fee schedule 2009 new - DE Medical Assistance Program

J2500 O PARICALCITOL 0.00
J2501 5 PARICALCITOL 0.00
J2503 5 PEGAPTANIB SODIUM INJECTION 0.00
J2504 5 PEGADEMASE BOVINE, 25 IU 0.00
J2505 6 INJECTION, PEGFILGRASTIM 6MG 0.00
J2510 5 PENICILLIN G PROCAINE INJ 0.00
J2512 O INJ PENTAGASTRIN PER 2 ML 0.00
J2513 5 PENTASTARCH 10% SOLUTION 0.00
J2515 6 PENTOBARBITAL SODIUM INJ 0.00
J2520 5 INJECTION, THIOPENTAL SODIUM 0.00
J2540 6 PENICILLIN G POTASSIUM INJ 0.00
J2543 5 PIPERACILLIN/TAZOBACTAM 0.00
J2545 9 PENTAMIDINE NON-COMP UNIT 0.00
J2550 6 PROMETHAZINE HCL INJECTION 0.00
J2560 5 PHENOBARBITAL SODIUM INJ 0.00
J2590 5 OXYTOCIN INJECTION 0.00
J2595 O INJECTION, VASOPRESSIN TANNATE 0.00
J2597 5 INJ DESMOPRESSIN ACETATE 0.00
J2600 O INJECTION, POSTERIOR PITUITARY, UP 0.00
J2640 O PREDNISOLONE SODIUM PH INJ 0.00
J2650 5 PREDNISOLONE ACETATE INJ 0.00
J2670 5 TOTAZOLINE HCL INJECTION 0.00
J2672 O INJECTION, PROPANTHELINE BROMIDE 0.00
J2675 O INJ PROGESTERONE PER 50 MG 0.00
J2680 5 FLUPHENAZINE DECANOATE 25 MG 0.00
J2690 5 PROCAINAMIDE HCL INJECTION 0.00
J2700 6 OXACILLIN SODIUM INJECITON 0.00
J2710 5 NEOSTIGMINE METHYLSLFTE INJ 0.00
J2720 5 INJ PROTAMINE SULFATE/10 MG 0.00
J2724 6 PROTEIN C CONCENTRATE 0.00
J2725 5 INJ PROTIRELIN PER 250 MCG 0.00
J2730 5 PRALIDOXIME CHLORIDE INJ 0.00
J2760 9 PHENTOLAINE MESYLATE INJ 0.00
J2765 3 METOCLOPRAMIDE HCL INJECTION 1.30
J2770 5 QUINUPRISTIN/DALFOPRISTIN 0.00
J2778 6 RANIBIZUMAB INJECTION 0.00
J2780 6 RANITIDINE HYDROCHLORIDE INJ 0.00
J2783 6 RASBURICASE 0.00
J2785 6 REGADENOSON INJECTION 0.00
J2788 6 RHO D IMMUNE GLOBULIN 50 MCG 0.00
J2790 6 RHO D IMMUNE GLOBULIN INJ 0.00
J2791 6 RHOPHYLAC INJECTION 0.00
J2792 6 RHO(D) IMMUNE GLOBULIN H, SD 0.00
J2794 6 RISPERIDONE, LONG ACTING 0.00
J2795 5 ROPIVACAINE HCL INJECTION 0.00
J2800 5 METHOCARBAMOL INJECTION 0.00
J2805 5 SINCALIDE INJECTION 0.00
J2810 5 INJ THEOPHYLLINE PER 40 MG 0.00
J2820 6 SARGRAMOSTIM INJECTION 0.00
J2825 O INJECTION, SARRACENIA PURPUREA PLAN 0.00