol ankle fra fix,27814,HUM GOLD IN,
Clos tx bimaleol ankle fra fix,27814,TRICARE,
Clos tx bimaleol ankle fra fix,27814,TSADV IN,
Clos tx bimaleol ankle fra fix,27814,TSADV OUT,
Clos tx bimaleol ankle fra fix,27814,TS VITAL,"$1,300.00"
Clos tx bimaleol ankle fra fix,27814,PMC OUT,$735.00
Clos tx bimaleol ankle fra fix,27814,TRIPLE S COM,"$1,300.00"
Clos tx bimaleol ankle fra fix,27814,PMC IN,$735.00
Clos tx bimaleol ankle fra fix,27814,VETERANS,
Clos tx bimaleol ankle fra fix,27814,SSS BLUE CARD,"$1,300.00"
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MCS CLASS,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MENONITA VITAL,$8.34
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MCS PREF,$50.00
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,FONDO,$24.37
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MMM OUT,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,BELLA VISTA,$13.00
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MEDICARE B,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,PMC IN,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MMM VITAL,$18.83
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,ASOCIACION IN,
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,ACAA,
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,HUM GOLD OUT,
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,HUM GOLD IN,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,ASOCIACION OUT,
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,IMC,$43.00
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MEDICARE A,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,PALIC,
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,HUMANA,
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MMM IN,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,MENONITA COM,$33.00
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,FM VITAL,$8.34
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,CHAMPVA,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,VETERANS,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,TRIPLE S COM,$43.49
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,TS VITAL,$12.39
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,TSADV OUT,$24.37
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,SSS BLUE CARD,$43.49
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,TSADV IN,$24.37
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,PMC OUT,$19.74
CLOSTRIDIUM-TOXIN-DIFFICILE,87230,TRICARE,$19.74
COLD AGGLUTININ; SCREEN,86156,CHAMPVA,$8.07
COLD AGGLUTININ; SCREEN,86156,MENONITA VITAL,$6.38
COLD AGGLUTININ; SCREEN,86156,MMM VITAL,$6.38
COLD AGGLUTININ; SCREEN,86156,ACAA,$10.00
COLD AGGLUTININ; SCREEN,86156,MCS CLASS,$8.07
COLD AGGLUTININ; SCREEN,86156,FONDO,$55.00
COLD AGGLUTININ; SCREEN,86156,IMC,$10.00
COLD AGGLUTININ; SCREEN,86156,MMM OUT,$8.07
COLD AGGLUTININ; SCREEN,86156,BELLA VISTA,$10.00
COLD AGGLUTININ; SCREEN,86156,ASOCIACION IN,$57.50
COLD AGGLUTININ; SCREEN,86156,ASOCIACION OUT,
COLD AGGLUTININ; SCREEN,86156,PALIC,$57.50
COLD AGGLUTININ; SCREEN,86156,HUM GOLD OUT,
COLD AGGLUTININ; SCREEN,86156,FM VITAL,$6.38
COLD AGGLUTININ; SCREEN,86156,MCS PREF,$10.00
COLD AGGLUTININ; SCREEN,86156,PMC IN,$8.07
COLD AGGLUTININ; SCREEN,86156,MEDICARE B,$8.07
COLD AGGLUTININ; SCREEN,86156,HUMANA,
COLD AGGLUTININ; SCREEN,86156,MMM IN,$8.07
COLD AGGLUTININ; SCREEN,86156,HUM GOLD IN,$8.07
COLD AGGLUTININ; SCREEN,86156,MENONITA COM,$4.80
COLD AGGLUTININ; SCREEN,86156,MEDICARE A,$8.07
COLD AGGLUTININ; SCREEN,86156,TRIPLE S COM,$11.00
COLD AGGLUTININ; SCREEN,86156,TSADV IN,$8.27
COLD AGGLUTININ; SCREEN,86156,VETERANS,$8.07
COLD AGGLUTININ; SCREEN,86156,TSADV OUT,$8.27
COLD AGGLUTININ; SCREEN,86156,SSS BLUE CARD,$11.00
COLD AGGLUTININ; SCREEN,86156,TS VITAL,$9.49
COLD AGGLUTININ; SCREEN,86156,PMC OUT,$8.07
COLD AGGLUTININ; SCREEN,86156,TRICARE,$8.07
COLD AGGLUTININ; TITER,86157,ACAA,
COLD AGGLUTININ; TITER,86157,MENONITA VITAL,$7.69
COLD AGGLUTININ; TITER,86157,CHAMPVA,$8.06
COLD AGGLUTININ; TITER,86157,MENONITA COM,$4.80
COLD AGGLUTININ; TITER,86157,MMM IN,$8.06
COLD AGGLUTININ; TITER,86157,HUMANA,
COLD AGGLUTININ; TITER,86157,HUM GOLD IN,$8.06
COLD AGGLUTININ; TITER,86157,MEDICARE A,$8.06
COLD AGGLUTININ; TITER,86157,MCS PREF,$20.00
COLD AGGLUTININ; TITER,86157,PALIC,$92.00
COLD AGGLUTININ; TITER,86157,FM VITAL,$7.69
COLD AGGLUTININ; TITER,86157,BELLA VISTA,$10.00
COLD AGGLUTININ; TITER,86157,ASOCIACION OUT,
COLD AGGLUTININ; TITER,86157,HUM GOLD OUT,
COLD AGGLUTININ; TITER,86157,IMC,$13.00
COLD AGGLUTININ; TITER,86157,MMM OUT,$8.06
COLD AGGLUTININ; TITER,86157,MEDICARE B,$8.06
COLD AGGLUTININ; TITER,86157,MCS CLASS,$8.06
COLD AGGLUTININ; TITER,86157,ASOCIACION IN,$92.00
COLD AGGLUTININ; TITER,86157,FONDO,$9.95
COLD AGGLUTININ; TITER,86157,MMM VITAL,$7.69
COLD AGGLUTININ; TITER,86157,PMC OUT,$8.06
COLD AGGLUTININ; TITER,86157,PMC IN,$8.06
COLD AGGLUTININ; TITER,86157,TSADV OUT,$9.95
COLD AGGLUTININ; TITER,86157,TRICARE,$8.06
COLD AGGLUTININ; TITER,86157,VETERANS,$8.06
COLD AGGLUTININ; TITER,86157,TS VITAL,$11.43
COLD AGGLUTININ; TITER,86157,TSADV IN,$9.95
COLD AGGLUTININ; TITER,86157,TRIPLE S COM,$13.00
COLD AGGLUTININ; TITER,86157,SSS BLUE CARD,$13.00
Colonoscopy,45378,SSS COM,$120.00
Colonoscopy,45378,MEDICARE A,$452.56
Colonoscopy,45378,MCS PREF,$111.00
Colonoscopy,45378,MOLINA VITAL,$115.00
Colonoscopy,45378,HUM GOLD PLUS,$140.00
Colonoscopy,45378,ASOCIACION INP,$139.00
Colonoscopy,45378,FM VITAL,$129.00
Colonoscopy,45378,VETERANS,
Colonoscopy,45378,MMM VITAL,$120.00
Colonoscopy,45378,MENONITA COM,$136.00
Colonoscopy,45378,PMC IN,
Colonoscopy,45378,ACAA,
Colonoscopy,45378,CHAMPVA,
Colonoscopy,45378,MCS CLASS,$452.56
Colonoscopy,45378,PMC OUT,$431.79
Colonoscopy,45378,BELLA VISTA,$125.00
Colonoscopy,45378,TS ADV IN,
Colonoscopy,45378,TRICARE,
Colonoscopy,45378,SSS BLUE CARD,$120.00
Colonoscopy,45378,PALIC,$125.00
Colonoscopy,45378,TS ADV OUT,$452.56
Colonoscopy,45378,HUMANA,$145.00
Colonoscopy,45378,ASOCIACION OUT,$150.00
Colonoscopy,45378,TS VITAL,$120.00
Colonoscopy,45378,MEDICARE B,
Colonoscopy,45378,PSM VITAL,$132.00
Colonoscopy,45378,MAP LIFE,$158.00
Colonoscopy,45378,FONDO,
Colonoscopy,45378,MMM OUT,$431.79
Colonoscopy,45378,MMM IN,
Colonoscopy,45378,IMC,$125.00
Colonoscopy w/biopsy,45380,ASOCIACION INP,$139.00
Colonoscopy w/biopsy,45380,MOLINA VITAL,$117.00
Colonoscopy w/biopsy,45380,MENONITA COM,
Colonoscopy w/biopsy,45380,FM VITAL,$117.00
Colonoscopy w/biopsy,45380,SSS COM,$120.00
Colonoscopy w/biopsy,45380,PSM VITAL,$117.00
Colonoscopy w/biopsy,45380,SSS BLUE CARD,$120.00
Colonoscopy w/biopsy,45380,TS ADV IN,
Colonoscopy w/biopsy,45380,TRICARE,
Colonoscopy w/biopsy,45380,MCS CLASS,$567.55
Colonoscopy w/biopsy,45380,IMC,$125.00
Colonoscopy w/biopsy,45380,HUM GOLD PLUS,$140.00
Colonoscopy w/biopsy,45380,MAP LIFE,$158.00
Colonoscopy w/biopsy,45380,MMM OUT,$567.55
Colonoscopy w/biopsy,45380,PMC IN,
Colonoscopy w/biopsy,45380,FONDO,
Colonoscopy w/biopsy,45380,BELLA VISTA,$125.00
Colonoscopy w/biopsy,45380,TS ADV OUT,$567.55
Colonoscopy w/biopsy,45380,MCS PREF,$111.00
Colonoscopy w/biopsy,45380,ASOCIACION OUT,$145.00
Colonoscopy w/biopsy,45380,MMM IN,
Colonoscopy w/biopsy,45380,MEDICARE B,
Colonoscopy w/biopsy,45380,TS VITAL,$120.00
Colonoscopy w/biopsy,45380,MMM VITAL,$117.00
Colonoscopy w/biopsy,45380,MEDICARE A,$567.55
Colonoscopy w/biopsy,45380,HUMANA,$140.00
Colonoscopy w/biopsy,45380,PALIC,$125.00
Colonoscopy w/biopsy,45380,PMC OUT,$567.55
Colonoscopy w/biopsy,45380,ACAA,
Colonoscopy w/biopsy,45380,VETERANS,
Colonoscopy w/biopsy,45380,CHAMPVA,
"Complete blood count, automated",85027,CHAMPVA,
"Complete blood count, automated",85027,TS VITAL,
"Complete blood count, automated",85027,MEDICARE B,
"Complete blood count, automated",85027,MMM OUT,
"Complete blood count, automated",85027,TS ADV OUT,
"Complete blood count, automated",85027,FONDO,
"Complete blood count, automated",85027,MCS CLASS,
"Complete blood count, automated",85027,PMC IN,
"Complete blood count, automated",85027,SSS BLUE CARD,
"Complete blood count, automated",85027,ASOCIACION OUT,
"Complete blood count, automated",85027,SSS COM,
"Complete blood count, automated",85027,MEDICARE A,
"Complete blood count, automated",85027,TS ADV IN,
"Complete blood count, automated",85027,MENONITA COM,
"Complete blood count, automated",85027,HUM GOLD PLUS,
"Complete blood count, automated",85027,MMM IN,
"Complete blood count, automated",85027,BELLA VISTA,
"Complete blood count, automated",85027,MOLINA VITAL,
"Complete blood count, automated",85027,HUMANA,
"Complete blood count, automated",85027,FM VITAL,
"Complete blood count, automated",85027,TRICARE,
"Complete blood count, automated",85027,ASOCIACION INP,
"Complete blood count, automated",85027,MCS PREF,
"Complete blood count, automated",85027,MMM VITAL,
"Complete blood count, automated",85027,ACAA,
"Complete blood count, automated",85027,IMC,
"Complete blood count, automated",85027,PMC OUT,
"Complete blood count, automated",85027,VETERANS,
"Complete blood count, automated",85027,PSM VITAL,
"Complete blood count, automated",85027,MAP LIFE,
"Complete blood count, automated",85027,PALIC,
COMPREHENSIVE METABOLIC PANEL,80053,CHAMPVA,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,ACAA,
COMPREHENSIVE METABOLIC PANEL,80053,MMM OUT,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,MEDICARE A,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,PSM VITAL,$14.39
COMPREHENSIVE METABOLIC PANEL,80053,SSS BLUE CARD,$17.50
COMPREHENSIVE METABOLIC PANEL,80053,SSS COM,$17.50
COMPREHENSIVE METABOLIC PANEL,80053,PMC IN,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,TS VITAL,$14.97
COMPREHENSIVE METABOLIC PANEL,80053,HUM GOLD PLUS,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,MEDICARE B,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,MOLINA VITAL,$9.13
COMPREHENSIVE METABOLIC PANEL,80053,FONDO,$13.04
COMPREHENSIVE METABOLIC PANEL,80053,ASOCIACION OUT,
COMPREHENSIVE METABOLIC PANEL,80053,FM VITAL,$10.07
COMPREHENSIVE METABOLIC PANEL,80053,IMC,$24.00
COMPREHENSIVE METABOLIC PANEL,80053,ASOCIACION INP,$20.80
COMPREHENSIVE METABOLIC PANEL,80053,MAP LIFE,$55.00
COMPREHENSIVE METABOLIC PANEL,80053,MMM VITAL,$10.07
COMPREHENSIVE METABOLIC PANEL,80053,PALIC,$30.00
COMPREHENSIVE METABOLIC PANEL,80053,MCS CLASS,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,BELLA VISTA,$23.00
COMPREHENSIVE METABOLIC PANEL,80053,HUMANA,$20.00
COMPREHENSIVE METABOLIC PANEL,80053,PMC OUT,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,MCS PREF,$24.00
COMPREHENSIVE METABOLIC PANEL,80053,TS ADV OUT,$13.04
COMPREHENSIVE METABOLIC PANEL,80053,MMM IN,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,TS ADV IN,$13.04
COMPREHENSIVE METABOLIC PANEL,80053,MENONITA COM,$25.00
COMPREHENSIVE METABOLIC PANEL,80053,TRICARE,$10.56
COMPREHENSIVE METABOLIC PANEL,80053,VETERANS,$10.56
COOMBS TEST DIRECT,86880,MENONITA COM,$4.20
COOMBS TEST DIRECT,86880,MEDICARE A,$5.39
COOMBS TEST DIRECT,86880,PMC IN,$5.39
COOMBS TEST DIRECT,86880,HUM GOLD OUT,
COOMBS TEST DIRECT,86880,MMM OUT,$5.39
COOMBS TEST DIRECT,86880,ASOCIACION OUT,
COOMBS TEST DIRECT,86880,PALIC,$28.75
COOMBS TEST DIRECT,86880,FONDO,$6.65
COOMBS TEST DIRECT,86880,FM VITAL,$5.49
COOMBS TEST DIRECT,86880,CHAMPVA,$5.39
COOMBS TEST DIRECT,86880,HUM GOLD IN,$5.39
COOMBS TEST DIRECT,86880,ACAA,$15.00
COOMBS TEST DIRECT,86880,MCS CLASS,$5.39
COOMBS TEST DIRECT,86880,ASOCIACION IN,$28.75
COOMBS TEST DIRECT,86880,HUMANA,$6.00
COOMBS TEST DIRECT,86880,MENONITA VITAL,$5.13
COOMBS TEST DIRECT,86880,MMM VITAL,$5.13
COOMBS TEST DIRECT,86880,BELLA VISTA,$25.00
COOMBS TEST DIRECT,86880,MMM IN,$5.39
COOMBS TEST DIRECT,86880,IMC,$6.00
COOMBS TEST DIRECT,86880,MCS PREF,$15.00
COOMBS TEST DIRECT,86880,MEDICARE B,$5.39
COOMBS TEST DIRECT,86880,TRICARE,$5.39
COOMBS TEST DIRECT,86880,TRIPLE S COM,$5.49
COOMBS TEST DIRECT,86880,VETERANS,$5.39
COOMBS TEST DIRECT,86880,SSS BLUE CARD,$5.49
COOMBS TEST DIRECT,86880,TSADV IN,$6.65
COOMBS TEST DIRECT,86880,PMC OUT,$5.39
COOMBS TEST DIRECT,86880,TSADV OUT,$6.65
COOMBS TEST DIRECT,86880,TS VITAL,$7.61
COOMBS TEST INDIRECT QL,86885,HUM GOLD OUT,
COOMBS TEST INDIRECT QL,86885,ASOCIACION IN,$16.10
COOMBS TEST INDIRECT QL,86885,MENONITA COM,$5.20
COOMBS TEST INDIRECT QL,86885,IMC,$14.00
COOMBS TEST INDIRECT QL,86885,FONDO,$7.07
COOMBS TEST INDIRECT QL,86885,FM VITAL,$7.00
COOMBS TEST INDIRECT QL,86885,BELLA VISTA,$7.00
COOMBS TEST INDIRECT QL,86885,CHAMPVA,$5.72
COOMBS TEST INDIRECT QL,86885,ACAA,$12.00
COOMBS TEST INDIRECT QL,86885,HUM GOLD IN,$5.72
COOMBS TEST INDIRECT QL,86885,MCS CLASS,$5.72
COOMBS TEST INDIRECT QL,86885,HUMANA,$7.00
COOMBS TEST INDIRECT QL,86885,MMM VITAL,$4.95
COOMBS TEST INDIRECT QL,86885,MENONITA VITAL,$5.46
COOMBS TEST INDIRECT QL,86885,MMM IN,$5.72
COOMBS TEST INDIRECT QL,86885,MEDICARE B,$5.72
COOMBS TEST INDIRECT QL,86885,MCS PREF,$15.00
COOMBS TEST INDIRECT QL,86885,MEDICARE A,$5.72
COOMBS TEST INDIRECT QL,86885,MMM OUT,$5.72
COOMBS TEST INDIRECT QL,86885,PALIC,$16.10
COOMBS TEST INDIRECT QL,86885,PMC IN,$5.72
COOMBS TEST INDIRECT QL,86885,ASOCIACION OUT,
COOMBS TEST INDIRECT QL,86885,TSADV IN,$7.07
COOMBS TEST INDIRECT QL,86885,TS VITAL,$8.11
COOMBS TEST INDIRECT QL,86885,TRIPLE S COM,$7.00
COOMBS TEST INDIRECT QL,86885,SSS BLUE CARD,$7.00
COOMBS TEST INDIRECT QL,86885,TRICARE,$5.72
COOMBS TEST INDIRECT QL,86885,PMC OUT,$5.72
COOMBS TEST INDIRECT QL,86885,TSADV OUT,$7.07
COOMBS TEST INDIRECT QL,86885,VETERANS,$5.72
CPK TOTAL (CREATINE KINASE),82550,MEDICARE A,$6.51
CPK TOTAL (CREATINE KINASE),82550,IMC,$15.00
CPK TOTAL (CREATINE KINASE),82550,MENONITA VITAL,$6.21
CPK TOTAL (CREATINE KINASE),82550,MCS PREF,$20.00
CPK TOTAL (CREATINE KINASE),82550,PMC IN,$6.51
CPK TOTAL (CREATINE KINASE),82550,CHAMPVA,$6.51
CPK TOTAL (CREATINE KINASE),82550,FM VITAL,$6.21
CPK TOTAL (CREATINE KINASE),82550,ASOCIACION OUT,
CPK TOTAL (CREATINE KINASE),82550,MEDICARE B,$6.51
CPK TOTAL (CREATINE KINASE),82550,MENONITA COM,$11.60
CPK TOTAL (CREATINE KINASE),82550,HUM GOLD OUT,
CPK TOTAL (CREATINE KINASE),82550,HUM GOLD IN,$6.51
CPK TOTAL (CREATINE KINASE),82550,HUMANA,$15.00
CPK TOTAL (CREATINE KINASE),82550,MMM IN,$6.51
CPK TOTAL (CREATINE KINASE),82550,PALIC,$16.00
CPK TOTAL (CREATINE KINASE),82550,MMM VITAL,$6.21
CPK TOTAL (CREATINE KINASE),82550,FONDO,$8.04
CPK TOTAL (CREATINE KINASE),82550,MMM OUT,$6.51
CPK TOTAL (CREATINE KINASE),82550,ASOCIACION IN,$12.24
CPK TOTAL (CREATINE KINASE),82550,BELLA VISTA,$15.00
CPK TOTAL (CREATINE KINASE),82550,ACAA,$17.00
CPK TOTAL (CREATINE KINASE),82550,MCS CLASS,$6.51
CPK TOTAL (CREATINE KINASE),82550,TRICARE,$6.51
CPK TOTAL (CREATINE KINASE),82550,SSS BLUE CARD,$15.00
CPK TOTAL (CREATINE KINASE),82550,TS VITAL,$9.23
CPK TOTAL (CREATINE KINASE),82550,TSADV OUT,$8.04
CPK TOTAL (CREATINE KINASE),82550,VETERANS,$6.51
CPK TOTAL (CREATINE KINASE),82550,PMC OUT,$6.51
CPK TOTAL (CREATINE KINASE),82550,TRIPLE S COM,$15.00
CPK TOTAL (CREATINE KINASE),82550,TSADV IN,$8.04
C-REACTIVE PROTEIN,86140,FONDO,$6.39
C-REACTIVE PROTEIN,86140,HUMANA,$5.00
C-REACTIVE PROTEIN,86140,MENONITA COM,$3.00
C-REACTIVE PROTEIN,86140,PMC IN,$5.18
C-REACTIVE PROTEIN,86140,ASOCIACION OUT,
C-REACTIVE PROTEIN,86140,MMM OUT,$5.18
C-REACTIVE PROTEIN,86140,MEDICARE B,$5.18
C-REACTIVE PROTEIN,86140,PALIC,$15.00
C-REACTIVE PROTEIN,86140,HUM GOLD OUT,
C-REACTIVE PROTEIN,86140,MMM IN,$5.18
C-REACTIVE PROTEIN,86140,MMM VITAL,$4.94
C-REACTIVE PROTEIN,86140,MEDICARE A,$5.18
C-REACTIVE PROTEIN,86140,MENONITA VITAL,$4.94
C-REACTIVE PROTEIN,86140,HUM GOLD IN,$5.18
C-REACTIVE PROTEIN,86140,CHAMPVA,$5.18
C-REACTIVE PROTEIN,86140,ASOCIACION IN,$4.80
C-REACTIVE PROTEIN,86140,BELLA VISTA,$4.00
C-REACTIVE PROTEIN,86140,IMC,$5.00
C-REACTIVE PROTEIN,86140,MCS PREF,$15.00
C-REACTIVE PROTEIN,86140,FM VITAL,$3.90
C-REACTIVE PROTEIN,86140,ACAA,$4.00
C-REACTIVE PROTEIN,86140,MCS CLASS,$5.18
C-REACTIVE PROTEIN,86140,TRICARE,$5.18
C-REACTIVE PROTEIN,86140,TRIPLE S COM,$4.00
C-REACTIVE PROTEIN,86140,SSS BLUE CARD,$4.00
C-REACTIVE PROTEIN,86140,VETERANS,$5.18
C-REACTIVE PROTEIN,86140,TSADV OUT,$6.39
C-REACTIVE PROTEIN,86140,TS VITAL,$7.33
C-REACTIVE PROTEIN,86140,TSADV IN,$6.39
C-REACTIVE PROTEIN,86140,PMC OUT,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,CHAMPVA,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,MMM IN,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,PALIC,$12.00
CREATINI OTH SOURCE 24 HR URI,82570,MENONITA COM,$3.80
CREATINI OTH SOURCE 24 HR URI,82570,MEDICARE A,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,ACAA,$5.00
CREATINI OTH SOURCE 24 HR URI,82570,HUM GOLD IN,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,ASOCIACION OUT,
CREATINI OTH SOURCE 24 HR URI,82570,ASOCIACION IN,$6.00
CREATINI OTH SOURCE 24 HR URI,82570,BELLA VISTA,$6.00
CREATINI OTH SOURCE 24 HR URI,82570,HUMANA,$7.00
CREATINI OTH SOURCE 24 HR URI,82570,MCS CLASS,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,MCS PREF,$12.00
CREATINI OTH SOURCE 24 HR URI,82570,MENONITA VITAL,$4.94
CREATINI OTH SOURCE 24 HR URI,82570,IMC,$5.00
CREATINI OTH SOURCE 24 HR URI,82570,PMC IN,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,FM VITAL,$4.88
CREATINI OTH SOURCE 24 HR URI,82570,MEDICARE B,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,FONDO,$6.39
CREATINI OTH SOURCE 24 HR URI,82570,MMM OUT,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,MMM VITAL,$4.94
CREATINI OTH SOURCE 24 HR URI,82570,HUM GOLD OUT,
CREATINI OTH SOURCE 24 HR URI,82570,TSADV OUT,$6.39
CREATINI OTH SOURCE 24 HR URI,82570,TSADV IN,$6.39
CREATINI OTH SOURCE 24 HR URI,82570,VETERANS,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,SSS BLUE CARD,$5.00
CREATINI OTH SOURCE 24 HR URI,82570,PMC OUT,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,TS VITAL,$7.33
CREATINI OTH SOURCE 24 HR URI,82570,TRICARE,$5.18
CREATINI OTH SOURCE 24 HR URI,82570,TRIPLE S COM,$5.00
CREATININE CLEARANCE,82575,IMC,$10.00
CREATININE CLEARANCE,82575,ASOCIACION IN,$11.00
CREATININE CLEARANCE,82575,FM VITAL,$9.02
CREATININE CLEARANCE,82575,MENONITA COM,$8.20
CREATININE CLEARANCE,82575,MMM VITAL,$9.01
CREATININE CLEARANCE,82575,BELLA VISTA,$10.00
CREATININE CLEARANCE,82575,ACAA,$10.00
CREATININE CLEARANCE,82575,HUM GOLD IN,$9.46
CREATININE CLEARANCE,82575,HUM GOLD OUT,
CREATININE CLEARANCE,82575,FONDO,$11.67
CREATININE CLEARANCE,82575,MMM OUT,$9.46
CREATININE CLEARANCE,82575,MCS PREF,$20.00
CREATININE CLEARANCE,82575,ASOCIACION OUT,
CREATININE CLEARANCE,82575,MENONITA VITAL,$9.02
CREATININE CLEARANCE,82575,MEDICARE A,$9.46
CREATININE CLEARANCE,82575,MEDICARE B,$9.46
CREATININE CLEARANCE,82575,MMM IN,$9.46
CREATININE CLEARANCE,82575,MCS CLASS,$9.46
CREATININE CLEARANCE,82575,HUMANA,$20.00
CREATININE CLEARANCE,82575,CHAMPVA,$9.46
CREATININE CLEARANCE,82575,PALIC,$20.00
CREATININE CLEARANCE,82575,TSADV IN,$11.67
CREATININE CLEARANCE,82575,TSADV OUT,$11.67
CREATININE CLEARANCE,82575,SSS BLUE CARD,$11.00
CREATININE CLEARANCE,82575,VETERANS,$9.46
CREATININE CLEARANCE,82575,PMC IN,$9.46
CREATININE CLEARANCE,82575,TRIPLE S COM,$11.00
CREATININE CLEARANCE,82575,TRICARE,$9.46
CREATININE CLEARANCE,82575,TS VITAL,$13.39
CREATININE CLEARANCE,82575,PMC OUT,$9.46
CREATININE;BLOOD,82565,MCS PREF,$10.00
CREATININE;BLOOD,82565,IMC,$7.00
CREATININE;BLOOD,82565,HUM GOLD OUT,
CREATININE;BLOOD,82565,HUMANA,$7.00
CREATININE;BLOOD,82565,MMM VITAL,$4.89
CREATININE;BLOOD,82565,PALIC,$10.00
CREATININE;BLOOD,82565,ASOCIACION OUT,
CREATININE;BLOOD,82565,MMM OUT,$5.12
CREATININE;BLOOD,82565,ASOCIACION IN,$7.00
CREATININE;BLOOD,82565,HUM GOLD IN,$5.12
CREATININE;BLOOD,82565,BELLA VISTA,$6.00
CREATININE;BLOOD,82565,MCS CLASS,$5.12
CREATININE;BLOOD,82565,MEDICARE A,$5.12
CREATININE;BLOOD,82565,FM VITAL,$4.89
CREATININE;BLOOD,82565,ACAA,$5.00
CREATININE;BLOOD,82565,PMC IN,$5.12
CREATININE;BLOOD,82565,MMM IN,$5.12
CREATININE;BLOOD,82565,MEDICARE B,$5.12
CREATININE;BLOOD,82565,CHAMPVA,$5.12
CREATININE;BLOOD,82565,MENONITA VITAL,$4.89
CREATININE;BLOOD,82565,MENONITA COM,$6.80
CREATININE;BLOOD,82565,FONDO,$6.33
CREATININE;BLOOD,82565,TS VITAL,$5.58
CREATININE;BLOOD,82565,VETERANS,$5.12
CREATININE;BLOOD,82565,PMC OUT,$5.12
CREATININE;BLOOD,82565,TRIPLE S COM,$10.00
CREATININE;BLOOD,82565,TSADV IN,$6.33
CREATININE;BLOOD,82565,TRICARE,$5.12
CREATININE;BLOOD,82565,TSADV OUT,$6.33
CREATININE;BLOOD,82565,SSS BLUE CARD,$10.00
CULTURE ANAEROBIC ISOLATE,87076,HUMANA,
CULTURE ANAEROBIC ISOLATE,87076,MCS CLASS,$8.08
CULTURE ANAEROBIC ISOLATE,87076,PALIC,
CULTURE ANAEROBIC ISOLATE,87076,HUM GOLD IN,$8.08
CULTURE ANAEROBIC ISOLATE,87076,MENONITA COM,$15.20
CULTURE ANAEROBIC ISOLATE,87076,ACAA,$12.00
CULTURE ANAEROBIC ISOLATE,87076,FONDO,$9.97
CULTURE ANAEROBIC ISOLATE,87076,IMC,
CULTURE ANAEROBIC ISOLATE,87076,CHAMPVA,$8.08
CULTURE ANAEROBIC ISOLATE,87076,PMC IN,$8.08
CULTURE ANAEROBIC ISOLATE,87076,MCS PREF,$50.00
CULTURE ANAEROBIC ISOLATE,87076,MMM OUT,$8.08
CULTURE ANAEROBIC ISOLATE,87076,MENONITA VITAL,$7.70
CULTURE ANAEROBIC ISOLATE,87076,ASOCIACION OUT,
CULTURE ANAEROBIC ISOLATE,87076,MEDICARE A,$8.08
CULTURE ANAEROBIC ISOLATE,87076,MEDICARE B,$8.08
CULTURE ANAEROBIC ISOLATE,87076,BELLA VISTA,$5.00
CULTURE ANAEROBIC ISOLATE,87076,FM VITAL,$7.70
CULTURE ANAEROBIC ISOLATE,87076,ASOCIACION IN,
CULTURE ANAEROBIC ISOLATE,87076,HUM GOLD OUT,
CULTURE ANAEROBIC ISOLATE,87076,MMM IN,$8.08
CULTURE ANAEROBIC ISOLATE,87076,MMM VITAL,$7.70
CULTURE ANAEROBIC ISOLATE,87076,TRIPLE S COM,$20.00
CULTURE ANAEROBIC ISOLATE,87076,VETERANS,$8.08
CULTURE ANAEROBIC ISOLATE,87076,TSADV OUT,$9.97
CULTURE ANAEROBIC ISOLATE,87076,TSADV IN,$9.97
CULTURE ANAEROBIC ISOLATE,87076,SSS BLUE CARD,$20.00
CULTURE ANAEROBIC ISOLATE,87076,PMC OUT,$8.08
CULTURE ANAEROBIC ISOLATE,87076,TRICARE,$8.08
CULTURE ANAEROBIC ISOLATE,87076,TS VITAL,$11.45
CULTURE ANY OTHER SOURCE,87070,MEDICARE B,$8.62
CULTURE ANY OTHER SOURCE,87070,MCS PREF,$21.00
CULTURE ANY OTHER SOURCE,87070,MENONITA VITAL,$8.22
CULTURE ANY OTHER SOURCE,87070,MEDICARE A,$8.62
CULTURE ANY OTHER SOURCE,87070,ACAA,$13.00
CULTURE ANY OTHER SOURCE,87070,ASOCIACION IN,
CULTURE ANY OTHER SOURCE,87070,MMM VITAL,$8.22
CULTURE ANY OTHER SOURCE,87070,HUM GOLD OUT,
CULTURE ANY OTHER SOURCE,87070,MMM OUT,$8.62
CULTURE ANY OTHER SOURCE,87070,MMM IN,$8.62
CULTURE ANY OTHER SOURCE,87070,BELLA VISTA,$20.00
CULTURE ANY OTHER SOURCE,87070,PMC IN,$8.62
CULTURE ANY OTHER SOURCE,87070,IMC,$21.00
CULTURE ANY OTHER SOURCE,87070,CHAMPVA,$8.62
CULTURE ANY OTHER SOURCE,87070,MCS CLASS,$8.62
CULTURE ANY OTHER SOURCE,87070,FONDO,$10.64
CULTURE ANY OTHER SOURCE,87070,FM VITAL,$8.22
CULTURE ANY OTHER SOURCE,87070,HUMANA,$21.00
CULTURE ANY OTHER SOURCE,87070,PALIC,$28.00
CULTURE ANY OTHER SOURCE,87070,MENONITA COM,$14.80
CULTURE ANY OTHER SOURCE,87070,ASOCIACION OUT,
CULTURE ANY OTHER SOURCE,87070,HUM GOLD IN,$8.62
CULTURE ANY OTHER SOURCE,87070,TS VITAL,$12.20
CULTURE ANY OTHER SOURCE,87070,TSADV IN,$10.64
CULTURE ANY OTHER SOURCE,87070,VETERANS,$8.62
CULTURE ANY OTHER SOURCE,87070,PMC OUT,$8.62
CULTURE ANY OTHER SOURCE,87070,TRICARE,$8.62
CULTURE ANY OTHER SOURCE,87070,TSADV OUT,$10.64
CULTURE ANY OTHER SOURCE,87070,TRIPLE S COM,$21.00
CULTURE ANY OTHER SOURCE,87070,SSS BLUE CARD,$21.00
CULTURE BLOOD AEROBIC,87040,MMM IN,$10.32
CULTURE BLOOD AEROBIC,87040,MENONITA COM,$19.20
CULTURE BLOOD AEROBIC,87040,MEDICARE A,$10.32
CULTURE BLOOD AEROBIC,87040,MEDICARE B,$10.32
CULTURE BLOOD AEROBIC,87040,BELLA VISTA,$20.00
CULTURE BLOOD AEROBIC,87040,PALIC,$35.00
CULTURE BLOOD AEROBIC,87040,HUM GOLD IN,$10.32
CULTURE BLOOD AEROBIC,87040,CHAMPVA,$10.32
CULTURE BLOOD AEROBIC,87040,MMM VITAL,$9.85
CULTURE BLOOD AEROBIC,87040,HUMANA,$24.00
CULTURE BLOOD AEROBIC,87040,ACAA,$15.00
CULTURE BLOOD AEROBIC,87040,MENONITA VITAL,$9.85
CULTURE BLOOD AEROBIC,87040,PMC IN,$10.32
CULTURE BLOOD AEROBIC,87040,HUM GOLD OUT,
CULTURE BLOOD AEROBIC,87040,IMC,$24.00
CULTURE BLOOD AEROBIC,87040,MMM OUT,$10.32
CULTURE BLOOD AEROBIC,87040,ASOCIACION OUT,
CULTURE BLOOD AEROBIC,87040,MCS CLASS,$10.32
CULTURE BLOOD AEROBIC,87040,FM VITAL,$9.85
CULTURE BLOOD AEROBIC,87040,FONDO,$12.74
CULTURE BLOOD AEROBIC,87040,ASOCIACION IN,$20.00
CULTURE BLOOD AEROBIC,87040,MCS PREF,$35.00
CULTURE BLOOD AEROBIC,87040,TRICARE,$10.32
CULTURE BLOOD AEROBIC,87040,TSADV OUT,$12.74
CULTURE BLOOD AEROBIC,87040,SSS BLUE CARD,$25.00
CULTURE BLOOD AEROBIC,87040,TRIPLE S COM,$25.00
CULTURE BLOOD AEROBIC,87040,PMC OUT,$10.32
CULTURE BLOOD AEROBIC,87040,VETERANS,$10.32
CULTURE BLOOD AEROBIC,87040,TSADV IN,$12.74
CULTURE BLOOD AEROBIC,87040,TS VITAL,$14.62
CULTURE FECES,87045,MENONITA VITAL,$9.00
CULTURE FECES,87045,MCS PREF,$28.00
CULTURE FECES,87045,HUMANA,$21.00
CULTURE FECES,87045,MCS CLASS,$9.44
CULTURE FECES,87045,MENONITA COM,$16.00
CULTURE FECES,87045,ASOCIACION IN,$20.00
CULTURE FECES,87045,HUM GOLD OUT,
CULTURE FECES,87045,PALIC,$28.00
CULTURE FECES,87045,MMM IN,$9.44
CULTURE FECES,87045,BELLA VISTA,$25.00
CULTURE FECES,87045,PMC IN,$9.44
CULTURE FECES,87045,ACAA,$13.00
CULTURE FECES,87045,IMC,$20.00
CULTURE FECES,87045,ASOCIACION OUT,
CULTURE FECES,87045,MEDICARE A,$9.44
CULTURE FECES,87045,HUM GOLD IN,$9.44
CULTURE FECES,87045,FM VITAL,$9.00
CULTURE FECES,87045,FONDO,$11.66
CULTURE FECES,87045,MMM VITAL,$9.00
CULTURE FECES,87045,CHAMPVA,$9.44
CULTURE FECES,87045,MMM OUT,$9.44
CULTURE FECES,87045,MEDICARE B,$9.44
CULTURE FECES,87045,TS VITAL,$13.36
CULTURE FECES,87045,TSADV IN,$11.66
CULTURE FECES,87045,SSS BLUE CARD,$21.00
CULTURE FECES,87045,VETERANS,$9.44
CULTURE FECES,87045,TRIPLE S COM,$21.00
CULTURE FECES,87045,TSADV OUT,$11.66
CULTURE FECES,87045,TRICARE,$9.44
CULTURE FECES,87045,PMC OUT,$9.44
CULTURE PRESUMP SCREENING ONL,87081,PMC IN,$6.63
CULTURE PRESUMP SCREENING ONL,87081,HUM GOLD IN,$6.63
CULTURE PRESUMP SCREENING ONL,87081,CHAMPVA,$6.63
CULTURE PRESUMP SCREENING ONL,87081,ASOCIACION OUT,
CULTURE PRESUMP SCREENING ONL,87081,ASOCIACION IN,
CULTURE PRESUMP SCREENING ONL,87081,PALIC,
CULTURE PRESUMP SCREENING ONL,87081,FONDO,$8.18
CULTURE PRESUMP SCREENING ONL,87081,MENONITA COM,$17.80
CULTURE PRESUMP SCREENING ONL,87081,IMC,$23.00
CULTURE PRESUMP SCREENING ONL,87081,HUM GOLD OUT,
CULTURE PRESUMP SCREENING ONL,87081,MMM VITAL,$6.32
CULTURE PRESUMP SCREENING ONL,87081,MMM OUT,$6.63
CULTURE PRESUMP SCREENING ONL,87081,MCS CLASS,$6.63
CULTURE PRESUMP SCREENING ONL,87081,MENONITA VITAL,$6.32
CULTURE PRESUMP SCREENING ONL,87081,BELLA VISTA,$25.00
CULTURE PRESUMP SCREENING ONL,87081,HUMANA,
CULTURE PRESUMP SCREENING ONL,87081,MEDICARE A,$6.63
CULTURE PRESUMP SCREENING ONL,87081,ACAA,
CULTURE PRESUMP SCREENING ONL,87081,FM VITAL,$6.32
CULTURE PRESUMP SCREENING ONL,87081,MCS PREF,$18.00
CULTURE PRESUMP SCREENING ONL,87081,MMM IN,$6.63
CULTURE PRESUMP SCREENING ONL,87081,MEDICARE B,$6.63
CULTURE PRESUMP SCREENING ONL,87081,PMC OUT,$6.63
CULTURE PRESUMP SCREENING ONL,87081,TRICARE,$6.63
CULTURE PRESUMP SCREENING ONL,87081,TSADV IN,$8.18
CULTURE PRESUMP SCREENING ONL,87081,VETERANS,$6.63
CULTURE PRESUMP SCREENING ONL,87081,TS VITAL,$9.39
CULTURE PRESUMP SCREENING ONL,87081,TRIPLE S COM,$23.50
CULTURE PRESUMP SCREENING ONL,87081,TSADV OUT,$8.18
CULTURE PRESUMP SCREENING ONL,87081,SSS BLUE CARD,$23.50
CULTURE URINE,87086,MEDICARE A,$8.07
CULTURE URINE,87086,IMC,$7.00
CULTURE URINE,87086,HUM GOLD OUT,
CULTURE URINE,87086,MMM VITAL,$7.70
CULTURE URINE,87086,MMM OUT,$8.07
CULTURE URINE,87086,HUMANA,$3.00
CULTURE URINE,87086,ASOCIACION IN,$18.00
CULTURE URINE,87086,MCS PREF,$7.00
CULTURE URINE,87086,FONDO,$9.96
CULTURE URINE,87086,MENONITA COM,$5.20
CULTURE URINE,87086,MEDICARE B,$8.07
CULTURE URINE,87086,HUM GOLD IN,$8.07
CULTURE URINE,87086,ASOCIACION OUT,
CULTURE URINE,87086,PALIC,$32.00
CULTURE URINE,87086,MMM IN,$8.07
CULTURE URINE,87086,MENONITA VITAL,$7.70
CULTURE URINE,87086,BELLA VISTA,$25.00
CULTURE URINE,87086,MCS CLASS,$8.07
CULTURE URINE,87086,ACAA,$30.00
CULTURE URINE,87086,PMC IN,$8.07
CULTURE URINE,87086,FM VITAL,$6.83
CULTURE URINE,87086,CHAMPVA,$8.07
CULTURE URINE,87086,TRICARE,$8.07
CULTURE URINE,87086,TSADV OUT,$9.96
CULTURE URINE,87086,SSS BLUE CARD,$7.00
CULTURE URINE,87086,TRIPLE S COM,$7.00
CULTURE URINE,87086,TS VITAL,$11.43
CULTURE URINE,87086,VETERANS,$8.07
CULTURE URINE,87086,TSADV IN,$9.96
CULTURE URINE,87086,PMC OUT,$8.07
CYANOCOBALAMIN (VITAMIN B-12),82607,ASOCIACION IN,$20.00
CYANOCOBALAMIN (VITAMIN B-12),82607,MEDICARE B,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,ASOCIACION OUT,
CYANOCOBALAMIN (VITAMIN B-12),82607,MEDICARE A,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,ACAA,$19.00
CYANOCOBALAMIN (VITAMIN B-12),82607,MMM OUT,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,PMC IN,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,FM VITAL,$14.38
CYANOCOBALAMIN (VITAMIN B-12),82607,PALIC,$40.00
CYANOCOBALAMIN (VITAMIN B-12),82607,MENONITA COM,$16.20
CYANOCOBALAMIN (VITAMIN B-12),82607,CHAMPVA,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,MMM VITAL,$14.38
CYANOCOBALAMIN (VITAMIN B-12),82607,MCS PREF,$40.00
CYANOCOBALAMIN (VITAMIN B-12),82607,HUM GOLD IN,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,MENONITA VITAL,$14.38
CYANOCOBALAMIN (VITAMIN B-12),82607,MCS CLASS,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,BELLA VISTA,$20.00
CYANOCOBALAMIN (VITAMIN B-12),82607,MMM IN,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,HUMANA,$23.00
CYANOCOBALAMIN (VITAMIN B-12),82607,HUM GOLD OUT,
CYANOCOBALAMIN (VITAMIN B-12),82607,IMC,$20.00
CYANOCOBALAMIN (VITAMIN B-12),82607,FONDO,$18.61
CYANOCOBALAMIN (VITAMIN B-12),82607,PMC OUT,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,VETERANS,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,TS VITAL,$21.35
CYANOCOBALAMIN (VITAMIN B-12),82607,SSS BLUE CARD,$21.49
CYANOCOBALAMIN (VITAMIN B-12),82607,TRIPLE S COM,$21.49
CYANOCOBALAMIN (VITAMIN B-12),82607,TSADV OUT,$18.61
CYANOCOBALAMIN (VITAMIN B-12),82607,TRICARE,$15.05
CYANOCOBALAMIN (VITAMIN B-12),82607,TSADV IN,$18.61
Cystolitholapaxy,52318,HUM GOLD IN,
Cystolitholapaxy,52318,FM VITAL,$652.00
Cystolitholapaxy,52318,MCS CLASS,
Cystolitholapaxy,52318,ACAA,$475.00
Cystolitholapaxy,52318,MMM IN,
Cystolitholapaxy,52318,MMM VITAL,$611.00
Cystolitholapaxy,52318,HUMANA,$642.00
Cystolitholapaxy,52318,MEDICARE B,
Cystolitholapaxy,52318,MENONITA COM,$788.00
Cystolitholapaxy,52318,HUM GOLD OUT,$806.00
Cystolitholapaxy,52318,PALIC,$740.00
Cystolitholapaxy,52318,MCS PREF,$712.00
Cystolitholapaxy,52318,FONDO,
Cystolitholapaxy,52318,ASOCIACION IN,
Cystolitholapaxy,52318,MMM OUT,$735.00
Cystolitholapaxy,52318,BELLA VISTA,$650.00
Cystolitholapaxy,52318,IMC,$605.00
Cystolitholapaxy,52318,ASOCIACION OUT,$770.00
Cystolitholapaxy,52318,MEDICARE A,
Cystolitholapaxy,52318,MENONITA VITAL,$660.00
Cystolitholapaxy,52318,CHAMPVA,
Cystolitholapaxy,52318,TRICARE,
Cystolitholapaxy,52318,TSADV IN,
Cystolitholapaxy,52318,TS VITAL,$611.00
Cystolitholapaxy,52318,TSADV OUT,"$1,453.36"
Cystolitholapaxy,52318,PMC OUT,$735.00
Cystolitholapaxy,52318,VETERANS,
Cystolitholapaxy,52318,SSS BLUE CARD,$706.00
Cystolitholapaxy,52318,PMC IN,
Cystolitholapaxy,52318,TRIPLE S COM,$706.00
"De Quervains Disease,incision",25000,MENONITA VITAL,$660.00
"De Quervains Disease,incision",25000,IMC,$605.00
"De Quervains Disease,incision",25000,MCS CLASS,
"De Quervains Disease,incision",25000,MENONITA COM,$788.00
"De Quervains Disease,incision",25000,FM VITAL,$652.00
"De Quervains Disease,incision",25000,ASOCIACION OUT,$770.00
"De Quervains Disease,incision",25000,BELLA VISTA,$650.00
"De Quervains Disease,incision",25000,HUMANA,$700.00
"De Quervains Disease,incision",25000,ACAA,$475.00
"De Quervains Disease,incision",25000,FONDO,
"De Quervains Disease,incision",25000,CHAMPVA,
"De Quervains Disease,incision",25000,ASOCIACION IN,
"De Quervains Disease,incision",25000,MEDICARE B,
"De Quervains Disease,incision",25000,MCS PREF,$712.00
"De Quervains Disease,incision",25000,MMM IN,
"De Quervains Disease,incision",25000,HUM GOLD OUT,$806.00
"De Quervains Disease,incision",25000,HUM GOLD IN,
"De Quervains Disease,incision",25000,MMM OUT,$735.00
"De Quervains Disease,incision",25000,MEDICARE A,
"De Quervains Disease,incision",25000,PALIC,$740.00
"De Quervains Disease,incision",25000,MMM VITAL,$611.00
"De Quervains Disease,incision",25000,PMC OUT,$735.00
"De Quervains Disease,incision",25000,VETERANS,
"De Quervains Disease,incision",25000,SSS BLUE CARD,"$1,300.00"
"De Quervains Disease,incision",25000,TRIPLE S COM,"$1,300.00"
"De Quervains Disease,incision",25000,TS VITAL,$611.00
"De Quervains Disease,incision",25000,TSADV IN,
"De Quervains Disease,incision",25000,TRICARE,
"De Quervains Disease,incision",25000,PMC IN,
"De Quervains Disease,incision",25000,TSADV OUT,"$1,453.36"
Debridement,11043,ASOCIACION OUT,$770.00
Debridement,11043,MENONITA COM,$788.00
Debridement,11043,BELLA VISTA,$650.00
Debridement,11043,HUM GOLD IN,
Debridement,11043,HUM GOLD OUT,$806.00
Debridement,11043,ACAA,$475.00
Debridement,11043,MMM IN,
Debridement,11043,FONDO,
Debridement,11043,FM VITAL,$652.00
Debridement,11043,IMC,$559.00
Debridement,11043,MCS CLASS,$535.00
Debridement,11043,HUMANA,$700.00
Debridement,11043,MCS PREF,$712.00
Debridement,11043,MEDICARE A,
Debridement,11043,CHAMPVA,
Debridement,11043,MMM VITAL,$611.00
Debridement,11043,PALIC,$740.00
Debridement,11043,MEDICARE B,
Debridement,11043,MMM OUT,$735.00
Debridement,11043,MENONITA VITAL,$660.00
Debridement,11043,ASOCIACION IN,
Debridement,11043,PMC OUT,$735.00
Debridement,11043,TRIPLE S COM,$706.00
Debridement,11043,TRICARE,
Debridement,11043,VETERANS,
Debridement,11043,PMC IN,$735.00
Debridement,11043,TS VITAL,$611.00
Debridement,11043,TSADV IN,
Debridement,11043,SSS BLUE CARD,$706.00
Debridement,11043,TSADV OUT,
Delivery Procedures After Previous Cesarean Delivery,59610,CHAMPVA,
Delivery Procedures After Previous Cesarean Delivery,59610,ASOCIACION OUT,
Delivery Procedures After Previous Cesarean Delivery,59610,PMC IN,
Delivery Procedures After Previous Cesarean Delivery,59610,TS ADV IN,
Delivery Procedures After Previous Cesarean Delivery,59610,HUMANA,
Delivery Procedures After Previous Cesarean Delivery,59610,MAP LIFE,
Delivery Procedures After Previous Cesarean Delivery,59610,IMC,
Delivery Procedures After Previous Cesarean Delivery,59610,SSS BLUE CARD,
Delivery Procedures After Previous Cesarean Delivery,59610,FM VITAL,
Delivery Procedures After Previous Cesarean Delivery,59610,HUM GOLD PLUS,
Delivery Procedures After Previous Cesarean Delivery,59610,VETERANS,
Delivery Procedures After Previous Cesarean Delivery,59610,MOLINA VITAL,
Delivery Procedures After Previous Cesarean Delivery,59610,TS VITAL,
Delivery Procedures After Previous Cesarean Delivery,59610,TRICARE,
Delivery Procedures After Previous Cesarean Delivery,59610,MEDICARE A,
Delivery Procedures After Previous Cesarean Delivery,59610,PALIC,
Delivery Procedures After Previous Cesarean Delivery,59610,FONDO,
Delivery Procedures After Previous Cesarean Delivery,59610,MEDICARE B,
Delivery Procedures After Previous Cesarean Delivery,59610,MMM OUT,
Delivery Procedures After Previous Cesarean Delivery,59610,MCS PREF,
Delivery Procedures After Previous Cesarean Delivery,59610,TS ADV OUT,
Delivery Procedures After Previous Cesarean Delivery,59610,MENONITA COM,
Delivery Procedures After Previous Cesarean Delivery,59610,SSS COM,
Delivery Procedures After Previous Cesarean Delivery,59610,BELLA VISTA,
Delivery Procedures After Previous Cesarean Delivery,59610,MMM VITAL,
Delivery Procedures After Previous Cesarean Delivery,59610,PMC OUT,
Delivery Procedures After Previous Cesarean Delivery,59610,MMM IN,
Delivery Procedures After Previous Cesarean Delivery,59610,PSM VITAL,
Delivery Procedures After Previous Cesarean Delivery,59610,ASOCIACION INP,
Delivery Procedures After Previous Cesarean Delivery,59610,MCS CLASS,
Delivery Procedures After Previous Cesarean Delivery,59610,ACAA,
DENSITOMETRIA OSEA PROD. XR,77080,MEDICARE B,$30.19
DENSITOMETRIA OSEA PROD. XR,77080,MMM VITAL,$18.66
DENSITOMETRIA OSEA PROD. XR,77080,HUMANA,$42.50
DENSITOMETRIA OSEA PROD. XR,77080,MEDICARE A,$73.66
DENSITOMETRIA OSEA PROD. XR,77080,ASOCIACION OUT,
DENSITOMETRIA OSEA PROD. XR,77080,ASOCIACION IN,$50.00
DENSITOMETRIA OSEA PROD. XR,77080,MCS PREF,$42.45
DENSITOMETRIA OSEA PROD. XR,77080,HUM GOLD OUT,$30.19
DENSITOMETRIA OSEA PROD. XR,77080,CHAMPVA,$73.66
DENSITOMETRIA OSEA PROD. XR,77080,MENONITA COM,
DENSITOMETRIA OSEA PROD. XR,77080,MMM IN,$30.19
DENSITOMETRIA OSEA PROD. XR,77080,FM VITAL,$15.27
DENSITOMETRIA OSEA PROD. XR,77080,MCS CLASS,$73.66
DENSITOMETRIA OSEA PROD. XR,77080,MENONITA VITAL,$22.83
DENSITOMETRIA OSEA PROD. XR,77080,ACAA,$35.00
DENSITOMETRIA OSEA PROD. XR,77080,PALIC,$45.00
DENSITOMETRIA OSEA PROD. XR,77080,FONDO,$32.62
DENSITOMETRIA OSEA PROD. XR,77080,IMC,$42.50
DENSITOMETRIA OSEA PROD. XR,77080,BELLA VISTA,$45.00
DENSITOMETRIA OSEA PROD. XR,77080,HUM GOLD IN,$30.19
DENSITOMETRIA OSEA PROD. XR,77080,MMM OUT,$73.66
DENSITOMETRIA OSEA PROD. XR,77080,TSADV OUT,$32.62
DENSITOMETRIA OSEA PROD. XR,77080,TRIPLE S COM,$45.00
DENSITOMETRIA OSEA PROD. XR,77080,PMC OUT,$73.66
DENSITOMETRIA OSEA PROD. XR,77080,TSADV IN,$32.62
DENSITOMETRIA OSEA PROD. XR,77080,VETERANS,$73.66
DENSITOMETRIA OSEA PROD. XR,77080,PMC IN,$30.19
DENSITOMETRIA OSEA PROD. XR,77080,TS VITAL,$39.49
DENSITOMETRIA OSEA PROD. XR,77080,TRICARE,$73.66
DENSITOMETRIA OSEA PROD. XR,77080,SSS BLUE CARD,$45.00
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MEDICARE A,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,PSM VITAL,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,FONDO,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,PALIC,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,TS ADV IN,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,TS VITAL,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,PMC IN,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,ASOCIACION OUT,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,IMC,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,ASOCIACION INP,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MOLINA VITAL,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MAP LIFE,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MMM VITAL,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,VETERANS,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MENONITA COM,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,SSS COM,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,HUM GOLD PLUS,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,TRICARE,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,HUMANA,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MCS CLASS,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MEDICARE B,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,CHAMPVA,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MMM IN,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,TS ADV OUT,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MCS PREF,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,SSS BLUE CARD,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,BELLA VISTA,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,PMC OUT,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,ACAA,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,MMM OUT,
"Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope",43235,FM VITAL,
DIGOXIN (LANOXIN) TOTAL,80162,IMC,$23.00
DIGOXIN (LANOXIN) TOTAL,80162,MEDICARE B,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,MENONITA COM,$15.00
DIGOXIN (LANOXIN) TOTAL,80162,HUM GOLD IN,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,HUMANA,$25.00
DIGOXIN (LANOXIN) TOTAL,80162,MMM VITAL,$12.66
DIGOXIN (LANOXIN) TOTAL,80162,MENONITA VITAL,$12.66
DIGOXIN (LANOXIN) TOTAL,80162,MCS CLASS,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,FONDO,$16.39
DIGOXIN (LANOXIN) TOTAL,80162,FM VITAL,$12.66
DIGOXIN (LANOXIN) TOTAL,80162,PALIC,$28.00
DIGOXIN (LANOXIN) TOTAL,80162,MMM IN,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,ASOCIACION OUT,
DIGOXIN (LANOXIN) TOTAL,80162,PMC IN,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,MCS PREF,$32.00
DIGOXIN (LANOXIN) TOTAL,80162,HUM GOLD OUT,
DIGOXIN (LANOXIN) TOTAL,80162,MEDICARE A,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,ACAA,$25.00
DIGOXIN (LANOXIN) TOTAL,80162,ASOCIACION IN,$25.00
DIGOXIN (LANOXIN) TOTAL,80162,BELLA VISTA,$25.00
DIGOXIN (LANOXIN) TOTAL,80162,MMM OUT,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,CHAMPVA,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,PMC OUT,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,TS VITAL,$18.80
DIGOXIN (LANOXIN) TOTAL,80162,TRIPLE S COM,$23.00
DIGOXIN (LANOXIN) TOTAL,80162,TSADV IN,$16.39
DIGOXIN (LANOXIN) TOTAL,80162,SSS BLUE CARD,$23.00
DIGOXIN (LANOXIN) TOTAL,80162,TSADV OUT,$16.39
DIGOXIN (LANOXIN) TOTAL,80162,TRICARE,$13.25
DIGOXIN (LANOXIN) TOTAL,80162,VETERANS,$13.25
"DIHYDROXYVITAMIN D,1,25",82652,HUM GOLD IN,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,MCS PREF,$195.00
"DIHYDROXYVITAMIN D,1,25",82652,CHAMPVA,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,MENONITA VITAL,$36.71
"DIHYDROXYVITAMIN D,1,25",82652,MEDICARE A,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,PALIC,
"DIHYDROXYVITAMIN D,1,25",82652,MMM VITAL,$36.71
"DIHYDROXYVITAMIN D,1,25",82652,BELLA VISTA,$60.00
"DIHYDROXYVITAMIN D,1,25",82652,ASOCIACION IN,
"DIHYDROXYVITAMIN D,1,25",82652,MEDICARE B,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,MCS CLASS,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,ASOCIACION OUT,
"DIHYDROXYVITAMIN D,1,25",82652,MMM OUT,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,FM VITAL,$47.20
"DIHYDROXYVITAMIN D,1,25",82652,ACAA,
"DIHYDROXYVITAMIN D,1,25",82652,MENONITA COM,$145.00
"DIHYDROXYVITAMIN D,1,25",82652,MMM IN,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,FONDO,
"DIHYDROXYVITAMIN D,1,25",82652,HUM GOLD OUT,
"DIHYDROXYVITAMIN D,1,25",82652,IMC,$170.00
"DIHYDROXYVITAMIN D,1,25",82652,HUMANA,$195.00
"DIHYDROXYVITAMIN D,1,25",82652,PMC IN,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,TSADV IN,$47.53
"DIHYDROXYVITAMIN D,1,25",82652,TRIPLE S COM,$191.49
"DIHYDROXYVITAMIN D,1,25",82652,PMC OUT,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,TSADV OUT,$47.53
"DIHYDROXYVITAMIN D,1,25",82652,TS VITAL,$54.53
"DIHYDROXYVITAMIN D,1,25",82652,SSS BLUE CARD,$191.49
"DIHYDROXYVITAMIN D,1,25",82652,VETERANS,$38.50
"DIHYDROXYVITAMIN D,1,25",82652,TRICARE,$38.50
Dilatation & Curettage,58120,MMM IN,
Dilatation & Curettage,58120,HUM GOLD OUT,$806.00
Dilatation & Curettage,58120,MENONITA VITAL,$660.00
Dilatation & Curettage,58120,IMC,$559.00
Dilatation & Curettage,58120,MEDICARE A,
Dilatation & Curettage,58120,FM VITAL,$652.00
Dilatation & Curettage,58120,CHAMPVA,
Dilatation & Curettage,58120,ACAA,$475.00
Dilatation & Curettage,58120,MMM OUT,$735.00
Dilatation & Curettage,58120,MEDICARE B,
Dilatation & Curettage,58120,ASOCIACION OUT,$770.00
Dilatation & Curettage,58120,PALIC,$740.00
Dilatation & Curettage,58120,BELLA VISTA,$650.00
Dilatation & Curettage,58120,HUMANA,$700.00
Dilatation & Curettage,58120,MENONITA COM,$788.00
Dilatation & Curettage,58120,MCS CLASS,"$1,203.63"
Dilatation & Curettage,58120,HUM GOLD IN,
Dilatation & Curettage,58120,FONDO,
Dilatation & Curettage,58120,ASOCIACION IN,
Dilatation & Curettage,58120,MCS PREF,$712.00
Dilatation & Curettage,58120,MMM VITAL,$611.00
Dilatation & Curettage,58120,TRIPLE S COM,$706.00
Dilatation & Curettage,58120,TRICARE,
Dilatation & Curettage,58120,PMC OUT,$735.00
Dilatation & Curettage,58120,VETERANS,
Dilatation & Curettage,58120,TSADV IN,
Dilatation & Curettage,58120,TS VITAL,$611.00
Dilatation & Curettage,58120,SSS BLUE CARD,$706.00
Dilatation & Curettage,58120,PMC IN,$735.00
Dilatation & Curettage,58120,TSADV OUT,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MEDICARE A,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MEDICARE B,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MMM OUT,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MCS PREF,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,ACAA,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,HUM GOLD IN,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MENONITA VITAL,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,PALIC,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,FONDO,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,ASOCIACION OUT,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,ASOCIACION IN,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,CHAMPVA,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,BELLA VISTA,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,HUM GOLD OUT,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MCS CLASS,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MMM VITAL,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,FM VITAL,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,HUMANA,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,IMC,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MENONITA COM,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,MMM IN,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,PMC IN,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,TS VITAL,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,SSS BLUE CARD,$19.00
DRUG PANEL 10 URINE/BLOOD TOXI,80305,TSADV IN,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,PMC OUT,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,TSADV OUT,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,TRIPLE S COM,$19.00
DRUG PANEL 10 URINE/BLOOD TOXI,80305,TRICARE,
DRUG PANEL 10 URINE/BLOOD TOXI,80305,VETERANS,
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,HUM GOLD OUT,$183.70
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MMM IN,$183.70
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MENONITA VITAL,$163.42
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,HUM GOLD IN,$183.70
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MEDICARE A,$119.76
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,ACAA,
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,FM VITAL,$113.24
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MMM OUT,$119.76
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,PALIC,$200.00
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,ASOCIACION IN,$260.00
