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fee schedule 2009 new - DE Medical Assistance Program

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48510 3 DRAIN PANCREATIC PSEUDOCYST 928.38<br />

48511 3 DRAIN PANCREATIC PSEUDOCYST 950.77<br />

48520 3 FUSE PANCREAS CYST AND BOWEL 939.56<br />

48540 3 FUSE PANCREAS CYST AND BOWEL 1,131.26<br />

48545 3 PANCREATORRHAPHY 1,142.38<br />

48547 3 DUO<strong>DE</strong>NAL EXCLUSION 1,535.40<br />

48548 3 FUSE PANCREAS AND BOWEL 1,439.31<br />

48550 9 DONOR PANCREATECTOMY 0.00<br />

48551 9 PREP DONOR PANCREAS 0.00<br />

48552 9 PREP DONOR PANCREAS/VENOUS 0.00<br />

48554 3 TRANSPL ALLOGRAFT PANCREAS 2,142.95<br />

48556 3 REMOVAL, ALLOGRAFT PANCREAS 1,054.17<br />

48999 5 PANCREAS SURGERY PROCEDURE 0.00<br />

49000 3 EXPLORATION OF ABDOMEN 674.75<br />

49002 3 REOPENING OF ABDOMEN 859.72<br />

49010 3 EXPLORATION BEHIND ABDOMEN 824.50<br />

49020 3 DRAIN ABDOMINAL ABSCESS 1,376.54<br />

49021 3 DRAIN ABDOMINAL ABSCESS 921.32<br />

49040 3 DRAIN, OPEN, ABDOM ABSCESS 861.28<br />

49041 3 DRAIN, PERCUT, ABDOM ABSCESS 918.51<br />

49060 3 DRAIN, OPEN, RETROP ABSCESS 965.14<br />

49061 3 DRAIN, PERCUT, RETROPER ABSC 181.62<br />

49062 3 DRAIN TO PERITONEAL CAVITY 659.34<br />

49080 3 PUNCTURE, PERITONEAL CAVITY 66.68<br />

49081 3 REMOVAL OF ABDOMINAL FLUID 153.99<br />

49085 O REMOVE ABDOMEN FOREIGN BODY 0.00<br />

49180 3 BIOPSY, ABDOMINAL MASS 171.26<br />

49200 O REMOVAL OF ABDOMINAL LESION 0.00<br />

49201 O REMOVE ABDOM LESION, COMPLEX 0.00<br />

49203 3 EXC ABD TUM 5 CM OR LESS 1,046.64<br />

49204 3 EXC ABD TUM OVER 5 CM 1,333.51<br />

49205 3 EXC ABD TUM OVER 10 CM 1,525.15<br />

49215 3 EXCISE SACRAL SPINE TUMOR 1,932.51<br />

49220 3 MULTIPLE SURGERY, ABDOMEN 845.78<br />

49250 3 EXCISION OF UMBILICUS 503.80<br />

49255 3 REMOVAL OF OMENTUM 684.30<br />

49300 O PERITONEOSCOPY WITHOUT BIOPSY 0.00<br />

49301 O PERITONEOSCOPY WITH BIOPSY 0.00<br />

49302 O PERITONEOSCOPY WITH GUI<strong>DE</strong>D TRANSHEP 0.00<br />

49303 O PERITONEOSCOPY WITH GUI<strong>DE</strong>D TRANSHEP 0.00<br />

49310 O LAPAROSCOPY, SURGICAL; CHOLECYSTECT 0.00<br />

49311 O LAPAROSCOPY, SURGICAL; CHOLECYSTECT 0.00<br />

49315 O LAPAROSCOPY, SURGICAL;APPEN<strong>DE</strong>CTOMY 0.00<br />

49320 3 DIAG LAPARO SEPARATE PROC 291.68<br />

49321 3 LAPAROSCOPY, BIOPSY 305.91<br />

49322 3 LAPAROSCOPY, ASPIRATION 333.72<br />

49323 3 LAPARO DRAIN LYMPHOCELE 559.57<br />

49324 3 LAP INSERTION PERM IP CATH 343.93<br />

49325 3 LAP REVISION PERM IP CATH 369.44<br />

49326 3 LAP W/OMENTOPEXY ADD-ON 167.82

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