fee schedule 2009 new - DE Medical Assistance Program

A6261 5 WOUND FILLER GEL/PASTE /OZ 0.00
A6262 5 WOUND FILLER DRY FORM / GRAM 0.00
A6263 O NON-STERILE ELASTIC GAUZE/YD 0.00
A6264 O NON-STERILE NO ELASTIC GAUZE 0.00
A6265 O TAPE PER 18 SQ INCHES 0.00
A6266 3 IMPREG GAUZE NO H20/SAL/YARD 1.83
A6402 3 STERILE GAUZE 16 48 SQ IN 0.41
A6405 O STERILE ELASTIC GAUZE /YD 0.00
A6406 O STERILE NON-ELASTIC GAUZE/YD 0.00
A6407 3 PACKING STRIPS, NON-IMPREG 1.88
A6410 5 STERILE EYE PAD 0.00
A6411 5 NON-STERILE EYE PAD 0.00
A6412 5 OCCLUSIVE EYE PATCH 0.00
A6413 9 ADHESIVE BANDAGE, FIRST-AID 0.00
A6421 O PAD BANDAGE >=3 =3=5ÊW /ROLL 0.00
A6426 O CONF BANDAGE S >=3=5Ê W /ROLL 0.00
A6430 O LT COMPRES BDG >=3=5ÊW /ROLL 0.00
A6434 O MO COMPRES BDG >=3=3=3=3=3" =3"=3"=5"/YD 1.39
A6456 3 ZINC PASTE BAND W >=3"