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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
3 | BONE GRAFT1 | 48239-00[1569] | 620201 | 4823900 | Y | 8,316.00 | |
0 | BONE IMPL REM LOCK INTMED DEVI | 620202 | 7,500.00 | ||||
0 | BONE IMPL REM SCREWS & PLATE | 620203 | 5,600.00 | ||||
0 | BONE IMPL REM UNLOCK INTMED DV | 620204 | 7,500.00 | ||||
0 | BUN.-OTHER REPAIR/FUSION TOES | 620205 | 3,800.00 | ||||
0 | BUN.-REP. HAMMER/CLAW PAR TOES | 620206 | 2,600.00 | ||||
0 | BUNIONECTOMY | 620207 | 5021200 | 3,600.00 | |||
0 | BUNIONECTOMY- KELLER/MAYO | 620208 | 3,800.00 | ||||
0 | BUNIONECTOMY-EACH ADDITIONAL | 620209 | 1,800.00 | ||||
1 | BURSECTOMY OF HAND1 | 30107-01[1566] | 620210 | 3010701 | Y | 2,475.00 | |
5 | BYPASS LEFT COMMON ILIAC FEMORAL ARTERY | 32712-01[712] | 620211 | 3271201 | Y | 22,500.00 | |
5 | BYPASS RIGHT FEMORAL TIBIAL BYPASS W/ SAPHENUS | 32751-02[712] | 620212 | 3275102 | Y | 22,500.00 |
BONE GRAFT1
8,316.00
BONE IMPL REM LOCK INTMED DEVI
7,500.00
BONE IMPL REM SCREWS & PLATE
5,600.00
BONE IMPL REM UNLOCK INTMED DV
7,500.00
BUN.-OTHER REPAIR/FUSION TOES
3,800.00
BUN.-REP. HAMMER/CLAW PAR TOES
2,600.00
BUNIONECTOMY
3,600.00
BUNIONECTOMY- KELLER/MAYO
3,800.00
BUNIONECTOMY-EACH ADDITIONAL
1,800.00
BURSECTOMY OF HAND1
2,475.00
BYPASS LEFT COMMON ILIAC FEMORAL ARTERY
22,500.00
BYPASS RIGHT FEMORAL TIBIAL BYPASS W/ SAPHENUS
22,500.00
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