Shoppable Services at McKay-Dee Hospital

General Disclosure

The two lists of standard charges displayed represent the pricing information for medical items and services required by the federal Hospital Price Transparency Rule. The pricing information does not necessarily reflect your financial responsibility for your hospital visit, for several reasons, including:

  • The listings reflect prices paid by your insurer for services provided during your hospital visit, which may not reflect your share of the costs for these services under the terms of your health plan.
  • The prices for your insurer are only available if your insurer covers the medical items or services under the terms of your health plan.
  • The actual medical items, including medications, and services that are furnished to you during your visit may vary from what is anticipated.
  • You may receive services or supplies from physicians, practitioners or contractors who are not employed by this hospital; the prices for such services or supplies are not listed here.
  • Your insurer may not be contracted with this hospital for all services. The posted prices will not apply to services for which your insurer has not contracted.

These listings do not guarantee pricing, coverage, benefits, or payments. Your financial liability will be based on the medical items and services billed by the hospital, the terms of your insurance policy, and the status of your benefits (i.e., deductibles, out of pocket maximum, co-insurance, and copays) at the time you receive care. Your eligibility and the amounts covered by your insurance are solely determined by your health insurance provider.

We encourage you to contact a Hospital Cost Estimation Specialist at (855) 442-8601 or INTCostEstimate@R1RCM.com or your insurer to obtain more precise information regarding your potential financial liability.

CDM Bill Item Service Code Service Description Payer Plan Name Inpatient Cash Price Inpatient Min Price Inpatient Max Price Inpatient Negotiated Price Outpatient Cash Price Outpatient Min Price Outpatient Max Price Outpatient Negotiated Price Charge Price
1901005733 19518969 20560 PT DRY NEEDLING 1 OR 2 MUSC 20560 1-800 Contacts 1-800 Contacts $25.00 $8.80 $34.82 $24.00 $25.00 $8.80 $34.82 $24.00 $33.33
1803447532 4241979 84450 TRANSFERASE, AST, SGOT 1-800 Contacts 1-800 Contacts $20.76 $7.23 $24.91 $19.93 $20.76 $5.18 $24.91 $19.93 $27.68
1803447532 4241979 84450 TRANSFERASE, AST, SGOT 1-800 Contacts 1-800 Contacts $20.54 $7.23 $24.91 $19.71 $20.54 $5.18 $24.91 $19.71 $27.38
1805464132 4242756 85305 SO CLOT INHB;PROTN S TOTL 1-800 Contacts 1-800 Contacts $50.89 $17.91 $61.07 $48.85 $50.89 $11.61 $61.07 $48.85 $67.85
1803447156 4241890 83915 SO NUCLEOTIDASE 5'- 1-800 Contacts 1-800 Contacts $51.92 $18.28 $62.31 $49.85 $51.92 $11.15 $62.31 $49.85 $69.23
