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fee schedule 2009 new - DE Medical Assistance Program

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78891 O NUCLEAR MED DATA PROC 0.00<br />

78990 O PROVI<strong>DE</strong> DIAG RADIONUCLI<strong>DE</strong>(S) 0.00<br />

78999 5 NUCLEAR DIAGNOSTIC EXAM 0.00<br />

79000 O INIT HYPERTHYROID THERAPY 0.00<br />

79001 O REPEAT HYPERTHYROID THERAPY 0.00<br />

79005 3 NUCLEAR RX, ORAL ADMIN 167.67<br />

79020 O THYROID ABLATION 0.00<br />

79030 O THYROID ABLATION, CARCINOMA 0.00<br />

79035 O THYROID METASTATIC THERAPY 0.00<br />

79100 O HEMATOPOETIC NUCLEAR THERAPY 0.00<br />

79101 3 NUCLEAR RX, IV ADMIN 180.53<br />

79200 3 NUCLEAR RX, INTRACAV ADMIN 183.17<br />

79300 3 NUCLR RX, INTERSTIT COLLOID 0.00<br />

79400 O NONHEMATO NUCLEAR THERAPY 0.00<br />

79403 3 HEMATOPOIETIC NUCLEAR TX 242.29<br />

79420 O INTRAVASCULAR NUCLEAR THER 0.00<br />

79440 3 NUCLEAR RX, INTRA-ARTICULAR 175.80<br />

79445 3 NUCLEAR RX, INTRA-ARTERIAL 0.00<br />

79900 O PROVI<strong>DE</strong> THER RADIOPHARM(S) 0.00<br />

79999 5 NUCLEAR MEDICINE THERAPY 0.00<br />

80002 O AUTOMATED MULTICHANNEL TEST 1 OR 2 0.00<br />

80003 O AUTOMATED MULTICHANNEL TEST 3 CLINI 0.00<br />

80004 O AUTOMATED MULTICHANNEL TEST 4 CLINI 0.00<br />

80005 O AUTOMATED MULTICHANNEL TEST 5 CLINI 0.00<br />

80006 O AUTOMATED MULTICHANNEL TEST 6 CLINI 0.00<br />

80007 O AUTOMATED MULTICHANNEL TEST 7 CLINI 0.00<br />

80008 O AUTOMATED MULTICHANNEL TEST 8 CLINI 0.00<br />

80009 O AUTOMATED MULTICHANNEL TEST 9 CLINI 0.00<br />

80010 O AUTOMATED MULTICHANNEL TEST 10 CLIN 0.00<br />

80011 O AUTOMATED MULTICHANNEL TEST 11 CLIN 0.00<br />

80012 O AUTOMATED MULTICHANNEL TEST 12 CLIN 0.00<br />

80016 O AUTOMATED MULTICHANNEL TEST 13-16 C 0.00<br />

80018 O AUTOMATED MULTICHANNEL TEST 17-18 C 0.00<br />

80019 O AUTOMATED MULTICHANNEL TEST; 19 CLI 0.00<br />

80031 O THERAPEUTIC QUANTITATIVE DRUG MONIT 0.00<br />

80032 O THERAPEUTIC QUANTITATIVE DRUG MONIT 0.00<br />

80033 O THERAPEUTIC QUANTITATIVE DRUG MONIT 0.00<br />

80034 O THERAPEUTIC QUANTITATIVE DRUG MONIT 0.00<br />

80040 O SERUM RADIOIMMUNOASSAY FOR CIRCULAT 0.00<br />

80042 O SERUM ANTIMICROBIAL LEVEL, BIOASSAY 0.00<br />

80047 3 METABOLIC PANEL IONIZED CA 20.27<br />

80048 3 METABOLIC PANEL TOTAL CA 11.83<br />

80049 9 METABOLIC PANEL, BASIC 0.00<br />

80050 3 GENERAL HEALTH PANEL 16.32<br />

80051 3 ELECTROLYTE PANEL 9.80<br />

80052 9 PRE-MARITAL PROFILE 0.00<br />

80053 3 COMPREHEN METABOLIC PANEL 14.77<br />

80054 9 COMPREHEN METABOLIC PANEL 0.00<br />

80055 3 OBSTETRIC PANEL 23.08<br />

80056 9 AMENORRHEA PROFILE 0.00

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