fee schedule 2009 new - DE Medical Assistance Program

A6507 5 CMPRS BURNGARMENT FOOT-KNEE 0.00
A6508 5 CMPRS BURNGARMENT FOOT-THIGH 0.00
A6509 5 COMPRES BURN GARMENT JACKET 0.00
A6510 5 COMPRES BURN GARMENT LEOTARD 0.00
A6511 5 COMPRES BURN GARMENT PANTY 0.00
A6512 5 COMPRES BURN GARMENT, NOC 0.00
A6513 6 COMPRESS BURN MASK FACE/NECK 0.00
A6530 6 COMPRESSION STOCKING BK18-30 0.00
A6531 6 COMPRESSION STOCKING BK30-40 0.00
A6532 6 COMPRESSION STOCKING BK40-50 0.00
A6533 6 GC STOCKING THIGHLNGTH 18-30 0.00
A6534 6 GC STOCKING THIGHLNGTH 30-40 0.00
A6535 6 GC STOCKING THIGHLNGTH 40-50 0.00
A6536 6 GC STOCKING FULL LNGTH 18-30 0.00
A6537 6 GC STOCKING FULL LNGTH 30-40 0.00
A6538 6 GC STOCKING FULL LNGTH 40-50 0.00
A6539 6 GC STOCKING WAISTLNGTH 18-30 0.00
A6540 6 GC STOCKING WAISTLNGTH 30-40 0.00
A6541 6 GC STOCKING WAISTLNGTH 40-50 0.00
A6542 6 GC STOCKING CUSTOM MADE 0.00
A6543 6 GC STOCKING LYMPHEDEMA 0.00
A6544 6 GC STOCKING GARTER BELT 0.00
A6545 6 GRAD COMP NON-ELASTIC BK 0.00
A6549 6 G COMPRESSION STOCKING 0.00
A6550 6 NEG PRES WOUND THER DRSG SET 0.00
A6551 O NEG PRESS WOUND THER CANISTR 0.00
A7000 3 DISPOSABLE CANISTER FOR PUMP 7.97
A7001 3 NONDISPOSABLE PUMP CANISTER 28.55
A7002 3 TUBING USED W SUCTION PUMP 3.31
A7003 3 NEBULIZER ADMINISTRATION SET 2.61
A7004 3 DISPOSABLE NEBULIZER SML VOL 1.47
A7005 3 NONDISPOSABLE NEBULIZER SET 26.59
A7006 3 FILTERED NEBULIZER ADMIN SET 7.78
A7007 3 LG VOL NEBULIZER DISPOSABLE 3.80
A7008 3 DISPOSABLE NEBULIZER PREFILL 10.52
A7009 3 NEBULIZER RESERVOIR BOTTLE 36.26
A7010 3 DISPOSABLE CORRUGATED TUBING 22.31
A7011 5 NONDISPOS CORRUGATED TUBING 0.00
A7012 3 NEBULIZER WATER COLLEC DEVIC 3.42
A7013 3 DISPOSABLE COMPRESSOR FILTER 0.71
A7014 3 COMPRESSOR NONDISPOS FILTER 3.87
A7015 3 AEROSOL MASK USED W NEBULIZE 1.57
A7016 3 NEBULIZER DOME & MOUTHPIECE 6.24
A7017 3 NEBULIZER NOT USED W OXYGEN 128.23
A7018 3 WATER DISTILLED W/NEBULIZER 0.37
A7019 O SALINE SOLUTION DISPENSER 0.00
A7020 O STERILE H2O OR NSS W LGV NEB 0.00
A7025 3 REPLACE CHEST COMPRESS VEST 434.94
A7026 3 REPLACE CHST CMPRSS SYS HOSE 28.75
A7027 6 COMBINATION ORAL/NASAL MASK 0.00