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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | REPAIR - /SUTURE,NERVE, DIGITAL | 39000-00[30] | 610114 | 3900000 | 3,200.00 | ||
0 | REPAIR - /SUTURE,NERVE, DIGITAL - EACH ADDITIONAL | 39000-00[30] | 610115 | 3932702 | 2,000.00 | ||
0 | SACRAL SENS.ROOTS SEC DIPLEGIA | 610116 | 1827403 | 10,300.00 | |||
0 | SCALP A.V. FISTULA EXCISION | 610117 | 5,600.00 | ||||
0 | SCALP RECONSTRUCTION | 610118 | 9067400 | 7,100.00 | |||
0 | SEN. ROOT SEC. OF TRIGM. NV. | 610119 | 3910600 | 14,200.00 | |||
0 | SKELETAL TRACTN FOR CERV SPINE | 610120 | 97012 | 1,700.00 | |||
0 | SKULL TRACTION WITH TONGS FOR REDUCTION OF CERVICAL SPINAL INSTABILITY | 610121 | 97012 | 2,000.00 | |||
0 | SPIN. DYRAPHISM MENINGOCELE | 610122 | 4010000 | 7,100.00 | |||
0 | SPIN. DYRAPHISM MYELOCELE | 610123 | 8,200.00 | ||||
0 | SPIN. DYRAPHISM MYELOMENING | 610124 | 4010300 | 8,200.00 | |||
0 | SPINAL DYRA - TETHERED CORD | 610125 | 4030900 | 9,700.00 |
REPAIR - /SUTURE,NERVE, DIGITAL
3,200.00
REPAIR - /SUTURE,NERVE, DIGITAL - EACH ADDITIONAL
2,000.00
SACRAL SENS.ROOTS SEC DIPLEGIA
10,300.00
SCALP A.V. FISTULA EXCISION
5,600.00
SCALP RECONSTRUCTION
7,100.00
SEN. ROOT SEC. OF TRIGM. NV.
14,200.00
SKELETAL TRACTN FOR CERV SPINE
1,700.00
SKULL TRACTION WITH TONGS FOR REDUCTION OF CERVICAL SPINAL INSTABILITY
2,000.00
SPIN. DYRAPHISM MENINGOCELE
7,100.00
SPIN. DYRAPHISM MYELOCELE
8,200.00
SPIN. DYRAPHISM MYELOMENING
8,200.00
SPINAL DYRA - TETHERED CORD
9,700.00
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