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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CERVICAL L.N BX - L.A. | 630011 | 3142300 | 650 | |||
0 | CERVICAL L.N. BX - G.A. | 630012 | 3142300 | 1,800.00 | |||
0 | CLEFT LIP (BILATERAL) | 45683-00[1689] | 630014 | 4568300 | 7,700.00 | ||
0 | CLEFT LIP (UNILATERAL) | 45677-00[1689] | 630015 | 4567700 | 6,200.00 | ||
0 | CLEFT PALATE (COMPLETE) | 630016 | 9,000.00 | ||||
0 | CLEFT PALATE (EACH STAGE) | 45701-00[1689] | 630017 | 4570100 | 4,600.00 | ||
0 | CLEFT PALATE (INCOMPLETE) | 630018 | 4570700 | 6,500.00 | |||
0 | CLOSURE OF URETHRAL FISTULA | 37833-00[1198] | 630019 | 3783300 | 3,900.00 | ||
0 | CORRECTION OF PENILE CHORDEE | 37417-00[1197] | 630020 | 3741700 | 2,600.00 | ||
0 | CORRECTION SMALL BOWEL ATRESIA (MECONIUM ILEUS, MALROTATION | 13706-02[1893] | 630021 | 4380100 | 4,400.00 | ||
0 | CYSTOSCOPY DIAGNOSTIC | 36812-00[1089] | 630022 | 3682100 | 1,800.00 | ||
0 | DEF. SURGERY FOR HIRSCHSPRUNG DISEASE-SOAVE I | 630023 | 8,500.00 |
CERVICAL L.N BX - L.A.
650
CERVICAL L.N. BX - G.A.
1,800.00
CLEFT LIP (BILATERAL)
7,700.00
CLEFT LIP (UNILATERAL)
6,200.00
CLEFT PALATE (COMPLETE)
9,000.00
CLEFT PALATE (EACH STAGE)
4,600.00
CLEFT PALATE (INCOMPLETE)
6,500.00
CLOSURE OF URETHRAL FISTULA
3,900.00
CORRECTION OF PENILE CHORDEE
2,600.00
CORRECTION SMALL BOWEL ATRESIA (MECONIUM ILEUS, MALROTATION
4,400.00
CYSTOSCOPY DIAGNOSTIC
1,800.00
DEF. SURGERY FOR HIRSCHSPRUNG DISEASE-SOAVE I
8,500.00
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