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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | JOINT-KNEE,2VEIWS(BILATERAL) | 240240 | 73560 | 208 | |||
0 | KIDNEY FUNCTION INCLUDING PHARMACOLOGIC INTERVENTION | 240241 | 78725 | 1,360.00 | |||
0 | KIDNEY IMAG W/VAS FLO AND FUNC + GFR | 240242 | 78704 | 1,280.00 | |||
0 | KIDNEY SPECT | 61387-00[2008] | 240243 | 78710 | 1,040.00 | ||
0 | KIDNEY STATIS DMSA | 240244 | 960 | ||||
0 | KIDNEY TRANSPLANT EVAL MAG3 | 356503-00[1508] | 240245 | 76776 | 1,520.00 | ||
0 | KUB - INCLUDES SYMPHYSIS PUBIS | 240246 | 74270 | 140 | |||
0 | LEG ARTERIOGRAM - UNILATERAL | 57350-07[1966] | 240247 | 93926 | 7,100.00 | ||
0 | LINEAR TOMOGRAPHY | 240248 | 460 | ||||
0 | LIVER FUNCTION W/HEPATOBILIARY-AGENTS W/SERIAL IMAGES | 240249 | 78220 | 1,200.00 | |||
0 | LIVER IMAGE SPECT | 240250 | 78205 | 1,040.00 | |||
0 | LIVER IMAGE SPECT AND STATIC | 240251 | 78206 | 1,440.00 |
JOINT-KNEE,2VEIWS(BILATERAL)
208
KIDNEY FUNCTION INCLUDING PHARMACOLOGIC INTERVENTION
1,360.00
KIDNEY IMAG W/VAS FLO AND FUNC + GFR
1,280.00
KIDNEY SPECT
1,040.00
KIDNEY STATIS DMSA
960
KIDNEY TRANSPLANT EVAL MAG3
1,520.00
KUB - INCLUDES SYMPHYSIS PUBIS
140
LEG ARTERIOGRAM - UNILATERAL
7,100.00
LINEAR TOMOGRAPHY
460
LIVER FUNCTION W/HEPATOBILIARY-AGENTS W/SERIAL IMAGES
1,200.00
LIVER IMAGE SPECT
1,040.00
LIVER IMAGE SPECT AND STATIC
1,440.00
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