Facility,Description,RevCode,CPT,HCPCS,OutPatient Price FLEMING COUNTY HOSPITAL,CASIRIVIMAB 1332MG,250,Q0243,Q0243,0.01 FLEMING COUNTY HOSPITAL,CASIRV-IMDEV 1200MG,636,Q0244,Q0244,0.01 FLEMING COUNTY HOSPITAL,MO ADM SARSCOV2 1ST,771,0011A,0011A,147 FLEMING COUNTY HOSPITAL,MO ADM BVLNT BSTR,771,0134A,0134A,147 FLEMING COUNTY HOSPITAL,SPEC COLL COVID19 CL,300,C9803,C9803,63.4 FLEMING COUNTY HOSPITAL,COVID-19 RT-PCR DX T,306,U0003,U0003,275.63 FLEMING COUNTY HOSPITAL,ANTB SEVERE AQT SARS,302,86769,86769,165.38 FLEMING COUNTY HOSPITAL,SARSCOV2 100MCG/.5ML,636,91301,91301,0.01 FLEMING COUNTY HOSPITAL,MO SRSCV2 BVLNT BSTR,636,91313,91313,0.01 FLEMING COUNTY HOSPITAL,IMDEVIMAB 300MG/2.5M,636,Q0243,Q0243,0.01 FLEMING COUNTY HOSPITAL,SARSCOV2 30MCG/0.3ML,636,91300,91300,0.01 FLEMING COUNTY HOSPITAL,INF BAMLAN-ETESEV,771,M0245,M0245,1653.75 FLEMING COUNTY HOSPITAL,COVID19 FACNCDC HITP,302,U0004,U0004,275.63 FLEMING COUNTY HOSPITAL,COVID-19 ANTIGEN,306,87426,87426,166.23 FLEMING COUNTY HOSPITAL,COVID19 ADD-ON 2 DAY,306,U0005,U0005,78.75 FLEMING COUNTY HOSPITAL,COVID19 ADD-ON 2 DAY,306,U0005,U0005,78.75 FLEMING COUNTY HOSPITAL,MO ADM SARSCOV2 1ST,771,0011A,0011A,147 FLEMING COUNTY HOSPITAL,SARSCOV2 100MCG/.5ML,636,91301,91301,0.01 FLEMING COUNTY HOSPITAL,MO ADM SARSCOV2 2ND,771,0012A,0012A,147 FLEMING COUNTY HOSPITAL,INF CASIRIVI-IMDEVI,771,M0243,M0243,1575 FLEMING COUNTY HOSPITAL,IA INFECT AB SARSCOV,302,86328,86328,192.94 FLEMING COUNTY HOSPITAL,COVID19 FLU A B MULX,306,87636,87636,183.75 FLEMING COUNTY HOSPITAL,IA INFECT AB SARSCOV,302,86328,86328,192.94 FLEMING COUNTY HOSPITAL,MO ADM SARSCOV2 2ND,771,0012A,0012A,147 FLEMING COUNTY HOSPITAL,CASIRIVI-IMDEV REP,771,M0240,M0240,0.01 FLEMING COUNTY HOSPITAL,ETESEVIMAB 700MG,636,Q0245,Q0245,2.6 FLEMING COUNTY HOSPITAL,SARSCOV2 30MCG/0.3ML,636,91300,91300,0.01 FLEMING COUNTY HOSPITAL,SOTROVIMAB 500MG INJ,636,Q0247,Q0247,0.01 FLEMING COUNTY HOSPITAL,BAMLAN-ETESEV 2100MG,636,Q0245,Q0245,0.01 FLEMING COUNTY HOSPITAL,COVID19 FAC/NONCDC,306,U0002,U0002,275.63 FLEMING COUNTY HOSPITAL,ANTB SEVERE AQT SARS,302,86769,86769,165.38 FLEMING COUNTY HOSPITAL,COVID19 FLU A B RSV,310,87637,87637,183.75 FLEMING COUNTY HOSPITAL,COVID-19 RT-PCR DX T,306,U0003,U0003,275.63 FLEMING COUNTY HOSPITAL,INF SOTROVIMAB COVID,771,M0247,M0247,1653