fee schedule 2009 new - DE Medical Assistance Program

E0150 9 UNDERARM PAD, CRUTCH, REPLACEMENT, 0.00
E0151 9 HANDGRIP, CANE, CRUTCH, OR WALKER R 0.00
E0152 9 TIP, CANE OR CRUTCH WALKER REPLACEM 0.00
E0153 3 FOREARM CRUTCH PLATFORM ATTA 66.38
E0154 3 WALKER PLATFORM ATTACHMENT 66.38
E0155 3 WALKER WHEEL ATTACHMENT,PAIR 30.20
E0156 3 WALKER SEAT ATTACHMENT 25.29
E0157 3 WALKER CRUTCH ATTACHMENT 66.61
E0158 3 WALKER LEG EXTENDERS SET OF4 30.78
E0159 9 BRAKE FOR WHEELED WALKER 0.00
E0160 3 SITZ TYPE BATH OR EQUIPMENT 31.62
E0161 3 SITZ BATH/EQUIPMENT W/FAUCET 25.09
E0162 3 SITZ BATH CHAIR 139.39
E0163 3 COMMODE CHAIR WITH FIXED ARM 98.08
E0164 O COMMODE CHAIR MOBILE FIXED A 0.00
E0165 3 COMMODE CHAIR WITH DETACHARM 144.20
E0166 O COMMODE CHAIR MOBILE DETACH 0.00
E0167 3 COMMODE CHAIR PAIL OR PAN 10.11
E0168 3 HEAVYDUTY/WIDE COMMODE CHAIR 144.38
E0169 O SEATLIFT INCORP COMMODECHAIR 0.00
E0170 6 COMMODE CHAIR ELECTRIC 0.00
E0171 6 COMMODE CHAIR NON-ELECTRIC 0.00
E0172 6 SEAT LIFT MECHANISM TOILET 0.00
E0175 3 COMMODE CHAIR FOOT REST 53.86
E0176 O AIR PRESSRE PAD/CUSHION NONP 0.00
E0177 O WATER PRESS PAD/CUSHION NONP 0.00
E0178 O GEL PRESSRE PAD/CUSHION NONP 0.00
E0179 O DRY PRESSRE PAD/CUSHION NONP 0.00
E0180 O PRESS PAD ALTERNATING W PUMP 0.00
E0181 3 PRESS PAD ALTERNATING W/ PUM 304.20
E0182 3 REPLACE PUMP, ALT PRESS PAD 235.90
E0183 9 FLOTATION PAD FOR WHEELCHAIR 0.00
E0184 3 DRY PRESSURE MATTRESS 186.27
E0185 3 GEL PRESSURE MATTRESS PAD 306.01
E0186 3 AIR PRESSURE MATTRESS 182.80
E0187 3 WATER PRESSURE MATTRESS 209.20
E0188 3 SYNTHETIC SHEEPSKIN PAD 23.85
E0189 3 LAMBSWOOL SHEEPSKIN PAD 36.30
E0190 6 POSITIONING CUSHION 0.00
E0191 3 PROTECTOR HEEL OR ELBOW 9.56
E0192 O PAD WHEELCHR LOW PRESS/POSIT 0.00
E0193 3 POWERED AIR FLOTATION BED 6,956.30
E0194 3 AIR FLUIDIZED BED 0.00
E0195 9 REPLACEMENT PAD FOR USE WITH MEDICA 0.00
E0196 3 GEL PRESSURE MATTRESS 287.60
E0197 3 AIR PRESSURE PAD FOR MATTRES 211.98
E0198 3 WATER PRESSURE PAD FOR MATTR 211.98
E0199 3 DRY PRESSURE PAD FOR MATTRES 30.66
E0200 3 HEAT LAMP WITHOUT STAND 75.85
E0202 3 PHOTOTHERAPY LIGHT W/ PHOTOM 564.10