fee schedule 2009 new - DE Medical Assistance Program

C8725 9 SYMMIX NEURO LEAD 0.00
C8748 9 ENDOTAK SQ PATCH DEFIB LEAD 0.00
C8749 9 ENDOTAK SQ ARRAY DEFIB LEAD 0.00
C8750 9 UNITY VDDR DC PMKR 0.00
C8775 9 2188 COR PMKR LEAD 0.00
C8776 9 INNOMEDICA PMKR LEAD 0.00
C8777 9 UNIPASS PMKR LEAD 0.00
C8800 9 LG PALMAZ BIL STENT 0.00
C8801 9 GIANTURCO BIL Z STENT 0.00
C8802 9 OASIS STENT INTRO SYS 0.00
C8830 9 GIANTURCO-ROUBIN COR SNT 0.00
C8890 9 PERFLUORON, 2ML 0.00
C8891 9 PERFLUORON, 5/7ML 0.00
C8900 9 MRA W/CONT, ABD 0.00
C8901 9 MRA W/O CONT, ABD 0.00
C8902 9 MRA W/O FOL W/CONT, ABD 0.00
C8903 9 MRI W/CONT, BREAST, UNI 0.00
C8904 9 MRI W/O CONT, BREAST, UNI 0.00
C8905 9 MRI W/O FOL W/CONT, BRST, UN 0.00
C8906 9 MRI W/CONT, BREAST, BI 0.00
C8907 9 MRI W/O CONT, BREAST, BI 0.00
C8908 9 MRI W/O FOL W/CONT, BREAST, 0.00
C8909 9 MRA W/CONT, CHEST 0.00
C8910 9 MRA W/O CONT, CHEST 0.00
C8911 9 MRA W/O FOL W/CONT, CHEST 0.00
C8912 9 MRA W/CONT, LWR EXT 0.00
C8913 9 MRA W/O CONT, LWR EXT 0.00
C8914 9 MRA W/O FOL W/CONT, LWR EXT 0.00
C8918 9 MRA W/CONT, PELVIS 0.00
C8919 9 MRA W/O CONT, PELVIS 0.00
C8920 9 MRA W/O FOL W/CONT, PELVIS 0.00
C8921 9 TTE W OR W/O FOL W/CONT, COM 0.00
C8922 9 TTE W OR W/O FOL W/CONT, F/U 0.00
C8923 9 2D TTE W OR W/O FOL W/CON,CO 0.00
C8924 9 2D TTE W OR W/O FOL W/CON,FU 0.00
C8925 9 2D TEE W OR W/O FOL W/CON,IN 0.00
C8926 9 TEE W OR W/O FOL W/CONT,CONG 0.00
C8927 9 TEE W OR W/O FOL W/CONT, MON 0.00
C8928 9 TTE W OR W/O FOL W/CON,STRES 0.00
C8929 9 TTE W OR WO FOL WCON,DOPPLER 0.00
C8930 9 TTE W OR W/O CONTR, CONT ECG 0.00
C8950 O INTRAVENOUS INFUSION FOR THERAPY/ 0.00
C8951 O INTRAVENOUS INFUSION FOR THERAPY/ 0.00
C8952 O THERAPEUTIC, PROPHYLACTIC OR DIAGN 0.00
C8953 O CHEMOTHERAPY ADMINISTRATION, INTRA 0.00
C8954 O CHEMOTHERAPY ADMINISTRATION, INTRA 0.00
C8955 O CHEMOTHERAPY ADMINISTRATION, INTRA 0.00
C8956 9 REFILLING AND MAINTENANCE OF PORTA 0.00
C8957 9 INTRAVENOUS INFUSION FOR THERAPY/ 0.00
C9000 O NA CHROMATECR51, PER 0.25MCI 0.00