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Mayo Clinic Health System
CDM SUP-04987350736666

CDM SUP-04987350736666

XP 5FR, 125CM LONG, RAVI MG1 TIP at Mayo Clinic Health System

Mankato 56001-4752

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Pricing by billing methodology

Price type

Aggregated across all available billing methodologies for this code.Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.Reflects negotiated fee schedule rates with commercial payers.Reflects a negotiated per diem rate paid per day of care.Reflects a negotiated percentage of total billed charges.Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Mar 31, 2026

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