Sanford Bemidji Medical Center Menu Prices have been verified using third-party online ordering systems.
| Items | |||||
|---|---|---|---|---|---|
| Diagnostic Imaging - Ct Scan Of Leg, With Contrast (1000250) | $1,938.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Leg, With And Without Contrast (1004455) | $1,948.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Heart With Evaluation Of Blood Vessel Calcium (1000419) | $248.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Head Or Brain, Without Contrast (1000179) | $1,786.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Head Or Brain, With Contrast (1000180) | $1,773.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Head Or Brain, With And Without Contrast (1000181) | $2,119.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Face, Without Contrast (1000190) | $1,800.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Face, With Contrast (1000192) | $2,120.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Face, With And Without Contrast (1000193) | $2,323.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Eye Or Ear, Without Contrast (1000182) | $1,577.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Eye Or Ear, With Contrast (1003462) | $1,773.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Eye Or Ear, With And Without Contrast (1000187) | $2,119.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Chest, Without Contrast (1000210) | $1,885.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Chest, With Contrast (1000212) | $2,120.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Chest, With And Without Contrast (1000214) | $2,441.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Neck, With Contrast (1000196) | $2,078.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Leg (1000251) | $2,389.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Head, With Contrast (1000195) | $2,072.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Chest With Contrast (1000215) | $2,475.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Arm (1006806) | $2,504.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Abdomen And Pelvis (1011851) | $3,906.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Blood Vessels In Abdomen (1000261) | $2,424.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Arm, Without Contrast (1000239) | $1,507.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Arm, With Contrast (1000240) | $1,858.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdominal Aorta And Both Leg Arteries (1003364) | $2,932.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen, Without Contrast (1000257) | $1,850.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen, With Contrast (1000259) | $2,120.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen, With And Without Contrast (1000260) | $2,398.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, Without Contrast (1010581) | $3,335.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With Contrast (1010582) | $3,852.00 |
N/A
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| Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With And Without Contrast (1010583) | $4,036.00 |
N/A
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| Diagnostic Imaging - Ct Guidance For Needle Insertion (1000367) | $1,126.00 |
N/A
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| Diagnostic Imaging - Ct Guidance For Insertion Of Radiation Therapy Fields (1000970) | $795.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Urinary Tract By Retrograde Technique (1001942) | $865.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Urinary Tract By Antegrade Technique (1005308) | $647.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Upper Digestive Tract Without X-Ray Of Urinary System (1002400) | $979.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Major Chest Vein (1000306) | $1,806.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Major Abdominal Vein (1000305) | $2,105.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Large Intestine Using Barium (1000620) | $850.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Head Or Neck Veins (1005312) | $2,060.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Fallopian Tubes And Ovaries (1001978) | $927.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Chest Aorta By Serial Imaging (1005310) | $2,859.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Bladder, 3 Or More Views (1001001) | $721.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Bladder And Bladder Canal While Bladder Is Emptying (1002510) | $887.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Biliary Ducts By Endoscope (1001153) | $1,102.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Biliary And Pancreatic Ducts By Endoscope (1001151) | $1,432.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Veins On One Side (1000303) | $1,500.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Veins On Both Sides (1000304) | $1,890.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Artery On One Side (1000289) | $4,331.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Artery On Both Sides (1000290) | $4,125.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Artery (1000293) | $3,953.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta By Serial Imaging (1000277) | $4,029.00 |
N/A
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| Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta And Both Leg Arteries By Serial Imaging (1000279) | $3,863.00 |
N/A
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| Diagnostic Imaging - Complete X-Ray Of Abdomen And Single View X-Ray Of Chest (1008161) | $678.00 |
N/A
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| Diagnostic Imaging - Arterial Imaging - Iliac Or Femoral (1005468) | $2,585.00 |
N/A
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| Diagnostic Imaging - 3D Procedure Without Image Postprocessing On Independent Workstation (1005319) | $626.00 |
N/A
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| Diagnostic Imaging - 3-Dimensional Breast Imaging (1024615) | $65.00 |
N/A
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| Clinic Visit - Subsequent Hospital Inpatient Care, Typically 15 Minutes Per Day (1009180) | $92.00 |
N/A
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| Clinic Visit - Patient Office Consultation, Typically 80 Minutes (1013407) | $168.00 |
N/A
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| Clinic Visit - Patient Office Consultation, Typically 60 Minutes (1013406) | $138.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 60 Minutes (1001683) | $398.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 45 Minutes (1001682) | $310.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 30 Minutes (1001681) | $221.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 20 Minutes (1001680) | $134.00 |
