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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | HERNIORRAPHY-INGUINAL-UNILATERAL | 30614-02[990] | 370121 | 3061402 | Y | 6,750.00 | |
2 | HERNIOTOMY & HERNIOPLASTY | 370122 | 3061700 | Y | 7,500.00 | ||
3 | HIGH ANAL FISTULA & BRANCHED ANAL FISTULA | 370123 | 3216200 | Y | 6,750.00 | ||
3 | HYDROCELECTOMY | 30631-00[1182] | 370124 | 3063100 | Y | 6,000.00 | |
0 | INCENTIVE SPIROMETRY | 11506-00[1849] | 370125 | 115000 | 40 | ||
3 | INCISION & DRAINAGE-UNDE L.A.-SMALL | 30223-02[1606] | 370126 | 3022302 | Y | 750 | |
3 | INCISION & DRAINAGE-UNDER G.A.-LARGE | 370127 | 3022302 | Y | 2,700.00 | ||
2 | INCISION OF PILONIDAL SINUS OR CYST21 | 30676-00[1659] | 370128 | 3067600 | Y | 4,950.00 | |
3 | INCISION OF RECTAL STRUCTURE(SPHINCTERECTOMY | 90338-00[930] | 370129 | 9033800 | Y | 4,455.00 | |
3 | INCISION W/ DRAIN. OF SKIN and SBCUT.TISSUE | 30223-02[1606] | 370130 | 3022302 | Y | 2,970.00 | |
3 | INCISIONAL HERNIA REPAIR (LEVEL I )1 | 30403-01[996] | 370131 | 3040301 | Y | 7,920.00 | |
3 | INCISIONAL HERNIA REPAIR (LEVEL I I )1 | 30403-01[996] | 370132 | 3040301 | Y | 9,405.00 |
HERNIORRAPHY-INGUINAL-UNILATERAL
6,750.00
HERNIOTOMY & HERNIOPLASTY
7,500.00
HIGH ANAL FISTULA & BRANCHED ANAL FISTULA
6,750.00
HYDROCELECTOMY
6,000.00
INCENTIVE SPIROMETRY
40
INCISION & DRAINAGE-UNDE L.A.-SMALL
750
INCISION & DRAINAGE-UNDER G.A.-LARGE
2,700.00
INCISION OF PILONIDAL SINUS OR CYST21
4,950.00
INCISION OF RECTAL STRUCTURE(SPHINCTERECTOMY
4,455.00
INCISION W/ DRAIN. OF SKIN and SBCUT.TISSUE
2,970.00
INCISIONAL HERNIA REPAIR (LEVEL I )1
7,920.00
INCISIONAL HERNIA REPAIR (LEVEL I I )1
9,405.00
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