{"id":3630,"date":"2023-09-27T08:27:33","date_gmt":"2023-09-27T08:27:33","guid":{"rendered":"https:\/\/rmanam.com\/?page_id=3630"},"modified":"2023-09-27T08:34:13","modified_gmt":"2023-09-27T08:34:13","slug":"medical-test-costs-breakdown","status":"publish","type":"page","link":"https:\/\/rmanam.com\/index.php\/medical-test-costs-breakdown\/","title":{"rendered":"\u00a0MEDICAL TEST\u00a0COSTS BREAKDOWN\u00a0"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3630\" class=\"elementor elementor-3630\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e84e2ac elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e84e2ac\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ea482ee\" data-id=\"ea482ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-08be85c elementor-widget elementor-widget-spacer\" data-id=\"08be85c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b21e69e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b21e69e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f511bb4\" data-id=\"f511bb4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-893fdc4 elementor-widget elementor-widget-heading\" data-id=\"893fdc4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">MEDICAL TEST\nCOSTS BREAKDOWN<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-79950a9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"79950a9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b1b35fa\" data-id=\"b1b35fa\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cee85c0 elementor-widget elementor-widget-spacer\" data-id=\"cee85c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7ce3d81 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7ce3d81\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f0f4564\" data-id=\"f0f4564\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e9c31f6 elementor-widget elementor-widget-text-editor\" data-id=\"e9c31f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p2\">Note: The prices listed below are averages paid per claim for the specific BHF code. It\u2019s important to highlight that these costs exclude any other services that might be rendered alongside. Particularly for blood tests, a single session might include claims for multiple codes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e59a71c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e59a71c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6a20133\" data-id=\"6a20133\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41074f9 elementor-widget elementor-widget-spacer\" data-id=\"41074f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-924cc4f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"924cc4f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-80b37b2\" data-id=\"80b37b2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f2aca76 elementor-widget elementor-widget-wpdatatables\" data-id=\"f2aca76\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpdatatables.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<div class=\"wpdt-c row wpDataTableContainerSimpleTable wpDataTables wpDataTablesWrapper\n\"\n    >\n        <table id=\"wpdtSimpleTable-47\"\n           style=\"border-collapse:collapse;\n                   border-spacing:0px;\"\n           class=\"wpdtSimpleTable wpDataTable\"\n           data-column=\"3\"\n           data-rows=\"280\"\n           data-wpID=\"47\"\n           data-responsive=\"0\"\n           data-has-header=\"0\">\n\n                    <tbody>        <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-bold wpdt-fs-000020 wpdt-bc-00BCD4 wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A1\"\n                    data-col-index=\"0\"\n                    data-row-index=\"0\"\n                    style=\" width:66.559485530547%;                    padding:10px;\n                    \"\n                    >\n                                        MRI Scans                    <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-bold wpdt-align-left wpdt-bc-FFC107\"\n                                            data-cell-id=\"A2\"\n                    data-col-index=\"0\"\n                    data-row-index=\"1\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        NAMAF Code                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-bold wpdt-align-left wpdt-bc-FFC107\"\n                                            data-cell-id=\"B2\"\n                    data-col-index=\"1\"\n                    data-row-index=\"1\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Description                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-bold wpdt-align-left wpdt-bc-FFC107\"\n                                            data-cell-id=\"C2\"\n                    data-col-index=\"2\"\n                    data-row-index=\"1\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Avg Paid per Claim                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A3\"\n                    data-col-index=\"0\"\n                    data-row-index=\"2\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        62415                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B3\"\n                    data-col-index=\"1\"\n                    data-row-index=\"2\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT UPPER ARM PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C3\"\n                    data-col-index=\"2\"\n                    data-row-index=\"2\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        21,165.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A4\"\n                    data-col-index=\"0\"\n                    data-row-index=\"3\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        73410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B4\"\n                    data-col-index=\"1\"\n                    data-row-index=\"3\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT LOWER LEG PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C4\"\n                    data-col-index=\"2\"\n                    data-row-index=\"3\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        21,165.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A5\"\n                    data-col-index=\"0\"\n                    data-row-index=\"4\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74430                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B5\"\n                    data-col-index=\"1\"\n                    data-row-index=\"4\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT FOOT PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C5\"\n                    data-col-index=\"2\"\n                    data-row-index=\"4\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        21,165.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A6\"\n                    data-col-index=\"0\"\n                    data-row-index=\"5\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74435                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B6\"\n                    data-col-index=\"1\"\n                    data-row-index=\"5\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT FOOT PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C6\"\n                    data-col-index=\"2\"\n                    data-row-index=\"5\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        21,012.14                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A7\"\n                    data-col-index=\"0\"\n                    data-row-index=\"6\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B7\"\n                    data-col-index=\"1\"\n                    data-row-index=\"6\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LUMBAR SPINE PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C7\"\n                    data-col-index=\"2\"\n                    data-row-index=\"6\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20,949.93                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A8\"\n                    data-col-index=\"0\"\n                    data-row-index=\"7\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        41410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B8\"\n                    data-col-index=\"1\"\n                    data-row-index=\"7\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR STUDY OF THE LIVER\/PANCREAS PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C8\"\n                    data-col-index=\"2\"\n                    data-row-index=\"7\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20,917.58                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A9\"\n                    data-col-index=\"0\"\n                    data-row-index=\"8\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20470                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B9\"\n                    data-col-index=\"1\"\n                    data-row-index=\"8\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR ANGIOGRAPHY OF THE INTRA AND EXTRA CRANIAL VESSELS PLUS BRAIN, WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C9\"\n                    data-col-index=\"2\"\n                    data-row-index=\"8\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20,511.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A10\"\n                    data-col-index=\"0\"\n                    data-row-index=\"9\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        43420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B10\"\n                    data-col-index=\"1\"\n                    data-row-index=\"9\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR STUDY OF PELVIC REPRODUCTIVE ORGANS - COMPLETE PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C10\"\n                    data-col-index=\"2\"\n                    data-row-index=\"9\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20,414.97                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A11\"\n                    data-col-index=\"0\"\n                    data-row-index=\"10\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10495                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B11\"\n                    data-col-index=\"1\"\n                    data-row-index=\"10\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BRAIN PRE AND POST CONTRAST PLUS ANGIOGRAPHY AND DIFFUSION                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C11\"\n                    data-col-index=\"2\"\n                    data-row-index=\"10\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20,273.10                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A12\"\n                    data-col-index=\"0\"\n                    data-row-index=\"11\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10430                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B12\"\n                    data-col-index=\"1\"\n                    data-row-index=\"11\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BRAIN PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C12\"\n                    data-col-index=\"2\"\n                    data-row-index=\"11\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20,213.43                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A13\"\n                    data-col-index=\"0\"\n                    data-row-index=\"12\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        41430                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B13\"\n                    data-col-index=\"1\"\n                    data-row-index=\"12\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR STUDY OF THE ABDOMEN WITH MRCP                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C13\"\n                    data-col-index=\"2\"\n                    data-row-index=\"12\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        19,286.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A14\"\n                    data-col-index=\"0\"\n                    data-row-index=\"13\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        34410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B14\"\n                    data-col-index=\"1\"\n                    data-row-index=\"13\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR STUDY OF THE BREAST PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C14\"\n                    data-col-index=\"2\"\n                    data-row-index=\"13\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        18,813.92                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A15\"\n                    data-col-index=\"0\"\n                    data-row-index=\"14\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10490                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B15\"\n                    data-col-index=\"1\"\n                    data-row-index=\"14\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BRAIN, PRE AND POST CONTRAST, WITH DIFFUSION STUDIES,                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C15\"\n                    data-col-index=\"2\"\n                    data-row-index=\"14\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        18,260.85                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A16\"\n                    data-col-index=\"0\"\n                    data-row-index=\"15\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B16\"\n                    data-col-index=\"1\"\n                    data-row-index=\"15\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE SOFT TISSUE OF THE NECK, PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C16\"\n                    data-col-index=\"2\"\n                    data-row-index=\"15\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        17,805.24                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A17\"\n                    data-col-index=\"0\"\n                    data-row-index=\"16\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40430                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B17\"\n                    data-col-index=\"1\"\n                    data-row-index=\"16\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE PELVIS, SOFT TISSUE, PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C17\"\n                    data-col-index=\"2\"\n                    data-row-index=\"16\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        17,370.16                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A18\"\n                    data-col-index=\"0\"\n                    data-row-index=\"17\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10485                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B18\"\n                    data-col-index=\"1\"\n                    data-row-index=\"17\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BRAIN, WITH DIFFUSION STUDIES                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C18\"\n                    data-col-index=\"2\"\n                    data-row-index=\"17\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        16,386.50                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A19\"\n                    data-col-index=\"0\"\n                    data-row-index=\"18\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61415                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B19\"\n                    data-col-index=\"1\"\n                    data-row-index=\"18\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT SHOULDER PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C19\"\n                    data-col-index=\"2\"\n                    data-row-index=\"18\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        16,000.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A20\"\n                    data-col-index=\"0\"\n                    data-row-index=\"19\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B20\"\n                    data-col-index=\"1\"\n                    data-row-index=\"19\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE CERVICAL SPINE AND CRANIO-CERVICAL JUNCTION PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C20\"\n                    data-col-index=\"2\"\n                    data-row-index=\"19\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        15,819.74                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A21\"\n                    data-col-index=\"0\"\n                    data-row-index=\"20\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B21\"\n                    data-col-index=\"1\"\n                    data-row-index=\"20\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE ORBITAE, PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C21\"\n                    data-col-index=\"2\"\n                    data-row-index=\"20\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        15,808.37                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A22\"\n                    data-col-index=\"0\"\n                    data-row-index=\"21\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B22\"\n                    data-col-index=\"1\"\n                    data-row-index=\"21\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BRAIN WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C22\"\n                    data-col-index=\"2\"\n                    data-row-index=\"21\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        15,751.80                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A23\"\n                    data-col-index=\"0\"\n                    data-row-index=\"22\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        11410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B23\"\n                    data-col-index=\"1\"\n                    data-row-index=\"22\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE FACIAL SOFT TISSUE PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C23\"\n                    data-col-index=\"2\"\n                    data-row-index=\"22\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        14,583.45                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A24\"\n                    data-col-index=\"0\"\n                    data-row-index=\"23\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B24\"\n                    data-col-index=\"1\"\n                    data-row-index=\"23\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE THORACIC SPINE PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C24\"\n                    data-col-index=\"2\"\n                    data-row-index=\"23\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        14,374.47                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A25\"\n                    data-col-index=\"0\"\n                    data-row-index=\"24\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        71400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B25\"\n                    data-col-index=\"1\"\n                    data-row-index=\"24\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT UPPER LEG                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C25\"\n                    data-col-index=\"2\"\n                    data-row-index=\"24\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,441.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A26\"\n                    data-col-index=\"0\"\n                    data-row-index=\"25\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        63405                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B26\"\n                    data-col-index=\"1\"\n                    data-row-index=\"25\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT ELBOW                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C26\"\n                    data-col-index=\"2\"\n                    data-row-index=\"25\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,407.90                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A27\"\n                    data-col-index=\"0\"\n                    data-row-index=\"26\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B27\"\n                    data-col-index=\"1\"\n                    data-row-index=\"26\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT WRIST AND HAND                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C27\"\n                    data-col-index=\"2\"\n                    data-row-index=\"26\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,407.68                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A28\"\n                    data-col-index=\"0\"\n                    data-row-index=\"27\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B28\"\n                    data-col-index=\"1\"\n                    data-row-index=\"27\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE PELVIS, SOFT TISSUE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C28\"\n                    data-col-index=\"2\"\n                    data-row-index=\"27\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,395.50                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A29\"\n                    data-col-index=\"0\"\n                    data-row-index=\"28\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74425                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B29\"\n                    data-col-index=\"1\"\n                    data-row-index=\"28\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT FOOT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C29\"\n                    data-col-index=\"2\"\n                    data-row-index=\"28\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,316.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A30\"\n                    data-col-index=\"0\"\n                    data-row-index=\"29\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B30\"\n                    data-col-index=\"1\"\n                    data-row-index=\"29\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT FOOT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C30\"\n                    data-col-index=\"2\"\n                    data-row-index=\"29\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,316.