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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | CYSTECTOMY PARTIAL | 37000-01[1102] | 380014 | Y | 20,000.00 | ||
3 | CYSTECTOMY TOTAL | 37014-00[1102] | 380015 | 3701400 | Y | 22,500.00 | |
3 | CYSTECTOMY TOTAL (COMPLECATED) | 37014-00[1102] | 380016 | 3701400 | Y | 30,000.00 | |
3 | CYSTECTOMYRADICAL | 37014-00[1102] | 380017 | 3701400 | Y | 40,000.00 | |
3 | CYSTOCOPY W/ URETERIC CATHETER (ONE SIDE | 36824-00[1066] | 380018 | 3682400 | Y | 9,750.00 | |
3 | CYSTOCOPY WITH BIOPSY | 36836-00[1098] | 380019 | 3683600 | Y | 9,000.00 | |
3 | CYSTOLITHOTOMY (CYSTOLITHOLAPAXY)1 | 37008-03[1094] | 380020 | 3700803 | Y | 6,138.00 | |
3 | CYSTOSCOPY & URETHRAL DILATATION. | 36803-01[1086] | 380021 | 3680301 | Y | 2,250.00 | |
3 | CYSTOSCOPY /URETTERIC CATHETER (BOTH SIDES) | 36824-01[1066] | 380022 | 3682401 | Y | 15,000.00 | |
3 | CYSTOSCOPY DIAGNOSTIC - G.A - | 36812-00[1089] | 380023 | 3681200 | Y | 3,750.00 | |
3 | CYSTOURETHROSCOPY + DILATATION BLADDER NECK | 36827-00[1108] | 380024 | 3682700 | Y | 6,000.00 | |
3 | CYSTOURETHROSCOPY + LOOP ST EXT. | 36812-00[1089] | 380025 | 3681200 | Y | 6,000.00 |
CYSTECTOMY PARTIAL
20,000.00
CYSTECTOMY TOTAL
22,500.00
CYSTECTOMY TOTAL (COMPLECATED)
30,000.00
CYSTECTOMYRADICAL
40,000.00
CYSTOCOPY W/ URETERIC CATHETER (ONE SIDE
9,750.00
CYSTOCOPY WITH BIOPSY
9,000.00
CYSTOLITHOTOMY (CYSTOLITHOLAPAXY)1
6,138.00
CYSTOSCOPY & URETHRAL DILATATION.
2,250.00
CYSTOSCOPY /URETTERIC CATHETER (BOTH SIDES)
15,000.00
CYSTOSCOPY DIAGNOSTIC - G.A -
3,750.00
CYSTOURETHROSCOPY + DILATATION BLADDER NECK
6,000.00
CYSTOURETHROSCOPY + LOOP ST EXT.
6,000.00
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