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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CLOSED R.W/P.P.MTARSUS | 620241 | 4,500.00 | ||||
0 | CLOSED R.W/P.P.RADIUS | 620242 | 5,600.00 | ||||
0 | CLOSED R.W/P.P.TIBIA | 620243 | 5,600.00 | ||||
1 | CLOSED RED. & INTERNAL FIXATION W/ PLATE | 620244 | Y | 6,000.00 | |||
0 | CLOSED RED. DISL.- HIP | 47048-00[1487] | 620245 | 4704800 | 4,500.00 | ||
0 | CLOSED RED. DISL.- KNEE | 40754-00[1506] | 620246 | 4075400 | 4,500.00 | ||
0 | CLOSED RED. DISL.-ANKLE | 47063-00[1540] | 620247 | 4706300 | 3,700.00 | ||
0 | CLOSED RED. DISL.-ELBOW | 47018-00[1415] | 620248 | 4701800 | 4,500.00 | ||
0 | CLOSED RED. DISL.-SHOULDER | 47009-00[1402] | 620249 | 4700900 | 4,500.00 | ||
0 | CLOSED RED. DISL.-WRIST | 47300-00[1454] | 620250 | 4730000 | 3,700.00 | ||
1 | CLOSED RED. OF DISLOCATED PHALANGES | 47036-00[1458] | 620251 | 4703600 | Y | 1,500.00 | |
1 | CLOSED RED. OF FRACTURE & POP(AS TIBIAFEBULA | 47564-00[1509] | 620252 | 4756400 | Y | 3,750.00 |
CLOSED R.W/P.P.MTARSUS
4,500.00
CLOSED R.W/P.P.RADIUS
5,600.00
CLOSED R.W/P.P.TIBIA
5,600.00
CLOSED RED. & INTERNAL FIXATION W/ PLATE
6,000.00
CLOSED RED. DISL.- HIP
4,500.00
CLOSED RED. DISL.- KNEE
4,500.00
CLOSED RED. DISL.-ANKLE
3,700.00
CLOSED RED. DISL.-ELBOW
4,500.00
CLOSED RED. DISL.-SHOULDER
4,500.00
CLOSED RED. DISL.-WRIST
3,700.00
CLOSED RED. OF DISLOCATED PHALANGES
1,500.00
CLOSED RED. OF FRACTURE & POP(AS TIBIAFEBULA
3,750.00
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