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fee schedule 2009 new - DE Medical Assistance Program

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74340 X-RAY GUI<strong>DE</strong> FOR GI TUBE 3.51 1.00<br />

74355 X-RAY GUI<strong>DE</strong>, INTESTINAL TUBE 3.81 1.00<br />

74360 X-RAY GUI<strong>DE</strong>, GI DILATION 4.08 1.00<br />

74400 CONTRST X-RAY, URINARY TRACT 2.84 1.00<br />

74410 CONTRST X-RAY, URINARY TRACT 3.02 1.00<br />

74415 CONTRST X-RAY, URINARY TRACT 3.41 1.00<br />

74420 CONTRST X-RAY, URINARY TRACT 3.27 1.00<br />

74425 CONTRST X-RAY, URINARY TRACT 1.88 1.00<br />

74430 CONTRAST X-RAY, BLAD<strong>DE</strong>R 1.96 1.00<br />

74440 X-RAY, MALE GENITAL TRACT 2.14 1.00<br />

74445 X-RAY EXAM OF PENIS 2.77 1.00<br />

74450 X-RAY, URETHRA/BLAD<strong>DE</strong>R 2.00 1.00<br />

74455 X-RAY, URETHRA/BLAD<strong>DE</strong>R 2.39 1.00<br />

74470 X-RAY EXAM OF KIDNEY LESION 2.06 1.00<br />

74475 X-RAY CONTROL, CATH INSERT 3.97 1.00<br />

74480 X-RAY CONTROL, CATH INSERT 3.97 1.00<br />

74485 X-RAY GUI<strong>DE</strong>, GU DILATION 3.54 1.00<br />

74710 X-RAY MEASUREMENT OF PELVIS 1.32 1.00<br />

74740 X-RAY, FEMALE GENITAL TRACT 2.07 1.00<br />

74775 X-RAY EXAM OF PERINEUM 2.40 1.00<br />

75557 CARDIAC MRI FOR MORPH 14.59 1.00<br />

75558 CARDIAC MRI FLOW/VELOCITY 16.06 1.00<br />

75559 CARDIAC MRI W/STRESS IMG 21.18 1.00<br />

75560 CARDIAC MRI FLOW/VEL/STRESS 20.84 1.00<br />

75561 CARDIAC MRI FOR MORPH W/DYE 19.65 1.00<br />

75562 CARD MRI FLOW/VEL W/DYE 20.66 1.00<br />

75563 CARD MRI W/STRESS IMG & DYE 24.30 1.00<br />

75564 HT MRI W/FLO/VEL/STRS & DYE 24.29 1.00<br />

75600 CONTRAST X-RAY EXAM OF AORTA 10.78 1.00<br />

75605 CONTRAST X-RAY EXAM OF AORTA 10.12 1.00<br />

75625 CONTRAST X-RAY EXAM OF AORTA 10.02 1.00<br />

75630 X-RAY AORTA, LEG ARTERIES 11.35 1.00<br />

75635 CT ANGIO ABDOMINAL ARTERIES 17.72 1.00<br />

75650 ARTERY X-RAYS, HEAD & NECK 10.52 1.00<br />

75658 ARTERY X-RAYS, ARM 10.44 1.00<br />

75660 ARTERY X-RAYS, HEAD & NECK 10.49 1.00<br />

75662 ARTERY X-RAYS, HEAD & NECK 11.48 1.00<br />

75665 ARTERY X-RAYS, HEAD & NECK 10.63 1.00<br />

75671 ARTERY X-RAYS, HEAD & NECK 11.51 1.00<br />

75676 ARTERY X-RAYS, NECK 10.49 1.00<br />

75680 ARTERY X-RAYS, NECK 11.26 1.00<br />

75685 ARTERY X-RAYS, SPINE 10.49 1.00<br />

75705 ARTERY X-RAYS, SPINE 11.71 1.00<br />

75710 ARTERY X-RAYS, ARM/LEG 10.34 1.00<br />

75716 ARTERY X-RAYS, ARMS/LEGS 11.01 1.00<br />

75722 ARTERY X-RAYS, KIDNEY 10.27 1.00<br />

75724 ARTERY X-RAYS, KIDNEYS 11.34 1.00<br />

75726 ARTERY X-RAYS, ABDOMEN 10.21 1.00<br />

75731 ARTERY X-RAYS, ADRENAL GLAND 10.39 1.00<br />

75733 ARTERY X-RAYS, ADRENALS 11.28 1.00

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