|
Treatment of ankle fracture
|
$474.50 |
$474.50 |
$474.50 |
$7,913.97
|
|
Treatment of ankle fracture
|
$561.86 |
$561.86 |
$561.86 |
$8,453.60
|
|
Treatment of ankle fracture
|
$637.78 |
$637.78 |
$637.78 |
$7,906.00
|
|
Treatment of ankle fracture
|
$719.16 |
$719.16 |
$719.16 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$674.88 |
$674.88 |
$674.88 |
$528.00
|
|
Treatment of choroid lesion
|
$355.94 |
$355.94 |
$355.94 |
$1,253.20
|
|
Treatment of corneal lesion
|
$232.18 |
$232.18 |
$232.18 |
$856.80
|
|
Treatment of eyelid lesions
|
$34.84 |
$34.84 |
$34.84 |
$352.04
|
|
Treatment of fibula fracture
|
$523.64 |
$523.64 |
$523.64 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$215.54 |
$215.54 |
$215.54 |
$528.00
|
|
Treatment of foot infection
|
$176.28 |
$176.28 |
$176.28 |
$2,928.60
|
|
Treatment of foot infection
|
$308.62 |
$308.62 |
$308.62 |
$3,839.54
|
|
Treatment of head injury 62010
|
$1,135.94 |
$1,135.94 |
$1,135.94 |
$3,604.00
|
|
Treatment of heel fracture 28400
|
$172.12 |
$172.12 |
$172.12 |
$478.40
|
|
Treatment of miscarriage
|
$275.86 |
$275.86 |
$275.86 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$118.30 |
$118.30 |
$118.30 |
$3,734.50
|
|
Treatment of penis lesion
|
$456.82 |
$456.82 |
$456.82 |
$4,081.37
|
|
Treatment of penis lesion
|
$313.30 |
$313.30 |
$313.30 |
$3,515.40
|
|
Treatment of rectal prolapse
|
$29.38 |
$29.38 |
$29.38 |
$1,052.80
|
|
Treatment of retinal lesion
|
$411.84 |
$411.84 |
$411.84 |
$1,741.60
|
|
Treatment of retinal lesion
|
$355.68 |
$355.68 |
$355.68 |
$1,336.20
|
|
Treatment of retinal lesion
|
$991.90 |
$991.90 |
$991.90 |
$5,419.00
|
|
Treatment of thigh fracture
|
$674.88 |
$674.88 |
$674.88 |
$487.50
|
|
Treatment of thigh fracture
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$1,749.06
|
|
Treatment of thigh fracture
|
$980.98 |
$980.98 |
$980.98 |
$4,785.00
|
|
Treatment of thigh fracture
|
$371.28 |
$371.28 |
$371.28 |
$570.40
|
|
Treatment of thigh fracture
|
$496.86 |
$496.86 |
$496.86 |
$6,389.60
|
|
Treatment of thigh fracture
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$1,790.00
|
|
Treatment of thigh fracture
|
$728.78 |
$728.78 |
$728.78 |
$2,896.50
|
|
Treatment of thigh fracture
|
$710.32 |
$710.32 |
$710.32 |
$2,254.50
|
|
Treatment of thigh fracture
|
$902.46 |
$902.46 |
$902.46 |
$4,380.00
|
|
Treatment of thigh fracture
|
$707.98 |
$707.98 |
$707.98 |
$3,796.00
|
|
Treatment of tibia fracture
|
$435.76 |
$435.76 |
$435.76 |
$6,183.84
|
|
Treatment of tibia fracture
|
$659.62 |
$659.62 |
$659.62 |
$6,347.40
|
|
Treatment of tibia fracture
|
$732.94 |
$732.94 |
$732.94 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$674.88 |
$674.88 |
$674.88 |
$371.40
|
|
Treatment of urethra lesion
|
$331.24 |
$331.24 |
$331.24 |
$4,061.71
|
|
Treatment of urethra lesion
|
$133.12 |
$133.12 |
$133.12 |
$4,061.71
|
|
Treatment of urethra lesion
|
$138.84 |
$138.84 |
$138.84 |
$2,874.36
|
|
Treatment x10sv retinopathy
|
$217.36 |
$217.36 |
$217.36 |
$1,513.20
|
|
Treat metacarpal fracture
|
$358.02 |
$358.02 |
$358.02 |
$4,289.60
|
|
Treat metacarpal fracture
|
$427.96 |
$427.96 |
$427.96 |
$5,741.00
|
|
Treat metatarsal fracture
|
$287.04 |
$287.04 |
$287.04 |
$3,839.54
|
|
Treat metatarsal fracture
|
$413.40 |
$413.40 |
$413.40 |
$8,241.00
|
|
Treat midfoot fracture each
|
$170.82 |
$170.82 |
$170.82 |
$1,893.86
|
|
Treat midfoot fracture each
|
$473.72 |
$473.72 |
$473.72 |
$6,445.00
|
|
Treat neck spine fracture
|
$1,113.06 |
$1,113.06 |
$1,113.06 |
$3,572.80
|
|
Treat odontoid fx w/graft
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$13,116.76
|
|
Treat odontoid fx without graft
