Service Area Location Px Code Procedure Description Alternate CPT/HCPCS Code Alternate Identification Alternate Code by Location Alternate Code by Department Fee Schedule Group Name Unit Price SGMC SERVICE AREA SGA Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA SNH Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA BER Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA LAN Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA VIL Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA SGA Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA SNH Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA BER Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA LAN Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA SGA Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA SNH Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA BER Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA LAN Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA VIL Parent Location 76100099201 HC NEW PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA SGA Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA SNH Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA BER Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA LAN Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA VIL Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA SGA Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA SNH Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA BER Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA LAN Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA SGA Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA SNH Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA BER Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA LAN Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA VIL Parent Location 94200099078 HC DIABE/RENL EDU GROUP COMP G0109 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA SGA Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC SERVICE AREA 18 SGMC SERVICE AREA SNH Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC SERVICE AREA 18 SGMC SERVICE AREA BER Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC SERVICE AREA 18 SGMC SERVICE AREA LAN Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC SERVICE AREA 18 SGMC SERVICE AREA VIL Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC SERVICE AREA 18 SGMC SERVICE AREA SGA Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC IP LAB PRICING 18 SGMC SERVICE AREA SNH Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC IP LAB PRICING 18 SGMC SERVICE AREA BER Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC IP LAB PRICING 18 SGMC SERVICE AREA LAN Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC IP LAB PRICING 18 SGMC SERVICE AREA SGA Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC OP LAB PRICING 18 SGMC SERVICE AREA SNH Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC OP LAB PRICING 18 SGMC SERVICE AREA BER Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC OP LAB PRICING 18 SGMC SERVICE AREA LAN Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC OP LAB PRICING 18 SGMC SERVICE AREA VIL Parent Location 94200097804 HC MNT GRP RE-ASSMT 30 MIN/U G0271 MCARE SGMC OP LAB PRICING 18 SGMC SERVICE AREA SGA Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC SERVICE AREA 43 SGMC SERVICE AREA SNH Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC SERVICE AREA 43 SGMC SERVICE AREA BER Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC SERVICE AREA 43 SGMC SERVICE AREA LAN Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC SERVICE AREA 43 SGMC SERVICE AREA VIL Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC SERVICE AREA 43 SGMC SERVICE AREA SGA Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC IP LAB PRICING 43 SGMC SERVICE AREA SNH Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC IP LAB PRICING 43 SGMC SERVICE AREA BER Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC IP LAB PRICING 43 SGMC SERVICE AREA LAN Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC IP LAB PRICING 43 SGMC SERVICE AREA SGA Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC OP LAB PRICING 43 SGMC SERVICE AREA SNH Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC OP LAB PRICING 43 SGMC SERVICE AREA BER Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC OP LAB PRICING 43 SGMC SERVICE AREA LAN Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC OP LAB PRICING 43 SGMC SERVICE AREA VIL Parent Location 94200097803 HC MNT IND RE-ASSMT 15 MIN/U G0270 MCARE SGMC OP LAB PRICING 43 SGMC SERVICE AREA SGA Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 91 SGMC SERVICE AREA SNH Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 91 SGMC SERVICE AREA BER Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 91 SGMC SERVICE AREA LAN Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 91 SGMC SERVICE AREA VIL Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 91 SGMC SERVICE AREA SGA Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA VIL Parent Location 94200097535 HC DIABETES ED 15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA SNH Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA BER Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA LAN Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA VIL Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA SGA Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA SNH Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA BER Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA LAN Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA SGA Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA SNH Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA BER Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA LAN Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA VIL Parent Location 42000097014 HC PT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA SGA Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA SNH Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA BER Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA LAN Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA VIL Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 56 SGMC SERVICE AREA SGA Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA SNH Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA BER Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA LAN Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 56 SGMC SERVICE AREA SGA Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA SNH Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA BER Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA LAN Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA VIL Parent Location 43000097014 HC OT ELEC STIM UNATTEND "G0283,G0283" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 56 SGMC SERVICE AREA SGA Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA SNH Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA BER Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA LAN Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA VIL Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA SGA Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA SNH Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA BER Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA LAN Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA SGA Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA SNH Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA BER Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA LAN Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA VIL Parent Location 33300077386 HC IMRT TX (ALL OTHER) G6016 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA SGA Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA SNH Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA BER Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA LAN Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA VIL Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC SERVICE AREA "1,365.00" SGMC SERVICE AREA SGA Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA SNH Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA BER Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA LAN Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC IP LAB PRICING "1,365.00" SGMC SERVICE AREA SGA Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA SNH Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA