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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
2 | SEQUESTRECTOMY (OTHER THAN FEMUR)1 | 90603-17[1504] | 620684 | 9060317 | Y | 3,960.00 | |
0 | SEQUESTRECTOMY EXTEN. LESION | 620685 | 7,500.00 | ||||
2 | SEQUESTRECTOMY FEMUR1 | 90603-15[1485] | 620686 | 9060315 | Y | 6,930.00 | |
0 | SEQUESTRECTOMY MODERATE LESION | 620687 | 5,800.00 | ||||
0 | SEQUESTRECTOMY SMALL LESION | 620688 | 5,000.00 | ||||
0 | SIMPLE BUNIONECTOMY | 49833-00[1457] | 620689 | 4983300 | 2,600.00 | ||
0 | SKELETAL TRACTION | 90531-00[1870] | 620690 | 9053100 | 1,700.00 | ||
2 | SKIN AND OR SKELETAL TRACTION ON THOMAS SPLINT | 90531-00[1870] | 620691 | 9053100 | Y | 1,500.00 | |
0 | SMALL JOINT ARTHRODESIS | 50109-00[1571] | 620692 | 5010900 | 4,500.00 | ||
0 | SP DECOMP+PLIF BY CAGE + FIX. | 620693 | 14,000.00 | ||||
0 | SP ENDOS(THORACOSCOPIC)BIOPSY | 620694 | 3843602 | 10,300.00 | |||
0 | SP.COR.OF HUMP BY EXCISION | 620695 | 22116 | 10,300.00 |
SEQUESTRECTOMY (OTHER THAN FEMUR)1
3,960.00
SEQUESTRECTOMY EXTEN. LESION
7,500.00
SEQUESTRECTOMY FEMUR1
6,930.00
SEQUESTRECTOMY MODERATE LESION
5,800.00
SEQUESTRECTOMY SMALL LESION
5,000.00
SIMPLE BUNIONECTOMY
2,600.00
SKELETAL TRACTION
1,700.00
SKIN AND OR SKELETAL TRACTION ON THOMAS SPLINT
1,500.00
SMALL JOINT ARTHRODESIS
4,500.00
SP DECOMP+PLIF BY CAGE + FIX.
14,000.00
SP ENDOS(THORACOSCOPIC)BIOPSY
10,300.00
SP.COR.OF HUMP BY EXCISION
10,300.00
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