fee schedule 2009 new - DE Medical Assistance Program

C1038 9 ULTRACROSS IMAGING CATH 0.00
C1039 9 WALLSTENT, RP/TRACH 0.00
C1040 9 WALLSTENT, TIPS 0.00
C1042 9 WALLSTENT, BILIARY 0.00
C1043 9 ATHERECTOMY SYS, CORONARY 0.00
C1045 9 I-131 MIBG(IOBEN-SULFATE)0.5 0.00
C1047 9 NOGA/NAVI-STAR CATH 0.00
C1048 9 NEUROCYBERNETICPROS:GEN 0.00
C1050 9 PROSORBA COLUMN 0.00
C1051 9 OASIS THROMBECTOMY CATH 0.00
C1053 9 ENSITE 3000 CATHETER 0.00
C1054 9 HYDROLYSER THROMB CATH 6/7F 0.00
C1055 9 TRANSESOPH 210, 210-S CATH 0.00
C1056 9 THERMACHOICE II CATH 0.00
C1057 9 MICROMARK TISSUE MARKER 0.00
C1058 9 TC 99M OXIDRONATE, PER VIAL 0.00
C1059 9 CARTICEL,AUTO CULT-CHNDR CYT 0.00
C1060 9 ACS MULTI-LINK TRISTAR STENT 0.00
C1061 9 ACS VIKING GUIDING CATH 0.00
C1063 9 ENDOTAK ENDURANCE EZ,RX LEAD 0.00
C1064 9 I-131 CAP, EACH ADD MCI 0.00
C1065 9 I-131 SOL, EACH ADD MCI 0.00
C1066 9 IN 111 SATUMOMAB PENDETIDE 0.00
C1067 9 MEGALINK BILIARY STENT 0.00
C1068 9 PULSAR DDD PMKR 0.00
C1069 9 DISCOVERY DR, PMKR 0.00
C1071 9 PULSAR MAX, PULSAR SR PMKR 0.00
C1072 9 GUIDANT:BLLN DIL CATH 0.00
C1073 9 MORCELLATOR 0.00
C1074 9 RX/OTW VIATRAC-PERI DIL CATH 0.00
C1075 9 GUIDANT:LEAD,PMKR 0.00
C1076 9 VENTAK MINI SC DEFIB 0.00
C1077 9 VENTAK VR,PRIZM VR, SC DEFIB 0.00
C1078 9 VENTAK:PRIZM,AV III DR DEFIB 0.00
C1079 O CO 57/58 PER 0.5 UCI 0.00
C1080 O I-131 TOSITUMOMAB, DX 0.00
C1081 O I-131 TOSITUMOMAB, TX 0.00
C1082 O IN-111 IBRITUMOMAB TIUXETAN 0.00
C1083 O YTTRIUM 90 IBRITUMOMAB TIUXE 0.00
C1084 9 DENILEUKIN DIFTITOX, 300 MCG 0.00
C1086 9 TEMOZOLOMIDE, 5 MG 0.00
C1087 9 I-123 PER 100 UCI 0.00
C1088 9 LASER OPTIC TR SYS 0.00
C1089 9 CO 57, 0.5 MCI 0.00
C1090 9 IN 111 CHLORIDE, PER MCI 0.00
C1091 O IN111 OXYQUINOLINE,PER0.5MCI 0.00
C1092 O IN 111 PENTETATE PER 0.5 MCI 0.00
C1093 O TC99M FANOLESOMAB 0.00
C1094 9 TC99MALBUMIN AGGR,PER 1.0MCI 0.00
C1095 9 TC 99M DEPREOTIDE, PER VIAL 0.00