$5.00 for records sent within 7 days of request. the regulations promulgated thereunder. Max Fee : $150.00 per request, Statute Title 22 Part 4 Chapter 401 Section 1711-A, Search Fee : $22.88 If you need your records because you are appealing the denial of your Social Security disability or SSI application, you can get a free copy of your medical record once every two years . 17935(e), if a health care provider uses or maintains health records in an electronic format with respect to protected health information of an individual, such individual shall have a right to obtain from the health care provider a copy of such information in an electronic format. Pages 1 - 100: $1.00 per page contract A patient must request, in writing, a copy of medical records. Providers who use a medical record company to make and provide copies of medical records must ensure that reimbursement requirements are followed in accordance with the above fee schedule guidelines. Pages 21 80 : $1.00 per page other X-rays and other media : Actual cost of reproduction, Statute Sections 17 & 18 of Public Health Law (PHL), Pages 1 25 : $0.75 per page If you notice a fee is incorrect or outdated, pleaseContact Us. 19 Del.C. Pages 1 25 : $1.00 per page and The Records Company, Inc. Actual cost and reasonable fees for non-photocopiable records, capped at $25.00. Physicians can also charge an authorized third party for the actual cost of postage. Certification Fee : $9.70, Workers Comp: Pursuant to 42 U.S.C. For records requests made BEFORE 6/30/18: Per page fee for producing a copy of records on a digital or electronic medium shall be 60% of the per page fee otherwise provided in this section, regardless of whether the original medical records are stored in electronic format., For records requests made on or after 7/1/18: Per page fee for producing a copy of records on a digital or electronic medium shall be 50% of the per page fee otherwise provided in this section, regardless of whether the original medical records are stored in electronic format.. The Medical Records Price Index is published to the Ohio Department of Health website annually and establishes the maximum amounts health care providers may charge for copying a patient's medical record. X-rays, MRI, CAT Scan (recorded on paper or film): Search Fee + $2.35per page, Search Fee: $20.00 Our system is incredibly easy to use: Simply submit your medical record request through our secure, encrypted, HIPAA-compliant online portal. Search Fee: $20.00 Pages 101+ $0.35per page And if you ever have any questions or concerns, you can contact us directly for immediate help. Max Fee : $100.00 per admission, Attorneys that DO NOT represent the patient: any Pages 1+: $0.30 per page New Jersey S2253 2022-2023 Limits fees charged for copies of medical and billing records. 0000022514 00000 n Max Fee (electronic records) : $150, Paper Records: The federal HIPAA regulations do not allow a charge for a preparation fee for records provided directly to the patient. Actual costs for duplicating non-photocopiable records. Can you get records from medical providers outside the US? Presentations from the 2022 IRS Nationwide Tax Forum | Internal Revenue Service . Pages 31+:$0.61/page Pages 1 10 : $16.00 flat fee Share sensitive information only on official, secure websites. Pages 1+ (electronic records) : $0.20 per page Flat fee not to exceed cost of equivalent paper records. Must provide proper documentation. Actual cost of any required postage may also be charged. Max Fee : $150.00, Microfilm and other media: No more than $1.74/ page for microfiche or microfilm. and Pages 61+: $0.50 per page Additional cost for reproducing x-rays, imaging, and non-written records. 160.203. Pages: 1+: $0.50 per page $27.14 Flat Fee, Pages 1+ : $1.35 per page No fees can be charged for copies of records that will be used to support a claim or an appeal for Social Security, medical assistance, Rite Care, Temporary Disability Insurance, unemployment compensation, or any other federal or state needs-based benefits program. Max Fee : $100.00 per request, X-rays: Certification Fee: $9.70, Workers Comp: to annually determine the maximum allowable fees for copies of patient records. Pages 351+: $0.25 per page Fees for x-rays and imaging records $8.00/ copy. Copies of presentations made during the 2022 IRS Nationwide Tax Forum. 