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A31\"\n                    data-col-index=\"0\"\n                    data-row-index=\"30\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        56410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B31\"\n                    data-col-index=\"1\"\n                    data-row-index=\"30\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE HIP JOINT\/S                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C31\"\n                    data-col-index=\"2\"\n                    data-row-index=\"30\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,295.90                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A32\"\n                    data-col-index=\"0\"\n                    data-row-index=\"31\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B32\"\n                    data-col-index=\"1\"\n                    data-row-index=\"31\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT ANKLE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C32\"\n                    data-col-index=\"2\"\n                    data-row-index=\"31\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,295.90                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A33\"\n                    data-col-index=\"0\"\n                    data-row-index=\"32\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B33\"\n                    data-col-index=\"1\"\n                    data-row-index=\"32\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE SOFT TISSUE OF THE NECK                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C33\"\n                    data-col-index=\"2\"\n                    data-row-index=\"32\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,192.20                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A34\"\n                    data-col-index=\"0\"\n                    data-row-index=\"33\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72405                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B34\"\n                    data-col-index=\"1\"\n                    data-row-index=\"33\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT KNEE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C34\"\n                    data-col-index=\"2\"\n                    data-row-index=\"33\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        13,027.65                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A35\"\n                    data-col-index=\"0\"\n                    data-row-index=\"34\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        34400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B35\"\n                    data-col-index=\"1\"\n                    data-row-index=\"34\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR STUDY OF THE BREAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C35\"\n                    data-col-index=\"2\"\n                    data-row-index=\"34\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,984.80                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A36\"\n                    data-col-index=\"0\"\n                    data-row-index=\"35\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B36\"\n                    data-col-index=\"1\"\n                    data-row-index=\"35\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE ORBITS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C36\"\n                    data-col-index=\"2\"\n                    data-row-index=\"35\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,955.70                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A37\"\n                    data-col-index=\"0\"\n                    data-row-index=\"36\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61405                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B37\"\n                    data-col-index=\"1\"\n                    data-row-index=\"36\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT SHOULDER                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C37\"\n                    data-col-index=\"2\"\n                    data-row-index=\"36\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,893.38                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A38\"\n                    data-col-index=\"0\"\n                    data-row-index=\"37\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B38\"\n                    data-col-index=\"1\"\n                    data-row-index=\"37\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LUMBAR SPINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C38\"\n                    data-col-index=\"2\"\n                    data-row-index=\"37\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,341.24                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A39\"\n                    data-col-index=\"0\"\n                    data-row-index=\"38\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B39\"\n                    data-col-index=\"1\"\n                    data-row-index=\"38\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE CERVICAL SPINE AND CRANIO-CERVICAL JUNCTION                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C39\"\n                    data-col-index=\"2\"\n                    data-row-index=\"38\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,182.23                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A40\"\n                    data-col-index=\"0\"\n                    data-row-index=\"39\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B40\"\n                    data-col-index=\"1\"\n                    data-row-index=\"39\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT KNEE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C40\"\n                    data-col-index=\"2\"\n                    data-row-index=\"39\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,163.06                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A41\"\n                    data-col-index=\"0\"\n                    data-row-index=\"40\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B41\"\n                    data-col-index=\"1\"\n                    data-row-index=\"40\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE THORACIC SPINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C41\"\n                    data-col-index=\"2\"\n                    data-row-index=\"40\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        11,439.17                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A42\"\n                    data-col-index=\"0\"\n                    data-row-index=\"41\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        55400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B42\"\n                    data-col-index=\"1\"\n                    data-row-index=\"41\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BONY PELVIS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C42\"\n                    data-col-index=\"2\"\n                    data-row-index=\"41\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10,928.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A43\"\n                    data-col-index=\"0\"\n                    data-row-index=\"42\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B43\"\n                    data-col-index=\"1\"\n                    data-row-index=\"42\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LEFT SHOULDER                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C43\"\n                    data-col-index=\"2\"\n                    data-row-index=\"42\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10,917.28                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A44\"\n                    data-col-index=\"0\"\n                    data-row-index=\"43\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B44\"\n                    data-col-index=\"1\"\n                    data-row-index=\"43\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BRAIN UNCONTRASTED                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C44\"\n                    data-col-index=\"2\"\n                    data-row-index=\"43\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10,666.90                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A45\"\n                    data-col-index=\"0\"\n                    data-row-index=\"44\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        43400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B45\"\n                    data-col-index=\"1\"\n                    data-row-index=\"44\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR STUDY OF PELVIC REPRODUCTIVE ORGANS - LIMITED STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C45\"\n                    data-col-index=\"2\"\n                    data-row-index=\"44\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        9,873.40                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A46\"\n                    data-col-index=\"0\"\n                    data-row-index=\"45\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74405                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B46\"\n                    data-col-index=\"1\"\n                    data-row-index=\"45\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT ANKLE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C46\"\n                    data-col-index=\"2\"\n                    data-row-index=\"45\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        9,868.50                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A47\"\n                    data-col-index=\"0\"\n                    data-row-index=\"46\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        73405                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B47\"\n                    data-col-index=\"1\"\n                    data-row-index=\"46\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT LOWER LEG                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C47\"\n                    data-col-index=\"2\"\n                    data-row-index=\"46\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        9,308.19                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A48\"\n                    data-col-index=\"0\"\n                    data-row-index=\"47\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B48\"\n                    data-col-index=\"1\"\n                    data-row-index=\"47\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE BRAIN, LIMITED STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C48\"\n                    data-col-index=\"2\"\n                    data-row-index=\"47\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        8,737.63                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A49\"\n                    data-col-index=\"0\"\n                    data-row-index=\"48\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B49\"\n                    data-col-index=\"1\"\n                    data-row-index=\"48\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE ABDOMEN PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C49\"\n                    data-col-index=\"2\"\n                    data-row-index=\"48\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        8,300.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A50\"\n                    data-col-index=\"0\"\n                    data-row-index=\"49\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65405                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B50\"\n                    data-col-index=\"1\"\n                    data-row-index=\"49\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE RIGHT WRIST AND HAND                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C50\"\n                    data-col-index=\"2\"\n                    data-row-index=\"49\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        8,257.55                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A51\"\n                    data-col-index=\"0\"\n                    data-row-index=\"50\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B51\"\n                    data-col-index=\"1\"\n                    data-row-index=\"50\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE CERVICAL SPINE, LIMITED STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C51\"\n                    data-col-index=\"2\"\n                    data-row-index=\"50\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        8,214.43                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A52\"\n                    data-col-index=\"0\"\n                    data-row-index=\"51\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B52\"\n                    data-col-index=\"1\"\n                    data-row-index=\"51\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE LUMBAR SPINE, LIMITED STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C52\"\n                    data-col-index=\"2\"\n                    data-row-index=\"51\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,968.63                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A53\"\n                    data-col-index=\"0\"\n                    data-row-index=\"52\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        41420                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B53\"\n                    data-col-index=\"1\"\n                    data-row-index=\"52\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MRCP                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C53\"\n                    data-col-index=\"2\"\n                    data-row-index=\"52\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,153.53                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A54\"\n                    data-col-index=\"0\"\n                    data-row-index=\"53\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52400                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B54\"\n                    data-col-index=\"1\"\n                    data-row-index=\"53\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MR OF THE THORACIC SPINE, LIMITED STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C54\"\n                    data-col-index=\"2\"\n                    data-row-index=\"53\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,729.25                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A55\"\n                    data-col-index=\"0\"\n                    data-row-index=\"54\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72405                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B55\"\n                    data-col-index=\"1\"\n                    data-row-index=\"54\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ALL OTHER JOINTS.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C55\"\n                    data-col-index=\"2\"\n                    data-row-index=\"54\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        200.8                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A56\"\n                    data-col-index=\"0\"\n                    data-row-index=\"55\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72410                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B56\"\n                    data-col-index=\"1\"\n                    data-row-index=\"55\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        FACIAL MANIPULATION                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C56\"\n                    data-col-index=\"2\"\n                    data-row-index=\"55\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        146.01                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell  wpdt-empty-cell  wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A57\"\n                    data-col-index=\"0\"\n                    data-row-index=\"56\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-bold wpdt-fs-000020 wpdt-bc-00BCD4 wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A58\"\n                    data-col-index=\"0\"\n                    data-row-index=\"57\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT Scans                    <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"A59\"\n                    data-col-index=\"0\"\n                    data-row-index=\"58\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        NAMAF Code                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"B59\"\n                    data-col-index=\"1\"\n                    data-row-index=\"58\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Description                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"C59\"\n                    data-col-index=\"2\"\n                    data-row-index=\"58\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Avg Paid per Claim                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A60\"\n                    data-col-index=\"0\"\n                    data-row-index=\"59\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40355                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B60\"\n                    data-col-index=\"1\"\n                    data-row-index=\"59\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST TRIPHASIC OF THE LIVER, ABDOMEN AND PELVIS WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C60\"\n                    data-col-index=\"2\"\n                    data-row-index=\"59\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        19,188.77                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A61\"\n                    data-col-index=\"0\"\n                    data-row-index=\"60\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40350                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B61\"\n                    data-col-index=\"1\"\n                    data-row-index=\"60\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST, ABDOMEN AND PELVIS WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C61\"\n                    data-col-index=\"2\"\n                    data-row-index=\"60\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        17,715.61                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A62\"\n                    data-col-index=\"0\"\n                    data-row-index=\"61\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        70320                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B62\"\n                    data-col-index=\"1\"\n                    data-row-index=\"61\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT ANGIOGRAPHY ABDOMINAL AORTA AND OUTFLOW LOWER LIMBS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C62\"\n                    data-col-index=\"2\"\n                    data-row-index=\"61\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        16,822.33                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A63\"\n                    data-col-index=\"0\"\n                    data-row-index=\"62\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30370                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B63\"\n                    data-col-index=\"1\"\n                    data-row-index=\"62\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST FOR PULMONARY EMBOLISM WITH CT VENOGRAPHY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C63\"\n                    data-col-index=\"2\"\n                    data-row-index=\"62\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        16,652.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A64\"\n                    data-col-index=\"0\"\n                    data-row-index=\"63\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        44310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B64\"\n                    data-col-index=\"1\"\n                    data-row-index=\"63\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT ANGIOGRAPHY OF THE PELVIS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C64\"\n                    data-col-index=\"2\"\n                    data-row-index=\"63\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        16,311.80                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A65\"\n                    data-col-index=\"0\"\n                    data-row-index=\"64\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        33310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B65\"\n                    data-col-index=\"1\"\n                    data-row-index=\"64\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT ANGIOGRAPHY OF HEART VESSELS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C65\"\n                    data-col-index=\"2\"\n                    data-row-index=\"64\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        15,793.67                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A66\"\n                    data-col-index=\"0\"\n                    data-row-index=\"65\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40360                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B66\"\n                    data-col-index=\"1\"\n                    data-row-index=\"65\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE BASE OF SKULL TO SYMPHYSIS PUBIS WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C66\"\n                    data-col-index=\"2\"\n                    data-row-index=\"65\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        15,423.10                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A67\"\n                    data-col-index=\"0\"\n                    data-row-index=\"66\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40350                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B67\"\n                    data-col-index=\"1\"\n                    data-row-index=\"66\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST ABDOMEN AND PELVIS WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C67\"\n                    data-col-index=\"2\"\n                    data-row-index=\"66\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        14,983.93                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A68\"\n                    data-col-index=\"0\"\n                    data-row-index=\"67\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40345                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B68\"\n                    data-col-index=\"1\"\n                    data-row-index=\"67\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST, ABDOMEN AND PELVIS WITHOUT CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C68\"\n                    data-col-index=\"2\"\n                    data-row-index=\"67\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        14,544.