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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | GASTRIC Bypass Laparoscopic | 370105 | Y | 50,000.00 | |||
3 | GASTROSTOMYCOLOSTOMY | 75-07[881]30375-04[ | 370106 | 3037507 | Y | 7,500.00 | |
0 | HAND HELD BRONCHODILATOR (NEBULIZATION | 370107 | 40 | ||||
TREATMENT) | |||||||
1 | HEMORRHOIDECTOMY BY LIGATION-IN PATIENT | 32135-00[941] | 370108 | 3213500 | Y | 6,750.00 | |
1 | HEMORRHOIDECTOMY BY LIGATION-OPD | 32135-00[941] | 370109 | 3213500 | Y | 3,750.00 | |
2 | APPENDECTOMY(LAPAROSCOPIC) | 30572-00[926] | 370014 | 3057200 | Y | 8,415.00 | |
1 | ASPIRATION OF BREAST (ABSCESS CYST)1 | 90725-00[1741] | 370015 | 9072500 | Y | 2,475.00 | |
0 | BASAL METABOLIC RATE | 370016 | 320 | ||||
0 | BEDSIDE PFT (PULMONARY FUNCION TEST) | 11506-00[1849] | 370017 | 1150600 | 120 | ||
2 | BILATERAL RADICAL MASTECTOMY1 | 18-01[1748]30332-00[ | 370018 | 3151801 | Y | 15,840.00 | |
2 | BILATERAL REPAIR OF FEMORAL HERNIA1 | 30614-01[991] | 370019 | 3061401 | Y | 7,920.00 |
GASTRIC Bypass Laparoscopic
50,000.00
GASTROSTOMYCOLOSTOMY
7,500.00
HAND HELD BRONCHODILATOR (NEBULIZATION
40
TREATMENT)
HEMORRHOIDECTOMY BY LIGATION-IN PATIENT
6,750.00
HEMORRHOIDECTOMY BY LIGATION-OPD
3,750.00
APPENDECTOMY(LAPAROSCOPIC)
8,415.00
ASPIRATION OF BREAST (ABSCESS CYST)1
2,475.00
BASAL METABOLIC RATE
320
BEDSIDE PFT (PULMONARY FUNCION TEST)
120
BILATERAL RADICAL MASTECTOMY1
15,840.00
BILATERAL REPAIR OF FEMORAL HERNIA1
7,920.00
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