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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ORCHIDOPEXY UNILATERAL | 37803-001 | 460122 | 3,700.00 | |||
0 | OTHER DIAGNOSTIC PROCEDURES ON SCROTUM OR TUNICA VAGINALIS | 90396-00[1174] | 460123 | 9039600 | 3,200.00 | ||
0 | OTIS URETHROTOMY | 37324-011 | 460124 | 3,200.00 | |||
0 | PARTIAL CYSTECTOMY | 37000-01 | 460125 | 5,900.00 | |||
0 | PCNL & LITHOCLAST | 90357-001 | 460127 | 7,700.00 | |||
0 | PCNL W U/S LITHOTRIPSY | 36546-001 | 460128 | 9,800.00 | |||
0 | PENILE INJECT FOR ERECTION | 37426-011 | 460129 | 320 | |||
0 | PENILE INJECT FOR PRIAPISM | 37393-011 | 460130 | 430 | |||
0 | PERCUTANEOUS NEPHROLITHOTOMY | 36540-001 | 460132 | 7,300.00 | |||
0 | PERCUTANEOUS PYELOLYSIS | 36656-00 | 460133 | 7,300.00 | |||
0 | PERINEAL URETHROSTOMY | 37324-021 | 460134 | 4,900.00 | |||
0 | PYELOLITHOTOMY | 36543-001 | 460136 | 6,200.00 |
ORCHIDOPEXY UNILATERAL
3,700.00
OTHER DIAGNOSTIC PROCEDURES ON SCROTUM OR TUNICA VAGINALIS
3,200.00
OTIS URETHROTOMY
3,200.00
PARTIAL CYSTECTOMY
5,900.00
PCNL & LITHOCLAST
7,700.00
PCNL W U/S LITHOTRIPSY
9,800.00
PENILE INJECT FOR ERECTION
320
PENILE INJECT FOR PRIAPISM
430
PERCUTANEOUS NEPHROLITHOTOMY
7,300.00
PERCUTANEOUS PYELOLYSIS
7,300.00
PERINEAL URETHROSTOMY
4,900.00
PYELOLITHOTOMY
6,200.00
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