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$535.35
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Sanford Vermillion Hospital Menu
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Treatment Room - Strapping, Unna Boot (1009258) | $122.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007045) | $215.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007044) | $181.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007046) | $147.00 |
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Treatment Room - Negative Pressure Wound Therapy, Surface Area Less Than Or Equal To 50 Square Centimeters, Per Session (1002928) | $347.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1004719) | $158.00 |
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Treatment Room - Application Of Vein Wound Compression System Upper Arm, Forearm, Hand, And Fingers (1024270) | $193.00 |
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Treatment Room - Application Of Vein Wound Compression System Lower Leg Below Knee Including Ankle And Foot (1010224) | $289.00 |
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Trauma Response - Full Trauma Activation (1027810) | $3,858.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $129.00 |
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $147.00 |
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Therapeutic Services - Bladder Irrigation Or Instillation (1009129) | $261.00 |
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Telemedicine - Fee For Remote Healthcare Service (1009851) | $54.00 |
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Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $176.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $176.00 |
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Speech Therapy - Therapeutic Services For Use Of Speech-Generating Device With Programming And Modification (1008114) | $176.00 |
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Speech Therapy - Fluoroscopic And Video Recorded Motion Evaluation Of Swallowing Function (1002872) | $224.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $221.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $226.00 |
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Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $289.00 |
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Speech Therapy - Evaluation For Prescription For Speech-Generating And Alternative Communication Device, First Hour With Patient (1008112) | $226.00 |
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Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $343.00 |
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Room & Board - Semi-Private (1008184) | $1,148.00 |
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Room & Board - Semi-Private (1004312) | $320.00 |
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Room & Board - Semi-Private (1009368) | $224.00 |
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Room & Board - Nursery (1004622) | $1,037.00 |
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Room & Board - Nursery (1000438) | $829.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011525) | $206.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1006731) | $170.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011849) | $164.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011850) | $164.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011526) | $106.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009221) | $96.00 |
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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 - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1004474) | $90.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1006717) | $90.00 |
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Respiratory Services - Overnight Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1002093) | $306.00 |
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Respiratory Services - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003249) | $151.00 |
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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) | $657.00 |
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Respiratory Services - Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003265) | $77.00 |
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Respiratory Services - Measurement Of Lung Diffusing Capacity (1003337) | $159.00 |
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Respiratory Services - Measurement Of Exhaled Carbon Dioxide Gas (1003300) | $328.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1003239) | $204.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $434.00 |
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Respiratory Services - Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003254) | $75.00 |
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Respiratory Services - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1020782) | $1,125.00 |
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Respiratory Services - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1020783) | $963.00 |
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Respiratory Services - Determination Of Lung Volumes Using Plethysmography (Instrumentation) (1003336) | $307.00 |
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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 (1004614) | $96.00 |
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Respiratory Services - Demonstration Or Evaluation Of Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003278) | $81.00 |
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Recovery Room Additional (1004671) | $152.00 |
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Recovery Room (1004670) | $635.00 |