1082 0 obj <>stream 0000004638 00000 n Pages 1 - 25: $1.00 per page Any and all private health information, covered by HIPAA or other pertinent statute shared via this form is intended only for use by The Records Company and its agents and employees. Patient access fee may apply for copies. 6152, 6152.1 and 6155 (relating to subpoena ofrecords; limit on charges; and rights of patients), a health care provider or facility is allowed to charge a fee in response to a request for medical charts or records. Pages 21 - 100: $1.00 per page Second Request : $0.50 per page, Paper Records 0 A fee of up to $1.00 may be charged for each year of records requested Florida Statutes 395.301, Itemized Patient Bill The facility may not charge the patient for making such verification records available; however, the facility may charge its usual fee for providing copies of records as specified in s. 395.3025. A Pages 1-25: $0.50 per page . X-rays and other media: Actual cost of reproduction, Workers Comp Pages 1-10 $1.00 Must be specified in the request letter. Can you get records from any US medical provider? If no records are found, a $25.00 maximum clerical fee may be charged. Max Fee: $250.00, Electronic Records First copy, $0.75/ page plus notary fees, postage, and sales tax; additional copies add $10.00 retrieval fee. 70 0 obj <>stream Flat Fee Pages 11-50: $12.00 ($28.00 total) Reasonable fees for retrieval of hospital, physicians' records, or EMS records if those records are stored off-site. Accordingly, effective January 1, 2023, the following fees may be charged by a health care facility or health care provider in response to a request for production of medical charts or records: Pages 21 - 60: $0.90 per page Sec. 0000020060 00000 n Pages 21 60 : $1.15 per page Same per-page rate as paper records, capped at $100.00 total. Proof of indigency affidavit may be required. Max Fee: $150.00 per request, Statute Title 22 Part 4 Chapter 401 Section 1711-A. Storage Fee: $27.51 (Additional fee if records are retrieved from an off-site location) Pages 21 - 60: $1.36/page Pages 21 - 60: $0.90 per page The physician can charge the actual cost to reproduce the document plus a reasonable fee for clerical services that cannot be more than $25. 0000010556 00000 n Responsibility Pages 1+ (paper records) : $0.40 per page Minimum charge: $10.00, Paper Records: Orthotics and Complete medical records must be retained 2 years after the age of majority (i.e., until Florida 5 years from the last 2022 Family-medical.net. In the notice published at 51 Pa.B. Pages 10 - 50: $0.75 per page Title XXX Occupations and Professions Chapter 332-I Medical Records, Title 35, Chapter 2, Article 6, Section 35-2-611(b). If the medical record is in some form or medium other than paper, the actual cost of preparing a duplicate, Any postage or shipping costs incurred by the health care provider, health facility, or medical records company in providing the copies, Any actual costs incurred by the health care provider, health facility, or medical records company in retrieving medical records that are 7 years old or older and not maintained or accessible on-site, X-rays: $10 search fee + actual reproduction cost per page, Search/Storage Fee: $15.00 (charged for records retrieved off site), 6+ Pages: $0.50/page/admission + fee for -5 pages, Storage Fee: $25.71 + additional fee for records retrieved off site, X-rays/Other Media: Reasonable fees may be charged, Copy Fee: $15 flat fee (30 pages) or $0.50/page, X-rays/Other Media (recorded on film/paper): $2.35/page, Copy Fee: $0.30/page, max $200.00 (requires EMR), X-rays and other media: Actual cost of reproduction. $0.76/page (11-50) Postage : Actual cost of mailing, Search Fee: $23.04 Hospitals: Pages 101+ = $0.25/ page, capped at $200. X-rays and other media : Actual cost of reproduction, Pages 1+ : $0.75 per page Pages 26 50 : $0.84 per page State-by-State Guide of Medical Record Copying Fees. Workers Comp Pages 10+: $0.20 per page, Pages 1+: $0.75 per page Search Fee: $5.00 (includes the first page) Pages 101+: $0.50 per page X-rays, imaging and other media : $5.00 per page Evid. Pages 26+ : $0.25 per page, Search Fee : $20.06 The requested records must be provided within 30 days of receipt of the written request. 