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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | TENDON ACHILLES REPAIR | 49718-01[1542] | 620775 | 4971801 | 5,200.00 | ||
0 | TENDON ARCHILLES LENGTHENING/ 2 SIDE (PEDIATRICS) | 49718-01[1542] | 620776 | 4971801 | 4,400.00 | ||
0 | TENDON ARCHILLES LENGTHENING/ ONE SIDE | 49718-01[1542] | 620777 | 4971801 | 3,200.00 | ||
(PEDIATRICS) | |||||||
0 | TENDON GRAFT (ADDED) | 620778 | 1,500.00 | ||||
0 | TENDON GRAFT (SINGLE) | 620779 | 6,200.00 | ||||
0 | TENDON LENG.EXCN BURSA FOR GRA | 620780 | 3,300.00 | ||||
0 | TENDON LENG.EXCN MUSC.FOR GRAF | 47957-00[1572] | 620781 | 4795700 | 3,800.00 | ||
0 | TENDON LENG.EXCN NERV.FOR GRAF | 39318-00[83] | 620782 | 3931800 | 3,800.00 | ||
0 | TENDON LENG.EXCN.TENDON GRAFT | 620783 | 9058400 | 3,800.00 | |||
0 | TENDON LENG.REL.OF.CONT.OR.CAP | 620784 | 9059301 | 7,500.00 | |||
0 | TENDON LENGTHENING CLOSED | 620785 | 28010 | 2,600.00 |
TENDON ACHILLES REPAIR
5,200.00
TENDON ARCHILLES LENGTHENING/ 2 SIDE (PEDIATRICS)
4,400.00
TENDON ARCHILLES LENGTHENING/ ONE SIDE
3,200.00
(PEDIATRICS)
TENDON GRAFT (ADDED)
1,500.00
TENDON GRAFT (SINGLE)
6,200.00
TENDON LENG.EXCN BURSA FOR GRA
3,300.00
TENDON LENG.EXCN MUSC.FOR GRAF
3,800.00
TENDON LENG.EXCN NERV.FOR GRAF
3,800.00
TENDON LENG.EXCN.TENDON GRAFT
3,800.00
TENDON LENG.REL.OF.CONT.OR.CAP
7,500.00
TENDON LENGTHENING CLOSED
2,600.00
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