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,BELLA VISTA,$119.63
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MEDICARE B,$183.70
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,FONDO,$233.45
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MCS CLASS,$119.76
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,IMC,$137.50
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,ASOCIACION OUT,
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,CHAMPVA,$119.76
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MCS PREF,$175.00
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,HUMANA,$137.50
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MMM VITAL,$138.17
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,MENONITA COM,$137.50
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,TSADV IN,$233.45
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,TRICARE,$119.76
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,PMC IN,$183.70
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,PMC OUT,$119.76
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,TRIPLE S COM,$137.50
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,TSADV OUT,$233.45
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,VETERANS,$119.76
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,SSS BLUE CARD,$137.50
"EAR,ORBIT,SELLA T W/O & W/C CT",70482,TS VITAL,$110.00
EKG,93000,CHAMPVA,
EKG,93000,BELLA VISTA,
EKG,93000,ACAA,
EKG,93000,PSM VITAL,
EKG,93000,PMC OUT,
EKG,93000,MMM OUT,
EKG,93000,TS ADV OUT,
EKG,93000,TS ADV IN,
EKG,93000,ASOCIACION OUT,
EKG,93000,SSS BLUE CARD,
EKG,93000,MCS PREF,$30.00
EKG,93000,SSS COM,
EKG,93000,IMC,
EKG,93000,MEDICARE B,
EKG,93000,MMM IN,
EKG,93000,MEDICARE A,
EKG,93000,MOLINA VITAL,
EKG,93000,HUM GOLD PLUS,
EKG,93000,MCS CLASS,
EKG,93000,MAP LIFE,$30.00
EKG,93000,MMM VITAL,
EKG,93000,VETERANS,
EKG,93000,HUMANA,
EKG,93000,TS VITAL,
EKG,93000,MENONITA COM,
EKG,93000,PALIC,
EKG,93000,FONDO,
EKG,93000,ASOCIACION INP,$32.00
EKG,93000,TRICARE,
EKG,93000,FM VITAL,
EKG,93000,PMC IN,
EKG PRODUCCION,93005,ACAA,
EKG PRODUCCION,93005,FM VITAL,$6.80
EKG PRODUCCION,93005,MCS PREF,$12.00
EKG PRODUCCION,93005,PALIC,$17.00
EKG PRODUCCION,93005,MCS CLASS,$35.57
EKG PRODUCCION,93005,ASOCIACION OUT,$16.00
EKG PRODUCCION,93005,MMM VITAL,$11.00
EKG PRODUCCION,93005,HUMANA,$17.00
EKG PRODUCCION,93005,MENONITA VITAL,$6.00
EKG PRODUCCION,93005,FONDO,
EKG PRODUCCION,93005,CHAMPVA,$35.57
EKG PRODUCCION,93005,ASOCIACION IN,$16.00
EKG PRODUCCION,93005,MEDICARE A,$35.57
EKG PRODUCCION,93005,MMM IN,$8.72
EKG PRODUCCION,93005,MMM OUT,$35.57
EKG PRODUCCION,93005,HUM GOLD OUT,
EKG PRODUCCION,93005,MENONITA COM,
EKG PRODUCCION,93005,MEDICARE B,$35.57
EKG PRODUCCION,93005,IMC,$15.00
EKG PRODUCCION,93005,HUM GOLD IN,$8.72
EKG PRODUCCION,93005,BELLA VISTA,$80.00
EKG PRODUCCION,93005,TRIPLE S COM,$17.00
EKG PRODUCCION,93005,PMC IN,$8.72
EKG PRODUCCION,93005,TSADV IN,
EKG PRODUCCION,93005,TRICARE,$35.57
EKG PRODUCCION,93005,SSS BLUE CARD,$17.00
EKG PRODUCCION,93005,PMC OUT,$35.57
EKG PRODUCCION,93005,TS VITAL,$6.80
EKG PRODUCCION,93005,VETERANS,$35.57
EKG PRODUCCION,93005,TSADV OUT,$8.69
ELBOW AP & LAT. XR RT,73070,MCS CLASS,$52.45
ELBOW AP & LAT. XR RT,73070,HUM GOLD OUT,$20.36
ELBOW AP & LAT. XR RT,73070,MCS PREF,$12.00
ELBOW AP & LAT. XR RT,73070,MEDICARE B,$20.36
ELBOW AP & LAT. XR RT,73070,MENONITA VITAL,$13.70
ELBOW AP & LAT. XR RT,73070,PALIC,$15.00
ELBOW AP & LAT. XR RT,73070,MMM OUT,$52.45
ELBOW AP & LAT. XR RT,73070,MEDICARE A,$52.45
ELBOW AP & LAT. XR RT,73070,CHAMPVA,$52.45
ELBOW AP & LAT. XR RT,73070,MENONITA COM,$9.50
ELBOW AP & LAT. XR RT,73070,IMC,$9.50
ELBOW AP & LAT. XR RT,73070,PMC IN,$20.36
ELBOW AP & LAT. XR RT,73070,ASOCIACION OUT,
ELBOW AP & LAT. XR RT,73070,FONDO,$19.57
ELBOW AP & LAT. XR RT,73070,ACAA,$14.70
ELBOW AP & LAT. XR RT,73070,ASOCIACION IN,$17.00
ELBOW AP & LAT. XR RT,73070,FM VITAL,$9.27
ELBOW AP & LAT. XR RT,73070,HUMANA,$11.00
ELBOW AP & LAT. XR RT,73070,MMM VITAL,$11.56
ELBOW AP & LAT. XR RT,73070,BELLA VISTA,$9.50
ELBOW AP & LAT. XR RT,73070,HUM GOLD IN,$20.36
ELBOW AP & LAT. XR RT,73070,MMM IN,$20.36
ELBOW AP & LAT. XR RT,73070,TRIPLE S COM,$13.00
ELBOW AP & LAT. XR RT,73070,TRICARE,$52.45
ELBOW AP & LAT. XR RT,73070,PMC OUT,$52.45
ELBOW AP & LAT. XR RT,73070,TSADV OUT,$19.57
ELBOW AP & LAT. XR RT,73070,TSADV IN,$19.57
ELBOW AP & LAT. XR RT,73070,VETERANS,$52.45
ELBOW AP & LAT. XR RT,73070,TS VITAL,$9.26
ELBOW AP & LAT. XR RT,73070,SSS BLUE CARD,$13.00
ELECTROLYTE PANEL,80051,ASOCIACION OUT,
ELECTROLYTE PANEL,80051,FM VITAL,$6.69
ELECTROLYTE PANEL,80051,ASOCIACION IN,$12.25
ELECTROLYTE PANEL,80051,HUMANA,$13.00
ELECTROLYTE PANEL,80051,FONDO,$8.66
ELECTROLYTE PANEL,80051,MMM OUT,$7.01
ELECTROLYTE PANEL,80051,IMC,$15.00
ELECTROLYTE PANEL,80051,ACAA,$10.00
ELECTROLYTE PANEL,80051,MMM VITAL,$6.69
ELECTROLYTE PANEL,80051,MEDICARE A,$7.01
ELECTROLYTE PANEL,80051,HUM GOLD IN,$7.01
ELECTROLYTE PANEL,80051,CHAMPVA,$7.01
ELECTROLYTE PANEL,80051,MMM IN,$7.01
ELECTROLYTE PANEL,80051,HUM GOLD OUT,
ELECTROLYTE PANEL,80051,MENONITA VITAL,$6.69
ELECTROLYTE PANEL,80051,PALIC,$25.00
ELECTROLYTE PANEL,80051,MCS PREF,$15.00
ELECTROLYTE PANEL,80051,BELLA VISTA,$12.75
ELECTROLYTE PANEL,80051,MCS CLASS,$7.01
ELECTROLYTE PANEL,80051,MENONITA COM,
ELECTROLYTE PANEL,80051,MEDICARE B,$7.01
ELECTROLYTE PANEL,80051,TSADV OUT,$8.66
ELECTROLYTE PANEL,80051,TS VITAL,$9.94
ELECTROLYTE PANEL,80051,VETERANS,$7.01
ELECTROLYTE PANEL,80051,PMC OUT,$7.01
ELECTROLYTE PANEL,80051,TRIPLE S COM,$10.00
ELECTROLYTE PANEL,80051,TRICARE,$7.01
ELECTROLYTE PANEL,80051,TSADV IN,$8.66
ELECTROLYTE PANEL,80051,PMC IN,$7.01
ELECTROLYTE PANEL,80051,SSS BLUE CARD,$10.00
Encounter for sterilization,58600,HUM GOLD IN,
Encounter for sterilization,58600,FONDO,
Encounter for sterilization,58600,ASOCIACION OUT,$770.00
Encounter for sterilization,58600,MCS CLASS,
Encounter for sterilization,58600,MENONITA VITAL,$660.00
Encounter for sterilization,58600,MMM OUT,$735.00
Encounter for sterilization,58600,HUM GOLD OUT,$806.00
Encounter for sterilization,58600,HUMANA,"$1,595.00"
Encounter for sterilization,58600,MENONITA COM,$788.00
Encounter for sterilization,58600,CHAMPVA,
Encounter for sterilization,58600,IMC,"$1,201.00"
Encounter for sterilization,58600,ASOCIACION IN,
Encounter for sterilization,58600,MMM IN,
Encounter for sterilization,58600,MMM VITAL,$611.00
Encounter for sterilization,58600,MEDICARE B,
Encounter for sterilization,58600,PALIC,"$1,200.00"
Encounter for sterilization,58600,MCS PREF,$712.00
Encounter for sterilization,58600,BELLA VISTA,$650.00
Encounter for sterilization,58600,MEDICARE A,
Encounter for sterilization,58600,FM VITAL,$652.00
Encounter for sterilization,58600,ACAA,$475.00
Encounter for sterilization,58600,TRICARE,
Encounter for sterilization,58600,PMC OUT,$735.00
Encounter for sterilization,58600,TSADV IN,
Encounter for sterilization,58600,TSADV OUT,
Encounter for sterilization,58600,TRIPLE S COM,$706.00
Encounter for sterilization,58600,SSS BLUE CARD,$706.00
Encounter for sterilization,58600,VETERANS,
Encounter for sterilization,58600,PMC IN,$735.00
Encounter for sterilization,58600,TS VITAL,$611.00
ENDOVAGINAL NO OBST. US,76830,PSM VITAL,$63.18
ENDOVAGINAL NO OBST. US,76830,FONDO,$90.26
ENDOVAGINAL NO OBST. US,76830,VETERANS,$73.66
ENDOVAGINAL NO OBST. US,76830,ASOCIACION OUT,
ENDOVAGINAL NO OBST. US,76830,HUMANA,$42.50
ENDOVAGINAL NO OBST. US,76830,MMM VITAL,$53.49
ENDOVAGINAL NO OBST. US,76830,MEDICARE A,$73.66
ENDOVAGINAL NO OBST. US,76830,PMC OUT,$73.66
ENDOVAGINAL NO OBST. US,76830,PMC IN,$90.57
ENDOVAGINAL NO OBST. US,76830,FM VITAL,$43.54
ENDOVAGINAL NO OBST. US,76830,MOLINA VITAL,$63.18
ENDOVAGINAL NO OBST. US,76830,PALIC,$47.50
ENDOVAGINAL NO OBST. US,76830,ACAA,$34.30
ENDOVAGINAL NO OBST. US,76830,ASOCIACION INP,$110.00
ENDOVAGINAL NO OBST. US,76830,SSS COM,$50.00
ENDOVAGINAL NO OBST. US,76830,MENONITA COM,$50.00
ENDOVAGINAL NO OBST. US,76830,TS VITAL,$39.00
ENDOVAGINAL NO OBST. US,76830,HUM GOLD PLUS,$90.57
ENDOVAGINAL NO OBST. US,76830,MEDICARE B,$90.57
ENDOVAGINAL NO OBST. US,76830,TRICARE,$73.66
ENDOVAGINAL NO OBST. US,76830,BELLA VISTA,$40.00
ENDOVAGINAL NO OBST. US,76830,SSS BLUE CARD,$50.00
ENDOVAGINAL NO OBST. US,76830,TS ADV IN,$90.26
ENDOVAGINAL NO OBST. US,76830,TS ADV OUT,$90.26
ENDOVAGINAL NO OBST. US,76830,MCS CLASS,$73.66
ENDOVAGINAL NO OBST. US,76830,IMC,$20.00
ENDOVAGINAL NO OBST. US,76830,MMM IN,$90.57
ENDOVAGINAL NO OBST. US,76830,MAP LIFE,$62.50
ENDOVAGINAL NO OBST. US,76830,MMM OUT,$73.66
ENDOVAGINAL NO OBST. US,76830,CHAMPVA,$73.66
ENDOVAGINAL NO OBST. US,76830,MCS PREF,$50.00
ENDOVAGINAL OBSTETRIC US,76817,MCS PREF,$57.50
ENDOVAGINAL OBSTETRIC US,76817,PALIC,$57.50
ENDOVAGINAL OBSTETRIC US,76817,FONDO,$61.26
ENDOVAGINAL OBSTETRIC US,76817,CHAMPVA,$73.66
ENDOVAGINAL OBSTETRIC US,76817,IMC,$20.00
ENDOVAGINAL OBSTETRIC US,76817,ASOCIACION IN,$110.00
ENDOVAGINAL OBSTETRIC US,76817,HUMANA,$45.00
ENDOVAGINAL OBSTETRIC US,76817,MEDICARE B,$59.65
ENDOVAGINAL OBSTETRIC US,76817,MCS CLASS,$73.66
ENDOVAGINAL OBSTETRIC US,76817,HUM GOLD OUT,$59.65
ENDOVAGINAL OBSTETRIC US,76817,MENONITA COM,
ENDOVAGINAL OBSTETRIC US,76817,ACAA,
ENDOVAGINAL OBSTETRIC US,76817,MMM IN,$59.65
ENDOVAGINAL OBSTETRIC US,76817,HUM GOLD IN,$59.65
ENDOVAGINAL OBSTETRIC US,76817,MMM VITAL,$36.29
ENDOVAGINAL OBSTETRIC US,76817,ASOCIACION OUT,
ENDOVAGINAL OBSTETRIC US,76817,MENONITA VITAL,$42.88
ENDOVAGINAL OBSTETRIC US,76817,FM VITAL,$19.50
ENDOVAGINAL OBSTETRIC US,76817,BELLA VISTA,$37.50
ENDOVAGINAL OBSTETRIC US,76817,MEDICARE A,$73.66
ENDOVAGINAL OBSTETRIC US,76817,MMM OUT,$73.66
ENDOVAGINAL OBSTETRIC US,76817,TSADV IN,$61.26
ENDOVAGINAL OBSTETRIC US,76817,VETERANS,$73.66
ENDOVAGINAL OBSTETRIC US,76817,TRIPLE S COM,$50.00
ENDOVAGINAL OBSTETRIC US,76817,PMC OUT,$73.66
ENDOVAGINAL OBSTETRIC US,76817,SSS BLUE CARD,$50.00
ENDOVAGINAL OBSTETRIC US,76817,TS VITAL,$19.50
ENDOVAGINAL OBSTETRIC US,76817,TRICARE,$73.66
ENDOVAGINAL OBSTETRIC US,76817,PMC IN,$59.65
ENDOVAGINAL OBSTETRIC US,76817,TSADV OUT,$61.26
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,FM VITAL,$652.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,ASOCIACION OUT,$770.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,CHAMPVA,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MENONITA VITAL,$660.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,PALIC,$740.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,IMC,$559.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,ASOCIACION IN,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,HUM GOLD IN,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MEDICARE A,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MEDICARE B,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MCS CLASS,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,HUM GOLD OUT,$806.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MMM VITAL,$611.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MENONITA COM,$788.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MMM IN,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,HUMANA,$700.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MMM OUT,$735.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,BELLA VISTA,$650.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,MCS PREF,$712.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,FONDO,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,ACAA,$475.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,PMC IN,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,TS VITAL,$611.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,TSADV IN,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,PMC OUT,$735.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,VETERANS,
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,TSADV OUT,"$1,453.36"
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,SSS BLUE CARD,$706.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,TRIPLE S COM,$706.00
Exc tumor soft tiss neck/thorax subfascial<5cm,21556,TRICARE,
Exc. of Multip Subcutan Lesion,38760,HUM GOLD IN,
Exc. of Multip Subcutan Lesion,38760,MENONITA COM,$788.00
Exc. of Multip Subcutan Lesion,38760,PALIC,$740.00
Exc. of Multip Subcutan Lesion,38760,ASOCIACION OUT,$770.00
Exc. of Multip Subcutan Lesion,38760,HUMANA,$700.00
Exc. of Multip Subcutan Lesion,38760,HUM GOLD OUT,$806.00
Exc. of Multip Subcutan Lesion,38760,FM VITAL,$652.00
Exc. of Multip Subcutan Lesion,38760,CHAMPVA,
Exc. of Multip Subcutan Lesion,38760,MEDICARE A,
Exc. of Multip Subcutan Lesion,38760,FONDO,
Exc. of Multip Subcutan Lesion,38760,BELLA VISTA,$650.00
Exc. of Multip Subcutan Lesion,38760,ASOCIACION IN,
Exc. of Multip Subcutan Lesion,38760,MMM VITAL,$611.00
Exc. of Multip Subcutan Lesion,38760,MCS CLASS,
Exc. of Multip Subcutan Lesion,38760,MEDICARE B,
Exc. of Multip Subcutan Lesion,38760,MCS PREF,$712.00
Exc. of Multip Subcutan Lesion,38760,MMM IN,
Exc. of Multip Subcutan Lesion,38760,MENONITA VITAL,$660.00
Exc. of Multip Subcutan Lesion,38760,ACAA,$475.00
Exc. of Multip Subcutan Lesion,38760,IMC,$605.00
Exc. of Multip Subcutan Lesion,38760,MMM OUT,$735.00
Exc. of Multip Subcutan Lesion,38760,PMC OUT,$735.00
Exc. of Multip Subcutan Lesion,38760,SSS BLUE CARD,$706.00
Exc. of Multip Subcutan Lesion,38760,VETERANS,
Exc. of Multip Subcutan Lesion,38760,TSADV OUT,
Exc. of Multip Subcutan Lesion,38760,PMC IN,$735.00
Exc. of Multip Subcutan Lesion,38760,TS VITAL,$611.00
Exc. of Multip Subcutan Lesion,38760,TRICARE,
Exc. of Multip Subcutan Lesion,38760,TSADV IN,
Exc. of Multip Subcutan Lesion,38760,TRIPLE S COM,$706.00
Excision Procedures on the Breast,19120,MEDICARE A,
Excision Procedures on the Breast,19120,FONDO,
Excision Procedures on the Breast,19120,PALIC,$740.00
Excision Procedures on the Breast,19120,PMC IN,$735.00
Excision Procedures on the Breast,19120,MCS CLASS,$914.62
Excision Procedures on the Breast,19120,TS VITAL,$611.00
Excision Procedures on the Breast,19120,MENONITA COM,$788.00
Excision Procedures on the Breast,19120,ACAA,$475.00
Excision Procedures on the Breast,19120,SSS COM,$706.00
Excision Procedures on the Breast,19120,BELLA VISTA,$650.00
Excision Procedures on the Breast,19120,PMC OUT,$735.00
Excision Procedures on the Breast,19120,MEDICARE B,
Excision Procedures on the Breast,19120,MMM OUT,$735.00
Excision Procedures on the Breast,19120,SSS BLUE CARD,$706.00
Excision Procedures on the Breast,19120,MMM VITAL,$611.00
Excision Procedures on the Breast,19120,MMM IN,
Excision Procedures on the Breast,19120,ASOCIACION OUT,$770.00
Excision Procedures on the Breast,19120,VETERANS,
Excision Procedures on the Breast,19120,PSM VITAL,$660.00
Excision Procedures on the Breast,19120,TRICARE,
Excision Procedures on the Breast,19120,TS ADV OUT,$914.62
Excision Procedures on the Breast,19120,TS ADV IN,
Excision Procedures on the Breast,19120,MCS PREF,$712.00
Excision Procedures on the Breast,19120,IMC,$605.00
Excision Procedures on the Breast,19120,ASOCIACION INP,
Excision Procedures on the Breast,19120,MOLINA VITAL,$615.00
Excision Procedures on the Breast,19120,HUMANA,$700.00
Excision Procedures on the Breast,19120,MAP LIFE,$709.00
Excision Procedures on the Breast,19120,CHAMPVA,
Excision Procedures on the Breast,19120,HUM GOLD PLUS,
Excision Procedures on the Breast,19120,FM VITAL,$652.00
"FACE, MAXILLA WITHOUT & W/C CT",70488,MMM IN,$142.96
"FACE, MAXILLA WITHOUT & W/C CT",70488,MMM OUT,$119.76
"FACE, MAXILLA WITHOUT & W/C CT",70488,IMC,$137.50
"FACE, MAXILLA WITHOUT & W/C CT",70488,HUM GOLD OUT,$142.96
"FACE, MAXILLA WITHOUT & W/C CT",70488,MEDICARE B,$142.96
"FACE, MAXILLA WITHOUT & W/C CT",70488,MCS PREF,$175.00
"FACE, MAXILLA WITHOUT & W/C CT",70488,HUM GOLD IN,$142.96
"FACE, MAXILLA WITHOUT & W/C CT",70488,ASOCIACION IN,$260.00
"FACE, MAXILLA WITHOUT & W/C CT",70488,BELLA VISTA,$119.63
"FACE, MAXILLA WITHOUT & W/C CT",70488,MMM VITAL,$85.10
"FACE, MAXILLA WITHOUT & W/C CT",70488,MENONITA VITAL,$100.74
"FACE, MAXILLA WITHOUT & W/C CT",70488,MENONITA COM,$137.50
"FACE, MAXILLA WITHOUT & W/C CT",70488,HUMANA,$142.50
"FACE, MAXILLA WITHOUT & W/C CT",70488,FM VITAL,$69.87
"FACE, MAXILLA WITHOUT & W/C CT",70488,MEDICARE A,$119.76
"FACE, MAXILLA WITHOUT & W/C CT",70488,PALIC,$200.00
"FACE, MAXILLA WITHOUT & W/C CT",70488,CHAMPVA,$119.76
"FACE, MAXILLA WITHOUT & W/C CT",70488,FONDO,$143.91
"FACE, MAXILLA WITHOUT & W/C CT",70488,ACAA,
"FACE, MAXILLA WITHOUT & W/C CT",70488,MCS CLASS,$119.76
"FACE, MAXILLA WITHOUT & W/C CT",70488,ASOCIACION OUT,
"FACE, MAXILLA WITHOUT & W/C CT",70488,VETERANS,$119.76
"FACE, MAXILLA WITHOUT & W/C CT",70488,TS VITAL,$110.00
"FACE, MAXILLA WITHOUT & W/C CT",70488,PMC OUT,$119.76
"FACE, MAXILLA WITHOUT & W/C CT",70488,TSADV IN,$143.91
"FACE, MAXILLA WITHOUT & W/C CT",70488,TRICARE,$119.76
"FACE, MAXILLA WITHOUT & W/C CT",70488,PMC IN,$142.96
"FACE, MAXILLA WITHOUT & W/C CT",70488,SSS BLUE CARD,$137.50
"FACE, MAXILLA WITHOUT & W/C CT",70488,TRIPLE S COM,$137.50
"FACE, MAXILLA WITHOUT & W/C CT",70488,TSADV OUT,$143.91
FACIAL BONE XR,70140,IMC,$9.50
FACIAL BONE XR,70140,MCS PREF,$12.00
FACIAL BONE XR,70140,HUMANA,$13.00
FACIAL BONE XR,70140,MENONITA VITAL,$13.70
FACIAL BONE XR,70140,MEDICARE A,$52.45
FACIAL BONE XR,70140,FM VITAL,$9.27
FACIAL BONE XR,70140,MEDICARE B,$21.46
FACIAL BONE XR,70140,MCS CLASS,$52.45
FACIAL BONE XR,70140,HUM GOLD OUT,$21.46
FACIAL BONE XR,70140,ASOCIACION OUT,
FACIAL BONE XR,70140,MMM OUT,$52.45
FACIAL BONE XR,70140,ACAA,$14.70
FACIAL BONE XR,70140,MMM VITAL,$11.56
FACIAL BONE XR,70140,MENONITA COM,$11.00
FACIAL BONE XR,70140,MMM IN,$21.46
FACIAL BONE XR,70140,HUM GOLD IN,$21.46
FACIAL BONE XR,70140,CHAMPVA,$52.45
FACIAL BONE XR,70140,FONDO,$19.57
FACIAL BONE XR,70140,ASOCIACION IN,$17.00
FACIAL BONE XR,70140,BELLA VISTA,$9.50
FACIAL BONE XR,70140,PALIC,$15.00
FACIAL BONE XR,70140,TRIPLE S COM,$15.50
FACIAL BONE XR,70140,TS VITAL,$9.26
FACIAL BONE XR,70140,TRICARE,$52.45
FACIAL BONE XR,70140,PMC IN,$21.46
FACIAL BONE XR,70140,PMC OUT,$52.45
FACIAL BONE XR,70140,TSADV IN,$19.57
FACIAL BONE XR,70140,TSADV OUT,$19.57
FACIAL BONE XR,70140,SSS BLUE CARD,$15.50
FACIAL BONE XR,70140,VETERANS,$52.45
"Family psychotherapy, including patient, 50 min",90847,CHAMPVA,
"Family psychotherapy, including patient, 50 min",90847,MMM IN,
"Family psychotherapy, including patient, 50 min",90847,MAP LIFE,
"Family psychotherapy, including patient, 50 min",90847,FM VITAL,
"Family psychotherapy, including patient, 50 min",90847,PMC OUT,
"Family psychotherapy, including patient, 50 min",90847,TS ADV IN,
"Family psychotherapy, including patient, 50 min",90847,MCS PREF,
"Family psychotherapy, including patient, 50 min",90847,PALIC,
"Family psychotherapy, including patient, 50 min",90847,HUMANA,
"Family psychotherapy, including patient, 50 min",90847,VETERANS,
"Family psychotherapy, including patient, 50 min",90847,FONDO,
"Family psychotherapy, including patient, 50 min",90847,BELLA VISTA,
"Family psychotherapy, including patient, 50 min",90847,MCS CLASS,
"Family psychotherapy, including patient, 50 min",90847,ACAA,
"Family psychotherapy, including patient, 50 min",90847,MEDICARE B,
"Family psychotherapy, including patient, 50 min",90847,SSS BLUE CARD,
"Family psychotherapy, including patient, 50 min",90847,TS ADV OUT,
"Family psychotherapy, including patient, 50 min",90847,MOLINA VITAL,
"Family psychotherapy, including patient, 50 min",90847,TRICARE,
"Family psychotherapy, including patient, 50 min",90847,IMC,
"Family psychotherapy, including patient, 50 min",90847,HUM GOLD PLUS,
"Family psychotherapy, including patient, 50 min",90847,PMC IN,
"Family psychotherapy, including patient, 50 min",90847,PSM VITAL,
"Family psychotherapy, including patient, 50 min",90847,ASOCIACION INP,
"Family psychotherapy, including patient, 50 min",90847,TS VITAL,
"Family psychotherapy, including patient, 50 min",90847,SSS COM,
"Family psychotherapy, including patient, 50 min",90847,MENONITA COM,
"Family psychotherapy, including patient, 50 min",90847,MMM VITAL,
"Family psychotherapy, including patient, 50 min",90847,MMM OUT,
"Family psychotherapy, including patient, 50 min",90847,ASOCIACION OUT,
"Family psychotherapy, including patient, 50 min",90847,MEDICARE A,
"Family psychotherapy, not including patient, 50 min",90846,IMC,
"Family psychotherapy, not including patient, 50 min",90846,VETERANS,
"Family psychotherapy, not including patient, 50 min",90846,FONDO,
"Family psychotherapy, not including patient, 50 min",90846,HUM GOLD PLUS,
"Family psychotherapy, not including patient, 50 min",90846,FM VITAL,
"Family psychotherapy, not including patient, 50 min",90846,ACAA,
"Family psychotherapy, not including patient, 50 min",90846,HUMANA,
"Family psychotherapy, not including patient, 50 min",90846,MCS PREF,
"Family psychotherapy, not including patient, 50 min",90846,CHAMPVA,
"Family psychotherapy, not including patient, 50 min",90846,TS ADV IN,
"Family psychotherapy, not including patient, 50 min",90846,MEDICARE B,
"Family psychotherapy, not including patient, 50 min",90846,PMC IN,
"Family psychotherapy, not including patient, 50 min",90846,TRICARE,
"Family psychotherapy, not including patient, 50 min",90846,MCS CLASS,
"Family psychotherapy, not including patient, 50 min",90846,TS VITAL,
"Family psychotherapy, not including patient, 50 min",90846,BELLA VISTA,
"Family psychotherapy, not including patient, 50 min",90846,MEDICARE A,
"Family psychotherapy, not including patient, 50 min",90846,TS ADV OUT,
"Family psychotherapy, not including patient, 50 min",90846,MENONITA COM,
"Family psychotherapy, not including patient, 50 min",90846,SSS COM,
"Family psychotherapy, not including patient, 50 min",90846,MOLINA VITAL,
"Family psychotherapy, not including patient, 50 min",90846,MMM IN,
"Family psychotherapy, not including patient, 50 min",90846,SSS BLUE CARD,
"Family psychotherapy, not including patient, 50 min",90846,ASOCIACION OUT,
"Family psychotherapy, not including patient, 50 min",90846,MMM OUT,
"Family psychotherapy, not including patient, 50 min",90846,ASOCIACION INP,
"Family psychotherapy, not including patient, 50 min",90846,PSM VITAL,
"Family psychotherapy, not including patient, 50 min",90846,MMM VITAL,
"Family psychotherapy, not including patient, 50 min",90846,PALIC,
"Family psychotherapy, not including patient, 50 min",90846,PMC OUT,
"Family psychotherapy, not including patient, 50 min",90846,MAP LIFE,
FECAL LEUKOCYTES QUAN OE SEMI,89055,HUM GOLD OUT,
FECAL LEUKOCYTES QUAN OE SEMI,89055,MEDICARE A,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,IMC,$8.00
FECAL LEUKOCYTES QUAN OE SEMI,89055,MMM IN,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,BELLA VISTA,$10.00
FECAL LEUKOCYTES QUAN OE SEMI,89055,HUM GOLD IN,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,PALIC,
FECAL LEUKOCYTES QUAN OE SEMI,89055,MMM VITAL,$4.07
FECAL LEUKOCYTES QUAN OE SEMI,89055,MENONITA VITAL,$4.07
FECAL LEUKOCYTES QUAN OE SEMI,89055,MEDICARE B,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,FM VITAL,$4.07
FECAL LEUKOCYTES QUAN OE SEMI,89055,HUMANA,
FECAL LEUKOCYTES QUAN OE SEMI,89055,CHAMPVA,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,MCS CLASS,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,ASOCIACION OUT,
FECAL LEUKOCYTES QUAN OE SEMI,89055,FONDO,
FECAL LEUKOCYTES QUAN OE SEMI,89055,ASOCIACION IN,
FECAL LEUKOCYTES QUAN OE SEMI,89055,ACAA,
FECAL LEUKOCYTES QUAN OE SEMI,89055,MENONITA COM,
FECAL LEUKOCYTES QUAN OE SEMI,89055,MMM OUT,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,MCS PREF,$8.00
FECAL LEUKOCYTES QUAN OE SEMI,89055,PMC IN,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,TRICARE,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,SSS BLUE CARD,
FECAL LEUKOCYTES QUAN OE SEMI,89055,TRIPLE S COM,
FECAL LEUKOCYTES QUAN OE SEMI,89055,TSADV OUT,$5.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,PMC OUT,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,VETERANS,$4.27
FECAL LEUKOCYTES QUAN OE SEMI,89055,TS VITAL,
FECAL LEUKOCYTES QUAN OE SEMI,89055,TSADV IN,$5.27
FEMUR AP & LAT XR,73552,MCS CLASS,$52.45
FEMUR AP & LAT XR,73552,MENONITA COM,
FEMUR AP & LAT XR,73552,CHAMPVA,$52.45
FEMUR AP & LAT XR,73552,IMC,$10.50
FEMUR AP & LAT XR,73552,PMC IN,$25.82
FEMUR AP & LAT XR,73552,ACAA,$14.70
FEMUR AP & LAT XR,73552,ASOCIACION OUT,$23.00
FEMUR AP & LAT XR,73552,HUM GOLD OUT,$25.82
FEMUR AP & LAT XR,73552,MEDICARE B,$25.82
FEMUR AP & LAT XR,73552,MMM OUT,$52.45
FEMUR AP & LAT XR,73552,MENONITA VITAL,$16.74
FEMUR AP & LAT XR,73552,FM VITAL,$11.21
FEMUR AP & LAT XR,73552,HUM GOLD IN,$25.82
FEMUR AP & LAT XR,73552,BELLA VISTA,$12.50
FEMUR AP & LAT XR,73552,HUMANA,$12.50
FEMUR AP & LAT XR,73552,MMM VITAL,$13.92
FEMUR AP & LAT XR,73552,MMM IN,$25.82
FEMUR AP & LAT XR,73552,MEDICARE A,$52.45
FEMUR AP & LAT XR,73552,MCS PREF,$12.00
FEMUR AP & LAT XR,73552,ASOCIACION IN,$23.00
FEMUR AP & LAT XR,73552,FONDO,$23.92
FEMUR AP & LAT XR,73552,PALIC,$15.00
FEMUR AP & LAT XR,73552,VETERANS,$52.45
FEMUR AP & LAT XR,73552,TRIPLE S COM,$14.50
FEMUR AP & LAT XR,73552,TS VITAL,$12.69
FEMUR AP & LAT XR,73552,SSS BLUE CARD,$14.50
FEMUR AP & LAT XR,73552,TSADV OUT,$23.92
FEMUR AP & LAT XR,73552,TRICARE,$52.45
FEMUR AP & LAT XR,73552,TSADV IN,$23.92
FEMUR AP & LAT XR,73552,PMC OUT,$52.45
FERRITIN,82728,PALIC,$40.00
FERRITIN,82728,ASOCIACION OUT,
FERRITIN,82728,MMM VITAL,$13.00
FERRITIN,82728,ACAA,$28.00
FERRITIN,82728,MEDICARE A,$13.63
FERRITIN,82728,PMC IN,$13.63
FERRITIN,82728,MCS CLASS,$13.63
FERRITIN,82728,MEDICARE B,$13.63
FERRITIN,82728,HUM GOLD IN,$13.63
FERRITIN,82728,MMM IN,$13.63
FERRITIN,82728,MENONITA COM,$14.20
FERRITIN,82728,MCS PREF,$40.00
FERRITIN,82728,IMC,$18.00
FERRITIN,82728,FM VITAL,$13.00
FERRITIN,82728,HUM GOLD OUT,
FERRITIN,82728,HUMANA,$18.00
FERRITIN,82728,CHAMPVA,$13.63
FERRITIN,82728,BELLA VISTA,$17.00
FERRITIN,82728,MENONITA VITAL,$13.00
FERRITIN,82728,ASOCIACION IN,$18.00
FERRITIN,82728,MMM OUT,$13.63
FERRITIN,82728,FONDO,$16.83
FERRITIN,82728,TRICARE,$13.63
FERRITIN,82728,TSADV IN,$16.83
FERRITIN,82728,TSADV OUT,$16.83
FERRITIN,82728,TRIPLE S COM,$18.49
FERRITIN,82728,TS VITAL,$19.30
FERRITIN,82728,PMC OUT,$13.63
FERRITIN,82728,SSS BLUE CARD,$18.49
FERRITIN,82728,VETERANS,$13.63
FIBRIN DEGRADATION PROD DIMER,85378,MENONITA COM,$12.00
FIBRIN DEGRADATION PROD DIMER,85378,MENONITA VITAL,$6.80
FIBRIN DEGRADATION PROD DIMER,85378,MCS CLASS,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,PMC IN,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,MMM VITAL,$6.80
FIBRIN DEGRADATION PROD DIMER,85378,HUM GOLD IN,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,MEDICARE B,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,ASOCIACION IN,
FIBRIN DEGRADATION PROD DIMER,85378,ACAA,
FIBRIN DEGRADATION PROD DIMER,85378,FONDO,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,MEDICARE A,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,PALIC,
FIBRIN DEGRADATION PROD DIMER,85378,MMM OUT,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,MCS PREF,$45.00
FIBRIN DEGRADATION PROD DIMER,85378,HUMANA,$30.00
FIBRIN DEGRADATION PROD DIMER,85378,BELLA VISTA,
FIBRIN DEGRADATION PROD DIMER,85378,MMM IN,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,CHAMPVA,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,FM VITAL,$6.80
FIBRIN DEGRADATION PROD DIMER,85378,ASOCIACION OUT,
FIBRIN DEGRADATION PROD DIMER,85378,HUM GOLD OUT,
FIBRIN DEGRADATION PROD DIMER,85378,IMC,$15.00
FIBRIN DEGRADATION PROD DIMER,85378,TSADV IN,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,TRIPLE S COM,$30.00
FIBRIN DEGRADATION PROD DIMER,85378,TS VITAL,$10.10
FIBRIN DEGRADATION PROD DIMER,85378,TSADV OUT,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,SSS BLUE CARD,$30.00
FIBRIN DEGRADATION PROD DIMER,85378,VETERANS,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,TRICARE,$9.72
FIBRIN DEGRADATION PROD DIMER,85378,PMC OUT,$9.72
FIBRIN(OGEN) QUANTITATIVE,85370,CHAMPVA,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,ASOCIACION OUT,
FIBRIN(OGEN) QUANTITATIVE,85370,MEDICARE B,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,MCS PREF,$16.00
FIBRIN(OGEN) QUANTITATIVE,85370,MENONITA VITAL,$10.83
FIBRIN(OGEN) QUANTITATIVE,85370,FONDO,
FIBRIN(OGEN) QUANTITATIVE,85370,BELLA VISTA,$23.00
FIBRIN(OGEN) QUANTITATIVE,85370,HUMANA,$34.00
FIBRIN(OGEN) QUANTITATIVE,85370,ACAA,
FIBRIN(OGEN) QUANTITATIVE,85370,FM VITAL,$10.83
FIBRIN(OGEN) QUANTITATIVE,85370,IMC,
FIBRIN(OGEN) QUANTITATIVE,85370,MMM OUT,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,PMC IN,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,HUM GOLD OUT,
FIBRIN(OGEN) QUANTITATIVE,85370,MMM IN,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,PALIC,$20.00
FIBRIN(OGEN) QUANTITATIVE,85370,HUM GOLD IN,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,MCS CLASS,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,ASOCIACION IN,$12.00
FIBRIN(OGEN) QUANTITATIVE,85370,MMM VITAL,$26.10
FIBRIN(OGEN) QUANTITATIVE,85370,MENONITA COM,$16.00
FIBRIN(OGEN) QUANTITATIVE,85370,MEDICARE A,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,TSADV IN,$14.02
FIBRIN(OGEN) QUANTITATIVE,85370,VETERANS,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,TS VITAL,
FIBRIN(OGEN) QUANTITATIVE,85370,SSS BLUE CARD,
FIBRIN(OGEN) QUANTITATIVE,85370,TRICARE,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,PMC OUT,$12.43
FIBRIN(OGEN) QUANTITATIVE,85370,TRIPLE S COM,
FIBRIN(OGEN) QUANTITATIVE,85370,TSADV OUT,$14.02
FINGERS XR,73140,PMC IN,$29.10
FINGERS XR,73140,BELLA VISTA,$7.00
FINGERS XR,73140,MMM VITAL,$14.78
FINGERS XR,73140,ACAA,$9.80
FINGERS XR,73140,MCS PREF,$8.00
FINGERS XR,73140,ASOCIACION IN,$12.00
FINGERS XR,73140,ASOCIACION OUT,
FINGERS XR,73140,HUM GOLD IN,$29.10
FINGERS XR,73140,HUMANA,$8.00
FINGERS XR,73140,MENONITA COM,$6.50
FINGERS XR,73140,MMM OUT,$52.45
FINGERS XR,73140,MEDICARE B,$29.10
FINGERS XR,73140,FM VITAL,$6.83
FINGERS XR,73140,MCS CLASS,$52.45
FINGERS XR,73140,CHAMPVA,$52.45
FINGERS XR,73140,MEDICARE A,$52.45
FINGERS XR,73140,IMC,$7.00
FINGERS XR,73140,MMM IN,$29.10
FINGERS XR,73140,FONDO,$25.73
FINGERS XR,73140,HUM GOLD OUT,$29.10
FINGERS XR,73140,PALIC,$11.00
FINGERS XR,73140,MENONITA VITAL,$18.01
FINGERS XR,73140,TRICARE,$52.45
FINGERS XR,73140,PMC OUT,$52.45
FINGERS XR,73140,VETERANS,$52.45
FINGERS XR,73140,TSADV IN,$25.73
FINGERS XR,73140,TSADV OUT,$25.73
FINGERS XR,73140,TS VITAL,$6.83
FINGERS XR,73140,SSS BLUE CARD,$11.00
FINGERS XR,73140,TRIPLE S COM,$11.00
Fistula gastrocutanea,46270,MENONITA VITAL,$660.00
Fistula gastrocutanea,46270,MENONITA COM,$788.00
Fistula gastrocutanea,46270,FM VITAL,$652.00
Fistula gastrocutanea,46270,MEDICARE B,
Fistula gastrocutanea,46270,MMM OUT,$735.00
Fistula gastrocutanea,46270,MCS CLASS,
Fistula gastrocutanea,46270,ASOCIACION OUT,$770.00
Fistula gastrocutanea,46270,HUMANA,$700.00
Fistula gastrocutanea,46270,MMM VITAL,$611.00
Fistula gastrocutanea,46270,CHAMPVA,
Fistula gastrocutanea,46270,MMM IN,
Fistula gastrocutanea,46270,FONDO,
Fistula gastrocutanea,46270,PALIC,$740.00
Fistula gastrocutanea,46270,IMC,$605.00
Fistula gastrocutanea,46270,MEDICARE A,
Fistula gastrocutanea,46270,MCS PREF,$712.00
Fistula gastrocutanea,46270,ASOCIACION IN,
Fistula gastrocutanea,46270,HUM GOLD OUT,$806.00
Fistula gastrocutanea,46270,ACAA,$475.00
Fistula gastrocutanea,46270,BELLA VISTA,$650.00
Fistula gastrocutanea,46270,HUM GOLD IN,
Fistula gastrocutanea,46270,TRICARE,
Fistula gastrocutanea,46270,PMC OUT,$735.00
Fistula gastrocutanea,46270,PMC IN,$735.00
Fistula gastrocutanea,46270,TSADV OUT,
Fistula gastrocutanea,46270,TS VITAL,$611.00
Fistula gastrocutanea,46270,SSS BLUE CARD,$706.00
Fistula gastrocutanea,46270,VETERANS,
Fistula gastrocutanea,46270,TSADV IN,
Fistula gastrocutanea,46270,TRIPLE S COM,$706.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,ACAA,$16.80
FOOT COMP.(AP-LAT-OBLQ) XR,73630,IMC,$13.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MEDICARE A,$52.45
FOOT COMP.(AP-LAT-OBLQ) XR,73630,CHAMPVA,$52.45
FOOT COMP.(AP-LAT-OBLQ) XR,73630,FONDO,$21.38
FOOT COMP.(AP-LAT-OBLQ) XR,73630,HUM GOLD IN,$24.73
FOOT COMP.(AP-LAT-OBLQ) XR,73630,FM VITAL,$9.97
FOOT COMP.(AP-LAT-OBLQ) XR,73630,ASOCIACION IN,$23.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MMM IN,$24.73
FOOT COMP.(AP-LAT-OBLQ) XR,73630,ASOCIACION OUT,
FOOT COMP.(AP-LAT-OBLQ) XR,73630,PALIC,$20.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MENONITA COM,$12.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MMM VITAL,$12.42
FOOT COMP.(AP-LAT-OBLQ) XR,73630,HUMANA,$13.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MCS CLASS,$52.45
FOOT COMP.(AP-LAT-OBLQ) XR,73630,HUM GOLD OUT,$24.73
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MMM OUT,$52.45
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MENONITA VITAL,$14.97
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MCS PREF,$20.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,MEDICARE B,$24.73
FOOT COMP.(AP-LAT-OBLQ) XR,73630,BELLA VISTA,$13.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,PMC IN,$24.73
FOOT COMP.(AP-LAT-OBLQ) XR,73630,VETERANS,$52.45
FOOT COMP.(AP-LAT-OBLQ) XR,73630,TS VITAL,$12.68
FOOT COMP.(AP-LAT-OBLQ) XR,73630,SSS BLUE CARD,$14.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,TSADV OUT,$21.38
FOOT COMP.(AP-LAT-OBLQ) XR,73630,TRIPLE S COM,$14.00
FOOT COMP.(AP-LAT-OBLQ) XR,73630,TRICARE,$52.45
FOOT COMP.(AP-LAT-OBLQ) XR,73630,PMC OUT,$52.45
FOOT COMP.(AP-LAT-OBLQ) XR,73630,TSADV IN,$21.38
FOOT XR RT,73620,ACAA,$14.70
FOOT XR RT,73620,FM VITAL,$8.92
FOOT XR RT,73620,ASOCIACION IN,$17.00
FOOT XR RT,73620,CHAMPVA,$52.45
FOOT XR RT,73620,IMC,$9.50
FOOT XR RT,73620,HUM GOLD OUT,$20.36
FOOT XR RT,73620,MMM VITAL,$10.91
FOOT XR RT,73620,MEDICARE B,$20.36
FOOT XR RT,73620,MENONITA VITAL,$13.19
FOOT XR RT,73620,HUMANA,$10.00
FOOT XR RT,73620,MENONITA COM,$9.00
FOOT XR RT,73620,MCS CLASS,$52.45
FOOT XR RT,73620,BELLA VISTA,$9.50
FOOT XR RT,73620,PALIC,$13.00
FOOT XR RT,73620,HUM GOLD IN,$20.36
FOOT XR RT,73620,MCS PREF,$12.00
FOOT XR RT,73620,MEDICARE A,$52.45
FOOT XR RT,73620,ASOCIACION OUT,
FOOT XR RT,73620,FONDO,$18.84
FOOT XR RT,73620,MMM OUT,$52.45
FOOT XR RT,73620,MMM IN,$20.36
FOOT XR RT,73620,PMC IN,$20.36
FOOT XR RT,73620,SSS BLUE CARD,$13.00
FOOT XR RT,73620,TRICARE,$52.45
FOOT XR RT,73620,TS VITAL,$9.26
FOOT XR RT,73620,TSADV OUT,$18.84
FOOT XR RT,73620,VETERANS,$52.45
FOOT XR RT,73620,TSADV IN,$18.84
FOOT XR RT,73620,TRIPLE S COM,$13.00
FOOT XR RT,73620,PMC OUT,$52.45
FOREARM LEFT XR,73090,MEDICARE B,$20.73
FOREARM LEFT XR,73090,PMC IN,$20.73
FOREARM LEFT XR,73090,FONDO,$17.76
FOREARM LEFT XR,73090,MMM VITAL,$10.48
FOREARM LEFT XR,73090,MEDICARE A,$52.45
FOREARM LEFT XR,73090,ASOCIACION OUT,
FOREARM LEFT XR,73090,MCS CLASS,$52.45
FOREARM LEFT XR,73090,BELLA VISTA,$9.50
FOREARM LEFT XR,73090,PALIC,$14.00
FOREARM LEFT XR,73090,MMM IN,$20.73
FOREARM LEFT XR,73090,HUM GOLD IN,$20.73
FOREARM LEFT XR,73090,ASOCIACION IN,$17.00
FOREARM LEFT XR,73090,MENONITA COM,$9.00
FOREARM LEFT XR,73090,HUMANA,$11.00
FOREARM LEFT XR,73090,MCS PREF,$12.00
FOREARM LEFT XR,73090,HUM GOLD OUT,$20.73
FOREARM LEFT XR,73090,IMC,$9.50
FOREARM LEFT XR,73090,CHAMPVA,$52.45
FOREARM LEFT XR,73090,MENONITA VITAL,$12.43
FOREARM LEFT XR,73090,ACAA,$14.70
FOREARM LEFT XR,73090,MMM OUT,$52.45
FOREARM LEFT XR,73090,FM VITAL,$8.38
FOREARM LEFT XR,73090,TS VITAL,$9.26
FOREARM LEFT XR,73090,TRICARE,$52.45
FOREARM LEFT XR,73090,TSADV OUT,$17.76
FOREARM LEFT XR,73090,PMC OUT,$52.45
FOREARM LEFT XR,73090,VETERANS,$52.45
FOREARM LEFT XR,73090,TRIPLE S COM,$13.50
FOREARM LEFT XR,73090,SSS BLUE CARD,$13.50
FOREARM LEFT XR,73090,TSADV IN,$17.76
"GASES BLOOD, ANY COMBIN OF PH",82803,MCS PREF,$50.00
"GASES BLOOD, ANY COMBIN OF PH",82803,MEDICARE B,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,HUM GOLD IN,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,ASOCIACION OUT,
"GASES BLOOD, ANY COMBIN OF PH",82803,IMC,$30.00
"GASES BLOOD, ANY COMBIN OF PH",82803,MENONITA VITAL,$18.45
"GASES BLOOD, ANY COMBIN OF PH",82803,MEDICARE A,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,PMC IN,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,ACAA,$35.00
"GASES BLOOD, ANY COMBIN OF PH",82803,MMM IN,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,PALIC,$50.00
"GASES BLOOD, ANY COMBIN OF PH",82803,MCS CLASS,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,FONDO,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,HUM GOLD OUT,
"GASES BLOOD, ANY COMBIN OF PH",82803,HUMANA,$45.00
"GASES BLOOD, ANY COMBIN OF PH",82803,BELLA VISTA,$30.00
"GASES BLOOD, ANY COMBIN OF PH",82803,FM VITAL,$18.45
"GASES BLOOD, ANY COMBIN OF PH",82803,MMM OUT,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,CHAMPVA,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,ASOCIACION IN,$35.00
"GASES BLOOD, ANY COMBIN OF PH",82803,MMM VITAL,$63.00
"GASES BLOOD, ANY COMBIN OF PH",82803,MENONITA COM,$35.00
"GASES BLOOD, ANY COMBIN OF PH",82803,SSS BLUE CARD,$30.00
"GASES BLOOD, ANY COMBIN OF PH",82803,TS VITAL,$27.40
"GASES BLOOD, ANY COMBIN OF PH",82803,PMC OUT,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,TRIPLE S COM,$30.00
"GASES BLOOD, ANY COMBIN OF PH",82803,TSADV IN,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,TRICARE,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,TSADV OUT,$26.07
"GASES BLOOD, ANY COMBIN OF PH",82803,VETERANS,$26.07
Gastroscopy,43239,SSS COM,$120.00
Gastroscopy,43239,SSS BLUE CARD,$120.00
Gastroscopy,43239,TRICARE,
Gastroscopy,43239,HUM GOLD PLUS,$140.00
Gastroscopy,43239,PMC IN,
Gastroscopy,43239,ASOCIACION INP,$139.00
Gastroscopy,43239,PALIC,$125.00
Gastroscopy,43239,MOLINA VITAL,$115.00
Gastroscopy,43239,MENONITA COM,$136.00
Gastroscopy,43239,TS VITAL,$120.00
Gastroscopy,43239,PMC OUT,$452.56
Gastroscopy,43239,HUMANA,$145.00
Gastroscopy,43239,MCS PREF,$111.00
Gastroscopy,43239,MMM IN,
Gastroscopy,43239,MEDICARE A,$215.89
Gastroscopy,43239,MMM OUT,$452.56
Gastroscopy,43239,VETERANS,
Gastroscopy,43239,BELLA VISTA,$125.00
Gastroscopy,43239,FM VITAL,$129.00
Gastroscopy,43239,TS ADV OUT,
Gastroscopy,43239,PSM VITAL,$132.00
Gastroscopy,43239,ACAA,
Gastroscopy,43239,TS ADV IN,
Gastroscopy,43239,IMC,$125.00
Gastroscopy,43239,MCS CLASS,$215.89
Gastroscopy,43239,MMM VITAL,$120.00
Gastroscopy,43239,FONDO,
Gastroscopy,43239,MAP LIFE,$158.00
Gastroscopy,43239,CHAMPVA,
Gastroscopy,43239,ASOCIACION OUT,$150.00
Gastroscopy,43239,MEDICARE B,
GENTAMICIN,80170,HUM GOLD OUT,
GENTAMICIN,80170,CHAMPVA,$16.38
GENTAMICIN,80170,HUM GOLD IN,$16.38
GENTAMICIN,80170,FONDO,$20.22
GENTAMICIN,80170,MEDICARE A,$16.38
GENTAMICIN,80170,IMC,$30.00
GENTAMICIN,80170,MCS PREF,$30.00
GENTAMICIN,80170,ACAA,$35.00
GENTAMICIN,80170,BELLA VISTA,$28.50
GENTAMICIN,80170,ASOCIACION IN,$30.00
GENTAMICIN,80170,FM VITAL,$2.00
GENTAMICIN,80170,HUMANA,$30.00
GENTAMICIN,80170,MENONITA VITAL,$15.62
GENTAMICIN,80170,MENONITA COM,$22.00
GENTAMICIN,80170,MMM IN,$16.38
GENTAMICIN,80170,MEDICARE B,$16.38
GENTAMICIN,80170,MMM OUT,$16.38
GENTAMICIN,80170,PMC IN,$16.38
GENTAMICIN,80170,ASOCIACION OUT,
GENTAMICIN,80170,PALIC,$40.00
GENTAMICIN,80170,MCS CLASS,$16.38
GENTAMICIN,80170,MMM VITAL,$23.49
GENTAMICIN,80170,TS VITAL,$23.21
GENTAMICIN,80170,PMC OUT,$16.38
GENTAMICIN,80170,TRICARE,$16.38
GENTAMICIN,80170,VETERANS,$16.38
GENTAMICIN,80170,SSS BLUE CARD,$30.00
GENTAMICIN,80170,TSADV IN,$20.22
GENTAMICIN,80170,TSADV OUT,$20.22
GENTAMICIN,80170,TRIPLE S COM,$30.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,ASOCIACION OUT,
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,FM VITAL,$3.75
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MEDICARE B,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MMM VITAL,$3.74
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,HUM GOLD OUT,
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,BELLA VISTA,$6.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MMM OUT,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MCS PREF,$8.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,FONDO,$4.85
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,PMC IN,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,CHAMPVA,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,IMC,$6.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,ACAA,$5.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,HUM GOLD IN,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MMM IN,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,HUMANA,$7.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MENONITA VITAL,$4.35
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MCS CLASS,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MENONITA COM,$4.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,MEDICARE A,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,PALIC,$8.00
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,ASOCIACION IN,$5.50
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,TS VITAL,$5.56
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,VETERANS,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,SSS BLUE CARD,$6.17
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,TRIPLE S COM,$6.17
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,TSADV OUT,$4.85
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,PMC OUT,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,TRICARE,$3.93
"GLUCOSE;QUAN,BLOOD(EXCEPT RE",82947,TSADV IN,$4.85
Group psychotherapy,90853,TS ADV IN,
Group psychotherapy,90853,MAP LIFE,
Group psychotherapy,90853,MEDICARE A,
Group psychotherapy,90853,FM VITAL,
Group psychotherapy,90853,PMC OUT,
Group psychotherapy,90853,CHAMPVA,
Group psychotherapy,90853,IMC,
Group psychotherapy,90853,MEDICARE B,
Group psychotherapy,90853,FONDO,
Group psychotherapy,90853,ACAA,
Group psychotherapy,90853,PMC IN,
Group psychotherapy,90853,SSS BLUE CARD,
Group psychotherapy,90853,VETERANS,
Group psychotherapy,90853,MENONITA COM,
Group psychotherapy,90853,MOLINA VITAL,
Group psychotherapy,90853,MCS PREF,
Group psychotherapy,90853,TS ADV OUT,
Group psychotherapy,90853,HUMANA,
Group psychotherapy,90853,PALIC,
Group psychotherapy,90853,HUM GOLD PLUS,
Group psychotherapy,90853,ASOCIACION OUT,
Group psychotherapy,90853,TRICARE,
Group psychotherapy,90853,MMM OUT,
Group psychotherapy,90853,SSS COM,
Group psychotherapy,90853,MMM IN,
Group psychotherapy,90853,PSM VITAL,
Group psychotherapy,90853,MCS CLASS,
Group psychotherapy,90853,ASOCIACION INP,
Group psychotherapy,90853,BELLA VISTA,
Group psychotherapy,90853,TS VITAL,
Group psychotherapy,90853,MMM VITAL,
HAND MINIMUM OF 3 VIEWS  XR,73130,MENONITA COM,$12.50
HAND MINIMUM OF 3 VIEWS  XR,73130,IMC,$13.00
HAND MINIMUM OF 3 VIEWS  XR,73130,MENONITA VITAL,$16.49
HAND MINIMUM OF 3 VIEWS  XR,73130,MCS CLASS,$52.45
HAND MINIMUM OF 3 VIEWS  XR,73130,ACAA,$17.50
HAND MINIMUM OF 3 VIEWS  XR,73130,MEDICARE A,$52.45
HAND MINIMUM OF 3 VIEWS  XR,73130,MEDICARE B,$26.55
HAND MINIMUM OF 3 VIEWS  XR,73130,FONDO,$23.56
HAND MINIMUM OF 3 VIEWS  XR,73130,FM VITAL,$10.68
HAND MINIMUM OF 3 VIEWS  XR,73130,MMM VITAL,$13.28
HAND MINIMUM OF 3 VIEWS  XR,73130,HUM GOLD OUT,$26.55
HAND MINIMUM OF 3 VIEWS  XR,73130,HUMANA,$13.50
HAND MINIMUM OF 3 VIEWS  XR,73130,HUM GOLD IN,$26.55
HAND MINIMUM OF 3 VIEWS  XR,73130,MCS PREF,$15.00
HAND MINIMUM OF 3 VIEWS  XR,73130,ASOCIACION IN,$17.00
HAND MINIMUM OF 3 VIEWS  XR,73130,CHAMPVA,$52.45
HAND MINIMUM OF 3 VIEWS  XR,73130,BELLA VISTA,$11.00
HAND MINIMUM OF 3 VIEWS  XR,73130,MMM OUT,$52.45
HAND MINIMUM OF 3 VIEWS  XR,73130,MMM IN,$26.55
HAND MINIMUM OF 3 VIEWS  XR,73130,ASOCIACION OUT,
HAND MINIMUM OF 3 VIEWS  XR,73130,PALIC,$15.00
HAND MINIMUM OF 3 VIEWS  XR,73130,TRICARE,$52.45
HAND MINIMUM OF 3 VIEWS  XR,73130,VETERANS,$52.45
HAND MINIMUM OF 3 VIEWS  XR,73130,PMC IN,$26.55
HAND MINIMUM OF 3 VIEWS  XR,73130,TSADV OUT,$23.56
HAND MINIMUM OF 3 VIEWS  XR,73130,TS VITAL,$12.29
HAND MINIMUM OF 3 VIEWS  XR,73130,TRIPLE S COM,$14.00
HAND MINIMUM OF 3 VIEWS  XR,73130,SSS BLUE CARD,$14.00
HAND MINIMUM OF 3 VIEWS  XR,73130,TSADV IN,$23.56
HAND MINIMUM OF 3 VIEWS  XR,73130,PMC OUT,$52.45
HAND XR,73120,CHAMPVA,$73.66
HAND XR,73120,MEDICARE A,$73.66
HAND XR,73120,HUM GOLD OUT,$22.18
HAND XR,73120,MCS PREF,$12.00
HAND XR,73120,HUMANA,$10.00
HAND XR,73120,MENONITA COM,$9.00
HAND XR,73120,MCS CLASS,$73.66
HAND XR,73120,ASOCIACION IN,$17.00
HAND XR,73120,MENONITA VITAL,$14.20
HAND XR,73120,HUM GOLD IN,$22.18
HAND XR,73120,MMM IN,$22.18
HAND XR,73120,IMC,$9.50
HAND XR,73120,FM VITAL,$8.56
HAND XR,73120,FONDO,$20.29
HAND XR,73120,MEDICARE B,$22.18
HAND XR,73120,BELLA VISTA,$9.50
HAND XR,73120,ASOCIACION OUT,
HAND XR,73120,PALIC,$13.00
HAND XR,73120,PMC IN,$22.18
HAND XR,73120,MMM OUT,$73.66
HAND XR,73120,ACAA,$14.70
HAND XR,73120,MMM VITAL,$10.70
HAND XR,73120,TSADV OUT,$20.29
HAND XR,73120,TRICARE,$73.66
HAND XR,73120,VETERANS,$73.66
HAND XR,73120,SSS BLUE CARD,$13.00
HAND XR,73120,TS VITAL,$9.26
HAND XR,73120,TRIPLE S COM,$13.00
HAND XR,73120,TSADV IN,$20.29
HAND XR,73120,PMC OUT,$73.66
HEMATOCRITO,85014,MMM OUT,$2.37
HEMATOCRITO,85014,MEDICARE A,$2.37
HEMATOCRITO,85014,ASOCIACION OUT,
HEMATOCRITO,85014,HUMANA,$3.00
HEMATOCRITO,85014,PMC IN,$2.37
HEMATOCRITO,85014,BELLA VISTA,$3.00
HEMATOCRITO,85014,CHAMPVA,$2.37
HEMATOCRITO,85014,IMC,$6.00
HEMATOCRITO,85014,MCS CLASS,$2.37
HEMATOCRITO,85014,MEDICARE B,$2.37
HEMATOCRITO,85014,ASOCIACION IN,$5.00
HEMATOCRITO,85014,HUM GOLD OUT,
HEMATOCRITO,85014,MMM IN,$2.37
HEMATOCRITO,85014,MENONITA COM,$3.55
HEMATOCRITO,85014,MCS PREF,$6.55
HEMATOCRITO,85014,FONDO,$2.93
HEMATOCRITO,85014,FM VITAL,$2.26
HEMATOCRITO,85014,PALIC,$5.00
HEMATOCRITO,85014,MENONITA VITAL,$2.26
HEMATOCRITO,85014,HUM GOLD IN,$2.37
HEMATOCRITO,85014,MMM VITAL,$2.26
HEMATOCRITO,85014,ACAA,$3.00
HEMATOCRITO,85014,VETERANS,$2.37
HEMATOCRITO,85014,TSADV IN,$2.93
HEMATOCRITO,85014,TSADV OUT,$2.93
HEMATOCRITO,85014,TRICARE,$2.37
HEMATOCRITO,85014,TRIPLE S COM,$6.55
HEMATOCRITO,85014,PMC OUT,$2.37
HEMATOCRITO,85014,TS VITAL,$3.35
HEMATOCRITO,85014,SSS BLUE CARD,$6.55
HEMOGLOBIN,85018,BELLA VISTA,$3.00
HEMOGLOBIN,85018,ACAA,$2.00
HEMOGLOBIN,85018,MMM IN,$2.37
HEMOGLOBIN,85018,HUM GOLD IN,$2.37
HEMOGLOBIN,85018,MEDICARE A,$2.37
HEMOGLOBIN,85018,PMC IN,$2.37
HEMOGLOBIN,85018,PALIC,$5.00
HEMOGLOBIN,85018,MMM OUT,$2.37
HEMOGLOBIN,85018,FM VITAL,$2.03
HEMOGLOBIN,85018,ASOCIACION OUT,
HEMOGLOBIN,85018,MENONITA COM,$3.55
