fee schedule 2009 new - DE Medical Assistance Program

S8180 O TRACH SHOWER PROTECTOR 0.00
S8181 O TRACH TUBE HOLDER 0.00
S8182 O HUMIDIFIER NON-SERVO 0.00
S8183 O HUMIDIFIER DUAL SERVO 0.00
S8185 9 FLUTTER DEVICE 0.00
S8186 9 SWIVEL ADAPTOR 0.00
S8189 9 TRACH SUPPLY NOC 0.00
S8190 9 ELECTRONIC SPIROMETER 0.00
S8200 9 CHEST COMPRESSION VEST 0.00
S8205 9 CHEST COMPRESSION SYSTEM GEN 0.00
S8210 9 MUCUS TRAP 0.00
S8260 O ORAL ORTHOTIC FOR TREATMENT 0.00
S8262 5 MANDIB ORTHO REPOS DEVICE 0.00
S8265 5 HABERMAN FEEDER 0.00
S8270 9 ENURESIS ALARM 0.00
S8300 9 SACRAL NERVE STIMULATION TES 0.00
S8301 9 INFECT CONTROL SUPPLIES NOS 0.00
S8400 9 INCONTINENCE PANTS, EACH 0.00
S8401 O CHILD-SIZE DIAPER 0.00
S8402 9 DIAPERS, EACH 0.00
S8403 O ADULT-SIZE PULL-UP BRIEF 0.00
S8404 9 CHILD-SIZE PULL-UP BRIEF 0.00
S8405 O INCONTINENCE LINERS, EACH 0.00
S8415 9 SUPPLIES FOR HOME DELIVERY 0.00
S8420 9 CUSTOM GRADIENT SLEEV/GLOV 0.00
S8421 9 READY GRADIENT SLEEV/GLOV 0.00
S8422 9 CUSTOM GRAD SLEEVE MED 0.00
S8423 9 CUSTOM GRAD SLEEVE HEAVY 0.00
S8424 9 READY GRADIENT SLEEVE 0.00
S8425 9 CUSTOM GRAD GLOVE MED 0.00
S8426 9 CUSTOM GRAD GLOVE HEAVY 0.00
S8427 9 READY GRADIENT GLOVE 0.00
S8428 9 READY GRADIENT GAUNTLET 0.00
S8429 9 GRADIENT PRESSURE WRAP 0.00
S8430 9 PADDING FOR COMPRSSN BDG 0.00
S8431 9 COMPRESSION BANDAGE 0.00
S8433 O SKIN SUPPORT/BREAST PROSTH 0.00
S8450 9 SPLINT DIGIT 0.00
S8451 9 SPLINT WRIST OR ANKLE 0.00
S8452 9 SPLINT ELBOW 0.00
S8460 9 CAMISOLE POST-MAST 0.00
S8490 9 100 INSULIN SYRINGES 0.00
S8940 9 HIPPOTHERAPY PER SESSION 0.00
S8945 O PT PHONOPHORESIS 30 MINS 0.00
S8948 6 LOW-LEVEL LASER TRMT 15 MIN 0.00
S8950 9 COMPLEX LYMPHEDEMA THERAPY, 0.00
S8990 9 PT OR MANIP FOR MAINT 0.00
S8999 9 RESUSCITATION BAG 0.00
S9001 9 HOME UTERINE MONITOR WITH OR 0.00
S9007 9 ULTRAFILTRATION MONITOR 0.00