2010 HCPCS Schedule - DE Medical Assistance Program

C9010 BACLOFEN REFILL KIT--4000MCG O $0.00
C9011 CAFFEINE CITRATE, INJ, 1ML 9 $0.00
C9013 CO 57 COBALTOUS CHLORIDE O $0.00
C9019 CASPOFUNGIN ACETATE, 5 MG 9 $0.00
C9020 SIROLIMUS TABLET, 1 MG 9 $0.00
C9100 IODINATED I-131 ALBUMIN 9 $0.00
C9102 51 NA CHROMATE, 50MCI O $0.00
C9103 NA IOTHALAMATE I-125, 10 UCI O $0.00
C9104 ANTI-THYMOCYTE GLOBULIN,25MG 9 $0.00
C9105 HEP B IMM GLOB, PER 1 ML O $0.00
C9106 SIROLIMUS 1MG/ML 9 $0.00
C9107 TINZAPARIN SODIUM, 2ML VIAL 9 $0.00
C9108 THYROTROPIN ALFA, 1.1 MG 9 $0.00
C9109 TIROFIBAN HCL, 6.25 MG O $0.00
C9110 ALEMTUZUMAB, PER 10MG/ML 9 $0.00
C9111 INJ, BIVALIRUDIN, 250MG VIAL O $0.00
C9112 PERFLUTREN LIPID MICRO, 2ML O $0.00
C9113 INJ PANTOPRAZOLE SODIUM, VIA 9 $0.00
C9114 NESIRITIDE, PER 1.5 MG VIAL 9 $0.00
C9115 INJ, ZOLEDRONIC ACID, 2 MG 9 $0.00
C9116 ERTAPENEM SODIUM, PER 1 GM O $0.00
C9119 INJECTION, PEGFILGRASTIM O $0.00
C9120 INJECTION, FULVESTRANT O $0.00
C9121 INJECTION, ARGATROBAN 9 $0.00
C9123 TRANSCYTE, PER 247 SQ CM O $0.00
C9124 INJECTION, DAPTOMYCIN O $0.00
C9125 INJECTION, RISPERIDONE O $0.00
C9126 INJECTION, NATALIZUMAB O $0.00
C9200 ORCEL, PER 36 CM2 O $0.00
C9201 DERMAGRAFT, PER 37.5 SQ CM O $0.00
C9202 OCTAFLUOROPROPANE O $0.00
C9203 PERFLEXANE LIPID MICRO O $0.00
C9205 OXALIPLATIN O $0.00
C9206 INTEGRA, PER CM2 O $0.00
C9207 INJECTION, BORTEZOMIB O $0.00
C9208 INJECTION, AGALSIDASE BETA O $0.00
C9209 INJECTION, LARONIDASE O $0.00
C9210 INJECTION, PALONOSETRON HCL O $0.00
C9211 INJ, ALEFACEPT, IV O $0.00
C9212 INJ, ALEFACEPT, IM O $0.00
C9213 INJECTION, PEMETREXED O $0.00
C9214 INJECTION, BEVACIZUMAB O $0.00
C9215 INJECTION, CETUXIMAB O $0.00
C9216 ABARELIX, INJECT SUSPENSION O $0.00
C9217 INJECTION, OMALIZUMAB O $0.00
C9218 INJECTION, AZACITIDINE O $0.00
C9220 SODIUM HYALURONATE O $0.00
C9221 GRAFTJACKET REG MATRIX O $0.00
C9222 GRAFTJACKET SFTTIS O $0.00