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fee schedule 2009 new - DE Medical Assistance Program

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31708 O INSTILL AIRWAY CONTRAST DYE 0.00<br />

3170F 9 FLOW CYTO DONE B/4 TX 0.00<br />

31710 O INSERTION OF AIRWAY CATHETER 0.00<br />

31715 3 INJECTION FOR BRONCHUS X-RAY 51.61<br />

31717 3 BRONCHIAL BRUSH BIOPSY 353.52<br />

31719 O TRANSTRACHEAL (PERCUTANEOUS) INTROD 0.00<br />

31720 3 CLEARANCE OF AIRWAYS 49.69<br />

31725 3 CLEARANCE OF AIRWAYS 90.04<br />

31730 3 INTRO, WINDPIPE WIRE/TUBE 652.50<br />

31750 3 REPAIR OF WINDPIPE 1,235.19<br />

31755 3 REPAIR OF WINDPIPE 1,576.03<br />

31760 3 REPAIR OF WINDPIPE 1,282.64<br />

31766 3 RECONSTRUCTION OF WINDPIPE 1,703.79<br />

31770 3 REPAIR/GRAFT OF BRONCHUS 1,249.79<br />

31775 3 RECONSTRUCT BRONCHUS 1,339.74<br />

31780 3 RECONSTRUCT WINDPIPE 1,107.59<br />

31781 3 RECONSTRUCT WINDPIPE 1,335.25<br />

31785 3 REMOVE WINDPIPE LESION 1,018.73<br />

31786 3 REMOVE WINDPIPE LESION 1,403.67<br />

31800 3 REPAIR OF WINDPIPE INJURY 650.84<br />

31805 3 REPAIR OF WINDPIPE INJURY 770.99<br />

31820 3 CLOSURE OF WINDPIPE LESION 393.05<br />

31825 3 REPAIR OF WINDPIPE <strong>DE</strong>FECT 549.94<br />

31830 3 REVISE WINDPIPE SCAR 397.21<br />

31899 5 AIRWAYS SURGICAL PROCEDURE 0.00<br />

32000 O DRAINAGE OF CHEST 0.00<br />

32001 O TOTAL LUNG LAVAGE 0.00<br />

32002 O TREATMENT OF COLLAPSED LUNG 0.00<br />

32005 O TREAT LUNG LINING CHEMICALLY 0.00<br />

3200F 9 BARIUM SWALLOW TEST NOT REQ 0.00<br />

32019 O INSERT PLEURAL CATHETER 0.00<br />

32020 O INSERTION OF CHEST TUBE 0.00<br />

32035 3 EXPLORATION OF CHEST 651.84<br />

32036 3 EXPLORATION OF CHEST 706.88<br />

32095 3 BIOPSY THROUGH CHEST WALL 583.43<br />

32100 3 EXPLORATION/BIOPSY OF CHEST 903.47<br />

3210F 9 GRP A STREP TEST PERFORMED 0.00<br />

32110 3 EXPLORE/REPAIR CHEST 1,353.83<br />

32120 3 RE-EXPLORATION OF CHEST 804.91<br />

32124 3 EXPLORE CHEST FREE ADHESIONS 855.01<br />

32140 3 REMOVAL OF LUNG LESION(S) 915.98<br />

32141 3 REMOVE/TREAT LUNG LESIONS 1,327.22<br />

32150 3 REMOVAL OF LUNG LESION(S) 923.35<br />

32151 3 REMOVE LUNG FOREIGN BODY 943.82<br />

3215F 9 PT IMMUNITY TO HEP A DOCÏD 0.00<br />

32160 3 OPEN CHEST HEART MASSAGE 699.18<br />

3216F 9 PT IMMUNITY TO HEP B DOCÏD 0.00<br />

3218F 9 RNA TSTNG HEP C DOCÏD-DONE 0.00<br />

32200 3 DRAIN, OPEN, LUNG LESION 1,031.72<br />

32201 3 DRAIN, PERCUT, LUNG LESION 940.55

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