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Days	BS Description E	ICD	IOS BS	CPT	PACKAGE	Price
3	COMPLETE RECTAL PROLAPSE		370053	3212000	Y	12,000.00
3	COMPLETE THYROIDECTOMY (TOTAL)2	30306-00[115]	370054	3025600	Y	9,900.00
3	CONGENITAL INTESTINAL STRICTURE		370055	3056400	Y	12,000.00
3	CONGENITAL PYLORIC STENOSIS		370056	3047501	Y	12,000.00
0	DIAGNOSTIC AND THERAPEUTIC STUDY(SPLIT STUDY) COMBINED		370057			3,600.00
3	DIAGNOSTIC ESOPHAGOSCOPY1	30473-03[850]	370058	3047303	Y	3,465.00
3	DIAGNOSTIC LAPAROSCOPY	30390-00[984]	370059	3039000	Y	4,500.00
3	DIAGNOSTIC PROCEDURE OF ABDOMINAL REGION		370060	3039000	Y	3,465.00
0	TREATMENT OF SPEECH,LANGUAGE,VOICE,COMMUNICATION,AND/OR AUDITORY PROCESSING DISORDER ( INCLUDES AURAL REHABILITATION ) GROUP TOW OR MORE INDIVIDUAL / HOUR .		360385			280
0	TREATMENT OF SWALLOWING DYSFUNCTION &/OR ORAL FUNCTION FOR FEEDING-2 UNITS(30 MINUTES)		360386	97799		140
0	TREATMENT OF SWALLOWING DYSFUNCTION &/OR ORAL FUNCTION FOR FEEDING-3 UNITS(45 MINUTES)		360387			200
	TREATMENT OF SWALLOWING DYSFUNCTION AND OR ORAL FUNCTION FOR FEEDING-1 UNIT (15 MINUTES)		360388			80

Price List

COMPLETE RECTAL PROLAPSE

12,000.00

COMPLETE THYROIDECTOMY (TOTAL)2

9,900.00

CONGENITAL INTESTINAL STRICTURE

12,000.00

CONGENITAL PYLORIC STENOSIS

12,000.00

DIAGNOSTIC AND THERAPEUTIC STUDY(SPLIT STUDY) COMBINED

3,600.00

DIAGNOSTIC ESOPHAGOSCOPY1

3,465.00

DIAGNOSTIC LAPAROSCOPY

4,500.00

DIAGNOSTIC PROCEDURE OF ABDOMINAL REGION

3,465.00

TREATMENT OF SPEECH,LANGUAGE,VOICE,COMMUNICATION,AND/OR AUDITORY PROCESSING DISORDER ( INCLUDES AURAL REHABILITATION ) GROUP TOW OR MORE INDIVIDUAL / HOUR .

280

TREATMENT OF SWALLOWING DYSFUNCTION &/OR ORAL FUNCTION FOR FEEDING-2 UNITS(30 MINUTES)

140

TREATMENT OF SWALLOWING DYSFUNCTION &/OR ORAL FUNCTION FOR FEEDING-3 UNITS(45 MINUTES)

200

TREATMENT OF SWALLOWING DYSFUNCTION AND OR ORAL FUNCTION FOR FEEDING-1 UNIT (15 MINUTES)

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