Northwest Community Hospital Menu Prices have been verified using third-party online ordering systems.
| Items | |||||
|---|---|---|---|---|---|
| Diagnostic Imaging - Ct Scan Of Eye Or Ear, With And Without Contrast (35100011) | $2,146.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Eye Or Ear, With And Without Contrast (35100010) | $1,907.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Congenital Heart Structure Defect With Contrast (35000012) | $2,078.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Leg (35000005) | $3,048.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Arm (35000006) | $2,905.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Arm, Without Contrast (35000031) | $3,010.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Arm, With And Without Contrast (35000028) | $858.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen, With And Without Contrast (35200006) | $3,159.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With Contrast (35200031) | $5,354.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With And Without Contrast (35200030) | $7,514.00 |
N/A
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| Diagnostic Imaging - Ct Guidance For Tissue Destruction (35000010) | $2,483.00 |
N/A
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| Diagnostic Imaging - Ct Guidance For Three Dimensional Localization (35000020) | $2,125.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Wrist Joint (32200005) | $1,644.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Vein System Of Head (32000102) | $1,389.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Urinary Tract With Kidney Tomograms By Infusion Technique (32000089) | $1,201.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Urinary Tract By Intravenous Technique (32000087) | $1,144.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Urinary Tract By Antegrade Technique (32000088) | $721.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Upper Digestive Tract Without X-Ray Of Urinary System (32000070) | $870.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Upper Digestive Tract With X-Ray Of Urinary System (32000069) | $888.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Upper Digestive Tract With X-Ray Of Small Intestines (32000071) | $1,151.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Spleen And Liver Veins (32300031) | $1,781.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Spinal Canal, 2 Or More Regions (76100331) | $2,421.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Spinal Canal Veins (32000103) | $1,389.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Spinal Artery (32100001) | $8,057.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Single Breast Duct (40100006) | $753.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Shoulder Joint (32200004) | $1,389.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Salivary Gland (32000139) | $654.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Previously Placed Shunt (32000197) | $231.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Pancreatic Ducts By Endoscope (32000161) | $1,301.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Multiple Breast Ducts (40100007) | $1,023.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Middle Spinal Canal (76100332) | $2,060.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Lung Artery On One Side (32300002) | $4,847.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Lung Artery On Both Sides (32300008) | $4,847.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Lung Arterial System On Both Sides Using Non-Selective Approach (32300001) | $3,373.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Lower Spine Bones (32000165) | $2,258.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Lower Spinal Canal (76100333) | $2,006.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Lower Abdomen And Genital Region (32000138) | $983.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Liver Vein Without Assessment Of Blood Flow, Accessed Through The Skin (32000101) | $3,127.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Liver Vein Without Assessment Of Blood Flow (32000100) | $1,613.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Liver Vein With Assessment Of Blood Flow, Accessed Through The Skin (32000037) | $4,847.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Liver Vein With Assessment Of Blood Flow (32000021) | $2,183.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Large Intestine Using Air (32000046) | $986.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Knee Joint (32000010) | $1,010.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Kidney Veins On One Side (32000098) | $4,847.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Kidney Veins On Both Sides (32000099) | $4,847.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Hip Joint (32200003) | $970.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Fallopian Tubes And Ovaries (32000160) | $1,078.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Eye Veins (32000097) | $1,389.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Elbow Joint (32200002) | $1,471.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Chest Aorta By Serial Imaging (32300011) | $6,493.