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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ARTHROTOMY - SHOULDER | 48912-00[1395] | 620155 | 4891200 | 6,500.00 | ||
0 | ARTHROTOMY - WRIST | 49212-00[1443] | 620156 | 4921200 | 6,500.00 | ||
1 | ARTHROTOMY (REMOVAL OF F.B. OR LOOSE BODY)1 | 49500-02[1501] | 620157 | 27310 | Y | 4,950.00 | |
1 | ARTHROTOMY FOR M.C.L. REPAIR (OR MENISECTOMY)1 | 49500-01[1501] | 620158 | 27403 | Y | 6,930.00 | |
0 | ARTHROTOMY- W/ SYNOVECTOMY HAND/FOOT (MINOR | 46327-00[1442] | 620159 | 27625 | 4,400.00 | ||
JOINTS) | |||||||
0 | ARTHRSCOPIC PROCEDURE- BIOPSY | 620160 | 5010200 | 3,800.00 | |||
0 | ARTHRSCOPIC PROC-LIGAMENT REP | 620161 | 11,100.00 | ||||
0 | ASPIRATION OF MAJOR JOINTS | 620162 | 430 | ||||
0 | B. W/ SOFT TISS. CORR. & OSTEO | 620163 | 6,500.00 | ||||
0 | B. W/ SOFT TISS. CORR.&ARTHRODESIS | 620164 | 6,500.00 | ||||
0 | B/B-PERCUT TREPHINE UNS.-RADIO | 620165 | 2,500.00 |
ARTHROTOMY - SHOULDER
6,500.00
ARTHROTOMY - WRIST
6,500.00
ARTHROTOMY (REMOVAL OF F.B. OR LOOSE BODY)1
4,950.00
ARTHROTOMY FOR M.C.L. REPAIR (OR MENISECTOMY)1
6,930.00
ARTHROTOMY- W/ SYNOVECTOMY HAND/FOOT (MINOR
4,400.00
JOINTS)
ARTHRSCOPIC PROCEDURE- BIOPSY
3,800.00
ARTHRSCOPIC PROC-LIGAMENT REP
11,100.00
ASPIRATION OF MAJOR JOINTS
430
B. W/ SOFT TISS. CORR. & OSTEO
6,500.00
B. W/ SOFT TISS. CORR.&ARTHRODESIS
6,500.00
B/B-PERCUT TREPHINE UNS.-RADIO
2,500.00
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