10.12.2012 Views

2010 HCPCS Schedule - DE Medical Assistance Program

2010 HCPCS Schedule - DE Medical Assistance Program

2010 HCPCS Schedule - DE Medical Assistance Program

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

C9360 SURGIMEND, NEONATAL 9 $0.00<br />

C9361 NEUROMEND NERVE WRAP 9 $0.00<br />

C9362 IMPLNT,BON VOID FILLER-STRIP 9 $0.00<br />

C9363 INTEGRA MESHED BIL WOUND MAT 9 $0.00<br />

C9364 PORCINE IMPLANT, PERMACOL 9 $0.00<br />

C9399 UNCLASSIFIED DRUGS OR BIOLOG 9 $0.00<br />

C9400 THALLOUS CHLORI<strong>DE</strong>, BRAND O $0.00<br />

C9401 STRONTIUM-89 CHLORI<strong>DE</strong>,BRAND O $0.00<br />

C9402 TH I131 SO IODI<strong>DE</strong> CAP, BRAND O $0.00<br />

C9403 DX I131 SO IODI<strong>DE</strong> CAP, BRAND O $0.00<br />

C9404 DX I131 SO IODI<strong>DE</strong> SOL, BRAND O $0.00<br />

C9405 TH I131 SO IODI<strong>DE</strong> SOL, BRAND O $0.00<br />

C9408 FDG, BRAND, PER DOSE 9 $0.00<br />

C9410 <strong>DE</strong>XRAZOXANE HCL INJ, BRAND O $0.00<br />

C9411 PAMIDRONATE DISODIUM, BRAND O $0.00<br />

C9412 GANCICLOVIR IMPLANT, BRAND O $0.00<br />

C9413 SODIUM HYALURONATE INJ, BRAND O $0.00<br />

C9414 ETOPOSI<strong>DE</strong> ORAL, BRAND O $0.00<br />

C9415 DOXORUBIC HCL CHEMO, BRAND O $0.00<br />

C9416 BCG LIVE INTRAVESICAL, BRAND 9 $0.00<br />

C9417 BLEOMYCIN SULFATE INJ, BRAND O $0.00<br />

C9418 CISPLATIN INJ, BRAND O $0.00<br />

C9419 INJ CLADRIBINE, BRAND O $0.00<br />

C9420 CYCLOPHOSPHAMI<strong>DE</strong> INJ, BRAND O $0.00<br />

C9421 CYCLOPHOSPHAMI<strong>DE</strong> LYO, BRAND O $0.00<br />

C9422 CYTARABINE HCL INJ, BRAND O $0.00<br />

C9423 DACARBAZINE INJ, BRAND O $0.00<br />

C9424 DAUNORUBICIN, BRAND O $0.00<br />

C9425 ETOPOSI<strong>DE</strong> INJ, BRAND O $0.00<br />

C9426 FLOXURIDINE INJ, BRAND O $0.00<br />

C9427 IFOSFOMI<strong>DE</strong> INJ, BRAND O $0.00<br />

C9428 MESNA INJECTION, BRAND O $0.00<br />

C9429 IDARUBICIN HCL INJ, BRAND O $0.00<br />

C9430 LEUPROLI<strong>DE</strong> ACETATE INJ, BRAN O $0.00<br />

C9431 PACLITAXEL INJ, BRAND O $0.00<br />

C9432 MITOMYCIN INJ, BRAND O $0.00<br />

C9433 THIOTEPA INJ, BRAND O $0.00<br />

C9434 GALLIUM GA 67, BRAND 9 $0.00<br />

C9435 GONADORELIN HYDROCH, BRAND O $0.00<br />

C9436 AZATHIOPRINE PARENTERAL,BRND O $0.00<br />

C9437 CARMUS BISCHL NITRO INJ O $0.00<br />

C9438 CYCLOSPORINE ORAL, BRAND O $0.00<br />

C9439 DIETHYLSTILBESTROL INJECTION O $0.00<br />

C9500 PLATELETS, IRRAD, EA UNIT 9 $0.00<br />

C9501 PLATELETS, PHERESIS, EA UNIT 9 $0.00<br />

C9502 PLATELETS, PHER/IRRAD, EA UN 9 $0.00<br />

C9503 FRESH FROZEN PLASMA, EA UNIT O $0.00<br />

C9504 RBC, <strong>DE</strong>GLYCEROLIZED, EA UNIT 9 $0.00<br />

C9505 RBC, IRRADIATED, EACH UNIT 9 $0.00

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!