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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | RUPTURE ABD ANEUR ANEU REEESECT. GRAFT . | 33151-001 | 650209 | 18,100.00 | |||
0 | SADDLE EMBOLECTOMY | 33806-081 | 650210 | 7,700.00 | |||
0 | SAPHENO POPITEAL VN.ANASTMOSIS | 32508-011 | 650211 | 4,500.00 | |||
2 | SHUNT, SYSTEMIC TO PULMONARY ARTERY | 38733-00[717] | 650212 | 3873300 | Y | 15,000.00 | |
0 | SPLENO RENAL BYPASS | 32763-041 | 650213 | 14,200.00 | |||
0 | SPLENORENAL DECOMPRESSN.PROCED | 32763-04 | 650214 | 9,900.00 | |||
0 | STRIPPING OF GRFT.SAPHENOUS VN | 32508-001 | 650215 | 6,000.00 | |||
2 | STRIPPING OF VARICOSE VEINS-ONE SIDE | 32508-00[727] | 650216 | 3250800 | Y | 9,000.00 | |
2 | STRIPPING OF VARICOSE VEINS-TWO SIDES | 32508-00[727] | 650217 | 3250800 | Y | 12,000.00 | |
0 | SUBCLAVIAN-AXILLARY BYPASS | 32763-031 | 650218 | 9,000.00 | |||
0 | SUBCLAVIAN-SUBCLAVIAN BYPASS | 32763-101 | 650219 | 9,300.00 | |||
0 | SUBCLAVIAN-VERTEBRAL BYPASS | 32763-021 | 650220 | 9,900.00 |
RUPTURE ABD ANEUR ANEU REEESECT. GRAFT .
18,100.00
SADDLE EMBOLECTOMY
7,700.00
SAPHENO POPITEAL VN.ANASTMOSIS
4,500.00
SHUNT, SYSTEMIC TO PULMONARY ARTERY
15,000.00
SPLENO RENAL BYPASS
14,200.00
SPLENORENAL DECOMPRESSN.PROCED
9,900.00
STRIPPING OF GRFT.SAPHENOUS VN
6,000.00
STRIPPING OF VARICOSE VEINS-ONE SIDE
9,000.00
STRIPPING OF VARICOSE VEINS-TWO SIDES
12,000.00
SUBCLAVIAN-AXILLARY BYPASS
9,000.00
SUBCLAVIAN-SUBCLAVIAN BYPASS
9,300.00
SUBCLAVIAN-VERTEBRAL BYPASS
9,900.00
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