|
Treat humerus fracture
|
$675.51 |
$675.51 |
$675.51 |
$10,742.40
|
|
Treat humerus fracture
|
$328.21 |
$328.21 |
$328.21 |
$1,790.00
|
|
Treat humerus fracture
|
$480.24 |
$480.24 |
$480.24 |
$10,629.07
|
|
Treat humerus fracture
|
$545.79 |
$545.79 |
$545.79 |
$7,906.00
|
|
Treat humerus fracture
|
$534.52 |
$534.52 |
$534.52 |
$6,311.00
|
|
Treat kneecap dislocation
|
$702.24 |
$702.24 |
$702.24 |
$1,063.40
|
|
Treat kneecap dislocation
|
$581.67 |
$581.67 |
$581.67 |
$6,070.00
|
|
Treat kneecap fracture
|
$491.74 |
$491.74 |
$491.74 |
$6,839.00
|
|
Treat knee dislocation
|
$416.07 |
$416.07 |
$416.07 |
$2,211.05
|
|
Treat knee dislocation
|
$567.87 |
$567.87 |
$567.87 |
$7,413.38
|
|
Treat knee dislocation
|
$676.20 |
$676.20 |
$676.20 |
$7,413.38
|
|
Treat knee dislocation
|
$768.89 |
$768.89 |
$768.89 |
$7,413.38
|
|
Treat knee fracture
|
$581.67 |
$581.67 |
$581.67 |
$3,486.60
|
|
Treat knee fracture
|
$770.96 |
$770.96 |
$770.96 |
$4,521.40
|
|
Treat knee fracture
|
$531.53 |
$531.53 |
$531.53 |
$3,460.60
|
|
Treat knee fracture 27530
|
$702.24 |
$702.24 |
$702.24 |
$550.73
|
|
Treat knee fracture(s)
|
$298.08 |
$298.08 |
$298.08 |
$643.26
|
|
Treat knuckle dislocation
|
$264.04 |
$264.04 |
$264.04 |
$1,726.01
|
|
Treat knuckle dislocation
|
$376.97 |
$376.97 |
$376.97 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$733.70 |
$733.70 |
$733.70 |
$7,000.36
|
|
Treat lower leg bone lesion
|
$389.16 |
$389.16 |
$389.16 |
$4,092.85
|
|
Treat lower leg dislocation
|
$240.12 |
$240.12 |
$240.12 |
$532.60
|
|
Treat lower leg dislocation
|
$271.17 |
$271.17 |
$271.17 |
$3,908.80
|
|
Treat lower leg dislocation
|
$496.11 |
$496.11 |
$496.11 |
$6,072.59
|
|
Treat lower leg fracture
|
$551.77 |
$551.77 |
$551.77 |
$6,475.41
|
|
Treat lower leg fracture
|
$724.96 |
$724.96 |
$724.96 |
$12,905.86
|
|
Treat lower leg fracture
|
$856.06 |
$856.06 |
$856.06 |
$12,653.00
|
|
Treat lower leg joint
|
$456.78 |
$456.78 |
$456.78 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$541.88 |
$541.88 |
$541.88 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$687.24 |
$687.24 |
$687.24 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$486.22 |
$486.22 |
$486.22 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$9,303.14 |
$9,303.14 |
$9,303.14 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$306.46 |
$306.46 |
$306.46 |
$226.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$229.46 |
$229.46 |
$229.46 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$249.32 |
$249.32 |
$249.32 |
$4,230.80
|
|
Treatment mouth roof lesion
|
$90.16 |
$90.16 |
$90.16 |
$4,256.70
|
|
Treatment of anal fissure
|
$84.18 |
$84.18 |
$84.18 |
$1,278.72
|
|
Treatment of anal fissure w/dilat 46940
|
$93.84 |
$93.84 |
$93.84 |
$3,640.00
|
|
Treatment of ankle fracture
|
$419.75 |
$419.75 |
$419.75 |
$7,913.97
|
|
Treatment of ankle fracture
|
$497.03 |
$497.03 |
$497.03 |
$8,453.60
|
|
Treatment of ankle fracture
|
$564.19 |
$564.19 |
$564.19 |
$7,906.00
|
|
Treatment of ankle fracture
|
$636.18 |
$636.18 |
$636.18 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$702.24 |
$702.24 |
$702.24 |
$528.00
|
|
Treatment of choroid lesion
|
$314.87 |
$314.87 |
$314.87 |
$1,253.20
|
|
Treatment of corneal lesion
|
$205.39 |
$205.39 |
$205.39 |
$856.80
|
|
Treatment of eyelid lesions
|
$30.82 |
$30.82 |
$30.82 |
$352.04
|
|
Treatment of fibula fracture
|
$463.22 |
$463.22 |
$463.22 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$702.24 |
$702.24 |
$702.24 |
$528.00
|
|
Treatment of foot infection
|
$155.94 |
$155.94 |
$155.94 |
$2,928.60
|
|
Treatment of foot infection
|
$273.01 |
$273.01 |
$273.01 |
$3,839.54
|
|
Treatment of head injury 62010
