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 />
82270 BLOOD $4.49 20060701 99999999<br />
82271<br />
BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC),<br />
QUALITATIVE; OTHER SOURCES $4.54 20060701 99999999<br />
82272<br />
BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC),<br />
QUALITATIVE, FECES, SINGLE S $4.54 20060701 99999999<br />
82273 BLOOD $4.49 19990701 99999999<br />
82274<br />
BLOOD, OCCULT, BY FECAL HEMOGLOBIN DETERMINATION BY<br />
IMMUNOASSAY, QUALITATIVE, FE $13.33 20060701 99999999<br />
82286 BRADYKININ $5.77 20060701 99999999<br />
82300 CADMIUM, URINE $19.40 20060701 99999999<br />
82306 CALCIFEDIOL (25-OH VITAMIN D-3), CHROMATOGRAPHIC TECHNIQUE $40.91 20060701 99999999<br />
82307 CALCIFEROL (VITAMIN D), RIA $27.01 20060701 99999999<br />
82308 CALCITONIN, RIA $37.01 20060701 99999999<br />
82310 CALCIUM, BLOOD $7.12 20060701 99999999<br />
82330 CALCIUM, BLOOD $18.88 20060701 99999999<br />
82331 CALCIUM, BLOOD $4.34 20060701 99999999<br />
82340 CALCIUM, URINE $8.34 20060701 99999999<br />
82355 CALCULUS (STONE), QUALITATIVE, CHEMICAL $15.99 20060701 99999999<br />
82360 CALCULUS (STONE), QUANTITATIVE $17.80 20060701 99999999<br />
82365 CALCULUS (STONE), QUANTITATIVE $11.44 20060701 99999999<br />
82370 CALCULUS (STONE), QUANTITATIVE $17.32 20060701 99999999<br />
82373 CARBOHYDRATE DEFICIENT TRANSFERRIN $25.23 20060701 99999999<br />
82374 CARBON DIOXIDE, COMBINING POWER OR CONTENT $6.76 20060701 99999999<br />
82375 CARBON MONOXIDE, (CARBOXYHEMOGLOBIN) $17.03 20060701 99999999<br />
82376 CARBON MONOXIDE, (CARBOXYHEMOGLOBIN) $5.02 20060701 99999999<br />
82378 CARCINOEMBRYONIC ANTIGEN (CEA) $26.22 20060701 99999999<br />
82379 CARNITINE (TOTAL AND FREE), QUANTITATIVE, EACH SPECIMEN $23.31 20060701 99999999<br />
82380 CAROTENE, BLOOD $12.75 20060701 99999999<br />
82382 CATECHOLAMINES (DOPAMINE, NOREPINEPHRINE, EPINEPHRINE) $14.41 20060701 99999999<br />
82383 CATECHOLAMINES (DOPAMINE, NOREPINEPHRINE, EPINEPHRINE) $21.01 20060701 99999999<br />
82384 CATECHOLAMINES (DOPAMINE, NOREPINEPHRINE, EPINEPHRINE) $34.90 20060701 99999999<br />
82387 CATHEPSIN-D $17.44 20060701 99999999<br />
82390 CERULOPLASMIN, CHEMICAL (COPPER OXIDASE), BLOOD $14.84 20060701 99999999<br />
82397 CHEMILUMINESCENT ASSAY $11.84 20060701 99999999<br />
82415 CHLORAMPHENICOL, BLOOD $10.62 20060701 99999999<br />
82435 CHLORIDES $6.35 20060701 99999999<br />
82436 CHLORIDES $6.95 20060701 99999999<br />
82438 CHLORIDES $6.76 20060701 99999999<br />
82441 CHLORINATED HYDROCARBONS, SCREEN $5.03 20060701 99999999<br />
82465 CHOLESTEROL, SERUM $6.02 20060701 99999999<br />
82480 CHOLINESTERASE $10.89 20060701 99999999<br />
82482 CHOLINESTERASE $6.44 20060701 99999999<br />
82485 CHONDROITIN B SULFATE, QUANTITATIVE $17.31 20060701 99999999<br />
82486 CHROMATOGRAPHY $15.14 20060701 99999999<br />
82487 CHROMATOGRAPHY $13.38 20060701 99999999<br />
82488 CHROMATOGRAPHY $17.91 20060701 99999999<br />
82489 CHROMATOGRAPHY $15.50 20060701 99999999<br />
82491<br />
CHROMOTOGRAPHY, QUANTITATIVE; COLUMN (EG, GAS LIQUID OR<br />
HIGH PERFORMANCE LIQUID $24.96 20060701 99999999<br />
82492<br />
CHROMATOGRAPHY, QUANTITATIVE, COLUMN (EG, GAS LIQUID OR<br />
HPLC); MULTIPLE ANALYTES $24.96 20060701 99999999<br />
82495 CHROMIUM, URINE $28.03 20060701 99999999<br />
82507 CITRATE $38.43 20060701 99999999<br />
82520 COCAINE, QUANTITATIVE $20.94 20060701 99999999<br />
82523 COLLAGEN CROSS LINKS, ANY METHOD $25.83 20060701 99999999<br />
82525 COPPER $17.15 20060701 99999999<br />
82528 CORTICOSTERONE, RIA $18.87 20060701 99999999<br />
82530 CORTISOL; FREE $23.10 20060701 99999999<br />
Hawaii <strong>Medicaid</strong> <strong>Fee</strong> <strong>Schedule</strong> <strong>without</strong> <strong>Mods</strong> 01/2008 246