Winneshiek Medical Center Menu { open = false; }, 3000); }"> Prices have been verified using third-party online ordering systems.
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Pharmacy - Ziprasidone Hydrochloride Capsule (Antipsychotic) (79783) | $6.96 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (076100012) | $226.00 |
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X-Rays For Limited And Focused Bone Survey (77074) | $71.00 |
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X-Rays For Complete Skeletal Bone Survey (77075) | $220.00 |
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Pharmacy - Ziprasidone Hydrochloride Capsule (Antipsychotic) (81749) | $6.00 |
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Pharmacy - Zaleplon Capsule (Sleep Aid) (81894) | $6.00 |
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X-Rays For Complete Infant Bone Survey (77076) | $172.00 |
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Treatment Room - Insertion Of Catheter In Central Vein, Access Via Arm, Leg, Or Neck Vein, 5+ Years (036000650) | $1,442.00 |
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Treatment Room - Injection Therapy For Diagnosis Or Prevention, Under The Skin Or Into Muscle (076100066) | $72.00 |
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X-Rays For Bone Length Studies (77073) | $124.00 |
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Pharmacy - Verapamil Hydrochloride Tablet, Film Coated, Extended Release (Heart Rhythm Regulator) (13073) | $6.00 |
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Pharmacy - Triamcinolone Acetonide Cream (Steroidal Anti-Inflammatory/itch Reliever) (8114) | $23.14 |
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X-Rays For Bone Age Studies (77072) | $85.00 |
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Treatment Room - Injection Therapy For Diagnosis Or Prevention, Into Vein (076100009) | $199.00 |
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X-Ray Of Wrist, 3 Or More Views (73110) | $69.00 |
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Pharmacy - Triamcinolone Acetonide Cream (Steroidal Anti-Inflammatory/itch Reliever) (8112) | $11.16 |
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Pharmacy - Tramadol Hydrochloride Tablet (Opioid Pain Reliever) (14632) | $6.00 |
N/A
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X-Ray Of Wrist, 2 Views (73100) | $58.00 |
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X-Ray Of Upper Spine, 6 Or More Views (72052) | $143.00 |
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Pharmacy - Topiramate Tablet, Film Coated (Antiseizure/migraine Prevention) (78790) | $6.00 |
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Pharmacy - Topiramate Tablet, Film Coated (Antiseizure/migraine Prevention) (82331) | $6.00 |
N/A
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X-Ray Of Upper Spine, 4 Or 5 Views (72050) | $124.00 |
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X-Ray Of Upper Spine, 2 Or 3 Views (72040) | $106.00 |
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Treatment Room - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of Same Substance Into Vein (076100011) | $59.00 |
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X-Ray Of Upper Leg, 2 Or More Views (73552) | $80.00 |
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X-Ray Of Upper Digestive Tract Without X-Ray Of Urinary System (74240) | $236.00 |
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Pharmacy - Rugby Acetaminophen Suspension (Otc Drug - Assignment Pending) (20040) | $7.82 |
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Pharmacy - Ropinirole Hydrochloride Tablet, Film Coated (Dopamine Production Stimulator) (82873) | $6.00 |
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X-Ray Of Upper Digestive Tract With X-Ray Of Urinary System (74241) | $110.00 |
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X-Ray Of Upper Digestive Tract With X-Ray Of Small Intestines (74245) | $309.00 |
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Pharmacy - Ropinirole Hydrochloride Tablet, Film Coated (Dopamine Production Stimulator) (77439) | $6.00 |
N/A
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X-Ray Of Upper Arm, 2 Or More Views (73060) | $78.00 |
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Treatment Room - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of New Substance Into Vein (076100010) | $123.00 |
N/A
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X-Ray Of Toe(S), 2 Or More Views (73660) | $65.00 |
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X-Ray Of Throat Or Upper Esophagus (74210) | $59.00 |
N/A
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Pharmacy - Risperidone Tablet, Film Coated (Antipsychotic) (79537) | $6.00 |
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Pharmacy - Propranolol Hydrochloride Capsule, Extended Release (Blood Pressure Lowering Agent/heart Rhythm Regulator) (38224) | $6.00 |
