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fee schedule 2009 new - DE Medical Assistance Program

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40819 EXCISE LIP OR CHEEK FOLD 5.84 1.00<br />

40820 TREATMENT OF MOUTH LESION 4.10 1.00<br />

40830 REPAIR MOUTH LACERATION 4.02 1.00<br />

40831 REPAIR MOUTH LACERATION 5.68 1.00<br />

40840 RECONSTRUCTION OF MOUTH 16.39 1.00<br />

40842 RECONSTRUCTION OF MOUTH 16.36 1.00<br />

40843 RECONSTRUCTION OF MOUTH 20.79 1.00<br />

40844 RECONSTRUCTION OF MOUTH 28.91 1.00<br />

40845 RECONSTRUCTION OF MOUTH 32.86 1.00<br />

41000 DRAINAGE OF MOUTH LESION 2.81 1.00<br />

41005 DRAINAGE OF MOUTH LESION 3.15 1.00<br />

41006 DRAINAGE OF MOUTH LESION 6.63 1.00<br />

41007 DRAINAGE OF MOUTH LESION 6.32 1.00<br />

41008 DRAINAGE OF MOUTH LESION 6.84 1.00<br />

41009 DRAINAGE OF MOUTH LESION 7.46 1.00<br />

41010 INCISION OF TONGUE FOLD 2.73 1.00<br />

41015 DRAINAGE OF MOUTH LESION 8.52 1.00<br />

41016 DRAINAGE OF MOUTH LESION 8.79 1.00<br />

41017 DRAINAGE OF MOUTH LESION 8.85 1.00<br />

41018 DRAINAGE OF MOUTH LESION 10.35 1.00<br />

41019 PLACE NEEDLES H&N FOR RT 12.71 1.00<br />

41100 BIOPSY OF TONGUE 2.83 1.00<br />

41105 BIOPSY OF TONGUE 2.83 1.00<br />

41108 BIOPSY OF FLOOR OF MOUTH 2.28 1.00<br />

41110 EXCISION OF TONGUE LESION 3.30 1.00<br />

41112 EXCISION OF TONGUE LESION 6.28 1.00<br />

41113 EXCISION OF TONGUE LESION 7.00 1.00<br />

41114 EXCISION OF TONGUE LESION 16.29 1.00<br />

41115 EXCISION OF TONGUE FOLD 3.73 1.00<br />

41116 EXCISION OF MOUTH LESION 5.50 1.00<br />

41120 PARTIAL REMOVAL OF TONGUE 26.53 1.00<br />

41130 PARTIAL REMOVAL OF TONGUE 32.49 1.00<br />

41135 TONGUE AND NECK SURGERY 54.27 1.00<br />

41140 REMOVAL OF TONGUE 56.22 1.00<br />

41145 TONGUE REMOVAL, NECK SURGERY 69.84 1.00<br />

41150 TONGUE, MOUTH, JAW SURGERY 55.36 1.00<br />

41153 TONGUE, MOUTH, NECK SURGERY 59.78 1.00<br />

41155 TONGUE, JAW, & NECK SURGERY 73.52 1.00<br />

41250 REPAIR TONGUE LACERATION 3.50 1.00<br />

41251 REPAIR TONGUE LACERATION 4.17 1.00<br />

41252 REPAIR TONGUE LACERATION 5.47 1.00<br />

41500 FIXATION OF TONGUE 11.53 1.00<br />

41510 TONGUE TO LIP SURGERY 10.86 1.00<br />

41520 RECONSTRUCTION, TONGUE FOLD 6.48 1.00<br />

41800 DRAINAGE OF GUM LESION 3.03 1.00<br />

41805 REMOVAL FOREIGN BODY, GUM 3.87 1.00<br />

41806 REMOVAL FOREIGN BODY,JAWBONE 6.29 1.00<br />

41820 EXCISION, GUM, EACH QUADRANT 4.00 1.00<br />

41822 EXCISION OF GUM LESION 4.52 1.00<br />

41823 EXCISION OF GUM LESION 7.97 1.00

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