Essentia Health Moose Lake
4572 County Road 61
Moose Lake, MN 55767
Critical Access Hospitals
Overview
- CCN241350
Procedures & prices
- MANNITOL INJECTIONJ2150$10cashGross $140 payers
- ALPHA 1 PROTEINASE INHIBITORJ0256$10cashGross $140 payers
- MEROPENEMJ2185$11cashGross $140 payers
- VINBLASTINE SULFATE INJJ9360$11cashGross $140 payers
- INJECTION,ONABOTULINUMTOXINAJ0585$11cashGross $150 payers
- TOCILIZUMAB INJECTIONJ3262$11cashGross $150 payers
- CISPLATIN 10 MG INJECTIONJ9060$11cashGross $150 payers
- DIPHENHYDRAMINE HCL 50MGQ0163$11cashGross $150 payers
- DACARBAZINE 100 MG INJJ9130$12cashGross $160 payers
- HC IRON BINDING TEST83550$12cashGross $160 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| MANNITOL INJECTION | J2150 | $10 | $14 | — | 0 |
| ALPHA 1 PROTEINASE INHIBITOR | J0256 | $10 | $14 | — | 0 |
| MEROPENEM | J2185 | $11 | $14 | — | 0 |
| VINBLASTINE SULFATE INJ | J9360 | $11 | $14 | — | 0 |
| INJECTION,ONABOTULINUMTOXINA | J0585 | $11 | $15 | — | 0 |
| TOCILIZUMAB INJECTION | J3262 | $11 | $15 | — | 0 |
| CISPLATIN 10 MG INJECTION | J9060 | $11 | $15 | — | 0 |
| DIPHENHYDRAMINE HCL 50MG | Q0163 | $11 | $15 | — | 0 |
| DACARBAZINE 100 MG INJ | J9130 | $12 | $16 | — | 0 |
| HC IRON BINDING TEST | 83550 | $12 | $16 | — | 0 |
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