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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
2
VARICOCELECTOMY-SPERMATIC CORD
30635-00[1187]
650233
3063500
Y
6,000.00
2
VARICOSE VEIN ( SINGLE LEG ) LIGATION -
34106-18[726]
650234
3410618
Y
6,000.00
2
VARICOSE VEIN ( SINGLE LEG) INJECTION
32508-00[727]
650235
3250800
Y
6,000.00
2
VARICOSE VEIN ( TWO LEGS ) LIGATION -
34106-18[726]
650236
3410618
Y
9,000.00
2
VARICOSE VEIN ( TWO LEGS) INJECTION
32508-00[727]
650237
Y
7,500.00
2
VARICOSE VEIN (TWO LEGS) LIGATION
34106-18[726]
650238
Y
9,000.00
2
VARICOSE VEINS STRIPPING + INJECTION
32508-00[727]
650239
3250800
Y
7,500.00
0
VAS.PED.FABRICAT.USING V.GRAFT
650240
4556300
11,000.00
1
VASCUALR STENTING * CONGENITAL/ STRUCTURAL
650241
Y
20,000.00
0
VENACAVA RECONSTRUCTION
90217-021
650242
9,000.00
3
PHLEBECTOMYW/ GRAFT REPLACEMENT- PREHERAL
32766-01[733]
650145
Y
81,000.00
SNGLE
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