fee schedule 2009 new - DE Medical Assistance Program

J2050 O INJECTION, LIVER, UP TO 20 MCG 0.00
J2060 6 LORAZEPAM INJECTION 0.00
J2100 O INJECTION, LUMINAL SODIUM, UP TO 12 0.00
J2150 6 MANNITOL INJECTION 0.00
J2160 O INJECTION, CYCLIZINE LACTATE, UP TO 0.00
J2170 6 MECASERMIN INJECTION 0.00
J2175 6 MEPERIDINE HYDROCHL /100 MG 0.00
J2180 5 MEPERIDINE/PROMETHAZINE INJ 0.00
J2185 6 MEROPENEM 0.00
J2190 O INJECTION, MERSALYL WITH THEOPHYLLI 0.00
J2210 5 METHYLERGONOVIN MALEATE INJ 0.00
J2220 5 INJECTION, METHYLANDROSTENEDIOL, AL 0.00
J2240 O METOCURINE IODIDE INJECTION 0.00
J2248 6 MICAFUNGIN SODIUM INJECTION 0.00
J2250 6 INJ MIDAZOLAM HYDROCHLORIDE 0.00
J2260 5 INJECTION, MILRINONE LACTATE 5MG 0.00
J2270 6 MORPHINE SULFATE INJECTION 0.00
J2271 5 MORPHINE SO4 INJECTION 100MG 0.00
J2275 5 MORPHINE SULFATE INJECTION 0.00
J2278 5 ZICONOTIDE INJECTION 0.00
J2280 6 INJ, MOXIFLOXACIN 100 MG 0.00
J2300 3 INJ NALBUPHINE HYDROCHLORIDE 1.55
J2310 6 INJ NALOXONE HYDROCHLORIDE 0.00
J2315 6 NALTREXONE, DEPOT FORM 0.00
J2320 5 NANDROLONE DECANOATE 50 MG 0.00
J2321 5 NANDROLONE DECANOATE 100 MG 0.00
J2322 5 NANDROLONE DECANOATE 200 MG 0.00
J2323 6 NATALIZUMAB INJECTION 0.00
J2324 O NESIRITIDE 0.00
J2325 5 NESIRITIDE INJECTION 0.00
J2330 O THIOTHIXENE INJECTION 0.00
J2350 O NIACINAMIDE/NIACIN INJECTION 0.00
J2352 O OCTREOTIDE ACETATE INJECTION 0.00
J2353 6 OCTREOTIDE INJECTION, DEPOT 0.00
J2354 6 OCTREOTIDE INJ, NON-DEPOT 0.00
J2355 5 OPRELVEKIN INJECTION 0.00
J2357 6 OMALIZUMAB INJECTION 0.00
J2360 5 ORPHENADRINE INJECTION 0.00
J2370 5 PHENYLEPHRINE HCL INJECTION 0.00
J2400 5 CHLOROPROCAINE HCL INJECTION 0.00
J2405 6 ONDANSETRON HCL INJECTION 0.00
J2410 5 OXYMORPHONE HCL INJECTION 0.00
J2425 5 PALIFERMIN INJECTION 0.00
J2430 5 PAMIDRONATE DISODIUM /30 MG 0.00
J2440 5 PAPAVERIN HCL INJECTION 0.00
J2460 5 OXYTETRACYCLINE INJECTION 0.00
J2469 6 PALONOSETRON HCL 0.00
J2480 O HYDROCHLORIDES OF OPIUM INJ 0.00
J2490 O INJECTION, PARALDEHYDE, UP TO 5 ML 0.00
J2495 O INJECTION, TRIDIHEXETHYL CHLORIDE P 0.00