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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)1 | 64-01[370]41737-09[ | 360172 | 4176401 | Y | 9,504.00 | |
0 | FUNDO ENDOSCOPIC SINUS SURGERY (FESS) | 41764-01[370] | 360173 | 4176401 | 4,000.00 | ||
0 | HARVESTING OF AURICLE CARTILAGE | 90608-00[1561] | 360174 | 9060800 | 2,000.00 | ||
0 | HEARING AID EVALUATION | 96024-00[1822] | 360175 | 9602400 | 200 | ||
0 | HEARING AID FITTING | 96092-00[1870] | 360176 | 9609200 | 80 | ||
0 | HEARING AID FOLLOW UP | 360177 | 9606800 | 80 | |||
3 | HEMI LARYNGECTOMY | 41837-00[524] | 360178 | 4183700 | Y | 27,000.00 | |
0 | I & D ABS. EXT. EAR | 90111-001 | 360179 | 270 | |||
0 | I & D MASTOID ABSCESS | 41557-03 | 360180 | 2,500.00 | |||
0 | I & D PARAPHX ABS. | 41807-00 | 360181 | 2,600.00 | |||
0 | I & D QUINZY | 90147-001 | 360182 | 390 | |||
0 | I & D RETOPHX ABS. | 90147-001 | 360183 | 2,000.00 |
FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)1
9,504.00
FUNDO ENDOSCOPIC SINUS SURGERY (FESS)
4,000.00
HARVESTING OF AURICLE CARTILAGE
2,000.00
HEARING AID EVALUATION
200
HEARING AID FITTING
80
HEARING AID FOLLOW UP
80
HEMI LARYNGECTOMY
27,000.00
I & D ABS. EXT. EAR
270
I & D MASTOID ABSCESS
2,500.00
I & D PARAPHX ABS.
2,600.00
I & D QUINZY
390
I & D RETOPHX ABS.
2,000.00
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