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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | FEMUR - 2V | 240212 | 220 | ||||
0 | FEMUR DENSITOMETRY | 12309-00[1984] | 240213 | 78350 | 590 | ||
0 | FILM COPY 24X30(SMALL) /FILM | 240214 | 60 | ||||
0 | FILM COPY -35X45 (LARGE)/ FILM | 240215 | 80 | ||||
0 | FINGER - 2V | 240216 | 170 | ||||
0 | FISTULOGRAM/SINOGRAPHY | 59739-03[1988] | 240217 | 20501 | 336 | ||
0 | FLUORO IN O.R. | 240218 | 76000 | 340 | |||
0 | FLUOROSCOPY (GENERAL/C - ARM) | 60503-00[1999] | 240219 | 76000 | 240 | ||
0 | FOOT (COMPLETE) - 3V | 240220 | 73630 | 240 | |||
0 | FOOT (LIMITED) | 240221 | 73620 | 170 | |||
0 | COMBINED CT-SCAN FOR TWO (2) AREAS IN ONE | 240125 | 70450 | 2,800.00 | |||
0 | COMBINED MRI FOR THREE (3) AREAS IN ONE SETTING WITH CONTRAST | 240126 | 70540 | 4,400.00 |
FEMUR - 2V
220
FEMUR DENSITOMETRY
590
FILM COPY 24X30(SMALL) /FILM
60
FILM COPY -35X45 (LARGE)/ FILM
80
FINGER - 2V
170
FISTULOGRAM/SINOGRAPHY
336
FLUORO IN O.R.
340
FLUOROSCOPY (GENERAL/C - ARM)
240
FOOT (COMPLETE) - 3V
240
FOOT (LIMITED)
170
COMBINED CT-SCAN FOR TWO (2) AREAS IN ONE
2,800.00
COMBINED MRI FOR THREE (3) AREAS IN ONE SETTING WITH CONTRAST
4,400.00
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