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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CAROTID ENDARTERECTOMY | 33500-00[700] | 310039 | 15,000.00 | |||
3 | CHRONIC TOTAL OCCLUSION (CTO) TRAIL - NOT | 310040 | Y | 30,000.00 | |||
INCLUDING STENTS * CORONARY INTERVENTION | |||||||
0 | COMPLETE AVSD / FALLOTS REPAIR | 38509-00[619] | 310041 | 3850900 | 60,000.00 | ||
5 | coronary ptca tv+ 3 stent . (DES) DRUG ELLUTING STENT .5 DAYS . (P/D)PACKAGE | 310043 | 70,440.00 | ||||
5 | coronary ptca tv+ 4 stent . (DES) DRUG ELLUTING | 310044 | 79,200.00 | ||||
STENT .5 DAYS . (P/D)PACKAGE | |||||||
0 | Coronary Angiogram (CAG) . (P/L) | 38206-001 | 310045 | 6,500.00 | |||
3 | CORONARY ANGIOGRAPHY | 38215-00[668] | 310046 | Y | 12,000.00 | ||
5 | CORONARY BYPASS GRAFT SURGERY | 310047 | 3849704 | Y | 75,000.00 | ||
5 | CORONARY PCI- SV - 2 STENTS (DES)5DAYS | 310048 | 3830602 | Y | 45,570.00 | ||
5 | CORONARY pci- tv +1 stent * (DES) CORONARY | 310049 | 3830600 | Y | 47,520.00 |
CAROTID ENDARTERECTOMY
15,000.00
CHRONIC TOTAL OCCLUSION (CTO) TRAIL - NOT
30,000.00
INCLUDING STENTS * CORONARY INTERVENTION
COMPLETE AVSD / FALLOTS REPAIR
60,000.00
coronary ptca tv+ 3 stent . (DES) DRUG ELLUTING STENT .5 DAYS . (P/D)PACKAGE
70,440.00
coronary ptca tv+ 4 stent . (DES) DRUG ELLUTING
79,200.00
STENT .5 DAYS . (P/D)PACKAGE
Coronary Angiogram (CAG) . (P/L)
6,500.00
CORONARY ANGIOGRAPHY
12,000.00
CORONARY BYPASS GRAFT SURGERY
75,000.00
CORONARY PCI- SV - 2 STENTS (DES)5DAYS
45,570.00
CORONARY pci- tv +1 stent * (DES) CORONARY
47,520.00
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