fee schedule 2009 new - DE Medical Assistance Program

C1153 9 REGENCY SC+2402L PMKR 0.00
C1154 9 SPL:SPO1,02,04-DEFIB LEAD 0.00
C1155 9 REPLIFORM 8 SQ CM 0.00
C1156 9 TR1102TRSR+2260L,2264L,5131 0.00
C1157 9 TRILOGY DCT 23/8L PMKR 0.00
C1158 9 TVL LEAD SV01,SV02,SV04 0.00
C1159 9 TVL RV02, RV06,RV07:LEAD 0.00
C1160 9 TVL-ADX 1559:LEAD 0.00
C1161 9 TENDRIL DX, 1388 PACING LEAD 0.00
C1162 9 TEMPODR TRILOGYDR+DC PMKR 0.00
C1163 9 TENDRIL SDX, 1488T LEAD 0.00
C1164 9 IODINE-125 BRACHYTX SEED 0.00
C1166 O CYTARABINE LIPOSOMAL, 10 MG 0.00
C1167 O EPIRUBICIN HCL, 2 MG 0.00
C1170 9 ABBI DISP BIOPSY DEVICE 0.00
C1171 9 AUTOSUTURE SITE MARKER STPLE 0.00
C1172 9 SPACEMAKER DISSECT BALLOON 0.00
C1173 9 COR STNTS540,S670,O-WIRE STN 0.00
C1174 9 BARD BRACHYTX NEEDLE 0.00
C1175 9 MIBB DISP BIOPSY DEVICE 0.00
C1176 9 MAMMOTOME HH PROBE W/VAC SYS 0.00
C1177 9 11-G MAMMOTOME PROBE 0.00
C1178 O BUSULFAN IV, 6 MG 0.00
C1179 9 14-G MAMMOTOME PROBE 0.00
C1180 9 VIGOR SR, SC, PMKR 0.00
C1181 9 MERIDIAN SSI, SC, PMKR 0.00
C1182 9 PULSAR SSI, SC, PMKR 0.00
C1183 9 JADE IIS, SIGMA 300S, SC, PM 0.00
C1184 9 SIGMA 200S, SC, PMKR 0.00
C1188 9 I-131 CAP, PER 1-5 MCI 0.00
C1200 O TC 99M SODIUM GLUCOHEPTONAT 0.00
C1201 O TC 99M SUCCIMER, PER VIAL 0.00
C1202 9 TC 99M SULFUR COLLOID, VIAL 0.00
C1203 9 VERTEPORFIN FOR INJ 0.00
C1205 9 TC 99M DISOFENIN, PER VIAL 0.00
C1207 O OCTREOTIDE ACETATE DEPOT 1MG 0.00
C1300 9 HYPERBARIC OXYGEN 0.00
C1302 9 SQ01: LEAD 0.00
C1303 9 CAPSURE FIX 6940/4068-110 0.00
C1304 9 SONCATH MDL 37-416,-418 0.00
C1305 O APLIGRAF 0.00
C1306 9 NEUROCYBERNETICPROS:LEAD 0.00
C1311 9 TRILOGY DR+/DAO PMKR 0.00
C1312 9 MAGIC WALLSTENT--MINI 0.00
C1313 9 MAGIC MEDIUM,RADIUS 31MM 0.00
C1314 9 MAGIC WALLSTENT--LONG 0.00
C1315 9 VIGOR DR, MERIDIAN DR PMKR 0.00
C1316 9 MERIDIAN DDD PMKR 0.00
C1317 9 DISCOVERY SR, PMKR 0.00
C1318 9 MERIDIAN SR PMKR 0.00