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2010 HCPCS Schedule - DE Medical Assistance Program

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93971 EXTREMITY STUDY 3 $122.87<br />

93975 VASCULAR STUDY 3 $251.02<br />

93976 VASCULAR STUDY 3 $213.37<br />

93978 VASCULAR STUDY 3 $191.90<br />

93979 VASCULAR STUDY 3 $122.13<br />

93980 PENILE VASCULAR STUDY 3 $175.27<br />

93981 PENILE VASCULAR STUDY 3 $120.76<br />

93982 ANEURYSM PRESSURE SENS STUDY 3 $41.80<br />

93990 DOPPLER FLOW TESTING 3 $112.17<br />

94002 VENT MGMT INPAT, INIT DAY 9 $0.00<br />

94003 VENT MGMT INPAT, SUBQ DAY 9 $0.00<br />

94004 VENT MGMT NF PER DAY 9 $0.00<br />

94005 HOME VENT MGMT SUPERVISION 9 $0.00<br />

94010 BREATHING CAPACITY TEST 3 $33.54<br />

94011 UP TO 2 YRS OLD, SPIROMETRY 3 $99.33<br />

94012 = 2 YRS, SPIROMTRY W/DILATOR 3 $152.95<br />

94013 = 2 YRS, LUNG VOLUMES 3 $31.65<br />

94014 PATIENT RECOR<strong>DE</strong>D SPIROMETRY 3 $49.34<br />

94015 PATIENT RECOR<strong>DE</strong>D SPIROMETRY 3 $24.06<br />

94016 REVIEW PATIENT SPIROMETRY 3 $25.29<br />

94060 EVALUATION OF WHEEZING 3 $58.68<br />

94070 EVALUATION OF WHEEZING 3 $58.56<br />

94150 VITAL CAPACITY TEST 3 $23.08<br />

94160 VITAL CAPACITY SCREENING TESTS: TOT O $0.00<br />

94200 LUNG FUNCTION TEST (MBC/MVV) 3 $22.65<br />

94240 RESIDUAL LUNG CAPACITY 3 $38.71<br />

94250 EXPIRED GAS COLLECTION 3 $24.54<br />

94260 THORACIC GAS VOLUME 3 $31.32<br />

94350 LUNG NITROGEN WASHOUT CURVE 3 $34.18<br />

94360 MEASURE AIRFLOW RESISTANCE 3 $42.88<br />

94370 BREATH AIRWAY CLOSING VOLUME 3 $33.43<br />

94375 RESPIRATORY FLOW VOLUME LOOP 3 $37.51<br />

94400 CO2 BREATHING RESPONSE CURVE 3 $51.76<br />

94450 HYPOXIA RESPONSE CURVE 3 $55.16<br />

94452 HAST W/REPORT 3 $55.66<br />

94453 HAST W/OXYGEN TITRATE 3 $75.21<br />

94610 SURFACTANT ADMIN THRU TUBE 3 $58.72<br />

94620 PULMONARY STRESS TEST/SIMPLE 3 $66.45<br />

94621 PULM STRESS TEST/COMPLEX 3 $161.20<br />

94640 AIRWAY INHALATION TREATMENT 3 $14.23<br />

94642 AEROSOL INHALATION TREATMENT 3 $34.88<br />

94644 CBT, 1ST HOUR 3 $36.15<br />

94645 CBT, EACH ADDL HOUR 3 $13.48<br />

94650 PRESSURE BREATHING (IPPB) O $0.00<br />

94651 PRESSURE BREATHING (IPPB) O $0.00<br />

94652 PRESSURE BREATHING (IPPB) O $0.00<br />

94656 INITIAL VENTILATOR MGMT O $0.00<br />

94657 CONTINUED VENTILATOR MGMT O $0.00<br />

94660 POS AIRWAY PRESSURE, CPAP 9 $0.00

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