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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MUSCLE FLAP | 45015-00 | 640075 | 10,300.00 | |||
0 | MYOCUTAENOUS FLAP (MAJOR) | 45006-001 | 640076 | 10,300.00 | |||
0 | MYOCUTANEOUS FLAP (MEDIUM) | 45003-001 | 640077 | 6,500.00 | |||
0 | NIPPLE RECONSTRUCTION( BILAT) | 45545-001 | 640078 | 8,600.00 | |||
0 | NIPPLE RECONSTRUCTION(UNILAT) | 45545-001 | 640079 | 5,100.00 | |||
0 | NV. REPAIR PRIM/SEC.SUTURING | 90676-001 | 640080 | 6,500.00 | |||
0 | OSTEOMYOCUTANEOUS FLAP | 45753-001 | 640081 | 18,100.00 | |||
0 | OTHER ANOMALY OF FINGERS | 90676-00 | 640082 | 6,200.00 | |||
0 | OTOPLASTY-POST TRAUMATIC UNILA | 45656-011 | 640083 | 16,800.00 | |||
0 | PALATAL FISTULA | 45710-00 | 640084 | 7,100.00 | |||
0 | SPLENECTOMY PARTIAL/REPAIR | 630086 | 3059600 | 7,200.00 | |||
0 | STERNOTOMY FOR MEDIASTINAL MASS | 50402-00[1374] | 630087 | 3844603 | 11,600.00 |
MUSCLE FLAP
10,300.00
MYOCUTAENOUS FLAP (MAJOR)
10,300.00
MYOCUTANEOUS FLAP (MEDIUM)
6,500.00
NIPPLE RECONSTRUCTION( BILAT)
8,600.00
NIPPLE RECONSTRUCTION(UNILAT)
5,100.00
NV. REPAIR PRIM/SEC.SUTURING
6,500.00
OSTEOMYOCUTANEOUS FLAP
18,100.00
OTHER ANOMALY OF FINGERS
6,200.00
OTOPLASTY-POST TRAUMATIC UNILA
16,800.00
PALATAL FISTULA
7,100.00
SPLENECTOMY PARTIAL/REPAIR
7,200.00
STERNOTOMY FOR MEDIASTINAL MASS
11,600.00
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