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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SPINAL INTRADURAL TM. EXC.MICR | 610126 | 4031200 | 7,700.00 | |||
0 | SUBTENT. BR. ABCS. ECX. | 610127 | 12,900.00 | ||||
0 | SUBTENTORIAL MENNINGIOMA | D32.9 | 610128 | 12,900.00 | |||
0 | SUPRATENT BRAIN. ABSCESS. EXCISION. | 610129 | 12,200.00 | ||||
0 | SURGERY FOR SPINAL VASCULAR. TUMOR. | 610130 | 11,100.00 | ||||
0 | SYMPATHECTOMY - DIGITAL ARTERIES, EACH ARTERY | 610131 | 9001400 | 4,400.00 | |||
0 | SYRINGOMYEL.PFOSS OP.GARD PROC | 610132 | 3912401 | 9,700.00 | |||
0 | SYRINGO-PERITONEAL SHUNT | 90180-00[548] | 610133 | 9033000 | 7,100.00 | ||
0 | TEMP./PERM. LIG.EXT. CAROTID | 610134 | 3410002 | 5,000.00 | |||
0 | TENT-MAINLY SUPRATENT MNNGIOMA | 610135 | 9,400.00 | ||||
1 | THALIUM STRESS TEST * Inpatient services | 11712-00[1857] | 610136 | 1171200 | Y | 3,750.00 | |
0 | THERMO COAGULATION FOR TRIG.NE | 610137 | 1410600 | 9,000.00 |
SPINAL INTRADURAL TM. EXC.MICR
7,700.00
SUBTENT. BR. ABCS. ECX.
12,900.00
SUBTENTORIAL MENNINGIOMA
12,900.00
SUPRATENT BRAIN. ABSCESS. EXCISION.
12,200.00
SURGERY FOR SPINAL VASCULAR. TUMOR.
11,100.00
SYMPATHECTOMY - DIGITAL ARTERIES, EACH ARTERY
4,400.00
SYRINGOMYEL.PFOSS OP.GARD PROC
9,700.00
SYRINGO-PERITONEAL SHUNT
7,100.00
TEMP./PERM. LIG.EXT. CAROTID
5,000.00
TENT-MAINLY SUPRATENT MNNGIOMA
9,400.00
THALIUM STRESS TEST * Inpatient services
3,750.00
THERMO COAGULATION FOR TRIG.NE
9,000.00
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