Northwest Community Hospital Menu Prices have been verified using third-party online ordering systems.
| Items | |||||
|---|---|---|---|---|---|
| Sterile Supplies - Defibrillator (27500002) | $132,343.00 |
N/A
|
|
||
| Sterile Supplies - Cryoablation Probe/needle (27200113) | $2,968.00 |
N/A
|
|
||
| Sterile Supplies - Clot-Busting Catheter (27800181) | $5,299.00 |
N/A
|
|
||
| Sterile Supplies - Cardiac Catheter (27200027) | $12,376.00 |
N/A
|
|
||
| Sterile Supplies - Brachytherapy Source (27800012) | $69,891.00 |
N/A
|
|
||
| Sterile Supplies - Brachytherapy Seed Insertion Catheter (27200019) | $465.00 |
N/A
|
|
||
| Sterile Supplies - Brachytherapy Needle (27200014) | $16.00 |
N/A
|
|
||
| Sterile Supplies - Bandage Kit (27000029) | $149.00 |
N/A
|
|
||
| Sterile Supplies - Bandage Kit (27000028) | $133.00 |
N/A
|
|
||
| Sterile Supplies - Atherectomy Catheter (27200226) | $6,983.00 |
N/A
|
|
||
| Sterile Supplies - Angioplasty Catheter (27200164) | $5,350.00 |
N/A
|
|
||
| Sterile Supplies - Angioplasty Catheter (27200162) | $4,147.00 |
N/A
|
|
||
| Sterile Supplies - Angioplasty Catheter (27800220) | $2,439.00 |
N/A
|
|
||
| Sterile Supplies - Angioplasty Catheter (27800237) | $2,376.00 |
N/A
|
|
||
| Sterile Supplies - Angioplasty Catheter (27800238) | $2,220.00 |
N/A
|
|
||
| Sterile Supplies (27800228) | $16,608.00 |
N/A
|
|
||
| Sterile Supplies (27800229) | $12,862.00 |
N/A
|
|
||
| Sterile Supplies (27800230) | $8,075.00 |
N/A
|
|
||
| Sterile Supplies (27800223) | $5,541.00 |
N/A
|
|
||
| Sterile Supplies (27800221) | $4,061.00 |
N/A
|
|
||
| Sterile Supplies (27800224) | $3,145.00 |
N/A
|
|
||
| Sterile Supplies (27800239) | $2,682.00 |
N/A
|
|
||
| Spinal Tap With Drainage Of Spinal Fluid (76100329) | $723.00 |
N/A
|
|
||
| Speech Therapy - Therapeutic Services For Use Of Speech-Generating Device With Programming And Modification (44000012) | $197.00 |
N/A
|
|
||
| Speech Therapy - Sensory Technique To Enhance Processing And Adaptation To Environmental Demands, Each 15 Minutes (44000009) | $90.00 |
N/A
|
|
||
| Speech Therapy - Neurobehavioral Status Exam By Qualified Professional With Interpretation And Report, First 60 Minutes (44000007) | $303.00 |
N/A
|
|
||
| Speech Therapy - Evaluation Of Speech Fluency (44000013) | $498.00 |
N/A
|
|
||
| Speech Therapy - Evaluation For Use Or Fitting Of Voice Prosthetic Device To Supplement Oral Speech (44000018) | $246.00 |
N/A
|
|
||
| Speech Therapy - Evaluation For Prescription For Speech-Generating And Alternative Communication Device, First Hour With Patient (44000004) | $330.00 |
N/A
|
|
||
| Speech Therapy - Evaluation For Prescription For Speech-Generating And Alternative Communication Device, Ach Additioinal 30 Minutes With Patient (44000005) | $212.00 |
N/A
|
|
||
| Speech Therapy - Community Or Work Reintegration Training, Each 15 Minutes (44000020) | $103.00 |
N/A
|
|
||
| Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (44000016) | $530.00 |
N/A
|
|
||
| Special Residence (67000001) | $103.00 |
N/A
|
|
||
| Room & Board - Semi-Private Pediatric (12300001) | $2,121.00 |
N/A
|
|
||
| Room & Board - Semi-Private Oncology (12700001) | $1,734.00 |
N/A
|
|
||
| Room & Board - Semi-Private Obstetrical (12200001) | $1,734.00 |
N/A
|
|
||
