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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | REPAIRCEREBRAL MENINGES | 39615-00[20] | 390082 | 3961500 | Y | 37,500.00 | |
2 | REPLACEMENT-SPINAL NEUROSTIMULATOR | 4-01[1604]39135-00[ | 390083 | 3913401 | Y | 30,000.00 | |
2 | REPLACEMENTVENTRICULAR SHUNT | 40009-00[24] | 390084 | 4000900 | Y | 37,500.00 | |
2 | REVISIONSHUNT-SPINAL THECAL SHUNT | 40009-02[56] | 390085 | 4000902 | Y | 22,500.00 | |
2 | REVISION-SPINAL THECAL SHUNT | 40009-02[56] | 390086 | 4000902 | Y | 22,500.00 | |
0 | SEXUAL THERAPY / SESSION | 90016-01 | 390087 | 264 | |||
2 | SHUNT-SPINAL THECA | 40006-00[42] | 390088 | 4000600 | Y | 37,500.00 | |
0 | STANFORD BENAH - I.Q. | 90016-00 | 390089 | 470 | |||
0 | SUPPORTIVE THERAPY / SESSION | 90016-01 | 390090 | 168 | |||
2 | SYMPATHECTOMYCERVICAL | 35003-00[81] | 390091 | 3500300 | Y | 22,500.00 | |
2 | SYNDROME POSTCONCUSSION FOR 3 DAYS W/O SURGERY | 390092 | Y | 9,000.00 | |||
2 | TRANSPOSITION CRANIAL AND PERIPHERAL | 39321-00[83] | 390093 | 3932100 | Y | 37,500.00 |
REPAIRCEREBRAL MENINGES
37,500.00
REPLACEMENT-SPINAL NEUROSTIMULATOR
30,000.00
REPLACEMENTVENTRICULAR SHUNT
37,500.00
REVISIONSHUNT-SPINAL THECAL SHUNT
22,500.00
REVISION-SPINAL THECAL SHUNT
22,500.00
SEXUAL THERAPY / SESSION
264
SHUNT-SPINAL THECA
37,500.00
STANFORD BENAH - I.Q.
470
SUPPORTIVE THERAPY / SESSION
168
SYMPATHECTOMYCERVICAL
22,500.00
SYNDROME POSTCONCUSSION FOR 3 DAYS W/O SURGERY
9,000.00
TRANSPOSITION CRANIAL AND PERIPHERAL
37,500.00
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