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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | INTRA AORTIC BALLOON PUMP )IABP | 310110 | 12,000.00 | ||||
1 | INTRA VASCULAR (INTRA-CORONARY) DIAGNOSTIC | 55113-00[1942] | 310111 | 5511300 | Y | 6,435.00 | |
ULTRASOUND (I.V.U.S.)1 | |||||||
0 | INTRA VASCULAR ULTRASOUND )IVUS | 310112 | 7,500.00 | ||||
3 | INTRA VASCULAR ULTRASOUND )IVUS AS ADDITIONAL | 310113 | Y | 7,500.00 | |||
SERVICE * CORONARY INTERVENTION | |||||||
0 | Left Atrial Appendage Closure | 38742-02[617] | 310115 | 75,000.00 | |||
0 | Left Ventricular Assist Device (LVAD) | 38285-00[1604] | 310116 | 3828500 | ########## | ||
0 | LVOT RESECTION )ALONE | 55113-00[1942] | 310119 | 40,000.00 | |||
0 | LVOT RESECTION COMBINED WITH ANOTHER | 310120 | 20,000.00 | ||||
PROCEDURE | |||||||
0 | Mitral Clip | 310122 | 3848802 | 350,000.00 |
INTRA AORTIC BALLOON PUMP )IABP
12,000.00
INTRA VASCULAR (INTRA-CORONARY) DIAGNOSTIC
6,435.00
ULTRASOUND (I.V.U.S.)1
INTRA VASCULAR ULTRASOUND )IVUS
7,500.00
INTRA VASCULAR ULTRASOUND )IVUS AS ADDITIONAL
7,500.00
SERVICE * CORONARY INTERVENTION
Left Atrial Appendage Closure
75,000.00
Left Ventricular Assist Device (LVAD)
##########
LVOT RESECTION )ALONE
40,000.00
LVOT RESECTION COMBINED WITH ANOTHER
20,000.00
PROCEDURE
Mitral Clip
350,000.00
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