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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | HUMERUS (UPPER ARM) - 2V | 240228 | 73060 | 170 | |||
0 | HYSTEROSALPINGOGRAM | 59712-00[1982] | 240229 | 74740 | 590 | ||
0 | I.V.C FILTER INSERTION | 240230 | 37191 | 14,000.00 | |||
0 | I.V.C FILTER REMOVAL | 240231 | 37193 | 8,000.00 | |||
0 | INFERIOR/ SUPERIOR MESENTERIC ANGIOGRAPHY | 240232 | 75726 | 2,400.00 | |||
0 | INT AUDITORY MEATUS TOMO - 5V | 240233 | 70134 | 410 | |||
0 | INTERNAL ILIAC ANGIO - BILAT | 240234 | 75726 | 6,000.00 | |||
0 | INTRA-ARTICULAR INJECTION (WITHOUT DRUG) | 50124-01[1552] | 240235 | 79440 | 288 | ||
0 | INTRAVENOUS CHOLANGIOGRAM | 58936-00[1976] | 240236 | 74320 | 510 | ||
0 | INTRAVENOUS PYELOGRAPHY (IVP) | 58706-00[1978] | 240237 | 50394 | 432 | ||
0 | JOINT-KNEE 4VEIWS (BILATERAL) | 240238 | 73564 | 240 | |||
0 | JOINT-KNEE, 4 VEIWS | 240239 | 73564 | 120 |
HUMERUS (UPPER ARM) - 2V
170
HYSTEROSALPINGOGRAM
590
I.V.C FILTER INSERTION
14,000.00
I.V.C FILTER REMOVAL
8,000.00
INFERIOR/ SUPERIOR MESENTERIC ANGIOGRAPHY
2,400.00
INT AUDITORY MEATUS TOMO - 5V
410
INTERNAL ILIAC ANGIO - BILAT
6,000.00
INTRA-ARTICULAR INJECTION (WITHOUT DRUG)
288
INTRAVENOUS CHOLANGIOGRAM
510
INTRAVENOUS PYELOGRAPHY (IVP)
432
JOINT-KNEE 4VEIWS (BILATERAL)
240
JOINT-KNEE, 4 VEIWS
120
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