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A69\"\n                    data-col-index=\"0\"\n                    data-row-index=\"68\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        70310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B69\"\n                    data-col-index=\"1\"\n                    data-row-index=\"68\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT ANGIOGRAPHY OF THE LOWER LIMB                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C69\"\n                    data-col-index=\"2\"\n                    data-row-index=\"68\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        14,431.78                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A70\"\n                    data-col-index=\"0\"\n                    data-row-index=\"69\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40340                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B70\"\n                    data-col-index=\"1\"\n                    data-row-index=\"69\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT TRIPHASIC STUDY OF THE LIVER, ABDOMEN AND PELVIS PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C70\"\n                    data-col-index=\"2\"\n                    data-row-index=\"69\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        14,377.26                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A71\"\n                    data-col-index=\"0\"\n                    data-row-index=\"70\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40337                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B71\"\n                    data-col-index=\"1\"\n                    data-row-index=\"70\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE ABDOMEN AND PELVIS PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C71\"\n                    data-col-index=\"2\"\n                    data-row-index=\"70\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,674.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A72\"\n                    data-col-index=\"0\"\n                    data-row-index=\"71\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40333                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B72\"\n                    data-col-index=\"1\"\n                    data-row-index=\"71\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE ABDOMEN AND PELVIS WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C72\"\n                    data-col-index=\"2\"\n                    data-row-index=\"71\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        12,427.68                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A73\"\n                    data-col-index=\"0\"\n                    data-row-index=\"72\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40327                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B73\"\n                    data-col-index=\"1\"\n                    data-row-index=\"72\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE PELVIS PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C73\"\n                    data-col-index=\"2\"\n                    data-row-index=\"72\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        11,173.90                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A74\"\n                    data-col-index=\"0\"\n                    data-row-index=\"73\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        55340                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B74\"\n                    data-col-index=\"1\"\n                    data-row-index=\"73\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE BONY PELVIS PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C74\"\n                    data-col-index=\"2\"\n                    data-row-index=\"73\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10,987.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A75\"\n                    data-col-index=\"0\"\n                    data-row-index=\"74\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30360                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B75\"\n                    data-col-index=\"1\"\n                    data-row-index=\"74\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST FOR PULMONARY EMBOLISM                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C75\"\n                    data-col-index=\"2\"\n                    data-row-index=\"74\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10,720.33                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A76\"\n                    data-col-index=\"0\"\n                    data-row-index=\"75\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61325                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B76\"\n                    data-col-index=\"1\"\n                    data-row-index=\"75\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT SHOULDER JOINT - PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C76\"\n                    data-col-index=\"2\"\n                    data-row-index=\"75\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        10,087.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A77\"\n                    data-col-index=\"0\"\n                    data-row-index=\"76\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40313                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B77\"\n                    data-col-index=\"1\"\n                    data-row-index=\"76\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT STUDY OF THE ABDOMEN PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C77\"\n                    data-col-index=\"2\"\n                    data-row-index=\"76\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        9,662.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A78\"\n                    data-col-index=\"0\"\n                    data-row-index=\"77\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        44320                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B78\"\n                    data-col-index=\"1\"\n                    data-row-index=\"77\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT ANGIOGRAPHY OF THE ABDOMINAL AORTA AND PELVIS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C78\"\n                    data-col-index=\"2\"\n                    data-row-index=\"77\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        9,340.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A79\"\n                    data-col-index=\"0\"\n                    data-row-index=\"78\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30330                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B79\"\n                    data-col-index=\"1\"\n                    data-row-index=\"78\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST, PRE AND POST CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C79\"\n                    data-col-index=\"2\"\n                    data-row-index=\"78\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        9,114.15                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A80\"\n                    data-col-index=\"0\"\n                    data-row-index=\"79\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        41300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B80\"\n                    data-col-index=\"1\"\n                    data-row-index=\"79\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE ABDOMEN TRIPHASIC STUDY LIVER                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C80\"\n                    data-col-index=\"2\"\n                    data-row-index=\"79\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        8,644.40                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A81\"\n                    data-col-index=\"0\"\n                    data-row-index=\"80\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74315                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B81\"\n                    data-col-index=\"1\"\n                    data-row-index=\"80\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT ANKLE\/FOOT COMPLETE WITH 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C81\"\n                    data-col-index=\"2\"\n                    data-row-index=\"80\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,842.70                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A82\"\n                    data-col-index=\"0\"\n                    data-row-index=\"81\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B82\"\n                    data-col-index=\"1\"\n                    data-row-index=\"81\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT ANKLE\/FOOT COMPLETE WITH 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C82\"\n                    data-col-index=\"2\"\n                    data-row-index=\"81\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,842.62                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A83\"\n                    data-col-index=\"0\"\n                    data-row-index=\"82\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40330                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B83\"\n                    data-col-index=\"1\"\n                    data-row-index=\"82\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE ABDOMEN AND PELVIS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C83\"\n                    data-col-index=\"2\"\n                    data-row-index=\"82\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,816.87                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A84\"\n                    data-col-index=\"0\"\n                    data-row-index=\"83\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        63310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B84\"\n                    data-col-index=\"1\"\n                    data-row-index=\"83\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT ELBOW COMPLETE WITH 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C84\"\n                    data-col-index=\"2\"\n                    data-row-index=\"83\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,811.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A85\"\n                    data-col-index=\"0\"\n                    data-row-index=\"84\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        63315                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B85\"\n                    data-col-index=\"1\"\n                    data-row-index=\"84\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT ELBOW COMPLETE WITH 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C85\"\n                    data-col-index=\"2\"\n                    data-row-index=\"84\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,811.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A86\"\n                    data-col-index=\"0\"\n                    data-row-index=\"85\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B86\"\n                    data-col-index=\"1\"\n                    data-row-index=\"85\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT SHOULDER COMPLETE WITH 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C86\"\n                    data-col-index=\"2\"\n                    data-row-index=\"85\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,811.52                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A87\"\n                    data-col-index=\"0\"\n                    data-row-index=\"86\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65315                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B87\"\n                    data-col-index=\"1\"\n                    data-row-index=\"86\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT WRIST AND HAND - COMPLETE WITH 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C87\"\n                    data-col-index=\"2\"\n                    data-row-index=\"86\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,811.40                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A88\"\n                    data-col-index=\"0\"\n                    data-row-index=\"87\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61315                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B88\"\n                    data-col-index=\"1\"\n                    data-row-index=\"87\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT SHOULDER COMPLETE WITH 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C88\"\n                    data-col-index=\"2\"\n                    data-row-index=\"87\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,811.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A89\"\n                    data-col-index=\"0\"\n                    data-row-index=\"88\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53320                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B89\"\n                    data-col-index=\"1\"\n                    data-row-index=\"88\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LUMBAR SPINE COMPLETE STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C89\"\n                    data-col-index=\"2\"\n                    data-row-index=\"88\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,807.50                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A90\"\n                    data-col-index=\"0\"\n                    data-row-index=\"89\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        55320                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B90\"\n                    data-col-index=\"1\"\n                    data-row-index=\"89\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE BONY PELVIS COMPLETE 3D RECON                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C90\"\n                    data-col-index=\"2\"\n                    data-row-index=\"89\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,772.20                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A91\"\n                    data-col-index=\"0\"\n                    data-row-index=\"90\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30320                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B91\"\n                    data-col-index=\"1\"\n                    data-row-index=\"90\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST CONTRASTED                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C91\"\n                    data-col-index=\"2\"\n                    data-row-index=\"90\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,746.73                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A92\"\n                    data-col-index=\"0\"\n                    data-row-index=\"91\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B92\"\n                    data-col-index=\"1\"\n                    data-row-index=\"91\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT STUDY OF THE ABDOMEN WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C92\"\n                    data-col-index=\"2\"\n                    data-row-index=\"91\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,736.82                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A93\"\n                    data-col-index=\"0\"\n                    data-row-index=\"92\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51320                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B93\"\n                    data-col-index=\"1\"\n                    data-row-index=\"92\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CERVICAL SPINE COMPLETE STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C93\"\n                    data-col-index=\"2\"\n                    data-row-index=\"92\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,701.59                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A94\"\n                    data-col-index=\"0\"\n                    data-row-index=\"93\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B94\"\n                    data-col-index=\"1\"\n                    data-row-index=\"93\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE THORACIC SPINE COMPLETE STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C94\"\n                    data-col-index=\"2\"\n                    data-row-index=\"93\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        7,421.60                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A95\"\n                    data-col-index=\"0\"\n                    data-row-index=\"94\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40323                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B95\"\n                    data-col-index=\"1\"\n                    data-row-index=\"94\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE PELVIS WITH CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C95\"\n                    data-col-index=\"2\"\n                    data-row-index=\"94\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        6,685.43                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A96\"\n                    data-col-index=\"0\"\n                    data-row-index=\"95\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30355                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B96\"\n                    data-col-index=\"1\"\n                    data-row-index=\"95\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST, COMPLETE HIGH RESOLUTION STUDY WITH ADDITONAL PRONE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C96\"\n                    data-col-index=\"2\"\n                    data-row-index=\"95\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        6,043.78                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A97\"\n                    data-col-index=\"0\"\n                    data-row-index=\"96\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B97\"\n                    data-col-index=\"1\"\n                    data-row-index=\"96\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT STUDY OF THE ABDOMEN                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C97\"\n                    data-col-index=\"2\"\n                    data-row-index=\"96\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,478.10                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A98\"\n                    data-col-index=\"0\"\n                    data-row-index=\"97\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B98\"\n                    data-col-index=\"1\"\n                    data-row-index=\"97\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST UNCONTRASTED                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C98\"\n                    data-col-index=\"2\"\n                    data-row-index=\"97\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,343.53                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A99\"\n                    data-col-index=\"0\"\n                    data-row-index=\"98\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B99\"\n                    data-col-index=\"1\"\n                    data-row-index=\"98\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT KNEE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C99\"\n                    data-col-index=\"2\"\n                    data-row-index=\"98\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,086.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A100\"\n                    data-col-index=\"0\"\n                    data-row-index=\"99\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B100\"\n                    data-col-index=\"1\"\n                    data-row-index=\"99\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT ANKLE\/FOOT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C100\"\n                    data-col-index=\"2\"\n                    data-row-index=\"99\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,086.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A101\"\n                    data-col-index=\"0\"\n                    data-row-index=\"100\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74305                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B101\"\n                    data-col-index=\"1\"\n                    data-row-index=\"100\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT ANKLE\/FOOT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C101\"\n                    data-col-index=\"2\"\n                    data-row-index=\"100\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,086.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A102\"\n                    data-col-index=\"0\"\n                    data-row-index=\"101\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        71300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B102\"\n                    data-col-index=\"1\"\n                    data-row-index=\"101\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT FEMUR                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C102\"\n                    data-col-index=\"2\"\n                    data-row-index=\"101\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,086.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A103\"\n                    data-col-index=\"0\"\n                    data-row-index=\"102\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        71305                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B103\"\n                    data-col-index=\"1\"\n                    data-row-index=\"102\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT FEMUR                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C103\"\n                    data-col-index=\"2\"\n                    data-row-index=\"102\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,086.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A104\"\n                    data-col-index=\"0\"\n                    data-row-index=\"103\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        73300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B104\"\n                    data-col-index=\"1\"\n                    data-row-index=\"103\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT LOWER LEG                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C104\"\n                    data-col-index=\"2\"\n                    data-row-index=\"103\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,086.