Northwest Community Hospital Menu Prices have been verified using third-party online ordering systems.
| Items | |||||
|---|---|---|---|---|---|
| Pharmacy - Hpv Vaccine - 4 Strains (25000006) | $240.00 |
N/A
|
|
||
| Pharmacy - Hepatitis B Vaccine - 3 Dose Schedule For Teens (63600021) | $120.00 |
N/A
|
|
||
| Pharmacy - Hepatitis B Vaccine - 3 Dose Schedule For Adults (63600020) | $145.00 |
N/A
|
|
||
| Pharmacy - Hepatitis B Immune Globulin For Injection Into Muscle (63600019) | $53.00 |
N/A
|
|
||
| Pharmacy - Hepatitis A Vaccine - Adult Dose (63600017) | $147.00 |
N/A
|
|
||
| Pharmacy - Hepatitis A Vaccine - 2 Dose Schedule For Child Or Teen (63600016) | $120.00 |
N/A
|
|
||
| Pharmacy - Hepatitis A And B Vaccine - Adult Dose (63600018) | $195.00 |
N/A
|
|
||
| Pharmacy - Haemophilus Influenzae B Vaccine - 3 Dose Schedule (63600078) | $61.00 |
N/A
|
|
||
| Pharmacy - Grafix Prime/grafixpl Prime/stravix/stravixpl (Skin Substitute) (63600083) | $990.00 |
N/A
|
|
||
| Pharmacy - Grafix Prime/grafixpl Prime/stravix/stravixpl (Skin Substitute) (63600082) | $587.00 |
N/A
|
|
||
| Pharmacy - Grafix Prime/grafixpl Prime/stravix/stravixpl (Skin Substitute) (63600081) | $367.00 |
N/A
|
|
||
| Pharmacy - Grafix Prime/grafixpl Prime/stravix/stravixpl (Skin Substitute) (63600093) | $240.00 |
N/A
|
|
||
| Pharmacy - Grafix Prime/grafixpl Prime/stravix/stravixpl (Skin Substitute) (63600080) | $225.00 |
N/A
|
|
||
| Pharmacy - Grafix Core/grafixpl Core (Skin Substitute) (63600095) | $990.00 |
N/A
|
|
||
| Pharmacy - Grafix Core/grafixpl Core (Skin Substitute) (63600085) | $553.00 |
N/A
|
|
||
| Pharmacy - Grafix Core/grafixpl Core (Skin Substitute) (63600084) | $367.00 |
N/A
|
|
||
| Pharmacy - Grafix Core/grafixpl Core (Skin Substitute) (63600094) | $240.00 |
N/A
|
|
||
| Pharmacy - Gadolinium Based Diagnostic Dye (63600012) | $59.00 |
N/A
|
|
||
| Pharmacy - Gadobenate Dimeglumine (Diagnostic Dye) (63600026) | $59.00 |
N/A
|
|
||
| Pharmacy - Flu Vaccine For Injection Into Muscle - 4 Strains (63600096) | $181.00 |
N/A
|
|
||
| Pharmacy - Flu Vaccine For Injection Into Muscle - 4 Strains (63600097) | $88.00 |
N/A
|
|
||
| Pharmacy - Flu Vaccine For Injection Into Muscle - 3 Strains (63600011) | $15.00 |
N/A
|
|
||
| Pharmacy - Epinephrine (Bronchial Tube Dilator)/blood Vessel Constrictor) (63600002) | $89.00 |
N/A
|
|
||
| Pharmacy - Epifix (Skin Substitute) (63600076) | $440.00 |
N/A
|
|
||
| Pharmacy - Dobutamine (Nervous System Stimulator) (63600025) | $53.00 |
N/A
|
|
||
| Pharmacy - Diphtheria, Tetanus, And Pertussis Vaccine For Injection Into Muscle (25000020) | $91.00 |
N/A
|
|
||
| Pharmacy - Diphtheria, Tetanus, And Pertussis Vaccine For Injection Into Muscle (63600054) | $87.00 |
N/A
|
|
||
| Pharmacy - Diphenhydramine (Antihistamine) (63600008) | $4.00 |
N/A
|
|
||
| Pharmacy - Cholera Vaccine (63600079) | $200.00 |
N/A
|
|
||
| Pharmacy - Ceftriaxone (Antibiotic) (63600058) | $162.80 |
N/A
|
|
||
| Pharmacy - Ceftriaxone (Antibiotic) (63600006) | $50.00 |
N/A
|
|
||
| Pharmacy - Bupivacaine (Anesthetic) (63600028) | $691.00 |
N/A
|
|
||
| Pharmacy - Aminophyllin (Bronchial Tube Dilator) (63600004) | $28.00 |
N/A
|
|
||
| Pharmacy (25500001) | $151.00 |
N/A
|
|
||
| Pharmacy (63700002) | $82.00 |
N/A
|
|
||
| Pharmacy (25000010) | $50.00 |
N/A
|
|
||
| Pharmacy (25000016) | $33.00 |
N/A
|
|
||
| Pharmacy (25000015) | $32.00 |
N/A
|
|
||
| Pharmacy (25000005) | $17.00 |
N/A
|
|
||
| Pharmacy (25000012) | $15.00 |
N/A
|
|
||
| Pharmacy (25000014) | $15.00 |
N/A
|
|
||
| Pharmacy (25000017) | $14.00 |
N/A
|
|
||
| Pharmacy (25000013) | $14.00 |
