Northwest Community Hospital Menu
| Items | |||||
|---|---|---|---|---|---|
| Emergency Room - Massage Of Heart Muscle Through Chest Cavity (45000212) | $2,087.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Shoulder Dislocation Without Incision With Anesthesia (45000081) | $1,331.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Shoulder Dislocation Without Incision (45000082) | $915.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Collarbone And Shoulder Joint Dislocation Without Incision (45000024) | $259.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Upper Arm Without Incision (45000056) | $259.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Upper Arm Without Incision (45000070) | $235.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Or Dislocated Spine Bones With Casting Or Bracing Without Incision (45000347) | $2,785.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Of Upper Arm Bone At Shoulder Without Incision (45000053) | $259.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Mid Forearm Without Incision (45000096) | $259.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Forearm Without Incision (45000078) | $259.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Forearm Bones Without Incision (45000072) | $259.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Forearm Bone At Elbow Without Incision (45000074) | $302.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken Collarbone Without Incision (45000033) | $259.00 |
N/A
|
|
||
| Emergency Room - Manipulation Of Broken And Dislocated Forearm Bones At Elbow Without Incision (45000286) | $259.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (45000190) | $1,428.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (45000189) | $1,298.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (45000186) | $1,181.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (45000191) | $552.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (45000188) | $502.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (45000187) | $456.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (45000180) | $1,521.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (45000184) | $1,382.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (45000182) | $1,257.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (45000185) | $1,144.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (45000183) | $535.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (45000181) | $486.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (45000173) | $1,548.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (45000177) | $1,408.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (45000174) | $1,279.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (45000179) | $1,163.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (45000178) | $1,057.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (45000176) | $530.00 |
N/A
|
|
||
| Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (45000175) | $471.00 |
N/A
|
|
||
| Emergency Room - Insertion Of Stomach Tube And Aspirations Of Gastric Contents (45000307) | $174.00 |
N/A
|
|
||
| Emergency Room - Insertion Of Needle Into Scalp Vein, Patient Younger Than 3 Years (45000016) | $55.00 |
N/A
|
|
||
| Emergency Room - Insertion Of Needle For Infusion Into Bone (45000168) | $191.00 |
N/A
|
|
||
| Emergency Room - Insertion Of Brain Fluid Shunt Catheter Using Endoscope (45000210) | $4,278.00 |
N/A
|
|
||
| Emergency Room - Insertion Of Brain Drainage Catheter Or Fluid Pressure Recording Or Monitoring Device (45000323) | $6,736.00 |
N/A
|
|
||
| Emergency Room - Injection To Cause Blood Clot In A Diseased Or Bulging Vessel Of Arm Or Leg, Accessed Through The Skin (45000330) | $959.00 |
N/A
|
|
||
| Emergency Room - Injection Therapy For Diagnosis Or Prevention, Into Artery (45000278) | $274.00 |
N/A
|
|
||
| Emergency Room - Injection Of Drug Into Erectile Tissue At Sides And Back Of Penis (45000303) | $263.00 |
N/A
|
|
||
| Emergency Room - Injection Of Anesthesia Or Steroid Into Trigeminal Cranial Nerve (45000206) | $323.00 |
N/A
|
|
||
| Emergency Room - Injection Of Anesthesia Or Steroid Into Other Peripheral Nerve (45000207) | $424.00 |
N/A
|
|
||
