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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | C.R.S.E.+P.P. FIBULA | 620213 | 4760000 | 5,600.00 | |||
0 | C.R.S.E.+P.P. RADIUS | 620214 | 4736302 | 5,600.00 | |||
0 | C.R.S.E.+P.P. TIBIA | 620215 | 4756600 | 5,600.00 | |||
0 | C.R.S.E.+P.P. ULNA | 620216 | 4736303 | 5,600.00 | |||
0 | C.R.S.E.+P.PIN MCARPUS | 620217 | 4733601 | 5,000.00 | |||
0 | C.R.S.E.+P.PIN MTARSUS | 620218 | 4762101 | 5,000.00 | |||
1 | CARPEL TUNNEL SYNDROME DECOMPRESSION | 39331-01[76] | 620219 | 3933101 | Y | 4,500.00 | |
1 | CARPEL TUNNEL SYNDROME DECOMPRESSION RECCRANT | 39331-01[76] | 620220 | Y | 3,000.00 | ||
0 | CHANGE - CAST UNDER GA | 620221 | 2,800.00 | ||||
0 | CHANGE - CAST UNDER GA (1 DAY PACKAGE) | 620222 | 4,400.00 | ||||
0 | CHANGE OF HIP SPICA (PEDIATRICS) | 620223 | 4754000 | 3,600.00 | |||
0 | CHANGE OF LEG CAST UNDER GA (1 DAY PACKAGE) (PEDIATRICS) | 620224 | 4756100 | 3,200.00 |
C.R.S.E.+P.P. FIBULA
5,600.00
C.R.S.E.+P.P. RADIUS
5,600.00
C.R.S.E.+P.P. TIBIA
5,600.00
C.R.S.E.+P.P. ULNA
5,600.00
C.R.S.E.+P.PIN MCARPUS
5,000.00
C.R.S.E.+P.PIN MTARSUS
5,000.00
CARPEL TUNNEL SYNDROME DECOMPRESSION
4,500.00
CARPEL TUNNEL SYNDROME DECOMPRESSION RECCRANT
3,000.00
CHANGE - CAST UNDER GA
2,800.00
CHANGE - CAST UNDER GA (1 DAY PACKAGE)
4,400.00
CHANGE OF HIP SPICA (PEDIATRICS)
3,600.00
CHANGE OF LEG CAST UNDER GA (1 DAY PACKAGE) (PEDIATRICS)
3,200.00
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