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Blood Vessel For Evaluation Of Therapy (32000019) | $1,405.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Bladder And Bladder Canal While Bladder Is Emptying (32000086) | $937.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Bladder And Bladder Canal By Retrograde Technique (32000085) | $464.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Veins On Both Sides (32000095) | $1,521.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Artery On Both Sides (32000003) | $4,847.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Ankle Joint (32200001) | $878.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Adrenal Gland Veins On One Side (32000092) | $1,537.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Adrenal Gland Veins On Both Sides (32000093) | $1,760.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Adrenal Gland Artery On One Side (32300005) | $3,127.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Adrenal Gland Artery On Both Sides (32300006) | $3,372.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta By Serial Imaging (32300010) | $4,847.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta And Both Leg Arteries By Serial Imaging (32300032) | $4,847.00 |
N/A
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| Diagnostic Imaging - 3D Procedure Without Image Postprocessing On Independent Workstation (40900001) | $729.00 |
N/A
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| Diagnostic Imaging - 3-Dimensional Breast Imaging (40100013) | $129.00 |
N/A
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| Diagnostic Imaging (61000056) | $1,934.00 |
N/A
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| Clinic Visit - Wound Repair Separation By Simple Closure (51600071) | $417.00 |
N/A
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| Clinic Visit - Treatment Of Broken Jaw Bone Without Incision (51600068) | $242.00 |
N/A
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| Clinic Visit - Treatment Of Broken Eye Socket Bone Without Incision (51600014) | $873.00 |
N/A
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| Clinic Visit - Strapping Of Toes (51600066) | $153.00 |
N/A
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| Clinic Visit - Strapping Of Hand Or Finger (51600065) | $103.00 |
N/A
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| Clinic Visit - Strapping Of Elbow Or Wrist (51600064) | $206.00 |
N/A
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| Clinic Visit - Strapping Of Ankle Or Foot (51600063) | $150.00 |
N/A
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| Clinic Visit - Repair Of Lip And Border (51600058) | $645.00 |
N/A
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| Clinic Visit - Removal Of Tissue Beneath The Skin, Initial Amount (51600023) | $552.00 |
N/A
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| Clinic Visit - Removal Of Impacted Ear Wax From One Ear (51600057) | $289.00 |
N/A
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| Clinic Visit - Removal Of Growth Of The Trunk, Arms, Or Legs (51600032) | $784.00 |
N/A
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| Clinic Visit - Removal Of Growth Of The Scalp, Neck, Hands, Feet, Or Genitals (51600028) | $833.00 |
N/A
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| Clinic Visit - Removal Of Growth Of The Face, Ears, Eyelids, Nose, Lips, Or Mouth (51600027) | $709.00 |
N/A
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| Clinic Visit - Removal Of Foreign Material From Skin, Tissue, Muscle, And Bone At Open Fracture Or Dislocation (51600022) | $565.00 |
N/A
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| Clinic Visit - Removal Of Embedded Foreign Body In Eyelid (51600056) | $175.00 |
N/A
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| Clinic Visit - Removal Of Deep Foreign Body In Muscle Or Tendon (51600054) | $2,540.00 |
N/A
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| Clinic Visit - Removal Of 1 To 15 Skin Tags (51600055) | $122.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 60 Minutes (51000013) | $742.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 60 Minutes (51400010) | $587.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 45 Minutes (51400008) | $480.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 30 Minutes (51400006) | $307.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 20 Minutes (51400004) | $212.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 10 Minutes (51600045) | $158.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 10 Minutes (51400002) | $122.00 |
N/A
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| Clinic Visit - Multiple Measurements Of Eye Fluid Pressure Over An Extended Time Period, Same Day (51600061) | $177.00 |
N/A
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| Clinic Visit - Manipulation Of Shoulder Dislocation And Broken Upper Arm Without Incision (51600013) | $259.00 |
N/A
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| Clinic Visit - Manipulation Of Shoulder Dislocation And Broken Upper Arm Without Incision (51600012) | $259.00 |
N/A
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| Clinic Visit - Insertion Of Temporary Bladder Catheter (51600041) | $233.00 |