| Emergency Room - Injection Of Anesthesia Or Steroid Into Facial Nerve (45000205) | $297.00 |
N/A
|
|
||
| Emergency Room - Injection Of Air Into Chest Cavity To Collapse Lung (45000280) | $565.00 |
N/A
|
|
||
| Emergency Room - Incision Of Engorged External Hemorrhoid (45000158) | $954.00 |
N/A
|
|
||
| Emergency Room - Incision Of Corner Of Eye At Eyelids (45000326) | $2,802.00 |
N/A
|
|
||
| Emergency Room - Incision And Drainage Of Eyelid Abscess (45000129) | $750.00 |
N/A
|
|
||
| Emergency Room - Incision And Drainage Of External Ear Abscess Or Blood Accumulation (45000126) | $364.00 |
N/A
|
|
||
| Emergency Room - Incision And Drainage Of Abscess Of Female Genital Gland (45000132) | $269.00 |
N/A
|
|
||
| Emergency Room - Incision And Drainage Of Abscess Of Female Genital Area (45000157) | $375.00 |
N/A
|
|
||
| Emergency Room - Incision And Drainage Of Abscess In Scrotal Sac Of Testicle (45000136) | $162.00 |
N/A
|
|
||
| Emergency Room - Foreign Body Removal In Rectum And Lower Large Intestine Using Endoscope (45000223) | $398.00 |
N/A
|
|
||
| Emergency Room - Fine Needle Aspiration Of One Lesion Without Imaging Guidance (45000156) | $119.00 |
N/A
|
|
||
| Emergency Room - Exam Of The Nose And Throat Using Endoscope (45000208) | $346.00 |
N/A
|
|
||
| Emergency Room - Emergent Insertion Of Breathing Tube Through Windpipe (45000283) | $3,827.00 |
N/A
|
|
||
| Emergency Room - Emergent Insertion Of Breathing Tube Through Windpipe (45000284) | $759.00 |
N/A
|
|
||
| Emergency Room - Emergency Department Visit, Self Limited Or Minor Problem (45000144) | $266.00 |
N/A
|
|
||
| Emergency Room - Emergency Department Visit, Low To Moderately Severe Problem (45000145) | $400.00 |
N/A
|
|
||
| Emergency Room - Dressing Change Or Removal Of Burn Tissue Medium Area (45000139) | $423.00 |
N/A
|
|
||
| Emergency Room - Dressing Change Or Removal Of Burn Tissue Large Area (45000138) | $465.00 |
N/A
|
|
||
| Emergency Room - Drainage Of Tonsil Abscess (45000137) | $242.00 |
N/A
|
|
||
| Emergency Room - Drainage Of Tailbone Cyst, Simple (45000162) | $223.00 |
N/A
|
|
||
| Emergency Room - Drainage Of Rectal Abscess (45000166) | $1,007.00 |
N/A
|
|
||
| Emergency Room - Drainage Of Rectal Abscess (45000165) | $519.00 |
N/A
|
|
||
| Emergency Room - Drainage Of Finger Abscess (45000131) | $223.00 |
N/A
|
|
||
| Emergency Room - Drainage Of Blood From Underneath Nail (45000125) | $233.00 |
N/A
|
|
||
| Emergency Room - Drainage Of Abscess, Cyst, Or Blood Accumulation Of Dental Bone (45000133) | $242.00 |
N/A
|
|
||
| Emergency Room - Dilation Of Narrowing Of Bladder Canal Male (45000123) | $1,986.00 |
N/A
|
|
||
| Emergency Room - Dilation Of Bladder Canal Using Endoscope (45000340) | $3,377.00 |
N/A
|
|
||
| Emergency Room - Dilation Of Anus Using Endoscope (45000322) | $3,300.00 |
N/A
|
|
||
| Emergency Room - Diagnostic Exam Of Voice Box Using Endoscope (45000195) | $500.00 |
N/A
|
|
||
| Emergency Room - Diagnostic Exam Of Voice Box Using Endoscope (45000197) | $237.00 |
N/A
|
|
||
| Emergency Room - Diagnostic Exam Of The Bladder And Bladder Canal Using Endoscope (45000331) | $892.00 |
N/A
|
|
||
| Emergency Room - Diagnostic Exam Of Anus And Cell Collection Using Endoscope (45000122) | $74.00 |
N/A
|
|
||
| Emergency Room - Destruction Of 1 To 14 Non-Cancerous Skin Growths (45000121) | $105.00 |
N/A
|
|
||
| Emergency Room - Critical Care Of Ill Or Injured Pediatric Patient, 24 Months Or Younger, First 30-74 Minutes (45000216) | $30.00 |
N/A
|
|
||
| Emergency Room - Creation Of Multiple Tissue Skin Graft (45000332) | $3,704.00 |
N/A
|
|
||
| Emergency Room - Control Of Nasal Bleeding Using Endoscope (45000342) | $2,607.00 |
N/A
|
|
||
| Emergency Room - Control Of Bleeding Of Throat With Insertion Of Packing (45000113) | $171.00 |
N/A
|
|
||
| Emergency Room - Control Of Bleeding Of Throat (45000114) | $169.00 |
N/A
|
|
||
| Emergency Room - Control Of Anal Bleeding Using Endoscope (45000343) | $1,932.00 |
N/A
|
|
||
| Emergency Room - Complex Wound Repair Of Scalp, Arms, Or Legs (45000107) | $677.00 |
N/A
|
|
||
| Emergency Room - Complex Wound Repair Of Scalp, Arms, Or Legs (45000106) | $494.00 |
N/A
|
|
||
| Emergency Room - Complex Wound Repair Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet (45000252) | $710.00 |
N/A
|
