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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MRI - KNEE | 240305 | 1,500.00 | ||||
0 | MRI - ORBITS | 240306 | 1,500.00 | ||||
0 | MRI - SPECTROSCOPY | 240307 | 760 | ||||
0 | MRI - SPECTROSCOPY (BRAIN) | 90901-09[2015] | 240308 | 2,400.00 | |||
0 | MRI - THORACIC SPINE | 90901-03[2015] | 240309 | 72157 | 1,500.00 | ||
0 | MYELOGRAM | 59724-00[1968] | 240310 | 72270 | 960 | ||
0 | MYELOGRAM - CERVICAL | 58100-00[1968] | 240311 | 72240 | 1,000.00 | ||
0 | MYELOGRAM - LUMBAR | 58106-00[1968] | 240312 | 72265 | 1,000.00 | ||
0 | MYELOGRAM - THORACIC | 58103-00[1968] | 240313 | 72255 | 670 | ||
0 | MYELOGRAPHY | 59724-00[1968] | 240314 | 72270 | 576 | ||
0 | MYOCARD IMAG INFART PLANAR | 240315 | 78466 | 1,040.00 | |||
0 | MYOCARD IMAGING INFART SPECT | 240316 | 78469 | 1,200.00 |
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