BER Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA LAN Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA VIL Parent Location 33300077385 HC IMRT TX (PROSTATE/BREAST) G6015 MCAID SGMC OP LAB PRICING "1,365.00" SGMC SERVICE AREA SGA Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA SNH Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA BER Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA LAN Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA VIL Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA SGA Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA SNH Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA BER Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA LAN Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA SGA Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA SNH Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA BER Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA LAN Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA VIL Parent Location 61000077059 HC MRI BREAST BILAT "C8907,C8907" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA SGA Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA SNH Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA BER Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA LAN Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA VIL Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA SGA Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA SNH Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA BER Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA LAN Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA SGA Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA SNH Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA BER Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA LAN Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA VIL Parent Location 76100099215 HC EST PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA SGA Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA BER Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA VIL Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA BER Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA BER Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA VIL Parent Location 61000077058 HC MRI BREAST UNIL "C8904,C8904" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA SNH Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA BER Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA LAN Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA VIL Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA SGA Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA SNH Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA BER Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA LAN Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA SGA Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA SNH Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA BER Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA LAN Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA VIL Parent Location 61000074185 HC MRA ABDOMEN "C8901,C8901" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA SGA Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SNH Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA BER Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA LAN Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA VIL Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SGA Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA VIL Parent Location 61600073725 HC MRA LOW EXT WO OR WI "C8914,C8914" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,394.00" SGMC SERVICE AREA SNH Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,394.00" SGMC SERVICE AREA BER Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,394.00" SGMC SERVICE AREA LAN Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,394.00" SGMC SERVICE AREA VIL Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,394.00" SGMC SERVICE AREA SGA Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,394.00" SGMC SERVICE AREA SNH Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,394.00" SGMC SERVICE AREA BER Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,394.00" SGMC SERVICE AREA LAN Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,394.00" SGMC SERVICE AREA SGA Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,394.00" SGMC SERVICE AREA SNH Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,394.00" SGMC SERVICE AREA BER Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,394.00" SGMC SERVICE AREA LAN Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,394.00" SGMC SERVICE AREA VIL Parent Location 61800073225 HC MRA UP EXT "C8936,C8936" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,394.00" SGMC SERVICE AREA SGA Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,206.00" SGMC SERVICE AREA SNH Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,206.00" SGMC SERVICE AREA BER Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,206.00" SGMC SERVICE AREA LAN Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,206.00" SGMC SERVICE AREA VIL Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,206.00" SGMC SERVICE AREA SGA Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,206.00" SGMC SERVICE AREA SNH Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,206.00" SGMC SERVICE AREA BER Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,206.00" SGMC SERVICE AREA LAN Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,206.00" SGMC SERVICE AREA SGA Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,206.00" SGMC SERVICE AREA SNH Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,206.00" SGMC SERVICE AREA BER Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,206.00" SGMC SERVICE AREA LAN Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,206.00" SGMC SERVICE AREA VIL Parent Location 61800072198 HC MRA PELVIS WO-WI "C8920,C8920" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,206.00" SGMC SERVICE AREA SGA Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA BER Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA VIL Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA VIL Parent Location 61800071555 HC MRA CHEST "C8911,C8911" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA SNH Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA BER Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA LAN Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA VIL Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA SGA Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA SNH Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA BER Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA LAN Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA SGA Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA SNH Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA BER Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA LAN Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA VIL Parent Location 45000051701 HC STRT CATH RESID 51701 P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA SGA Parent Location 30200086701 HC HIV (HTLV-III) G0432 MCARE SGMC OP LAB PRICING 47 SGMC SERVICE AREA SNH Parent Location 30200086701 HC HIV (HTLV-III) G0432 MCARE SGMC OP LAB PRICING 47 SGMC SERVICE AREA BER Parent Location 30200086701 HC HIV (HTLV-III) G0432 MCARE SGMC OP LAB PRICING 47 SGMC SERVICE AREA LAN Parent Location 30200086701 HC HIV (HTLV-III) G0432 MCARE SGMC OP LAB PRICING 47 SGMC SERVICE AREA VIL Parent Location 30200086701 HC HIV (HTLV-III) G0432 MCARE SGMC OP LAB PRICING 47 SGMC SERVICE AREA SGA Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA SNH Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA BER Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA LAN Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA VIL Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA SGA Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA SNH Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA BER Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA LAN Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA SGA Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA SNH Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA BER Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA LAN Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA VIL Parent Location 30100084153 HC PSA TOTAL