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MILLE LACS HEALTH SYSTEM · OFFICE O/P NEW LOW 30 MIN
$77.70
Source file dated 2026-08-13 · both
Source note: IP/OP DISCOUNT BASED ON SELF PAY CONTRACT(S). PAYOR NEGOTIATED RATE BASED ON IP ALL. MAXIMUM QUANTITY OF 0 PER CPT BY DAY. MIN/MAX BASED ON SAME BILLABLE CODE.
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