HEMOGLOBIN,85018,IMC,$5.00
HEMOGLOBIN,85018,CHAMPVA,$2.37
HEMOGLOBIN,85018,ASOCIACION IN,$5.00
HEMOGLOBIN,85018,MMM VITAL,$2.26
HEMOGLOBIN,85018,HUM GOLD OUT,
HEMOGLOBIN,85018,MCS PREF,$5.00
HEMOGLOBIN,85018,FONDO,$2.93
HEMOGLOBIN,85018,MENONITA VITAL,$1.78
HEMOGLOBIN,85018,HUMANA,$3.00
HEMOGLOBIN,85018,MEDICARE B,$2.37
HEMOGLOBIN,85018,MCS CLASS,$2.37
HEMOGLOBIN,85018,PMC OUT,$2.37
HEMOGLOBIN,85018,VETERANS,$2.37
HEMOGLOBIN,85018,SSS BLUE CARD,$6.55
HEMOGLOBIN,85018,TRICARE,$2.37
HEMOGLOBIN,85018,TRIPLE S COM,$6.55
HEMOGLOBIN,85018,TSADV OUT,$2.93
HEMOGLOBIN,85018,TS VITAL,$2.65
HEMOGLOBIN,85018,TSADV IN,$2.93
HEMOGLOBIN; GLYCOSYLATED,83036,MMM VITAL,$9.25
HEMOGLOBIN; GLYCOSYLATED,83036,MMM IN,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,MENONITA COM,$12.80
HEMOGLOBIN; GLYCOSYLATED,83036,ASOCIACION IN,$17.00
HEMOGLOBIN; GLYCOSYLATED,83036,MMM OUT,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,FONDO,$11.99
HEMOGLOBIN; GLYCOSYLATED,83036,BELLA VISTA,$15.00
HEMOGLOBIN; GLYCOSYLATED,83036,HUM GOLD OUT,
HEMOGLOBIN; GLYCOSYLATED,83036,MCS CLASS,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,FM VITAL,$9.25
HEMOGLOBIN; GLYCOSYLATED,83036,HUM GOLD IN,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,CHAMPVA,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,HUMANA,$20.00
HEMOGLOBIN; GLYCOSYLATED,83036,MEDICARE A,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,MENONITA VITAL,$12.75
HEMOGLOBIN; GLYCOSYLATED,83036,PALIC,$30.00
HEMOGLOBIN; GLYCOSYLATED,83036,ACAA,$28.00
HEMOGLOBIN; GLYCOSYLATED,83036,MEDICARE B,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,ASOCIACION OUT,
HEMOGLOBIN; GLYCOSYLATED,83036,PMC IN,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,MCS PREF,$17.00
HEMOGLOBIN; GLYCOSYLATED,83036,IMC,$15.00
HEMOGLOBIN; GLYCOSYLATED,83036,TS VITAL,$13.75
HEMOGLOBIN; GLYCOSYLATED,83036,TSADV IN,$11.99
HEMOGLOBIN; GLYCOSYLATED,83036,TRICARE,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,SSS BLUE CARD,$17.00
HEMOGLOBIN; GLYCOSYLATED,83036,VETERANS,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,TSADV OUT,$11.99
HEMOGLOBIN; GLYCOSYLATED,83036,PMC OUT,$9.71
HEMOGLOBIN; GLYCOSYLATED,83036,TRIPLE S COM,$17.00
HEPATIC FUNCTION PANEL(LIVERP,80076,CHAMPVA,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,IMC,$16.00
HEPATIC FUNCTION PANEL(LIVERP,80076,ASOCIACION OUT,
HEPATIC FUNCTION PANEL(LIVERP,80076,TS VITAL,$11.57
HEPATIC FUNCTION PANEL(LIVERP,80076,MOLINA VITAL,$7.06
HEPATIC FUNCTION PANEL(LIVERP,80076,HUMANA,$17.00
HEPATIC FUNCTION PANEL(LIVERP,80076,MMM VITAL,$7.79
HEPATIC FUNCTION PANEL(LIVERP,80076,TS ADV OUT,$10.09
HEPATIC FUNCTION PANEL(LIVERP,80076,MMM OUT,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,BELLA VISTA,$21.25
HEPATIC FUNCTION PANEL(LIVERP,80076,PSM VITAL,$7.79
HEPATIC FUNCTION PANEL(LIVERP,80076,TS ADV IN,$10.09
HEPATIC FUNCTION PANEL(LIVERP,80076,MCS PREF,$14.00
HEPATIC FUNCTION PANEL(LIVERP,80076,MCS CLASS,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,MAP LIFE,$35.00
HEPATIC FUNCTION PANEL(LIVERP,80076,MEDICARE B,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,ACAA,$30.00
HEPATIC FUNCTION PANEL(LIVERP,80076,FM VITAL,$7.79
HEPATIC FUNCTION PANEL(LIVERP,80076,MEDICARE A,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,MMM IN,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,VETERANS,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,FONDO,$10.09
HEPATIC FUNCTION PANEL(LIVERP,80076,SSS COM,$13.60
HEPATIC FUNCTION PANEL(LIVERP,80076,ASOCIACION INP,$20.00
HEPATIC FUNCTION PANEL(LIVERP,80076,MENONITA COM,
HEPATIC FUNCTION PANEL(LIVERP,80076,PMC IN,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,TRICARE,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,PALIC,$35.00
HEPATIC FUNCTION PANEL(LIVERP,80076,PMC OUT,$8.17
HEPATIC FUNCTION PANEL(LIVERP,80076,SSS BLUE CARD,$13.60
HEPATIC FUNCTION PANEL(LIVERP,80076,HUM GOLD PLUS,$8.17
HEPATITIS B SURF AG (HBS AG),87340,HUMANA,
HEPATITIS B SURF AG (HBS AG),87340,CHAMPVA,$10.33
HEPATITIS B SURF AG (HBS AG),87340,FONDO,$12.75
HEPATITIS B SURF AG (HBS AG),87340,HUM GOLD OUT,
HEPATITIS B SURF AG (HBS AG),87340,MEDICARE A,$10.33
HEPATITIS B SURF AG (HBS AG),87340,MCS CLASS,$10.33
HEPATITIS B SURF AG (HBS AG),87340,MEDICARE B,$10.33
HEPATITIS B SURF AG (HBS AG),87340,ACAA,$15.00
HEPATITIS B SURF AG (HBS AG),87340,IMC,$13.00
HEPATITIS B SURF AG (HBS AG),87340,MCS PREF,$25.00
HEPATITIS B SURF AG (HBS AG),87340,ASOCIACION IN,
HEPATITIS B SURF AG (HBS AG),87340,MENONITA VITAL,$9.85
HEPATITIS B SURF AG (HBS AG),87340,PMC IN,$10.33
HEPATITIS B SURF AG (HBS AG),87340,HUM GOLD IN,$10.33
HEPATITIS B SURF AG (HBS AG),87340,ASOCIACION OUT,
HEPATITIS B SURF AG (HBS AG),87340,BELLA VISTA,$12.00
HEPATITIS B SURF AG (HBS AG),87340,FM VITAL,$9.85
HEPATITIS B SURF AG (HBS AG),87340,MENONITA COM,$14.00
HEPATITIS B SURF AG (HBS AG),87340,MMM OUT,$10.33
HEPATITIS B SURF AG (HBS AG),87340,MMM VITAL,$9.85
HEPATITIS B SURF AG (HBS AG),87340,MMM IN,$10.33
HEPATITIS B SURF AG (HBS AG),87340,PALIC,
HEPATITIS B SURF AG (HBS AG),87340,TRIPLE S COM,$13.49
HEPATITIS B SURF AG (HBS AG),87340,TSADV IN,$12.75
HEPATITIS B SURF AG (HBS AG),87340,TS VITAL,$14.63
HEPATITIS B SURF AG (HBS AG),87340,SSS BLUE CARD,$13.49
HEPATITIS B SURF AG (HBS AG),87340,VETERANS,$10.33
HEPATITIS B SURF AG (HBS AG),87340,PMC OUT,$10.33
HEPATITIS B SURF AG (HBS AG),87340,TSADV OUT,$12.75
HEPATITIS B SURF AG (HBS AG),87340,TRICARE,$10.33
HEPATITIS B SURFACE AB (HBSAB),86706,FM VITAL,$10.24
HEPATITIS B SURFACE AB (HBSAB),86706,BELLA VISTA,$37.00
HEPATITIS B SURFACE AB (HBSAB),86706,ACAA,$15.00
HEPATITIS B SURFACE AB (HBSAB),86706,ASOCIACION IN,
HEPATITIS B SURFACE AB (HBSAB),86706,MMM IN,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,MENONITA COM,$16.00
HEPATITIS B SURFACE AB (HBSAB),86706,HUM GOLD OUT,
HEPATITIS B SURFACE AB (HBSAB),86706,CHAMPVA,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,ASOCIACION OUT,
HEPATITIS B SURFACE AB (HBSAB),86706,HUM GOLD IN,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,PALIC,
HEPATITIS B SURFACE AB (HBSAB),86706,MEDICARE A,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,FONDO,$13.26
HEPATITIS B SURFACE AB (HBSAB),86706,IMC,$20.00
HEPATITIS B SURFACE AB (HBSAB),86706,MENONITA VITAL,$10.24
HEPATITIS B SURFACE AB (HBSAB),86706,MCS PREF,$32.00
HEPATITIS B SURFACE AB (HBSAB),86706,HUMANA,
HEPATITIS B SURFACE AB (HBSAB),86706,MEDICARE B,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,MCS CLASS,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,MMM OUT,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,MMM VITAL,$10.24
HEPATITIS B SURFACE AB (HBSAB),86706,PMC OUT,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,TSADV IN,$13.26
HEPATITIS B SURFACE AB (HBSAB),86706,VETERANS,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,TS VITAL,$15.21
HEPATITIS B SURFACE AB (HBSAB),86706,SSS BLUE CARD,$20.00
HEPATITIS B SURFACE AB (HBSAB),86706,TRICARE,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,TRIPLE S COM,$20.00
HEPATITIS B SURFACE AB (HBSAB),86706,PMC IN,$10.74
HEPATITIS B SURFACE AB (HBSAB),86706,TSADV OUT,$13.26
HEPATITIS PANEL ACUTE,80074,PMC IN,$47.63
HEPATITIS PANEL ACUTE,80074,HUM GOLD IN,$47.63
HEPATITIS PANEL ACUTE,80074,MCS PREF,$70.00
HEPATITIS PANEL ACUTE,80074,MEDICARE A,$47.63
HEPATITIS PANEL ACUTE,80074,MMM VITAL,$45.42
HEPATITIS PANEL ACUTE,80074,IMC,$70.00
HEPATITIS PANEL ACUTE,80074,CHAMPVA,$47.63
HEPATITIS PANEL ACUTE,80074,HUM GOLD OUT,
HEPATITIS PANEL ACUTE,80074,ACAA,
HEPATITIS PANEL ACUTE,80074,ASOCIACION OUT,
HEPATITIS PANEL ACUTE,80074,FONDO,$58.81
HEPATITIS PANEL ACUTE,80074,MMM OUT,$47.63
HEPATITIS PANEL ACUTE,80074,PALIC,
HEPATITIS PANEL ACUTE,80074,MENONITA COM,
HEPATITIS PANEL ACUTE,80074,MENONITA VITAL,$45.42
HEPATITIS PANEL ACUTE,80074,MEDICARE B,$47.63
HEPATITIS PANEL ACUTE,80074,FM VITAL,$45.42
HEPATITIS PANEL ACUTE,80074,MCS CLASS,$47.63
HEPATITIS PANEL ACUTE,80074,BELLA VISTA,$76.50
HEPATITIS PANEL ACUTE,80074,ASOCIACION IN,
HEPATITIS PANEL ACUTE,80074,HUMANA,
HEPATITIS PANEL ACUTE,80074,MMM IN,$47.63
HEPATITIS PANEL ACUTE,80074,TRIPLE S COM,$70.00
HEPATITIS PANEL ACUTE,80074,TSADV IN,$58.81
HEPATITIS PANEL ACUTE,80074,TSADV OUT,$58.81
HEPATITIS PANEL ACUTE,80074,TRICARE,$47.63
HEPATITIS PANEL ACUTE,80074,VETERANS,$47.63
HEPATITIS PANEL ACUTE,80074,SSS BLUE CARD,$70.00
HEPATITIS PANEL ACUTE,80074,PMC OUT,$47.63
HEPATITIS PANEL ACUTE,80074,TS VITAL,$67.47
Herniorrhaphy Incisional,49566,HUMANA,$700.00
Herniorrhaphy Incisional,49566,ASOCIACION IN,
Herniorrhaphy Incisional,49566,FONDO,
Herniorrhaphy Incisional,49566,IMC,$605.00
Herniorrhaphy Incisional,49566,MCS PREF,$712.00
Herniorrhaphy Incisional,49566,MMM OUT,$735.00
Herniorrhaphy Incisional,49566,HUM GOLD IN,
Herniorrhaphy Incisional,49566,ACAA,$475.00
Herniorrhaphy Incisional,49566,MEDICARE A,
Herniorrhaphy Incisional,49566,PALIC,"$1,200.00"
Herniorrhaphy Incisional,49566,BELLA VISTA,$650.00
Herniorrhaphy Incisional,49566,MENONITA VITAL,$660.00
Herniorrhaphy Incisional,49566,HUM GOLD OUT,$806.00
Herniorrhaphy Incisional,49566,MMM IN,
Herniorrhaphy Incisional,49566,CHAMPVA,
Herniorrhaphy Incisional,49566,FM VITAL,$652.00
Herniorrhaphy Incisional,49566,ASOCIACION OUT,$770.00
Herniorrhaphy Incisional,49566,MENONITA COM,$788.00
Herniorrhaphy Incisional,49566,MMM VITAL,$611.00
Herniorrhaphy Incisional,49566,MCS CLASS,
Herniorrhaphy Incisional,49566,MEDICARE B,
Herniorrhaphy Incisional,49566,TS VITAL,$611.00
Herniorrhaphy Incisional,49566,SSS BLUE CARD,$706.00
Herniorrhaphy Incisional,49566,TSADV OUT,"$1,689.56"
Herniorrhaphy Incisional,49566,TRIPLE S COM,$706.00
Herniorrhaphy Incisional,49566,PMC OUT,$735.00
Herniorrhaphy Incisional,49566,PMC IN,$735.00
Herniorrhaphy Incisional,49566,TSADV IN,
Herniorrhaphy Incisional,49566,VETERANS,
Herniorrhaphy Incisional,49566,TRICARE,
Herniorrhaphy Inguinal,49505,FM VITAL,$652.00
Herniorrhaphy Inguinal,49505,ASOCIACION OUT,$770.00
Herniorrhaphy Inguinal,49505,HUMANA,$700.00
Herniorrhaphy Inguinal,49505,CHAMPVA,
Herniorrhaphy Inguinal,49505,MMM VITAL,$611.00
Herniorrhaphy Inguinal,49505,MENONITA VITAL,$660.00
Herniorrhaphy Inguinal,49505,BELLA VISTA,$650.00
Herniorrhaphy Inguinal,49505,IMC,$605.00
Herniorrhaphy Inguinal,49505,FONDO,
Herniorrhaphy Inguinal,49505,PALIC,"$1,200.00"
Herniorrhaphy Inguinal,49505,MMM IN,
Herniorrhaphy Inguinal,49505,HUM GOLD OUT,$806.00
Herniorrhaphy Inguinal,49505,MMM OUT,$735.00
Herniorrhaphy Inguinal,49505,HUM GOLD IN,
Herniorrhaphy Inguinal,49505,MENONITA COM,$788.00
Herniorrhaphy Inguinal,49505,ASOCIACION IN,
Herniorrhaphy Inguinal,49505,MEDICARE A,
Herniorrhaphy Inguinal,49505,MEDICARE B,
Herniorrhaphy Inguinal,49505,MCS CLASS,"$1,689.56"
Herniorrhaphy Inguinal,49505,MCS PREF,$712.00
Herniorrhaphy Inguinal,49505,ACAA,$475.00
Herniorrhaphy Inguinal,49505,TRIPLE S COM,$706.00
Herniorrhaphy Inguinal,49505,MEDICARE B,
Herniorrhaphy Inguinal,49505,CHAMPVA,
Herniorrhaphy Inguinal,49505,FM VITAL,$652.00
Herniorrhaphy Inguinal,49505,ACAA,$475.00
Herniorrhaphy Inguinal,49505,SSS BLUE CARD,$706.00
Herniorrhaphy Inguinal,49505,TRICARE,
Herniorrhaphy Inguinal,49505,MCS CLASS,"$1,689.56"
Herniorrhaphy Inguinal,49505,SSS COM,$706.00
Herniorrhaphy Inguinal,49505,PALIC,"$1,200.00"
Herniorrhaphy Inguinal,49505,PMC OUT,$735.00
Herniorrhaphy Inguinal,49505,TS VITAL,$611.00
Herniorrhaphy Inguinal,49505,MOLINA VITAL,$615.00
Herniorrhaphy Inguinal,49505,ASOCIACION INP,
Herniorrhaphy Inguinal,49505,MENONITA COM,$788.00
Herniorrhaphy Inguinal,49505,ASOCIACION OUT,$770.00
Herniorrhaphy Inguinal,49505,BELLA VISTA,$650.00
Herniorrhaphy Inguinal,49505,TRICARE,
Herniorrhaphy Inguinal,49505,TSADV OUT,"$1,689.56"
Herniorrhaphy Inguinal,49505,TS ADV OUT,"$1,689.56"
Herniorrhaphy Inguinal,49505,MCS PREF,$712.00
Herniorrhaphy Inguinal,49505,SSS BLUE CARD,$706.00
Herniorrhaphy Inguinal,49505,PMC IN,$735.00
Herniorrhaphy Inguinal,49505,VETERANS,
Herniorrhaphy Inguinal,49505,MMM OUT,$735.00
Herniorrhaphy Inguinal,49505,TSADV IN,
Herniorrhaphy Inguinal,49505,MMM VITAL,$611.00
Herniorrhaphy Inguinal,49505,MMM IN,
Herniorrhaphy Inguinal,49505,TS ADV IN,
Herniorrhaphy Inguinal,49505,PMC OUT,$735.00
Herniorrhaphy Inguinal,49505,PSM VITAL,$660.00
Herniorrhaphy Inguinal,49505,VETERANS,
Herniorrhaphy Inguinal,49505,PMC IN,$735.00
Herniorrhaphy Inguinal,49505,TS VITAL,$611.00
Herniorrhaphy Inguinal,49505,HUMANA,$700.00
Herniorrhaphy Inguinal,49505,MAP LIFE,$709.00
Herniorrhaphy Inguinal,49505,MEDICARE A,
Herniorrhaphy Inguinal,49505,HUM GOLD PLUS,
Herniorrhaphy Inguinal,49505,IMC,$605.00
Herniorrhaphy Inguinal,49505,FONDO,
Herniorrhaphy Inguinal,49507,IMC,$605.00
Herniorrhaphy Inguinal,49507,HUM GOLD IN,
Herniorrhaphy Inguinal,49507,ASOCIACION OUT,$770.00
Herniorrhaphy Inguinal,49507,BELLA VISTA,$650.00
Herniorrhaphy Inguinal,49507,HUMANA,$700.00
Herniorrhaphy Inguinal,49507,FM VITAL,$652.00
Herniorrhaphy Inguinal,49507,CHAMPVA,
Herniorrhaphy Inguinal,49507,FONDO,
Herniorrhaphy Inguinal,49507,HUM GOLD OUT,$806.00
Herniorrhaphy Inguinal,49507,MEDICARE A,
Herniorrhaphy Inguinal,49507,MEDICARE B,
Herniorrhaphy Inguinal,49507,MMM OUT,$735.00
Herniorrhaphy Inguinal,49507,ASOCIACION IN,
Herniorrhaphy Inguinal,49507,MENONITA COM,$788.00
Herniorrhaphy Inguinal,49507,MMM IN,
Herniorrhaphy Inguinal,49507,MCS CLASS,"$1,689.56"
Herniorrhaphy Inguinal,49507,MMM VITAL,$611.00
Herniorrhaphy Inguinal,49507,ACAA,$475.00
Herniorrhaphy Inguinal,49507,PALIC,"$1,200.00"
Herniorrhaphy Inguinal,49507,MENONITA VITAL,$660.00
Herniorrhaphy Inguinal,49507,MCS PREF,$712.00
Herniorrhaphy Inguinal,49507,PMC IN,$735.00
Herniorrhaphy Inguinal,49507,VETERANS,
Herniorrhaphy Inguinal,49507,TSADV IN,
Herniorrhaphy Inguinal,49507,PMC OUT,$735.00
Herniorrhaphy Inguinal,49507,TS VITAL,$611.00
Herniorrhaphy Inguinal,49507,SSS BLUE CARD,$706.00
Herniorrhaphy Inguinal,49507,TRIPLE S COM,$706.00
Herniorrhaphy Inguinal,49507,TRICARE,
Herniorrhaphy Inguinal,49507,TSADV OUT,
Herniorrhaphy Umbilical,49585,HUMANA,$700.00
Herniorrhaphy Umbilical,49585,IMC,$605.00
Herniorrhaphy Umbilical,49585,BELLA VISTA,$650.00
Herniorrhaphy Umbilical,49585,MMM OUT,$735.00
Herniorrhaphy Umbilical,49585,ACAA,$475.00
Herniorrhaphy Umbilical,49585,ASOCIACION IN,
Herniorrhaphy Umbilical,49585,MCS PREF,$712.00
Herniorrhaphy Umbilical,49585,MMM IN,
Herniorrhaphy Umbilical,49585,CHAMPVA,
Herniorrhaphy Umbilical,49585,ASOCIACION OUT,$770.00
Herniorrhaphy Umbilical,49585,FONDO,
Herniorrhaphy Umbilical,49585,MCS CLASS,
Herniorrhaphy Umbilical,49585,MEDICARE A,
Herniorrhaphy Umbilical,49585,HUM GOLD OUT,$806.00
Herniorrhaphy Umbilical,49585,MENONITA VITAL,$660.00
Herniorrhaphy Umbilical,49585,HUM GOLD IN,
Herniorrhaphy Umbilical,49585,PALIC,"$1,200.00"
Herniorrhaphy Umbilical,49585,MENONITA COM,$788.00
Herniorrhaphy Umbilical,49585,MMM VITAL,$611.00
Herniorrhaphy Umbilical,49585,MEDICARE B,
Herniorrhaphy Umbilical,49585,FM VITAL,$652.00
Herniorrhaphy Umbilical,49585,TSADV OUT,
Herniorrhaphy Umbilical,49585,VETERANS,
Herniorrhaphy Umbilical,49585,TS VITAL,$611.00
Herniorrhaphy Umbilical,49585,PMC OUT,$735.00
Herniorrhaphy Umbilical,49585,TRICARE,
Herniorrhaphy Umbilical,49585,TSADV IN,
Herniorrhaphy Umbilical,49585,SSS BLUE CARD,$706.00
Herniorrhaphy Umbilical,49585,TRIPLE S COM,$706.00
Herniorrhaphy Umbilical,49585,PMC IN,$735.00
Herniorrhaphy Umbilical,49587,MEDICARE B,
Herniorrhaphy Umbilical,49587,BELLA VISTA,$650.00
Herniorrhaphy Umbilical,49587,FONDO,
Herniorrhaphy Umbilical,49587,FM VITAL,$652.00
Herniorrhaphy Umbilical,49587,MENONITA COM,$788.00
Herniorrhaphy Umbilical,49587,IMC,$605.00
Herniorrhaphy Umbilical,49587,HUMANA,$700.00
Herniorrhaphy Umbilical,49587,MMM VITAL,$611.00
Herniorrhaphy Umbilical,49587,MENONITA VITAL,$660.00
Herniorrhaphy Umbilical,49587,MCS PREF,$712.00
Herniorrhaphy Umbilical,49587,MEDICARE A,
Herniorrhaphy Umbilical,49587,HUM GOLD OUT,$806.00
Herniorrhaphy Umbilical,49587,ACAA,$475.00
Herniorrhaphy Umbilical,49587,ASOCIACION IN,
Herniorrhaphy Umbilical,49587,MMM OUT,$735.00
Herniorrhaphy Umbilical,49587,MCS CLASS,
Herniorrhaphy Umbilical,49587,PALIC,"$1,200.00"
Herniorrhaphy Umbilical,49587,CHAMPVA,
Herniorrhaphy Umbilical,49587,HUM GOLD IN,
Herniorrhaphy Umbilical,49587,ASOCIACION OUT,$770.00
Herniorrhaphy Umbilical,49587,MMM IN,
Herniorrhaphy Umbilical,49587,TRICARE,
Herniorrhaphy Umbilical,49587,TS VITAL,$611.00
Herniorrhaphy Umbilical,49587,TSADV IN,
Herniorrhaphy Umbilical,49587,TRIPLE S COM,$706.00
Herniorrhaphy Umbilical,49587,SSS BLUE CARD,$706.00
Herniorrhaphy Umbilical,49587,PMC IN,$735.00
Herniorrhaphy Umbilical,49587,VETERANS,
Herniorrhaphy Umbilical,49587,TSADV OUT,
Herniorrhaphy Umbilical,49587,PMC OUT,$735.00
"HERPES SIMP 1,2 VIRUS PCR",87529,ASOCIACION OUT,
"HERPES SIMP 1,2 VIRUS PCR",87529,FM VITAL,$33.46
"HERPES SIMP 1,2 VIRUS PCR",87529,PALIC,
"HERPES SIMP 1,2 VIRUS PCR",87529,HUM GOLD OUT,
"HERPES SIMP 1,2 VIRUS PCR",87529,HUMANA,
"HERPES SIMP 1,2 VIRUS PCR",87529,MMM IN,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,MMM OUT,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,MENONITA VITAL,$33.46
"HERPES SIMP 1,2 VIRUS PCR",87529,ACAA,
"HERPES SIMP 1,2 VIRUS PCR",87529,CHAMPVA,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,ASOCIACION IN,
"HERPES SIMP 1,2 VIRUS PCR",87529,MCS PREF,$49.00
"HERPES SIMP 1,2 VIRUS PCR",87529,FONDO,
"HERPES SIMP 1,2 VIRUS PCR",87529,MEDICARE A,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,IMC,
"HERPES SIMP 1,2 VIRUS PCR",87529,HUM GOLD IN,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,BELLA VISTA,
"HERPES SIMP 1,2 VIRUS PCR",87529,MEDICARE B,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,MCS CLASS,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,MMM VITAL,$33.46
"HERPES SIMP 1,2 VIRUS PCR",87529,MENONITA COM,$195.00
"HERPES SIMP 1,2 VIRUS PCR",87529,PMC IN,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,TRIPLE S COM,
"HERPES SIMP 1,2 VIRUS PCR",87529,SSS BLUE CARD,
"HERPES SIMP 1,2 VIRUS PCR",87529,TSADV OUT,$43.33
"HERPES SIMP 1,2 VIRUS PCR",87529,PMC OUT,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,VETERANS,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,TSADV IN,$43.33
"HERPES SIMP 1,2 VIRUS PCR",87529,TRICARE,$35.09
"HERPES SIMP 1,2 VIRUS PCR",87529,TS VITAL,
HIP UNIL W/PELVIS 2-3V  XR,73502,ASOCIACION IN,$25.00
HIP UNIL W/PELVIS 2-3V  XR,73502,PMC IN,$34.55
HIP UNIL W/PELVIS 2-3V  XR,73502,IMC,$13.00
HIP UNIL W/PELVIS 2-3V  XR,73502,CHAMPVA,$52.45
HIP UNIL W/PELVIS 2-3V  XR,73502,MCS CLASS,$52.45
HIP UNIL W/PELVIS 2-3V  XR,73502,MMM VITAL,$18.23
HIP UNIL W/PELVIS 2-3V  XR,73502,MMM OUT,$52.45
HIP UNIL W/PELVIS 2-3V  XR,73502,HUMANA,$13.50
HIP UNIL W/PELVIS 2-3V  XR,73502,PALIC,$16.50
HIP UNIL W/PELVIS 2-3V  XR,73502,MENONITA VITAL,$21.57
HIP UNIL W/PELVIS 2-3V  XR,73502,MCS PREF,$16.00
HIP UNIL W/PELVIS 2-3V  XR,73502,HUM GOLD IN,$34.55
HIP UNIL W/PELVIS 2-3V  XR,73502,MEDICARE B,$34.55
HIP UNIL W/PELVIS 2-3V  XR,73502,MENONITA COM,$15.00
HIP UNIL W/PELVIS 2-3V  XR,73502,ASOCIACION OUT,$25.00
HIP UNIL W/PELVIS 2-3V  XR,73502,FM VITAL,$14.75
HIP UNIL W/PELVIS 2-3V  XR,73502,FONDO,$30.81
HIP UNIL W/PELVIS 2-3V  XR,73502,MEDICARE A,$52.45
HIP UNIL W/PELVIS 2-3V  XR,73502,ACAA,$19.60
HIP UNIL W/PELVIS 2-3V  XR,73502,HUM GOLD OUT,$34.55
HIP UNIL W/PELVIS 2-3V  XR,73502,BELLA VISTA,$13.00
HIP UNIL W/PELVIS 2-3V  XR,73502,MMM IN,$34.55
HIP UNIL W/PELVIS 2-3V  XR,73502,TRICARE,$52.45
HIP UNIL W/PELVIS 2-3V  XR,73502,SSS BLUE CARD,$15.00
HIP UNIL W/PELVIS 2-3V  XR,73502,VETERANS,$52.45
HIP UNIL W/PELVIS 2-3V  XR,73502,TSADV OUT,$30.81
HIP UNIL W/PELVIS 2-3V  XR,73502,PMC OUT,$52.45
HIP UNIL W/PELVIS 2-3V  XR,73502,TS VITAL,$13.12
HIP UNIL W/PELVIS 2-3V  XR,73502,TRIPLE S COM,$15.00
HIP UNIL W/PELVIS 2-3V  XR,73502,TSADV IN,$30.81
HIP WITH PELVIS 1 VIEW XR,73501,HUM GOLD IN,$22.55
HIP WITH PELVIS 1 VIEW XR,73501,MMM OUT,$52.45
HIP WITH PELVIS 1 VIEW XR,73501,MMM IN,$22.55
HIP WITH PELVIS 1 VIEW XR,73501,MENONITA VITAL,$14.71
HIP WITH PELVIS 1 VIEW XR,73501,FM VITAL,$7.00
HIP WITH PELVIS 1 VIEW XR,73501,ASOCIACION IN,$15.00
HIP WITH PELVIS 1 VIEW XR,73501,MEDICARE B,$22.55
HIP WITH PELVIS 1 VIEW XR,73501,IMC,$7.00
HIP WITH PELVIS 1 VIEW XR,73501,BELLA VISTA,$9.50
HIP WITH PELVIS 1 VIEW XR,73501,ACAA,$9.80
HIP WITH PELVIS 1 VIEW XR,73501,MCS CLASS,$52.45
HIP WITH PELVIS 1 VIEW XR,73501,MENONITA COM,$14.00
HIP WITH PELVIS 1 VIEW XR,73501,MMM VITAL,$12.20
HIP WITH PELVIS 1 VIEW XR,73501,FONDO,$21.02
HIP WITH PELVIS 1 VIEW XR,73501,CHAMPVA,$52.45
HIP WITH PELVIS 1 VIEW XR,73501,HUM GOLD OUT,$22.55
HIP WITH PELVIS 1 VIEW XR,73501,PMC IN,$22.55
HIP WITH PELVIS 1 VIEW XR,73501,MEDICARE A,$52.45
HIP WITH PELVIS 1 VIEW XR,73501,PALIC,$10.00
HIP WITH PELVIS 1 VIEW XR,73501,ASOCIACION OUT,$15.00
HIP WITH PELVIS 1 VIEW XR,73501,MCS PREF,$8.09
HIP WITH PELVIS 1 VIEW XR,73501,HUMANA,$10.00
HIP WITH PELVIS 1 VIEW XR,73501,TRICARE,$52.45
HIP WITH PELVIS 1 VIEW XR,73501,TRIPLE S COM,$14.00
HIP WITH PELVIS 1 VIEW XR,73501,SSS BLUE CARD,$14.00
HIP WITH PELVIS 1 VIEW XR,73501,TSADV IN,$21.02
HIP WITH PELVIS 1 VIEW XR,73501,VETERANS,$52.45
HIP WITH PELVIS 1 VIEW XR,73501,TS VITAL,$12.25
HIP WITH PELVIS 1 VIEW XR,73501,TSADV OUT,$21.02
HIP WITH PELVIS 1 VIEW XR,73501,PMC OUT,$52.45
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MENONITA COM,$18.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,FM VITAL,$13.68
HIPS BILAT. 2 VIEW W PELVIS XR,73521,ASOCIACION OUT,$25.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MMM IN,$29.10
HIPS BILAT. 2 VIEW W PELVIS XR,73521,HUM GOLD IN,$29.10
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MCS PREF,$20.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,ASOCIACION IN,$25.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,HUM GOLD OUT,$29.10
HIPS BILAT. 2 VIEW W PELVIS XR,73521,FONDO,$26.82
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MCS CLASS,$73.66
HIPS BILAT. 2 VIEW W PELVIS XR,73521,IMC,$13.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,HUMANA,$16.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MEDICARE A,$73.66
HIPS BILAT. 2 VIEW W PELVIS XR,73521,CHAMPVA,$73.66
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MMM VITAL,$16.93
HIPS BILAT. 2 VIEW W PELVIS XR,73521,ACAA,
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MENONITA VITAL,$18.77
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MMM OUT,$73.66
HIPS BILAT. 2 VIEW W PELVIS XR,73521,BELLA VISTA,$15.50
HIPS BILAT. 2 VIEW W PELVIS XR,73521,PALIC,$20.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,MEDICARE B,$29.10
HIPS BILAT. 2 VIEW W PELVIS XR,73521,SSS BLUE CARD,$18.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,TSADV OUT,$26.82
HIPS BILAT. 2 VIEW W PELVIS XR,73521,TSADV IN,$26.82
HIPS BILAT. 2 VIEW W PELVIS XR,73521,PMC OUT,$73.66
HIPS BILAT. 2 VIEW W PELVIS XR,73521,TRICARE,$73.66
HIPS BILAT. 2 VIEW W PELVIS XR,73521,TS VITAL,$15.75
HIPS BILAT. 2 VIEW W PELVIS XR,73521,PMC IN,$29.10
HIPS BILAT. 2 VIEW W PELVIS XR,73521,TRIPLE S COM,$18.00
HIPS BILAT. 2 VIEW W PELVIS XR,73521,VETERANS,$73.66
HIV1 ANTG W HIV1  HIV2 AB SING,87389,PMC IN,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MENONITA COM,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,HUM GOLD IN,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,CHAMPVA,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,FM VITAL,$22.96
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MCS CLASS,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MENONITA VITAL,$22.96
HIV1 ANTG W HIV1  HIV2 AB SING,87389,ACAA,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,HUMANA,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,HUM GOLD OUT,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MCS PREF,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,FONDO,$29.73
HIV1 ANTG W HIV1  HIV2 AB SING,87389,ASOCIACION OUT,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MMM VITAL,$22.96
HIV1 ANTG W HIV1  HIV2 AB SING,87389,BELLA VISTA,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MEDICARE B,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MEDICARE A,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,PALIC,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MMM IN,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,MMM OUT,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,IMC,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,ASOCIACION IN,
HIV1 ANTG W HIV1  HIV2 AB SING,87389,SSS BLUE CARD,$33.00
HIV1 ANTG W HIV1  HIV2 AB SING,87389,TRIPLE S COM,$33.00
HIV1 ANTG W HIV1  HIV2 AB SING,87389,TSADV IN,$29.73
HIV1 ANTG W HIV1  HIV2 AB SING,87389,VETERANS,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,TS VITAL,$26.24
HIV1 ANTG W HIV1  HIV2 AB SING,87389,PMC OUT,$24.08
HIV1 ANTG W HIV1  HIV2 AB SING,87389,TSADV OUT,$29.73
HIV1 ANTG W HIV1  HIV2 AB SING,87389,TRICARE,$24.08
Hysterectomy,58670,MCS CLASS,
Hysterectomy,58670,ACAA,$475.00
Hysterectomy,58670,MMM VITAL,$611.00
Hysterectomy,58670,HUMANA,"$1,595.00"
Hysterectomy,58670,MMM IN,
Hysterectomy,58670,FM VITAL,$652.00
Hysterectomy,58670,IMC,"$1,201.00"
Hysterectomy,58670,MCS PREF,$712.00
Hysterectomy,58670,ASOCIACION IN,
Hysterectomy,58670,CHAMPVA,
Hysterectomy,58670,MEDICARE B,
Hysterectomy,58670,PALIC,"$1,200.00"
Hysterectomy,58670,FONDO,
Hysterectomy,58670,HUM GOLD IN,
Hysterectomy,58670,MENONITA VITAL,$660.00
Hysterectomy,58670,HUM GOLD OUT,$806.00
Hysterectomy,58670,MENONITA COM,$788.00
Hysterectomy,58670,MEDICARE A,
Hysterectomy,58670,MMM OUT,$735.00
Hysterectomy,58670,ASOCIACION OUT,$770.00
Hysterectomy,58670,BELLA VISTA,$650.00
Hysterectomy,58670,SSS BLUE CARD,$706.00
Hysterectomy,58670,TSADV OUT,
Hysterectomy,58670,PMC IN,$735.00
Hysterectomy,58670,TSADV IN,
Hysterectomy,58670,TRICARE,
Hysterectomy,58670,PMC OUT,$735.00
Hysterectomy,58670,VETERANS,
Hysterectomy,58670,TS VITAL,$611.00
Hysterectomy,58670,TRIPLE S COM,$706.00
Hysteroscopy,58558,HUM GOLD OUT,$806.00
Hysteroscopy,58558,HUMANA,$700.00
Hysteroscopy,58558,MCS CLASS,
Hysteroscopy,58558,ASOCIACION OUT,$770.00
Hysteroscopy,58558,MMM VITAL,$611.00
Hysteroscopy,58558,IMC,"$1,201.00"
Hysteroscopy,58558,FM VITAL,$652.00
Hysteroscopy,58558,MEDICARE A,
Hysteroscopy,58558,ACAA,$475.00
Hysteroscopy,58558,BELLA VISTA,$650.00
Hysteroscopy,58558,MENONITA COM,$788.00
Hysteroscopy,58558,MENONITA VITAL,$660.00
Hysteroscopy,58558,MMM OUT,$735.00
Hysteroscopy,58558,FONDO,
Hysteroscopy,58558,MMM IN,
Hysteroscopy,58558,ASOCIACION IN,
Hysteroscopy,58558,PALIC,$740.00
Hysteroscopy,58558,MEDICARE B,
Hysteroscopy,58558,CHAMPVA,
Hysteroscopy,58558,HUM GOLD IN,
Hysteroscopy,58558,MCS PREF,"$1,157.00"
Hysteroscopy,58558,PMC IN,$735.00
Hysteroscopy,58558,SSS BLUE CARD,$706.00
Hysteroscopy,58558,TS VITAL,$611.00
Hysteroscopy,58558,PMC OUT,$735.00
Hysteroscopy,58558,TRICARE,
Hysteroscopy,58558,TRIPLE S COM,$706.00
Hysteroscopy,58558,VETERANS,
Hysteroscopy,58558,TSADV OUT,
Hysteroscopy,58558,TSADV IN,
Incision and Drainage (I/D),10060,PALIC,$740.00
Incision and Drainage (I/D),10060,BELLA VISTA,$650.00
Incision and Drainage (I/D),10060,HUMANA,$700.00
Incision and Drainage (I/D),10060,MMM IN,$124.70
Incision and Drainage (I/D),10060,MCS CLASS,$66.80
Incision and Drainage (I/D),10060,FONDO,
Incision and Drainage (I/D),10060,ASOCIACION IN,
Incision and Drainage (I/D),10060,ASOCIACION OUT,$770.00
Incision and Drainage (I/D),10060,MCS PREF,$712.00
Incision and Drainage (I/D),10060,FM VITAL,$652.00
Incision and Drainage (I/D),10060,IMC,$605.00
Incision and Drainage (I/D),10060,MMM OUT,$735.00
Incision and Drainage (I/D),10060,MMM VITAL,$611.00
Incision and Drainage (I/D),10060,ACAA,$475.00
Incision and Drainage (I/D),10060,HUM GOLD IN,
Incision and Drainage (I/D),10060,MEDICARE B,
Incision and Drainage (I/D),10060,CHAMPVA,
Incision and Drainage (I/D),10060,MENONITA COM,$788.00
Incision and Drainage (I/D),10060,MEDICARE A,
Incision and Drainage (I/D),10060,HUM GOLD OUT,$806.00
Incision and Drainage (I/D),10060,MENONITA VITAL,$660.00
Incision and Drainage (I/D),10060,PMC IN,$735.00
Incision and Drainage (I/D),10060,TRIPLE S COM,$706.00
Incision and Drainage (I/D),10060,VETERANS,
Incision and Drainage (I/D),10060,TSADV OUT,$76.20
Incision and Drainage (I/D),10060,SSS BLUE CARD,$706.00
Incision and Drainage (I/D),10060,TS VITAL,$611.00
Incision and Drainage (I/D),10060,TRICARE,
Incision and Drainage (I/D),10060,TSADV IN,
Incision and Drainage (I/D),10060,PMC OUT,$735.00
INFLUENZA,87804,HUM GOLD OUT,
INFLUENZA,87804,MENONITA VITAL,
INFLUENZA,87804,MCS CLASS,$16.55
INFLUENZA,87804,BELLA VISTA,$35.00
INFLUENZA,87804,MEDICARE A,$16.55
INFLUENZA,87804,MENONITA COM,
INFLUENZA,87804,CHAMPVA,$16.55
INFLUENZA,87804,PALIC,
INFLUENZA,87804,HUM GOLD IN,$16.55
INFLUENZA,87804,HUMANA,$35.00
INFLUENZA,87804,ASOCIACION OUT,
INFLUENZA,87804,IMC,
INFLUENZA,87804,PMC IN,$16.55
INFLUENZA,87804,ACAA,
INFLUENZA,87804,MMM VITAL,
INFLUENZA,87804,FM VITAL,
INFLUENZA,87804,ASOCIACION IN,
INFLUENZA,87804,MMM OUT,$16.55
INFLUENZA,87804,MMM IN,$16.55
INFLUENZA,87804,FONDO,
INFLUENZA,87804,MCS PREF,$25.00
INFLUENZA,87804,MEDICARE B,$16.55
INFLUENZA,87804,TRIPLE S COM,$18.90
INFLUENZA,87804,TSADV IN,$14.83
INFLUENZA,87804,TS VITAL,
INFLUENZA,87804,VETERANS,$16.55
INFLUENZA,87804,PMC OUT,$16.55
INFLUENZA,87804,TSADV OUT,$14.83
INFLUENZA,87804,SSS BLUE CARD,$18.90
INFLUENZA,87804,TRICARE,$16.55
Initial new patient preventive medicine evaluation (18-39 years),99385,VETERANS,
Initial new patient preventive medicine evaluation (18-39 years),99385,SSS COM,
Initial new patient preventive medicine evaluation (18-39 years),99385,HUM GOLD PLUS,
Initial new patient preventive medicine evaluation (18-39 years),99385,SSS BLUE CARD,
Initial new patient preventive medicine evaluation (18-39 years),99385,PMC IN,
Initial new patient preventive medicine evaluation (18-39 years),99385,MOLINA VITAL,
Initial new patient preventive medicine evaluation (18-39 years),99385,PMC OUT,
Initial new patient preventive medicine evaluation (18-39 years),99385,FM VITAL,
Initial new patient preventive medicine evaluation (18-39 years),99385,PSM VITAL,
Initial new patient preventive medicine evaluation (18-39 years),99385,ACAA,
Initial new patient preventive medicine evaluation (18-39 years),99385,MMM VITAL,
Initial new patient preventive medicine evaluation (18-39 years),99385,MENONITA COM,
Initial new patient preventive medicine evaluation (18-39 years),99385,TS VITAL,
Initial new patient preventive medicine evaluation (18-39 years),99385,FONDO,
Initial new patient preventive medicine evaluation (18-39 years),99385,PALIC,
Initial new patient preventive medicine evaluation (18-39 years),99385,ASOCIACION INP,
Initial new patient preventive medicine evaluation (18-39 years),99385,HUMANA,
Initial new patient preventive medicine evaluation (18-39 years),99385,TRICARE,
Initial new patient preventive medicine evaluation (18-39 years),99385,MMM IN,
Initial new patient preventive medicine evaluation (18-39 years),99385,MMM OUT,
Initial new patient preventive medicine evaluation (18-39 years),99385,TS ADV IN,
Initial new patient preventive medicine evaluation (18-39 years),99385,MAP LIFE,
Initial new patient preventive medicine evaluation (18-39 years),99385,MCS PREF,
Initial new patient preventive medicine evaluation (18-39 years),99385,ASOCIACION OUT,
Initial new patient preventive medicine evaluation (18-39 years),99385,CHAMPVA,
Initial new patient preventive medicine evaluation (18-39 years),99385,MEDICARE B,
Initial new patient preventive medicine evaluation (18-39 years),99385,MCS CLASS,
Initial new patient preventive medicine evaluation (18-39 years),99385,TS ADV OUT,
Initial new patient preventive medicine evaluation (18-39 years),99385,BELLA VISTA,
Initial new patient preventive medicine evaluation (18-39 years),99385,MEDICARE A,
Initial new patient preventive medicine evaluation (18-39 years),99385,IMC,
Initial new patient preventive medicine evaluation (40-64 years),99386,TS VITAL,
Initial new patient preventive medicine evaluation (40-64 years),99386,FM VITAL,
Initial new patient preventive medicine evaluation (40-64 years),99386,VETERANS,
Initial new patient preventive medicine evaluation (40-64 years),99386,PALIC,
Initial new patient preventive medicine evaluation (40-64 years),99386,MENONITA COM,
Initial new patient preventive medicine evaluation (40-64 years),99386,PMC IN,
Initial new patient preventive medicine evaluation (40-64 years),99386,BELLA VISTA,
Initial new patient preventive medicine evaluation (40-64 years),99386,TRICARE,
Initial new patient preventive medicine evaluation (40-64 years),99386,MEDICARE B,
Initial new patient preventive medicine evaluation (40-64 years),99386,HUMANA,
Initial new patient preventive medicine evaluation (40-64 years),99386,MCS PREF,
Initial new patient preventive medicine evaluation (40-64 years),99386,PSM VITAL,
Initial new patient preventive medicine evaluation (40-64 years),99386,IMC,
Initial new patient preventive medicine evaluation (40-64 years),99386,ASOCIACION INP,
Initial new patient preventive medicine evaluation (40-64 years),99386,ACAA,
Initial new patient preventive medicine evaluation (40-64 years),99386,TS ADV IN,
Initial new patient preventive medicine evaluation (40-64 years),99386,MMM IN,
Initial new patient preventive medicine evaluation (40-64 years),99386,MEDICARE A,
Initial new patient preventive medicine evaluation (40-64 years),99386,FONDO,
Initial new patient preventive medicine evaluation (40-64 years),99386,TS ADV OUT,
Initial new patient preventive medicine evaluation (40-64 years),99386,PMC OUT,
Initial new patient preventive medicine evaluation (40-64 years),99386,MCS CLASS,
Initial new patient preventive medicine evaluation (40-64 years),99386,SSS BLUE CARD,
Initial new patient preventive medicine evaluation (40-64 years),99386,SSS COM,
Initial new patient preventive medicine evaluation (40-64 years),99386,MOLINA VITAL,
Initial new patient preventive medicine evaluation (40-64 years),99386,HUM GOLD PLUS,
Initial new patient preventive medicine evaluation (40-64 years),99386,CHAMPVA,
Initial new patient preventive medicine evaluation (40-64 years),99386,MMM VITAL,
Initial new patient preventive medicine evaluation (40-64 years),99386,MMM OUT,
Initial new patient preventive medicine evaluation (40-64 years),99386,ASOCIACION OUT,
Initial new patient preventive medicine evaluation (40-64 years),99386,MAP LIFE,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MOLINA VITAL,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MCS PREF,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MENONITA COM,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,ACAA,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,HUMANA,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MCS CLASS,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MMM VITAL,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,SSS COM,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,PALIC,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MEDICARE B,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,ASOCIACION INP,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MAP LIFE,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,ASOCIACION OUT,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,FONDO,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MMM IN,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,TRICARE,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,HUM GOLD PLUS,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MMM OUT,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,MEDICARE A,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,TS VITAL,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,PMC OUT,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,SSS BLUE CARD,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,FM VITAL,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,IMC,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,PMC IN,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,VETERANS,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,CHAMPVA,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,PSM VITAL,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,BELLA VISTA,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,TS ADV OUT,
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance,64483,TS ADV IN,
Insertion of catheter into left heart for diagnosis,93452,ACAA,
Insertion of catheter into left heart for diagnosis,93452,SSS BLUE CARD,
Insertion of catheter into left heart for diagnosis,93452,FONDO,
Insertion of catheter into left heart for diagnosis,93452,MEDICARE A,
Insertion of catheter into left heart for diagnosis,93452,MOLINA VITAL,
Insertion of catheter into left heart for diagnosis,93452,SSS COM,
Insertion of catheter into left heart for diagnosis,93452,PMC OUT,
Insertion of catheter into left heart for diagnosis,93452,TS ADV IN,
Insertion of catheter into left heart for diagnosis,93452,PSM VITAL,
Insertion of catheter into left heart for diagnosis,93452,PALIC,
Insertion of catheter into left heart for diagnosis,93452,MAP LIFE,
Insertion of catheter into left heart for diagnosis,93452,CHAMPVA,
Insertion of catheter into left heart for diagnosis,93452,VETERANS,
Insertion of catheter into left heart for diagnosis,93452,PMC IN,
Insertion of catheter into left heart for diagnosis,93452,MCS CLASS,
Insertion of catheter into left heart for diagnosis,93452,HUM GOLD PLUS,
Insertion of catheter into left heart for diagnosis,93452,TRICARE,
Insertion of catheter into left heart for diagnosis,93452,MEDICARE B,
Insertion of catheter into left heart for diagnosis,93452,MENONITA COM,
Insertion of catheter into left heart for diagnosis,93452,BELLA VISTA,
Insertion of catheter into left heart for diagnosis,93452,TS VITAL,
Insertion of catheter into left heart for diagnosis,93452,TS ADV OUT,
Insertion of catheter into left heart for diagnosis,93452,MMM VITAL,
Insertion of catheter into left heart for diagnosis,93452,MCS PREF,
Insertion of catheter into left heart for diagnosis,93452,ASOCIACION INP,
Insertion of catheter into left heart for diagnosis,93452,MMM IN,
Insertion of catheter into left heart for diagnosis,93452,MMM OUT,
Insertion of catheter into left heart for diagnosis,93452,IMC,
Insertion of catheter into left heart for diagnosis,93452,FM VITAL,
Insertion of catheter into left heart for diagnosis,93452,HUMANA,
Insertion of catheter into left heart for diagnosis,93452,ASOCIACION OUT,
IRON,83540,MEDICARE B,$6.47
IRON,83540,PMC IN,$6.47
IRON,83540,MCS CLASS,$6.47
IRON,83540,MENONITA VITAL,$6.17
IRON,83540,PALIC,$10.00
IRON,83540,FM VITAL,$6.17
IRON,83540,MMM VITAL,$6.17
IRON,83540,ASOCIACION OUT,
IRON,83540,MMM IN,$6.47
IRON,83540,BELLA VISTA,$7.00
IRON,83540,MENONITA COM,$10.00
IRON,83540,ACAA,$8.00
IRON,83540,MEDICARE A,$6.47
IRON,83540,ASOCIACION IN,$9.00
IRON,83540,MCS PREF,$10.00
IRON,83540,HUMANA,$7.00
IRON,83540,HUM GOLD OUT,
IRON,83540,IMC,$7.00
IRON,83540,HUM GOLD IN,$6.47
IRON,83540,FONDO,$7.99
IRON,83540,CHAMPVA,$6.47
IRON,83540,MMM OUT,$6.47
IRON,83540,VETERANS,$6.47
IRON,83540,TSADV OUT,$7.99
IRON,83540,TRIPLE S COM,$7.00
IRON,83540,TRICARE,$6.47
IRON,83540,PMC OUT,$6.47
IRON,83540,TS VITAL,$9.18
IRON,83540,TSADV IN,$7.99
IRON,83540,SSS BLUE CARD,$7.00
IRON BINDING CAPACITY (TIBC),83550,IMC,$15.00
IRON BINDING CAPACITY (TIBC),83550,MCS PREF,$15.00
IRON BINDING CAPACITY (TIBC),83550,MENONITA VITAL,$8.34
IRON BINDING CAPACITY (TIBC),83550,MMM VITAL,$8.34
IRON BINDING CAPACITY (TIBC),83550,PALIC,$15.00
IRON BINDING CAPACITY (TIBC),83550,ACAA,$17.00
IRON BINDING CAPACITY (TIBC),83550,MEDICARE B,$8.74
IRON BINDING CAPACITY (TIBC),83550,MCS CLASS,$8.74
IRON BINDING CAPACITY (TIBC),83550,MEDICARE A,$8.74
IRON BINDING CAPACITY (TIBC),83550,MMM IN,$8.74
IRON BINDING CAPACITY (TIBC),83550,HUM GOLD IN,$8.74
IRON BINDING CAPACITY (TIBC),83550,BELLA VISTA,$17.00
IRON BINDING CAPACITY (TIBC),83550,FM VITAL,$8.34
IRON BINDING CAPACITY (TIBC),83550,ASOCIACION OUT,
IRON BINDING CAPACITY (TIBC),83550,FONDO,$10.79
IRON BINDING CAPACITY (TIBC),83550,PMC IN,$8.74
IRON BINDING CAPACITY (TIBC),83550,MENONITA COM,$13.60
IRON BINDING CAPACITY (TIBC),83550,HUMANA,$10.00
IRON BINDING CAPACITY (TIBC),83550,MMM OUT,$8.74
IRON BINDING CAPACITY (TIBC),83550,HUM GOLD OUT,
IRON BINDING CAPACITY (TIBC),83550,ASOCIACION IN,$15.56
IRON BINDING CAPACITY (TIBC),83550,CHAMPVA,$8.74
IRON BINDING CAPACITY (TIBC),83550,VETERANS,$8.74
IRON BINDING CAPACITY (TIBC),83550,TS VITAL,$12.38
IRON BINDING CAPACITY (TIBC),83550,TSADV IN,$10.79
IRON BINDING CAPACITY (TIBC),83550,PMC OUT,$8.74
IRON BINDING CAPACITY (TIBC),83550,TSADV OUT,$10.79
IRON BINDING CAPACITY (TIBC),83550,SSS BLUE CARD,$17.00
IRON BINDING CAPACITY (TIBC),83550,TRICARE,$8.74
IRON BINDING CAPACITY (TIBC),83550,TRIPLE S COM,$17.00
K.U.B. XR,74018,CHAMPVA,$52.45
K.U.B. XR,74018,IMC,$7.00
K.U.B. XR,74018,MMM IN,$20.36
K.U.B. XR,74018,HUM GOLD IN,$20.36
K.U.B. XR,74018,MMM OUT,$52.45
K.U.B. XR,74018,FM VITAL,$6.40
K.U.B. XR,74018,MCS PREF,$8.00
K.U.B. XR,74018,PALIC,$10.00
K.U.B. XR,74018,MENONITA COM,$6.00
K.U.B. XR,74018,ACAA,$9.80
K.U.B. XR,74018,FONDO,$18.48
K.U.B. XR,74018,ASOCIACION OUT,
K.U.B. XR,74018,ASOCIACION IN,$12.00
K.U.B. XR,74018,MCS CLASS,$52.45
K.U.B. XR,74018,MMM VITAL,$12.94
K.U.B. XR,74018,MEDICARE B,$20.36
K.U.B. XR,74018,HUMANA,$8.50
K.U.B. XR,74018,HUM GOLD OUT,$20.36
K.U.B. XR,74018,BELLA VISTA,$7.00
K.U.B. XR,74018,MEDICARE A,$52.45
K.U.B. XR,74018,MENONITA VITAL,$12.94
K.U.B. XR,74018,TRICARE,$52.45
K.U.B. XR,74018,TSADV OUT,$9.95
K.U.B. XR,74018,TRIPLE S COM,$14.00
K.U.B. XR,74018,SSS BLUE CARD,$14.00
K.U.B. XR,74018,PMC IN,$20.36
K.U.B. XR,74018,PMC OUT,$52.45
K.U.B. XR,74018,TSADV IN,$39.32
K.U.B. XR,74018,VETERANS,$52.45
K.U.B. XR,74018,TS VITAL,$6.83
KETONE BODY QUAL (ACETONE),82009,ACAA,$3.00
KETONE BODY QUAL (ACETONE),82009,BELLA VISTA,$1.50
KETONE BODY QUAL (ACETONE),82009,MEDICARE A,$4.52
KETONE BODY QUAL (ACETONE),82009,MMM IN,$4.52
KETONE BODY QUAL (ACETONE),82009,HUMANA,
KETONE BODY QUAL (ACETONE),82009,MEDICARE B,$4.52
KETONE BODY QUAL (ACETONE),82009,MENONITA COM,$1.00
KETONE BODY QUAL (ACETONE),82009,MMM VITAL,$4.31
KETONE BODY QUAL (ACETONE),82009,MENONITA VITAL,$4.31
KETONE BODY QUAL (ACETONE),82009,FM VITAL,$1.37
KETONE BODY QUAL (ACETONE),82009,PALIC,
KETONE BODY QUAL (ACETONE),82009,ASOCIACION OUT,
KETONE BODY QUAL (ACETONE),82009,PMC IN,$4.52
KETONE BODY QUAL (ACETONE),82009,MCS CLASS,$4.52
KETONE BODY QUAL (ACETONE),82009,ASOCIACION IN,
KETONE BODY QUAL (ACETONE),82009,FONDO,$5.58
KETONE BODY QUAL (ACETONE),82009,MCS PREF,$1.50
KETONE BODY QUAL (ACETONE),82009,IMC,$1.50
KETONE BODY QUAL (ACETONE),82009,HUM GOLD OUT,
KETONE BODY QUAL (ACETONE),82009,HUM GOLD IN,$4.52
KETONE BODY QUAL (ACETONE),82009,MMM OUT,$4.52
KETONE BODY QUAL (ACETONE),82009,CHAMPVA,$4.52
KETONE BODY QUAL (ACETONE),82009,TSADV OUT,$5.58
KETONE BODY QUAL (ACETONE),82009,VETERANS,$4.52
KETONE BODY QUAL (ACETONE),82009,SSS BLUE CARD,$1.40
KETONE BODY QUAL (ACETONE),82009,PMC OUT,$4.52
KETONE BODY QUAL (ACETONE),82009,TS VITAL,$6.40
KETONE BODY QUAL (ACETONE),82009,TRIPLE S COM,$1.40
KETONE BODY QUAL (ACETONE),82009,TSADV IN,$5.58
KETONE BODY QUAL (ACETONE),82009,TRICARE,$4.52
KNEE 1 OR 2 VIEW  XR,73560,MEDICARE A,$52.45
KNEE 1 OR 2 VIEW  XR,73560,ASOCIACION OUT,
KNEE 1 OR 2 VIEW  XR,73560,MENONITA VITAL,$16.23
KNEE 1 OR 2 VIEW  XR,73560,PALIC,$14.00
KNEE 1 OR 2 VIEW  XR,73560,PMC IN,$25.46
KNEE 1 OR 2 VIEW  XR,73560,CHAMPVA,$52.45
KNEE 1 OR 2 VIEW  XR,73560,HUM GOLD OUT,$25.46
KNEE 1 OR 2 VIEW  XR,73560,FONDO,$23.19
KNEE 1 OR 2 VIEW  XR,73560,HUM GOLD IN,$25.46
KNEE 1 OR 2 VIEW  XR,73560,HUMANA,$10.00
KNEE 1 OR 2 VIEW  XR,73560,MCS PREF,$12.00
KNEE 1 OR 2 VIEW  XR,73560,ASOCIACION IN,$17.00
KNEE 1 OR 2 VIEW  XR,73560,ACAA,$14.70
KNEE 1 OR 2 VIEW  XR,73560,MEDICARE B,$25.46
KNEE 1 OR 2 VIEW  XR,73560,IMC,$9.50
KNEE 1 OR 2 VIEW  XR,73560,MMM VITAL,$13.49
KNEE 1 OR 2 VIEW  XR,73560,BELLA VISTA,$9.50
KNEE 1 OR 2 VIEW  XR,73560,FM VITAL,$11.03
KNEE 1 OR 2 VIEW  XR,73560,MENONITA COM,$9.00
KNEE 1 OR 2 VIEW  XR,73560,MMM IN,$25.46
KNEE 1 OR 2 VIEW  XR,73560,MMM OUT,$52.45
KNEE 1 OR 2 VIEW  XR,73560,MCS CLASS,$52.45
KNEE 1 OR 2 VIEW  XR,73560,VETERANS,$52.45
KNEE 1 OR 2 VIEW  XR,73560,TSADV OUT,$23.19
KNEE 1 OR 2 VIEW  XR,73560,TRIPLE S COM,$13.50
KNEE 1 OR 2 VIEW  XR,73560,SSS BLUE CARD,$13.50
KNEE 1 OR 2 VIEW  XR,73560,PMC OUT,$52.45
KNEE 1 OR 2 VIEW  XR,73560,TS VITAL,$9.26
KNEE 1 OR 2 VIEW  XR,73560,TSADV IN,$23.19
KNEE 1 OR 2 VIEW  XR,73560,TRICARE,$52.45
KNEE 3 VIEW XR RT,73562,CHAMPVA,$52.45
KNEE 3 VIEW XR RT,73562,MMM VITAL,$15.86
KNEE 3 VIEW XR RT,73562,MCS PREF,$13.00
KNEE 3 VIEW XR RT,73562,ASOCIACION IN,$23.00
KNEE 3 VIEW XR RT,73562,HUM GOLD IN,$30.19
KNEE 3 VIEW XR RT,73562,MENONITA COM,$12.50
KNEE 3 VIEW XR RT,73562,MEDICARE A,$52.45
KNEE 3 VIEW XR RT,73562,FONDO,$26.82
KNEE 3 VIEW XR RT,73562,HUM GOLD OUT,$30.19
KNEE 3 VIEW XR RT,73562,MMM OUT,$52.45
KNEE 3 VIEW XR RT,73562,MMM IN,$30.19
KNEE 3 VIEW XR RT,73562,MCS CLASS,$52.45
KNEE 3 VIEW XR RT,73562,PALIC,$15.00
KNEE 3 VIEW XR RT,73562,FM VITAL,$12.80
KNEE 3 VIEW XR RT,73562,BELLA VISTA,$10.50
KNEE 3 VIEW XR RT,73562,MENONITA VITAL,$18.77
KNEE 3 VIEW XR RT,73562,ASOCIACION OUT,
KNEE 3 VIEW XR RT,73562,MEDICARE B,$30.19
KNEE 3 VIEW XR RT,73562,HUMANA,$13.50
KNEE 3 VIEW XR RT,73562,ACAA,$17.50
KNEE 3 VIEW XR RT,73562,IMC,$13.00
KNEE 3 VIEW XR RT,73562,TS VITAL,$10.24
KNEE 3 VIEW XR RT,73562,TSADV OUT,$26.82
KNEE 3 VIEW XR RT,73562,PMC IN,$30.19
KNEE 3 VIEW XR RT,73562,TSADV IN,$26.82
KNEE 3 VIEW XR RT,73562,PMC OUT,$52.45
KNEE 3 VIEW XR RT,73562,VETERANS,$52.45
KNEE 3 VIEW XR RT,73562,SSS BLUE CARD,$14.00
KNEE 3 VIEW XR RT,73562,TRICARE,$52.45
KNEE 3 VIEW XR RT,73562,TRIPLE S COM,$14.00
KNEE COMP. 4 VIEW XR,73564,MENONITA COM,$12.50
KNEE COMP. 4 VIEW XR,73564,HUM GOLD OUT,$33.10
KNEE COMP. 4 VIEW XR,73564,HUMANA,$15.00
KNEE COMP. 4 VIEW XR,73564,ACAA,$12.60
KNEE COMP. 4 VIEW XR,73564,HUM GOLD IN,$33.10
KNEE COMP. 4 VIEW XR,73564,CHAMPVA,$73.66
KNEE COMP. 4 VIEW XR,73564,BELLA VISTA,$13.75
KNEE COMP. 4 VIEW XR,73564,MCS PREF,$17.50
KNEE COMP. 4 VIEW XR,73564,ASOCIACION IN,$23.00
KNEE COMP. 4 VIEW XR,73564,MEDICARE A,$73.66
KNEE COMP. 4 VIEW XR,73564,MEDICARE B,$33.10
KNEE COMP. 4 VIEW XR,73564,MMM VITAL,$17.15
KNEE COMP. 4 VIEW XR,73564,MENONITA VITAL,$20.30
