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Orthopaedics Price Lists

Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/Orthopedics.csv


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
ORTHOPEDICS4500220103HC EXPLORE PENETR.WND EXTREMITY $ 5,285.00
3
ORTHOPEDICS7610020103HC EXPLORE PENETR WOUND EXTREMITY $ 5,285.00
4
ORTHOPEDICS3610020206HC BX MUSCLE/S.T. NEEDLE CORE $ 1,897.00
5
ORTHOPEDICS3610020220HC BX BONE SUPERFICIAL NEEDLE CORE $ 1,517.00
6
ORTHOPEDICS3610020225HC BX BONE DEEP NEEDLE CORE $ 3,161.00
7
ORTHOPEDICS3610020245HC BX BONE DEEP OPEN $ 2,119.00
8
ORTHOPEDICS3610020501HC INJ SINUS TRACT DIAGNOSTIC $ 915.00
9
ORTHOPEDICS7610120520HC REMOVAL FB MUSCLE SIMPLE $ 940.00
10
ORTHOPEDICS7610020526HC INJ, THER, CARPAL TUNNEL $ 505.00
11
ORTHOPEDICS7610020527HC INJ DUPUYTREN CORD W/ENZYME $ 400.00
12
ORTHOPEDICS3610020550HC INJ(S) TENDON SHEATH/LIGAMENT $ 515.00
13
ORTHOPEDICS3610020551HC INJ(S) TENDON ORIGIN/INSERTION SINGLE $ 464.00
14
ORTHOPEDICS3610020552HC INJ(S) TRIGGER POINT(S) 1-2 MUSCLES $ 463.00
15
ORTHOPEDICS4500220552HC INJ TRIGGER PT 1-2 MUSCL $ 463.00
16
ORTHOPEDICS7610020552HC INJ SNGL/MULT TRIG PTS 1 / 2 MUSCLES $ 463.00
17
ORTHOPEDICS3610020553HC INJ(S) TRIGGER POINT(S) 3+ MUSCLES $ 492.00
18
ORTHOPEDICS4500220553HC INJ TRIG PTS, 3/+ MUSC GRPS $ 492.00
19
ORTHOPEDICS3610020600DRAIN/INJ SML JT/BURSA $ 594.00
20
ORTHOPEDICS4500220600HC ASP/INJ SMALL JOINT/BURSA WO US GUIDANCE $ 594.00
21
ORTHOPEDICS7610020600HC ASP/INJ SMALL JOINT/BURSA WO US GUIDANCE $ 594.00
22
ORTHOPEDICS4500020604HC ASP/INJ SMALL JOINT/BURSA W/US GUIDANCE $ 596.00
23
ORTHOPEDICS7610020604HC ASP/INJ SMALL JOINT/BURSA W/US GUIDANCE $ 596.00
24
ORTHOPEDICS3610020605ASP/INJ INTERMEDIATE JOINT/BURSA WO US GUIDANCE $ 608.00
25
ORTHOPEDICS4500220605HC ASP/INJ INTERMEDIATE JOINT/BURSA WO US GUIDANCE $ 608.00
26
ORTHOPEDICS7610020605HC ASP/INJ INTERMEDIATE JOINT/BURSA WO US GUIDANCE $ 608.00
27
ORTHOPEDICS4500020606HC INJ/ASPIRATE MED JOINT/BURSA WITH US GUIDANCE $ 727.00
28
ORTHOPEDICS7610020606HC INJ/ASPIRATE MED JOINT/BURSA WITH US GUIDANCE $ 727.00
29
ORTHOPEDICS4500220610HC ASP/INJ MAJOR JOINT/BURSA WO US GUIDANCE $ 630.00
30
ORTHOPEDICS7610020610ASP/INJ MAJOR JOINT/BURSA WO US GUIDANCE $ 630.00
