Western Maine Health Menu
Items | |||||
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Emergency Room - Repair Of Finger Or Toe Nail Bed (450000012) | $75.60 |
N/A
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Emergency Room - Repair Of Blood Vessel Of Leg (450000387) | $582.75 |
N/A
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Emergency Room - Removal Or Cutting Of Full Arm Or Leg Cast (450000373) | $37.80 |
N/A
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Emergency Room - Removal Of Tissue From Wounds, Per Session (450000439) | $457.80 |
N/A
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Emergency Room - Removal Of Tissue From 6 Or More Finger Or Toe Nails (450000261) | $187.95 |
N/A
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Emergency Room - Removal Of Tissue From 1 To 5 Finger Or Toe Nails (450000260) | $169.05 |
N/A
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Emergency Room - Removal Of Tissue Beneath The Skin, Initial Amount (450000008) | $584.85 |
N/A
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Emergency Room - Removal Of Sutures Under Anesthesia (450000552) | $33.60 |
N/A
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Emergency Room - Removal Of Skin Suture With Change Of Bladder Tube (450000114) | $38.85 |
N/A
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Emergency Room - Removal Of Skin Of Finger Or Toe Nail (456000015) | $107.10 |
N/A
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Emergency Room - Removal Of Inflamed Or Infected Skin, Up To 10 Percent Of Body Surface (450000251) | $40.95 |
N/A
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Emergency Room - Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Fracture Or Dislocation (450000555) | $816.90 |
N/A
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Emergency Room - Removal Of Foreign Material From Skin And Tissue At Open Fracture Or Dislocation Site (450000252) | $205.80 |
N/A
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Emergency Room - Removal Of Foreign Body Of Upper Arm Or Elbow Area, Accessed Beneath The Skin (450000299) | $107.10 |
N/A
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Emergency Room - Removal Of Foreign Body Of Forearm Or Wrist (450000647) | $290.85 |
N/A
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Emergency Room - Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin (450000072) | $118.65 |
N/A
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Emergency Room - Removal Of Foreign Body Of Foot Tissue (450000521) | $273.00 |
N/A
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Emergency Room - Removal Of Foreign Body In Nose Without Anesthesia (450000083) | $55.65 |
N/A
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Emergency Room - Removal Of Foreign Body In Anus Using Endoscope (450000106) | $93.45 |
N/A
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Emergency Room - Removal Of Foreign Body From Voice Box Using Endoscope (450000378) | $131.25 |
N/A
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Emergency Room - Removal Of Foreign Body From Throat (450000410) | $112.35 |
N/A
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Emergency Room - Removal Of Foreign Body From Eye Surface (450000121) | $40.95 |
N/A
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Emergency Room - Removal Of Foreign Body From Eye Membrane Or White Outer Layer (450000122) | $45.15 |
N/A
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Emergency Room - Removal Of Foreign Body From Eye Cornea With Slit Lamp Exam (450000124) | $48.30 |
N/A
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Emergency Room - Removal Of Foreign Body From Eye Cornea (450000123) | $46.20 |
N/A
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Emergency Room - Removal Of Fluid From Chest Cavity (450000586) | $72.45 |
N/A
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Emergency Room - Removal Of Fluid From Abdominal Cavity (450000547) | $200.00 |
N/A
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Emergency Room - Removal Of Embedded Foreign Body Of Mouth (450000402) | $252.00 |
N/A
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Emergency Room - Removal Of 1 Non-Cancerous Thickened Skin Growth (450000253) | $212.10 |
N/A
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Emergency Room - Relocation Of Mouth Tissue To Gum Surface (450000587) | $187.95 |
N/A
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Emergency Room - Placement Of Temporary Pacemaker Leads (450000229) | $198.45 |
N/A
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Emergency Room - Permanent Removal Of Nail (450000011) | $602.70 |
N/A
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Emergency Room - Open Treatment Of Growth Plate Or Broken Upper Arm Bone At Elbow (450000646) | $652.05 |
N/A
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Emergency Room - Open Treatment Of Broken Great Toe (450000359) | $348.60 |
N/A
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Emergency Room - Needle Aspiration Of Bladder (450000415) | $52.50 |
N/A
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Emergency Room - Multiple Measurements Of Eye Fluid Pressure Over An Extended Time Period, Same Day (450000656) | $59.85 |
N/A
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Emergency Room - Miscellaneous Procedure On Skin, Tissue Beneath The Skin, Or Mucous Membrane (450000682) | $107.10 |
N/A
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Emergency Room - Manipulation Of Shoulder Dislocation Without Incision With Anesthesia (450000296) | $1,016.40 |
