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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REM PROSTHESIS FROM FOOT | 620624 | 4792700 | 6,200.00 | |||
0 | REM PROSTHESIS FROM HAND | 620625 | 4792700 | 6,200.00 | |||
0 | REM PROSTHESIS FROM WRIST | 620626 | 4792700 | 6,900.00 | |||
0 | REM. PROSTHESIS HIP | 620627 | 4792700 | 7,500.00 | |||
0 | REM. PROSTHESIS SHOULDER | 620628 | 4792700 | 7,500.00 | |||
0 | REM.PROSTHESIS FROM ELBOW | 620629 | 4792700 | 7,500.00 | |||
0 | REM.PROSTHESIS FROM KNEE | 620630 | 7,500.00 | ||||
0 | REMOVAL - EXTERNAL FIXATION DEVICES, LOWER LEG | 620631 | 4794800 | 4,000.00 | |||
/ FORE ARM | |||||||
0 | REMOVAL - FOREIGN BODY, DEEP | 620632 | 3006800 | 4,400.00 | |||
0 | REMOVAL - FOREIGN BODY, SUPERFICIAL | 30068-00[1559] | 620633 | 3006100 | 3,600.00 | ||
0 | REMOVAL - INTERNAL FIXATION DEVICES - MINOR JOINT / BONE | 620634 | 4793000 | 3,600.00 |
REM PROSTHESIS FROM FOOT
6,200.00
REM PROSTHESIS FROM HAND
6,200.00
REM PROSTHESIS FROM WRIST
6,900.00
REM. PROSTHESIS HIP
7,500.00
REM. PROSTHESIS SHOULDER
7,500.00
REM.PROSTHESIS FROM ELBOW
7,500.00
REM.PROSTHESIS FROM KNEE
7,500.00
REMOVAL - EXTERNAL FIXATION DEVICES, LOWER LEG
4,000.00
/ FORE ARM
REMOVAL - FOREIGN BODY, DEEP
4,400.00
REMOVAL - FOREIGN BODY, SUPERFICIAL
3,600.00
REMOVAL - INTERNAL FIXATION DEVICES - MINOR JOINT / BONE
3,600.00
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