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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REPR.RENAL/MESENTERIC ARTY.ANR | 33080-001 | 650197 | 15,500.00 | |||
0 | REPR.SPLENIC ARTERY ANEURYSM | 33080-001 | 650198 | 10,000.00 | |||
0 | REPR.SUPERFCL.FEMORAL ANEURYSM | 33142-00 | 650199 | 10,000.00 | |||
2 | RESECTION & ANASTOMOSIS | 650200 | Y | 15,000.00 | |||
2 | RESECTION , THORACIC VESSEL , WITH, GRAFT REPLACEMENT | 90210-00[709] | 650201 | 9021303 | Y | 9,000.00 | |
0 | RESECTION OF AV MALFORMATION | 45042-001 | 650202 | 7,100.00 | |||
0 | RE-VASCULAR FING,HAND,FOOT MOD | 90223-00 | 650203 | 11,800.00 | |||
0 | RE-VASCULAR. ADD. FINGER,HAND | 90223-00 | 650204 | 9,000.00 | |||
0 | RE-VASCULAR.FING,HAND,FOOT MAJ | 90223-00 | 650205 | 18,300.00 | |||
2 | REVISIONARTERIOVENOUS SHUNT FOR RENAL DIALYSIS. | 34500-01[764] | 650206 | 3450001 | Y | 18,000.00 | |
2 | REVISIONVASCULAR PROCEDURE | 34518-00[765] | 650207 | 3451800 | Y | 5,250.00 | |
0 | RUPT.ILIAC ARTERY ANEUR.REPAIR | 33163-001 | 650208 | 14,200.00 |
REPR.RENAL/MESENTERIC ARTY.ANR
15,500.00
REPR.SPLENIC ARTERY ANEURYSM
10,000.00
REPR.SUPERFCL.FEMORAL ANEURYSM
10,000.00
RESECTION & ANASTOMOSIS
15,000.00
RESECTION , THORACIC VESSEL , WITH, GRAFT REPLACEMENT
9,000.00
RESECTION OF AV MALFORMATION
7,100.00
RE-VASCULAR FING,HAND,FOOT MOD
11,800.00
RE-VASCULAR. ADD. FINGER,HAND
9,000.00
RE-VASCULAR.FING,HAND,FOOT MAJ
18,300.00
REVISIONARTERIOVENOUS SHUNT FOR RENAL DIALYSIS.
18,000.00
REVISIONVASCULAR PROCEDURE
5,250.00
RUPT.ILIAC ARTERY ANEUR.REPAIR
14,200.00
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