Code: 99391

Description:
HC PDIC COMPRE PREV MED REE/M EST PT INFT <1 YR
Other Descriptions:
HC PDIC COMPRE PREV MED REE/M EST PT INFT <1 YR
PER PM REEVAL EST PAT INF
EST PT PE UP TO 1 YEAR
EST PE TO 1 YEAR
ISM CHARGE 303
PRVNTIVE MED EST PT INFANT
Per pm reeval est pat infant
Per Pm Reeval Est Pat Inf<1yr
Preventive Visit,est,infant
Arizona
Hospital Address Code Price Last Updated
Valley View Medical Center 5330 South Highway 95, Fort Mohave 99391 $119 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.