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fee schedule 2009 new - DE Medical Assistance Program

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C2104 9 LASSO <strong>DE</strong>FLECTABLE CATH 0.00<br />

C2151 9 VERIPATH GUIDING CATH 0.00<br />

C2152 9 CORDIS VISTA BRITE TIP CATH 0.00<br />

C2153 9 BARD VIKING CATH 0.00<br />

C2200 9 ARROW-TREROTOLA PTD CATH 0.00<br />

C2300 9 VARISOURCE STND CATH 0.00<br />

C2597 9 CLINICATH 16/18 SGL/DBL 0.00<br />

C2598 9 CLINICATH 18/20/24G--SINGLE 0.00<br />

C2599 9 CLINICATH 16/18 DOUBLE 0.00<br />

C2600 9 GOLD PROBE CATHETER 0.00<br />

C2601 9 BARD DL URETERAL CATH 0.00<br />

C2602 9 VITESSE LASER CATH 1.4/1.7MM 0.00<br />

C2603 9 VITESSE LASER CATH 2.0MM 0.00<br />

C2604 9 VITESSE E LASER CATH 2.0MM 0.00<br />

C2605 9 EXTREME LASER CATH 0.00<br />

C2606 9 SPINECATH XL CATHETER 0.00<br />

C2607 9 SPINECATH INTRADISCAL CATH 0.00<br />

C2608 9 SCIMED 6F WISEGUI<strong>DE</strong> CATHETER 0.00<br />

C2609 9 FLEXIMA BIL DRAINAGE CATH 0.00<br />

C2610 9 FLEXTIPPLUS INTRASPINAL CATH 0.00<br />

C2611 9 ALGOLINE INTRASPINAL CATH 0.00<br />

C2612 9 INDURA CATHETER 0.00<br />

C2614 9 PROBE, PERC LUMB DISC 0.00<br />

C2615 9 SEALANT, PULMONARY, LIQUID 0.00<br />

C2616 9 BRACHYTX, NON-STR,YTTRIUM-90 0.00<br />

C2617 9 STENT, NON-COR, TEM W/O <strong>DE</strong>L 0.00<br />

C2618 9 PROBE, CRYOABLATION 0.00<br />

C2619 9 PMKR, DUAL, NON RATE-RESP 0.00<br />

C2620 9 PMKR, SINGLE, NON RATE-RESP 0.00<br />

C2621 9 PMKR, OTHER THAN SING/DUAL 0.00<br />

C2622 9 PROSTHESIS, PENILE, NON-INF 0.00<br />

C2625 9 STENT, NON-COR, TEM W/<strong>DE</strong>L SY 0.00<br />

C2626 9 INFUSION PUMP, NON-PROG,TEMP 0.00<br />

C2627 9 CATH, SUPRAPUBIC/CYSTOSCOPIC 0.00<br />

C2628 9 CATHETER, OCCLUSION 0.00<br />

C2629 9 INTRO/SHEATH, LASER 0.00<br />

C2630 9 CATH, EP, COOL-TIP 0.00<br />

C2631 9 REP <strong>DE</strong>V, URINARY, W/O SLING 0.00<br />

C2632 O BRACHYTX SOL, I-125, PER MCI 0.00<br />

C2633 O BRACHYTX SOURCE, CESIUM-131 0.00<br />

C2634 9 BRACHYTX, NON-STR, HA, I-125 0.00<br />

C2635 9 BRACHYTX, NON-STR, HA, P-103 0.00<br />

C2636 9 BRACHY LINEAR, NON-STR,P-103 0.00<br />

C2637 9 BRACHY,NON-STR,YTTERBIUM-169 0.00<br />

C2638 9 BRACHYTX, STRAN<strong>DE</strong>D, I-125 0.00<br />

C2639 9 BRACHYTX, NON-STRAN<strong>DE</strong>D,I-125 0.00<br />

C2640 9 BRACHYTX, STRAN<strong>DE</strong>D, P-103 0.00<br />

C2641 9 BRACHYTX, NON-STRAN<strong>DE</strong>D,P-103 0.00<br />

C2642 9 BRACHYTX, STRAN<strong>DE</strong>D, C-131 0.00<br />

C2643 9 BRACHYTX, NON-STRAN<strong>DE</strong>D,C-131 0.00

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