N/A
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Emergency Room - Manipulation Of Shoulder Dislocation Without Incision (450000060) | $158.55 |
N/A
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Emergency Room - Manipulation Of Shoulder Dislocation And Broken Upper Arm Without Incision (450000558) | $264.60 |
N/A
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Emergency Room - Manipulation Of Broken Upper Arm Without Incision (450000535) | $317.10 |
N/A
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Emergency Room - Manipulation Of Broken Forearm Without Incision (450000666) | $262.50 |
N/A
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Emergency Room - Manipulation Of Broken Forearm Bones Without Incision (450000313) | $266.70 |
N/A
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Emergency Room - Manipulation Of Broken Forearm At Elbow Without Incision (450000564) | $290.85 |
N/A
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Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (450000032) | $238.35 |
N/A
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Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (450000031) | $179.55 |
N/A
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Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (450000030) | $159.60 |
N/A
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Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (450000029) | $137.55 |
N/A
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Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (450000028) | $115.50 |
N/A
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Emergency Room - Intermediate Wound Repair Of The Scalp, Underarms, Trunk, Arms, Or Legs (450000027) | $102.90 |
N/A
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Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (450000036) | $168.00 |
N/A
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Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (450000035) | $147.00 |
N/A
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Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (450000034) | $130.20 |
N/A
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Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet, Or Genitals (450000033) | $113.40 |
N/A
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Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (450000044) | $215.25 |
N/A
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Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (450000043) | $203.70 |
N/A
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Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (450000042) | $160.65 |
N/A
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Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (450000041) | $144.90 |
N/A
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Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (450000040) | $131.25 |
N/A
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Emergency Room - Intermediate Wound Repair Of Face, Ears, Eyelids, Nose, Lips, Or Mouth (450000039) | $115.50 |
N/A
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Emergency Room - Insertion Of Stomach Tube And Aspirations Of Gastric Contents (450000100) | $92.40 |
N/A
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Emergency Room - Insertion Of Needle Into Vein, Patient Younger Than 3 Years (450000642) | $16.80 |
N/A
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Emergency Room - Insertion Of Needle Into Vein, Patient 3 Years Or Older (450000093) | $1,816.50 |
N/A
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Emergency Room - Insertion Of Needle Into Upper Leg Or Neck Vein, Patient Younger Than 3 Years (450000641) | $15.75 |
N/A
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Emergency Room - Insertion Of Needle For Infusion Into Bone (450000398) | $75.60 |
N/A
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Emergency Room - Insertion Of Hardware To Broken Lower Forearm Bone Or Growth Plate Separation, Accessed Through The Skin (450000554) | $610.05 |
N/A
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Emergency Room - Insertion Of Catheter Or Tube In Esophagus, Stomach, Or Upper Small Intestine Using Endoscope (450000568) | $102.90 |
N/A
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Emergency Room - Insertion Of Catheter Into Right Upper Heart Chamber And Pulmonary Artery For Monitoring (410000003) | $136.50 |
N/A
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Emergency Room - Insertion Of Catheter Into Navel Vein, Newborn (450000692) | $36.75 |
N/A
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Emergency Room - Insertion Of Catheter In Central Vein, 1-4 Years (450000391) | $126.00 |
N/A
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Emergency Room - Insertion Of Arterial Catheter For Blood Sampling, Monitoring, Or Infusion, Accessed Through The Skin (450000096) | $25.00 |
N/A
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Emergency Room - Injection Procedure To Induce Erection (450000634) | $183.75 |
N/A
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Emergency Room - Injection Of Anesthesia Or Steroid Into Occipital Cranial Nerve (450000427) | $49.35 |
N/A
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Emergency Room - Injection Of Anesthesia Or Steroid Into Facial Nerve (450000119) | $222.60 |
N/A
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Emergency Room - Initial Control Of Nose Bleed And Insertion Of Packing (450000086) | $93.45 |
N/A
