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For Complete Dislocation of: |
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For Complete, Simple or Closed Fracture of Bone or Bones of: |
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Hip Joint |
$2000 |
|
Hip, Thigh (Femur) |
$2,000 |
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Knee Joint (except Patella) |
$800 |
|
Pelvis (except Coccyx) |
$2,000 |
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Bone or Bones of
the Foot, other than Toes |
$800 |
|
Skull (except bones of face or nose) |
$1,900 |
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Ankle Joint |
$800 |
|
Arm, between shoulder and elbow (Shaft) |
$1,100 |
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Wrist Joint |
$700 |
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Shoulder Blade (Scapula) |
$1,100 |
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Elbow Joint |
$600 |
|
Leg (Tibia or Fibula) |
$1,100 |
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Shoulder Joint |
$400 |
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Ankle |
$800 |
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Bone, or Bones of
hand, other than fingers |
$300 |
|
Knee Cap (Patella) |
$800 |
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Collar Bone |
$300 |
|
Collar Bone (Clavicle) |
$800 |
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Two or more
Fingers |
$140 |
|
Forearm (Radius or Ulna) |
$800 |
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Two or more Toes |
$140 |
|
Foot (except toes) |
$700 |
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One Finger, or
One Toe |
$60 |
|
Hand or Wrist (except fingers) |
$700 |
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Lower Jaw (except Alveolar Process) |
$400 |
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Two or More ribs, Fingers, or Toes |
$300 |
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Bones of Face or Nose |
$300 |
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One Rib, Finger, or Toe |
$140 |
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Coccyx |
$140 |
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Policy rules, rates, and
coverages subject to change. Refer to your actual policy for complete
details.. |