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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ABDOMEN DECUBITUS VIEW ONLY | 240008 | 74020 | 120 | |||
0 | ABDOMINAL/PELVIC ABSCESS DRAINAGE | 30394-00[987] | 240009 | 49021 | 1,440.00 | ||
0 | ABSCESS/CYST DRAINAGE W/FLUORO | 240010 | 76003 | 710 | |||
0 | ADRENAL ANGIOGRAPHY | 240011 | 75731 | 3,840.00 | |||
0 | ADRENAL IMAGING | 240012 | 78075 | 2,000.00 | |||
0 | AMNIOCENTESIS/ CORDOCENTESIS | 16600-00[1330] | 240013 | 59000 | 960 | ||
0 | ANGIO PLASTY BILATERAL | 240014 | 18,000.00 | ||||
0 | ANGIO PLASTY UNILATERAL | 240015 | 12,000.00 | ||||
0 | ANGIOGRAM - CEREBRAL/ SPINAL 3-4 VESSELS | 240016 | 75650 | 4,000.00 | |||
0 | ANGIOGRAM - COMMON CAROTID ARTERY (BILATERAL) | 58870-02[1990] | 240017 | 75671 | 3,360.00 | ||
0 | ANGIOGRAM - EXTERNAL CAROTID ARTERY | 58870-02[1990] | 240018 | 75662 | 3,200.00 | ||
0 | ANGIOGRAM - EXTERNAL CAROTID ARTERY (UNILATERAL) | 58870-02[1990] | 240019 | 75660 | 2,800.00 |
ABDOMEN DECUBITUS VIEW ONLY
120
ABDOMINAL/PELVIC ABSCESS DRAINAGE
1,440.00
ABSCESS/CYST DRAINAGE W/FLUORO
710
ADRENAL ANGIOGRAPHY
3,840.00
ADRENAL IMAGING
2,000.00
AMNIOCENTESIS/ CORDOCENTESIS
960
ANGIO PLASTY BILATERAL
18,000.00
ANGIO PLASTY UNILATERAL
12,000.00
ANGIOGRAM - CEREBRAL/ SPINAL 3-4 VESSELS
4,000.00
ANGIOGRAM - COMMON CAROTID ARTERY (BILATERAL)
3,360.00
ANGIOGRAM - EXTERNAL CAROTID ARTERY
3,200.00
ANGIOGRAM - EXTERNAL CAROTID ARTERY (UNILATERAL)
2,800.00
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