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A105\"\n                    data-col-index=\"0\"\n                    data-row-index=\"104\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        42300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B105\"\n                    data-col-index=\"1\"\n                    data-row-index=\"104\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RENAL TRACT FOR A STONE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C105\"\n                    data-col-index=\"2\"\n                    data-row-index=\"104\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,081.14                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A106\"\n                    data-col-index=\"0\"\n                    data-row-index=\"105\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        62305                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B106\"\n                    data-col-index=\"1\"\n                    data-row-index=\"105\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT UPPER ARM                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C106\"\n                    data-col-index=\"2\"\n                    data-row-index=\"105\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,052.90                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A107\"\n                    data-col-index=\"0\"\n                    data-row-index=\"106\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        64300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B107\"\n                    data-col-index=\"1\"\n                    data-row-index=\"106\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LEFT FOREARM                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C107\"\n                    data-col-index=\"2\"\n                    data-row-index=\"106\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,052.90                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A108\"\n                    data-col-index=\"0\"\n                    data-row-index=\"107\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        63305                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B108\"\n                    data-col-index=\"1\"\n                    data-row-index=\"107\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE RIGHT ELBOW                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C108\"\n                    data-col-index=\"2\"\n                    data-row-index=\"107\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5,052.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A109\"\n                    data-col-index=\"0\"\n                    data-row-index=\"108\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30350                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B109\"\n                    data-col-index=\"1\"\n                    data-row-index=\"108\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST, COMPLETE HIGH RESOLUTION STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C109\"\n                    data-col-index=\"2\"\n                    data-row-index=\"108\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4,980.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A110\"\n                    data-col-index=\"0\"\n                    data-row-index=\"109\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40365                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B110\"\n                    data-col-index=\"1\"\n                    data-row-index=\"109\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT COLONOSCOPY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C110\"\n                    data-col-index=\"2\"\n                    data-row-index=\"109\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4,793.02                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A111\"\n                    data-col-index=\"0\"\n                    data-row-index=\"110\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        55310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B111\"\n                    data-col-index=\"1\"\n                    data-row-index=\"110\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE BONY PELVIS COMPLETE UNCONTRASTED                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C111\"\n                    data-col-index=\"2\"\n                    data-row-index=\"110\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4,749.86                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A112\"\n                    data-col-index=\"0\"\n                    data-row-index=\"111\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        40320                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B112\"\n                    data-col-index=\"1\"\n                    data-row-index=\"111\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE PELVIS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C112\"\n                    data-col-index=\"2\"\n                    data-row-index=\"111\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4,278.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A113\"\n                    data-col-index=\"0\"\n                    data-row-index=\"112\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B113\"\n                    data-col-index=\"1\"\n                    data-row-index=\"112\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CERVICAL SPINE LIMITED STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C113\"\n                    data-col-index=\"2\"\n                    data-row-index=\"112\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3,941.00                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A114\"\n                    data-col-index=\"0\"\n                    data-row-index=\"113\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B114\"\n                    data-col-index=\"1\"\n                    data-row-index=\"113\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CERVICAL SPINE REGIONAL STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C114\"\n                    data-col-index=\"2\"\n                    data-row-index=\"113\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        2,885.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A115\"\n                    data-col-index=\"0\"\n                    data-row-index=\"114\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52305                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B115\"\n                    data-col-index=\"1\"\n                    data-row-index=\"114\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE THORACIC SPINE REGIONAL STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C115\"\n                    data-col-index=\"2\"\n                    data-row-index=\"114\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        2,885.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A116\"\n                    data-col-index=\"0\"\n                    data-row-index=\"115\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B116\"\n                    data-col-index=\"1\"\n                    data-row-index=\"115\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE LUMBAR SPINE REGIONAL STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C116\"\n                    data-col-index=\"2\"\n                    data-row-index=\"115\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        2,885.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A117\"\n                    data-col-index=\"0\"\n                    data-row-index=\"116\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        50300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B117\"\n                    data-col-index=\"1\"\n                    data-row-index=\"116\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT QUANTITIVE BONE MINERAL DENSITY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C117\"\n                    data-col-index=\"2\"\n                    data-row-index=\"116\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        2,453.80                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A118\"\n                    data-col-index=\"0\"\n                    data-row-index=\"117\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B118\"\n                    data-col-index=\"1\"\n                    data-row-index=\"117\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CT OF THE CHEST, LIMITED STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C118\"\n                    data-col-index=\"2\"\n                    data-row-index=\"117\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,970.50                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A119\"\n                    data-col-index=\"0\"\n                    data-row-index=\"118\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72325                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B119\"\n                    data-col-index=\"1\"\n                    data-row-index=\"118\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        SUCTION: LEVEL 2 (SUCTION WITH INVOLVEMENT OF LAVAGE AS A TREATMENT IN A SPECIAL UNIT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C119\"\n                    data-col-index=\"2\"\n                    data-row-index=\"118\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        156.88                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A120\"\n                    data-col-index=\"0\"\n                    data-row-index=\"119\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72310                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B120\"\n                    data-col-index=\"1\"\n                    data-row-index=\"119\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        NEURAL TISSUE MOBILISATION                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C120\"\n                    data-col-index=\"2\"\n                    data-row-index=\"119\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        129.76                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A121\"\n                    data-col-index=\"0\"\n                    data-row-index=\"120\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72300                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B121\"\n                    data-col-index=\"1\"\n                    data-row-index=\"120\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        VIBRATION                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C121\"\n                    data-col-index=\"2\"\n                    data-row-index=\"120\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        92.27                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A122\"\n                    data-col-index=\"0\"\n                    data-row-index=\"121\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72305                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B122\"\n                    data-col-index=\"1\"\n                    data-row-index=\"121\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        RE-EDUCATION OF MOVEMENT\/ EXERCISES                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C122\"\n                    data-col-index=\"2\"\n                    data-row-index=\"121\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74.72                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell  wpdt-empty-cell  wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A123\"\n                    data-col-index=\"0\"\n                    data-row-index=\"122\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-bold wpdt-fs-000020 wpdt-bc-00BCD4 wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A124\"\n                    data-col-index=\"0\"\n                    data-row-index=\"123\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAYS                    <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"A125\"\n                    data-col-index=\"0\"\n                    data-row-index=\"124\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        NAMAF Code                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"B125\"\n                    data-col-index=\"1\"\n                    data-row-index=\"124\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Description                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"C125\"\n                    data-col-index=\"2\"\n                    data-row-index=\"124\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Avg Paid per Claim                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A126\"\n                    data-col-index=\"0\"\n                    data-row-index=\"125\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        50110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B126\"\n                    data-col-index=\"1\"\n                    data-row-index=\"125\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE SPINE SCOLIOSIS VIEW AP AND LATERAL INCLUDING STRESS VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C126\"\n                    data-col-index=\"2\"\n                    data-row-index=\"125\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        2,930.70                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A127\"\n                    data-col-index=\"0\"\n                    data-row-index=\"126\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61160                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B127\"\n                    data-col-index=\"1\"\n                    data-row-index=\"126\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY ARTHROGRAPHY SHOULDER JOINT INCLUDING INTRODUCTION OF CONTRAST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C127\"\n                    data-col-index=\"2\"\n                    data-row-index=\"126\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        2,502.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A128\"\n                    data-col-index=\"0\"\n                    data-row-index=\"127\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        50120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B128\"\n                    data-col-index=\"1\"\n                    data-row-index=\"127\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY BONE DENSITOMETRY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C128\"\n                    data-col-index=\"2\"\n                    data-row-index=\"127\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,805.73                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A129\"\n                    data-col-index=\"0\"\n                    data-row-index=\"128\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51130                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B129\"\n                    data-col-index=\"1\"\n                    data-row-index=\"128\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE CERVICAL SPINE, MORE THAN TWO VIEWS INCLUDING STRESS VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C129\"\n                    data-col-index=\"2\"\n                    data-row-index=\"128\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,273.09                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A130\"\n                    data-col-index=\"0\"\n                    data-row-index=\"129\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53130                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B130\"\n                    data-col-index=\"1\"\n                    data-row-index=\"129\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LUMBAR SPINE, MORE THAT TWO VIEWS INCLUDING STRESS VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C130\"\n                    data-col-index=\"2\"\n                    data-row-index=\"129\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,188.70                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A131\"\n                    data-col-index=\"0\"\n                    data-row-index=\"130\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61170                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B131\"\n                    data-col-index=\"1\"\n                    data-row-index=\"130\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY GUIDANCE AND INTRODUCTION OF CONTRAST INTO SHOULDER JOINT ONLY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C131\"\n                    data-col-index=\"2\"\n                    data-row-index=\"130\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,171.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A132\"\n                    data-col-index=\"0\"\n                    data-row-index=\"131\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        56160                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B132\"\n                    data-col-index=\"1\"\n                    data-row-index=\"131\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY GUIDANCE AND INTRODUCTION OF CONTRAST INTO HIP JOINT ONLY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C132\"\n                    data-col-index=\"2\"\n                    data-row-index=\"131\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,171.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A133\"\n                    data-col-index=\"0\"\n                    data-row-index=\"132\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        70120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B133\"\n                    data-col-index=\"1\"\n                    data-row-index=\"132\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LOWER LIMBS FULL LENGTH STUDY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C133\"\n                    data-col-index=\"2\"\n                    data-row-index=\"132\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,021.20                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A134\"\n                    data-col-index=\"0\"\n                    data-row-index=\"133\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30155                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B134\"\n                    data-col-index=\"1\"\n                    data-row-index=\"133\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE CHEST AND RIBS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C134\"\n                    data-col-index=\"2\"\n                    data-row-index=\"133\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,001.62                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A135\"\n                    data-col-index=\"0\"\n                    data-row-index=\"134\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61140                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B135\"\n                    data-col-index=\"1\"\n                    data-row-index=\"134\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT SHOULDER PLUS SUBACROMIAL IMPINGEMENT VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C135\"\n                    data-col-index=\"2\"\n                    data-row-index=\"134\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        980.36                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A136\"\n                    data-col-index=\"0\"\n                    data-row-index=\"135\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        56120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B136\"\n                    data-col-index=\"1\"\n                    data-row-index=\"135\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY PELVIS AND HIPS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C136\"\n                    data-col-index=\"2\"\n                    data-row-index=\"135\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        948.84                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A137\"\n                    data-col-index=\"0\"\n                    data-row-index=\"136\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65150                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B137\"\n                    data-col-index=\"1\"\n                    data-row-index=\"136\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT WRIST, SCAPHOID AND STRESS VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C137\"\n                    data-col-index=\"2\"\n                    data-row-index=\"136\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        940.93                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A138\"\n                    data-col-index=\"0\"\n                    data-row-index=\"137\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61145                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B138\"\n                    data-col-index=\"1\"\n                    data-row-index=\"137\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT SHOULDER PLUS SUBACROMIAL IMPINGEMENT VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C138\"\n                    data-col-index=\"2\"\n                    data-row-index=\"137\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        935.8                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A139\"\n                    data-col-index=\"0\"\n                    data-row-index=\"138\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30150                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B139\"\n                    data-col-index=\"1\"\n                    data-row-index=\"138\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIBS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C139\"\n                    data-col-index=\"2\"\n                    data-row-index=\"138\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        757.2                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A140\"\n                    data-col-index=\"0\"\n                    data-row-index=\"139\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72125                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B140\"\n                    data-col-index=\"1\"\n                    data-row-index=\"139\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT KNEE INCLUDING PATELLA                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C140\"\n                    data-col-index=\"2\"\n                    data-row-index=\"139\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        730.