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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
5 | CORONARY pci-dv + 1 stent * CORONARY INTERVENTION | 310050 | 3830602 | Y | 40,470.00 | ||
4 | CORONARY pci-dv + 2 DRUG ELLUTING STENT | 310051 | Y | 48,470.00 | |||
5 | CORONARY pci-sv + 1 stent *(DES) CORONARY | 310052 | Y | 37,260.00 | |||
3 | CORONARY ptca -dv + 3 stent1.(DES) DRUG ELLUTING | 38306-02[671] | 310053 | 3830602 | Y | 56,470.00 | |
3 | CORONARY ptca -dv +4 stent1. (DES) DRUG ELLUTING | 38306-02[671] | 310054 | 3830602 | Y | 62,520.00 | |
3 | Coronary ptca -dv1 | 38303-00[670] | 310055 | 3830300 | Y | 19,800.00 | |
5 | CORONARY ptca- tv +2 stent1. (DES) DRUG ELLUTING STENT | 38306-02[671] | 310056 | 3830602 | Y | 58,740.00 | |
5 | coronary ptca -tv+1 drug eluting stent1 | 38306-00[671] | 310057 | 3830602 | Y | 47,520.00 | |
5 | CORONARY ptca -tv+3 drug eluting stent1 | 38306-00[671] | 310058 | 3830602 | Y | 70,200.00 | |
5 | CORONARYATHERECTOMY , PTCA , MULTIPLE , | 38303-00[670] | 310059 | 3830001 | Y | 25,000.00 | |
3 | CORONARYATHERECTOMY , PTCA , SINGLE , VESSEL | 38300-00[670] | 310060 | 3830000 | Y | 20,000.00 | |
0 | CPR wtith D/C SHOCK PER CODE BLUE | 92058-00[1890] | 310061 | 9205800 | 3,000.00 |
CORONARY pci-dv + 1 stent * CORONARY INTERVENTION
40,470.00
CORONARY pci-dv + 2 DRUG ELLUTING STENT
48,470.00
CORONARY pci-sv + 1 stent *(DES) CORONARY
37,260.00
CORONARY ptca -dv + 3 stent1.(DES) DRUG ELLUTING
56,470.00
CORONARY ptca -dv +4 stent1. (DES) DRUG ELLUTING
62,520.00
Coronary ptca -dv1
19,800.00
CORONARY ptca- tv +2 stent1. (DES) DRUG ELLUTING STENT
58,740.00
coronary ptca -tv+1 drug eluting stent1
47,520.00
CORONARY ptca -tv+3 drug eluting stent1
70,200.00
CORONARYATHERECTOMY , PTCA , MULTIPLE ,
25,000.00
CORONARYATHERECTOMY , PTCA , SINGLE , VESSEL
20,000.00
CPR wtith D/C SHOCK PER CODE BLUE
3,000.00
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