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2010 HCPCS Schedule - DE Medical Assistance Program

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64823 REMOVE SYMPATHETIC NERVES 3 $727.15<br />

64830 MICROREPAIR OF NERVE O $0.00<br />

64831 REPAIR OF DIGIT NERVE 3 $638.45<br />

64832 REPAIR NERVE ADD-ON 3 $327.35<br />

64834 REPAIR OF HAND OR FOOT NERVE 3 $701.14<br />

64835 REPAIR OF HAND OR FOOT NERVE 3 $764.38<br />

64836 REPAIR OF HAND OR FOOT NERVE 3 $765.14<br />

64837 REPAIR NERVE ADD-ON 3 $358.46<br />

64840 REPAIR OF LEG NERVE 3 $818.06<br />

64856 REPAIR/TRANSPOSE NERVE 3 $961.21<br />

64857 REPAIR ARM/LEG NERVE 3 $1,003.82<br />

64858 REPAIR SCIATIC NERVE 3 $1,131.14<br />

64859 NERVE SURGERY 3 $245.43<br />

64861 REPAIR OF ARM NERVES 3 $1,281.15<br />

64862 REPAIR OF LOW BACK NERVES 3 $1,325.87<br />

64864 REPAIR OF FACIAL NERVE 3 $832.74<br />

64865 REPAIR OF FACIAL NERVE 3 $1,100.44<br />

64866 FUSION OF FACIAL/OTHER NERVE 3 $1,134.21<br />

64868 FUSION OF FACIAL/OTHER NERVE 3 $1,000.84<br />

64870 FUSION OF FACIAL/OTHER NERVE 3 $1,024.47<br />

64872 SUBSEQUENT REPAIR OF NERVE 3 $114.78<br />

64874 REPAIR & REVISE NERVE ADD-ON 3 $166.13<br />

64876 REPAIR NERVE/SHORTEN BONE 3 $191.20<br />

64885 NERVE GRAFT, HEAD OR NECK 3 $1,080.28<br />

64886 NERVE GRAFT, HEAD OR NECK 3 $1,280.73<br />

64890 NERVE GRAFT, HAND OR FOOT 3 $1,031.12<br />

64891 NERVE GRAFT, HAND OR FOOT 3 $1,087.93<br />

64892 NERVE GRAFT, ARM OR LEG 3 $998.90<br />

64893 NERVE GRAFT, ARM OR LEG 3 $1,055.31<br />

64895 NERVE GRAFT, HAND OR FOOT 3 $1,250.73<br />

64896 NERVE GRAFT, HAND OR FOOT 3 $1,444.05<br />

64897 NERVE GRAFT, ARM OR LEG 3 $1,205.10<br />

64898 NERVE GRAFT, ARM OR LEG 3 $1,312.29<br />

64901 NERVE GRAFT ADD-ON 3 $593.11<br />

64902 NERVE GRAFT ADD-ON 3 $683.26<br />

64905 NERVE PEDICLE TRANSFER 3 $974.57<br />

64907 NERVE PEDICLE TRANSFER 3 $1,170.74<br />

64910 NERVE REPAIR W/ALLOGRAFT 3 $775.18<br />

64911 NEURORRAPHY W/VEIN AUTOGRAFT 3 $952.25<br />

64999 NERVOUS SYSTEM SURGERY 5 $0.00<br />

65091 REVISE EYE 3 $584.88<br />

65093 REVISE EYE WITH IMPLANT 3 $580.41<br />

65101 REMOVAL OF EYE 3 $676.58<br />

65103 REMOVE EYE/INSERT IMPLANT 3 $706.59<br />

65105 REMOVE EYE/ATTACH IMPLANT 3 $780.32<br />

65110 REMOVAL OF EYE 3 $1,110.78<br />

65112 REMOVE EYE/REVISE SOCKET 3 $1,299.94<br />

65114 REMOVE EYE/REVISE SOCKET 3 $1,361.15<br />

65125 REVISE OCULAR IMPLANT 3 $413.32

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