fee schedule 2009 new - DE Medical Assistance Program

91037 ESOPH IMPED FUNCTION TEST 4.29 1.00
91038 ESOPH IMPED FUNCT TEST > 1H 3.74 1.00
91040 ESOPH BALLOON DISTENSION TST 10.52 1.00
91052 GASTRIC ANALYSIS TEST 3.52 1.00
91055 GASTRIC INTUBATION FOR SMEAR 3.77 1.00
91065 BREATH HYDROGEN TEST 1.63 1.00
91105 GASTRIC INTUBATION TREATMENT 0.48 1.00
91110 GI TRACT CAPSULE ENDOSCOPY 25.22 1.00
91111 ESOPHAGEAL CAPSULE ENDOSCOPY 19.89 1.00
91120 RECTAL SENSATION TEST 11.02 1.00
91122 ANAL PRESSURE RECORD 6.68 1.00
91132 ELECTROGASTROGRAPHY 0.76 1.00
91133 ELECTROGASTROGRAPHY W/TEST 0.97 1.00
92502 EAR AND THROAT EXAMINATION 2.57 1.00
92504 EAR MICROSCOPY EXAMINATION 0.26 1.00
92506 SPEECH/HEARING EVALUATION 1.23 1.00
92507 SPEECH/HEARING THERAPY 0.73 1.00
92508 SPEECH/HEARING THERAPY 0.38 1.00
92511 NASOPHARYNGOSCOPY 1.59 1.00
92512 NASAL FUNCTION STUDIES 0.75 1.00
92516 FACIAL NERVE FUNCTION TEST 0.62 1.00
92520 LARYNGEAL FUNCTION STUDIES 1.09 1.00
92526 ORAL FUNCTION THERAPY 0.75 1.00
92541 SPONTANEOUS NYSTAGMUS TEST 1.53 1.00
92542 POSITIONAL NYSTAGMUS TEST 1.58 1.00
92543 CALORIC VESTIBULAR TEST 0.73 1.00
92544 OPTOKINETIC NYSTAGMUS TEST 1.26 1.00
92545 OSCILLATING TRACKING TEST 1.16 1.00
92546 SINUSOIDAL ROTATIONAL TEST 2.22 1.00
92547 SUPPLEMENTAL ELECTRICAL TEST 0.15 1.00
92548 POSTUROGRAPHY 2.63 1.00
92551 PURE TONE HEARING TEST, AIR 0.26 1.00
92552 PURE TONE AUDIOMETRY, AIR 0.56 1.00
92553 AUDIOMETRY, AIR & BONE 0.77 1.00
92555 SPEECH THRESHOLD AUDIOMETRY 0.44 1.00
92556 SPEECH AUDIOMETRY, COMPLETE 0.60 1.00
92557 COMPREHENSIVE HEARING TEST 1.41 1.00
92561 BEKESY AUDIOMETRY, DIAGNOSIS 0.77 1.00
92562 LOUDNESS BALANCE TEST 0.55 1.00
92563 TONE DECAY HEARING TEST 0.50 1.00
92564 SISI HEARING TEST 0.52 1.00
92565 STENGER TEST, PURE TONE 0.37 1.00
92567 TYMPANOMETRY 0.55 1.00
92568 ACOUSTIC REFL THRESHOLD TST 0.57 1.00
92569 ACOUSTIC REFLEX DECAY TEST 0.48 1.00
92571 FILTERED SPEECH HEARING TEST 0.45 1.00
92572 STAGGERED SPONDAIC WORD TEST 0.35 1.00
92575 SENSORINEURAL ACUITY TEST 0.75 1.00
92576 SYNTHETIC SENTENCE TEST 0.56 1.00
92577 STENGER TEST, SPEECH 0.56 1.00