fee schedule 2009 new - DE Medical Assistance Program

E2343 6 W/C DPTH 22-25 IN SEAT FRAME 0.00
E2351 6 ELECTRONIC SGD INTERFACE 0.00
E2360 3 22NF NONSEALED LEADACID 112.34
E2361 3 22NF SEALED LEADACID BATTERY 139.47
E2362 3 GR24 NONSEALED LEADACID 91.98
E2363 3 GR24 SEALED LEADACID BATTERY 186.00
E2364 3 U1NONSEALED LEADACID BATTERY 112.34
E2365 3 U1 SEALED LEADACID BATTERY 112.17
E2366 3 BATTERY CHARGER, SINGLE MODE 263.62
E2367 3 BATTERY CHARGER, DUAL MODE 419.07
E2368 6 POWER WC MOTOR REPLACEMENT 0.00
E2369 6 PWR WC GEAR BOX REPLACEMENT 0.00
E2370 6 PWR WC MOTOR/GEAR BOX COMBO 0.00
E2371 6 GR27 SEALED LEADACID BATTERY 0.00
E2372 6 GR27 NON-SEALED LEADACID 0.00
E2373 6 HAND/CHIN CTRL SPEC JOYSTICK 0.00
E2374 6 HAND/CHIN CTRL STD JOYSTICK 0.00
E2375 6 NON-EXPANDABLE CONTROLLER 0.00
E2376 6 EXPANDABLE CONTROLLER, REPL 0.00
E2377 6 EXPANDABLE CONTROLLER, INITL 0.00
E2381 6 PNEUM DRIVE WHEEL TIRE 0.00
E2382 6 TUBE, PNEUM WHEEL DRIVE TIRE 0.00
E2383 6 INSERT, PNEUM WHEEL DRIVE 0.00
E2384 6 PNEUMATIC CASTER TIRE 0.00
E2385 6 TUBE, PNEUMATIC CASTER TIRE 0.00
E2386 6 FOAM FILLED DRIVE WHEEL TIRE 0.00
E2387 6 FOAM FILLED CASTER TIRE 0.00
E2388 6 FOAM DRIVE WHEEL TIRE 0.00
E2389 6 FOAM CASTER TIRE 0.00
E2390 6 SOLID DRIVE WHEEL TIRE 0.00
E2391 6 SOLID CASTER TIRE 0.00
E2392 6 SOLID CASTER TIRE, INTEGRATE 0.00
E2393 6 VALVE, PNEUMATIC TIRE TUBE 0.00
E2394 6 DRIVE WHEEL EXCLUDES TIRE 0.00
E2395 6 CASTER WHEEL EXCLUDES TIRE 0.00
E2396 6 CASTER FORK 0.00
E2397 6 PWC ACC, LITH-BASED BATTERY 0.00
E2399 6 NOC INTERFACE 0.00
E2402 6 NEG PRESS WOUND THERAPY PUMP 0.00
E2500 6 SGD DIGITIZED PRE-REC 8MIN 20MIN 40 MIN 0.00
E2508 6 SGD SPELLING PHYS CONTACT 0.00
E2510 6 SGD W MULTI METHODS MSG/ACCS 0.00
E2511 6 SGD SFTWRE PRGRM FOR PC/PDA 0.00
E2512 6 SGD ACCESSORY, MOUNTING SYS 0.00
E2599 6 SGD ACCESSORY NOC 0.00
E2601 6 GEN W/C CUSHION WDTH < 22 IN 0.00
E2602 6 GEN W/C CUSHION WDTH >=22 IN 0.00