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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | OSTEOTOMY/DIV. OF BONE TIBIAL | 90572-00[1563] | 620573 | 9057200 | 8,400.00 | ||
0 | OSTOCHOCHANDRIAL GRAFTING | 620574 | 9,000.00 | ||||
0 | OTHER ANOMALY OF FINGERS | 620575 | 6,200.00 | ||||
0 | OTHER BUNIONECTOMY | 620576 | 4,500.00 | ||||
0 | OTHER REP TENDON HAND | 620577 | 4,600.00 | ||||
3 | P.O.P TO SIMPLE FRACTURE W/O DISPLACEMENT | 96092-00[1870] | 620578 | Y | 750 | ||
3 | P.O.P. FOR CORRECTION OF FOOT DEFORMITY | 96092-00[1870] | 620579 | Y | 1,500.00 | ||
0 | PALMAR FASCIOTOMY (LA) | 30226-00[1558] | 620580 | 3022600 | 3,000.00 | ||
3 | PATELLAR STABILIZATION (RECURRENT | 49539-01[1522] | 620581 | 4953901 | Y | 7,920.00 | |
DISLOCATION)1 | |||||||
0 | POLYDACTYL 1 FINGER | 620582 | 4646500 | 4,000.00 | |||
0 | POLYDACTYL 2 FINGERS | 620583 | 5,600.00 |
OSTEOTOMY/DIV. OF BONE TIBIAL
8,400.00
OSTOCHOCHANDRIAL GRAFTING
9,000.00
OTHER ANOMALY OF FINGERS
6,200.00
OTHER BUNIONECTOMY
4,500.00
OTHER REP TENDON HAND
4,600.00
P.O.P TO SIMPLE FRACTURE W/O DISPLACEMENT
750
P.O.P. FOR CORRECTION OF FOOT DEFORMITY
1,500.00
PALMAR FASCIOTOMY (LA)
3,000.00
PATELLAR STABILIZATION (RECURRENT
7,920.00
DISLOCATION)1
POLYDACTYL 1 FINGER
4,000.00
POLYDACTYL 2 FINGERS
5,600.00
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