fee schedule 2009 new - DE Medical Assistance Program

42700 3 DRAINAGE OF TONSIL ABSCESS 169.85
4270F 9 PT RCVNG ANTI R-VIRAL THXPY 0.00
4271F 9 PT RCVNG ANTI R-VIRAL THXPY 0.00
42720 3 DRAINAGE OF THROAT ABSCESS 414.39
42725 3 DRAINAGE OF THROAT ABSCESS 744.16
4274F 9 FLU IMMUNO ADMIND RCVD 0.00
4275F 9 POTENT ANTIVIR THXPY RXD 0.00
4279F 9 PCP PROPHYLAXIS RXD 0.00
42800 3 BIOPSY OF THROAT 142.67
42802 3 BIOPSY OF THROAT 231.38
42804 3 BIOPSY OF UPPER NOSE/THROAT 189.70
42806 3 BIOPSY OF UPPER NOSE/THROAT 213.55
42808 3 EXCISE PHARYNX LESION 208.50
42809 3 REMOVE PHARYNX FOREIGN BODY 156.43
4280F 9 PCP PROPHYLAX RXD 3MON LOW % 0.00
42810 3 EXCISION OF NECK CYST 355.52
42815 3 EXCISION OF NECK CYST 512.78
42820 3 REMOVE TONSILS AND ADENOIDS 271.28
42821 3 REMOVE TONSILS AND ADENOIDS 284.55
42825 3 REMOVAL OF TONSILS 244.06
42826 3 REMOVAL OF TONSILS 235.65
42830 3 REMOVAL OF ADENOIDS 192.46
42831 3 REMOVAL OF ADENOIDS 207.89
42835 3 REMOVAL OF ADENOIDS 168.56
42836 3 REMOVAL OF ADENOIDS 227.22
42842 3 EXTENSIVE SURGERY OF THROAT 881.65
42844 3 EXTENSIVE SURGERY OF THROAT 1,254.01
42845 3 EXTENSIVE SURGERY OF THROAT 2,028.57
42860 3 EXCISION OF TONSIL TAGS 174.03
42870 3 EXCISION OF LINGUAL TONSIL 537.40
42880 O EXCISION NASOPHARYNGEAL LESION (EG, 0.00
42890 3 PARTIAL REMOVAL OF PHARYNX 1,251.33
42892 3 REVISION OF PHARYNGEAL WALLS 1,627.64
42894 3 REVISION OF PHARYNGEAL WALLS 2,091.76
42900 3 REPAIR THROAT WOUND 323.31
4290F 9 PT SCRNED FOR INJ DRUG USE 0.00
4293F 9 PT SCRND - HGH-RSK SEX BEHAV 0.00
42950 3 RECONSTRUCTION OF THROAT 749.44
42953 3 REPAIR THROAT, ESOPHAGUS 954.75
42955 3 SURGICAL OPENING OF THROAT 700.84
42960 3 CONTROL THROAT BLEEDING 157.72
42961 3 CONTROL THROAT BLEEDING 391.94
42962 3 CONTROL THROAT BLEEDING 483.50
42970 3 CONTROL NOSE/THROAT BLEEDING 359.42
42971 3 CONTROL NOSE/THROAT BLEEDING 426.13
42972 3 CONTROL NOSE/THROAT BLEEDING 484.13
42999 5 THROAT SURGERY PROCEDURE 0.00
43000 O ESOPHAGOTOMY, CERVICAL APPROACH; WI 0.00
4300F 9 PT RCVNG WARF THXPY 0.00
4301F 9 PT NOT RCVNG WARF THXPY 0.00