KNEE COMP. 4 VIEW XR,73564,MMM OUT,$73.66
KNEE COMP. 4 VIEW XR,73564,MMM IN,$33.10
KNEE COMP. 4 VIEW XR,73564,FONDO,$29.00
KNEE COMP. 4 VIEW XR,73564,PMC IN,$33.10
KNEE COMP. 4 VIEW XR,73564,PALIC,$18.00
KNEE COMP. 4 VIEW XR,73564,FM VITAL,$13.68
KNEE COMP. 4 VIEW XR,73564,ASOCIACION OUT,
KNEE COMP. 4 VIEW XR,73564,IMC,$17.50
KNEE COMP. 4 VIEW XR,73564,MCS CLASS,$73.66
KNEE COMP. 4 VIEW XR,73564,VETERANS,$73.66
KNEE COMP. 4 VIEW XR,73564,TRIPLE S COM,$17.50
KNEE COMP. 4 VIEW XR,73564,SSS BLUE CARD,$17.50
KNEE COMP. 4 VIEW XR,73564,TS VITAL,$15.36
KNEE COMP. 4 VIEW XR,73564,TSADV IN,$29.00
KNEE COMP. 4 VIEW XR,73564,PMC OUT,$73.66
KNEE COMP. 4 VIEW XR,73564,TSADV OUT,$29.00
KNEE COMP. 4 VIEW XR,73564,TRICARE,$73.66
L.S.S. COMPLETE OBLIGUES XR,72110,TS ADV OUT,$33.71
L.S.S. COMPLETE OBLIGUES XR,72110,PSM VITAL,$23.60
L.S.S. COMPLETE OBLIGUES XR,72110,HUMANA,$20.50
L.S.S. COMPLETE OBLIGUES XR,72110,PALIC,$24.00
L.S.S. COMPLETE OBLIGUES XR,72110,MCS CLASS,$73.66
L.S.S. COMPLETE OBLIGUES XR,72110,PMC IN,$36.01
L.S.S. COMPLETE OBLIGUES XR,72110,MMM IN,$36.01
L.S.S. COMPLETE OBLIGUES XR,72110,IMC,$21.00
L.S.S. COMPLETE OBLIGUES XR,72110,PMC OUT,$73.66
L.S.S. COMPLETE OBLIGUES XR,72110,MOLINA VITAL,$23.60
L.S.S. COMPLETE OBLIGUES XR,72110,SSS COM,$23.00
L.S.S. COMPLETE OBLIGUES XR,72110,FONDO,$33.71
L.S.S. COMPLETE OBLIGUES XR,72110,TS VITAL,$20.48
L.S.S. COMPLETE OBLIGUES XR,72110,TRICARE,$73.66
L.S.S. COMPLETE OBLIGUES XR,72110,BELLA VISTA,$21.00
L.S.S. COMPLETE OBLIGUES XR,72110,MEDICARE B,$36.01
L.S.S. COMPLETE OBLIGUES XR,72110,MCS PREF,$24.00
L.S.S. COMPLETE OBLIGUES XR,72110,MENONITA COM,$18.00
L.S.S. COMPLETE OBLIGUES XR,72110,MMM OUT,$73.66
L.S.S. COMPLETE OBLIGUES XR,72110,FM VITAL,$16.16
L.S.S. COMPLETE OBLIGUES XR,72110,ACAA,$28.70
L.S.S. COMPLETE OBLIGUES XR,72110,ASOCIACION OUT,
L.S.S. COMPLETE OBLIGUES XR,72110,MAP LIFE,$24.00
L.S.S. COMPLETE OBLIGUES XR,72110,HUM GOLD PLUS,$36.01
L.S.S. COMPLETE OBLIGUES XR,72110,ASOCIACION INP,$35.00
L.S.S. COMPLETE OBLIGUES XR,72110,MEDICARE A,$73.66
L.S.S. COMPLETE OBLIGUES XR,72110,VETERANS,$73.66
L.S.S. COMPLETE OBLIGUES XR,72110,TS ADV IN,$33.71
L.S.S. COMPLETE OBLIGUES XR,72110,SSS BLUE CARD,$23.00
L.S.S. COMPLETE OBLIGUES XR,72110,MMM VITAL,$19.95
L.S.S. COMPLETE OBLIGUES XR,72110,CHAMPVA,$73.66
LACTATE (LACTIC ACID),83605,MCS PREF,$40.00
LACTATE (LACTIC ACID),83605,HUM GOLD OUT,
LACTATE (LACTIC ACID),83605,CHAMPVA,$11.57
LACTATE (LACTIC ACID),83605,FM VITAL,$11.64
LACTATE (LACTIC ACID),83605,MMM VITAL,$10.19
LACTATE (LACTIC ACID),83605,FONDO,$13.19
LACTATE (LACTIC ACID),83605,MENONITA VITAL,$10.19
LACTATE (LACTIC ACID),83605,ASOCIACION OUT,
LACTATE (LACTIC ACID),83605,ASOCIACION IN,
LACTATE (LACTIC ACID),83605,HUMANA,
LACTATE (LACTIC ACID),83605,MMM OUT,$11.57
LACTATE (LACTIC ACID),83605,MMM IN,$11.57
LACTATE (LACTIC ACID),83605,MEDICARE B,$11.57
LACTATE (LACTIC ACID),83605,HUM GOLD IN,$11.57
LACTATE (LACTIC ACID),83605,IMC,$36.00
LACTATE (LACTIC ACID),83605,MENONITA COM,$28.20
LACTATE (LACTIC ACID),83605,BELLA VISTA,$16.00
LACTATE (LACTIC ACID),83605,MEDICARE A,$11.57
LACTATE (LACTIC ACID),83605,PMC IN,$11.57
LACTATE (LACTIC ACID),83605,ACAA,
LACTATE (LACTIC ACID),83605,MCS CLASS,$11.57
LACTATE (LACTIC ACID),83605,PALIC,
LACTATE (LACTIC ACID),83605,SSS BLUE CARD,$38.49
LACTATE (LACTIC ACID),83605,TRICARE,$11.57
LACTATE (LACTIC ACID),83605,TS VITAL,$15.13
LACTATE (LACTIC ACID),83605,TSADV IN,$13.19
LACTATE (LACTIC ACID),83605,TSADV OUT,$13.19
LACTATE (LACTIC ACID),83605,PMC OUT,$11.57
LACTATE (LACTIC ACID),83605,VETERANS,$11.57
LACTATE (LACTIC ACID),83605,TRIPLE S COM,$38.49
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MMM OUT,"$1,450.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MEDICARE A,"$2,587.57"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MENONITA COM,"$1,400.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MEDICARE B,
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MCS PREF,"$1,157.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,ASOCIACION IN,"$1,362.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,HUM GOLD OUT,"$1,380.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,IMC,"$1,147.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,BELLA VISTA,"$1,250.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,CHAMPVA,
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,ASOCIACION OUT,"$1,442.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,HUM GOLD IN,"$1,400.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,PALIC,"$1,200.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,ACAA,$475.00
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,HUMANA,"$1,595.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,FM VITAL,$652.00
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MENONITA VITAL,"$1,005.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MCS CLASS,"$2,587.57"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MMM IN,"$1,450.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,FONDO,"$1,500.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,MMM VITAL,"$1,000.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,PMC IN,"$1,450.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,TRIPLE S COM,$706.00
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,VETERANS,
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,TS VITAL,$611.00
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,PMC OUT,"$1,450.00"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,TRICARE,"$2,587.57"
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,TSADV IN,
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,SSS BLUE CARD,$706.00
"Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum",49320,TSADV OUT,
"Laparoscopy, surgical",58661,BELLA VISTA,$650.00
"Laparoscopy, surgical",58661,ASOCIACION OUT,$770.00
"Laparoscopy, surgical",58661,PALIC,"$1,200.00"
"Laparoscopy, surgical",58661,ACAA,$475.00
"Laparoscopy, surgical",58661,FM VITAL,$652.00
"Laparoscopy, surgical",58661,CHAMPVA,
"Laparoscopy, surgical",58661,MMM OUT,$735.00
"Laparoscopy, surgical",58661,HUM GOLD IN,
"Laparoscopy, surgical",58661,MMM IN,
"Laparoscopy, surgical",58661,MCS CLASS,
"Laparoscopy, surgical",58661,MEDICARE A,
"Laparoscopy, surgical",58661,HUMANA,"$1,595.00"
"Laparoscopy, surgical",58661,MENONITA COM,$788.00
"Laparoscopy, surgical",58661,MCS PREF,$712.00
"Laparoscopy, surgical",58661,MMM VITAL,$611.00
"Laparoscopy, surgical",58661,HUM GOLD OUT,$806.00
"Laparoscopy, surgical",58661,ASOCIACION IN,
"Laparoscopy, surgical",58661,FONDO,
"Laparoscopy, surgical",58661,IMC,"$1,201.00"
"Laparoscopy, surgical",58661,MEDICARE B,
"Laparoscopy, surgical",58661,MENONITA VITAL,$660.00
"Laparoscopy, surgical",58661,TSADV IN,
"Laparoscopy, surgical",58661,PMC OUT,$735.00
"Laparoscopy, surgical",58661,TRIPLE S COM,$706.00
"Laparoscopy, surgical",58661,TS VITAL,$611.00
"Laparoscopy, surgical",58661,TSADV OUT,
"Laparoscopy, surgical",58661,TRICARE,
"Laparoscopy, surgical",58661,VETERANS,
"Laparoscopy, surgical",58661,SSS BLUE CARD,$706.00
"Laparoscopy, surgical",58661,PMC IN,$735.00
"Laparoscopy, surgical",58662,FM VITAL,$652.00
"Laparoscopy, surgical",58662,CHAMPVA,
"Laparoscopy, surgical",58662,MMM VITAL,"$1,000.00"
"Laparoscopy, surgical",58662,IMC,"$1,201.00"
"Laparoscopy, surgical",58662,ACAA,$475.00
"Laparoscopy, surgical",58662,HUM GOLD IN,
"Laparoscopy, surgical",58662,HUMANA,"$1,595.00"
"Laparoscopy, surgical",58662,FONDO,"$1,500.00"
"Laparoscopy, surgical",58662,ASOCIACION IN,
"Laparoscopy, surgical",58662,MEDICARE A,
"Laparoscopy, surgical",58662,ASOCIACION OUT,$770.00
"Laparoscopy, surgical",58662,MCS CLASS,
"Laparoscopy, surgical",58662,BELLA VISTA,"$1,250.00"
"Laparoscopy, surgical",58662,MMM OUT,"$1,450.00"
"Laparoscopy, surgical",58662,MMM IN,
"Laparoscopy, surgical",58662,PALIC,"$1,200.00"
"Laparoscopy, surgical",58662,MEDICARE B,
"Laparoscopy, surgical",58662,MENONITA COM,"$1,400.00"
"Laparoscopy, surgical",58662,MENONITA VITAL,"$1,005.00"
"Laparoscopy, surgical",58662,MCS PREF,"$1,157.00"
"Laparoscopy, surgical",58662,HUM GOLD OUT,"$1,380.00"
"Laparoscopy, surgical",58662,VETERANS,
"Laparoscopy, surgical",58662,PMC OUT,"$1,450.00"
"Laparoscopy, surgical",58662,SSS BLUE CARD,$706.00
"Laparoscopy, surgical",58662,TRICARE,
"Laparoscopy, surgical",58662,TSADV IN,
"Laparoscopy, surgical",58662,TS VITAL,$611.00
"Laparoscopy, surgical",58662,PMC IN,"$1,450.00"
"Laparoscopy, surgical",58662,TSADV OUT,
"Laparoscopy, surgical",58662,TRIPLE S COM,$706.00
LDH (LACTATE DEHYDRIGENAS),83615,HUM GOLD IN,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,MENONITA COM,$5.60
LDH (LACTATE DEHYDRIGENAS),83615,ACAA,$8.00
LDH (LACTATE DEHYDRIGENAS),83615,MEDICARE A,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,MEDICARE B,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,MCS CLASS,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,MMM VITAL,$5.75
LDH (LACTATE DEHYDRIGENAS),83615,FM VITAL,$5.75
LDH (LACTATE DEHYDRIGENAS),83615,ASOCIACION IN,$7.20
LDH (LACTATE DEHYDRIGENAS),83615,MMM IN,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,MENONITA VITAL,$5.75
LDH (LACTATE DEHYDRIGENAS),83615,MCS PREF,$10.00
LDH (LACTATE DEHYDRIGENAS),83615,IMC,$7.00
LDH (LACTATE DEHYDRIGENAS),83615,CHAMPVA,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,HUM GOLD OUT,
LDH (LACTATE DEHYDRIGENAS),83615,BELLA VISTA,$8.00
LDH (LACTATE DEHYDRIGENAS),83615,HUMANA,$7.00
LDH (LACTATE DEHYDRIGENAS),83615,ASOCIACION OUT,
LDH (LACTATE DEHYDRIGENAS),83615,FONDO,$7.45
LDH (LACTATE DEHYDRIGENAS),83615,MMM OUT,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,PALIC,$10.00
LDH (LACTATE DEHYDRIGENAS),83615,PMC IN,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,VETERANS,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,PMC OUT,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,SSS BLUE CARD,$7.27
LDH (LACTATE DEHYDRIGENAS),83615,TRIPLE S COM,$7.27
LDH (LACTATE DEHYDRIGENAS),83615,TS VITAL,$8.55
LDH (LACTATE DEHYDRIGENAS),83615,TRICARE,$6.04
LDH (LACTATE DEHYDRIGENAS),83615,TSADV OUT,$7.45
LDH (LACTATE DEHYDRIGENAS),83615,TSADV IN,$7.45
LIPASE,83690,HUMANA,$10.00
LIPASE,83690,HUM GOLD IN,$6.89
LIPASE,83690,MMM IN,$6.89
LIPASE,83690,MCS PREF,$12.00
LIPASE,83690,MENONITA VITAL,$6.57
LIPASE,83690,MCS CLASS,$6.89
LIPASE,83690,MEDICARE B,$6.89
LIPASE,83690,MENONITA COM,$15.00
LIPASE,83690,ASOCIACION OUT,
LIPASE,83690,HUM GOLD OUT,
LIPASE,83690,IMC,$8.00
LIPASE,83690,FONDO,$8.51
LIPASE,83690,MMM OUT,$6.89
LIPASE,83690,PMC IN,$6.89
LIPASE,83690,MEDICARE A,$6.89
LIPASE,83690,MMM VITAL,$6.57
LIPASE,83690,PALIC,$12.00
LIPASE,83690,BELLA VISTA,$6.00
LIPASE,83690,FM VITAL,$6.57
LIPASE,83690,ACAA,$7.00
LIPASE,83690,CHAMPVA,$6.89
LIPASE,83690,ASOCIACION IN,$9.00
LIPASE,83690,TRICARE,$6.89
LIPASE,83690,VETERANS,$6.89
LIPASE,83690,TRIPLE S COM,$8.49
LIPASE,83690,PMC OUT,$6.89
LIPASE,83690,TS VITAL,$9.76
LIPASE,83690,TSADV OUT,$8.51
LIPASE,83690,TSADV IN,$8.51
LIPASE,83690,SSS BLUE CARD,$8.49
LIPID PANEL,80061,CHAMPVA,$13.39
LIPID PANEL,80061,IMC,$30.00
LIPID PANEL,80061,MMM OUT,$13.39
LIPID PANEL,80061,FONDO,$16.53
LIPID PANEL,80061,ASOCIACION INP,$27.00
LIPID PANEL,80061,HUMANA,$29.00
LIPID PANEL,80061,TS ADV IN,$16.53
LIPID PANEL,80061,HUM GOLD PLUS,$13.39
LIPID PANEL,80061,MEDICARE B,$13.39
LIPID PANEL,80061,TS ADV OUT,$16.53
LIPID PANEL,80061,SSS BLUE CARD,$28.00
LIPID PANEL,80061,MENONITA COM,$21.20
LIPID PANEL,80061,SSS COM,$28.00
LIPID PANEL,80061,BELLA VISTA,$40.00
LIPID PANEL,80061,ACAA,$28.00
LIPID PANEL,80061,PALIC,$45.00
LIPID PANEL,80061,MCS CLASS,$13.39
LIPID PANEL,80061,FM VITAL,$12.77
LIPID PANEL,80061,PSM VITAL,$18.24
LIPID PANEL,80061,ASOCIACION OUT,
LIPID PANEL,80061,TRICARE,$13.39
LIPID PANEL,80061,MEDICARE A,$13.39
LIPID PANEL,80061,MAP LIFE,$25.00
LIPID PANEL,80061,VETERANS,$13.39
LIPID PANEL,80061,MCS PREF,$28.00
LIPID PANEL,80061,PMC IN,$13.39
LIPID PANEL,80061,MMM IN,$13.39
LIPID PANEL,80061,PMC OUT,$13.39
LIPID PANEL,80061,MMM VITAL,$12.77
LIPID PANEL,80061,TS VITAL,$18.97
LIPID PANEL,80061,MOLINA VITAL,$11.57
LOWER EXTREMITY CT,73700,HUM GOLD OUT,$106.95
LOWER EXTREMITY CT,73700,HUMANA,$137.50
LOWER EXTREMITY CT,73700,FONDO,$132.67
LOWER EXTREMITY CT,73700,ACAA,$81.81
LOWER EXTREMITY CT,73700,ASOCIACION IN,$260.00
LOWER EXTREMITY CT,73700,MEDICARE A,$73.66
LOWER EXTREMITY CT,73700,FM VITAL,$55.38
LOWER EXTREMITY CT,73700,ASOCIACION OUT,
LOWER EXTREMITY CT,73700,HUM GOLD IN,$106.95
LOWER EXTREMITY CT,73700,MMM OUT,$73.66
LOWER EXTREMITY CT,73700,BELLA VISTA,$125.00
LOWER EXTREMITY CT,73700,MCS CLASS,$73.66
LOWER EXTREMITY CT,73700,IMC,$137.50
LOWER EXTREMITY CT,73700,MENONITA VITAL,$80.69
LOWER EXTREMITY CT,73700,MCS PREF,$150.00
LOWER EXTREMITY CT,73700,CHAMPVA,$73.66
LOWER EXTREMITY CT,73700,MEDICARE B,$106.95
LOWER EXTREMITY CT,73700,MENONITA COM,$123.50
LOWER EXTREMITY CT,73700,PALIC,$150.00
LOWER EXTREMITY CT,73700,MMM IN,$106.95
LOWER EXTREMITY CT,73700,MMM VITAL,$78.44
LOWER EXTREMITY CT,73700,PMC IN,$106.95
LOWER EXTREMITY CT,73700,PMC OUT,$73.66
LOWER EXTREMITY CT,73700,VETERANS,$73.66
LOWER EXTREMITY CT,73700,TRICARE,$73.66
LOWER EXTREMITY CT,73700,TS VITAL,$120.00
LOWER EXTREMITY CT,73700,TSADV OUT,$119.62
LOWER EXTREMITY CT,73700,SSS BLUE CARD,$150.00
LOWER EXTREMITY CT,73700,TRIPLE S COM,$150.00
LOWER EXTREMITY CT,73700,TSADV IN,$119.62
LOWER EXTREMITY W/C CT RT,73701,MEDICARE B,$138.59
LOWER EXTREMITY W/C CT RT,73701,HUM GOLD IN,$138.59
LOWER EXTREMITY W/C CT RT,73701,MMM IN,$138.59
LOWER EXTREMITY W/C CT RT,73701,ASOCIACION IN,$260.00
LOWER EXTREMITY W/C CT RT,73701,MEDICARE A,$119.76
LOWER EXTREMITY W/C CT RT,73701,FONDO,$171.46
LOWER EXTREMITY W/C CT RT,73701,MENONITA COM,$128.50
LOWER EXTREMITY W/C CT RT,73701,MCS PREF,$175.00
LOWER EXTREMITY W/C CT RT,73701,PALIC,$175.00
LOWER EXTREMITY W/C CT RT,73701,CHAMPVA,$119.76
LOWER EXTREMITY W/C CT RT,73701,ACAA,$67.53
LOWER EXTREMITY W/C CT RT,73701,MENONITA VITAL,$120.02
LOWER EXTREMITY W/C CT RT,73701,BELLA VISTA,$145.00
LOWER EXTREMITY W/C CT RT,73701,MMM VITAL,$101.45
LOWER EXTREMITY W/C CT RT,73701,HUMANA,$142.50
LOWER EXTREMITY W/C CT RT,73701,FM VITAL,$82.95
LOWER EXTREMITY W/C CT RT,73701,MMM OUT,$119.76
LOWER EXTREMITY W/C CT RT,73701,ASOCIACION OUT,
LOWER EXTREMITY W/C CT RT,73701,HUM GOLD OUT,$138.59
LOWER EXTREMITY W/C CT RT,73701,IMC,$137.50
LOWER EXTREMITY W/C CT RT,73701,MCS CLASS,$119.76
LOWER EXTREMITY W/C CT RT,73701,SSS BLUE CARD,$150.00
LOWER EXTREMITY W/C CT RT,73701,TRICARE,$119.76
LOWER EXTREMITY W/C CT RT,73701,TS VITAL,$120.00
LOWER EXTREMITY W/C CT RT,73701,PMC IN,$138.59
LOWER EXTREMITY W/C CT RT,73701,VETERANS,$119.76
LOWER EXTREMITY W/C CT RT,73701,TSADV IN,$171.46
LOWER EXTREMITY W/C CT RT,73701,TRIPLE S COM,$150.00
LOWER EXTREMITY W/C CT RT,73701,TSADV OUT,$171.46
LOWER EXTREMITY W/C CT RT,73701,PMC OUT,$119.76
LUMBAR SPINE CT,72131,MMM IN,$106.95
LUMBAR SPINE CT,72131,ACAA,$81.81
LUMBAR SPINE CT,72131,CHAMPVA,$73.66
LUMBAR SPINE CT,72131,MENONITA VITAL,$80.69
LUMBAR SPINE CT,72131,ASOCIACION IN,$260.00
LUMBAR SPINE CT,72131,HUMANA,$137.50
LUMBAR SPINE CT,72131,MCS CLASS,$73.66
LUMBAR SPINE CT,72131,MEDICARE B,$106.95
LUMBAR SPINE CT,72131,ASOCIACION OUT,
LUMBAR SPINE CT,72131,MEDICARE A,$73.66
LUMBAR SPINE CT,72131,BELLA VISTA,$150.00
LUMBAR SPINE CT,72131,HUM GOLD IN,$106.95
LUMBAR SPINE CT,72131,MENONITA COM,$132.50
LUMBAR SPINE CT,72131,MCS PREF,$150.00
LUMBAR SPINE CT,72131,FONDO,$132.67
LUMBAR SPINE CT,72131,PALIC,$150.00
LUMBAR SPINE CT,72131,HUM GOLD OUT,$106.95
LUMBAR SPINE CT,72131,FM VITAL,$55.38
LUMBAR SPINE CT,72131,IMC,$137.50
LUMBAR SPINE CT,72131,MMM VITAL,$78.44
LUMBAR SPINE CT,72131,MMM OUT,$73.66
LUMBAR SPINE CT,72131,TRIPLE S COM,$137.50
LUMBAR SPINE CT,72131,SSS BLUE CARD,$137.50
LUMBAR SPINE CT,72131,VETERANS,$73.66
LUMBAR SPINE CT,72131,PMC IN,$106.95
LUMBAR SPINE CT,72131,TRICARE,$73.66
LUMBAR SPINE CT,72131,PMC OUT,$73.66
LUMBAR SPINE CT,72131,TSADV IN,$119.62
LUMBAR SPINE CT,72131,TSADV OUT,$119.62
LUMBAR SPINE CT,72131,TS VITAL,$110.00
LUMBAR SPINE WITH CONTRAST CT,72132,ASOCIACION IN,$260.00
LUMBAR SPINE WITH CONTRAST CT,72132,HUM GOLD IN,$137.50
LUMBAR SPINE WITH CONTRAST CT,72132,HUM GOLD OUT,$137.50
LUMBAR SPINE WITH CONTRAST CT,72132,BELLA VISTA,$170.00
LUMBAR SPINE WITH CONTRAST CT,72132,MEDICARE A,$250.96
LUMBAR SPINE WITH CONTRAST CT,72132,MEDICARE B,$137.50
LUMBAR SPINE WITH CONTRAST CT,72132,MCS PREF,$175.00
LUMBAR SPINE WITH CONTRAST CT,72132,MCS CLASS,$250.96
LUMBAR SPINE WITH CONTRAST CT,72132,MMM VITAL,$101.02
LUMBAR SPINE WITH CONTRAST CT,72132,IMC,$137.50
LUMBAR SPINE WITH CONTRAST CT,72132,PALIC,$175.00
LUMBAR SPINE WITH CONTRAST CT,72132,MMM IN,$137.50
LUMBAR SPINE WITH CONTRAST CT,72132,FM VITAL,$82.77
LUMBAR SPINE WITH CONTRAST CT,72132,HUMANA,$142.50
LUMBAR SPINE WITH CONTRAST CT,72132,CHAMPVA,$250.96
LUMBAR SPINE WITH CONTRAST CT,72132,ACAA,$89.25
LUMBAR SPINE WITH CONTRAST CT,72132,ASOCIACION OUT,
LUMBAR SPINE WITH CONTRAST CT,72132,MMM OUT,$250.96
LUMBAR SPINE WITH CONTRAST CT,72132,MENONITA COM,$135.00
LUMBAR SPINE WITH CONTRAST CT,72132,MENONITA VITAL,$119.52
LUMBAR SPINE WITH CONTRAST CT,72132,FONDO,$170.74
LUMBAR SPINE WITH CONTRAST CT,72132,PMC OUT,$250.96
LUMBAR SPINE WITH CONTRAST CT,72132,TRIPLE S COM,$150.00
LUMBAR SPINE WITH CONTRAST CT,72132,TSADV OUT,$170.74
LUMBAR SPINE WITH CONTRAST CT,72132,TRICARE,$250.96
LUMBAR SPINE WITH CONTRAST CT,72132,VETERANS,$250.96
LUMBAR SPINE WITH CONTRAST CT,72132,PMC IN,$137.50
LUMBAR SPINE WITH CONTRAST CT,72132,TSADV IN,$170.74
LUMBAR SPINE WITH CONTRAST CT,72132,TS VITAL,$120.00
LUMBAR SPINE WITH CONTRAST CT,72132,SSS BLUE CARD,$150.00
LUMBO SACRAL SPINE XR,72100,MMM IN,$27.28
LUMBO SACRAL SPINE XR,72100,MEDICARE B,$27.28
LUMBO SACRAL SPINE XR,72100,BELLA VISTA,$14.00
LUMBO SACRAL SPINE XR,72100,ACAA,$19.60
LUMBO SACRAL SPINE XR,72100,MENONITA COM,$11.50
LUMBO SACRAL SPINE XR,72100,MMM OUT,$73.66
LUMBO SACRAL SPINE XR,72100,MENONITA VITAL,$17.00
LUMBO SACRAL SPINE XR,72100,IMC,$14.00
LUMBO SACRAL SPINE XR,72100,MEDICARE A,$73.66
LUMBO SACRAL SPINE XR,72100,ASOCIACION OUT,
LUMBO SACRAL SPINE XR,72100,MCS CLASS,$73.66
LUMBO SACRAL SPINE XR,72100,HUMANA,$13.00
LUMBO SACRAL SPINE XR,72100,MCS PREF,$16.00
LUMBO SACRAL SPINE XR,72100,HUM GOLD OUT,$27.28
LUMBO SACRAL SPINE XR,72100,PALIC,$17.50
LUMBO SACRAL SPINE XR,72100,CHAMPVA,$73.66
LUMBO SACRAL SPINE XR,72100,HUM GOLD IN,$27.28
LUMBO SACRAL SPINE XR,72100,FONDO,$24.28
LUMBO SACRAL SPINE XR,72100,MMM VITAL,$14.35
LUMBO SACRAL SPINE XR,72100,FM VITAL,$11.56
LUMBO SACRAL SPINE XR,72100,ASOCIACION IN,$23.00
LUMBO SACRAL SPINE XR,72100,PMC IN,$27.28
LUMBO SACRAL SPINE XR,72100,TSADV OUT,$24.28
LUMBO SACRAL SPINE XR,72100,VETERANS,$73.66
LUMBO SACRAL SPINE XR,72100,TSADV IN,$24.28
LUMBO SACRAL SPINE XR,72100,PMC OUT,$73.66
LUMBO SACRAL SPINE XR,72100,TRIPLE S COM,$17.00
LUMBO SACRAL SPINE XR,72100,TS VITAL,$13.65
LUMBO SACRAL SPINE XR,72100,TRICARE,$73.66
LUMBO SACRAL SPINE XR,72100,SSS BLUE CARD,$17.00
MAGNESIUM,83735,MMM IN,$6.70
MAGNESIUM,83735,FM VITAL,$6.38
MAGNESIUM,83735,MMM OUT,$6.70
MAGNESIUM,83735,BELLA VISTA,$10.00
MAGNESIUM,83735,FONDO,$8.27
MAGNESIUM,83735,PALIC,$15.00
MAGNESIUM,83735,HUM GOLD OUT,
MAGNESIUM,83735,ACAA,$10.00
MAGNESIUM,83735,MCS PREF,$15.00
MAGNESIUM,83735,PMC IN,$6.70
MAGNESIUM,83735,CHAMPVA,$6.70
MAGNESIUM,83735,HUM GOLD IN,$6.70
MAGNESIUM,83735,MCS CLASS,$6.70
MAGNESIUM,83735,MEDICARE A,$6.70
MAGNESIUM,83735,MMM VITAL,$6.38
MAGNESIUM,83735,IMC,$9.00
MAGNESIUM,83735,ASOCIACION IN,$9.94
MAGNESIUM,83735,HUMANA,$10.00
MAGNESIUM,83735,ASOCIACION OUT,
MAGNESIUM,83735,MENONITA VITAL,$6.38
MAGNESIUM,83735,MEDICARE B,$6.70
MAGNESIUM,83735,MENONITA COM,$7.40
MAGNESIUM,83735,VETERANS,$6.70
MAGNESIUM,83735,SSS BLUE CARD,$9.36
MAGNESIUM,83735,TSADV IN,$8.27
MAGNESIUM,83735,PMC OUT,$6.70
MAGNESIUM,83735,TRICARE,$6.70
MAGNESIUM,83735,TSADV OUT,$8.27
MAGNESIUM,83735,TRIPLE S COM,$9.36
MAGNESIUM,83735,TS VITAL,$9.49
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,CHAMPVA,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,PMC OUT,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,IMC,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,BELLA VISTA,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,HUMANA,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MCS PREF,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,VETERANS,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,FONDO,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,TRICARE,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,HUM GOLD PLUS,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MCS CLASS,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,PMC IN,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MENONITA COM,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,TS ADV OUT,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,ACAA,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,ASOCIACION OUT,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,TS VITAL,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,PSM VITAL,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MEDICARE A,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,TS ADV IN,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,FM VITAL,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MMM IN,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MMM OUT,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MMM VITAL,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,SSS BLUE CARD,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MEDICARE B,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MOLINA VITAL,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,SSS COM,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,MAP LIFE,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,PALIC,
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT. W/O MCC,470,ASOCIACION INP,
Mastectomy Parcial,19301,MMM VITAL,$611.00
Mastectomy Parcial,19301,MMM IN,
Mastectomy Parcial,19301,HUMANA,$700.00
Mastectomy Parcial,19301,MENONITA COM,$788.00
Mastectomy Parcial,19301,MEDICARE B,
Mastectomy Parcial,19301,MCS PREF,$712.00
Mastectomy Parcial,19301,CHAMPVA,
Mastectomy Parcial,19301,ACAA,$475.00
Mastectomy Parcial,19301,MEDICARE A,
Mastectomy Parcial,19301,IMC,$605.00
Mastectomy Parcial,19301,FM VITAL,$652.00
Mastectomy Parcial,19301,HUM GOLD IN,
Mastectomy Parcial,19301,PALIC,$740.00
Mastectomy Parcial,19301,MMM OUT,$735.00
Mastectomy Parcial,19301,MENONITA VITAL,$660.00
Mastectomy Parcial,19301,BELLA VISTA,$650.00
Mastectomy Parcial,19301,ASOCIACION IN,
Mastectomy Parcial,19301,MCS CLASS,
Mastectomy Parcial,19301,FONDO,
Mastectomy Parcial,19301,HUM GOLD OUT,$806.00
Mastectomy Parcial,19301,ASOCIACION OUT,$770.00
Mastectomy Parcial,19301,TS VITAL,$611.00
Mastectomy Parcial,19301,TRIPLE S COM,$706.00
Mastectomy Parcial,19301,PMC IN,$735.00
Mastectomy Parcial,19301,SSS BLUE CARD,$706.00
Mastectomy Parcial,19301,TSADV IN,
Mastectomy Parcial,19301,TRICARE,
Mastectomy Parcial,19301,TSADV OUT,
Mastectomy Parcial,19301,PMC OUT,$735.00
Mastectomy Parcial,19301,VETERANS,
MAXILLOFACIAL W/CONTRAST CT,70487,MEDICARE A,$119.76
MAXILLOFACIAL W/CONTRAST CT,70487,HUM GOLD IN,$112.77
MAXILLOFACIAL W/CONTRAST CT,70487,ASOCIACION IN,$260.00
MAXILLOFACIAL W/CONTRAST CT,70487,FONDO,$113.82
MAXILLOFACIAL W/CONTRAST CT,70487,HUMANA,$142.50
MAXILLOFACIAL W/CONTRAST CT,70487,MMM IN,$112.77
MAXILLOFACIAL W/CONTRAST CT,70487,MMM OUT,$119.76
MAXILLOFACIAL W/CONTRAST CT,70487,MCS CLASS,$119.76
MAXILLOFACIAL W/CONTRAST CT,70487,IMC,$137.50
MAXILLOFACIAL W/CONTRAST CT,70487,CHAMPVA,$119.76
MAXILLOFACIAL W/CONTRAST CT,70487,ASOCIACION OUT,
MAXILLOFACIAL W/CONTRAST CT,70487,PALIC,$175.00
MAXILLOFACIAL W/CONTRAST CT,70487,FM VITAL,$55.21
MAXILLOFACIAL W/CONTRAST CT,70487,MCS PREF,$175.00
MAXILLOFACIAL W/CONTRAST CT,70487,BELLA VISTA,$93.50
MAXILLOFACIAL W/CONTRAST CT,70487,MEDICARE B,$112.77
MAXILLOFACIAL W/CONTRAST CT,70487,MENONITA VITAL,$79.67
MAXILLOFACIAL W/CONTRAST CT,70487,MENONITA COM,$137.50
MAXILLOFACIAL W/CONTRAST CT,70487,MMM VITAL,$67.04
MAXILLOFACIAL W/CONTRAST CT,70487,ACAA,$89.25
MAXILLOFACIAL W/CONTRAST CT,70487,HUM GOLD OUT,$112.77
MAXILLOFACIAL W/CONTRAST CT,70487,PMC OUT,$119.76
MAXILLOFACIAL W/CONTRAST CT,70487,TSADV IN,$113.82
MAXILLOFACIAL W/CONTRAST CT,70487,TRIPLE S COM,$137.50
MAXILLOFACIAL W/CONTRAST CT,70487,VETERANS,$119.76
MAXILLOFACIAL W/CONTRAST CT,70487,TRICARE,$119.76
MAXILLOFACIAL W/CONTRAST CT,70487,TS VITAL,$110.00
MAXILLOFACIAL W/CONTRAST CT,70487,TSADV OUT,$113.82
MAXILLOFACIAL W/CONTRAST CT,70487,SSS BLUE CARD,$137.50
MAXILLOFACIAL W/CONTRAST CT,70487,PMC IN,$112.77
MB FRACTION ONLY,82553,MENONITA VITAL,$11.01
MB FRACTION ONLY,82553,PALIC,$40.00
MB FRACTION ONLY,82553,HUMANA,$25.00
MB FRACTION ONLY,82553,IMC,$28.00
MB FRACTION ONLY,82553,CHAMPVA,$11.55
MB FRACTION ONLY,82553,ASOCIACION IN,$29.00
MB FRACTION ONLY,82553,MMM OUT,$11.55
MB FRACTION ONLY,82553,BELLA VISTA,$16.00
MB FRACTION ONLY,82553,ASOCIACION OUT,
MB FRACTION ONLY,82553,MCS PREF,$40.00
MB FRACTION ONLY,82553,FONDO,$14.26
MB FRACTION ONLY,82553,ACAA,$15.00
MB FRACTION ONLY,82553,MEDICARE A,$11.55
MB FRACTION ONLY,82553,HUM GOLD OUT,
MB FRACTION ONLY,82553,MEDICARE B,$11.55
MB FRACTION ONLY,82553,MCS CLASS,$11.55
MB FRACTION ONLY,82553,PMC IN,$11.55
MB FRACTION ONLY,82553,MMM VITAL,$11.01
MB FRACTION ONLY,82553,FM VITAL,$11.01
MB FRACTION ONLY,82553,MMM IN,$11.55
MB FRACTION ONLY,82553,HUM GOLD IN,$11.55
MB FRACTION ONLY,82553,MENONITA COM,$23.20
MB FRACTION ONLY,82553,TRICARE,$11.55
MB FRACTION ONLY,82553,VETERANS,$11.55
MB FRACTION ONLY,82553,TS VITAL,$16.35
MB FRACTION ONLY,82553,TRIPLE S COM,$33.00
MB FRACTION ONLY,82553,PMC OUT,$11.55
MB FRACTION ONLY,82553,TSADV IN,$14.26
MB FRACTION ONLY,82553,SSS BLUE CARD,$33.00
MB FRACTION ONLY,82553,TSADV OUT,$14.26
Missed abortion,59820,ASOCIACION OUT,$770.00
Missed abortion,59820,MMM VITAL,$611.00
Missed abortion,59820,ACAA,$475.00
Missed abortion,59820,ASOCIACION IN,
Missed abortion,59820,MEDICARE A,
Missed abortion,59820,HUMANA,"$1,595.00"
Missed abortion,59820,HUM GOLD IN,
Missed abortion,59820,IMC,$605.00
Missed abortion,59820,HUM GOLD OUT,$806.00
Missed abortion,59820,MCS CLASS,
Missed abortion,59820,MMM IN,
Missed abortion,59820,MMM OUT,$735.00
Missed abortion,59820,PALIC,$740.00
Missed abortion,59820,FONDO,
Missed abortion,59820,FM VITAL,$652.00
Missed abortion,59820,CHAMPVA,
Missed abortion,59820,BELLA VISTA,$650.00
Missed abortion,59820,MCS PREF,$712.00
Missed abortion,59820,MENONITA COM,$788.00
Missed abortion,59820,MENONITA VITAL,$660.00
Missed abortion,59820,MEDICARE B,
Missed abortion,59820,SSS BLUE CARD,$706.00
Missed abortion,59820,PMC OUT,$735.00
Missed abortion,59820,VETERANS,
Missed abortion,59820,TS VITAL,$611.00
Missed abortion,59820,PMC IN,
Missed abortion,59820,TSADV IN,
Missed abortion,59820,TRIPLE S COM,$706.00
Missed abortion,59820,TRICARE,
Missed abortion,59820,TSADV OUT,
MRA-BRAIN W/O AND W/C,70546,MMM OUT,$250.96
MRA-BRAIN W/O AND W/C,70546,HUM GOLD IN,$303.74
MRA-BRAIN W/O AND W/C,70546,MMM IN,$303.74
MRA-BRAIN W/O AND W/C,70546,MENONITA COM,
MRA-BRAIN W/O AND W/C,70546,MCS CLASS,$250.96
MRA-BRAIN W/O AND W/C,70546,ACAA,
MRA-BRAIN W/O AND W/C,70546,CHAMPVA,$250.96
MRA-BRAIN W/O AND W/C,70546,MCS PREF,$387.50
MRA-BRAIN W/O AND W/C,70546,FM VITAL,$223.32
MRA-BRAIN W/O AND W/C,70546,PALIC,$387.50
MRA-BRAIN W/O AND W/C,70546,FONDO,$420.50
MRA-BRAIN W/O AND W/C,70546,MEDICARE B,$303.74
MRA-BRAIN W/O AND W/C,70546,MENONITA VITAL,$294.35
MRA-BRAIN W/O AND W/C,70546,ASOCIACION IN,$500.00
MRA-BRAIN W/O AND W/C,70546,HUMANA,$325.00
MRA-BRAIN W/O AND W/C,70546,MEDICARE A,$250.96
MRA-BRAIN W/O AND W/C,70546,HUM GOLD OUT,$303.74
MRA-BRAIN W/O AND W/C,70546,MMM VITAL,$307.84
MRA-BRAIN W/O AND W/C,70546,ASOCIACION OUT,
MRA-BRAIN W/O AND W/C,70546,BELLA VISTA,$312.50
MRA-BRAIN W/O AND W/C,70546,IMC,$312.50
MRA-BRAIN W/O AND W/C,70546,TRICARE,$250.96
MRA-BRAIN W/O AND W/C,70546,TSADV IN,$420.50
MRA-BRAIN W/O AND W/C,70546,TRIPLE S COM,$325.00
MRA-BRAIN W/O AND W/C,70546,VETERANS,$250.96
MRA-BRAIN W/O AND W/C,70546,PMC IN,$303.74
MRA-BRAIN W/O AND W/C,70546,PMC OUT,$250.96
MRA-BRAIN W/O AND W/C,70546,SSS BLUE CARD,$325.00
MRA-BRAIN W/O AND W/C,70546,TSADV OUT,$420.50
MRA-BRAIN W/O AND W/C,70546,TS VITAL,$243.75
MRA-HEAD WITHOUT CONT,70544,FM VITAL,$134.44
MRA-HEAD WITHOUT CONT,70544,MCS CLASS,$153.16
MRA-HEAD WITHOUT CONT,70544,FONDO,$274.41
MRA-HEAD WITHOUT CONT,70544,MENONITA VITAL,$163.92
MRA-HEAD WITHOUT CONT,70544,IMC,$312.50
MRA-HEAD WITHOUT CONT,70544,ASOCIACION OUT,
MRA-HEAD WITHOUT CONT,70544,HUMANA,$325.00
MRA-HEAD WITHOUT CONT,70544,MMM VITAL,$200.96
MRA-HEAD WITHOUT CONT,70544,MEDICARE B,$189.15
MRA-HEAD WITHOUT CONT,70544,ACAA,
MRA-HEAD WITHOUT CONT,70544,HUM GOLD OUT,$189.15
MRA-HEAD WITHOUT CONT,70544,CHAMPVA,$153.16
MRA-HEAD WITHOUT CONT,70544,MMM OUT,$153.16
MRA-HEAD WITHOUT CONT,70544,MENONITA COM,
MRA-HEAD WITHOUT CONT,70544,ASOCIACION IN,$500.00
MRA-HEAD WITHOUT CONT,70544,MCS PREF,$325.00
MRA-HEAD WITHOUT CONT,70544,MEDICARE A,$153.16
MRA-HEAD WITHOUT CONT,70544,MMM IN,$189.15
MRA-HEAD WITHOUT CONT,70544,PALIC,$362.50
MRA-HEAD WITHOUT CONT,70544,BELLA VISTA,$312.50
MRA-HEAD WITHOUT CONT,70544,HUM GOLD IN,$189.15
MRA-HEAD WITHOUT CONT,70544,PMC OUT,$153.16
MRA-HEAD WITHOUT CONT,70544,TS VITAL,$243.75
MRA-HEAD WITHOUT CONT,70544,TRIPLE S COM,$325.00
MRA-HEAD WITHOUT CONT,70544,TRICARE,$153.16
MRA-HEAD WITHOUT CONT,70544,PMC IN,$189.15
MRA-HEAD WITHOUT CONT,70544,TSADV IN,$246.86
MRA-HEAD WITHOUT CONT,70544,VETERANS,$153.16
MRA-HEAD WITHOUT CONT,70544,TSADV OUT,$246.86
MRA-HEAD WITHOUT CONT,70544,SSS BLUE CARD,$325.00
MRCP MAG RES CHOLANG PANCREAT,74181,MENONITA VITAL,$150.22
MRCP MAG RES CHOLANG PANCREAT,74181,ASOCIACION OUT,
MRCP MAG RES CHOLANG PANCREAT,74181,IMC,$312.50
MRCP MAG RES CHOLANG PANCREAT,74181,MMM IN,$154.96
MRCP MAG RES CHOLANG PANCREAT,74181,MEDICARE A,$153.16
MRCP MAG RES CHOLANG PANCREAT,74181,MEDICARE B,$154.96
MRCP MAG RES CHOLANG PANCREAT,74181,BELLA VISTA,$325.00
MRCP MAG RES CHOLANG PANCREAT,74181,PALIC,$325.00
MRCP MAG RES CHOLANG PANCREAT,74181,FM VITAL,$128.61
MRCP MAG RES CHOLANG PANCREAT,74181,HUM GOLD OUT,$154.96
MRCP MAG RES CHOLANG PANCREAT,74181,HUM GOLD IN,$154.96
MRCP MAG RES CHOLANG PANCREAT,74181,MMM VITAL,$157.09
MRCP MAG RES CHOLANG PANCREAT,74181,MMM OUT,$153.16
MRCP MAG RES CHOLANG PANCREAT,74181,HUMANA,$325.00
MRCP MAG RES CHOLANG PANCREAT,74181,ASOCIACION IN,$500.00
MRCP MAG RES CHOLANG PANCREAT,74181,MCS PREF,$325.00
MRCP MAG RES CHOLANG PANCREAT,74181,MENONITA COM,$287.50
MRCP MAG RES CHOLANG PANCREAT,74181,FONDO,$214.60
MRCP MAG RES CHOLANG PANCREAT,74181,CHAMPVA,$153.16
MRCP MAG RES CHOLANG PANCREAT,74181,ACAA,$193.37
MRCP MAG RES CHOLANG PANCREAT,74181,MCS CLASS,$153.16
MRCP MAG RES CHOLANG PANCREAT,74181,TSADV IN,$214.60
MRCP MAG RES CHOLANG PANCREAT,74181,TRIPLE S COM,$325.00
MRCP MAG RES CHOLANG PANCREAT,74181,VETERANS,$153.16
MRCP MAG RES CHOLANG PANCREAT,74181,PMC IN,$154.96
MRCP MAG RES CHOLANG PANCREAT,74181,TS VITAL,$243.75
MRCP MAG RES CHOLANG PANCREAT,74181,TRICARE,$153.16
MRCP MAG RES CHOLANG PANCREAT,74181,TSADV OUT,$214.60
MRCP MAG RES CHOLANG PANCREAT,74181,PMC OUT,$153.16
MRCP MAG RES CHOLANG PANCREAT,74181,SSS BLUE CARD,$325.00
MRI LOW EX.OTH THA JOIN WO RT,73718,MMM VITAL,$179.67
MRI LOW EX.OTH THA JOIN WO RT,73718,MMM IN,$194.25
MRI LOW EX.OTH THA JOIN WO RT,73718,MEDICARE B,$194.25
MRI LOW EX.OTH THA JOIN WO RT,73718,ASOCIACION IN,$500.00
MRI LOW EX.OTH THA JOIN WO RT,73718,PALIC,$325.00
MRI LOW EX.OTH THA JOIN WO RT,73718,FM VITAL,$134.44
MRI LOW EX.OTH THA JOIN WO RT,73718,MCS CLASS,$153.16
MRI LOW EX.OTH THA JOIN WO RT,73718,HUMANA,$325.00
MRI LOW EX.OTH THA JOIN WO RT,73718,MCS PREF,$325.00
MRI LOW EX.OTH THA JOIN WO RT,73718,MENONITA COM,
MRI LOW EX.OTH THA JOIN WO RT,73718,ASOCIACION OUT,
MRI LOW EX.OTH THA JOIN WO RT,73718,FONDO,$245.42
MRI LOW EX.OTH THA JOIN WO RT,73718,IMC,$312.50
MRI LOW EX.OTH THA JOIN WO RT,73718,CHAMPVA,$153.16
MRI LOW EX.OTH THA JOIN WO RT,73718,MEDICARE A,$153.16
MRI LOW EX.OTH THA JOIN WO RT,73718,MENONITA VITAL,$163.67
MRI LOW EX.OTH THA JOIN WO RT,73718,HUM GOLD IN,$194.25
MRI LOW EX.OTH THA JOIN WO RT,73718,HUM GOLD OUT,$194.25
MRI LOW EX.OTH THA JOIN WO RT,73718,BELLA VISTA,$325.00
MRI LOW EX.OTH THA JOIN WO RT,73718,MMM OUT,$153.16
MRI LOW EX.OTH THA JOIN WO RT,73718,ACAA,
MRI LOW EX.OTH THA JOIN WO RT,73718,TRICARE,$153.16
MRI LOW EX.OTH THA JOIN WO RT,73718,VETERANS,$153.16
MRI LOW EX.OTH THA JOIN WO RT,73718,TS VITAL,$243.75
MRI LOW EX.OTH THA JOIN WO RT,73718,TSADV IN,$245.42
MRI LOW EX.OTH THA JOIN WO RT,73718,PMC OUT,$153.16
MRI LOW EX.OTH THA JOIN WO RT,73718,SSS BLUE CARD,$325.00
MRI LOW EX.OTH THA JOIN WO RT,73718,TSADV OUT,$245.42
MRI LOW EX.OTH THA JOIN WO RT,73718,PMC IN,$194.25
MRI LOW EX.OTH THA JOIN WO RT,73718,TRIPLE S COM,$325.00
MRI LOWER EXT.ANY JOINT W/C RT,73722,MCS PREF,$387.50
MRI LOWER EXT.ANY JOINT W/C RT,73722,ACAA,$223.12
MRI LOWER EXT.ANY JOINT W/C RT,73722,FONDO,$308.13
MRI LOWER EXT.ANY JOINT W/C RT,73722,MENONITA COM,
MRI LOWER EXT.ANY JOINT W/C RT,73722,MMM OUT,$447.45
MRI LOWER EXT.ANY JOINT W/C RT,73722,MEDICARE A,$447.45
MRI LOWER EXT.ANY JOINT W/C RT,73722,HUM GOLD OUT,$290.65
MRI LOWER EXT.ANY JOINT W/C RT,73722,HUM GOLD IN,$290.65
MRI LOWER EXT.ANY JOINT W/C RT,73722,ASOCIACION IN,$500.00
MRI LOWER EXT.ANY JOINT W/C RT,73722,MMM IN,$290.65
MRI LOWER EXT.ANY JOINT W/C RT,73722,HUMANA,$287.50
MRI LOWER EXT.ANY JOINT W/C RT,73722,BELLA VISTA,$312.50
MRI LOWER EXT.ANY JOINT W/C RT,73722,MMM VITAL,$181.39
MRI LOWER EXT.ANY JOINT W/C RT,73722,MCS CLASS,$447.45
MRI LOWER EXT.ANY JOINT W/C RT,73722,CHAMPVA,$447.45
MRI LOWER EXT.ANY JOINT W/C RT,73722,PALIC,$362.50
MRI LOWER EXT.ANY JOINT W/C RT,73722,ASOCIACION OUT,
MRI LOWER EXT.ANY JOINT W/C RT,73722,FM VITAL,$148.40
MRI LOWER EXT.ANY JOINT W/C RT,73722,IMC,$312.50
MRI LOWER EXT.ANY JOINT W/C RT,73722,MEDICARE B,$290.65
MRI LOWER EXT.ANY JOINT W/C RT,73722,MENONITA VITAL,$215.69
MRI LOWER EXT.ANY JOINT W/C RT,73722,TSADV IN,$308.13
MRI LOWER EXT.ANY JOINT W/C RT,73722,PMC OUT,$447.45
MRI LOWER EXT.ANY JOINT W/C RT,73722,SSS BLUE CARD,$325.00
MRI LOWER EXT.ANY JOINT W/C RT,73722,TRIPLE S COM,$325.00
MRI LOWER EXT.ANY JOINT W/C RT,73722,PMC IN,$290.65
MRI LOWER EXT.ANY JOINT W/C RT,73722,TS VITAL,$243.75
MRI LOWER EXT.ANY JOINT W/C RT,73722,TRICARE,$447.45
MRI LOWER EXT.ANY JOINT W/C RT,73722,TSADV OUT,$308.13
MRI LOWER EXT.ANY JOINT W/C RT,73722,VETERANS,$447.45
MRI UPP EXT.OTH.THAN J. W/O LT,73218,PALIC,$325.00
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MMM IN,$234.99
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MENONITA COM,
MRI UPP EXT.OTH.THAN J. W/O LT,73218,CHAMPVA,$153.16
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MEDICARE B,$234.99
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MEDICARE A,$153.16
MRI UPP EXT.OTH.THAN J. W/O LT,73218,BELLA VISTA,$162.50
MRI UPP EXT.OTH.THAN J. W/O LT,73218,IMC,$312.50
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MCS PREF,$325.00
MRI UPP EXT.OTH.THAN J. W/O LT,73218,FM VITAL,$134.44
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MCS CLASS,$153.16
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MENONITA VITAL,$163.92
MRI UPP EXT.OTH.THAN J. W/O LT,73218,ACAA,
MRI UPP EXT.OTH.THAN J. W/O LT,73218,FONDO,$306.68
MRI UPP EXT.OTH.THAN J. W/O LT,73218,ASOCIACION OUT,
MRI UPP EXT.OTH.THAN J. W/O LT,73218,HUMANA,$300.00
MRI UPP EXT.OTH.THAN J. W/O LT,73218,ASOCIACION IN,$500.00
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MMM OUT,$153.16
MRI UPP EXT.OTH.THAN J. W/O LT,73218,HUM GOLD OUT,$234.99
MRI UPP EXT.OTH.THAN J. W/O LT,73218,HUM GOLD IN,$234.99
MRI UPP EXT.OTH.THAN J. W/O LT,73218,MMM VITAL,$179.80
MRI UPP EXT.OTH.THAN J. W/O LT,73218,SSS BLUE CARD,$325.00
MRI UPP EXT.OTH.THAN J. W/O LT,73218,TSADV IN,$247.22
MRI UPP EXT.OTH.THAN J. W/O LT,73218,TRICARE,$153.16
MRI UPP EXT.OTH.THAN J. W/O LT,73218,VETERANS,$153.16
MRI UPP EXT.OTH.THAN J. W/O LT,73218,TS VITAL,$243.75
MRI UPP EXT.OTH.THAN J. W/O LT,73218,PMC OUT,$153.16
MRI UPP EXT.OTH.THAN J. W/O LT,73218,TSADV OUT,$247.22
MRI UPP EXT.OTH.THAN J. W/O LT,73218,TRIPLE S COM,$325.00
MRI UPP EXT.OTH.THAN J. W/O LT,73218,PMC IN,$234.99
MRI-ABDOMEN W CONTRAST,74182,HUMANA,$325.00
MRI-ABDOMEN W CONTRAST,74182,MENONITA VITAL,$212.65
MRI-ABDOMEN W CONTRAST,74182,IMC,$312.50
MRI-ABDOMEN W CONTRAST,74182,FONDO,$303.78
MRI-ABDOMEN W CONTRAST,74182,MMM VITAL,$222.46
MRI-ABDOMEN W CONTRAST,74182,ACAA,
MRI-ABDOMEN W CONTRAST,74182,MENONITA COM,
MRI-ABDOMEN W CONTRAST,74182,MCS PREF,$387.50
MRI-ABDOMEN W CONTRAST,74182,MMM OUT,$250.96
MRI-ABDOMEN W CONTRAST,74182,MEDICARE A,$250.96
MRI-ABDOMEN W CONTRAST,74182,HUM GOLD OUT,$270.64
MRI-ABDOMEN W CONTRAST,74182,CHAMPVA,$250.96
MRI-ABDOMEN W CONTRAST,74182,HUM GOLD IN,$270.64
MRI-ABDOMEN W CONTRAST,74182,MEDICARE B,$270.64
MRI-ABDOMEN W CONTRAST,74182,ASOCIACION OUT,
MRI-ABDOMEN W CONTRAST,74182,MMM IN,$270.64
MRI-ABDOMEN W CONTRAST,74182,BELLA VISTA,$312.50
MRI-ABDOMEN W CONTRAST,74182,PALIC,$362.50
MRI-ABDOMEN W CONTRAST,74182,MCS CLASS,$250.96
MRI-ABDOMEN W CONTRAST,74182,FM VITAL,$181.62
MRI-ABDOMEN W CONTRAST,74182,ASOCIACION IN,$500.00
MRI-ABDOMEN W CONTRAST,74182,PMC OUT,$250.96
MRI-ABDOMEN W CONTRAST,74182,TSADV OUT,$303.78
MRI-ABDOMEN W CONTRAST,74182,TRIPLE S COM,$325.00
MRI-ABDOMEN W CONTRAST,74182,TRICARE,$250.96
MRI-ABDOMEN W CONTRAST,74182,TS VITAL,$243.75
MRI-ABDOMEN W CONTRAST,74182,VETERANS,$250.96
MRI-ABDOMEN W CONTRAST,74182,PMC IN,$270.64
MRI-ABDOMEN W CONTRAST,74182,TSADV IN,$303.78
MRI-ABDOMEN W CONTRAST,74182,SSS BLUE CARD,$325.00
MRI-ABDOMEN W/O AND W/C,74183,ACAA,$222.95
MRI-ABDOMEN W/O AND W/C,74183,ASOCIACION IN,$500.00
MRI-ABDOMEN W/O AND W/C,74183,PALIC,$387.50
MRI-ABDOMEN W/O AND W/C,74183,MEDICARE A,$250.96
MRI-ABDOMEN W/O AND W/C,74183,FONDO,$325.16
MRI-ABDOMEN W/O AND W/C,74183,MCS PREF,$387.50
MRI-ABDOMEN W/O AND W/C,74183,HUM GOLD OUT,$287.74
MRI-ABDOMEN W/O AND W/C,74183,HUM GOLD IN,$287.74
MRI-ABDOMEN W/O AND W/C,74183,MMM OUT,$250.96
MRI-ABDOMEN W/O AND W/C,74183,MENONITA COM,
MRI-ABDOMEN W/O AND W/C,74183,MMM IN,$287.74
MRI-ABDOMEN W/O AND W/C,74183,MENONITA VITAL,$227.61
MRI-ABDOMEN W/O AND W/C,74183,BELLA VISTA,$450.00
MRI-ABDOMEN W/O AND W/C,74183,MCS CLASS,$250.96
MRI-ABDOMEN W/O AND W/C,74183,MEDICARE B,$287.74
MRI-ABDOMEN W/O AND W/C,74183,CHAMPVA,$250.96
MRI-ABDOMEN W/O AND W/C,74183,HUMANA,$325.00
MRI-ABDOMEN W/O AND W/C,74183,MMM VITAL,$237.95
MRI-ABDOMEN W/O AND W/C,74183,ASOCIACION OUT,
MRI-ABDOMEN W/O AND W/C,74183,FM VITAL,$194.34
MRI-ABDOMEN W/O AND W/C,74183,IMC,$312.50
MRI-ABDOMEN W/O AND W/C,74183,PMC OUT,$250.96
MRI-ABDOMEN W/O AND W/C,74183,SSS BLUE CARD,$325.00
MRI-ABDOMEN W/O AND W/C,74183,PMC IN,$287.74
MRI-ABDOMEN W/O AND W/C,74183,VETERANS,$250.96
MRI-ABDOMEN W/O AND W/C,74183,TS VITAL,$243.75
MRI-ABDOMEN W/O AND W/C,74183,TSADV IN,$325.16
MRI-ABDOMEN W/O AND W/C,74183,TRICARE,$250.96
MRI-ABDOMEN W/O AND W/C,74183,TSADV OUT,$325.16
MRI-ABDOMEN W/O AND W/C,74183,TRIPLE S COM,$325.00
MRI-ANY JT UPPER EXT. W/C RT,73222,PALIC,$362.50
MRI-ANY JT UPPER EXT. W/C RT,73222,MENONITA COM,
MRI-ANY JT UPPER EXT. W/C RT,73222,ACAA,$193.20
MRI-ANY JT UPPER EXT. W/C RT,73222,HUM GOLD IN,$289.92
MRI-ANY JT UPPER EXT. W/C RT,73222,MMM OUT,$447.45
MRI-ANY JT UPPER EXT. W/C RT,73222,MENONITA VITAL,$213.91
MRI-ANY JT UPPER EXT. W/C RT,73222,CHAMPVA,$447.45
MRI-ANY JT UPPER EXT. W/C RT,73222,FONDO,$305.59
MRI-ANY JT UPPER EXT. W/C RT,73222,MMM VITAL,$179.46
MRI-ANY JT UPPER EXT. W/C RT,73222,BELLA VISTA,$375.00
MRI-ANY JT UPPER EXT. W/C RT,73222,FM VITAL,$146.63
MRI-ANY JT UPPER EXT. W/C RT,73222,ASOCIACION IN,$500.00
MRI-ANY JT UPPER EXT. W/C RT,73222,MEDICARE A,$447.45
MRI-ANY JT UPPER EXT. W/C RT,73222,MMM IN,$289.92
MRI-ANY JT UPPER EXT. W/C RT,73222,MEDICARE B,$289.92
MRI-ANY JT UPPER EXT. W/C RT,73222,ASOCIACION OUT,
MRI-ANY JT UPPER EXT. W/C RT,73222,IMC,$312.50
MRI-ANY JT UPPER EXT. W/C RT,73222,MCS CLASS,$447.45
MRI-ANY JT UPPER EXT. W/C RT,73222,HUMANA,$325.00
MRI-ANY JT UPPER EXT. W/C RT,73222,MCS PREF,$387.50
MRI-ANY JT UPPER EXT. W/C RT,73222,HUM GOLD OUT,$289.92
MRI-ANY JT UPPER EXT. W/C RT,73222,TRICARE,$447.45
MRI-ANY JT UPPER EXT. W/C RT,73222,SSS BLUE CARD,$325.00
MRI-ANY JT UPPER EXT. W/C RT,73222,VETERANS,$447.45
MRI-ANY JT UPPER EXT. W/C RT,73222,PMC OUT,$447.45
MRI-ANY JT UPPER EXT. W/C RT,73222,TSADV OUT,$305.59
MRI-ANY JT UPPER EXT. W/C RT,73222,TRIPLE S COM,$325.00
MRI-ANY JT UPPER EXT. W/C RT,73222,PMC IN,$289.92
MRI-ANY JT UPPER EXT. W/C RT,73222,TS VITAL,$243.75
MRI-ANY JT UPPER EXT. W/C RT,73222,TSADV IN,$305.59
MRI-BRAIN,70551,MENONITA COM,$287.50
MRI-BRAIN,70551,ASOCIACION IN,$500.00
MRI-BRAIN,70551,FONDO,$160.59
MRI-BRAIN,70551,FM VITAL,$77.12
MRI-BRAIN,70551,MMM IN,$151.68
MRI-BRAIN,70551,HUMANA,$325.00
MRI-BRAIN,70551,PALIC,$325.00
MRI-BRAIN,70551,HUM GOLD IN,$151.68
MRI-BRAIN,70551,MMM OUT,$153.16
MRI-BRAIN,70551,MENONITA VITAL,$112.41
MRI-BRAIN,70551,ASOCIACION OUT,
MRI-BRAIN,70551,MMM VITAL,$94.78
MRI-BRAIN,70551,CHAMPVA,$153.16
MRI-BRAIN,70551,MCS CLASS,$153.16
MRI-BRAIN,70551,MCS PREF,$325.00
MRI-BRAIN,70551,ACAA,$193.37
MRI-BRAIN,70551,MEDICARE B,$151.68
MRI-BRAIN,70551,BELLA VISTA,$325.00
MRI-BRAIN,70551,HUM GOLD OUT,$151.68
MRI-BRAIN,70551,MEDICARE A,$153.16
MRI-BRAIN,70551,IMC,$312.50
MRI-BRAIN,70551,PMC IN,$151.68
MRI-BRAIN,70551,PMC OUT,$153.16
MRI-BRAIN,70551,TRIPLE S COM,$325.00
MRI-BRAIN,70551,TRICARE,$153.16
MRI-BRAIN,70551,VETERANS,$153.16
MRI-BRAIN,70551,TSADV OUT,$160.59
MRI-BRAIN,70551,SSS BLUE CARD,$325.00
MRI-BRAIN,70551,TS VITAL,$243.75
MRI-BRAIN,70551,TSADV IN,$160.59
MRI-BRAIN W/O AND W/C,70553,MCS CLASS,$250.96
MRI-BRAIN W/O AND W/C,70553,PMC OUT,$250.96
MRI-BRAIN W/O AND W/C,70553,TS ADV OUT,$270.42
MRI-BRAIN W/O AND W/C,70553,MMM IN,$255.36
MRI-BRAIN W/O AND W/C,70553,IMC,$312.50
MRI-BRAIN W/O AND W/C,70553,FONDO,$270.42
MRI-BRAIN W/O AND W/C,70553,TS VITAL,$243.75
MRI-BRAIN W/O AND W/C,70553,HUM GOLD PLUS,$255.36
MRI-BRAIN W/O AND W/C,70553,PSM VITAL,$189.29
MRI-BRAIN W/O AND W/C,70553,MEDICARE B,$255.36
MRI-BRAIN W/O AND W/C,70553,ASOCIACION OUT,
MRI-BRAIN W/O AND W/C,70553,VETERANS,$250.96
MRI-BRAIN W/O AND W/C,70553,BELLA VISTA,$325.00
MRI-BRAIN W/O AND W/C,70553,MCS PREF,$387.50
MRI-BRAIN W/O AND W/C,70553,MENONITA COM,$328.50
MRI-BRAIN W/O AND W/C,70553,TRICARE,$250.96
MRI-BRAIN W/O AND W/C,70553,FM VITAL,$129.67
MRI-BRAIN W/O AND W/C,70553,MEDICARE A,$250.96
MRI-BRAIN W/O AND W/C,70553,CHAMPVA,$250.96
MRI-BRAIN W/O AND W/C,70553,ACAA,
MRI-BRAIN W/O AND W/C,70553,MMM OUT,$250.96
MRI-BRAIN W/O AND W/C,70553,MOLINA VITAL,$189.29
MRI-BRAIN W/O AND W/C,70553,PALIC,$387.50
MRI-BRAIN W/O AND W/C,70553,SSS BLUE CARD,$325.00
MRI-BRAIN W/O AND W/C,70553,PMC IN,$255.36
MRI-BRAIN W/O AND W/C,70553,MAP LIFE,$325.00
MRI-BRAIN W/O AND W/C,70553,HUMANA,$362.50
MRI-BRAIN W/O AND W/C,70553,ASOCIACION INP,$500.00
MRI-BRAIN W/O AND W/C,70553,SSS COM,$325.00
MRI-BRAIN W/O AND W/C,70553,TS ADV IN,$270.42
MRI-BRAIN W/O AND W/C,70553,MMM VITAL,$158.81
MRI-BRAIN WITH CONTRAST,70552,MMM IN,$224.08
MRI-BRAIN WITH CONTRAST,70552,IMC,$312.50
MRI-BRAIN WITH CONTRAST,70552,CHAMPVA,$250.96
MRI-BRAIN WITH CONTRAST,70552,PALIC,$387.50
MRI-BRAIN WITH CONTRAST,70552,HUMANA,$360.00
MRI-BRAIN WITH CONTRAST,70552,HUM GOLD IN,$224.08
MRI-BRAIN WITH CONTRAST,70552,MEDICARE B,$224.08
MRI-BRAIN WITH CONTRAST,70552,ASOCIACION IN,$500.00
MRI-BRAIN WITH CONTRAST,70552,ACAA,$223.12
MRI-BRAIN WITH CONTRAST,70552,BELLA VISTA,$325.00
MRI-BRAIN WITH CONTRAST,70552,MMM OUT,$250.96
MRI-BRAIN WITH CONTRAST,70552,ASOCIACION OUT,
MRI-BRAIN WITH CONTRAST,70552,MCS PREF,$387.50
MRI-BRAIN WITH CONTRAST,70552,MMM VITAL,$139.46
MRI-BRAIN WITH CONTRAST,70552,FONDO,$237.07
MRI-BRAIN WITH CONTRAST,70552,MCS CLASS,$250.96
MRI-BRAIN WITH CONTRAST,70552,MENONITA VITAL,$165.95
MRI-BRAIN WITH CONTRAST,70552,MEDICARE A,$250.96
MRI-BRAIN WITH CONTRAST,70552,HUM GOLD OUT,$224.08
MRI-BRAIN WITH CONTRAST,70552,FM VITAL,$113.77
MRI-BRAIN WITH CONTRAST,70552,MENONITA COM,$323.50
MRI-BRAIN WITH CONTRAST,70552,TRIPLE S COM,$325.00
MRI-BRAIN WITH CONTRAST,70552,PMC IN,$224.08
MRI-BRAIN WITH CONTRAST,70552,PMC OUT,$250.96
MRI-BRAIN WITH CONTRAST,70552,TSADV OUT,$237.07
MRI-BRAIN WITH CONTRAST,70552,VETERANS,$250.96
MRI-BRAIN WITH CONTRAST,70552,TS VITAL,$243.75
MRI-BRAIN WITH CONTRAST,70552,TSADV IN,$237.07
MRI-BRAIN WITH CONTRAST,70552,SSS BLUE CARD,$325.00
MRI-BRAIN WITH CONTRAST,70552,TRICARE,$250.96
MRI-CERVICAL SPINE,72141,ACAA,$193.37
MRI-CERVICAL SPINE,72141,HUM GOLD IN,$145.51
MRI-CERVICAL SPINE,72141,MCS CLASS,$153.16
MRI-CERVICAL SPINE,72141,MMM VITAL,$90.70
MRI-CERVICAL SPINE,72141,ASOCIACION OUT,
MRI-CERVICAL SPINE,72141,FM VITAL,$73.76
MRI-CERVICAL SPINE,72141,MMM OUT,$153.16
MRI-CERVICAL SPINE,72141,HUM GOLD OUT,$145.51
MRI-CERVICAL SPINE,72141,FONDO,$154.06
MRI-CERVICAL SPINE,72141,HUMANA,$325.00
MRI-CERVICAL SPINE,72141,IMC,$312.50
MRI-CERVICAL SPINE,72141,MENONITA VITAL,$107.84
MRI-CERVICAL SPINE,72141,MENONITA COM,$317.50
MRI-CERVICAL SPINE,72141,MEDICARE A,$153.16
MRI-CERVICAL SPINE,72141,MCS PREF,$325.00
MRI-CERVICAL SPINE,72141,ASOCIACION IN,$500.00
MRI-CERVICAL SPINE,72141,MEDICARE B,$145.51
MRI-CERVICAL SPINE,72141,MMM IN,$145.51
MRI-CERVICAL SPINE,72141,BELLA VISTA,$325.00
MRI-CERVICAL SPINE,72141,PALIC,$325.00
MRI-CERVICAL SPINE,72141,CHAMPVA,$153.16
MRI-CERVICAL SPINE,72141,TRICARE,$153.16
MRI-CERVICAL SPINE,72141,SSS BLUE CARD,$325.00
MRI-CERVICAL SPINE,72141,TSADV IN,$154.06
MRI-CERVICAL SPINE,72141,PMC IN,$145.51
MRI-CERVICAL SPINE,72141,PMC OUT,$153.16
MRI-CERVICAL SPINE,72141,TS VITAL,$243.75
MRI-CERVICAL SPINE,72141,TSADV OUT,$154.06
MRI-CERVICAL SPINE,72141,VETERANS,$153.16
MRI-CERVICAL SPINE,72141,TRIPLE S COM,$325.00
MRI-CERVICAL SPINE W CONTRAST,72142,MMM OUT,$250.96
MRI-CERVICAL SPINE W CONTRAST,72142,IMC,$312.50
MRI-CERVICAL SPINE W CONTRAST,72142,BELLA VISTA,$325.00
MRI-CERVICAL SPINE W CONTRAST,72142,MCS CLASS,$250.96
MRI-CERVICAL SPINE W CONTRAST,72142,MMM VITAL,$142.47
MRI-CERVICAL SPINE W CONTRAST,72142,HUM GOLD OUT,$230.62
MRI-CERVICAL SPINE W CONTRAST,72142,MEDICARE A,$250.96
MRI-CERVICAL SPINE W CONTRAST,72142,CHAMPVA,$250.96
MRI-CERVICAL SPINE W CONTRAST,72142,MCS PREF,$387.50
MRI-CERVICAL SPINE W CONTRAST,72142,PALIC,$387.50
