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MPattachmentdataPub
  
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3390RadiationTherapyServices(AmeriHealth)09.00.56lRadiology (09)09.00.56l09.00.56Radiation Therapy Services (AmeriHealth)Radiation Therapy Services (AmeriHealth)7/1/2021 10:00 AM8d985d17-7c7f-4490-8dce-54e758742d81
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8/1/2021
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3456Ankle-Foot/Knee-Ankle-FootOrthoses05.00.39rDME (05)05.00.39r05.00.39Ankle-Foot/Knee-Ankle-Foot OrthosesAnkle-Foot/Knee-Ankle-Foot Orthoses7/2/2021 7:00 AMec509307-9989-4a80-b1f1-e5d5eae25831
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8/2/2021
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8/2/2021
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8/9/2021
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3380MultipleProcedurePaymentReduction(MPPR)onCertainDiagnosticServices00.01.60fAdministrative (00)00.01.60f00.01.60Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic ServicesMultiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services6/1/2021 1:00 PM5894f10b-fbd5-4b28-8d57-45e3dc6f94ca
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9/1/2021
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9/12/2021
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3335EvaluationandTreatmentofErectileDysfunction(ED)11.11.01jSurgery (11)11.11.01j11.11.01Evaluation and Treatment of Erectile Dysfunction (ED)Evaluation and Treatment of Erectile Dysfunction (ED)6/8/2021 11:00 AMfa8c8dac-a963-4e6a-b8e3-ec6bf635f353
9/13/2021
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10/1/2021
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3466Omalizumab(Xolair®)08.00.55iPharmacy (08)08.00.55i08.00.55Omalizumab (Xolair®)Omalizumab (Xolair®)7/6/2021 1:00 PM67dc89fa-031c-4640-82e0-a142a7b2a9fb
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10/4/2021
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3468Interleukin-5(IL-5)Antagonist(e.g.,Cinqair®)08.01.23iPharmacy (08)08.01.23i08.01.23Interleukin-5 (IL-5) Antagonist (e.g., Cinqair®)Interleukin-5 (IL-5) Antagonist (e.g., Cinqair®)7/6/2021 1:00 PMd753646d-41dc-45c5-a92c-6e7f7372f6b7
10/4/2021