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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | RADICAL NECK DISSECTION | 41557-001 | 360308 | 8,000.00 | |||
0 | RECONST.OF TYMPANIC MEMBRANE | 41527-001 | 360309 | 10,000.00 | |||
1 | RECONSTRUCTIONEXTERNAL AUDITORY CANAL | 41512-00[305] | 360310 | 4151200 | Y | 27,000.00 | |
0 | RED FX. NASAL BONES | 90133-001 | 360311 | 2,700.00 | |||
1 | REDUCTION OF FRACTURED NASAL BONE | 47738-00[1365] | 360312 | 4773800 | Y | 2,250.00 | |
2 | REDUCTION OF NASAL BONE | 47738-00[1365] | 360313 | 4773800 | Y | 7,500.00 | |
0 | REM. FB EAR | 41500-00 | 360314 | 160 | |||
0 | REM. FB IMPACTED IN EAR (GA) | 41503-001 | 360315 | 1,500.00 | |||
0 | REM. FB NOSE | 41659-001 | 360316 | 130 | |||
0 | REMOVAL - FOREIGN BODY FROM PHARYNX/NOSE/THROAT/EAR(CERUMEN) GA | 41659-00[372] | 360317 | 3006101 | 1,200.00 | ||
0 | REMOVAL- FOREIGN BODY, NOSE/ EAR/ THROAT | 41500-00[301] | 360318 | 4165900 | 80 | ||
0 | REMOVAL OF F.B. FROM THROAT | 30061-011 | 360319 | 220 |
RADICAL NECK DISSECTION
8,000.00
RECONST.OF TYMPANIC MEMBRANE
10,000.00
RECONSTRUCTIONEXTERNAL AUDITORY CANAL
27,000.00
RED FX. NASAL BONES
2,700.00
REDUCTION OF FRACTURED NASAL BONE
2,250.00
REDUCTION OF NASAL BONE
7,500.00
REM. FB EAR
160
REM. FB IMPACTED IN EAR (GA)
1,500.00
REM. FB NOSE
130
REMOVAL - FOREIGN BODY FROM PHARYNX/NOSE/THROAT/EAR(CERUMEN) GA
1,200.00
REMOVAL- FOREIGN BODY, NOSE/ EAR/ THROAT
80
REMOVAL OF F.B. FROM THROAT
220
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