Diagnostic lab tests and x-rays
Service Benefit Category Id
51
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Diagnostic machine tests
Service Benefit Category Id
52
Office and health center services
Service Benefit Category Id
53
Hospital services
Service Benefit Category Id
54
Office and health center services
Service Benefit Category Id
55
Hospital and day surgical facility services
Service Benefit Category Id
56
Office and health center services
Service Benefit Category Id
57
Hospital and free-standing radiation therapy and chemotherapy facility services
Service Benefit Category Id
58
Office and health center services
Service Benefit Category Id
59
Hospital services
Service Benefit Category Id
60