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Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $676.00 |
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Radiopharmaceuticals - Technetium Medronate (Radioactive Imaging Agent) (1009453) | $217.00 |
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Radiopharmaceuticals - Technetium Mebrofenin (Radioactive Imaging Agent) (1005436) | $249.00 |
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Professional Services - X-Ray Or Radiation Therapy (1003125) | $11.00 |
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Professional Services - Vein Of Lower Leg Procedure (1003099) | $11.00 |
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Professional Services - Urinary System Procedure (1003044) | $11.00 |
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Professional Services - Upper Arm Bone And Shoulder Joint Procedure (1003101) | $11.00 |
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Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $11.00 |
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Professional Services - Upper Abdominal Procedure (1003017) | $11.00 |
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Professional Services - Spinal Tap (1003007) | $11.00 |
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Professional Services - Repair Of Incisional Hernia Or Wound Opening (1003013) | $11.00 |
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Professional Services - Nose And Sinus Procedure (1002959) | $11.00 |
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Professional Services - Nerve, Muscles Or Tendon Procedure Of Shoulder And Underarm (1003100) | $11.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Forearm, Wrist, And Hand (1003115) | $11.00 |
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Professional Services - Mouth Procedure (1002961) | $11.00 |
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Professional Services - Lower Abdominal Hernia Repair (1003025) | $11.00 |
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Professional Services - Lower Abdominal Cavity Procedure (1003029) | $11.00 |
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Professional Services - Large Intestine Procedure (1027673) | $11.00 |
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Professional Services - Labor During Planned Vaginal Delivery (1003134) | $11.00 |
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Professional Services - Insertion Of Needle Into Vein, Patient 3 Years Or Older (1008501) | $90.00 |
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Professional Services - Insertion Of Needle Into Upper Leg Or Neck Vein, Patient Younger Than 3 Years (1007824) | $271.00 |
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Professional Services - Injection Of Substance Into Spinal Canal Of Lower Back Or Sacrum (1026834) | $1,319.00 |
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Professional Services - Injection Of Blood Or Blood Clot Into Spinal Canal (1007976) | $999.00 |
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Professional Services - Injection Of Anesthesia Or Steroid Into Lower Spine Nerve Root (1010063) | $1,268.00 |
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Professional Services - Incomplete Or Missed Abortion (1004815) | $11.00 |
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Professional Services - Incision Of Ear Drum (1002953) | $11.00 |
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Professional Services - Head And Neck Procedure (1002973) | $11.00 |
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Professional Services - Emergent Insertion Of Breathing Tube Into Windpipe (1002947) | $1,036.00 |
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Professional Services - Division Of Fallopian Tubes (1003032) | $11.00 |
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Professional Services - Diagnostic Exam Of Upper Gastrointestinal System (1027669) | $11.00 |
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Professional Services - Diagnostic Exam Of Large Intestine (1027674) | $11.00 |
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Professional Services - Conversion Of Abnormal Heart Rhythm (1002982) | $11.00 |
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Professional Services - Collarbone And Shoulder Blade Procedure (1002983) | $11.00 |
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Professional Services - Closed Lower Leg, Ankle Or Foot Procedure (1003088) | $11.00 |
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Professional Services - Closed Knee Joint Procedure (1003078) | $11.00 |
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Professional Services - Cesarean Delivery Following Labor (1004385) | $11.00 |
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Professional Services - Cesarean Delivery (1003132) | $11.00 |
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Professional Services - Central Venous Access (1002992) | $11.00 |
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Professional Services - Bone Procedure Of Lower Leg, Ankle And Foot (1003092) | $11.00 |
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Professional Services - Bone Procedure Of Forearm, Wrist, Or Hand (1003116) | $11.00 |
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Professional Services - Biopsy Of Female Genitalia (1003055) | $11.00 |
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Professional Services - Amputation Through Upper Thigh (1003070) | $11.00 |
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Preventive Services - Administration Of Vaccine By Injection, Each Additional Vaccine (1008507) | $77.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $50.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011895) | $38.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011896) | $38.00 |