N/A
|
|
||
| Pharmacy (63700007) | $7.00 |
N/A
|
|
||
| Pharmacy (63700006) | $2.00 |
N/A
|
|
||
| Patient Convenience (99100002) | $10.00 |
N/A
|
|
||
| Patient Convenience (99100003) | $10.00 |
N/A
|
|
||
| Patient Convenience (99100001) | $7.00 |
N/A
|
|
||
| Pathology - Surgical Pathology Consultation And Report (Referred Slides Prepared Elsewhere) (31000003) | $186.00 |
N/A
|
|
||
| Pathology - Pathology Exam Of Tissue During Surgery (Each Additional Block With Frozen Section) (31000024) | $319.00 |
N/A
|
|
||
| Pathology - Pap Smear (Thin Layer Prep With Manual Screening) (31000026) | $181.00 |
N/A
|
|
||
| Pathology - Pap Smear (Bethesda System With Manual Screening) (31100001) | $95.00 |
N/A
|
|
||
| Pathology - Microscopic Manual Genetic Analysis Of Tissue Specimen (Initial Single Probe Stain) (31000014) | $205.00 |
N/A
|
|
||
| Pathology - Immediate Cellular Exam Of Additional Fine Needle Aspirate For Specimen Adequacy (Same Site As Additional Component To Primary Procedure) (31100003) | $280.00 |
N/A
|
|
||
| Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (31000033) | $198.00 |
N/A
|
|
||
| Pathology - Cellular Exam Of Non-Gynecologic Body Fluid (Smears) (31000008) | $192.00 |
N/A
|
|
||
| Pathology - Cellular Exam Of Non-Gyn Specimen (Cytology Smear Screening And Interpretation) (31000011) | $133.00 |
N/A
|
|
||
| Pathology - Cellular Exam Of Non-Gyn Specimen (Cytology Smear Prep, Screening And Interpretation) (31000010) | $109.00 |
N/A
|
|
||
| Pathology - Cellular Exam Of Non-Gyn Specimen (Cytology Smear Involving Multiple Slides Or Stains) (31000009) | $148.00 |
N/A
|
|
||
| Other Implant - Neuro Helical Coil (27000619) | $225.00 |
N/A
|
|
||
| Other Implant - Neuro Coil (27000620) | $485.00 |
N/A
|
|
||
| Other Implant - Neuro Coil (27000621) | $225.00 |
N/A
|
|
||
| Operating Room - Repair Of Defect Of Aorta In Chest (36000010) | $5,694.00 |
N/A
|
|
||
| Operating Room - Repair Of Defect Of Aorta In Chest (36000011) | $5,694.00 |
N/A
|
|
||
| Operating Room - Repair Of Defect Of Aorta In Chest (36000007) | $5,694.00 |
N/A
|
|
||
| Operating Room - Repair Of Defect Of Aorta In Chest (36000015) | $4,818.00 |
N/A
|
|
||
| Operating Room - Repair Of Defect Of Aorta In Chest (36000008) | $4,818.00 |
N/A
|
|
||
| Operating Room - Removal Of Hemorrhoidal Tissue Using Stapling Technique (36000014) | $1,929.00 |
N/A
|
|
||
| Operating Room - Insertion Of Indwelling Bladder Catheter (36000027) | $303.00 |
N/A
|
|
||
| Operating Room - Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Through The Skin (36100002) | $3,857.00 |
N/A
|
|
||
| Operating Room - Guidance For Repair Of Chest Aorta With Graft Not Involving Origin Of Left Subclavian Artery (36000013) | $10,439.00 |
N/A
|
|
||
| Operating Room - Guidance For Repair Of Chest Aorta With Graft Involving Origin Of Left Subclavian Artery (36000012) | $10,439.00 |
N/A
|
|
||
| Operating Room - Guidance For Placement Of Extension Device Following Previous Repair Of Chest Aorta With Graft (36000025) | $10,439.00 |
N/A
|
|
||
| Operating Room - Guidance For Placement Of Extension Device During Repair Of Chest Aorta With Graft (36000026) | $10,439.00 |
N/A
|
|
||
| Operating Room - Exposure Of One Groin Artery For Delivery Of Graft, Accessed Through The Skin (36000033) | $500.00 |
N/A
|
|
||
| Operating Room - Destruction Of Growths In One Lung Using Extreme Cold (36000031) | $9,260.00 |
N/A
|
|
||
| Operating Room - Computer-Assisted Procedure Outside The Brain During Other Related Procedure (36000024) | $875.00 |
N/A
|
|
||
| Occupational Therapy - Wheelchair Management, Each 15 Minutes (43000280) | $103.00 |