0000002681 00000 n Physician Records: Pages 1-500 = $25.00; Pages 500+ = $50.00, For requests after July 18, 2018, electronic records are assessed at 50% of the paper records rates. X-rays: $9.50 per copy, Search Fee : $28.44 Physician Records: Pages 21+ = $0.50/page. You may be trying to access this site from a secured browser on the server. No charge for original mammogram films, but postage may apply. $2.00 per page for pages 1-10. Below are each state's current copy fees. Pages 100+: $0.25 per page In addition to the fees above, practices may charge the following: When the records are mailed, practices may charge the actual cost of postage or shipping. Max Fee: $50.00 per admission (excluding postage/handling and retrieval charges), Paper Records: Admin. The District of Columbia Health Occupations Revision Act of 1985, March 25, 1986 (D.C. Law 6-99; D.C. Official Code 3-1201.01 et seq. Title 35, Chapter 2, Article 6, Section 35-2-611(b) Paper Records50 Pages: $0.75/page51+ Pages: $0.50/page, Electronic RecordsCopy Fee: $0.10/pageX-rays/Other Media: Reasonable costs, but not exceed $25.00Max Fee: $25.00Rush Fee: $20.00 (for requests completed and delivered within 48 hours), Paper Records$0.73 per page for the first 30 pages$0.56 per page for all pages following the first 30 pagesClerical fee not to exceed $28.37Max fee for electronic records: $227.00 per admissionPlus actual postage and applicable sales taxX-rays: The cost of materials and supplies used to duplicate the X-ray and the labor and overhead costs associated with the duplicationIf no records are found, a $25.00 maximum clerical fee may be charged.SC Code 44-7-325 (Adjusted based on CPI as of July 31, 2021), Electronic Records$0.73 per page for the first 30 pages$0.56 per page for all pages following the first 30 pagesClerical fee not to exceed $28.37Max fee for electronic records: $170.26 (regardless of number of admissions)Plus actual postage and applicable sales taxX-rays: The cost of materials and supplies used to duplicate the X-ray and the labor and overhead costs associated with the duplicationIf no records are found, a $25.00 maximum clerical fee may be charged.SC Code 44-7-325 (Adjusted based on CPI as of July 31, 2021), Copy Fee: Actual reproduction and mailing expense, Clinic Records5 Pages: $20.00 flat fee6+ Pages: $0.50/pagePostage: Actual mailing expense, Hospital Records5 Pages: $18.00 flat fee6+ Pages: $0.85/page51+ Pages: $0.60/pagePostage: Actual mailing expense. Pages 1 30 : $0.65 per page b. Title 2: Section 17, Pages 1 - 25: $0.75 per page Maximum allowable fee. Pages 26 - 50: $0.84/page Pages 21 50 : $0.63 per page Pages 1+ : $1.00 per page If you have questions, please consult with your own legal counsel. Pages 2+: $0.45per page Reasonable fees for duplicating x-rays, imaging and other records maintained in non-paper format. Search Fee: $27.46 Pages 51+: $0.25 per page Search Fee : $ 25.00 Pages 26+: $0.50 per page 45 C.F.R. Search Fee: $25.00 (includes pages 1 - 500) $9.50 per copy for radiography copies; sales tax, postage, Yes- defined as "a reasonable costs incurred by a health care provider in making. The Minnesota Health Records Act is in Minnesota Statutes 144.291-.298 (formerly part of Minnesota Statutes 144.335). For more information, please review guidance provided to Covered Entities and their Business Associates by the U.S. Department of Health and Human Services (HHS)/ Office of Civil Rights (OCR) available at: https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html. Pages 1 - 5:$15.00 (per admission) Pages 41+: $0.16/page. Pages 1+ : $0.58 per page 0000003751 00000 n $15 flat fee for first 30 pagesor $0.50 per page State laws typically permit providers to charge a per-page copy fee, of up to a certain dollar value, or to charge a flat fee of up to a certain amount for the entire medical record. Minimum charge: $10.00, Paper Records: Evidence Fee: $15.00 xref The Omnibus Rule, effective 9/23/2013, "allows for the identification of labor costs for copying protected health information (PHI), whether in paper or electronic form, which can include a reasonable cost-based fee for time spent creating and copying the file". Hamilton, Ohio 45011, Mailing Address: No fees can be charged for copies of medical records that are being sent to another consulting provider. Pages 100+: $0.43 per page hXmk9+R]Z(kZ0&{c{demM=e%Ba0^X 5( Since that time, MHA has provided members with its calculation using the change in the Consumer Price Index (CPI) for medical care services in effect. Social Security:No charge for any request made under the provision of the Social Security Act. Initial fee of $26.74 per request for a copy of the record. Microfilm: $25.20 plus $2.70/page, The individual also has a choice to direct the health care provider to transmit electronically a copy of the health record directly to an entity or person designated by the individual, provided that any such choice is clear, conspicuous, and specific. Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact the Department of Health, Office of Legal Counsel, at the previously listed address or phone number, or for speech and/or hearing-impaired persons, call the Pennsylvania Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users). X-rays and other media: Reasonable fees may be charged, Charges are based on which is greater: Physicians can also charge an authorized third party for the actual cost of postage. 2. Pages 17+ (Paper): $0.45 per page, State law [K.S.A. The previously listed charges, however, are subject to the following exceptions: (1) An insurer shall not be required to pay for copies of medical records required to validate medical services for which reimbursement is sought under an insurance contract, except as provided in: a. 0000000016 00000 n Some states set copying fees at tiered rates based on number of pages copied. Proudly founded in 1681 as a place of tolerance and freedom. b{ Our statistical average turnaround time is 16 days. Flat Fee Pages 1 - 10: $16.00 Pages 51+: $0.29/page Pages 1 10 : $2.00 per page To our customers impacted by the COVID-19 coronavirus", we're here to help if you need assistance. Pages 26+: $0.25 per page, Search Fee: $21.65 Chapter 17 Pages 51+: $0.25 per page types of Pages 1+: $1.00 per page Max Fee: $100.00 per admission, Certification Fee: $25.00, Section 11-1-52, Mississippi Code of 1972, Worker's Comp: An authorized third party is defined as attorneys representing a patient, attorneys not representing a patient, a patients estate, or an insurance company. CITE: The University of Texas Medical Branch, Paper Records Pages 6 - 50: $0.85 per page Medical Records Allowable charges for copies of medical records Chapter 70.02 RCW sets regulations regarding health care information access and disclosure. Pages 16+: $0.25 per page A fee of $5 or no more than $0.50 per page, whichever is greater. OAR 847-012-0000, Search Fee: Pages 1+: $0.75 per page, Records Requested For Dates Prior To / Outside of Injury: Microfilm : $23.04 + $2.29 per page, District Attorney Requests: Social Security :Attorneys providing that the patient is applying for social security benefits and indigent may receive records free of charge. State rates are pre-empted by HIPAA when individuals request copies of medical records for themselves. 22 Tex. . The individual also has a choice to direct the health care provider to transmit electronically a copy of the health record directly to an entity or person designated by the individual, provided that any such choice is clear, conspicuous, and specific. X-rays / Other Media: Actual cost of reproduction, PerSection 12-21-6.1 Alabama Code Reproduction, Search Fee: $25.42 Fees are authorized annually by the State of Michigan Medical Records Access Act, P.A. Pages 6+: $0.50 per page (per admission, in addition to the above $15 fee) Labor, materials, and supply costs for x-rays and other special records. EffectiveJuly 1, 2015, the Department of Community Health (DCH) becamethe state entity responsible for calculating the annual inflation adjustment and publishing the revised rates for medical records retrieval. X-rays and other media : Actual cost of reproduction Microfilm : $0.50 per page 17935(e) and 45 CFR 164.524 (relating to access of individuals to protect health information), as follows: a. party. Pages 1 - 10: $1.42/page Search Fee: $10.00 44-115-80, Hospital: Pages 11+ : $1.67, Texas Health & Safety Code 241.154 $0.50. Per page fee for paper pages 61+. Code 1563 (6), Search Fee: $18.53 flat fee (First ten pages) Social Security: No charge for a request to support a claim under the social security act. Any request made via this site or other request to The Records Company, Inc. does not create a business or other contractual relationship between the parties without further communication. 