|
Treat hip dislocation
|
$2,253.73 |
$2,253.73 |
$2,253.73 |
$2,211.05
|
|
Treat hip dislocation
|
$3,493.90 |
$3,493.90 |
$3,493.90 |
$2,643.60
|
|
Treat hip socket fracture
|
$2,563.94 |
$2,563.94 |
$2,563.94 |
$1,340.10
|
|
Treat humerus fracture
|
$9,803.49 |
$9,803.49 |
$9,803.49 |
$9,803.49
|
|
Treat humerus fracture
|
$10,701.24 |
$10,701.24 |
$10,701.24 |
$12,299.10
|
|
Treat humerus fracture
|
$1,331.51 |
$1,331.51 |
$1,331.51 |
$1,808.80
|
|
Treat humerus fracture
|
$10,902.51 |
$10,902.51 |
$10,902.51 |
$10,902.51
|
|
Treat humerus fracture
|
$10,742.40 |
$10,742.40 |
$10,742.40 |
$10,742.40
|
|
Treat humerus fracture
|
$601.66 |
$601.66 |
$601.66 |
$1,790.00
|
|
Treat humerus fracture
|
$7,932.82 |
$7,932.82 |
$7,932.82 |
$10,629.07
|
|
Treat humerus fracture
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$7,906.00
|
|
Treat humerus fracture
|
$3,079.75 |
$3,079.75 |
$3,079.75 |
$6,311.00
|
|
Treat kneecap dislocation
|
$2,009.20 |
$2,009.20 |
$2,009.20 |
$1,063.40
|
|
Treat kneecap dislocation
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,070.00
|
|
Treat kneecap fracture
|
$7,635.41 |
$7,635.41 |
$7,635.41 |
$6,839.00
|
|
Treat knee dislocation
|
$2,220.89 |
$2,220.89 |
$2,220.89 |
$2,211.05
|
|
Treat knee fracture 27530
|
$397.98 |
$397.98 |
$576.13 |
$550.73
|
|
Treat knee fracture(s)
|
$172.98 |
$172.98 |
$493.94 |
$643.26
|
|
Treat knuckle dislocation
|
$530.57 |
$530.57 |
$530.57 |
$1,726.01
|
|
Treat knuckle dislocation
|
$5,036.85 |
$5,036.85 |
$5,036.85 |
$4,332.00
|
|
Treat lower jaw fracture 21462
|
$8,803.45 |
$8,803.45 |
$8,803.45 |
$7,000.36
|
|
Treat lower leg bone lesion
|
$4,092.85 |
$4,092.85 |
$4,092.85 |
$4,092.85
|
|
Treat lower leg dislocation
|
$571.27 |
$571.27 |
$571.27 |
$532.60
|
|
Treat lower leg dislocation
|
$6,072.59 |
$6,072.59 |
$6,072.59 |
$6,072.59
|
|
Treat lower leg fracture
|
$6,475.41 |
$6,475.41 |
$6,475.41 |
$6,475.41
|
|
Treat lower leg fracture
|
$7,342.60 |
$7,342.60 |
$7,342.60 |
$12,905.86
|
|
Treat lower leg fracture
|
$8,908.16 |
$8,908.16 |
$8,908.16 |
$12,653.00
|
|
Treat lower leg joint
|
$3,902.67 |
$3,902.67 |
$3,902.67 |
$6,905.00
|
|
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)
|
$7,191.98 |
$7,191.98 |
$7,191.98 |
$8,370.75
|
|
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)
|
$9,503.33 |
$9,503.33 |
$9,503.33 |
$8,590.40
|
|
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)
|
$7,931.95 |
$7,931.95 |
$7,931.95 |
$8,370.75
|
|
Treatment incomplete abortion completed surgically any trimester
|
$5,473.24 |
$5,473.24 |
$5,473.24 |
$3,996.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$312.44 |
