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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REP COMP PERI TEAR NON-RCH | 400205 | 9044400 | 2,400.00 | |||
0 | REP COMP PERI TEAR -RCH | 400206 | 9044400 | 2,400.00 | |||
0 | REP LAC UT BY (LAP) | 400209 | 9048300 | 5,100.00 | |||
0 | REP OF CERVICAL TEARS - G A | 35618-021 | 400210 | 2,400.00 | |||
0 | REP OF RECTO VAGINAL FIST | 35596-001 | 400211 | 6,000.00 | |||
0 | REP OF VESICOVAGINAL FIST | 35596-011 | 400212 | 8,000.00 | |||
0 | REP CURR OBST LAC OF RECT-GA | 400213 | 45562 | 3,100.00 | |||
0 | REP CURR OBST LAC OF RECT-LA | 400214 | 45562 | 1,300.00 | |||
0 | REP CURR OBST LAC OF BL & URE | 400215 | 6,300.00 | ||||
REPAIR OF CERVIX (2 DAYS PACKAGE) | 90329-00[1000] | 400216 | 9032900 | 4,400.00 | |||
2 | REPAIR OF CURRENT OBS. LACERATION OF CORPUS UTERINE(RUPTURE UTERUS)1 | 90478-00[1344] | 400219 | 9047800 | Y | 13,365.00 | |
2 | REPAIR OF CYSTOCELE (ANTERIOR COLPORRHAPHY)1 | 35570-00[1283] | 400220 | 3557000 | Y | 4,950.00 |
REP COMP PERI TEAR NON-RCH
2,400.00
REP COMP PERI TEAR -RCH
2,400.00
REP LAC UT BY (LAP)
5,100.00
REP OF CERVICAL TEARS - G A
2,400.00
REP OF RECTO VAGINAL FIST
6,000.00
REP OF VESICOVAGINAL FIST
8,000.00
REP CURR OBST LAC OF RECT-GA
3,100.00
REP CURR OBST LAC OF RECT-LA
1,300.00
REP CURR OBST LAC OF BL & URE
6,300.00
REPAIR OF CERVIX (2 DAYS PACKAGE)
4,400.00
REPAIR OF CURRENT OBS. LACERATION OF CORPUS UTERINE(RUPTURE UTERUS)1
13,365.00
REPAIR OF CYSTOCELE (ANTERIOR COLPORRHAPHY)1
4,950.00
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