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$641.05
Average Item Price
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Sanford Sheldon Medical Center Menu
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| Treatment Room - Wound Repair Separation By Simple Closure (1025767) | $466.00 |
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| Treatment Room - Removal Of Tissue From Wounds, Per Session (1007046) | $179.00 |
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| Treatment Room - Removal Of Tissue Beneath The Skin, Initial Amount (1005208) | $431.00 |
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| Treatment Room - Removal Of Skin Suture With Change Of Bladder Tube (1004332) | $345.00 |
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| Treatment Room - Removal Of Malignant Growth Of The Face, Ears, Eyelids, Nose, Or Lips (1024982) | $912.00 |
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| Treatment Room - Removal Of Inflamed Or Infected Skin, Up To 10 Percent Of Body Surface (1003848) | $732.00 |
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| Treatment Room - Removal Of Hemorrhoid By Rubber Banding (1010957) | $800.00 |
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| Treatment Room - Removal Of Growth Of The Trunk, Arms, Or Legs (1024956) | $1,451.00 |
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| Treatment Room - Removal Of Growth Of The Trunk, Arms, Or Legs (1024955) | $895.00 |
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| Treatment Room - Removal Of Growth Of The Trunk, Arms, Or Legs (1021690) | $585.00 |
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| Treatment Room - Removal Of Growth Of The Trunk, Arms, Or Legs (1024954) | $317.00 |
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| Treatment Room - Removal Of Growth Of The Scalp, Neck, Hands, Feet, Or Genitals (1024960) | $895.00 |
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| Treatment Room - Removal Of Growth Of The Scalp, Neck, Hands, Feet, Or Genitals (1024959) | $858.00 |
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| Treatment Room - Removal Of Growth Of The Face, Ears, Eyelids, Nose, Lips, Or Mouth (1024964) | $912.00 |
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| Treatment Room - Negative Pressure Wound Therapy, Surface Area Less Than Or Equal To 50 Square Centimeters, Per Session (1002928) | $246.00 |
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| Treatment Room - Needle Biopsy Of Breast Through The Skin Without Imaging Guidance (1021677) | $2,144.00 |
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| Treatment Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (1025656) | $367.00 |
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| Treatment Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (1025870) | $317.00 |
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| Treatment Room - Insertion Of Temporary Bladder Catheter (1021393) | $176.00 |
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| Treatment Room - Insertion Of Indwelling Catheter And Administration Of Substance Into Spinal Canal Of Lower Back (1026843) | $807.00 |
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| Treatment Room - Injection Of Substance Into Spinal Canal Of Lower Back Or Sacrum Using Imaging Guidance (1027058) | $807.00 |
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| Treatment Room - Incision With Exploration Or Drainage Of Breast Abscess (1028206) | $2,022.00 |
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| Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1004719) | $129.00 |
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| Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1028030) | $90.00 |
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| Treatment Room - Dressing Change Under Anesthesia (1020675) | $419.00 |
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| Treatment Room - Dressing Change (1010523) | $160.00 |
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| Treatment Room - Drainage Of Abscess, Simple Or Single (1010690) | $192.00 |
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| Treatment Room - Drainage Of Abscess Or Blood Collection At Thigh Or Knee Region (1023450) | $3,487.00 |
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| Treatment Room - Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist With Manipulation (1021682) | $263.00 |
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| Treatment Room - Aspiration Or Injection Of Large Joint Or Joint Capsule (1011679) | $245.00 |
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| Trauma Response - Full Trauma Activation (1027810) | $1,168.00 |
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| Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $262.00 |
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| Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $149.00 |
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| Therapeutic Services - Bladder Irrigation Or Instillation (1009129) | $524.00 |
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| Telemedicine - Fee For Remote Healthcare Service (1009851) | $65.00 |
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| Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $282.00 |
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| Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $304.00 |
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| Speech Therapy - Therapeutic Services For Use Of Speech-Generating Device With Programming And Modification (1008114) | $309.00 |