$312.44 |
$312.44 |
$226.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$193.65 |
$193.65 |
$193.65 |
$148.35
|
|
Treatment missed abortion completed surgically 1st trimester
|
$3,638.60 |
$3,638.60 |
$3,638.60 |
$4,230.80
|
|
Treatment mouth roof lesion
|
$2,162.04 |
$2,162.04 |
$2,162.04 |
$4,256.70
|
|
Treatment of anal fissure w/dilat 46940
|
$2,943.60 |
$2,943.60 |
$2,943.60 |
$3,640.00
|
|
Treatment of ankle fracture
|
$6,836.22 |
$6,836.22 |
$6,836.22 |
$7,913.97
|
|
Treatment of ankle fracture
|
$7,456.70 |
$7,456.70 |
$7,456.70 |
$8,453.60
|
|
Treatment of ankle fracture
|
$6,662.72 |
$6,662.72 |
$6,662.72 |
$7,906.00
|
|
Treatment of ankle fracture
|
$8,545.69 |
$8,545.69 |
$8,545.69 |
$7,906.00
|
|
Treatment of ankle fracture 27786
|
$397.98 |
$397.98 |
$528.00 |
$528.00
|
|
Treatment of choroid lesion
|
$1,242.48 |
$1,242.48 |
$1,242.48 |
$1,253.20
|
|
Treatment of corneal lesion
|
$440.15 |
$440.15 |
$440.15 |
$856.80
|
|
Treatment of eyelid lesions
|
$177.02 |
$177.02 |
$177.02 |
$352.04
|
|
Treatment of fibula fracture
|
$6,373.79 |
$6,373.79 |
$6,373.79 |
$6,307.00
|
|
Treatment of fibula fracture 27780
|
$170.10 |
$170.10 |
$581.99 |
$528.00
|
|
Treatment of foot infection
|
$3,187.47 |
$3,187.47 |
$3,187.47 |
$2,928.60
|
|
Treatment of foot infection
|
$2,361.44 |
$2,361.44 |
$2,361.44 |
$3,839.54
|
|
Treatment of gum lesion
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
$3,164.85
|
|
Treatment of heel fracture 28400
|
$170.10 |
$170.10 |
$498.97 |
$478.40
|
|
Treatment of miscarriage
|
$4,146.69 |
$4,146.69 |
$4,146.69 |
$4,146.69
|
|
Treatment of mouth lesion physical 40820
|
$2,641.78 |
$2,641.78 |
$2,641.78 |
$3,734.50
|
|
Treatment of penis lesion
|
$5,528.58 |
$5,528.58 |
$5,528.58 |
$4,081.37
|
|
Treatment of penis lesion
|
$3,922.84 |
$3,922.84 |
$3,922.84 |
$3,515.40
|
|
Treatment of rectal prolapse
|
$194.79 |
$194.79 |
$194.79 |
$1,052.80
|
|
Treatment of retinal lesion
|
$1,580.87 |
$1,580.87 |
$1,580.87 |
$1,741.60
|
|
Treatment of retinal lesion
|
$1,575.91 |
$1,575.91 |
$1,575.91 |
$1,336.20
|
|
Treatment of thigh fracture
|
$111.96 |
$111.96 |
$452.18 |
$487.50
|
|
Treatment of thigh fracture
|
$388.65 |
$388.65 |
$388.65 |
$1,749.06
|
|
Treatment of thigh fracture
|
$141.48 |
$141.48 |
$735.14 |
$570.40
|
|
Treatment of thigh fracture
|
$5,865.39 |
$5,865.39 |
$5,865.39 |
$6,389.60
|
|
Treatment of thigh fracture
|
$1,362.45 |
$1,362.45 |
$1,362.45 |
$1,790.00
|
|
Treatment of tibia fracture
|
$5,341.52 |
$5,341.52 |
$5,341.52 |
$6,183.84
|
|
Treatment of tibia fracture
|
$11,824.88 |
$11,824.88 |
$11,824.88 |
$6,347.40
|
|
