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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
CARE,CONSUMABLES & LAB TEST) | |||||||
0 | REM FORGN BODY (ESOPHAGUS) | 30478-10[852] | 350034 | 3047810 | 3,000.00 | ||
0 | SIGMOIDOSCOPY DX. FIBEROPTIC | 32084-00[905] | 350035 | 3208400 | 1,000.00 | ||
0 | SIGMOIDOSCOPY DX. FIBEROPTIC W/ BX | 32084-01[911] | 350036 | 3208401 | 1,400.00 | ||
0 | SIGMOIDOSCOPY DX. RIGID | 32075-00[904] | 350037 | 3207500 | 430 | ||
0 | SIGMOIDOSCOPY DX. RIGID W/ BX | 32075-01[910] | 350038 | 3207501 | 970 | ||
0 | SIGMOIDOSCOPY RX. FIBEROPTIC W/ POLYPECTOMY | 32087-00[911] | 350039 | 3208700 | 1,900.00 | ||
0 | SIGMOIDOSCOPY RX. RIGID | 32075-00[904] | 350040 | 3207500 | 650 | ||
0 | SYNACTHEN AND GNRH STIMULATION TEST (+LAB) | 350041 | 80426 | 4,720.00 | |||
0 | SYNACTHEN STIMULATION TEST(INCL. LABS.) | 350042 | 1,520.00 | ||||
0 | TRH STIMULATION TEST (+L) | 350043 | 1,600.00 | ||||
0 | U.G.I. ENDO DX W/ BX | 30473-01[1008] | 350044 | 3047301 | 2,500.00 |
CARE,CONSUMABLES & LAB TEST)
REM FORGN BODY (ESOPHAGUS)
3,000.00
SIGMOIDOSCOPY DX. FIBEROPTIC
1,000.00
SIGMOIDOSCOPY DX. FIBEROPTIC W/ BX
1,400.00
SIGMOIDOSCOPY DX. RIGID
430
SIGMOIDOSCOPY DX. RIGID W/ BX
970
SIGMOIDOSCOPY RX. FIBEROPTIC W/ POLYPECTOMY
1,900.00
SIGMOIDOSCOPY RX. RIGID
650
SYNACTHEN AND GNRH STIMULATION TEST (+LAB)
4,720.00
SYNACTHEN STIMULATION TEST(INCL. LABS.)
1,520.00
TRH STIMULATION TEST (+L)
1,600.00
U.G.I. ENDO DX W/ BX
2,500.00
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