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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SMD TURBINATE, UNILATERAL | 41689-001 | 360347 | 1,800.00 | |||
0 | SMR NASAL SEPTUM | 41671-00 | 360348 | 3,900.00 | |||
0 | SPEECH AUDIOMETRY | 11315-01[1837] | 360349 | 92555 | 200 | ||
2 | STAPEDECTOMY | 41608-00[317] | 360350 | 4160800 | Y | 13,500.00 | |
0 | STENTING OF EXTERNAL AUDITORY CANAL(EAC) | 90111-00[306] | 360351 | 9011100 | 2,400.00 | ||
0 | STROBOSCOPY | 41764-001 | 360352 | 520 | |||
0 | SUBMAND STONE REM. PER ORAL | 90160-001 | 360353 | 1,500.00 | |||
0 | SUBMAND. SIALODENECTOMY | 90160-001 | 360354 | 4,800.00 | |||
2 | SUBMUC. RESEC. OF NASAL. SEPTUM (SMR) OR REV. SMR.1 | 41671-00[378] | 360355 | 4167100 | Y | 4,950.00 | |
0 | SUBMUCOUS RESECTION (SMR)- PARTIAL/ COMPLETE | 360356 | 4169201 | 3,200.00 | |||
0 | SUPERFICIAL PAROTOIDECTOMY | 90116-001 | 360357 | 5,900.00 | |||
0 | SURG.EXC. OF RHYNOPHYMA | 31400-001 | 360358 | 7,100.00 |
SMD TURBINATE, UNILATERAL
1,800.00
SMR NASAL SEPTUM
3,900.00
SPEECH AUDIOMETRY
200
STAPEDECTOMY
13,500.00
STENTING OF EXTERNAL AUDITORY CANAL(EAC)
2,400.00
STROBOSCOPY
520
SUBMAND STONE REM. PER ORAL
1,500.00
SUBMAND. SIALODENECTOMY
4,800.00
SUBMUC. RESEC. OF NASAL. SEPTUM (SMR) OR REV. SMR.1
4,950.00
SUBMUCOUS RESECTION (SMR)- PARTIAL/ COMPLETE
3,200.00
SUPERFICIAL PAROTOIDECTOMY
5,900.00
SURG.EXC. OF RHYNOPHYMA
7,100.00
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