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$525.04
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Sanford Thief River Falls Medical Center Menu
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Treatment Room - Strapping, Unna Boot (1009258) | $117.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007045) | $355.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007044) | $355.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007046) | $304.00 |
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Treatment Room - Negative Pressure Wound Therapy, Surface Area Less Than Or Equal To 50 Square Centimeters, Per Session (1002928) | $298.00 |
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Treatment Room - Negative Pressure Wound Therapy, Surface Area Greater Than 50 Square Centimeters, Per Session (1002929) | $351.00 |
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Treatment Room - Bladder Instillation Of Cancer Preventive, Inhibiting, Or Suppressive Agent (1004361) | $283.00 |
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Treatment Room - Application Of Vein Wound Compression System Lower Leg Below Knee Including Ankle And Foot (1010224) | $133.00 |
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Trauma Response - Full Trauma Activation (1027810) | $1,288.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $183.00 |
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $64.00 |
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Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $260.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $252.00 |
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Speech Therapy - Therapeutic Services For Use Of Speech-Generating Device With Programming And Modification (1008114) | $260.00 |
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Speech Therapy - Standardized Thought Processing Testing With Interpretation And Report, Per Hour Of Qualified Professional Time (1006830) | $296.00 |
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Speech Therapy - Fluoroscopic And Video Recorded Motion Evaluation Of Swallowing Function (1002872) | $383.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $363.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $398.00 |
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Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $398.00 |
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Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $398.00 |
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Room & Board - Semi-Private Psychiatric (1009228) | $2,079.00 |
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Room & Board - Semi-Private (1004312) | $1,040.00 |
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Room & Board - Private Psychiatric (1013947) | $2,079.00 |
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Room & Board - Private Obstetrical (1013949) | $1,672.00 |
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Room & Board - Private Medical & Surgical (1006600) | $2,118.00 |
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Room & Board - Private Medical & Surgical (1006598) | $1,501.00 |
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Room & Board - Nursery (1004622) | $1,428.00 |
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Room & Board - Nursery (1000438) | $1,183.00 |
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Room & Board - Intensive Care (1000441) | $2,985.00 |
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Respiratory Services - Ventilation Management In Hospital - Subsequent Day (1003237) | $718.00 |
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Respiratory Services - Ventilation Management In Hospital - Initial Day (1003236) | $888.00 |
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Respiratory Services - Test For Exercise-Induced Lung Stress (1027651) | $235.00 |
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Respiratory Services - Single Measurement Of Remaining Air Or Lung Capacity After Exhalation (1003288) | $86.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009221) | $170.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009222) | $90.00 |
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Respiratory Services - Procedure To Improve Lung Function, 2+ Patients (1005465) | $77.00 |
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Respiratory Services - Physical Performance Test Or Measurement With Report, Each 15 Minutes (1008258) | $103.00 |
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Respiratory Services - Overnight Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1021329) | $484.00 |
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Respiratory Services - Overnight Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1021330) | $101.00 |
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Respiratory Services - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003267) | $92.00 |
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Respiratory Services - Multiple Measurements And Graphic Recordings Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1003330) | $633.00 |
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Respiratory Services - Measurement Of Lung Diffusing Capacity (1003337) | $232.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1003239) | $155.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $299.00 |
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Respiratory Services - Inhaled Pneumonia Treatment (1004609) | $181.00 |
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Respiratory Services - Demonstration Or Evaluation Of Patient Use Of Aerosol Generator, Nebulizer, Metered Dose Inhaler Or Intermittent Positive Pressure Breathing (Ippb) Device (1001534) | $138.00 |
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Recovery - Post Anesthesia Services Each Additional 15 Minutes (1011823) | $149.00 |
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Recovery - Post Anesthesia Services (1001874) | $428.00 |
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Recovery - First 30 Minutes (1011822) | $333.00 |
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Radiopharmaceuticals - Technetium Tilmanocept (Radioactive Imaging Agent) (1021003) | $372.00 |