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Emergency Room - Initial Aspiration Of Fluid From Sac Around Heart (450000447) | $135.45 |
N/A
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Emergency Room - Infusion Of Drug Into Vein To Dissolve Coronary Blood Clot (450000436) | $343.35 |
N/A
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Emergency Room - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Concurrent With Another Infusion (450000137) | $50.40 |
N/A
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Emergency Room - Incision Of Vein For Insertion Of Needle Or Catheter, Patient Younger Than 1 Year (450000389) | $55.65 |
N/A
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Emergency Room - Incision Of Engorged External Hemorrhoid (450000103) | $101.85 |
N/A
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Emergency Room - Incision Of Corner Of Eye At Eyelids (450000430) | $86.10 |
N/A
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Emergency Room - Incision Of Abscess, Cyst, Or Blood Accumulation In Mouth (450000097) | $94.50 |
N/A
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Emergency Room - Incision And Drainage Of Eyelid Abscess (450000125) | $85.05 |
N/A
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Emergency Room - Incision And Drainage Of External Ear Abscess Or Blood Accumulation (450000432) | $129.15 |
N/A
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Emergency Room - Incision And Drainage Of External Ear Abscess Or Blood Accumulation (450000126) | $88.20 |
N/A
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Emergency Room - Incision And Drainage Of Ear Canal Abscess (450000433) | $106.05 |
N/A
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Emergency Room - Incision And Drainage Of Abscess In Scrotal Sac Of Testicle (450000424) | $130.20 |
N/A
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Emergency Room - Fine Needle Aspiration Of Additional Lesion Without Imaging Guidance (450000694) | $31.50 |
N/A
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Emergency Room - External Shock To Heart To Regulate Heart Beat (450000131) | $136.50 |
N/A
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Emergency Room - Exploration, Drainage, Or Removal Of Foreign Body Of Hand Joint (450000648) | $266.70 |
N/A
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Emergency Room - Exploration Of Penetrating Wound Of Arm Or Leg (456000043) | $256.20 |
N/A
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Emergency Room - Emergent Insertion Of Breathing Tube Through Windpipe (450000089) | $213.15 |
N/A
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Emergency Room - Emergent Insertion Of Breathing Tube Into Windpipe (450000087) | $111.30 |
N/A
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Emergency Room - Emergency Department Visit, Self Limited Or Minor Problem (450000143) | $254.10 |
N/A
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Emergency Room - Emergency Department Visit, Self Limited Or Minor Problem (99281) | $228.90 |
N/A
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Emergency Room - Emergency Department Visit, Problem With Significant Threat To Life Or Function (99285) | $845.25 |
N/A
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Emergency Room - Emergency Department Visit, Problem With Significant Threat To Life Or Function (450000160) | $831.60 |
N/A
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Emergency Room - Emergency Department Visit, Problem Of High Severity (99284) | $641.55 |
N/A
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Emergency Room - Emergency Department Visit, Problem Of High Severity (450000156) | $594.30 |
N/A
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Emergency Room - Emergency Department Visit, Moderately Severe Problem (450000152) | $468.30 |
N/A
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Emergency Room - Emergency Department Visit, Moderately Severe Problem (99283) | $463.05 |
N/A
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Emergency Room - Emergency Department Visit, Low To Moderately Severe Problem (450000148) | $371.70 |
N/A
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Emergency Room - Emergency Department Visit, Low To Moderately Severe Problem (99282) | $332.85 |
N/A
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Emergency Room - Drainage Of Wound Infection After Surgery, Complex (450000250) | $136.50 |
N/A
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Emergency Room - Drainage Of Tonsil Abscess (456000084) | $101.85 |
N/A
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Emergency Room - Drainage Of Tailbone Cyst, Complicated (456000004) | $149.10 |
N/A
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Emergency Room - Drainage Of Fluid-Filled Sac Of Upper Arm Or Elbow (450000298) | $114.45 |
N/A
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Emergency Room - Drainage Of Finger Abscess (456000055) | $106.05 |
N/A
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Emergency Room - Drainage Of Finger Abscess (450000322) | $93.45 |
N/A
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Emergency Room - Drainage Of Blood From Underneath Nail (450000010) | $24.15 |
N/A
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Emergency Room - Drainage Of Abscess, Cyst, Or Blood Accumulation Under The Tongue (450000654) | $96.60 |
N/A
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Emergency Room - Drainage Of Abscess, Cyst, Or Blood Accumulation Of Dental Bone (450000098) | $73.50 |
N/A