G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA SGA Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 144 SGMC SERVICE AREA SNH Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 144 SGMC SERVICE AREA BER Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 144 SGMC SERVICE AREA LAN Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 144 SGMC SERVICE AREA VIL Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 144 SGMC SERVICE AREA SGA Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 144 SGMC SERVICE AREA SNH Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 144 SGMC SERVICE AREA BER Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 144 SGMC SERVICE AREA LAN Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 144 SGMC SERVICE AREA SGA Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 78 SGMC SERVICE AREA SNH Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 78 SGMC SERVICE AREA BER Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 78 SGMC SERVICE AREA LAN Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 78 SGMC SERVICE AREA VIL Parent Location 30100080361 HC OPIATES CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 78 SGMC SERVICE AREA SGA Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA SNH Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA BER Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA LAN Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA VIL Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA SGA Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA SNH Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA BER Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA LAN Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA SGA Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA SNH Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA BER Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA LAN Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA VIL Parent Location 76100099214 HC EST PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA SGA Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 154 SGMC SERVICE AREA SNH Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 154 SGMC SERVICE AREA BER Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 154 SGMC SERVICE AREA LAN Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 154 SGMC SERVICE AREA VIL Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 154 SGMC SERVICE AREA SGA Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 154 SGMC SERVICE AREA SNH Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 154 SGMC SERVICE AREA BER Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 154 SGMC SERVICE AREA LAN Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 154 SGMC SERVICE AREA SGA Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA VIL Parent Location 30100080353 HC COCAINE CONFIRMATION-URIN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC SERVICE AREA 119 SGMC SERVICE AREA SNH Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC SERVICE AREA 119 SGMC SERVICE AREA BER Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC SERVICE AREA 119 SGMC SERVICE AREA LAN Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC SERVICE AREA 119 SGMC SERVICE AREA VIL Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC SERVICE AREA 119 SGMC SERVICE AREA SGA Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC IP LAB PRICING 119 SGMC SERVICE AREA SNH Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC IP LAB PRICING 119 SGMC SERVICE AREA BER Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC IP LAB PRICING 119 SGMC SERVICE AREA LAN Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC IP LAB PRICING 119 SGMC SERVICE AREA SGA Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC OP LAB PRICING 88 SGMC SERVICE AREA SNH Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC OP LAB PRICING 88 SGMC SERVICE AREA BER Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC OP LAB PRICING 88 SGMC SERVICE AREA LAN Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC OP LAB PRICING 88 SGMC SERVICE AREA VIL Parent Location 30100080349 HC CANNABINOID CONFIRM-URINE G0480 MCARE SGMC OP LAB PRICING 88 SGMC SERVICE AREA SGA Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 172 SGMC SERVICE AREA SNH Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 172 SGMC SERVICE AREA BER Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 172 SGMC SERVICE AREA LAN Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 172 SGMC SERVICE AREA VIL Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 172 SGMC SERVICE AREA SGA Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 172 SGMC SERVICE AREA SNH Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 172 SGMC SERVICE AREA BER Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 172 SGMC SERVICE AREA LAN Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 172 SGMC SERVICE AREA SGA Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 121 SGMC SERVICE AREA SNH Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 121 SGMC SERVICE AREA BER Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 121 SGMC SERVICE AREA LAN Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 121 SGMC SERVICE AREA VIL Parent Location 30100080335 HC NORTRIPTYLINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 121 SGMC SERVICE AREA SGA Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 139 SGMC SERVICE AREA SNH Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 139 SGMC SERVICE AREA BER Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 139 SGMC SERVICE AREA LAN Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 139 SGMC SERVICE AREA VIL Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 139 SGMC SERVICE AREA SGA Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 139 SGMC SERVICE AREA SNH Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 139 SGMC SERVICE AREA BER Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 139 SGMC SERVICE AREA LAN Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 139 SGMC SERVICE AREA SGA Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA VIL Parent Location 30100080324 HC AMPHETAMINE CONFIRM-URINE "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA SNH Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA BER Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA LAN Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA VIL Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA SGA Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA SNH Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA BER Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA LAN Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA SGA Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 70 SGMC SERVICE AREA SNH Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 70 SGMC SERVICE AREA BER Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 70 SGMC SERVICE AREA LAN Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 70 SGMC SERVICE AREA VIL Parent Location 30100080320 HC ETHANOL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 70 SGMC SERVICE AREA SGA Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 86 SGMC SERVICE AREA SNH Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 86 SGMC SERVICE AREA BER Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 86 SGMC SERVICE AREA LAN Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 86 SGMC SERVICE AREA VIL Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 86 SGMC SERVICE AREA SGA Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 86 SGMC SERVICE AREA SNH Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 86 SGMC SERVICE AREA BER Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 86 SGMC SERVICE AREA LAN Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 86 SGMC SERVICE AREA SGA Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 67 SGMC SERVICE AREA SNH Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 67 SGMC SERVICE AREA BER Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 67 SGMC SERVICE AREA LAN Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 67 SGMC SERVICE AREA VIL Parent Location 30100080200 HC TOBRAMYCIN LEVEL "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 67 SGMC SERVICE AREA SGA Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC SERVICE AREA 666 SGMC SERVICE AREA SNH Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC SERVICE AREA 666 SGMC SERVICE AREA