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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REL.CAP./LIG.CAR. ANKLE | 620612 | 4970600 | 6,900.00 | |||
0 | REL.CAP./LIG.CAR.WRIST | 620613 | 4921200 | 6,900.00 | |||
0 | REL.CAP./LIG.CART. FOOT | 620614 | 4980900 | 6,900.00 | |||
0 | REL.CAP./LIG.CART. HAND | 620615 | 4636300 | 6,900.00 | |||
0 | REL.CAP./LIG.OR CAR. SHOULDER | 620616 | 9060001 | 8,400.00 | |||
0 | REL.CAP./LIG.OR CAR.HIP | 620617 | 4930300 | 8,400.00 | |||
0 | REL.CAP./LIG.OR.CAR.ELBOW | 620618 | 4910002 | 7,500.00 | |||
0 | REL.CAP./LIG.OR.CAR.KNEE | 620619 | 4950004 | 7,500.00 | |||
0 | RELEASE - CONTRACTURE BY CAPSULOTOMY - INTERMEDIATE JOINT | 46381-00[1440] | 620621 | 4638100 | 4,400.00 | ||
1 | RELEASE OF DUPUYTRENS CONTRACTURE(OTHER | 46369-00[1447] | 620622 | 4636900 | Y | 6,435.00 | |
FASCIETOMY | |||||||
0 | REM PROSTHESIS FROM ANKLE | 620623 | 4951500 | 6,900.00 |
REL.CAP./LIG.CAR. ANKLE
6,900.00
REL.CAP./LIG.CAR.WRIST
6,900.00
REL.CAP./LIG.CART. FOOT
6,900.00
REL.CAP./LIG.CART. HAND
6,900.00
REL.CAP./LIG.OR CAR. SHOULDER
8,400.00
REL.CAP./LIG.OR CAR.HIP
8,400.00
REL.CAP./LIG.OR.CAR.ELBOW
7,500.00
REL.CAP./LIG.OR.CAR.KNEE
7,500.00
RELEASE - CONTRACTURE BY CAPSULOTOMY - INTERMEDIATE JOINT
4,400.00
RELEASE OF DUPUYTRENS CONTRACTURE(OTHER
6,435.00
FASCIETOMY
REM PROSTHESIS FROM ANKLE
6,900.00
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