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2010 HCPCS Schedule - DE Medical Assistance Program

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77750 INFUSE RADIOACTIVE MATERIALS 9.57 1.00<br />

77761 APPLY INTRCAV RADIAT SIMPLE 9.85 1.00<br />

77762 APPLY INTRCAV RADIAT INTERM 13.35 1.00<br />

77763 APPLY INTRCAV RADIAT COMPL 18.93 1.00<br />

77776 APPLY INTERSTIT RADIAT SIMPL 11.4 1.00<br />

77777 APPLY INTERSTIT RADIAT INTER 15.88 1.00<br />

77778 APPLY INTERSTIT RADIAT COMPL 22.91 1.00<br />

77785 HDR BRACHYTX, 1 CHANNEL 5.47 1.00<br />

77786 HDR BRACHYTX, 2-12 CHANNEL 15.22 1.00<br />

77787 HDR BRACHYTX OVER 12 CHAN 23.44 1.00<br />

77789 APPLY SURFACE RADIATION 2.96 1.00<br />

77790 RADIATION HANDLING 2.45 1.00<br />

78000 THYROID, SINGLE UPTAKE 1.84 1.00<br />

78001 THYROID, MULTIPLE UPTAKES 2.36 1.00<br />

78003 THYROID SUPPRESS/STIMUL 2.06 1.00<br />

78006 THYROID IMAGING WITH UPTAKE 5.89 1.00<br />

78007 THYROID IMAGE, MULT UPTAKES 4.22 1.00<br />

78010 THYROID IMAGING 4.07 1.00<br />

78011 THYROID IMAGING WITH FLOW 4.57 1.00<br />

78015 THYROID MET IMAGING 5.46 1.00<br />

78016 THYROID MET IMAGING/STUDIES 8.02 1.00<br />

78018 THYROID MET IMAGING, BODY 8.2 1.00<br />

78020 THYROID MET UPTAKE 2.32 1.00<br />

78070 PARATHYROID NUCLEAR IMAGING 4.45 1.00<br />

78075 ADRENAL NUCLEAR IMAGING 10.83 1.00<br />

78102 BONE MARROW IMAGING, LTD 4.27 1.00<br />

78103 BONE MARROW IMAGING, MULT 5.7 1.00<br />

78104 BONE MARROW IMAGING, BODY 6.49 1.00<br />

78110 PLASMA VOLUME, SINGLE 2.09 1.00<br />

78111 PLASMA VOLUME, MULTIPLE 2.41 1.00<br />

78120 RED CELL MASS, SINGLE 2.24 1.00<br />

78121 RED CELL MASS, MULTIPLE 2.56 1.00<br />

78130 RED CELL SURVIVAL STUDY 4.03 1.00<br />

78135 RED CELL SURVIVAL KINETICS 8.59 1.00<br />

78140 RED CELL SEQUESTRATION 3.74 1.00<br />

78185 SPLEEN IMAGING 5.01 1.00<br />

78190 PLATELET SURVIVAL, KINETICS 9.92 1.00<br />

78191 PLATELET SURVIVAL 4.84 1.00<br />

78195 LYMPH SYSTEM IMAGING 8.95 1.00<br />

78201 LIVER IMAGING 4.68 1.00<br />

78202 LIVER IMAGING WITH FLOW 5.24 1.00<br />

78205 LIVER IMAGING (3D) 6.04 1.00<br />

78206 LIVER IMAGE (3D) WITH FLOW 8.96 1.00<br />

78215 LIVER AND SPLEEN IMAGING 4.89 1.00<br />

78216 LIVER & SPLEEN IMAGE/FLOW 3.52 1.00<br />

78220 LIVER FUNCTION STUDY 3.65 1.00<br />

78223 HEPATOBILIARY IMAGING 8.31 1.00<br />

78230 SALIVARY GLAND IMAGING 4.2 1.00<br />

78231 SERIAL SALIVARY IMAGING 3.4 1.00<br />

78232 SALIVARY GLAND FUNCTION EXAM 3.3 1.00<br />

78258 ESOPHAGEAL MOTILITY STUDY 5.9 1.00<br />

78261 GASTRIC MUCOSA IMAGING 6.37 1.00<br />

78262 GASTROESOPHAGEAL REFLUX EXAM 6.26 1.00

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