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Based on public Medicaid payment data.

Lance Dustin Edmonds

Medicaid Provider in Provo, UT

Type

Individual Provider

Address

1055 N 500 W Ste 112

Provo, UT 846043305

Phone

8018124624

NPI

1124214374

Procedures

2

Total Claims

81

Patients Served

80

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
X-Ray $7.15 69 68
CT Scan (Computed Tomography) $27.34 12 12

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