MRI-CERVICAL SPINE W CONTRAST,72142,ASOCIACION IN,$500.00
MRI-CERVICAL SPINE W CONTRAST,72142,HUMANA,$362.50
MRI-CERVICAL SPINE W CONTRAST,72142,MMM IN,$230.62
MRI-CERVICAL SPINE W CONTRAST,72142,FM VITAL,$116.06
MRI-CERVICAL SPINE W CONTRAST,72142,MENONITA COM,$350.00
MRI-CERVICAL SPINE W CONTRAST,72142,FONDO,$242.87
MRI-CERVICAL SPINE W CONTRAST,72142,HUM GOLD IN,$230.62
MRI-CERVICAL SPINE W CONTRAST,72142,MENONITA VITAL,$170.01
MRI-CERVICAL SPINE W CONTRAST,72142,ACAA,$223.12
MRI-CERVICAL SPINE W CONTRAST,72142,MEDICARE B,$230.62
MRI-CERVICAL SPINE W CONTRAST,72142,ASOCIACION OUT,
MRI-CERVICAL SPINE W CONTRAST,72142,PMC OUT,$250.96
MRI-CERVICAL SPINE W CONTRAST,72142,TRIPLE S COM,$325.00
MRI-CERVICAL SPINE W CONTRAST,72142,TSADV OUT,$242.87
MRI-CERVICAL SPINE W CONTRAST,72142,TS VITAL,$243.75
MRI-CERVICAL SPINE W CONTRAST,72142,TRICARE,$250.96
MRI-CERVICAL SPINE W CONTRAST,72142,PMC IN,$230.62
MRI-CERVICAL SPINE W CONTRAST,72142,VETERANS,$250.96
MRI-CERVICAL SPINE W CONTRAST,72142,TSADV IN,$242.87
MRI-CERVICAL SPINE W CONTRAST,72142,SSS BLUE CARD,$325.00
MRI-CERVICAL W/O AND W/C,72156,HUMANA,$362.50
MRI-CERVICAL W/O AND W/C,72156,MMM VITAL,$160.32
MRI-CERVICAL W/O AND W/C,72156,BELLA VISTA,$325.00
MRI-CERVICAL W/O AND W/C,72156,MEDICARE B,$258.27
MRI-CERVICAL W/O AND W/C,72156,ACAA,
MRI-CERVICAL W/O AND W/C,72156,FONDO,$272.60
MRI-CERVICAL W/O AND W/C,72156,MEDICARE A,$250.96
MRI-CERVICAL W/O AND W/C,72156,FM VITAL,$130.55
MRI-CERVICAL W/O AND W/C,72156,MENONITA COM,$323.50
MRI-CERVICAL W/O AND W/C,72156,MENONITA VITAL,$190.82
MRI-CERVICAL W/O AND W/C,72156,MMM IN,$258.27
MRI-CERVICAL W/O AND W/C,72156,HUM GOLD OUT,$258.27
MRI-CERVICAL W/O AND W/C,72156,MCS CLASS,$250.96
MRI-CERVICAL W/O AND W/C,72156,ASOCIACION IN,$500.00
MRI-CERVICAL W/O AND W/C,72156,MCS PREF,$387.50
MRI-CERVICAL W/O AND W/C,72156,PALIC,$387.50
MRI-CERVICAL W/O AND W/C,72156,HUM GOLD IN,$258.27
MRI-CERVICAL W/O AND W/C,72156,CHAMPVA,$250.96
MRI-CERVICAL W/O AND W/C,72156,MMM OUT,$250.96
MRI-CERVICAL W/O AND W/C,72156,ASOCIACION OUT,
MRI-CERVICAL W/O AND W/C,72156,IMC,$312.50
MRI-CERVICAL W/O AND W/C,72156,PMC IN,$258.27
MRI-CERVICAL W/O AND W/C,72156,VETERANS,$250.96
MRI-CERVICAL W/O AND W/C,72156,TSADV IN,$272.60
MRI-CERVICAL W/O AND W/C,72156,TS VITAL,$243.75
MRI-CERVICAL W/O AND W/C,72156,TRIPLE S COM,$325.00
MRI-CERVICAL W/O AND W/C,72156,TSADV OUT,$272.60
MRI-CERVICAL W/O AND W/C,72156,TRICARE,$250.96
MRI-CERVICAL W/O AND W/C,72156,PMC OUT,$250.96
MRI-CERVICAL W/O AND W/C,72156,SSS BLUE CARD,$325.00
MRI-FACIAL/ORBITS/NECK WITH C,70542,HUM GOLD IN,$233.17
MRI-FACIAL/ORBITS/NECK WITH C,70542,MCS PREF,$387.50
MRI-FACIAL/ORBITS/NECK WITH C,70542,MMM OUT,$250.96
MRI-FACIAL/ORBITS/NECK WITH C,70542,HUMANA,$325.00
MRI-FACIAL/ORBITS/NECK WITH C,70542,MMM VITAL,$156.02
MRI-FACIAL/ORBITS/NECK WITH C,70542,MEDICARE B,$233.17
MRI-FACIAL/ORBITS/NECK WITH C,70542,ACAA,
MRI-FACIAL/ORBITS/NECK WITH C,70542,FM VITAL,$158.65
MRI-FACIAL/ORBITS/NECK WITH C,70542,BELLA VISTA,$300.00
MRI-FACIAL/ORBITS/NECK WITH C,70542,MMM IN,$233.17
MRI-FACIAL/ORBITS/NECK WITH C,70542,ASOCIACION IN,$500.00
MRI-FACIAL/ORBITS/NECK WITH C,70542,IMC,$312.50
MRI-FACIAL/ORBITS/NECK WITH C,70542,MENONITA COM,
MRI-FACIAL/ORBITS/NECK WITH C,70542,FONDO,$246.50
MRI-FACIAL/ORBITS/NECK WITH C,70542,CHAMPVA,$250.96
MRI-FACIAL/ORBITS/NECK WITH C,70542,HUM GOLD OUT,$233.17
MRI-FACIAL/ORBITS/NECK WITH C,70542,MEDICARE A,$250.96
MRI-FACIAL/ORBITS/NECK WITH C,70542,PALIC,$362.50
MRI-FACIAL/ORBITS/NECK WITH C,70542,ASOCIACION OUT,
MRI-FACIAL/ORBITS/NECK WITH C,70542,MENONITA VITAL,$172.55
MRI-FACIAL/ORBITS/NECK WITH C,70542,MCS CLASS,$250.96
MRI-FACIAL/ORBITS/NECK WITH C,70542,PMC IN,$233.17
MRI-FACIAL/ORBITS/NECK WITH C,70542,TS VITAL,$243.75
MRI-FACIAL/ORBITS/NECK WITH C,70542,TRICARE,$250.96
MRI-FACIAL/ORBITS/NECK WITH C,70542,SSS BLUE CARD,$325.00
MRI-FACIAL/ORBITS/NECK WITH C,70542,TRIPLE S COM,$325.00
MRI-FACIAL/ORBITS/NECK WITH C,70542,TSADV IN,$246.50
MRI-FACIAL/ORBITS/NECK WITH C,70542,VETERANS,$250.96
MRI-FACIAL/ORBITS/NECK WITH C,70542,PMC OUT,$250.96
MRI-FACIAL/ORBITS/NECK WITH C,70542,TSADV OUT,$246.50
MRI-LOWER EXTREMITY LT,73721,MEDICARE B,$164.42
MRI-LOWER EXTREMITY LT,73721,MAP LIFE,$325.00
MRI-LOWER EXTREMITY LT,73721,IMC,$312.50
MRI-LOWER EXTREMITY LT,73721,VETERANS,$153.16
MRI-LOWER EXTREMITY LT,73721,HUMANA,$325.00
MRI-LOWER EXTREMITY LT,73721,MEDICARE A,$153.16
MRI-LOWER EXTREMITY LT,73721,ASOCIACION OUT,
MRI-LOWER EXTREMITY LT,73721,MCS CLASS,$153.16
MRI-LOWER EXTREMITY LT,73721,MENONITA COM,$287.50
MRI-LOWER EXTREMITY LT,73721,MMM IN,$164.42
MRI-LOWER EXTREMITY LT,73721,BELLA VISTA,$325.00
MRI-LOWER EXTREMITY LT,73721,PALIC,$325.00
MRI-LOWER EXTREMITY LT,73721,MOLINA VITAL,$121.54
MRI-LOWER EXTREMITY LT,73721,MMM OUT,$153.16
MRI-LOWER EXTREMITY LT,73721,MMM VITAL,$102.04
MRI-LOWER EXTREMITY LT,73721,CHAMPVA,$153.16
MRI-LOWER EXTREMITY LT,73721,ASOCIACION INP,$500.00
MRI-LOWER EXTREMITY LT,73721,PSM VITAL,$121.54
MRI-LOWER EXTREMITY LT,73721,MCS PREF,$325.00
MRI-LOWER EXTREMITY LT,73721,TS ADV OUT,$173.63
MRI-LOWER EXTREMITY LT,73721,SSS BLUE CARD,$325.00
MRI-LOWER EXTREMITY LT,73721,PMC OUT,$153.16
MRI-LOWER EXTREMITY LT,73721,FM VITAL,$83.02
MRI-LOWER EXTREMITY LT,73721,TRICARE,$153.16
MRI-LOWER EXTREMITY LT,73721,SSS COM,$325.00
MRI-LOWER EXTREMITY LT,73721,ACAA,$193.37
MRI-LOWER EXTREMITY LT,73721,PMC IN,$164.42
MRI-LOWER EXTREMITY LT,73721,TS VITAL,$243.75
MRI-LOWER EXTREMITY LT,73721,HUM GOLD PLUS,$164.42
MRI-LOWER EXTREMITY LT,73721,TS ADV IN,$173.63
MRI-LOWER EXTREMITY LT,73721,FONDO,$173.63
MRI-LOWER EXTREMITY RT,73721,CHAMPVA,$153.16
MRI-LOWER EXTREMITY RT,73721,MENONITA COM,$287.50
MRI-LOWER EXTREMITY RT,73721,MMM VITAL,$102.04
MRI-LOWER EXTREMITY RT,73721,ACAA,$193.37
MRI-LOWER EXTREMITY RT,73721,HUM GOLD IN,$164.42
MRI-LOWER EXTREMITY RT,73721,MMM IN,$164.42
MRI-LOWER EXTREMITY RT,73721,HUM GOLD OUT,$164.42
MRI-LOWER EXTREMITY RT,73721,ASOCIACION OUT,
MRI-LOWER EXTREMITY RT,73721,ASOCIACION IN,$500.00
MRI-LOWER EXTREMITY RT,73721,HUMANA,$325.00
MRI-LOWER EXTREMITY RT,73721,PALIC,$325.00
MRI-LOWER EXTREMITY RT,73721,FONDO,$173.63
MRI-LOWER EXTREMITY RT,73721,BELLA VISTA,$325.00
MRI-LOWER EXTREMITY RT,73721,IMC,$312.50
MRI-LOWER EXTREMITY RT,73721,FM VITAL,$83.02
MRI-LOWER EXTREMITY RT,73721,MENONITA VITAL,$121.54
MRI-LOWER EXTREMITY RT,73721,MMM OUT,$153.16
MRI-LOWER EXTREMITY RT,73721,MCS PREF,$325.00
MRI-LOWER EXTREMITY RT,73721,MCS CLASS,$153.16
MRI-LOWER EXTREMITY RT,73721,MEDICARE A,$153.16
MRI-LOWER EXTREMITY RT,73721,MEDICARE B,$164.42
MRI-LOWER EXTREMITY RT,73721,PMC OUT,$153.16
MRI-LOWER EXTREMITY RT,73721,PMC IN,$164.42
MRI-LOWER EXTREMITY RT,73721,VETERANS,$153.16
MRI-LOWER EXTREMITY RT,73721,TSADV IN,$173.63
MRI-LOWER EXTREMITY RT,73721,TRIPLE S COM,$325.00
MRI-LOWER EXTREMITY RT,73721,TSADV OUT,$173.63
MRI-LOWER EXTREMITY RT,73721,SSS BLUE CARD,$325.00
MRI-LOWER EXTREMITY RT,73721,TS VITAL,$243.75
MRI-LOWER EXTREMITY RT,73721,TRICARE,$153.16
MRI-LUMBAR SPINE,72148,MMM OUT,$153.16
MRI-LUMBAR SPINE,72148,MMM IN,$145.87
MRI-LUMBAR SPINE,72148,PMC OUT,$153.16
MRI-LUMBAR SPINE,72148,ASOCIACION INP,$500.00
MRI-LUMBAR SPINE,72148,PALIC,$325.00
MRI-LUMBAR SPINE,72148,TS ADV IN,$154.06
MRI-LUMBAR SPINE,72148,PSM VITAL,$107.84
MRI-LUMBAR SPINE,72148,TRICARE,$153.16
MRI-LUMBAR SPINE,72148,MOLINA VITAL,$107.84
MRI-LUMBAR SPINE,72148,SSS BLUE CARD,$325.00
MRI-LUMBAR SPINE,72148,MMM VITAL,$90.05
MRI-LUMBAR SPINE,72148,HUM GOLD PLUS,$145.87
MRI-LUMBAR SPINE,72148,ACAA,$193.37
MRI-LUMBAR SPINE,72148,ASOCIACION OUT,
MRI-LUMBAR SPINE,72148,TS ADV OUT,$154.06
MRI-LUMBAR SPINE,72148,PMC IN,$145.87
MRI-LUMBAR SPINE,72148,TS VITAL,$243.75
MRI-LUMBAR SPINE,72148,MENONITA COM,
MRI-LUMBAR SPINE,72148,MEDICARE B,$145.87
MRI-LUMBAR SPINE,72148,VETERANS,$153.16
MRI-LUMBAR SPINE,72148,HUMANA,$325.00
MRI-LUMBAR SPINE,72148,MCS CLASS,$153.16
MRI-LUMBAR SPINE,72148,FONDO,$154.06
MRI-LUMBAR SPINE,72148,BELLA VISTA,$325.00
MRI-LUMBAR SPINE,72148,MCS PREF,$325.00
MRI-LUMBAR SPINE,72148,FM VITAL,$73.23
MRI-LUMBAR SPINE,72148,SSS COM,$325.00
MRI-LUMBAR SPINE,72148,MEDICARE A,$153.16
MRI-LUMBAR SPINE,72148,MAP LIFE,$325.00
MRI-LUMBAR SPINE,72148,CHAMPVA,$153.16
MRI-LUMBAR SPINE,72148,IMC,$312.50
MRI-LUMBAR SPINE W CONTRAST,72149,FONDO,$238.52
MRI-LUMBAR SPINE W CONTRAST,72149,MENONITA VITAL,$166.96
MRI-LUMBAR SPINE W CONTRAST,72149,FM VITAL,$114.12
MRI-LUMBAR SPINE W CONTRAST,72149,MENONITA COM,$350.00
MRI-LUMBAR SPINE W CONTRAST,72149,HUM GOLD OUT,$225.89
MRI-LUMBAR SPINE W CONTRAST,72149,MEDICARE A,$250.96
MRI-LUMBAR SPINE W CONTRAST,72149,MCS CLASS,$250.96
MRI-LUMBAR SPINE W CONTRAST,72149,MMM VITAL,$140.10
MRI-LUMBAR SPINE W CONTRAST,72149,BELLA VISTA,$325.00
MRI-LUMBAR SPINE W CONTRAST,72149,ASOCIACION OUT,
MRI-LUMBAR SPINE W CONTRAST,72149,MMM OUT,$250.96
MRI-LUMBAR SPINE W CONTRAST,72149,HUMANA,$362.50
MRI-LUMBAR SPINE W CONTRAST,72149,ASOCIACION IN,$500.00
MRI-LUMBAR SPINE W CONTRAST,72149,MEDICARE B,$225.89
MRI-LUMBAR SPINE W CONTRAST,72149,HUM GOLD IN,$225.89
MRI-LUMBAR SPINE W CONTRAST,72149,ACAA,$223.12
MRI-LUMBAR SPINE W CONTRAST,72149,PALIC,$387.50
MRI-LUMBAR SPINE W CONTRAST,72149,CHAMPVA,$250.96
MRI-LUMBAR SPINE W CONTRAST,72149,IMC,$312.50
MRI-LUMBAR SPINE W CONTRAST,72149,MMM IN,$225.89
MRI-LUMBAR SPINE W CONTRAST,72149,MCS PREF,$387.50
MRI-LUMBAR SPINE W CONTRAST,72149,TRIPLE S COM,$325.00
MRI-LUMBAR SPINE W CONTRAST,72149,TSADV OUT,$238.52
MRI-LUMBAR SPINE W CONTRAST,72149,TS VITAL,$243.75
MRI-LUMBAR SPINE W CONTRAST,72149,PMC OUT,$250.96
MRI-LUMBAR SPINE W CONTRAST,72149,TRICARE,$250.96
MRI-LUMBAR SPINE W CONTRAST,72149,TSADV IN,$238.52
MRI-LUMBAR SPINE W CONTRAST,72149,SSS BLUE CARD,$325.00
MRI-LUMBAR SPINE W CONTRAST,72149,VETERANS,$250.96
MRI-LUMBAR SPINE W CONTRAST,72149,PMC IN,$225.89
MRI-LUMBAR W/O AND W/C,72158,FONDO,$271.51
MRI-LUMBAR W/O AND W/C,72158,HUMANA,$362.50
MRI-LUMBAR W/O AND W/C,72158,MMM VITAL,$159.24
MRI-LUMBAR W/O AND W/C,72158,MCS PREF,$387.50
MRI-LUMBAR W/O AND W/C,72158,HUM GOLD OUT,$257.54
MRI-LUMBAR W/O AND W/C,72158,ACAA,
MRI-LUMBAR W/O AND W/C,72158,MENONITA VITAL,$190.06
MRI-LUMBAR W/O AND W/C,72158,MCS CLASS,$250.96
MRI-LUMBAR W/O AND W/C,72158,ASOCIACION OUT,
MRI-LUMBAR W/O AND W/C,72158,PALIC,$387.50
MRI-LUMBAR W/O AND W/C,72158,IMC,$312.50
MRI-LUMBAR W/O AND W/C,72158,MENONITA COM,$323.50
MRI-LUMBAR W/O AND W/C,72158,ASOCIACION IN,$500.00
MRI-LUMBAR W/O AND W/C,72158,MMM OUT,$250.96
MRI-LUMBAR W/O AND W/C,72158,BELLA VISTA,$325.00
MRI-LUMBAR W/O AND W/C,72158,MMM IN,$257.54
MRI-LUMBAR W/O AND W/C,72158,HUM GOLD IN,$257.54
MRI-LUMBAR W/O AND W/C,72158,MEDICARE A,$250.96
MRI-LUMBAR W/O AND W/C,72158,FM VITAL,$130.20
MRI-LUMBAR W/O AND W/C,72158,MEDICARE B,$257.54
MRI-LUMBAR W/O AND W/C,72158,CHAMPVA,$250.96
MRI-LUMBAR W/O AND W/C,72158,TSADV OUT,$271.51
MRI-LUMBAR W/O AND W/C,72158,TS VITAL,$243.75
MRI-LUMBAR W/O AND W/C,72158,SSS BLUE CARD,$325.00
MRI-LUMBAR W/O AND W/C,72158,TRIPLE S COM,$325.00
MRI-LUMBAR W/O AND W/C,72158,TRICARE,$250.96
MRI-LUMBAR W/O AND W/C,72158,PMC IN,$257.54
MRI-LUMBAR W/O AND W/C,72158,PMC OUT,$250.96
MRI-LUMBAR W/O AND W/C,72158,VETERANS,$250.96
MRI-LUMBAR W/O AND W/C,72158,TSADV IN,$271.51
MRI-PELVIS,72195,HUM GOLD IN,$196.79
MRI-PELVIS,72195,MENONITA VITAL,$163.67
MRI-PELVIS,72195,MMM IN,$196.79
MRI-PELVIS,72195,MMM VITAL,$182.68
MRI-PELVIS,72195,ASOCIACION OUT,
MRI-PELVIS,72195,BELLA VISTA,$325.00
MRI-PELVIS,72195,HUMANA,$325.00
MRI-PELVIS,72195,IMC,$312.50
MRI-PELVIS,72195,CHAMPVA,$153.16
MRI-PELVIS,72195,PALIC,$325.00
MRI-PELVIS,72195,MCS PREF,$325.00
MRI-PELVIS,72195,MEDICARE B,$196.79
MRI-PELVIS,72195,FONDO,$249.77
MRI-PELVIS,72195,MCS CLASS,$153.16
MRI-PELVIS,72195,ACAA,
MRI-PELVIS,72195,MENONITA COM,
MRI-PELVIS,72195,MMM OUT,$153.16
MRI-PELVIS,72195,MEDICARE A,$153.16
MRI-PELVIS,72195,ASOCIACION IN,$500.00
MRI-PELVIS,72195,HUM GOLD OUT,$196.79
MRI-PELVIS,72195,FM VITAL,$134.44
MRI-PELVIS,72195,SSS BLUE CARD,$325.00
MRI-PELVIS,72195,TSADV IN,$246.87
MRI-PELVIS,72195,PMC OUT,$153.16
MRI-PELVIS,72195,TRICARE,$153.16
MRI-PELVIS,72195,TSADV OUT,$246.87
MRI-PELVIS,72195,TRIPLE S COM,$325.00
MRI-PELVIS,72195,TS VITAL,$243.75
MRI-PELVIS,72195,PMC IN,$196.79
MRI-PELVIS,72195,VETERANS,$153.16
MRI-PELVIS W CONTRAST,72196,IMC,$312.50
MRI-PELVIS W CONTRAST,72196,MEDICARE A,$250.96
MRI-PELVIS W CONTRAST,72196,MENONITA COM,$287.50
MRI-PELVIS W CONTRAST,72196,CHAMPVA,$250.96
MRI-PELVIS W CONTRAST,72196,MEDICARE B,$228.44
MRI-PELVIS W CONTRAST,72196,MCS PREF,$387.50
MRI-PELVIS W CONTRAST,72196,BELLA VISTA,$325.00
MRI-PELVIS W CONTRAST,72196,MMM OUT,$250.96
MRI-PELVIS W CONTRAST,72196,FONDO,$267.52
MRI-PELVIS W CONTRAST,72196,FM VITAL,$160.42
MRI-PELVIS W CONTRAST,72196,PALIC,$362.50
MRI-PELVIS W CONTRAST,72196,ASOCIACION IN,$500.00
MRI-PELVIS W CONTRAST,72196,HUM GOLD IN,$228.44
MRI-PELVIS W CONTRAST,72196,MMM IN,$228.44
MRI-PELVIS W CONTRAST,72196,MENONITA VITAL,$187.26
MRI-PELVIS W CONTRAST,72196,HUMANA,$325.00
MRI-PELVIS W CONTRAST,72196,ASOCIACION OUT,
MRI-PELVIS W CONTRAST,72196,HUM GOLD OUT,$228.44
MRI-PELVIS W CONTRAST,72196,ACAA,$193.37
MRI-PELVIS W CONTRAST,72196,MCS CLASS,$250.96
MRI-PELVIS W CONTRAST,72196,MMM VITAL,$195.80
MRI-PELVIS W CONTRAST,72196,TRICARE,$250.96
MRI-PELVIS W CONTRAST,72196,TS VITAL,$243.75
MRI-PELVIS W CONTRAST,72196,PMC IN,$228.44
MRI-PELVIS W CONTRAST,72196,PMC OUT,$250.96
MRI-PELVIS W CONTRAST,72196,TRIPLE S COM,$325.00
MRI-PELVIS W CONTRAST,72196,TSADV IN,$267.52
MRI-PELVIS W CONTRAST,72196,VETERANS,$250.96
MRI-PELVIS W CONTRAST,72196,SSS BLUE CARD,$325.00
MRI-PELVIS W CONTRAST,72196,TSADV OUT,$267.52
MRI-PELVIS W/O AND W/C,72197,CHAMPVA,$250.96
MRI-PELVIS W/O AND W/C,72197,ACAA,
MRI-PELVIS W/O AND W/C,72197,FONDO,$324.08
MRI-PELVIS W/O AND W/C,72197,MMM IN,$287.01
MRI-PELVIS W/O AND W/C,72197,MENONITA COM,
MRI-PELVIS W/O AND W/C,72197,IMC,$312.50
MRI-PELVIS W/O AND W/C,72197,MENONITA VITAL,$226.86
MRI-PELVIS W/O AND W/C,72197,MEDICARE A,$250.96
MRI-PELVIS W/O AND W/C,72197,ASOCIACION OUT,
MRI-PELVIS W/O AND W/C,72197,MCS PREF,$387.50
MRI-PELVIS W/O AND W/C,72197,MEDICARE B,$287.01
MRI-PELVIS W/O AND W/C,72197,HUMANA,$287.50
MRI-PELVIS W/O AND W/C,72197,PALIC,$387.50
MRI-PELVIS W/O AND W/C,72197,HUM GOLD IN,$287.01
MRI-PELVIS W/O AND W/C,72197,MMM VITAL,$237.30
MRI-PELVIS W/O AND W/C,72197,MMM OUT,$250.96
MRI-PELVIS W/O AND W/C,72197,HUM GOLD OUT,$287.01
MRI-PELVIS W/O AND W/C,72197,MCS CLASS,$250.96
MRI-PELVIS W/O AND W/C,72197,FM VITAL,$193.98
MRI-PELVIS W/O AND W/C,72197,BELLA VISTA,$325.00
MRI-PELVIS W/O AND W/C,72197,ASOCIACION IN,$500.00
MRI-PELVIS W/O AND W/C,72197,TRIPLE S COM,$325.00
MRI-PELVIS W/O AND W/C,72197,VETERANS,$250.96
MRI-PELVIS W/O AND W/C,72197,SSS BLUE CARD,$325.00
MRI-PELVIS W/O AND W/C,72197,TS VITAL,$243.75
MRI-PELVIS W/O AND W/C,72197,TSADV IN,$324.08
MRI-PELVIS W/O AND W/C,72197,TRICARE,$250.96
MRI-PELVIS W/O AND W/C,72197,PMC IN,$287.01
MRI-PELVIS W/O AND W/C,72197,TSADV OUT,$324.08
MRI-PELVIS W/O AND W/C,72197,PMC OUT,$250.96
MRI-THORACIC SPINE,72146,MENONITA COM,$317.50
MRI-THORACIC SPINE,72146,ACAA,$193.37
MRI-THORACIC SPINE,72146,IMC,$312.50
MRI-THORACIC SPINE,72146,BELLA VISTA,$325.00
MRI-THORACIC SPINE,72146,MENONITA VITAL,$108.10
MRI-THORACIC SPINE,72146,MMM OUT,$153.16
MRI-THORACIC SPINE,72146,MMM IN,$145.51
MRI-THORACIC SPINE,72146,ASOCIACION IN,$500.00
MRI-THORACIC SPINE,72146,CHAMPVA,$153.16
MRI-THORACIC SPINE,72146,PALIC,$325.00
MRI-THORACIC SPINE,72146,MCS PREF,$325.00
MRI-THORACIC SPINE,72146,HUMANA,$325.00
MRI-THORACIC SPINE,72146,MCS CLASS,$153.16
MRI-THORACIC SPINE,72146,ASOCIACION OUT,
MRI-THORACIC SPINE,72146,MEDICARE A,$153.16
MRI-THORACIC SPINE,72146,HUM GOLD OUT,$145.51
MRI-THORACIC SPINE,72146,FONDO,$154.43
MRI-THORACIC SPINE,72146,MEDICARE B,$145.51
MRI-THORACIC SPINE,72146,HUM GOLD IN,$145.51
MRI-THORACIC SPINE,72146,FM VITAL,$73.76
MRI-THORACIC SPINE,72146,MMM VITAL,$90.91
MRI-THORACIC SPINE,72146,VETERANS,$153.16
MRI-THORACIC SPINE,72146,TS VITAL,$243.75
MRI-THORACIC SPINE,72146,TSADV OUT,$154.43
MRI-THORACIC SPINE,72146,SSS BLUE CARD,$325.00
MRI-THORACIC SPINE,72146,PMC IN,$145.51
MRI-THORACIC SPINE,72146,TRICARE,$153.16
MRI-THORACIC SPINE,72146,TRIPLE S COM,$325.00
MRI-THORACIC SPINE,72146,TSADV IN,$154.43
MRI-THORACIC SPINE,72146,PMC OUT,$153.16
MRI-THORACIC SPINE W CONTRAST,72147,HUM GOLD IN,$228.81
MRI-THORACIC SPINE W CONTRAST,72147,MEDICARE A,$250.96
MRI-THORACIC SPINE W CONTRAST,72147,MMM IN,$228.81
MRI-THORACIC SPINE W CONTRAST,72147,MMM VITAL,$141.18
MRI-THORACIC SPINE W CONTRAST,72147,HUMANA,$362.50
MRI-THORACIC SPINE W CONTRAST,72147,MMM OUT,$250.96
MRI-THORACIC SPINE W CONTRAST,72147,MENONITA COM,$350.00
MRI-THORACIC SPINE W CONTRAST,72147,BELLA VISTA,$325.00
MRI-THORACIC SPINE W CONTRAST,72147,PALIC,$387.50
MRI-THORACIC SPINE W CONTRAST,72147,HUM GOLD OUT,$228.81
MRI-THORACIC SPINE W CONTRAST,72147,MCS PREF,$387.50
MRI-THORACIC SPINE W CONTRAST,72147,MEDICARE B,$228.81
MRI-THORACIC SPINE W CONTRAST,72147,FONDO,$240.70
MRI-THORACIC SPINE W CONTRAST,72147,CHAMPVA,$250.96
MRI-THORACIC SPINE W CONTRAST,72147,ASOCIACION OUT,
MRI-THORACIC SPINE W CONTRAST,72147,IMC,$312.50
MRI-THORACIC SPINE W CONTRAST,72147,FM VITAL,$114.65
MRI-THORACIC SPINE W CONTRAST,72147,MCS CLASS,$250.96
MRI-THORACIC SPINE W CONTRAST,72147,MENONITA VITAL,$168.49
MRI-THORACIC SPINE W CONTRAST,72147,ACAA,$223.12
MRI-THORACIC SPINE W CONTRAST,72147,ASOCIACION IN,$500.00
MRI-THORACIC SPINE W CONTRAST,72147,PMC IN,$228.81
MRI-THORACIC SPINE W CONTRAST,72147,VETERANS,$250.96
MRI-THORACIC SPINE W CONTRAST,72147,TSADV IN,$240.70
MRI-THORACIC SPINE W CONTRAST,72147,TS VITAL,$243.75
MRI-THORACIC SPINE W CONTRAST,72147,SSS BLUE CARD,$325.00
MRI-THORACIC SPINE W CONTRAST,72147,TRICARE,$250.96
MRI-THORACIC SPINE W CONTRAST,72147,TRIPLE S COM,$325.00
MRI-THORACIC SPINE W CONTRAST,72147,TSADV OUT,$240.70
MRI-THORACIC SPINE W CONTRAST,72147,PMC OUT,$250.96
MRI-UPPER EXTR. ANY JOINT RT,73221,FM VITAL,$82.84
MRI-UPPER EXTR. ANY JOINT RT,73221,BELLA VISTA,$325.00
MRI-UPPER EXTR. ANY JOINT RT,73221,IMC,$312.50
MRI-UPPER EXTR. ANY JOINT RT,73221,MEDICARE B,$164.42
MRI-UPPER EXTR. ANY JOINT RT,73221,MEDICARE A,$153.16
MRI-UPPER EXTR. ANY JOINT RT,73221,CHAMPVA,$153.16
MRI-UPPER EXTR. ANY JOINT RT,73221,MMM VITAL,$102.04
MRI-UPPER EXTR. ANY JOINT RT,73221,PALIC,$325.00
MRI-UPPER EXTR. ANY JOINT RT,73221,HUMANA,$325.00
MRI-UPPER EXTR. ANY JOINT RT,73221,ASOCIACION OUT,
MRI-UPPER EXTR. ANY JOINT RT,73221,MENONITA COM,$287.50
MRI-UPPER EXTR. ANY JOINT RT,73221,MCS CLASS,$153.16
MRI-UPPER EXTR. ANY JOINT RT,73221,ASOCIACION IN,$500.00
MRI-UPPER EXTR. ANY JOINT RT,73221,MENONITA VITAL,$121.54
MRI-UPPER EXTR. ANY JOINT RT,73221,ACAA,$193.37
MRI-UPPER EXTR. ANY JOINT RT,73221,HUM GOLD IN,$164.42
MRI-UPPER EXTR. ANY JOINT RT,73221,FONDO,$173.63
MRI-UPPER EXTR. ANY JOINT RT,73221,MCS PREF,$325.00
MRI-UPPER EXTR. ANY JOINT RT,73221,HUM GOLD OUT,$164.42
MRI-UPPER EXTR. ANY JOINT RT,73221,MMM OUT,$153.16
MRI-UPPER EXTR. ANY JOINT RT,73221,MMM IN,$164.42
MRI-UPPER EXTR. ANY JOINT RT,73221,TRIPLE S COM,$325.00
MRI-UPPER EXTR. ANY JOINT RT,73221,VETERANS,$153.16
MRI-UPPER EXTR. ANY JOINT RT,73221,PMC IN,$164.42
MRI-UPPER EXTR. ANY JOINT RT,73221,SSS BLUE CARD,$325.00
MRI-UPPER EXTR. ANY JOINT RT,73221,TS VITAL,$243.75
MRI-UPPER EXTR. ANY JOINT RT,73221,TSADV OUT,$173.63
MRI-UPPER EXTR. ANY JOINT RT,73221,TRICARE,$153.16
MRI-UPPER EXTR. ANY JOINT RT,73221,TSADV IN,$173.63
MRI-UPPER EXTR. ANY JOINT RT,73221,PMC OUT,$153.16
NASAL BONES XR,70160,HUMANA,$11.50
NASAL BONES XR,70160,IMC,$9.50
NASAL BONES XR,70160,FONDO,$24.64
NASAL BONES XR,70160,ASOCIACION OUT,
NASAL BONES XR,70160,MMM OUT,$52.45
NASAL BONES XR,70160,CHAMPVA,$52.45
NASAL BONES XR,70160,BELLA VISTA,$9.50
NASAL BONES XR,70160,MMM IN,$28.00
NASAL BONES XR,70160,HUM GOLD IN,$28.00
NASAL BONES XR,70160,HUM GOLD OUT,$28.00
NASAL BONES XR,70160,FM VITAL,$11.56
NASAL BONES XR,70160,MEDICARE A,$52.45
NASAL BONES XR,70160,MENONITA COM,$10.00
NASAL BONES XR,70160,ACAA,$14.70
NASAL BONES XR,70160,ASOCIACION IN,$17.00
NASAL BONES XR,70160,MENONITA VITAL,$17.25
NASAL BONES XR,70160,MCS PREF,$12.00
NASAL BONES XR,70160,MMM VITAL,$14.35
NASAL BONES XR,70160,MEDICARE B,$28.00
NASAL BONES XR,70160,MCS CLASS,$52.45
NASAL BONES XR,70160,PALIC,$12.50
NASAL BONES XR,70160,TSADV IN,$24.64
NASAL BONES XR,70160,TRIPLE S COM,$13.50
NASAL BONES XR,70160,PMC OUT,$52.45
NASAL BONES XR,70160,VETERANS,$52.45
NASAL BONES XR,70160,TS VITAL,$9.26
NASAL BONES XR,70160,TRICARE,$52.45
NASAL BONES XR,70160,SSS BLUE CARD,$13.50
NASAL BONES XR,70160,TSADV OUT,$24.64
NASAL BONES XR,70160,PMC IN,$28.00
NATRIURETIC PEPTIDE (BNP),83880,CHAMPVA,$39.26
NATRIURETIC PEPTIDE (BNP),83880,FM VITAL,$36.99
NATRIURETIC PEPTIDE (BNP),83880,BELLA VISTA,
NATRIURETIC PEPTIDE (BNP),83880,FONDO,$41.90
NATRIURETIC PEPTIDE (BNP),83880,MENONITA COM,
NATRIURETIC PEPTIDE (BNP),83880,MCS CLASS,$39.26
NATRIURETIC PEPTIDE (BNP),83880,HUMANA,
NATRIURETIC PEPTIDE (BNP),83880,MMM IN,$39.26
NATRIURETIC PEPTIDE (BNP),83880,ACAA,
NATRIURETIC PEPTIDE (BNP),83880,HUM GOLD OUT,
NATRIURETIC PEPTIDE (BNP),83880,MMM OUT,$39.26
NATRIURETIC PEPTIDE (BNP),83880,PMC IN,$39.26
NATRIURETIC PEPTIDE (BNP),83880,MEDICARE B,$39.26
NATRIURETIC PEPTIDE (BNP),83880,MCS PREF,
NATRIURETIC PEPTIDE (BNP),83880,ASOCIACION OUT,
NATRIURETIC PEPTIDE (BNP),83880,PALIC,
NATRIURETIC PEPTIDE (BNP),83880,IMC,$90.00
NATRIURETIC PEPTIDE (BNP),83880,HUM GOLD IN,$39.26
NATRIURETIC PEPTIDE (BNP),83880,ASOCIACION IN,
NATRIURETIC PEPTIDE (BNP),83880,MMM VITAL,$32.37
NATRIURETIC PEPTIDE (BNP),83880,MEDICARE A,$39.26
NATRIURETIC PEPTIDE (BNP),83880,MENONITA VITAL,$32.37
NATRIURETIC PEPTIDE (BNP),83880,TRIPLE S COM,$50.00
NATRIURETIC PEPTIDE (BNP),83880,VETERANS,$39.26
NATRIURETIC PEPTIDE (BNP),83880,PMC OUT,$39.26
NATRIURETIC PEPTIDE (BNP),83880,TRICARE,$39.26
NATRIURETIC PEPTIDE (BNP),83880,TSADV OUT,$41.90
NATRIURETIC PEPTIDE (BNP),83880,TSADV IN,$41.90
NATRIURETIC PEPTIDE (BNP),83880,SSS BLUE CARD,$50.00
NATRIURETIC PEPTIDE (BNP),83880,TS VITAL,$48.08
NECK CT,70490,MENONITA VITAL,$74.35
NECK CT,70490,HUM GOLD OUT,$102.22
NECK CT,70490,MMM VITAL,$77.79
NECK CT,70490,FONDO,$106.21
NECK CT,70490,HUM GOLD IN,$102.22
NECK CT,70490,BELLA VISTA,$150.00
NECK CT,70490,IMC,$137.50
NECK CT,70490,FM VITAL,$55.38
NECK CT,70490,MCS CLASS,$73.66
NECK CT,70490,HUMANA,$137.50
NECK CT,70490,PALIC,$150.00
NECK CT,70490,ACAA,$81.81
NECK CT,70490,CHAMPVA,$73.66
NECK CT,70490,MMM OUT,$73.66
NECK CT,70490,MMM IN,$102.22
NECK CT,70490,MENONITA COM,$137.50
NECK CT,70490,ASOCIACION OUT,
NECK CT,70490,MEDICARE A,$73.66
NECK CT,70490,MEDICARE B,$102.22
NECK CT,70490,ASOCIACION IN,$260.00
NECK CT,70490,MCS PREF,$150.00
NECK CT,70490,TS VITAL,$110.00
NECK CT,70490,PMC IN,$102.22
NECK CT,70490,TSADV IN,$106.21
NECK CT,70490,TRICARE,$73.66
NECK CT,70490,TRIPLE S COM,$137.50
NECK CT,70490,TSADV OUT,$106.21
NECK CT,70490,SSS BLUE CARD,$137.50
NECK CT,70490,PMC OUT,$73.66
NECK CT,70490,VETERANS,$73.66
NECK SOFT TISSUE (C.S.) XR,70360,MMM VITAL,$11.77
NECK SOFT TISSUE (C.S.) XR,70360,PALIC,$10.00
NECK SOFT TISSUE (C.S.) XR,70360,ASOCIACION IN,$12.00
NECK SOFT TISSUE (C.S.) XR,70360,HUM GOLD IN,$21.82
NECK SOFT TISSUE (C.S.) XR,70360,MMM IN,$21.82
NECK SOFT TISSUE (C.S.) XR,70360,MEDICARE B,$21.82
NECK SOFT TISSUE (C.S.) XR,70360,HUMANA,$8.00
NECK SOFT TISSUE (C.S.) XR,70360,IMC,$7.00
NECK SOFT TISSUE (C.S.) XR,70360,HUM GOLD OUT,$21.82
NECK SOFT TISSUE (C.S.) XR,70360,MENONITA COM,$12.00
NECK SOFT TISSUE (C.S.) XR,70360,MMM OUT,$52.45
NECK SOFT TISSUE (C.S.) XR,70360,FONDO,$20.29
NECK SOFT TISSUE (C.S.) XR,70360,MCS PREF,$8.00
NECK SOFT TISSUE (C.S.) XR,70360,PMC IN,$21.82
NECK SOFT TISSUE (C.S.) XR,70360,MENONITA VITAL,$14.20
NECK SOFT TISSUE (C.S.) XR,70360,MEDICARE A,$52.45
NECK SOFT TISSUE (C.S.) XR,70360,ACAA,$9.80
NECK SOFT TISSUE (C.S.) XR,70360,FM VITAL,$6.83
NECK SOFT TISSUE (C.S.) XR,70360,BELLA VISTA,$7.00
NECK SOFT TISSUE (C.S.) XR,70360,ASOCIACION OUT,
NECK SOFT TISSUE (C.S.) XR,70360,MCS CLASS,$52.45
NECK SOFT TISSUE (C.S.) XR,70360,CHAMPVA,$52.45
NECK SOFT TISSUE (C.S.) XR,70360,TS VITAL,$6.83
NECK SOFT TISSUE (C.S.) XR,70360,TSADV OUT,$20.29
NECK SOFT TISSUE (C.S.) XR,70360,SSS BLUE CARD,$12.00
NECK SOFT TISSUE (C.S.) XR,70360,VETERANS,$52.45
NECK SOFT TISSUE (C.S.) XR,70360,TRIPLE S COM,$12.00
NECK SOFT TISSUE (C.S.) XR,70360,TRICARE,$52.45
NECK SOFT TISSUE (C.S.) XR,70360,TSADV IN,$20.29
NECK SOFT TISSUE (C.S.) XR,70360,PMC OUT,$52.45
NECK W/CONTRAST CT,70491,MCS PREF,$175.00
NECK W/CONTRAST CT,70491,MENONITA VITAL,$95.91
NECK W/CONTRAST CT,70491,BELLA VISTA,$170.00
NECK W/CONTRAST CT,70491,CHAMPVA,$119.76
NECK W/CONTRAST CT,70491,MEDICARE B,$136.05
NECK W/CONTRAST CT,70491,MMM VITAL,$100.37
NECK W/CONTRAST CT,70491,HUMANA,$142.50
NECK W/CONTRAST CT,70491,MEDICARE A,$119.76
NECK W/CONTRAST CT,70491,HUM GOLD OUT,$136.05
NECK W/CONTRAST CT,70491,MMM IN,$136.05
NECK W/CONTRAST CT,70491,ACAA,$89.25
NECK W/CONTRAST CT,70491,HUM GOLD IN,$136.05
NECK W/CONTRAST CT,70491,MCS CLASS,$119.76
NECK W/CONTRAST CT,70491,FONDO,$137.02
NECK W/CONTRAST CT,70491,FM VITAL,$82.07
NECK W/CONTRAST CT,70491,MMM OUT,$119.76
NECK W/CONTRAST CT,70491,IMC,$137.50
NECK W/CONTRAST CT,70491,MENONITA COM,$137.50
NECK W/CONTRAST CT,70491,ASOCIACION OUT,
NECK W/CONTRAST CT,70491,PALIC,$175.00
NECK W/CONTRAST CT,70491,ASOCIACION IN,$260.00
NECK W/CONTRAST CT,70491,TSADV IN,$137.02
NECK W/CONTRAST CT,70491,TSADV OUT,$137.02
NECK W/CONTRAST CT,70491,TS VITAL,$110.00
NECK W/CONTRAST CT,70491,TRICARE,$119.76
NECK W/CONTRAST CT,70491,SSS BLUE CARD,$137.50
NECK W/CONTRAST CT,70491,PMC OUT,$119.76
NECK W/CONTRAST CT,70491,TRIPLE S COM,$137.50
NECK W/CONTRAST CT,70491,PMC IN,$136.05
NECK W/CONTRAST CT,70491,VETERANS,$119.76
NECK WITHOUT AND W/C CT,70492,MMM VITAL,$124.03
NECK WITHOUT AND W/C CT,70492,HUM GOLD OUT,$166.61
NECK WITHOUT AND W/C CT,70492,HUM GOLD IN,$166.61
NECK WITHOUT AND W/C CT,70492,IMC,$137.50
NECK WITHOUT AND W/C CT,70492,MEDICARE A,$119.76
NECK WITHOUT AND W/C CT,70492,MMM OUT,$119.76
NECK WITHOUT AND W/C CT,70492,MEDICARE B,$166.61
NECK WITHOUT AND W/C CT,70492,PALIC,$200.00
NECK WITHOUT AND W/C CT,70492,MCS CLASS,$119.76
NECK WITHOUT AND W/C CT,70492,FM VITAL,$101.50
NECK WITHOUT AND W/C CT,70492,CHAMPVA,$119.76
NECK WITHOUT AND W/C CT,70492,ASOCIACION OUT,
NECK WITHOUT AND W/C CT,70492,ACAA,
NECK WITHOUT AND W/C CT,70492,MENONITA COM,$137.50
NECK WITHOUT AND W/C CT,70492,MMM IN,$166.61
NECK WITHOUT AND W/C CT,70492,ASOCIACION IN,$260.00
NECK WITHOUT AND W/C CT,70492,MCS PREF,$175.00
NECK WITHOUT AND W/C CT,70492,MENONITA VITAL,$117.24
NECK WITHOUT AND W/C CT,70492,FONDO,$167.48
NECK WITHOUT AND W/C CT,70492,BELLA VISTA,$170.50
NECK WITHOUT AND W/C CT,70492,HUMANA,$137.50
NECK WITHOUT AND W/C CT,70492,TRIPLE S COM,$137.50
NECK WITHOUT AND W/C CT,70492,SSS BLUE CARD,$137.50
NECK WITHOUT AND W/C CT,70492,TS VITAL,$110.00
NECK WITHOUT AND W/C CT,70492,TRICARE,$119.76
NECK WITHOUT AND W/C CT,70492,PMC OUT,$119.76
NECK WITHOUT AND W/C CT,70492,TSADV IN,$167.48
NECK WITHOUT AND W/C CT,70492,TSADV OUT,$167.48
NECK WITHOUT AND W/C CT,70492,PMC IN,$166.61
NECK WITHOUT AND W/C CT,70492,VETERANS,$119.76
"New patient office of other outpatient visit, typically 45 min",99204,BELLA VISTA,
"New patient office of other outpatient visit, typically 45 min",99204,FONDO,
"New patient office of other outpatient visit, typically 45 min",99204,ASOCIACION OUT,
"New patient office of other outpatient visit, typically 45 min",99204,CHAMPVA,
"New patient office of other outpatient visit, typically 45 min",99204,FM VITAL,
"New patient office of other outpatient visit, typically 45 min",99204,HUM GOLD PLUS,
"New patient office of other outpatient visit, typically 45 min",99204,TRICARE,
"New patient office of other outpatient visit, typically 45 min",99204,MMM VITAL,
"New patient office of other outpatient visit, typically 45 min",99204,MCS PREF,
"New patient office of other outpatient visit, typically 45 min",99204,MOLINA VITAL,
"New patient office of other outpatient visit, typically 45 min",99204,HUMANA,
"New patient office of other outpatient visit, typically 45 min",99204,MENONITA COM,
"New patient office of other outpatient visit, typically 45 min",99204,PMC IN,
"New patient office of other outpatient visit, typically 45 min",99204,PSM VITAL,
"New patient office of other outpatient visit, typically 45 min",99204,SSS BLUE CARD,
"New patient office of other outpatient visit, typically 45 min",99204,PALIC,
"New patient office of other outpatient visit, typically 45 min",99204,SSS COM,
"New patient office of other outpatient visit, typically 45 min",99204,TS VITAL,
"New patient office of other outpatient visit, typically 45 min",99204,TS ADV OUT,
"New patient office of other outpatient visit, typically 45 min",99204,TS ADV IN,
"New patient office of other outpatient visit, typically 45 min",99204,ACAA,
"New patient office of other outpatient visit, typically 45 min",99204,VETERANS,
"New patient office of other outpatient visit, typically 45 min",99204,PMC OUT,
"New patient office of other outpatient visit, typically 45 min",99204,MCS CLASS,
"New patient office of other outpatient visit, typically 45 min",99204,MMM OUT,
"New patient office of other outpatient visit, typically 45 min",99204,MAP LIFE,
"New patient office of other outpatient visit, typically 45 min",99204,MMM IN,
"New patient office of other outpatient visit, typically 45 min",99204,ASOCIACION INP,
"New patient office of other outpatient visit, typically 45 min",99204,IMC,
"New patient office of other outpatient visit, typically 45 min",99204,MEDICARE B,
"New patient office of other outpatient visit, typically 45 min",99204,MEDICARE A,
"New patient office of other outpatient visit, typically 60 min",99205,SSS COM,
"New patient office of other outpatient visit, typically 60 min",99205,FM VITAL,
"New patient office of other outpatient visit, typically 60 min",99205,TS VITAL,
"New patient office of other outpatient visit, typically 60 min",99205,IMC,
"New patient office of other outpatient visit, typically 60 min",99205,MAP LIFE,
"New patient office of other outpatient visit, typically 60 min",99205,HUM GOLD PLUS,
"New patient office of other outpatient visit, typically 60 min",99205,CHAMPVA,
"New patient office of other outpatient visit, typically 60 min",99205,TS ADV IN,
"New patient office of other outpatient visit, typically 60 min",99205,ACAA,
"New patient office of other outpatient visit, typically 60 min",99205,HUMANA,
"New patient office of other outpatient visit, typically 60 min",99205,VETERANS,
"New patient office of other outpatient visit, typically 60 min",99205,TS ADV OUT,
"New patient office of other outpatient visit, typically 60 min",99205,MENONITA COM,
"New patient office of other outpatient visit, typically 60 min",99205,MMM OUT,
"New patient office of other outpatient visit, typically 60 min",99205,MMM IN,
"New patient office of other outpatient visit, typically 60 min",99205,PSM VITAL,
"New patient office of other outpatient visit, typically 60 min",99205,MCS PREF,
"New patient office of other outpatient visit, typically 60 min",99205,MOLINA VITAL,
"New patient office of other outpatient visit, typically 60 min",99205,SSS BLUE CARD,
"New patient office of other outpatient visit, typically 60 min",99205,MMM VITAL,
"New patient office of other outpatient visit, typically 60 min",99205,TRICARE,
"New patient office of other outpatient visit, typically 60 min",99205,MEDICARE B,
"New patient office of other outpatient visit, typically 60 min",99205,PMC IN,
"New patient office of other outpatient visit, typically 60 min",99205,FONDO,
"New patient office of other outpatient visit, typically 60 min",99205,PMC OUT,
"New patient office of other outpatient visit, typically 60 min",99205,MEDICARE A,
"New patient office of other outpatient visit, typically 60 min",99205,PALIC,
"New patient office of other outpatient visit, typically 60 min",99205,MCS CLASS,
"New patient office of other outpatient visit, typically 60 min",99205,ASOCIACION OUT,
"New patient office of other outpatient visit, typically 60 min",99205,BELLA VISTA,
"New patient office of other outpatient visit, typically 60 min",99205,ASOCIACION INP,
"New patient office or other outpatient visit, typically 30 min",99203,HUM GOLD PLUS,
"New patient office or other outpatient visit, typically 30 min",99203,SSS BLUE CARD,
"New patient office or other outpatient visit, typically 30 min",99203,HUMANA,
"New patient office or other outpatient visit, typically 30 min",99203,SSS COM,
"New patient office or other outpatient visit, typically 30 min",99203,TS ADV OUT,
"New patient office or other outpatient visit, typically 30 min",99203,TRICARE,
"New patient office or other outpatient visit, typically 30 min",99203,FM VITAL,
"New patient office or other outpatient visit, typically 30 min",99203,MMM VITAL,
"New patient office or other outpatient visit, typically 30 min",99203,CHAMPVA,
"New patient office or other outpatient visit, typically 30 min",99203,PSM VITAL,
"New patient office or other outpatient visit, typically 30 min",99203,MMM IN,
"New patient office or other outpatient visit, typically 30 min",99203,MAP LIFE,
"New patient office or other outpatient visit, typically 30 min",99203,ACAA,
"New patient office or other outpatient visit, typically 30 min",99203,IMC,
"New patient office or other outpatient visit, typically 30 min",99203,MOLINA VITAL,
"New patient office or other outpatient visit, typically 30 min",99203,VETERANS,
"New patient office or other outpatient visit, typically 30 min",99203,PMC OUT,
"New patient office or other outpatient visit, typically 30 min",99203,MEDICARE A,
"New patient office or other outpatient visit, typically 30 min",99203,ASOCIACION OUT,
"New patient office or other outpatient visit, typically 30 min",99203,TS VITAL,
"New patient office or other outpatient visit, typically 30 min",99203,PALIC,
"New patient office or other outpatient visit, typically 30 min",99203,MMM OUT,
"New patient office or other outpatient visit, typically 30 min",99203,MENONITA COM,
"New patient office or other outpatient visit, typically 30 min",99203,ASOCIACION INP,
"New patient office or other outpatient visit, typically 30 min",99203,BELLA VISTA,
"New patient office or other outpatient visit, typically 30 min",99203,PMC IN,
"New patient office or other outpatient visit, typically 30 min",99203,MCS PREF,
"New patient office or other outpatient visit, typically 30 min",99203,TS ADV IN,
"New patient office or other outpatient visit, typically 30 min",99203,MCS CLASS,
"New patient office or other outpatient visit, typically 30 min",99203,MEDICARE B,
"New patient office or other outpatient visit, typically 30 min",99203,FONDO,
NON STRESS TEST,59025,HUMANA,$50.00
NON STRESS TEST,59025,ASOCIACION OUT,
NON STRESS TEST,59025,HUM GOLD IN,
NON STRESS TEST,59025,MMM OUT,
NON STRESS TEST,59025,CHAMPVA,
NON STRESS TEST,59025,IMC,$25.00
NON STRESS TEST,59025,BELLA VISTA,
NON STRESS TEST,59025,FM VITAL,$30.00
NON STRESS TEST,59025,HUM GOLD OUT,
NON STRESS TEST,59025,MEDICARE A,
NON STRESS TEST,59025,FONDO,
NON STRESS TEST,59025,MMM VITAL,$30.00
NON STRESS TEST,59025,MCS CLASS,
NON STRESS TEST,59025,MENONITA COM,
NON STRESS TEST,59025,MMM IN,
NON STRESS TEST,59025,MEDICARE B,
NON STRESS TEST,59025,ASOCIACION IN,$55.00
NON STRESS TEST,59025,MENONITA VITAL,$18.00
NON STRESS TEST,59025,MCS PREF,
NON STRESS TEST,59025,PALIC,
NON STRESS TEST,59025,ACAA,$40.00
NON STRESS TEST,59025,TSADV OUT,
NON STRESS TEST,59025,TS VITAL,$30.00
NON STRESS TEST,59025,TRICARE,
NON STRESS TEST,59025,TSADV IN,$40.00
NON STRESS TEST,59025,SSS BLUE CARD,$45.00
NON STRESS TEST,59025,VETERANS,
NON STRESS TEST,59025,TRIPLE S COM,$45.00
NON STRESS TEST,59025,PMC OUT,
NON STRESS TEST,59025,PMC IN,
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MMM IN,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,ACAA,
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MMM VITAL,$17.10
"NUCL AG AB,SSA, SSB,SM, RNP",86235,FM VITAL,$17.10
"NUCL AG AB,SSA, SSB,SM, RNP",86235,HUMANA,$60.00
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MENONITA VITAL,$17.10
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MEDICARE A,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MENONITA COM,$32.80
"NUCL AG AB,SSA, SSB,SM, RNP",86235,ASOCIACION IN,$46.00
"NUCL AG AB,SSA, SSB,SM, RNP",86235,BELLA VISTA,$48.00
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MMM OUT,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,IMC,$8.00
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MCS PREF,$53.94
"NUCL AG AB,SSA, SSB,SM, RNP",86235,HUM GOLD IN,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MEDICARE B,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,ASOCIACION OUT,
"NUCL AG AB,SSA, SSB,SM, RNP",86235,MCS CLASS,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,PALIC,$80.00
"NUCL AG AB,SSA, SSB,SM, RNP",86235,CHAMPVA,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,HUM GOLD OUT,
"NUCL AG AB,SSA, SSB,SM, RNP",86235,FONDO,$22.14
"NUCL AG AB,SSA, SSB,SM, RNP",86235,TRIPLE S COM,$53.94
"NUCL AG AB,SSA, SSB,SM, RNP",86235,TSADV OUT,$22.14
"NUCL AG AB,SSA, SSB,SM, RNP",86235,TSADV IN,$22.14
"NUCL AG AB,SSA, SSB,SM, RNP",86235,TS VITAL,$25.40
"NUCL AG AB,SSA, SSB,SM, RNP",86235,PMC OUT,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,VETERANS,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,SSS BLUE CARD,$53.94
"NUCL AG AB,SSA, SSB,SM, RNP",86235,PMC IN,$17.93
"NUCL AG AB,SSA, SSB,SM, RNP",86235,TRICARE,$17.93
OBSTETRIC <= 14WEEK FETUS US,76801,MENONITA VITAL,$53.28
OBSTETRIC <= 14WEEK FETUS US,76801,FONDO,$76.12
OBSTETRIC <= 14WEEK FETUS US,76801,MENONITA COM,
OBSTETRIC <= 14WEEK FETUS US,76801,MEDICARE B,$74.20
OBSTETRIC <= 14WEEK FETUS US,76801,MMM IN,$74.20
OBSTETRIC <= 14WEEK FETUS US,76801,CHAMPVA,$73.66
OBSTETRIC <= 14WEEK FETUS US,76801,HUM GOLD IN,$74.20
OBSTETRIC <= 14WEEK FETUS US,76801,HUM GOLD OUT,$74.20
OBSTETRIC <= 14WEEK FETUS US,76801,FM VITAL,$19.50
OBSTETRIC <= 14WEEK FETUS US,76801,IMC,$20.00
OBSTETRIC <= 14WEEK FETUS US,76801,MCS CLASS,$73.66
OBSTETRIC <= 14WEEK FETUS US,76801,BELLA VISTA,$37.50
OBSTETRIC <= 14WEEK FETUS US,76801,MMM OUT,$73.66
OBSTETRIC <= 14WEEK FETUS US,76801,PALIC,$45.00
OBSTETRIC <= 14WEEK FETUS US,76801,ACAA,
OBSTETRIC <= 14WEEK FETUS US,76801,HUMANA,$40.00
OBSTETRIC <= 14WEEK FETUS US,76801,MCS PREF,$25.00
OBSTETRIC <= 14WEEK FETUS US,76801,MMM VITAL,$44.89
OBSTETRIC <= 14WEEK FETUS US,76801,ASOCIACION IN,$80.00
OBSTETRIC <= 14WEEK FETUS US,76801,MEDICARE A,$73.66
OBSTETRIC <= 14WEEK FETUS US,76801,ASOCIACION OUT,
OBSTETRIC <= 14WEEK FETUS US,76801,TRIPLE S COM,$37.50
OBSTETRIC <= 14WEEK FETUS US,76801,SSS BLUE CARD,$37.50
OBSTETRIC <= 14WEEK FETUS US,76801,VETERANS,$73.66
OBSTETRIC <= 14WEEK FETUS US,76801,TRICARE,$73.66
OBSTETRIC <= 14WEEK FETUS US,76801,TS VITAL,$19.50
OBSTETRIC <= 14WEEK FETUS US,76801,TSADV IN,$76.12
OBSTETRIC <= 14WEEK FETUS US,76801,TSADV OUT,$76.12
OBSTETRIC <= 14WEEK FETUS US,76801,PMC IN,$74.20
OBSTETRIC <= 14WEEK FETUS US,76801,PMC OUT,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,MENONITA COM,$37.50
OBSTETRIC >= 14WEEK FETUS US,76805,MEDICARE B,$92.39
OBSTETRIC >= 14WEEK FETUS US,76805,MEDICARE A,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,CHAMPVA,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,MCS CLASS,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,TRICARE,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,FONDO,$94.97
OBSTETRIC >= 14WEEK FETUS US,76805,TS ADV OUT,$94.97
OBSTETRIC >= 14WEEK FETUS US,76805,SSS BLUE CARD,$37.50
OBSTETRIC >= 14WEEK FETUS US,76805,TS ADV IN,$94.97
OBSTETRIC >= 14WEEK FETUS US,76805,TS VITAL,$19.50
OBSTETRIC >= 14WEEK FETUS US,76805,HUMANA,$35.00
OBSTETRIC >= 14WEEK FETUS US,76805,ACAA,$17.50
OBSTETRIC >= 14WEEK FETUS US,76805,PALIC,$45.00
OBSTETRIC >= 14WEEK FETUS US,76805,MMM IN,$92.39
OBSTETRIC >= 14WEEK FETUS US,76805,IMC,$20.00
OBSTETRIC >= 14WEEK FETUS US,76805,ASOCIACION OUT,
OBSTETRIC >= 14WEEK FETUS US,76805,HUM GOLD PLUS,$92.39
OBSTETRIC >= 14WEEK FETUS US,76805,BELLA VISTA,$37.50
OBSTETRIC >= 14WEEK FETUS US,76805,MCS PREF,$37.50
OBSTETRIC >= 14WEEK FETUS US,76805,MMM OUT,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,SSS COM,$37.50
OBSTETRIC >= 14WEEK FETUS US,76805,PMC OUT,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,FM VITAL,$36.57
OBSTETRIC >= 14WEEK FETUS US,76805,VETERANS,$73.66
OBSTETRIC >= 14WEEK FETUS US,76805,MMM VITAL,$56.29
OBSTETRIC >= 14WEEK FETUS US,76805,PMC IN,$92.39
OBSTETRIC >= 14WEEK FETUS US,76805,MAP LIFE,$53.00
OBSTETRIC >= 14WEEK FETUS US,76805,ASOCIACION INP,$80.00
OBSTETRIC >= 14WEEK FETUS US,76805,PSM VITAL,$66.48
OBSTETRIC >= 14WEEK FETUS US,76805,MOLINA VITAL,$66.48
OBSTETRIC LIMITED,76815,MENONITA COM,$33.75
OBSTETRIC LIMITED,76815,CHAMPVA,$73.66
OBSTETRIC LIMITED,76815,FONDO,$53.65
OBSTETRIC LIMITED,76815,ASOCIACION IN,$80.00
OBSTETRIC LIMITED,76815,PALIC,$45.00
OBSTETRIC LIMITED,76815,IMC,
OBSTETRIC LIMITED,76815,HUMANA,$35.00
OBSTETRIC LIMITED,76815,ASOCIACION OUT,
OBSTETRIC LIMITED,76815,MCS PREF,$45.00
OBSTETRIC LIMITED,76815,MENONITA VITAL,$37.56
OBSTETRIC LIMITED,76815,FM VITAL,$25.70
OBSTETRIC LIMITED,76815,MCS CLASS,$73.66
OBSTETRIC LIMITED,76815,HUM GOLD IN,$52.74
OBSTETRIC LIMITED,76815,MMM IN,$52.74
OBSTETRIC LIMITED,76815,HUM GOLD OUT,$52.74
OBSTETRIC LIMITED,76815,BELLA VISTA,$37.50
OBSTETRIC LIMITED,76815,MMM OUT,$73.66
OBSTETRIC LIMITED,76815,MEDICARE A,$73.66
OBSTETRIC LIMITED,76815,MMM VITAL,$31.77
OBSTETRIC LIMITED,76815,ACAA,$21.00
OBSTETRIC LIMITED,76815,MEDICARE B,$52.74
OBSTETRIC LIMITED,76815,TS VITAL,$36.57
OBSTETRIC LIMITED,76815,VETERANS,$73.66
OBSTETRIC LIMITED,76815,TSADV IN,$53.65
OBSTETRIC LIMITED,76815,TSADV OUT,$53.65
OBSTETRIC LIMITED,76815,PMC OUT,$73.66
OBSTETRIC LIMITED,76815,TRICARE,$73.66
OBSTETRIC LIMITED,76815,TRIPLE S COM,$37.50
OBSTETRIC LIMITED,76815,SSS BLUE CARD,$37.50
OBSTETRIC LIMITED,76815,PMC IN,$52.74
OBSTETRIC PANEL,80055,CHAMPVA,$47.81
OBSTETRIC PANEL,80055,MMM OUT,$47.81
OBSTETRIC PANEL,80055,SSS BLUE CARD,$54.00
OBSTETRIC PANEL,80055,HUM GOLD PLUS,$47.81
OBSTETRIC PANEL,80055,BELLA VISTA,$51.00
OBSTETRIC PANEL,80055,MCS CLASS,$47.81
OBSTETRIC PANEL,80055,PALIC,
OBSTETRIC PANEL,80055,ASOCIACION OUT,
OBSTETRIC PANEL,80055,MAP LIFE,$75.00
OBSTETRIC PANEL,80055,IMC,$54.00
OBSTETRIC PANEL,80055,MOLINA VITAL,$41.31
OBSTETRIC PANEL,80055,VETERANS,$47.81
OBSTETRIC PANEL,80055,MENONITA COM,$40.00
OBSTETRIC PANEL,80055,PMC OUT,$47.81
OBSTETRIC PANEL,80055,TS ADV IN,$59.02
OBSTETRIC PANEL,80055,MMM IN,$47.81
OBSTETRIC PANEL,80055,MEDICARE A,$47.81
OBSTETRIC PANEL,80055,MEDICARE B,$47.81
OBSTETRIC PANEL,80055,TS ADV OUT,$59.02
OBSTETRIC PANEL,80055,HUMANA,
OBSTETRIC PANEL,80055,ACAA,
OBSTETRIC PANEL,80055,ASOCIACION INP,
OBSTETRIC PANEL,80055,FONDO,
OBSTETRIC PANEL,80055,TS VITAL,$54.00
OBSTETRIC PANEL,80055,TRICARE,$47.81
OBSTETRIC PANEL,80055,MCS PREF,$80.00
OBSTETRIC PANEL,80055,SSS COM,$54.00
OBSTETRIC PANEL,80055,MMM VITAL,$45.58
OBSTETRIC PANEL,80055,FM VITAL,$45.58
OBSTETRIC PANEL,80055,PSM VITAL,$45.58
OBSTETRIC PANEL,80055,PMC IN,$47.81
OBSTETRIC<=14WK FETUS=GEST US,76802,FM VITAL,$11.13
OBSTETRIC<=14WK FETUS=GEST US,76802,ASOCIACION IN,$80.00
OBSTETRIC<=14WK FETUS=GEST US,76802,HUM GOLD IN,$22.19
OBSTETRIC<=14WK FETUS=GEST US,76802,HUMANA,$30.00
OBSTETRIC<=14WK FETUS=GEST US,76802,MENONITA COM,
OBSTETRIC<=14WK FETUS=GEST US,76802,MEDICARE B,$22.19
OBSTETRIC<=14WK FETUS=GEST US,76802,ASOCIACION OUT,
OBSTETRIC<=14WK FETUS=GEST US,76802,CHAMPVA,$26.19
OBSTETRIC<=14WK FETUS=GEST US,76802,MCS CLASS,$26.19
OBSTETRIC<=14WK FETUS=GEST US,76802,MMM OUT,$26.19
OBSTETRIC<=14WK FETUS=GEST US,76802,MMM VITAL,$13.55
OBSTETRIC<=14WK FETUS=GEST US,76802,FONDO,$23.20
OBSTETRIC<=14WK FETUS=GEST US,76802,PALIC,$45.00
OBSTETRIC<=14WK FETUS=GEST US,76802,BELLA VISTA,$37.50
OBSTETRIC<=14WK FETUS=GEST US,76802,MCS PREF,$25.00
OBSTETRIC<=14WK FETUS=GEST US,76802,MEDICARE A,$26.19
OBSTETRIC<=14WK FETUS=GEST US,76802,HUM GOLD OUT,$22.19
OBSTETRIC<=14WK FETUS=GEST US,76802,IMC,$10.00
OBSTETRIC<=14WK FETUS=GEST US,76802,MMM IN,$22.19
OBSTETRIC<=14WK FETUS=GEST US,76802,MENONITA VITAL,$16.24
OBSTETRIC<=14WK FETUS=GEST US,76802,ACAA,
OBSTETRIC<=14WK FETUS=GEST US,76802,VETERANS,$26.19
OBSTETRIC<=14WK FETUS=GEST US,76802,TRICARE,$26.19
OBSTETRIC<=14WK FETUS=GEST US,76802,SSS BLUE CARD,$30.00
OBSTETRIC<=14WK FETUS=GEST US,76802,TRIPLE S COM,$30.00
OBSTETRIC<=14WK FETUS=GEST US,76802,PMC IN,$22.19
OBSTETRIC<=14WK FETUS=GEST US,76802,TSADV OUT,$23.20
OBSTETRIC<=14WK FETUS=GEST US,76802,TS VITAL,$19.50
OBSTETRIC<=14WK FETUS=GEST US,76802,PMC OUT,$26.19
OBSTETRIC<=14WK FETUS=GEST US,76802,TSADV IN,$23.20
OBSTETRIC>=14WK FETUS+GEST US,76810,BELLA VISTA,
OBSTETRIC>=14WK FETUS+GEST US,76810,HUMANA,$35.00
OBSTETRIC>=14WK FETUS+GEST US,76810,PALIC,$67.50
OBSTETRIC>=14WK FETUS+GEST US,76810,MMM IN,$43.28
OBSTETRIC>=14WK FETUS+GEST US,76810,ASOCIACION IN,$80.00
OBSTETRIC>=14WK FETUS+GEST US,76810,MMM OUT,$51.07
OBSTETRIC>=14WK FETUS+GEST US,76810,FM VITAL,$21.56
OBSTETRIC>=14WK FETUS+GEST US,76810,MCS CLASS,$51.07
OBSTETRIC>=14WK FETUS+GEST US,76810,MEDICARE A,$51.07
OBSTETRIC>=14WK FETUS+GEST US,76810,ASOCIACION OUT,
OBSTETRIC>=14WK FETUS+GEST US,76810,IMC,$10.00
OBSTETRIC>=14WK FETUS+GEST US,76810,HUM GOLD OUT,$43.28
OBSTETRIC>=14WK FETUS+GEST US,76810,HUM GOLD IN,$43.28
OBSTETRIC>=14WK FETUS+GEST US,76810,MEDICARE B,$43.28
OBSTETRIC>=14WK FETUS+GEST US,76810,MCS PREF,$45.00
OBSTETRIC>=14WK FETUS+GEST US,76810,MENONITA VITAL,$31.21
OBSTETRIC>=14WK FETUS+GEST US,76810,ACAA,$35.00
OBSTETRIC>=14WK FETUS+GEST US,76810,CHAMPVA,$51.07
OBSTETRIC>=14WK FETUS+GEST US,76810,MMM VITAL,$26.45
OBSTETRIC>=14WK FETUS+GEST US,76810,FONDO,$44.59
OBSTETRIC>=14WK FETUS+GEST US,76810,MENONITA COM,$37.50
OBSTETRIC>=14WK FETUS+GEST US,76810,TRIPLE S COM,$37.50
OBSTETRIC>=14WK FETUS+GEST US,76810,VETERANS,$51.07
OBSTETRIC>=14WK FETUS+GEST US,76810,TS VITAL,$37.30
OBSTETRIC>=14WK FETUS+GEST US,76810,TSADV IN,$44.59
OBSTETRIC>=14WK FETUS+GEST US,76810,TRICARE,$51.07
OBSTETRIC>=14WK FETUS+GEST US,76810,SSS BLUE CARD,$37.50
OBSTETRIC>=14WK FETUS+GEST US,76810,PMC OUT,$51.07
OBSTETRIC>=14WK FETUS+GEST US,76810,TSADV OUT,$44.59
OBSTETRIC>=14WK FETUS+GEST US,76810,PMC IN,$43.28
Open tx carpal scahoid ext fix,25628,ACAA,$475.00
Open tx carpal scahoid ext fix,25628,FM VITAL,$652.00
