2010 HCPCS Schedule - DE Medical Assistance Program

78591 VENT IMAGE, 1 BREATH, 1 PROJ 3 $159.74
78593 VENT IMAGE, 1 PROJ, GAS 3 $187.45
78594 VENT IMAGE, MULT PROJ, GAS 3 $213.87
78596 LUNG DIFFERENTIAL FUNCTION 3 $361.35
78599 RESPIRATORY NUCLEAR EXAM 5 $0.00
78600 BRAIN IMAGE < 4 VIEWS 3 $172.16
78601 BRAIN IMAGE W/FLOW < 4 VIEWS 3 $204.07
78605 BRAIN IMAGE 4+ VIEWS 3 $190.05
78606 BRAIN IMAGE W/FLOW 4 + VIEWS 3 $307.22
78607 BRAIN IMAGING (3D) 3 $352.95
78608 BRAIN IMAGING (PET) 3 $323.62
78609 BRAIN IMAGING (PET) 3 $323.62
78610 BRAIN FLOW IMAGING ONLY 3 $172.33
78615 CEREBRAL VASCULAR FLOW IMAGE O $0.00
78630 CEREBROSPINAL FLUID SCAN 3 $320.26
78635 CSF VENTRICULOGRAPHY 3 $299.70
78645 CSF SHUNT EVALUATION 3 $230.58
78647 CEREBROSPINAL FLUID SCAN 3 $319.34
78650 CSF LEAKAGE IMAGING 3 $311.90
78652 CSF LEAKAGE DETECTION AND LOCALIZAT O $0.00
78655 RADIOPHARMACEUTICAL IDENTIFICATION O $0.00
78660 NUCLEAR EXAM OF TEAR FLOW 3 $164.36
78699 NERVOUS SYSTEM NUCLEAR EXAM 5 $0.00
78700 KIDNEY IMAGING, MORPHOL 3 $168.61
78701 KIDNEY IMAGING WITH FLOW 3 $204.09
78704 IMAGING RENOGRAM O $0.00
78707 K FLOW/FUNCT IMAGE W/O DRUG 3 $232.85
78708 K FLOW/FUNCT IMAGE W/DRUG 3 $183.26
78709 K FLOW/FUNCT IMAGE, MULTIPLE 3 $352.20
78710 KIDNEY IMAGING (3D) 3 $221.77
78715 RENAL VASCULAR FLOW EXAM O $0.00
78725 KIDNEY FUNCTION STUDY 3 $98.90
78726 KIDNEY FUNCTION STUDY INCLUDING PHA O $0.00
78727 KIDNEY TRANSPLANT EVALUATION O $0.00
78730 URINARY BLADDER RETENTION 3 $73.25
78740 URETERAL REFLUX STUDY 3 $207.77
78760 TESTICULAR IMAGING O $0.00
78761 TESTICULAR IMAGING W/FLOW 3 $203.30
78799 GENITOURINARY NUCLEAR EXAM 5 $0.00
78800 TUMOR IMAGING, LIMITED AREA 3 $181.44
78801 TUMOR IMAGING, MULT AREAS 3 $241.76
78802 TUMOR IMAGING, WHOLE BODY 3 $315.37
78803 TUMOR IMAGING (3D) 3 $344.05
78804 TUMOR IMAGING, WHOLE BODY 3 $563.04
78805 ABSCESS IMAGING, LTD AREA 3 $179.47
78806 ABSCESS IMAGING, WHOLE BODY 3 $328.22
78807 NUCLEAR LOCALIZATION/ABSCESS 3 $343.43
78808 IV INJ RA DRUG DX STUDY 3 $44.48
78810 TUMOR IMAGING (PET) O $0.00