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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | REPAIRGASTROSCHISIS | 43867-00[1003] | 370233 | 4386700 | Y | 30,000.00 | |
2 | REPIARESOPHAGEAL STRICTURE | 41819-00[862] | 370234 | 4181900 | Y | 45,000.00 | |
3 | Revision of Sleeve Gastrectomy | 370235 | Y | 55,000.00 | |||
2 | RIGHT HEMICOLECTOMY 1 | 32003-01[913] | 370236 | 3200301 | Y | 10,000.00 | |
2 | RIGID PROCTO-SIGMOIDOSCOPY W/ BIOPSY1 | 32084-01[911] | 370237 | 3208401 | Y | 3,465.00 | |
2 | SCLEROTHERAPY ESOPHAGEAL | 30476-00[851] | 370238 | 3047600 | Y | 2,250.00 | |
0 | SCREENING PULSE OXIMETER | 370239 | 1,000.00 | ||||
2 | SIMPLE LOW ANAL FISTULA | 370240 | 3215900 | Y | 4,500.00 | ||
3 | SIMPLE MASTECTOMY INC. BIOPSY | 31518-00[1748] | 370241 | 3151800 | Y | 15,000.00 | |
3 | SIMPLE MASTOIDECTOMY (CORTICAL | 41545-00[323] | 370242 | 4154500 | Y | 5,940.00 | |
MASTOIDECTOMY)1 | |||||||
2 | SPERMATOCELE | 370243 | 3760100 | Y | 4,500.00 |
REPAIRGASTROSCHISIS
30,000.00
REPIARESOPHAGEAL STRICTURE
45,000.00
Revision of Sleeve Gastrectomy
55,000.00
RIGHT HEMICOLECTOMY 1
10,000.00
RIGID PROCTO-SIGMOIDOSCOPY W/ BIOPSY1
3,465.00
SCLEROTHERAPY ESOPHAGEAL
2,250.00
SCREENING PULSE OXIMETER
1,000.00
SIMPLE LOW ANAL FISTULA
4,500.00
SIMPLE MASTECTOMY INC. BIOPSY
15,000.00
SIMPLE MASTOIDECTOMY (CORTICAL
5,940.00
MASTOIDECTOMY)1
SPERMATOCELE
4,500.00
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