BER Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC SERVICE AREA 666 SGMC SERVICE AREA LAN Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC SERVICE AREA 666 SGMC SERVICE AREA VIL Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC SERVICE AREA 666 SGMC SERVICE AREA SGA Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC IP LAB PRICING 666 SGMC SERVICE AREA SNH Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC IP LAB PRICING 666 SGMC SERVICE AREA BER Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC IP LAB PRICING 666 SGMC SERVICE AREA LAN Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC IP LAB PRICING 666 SGMC SERVICE AREA SGA Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC OP LAB PRICING 666 SGMC SERVICE AREA SNH Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC OP LAB PRICING 666 SGMC SERVICE AREA BER Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC OP LAB PRICING 666 SGMC SERVICE AREA LAN Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC OP LAB PRICING 666 SGMC SERVICE AREA VIL Parent Location 36100027096 HC INJ SACROILIAC JOINT OR G0260 MCARE SGMC OP LAB PRICING 666 SGMC SERVICE AREA SGA Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA SNH Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA BER Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA LAN Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA VIL Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC SERVICE AREA 146 SGMC SERVICE AREA SGA Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA SNH Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA BER Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA LAN Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC IP LAB PRICING 146 SGMC SERVICE AREA SGA Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA SNH Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA BER Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA LAN Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA VIL Parent Location 76100051701 HC INSER NONINDWE BLADD CATH P9612 MCARE SGMC OP LAB PRICING 146 SGMC SERVICE AREA SGA Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC SERVICE AREA 530 SGMC SERVICE AREA SNH Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC SERVICE AREA 530 SGMC SERVICE AREA BER Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC SERVICE AREA 530 SGMC SERVICE AREA LAN Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC SERVICE AREA 530 SGMC SERVICE AREA VIL Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC SERVICE AREA 530 SGMC SERVICE AREA SGA Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC IP LAB PRICING 530 SGMC SERVICE AREA SNH Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC IP LAB PRICING 530 SGMC SERVICE AREA BER Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC IP LAB PRICING 530 SGMC SERVICE AREA LAN Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC IP LAB PRICING 530 SGMC SERVICE AREA SGA Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC OP LAB PRICING 530 SGMC SERVICE AREA SNH Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC OP LAB PRICING 530 SGMC SERVICE AREA BER Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC OP LAB PRICING 530 SGMC SERVICE AREA LAN Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC OP LAB PRICING 530 SGMC SERVICE AREA VIL Parent Location 74000095806 HC HOME SLEEP TEST (TYPE 3) G0399 MCARE SGMC OP LAB PRICING 530 SGMC SERVICE AREA SGA Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 171 SGMC SERVICE AREA SNH Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 171 SGMC SERVICE AREA BER Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 171 SGMC SERVICE AREA LAN Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 171 SGMC SERVICE AREA VIL Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 171 SGMC SERVICE AREA SGA Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 171 SGMC SERVICE AREA SNH Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 171 SGMC SERVICE AREA BER Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 171 SGMC SERVICE AREA LAN Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 171 SGMC SERVICE AREA SGA Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 97 SGMC SERVICE AREA SNH Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 97 SGMC SERVICE AREA BER Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 97 SGMC SERVICE AREA LAN Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 97 SGMC SERVICE AREA VIL Parent Location 30100080329 HC ACETAMINOPHEN "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 97 SGMC SERVICE AREA SGA Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 238 SGMC SERVICE AREA SNH Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 238 SGMC SERVICE AREA BER Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 238 SGMC SERVICE AREA LAN Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 238 SGMC SERVICE AREA VIL Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 238 SGMC SERVICE AREA SGA Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 238 SGMC SERVICE AREA SNH Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 238 SGMC SERVICE AREA BER Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 238 SGMC SERVICE AREA LAN Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 238 SGMC SERVICE AREA SGA Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 238 SGMC SERVICE AREA SNH Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 238 SGMC SERVICE AREA BER Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 238 SGMC SERVICE AREA LAN Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 238 SGMC SERVICE AREA VIL Parent Location 76100099213 HC EST PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 238 SGMC SERVICE AREA SGA Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 75 SGMC SERVICE AREA SNH Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 75 SGMC SERVICE AREA BER Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 75 SGMC SERVICE AREA LAN Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 75 SGMC SERVICE AREA VIL Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 75 SGMC SERVICE AREA SGA Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 75 SGMC SERVICE AREA SNH Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 75 SGMC SERVICE AREA BER Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 75 SGMC SERVICE AREA LAN Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 75 SGMC SERVICE AREA SGA Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 47 SGMC SERVICE AREA SNH Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 47 SGMC SERVICE AREA BER Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 47 SGMC SERVICE AREA LAN Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 47 SGMC SERVICE AREA VIL Parent Location 30600087389 HC HIV 1/2 AG AND AB SCREEN "G0475,G0475" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 47 SGMC SERVICE AREA SGA Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA SNH Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA BER Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA LAN Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA VIL Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA SGA Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA SNH Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA BER Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA LAN Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA SGA Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA SNH Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA BER Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA LAN Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA VIL Parent Location 31100288142 "HC PAP,TP,SCRN W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA SGA Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA SNH Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA BER Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA LAN Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA VIL Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA SGA Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA SNH Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA BER Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA LAN Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA SGA Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC OP LAB PRICING 105 SGMC SERVICE AREA SNH Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC OP LAB PRICING 105 SGMC SERVICE AREA