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fee schedule 2009 new - DE Medical Assistance Program

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49428 LIGATION OF SHUNT 11.05 1.00<br />

49429 REMOVAL OF SHUNT 11.64 1.00<br />

49435 INSERT SUBQ EXTEN TO IP CATH 3.15 1.00<br />

49436 EMBED<strong>DE</strong>D IP CATH EXIT-SITE 4.63 1.00<br />

49440 PLACE GASTROSTOMY TUBE PERC 6.48 1.00<br />

49441 PLACE DUOD/JEJ TUBE PERC 7.07 1.00<br />

49442 PLACE CECOSTOMY TUBE PERC 5.87 1.00<br />

49446 CHANGE G-TUBE TO G-J PERC 4.64 1.00<br />

49450 REPLACE G/C TUBE PERC 1.88 1.00<br />

49451 REPLACE DUOD/JEJ TUBE PERC 2.59 1.00<br />

49452 REPLACE G-J TUBE PERC 4.04 1.00<br />

49460 FIX G/COLON TUBE W/<strong>DE</strong>VICE 1.32 1.00<br />

49465 FLUORO EXAM OF G/COLON TUBE 0.87 1.00<br />

49491 RPR HERN PREEMIE REDUC 18.65 1.00<br />

49492 RPR ING HERN PREMIE, BLOCKED 23.30 1.00<br />

49495 RPR ING HERNIA BABY, REDUC 9.90 1.00<br />

49496 RPR ING HERNIA BABY, BLOCKED 14.75 1.00<br />

49500 RPR ING HERNIA, INIT, REDUCE 9.85 1.00<br />

49501 RPR ING HERNIA, INIT BLOCKED 14.63 1.00<br />

49505 PRP I/HERN INIT REDUC >5 YR 12.72 1.00<br />

49507 PRP I/HERN INIT BLOCK >5 YR 15.69 1.00<br />

49520 REREPAIR ING HERNIA, REDUCE 15.59 1.00<br />

49521 REREPAIR ING HERNIA, BLOCKED 19.06 1.00<br />

49525 REPAIR ING HERNIA, SLIDING 14.08 1.00<br />

49540 REPAIR LUMBAR HERNIA 16.69 1.00<br />

49550 RPR REM HERNIA, INIT, REDUCE 14.17 1.00<br />

49553 RPR FEM HERNIA, INIT BLOCKED 15.49 1.00<br />

49555 REREPAIR FEM HERNIA, REDUCE 14.74 1.00<br />

49557 REREPAIR FEM HERNIA, BLOCKED 17.92 1.00<br />

49560 RPR VENTRAL HERN INIT, REDUC 18.37 1.00<br />

49561 RPR VENTRAL HERN INIT, BLOCK 23.12 1.00<br />

49565 REREPAIR VENTRL HERN, REDUCE 18.96 1.00<br />

49566 REREPAIR VENTRL HERN, BLOCK 23.35 1.00<br />

49568 HERNIA REPAIR W/MESH 6.97 1.00<br />

49570 RPR EPIGASTRIC HERN, REDUCE 9.99 1.00<br />

49572 RPR EPIGASTRIC HERN, BLOCKED 12.31 1.00<br />

49580 RPR UMBIL HERN, REDUC < 5 YR 7.70 1.00<br />

49582 RPR UMBIL HERN, BLOCK < 5 YR 11.51 1.00<br />

49585 RPR UMBIL HERN, REDUC > 5 YR 10.73 1.00<br />

49587 RPR UMBIL HERN, BLOCK > 5 YR 12.75 1.00<br />

49590 REPAIR SPIGELIAN HERNIA 14.03 1.00<br />

49600 REPAIR UMBILICAL LESION 18.14 1.00<br />

49605 REPAIR UMBILICAL LESION 124.29 1.00<br />

49606 REPAIR UMBILICAL LESION 28.61 1.00<br />

49610 REPAIR UMBILICAL LESION 17.14 1.00<br />

49611 REPAIR UMBILICAL LESION 15.63 1.00<br />

49650 LAP ING HERNIA REPAIR INIT 10.50 1.00<br />

49651 LAP ING HERNIA REPAIR RECUR 13.56 1.00<br />

49900 REPAIR OF ABDOMINAL WALL 20.14 1.00<br />

49904 OMENTAL FLAP, EXTRA-ABDOM 38.41 1.00

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