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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
OSTEOCLASIS - RADIUS
90588-00[1517]
620561
9058800
5,600.00
0
OSTEOCLASIS - ULNA
90588-00[1517]
620562
9058800
5,600.00
0
OSTEOCLASIS FIBULA
90588-00[1517]
620563
9058800
5,600.00
0
OSTEOCLASIS TIBIA
90588-00[1517]
620564
9058800
5,600.00
0
OSTEOTOMY- FOOT DEFORMITY
620565
4,000.00
3
OSTEOTOMY FOR NON-UNION W/ INT. FIX.1
90569-00[1556]
620566
9056900
Y
11,880.00
3
OSTEOTOMY NECK FEMUR(DYNAMIC HIP SCREW) D.H.S.1
48427-01[1478]
620567
4842701
Y
13,860.00
3
OSTEOTOMY OF CALCANEUM1
50333-00[1532]
620568
5033300
Y
8,415.00
3
OSTEOTOMY OF RAIDAL HEAD1
48406-02[1424]
620569
4840602
Y
8,415.00
3
OSTEOTOMY PELVIS (W/ INTERNAL FIXATION)1
48427-00[1478]
620570
4842700
Y
9,801.00
0
OSTEOTOMY/DIV OF BONE SCAPULAR
48406-09[1398]
620571
4840609
7,200.00
0
OSTEOTOMY/DIV. OF BONE PELVIC
48424-03[1483]
620572
4842403
10,200.00
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