31
ORTHOPEDICS7610120610HC ASP/INJ MAJOR JOINT/BURSA WO US GUIDANCE $ 630.00
32
ORTHOPEDICS7610220610HC ASP/INJ MAJOR JOINT/BURSA WO US GUIDANCE $ 630.00
33
ORTHOPEDICS7610020611HC ASP/INJ MAJOR JOINT/BURSA W/US GUIDANCE $ 763.00
34
ORTHOPEDICS7610220611HC ASP/INJ MAJOR JOINT/BURSA W/US GUIDANCE $ 763.00
35
ORTHOPEDICS3610020612HC INJ/ASPIRATE GANGLION CYST(S) $ 727.00
36
ORTHOPEDICS7610020982HC RF ABLATION BONE TOMUR(S) INC GUIDANCE $ 2,795.00
37
ORTHOPEDICS7610021014HC EXC FAC TUM DEEP 2 CM/> $ 1,840.00
38
ORTHOPEDICS7610021026EXCISION OF FACIAL BONES $ 1,500.00
39
ORTHOPEDICS7610021235HC EAR CARTILAGE GRAFT $ 1,262.00
40
ORTHOPEDICS4500221310HC CLD TX NASAL BONE FX W/O MANIP $ 329.00
41
ORTHOPEDICS7610021310HC CLSD TX NASAL BONE FX W/O MANIP $ 329.00
42
ORTHOPEDICS7610021315HC CLSD TX NASAL BONE FX W/O STABIL $ 2,061.00
43
ORTHOPEDICS7610021320HC CLSD TX NASAL BONE FX W/STABIL $ 3,031.00
44
ORTHOPEDICS3610021550HC BX S.T NECK/THORAX OPEN $ 3,132.00
45
ORTHOPEDICS3610022510HC PERQ VERTEBROPLASTY UNI IJX CERIVCOTHROACIC $ 17,352.00
46
ORTHOPEDICS3610022511HC PERQ LUMBOSACRAL VERTEBROPLASTY $ 4,710.00
47
ORTHOPEDICS3610022512HC VERTEBROPLASTY ADDL INJECT $ 2,673.00
48
ORTHOPEDICS3610022513HC KYPHOPLASTY THORACIC $ 21,015.00
49
ORTHOPEDICS3610022514HC KYPHOPLASTY LUMBAR $ 21,015.00
50
ORTHOPEDICS3610022515HC KYPHOPLASTY EA ADDL VERTEBRAL BODY $ 8,772.00
51
ORTHOPEDICS7610022902HC EXCISE TUMR SFT TISSUE ABDOMINAL WALL SUBQ <3CM $ 2,320.00
52
ORTHOPEDICS7610023071HC EXC TUMOR SOFT TISS SHOULDER SUBCU 3.0 CM / > $ 3,500.00
53
ORTHOPEDICS7610023075HC EXC TUMOR SOFT TISS SHOULDER SUBCU < 3.0 CM $ 2,900.00
54
ORTHOPEDICS3610023350HC INJ ARTHROGRAM SHOULDER $ 923.00
55
ORTHOPEDICS4500223500HC CLSD TX CLAVICULAR FX W/O MANIP $ 529.00
56
ORTHOPEDICS7610123500HC CLSD TX CLAVICULAR FX W/O MANIP $ 529.00
57
ORTHOPEDICS7610023520HC CLSD TX STRENOCLV DISLOC W/O MANIP $ 1,455.00
58
ORTHOPEDICS4500023540HC ACJ SEPARATION $ 541.00
59
ORTHOPEDICS7610023540HC TREAT CLAVICAL DISLOCATION $ 2,673.00
60
ORTHOPEDICS7610023545HC CLSD TX ACROMIOCLAVICULAR DISLOC W/MANIP $ 1,576.00
61
ORTHOPEDICS7610023550HC OPEN TX ACROMIOCLVCLR DISLOC ACUTE/CHRONIC $ 10,234.00
62
ORTHOPEDICS4500223570HC CLSD TX SCAPULAR FX W/O MANIP $ 463.00
63
