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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
(PEDIATRICS) | |||||||
0 | ARTHROGRAM OF HIP/ CLOSE REDUCTION, | 49306-00[1491] | 620111 | 4930600 | 2,400.00 | ||
UNILATERAL (PEDIATRICS) | |||||||
0 | ARTHROGRAM OF HIP/ CLOSE REDUCTION, | 49306-00[1491] | 620112 | 4930600 | 4,400.00 | ||
UNILATERAL DAY CASE PACKAGE (PEDIATRICS) | |||||||
0 | ARTHROP.KNEE UNICOND./UNICOMP. | 49509-01[1512] | 620113 | 4950901 | 10,300.00 | ||
0 | ARTHROP.SHOULDER HEMIARTHROP. | 48939-00[1403] | 620114 | 4893900 | 10,300.00 | ||
0 | ARTHROP.-SHOULDER REPL. TOTAL | 48939-00[1403] | 620115 | 4893900 | 19,400.00 | ||
0 | ARTHROPL.-INTERPHALANG. JOINT | 620116 | 4632100 | 7,500.00 | |||
0 | ARTHROPLASTY - HAND W/PROTHESIS PER JOINT( | 46309-00[1462] | 620117 | 4630900 | 4,000.00 | ||
INCLUDING MATERIAL COST 600/-) | |||||||
0 | ARTHROPLASTY ANKLE | 49715-00[1544] | 620118 | 4971505 | 9,000.00 |
(PEDIATRICS)
ARTHROGRAM OF HIP/ CLOSE REDUCTION,
2,400.00
UNILATERAL (PEDIATRICS)
ARTHROGRAM OF HIP/ CLOSE REDUCTION,
4,400.00
UNILATERAL DAY CASE PACKAGE (PEDIATRICS)
ARTHROP.KNEE UNICOND./UNICOMP.
10,300.00
ARTHROP.SHOULDER HEMIARTHROP.
10,300.00
ARTHROP.-SHOULDER REPL. TOTAL
19,400.00
ARTHROPL.-INTERPHALANG. JOINT
7,500.00
ARTHROPLASTY - HAND W/PROTHESIS PER JOINT(
4,000.00
INCLUDING MATERIAL COST 600/-)
ARTHROPLASTY ANKLE
9,000.00
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