|
$1,004.87 |
$1,004.87 |
$1,004.87 |
$3,604.00
|
|
Treatment of heel fracture 28400
|
$152.26 |
$152.26 |
$152.26 |
$478.40
|
|
Treatment of miscarriage
|
$244.03 |
$244.03 |
$244.03 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$104.65 |
$104.65 |
$104.65 |
$3,734.50
|
|
Treatment of penis lesion
|
$404.11 |
$404.11 |
$404.11 |
$4,081.37
|
|
Treatment of penis lesion
|
$277.15 |
$277.15 |
$277.15 |
$3,515.40
|
|
Treatment of rectal prolapse
|
$25.99 |
$25.99 |
$25.99 |
$1,052.80
|
|
Treatment of retinal lesion
|
$364.32 |
$364.32 |
$364.32 |
$1,741.60
|
|
Treatment of retinal lesion
|
$314.64 |
$314.64 |
$314.64 |
$1,336.20
|
|
Treatment of retinal lesion
|
$877.45 |
$877.45 |
$877.45 |
$5,419.00
|
|
Treatment of thigh fracture
|
$327.06 |
$327.06 |
$327.06 |
$487.50
|
|
Treatment of thigh fracture
|
$522.10 |
$522.10 |
$522.10 |
$1,749.06
|
|
Treatment of thigh fracture
|
$867.79 |
$867.79 |
$867.79 |
$4,785.00
|
|
Treatment of thigh fracture
|
$328.44 |
$328.44 |
$328.44 |
$570.40
|
|
Treatment of thigh fracture
|
$439.53 |
$439.53 |
$439.53 |
$6,389.60
|
|
Treatment of thigh fracture
|
$4,683.14 |
$4,683.14 |
$4,683.14 |
$1,790.00
|
|
Treatment of thigh fracture
|
$644.69 |
$644.69 |
$644.69 |
$2,896.50
|
|
Treatment of thigh fracture
|
$628.36 |
$628.36 |
$628.36 |
$2,254.50
|
|
Treatment of thigh fracture
|
$798.33 |
$798.33 |
$798.33 |
$4,380.00
|
|
Treatment of thigh fracture
|
$626.29 |
$626.29 |
$626.29 |
$3,796.00
|
|
Treatment of tibia fracture
|
$385.48 |
$385.48 |
$385.48 |
$6,183.84
|
|
Treatment of tibia fracture
|
$583.51 |
$583.51 |
$583.51 |
$6,347.40
|
|
Treatment of tibia fracture
|
$648.37 |
$648.37 |
$648.37 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$702.24 |
$702.24 |
$702.24 |
$371.40
|
|
Treatment of urethra lesion
|
$293.02 |
$293.02 |
$293.02 |
$4,061.71
|
|
Treatment of urethra lesion
|
$117.76 |
$117.76 |
$117.76 |
$4,061.71
|
|
Treatment of urethra lesion
|
$122.82 |
$122.82 |
$122.82 |
$2,874.36
|
|
Treatment x10sv retinopathy
|
$192.28 |
$192.28 |
$192.28 |
$1,513.20
|
|
Treat metacarpal fracture
|
$316.71 |
$316.71 |
$316.71 |
$4,289.60
|
|
Treat metacarpal fracture
|
$378.58 |
$378.58 |
$378.58 |
$5,741.00
|
|
Treat metatarsal fracture
|
$253.92 |
$253.92 |
$253.92 |
$3,839.54
|
|
Treat metatarsal fracture
|
$365.70 |
$365.70 |
$365.70 |
$8,241.00
|
|
Treat midfoot fracture each
|
$4,683.14 |
$4,683.14 |
$4,683.14 |
$1,893.86
|
|
Treat midfoot fracture each
|
$419.06 |
$419.06 |
$419.06 |
$6,445.00
|
|
Treat neck spine fracture
|
$984.63 |
$984.63 |
$984.63 |
$3,572.80
|
|
Treat odontoid fx w/graft
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$13,116.76
|
|
Treat odontoid fx without graft
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$5,448.00
|
|
Treat pelvic fracture(s)
|
$411.47 |
$411.47 |
$411.47 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$607.89 |
$607.89 |
$607.89 |
$2,223.20
|
|
Treat pelvic ring fracture
|
$571.55 |
$571.55 |
$571.55 |
$2,727.20
|
|
Treat pelvic ring fracture
|
$784.07 |
$784.07 |
$784.07 |
$3,332.00
|
|
Treat penis lesion graft
|
$516.35 |
$516.35 |
$516.35 |
$5,986.78
|
|
Treat penis lesion graft
|
$605.13 |
$605.13 |
$605.13 |
$7,976.07
|
|
Treat radius fracture
|
$431.25 |
$431.25 |
$431.25 |
$7,907.11
|
|
Treat radius fracture
|
$478.86 |
$478.86 |
$478.86 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$118.91 |
$118.91 |
$118.91 |
$7,907.11
|
|
Treat skull fracture
|
$678.27 |
$678.27 |
$678.27 |
$3,837.72
|
|
Treat skull fracture
|
$832.83 |
$832.83 |
$832.83 |
$2,984.80
|
|
Treat slipped epiphysis
|
$600.53 |
$600.53 |
$600.53 |
$3,359.20
|
|
Treat slipped epiphysis
|
$435.62 |
$435.62 |
$435.62 |
$3,342.87
|