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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | VARICOCELE LIGATION LAP(BILAT) | 30635-00[1187] | 630100 | 3063500 | 5,600.00 | ||
0 | VARICOCELE LIGATION LAP(UNIL) | 30635-00[1187] | 630101 | 3063500 | 4,500.00 | ||
0 | ABDOMINOPLASTY - MEDIUM | 90675-001 | 640001 | 9,700.00 | |||
0 | ABDOMINOPLASTY (SMALL) | 90675-001 | 640002 | 6,500.00 | |||
0 | ABDOMINOPLASTY(LARGE)+LIPOSUCT | 90675-001 | 640003 | 12,300.00 | |||
0 | ABDOMINOPLASTY(LARGE)+PLICATION | 90675-001 | 640004 | 11,800.00 | |||
0 | ABSCESS I&D UNDER GA (MEDIUM) | 90675-001 | 640005 | 2,600.00 | |||
0 | BREAST ASYMMETRY | 45521-031 | 640006 | 11,600.00 | |||
0 | BREAST AUGMENTATION EXCL.IMPLANT | 45528-001 | 640007 | 7,700.00 | |||
0 | BREAST REDUCTION | 45521-011 | 640008 | 12,900.00 | |||
0 | BURN DRESSING - LARGE | 90676-001 | 640009 | 220 | |||
0 | BURN DRESSING - LARGE (GA) | 90676-001 | 640010 | 2,900.00 |
VARICOCELE LIGATION LAP(BILAT)
5,600.00
VARICOCELE LIGATION LAP(UNIL)
4,500.00
ABDOMINOPLASTY - MEDIUM
9,700.00
ABDOMINOPLASTY (SMALL)
6,500.00
ABDOMINOPLASTY(LARGE)+LIPOSUCT
12,300.00
ABDOMINOPLASTY(LARGE)+PLICATION
11,800.00
ABSCESS I&D UNDER GA (MEDIUM)
2,600.00
BREAST ASYMMETRY
11,600.00
BREAST AUGMENTATION EXCL.IMPLANT
7,700.00
BREAST REDUCTION
12,900.00
BURN DRESSING - LARGE
220
BURN DRESSING - LARGE (GA)
2,900.00
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