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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | IVF / ICSI CYCLE PACKAGE | 300020 | 10,800.00 | ||||
0 | OPU | 300021 | 1321200 | 2,700.00 | |||
0 | OVULATION INDUCTION CYCLE PACKAGE | 300022 | 1,300.00 | ||||
0 | SEMEN ANALYSIS / ART | 300023 | 220 | ||||
SURG. SPERM RETRIEVAL "TESA" PACKAGE | 300024 | 89260 | 2,200.00 | ||||
0 | 24 HOUR HOLTER | 310001 | 93014 | 600 | |||
0 | Ablation Catheter Irrigated Tip (Thermocool) | 92195-00[1908] | 310002 | 9219500 | 37,500.00 | ||
2 | Ablation Catheter Irrigated Tip )Thermocool * | 310004 | Y | 37,500.00 | |||
0 | ADENOSINE / STRESS MPI | 310005 | 2,500.00 | ||||
1 | AF ABLATION CARTO * ELECTROPHYSIOLOGY | 310006 | Y | 110,000.00 | |||
0 | Annuloplasty -Mitral with carrylon device | 38475-00[627] | 310007 | 3847500 | Y | 300,000.00 | |
2 | AORTAGRAPHY (ARTERIOGRAPHY OF AORTA and | 59903-03[1990] | 310008 | 5990303 | Y | 3,960.00 |
IVF / ICSI CYCLE PACKAGE
10,800.00
OPU
2,700.00
OVULATION INDUCTION CYCLE PACKAGE
1,300.00
SEMEN ANALYSIS / ART
220
SURG. SPERM RETRIEVAL "TESA" PACKAGE
2,200.00
24 HOUR HOLTER
600
Ablation Catheter Irrigated Tip (Thermocool)
37,500.00
Ablation Catheter Irrigated Tip )Thermocool *
37,500.00
ADENOSINE / STRESS MPI
2,500.00
AF ABLATION CARTO * ELECTROPHYSIOLOGY
110,000.00
Annuloplasty -Mitral with carrylon device
300,000.00
AORTAGRAPHY (ARTERIOGRAPHY OF AORTA and
3,960.00
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