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fee schedule 2009 new - DE Medical Assistance Program

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WW831 O PICC INSERTION TRAY 0.00<br />

WW838 O ENURESIS ALARM FOR AGES 4-20 0.00<br />

WW839 O PHOTOTHERAPY BLANKET 0.00<br />

WW840 9 CARBON ELECTRO<strong>DE</strong>S FOR APNEA MONITOR 0.00<br />

WW841 O STICKY ELECTRO<strong>DE</strong>S FOR APNEA MONITOR 0.00<br />

WW842 O FOAM/VELCRO BELT FOR USE WITH CARBO 0.00<br />

WW843 9 LEAD WIRES FOR APNEA MONITOR-1 SET 0.00<br />

WW844 O PULSE OXIMETER 0.00<br />

WW845 O OXIBANDS - FOR USE WITH PULSE OXIME 0.00<br />

WW846 O OXISENSOR / PROBE - FOR USE WITH PU 0.00<br />

WW847 O MEMORY MONITOR - RENTAL - INCLU<strong>DE</strong>S 0.00<br />

WW848 O SKIN LEVEL GASTROSTOMY KIT 0.00<br />

WW849 O ADAPTER FOR SKIN LEVEL GASTROSTOMY 0.00<br />

WW850 O OXYGEN CONTENT, LIQUID, PER POUND 0.00<br />

WW851 O OXYGEN CONTENT, GASEOUS, PER EACH D 0.00<br />

WW852 O OXYGEN CONTENT, GASEOUS, PER EACH E 0.00<br />

WW853 O OXYGEN CONTENT, GASEOUS, PER EACH H 0.00<br />

WW854 O OXYGEN CONTENT, GASEOUS, PER EACH M 0.00<br />

WW855 O OXYGEN CONTENT, GASEOUS, PER EACH C 0.00<br />

WW856 O STATIONARY COMPRESSED GAS SYSTEM; I 0.00<br />

WW858 O STATIONARY LIQUID OXYGEN SYSTEM, IN 0.00<br />

WW860 O OXYGEN CONCENTRATOR 0.00<br />

WW870 O REPAIR OF PATIENT OWNED DURABLE MED 0.00<br />

WW871 O EPSDT NON-STATE PLAN ORTHOTIC/PROST 0.00<br />

WW880 O ARGININGE POW<strong>DE</strong>R 0.00<br />

WW881 O SPECIAL NEEDS EQUIPMENT - MISCELLAN 0.00<br />

WW900 O HEARING ASSESSMENT-EPSDT SCHOOL BAS 0.00<br />

WW901 O VISION ASSESSMENT-EPSDT SCHOOL BASE 0.00<br />

WW902 O IMMUNIZATION ASSESSMENT-EPSDT SCHOO 0.00<br />

WW903 O <strong>DE</strong>VELOPMENTAL/ORTHOPEDIC ASSESSMENT 0.00<br />

WW904 O <strong>DE</strong>NTAL ASSESSMENT-EPSDT SCHOOL BASE 0.00<br />

WW905 O HEALTH EDUCATION ASSESSMENT-EPSDT S 0.00<br />

WW906 O <strong>DE</strong>NTAL HEALTH EDUCATION-EPSDT SCHOO 0.00<br />

WW910 O INDIVIDUAL NURSING TREATMENT-EPSDT 0.00<br />

WW920 O OCCUPATIONAL THERAPY EVALUATION-EPS 0.00<br />

WW921 O INDIVIDUAL OCCUPATIONAL THERAPY TRE 0.00<br />

WW922 O GROUP OCCUPATIONAL THERAPY TREATMEN 0.00<br />

WW930 O PHYSICAL THERAPY ASSESSMENT-EPSDT S 0.00<br />

WW931 O INDIVIDUAL PHYSICAL THERAPY TREATME 0.00<br />

WW932 O GROUP PHYSICAL THERAPY TREATMENT-EP 0.00<br />

WW936 O ICT PLACEMENT FOR 0-0-S RTC-BASED B 0.00<br />

WW937 O ICT PLACEMENT FOR 0-0-S RTC-BASED B 0.00<br />

WW938 O ICT PLACEMENT FOR O-O-S RTC-BASED B 0.00<br />

WW939 O ICT PLACEMENT FOR 0-0-S RTC-BASED B 0.00<br />

WW940 O MENTAL HEALTH TREATMENT ASSESSMENT- 0.00<br />

WW941 O INDIVIDUAL MENTAL HEALTH TREATMENT 0.00<br />

WW942 O GROUP MENTAL HEALTH TREATMENT THERA 0.00<br />

WW943 O FAMILY MENTAL HEALTH TREATMENT THER 0.00<br />

WW944 O INDIVIDUAL MENTAL HEALTH CO-TREATME 0.00<br />

WW945 O GROUP MENTAL HEALTH CO-TREATMENT TH 0.00

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