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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | TRANSTHORACIC DISKECTOMY | 48636-00[52] | 610142 | 4863600 | 13,300.00 | ||
0 | TYMPANOMETRY | 11324-00[1841] | 610143 | 1132400 | Y | 150 | |
0 | ULNAR NERVE TRANSPLANTATION | 39321-00[83] | 610144 | 3932100 | 7,700.00 | ||
2 | A.C.L. RECONSTRUCTION | 49539-00[1522] | 620001 | Y | 15,000.00 | ||
0 | ABSCESS DEROOFING & F.B. REM-G.A. | 620002 | 1,900.00 | ||||
2 | ACHILLES TENDON LENGTHENING | 49727-00[1542] | 620003 | 4972700 | Y | 6,750.00 | |
3 | ACHILLO-TENOTOMY (REPAIR OF TENDO ACHILLES) | 49718-01[1542] | 620004 | 4971801 | Y | 5,148.00 | |
3 | ADDUCTOR TENOTOMY OF HIP1 | 50381-00[1480] | 620005 | 5038101 | Y | 4,950.00 | |
0 | AMP.-DISARTIC THRO ELBOW | 90535-00[1412] | 620006 | 9053500 | 7,500.00 | ||
3 | AMPUTATION and DISLOCATION OF FINGER1 | 46465-00[1448] | 620007 | 4646500 | Y | 3,500.00 | |
0 | AMPUTATION - DISARCTIC TOE | 44338-00[1533] | 620008 | 4433800 | 4,600.00 | ||
0 | AMPUTATION - DISARTIC THUMB | 44338-00[1533] | 620009 | 4433800 | 5,600.00 |
TRANSTHORACIC DISKECTOMY
13,300.00
TYMPANOMETRY
150
ULNAR NERVE TRANSPLANTATION
7,700.00
A.C.L. RECONSTRUCTION
15,000.00
ABSCESS DEROOFING & F.B. REM-G.A.
1,900.00
ACHILLES TENDON LENGTHENING
6,750.00
ACHILLO-TENOTOMY (REPAIR OF TENDO ACHILLES)
5,148.00
ADDUCTOR TENOTOMY OF HIP1
4,950.00
AMP.-DISARTIC THRO ELBOW
7,500.00
AMPUTATION and DISLOCATION OF FINGER1
3,500.00
AMPUTATION - DISARCTIC TOE
4,600.00
AMPUTATION - DISARTIC THUMB
5,600.00
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