N/A
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| Clinic Visit - Incision Of Abscess, Cyst, Or Blood Accumulation In Mouth (51600025) | $178.00 |
N/A
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| Clinic Visit - First Degree Local Burn Treatment (51600040) | $241.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient, Visit Typically 40 Minutes (51000018) | $491.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient, Visit Typically 40 Minutes (51400009) | $422.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient, Visit Typically 25 Minutes (51000017) | $371.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient, Visit Typically 25 Minutes (51400007) | $340.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (51000014) | $189.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (51400001) | $107.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes (51000016) | $289.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes (51400005) | $214.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (51000015) | $242.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (51400003) | $146.00 |
N/A
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| Clinic Visit - Dressing Change Or Removal Of Burn Tissue Small Area (51600026) | $259.00 |
N/A
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| Clinic Visit - Complex Wound Repair Of Eyelids, Nose, Ears, Or Lips (51600016) | $584.00 |
N/A
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| Clinic Visit - Complex Wound Repair Of Eyelids, Nose, Ears, Or Lips (51600017) | $558.00 |
N/A
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| Clinic Visit - Closed Treatment Of Broken Thigh Bone (51600010) | $259.00 |
N/A
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| Clinic Visit - Biopsy Of Single Skin Lesion, Tangential (51000024) | $155.00 |
N/A
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| Clinic Visit - Biopsy Of Single Skin Lesion, Punch (51000026) | $155.00 |
N/A
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| Clinic Visit - Biopsy Of Single Skin Lesion, Incisional (51000028) | $155.00 |
N/A
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| Clinic Visit - Biopsy Of Additional Skin Lesion, Tangential (51000025) | $95.00 |
N/A
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| Clinic Visit - Biopsy Of Additional Skin Lesion, Punch (51000027) | $95.00 |
N/A
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| Clinic Visit - Biopsy Of Additional Skin Lesion, Incisional (51000029) | $95.00 |
N/A
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| Clinic Visit - Application Of Non-Moveable, Hinged Finger Splint (51600004) | $139.00 |
N/A
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| Clinic Visit - Application Of Moveable, Hinged Finger Splint (51600003) | $92.00 |
N/A
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| Clinic Visit - Application Of Long Leg Cast (51600007) | $124.00 |
N/A
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| Clinic Visit - Application Of Cast, Shoulder To Hand (51600006) | $103.00 |
N/A
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| Clinic Visit - Application Of Cast To Hand And Lower Forearm (51600008) | $516.00 |
N/A
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| Clinic Visit (51000006) | $110.00 |
N/A
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| Clinic Visit (51000011) | $110.00 |
N/A
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| Clinic Visit (51600074) | $100.00 |
N/A
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| Clinic Visit (51600037) | $90.00 |
N/A
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| Clinic Visit (51000008) | $71.00 |
N/A
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| Clinic Visit (51000004) | $66.00 |
N/A
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| Clinic Visit (51000005) | $56.00 |
N/A
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| Clinic Visit (51000009) | $53.00 |
N/A
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| Clinic Visit (51000007) | $52.00 |
N/A
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| Clinic Visit (51000012) | $50.00 |
N/A
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| Clinic Visit (51000010) | $48.00 |
N/A
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| Clinic Visit (51600038) | $42.00 |
N/A
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| Clinic Visit (51000003) | $37.00 |
N/A
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| Clinic Visit (51000002) | $34.00 |
N/A
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| Chemotherapy - Refilling And Maintenance Of Portable Pump (33500007) | $424.00 |
N/A
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| Chemotherapy - Prolonged Chemotherapy Infusion Into A Vein By Portable Or Implanted Pump For More Than 8 Hours (33500006) | $1,258.00 |
N/A
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| Chemotherapy - Non-Hormonal Anti-Neoplastic Chemotherapy Administration, Under The Skin Or Into Muscle (33100001) | $329.00 |
N/A
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| Chemotherapy - Infusion Of Different Chemotherapy Drug Or Substance Into A Vein Up To 1 Hour (33500001) | $304.00 |
