XTRA
|
Dental Abscess
|
1550
1865
190
2170
2720
428
444
450
465
500
660
690
727.5
760
787
802
880
|
XTRA
|
Dental and Jawbone Infections 1
|
190
2170
2720
500
727
7270
728
787
880
|
ETDF
|
Depression Postpartum
|
19030
331050
447500
500
550000
5930
625000
80
833910
850
|
CAFL
|
Diabetes Tertiary
|
1850
32000
4000
500
|
ETDF
|
Digestive System Surgical Procedures
|
119000
2500
30
417500
500
545310
673300
796500
825000
930
|
CAFL
|
Diverticulitis Acute
|
120
500
|
ETDF
|
Dystonia
|
11700
330210
417320
500
58870
653020
80
822010
830
971320
|
ETDF
|
Eclampsia
|
13980
247500
30
450000
500
5710
695830
7250
850
895870
|
ETDF
|
Encephalitis
|
192500
30
467500
500
5710
652200
79300
802510
830
912520
|
ETDF
|
Exanthema Subitum
|
10530
132500
242500
392010
500
629260
70
7500
915480
950
|
ETDF
|
Exocrine Pancreatic Insufficiency
|
100
137500
35710
357500
500
5950
596500
680
742060
87500
|
ETDF
|
Exostoses
|
11090
190000
32500
42500
450000
500
70
856720
9000
970
|
ETDF
|
Eye Abnormalities
|
100
157500
15870
2970
326500
37500
500
700
722010
77500
|
ETDF
|
Facial Hemiatrophy
|
100
157500
17500
500
5830
596500
700
857770
87500
970
|
ETDF
|
Gangrene
|
132500
13520
342500
490000
500
696500
70
7500
796500
950
|
ETDF
|
Gastritis Hypertrophic
|
100
10090
14280
17500
237500
500
517500
680
696500
816500
|
ETDF
|
Gastroenteritis
|
100
17500
237500
500
517500
5750
680
696500
816500
950
|
CAFL
|
General Program Blaster 5
|
1500
1550
1560
1570
1600
1800
1840
1998
2000
2008
2128
2489
400
500
600
622
666
690
727
740
776
784
787
80
800
880
|
ETDF
|
Giant Lymph Node Hyperplasia
|
225910
37500
40
425370
500
5750
700
7500
96500
970
|
ETDF
|
Graft vs Host Disease
|
12850
190000
32500
325370
42500
425520
500
70
9000
970
|