1803447488 4242038 80198 THEOPHYLLINE ASSESSMENT 1-800 Contacts 1-800 Contacts $55.37 $19.49 $66.45 $53.16 $55.37 $14.14 $66.45 $53.16 $73.83
1700004640 5360981 77066 PHY-POST CLIP PLACEMENT MAMMO / POST CLIP PLACEMENT MAMMOGRAM 1-800 Contacts 1-800 Contacts $317.45 $27.44 $589.19 $304.75 $268.00 $27.44 $589.19 $268.00 $423.27
1700004647 675655 77066 MAMMOGRAM PHY-DIAGNOSTIC BILATERAL W CAD 1-800 Contacts 1-800 Contacts $78.92 $27.44 $589.19 $75.77 $78.92 $27.44 $589.19 $268.00 $105.23
1700004647 675655 77066 MAMMOGRAM PHY-DIAGNOSTIC BILATERAL W CAD 1-800 Contacts 1-800 Contacts $77.96 $27.44 $589.19 $74.84 $77.96 $27.44 $589.19 $268.00 $103.95
1700004647 969799 77066 MAMMOGRAM DIAGNOSTIC BILATERAL W CAD 1-800 Contacts 1-800 Contacts $429.11 $27.44 $589.19 $411.95 $268.00 $27.44 $589.19 $268.00 $572.15
1700004682 2425808 77066 MAMMOGRAM DIAGNOSTIC BILAT IMPLANT W CAD 1-800 Contacts 1-800 Contacts $491.00 $27.44 $589.19 $471.36 $268.00 $27.44 $589.19 $268.00 $654.66
1803447028 4241858 83625 SO LD, LDH, ISOENZYMES 1-800 Contacts 1-800 Contacts $53.40 $18.80 $64.08 $51.26 $53.40 $18.80 $64.08 $51.26 $71.20
1803446596 4242164 82530 SO CORTISOL; FREE 1-800 Contacts 1-800 Contacts $57.12 $20.11 $68.54 $54.84 $57.12 $16.71 $68.54 $54.84 $76.16
1803446228 4242317 80184 PHENOBARBITAL ASSESSMENT 1-800 Contacts 1-800 Contacts $47.33 $16.66 $56.80 $45.44 $47.33 $15.30 $56.80 $45.44 $63.11
1803448236 4241973 84436 THYROXINE, TOTAL 1-800 Contacts 1-800 Contacts $49.95 $7.62 $60.81 $47.95 $49.95 $6.87 $60.81 $47.95 $66.60
1803447504 4241972 84436 SO THYROXINE, TOTAL 1-800 Contacts 1-800 Contacts $21.65 $7.62 $60.81 $20.78 $21.65 $6.87 $60.81 $20.78 $28.86
1803448236 4241973 84436 THYROXINE, TOTAL 1-800 Contacts 1-800 Contacts $50.68 $7.62 $60.81 $48.65 $50.68 $6.87 $60.81 $48.65 $67.57
1803447674 4242430 84153 PROSTATE SPEC ANTGN SCRN 1-800 Contacts 1-800 Contacts $89.15 $31.36 $106.98 $85.59 $83.00 $18.39 $106.98 $80.00 $118.87
1803447528 4241978 84446 SO VITAMIN E 1-800 Contacts 1-800 Contacts $47.73 $16.80 $57.28 $45.82 $47.73 $14.18 $57.28 $45.82 $63.64
1803448042 4241971 84432 SO THYROGLOBULIN 1-800 Contacts 1-800 Contacts $27.15 $9.56 $32.58 $26.06 $27.15 $9.56 $50.83 $26.06 $36.20
1803446108 4242098 82040 ALBUMIN; SERUM 1-800 Contacts 1-800 Contacts $21.02 $7.26 $25.22 $20.17 $21.02 $4.95 $25.22 $20.17 $28.02
1803446108 4242098 82040 ALBUMIN; SERUM 1-800 Contacts 1-800 Contacts $21.02 $7.26 $25.22 $20.17 $21.02 $4.95 $25.22 $20.17 $28.02
1803446108 4242098 82040 ALBUMIN; SERUM 1-800 Contacts 1-800 Contacts $21.02 $7.26 $25.22 $20.17 $21.02 $4.95 $25.22 $20.17 $28.02
1803446108 4242098 82040 ALBUMIN; SERUM 1-800 Contacts 1-800 Contacts $20.62 $7.26 $25.22 $19.79 $20.62 $4.95 $25.22 $19.79 $27.49
1803447149 4242148 82438 SO CHLORIDE OTHER SRC 1-800 Contacts 1-800 Contacts $51.15 $18.00 $61.38 $49.10 $51.15 $5.00 $61.38 $49.10 $68.20
