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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CT - COLONOGRAPHY | 240151 | 74150 | 3,600.00 | |||
0 | CT - EXTREMITY | 56619-00[1965] | 240152 | 73201 | 810 | ||
0 | CT - EXTREMITY WITH CONTRAST | 56625-00[1965] | 240153 | 73201 | 1,200.00 | ||
0 | CT - FACIAL BONES | 240154 | 1,000.00 | ||||
0 | CT - FACIAL BONES WITH CONTRAST | 56022-00[1956] | 240155 | 70487 | 1,400.00 | ||
0 | CT - FOOT WITH / WITHOUT CONTRAST (UNILATERAL) | 56619-00[1965] | 240156 | 73702 | 640 | ||
0 | CT - GUIDED BIOPSIES | 240157 | 76360 | 2,000.00 | |||
0 | CT - GUIDED DRUG INJECTION ( W/OUT MATERIAL | 240158 | 76370 | 2,400.00 | |||
COST ) | |||||||
0 | CT - HIPS | 56409-00[1964] | 240159 | 72192 | 640 | ||
0 | CT - HIPS WITH CONTRAST | 56412-00[1964] | 240160 | 72193 | 1,250.00 | ||
0 | CT - INDEPENDENT STUDY | 240161 | 76380 | 640 |
CT - COLONOGRAPHY
3,600.00
CT - EXTREMITY
810
CT - EXTREMITY WITH CONTRAST
1,200.00
CT - FACIAL BONES
1,000.00
CT - FACIAL BONES WITH CONTRAST
1,400.00
CT - FOOT WITH / WITHOUT CONTRAST (UNILATERAL)
640
CT - GUIDED BIOPSIES
2,000.00
CT - GUIDED DRUG INJECTION ( W/OUT MATERIAL
2,400.00
COST )
CT - HIPS
640
CT - HIPS WITH CONTRAST
1,250.00
CT - INDEPENDENT STUDY
640
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