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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | U.G.I. ENDO DX WITH CLO TEST | 30473-01[1008] | 350045 | 3047301 | 2,500.00 | ||
0 | U.G.I. ENDO W/ BX - RX | 30473-01[1008] | 350046 | 3047301 | 1,900.00 | ||
0 | U.G.I. ENDOSCOPY DX | 30473-00[1005] | 350047 | 3047300 | 2,000.00 | ||
0 | UGI ENDO & COL COPY DX W/ BX | 30473-01[1008] | 350048 | 3047301 | 3,000.00 | ||
3 | EXCISION OF SKINRADICAL | 31205-00[1620] | 330017 | 3120500 | Y | 6,435.00 | |
0 | GLYCOLIC ACID PEELING | 45019-00 | 330018 | 228 | |||
0 | GLYCOLIC/SALICYLIC ACID PEELING | 45019-00 | 330019 | 312 | |||
0 | HAIR REMOVAL (LASER) AXILLAE | 30195-02 | 330020 | 576 | |||
0 | HAIR REMOVAL (LASER) CHIN | 30190-00 | 330021 | 408 | |||
0 | HAIR REMOVAL (LASER) LEGS | 30195-02 | 330022 | 3,500.00 | |||
0 | HAIR REMOVAL (LASER) MUSTACHE | 30190-00 | 330023 | 400 | |||
0 | HAIR REMOVAL (LASER) WHOLE BODY | 30195-03 | 330024 | 8,400.00 |
U.G.I. ENDO DX WITH CLO TEST
2,500.00
U.G.I. ENDO W/ BX - RX
1,900.00
U.G.I. ENDOSCOPY DX
2,000.00
UGI ENDO & COL COPY DX W/ BX
3,000.00
EXCISION OF SKINRADICAL
6,435.00
GLYCOLIC ACID PEELING
228
GLYCOLIC/SALICYLIC ACID PEELING
312
HAIR REMOVAL (LASER) AXILLAE
576
HAIR REMOVAL (LASER) CHIN
408
HAIR REMOVAL (LASER) LEGS
3,500.00
HAIR REMOVAL (LASER) MUSTACHE
400
HAIR REMOVAL (LASER) WHOLE BODY
8,400.00
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