| Level Ii Debridement & Destruction | 
  $93.00 | 
  $39.00  | 
  $262.58 | 
  
  105 out of 1479  | 
  Details | 
  | Level Iii Debridement & Destruction | 
  $199.00 | 
  $106.00  | 
  $362.13 | 
  
  248 out of 1534  | 
  Details | 
  | Level Iii Pulmonary Treatment | 
  $914.00 | 
  $835.00  | 
  $593.80 | 
  
  1963 out of 2304  | 
  Details | 
  | Level Ii Noninvasive Physiologic Studies | 
  $154.00 | 
  $58.00  | 
  $751.36 | 
  
  6 out of 1889  | 
  Details | 
  | Level Ii Nerve Injections | 
  $1,125.00 | 
  $900.00  | 
  $1,342.70 | 
  
  383 out of 769  | 
  Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | 
  $1,408.00 | 
  $737.00  | 
  $3,631.53 | 
  
  31 out of 1967  | 
  Details | 
  | Level I Diagnostic And Screening Ultrasound | 
  $392.00 | 
  $335.00  | 
  $487.04 | 
  
  1135 out of 2739  | 
  Details | 
  | Level Iii Diagnostic And Screening Ultrasound | 
  $666.00 | 
  $527.00  | 
  $1,057.55 | 
  
  681 out of 2998  | 
  Details | 
  | Level Ii Echocardiogram Without Contrast | 
  $954.00 | 
  $591.00  | 
  $1,970.56 | 
  
  286 out of 2898  | 
  Details | 
  | Level Iii Echocardiogram Without Contrast | 
  $1,012.00 | 
  $500.00  | 
  $3,033.90 | 
  
  28 out of 1164  | 
  Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | 
  $3,009.00 | 
  $2,692.00  | 
  $2,611.02 | 
  
  2083 out of 2855  | 
  Details | 
  | Level Ii Pulmonary Tests | 
  $130.00 | 
  $76.00  | 
  $316.27 | 
  
  169 out of 2248  | 
  Details | 
  | Level Ii Cardiac Imaging | 
  $4,514.00 | 
  $3,829.00  | 
  $4,574.47 | 
  
  1504 out of 2564  | 
  Details | 
  | Level 2 Hospital Clinic Visits | 
  $101.00 | 
  $33.00  | 
  $202.38 | 
  
  252 out of 2116  | 
  Details | 
  | Level 3 Hospital Clinic Visits | 
  $120.00 | 
  $29.00  | 
  $278.39 | 
  
  126 out of 1834  | 
  Details | 
  | Level 4 Hospital Clinic Visits | 
  $184.00 | 
  $74.00  | 
  $351.90 | 
  
  220 out of 1532  | 
  Details | 
  | Level I Electronic Analysis Of Devices | 
  $231.00 | 
  $200.00  | 
  $182.68 | 
  
  444 out of 569  | 
  Details |