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Shoshone Medical Center

Kellogg

Procedures

Showing 50 of 5000

1/MLT NJXS SCLRSG SLNS SPIDER VEINS LIMB/TRNK

Typical

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$50 – $50

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13150 ED PROF CPX LC <1.1CM EAR - HOSPITAL

Typical

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$50 – $50

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19102 BX BREAST PERCUT W/IMAGE

Typical

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$50 – $50

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19103 BX BREAST PERCUT W/DEVICE

Typical

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$50 – $50

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19295 PLACE BREAST CLIP, PERCUT

Typical

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$50 – $50

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19998 STOCKINGS KNEE

Typical

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$50 – $50

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19999 STOCKING-THIGH

Typical

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$50 – $50

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2.5MM DRILL TIP WIRE200

Typical

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$57 – $57

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2.5MM WIRE GUIDE 5.0MM S

Typical

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$57 – $57

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2.5MM WIRE GUIDE 7.3MM S

Typical

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$57 – $57

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21800 treatment of rib fracture

Typical

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$65 – $65

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21810 TREATMENT OF RIB FRACTURE(S)

Typical

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$65 – $65

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22520 percut vertebroplasty thor

Typical

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$65 – $65

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22521 percut vertebroplasty lumb

Typical

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$65 – $65

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22522 percut vertebroplasty addl

Typical

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$65 – $65

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22523 percut kyphoplasty thor

Typical

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$65 – $65

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22524 percut kyphoplasty lumbar

Typical

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$65 – $65

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22525 percut kyphoplasty add-on

Typical

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$65 – $65

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23332 remove shoulder foreign body

Typical

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$65 – $65

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29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STA

Cash price

$212

$36 – $264

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29130 ed proc application of finger splint static

Cash price

$163

$26 – $194

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29131 ed proc application finger splint dynamic

Cash price

$194

$31 – $235

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3-DIMENSIONAL RADIOTHERAPY PLAN, INCLUDING DOSE-VOLUME HISTOGRAMS

Typical

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$67 – $503

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3.2MM DRILL GUIDE 4.0MM

Typical

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$57 – $57

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32201 DRAIN, PERCUT, LUNG LESION

Typical

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$65 – $65

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36000 ed proc introduction of needle or intracathe

Typical

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$65 – $65

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36469 INJECTION(S), SPIDER VEINS

Typical

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$50 – $50

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37204 transcatheter occlusion

Typical

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$65 – $65

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37205 transcath iv stent, percut

Typical

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$65 – $65

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37206 transcath iv stent/perc addl

Typical

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$65 – $65

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37207 transcath iv stent, open

Typical

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$65 – $65

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37208 transcath iv stent/open addl

Typical

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$65 – $65

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37210 EMBOLIZATION UTERINE FIBROID

Typical

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$65 – $65

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37799 ed proc vascular surgery unlisted proc

Typical

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$65 – $65

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3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; NOT REQUIRING IMAGE POSTPROCESSING ON AN INDEPENDENT WORKSTATION

Cash price

$367

$23 – $349

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3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; REQUIRING IMAGE POSTPROCESSING ON AN INDEPENDENT WORKSTATION

Typical

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$67 – $82

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4.0MM LOCK SCREW 14MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 16MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 18MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 22MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 26MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 30MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 34MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 38MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 42MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 46MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 50MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 54MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 58MM

Typical

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$57 – $57

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4.0MM LOCK SCREW 62MM

Typical

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$57 – $57

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