Open tx carpal scahoid ext fix,25628,MENONITA VITAL,$660.00
Open tx carpal scahoid ext fix,25628,BELLA VISTA,$650.00
Open tx carpal scahoid ext fix,25628,IMC,$605.00
Open tx carpal scahoid ext fix,25628,PALIC,$740.00
Open tx carpal scahoid ext fix,25628,HUM GOLD IN,
Open tx carpal scahoid ext fix,25628,HUM GOLD OUT,$806.00
Open tx carpal scahoid ext fix,25628,MCS CLASS,
Open tx carpal scahoid ext fix,25628,CHAMPVA,
Open tx carpal scahoid ext fix,25628,MMM VITAL,$611.00
Open tx carpal scahoid ext fix,25628,MEDICARE B,
Open tx carpal scahoid ext fix,25628,ASOCIACION IN,
Open tx carpal scahoid ext fix,25628,HUMANA,$700.00
Open tx carpal scahoid ext fix,25628,MENONITA COM,$788.00
Open tx carpal scahoid ext fix,25628,MCS PREF,$712.00
Open tx carpal scahoid ext fix,25628,MEDICARE A,
Open tx carpal scahoid ext fix,25628,MMM IN,
Open tx carpal scahoid ext fix,25628,MMM OUT,$735.00
Open tx carpal scahoid ext fix,25628,FONDO,
Open tx carpal scahoid ext fix,25628,ASOCIACION OUT,$770.00
Open tx carpal scahoid ext fix,25628,TSADV OUT,"$1,549.24"
Open tx carpal scahoid ext fix,25628,PMC IN,$735.00
Open tx carpal scahoid ext fix,25628,VETERANS,
Open tx carpal scahoid ext fix,25628,TRICARE,
Open tx carpal scahoid ext fix,25628,TRIPLE S COM,"$1,300.00"
Open tx carpal scahoid ext fix,25628,PMC OUT,$735.00
Open tx carpal scahoid ext fix,25628,TS VITAL,"$1,300.00"
Open tx carpal scahoid ext fix,25628,SSS BLUE CARD,"$1,300.00"
Open tx carpal scahoid ext fix,25628,TSADV IN,
Open tx metacarpal frac ex fix,26615,MCS CLASS,
Open tx metacarpal frac ex fix,26615,PALIC,$740.00
Open tx metacarpal frac ex fix,26615,HUMANA,$700.00
Open tx metacarpal frac ex fix,26615,MENONITA VITAL,$660.00
Open tx metacarpal frac ex fix,26615,MMM OUT,$735.00
Open tx metacarpal frac ex fix,26615,MENONITA COM,$788.00
Open tx metacarpal frac ex fix,26615,IMC,$605.00
Open tx metacarpal frac ex fix,26615,ASOCIACION IN,
Open tx metacarpal frac ex fix,26615,MEDICARE A,
Open tx metacarpal frac ex fix,26615,HUM GOLD OUT,$806.00
Open tx metacarpal frac ex fix,26615,FONDO,
Open tx metacarpal frac ex fix,26615,ACAA,$475.00
Open tx metacarpal frac ex fix,26615,ASOCIACION OUT,$770.00
Open tx metacarpal frac ex fix,26615,BELLA VISTA,$650.00
Open tx metacarpal frac ex fix,26615,MMM VITAL,$611.00
Open tx metacarpal frac ex fix,26615,FM VITAL,$652.00
Open tx metacarpal frac ex fix,26615,MCS PREF,$712.00
Open tx metacarpal frac ex fix,26615,CHAMPVA,
Open tx metacarpal frac ex fix,26615,MEDICARE B,
Open tx metacarpal frac ex fix,26615,HUM GOLD IN,
Open tx metacarpal frac ex fix,26615,MMM IN,
Open tx metacarpal frac ex fix,26615,TRICARE,
Open tx metacarpal frac ex fix,26615,PMC IN,$735.00
Open tx metacarpal frac ex fix,26615,SSS BLUE CARD,"$1,300.00"
Open tx metacarpal frac ex fix,26615,TRIPLE S COM,"$1,300.00"
Open tx metacarpal frac ex fix,26615,TSADV OUT,
Open tx metacarpal frac ex fix,26615,TSADV IN,
Open tx metacarpal frac ex fix,26615,VETERANS,
Open tx metacarpal frac ex fix,26615,PMC OUT,$735.00
Open tx metacarpal frac ex fix,26615,TS VITAL,"$1,300.00"
Open tx proximal hum int fix,23615,ASOCIACION IN,
Open tx proximal hum int fix,23615,MMM OUT,$735.00
Open tx proximal hum int fix,23615,MCS CLASS,
Open tx proximal hum int fix,23615,HUM GOLD OUT,$806.00
Open tx proximal hum int fix,23615,MENONITA VITAL,$660.00
Open tx proximal hum int fix,23615,MENONITA COM,$788.00
Open tx proximal hum int fix,23615,ASOCIACION OUT,$770.00
Open tx proximal hum int fix,23615,HUMANA,$700.00
Open tx proximal hum int fix,23615,MMM VITAL,$611.00
Open tx proximal hum int fix,23615,PALIC,$740.00
Open tx proximal hum int fix,23615,MEDICARE A,
Open tx proximal hum int fix,23615,FONDO,$575.00
Open tx proximal hum int fix,23615,ACAA,$475.00
Open tx proximal hum int fix,23615,CHAMPVA,
Open tx proximal hum int fix,23615,MCS PREF,$712.00
Open tx proximal hum int fix,23615,MMM IN,
Open tx proximal hum int fix,23615,HUM GOLD IN,
Open tx proximal hum int fix,23615,MEDICARE B,
Open tx proximal hum int fix,23615,BELLA VISTA,$650.00
Open tx proximal hum int fix,23615,IMC,$605.00
Open tx proximal hum int fix,23615,FM VITAL,$652.00
Open tx proximal hum int fix,23615,SSS BLUE CARD,"$1,300.00"
Open tx proximal hum int fix,23615,TRIPLE S COM,"$1,300.00"
Open tx proximal hum int fix,23615,TS VITAL,"$1,300.00"
Open tx proximal hum int fix,23615,TSADV IN,
Open tx proximal hum int fix,23615,TRICARE,
Open tx proximal hum int fix,23615,PMC OUT,$735.00
Open tx proximal hum int fix,23615,PMC IN,$735.00
Open tx proximal hum int fix,23615,VETERANS,
Open tx proximal hum int fix,23615,TSADV OUT,"$6,183.29"
Opn tx dist radi intr-art fra3,25609,PALIC,$740.00
Opn tx dist radi intr-art fra3,25609,FONDO,$450.00
Opn tx dist radi intr-art fra3,25609,MEDICARE A,
Opn tx dist radi intr-art fra3,25609,ASOCIACION OUT,$770.00
Opn tx dist radi intr-art fra3,25609,MENONITA COM,$788.00
Opn tx dist radi intr-art fra3,25609,HUMANA,$700.00
Opn tx dist radi intr-art fra3,25609,FM VITAL,$652.00
Opn tx dist radi intr-art fra3,25609,MENONITA VITAL,$660.00
Opn tx dist radi intr-art fra3,25609,MMM OUT,$735.00
Opn tx dist radi intr-art fra3,25609,MEDICARE B,
Opn tx dist radi intr-art fra3,25609,IMC,$605.00
Opn tx dist radi intr-art fra3,25609,CHAMPVA,
Opn tx dist radi intr-art fra3,25609,MCS PREF,$712.00
Opn tx dist radi intr-art fra3,25609,ASOCIACION IN,
Opn tx dist radi intr-art fra3,25609,MMM IN,
Opn tx dist radi intr-art fra3,25609,HUM GOLD OUT,$806.00
Opn tx dist radi intr-art fra3,25609,MCS CLASS,"$3,213.65"
Opn tx dist radi intr-art fra3,25609,HUM GOLD IN,
Opn tx dist radi intr-art fra3,25609,MMM VITAL,$611.00
Opn tx dist radi intr-art fra3,25609,BELLA VISTA,$650.00
Opn tx dist radi intr-art fra3,25609,ACAA,$475.00
Opn tx dist radi intr-art fra3,25609,TS VITAL,"$1,300.00"
Opn tx dist radi intr-art fra3,25609,PMC IN,$735.00
Opn tx dist radi intr-art fra3,25609,SSS BLUE CARD,"$1,300.00"
Opn tx dist radi intr-art fra3,25609,TRIPLE S COM,"$1,300.00"
Opn tx dist radi intr-art fra3,25609,TSADV IN,
Opn tx dist radi intr-art fra3,25609,VETERANS,
Opn tx dist radi intr-art fra3,25609,PMC OUT,$735.00
Opn tx dist radi intr-art fra3,25609,TRICARE,
Opn tx dist radi intr-art fra3,25609,TSADV OUT,"$3,213.65"
"ORBIT, EAR, MASTOIDS W/C CT",70481,MENONITA COM,$137.50
"ORBIT, EAR, MASTOIDS W/C CT",70481,MEDICARE A,$119.76
"ORBIT, EAR, MASTOIDS W/C CT",70481,IMC,$137.50
"ORBIT, EAR, MASTOIDS W/C CT",70481,CHAMPVA,$119.76
"ORBIT, EAR, MASTOIDS W/C CT",70481,PALIC,$175.00
"ORBIT, EAR, MASTOIDS W/C CT",70481,FONDO,$211.34
"ORBIT, EAR, MASTOIDS W/C CT",70481,MEDICARE B,$170.61
"ORBIT, EAR, MASTOIDS W/C CT",70481,ASOCIACION IN,$260.00
"ORBIT, EAR, MASTOIDS W/C CT",70481,HUM GOLD IN,$170.61
"ORBIT, EAR, MASTOIDS W/C CT",70481,MMM IN,$170.61
"ORBIT, EAR, MASTOIDS W/C CT",70481,BELLA VISTA,$112.50
"ORBIT, EAR, MASTOIDS W/C CT",70481,HUM GOLD OUT,$170.61
"ORBIT, EAR, MASTOIDS W/C CT",70481,FM VITAL,$102.39
"ORBIT, EAR, MASTOIDS W/C CT",70481,MCS CLASS,$119.76
"ORBIT, EAR, MASTOIDS W/C CT",70481,ASOCIACION OUT,
"ORBIT, EAR, MASTOIDS W/C CT",70481,MCS PREF,$175.00
"ORBIT, EAR, MASTOIDS W/C CT",70481,MENONITA VITAL,$147.94
"ORBIT, EAR, MASTOIDS W/C CT",70481,MMM OUT,$119.76
"ORBIT, EAR, MASTOIDS W/C CT",70481,MMM VITAL,$124.89
"ORBIT, EAR, MASTOIDS W/C CT",70481,HUMANA,$140.00
"ORBIT, EAR, MASTOIDS W/C CT",70481,ACAA,$89.25
"ORBIT, EAR, MASTOIDS W/C CT",70481,VETERANS,$119.76
"ORBIT, EAR, MASTOIDS W/C CT",70481,TRIPLE S COM,$137.50
"ORBIT, EAR, MASTOIDS W/C CT",70481,TS VITAL,$110.00
"ORBIT, EAR, MASTOIDS W/C CT",70481,PMC IN,$170.61
"ORBIT, EAR, MASTOIDS W/C CT",70481,PMC OUT,$119.76
"ORBIT, EAR, MASTOIDS W/C CT",70481,TSADV IN,$211.34
"ORBIT, EAR, MASTOIDS W/C CT",70481,SSS BLUE CARD,$137.50
"ORBIT, EAR, MASTOIDS W/C CT",70481,TSADV OUT,$211.34
"ORBIT, EAR, MASTOIDS W/C CT",70481,TRICARE,$119.76
"ORBIT,EAR,MASTOIDS CT",70480,MEDICARE A,$73.66
"ORBIT,EAR,MASTOIDS CT",70480,HUM GOLD IN,$113.13
"ORBIT,EAR,MASTOIDS CT",70480,MENONITA COM,$137.50
"ORBIT,EAR,MASTOIDS CT",70480,MCS CLASS,$73.66
"ORBIT,EAR,MASTOIDS CT",70480,ASOCIACION OUT,
"ORBIT,EAR,MASTOIDS CT",70480,FM VITAL,$55.38
"ORBIT,EAR,MASTOIDS CT",70480,MMM OUT,$73.66
"ORBIT,EAR,MASTOIDS CT",70480,HUMANA,$137.50
"ORBIT,EAR,MASTOIDS CT",70480,MMM IN,$113.13
"ORBIT,EAR,MASTOIDS CT",70480,ACAA,$53.55
"ORBIT,EAR,MASTOIDS CT",70480,HUM GOLD OUT,$113.13
"ORBIT,EAR,MASTOIDS CT",70480,ASOCIACION IN,$260.00
"ORBIT,EAR,MASTOIDS CT",70480,BELLA VISTA,$100.00
"ORBIT,EAR,MASTOIDS CT",70480,IMC,$137.50
"ORBIT,EAR,MASTOIDS CT",70480,MENONITA VITAL,$80.69
"ORBIT,EAR,MASTOIDS CT",70480,MMM VITAL,$102.09
"ORBIT,EAR,MASTOIDS CT",70480,MCS PREF,$150.00
"ORBIT,EAR,MASTOIDS CT",70480,PALIC,$150.00
"ORBIT,EAR,MASTOIDS CT",70480,CHAMPVA,$73.66
"ORBIT,EAR,MASTOIDS CT",70480,FONDO,$172.91
"ORBIT,EAR,MASTOIDS CT",70480,MEDICARE B,$113.13
"ORBIT,EAR,MASTOIDS CT",70480,PMC OUT,$73.66
"ORBIT,EAR,MASTOIDS CT",70480,TS VITAL,$110.00
"ORBIT,EAR,MASTOIDS CT",70480,TRICARE,$73.66
"ORBIT,EAR,MASTOIDS CT",70480,TRIPLE S COM,$137.50
"ORBIT,EAR,MASTOIDS CT",70480,VETERANS,$73.66
"ORBIT,EAR,MASTOIDS CT",70480,TSADV IN,$119.62
"ORBIT,EAR,MASTOIDS CT",70480,SSS BLUE CARD,$137.50
"ORBIT,EAR,MASTOIDS CT",70480,PMC IN,$113.13
"ORBIT,EAR,MASTOIDS CT",70480,TSADV OUT,$119.62
OS-CALCIS (TALON) XR RT,73650,ACAA,$14.70
OS-CALCIS (TALON) XR RT,73650,ASOCIACION OUT,
OS-CALCIS (TALON) XR RT,73650,HUM GOLD IN,$20.36
OS-CALCIS (TALON) XR RT,73650,MMM VITAL,$11.34
OS-CALCIS (TALON) XR RT,73650,MMM OUT,$52.45
OS-CALCIS (TALON) XR RT,73650,MEDICARE A,$52.45
OS-CALCIS (TALON) XR RT,73650,HUM GOLD OUT,$20.36
OS-CALCIS (TALON) XR RT,73650,HUMANA,$10.50
OS-CALCIS (TALON) XR RT,73650,MEDICARE B,$20.36
OS-CALCIS (TALON) XR RT,73650,ASOCIACION IN,$29.00
OS-CALCIS (TALON) XR RT,73650,MCS CLASS,$52.45
OS-CALCIS (TALON) XR RT,73650,PALIC,$13.00
OS-CALCIS (TALON) XR RT,73650,FONDO,$19.57
OS-CALCIS (TALON) XR RT,73650,MENONITA COM,$9.50
OS-CALCIS (TALON) XR RT,73650,MENONITA VITAL,$13.70
OS-CALCIS (TALON) XR RT,73650,FM VITAL,$9.27
OS-CALCIS (TALON) XR RT,73650,BELLA VISTA,$16.50
OS-CALCIS (TALON) XR RT,73650,MMM IN,$20.36
OS-CALCIS (TALON) XR RT,73650,MCS PREF,$12.00
OS-CALCIS (TALON) XR RT,73650,CHAMPVA,$52.45
OS-CALCIS (TALON) XR RT,73650,IMC,$16.50
OS-CALCIS (TALON) XR RT,73650,VETERANS,$52.45
OS-CALCIS (TALON) XR RT,73650,TSADV OUT,$19.57
OS-CALCIS (TALON) XR RT,73650,TRICARE,$52.45
OS-CALCIS (TALON) XR RT,73650,TRIPLE S COM,$12.50
OS-CALCIS (TALON) XR RT,73650,TS VITAL,$10.15
OS-CALCIS (TALON) XR RT,73650,PMC OUT,$52.45
OS-CALCIS (TALON) XR RT,73650,TSADV IN,$19.57
OS-CALCIS (TALON) XR RT,73650,SSS BLUE CARD,$12.50
OS-CALCIS (TALON) XR RT,73650,PMC IN,$20.36
OVA AND PARASITES,87177,MCS CLASS,$8.90
OVA AND PARASITES,87177,PALIC,
OVA AND PARASITES,87177,CHAMPVA,$8.90
OVA AND PARASITES,87177,MENONITA COM,$6.19
OVA AND PARASITES,87177,MEDICARE B,$8.90
OVA AND PARASITES,87177,ASOCIACION OUT,
OVA AND PARASITES,87177,FONDO,$10.99
OVA AND PARASITES,87177,MCS PREF,$8.00
OVA AND PARASITES,87177,MMM OUT,$8.90
OVA AND PARASITES,87177,MMM VITAL,$8.48
OVA AND PARASITES,87177,FM VITAL,$4.93
OVA AND PARASITES,87177,MENONITA VITAL,$4.31
OVA AND PARASITES,87177,ASOCIACION IN,
OVA AND PARASITES,87177,IMC,$5.00
OVA AND PARASITES,87177,ACAA,
OVA AND PARASITES,87177,HUM GOLD IN,$8.90
OVA AND PARASITES,87177,MMM IN,$8.90
OVA AND PARASITES,87177,HUM GOLD OUT,
OVA AND PARASITES,87177,MEDICARE A,$8.90
OVA AND PARASITES,87177,HUMANA,
OVA AND PARASITES,87177,BELLA VISTA,$3.50
OVA AND PARASITES,87177,TSADV OUT,$10.99
OVA AND PARASITES,87177,TRIPLE S COM,$9.10
OVA AND PARASITES,87177,TRICARE,$8.90
OVA AND PARASITES,87177,PMC OUT,$8.90
OVA AND PARASITES,87177,VETERANS,$8.90
OVA AND PARASITES,87177,TS VITAL,$6.41
OVA AND PARASITES,87177,PMC IN,$8.90
OVA AND PARASITES,87177,SSS BLUE CARD,$9.10
OVA AND PARASITES,87177,TSADV IN,$10.99
"PARANASAL SINUS,WATER VIEW XR",70220,FM VITAL,$12.09
"PARANASAL SINUS,WATER VIEW XR",70220,HUM GOLD IN,$25.82
"PARANASAL SINUS,WATER VIEW XR",70220,CHAMPVA,$52.45
"PARANASAL SINUS,WATER VIEW XR",70220,ACAA,$23.80
"PARANASAL SINUS,WATER VIEW XR",70220,BELLA VISTA,$16.50
"PARANASAL SINUS,WATER VIEW XR",70220,FONDO,$25.37
"PARANASAL SINUS,WATER VIEW XR",70220,MEDICARE B,$25.82
"PARANASAL SINUS,WATER VIEW XR",70220,PMC IN,$25.82
"PARANASAL SINUS,WATER VIEW XR",70220,MMM VITAL,$12.86
"PARANASAL SINUS,WATER VIEW XR",70220,MMM OUT,$52.45
"PARANASAL SINUS,WATER VIEW XR",70220,MMM IN,$25.82
"PARANASAL SINUS,WATER VIEW XR",70220,MENONITA COM,$20.00
"PARANASAL SINUS,WATER VIEW XR",70220,MCS PREF,$17.50
"PARANASAL SINUS,WATER VIEW XR",70220,MCS CLASS,$52.45
"PARANASAL SINUS,WATER VIEW XR",70220,MENONITA VITAL,$17.76
"PARANASAL SINUS,WATER VIEW XR",70220,HUM GOLD OUT,$25.82
"PARANASAL SINUS,WATER VIEW XR",70220,HUMANA,$16.50
"PARANASAL SINUS,WATER VIEW XR",70220,IMC,$16.50
"PARANASAL SINUS,WATER VIEW XR",70220,ASOCIACION IN,$29.00
"PARANASAL SINUS,WATER VIEW XR",70220,MEDICARE A,$52.45
"PARANASAL SINUS,WATER VIEW XR",70220,PALIC,$20.00
"PARANASAL SINUS,WATER VIEW XR",70220,ASOCIACION OUT,
"PARANASAL SINUS,WATER VIEW XR",70220,SSS BLUE CARD,$20.00
"PARANASAL SINUS,WATER VIEW XR",70220,TSADV OUT,$25.37
"PARANASAL SINUS,WATER VIEW XR",70220,TSADV IN,$25.37
"PARANASAL SINUS,WATER VIEW XR",70220,TRIPLE S COM,$20.00
"PARANASAL SINUS,WATER VIEW XR",70220,TRICARE,$52.45
"PARANASAL SINUS,WATER VIEW XR",70220,PMC OUT,$52.45
"PARANASAL SINUS,WATER VIEW XR",70220,TS VITAL,$16.09
"PARANASAL SINUS,WATER VIEW XR",70220,VETERANS,$52.45
Partial Bilatera Salpingectomy,58700,CHAMPVA,
Partial Bilatera Salpingectomy,58700,MMM IN,
Partial Bilatera Salpingectomy,58700,MMM OUT,$735.00
Partial Bilatera Salpingectomy,58700,FONDO,
Partial Bilatera Salpingectomy,58700,HUMANA,"$1,595.00"
Partial Bilatera Salpingectomy,58700,MENONITA COM,$788.00
Partial Bilatera Salpingectomy,58700,MCS PREF,$712.00
Partial Bilatera Salpingectomy,58700,MEDICARE B,
Partial Bilatera Salpingectomy,58700,MEDICARE A,
Partial Bilatera Salpingectomy,58700,BELLA VISTA,$650.00
Partial Bilatera Salpingectomy,58700,MENONITA VITAL,$660.00
Partial Bilatera Salpingectomy,58700,PALIC,$740.00
Partial Bilatera Salpingectomy,58700,MMM VITAL,$611.00
Partial Bilatera Salpingectomy,58700,ASOCIACION OUT,$770.00
Partial Bilatera Salpingectomy,58700,FM VITAL,$652.00
Partial Bilatera Salpingectomy,58700,ASOCIACION IN,
Partial Bilatera Salpingectomy,58700,HUM GOLD OUT,$806.00
Partial Bilatera Salpingectomy,58700,MCS CLASS,
Partial Bilatera Salpingectomy,58700,HUM GOLD IN,
Partial Bilatera Salpingectomy,58700,IMC,$605.00
Partial Bilatera Salpingectomy,58700,ACAA,$475.00
Partial Bilatera Salpingectomy,58700,PMC OUT,$735.00
Partial Bilatera Salpingectomy,58700,SSS BLUE CARD,$706.00
Partial Bilatera Salpingectomy,58700,TRIPLE S COM,$706.00
Partial Bilatera Salpingectomy,58700,TS VITAL,$611.00
Partial Bilatera Salpingectomy,58700,VETERANS,
Partial Bilatera Salpingectomy,58700,PMC IN,$735.00
Partial Bilatera Salpingectomy,58700,TSADV OUT,
Partial Bilatera Salpingectomy,58700,TSADV IN,
Partial Bilatera Salpingectomy,58700,TRICARE,
"Patient office consultation, typically 40 min",99243,SSS COM,
"Patient office consultation, typically 40 min",99243,MENONITA COM,
"Patient office consultation, typically 40 min",99243,MEDICARE A,
"Patient office consultation, typically 40 min",99243,PMC IN,
"Patient office consultation, typically 40 min",99243,MMM IN,
"Patient office consultation, typically 40 min",99243,MAP LIFE,
"Patient office consultation, typically 40 min",99243,TS VITAL,
"Patient office consultation, typically 40 min",99243,MEDICARE B,
"Patient office consultation, typically 40 min",99243,IMC,
"Patient office consultation, typically 40 min",99243,HUMANA,
"Patient office consultation, typically 40 min",99243,MCS PREF,
"Patient office consultation, typically 40 min",99243,ASOCIACION OUT,
"Patient office consultation, typically 40 min",99243,MCS CLASS,
"Patient office consultation, typically 40 min",99243,HUM GOLD PLUS,
"Patient office consultation, typically 40 min",99243,BELLA VISTA,
"Patient office consultation, typically 40 min",99243,MMM VITAL,
"Patient office consultation, typically 40 min",99243,FM VITAL,
"Patient office consultation, typically 40 min",99243,TS ADV OUT,
"Patient office consultation, typically 40 min",99243,VETERANS,
"Patient office consultation, typically 40 min",99243,TRICARE,
"Patient office consultation, typically 40 min",99243,MOLINA VITAL,
"Patient office consultation, typically 40 min",99243,TS ADV IN,
"Patient office consultation, typically 40 min",99243,ASOCIACION INP,
"Patient office consultation, typically 40 min",99243,MMM OUT,
"Patient office consultation, typically 40 min",99243,PALIC,
"Patient office consultation, typically 40 min",99243,ACAA,
"Patient office consultation, typically 40 min",99243,SSS BLUE CARD,
"Patient office consultation, typically 40 min",99243,FONDO,
"Patient office consultation, typically 40 min",99243,PMC OUT,
"Patient office consultation, typically 40 min",99243,PSM VITAL,
"Patient office consultation, typically 40 min",99243,CHAMPVA,
"Patient office consultation, typically 60 min",99244,FONDO,
"Patient office consultation, typically 60 min",99244,MAP LIFE,
"Patient office consultation, typically 60 min",99244,MEDICARE A,
"Patient office consultation, typically 60 min",99244,CHAMPVA,
"Patient office consultation, typically 60 min",99244,ASOCIACION OUT,
"Patient office consultation, typically 60 min",99244,TRICARE,
"Patient office consultation, typically 60 min",99244,HUM GOLD PLUS,
"Patient office consultation, typically 60 min",99244,PSM VITAL,
"Patient office consultation, typically 60 min",99244,MCS PREF,
"Patient office consultation, typically 60 min",99244,IMC,
"Patient office consultation, typically 60 min",99244,ASOCIACION INP,
"Patient office consultation, typically 60 min",99244,SSS BLUE CARD,
"Patient office consultation, typically 60 min",99244,SSS COM,
"Patient office consultation, typically 60 min",99244,MENONITA COM,
"Patient office consultation, typically 60 min",99244,PMC IN,
"Patient office consultation, typically 60 min",99244,TS VITAL,
"Patient office consultation, typically 60 min",99244,ACAA,
"Patient office consultation, typically 60 min",99244,MEDICARE B,
"Patient office consultation, typically 60 min",99244,BELLA VISTA,
"Patient office consultation, typically 60 min",99244,MCS CLASS,
"Patient office consultation, typically 60 min",99244,MMM VITAL,
"Patient office consultation, typically 60 min",99244,MOLINA VITAL,
"Patient office consultation, typically 60 min",99244,FM VITAL,
"Patient office consultation, typically 60 min",99244,VETERANS,
"Patient office consultation, typically 60 min",99244,MMM IN,
"Patient office consultation, typically 60 min",99244,PALIC,
"Patient office consultation, typically 60 min",99244,PMC OUT,
"Patient office consultation, typically 60 min",99244,MMM OUT,
"Patient office consultation, typically 60 min",99244,TS ADV OUT,
"Patient office consultation, typically 60 min",99244,TS ADV IN,
"Patient office consultation, typically 60 min",99244,HUMANA,
PEG Tube Replacement,43246,CHAMPVA,
PEG Tube Replacement,43246,MMM VITAL,$120.00
PEG Tube Replacement,43246,FONDO,
PEG Tube Replacement,43246,HUM GOLD OUT,$806.00
PEG Tube Replacement,43246,BELLA VISTA,$650.00
PEG Tube Replacement,43246,MEDICARE B,
PEG Tube Replacement,43246,HUM GOLD IN,
PEG Tube Replacement,43246,MMM OUT,$735.00
PEG Tube Replacement,43246,MCS PREF,$111.00
PEG Tube Replacement,43246,PALIC,$740.00
PEG Tube Replacement,43246,ASOCIACION IN,
PEG Tube Replacement,43246,ASOCIACION OUT,$150.00
PEG Tube Replacement,43246,MENONITA VITAL,$132.00
PEG Tube Replacement,43246,MEDICARE A,
PEG Tube Replacement,43246,HUMANA,$700.00
PEG Tube Replacement,43246,FM VITAL,$129.00
PEG Tube Replacement,43246,MMM IN,
PEG Tube Replacement,43246,MCS CLASS,$129.21
PEG Tube Replacement,43246,MENONITA COM,$136.00
PEG Tube Replacement,43246,IMC,$605.00
PEG Tube Replacement,43246,ACAA,$475.00
PEG Tube Replacement,43246,TRIPLE S COM,$120.00
PEG Tube Replacement,43246,TSADV IN,
PEG Tube Replacement,43246,VETERANS,
PEG Tube Replacement,43246,PMC OUT,$735.00
PEG Tube Replacement,43246,SSS BLUE CARD,$120.00
PEG Tube Replacement,43246,PMC IN,$735.00
PEG Tube Replacement,43246,TRICARE,
PEG Tube Replacement,43246,TS VITAL,$120.00
PEG Tube Replacement,43246,TSADV OUT,
PELVIC CT,72192,PALIC,$150.00
PELVIC CT,72192,ASOCIACION IN,$260.00
PELVIC CT,72192,MMM OUT,$73.66
PELVIC CT,72192,IMC,$137.50
PELVIC CT,72192,HUMANA,$137.50
PELVIC CT,72192,FM VITAL,$44.96
PELVIC CT,72192,FONDO,$93.52
PELVIC CT,72192,MEDICARE A,$73.66
PELVIC CT,72192,BELLA VISTA,$125.00
PELVIC CT,72192,MMM IN,$92.76
PELVIC CT,72192,CHAMPVA,$73.66
PELVIC CT,72192,MENONITA COM,$132.50
PELVIC CT,72192,HUM GOLD IN,$92.76
PELVIC CT,72192,MEDICARE B,$92.76
PELVIC CT,72192,MENONITA VITAL,$65.46
PELVIC CT,72192,MCS PREF,$120.00
PELVIC CT,72192,HUM GOLD OUT,$92.76
PELVIC CT,72192,ACAA,$81.81
PELVIC CT,72192,MMM VITAL,$55.21
PELVIC CT,72192,MCS CLASS,$73.66
PELVIC CT,72192,ASOCIACION OUT,
PELVIC CT,72192,VETERANS,$73.66
PELVIC CT,72192,SSS BLUE CARD,$150.00
PELVIC CT,72192,TRICARE,$73.66
PELVIC CT,72192,TRIPLE S COM,$150.00
PELVIC CT,72192,PMC IN,$92.76
PELVIC CT,72192,TSADV OUT,$93.52
PELVIC CT,72192,TSADV IN,$93.52
PELVIC CT,72192,TS VITAL,$120.00
PELVIC CT,72192,PMC OUT,$73.66
PELVIC W/CONTRAST CT,72193,MEDICARE A,$119.76
PELVIC W/CONTRAST CT,72193,FONDO,$171.46
PELVIC W/CONTRAST CT,72193,SSS COM,$150.00
PELVIC W/CONTRAST CT,72193,MCS PREF,$140.00
PELVIC W/CONTRAST CT,72193,TRICARE,$119.76
PELVIC W/CONTRAST CT,72193,MOLINA VITAL,$120.02
PELVIC W/CONTRAST CT,72193,TS ADV IN,$171.46
PELVIC W/CONTRAST CT,72193,PMC IN,$183.70
PELVIC W/CONTRAST CT,72193,MENONITA COM,$150.00
PELVIC W/CONTRAST CT,72193,FM VITAL,$82.95
PELVIC W/CONTRAST CT,72193,PALIC,$175.00
PELVIC W/CONTRAST CT,72193,VETERANS,$119.76
PELVIC W/CONTRAST CT,72193,ASOCIACION INP,$260.00
PELVIC W/CONTRAST CT,72193,HUMANA,$142.50
PELVIC W/CONTRAST CT,72193,CHAMPVA,$119.76
PELVIC W/CONTRAST CT,72193,IMC,$137.50
PELVIC W/CONTRAST CT,72193,MEDICARE B,$183.70
PELVIC W/CONTRAST CT,72193,MMM VITAL,$101.45
PELVIC W/CONTRAST CT,72193,ASOCIACION OUT,
PELVIC W/CONTRAST CT,72193,BELLA VISTA,$145.00
PELVIC W/CONTRAST CT,72193,TS ADV OUT,$171.46
PELVIC W/CONTRAST CT,72193,MAP LIFE,$162.50
PELVIC W/CONTRAST CT,72193,PSM VITAL,$120.02
PELVIC W/CONTRAST CT,72193,TS VITAL,$120.00
PELVIC W/CONTRAST CT,72193,MMM IN,$183.70
PELVIC W/CONTRAST CT,72193,SSS BLUE CARD,$150.00
PELVIC W/CONTRAST CT,72193,PMC OUT,$119.76
PELVIC W/CONTRAST CT,72193,HUM GOLD PLUS,$183.70
PELVIC W/CONTRAST CT,72193,MMM OUT,$119.76
PELVIC W/CONTRAST CT,72193,MCS CLASS,$119.76
PELVIC W/CONTRAST CT,72193,ACAA,$89.25
PELVICO COMPLETE US,76856,IMC,$20.00
PELVICO COMPLETE US,76856,CHAMPVA,$73.66
PELVICO COMPLETE US,76856,HUM GOLD OUT,$77.11
PELVICO COMPLETE US,76856,MMM OUT,$73.66
PELVICO COMPLETE US,76856,MENONITA VITAL,$54.81
PELVICO COMPLETE US,76856,ASOCIACION IN,$70.00
PELVICO COMPLETE US,76856,ACAA,$24.50
PELVICO COMPLETE US,76856,MEDICARE A,$73.66
PELVICO COMPLETE US,76856,FONDO,$78.30
PELVICO COMPLETE US,76856,MMM IN,$77.11
PELVICO COMPLETE US,76856,HUM GOLD IN,$77.11
PELVICO COMPLETE US,76856,MMM VITAL,$46.18
PELVICO COMPLETE US,76856,MEDICARE B,$77.11
PELVICO COMPLETE US,76856,ASOCIACION OUT,
PELVICO COMPLETE US,76856,PALIC,$45.00
PELVICO COMPLETE US,76856,BELLA VISTA,$37.50
PELVICO COMPLETE US,76856,MCS PREF,$37.50
PELVICO COMPLETE US,76856,MCS CLASS,$73.66
PELVICO COMPLETE US,76856,MENONITA COM,$37.50
PELVICO COMPLETE US,76856,HUMANA,$31.00
PELVICO COMPLETE US,76856,FM VITAL,$37.54
PELVICO COMPLETE US,76856,TSADV IN,$78.30
PELVICO COMPLETE US,76856,TRIPLE S COM,$37.50
PELVICO COMPLETE US,76856,TS VITAL,$36.57
PELVICO COMPLETE US,76856,PMC IN,$77.11
PELVICO COMPLETE US,76856,TSADV OUT,$78.30
PELVICO COMPLETE US,76856,PMC OUT,$73.66
PELVICO COMPLETE US,76856,TRICARE,$73.66
PELVICO COMPLETE US,76856,SSS BLUE CARD,$37.50
PELVICO COMPLETE US,76856,VETERANS,$73.66
PELVICO LIMITED US,76857,MCS PREF,$30.00
PELVICO LIMITED US,76857,MEDICARE B,$24.37
PELVICO LIMITED US,76857,ACAA,
PELVICO LIMITED US,76857,IMC,$10.00
PELVICO LIMITED US,76857,FM VITAL,$11.21
PELVICO LIMITED US,76857,ASOCIACION IN,$70.00
PELVICO LIMITED US,76857,MENONITA COM,$16.50
PELVICO LIMITED US,76857,MMM IN,$24.37
PELVICO LIMITED US,76857,MMM VITAL,$14.14
PELVICO LIMITED US,76857,HUMANA,$19.50
PELVICO LIMITED US,76857,MENONITA VITAL,$17.00
PELVICO LIMITED US,76857,ASOCIACION OUT,
PELVICO LIMITED US,76857,FONDO,$24.28
PELVICO LIMITED US,76857,MEDICARE A,$73.66
PELVICO LIMITED US,76857,HUM GOLD OUT,$24.37
PELVICO LIMITED US,76857,MCS CLASS,$73.66
PELVICO LIMITED US,76857,BELLA VISTA,$37.50
PELVICO LIMITED US,76857,HUM GOLD IN,$24.37
PELVICO LIMITED US,76857,MMM OUT,$73.66
PELVICO LIMITED US,76857,PALIC,$30.00
PELVICO LIMITED US,76857,CHAMPVA,$73.66
PELVICO LIMITED US,76857,VETERANS,$73.66
PELVICO LIMITED US,76857,TSADV IN,$24.28
PELVICO LIMITED US,76857,TRIPLE S COM,$25.00
PELVICO LIMITED US,76857,PMC OUT,$73.66
PELVICO LIMITED US,76857,SSS BLUE CARD,$25.00
PELVICO LIMITED US,76857,TRICARE,$73.66
PELVICO LIMITED US,76857,PMC IN,$24.37
PELVICO LIMITED US,76857,TS VITAL,$36.56
PELVICO LIMITED US,76857,TSADV OUT,$24.28
"PELVIS ""AP"" XR",72170,FM VITAL,$7.80
"PELVIS ""AP"" XR",72170,IMC,$8.00
"PELVIS ""AP"" XR",72170,CHAMPVA,$73.66
"PELVIS ""AP"" XR",72170,ACAA,$10.50
"PELVIS ""AP"" XR",72170,ASOCIACION IN,$14.00
"PELVIS ""AP"" XR",72170,MEDICARE A,$73.66
"PELVIS ""AP"" XR",72170,MCS CLASS,$73.66
"PELVIS ""AP"" XR",72170,ASOCIACION OUT,
"PELVIS ""AP"" XR",72170,BELLA VISTA,$8.00
"PELVIS ""AP"" XR",72170,HUM GOLD IN,$20.00
"PELVIS ""AP"" XR",72170,MENONITA COM,$8.50
"PELVIS ""AP"" XR",72170,MENONITA VITAL,$16.49
"PELVIS ""AP"" XR",72170,MMM VITAL,$13.92
"PELVIS ""AP"" XR",72170,FONDO,$23.56
"PELVIS ""AP"" XR",72170,HUM GOLD OUT,$20.00
"PELVIS ""AP"" XR",72170,HUMANA,$11.00
"PELVIS ""AP"" XR",72170,MMM OUT,$73.66
"PELVIS ""AP"" XR",72170,PALIC,$10.00
"PELVIS ""AP"" XR",72170,MCS PREF,$11.50
"PELVIS ""AP"" XR",72170,MMM IN,$20.00
"PELVIS ""AP"" XR",72170,MEDICARE B,$20.00
"PELVIS ""AP"" XR",72170,PMC IN,$20.00
"PELVIS ""AP"" XR",72170,TRIPLE S COM,$13.50
"PELVIS ""AP"" XR",72170,TSADV IN,$23.56
"PELVIS ""AP"" XR",72170,VETERANS,$73.66
"PELVIS ""AP"" XR",72170,TSADV OUT,$23.56
"PELVIS ""AP"" XR",72170,PMC OUT,$73.66
"PELVIS ""AP"" XR",72170,SSS BLUE CARD,$13.50
"PELVIS ""AP"" XR",72170,TS VITAL,$7.80
"PELVIS ""AP"" XR",72170,TRICARE,$73.66
PELVIS COMP. XR,72190,MENONITA VITAL,$19.29
PELVIS COMP. XR,72190,CHAMPVA,$73.66
PELVIS COMP. XR,72190,MEDICARE B,$28.37
PELVIS COMP. XR,72190,ASOCIACION OUT,
PELVIS COMP. XR,72190,MEDICARE A,$73.66
PELVIS COMP. XR,72190,MMM OUT,$73.66
PELVIS COMP. XR,72190,FONDO,$27.55
PELVIS COMP. XR,72190,PMC IN,$28.37
PELVIS COMP. XR,72190,MMM VITAL,$16.29
PELVIS COMP. XR,72190,HUMANA,$14.00
PELVIS COMP. XR,72190,MENONITA COM,$13.00
PELVIS COMP. XR,72190,ASOCIACION IN,$23.00
PELVIS COMP. XR,72190,ACAA,$16.80
PELVIS COMP. XR,72190,MMM IN,$28.37
PELVIS COMP. XR,72190,PALIC,$16.00
PELVIS COMP. XR,72190,BELLA VISTA,$13.00
PELVIS COMP. XR,72190,MCS PREF,$16.00
PELVIS COMP. XR,72190,IMC,$13.00
PELVIS COMP. XR,72190,HUM GOLD IN,$28.37
PELVIS COMP. XR,72190,MCS CLASS,$73.66
PELVIS COMP. XR,72190,HUM GOLD OUT,$28.37
PELVIS COMP. XR,72190,FM VITAL,$13.33
PELVIS COMP. XR,72190,TSADV OUT,$27.55
PELVIS COMP. XR,72190,TSADV IN,$27.55
PELVIS COMP. XR,72190,TS VITAL,$12.68
PELVIS COMP. XR,72190,TRICARE,$73.66
PELVIS COMP. XR,72190,SSS BLUE CARD,$17.00
PELVIS COMP. XR,72190,TRIPLE S COM,$17.00
PELVIS COMP. XR,72190,PMC OUT,$73.66
PELVIS COMP. XR,72190,VETERANS,$73.66
PELVIS WITHOUT AND W/C CT,72194,BELLA VISTA,$125.00
PELVIS WITHOUT AND W/C CT,72194,MEDICARE B,$183.70
PELVIS WITHOUT AND W/C CT,72194,MMM IN,$183.70
PELVIS WITHOUT AND W/C CT,72194,CHAMPVA,$119.76
PELVIS WITHOUT AND W/C CT,72194,HUM GOLD IN,$183.70
PELVIS WITHOUT AND W/C CT,72194,HUMANA,$142.50
PELVIS WITHOUT AND W/C CT,72194,MEDICARE A,$119.76
PELVIS WITHOUT AND W/C CT,72194,ACAA,
PELVIS WITHOUT AND W/C CT,72194,MMM OUT,$119.76
PELVIS WITHOUT AND W/C CT,72194,PALIC,$200.00
PELVIS WITHOUT AND W/C CT,72194,ASOCIACION IN,$260.00
PELVIS WITHOUT AND W/C CT,72194,MCS PREF,$157.50
PELVIS WITHOUT AND W/C CT,72194,HUM GOLD OUT,$183.70
PELVIS WITHOUT AND W/C CT,72194,FM VITAL,$98.68
PELVIS WITHOUT AND W/C CT,72194,MCS CLASS,$119.76
PELVIS WITHOUT AND W/C CT,72194,IMC,$137.50
PELVIS WITHOUT AND W/C CT,72194,MMM VITAL,$120.37
PELVIS WITHOUT AND W/C CT,72194,MENONITA COM,$137.50
PELVIS WITHOUT AND W/C CT,72194,MENONITA VITAL,$142.61
PELVIS WITHOUT AND W/C CT,72194,ASOCIACION OUT,
PELVIS WITHOUT AND W/C CT,72194,FONDO,$203.73
PELVIS WITHOUT AND W/C CT,72194,PMC IN,$183.70
PELVIS WITHOUT AND W/C CT,72194,TRIPLE S COM,$150.00
PELVIS WITHOUT AND W/C CT,72194,PMC OUT,$119.76
PELVIS WITHOUT AND W/C CT,72194,TSADV IN,$203.73
PELVIS WITHOUT AND W/C CT,72194,TS VITAL,$120.00
PELVIS WITHOUT AND W/C CT,72194,VETERANS,$119.76
PELVIS WITHOUT AND W/C CT,72194,SSS BLUE CARD,$150.00
PELVIS WITHOUT AND W/C CT,72194,TSADV OUT,$203.73
PELVIS WITHOUT AND W/C CT,72194,TRICARE,$119.76
"PHENYLALANINE (PKU), BLOOD",84030,HUM GOLD IN,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,BELLA VISTA,$10.00
"PHENYLALANINE (PKU), BLOOD",84030,MMM IN,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,FONDO,$6.79
"PHENYLALANINE (PKU), BLOOD",84030,FM VITAL,$130.00
"PHENYLALANINE (PKU), BLOOD",84030,ASOCIACION OUT,
"PHENYLALANINE (PKU), BLOOD",84030,MMM OUT,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,PALIC,
"PHENYLALANINE (PKU), BLOOD",84030,MENONITA COM,$9.40
"PHENYLALANINE (PKU), BLOOD",84030,MEDICARE B,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,MCS CLASS,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,MENONITA VITAL,$117.00
"PHENYLALANINE (PKU), BLOOD",84030,MEDICARE A,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,ACAA,$15.00
"PHENYLALANINE (PKU), BLOOD",84030,MMM VITAL,$5.24
"PHENYLALANINE (PKU), BLOOD",84030,CHAMPVA,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,HUMANA,$20.00
"PHENYLALANINE (PKU), BLOOD",84030,PMC IN,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,IMC,$12.00
"PHENYLALANINE (PKU), BLOOD",84030,ASOCIACION IN,$18.00
"PHENYLALANINE (PKU), BLOOD",84030,HUM GOLD OUT,
"PHENYLALANINE (PKU), BLOOD",84030,MCS PREF,$30.00
"PHENYLALANINE (PKU), BLOOD",84030,TSADV IN,$6.79
"PHENYLALANINE (PKU), BLOOD",84030,TRICARE,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,TRIPLE S COM,$12.49
"PHENYLALANINE (PKU), BLOOD",84030,SSS BLUE CARD,$12.49
"PHENYLALANINE (PKU), BLOOD",84030,TS VITAL,$7.79
"PHENYLALANINE (PKU), BLOOD",84030,PMC OUT,$5.50
"PHENYLALANINE (PKU), BLOOD",84030,TSADV OUT,$6.79
"PHENYLALANINE (PKU), BLOOD",84030,VETERANS,$5.50
PHENYTOIN; TOTAL,80185,ACAA,$20.00
PHENYTOIN; TOTAL,80185,HUM GOLD OUT,
PHENYTOIN; TOTAL,80185,FM VITAL,$12.64
PHENYTOIN; TOTAL,80185,HUMANA,$20.00
PHENYTOIN; TOTAL,80185,MCS CLASS,$13.25
PHENYTOIN; TOTAL,80185,MMM OUT,$13.25
PHENYTOIN; TOTAL,80185,ASOCIACION IN,$25.00
PHENYTOIN; TOTAL,80185,CHAMPVA,$13.25
PHENYTOIN; TOTAL,80185,PMC IN,$13.25
PHENYTOIN; TOTAL,80185,MEDICARE B,$13.25
PHENYTOIN; TOTAL,80185,HUM GOLD IN,$13.25
PHENYTOIN; TOTAL,80185,MCS PREF,$40.00
PHENYTOIN; TOTAL,80185,MMM IN,$13.25
PHENYTOIN; TOTAL,80185,MENONITA VITAL,$12.64
PHENYTOIN; TOTAL,80185,PALIC,$45.00
PHENYTOIN; TOTAL,80185,FONDO,$16.36
PHENYTOIN; TOTAL,80185,BELLA VISTA,$25.00
PHENYTOIN; TOTAL,80185,MENONITA COM,$11.60
PHENYTOIN; TOTAL,80185,ASOCIACION OUT,
PHENYTOIN; TOTAL,80185,IMC,$20.00
PHENYTOIN; TOTAL,80185,MEDICARE A,$13.25
PHENYTOIN; TOTAL,80185,MMM VITAL,$12.64
PHENYTOIN; TOTAL,80185,TSADV IN,$16.36
PHENYTOIN; TOTAL,80185,SSS BLUE CARD,$15.00
PHENYTOIN; TOTAL,80185,TRICARE,$13.25
PHENYTOIN; TOTAL,80185,TRIPLE S COM,$15.00
PHENYTOIN; TOTAL,80185,VETERANS,$13.25
PHENYTOIN; TOTAL,80185,PMC OUT,$13.25
PHENYTOIN; TOTAL,80185,TSADV OUT,$16.36
PHENYTOIN; TOTAL,80185,TS VITAL,$18.77
PHERIFERAL SMEAR,85008,MENONITA VITAL,$3.28
PHERIFERAL SMEAR,85008,ASOCIACION IN,
PHERIFERAL SMEAR,85008,FONDO,
PHERIFERAL SMEAR,85008,ACAA,$17.00
PHERIFERAL SMEAR,85008,MMM IN,
PHERIFERAL SMEAR,85008,BELLA VISTA,$3.00
PHERIFERAL SMEAR,85008,HUM GOLD IN,$3.82
PHERIFERAL SMEAR,85008,IMC,$5.00
PHERIFERAL SMEAR,85008,HUMANA,$5.00
PHERIFERAL SMEAR,85008,HUM GOLD OUT,
PHERIFERAL SMEAR,85008,MMM VITAL,$3.28
PHERIFERAL SMEAR,85008,MCS CLASS,$3.82
PHERIFERAL SMEAR,85008,ASOCIACION OUT,$4.50
PHERIFERAL SMEAR,85008,MEDICARE A,
PHERIFERAL SMEAR,85008,PALIC,$6.00
PHERIFERAL SMEAR,85008,MEDICARE B,
PHERIFERAL SMEAR,85008,MMM OUT,$3.82
PHERIFERAL SMEAR,85008,MCS PREF,$6.00
PHERIFERAL SMEAR,85008,MENONITA COM,$4.80
PHERIFERAL SMEAR,85008,CHAMPVA,$3.82
PHERIFERAL SMEAR,85008,FM VITAL,$3.28
PHERIFERAL SMEAR,85008,PMC IN,
PHERIFERAL SMEAR,85008,TRIPLE S COM,$5.49
PHERIFERAL SMEAR,85008,TSADV IN,
PHERIFERAL SMEAR,85008,VETERANS,$3.82
PHERIFERAL SMEAR,85008,SSS BLUE CARD,$5.49
PHERIFERAL SMEAR,85008,PMC OUT,$3.82
PHERIFERAL SMEAR,85008,TSADV OUT,$3.82
PHERIFERAL SMEAR,85008,TRICARE,$3.82
PHERIFERAL SMEAR,85008,TS VITAL,$4.87
PHOSPHORUS INOGANIC,84100,MEDICARE B,$4.74
PHOSPHORUS INOGANIC,84100,MEDICARE A,$4.74
PHOSPHORUS INOGANIC,84100,MCS CLASS,$4.74
PHOSPHORUS INOGANIC,84100,MMM VITAL,$4.52
PHOSPHORUS INOGANIC,84100,ASOCIACION OUT,
PHOSPHORUS INOGANIC,84100,HUM GOLD IN,$4.74
PHOSPHORUS INOGANIC,84100,MENONITA VITAL,$4.52
PHOSPHORUS INOGANIC,84100,ASOCIACION IN,$6.09
PHOSPHORUS INOGANIC,84100,MMM IN,$4.74
PHOSPHORUS INOGANIC,84100,BELLA VISTA,$6.00
PHOSPHORUS INOGANIC,84100,MMM OUT,$4.74
PHOSPHORUS INOGANIC,84100,CHAMPVA,$4.74
PHOSPHORUS INOGANIC,84100,PALIC,$8.00
PHOSPHORUS INOGANIC,84100,FONDO,$5.85
PHOSPHORUS INOGANIC,84100,IMC,$7.00
PHOSPHORUS INOGANIC,84100,ACAA,$6.00
PHOSPHORUS INOGANIC,84100,MENONITA COM,$5.20
PHOSPHORUS INOGANIC,84100,HUM GOLD OUT,
PHOSPHORUS INOGANIC,84100,HUMANA,$6.00
PHOSPHORUS INOGANIC,84100,PMC IN,$4.74
PHOSPHORUS INOGANIC,84100,MCS PREF,$8.00
PHOSPHORUS INOGANIC,84100,FM VITAL,$4.52
PHOSPHORUS INOGANIC,84100,TRICARE,$4.74
PHOSPHORUS INOGANIC,84100,SSS BLUE CARD,$7.00
PHOSPHORUS INOGANIC,84100,TRIPLE S COM,$7.00
PHOSPHORUS INOGANIC,84100,TSADV OUT,$5.85
PHOSPHORUS INOGANIC,84100,VETERANS,$4.74
PHOSPHORUS INOGANIC,84100,PMC OUT,$4.74
PHOSPHORUS INOGANIC,84100,TS VITAL,$6.72
PHOSPHORUS INOGANIC,84100,TSADV IN,$5.85
"Physical therapy, therapeutic exercise",97110,MCS PREF,
"Physical therapy, therapeutic exercise",97110,MEDICARE B,
"Physical therapy, therapeutic exercise",97110,TS ADV IN,
"Physical therapy, therapeutic exercise",97110,MMM OUT,
"Physical therapy, therapeutic exercise",97110,MCS CLASS,
"Physical therapy, therapeutic exercise",97110,PALIC,
"Physical therapy, therapeutic exercise",97110,PMC OUT,
"Physical therapy, therapeutic exercise",97110,TS VITAL,
"Physical therapy, therapeutic exercise",97110,MMM VITAL,
"Physical therapy, therapeutic exercise",97110,PMC IN,
"Physical therapy, therapeutic exercise",97110,ASOCIACION INP,
"Physical therapy, therapeutic exercise",97110,FM VITAL,
"Physical therapy, therapeutic exercise",97110,IMC,
"Physical therapy, therapeutic exercise",97110,TS ADV OUT,
"Physical therapy, therapeutic exercise",97110,SSS BLUE CARD,
"Physical therapy, therapeutic exercise",97110,MMM IN,
"Physical therapy, therapeutic exercise",97110,SSS COM,
"Physical therapy, therapeutic exercise",97110,MAP LIFE,
"Physical therapy, therapeutic exercise",97110,FONDO,
"Physical therapy, therapeutic exercise",97110,ASOCIACION OUT,
"Physical therapy, therapeutic exercise",97110,BELLA VISTA,
"Physical therapy, therapeutic exercise",97110,MENONITA COM,
"Physical therapy, therapeutic exercise",97110,PSM VITAL,
"Physical therapy, therapeutic exercise",97110,CHAMPVA,
"Physical therapy, therapeutic exercise",97110,ACAA,
"Physical therapy, therapeutic exercise",97110,MEDICARE A,
"Physical therapy, therapeutic exercise",97110,TRICARE,
"Physical therapy, therapeutic exercise",97110,HUMANA,
"Physical therapy, therapeutic exercise",97110,MOLINA VITAL,
"Physical therapy, therapeutic exercise",97110,VETERANS,
"Physical therapy, therapeutic exercise",97110,HUM GOLD PLUS,
Post Repair Vaginal,57250,BELLA VISTA,$650.00
Post Repair Vaginal,57250,ASOCIACION IN,
Post Repair Vaginal,57250,ASOCIACION OUT,$770.00
Post Repair Vaginal,57250,ACAA,$475.00
Post Repair Vaginal,57250,HUMANA,$642.00
Post Repair Vaginal,57250,IMC,$605.00
Post Repair Vaginal,57250,MENONITA VITAL,$660.00
Post Repair Vaginal,57250,MCS PREF,$712.00
Post Repair Vaginal,57250,MEDICARE A,
Post Repair Vaginal,57250,CHAMPVA,
Post Repair Vaginal,57250,MMM IN,
Post Repair Vaginal,57250,MENONITA COM,$788.00
Post Repair Vaginal,57250,HUM GOLD IN,
Post Repair Vaginal,57250,MEDICARE B,
Post Repair Vaginal,57250,PALIC,$740.00
Post Repair Vaginal,57250,MCS CLASS,
Post Repair Vaginal,57250,HUM GOLD OUT,$806.00
Post Repair Vaginal,57250,FONDO,
Post Repair Vaginal,57250,MMM VITAL,$611.00
Post Repair Vaginal,57250,MMM OUT,$735.00
Post Repair Vaginal,57250,FM VITAL,$652.00
Post Repair Vaginal,57250,PMC IN,
Post Repair Vaginal,57250,TS VITAL,$611.00
Post Repair Vaginal,57250,TSADV OUT,"$1,453.36"
Post Repair Vaginal,57250,TSADV IN,
Post Repair Vaginal,57250,SSS BLUE CARD,$706.00
Post Repair Vaginal,57250,TRICARE,
Post Repair Vaginal,57250,PMC OUT,$735.00
Post Repair Vaginal,57250,VETERANS,
Post Repair Vaginal,57250,TRIPLE S COM,$706.00
POTASSIUM; SERUM,84132,MEDICARE B,$4.76
POTASSIUM; SERUM,84132,MMM IN,$4.76
POTASSIUM; SERUM,84132,MCS CLASS,$4.76
POTASSIUM; SERUM,84132,HUM GOLD IN,$4.76
POTASSIUM; SERUM,84132,FM VITAL,$4.38
POTASSIUM; SERUM,84132,PALIC,$8.00
POTASSIUM; SERUM,84132,MEDICARE A,$4.76
POTASSIUM; SERUM,84132,MCS PREF,$8.00
POTASSIUM; SERUM,84132,BELLA VISTA,$7.00
POTASSIUM; SERUM,84132,FONDO,$5.68
POTASSIUM; SERUM,84132,ASOCIACION OUT,
POTASSIUM; SERUM,84132,MENONITA VITAL,$4.38
POTASSIUM; SERUM,84132,MMM VITAL,$4.38
POTASSIUM; SERUM,84132,HUM GOLD OUT,
POTASSIUM; SERUM,84132,PMC IN,$4.76
POTASSIUM; SERUM,84132,ASOCIACION IN,$10.00
POTASSIUM; SERUM,84132,IMC,$8.00
POTASSIUM; SERUM,84132,HUMANA,$6.00
POTASSIUM; SERUM,84132,CHAMPVA,$4.76
POTASSIUM; SERUM,84132,ACAA,$8.00
POTASSIUM; SERUM,84132,MMM OUT,$4.76
POTASSIUM; SERUM,84132,MENONITA COM,$7.20
POTASSIUM; SERUM,84132,PMC OUT,$4.76
POTASSIUM; SERUM,84132,TRICARE,$4.76
POTASSIUM; SERUM,84132,SSS BLUE CARD,$10.00
POTASSIUM; SERUM,84132,TSADV IN,$5.68
POTASSIUM; SERUM,84132,TRIPLE S COM,$10.00
POTASSIUM; SERUM,84132,VETERANS,$4.76
POTASSIUM; SERUM,84132,TSADV OUT,$5.68
POTASSIUM; SERUM,84132,TS VITAL,$6.51
PROLACTIN,84146,FONDO,$23.92
PROLACTIN,84146,MENONITA VITAL,$18.48
PROLACTIN,84146,MCS CLASS,$19.38
PROLACTIN,84146,MMM VITAL,$18.48
PROLACTIN,84146,ASOCIACION OUT,
PROLACTIN,84146,CHAMPVA,$19.38
PROLACTIN,84146,HUM GOLD OUT,
PROLACTIN,84146,MMM IN,$19.38
PROLACTIN,84146,ASOCIACION IN,$35.70
PROLACTIN,84146,FM VITAL,$18.48
PROLACTIN,84146,PALIC,$40.00
PROLACTIN,84146,IMC,$30.00
PROLACTIN,84146,MEDICARE B,$19.38
PROLACTIN,84146,MENONITA COM,$22.80
PROLACTIN,84146,HUM GOLD IN,$19.38
PROLACTIN,84146,MMM OUT,$19.38
PROLACTIN,84146,BELLA VISTA,$30.00
PROLACTIN,84146,MEDICARE A,$19.38
PROLACTIN,84146,HUMANA,$30.00
PROLACTIN,84146,ACAA,$37.00
PROLACTIN,84146,MCS PREF,$40.00
PROLACTIN,84146,TSADV OUT,$23.92
PROLACTIN,84146,TSADV IN,$23.92
PROLACTIN,84146,VETERANS,$19.38
PROLACTIN,84146,PMC OUT,$19.38
PROLACTIN,84146,TRIPLE S COM,$30.00
PROLACTIN,84146,SSS BLUE CARD,$30.00
PROLACTIN,84146,TS VITAL,$27.45
PROLACTIN,84146,PMC IN,$19.38
PROLACTIN,84146,TRICARE,$19.38
PROSTAT SPECIF ANTIG TOT(PSA,84153,CHAMPVA,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,HUM GOLD PLUS,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,MCS PREF,$35.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,MENONITA COM,$26.80
PROSTAT SPECIF ANTIG TOT(PSA,84153,ASOCIACION INP,
PROSTAT SPECIF ANTIG TOT(PSA,84153,TS ADV IN,$22.71
PROSTAT SPECIF ANTIG TOT(PSA,84153,FM VITAL,$17.54
PROSTAT SPECIF ANTIG TOT(PSA,84153,SSS BLUE CARD,$35.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,MCS CLASS,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,TS ADV OUT,$22.71
PROSTAT SPECIF ANTIG TOT(PSA,84153,BELLA VISTA,$22.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,VETERANS,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,MMM VITAL,$17.54
PROSTAT SPECIF ANTIG TOT(PSA,84153,FONDO,$22.71
PROSTAT SPECIF ANTIG TOT(PSA,84153,TRICARE,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,MMM OUT,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,SSS COM,$35.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,HUMANA,$30.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,PMC IN,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,MOLINA VITAL,$15.90
PROSTAT SPECIF ANTIG TOT(PSA,84153,MEDICARE A,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,IMC,$32.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,PSM VITAL,$17.54
PROSTAT SPECIF ANTIG TOT(PSA,84153,MAP LIFE,$58.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,MMM IN,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,TS VITAL,$26.06
PROSTAT SPECIF ANTIG TOT(PSA,84153,PMC OUT,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,PALIC,
PROSTAT SPECIF ANTIG TOT(PSA,84153,MEDICARE B,$18.39
PROSTAT SPECIF ANTIG TOT(PSA,84153,ACAA,$35.00
PROSTAT SPECIF ANTIG TOT(PSA,84153,ASOCIACION OUT,
PROSTATICO (TRANSRECTAL) US,76872,MMM IN,$113.13
PROSTATICO (TRANSRECTAL) US,76872,FM VITAL,$30.12
PROSTATICO (TRANSRECTAL) US,76872,BELLA VISTA,$40.00
PROSTATICO (TRANSRECTAL) US,76872,MEDICARE B,$113.13
PROSTATICO (TRANSRECTAL) US,76872,ACAA,
PROSTATICO (TRANSRECTAL) US,76872,MCS PREF,$57.50
PROSTATICO (TRANSRECTAL) US,76872,MMM OUT,$73.66
PROSTATICO (TRANSRECTAL) US,76872,MENONITA VITAL,$45.42
PROSTATICO (TRANSRECTAL) US,76872,IMC,$35.00
PROSTATICO (TRANSRECTAL) US,76872,HUM GOLD OUT,$113.13
PROSTATICO (TRANSRECTAL) US,76872,MENONITA COM,$50.00
PROSTATICO (TRANSRECTAL) US,76872,ASOCIACION OUT,
PROSTATICO (TRANSRECTAL) US,76872,HUMANA,$42.50
PROSTATICO (TRANSRECTAL) US,76872,HUM GOLD IN,$113.13
PROSTATICO (TRANSRECTAL) US,76872,PALIC,$47.50
PROSTATICO (TRANSRECTAL) US,76872,ASOCIACION IN,$87.50
PROSTATICO (TRANSRECTAL) US,76872,MEDICARE A,$73.66
PROSTATICO (TRANSRECTAL) US,76872,CHAMPVA,$73.66
PROSTATICO (TRANSRECTAL) US,76872,MMM VITAL,$37.58
PROSTATICO (TRANSRECTAL) US,76872,MCS CLASS,$73.66
PROSTATICO (TRANSRECTAL) US,76872,FONDO,$64.88
PROSTATICO (TRANSRECTAL) US,76872,TSADV IN,$64.88
PROSTATICO (TRANSRECTAL) US,76872,TS VITAL,$39.00
PROSTATICO (TRANSRECTAL) US,76872,PMC IN,$113.13
PROSTATICO (TRANSRECTAL) US,76872,TRIPLE S COM,$50.00
PROSTATICO (TRANSRECTAL) US,76872,VETERANS,$73.66
PROSTATICO (TRANSRECTAL) US,76872,PMC OUT,$73.66
PROSTATICO (TRANSRECTAL) US,76872,SSS BLUE CARD,$50.00
PROSTATICO (TRANSRECTAL) US,76872,TRICARE,$73.66
PROSTATICO (TRANSRECTAL) US,76872,TSADV OUT,$64.88
PROTEIN TOTAL URINE,84156,FM VITAL,$3.50
PROTEIN TOTAL URINE,84156,MCS CLASS,$3.67
PROTEIN TOTAL URINE,84156,HUM GOLD OUT,
PROTEIN TOTAL URINE,84156,ASOCIACION OUT,
PROTEIN TOTAL URINE,84156,MCS PREF,$10.00
PROTEIN TOTAL URINE,84156,MMM IN,$3.67
PROTEIN TOTAL URINE,84156,HUM GOLD IN,$3.67
PROTEIN TOTAL URINE,84156,MEDICARE A,$3.67
PROTEIN TOTAL URINE,84156,FONDO,$4.53
PROTEIN TOTAL URINE,84156,MEDICARE B,$3.67
PROTEIN TOTAL URINE,84156,ASOCIACION IN,$6.00
PROTEIN TOTAL URINE,84156,IMC,$6.00
PROTEIN TOTAL URINE,84156,HUMANA,$6.00
PROTEIN TOTAL URINE,84156,ACAA,
PROTEIN TOTAL URINE,84156,BELLA VISTA,$5.00
PROTEIN TOTAL URINE,84156,CHAMPVA,$3.67
PROTEIN TOTAL URINE,84156,MMM VITAL,$3.50
PROTEIN TOTAL URINE,84156,MENONITA VITAL,$3.50
PROTEIN TOTAL URINE,84156,MMM OUT,$3.67
PROTEIN TOTAL URINE,84156,MENONITA COM,
PROTEIN TOTAL URINE,84156,PALIC,$18.00
PROTEIN TOTAL URINE,84156,PMC IN,$3.67
PROTEIN TOTAL URINE,84156,TS VITAL,$5.19
PROTEIN TOTAL URINE,84156,TSADV IN,$4.53
PROTEIN TOTAL URINE,84156,PMC OUT,$3.67
PROTEIN TOTAL URINE,84156,TRIPLE S COM,$6.49
PROTEIN TOTAL URINE,84156,SSS BLUE CARD,$6.49
PROTEIN TOTAL URINE,84156,VETERANS,$3.67
PROTEIN TOTAL URINE,84156,TRICARE,$3.67
PROTEIN TOTAL URINE,84156,TSADV OUT,$4.53
"Psychotherapy, 30 min",90832,MENONITA COM,
"Psychotherapy, 30 min",90832,CHAMPVA,
"Psychotherapy, 30 min",90832,PMC IN,
"Psychotherapy, 30 min",90832,VETERANS,
"Psychotherapy, 30 min",90832,TS ADV IN,
"Psychotherapy, 30 min",90832,MCS PREF,
"Psychotherapy, 30 min",90832,BELLA VISTA,
"Psychotherapy, 30 min",90832,MEDICARE A,
"Psychotherapy, 30 min",90832,TS VITAL,
"Psychotherapy, 30 min",90832,TRICARE,
"Psychotherapy, 30 min",90832,MAP LIFE,
"Psychotherapy, 30 min",90832,ACAA,
"Psychotherapy, 30 min",90832,HUMANA,
"Psychotherapy, 30 min",90832,ASOCIACION INP,
"Psychotherapy, 30 min",90832,PMC OUT,
"Psychotherapy, 30 min",90832,PSM VITAL,
"Psychotherapy, 30 min",90832,HUM GOLD PLUS,
"Psychotherapy, 30 min",90832,PALIC,
"Psychotherapy, 30 min",90832,SSS BLUE CARD,
"Psychotherapy, 30 min",90832,MMM VITAL,
"Psychotherapy, 30 min",90832,MEDICARE B,
"Psychotherapy, 30 min",90832,FONDO,
"Psychotherapy, 30 min",90832,MCS CLASS,
"Psychotherapy, 30 min",90832,IMC,
"Psychotherapy, 30 min",90832,TS ADV OUT,
"Psychotherapy, 30 min",90832,FM VITAL,
"Psychotherapy, 30 min",90832,ASOCIACION OUT,
"Psychotherapy, 30 min",90832,SSS COM,
"Psychotherapy, 30 min",90832,MMM IN,
"Psychotherapy, 30 min",90832,MMM OUT,
"Psychotherapy, 30 min",90832,MOLINA VITAL,
"Psychotherapy, 45 min",90834,MMM IN,
"Psychotherapy, 45 min",90834,TS VITAL,
"Psychotherapy, 45 min",90834,MMM OUT,
"Psychotherapy, 45 min",90834,MCS PREF,
"Psychotherapy, 45 min",90834,PALIC,
"Psychotherapy, 45 min",90834,MOLINA VITAL,
"Psychotherapy, 45 min",90834,ASOCIACION INP,
"Psychotherapy, 45 min",90834,PMC OUT,
"Psychotherapy, 45 min",90834,MAP LIFE,
"Psychotherapy, 45 min",90834,VETERANS,
"Psychotherapy, 45 min",90834,FM VITAL,
"Psychotherapy, 45 min",90834,MEDICARE A,
"Psychotherapy, 45 min",90834,IMC,
"Psychotherapy, 45 min",90834,MMM VITAL,
"Psychotherapy, 45 min",90834,TS ADV IN,
"Psychotherapy, 45 min",90834,MENONITA COM,
"Psychotherapy, 45 min",90834,PSM VITAL,
"Psychotherapy, 45 min",90834,PMC IN,
"Psychotherapy, 45 min",90834,TRICARE,
"Psychotherapy, 45 min",90834,ASOCIACION OUT,
"Psychotherapy, 45 min",90834,TS ADV OUT,
"Psychotherapy, 45 min",90834,MEDICARE B,
"Psychotherapy, 45 min",90834,CHAMPVA,
"Psychotherapy, 45 min",90834,SSS BLUE CARD,
"Psychotherapy, 45 min",90834,HUMANA,
