fee schedule 2009 new - DE Medical Assistance Program

21465 3 TREAT LOWER JAW FRACTURE 833.96
21470 3 TREAT LOWER JAW FRACTURE 1,079.54
21480 3 RESET DISLOCATED JAW 87.49
21485 3 RESET DISLOCATED JAW 570.01
21490 3 REPAIR DISLOCATED JAW 839.73
21493 O TREAT HYOID BONE FRACTURE 0.00
21494 O TREAT HYOID BONE FRACTURE 0.00
21495 3 TREAT HYOID BONE FRACTURE 607.59
21497 3 INTERDENTAL WIRING 572.56
21499 5 HEAD SURGERY PROCEDURE 0.00
21501 3 DRAIN NECK/CHEST LESION 399.37
21502 3 DRAIN CHEST LESION 481.19
21510 3 DRAINAGE OF BONE LESION 435.46
21550 3 BIOPSY OF NECK/CHEST 231.40
21555 3 REMOVE LESION, NECK/CHEST 387.88
21556 3 REMOVE LESION, NECK/CHEST 372.32
21557 3 REMOVE TUMOR, NECK/CHEST 528.59
21600 3 PARTIAL REMOVAL OF RIB 501.66
21610 3 PARTIAL REMOVAL OF RIB 975.38
21615 3 REMOVAL OF RIB 625.85
21616 3 REMOVAL OF RIB AND NERVES 766.48
21620 3 PARTIAL REMOVAL OF STERNUM 483.25
21627 3 STERNAL DEBRIDEMENT 506.85
21630 3 EXTENSIVE STERNUM SURGERY 1,157.95
21632 3 EXTENSIVE STERNUM SURGERY 1,144.31
21633 O RADICAL RESECTION OF STERNUM; FOR O 0.00
21685 3 HYOID MYOTOMY & SUSPENSION 904.83
21700 3 REVISION OF NECK MUSCLE 394.77
21705 3 REVISION OF NECK MUSCLE/RIB 571.32
21720 3 REVISION OF NECK MUSCLE 350.44
21725 3 REVISION OF NECK MUSCLE 484.99
21740 3 RECONSTRUCTION OF STERNUM 991.27
21742 5 REPAIR STERN/NUSS W/O SCOPE 0.00
21743 5 REPAIR STERNUM/NUSS W/SCOPE 0.00
21750 3 REPAIR OF STERNUM SEPARATION 657.96
21800 3 TREATMENT OF RIB FRACTURE 88.89
21805 3 TREATMENT OF RIB FRACTURE 233.83
21810 3 TREATMENT OF RIB FRACTURE(S) 465.73
21820 3 TREAT STERNUM FRACTURE 121.02
21825 3 TREAT STERNUM FRACTURE 524.11
21899 5 NECK/CHEST SURGERY PROCEDURE 0.00
21920 3 BIOPSY SOFT TISSUE OF BACK 226.48
21925 3 BIOPSY SOFT TISSUE OF BACK 378.73
21930 3 REMOVE LESION, BACK OR FLANK 422.61
21935 3 REMOVE TUMOR, BACK 1,052.47
22010 3 I&D, P-SPINE, C/T/CERV-THOR 816.90
22015 3 I&D, P-SPINE, L/S/LS 811.28
22100 3 REMOVE PART OF NECK VERTEBRA 739.16
22101 3 REMOVE PART, THORAX VERTEBRA 737.80
22102 3 REMOVE PART, LUMBAR VERTEBRA 740.06