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| Speech Therapy - Standardized Thought Processing Testing With Interpretation And Report, Per Hour Of Qualified Professional Time (1006830) | $379.00 |
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| Speech Therapy - Fluoroscopic And Video Recorded Motion Evaluation Of Swallowing Function (1002872) | $455.00 |
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| Speech Therapy - Evaluation Of Swallowing Function (1002860) | $332.00 |
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| Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $380.00 |
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| Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $320.00 |
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| Speech Therapy - Evaluation Of Speech Fluency (1021036) | $353.00 |
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| Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $335.00 |
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| Speech Therapy - Assessment Of Expressive And Receptive Speech With Interpretation And Report, Per Hour (1008115) | $380.00 |
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| Room & Board - Semi-Private (1008184) | $1,119.00 |
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| Room & Board - Semi-Private (1004312) | $629.00 |
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| Room & Board - Private (1000439) | $1,376.00 |
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| Room & Board - Private (1004313) | $788.00 |
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| Room & Board - Other (1008186) | $387.00 |
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| Room & Board - Nursery (1000438) | $546.00 |
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| Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1006717) | $134.00 |
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| Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009222) | $134.00 |
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| Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1004474) | $134.00 |
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| Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009221) | $134.00 |
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| Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1006727) | $128.00 |
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| Respiratory Services - Physical Performance Test Or Measurement With Report, Each 15 Minutes (1008258) | $134.00 |
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| Respiratory Services - Measurement Of Lung Diffusing Capacity (1003337) | $340.00 |
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| Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $441.00 |
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| Respiratory Services - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1004468) | $610.00 |
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| Respiratory Services - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1003262) | $610.00 |
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| Respiratory Services - Determination Of Lung Volumes Using Plethysmography (Instrumentation) (1003336) | $441.00 |
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| Recovery Room For Same Day Surgery (1004672) | $191.00 |
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| Recovery Room Additional Sds (1004673) | $163.00 |
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| Recovery Room (1004670) | $514.00 |
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| Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $434.00 |
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| Radiopharmaceuticals - Technetium Medronate (Radioactive Imaging Agent) (1009453) | $109.00 |
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| Radiopharmaceuticals - Technetium Mebrofenin (Radioactive Imaging Agent) (1005436) | $224.00 |
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| Professional Services - Upper Arm Bone And Shoulder Joint Procedure (1003101) | $27.00 |
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| Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $27.00 |
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| Professional Services - Upper Abdominal Procedure (1003017) | $27.00 |
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| Professional Services - Upper Abdominal Hernia Repair (1003012) | $27.00 |
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| Professional Services - Subsequent Hospital Inpatient Care, Typically 15 Minutes Per Day (1010862) | $200.00 |
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| Professional Services - Spinal Tap For Diagnosis (1010599) | $287.00 |
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| Professional Services - Skin Of Arms, Legs Or Trunk Procedure (1002978) | $27.00 |
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| Professional Services - Rotation Of Fetus In Uterus (1005197) | $27.00 |
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| Professional Services - Repair Of Incisional Hernia Or Wound Opening (1003013) | $27.00 |
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| Professional Services - Removal Of Breast And Lymph Nodes (1002981) | $27.00 |
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| Professional Services - Removal Of Breast (1002980) | $27.00 |