N/A
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X-Ray Of Surgical Specimen (76098) | $69.00 |
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X-Ray Of Spine, 1 View (72020) | $99.00 |
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Pharmacy - Propranolol Hydrochloride Capsule, Extended Release (Blood Pressure Lowering Agent/heart Rhythm Regulator) (38225) | $6.00 |
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Pharmacy - Polycin Ointment (Antibacterial) (856) | $43.54 |
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X-Ray Of Spine For Scoliosis Evaluation, 2 Or 3 Views (72082) | $68.00 |
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Treatment Room - Injection Of Substance Into Spinal Canal Of Upper Or Middle Back Using Imaging Guidance (036002171) | $1,635.00 |
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X-Ray Of Spine For Scoliosis Evaluation, 1 View (72081) | $112.00 |
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Treatment Room - Injection Of Substance Into Spinal Canal Of Lower Back Or Sacrum Using Imaging Guidance (036002173) | $1,367.00 |
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Pharmacy - Omeprazole Tablet, Delayed Release (Otc Drug - Assignment Pending) (133761) | $6.00 |
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Pharmacy - Nitrofurantoin Macrocrystals Capsule (Antibacterial) (5595) | $6.00 |
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X-Ray Of Soft Tissue Of Neck (70360) | $85.00 |
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Treatment Room - Health And Behavior Re-Assessment, Each 15 Minutes (076000019) | $99.00 |
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X-Ray Of Small Intestine (74250) | $165.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (036002246) | $280.00 |
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X-Ray Of Skull, 1 To 3 Views (70250) | $83.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (076100064) | $100.00 |
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X-Ray Of Shoulder, 2 Or More Views (73030) | $88.00 |
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X-Ray Of Shoulder, 1 View (73020) | $70.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (076100070) | $66.00 |
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Pharmacy - Montelukast Sodium Tablet, Film Coated (Maintenance Airway Dilator/anti-Allergy) (81552) | $6.00 |
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X-Ray Of Shoulder Blade (73010) | $80.00 |
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X-Ray Of Sacrum And Tailbone, 2 Or More Views (72220) | $73.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (076100069) | $45.00 |
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Pharmacy - Medroxyprogesterone Acetate Tablet (Hormone Replacement Therapy) (4854) | $6.00 |
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Pharmacy - Mapap Arthritis Pain Tablet, Film Coated, Extended Release (Otc Drug - Assignment Pending) (13410) | $1.00 |
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X-Ray Of Sacroiliac Joints, Fewer Than 3 Views (72200) | $78.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (076100067) | $44.00 |
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X-Ray Of Sacroiliac Joints, 3 Or More Views (72202) | $100.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (076100071) | $87.00 |
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Pharmacy - Loperamide Hydrochloride Suspension (Otc Drug - Assignment Pending) (94479) | $8.40 |
N/A
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Pharmacy - Leader Nose Liquid (Otc Drug - Assignment Pending) (87753) | $11.97 |
N/A
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X-Ray Of Ribs On One Side Of Body, 2 Views (71100) | $81.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (076100068) | $87.00 |
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X-Ray Of Ribs On One Side Of Body With X-Ray Of Chest, 3 Or More Views (71101) | $100.00 |
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Treatment Room - Complex Wound Repair Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet (076100057) | $595.00 |
N/A
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Pharmacy - Leader Nose Liquid (Otc Drug - Assignment Pending) (87752) | $9.51 |
N/A
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X-Ray Of Ribs On Both Sides Of Body, 3 Views (71110) | $91.00 |
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Treatment Room - Collection Of Blood Specimen From Implanted Venous Access Device (076100006) | $128.00 |
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X-Ray Of Ribs On Both Sides Of Body With X-Ray Of Chest, 4 Or More Views (71111) | $112.00 |
N/A
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Treatment Room - Collection Of Blood Specimen From Central Or Peripheral Venous Catheter (076100007) | $117.00 |
