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Cost Estimator
Big Horn Hospital
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Medication
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Select a service.
You may need to get a specific service code from your provider.
Code
Description
86580
tuberculin unit(s) per 0.1mL 1mL PPD MDV
90714
tetanus-diphtheria (Tenivac) 5-2LFU/ 0.5mL 7 years and over
90715
tetanus/diphth/pertuss acel (Tdap)
A9577
RAD gadobenate dimeglumine 529 mg/mL 20mL soln
C9399
idaruCIZUmab 2.5 g/50 mL Soln
J0131
acetaminophen 10mg/mL 100mL inj
J0132
acetylcysteine 0.2gm/mL 30mL inj
J0153
adenosine 3mg/mL 2mL soln
J0169
ANES EPINEPHrine 1mg/10mL syringe MDV
J0169
EPINEPHrine 0.15mg/0.3mL syringe
J0169
EPINEPHrine 0.3mg/0.3mL syringe
J0169
EPINEPHrine 1mg/10mL syringe
J0169
EPINEPHrine 1mg/mL 1mL inj
J0282
amiodarone 50mg/mL 3mL vial
J0290
ampicillin 1gm vial
J0290
ampicillin 250mg vial
J0295
ampicillin-sulbactam 1.5gm vial
J0295
ampicillin-sulbactam 3gm vial
J0330
succinylcholine 20mg/mL 10mL MDV vial
J0360
hydrALAZINE 20mg/mL 1mL vial
J0456
azithromycin 500mg vial
J0461
atropine 1mg/10mL syringe
J0561
pen G benzathine 1.2 MillionUnits (G/K)
J0612
calcium gluc 100mg (0.465mEq)/mL 10mL vial
J0616
metoprolol 1mg/mL 5mL soln
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