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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
1 | CLOSED RED. OF SIMPLE FRACTURE + P.O.P. | 620253 | Y | 6,000.00 | |||
1 | CLOSED RED.+P.O.P. OF COLLES FRACTURE | 47363-00[1427] | 620254 | 4736300 | Y | 7,500.00 | |
0 | CLOSED RED.POP MCARPUS | 47336-00[1453] | 620255 | 4700600 | 3,900.00 | ||
0 | CLOSED RED.POP MTARSUS | 47336-00[1453] | 620256 | 4733600 | 3,900.00 | ||
0 | CLOSED REDUC POP FEMUR | 47525-00[1493] | 620257 | 4733600 | 4,500.00 | ||
0 | CLOSED REDUC POP FIBULA | 47600-00[1537] | 620258 | 4760000 | 4,500.00 | ||
0 | CLOSED REDUC POP HUMERUS | 47456-00[1413] | 620259 | 4745600 | 4,500.00 | ||
0 | CLOSED REDUC POP RADIUS | 90541-00[1434] | 620260 | 9054100 | 4,500.00 | ||
0 | CLOSED REDUC POP TIBIA | 47591-00[1521] | 620261 | 4759100 | 4,500.00 | ||
0 | CLOSED REDUC POP ULNA | 47363-01[1428] | 620262 | 4736301 | 4,500.00 | ||
1 | CLOSED REDUCTION FEMUR W/ CAST APPLICATION1 | 47516-01[1486] | 620263 | 4751601 | Y | 3,465.00 | |
1 | CLOSED REDUCTION FOOT W/ CAST APPLICATION1 | 47636-00[1536]39706 | 620264 | 4763600 | Y | 3,465.00 |
CLOSED RED. OF SIMPLE FRACTURE + P.O.P.
6,000.00
CLOSED RED.+P.O.P. OF COLLES FRACTURE
7,500.00
CLOSED RED.POP MCARPUS
3,900.00
CLOSED RED.POP MTARSUS
3,900.00
CLOSED REDUC POP FEMUR
4,500.00
CLOSED REDUC POP FIBULA
4,500.00
CLOSED REDUC POP HUMERUS
4,500.00
CLOSED REDUC POP RADIUS
4,500.00
CLOSED REDUC POP TIBIA
4,500.00
CLOSED REDUC POP ULNA
4,500.00
CLOSED REDUCTION FEMUR W/ CAST APPLICATION1
3,465.00
CLOSED REDUCTION FOOT W/ CAST APPLICATION1
3,465.00
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