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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EXC SUPRA/SUBTENT & CPA (1 ST) | 610038 | 61314 | 12,400.00 | |||
0 | EXC. BNG. PERIP. NV. TM.(SIM) | 610039 | 3010700 | 6,500.00 | |||
0 | EXC. MALIG. NV. TM.(COMPLEX) | 610040 | 3971204 | 7,700.00 | |||
0 | EXC. OF EPILEPTIC FOCI | G40.9 | 610041 | 12,300.00 | |||
0 | EXC. OF EXTRADURAL TM. SPINE | 610042 | 4030900 | 9,000.00 | |||
0 | EXC. OF FUNGAL GRANULOMA | 610043 | 4394800 | 13,300.00 | |||
0 | EXC. SUBTENT. TUBERCULOMA | 610044 | 3971800 | 13,300.00 | |||
0 | EXC. SUPRA/SUBSTENT & C.P.A. | 610045 | 3990300 | 12,400.00 | |||
0 | STRICTUREPLASTY OF SMALL INTESTINE | 30564-00[901] | 600159 | 3056400 | 2,800.00 | ||
0 | SUBMANDIBULAR GLAND EXCISION | 30256-001 | 600160 | 4,300.00 | |||
0 | SYMPATHECTOMY THORASCOPIC | 38436-00 | 600161 | 6,500.00 | |||
0 | T.V. & ANTRECTOMY | 30523-001 | 600162 | 6,500.00 |
EXC SUPRA/SUBTENT & CPA (1 ST)
12,400.00
EXC. BNG. PERIP. NV. TM.(SIM)
6,500.00
EXC. MALIG. NV. TM.(COMPLEX)
7,700.00
EXC. OF EPILEPTIC FOCI
12,300.00
EXC. OF EXTRADURAL TM. SPINE
9,000.00
EXC. OF FUNGAL GRANULOMA
13,300.00
EXC. SUBTENT. TUBERCULOMA
13,300.00
EXC. SUPRA/SUBSTENT & C.P.A.
12,400.00
STRICTUREPLASTY OF SMALL INTESTINE
2,800.00
SUBMANDIBULAR GLAND EXCISION
4,300.00
SYMPATHECTOMY THORASCOPIC
6,500.00
T.V. & ANTRECTOMY
6,500.00
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