Northwest Community Hospital Menu
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| Cardiology - Placement Of Graft For Repair Of Aorta And Groin Artery (48100155) | $24,551.00 |
N/A
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| Cardiology - Placement Of Graft For Repair Of Aorta And Groin Arteries (48100168) | $30,382.00 |
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| Cardiology - Pacemaker Upgrade With Conversion From Single Chamber To Dual Chamber Sysem (76100284) | $5,904.00 |
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| Cardiology - Opening Of Heart Vessel (48100059) | $14,011.00 |
N/A
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| Cardiology - Opening Of Heart Vessel (48100058) | $9,874.00 |
N/A
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| Cardiology - Insertion Or Replacement Of Permanent Pacemaker And Upper Chamber Electrodes (76100147) | $5,557.00 |
N/A
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| Cardiology - Insertion Or Replacement Of Permanent Pacemaker And Lower Chamber Electrodes (76100148) | $8,136.00 |
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| Cardiology - Insertion Or Replacement Of Implanted Defibrillator With Evaluation And Programming Or Reprogramming (48100125) | $32,364.00 |
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| Cardiology - Insertion Of Wireless Pressure Sensor Into Lung Artery Via Catheter (48100145) | $60,185.00 |
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| Cardiology - Insertion Of Two Electrodes For Implanted Pacemaker Or Defibrillator (48100036) | $8,549.00 |
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| Cardiology - Insertion Of Temporary Pacemaker Electrode For Diagnostic Upper Heart Pacing (48100043) | $1,713.00 |
N/A
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| Cardiology - Insertion Of Temporary Pacemaker Electrode For Diagnostic Lower Heart Pacing (48100048) | $1,713.00 |
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| Cardiology - Insertion Of Stents Into Groin Artery, Each Additional Vessel (48100031) | $1,799.00 |
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| Cardiology - Insertion Of Stents Into Artery In One Leg, Initial Vessel (48100112) | $12,629.00 |
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| Cardiology - Insertion Of Stents Into Arteries In One Leg (48100025) | $12,690.00 |
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| Cardiology - Insertion Of Stents Into Arteries In One Leg (48100132) | $12,690.00 |
N/A
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| Cardiology - Insertion Of Stents In Artery In One Side Of Groin, Initial Vessel (48100030) | $20,957.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel During Heart Attack Accessed Through The Skin, Single Vessel (48100076) | $14,011.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (48100082) | $13,061.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Each Additional Vessel (48100083) | $10,700.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Each Additional Vessel (48100075) | $9,874.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (48100074) | $14,887.00 |
N/A
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| Cardiology - Insertion Of Stent(S) Into Artery In One Leg, Each Additional Vessel (48100102) | $1,642.00 |
N/A
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| Cardiology - Insertion Of Stent(S) In Artery, Each Additional Artery (48100121) | $2,569.00 |
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| Cardiology - Insertion Of Prosthesis For Repair Of Abdominal Or Groin Artery (48100171) | $13,083.00 |
N/A
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| Cardiology - Insertion Of Pacing Defibrillator Pulse Generator With Existing Leads (48100122) | $6,529.00 |
N/A
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| Cardiology - Insertion Of Pacing Defibrillator Pulse Generator With Existing Leads (48100123) | $4,542.00 |
N/A
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| Cardiology - Insertion Of Pacing Defibrillator Pulse Generator With Existing Lead (48100042) | $4,542.00 |
N/A
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| Cardiology - Insertion Of Pacemaker Pulse Generator With Multiple Existing Leads (76100156) | $6,725.00 |
N/A
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| Cardiology - Insertion Of Pacemaker Pulse Generator With Existing Dual Leads (76100155) | $6,876.00 |
N/A
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| Cardiology - Insertion Of One Electrode For Implanted Pacemaker Or Defibrillator (48100035) | $3,769.00 |
N/A
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| Cardiology - Insertion Of Needle Or Catheter Into The Carotid Or Vertebral Brain Artery (48000013) | $2,912.00 |
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| Cardiology - Insertion Of Needle Or Catheter Into Aorta (48000009) | $2,889.00 |
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| Cardiology - Insertion Of Needle Or Catheter Into An Artery Of Arm Or Leg (48000014) | $2,082.00 |
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| Cardiology - Insertion Of Needle Into Vein, Patient 3 Years Or Older (48100056) | $230.00 |
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| Cardiology - Insertion Of Lower Heart Chamber Blood Flow Assist Device Through The Skin (48100040) | $3,652.00 |
