Dahl Memorial

Cost Estimator

Dahl Memorial| Cash Pricing| Misc.| 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

SUCTION CANISTER 1200CC DISPOSABLE

RHC IBUPROFEN 100 MG/5ML SUSP

RHC GLUCOSE 15 GM GEL

XRAY TC MODIFIER

XRAY TC MODIFER

SAM PELVIC SLING II STANDARD

DRY NEEDLING 1-2 MUSCLES

DRY NEEDLING >= 3 MUSCLES

PT SELECTIVE DEBRIDEMENT < 20

PT SELF EVALUATION

PT NON SELECTIVE DEBRIDEMENT

PT NEGATIVE PRESSURE WOUND THE

PT NEGATIVE PRESSURE WOUND THE >50

OT EXERCISE THERAPY

OT G-CODE MOBILITY

OT G-CODE SELF CARE

OT G-CODE SELF CARE CURRENT ST

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