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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | EXPLORATION/REPAIR - WOUND (MINOR) | 620359 | 4,000.00 | ||||
0 | EXPLORATION-HAND INJURY (MAJ) | 620360 | 8,400.00 | ||||
3 | EXTERNAL FIXATION APPLICATION LARGE BONES | 50130-00[1550] | 620361 | 5013000 | Y | 12,000.00 | |
IMPLANTS RETURNABLE | |||||||
0 | EXTERNAL FIXATION-SMALL BONE | 620362 | 5,600.00 | ||||
0 | FASCIECTOMY- PLANTAR FASCIA | 49854-01[1534] | 620363 | 4985401 | 4,000.00 | ||
3 | FASCIETOMY FOR REMOVAL OF F.B. (ANY SITE)1 | 30068-00[1559] | 620364 | 3006800 | Y | 2,723.00 | |
0 | FASCIOTOMY - HIP OR THIGH | 90579-00[1566] | 620365 | 9057900 | 4,000.00 | ||
0 | FASCIOTOMY � LA | 90579-00[1566] | 620366 | 9047900 | 1,200.00 | ||
0 | FASCIOTOMY - LOWER LEG, ARM | 90579-00[1566] | 620367 | 9047900 | 3,200.00 | ||
0 | FASCIOTOMY -(TENNIS ELBOW) EPICONDYLITIS | 90579-00[1566] | 620368 | 9047900 | 4,400.00 | ||
0 | FASCIOTOMY FOOT | 90579-00[1566] | 620369 | 9047900 | 5,200.00 |
EXPLORATION/REPAIR - WOUND (MINOR)
4,000.00
EXPLORATION-HAND INJURY (MAJ)
8,400.00
EXTERNAL FIXATION APPLICATION LARGE BONES
12,000.00
IMPLANTS RETURNABLE
EXTERNAL FIXATION-SMALL BONE
5,600.00
FASCIECTOMY- PLANTAR FASCIA
4,000.00
FASCIETOMY FOR REMOVAL OF F.B. (ANY SITE)1
2,723.00
FASCIOTOMY - HIP OR THIGH
4,000.00
FASCIOTOMY � LA
1,200.00
FASCIOTOMY - LOWER LEG, ARM
3,200.00
FASCIOTOMY -(TENNIS ELBOW) EPICONDYLITIS
4,400.00
FASCIOTOMY FOOT
5,200.00
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