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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | BIL. TURBINECTOMY (LASER) | 41689-031 | 360033 | 5,000.00 | |||
1 | BILATERAL ENDOSCOPIC LIGATION and DIVISION OF | 8-00[1257]35688-00[ | 360034 | 3568800 | Y | 5,940.00 | |
FALLOPIAN TUBES1 | |||||||
1 | BILATERAL ETHMOIDECTOMY (INTRA-NASAL OR FRONTAL) UNI. | 37-03[386]41737-03[ | 360035 | 4173703 | Y | 7,920.00 | |
1 | BILATERAL INTRANASAL ANTROSTOMY1 | 41706-02[387] | 360036 | 4170602 | Y | 3,960.00 | |
1 | BILATERAL LINEAR CAUTERY INFECTION TURBINATE | 74-00[374]41674-00[ | 360037 | 4167400 | Y | 1,500.00 | |
1 | BILATERAL MYRINGOTOMY | 41626-01[309] | 360038 | 4163201 | Y | 2,970.00 | |
1 | BILATERAL MYRINGOTOMY W/ INSERTION OF TUBES1 | 41632-01[309] | 360039 | 4163201 | Y | 3,960.00 | |
1 | BILATERAL NASAL POLYPECTOMY1 | 37-06[385]41737-06[ | 360040 | 4173706 | Y | 4,200.00 | |
2 | BILATERAL OTOPLASTY1 | 11-00[306]90111-00[ | 360041 | 9011100 | Y | 6,930.00 | |
5 | BILATERAL TURBINECTOMY OR BIL. PARTIAL INFERIOR | 46-04[191]42746-04[ | 360042 | 4274604 | Y | 3,861.00 | |
1 | BILATERAL TYMPANOPLASTY1 | 30-00[313]41530-00[ | 360043 | 4153000 | Y | 12,672.00 |
BIL. TURBINECTOMY (LASER)
5,000.00
BILATERAL ENDOSCOPIC LIGATION and DIVISION OF
5,940.00
FALLOPIAN TUBES1
BILATERAL ETHMOIDECTOMY (INTRA-NASAL OR FRONTAL) UNI.
7,920.00
BILATERAL INTRANASAL ANTROSTOMY1
3,960.00
BILATERAL LINEAR CAUTERY INFECTION TURBINATE
1,500.00
BILATERAL MYRINGOTOMY
2,970.00
BILATERAL MYRINGOTOMY W/ INSERTION OF TUBES1
3,960.00
BILATERAL NASAL POLYPECTOMY1
4,200.00
BILATERAL OTOPLASTY1
6,930.00
BILATERAL TURBINECTOMY OR BIL. PARTIAL INFERIOR
3,861.00
BILATERAL TYMPANOPLASTY1
12,672.00
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