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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | SM.INTESITINE RESECT/ANASTOM. | 630084 | 4381000 | 8,700.00 | |||
0 | SPLENECTOMY | 30597-00[815] | 630085 | 8,700.00 | |||
0 | TENOTOMY OF HAND | 46363-00[1440] | 620804 | 4636300 | 2,600.00 | ||
0 | TENOTOMY OPEN | 620805 | 3,800.00 | ||||
0 | THR W/ FEMORAL RECONSTRUCTION | 620806 | 4752200 | 19,400.00 | |||
0 | TKR W/RECONS-TIB/FEMORL CONDYL | 620807 | 4751900 | 19,400.00 | |||
0 | TRANSFER - TENDON SMALL, EACH ADDITIONAL | 620808 | 2,000.00 | ||||
0 | TRANSFER - TENDON, SMALL | 620809 | 4,400.00 | ||||
0 | TRANSFER/ADV SGLE TENDON HAND | 46417-00[1466] | 620810 | 4641700 | 6,500.00 | ||
0 | TRANSFER/ADV TENDON HAND(@ADD) | 46417-00[1466] | 620811 | 1,100.00 | |||
0 | TRIPLE ARTHRODESIS | 620812 | 4981500 | 9,500.00 | |||
2 | TRIPLE ARTHRODESIS (TALUS TO CALAN. TO CUBOID | 49815-00[1543] | 620813 | 4981500 | Y | 9,405.00 |
SM.INTESITINE RESECT/ANASTOM.
8,700.00
SPLENECTOMY
8,700.00
TENOTOMY OF HAND
2,600.00
TENOTOMY OPEN
3,800.00
THR W/ FEMORAL RECONSTRUCTION
19,400.00
TKR W/RECONS-TIB/FEMORL CONDYL
19,400.00
TRANSFER - TENDON SMALL, EACH ADDITIONAL
2,000.00
TRANSFER - TENDON, SMALL
4,400.00
TRANSFER/ADV SGLE TENDON HAND
6,500.00
TRANSFER/ADV TENDON HAND(@ADD)
1,100.00
TRIPLE ARTHRODESIS
9,500.00
TRIPLE ARTHRODESIS (TALUS TO CALAN. TO CUBOID
9,405.00
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