BILLING CODE DEPARTMENT OF ONCOLOGY STAY OPD/EMR

SURGICAL ONCOLOGY - HEAD AND NECK

MHSO-01 90 DEGREE LARYNGOSCOPY 515
MHSO-02 BIOPSY HEAD AND NECK 3581
MHSO-03 BIOPSY HEAD AND NECK ENDOSCOPIC / 4599
MICROSCOPIC
MHSO-04 BIOPSY NECK MASS 7655
MHSO-05 BONE GRAFT TO FACIAL BONES 10206
MHSO-06 CARTILAGE GRAFT - NOSE OR EAR, 5103
HARVESTING
MHSO-07 CARTILAGE GRAFT TO FACIAL REGION 5103
MHSO-08 CERVICO - FACIAL RESECTION LARGE 34703
CERVICO - FACIAL RESECTION OF 38787
MHSO-09
VASCULAR MASS COMPLEX
CERVICO - FACIAL RESECTION OF 15309
MHSO-10
VASCULAR MASS SIMPLE
MHSO-11 CERVICO - FACIAL RESECTION SMALL 5103
MHSO-12 CERVICO - FACIAL RESECTION MEDIUM 21441
MHSO-13 COMPLEX FACIAL REPAIR - LARGE 15309
MHSO-14 COMPLEX FACIAL REPAIR - SMALL 10206
MHSO-15 CONTROL OF HEMORRHAGE COMPLEX 21441
MHSO-16 CONTROL OF HEMORRHAGE SIMPLE 5103
DACROCYSTORHINOSTOMY - DURING 7655
MHSO-17 OPEN
SURGERY
MHSO-18 DEBRIDEMENT - LARGE (HEAD & NECK) 10206
MHSO-19 DEBRIDEMENT - MEDIUM (HEAD & NECK) 5103
MHSO-20 DEBRIDEMENT - SMALL (HEAD & NECK) 2163
MHSO-21 DENTAL EXTRACTION AND SOCKET 2163
CLOSURE
MHSO-22 DIVERTICULECTOMY CERVICAL - 14291
ENDOSCOPIC
MHSO-23 DIVERTICULECTOMY CERVICAL - OPEN 17357
MHSO-24 DRAINAGE OF CERVICOFACIAL ABSCESS - 7151
LARGE
MHSO-25 DRAINAGE OF CERVICOFACIAL ABSCESS - 3581
SMALL
MHSO-26 DRAINAGE OF DEEP NECK SPACE ABSCESS 14291
MHSO-27 DRAINAGE OF PERITONSILLAR ABSCESS 3581
MHSO-28 DRAINAGE OF SUPERFICIAL NECK ABSCESS 7151
MHSO-29 DRESSING HEAD & NECK - LARGE 3581
MHSO-30 DRESSING HEAD & NECK - MEDIUM 1764
MHSO-31 DRESSING HEAD & NECK - SMALL 515
MHSO-32 ESOPHAGEAL RESECTION CERVICAL - 17357
COMPLEX
MHSO-33 ESOPHAGEAL RESECTION CERVICAL - 10206
SIMPLE
ESOPHAGOSCOPY / HYPOPHARYNG RIGID DIAGOSTIC 3581
MHSO-34
ESOPHAGOSCOPY / HYPOPHARYNG RIGID THERAPEUTIC 7655
MHSO-35
MHSO-36 EXCISION - SINONASAL COMPLEX 25515
MHSO-37 EXCISION - SINONASAL SIMPLE 5103
MHSO-38 EXCISION LIP - COMPLEX EXCLUDING 17357
REPAIR
MHSO-39 EXCISION LIP - SIMPLE 5103
MHSO-40 EXCISION ORAL MUCOSAL - COMPLEX 17357
MHSO-41 EXCISON NECK MASS - COMPLEX 15309
MHSO-42 EXTERNAL AUDITORY CANALPLASTY/ 14291
RESECTION
