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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | MESOCAVAL DECOMPRESSN.PROCED | 650116 | 3060300 | 9,900.00 | |||
0 | MICRO-SURG.NERVE REP-1 MAJ NRV | 45500-00[1694] | 650117 | 4550000 | 10,300.00 | ||
0 | MICRO-SURG.REP. EACH ADD.NERVE | 45500-00[1694] | 650118 | 4550000 | 6,500.00 | ||
0 | MICRO-VASC.TOE-HAND TRANSFER | 650119 | 4556300 | 23,700.00 | |||
0 | MIC-SUR.REP.DIGIT.NRV.EACH ADD | 650120 | 4556201 | 3,900.00 | |||
0 | MIC-SURG.NRV.GRFT.REP.EACH ADD | 650121 | 4556201 | 6,500.00 | |||
0 | MIC-SURG.NRV.GRFT.REP-1 PH.NRV | 650122 | 12,900.00 | ||||
0 | MIC-SURG.REP.ONE DIGITAL NERVE | 650123 | 6,500.00 | ||||
0 | NERVE GRAFT REP.-ONE DIGIT.NRV | 39315-00[83] | 650128 | 7,900.00 | |||
0 | NERVE GRAFT REP-EACH ADD D.NRV | 39318-00[83] | 650129 | 5,200.00 | |||
3 | OPERATIONOTHER HYPOPHYSIS | 90044-00[126] | 650130 | 9004400 | Y | 67,500.00 | |
0 | OTHER FREE FLPS/FIB,S.GLND,ETC | 650131 | 4556200 | 19,400.00 |
MESOCAVAL DECOMPRESSN.PROCED
9,900.00
MICRO-SURG.NERVE REP-1 MAJ NRV
10,300.00
MICRO-SURG.REP. EACH ADD.NERVE
6,500.00
MICRO-VASC.TOE-HAND TRANSFER
23,700.00
MIC-SUR.REP.DIGIT.NRV.EACH ADD
3,900.00
MIC-SURG.NRV.GRFT.REP.EACH ADD
6,500.00
MIC-SURG.NRV.GRFT.REP-1 PH.NRV
12,900.00
MIC-SURG.REP.ONE DIGITAL NERVE
6,500.00
NERVE GRAFT REP.-ONE DIGIT.NRV
7,900.00
NERVE GRAFT REP-EACH ADD D.NRV
5,200.00
OPERATIONOTHER HYPOPHYSIS
67,500.00
OTHER FREE FLPS/FIB,S.GLND,ETC
19,400.00
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