Attachment 2 - Price List.pdf

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Inter-Facility Patient Transfer Service
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FA486122R0010
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Zone Procedure Code Procedure Code Description Charge ($) METRO LAS VEGAS ZONE 1 RATES 1301 Stretcher

1400 Wheelchair 1405 Ambulatory 3042 Covid Isolation Charge

HENDERSON ZONE 2 RATES Procedure Code Procedure Code Description Charge ($) 1301 Stretcher 1400 Wheelchair 1405 Ambulatory 3042 Covid Isolation Charge

BOULDER CITY ZONE 3 RATES Procedure Code Procedure Code Description Charge ($) 1301 Stretcher 1400 Wheelchair 1405 Ambulatory 3042 Covid Isolation Charge

OUTSIDE AREAS RATES Procedure Code Procedure Code Description Charge ($) 1301 Stretcher 1400 Wheelchair 1405 Ambulatory 3042 Covid Isolation Charge 2300 Stretcher Mileage 2400 Wheelchair Mileage 2450 WC/Stretcher Mileage Out of State 2800 Ambulatory Mileage

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