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Description - DE Medical Assistance Program

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50684 INJECTION FOR URETER X-RAY 3 $50.56<br />

50686 MEASURE URETER PRESSURE 3 $106.63<br />

50688 CHANGE OF URETER TUBE/STENT 3 $81.06<br />

50690 INJECTION FOR URETER X-RAY 3 $99.36<br />

50700 REVISION OF URETER 3 $943.94<br />

50715 RELEASE OF URETER 3 $1,133.62<br />

50722 RELEASE OF URETER 3 $996.40<br />

50725 RELEASE/REVISE URETER 3 $1,109.18<br />

50727 REVISE URETER 3 $511.67<br />

50728 REVISE URETER 3 $702.93<br />

50740 FUSION OF URETER & KIDNEY 3 $1,142.44<br />

50750 FUSION OF URETER & KIDNEY 3 $1,183.94<br />

50760 FUSION OF URETERS 3 $1,120.94<br />

50770 SPLICING OF URETERS 3 $1,152.87<br />

50780 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,115.60<br />

50782 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,125.37<br />

50783 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,139.11<br />

50785 REIMPLANT URETER IN BLAD<strong>DE</strong>R 3 $1,233.62<br />

50800 IMPLANT URETER IN BOWEL 3 $938.67<br />

50810 FUSION OF URETER & BOWEL 3 $1,290.91<br />

50815 URINE SHUNT TO INTESTINE 3 $1,247.31<br />

50820 CONSTRUCT BOWEL BLAD<strong>DE</strong>R 3 $1,331.00<br />

50825 CONSTRUCT BOWEL BLAD<strong>DE</strong>R 3 $1,686.97<br />

50830 REVISE URINE FLOW 3 $1,827.70<br />

50840 REPLACE URETER BY BOWEL 3 $1,256.27<br />

50845 APPENDICO-VESICOSTOMY 3 $1,274.30<br />

50860 TRANSPLANT URETER TO SKIN 3 $962.06<br />

50900 REPAIR OF URETER 3 $852.36<br />

50920 CLOSURE URETER/SKIN FISTULA 3 $899.58<br />

50930 CLOSURE URETER/BOWEL FISTULA 3 $1,136.25<br />

50940 RELEASE OF URETER 3 $900.40<br />

50945 LAPAROSCOPY URETEROLITHOTOMY 3 $995.92<br />

50947 LAPARO NEW URETER/BLAD<strong>DE</strong>R 3 $1,408.35<br />

50948 LAPARO NEW URETER/BLAD<strong>DE</strong>R 3 $1,310.65<br />

50949 LAPAROSCOPE PROC, URETER 5 $0.00<br />

50951 ENDOSCOPY OF URETER 3 $389.10<br />

50953 ENDOSCOPY OF URETER 3 $411.38<br />

50955 URETER ENDOSCOPY & BIOPSY 3 $451.41<br />

50957 URETER ENDOSCOPY & TREATMENT 3 $442.49<br />

50959 URETER ENDOSCOPY & TRACER O $0.00<br />

50961 URETER ENDOSCOPY & TREATMENT 3 $399.30<br />

50970 URETER ENDOSCOPY 3 $382.62<br />

50972 URETER ENDOSCOPY & CATHETER 3 $369.00<br />

50974 URETER ENDOSCOPY & BIOPSY 3 $488.36<br />

50976 URETER ENDOSCOPY & TREATMENT 3 $480.52<br />

50978 URETER ENDOSCOPY & TRACER O $0.00<br />

50980 URETER ENDOSCOPY & TREATMENT 3 $367.71<br />

51000 DRAINAGE OF BLAD<strong>DE</strong>R O $0.00<br />

51005 DRAINAGE OF BLAD<strong>DE</strong>R O $0.00

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