1803446624 4242176 82570 CREATININE; OTHER SOURCE 1-800 Contacts 1-800 Contacts $48.45 $16.84 $58.14 $46.51 $48.45 $5.18 $58.14 $46.51 $64.60
1803446624 4242176 82570 CREATININE; OTHER SOURCE 1-800 Contacts 1-800 Contacts $48.45 $16.84 $58.14 $46.51 $48.45 $5.18 $58.14 $46.51 $64.60
1803446624 4242176 82570 CREATININE; OTHER SOURCE 1-800 Contacts 1-800 Contacts $47.84 $16.84 $58.14 $45.93 $47.84 $5.18 $58.14 $45.93 $63.79
1803446624 4242176 82570 CREATININE; OTHER SOURCE 1-800 Contacts 1-800 Contacts $48.45 $16.84 $58.14 $46.51 $48.45 $5.18 $58.14 $46.51 $64.60
1803446820 4242634 82941 SO GASTRIN 1-800 Contacts 1-800 Contacts $43.38 $15.27 $52.06 $41.64 $43.38 $15.27 $55.79 $41.64 $57.84
81003 7636121 81003 Urinalysis POCT Charge / Urinalysis by POCT 81003 1-800 Contacts 1-800 Contacts $8.25 $2.90 $41.41 $7.92 $8.25 $2.25 $41.41 $40.00 $11.00
81003 7636121 81003 Urinalysis POCT Charge / Urinalysis by POCT 81003 1-800 Contacts 1-800 Contacts $12.75 $2.90 $41.41 $12.24 $12.75 $2.25 $41.41 $40.00 $17.00
1805462003 4242721 81003 URINALYSIS,W/O MICRO,AUTO 1-800 Contacts 1-800 Contacts $34.51 $2.90 $41.41 $33.13 $34.51 $2.25 $41.41 $40.00 $46.01
1805462003 4242721 81003 URINALYSIS,W/O MICRO,AUTO 1-800 Contacts 1-800 Contacts $34.05 $2.90 $41.41 $32.69 $34.05 $2.25 $41.41 $40.00 $45.40
1803446284 4242127 82271 BLOOD,OCCULT;OTHER SOURCE 1-800 Contacts 1-800 Contacts $28.79 $10.13 $34.54 $27.63 $28.79 $5.32 $34.54 $27.63 $38.38
1803447686 4241930 84153 PROSTATE SPEC ANTGN DIAGN 1-800 Contacts 1-800 Contacts $89.09 $31.36 $106.98 $85.53 $83.00 $18.39 $106.98 $80.00 $118.79
1803447213 4241963 84376 SO SUGARS,SINGLE,QUAL,EA 1-800 Contacts 1-800 Contacts $23.93 $8.42 $28.72 $22.98 $23.93 $5.50 $28.72 $22.98 $31.91
1803447976 4242122 82239 SO BILE ACIDS, TOTAL 1-800 Contacts 1-800 Contacts $43.41 $15.28 $52.09 $41.67 $43.41 $15.28 $54.18 $41.67 $57.88
1803447918 4242138 82374 CO2 ISTAT 1-800 Contacts 1-800 Contacts $28.37 $9.99 $38.31 $27.24 $28.37 $4.88 $38.31 $27.24 $37.83
1803446356 4242137 82374 CARBON DIOXIDE 1-800 Contacts 1-800 Contacts $31.93 $9.99 $38.31 $30.65 $31.93 $4.88 $38.31 $30.65 $42.57
1803447928 4242285 80061 LIPID PANEL 1-800 Contacts 1-800 Contacts $91.67 $32.27 $113.07 $88.01 $83.00 $13.39 $113.07 $75.00 $122.23
1803447928 4242285 80061 LIPID PANEL 1-800 Contacts 1-800 Contacts $94.22 $32.27 $113.07 $90.45 $83.00 $13.39 $113.07 $75.00 $125.63
1803447928 4242285 80061 LIPID PANEL 1-800 Contacts 1-800 Contacts $94.22 $32.27 $113.07 $90.45 $83.00 $13.39 $113.07 $75.00 $125.63
1805464014 4242726 85014 HEMATOCRIT (HCT) 1-800 Contacts 1-800 Contacts $17.20 $5.92 $20.64 $16.51 $17.20 $2.37 $20.64 $16.51 $22.93
1805464014 4242726 85014 HEMATOCRIT (HCT) 1-800 Contacts 1-800 Contacts $16.82 $5.92 $20.64 $16.14 $16.82 $2.37 $20.64 $16.14 $22.42
82272 6474000 82272 Fecal Occult Blood POC Form 1-800 Contacts 1-800 Contacts $10.00 $3.52 $34.43 $9.60 $10.00 $3.52 $34.43 $9.60 $13.33
