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Excellus rates for CPT 0003A

2 hospital rates under all methods. One row per hospital and set of terms.

Hospital	Terms	Plans	Average	Range
MVHS, Inc.	percent of total billed charges · bothfrom % of charges	2	$42.90	$42.90 to $42.90
Margaretville Memorial Hospital	facility · fee schedule · outpatient	2	$112.64	$112.64 to $112.64

Snapshot 20261108T055240Z-43b7dac7