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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | LUMBAR PUNCTURE/ SPINAL TAP - THERAPEUTIC (DRAINAGE OF SPINAL FLUID) | 39000-00[30] | 610065 | 39000001 | 3,600.00 | ||
0 | METRIX ASSISTED - DISKECTOMY / LAMINECTOMY/ FACETECTOMY/ FORAMINOTOMY ONE EACH ADD'L | 610066 | 4865400 | 4,000.00 | |||
INTERSPACE (W/OUT MATERIAL COST) | |||||||
0 | METRIX ASSISTED - DISKECTOMY ANTERIOR W/DECOMPRESSION OF SPINAL CORD, NERVE ROOTS EACH ADD'L INTERSPACE | 610067 | 4865400 | 4,000.00 | |||
0 | METRIX ASSISTED - DISKECTOMY POSTERIOR W/DECOMPRESSION OF SPINAL CORD, NERVE ROOTS EACH ADD'L INTERSPACE (W/OUT MATERIAL COST) | 610068 | 4865400 | 4,000.00 | |||
0 | MIC INTRACR DCMP OPT NV& CHIAS | 610069 | 3911200 | 15,300.00 | |||
0 | MICRO. INT./EXT. NEUROLYSIS | 610070 | 3933000 | 9,000.00 | |||
0 | MICRO-VASC.DECOMP. OF 7TH NV | 610071 | 4156900 | 13,300.00 | |||
0 | MNNGIOMA INVOLVIMG. SUPERIOR SAGGITAL SINUS. | 610072 | 14,200.00 | ||||
0 | NON-ACSTIC NEUROMA C.P.A. | 610073 | 4398702 | 12,400.00 | |||
0 | NV GRAFT & TRANSP. MICROSCOPIC. | 610074 | 3931800 | 7,700.00 | |||
0 | NV. REPAIR PRIM/SEC.SUTURING | 610075 | 3930000 | 6,500.00 |
LUMBAR PUNCTURE/ SPINAL TAP - THERAPEUTIC (DRAINAGE OF SPINAL FLUID)
3,600.00
METRIX ASSISTED - DISKECTOMY / LAMINECTOMY/ FACETECTOMY/ FORAMINOTOMY ONE EACH ADD'L
4,000.00
INTERSPACE (W/OUT MATERIAL COST)
METRIX ASSISTED - DISKECTOMY ANTERIOR W/DECOMPRESSION OF SPINAL CORD, NERVE ROOTS EACH ADD'L INTERSPACE
4,000.00
METRIX ASSISTED - DISKECTOMY POSTERIOR W/DECOMPRESSION OF SPINAL CORD, NERVE ROOTS EACH ADD'L INTERSPACE (W/OUT MATERIAL COST)
4,000.00
MIC INTRACR DCMP OPT NV& CHIAS
15,300.00
MICRO. INT./EXT. NEUROLYSIS
9,000.00
MICRO-VASC.DECOMP. OF 7TH NV
13,300.00
MNNGIOMA INVOLVIMG. SUPERIOR SAGGITAL SINUS.
14,200.00
NON-ACSTIC NEUROMA C.P.A.
12,400.00
NV GRAFT & TRANSP. MICROSCOPIC.
7,700.00
NV. REPAIR PRIM/SEC.SUTURING
6,500.00
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