BER Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC OP LAB PRICING 105 SGMC SERVICE AREA LAN Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC OP LAB PRICING 105 SGMC SERVICE AREA VIL Parent Location 31100388142 HC SCREENING TP PAP TECH G0123 MCARE SGMC OP LAB PRICING 105 SGMC SERVICE AREA SGA Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA SNH Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA BER Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA LAN Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA VIL Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC SERVICE AREA 102 SGMC SERVICE AREA SGA Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA SNH Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA BER Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA LAN Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC IP LAB PRICING 102 SGMC SERVICE AREA SGA Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA SNH Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA BER Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA LAN Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA VIL Parent Location 31100488142 "HC PAP,TP,DIAG W/HPV RFLX" G0123 MCARE SGMC OP LAB PRICING 72 SGMC SERVICE AREA SGA Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA SNH Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA BER Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA LAN Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA VIL Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA SGA Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA SNH Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA BER Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA LAN Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA SGA Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA SNH Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA BER Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA LAN Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA VIL Parent Location 77100190471 HC ADMIN INFLUENZA VACCINE "G0008,G0008" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA SGA Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA SNH Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA BER Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA LAN Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA VIL Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 102 SGMC SERVICE AREA SGA Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA SNH Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA BER Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA LAN Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 102 SGMC SERVICE AREA SGA Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA SNH Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA BER Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA LAN Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA VIL Parent Location 77100290471 HC ADMIN PNEUMONIA VACCINE "G0009,G0009" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 102 SGMC SERVICE AREA SGA Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 191 SGMC SERVICE AREA SNH Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 191 SGMC SERVICE AREA BER Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 191 SGMC SERVICE AREA LAN Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 191 SGMC SERVICE AREA VIL Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 191 SGMC SERVICE AREA SGA Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 191 SGMC SERVICE AREA SNH Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 191 SGMC SERVICE AREA BER Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 191 SGMC SERVICE AREA LAN Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 191 SGMC SERVICE AREA SGA Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 130 SGMC SERVICE AREA SNH Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 130 SGMC SERVICE AREA BER Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 130 SGMC SERVICE AREA LAN Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 130 SGMC SERVICE AREA VIL Parent Location 30100180335 HC AMYTRIPTYLINE(ELAVIL) "G0480,G0480" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 130 SGMC SERVICE AREA SGA Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA SNH Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA BER Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA LAN Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA VIL Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC SERVICE AREA 114 SGMC SERVICE AREA SGA Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA SNH Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA BER Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA LAN Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC IP LAB PRICING 114 SGMC SERVICE AREA SGA Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA SNH Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA BER Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA LAN Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA VIL Parent Location 30100184153 HC PSA SCREENING G0103 MCARE SGMC OP LAB PRICING 89 SGMC SERVICE AREA SGA Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA SNH Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA BER Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA LAN Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA VIL Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA SGA Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA VIL Parent Location 94200000001 HC DIABETE ED 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA SNH Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA BER Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA LAN Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA VIL Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA SGA Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA SNH Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA BER Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA LAN Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA SGA Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA SNH Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA BER Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA LAN Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA VIL Parent Location 94200000002 HC NUTR CNSL 30M-MCARE ONLY G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA SGA Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA SNH Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA BER Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA LAN Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA VIL Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA SGA Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA SNH Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA BER Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA LAN Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA SGA Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA SNH Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA BER Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA LAN Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA VIL Parent Location 76100099212 HC EST PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA SGA Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA SNH Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA BER Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA LAN Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA VIL Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC SERVICE AREA 64 SGMC SERVICE AREA SGA Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA SNH Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA BER Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA LAN Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC IP LAB PRICING 64 SGMC SERVICE AREA SGA Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA SNH Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA BER Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA LAN Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA VIL Parent Location 94200197535 HC NUTR CNSL 15M G0108 MCARE SGMC OP LAB PRICING 64 SGMC SERVICE AREA SGA Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA SNH Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA BER Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA LAN Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA VIL Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC