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2010 HCPCS Schedule - DE Medical Assistance Program

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50684 INJECTION FOR URETER X-RAY 3 $51.67<br />

50686 MEASURE URETER PRESSURE 3 $108.98<br />

50688 CHANGE OF URETER TUBE/STENT 3 $82.84<br />

50690 INJECTION FOR URETER X-RAY 3 $101.55<br />

50700 REVISION OF URETER 3 $964.70<br />

50715 RELEASE OF URETER 3 $1,158.57<br />

50722 RELEASE OF URETER 3 $1,018.32<br />

50725 RELEASE/REVISE URETER 3 $1,133.59<br />

50727 REVISE URETER 3 $522.93<br />

50728 REVISE URETER 3 $718.40<br />

50740 FUSION OF URETER & KIDNEY 3 $1,167.58<br />

50750 FUSION OF URETER & KIDNEY 3 $1,209.99<br />

50760 FUSION OF URETERS 3 $1,145.60<br />

50770 SPLICING OF URETERS 3 $1,178.23<br />

50780 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,140.14<br />

50782 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,150.13<br />

50783 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,164.17<br />

50785 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,260.77<br />

50800 IMPLANT URETER IN BOWEL 3 $959.33<br />

50810 FUSION OF URETER & BOWEL 3 $1,319.31<br />

50815 URINE SHUNT TO INTESTINE 3 $1,274.75<br />

50820 CONSTRUCT BOWEL BLAD<strong>DE</strong>R 3 $1,360.28<br />

50825 CONSTRUCT BOWEL BLAD<strong>DE</strong>R 3 $1,724.09<br />

50830 REVISE URINE FLOW 3 $1,867.91<br />

50840 REPLACE URETER BY BOWEL 3 $1,283.91<br />

50845 APPENDICO-VESICOSTOMY 3 $1,302.34<br />

50860 TRANSPLANT URETER TO SKIN 3 $983.22<br />

50900 REPAIR OF URETER 3 $871.11<br />

50920 CLOSURE URETER/SKIN FISTULA 3 $919.37<br />

50930 CLOSURE URETER/BOWEL FISTULA 3 $1,161.24<br />

50940 RELEASE OF URETER 3 $920.22<br />

50945 LAPAROSCOPY URETEROLITHOTOMY 3 $1,017.83<br />

50947 LAPARO NEW URETER/BLAD<strong>DE</strong>R 3 $1,439.34<br />

50948 LAPARO NEW URETER/BLAD<strong>DE</strong>R 3 $1,339.49<br />

50949 LAPAROSCOPE PROC, URETER 5 $0.00<br />

50951 ENDOSCOPY OF URETER 3 $397.65<br />

50953 ENDOSCOPY OF URETER 3 $420.43<br />

50955 URETER ENDOSCOPY & BIOPSY 3 $461.34<br />

50957 URETER ENDOSCOPY & TREATMENT 3 $452.22<br />

50959 URETER ENDOSCOPY & TRACER O $0.00<br />

50961 URETER ENDOSCOPY & TREATMENT 3 $408.09<br />

50970 URETER ENDOSCOPY 3 $391.04<br />

50972 URETER ENDOSCOPY & CATHETER 3 $377.12<br />

50974 URETER ENDOSCOPY & BIOPSY 3 $499.11<br />

50976 URETER ENDOSCOPY & TREATMENT 3 $491.10<br />

50978 URETER ENDOSCOPY & TRACER O $0.00<br />

50980 URETER ENDOSCOPY & TREATMENT 3 $375.79<br />

51000 DRAINAGE OF BLAD<strong>DE</strong>R O $0.00<br />

51005 DRAINAGE OF BLAD<strong>DE</strong>R O $0.00

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