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Physical Therapy - Wheelchair Management, Each 15 Minutes (1005422) | $100.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $105.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $102.00 |
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Physical Therapy - Therapeutic Hot And Cold Baths To 1 Or More Areas, Each 15 Minutes (1004268) | $58.00 |
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Physical Therapy - Repositioning Maneuvers For Treatment Of Vertigo, Per Day (1009796) | $96.00 |
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Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $205.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $203.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $181.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $160.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $153.00 |
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $78.00 |
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $91.00 |
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) | $96.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $215.00 |
N/A
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Pathology - Preparation Of Tissue For Exam By Removing Any Calcium Present (1006358) | $70.00 |
N/A
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Pathology - Miscellaneous Molecular Pathology Procedure (1020875) | $122.00 |
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) | $362.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $249.00 |
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) | $183.00 |
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) | $142.00 |
N/A
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Pathology - Level I Pathology Exam Of Tissue Using Visual Inspection (1006352) | $79.00 |
N/A
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Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (1009034) | $162.00 |
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Operating Room - Tying Of Fallopian Tubes Using Endoscope (1001520) | $5,278.00 |
N/A
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Operating Room - Spinal Tap For Diagnosis (1001571) | $556.00 |
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Operating Room - Skin Lesion (1002086) | $956.00 |
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Operating Room - Repair Of Joint (1000592) | $10,991.00 |
N/A
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Operating Room - Repair Of Hernia Using Endoscope (1001515) | $12,497.00 |
N/A
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Operating Room - Removal Of Tonsils And Adenoids (1002272) | $2,436.00 |
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Operating Room - Removal Of Tonsils (1002328) | $2,149.00 |
N/A
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Operating Room - Removal Of Nasal Sinus Tissue (1007852) | $860.00 |
N/A
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Operating Room - Removal Of Gallbladder Using Endoscope (1001514) | $10,525.00 |
N/A
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Operating Room - Removal Of Foreskin (1000880) | $805.00 |
N/A
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Operating Room - Removal Of Appendix Using Endoscope (1001513) | $12,480.00 |
N/A
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Operating Room - Removal Of Adenoids (1000511) | $2,149.00 |
N/A
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Operating Room - Pelvic Exam Under Anesthesia (1008201) | $112.00 |
N/A
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Operating Room - Insertion Or Removal Or Pe Tube (1001799) | $1,662.00 |
N/A
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Operating Room - Insertion Of Temporary Bladder Catheter (1003986) | $141.00 |
N/A
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Operating Room - Insertion Of Chest Tube (1000865) | $1,331.00 |
N/A
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Operating Room - Injection Procedure For X-Ray Imaging Of The Bladder And Bladder Canal (1001002) | $2,684.00 |
N/A
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Operating Room - Injection Of Substance Into Spinal Canal Of Lower Back Or Sacrum (1026842) | $751.00 |
N/A
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Operating Room - Infusion Of Clot-Busting Drug Into Implanted Vascular Catheter (1005258) | $412.00 |
N/A
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Operating Room - Hernia Repair (1004381) | $4,135.00 |
N/A
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Operating Room - Fillings Or Crowns (1006814) | $3,143.00 |
N/A
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Operating Room - Dilation Of Esophagus (1007574) | $913.00 |
N/A
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Operating Room - Dilation And Scraping Of Uterus (1001009) | $3,695.00 |
N/A
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Operating Room - Diagnostic Exam Of Bladder Using Flexible Endoscope (1004739) | $1,199.00 |
N/A
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Operating Room - Diagnostic Exam Of Bladder Using Endoscope (1001003) | $363.00 |
N/A
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Operating Room - Cesarean Delivery With Tying Of Fallopian Tubes (1007070) | $8,448.00 |
N/A
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Operating Room - Cesarean Delivery (1004275) | $7,602.00 |
N/A
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Occupational Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (1002910) | $100.00 |
N/A
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Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (1002901) | $109.00 |
