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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
VEINS UNILATERAL | |||||||
0 | ELBOW - RADIAL HEAD - 3V | 240201 | 36478 | 350 | |||
0 | ELBOW (COMPLETE) - 3V | 240202 | 73080 | 240 | |||
0 | ELBOW (LIMITED) - 2V | 240203 | 73070 | 190 | |||
0 | EMBOLIZATION OF RENAL TUMAR | 240204 | 75894 | 15,000.00 | |||
0 | EMBOLIZATION TRANS CATHETER THERAPY | 240205 | 61626 | 4,800.00 | |||
0 | EPIDURAL INJECTION - UNDER FLOUROSCOPY | 240206 | 77003 | 2,400.00 | |||
0 | ESOPHAGEAL MOTILITY | 240207 | 78258 | 720 | |||
0 | EXTRA CHG. FOR PORT. MUSCULOSK | 240208 | 90 | ||||
0 | F.ARM+FEMUR+LUMBAR DENSITOMETRY | 240209 | 76078 | 760 | |||
0 | FACIAL BONES - 3V | 240210 | 240 | ||||
0 | FALLOPIAN TUBE RECANULIZATION | 240211 | 58565 | 4,000.00 |
VEINS UNILATERAL
ELBOW - RADIAL HEAD - 3V
350
ELBOW (COMPLETE) - 3V
240
ELBOW (LIMITED) - 2V
190
EMBOLIZATION OF RENAL TUMAR
15,000.00
EMBOLIZATION TRANS CATHETER THERAPY
4,800.00
EPIDURAL INJECTION - UNDER FLOUROSCOPY
2,400.00
ESOPHAGEAL MOTILITY
720
EXTRA CHG. FOR PORT. MUSCULOSK
90
F.ARM+FEMUR+LUMBAR DENSITOMETRY
760
FACIAL BONES - 3V
240
FALLOPIAN TUBE RECANULIZATION
4,000.00
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