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Colonoscopy Screening Approved

CPT	DESCRIPTION	CHARGE	WC CHARGE




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Save Delete	Net Bundle Total	$0.00	$250.00

CT Scan Head Rejected

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Net Bundle Total	$1,400
AHN Admin Fee	$100
Gross Bundle Total	$1,500

Brain MRI Screening Request Review

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DESCRIPTION

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Net Bundle Total	$1,400
AHN Admin Fee	$100
Gross Bundle Total	$1,500