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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SUITE (SPECIAL)- R | 100062 | 2,500.00 | ||||
0 | WATCHERROOM & BOARD F FEES | 100063 | 400 | ||||
0 | Children (0:9 years old ) | 110001 | 80 | ||||
0 | Normal Diet | 110002 | 100 | ||||
0 | Special Diet | 110003 | 110 | ||||
0 | Watchers Diet | 110004 | 100 | ||||
0 | ARTERIAL LINE | 34524-00[694] | 120001 | 380 | |||
0 | BLOOD GASES (ABG) | 120002 | 520 | ||||
0 | C.C.U. FOR ADULT 1 DAY | 120003 | 2,400.00 | ||||
0 | C.C.U. FOR CHILDREN 1 DAY | 120004 | 2,400.00 | ||||
0 | C.C.U. FOR NEONATAL 1 DAY | 120005 | 2,400.00 | ||||
0 | CPR | 92052-00[1890] | 120006 | 2,600.00 |
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