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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
1 | REMOVAL OF INTRALUMINAL F.B. NOSE (W/O | 41659-00[372] | 360320 | 4165900 | Y | 1,287.00 | |
INCISION)1 | |||||||
0 | REMOVAL OF VALLECULER CYST | 41813-001 | 360321 | 5,200.00 | |||
2 | REVISION RHINOPLASTY1 | 45650-00[1687] | 360322 | 4565000 | Y | 9,900.00 | |
0 | REVISION SEPTOPLASTY | 41671-031 | 360323 | 6,500.00 | |||
2 | REVISIONCLEFT PALATE REPAIR | 45710-00[1690] | 360324 | 4571000 | Y | 18,000.00 | |
2 | REVISIONMASTOIDECTOMY | 41566-00[327] | 360325 | 4156600 | Y | 22,500.00 | |
0 | RHINO. RECONSTRUCTION-PARTIAL | 90133-001 | 360326 | 11,600.00 | |||
0 | RHINO.RECONS.COMPLETE-STAGE II | 90133-001 | 360327 | 15,500.00 | |||
0 | RHINO.RECONST.COMPLETE-STAGE I | 90133-001 | 360328 | 15,500.00 | |||
0 | RHINOMANOMETRY | 90110-001 | 360329 | 350 | |||
0 | RHINOPLASTY | 90110-001 | 360330 | 7,300.00 |
REMOVAL OF INTRALUMINAL F.B. NOSE (W/O
1,287.00
INCISION)1
REMOVAL OF VALLECULER CYST
5,200.00
REVISION RHINOPLASTY1
9,900.00
REVISION SEPTOPLASTY
6,500.00
REVISIONCLEFT PALATE REPAIR
18,000.00
REVISIONMASTOIDECTOMY
22,500.00
RHINO. RECONSTRUCTION-PARTIAL
11,600.00
RHINO.RECONS.COMPLETE-STAGE II
15,500.00
RHINO.RECONST.COMPLETE-STAGE I
15,500.00
RHINOMANOMETRY
350
RHINOPLASTY
7,300.00
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