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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
3
LIGATION DIVISION OTHER , ABDOMINAL VEINS
34106-19[726]
650105
3410619
Y
4,500.00
3
LIGATION DIVISION OTHER ABDOMINAL ARTERIES ,
34106-14[697]
650106
3410614
Y
4,500.00
3
LIGATION DIVISION OTHER THORACIC VESSELS .PK
34106-19[726]
650107
3410619
Y
4,500.00
3
LIGATION DIVISION OTHER VESSELS AORTA ,PK
34106-14[697]
650108
3410614
Y
3,750.00
0
LIGATION OF AV FISTULAR
650109
1,600.00
0
LIGATION OF FEMORAL VEIN
34103-18[726]
650110
3410318
3,400.00
0
LIGATION OF ILIAC VEIN
34103-17[726]
650111
3410317
5,200.00
0
LIGATION OF PERFORATIONS
32504-01[728]
650112
3250401
1,500.00
3
LIGATION, VARICOSE VEINS , OTHER THORACIC
34106-19[726]
650113
3410619
Y
5,250.00
VESSELS
0
LIGATION-INTERNAL JUGULAR VEIN
34100-03[726]
650114
3410003
3,400.00
0
LUMBAR SYMPATHECTOMY
35000-00[81]
650115
3500000
5,400.00
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