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Radiopharmaceuticals - Technetium Sulfur Colloid (Radioactive Imaging Agent) (1003542) | $209.00 |
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Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $443.00 |
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Radiopharmaceuticals - Technetium Pentetate (Radioactive Imaging Agent) (1010432) | $380.00 |
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Radiopharmaceuticals - Technetium Mertiatide (Radioactive Imaging Agent) (1005454) | $735.00 |
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Radiopharmaceuticals - Technetium Medronate (Radioactive Imaging Agent) (1009453) | $63.00 |
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Radiopharmaceuticals - Technetium Mebrofenin (Radioactive Imaging Agent) (1005436) | $135.00 |
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Radiopharmaceuticals - Technetium Macroaggregated Albumin (Radioactive Imaging Agent) (1005439) | $117.00 |
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Radiopharmaceuticals - Technetium Labeled Blood Cells (Radioactive Imaging Agent) (1005452) | $377.00 |
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Radiopharmaceuticals - Iodine I-123 Sodium Iodide (Radioactive Imaging Agent) (1007048) | $37.00 |
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Pulmonary Rehabilitation - Pulmonary Rehabilitation Sesstion Including Exercise (1010220) | $72.00 |
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Professional Services - X-Ray Of Venous Or Lymph System (1003128) | $13.00 |
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Professional Services - X-Ray Of Spine And Spinal Cord (1008107) | $13.00 |
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Professional Services - Vein Of Upper Leg Procedure (1003072) | $13.00 |
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Professional Services - Vein Of Lower Leg Procedure (1003099) | $13.00 |
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Professional Services - Vasectomy (1003049) | $13.00 |
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Professional Services - Vaginal Removal Of Uterus (1003057) | $13.00 |
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Professional Services - Urinary System Procedure (1003044) | $13.00 |
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Professional Services - Upper Arm Bone And Shoulder Joint Procedure (1003101) | $13.00 |
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Professional Services - Upper Arm And Elbow Procedure (1003109) | $13.00 |
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Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $13.00 |
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Professional Services - Upper Abdominal Procedure (1003017) | $13.00 |
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Professional Services - Upper Abdominal Hernia Repair (1003012) | $13.00 |
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Professional Services - Total Shoulder Joint Replacement (1003104) | $13.00 |
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Professional Services - Total Knee Joint Replacement (1003083) | $13.00 |
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Professional Services - Total Hip Joint Replacement (1003066) | $13.00 |
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Professional Services - Suture Of Upper Arm And Elbow Tendon To Bone (1003108) | $13.00 |
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Professional Services - Suture Closure Of Cervix (1003058) | $13.00 |
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Professional Services - Spinal Tap For Diagnosis (1010599) | $384.00 |
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Professional Services - Skin Of Arms, Legs Or Trunk Procedure (1002978) | $13.00 |
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Professional Services - Shoulder Joint Procedure (1003102) | $13.00 |
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Professional Services - Reviving Newborn At Delivery (1006900) | $345.00 |
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Professional Services - Revision Of Total Hip Joint Replacement (1003067) | $13.00 |
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Professional Services - Repair Or Removal Of Vagina And Urethral Procedure (1003056) | $13.00 |
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Professional Services - Repair Of Incisional Hernia Or Wound Opening (1003013) | $13.00 |
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Professional Services - Repair Calf Muscle (1005172) | $13.00 |
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Professional Services - Removal Of Uterus (1003031) | $13.00 |
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Professional Services - Removal Of External Female Genitalia (1003043) | $13.00 |
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Professional Services - Removal Of Breast And Lymph Nodes (1002981) | $13.00 |
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Professional Services - Removal Of Breast (1002980) | $13.00 |
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Professional Services - Placement Or Revision Of Blood Flow Shunt (1003119) | $13.00 |
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Professional Services - Pelvic Bone Marrow Aspiration And/or Biopsy (1003060) | $13.00 |
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Professional Services - Open Upper Thigh Bone Procedure (1003069) | $13.00 |
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Professional Services - Open Lower Thigh Bone Procedure (1003077) | $13.00 |
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Professional Services - Open Kneecap Or Lower Leg Procedure (1003081) | $13.00 |
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Professional Services - Open Hip Joint Procedure (1003065) | $13.00 |
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Professional Services - Nose And Sinus Procedure (1002959) | $13.00 |