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A141\"\n                    data-col-index=\"0\"\n                    data-row-index=\"140\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B141\"\n                    data-col-index=\"1\"\n                    data-row-index=\"140\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT KNEE INCLUDING PATELLA                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C141\"\n                    data-col-index=\"2\"\n                    data-row-index=\"140\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        730.29                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A142\"\n                    data-col-index=\"0\"\n                    data-row-index=\"141\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B142\"\n                    data-col-index=\"1\"\n                    data-row-index=\"141\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LUMBAR SPINE, MORE THAN TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C142\"\n                    data-col-index=\"2\"\n                    data-row-index=\"141\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        705.93                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A143\"\n                    data-col-index=\"0\"\n                    data-row-index=\"142\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        63110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B143\"\n                    data-col-index=\"1\"\n                    data-row-index=\"142\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT ELBOW WITH STRESS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C143\"\n                    data-col-index=\"2\"\n                    data-row-index=\"142\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        686                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A144\"\n                    data-col-index=\"0\"\n                    data-row-index=\"143\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B144\"\n                    data-col-index=\"1\"\n                    data-row-index=\"143\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE CERVICAL SPINE, MORE THAN TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C144\"\n                    data-col-index=\"2\"\n                    data-row-index=\"143\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        677.91                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A145\"\n                    data-col-index=\"0\"\n                    data-row-index=\"144\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B145\"\n                    data-col-index=\"1\"\n                    data-row-index=\"144\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LUMBAR SPINE STRESS STUDY ONLY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C145\"\n                    data-col-index=\"2\"\n                    data-row-index=\"144\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        654.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A146\"\n                    data-col-index=\"0\"\n                    data-row-index=\"145\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B146\"\n                    data-col-index=\"1\"\n                    data-row-index=\"145\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY F THE CERVICAL SPINE, STRESS VIEWS ONLY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C146\"\n                    data-col-index=\"2\"\n                    data-row-index=\"145\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        654.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A147\"\n                    data-col-index=\"0\"\n                    data-row-index=\"146\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        54110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B147\"\n                    data-col-index=\"1\"\n                    data-row-index=\"146\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE SACRO-ILIAC JOINTS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C147\"\n                    data-col-index=\"2\"\n                    data-row-index=\"146\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        648.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A148\"\n                    data-col-index=\"0\"\n                    data-row-index=\"147\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B148\"\n                    data-col-index=\"1\"\n                    data-row-index=\"147\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE THORACIC SPINE, MORE THAN TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C148\"\n                    data-col-index=\"2\"\n                    data-row-index=\"147\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        632.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A149\"\n                    data-col-index=\"0\"\n                    data-row-index=\"148\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        11100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B149\"\n                    data-col-index=\"1\"\n                    data-row-index=\"148\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE FACIAL BONES                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C149\"\n                    data-col-index=\"2\"\n                    data-row-index=\"148\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        621.2                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A150\"\n                    data-col-index=\"0\"\n                    data-row-index=\"149\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        54100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B150\"\n                    data-col-index=\"1\"\n                    data-row-index=\"149\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE SACRUM AND COCCYX                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C150\"\n                    data-col-index=\"2\"\n                    data-row-index=\"149\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        584.69                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A151\"\n                    data-col-index=\"0\"\n                    data-row-index=\"150\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        55100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B151\"\n                    data-col-index=\"1\"\n                    data-row-index=\"150\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE PELVIS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C151\"\n                    data-col-index=\"2\"\n                    data-row-index=\"150\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        569.19                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A152\"\n                    data-col-index=\"0\"\n                    data-row-index=\"151\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        15100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B152\"\n                    data-col-index=\"1\"\n                    data-row-index=\"151\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY TEMPERO-MANDIBULAR JOINT, LEFT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C152\"\n                    data-col-index=\"2\"\n                    data-row-index=\"151\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        562.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A153\"\n                    data-col-index=\"0\"\n                    data-row-index=\"152\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        15110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B153\"\n                    data-col-index=\"1\"\n                    data-row-index=\"152\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY TEMPERO-MANDIBULAR JOINT, RIGHT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C153\"\n                    data-col-index=\"2\"\n                    data-row-index=\"152\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        562.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A154\"\n                    data-col-index=\"0\"\n                    data-row-index=\"153\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        53110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B154\"\n                    data-col-index=\"1\"\n                    data-row-index=\"153\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LUMBAR SPINE, ONE OR TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C154\"\n                    data-col-index=\"2\"\n                    data-row-index=\"153\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        561.25                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A155\"\n                    data-col-index=\"0\"\n                    data-row-index=\"154\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61130                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B155\"\n                    data-col-index=\"1\"\n                    data-row-index=\"154\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT SHOULDER                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C155\"\n                    data-col-index=\"2\"\n                    data-row-index=\"154\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        550.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A156\"\n                    data-col-index=\"0\"\n                    data-row-index=\"155\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61135                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B156\"\n                    data-col-index=\"1\"\n                    data-row-index=\"155\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT SHOULDER                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C156\"\n                    data-col-index=\"2\"\n                    data-row-index=\"155\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        548.17                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A157\"\n                    data-col-index=\"0\"\n                    data-row-index=\"156\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72115                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B157\"\n                    data-col-index=\"1\"\n                    data-row-index=\"156\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT KNEE, MORE THAN TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C157\"\n                    data-col-index=\"2\"\n                    data-row-index=\"156\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        536.34                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A158\"\n                    data-col-index=\"0\"\n                    data-row-index=\"157\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B158\"\n                    data-col-index=\"1\"\n                    data-row-index=\"157\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT KNEE, MORE THAN TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C158\"\n                    data-col-index=\"2\"\n                    data-row-index=\"157\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        535                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A159\"\n                    data-col-index=\"0\"\n                    data-row-index=\"158\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B159\"\n                    data-col-index=\"1\"\n                    data-row-index=\"158\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT ANKLE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C159\"\n                    data-col-index=\"2\"\n                    data-row-index=\"158\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        523.12                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A160\"\n                    data-col-index=\"0\"\n                    data-row-index=\"159\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65145                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B160\"\n                    data-col-index=\"1\"\n                    data-row-index=\"159\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT SCAPHOID                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C160\"\n                    data-col-index=\"2\"\n                    data-row-index=\"159\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        521.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A161\"\n                    data-col-index=\"0\"\n                    data-row-index=\"160\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B161\"\n                    data-col-index=\"1\"\n                    data-row-index=\"160\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT ANKLE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C161\"\n                    data-col-index=\"2\"\n                    data-row-index=\"160\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        519.9                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A162\"\n                    data-col-index=\"0\"\n                    data-row-index=\"161\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        56110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B162\"\n                    data-col-index=\"1\"\n                    data-row-index=\"161\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT HIP                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C162\"\n                    data-col-index=\"2\"\n                    data-row-index=\"161\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        508.79                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A163\"\n                    data-col-index=\"0\"\n                    data-row-index=\"162\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B163\"\n                    data-col-index=\"1\"\n                    data-row-index=\"162\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE THORACIC SPINE, ONE OR TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C163\"\n                    data-col-index=\"2\"\n                    data-row-index=\"162\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        507.2                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A164\"\n                    data-col-index=\"0\"\n                    data-row-index=\"163\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65135                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B164\"\n                    data-col-index=\"1\"\n                    data-row-index=\"163\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT WRIST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C164\"\n                    data-col-index=\"2\"\n                    data-row-index=\"163\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        502.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A165\"\n                    data-col-index=\"0\"\n                    data-row-index=\"164\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        56100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B165\"\n                    data-col-index=\"1\"\n                    data-row-index=\"164\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT HIP                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C165\"\n                    data-col-index=\"2\"\n                    data-row-index=\"164\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        502.37                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A166\"\n                    data-col-index=\"0\"\n                    data-row-index=\"165\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65130                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B166\"\n                    data-col-index=\"1\"\n                    data-row-index=\"165\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT WRIST                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C166\"\n                    data-col-index=\"2\"\n                    data-row-index=\"165\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        502.09                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A167\"\n                    data-col-index=\"0\"\n                    data-row-index=\"166\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        63105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B167\"\n                    data-col-index=\"1\"\n                    data-row-index=\"166\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT ELBOW                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C167\"\n                    data-col-index=\"2\"\n                    data-row-index=\"166\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        496.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A168\"\n                    data-col-index=\"0\"\n                    data-row-index=\"167\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        63100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B168\"\n                    data-col-index=\"1\"\n                    data-row-index=\"167\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT ELBOW                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C168\"\n                    data-col-index=\"2\"\n                    data-row-index=\"167\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        496.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A169\"\n                    data-col-index=\"0\"\n                    data-row-index=\"168\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B169\"\n                    data-col-index=\"1\"\n                    data-row-index=\"168\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT ACROMIO-CLAVICULAR JOINT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C169\"\n                    data-col-index=\"2\"\n                    data-row-index=\"168\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        496.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A170\"\n                    data-col-index=\"0\"\n                    data-row-index=\"169\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61125                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B170\"\n                    data-col-index=\"1\"\n                    data-row-index=\"169\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT ACROMIO-CLAVICULAR JOINT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C170\"\n                    data-col-index=\"2\"\n                    data-row-index=\"169\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        496.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A171\"\n                    data-col-index=\"0\"\n                    data-row-index=\"170\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B171\"\n                    data-col-index=\"1\"\n                    data-row-index=\"170\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT HAND                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C171\"\n                    data-col-index=\"2\"\n                    data-row-index=\"170\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        486.9                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A172\"\n                    data-col-index=\"0\"\n                    data-row-index=\"171\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B172\"\n                    data-col-index=\"1\"\n                    data-row-index=\"171\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT HAND                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C172\"\n                    data-col-index=\"2\"\n                    data-row-index=\"171\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        482.99                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A173\"\n                    data-col-index=\"0\"\n                    data-row-index=\"172\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B173\"\n                    data-col-index=\"1\"\n                    data-row-index=\"172\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT CLAVICLE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C173\"\n                    data-col-index=\"2\"\n                    data-row-index=\"172\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        480.5                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A174\"\n                    data-col-index=\"0\"\n                    data-row-index=\"173\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        61105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B174\"\n                    data-col-index=\"1\"\n                    data-row-index=\"173\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT CLAVICLE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C174\"\n                    data-col-index=\"2\"\n                    data-row-index=\"173\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        477.9                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A175\"\n                    data-col-index=\"0\"\n                    data-row-index=\"174\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51110                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B175\"\n                    data-col-index=\"1\"\n                    data-row-index=\"174\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE CERVICAL SPINE, ONE OR TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C175\"\n                    data-col-index=\"2\"\n                    data-row-index=\"174\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        476.31                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A176\"\n                    data-col-index=\"0\"\n                    data-row-index=\"175\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        73100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B176\"\n                    data-col-index=\"1\"\n                    data-row-index=\"175\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT LOWER LEG                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C176\"\n                    data-col-index=\"2\"\n                    data-row-index=\"175\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        475.76                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A177\"\n                    data-col-index=\"0\"\n                    data-row-index=\"176\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        64100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B177\"\n                    data-col-index=\"1\"\n                    data-row-index=\"176\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT FOREARM                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C177\"\n                    data-col-index=\"2\"\n                    data-row-index=\"176\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        464.