fee schedule 2009 new - DE Medical Assistance Program

A4324 O MALE EXT CATH W/ADH COATING 0.00
A4325 O MALE EXT CATH W/ADH STRIP 0.00
A4326 3 MALE EXTERNAL CATHETER 10.29
A4327 3 FEM URINARY COLLECT DEV CUP 40.32
A4328 3 FEM URINARY COLLECT POUCH 9.97
A4329 O EXTERNAL CATHETER START SET 0.00
A4330 3 STOOL COLLECTION POUCH 6.82
A4331 3 EXTENSION DRAINAGE TUBING 3.04
A4332 3 LUBE STERILE PACKET 0.12
A4333 3 URINARY CATH ANCHOR DEVICE 2.10
A4334 3 URINARY CATH LEG STRAP 4.71
A4335 5 INCONTINENCE SUPPLY 0.00
A4338 3 INDWELLING CATHETER LATEX 10.08
A4340 3 INDWELLING CATHETER SPECIAL 30.28
A4344 3 CATH INDW FOLEY 2 WAY SILICN 12.99
A4346 3 CATH INDW FOLEY 3 WAY 16.26
A4347 O MALE EXTERNAL CATHETER 0.00
A4348 O MALE EXT CATH EXTENDED WEAR 0.00
A4349 3 DISPOSABLE MALE EXTERNAL CAT 2.02
A4350 9 CATHETER CARE KIT 0.00
A4351 3 STRAIGHT TIP URINE CATHETER 1.66
A4352 3 COUDE TIP URINARY CATHETER 6.12
A4353 3 INTERMITTENT URINARY CATH 6.66
A4354 3 CATH INSERTION TRAY W/BAG 11.16
A4355 3 BLADDER IRRIGATION TUBING 8.50
A4356 3 EXT URETH CLMP OR COMPR DVC 43.52
A4357 3 BEDSIDE DRAINAGE BAG 8.77
A4358 3 URINARY LEG OR ABDOMEN BAG 6.33
A4359 O URINARY SUSPENSORY W/O LEG B 0.00
A4360 9 ADULT INCONTINENCE GARMENT 0.00
A4361 3 OSTOMY FACE PLATE 17.42
A4362 3 SOLID SKIN BARRIER 3.30
A4363 6 OSTOMY CLAMP 0.00
A4364 3 ADHESIVE, LIQUID OR EQUAL 2.80
A4365 3 ADHESIVE REMOVER WIPES 10.80
A4366 6 OSTOMY VENT 0.00
A4367 3 OSTOMY BELT 7.01
A4368 9 OSTOMY FILTER 0.00
A4369 3 SKIN BARRIER LIQUID PER OZ 2.30
A4370 O SKIN BARRIER PASTE PER OZ 0.00
A4371 3 SKIN BARRIER POWDER PER OZ 3.48
A4372 3 SKIN BARRIER SOLID 4X4 EQUIV 3.98
A4373 3 SKIN BARRIER WITH FLANGE 5.99
A4374 O SKIN BARRIER EXTENDED WEAR 0.00
A4375 3 DRAINABLE PLASTIC PCH W FCPL 16.38
A4376 3 DRAINABLE RUBBER PCH W FCPLT 45.38
A4377 3 DRAINABLE PLSTIC PCH W/O FP 4.09
A4378 3 DRAINABLE RUBBER PCH W/O FP 29.33
A4379 3 URINARY PLASTIC POUCH W FCPL 14.33
A4380 3 URINARY RUBBER POUCH W FCPLT 35.60