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fee schedule 2009 new - DE Medical Assistance Program

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75520 O CARDIAC RADIOGRAPHY, SELECTIVE CARD 0.00<br />

75523 O CARDIAC RADIOGRAPHY, SELECTIVE CARD 0.00<br />

75524 O CARDIAC RADIOGRAPHY, SELECTIVE CARD 0.00<br />

75527 O CARDIAC RADIOGRAPHY, SELECTIVE CARD 0.00<br />

75528 O CARDIAC RADIOGRAPHY, SELECTIVE CARD 0.00<br />

75552 O HEART MRI FOR MORPH W/O DYE 0.00<br />

75553 O HEART MRI FOR MORPH W/DYE 0.00<br />

75554 O CARDIAC MRI/FUNCTION 0.00<br />

75555 O CARDIAC MRI/LIMITED STUDY 0.00<br />

75556 O CARDIAC MRI/FLOW MAPPING 0.00<br />

75557 3 CARDIAC MRI FOR MORPH 467.71<br />

75558 3 CARDIAC MRI FLOW/VELOCITY 607.31<br />

75559 3 CARDIAC MRI W/STRESS IMG 503.34<br />

75560 3 CARDIAC MRI FLOW/VEL/STRESS 793.80<br />

75561 3 CARDIAC MRI FOR MORPH W/DYE 666.81<br />

75562 3 CARD MRI FLOW/VEL W/DYE 787.31<br />

75563 3 CARD MRI W/STRESS IMG & DYE 695.52<br />

75564 3 HT MRI W/FLO/VEL/STRS & DYE 925.66<br />

75600 3 CONTRAST X-RAY EXAM OF AORTA 414.87<br />

75601 O AORTOGRAPHY, THORACIC, WITHOUT SERI 0.00<br />

75605 3 CONTRAST X-RAY EXAM OF AORTA 384.99<br />

75606 O AORTOGRAPHY, THORACIC, BY SERIALOGR 0.00<br />

75625 3 CONTRAST X-RAY EXAM OF AORTA 380.96<br />

75626 O AORTOGRAPHY, ABDOMINAL, TRANSLUMBAR 0.00<br />

75627 O AORTOGRAPHY, ABDOMINAL, CATHETER, B 0.00<br />

75628 O AORTOGRAPHY, ABDOMINAL, CATHETER, B 0.00<br />

75630 3 X-RAY AORTA, LEG ARTERIES 429.17<br />

75631 O AORTOGRAPHY, ABDOMINAL PLUS BILATER 0.00<br />

75635 3 CT ANGIO ABDOMINAL ARTERIES 455.24<br />

75650 3 ARTERY X-RAYS, HEAD & NECK 398.70<br />

75651 O ANGIOGRAPHY, CERVICOCEREBRAL, CATHE 0.00<br />

75652 O ANGIOGRAPHY, CERVICOCEREBRAL, SELEC 0.00<br />

75653 O ANGIOGRAPHY, CERVICOCEREBRAL, SELEC 0.00<br />

75654 O ANGIOGRAPHY, CERVICOCEREBRAL, SELEC 0.00<br />

75655 O ANGIOGRAPHY, CERVICOCEREBRAL, SELEC 0.00<br />

75656 O ANGIOGRAPHY, CERVICOCEREBRAL, SELEC 0.00<br />

75657 O ANGIOGRAPHY, CERVICOCEREBRAL, SELEC 0.00<br />

75658 3 ARTERY X-RAYS, ARM 396.47<br />

75659 O ANGIOGRAPHY, BRACHIAL, RETROGRA<strong>DE</strong> C 0.00<br />

75660 3 ARTERY X-RAYS, HEAD & NECK 398.54<br />

75661 O ANGIOGRAPHY, EXTERNAL CAROTID, CERE 0.00<br />

75662 3 ARTERY X-RAYS, HEAD & NECK 435.65<br />

75663 O ANGIOGRAPHY, EXTERNAL CAROTID, CERE 0.00<br />

75665 3 ARTERY X-RAYS, HEAD & NECK 403.75<br />

75667 O ANGIOGRAPHY, CAROTID, CEREBRAL, UNI 0.00<br />

75669 O ANGIOGRAPHY, CAROTID, CEREBRAL, UNI 0.00<br />

75671 3 ARTERY X-RAYS, HEAD & NECK 436.74<br />

75672 O ANGIOGRAPHY, CAROTID, CEREBRAL, BIL 0.00<br />

75673 O ANGIOGRAPHY, CAROTID, CEREBRAL, BIL 0.00<br />

75676 3 ARTERY X-RAYS, NECK 398.44

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