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A/B MAC

WPS

Allergen Immunotherapy

Allergy

Testing

Autonomic Function Tests

Blepharoplasty, Blepharoptosis

& Brow Lift

Botulinum Toxin Type A & Type B

Chemotherapy Drugs & their Adjuncts

Colonoscopy

& Sigmoidoscopy-Diagnostic

Coronary

Computed Tomography Angiography (CCTA)

Cosmetic & Reconstructive Surgery

Drug

Testing

Drugs & Biologicals, (Non-chemotherapy)

Electrocardiographic (EKG or ECG) Monitoring (Holter

or Real-Time Monitoring)

Endoscopic Treatment of GERD

Erythropoiesis Stimulating Agents (ESA)

Facet Joint Interventions for Pain

Management

Frequency of Hemodialysis Services

IVIG

(immune globulin)

Immunizations

Intraoperative Neurophysiology Monitoring

Lumbar

Epidural Injections

Mohs Micrographic Surgery

Nerve Blocks for Peripheral Neuropathy

Nerve Conduction Studies (NCS) & Electromyography (EMG)

Non-Coronary Vascular

Stents

Non-Invasive Abdominal / Visceral Vascular Studies

Non-Invasive Cerebrovascular Studies

Non-Invasive Peripheral Arterial Vascular Studies

Non-Invasive Peripheral Venous Vascular & Hemodialysis Access Studies

Pelvic Floor Dysfunction: Anorectal Manometry & EMG

Percutaneous Coronary Interventions

Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain

Polysom-

nography & Other Sleep Studies

Psychiatry

& Psychology Services

Psychological & Neuropsychological Tests

 Removal of Benign Skin Lesions

 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Somatosensory Testing

Special Histochemical Stains & Immunohistochemical Stains

Surgical Treatment of Obstructive Sleep Apnea (OSA)

Treatment of Varicose Veins of the Lower Extremities

Trigger Points, Local Injections

Vertebroplasty (Percutaneous) & Vertebral Augmentation including cavity creation

Visual Electrophysiology Testing

Visual Fields

Testing

Vitamin D Assay Testing

Vitamin D Assay Testing