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| Professional Services - Patient Office Consultation, Typically 15 Minutes (1027332) | $146.00 |
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| Professional Services - Nose And Sinus Procedure (1002959) | $27.00 |
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| Professional Services - Nerve, Muscles Or Tendon Procedure Of Shoulder And Underarm (1003100) | $27.00 |
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| Professional Services - Nerve, Muscle Or Tendon Procedure Of Upper Leg (1003071) | $27.00 |
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| Professional Services - Nerve, Muscle Or Tendon Procedure Of Forearm, Wrist, And Hand (1003115) | $27.00 |
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| Professional Services - Neck, Throat, Thyroid Or Esophagus Procedure (1002974) | $27.00 |
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| Professional Services - Mouth Procedure (1002961) | $27.00 |
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| Professional Services - Male Genitalia Procedure (1003048) | $27.00 |
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| Professional Services - Lower Abdominal Wall Procedure (1003021) | $27.00 |
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| Professional Services - Lower Abdominal Hernia Repair (1003025) | $27.00 |
N/A
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| Professional Services - Lower Abdominal Cavity Procedure (1003029) | $27.00 |
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| Professional Services - Lower Abdomen And/or Urinary Tract Procedure (1003033) | $27.00 |
N/A
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| Professional Services - Large Intestine Procedure (1027673) | $27.00 |
N/A
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| Professional Services - Labor During Planned Vaginal Delivery (1003134) | $27.00 |
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| Professional Services - Knee Joint Procedure Using Scope (1003082) | $27.00 |
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| Professional Services - Insertion Of Needle Into Vein, Patient 3 Years Or Older (1008501) | $94.00 |
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| Professional Services - Insertion Of Needle Into Upper Leg Or Neck Vein, Patient Younger Than 3 Years (1007824) | $165.00 |
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| Professional Services - Insertion Of Indwelling Catheter And Administration Of Substance Into Spinal Canal Of Lower Back (1026830) | $141.00 |
N/A
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| Professional Services - Insertion Of Catheter In Central Vein, Access Via Arm, Leg, Or Neck Vein, 5+ Years (1010924) | $373.00 |
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| Professional Services - Insertion Of Arterial Catheter For Blood Sampling, Monitoring, Or Infusion, Accessed Through The Skin (1003621) | $492.00 |
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| Professional Services - Inpatient Hospital Consultation, Typically 20 Minutes (1027081) | $149.00 |
N/A
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| Professional Services - Injection Of Substance Into Spinal Canal Of Lower Back Or Sacrum Using Imaging Guidance (1026832) | $155.00 |
N/A
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| Professional Services - Injection Of Blood Or Blood Clot Into Spinal Canal (1007976) | $260.00 |
N/A
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| Professional Services - Injection Of Anesthetic Or Steroid Into Pelvic Joint (1010365) | $239.00 |
N/A
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| Professional Services - Incomplete Or Missed Abortion (1004815) | $27.00 |
N/A
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| Professional Services - Incision Of Ear Drum (1002953) | $27.00 |
N/A
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| Professional Services - Head And Neck Procedure (1002973) | $27.00 |
N/A
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| Professional Services - Emergent Insertion Of Breathing Tube Into Windpipe (1002947) | $606.00 |
N/A
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| Professional Services - Drainage Of Lung Fluid (1005139) | $27.00 |
N/A
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| Professional Services - Division Of Fallopian Tubes (1003032) | $27.00 |
N/A
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| Professional Services - Diagnostic Exam Of Upper Gastrointestinal System (1027669) | $27.00 |
N/A
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| Professional Services - Diagnostic Exam Of Large Intestine (1027674) | $27.00 |
N/A
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| Professional Services - Critical Care Delivery Critically Ill Or Injured Patient, First 30-74 Minutes (1027914) | $424.00 |
N/A
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| Professional Services - Critical Care Delivery Critically Ill Or Injured Patient (1027913) | $212.00 |
N/A
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| Professional Services - Conversion Of Abnormal Heart Rhythm (1002982) | $27.00 |
N/A
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| Professional Services - Continuous Spinal Drug Administration (1004387) | $310.00 |
N/A
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| Professional Services - Closed Upper Thigh Bone Procedure (1003068) | $27.00 |
N/A
