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Powell Valley Healthcare

ID 5000017

Part of Powell Valley Healthcare

Powell, WY 82435

777 Avenue H

Cash prices at Powell Valley Healthcare

Showing 50 of 1366 procedures

Procedure	Code	Estimated cash price
HC CATH BALLN ANGIOSCLPT RX SCORING 137MM	HCPCS C1725	$45
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$99
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$254
SUMATRIPTAN 5MG 5MG SPRY SR	HCPCS J3490	$725
SET SCREW	HCPCS C1713	$877
STEM TIBIA LT 5 DEG SZ C	HCPCS C1776	$1,207
CATH OCCLUSION LVL 01	HCPCS C2628	$18
HC LEAD ICD SPRINT QUATTRO SECURE S	HCPCS C1777	$18
CAREGIVER TRAINING IN STRATEGIES AND TECHNIQUES TO FACILITATE THE PATIENTS FUNCTIONAL PERFORMANCE IN THE HOME OR COMMUNITY (EG, ACTIVITIES OF DAILY LIVING [ADLS], INSTRUMENTAL ADLS [IADLS], TRANSFERS, MOBILITY, COMMUNICATION, SWALLOWING, FEEDING, PROBLEM SOLVING, SAFETY PRACTICES) (WITHOUT THE PATIENT PRESENT), FACE TO FACE; EACH ADDITIONAL 15 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY SERVICE)	CPT 97551	$20
HEMOGLOBIN A1C LEVEL	CPT 83036	$20
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$23
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$23
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$24
Prp i/hern init reduc >5 yr	CPT 49505	$26
CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, TISSUE OR ANY BODY FLUID (EXCEPT URINE)	CPT 89060	$28
NM Parathyroid planar imaging	CPT 78070	$29
Radex Nasal Bones Complete Minimum 3 Views	CPT 70160	$34
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$35
IMP PROSTH SPHINCTR URIN LVL 07	HCPCS C1815	$38
IV THROMBOLYSIS CORONARY	CPT 92977	$41
Xr fluoro exam	CPT 64450	$42
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$44
PF XR FEMUR 1 VW BI	CPT 73551	$44
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$45
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$46
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$46
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$46
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$47
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$48
MAGNESIUM RBC	CPT 83735	$48
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$50
HC Strep a Pcr	CPT 87880	$54
HC CATH THROM 12 LIGHTNING INDIGO	HCPCS C1757	$63
Diabetic Management Program,	HCPCS S9460	$64
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$71
DEMO/EVAL PATIENT USE OF AEROSOL GENERATOR NEBLIZER MDI OR I	CPT 94664	$72
US RIGHT UPPER QUADRANT	CPT 76705	$83
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$87
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$110
HC CT ORBIT SELLA MID INNER EAR W WO	CPT 70482	$122
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$126
GTT (EACH PAST 3)	CPT 82952	$149
CMC CONTROLLER PLUS BRACE SM/MED RIGHT	HCPCS L3808	$154
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS1- EMERGENCY)	HCPCS A0427	$166
LAB PHENYTOIN FREE	CPT 80186	$183
Ia-2 autoantibodies (barbara davis ia-2)	CPT 86341	$190
OT ELBOW OR WRIST STRAPPING	CPT 29260	$200
LAB SCR AQUAPORIN 4 AB IGG CSF	CPT 86052	$210
XR ISOVUE M 200-20ML	HCPCS Q9966	$242
REPAIR INTERMEDIATE SCALP UNDERARMS TRUNK ARM LEG 2.6-7.5CM	CPT 12032	$257