| Room & Board - Semi-Private Medical & Surgical (12100001) | $1,734.00 |
N/A
|
|
||
| Room & Board - Post Icu Intensive Care (20600001) | $2,891.00 |
N/A
|
|
||
| Respiratory Services - Ventilation Management In Hospital - Subsequent Day (41000018) | $322.00 |
N/A
|
|
||
| Respiratory Services - Procedure To Increase Strength Of Breathing Muscles, Each 15 Minutes (41000016) | $132.00 |
N/A
|
|
||
| Respiratory Services - Procedure To Improve Lung Function, Each 15 Minutes (41000013) | $92.00 |
N/A
|
|
||
| Respiratory Services - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (46000012) | $248.00 |
N/A
|
|
||
| Respiratory Services - Multiple Measurements And Graphic Recordings Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (46000005) | $709.00 |
N/A
|
|
||
| Respiratory Services - Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (46000013) | $157.00 |
N/A
|
|
||
| Respiratory Services - Measurement Of Lung Diffusing Capacity (46000007) | $253.00 |
N/A
|
|
||
| Respiratory Services - Measurement Of Exhaled Carbon Dioxide Gas (46000018) | $477.00 |
N/A
|
|
||
| Respiratory Services - Inhaled Pneumonia Treatment (41000001) | $418.00 |
N/A
|
|
||
| Respiratory Services - Inhalation Of Medications With Allergic Reaction Analysis (46000003) | $545.00 |
N/A
|
|
||
| Respiratory Services - Diagnostic Testing In A Pulmonary Function Lab (46000019) | $261.00 |
N/A
|
|
||
| Respiratory Services - Determination Of Lung Volumes Using Plethysmography (Instrumentation) (46000020) | $460.00 |
N/A
|
|
||
| Respiratory Services - Demonstration Or Evaluation Of Patient Use Of Aerosol Generator, Nebulizer, Metered Dose Inhaler Or Intermittent Positive Pressure Breathing (Ippb) Device (41000007) | $333.00 |
N/A
|
|
||
| Respiratory Services (41000014) | $185.00 |
N/A
|
|
||
| Respiratory Services (41000004) | $91.00 |
N/A
|
|
||
| Respiratory Services (46000015) | $84.00 |
N/A
|
|
||
| Respiratory Services (46000014) | $56.00 |
N/A
|
|
||
| Respiratory Services (46000017) | $11.00 |
N/A
|
|
||
| Recovery (71000017) | $139.00 |
N/A
|
|
||
| Recovery (71000019) | $2.00 |
N/A
|
|
||
| Recovery (71000018) | $2.00 |
N/A
|
|
||
| Recovery (71000014) | $1.00 |
N/A
|
|
||
| Recovery (71000004) | $1.00 |
N/A
|
|
||
| Radiopharmaceuticals - Thallium (Radioactive Imaging Agent) (34300027) | $757.00 |
N/A
|
|
||
| Radiopharmaceuticals - Technetium Succimer (Radioactive Imaging Agent) (34300024) | $980.00 |
N/A
|
|
||
| Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (34300023) | $754.00 |
N/A
|
|
||
| Radiopharmaceuticals - Technetium Pentetate (Radioactive Imaging Agent) (34300021) | $1,326.00 |
N/A
|
|
||
| Radiopharmaceuticals - Technetium Labeled Blood Cells (Radioactive Imaging Agent) (34300016) | $130.00 |
N/A
|
|
||
| Radiopharmaceuticals - Technetium Apcitide (Radioactive Imaging Agent) (34300014) | $1,960.00 |
N/A
|
|
||
| Radiopharmaceuticals - Sodium Fluoride (Radioactive Imaging Agent) (34300013) | $1,073.00 |
N/A
|
|
||
| Radiopharmaceuticals - Samarium (Radioactive Therapy Agent) (33300039) | $27,739.00 |
N/A
|
|
||
| Radiopharmaceuticals - Iodine I-131 (Radioactive Imaging Agent) (34300010) | $980.00 |
N/A
|
|
||
| Radiopharmaceuticals - Iodine I-131 Sodium Iodide (Radioactive Therapy Agent) (34400001) | $3,958.00 |