ORTHOPEDICS7610023570HC CLSD TX SCAPULAR FX W/O MANIP $ 463.00
64
ORTHOPEDICS4500223600HC CLD TX PROXI HUM FX W/O MAN $ 661.00
65
ORTHOPEDICS7610023600HC CLSD TX PROXI HUM FX W/O MANIP $ 661.00
66
ORTHOPEDICS4500223620HC CLSD TX > HUMRL TUBEY FX W/O MA $ 364.00
67
ORTHOPEDICS7610023620HC CLSD TX GREATER HUMRL TUBER FX W/O MANIP $ 364.00
68
ORTHOPEDICS4500223650HC SHOULDER DISLOC/MANIPULATION $ 626.00
69
ORTHOPEDICS7610023650HC SHOULDER DISLOC W/MANIP W/O ANEST $ 626.00
70
ORTHOPEDICS3610023655HC CLSD TX SHOULDER DISLOC W/MANIP W/ANESTH $ 1,481.00
71
ORTHOPEDICS7610023665HC CLSD TX SHLDR DISLOC W/FX HUM TUBER W/MANIP $ 1,718.00
72
ORTHOPEDICS3610023700HC SHOULDER MANIP W/ANES $ 2,278.00
73
ORTHOPEDICS7610023931HC I&D UPPER ARM/ELBOW BURSA $ 2,924.00
74
ORTHOPEDICS7610024071HC EXCISE TUMR SFT TISSUE UPPER ARM/ELBOW >3CM $ 4,060.00
75
ORTHOPEDICS7610024075HC EXCISE TUMR SFT TISSUE UPPR ARM/ELBOW SUBQ <3CM $ 2,320.00
76
ORTHOPEDICS3610024200HC REMOVAL OF ARM FOREIGN BODY $ 1,430.00
77
ORTHOPEDICS3610024220HC INJ ARTHROGRAM ELBOW $ 1,066.00
78
ORTHOPEDICS3610024300HC MANIPULATION ELBOW UNDER ANESTHESIA $ 2,642.00
79
ORTHOPEDICS4500224500HC HUMERAL SHAFT FX W/O MANIP $ 463.00
80
ORTHOPEDICS7610024500HC CLSD TX HUMERAL SHAFT FX W/O MANIP $ 463.00
81
ORTHOPEDICS4500224530HC CLOSED TX OF SUPRACONDYLAR HUMERAL FX W/O MANIP $ 858.00
82
ORTHOPEDICS4500024560HC TREAT HUMERUS W/O MANIPULATN $ 366.00
83
ORTHOPEDICS7610024560HC CLSD TX HUM EPICONDYLAR FX W/O MANIP $ 425.00
84
ORTHOPEDICS4500224576HC CLSD TX,HUMRL CNDYLR FX W/O MANIP $ 430.00
85
ORTHOPEDICS7610024576HC CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ $ 430.00
86
ORTHOPEDICS4500224600HC DISLOC ELBW W/MANIPULATION $ 694.00
87
ORTHOPEDICS7610024600HC TX DISLOC CLSD ELBOW W/O ANESTH $ 694.00
88
ORTHOPEDICS4500224640HC RADIAL HEAD SUBLUXATION CHIL $ 601.00
89
ORTHOPEDICS7610124640HC CLSD TX RAD HEAD SUBLUX CHILD/NRSMD ELBOW W/MANIP $ 601.00
90
ORTHOPEDICS4500224650HC CLSD TX,RAD HEAD/NCK FX W/O MANI $ 727.00
91
ORTHOPEDICS7610024650HC CLSD TX RAD HEAD/NCK FX W/O MANIP $ 727.00
92
ORTHOPEDICS4500224655HC CLSD TX,RADIAL HD/NCK FX W/MANIP $ 1,190.00
93
ORTHOPEDICS4500224670HC CLSD TX,ULNR FX,PROX END W/O MANIP $ 463.00
94