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X-Ray Of Pelvis, 3 Or More Views (72190) | $70.00 |
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Treatment Room - Car Seat Or Bed Airway Testing Of Infant 1 Year Or Less, 60 Minutes (076100065) | $141.00 |
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Pharmacy - Leader Aller Ease Tablet, Film Coated (Otc Drug - Assignment Pending) (25425) | $1.07 |
N/A
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Pharmacy - Itraconazole Capsule (Antifungal) (10364) | $13.36 |
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X-Ray Of Pelvis, 1 Or 2 Views (72170) | $89.00 |
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Treatment Room (076100073) | $1,637.00 |
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X-Ray Of One Hip With Pelvis, 2 To 3 Views (73502) | $102.00 |
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Treatment Room (076100099) | $653.00 |
N/A
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Pharmacy - Isosorbide Mononitrate Tablet, Extended Release (Blood Vessel Dilator/angina Management) (24268) | $6.00 |
N/A
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Pharmacy - Isosorbide Mononitrate Tablet, Extended Release (Blood Vessel Dilator/angina Management) (24521) | $6.00 |
N/A
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X-Ray Of One Hip With Pelvis, 1 View (73501) | $76.00 |
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Treatment Room (076100098) | $517.00 |
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X-Ray Of Nose Bones, 3 Or More Views (70160) | $65.00 |
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Trauma Response - Hospital Critical Care Service (068100002) | $1,427.00 |
N/A
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Pharmacy - Isosorbide Mononitrate Tablet (Blood Vessel Dilator/angina Management) (10357) | $6.00 |
N/A
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Pharmacy - Ibuprofen Tablet (Listing Record Expired) (3844) | $6.00 |
N/A
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X-Ray Of Nasal Sinuses, 3 Or More Views (70220) | $109.00 |
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Trauma Response (068400001) | $1,213.00 |
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X-Ray Of Nasal Sinuses, 1 To 2 Views (70210) | $63.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (094000035) | $241.00 |
N/A
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Pharmacy - Hydrocortisone And Acetic Acid Solution (Steroidal Anti-Inflammatory/anti-Infective) (24385) | $281.96 |
N/A
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X-Ray Of Middle Spine, 4 Or More Views (72074) | $91.00 |
N/A
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (094000013) | $117.00 |
N/A
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X-Ray Of Middle Spine, 3 Views (72072) | $91.00 |
N/A
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Pharmacy - Etomidate Injection, Solution (General Anesthetic) (20472) | $60.00 |
N/A
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Pharmacy - Escitalopram Oxalate Tablet (Antidepressant) (86532) | $6.00 |
N/A
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X-Ray Of Middle Spine, 2 Views (72070) | $96.00 |
N/A
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Therapeutic Services - Injection Of Incremental Dosages Of Allergen, Single Injection (094000006) | $45.00 |
N/A
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X-Ray Of Middle And Lower Spine, 2 Or More Views (72080) | $77.00 |
N/A
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Therapeutic Services - Injection Of Incremental Dosages Of Allergen, 2 Or More Injections (094000007) | $66.00 |
N/A
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X-Ray Of Mandible (Jaw Bone), 4 Or More Views (70110) | $103.00 |
N/A
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Telemedicine - Fee For Remote Healthcare Service (045000053) | $59.00 |
N/A
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Pharmacy - Divalproex Sodium Capsule, Coated Pellets (Antiseizure) (82422) | $6.00 |
N/A
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X-Ray Of Mandible (Jaw Bone), 1 To 3 Views (70100) | $56.00 |
N/A
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Surgical Dressings - Hydrocolloid Dressing - More Than 16 Less Than 48 Square Inches (062300025) | $20.00 |
N/A
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X-Ray Of Lower Spine (Lumbar And Sacral), 4 Or More Views (72110) | $112.00 |
N/A
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Surgical Dressings - Foam Dressing - 16 Square Inches Or Less (062300026) | $17.00 |
N/A
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X-Ray Of Lower Spine (Lumbar And Sacral), 2 Or 3 Views (72100) | $88.00 |
N/A
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Surgical Dressings - Collagen Dressing - 16 Square Inches Or Less (062300024) | $43.00 |
N/A
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X-Ray Of Lower Leg, 2 Views (73590) | $81.00 |