1803448246 4242128 82272 BLD OCCULT, GUAIAC DIAG 1-800 Contacts 1-800 Contacts $28.70 $3.52 $34.43 $27.55 $28.70 $3.52 $34.43 $27.55 $38.26
1803447648 4242005 84681 SO C-PEPTIDE 1-800 Contacts 1-800 Contacts $41.30 $14.54 $49.55 $39.64 $41.30 $14.54 $65.86 $39.64 $55.06
1803448812 23910994 82077 SO ALCOHOL (ETOH); EXCEPT URINE/BREATH 1-800 Contacts 1-800 Contacts $49.59 $17.46 $59.51 $47.61 $49.59 $17.46 $59.51 $47.61 $66.12
1803446580 4242163 82525 SO COPPER 1-800 Contacts 1-800 Contacts $46.27 $16.29 $55.52 $44.42 $46.27 $12.41 $55.52 $44.42 $61.69
1803448198 4241934 84157 PROTEIN, TOT, OTHR SOURCE 1-800 Contacts 1-800 Contacts $34.60 $12.18 $41.52 $33.21 $34.60 $4.00 $41.52 $33.21 $46.13
1700002611 4254446 76830 PHY-TRANSVAGINAL US NON-OB / TRANSVAGINAL US NON-OB 1-800 Contacts 1-800 Contacts $432.64 $152.29 $542.91 $415.33 $279.00 $152.29 $542.91 $268.00 $576.85
1700002611 4254446 76830 PHY-TRANSVAGINAL US NON-OB / TRANSVAGINAL US NON-OB 1-800 Contacts 1-800 Contacts $452.42 $152.29 $542.91 $434.33 $279.00 $152.29 $542.91 $268.00 $603.23
1700002611 1169889 76830 TRANSVAGINAL US NON-OB 1-800 Contacts 1-800 Contacts $432.64 $152.29 $542.91 $415.33 $279.00 $152.29 $542.91 $268.00 $576.85
1803446988 4241851 83540 IRON 1-800 Contacts 1-800 Contacts $34.22 $12.05 $41.50 $32.85 $34.22 $6.47 $41.50 $32.85 $45.63
1803446988 4241851 83540 IRON 1-800 Contacts 1-800 Contacts $34.58 $12.05 $41.50 $33.20 $34.58 $6.47 $41.50 $33.20 $46.11
1700001400 2424647 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,410.46 $61.79 $3,028.70 $2,314.04 $1,010.00 $61.79 $3,028.70 $958.00 $3,213.95
1700001400 2424649 74177 PHY -CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $175.55 $61.79 $3,028.70 $168.53 $175.55 $61.79 $3,028.70 $958.00 $234.07
1700001400 2424649 74177 PHY -CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $180.62 $61.79 $3,028.70 $173.39 $180.62 $61.79 $3,028.70 $958.00 $240.82
1700001400 2424764 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,523.92 $61.79 $3,028.70 $2,422.96 $1,010.00 $61.79 $3,028.70 $958.00 $3,365.22
1700001400 2424647 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,410.46 $61.79 $3,028.70 $2,314.04 $1,010.00 $61.79 $3,028.70 $958.00 $3,213.95
1700001400 2424647 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,410.46 $61.79 $3,028.70 $2,314.04 $1,010.00 $61.79 $3,028.70 $958.00 $3,213.95
1700001400 2424647 74177 CT ABD & PELV W/CONTRAST 1-800 Contacts 1-800 Contacts $2,523.92 $61.79 $3,028.70 $2,422.96 $1,010.00 $61.79 $3,028.70 $958.00 $3,365.22
1700002436 1169567 76700 US EXAM ABDOM COMPLETE 1-800 Contacts 1-800 Contacts $547.96 $180.86 $657.55 $526.04 $279.00 $180.86 $657.55 $268.00 $730.61
1700002436 1169567 76700 US EXAM ABDOM COMPLETE 1-800 Contacts 1-800 Contacts $547.96 $180.86 $657.55 $526.04 $279.00 $180.86 $657.55 $268.00 $730.61
