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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | BIMEATAL ENDOSCOPIC FESS | 41764-001 | 360044 | 6,000.00 | |||
1 | BIOPSY SALIVARY GLAND | 30094-09[397] | 360045 | 3009409 | Y | 52,500.00 | |
0 | U/S of Thyroid Gland | 340025 | 76536 | 250 | |||
0 | ADM - COLONOSCOPY DIAGNOSTIC | 32090-00[905] | 350001 | 3209000 | 1,900.00 | ||
0 | ADM - COLONOSCOPY THERAPEUTIC | 32090-00[905] | 350002 | 3,200.00 | |||
0 | ADM - E.R.C.P. THERAPEUTIC | 30484-00[957] | 350003 | 5,200.00 | |||
0 | ADM- E.R.C.P. - DIAGNOSTIC | 30484-00[957] | 350004 | 3048400 | 3,900.00 | ||
0 | ADM- ESOPHAGEAL DILATION AND STENTING | 30490-00[853] | 350005 | 3049000 | 5,200.00 | ||
0 | ADM- PERCUTANEOUS ENDO.GASTRO (PEG) | 350006 | 3048100 | 3,900.00 | |||
0 | ADM- UGI ENDOSCOPY DIAGNOSTIC | 30473-00[1005] | 350007 | 43234 | 1,000.00 | ||
0 | ADM- UPPER UGI THERAPEUTIC | 30473-00[1005] | 350008 | 3047300 | 3,200.00 | ||
0 | BRONCHOSCOPY RIGID - DX. | 41889-00[543] | 350009 | 4189200 | 3,200.00 |
BIMEATAL ENDOSCOPIC FESS
6,000.00
BIOPSY SALIVARY GLAND
52,500.00
U/S of Thyroid Gland
250
ADM - COLONOSCOPY DIAGNOSTIC
1,900.00
ADM - COLONOSCOPY THERAPEUTIC
3,200.00
ADM - E.R.C.P. THERAPEUTIC
5,200.00
ADM- E.R.C.P. - DIAGNOSTIC
3,900.00
ADM- ESOPHAGEAL DILATION AND STENTING
5,200.00
ADM- PERCUTANEOUS ENDO.GASTRO (PEG)
3,900.00
ADM- UGI ENDOSCOPY DIAGNOSTIC
1,000.00
ADM- UPPER UGI THERAPEUTIC
3,200.00
BRONCHOSCOPY RIGID - DX.
3,200.00
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