fee schedule 2009 new - DE Medical Assistance Program

91035 26 3 80.47
91035 TC 3 413.71
91037 26 3 49.85
91037 TC 3 112.33
91038 26 3 56.83
91038 TC 3 83.22
91040 26 3 46.70
91040 TC 3 360.59
91052 26 3 40.43
91052 TC 3 93.44
91055 26 3 44.46
91055 TC 3 98.16
91065 26 3 9.98
91065 TC 3 52.92
91110 26 3 184.10
91110 TC 3 786.98
91120 26 3 47.00
91120 TC 3 380.07
91122 26 3 87.92
91122 TC 3 163.28
91132 26 3 26.96
91133 26 3 34.24
92060 26 3 34.31
92060 TC 3 19.57
92065 26 3 17.72
92065 TC 3 22.72
92081 26 3 17.73
92081 TC 3 32.56
92082 26 3 21.61
92082 TC 3 43.97
92083 26 3 24.71
92083 TC 3 50.66
92135 26 3 17.35
92135 TC 3 26.26
92136 26 3 27.43
92136 TC 3 54.01
92235 26 3 40.91
92235 TC 3 84.79
92240 26 3 55.94
92240 TC 3 142.82
92250 26 3 21.61
92250 TC 3 49.48
92265 26 3 38.75
92265 TC 3 39.15
92270 26 3 39.24
92270 TC 3 45.44
92275 26 3 50.50
92275 TC 3 71.02
92283 26 3 8.43
92283 TC 3 33.74