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Days	BS Description E	ICD	IOS BS	CPT	Price
0	TRANSANT. MAX. ART. LIGATION	41716-04	360375		6,400.00
0	TRANSMAST. LABYRINTHECTOMY	41572-00	360376		7,300.00
0	TRANSMAST. VESTB. NEURECTOMY	41596-001	360377		8,800.00
0	TRANSTYMP. LABYRINTHECTOMY	41572-001	360378		6,400.00
0	TREAT.FACIAL LESION-LASER(UNI)	41584-011	360379		5,800.00
0	TREATMENT OF FACIAL LESION	41584-011	360380		6,300.00
0	TREATMENT OF SPEECH, LANGUAGE,VOICE COMMUNICATION, AND OR AUDITORY PROCESSING DISORDER(INCLUDE AURAL REHAB.)GROUP 2 OR		360381	9607000	80
	MORE INDIVIDUAL/ HOUR- 1 UNIT(15 MINUTES)
0	TREATMENT OF SPEECH,LANGUAGE ,VOICE COMMUNICATION AND OR AUDITORY PROCESSING DISORDER(INCLUDE AURAL REHAB) GROUP 2 OR MORE INDIVIDUAL/HOUR. - 3 UNITS(45 MINUTES)		360382		200
0	TREATMENT OF SPEECH,LANGUAGE,VOICE COMMUNICATION AND OR AUDITORY PROCESSING DISORDER(INCLUDE AURAL REHAB.) GROUP 2 OR MORE INDIVIDUAL/HOUR-2 UNITS (30 MINUTES)		360383		140
0	TREATMENT OF SPEECH,LANGUAGE,VOICE,COMMUNICATION,AND / OR AUDITORY PROCESSING DISORDER ( INCLUDES AURAL		360384		280
	REHABILITATION ) INDIVIDUAL / HOUR

Price List

TRANSANT. MAX. ART. LIGATION

6,400.00

TRANSMAST. LABYRINTHECTOMY

7,300.00

TRANSMAST. VESTB. NEURECTOMY

8,800.00

TRANSTYMP. LABYRINTHECTOMY

6,400.00

TREAT.FACIAL LESION-LASER(UNI)

5,800.00

TREATMENT OF FACIAL LESION

6,300.00

TREATMENT OF SPEECH, LANGUAGE,VOICE COMMUNICATION, AND OR AUDITORY PROCESSING DISORDER(INCLUDE AURAL REHAB.)GROUP 2 OR

MORE INDIVIDUAL/ HOUR- 1 UNIT(15 MINUTES)

TREATMENT OF SPEECH,LANGUAGE ,VOICE COMMUNICATION AND OR AUDITORY PROCESSING DISORDER(INCLUDE AURAL REHAB) GROUP 2 OR MORE INDIVIDUAL/HOUR. - 3 UNITS(45 MINUTES)

200

TREATMENT OF SPEECH,LANGUAGE,VOICE COMMUNICATION AND OR AUDITORY PROCESSING DISORDER(INCLUDE AURAL REHAB.) GROUP 2 OR MORE INDIVIDUAL/HOUR-2 UNITS (30 MINUTES)

140

TREATMENT OF SPEECH,LANGUAGE,VOICE,COMMUNICATION,AND / OR AUDITORY PROCESSING DISORDER ( INCLUDES AURAL

280

REHABILITATION ) INDIVIDUAL / HOUR

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