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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | TOTAL/PARTIAL PANCREATECTOMY | 30593-00[978] | 370260 | 3059300 | Y | 22,500.00 | |
0 | TRACH COLLAR/ RA/ DAY | 370261 | 224 | ||||
2 | UNDESCENDED TESTS W/IN & OUTSIDE THE INGUINAL | 370262 | 3780301 | Y | 6,000.00 | ||
2 | UNILATERAL ORCHIDECTOMY1 | 30641-00[1184] | 370263 | 3064100 | Y | 5,445.00 | |
2 | UNILATERAL THYROID LOBECTOMY + | 30306-00[115] | 370264 | 3030600 | Y | 6,930.00 | |
2 | UPPER ENDOSCOPY & BIOPSIES | 30473-01[1008] | 370265 | 3047301 | Y | 3,750.00 | |
0 | WALKING OXYMETRY | 370266 | 94760 | 40 | |||
0 | ANTI-BIOTIC INFUSION W/OUT MEDICATIONS (INCL; DRUG PREP, CONSULT SUPERVISION,ACCOM, | 13706-01[1893] | 380001 | 9619902 | 2,400.00 | ||
IVFLUIDS,SUPPLIES, NURSE CARE) | |||||||
3 | AUTO TRANSPLANTATION KIDNEY | 36503-01[1058] | 380002 | 3650301 | Y | 37,500.00 | |
1 | BILATERAL OPEN BIOPSY OF TESTES | 30644-05[1180] | 380003 | 3064405 | Y | 3,960.00 | |
0 | BLOOD TRNASFUSION INFUSION W/OUT BLOOD PRODUCTS & LAB. TEST (INCL; DRUG PREP, CONSULT SUPERVISION,ACCOM, IVFLUIDS,SUPPLIES, NURSE | 30084-00[800] | 380004 | 1370601 | 2,400.00 |
TOTAL/PARTIAL PANCREATECTOMY
22,500.00
TRACH COLLAR/ RA/ DAY
224
UNDESCENDED TESTS W/IN & OUTSIDE THE INGUINAL
6,000.00
UNILATERAL ORCHIDECTOMY1
5,445.00
UNILATERAL THYROID LOBECTOMY +
6,930.00
UPPER ENDOSCOPY & BIOPSIES
3,750.00
WALKING OXYMETRY
40
ANTI-BIOTIC INFUSION W/OUT MEDICATIONS (INCL; DRUG PREP, CONSULT SUPERVISION,ACCOM,
2,400.00
IVFLUIDS,SUPPLIES, NURSE CARE)
AUTO TRANSPLANTATION KIDNEY
37,500.00
BILATERAL OPEN BIOPSY OF TESTES
3,960.00
BLOOD TRNASFUSION INFUSION W/OUT BLOOD PRODUCTS & LAB. TEST (INCL; DRUG PREP, CONSULT SUPERVISION,ACCOM, IVFLUIDS,SUPPLIES, NURSE
2,400.00
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