N/A
|
|
||
| Radiopharmaceuticals - Iodine I-131 Sodium Iodide (Radioactive Therapy Agent) (34400004) | $530.00 |
N/A
|
|
||
| Radiopharmaceuticals - Iodine I-123 Sodium Iodide (Radioactive Imaging Agent) (34300032) | $2,518.00 |
N/A
|
|
||
| Radiopharmaceuticals - Iodine I-123 Sodium Iodide (Radioactive Imaging Agent) (34300009) | $200.00 |
N/A
|
|
||
| Radiopharmaceuticals - Iodine I-123 Ioflupane (Radioactive Imaging Agent) (34300008) | $5,465.00 |
N/A
|
|
||
| Radiopharmaceuticals - Iodine I-123 (Radioactive Imaging Agent) (34300031) | $5,185.00 |
N/A
|
|
||
| Radiopharmaceuticals - Indium In-111 Pentetreotide (Radioactive Imaging Agent) (34300007) | $9,519.00 |
N/A
|
|
||
| Radiopharmaceuticals - Indium In-111 Pentetate (Radioactive Imaging Agent) (34300005) | $980.00 |
N/A
|
|
||
| Radiopharmaceuticals - Indium I-111 Ibritumomab Tiuxetan (Radioactive Imaging Agent) (34300004) | $9,092.00 |
N/A
|
|
||
| Radiopharmaceuticals - Indium Capromab (Radioactive Imaging Agent) (34300003) | $6,938.00 |
N/A
|
|
||
| Radiopharmaceuticals - Gallium Citrate (Radioactive Imaging Agent) (34300002) | $76.00 |
N/A
|
|
||
| Radiopharmaceuticals - Gallium (Radioactive Imaging Agent) (34300033) | $7,208.00 |
N/A
|
|
||
| Radiopharmaceuticals - Fluciclovine (Radioactive Imaging Agent) (34300034) | $8,084.00 |
N/A
|
|
||
| Radiopharmaceuticals - Florbetaben F18 (Radioactive Diagnostic Agent) (34300030) | $4,450.00 |
N/A
|
|
||
| Radiopharmaceuticals - Diagnostic Radiopharmaceutical (34300006) | $8,482.00 |
N/A
|
|
||
| Radiopharmaceuticals - Diagnostic Radiopharmaceutical (34300012) | $980.00 |
N/A
|
|
||
| Radiopharmaceuticals - Chromic Phosphate (Radioactive Therapy Agent) (34400002) | $9,228.00 |
N/A
|
|
||
| Radiopharmaceuticals (34300011) | $3,330.00 |
N/A
|
|
||
| Radiation Therapy - Ultrasound Guidance For Radiation Therapy Implant (33300014) | $470.00 |
N/A
|
|
||
| Radiation Therapy - Supervision And Handling Of Radioactive Source (33300024) | $928.00 |
N/A
|
|
||
| Radiation Therapy - Stereotactic Radiosurgery For Cranial Growths, Linear Accelerator (33300037) | $24,775.00 |
N/A
|
|
||
| Radiation Therapy - Special Radiation Therapy Procedure (33300042) | $1,866.00 |
N/A
|
|
||
| Radiation Therapy - Special Radiation Therapy Port Plan For Partial Body Or Total Body (33300043) | $1,325.00 |
N/A
|
|
||
| Radiation Therapy - Special Radiation Physics Consultation (33300040) | $777.00 |
N/A
|
|
||
| Radiation Therapy - Special Dosimetry Measurements Prescribed By Treating Physician (33300041) | $587.00 |
N/A
|
|
||
| Radiation Therapy - Radioactive Drug Therapy Administered Through Vein (33300022) | $512.00 |
N/A
|
|
||
| Radiation Therapy - Radioactive Drug Therapy Administered Into Tissue (33300023) | $644.00 |
N/A
|
|
||
| Radiation Therapy - Radioactive Drug Therapy Administered Into Body Cavity (33300021) | $644.00 |
N/A
|
|
||