N/A
|
|
||
| Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (43000277) | $141.00 |
N/A
|
|
||
| Occupational Therapy - Strapping Of Shoulder (43000276) | $232.00 |
N/A
|
|
||
| Occupational Therapy - Physical Medicine Service Or Procedure (43000067) | $161.00 |
N/A
|
|
||
| Occupational Therapy - Electrical Stimulation Therapy (43000055) | $161.00 |
N/A
|
|
||
| Occupational Therapy - Community Or Work Reintegration Training, Each 15 Minutes (43000279) | $103.00 |
N/A
|
|
||
| Occupational Therapy - Application Of Whirlpool Therapy To 1 Or More Areas (43000008) | $136.00 |
N/A
|
|
||
| Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (43000026) | $161.00 |
N/A
|
|
||
| Occupational Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (43000054) | $161.00 |
N/A
|
|
||
| Occupational Therapy - Application Of Hot Wax Bath To 1 Or More Areas (43000004) | $152.00 |
N/A
|
|
||
| Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (43000009) | $161.00 |
N/A
|
|
||
| Occupational Therapy - Application Of Blood Vessel Compression Or Decompression Device To 1 Or More Areas (43000007) | $75.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200016) | $20.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200017) | $20.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200027) | $20.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200014) | $20.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200015) | $20.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200004) | $18.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200022) | $18.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200025) | $18.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200029) | $18.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200023) | $18.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200024) | $18.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200020) | $14.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200019) | $14.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200021) | $14.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200028) | $14.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200018) | $14.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200013) | $8.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200010) | $8.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200012) | $8.00 |
N/A
|
|
||
| Observation - Hospital Observation Care - Each Hour Of Service (76200011) | $8.00 |
N/A
|
|
||
| Nuclear Medicine - Radioactive Drug Therapy Administered Orally (34000052) | $1,586.00 |
N/A
|
|
||
| Nuclear Medicine - Radioactive Drug Therapy (Monoclonal Antibody) Administered Through Vein (34000023) | $814.00 |
N/A
|
|
||
| Nuclear Medicine - Injection Of Radioactive Contrast Material Into A Vein For Probe Study (34000031) | $1,331.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Uptake Measurement Of Thyroid Function (34000071) | $642.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Radioactive Material Distribution (34000072) | $3,352.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Liver With Blood Flow (34000037) | $1,677.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Liver (34000039) | $826.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Single Study (34000029) | $2,338.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Multiple Studies (34000077) | $2,970.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Brain (34000011) | $2,723.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Bones Or Joints (34000004) | $1,984.