Medicaid Fee Schedule without Mods 200801
Medicaid Fee Schedule without Mods 200801
Medicaid Fee Schedule without Mods 200801
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PROC-CODE DESC MAC BEG END<br />
37188<br />
PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY,<br />
VEIN(S), INCLUDING INTRAPROCE $219.50 20060701 99999999<br />
37195 THROMBOLYSIS, CEREBRAL, BY INTRAVENOUS INFUSION $265.85 19990701 99999999<br />
37200 TRANSCATHETER BIOPSY $173.66 20060701 99999999<br />
37201<br />
TRANSCATHETER THERAPY, INFUSION FOR THROMBOLYSIS OTHER<br />
THAN CORONARY $263.51 20060701 99999999<br />
37202<br />
TRANSCATHETER THERAPY, INFUSION OTHER THAN FOR<br />
THROMBOLYSIS, ANY TYPE (EG, SPASM $288.12 20060701 99999999<br />
37203<br />
TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR<br />
FOREIGN BODY (EG, FRACTU $236.55 20060701 99999999<br />
37204<br />
TRANSCATHETER OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR<br />
DESTRUCTION, TO ACHIEVE H $930.12 20060701 99999999<br />
37205<br />
TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S),<br />
(NON-CORONARY VESSEL), PER $373.52 20060701 99999999<br />
37206<br />
TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S),<br />
(NON-CORONARY VESSEL), PER $182.20 20060701 99999999<br />
37207<br />
TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S),<br />
(NON-CORONARY VESSEL), OPE $388.19 20060701 99999999<br />
37208<br />
TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S),<br />
(NON-CORONARY VESSEL), OPE $188.96 20060701 99999999<br />
37209<br />
EXCHANGE OF A PREVIOUSLY PLACED ARTERIAL CATHETER DURING<br />
THROMBOLYTIC THERAPY $97.11 20060701 99999999<br />
37210<br />
UTERINE FIBROID EMBOLIZATION (UFE, EMBOLIZATION OF THE<br />
UTERINE ARTERIES TO TREAT $359.02 20070101 99999999<br />
37215<br />
TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S),<br />
CERVICAL CAROTID ARTERY, $812.13 20060701 99999999<br />
37216<br />
TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S),<br />
CERVICAL CAROTID ARTERY, $782.55 20060701 99999999<br />
37250<br />
INTRASVASCULAR ULTRASOUND (NON-CORONARY VESSEL) DURING<br />
THERAPEUTIC INTERVENTION $94.03 20060701 99999999<br />
37251<br />
INTRASVASCULAR ULTRASOUND (NON-CORONARY VESSEL) DURING<br />
THERAPEUTIC INT EACH ADDL $71.82 20060701 99999999<br />
37500 PHLEBORRHAPHY, SUTURE OF MAJOR VEIN, WOUND OR INJURY $452.48 20060701 99999999<br />
37565 LIGATION OF INTERNAL JUGULAR VEIN $414.85 20060701 99999999<br />
37600 LIGATION $450.28 20060701 99999999<br />
37605 LIGATION $509.97 20060701 99999999<br />
37606 LIGATION $361.85 20060701 99999999<br />
37607 LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS FISTULA $288.88 20060701 99999999<br />
37609 LIGATION OR BIOPSY, TEMPORAL ARTERY $137.46 20060701 99999999<br />
37615 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE) $319.71 20060701 99999999<br />
37616 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE) $756.33 20060701 99999999<br />
37617 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE) $789.88 20060701 99999999<br />
37618 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE) $280.01 20060701 99999999<br />
37620 INTERRUPTION, PARTIAL OR COMPLETE, OF INFERIOR VENA CAVA BY $523.85 20060701 99999999<br />
37650<br />
INTERRUPTION, PARTIAL OR COMPLETE, OF FEMORAL VEIN, BY<br />
LIGATURE, $314.87 20060701 99999999<br />
37660 INTERRUPTION, PARTIAL OR COMPLETE, OF COMMON ILIAC VEIN BY $753.71 20060701 99999999<br />
37700<br />
LIGATION AND DIVISION OF LONG SAPHENOUS VEIN AT<br />
SAPHENOFEMORAL $217.28 20060701 99999999<br />
37718 LIGATION, DIVISION, AND STRIPPING, SHORT SAPHENOUS VEIN $289.39 20060701 99999999<br />
37720<br />
LIGATION AND DIVISION AND COMPLETE STRIPPING OF LONG OR<br />
SHORT $308.58 19990701 99999999<br />
37722<br />
LIGATION, DIVISION, AND STRIPPING, LONG (GREATER) SAPHENOUS<br />
VEINS FROM SAPHENOFE $340.04 20060701 99999999<br />
37730<br />
LIGATION AND DIVISION AND COMPLETE STRIPPING OF LONG AND<br />
SHORT $401.95 19990701 99999999<br />
Hawaii <strong>Medicaid</strong> <strong>Fee</strong> <strong>Schedule</strong> <strong>without</strong> <strong>Mods</strong> 01/2008 161