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. , ., <br /> ATTACHMENT A <br /> C���'��.A�'� ����`�'� ���C�N� <br /> 4������i��� ��,����� ���' ��,%��� <br /> INJURIES <br /> New Patient Injurv <br /> Ve�v Patient Brief $ 44.65 <br /> Ne�v Patient I.,imited � 51.50 <br /> New Patient Intermediate � 69.80 <br /> New Patient F�xtended � 95.00 <br /> New Patient Comprehensive $120.55 <br /> New Pat�ent Indep. Med. Exam. �211.00 <br /> Established Patient Injury <br /> Established Patient Brief � 32.05 <br /> Lstablished Patient Limited $ 38.35 <br /> F�stablished Patient Intermediate $ 44.65 <br /> Established Patient Extended � 60.30 <br /> Established Patient Comprehensive � 90.45 <br /> Impaired Fitness For Dut�� � 60.30 <br /> Ot.her Procedures <br /> Eye Injuries <br /> Eye Examination/Flour- 1 Strip � 63.30 <br /> Eye Irrigation � 30.15 <br /> Foreign Body Removal � 60.30 <br /> Foreign Body Removal (Ear) $ 60.30 <br /> Foreign Body Removal (Skin) $ 60.30 <br /> Lacerations <br /> Laceration- Face 2.5 Cm �108.50 <br /> Laceration- Face 2.5 Cm-5.0 cm �132.65 <br /> Laceration- Face 5.0 Cm-7.5 cm �156.75 <br /> Laceration- Face 7.5 Cm-12.5 cm �180.85 <br /> Suture <br /> Suture Set Up � 24.10 <br /> Suture Removal � 25.30 <br /> Repairs <br /> Simple Repair 2.5 Cm � 78.40 <br /> Simple Repair 2.5 Cm-7.5 Cm $101.35 <br /> Simple Repair 7.5 Cm-12.5 Cm �108.50 <br /> Complicated 2.5 Cm $132.65 <br /> Miscellaneous <br />