10.12.2012 Views

Description - DE Medical Assistance Program

Description - DE Medical Assistance Program

Description - DE Medical Assistance Program

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

49507 PRP I/HERN INIT BLOCK >5 YR 3 $579.35<br />

49510 REPAIR INGUINAL HERNIA, AGE 5 OR OV O $0.00<br />

49515 REPAIR INGUINAL HERNIA, AGE 5 OR OV O $0.00<br />

49520 REREPAIR ING HERNIA, REDUCE 3 $574.13<br />

49521 REREPAIR ING HERNIA, BLOCKED 3 $698.56<br />

49525 REPAIR ING HERNIA, SLIDING 3 $519.97<br />

49530 REPAIR INGUINAL HERNIA, ANY AGE INC O $0.00<br />

49535 REPAIR INGUINAL HERNIA, ANY AGE STR O $0.00<br />

49540 REPAIR LUMBAR HERNIA 3 $614.18<br />

49550 RPR REM HERNIA, INIT, REDUCE 3 $522.96<br />

49552 REPAIR FEMORAL HERNIA, HENRY APPROA O $0.00<br />

49553 RPR FEM HERNIA, INIT BLOCKED 3 $572.74<br />

49555 REREPAIR FEM HERNIA, REDUCE 3 $544.24<br />

49557 REREPAIR FEM HERNIA, BLOCKED 3 $659.72<br />

49560 RPR VENTRAL HERN INIT, REDUC 3 $672.77<br />

49561 RPR VENTRAL HERN INIT, BLOCK 3 $849.82<br />

49565 REREPAIR VENTRL HERN, REDUCE 3 $699.89<br />

49566 REREPAIR VENTRL HERN, BLOCK 3 $858.73<br />

49568 HERNIA REPAIR W/MESH 3 $249.62<br />

49570 RPR EPIGASTRIC HERN, REDUCE 3 $373.42<br />

49572 RPR EPIGASTRIC HERN, BLOCKED 3 $463.81<br />

49575 REPAIR EPIGASTRIC HERNIA, PROPERITO O $0.00<br />

49580 RPR UMBIL HERN, REDUC < 5 YR 3 $303.79<br />

49581 REPAIR UMBILICAL HERNIA AGE 5 OR OV O $0.00<br />

49582 RPR UMBIL HERN, BLOCK < 5 YR 3 $432.25<br />

49585 RPR UMBIL HERN, REDUC > 5 YR 3 $400.32<br />

49587 RPR UMBIL HERN, BLOCK > 5 YR 3 $473.94<br />

49590 REPAIR SPIGELIAN HERNIA 3 $518.76<br />

49600 REPAIR UMBILICAL LESION 3 $669.42<br />

49605 REPAIR UMBILICAL LESION 3 $4,602.05<br />

49606 REPAIR UMBILICAL LESION 3 $1,038.36<br />

49610 REPAIR UMBILICAL LESION 3 $627.88<br />

49611 REPAIR UMBILICAL LESION 3 $536.22<br />

49650 LAP ING HERNIA REPAIR INIT 3 $385.84<br />

49651 LAP ING HERNIA REPAIR RECUR 3 $501.83<br />

49652 LAP VENT/ABD HERNIA REPAIR 3 $694.44<br />

49653 LAP VENT/ABD HERN PROC COMP 3 $869.81<br />

49654 LAP INC HERNIA REPAIR 3 $798.21<br />

49655 LAP INC HERN REPAIR COMP 3 $960.97<br />

49656 LAP INC HERNIA REPAIR RECUR 3 $800.61<br />

49657 LAP INC HERN RECUR COMP 3 $1,153.36<br />

49659 LAPARO PROC, HERNIA REPAIR 5 $0.00<br />

49900 REPAIR OF ABDOMINAL WALL 3 $743.26<br />

49904 OMENTAL FLAP, EXTRA-ABDOM 3 $1,371.53<br />

49905 OMENTAL FLAP, INTRA-ABDOM 3 $332.52<br />

49906 FREE OMENTAL FLAP, MICROVASC 5 $0.00<br />

49999 ABDOMEN SURGERY PROCEDURE 5 $0.00<br />

50010 EXPLORATION OF KIDNEY 3 $715.81<br />

50020 RENAL ABSCESS, OPEN DRAIN 3 $1,020.47

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!