| Level I Debridement & Destruction | 
  $29.00 | 
  $11.00  | 
  $91.09 | 
  
  51 out of 291  | 
  Details | 
  | Level Ii Debridement & Destruction | 
  $118.00 | 
  $57.00  | 
  $262.58 | 
  
  201 out of 1479  | 
  Details | 
  | Level Iii Debridement & Destruction | 
  $226.00 | 
  $120.00  | 
  $362.13 | 
  
  368 out of 1534  | 
  Details | 
  | Level I Excision/ Biopsy | 
  $440.00 | 
  $71.00  | 
  $2,264.47 | 
  
  39 out of 445  | 
  Details | 
  | Level Ii Excision/ Biopsy | 
  $962.00 | 
  $347.00  | 
  $3,430.88 | 
  
  66 out of 1060  | 
  Details | 
  | Level Iii Pulmonary Treatment | 
  $238.00 | 
  $133.00  | 
  $593.80 | 
  
  255 out of 2304  | 
  Details | 
  | Level I Nerve Injections | 
  $266.00 | 
  $72.00  | 
  $1,279.79 | 
  
  74 out of 1657  | 
  Details | 
  | Level Ii Nerve Injections | 
  $643.00 | 
  $364.00  | 
  $1,342.70 | 
  
  143 out of 769  | 
  Details | 
  | Level Iii Nerve Injections | 
  $767.00 | 
  $213.00  | 
  $2,577.32 | 
  
  56 out of 2002  | 
  Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | 
  $2,422.00 | 
  $1,600.00  | 
  $3,631.53 | 
  
  338 out of 1967  | 
  Details | 
  | Level I Diagnostic And Screening Ultrasound | 
  $396.00 | 
  $330.00  | 
  $487.04 | 
  
  1176 out of 2739  | 
  Details | 
  | Level Iii Diagnostic And Screening Ultrasound | 
  $1,036.00 | 
  $874.00  | 
  $1,057.55 | 
  
  1788 out of 2998  | 
  Details | 
  | Level Ii Echocardiogram Without Contrast | 
  $1,332.00 | 
  $907.00  | 
  $1,970.56 | 
  
  831 out of 2898  | 
  Details | 
  | Level Iii Echocardiogram Without Contrast | 
  $2,512.00 | 
  $1,916.00  | 
  $3,033.90 | 
  
  526 out of 1164  | 
  Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | 
  $2,044.00 | 
  $1,667.00  | 
  $2,611.02 | 
  
  894 out of 2855  | 
  Details | 
  | Level Ii Pulmonary Tests | 
  $131.00 | 
  $68.00  | 
  $316.27 | 
  
  172 out of 2248  | 
  Details | 
  | Level Ii Cardiac Imaging | 
  $4,377.00 | 
  $3,577.00  | 
  $4,574.47 | 
  
  1449 out of 2564  | 
  Details | 
  | Level 2 Hospital Clinic Visits | 
  $96.00 | 
  $16.00  | 
  $202.38 | 
  
  194 out of 2116  | 
  Details | 
  | Level 3 Hospital Clinic Visits | 
  $150.00 | 
  $44.00  | 
  $278.39 | 
  
  301 out of 1834  | 
  Details | 
  | Level 4 Hospital Clinic Visits | 
  $197.00 | 
  $61.00  | 
  $351.90 | 
  
  274 out of 1532  | 
  Details | 
  | Level 5 Hospital Clinic Visits | 
  $242.00 | 
  $63.00  | 
  $454.23 | 
  
  130 out of 634  | 
  Details | 
  | Level I Electronic Analysis Of Devices | 
  $148.00 | 
  $111.00  | 
  $182.68 | 
  
  325 out of 569  | 
  Details | 
  | Level Ii Eye Tests & Treatments | 
  $134.00 | 
  $63.00  | 
  $250.69 | 
  
  50 out of 185  | 
  Details |