| Radiation Therapy - Radioactive Drug Therapy Administered Into Artery (33300020) | $808.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy, Simple (33300031) | $556.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy, Intermediate (33300026) | $620.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Plan Development, Simply Brachytherapy (33300009) | $887.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Plan Development, Simple Teletherapy (33300047) | $1,040.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Plan Development, Intermediate Brachytherapy (33300008) | $1,662.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Plan Development, Complex Brachytherapy (33300010) | $1,896.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management, Simple (33300053) | $581.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management, Intermediate (33300052) | $772.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management, Complex (33300051) | $928.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management, 3D (33300001) | $10,164.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management, 3D (33300063) | $10,164.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management Simulation, Simple (33300060) | $1,125.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management Simulation, Intermediate (33300061) | $1,451.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management Simulation, Intermediate (33300049) | $1,451.00 |
N/A
|
|
||
| Radiation Therapy - Radiation Therapy Management Simulation, Complex (33300062) | $2,078.00 |
N/A
|
|
||
| Radiation Therapy - Miscellaneous Brachytherapy Procedure (33300003) | $5,525.00 |
N/A
|
|
||
| Radiation Therapy - Miscellaneous Brachytherapy Procedure (33300004) | $5,100.00 |
N/A
|
|
||
| Radiation Therapy - Iodine I-125 Sodium Iodide (Radioactive Therapy Agent) (33300019) | $80.00 |
N/A
|
|
||
| Radiation Therapy - Internal Organ Radiation Therapy, Simple (33300007) | $4,360.00 |
N/A
|
|
||
| Radiation Therapy - Internal Organ Radiation Therapy, Intermediate (33300006) | $4,811.00 |
N/A
|
|
||
| Radiation Therapy - Internal Organ Radiation Therapy, Complex (33300005) | $6,090.00 |
N/A
|
|
||
| Radiation Therapy - Internal High Dose Brachytherapy, More Than 12 Channels (33300017) | $5,206.00 |
N/A
|
|
||
| Radiation Therapy - Internal High Dose Brachytherapy, 2 To 12 Channels (33300016) | $4,974.00 |
N/A
|
|
||
| Radiation Therapy - Internal High Dose Brachytherapy, 1 Channel (33300015) | $4,466.00 |
N/A
|
|
||
| Radiation Therapy - Intensity Modulated Radiation Therapy, Simple (33300057) | $2,286.00 |
N/A
|
|
||
| Radiation Therapy - Insertion Of Radiation Therapy Devices In Vagina For Radiation Therapy (33300064) | $646.00 |
N/A
|
|
||
| Radiation Therapy - Insertion Of Radiation Therapy Devices In Uterus For Radiation Therapy (33300065) | $4,844.00 |
N/A
|
|
||
| Radiation Therapy - Design And Construction Of Radiation Treatment Devices, Simple (33300056) | $547.00 |
N/A
|
|
||
| Radiation Therapy - Design And Construction Of Radiation Treatment Devices, Intermediate (33300055) | $673.00 |
N/A
|
|
||
| Radiation Therapy - Ct Guidance For Insertion Of Radiation Therapy Fields (33300012) | $863.00 |
N/A
|
|
||
| Radiation Therapy - Complex Application Of Radioactive Source (33300002) | $6,127.00 |
N/A
|
|
||
| Pulmonary Rehabilitation - Pulmonary Rehabilitation Sesstion Including Exercise (94800001) | $254.00 |
N/A
|
|
||
| Prosthetic/orthotic Supplies - Wrist/hand Brace (27400002) | $48.00 |
N/A
|
|
||
| Prosthetic/orthotic Supplies - Walking Boot (27400016) | $100.00 |
N/A
|
|
||
