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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | ANASTOMOSIS - ACCESSORYHYPOGLOSSAL | 390004 | 3930000 | Y | 22,500.00 | ||
3 | ANASTOMOSIS - CAVAL-PULMONARY ARTERY | 390005 | 3871502 | Y | 10,500.00 | ||
3 | ANASTOMOSIS - FACE ACCESSORY | 39503-01[83] | 390006 | 64866 | Y | 10,800.00 | |
3 | ANASTOMOSIS - FACEHYPOGLOSSAL | 39503-00[83] | 390007 | 64868 | Y | 10,800.00 | |
3 | ANASTOMOSIS - OTHERCRANIAL OR PERIPHERAL NERVE | 39300-00[83] | 390008 | 3930000 | Y | 12,000.00 | |
2 | ANEURYSM SURGERY/BRAIN G 2ND CLASS | 390009 | 3980001 | Y | 37,500.00 | ||
3 | ENDOSCOPIC RESECTION OF BLADDER LESION (TUR. | 36840-02[1100] | 380035 | 3684002 | Y | 8,500.00 | |
0 | EXCHANGE TRANSFUSION (COMPLETE W/O PRODUCT) | 92206-00[1893] | 380036 | 1,040.00 | |||
0 | EXCHANGE TRANSFUSION (PARTIAL W/O PRODUCT) | 92206-00[1893] | 380037 | 1,040.00 | |||
3 | EXTRACORPOREAL SHOCK WAVE LITHO. (ESWL)1 | 36546-00[1126] | 380038 | 3654600 | Y | 4,950.00 | |
3 | FULGRATION OF URETHRAL LESION (ENDOS.EXC. OR | 37318-01[1116] | 380039 | 3731801 | Y | 6,930.00 | |
3 | HAEMODIALYSIS | 13100-00[1060] | 380040 | 1310000 | Y | 1,080.00 |
ANASTOMOSIS - ACCESSORYHYPOGLOSSAL
22,500.00
ANASTOMOSIS - CAVAL-PULMONARY ARTERY
10,500.00
ANASTOMOSIS - FACE ACCESSORY
10,800.00
ANASTOMOSIS - FACEHYPOGLOSSAL
10,800.00
ANASTOMOSIS - OTHERCRANIAL OR PERIPHERAL NERVE
12,000.00
ANEURYSM SURGERY/BRAIN G 2ND CLASS
37,500.00
ENDOSCOPIC RESECTION OF BLADDER LESION (TUR.
8,500.00
EXCHANGE TRANSFUSION (COMPLETE W/O PRODUCT)
1,040.00
EXCHANGE TRANSFUSION (PARTIAL W/O PRODUCT)
1,040.00
EXTRACORPOREAL SHOCK WAVE LITHO. (ESWL)1
4,950.00
FULGRATION OF URETHRAL LESION (ENDOS.EXC. OR
6,930.00
HAEMODIALYSIS
1,080.00
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