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Boise

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OTHER DISORDERS OF THE EYE AGE >17 WITH MCC OR THROMBOLYTIC AGENT
124
DRG
Cash price
$3,650
$859 – $1,536
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PF ANES TUR TMR S BLDR
912
DRG
Cash price
$270
$252 – $647
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PF CRNA EAR TYMPANOTOMY W BX WO MDP
126
DRG
Cash price
$3,650
$899 – $1,536
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PF CRNA VULVECTOMY WO MDP
906
DRG
Cash price
$270
$151 – $406
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R&B - SEMI PVT - IRF
128
DRG
Cash price
$3,650
$425 – $1,536
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RESPIRATORY SIGNS AND SYMPTOMS
204
DRG
Cash price
$3,650
$1,624 – $1,624
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RTC
1001
REV
Cash price
$3,650
$699 – $950
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SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
905
DRG
Cash price
$270
$203 – $425
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TRAUMATIC INJURY AGE >17 WITH MCC
913
DRG
Cash price
$270
$256 – $615
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