Lafayette Regional Health Center
1500 State Street
Lexington, MO 64067
Critical Access Hospitals
Overview
- CCN261320
Procedures & prices
- IIV4 VACCINE SPLT 0.25 ML IM90687$10cashGross $110 payers
- QUINUPRISTIN/DALFOPRISTINJ2770$10cashGross $100 payers
- INJECTION, RESLIZUMAB, 1MGJ2786$10cashGross $110 payers
- INJ. ROMOSOZUMAB-AQQG 1 MGJ3111$10cashGross $110 payers
- HC PT MASSAGE THERAPY EA 15 MINS - GP97124$10cashGross $410 payers
- HC OPIOIDS & OPIATE ANALOGS 3/480363$10cashGross $110 payers
- HC PHOTOCHEMOTHERAPY WITH UV-B96910$10cashGross $540 payers
- INJECT SKIN LESIONS </W 711900$10cashGross $2,5500 payers
- HC DRUG SCREENING TAPENTADOL80372$10cashGross $430 payers
- HC OPIOID &OPIATE ANALOG 5/MORE80364$10cashGross $110 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| IIV4 VACCINE SPLT 0.25 ML IM | 90687 | $10 | $11 | — | 0 |
| QUINUPRISTIN/DALFOPRISTIN | J2770 | $10 | $10 | — | 0 |
| INJECTION, RESLIZUMAB, 1MG | J2786 | $10 | $11 | — | 0 |
| INJ. ROMOSOZUMAB-AQQG 1 MG | J3111 | $10 | $11 | — | 0 |
| HC PT MASSAGE THERAPY EA 15 MINS - GP | 97124 | $10 | $41 | — | 0 |
| HC OPIOIDS & OPIATE ANALOGS 3/4 | 80363 | $10 | $11 | — | 0 |
| HC PHOTOCHEMOTHERAPY WITH UV-B | 96910 | $10 | $54 | — | 0 |
| INJECT SKIN LESIONS </W 7 | 11900 | $10 | $2,550 | — | 0 |
| HC DRUG SCREENING TAPENTADOL | 80372 | $10 | $43 | — | 0 |
| HC OPIOID &OPIATE ANALOG 5/MORE | 80364 | $10 | $11 | — | 0 |
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