ORTHOPEDICS7610024670HC CLSD TX ULNAR FX PROX END W/O MANIP $ 463.00
95
ORTHOPEDICS3610025246HC INJ ARTHROGRAM WRIST $ 1,150.00
96
ORTHOPEDICS4500225260HC REPAIR FOREARM TENDON/MUSCLE $ 2,676.00
97
ORTHOPEDICS4500225500HC CLSD TX,RADIAL SHFT FX W/O MANIP $ 430.00
98
ORTHOPEDICS7610025500HC CLSD TX RADIAL SHAFT FX W/O MANIP $ 430.00
99
ORTHOPEDICS4500025505HC CLO TX RAD SHAFT FX W/MANIP $ 1,026.00
100
ORTHOPEDICS4500225530HC CLSD TX,ULNR SHFT FX W/O MANIP $ 495.00
101
ORTHOPEDICS7610025530HC CLSD TX ULNAR SHAFT FX W/O MANIP $ 495.00
102
ORTHOPEDICS4500225535HC CLSD TX,ULNR SHFT FX W/MANIP $ 561.00
103
ORTHOPEDICS4500225560HC CLSD TX,RDL&ULNR SHFT FX W/O MANIP $ 495.00
104
ORTHOPEDICS7610025560HC CLSD TX RAD & ULNAR SHAFT FX W/O MANIP $ 495.00
105
ORTHOPEDICS4500225565HC CLSD RDCTN RAD/ULNAR SHFT W/MAN $ 1,223.00
106
ORTHOPEDICS4500025600HC CLSD TX DISTAL RADIAL FX W/O MANIP $ 495.00
107
ORTHOPEDICS4500225600HC DISTAL RADIAL FX W/O MANIPULATION $ 495.00
108
ORTHOPEDICS7610025600HC CLSD TX DISTAL RADIAL FX W/O MANIP $ 495.00
109
ORTHOPEDICS4500225605HC DISTAL RADIAL FX W/MANIPULATION $ 1,190.00
110
ORTHOPEDICS7610025605HC CLSD TX DISTAL RADIAL FX W/MANIP $ 1,190.00
111
ORTHOPEDICS4500225622HC CLSD TX,CRPL SCAPHD FX W/O MANIP $ 495.00
112
ORTHOPEDICS7610025622HC CLSD TX CARPAL SCAPHOID FX W/O MANIP $ 495.00
113
ORTHOPEDICS4500225630HC CLOSED TX CARPAL BONE FX W/O MANIP EACH $ 764.00
114
ORTHOPEDICS4500225650HC CLSD TX,ULNAR STYLOID FX $ 958.00
115
ORTHOPEDICS7610025650HC CLSD TX ULNAR STYLOID FX $ 958.00
116
ORTHOPEDICS4500225690HC CLSD TX,LUNATE DISLOC W/MANIP $ 2,642.00
117
ORTHOPEDICS4500226010HC DRNGE,FINGER ABSCESS;SIMPLE $ 463.00
118
ORTHOPEDICS7610026010HC DRAINAGE FINGER ABSCESS SMPL $ 463.00
119
ORTHOPEDICS4500226011HC FELON I&D $ 2,247.00
120
ORTHOPEDICS7610026011HC DRAINAGE FINGER ABSCESS COMPL $ 2,247.00
121
ORTHOPEDICS3610026340HC MANIP, FINGER JOINT W/ANES EA $ 1,092.00
122
ORTHOPEDICS7610026340HC MANIP FINGER JOINT W/ANESTH EA $ 1,092.00
123
ORTHOPEDICS7610026410HC REPR EXTENSOR TENDON W/O FREE GRAFT EA $ 3,637.00
124
ORTHOPEDICS7610026418HC REPAIR FINGER TENDON EACH $ 3,637.00
125
ORTHOPEDICS4500226600HC METACARPAL FRACTURE EA $ 495.00
126
ORTHOPEDICS7610126600HC CLSD TX METACARPAL FX SNGL W/O MANIP EA $ 495.00
127