N/A
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| Clinic Visit - New Patient Office Or Other Outpatient Visit, Typically 10 Minutes (1001679) | $88.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient, Visit Typically 40 Minutes (1001168) | $332.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient, Visit Typically 25 Minutes (1001167) | $259.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1001164) | $85.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes (1001166) | $189.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes (1003144) | $185.00 |
N/A
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| Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (1001165) | $118.00 |
N/A
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| Chemotherapy - Hormonal Anti-Neoplastic Chemotherapy Administration, Under The Skin Or Into Muscle (1004711) | $215.00 |
N/A
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| Chemotherapy - Chemotherapy Into Vein Using Push Technique, Each Additional Drug (1004714) | $166.00 |
N/A
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| Cardiology - Ultrasound Of Heart, Limited Or Follow-Up (1024034) | $963.00 |
N/A
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| Cardiology - Ultrasound Of Heart With Doppler Imaging (1024035) | $2,358.00 |
N/A
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| Cardiology - Ultrasound Of Heart Via Esophagus (1026252) | $844.00 |
N/A
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| Cardiology - Ultrasound Of Heart During Heart Stress Test (1026370) | $1,943.00 |
N/A
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| Cardiology - Ultrasound Exam Of The Heart Performed During Rest And Exercise With Interpretation And Report (1003198) | $1,738.00 |
N/A
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| Cardiology - Ultrasound Exam Of Heart, Follow-Up Or Limited Study (1003204) | $835.00 |
N/A
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| Cardiology - Ultrasound Exam Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function (1009794) | $2,145.00 |
N/A
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| Cardiology - Ultrasound Exam Of Heart (1003195) | $1,071.00 |
N/A
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| Cardiology - Ultrasound Exam Of Congenital Heart Defect, Follow-Up Or Limited Study (1003202) | $468.00 |
N/A
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| Cardiology - Ultrasound Exam Of Congenital Heart Defect, Complete Study (1003200) | $883.00 |
N/A
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel Or Graft (1005354) | $3,948.00 |
N/A
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel Or Graft (1005355) | $3,468.00 |
N/A
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment (1005383) | $4,139.00 |
N/A
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| Cardiology - Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment (1005384) | $3,786.00 |
N/A
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| Cardiology - Removal Of Plaque Of Major Coronary Artery Or Branch Accessed Through The Skin, Single (1012777) | $17,543.00 |
N/A
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| Cardiology - Removal Of Plaque And Insertion Of Stent In Major Coronary Artery Or Branch Accessed Through The Skin, Single (1012768) | $19,670.00 |
N/A
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| Cardiology - Removal Of Permanent Pacemaker Pulse Generator (1005236) | $3,902.00 |
N/A
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| Cardiology - Removal Of Defibrillator Pulse Generator (1005241) | $4,894.00 |
N/A
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| Cardiology - Removal Of Blood Clot In Heart Artery Accessed Through The Skin (1005351) | $5,066.00 |
N/A
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| Cardiology - Removal And Replacement Of Multiple Lead Permanent Pacemaker Pulse Generator (1013054) | $18,641.00 |
N/A
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| Cardiology - Removal And Replacement Of Implanted Defibrillator Pulse Generator (1011859) | $27,081.00 |
N/A
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| Cardiology - Removal And Replacement Of Implanted Defibrillator Pulse Generator (1011858) | $26,546.00 |
N/A
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| Cardiology - Removal And Replacement Of Dual Lead Permanent Pacemaker Pulse Generator (1013053) | $15,386.00 |
N/A
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| Cardiology - Insertion Or Replacement Of Single Or Dual Chamber Pacing Defibrillator Leads (1005244) | $25,332.00 |
N/A
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| Cardiology - Insertion Or Replacement Of Permanent Pacemaker And Lower Chamber Electrodes (1005223) | $15,332.00 |
N/A
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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 (1012772) | $20,466.00 |
N/A
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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 (1021367) | $18,017.00 |
N/A
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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 (1020651) | $6,877.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (1012770) | $16,581.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (1020835) | $16,573.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (1012875) | $16,573.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (1012872) | $15,026.00 |
N/A
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| Cardiology - Insertion Of Stent, Removal Of Plaque Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (1012773) | $14,517.00 |
N/A
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| Cardiology - Insertion Of New Or Replacement Of Permanent Pacemaker Including Upper And Lower Chamber Electrodes (1005224) | $18,978.00 |
N/A
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| Cardiology - Insertion Of Left Heart Electrode During Placement Of Pacemaker Or Defibrillator (1005234) | $13,352.00 |
N/A
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| Cardiology - Insertion Of Catheter Into Right Heart For Diagnositic Study (1010621) | $6,001.00 |
N/A
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| Cardiology - Insertion Of Catheter Into Left Heart For Diagnositic Study (1010622) | $11,953.00 |
N/A
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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 (1010631) | $23,772.00 |
