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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REM OF PROSTHESIS FROM FT | 400192 | 58999 | 3,400.00 | |||
0 | REM OF OV CYSTS < 10 CM SMALL | 400193 | 3563804 | 4,500.00 | |||
0 | REM. OF BOTH OV. AT SAME OP. | 400194 | 3563805 | 4,500.00 | |||
1 | REMOVAL OF CERCLAGE MATERIAL FROM CERVIX1 | 16512-00[1274] | 400195 | 1651200 | Y | 1,188.00 | |
REMOVAL OF CERVICAL SUTURE GA (1 DAY PACKAGE) | 35618-02[1277] | 400196 | 3561802 | 3,200.00 | |||
0 | REMOVAL OF CX. STITCH | 400197 | 1651200 | 300 | |||
0 | REMOVAL OF EXPOSED MESH | 92124-00[1903] | 400198 | 9212400 | 1,200.00 | ||
1 | REMOVAL OF INTRAUTERINE CONTRACEPTIVE DEVICE (GA)1 | 35506-02[1260] | 400200 | 3550602 | Y | 990 | |
0 | REMOVAL OF IUCD - OPD | 400201 | 190 | ||||
0 | REMOVAL OF IUCD UNDER G.A. | 35637-07[1241] | 400202 | 3550602 | 1,900.00 | ||
0 | REMOVAL OF OV CYSTS > 10 CM | 400203 | 3563707 | 6,500.00 | |||
0 | REMOVAL PAROVARIAN CYST (LAP.) | 35637-07[1241] | 400204 | 3563707 | 7,000.00 |
REM OF PROSTHESIS FROM FT
3,400.00
REM OF OV CYSTS < 10 CM SMALL
4,500.00
REM. OF BOTH OV. AT SAME OP.
4,500.00
REMOVAL OF CERCLAGE MATERIAL FROM CERVIX1
1,188.00
REMOVAL OF CERVICAL SUTURE GA (1 DAY PACKAGE)
3,200.00
REMOVAL OF CX. STITCH
300
REMOVAL OF EXPOSED MESH
1,200.00
REMOVAL OF INTRAUTERINE CONTRACEPTIVE DEVICE (GA)1
990
REMOVAL OF IUCD - OPD
190
REMOVAL OF IUCD UNDER G.A.
1,900.00
REMOVAL OF OV CYSTS > 10 CM
6,500.00
REMOVAL PAROVARIAN CYST (LAP.)
7,000.00
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