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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PERIPHERAL ARTERIAL CANNULATION | 34530-04[738] | 630073 | 3452400 | 280 | ||
0 | REDUCT OF INSTESTINAL VOLVULUS | 630074 | 3037518 | 6,500.00 | |||
0 | REMOVAL OF BROVIAC CATHETER | 30653-00[1196] | 630075 | 3453004 | 1,600.00 | ||
0 | REPAIR OF LIVER LACERATION | 90318-00[954] | 630077 | 9031800 | 7,100.00 | ||
0 | REPR. RUPTURD/INJURD INTESTINE | 630078 | 4381001 | 5,600.00 | |||
0 | REVISION OF PYELOPLASTY | 36564-01[1057] | 630079 | 3656401 | 7,300.00 | ||
0 | SCLEROTHERAPY LYMPHANGIOMA / HEMANGIOMA - | 90284-00[812] | 630080 | 9028400 | 3,600.00 | ||
DEEP UNDER GA . | |||||||
0 | SCLEROTHERAPY LYMPHOANGIOMA / HEMANGIOMA - | 90284-00[812] | 630081 | 9028400 | 2,800.00 | ||
SUPERFICAL UNDER GA. | |||||||
0 | SCROTAL EXPLORATION | 37604-00[1172] | 630082 | 3760400 | 3,000.00 | ||
0 | SLING PROCEDURE FOR VESICOURETERIC REFLUX | 630083 | 3559900 | 2,000.00 |
PERIPHERAL ARTERIAL CANNULATION
280
REDUCT OF INSTESTINAL VOLVULUS
6,500.00
REMOVAL OF BROVIAC CATHETER
1,600.00
REPAIR OF LIVER LACERATION
7,100.00
REPR. RUPTURD/INJURD INTESTINE
5,600.00
REVISION OF PYELOPLASTY
7,300.00
SCLEROTHERAPY LYMPHANGIOMA / HEMANGIOMA -
3,600.00
DEEP UNDER GA .
SCLEROTHERAPY LYMPHOANGIOMA / HEMANGIOMA -
2,800.00
SUPERFICAL UNDER GA.
SCROTAL EXPLORATION
3,000.00
SLING PROCEDURE FOR VESICOURETERIC REFLUX
2,000.00
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