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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CYS'COPY+INJ. DEFLUX (BIL)EXCL.DESLUX | 90363-031 | 460025 | 7,100.00 | |||
0 | CYS'COPY+INJ. DEFLUX (UN)EXCL.DESLUX | 90363-031 | 460026 | 5,800.00 | |||
0 | CYSTOLITHOLAPAXY | 36863-001 | 460027 | 5,000.00 | |||
0 | CYSTOMETERY | 37004-021 | 460028 | 1,200.00 | |||
0 | CYSTOSCOPY-BIOP OF PROSTATE | 36812-001 | 460029 | 2,500.00 | |||
0 | DEROOFING OF RENAL CYST | 36558-011 | 460030 | 5,000.00 | |||
0 | DIAGNOSTIC CYSTOSCOPY (FLEX.) | 36812-001 | 460031 | 1,200.00 | |||
0 | DIAGNOSTIC CYSTOSCOPY (RIGID) | 36812-001 | 460032 | 1,800.00 | |||
0 | DIVERTICULECTOMY OF BLADDER | 37020-011 | 460033 | 5,800.00 | |||
0 | DOP. STUDY PEN. ART W/ INT. CA. INJ. | 37393-011 | 460034 | 770 | |||
0 | DOPPLER ULTRASOUND OF PENILE WITH | 460035 | 5528400 | 640 | |||
INTRACAVENOSAL INJECTION ( W/OUT MEDICATION ) |
CYS'COPY+INJ. DEFLUX (BIL)EXCL.DESLUX
7,100.00
CYS'COPY+INJ. DEFLUX (UN)EXCL.DESLUX
5,800.00
CYSTOLITHOLAPAXY
5,000.00
CYSTOMETERY
1,200.00
CYSTOSCOPY-BIOP OF PROSTATE
2,500.00
DEROOFING OF RENAL CYST
5,000.00
DIAGNOSTIC CYSTOSCOPY (FLEX.)
1,200.00
DIAGNOSTIC CYSTOSCOPY (RIGID)
1,800.00
DIVERTICULECTOMY OF BLADDER
5,800.00
DOP. STUDY PEN. ART W/ INT. CA. INJ.
770
DOPPLER ULTRASOUND OF PENILE WITH
640
INTRACAVENOSAL INJECTION ( W/OUT MEDICATION )
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