MHSO-43 FACIAL BONE PLATING 14291
MHSO-44 FACIAL NERVE PARALYSIS - NERVE REPAIR 10206
MHSO-45 FACIAL NERVE PARALYSIS - STATIC REPAIR 8684
MHSO-46 FIBREOPTIC LARYNGOSCOPY - DIAGNOSTIC 2552
MHSO-47 FIBREOPTIC LARYNGOSCOPY - 4599
THERAPEUTIC
FLAP (NOT SPECIFIED) TO HEAD AND NECK 17357
MHSO-48
SITE - LARGE
FLAP (NOT SPECIFIED) TO HEAD AND NECK 8684
MHSO-49
SITE - SMALL
MHSO-50 FLAP (PEDICLED TO HEAD & NECK REGION) - 25515
LARGE
MHSO-51 FLAP (PEDICLED TO HEAD & NECK REGION) - 14291
SMALL
MHSO-52 FLAP DELAY 5103
MHSO-53 FLAP INSET TO H&N 10206
MHSO-54 FLAP LOCAL TO HEAD & NECK REGION - 14291
LARGE
MHSO-55 FLAP LOCAL TO HEAD & NECK REGION 7655
SMALL
MHSO-56 FLAP SECTIONING 8684
MHSO-57 FNAC CERVICO FACIAL REGION 1029
GLOSSECTOMY - EXTENDING BEYOND 25515
MHSO-58
ANTERIOR TONGUE
MHSO-59 GLOSSECTOMY - PARTIAL 15309
MHSO-60 GLOSSECTOMY - SUBTOTAL OR TOTAL 25515
MHSO-61 INFRATEMPORAL FOSSA RESECTION 17357
MHSO-62 INTERDENTAL WIRING 4599
MHSO-63 LARYNGECTOMY - TOTAL 25515
MHSO-64 LARYNGECTOMY PARTIAL 17357
MHSO-65 LARYNGECTOMY WITH PARTIAL 34703
PHARYNGECTOMY
MHSO-66 LARYNGOFISSURE 17357
MHSO-67 LARYNGOPHARYNGECTOMY - EXTENDED 38787
MHSO-68 LARYNGOTRACHEAL RECONSTRUCTION 25515
MHSO-69 LARYNGOTRACHEOPLASTY - COMPLEX 17357
MHSO-70 LARYNGOTRACHEOPLASTY - SIMPLE 10206
MHSO-71 LASER RESECTION - ORAL CAVITY - SMALL 7655
MHSO-72 LASER RESECTION - ORAL CAVITY - LARGE 17357
LASER RESECTION LARYNX - MORE THAN 25515
MHSO-73
ONE SUBSITE
MHSO-74 LASER RESECTION LARYNX - ONE SUBSITE 17357
MHSO-75 LYMPH NODE EXCISION BIOPSY NECK 5103
SINGLE
MHSO-76 MANDIBULAR LESION REMOVAL - LARGE 21441
MHSO-77 MANDIBULAR LESION REMOVAL - SMALL 4599
MHSO-78 MANDIBULECTOMY - MARGINAL 14291
MHSO-79 MANDIBULECTOMY - SEGMENTAL 17357
MHSO-80 MANDIBULOTOMY APPROACH 17357
MHSO-81 MAXILLARY SWING APPROACH 25515
MHSO-82 MAXILLECTOMY - EXTENDED 17357
MHSO-83 MAXILLECTOMY - PARTIAL 25515
MHSO-84 MAXILLECTOMY - TOTAL 25515
MHSO-85 MEDIAL CANTHOPEXY 3581
MHSO-86 MICROLARYNGOSCOPY - DIAGNOSTIC / 7151
BIOPSY
MICROLARYNGOSCOPY - EXCISION OF 14291
MHSO-87
MASS COMPLEX
MHSO-88 MICROLARYNGOSCOPY - EXCISION OF 8684
MASS SIMPLE
MHSO-89 NASAL ENDOSCOPY DIAGNOSTIC 1029
