WHEAT RIDGE, CO
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 22, 2026 | Sep 17, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital’s price for it.
The codes Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $575 | $834 | $825 | 99% | 12–120 | $0 | $6.0k |
| Potassium chloride injection, 2 mEq per mLHCPCS J3480 | $31 | $44 | $46 | 103% | 12–120 | $0 | $306 |
| Flumazenil IV injectionHCPCS J3490 | $90 | $248 | $441 | 178% | 12–120 | $0 | $3.3k |
EIN: 841103606
Last updated: Mar 22, 2026
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Hospital ID: 7f76dcd9e1c51a258561ab35ee0efdc95463e1435fa12d3f517085c12a0d331e