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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ALVEOLOPLASTY,W/MULTIPLE EXTRACTION - PER SITE GA | 97331-00[959] | 320013 | 2007310 | 640 | ||
0 | ALVEOPLASTY/QUADRANT | 97331-00[959] | 320014 | 41874 | 710 | ||
0 | AMALGAM BUILD UP | 320015 | 2002110 | 440 | |||
0 | AMALGAM BUILD-UP + RETEN. PIN | 320016 | 2002950 | 750 | |||
0 | AMALGAM CORE WITH PREFABRICATED POST | 320017 | 2006972 | 440 | |||
0 | AMALGAM FILLING 1 SURFACE | 97511-01[465] | 320018 | 2002110 | 160 | ||
0 | PDA CLOSURE DEVICE BY AMPLATZER / OCLOTECH | 35321-01[768] | 310139 | 3532101 | 35,000.00 | ||
under G.A. | |||||||
0 | PDA CLOSURE DEVICE BY AMPLATZER / OCLOTECH | 35321-01[768] | 310140 | 13,000.00 | |||
under L.A. | |||||||
0 | PDA CLOSURE DEVICE BY COIL | 35321-01[768] | 310141 | 20,000.00 | |||
0 | PDA LIGATION | 34106-19[726] | 310142 | 3410619 | 15,000.00 |
ALVEOLOPLASTY,W/MULTIPLE EXTRACTION - PER SITE GA
640
ALVEOPLASTY/QUADRANT
710
AMALGAM BUILD UP
440
AMALGAM BUILD-UP + RETEN. PIN
750
AMALGAM CORE WITH PREFABRICATED POST
440
AMALGAM FILLING 1 SURFACE
160
PDA CLOSURE DEVICE BY AMPLATZER / OCLOTECH
35,000.00
under G.A.
PDA CLOSURE DEVICE BY AMPLATZER / OCLOTECH
13,000.00
under L.A.
PDA CLOSURE DEVICE BY COIL
20,000.00
PDA LIGATION
15,000.00
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