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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | GRAFTTENDON. MULTIPLE | 90583-00[1569] | 620385 | 9058300 | Y | 30,000.00 | |
0 | HAND - 1 DEGREE REP EXT TENDON | 620386 | 4642000 | 3,300.00 | |||
0 | HAND TENOL/NEUROL (@ADDT L) | 620387 | 1,100.00 | ||||
0 | HAND-1 DEGREE REP FLEX TENDON | 620388 | 4642600 | 6,500.00 | |||
0 | HAND-EXPL/INC/REP TENDON SHEAT | 620389 | 4636300 | 4,600.00 | |||
0 | HAND-INC/DR PALMAR SP INFECTIO | 620390 | 4652200 | 2,400.00 | |||
0 | HAND-TENOL/NEUROL SGLE TENDON | 620391 | 4796302 | 4,600.00 | |||
0 | HEMIARTHROPLASTY HIP | 620392 | 4931500 | 10,300.00 | |||
3 | HIGH TIBIAL OSTEOTOMY & INTERNAL FIXATION | 48421-00[1499] | 620393 | 4842100 | Y | 13,500.00 | |
0 | I AND D - BONE ABSCESS (OSTEOMYELTIS) W/ | 30223-02[1606] | 620394 | 3022302 | 3,600.00 | ||
OPENING OF BONE CORTEX,SMALL BONE | |||||||
0 | I AND D - PALMAR SPACE OF HAND | 30223-02[1606] | 620395 | 3022302 | 2,400.00 |
GRAFTTENDON. MULTIPLE
30,000.00
HAND - 1 DEGREE REP EXT TENDON
3,300.00
HAND TENOL/NEUROL (@ADDT L)
1,100.00
HAND-1 DEGREE REP FLEX TENDON
6,500.00
HAND-EXPL/INC/REP TENDON SHEAT
4,600.00
HAND-INC/DR PALMAR SP INFECTIO
2,400.00
HAND-TENOL/NEUROL SGLE TENDON
4,600.00
HEMIARTHROPLASTY HIP
10,300.00
HIGH TIBIAL OSTEOTOMY & INTERNAL FIXATION
13,500.00
I AND D - BONE ABSCESS (OSTEOMYELTIS) W/
3,600.00
OPENING OF BONE CORTEX,SMALL BONE
I AND D - PALMAR SPACE OF HAND
2,400.00
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