Memorial Hospital (Memorial Hospital) Menu Prices have been verified using third-party online ordering systems.
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta By Serial Imaging (3742039) | $4,015.00 |
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta And Both Leg Arteries By Serial Imaging (3307068) | $4,015.00 |
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta And Both Leg Arteries By Serial Imaging (3742040) | $4,015.00 |
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| Diagnostic Imaging - Complete X-Ray Of Abdomen And Single View X-Ray Of Chest (3700700) | $475.00 |
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| Diagnostic Imaging - Complete X-Ray Of Abdomen And Single View X-Ray Of Chest (3787700) | $475.00 |
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| Diagnostic Imaging - Aspiration Or Injection Of Medium Joint Or Joint Capsule With Ultrasound Guidance (3701138) | $1,133.00 |
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| Diagnostic Imaging - 3D Mammogram Of Single Breast (3760001) | $50.00 |
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| Diagnostic Imaging - 3D Mammogram Of Both Breasts (3760016) | $50.00 |
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 10 Minutes (3460081) | $242.00 |
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| Clinic Visit - Hospital Outpatient Clinic Visit (3305615) | $342.00 |
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (3460071) | $224.00 |
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| Chemotherapy - Chemotherapy Into Vein Using Push Technique, Single Or Initial Drug (3135016) | $355.00 |
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| Chemotherapy - Chemotherapy Infusion Into A Vein For Up To 1 Hour, Initial Drug (3135017) | $547.00 |
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| Chemotherapy - Chemotherapy Infusion Into A Vein For Additional Hour(S) (3135018) | $206.00 |
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| Cardiology - Ultrasound Of Heart, Limited Or Follow-Up (3900212) | $776.00 |
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| Cardiology - Ultrasound Exam Of The Heart Performed During Rest And Exercise With Interpretation And Report, Continuous Heart Monitoring And Supervision By Qualified Professional (3900074) | $3,995.00 |
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| Cardiology - Ultrasound Exam Of The Heart Performed During Rest And Exercise With Interpretation And Report, Continuous Heart Monitoring And Supervision By Qualified Professional (3900075) | $3,995.00 |
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| Cardiology - Ultrasound Exam Of Heart, Follow-Up Or Limited Study (3900211) | $705.00 |
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| Cardiology - Ultrasound Exam Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function (3900090) | $6,167.00 |
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| Cardiology - Ultrasound Exam Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function (3900240) | $6,167.00 |
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel Or Graft (3741002) | $4,225.00 |
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel Or Graft (3741003) | $2,273.00 |
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment (3740063) | $1,731.00 |
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment (3740707) | $1,298.00 |
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment (3740706) | $523.00 |
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel (3740199) | $5,507.00 |
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| Cardiology - Ultrasound Evaluation Of Blood Vessel During Diagnosis Or Treatment, Initial Vessel (3741000) | $3,922.00 |
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| Cardiology - Ultrasound Evaluation Of Blood Vessel During Diagnosis Or Treatment, Each Additional Vessel (3741001) | $3,152.00 |
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| Cardiology - Removal Of Plaque And Insertion Of Stent In Major Coronary Artery Or Branch Accessed Through The Skin, Single (3745028) | $14,559.00 |
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| Cardiology - Programmed Heart Rhythm Stimulation After Drug Infusion Into A Vein (3741055) | $6,664.00 |
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel During Heart Attack Accessed Through The Skin, Single Vessel (3745020) | $16,565.00 |
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (3745026) | $11,118.00 |
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| Cardiology - Insertion Of Lower Heart Chamber Blood Flow Assist Device Through The Skin (3746076) | $37,520.00 |
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| Cardiology - Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnormal Rhythm In Right Upper And Lower Heart (3740035) | $9,395.00 |
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| Cardiology - Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnormal Rhythm In Left Upper Heart (3741053) | $6,438.00 |
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| Cardiology - Insertion Of Catheters For Creation Of Complete Heart Block (3741050) | $6,895.00 |
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| Cardiology - Insertion Of Catheter(S) Into Right And Left Heart For Diagnostic Study (3740012) | $10,545.00 |
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| Cardiology - Insertion Of Catheter Into Right Heart For Diagnositic Study (3740013) | $8,547.00 |
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| Cardiology - Insertion Of Catheter In Bypass Graft(S) For Imaging Of Heart Blood Vessels Or Grafts With Simultaneous Right Heart Catheterization (3740060) | $11,616.00 |