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A178\"\n                    data-col-index=\"0\"\n                    data-row-index=\"177\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        73105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B178\"\n                    data-col-index=\"1\"\n                    data-row-index=\"177\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT LOWER LEG                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C178\"\n                    data-col-index=\"2\"\n                    data-row-index=\"177\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        464.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A179\"\n                    data-col-index=\"0\"\n                    data-row-index=\"178\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        64105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B179\"\n                    data-col-index=\"1\"\n                    data-row-index=\"178\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT FOREARM                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C179\"\n                    data-col-index=\"2\"\n                    data-row-index=\"178\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        464.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A180\"\n                    data-col-index=\"0\"\n                    data-row-index=\"179\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        62100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B180\"\n                    data-col-index=\"1\"\n                    data-row-index=\"179\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT HUMERUS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C180\"\n                    data-col-index=\"2\"\n                    data-row-index=\"179\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        464.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A181\"\n                    data-col-index=\"0\"\n                    data-row-index=\"180\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        71105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B181\"\n                    data-col-index=\"1\"\n                    data-row-index=\"180\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT FEMUR                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C181\"\n                    data-col-index=\"2\"\n                    data-row-index=\"180\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        463.69                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A182\"\n                    data-col-index=\"0\"\n                    data-row-index=\"181\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        71100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B182\"\n                    data-col-index=\"1\"\n                    data-row-index=\"181\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT FEMUR                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C182\"\n                    data-col-index=\"2\"\n                    data-row-index=\"181\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        463.22                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A183\"\n                    data-col-index=\"0\"\n                    data-row-index=\"182\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        62105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B183\"\n                    data-col-index=\"1\"\n                    data-row-index=\"182\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT HUMERUS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C183\"\n                    data-col-index=\"2\"\n                    data-row-index=\"182\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        463.02                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A184\"\n                    data-col-index=\"0\"\n                    data-row-index=\"183\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74125                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B184\"\n                    data-col-index=\"1\"\n                    data-row-index=\"183\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT FOOT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C184\"\n                    data-col-index=\"2\"\n                    data-row-index=\"183\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        442.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A185\"\n                    data-col-index=\"0\"\n                    data-row-index=\"184\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B185\"\n                    data-col-index=\"1\"\n                    data-row-index=\"184\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT FOOT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C185\"\n                    data-col-index=\"2\"\n                    data-row-index=\"184\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        439.69                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A186\"\n                    data-col-index=\"0\"\n                    data-row-index=\"185\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B186\"\n                    data-col-index=\"1\"\n                    data-row-index=\"185\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT KNEE ONE OR TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C186\"\n                    data-col-index=\"2\"\n                    data-row-index=\"185\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        439.52                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A187\"\n                    data-col-index=\"0\"\n                    data-row-index=\"186\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B187\"\n                    data-col-index=\"1\"\n                    data-row-index=\"186\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT KNEE ONE OR TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C187\"\n                    data-col-index=\"2\"\n                    data-row-index=\"186\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        439.38                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A188\"\n                    data-col-index=\"0\"\n                    data-row-index=\"187\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B188\"\n                    data-col-index=\"1\"\n                    data-row-index=\"187\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF SOFT TISSUE OF THE NECK                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C188\"\n                    data-col-index=\"2\"\n                    data-row-index=\"187\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        433.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A189\"\n                    data-col-index=\"0\"\n                    data-row-index=\"188\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74135                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B189\"\n                    data-col-index=\"1\"\n                    data-row-index=\"188\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE RIGHT CALCANEUS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C189\"\n                    data-col-index=\"2\"\n                    data-row-index=\"188\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        433.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A190\"\n                    data-col-index=\"0\"\n                    data-row-index=\"189\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74130                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B190\"\n                    data-col-index=\"1\"\n                    data-row-index=\"189\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE LEFT CALCANEUS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C190\"\n                    data-col-index=\"2\"\n                    data-row-index=\"189\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        433.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A191\"\n                    data-col-index=\"0\"\n                    data-row-index=\"190\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        65120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B191\"\n                    data-col-index=\"1\"\n                    data-row-index=\"190\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF A FINGER                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C191\"\n                    data-col-index=\"2\"\n                    data-row-index=\"190\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        422.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A192\"\n                    data-col-index=\"0\"\n                    data-row-index=\"191\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        74145                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B192\"\n                    data-col-index=\"1\"\n                    data-row-index=\"191\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF A TOE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C192\"\n                    data-col-index=\"2\"\n                    data-row-index=\"191\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        422.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A193\"\n                    data-col-index=\"0\"\n                    data-row-index=\"192\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        52100                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B193\"\n                    data-col-index=\"1\"\n                    data-row-index=\"192\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE THORACIC SPINE ONE OR TWO VIEWS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C193\"\n                    data-col-index=\"2\"\n                    data-row-index=\"192\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        400.5                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A194\"\n                    data-col-index=\"0\"\n                    data-row-index=\"193\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        11120                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B194\"\n                    data-col-index=\"1\"\n                    data-row-index=\"193\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        X-RAY OF THE NASAL BONES                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C194\"\n                    data-col-index=\"2\"\n                    data-row-index=\"193\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        377.8                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A195\"\n                    data-col-index=\"0\"\n                    data-row-index=\"194\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        72105                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B195\"\n                    data-col-index=\"1\"\n                    data-row-index=\"194\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MUSCLE AND NERVE STIMULATING CURRENTS.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C195\"\n                    data-col-index=\"2\"\n                    data-row-index=\"194\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        85.13                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell  wpdt-empty-cell  wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A196\"\n                    data-col-index=\"0\"\n                    data-row-index=\"195\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-bold wpdt-fs-000020 wpdt-bc-00BCD4 wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A197\"\n                    data-col-index=\"0\"\n                    data-row-index=\"196\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Urine Tests                    <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"A198\"\n                    data-col-index=\"0\"\n                    data-row-index=\"197\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        NAMAF Code                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"B198\"\n                    data-col-index=\"1\"\n                    data-row-index=\"197\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Description                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"C198\"\n                    data-col-index=\"2\"\n                    data-row-index=\"197\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Avg Paid per Claim                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A199\"\n                    data-col-index=\"0\"\n                    data-row-index=\"198\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4268                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B199\"\n                    data-col-index=\"1\"\n                    data-row-index=\"198\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ORGANIC ACIDS: QUANTITATIVE: GCMS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C199\"\n                    data-col-index=\"2\"\n                    data-row-index=\"198\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        2,496.92                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A200\"\n                    data-col-index=\"0\"\n                    data-row-index=\"199\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4326                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B200\"\n                    data-col-index=\"1\"\n                    data-row-index=\"199\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CATECHOLAMINES (HPLC)                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C200\"\n                    data-col-index=\"2\"\n                    data-row-index=\"199\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,783.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A201\"\n                    data-col-index=\"0\"\n                    data-row-index=\"200\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4194                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B201\"\n                    data-col-index=\"1\"\n                    data-row-index=\"200\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        AMINO ACIDS: QUANTITATIVE (POST DERIVATISATION HPLC)                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C201\"\n                    data-col-index=\"2\"\n                    data-row-index=\"200\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,783.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A202\"\n                    data-col-index=\"0\"\n                    data-row-index=\"201\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4238                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B202\"\n                    data-col-index=\"1\"\n                    data-row-index=\"201\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        5HIAA (HPLC)                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C202\"\n                    data-col-index=\"2\"\n                    data-row-index=\"201\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,783.30                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A203\"\n                    data-col-index=\"0\"\n                    data-row-index=\"202\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4327                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B203\"\n                    data-col-index=\"1\"\n                    data-row-index=\"202\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        IMMUNOFIXATION: TOTAL PROTEINIGGIGAIGMKAPPALAMBDAI                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C203\"\n                    data-col-index=\"2\"\n                    data-row-index=\"202\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        1,070.20                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A204\"\n                    data-col-index=\"0\"\n                    data-row-index=\"203\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4232                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B204\"\n                    data-col-index=\"1\"\n                    data-row-index=\"203\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Metabolites (Gaschromatography\/Mass spectrophotometry)                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C204\"\n                    data-col-index=\"2\"\n                    data-row-index=\"203\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        924.78                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A205\"\n                    data-col-index=\"0\"\n                    data-row-index=\"204\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4228                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B205\"\n                    data-col-index=\"1\"\n                    data-row-index=\"204\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        FETAL LUNG MATURITY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C205\"\n                    data-col-index=\"2\"\n                    data-row-index=\"204\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        834.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A206\"\n                    data-col-index=\"0\"\n                    data-row-index=\"205\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4233                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B206\"\n                    data-col-index=\"1\"\n                    data-row-index=\"205\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Pharmacological\/Drugs of abuse: Metabolites HPLC (High Pressure Liquid Chromatography)                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C206\"\n                    data-col-index=\"2\"\n                    data-row-index=\"205\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        764.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A207\"\n                    data-col-index=\"0\"\n                    data-row-index=\"206\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4231                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B207\"\n                    data-col-index=\"1\"\n                    data-row-index=\"206\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Metabolites HPLC (High Pressure Liquid Chromatography)                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C207\"\n                    data-col-index=\"2\"\n                    data-row-index=\"206\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        764.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A208\"\n                    data-col-index=\"0\"\n                    data-row-index=\"207\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4369                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B208\"\n                    data-col-index=\"1\"\n                    data-row-index=\"207\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PORPHYRIN QUANTITIVE ANALYSIS BY TLCHPLC:                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C208\"\n                    data-col-index=\"2\"\n                    data-row-index=\"207\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        684.8                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A209\"\n                    data-col-index=\"0\"\n                    data-row-index=\"208\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4367                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B209\"\n                    data-col-index=\"1\"\n                    data-row-index=\"208\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PORPHYRIN QUALITATIVE ANALYSIS BY TLC:                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C209\"\n                    data-col-index=\"2\"\n                    data-row-index=\"208\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        456.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A210\"\n                    data-col-index=\"0\"\n                    data-row-index=\"209\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4198                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B210\"\n                    data-col-index=\"1\"\n                    data-row-index=\"209\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ARSENIC                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C210\"\n                    data-col-index=\"2\"\n                    data-row-index=\"209\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        413.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A211\"\n                    data-col-index=\"0\"\n                    data-row-index=\"210\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4273                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B211\"\n                    data-col-index=\"1\"\n                    data-row-index=\"210\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PORPHOBILINOGEN\/ALA: QUANTITATIVE EACH                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C211\"\n                    data-col-index=\"2\"\n                    data-row-index=\"210\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        342.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A212\"\n                    data-col-index=\"0\"\n                    data-row-index=\"211\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4209                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B212\"\n                    data-col-index=\"1\"\n                    data-row-index=\"211\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        LEAD: ATOMIC ABSORPTION.