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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ADVIL(R) ORAL TABLET 200 mg | 700041 | 0.3 | ||||
0 | AERRANE(R) INHALATION LIQUID 250 ml | 700042 | 61 | ||||
6 | PULMONARY ARTERY BANDING * CARDIAC SURGERY | 660081 | Y | 28,500.00 | |||
10 | PULMONARY ATRESIA REPAIR * CARDIAC SURGERY | 660082 | Y | 71,000.00 | |||
10 | PULMONARY STENOSIS REPAIR * CARDIAC SURGERY | 660083 | Y | 66,000.00 | |||
12 | PULMONARY VIENS STENOSIS REPAIR * CARDIAC SURGERY | 660084 | Y | 379,000.00 | |||
12 | RASTELLI * CARDIAC SURGERY | 660085 | Y | 89,000.00 | |||
5 | REDO STERNOTOMY (ADDITIONAL PROCEDURE) * | 660086 | Y | 30,500.00 | |||
CARDIAC SURGERY | |||||||
6 | RELACEMENT OF MITRAL VALVE WITH BIOPROSTHESIS * CARDIAC SURGERY | 660087 | Y | 72,000.00 | |||
4 | REMOVAL FB-PENTRATING MEDIASTNUM-HART SERNOTOMY | 660088 | Y | 50,000.00 | |||
6 | REMOVAL OF CARDIAC TUMOR * CARDIAC SURGERY | 660089 | Y | 52,000.00 |
ADVIL(R) ORAL TABLET 200 mg
0.3
AERRANE(R) INHALATION LIQUID 250 ml
61
PULMONARY ARTERY BANDING * CARDIAC SURGERY
28,500.00
PULMONARY ATRESIA REPAIR * CARDIAC SURGERY
71,000.00
PULMONARY STENOSIS REPAIR * CARDIAC SURGERY
66,000.00
PULMONARY VIENS STENOSIS REPAIR * CARDIAC SURGERY
379,000.00
RASTELLI * CARDIAC SURGERY
89,000.00
REDO STERNOTOMY (ADDITIONAL PROCEDURE) *
30,500.00
CARDIAC SURGERY
RELACEMENT OF MITRAL VALVE WITH BIOPROSTHESIS * CARDIAC SURGERY
72,000.00
REMOVAL FB-PENTRATING MEDIASTNUM-HART SERNOTOMY
50,000.00
REMOVAL OF CARDIAC TUMOR * CARDIAC SURGERY
52,000.00
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