Medicaid Fee Schedule without Mods 200801
Medicaid Fee Schedule without Mods 200801
Medicaid Fee Schedule without Mods 200801
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
PROC-CODE DESC MAC BEG END<br />
01480<br />
ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG,<br />
ANKLE, AND FOOT; NOT OTHER $22.80 19990701 99999999<br />
01482<br />
ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG,<br />
ANKLE, AND FOOT; RADICAL R $22.80 19990701 99999999<br />
01484<br />
ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG,<br />
ANKLE, AND FOOT; OSTEOTOMY $22.80 19990701 99999999<br />
01486<br />
ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG,<br />
ANKLE, AND FOOT; TOTAL ANK $22.80 19990701 99999999<br />
01490<br />
ANESTHESIA FOR LOWER LEG CAST APPLICATION, REMOVAL, OR<br />
REPAIR $22.80 19990701 99999999<br />
01500<br />
ANESTHESIA FOR PROCEDURES ON ARTERIES OF LOWER LEG,<br />
INCLUDING BYPASS GRAFT; NOT $22.80 19990701 99999999<br />
01502<br />
ANESTHESIA FOR PROCEDURES ON ARTERIES OF LOWER LEG,<br />
INCLUDING BYPASS GRAFT; EMBO $22.80 19990701 99999999<br />
01520 SPACE MAINTAINER,REMOVABLE,UNILATERAL $22.80 19990701 99999999<br />
01522<br />
ANESTHESIA FOR PROCEDURES ON VEINS OF LOWER LEG; VENOUS<br />
THROMBECTOMY, DIRECT OR $22.80 19990701 99999999<br />
01600<br />
ANESTHESIA FOR ALL PROCEDURES ON INTEGUMENTARY SYSTEM<br />
OF SHOULDER AND AXILLA $22.80 19990701 99999999<br />
01610<br />
ANESTHESIA FOR ALL PROCEDURES ON NERVES, MUSCLES,<br />
TENDONS, FASCIA, AND BURSAE OF $22.80 19990701 99999999<br />
01620<br />
ANESTHESIA FOR ALL CLOSED PROCEDURES ON HUMERAL HEAD<br />
AND NECK, STERNOCLAVICULAR $22.80 19990701 99999999<br />
01622<br />
ANESTHESIA FOR ARTHROSCOPIC PROCEDURES OF SHOULDER<br />
JOINT $22.80 19990701 99999999<br />
01630<br />
ANESTHESIA FOR OPEN PROCEDURES ON HUMERAL HEAD AND<br />
NECK, STERNOCLAVICULAR JOINT, $22.80 19990701 99999999<br />
01632<br />
ANESTHESIA FOR OPEN PROCEDURES ON HUMERAL HEAD AND<br />
NECK, STERNOCLAVICULAR JOINT, $22.80 19990701 99999999<br />
01634<br />
ANESTHESIA FOR OPEN PROCEDURES ON HUMERAL HEAD AND<br />
NECK, STERNOCLAVICULAR JOINT, $22.80 19990701 99999999<br />
01636<br />
ANESTHESIA FOR OPEN PROCEDURES ON HUMERAL HEAD AND<br />
NECK, STERNOCLAVICULAR JOINT, $22.80 19990701 99999999<br />
01638<br />
ANESTHESIA FOR OPEN PROCEDURES ON HUMERAL HEAD AND<br />
NECK, STERNOCLAVICULAR JOINT, $22.80 19990701 99999999<br />
01650<br />
ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND<br />
AXILLA; NOT OTHERWISE SPEC $22.80 19990701 99999999<br />
01652<br />
ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND<br />
AXILLA; AXILLARY-BRACHIAL $22.80 19990701 99999999<br />
01654<br />
ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND<br />
AXILLA; BYPASS GRAFT $22.80 19990701 99999999<br />
01656<br />
ANESTHESIA FOR PROCEDURES ON ARTERIES OF SHOULDER AND<br />
AXILLA; AXILLARY-FEMORAL B $22.80 19990701 99999999<br />
01670<br />
ANESTHESIA FOR ALL PROCEDURES ON VEINS OF SHOULDER AND<br />
AXILLA $22.80 19990701 99999999<br />
01680<br />
ANESTHESIA FOR SHOULDER CAST APPLICATION, REMOVAL OR<br />
REPAIR; NOT OTHERWISE SPECI $22.80 19990701 99999999<br />
01682<br />
ANESTHESIA FOR SHOULDER CAST APPLICATION, REMOVAL OR<br />
REPAIR; SHOULDER SPICA $22.80 19990701 99999999<br />
01700<br />
ANESTHESIA FOR ALL PROCEDURES ON INTEGUMENTARY SYSTEM<br />
OF UPPER ARM AND ELBOW $22.80 19990701 99999999<br />
01710<br />
ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS,<br />
FASCIA, AND BURSAE OF UPP $22.80 19990701 99999999<br />
01712<br />
ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS,<br />
FASCIA, AND BURSAE OF UPP $22.80 19990701 99999999<br />
01714<br />
ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS,<br />
FASCIA, AND BURSAE OF UPP $22.80 19990701 99999999<br />
Hawaii <strong>Medicaid</strong> <strong>Fee</strong> <strong>Schedule</strong> <strong>without</strong> <strong>Mods</strong> 01/2008 90