|
Treat elbow fracture
|
$1,584.66 |
$1,584.66 |
$1,584.66 |
$6,316.80
|
|
Treat eyelid by injection
|
$78.54 |
$78.54 |
$78.54 |
$481.44
|
|
Treat eyelid lesion 67850
|
$304.92 |
$304.92 |
$304.92 |
$1,146.13
|
|
Treat finger fracture each
|
$1,131.90 |
$1,131.90 |
$1,131.90 |
$4,132.02
|
|
Treat finger fracture each
|
$906.84 |
$906.84 |
$906.84 |
$1,536.00
|
|
Treat foot bone lesion
|
$1,325.94 |
$1,325.94 |
$1,325.94 |
$3,839.54
|
|
Treat foot dislocation
|
$850.08 |
$850.08 |
$850.08 |
$2,993.70
|
|
Treat foot dislocation
|
$746.46 |
$746.46 |
$746.46 |
$446.60
|
|
Treat foot dislocation
|
$939.18 |
$939.18 |
$939.18 |
$3,839.54
|
|
Treat fracture of radius
|
$1,224.30 |
$1,224.30 |
$1,224.30 |
$1,790.00
|
|
Treat fracture of radius
|
$1,298.22 |
$1,298.22 |
$1,298.22 |
$1,849.00
|
|
Treat fracture of ulna
|
$1,094.28 |
$1,094.28 |
$1,094.28 |
$726.05
|
|
Treat/graft heel fracture
|
$2,973.96 |
$2,973.96 |
$2,973.96 |
$10,629.07
|
|
Treat hand bone lesion
|
$1,305.48 |
$1,305.48 |
$1,305.48 |
$3,073.20
|
|
Treat hand dislocation
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$3,821.05
|
|
Treat hand dislocation
|
$1,451.34 |
$1,451.34 |
$1,451.34 |
$3,839.54
|
|
Treat heel fracture
|
$2,579.94 |
$2,579.94 |
$2,579.94 |
$8,269.81
|
|
Treat hip dislocation
|
$1,706.10 |
$1,706.10 |
$1,706.10 |
$2,192.80
|
|
Treat hip dislocation
|
$2,146.98 |
$2,146.98 |
$2,146.98 |
$3,342.87
|
|
Treat humerus fracture
|
$2,032.80 |
$2,032.80 |
$2,032.80 |
$13,278.70
|
|
Treat humerus fracture
|
$1,972.74 |
$1,972.74 |
$1,972.74 |
$12,896.80
|
|
Treat humerus fracture
|
$1,356.30 |
$1,356.30 |
$1,356.30 |
$1,771.43
|
|
Treat humerus fracture
|
$2,137.08 |
$2,137.08 |
$2,137.08 |
$12,653.00
|
|
Treat humerus fracture
|
$2,380.62 |
$2,380.62 |
$2,380.62 |
$10,742.40
|
|
Treat humerus fracture
|
$1,183.38 |
$1,183.38 |
$1,183.38 |
$1,771.43
|
|
Treat humerus fracture
|
$1,710.72 |
$1,710.72 |
$1,710.72 |
$11,250.40
|
|
Treat humerus fracture
|
$1,935.78 |
$1,935.78 |
$1,935.78 |
$10,629.07
|
|
Treat humerus fracture
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$6,839.00
|
|
Treat kneecap dislocation
|
$1,162.92 |
$1,162.92 |
$1,162.92 |
$1,068.90
|
|
Treat kneecap fracture
|
$1,741.08 |
$1,741.08 |
$1,741.08 |
$6,311.00
|
|
Treat knee dislocation
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$2,220.89
|
|
Treat knee fracture
|
$2,036.76 |
$2,036.76 |
$2,036.76 |
$3,486.60
|
|
Treat knee fracture
|
$2,707.98 |
$2,707.98 |
$2,707.98 |
$4,521.40
|
|
Treat knee fracture
|
$1,879.02 |
$1,879.02 |
$1,879.02 |
$2,938.00
|
|
Treat knee fracture 27530
|
$759.66 |
$759.66 |
$759.66 |
$550.00
|
|
Treat knuckle dislocation
|
$957.66 |
$957.66 |
$957.66 |
$1,523.90
|
|
Treat knuckle dislocation
|
$1,354.98 |
$1,354.98 |
$1,354.98 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$2,714.58 |
$2,714.58 |
$2,714.58 |
$7,000.36
|
|
Treat lower leg bone lesion
|
$1,377.42 |
$1,377.42 |
$1,377.42 |
$3,977.49
|
|
Treat lower leg dislocation
|
$1,760.22 |
$1,760.22 |
$1,760.22 |
$6,311.00
|
|
Treat lower leg fracture
|
$1,974.06 |
$1,974.06 |
$1,974.06 |
$6,475.41
|
|
Treat lower leg fracture
|
$2,579.94 |
$2,579.94 |
$2,579.94 |
$14,241.77
|
|
Treat lower leg fracture
|
$3,030.72 |
$3,030.72 |
$3,030.72 |
$12,653.00
|
|
Treat lower leg joint
|
$1,640.10 |
$1,640.10 |
$1,640.10 |
$7,807.24
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$1,929.84 |
$1,929.84 |
$1,929.84 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$2,441.34 |
$2,441.34 |
$2,441.34 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$1,735.80 |
$1,735.80 |
$1,735.80 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$682.44 |
$682.44 |
$682.44 |
$3,916.04
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$205.92 |
$205.92 |
$205.92 |
$224.90
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$164.34 |
$164.34 |
$164.34 |
$145.51
|
