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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
6
VSD CLOSURE * CARDIAC SURGERY
660120
Y
47,000.00
1
VSD CLOSURE BY DEVICE * CONGENITAL/ STRUCTURAL
660121
Y
47,000.00
4
WOUND DEPRIDEMENT AND STERNAL REWIRING * CARDIAC SURGERY
660122
Y
33,500.00
0
ABILIFY Oral Tablet 15 mg 30
700001
545031382
17.48
0
ACETAB ORAL TABLET 25 mg
700002
544101740
0.68
0
ACETAZOLAMIDE ORAL TABLET 250 mg scored
700003
550011360
0.79
0
ACET-CODEINE ORAL DISPERSABLE 30 MG + 300 MG
700004
545021119
0.15
1000 Tab
0
ACETYLCYSTEINE Intra-Venus Injection 2 gm / 10 ml
700005
551054355
0.16
-20%
0
ACICARE(R) ORAL TABLET 150 mg
700006
546031230
0.91
0
ACICARE(R) ORAL TABLET 300 mg
700007
546031230
1.56
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