|
||
| Emergency Room - Complex Wound Repair Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet (45000251) | $531.00 |
N/A
|
|
||
| Emergency Room - Complex Control Of Nose Bleed (45000109) | $505.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Thumb Dislocation With Manipulation (45000295) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Thigh Bone Fracture With Manipulation (45000344) | $300.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Knee Dislocation (45000288) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Knee Cap Fracture (45000289) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Or Dislocation Of Pelvis Or Sacrum (45000291) | $443.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Of Shin Bone With Traction (45000090) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Of Shin Bone (45000091) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Of Lower Weight Bearing Joint Of Shin Bone With Traction Or Manipulation (45000046) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Of Lower Weight Bearing Joint Of Shin Bone (45000047) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Of Foot With Manipulation (45000062) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Of Bone Of Hand With Manipulation (45000060) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Fracture Hand Bone (45000061) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocation Of Toe Joint (45000059) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocation Of Knee Cap (45000066) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Wrist With Manipulation (45000041) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Wrist With Manipulation (45000080) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Hand Joint With Manipulation (45000290) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Hand Bone With Manipulation (45000287) | $254.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Foot Joint (45000089) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Foot Joint (45000085) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Foot Bone (45000064) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Dislocated Finger Joint With Manipulation (45000058) | $692.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Wrist Bone With Manipulation (45000031) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Wrist Bone With Manipulation (45000029) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Wrist Bone (45000030) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Wrist Bone (45000032) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Toe With Manipulation (45000048) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Thumb With Manipulation (45000296) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Thigh Bone With Manipulation (45000043) | $514.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Shin Bone (45000093) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist With Manipulation (45000039) | $1,294.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Heel Bone (45000302) | $270.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Hand Or Finger With Manipulation (45000026) | $678.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Great Toe With Manipulation (45000044) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Great Toe (45000045) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Forearm At Wrist Bone (45000098) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Foot Bone (45000292) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Foot Bone (45000063) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Finger Or Thumb With Manipulation (45000037) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Finger Or Thumb With Manipulation (45000067) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Finger Or Thumb (45000038) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Finger Or Thumb (45000068) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (45000027) | $270.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (45000035) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (45000094) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (45000104) | $258.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle Joint Bone With Manipulation (45000086) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle Joint Bone (45000087) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle (45000036) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle (45000095) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle (45000028) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle (45000301) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Broken Ankle (45000105) | $259.00 |
