fee schedule 2009 new - DE Medical Assistance Program

84613 O WARFARIN 0.00
84615 O XANTHURENIC ACID 0.00
84620 3 XYLOSE TOLERANCE TEST 6.50
84630 3 ASSAY OF ZINC 15.91
84635 O ZINC, QUANTITATIVE URINE 0.00
84681 3 ASSAY OF C-PEPTIDE 29.07
84695 O GENTAMICIN 0.00
84702 3 CHORIONIC GONADOTROPIN TEST 20.27
84703 3 CHORIONIC GONADOTROPIN ASSAY 10.49
84704 3 HCG, FREE BETACHAIN TEST 20.27
84800 O THYROID STIMULATING HORMONE (TSH), 0.00
84810 O TOBRAMYCIN 0.00
84830 9 OVULATION TESTS 0.00
84999 5 CLINICAL CHEMISTRY TEST 0.00
85000 O BLEEDING TIME DUKE 0.00
85002 3 BLEEDING TIME TEST 6.29
85004 3 AUTOMATED DIFF WBC COUNT 9.04
85005 O BLOOD COUNT BASOPHIL COUNT, DIRECT 0.00
85007 3 BL SMEAR W/DIFF WBC COUNT 4.81
85008 3 BL SMEAR W/O DIFF WBC COUNT 4.81
85009 3 MANUAL DIFF WBC COUNT B-COAT 5.19
85012 O BLOOD COUNT EOSINOPHIL COUNT, DIREC 0.00
85013 3 SPUN MICROHEMATOCRIT 3.31
85014 3 HEMATOCRIT 3.31
85018 3 HEMOGLOBIN 3.31
85021 O AUTOMATED HEMOGRAM 0.00
85022 O AUTOMATED HEMOGRAM 0.00
85023 O AUTOMATED HEMOGRAM 0.00
85024 O AUTOMATED HEMOGRAM 0.00
85025 3 COMPLETE CBC W/AUTO DIFF WBC 10.86
85027 3 COMPLETE CBC, AUTOMATED 9.04
85029 O AUTOMATED HEMOGRAM 0.00
85030 O AUTOMATED HEMOGRAM 0.00
85031 O MANUAL HEMOGRAM, CBC 0.00
85032 3 MANUAL CELL COUNT, EACH 6.01
85041 3 AUTOMATED RBC COUNT 4.02
85044 3 MANUAL RETICULOCYTE COUNT 6.01
85045 3 AUTOMATED RETICULOCYTE COUNT 5.59
85046 3 RETICYTE/HGB CONCENTRATE 7.80
85048 3 AUTOMATED LEUKOCYTE COUNT 3.55
85049 3 AUTOMATED PLATELET COUNT 6.25
85055 3 RETICULATED PLATELET ASSAY 37.41
85060 3 BLOOD SMEAR INTERPRETATION 25.45
85095 O BONE MARROW ASPIRATION 0.00
85097 3 BONE MARROW INTERPRETATION 104.59
85100 O BONE MARROW SMEAR AND/OR CELL BLOCK 0.00
85101 O BONE MARROW SMEAR AND/OR CELL BLOCK 0.00
85102 O BONE MARROW BIOPSY 0.00
85103 O BONE MARROW BIOPSY, NEEDLE OR TROCA 0.00
85105 O BONE MARROW BIOPSY, NEEDLE OR TROCA 0.00