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| Professional Services - Closed Lower Leg, Ankle Or Foot Procedure (1003088) | $27.00 |
N/A
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| Professional Services - Closed Knee Joint Procedure (1003078) | $27.00 |
N/A
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| Professional Services - Closed Hip Joint Procedure (1003064) | $27.00 |
N/A
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| Professional Services - Cesarean Delivery Following Labor (1004385) | $27.00 |
N/A
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| Professional Services - Cesarean Delivery (1003132) | $27.00 |
N/A
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| Professional Services - Central Venous Access (1002992) | $27.00 |
N/A
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| Professional Services - Bone Procedure Of Lower Leg, Ankle And Foot (1003092) | $27.00 |
N/A
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| Professional Services - Bone Procedure Of Forearm, Wrist, Or Hand (1003116) | $27.00 |
N/A
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| Professional Services - Bone Procedure Of Forearm, Wrist, Or Hand (1003117) | $27.00 |
N/A
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| Professional Services - Biopsy Of Female Genitalia (1003055) | $27.00 |
N/A
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| Professional Services - Anesthesia For Patient Younger Than 1 Year Or Older Than 70 Years Of Age (1010395) | $196.00 |
N/A
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| Professional Services - Anesthesia Complicated By Emergency Condition (1010396) | $411.00 |
N/A
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| Professional Services - Anal And Rectal Procedure (1003041) | $27.00 |
N/A
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| Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $84.00 |
N/A
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| Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007692) | $84.00 |
N/A
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| Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011895) | $80.00 |
N/A
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| Physical Therapy - Water Pool Therapy With Therapeutic Exercises To 1 Or More Areas, Each 15 Minutes (1002903) | $137.00 |
N/A
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| Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $107.00 |
N/A
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| Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $112.00 |
N/A
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| Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $148.00 |
N/A
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| Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $207.00 |
N/A
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| Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $194.00 |
N/A
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| Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $194.00 |
N/A
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| Physical Therapy - Community Or Work Reintegration Training, Each 15 Minutes (1003289) | $112.00 |
N/A
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| Physical Therapy - Application Of Whirlpool Therapy To 1 Or More Areas (1002891) | $108.00 |
N/A
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| Physical Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002900) | $108.00 |
N/A
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| Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $135.00 |
N/A
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| Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $116.00 |
N/A
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| Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $108.00 |
N/A
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| Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group I For Microorganisms) (1006359) | $582.00 |
N/A
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| Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $408.00 |
N/A
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| Pathology - Special Stained Specimen Slides To Examine Tissue (Each Additional Slide Or Stain) (1024653) | $348.00 |
N/A
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| Pathology - Preparation Of Tissue For Exam By Removing Any Calcium Present (1006358) | $205.00 |
N/A
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| Pathology - Pathology Exam Of Tissue During Surgery (First Block With Frozen Section) (1006376) | $569.00 |
N/A
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| Pathology - Pathology Exam Of Tissue During Surgery (Each Additional Block With Frozen Section) (1006377) | $303.00 |
N/A
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| Pathology - Pap Smear (Thin Layer Prep With Automated Screening And Manual Rescreening) (1006967) | $176.00 |
N/A
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| Pathology - Miscellaneous Molecular Pathology Procedure (1025501) | $1,707.00 |
N/A
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| Pathology - Miscellaneous Molecular Pathology Procedure (1012819) | $1,707.00 |
N/A
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| Pathology - Miscellaneous Molecular Pathology Procedure (1020875) | $170.00 |
N/A
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| Pathology - Microscopic Genetic Analysis Of Tumor Specimen (Manual Tumor Immunohistochemistry) (1010667) | $715.00 |