N/A
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Surgical Center - Injection For X-Ray Imaging Of Hip Under Anesthesia (049000009) | $262.00 |
N/A
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Pharmacy - Cilostazol Tablet (Peripheral Artery Disease Treatment) (24474) | $6.00 |
N/A
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Pharmacy - Cefuroxime Axetil Tablet (Antibacterial) (9496) | $7.83 |
N/A
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X-Ray Of Knee, 4 Or More Views (73564) | $107.00 |
N/A
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Supplies - Stomach/small Intestine) Tube (027010210) | $155.00 |
N/A
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X-Ray Of Knee, 3 Views (73562) | $89.00 |
N/A
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Supplies - Splint (027010237) | $23.00 |
N/A
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Pharmacy - Caffeine Citrate Solution (Central Nervous System Stimulant ) (81298) | $87.51 |
N/A
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X-Ray Of Knee, 1 Or 2 Views (73560) | $76.00 |
N/A
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Supplies - Shoulder Brace (027010244) | $194.00 |
N/A
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X-Ray Of Jaw Joint, Both Sides (70330) | $117.00 |
N/A
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Supplies - Power Kit (027010247) | $70.00 |
N/A
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X-Ray Of Infant Leg, 2 Or More Views (73592) | $83.00 |
N/A
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Supplies - Oxygen Sensor (027010245) | $98.00 |
N/A
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Pharmacy - Bisoprolol Fumarate Tablet, Coated (Blood Pressure Lowering Agent/heart Rhythm Regulator) (18287) | $6.00 |
N/A
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Pharmacy - Benzonatate Capsule (Non-Narcotic Cough Suppressant) (988) | $6.00 |
N/A
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X-Ray Of Infant Arm, 2 Or More Views (73092) | $69.00 |
N/A
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Supplies - Oxygen Infant Sensor (027010473) | $85.00 |
N/A
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X-Ray Of Heel, 2 Or More Views (73650) | $74.00 |
N/A
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Supplies - Oral Nasal Tester (027010476) | $64.00 |
N/A
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Pharmacy - Benzonatate Capsule (Listing Record Expired) (988) | $6.00 |
N/A
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Pharmacy - Aspirin Tablet, Coated (Nonsteroidal Anti-Inflammatory) (14113) | $1.00 |
N/A
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X-Ray Of Hand, 3 Or More Views (73130) | $69.00 |
N/A
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Supplies - Oral Nasal Breath Tester (027010475) | $72.00 |
N/A
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X-Ray Of Hand, 2 Views (73120) | $63.00 |
N/A
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Supplies - Oral Nasal Breath Tester (027010474) | $65.00 |
N/A
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Pharmacy - Aspirin Tablet, Chewable (Nonsteroidal Anti-Inflammatory) (680) | $1.00 |
N/A
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Pharmacy - Aspirin Suppository (Nonsteroidal Anti-Inflammatory) (696) | $6.00 |
N/A
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X-Ray Of Forearm, 2 Views (73090) | $69.00 |
N/A
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Supplies - Lumbar/sacral Brace (029210014) | $296.00 |
N/A
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X-Ray Of Foot, 3 Or More Views (73630) | $81.00 |
N/A
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Supplies - Lumbar Brace (027010240) | $456.00 |
N/A
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Pharmacy - Anti Diarrheal Tablet, Film Coated (Otc Drug - Assignment Pending) (4562) | $1.00 |
N/A
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Pharmacy - Amoxicillin And Clavulanate Potassium Powder, For Suspension (Antibacterial) (77987) | $226.50 |
N/A
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X-Ray Of Foot, 2 Views (73620) | $79.00 |
N/A
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Supplies - Foam Dressing - More Than 16 Less Than 48 Square Inches (027010470) | $58.00 |
N/A
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X-Ray Of Finger(S), 2 Or More Views (73140) | $53.00 |
N/A
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Supplies - Foam Dressing - More Than 16 Less Than 48 Square Inches (027010466) | $57.00 |
N/A
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Pharmacy - Zonisamide Capsule (Antiseizure) (27780) | $6.00 |
N/A
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Pharmacy - Zolpidem Tartrate Tablet, Film Coated, Extended Release (Sleep Aid) (94677) | $6.00 |
N/A
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X-Ray Of Face Bones, 3 Or More Views (70150) | $96.00 |