MHSO-90 NECK DISSECTION - EXTENDED 34703
MHSO-91 NECK DISSECTION - MODIFIED / RADICAL 25515
MHSO-92 NECK DISSECTION - PARATRACHEAL 14291
MHSO-93 NECK DISSECTION - SELECTIVE 25515
NECK DISSECTION - SUPERIOR 14291
MHSO-94
MEDIASTINAL VIA NECK
MHSO-95 NECK EXPLORATION, COMPLEX 17357
MHSO-96 NECK EXPLORATION, SIMPLE 7655
MHSO-97 NECK MASS EXCISION SIMPLE 8684
MHSO-98 NERVE GRAFT TO H&N 17357
MHSO-99 ORAL COMPOSITE RESC. (L) VIA LIP SPLIT 38787
MHSO-100 ORAL COMPOSITE RESECTION - LARGE 25515
MHSO-101 ORAL COMPOSITE RESECTION - SMALL 17357
MHSO-102 ORAL MUCOSAL EXCISION - SIMPLE 4599
MHSO-103 ORAL RESECTION OTHERS - LARGE 17357
MHSO-104 ORAL RESECTION OTHERS - SMALL 10206
MHSO-105 ORO-ANTRAL FISTULA REPAIR, COMPLEX 14291
MHSO-106 OROPHARYGEAL RESECTION WITH LASER - 10206
SMALL
MHSO-107 OROPHARYNGEAL RESECTION - EXTENSIVE 25515
MHSO-108 OROPHARYNGEAL RESECTION - LIMITED 10206
MHSO-109 OROPHARYNGEAL RESECTION WITH LASER - 25515
LARGE
MHSO-110 OSTEOPLASTIC FLAP APPROACH 25515
MHSO-111 PANENDOSCOPY 7151
MHSO-112 PARAPHARYNGEAL SPACE RESECTION 25515
MHSO-113 PARATHYROID AUTOTRANSPLANTATION 7655
MHSO-114 PARATHYROIDECTOMY - FOUR GLAND 25515
EXPLORATION
MHSO-115 PARATHYROIDECTOMY - SINGLE 17357
MHSO-116 PAROTIDECTOMY - LATERAL LOBE 25515
MHSO-117 PAROTIDECTOMY - RADICAL 34703
MHSO-118 PAROTIDECTOMY - TOTAL / DEEP LOBE 25515
MHSO-119 PHARYNGOESOPHAGEAL REPAIR 17357
MHSO-120 PHARYNGOTOMY 17357
PHOTODYNAMIC THERAPY TO HEAD & 25515
MHSO-121
NECK - ENDOSCOPIC
MHSO-122 PHOTODYNAMIC THERAPY TO HEAD & 10206
NECK SIMPLE
PHOTODYNAMIC THERAPY TO HEAD & 17357
MHSO-123
NECK, COMPLEX
MHSO-124 PREAURICULAR SINUS / CYST EXCISION - 25515
COMPLEX
MHSO-125 PREAURICULAR SINUS / CYST EXCISION - 8684
SIMPLE
MHSO-126 RADIOFREQUENCY BASE OF TONGUE 4599
MHSO-127 RADIOFREQUENCY PALATE 4599
MHSO-128 REPAIR HEAD & NECK SIMPLE NOT 10206
SPECIFIED
MHSO-129 REPAIR HEAD AND NECK - COMPLEX 17357
OTHERS
MHSO-130 REPAIR ORAL MULTILAYER / COMPLEX / 10206
MULTIPLE
MHSO-131 REPAIR ORAL SIMPLE 7151
MHSO-132 SALIVARY DUCT DIVERSION / REPAIR 7655
MHSO-133 SECONDARY SUTURING HEAD & NECK 7151
MAJOR
