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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | REPAIR OF CYSTOCELE W/ RECTOCELE | 35573-00[1283] | 400221 | 3557300 | Y | 15,000.00 | |
0 | REPAIR OF ENTEROCELE, ABDOMINAL APPROACH | 90329-00[1000] | 400222 | 3211700 | 3,200.00 | ||
2 | REPAIR OF FALLOPIAN TUBE (TUBOPLASTY) | 35694-04[1253] | 400223 | 3569404 | Y | 9,405.00 | |
2 | REPAIR OF REC. VESICO-VAGINAL FISTULA | 37029-01[1105] | 400224 | 3702901 | Y | 18,000.00 | |
2 | REPAIR OF RECTO-VAGINAL FISTULA | 35596-00[1284] | 400225 | 3559600 | Y | 15,000.00 | |
2 | REPAIR OF ROUTINE EPISOETOMY1 | 90472-00[1343] | 400226 | 9047200 | Y | 2,970.00 | |
0 | INSERTION OF IUCD (EXCL DEV) | 90355-00[1096] | 400113 | 400 | |||
0 | INSERTION OF URETHRAL CATHETER | 13815-01[738] | 400114 | 1381501 | 100 | ||
0 | INSERTION OF VAGINAL PACKING | 90447-00[1284] | 400115 | 9044700 | 130 | ||
0 | INSERTION OF VAGINAL PESSARY | 90447-00[1284] | 400116 | 130 | |||
3 | INSICION OF VULVAR LESION OR PERINEUM (INCLUDE. | 90446-00[1290] | 400117 | 9044600 | Y | 2,475.00 | |
0 | INSUFFLATION OF THE TUBES | 400118 | 3567701 | 860 |
REPAIR OF CYSTOCELE W/ RECTOCELE
15,000.00
REPAIR OF ENTEROCELE, ABDOMINAL APPROACH
3,200.00
REPAIR OF FALLOPIAN TUBE (TUBOPLASTY)
9,405.00
REPAIR OF REC. VESICO-VAGINAL FISTULA
18,000.00
REPAIR OF RECTO-VAGINAL FISTULA
15,000.00
REPAIR OF ROUTINE EPISOETOMY1
2,970.00
INSERTION OF IUCD (EXCL DEV)
400
INSERTION OF URETHRAL CATHETER
100
INSERTION OF VAGINAL PACKING
130
INSERTION OF VAGINAL PESSARY
130
INSICION OF VULVAR LESION OR PERINEUM (INCLUDE.
2,475.00
INSUFFLATION OF THE TUBES
860
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