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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | DIAGNOSTIC ARTHROSCOPY | 620309 | 5010000 | 3,800.00 | |||
0 | DISCECTOMY (CX.) ANTERIOR (I LEVEL) | 40303-00[51] | 620311 | 4030000 | 9,700.00 | ||
0 | DISCECTOMY (DORSAL)ANT(MULTIPLE) | 40303-00[51] | 620312 | 4030001 | 11,800.00 | ||
0 | DISCECTOMY (LUMBAR) ANT.(MULTIPLE) | 40303-00[51] | 620313 | 4030001 | 11,800.00 | ||
0 | DISCECTOMY (LUMBAR) POST( 1 LEVEL) | 40303-00[51] | 620314 | 22214 | 9,000.00 | ||
0 | DISCECTOMY (LUMBAR)ANT.( 1 LEVEL) | 40303-00[51] | 620315 | 22224 | 10,300.00 | ||
0 | DISCECTOMY(CX) ANT.(1 LEVEL)MICRO | 40303-00[51] | 620316 | 63075 | 9,700.00 | ||
0 | DISCECTOMY(CX)ANT(MULTPLE LEVELS) | 40303-00[51] | 620317 | 63076 | 11,600.00 | ||
0 | DISCECTOMY(CX)ANT.(MULTIPLE)MICRO | 40303-00[51] | 620318 | 63001 | 9,700.00 | ||
0 | DISCECTOMY(CX)POST.(MULTIPLE) | 40303-00[51] | 620319 | 4030300 | 11,600.00 | ||
0 | DISCECTOMY(CX)POSTERIOR (1 LEVEL) | 40303-00[51] | 620320 | 4030300 | 9,000.00 | ||
0 | DISCECTOMY(DORSAL)ANT.(1 LEVEL) | 40303-00[51] | 620321 | 4030300 | 10,300.00 |
DIAGNOSTIC ARTHROSCOPY
3,800.00
DISCECTOMY (CX.) ANTERIOR (I LEVEL)
9,700.00
DISCECTOMY (DORSAL)ANT(MULTIPLE)
11,800.00
DISCECTOMY (LUMBAR) ANT.(MULTIPLE)
11,800.00
DISCECTOMY (LUMBAR) POST( 1 LEVEL)
9,000.00
DISCECTOMY (LUMBAR)ANT.( 1 LEVEL)
10,300.00
DISCECTOMY(CX) ANT.(1 LEVEL)MICRO
9,700.00
DISCECTOMY(CX)ANT(MULTPLE LEVELS)
11,600.00
DISCECTOMY(CX)ANT.(MULTIPLE)MICRO
9,700.00
DISCECTOMY(CX)POST.(MULTIPLE)
11,600.00
DISCECTOMY(CX)POSTERIOR (1 LEVEL)
9,000.00
DISCECTOMY(DORSAL)ANT.(1 LEVEL)
10,300.00
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