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Description - DE Medical Assistance Program

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24605 TREAT ELBOW DISLOCATION 3 $419.02<br />

24610 TREATMENT OF OPEN ELBOW DISLOCATION O $0.00<br />

24615 TREAT ELBOW DISLOCATION 3 $656.33<br />

24620 TREAT ELBOW FRACTURE 3 $502.86<br />

24625 TREATMENT OF OPEN MONTEGGIA TYPE OF O $0.00<br />

24635 TREAT ELBOW FRACTURE 3 $659.90<br />

24640 TREAT ELBOW DISLOCATION 3 $110.89<br />

24650 TREAT RADIUS FRACTURE 3 $226.48<br />

24655 TREAT RADIUS FRACTURE 3 $388.10<br />

24660 TREATMENT OF OPEN RADIAL HEAD OR NE O $0.00<br />

24665 TREAT RADIUS FRACTURE 3 $593.91<br />

24666 TREAT RADIUS FRACTURE 3 $672.67<br />

24670 TREAT ULNAR FRACTURE 3 $253.70<br />

24675 TREAT ULNAR FRACTURE 3 $406.69<br />

24680 TREATMENT OF OPEN ULNAR FRACTURE, P O $0.00<br />

24685 TREAT ULNAR FRACTURE 3 $595.11<br />

24800 FUSION OF ELBOW JOINT 3 $742.56<br />

24802 FUSION/GRAFT OF ELBOW JOINT 3 $923.08<br />

24900 AMPUTATION OF UPPER ARM 3 $665.67<br />

24920 AMPUTATION OF UPPER ARM 3 $660.07<br />

24925 AMPUTATION FOLLOW-UP SURGERY 3 $513.07<br />

24930 AMPUTATION FOLLOW-UP SURGERY 3 $700.30<br />

24931 AMPUTATE UPPER ARM & IMPLANT 3 $744.63<br />

24935 REVISION OF AMPUTATION 3 $979.42<br />

24940 REVISION OF UPPER ARM 5 $0.00<br />

24999 UPPER ARM/ELBOW SURGERY 5 $0.00<br />

25000 INCISION OF TENDON SHEATH 3 $315.69<br />

25001 INCISE FLEXOR CARPI RADIALIS 3 $304.78<br />

25005 TENDON SHEATH INCISION; AT WRIST FO O $0.00<br />

25020 <strong>DE</strong>COMPRESS FOREARM 1 SPACE 3 $524.54<br />

25023 <strong>DE</strong>COMPRESS FOREARM 1 SPACE 3 $1,017.06<br />

25024 <strong>DE</strong>COMPRESS FOREARM 2 SPACES 3 $713.79<br />

25025 <strong>DE</strong>COMPRESS FOREARM 2 SPACES 3 $1,114.14<br />

25028 DRAINAGE OF FOREARM LESION 3 $470.52<br />

25031 DRAINAGE OF FOREARM BURSA 3 $342.21<br />

25035 TREAT FOREARM BONE LESION 3 $576.60<br />

25040 EXPLORE/TREAT WRIST JOINT 3 $522.11<br />

25065 BIOPSY FOREARM SOFT TISSUES 3 $230.31<br />

25066 BIOPSY FOREARM SOFT TISSUES 3 $340.97<br />

25071 EXC FOREARM LES SC > 3 CM 3 $407.18<br />

25073 EXC FOREARM TUM <strong>DE</strong>EP = 3 CM 3 $508.15<br />

25075 EXC FOREARM LES SC < 3 CM 3 $337.68<br />

25076 EXC FOREARM TUM <strong>DE</strong>EP < 3 CM 3 $475.38<br />

25077 RESECT FOREARM/WRIST TUM

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