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fee schedule 2009 new - DE Medical Assistance Program

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28520 O TREATMENT OF OPEN FRACTURE, PHALANX 0.00<br />

28525 3 TREAT TOE FRACTURE 507.38<br />

28530 3 TREAT SESAMOID BONE FRACTURE 100.92<br />

28531 3 TREAT SESAMOID BONE FRACTURE 367.03<br />

28540 3 TREAT FOOT DISLOCATION 180.44<br />

28545 3 TREAT FOOT DISLOCATION 209.75<br />

28546 3 TREAT FOOT DISLOCATION 421.36<br />

28550 O TREATMENT OF OPEN TARSAL BONE DISLO 0.00<br />

28555 3 REPAIR FOOT DISLOCATION 760.29<br />

28570 3 TREAT FOOT DISLOCATION 161.35<br />

28575 3 TREAT FOOT DISLOCATION 291.45<br />

28576 3 TREAT FOOT DISLOCATION 334.61<br />

28580 O TREATMENT OF OPEN TALOTARSAL JOINT 0.00<br />

28585 3 REPAIR FOOT DISLOCATION 779.22<br />

28600 3 TREAT FOOT DISLOCATION 188.72<br />

28605 3 TREAT FOOT DISLOCATION 244.27<br />

28606 3 TREAT FOOT DISLOCATION 366.04<br />

28610 O TREATMENT OF OPEN TARSOMETATARSAL J 0.00<br />

28615 3 REPAIR FOOT DISLOCATION 711.40<br />

28630 3 TREAT TOE DISLOCATION 131.34<br />

28635 3 TREAT TOE DISLOCATION 157.74<br />

28636 3 TREAT TOE DISLOCATION 269.17<br />

28640 O TREATMENT OF OPEN METATARSOPHALANGE 0.00<br />

28645 3 REPAIR TOE DISLOCATION 525.33<br />

28660 3 TREAT TOE DISLOCATION 96.56<br />

28665 3 TREAT TOE DISLOCATION 137.67<br />

28666 3 TREAT TOE DISLOCATION 189.78<br />

28670 O TREATMENT OF OPEN INTERPHALANGEAL J 0.00<br />

28675 3 REPAIR OF TOE DISLOCATION 501.09<br />

28705 3 FUSION OF FOOT BONES 1,228.19<br />

28715 3 FUSION OF FOOT BONES 911.29<br />

28725 3 FUSION OF FOOT BONES 757.45<br />

28730 3 FUSION OF FOOT BONES 784.02<br />

28735 3 FUSION OF FOOT BONES 748.94<br />

28737 3 REVISION OF FOOT BONES 664.22<br />

28740 3 FUSION OF FOOT BONES 589.26<br />

28750 3 FUSION OF BIG TOE JOINT 763.39<br />

28755 3 FUSION OF BIG TOE JOINT 444.55<br />

28760 3 FUSION OF BIG TOE JOINT 546.18<br />

28800 3 AMPUTATION OF MIDFOOT 539.90<br />

28805 3 AMPUTATION THRU METATARSAL 687.43<br />

28810 3 AMPUTATION TOE & METATARSAL 414.47<br />

28820 3 AMPUTATION OF TOE 483.03<br />

28825 3 PARTIAL AMPUTATION OF TOE 418.48<br />

28890 3 HIGH ENERGY ESWT, PLANTAR F 328.34<br />

28899 5 FOOT/TOES SURGERY PROCEDURE 0.00<br />

29000 3 APPLICATION OF BODY CAST 225.69<br />

29010 3 APPLICATION OF BODY CAST 233.70<br />

29015 3 APPLICATION OF BODY CAST 219.36<br />

29020 3 APPLICATION OF BODY CAST 217.61

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