146.83 (3f) (c) 2., each July 1, beginning on July 1, 2012, the Department of Health Services is required to adjust, by the percentage difference between the consumer price Social Security: No charge for any request made under the provision of the Social Security Act. the per page fees)., Search Fee: $17.96 $28.48 flat fee for records related to Social Security claims. No current laws for copying medical records on record in this state. Pages 1-25 = $0.75/ page ($10.00 minimum), Pages 26-100 = $0.50/ page; Pages 100+= $0.25/ page. PO Box 776 Pages 31+ : $0.50 per page House Bill 714/PA 102-0183 (Sen. Laura Fine/Rep. For the annual period of October 31, 2021, through October 31, 2022, the Consumer Price Index was 7.7%. In this situation, once you inform us, we go back to the provider to get whats missing at no additional fee to you. maintained in S.C. Code Ann. The purpose of HIPAA is to provide more uniform protections of individually . Pages 401+: $0.44per page, The Department is not authorized to enforce these charges. Paper RecordsSearch Fee: $21.1640 Pages: $0.53/page41+ Pages: $0.32/page, Electronic RecordsCopy Fee: 50% of the per page fee, Copy Fee: $5.00 or no more than $0.50/page, Paper RecordsSearch Fee: $20.0050 Pages: $0.50/page51+ Pages: $0.25/page, Electronic RecordsSearch Fee: $20.0050 Pages: $0.37/page51+ Pages: $0.18/page, Microfilm/Other MediaSearch Fee: $10.00Copy Fee: $1.00/page, Search Fee: $28.0030 Pages: $1.24/page31+ Pages: $0.94/page, Search Fee: $20.00Copy Fee (Paper Records): $0.40/pageCopy Fee (Digital Records): $0.20/pageMax Fee (Electronic Records): $150, Paper RecordsSearch Fee (For Non-patient Related Requests): $23.1325 Pages: $1.19/page50 Pages: $0.89/page-100 Pages: $0.58/page101+ Pages: $0.35/page, Microfilm/Other MediaCopy Fee: $1.74/pageX-rays: $11.70/imageCertification (For Non-patient Related Requests): $9.38/request, Workers CompFlat Fee (Electronic): $26.00Search Fee (Paper): $7.50 (Includes pages 1-16)Pages 17+ (Paper): $0.45 per page. However, the fee limitation set forth in 45 CFR 164.524(c)(4) applies only to individuals requests for access to their own PHI, and does not apply to an individuals request to transmit PHI to a third party. 50% of the per-page charge for paper copies: Copy Fees for Medical Records in an Electronic Format For medical records provided in an electronic format, the rules provide that physicians may charge no more than $25 for 500 pages or fewer and $50 for more than 500 pages. Pages 1+: $0.10 per page Statute 144.292, Worker's Comp: X-rays :$22.19 + $11.07 per image You can rely on RRS to retrieve records from all 50 US states. 0000007748 00000 n Get the latest news about the health care industry straight to your inbox! Pages 41+ : $0.57 per page Yes- defined as "reasonable cost-based fees.". X-rays: $20.00 flat fee (for hospitals) + reasonable production costs $10.00 flat fee (for all other healthcare providers) + reasonable production costs RS 40:1165.1 Maine Paper Records Search Fee: $5.00 (includes the first page) Pages 2+: $0.45 per page Max Fee: $250.00 Electronic Records A reasonable fee may be charged. X-rays/Other Media: Reasonable costs, but not exceed $25.00, Rush Fee: $20.00 (for requests completed and delivered within 48 hours), $0.56 per page for all pages following the first 30 pages, Max fee for electronic records: $227.00 per admission, Plus actual postage and applicable sales tax, X-rays: The cost of materials and supplies used to duplicate the X-ray and the labor and overhead costs associated with the duplication. Search Fee: $5.00 Search Fee : $25.00 endstream endobj 8 0 obj <>/Metadata 1 0 R/OCProperties<>/OCGs[]>>/Pages 5 0 R/Type/Catalog>> endobj 9 0 obj <>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Type/Page>> endobj 10 0 obj <>stream The physician may charge a fee to defray the cost of copying, not to exceed 25 cents per page or 50 cents per page for records that are copied from microfilm, along with reasonable clerical costs. Hospital Records10 Pages: $52.12 flat fee11+ Pages: $1.76/page61+ Pages: $0.86/page401+ Pages: $0.47/page, Microfilm10 Pages: $79.39 flat fee11+ Pages: $1.81/page. Pages 1 - 25: $1.00 per page Search Fee/ Labor Charge/ Processing Charge. Pages 200+: $0.10, Worker's Comp: 0000004751 00000 n $0.63/page Any fee that the health care provider may impose for providing such information (or a summary or explanation of such information) in an electronic format shall not be greater than the labor costs in responding to the request. A fee that the health care provider may impose for providing the information (or a summary or explanation of the information) in an electronic format shall not be greater than the labor costs in responding to the request. 