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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | UGI ENDO & COL'COPY RX W/ POLYPECTOMY | 30478-04[1008] | 350049 | 3047804 | 3,200.00 | ||
0 | ACOUSTIC REFLEXES | 360001 | 92568 | 160 | |||
0 | ADENOIDECTOMY (1 DAY PACKAGE) | 41801-00[412] | 360002 | 4180100 | 3,200.00 | ||
0 | AIDED TESTING | 360003 | 92586 | 160 | |||
0 | AIR AND BONE CONDUCTION ABR | 360004 | 1131200 | 560 | |||
0 | ALAR COLLAPSE OPER.UNIL-ALARPL | 90133-00 | 360005 | 4,700.00 | |||
0 | AMPUTATION - EAR, COMPLETE/ PARTIAL | 90111-00[306] | 360006 | 69140 | 3,200.00 | ||
0 | ANT. NASAL PACK G.A. | 41677-00 | 360007 | 1,600.00 | |||
0 | ANT. NASAL PADS BILATERAL | 41677-001 | 360008 | 260 | |||
0 | ANT. NASAL PADS UNILATERAL | 41677-001 | 360009 | 130 | |||
2 | ANTRAL WASHOUT | 360010 | Y | 3,000.00 | |||
1 | ANTRAL WASHOUT ( ONE SINUS) | 41704-00[382] | 360011 | 4170400 | Y | 750 |
UGI ENDO & COL'COPY RX W/ POLYPECTOMY
3,200.00
ACOUSTIC REFLEXES
160
ADENOIDECTOMY (1 DAY PACKAGE)
3,200.00
AIDED TESTING
160
AIR AND BONE CONDUCTION ABR
560
ALAR COLLAPSE OPER.UNIL-ALARPL
4,700.00
AMPUTATION - EAR, COMPLETE/ PARTIAL
3,200.00
ANT. NASAL PACK G.A.
1,600.00
ANT. NASAL PADS BILATERAL
260
ANT. NASAL PADS UNILATERAL
130
ANTRAL WASHOUT
3,000.00
ANTRAL WASHOUT ( ONE SINUS)
750
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