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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | VALVUPLASTY(BALLOON-PERCUTANEOUS | 38270-01[622] | 660117 | 3827001 | Y | 52,500.00 | |
6 | VASCULAR RING ) ADDITIONAL PROCEDURE * CARDIAC | 660118 | Y | 29,000.00 | |||
SURGERY | |||||||
7 | VASCULAR RING )ALONE * CARDIAC SURGERY | 660119 | Y | 40,500.00 | |||
3 | ENDARTERECTOMY AORTA | 33509-00[700] | 660037 | 3350900 | Y | 45,000.00 | |
3 | ENDARTERECTOMY OTHER THORACIC VESSELS | 90229-00[700] | 660038 | 9022900 | Y | 45,000.00 | |
3 | ENDARTERECTOMY SUBCLAVIAN | 33506-01[700] | 660039 | 3350601 | Y | 52,500.00 | |
3 | EVAR * PERIPHRAL INTERVENTION | 660040 | Y | 85,000.00 | |||
10 | FALLOTS REPAIR * CARDIAC SURGERY | 660041 | Y | 64,500.00 | |||
10 | FONTAN * CARDIAC SURGERY | 660042 | Y | 64,500.00 | |||
8 | GLENN SHUNT * CARDIAC SURGERY | 660043 | Y | 51,500.00 | |||
3 | HOCM ABLATION * CONGENITAL/ STRUCTURAL | 660044 | Y | 35,000.00 |
VALVUPLASTY(BALLOON-PERCUTANEOUS
52,500.00
VASCULAR RING ) ADDITIONAL PROCEDURE * CARDIAC
29,000.00
SURGERY
VASCULAR RING )ALONE * CARDIAC SURGERY
40,500.00
ENDARTERECTOMY AORTA
45,000.00
ENDARTERECTOMY OTHER THORACIC VESSELS
45,000.00
ENDARTERECTOMY SUBCLAVIAN
52,500.00
EVAR * PERIPHRAL INTERVENTION
85,000.00
FALLOTS REPAIR * CARDIAC SURGERY
64,500.00
FONTAN * CARDIAC SURGERY
64,500.00
GLENN SHUNT * CARDIAC SURGERY
51,500.00
HOCM ABLATION * CONGENITAL/ STRUCTURAL
35,000.00
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