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| Cardiology - Insertion Of Left Heart Electrode And Attachment To Existing Pacemaker Or Defibrillator (48100039) | $8,343.00 |
N/A
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| Cardiology - Insertion Of Device To Block Groin Artery (48100174) | $13,083.00 |
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| Cardiology - Insertion Of Catheters For Treatment Of Abnormal Heart Rhythm (48100001) | $24,369.00 |
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| Cardiology - Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnormal Rhythm In Right Upper And Lower Heart (48100009) | $11,934.00 |
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| Cardiology - Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnormal Rhythm In Left Upper Heart (48100007) | $5,794.00 |
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| Cardiology - Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnormal Rhythm In Left Lower Heart (48100008) | $1,712.00 |
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| Cardiology - Insertion Of Catheters For Recording And Pacing Right Upper And Lower Heart Rhythm (48100010) | $7,586.00 |
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| Cardiology - Insertion Of Catheters For Assessment Of Heart Pacing, Recording, Or Attempted Induction Of Abnormal Rhythm (48100017) | $10,279.00 |
N/A
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| Cardiology - Insertion Of Catheter(S) Into Right And Left Heart For Diagnostic Study (48100086) | $11,147.00 |
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| Cardiology - Insertion Of Catheter Into Left Heart For Diagnostic Study (48100052) | $2,028.00 |
N/A
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| Cardiology - Insertion Of Catheter Into Left Heart For Diagnositic Study (48100054) | $8,552.00 |
N/A
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| Cardiology - Insertion Of Catheter Into Aorta (48100070) | $2,538.00 |
N/A
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| Cardiology - Insertion Of Catheter In Bypass Graft(S) For Imaging Of Heart Blood Vessels Or Grafts With Simultaneous Right And Left Heart Catheterization (48100005) | $15,279.00 |
N/A
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| Cardiology - Insertion Of Catheter For Recording Upper Heart Rhythm (48100003) | $1,867.00 |
N/A
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| Cardiology - Insertion Of Catheter For Recording Upper Heart Rhythm (48100044) | $1,713.00 |
N/A
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| Cardiology - Insertion Of Catheter For Recording To Identify Origin Of Abnormal Heart Rhythm (48100055) | $11,226.00 |
N/A
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| Cardiology - Insertion Of Catheter For Recording Right Lower Heart Chamber Rhythm (48100104) | $1,713.00 |
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| Cardiology - Injection For X-Ray Imaging Of Right Upper Or Lower Heart (48100138) | $1,217.00 |
N/A
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| Cardiology - Injection For X-Ray Imaging Of Pulmonary Artery From Heart (48100033) | $844.00 |
N/A
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| Cardiology - Injection For X-Ray Imaging Of Aorta Above Heart Valve (48100034) | $909.00 |
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| Cardiology - Infusion Of Heart Artery To Dissolve Blood Clot With X-Ray Imaging (48100106) | $959.00 |
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| Cardiology - Infusion Of Drug Into Vein To Dissolve Coronary Blood Clot (48100107) | $1,037.00 |
N/A
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| Cardiology - Induction Of Abnormal Heart Rhythm By Small Electrical Shock To The Heart (48100026) | $3,176.00 |
N/A
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| Cardiology - Follow-Up Or Limited Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (48000007) | $292.00 |
N/A
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| Cardiology - Exposure Of One Thigh Artery For Insertion Of Prosthesis, Open Procedure (48100164) | $1,450.00 |
N/A
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| Cardiology - Exposure Of One Groin Artery For Delivery Of Graft, Accessed Through The Skin (48100165) | $1,450.00 |
N/A
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| Cardiology - Evaluation Of Single Or Dual Chamber Pacing Defibrillator With Programming Or Reprogramming (48100015) | $6,714.00 |
N/A
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| Cardiology - Evaluation Of Single Or Dual Chamber Pacing Defibrillator Leads With Testing Of Generator At Time Of Implantation Or Replacement (48100016) | $3,719.00 |
N/A
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| Cardiology - Evaluation Of Parameters Of Implantable Heart And Blood Vessel Monitoring System With Analysis, Review And Report By Qualified Professional (48000040) | $78.00 |
N/A
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| Cardiology - Evaluation Of Heart Function Using Tilt Table (48000020) | $1,647.00 |
N/A
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| Cardiology - Evaluation Implantable Defibrillator (48100136) | $2,634.00 |
N/A
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| Cardiology - Evaluation And Insertion Of Catheters For Recording, Pacing, And Treatment Of Abnormal Heart Rhythm (48100117) | $23,178.00 |
N/A
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| Cardiology - Evaluation And Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnormal Heart Rhythm (48100019) | $34,566.00 |
