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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | SYMPATHECTOMYPERIARTERIAL | 90014-00[81] | 650221 | 9001400 | Y | 7,500.00 | |
2 | SYMPATHECTOMYPRESACRAL | 35012-00[81] | 650222 | 3501200 | Y | 10,500.00 | |
0 | TEMP./PERM. LIG.EXT. CAROTID | 34115-00 | 650223 | 4,900.00 | |||
0 | THROMBECTOMY OF ILIAC VEIN | 33812-041 | 650224 | 7,700.00 | |||
0 | THROMBECTOMY-ARTERIAL/VEN.GRFT | 13106-00 | 650225 | 3,900.00 | |||
0 | THROMBECTOMY-FEM/POPLIT VEIN | 33812-001 | 650226 | 7,700.00 | |||
0 | THROMBECTOMY-S.CLAVIAN/AXILY V | 33812-031 | 650227 | 4,500.00 | |||
0 | THROMBECTOMY-VENA CAVA/ILIAC V | 33812-04 | 650228 | 9,900.00 | |||
0 | TRAN.CATH.THRPY.FOR INF-THROMB | 650229 | 2,600.00 | ||||
0 | ULNAR ARTERY EMBOLECTOMY | 33806-031 | 650230 | 5,800.00 | |||
2 | UNI.EXC.OF VESSELS(MULTI.AVULSION OF VARICOSE | 32508-00[727] | 650231 | 3250800 | Y | 3,960.00 | |
0 | VALVE TRANSPL FOR CH.VEN INSUF | 34821-00[736] | 650232 | 3482100 | 7,700.00 |
SYMPATHECTOMYPERIARTERIAL
7,500.00
SYMPATHECTOMYPRESACRAL
10,500.00
TEMP./PERM. LIG.EXT. CAROTID
4,900.00
THROMBECTOMY OF ILIAC VEIN
7,700.00
THROMBECTOMY-ARTERIAL/VEN.GRFT
3,900.00
THROMBECTOMY-FEM/POPLIT VEIN
7,700.00
THROMBECTOMY-S.CLAVIAN/AXILY V
4,500.00
THROMBECTOMY-VENA CAVA/ILIAC V
9,900.00
TRAN.CATH.THRPY.FOR INF-THROMB
2,600.00
ULNAR ARTERY EMBOLECTOMY
5,800.00
UNI.EXC.OF VESSELS(MULTI.AVULSION OF VARICOSE
3,960.00
VALVE TRANSPL FOR CH.VEN INSUF
7,700.00
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