|
Treatment inhalation pressurized/nonpressurized acute airway obstruction
|
$224.40 |
$224.40 |
$224.40 |
$203.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$871.20 |
$871.20 |
$871.20 |
$3,982.44
|
|
Treatment mouth roof lesion
|
$528.00 |
$528.00 |
$528.00 |
$4,256.70
|
|
Treatment of ankle fracture
|
$1,494.90 |
$1,494.90 |
$1,494.90 |
$8,412.89
|
|
Treatment of ankle fracture
|
$1,762.86 |
$1,762.86 |
$1,762.86 |
$8,453.60
|
|
Treatment of ankle fracture
|
$2,016.96 |
$2,016.96 |
$2,016.96 |
$7,907.11
|
|
Treatment of ankle fracture
|
$2,264.46 |
$2,264.46 |
$2,264.46 |
$7,913.97
|
|
Treatment of ankle fracture 27786
|
$1,048.08 |
$1,048.08 |
$1,048.08 |
$520.80
|
|
Treatment of fibula fracture
|
$1,645.38 |
$1,645.38 |
$1,645.38 |
$6,311.00
|
|
Treatment of fibula fracture 27780
|
$762.30 |
$762.30 |
$762.30 |
$491.50
|
|
Treatment of foot infection
|
$318.12 |
$318.12 |
$318.12 |
$2,614.25
|
|
Treatment of foot infection
|
$862.62 |
$862.62 |
$862.62 |
$3,821.05
|
|
Treatment of heel fracture 28400
|
$605.88 |
$605.88 |
$605.88 |
$473.00
|
|
Treatment of miscarriage
|
$844.14 |
$844.14 |
$844.14 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$609.18 |
$609.18 |
$609.18 |
$3,589.62
|
|
Treatment of penis lesion
|
$1,420.32 |
$1,420.32 |
$1,420.32 |
$4,081.37
|
|
Treatment of penis lesion
|
$982.74 |
$982.74 |
$982.74 |
$3,515.40
|
|
Treatment of retinal lesion
|
$1,149.72 |
$1,149.72 |
$1,149.72 |
$1,033.14
|
|
Treatment of thigh fracture
|
$3,045.90 |
$3,045.90 |
$3,045.90 |
$5,109.00
|
|
Treatment of thigh fracture
|
$1,248.72 |
$1,248.72 |
$1,248.72 |
$548.90
|
|
Treatment of thigh fracture
|
$1,578.72 |
$1,578.72 |
$1,578.72 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$1,772.97
|
|
Treatment of thigh fracture
|
$2,253.24 |
$2,253.24 |
$2,253.24 |
$3,409.00
|
|
Treatment of thigh fracture
|
$2,200.44 |
$2,200.44 |
$2,200.44 |
$3,764.80
|
|
Treatment of thigh fracture
|
$2,779.92 |
$2,779.92 |
$2,779.92 |
$5,505.50
|
|
Treatment of thigh fracture
|
$2,189.88 |
$2,189.88 |
$2,189.88 |
$3,796.00
|
|
Treatment of tibia fracture
|
$1,377.42 |
$1,377.42 |
$1,377.42 |
$6,183.84
|
|
Treatment of tibia fracture
|
$2,061.84 |
$2,061.84 |
$2,061.84 |
$8,665.60
|
|
Treatment of tibia fracture
|
$2,280.30 |
$2,280.30 |
$2,280.30 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$297.66 |
$297.66 |
$297.66 |
$369.70
|
|
Treatment of urethra lesion
|
$413.82 |
$413.82 |
$413.82 |
$3,817.53
|
|
Treatment x10sv retinopathy
|
$792.00 |
$792.00 |
$792.00 |
$1,513.20
|
|
Treat metacarpal fracture
|
$1,145.76 |
$1,145.76 |
$1,145.76 |
$3,977.49
|
|
Treat metacarpal fracture
|
$1,360.92 |
$1,360.92 |
$1,360.92 |
$5,464.97
|
|
Treat metatarsal fracture
|
$939.18 |
$939.18 |
$939.18 |
$3,839.54
|
|
Treat metatarsal fracture
|
$1,321.32 |
$1,321.32 |
$1,321.32 |
$8,453.60
|
|
Treat midfoot fracture each
|
$1,503.48 |
$1,503.48 |
$1,503.48 |
$6,192.78
|
|
Treat neck spine fracture
|
$3,360.06 |
$3,360.06 |
$3,360.06 |
$3,572.80
|
|
Treat pelvic fracture(s)
|
$155.76 |
$155.76 |
$155.76 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$1,649.34 |
$1,649.34 |
$1,649.34 |
$2,727.20
|
|
Treat radius fracture
|
$1,543.08 |
$1,543.08 |
$1,543.08 |
$7,807.24
|
|
Treat radius fracture
|
$1,701.48 |
$1,701.48 |
$1,701.48 |
$14,061.89
|
|
Treat slipped epiphysis
|
$2,119.92 |
$2,119.92 |
$2,119.92 |
$4,499.12
|
|
Treat spine fracture
|
$3,315.84 |
$3,315.84 |
$3,315.84 |
$3,485.60
|
|
Treat thigh fracture
|
$1,150.38 |
$1,150.38 |
$1,150.38 |
$661.00
|
|
Treat thigh fracture
|
$2,077.02 |
$2,077.02 |
$2,077.02 |
$6,510.40
|
|
Treat thigh fracture
|
$2,715.90 |
$2,715.90 |
$2,715.90 |
$4,083.00
|
|
Treat thigh fracture
|
$1,104.84 |
$1,104.84 |
$1,104.84 |
$1,893.86
|
|
Treat thigh fracture
|
$2,789.16 |
$2,789.16 |
$2,789.16 |
$4,726.80
|
|
Treat thigh fracture
|
$924.00 |
$924.00 |
$924.00 |
$618.80
|