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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
INVERTED NIPPLE (UNILATERAL)
31563-001
640063
5,100.00
0
K-WIRE ( FINGER)
47300-01[1454]
640064
4730001
4,800.00
0
K-WIRE (ADDED)
640065
2,200.00
0
LIPOSUCTION (MAJOR)
45584-001
640066
9,700.00
0
LIPOSUCTION (MOD)
45584-001
640067
6,500.00
0
LIPOSUCTION (SMALL)
45584-001
640068
4,500.00
0
MAJOR LOCAL FLAP
30403-05
640069
7,100.00
0
MAJOR LOCAL FLAP DIVISION (GA)
30403-051
640070
5,800.00
0
MASTOPEXY - BILATERAL
45556-001
640071
11,600.00
0
MASTOPEXY - UNILATERAL
45556-001
640072
6,500.00
0
MODERATE LOCAL FLAP
30403-051
640073
5,200.00
0
MODERATE LOCAL FLAP DIVIS.(GA)
30403-051
640074
4,500.00
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