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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | TUMOR BENIGN EXCISION (DEEP/LARGE) | 620814 | 27355 | 3,200.00 | |||
2 | UNI OPEN REDUCT. OF # W/INT. FIX.RADIUS and ULNA | 47408-01[1429] | 620815 | 4740801 | Y | 8,910.00 | |
2 | UNI.OPEN REDUCTION OF # FEMUR W. INTER. FIXATION | 47528-01[1486] | 620816 | 4752801 | Y | 15,840.00 | |
2 | UNILAT. BUNIONECTOMY and OSTEOTOMY FIRST METATARSAL | 49833-00[1547] | 620817 | 4983300 | Y | 5,445.00 | |
2 | UNILATERAL ARTHROSCOPY and MENISCECTOMY KNEE W/ | 49560-03[1503] | 620818 | 4956003 | Y | 7,722.00 | |
2 | UNILATERAL ARTHROSCOPY and SHAVING (ANY JOINT)1 | 0-00[1555]90574-00[ | 620819 | 5010000 | Y | 5,544.00 | |
2 | UNILATERAL ARTHROSCOPY ANKLE (OPERATIVE)1 | 49700-00[1529] | 620820 | 4970000 | Y | 8,316.00 | |
2 | UNILATERAL CORRECTION SYNDACTYLY1 | 90673-00[1655] | 620821 | 9067300 | Y | 6,435.00 | |
2 | UNILATERAL DIVISION OF SOFT TISSUE HAND | 46363-00[1440] | 620822 | 4636300 | Y | 3,465.00 | |
(TRIGGER | |||||||
2 | UNILATERAL PARTIAL OSTECTOMY (HIGH TIBIAL | 48418-01[1504] | 620823 | 4841801 | Y | 10,890.00 | |
2 | UNILATERAL REMOVAL OF IMPLANTED DEVICE FROM BONE1 | 47930-00[1554] | 620824 | 4793000 | Y | 5,940.00 |
TUMOR BENIGN EXCISION (DEEP/LARGE)
3,200.00
UNI OPEN REDUCT. OF # W/INT. FIX.RADIUS and ULNA
8,910.00
UNI.OPEN REDUCTION OF # FEMUR W. INTER. FIXATION
15,840.00
UNILAT. BUNIONECTOMY and OSTEOTOMY FIRST METATARSAL
5,445.00
UNILATERAL ARTHROSCOPY and MENISCECTOMY KNEE W/
7,722.00
UNILATERAL ARTHROSCOPY and SHAVING (ANY JOINT)1
5,544.00
UNILATERAL ARTHROSCOPY ANKLE (OPERATIVE)1
8,316.00
UNILATERAL CORRECTION SYNDACTYLY1
6,435.00
UNILATERAL DIVISION OF SOFT TISSUE HAND
3,465.00
(TRIGGER
UNILATERAL PARTIAL OSTECTOMY (HIGH TIBIAL
10,890.00
UNILATERAL REMOVAL OF IMPLANTED DEVICE FROM BONE1
5,940.00
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