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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | AORTO-SUBCLAVIAN/CAROTID BYPAS | 32700-041 | 650014 | 11,000.00 | |||
3 | ARTERIAL EMBOLECTOMY AND VENOUS THROMBECTOMY | 650015 | 9023000 | Y | 13,500.00 | ||
0 | AV FIST W/ G.G.(EXCL.COST OF GRAFT) | 34512-001 | 650016 | 6,500.00 | |||
0 | A-V FISTULA | 34512-001 | 650017 | 5,200.00 | |||
0 | A-V FISTULA REVISION | 34121-001 | 650018 | 6,500.00 | |||
0 | AV FISTULA W/AUTOLOG.VEIN LOOP | 34512-001 | 650019 | 7,500.00 | |||
0 | AXILLARY - FEMORAL BYPASS | 32715-02 | 650020 | 8,400.00 | |||
0 | AXILLARY-FEMORAL-FEMO. BYPASS | 32715-031 | 650021 | 10,300.00 | |||
1 | BIOPSY BLOOD VESSEL | 30075-20[747] | 650022 | 3007520 | Y | 9,000.00 | |
0 | BRACH.ART.THROMBOENDARTRICTOMY | 90229-001 | 650023 | 6,500.00 | |||
0 | BRACHIAL ARTERY EMBOLECTOMY | 33806-011 | 650024 | 5,800.00 | |||
5 | BYPASS AORTA BI-FEMORAL ARTERY | 32708-00[712] | 650025 | 3270800 | Y | 30,000.00 |
AORTO-SUBCLAVIAN/CAROTID BYPAS
11,000.00
ARTERIAL EMBOLECTOMY AND VENOUS THROMBECTOMY
13,500.00
AV FIST W/ G.G.(EXCL.COST OF GRAFT)
6,500.00
A-V FISTULA
5,200.00
A-V FISTULA REVISION
6,500.00
AV FISTULA W/AUTOLOG.VEIN LOOP
7,500.00
AXILLARY - FEMORAL BYPASS
8,400.00
AXILLARY-FEMORAL-FEMO. BYPASS
10,300.00
BIOPSY BLOOD VESSEL
9,000.00
BRACH.ART.THROMBOENDARTRICTOMY
6,500.00
BRACHIAL ARTERY EMBOLECTOMY
5,800.00
BYPASS AORTA BI-FEMORAL ARTERY
30,000.00
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