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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | REPAIR OF JOINT BY AUSTIN | 47522-00[1489] | 620662 | 4752200 | Y | 18,810.00 | |
MOORE/HEMIARTHROPLASTY1 | |||||||
2 | REPAIR OF MALUNION OR NON UNION # W/ INTERNAL | 620663 | Y | 12,375.00 | |||
2 | REPAIR OF RUPTURED SUPERFICIAL LIGAMENT OF THE | 90589-01[1574] | 620664 | 9058901 | Y | 6,750.00 | |
2 | REPAIRVERTEBRAL FRACTURE | 47696-00[1387] | 620665 | 4769600 | Y | 45,000.00 | |
2 | REPLACEMENT-ANKLE | 49715-00[1544] | 620666 | 4971500 | Y | 45,000.00 | |
5 | REPLACEMENT-KNEE PARTIAL | 8-00[1518]49517-00[ | 620667 | 4951700 | Y | 45,000.00 | |
0 | REVISION - AMPUTATED STUMP � MINOR | 44376-00[1566] | 620668 | 4437600 | 4,000.00 | ||
0 | REVISION - AMPUTATED STUMP-INTERMEDIATE | 44376-00[1566] | 620669 | 4437600 | 4,400.00 | ||
0 | REVISION OF ACL/PCL | 620670 | 4954201 | 11,600.00 | |||
0 | REVISION OF INTERVERTEBRAL DISC PROSTHESIS, 1 | 620671 | 9619202 | 1,600.00 | |||
LEVEL |
REPAIR OF JOINT BY AUSTIN
18,810.00
MOORE/HEMIARTHROPLASTY1
REPAIR OF MALUNION OR NON UNION # W/ INTERNAL
12,375.00
REPAIR OF RUPTURED SUPERFICIAL LIGAMENT OF THE
6,750.00
REPAIRVERTEBRAL FRACTURE
45,000.00
REPLACEMENT-ANKLE
45,000.00
REPLACEMENT-KNEE PARTIAL
45,000.00
REVISION - AMPUTATED STUMP � MINOR
4,000.00
REVISION - AMPUTATED STUMP-INTERMEDIATE
4,400.00
REVISION OF ACL/PCL
11,600.00
REVISION OF INTERVERTEBRAL DISC PROSTHESIS, 1
1,600.00
LEVEL
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