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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | INSERTION OR REPLACEMENT-SPINAL NEUOSTIMULATOR | 34-01[1604]39130-00 | 390058 | 3913401 | Y | 37,500.00 | |
0 | INTRA-OPERATIVE ENDOSCOPY | 30473-00[1005] | 390059 | 3047300 | 3,000.00 | ||
3 | LACERATION AND CONTUSIONBRAIN | 390060 | 3961501 | Y | 52,500.00 | ||
3 | LAMINECTOMY : CERVICAL W/ DISKECTOMY | 40331-00[46] | 390061 | 4033100 | Y | 18,000.00 | |
3 | LAMINECTOMY : CERVICAL(ONE LEVEL) | 40331-00[46] | 390062 | 4033100 | Y | 19,000.00 | |
3 | LAMINECTOMY : LUMBAR(ONE LEVEL) | 90024-00[48] | 390063 | 63273 | Y | 15,000.00 | |
0 | LIGHT THERAPY/SESSION | 90016-01 | 390064 | 192 | |||
3 | LYSISADHESIONS-SPINAL CORD AND NERVE ROOTS | 39115-00[71] | 390065 | 3911500 | Y | 30,000.00 | |
0 | M.M.P.I. PERSONALITY TEST | 90016-00 | 390066 | 470 | |||
0 | MEMORY TEST (MINI MENTAL STATUS EXAM) | 90016-00 | 390067 | 192 | |||
1 | NEUROPLASTYOTHER CRANIAL AND PERIPHERAL | 39300-00[83] | 390068 | 3930000 | Y | 37,500.00 | |
1 | NEUROTOMY ACOUSTIC | 41596-01[331] | 390069 | 4159601 | Y | 37,500.00 |
INSERTION OR REPLACEMENT-SPINAL NEUOSTIMULATOR
37,500.00
INTRA-OPERATIVE ENDOSCOPY
3,000.00
LACERATION AND CONTUSIONBRAIN
52,500.00
LAMINECTOMY : CERVICAL W/ DISKECTOMY
18,000.00
LAMINECTOMY : CERVICAL(ONE LEVEL)
19,000.00
LAMINECTOMY : LUMBAR(ONE LEVEL)
15,000.00
LIGHT THERAPY/SESSION
192
LYSISADHESIONS-SPINAL CORD AND NERVE ROOTS
30,000.00
M.M.P.I. PERSONALITY TEST
470
MEMORY TEST (MINI MENTAL STATUS EXAM)
192
NEUROPLASTYOTHER CRANIAL AND PERIPHERAL
37,500.00
NEUROTOMY ACOUSTIC
37,500.00
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