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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
CATARACT- EXTRACTION, EXTRA CAPSULAR + TRABECULECTOMY | 42746-04[191] | 420049 | 4274604 | 4,000.00 | |||
CATARACT MEMBRANOUS- REMOVAL BY CAPSULECTOMY OR PHACOFRAGMENTATION OR ASPIRATION + VITRECTOMY | 42731-00[201] | 420050 | 4273100 | 2,000.00 | |||
3 | REPAIR OF VESICO -VAGINAL FISTULA | 37029-01[1105] | 400227 | 3702901 | Y | 15,000.00 | |
3 | REPAIR OF VESICO-VAGINAL FISTULA-COMPLECATED | 37029-01[1105] | 400229 | 3702901 | Y | 18,000.00 | |
3 | Subtotal Vaginal Hystrectomy | 400249 | Y | 12,000.00 | |||
2 | SUCTION CLEARANCE | 400250 | Y | 3,750.00 | |||
0 | SURGICAL EVACUATION | 400251 | 2,400.00 | ||||
0 | SUT OF LAC OF VULVA OR PERINEU | 35533-001 | 400252 | 860 | |||
0 | SUTURE OF CURRENT OBSTETRIC LACERATION OF | 16571-00[1344] | 400253 | 1657100 | 1,200.00 | ||
CERVIX (DEEP) LA (1 DAY PACKAGE) | |||||||
0 | SUTURE OF CURRENT OBSTETRIC LACERATION OF | 16571-00[1344] | 400255 | 1657100 | 1,600.00 | ||
CERVIX GA (1 DAY PACKAGE) |
CATARACT- EXTRACTION, EXTRA CAPSULAR + TRABECULECTOMY
4,000.00
CATARACT MEMBRANOUS- REMOVAL BY CAPSULECTOMY OR PHACOFRAGMENTATION OR ASPIRATION + VITRECTOMY
2,000.00
REPAIR OF VESICO -VAGINAL FISTULA
15,000.00
REPAIR OF VESICO-VAGINAL FISTULA-COMPLECATED
18,000.00
Subtotal Vaginal Hystrectomy
12,000.00
SUCTION CLEARANCE
3,750.00
SURGICAL EVACUATION
2,400.00
SUT OF LAC OF VULVA OR PERINEU
860
SUTURE OF CURRENT OBSTETRIC LACERATION OF
1,200.00
CERVIX (DEEP) LA (1 DAY PACKAGE)
SUTURE OF CURRENT OBSTETRIC LACERATION OF
1,600.00
CERVIX GA (1 DAY PACKAGE)
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