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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | REC. NEPHROLITHOTOMY(PYELOLOTHOTOMY) | 36540-00[1044] | 380074 | 3654000 | Y | 18,000.00 | |
1 | RECURRENT URETERAL STRICTURE | 380075 | 3682500 | Y | 15,000.00 | ||
1 | REMOVAL OF CYSTOSTOMY TUBE1 | 92121-00[1902] | 380076 | 9212100 | Y | 1,188.00 | |
0 | REMOVAL OF HICKMAN CATHETER | 34530-04[738] | 380077 | 3453005 | 400 | ||
2 | REMOVAL OF URETERIC STENT | 36833-01[1067] | 380078 | 3683301 | Y | 2,250.00 | |
1 | RENAL ANGIO (ONLY) PLANNED PROCEDURE * PERIPHRAL INTERVENTION | 380079 | Y | 9,500.00 | |||
0 | RENAL ANGIOGRAM )DURING ANGIOGRAPHY AS ADDITIONAL SERVICE * PERIPHRAL INTERVENTION | 380080 | Y | 1,500.00 | |||
1 | Renal Denervation * PERIPHRAL INTERVENTION | 380081 | Y | 55,000.00 | |||
3 | THYROIDECTOMY: TOTAL. | 30306-00[115] | 370256 | 3030600 | Y | 15,000.00 | |
2 | TOTAL PARATHYROIDECTOMY WITH IMPANTATION1 | 30315-01[113] | 370257 | 3031501 | Y | 18,000.00 | |
2 | TOTAL PELVIC EXCENTRATION | 90450-02[989] | 370258 | 9045002 | Y | 45,000.00 | |
2 | TOTAL SPLENECTOMY1 | 30597-00[815] | 370259 | 305900 | Y | 12,000.00 |
REC. NEPHROLITHOTOMY(PYELOLOTHOTOMY)
18,000.00
RECURRENT URETERAL STRICTURE
15,000.00
REMOVAL OF CYSTOSTOMY TUBE1
1,188.00
REMOVAL OF HICKMAN CATHETER
400
REMOVAL OF URETERIC STENT
2,250.00
RENAL ANGIO (ONLY) PLANNED PROCEDURE * PERIPHRAL INTERVENTION
9,500.00
RENAL ANGIOGRAM )DURING ANGIOGRAPHY AS ADDITIONAL SERVICE * PERIPHRAL INTERVENTION
1,500.00
Renal Denervation * PERIPHRAL INTERVENTION
55,000.00
THYROIDECTOMY: TOTAL.
15,000.00
TOTAL PARATHYROIDECTOMY WITH IMPANTATION1
18,000.00
TOTAL PELVIC EXCENTRATION
45,000.00
TOTAL SPLENECTOMY1
12,000.00
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