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fee schedule 2009 new - DE Medical Assistance Program

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35638 3 BYPASS GRAFT, WITH OTHER THAN VEIN 1,693.05<br />

35641 O ARTERY BYPASS GRAFT 0.00<br />

35642 3 ARTERY BYPASS GRAFT 999.78<br />

35645 3 ARTERY BYPASS GRAFT 1,015.72<br />

35646 3 ARTERY BYPASS GRAFT 1,708.46<br />

35647 3 ARTERY BYPASS GRAFT 1,544.08<br />

35650 3 ARTERY BYPASS GRAFT 1,062.26<br />

35651 3 ARTERY BYPASS GRAFT 1,362.49<br />

35654 3 ARTERY BYPASS GRAFT 1,366.19<br />

35656 3 ARTERY BYPASS GRAFT 1,078.16<br />

35661 3 ARTERY BYPASS GRAFT 1,080.64<br />

35663 3 ARTERY BYPASS GRAFT 1,250.86<br />

35665 3 ARTERY BYPASS GRAFT 1,173.52<br />

35666 3 ARTERY BYPASS GRAFT 1,268.27<br />

35671 3 ARTERY BYPASS GRAFT 1,116.73<br />

35681 3 COMPOSITE BYPASS GRAFT 79.59<br />

35682 3 COMPOSITE BYPASS GRAFT 354.49<br />

35683 3 COMPOSITE BYPASS GRAFT 417.57<br />

35685 3 BYPASS GRAFT PATENCY/PATCH 199.49<br />

35686 3 BYPASS GRAFT/AV FIST PATENCY 166.07<br />

35691 3 ARTERIAL TRANSPOSITION 980.24<br />

35693 3 ARTERIAL TRANSPOSITION 868.18<br />

35694 3 ARTERIAL TRANSPOSITION 1,024.16<br />

35695 3 ARTERIAL TRANSPOSITION 1,058.60<br />

35697 3 REIMPLANT ARTERY EACH 148.41<br />

35700 3 REOPERATION, BYPASS GRAFT 152.39<br />

35701 3 EXPLORATION, CAROTID ARTERY 528.06<br />

3570F 9 RPRT BONE SCINT X-REFW/X-RAY 0.00<br />

35721 3 EXPLORATION, FEMORAL ARTERY 452.89<br />

3572F 9 PT CONSID POSS RISK FX 0.00<br />

3573F 9 PT NOT CONSID POSS RISK FX 0.00<br />

35741 3 EXPLORATION POPLITEAL ARTERY 492.62<br />

35761 3 EXPLORATION OF ARTERY/VEIN 366.48<br />

35800 3 EXPLORE NECK VESSELS 468.37<br />

35820 3 EXPLORE CHEST VESSELS 1,701.48<br />

35840 3 EXPLORE ABDOMINAL VESSELS 606.84<br />

35860 3 EXPLORE LIMB VESSELS 397.00<br />

35870 3 REPAIR VESSEL GRAFT <strong>DE</strong>FECT 1,264.38<br />

35875 3 REMOVAL OF CLOT IN GRAFT 589.02<br />

35876 3 REMOVAL OF CLOT IN GRAFT 937.27<br />

35879 3 REVISE GRAFT W/VEIN 922.25<br />

35881 3 REVISE GRAFT W/VEIN 1,025.50<br />

35883 3 REVISE GRAFT W/NONAUTO GRAFT 1,211.27<br />

35884 3 REVISE GRAFT W/VEIN 1,285.92<br />

35900 O EXCISION OF INFECTED GRAFT 0.00<br />

35901 3 EXCISION, GRAFT, NECK 501.64<br />

35903 3 EXCISION, GRAFT, EXTREMITY 570.13<br />

35905 3 EXCISION, GRAFT, THORAX 1,732.45<br />

35907 3 EXCISION, GRAFT, ABDOMEN 1,898.11<br />

35910 O EXCISION OF INFECTED GRAFT WITH REV 0.00

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