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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | FLAP DELAY | 90329-001 | 640051 | 2,600.00 | |||
0 | FLAP REFASHON/DEBULKING | 45012-00 | 640052 | 4,500.00 | |||
0 | FLAP REFASHONING | 45239-00 | 640053 | 1,900.00 | |||
0 | FLAP REVISION (GA) | 30403-05 | 640054 | 3,900.00 | |||
0 | FREE FLAP (MICROVASCULAR) | 45562-001 | 640055 | 21,500.00 | |||
0 | FULL THICKNESS SKIN GRAFT (SM) | 45451-091 | 640056 | 3,200.00 | |||
0 | GYNECOMASTIA (BILATERAL) | 45521-011 | 640057 | 7,700.00 | |||
0 | GYNECOMASTIA (UNILATERAL) | 45521-001 | 640058 | 5,400.00 | |||
0 | HYPOSPADIAS (MINIMAL) | 37821-00[1198] | 640059 | 3782100 | 4,700.00 | ||
0 | HYPOSPADIAS (TOTAL) | 37821-00[1198] | 640060 | 3782100 | 9,000.00 | ||
0 | INSERT-TISSUE EXPANSION | 45566-001 | 640061 | 5,400.00 | |||
0 | INVERTED NIPPLE (BILATERAL) | 31563-001 | 640062 | 8,600.00 |
FLAP DELAY
2,600.00
FLAP REFASHON/DEBULKING
4,500.00
FLAP REFASHONING
1,900.00
FLAP REVISION (GA)
3,900.00
FREE FLAP (MICROVASCULAR)
21,500.00
FULL THICKNESS SKIN GRAFT (SM)
3,200.00
GYNECOMASTIA (BILATERAL)
7,700.00
GYNECOMASTIA (UNILATERAL)
5,400.00
HYPOSPADIAS (MINIMAL)
4,700.00
HYPOSPADIAS (TOTAL)
9,000.00
INSERT-TISSUE EXPANSION
5,400.00
INVERTED NIPPLE (BILATERAL)
8,600.00
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