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Description - DE Medical Assistance Program

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44213 LAP, MOBIL SPLENIC FL ADD-ON 3 $177.17<br />

44227 LAP, CLOSE ENTEROSTOMY 3 $1,539.76<br />

44238 LAPAROSCOPE PROC, INTESTINE 5 $0.00<br />

44239 LAPAROSCOPE PROC, RECTUM O $0.00<br />

44300 OPEN BOWEL TO SKIN 3 $771.38<br />

44305 ENTEROSTOMY OR CECOSTOMY, TUBE (EG, O $0.00<br />

44310 ILEOSTOMY/JEJUNOSTOMY 3 $960.03<br />

44312 REVISION OF ILEOSTOMY 3 $547.78<br />

44314 REVISION OF ILEOSTOMY 3 $931.02<br />

44316 <strong>DE</strong>VISE BOWEL POUCH 3 $1,287.38<br />

44320 COLOSTOMY 3 $1,099.97<br />

44322 COLOSTOMY WITH BIOPSIES 3 $887.95<br />

44340 REVISION OF COLOSTOMY 3 $560.45<br />

44345 REVISION OF COLOSTOMY 3 $962.83<br />

44346 REVISION OF COLOSTOMY 3 $1,082.54<br />

44360 SMALL BOWEL ENDOSCOPY 3 $152.92<br />

44361 SMALL BOWEL ENDOSCOPY/BIOPSY 3 $168.22<br />

44363 SMALL BOWEL ENDOSCOPY 3 $199.69<br />

44364 SMALL BOWEL ENDOSCOPY 3 $215.04<br />

44365 SMALL BOWEL ENDOSCOPY 3 $191.67<br />

44366 SMALL BOWEL ENDOSCOPY 3 $253.24<br />

44369 SMALL BOWEL ENDOSCOPY 3 $258.52<br />

44370 SMALL BOWEL ENDOSCOPY/STENT 3 $278.50<br />

44372 SMALL BOWEL ENDOSCOPY 3 $247.18<br />

44373 SMALL BOWEL ENDOSCOPY 3 $199.57<br />

44376 SMALL BOWEL ENDOSCOPY 3 $295.25<br />

44377 SMALL BOWEL ENDOSCOPY/BIOPSY 3 $313.04<br />

44378 SMALL BOWEL ENDOSCOPY 3 $401.31<br />

44379 S BOWEL ENDOSCOPE W/STENT 3 $424.16<br />

44380 SMALL BOWEL ENDOSCOPY 3 $66.56<br />

44382 SMALL BOWEL ENDOSCOPY 3 $80.06<br />

44383 ILEOSCOPY W/STENT 3 $168.18<br />

44385 ENDOSCOPY OF BOWEL POUCH 3 $236.04<br />

44386 ENDOSCOPY, BOWEL POUCH/BIOP 3 $325.26<br />

44388 COLONOSCOPY 3 $325.44<br />

44389 COLONOSCOPY WITH BIOPSY 3 $374.97<br />

44390 COLONOSCOPY FOR FOREIGN BODY 3 $434.48<br />

44391 COLONOSCOPY FOR BLEEDING 3 $481.42<br />

44392 COLONOSCOPY & POLYPECTOMY 3 $409.43<br />

44393 COLONOSCOPY, LESION REMOVAL 3 $473.81<br />

44394 COLONOSCOPY W/SNARE 3 $475.34<br />

44397 COLONOSCOPY W/STENT 3 $266.90<br />

44500 INTRO, GASTROINTESTINAL TUBE 9 $0.00<br />

44600 SUTURE OF INTESTINE (ENTERORRHAPHY) O $0.00<br />

44602 SUTURE, SMALL INTESTINE 3 $1,285.69<br />

44603 SUTURE, SMALL INTESTINE 3 $1,474.90<br />

44604 SUTURE, LARGE INTESTINE 3 $972.38<br />

44605 REPAIR OF BOWEL LESION 3 $1,201.33<br />

44610 SUTURE OF INTESTINE (ENTERORRHAPHY) O $0.00

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