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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CT - KIDNEYS | 240162 | 72192 | 640 | |||
0 | CT - KNEE WITH / WITHOUT CONTRAST (UNILATERAL) | 240163 | 73700 | 640 | |||
0 | CT - LIVER � ANGIO | 240164 | 74175 | 4,000.00 | |||
0 | CT - LOCALISATION FOR STEREOTATIC BIOPSY | 240165 | 76355 | 2,000.00 | |||
0 | CT - LUMBAR SPINE | 56223-00[1959] | 240166 | 72131 | 1,000.00 | ||
0 | CT - LUMBAR SPINE WITH CONTRAST | 56226-00[1959] | 240167 | 72132 | 1,400.00 | ||
0 | CT - LUMBAR/ SPINE POST DISKOGRAM | 240168 | 76380 | 2,400.00 | |||
0 | CT - MYELOGRAM | 59724-00[1968] | 240169 | 62284 | 2,400.00 | ||
0 | CT - NECK | 240170 | 1,000.00 | ||||
0 | CT - NECK WITH CONTRAST | 56101-00[1958] | 240171 | 70491 | 1,400.00 | ||
0 | CT - ORBITS | 56013-00[1954] | 240172 | 70480 | 810 | ||
0 | CT - ORBITS WITH CONTRAST | 240173 | 1,240.00 |
CT - KIDNEYS
640
CT - KNEE WITH / WITHOUT CONTRAST (UNILATERAL)
640
CT - LIVER � ANGIO
4,000.00
CT - LOCALISATION FOR STEREOTATIC BIOPSY
2,000.00
CT - LUMBAR SPINE
1,000.00
CT - LUMBAR SPINE WITH CONTRAST
1,400.00
CT - LUMBAR/ SPINE POST DISKOGRAM
2,400.00
CT - MYELOGRAM
2,400.00
CT - NECK
1,000.00
CT - NECK WITH CONTRAST
1,400.00
CT - ORBITS
810
CT - ORBITS WITH CONTRAST
1,240.00
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