1700002436 1169567 76700 US EXAM ABDOM COMPLETE 1-800 Contacts 1-800 Contacts $547.96 $180.86 $657.55 $526.04 $279.00 $180.86 $657.55 $268.00 $730.61
1700002436 1169567 76700 US EXAM ABDOM COMPLETE 1-800 Contacts 1-800 Contacts $513.80 $180.86 $657.55 $493.24 $279.00 $180.86 $657.55 $268.00 $685.06
1700001309 18552656 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,768.31 $91.30 $2,164.94 $1,697.58 $886.00 $91.30 $2,164.94 $845.00 $2,357.75
1700001309 1168986 73721 MRI JNT OF LWR EXTRE W/O CONT / MRI Knee w/o Contrast Right 1-800 Contacts 1-800 Contacts $1,718.21 $91.30 $2,164.94 $1,649.48 $886.00 $91.30 $2,164.94 $845.00 $2,290.94
1700001309 631114 73721 PHY -MRI JOINT OF LOWER EXT W/O CONT 1-800 Contacts 1-800 Contacts $263.61 $91.30 $2,164.94 $253.07 $263.61 $91.30 $2,164.94 $845.00 $351.48
1700001309 631122 73721 PHY -MRI JOINT OF LOWER EXT W/O CONT 1-800 Contacts 1-800 Contacts $259.38 $91.30 $2,164.94 $249.00 $259.38 $91.30 $2,164.94 $845.00 $345.84
1700001309 631122 73721 PHY -MRI JOINT OF LOWER EXT W/O CONT 1-800 Contacts 1-800 Contacts $266.87 $91.30 $2,164.94 $256.19 $266.87 $91.30 $2,164.94 $845.00 $355.82
1700001309 1168750 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,804.12 $91.30 $2,164.94 $1,731.95 $886.00 $91.30 $2,164.94 $845.00 $2,405.49
1700001309 1168750 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,749.58 $91.30 $2,164.94 $1,679.59 $886.00 $91.30 $2,164.94 $845.00 $2,332.77
1700001309 1168752 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,749.58 $91.30 $2,164.94 $1,679.59 $886.00 $91.30 $2,164.94 $845.00 $2,332.77
1700001309 1168752 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,804.12 $91.30 $2,164.94 $1,731.95 $886.00 $91.30 $2,164.94 $845.00 $2,405.49
1700001309 1168948 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,804.12 $91.30 $2,164.94 $1,731.95 $886.00 $91.30 $2,164.94 $845.00 $2,405.49
1700001309 1168948 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,749.58 $91.30 $2,164.94 $1,679.59 $886.00 $91.30 $2,164.94 $845.00 $2,332.77
1700001309 1168950 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,749.58 $91.30 $2,164.94 $1,679.59 $886.00 $91.30 $2,164.94 $845.00 $2,332.77
1700001309 1168950 73721 MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,804.12 $91.30 $2,164.94 $1,731.95 $886.00 $91.30 $2,164.94 $845.00 $2,405.49
1700001309 1168984 73721 / MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,804.12 $91.30 $2,164.94 $1,731.95 $886.00 $91.30 $2,164.94 $845.00 $2,405.49
1700001309 1168984 73721 / MRI JNT OF LWR EXTRE W/O CONT 1-800 Contacts 1-800 Contacts $1,749.58 $91.30 $2,164.94 $1,679.59 $886.00 $91.30 $2,164.94 $845.00 $2,332.77
1700001309 631114 73721 PHY -MRI JOINT OF LOWER EXT W/O CONT 1-800 Contacts 1-800 Contacts $266.87 $91.30 $2,164.94 $256.19 $266.87 $91.30 $2,164.94 $845.00 $355.82
