Kaiser Foundation Hospital West L.a
| Description | Price |
|---|---|
| $2,796.00 | |
| $855.00 | |
| $0-DNL-INS REQUESTED PRIMARY EOB | $0.00 |
| $ASPER FLAVUS (PAN),-40 302 | $21.00 |
| $ASPER FUMIG (PAN),-40 302 | $17.00 |
| $ASPER NIGER (PAN),-40 302 | $17.00 |
| $CALCIUM (PTH PAN),-40 301 | $11.00 |
| $CORT FREE 24UA(PAN),-40 301 | $11.00 |
| $CREAT (CONT PAN),-40 301 | $61.00 |
| $INFLUENZA A AB(PAN),-40 302 | $40.00 |
| $INFLUENZA B AB(PAN),40 302 | $40.00 |
| $NTX, 40 301 | $65.00 |