"Psychotherapy, 45 min",90834,MCS CLASS,
"Psychotherapy, 45 min",90834,BELLA VISTA,
"Psychotherapy, 45 min",90834,ACAA,
"Psychotherapy, 45 min",90834,SSS COM,
"Psychotherapy, 45 min",90834,FONDO,
"Psychotherapy, 45 min",90834,HUM GOLD PLUS,
"Psychotherapy, 60 min",90837,TS VITAL,
"Psychotherapy, 60 min",90837,MMM VITAL,
"Psychotherapy, 60 min",90837,IMC,
"Psychotherapy, 60 min",90837,MOLINA VITAL,
"Psychotherapy, 60 min",90837,SSS COM,
"Psychotherapy, 60 min",90837,FONDO,
"Psychotherapy, 60 min",90837,ASOCIACION INP,
"Psychotherapy, 60 min",90837,PMC IN,
"Psychotherapy, 60 min",90837,SSS BLUE CARD,
"Psychotherapy, 60 min",90837,PMC OUT,
"Psychotherapy, 60 min",90837,MMM IN,
"Psychotherapy, 60 min",90837,MAP LIFE,
"Psychotherapy, 60 min",90837,HUM GOLD PLUS,
"Psychotherapy, 60 min",90837,ACAA,
"Psychotherapy, 60 min",90837,ASOCIACION OUT,
"Psychotherapy, 60 min",90837,HUMANA,
"Psychotherapy, 60 min",90837,PSM VITAL,
"Psychotherapy, 60 min",90837,FM VITAL,
"Psychotherapy, 60 min",90837,TRICARE,
"Psychotherapy, 60 min",90837,MEDICARE B,
"Psychotherapy, 60 min",90837,MENONITA COM,
"Psychotherapy, 60 min",90837,MEDICARE A,
"Psychotherapy, 60 min",90837,VETERANS,
"Psychotherapy, 60 min",90837,MCS CLASS,
"Psychotherapy, 60 min",90837,BELLA VISTA,
"Psychotherapy, 60 min",90837,CHAMPVA,
"Psychotherapy, 60 min",90837,TS ADV IN,
"Psychotherapy, 60 min",90837,MMM OUT,
"Psychotherapy, 60 min",90837,MCS PREF,
"Psychotherapy, 60 min",90837,TS ADV OUT,
"Psychotherapy, 60 min",90837,PALIC,
PT (PROTHROMBIN TIME),85610,CHAMPVA,$4.29
PT (PROTHROMBIN TIME),85610,ASOCIACION INP,$7.50
PT (PROTHROMBIN TIME),85610,TRICARE,$4.29
PT (PROTHROMBIN TIME),85610,MENONITA COM,$3.80
PT (PROTHROMBIN TIME),85610,HUMANA,$9.00
PT (PROTHROMBIN TIME),85610,MAP LIFE,$10.00
PT (PROTHROMBIN TIME),85610,FONDO,$4.85
PT (PROTHROMBIN TIME),85610,SSS BLUE CARD,$9.00
PT (PROTHROMBIN TIME),85610,SSS COM,$9.00
PT (PROTHROMBIN TIME),85610,HUM GOLD PLUS,$4.29
PT (PROTHROMBIN TIME),85610,BELLA VISTA,$9.00
PT (PROTHROMBIN TIME),85610,VETERANS,$4.29
PT (PROTHROMBIN TIME),85610,MCS PREF,$12.00
PT (PROTHROMBIN TIME),85610,MCS CLASS,$4.29
PT (PROTHROMBIN TIME),85610,ACAA,$8.00
PT (PROTHROMBIN TIME),85610,MMM OUT,$4.29
PT (PROTHROMBIN TIME),85610,MMM IN,$4.29
PT (PROTHROMBIN TIME),85610,PMC IN,$4.29
PT (PROTHROMBIN TIME),85610,MOLINA VITAL,$3.40
PT (PROTHROMBIN TIME),85610,TS ADV IN,$4.85
PT (PROTHROMBIN TIME),85610,PSM VITAL,$3.75
PT (PROTHROMBIN TIME),85610,IMC,$9.00
PT (PROTHROMBIN TIME),85610,MEDICARE A,$4.29
PT (PROTHROMBIN TIME),85610,PALIC,$12.00
PT (PROTHROMBIN TIME),85610,PMC OUT,$4.29
PT (PROTHROMBIN TIME),85610,ASOCIACION OUT,
PT (PROTHROMBIN TIME),85610,TS ADV OUT,$4.85
PT (PROTHROMBIN TIME),85610,MEDICARE B,$4.29
PT (PROTHROMBIN TIME),85610,TS VITAL,$5.56
PT (PROTHROMBIN TIME),85610,MMM VITAL,$3.75
PT (PROTHROMBIN TIME),85610,FM VITAL,$3.75
PTT (THROMBOPLASTIN TIME),85730,CHAMPVA,$6.01
PTT (THROMBOPLASTIN TIME),85730,MMM OUT,$6.01
PTT (THROMBOPLASTIN TIME),85730,TS ADV OUT,$7.42
PTT (THROMBOPLASTIN TIME),85730,MMM VITAL,$5.73
PTT (THROMBOPLASTIN TIME),85730,FONDO,$7.42
PTT (THROMBOPLASTIN TIME),85730,TRICARE,$6.01
PTT (THROMBOPLASTIN TIME),85730,ASOCIACION INP,$10.00
PTT (THROMBOPLASTIN TIME),85730,FM VITAL,$5.73
PTT (THROMBOPLASTIN TIME),85730,PSM VITAL,$5.73
PTT (THROMBOPLASTIN TIME),85730,MCS PREF,$14.00
PTT (THROMBOPLASTIN TIME),85730,MOLINA VITAL,$5.19
PTT (THROMBOPLASTIN TIME),85730,MCS CLASS,$6.01
PTT (THROMBOPLASTIN TIME),85730,TS VITAL,$8.50
PTT (THROMBOPLASTIN TIME),85730,MENONITA COM,$7.60
PTT (THROMBOPLASTIN TIME),85730,MEDICARE B,$6.01
PTT (THROMBOPLASTIN TIME),85730,ASOCIACION OUT,
PTT (THROMBOPLASTIN TIME),85730,ACAA,$10.00
PTT (THROMBOPLASTIN TIME),85730,MEDICARE A,$6.01
PTT (THROMBOPLASTIN TIME),85730,PMC IN,$6.01
PTT (THROMBOPLASTIN TIME),85730,VETERANS,$6.01
PTT (THROMBOPLASTIN TIME),85730,TS ADV IN,$7.42
PTT (THROMBOPLASTIN TIME),85730,BELLA VISTA,$9.00
PTT (THROMBOPLASTIN TIME),85730,HUM GOLD PLUS,$6.01
PTT (THROMBOPLASTIN TIME),85730,SSS BLUE CARD,$10.00
PTT (THROMBOPLASTIN TIME),85730,SSS COM,$10.00
PTT (THROMBOPLASTIN TIME),85730,MMM IN,$6.01
PTT (THROMBOPLASTIN TIME),85730,HUMANA,$10.00
PTT (THROMBOPLASTIN TIME),85730,PMC OUT,$6.01
PTT (THROMBOPLASTIN TIME),85730,IMC,$8.00
PTT (THROMBOPLASTIN TIME),85730,PALIC,$14.00
PTT (THROMBOPLASTIN TIME),85730,MAP LIFE,$10.00
Removal of cataract with insertion of lens,66984,MMM VITAL,
Removal of cataract with insertion of lens,66984,PSM VITAL,
Removal of cataract with insertion of lens,66984,MOLINA VITAL,
Removal of cataract with insertion of lens,66984,MMM OUT,
Removal of cataract with insertion of lens,66984,TS ADV OUT,
Removal of cataract with insertion of lens,66984,FM VITAL,
Removal of cataract with insertion of lens,66984,SSS COM,
Removal of cataract with insertion of lens,66984,HUMANA,
Removal of cataract with insertion of lens,66984,PMC OUT,
Removal of cataract with insertion of lens,66984,ACAA,
Removal of cataract with insertion of lens,66984,MCS CLASS,
Removal of cataract with insertion of lens,66984,SSS BLUE CARD,
Removal of cataract with insertion of lens,66984,FONDO,
Removal of cataract with insertion of lens,66984,MENONITA COM,
Removal of cataract with insertion of lens,66984,TS ADV IN,
Removal of cataract with insertion of lens,66984,MEDICARE A,
Removal of cataract with insertion of lens,66984,MEDICARE B,
Removal of cataract with insertion of lens,66984,MCS PREF,
Removal of cataract with insertion of lens,66984,HUM GOLD PLUS,
Removal of cataract with insertion of lens,66984,ASOCIACION OUT,
Removal of cataract with insertion of lens,66984,MAP LIFE,
Removal of cataract with insertion of lens,66984,PMC IN,
Removal of cataract with insertion of lens,66984,CHAMPVA,
Removal of cataract with insertion of lens,66984,ASOCIACION INP,
Removal of cataract with insertion of lens,66984,BELLA VISTA,
Removal of cataract with insertion of lens,66984,TS VITAL,
Removal of cataract with insertion of lens,66984,TRICARE,
Removal of cataract with insertion of lens,66984,IMC,
Removal of cataract with insertion of lens,66984,PALIC,
Removal of cataract with insertion of lens,66984,VETERANS,
Removal of cataract with insertion of lens,66984,MMM IN,
Removal of Central Venous Acce,36590,MCS PREF,$712.00
Removal of Central Venous Acce,36590,MCS CLASS,
Removal of Central Venous Acce,36590,HUM GOLD IN,
Removal of Central Venous Acce,36590,MMM VITAL,$611.00
Removal of Central Venous Acce,36590,MEDICARE B,
Removal of Central Venous Acce,36590,IMC,$559.00
Removal of Central Venous Acce,36590,FONDO,$528.00
Removal of Central Venous Acce,36590,MENONITA COM,$788.00
Removal of Central Venous Acce,36590,ACAA,$475.00
Removal of Central Venous Acce,36590,ASOCIACION IN,
Removal of Central Venous Acce,36590,MENONITA VITAL,$660.00
Removal of Central Venous Acce,36590,MMM IN,
Removal of Central Venous Acce,36590,BELLA VISTA,$650.00
Removal of Central Venous Acce,36590,FM VITAL,$652.00
Removal of Central Venous Acce,36590,CHAMPVA,
Removal of Central Venous Acce,36590,PALIC,$740.00
Removal of Central Venous Acce,36590,ASOCIACION OUT,$770.00
Removal of Central Venous Acce,36590,HUMANA,$700.00
Removal of Central Venous Acce,36590,HUM GOLD OUT,$806.00
Removal of Central Venous Acce,36590,MMM OUT,$735.00
Removal of Central Venous Acce,36590,MEDICARE A,
Removal of Central Venous Acce,36590,TSADV OUT,
Removal of Central Venous Acce,36590,VETERANS,
Removal of Central Venous Acce,36590,TRIPLE S COM,$706.00
Removal of Central Venous Acce,36590,PMC IN,
Removal of Central Venous Acce,36590,TSADV IN,
Removal of Central Venous Acce,36590,PMC OUT,$735.00
Removal of Central Venous Acce,36590,TS VITAL,$611.00
Removal of Central Venous Acce,36590,SSS BLUE CARD,$706.00
Removal of Central Venous Acce,36590,TRICARE,
Removal of polyps or growths of large bowel using an endoscope,45385,BELLA VISTA,
Removal of polyps or growths of large bowel using an endoscope,45385,MMM VITAL,
Removal of polyps or growths of large bowel using an endoscope,45385,CHAMPVA,
Removal of polyps or growths of large bowel using an endoscope,45385,PSM VITAL,
Removal of polyps or growths of large bowel using an endoscope,45385,TRICARE,
Removal of polyps or growths of large bowel using an endoscope,45385,FM VITAL,
Removal of polyps or growths of large bowel using an endoscope,45385,IMC,
Removal of polyps or growths of large bowel using an endoscope,45385,HUM GOLD PLUS,
Removal of polyps or growths of large bowel using an endoscope,45385,VETERANS,
Removal of polyps or growths of large bowel using an endoscope,45385,FONDO,
Removal of polyps or growths of large bowel using an endoscope,45385,SSS BLUE CARD,
Removal of polyps or growths of large bowel using an endoscope,45385,MAP LIFE,
Removal of polyps or growths of large bowel using an endoscope,45385,TS ADV OUT,
Removal of polyps or growths of large bowel using an endoscope,45385,ACAA,
Removal of polyps or growths of large bowel using an endoscope,45385,SSS COM,
Removal of polyps or growths of large bowel using an endoscope,45385,HUMANA,
Removal of polyps or growths of large bowel using an endoscope,45385,PMC OUT,
Removal of polyps or growths of large bowel using an endoscope,45385,MENONITA COM,
Removal of polyps or growths of large bowel using an endoscope,45385,MOLINA VITAL,
Removal of polyps or growths of large bowel using an endoscope,45385,TS VITAL,
Removal of polyps or growths of large bowel using an endoscope,45385,MCS PREF,
Removal of polyps or growths of large bowel using an endoscope,45385,MEDICARE B,
Removal of polyps or growths of large bowel using an endoscope,45385,TS ADV IN,
Removal of polyps or growths of large bowel using an endoscope,45385,MCS CLASS,
Removal of polyps or growths of large bowel using an endoscope,45385,PALIC,
Removal of polyps or growths of large bowel using an endoscope,45385,MMM IN,
Removal of polyps or growths of large bowel using an endoscope,45385,PMC IN,
Removal of polyps or growths of large bowel using an endoscope,45385,ASOCIACION INP,
Removal of polyps or growths of large bowel using an endoscope,45385,MMM OUT,
Removal of polyps or growths of large bowel using an endoscope,45385,ASOCIACION OUT,
Removal of polyps or growths of large bowel using an endoscope,45385,MEDICARE A,
Removal of recurring cataract in lens capsule using laser,66821,TS VITAL,
Removal of recurring cataract in lens capsule using laser,66821,FONDO,
Removal of recurring cataract in lens capsule using laser,66821,CHAMPVA,
Removal of recurring cataract in lens capsule using laser,66821,MCS PREF,
Removal of recurring cataract in lens capsule using laser,66821,MOLINA VITAL,
Removal of recurring cataract in lens capsule using laser,66821,PALIC,
Removal of recurring cataract in lens capsule using laser,66821,BELLA VISTA,
Removal of recurring cataract in lens capsule using laser,66821,TS ADV IN,
Removal of recurring cataract in lens capsule using laser,66821,FM VITAL,
Removal of recurring cataract in lens capsule using laser,66821,SSS BLUE CARD,
Removal of recurring cataract in lens capsule using laser,66821,MMM VITAL,
Removal of recurring cataract in lens capsule using laser,66821,ASOCIACION INP,
Removal of recurring cataract in lens capsule using laser,66821,MMM IN,
Removal of recurring cataract in lens capsule using laser,66821,TRICARE,
Removal of recurring cataract in lens capsule using laser,66821,VETERANS,
Removal of recurring cataract in lens capsule using laser,66821,TS ADV OUT,
Removal of recurring cataract in lens capsule using laser,66821,MAP LIFE,
Removal of recurring cataract in lens capsule using laser,66821,MEDICARE A,
Removal of recurring cataract in lens capsule using laser,66821,PMC IN,
Removal of recurring cataract in lens capsule using laser,66821,IMC,
Removal of recurring cataract in lens capsule using laser,66821,PSM VITAL,
Removal of recurring cataract in lens capsule using laser,66821,ACAA,
Removal of recurring cataract in lens capsule using laser,66821,PMC OUT,
Removal of recurring cataract in lens capsule using laser,66821,HUMANA,
Removal of recurring cataract in lens capsule using laser,66821,ASOCIACION OUT,
Removal of recurring cataract in lens capsule using laser,66821,MCS CLASS,
Removal of recurring cataract in lens capsule using laser,66821,SSS COM,
Removal of recurring cataract in lens capsule using laser,66821,MMM OUT,
Removal of recurring cataract in lens capsule using laser,66821,HUM GOLD PLUS,
Removal of recurring cataract in lens capsule using laser,66821,MEDICARE B,
Removal of recurring cataract in lens capsule using laser,66821,MENONITA COM,
Removal of tonsils and adenoid glands patient younger than age 12,42820,SSS COM,
Removal of tonsils and adenoid glands patient younger than age 12,42820,PMC IN,
Removal of tonsils and adenoid glands patient younger than age 12,42820,PALIC,
Removal of tonsils and adenoid glands patient younger than age 12,42820,TS VITAL,
Removal of tonsils and adenoid glands patient younger than age 12,42820,TRICARE,
Removal of tonsils and adenoid glands patient younger than age 12,42820,SSS BLUE CARD,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MOLINA VITAL,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MENONITA COM,
Removal of tonsils and adenoid glands patient younger than age 12,42820,PMC OUT,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MEDICARE B,
Removal of tonsils and adenoid glands patient younger than age 12,42820,TS ADV OUT,
Removal of tonsils and adenoid glands patient younger than age 12,42820,HUMANA,
Removal of tonsils and adenoid glands patient younger than age 12,42820,IMC,
Removal of tonsils and adenoid glands patient younger than age 12,42820,PSM VITAL,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MEDICARE A,
Removal of tonsils and adenoid glands patient younger than age 12,42820,HUM GOLD PLUS,
Removal of tonsils and adenoid glands patient younger than age 12,42820,ASOCIACION OUT,
Removal of tonsils and adenoid glands patient younger than age 12,42820,ACAA,
Removal of tonsils and adenoid glands patient younger than age 12,42820,ASOCIACION INP,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MMM OUT,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MCS CLASS,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MCS PREF,
Removal of tonsils and adenoid glands patient younger than age 12,42820,TS ADV IN,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MMM IN,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MAP LIFE,
Removal of tonsils and adenoid glands patient younger than age 12,42820,FONDO,
Removal of tonsils and adenoid glands patient younger than age 12,42820,VETERANS,
Removal of tonsils and adenoid glands patient younger than age 12,42820,CHAMPVA,
Removal of tonsils and adenoid glands patient younger than age 12,42820,BELLA VISTA,
Removal of tonsils and adenoid glands patient younger than age 12,42820,MMM VITAL,
Removal of tonsils and adenoid glands patient younger than age 12,42820,FM VITAL,
Remove pelvis hip f body,27086,MCS CLASS,
Remove pelvis hip f body,27086,MCS PREF,$712.00
Remove pelvis hip f body,27086,HUMANA,$700.00
Remove pelvis hip f body,27086,MMM VITAL,$611.00
Remove pelvis hip f body,27086,ASOCIACION IN,
Remove pelvis hip f body,27086,FM VITAL,$652.00
Remove pelvis hip f body,27086,ACAA,$475.00
Remove pelvis hip f body,27086,HUM GOLD IN,
Remove pelvis hip f body,27086,FONDO,
Remove pelvis hip f body,27086,BELLA VISTA,$650.00
Remove pelvis hip f body,27086,CHAMPVA,
Remove pelvis hip f body,27086,HUM GOLD OUT,$806.00
Remove pelvis hip f body,27086,MEDICARE A,
Remove pelvis hip f body,27086,MMM OUT,$735.00
Remove pelvis hip f body,27086,MENONITA COM,$788.00
Remove pelvis hip f body,27086,PALIC,$740.00
Remove pelvis hip f body,27086,IMC,$605.00
Remove pelvis hip f body,27086,MENONITA VITAL,$660.00
Remove pelvis hip f body,27086,MEDICARE B,
Remove pelvis hip f body,27086,ASOCIACION OUT,$770.00
Remove pelvis hip f body,27086,MMM IN,
Remove pelvis hip f body,27086,TRICARE,
Remove pelvis hip f body,27086,VETERANS,
Remove pelvis hip f body,27086,TRIPLE S COM,"$1,300.00"
Remove pelvis hip f body,27086,SSS BLUE CARD,"$1,300.00"
Remove pelvis hip f body,27086,PMC OUT,$735.00
Remove pelvis hip f body,27086,TSADV OUT,
Remove pelvis hip f body,27086,TSADV IN,
Remove pelvis hip f body,27086,PMC IN,$735.00
Remove pelvis hip f body,27086,TS VITAL,$611.00
RENAL FUNCTION PANEL,80069,CHAMPVA,$8.68
RENAL FUNCTION PANEL,80069,ASOCIACION OUT,
RENAL FUNCTION PANEL,80069,PSM VITAL,$8.28
RENAL FUNCTION PANEL,80069,ACAA,$15.00
RENAL FUNCTION PANEL,80069,MMM OUT,$8.68
RENAL FUNCTION PANEL,80069,ASOCIACION INP,$20.00
RENAL FUNCTION PANEL,80069,TS ADV IN,$10.72
RENAL FUNCTION PANEL,80069,MCS CLASS,$8.68
RENAL FUNCTION PANEL,80069,MEDICARE B,$8.68
RENAL FUNCTION PANEL,80069,FM VITAL,$8.28
RENAL FUNCTION PANEL,80069,MMM IN,$8.68
RENAL FUNCTION PANEL,80069,MCS PREF,$20.00
RENAL FUNCTION PANEL,80069,VETERANS,$8.68
RENAL FUNCTION PANEL,80069,FONDO,$10.72
RENAL FUNCTION PANEL,80069,MENONITA COM,
RENAL FUNCTION PANEL,80069,TS VITAL,$12.30
RENAL FUNCTION PANEL,80069,TS ADV OUT,$10.72
RENAL FUNCTION PANEL,80069,PMC IN,$8.68
RENAL FUNCTION PANEL,80069,SSS COM,$12.21
RENAL FUNCTION PANEL,80069,MOLINA VITAL,$7.50
RENAL FUNCTION PANEL,80069,PMC OUT,$8.68
RENAL FUNCTION PANEL,80069,HUMANA,$20.00
RENAL FUNCTION PANEL,80069,IMC,$20.00
RENAL FUNCTION PANEL,80069,MAP LIFE,$53.00
RENAL FUNCTION PANEL,80069,TRICARE,$8.68
RENAL FUNCTION PANEL,80069,MMM VITAL,$8.28
RENAL FUNCTION PANEL,80069,PALIC,$70.00
RENAL FUNCTION PANEL,80069,MEDICARE A,$8.68
RENAL FUNCTION PANEL,80069,BELLA VISTA,$15.00
RENAL FUNCTION PANEL,80069,HUM GOLD PLUS,$8.68
RENAL FUNCTION PANEL,80069,SSS BLUE CARD,$12.21
RENAL-KIDNEY/BLADDER US LT,76770,MEDICARE A,$73.66
RENAL-KIDNEY/BLADDER US LT,76770,CHAMPVA,$73.66
RENAL-KIDNEY/BLADDER US LT,76770,FONDO,$79.02
RENAL-KIDNEY/BLADDER US LT,76770,MEDICARE B,$78.21
RENAL-KIDNEY/BLADDER US LT,76770,IMC,$35.00
RENAL-KIDNEY/BLADDER US LT,76770,PALIC,$45.00
RENAL-KIDNEY/BLADDER US LT,76770,MCS CLASS,$73.66
RENAL-KIDNEY/BLADDER US LT,76770,MENONITA COM,$50.00
RENAL-KIDNEY/BLADDER US LT,76770,MMM VITAL,$46.61
RENAL-KIDNEY/BLADDER US LT,76770,ASOCIACION OUT,
RENAL-KIDNEY/BLADDER US LT,76770,HUMANA,$45.00
RENAL-KIDNEY/BLADDER US LT,76770,HUM GOLD OUT,$78.21
RENAL-KIDNEY/BLADDER US LT,76770,HUM GOLD IN,$78.21
RENAL-KIDNEY/BLADDER US LT,76770,MMM OUT,$73.66
RENAL-KIDNEY/BLADDER US LT,76770,ASOCIACION IN,$80.00
RENAL-KIDNEY/BLADDER US LT,76770,FM VITAL,$38.07
RENAL-KIDNEY/BLADDER US LT,76770,MCS PREF,$45.00
RENAL-KIDNEY/BLADDER US LT,76770,MMM IN,$78.21
RENAL-KIDNEY/BLADDER US LT,76770,MENONITA VITAL,$55.31
RENAL-KIDNEY/BLADDER US LT,76770,BELLA VISTA,$37.50
RENAL-KIDNEY/BLADDER US LT,76770,ACAA,$28.00
RENAL-KIDNEY/BLADDER US LT,76770,PMC OUT,$73.66
RENAL-KIDNEY/BLADDER US LT,76770,TS VITAL,$36.56
RENAL-KIDNEY/BLADDER US LT,76770,VETERANS,$73.66
RENAL-KIDNEY/BLADDER US LT,76770,TSADV OUT,$79.02
RENAL-KIDNEY/BLADDER US LT,76770,SSS BLUE CARD,$50.00
RENAL-KIDNEY/BLADDER US LT,76770,TRICARE,$73.66
RENAL-KIDNEY/BLADDER US LT,76770,PMC IN,$78.21
RENAL-KIDNEY/BLADDER US LT,76770,TRIPLE S COM,$50.00
RENAL-KIDNEY/BLADDER US LT,76770,TSADV IN,$79.02
Reverse Total Shoulder Arthrop,23472,ACAA,$475.00
Reverse Total Shoulder Arthrop,23472,MMM IN,
Reverse Total Shoulder Arthrop,23472,ASOCIACION IN,
Reverse Total Shoulder Arthrop,23472,MENONITA VITAL,$660.00
Reverse Total Shoulder Arthrop,23472,HUMANA,$700.00
Reverse Total Shoulder Arthrop,23472,MENONITA COM,$788.00
Reverse Total Shoulder Arthrop,23472,MEDICARE A,
Reverse Total Shoulder Arthrop,23472,BELLA VISTA,$650.00
Reverse Total Shoulder Arthrop,23472,MMM OUT,$735.00
Reverse Total Shoulder Arthrop,23472,FM VITAL,$652.00
Reverse Total Shoulder Arthrop,23472,ASOCIACION OUT,$770.00
Reverse Total Shoulder Arthrop,23472,HUM GOLD OUT,$806.00
Reverse Total Shoulder Arthrop,23472,CHAMPVA,
Reverse Total Shoulder Arthrop,23472,HUM GOLD IN,
Reverse Total Shoulder Arthrop,23472,FONDO,
Reverse Total Shoulder Arthrop,23472,PALIC,$740.00
Reverse Total Shoulder Arthrop,23472,IMC,$605.00
Reverse Total Shoulder Arthrop,23472,MEDICARE B,
Reverse Total Shoulder Arthrop,23472,MMM VITAL,$611.00
Reverse Total Shoulder Arthrop,23472,MCS CLASS,
Reverse Total Shoulder Arthrop,23472,MCS PREF,$712.00
Reverse Total Shoulder Arthrop,23472,PMC IN,
Reverse Total Shoulder Arthrop,23472,SSS BLUE CARD,$706.00
Reverse Total Shoulder Arthrop,23472,PMC OUT,$735.00
Reverse Total Shoulder Arthrop,23472,TS VITAL,"$1,300.00"
Reverse Total Shoulder Arthrop,23472,TRIPLE S COM,$706.00
Reverse Total Shoulder Arthrop,23472,TSADV OUT,
Reverse Total Shoulder Arthrop,23472,VETERANS,
Reverse Total Shoulder Arthrop,23472,TSADV IN,
Reverse Total Shoulder Arthrop,23472,TRICARE,
RIB UNILATERAL  XR,71100,MMM OUT,$52.45
RIB UNILATERAL  XR,71100,MMM IN,$24.73
RIB UNILATERAL  XR,71100,HUMANA,$13.50
RIB UNILATERAL  XR,71100,HUM GOLD OUT,$24.73
RIB UNILATERAL  XR,71100,MEDICARE A,$52.45
RIB UNILATERAL  XR,71100,MMM VITAL,$13.06
RIB UNILATERAL  XR,71100,ASOCIACION IN,$23.00
RIB UNILATERAL  XR,71100,HUM GOLD IN,$24.73
RIB UNILATERAL  XR,71100,MCS PREF,$14.00
RIB UNILATERAL  XR,71100,CHAMPVA,$52.45
RIB UNILATERAL  XR,71100,MENONITA COM,$12.50
RIB UNILATERAL  XR,71100,MENONITA VITAL,$15.73
RIB UNILATERAL  XR,71100,ASOCIACION OUT,
RIB UNILATERAL  XR,71100,MCS CLASS,$52.45
RIB UNILATERAL  XR,71100,FONDO,$22.47
RIB UNILATERAL  XR,71100,FM VITAL,$10.50
RIB UNILATERAL  XR,71100,ACAA,$19.60
RIB UNILATERAL  XR,71100,IMC,$16.50
RIB UNILATERAL  XR,71100,MEDICARE B,$24.73
RIB UNILATERAL  XR,71100,PALIC,$17.00
RIB UNILATERAL  XR,71100,BELLA VISTA,$14.00
RIB UNILATERAL  XR,71100,TS VITAL,$13.65
RIB UNILATERAL  XR,71100,TRICARE,$52.45
RIB UNILATERAL  XR,71100,VETERANS,$52.45
RIB UNILATERAL  XR,71100,TRIPLE S COM,$15.50
RIB UNILATERAL  XR,71100,TSADV IN,$22.47
RIB UNILATERAL  XR,71100,PMC OUT,$52.45
RIB UNILATERAL  XR,71100,TSADV OUT,$22.47
RIB UNILATERAL  XR,71100,PMC IN,$24.73
RIB UNILATERAL  XR,71100,SSS BLUE CARD,$15.50
RIBS BILATERAL XR,71110,ASOCIACION OUT,
RIBS BILATERAL XR,71110,MENONITA COM,$14.25
RIBS BILATERAL XR,71110,IMC,$16.50
RIBS BILATERAL XR,71110,BELLA VISTA,$16.50
RIBS BILATERAL XR,71110,MMM OUT,$73.66
RIBS BILATERAL XR,71110,MENONITA VITAL,$18.01
RIBS BILATERAL XR,71110,FM VITAL,$11.56
RIBS BILATERAL XR,71110,HUM GOLD OUT,$28.73
RIBS BILATERAL XR,71110,MMM IN,$28.73
RIBS BILATERAL XR,71110,ASOCIACION IN,$29.00
RIBS BILATERAL XR,71110,FONDO,$25.73
RIBS BILATERAL XR,71110,HUMANA,$15.50
RIBS BILATERAL XR,71110,MCS PREF,$17.50
RIBS BILATERAL XR,71110,HUM GOLD IN,$28.73
RIBS BILATERAL XR,71110,ACAA,$23.80
RIBS BILATERAL XR,71110,MMM VITAL,$14.35
RIBS BILATERAL XR,71110,CHAMPVA,$73.66
RIBS BILATERAL XR,71110,MCS CLASS,$73.66
RIBS BILATERAL XR,71110,MEDICARE B,$28.73
RIBS BILATERAL XR,71110,PALIC,$20.00
RIBS BILATERAL XR,71110,MEDICARE A,$73.66
RIBS BILATERAL XR,71110,TRIPLE S COM,$20.00
RIBS BILATERAL XR,71110,TRICARE,$73.66
RIBS BILATERAL XR,71110,TSADV OUT,$25.73
RIBS BILATERAL XR,71110,SSS BLUE CARD,$20.00
RIBS BILATERAL XR,71110,PMC OUT,$73.66
RIBS BILATERAL XR,71110,VETERANS,$73.66
RIBS BILATERAL XR,71110,TS VITAL,$16.09
RIBS BILATERAL XR,71110,PMC IN,$28.73
RIBS BILATERAL XR,71110,TSADV IN,$25.73
SACRUM COCCYX XR,72220,HUMANA,$12.00
SACRUM COCCYX XR,72220,PMC IN,$22.91
SACRUM COCCYX XR,72220,CHAMPVA,$52.45
SACRUM COCCYX XR,72220,HUM GOLD OUT,$22.91
SACRUM COCCYX XR,72220,MEDICARE B,$22.91
SACRUM COCCYX XR,72220,MCS PREF,$12.00
SACRUM COCCYX XR,72220,MMM VITAL,$11.56
SACRUM COCCYX XR,72220,MMM IN,$22.91
SACRUM COCCYX XR,72220,ASOCIACION IN,$17.00
SACRUM COCCYX XR,72220,IMC,$9.50
SACRUM COCCYX XR,72220,BELLA VISTA,$9.50
SACRUM COCCYX XR,72220,FM VITAL,$9.44
SACRUM COCCYX XR,72220,FONDO,$19.93
SACRUM COCCYX XR,72220,MCS CLASS,$52.45
SACRUM COCCYX XR,72220,HUM GOLD IN,$22.91
SACRUM COCCYX XR,72220,MMM OUT,$52.45
SACRUM COCCYX XR,72220,MEDICARE A,$52.45
SACRUM COCCYX XR,72220,MENONITA VITAL,$13.95
SACRUM COCCYX XR,72220,ASOCIACION OUT,
SACRUM COCCYX XR,72220,ACAA,$12.60
SACRUM COCCYX XR,72220,MENONITA COM,$10.00
SACRUM COCCYX XR,72220,PALIC,$15.00
SACRUM COCCYX XR,72220,TRICARE,$52.45
SACRUM COCCYX XR,72220,VETERANS,$52.45
SACRUM COCCYX XR,72220,PMC OUT,$52.45
SACRUM COCCYX XR,72220,TS VITAL,$9.26
SACRUM COCCYX XR,72220,TSADV OUT,$19.93
SACRUM COCCYX XR,72220,TSADV IN,$19.93
SACRUM COCCYX XR,72220,SSS BLUE CARD,$14.50
SACRUM COCCYX XR,72220,TRIPLE S COM,$14.50
SCREENING MAMMOGRA DIGITAL LT,77067,CHAMPVA,$118.89
SCREENING MAMMOGRA DIGITAL LT,77067,MEDICARE A,$118.89
SCREENING MAMMOGRA DIGITAL LT,77067,MMM VITAL,$60.16
SCREENING MAMMOGRA DIGITAL LT,77067,MCS PREF,$44.00
SCREENING MAMMOGRA DIGITAL LT,77067,MCS CLASS,$118.89
SCREENING MAMMOGRA DIGITAL LT,77067,MENONITA COM,
SCREENING MAMMOGRA DIGITAL LT,77067,TS ADV OUT,$102.22
SCREENING MAMMOGRA DIGITAL LT,77067,FONDO,$102.22
SCREENING MAMMOGRA DIGITAL LT,77067,HUM GOLD PLUS,$100.76
SCREENING MAMMOGRA DIGITAL LT,77067,SSS COM,$32.50
SCREENING MAMMOGRA DIGITAL LT,77067,MOLINA VITAL,$71.55
SCREENING MAMMOGRA DIGITAL LT,77067,IMC,$35.00
SCREENING MAMMOGRA DIGITAL LT,77067,MMM OUT,$100.76
SCREENING MAMMOGRA DIGITAL LT,77067,TS ADV IN,$102.22
SCREENING MAMMOGRA DIGITAL LT,77067,ASOCIACION INP,$75.00
SCREENING MAMMOGRA DIGITAL LT,77067,ASOCIACION OUT,$75.00
SCREENING MAMMOGRA DIGITAL LT,77067,PSM VITAL,$71.55
SCREENING MAMMOGRA DIGITAL LT,77067,PMC IN,$100.76
SCREENING MAMMOGRA DIGITAL LT,77067,MEDICARE B,$100.76
SCREENING MAMMOGRA DIGITAL LT,77067,TS VITAL,$19.50
SCREENING MAMMOGRA DIGITAL LT,77067,VETERANS,$118.89
SCREENING MAMMOGRA DIGITAL LT,77067,HUMANA,$47.50
SCREENING MAMMOGRA DIGITAL LT,77067,MMM IN,$100.76
SCREENING MAMMOGRA DIGITAL LT,77067,PMC OUT,$100.76
SCREENING MAMMOGRA DIGITAL LT,77067,ACAA,
SCREENING MAMMOGRA DIGITAL LT,77067,SSS BLUE CARD,$32.50
SCREENING MAMMOGRA DIGITAL LT,77067,TRICARE,$118.89
SCREENING MAMMOGRA DIGITAL LT,77067,FM VITAL,$14.92
SCREENING MAMMOGRA DIGITAL LT,77067,BELLA VISTA,$40.00
SCREENING MAMMOGRA DIGITAL LT,77067,MAP LIFE,$50.50
SCREENING MAMMOGRA DIGITAL LT,77067,PALIC,$38.50
SCROTUM (TESTICULO) US,76870,HUM GOLD OUT,$74.93
SCROTUM (TESTICULO) US,76870,MMM IN,$74.93
SCROTUM (TESTICULO) US,76870,MMM OUT,$73.66
SCROTUM (TESTICULO) US,76870,MENONITA VITAL,$25.88
SCROTUM (TESTICULO) US,76870,ACAA,$21.00
SCROTUM (TESTICULO) US,76870,MCS PREF,$45.00
SCROTUM (TESTICULO) US,76870,MENONITA COM,$41.00
SCROTUM (TESTICULO) US,76870,MEDICARE B,$74.93
SCROTUM (TESTICULO) US,76870,MCS CLASS,$73.66
SCROTUM (TESTICULO) US,76870,MMM VITAL,$21.88
SCROTUM (TESTICULO) US,76870,ASOCIACION OUT,
SCROTUM (TESTICULO) US,76870,MEDICARE A,$73.66
SCROTUM (TESTICULO) US,76870,HUMANA,$34.00
SCROTUM (TESTICULO) US,76870,PALIC,$45.00
SCROTUM (TESTICULO) US,76870,IMC,$35.00
SCROTUM (TESTICULO) US,76870,ASOCIACION IN,$60.00
SCROTUM (TESTICULO) US,76870,FM VITAL,$17.57
SCROTUM (TESTICULO) US,76870,BELLA VISTA,$30.00
SCROTUM (TESTICULO) US,76870,FONDO,$36.97
SCROTUM (TESTICULO) US,76870,HUM GOLD IN,$74.93
SCROTUM (TESTICULO) US,76870,CHAMPVA,$73.66
SCROTUM (TESTICULO) US,76870,TRICARE,$73.66
SCROTUM (TESTICULO) US,76870,SSS BLUE CARD,$41.00
SCROTUM (TESTICULO) US,76870,TRIPLE S COM,$41.00
SCROTUM (TESTICULO) US,76870,TS VITAL,$29.25
SCROTUM (TESTICULO) US,76870,TSADV OUT,$36.97
SCROTUM (TESTICULO) US,76870,TSADV IN,$36.97
SCROTUM (TESTICULO) US,76870,PMC IN,$74.93
SCROTUM (TESTICULO) US,76870,PMC OUT,$73.66
SCROTUM (TESTICULO) US,76870,VETERANS,$73.66
SEDIMENTATION RATE (SED RATE),85651,MEDICARE A,$4.27
SEDIMENTATION RATE (SED RATE),85651,ASOCIACION OUT,
SEDIMENTATION RATE (SED RATE),85651,MMM VITAL,$3.38
SEDIMENTATION RATE (SED RATE),85651,MENONITA VITAL,$3.38
SEDIMENTATION RATE (SED RATE),85651,PALIC,$8.00
SEDIMENTATION RATE (SED RATE),85651,CHAMPVA,$4.27
SEDIMENTATION RATE (SED RATE),85651,FONDO,$4.38
SEDIMENTATION RATE (SED RATE),85651,MEDICARE B,$4.27
SEDIMENTATION RATE (SED RATE),85651,MCS CLASS,$4.27
SEDIMENTATION RATE (SED RATE),85651,FM VITAL,$3.38
SEDIMENTATION RATE (SED RATE),85651,HUM GOLD IN,$4.27
SEDIMENTATION RATE (SED RATE),85651,PMC IN,$4.27
SEDIMENTATION RATE (SED RATE),85651,IMC,$7.00
SEDIMENTATION RATE (SED RATE),85651,HUMANA,$6.00
SEDIMENTATION RATE (SED RATE),85651,MMM IN,$4.27
SEDIMENTATION RATE (SED RATE),85651,ASOCIACION IN,$7.00
SEDIMENTATION RATE (SED RATE),85651,HUM GOLD OUT,
SEDIMENTATION RATE (SED RATE),85651,ACAA,$4.00
SEDIMENTATION RATE (SED RATE),85651,MENONITA COM,$3.40
SEDIMENTATION RATE (SED RATE),85651,BELLA VISTA,$4.00
SEDIMENTATION RATE (SED RATE),85651,MCS PREF,$8.00
SEDIMENTATION RATE (SED RATE),85651,MMM OUT,$4.27
SEDIMENTATION RATE (SED RATE),85651,TRICARE,$4.27
SEDIMENTATION RATE (SED RATE),85651,PMC OUT,$4.27
SEDIMENTATION RATE (SED RATE),85651,TSADV OUT,$4.38
SEDIMENTATION RATE (SED RATE),85651,SSS BLUE CARD,$7.00
SEDIMENTATION RATE (SED RATE),85651,TRIPLE S COM,$7.00
SEDIMENTATION RATE (SED RATE),85651,TS VITAL,$5.02
SEDIMENTATION RATE (SED RATE),85651,TSADV IN,$4.38
SEDIMENTATION RATE (SED RATE),85651,VETERANS,$4.27
SGOT (TRANSF ASPARTATE AMINO),84450,MEDICARE A,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,PALIC,$10.00
SGOT (TRANSF ASPARTATE AMINO),84450,MMM IN,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,MEDICARE B,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,ACAA,$7.00
SGOT (TRANSF ASPARTATE AMINO),84450,IMC,$8.00
SGOT (TRANSF ASPARTATE AMINO),84450,MENONITA COM,$6.00
SGOT (TRANSF ASPARTATE AMINO),84450,HUM GOLD OUT,
SGOT (TRANSF ASPARTATE AMINO),84450,BELLA VISTA,$7.00
SGOT (TRANSF ASPARTATE AMINO),84450,FONDO,$6.39
SGOT (TRANSF ASPARTATE AMINO),84450,ASOCIACION IN,$8.00
SGOT (TRANSF ASPARTATE AMINO),84450,MMM OUT,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,PMC IN,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,HUM GOLD IN,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,MMM VITAL,$4.94
SGOT (TRANSF ASPARTATE AMINO),84450,CHAMPVA,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,MCS CLASS,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,MENONITA VITAL,$4.94
SGOT (TRANSF ASPARTATE AMINO),84450,MCS PREF,$10.00
SGOT (TRANSF ASPARTATE AMINO),84450,FM VITAL,$4.94
SGOT (TRANSF ASPARTATE AMINO),84450,HUMANA,$8.00
SGOT (TRANSF ASPARTATE AMINO),84450,ASOCIACION OUT,
SGOT (TRANSF ASPARTATE AMINO),84450,SSS BLUE CARD,$8.00
SGOT (TRANSF ASPARTATE AMINO),84450,TRIPLE S COM,$8.00
SGOT (TRANSF ASPARTATE AMINO),84450,TS VITAL,$7.33
SGOT (TRANSF ASPARTATE AMINO),84450,TSADV IN,$6.39
SGOT (TRANSF ASPARTATE AMINO),84450,TSADV OUT,$6.39
SGOT (TRANSF ASPARTATE AMINO),84450,TRICARE,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,VETERANS,$5.18
SGOT (TRANSF ASPARTATE AMINO),84450,PMC OUT,$5.18
SGPT (TRANSFERASE ALANINE AMI,84460,FONDO,$6.54
SGPT (TRANSFERASE ALANINE AMI,84460,MCS PREF,$10.00
SGPT (TRANSFERASE ALANINE AMI,84460,IMC,$8.00
SGPT (TRANSFERASE ALANINE AMI,84460,MMM OUT,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,ASOCIACION IN,$8.00
SGPT (TRANSFERASE ALANINE AMI,84460,MENONITA COM,$6.00
SGPT (TRANSFERASE ALANINE AMI,84460,MMM VITAL,$5.05
SGPT (TRANSFERASE ALANINE AMI,84460,MEDICARE B,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,BELLA VISTA,$7.00
SGPT (TRANSFERASE ALANINE AMI,84460,ASOCIACION OUT,
SGPT (TRANSFERASE ALANINE AMI,84460,PALIC,$10.00
SGPT (TRANSFERASE ALANINE AMI,84460,MEDICARE A,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,HUM GOLD IN,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,MMM IN,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,FM VITAL,$5.05
SGPT (TRANSFERASE ALANINE AMI,84460,MENONITA VITAL,$5.05
SGPT (TRANSFERASE ALANINE AMI,84460,HUM GOLD OUT,
SGPT (TRANSFERASE ALANINE AMI,84460,MCS CLASS,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,ACAA,$7.00
SGPT (TRANSFERASE ALANINE AMI,84460,CHAMPVA,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,HUMANA,$8.00
SGPT (TRANSFERASE ALANINE AMI,84460,PMC IN,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,TS VITAL,$7.50
SGPT (TRANSFERASE ALANINE AMI,84460,TRICARE,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,SSS BLUE CARD,$8.00
SGPT (TRANSFERASE ALANINE AMI,84460,PMC OUT,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,TRIPLE S COM,$8.00
SGPT (TRANSFERASE ALANINE AMI,84460,TSADV IN,$6.54
SGPT (TRANSFERASE ALANINE AMI,84460,VETERANS,$5.30
SGPT (TRANSFERASE ALANINE AMI,84460,TSADV OUT,$6.54
SHOULDER 1 VIEW XR,73020,CHAMPVA,$52.45
SHOULDER 1 VIEW XR,73020,MMM OUT,$52.45
SHOULDER 1 VIEW XR,73020,ACAA,$9.80
SHOULDER 1 VIEW XR,73020,HUM GOLD IN,$13.82
SHOULDER 1 VIEW XR,73020,FM VITAL,$7.32
SHOULDER 1 VIEW XR,73020,BELLA VISTA,$7.00
SHOULDER 1 VIEW XR,73020,HUM GOLD OUT,$13.82
SHOULDER 1 VIEW XR,73020,IMC,$7.00
SHOULDER 1 VIEW XR,73020,MEDICARE A,$52.45
SHOULDER 1 VIEW XR,73020,MCS CLASS,$52.45
SHOULDER 1 VIEW XR,73020,PMC IN,$13.82
SHOULDER 1 VIEW XR,73020,FONDO,$15.22
SHOULDER 1 VIEW XR,73020,MENONITA VITAL,$10.65
SHOULDER 1 VIEW XR,73020,ASOCIACION OUT,
SHOULDER 1 VIEW XR,73020,HUMANA,$9.00
SHOULDER 1 VIEW XR,73020,MENONITA COM,$6.50
SHOULDER 1 VIEW XR,73020,ASOCIACION IN,$12.00
SHOULDER 1 VIEW XR,73020,MEDICARE B,$13.82
SHOULDER 1 VIEW XR,73020,MCS PREF,$9.00
SHOULDER 1 VIEW XR,73020,MMM VITAL,$8.98
SHOULDER 1 VIEW XR,73020,PALIC,$10.00
SHOULDER 1 VIEW XR,73020,MMM IN,$13.82
SHOULDER 1 VIEW XR,73020,TRICARE,$52.45
SHOULDER 1 VIEW XR,73020,PMC OUT,$52.45
SHOULDER 1 VIEW XR,73020,TRIPLE S COM,$12.50
SHOULDER 1 VIEW XR,73020,TSADV IN,$15.22
SHOULDER 1 VIEW XR,73020,TSADV OUT,$15.22
SHOULDER 1 VIEW XR,73020,VETERANS,$52.45
SHOULDER 1 VIEW XR,73020,SSS BLUE CARD,$12.50
SHOULDER 1 VIEW XR,73020,TS VITAL,$6.83
SHOULDER 2 O MAS VISTAS XR,73030,FONDO,$20.29
SHOULDER 2 O MAS VISTAS XR,73030,ACAA,$16.80
SHOULDER 2 O MAS VISTAS XR,73030,CHAMPVA,$52.45
SHOULDER 2 O MAS VISTAS XR,73030,MMM OUT,$52.45
SHOULDER 2 O MAS VISTAS XR,73030,IMC,$14.50
SHOULDER 2 O MAS VISTAS XR,73030,PALIC,$15.00
SHOULDER 2 O MAS VISTAS XR,73030,MCS CLASS,$52.45
SHOULDER 2 O MAS VISTAS XR,73030,ASOCIACION OUT,
SHOULDER 2 O MAS VISTAS XR,73030,HUMANA,$11.50
SHOULDER 2 O MAS VISTAS XR,73030,HUM GOLD IN,$24.00
SHOULDER 2 O MAS VISTAS XR,73030,MENONITA VITAL,$14.20
SHOULDER 2 O MAS VISTAS XR,73030,HUM GOLD OUT,$24.00
SHOULDER 2 O MAS VISTAS XR,73030,BELLA VISTA,$11.50
SHOULDER 2 O MAS VISTAS XR,73030,MEDICARE A,$52.45
SHOULDER 2 O MAS VISTAS XR,73030,MEDICARE B,$24.00
SHOULDER 2 O MAS VISTAS XR,73030,MMM IN,$24.00
SHOULDER 2 O MAS VISTAS XR,73030,PMC IN,$24.00
SHOULDER 2 O MAS VISTAS XR,73030,ASOCIACION IN,$20.00
SHOULDER 2 O MAS VISTAS XR,73030,MCS PREF,$12.00
SHOULDER 2 O MAS VISTAS XR,73030,MENONITA COM,$10.50
SHOULDER 2 O MAS VISTAS XR,73030,MMM VITAL,$11.77
SHOULDER 2 O MAS VISTAS XR,73030,FM VITAL,$9.44
SHOULDER 2 O MAS VISTAS XR,73030,TSADV OUT,$20.29
SHOULDER 2 O MAS VISTAS XR,73030,TSADV IN,$20.29
SHOULDER 2 O MAS VISTAS XR,73030,TRICARE,$52.45
SHOULDER 2 O MAS VISTAS XR,73030,TRIPLE S COM,$14.50
SHOULDER 2 O MAS VISTAS XR,73030,SSS BLUE CARD,$14.50
SHOULDER 2 O MAS VISTAS XR,73030,PMC OUT,$52.45
SHOULDER 2 O MAS VISTAS XR,73030,VETERANS,$52.45
SHOULDER 2 O MAS VISTAS XR,73030,TS VITAL,$11.21
Sigmoidoscopy,45330,MENONITA VITAL,$660.00
Sigmoidoscopy,45330,MCS CLASS,
Sigmoidoscopy,45330,MENONITA COM,$788.00
Sigmoidoscopy,45330,MEDICARE B,
Sigmoidoscopy,45330,FM VITAL,$652.00
Sigmoidoscopy,45330,HUM GOLD IN,
Sigmoidoscopy,45330,ACAA,$475.00
Sigmoidoscopy,45330,ASOCIACION IN,
Sigmoidoscopy,45330,MMM VITAL,$611.00
Sigmoidoscopy,45330,MCS PREF,$712.00
Sigmoidoscopy,45330,BELLA VISTA,$650.00
Sigmoidoscopy,45330,MEDICARE A,
Sigmoidoscopy,45330,MMM OUT,$735.00
Sigmoidoscopy,45330,ASOCIACION OUT,$770.00
Sigmoidoscopy,45330,CHAMPVA,
Sigmoidoscopy,45330,PALIC,$740.00
Sigmoidoscopy,45330,FONDO,
Sigmoidoscopy,45330,HUMANA,$700.00
Sigmoidoscopy,45330,HUM GOLD OUT,$806.00
Sigmoidoscopy,45330,MMM IN,
Sigmoidoscopy,45330,IMC,$559.00
Sigmoidoscopy,45330,TSADV IN,
Sigmoidoscopy,45330,VETERANS,
Sigmoidoscopy,45330,PMC OUT,$735.00
Sigmoidoscopy,45330,PMC IN,$735.00
Sigmoidoscopy,45330,SSS BLUE CARD,$706.00
Sigmoidoscopy,45330,TS VITAL,$611.00
Sigmoidoscopy,45330,TRIPLE S COM,$706.00
Sigmoidoscopy,45330,TSADV OUT,
Sigmoidoscopy,45330,TRICARE,
SINUSES CT,70486,HUMANA,$137.50
SINUSES CT,70486,MMM IN,$98.21
SINUSES CT,70486,MCS CLASS,$73.66
SINUSES CT,70486,MMM OUT,$73.66
SINUSES CT,70486,MCS PREF,$150.00
SINUSES CT,70486,MEDICARE A,$73.66
SINUSES CT,70486,PALIC,$150.00
SINUSES CT,70486,MMM VITAL,$58.22
SINUSES CT,70486,HUM GOLD IN,$98.21
SINUSES CT,70486,IMC,$137.50
SINUSES CT,70486,MENONITA COM,$137.50
SINUSES CT,70486,ASOCIACION OUT,
SINUSES CT,70486,HUM GOLD OUT,$98.21
SINUSES CT,70486,MEDICARE B,$98.21
SINUSES CT,70486,ACAA,$81.81
SINUSES CT,70486,CHAMPVA,$73.66
SINUSES CT,70486,BELLA VISTA,$77.00
SINUSES CT,70486,FONDO,$98.60
SINUSES CT,70486,ASOCIACION IN,$260.00
SINUSES CT,70486,FM VITAL,$47.96
SINUSES CT,70486,MENONITA VITAL,$69.02
SINUSES CT,70486,SSS BLUE CARD,$137.50
SINUSES CT,70486,PMC IN,$98.21
SINUSES CT,70486,TRICARE,$73.66
SINUSES CT,70486,TRIPLE S COM,$137.50
SINUSES CT,70486,PMC OUT,$73.66
SINUSES CT,70486,TS VITAL,$110.00
SINUSES CT,70486,TSADV IN,$98.60
SINUSES CT,70486,VETERANS,$73.66
SINUSES CT,70486,TSADV OUT,$98.60
SKULL COMP. XR,70260,ASOCIACION IN,$32.00
SKULL COMP. XR,70260,MEDICARE A,$73.66
SKULL COMP. XR,70260,MMM OUT,$73.66
SKULL COMP. XR,70260,HUM GOLD OUT,$30.19
SKULL COMP. XR,70260,ACAA,$26.60
SKULL COMP. XR,70260,BELLA VISTA,$18.00
SKULL COMP. XR,70260,MEDICARE B,$30.19
SKULL COMP. XR,70260,MENONITA VITAL,$20.04
SKULL COMP. XR,70260,HUMANA,$19.00
SKULL COMP. XR,70260,MCS PREF,$20.00
SKULL COMP. XR,70260,HUM GOLD IN,$30.19
SKULL COMP. XR,70260,PALIC,$21.00
SKULL COMP. XR,70260,MENONITA COM,$23.50
SKULL COMP. XR,70260,ASOCIACION OUT,
SKULL COMP. XR,70260,MMM IN,$30.19
SKULL COMP. XR,70260,FONDO,$28.63
SKULL COMP. XR,70260,MCS CLASS,$73.66
SKULL COMP. XR,70260,CHAMPVA,$73.66
SKULL COMP. XR,70260,FM VITAL,$13.68
SKULL COMP. XR,70260,MMM VITAL,$16.93
SKULL COMP. XR,70260,IMC,$18.00
SKULL COMP. XR,70260,TRIPLE S COM,$23.50
SKULL COMP. XR,70260,SSS BLUE CARD,$23.50
SKULL COMP. XR,70260,TSADV OUT,$28.63
SKULL COMP. XR,70260,TS VITAL,$17.55
SKULL COMP. XR,70260,PMC IN,$30.19
SKULL COMP. XR,70260,TSADV IN,$28.63
SKULL COMP. XR,70260,VETERANS,$73.66
SKULL COMP. XR,70260,PMC OUT,$73.66
SKULL COMP. XR,70260,TRICARE,$73.66
Sleep study,95810,BELLA VISTA,
Sleep study,95810,MAP LIFE,
Sleep study,95810,MCS PREF,
Sleep study,95810,CHAMPVA,
Sleep study,95810,TS VITAL,
Sleep study,95810,FM VITAL,
Sleep study,95810,TRICARE,
Sleep study,95810,VETERANS,
Sleep study,95810,PMC IN,
Sleep study,95810,TS ADV IN,
Sleep study,95810,ASOCIACION INP,
Sleep study,95810,IMC,
Sleep study,95810,MMM IN,
Sleep study,95810,PALIC,
Sleep study,95810,HUM GOLD PLUS,
Sleep study,95810,MENONITA COM,
Sleep study,95810,MEDICARE A,
Sleep study,95810,HUMANA,
Sleep study,95810,ACAA,
Sleep study,95810,ASOCIACION OUT,
Sleep study,95810,PMC OUT,
Sleep study,95810,MCS CLASS,
Sleep study,95810,MMM OUT,
Sleep study,95810,SSS BLUE CARD,
Sleep study,95810,MOLINA VITAL,
Sleep study,95810,MEDICARE B,
Sleep study,95810,TS ADV OUT,
Sleep study,95810,MMM VITAL,
Sleep study,95810,SSS COM,
Sleep study,95810,FONDO,
Sleep study,95810,PSM VITAL,
SODIUM; URINE,84300,MEDICARE B,$5.06
SODIUM; URINE,84300,MEDICARE A,$5.06
SODIUM; URINE,84300,MENONITA COM,$4.10
SODIUM; URINE,84300,MCS CLASS,$5.06
SODIUM; URINE,84300,MMM VITAL,$4.64
SODIUM; URINE,84300,PMC IN,$5.06
SODIUM; URINE,84300,HUMANA,$6.00
SODIUM; URINE,84300,PALIC,$8.00
SODIUM; URINE,84300,ASOCIACION IN,$7.20
SODIUM; URINE,84300,ACAA,$8.00
SODIUM; URINE,84300,CHAMPVA,$5.06
SODIUM; URINE,84300,HUM GOLD OUT,
SODIUM; URINE,84300,BELLA VISTA,$8.00
SODIUM; URINE,84300,MENONITA VITAL,$4.64
SODIUM; URINE,84300,ASOCIACION OUT,
SODIUM; URINE,84300,IMC,$6.00
SODIUM; URINE,84300,MCS PREF,$8.00
SODIUM; URINE,84300,HUM GOLD IN,$5.06
SODIUM; URINE,84300,MMM IN,$5.06
SODIUM; URINE,84300,MMM OUT,$5.06
SODIUM; URINE,84300,FONDO,$6.00
SODIUM; URINE,84300,FM VITAL,$4.64
SODIUM; URINE,84300,SSS BLUE CARD,$6.00
SODIUM; URINE,84300,TSADV IN,$6.00
SODIUM; URINE,84300,TS VITAL,$6.89
SODIUM; URINE,84300,TSADV OUT,$6.00
SODIUM; URINE,84300,TRICARE,$5.06
SODIUM; URINE,84300,PMC OUT,$5.06
SODIUM; URINE,84300,VETERANS,$5.06
SODIUM; URINE,84300,TRIPLE S COM,$6.00
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,SSS COM,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,PMC OUT,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MEDICARE A,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,TS ADV IN,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MCS PREF,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MMM OUT,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,FM VITAL,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,TS ADV OUT,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,HUMANA,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,TRICARE,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,ASOCIACION OUT,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MENONITA COM,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MEDICARE B,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,SSS BLUE CARD,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,HUM GOLD PLUS,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,ASOCIACION INP,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,TS VITAL,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,BELLA VISTA,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MCS CLASS,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,FONDO,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,VETERANS,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MOLINA VITAL,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,ACAA,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MMM IN,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,PSM VITAL,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,PALIC,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,PMC IN,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,IMC,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MAP LIFE,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,CHAMPVA,
Spinal fusion except cervical without major comorbid conditions or complications (MCC),460,MMM VITAL,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,FM VITAL,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MCS CLASS,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MMM IN,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MOLINA VITAL,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,SSS COM,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,BELLA VISTA,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MENONITA COM,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,PSM VITAL,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,PMC IN,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,VETERANS,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,SSS BLUE CARD,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,TRICARE,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,TS VITAL,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MEDICARE B,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,HUM GOLD PLUS,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MAP LIFE,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MMM VITAL,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MMM OUT,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,ASOCIACION INP,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,TS ADV IN,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,PMC OUT,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MCS PREF,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,TS ADV OUT,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,ASOCIACION OUT,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,MEDICARE A,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,ACAA,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,HUMANA,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,PALIC,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,CHAMPVA,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,IMC,
Surgical removal of prostate and surrounding lymph nodes using an endoscope,55866,FONDO,
SYPHILIS TEST; QUAL. (VDRL),86592,HUMANA,$10.00
SYPHILIS TEST; QUAL. (VDRL),86592,MCS PREF,$12.00
SYPHILIS TEST; QUAL. (VDRL),86592,FM VITAL,$4.07
SYPHILIS TEST; QUAL. (VDRL),86592,MEDICARE B,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,HUM GOLD IN,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,PALIC,$10.00
SYPHILIS TEST; QUAL. (VDRL),86592,HUM GOLD OUT,
SYPHILIS TEST; QUAL. (VDRL),86592,MENONITA COM,$6.70
SYPHILIS TEST; QUAL. (VDRL),86592,BELLA VISTA,$7.00
SYPHILIS TEST; QUAL. (VDRL),86592,ASOCIACION OUT,
SYPHILIS TEST; QUAL. (VDRL),86592,MEDICARE A,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,MMM VITAL,$4.07
SYPHILIS TEST; QUAL. (VDRL),86592,MMM IN,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,MENONITA VITAL,$4.07
SYPHILIS TEST; QUAL. (VDRL),86592,MMM OUT,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,ASOCIACION IN,$9.50
SYPHILIS TEST; QUAL. (VDRL),86592,IMC,$10.00
SYPHILIS TEST; QUAL. (VDRL),86592,ACAA,$5.00
SYPHILIS TEST; QUAL. (VDRL),86592,PMC IN,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,FONDO,$5.27
SYPHILIS TEST; QUAL. (VDRL),86592,MCS CLASS,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,CHAMPVA,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,VETERANS,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,SSS BLUE CARD,$11.74
SYPHILIS TEST; QUAL. (VDRL),86592,TS VITAL,$6.05
SYPHILIS TEST; QUAL. (VDRL),86592,TRIPLE S COM,$11.74
SYPHILIS TEST; QUAL. (VDRL),86592,TSADV IN,$5.27
SYPHILIS TEST; QUAL. (VDRL),86592,TRICARE,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,PMC OUT,$4.27
SYPHILIS TEST; QUAL. (VDRL),86592,TSADV OUT,$5.27
TEMPOROMANDIBULAR BILA. XR,70330,MCS CLASS,$52.45
TEMPOROMANDIBULAR BILA. XR,70330,MENONITA COM,$20.00
TEMPOROMANDIBULAR BILA. XR,70330,MMM OUT,$52.45
TEMPOROMANDIBULAR BILA. XR,70330,ACAA,$19.60
TEMPOROMANDIBULAR BILA. XR,70330,HUM GOLD OUT,$40.01
TEMPOROMANDIBULAR BILA. XR,70330,MCS PREF,$19.00
TEMPOROMANDIBULAR BILA. XR,70330,MEDICARE A,$52.45
TEMPOROMANDIBULAR BILA. XR,70330,HUM GOLD IN,$40.01
TEMPOROMANDIBULAR BILA. XR,70330,MENONITA VITAL,$24.86
TEMPOROMANDIBULAR BILA. XR,70330,FM VITAL,$16.86