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Professional Services - Nerve, Muscles Or Tendon Procedure Of Shoulder And Underarm (1003100) | $13.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Upper Leg (1003071) | $13.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Upper Arm And Elbow (1003107) | $13.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Lower Leg, Foot Or Ankle (1003090) | $13.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Forearm, Wrist, And Hand (1003115) | $13.00 |
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Professional Services - Nerve Block And Injection Procedure (1010151) | $13.00 |
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Professional Services - Nerve Block And Injection Procedure (1010150) | $13.00 |
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Professional Services - Neck, Throat, Thyroid Or Esophagus Procedure (1002974) | $13.00 |
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Professional Services - Mouth Procedure (1002961) | $13.00 |
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Professional Services - Middle Or Incisional Abdominal Hernia Repair (1003026) | $13.00 |
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Professional Services - Male Genitalia Procedure (1003048) | $13.00 |
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Professional Services - Lower Spine Procedure (1003005) | $13.00 |
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Professional Services - Lower Leg, Ankle Or Foot Procedure Using Scope (1003089) | $13.00 |
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Professional Services - Lower Abdominal Wall Procedure (1003021) | $13.00 |
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Professional Services - Lower Abdominal Hernia Repair (1003025) | $13.00 |
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Professional Services - Lower Abdominal Cavity Procedure (1003029) | $13.00 |
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Professional Services - Lower Abdomen And/or Urinary Tract Procedure (1003033) | $13.00 |
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Professional Services - Lens Surgery (1002955) | $13.00 |
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Professional Services - Large Intestine Procedure (1027673) | $13.00 |
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Professional Services - Labor During Planned Vaginal Delivery (1003134) | $2,736.00 |
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Professional Services - Knee Joint Procedure Using Scope (1003082) | $13.00 |
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Professional Services - Insulin Pump Visit (1010946) | $218.00 |
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Professional Services - Insertion Of Needle Into Vein, Patient Younger Than 3 Years (1021164) | $192.00 |
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Professional Services - Insertion Of Needle Into Vein, Patient 3 Years Or Older (1008501) | $192.00 |
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Professional Services - Insertion Of Needle Into Scalp Vein, Patient Younger Than 3 Years (1021577) | $192.00 |
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Professional Services - Insertion Of Catheter In Central Vein, Access Via Arm, Leg, Or Neck Vein, 5+ Years (1010924) | $686.00 |
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Professional Services - Insertion Of Catheter In Central Vein, 5+ Years (1021694) | $610.00 |
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Professional Services - Injection Of Blood Or Blood Clot Into Spinal Canal (1007976) | $439.00 |
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Professional Services - Injection Of Anesthesia Or Steroid Into Thigh Nerve (1010107) | $787.00 |
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Professional Services - Injection Of Anesthesia Or Steroid Into Shoulder Nerve Network (1020976) | $787.00 |
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Professional Services - Injection Of Anesthesia Or Steroid Into Rear Leg Nerve (1010271) | $1,093.00 |
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Professional Services - Injection Of Anesthesia Or Steroid Into Other Peripheral Nerve (1021611) | $255.00 |
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Professional Services - Incomplete Or Missed Abortion (1004815) | $13.00 |
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Professional Services - Incision Of Ear Drum (1002953) | $13.00 |
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Professional Services - Head And Neck Procedure (1002973) | $13.00 |
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Professional Services - Facial Bone Or Skull Procedure (1002964) | $13.00 |
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Professional Services - Eyelid Reconstruction (1005129) | $13.00 |
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Professional Services - Eye Procedure (1002954) | $13.00 |
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Professional Services - Exam Of Uterus With Endoscope (1003059) | $13.00 |
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Professional Services - Emergent Insertion Of Breathing Tube Into Windpipe (1002947) | $312.00 |
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Professional Services - Elbow Procedure (1003111) | $13.00 |
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Professional Services - Division Of Fallopian Tubes (1003032) | $13.00 |
N/A
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Professional Services - Diagnostic Exam Of Upper Gastrointestinal System (1027669) | $13.00 |
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Professional Services - Diagnostic Exam Of Shoulder Joint (1004678) | $13.00 |
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Professional Services - Diagnostic Exam Of Large Intestine (1027674) | $13.00 |
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Professional Services - Diagnostic Exam Of Knee Joint (1003079) | $13.00 |
N/A
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Professional Services - Diagnostic Exam Of Gallbladder And Bile Ducts (1027670) | $13.00 |
N/A
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Professional Services - Conversion Of Abnormal Heart Rhythm (1002982) | $13.00 |
N/A
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Professional Services - Continuous Spinal Drug Administration (1004387) | $207.00 |
N/A