ORTHOPEDICS4500226605HC MATACARPAL FX W/MANIP EA $ 594.00
128
ORTHOPEDICS7610026605HC CLSD TX METACARPAL FX SNGL W/MANIP EA $ 594.00
129
ORTHOPEDICS7610026641HC CLSD TX CARPOMETACARPAL THUMB DISLOC W/MANIP $ 545.00
130
ORTHOPEDICS7610026645HC CLSD TX CARPOMTACRPL FX/DISLOC THUMB W/MANIP $ 1,092.00
131
ORTHOPEDICS7610026670HC CLSD TX CARPOMTACRPL DISLOC NOT THUMB W/MANIP W/O ANEST $ 515.00
132
ORTHOPEDICS4500226700HC METACARPOPHALANG DISLOC $ 561.00
133
ORTHOPEDICS7610026700HC CLSD TX METACRPOPHAL DISLOC SNGL W/MANIP W/O ANEST $ 561.00
134
ORTHOPEDICS7610026705HC CLSD TX METACRPOPHAL DISLOC SNGL W/MANIP W/ANEST $ 879.00
135
ORTHOPEDICS4500226720HC CLSD TX,PHALANGEAL SHFT FX W/O MANI $ 463.00
136
ORTHOPEDICS7610026720HC CLSD TX FINGER FX EA W/O MANIP $ 463.00
137
ORTHOPEDICS4500226725HC CLO TX PHALANGEAL SHAFT FX $ 529.00
138
ORTHOPEDICS7610026725HC CLSD TX FINGER FX EA W/WO SKIN/SKLT TRACTION W/MANIP $ 529.00
139
ORTHOPEDICS7610026742HC CLSD TX ARTICULAR FX FINGER EA W/MANIP $ 545.00
140
ORTHOPEDICS4500226750HC FINGER FX EA W/O MANIP $ 430.00
141
ORTHOPEDICS7610026750HC CLSD TX FINGER FX EA W/O MANIP $ 430.00
142
ORTHOPEDICS4500226755HC FINGER FX EA W/MANIP $ 455.00
143
ORTHOPEDICS7610026755HC CLSD TX FINGER FX EA W/MANIP $ 455.00
144
ORTHOPEDICS4500226770HC INTERPHALANGEAL DISLOC TX $ 495.00
145
ORTHOPEDICS7610026770HC CLSD TX FINGER DISLOC SNGL W/MANIP W/ANEST $ 495.00
146
ORTHOPEDICS7610026775HC CLSD TX,IP JT DISLOC SNGL W/MANIP W/ANEST $ 3,031.00
147
ORTHOPEDICS4500026951HC AMP FGR/THB SGL W/NEUR/DIR CLS $ 3,987.00
148
ORTHOPEDICS7100000009HC CATEGORY A PACU PER MIN $ 22.00
149
ORTHOPEDICS7610027043HC EXC TUMOR PELVIS/HIP SUBCU 3.0 CM OR > $ 5,220.00
150
ORTHOPEDICS3610027093HC INJ ARTHROGRAM HIP WO ANESTHESIA $ 1,329.00
151
ORTHOPEDICS3610027096INJ SI JOINT W/IMAGE GUIDANCE $ 945.00
152
ORTHOPEDICS7610027200HC CLSD TX TAIL BONE FX $ 667.00
153
ORTHOPEDICS4500227250HC HIP DISLOCATION $ 594.00
154
ORTHOPEDICS7610027250HC CLSD TX HIP DISLOC W/O ANESTH $ 594.00
155
ORTHOPEDICS4500227252HC CLSD TX,HIP DISLOC,TRAUMA W/ANES $ 3,304.00
156
ORTHOPEDICS4500227265HC CLO TX,POST HIP ARTHROPLSTY W/O ANE $ 834.00
157
ORTHOPEDICS3610027266HC HIP ARTHROPLASTY DISLOCATION $ 4,097.00
158
ORTHOPEDICS4500227266HC CLSD TX,PST HIP ARTHRO DISLOC W/ANE $ 4,097.00