TEMPOROMANDIBULAR BILA. XR,70330,PALIC,$20.00
TEMPOROMANDIBULAR BILA. XR,70330,ASOCIACION OUT,
TEMPOROMANDIBULAR BILA. XR,70330,HUMANA,$16.50
TEMPOROMANDIBULAR BILA. XR,70330,FONDO,$35.52
TEMPOROMANDIBULAR BILA. XR,70330,ASOCIACION IN,$23.00
TEMPOROMANDIBULAR BILA. XR,70330,MMM VITAL,$21.45
TEMPOROMANDIBULAR BILA. XR,70330,MEDICARE B,$40.01
TEMPOROMANDIBULAR BILA. XR,70330,CHAMPVA,$52.45
TEMPOROMANDIBULAR BILA. XR,70330,BELLA VISTA,$13.00
TEMPOROMANDIBULAR BILA. XR,70330,IMC,$312.50
TEMPOROMANDIBULAR BILA. XR,70330,MMM IN,$40.01
TEMPOROMANDIBULAR BILA. XR,70330,SSS BLUE CARD,$20.00
TEMPOROMANDIBULAR BILA. XR,70330,VETERANS,$52.45
TEMPOROMANDIBULAR BILA. XR,70330,TRIPLE S COM,$20.00
TEMPOROMANDIBULAR BILA. XR,70330,PMC OUT,$52.45
TEMPOROMANDIBULAR BILA. XR,70330,TSADV OUT,$35.52
TEMPOROMANDIBULAR BILA. XR,70330,TSADV IN,$35.52
TEMPOROMANDIBULAR BILA. XR,70330,TRICARE,$52.45
TEMPOROMANDIBULAR BILA. XR,70330,PMC IN,$40.01
TEMPOROMANDIBULAR BILA. XR,70330,TS VITAL,$12.68
Tenolysi ext tendon dors hand,26445,MMM IN,
Tenolysi ext tendon dors hand,26445,MMM OUT,$735.00
Tenolysi ext tendon dors hand,26445,FM VITAL,$652.00
Tenolysi ext tendon dors hand,26445,BELLA VISTA,$650.00
Tenolysi ext tendon dors hand,26445,FONDO,
Tenolysi ext tendon dors hand,26445,HUM GOLD OUT,$806.00
Tenolysi ext tendon dors hand,26445,ASOCIACION IN,
Tenolysi ext tendon dors hand,26445,MCS CLASS,"$1,411.69"
Tenolysi ext tendon dors hand,26445,MENONITA VITAL,$660.00
Tenolysi ext tendon dors hand,26445,MMM VITAL,$611.00
Tenolysi ext tendon dors hand,26445,MENONITA COM,$788.00
Tenolysi ext tendon dors hand,26445,ASOCIACION OUT,$770.00
Tenolysi ext tendon dors hand,26445,MEDICARE A,
Tenolysi ext tendon dors hand,26445,HUM GOLD IN,
Tenolysi ext tendon dors hand,26445,HUMANA,$700.00
Tenolysi ext tendon dors hand,26445,MCS PREF,$712.00
Tenolysi ext tendon dors hand,26445,ACAA,$475.00
Tenolysi ext tendon dors hand,26445,IMC,$605.00
Tenolysi ext tendon dors hand,26445,PALIC,$740.00
Tenolysi ext tendon dors hand,26445,MEDICARE B,
Tenolysi ext tendon dors hand,26445,CHAMPVA,
Tenolysi ext tendon dors hand,26445,VETERANS,
Tenolysi ext tendon dors hand,26445,PMC OUT,$735.00
Tenolysi ext tendon dors hand,26445,SSS BLUE CARD,"$1,300.00"
Tenolysi ext tendon dors hand,26445,TSADV OUT,$470.56
Tenolysi ext tendon dors hand,26445,TRICARE,
Tenolysi ext tendon dors hand,26445,TRIPLE S COM,"$1,300.00"
Tenolysi ext tendon dors hand,26445,PMC IN,$735.00
Tenolysi ext tendon dors hand,26445,TS VITAL,$611.00
Tenolysi ext tendon dors hand,26445,TSADV IN,
Tenolysis flexor tendon,26442,IMC,$605.00
Tenolysis flexor tendon,26442,HUM GOLD OUT,$806.00
Tenolysis flexor tendon,26442,HUMANA,$700.00
Tenolysis flexor tendon,26442,MEDICARE A,
Tenolysis flexor tendon,26442,ACAA,$475.00
Tenolysis flexor tendon,26442,MMM VITAL,$611.00
Tenolysis flexor tendon,26442,MEDICARE B,
Tenolysis flexor tendon,26442,MENONITA VITAL,$660.00
Tenolysis flexor tendon,26442,MMM IN,
Tenolysis flexor tendon,26442,MCS PREF,$712.00
Tenolysis flexor tendon,26442,MCS CLASS,$394.22
Tenolysis flexor tendon,26442,MMM OUT,$735.00
Tenolysis flexor tendon,26442,PALIC,$740.00
Tenolysis flexor tendon,26442,FM VITAL,$652.00
Tenolysis flexor tendon,26442,BELLA VISTA,$650.00
Tenolysis flexor tendon,26442,FONDO,
Tenolysis flexor tendon,26442,ASOCIACION OUT,$770.00
Tenolysis flexor tendon,26442,CHAMPVA,
Tenolysis flexor tendon,26442,ASOCIACION IN,
Tenolysis flexor tendon,26442,MENONITA COM,$788.00
Tenolysis flexor tendon,26442,HUM GOLD IN,
Tenolysis flexor tendon,26442,VETERANS,
Tenolysis flexor tendon,26442,TSADV OUT,$588.20
Tenolysis flexor tendon,26442,TSADV IN,
Tenolysis flexor tendon,26442,TS VITAL,"$1,300.00"
Tenolysis flexor tendon,26442,SSS BLUE CARD,"$1,300.00"
Tenolysis flexor tendon,26442,TRICARE,
Tenolysis flexor tendon,26442,PMC IN,
Tenolysis flexor tendon,26442,PMC OUT,$735.00
Tenolysis flexor tendon,26442,TRIPLE S COM,"$1,300.00"
THEOPHYLINE (AMINOPHYLLINE),80198,HUM GOLD IN,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,IMC,$25.00
THEOPHYLINE (AMINOPHYLLINE),80198,PALIC,$40.00
THEOPHYLINE (AMINOPHYLLINE),80198,CHAMPVA,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,MCS CLASS,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,MMM IN,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,FM VITAL,$13.49
THEOPHYLINE (AMINOPHYLLINE),80198,FONDO,$17.46
THEOPHYLINE (AMINOPHYLLINE),80198,BELLA VISTA,$20.00
THEOPHYLINE (AMINOPHYLLINE),80198,ASOCIACION OUT,
THEOPHYLINE (AMINOPHYLLINE),80198,MMM VITAL,$13.49
THEOPHYLINE (AMINOPHYLLINE),80198,MMM OUT,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,ASOCIACION IN,$25.00
THEOPHYLINE (AMINOPHYLLINE),80198,MEDICARE B,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,MENONITA VITAL,$13.49
THEOPHYLINE (AMINOPHYLLINE),80198,HUM GOLD OUT,
THEOPHYLINE (AMINOPHYLLINE),80198,ACAA,$22.00
THEOPHYLINE (AMINOPHYLLINE),80198,HUMANA,$30.00
THEOPHYLINE (AMINOPHYLLINE),80198,MCS PREF,$40.00
THEOPHYLINE (AMINOPHYLLINE),80198,MENONITA COM,$19.20
THEOPHYLINE (AMINOPHYLLINE),80198,MEDICARE A,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,PMC OUT,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,VETERANS,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,SSS BLUE CARD,$25.00
THEOPHYLINE (AMINOPHYLLINE),80198,TRICARE,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,TRIPLE S COM,$25.00
THEOPHYLINE (AMINOPHYLLINE),80198,TSADV IN,$17.46
THEOPHYLINE (AMINOPHYLLINE),80198,TSADV OUT,$17.46
THEOPHYLINE (AMINOPHYLLINE),80198,PMC IN,$14.14
THEOPHYLINE (AMINOPHYLLINE),80198,TS VITAL,$20.04
THORACIC SPINE CT,72128,MENONITA VITAL,$80.69
THORACIC SPINE CT,72128,IMC,$137.50
THORACIC SPINE CT,72128,FONDO,$133.40
THORACIC SPINE CT,72128,PALIC,$150.00
THORACIC SPINE CT,72128,CHAMPVA,$73.66
THORACIC SPINE CT,72128,MEDICARE B,$107.67
THORACIC SPINE CT,72128,MMM IN,$107.67
THORACIC SPINE CT,72128,FM VITAL,$55.38
THORACIC SPINE CT,72128,HUM GOLD OUT,$107.67
THORACIC SPINE CT,72128,BELLA VISTA,$150.00
THORACIC SPINE CT,72128,ASOCIACION OUT,
THORACIC SPINE CT,72128,ACAA,$81.81
THORACIC SPINE CT,72128,MENONITA COM,$135.00
THORACIC SPINE CT,72128,HUM GOLD IN,$107.67
THORACIC SPINE CT,72128,MCS PREF,$150.00
THORACIC SPINE CT,72128,MMM OUT,$73.66
THORACIC SPINE CT,72128,MMM VITAL,$78.87
THORACIC SPINE CT,72128,MEDICARE A,$73.66
THORACIC SPINE CT,72128,HUMANA,$137.50
THORACIC SPINE CT,72128,MCS CLASS,$73.66
THORACIC SPINE CT,72128,ASOCIACION IN,$260.00
THORACIC SPINE CT,72128,PMC OUT,$73.66
THORACIC SPINE CT,72128,SSS BLUE CARD,$150.00
THORACIC SPINE CT,72128,VETERANS,$73.66
THORACIC SPINE CT,72128,TSADV IN,$119.62
THORACIC SPINE CT,72128,TS VITAL,$120.00
THORACIC SPINE CT,72128,TRICARE,$73.66
THORACIC SPINE CT,72128,TRIPLE S COM,$150.00
THORACIC SPINE CT,72128,PMC IN,$107.67
THORACIC SPINE CT,72128,TSADV OUT,$119.62
THORACIC SPINE W/CONTRAST CT,72129,MCS PREF,$175.00
THORACIC SPINE W/CONTRAST CT,72129,HUMANA,$142.50
THORACIC SPINE W/CONTRAST CT,72129,HUM GOLD IN,$138.59
THORACIC SPINE W/CONTRAST CT,72129,PALIC,$175.00
THORACIC SPINE W/CONTRAST CT,72129,BELLA VISTA,$170.00
THORACIC SPINE W/CONTRAST CT,72129,MENONITA VITAL,$120.28
THORACIC SPINE W/CONTRAST CT,72129,MMM OUT,$119.76
THORACIC SPINE W/CONTRAST CT,72129,ACAA,$89.25
THORACIC SPINE W/CONTRAST CT,72129,HUM GOLD OUT,$138.59
THORACIC SPINE W/CONTRAST CT,72129,MEDICARE B,$138.59
THORACIC SPINE W/CONTRAST CT,72129,ASOCIACION IN,$260.00
THORACIC SPINE W/CONTRAST CT,72129,IMC,$137.50
THORACIC SPINE W/CONTRAST CT,72129,FONDO,$171.83
THORACIC SPINE W/CONTRAST CT,72129,MCS CLASS,$119.76
THORACIC SPINE W/CONTRAST CT,72129,MENONITA COM,$135.00
THORACIC SPINE W/CONTRAST CT,72129,CHAMPVA,$119.76
THORACIC SPINE W/CONTRAST CT,72129,MMM VITAL,$101.66
THORACIC SPINE W/CONTRAST CT,72129,ASOCIACION OUT,
THORACIC SPINE W/CONTRAST CT,72129,MMM IN,$138.59
THORACIC SPINE W/CONTRAST CT,72129,FM VITAL,$83.12
THORACIC SPINE W/CONTRAST CT,72129,MEDICARE A,$119.76
THORACIC SPINE W/CONTRAST CT,72129,TSADV IN,$171.83
THORACIC SPINE W/CONTRAST CT,72129,TRICARE,$119.76
THORACIC SPINE W/CONTRAST CT,72129,VETERANS,$119.76
THORACIC SPINE W/CONTRAST CT,72129,SSS BLUE CARD,$150.00
THORACIC SPINE W/CONTRAST CT,72129,TSADV OUT,$171.83
THORACIC SPINE W/CONTRAST CT,72129,TRIPLE S COM,$150.00
THORACIC SPINE W/CONTRAST CT,72129,TS VITAL,$120.00
THORACIC SPINE W/CONTRAST CT,72129,PMC IN,$138.59
THORACIC SPINE W/CONTRAST CT,72129,PMC OUT,$119.76
THORACIC SPINE XR,72070,MMM IN,$21.82
THORACIC SPINE XR,72070,ASOCIACION OUT,
THORACIC SPINE XR,72070,PMC IN,$21.82
THORACIC SPINE XR,72070,CHAMPVA,$73.66
THORACIC SPINE XR,72070,HUMANA,$12.50
THORACIC SPINE XR,72070,HUM GOLD OUT,$21.82
THORACIC SPINE XR,72070,MENONITA COM,$9.50
THORACIC SPINE XR,72070,ACAA,$14.70
THORACIC SPINE XR,72070,IMC,$10.50
THORACIC SPINE XR,72070,PALIC,$15.00
THORACIC SPINE XR,72070,MEDICARE A,$73.66
THORACIC SPINE XR,72070,MCS PREF,$12.00
THORACIC SPINE XR,72070,MMM VITAL,$13.71
THORACIC SPINE XR,72070,FONDO,$23.19
THORACIC SPINE XR,72070,BELLA VISTA,$10.50
THORACIC SPINE XR,72070,ASOCIACION IN,$17.00
THORACIC SPINE XR,72070,MMM OUT,$73.66
THORACIC SPINE XR,72070,MCS CLASS,$73.66
THORACIC SPINE XR,72070,FM VITAL,$11.03
THORACIC SPINE XR,72070,MENONITA VITAL,$16.23
THORACIC SPINE XR,72070,MEDICARE B,$21.82
THORACIC SPINE XR,72070,HUM GOLD IN,$21.82
THORACIC SPINE XR,72070,TSADV IN,$23.19
THORACIC SPINE XR,72070,TS VITAL,$10.24
THORACIC SPINE XR,72070,SSS BLUE CARD,$16.50
THORACIC SPINE XR,72070,TSADV OUT,$23.19
THORACIC SPINE XR,72070,TRICARE,$73.66
THORACIC SPINE XR,72070,TRIPLE S COM,$16.50
THORACIC SPINE XR,72070,PMC OUT,$73.66
THORACIC SPINE XR,72070,VETERANS,$73.66
THORACO-LUMBER SPINE XR,72080,PALIC,$15.00
THORACO-LUMBER SPINE XR,72080,MMM IN,$23.64
THORACO-LUMBER SPINE XR,72080,ACAA,$15.40
THORACO-LUMBER SPINE XR,72080,FM VITAL,$9.62
THORACO-LUMBER SPINE XR,72080,MENONITA VITAL,$15.98
THORACO-LUMBER SPINE XR,72080,MMM VITAL,$11.77
THORACO-LUMBER SPINE XR,72080,MENONITA COM,$10.00
THORACO-LUMBER SPINE XR,72080,MMM OUT,$52.45
THORACO-LUMBER SPINE XR,72080,CHAMPVA,$52.45
THORACO-LUMBER SPINE XR,72080,ASOCIACION IN,$17.00
THORACO-LUMBER SPINE XR,72080,PMC IN,$23.64
THORACO-LUMBER SPINE XR,72080,FONDO,$22.83
THORACO-LUMBER SPINE XR,72080,BELLA VISTA,$9.50
THORACO-LUMBER SPINE XR,72080,MCS PREF,$12.00
THORACO-LUMBER SPINE XR,72080,MEDICARE A,$52.45
THORACO-LUMBER SPINE XR,72080,MEDICARE B,$23.64
THORACO-LUMBER SPINE XR,72080,HUM GOLD IN,$23.64
THORACO-LUMBER SPINE XR,72080,IMC,$9.50
THORACO-LUMBER SPINE XR,72080,ASOCIACION OUT,
THORACO-LUMBER SPINE XR,72080,MCS CLASS,$52.45
THORACO-LUMBER SPINE XR,72080,HUM GOLD OUT,$23.64
THORACO-LUMBER SPINE XR,72080,HUMANA,$13.50
THORACO-LUMBER SPINE XR,72080,SSS BLUE CARD,$17.00
THORACO-LUMBER SPINE XR,72080,PMC OUT,$52.45
THORACO-LUMBER SPINE XR,72080,TS VITAL,$9.26
THORACO-LUMBER SPINE XR,72080,TRICARE,$52.45
THORACO-LUMBER SPINE XR,72080,TSADV OUT,$22.83
THORACO-LUMBER SPINE XR,72080,VETERANS,$52.45
THORACO-LUMBER SPINE XR,72080,TSADV IN,$22.83
THORACO-LUMBER SPINE XR,72080,TRIPLE S COM,$17.00
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MCS CLASS,$73.66
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MENONITA VITAL,$32.98
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MMM OUT,$73.66
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,ASOCIACION IN,$40.00
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MEDICARE B,$52.38
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,HUM GOLD IN,$52.38
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MCS PREF,$45.20
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,BELLA VISTA,$24.50
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,ASOCIACION OUT,
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,FM VITAL,$22.69
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MEDICARE A,$73.66
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,PALIC,
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,IMC,$28.00
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,ACAA,
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MENONITA COM,$10.00
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,HUM GOLD OUT,$52.38
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,HUMANA,$17.50
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,CHAMPVA,$73.66
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,PMC IN,$52.38
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MMM VITAL,$27.90
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,MMM IN,$52.38
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,FONDO,$47.12
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,VETERANS,$73.66
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,SSS BLUE CARD,$29.00
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,PMC OUT,$73.66
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,TS VITAL,$25.37
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,TSADV IN,$47.12
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,TRICARE,$73.66
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,TSADV OUT,$47.12
"THOR-LUMB,SKULL,CERV &SACR 2,3",72082,TRIPLE S COM,$29.00
THYROXINE FREE (T4 FREE),84439,FONDO,$11.13
THYROXINE FREE (T4 FREE),84439,MCS CLASS,$9.02
THYROXINE FREE (T4 FREE),84439,MMM IN,$9.02
THYROXINE FREE (T4 FREE),84439,HUM GOLD OUT,
THYROXINE FREE (T4 FREE),84439,MENONITA COM,$15.00
THYROXINE FREE (T4 FREE),84439,ACAA,$15.00
THYROXINE FREE (T4 FREE),84439,MEDICARE A,$9.02
THYROXINE FREE (T4 FREE),84439,ASOCIACION OUT,
THYROXINE FREE (T4 FREE),84439,ASOCIACION IN,
THYROXINE FREE (T4 FREE),84439,MCS PREF,$30.00
THYROXINE FREE (T4 FREE),84439,FM VITAL,$9.82
THYROXINE FREE (T4 FREE),84439,MEDICARE B,$9.02
THYROXINE FREE (T4 FREE),84439,CHAMPVA,$9.02
THYROXINE FREE (T4 FREE),84439,MMM VITAL,$8.59
THYROXINE FREE (T4 FREE),84439,HUMANA,
THYROXINE FREE (T4 FREE),84439,IMC,$20.00
THYROXINE FREE (T4 FREE),84439,MMM OUT,$9.02
THYROXINE FREE (T4 FREE),84439,HUM GOLD IN,$9.02
THYROXINE FREE (T4 FREE),84439,MENONITA VITAL,$8.60
THYROXINE FREE (T4 FREE),84439,BELLA VISTA,$10.00
THYROXINE FREE (T4 FREE),84439,PALIC,
THYROXINE FREE (T4 FREE),84439,TRICARE,$9.02
THYROXINE FREE (T4 FREE),84439,TSADV IN,$11.13
THYROXINE FREE (T4 FREE),84439,PMC IN,$9.02
THYROXINE FREE (T4 FREE),84439,TS VITAL,$12.77
THYROXINE FREE (T4 FREE),84439,TSADV OUT,$11.13
THYROXINE FREE (T4 FREE),84439,PMC OUT,$9.02
THYROXINE FREE (T4 FREE),84439,TRIPLE S COM,$19.49
THYROXINE FREE (T4 FREE),84439,SSS BLUE CARD,$19.49
THYROXINE FREE (T4 FREE),84439,VETERANS,$9.02
TIBIA & FIBULA (LEG)  XR,73590,MMM VITAL,$12.20
TIBIA & FIBULA (LEG)  XR,73590,ACAA,$14.70
TIBIA & FIBULA (LEG)  XR,73590,MMM OUT,$52.45
TIBIA & FIBULA (LEG)  XR,73590,MEDICARE A,$52.45
TIBIA & FIBULA (LEG)  XR,73590,BELLA VISTA,$9.50
TIBIA & FIBULA (LEG)  XR,73590,MCS CLASS,$52.45
TIBIA & FIBULA (LEG)  XR,73590,IMC,$9.50
TIBIA & FIBULA (LEG)  XR,73590,FM VITAL,$9.80
TIBIA & FIBULA (LEG)  XR,73590,CHAMPVA,$52.45
TIBIA & FIBULA (LEG)  XR,73590,MMM IN,$22.91
TIBIA & FIBULA (LEG)  XR,73590,PMC IN,$22.91
TIBIA & FIBULA (LEG)  XR,73590,HUM GOLD OUT,$22.91
TIBIA & FIBULA (LEG)  XR,73590,ASOCIACION OUT,
TIBIA & FIBULA (LEG)  XR,73590,MEDICARE B,$22.91
TIBIA & FIBULA (LEG)  XR,73590,MCS PREF,$12.00
TIBIA & FIBULA (LEG)  XR,73590,ASOCIACION IN,$17.00
TIBIA & FIBULA (LEG)  XR,73590,HUM GOLD IN,$22.91
TIBIA & FIBULA (LEG)  XR,73590,FONDO,$20.66
TIBIA & FIBULA (LEG)  XR,73590,MENONITA VITAL,$14.46
TIBIA & FIBULA (LEG)  XR,73590,MENONITA COM,$9.00
TIBIA & FIBULA (LEG)  XR,73590,HUMANA,$10.00
TIBIA & FIBULA (LEG)  XR,73590,PALIC,$14.00
TIBIA & FIBULA (LEG)  XR,73590,TRIPLE S COM,$13.50
TIBIA & FIBULA (LEG)  XR,73590,TSADV OUT,$20.66
TIBIA & FIBULA (LEG)  XR,73590,TSADV IN,$20.66
TIBIA & FIBULA (LEG)  XR,73590,SSS BLUE CARD,$13.50
TIBIA & FIBULA (LEG)  XR,73590,TS VITAL,$11.70
TIBIA & FIBULA (LEG)  XR,73590,VETERANS,$52.45
TIBIA & FIBULA (LEG)  XR,73590,TRICARE,$52.45
TIBIA & FIBULA (LEG)  XR,73590,PMC OUT,$52.45
TIROIDE (NECK) US,76536,MEDICARE B,$89.85
TIROIDE (NECK) US,76536,MEDICARE A,$73.66
TIROIDE (NECK) US,76536,MMM OUT,$73.66
TIROIDE (NECK) US,76536,MENONITA VITAL,$63.95
TIROIDE (NECK) US,76536,HUM GOLD OUT,$89.85
TIROIDE (NECK) US,76536,IMC,$35.00
TIROIDE (NECK) US,76536,PALIC,$45.00
TIROIDE (NECK) US,76536,FM VITAL,$24.38
TIROIDE (NECK) US,76536,ASOCIACION OUT,
TIROIDE (NECK) US,76536,BELLA VISTA,$37.50
TIROIDE (NECK) US,76536,HUMANA,$29.00
TIROIDE (NECK) US,76536,CHAMPVA,$73.66
TIROIDE (NECK) US,76536,MMM IN,$89.85
TIROIDE (NECK) US,76536,HUM GOLD IN,$89.85
TIROIDE (NECK) US,76536,ASOCIACION IN,$60.00
TIROIDE (NECK) US,76536,MENONITA COM,$27.00
TIROIDE (NECK) US,76536,MMM VITAL,$53.92
TIROIDE (NECK) US,76536,MCS PREF,$35.00
TIROIDE (NECK) US,76536,FONDO,$91.35
TIROIDE (NECK) US,76536,MCS CLASS,$73.66
TIROIDE (NECK) US,76536,ACAA,$21.00
TIROIDE (NECK) US,76536,TS VITAL,$24.38
TIROIDE (NECK) US,76536,PMC IN,$89.85
TIROIDE (NECK) US,76536,TRICARE,$73.66
TIROIDE (NECK) US,76536,PMC OUT,$73.66
TIROIDE (NECK) US,76536,TSADV IN,$91.35
TIROIDE (NECK) US,76536,TRIPLE S COM,$30.00
TIROIDE (NECK) US,76536,TSADV OUT,$91.35
TIROIDE (NECK) US,76536,SSS BLUE CARD,$30.00
TIROIDE (NECK) US,76536,VETERANS,$73.66
TOES XR,73660,MMM VITAL,$12.85
TOES XR,73660,ASOCIACION OUT,
TOES XR,73660,PMC IN,$21.82
TOES XR,73660,PALIC,$11.00
TOES XR,73660,MCS PREF,$8.00
TOES XR,73660,MEDICARE B,$21.82
TOES XR,73660,MMM IN,$21.82
TOES XR,73660,FONDO,$22.11
TOES XR,73660,HUM GOLD IN,$21.82
TOES XR,73660,IMC,$7.00
TOES XR,73660,ASOCIACION IN,$12.00
TOES XR,73660,MMM OUT,$52.45
TOES XR,73660,MENONITA COM,$7.50
TOES XR,73660,MCS CLASS,$52.45
TOES XR,73660,MEDICARE A,$52.45
TOES XR,73660,FM VITAL,$6.83
TOES XR,73660,HUM GOLD OUT,$21.82
TOES XR,73660,ACAA,$9.80
TOES XR,73660,MENONITA VITAL,$15.48
TOES XR,73660,BELLA VISTA,$7.00
TOES XR,73660,CHAMPVA,$52.45
TOES XR,73660,HUMANA,$9.00
TOES XR,73660,PMC OUT,$52.45
TOES XR,73660,TRICARE,$52.45
TOES XR,73660,SSS BLUE CARD,$11.00
TOES XR,73660,TSADV IN,$22.11
TOES XR,73660,TRIPLE S COM,$11.00
TOES XR,73660,TS VITAL,$6.83
TOES XR,73660,TSADV OUT,$22.11
TOES XR,73660,VETERANS,$52.45
Total Vaginal Hysterectomy,58150,IMC,$605.00
Total Vaginal Hysterectomy,58150,ACAA,$475.00
Total Vaginal Hysterectomy,58150,MMM VITAL,$611.00
Total Vaginal Hysterectomy,58150,ASOCIACION OUT,$770.00
Total Vaginal Hysterectomy,58150,MCS PREF,$712.00
Total Vaginal Hysterectomy,58150,MEDICARE A,$872.37
Total Vaginal Hysterectomy,58150,MENONITA VITAL,$660.00
Total Vaginal Hysterectomy,58150,HUM GOLD IN,
Total Vaginal Hysterectomy,58150,PALIC,$740.00
Total Vaginal Hysterectomy,58150,CHAMPVA,
Total Vaginal Hysterectomy,58150,MEDICARE B,
Total Vaginal Hysterectomy,58150,MMM OUT,$735.00
Total Vaginal Hysterectomy,58150,FONDO,
Total Vaginal Hysterectomy,58150,BELLA VISTA,$650.00
Total Vaginal Hysterectomy,58150,HUMANA,$700.00
Total Vaginal Hysterectomy,58150,MMM IN,
Total Vaginal Hysterectomy,58150,ASOCIACION IN,
Total Vaginal Hysterectomy,58150,MENONITA COM,$788.00
Total Vaginal Hysterectomy,58150,HUM GOLD OUT,$806.00
Total Vaginal Hysterectomy,58150,FM VITAL,$652.00
Total Vaginal Hysterectomy,58150,MCS CLASS,
Total Vaginal Hysterectomy,58150,PMC IN,$735.00
Total Vaginal Hysterectomy,58150,SSS BLUE CARD,$706.00
Total Vaginal Hysterectomy,58150,VETERANS,
Total Vaginal Hysterectomy,58150,TRIPLE S COM,$706.00
Total Vaginal Hysterectomy,58150,TSADV IN,
Total Vaginal Hysterectomy,58150,TRICARE,
Total Vaginal Hysterectomy,58150,TSADV OUT,
Total Vaginal Hysterectomy,58150,PMC OUT,$735.00
Total Vaginal Hysterectomy,58150,TS VITAL,$611.00
TRIGLYCERIDES,84478,FM VITAL,$5.48
TRIGLYCERIDES,84478,MENONITA VITAL,$5.48
TRIGLYCERIDES,84478,FONDO,$7.09
TRIGLYCERIDES,84478,BELLA VISTA,$15.00
TRIGLYCERIDES,84478,MMM IN,$5.74
TRIGLYCERIDES,84478,MEDICARE A,$5.74
TRIGLYCERIDES,84478,ASOCIACION IN,$12.24
TRIGLYCERIDES,84478,MCS CLASS,$5.74
TRIGLYCERIDES,84478,MENONITA COM,$11.60
TRIGLYCERIDES,84478,MCS PREF,$15.00
TRIGLYCERIDES,84478,ACAA,$13.00
TRIGLYCERIDES,84478,MMM VITAL,$5.48
TRIGLYCERIDES,84478,HUMANA,$15.00
TRIGLYCERIDES,84478,MMM OUT,$5.74
TRIGLYCERIDES,84478,PALIC,$15.00
TRIGLYCERIDES,84478,HUM GOLD IN,$5.74
TRIGLYCERIDES,84478,IMC,$14.00
TRIGLYCERIDES,84478,CHAMPVA,$5.74
TRIGLYCERIDES,84478,MEDICARE B,$5.74
TRIGLYCERIDES,84478,HUM GOLD OUT,
TRIGLYCERIDES,84478,ASOCIACION OUT,
TRIGLYCERIDES,84478,SSS BLUE CARD,$15.00
TRIGLYCERIDES,84478,TSADV IN,$7.09
TRIGLYCERIDES,84478,VETERANS,$5.74
TRIGLYCERIDES,84478,TRICARE,$5.74
TRIGLYCERIDES,84478,TS VITAL,$8.15
TRIGLYCERIDES,84478,PMC IN,$5.74
TRIGLYCERIDES,84478,TRIPLE S COM,$15.00
TRIGLYCERIDES,84478,TSADV OUT,$7.09
TRIGLYCERIDES,84478,PMC OUT,$5.74
TROPONIN QUAN.,84484,MCS PREF,$30.00
TROPONIN QUAN.,84484,CHAMPVA,$12.47
TROPONIN QUAN.,84484,BELLA VISTA,$52.00
TROPONIN QUAN.,84484,ASOCIACION OUT,
TROPONIN QUAN.,84484,ASOCIACION IN,
TROPONIN QUAN.,84484,PALIC,
TROPONIN QUAN.,84484,FONDO,$12.47
TROPONIN QUAN.,84484,PMC IN,$12.47
TROPONIN QUAN.,84484,MEDICARE A,$12.47
TROPONIN QUAN.,84484,HUMANA,
TROPONIN QUAN.,84484,MMM OUT,$12.47
TROPONIN QUAN.,84484,MMM IN,$12.47
TROPONIN QUAN.,84484,ACAA,$12.00
TROPONIN QUAN.,84484,FM VITAL,$12.06
TROPONIN QUAN.,84484,MCS CLASS,$12.47
TROPONIN QUAN.,84484,MMM VITAL,$9.38
TROPONIN QUAN.,84484,MEDICARE B,$12.47
TROPONIN QUAN.,84484,HUM GOLD IN,$12.47
TROPONIN QUAN.,84484,HUM GOLD OUT,
TROPONIN QUAN.,84484,MENONITA VITAL,$9.38
TROPONIN QUAN.,84484,IMC,$30.00
TROPONIN QUAN.,84484,MENONITA COM,$15.00
TROPONIN QUAN.,84484,TRICARE,$12.47
TROPONIN QUAN.,84484,TS VITAL,$13.94
TROPONIN QUAN.,84484,SSS BLUE CARD,$25.00
TROPONIN QUAN.,84484,VETERANS,$12.47
TROPONIN QUAN.,84484,TSADV OUT,$12.47
TROPONIN QUAN.,84484,TSADV IN,$12.47
TROPONIN QUAN.,84484,PMC OUT,$12.47
TROPONIN QUAN.,84484,TRIPLE S COM,$25.00
TSH (THYROID STIMULATING HORM,84443,CHAMPVA,$16.80
TSH (THYROID STIMULATING HORM,84443,PALIC,$50.00
TSH (THYROID STIMULATING HORM,84443,MENONITA COM,$20.00
TSH (THYROID STIMULATING HORM,84443,ACAA,$25.00
TSH (THYROID STIMULATING HORM,84443,PSM VITAL,$22.08
TSH (THYROID STIMULATING HORM,84443,MEDICARE A,$16.80
TSH (THYROID STIMULATING HORM,84443,TS VITAL,$23.80
TSH (THYROID STIMULATING HORM,84443,MEDICARE B,$16.80
TSH (THYROID STIMULATING HORM,84443,FONDO,$20.75
TSH (THYROID STIMULATING HORM,84443,ASOCIACION OUT,
TSH (THYROID STIMULATING HORM,84443,MOLINA VITAL,$14.53
TSH (THYROID STIMULATING HORM,84443,PMC IN,$16.80
TSH (THYROID STIMULATING HORM,84443,HUM GOLD PLUS,$16.80
TSH (THYROID STIMULATING HORM,84443,TS ADV IN,$20.75
TSH (THYROID STIMULATING HORM,84443,BELLA VISTA,$20.00
TSH (THYROID STIMULATING HORM,84443,MCS PREF,$30.00
TSH (THYROID STIMULATING HORM,84443,ASOCIACION INP,$36.00
TSH (THYROID STIMULATING HORM,84443,FM VITAL,$16.02
TSH (THYROID STIMULATING HORM,84443,MMM VITAL,$16.02
TSH (THYROID STIMULATING HORM,84443,SSS BLUE CARD,$30.00
TSH (THYROID STIMULATING HORM,84443,TRICARE,$16.80
TSH (THYROID STIMULATING HORM,84443,SSS COM,$30.00
TSH (THYROID STIMULATING HORM,84443,HUMANA,$30.00
TSH (THYROID STIMULATING HORM,84443,VETERANS,$16.80
TSH (THYROID STIMULATING HORM,84443,MMM IN,$16.80
TSH (THYROID STIMULATING HORM,84443,TS ADV OUT,$20.75
TSH (THYROID STIMULATING HORM,84443,MCS CLASS,$16.80
TSH (THYROID STIMULATING HORM,84443,PMC OUT,$16.80
TSH (THYROID STIMULATING HORM,84443,MAP LIFE,$40.00
TSH (THYROID STIMULATING HORM,84443,MMM OUT,$16.80
TSH (THYROID STIMULATING HORM,84443,IMC,$30.00
Ultrasound examination of lower large bowel using an endoscope,45391,PALIC,
Ultrasound examination of lower large bowel using an endoscope,45391,MMM OUT,
Ultrasound examination of lower large bowel using an endoscope,45391,TS VITAL,
Ultrasound examination of lower large bowel using an endoscope,45391,TS ADV IN,
Ultrasound examination of lower large bowel using an endoscope,45391,ASOCIACION INP,
Ultrasound examination of lower large bowel using an endoscope,45391,MCS PREF,
Ultrasound examination of lower large bowel using an endoscope,45391,MMM IN,
Ultrasound examination of lower large bowel using an endoscope,45391,VETERANS,
Ultrasound examination of lower large bowel using an endoscope,45391,FONDO,
Ultrasound examination of lower large bowel using an endoscope,45391,MOLINA VITAL,
Ultrasound examination of lower large bowel using an endoscope,45391,PSM VITAL,
Ultrasound examination of lower large bowel using an endoscope,45391,MCS CLASS,
Ultrasound examination of lower large bowel using an endoscope,45391,MEDICARE B,
Ultrasound examination of lower large bowel using an endoscope,45391,MMM VITAL,
Ultrasound examination of lower large bowel using an endoscope,45391,TS ADV OUT,
Ultrasound examination of lower large bowel using an endoscope,45391,HUMANA,
Ultrasound examination of lower large bowel using an endoscope,45391,SSS COM,
Ultrasound examination of lower large bowel using an endoscope,45391,IMC,
Ultrasound examination of lower large bowel using an endoscope,45391,SSS BLUE CARD,
Ultrasound examination of lower large bowel using an endoscope,45391,PMC IN,
Ultrasound examination of lower large bowel using an endoscope,45391,MAP LIFE,
Ultrasound examination of lower large bowel using an endoscope,45391,ASOCIACION OUT,
Ultrasound examination of lower large bowel using an endoscope,45391,ACAA,
Ultrasound examination of lower large bowel using an endoscope,45391,FM VITAL,
Ultrasound examination of lower large bowel using an endoscope,45391,PMC OUT,
Ultrasound examination of lower large bowel using an endoscope,45391,BELLA VISTA,
Ultrasound examination of lower large bowel using an endoscope,45391,MEDICARE A,
Ultrasound examination of lower large bowel using an endoscope,45391,TRICARE,
Ultrasound examination of lower large bowel using an endoscope,45391,CHAMPVA,
Ultrasound examination of lower large bowel using an endoscope,45391,HUM GOLD PLUS,
Ultrasound examination of lower large bowel using an endoscope,45391,MENONITA COM,
UNILATERAL MAMMOGR DIGITAL LT,77065,CHAMPVA,$112.45
UNILATERAL MAMMOGR DIGITAL LT,77065,MCS PREF,$39.00
UNILATERAL MAMMOGR DIGITAL LT,77065,MCS CLASS,$112.45
UNILATERAL MAMMOGR DIGITAL LT,77065,BELLA VISTA,$44.00
UNILATERAL MAMMOGR DIGITAL LT,77065,MAP LIFE,$43.50
UNILATERAL MAMMOGR DIGITAL LT,77065,MENONITA COM,
UNILATERAL MAMMOGR DIGITAL LT,77065,SSS BLUE CARD,$32.50
UNILATERAL MAMMOGR DIGITAL LT,77065,MMM VITAL,$56.93
UNILATERAL MAMMOGR DIGITAL LT,77065,IMC,$25.00
UNILATERAL MAMMOGR DIGITAL LT,77065,VETERANS,$112.45
UNILATERAL MAMMOGR DIGITAL LT,77065,HUM GOLD PLUS,$95.30
UNILATERAL MAMMOGR DIGITAL LT,77065,PSM VITAL,$67.75
UNILATERAL MAMMOGR DIGITAL LT,77065,ASOCIACION INP,$50.00
UNILATERAL MAMMOGR DIGITAL LT,77065,TS ADV IN,$96.79
UNILATERAL MAMMOGR DIGITAL LT,77065,SSS COM,$32.50
UNILATERAL MAMMOGR DIGITAL LT,77065,TRICARE,$112.45
UNILATERAL MAMMOGR DIGITAL LT,77065,HUMANA,$42.50
UNILATERAL MAMMOGR DIGITAL LT,77065,FM VITAL,$28.93
UNILATERAL MAMMOGR DIGITAL LT,77065,MMM IN,$95.30
UNILATERAL MAMMOGR DIGITAL LT,77065,MMM OUT,$112.45
UNILATERAL MAMMOGR DIGITAL LT,77065,PMC IN,$95.30
UNILATERAL MAMMOGR DIGITAL LT,77065,FONDO,$96.79
UNILATERAL MAMMOGR DIGITAL LT,77065,MEDICARE A,$112.45
UNILATERAL MAMMOGR DIGITAL LT,77065,MEDICARE B,$95.30
UNILATERAL MAMMOGR DIGITAL LT,77065,ACAA,
UNILATERAL MAMMOGR DIGITAL LT,77065,TS VITAL,$21.06
UNILATERAL MAMMOGR DIGITAL LT,77065,PALIC,$43.00
UNILATERAL MAMMOGR DIGITAL LT,77065,ASOCIACION OUT,
UNILATERAL MAMMOGR DIGITAL LT,77065,MOLINA VITAL,$67.75
UNILATERAL MAMMOGR DIGITAL LT,77065,TS ADV OUT,$96.79
UNILATERAL MAMMOGR DIGITAL LT,77065,PMC OUT,$112.45
UPPER EXTREMITY CT,73200,IMC,$137.50
UPPER EXTREMITY CT,73200,MCS PREF,$175.00
UPPER EXTREMITY CT,73200,MEDICARE A,$73.66
UPPER EXTREMITY CT,73200,HUMANA,$137.50
UPPER EXTREMITY CT,73200,MENONITA COM,$130.00
UPPER EXTREMITY CT,73200,PALIC,$150.00
UPPER EXTREMITY CT,73200,HUM GOLD IN,$113.13
UPPER EXTREMITY CT,73200,MEDICARE B,$113.13
UPPER EXTREMITY CT,73200,ACAA,$81.81
UPPER EXTREMITY CT,73200,MMM IN,$113.13
UPPER EXTREMITY CT,73200,FM VITAL,$55.38
UPPER EXTREMITY CT,73200,BELLA VISTA,$125.00
UPPER EXTREMITY CT,73200,CHAMPVA,$73.66
UPPER EXTREMITY CT,73200,ASOCIACION OUT,
UPPER EXTREMITY CT,73200,FONDO,$132.31
UPPER EXTREMITY CT,73200,MMM VITAL,$78.22
UPPER EXTREMITY CT,73200,MENONITA VITAL,$80.69
UPPER EXTREMITY CT,73200,ASOCIACION IN,$260.00
UPPER EXTREMITY CT,73200,MCS CLASS,$73.66
UPPER EXTREMITY CT,73200,MMM OUT,$73.66
UPPER EXTREMITY CT,73200,HUM GOLD OUT,$113.13
UPPER EXTREMITY CT,73200,TRICARE,$73.66
UPPER EXTREMITY CT,73200,SSS BLUE CARD,$150.00
UPPER EXTREMITY CT,73200,VETERANS,$73.66
UPPER EXTREMITY CT,73200,PMC OUT,$73.66
UPPER EXTREMITY CT,73200,TSADV OUT,$119.62
UPPER EXTREMITY CT,73200,TS VITAL,$197.60
UPPER EXTREMITY CT,73200,PMC IN,$113.13
UPPER EXTREMITY CT,73200,TRIPLE S COM,$150.00
UPPER EXTREMITY CT,73200,TSADV IN,$119.62
Uretherotomy,52276,MENONITA COM,$788.00
Uretherotomy,52276,FONDO,
Uretherotomy,52276,PALIC,$740.00
Uretherotomy,52276,BELLA VISTA,$650.00
Uretherotomy,52276,FM VITAL,$652.00
Uretherotomy,52276,ACAA,$475.00
Uretherotomy,52276,MCS CLASS,$974.21
Uretherotomy,52276,IMC,$605.00
Uretherotomy,52276,MEDICARE B,
Uretherotomy,52276,MMM IN,
Uretherotomy,52276,MMM VITAL,$611.00
Uretherotomy,52276,HUM GOLD OUT,$806.00
Uretherotomy,52276,ASOCIACION OUT,$770.00
Uretherotomy,52276,MEDICARE A,
Uretherotomy,52276,HUMANA,$700.00
Uretherotomy,52276,ASOCIACION IN,
Uretherotomy,52276,MCS PREF,$712.00
Uretherotomy,52276,MMM OUT,$735.00
Uretherotomy,52276,CHAMPVA,
Uretherotomy,52276,MENONITA VITAL,$660.00
Uretherotomy,52276,HUM GOLD IN,
Uretherotomy,52276,TS VITAL,$611.00
Uretherotomy,52276,TRICARE,
Uretherotomy,52276,SSS BLUE CARD,$706.00
Uretherotomy,52276,TSADV IN,
Uretherotomy,52276,TRIPLE S COM,$706.00
Uretherotomy,52276,PMC IN,$735.00
Uretherotomy,52276,TSADV OUT,
Uretherotomy,52276,VETERANS,
Uretherotomy,52276,PMC OUT,$735.00
URIC ACID BLOOD,84550,MMM IN,$4.52
URIC ACID BLOOD,84550,FONDO,$5.58
URIC ACID BLOOD,84550,IMC,$7.00
URIC ACID BLOOD,84550,MCS CLASS,$4.52
URIC ACID BLOOD,84550,HUMANA,$8.00
URIC ACID BLOOD,84550,MCS PREF,$7.00
URIC ACID BLOOD,84550,BELLA VISTA,$6.00
URIC ACID BLOOD,84550,PALIC,$7.00
URIC ACID BLOOD,84550,HUM GOLD IN,$4.52
URIC ACID BLOOD,84550,ASOCIACION IN,$6.00
URIC ACID BLOOD,84550,ACAA,$5.00
URIC ACID BLOOD,84550,HUM GOLD OUT,
URIC ACID BLOOD,84550,CHAMPVA,$4.52
URIC ACID BLOOD,84550,MMM VITAL,$4.31
URIC ACID BLOOD,84550,FM VITAL,$4.31
URIC ACID BLOOD,84550,PMC IN,$4.52
URIC ACID BLOOD,84550,MENONITA VITAL,$4.31
URIC ACID BLOOD,84550,MEDICARE B,$4.52
URIC ACID BLOOD,84550,MMM OUT,$4.52
URIC ACID BLOOD,84550,ASOCIACION OUT,
URIC ACID BLOOD,84550,MEDICARE A,$4.52
URIC ACID BLOOD,84550,MENONITA COM,$6.00
URIC ACID BLOOD,84550,TRIPLE S COM,$8.00
URIC ACID BLOOD,84550,SSS BLUE CARD,$8.00
URIC ACID BLOOD,84550,TS VITAL,$6.40
URIC ACID BLOOD,84550,TSADV OUT,$5.58
URIC ACID BLOOD,84550,PMC OUT,$4.52
URIC ACID BLOOD,84550,TSADV IN,$5.58
URIC ACID BLOOD,84550,TRICARE,$4.52
URIC ACID BLOOD,84550,VETERANS,$4.52
URINALIS AUTOMAT W/O MICROSC,81003,CHAMPVA,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,MEDICARE A,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,ACAA,$3.00
URINALIS AUTOMAT W/O MICROSC,81003,VETERANS,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,ASOCIACION OUT,
URINALIS AUTOMAT W/O MICROSC,81003,MMM IN,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,MEDICARE B,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,MCS CLASS,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,MCS PREF,$8.00
URINALIS AUTOMAT W/O MICROSC,81003,MAP LIFE,$8.00
URINALIS AUTOMAT W/O MICROSC,81003,IMC,$3.00
URINALIS AUTOMAT W/O MICROSC,81003,HUM GOLD PLUS,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,BELLA VISTA,$6.50
URINALIS AUTOMAT W/O MICROSC,81003,HUMANA,
URINALIS AUTOMAT W/O MICROSC,81003,MMM OUT,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,MENONITA COM,$1.00
URINALIS AUTOMAT W/O MICROSC,81003,TS VITAL,$3.18
URINALIS AUTOMAT W/O MICROSC,81003,FONDO,$2.77
URINALIS AUTOMAT W/O MICROSC,81003,ASOCIACION INP,
URINALIS AUTOMAT W/O MICROSC,81003,PMC IN,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,PMC OUT,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,PSM VITAL,$2.14
URINALIS AUTOMAT W/O MICROSC,81003,PALIC,
URINALIS AUTOMAT W/O MICROSC,81003,SSS BLUE CARD,$2.00
URINALIS AUTOMAT W/O MICROSC,81003,SSS COM,$2.00
URINALIS AUTOMAT W/O MICROSC,81003,MOLINA VITAL,$1.94
URINALIS AUTOMAT W/O MICROSC,81003,FM VITAL,$1.95
URINALIS AUTOMAT W/O MICROSC,81003,MMM VITAL,$2.14
URINALIS AUTOMAT W/O MICROSC,81003,TS ADV OUT,$2.77
URINALIS AUTOMAT W/O MICROSC,81003,TRICARE,$2.25
URINALIS AUTOMAT W/O MICROSC,81003,TS ADV IN,$2.77
URINALYSIS AUTOMATED W MICROSC,81001,CHAMPVA,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,PMC IN,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,PALIC,$8.00
URINALYSIS AUTOMATED W MICROSC,81001,ACAA,
URINALYSIS AUTOMATED W MICROSC,81001,ASOCIACION OUT,
URINALYSIS AUTOMATED W MICROSC,81001,PSM VITAL,$3.02
URINALYSIS AUTOMATED W MICROSC,81001,MEDICARE B,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,MENONITA COM,$4.00
URINALYSIS AUTOMATED W MICROSC,81001,FONDO,$3.92
URINALYSIS AUTOMATED W MICROSC,81001,MOLINA VITAL,$2.74
URINALYSIS AUTOMATED W MICROSC,81001,TS VITAL,$4.48
URINALYSIS AUTOMATED W MICROSC,81001,BELLA VISTA,$5.00
URINALYSIS AUTOMATED W MICROSC,81001,PMC OUT,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,MAP LIFE,$8.00
URINALYSIS AUTOMATED W MICROSC,81001,SSS BLUE CARD,$7.75
URINALYSIS AUTOMATED W MICROSC,81001,IMC,$7.00
URINALYSIS AUTOMATED W MICROSC,81001,SSS COM,$7.75
URINALYSIS AUTOMATED W MICROSC,81001,FM VITAL,$3.46
URINALYSIS AUTOMATED W MICROSC,81001,TRICARE,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,MEDICARE A,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,MMM OUT,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,TS ADV OUT,$3.92
URINALYSIS AUTOMATED W MICROSC,81001,ASOCIACION INP,$7.00
URINALYSIS AUTOMATED W MICROSC,81001,HUMANA,$8.00
URINALYSIS AUTOMATED W MICROSC,81001,MCS PREF,$8.00
URINALYSIS AUTOMATED W MICROSC,81001,MMM IN,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,HUM GOLD PLUS,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,MMM VITAL,$3.02
URINALYSIS AUTOMATED W MICROSC,81001,VETERANS,$3.17
URINALYSIS AUTOMATED W MICROSC,81001,TS ADV IN,$3.92
URINALYSIS AUTOMATED W MICROSC,81001,MCS CLASS,$3.17
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,CHAMPVA,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,PMC OUT,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MEDICARE A,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MENONITA COM,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,TRICARE,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MCS PREF,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,HUMANA,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,ASOCIACION INP,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,FM VITAL,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MAP LIFE,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MMM IN,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MMM OUT,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,ACAA,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,TS ADV IN,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,IMC,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,BELLA VISTA,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,SSS COM,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,SSS BLUE CARD,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,PMC IN,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,PSM VITAL,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,TS ADV OUT,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MOLINA VITAL,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MCS CLASS,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,FONDO,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,PALIC,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MEDICARE B,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,ASOCIACION OUT,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,HUM GOLD PLUS,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,VETERANS,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,MMM VITAL,
UTERINE AND ADNEXA PROCEDURES FOR NON-MALINGANC W/O CC MCC,743,TS VITAL,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,CHAMPVA,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MMM IN,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,SSS COM,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,IMC,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MCS CLASS,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MOLINA VITAL,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,TS ADV IN,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,SSS BLUE CARD,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,HUMANA,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MMM VITAL,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,TS ADV OUT,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,FONDO,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MEDICARE B,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,TRICARE,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,FM VITAL,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,HUM GOLD PLUS,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,TS VITAL,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MENONITA COM,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,ASOCIACION OUT,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MCS PREF,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,PALIC,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,PMC IN,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,ACAA,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MAP LIFE,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,VETERANS,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,ASOCIACION INP,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MMM OUT,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,BELLA VISTA,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,MEDICARE A,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,PMC OUT,
"Vaginal Delivery, Antepartum and Postpartum Care Procedures",59400,PSM VITAL,
VANCOMYCIN,80202,ACAA,$40.00
VANCOMYCIN,80202,PMC IN,$13.54
VANCOMYCIN,80202,HUMANA,$70.00
VANCOMYCIN,80202,BELLA VISTA,$29.00
VANCOMYCIN,80202,HUM GOLD OUT,
VANCOMYCIN,80202,MENONITA COM,$30.00
VANCOMYCIN,80202,IMC,$40.00
VANCOMYCIN,80202,MEDICARE A,$13.54
VANCOMYCIN,80202,MMM VITAL,$12.92
VANCOMYCIN,80202,MCS PREF,$63.00
VANCOMYCIN,80202,MEDICARE B,$13.54
VANCOMYCIN,80202,MMM IN,$13.54
VANCOMYCIN,80202,MENONITA VITAL,$12.92
VANCOMYCIN,80202,HUM GOLD IN,$13.54
VANCOMYCIN,80202,FM VITAL,$12.92
VANCOMYCIN,80202,ASOCIACION OUT,
VANCOMYCIN,80202,PALIC,$50.00
VANCOMYCIN,80202,MCS CLASS,$13.54
VANCOMYCIN,80202,MMM OUT,$13.54
VANCOMYCIN,80202,CHAMPVA,$13.54
VANCOMYCIN,80202,ASOCIACION IN,$74.00
VANCOMYCIN,80202,FONDO,$16.72
VANCOMYCIN,80202,TSADV OUT,$16.72
VANCOMYCIN,80202,TRICARE,$13.54
VANCOMYCIN,80202,VETERANS,$13.54
VANCOMYCIN,80202,SSS BLUE CARD,$73.99
VANCOMYCIN,80202,PMC OUT,$13.54
VANCOMYCIN,80202,TSADV IN,$16.72
VANCOMYCIN,80202,TS VITAL,$19.19
VANCOMYCIN,80202,TRIPLE S COM,$73.99
Venus Port,36561,MCS CLASS,
Venus Port,36561,MENONITA VITAL,$660.00
Venus Port,36561,CHAMPVA,
Venus Port,36561,MENONITA COM,$788.00
Venus Port,36561,ASOCIACION OUT,$770.00
Venus Port,36561,MEDICARE B,
Venus Port,36561,MMM OUT,$735.00
Venus Port,36561,FONDO,
Venus Port,36561,BELLA VISTA,$650.00
Venus Port,36561,FM VITAL,$652.00
Venus Port,36561,HUMANA,$700.00
Venus Port,36561,HUM GOLD IN,
Venus Port,36561,IMC,$559.00
Venus Port,36561,ASOCIACION IN,
Venus Port,36561,MMM VITAL,$611.00
Venus Port,36561,HUM GOLD OUT,$806.00
Venus Port,36561,ACAA,$475.00
Venus Port,36561,MCS PREF,$712.00
Venus Port,36561,MMM IN,
Venus Port,36561,MEDICARE A,
Venus Port,36561,PALIC,$740.00
Venus Port,36561,TRIPLE S COM,$706.00
Venus Port,36561,TSADV OUT,
Venus Port,36561,TSADV IN,
Venus Port,36561,TRICARE,
Venus Port,36561,TS VITAL,$611.00
Venus Port,36561,SSS BLUE CARD,$706.00
Venus Port,36561,PMC IN,$735.00
Venus Port,36561,VETERANS,
Venus Port,36561,PMC OUT,$735.00
VESICULA(GALLBLADDER) US,76705,MENONITA VITAL,$44.91
VESICULA(GALLBLADDER) US,76705,FM VITAL,$30.83
VESICULA(GALLBLADDER) US,76705,ASOCIACION IN,$80.00
VESICULA(GALLBLADDER) US,76705,HUM GOLD IN,$63.29
VESICULA(GALLBLADDER) US,76705,MMM OUT,$73.66
VESICULA(GALLBLADDER) US,76705,MMM IN,$63.29
VESICULA(GALLBLADDER) US,76705,MEDICARE A,$73.66
VESICULA(GALLBLADDER) US,76705,ASOCIACION OUT,
VESICULA(GALLBLADDER) US,76705,MCS PREF,$45.00
VESICULA(GALLBLADDER) US,76705,MMM VITAL,$37.79
VESICULA(GALLBLADDER) US,76705,MENONITA COM,$29.50
VESICULA(GALLBLADDER) US,76705,MEDICARE B,$63.29
VESICULA(GALLBLADDER) US,76705,MCS CLASS,$73.66
VESICULA(GALLBLADDER) US,76705,IMC,$17.50
VESICULA(GALLBLADDER) US,76705,PALIC,$45.00
VESICULA(GALLBLADDER) US,76705,ACAA,$21.00
VESICULA(GALLBLADDER) US,76705,HUM GOLD OUT,$63.29
VESICULA(GALLBLADDER) US,76705,FONDO,$64.16
VESICULA(GALLBLADDER) US,76705,CHAMPVA,$73.66
VESICULA(GALLBLADDER) US,76705,BELLA VISTA,$28.00
VESICULA(GALLBLADDER) US,76705,HUMANA,$32.50
VESICULA(GALLBLADDER) US,76705,TRICARE,$73.66
VESICULA(GALLBLADDER) US,76705,SSS BLUE CARD,$50.00
VESICULA(GALLBLADDER) US,76705,PMC OUT,$73.66
VESICULA(GALLBLADDER) US,76705,VETERANS,$73.66
VESICULA(GALLBLADDER) US,76705,PMC IN,$63.29
VESICULA(GALLBLADDER) US,76705,TS VITAL,$36.56
VESICULA(GALLBLADDER) US,76705,TSADV IN,$64.16
VESICULA(GALLBLADDER) US,76705,TRIPLE S COM,$50.00
VESICULA(GALLBLADDER) US,76705,TSADV OUT,$64.16
WATER VIEW XR,70210,FM VITAL,$10.15
WATER VIEW XR,70210,ASOCIACION IN,$17.00
WATER VIEW XR,70210,FONDO,$21.38
WATER VIEW XR,70210,MCS PREF,$11.00
WATER VIEW XR,70210,BELLA VISTA,$9.50
WATER VIEW XR,70210,ASOCIACION OUT,
WATER VIEW XR,70210,MMM VITAL,$12.63
WATER VIEW XR,70210,MCS CLASS,$52.45
WATER VIEW XR,70210,MEDICARE A,$52.45
WATER VIEW XR,70210,MENONITA COM,$15.00
WATER VIEW XR,70210,HUM GOLD OUT,$22.55
WATER VIEW XR,70210,MMM IN,$22.55
WATER VIEW XR,70210,CHAMPVA,$52.45
WATER VIEW XR,70210,IMC,$9.50
WATER VIEW XR,70210,HUMANA,$11.50
WATER VIEW XR,70210,MENONITA VITAL,$14.97
WATER VIEW XR,70210,PALIC,$12.50
WATER VIEW XR,70210,ACAA,$14.70
WATER VIEW XR,70210,HUM GOLD IN,$22.55
WATER VIEW XR,70210,MEDICARE B,$22.55
WATER VIEW XR,70210,MMM OUT,$52.45
WATER VIEW XR,70210,VETERANS,$52.45
WATER VIEW XR,70210,TSADV IN,$21.38
WATER VIEW XR,70210,SSS BLUE CARD,$15.00
WATER VIEW XR,70210,PMC OUT,$52.45
WATER VIEW XR,70210,TS VITAL,$7.86
WATER VIEW XR,70210,PMC IN,$22.55
WATER VIEW XR,70210,TRIPLE S COM,$15.00
WATER VIEW XR,70210,TSADV OUT,$21.38
WATER VIEW XR,70210,TRICARE,$52.45
Wide local excision (ginecolog,11420,BELLA VISTA,$650.00
Wide local excision (ginecolog,11420,FM VITAL,$652.00
Wide local excision (ginecolog,11420,MCS CLASS,
Wide local excision (ginecolog,11420,ACAA,$475.00
Wide local excision (ginecolog,11420,MMM OUT,$735.00
Wide local excision (ginecolog,11420,ASOCIACION IN,
Wide local excision (ginecolog,11420,MMM VITAL,$611.00
Wide local excision (ginecolog,11420,IMC,$605.00
Wide local excision (ginecolog,11420,CHAMPVA,
Wide local excision (ginecolog,11420,MCS PREF,$712.00
Wide local excision (ginecolog,11420,HUM GOLD OUT,$806.00
Wide local excision (ginecolog,11420,MEDICARE A,
Wide local excision (ginecolog,11420,MMM IN,
Wide local excision (ginecolog,11420,HUMANA,"$1,595.00"
Wide local excision (ginecolog,11420,MENONITA VITAL,$660.00
Wide local excision (ginecolog,11420,PALIC,$740.00
Wide local excision (ginecolog,11420,FONDO,
Wide local excision (ginecolog,11420,HUM GOLD IN,
Wide local excision (ginecolog,11420,MEDICARE B,
Wide local excision (ginecolog,11420,ASOCIACION OUT,$770.00
Wide local excision (ginecolog,11420,MENONITA COM,$788.00
Wide local excision (ginecolog,11420,TSADV IN,
Wide local excision (ginecolog,11420,TRIPLE S COM,$706.00
Wide local excision (ginecolog,11420,VETERANS,
Wide local excision (ginecolog,11420,TS VITAL,$611.00
Wide local excision (ginecolog,11420,PMC IN,
Wide local excision (ginecolog,11420,TRICARE,
Wide local excision (ginecolog,11420,TSADV OUT,
Wide local excision (ginecolog,11420,PMC OUT,$735.00
Wide local excision (ginecolog,11420,SSS BLUE CARD,$706.00
WRIST COMP. XR,73110,HUM GOLD OUT,$30.55
WRIST COMP. XR,73110,PMC IN,$30.55
WRIST COMP. XR,73110,IMC,$13.00
WRIST COMP. XR,73110,MENONITA VITAL,$18.77
WRIST COMP. XR,73110,FM VITAL,$12.98
WRIST COMP. XR,73110,MCS PREF,$16.00
WRIST COMP. XR,73110,MMM OUT,$52.45
WRIST COMP. XR,73110,MMM VITAL,$16.07
WRIST COMP. XR,73110,MMM IN,$30.55
WRIST COMP. XR,73110,MEDICARE A,$52.45
WRIST COMP. XR,73110,MCS CLASS,$52.45
WRIST COMP. XR,73110,ASOCIACION OUT,
WRIST COMP. XR,73110,MEDICARE B,$30.55
WRIST COMP. XR,73110,PALIC,$16.00
WRIST COMP. XR,73110,HUM GOLD IN,$30.55
WRIST COMP. XR,73110,BELLA VISTA,$13.00
WRIST COMP. XR,73110,ACAA,$16.80
WRIST COMP. XR,73110,FONDO,$26.82
WRIST COMP. XR,73110,MENONITA COM,$12.00
WRIST COMP. XR,73110,HUMANA,$13.50
WRIST COMP. XR,73110,CHAMPVA,$52.45
WRIST COMP. XR,73110,ASOCIACION IN,$23.00
WRIST COMP. XR,73110,TSADV OUT,$26.82
WRIST COMP. XR,73110,SSS BLUE CARD,$14.00
WRIST COMP. XR,73110,VETERANS,$52.45
WRIST COMP. XR,73110,TS VITAL,$12.68
WRIST COMP. XR,73110,TSADV IN,$26.82
WRIST COMP. XR,73110,PMC OUT,$52.45
WRIST COMP. XR,73110,TRICARE,$52.45
WRIST COMP. XR,73110,TRIPLE S COM,$14.00
WRIST XR,73100,BELLA VISTA,$9.50
WRIST XR,73100,PMC IN,$24.73
WRIST XR,73100,MMM IN,$24.73
WRIST XR,73100,MCS CLASS,$52.45
WRIST XR,73100,MMM OUT,$52.45
WRIST XR,73100,ASOCIACION IN,$17.00
WRIST XR,73100,MCS PREF,$12.00
WRIST XR,73100,MEDICARE B,$24.73
WRIST XR,73100,MENONITA VITAL,$16.23
WRIST XR,73100,FM VITAL,$9.97
WRIST XR,73100,MEDICARE A,$52.45
WRIST XR,73100,MMM VITAL,$12.42
WRIST XR,73100,FONDO,$23.19
WRIST XR,73100,ASOCIACION OUT,
WRIST XR,73100,PALIC,$13.00
WRIST XR,73100,IMC,$9.50
WRIST XR,73100,HUM GOLD OUT,$24.73
WRIST XR,73100,ACAA,$14.70
WRIST XR,73100,MENONITA COM,$9.00
WRIST XR,73100,HUMANA,$10.00
WRIST XR,73100,CHAMPVA,$52.45
WRIST XR,73100,HUM GOLD IN,$24.73
WRIST XR,73100,SSS BLUE CARD,$13.00
WRIST XR,73100,TSADV IN,$23.19
WRIST XR,73100,TS VITAL,$9.26
WRIST XR,73100,TRICARE,$52.45
WRIST XR,73100,TSADV OUT,$23.19
WRIST XR,73100,TRIPLE S COM,$13.00
WRIST XR,73100,VETERANS,$52.45
WRIST XR,73100,PMC OUT,$52.45