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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | INJURYNERVE ABDUCENS | 390055 | 64716 | Y | 52,500.00 | ||
0 | INSERTION / REPLACEMENT OF NASOGASTRIC TUBE | 92036-00[1895] | 390056 | 9203600 | 230 | ||
(NGT-TPO) | |||||||
0 | INSERTION AND REMOVAL OF LONG GASTROINTESTINAL TUBE | 30482-00[870] | 390057 | 3048200 | 384 | ||
1 | RENAL DIALYSIS( INPATIENT)\ DAY | 13100-00[1060] | 380082 | 1310000 | Y | 1,080.00 | |
2 | REPAIR OF HYPOSPADIAS OR EPISPADIAS | 37821-00[1198] | 380083 | 3782100 | Y | 9,504.00 | |
2 | REPAIR OF HYPOSPADIAS(ALL STAGES) | 37830-00[1198] | 380084 | 3783000 | Y | 12,000.00 | |
2 | SPHINCTEROTOMY OF BLADDER (DIVISION OF | 37008-06[1095] | 380085 | 3700806 | Y | 4,950.00 | |
BLADDER | |||||||
0 | STEM CELL INFUSION | 96199-09[1920] | 380086 | 9006500 | 4,000.00 | ||
2 | SUPRAPUBIC CYCSTOLITHOTOMY | 37008-03[1094] | 380087 | 3700803 | Y | 10,500.00 | |
2 | SUPRAPUBIC CYSTOSTOMY(FOR STONE OF ULCERS OF THE BLADDER/RETENTION OF URINE) | 37011-00[1093] | 380088 | 3701100 | Y | 5,250.00 |
INJURYNERVE ABDUCENS
52,500.00
INSERTION / REPLACEMENT OF NASOGASTRIC TUBE
230
(NGT-TPO)
INSERTION AND REMOVAL OF LONG GASTROINTESTINAL TUBE
384
RENAL DIALYSIS( INPATIENT)\ DAY
1,080.00
REPAIR OF HYPOSPADIAS OR EPISPADIAS
9,504.00
REPAIR OF HYPOSPADIAS(ALL STAGES)
12,000.00
SPHINCTEROTOMY OF BLADDER (DIVISION OF
4,950.00
BLADDER
STEM CELL INFUSION
4,000.00
SUPRAPUBIC CYCSTOLITHOTOMY
10,500.00
SUPRAPUBIC CYSTOSTOMY(FOR STONE OF ULCERS OF THE BLADDER/RETENTION OF URINE)
5,250.00
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