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Test For Peritoneal-Venous Shunt Status (34000035) | $1,594.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Study Of Radioactive Material Distribution, Whole Body With Imaging Over 2 Or More Days (34000060) | $2,125.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Study Of Radioactive Material Distribution, Whole Body With Imaging On Single Day (34000061) | $1,874.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan To Detect Possible Spread Of Thyroid Cancer, Whole Body (34000070) | $2,794.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Thyroid With Uptake Measurement (34000069) | $1,871.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Thyroid For Structure And Blood Flow (34000068) | $642.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Testicles With Blood Flow (34000066) | $1,229.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Spleen (34000065) | $986.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Salivary Gland With Serial Images (34000064) | $1,049.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Salivary Gland Function (34000063) | $1,354.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Remaining Urine In Bladder (34000075) | $818.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Radioactive Material Distribution, Multiple Areas (34000073) | $559.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Parathyroid With Spect Blood Flow Analysis (34000055) | $2,965.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Parathyroid (34000058) | $2,268.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Non-Cardiac Blood Vessel Flow (34000076) | $556.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Lymphatic Tissue And Lymph Node (34000048) | $1,809.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Liver With Blood Flow (34000042) | $1,516.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Liver And Spleen (34000036) | $1,088.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Liver And Ducts With Drug Intervention (34000024) | $2,820.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Liver (34000038) | $1,077.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Kidney (34000034) | $944.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Intestine (34000049) | $2,113.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Heart, Single Study At Rest Or Stress (34000027) | $2,338.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Heart, Multiple Studies At Rest Or Stress (34000026) | $2,552.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Heart Motion And Blood Ejection, Single Study (34000022) | $1,542.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Heart Motion And Blood Ejection, Multiple Studies (34000021) | $1,613.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Brain And Spinal Cord Fluid Flow At Base Of Brain (34000014) | $2,975.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Multiple (34000007) | $1,105.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Limited (34000006) | $1,055.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, 3 Phase Study (34000005) | $2,772.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Bone Marrow, Whole Body (34000009) | $1,244.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Blood Flow To The Brain (34000010) | $1,413.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan Of Blood Circulation In The Lungs (34000044) | $2,000.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan For Reflux Of Urine Into Kidney (34000074) | $1,130.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Scan At Site Of Inflammation, Limited Area (34000001) | $1,792.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Regurgitation Study (34000020) | $2,231.00 |
