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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | VACUM EREC AID | 37393-01 | 460192 | 220 | |||
0 | VASECTOMY BILATERAL | 37623-031 | 460193 | 3,800.00 | |||
0 | VIDEO URODYNAMICS | 90363-032 | 460194 | 1,400.00 | |||
0 | ABDOMINAL PARACENTESIS - DIAGNOSTIC ( DAY CASE | 30406-00[983] | 600002 | 3040600 | 1,600.00 | ||
PACKAGE) | |||||||
2 | ABDOMINAL SLING FOR CONGENITAL PROLAPSE | 600003 | Y | 15,000.00 | |||
0 | ABDOMINORECTOPEXY (LAP) | 32117-001 | 600004 | 11,600.00 | |||
2 | ADENOIDECTOMY - ADULT | 41801-00[412] | 600005 | 4180100 | Y | 3,000.00 | |
2 | ADENOIDECTOMY - CHILD | 41801-00[412] | 600006 | Y | 2,700.00 | ||
3 | ADRENALECTOMY BILATERAL | 36500-02[119] | 600007 | 3650002 | Y | 7,000.00 | |
3 | ADRENALECTOMY PARTIAL | 36500-00[119] | 600008 | 3650000 | Y | 5,500.00 | |
0 | ANAL FISSURE (leteral sphincterectomy) | 90338-00[930] | 600009 | 9033800 | 4,000.00 |
VACUM EREC AID
220
VASECTOMY BILATERAL
3,800.00
VIDEO URODYNAMICS
1,400.00
ABDOMINAL PARACENTESIS - DIAGNOSTIC ( DAY CASE
1,600.00
PACKAGE)
ABDOMINAL SLING FOR CONGENITAL PROLAPSE
15,000.00
ABDOMINORECTOPEXY (LAP)
11,600.00
ADENOIDECTOMY - ADULT
3,000.00
ADENOIDECTOMY - CHILD
2,700.00
ADRENALECTOMY BILATERAL
7,000.00
ADRENALECTOMY PARTIAL
5,500.00
ANAL FISSURE (leteral sphincterectomy)
4,000.00
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