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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
TENOMYOTOMY FOR TORTICOLLIS
50402-00[1374]
630088
4796300
2,900.00
0
TESTICLR TORSN(ORCH.FIX.CONT.TST)
30641-00[1184]
630089
3064100
3,200.00
0
TESTICULAR TORSION(DET.FIX.IPSIL.TST)
30641-01[1184]
630090
3064101
1,900.00
0
THORACOSCOPIC LIGATION OF PDA
630091
3052705
12,900.00
0
THORACOSCOPIC PLICATION
38418-00[561]
630092
3841800
19,400.00
0
THORACOSCOPY DIAGNOSTIC
630093
3843600
6,500.00
0
THORACOTOMY (EMERGENCY)
90230-00[702]
630094
3843600
10,300.00
0
THYROGLOSSAL CYST/FISTULA EXC.
630095
3031400
4,600.00
0
TONGUE TIE RELEASE - GA
30278-00[392]
630096
3027800
1,300.00
0
URETERIC REIMPLANTATION(BILAT)
37842-01[1199]
630097
3784201
7,500.00
0
URETERIC REIMPLANTATION(UNILAT)
37842-03[1106]
630098
3784203
6,200.00
0
URETEROSTOMY CUTANEOUS
36585-01[1080]
630099
3658501
4,500.00
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