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fee schedule 2009 new - DE Medical Assistance Program

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54440 5 REPAIR OF PENIS 0.00<br />

54450 3 PREPUTIAL STRETCHING 75.90<br />

54500 3 BIOPSY OF TESTIS 73.21<br />

54505 3 BIOPSY OF TESTIS 211.59<br />

54510 O REMOVAL OF TESTIS LESION 0.00<br />

54512 3 EXCISE LESION TESTIS 525.67<br />

54520 3 REMOVAL OF TESTIS 320.56<br />

54522 3 ORCHIECTOMY, PARTIAL 575.96<br />

54530 3 REMOVAL OF TESTIS 537.90<br />

54535 3 EXTENSIVE TESTIS SURGERY 715.65<br />

54550 3 EXPLORATION FOR TESTIS 476.76<br />

54560 3 EXPLORATION FOR TESTIS 668.94<br />

54600 3 REDUCE TESTIS TORSION 441.13<br />

54620 3 SUSPENSION OF TESTIS 297.11<br />

54640 3 SUSPENSION OF TESTIS 453.80<br />

54645 O ORCHIOPEXY, ANY TYPE, WITH OR WITHO 0.00<br />

54650 3 ORCHIOPEXY (FOWLER-STEPHENS) 666.99<br />

54660 9 REVISION OF TESTIS 0.00<br />

54670 3 REPAIR TESTIS INJURY 400.53<br />

54680 3 RELOCATION OF TESTIS(ES) 778.29<br />

54690 3 LAPAROSCOPY, ORCHIECTOMY 630.28<br />

54692 3 LAPAROSCOPY, ORCHIOPEXY 756.27<br />

54699 5 LAPAROSCOPE PROC, TESTIS 0.00<br />

54700 3 DRAINAGE OF SCROTUM 209.94<br />

54800 3 BIOPSY OF EPIDIDYMIS 127.45<br />

54820 O EXPLORATION OF EPIDIDYMIS 0.00<br />

54830 3 REMOVE EPIDIDYMIS LESION 358.72<br />

54840 3 REMOVE EPIDIDYMIS LESION 317.52<br />

54860 3 REMOVAL OF EPIDIDYMIS 406.42<br />

54861 3 REMOVAL OF EPIDIDYMIS 550.98<br />

54865 3 EXPLORE EPIDIDYMIS 345.62<br />

54900 3 FUSION OF SPERMATIC DUCTS 721.02<br />

54901 3 FUSION OF SPERMATIC DUCTS 1,050.15<br />

55000 3 DRAINAGE OF HYDROCELE 128.89<br />

55040 3 REMOVAL OF HYDROCELE 330.18<br />

55041 3 REMOVAL OF HYDROCELES 492.72<br />

55060 3 REPAIR OF HYDROCELE 366.78<br />

55100 3 DRAINAGE OF SCROTUM ABSCESS 227.13<br />

55110 3 EXPLORE SCROTUM 373.63<br />

55120 3 REMOVAL OF SCROTUM LESION 343.00<br />

55150 3 REMOVAL OF SCROTUM 470.59<br />

55175 3 REVISION OF SCROTUM 350.95<br />

55180 3 REVISION OF SCROTUM 669.59<br />

55200 9 INCISION OF SPERM DUCT 0.00<br />

55250 3 REMOVAL OF SPERM DUCT(S) 223.70<br />

55300 9 PREPARE, SPERM DUCT X-RAY 0.00<br />

55400 9 REPAIR OF SPERM DUCT 0.00<br />

55450 3 LIGATION OF SPERM DUCT 402.33<br />

55500 3 REMOVAL OF HYDROCELE 367.04<br />

55520 3 REMOVAL OF SPERM CORD LESION 383.64

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