N/A
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| Chemotherapy - Hormonal Anti-Neoplastic Chemotherapy Administration, Under The Skin Or Into Muscle (33100002) | $168.00 |
N/A
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| Chemotherapy - Chemotherapy Into Vein Using Push Technique, Single Or Initial Drug (33500005) | $528.00 |
N/A
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| Chemotherapy - Chemotherapy Into Vein Using Push Technique, Each Additional Drug (33500004) | $279.00 |
N/A
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| Chemotherapy - Chemotherapy Infusion Into A Vein For Additional Hour(S) (33500003) | $362.00 |
N/A
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| Chemotherapy - Bladder Instillation Of Cancer Preventive, Inhibiting, Or Suppressive Agent (33100003) | $300.00 |
N/A
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| Cardiology - X-Ray Of Neck Artery On One Side With Catheter Insertion (48100130) | $6,297.00 |
N/A
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| Cardiology - X-Ray Of Neck Artery On One Side With Catheter Insertion (48100129) | $6,297.00 |
N/A
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| Cardiology - X-Ray Of Head And Neck Arteries With Catheter Insertion (48100069) | $4,294.00 |
N/A
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|
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| Cardiology - Ultrasound Of Heart During Heart Stress Test (48000036) | $1,573.00 |
N/A
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| Cardiology - Ultrasound Exam Of Congenital Heart Defect, Follow-Up Or Limited Study (48000024) | $923.00 |
N/A
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|
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel (48100045) | $2,517.00 |
N/A
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| Cardiology - Transcatheter Closure Of Leak Adjacent To Mitral Valve Using First Closure Device (48100160) | $31,496.00 |
N/A
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|
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| Cardiology - Transcatheter Closure Of Leak Adjacent To Heart Valve Using Additional Closure Device (48100162) | $7,677.00 |
N/A
|
|
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| Cardiology - Transcatheter Closure Of Leak Adjacent To Aortic Valve Using First Closure Device (48100161) | $31,496.00 |
N/A
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|
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| Cardiology - Temporary Pacemaker To Regulate Heart Beat (48000019) | $1,193.00 |
N/A
|
|
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| Cardiology - Subsequent Aspiration Of Fluid From Sac Around Heart (48100098) | $1,929.00 |
N/A
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|
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| Cardiology - Repositioning Of Previously Implanted Defibrillator Electrode (48100134) | $5,440.00 |
N/A
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| Cardiology - Repositioning Of Lower Heart Chamber Blood Flow Assist Device With Imaging Guidance (48100101) | $1,656.00 |
N/A
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| Cardiology - Repositioning Of Implanted Pacemaker Or Defibrillator Electrode (48100100) | $3,230.00 |
N/A
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| Cardiology - Repositioning Of Implanted Left Heart Electrode (48100099) | $5,562.00 |
N/A
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| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve, Open Procedure (48100148) | $71,541.00 |
N/A
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| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve, Open Procedure (48100149) | $71,541.00 |
N/A
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| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve, Open Procedure (48100147) | $71,541.00 |
N/A
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| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve On Heart-Lung Machine, Open Procedure (48100153) | $71,541.00 |
N/A
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| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve On Heart-Lung Machine (48100152) | $71,541.00 |
N/A
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| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve On Heart-Lung Machine (48100154) | $71,541.00 |
N/A
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|
||
| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve (48100151) | $71,541.00 |
N/A
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|
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| Cardiology - Replacement Of Aortic Valve With Prosthetic Valve (48100150) | $71,541.00 |
N/A
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| Cardiology - Repair Of Electrode For Implanted Pacemaker Or Defibrillator (48100097) | $311.00 |
N/A
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|
||
| Cardiology - Repair Of 2 Electrodes For Implanted Pacemaker Or Defibrillator (48100096) | $792.00 |
N/A
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| Cardiology - Removal Of Plaque Of Major Coronary Artery Or Branch Accessed Through The Skin, Single (48100072) | $14,383.00 |
