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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
SP.ENDO(THORACOSCOPIC)FIXATION
620736
63306
17,400.00
0
SP.ENDOS(LAPAROSCOPIC)BIOPSY
620737
63306
10,300.00
0
SP.ENDOS(LAPAROSCOPIC)DRAINAGE
620738
63306
10,300.00
0
SP.ENDOS(LAPAROSCOPIC)FIXATION
620739
63306
17,400.00
0
SP.ENDOS(LAPAROSCOPIC)FUSION
620740
63306
14,800.00
0
SP.ENDOS(LAPAROSCOPIC)RELEASE
620741
63306
14,800.00
0
SP.ENDOS(THORACOSCOPIC)DRAINAG
620742
63306
10,300.00
0
SP.ENDOS(THORACOSCOPIC)FUSION
620743
63306
14,800.00
0
SP.ENDOS(THORACOSCOPIC)RELEASE
620744
63306
14,800.00
0
SPIN.CORRECT.OF KYPH(ANT)W/FIX
620745
15,500.00
2
SPINAL TRACTION USING SKULL DEVICE (# DISCLOC.
47711-00[1870]
620746
4771100
Y
4,158.00
0
SPINE MANIPULATION UGA
48600-00[1386]
620747
4860000
1,900.00
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