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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
CARE) | |||||||
0 | BONE MARROW BIOPSY, | 380005 | 3008400 | 2,000.00 | |||
NEEDLE/TROCAR/HISTOPATHOLOGY (INCLUDNG MATERIALS/LABS SR800.) | |||||||
0 | CHEMOSDF ACCOMODATION DURING CHEMOTHERAPY CYCLE (PER DAY) | 380006 | 1,040.00 | ||||
0 | CHEMOTHERAPY - INTRAPERITONEAL/PARACENTESIS | 380007 | 96445 | 1,040.00 | |||
0 | CHEMOTHERAPY - INTRAPLEURAL/THORACENTESIS | 380008 | 96440 | 800 | |||
0 | CHEMOTHERAPY � INTRATHECAL | 380009 | 96450 | 1,040.00 | |||
0 | CHEMOTHERAPY CONSULT AND SUPERVISION | 380011 | 96913 | 600 | |||
0 | CHEMOTHERAPY SESSION (INCLUDES DRUG PREP. | 35317-00[741] | 380012 | 96413 | 3,200.00 | ||
,PROCEDURE,CONS. SUPERV.,ACCOM.,IV FLUIDS) | |||||||
3 | CORRECTION OF URETEROPELVIC JUNCTION | 36564-01[1057] | 380013 | 3656401 | Y | 12,375.00 | |
(PYELOPLASTY)1 |
CARE)
BONE MARROW BIOPSY,
2,000.00
NEEDLE/TROCAR/HISTOPATHOLOGY (INCLUDNG MATERIALS/LABS SR800.)
CHEMOSDF ACCOMODATION DURING CHEMOTHERAPY CYCLE (PER DAY)
1,040.00
CHEMOTHERAPY - INTRAPERITONEAL/PARACENTESIS
1,040.00
CHEMOTHERAPY - INTRAPLEURAL/THORACENTESIS
800
CHEMOTHERAPY � INTRATHECAL
1,040.00
CHEMOTHERAPY CONSULT AND SUPERVISION
600
CHEMOTHERAPY SESSION (INCLUDES DRUG PREP.
3,200.00
,PROCEDURE,CONS. SUPERV.,ACCOM.,IV FLUIDS)
CORRECTION OF URETEROPELVIC JUNCTION
12,375.00
(PYELOPLASTY)1
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