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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | RETRO URET CATHETERIZATION | 36824-01 | 460151 | 2,600.00 | |||
0 | REV. OF PYELOPLASTY | 36564-011 | 460152 | 7,300.00 | |||
0 | REVERSAL OF VASECTOMY | 37623-021 | 460153 | 8,200.00 | |||
0 | REVISION OF UROSTOMY | 36609-031 | 460154 | 5,000.00 | |||
0 | SCLEROTHERAPY FOR HYDROCELE | 30644-141 | 460155 | 750 | |||
0 | SCR. EXPLOR. FOR AZOOSPERMIA | 37604-01 | 460156 | 6,500.00 | |||
0 | SIMPLE CYSTECTOMY | 37000-01 | 460157 | 6,500.00 | |||
0 | SIMPLE NEPHROLITHOTOMY | 36540-00 | 460159 | 7,700.00 | |||
0 | ENOSCOPIC BLADDER DISTENTION | 37004-02 | 460048 | 2,500.00 | |||
0 | EPIDIDYMAL BX OR ASPIRATION | 30644-10 | 460049 | 1,700.00 | |||
0 | ESWL (RENAL OR URET) 1ST SESSION | 36546-001 | 460050 | 3,900.00 | |||
0 | ESWL (REPEAT SESSION-2/ONLY) | 36546-001 | 460051 | 3,200.00 |
RETRO URET CATHETERIZATION
2,600.00
REV. OF PYELOPLASTY
7,300.00
REVERSAL OF VASECTOMY
8,200.00
REVISION OF UROSTOMY
5,000.00
SCLEROTHERAPY FOR HYDROCELE
750
SCR. EXPLOR. FOR AZOOSPERMIA
6,500.00
SIMPLE CYSTECTOMY
6,500.00
SIMPLE NEPHROLITHOTOMY
7,700.00
ENOSCOPIC BLADDER DISTENTION
2,500.00
EPIDIDYMAL BX OR ASPIRATION
1,700.00
ESWL (RENAL OR URET) 1ST SESSION
3,900.00
ESWL (REPEAT SESSION-2/ONLY)
3,200.00
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