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 />
83903<br />
MOLECULAR DIAGNOSTICS; MUTATION SCANNING, BY PHYSICAL<br />
PROPERTIES (EG, SINGLE STR $23.17 20060701 99999999<br />
83904<br />
MOLECULAR DIAGNOSTICS; MUTATION IDENTIFICATION BY<br />
SEQUENCING, SINGLE SEGMENT, EA $23.17 20060701 99999999<br />
83905<br />
MOLECULAR DIAGNOSTICS; MUTATION IDENTIFICATION BY ALLELE<br />
SPECIFIC TRANSCRIPTION, $14.05 20060701 99999999<br />
83906<br />
MOLECULAR DIAGNOSTICS; MUTATION IDENTIFICATION BY ALLELE<br />
SPECIFIC TRANSLATION, S $14.05 20060701 99999999<br />
83907<br />
MOLECULAR DIAGNOSTICS; LYSIS OF CELLS PRIOR TO NUCLEIC ACID<br />
EXTRACTION (EG, STOO $13.06 20060701 99999999<br />
83908<br />
MOLECULAR DIAGNOSTICS; SIGNAL AMPLIFICATION OF PATIENT<br />
NUCLEIC ACID, EACH NUCLEI $16.39 20060701 99999999<br />
83909<br />
MOLECULAR DIAGNOSTICS; SEPARATION AND IDENTIFICATION BY<br />
HIGH RESOLUTION TECHNIQU $16.39 20060701 99999999<br />
83912 NUCLEIC ACID PROBE, WITH ELECTROPHORESIS W/EXAM & REPORT $5.60 20060701 99999999<br />
83914<br />
MUTATION IDENTIFICATION BY ENZYMATIC LIGATION OR PRIMER<br />
EXTENSION, SINGLE SEGMEN $16.39 20060701 99999999<br />
83915 NUCLEOTIDASE 5'- $9.35 20060701 99999999<br />
83916 OLIGOCLONAL IMMUNE GLOBULIN (IG), CSF, BY ELECTROPHORESIS $27.79 20060701 99999999<br />
83918 ORGANIC ACIDS $22.75 20060701 99999999<br />
83919 ORGANIC ACIDS; QUALITATIVE, EACH SPECIMEN $22.75 20060701 99999999<br />
83921 ORGANIC ACID, SINGLE, QUANTITATIVE $22.75 20060701 99999999<br />
83925 OPIATES, (EG, MORPHINE, MEPERIDINE) $26.89 20060701 99999999<br />
83930 OSMOLALITY $9.13 20060701 99999999<br />
83935 OSMOLALITY $9.42 20060701 99999999<br />
83937 OSTEOCALCIN (BONE G1A PROTEIN) $41.26 20060701 99999999<br />
83945 OXALATE, URINE $17.80 20060701 99999999<br />
83950 ONCOPROTEIN, HER-2/NEU $53.99 20060701 99999999<br />
83970 PARATHORMONE (PARATHYROID HORMONE), RIA $57.04 20060701 99999999<br />
83986 PH, BODY FLUID, EXCEPT BLOOD $4.95 20060701 99999999<br />
83992 PHENCYCLIDINE (PCP) $12.32 20060701 99999999<br />
83993 CALPROTECTIN, FECAL $27.42 <strong>200801</strong>01 99999999<br />
84022 PHENOTHIAZINE, URINE $13.06 20060701 99999999<br />
84030 PHENYLALANINE (PKU), BLOOD $7.61 20060701 99999999<br />
84035 PHENYLKETONES $3.07 20060701 99999999<br />
84060 PHOSPHATASE, ACID $6.19 20060701 99999999<br />
84061 PHOSPHATASE, ACID; FORENSIC EXAMINATION $6.64 20060701 99999999<br />
84066 PHOSPHATASE, ACID $13.35 20060701 99999999<br />
84075 PHOSPHATASE, ALKALINE, BLOOD $7.15 20060701 99999999<br />
84078 PHOSPHATASE, ALKALINE, BLOOD $6.12 20060701 99999999<br />
84080 PHOSPHATASE, ALKALINE, BLOOD $20.44 20060701 99999999<br />
84081 PHOSPHATYDYLGLYCEROL $22.84 20060701 99999999<br />
84085 PHOSPHOGLUCONATE, 6-, DEHYDROGENASE, RBC $5.65 20060701 99999999<br />
84087 PHOSPHOHEXOSE ISOMERASE $8.65 20060701 99999999<br />
84100 PHOSPHORUS (PHOSPHATE) $6.56 20060701 99999999<br />
84105 PHOSPHORUS (PHOSPHATE) $7.15 20060701 99999999<br />
84106 PORPHOBILINOGEN, URINE $3.59 20060701 99999999<br />
84110 PORPHOBILINOGEN, URINE $11.68 20060701 99999999<br />
84119 PORPHYRINS, COPRO-, URINE $11.90 20060701 99999999<br />
84120 PORPHYRINS $20.33 20060701 99999999<br />
84126 PORPHYRINS, FECES, QUANTITATIVE $21.35 20060701 99999999<br />
84127 PORPHYRINS, FECES; QUALITATIVE $9.77 20060701 99999999<br />
84132 POTASSIUM $6.35 20060701 99999999<br />
84133 POTASSIUM $5.94 20060701 99999999<br />
84134 PREALBUMIN $20.16 20060701 99999999<br />
84135 PREGNANEDIOL $16.04 20060701 99999999<br />
84138 PREGNANETRIOL $15.88 20060701 99999999<br />
84140 PREGNENOLONE $28.58 20060701 99999999<br />
Hawaii <strong>Medicaid</strong> <strong>Fee</strong> <strong>Schedule</strong> <strong>without</strong> <strong>Mods</strong> 01/2008 251