MHSO-134 SECONDARY SUTURING HEAD & NECK 3581
MINOR
MHSO-135 SKIN GRAFT TO HEAD & NECK - SMALL 5103
MHSO-136 SKIN GRAFT TO HEAD & NECK, LARGE 17357
MHSO-137 SKIN GRAFT TO HEAD & NECK, MEDIUM 10206
MHSO-138 SKULL BASE SURGERY - APPROACH NOT 34703
OTHERS
SKULL BASE SURGERY - CRANIOFACIAL 34703
MHSO-139
APPROACH ANTERIOR
SKULL BASE SURGERY - CRANIOFACIAL 38787
MHSO-140
APPROACH LATERAL
MHSO-141 SKULL BASE SURGERY - RESECTION OF 17357
LESION
MHSO-142 SUBMANDIBULAR DUCT STONE REMOVAL 4599
MHSO-143 SUBMANDIBULAR GLAND REMOVAL 14291
MHSO-144 TEMPORAL BONE RESECTION - EXTENSIVE 21441
MHSO-145 TEMPORAL BONE RESECTION - LIMITED 10206
MHSO-146 THYROGLOSSAL CYST SURGERY 8684
THYROIDECTOMY, REMOVAL OF 14291
MHSO-147
SUBSTERNAL GOITRE
TRACHEAL RESECTION AND ANASTAMOSIS - CERVICAL 34703
MHSO-148
MHSO-149 TRACHEO - ESOPHAGEAL PROSTHESIS 1764
INSERTION
MHSO-150 TRACHEO - ESOPHAGEAL PUNCTURE 5103
MHSO-151 TRACHEOSTOMY CLOSURE 5103
MHSO-152 TRACHEOSTOMY DECANULATION 1029
MHSO-153 TRACHEOSTOMY STENOSIS REPAIR 7655
MHSO-154 TRACHEOSTOMY TUBE CHANAGE 515
MHSO-155 TRANSHYOID APPROACH 15309
TRANSMAXILLARY APPROACH TO 25515
MHSO-156 INTRATEMPORAL
FOSSA
BILLING CODE DEPARTMENT OF ONCOLOGY STAY OPD/EMR
 SURGICAL ONCOLOGY - BREAST
MHSO-157 ASPIRATION OF BREAST ABSCESS 2163
MHSO-158 AXILLARY CLEARANCE 21441
MHSO-159 BREAST AUGMENTATION 30618
MHSO-160 BREAST RECONSTRUCTION USING IMPLANT 30618
MHSO-161 BREAST RECONSTRUCTION USING LD FLAP 30618
MHSO-162 BREAST REDUCTION - B/L 30618
MHSO-163 CLINICAL CORE BIOPSY OF BREAST LUMP 3066
MHSO-164 CORRECTION OF INVERTED NIPPLE- B/L 30618
MHSO-165 CORRECTION OF INVERTED NIPPLE- U/L 19394
MHSO-166 EXCISION - AXILLARY LYMPH NODE 8568
MHSO-167 EXCISION - MAJOR DUCT 10206
MHSO-168 EXCISION - WIDE LOCAL EXCISION - 8568
DIAGNOSTIC
MHSO-169 EXCISION GYNAECOMASTIA - U/L 15309
MHSO-170 EXCISION GYNAECOMSATIA - B/L 21441
MHSO-171 EXCISION OF ACCESSORY AXILLARY BREAST 15309
TISSUE
MHSO-172 EXCISION OF BREAST LUMP 10206
EXCISION OF BREAST SKIN LUMP UNDER 3066
MHSO-173
LOCAL ANAESTHETIC
MHSO-174 EXCISION OF SUPERNUMERARY/ 15309
BREAST/NIPPLE
MHSO-175 INCISION AND DRAINAGE OF BREAST 4316
ABSCESS