N/A
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| Cardiology - Drainage Of Fluid Accumulation, Blood Or Other Fluid (48100013) | $1,822.00 |
N/A
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| Cardiology - Destruction Of Tissue Of Right Or Left Upper Heart Chamber Via Catheter For Treatment Of Abnormal Heart Rhythm (48100118) | $14,971.00 |
N/A
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| Cardiology - Delivery Of Fixation Device To Graft Via Catheter (48100175) | $7,595.00 |
N/A
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| Cardiology - Delayed Insertion Of Prosthesis For Repair Of Abdominal Or Groin Artery (48100173) | $13,083.00 |
N/A
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| Cardiology - Delayed Insertion Of Prosthesis For Repair Of Abdominal Or Groin Artery (48100172) | $13,083.00 |
N/A
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| Cardiology - Closure Of Congenital Heart Defect From Pulmonary Artery To Aorta Via Catheter Accessed Through The Skin (48100144) | $31,496.00 |
N/A
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| Cardiology - Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open Procedure Including Radiological Supervision And Interpretation (48100124) | $24,061.00 |
N/A
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| Cardiology - Catheter Placement Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (48100078) | $8,923.00 |
N/A
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (48100077) | $12,110.00 |
N/A
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| Cardiology - Catheter Based Repair Of Left Lower Heart Valve Accessed Through The Skin (48100157) | $9,597.00 |
N/A
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| Cardiology - Catheter Based Repair Of Heart Valve To Lungs Accessed Through The Skin (48100159) | $19,834.00 |
N/A
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| Cardiology - Catheter Based Repair Of Heart Valve Between Left Upper And Lower Chambers Accessed Through The Skin (48100158) | $19,834.00 |
N/A
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| Cardiology - Catheter Based Closure Of Congenital Heart Defect With Implant, Accessed Through The Skin (48100143) | $31,496.00 |
N/A
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Each Additional (48100079) | $4,715.00 |
N/A
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| Cardiology - Balloon Dilation Of Groin Artery, Each Additional Vessel (48100029) | $1,272.00 |
N/A
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| Cardiology - Balloon Dilation Of Artery In One Side Of Groin, Initial Vessel (48100028) | $8,890.00 |
N/A
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| Cardiology - Balloon Dilation Of Artery In One Leg, Each Additional Vessel (48100108) | $1,994.00 |
N/A
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| Cardiology - Balloon Dilation Of Arteries In One Leg (48100023) | $5,991.00 |
N/A
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| Cardiology (48000003) | $1,200.00 |
N/A
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| Cardiac Rehabilitation - Peripheral Arterial Disease Rehabilitation Per Session (48000039) | $115.00 |
N/A
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (94300005) | $267.00 |
N/A
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (94300012) | $196.00 |
N/A
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (94300011) | $98.00 |
N/A
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session (94300004) | $240.00 |
N/A
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| Cardiac Rehabilitation - Intensive Cardiac Rehabilitation Session Without Exercise (94300014) | $242.00 |
N/A
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| Cardiac Rehabilitation - Intensive Cardiac Rehabilitation Session With Exercise (94300013) | $242.00 |
N/A
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| Cardiac Rehabilitation (94300008) | $76.00 |
N/A
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| Cardiac Rehabilitation (94300009) | $44.00 |
N/A
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| Cardiac Rehabilitation (94300006) | $12.00 |
N/A
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| Brain Monitoring - Study Of Sleep Patterns (74000010) | $728.00 |
N/A
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (74000008) | $6,477.00 |
N/A
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab With Continued Pressured Respiratory Assistance By Mask Or Breathing Tube (74000006) | $6,692.00 |
N/A
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab (74000005) | $6,282.00 |
N/A
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab (74000007) | $6,057.00 |
N/A
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| Brain Monitoring - Monitoring And Localization Of Seizure Activity Using Electroencephalograph And Video Recording, Each 24 Hour Period (74000018) | $1,872.00 |
N/A
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| Brain Monitoring - Monitoring And Localization Of Seizure Activity Using Computerized Portable Electroencephalograph, Each 24 Hours Period, Unattended (74000003) | $3,329.00 |
N/A
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| Brain Monitoring - Measurement Of Brain Wave Activity Greater Than 1 Hour (74000017) | $540.00 |
N/A
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| Brain Monitoring - Measurement Of Brain Wave Activity 41 To 60 Minutes (74000016) | $540.00 |
