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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | PERI ANAL FISTULA - BELOW SPHINCTER | 32165-001 | 600106 | 5,000.00 | |||
0 | PERI-ANAL ABSC. DRAINAGE(GA) - SMALL | 32174-011 | 600107 | 2,000.00 | |||
0 | COMPLEX MED. WOUND DEBRID.(GA) | 90665-00 | 600016 | 3,900.00 | |||
0 | COMPLEX SMALL WOUND DEBRID(GA) | 90686-01 | 600017 | 2,600.00 | |||
0 | DEBRID. LARGE(EXCLUD.SUPP+MED) | 90665-00 | 600018 | 390 | |||
0 | DEBRID.MEDIUM(EXCLUD.SUPP+MED) | 90665-001 | 600019 | 260 | |||
0 | DEBRID.SMALL (EXCLUD.SUPP+MED) | 90665-001 | 600020 | 130 | |||
0 | DEBRIDEMENT OF TOENAIL (1 DAY PACKAGE) | 47906-00[1632] | 600021 | 4790600 | 2,400.00 | ||
3 | DECORTICATION OF LUNG | 38421-01[554] | 600022 | 3824101 | Y | 21,780.00 | |
0 | DILATION OF ANUS ( 2 DAYS PACKAGE) | 32114-00[930] | 600023 | 3211400 | 4,000.00 | ||
0 | DISSECTION OF LYMPH NODE AXILLA LEVEL I/II | 30336-00[808] | 600024 | 3033600 | 3,200.00 | ||
3 | DRAINAGE OF QUINCY - ADULT | 41807-00[409] | 600025 | 4180700 | Y | 1,050.00 |
PERI ANAL FISTULA - BELOW SPHINCTER
5,000.00
PERI-ANAL ABSC. DRAINAGE(GA) - SMALL
2,000.00
COMPLEX MED. WOUND DEBRID.(GA)
3,900.00
COMPLEX SMALL WOUND DEBRID(GA)
2,600.00
DEBRID. LARGE(EXCLUD.SUPP+MED)
390
DEBRID.MEDIUM(EXCLUD.SUPP+MED)
260
DEBRID.SMALL (EXCLUD.SUPP+MED)
130
DEBRIDEMENT OF TOENAIL (1 DAY PACKAGE)
2,400.00
DECORTICATION OF LUNG
21,780.00
DILATION OF ANUS ( 2 DAYS PACKAGE)
4,000.00
DISSECTION OF LYMPH NODE AXILLA LEVEL I/II
3,200.00
DRAINAGE OF QUINCY - ADULT
1,050.00
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