INCISION AND DRAINAGE OF BREAST 3066
MHSO-176
ABSCESS UNDER LA
LIPOSUCTION AND EXCISION OF 30618
MHSO-177 GYNAECOMASTIA -
B/L
LIPOSUCTION AND EXCISION OF 21441
MHSO-178 GYNAECOMASTIA -
U/L
MHSO-179 MARKER GUIDED DIAGNOSTIC WLE 15309
MHSO-180 MARKER GUIDED WLE 12254
MHSO-181 MASTECTOMY に SIMPLE 17357
MHSO-182 MICRODOCHECTOMY 10206
MHSO-183 MODIFIED RADICAL MASTECTOMY 30618
MHSO-184 NIPPLE RECONSTRUCTION - B/L 21441
MHSO-185 NIPPLE RECONSTRUCTION - U/L 15309
MHSO-186 PERI-AREOLAR BREAST LIFT/ MASTOPEXY 25515
MHSO-187 REDUCTION MAMMOPLASTY - U/L 21441
MHSO-188 RE-EXCISION BREAST 10206
MHSO-189 REMOVAL OF BREAST IMPLANT 21441
MHSO-190 SENTINEL NODE BIOPSY 15309
MHSO-191 WIDE LOCAL EXCISION (WLE) 15309
BILLING CODE DEPARTMENT OF ONCOLOGY STAY OPD/EMR
MEDICAL ONCOLOGY
MHMO-01 BONE MARROW ASPIRATION 2163
MHMO-02 BONE MARROW ASPIRATION AND BIOPSY 4316
MHMO-03 CHEMOTHERAPY BIOLOGICAL AGENT 3465
INFUSION - PER DAY
MHMO-04 CHEMOTHERAPY BIOLOGICAL AGENT IV 2552
PUSH - PER DAY
MHMO-05 CHEMOTHERAPY BY PUMP - PER DAY 3465
MHMO-06 CHEMOTHERAPY CONTINUOUS INFUSION - 3465
PER DAY
MHMO-07 CHEMOTHERAPY INJECTION OMMAYA - 2163
PER DAY
CHEMOTHERAPY INTRA- 4316
MHMO-08
PERITONEAL/INTRAPLEURAL - PER DAY
MHMO-09 CHEMOTHERAPY INTRA-VESICAL - PER DAY 4316
MHMO-10 CHEMOTHERAPY IV PUSH - PER DAY 851
MHMO-11 CHEMOTHERAPY LONG INFUSION - PER 3465
DAY
MHMO-12 CHEMOTHERAPY PLANNING CHARGES 6867
MHMO-13 CHEMOTHERAPY PROTOCOL CHARGES 2552
MHMO-14 CHEMOTHERAPY SC OR IM ANTI- 683
NEOPLASTIC - PER DAY
MHMO-15 CHEMOTHERAPY SHORT INFUSION - PER 2552
DAY
MHMO-16 HDCT (HIGH DOSE CHEMOTHERAPY) SCT- 117369
ALLOGENEIC
MHMO-17 HDCT (HIGH DOSE CHEMOTHERAPY) SCT- 68387
AUTOLOGOUS
MHMO-18 INTRA-THECAL CHEMOTHERAPY - PER DAY 3465
MHMO-19 IV FLUIDS LONG DURATION - PER DAY 1313
MHMO-20 IV FLUIDS SHORT DURATION - PER DAY 683
MHMO-21 LEUKEMIA INDUCTION CHEMOTHERAPY - 5103
PER DAY
MHMO-22 PICC LINE / CENTRAL LINE DRESSING 179
MHMO-23 PICC LINE INSERTION - MEDICAL ONCOLGY 4316
MHMO-24 PICC LINE REPAIR 851
MHMO-25 REMOVAL OF PICC / NON TUNNELED 179
CATHETER
MHMO-26 SC HORMONAL PELLET IMPLANTATION 851
 DC MULTY TWIN SINGLE/ICU SUITS