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C212\"\n                    data-col-index=\"2\"\n                    data-row-index=\"211\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        335.22                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A213\"\n                    data-col-index=\"0\"\n                    data-row-index=\"212\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3980                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B213\"\n                    data-col-index=\"1\"\n                    data-row-index=\"212\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        BILHARZIA AG SERUM\/URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C213\"\n                    data-col-index=\"2\"\n                    data-row-index=\"212\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        330.9                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A214\"\n                    data-col-index=\"0\"\n                    data-row-index=\"213\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4335                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B214\"\n                    data-col-index=\"1\"\n                    data-row-index=\"213\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CYSTINE: QUANTITATIVE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C214\"\n                    data-col-index=\"2\"\n                    data-row-index=\"213\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        287.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A215\"\n                    data-col-index=\"0\"\n                    data-row-index=\"214\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4261                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B215\"\n                    data-col-index=\"1\"\n                    data-row-index=\"214\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MICRO U-ALBUMIN QUANTITATIVE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C215\"\n                    data-col-index=\"2\"\n                    data-row-index=\"214\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.44                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A216\"\n                    data-col-index=\"0\"\n                    data-row-index=\"215\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437013                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B216\"\n                    data-col-index=\"1\"\n                    data-row-index=\"215\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CANNABINOIDS-U                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C216\"\n                    data-col-index=\"2\"\n                    data-row-index=\"215\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A217\"\n                    data-col-index=\"0\"\n                    data-row-index=\"216\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437011                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B217\"\n                    data-col-index=\"1\"\n                    data-row-index=\"216\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        BENZODIAZEPINES URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C217\"\n                    data-col-index=\"2\"\n                    data-row-index=\"216\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A218\"\n                    data-col-index=\"0\"\n                    data-row-index=\"217\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437012                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B218\"\n                    data-col-index=\"1\"\n                    data-row-index=\"217\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        BARBITURATES URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C218\"\n                    data-col-index=\"2\"\n                    data-row-index=\"217\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A219\"\n                    data-col-index=\"0\"\n                    data-row-index=\"218\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437014                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B219\"\n                    data-col-index=\"1\"\n                    data-row-index=\"218\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MANDRAX URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C219\"\n                    data-col-index=\"2\"\n                    data-row-index=\"218\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A220\"\n                    data-col-index=\"0\"\n                    data-row-index=\"219\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437016                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B220\"\n                    data-col-index=\"1\"\n                    data-row-index=\"219\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        OPIATES URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C220\"\n                    data-col-index=\"2\"\n                    data-row-index=\"219\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A221\"\n                    data-col-index=\"0\"\n                    data-row-index=\"220\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437017                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B221\"\n                    data-col-index=\"1\"\n                    data-row-index=\"220\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        AMPHETAMINES URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C221\"\n                    data-col-index=\"2\"\n                    data-row-index=\"220\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A222\"\n                    data-col-index=\"0\"\n                    data-row-index=\"221\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437018                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B222\"\n                    data-col-index=\"1\"\n                    data-row-index=\"221\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        METHADONE URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C222\"\n                    data-col-index=\"2\"\n                    data-row-index=\"221\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A223\"\n                    data-col-index=\"0\"\n                    data-row-index=\"222\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437019                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B223\"\n                    data-col-index=\"1\"\n                    data-row-index=\"222\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PHENCYCLIDINE-URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C223\"\n                    data-col-index=\"2\"\n                    data-row-index=\"222\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        283.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A224\"\n                    data-col-index=\"0\"\n                    data-row-index=\"223\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        437015                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B224\"\n                    data-col-index=\"1\"\n                    data-row-index=\"223\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        COCAINE URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C224\"\n                    data-col-index=\"2\"\n                    data-row-index=\"223\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        259.82                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A225\"\n                    data-col-index=\"0\"\n                    data-row-index=\"224\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4255                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B225\"\n                    data-col-index=\"1\"\n                    data-row-index=\"224\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        OROTIC ACID-URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C225\"\n                    data-col-index=\"2\"\n                    data-row-index=\"224\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        215.69                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A226\"\n                    data-col-index=\"0\"\n                    data-row-index=\"225\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4223                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B226\"\n                    data-col-index=\"1\"\n                    data-row-index=\"225\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CREATININE CLEARANCE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C226\"\n                    data-col-index=\"2\"\n                    data-row-index=\"225\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        174.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A227\"\n                    data-col-index=\"0\"\n                    data-row-index=\"226\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4266                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B227\"\n                    data-col-index=\"1\"\n                    data-row-index=\"226\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        THIN LAYER CHROMATOGRAPHY: TWO WAY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C227\"\n                    data-col-index=\"2\"\n                    data-row-index=\"226\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        171.12                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A228\"\n                    data-col-index=\"0\"\n                    data-row-index=\"227\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4093                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B228\"\n                    data-col-index=\"1\"\n                    data-row-index=\"227\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        OSMOLALITY: SERUM OR URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C228\"\n                    data-col-index=\"2\"\n                    data-row-index=\"227\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        154.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A229\"\n                    data-col-index=\"0\"\n                    data-row-index=\"228\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4265                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B229\"\n                    data-col-index=\"1\"\n                    data-row-index=\"228\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        THIN LAYER CHROMATOGRAPHY: ONE WAY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C229\"\n                    data-col-index=\"2\"\n                    data-row-index=\"228\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        136.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A230\"\n                    data-col-index=\"0\"\n                    data-row-index=\"229\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4197                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B230\"\n                    data-col-index=\"1\"\n                    data-row-index=\"229\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        AMYLASE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C230\"\n                    data-col-index=\"2\"\n                    data-row-index=\"229\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        118.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A231\"\n                    data-col-index=\"0\"\n                    data-row-index=\"230\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4366                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B231\"\n                    data-col-index=\"1\"\n                    data-row-index=\"230\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PORPHYRIN SCREEN QUALITATIVE: URINE, STOOL,                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C231\"\n                    data-col-index=\"2\"\n                    data-row-index=\"230\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        114.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A232\"\n                    data-col-index=\"0\"\n                    data-row-index=\"231\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4272                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B232\"\n                    data-col-index=\"1\"\n                    data-row-index=\"231\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PORPHOBILINOGEN QUALITATIVE SCREEN: URINE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C232\"\n                    data-col-index=\"2\"\n                    data-row-index=\"231\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        114.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A233\"\n                    data-col-index=\"0\"\n                    data-row-index=\"232\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4262                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B233\"\n                    data-col-index=\"1\"\n                    data-row-index=\"232\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MICRO ALBUMIN-QUAL                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C233\"\n                    data-col-index=\"2\"\n                    data-row-index=\"232\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        102.7                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A234\"\n                    data-col-index=\"0\"\n                    data-row-index=\"233\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4221                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B234\"\n                    data-col-index=\"1\"\n                    data-row-index=\"233\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CREATININE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C234\"\n                    data-col-index=\"2\"\n                    data-row-index=\"233\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        84.75                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A235\"\n                    data-col-index=\"0\"\n                    data-row-index=\"234\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4205                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B235\"\n                    data-col-index=\"1\"\n                    data-row-index=\"234\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CALCIUM: SPECTROPHOTOMETRIC                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C235\"\n                    data-col-index=\"2\"\n                    data-row-index=\"234\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A236\"\n                    data-col-index=\"0\"\n                    data-row-index=\"235\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4321                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B236\"\n                    data-col-index=\"1\"\n                    data-row-index=\"235\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        URIC ACID.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C236\"\n                    data-col-index=\"2\"\n                    data-row-index=\"235\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A237\"\n                    data-col-index=\"0\"\n                    data-row-index=\"236\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4313                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B237\"\n                    data-col-index=\"1\"\n                    data-row-index=\"236\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PHOSPHATE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C237\"\n                    data-col-index=\"2\"\n                    data-row-index=\"236\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A238\"\n                    data-col-index=\"0\"\n                    data-row-index=\"237\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4316                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B238\"\n                    data-col-index=\"1\"\n                    data-row-index=\"237\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        SODIUM.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C238\"\n                    data-col-index=\"2\"\n                    data-row-index=\"237\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A239\"\n                    data-col-index=\"0\"\n                    data-row-index=\"238\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4315                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B239\"\n                    data-col-index=\"1\"\n                    data-row-index=\"238\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        POTASSIUM.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C239\"\n                    data-col-index=\"2\"\n                    data-row-index=\"238\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A240\"\n                    data-col-index=\"0\"\n                    data-row-index=\"239\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4319                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B240\"\n                    data-col-index=\"1\"\n                    data-row-index=\"239\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        UREA.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C240\"\n                    data-col-index=\"2\"\n                    data-row-index=\"239\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A241\"\n                    data-col-index=\"0\"\n                    data-row-index=\"240\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4283                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B241\"\n                    data-col-index=\"1\"\n                    data-row-index=\"240\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        MAGNESIUM: SPECTROPHOTOMETRIC                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C241\"\n                    data-col-index=\"2\"\n                    data-row-index=\"240\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A242\"\n                    data-col-index=\"0\"\n                    data-row-index=\"241\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4213                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B242\"\n                    data-col-index=\"1\"\n                    data-row-index=\"241\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PROTEIN: QUANTITATIVE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C242\"\n                    data-col-index=\"2\"\n                    data-row-index=\"241\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51.32                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A243\"\n                    data-col-index=\"0\"\n                    data-row-index=\"242\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4248                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B243\"\n                    data-col-index=\"1\"\n                    data-row-index=\"242\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        REDUCING SUBSTANCES.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C243\"\n                    data-col-index=\"2\"\n                    data-row-index=\"242\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        41.1                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A244\"\n                    data-col-index=\"0\"\n                    data-row-index=\"243\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4218                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B244\"\n                    data-col-index=\"1\"\n                    data-row-index=\"243\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        GLUCOSE: QUANTITATIVE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C244\"\n                    data-col-index=\"2\"\n                    data-row-index=\"243\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        34.44                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A245\"\n                    data-col-index=\"0\"\n                    data-row-index=\"244\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4199                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B245\"\n                    data-col-index=\"1\"\n                    data-row-index=\"244\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ASCORBIC ACID.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C245\"\n                    data-col-index=\"2\"\n                    data-row-index=\"244\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        33.8                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A246\"\n                    data-col-index=\"0\"\n                    data-row-index=\"245\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4188                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B246\"\n                    data-col-index=\"1\"\n                    data-row-index=\"245\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        URINE DIPSTICK, PER STICK                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C246\"\n                    data-col-index=\"2\"\n                    data-row-index=\"245\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        24.57                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A247\"\n                    data-col-index=\"0\"\n                    data-row-index=\"246\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4263                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B247\"\n                    data-col-index=\"1\"\n                    data-row-index=\"246\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PH: EXCLUDING DIP-STICK METHOD                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C247\"\n                    data-col-index=\"2\"\n                    data-row-index=\"246\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        20.5                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell  wpdt-empty-cell  wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A248\"\n                    data-col-index=\"0\"\n                    data-row-index=\"247\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-bold wpdt-fs-000020 wpdt-bc-00BCD4 wpdt-merged-cell \"\n                     colspan=\"3\"  rowspan=\"1\"                     data-cell-id=\"A249\"\n                    data-col-index=\"0\"\n                    data-row-index=\"248\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Blood Tests                    <\/td>\n                                                                <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"A250\"\n                    data-col-index=\"0\"\n                    data-row-index=\"249\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        NAMAF Code                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"B250\"\n                    data-col-index=\"1\"\n                    data-row-index=\"249\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Description                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-bold wpdt-bc-FFC107\"\n                                            data-cell-id=\"C250\"\n                    data-col-index=\"2\"\n                    data-row-index=\"249\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Avg Paid per Claim                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell  wpdt-empty-cell \"\n                                            data-cell-id=\"A251\"\n                    data-col-index=\"0\"\n                    data-row-index=\"250\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left wpdt-tc-F44336\"\n                                            data-cell-id=\"B251\"\n                    data-col-index=\"1\"\n                    data-row-index=\"250\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        Average Cost Per Patient For Blood Tests:                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C251\"\n                    data-col-index=\"2\"\n                    data-row-index=\"250\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3,067.21                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A252\"\n                    data-col-index=\"0\"\n                    data-row-index=\"251\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4076                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B252\"\n                    data-col-index=\"1\"\n                    data-row-index=\"251\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        BLOOD GASES: PANEL 2: PANEL 1 (4075) & ANCILLARY TESTS.