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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | T-TUBE CHOLANGIOGRAM | 240444 | 47505 | 410 | |||
0 | TUBE EXCHANGE | 240445 | 43760 | 1,440.00 | |||
0 | TUBE INSERTION (NG DUODENUM ETC.) | 240446 | 43752 | 288 | |||
0 | TUMOR LOCALIZ IMAG WHOLE BODY GALLIUM | 240447 | 78800 | 1,680.00 | |||
0 | TUMOR LOCALIZ IMAG WHOLE BODY GALLIUM + SPECT | 240448 | 78803 | 2,160.00 | |||
0 | UPPER EXTREMITY ANGIOGRAM | 57350-01[1966] | 240449 | 75741 | 6,000.00 | ||
0 | UPPER EXTREMITY VENOGRAM - BIL | 59718-00[1990] | 240450 | 75822 | 3,000.00 | ||
0 | UPPER EXTREMITY VENOGRAM - UNI | 59718-00[1990] | 240451 | 75820 | 2,000.00 | ||
0 | UREA BREATH TEST | 12533-00[1863] | 240452 | 78267 | 640 | ||
0 | URETERAL REFLUX (VOIDING CYSTO) | 240453 | 78740 | 880 | |||
0 | URETHROCYSTOGRAPHY- VOIDING | 58721-00[1909] | 240454 | 74455 | 384 | ||
0 | US - 4D IMAGING OBSTETRICS | 240455 | 76801 | 650 |
T-TUBE CHOLANGIOGRAM
410
TUBE EXCHANGE
1,440.00
TUBE INSERTION (NG DUODENUM ETC.)
288
TUMOR LOCALIZ IMAG WHOLE BODY GALLIUM
1,680.00
TUMOR LOCALIZ IMAG WHOLE BODY GALLIUM + SPECT
2,160.00
UPPER EXTREMITY ANGIOGRAM
6,000.00
UPPER EXTREMITY VENOGRAM - BIL
3,000.00
UPPER EXTREMITY VENOGRAM - UNI
2,000.00
UREA BREATH TEST
640
URETERAL REFLUX (VOIDING CYSTO)
880
URETHROCYSTOGRAPHY- VOIDING
384
US - 4D IMAGING OBSTETRICS
650
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