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| Cardiology - Insertion Of Catheter In Bypass Graft(S) For Imaging Of Heart Blood Vessels Or Grafts With Simultaneous Right And Left Heart Catheterization (3740061) | $13,018.00 |
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| Cardiology - Insertion Of Catheter In Bypass Graft(S) For Imaging Of Heart Blood Vessels Or Grafts With Simultaneous Left Heart Catheterization (3740062) | $10,531.00 |
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| Cardiology - Insertion Of Catheter For Recording To Identify Origin Of Abnormal Heart Rhythm (3741057) | $5,300.00 |
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Right Heart Catheterization (3740070) | $10,414.00 |
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Right And Left Heart Catheterization (3740072) | $11,388.00 |
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Left Heart Catheterization (3740071) | $9,711.00 |
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts (3740059) | $9,534.00 |
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts (3740058) | $8,309.00 |
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| Cardiology - Insertion Of Assistive Heart Blood Flow Device Into Aorta, Accessed Through The Skin (3740280) | $5,470.00 |
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| Cardiology - Injection For X-Ray Imaging Of Aorta Above Heart Valve (37460016) | $2,441.00 |
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| Cardiology - Infusion Of Heart Artery To Dissolve Blood Clot With X-Ray Imaging (3740400) | $1,531.00 |
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| Cardiology - External Shock To Heart To Regulate Heart Beat (3355006) | $2,329.00 |
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| Cardiology - External Shock To Heart To Regulate Heart Beat (3740261) | $2,329.00 |
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| Cardiology - Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Monitoring, Tracing Only (3721263) | $2,471.00 |
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| Cardiology - Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Monitoring, Tracing Only (3900001) | $2,471.00 |
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| Cardiology - Evaluation Of Heart Function Using Tilt Table (3745010) | $1,739.00 |
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| Cardiology - Evaluation And Insertion Of Catheters For Recording, Pacing, And Treatment Of Abnormal Heart Rhythm (3745024) | $28,168.00 |
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| Cardiology - Evaluation And Insertion Of Catheters For Recording, Pacing, And Attempted Induction Of Abnormal Heart Rhythm (3741052) | $23,072.00 |
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| Cardiology - Evaluation And Insertion Of Catheters For Creation Of Complete Heart Block (3741051) | $21,575.00 |
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| Cardiology - Esophageal Ultrasound Exam Of Heart Including Probe Placement, Image Acquisition, Interpretation And Report (3900012) | $2,850.00 |
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| Cardiology - Doppler Ultrasound Color-Mapping Of Heart Blood Flow, Rate, And Valve Function (3900035) | $977.00 |
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| Cardiology - Continuous Esophageal Heart Ultrasound For Monitoring And Assessment Of Functional Changes (3900018) | $4,790.00 |
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| Cardiology - Catheter Placement Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (3740051) | $8,815.00 |
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (3740048) | $21,614.00 |
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (3740049) | $21,614.00 |
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (3740047) | $21,614.00 |
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (3740065) | $21,614.00 |
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (3740066) | $21,614.00 |
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (3740010) | $18,221.00 |
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (3740007) | $18,221.00 |
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (3740009) | $18,221.00 |
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (3740004) | $18,221.00 |
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (3740008) | $18,221.00 |
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Each Additional (3740016) | $7,439.00 |
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| Cardiology - Attempt To Restart Heart And Lungs (3854039) | $670.00 |
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| Cardiology - Attempt To Restart Heart And Lungs (3740276) | $670.00 |
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| Cardiology (3740485) | $8,216.00 |
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (3970011) | $328.00 |
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (3970020) | $328.00 |
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session (3970012) | $293.00 |
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| Brain Monitoring - Unattended Sleep Study With Recording Of Heart Rate, Oxygen, Respiratory Airflow And Effort (3840080) | $1,938.00 |
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (3840021) | $6,746.00 |
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (3840023) | $6,746.00 |
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab (3840020) | $6,316.00 |
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| Brain Monitoring - Sleep Monitoring Of Patient In Sleep Lab (3840025) | $4,737.00 |
