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 />
00930<br />
ANESTHESIA FOR PROCEDURES ON MALE EXTERNAL GENITALIA;<br />
ORCHIOPEXY, UNILATERAL OR $22.80 19990701 99999999<br />
00932<br />
ANESTHESIA FOR PROCEDURES ON MALE EXTERNAL GENITALIA;<br />
COMPLETE AMPUTATION OF PEN $22.80 19990701 99999999<br />
00934<br />
ANESTHESIA FOR PROCEDURES ON MALE EXTERNAL GENITALIA;<br />
RADICAL AMPUTATION OF PENI $22.80 19990701 99999999<br />
00936<br />
ANESTHESIA FOR PROCEDURES ON MALE EXTERNAL GENITALIA;<br />
RADICAL AMPUTATION OF PENI $22.80 19990701 99999999<br />
00938<br />
ANESTHESIA FOR PROCEDURES ON MALE EXTERNAL GENITALIA;<br />
INSERTION OF PENILE PROSTH $22.80 19990701 99999999<br />
00940<br />
ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF<br />
LABIA, VAGINA, CERVIX OR $22.80 19990701 99999999<br />
00942<br />
ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF<br />
LABIA, VAGINA, CERVIX OR $22.80 19990701 99999999<br />
00944<br />
ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF<br />
LABIA, VAGINA, CERVIX OR $22.80 19990701 99999999<br />
00946<br />
ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF<br />
LABIA, VAGINA, CERVIX OR $22.80 19990701 99999999<br />
00948<br />
ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF<br />
LABIA, VAGINA, CERVIX OR $22.80 19990701 99999999<br />
00950<br />
ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF<br />
LABIA, VAGINA, CERVIX OR $22.80 19990701 99999999<br />
00952<br />
ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF<br />
LABIA, VAGINA, CERVIX OR $22.80 19990701 99999999<br />
00955<br />
CONTINUOUS EPIDURAL ANALGESIA, FOR LABOR AND VAGINAL<br />
DELIVERY $22.80 19990701 99999999<br />
01000<br />
ANESTHESIA FOR PROCEDURES ON ANTERIOR INTEGUMENTARY<br />
SYSTEM OF PELVIS (ANTERIOR T $22.80 19990701 99999999<br />
01110 PROPHYLAXIS, ADULT $22.80 19990701 99999999<br />
01112<br />
ANESTHESIA FOR BONE MARROW ASPIRATION AND/OR BIOPSY,<br />
ANTERIOR OR POSTERIOR ILIAC $22.80 20010101 99999999<br />
01120 PROPHYLAXIS-CHILD $22.80 19990701 99999999<br />
01130 ANESTHESIA FOR BODY CAST APPLICATION OR REVISION $22.80 19990701 99999999<br />
01140<br />
ANESTHESIA FOR INTERPELVIABDOMINAL (HINDQUARTER)<br />
AMPUTATION $22.80 19990701 99999999<br />
01150<br />
ANESTHESIA FOR RADICAL PROCEDURES FOR TUMOR OF PELVIS,<br />
EXCEPT HINDQUARTER AMPUTA $22.80 19990701 99999999<br />
01160<br />
ANESTHESIA FOR CLOSED PROCEDURES INVOLVING SYMPHYSIS<br />
PUBIS OR SACROILIAC JOINT $22.80 19990701 99999999<br />
01170<br />
ANESTHESIA FOR OPEN PROCEDURES INVOLVING SYMPHYSIS PUBIS<br />
OR SACROILIAC JOINT $22.80 19990701 99999999<br />
01173<br />
ANESTHESIA FOR OPEN REPAIR OF FRACTURE DISRUPTION OF<br />
PELVIS OR COLUMN FRACTURE $22.80 20040101 99999999<br />
01180 ANESTHESIA FOR OBTURATOR NEURECTOMY; EXTRAPELVIC $22.80 19990701 99999999<br />
01190 ANESTHESIA FOR OBTURATOR NEURECTOMY; INTRAPELVIC $22.80 19990701 99999999<br />
01200 ANESTHESIA FOR ALL CLOSED PROCEDURES INVOLVING HIP JOINT $22.80 19990701 99999999<br />
01202 TOPICL APPLCTN FLUORIDE (INCL PROPHYLAXIS) ADULT $22.80 19990701 99999999<br />
01210 TOPICAL APP SODIUM FLUORIDE $22.80 19990701 99999999<br />
01212<br />
ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT; HIP<br />
DISARTICULATION $22.80 19990701 99999999<br />
01214<br />
ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT; TOTAL<br />
HIP REPLACEMENT OR REV $22.80 19990701 99999999<br />
01215<br />
ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT;<br />
REVISION OF TOTAL HIP ARTHRO $22.80 20010101 99999999<br />
01220 TOPICAL AYGS STANNOUS FLRIDE- TREATMNT (EXCLDING P $22.80 19990701 99999999<br />
01230 TOPICAL APP ACID FLRIDE PHSPHATE ONE TRM (EX-PROHY $22.80 19990701 99999999<br />
01232<br />
ANESTHESIA FOR OPEN PROCEDURES INVOLVING UPPER 2/3 OF<br />
FEMUR; AMPUTATION $22.80 19990701 99999999<br />
Hawaii <strong>Medicaid</strong> <strong>Fee</strong> <strong>Schedule</strong> <strong>without</strong> <strong>Mods</strong> 01/2008 88