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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | TYLOR SCALE FOR ANXIETY | 90016-00 | 390094 | 168 | |||
0 | UPPER G.I. ENDOSCOPY W/ INJECTION SCLEROSIS + | 30473-00[1005] | 390095 | 3047300 | 2,250.00 | ||
BAND LIGATION ( W/ MATERIALS COST SR 500) | |||||||
0 | UPPER GI ENDOSCOPY � THERAPEUTIC | 30473-00[1005] | 390096 | 3047300 | 1,800.00 | ||
0 | VAUNLAND MATURE SOCIETY SCALE | 90016-00 | 390097 | 168 | |||
0 | WECHSLER I.Q.TEST-ADULT/CHILDREN | 90016-00 | 390098 | 384 | |||
0 | WECHSLER MEMORY SCALE | 90016-00 | 390099 | 192 | |||
0 | ABD DRAINAGE OF PELVIC ABS | 90431-041 | 400001 | 4,500.00 | |||
0 | ADHESO FOR INFERTILITY BILATER | 400002 | 8,000.00 | ||||
0 | ADHESO FOR INFERTILITY UNILATE | 400003 | 5,500.00 | ||||
0 | AIH PER SESSION | 400004 | 200 | ||||
0 | ANT & POST REPAIR | 400005 | 6,000.00 |
TYLOR SCALE FOR ANXIETY
168
UPPER G.I. ENDOSCOPY W/ INJECTION SCLEROSIS +
2,250.00
BAND LIGATION ( W/ MATERIALS COST SR 500)
UPPER GI ENDOSCOPY � THERAPEUTIC
1,800.00
VAUNLAND MATURE SOCIETY SCALE
168
WECHSLER I.Q.TEST-ADULT/CHILDREN
384
WECHSLER MEMORY SCALE
192
ABD DRAINAGE OF PELVIC ABS
4,500.00
ADHESO FOR INFERTILITY BILATER
8,000.00
ADHESO FOR INFERTILITY UNILATE
5,500.00
AIH PER SESSION
200
ANT & POST REPAIR
6,000.00
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