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2010 HCPCS Schedule - DE Medical Assistance Program

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85420 FIBRINOLYTIC PLASMINOGEN 3 $9.17<br />

85421 FIBRINOLYTIC PLASMINOGEN 3 $14.30<br />

85426 FIBRINOLYTIC MECHANISMS VON WILLEBR O $0.00<br />

85441 HEINZ BODIES, DIRECT 3 $5.90<br />

85445 HEINZ BODIES, INDUCED 3 $8.09<br />

85460 HEMOGLOBIN, FETAL 3 $10.87<br />

85461 HEMOGLOBIN, FETAL 3 $9.31<br />

85475 HEMOLYSIN 3 $10.96<br />

85520 HEPARIN ASSAY 3 $18.37<br />

85525 HEPARIN NEUTRALIZATION 3 $16.63<br />

85530 HEPARIN-PROTAMINE TOLERANCE 3 $19.90<br />

85535 IRON STAIN, BLOOD CELLS O $0.00<br />

85536 IRON STAIN PERIPHERAL BLOOD 3 $9.08<br />

85538 LE<strong>DE</strong>R STAIN (ESTERASE) BLOOD OR BON O $0.00<br />

85540 WBC ALKALINE PHOSPHATASE 3 $12.07<br />

85544 LUPUS ERYTHEMATOSUS (LE) CELL PREP O $0.00<br />

85547 RBC MECHANICAL FRAGILITY 3 $12.07<br />

85548 MORPHOLOGY OF RED BLOOD CELLS, ONLY O $0.00<br />

85549 MURAMIDASE 3 $20.37<br />

85555 RBC OSMOTIC FRAGILITY 3 $9.39<br />

85556 OSMOTIC FRAGILITY, RBC INCUBATED, Q O $0.00<br />

85557 RBC OSMOTIC FRAGILITY 3 $18.75<br />

85560 PEROXIDASE STAIN, WBC O $0.00<br />

85575 PLATELET; IN VITRO AGGREGATION,EACH O $0.00<br />

85576 BLOOD PLATELET AGGREGATION 3 $30.15<br />

85577 PLATELET RETENTION (IN VITRO), GLAS O $0.00<br />

85580 PLATELET COUNT (REES-ECKER) O $0.00<br />

85585 BLOOD PLATELET ESTIMATION O $0.00<br />

85590 PLATELET COUNT, MANUAL O $0.00<br />

85595 PLATELET COUNT, AUTOMATED O $0.00<br />

85597 PLATELET NEUTRALIZATION 3 $25.23<br />

85610 PROTHROMBIN TIME 3 $5.62<br />

85611 PROTHROMBIN TEST 3 $5.53<br />

85612 VIPER VENOM PROTHROMBIN TIME 3 $13.43<br />

85613 RUSSELL VIPER VENOM, DILUTED 3 $13.43<br />

85615 PROTHROMBIN UTILIZATION (CONSUMPTIO O $0.00<br />

85618 PROTHROMBIN-PROCONVERTIN, P&P (OWRE O $0.00<br />

85630 RED BLOOD CELL SIZE (PRICE-JONES) O $0.00<br />

85632 RED BLOOD CELL PEROXI<strong>DE</strong> HEMOLYSIS O $0.00<br />

85635 REPTILASE TEST 3 $9.82<br />

85650 SEDIMENTATION RATE (ESR) WINTROBE T O $0.00<br />

85651 RBC SED RATE, NONAUTOMATED 3 $4.98<br />

85652 RBC SED RATE, AUTOMATED 3 $3.79<br />

85660 RBC SICKLE CELL TEST 3 $6.33<br />

85665 STREPTOKINASE TITER (PLASMINOGEN AC O $0.00<br />

85667 T-CELL <strong>DE</strong>PLETION (ANY METHOD) OF BO O $0.00<br />

85670 THROMBIN TIME, PLASMA 3 $8.27<br />

85675 THROMBIN TIME, TITER 3 $9.61<br />

85700 THROMBOPLASTIN GENERATION TEST SCRE O $0.00

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