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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
2
TENOSYNOVECTOMY OF HAND1
47969-00[1564]
620798
4796900
Y
2,475.00
0
TENOTOMY - FOOT / HAND
49809-00[1530]
620799
4980900
4,000.00
0
TENOTOMY CLOSED
620800
3,800.00
0
TENOTOMY CLOSED, KNEE
49569-00[1520]
620801
4956900
3,600.00
0
TENOTOMY- HAND
46363-00[1440]
620802
4636300
2,400.00
0
TENOTOMY- HIP ADDUCTOR
50381-00[1480]
620803
5038100
2,400.00
0
SP.DEC(CX)ANT-COR+GRFT W/O FIX
620706
63081
12,900.00
0
SP.DEC(CX)ANT-CORP+VERT SPACER
620707
63081
16,100.00
0
SP.DEC(CX)ANT-CORPECT+GRFT+FIX
620708
63081
16,100.00
0
SP.DEC(CX)ANT-DISC W/O FIX 1LV
620709
63081
12,900.00
0
SP.DEC(CX)ANT-DISC W/O FIX MLT
620710
63081
14,800.00
0
SP.DEC(CX)ANT-DISC+FIX&FUS 1LV
620711
63081
14,800.00
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