N/A
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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 (1010629) | $18,926.00 |
N/A
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Right Heart Catheterization (1010626) | $12,217.00 |
N/A
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Right And Left Heart Catheterization (1010630) | $18,514.00 |
N/A
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Left Heart Catheterization (1010628) | $15,263.00 |
N/A
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts (1010625) | $11,018.00 |
N/A
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| Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts (1010624) | $9,116.00 |
N/A
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| Cardiology - Insertion Of Assistive Heart Blood Flow Device Into Aorta, Accessed Through The Skin (1005247) | $3,343.00 |
N/A
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| Cardiology - Injection For X-Ray Imaging Of Aorta Above Heart Valve (1010638) | $2,231.00 |
N/A
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| Cardiology - Heart And Blood Vessel Procedure (1024643) | $5,784.00 |
N/A
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| Cardiology - Heart And Blood Vessel Procedure (1027157) | $579.00 |
N/A
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| Cardiology - Follow-Up Or Limited Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003199) | $354.00 |
N/A
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| Cardiology - External Shock To Heart To Regulate Heart Beat (1005350) | $1,443.00 |
N/A
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| Cardiology - Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Monitoring, Tracing Only (1003197) | $1,106.00 |
N/A
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| Cardiology - Evaluation, Testing, And Programming Adjustment Of Permanent Dual Lead Pacemaker System With Analysis, Review And Report By Qualified Professional (1013348) | $149.00 |
N/A
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| Cardiology - Evaluation Of Parameters Of Leadless Or Single, Dual, Or Multiple Lead Pacemaker System With Analysis, Review And Report By Qualified Professional (1013354) | $143.00 |
N/A
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| Cardiology - Esophageal Ultrasound Exam Of Heart Including Probe Placement, Image Acquisition, Interpretation And Report (1003205) | $844.00 |
N/A
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| Cardiology - Esophageal Ultrasound Exam Of Heart For Congenital Abnormalities Including Probe Placement, Image Acquisition, Interpretation And Report (1003209) | $2,143.00 |
N/A
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| Cardiology - Doppler Ultrasound Color-Mapping Of Heart Blood Flow, Rate, And Valve Function (1003193) | $398.00 |
N/A
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| Cardiology - Complete Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003194) | $440.00 |
N/A
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| Cardiology - Catheter Placement Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (1012780) | $13,159.00 |
N/A
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (1012779) | $17,095.00 |
N/A
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| Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (1012879) | $13,531.00 |
N/A
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (1012775) | $10,772.00 |
N/A
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| Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Each Additional (1012776) | $8,720.00 |
N/A
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| Cardiology - Attempt To Restart Heart And Lungs (1004611) | $685.00 |
N/A
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1007018) | $300.00 |
N/A
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| Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session (1004301) | $284.00 |
N/A
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| Brain Monitoring - Measurement Of Brain Wave Activity Greater Than 1 Hour (1003339) | $1,236.00 |
N/A
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| Brain Monitoring - Measurement Of Brain Wave Activity Awake And Drowsy (1013378) | $708.00 |
N/A
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| Brain Monitoring - Measurement Of Brain Wave Activity Awake And Asleep (1003345) | $722.00 |
N/A
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| Brain Monitoring - Measurement Of Brain Wave Activity 41 To 60 Minutes (1003343) | $1,063.00 |
N/A
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| Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1004604) | $587.00 |
N/A
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| Blood Processing & Storage - Red Blood Cells - Irradiated/white Cells Reduced (1009048) | $691.00 |
N/A
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| Blood Processing & Storage - Platelets - Pheresis/white Cells Reduced (1009406) | $1,293.00 |
N/A
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| Blood Processing & Storage - Platelets - Pheresis/irradiated/white Cells Reduced (1009047) | $1,646.00 |
N/A
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| Blood Processing & Storage - Fresh Frozen Plasma - Single Donor (1006399) | $316.00 |
N/A
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| Blood Processing & Storage - Cryoprecipitate (1018186) | $319.00 |
N/A
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| Blood Administration - Transfusion Of Blood Or Blood Products (1007004) | $1,159.00 |
N/A
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| Blood Administration - Transfusion Of Blood Or Blood Products (1007003) | $979.00 |
N/A
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| Blood Administration - Transfusion Of Blood Or Blood Products (1007002) | $740.00 |
N/A
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| Blood Administration - Transfusion Of Blood Or Blood Products (1013750) | $639.00 |
N/A
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| Blood Administration - Transfusion Of Blood Or Blood Products (1007001) | $575.00 |
N/A
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| Blood Administration - Transfusion Of Blood Or Blood Products (1007000) | $415.00 |
N/A
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| Anesthesia Component (1012963) | $377.00 |
N/A
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| Anesthesia - Regional Component (1001923) | $565.00 |
N/A
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| Anesthesia - General (1001268) | $628.00 |
N/A
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