N/A
|
|
||
| Nuclear Medicine - Diagnostic Medicine Study For Detection And Localization Of Brain And Spinal Cord Fluid Leakage (34000015) | $3,113.00 |
N/A
|
|
||
| Nuclear Medicine (34000013) | $1,014.00 |
N/A
|
|
||
| Labor & Delivery - Turning Of Fetus From Breech To Presenting Position (72000011) | $2,136.00 |
N/A
|
|
||
| Labor & Delivery - Insertion Dilator Device Into Cervix (72000027) | $614.00 |
N/A
|
|
||
| Labor & Delivery - Fetal Non-Stress Test (72000026) | $814.00 |
N/A
|
|
||
| Labor & Delivery - Fetal Contraction Stress Test (72000012) | $542.00 |
N/A
|
|
||
| Labor & Delivery (72000279) | $3,272.00 |
N/A
|
|
||
| Labor & Delivery (72200002) | $1,857.00 |
N/A
|
|
||
| Labor & Delivery (72000001) | $690.00 |
N/A
|
|
||
| Labor & Delivery (72000278) | $587.00 |
N/A
|
|
||
| Labor & Delivery (72000006) | $462.00 |
N/A
|
|
||
| Labor & Delivery (72000007) | $402.00 |
N/A
|
|
||
| Labor & Delivery (72000015) | $296.00 |
N/A
|
|
||
| Labor & Delivery (72000005) | $150.00 |
N/A
|
|
||
| Labor & Delivery (72000002) | $104.00 |
N/A
|
|
||
| Lab - Zonisamide Level (30000933) | $116.00 |
N/A
|
|
||
| Lab - White Blood Cell Function Test (Nitroblue Tetrazolium Dye) (30000886) | $530.00 |
N/A
|
|
||
| Lab - White Blood Cell Enzyme Level (Muramidase) (30000873) | $127.00 |
N/A
|
|
||
| Lab - White Blood Cell Count (Automated) (30000510) | $53.00 |
N/A
|
|
||
| Lab - White Blood Cell Automated Differential Count (30001085) | $58.00 |
N/A
|
|
||
| Lab - White Blood Cell Automated Differential Count (30003283) | $54.00 |
N/A
|
|
||
| Lab - White Blood Cell Automated Differential Count (30000509) | $37.00 |
N/A
|
|
||
| Lab - Western Equine Encephalitis Antibody Analysis (30000694) | $87.00 |
N/A
|
|
||
| Lab - Western Equine Encephalitis Antibody Analysis (30003158) | $87.00 |
N/A
|
|
||
| Lab - West Nile Antibody Analysis (Igm) (30003163) | $69.00 |
N/A
|
|
||
| Lab - West Nile Antibody Analysis (Except Igm Only) (30003164) | $69.00 |
N/A
|
|
||
| Lab - Vitamin Level (30000429) | $212.00 |
N/A
|
|
||
| Lab - Vitamin K Level (30003313) | $209.00 |
N/A
|
|
||
| Lab - Vitamin E Level (30000496) | $124.00 |
N/A
|
|
||
| Lab - Vitamin D-3 Level (30001303) | $364.00 |
N/A
|
|
||
| Lab - Vitamin B-6 Level (30000495) | $96.00 |
N/A
|
|
||
| Lab - Virus Isolation And Identification By Non-Immunologic Method (Except Cytopathic Effect) (30003338) | $106.00 |
N/A
|
|
||
| Lab - Viral Antibody Analysis (30003167) | $80.00 |
N/A
|
|
||
| Lab - Viral Antibody Analysis (30003176) | $80.00 |
N/A
|
|
||
| Lab - Viral Antibody Analysis (30001041) | $42.00 |
N/A
|
|
||
| Lab - Viral Antibody Analysis (30001333) | $42.00 |
N/A
|
|
||
| Lab - Viral Antibodies Measurement (30000883) | $212.00 |
N/A
|
|
||
| Lab - Very Long Chain Fatty Acids Level (30000851) | $183.00 |
N/A
|
|
||
| Lab - Vasoactive Intestinal Peptide Level (30000492) | $280.00 |
N/A
|
|
||
| Lab - Varicella-Zoster Antibody Analysis (30001332) | $110.00 |
N/A
|
|
||
| Lab - Varicella-Zoster Antibody Analysis (30001038) | $98.00 |
N/A
|
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| Lab - Vanillylmandelic Acid Level In Urine (30001081) | $170.00 |
N/A
|
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| Lab - Vanillylmandelic Acid Level In Urine (30000487) | $133.00 |
N/A
|
|
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| Lab - Valproic Acid Level (Free) (30000332) | $331.00 |
N/A
|
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