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ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS · ASSAY THYROID STIM HORMONE
$99.00
Source file dated 2026-03-24 · both
Source note: 100% of $150.00 in Billed Charges for Rev 301 Proc 84443 = $150.00. Percent of Charge CDM service is reimbursed at a line level and those calculations will not change from person to person.
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