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fee schedule 2009 new - DE Medical Assistance Program

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S2363 O KYPHOPLASTY, EACH ADDL 0.00<br />

S2370 O INTRADISCAL ELECTROTHERMAL 0.00<br />

S2371 O EACH ADDITIONAL INTERSPACE 0.00<br />

S2400 5 FETAL SURG CONGEN HERNIA 0.00<br />

S2401 9 FETAL SURG URIN TRAC OBSTR 0.00<br />

S2402 9 FETAL SURG CONG CYST MALF 0.00<br />

S2403 9 FETAL SURG PULMON SEQUEST 0.00<br />

S2404 9 FETAL SURG MYELOMENINGO 0.00<br />

S2405 5 FETAL SURG SACROCOC TERATOMA 0.00<br />

S2409 9 FETAL SURG NOC 0.00<br />

S2411 9 FETOSCOP LASER THER TTTS 0.00<br />

S2900 9 ROBOTIC SURGICAL SYSTEM 0.00<br />

S3000 9 BILAT DIL RETINAL EXAM 0.00<br />

S3005 9 EVAL SELF-ASSESS <strong>DE</strong>PRESSION 0.00<br />

S3600 9 STAT LAB 0.00<br />

S3601 9 STAT LAB HOME/NF 0.00<br />

S3620 9 NEWBORN METABOLIC SCREENING 0.00<br />

S3625 9 MATERNAL TRIPLE SCREEN TEST 0.00<br />

S3626 9 MATERNAL SERUM QUAD SCREEN 0.00<br />

S3628 6 PLACENTAL ALPHA MICROGLOBULIN-1RAP 0.00<br />

S3630 9 EOSINOPHIL BLOOD COUNT 0.00<br />

S3645 9 HIV-1 ANTIBODY TESTING OF OR 0.00<br />

S3650 9 SALIVA TEST, HORMONE LEVEL; 0.00<br />

S3652 9 SALIVA TEST, HORMONE LEVEL; 0.00<br />

S3655 9 ANTISPERM ANTIBODIES TEST 0.00<br />

S3700 9 BLAD<strong>DE</strong>R TUMOR-ASSOCIATED 0.00<br />

S3701 O NMP-22 ASSAY 0.00<br />

S3708 9 GASTROINTESTINAL FAT ABSORPT 0.00<br />

S3711 9 CIRCULATING TUMOR CELL TEST 0.00<br />

S3800 9 GENETIC TESTING ALS 0.00<br />

S3818 9 BRCA1 GENE ANAL 0.00<br />

S3819 9 BRCA2 GENE ANAL 0.00<br />

S3820 9 COMP BRCA1/BRCA2 0.00<br />

S3822 9 SING MUTATION BRST/OVAR 0.00<br />

S3823 9 3 MUTATION BRST/OVAR 0.00<br />

S3828 9 COMP MLH1 GENE 0.00<br />

S3829 9 COMP MLH2 GENE 0.00<br />

S3830 9 GENE TEST HNPCC COMP 0.00<br />

S3831 9 GENE TEST HNPCC SINGLE 0.00<br />

S3833 9 COMP APC SEQUENCE 0.00<br />

S3834 9 SING MUTATION APC 0.00<br />

S3835 9 GENE TEST CYSTIC FIBROSIS 0.00<br />

S3837 9 GENE TEST HEMOCHROMATO 0.00<br />

S3840 9 DNA ANALYSIS RET-ONCOGENE 0.00<br />

S3841 9 GENE TEST RETINOBLASTOMA 0.00<br />

S3842 9 GENE TEST HIPPEL-LINDAU 0.00<br />

S3843 9 DNA ANALYSIS FACTOR V 0.00<br />

S3844 9 DNA ANALYSIS <strong>DE</strong>AFNESS 0.00<br />

S3845 9 GENE TEST ALPHA-THALASSEMIA 0.00<br />

S3846 9 GENE TEST BETA-THALASSEMIA 0.00

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