| Prosthetic/orthotic Supplies - Surgical Boot (27001063) | $47.00 |
N/A
|
|
||
| Prosthetic/orthotic Supplies - Ankle Brace (27400001) | $106.00 |
N/A
|
|
||
| Preventive Services - Administration Of Pneunococcal Vaccine (77100009) | $47.00 |
N/A
|
|
||
| Preventive Services - Administration Of Hepatitis B Vaccine (77100010) | $66.00 |
N/A
|
|
||
| Preventive Services - Administration Of Hepatitis B Vaccine (77100001) | $30.00 |
N/A
|
|
||
| Preventive Services - Administration Of Flu Vaccine (77100008) | $47.00 |
N/A
|
|
||
| Physical Therapy - Work Hardening Or Conditioning, First 2 Hours (42000029) | $590.00 |
N/A
|
|
||
| Physical Therapy - Work Hardening Or Conditioning, Additional Hour(S) (42000030) | $262.00 |
N/A
|
|
||
| Physical Therapy - Water Pool Therapy With Therapeutic Exercises To 1 Or More Areas, Each 15 Minutes (42000002) | $150.00 |
N/A
|
|
||
| Physical Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (42000060) | $162.00 |
N/A
|
|
||
| Physical Therapy - Strapping Of Shoulder (42000276) | $232.00 |
N/A
|
|
||
| Physical Therapy - Repositioning Maneuvers For Treatment Of Vertigo, Per Day (42000288) | $141.00 |
N/A
|
|
||
| Physical Therapy - Preventive Medicine Counseling, Approximately 30 Minutes (42000020) | $185.00 |
N/A
|
|
||
| Physical Therapy - Physical Performance Test Or Measurement With Report, Each 15 Minutes (42000018) | $95.00 |
N/A
|
|
||
| Physical Therapy - Physical Medicine Service Or Procedure (42000019) | $161.00 |
N/A
|
|
||
| Physical Therapy - Miscellaneous Therapeutic Procedure (42000028) | $149.00 |
N/A
|
|
||
| Physical Therapy - Developmental Test Administration By Qualified Health Care Professional With Interpretation And Report, First 60 Minutes (42000285) | $453.00 |
N/A
|
|
||
| Physical Therapy - Developmental Test Administration By Qualified Health Care Professional With Interpretation And Report, Additonal 30 Minutes (42000286) | $227.00 |
N/A
|
|
||
| Physical Therapy - Developmental Screening (42000005) | $187.00 |
N/A
|
|
||
| Physical Therapy - Application Of Whirlpool Therapy To 1 Or More Areas (42000058) | $136.00 |
N/A
|
|
||
| Physical Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (42000026) | $161.00 |
N/A
|
|
||
| Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (42000008) | $161.00 |
N/A
|
|
||
| Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (42000015) | $179.00 |
N/A
|
|
||
| Physical Therapy - Application Of Hot Wax Bath To 1 Or More Areas (42000057) | $152.00 |
N/A
|
|
||
| Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (42000287) | $142.00 |
N/A
|
|
||
| Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (42000009) | $161.00 |
N/A
|
|
||
| Physical Therapy (42000281) | $150.00 |
N/A
|
|
||
| Physical Therapy (42000280) | $75.00 |
N/A
|
|
||
| Pharmacy - Yellow Fever Vaccine (63600057) | $170.00 |
N/A
|
|
||
| Pharmacy - Varicella Vaccine (25000003) | $170.00 |
N/A
|
|
||
| Pharmacy - Unclassified Drug (25000004) | $200.00 |
N/A
|
|
||
| Pharmacy - Typhoid Vaccine For Injection Into Muscle (63600056) | $105.00 |
N/A
|
|
||
| Pharmacy - Theraskin (Skin Substitute) (63600077) | $65.00 |
N/A
|
|
||
| Pharmacy - Tetanus And Diphtheria Vaccine For Injection Into Muscle (63600053) | $44.00 |
N/A
|
|
||
| Pharmacy - Shingles Vaccine For Injection Under Skin (25000018) | $250.00 |
