fee schedule 2009 new - DE Medical Assistance Program

J7070 5 D5W INFUSION 0.00
J7080 O INFUSION, ALBUMISOL 5%, 500 ML VIAL 0.00
J7090 O INFUSION, ALBUMISOL 25%, 50 ML VIAL 0.00
J7100 5 DEXTRAN 40 INFUSION 0.00
J7110 5 DEXTRAN 75 INFUSION 0.00
J7120 5 RINGERS LACTATE INFUSION 0.00
J7130 5 HYPERTONIC SALINE SOLUTION 0.00
J7140 9 PRESCRIPTION DRUG, ORAL, DISPENSED 0.00
J7150 9 PRESCRIPTION DRUG, ORAL CHEMOTHERAP 0.00
J7186 6 ANTIHEMOPHILIC VIII/VWF COMP 0.00
J7187 6 HUMATE-P, INJ 0.00
J7188 O INJ VONWILLEBRAND FACTOR IU 0.00
J7189 5 FACTOR VIIA 0.00
J7190 5 FACTOR VIII 0.00
J7191 5 FACTOR VIII (PORCINE) 0.00
J7192 5 FACTOR VIII RECOMBINANT 0.00
J7193 5 FACTOR IX NON-RECOMBINANT 0.00
J7194 5 FACTOR IX COMPLEX 0.00
J7195 5 FACTOR IX RECOMBINANT 0.00
J7196 O OTHR HEMOPHILIA CLOT FACTORS 0.00
J7198 5 ANTI-INHIBITOR 0.00
J7199 5 HEMOPHILIA CLOT FACTOR NOC 0.00
J7300 9 INTRAUT COPPER CONTRACEPTIVE 0.00
J7302 6 LEVONORGESTREL IU CONTRACEPT 0.00
J7303 6 CONTRACEPTIVE VAGINAL RING 0.00
J7304 9 CONTRACEPTIVE HORMONE PATCH 0.00
J7306 9 LEVONORGESTREL IMPLANT SYS 0.00
J7307 6 ETONOGESTREL IMPLANT SYSTEM 0.00
J7308 9 AMINOLEVULINIC ACID HCL TOP 0.00
J7310 9 GANCICLOVIR LONG ACT IMPLANT 0.00
J7311 9 FLUOCINOLONE ACETONIDE IMPLT 0.00
J7315 O SODIUM HYALURONATE INJECTION 0.00
J7316 O SODIUM HYALURONATE INJECTION 0.00
J7317 O SODIUM HYALURONATE INJECTION 0.00
J7319 O SODIUM HYALURONATE INJECTION 0.00
J7321 6 HYALGAN/SUPARTZ INJ PER DOSE 0.00
J7322 6 SYNVISC INJ PER DOSE 0.00
J7323 6 EUFLEXXA INJ PER DOSE 0.00
J7324 6 ORTHOVISC INJ PER DOSE 0.00
J7330 9 CULTURED CHONDROCYTES IMPLNT 0.00
J7340 O METABOLIC ACTIVE D/E TISSUE 0.00
J7341 O NON-HUMAN, METABOLIC TISSUE 0.00
J7342 O METABOLICALLY ACTIVE TISSUE 0.00
J7343 O NONMETABOLIC ACT D/E TISSUE 0.00
J7344 O NONMETABOLIC ACTIVE TISSUE 0.00
J7345 O NON-HUMAN, NON-METAB TISSUE 0.00
J7346 O INJECTABLE HUMAN TISSUE 0.00
J7347 O INTEGRA MATRIX TISSUE 0.00
J7348 O TISSUEMEND TISSUE 0.00
J7349 O PRIMATRIX TISSUE 0.00