515 567 693 767 924

3581 3948 4788 5271 6332
4599 5061 6143 6762 8117

7655 8421 10206 11235 13482

10206 11235 13598 14963 17955
5103 5618 6804 7487 8988

5103 5618 6804 7487 8988

34703 38178 46200 50820 60984
38787 42672 51650 56816 68187

15309 16842 20391 22439 26933

5103 5618 6804 7487 8988

21441 23594 28560 31416 37706
15309 16842 20391 22439 26933
10206 11235 13598 14963 17955
21441 23594 28560 31416 37706
5103 5618 6804 7487 8988
7655 8421 10206 11235 13482

10206 11235 13598 14963 17955

5103 5618 6804 7487 8988
2163 2384 2888 3182 3822
2163 2384 2888 3182 3822

14291 15729 19037 20948 25137

17357 19100 23121 25442 30534

7151 7875 9534 10490 12590

3581 3948 4788 5271 6332

14291 15729 19037 20948 25137

3581 3948 4788 5271 6332
7151 7875 9534 10490 12590
3581 3948 4788 5271 6332
1764 1943 2363 2604 3129
515 567 693 767 924
17357 19100 23121 25442 30534

10206 11235 13598 14963 17955

3581 3948 4788 5271 6332

7655 8421 10206 11235 13482

25515 28067 33978 37380 44856

5103 5618 6804 7487 8988
17357 19100 23121 25442 30534

5103 5618 6804 7487 8988

17357 19100 23121 25442 30534
15309 16842 20391 22439 26933
14291 15729 19037 20948 25137

14291 15729 19037 20948 25137

10206 11235 13598 14963 17955
8684 9555 11571 12737 15288
2552 2814 3413 3759 4515
4599 5061 6143 6762 8117

17357 19100 23121 25442 30534

8684 9555 11571 12737 15288

25515 28067 33978 37380 44856

14291 15729 19037 20948 25137

5103 5618 6804 7487 8988

10206 11235 13598 14963 17955
14291 15729 19037 20948 25137

7655 8421 10206 11235 13482

8684 9555 11571 12737 15288

1029 1134 1376 1523 1827
25515 28067 33978 37380 44856

15309 16842 20391 22439 26933

25515 28067 33978 37380 44856
17357 19100 23121 25442 30534
4599 5061 6143 6762 8117
25515 28067 33978 37380 44856
17357 19100 23121 25442 30534
34703 38178 46200 50820 60984

17357 19100 23121 25442 30534

38787 42672 51650 56816 68187
25515 28067 33978 37380 44856
17357 19100 23121 25442 30534
10206 11235 13598 14963 17955
7655 8421 10206 11235 13482
17357 19100 23121 25442 30534
25515 28067 33978 37380 44856

17357 19100 23121 25442 30534

5103 5618 6804 7487 8988

21441 23594 28560 31416 37706

4599 5061 6143 6762 8117
14291 15729 19037 20948 25137
17357 19100 23121 25442 30534
17357 19100 23121 25442 30534
25515 28067 33978 37380 44856
17357 19100 23121 25442 30534
25515 28067 33978 37380 44856
25515 28067 33978 37380 44856
3581 3948 4788 5271 6332
7151 7875 9534 10490 12590

14291 15729 19037 20948 25137

8684 9555 11571 12737 15288

1029 1134 1376 1523 1827

34703 38178 46200 50820 60984
25515 28067 33978 37380 44856
14291 15729 19037 20948 25137
25515 28067 33978 37380 44856
14291 15729 19037 20948 25137

17357 19100 23121 25442 30534

7655 8421 10206 11235 13482
8684 9555 11571 12737 15288
17357 19100 23121 25442 30534
38787 42672 51650 56816 68187
25515 28067 33978 37380 44856
17357 19100 23121 25442 30534
4599 5061 6143 6762 8117
17357 19100 23121 25442 30534
10206 11235 13598 14963 17955
14291 15729 19037 20948 25137
10206 11235 13598 14963 17955

25515 28067 33978 37380 44856

10206 11235 13598 14963 17955
25515 28067 33978 37380 44856

25515 28067 33978 37380 44856

7151 7875 9534 10490 12590
25515 28067 33978 37380 44856
7655 8421 10206 11235 13482
25515 28067 33978 37380 44856