159
ORTHOPEDICS7610027301HC I&D DEEP ABSCESS BURSA/HMTOMA THIGH/KNEE $ 3,637.00
160
ORTHOPEDICS7610027337EXC THIGH/KNEE LES SC 3CM> $ 2,090.00
161
ORTHOPEDICS3610027369HC NJX CNTRST KNEE ARTHG/CT/MRI $ 969.00
162
ORTHOPEDICS4500227508HC CLD TX FML FX DIST END W/O MAN $ 463.00
163
ORTHOPEDICS4500227520HC CLD TX,PATELLAR FX W/O MANIP $ 495.00
164
ORTHOPEDICS7610027520HC CLSD TX KNEECAP FX W/O MANIP $ 495.00
165
ORTHOPEDICS4500227530HC CLD TX,TIBIAL FX PROX W/O MANIP $ 463.00
166
ORTHOPEDICS7610027530HC CLSD TX TIBIAL FX PROX W/O MANIP $ 463.00
167
ORTHOPEDICS4500227550HC KNEE DISLOCATION $ 561.00
168
ORTHOPEDICS4500227560HC PATELLAR DISLOCATION $ 594.00
169
ORTHOPEDICS7610027560HC CLSD TX KNEECAP DISLOC W/O ANESTH $ 594.00
170
ORTHOPEDICS4500227562HC CLD TX PATELLAR DISLOC W/ANES $ 2,900.00
171
ORTHOPEDICS7610027562HC CLSD TX KNEECAP DISLOC W/ANESTH $ 2,900.00
172
ORTHOPEDICS3610027570HC MANIPULATION KNEE UNDER GENERAL ANESTHESIA $ 3,793.00
173
ORTHOPEDICS7610027603HC I&D LEG/ANKLE DEEP ABCESS/HEMATOMA $ 3,637.00
174
ORTHOPEDICS4500227750HC CLSD TX,TIBIAL SHFT FX W/O MANIP $ 607.00
175
ORTHOPEDICS7610027750HC CLSD TX TIBIAL SHAFT FX W/O MANIP $ 607.00
176
ORTHOPEDICS4500027752HC CLSD TX TIBAL SHFT FX W/MANIP (27752) $ 4,386.00
177
ORTHOPEDICS4500227760HC CLSD TX,ANKLE FX W/O MANIP $ 495.00
178
ORTHOPEDICS7610027760HC CLSD TX MALLEOLUS ANKLE FX W/O MANIP $ 495.00
179
ORTHOPEDICS4500227767HC CLOSED TX POST ANKLE FX $ 701.00
180
ORTHOPEDICS4500227780HC CLSD TX,PROX FIBULA/SHFT FX W/O MAN $ 1,850.00
181
ORTHOPEDICS7610027780HC CLSD TX PROX FIBULA SHAFT FX W/O MANIP $ 1,850.00
182
ORTHOPEDICS4500227786HC CLSD TX,DISTAL FIB FX W/O MANIP $ 628.00
183
ORTHOPEDICS7610027786HC CLSD TX DISTAL FIBULA FX W/O MANIP $ 628.00
184
ORTHOPEDICS4500227808HC CLD TX,BIM ANKLE FX W/O MANIP $ 661.00
185
ORTHOPEDICS7610027808HC CLD TX BIMALLEOLAR ANKLE FX W/O MANIP $ 661.00
186
ORTHOPEDICS4500227810HC CLO TX BIMALLEO ANK FX W/MANIP $ 1,024.00
187
ORTHOPEDICS4500227816HC CLD TX,TRIM ANKLE FX W/O MANIP $ 594.00
188
ORTHOPEDICS7610027816HC CLSD TX TRIMALLEOLAR ANKLE FX W/O MANIP $ 594.00
189
ORTHOPEDICS4500227818HC CLO TX TRIMALLEO FX W/MANIP $ 986.00
190
ORTHOPEDICS7610027818HC CLSD TX TRIMALLEOLAR ANKLE FX W/MANIP $ 986.00