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$5,448.00
|
|
Treat pelvic fracture(s)
|
$465.14 |
$465.14 |
$465.14 |
$1,506.40
|
|
Treat pelvic ring fracture
|
$687.18 |
$687.18 |
$687.18 |
$2,223.20
|
|
Treat pelvic ring fracture
|
$646.10 |
$646.10 |
$646.10 |
$2,727.20
|
|
Treat pelvic ring fracture
|
$886.34 |
$886.34 |
$886.34 |
$3,332.00
|
|
Treat penis lesion graft
|
$583.70 |
$583.70 |
$583.70 |
$5,986.78
|
|
Treat penis lesion graft
|
$684.06 |
$684.06 |
$684.06 |
$7,976.07
|
|
Treat radius fracture
|
$487.50 |
$487.50 |
$487.50 |
$7,907.11
|
|
Treat radius fracture
|
$541.32 |
$541.32 |
$541.32 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$134.42 |
$134.42 |
$134.42 |
$7,907.11
|
|
Treat skull fracture
|
$766.74 |
$766.74 |
$766.74 |
$3,837.72
|
|
Treat skull fracture
|
$941.46 |
$941.46 |
$941.46 |
$2,984.80
|
|
Treat slipped epiphysis
|
$678.86 |
$678.86 |
$678.86 |
$3,359.20
|
|
Treat slipped epiphysis
|
$492.44 |
$492.44 |
$492.44 |
$3,342.87
|
|
Treat slipped epiphysis
|
$819.26 |
$819.26 |
$819.26 |
$3,342.87
|
|
Treat slipped epiphysis
|
$678.86 |
$678.86 |
$678.86 |
$3,342.87
|
|
Treat slipped epiphysis
|
$822.64 |
$822.64 |
$822.64 |
$7,413.38
|
|
Treat spinal cord lesion
|
$116.74 |
$116.74 |
$116.74 |
$1,142.50
|
|
Treat spinal cord lesion
|
$113.88 |
$113.88 |
$113.88 |
$1,337.00
|
|
Treat spine fracture
|
$1,091.48 |
$1,091.48 |
$1,091.48 |
$3,485.60
|
|
Treat sternum fracture
|
$674.88 |
$674.88 |
$674.88 |
$423.00
|
|
Treat tail bone fracture
|
$390.26 |
$390.26 |
$390.26 |
$3,839.54
|
|
Treat thigh fracture
|
$674.88 |
$674.88 |
$674.88 |
$661.00
|
|
Treat thigh fracture
|
$666.64 |
$666.64 |
$666.64 |
$6,510.40
|
|
Treat thigh fracture
|
$874.64 |
$874.64 |
$874.64 |
$3,933.60
|
|
Treat thigh fracture
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$1,893.86
|
|
Treat thigh fracture
|
$899.08 |
$899.08 |
$899.08 |
$4,726.80
|
|
Treat thigh fracture
|
$674.88 |
$674.88 |
$674.88 |
$618.80
|
|
Treat thigh fracture
|
$547.82 |
$547.82 |
$547.82 |
$2,802.80
|
|
Treat thigh fracture
|
$702.78 |
$702.78 |
$702.78 |
$2,008.18
|
|
Treat thigh fracture
|
$900.12 |
$900.12 |
$900.12 |
$3,580.50
|
|
Treat thigh fx growth plate
|
$363.22 |
$363.22 |
$363.22 |
$475.68
|
|
Treat thigh fx growth plate
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$1,938.38
|
|
Treat thigh fx growth plate
|
$653.38 |
$653.38 |
$653.38 |
$7,413.38
|
|
Treat thorax spine fracture
|
$1,133.60 |
$1,133.60 |
$1,133.60 |
$3,624.00
|
|
Treat thumb fracture
|
$359.32 |
$359.32 |
$359.32 |
$2,508.80
|
|
Treat thumb fracture
|
$465.92 |
$465.92 |
$465.92 |
$3,839.54
|
|
Treat toe dislocation
|
$165.36 |
$165.36 |
$165.36 |
$3,839.54
|
|
Treat toe dislocation
|
$92.82 |
$92.82 |
$92.82 |
$756.00
|
|
Treat toe dislocation
|
$127.66 |
$127.66 |
$127.66 |
$3,839.54
|
|
Treat toe fracture
|
$296.66 |
$296.66 |
$296.66 |
$3,839.54
|
|
Treat trigeminal nerve
|
$654.68 |
$654.68 |
$654.68 |
$3,754.40
|
|
Treat trigeminal tract
|
$835.12 |
$835.12 |
$835.12 |
$3,786.00
|
|
Treat ulnar fracture
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$1,678.55
|
|
Treat ulnar fracture
|
$483.86 |
$483.86 |
$483.86 |
$6,653.00
|
|
Treat vaginal bleeding
|
$566.10 |
$566.10 |
$566.10 |
$392.00
|
|
Treat wrist bone fracture
|
$318.50 |
$318.50 |
$318.50 |
$1,749.06
|
|
Treat wrist dislocation
|
$674.88 |
$674.88 |
$674.88 |
$656.25
|
|
Treponema pallidum ag if
|
$9.36 |
$9.36 |
$9.36 |
$33.60
|
|
Treponema pallidum antibody
|
$83.62 |
$83.62 |
$83.62 |
$72.05
|
|
Trg gene rearrangement anal
|
$566.84 |
$566.84 |
$566.84 |
$465.30
|
|
Trh stimulation panel
|
$52.52 |
$52.52 |
$52.52 |
$117.75
|