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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | APPLICATION - SPLINT,LONG ARM/LONG LEG | 96091-00[1870] | 620073 | 9609100 | 520 | ||
2 | APPLICATION OF EXTERNAL FIXAT. DEVICE (W/ INSERTION OF PINS/WIRE)1 | 50130-00[1550] | 620074 | 5013000 | Y | 8,910.00 | |
0 | APPLICATION -SHORT LEG SLAB (SYNTHETIC) | 96091-00[1870] | 620075 | 9609100 | 320 | ||
0 | APPLICATION -SHORT LEG/SHORT ARM SPLINT (BACK SLAB) | 96091-00[1870] | 620076 | 9609100 | 320 | ||
0 | APPLICATION -SKELETAL TRACTION, CERVICAL SPINE | 620077 | 9053100 | 1,600.00 | |||
0 | APPLICATION -SKELETAL TRACTION, LIMB | 620078 | 1,200.00 | ||||
0 | APPLICATION -SKIN TRACTION | 620079 | 160 | ||||
0 | APPLICATION -SKULL TRACTION | 620080 | 3,600.00 | ||||
0 | APPLICATION -SPINAL JACKET (PLASTER) | 47708-00[1870] | 620081 | 4770800 | 2,400.00 | ||
2 | ARHTROSCOPY SHOULDER (OPERATIVE)1 | 48945-00[1395] | 620082 | 4894500 | Y | 8,316.00 | |
1 | ARTERIOGRAPHY OF PULMONARY ARTERIES1 | 59970-04[1989] | 620083 | 5997004 | Y | 3,960.00 | |
0 | ARTH. PROC.REM/FIX OSETEOCHOND | 620084 | 6,500.00 |
APPLICATION - SPLINT,LONG ARM/LONG LEG
520
APPLICATION OF EXTERNAL FIXAT. DEVICE (W/ INSERTION OF PINS/WIRE)1
8,910.00
APPLICATION -SHORT LEG SLAB (SYNTHETIC)
320
APPLICATION -SHORT LEG/SHORT ARM SPLINT (BACK SLAB)
320
APPLICATION -SKELETAL TRACTION, CERVICAL SPINE
1,600.00
APPLICATION -SKELETAL TRACTION, LIMB
1,200.00
APPLICATION -SKIN TRACTION
160
APPLICATION -SKULL TRACTION
3,600.00
APPLICATION -SPINAL JACKET (PLASTER)
2,400.00
ARHTROSCOPY SHOULDER (OPERATIVE)1
8,316.00
ARTERIOGRAPHY OF PULMONARY ARTERIES1
3,960.00
ARTH. PROC.REM/FIX OSETEOCHOND
6,500.00
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