2010 HCPCS Schedule - DE Medical Assistance Program

70482 CT ORBIT/EAR/FOSSA W/O&W/DYE 3 $413.38
70486 CT MAXILLOFACIAL W/O DYE 3 $257.95
70487 CT MAXILLOFACIAL W/DYE 3 $316.20
70488 CT MAXILLOFACIAL W/O & W/DYE 3 $384.70
70490 CT SOFT TISSUE NECK W/O DYE 3 $259.14
70491 CT SOFT TISSUE NECK W/DYE 3 $310.80
70492 CT SFT TSUE NCK W/O & W/DYE 3 $376.35
70496 CT ANGIOGRAPHY, HEAD 3 $438.58
70498 CT ANGIOGRAPHY, NECK 3 $438.58
70540 MRI ORBIT/FACE/NECK W/O DYE 3 $427.12
70541 MAGNETIC IMAGE, HEAD (MRA) O $0.00
70542 MRI ORBIT/FACE/NECK W/DYE 3 $516.61
70543 MRI ORBT/FAC/NCK W/O & W/DYE 3 $657.79
70544 MR ANGIOGRAPHY HEAD W/O DYE 3 $419.51
70545 MR ANGIOGRAPHY HEAD W/DYE 3 $495.48
70546 MR ANGIOGRAPH HEAD W/O&W/DYE 3 $640.22
70547 MR ANGIOGRAPHY NECK W/O DYE 3 $419.51
70548 MR ANGIOGRAPHY NECK W/DYE 3 $495.48
70549 MR ANGIOGRAPH NECK W/O&W/DYE 3 $639.98
70551 MRI BRAIN W/O DYE 3 $433.76
70552 MRI BRAIN W/DYE 3 $525.34
70553 MRI BRAIN W/O & W/DYE 3 $668.73
70554 FMRI BRAIN BY TECH 3 $572.42
70555 FMRI BRAIN BY PHYS/PSYCH 3 $0.00
70557 MRI BRAIN W/O DYE 3 $0.00
70558 MRI BRAIN W/DYE 3 $0.00
70559 MRI BRAIN W/O & W/DYE 3 $0.00
71010 CHEST X-RAY 3 $23.70
71015 CHEST X-RAY 3 $29.70
71020 CHEST X-RAY 3 $31.20
71021 CHEST X-RAY 3 $37.56
71022 CHEST X-RAY 3 $45.83
71023 CHEST X-RAY AND FLUOROSCOPY 3 $67.29
71030 CHEST X-RAY 3 $45.83
71034 CHEST X-RAY AND FLUOROSCOPY 3 $89.11
71035 CHEST X-RAY 3 $34.66
71036 X-RAY GUIDANCE FOR BIOPSY O $0.00
71037 NEEDLE BIOPSY OF INTRATHORACIC LESI O $0.00
71038 X-RAY GUIDANCE FOR BIOPSY O $0.00
71040 CONTRAST X-RAY OF BRONCHI 3 $94.63
71041 BRONCHOGRAPHY, UNILATERAL COMPLETE O $0.00
71060 CONTRAST X-RAY OF BRONCHI 3 $139.14
71061 BRONCHOGRAPHY, BILATERAL COMPLETE P O $0.00
71090 X-RAY & PACEMAKER INSERTION 3 $0.00
71100 X-RAY EXAM OF RIBS 3 $32.34
71101 X-RAY EXAM OF RIBS/CHEST 3 $38.70
71110 X-RAY EXAM OF RIBS 3 $39.84
71111 X-RAY EXAM OF RIBS/CHEST 3 $51.49
71120 X-RAY EXAM OF BREASTBONE 3 $31.99