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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | TORIC IMPLANTABLE PHAKIC IOL PROCEDURE (W/O THE LENS) | 440081 | 4,000.00 | ||||
0 | TRABECULOPLASTY-LASER SURGERY | 42782-00[191] | 440082 | 4278200 | 880 | ||
0 | ZYOPTIC CHECK UP | 440083 | 480 | ||||
0 | ZYOPTIX, ONE EYE ( INCLUDING COST OF MATERIAL | 440084 | 2,800.00 | ||||
1300 SR ) | |||||||
0 | ARTERIAL BLOOD GAS STICK W/ ELECTROLYTES | 450001 | 82803 | 190 | |||
0 | BRAIN DEATH TESTING | 450002 | 95824 | 130 | |||
0 | CAPILLARY BLOOD GAS STICK W/ ELCTROLYTES | 450003 | 36416 | 190 | |||
0 | CAPNOGRAPHY/ DAY | 450004 | 130 | ||||
0 | CELIAC BLOCK SEDATION | 92515-xx[1910] | 450005 | 64421 | 2,800.00 | ||
1 | CLOSURE OF BRONCHOESOPHAGEAL FISTULA1 | 43843-01[866] | 450006 | 4384301 | Y | 19,800.00 | |
1 | CLOSURE OF BRONCHOPLEURAL FISTULA1 | 90176-00[566] | 450007 | 9017600 | Y | 21,780.00 |
TORIC IMPLANTABLE PHAKIC IOL PROCEDURE (W/O THE LENS)
4,000.00
TRABECULOPLASTY-LASER SURGERY
880
ZYOPTIC CHECK UP
480
ZYOPTIX, ONE EYE ( INCLUDING COST OF MATERIAL
2,800.00
1300 SR )
ARTERIAL BLOOD GAS STICK W/ ELECTROLYTES
190
BRAIN DEATH TESTING
130
CAPILLARY BLOOD GAS STICK W/ ELCTROLYTES
190
CAPNOGRAPHY/ DAY
130
CELIAC BLOCK SEDATION
2,800.00
CLOSURE OF BRONCHOESOPHAGEAL FISTULA1
19,800.00
CLOSURE OF BRONCHOPLEURAL FISTULA1
21,780.00
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