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Cost Estimator
Memorial Hospital of Sweetwater County
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Cash Pricing
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Infusion
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
90471
INF Immunization Administration
90472
INF Immunization Administration Add'l
96360
INF/H IV Inf Initial 31 - 60 min
96361
INF/H IV Inf Initial each Addt'l Hour
96365
INF/NC IV Infusion Ther Initial
96366
INF/M IV Med
96367
INF/NC INF Addt'l Seq. Infusion
96368
INF/C Concurrent INF w/Chemo INF
96368
INF/NC Concurrent Infusion
96372
INF/NC SQ/IM injection
96374
INF/NC IV Push Single/Initial Drug
96375
INF/NC IV Push Each Add'l Same Drug
96376
INF Repeat Seq Drug IV Push > 30min
96401
INF/C Subcut or IM Non-Hormonal
96402
INF/C Subcut or IM Hormonal
96409
INF/C IV Push Initial/Single Drug
96411
INF/C IV Push Each Addt'l Drug
96413
INF/C IV Infusion initial/single
96415
INF/C INF Each Additional Hour
96416
INF/C Chemo Prolonged w/Pump
96417
INF/C Each Sequential Infusion
96523
INF Port/Tunneled Cath Flush
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