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C252\"\n                    data-col-index=\"2\"\n                    data-row-index=\"251\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        671.45                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A253\"\n                    data-col-index=\"0\"\n                    data-row-index=\"252\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4025                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B253\"\n                    data-col-index=\"1\"\n                    data-row-index=\"252\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CHOL\/HDL\/LDL\/TRIG                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C253\"\n                    data-col-index=\"2\"\n                    data-row-index=\"252\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        613.45                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A254\"\n                    data-col-index=\"0\"\n                    data-row-index=\"253\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3932                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B254\"\n                    data-col-index=\"1\"\n                    data-row-index=\"253\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ANTIBODIES TO HUMAN IMMUNODEFICIENCY VIRUS (HIV): ELISA.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C254\"\n                    data-col-index=\"2\"\n                    data-row-index=\"253\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        450.61                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A255\"\n                    data-col-index=\"0\"\n                    data-row-index=\"254\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4507                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B255\"\n                    data-col-index=\"1\"\n                    data-row-index=\"254\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        THYROTROPIN (TSH).                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C255\"\n                    data-col-index=\"2\"\n                    data-row-index=\"254\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        445.86                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A256\"\n                    data-col-index=\"0\"\n                    data-row-index=\"255\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4482                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B256\"\n                    data-col-index=\"1\"\n                    data-row-index=\"255\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        FREE THYROXINE (FT4).                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C256\"\n                    data-col-index=\"2\"\n                    data-row-index=\"255\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        397.51                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A257\"\n                    data-col-index=\"0\"\n                    data-row-index=\"256\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3830                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B257\"\n                    data-col-index=\"1\"\n                    data-row-index=\"256\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        GLUCOSE 6-PHOSPHATE-DEHYDROGENASE: QUANTITATIVE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C257\"\n                    data-col-index=\"2\"\n                    data-row-index=\"256\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        365.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A258\"\n                    data-col-index=\"0\"\n                    data-row-index=\"257\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4171                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B258\"\n                    data-col-index=\"1\"\n                    data-row-index=\"257\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        SODIUM + POTASSIUM + CHLORIDE + CO2 + UREA                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C258\"\n                    data-col-index=\"2\"\n                    data-row-index=\"257\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        359.9                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A259\"\n                    data-col-index=\"0\"\n                    data-row-index=\"258\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        220                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B259\"\n                    data-col-index=\"1\"\n                    data-row-index=\"258\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        IMMEDIATE HYPERSENSITIVITY TESTING (TYPE I REACTION): PER ANTIGEN:                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C259\"\n                    data-col-index=\"2\"\n                    data-row-index=\"258\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        351.9                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A260\"\n                    data-col-index=\"0\"\n                    data-row-index=\"259\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4064                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B260\"\n                    data-col-index=\"1\"\n                    data-row-index=\"259\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        GLYCOSYLATED HAEMOGLOBIN: CHROMATOGRAPHY                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C260\"\n                    data-col-index=\"2\"\n                    data-row-index=\"259\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        289.2                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A261\"\n                    data-col-index=\"0\"\n                    data-row-index=\"260\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4156                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B261\"\n                    data-col-index=\"1\"\n                    data-row-index=\"260\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        VITAMIN D3                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C261\"\n                    data-col-index=\"2\"\n                    data-row-index=\"260\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        282.6                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A262\"\n                    data-col-index=\"0\"\n                    data-row-index=\"261\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4144                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B262\"\n                    data-col-index=\"1\"\n                    data-row-index=\"261\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        TRANSFERRIN.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C262\"\n                    data-col-index=\"2\"\n                    data-row-index=\"261\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        266.2                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A263\"\n                    data-col-index=\"0\"\n                    data-row-index=\"262\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3755                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B263\"\n                    data-col-index=\"1\"\n                    data-row-index=\"262\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        FULL BLOOD COUNT (INCLUDING ITEMS 3739, 3762,                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C263\"\n                    data-col-index=\"2\"\n                    data-row-index=\"262\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        238.98                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A264\"\n                    data-col-index=\"0\"\n                    data-row-index=\"263\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        418201                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B264\"\n                    data-col-index=\"1\"\n                    data-row-index=\"263\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        C-REACTIVE PROTEIN                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C264\"\n                    data-col-index=\"2\"\n                    data-row-index=\"263\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        188.81                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A265\"\n                    data-col-index=\"0\"\n                    data-row-index=\"264\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4147                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B265\"\n                    data-col-index=\"1\"\n                    data-row-index=\"264\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        TRIGLYCERIDE                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C265\"\n                    data-col-index=\"2\"\n                    data-row-index=\"264\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        180.41                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A266\"\n                    data-col-index=\"0\"\n                    data-row-index=\"265\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4026                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B266\"\n                    data-col-index=\"1\"\n                    data-row-index=\"265\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        LDL CHOLESTEROL (CHEMICAL DETERMINATION)                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C266\"\n                    data-col-index=\"2\"\n                    data-row-index=\"265\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        156.41                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A267\"\n                    data-col-index=\"0\"\n                    data-row-index=\"266\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4028                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B267\"\n                    data-col-index=\"1\"\n                    data-row-index=\"266\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        HDL CHOLESTEROL.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C267\"\n                    data-col-index=\"2\"\n                    data-row-index=\"266\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        153.74                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A268\"\n                    data-col-index=\"0\"\n                    data-row-index=\"267\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3893                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B268\"\n                    data-col-index=\"1\"\n                    data-row-index=\"267\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        BACTERIOLOGICAL CULTURE: MISCELLANEOUS                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C268\"\n                    data-col-index=\"2\"\n                    data-row-index=\"267\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        143.72                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A269\"\n                    data-col-index=\"0\"\n                    data-row-index=\"268\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3783                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B269\"\n                    data-col-index=\"1\"\n                    data-row-index=\"268\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        LEUCOCYTE DIFFERENTIAL COUNT.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C269\"\n                    data-col-index=\"2\"\n                    data-row-index=\"268\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        141.29                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A270\"\n                    data-col-index=\"0\"\n                    data-row-index=\"269\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4131                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B270\"\n                    data-col-index=\"1\"\n                    data-row-index=\"269\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ALANINE AMINOTRANSFERASE (ALT).                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C270\"\n                    data-col-index=\"2\"\n                    data-row-index=\"269\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        123.05                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A271\"\n                    data-col-index=\"0\"\n                    data-row-index=\"270\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4130                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B271\"\n                    data-col-index=\"1\"\n                    data-row-index=\"270\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ASPARTATE AMINOTRANSFERASE (AST).                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C271\"\n                    data-col-index=\"2\"\n                    data-row-index=\"270\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        123                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A272\"\n                    data-col-index=\"0\"\n                    data-row-index=\"271\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4027                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B272\"\n                    data-col-index=\"1\"\n                    data-row-index=\"271\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CHOLESTEROL TOTAL.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C272\"\n                    data-col-index=\"2\"\n                    data-row-index=\"271\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        106.77                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A273\"\n                    data-col-index=\"0\"\n                    data-row-index=\"272\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4032                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B273\"\n                    data-col-index=\"1\"\n                    data-row-index=\"272\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        CREATININE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C273\"\n                    data-col-index=\"2\"\n                    data-row-index=\"272\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        82.45                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A274\"\n                    data-col-index=\"0\"\n                    data-row-index=\"273\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        4057                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B274\"\n                    data-col-index=\"1\"\n                    data-row-index=\"273\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        GLUCOSE: QUANTITATIVE.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C274\"\n                    data-col-index=\"2\"\n                    data-row-index=\"273\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        69.21                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A275\"\n                    data-col-index=\"0\"\n                    data-row-index=\"274\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3739                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B275\"\n                    data-col-index=\"1\"\n                    data-row-index=\"274\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        ERYTHROCYTE COUNT.                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C275\"\n                    data-col-index=\"2\"\n                    data-row-index=\"274\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51.4                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A276\"\n                    data-col-index=\"0\"\n                    data-row-index=\"275\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3797                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B276\"\n                    data-col-index=\"1\"\n                    data-row-index=\"275\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PLATLET COUNT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C276\"\n                    data-col-index=\"2\"\n                    data-row-index=\"275\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        51.3                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A277\"\n                    data-col-index=\"0\"\n                    data-row-index=\"276\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3785                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B277\"\n                    data-col-index=\"1\"\n                    data-row-index=\"276\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        LEUCOCYTES: TOTAL COUNT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C277\"\n                    data-col-index=\"2\"\n                    data-row-index=\"276\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        41.02                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A278\"\n                    data-col-index=\"0\"\n                    data-row-index=\"277\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3791                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B278\"\n                    data-col-index=\"1\"\n                    data-row-index=\"277\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        PACKED CELL VOLUME: HAEMATOCRIT                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C278\"\n                    data-col-index=\"2\"\n                    data-row-index=\"277\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        33.61                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"A279\"\n                    data-col-index=\"0\"\n                    data-row-index=\"278\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        3762                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-left\"\n                                            data-cell-id=\"B279\"\n                    data-col-index=\"1\"\n                    data-row-index=\"278\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        HAEMOGLOBIN ESTIMATION                    <\/td>\n                                                <td class=\"wpdt-cell wpdt-align-right\"\n                                            data-cell-id=\"C279\"\n                    data-col-index=\"2\"\n                    data-row-index=\"278\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                        30.07                    <\/td>\n                                        <\/tr>\n                            <tr class=\"wpdt-cell-row \" >\n                                <td class=\"wpdt-cell  wpdt-empty-cell \"\n                                            data-cell-id=\"A280\"\n                    data-col-index=\"0\"\n                    data-row-index=\"279\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                                <td class=\"wpdt-cell  wpdt-empty-cell \"\n                                            data-cell-id=\"B280\"\n                    data-col-index=\"1\"\n                    data-row-index=\"279\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                                <td class=\"wpdt-cell  wpdt-empty-cell \"\n                                            data-cell-id=\"C280\"\n                    data-col-index=\"2\"\n                    data-row-index=\"279\"\n                    style=\"                    padding:10px;\n                    \"\n                    >\n                                                            <\/td>\n                                        <\/tr>\n                    <\/table>\n<\/div><style id='wpdt-custom-style-47'>\n.wpdt-fs-000020 { font-size: 20px !important;}\n.wpdt-bc-00BCD4 { background-color: #00BCD4 !important;}\n.wpdt-bc-FFC107 { background-color: #FFC107 !important;}\n.wpdt-tc-F44336 { color: #F44336 !important;}\n<\/style>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>MEDICAL TEST COSTS BREAKDOWN Note: The prices listed below are averages paid per claim for the specific BHF code. It\u2019s important to highlight that these costs exclude any other services [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-3630","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00a0MEDICAL TEST\u00a0COSTS BREAKDOWN\u00a0 - RMA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rmanam.com\/index.php\/medical-test-costs-breakdown\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00a0MEDICAL TEST\u00a0COSTS BREAKDOWN\u00a0 - RMA\" \/>\n<meta property=\"og:description\" content=\"MEDICAL TEST COSTS BREAKDOWN Note: The prices listed below are averages paid per claim for the specific BHF code. 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