N/A
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| Pathology - Level Vi Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or High Complexity) (1006357) | $2,784.00 |
N/A
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| Pathology - Level V Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderately High Complexity) (1006356) | $1,783.00 |
N/A
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| Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $456.00 |
N/A
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| Pathology - Level Iii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderatley Low Complexity) (1006354) | $272.00 |
N/A
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| Pathology - Level Ii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Low Complexity) (1006353) | $196.00 |
N/A
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| Pathology - Level I Pathology Exam Of Tissue Using Visual Inspection (1006352) | $92.00 |
N/A
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| Pathology - Flow Cytometry For Dna Or Cell Analysis (Technical Component, First Marker) (1006317) | $436.00 |
N/A
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| Pathology - Flow Cytometry For Dna Or Cell Analysis (Technical Component, Each Additional Marker) (1006323) | $275.00 |
N/A
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| Pathology - Cellular Exam Of Specimen Using Concentration Technique (Smears) (1006417) | $430.00 |
N/A
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| Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (1009034) | $425.00 |
N/A
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| Pathology - Antibody Evaluation (Immunofluorescence, Initial Stain) (1026119) | $551.00 |
N/A
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| Pathology - Antibody Evaluation (Immunofluorescence, Each Additional Stain (1026120) | $279.00 |
N/A
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| Operating Room - Tying Of Fallopian Tubes Using Endoscope (1001520) | $6,491.00 |
N/A
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| Operating Room - Tying Of Fallopian Tubes (1002380) | $3,019.00 |
N/A
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| Operating Room - Transfer Or Repair Of Tendon (1002300) | $3,878.00 |
N/A
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| Operating Room - Repair Of Wound (1002531) | $475.00 |
N/A
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| Operating Room - Repair Of Tympanic Membrane With Paper Patch (1026318) | $2,623.00 |
N/A
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| Operating Room - Repair Of Hernia Using Endoscope (1001515) | $6,491.00 |
N/A
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| Operating Room - Removal Of Tubal Pregnancy (1001115) | $6,491.00 |
N/A
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| Operating Room - Removal Of Tonsils And Adenoids (1002272) | $3,935.00 |
N/A
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| Operating Room - Removal Of Tonsils (1002328) | $2,624.00 |
N/A
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| Operating Room - Removal Of Ovaries And Fallopian Tubes (1001979) | $6,677.00 |
N/A
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| Operating Room - Removal Of Non-Cancerous Growth (1004733) | $1,529.00 |
N/A
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| Operating Room - Removal Of Nerve Bundle Cyst (1004849) | $2,361.00 |
N/A
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| Operating Room - Removal Of Large Intestine Using Endoscope (1001501) | $7,373.00 |
N/A
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| Operating Room - Removal Of Large Intestine (1000900) | $4,653.00 |
N/A
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| Operating Room - Removal Of Internal Hardware (1001327) | $3,487.00 |
N/A
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| Operating Room - Removal Of Growth From Breast (1000719) | $3,975.00 |
N/A
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| Operating Room - Removal Of Gallbladder With Imaging Of Bile Ducts Using Endoscope (1012606) | $7,811.00 |
N/A
|
|
||
| Operating Room - Removal Of Gallbladder With Bile Duct Exploration Using Endoscope (1001500) | $6,677.00 |
N/A
|
|
||
| Operating Room - Removal Of Gallbladder Using Endoscope (1001514) | $6,491.00 |
N/A
|
|
||
| Operating Room - Removal Of Foreskin (1000880) | $2,638.00 |
N/A
|
|
||
| Operating Room - Removal Of Fluid From Chest Cavity With Imaging Guidance (1012841) | $1,310.00 |
N/A
|
|
||
| Operating Room - Removal Of Drainage Catheter From Lung Lining (1000029) | $1,190.00 |
N/A
|
|
||
| Operating Room - Removal Of Cyst (1008000) | $1,794.00 |
N/A
|
|
||
| Operating Room - Removal Of Connective Tissue Between Lips And Gums (1027938) | $315.00 |
N/A
|
|
||
| Operating Room - Removal Of Central Vein Catheter Beneath The Skin (1000072) | $1,414.00 |
N/A
|
|
||
| Operating Room - Removal Of Central Vein Catheter And Infusion Pump Beneath The Skin (1009876) | $1,274.00 |
N/A
|
|
||
| Operating Room - Removal Of Breast (1001591) | $4,542.00 |
N/A
|
|
||
| Operating Room - Removal Of Bone Growth From Big Toe (1000734) | $3,886.00 |
N/A
|
|
||
| Operating Room - Removal Of Appendix Using Endoscope (1001513) | $6,491.00 |
N/A
|
|
||
| Operating Room - Removal Of Appendix (1000569) | $5,999.00 |
N/A
|
|
||
| Operating Room - Removal Of Adenoids (1000511) | $2,624.00 |
N/A
|
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