N/A
|
|
||
| Pharmacy - Rho D Immune Globulin (Antibody) (63600052) | $452.00 |
N/A
|
|
||
| Pharmacy - Rho D Immune Globulin (Antibody) (63600051) | $371.00 |
N/A
|
|
||
| Pharmacy - Regadenoson (Heart Blood Vessel Dilator) (63600050) | $477.00 |
N/A
|
|
||
| Pharmacy - Radium Dichloride (Radioactive Therapy Agent) (34400003) | $1,166.00 |
N/A
|
|
||
| Pharmacy - Rabies Vaccine For Injection Into Muscle (63600049) | $328.00 |
N/A
|
|
||
| Pharmacy - Rabies Immune Globulin For Injection Under The Skin Or Into Muscle (63600065) | $2,444.35 |
N/A
|
|
||
| Pharmacy - Rabies Immune Globulin For Injection Under The Skin Or Into Muscle (63600048) | $544.00 |
N/A
|
|
||
| Pharmacy - Polio Vaccine For Injection Under The Skin Or Into Muscle (63600045) | $70.00 |
N/A
|
|
||
| Pharmacy - Pneumococcal Vaccine - 23 Strains (63600044) | $100.00 |
N/A
|
|
||
| Pharmacy - Pneumococcal Vaccine - 13 Strains (63600043) | $271.00 |
N/A
|
|
||
| Pharmacy - Oasis Wound Matrix (Skin Substitute) (63600069) | $983.00 |
N/A
|
|
||
| Pharmacy - Oasis Wound Matrix (Skin Substitute) (63600068) | $893.00 |
N/A
|
|
||
| Pharmacy - Oasis Wound Matrix (Skin Substitute) (63600067) | $620.00 |
N/A
|
|
||
| Pharmacy - Oasis Wound Matrix (Skin Substitute) (63600066) | $296.00 |
N/A
|
|
||
| Pharmacy - Oasis Wound Matrix (Skin Substitute) (63600042) | $160.00 |
N/A
|
|
||
| Pharmacy - Non Radioactive Diagnostic Dye (25500004) | $136.40 |
N/A
|
|
||
| Pharmacy - Non Radioactive Diagnostic Dye (25500003) | $92.40 |
N/A
|
|
||
| Pharmacy - Non Radioactive Diagnostic Dye (25500002) | $92.00 |
N/A
|
|
||
| Pharmacy - Mitomycin (Cancer Treatment) (63600040) | $109.00 |
N/A
|
|
||
| Pharmacy - Methylprednisolone (Steroidal Anti-Inflammatory) (63600039) | $12.00 |
N/A
|
|
||
| Pharmacy - Meningococcal Vaccine For Injection Under Skin - 4 Strains (63600038) | $210.00 |
N/A
|
|
||
| Pharmacy - Meningococcal Vaccine For Injection Into Muscle - 4 Strains (63600037) | $200.00 |
N/A
|
|
||
| Pharmacy - Measles, Mumps, And Rubella Vaccine For Injection Under The Skin (63600041) | $105.00 |
N/A
|
|
||
| Pharmacy - Ketorolac (Non-Steroid Anti-Inflammatory/non-Opioid Pain Reliever (63600034) | $4.00 |
N/A
|
|
||
| Pharmacy - Japanese Encephalitis Vaccine (63600009) | $400.00 |
N/A
|
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| Pharmacy - Integra Matrix (Skin Substitute) (63600033) | $5,313.00 |
N/A
|
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| Pharmacy - Integra Flowable Wound Matrix (Skin Substitute) (63600032) | $1,098.00 |
N/A
|
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| Pharmacy - Integra Bilayer Matrix (Skin Substitute) (63600030) | $5,313.00 |
N/A
|
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| Pharmacy - Imaging Contrast Material - Ultrasound (63600027) | $333.00 |
N/A
|
|
||
| Pharmacy - Imaging Contrast Material - Ultrasound (25000021) | $124.00 |
N/A
|
|
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| Pharmacy - Imaging Contrast Material - Low Osmolar (63600035) | $304.00 |
N/A
|
|
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| Pharmacy - Imaging Contrast Material - High Osmolar (63600023) | $426.00 |
N/A
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