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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
ABD.AORTA THROMBOENDARTRICTOMY
33509-00
650003
14,200.00
1
ADDITIONAL PERIPHERAL STENT AS ADDITIONAL
650004
Y
6,000.00
SERVICE * PERIPHRAL INTERVENTION
0
ANEURY.OF INNOMINATE/SUBCL ART
90217-011
650005
18,100.00
0
ANEURYSMICTOMY-AXIL.BRACH.ART.
33070-001
650006
9,900.00
0
ANEURYSMICTOMY-VERTEBRAL ARTRY
33075-001
650007
11,600.00
0
ANMICTOMY OF RAD OR ULNAR ART.
650008
3307000
7,700.00
0
AORTO FEMORAL OR BIFEMORAL
32708-01
650009
15,500.00
0
AORTO-CELIAC BYPASS
32763-051
650010
14,200.00
0
AORTOILIAC OR BI-ILIAC BYPASS
32708-021
650011
14,200.00
0
AORTO-MESENTERIC BYPASS
32763-051
650012
14,200.00
0
AORTO-RENAL BYPASS
32721-001
650013
14,200.00
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