Skip to main content
Login
Cost Estimator
Dahl Memorial
|
Cash Pricing
|
Professional Fee
|
Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
ADMIN SARSCOV2 100MCG/0.5ML 1ST
ADMIN SARSCOV2 100MCG/0.5ML 2ND
12035
LAC INTERMED TRUNK/LIMB 12.6-20CM
24670
FX TREATMENT ULNAR PROXIMAL CLOSED
36430
TRANSFUSION BLOOD OR BLOOD COMPON
90460
VACCINE ADMIN INITIAL AGES 0-18
90461
ADMIN IMMUNIZ ADD'L AGES 0-18 W/ PHY
90461
VACCINE ADMIN ADD'L AGES 0-18
90471
VACCINE ADMIN INITIAL AGES 19 >
90472
VACCINE ADMIN ADD'L AGES 19 >
94010
PFT-BREATHING CAPACITY TEST
94011
PEDIATRIC SPIROMETRY
94012
ADULT SPIROMETRY W/ BRONCHODIALATOR
94060
SPIROMETRY
96360
IV HYDRATION OBS INITIAL
96360
IV HYDRATION OP INITIAL HOUR
96361
IV HYDRATION OBS EACH ADD HOUR
96361
IV HYDRATION OP EACH ADD HOUR
96365
IV FLUID 1ST HR TREATMENT ROOM
96365
IV INFUSION
96366
IV INFUSION EACH ADD HR TREATMENT ROOM
96367
IV INFUSION NEW MED TREATMENT ROOM
96368
IV THERAPY CONCURRENT INFUSION
96372
ADMINISTRATION OF INJECTABLE MED
96372
INJECTION SUBQ-IM
Page 1 of 3