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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | UNILATERAL EXCISION OF HYDROCELLE W/ HERNIA | 30631-00[1182] | 600194 | 3063100 | Y | 5,049.00 | |
3 | UNILATERAL RADICAL MASTECTOMY | 18-00[1748]30332-00[ | 600195 | 3151800 | Y | 11,880.00 | |
0 | USE OF LASER-ADD TO PROCED. COST | 32138-011 | 600196 | 1,000.00 | |||
0 | VAGOTOMY HIGHLY SELECTIVE | 30499-001 | 600197 | 6,500.00 | |||
0 | VARICOCELE LIGATION (LAP)-BILAT | 90329-001 | 600198 | 5,600.00 | |||
0 | VARICOCELE LIGATION (LAP)-UNILAT | 90329-001 | 600199 | 4,500.00 | |||
0 | VATS THORACOSCOPY WITH / W/OUT BIOPSY | 38436-00[559] | 600200 | 3843600 | 2,000.00 | ||
0 | VERT BANDING GASPLASTY(VBG)-OPEN | 14215-001 | 600201 | 10,300.00 | |||
0 | VERTICAL BANDING GASPLSTY-LAP | 30511-01 | 600202 | 14,200.00 | |||
0 | VOLVULUS REDUCTION W/ RESECT. | 30375-18 | 600203 | 8,400.00 | |||
0 | PERI-ANAL ABSCESS DRAINAGE(GA)-LARGE | 32174-011 | 600108 | 3,900.00 | |||
0 | PERI-ANAL ABSCESS DRAINAGE(GA)-MEDIUM | 32174-011 | 600109 | 3,200.00 |
UNILATERAL EXCISION OF HYDROCELLE W/ HERNIA
5,049.00
UNILATERAL RADICAL MASTECTOMY
11,880.00
USE OF LASER-ADD TO PROCED. COST
1,000.00
VAGOTOMY HIGHLY SELECTIVE
6,500.00
VARICOCELE LIGATION (LAP)-BILAT
5,600.00
VARICOCELE LIGATION (LAP)-UNILAT
4,500.00
VATS THORACOSCOPY WITH / W/OUT BIOPSY
2,000.00
VERT BANDING GASPLASTY(VBG)-OPEN
10,300.00
VERTICAL BANDING GASPLSTY-LAP
14,200.00
VOLVULUS REDUCTION W/ RESECT.
8,400.00
PERI-ANAL ABSCESS DRAINAGE(GA)-LARGE
3,900.00
PERI-ANAL ABSCESS DRAINAGE(GA)-MEDIUM
3,200.00
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