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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CT - PARANASAL SINUSES - COMP | 240178 | 70487 | 1,000.00 | |||
0 | CT - PELVIMETRY | 240179 | 72192 | 500 | |||
0 | CT - PELVIS | 240180 | 1,000.00 | ||||
0 | CT - PELVIS (PELVIMETRY) | 57201-00[1964] | 240181 | 72192 | 560 | ||
0 | CT - PELVIS WITH &W/O IV CONTRAST(UTERUS, | 56409-00[1964] | 240182 | 72192 | 640 | ||
PROSTATE, BLADDER) | |||||||
0 | CT - PELVIS WITH CONTRAST | 56412-00[1964] | 240183 | 72193 | 1,400.00 | ||
0 | CT - PORTOGRAPHY | 240184 | 75810 | 2,000.00 | |||
0 | CT - READING FOR OUTSIDE FILMS (EACH PROCEDURE) | 240185 | 155555 | 240 | |||
0 | CT - SACRO ILIAC JOINTS | 240186 | 72192 | 640 | |||
0 | CT - VENOGRAPHY | 59718-00[1990] | 240187 | 2,400.00 | |||
0 | CT GUIDED DRAINGE | 240188 | 76355 | 2,000.00 |
CT - PARANASAL SINUSES - COMP
1,000.00
CT - PELVIMETRY
500
CT - PELVIS
1,000.00
CT - PELVIS (PELVIMETRY)
560
CT - PELVIS WITH &W/O IV CONTRAST(UTERUS,
640
PROSTATE, BLADDER)
CT - PELVIS WITH CONTRAST
1,400.00
CT - PORTOGRAPHY
2,000.00
CT - READING FOR OUTSIDE FILMS (EACH PROCEDURE)
240
CT - SACRO ILIAC JOINTS
640
CT - VENOGRAPHY
2,400.00
CT GUIDED DRAINGE
2,000.00
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