| Level I Debridement & Destruction | 
  $31.00 | 
  $16.00  | 
  $91.09 | 
  
  56 out of 291  | 
  Details | 
  | Level Ii Debridement & Destruction | 
  $84.00 | 
  $27.00  | 
  $262.58 | 
  
  65 out of 1479  | 
  Details | 
  | Level Iii Debridement & Destruction | 
  $110.00 | 
  $15.00  | 
  $362.13 | 
  
  16 out of 1534  | 
  Details | 
  | Level I Excision/ Biopsy | 
  $882.00 | 
  $551.00  | 
  $2,264.47 | 
  
  161 out of 445  | 
  Details | 
  | Level Ii Excision/ Biopsy | 
  $1,426.00 | 
  $848.00  | 
  $3,430.88 | 
  
  179 out of 1060  | 
  Details | 
  | Level Iii Pulmonary Treatment | 
  $181.00 | 
  $83.00  | 
  $593.80 | 
  
  94 out of 2304  | 
  Details | 
  | Level Ii Noninvasive Physiologic Studies | 
  $566.00 | 
  $460.00  | 
  $751.36 | 
  
  765 out of 1889  | 
  Details | 
  | Level I Nerve Injections | 
  $411.00 | 
  $229.00  | 
  $1,279.79 | 
  
  209 out of 1657  | 
  Details | 
  | Level Ii Nerve Injections | 
  $1,262.00 | 
  $1,012.00  | 
  $1,342.70 | 
  
  450 out of 769  | 
  Details | 
  | Level Iii Nerve Injections | 
  $2,158.00 | 
  $1,638.00  | 
  $2,577.32 | 
  
  1077 out of 2002  | 
  Details | 
  | Level I Diagnostic And Screening Ultrasound | 
  $518.00 | 
  $456.00  | 
  $487.04 | 
  
  1797 out of 2739  | 
  Details | 
  | Level Iii Diagnostic And Screening Ultrasound | 
  $514.00 | 
  $362.00  | 
  $1,057.55 | 
  
  270 out of 2998  | 
  Details | 
  | Level Ii Echocardiogram Without Contrast | 
  $525.00 | 
  $125.00  | 
  $1,970.56 | 
  
  19 out of 2898  | 
  Details | 
  | Level Iii Echocardiogram Without Contrast | 
  $1,380.00 | 
  $820.00  | 
  $3,033.90 | 
  
  100 out of 1164  | 
  Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | 
  $1,804.00 | 
  $1,454.00  | 
  $2,611.02 | 
  
  611 out of 2855  | 
  Details | 
  | Level Ii Pulmonary Tests | 
  $124.00 | 
  $65.00  | 
  $316.27 | 
  
  137 out of 2248  | 
  Details | 
  | Level Ii Cardiac Imaging | 
  $3,863.00 | 
  $3,108.00  | 
  $4,574.47 | 
  
  1118 out of 2564  | 
  Details | 
  | Level 2 Hospital Clinic Visits | 
  $78.00 | 
  $3.00  | 
  $202.38 | 
  
  37 out of 2116  | 
  Details | 
  | Level 3 Hospital Clinic Visits | 
  $101.00 | 
  $2.00  | 
  $278.39 | 
  
  35 out of 1834  | 
  Details | 
  | Level 4 Hospital Clinic Visits | 
  $132.00 | 
  $4.00  | 
  $351.90 | 
  
  26 out of 1532  | 
  Details | 
  | Level 5 Hospital Clinic Visits | 
  $169.00 | 
  $2.00  | 
  $454.23 | 
  
  12 out of 634  | 
  Details | 
  | Level I Electronic Analysis Of Devices | 
  $93.00 | 
  $58.00  | 
  $182.68 | 
  
  143 out of 569  | 
  Details |