Medicaid Fee Schedule without Mods 200801

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PROC-CODE DESC MAC BEG END 00176 ANESTHESIA FOR INTRAORAL PROCEDURES, INCLUDING BIOPSY; RADICAL SURGERY $22.80 19990701 99999999 00190 ANESTHESIA FOR PROCEDURES ON FACIAL BONES; NOT OTHERWISE SPECIFIED $22.80 19990701 99999999 00192 ANESTHESIA FOR PROCEDURES ON FACIAL BONES; RADICAL SURGERY (INCLUDING PROGNATHIS $22.80 19990701 99999999 00210 INTRAORAL COMPLETE SERIES (INCLUDING BITEWINGS) $22.80 19990701 99999999 00212 ANESTHESIA FOR INTRACRANIAL PROCEDURES; SUBDURAL TAPS $22.80 19990701 99999999 00214 ANESTHESIA FOR INTRACRANIAL PROCEDURES; BURR HOLES $22.80 19990701 99999999 00215 ANESTHESIA FOR INTRACRANIAL PROCEDURES; ELEVATION OF DEPRESSED SKULL FRACTURE, E $22.80 19990701 99999999 00216 ANESTHESIA FOR INTRACRANIAL PROCEDURES; VASCULAR PROCEDURES $22.80 19990701 99999999 00218 ANESTHESIA FOR INTRACRANIAL PROCEDURES; PROCEDURES IN SITTING POSITION $22.80 19990701 99999999 00220 INTRAORAL PERIAPICAL SINGLE 1ST FILM $22.80 19990701 99999999 00222 ANESTHESIA FOR INTRACRANIAL PROCEDURES; ELECTROCOAGULATION OF INTRACRANIAL NERVE $22.80 19990701 99999999 00300 ANESTHESIA FOR ALL PROCEDURES ON INTEGUMENTARY SYSTEM OF NECK, INCLUDING SUBCUTA $22.80 20030401 99999999 00320 TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJECTION $22.80 19990701 99999999 00322 ANESTHESIA FOR ALL PROCEDURES ON ESOPHAGUS, THYROID, LARYNX, TRACHEA AND LYMPHAT $22.80 19990701 99999999 00326 ANESTHESIA FOR ALL PROCEDURES ON THE LARYNX AND TRACHEA IN CHILDREN LESS THAN 1 $22.80 20030401 99999999 00350 ANESTHESIA FOR PROCEDURES ON MAJOR VESSELS OF NECK; NOT OTHERWISE SPECIFIED $22.80 19990701 99999999 00352 ANESTHESIA FOR PROCEDURES ON MAJOR VESSELS OF NECK; SIMPLE LIGATION $22.80 19990701 99999999 00400 ANESTHESIA FOR PROCEDURES ON ANTERIOR INTEGUMENTARY SYSTEM OF CHEST, INCLUDING S $22.80 19990701 99999999 00402 URINALYSIS $22.80 19990701 99999999 00404 HEMATOCRIT $22.80 19990701 99999999 00406 ANESTHESIA FOR PROCEDURES ON ANTERIOR INTEGUMENTARY SYSTEM OF CHEST, INCLUDING S $22.80 19990701 99999999 00410 BACTROLOGIC STDES FOR DTRMNTION OF PATHOLOGIC STDE $22.80 19990701 99999999 00420 CARIES SUSCEPABILITY TESTS $22.80 19990701 99999999 00450 HISTOPATHOLOGIC EXAMINATION $22.80 19990701 99999999 00452 ANESTHESIA FOR PROCEDURES ON CLAVICLE AND SCAPULA; RADICAL SURGERY $22.80 19990701 99999999 00454 ANESTHESIA FOR PROCEDURES ON CLAVICLE AND SCAPULA; BIOPSY OF CLAVICLE $22.80 19990701 99999999 00470 DIAGNOSTIC COSTS $22.80 19990701 99999999 00472 ANESTHESIA FOR PARTIAL RIB RESECTION; THORACOPLASTY (ANY TYPE) $22.80 19990701 99999999 00474 ANESTHESIA FOR PARTIAL RIB RESECTION; RADICAL PROCEDURES (EG, PECTUS EXCAVATUM) $22.80 19990701 99999999 00500 ANESTHESIA FOR ALL PROCEDURES ON ESOPHAGUS $22.80 19990701 99999999 00520 ANESTHESIA FOR CLOSED CHEST PROCEDURES (INCLUDING ESOPHAGOSCOPY, BRONCHOSCOPY, T $22.80 19990701 99999999 00522 ANESTHESIA FOR CLOSED CHEST PROCEDURES (INCLUDING ESOPHAGOSCOPY, BRONCHOSCOPY, T $22.80 19990701 99999999 00524 ANESTHESIA FOR CLOSED CHEST PROCEDURES (INCLUDING ESOPHAGOSCOPY, BRONCHOSCOPY, T $22.80 19990701 99999999 00528 ANESTHESIA FOR CLOSED CHEST PROCEDURES (INCLUDING ESOPHAGOSCOPY, BRONCHOSCOPY, T $22.80 19990701 99999999 00529 ANESTHESIA FOR CLOSED CHEST PROCEDURES; MEDIASTINOSCOPY AND DIAGNOSTIC THORACOSC $22.80 20040101 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 84
