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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ABD.AORTA THROMBOENDARTRICTOMY | 33509-00 | 650003 | 14,200.00 | |||
1 | ADDITIONAL PERIPHERAL STENT AS ADDITIONAL | 650004 | Y | 6,000.00 | |||
SERVICE * PERIPHRAL INTERVENTION | |||||||
0 | ANEURY.OF INNOMINATE/SUBCL ART | 90217-011 | 650005 | 18,100.00 | |||
0 | ANEURYSMICTOMY-AXIL.BRACH.ART. | 33070-001 | 650006 | 9,900.00 | |||
0 | ANEURYSMICTOMY-VERTEBRAL ARTRY | 33075-001 | 650007 | 11,600.00 | |||
0 | ANMICTOMY OF RAD OR ULNAR ART. | 650008 | 3307000 | 7,700.00 | |||
0 | AORTO FEMORAL OR BIFEMORAL | 32708-01 | 650009 | 15,500.00 | |||
0 | AORTO-CELIAC BYPASS | 32763-051 | 650010 | 14,200.00 | |||
0 | AORTOILIAC OR BI-ILIAC BYPASS | 32708-021 | 650011 | 14,200.00 | |||
0 | AORTO-MESENTERIC BYPASS | 32763-051 | 650012 | 14,200.00 | |||
0 | AORTO-RENAL BYPASS | 32721-001 | 650013 | 14,200.00 |
ABD.AORTA THROMBOENDARTRICTOMY
14,200.00
ADDITIONAL PERIPHERAL STENT AS ADDITIONAL
6,000.00
SERVICE * PERIPHRAL INTERVENTION
ANEURY.OF INNOMINATE/SUBCL ART
18,100.00
ANEURYSMICTOMY-AXIL.BRACH.ART.
9,900.00
ANEURYSMICTOMY-VERTEBRAL ARTRY
11,600.00
ANMICTOMY OF RAD OR ULNAR ART.
7,700.00
AORTO FEMORAL OR BIFEMORAL
15,500.00
AORTO-CELIAC BYPASS
14,200.00
AORTOILIAC OR BI-ILIAC BYPASS
14,200.00
AORTO-MESENTERIC BYPASS
14,200.00
AORTO-RENAL BYPASS
14,200.00
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