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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EXAMINATION OF HYMEN MEMBRANE (G.A) | 400080 | 1,000.00 | ||||
0 | EXC OF BENIGN VAGINAL CYST | 35557-001 | 400081 | 2,000.00 | |||
0 | EXC OF BENIGN VULVAL CYST | 400082 | 3551300 | 2,000.00 | |||
0 | EXC OF VAGINAL SEPTUM | 35566-001 | 400083 | 2,900.00 | |||
3 | EXCISION OF BARTHOLINS CYST | 35513-00[1293] | 400084 | 3551300 | Y | 2,250.00 | |
3 | EXCISION OF TUBAL (ECTOPIC PREGNANCY) | 35677-04[1256] | 400085 | 3567704 | Y | 12,000.00 | |
3 | EXCISION OF TUBAL(ECTOPIC)PREGNANCY-LAP. | 35678-01[1256] | 400086 | 3567801 | Y | 13,500.00 | |
3 | EXCISION OF VAGINAL CYST | 35557-00[1282] | 400087 | 3555700 | Y | 3,750.00 | |
0 | EXTRA AMNIOTIC INFUSION | 16621-001 | 400088 | 710 | |||
0 | FENTON S OPERATION | 35569-00[1287] | 400089 | 3556900 | 2,500.00 | ||
0 | FETAL MON,EXC. ELEC MAX 24 HR. | 400090 | 1651401 | 520 | |||
0 | FETAL MON.+SCALP ELEC MAX24/HR | 400091 | 1651401 | 970 |
EXAMINATION OF HYMEN MEMBRANE (G.A)
1,000.00
EXC OF BENIGN VAGINAL CYST
2,000.00
EXC OF BENIGN VULVAL CYST
2,000.00
EXC OF VAGINAL SEPTUM
2,900.00
EXCISION OF BARTHOLINS CYST
2,250.00
EXCISION OF TUBAL (ECTOPIC PREGNANCY)
12,000.00
EXCISION OF TUBAL(ECTOPIC)PREGNANCY-LAP.
13,500.00
EXCISION OF VAGINAL CYST
3,750.00
EXTRA AMNIOTIC INFUSION
710
FENTON S OPERATION
2,500.00
FETAL MON,EXC. ELEC MAX 24 HR.
520
FETAL MON.+SCALP ELEC MAX24/HR
970
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