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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | REATTACHMENT-FOOT | 620584 | 20838 | Y | 105,000.00 | ||
3 | REATTACHMENT-LOWER LEG OR ANKLE | 620585 | Y | 105,000.00 | |||
3 | REATTACHMENT-THIGH | 620586 | Y | 150,000.00 | |||
3 | REC. A.C.L. RECONSTRUCTION | 49539-00[1522] | 620587 | 4953900 | Y | 19,500.00 | |
3 | REC. CARPAL TUNNEL SYNDROME DECOMPRESSION | 39331-01[76] | 620588 | 3933101 | Y | 6,000.00 | |
0 | RECONSTRUCTION - LIGAMENTS - HAND / FOOT | 50396-00[1449] | 620589 | 5039600 | 4,400.00 | ||
0 | RECONSTRUCTION - SUPERNUMERY DIGIT | 620590 | 26548 | 4,000.00 | |||
1 | RECONSTRUCTION OF AMPUTATE FINGER W/O GRAFTING | 50396-00[1449] | 620591 | 5039600 | Y | 3,750.00 | |
0 | RED&F.W/INTR.DV. FEMUR | 47525-00[1493] | 620592 | 4752500 | 10,200.00 | ||
0 | RED&F.W/INTR.DV.HUMERUS | 47456-00[1413] | 620593 | 4745600 | 10,200.00 | ||
0 | RED&FIXN W/PLAT.&S. FEMUR | 47525-00[1493] | 620594 | 4752500 | 8,400.00 | ||
0 | RED&FIXN W/PLAT.&S.HUMERUS | 47456-00[1413] | 620595 | 4745600 | 8,400.00 |
REATTACHMENT-FOOT
105,000.00
REATTACHMENT-LOWER LEG OR ANKLE
105,000.00
REATTACHMENT-THIGH
150,000.00
REC. A.C.L. RECONSTRUCTION
19,500.00
REC. CARPAL TUNNEL SYNDROME DECOMPRESSION
6,000.00
RECONSTRUCTION - LIGAMENTS - HAND / FOOT
4,400.00
RECONSTRUCTION - SUPERNUMERY DIGIT
4,000.00
RECONSTRUCTION OF AMPUTATE FINGER W/O GRAFTING
3,750.00
RED&F.W/INTR.DV. FEMUR
10,200.00
RED&F.W/INTR.DV.HUMERUS
10,200.00
RED&FIXN W/PLAT.&S. FEMUR
8,400.00
RED&FIXN W/PLAT.&S.HUMERUS
8,400.00
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