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Emergency Room - Drainage Of Abscess Or Blood Collection At Thigh Or Knee Region (450000338) | $355.95 |
N/A
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Emergency Room - Drainage Of Abscess Or Blood Accumulation In Nose (450000446) | $89.25 |
N/A
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Emergency Room - Drainage Of Abscess Or Blood Accumulation In Nasal Cartilage (450000374) | $88.20 |
N/A
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Emergency Room - Dilation Of Narrowing Of Bladder Canal Male (450000677) | $60.90 |
N/A
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Emergency Room - Diagnostic Exam Of Voice Box Using Endoscope (450000228) | $160.65 |
N/A
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Emergency Room - Diagnostic Exam Of Nasal Passages Using Endoscope (450000227) | $55.65 |
N/A
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Emergency Room - Destruction Of Vascular Skin Growth (450000637) | $532.35 |
N/A
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Emergency Room - Destruction Of 1 To 14 Non-Cancerous Skin Growths (450000274) | $134.40 |
N/A
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Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient, First 30-74 Minutes (450000164) | $1,187.55 |
N/A
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Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient (450000169) | $963.90 |
N/A
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Emergency Room - Complex Wound Repair Of Scalp, Arms, Or Legs (450000046) | $144.90 |
N/A
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Emergency Room - Complex Wound Repair Of Scalp, Arms, Or Legs (450000047) | $144.90 |
N/A
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Emergency Room - Complex Wound Repair Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet (450000270) | $232.05 |
N/A
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Emergency Room - Complex Wound Repair Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet (450000269) | $179.55 |
N/A
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Emergency Room - Complex Wound Repair Of Eyelids, Nose, Ears, Or Lips (450000048) | $243.60 |
N/A
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Emergency Room - Complex Control Of Nose Bleed (450000085) | $75.60 |
N/A
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Emergency Room - Collection Of Blood Specimen From Central Or Peripheral Venous Catheter (450000567) | $123.90 |
N/A
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Emergency Room - Closed Treatment Of Thumb Dislocation With Manipulation (450000327) | $239.40 |
N/A
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Emergency Room - Closed Treatment Of Knee Dislocation (450000518) | $278.25 |
N/A
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Emergency Room - Closed Treatment Of Knee Cap Fracture (450000340) | $134.40 |
N/A
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Emergency Room - Closed Treatment Of Knee Cap Dislocation Under Anesthesia (450000520) | $347.55 |
N/A
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Emergency Room - Closed Treatment Of Hip Dislocation Under Anesthesia (450000649) | $534.45 |
N/A
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Emergency Room - Closed Treatment Of Fracture Of Bone Of Hand With Manipulation (450000064) | $171.15 |
N/A
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Emergency Room - Closed Treatment Of Dislocation Of Toe Joint (450000074) | $63.00 |
N/A
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Emergency Room - Closed Treatment Of Dislocation Of Knee Cap (450000069) | $177.45 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia (450000651) | $373.80 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Hip Prosthesis (450000068) | $405.30 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Hand Joint With Manipulation (450000065) | $194.25 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Foot Bone Under Anesthesia (450000653) | $96.60 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Foot Bone (450000073) | $78.75 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia (450000643) | $172.20 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Finger Joint With Manipulation (450000066) | $143.85 |
N/A
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Emergency Room - Closed Treatment Of Broken Toe With Manipulation (450000362) | $73.50 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Toe (450000360) | $55.65 |
N/A
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Emergency Room - Closed Treatment Of Broken Thigh Bone With Manipulation (450000686) | $399.00 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Tailbone (450000336) | $113.40 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Shin Bone With Manipulation (450000343) | $325.50 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Shin Bone (450000342) | $217.35 |
N/A
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Emergency Room - Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist With Manipulation (450000063) | $266.70 |
N/A
|
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||
Emergency Room - Closed Treatment Of Broken Hand Or Finger With Manipulation (456000056) | $221.55 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Great Toe With Manipulation (456000144) | $97.65 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Finger Or Thumb With Manipulation (450000330) | $570.15 |
N/A