Treatment of tibia fracture
|
$10,814.75 |
$10,814.75 |
$10,814.75 |
$7,087.60
|
|
Treatment of toe fracture 28510
|
$170.19 |
$170.19 |
$477.10 |
$371.40
|
|
Treatment of urethra lesion
|
$3,891.34 |
$3,891.34 |
$3,891.34 |
$4,061.71
|
|
Treatment of urethra lesion
|
$2,935.76 |
$2,935.76 |
$2,935.76 |
$4,061.71
|
|
Treatment of urethra lesion
|
$3,427.35 |
$3,427.35 |
$3,427.35 |
$2,874.36
|
|
Treatment radiation delivery level 2
|
$2,550.00 |
$2,550.00 |
$2,550.00 |
$867.24
|
|
Treatment x10sv retinopathy
|
$1,853.59 |
$1,853.59 |
$1,853.59 |
$1,513.20
|
|
Treat metacarpal fracture
|
$3,617.93 |
$3,617.93 |
$3,617.93 |
$4,289.60
|
|
Treat metacarpal fracture
|
$6,192.94 |
$6,192.94 |
$6,192.94 |
$5,741.00
|
|
Treat metatarsal fracture
|
$3,834.85 |
$3,834.85 |
$3,834.85 |
$3,839.54
|
|
Treat metatarsal fracture
|
$5,748.05 |
$5,748.05 |
$5,748.05 |
$8,241.00
|
|
Treat midfoot fracture each
|
$111.96 |
$111.96 |
$414.20 |
$1,893.86
|
|
Treat midfoot fracture each
|
$4,493.63 |
$4,493.63 |
$4,493.63 |
$6,445.00
|
|
Treat penis lesion graft
|
$7,360.78 |
$7,360.78 |
$7,360.78 |
$5,986.78
|
|
Treat penis lesion graft
|
$7,976.07 |
$7,976.07 |
$7,976.07 |
$7,976.07
|
|
Treat radius fracture
|
$8,302.69 |
$8,302.69 |
$8,302.69 |
$7,907.11
|
|
Treat radius fracture
|
$8,769.75 |
$8,769.75 |
$8,769.75 |
$9,791.00
|
|
Treat sesamoid bone fracture
|
$3,834.96 |
$3,834.96 |
$3,834.96 |
$7,907.11
|
|
Treat skull fracture
|
$2,903.97 |
$2,903.97 |
$2,903.97 |
$3,837.72
|
|
Treat spinal cord lesion
|
$973.70 |
$973.70 |
$973.70 |
$1,142.50
|
|
Treat spinal cord lesion
|
$1,380.92 |
$1,380.92 |
$1,380.92 |
$1,337.00
|
|
Treat sternum fracture
|
$182.16 |
$182.16 |
$331.53 |
$423.00
|
|
Treat tail bone fracture
|
$3,127.64 |
$3,127.64 |
$3,127.64 |
$3,839.54
|
|
Treat thigh fracture
|
$100.71 |
$100.71 |
$582.92 |
$661.00
|
|
Treat thigh fracture
|
$5,868.23 |
$5,868.23 |
$5,868.23 |
$6,510.40
|
|
Treat thigh fracture
|
$1,311.46 |
$1,311.46 |
$1,311.46 |
$1,893.86
|
|
Treat thigh fracture
|
$10,964.16 |
$10,964.16 |
$10,964.16 |
$4,726.80
|
|
Treat thigh fracture
|
$543.33 |
$543.33 |
$1,063.36 |
$618.80
|
|
Treat thigh fracture
|
$2,090.14 |
$2,090.14 |
$2,090.14 |
$2,008.18
|
|
Treat thigh fx growth plate
|
$111.96 |
$111.96 |
$421.50 |
$475.68
|
|
Treat thigh fx growth plate
|
$311.89 |
$311.89 |
$311.89 |
$1,938.38
|
|
Treat thumb fracture
|
$4,737.59 |
$4,737.59 |
$4,737.59 |
$2,508.80
|
|
Treat thumb fracture
|
$6,841.45 |
$6,841.45 |
$6,841.45 |
$3,839.54
|
|
Treat toe dislocation
|
$4,057.54 |
$4,057.54 |
$4,057.54 |
$3,839.54
|
|
Treat toe dislocation
|
$1,771.42 |
$1,771.42 |
$1,771.42 |
$756.00
|