0 X-rays/Other Media: Actual reproduction cost, Storage Fee: A reasonable fee may be charged for records stored off site, Microfilm/Other Media: Actual reproduction cost, Rush Fee: Additional $10 for requests completed/sent within 2 days, 11+ Pages: $12.00 flat fee (+ $16.00 = $28.00 total), Second copy request (same patient and same records): $1.00/page, From hospitals: $20 flat fee + reasonable production costs, From other healthcare providers: $10 flat fee + reasonable production costs, Social Security: FREE for request to support a claim, but must be specified in the request letter. 0000052633 00000 n Cost of preparing duplicates of non-paper documents. Facility or practice may charge for cost of duplicated non-photocopiable materials. No fees can be charged for copies of immunization records that are required for school entry. For the period, effective October 1, 2022, we have determined that the rate using these indices has increased by 3.1922%, which would result in a maximum state-based rate for copying fees as follows: MaHIMA Webinars - Opportunities for CEUs!Registration is open!MaHIMA Annual Conference May 21-22, 2023Hotel 1620, Plymouth, MACode: MaHIMA2023Research study opportunity!CHDA certified members eligible for $50.00 voucher! Sometimes providers or copy services send incomplete records, and its impossible for us to identify if they left something out. Pages 61+: $0.47/page, Paper Records: Annual Adjustment to Fees That May be Charged by a Health Care Provider for Providing Copies of a Patient's Health Care Records Statutory Authority Pursuant to Wis. Stat. More information about the order is available at https://www.hhs.gov/hipaa/court-order-right-of-access/index.html. 1047 0 obj <> endobj Statistics and Records 4-403 Pages 26 - 50: $0.89per page Search Fee: $20.00 flat fee (first 20 pages) Evid. Reproduction fees applied to x-rays and special records. 0000050213 00000 n Pages 51+: $0.50per page, Search Fee: Microfilm or other media : $1.78 per page, Search Fee : $20.00 flat fee (first 10 pages) When section 144.292 applies, the maximum charges for 2023 are $1.64 per page for copy charges and $21.88 for retrieval fees. $20 flat fee (for hospitals) + reasonable production costs Pages 51+ : $0.27 per page Search Fee : $20.00 Hamilton, OH 45012. Max Fee : $200.00 per admission, Clinic (Attorneys representing patients, Insurance, Subpoenas): Pages 11 - 20: $1.00 per page Pages 41+: $0.32/page, Electronic Records Provided in an Electronic Medium: Reproduction costs for x-rays and imaging plus $25.00 handling fee for hospitals and $10.00 handling fee for other providers. In addition to the amounts listed previously, charges may also be assessed for the actual cost of postage, shipping and delivery of the requested records. 7 0 obj <> endobj Postage : Actual cost of mailing, Hospital Records: We handle standard medical records, radiology imaging records, prescription records, electronic medical records, medical billing records, personnel & payroll records, and police reports. Dr. Debra L. Bogen, Acting Secretary of Health, * Search and retrieval of records (cannot be charged if requestor is requesting their. (3) New subsections (c-1) and (c-2) are added to read as follows: " (c-1) An external examination or autopsy report of a decedent in the CME's . Pages 6+: $0.50 per page, ,)% d 0lX4G~#Dc#j :c7X` G7Z%K>s F 6O|. Hover over each state to view the fees. between an A fee for copying not to exceed .76 cents for each page of the medical record, and; The actual cost of postage and handling. Notice to HIPAA Covered Entities & Business Associates: State rates for medical records should not be applied when individuals request records for themselves from a covered entity. Pages 61+: $0.30 per page, Pages 51+ : $0.25 per page Yes, we work with Ciox, MRO, and ScanSTAT. California: Medical Records Copying Charges Law / Statute Below is the California state statute which controls the amount of money that doctors, hospitals, and other health care providers can charge for copies of medical records provided to the patient or the patient's attorney for use in personal injury or wrongful death civil cases. The limits also apply to both electronic and paper copies. $0.51/page (51+), Electronic Records: $18.53 flat fee (First ten pages or fewer), All pages $0.65/page, all inclusive, except x-rays.

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