N/A
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| Brain Monitoring - Home Sleep Study Test - Type Iii Portable Monitor (74000009) | $728.00 |
N/A
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| Brain Monitoring - Diagnostic Test For Sleep Disorder (74000004) | $2,689.00 |
N/A
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| Brain Monitoring (74000001) | $115.00 |
N/A
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| Blood Processing & Storage - Whole Blood/red Blood Cells - White Cells Reduced/frozen Thawed/washed (39000029) | $904.00 |
N/A
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| Blood Processing & Storage - Volume Reduction Of Blood Product (39000030) | $190.00 |
N/A
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| Blood Processing & Storage - Red Blood Cells - Washed (39000022) | $1,184.00 |
N/A
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| Blood Processing & Storage - Red Blood Cells - Thawed (39000017) | $641.00 |
N/A
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| Blood Processing & Storage - Red Blood Cells - Irradiated (39000018) | $734.00 |
N/A
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| Blood Processing & Storage - Red Blood Cells - Frozen/thawed/washed/white Cells Reduced/irradiated (39000028) | $949.00 |
N/A
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| Blood Processing & Storage - Red Blood Cells (39000021) | $450.00 |
N/A
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| Blood Processing & Storage - Processing And Storage Of Blood Unit (Pre-Deposited) (39000002) | $346.00 |
N/A
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| Blood Processing & Storage - Platelets - White Cells Reduced (39000011) | $295.00 |
N/A
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| Blood Processing & Storage - Platelets - Pheresis/irradiated (39000010) | $1,864.00 |
N/A
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| Blood Processing & Storage - Platelets - Pheresis/apheresis/hla Matched/white Cells Reduced (39000014) | $2,361.00 |
N/A
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| Blood Processing & Storage - Platelets - Pheresis/apheresis/hla Matched/white Cells Reduced (39000031) | $2,031.00 |
N/A
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| Blood Processing & Storage - Platelets - Pheresis (39000016) | $1,612.00 |
N/A
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| Blood Processing & Storage - Platelets - Irradiated/white Cells Reduced (39000012) | $362.00 |
N/A
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| Blood Processing & Storage - Platelets - Irradiated (39000015) | $337.00 |
N/A
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| Blood Processing & Storage - Platelets (39000013) | $164.00 |
N/A
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| Blood Processing & Storage - Plasma - Cryoprecipitate Reduced (39000005) | $156.00 |
N/A
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| Blood Processing & Storage - Fresh Frozen Plasma - Within 8 To 24 Hours Of Collection (39000007) | $151.00 |
N/A
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| Blood Processing & Storage - Cryoprecipitate (39000004) | $284.00 |
N/A
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| Blood Processing & Storage - Blood (Split Unit) (39000027) | $409.00 |
N/A
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| Behavioral Health - Group Psychotherapy (90500001) | $440.00 |
N/A
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| Behavioral Health - Group Psychotherapy (91200002) | $217.00 |
N/A
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| Behavioral Health (10020001) | $797.00 |
N/A
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| Audiology - Pure Tone Air Only Hearing Screening (47000005) | $175.00 |
N/A
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| Audiology - Pure Tone Air Conduction Threshold Hearing Assessment (47000004) | $299.00 |
N/A
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| Audiology - Placement Of Scalp Electrodes For Assessment And Recording Of Responses From Several Areas Of The Nerve-Brain Hearing System, Comprehensive (47100001) | $451.00 |
N/A
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| Audiology - Placement Of Ear Probe For Computerized Measurement Of Sound, Comprehensive Evaluation (47000002) | $839.00 |
N/A
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| Audiology - Eardrum Testing Using Ear Probe (47000006) | $80.00 |
N/A
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| Audiology - Air And Bone Conduction Assessment Of Hearing Loss And Speech Recognition (47000001) | $525.00 |
N/A
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| Anesthesia (37000001) | $2,008.00 |
N/A
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| Anesthesia (37000002) | $1,677.00 |
N/A
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| Anesthesia (37000003) | $1,386.00 |
N/A
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| Anesthesia (37000012) | $1,172.00 |
N/A
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| Anesthesia (37000011) | $1,172.00 |
N/A
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| Anesthesia (37000004) | $1,062.00 |
N/A
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| Anesthesia (37000005) | $1,052.00 |
N/A
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| Anesthesia (37000006) | $507.00 |
N/A
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