1700001309 1168986 73721 MRI JNT OF LWR EXTRE W/O CONT / MRI Knee w/o Contrast Right 1-800 Contacts 1-800 Contacts $1,748.88 $91.30 $2,164.94 $1,678.92 $886.00 $91.30 $2,164.94 $845.00 $2,331.84
1700002492 2727327 76805 OB US 14 WEEKS OR GREATER SINGLE FETUS / PHY-OB US 14 WEEKS OR GREATER SINGLE FETUS 1-800 Contacts 1-800 Contacts $449.63 $158.27 $575.13 $431.65 $449.63 $148.95 $575.13 $431.65 $599.51
1700002492 1169850 76805 OB US >/= 14 WKS SNGL FETUS 1-800 Contacts 1-800 Contacts $479.27 $158.27 $575.13 $460.10 $479.27 $148.95 $575.13 $460.10 $639.03
1900005285 23975024 0002A Covid-19 Pfizer 2nd Dose Vaccine Admin 0002A 1-800 Contacts 1-800 Contacts $45.00 $40.00 $54.00 $40.00 $45.00 $40.00 $54.00 $40.00 $60.00
1900005285 23975024 0002A Covid-19 Pfizer 2nd Dose Vaccine Admin 0002A 1-800 Contacts 1-800 Contacts $45.00 $40.00 $54.00 $40.00 $45.00 $40.00 $54.00 $40.00 $60.00
1901005726 19518970 20561 PT DRY NEEDLING 3 OR MORE MUSC 20561 1-800 Contacts 1-800 Contacts $35.00 $12.32 $42.00 $33.60 $35.00 $12.32 $42.00 $33.60 $46.67
1901005726 19518970 20561 PT DRY NEEDLING 3 OR MORE MUSC 20561 1-800 Contacts 1-800 Contacts $35.00 $12.32 $42.00 $33.60 $35.00 $12.32 $42.00 $33.60 $46.67
36416 8376390 36416 Heel Stick PKU 1-800 Contacts 1-800 Contacts $5.75 $2.02 $6.90 $5.52 $5.75 $2.02 $6.90 $5.52 $7.67
1900005278 23975023 0001A Covid-19 Pfizer 1st Dose Vaccine Admin 0001A 1-800 Contacts 1-800 Contacts $45.00 $40.00 $54.00 $40.00 $45.00 $40.00 $54.00 $40.00 $60.00
1900005278 23975023 0001A Covid-19 Pfizer 1st Dose Vaccine Admin 0001A 1-800 Contacts 1-800 Contacts $45.00 $40.00 $54.00 $40.00 $45.00 $40.00 $54.00 $40.00 $60.00
1900008136 24517287 0031A Covid-19 Janssen Single Dose Vaccine Admin 0031A 1-800 Contacts 1-800 Contacts $45.00 $40.00 $54.00 $40.00 $45.00 $40.00 $54.00 $40.00 $60.00
1900008136 24517287 0031A Covid-19 Janssen Single Dose Vaccine Admin 0031A 1-800 Contacts 1-800 Contacts $45.00 $40.00 $54.00 $40.00 $45.00 $40.00 $54.00 $40.00 $60.00
17003 2726435 17003 DESTRUCTION PREMALIGNANT LESION 2-14 EA / Destruction (eg, laser surgery, electrosurgery, cryosurgery, / Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement 1-800 Contacts 1-800 Contacts $9.75 $3.43 $14.70 $9.36 $9.75 $3.43 $14.70 $9.36 $13.00
17003 2726435 17003 DESTRUCTION PREMALIGNANT LESION 2-14 EA / Destruction (eg, laser surgery, electrosurgery, cryosurgery, / Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement 1-800 Contacts 1-800 Contacts $9.75 $3.43 $14.70 $9.36 $9.75 $3.43 $14.70 $9.36 $13.00
17003 2726435 17003 DESTRUCTION PREMALIGNANT LESION 2-14 EA / Destruction (eg, laser surgery, electrosurgery, cryosurgery, / Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement 1-800 Contacts 1-800 Contacts $12.25 $3.43 $14.70 $11.76 $12.25 $3.43 $14.70 $11.76 $16.33
1901005733 19518969 20560 PT DRY NEEDLING 1 OR 2 MUSC 20560 1-800 Contacts 1-800 Contacts $29.02 $8.80 $34.82 $27.86 $29.02 $8.80 $34.82 $27.86 $38.69