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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EXTRA-CRANIAL OP.TO F.SPASM | 610054 | 4158401 | 6,500.00 | |||
0 | FORAMEN MAG.TM | 610055 | 3966202 | 14,200.00 | |||
0 | HYDROCEPH.-3RD VENTRICULO. | 610056 | 3970303 | 15,500.00 | |||
0 | HYDROCEPHALUS - V.A. SHUNT | 40003-02[5] | 610057 | 4000303 | 10,300.00 | ||
0 | HYDROCEPHALUS - V.P. SHUNT | 40003-02[5] | 610058 | 10,300.00 | |||
0 | INTRA ORBITAL DECOMPRESION ORBIT | 42530-00[227] | 610059 | 4253000 | 10,300.00 | ||
0 | INTRACRAN. OP.SELLA TURC. TM | 610060 | 61607 | 10,300.00 | |||
0 | INTRADURAL/EXTRA. LIPOMA | 610061 | 10,200.00 | ||||
0 | LAMINECTOMY - FACETECTOMY/ FORAMINOTOMY W/ DECOMPRESSION OF SPINAL CORD/ NERVE ROOTS - EACH ADDITIONAL VERTEBRAL SEGMENT | 40331-00[46] | 610062 | 4033100 | 2,000.00 | ||
0 | LAMINOTOMY - W/ DECOMPRESSION OF NERVE | 48636-00[52] | 610063 | 4863600 | 2,000.00 | ||
ROOTS, W/ FACETECTOMY, FORAMINOTOMY, EACH ADDITIONAL INTERSPACE | |||||||
0 | LATERAL CERVICAL PUNCTURE | 39000-00[30] | 610064 | 3900000 | 2,000.00 |
EXTRA-CRANIAL OP.TO F.SPASM
6,500.00
FORAMEN MAG.TM
14,200.00
HYDROCEPH.-3RD VENTRICULO.
15,500.00
HYDROCEPHALUS - V.A. SHUNT
10,300.00
HYDROCEPHALUS - V.P. SHUNT
10,300.00
INTRA ORBITAL DECOMPRESION ORBIT
10,300.00
INTRACRAN. OP.SELLA TURC. TM
10,300.00
INTRADURAL/EXTRA. LIPOMA
10,200.00
LAMINECTOMY - FACETECTOMY/ FORAMINOTOMY W/ DECOMPRESSION OF SPINAL CORD/ NERVE ROOTS - EACH ADDITIONAL VERTEBRAL SEGMENT
2,000.00
LAMINOTOMY - W/ DECOMPRESSION OF NERVE
2,000.00
ROOTS, W/ FACETECTOMY, FORAMINOTOMY, EACH ADDITIONAL INTERSPACE
LATERAL CERVICAL PUNCTURE
2,000.00
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