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Cost Estimator
Memorial Hospital of Sweetwater County
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Code
Description
2 DIABETES GROUP SLF MGT TRAINING CHARGE
6 COM NURSING DIABETES SLF MGT CHARGE
7 COM NURSING DIABETES GROUP CHARGE
BH Patient Location
G0008 Administration of influenza virus vaccine, m
G0108 Diabetes Management Treatment 30 Minutes CHA
G0472 Hep C Antibody Screening
L-TECHNETIUM TC-99
NM CARDIOLITE FIRST DOSE
NM IODINE I-131 30 MCI
NM TC PENTETATE (DPTA)
NM TC RED BLOOD CELL
Observation
S
S2900 Robotic Surgical System
US DEFINITY
US DEFINITY 1ML
10005
US SONO GU BREAST ASPIRATION
10021
Aspiration Fine Needle w/o Imaging
10022
CT FINE NEEDLE ASP IMAGE GUIDE
10060
I&D Abscess/Cyst/Hematoma Simple
10061
I&D Abscess/Cyst/Hematoma Complex
10080
I&D Pilonidal Cyst Simple
10081
I&D Pilonidal Cyst Complicated
10120
Subcutaneous Tissue Simple
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