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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ARM DENSITOMETRY | 58300-00[1984] | 240035 | 76078 | 410 | ||
0 | ARTERIAL EMBOLIZATION | 240036 | 61710 | 20,000.00 | |||
0 | ARTERIAL STENTING | 240037 | 36620 | 20,000.00 | |||
0 | ARTERIAL STENTING BILATERAL | 240038 | 36620 | 28,000.00 | |||
0 | ARTERIAL THROMBOLYSIS | 240039 | 37202 | 2,400.00 | |||
0 | ARTHROGRAM - KNEE | 59751-00[1985] | 240040 | 73580 | 460 | ||
0 | ASCENDING URETHROGRAPHY | 58718-01[1979] | 240041 | 51610 | 384 | ||
0 | AV FISTULA DILATATION | 240042 | 35686 | 8,000.00 | |||
0 | AV FISTULOGRAM | 59739-03[1988] | 240043 | 75790 | 4,000.00 | ||
0 | BA ENEMA, SINGLE CONTRAST | 240044 | 74270 | 550 | |||
0 | BA FOLLOW THROUGH W/INTRA.TUBE | 240045 | 74249 | 530 | |||
0 | BA MEAL (DOUBLE CONTRAST) | 240046 | 74247 | 590 |
ARM DENSITOMETRY
410
ARTERIAL EMBOLIZATION
20,000.00
ARTERIAL STENTING
20,000.00
ARTERIAL STENTING BILATERAL
28,000.00
ARTERIAL THROMBOLYSIS
2,400.00
ARTHROGRAM - KNEE
460
ASCENDING URETHROGRAPHY
384
AV FISTULA DILATATION
8,000.00
AV FISTULOGRAM
4,000.00
BA ENEMA, SINGLE CONTRAST
550
BA FOLLOW THROUGH W/INTRA.TUBE
530
BA MEAL (DOUBLE CONTRAST)
590
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