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r^ <br />booK 15 ~r,~r 4~~ <br />PAGE 2 <br />APPROVED MEDICAID SERVICES AND REIMBURSEMENT <br />RATES <br />® <br />EFFECTIVE JULY 1, 1993 <br />57452 <br />COLPOSCOPY WITHOUT BIOPSY <br />48.85 <br />73 <br />37 <br />57454 <br />COLLPOSCOPY WITH BIOPSY <br />. <br />78.90 <br />57511 <br />CRYOSURGERY <br />00 <br />555 <br />76092 <br />SCREENING MAMMOGRAPHY <br />. <br />57 <br />82465 <br />TOTAL BLOOD CHOLESTEROL <br />. 5 <br />62 <br />82947 <br />BLOOD GLUCOSE-SERUM <br />. <br />4 <br />35 <br />82948 <br />BLOOD GLUCOSE-FINGER STICK <br />. <br />3.18 <br />82270 <br />STOOL FOR OCCULT BLOOD <br />13.26 <br />83036 <br />HEMOGLOBIN A1C <br />TUBERCULIN SKIN TEST PPD (MANTOU% METHOD) <br />6.76 <br />86580 <br />.97 <br />16 <br />80061 <br />LIPID PANEL <br />8.90 <br />84478 <br />TRIGLYCERIDES <br />12.50 <br />83718 <br />LIPOPROTEIN <br />6.57 <br />82565 <br />SERUM CREATININE <br />2.70 <br />88150 <br />PAP SMEAR <br />10.50 <br />87070 <br />GONORRHEA CULTURE <br />8.07 <br />92551 <br />AUDIOMETRY <br />8.10 <br />80006 <br />BLOOD CHEM (6) <br />9.40 <br />80012 <br />BLOOD CHEM (12) <br />0 <br />4 0__ <br />