fee schedule 2009 new - DE Medical Assistance Program

A0396 9 ALS ESOPHAGEAL INTUB SUPPLS 0.00
A0398 9 ALS ROUTINE DISPOSBLE SUPPLS 0.00
A0420 9 AMBULANCE WAITING 1/2 HR 0.00
A0422 3 AMBULANCE 02 LIFE SUSTAINING 12.00
A0424 5 EXTRA AMBULANCE ATTENDANT 0.00
A0425 9 GROUND MILEAGE 0.00
A0426 3 ALS 1 35.00
A0427 3 ALS1-EMERGENCY 55.00
A0428 3 BLS 35.00
A0429 3 BLS-EMERGENCY 55.00
A0430 9 FIXED WING AIR TRANSPORT 0.00
A0431 3 ROTARY WING AIR TRANSPORT 2,124.00
A0432 9 PI VOLUNTEER AMBULANCE CO 0.00
A0433 9 ALS 2 0.00
A0434 9 SPECIALTY CARE TRANSPORT 0.00
A0435 9 FIXED WING AIR MILEAGE 0.00
A0436 3 ROTARY WING AIR MILEAGE 12.80
A0800 O AMB TRANS 7PM-7AM 0.00
A0888 9 NONCOVERED AMBULANCE MILEAGE 0.00
A0998 9 AMBULANCE RESPONSE/TREATMENT 0.00
A0999 9 UNLISTED AMBULANCE SERVICE 0.00
A2000 9 MANIPULATION OF SPINE BY CHIROPRACT 0.00
A4190 O TRANSPARENT FILM, EACH 0.00
A4200 O GAUZE PADS, MEDICATED OR NON-MEDICA 0.00
A4202 O GAUZE, ELASTIC, ALL TYPES, PER ROLL 0.00
A4203 O GAUZE, NON-ELASTIC, PER ROLL 0.00
A4204 O ABSORPTIVE DRESSING (E.G. HYDROCOLL 0.00
A4205 O NON-ABSORPTIVE DRESSING (E.G. HYDRO 0.00
A4206 3 1 CC STERILE SYRINGE&NEEDLE 0.22
A4207 3 2 CC STERILE SYRINGE&NEEDLE 0.20
A4208 3 3 CC STERILE SYRINGE&NEEDLE 0.18
A4209 3 5+ CC STERILE SYRINGE&NEEDLE 0.36
A4210 3 NONNEEDLE INJECTION DEVICE 1.50
A4211 O SUPP FOR SELF-ADM INJECTIONS 0.00
A4212 5 NON CORING NEEDLE OR STYLET 0.00
A4213 3 20+ CC SYRINGE ONLY 0.68
A4214 O 30 CC STERILE WATER/SALINE 0.00
A4215 5 STERILE NEEDLE 0.00
A4216 3 STERILE WATER/SALINE, 10 ML 0.54
A4217 3 STERILE WATER/SALINE, 500 ML 3.13
A4218 6 STERILE SALINE OR WATER 0.00
A4220 9 INFUSION PUMP REFILL KIT 0.00
A4221 3 MAINT DRUG INFUS CATH PER WK 22.52
A4222 3 INFUSION SUPPLIES WITH PUMP 46.50
A4223 6 INFUSION SUPPLIES W/O PUMP 0.00
A4230 3 INFUS INSULIN PUMP NON NEEDL 10.07
A4231 5 INFUSION INSULIN PUMP NEEDLE 0.00
A4232 3 SYRINGE W/NEEDLE INSULIN 3CC 2.54
A4233 6 ALKALIN BATT FOR GLUCOSE MON 0.00
A4234 6 J-CELL BATT FOR GLUCOSE MON 0.00