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2010 HCPCS Schedule - DE Medical Assistance Program

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44213 LAP, MOBIL SPLENIC FL ADD-ON 3 $181.06<br />

44227 LAP, CLOSE ENTEROSTOMY 3 $1,573.64<br />

44238 LAPAROSCOPE PROC, INTESTINE 5 $0.00<br />

44239 LAPAROSCOPE PROC, RECTUM O $0.00<br />

44300 OPEN BOWEL TO SKIN 3 $788.35<br />

44305 ENTEROSTOMY OR CECOSTOMY, TUBE (EG, O $0.00<br />

44310 ILEOSTOMY/JEJUNOSTOMY 3 $981.15<br />

44312 REVISION OF ILEOSTOMY 3 $559.83<br />

44314 REVISION OF ILEOSTOMY 3 $951.50<br />

44316 <strong>DE</strong>VISE BOWEL POUCH 3 $1,315.70<br />

44320 COLOSTOMY 3 $1,124.18<br />

44322 COLOSTOMY WITH BIOPSIES 3 $907.48<br />

44340 REVISION OF COLOSTOMY 3 $572.78<br />

44345 REVISION OF COLOSTOMY 3 $984.02<br />

44346 REVISION OF COLOSTOMY 3 $1,106.35<br />

44360 SMALL BOWEL ENDOSCOPY 3 $156.29<br />

44361 SMALL BOWEL ENDOSCOPY/BIOPSY 3 $171.92<br />

44363 SMALL BOWEL ENDOSCOPY 3 $204.09<br />

44364 SMALL BOWEL ENDOSCOPY 3 $219.77<br />

44365 SMALL BOWEL ENDOSCOPY 3 $195.89<br />

44366 SMALL BOWEL ENDOSCOPY 3 $258.82<br />

44369 SMALL BOWEL ENDOSCOPY 3 $264.22<br />

44370 SMALL BOWEL ENDOSCOPY/STENT 3 $284.63<br />

44372 SMALL BOWEL ENDOSCOPY 3 $252.61<br />

44373 SMALL BOWEL ENDOSCOPY 3 $203.96<br />

44376 SMALL BOWEL ENDOSCOPY 3 $301.75<br />

44377 SMALL BOWEL ENDOSCOPY/BIOPSY 3 $319.93<br />

44378 SMALL BOWEL ENDOSCOPY 3 $410.14<br />

44379 S BOWEL ENDOSCOPE W/STENT 3 $433.50<br />

44380 SMALL BOWEL ENDOSCOPY 3 $68.02<br />

44382 SMALL BOWEL ENDOSCOPY 3 $81.82<br />

44383 ILEOSCOPY W/STENT 3 $171.87<br />

44385 ENDOSCOPY OF BOWEL POUCH 3 $241.24<br />

44386 ENDOSCOPY, BOWEL POUCH/BIOP 3 $332.42<br />

44388 COLONOSCOPY 3 $332.60<br />

44389 COLONOSCOPY WITH BIOPSY 3 $383.22<br />

44390 COLONOSCOPY FOR FOREIGN BODY 3 $444.05<br />

44391 COLONOSCOPY FOR BLEEDING 3 $492.01<br />

44392 COLONOSCOPY & POLYPECTOMY 3 $418.45<br />

44393 COLONOSCOPY, LESION REMOVAL 3 $484.24<br />

44394 COLONOSCOPY W/SNARE 3 $485.81<br />

44397 COLONOSCOPY W/STENT 3 $272.78<br />

44500 INTRO, GASTROINTESTINAL TUBE 9 $0.00<br />

44600 SUTURE OF INTESTINE (ENTERORRHAPHY) O $0.00<br />

44602 SUTURE, SMALL INTESTINE 3 $1,313.98<br />

44603 SUTURE, SMALL INTESTINE 3 $1,507.36<br />

44604 SUTURE, LARGE INTESTINE 3 $993.77<br />

44605 REPAIR OF BOWEL LESION 3 $1,227.76<br />

44610 SUTURE OF INTESTINE (ENTERORRHAPHY) O $0.00

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