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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | ARTHROSCOPY � DECOMPRESSION | 620130 | 4895100 | 4,000.00 | |||
0 | ARTHROSCOPY - DIAGNOSTIC, ELBOW/ANKLE | 620131 | 29830 | 2,400.00 | |||
0 | ARTHROSCOPY - DIAGNOSTIC, HIP | 620132 | 29860 | 2,800.00 | |||
0 | ARTHROSCOPY - DIAGNOSTIC, KNEE | 620133 | 29870 | 2,800.00 | |||
0 | ARTHROSCOPY - DIAGNOSTIC, SHOULDER | 620134 | 29815 | 2,400.00 | |||
0 | ARTHROSCOPY - REDUCTION OF FRACTURES. | 620135 | 5010000 | 4,400.00 | |||
CONDYLE/TUBEROSITY | |||||||
0 | ARTHROSCOPY - SURGICAL-REMOVAL OF LOOSE | 620136 | 4,000.00 | ||||
BODY - ANKLE / ELBOW | |||||||
1 | ARTHROSCOPY (DIAGNOSTIC ANY JOINT)1 | 49557-00[1501] | 620137 | 4955700 | Y | 3,465.00 | |
0 | APPL.ORTHOFIX FRACT. ULNA | 620048 | 7,700.00 | ||||
0 | APPL.ORTHOFIX FRACT.AROUND HIP | 620049 | 15,500.00 |
ARTHROSCOPY � DECOMPRESSION
4,000.00
ARTHROSCOPY - DIAGNOSTIC, ELBOW/ANKLE
2,400.00
ARTHROSCOPY - DIAGNOSTIC, HIP
2,800.00
ARTHROSCOPY - DIAGNOSTIC, KNEE
2,800.00
ARTHROSCOPY - DIAGNOSTIC, SHOULDER
2,400.00
ARTHROSCOPY - REDUCTION OF FRACTURES.
4,400.00
CONDYLE/TUBEROSITY
ARTHROSCOPY - SURGICAL-REMOVAL OF LOOSE
4,000.00
BODY - ANKLE / ELBOW
ARTHROSCOPY (DIAGNOSTIC ANY JOINT)1
3,465.00
APPL.ORTHOFIX FRACT. ULNA
7,700.00
APPL.ORTHOFIX FRACT.AROUND HIP
15,500.00
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