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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | AMPUTATION - FINGER/TOE, EACH ADDITIONAL DIGIT | 46480-00[1448] | 620010 | 4648000 | 1,600.00 | ||
0 | AMPUTATION - FOREARM | 44328-00[1426] | 620011 | 4432800 | 7,100.00 | ||
0 | AMPUTATION - THRO FOOT | 620012 | 4436400 | 5,500.00 | |||
0 | AMPUTATION - THRO HAND | 620013 | 4648000 | 7,500.00 | |||
0 | AMPUTATION - THRO HUMERUS | 44328-01[1412] | 620014 | 4432801 | 6,900.00 | ||
0 | AMPUTATION - THRO MALLEOLI | 620015 | 27888 | 6,500.00 | |||
0 | AMPUTATION BY DISARTICULATION FINGER / TOE | 620016 | 5039601 | 3,600.00 | |||
0 | AMPUTATION BY DISARTICULATION- WRIST | 620017 | 25924 | 4,000.00 | |||
0 | AMPUTATION- FINGER / TOE | 46480-00[1448] | 620018 | 4648000 | 2,400.00 | ||
0 | AMPUTATION- FINGER/ TOE (DAY CASE) | 46480-00[1448] | 620019 | 4648000 | 3,200.00 | ||
0 | AMPUTATION- FOOT THROUGH METATARSAL W/TOE | 44364-00[1533] | 620020 | 4436400 | 4,000.00 | ||
0 | AMPUTATION- FOOT THROUGH MIDTARSAL | 44364-00[1533] | 620021 | 4436400 | 4,400.00 |
AMPUTATION - FINGER/TOE, EACH ADDITIONAL DIGIT
1,600.00
AMPUTATION - FOREARM
7,100.00
AMPUTATION - THRO FOOT
5,500.00
AMPUTATION - THRO HAND
7,500.00
AMPUTATION - THRO HUMERUS
6,900.00
AMPUTATION - THRO MALLEOLI
6,500.00
AMPUTATION BY DISARTICULATION FINGER / TOE
3,600.00
AMPUTATION BY DISARTICULATION- WRIST
4,000.00
AMPUTATION- FINGER / TOE
2,400.00
AMPUTATION- FINGER/ TOE (DAY CASE)
3,200.00
AMPUTATION- FOOT THROUGH METATARSAL W/TOE
4,000.00
AMPUTATION- FOOT THROUGH MIDTARSAL
4,400.00
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