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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
1 | NORMAL VAGINAL DELIVERY W/ EPISIOTOMY(INC. BARE | 7-00[1336]90472-00[ | 400162 | 9046700 | Y | 4,300.00 | |
1 | NSERTION OR REPLACEMENTSPINAL | 34-01[1604]39130-00 | 400163 | 3913401 | Y | 37,500.00 | |
NEUROSTIMULATOR | |||||||
3 | OOPHORECTOMY | 35713-07[1243] | 400164 | 3571307 | Y | 10,000.00 | |
0 | OPERATIVE HYSTEROSCOPY L A | 35630-00[1259] | 400165 | 3563000 | 2,200.00 | ||
0 | OPERATIVE HYSTEROSCOPY MAJ | 35630-00[1259] | 400166 | 3563000 | 3,400.00 | ||
0 | OPERATIVE HYSTEROSCOPY MIN | 35630-00[1259] | 400167 | 2,500.00 | |||
0 | OTHER INCI OF VUL & PERI-GA | 90446-001 | 400171 | 1,300.00 | |||
0 | DILATION OF VAGINA (1 DAY PACKAGE) | 30393-00[986] | 400066 | 3039300 | 3,200.00 | ||
0 | DIVISION OF PELVIC ADHESIONS | 30393-00[986] | 400067 | 2,400.00 | |||
3 | DOUGLAS POUNCH ABSCESS DRAINAGE | 35572-00[1280] | 400068 | 3557200 | Y | 4,500.00 | |
3 | E XC.OR DESTR.OF LESION OF TISS.OF CERVIX(POLYPECTOMY)1 | 35611-00[1276] | 400069 | 3561100 | Y | 3,465.00 |
NORMAL VAGINAL DELIVERY W/ EPISIOTOMY(INC. BARE
4,300.00
NSERTION OR REPLACEMENTSPINAL
37,500.00
NEUROSTIMULATOR
OOPHORECTOMY
10,000.00
OPERATIVE HYSTEROSCOPY L A
2,200.00
OPERATIVE HYSTEROSCOPY MAJ
3,400.00
OPERATIVE HYSTEROSCOPY MIN
2,500.00
OTHER INCI OF VUL & PERI-GA
1,300.00
DILATION OF VAGINA (1 DAY PACKAGE)
3,200.00
DIVISION OF PELVIC ADHESIONS
2,400.00
DOUGLAS POUNCH ABSCESS DRAINAGE
4,500.00
E XC.OR DESTR.OF LESION OF TISS.OF CERVIX(POLYPECTOMY)1
3,465.00
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