fee schedule 2009 new - DE Medical Assistance Program

40810 3 EXCISION OF MOUTH LESION 178.34
40812 3 EXCISE/REPAIR MOUTH LESION 249.71
40814 3 EXCISE/REPAIR MOUTH LESION 338.50
40816 3 EXCISION OF MOUTH LESION 355.33
40818 3 EXCISE ORAL MUCOSA FOR GRAFT 315.02
40819 3 EXCISE LIP OR CHEEK FOLD 269.20
40820 3 TREATMENT OF MOUTH LESION 228.92
40830 3 REPAIR MOUTH LACERATION 218.73
40831 3 REPAIR MOUTH LACERATION 288.34
40840 3 RECONSTRUCTION OF MOUTH 727.98
40842 3 RECONSTRUCTION OF MOUTH 737.03
40843 3 RECONSTRUCTION OF MOUTH 927.29
40844 3 RECONSTRUCTION OF MOUTH 1,230.82
40845 3 RECONSTRUCTION OF MOUTH 1,359.45
4084F 9 ASPIRIN RECVÏD W/IN 24 HRS 0.00
40899 5 MOUTH SURGERY PROCEDURE 0.00
4090F 9 PT RCVNG EPO THXPY 0.00
4095F 9 PT NOT RCVNG EPO THXPY 0.00
41000 3 DRAINAGE OF MOUTH LESION 144.22
41005 3 DRAINAGE OF MOUTH LESION 197.75
41006 3 DRAINAGE OF MOUTH LESION 322.69
41007 3 DRAINAGE OF MOUTH LESION 322.00
41008 3 DRAINAGE OF MOUTH LESION 328.22
41009 3 DRAINAGE OF MOUTH LESION 349.58
4100F 9 BIPHOS THXPY VEIN ORD/RECÏVD 0.00
41010 3 INCISION OF TONGUE FOLD 182.65
41015 3 DRAINAGE OF MOUTH LESION 379.32
41016 3 DRAINAGE OF MOUTH LESION 387.99
41017 3 DRAINAGE OF MOUTH LESION 391.53
41018 3 DRAINAGE OF MOUTH LESION 448.32
41019 3 PLACE NEEDLES H&N FOR RT 446.08
41100 3 BIOPSY OF TONGUE 151.74
41105 3 BIOPSY OF TONGUE 150.72
41108 3 BIOPSY OF FLOOR OF MOUTH 129.65
4110F 9 INT. MAM ART USED FOR CABG 0.00
41110 3 EXCISION OF TONGUE LESION 186.45
41112 3 EXCISION OF TONGUE LESION 293.85
41113 3 EXCISION OF TONGUE LESION 321.25
41114 3 EXCISION OF TONGUE LESION 585.47
41115 3 EXCISION OF TONGUE FOLD 212.16
41116 3 EXCISION OF MOUTH LESION 285.90
41120 3 PARTIAL REMOVAL OF TONGUE 976.89
41130 3 PARTIAL REMOVAL OF TONGUE 1,184.98
41135 3 TONGUE AND NECK SURGERY 1,954.69
41140 3 REMOVAL OF TONGUE 2,033.18
41145 3 TONGUE REMOVAL, NECK SURGERY 2,518.52
41150 3 TONGUE, MOUTH, JAW SURGERY 1,998.79
41153 3 TONGUE, MOUTH, NECK SURGERY 2,151.62
41155 3 TONGUE, JAW, & NECK SURGERY 2,630.75
4115F 9 BETA BLCKR ADMIN W/IN 24 HRS 0.00