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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | HIGH LIGATION( VARICOCOCLE) | 30635-00[1187] | 650089 | 3063500 | Y | 6,000.00 | |
0 | HIGH LIGATION-SHORT SAPHEN.VN | 650090 | 3250801 | 2,800.00 | |||
0 | ILIAC AR.TRANSLUM.BAL.ANGPLSTY | 650091 | 3530307 | 4,500.00 | |||
0 | ILIAC ART.TRANSLUM ATHERECTOMY | 50103-00[1555] | 650092 | 5010300 | 4,500.00 | ||
0 | TENDON TRANSFER (ADDED) | 45439-00 | 640136 | 3,900.00 | |||
0 | TENDON TRANSFER (SINGLE) | 45439-00 | 640137 | 7,500.00 | |||
0 | TENOLYSIS (FINGER) | 45439-00 | 640139 | 5,400.00 | |||
0 | TONGUE TIE RELEASE - GA | 45448-07 | 640140 | 1,300.00 | |||
0 | URETHRAL FISTULA | 90675-001 | 640141 | 4,300.00 | |||
0 | VAGINAL RECONSTRUCT-SG | 90675-001 | 640142 | 12,900.00 | |||
0 | 1ST RIB RESECT-THOR.OUTLT SYND | 650001 | 3413900 | 10,300.00 | |||
0 | ABD. AORTIC ANEUR.RESECT.GRAFT | 33115-001 | 650002 | 14,200.00 |
HIGH LIGATION( VARICOCOCLE)
6,000.00
HIGH LIGATION-SHORT SAPHEN.VN
2,800.00
ILIAC AR.TRANSLUM.BAL.ANGPLSTY
4,500.00
ILIAC ART.TRANSLUM ATHERECTOMY
4,500.00
TENDON TRANSFER (ADDED)
3,900.00
TENDON TRANSFER (SINGLE)
7,500.00
TENOLYSIS (FINGER)
5,400.00
TONGUE TIE RELEASE - GA
1,300.00
URETHRAL FISTULA
4,300.00
VAGINAL RECONSTRUCT-SG
12,900.00
1ST RIB RESECT-THOR.OUTLT SYND
10,300.00
ABD. AORTIC ANEUR.RESECT.GRAFT
14,200.00
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