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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EMBRYO TRANSFER | 16615-001 | 400070 | 2,700.00 | |||
0 | ENDOMETRIAL ABLATION (PROCEDURE ONLY) | 35622-00 | 400071 | 2,600.00 | |||
0 | ENTENOX 1/2 OR LESS/CYLINDER | 400072 | 170 | ||||
0 | ENTENOX 1/4 OR LESS/CYLINDER | 400073 | 90 | ||||
0 | ENTENOX PER CYLINDER | 400074 | 320 | ||||
0 | EVAC HEAMA OF VULVA/VAGINA | 16567-051 | 400075 | 2,000.00 | |||
0 | EVAC OBST HAEMA OF PERINEUM | 16567-051 | 400076 | 2,000.00 | |||
0 | EVACUATION OF HAEMATOMA OF PERINEUM OR | 39603-01[8] | 400077 | 2,400.00 | |||
VAGINA GA (1 DAY PACKAGE) | |||||||
0 | EVACUATION OF HAEMATOMA OF PERINEUM OR | 39603-01[8] | 400078 | 3960301 | 2,000.00 | ||
VAGINA LA (1 DAY PACKAGE) | |||||||
0 | EXAMINATION OF HYMEN MEMBRANE | 400079 | 3550000 | 300 |
EMBRYO TRANSFER
2,700.00
ENDOMETRIAL ABLATION (PROCEDURE ONLY)
2,600.00
ENTENOX 1/2 OR LESS/CYLINDER
170
ENTENOX 1/4 OR LESS/CYLINDER
90
ENTENOX PER CYLINDER
320
EVAC HEAMA OF VULVA/VAGINA
2,000.00
EVAC OBST HAEMA OF PERINEUM
2,000.00
EVACUATION OF HAEMATOMA OF PERINEUM OR
2,400.00
VAGINA GA (1 DAY PACKAGE)
EVACUATION OF HAEMATOMA OF PERINEUM OR
2,000.00
VAGINA LA (1 DAY PACKAGE)
EXAMINATION OF HYMEN MEMBRANE
300
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