fee schedule 2009 new - DE Medical Assistance Program

S5181 9 HH RESIRATORY THRPY NOS DAY 0.00
S5185 9 MED REMINDER SER PER MONTH 0.00
S5190 6 WELLNESS ASSESSMENT BY NONPH 0.00
S5199 9 PERSONAL CARE ITEM NOS EACH 0.00
S5497 9 HIT CATH CARE NOC 0.00
S5498 9 HIT SIMPLE CATH CARE 0.00
S5501 9 HIT COMPLEX CATH CARE 0.00
S5502 9 HIT INTERIM CATH CARE 0.00
S5503 9 MAINTENANCE OF IMPLANTED VAS 0.00
S5517 9 HIT DECLOTTING KIT 0.00
S5518 9 HIT CATH REPAIR KIT 0.00
S5520 9 HIT PICC INSERT KIT 0.00
S5521 9 HIT MIDLINE CATH INSERT KIT 0.00
S5522 9 HIT PICC INSERT NO SUPP 0.00
S5523 9 HIP MIDLINE CATH INSERT KIT 0.00
S5550 6 INSULIN RAPID 5 U 0.00
S5551 6 INSULIN MOST RAPID 5 U 0.00
S5552 6 INSULIN INTERMED 5 U 0.00
S5553 6 INSULIN LONG ACTING 5 U 0.00
S5560 6 INSULIN REUSE PEN 1.5 ML 0.00
S5561 6 INSULIN REUSE PEN 3 ML 0.00
S5565 9 INSULIN CARTRIDGE 150 U 0.00
S5566 9 INSULIN CARTRIDGE 300 U 0.00
S5570 9 INSULIN DISPOS PEN 1.5 ML 0.00
S5571 9 INSULIN DISPOS PEN 3 ML 0.00
S8001 9 RADIOFREQUENCY STIMULATION 0.00
S8004 O WHOLEBODY RADIOPHARM TRGCELL 0.00
S8030 9 TANTALUM RING APPLICATION 0.00
S8035 9 MAGNETIC SOURCE IMAGING 0.00
S8037 9 MRCP 0.00
S8040 9 TOPOGRAPHIC BRAIN MAPPING 0.00
S8042 5 MRI LOW FIELD 0.00
S8048 9 ISOLATED LIMB PERFUSION 0.00
S8049 9 INTRAOPERATIVE RADIATION THE 0.00
S8055 9 US GUIDANCE FETAL REDUCT 0.00
S8060 9 SUPPLY OF CONTRAST MATERIAL 0.00
S8075 O CAD OF DIGITAL MAMMOGR 0.00
S8080 9 SCINTIMAMMOGRAPHY 0.00
S8085 9 FLUORINE-18 FLUORODEOXYGLUCO 0.00
S8092 9 ELECTRON BEAM COMPUTED TOMOG 0.00
S8093 O CT ANGIOGRAPHY CORONARY 0.00
S8095 O WIG (FOR MEDICALLY-INDUCED H 0.00
S8096 9 PORTABLE PEAK FLOW METER 0.00
S8097 9 ASTHMA KIT 0.00
S8100 9 SPACER WITHOUT MASK 0.00
S8101 9 SPACER WITH MASK 0.00
S8105 O OXIMETER FOR MEASURING BLOOD 0.00
S8110 9 PEAK EXPIRATORY FLOW RATE (P 0.00
S8120 9 O2 CONTENTS GAS CUBIC FT 0.00
S8121 9 O2 CONTENTS LIQUID LB 0.00