N/A
|
|
||
| Emergency Room - Closed Treatment Of Ankle Joint Bone Dislocation (45000088) | $259.00 |
N/A
|
|
||
| Emergency Room - Change Of Breathing Tube In Windpipe (45000021) | $222.00 |
N/A
|
|
||
| Emergency Room - Aspiration Or Injection Of Joint Cyst (45000013) | $260.00 |
N/A
|
|
||
| Emergency Room - Aspiration Or Injection Of Cerebrospinal Fluid Through Shunt Tubing Or Reservoir (45000017) | $1,041.00 |
N/A
|
|
||
| Emergency Room - Aspiration Of Voice Box Using Endoscope (45000193) | $1,886.00 |
N/A
|
|
||
| Emergency Room - Aspiration And/or Drainage Of Blood Accumulation In Brain (45000324) | $6,736.00 |
N/A
|
|
||
| Emergency Room - Application Of Short Leg Splint (45000006) | $429.00 |
N/A
|
|
||
| Emergency Room - Application Of Short Leg Cast Walking Or Ambulatory Type (45000010) | $146.00 |
N/A
|
|
||
| Emergency Room - Application Of Short Leg Cast (45000009) | $154.00 |
N/A
|
|
||
| Emergency Room - Application Of Moveable, Hinged Short Arm Splint (45000007) | $186.00 |
N/A
|
|
||
| Education - Preventive Medicine Counseling, Approximately 30 Minutes (94200010) | $185.00 |
N/A
|
|
||
| Education - Medical Nutrition Therapy Performed In A Group Setting, Each 30 Minutes (94200012) | $54.00 |
N/A
|
|
||
| Education - Medical Nutrition Therapy Performed In A Group Setting, Each 30 Minutes (94200005) | $29.00 |
N/A
|
|
||
| Education - Medical Nutrition Therapy Patient In Group (94200003) | $33.00 |
N/A
|
|
||
| Education - Medical Nutrition Therapy Patient Alone (94200007) | $68.00 |
N/A
|
|
||
| Education - Medical Nutrition Re-Assessment And Intervention, Each 15 Minutes (94200008) | $66.00 |
N/A
|
|
||
| Education - Medical Nutrition Re-Assessment And Intervention, Each 15 Minutes (94200004) | $66.00 |
N/A
|
|
||
| Education - Medical Nutrition Assessment And Intervention, Each 15 Minutes (94200011) | $37.00 |
N/A
|
|
||
| Education - Education And Training For Patient Self-Management, Each 30 Minutes (94200015) | $169.00 |
N/A
|
|
||
| Education - Diabetes Self-Management Training In Group (94200002) | $91.00 |
N/A
|
|
||
| Education - Diabetes Self-Management Training (94200001) | $203.00 |
N/A
|
|
||
| Dialysis - Hemodialysis Procedure With One Evaluation By Physician (80100002) | $2,489.00 |
N/A
|
|
||
| Dialysis - Emergency Dialysis Treatment (82100001) | $2,644.00 |
N/A
|
|
||
| Dialysis - Dialysis Procedure With One Evaluation By Physician (80200002) | $949.00 |
N/A
|
|
||
| Dialysis - Dialysis Procedure Requiring Repeat Evaluation (80900001) | $4,107.00 |
N/A
|
|
||
| Diagnostic Services - Ultrasound Scan Of Veins Of Both Arms Or Legs (92100041) | $1,062.00 |
N/A
|
|
||
| Diagnostic Services - Ultrasound Scan Of Head And Neck Blood Vessels On One Side (92100015) | $788.00 |
N/A
|
|
||
| Diagnostic Services - Ultrasound Scan Of Dialysis Access Blood Vessels (92100001) | $507.00 |
N/A
|
|
||
| Diagnostic Services - Ultrasound Scan Of Arteries Of Both Legs At Rest And Exercise (92100025) | $1,136.00 |
N/A
|
|
||
| Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of Both Arms (92100012) | $885.00 |
N/A
|
|
||
| Diagnostic Services - Telephonic Evaluations Of Single, Dual, Or Multiple Lead Pacemaker System Heart Rhythm Strips For Up To 90 Days With Analysis, Review And Report By Qualified Professional (92100032) | $192.00 |
N/A
|
|
||
| Diagnostic Services - Setup And Training For Ambulatory Continuous Glucose Monitoring (92000002) | $480.00 |
N/A
|
|
||
| Diagnostic Services - Remote Evaluations Of Leadless, Single, Dual, Or Multiple Lead Pacemaker System Or Implantable Defibrillator System For Up To 90 Days With Review, Support And Distribution Of Results By Technician (92100033) | $162.00 |
N/A
|
|
||
| Diagnostic Services - Remote Evaluations Of Leadless, Single, Dual, Or Multiple Lead Pacemaker System Or Implantable Defibrillator System For Up To 90 Days With Review, Support And Distribution Of Results By Technician (92100042) | $137.00 |
