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Business, 18.06.2020 02:57 chiah

A. ED admission, deductible not met Admission to Happy Hospital Emergency Department (in-network) ED visit DOS: 01/31/18 Allowable Charges = $2,431.94 Diagnosis: S52.221A, Displaced transverse fracture of shaft of right ulna Procedure: 99284, Level 4 ED visit Procedure: 73090, Radiologic examination; forearm, 2 views Procedure: 29075, Application, cast; elbow to finger (short arm) Cost-sharing amount is ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬

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