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| Brain Monitoring - Measurement Of Brain Wave Activity In Coma Or Asleep (3920041) | $783.00 |
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| Brain Monitoring - Measurement Of Brain Wave Activity Greater Than 1 Hour (3920043) | $1,291.00 |
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| Brain Monitoring - Measurement Of Brain Wave Activity Awake And Asleep (3920011) | $941.00 |
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| Brain Monitoring - Diagnostic Test For Sleep Disorder (3840030) | $3,215.00 |
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| Brain Monitoring - Continuous Monitoring Of Nervous System During Operation, Each 15 Minutes (3300020) | $160.00 |
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| Blood Processing & Storage - Red Blood Cells - White Cells Reduced (3618031) | $537.00 |
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| Blood Processing & Storage - Red Blood Cells - Irradiated/white Cells Reduced (3618091) | $576.00 |
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| Blood Processing & Storage - Red Blood Cell Antibody Screen (3608002) | $164.00 |
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| Blood Processing & Storage - Platelets - Pheresis/white Cells Reduced (3618066) | $1,179.00 |
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| Blood Processing & Storage - Mechanical Separation Of Red Blood Cells (3617003) | $1,807.00 |
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| Blood Processing & Storage - Fresh Frozen Plasma - Within 8 To 24 Hours Of Collection (3618028) | $119.00 |
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| Blood Processing & Storage - Cryoprecipitate (3638183) | $784.00 |
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| Blood Processing & Storage - Blood Typing For Rh Antigen (3608011) | $129.00 |
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| Blood Processing & Storage - Blood Group Typing (3606900) | $117.00 |
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| Blood Processing & Storage (3609561) | $288.00 |
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| Blood Processing & Storage (3609643) | $192.00 |
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| Blood Administration - Transfusion Of Blood Or Blood Products (3358191) | $725.00 |
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| Blood Administration - Transfusion Of Blood Or Blood Products (3405001) | $725.00 |
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| Blood Administration - Push Blood Transfusion, Patient 2 Years Or Younger (3358431) | $706.00 |
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| Behavioral Health - Psychotherapy, 60 Minutes (3370055) | $324.00 |
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| Behavioral Health - Psychotherapy, 45 Minutes (3370050) | $266.00 |
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| Behavioral Health - Psychotherapy, 30 Minutes (3370040) | $242.00 |
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| Behavioral Health - Group Psychotherapy (3370030) | $146.00 |
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| Behavioral Health - Group Psychotherapy (3370020) | $146.00 |
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| Behavioral Health - Group Psychotherapy (3370035) | $146.00 |
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| Behavioral Health - Family Psychotherapy Including Patient, 50 Minutes (3370060) | $273.00 |
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| Behavioral Health - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (3371012) | $276.00 |
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| Audiology - Eardrum Testing Using Ear Probe (4353024) | $156.00 |
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| Audiology - Air And Bone Conduction Assessment Of Hearing Loss And Speech Recognition (4353022) | $326.00 |
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| Anesthesia - Moderate Sedation Services By Physician Not Performing A Procedure, Patient 5 Years Of Age Or Older, First 15 Minutes (3350076) | $250.00 |
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| Anesthesia - Moderate Sedation Services By Physician Also Performing A Procedure, Patient 5 Years Of Age Or Older, First 15 Minutes (3740604) | $188.00 |
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| Anesthesia - Moderate Sedation Services By Physician Also Performing A Procedure, Patient 5 Years Of Age Or Older, First 15 Minutes (3358846) | $188.00 |
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| Anesthesia - Moderate Sedation Services By Physician Also Performing A Procedure, Additional 15 Minutes (3740602) | $167.00 |
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| Anesthesia - Moderate Sedation Services By Physician Also Performing A Procedure, Additional 15 Minutes (3358847) | $167.00 |
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| Anesthesia (3801032) | $1,280.00 |
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| Anesthesia (3800010) | $640.00 |
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| Anesthesia (3800020) | $640.00 |
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| Anesthesia (3801033) | $640.00 |
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| Anesthesia (3744001) | $291.00 |
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| Anesthesia (3801041) | $291.00 |
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| Anesthesia (3801040) | $168.00 |
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