N/A
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|
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| Cardiology - Removal Of Plaque Of Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (48100073) | $7,240.00 |
N/A
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|
||
| Cardiology - Removal Of Plaque In Artery In One Leg, Each Additional Vessel (48100114) | $1,799.00 |
N/A
|
|
||
| Cardiology - Removal Of Plaque And Insertion Of Stents Into Artery In One Leg, Initial Vessel (48100109) | $19,785.00 |
N/A
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|
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| Cardiology - Removal Of Plaque And Insertion Of Stents Into Artery In One Leg, Each Additional Vessel (48100110) | $1,799.00 |
N/A
|
|
||
| Cardiology - Removal Of Plaque And Insertion Of Stents Into Arteries In One Leg (48100024) | $29,770.00 |
N/A
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|
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| Cardiology - Removal Of Plaque And Insertion Of Stent In Major Coronary Artery Or Branch Accessed Through The Skin, Single (48100068) | $15,183.00 |
N/A
|
|
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| Cardiology - Removal Of Plaque And Insertion Of Stent In Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (48100067) | $7,240.00 |
N/A
|
|
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| Cardiology - Removal Of Permanent Leadless Pacemaker Into Lower Right Chamber Of Heart Via Catheter Using Imaging Guidance (48100139) | $5,418.00 |
N/A
|
|
||
| Cardiology - Removal Of Pacemaker Electrode From Single Lead Right Heart System (48100088) | $3,166.00 |
N/A
|
|
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| Cardiology - Removal Of Lower Heart Chamber Blood Flow Assist Device, Accessed Through The Skin (48100094) | $1,718.00 |
N/A
|
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| Cardiology - Removal Of Heart Rhythm Monitor From Under Skin (48100092) | $1,188.00 |
N/A
|
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| Cardiology - Removal Of Defibrillator Electrodes, Venous Extraction (48100091) | $1,449.00 |
N/A
|
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| Cardiology - Removal Of Blood Clot In Heart Artery Accessed Through The Skin (48100081) | $3,459.00 |
N/A
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| Cardiology - Removal Of Blood Clot And Injections To Dissolve Blood Clot From Artery Or Arterial Graft Using Fluoroscopic Guidance, Accessed Through The Skin (48100071) | $2,555.00 |
N/A
|
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| Cardiology - Removal And Replacement Of Single Lead Permanent Pacemaker Pulse Generator (76100239) | $7,766.00 |
N/A
|
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| Cardiology - Removal And Replacement Of Multiple Lead Permanent Pacemaker Pulse Generator (76100244) | $11,589.00 |
N/A
|
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| Cardiology - Removal And Replacement Of Implanted Defibrillator Pulse Generator (76100241) | $14,983.00 |
N/A
|
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| Cardiology - Removal And Replacement Of Implanted Defibrillator Pulse Generator (76100240) | $14,983.00 |
N/A
|
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| Cardiology - Removal And Replacement Of Implanted Defibrillator Pulse Generator (76100242) | $12,428.00 |
N/A
|
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| Cardiology - Removal And Replacement Of Dual Lead Permanent Pacemaker Pulse Generator (76100243) | $11,589.00 |
N/A
|
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| Cardiology - Relocation Of Skin Pocket For Implanted Defibrillator (48100087) | $5,239.00 |
N/A
|
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| Cardiology - Programmed Heart Rhythm Stimulation After Drug Infusion Into A Vein (48100105) | $4,270.00 |
N/A
|
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| Cardiology - Placement Of Temporary Pacemaker Leads (48000038) | $15,207.00 |
N/A
|
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| Cardiology - Placement Of Temporary Pacemaker Leads (48100037) | $3,518.00 |
N/A
|
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| Cardiology - Placement Of Stent And Dilation Of Heart Vessel (48100064) | $14,290.00 |
N/A
|
|
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| Cardiology - Placement Of Stent And Dilation Of Heart Vessel (48100063) | $7,240.00 |
N/A
|
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| Cardiology - Placement Of Stent And Dilation Of Bypass Graft (48100060) | $8,982.00 |
N/A
|
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| Cardiology - Placement Of Graft For Repair Of Groin Artery (48100170) | $20,485.00 |
N/A
|
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| Cardiology - Placement Of Graft For Repair Of Groin Artery (48100169) | $20,485.00 |
N/A
|
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| Cardiology - Placement Of Graft For Repair Of Groin Artery (48100156) | $12,690.00 |
N/A
|
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| Cardiology - Placement Of Graft For Repair Of Aorta And Groin Artery (48100166) | $24,551.00 |
N/A
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