10.12.2012 Views

fee schedule 2009 new - DE Medical Assistance Program

fee schedule 2009 new - DE Medical Assistance Program

fee schedule 2009 new - DE Medical Assistance Program

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

C1319 9 WALLSTENT: ENTERAL--60MM 0.00<br />

C1320 9 WALLSTENT: ILIAC 0.00<br />

C1321 9 PALATE/BASE OF TONGUE ELECTR 0.00<br />

C1322 9 TURBINATE SOMNOPLASTY ELECTR 0.00<br />

C1323 9 VAPR/T DISP ELECTRO<strong>DE</strong> 0.00<br />

C1324 9 LIGASURE DISPOSABLE ELECTROD 0.00<br />

C1325 9 PALLADIUM-103 SEED 0.00<br />

C1326 9 ANGIO-JET RHEOLYTIC THROMB 0.00<br />

C1328 9 ANS RENEW NS TRNSMTR 0.00<br />

C1329 9 VERSAPOINT DISP ELECTRO<strong>DE</strong> 0.00<br />

C1333 9 PALMAZ CORINTHIAN BIL STENT 0.00<br />

C1334 9 CROWN,MINI-CROWN,CROSSLC 0.00<br />

C1335 9 MESH, PROLENE 0.00<br />

C1336 9 CONSTANT FLOW IMP PUMP 0.00<br />

C1337 9 ISOMED 8472-20/35/60 0.00<br />

C1348 9 I-131 SOL, PER 1-6 MCI 0.00<br />

C1350 9 PROSTASEED I-125, PER SOURCE 0.00<br />

C1351 9 CAPSURE FIX LEAD 0.00<br />

C1352 9 GEM II DR 0.00<br />

C1353 9 ITREL INTERSTM NEUROSTIM+EXT 0.00<br />

C1354 9 KAPPA 400DR,DIAMOND II 820DR 0.00<br />

C1355 9 KAPPA 600DR, VITA DR 0.00<br />

C1356 9 PROFILE MD V-186HV3 SC <strong>DE</strong>FIB 0.00<br />

C1357 9 ANGSTROM MD V-190HV3 SC <strong>DE</strong>F 0.00<br />

C1358 9 AFFINITY DC 5230R, PMKR 0.00<br />

C1359 9 PULSAR,PULSAR MAX DR, PMKR 0.00<br />

C1360 9 OCULAR PHOTODYNAMIC TX 0.00<br />

C1361 9 REVEAL CARDIAC RECOR<strong>DE</strong>R 0.00<br />

C1362 9 HERCULINK,OTW,SDS BIL STNT 0.00<br />

C1363 9 GEM DR, DC, <strong>DE</strong>FIB 0.00<br />

C1364 9 PHOTON DR V-230HV3 DC <strong>DE</strong>FIB 0.00<br />

C1365 9 GUI<strong>DE</strong>WIRE, HI-TORQUE14/18/35 0.00<br />

C1366 9 GUI<strong>DE</strong>WIRE,PTCA,HI-TORQUE 0.00<br />

C1367 9 GUI<strong>DE</strong> WIRE, HI-TORQUECROSSIT 0.00<br />

C1368 9 ON-Q PAIN MGT SYS 0.00<br />

C1369 9 ANS RENEW STIM SYS RECVR 0.00<br />

C1370 9 TENSION-FREE VAGINAL TAPE 0.00<br />

C1371 9 SYMP NITINOL TRANSHEP BIL SY 0.00<br />

C1372 9 CORDIS NITINOL BIL STENT 0.00<br />

C1375 9 STENT, CORONARY, NIR 0.00<br />

C1376 9 ANS RENEW STIM SYS LEAD 0.00<br />

C1377 9 SPECIFY 3988 NEURO LEAD 0.00<br />

C1378 9 INTERSTIM TX 3080/3886 LEAD 0.00<br />

C1379 9 PISCES-QUAD 3887 LEAD 0.00<br />

C1420 9 STAPLETAC2 BONEW/<strong>DE</strong>RMIS 0.00<br />

C1421 9 STAPLETAC2 BONE WO <strong>DE</strong>RMIS 0.00<br />

C1450 9 ORTHOSPHERE ARTHROPLASTY 0.00<br />

C1451 9 ORTHOSPHERE ARTHROPLASTY KIT 0.00<br />

C1500 9 ATHERECTOMY SYS, PERIPHERAL 0.00<br />

C1700 9 AUTHEN MICK TP BRACHY NEEDLE 0.00

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!