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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REPR.SOFT TISSUE INJURY-FACE(MAJ) | 45451-251 | 640103 | 6,500.00 | |||
0 | REPR.SOFT TISSUE INJURY-FACE(MED) | 45451-251 | 640104 | 3,200.00 | |||
0 | REPR.SOFT TISSUE INJURY-FACE(SM) | 45451-251 | 640105 | 1,900.00 | |||
0 | REVISION OF SCAR - (MAJOR) GA | 45506-001 | 640106 | 5,400.00 | |||
0 | REVISION OF SCAR (MEDIUM) GA | 45506-001 | 640107 | 4,300.00 | |||
0 | REVISION OF SCAR (SMALL) GA | 45506-001 | 640108 | 3,200.00 | |||
0 | REVISION OF SCAR DC-LA | 45506-001 | 640109 | 1,600.00 | |||
0 | RHINO. RECONSTRUCTION-PARTIAL | 90684-001 | 640110 | 11,600.00 | |||
0 | RHINO.RECONS.COMPLETE-STAGE II | 90684-001 | 640111 | 15,500.00 | |||
0 | RHINOPLASTY - AUGMENTATION | 90684-001 | 640113 | 7,500.00 | |||
0 | RHINOPLASTY - HUMP REDUCTION | 90684-001 | 640114 | 7,300.00 | |||
0 | RHINOPLASTY - POST TRAUMATIC | 90684-001 | 640115 | 7,300.00 |
REPR.SOFT TISSUE INJURY-FACE(MAJ)
6,500.00
REPR.SOFT TISSUE INJURY-FACE(MED)
3,200.00
REPR.SOFT TISSUE INJURY-FACE(SM)
1,900.00
REVISION OF SCAR - (MAJOR) GA
5,400.00
REVISION OF SCAR (MEDIUM) GA
4,300.00
REVISION OF SCAR (SMALL) GA
3,200.00
REVISION OF SCAR DC-LA
1,600.00
RHINO. RECONSTRUCTION-PARTIAL
11,600.00
RHINO.RECONS.COMPLETE-STAGE II
15,500.00
RHINOPLASTY - AUGMENTATION
7,500.00
RHINOPLASTY - HUMP REDUCTION
7,300.00
RHINOPLASTY - POST TRAUMATIC
7,300.00
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