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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | DECOMPRESSION LAMINECTOMY (THREE LEVELS)1 | 90024-01[48] | 360084 | 9002401 | Y | 14,850.00 | |
3 | DIAGNOSTIC ENDOSCOPY OF NASAL SINUSES (W/O | 41764-01[370] | 360085 | 4176401 | Y | 3,762.00 | |
BIOPSY)1 | |||||||
0 | DIATHERMY - SUBMUCOUS OF NASAL TURBINATE ( | 41674-00[374] | 360086 | 30801 | 3,200.00 | ||
SMD( )DAY CASE( �UNILATERAL | |||||||
0 | DIATHERMY - SUBMUCOUS OF TURBINATE (SMD)- | 41674-00[374] | 360087 | 30801 | 2,800.00 | ||
BILATERAL | |||||||
0 | DIATHERMY - SUBMUCOUS OF TURBINATE (SMD)- | 41674-00[374] | 360088 | 30801 | 1,600.00 | ||
UNILATERAL | |||||||
0 | DIRECT LARYNGOSCOPY | 41849-001 | 360089 | 2,000.00 | |||
3 | DIRECT LARYNGOSCOPY W/ BIOPSY | 41849-00[520] | 360090 | 4184900 | Y | 2,250.00 | |
0 | DIV OF NASAL ADHESIONS GA-BILA | 41683-001 | 360091 | 2,700.00 |
DECOMPRESSION LAMINECTOMY (THREE LEVELS)1
14,850.00
DIAGNOSTIC ENDOSCOPY OF NASAL SINUSES (W/O
3,762.00
BIOPSY)1
DIATHERMY - SUBMUCOUS OF NASAL TURBINATE (
3,200.00
SMD( )DAY CASE( �UNILATERAL
DIATHERMY - SUBMUCOUS OF TURBINATE (SMD)-
2,800.00
BILATERAL
DIATHERMY - SUBMUCOUS OF TURBINATE (SMD)-
1,600.00
UNILATERAL
DIRECT LARYNGOSCOPY
2,000.00
DIRECT LARYNGOSCOPY W/ BIOPSY
2,250.00
DIV OF NASAL ADHESIONS GA-BILA
2,700.00
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