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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | Lymph Node biopsy ( L.N. Biopsy ) | 30075-00[805] | 370159 | 3007500 | 1,200.00 | ||
0 | Lymph Node fine needle aspiration( L.N FNA ) | 370160 | 1,000.00 | ||||
3 | MASTOIDECTOMY(RADICAL) | 41557-01[323] | 370161 | 4155701 | Y | 15,000.00 | |
3 | MASTOIDECTOMY(SIMPLE) | 41545-00[323] | 370162 | 4154500 | Y | 12,000.00 | |
0 | MDI | 370163 | 40 | ||||
0 | METHACHOLINE CHALLENGE | 370164 | 720 | ||||
0 | MIST TENT 12 HOURS | 370165 | 200 | ||||
0 | MIST TENT PER DAY | 370166 | 400 | ||||
0 | MULTIPLE SLEEP LATENCY TEST(MSLT) | 92012-00[1828] | 370167 | 2,000.00 | |||
1 | NON SURGICAL TREATMENT OF HEAMORRHOIDS | 32132-00[941] | 370168 | 3213200 | Y | 3,000.00 | |
3 | OPEN BIOPSY OF RECTUM (FULL THICKNESS)1 | 32096-00[932] | 370169 | 3209600 | Y | 3,465.00 | |
3 | OTHER HERNIA REPAIR (EXOMPHALOS)1 | 43870-00[924] | 370170 | 3487000 | Y | 5,940.00 |
Lymph Node biopsy ( L.N. Biopsy )
1,200.00
Lymph Node fine needle aspiration( L.N FNA )
1,000.00
MASTOIDECTOMY(RADICAL)
15,000.00
MASTOIDECTOMY(SIMPLE)
12,000.00
MDI
40
METHACHOLINE CHALLENGE
720
MIST TENT 12 HOURS
200
MIST TENT PER DAY
400
MULTIPLE SLEEP LATENCY TEST(MSLT)
2,000.00
NON SURGICAL TREATMENT OF HEAMORRHOIDS
3,000.00
OPEN BIOPSY OF RECTUM (FULL THICKNESS)1
3,465.00
OTHER HERNIA REPAIR (EXOMPHALOS)1
5,940.00
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