N/A
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Occupational Therapy - Therapeutic Activities To Improve Function With One-On-One Contact Between Patient And Provider, Each 15 Minutes (1002912) | $103.00 |
N/A
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Occupational Therapy - Self-Care Or Home Management Training, Each 15 Minutes (1002915) | $103.00 |
N/A
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Occupational Therapy - Removal Of Tissue From Wounds, Per Session (1002917) | $162.00 |
N/A
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Occupational Therapy - Physical Performance Test Or Measurement With Report, Each 15 Minutes (1012462) | $81.00 |
N/A
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Occupational Therapy - Manual Therapy Techniques To 1 Or More Regions, Each 15 Minutes (1002908) | $103.00 |
N/A
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $181.00 |
N/A
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $166.00 |
N/A
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Occupational Therapy - Evaluation Of Occupational Therapy Established Plan Of Care, Typically 60 Minutes (1026791) | $203.00 |
N/A
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $108.00 |
N/A
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Occupational Therapy - Application Of Hot Wax Bath To 1 Or More Areas (1002890) | $61.00 |
N/A
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Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1002894) | $108.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1000442) | $52.00 |
N/A
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Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Multiple Studies (1003505) | $2,576.00 |
N/A
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Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Bones Or Joints (1003518) | $1,081.00 |
N/A
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Nuclear Medicine - Diagnostic Stomach Emptying Study (1003470) | $1,088.00 |
N/A
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Nuclear Medicine - Diagnostic Scan Of Parathyroid With Spect Blood Flow Analysis (1012766) | $2,322.00 |
N/A
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Whole Body (1003461) | $984.00 |
N/A
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, 3 Phase Study (1003459) | $1,154.00 |
N/A
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Labor & Delivery - Removal Of Foreskin In Nursery (1004377) | $789.00 |
N/A
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Labor & Delivery - Level 3 Labor (1004271) | $1,457.00 |
N/A
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Labor & Delivery - Level 2 Labor (1004270) | $1,227.00 |
N/A
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Labor & Delivery - Level 2 Delivery (1004274) | $1,381.00 |
N/A
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Labor & Delivery - Level 1 Labor (1004269) | $932.00 |
N/A
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Labor & Delivery - Level 1 Delivery (1004273) | $932.00 |
N/A
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Labor & Delivery - Fetal Non-Stress Test (1003176) | $247.00 |
N/A
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Labor & Delivery - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1004812) | $47.00 |
N/A
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Labor & Delivery - Assessment Each Additional Hour (1004813) | $47.00 |
N/A
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Lab - Zonisamide Level (1021062) | $71.00 |
N/A
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Lab - Zinc Level (1005871) | $157.00 |
N/A
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Lab - Withdrawal Of Blood For Alcohol Level (1004378) | $90.00 |
N/A
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Lab - Withdrawal Of Arterial Blood For Diagnosis (1004304) | $59.00 |
N/A
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Lab - White Blood Cell Examination With Manual White Cell Differential Count (1004488) | $39.00 |
N/A
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Lab - White Blood Cell Count (Automated) (1004492) | $29.00 |
N/A
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Lab - White Blood Cell Automated Differential Count (1005878) | $89.00 |
N/A
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Lab - White Blood Cell Antibodies Identification (1006075) | $198.00 |
N/A
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Lab - White Blood Cell Antibodies Identification (1006073) | $143.00 |
N/A
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Lab - White Blood Cell Analysis Of Stool Specimen (1006394) | $35.00 |
N/A
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $58.00 |
N/A
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Lab - West Nile Antibody Analysis (Except Igm Only) (1006210) | $136.00 |
N/A
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Lab - Vitamin D-3 Level (1004832) | $177.00 |
N/A
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Lab - Vitamin D-3 Level (1010913) | $173.00 |
N/A
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Lab - Vitamin D Level (1,25-Dihydroxy) (1004828) | $671.00 |
N/A
|
|
||
Lab - Vitamin B-6 Level (1004830) | $511.00 |
N/A
|
|
||
Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $160.00 |
N/A
|
|
||
Lab - Vitamin B-1 Level (1005846) | $258.00 |
N/A
|
|
||
Lab - Vitamin A Level (1005867) | $284.00 |
N/A
|
|
||
Lab - Varicella-Zoster Antibody Analysis (1006207) | $82.00 |
N/A
|
|
||
Lab - Vancomycin Level (1008950) | $133.00 |
N/A
|
|
||
Lab - Valproic Acid Level (Total) (1005480) | $177.00 |
N/A
|
|
||
Lab - Urine Pregnancy Test (1004532) | $67.00 |
N/A
|
|
||
Lab - Urine Concentration Measurement (1005796) | $70.00 |
N/A
|
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