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Professional Services - Closed Upper Thigh Bone Procedure (1003068) | $13.00 |
N/A
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Professional Services - Closed Lower Leg, Ankle Or Foot Procedure (1003088) | $13.00 |
N/A
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Professional Services - Chest Procedure (1002987) | $13.00 |
N/A
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Professional Services - Cesarean Delivery Following Labor (1004385) | $13.00 |
N/A
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Professional Services - Cesarean Delivery (1003132) | $13.00 |
N/A
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Professional Services - Central Venous Access (1002992) | $13.00 |
N/A
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Professional Services - Bone Procedure Of Lower Leg, Ankle And Foot (1003092) | $13.00 |
N/A
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Professional Services - Bone Procedure Of Forearm, Wrist, Or Hand (1003116) | $13.00 |
N/A
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Professional Services - Bone Procedure Of Forearm, Wrist, Or Hand (1003117) | $13.00 |
N/A
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Professional Services - Biopsy Of Female Genitalia (1003055) | $13.00 |
N/A
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Professional Services - Anesthesia Procedure (1005202) | $13.00 |
N/A
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Professional Services - Anal And Rectal Procedure (1003041) | $13.00 |
N/A
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Professional Services - Abdominal Wall Procedure (1003010) | $13.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, Each Additional Vaccine (1007693) | $39.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, Each Additional Vaccine (1008507) | $33.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1008136) | $76.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007692) | $69.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007672) | $62.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011895) | $62.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007673) | $61.00 |
N/A
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $51.00 |
N/A
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $104.00 |
N/A
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Physical Therapy - Therapeutic Procedures In A Group Setting (1002909) | $92.00 |
N/A
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $135.00 |
N/A
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Physical Therapy - Repositioning Maneuvers For Treatment Of Vertigo, Per Day (1009796) | $118.00 |
N/A
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Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $158.00 |
N/A
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $222.00 |
N/A
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $222.00 |
N/A
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $222.00 |
N/A
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $110.00 |
N/A
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $98.00 |
N/A
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $35.00 |
N/A
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Physical Therapy - Application Of Blood Vessel Compression Or Decompression Device To 1 Or More Areas (1007033) | $84.00 |
N/A
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Pathology - White Blood Cell Culture To Identify Non-Cancerous Disorders (1019046) | $510.00 |
N/A
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Pathology - White Blood Cell Culture To Identify Non-Cancerous Disorders (1006328) | $390.00 |
N/A
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Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group Ii For All Other Excluding Microorganisms) (1006361) | $154.00 |
N/A
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Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group I For Microorganisms) (1006359) | $174.00 |
N/A
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $154.00 |
N/A
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Pathology - Special Stained Specimen Slides To Examine Tissue (Each Multiplex Slide Or Stain) (1024654) | $266.00 |
N/A
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Pathology - Special Stained Specimen Slides To Examine Tissue (Each Additional Slide Or Stain) (1024653) | $113.00 |
N/A
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Pathology - Preparation Of Tissue For Exam By Removing Any Calcium Present (1006358) | $19.00 |
N/A
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Pathology - Pap Smear (Thin Layer Prep With Manual Screening) (1006966) | $83.00 |
N/A
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Pathology - Pap Smear (Thin Layer Prep With Automated Screening And Manual Rescreening) (1006967) | $105.00 |
N/A
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Pathology - Miscellaneous Molecular Pathology Procedure (1025501) | $199.00 |
N/A
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Pathology - Microscopic Manual Genetic Analysis Of Tissue Specimen (Additional Single Probe Stain) (1024657) | $118.00 |
N/A
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Pathology - Microscopic Genetic Analysis Of Tumor Specimen (Manual Tumor Immunohistochemistry) (1010667) | $163.00 |
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) | $576.00 |
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) | $553.00 |
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) | $163.00 |
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) | $182.00 |
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) | $136.00 |
N/A
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Pathology - Level I Pathology Exam Of Tissue Using Visual Inspection (1006352) | $65.00 |
N/A
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Pathology - Genome-Wide Analysis For Copy Number And Single Nucleotide Polymorphism Variants (1025381) | $1,964.00 |
N/A
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Pathology - Genetic Testing Interpretation And Report (1027762) | $249.00 |
N/A
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Pathology - Genetic Testing Interpretation And Report (1006351) | $175.00 |
N/A
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