191
ORTHOPEDICS4500227824HC CLSD TX,LWR LEG FX W/O MANIP $ 797.00
192
ORTHOPEDICS7610027824HC CLSD TX LWR LEG FX W/O MANIP W/WO ANEST $ 797.00
193
ORTHOPEDICS4500227840HC ANKLE DISLOCATION $ 694.00
194
ORTHOPEDICS7610027840HC CLSD TX ANKLE DISLOC W/O ANESTH $ 694.00
195
ORTHOPEDICS4500228190HC RMVL FB, FOOT;SUBCUT $ 1,321.00
196
ORTHOPEDICS7610028190HC RMVL FB/FOOT;SUBCUT $ 1,321.00
197
ORTHOPEDICS7610128190HC RMVL FB FOOT SUBCUT $ 1,321.00
198
ORTHOPEDICS4500028192HC REMOVAL FB FOOT DEEP $ 3,135.00
199
ORTHOPEDICS7610028192HC REMOVAL FB FOOT DEEP $ 3,637.00
200
ORTHOPEDICS4500228400HC CLSD TX,HEEL FX W/O MANIP $ 430.00
201
ORTHOPEDICS7610028400HC CLSD TX HEEL FX W/O MANIP $ 430.00
202
ORTHOPEDICS4500228430HC CLSD TX,TALUS FX W/O MANIP $ 463.00
203
ORTHOPEDICS7610028430HC CLSD TX TALUS FX W/O MANIP $ 463.00
204
ORTHOPEDICS4500228435HC CLSD TX FX TALUS W/MANIP $ 2,247.00
205
ORTHOPEDICS4500228450HC TX OF TARSAL BONE FRACTURE; W/O MANIP, EACH $ 406.00
206
ORTHOPEDICS7610028450HC TX OF TARSAL BONE FRACTURE; W/O MANIP, EACH $ 406.00
207
ORTHOPEDICS4500228470HC CLSD TX,METRSAL FX W/O MANIP EA $ 463.00
208
ORTHOPEDICS7610028470HC CLSD TX METATARSAL FX W/O MANIP EA $ 463.00
209
ORTHOPEDICS4500228490HC CLSD TX,FX GREAT TOE W/O MANIP $ 463.00
210
ORTHOPEDICS7610028490HC CLSD TX FX GREAT TOE/PHALANX W/O MANIP $ 463.00
211
ORTHOPEDICS4500228510HC CLSD TX,FX TOE W/O MANIP EA $ 463.00
212
ORTHOPEDICS7610028510HC CLSD TX FX PHALANX NOT GREAT TOE EA W/O MANIP $ 463.00
213
ORTHOPEDICS7610028515HC CLSD TX FX PHALANX NOT GREAT TOE EA W/MANIP $ 545.00
214
ORTHOPEDICS4500028530HC CLSD TX,SESAMOID FX $ 455.00
215
ORTHOPEDICS7610028530HC CLSD TX SESAMOID FX $ 455.00
216
ORTHOPEDICS4500028540HC CLSD TX,TARSAL BNE DISL W/O ANES $ 2,079.00
217
ORTHOPEDICS4500028570HC CLSD TX,TALOTARSAL JT DIS W/O ANES $ 342.00
218
ORTHOPEDICS4500228630HC METATARSOPHALANGEAL DISLOC $ 455.00
219
ORTHOPEDICS7610028630HC CLSD TX METATARSOPHALANGEAL DISLOC W/O ANEST $ 455.00
220
ORTHOPEDICS4500228660HC TOE DISLOCATION EX $ 463.00
221
ORTHOPEDICS7610028660HC CLSD TX TOE JT DISLOC W/O ANEST $ 463.00
222
ORTHOPEDICS7610028665HC CLSD TX TOE JT DISLOC W/ANESTH $ 3,031.00
223
ORTHOPEDICS3610028825HC PARTIAL AMP OF TOE $ 4,098.00