PROC-CODE DESC MAC BEG END 00530 ANESTHESIA FOR TRANSVENOUS PACEMAKER INSERTION $22.80 19990701 99999999 00532 ANESTHESIA FOR ACCESS TO CENTRAL VENOUS CIRCULATION $22.80 19990701 99999999 00534 ANESTHESIA FOR TRANSVENOUS INSERTION OR REPLACEMENT OF CARDIOVERTER/ DEFIBRILLAT $22.80 19990701 99999999 00537 ANESTHESIA FOR CARDIAC ELECTROPHYSIOLOGIC PROCEDURES INCLUDING RADIOFREQUENCY AB $22.80 20010101 99999999 00539 ANESTHESIA FOR TRACHEOBRONCHIAL RECONSTRUCTION $22.80 20030401 99999999 00540 ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND ME $22.80 19990701 99999999 00541 ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND ME $22.80 20030401 99999999 00542 ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND ME $22.80 19990701 99999999 00544 ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND ME $22.80 19990701 99999999 00546 ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND ME $22.80 19990701 99999999 00548 ANESTHESIA FOR THORACOTOMY PROCEDURES INVOLVING LUNGS, PLEURA, DIAPHRAGM, AND ME $22.80 19990701 99999999 00550 ANESTHESIA FOR STERNAL DEBRIDEMENT $22.80 20010101 99999999 00560 ANESTHESIA FOR PROCEDURES ON HEART, PERICARDIUM, AND GREAT VESSELS OF CHEST; WIT $22.80 19990701 99999999 00561 ANESTHESIA FOR PROCEDURES ON HEART, PERICARDIAL SAC, AND GREAT VESSELS OF $22.80 20050101 99999999 00562 ANESTHESIA FOR PROCEDURES ON HEART, PERICARDIUM, AND GREAT VESSELS OF CHEST; WIT $22.80 19990701 99999999 00563 ANESTHESIA FOR PROCEDURES ON HEART, PERICARDIUM, AND GREAT VESSELS OF CHEST; WIT $22.80 20010101 99999999 00566 ANESTHESIA FOR DIRECT CORONARY ARTERY BYPASS GRAFTING WITHOUT PUMP OXYGENATOR $22.80 20010101 99999999 00580 ANESTHESIA FOR HEART TRANSPLANT OR HEART/LUNG TRANSPLANT $22.80 19990701 99999999 00600 ANESTHESIA FOR PROCEDURES ON CERVICAL SPINE AND CORD; NOT OTHERWISE SPECIFIED $22.80 19990701 99999999 00604 ANESTHESIA FOR PROCEDURES ON CERVICAL SPINE AND CORD; POSTERIOR CERVICAL LAMINEC $22.80 19990701 99999999 00620 ANESTHESIA FOR PROCEDURES ON THORACIC SPINE AND CORD; NOT OTHERWISE SPECIFIED $22.80 19990701 99999999 00622 ANESTHESIA FOR PROCEDURES ON THORACIC SPINE AND CORD; THORACOLUMBAR SYMPATHECTOM $22.80 19990701 99999999 00630 ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; NOT OTHERWISE SPECIFIED $22.80 19990701 99999999 00632 ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; LUMBAR SYMPATHECTOMY $22.80 19990701 99999999 00634 ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; CHEMONUCLEOLYSIS $22.80 19990701 99999999 00635 ANESTHESIA FOR PROCEDURES IN LUMBAR REGION; DIAGNOSTIC OR THERAPEUTIC LUMBAR PUN $22.80 20010101 99999999 00640 ANESTHESIA FOR MANIPULATION OF THE SPINE OR FOR CLOSED PROCEDURES ON THE CERVICA $22.80 20030401 99999999 00670 ANESTHESIA FOR EXTENSIVE SPINE AND SPINAL CORD PROCEDURES (EG, HARRINGTON ROD TE $22.80 19990701 99999999 00700 ANESTHESIA FOR PROCEDURES ON UPPER ANTERIOR ABDOMINAL WALL; NOT OTHERWISE SPECIF $22.80 19990701 99999999 00702 ANESTHESIA FOR PROCEDURES ON UPPER ANTERIOR ABDOMINAL WALL; PERCUTANEOUS LIVER B $22.80 19990701 99999999 0073T COMPENSATOR-BASED BEAM MODULATION TREATMENT DELIVERY OF INVERSE PLANNED $458.86 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 85
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