17357 19100 23121 25442 30534

25515 28067 33978 37380 44856
34703 38178 46200 50820 60984
25515 28067 33978 37380 44856
17357 19100 23121 25442 30534
17357 19100 23121 25442 30534
25515 28067 33978 37380 44856

10206 11235 13598 14963 17955

17357 19100 23121 25442 30534

25515 28067 33978 37380 44856

8684 9555 11571 12737 15288

4599 5061 6143 6762 8117

4599 5061 6143 6762 8117
10206 11235 13598 14963 17955

17357 19100 23121 25442 30534

10206 11235 13598 14963 17955

7151 7875 9534 10490 12590

7655 8421 10206 11235 13482
7151 7875 9534 10490 12590

3581 3948 4788 5271 6332

5103 5618 6804 7487 8988

17357 19100 23121 25442 30534
10206 11235 13598 14963 17955
34703 38178 46200 50820 60984

34703 38178 46200 50820 60984

38787 42672 51650 56816 68187

17357 19100 23121 25442 30534

4599 5061 6143 6762 8117

14291 15729 19037 20948 25137
21441 23594 28560 31416 37706
10206 11235 13598 14963 17955
8684 9555 11571 12737 15288
14291 15729 19037 20948 25137

34703 38178 46200 50820 60984

1764 1943 2363 2604 3129

5103 5618 6804 7487 8988

5103 5618 6804 7487 8988
1029 1134 1376 1523 1827
7655 8421 10206 11235 13482
515 567 693 767 924
15309 16842 20391 22439 26933
25515 28067 33978 37380 44856

DC MULTY TWIN SINGLE/ICU SUITS

 2163 2384 2888 3182 3822
21441 23594 28560 31416 37706
30618 33684 40761 44846 53823
30618 33684 40761 44846 53823
30618 33684 40761 44846 53823
30618 33684 40761 44846 53823
3066 3381 4106 4526 5439
30618 33684 40761 44846 53823
19394 21336 25830 28413 34104
8568 9429 11414 12558 15078
10206 11235 13598 14963 17955
8568 9429 11414 12558 15078

15309 16842 20391 22439 26933

21441 23594 28560 31416 37706
15309 16842 20391 22439 26933

10206 11235 13598 14963 17955

3066 3381 4106 4526 5439

15309 16842 20391 22439 26933

4316 4757 5765 6342 7613

3066 3381 4106 4526 5439

30618 33684 40761 44846 53823

21441 23594 28560 31416 37706

15309 16842 20391 22439 26933

12254 13482 16328 17966 21567
17357 19100 23121 25442 30534
10206 11235 13598 14963 17955
30618 33684 40761 44846 53823
21441 23594 28560 31416 37706
15309 16842 20391 22439 26933
25515 28067 33978 37380 44856
21441 23594 28560 31416 37706
10206 11235 13598 14963 17955
21441 23594 28560 31416 37706
15309 16842 20391 22439 26933
15309 16842 20391 22439 26933
DC MULTY TWIN SINGLE/ICU SUITS

2163 2384 2888 3182 3822

4316 4757 5765 6342 7613
3465 3812 4620 5082 6101

2552 2814 3413 3759 4515

3465 3812 4620 5082 6101

3465 3812 4620 5082 6101

2163 2384 2888 3182 3822

4316 4757 5765 6342 7613

4316 4757 5765 6342 7613

851 945 1145 1260 1512
3465 3812 4620 5082 6101

6867 7560 9156 10080 12096

2552 2814 3413 3759 4515
683 756 924 1019 1229

2552 2814 3413 3759 4515

117369 129108 156230 171854 206231

68387 75233 91046 100160 120194

3465 3812 4620 5082 6101

1313 1449 1764 1943 2331
683 756 924 1019 1229
5103 5618 6804 7487 8988

179 200 252 284 347

4316 4757 5765 6342 7613
851 945 1145 1260 1512
179 200 252 284 347

851 945 1145 1260 1512