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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | LUMBAR SPINE (FLEX & EXT) - 2V | 240264 | 72100 | 200 | |||
0 | LUMBAR SPINE (LIMITED) - 3V | 240265 | 72100 | 320 | |||
0 | LUMBAR SPINE (LIMITED) 2V | 240266 | 72080 | 200 | |||
0 | LUMBAR SPINE 4V | 240267 | 72110 | 410 | |||
0 | LUMBAR SPINE DENSITOMETRY | 240268 | 76078 | 410 | |||
0 | LUNG PERF/VENT + QUANTITATIVE | 240269 | 1,440.00 | ||||
0 | LYMPH NODE BIOPSY CT GUIDED | 30075-00[805] | 240270 | 76360 | 1,600.00 | ||
0 | LYMPHANGIOGRAPHY | 59754-00[1990] | 240271 | 38790 | 1,728.00 | ||
0 | CT - ORTHOPAEDIC MEASUREMENTS | 240174 | 76380 | 600 | |||
0 | CT - PANCREAS (TRIPHASIC) | 240175 | 76380 | 2,800.00 | |||
0 | CT - PANCREAS W/CONTRAST | 240176 | 76380 | 1,000.00 | |||
0 | CT - PANCREAS WITHOUT CONTRAST | 240177 | 76380 | 640 |
LUMBAR SPINE (FLEX & EXT) - 2V
200
LUMBAR SPINE (LIMITED) - 3V
320
LUMBAR SPINE (LIMITED) 2V
200
LUMBAR SPINE 4V
410
LUMBAR SPINE DENSITOMETRY
410
LUNG PERF/VENT + QUANTITATIVE
1,440.00
LYMPH NODE BIOPSY CT GUIDED
1,600.00
LYMPHANGIOGRAPHY
1,728.00
CT - ORTHOPAEDIC MEASUREMENTS
600
CT - PANCREAS (TRIPHASIC)
2,800.00
CT - PANCREAS W/CONTRAST
1,000.00
CT - PANCREAS WITHOUT CONTRAST
640
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