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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
1 | Removal of Gastric banding (Simple) | 370221 | Y | 17,000.00 | |||
1 | REMOVAL OF INTRALUMINAL F.B FROM STOMACH | 30478-00[1006] | 370222 | 3047800 | Y | 2,970.00 | |
1 | REMOVAL OF INTRALUMINAL F.B. FROM ANUS W/O INCISION1 | 92090-00[1897] | 370223 | 9209000 | Y | 2,673.00 | |
1 | REMOVAL OF OTHER THERAPEUTIC DEVICE (K WIRE OR | 47927-00[1554] | 370224 | 4792700 | Y | 2,475.00 | |
1 | REMOVAL OF THROMBOSED PILE OR EXC. OF PERIANAL | 32138-00[941] | 370225 | 3213800 | Y | 3,750.00 | |
2 | removal of totally implanted vasc access device1 | 34530-05[766] | 370226 | 3453005 | Y | 2,970.00 | |
2 | REPAIR OF DIAPHRAGMATIC HERNIAABDOMINAL APPROACH | 30601-00[998] | 370227 | 3060100 | Y | 11,385.00 | |
2 | REPAIR OF GASTRIC/INTESTINAL PERFORATION | 30375-10[887] | 370228 | 3037510 | Y | 12,000.00 | |
2 | REPAIR OF RECTOCELE (POSTERIOR COLPORRHAPHY) | 35571-00[1283] | 370229 | 3557100 | Y | 4,950.00 | |
3 | REPAIR OF THE BOWEL | 30375-19[901] | 370230 | 3037519 | Y | 9,000.00 | |
3 | REPAIR OF THE BOWEL - COMPLICATED | 30375-19[901] | 370231 | 3037519 | Y | 12,000.00 | |
2 | REPAIR OF UMBILICAL HERNIA1 | 30617-00[992] | 370232 | 3061700 | Y | 4,950.00 |
Removal of Gastric banding (Simple)
17,000.00
REMOVAL OF INTRALUMINAL F.B FROM STOMACH
2,970.00
REMOVAL OF INTRALUMINAL F.B. FROM ANUS W/O INCISION1
2,673.00
REMOVAL OF OTHER THERAPEUTIC DEVICE (K WIRE OR
2,475.00
REMOVAL OF THROMBOSED PILE OR EXC. OF PERIANAL
3,750.00
removal of totally implanted vasc access device1
2,970.00
REPAIR OF DIAPHRAGMATIC HERNIAABDOMINAL APPROACH
11,385.00
REPAIR OF GASTRIC/INTESTINAL PERFORATION
12,000.00
REPAIR OF RECTOCELE (POSTERIOR COLPORRHAPHY)
4,950.00
REPAIR OF THE BOWEL
9,000.00
REPAIR OF THE BOWEL - COMPLICATED
12,000.00
REPAIR OF UMBILICAL HERNIA1
4,950.00
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