SERVICE AREA 181 SGMC SERVICE AREA SGA Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA SNH Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA BER Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA LAN Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING 181 SGMC SERVICE AREA SGA Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 181 SGMC SERVICE AREA SNH Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 181 SGMC SERVICE AREA BER Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 181 SGMC SERVICE AREA LAN Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 181 SGMC SERVICE AREA VIL Parent Location 94200297535 HC RENAL ED INDV-15M "G0108,G0108" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING 181 SGMC SERVICE AREA SGA Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA SNH Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA BER Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA LAN Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA VIL Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,144.00" SGMC SERVICE AREA SGA Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA SNH Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA BER Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA LAN Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,144.00" SGMC SERVICE AREA SGA Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA SNH Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA BER Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA LAN Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA VIL Parent Location 61000174185 HC MRA ABDOMEN WO-WI "C8902,C8902" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,144.00" SGMC SERVICE AREA SGA Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA BER Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA VIL Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA BER Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA BER Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA VIL Parent Location 61000177058 HC MRI BREAST UNIL WI "C8903,C8903" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,159.00" SGMC SERVICE AREA SNH Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,159.00" SGMC SERVICE AREA BER Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,159.00" SGMC SERVICE AREA LAN Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,159.00" SGMC SERVICE AREA VIL Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,159.00" SGMC SERVICE AREA SGA Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,159.00" SGMC SERVICE AREA SNH Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,159.00" SGMC SERVICE AREA BER Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,159.00" SGMC SERVICE AREA LAN Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,159.00" SGMC SERVICE AREA SGA Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,159.00" SGMC SERVICE AREA SNH Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,159.00" SGMC SERVICE AREA BER Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,159.00" SGMC SERVICE AREA LAN Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,159.00" SGMC SERVICE AREA VIL Parent Location 61000177059 HC MRI BREAST BILAT WO-WI "C8908,C8908" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,159.00" SGMC SERVICE AREA SGA Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA BER Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA VIL Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA BER Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA SNH Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA BER Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA LAN Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA VIL Parent Location 61000277058 HC MRI BREAST UNIL WO-WI "C8905,C8905" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "3,103.00" SGMC SERVICE AREA SGA Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA SNH Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA BER Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA LAN Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA VIL Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,562.00" SGMC SERVICE AREA SGA Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA SNH Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA BER Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA LAN Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,562.00" SGMC SERVICE AREA SGA Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA SNH Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA BER Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA LAN Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA VIL Parent Location 61000277059 HC MRI BREAST BILAT WI "C8906,C8906" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,562.00" SGMC SERVICE AREA SGA Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA BER Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA VIL Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA VIL Parent Location 61800171555 HC MRA CHEST WO "C8910,C8910" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA BER Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA VIL Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC SERVICE AREA "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC IP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SNH Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA BER Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA LAN Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA VIL Parent Location 61800271555 HC MRA CHEST WI "C8909,C8909" "MCARE,TRICARE" "," "," SGMC OP LAB PRICING "2,967.00" SGMC SERVICE AREA SGA Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA SNH Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA BER Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA LAN Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA VIL Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 166 SGMC SERVICE AREA SGA Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA SNH Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA BER Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA LAN Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 166 SGMC SERVICE AREA SGA Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA SNH Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA BER Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA LAN Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA VIL Parent Location 76100199201 HC NEW PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 166 SGMC SERVICE AREA SGA Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA SNH Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA BER Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA LAN Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA VIL Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA SGA Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA SNH Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA BER Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA LAN Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA SGA Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA SNH Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA BER Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA LAN Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA VIL Parent Location 76100099211 HC EST PT L1 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA SGA Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA SNH Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA BER Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA LAN Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA VIL Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA SGA Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA SNH Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA BER Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA LAN Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA SGA Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA SNH Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA BER Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA LAN Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA VIL Parent Location 76100299202 HC NEW PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA SGA Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA SNH Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA BER Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA LAN Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA VIL Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA SGA Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA SNH Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA BER Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA LAN Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA SGA Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA SNH Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA BER Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA LAN Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA VIL Parent Location 76100399203 HC NEW PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA SGA Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA SNH Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA BER Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA LAN Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA VIL Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA SGA Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA SNH Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA BER Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA LAN Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA SGA Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA SNH Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA BER Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA LAN Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA VIL Parent Location 76100499204 HC NEW PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA SGA Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA SNH Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA BER Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA LAN Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA VIL Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA SGA Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA SNH Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA BER Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA LAN Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA SGA Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA SNH Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA BER Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA LAN Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA VIL Parent Location 76100599205 HC NEW PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA SGA Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA SNH Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA BER Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA LAN Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA VIL Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 156 SGMC SERVICE AREA SGA Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA SNH Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA BER Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA LAN Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 156 SGMC SERVICE AREA SGA Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA SNH Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA BER Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA LAN Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA VIL Parent Location 76100199211 HC EST PT L1 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 156 SGMC SERVICE AREA SGA Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA SNH Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA BER Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA LAN Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA VIL Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 191 SGMC SERVICE AREA SGA Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA SNH Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA BER Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA LAN Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 191 SGMC SERVICE AREA SGA Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA SNH Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA BER Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA LAN Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA VIL Parent Location 76100299212 HC EST PT L2 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 191 SGMC SERVICE AREA SGA Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA SNH Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA BER Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA LAN Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA VIL Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA SGA Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA SNH Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA BER Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA LAN Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA SGA Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA SNH Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA BER Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA LAN Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA VIL Parent Location 76100399213 HC EST PT L3 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA SGA Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA SNH Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA BER Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA LAN Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA VIL Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 323 SGMC SERVICE AREA SGA Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA SNH Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA BER Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA LAN Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 323 SGMC SERVICE AREA SGA Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA SNH Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA BER Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA LAN Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA VIL Parent Location 76100499214 HC EST PT L4 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 323 SGMC SERVICE AREA SGA Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA SNH Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA BER Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA LAN Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA VIL Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 445 SGMC SERVICE AREA SGA Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA SNH Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA BER Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA LAN Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 445 SGMC SERVICE AREA SGA Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA SNH Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA BER Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA LAN Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA VIL Parent Location 76100599215 HC EST PT L5 VISIT RAD ONC "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 445 SGMC SERVICE AREA SGA Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA SNH Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA BER Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA LAN Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA VIL Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC SERVICE AREA 110 SGMC SERVICE AREA SGA Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA SNH Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA BER Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA LAN Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC IP LAB PRICING 110 SGMC SERVICE AREA SGA Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA SNH Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA BER Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA LAN Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA VIL Parent Location 31100588142 HC SCREENING TP PAP TECH PATH G0123 MCARE SGMC OP LAB PRICING 110 SGMC SERVICE AREA SGA Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA SNH Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA BER Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA LAN Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA VIL Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 542 SGMC SERVICE AREA SGA Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA SNH Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA BER Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA LAN Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 542 SGMC SERVICE AREA SGA Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA SNH Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA BER Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA LAN Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA VIL Parent Location 76100099205 HC NEW PT L5 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 542 SGMC SERVICE AREA SGA Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA SNH Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA BER Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA LAN Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA VIL Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC SERVICE AREA 91 SGMC SERVICE AREA SGA Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC IP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA SNH Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA BER Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA LAN Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA VIL Parent Location 94200197802 HC MNT INITIAL ASSMT 15MIN/U G0270 MCARE SGMC OP LAB PRICING 91 SGMC SERVICE AREA SGA Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC SERVICE AREA "35,817.00" SGMC SERVICE AREA SNH Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC SERVICE AREA "35,817.00" SGMC SERVICE AREA BER Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC SERVICE AREA "35,817.00" SGMC SERVICE AREA LAN Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC SERVICE AREA "35,817.00" SGMC SERVICE AREA VIL Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC SERVICE AREA "35,817.00" SGMC SERVICE AREA SGA Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC IP LAB PRICING "35,817.00" SGMC SERVICE AREA SNH Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC IP LAB PRICING "35,817.00" SGMC SERVICE AREA BER Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC IP LAB PRICING "35,817.00" SGMC SERVICE AREA LAN Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC IP LAB PRICING "35,817.00" SGMC SERVICE AREA SGA Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC OP LAB PRICING "35,817.00" SGMC SERVICE AREA SNH Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC OP LAB PRICING "35,817.00" SGMC SERVICE AREA BER Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC OP LAB PRICING "35,817.00" SGMC SERVICE AREA LAN Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC OP LAB PRICING "35,817.00" SGMC SERVICE AREA VIL Parent Location 48100036906 HC THRMBC/NFS DIALY CIR 36906 489 MCAID SGMC OP LAB PRICING "35,817.00" SGMC SERVICE AREA SGA Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA SNH Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA BER Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA LAN Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA VIL Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA SGA Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA SNH Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA BER Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA LAN Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA SGA Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA SNH Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA BER Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA LAN Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA VIL Parent Location 48100036907 HC ANGPLST CTR DIAL SEG 36907 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA SGA Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA SNH Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA BER Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA LAN Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA VIL Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC SERVICE AREA 830 SGMC SERVICE AREA SGA Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA SNH Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA BER Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA LAN Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC IP LAB PRICING 830 SGMC SERVICE AREA SGA Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA SNH Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA BER Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA LAN Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA VIL Parent Location 48100036908 HC STNT PLMT CTRDIALSEG 36908 489 MCAID SGMC OP LAB PRICING 830 SGMC SERVICE AREA SGA Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC SERVICE AREA 498 SGMC SERVICE AREA SNH Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC SERVICE AREA 498 SGMC SERVICE AREA BER Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC SERVICE AREA 498 SGMC SERVICE AREA LAN Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC SERVICE AREA 498 SGMC SERVICE AREA VIL Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC SERVICE AREA 498 SGMC SERVICE AREA SGA Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC IP LAB PRICING 498 SGMC SERVICE AREA SNH Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC IP LAB PRICING 498 SGMC SERVICE AREA BER Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC IP LAB PRICING 498 SGMC SERVICE AREA LAN Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC IP LAB PRICING 498 SGMC SERVICE AREA SGA Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC OP LAB PRICING 498 SGMC SERVICE AREA SNH Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC OP LAB PRICING 498 SGMC SERVICE AREA BER Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC OP LAB PRICING 498 SGMC SERVICE AREA LAN Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC OP LAB PRICING 498 SGMC SERVICE AREA VIL Parent Location 48100036909 HC DIAL CIRCUIT EMBL 36909 489 MCAID SGMC OP LAB PRICING 498 SGMC SERVICE AREA SGA Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA SNH Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA BER Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA LAN Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA VIL Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 400 SGMC SERVICE AREA SGA Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA SNH Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA BER Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA LAN Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 400 SGMC SERVICE AREA SGA Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA SNH Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA BER Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA LAN Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA VIL Parent Location 76100099204 HC NEW PT L4 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 400 SGMC SERVICE AREA SGA Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA SNH Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA BER Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA LAN Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA VIL Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 291 SGMC SERVICE AREA SGA Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA SNH Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA BER Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA LAN Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 291 SGMC SERVICE AREA SGA Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA SNH Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA BER Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA LAN Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA VIL Parent Location 76100099203 HC NEW PT L3 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 291 SGMC SERVICE AREA SGA Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA SNH Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA BER Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA LAN Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA VIL Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC SERVICE AREA 222 SGMC SERVICE AREA SGA Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA SNH Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA BER Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA LAN Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC IP LAB PRICING 222 SGMC SERVICE AREA SGA Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA SNH Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA BER Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA LAN Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222 SGMC SERVICE AREA VIL Parent Location 76100099202 HC NEW PT L2 VISIT "G0463,G0463,G0463,G0463,G0463" "ALLIED,BCBS,MCARE,TRICARE,WORK" ",,,," ",,,," SGMC OP LAB PRICING 222