N/A
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Supplies - Foam Dressing - More Than 16 Less Than 48 Square Inches (027010469) | $36.00 |
N/A
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X-Ray Of Face Bones, 1 To 2 Views (70140) | $78.00 |
N/A
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Supplies - Foam Dressing - More Than 16 Less Than 48 Square Inches (027010465) | $27.00 |
N/A
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Pharmacy - Zolpidem Tartrate Tablet, Film Coated (Sleep Aid) (81727) | $6.00 |
N/A
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Pharmacy - Zolpidem Tartrate Tablet, Coated (Sleep Aid) (81727) | $6.00 |
N/A
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X-Ray Of Eye Socket Bones, 4 Or More Views (70200) | $106.00 |
N/A
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Supplies - Foam Dressing - 16 Square Inches Or Less (027010468) | $8.00 |
N/A
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X-Ray Of Eye For Foreign Body (70030) | $67.00 |
N/A
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Supplies - Exercise Equipment (029210005) | $46.00 |
N/A
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Pharmacy - Zoloft Tablet, Film Coated (Antidepressant) (11351) | $16.73 |
N/A
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X-Ray Of Esophagus (74220) | $156.00 |
N/A
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Supplies - Buck Traction Boot (027010246) | $101.00 |
N/A
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X-Ray Of Elbow, 3 Or More Views (73080) | $78.00 |
N/A
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Supplies - Bilirubin Light (Phototherapy) (027010238) | $160.00 |
N/A
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Pharmacy - Zinc Suflate Capsule (96074) | $1.00 |
N/A
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Pharmacy - Zetia Tablet (Cholesterol/lipid Lowering Agent) (86731) | $17.25 |
N/A
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X-Ray Of Elbow, 2 Views (73070) | $69.00 |
N/A
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Supplies (027010491) | $138.00 |
N/A
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X-Ray Of Collarbone (73000) | $74.00 |
N/A
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Supplies (027010492) | $57.00 |
N/A
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Pharmacy - Zafirlukast Tablet, Film Coated (Maintenance Airway Dilator) (81107) | $6.03 |
N/A
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Pharmacy - Zolpidem Tartrate Tablet (Sleep Aid) (81727) | $6.00 |
N/A
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X-Ray Of Chest, 4 Or More Views (71048) | $125.00 |
N/A
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Supplies (027010493) | $51.00 |
N/A
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X-Ray Of Chest, 3 Views (71047) | $100.00 |
N/A
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Sterile Supplies - Yankauer Suction Tip (027210776) | $9.00 |
N/A
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Pharmacy - Xylocaine Injection, Solution (Local Anesthetic) (10431) | $78.60 |
N/A
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X-Ray Of Chest, 2 Views (71046) | $76.00 |
N/A
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Sterile Supplies - Wound Dressing (027211222) | $180.00 |
N/A
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X-Ray Of Chest, 1 View (71045) | $69.00 |
N/A
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Sterile Supplies - Water Overlays Bed (027210772) | $181.00 |
N/A
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Pharmacy - Xylocaine Injection, Solution (Local Anesthetic) (95505) | $63.00 |
N/A
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Pharmacy - Xylocaine Injection, Solution (Local Anesthetic) (95503) | $60.00 |
N/A
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X-Ray Of Breast Bone, 2 Or More Views (71120) | $65.00 |
N/A
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Sterile Supplies - Warming Gown (027210788) | $74.00 |
N/A
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X-Ray Of Breast And Collarbone Joint, 2 Or More Views (71130) | $81.00 |
N/A
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Sterile Supplies - Ventilator (027210812) | $481.00 |
N/A
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Pharmacy - Xylocaine Injection, Solution (Local Anesthetic) (95502) | $60.00 |
N/A
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Pharmacy - Xylocaine Injection, Solution (Local Anesthetic) (15985) | $60.00 |
N/A
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X-Ray Of Both Shoulder To Collarbone Joints (73050) | $80.00 |
N/A
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Sterile Supplies - Urometer (027210811) | $50.00 |
N/A
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X-Ray Of Both Knees, Standing (73565) | $80.00 |
N/A
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