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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MARSUP OF BARTHOLIN ABSCESS | 400150 | 56420 | 2,400.00 | |||
0 | MISCELL DISP FOR MAJOR OPERATION | 400151 | 500 | ||||
0 | MISCELL DISP FOR MEDIUM OPERATION | 400152 | 400 | ||||
0 | MISCELL DISP FOR MINOR OPERATION | 400153 | 300 | ||||
0 | MYOMECTOMY MULTIPLE (LAP) | 35649-031 | 400154 | 10,000.00 | |||
0 | MYOMECTOMY SINGLE (LAP) | 35649-011 | 400155 | 8,000.00 | |||
3 | MYOMECTOMY SINGLE.PK | 35649-03[1266] | 400156 | Y | 9,000.00 | ||
3 | MYOMECTOMY-LARGE OR MULTIPLE. | 35649-03[1266] | 400157 | Y | 12,000.00 | ||
1 | NORMAL DELIVERY TWIN &BABY CARE | 90467-00[1336] | 400158 | 9046700 | Y | 5,000.00 | |
1 | NORMAL DELIVERY TWIN WITH EPISEOTOMY &BABY CARE | 7-00[1336]90472-00[ | 400159 | 9046700 | Y | 5,500.00 | |
1 | NORMAL DELIVERY+ BABY CARE-SPECIALIST1 | 400160 | 59409 | Y | 3,465.00 | ||
1 | NORMAL VAGINAL DELIVERY + BABY CARE | 400161 | 59409 | Y | 3,800.00 |
MARSUP OF BARTHOLIN ABSCESS
2,400.00
MISCELL DISP FOR MAJOR OPERATION
500
MISCELL DISP FOR MEDIUM OPERATION
400
MISCELL DISP FOR MINOR OPERATION
300
MYOMECTOMY MULTIPLE (LAP)
10,000.00
MYOMECTOMY SINGLE (LAP)
8,000.00
MYOMECTOMY SINGLE.PK
9,000.00
MYOMECTOMY-LARGE OR MULTIPLE.
12,000.00
NORMAL DELIVERY TWIN &BABY CARE
5,000.00
NORMAL DELIVERY TWIN WITH EPISEOTOMY &BABY CARE
5,500.00
NORMAL DELIVERY+ BABY CARE-SPECIALIST1
3,465.00
NORMAL VAGINAL DELIVERY + BABY CARE
3,800.00
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