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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | REPAIR.OTHER BLOOD VESSEL | 90209-03[708] | 650181 | 9020903 | Y | 52,500.00 | |
2 | REPAIR-BLOOD VESSEL WITHOUT GRAFT | 90209-03[708] | 650182 | 9020903 | Y | 67,500.00 | |
2 | REPAIR-BLOOD VESSELPATCH GRAFT SYNTHETIC | 45503-00[1696] | 650183 | 4550300 | Y | 67,500.00 | |
2 | REPAIR-BLOOD VESSELPATCH GRAFT TISSUE | 45503-00[1696] | 650184 | Y | 60,000.00 | ||
0 | REPAIR-GRAFT-ENTERIC FISTULAR | 34163-001 | 650185 | 15,500.00 | |||
2 | REPAIROTHER.ANEURYSM | 38507-00[611] | 650186 | 3850700 | Y | 52,500.00 | |
2 | REPLACEMENT-CANNULAVESSEL TO VESSEL | 650187 | Y | 15,000.00 | |||
0 | REPLANT.OTHER PART-SCALP/PENIS | 34821-001 | 650188 | 25,800.00 | |||
0 | RE-PLANTATATION FOOT | 90223-00 | 650189 | 32,300.00 | |||
0 | RE-PLANTATION EACH ADD.FINGER | 90223-00 | 650190 | 9,700.00 | |||
0 | RE-PLANTATION HAND | 90223-00 | 650191 | 32,300.00 | |||
0 | RE-PLANTATION ONE FINGER/TOE | 90223-00 | 650192 | 18,300.00 |
REPAIR.OTHER BLOOD VESSEL
52,500.00
REPAIR-BLOOD VESSEL WITHOUT GRAFT
67,500.00
REPAIR-BLOOD VESSELPATCH GRAFT SYNTHETIC
67,500.00
REPAIR-BLOOD VESSELPATCH GRAFT TISSUE
60,000.00
REPAIR-GRAFT-ENTERIC FISTULAR
15,500.00
REPAIROTHER.ANEURYSM
52,500.00
REPLACEMENT-CANNULAVESSEL TO VESSEL
15,000.00
REPLANT.OTHER PART-SCALP/PENIS
25,800.00
RE-PLANTATATION FOOT
32,300.00
RE-PLANTATION EACH ADD.FINGER
9,700.00
RE-PLANTATION HAND
32,300.00
RE-PLANTATION ONE FINGER/TOE
18,300.00
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