N/A
|
|
||
| Diagnostic Services - Remote Evaluations Of Implantable Heart And Blood Vessel Monitor Or Loop Recorder System For Up To 30 Days With Review, Support And Distribution Of Results By Technician (92100020) | $137.00 |
N/A
|
|
||
| Diagnostic Services - Programming Device Evaluation Of Heart Monitoring System With Adjustment Of Programmed Values With Analysis, Review And Report (92100044) | $314.00 |
N/A
|
|
||
| Diagnostic Services - Needle Measurement And Recording Of Electrical Activity Of Muscles Of Arms, Legs, Or 1 Arm And 1 Leg (92200001) | $803.00 |
N/A
|
|
||
| Diagnostic Services - Needle Measurement And Recording Of Electrical Activity Of Muscles In Arm Or Leg Or Muscles In Trunk Or Head, Limited Study (92200002) | $1,419.00 |
N/A
|
|
||
| Diagnostic Services - Measurement And Recording Of Nerve Conduction Patterns Using Visually-Evoked Stimulation (92200003) | $867.00 |
N/A
|
|
||
| Diagnostic Services - Limited Ultrasound Scan Of Penile Blood Vessels (92100007) | $808.00 |
N/A
|
|
||
| Diagnostic Services - Limited Ultrasound Scan Of Blood Vessels In The Brain (92100024) | $597.00 |
N/A
|
|
||
| Diagnostic Services - Limited Ultrasound Scan Of Aorta, Vena Cava, Groin Vessel Or Bypass Graft Blood Flow (92100003) | $661.00 |
N/A
|
|
||
| Diagnostic Services - Limited Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (92100040) | $827.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation, Testing, And Programming Adjustment Of Single, Dual, Or Multiple Lead Pacemaker System Before Or After Surgery, Procedure, Or Test With Analysis, Review And Report By Qualified Professional (92100027) | $152.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation, Testing, And Programming Adjustment Of Single, Dual, Or Multiple Lead Implantable Defibrillator System Before Or After Surgery, Procedure, Or Test With Analysis, Review And Report By Qualified Professional (92100026) | $139.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation, Testing, And Programming Adjustment Of Permanent Single Lead Implantable Defibrillator System With Analysis, Review And Report By Qualified Professional (92100017) | $232.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation, Testing, And Programming Adjustment Of Permanent Multi-Lead Pacemaker System With Analysis, Review And Report By Qualified Professional (92100030) | $188.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation, Testing, And Programming Adjustment Of Permanent Multi-Lead Implantable Defibrillator System With Analysis, Review And Report By Qualified Professional (92100019) | $332.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation, Testing, And Programming Adjustment Of Permanent Dual Lead Pacemaker System With Analysis, Review And Report By Qualified Professional (92100029) | $176.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation, Testing, And Programming Adjustment Of Implanted Heart Rhythm Monitor System System With Analysis, Review And Report By Qualified Professional (92100021) | $107.00 |
N/A
|
|
||
| Diagnostic Services - Evaluation Of Defibrillator With Analysis, Review, And Report (92100043) | $279.00 |
N/A
|
|
||
| Diagnostic Services - Continuous Monitoring Of Glucose In Tissue Fluid Using Sensor Under Skin (92000003) | $115.00 |
N/A
|
|
||
| Diagnostic Services - Complete Ultrasound Scan Of Blood Vessels In The Brain (92100023) | $1,532.00 |
N/A
|
|
||
| Diagnostic Services - Complete Ultrasound Scan Of Arteries Of Both Arms Or Legs (92100035) | $1,105.00 |
N/A
|
|
||
| Diagnostic Services - Complete Ultrasound Scan Of Aorta, Vena Cava, Groin Vessel Or Bypass Graft Blood Flow (92100002) | $723.00 |
N/A
|
|
||
| Diagnostic Imaging - X-Rays For Limited And Focused Bone Survey (32000172) | $672.00 |
N/A
|
|
||
| Diagnostic Imaging - X-Rays For Complete Skeletal Bone Survey (32000170) | $1,332.00 |
N/A
|
|
||
| Diagnostic Imaging - X-Rays For Complete Infant Bone Survey (32000171) | $869.00 |
N/A
|
|
||
| Diagnostic Imaging - X-Rays For Bone Length Studies (35000030) | $322.00 |
N/A
|
|
||
| Diagnostic Imaging - X-Rays For Bone Age Studies (32000173) | $332.00 |
N/A
|
|
||
