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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
7 | DOUBLE AORTIC ARCH REPAIR * CARDIAC SURGERY | 660031 | Y | 33,500.00 | |||
8 | DOUBLE INLET LEFT VENTRICULAR REPAIR * CARDIAC SURGERY | 660032 | Y | 61,500.00 | |||
8 | DOUBLE OUTLET RIGHT VENTRICULAR REPAIR * | 660033 | Y | 61,500.00 | |||
CARDIAC SURGERY | |||||||
8 | DOUBLE VALVE REPLACEMENT )MECHANICAL | 660034 | Y | 114,000.00 | |||
VALVE/TISSUE * CARDIAC SURGERY | |||||||
10 | EBSTIEN'S ARTERY REPAIR * CARDIAC SURGERY | 660035 | Y | 84,500.00 | |||
10 | ECMO Implantaion )Femoral * Inpatient services | 660036 | Y | 200,000.00 | |||
0 | RE-PLANTATION TWO FINGERS | 90223-00 | 650193 | 24,700.00 | |||
0 | REPR. PROFUNDA FEMORIS ANEURYS | 33142-00 | 650194 | 10,300.00 | |||
0 | REPR.ACQ/TRAUMATIC AV FISTULA | 34121-001 | 650195 | 7,700.00 | |||
0 | REPR.COMMON FEMORAL ARTY.ANERY | 33142-001 | 650196 | 9,900.00 |
DOUBLE AORTIC ARCH REPAIR * CARDIAC SURGERY
33,500.00
DOUBLE INLET LEFT VENTRICULAR REPAIR * CARDIAC SURGERY
61,500.00
DOUBLE OUTLET RIGHT VENTRICULAR REPAIR *
61,500.00
CARDIAC SURGERY
DOUBLE VALVE REPLACEMENT )MECHANICAL
114,000.00
VALVE/TISSUE * CARDIAC SURGERY
EBSTIEN'S ARTERY REPAIR * CARDIAC SURGERY
84,500.00
ECMO Implantaion )Femoral * Inpatient services
200,000.00
RE-PLANTATION TWO FINGERS
24,700.00
REPR. PROFUNDA FEMORIS ANEURYS
10,300.00
REPR.ACQ/TRAUMATIC AV FISTULA
7,700.00
REPR.COMMON FEMORAL ARTY.ANERY
9,900.00
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