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Emergency Room - Closed Treatment Of Broken Finger Or Thumb With Manipulation (450000186) | $183.75 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Finger Or Thumb (450000329) | $81.90 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (450000071) | $298.20 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (450000348) | $289.80 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (450000583) | $276.15 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Ankle With Manipulation (450000346) | $241.50 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Ankle (450000536) | $179.55 |
N/A
|
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Emergency Room - Closed Treatment Of Broken Ankle (450000345) | $169.05 |
N/A
|
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Emergency Room - Closed Treatment Of Ankle Dislocation Under Anesthesia (450000652) | $347.55 |
N/A
|
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Emergency Room - Closed Treatment Of Ankle Dislocation (450000577) | $268.80 |
N/A
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||
Emergency Room - Change Of Breathing Tube In Windpipe (450000377) | $304.50 |
N/A
|
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Emergency Room - Cesarean Delivery (450000703) | $519.75 |
N/A
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Emergency Room - Attempt To Restart Heart And Lungs (450000129) | $225.75 |
N/A
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Emergency Room - Aspiration Of Voice Box Using Endoscope (450000523) | $111.30 |
N/A
|
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||
Emergency Room - Application Of Short Leg Splint (450000080) | $40.95 |
N/A
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||
Emergency Room - Application Of Non-Moveable, Short Arm Splint (450000076) | $36.75 |
N/A
|
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Emergency Room - Application Of Moveable, Hinged Finger Splint (450000367) | $65.10 |
N/A
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Emergency Room - Application Of Long Leg Splint (450000370) | $39.90 |
N/A
|
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Emergency Room - Application Of Long Arm Splint (450000075) | $46.20 |
N/A
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Emergency Room - Amputation Of Foot (450000638) | $717.15 |
N/A
|
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Emergency Room - Amputation Of Finger Or Thumb (450000335) | $415.80 |
N/A
|
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Education - Smoking And Tobacco Use Intermediate Counseling, Greater Than 3 Minutes Up To 10 Minutes (942000015) | $70.35 |
N/A
|
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||
Education - Smoking And Tobacco Use Intensive Counseling, Greater Than 10 Minutes (942000017) | $80.85 |
N/A
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||
Education - Medical Nutrition Therapy Performed In A Group Setting, Each 30 Minutes (942000084) | $111.30 |
N/A
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||
Education - Medical Nutrition Therapy Patient In Group (942000094) | $111.30 |
N/A
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Education - Medical Nutrition Therapy Patient Alone (942000083) | $58.80 |
N/A
|
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||
Education - Medical Nutrition Re-Assessment And Intervention, Each 15 Minutes (942000013) | $58.80 |
N/A
|
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||
Education - Medical Nutrition Assessment And Intervention, Each 15 Minutes (942000007) | $97.65 |
N/A
|
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||
Education - Diabetes Self-Management Training In Group (942000069) | $24.15 |
N/A
|
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||
Education - Diabetes Self-Management Training (942000068) | $144.90 |
N/A
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Education (942000097) | $127.05 |
N/A
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Education (942000101) | $90.30 |
N/A
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Education (942000095) | $89.25 |
N/A
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Education (942000052) | $53.55 |
N/A
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Donor Services (810000002) | $520.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of One Arm Or Leg Or Limited (921000012) | $771.75 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of One Arm Or Leg Or Limited (893971) | $771.75 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of Both Arms Or Legs (921000011) | $1,529.85 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of Both Arms Or Legs (893970) | $1,529.85 |
N/A
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Diagnostic Services - Ultrasound Scan Of Head And Neck Blood Vessels On Both Sides (893880) | $1,474.20 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of One Leg Or Limited (921000008) | $330.75 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of Both Legs (921000007) | $617.40 |
N/A
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Diagnostic Services - Ultrasound Measurement Of Bladder Capacity After Voiding (920000002) | $18.90 |
N/A
|
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Diagnostic Services - Setup And Training For Ambulatory Continuous Glucose Monitoring (920000035) | $323.40 |
N/A
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Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (893922) | $504.00 |
N/A
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Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (93922) | $286.65 |
N/A
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