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PAGE 2 <br /> <br />PROCEDURE <br /> CODE <br /> <br />57452 <br />57454 <br />57511 <br />76092 <br />82465 <br />82947 <br />82948 <br />82270 <br />83036 <br />86580 <br />80061 <br />84478 <br />83718 <br />82565 <br />88150 <br />87070 <br />92551 <br />80006 <br />80012 <br /> <br />SERVICE <br /> <br />COLPO$COPY WITHOUT BIOPSY <br />COLOPOSCOPY WITH BIOPSY <br />CYROSUGERY <br />SCREENING MAMMOGRAPHY <br />TOTAL BLOOD CHOLESTEROL <br />BLOOD GLUCOSE-SERUM <br />BLOOD GLUCOSE-FINGER STICK <br />STOOL FOR OCCULT BLOOD <br />HEMOGLOBIN AfC <br />TUBERCULIN SKIN TEST <br />LIPID PANEL <br />TRIGLYCERIDES <br />LIPOPROTEIN <br />SERUM CREATININE <br />PAP SMEAR <br />GONORRHEA CULTURE <br />AUDIOMETRY <br />BLOOD CHEM (6) <br />BLOOD CHEM (12) <br /> <br />LOCAL <br />RATE <br /> <br />48.85 <br />73.37 <br />78.90 <br />55.00 <br /> 6.57 <br /> 5.62 <br /> 4.35 <br /> 3.18 <br />13.26 <br /> 6.76 <br />16.97 <br /> 8.90 <br />12.50 <br /> 6.57 <br /> 2°70 <br />10.50 <br /> 8.07 <br /> 8.10 <br /> 9.40 <br /> <br />100% <br /> <br />48.85 <br />73.37 <br />78.90 <br />55.00 <br /> 6.57 <br /> 5.62 <br /> 4.35 <br /> 3.18 <br />13.26 <br /> 6.76 <br />16.97 <br /> 8.90 <br />12.50 <br /> 6.57 <br /> 2.70 <br />10.50 <br /> 8.07 <br /> 8.10 <br /> 9.40 <br /> <br /> 80% <br />SF ADJ <br /> <br /> 9.77 <br />14.67 <br />15.78 <br />11.00 <br /> 1.31 <br /> 1.12 <br /> 0.87 <br /> 0.64 <br /> 2.65 <br /> 1.35 <br /> 3.39 <br /> 1.78 <br /> 2.50 <br /> 1.31 <br /> 0.54 <br /> 2.10 <br /> 1.61 <br /> 1.62 <br /> 1.88 <br /> <br />39.08 <br />58.70 <br />63.12 <br />44.00 <br /> 5,26 <br /> 4.50 <br /> 3.48 <br /> 2.54 <br />10.61 <br /> 5.41 <br />13.58 <br /> 7.12 <br />10.00 <br /> 5.26 <br /> 2.16 <br /> 8.40 <br /> 6.46 <br /> 6.48 <br /> 7.52 <br /> <br />SF ADJ <br /> <br />19.54 <br />29.35 <br />31.56 <br />22.00 <br /> 2.63 <br /> 2.25 <br /> 1.74 <br /> 1.27 <br /> 5.30 <br /> 2.70 <br /> 6.79 <br /> 3.56 <br /> 5.00 <br /> 2.63 <br /> 1.08 <br /> 4.20 <br /> 3.23 <br /> 3.24 <br /> 3.76 <br /> <br />60% <br /> CHRG <br /> <br />29.31 <br />44.02 <br />47.34 <br />33.00 <br /> 3.94 <br /> 3.37 <br /> 2.61 <br /> 1.91 <br /> 7.96 <br /> 4.06 <br />10,18 <br /> 5.34 <br /> 7.50 <br /> 3.94 <br /> 1.62 <br /> 6.30 <br /> 4.84 <br /> 4.86 <br /> 5,64 <br /> <br />SF ADJ <br /> <br />29.31 <br />44.02 <br />47.34 <br />33.00 <br /> 3.94 <br /> 3.37 <br /> 2.61 <br /> 1.91 <br /> 7.96 <br /> 4.06 <br />10.18 <br /> 5.34 <br /> 7.50 <br /> 3.94 <br /> 1.62 <br /> 6.30 <br /> 4.84 <br /> 4.86 <br /> 5.64 <br /> <br />40% <br /> CHRG <br /> <br />19.54 <br />29.35 <br />31.56 <br />22.00 <br />2.63 <br />2.25 <br />1.74 <br />1.27 <br />5.30 <br />2.70 <br />6.79 <br />3.56 <br />5.00 <br />2.63 <br />1.08 <br />4.20 <br />3.23 <br />3.24 <br />3.76 <br /> <br /> 20% <br />SF ADJ CHRG <br /> <br /> 39.08 9.77 <br /> 58.70 14.67 <br /> 63.12 15.78 <br /> 44.00 11.00 <br /> 5.26 1.31 <br /> 4.50 1.12 <br /> 3.48 0.87 <br /> 2.54 0.64 <br /> 10.61 2.65 <br /> 5.41 1.35 <br /> 13.58 3.39 <br /> 7.12 1.78 <br /> 10.00 2.50 <br /> 5.26 1.31 <br /> 2.16 0.54 <br /> 8.40 2.10 <br /> 6.46 1.61 <br /> 6.48 1.62 <br /> 7.52 1.88 <br /> <br /> <br />