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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
CAROTID SUBCLAVIAN BYPASS
32700-021
650038
11,000.00
0
CAROTID VERTEBRAL BYPASS
32700-031
650039
11,600.00
0
CAROTID-CAROTED BYPASS
32700-011
650040
14,200.00
0
CERVICO-DORSAL SYMPATHECTOMY
35003-00[81]
650041
3500300
7,700.00
0
CHIVA
650042
78414
2,600.00
0
CHIVA A(CONSERVATIVE HEMODYNAMIC CURE OF
650043
78414
4,000.00
0
PALMAR FASCIOTOMY (GA)
45018-031
640085
5,200.00
0
PALMAR FASCIOTOMY (LA)
45018-031
640086
3,000.00
0
PENILE RECONSTRUCTION-STAGE I
90676-001
640087
11,600.00
0
PENILE RECONSTRUCTION-STAGE II
90676-001
640088
11,600.00
1
PLASTIC OPERATION ON BONE (ACRIMIOPLASTY)
48903-00[1400]
640089
4890300
Y
9,000.00
0
POLYDACTYL 1 FINGER
47906-01[1632]
640090
4790601
4,000.00
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