Description - DE Medical Assistance Program

A0396 ALS ESOPHAGEAL INTUB SUPPLS 9 $0.00
A0398 ALS ROUTINE DISPOSBLE SUPPLS 9 $0.00
A0420 AMBULANCE WAITING 1/2 HR 9 $0.00
A0422 AMBULANCE 02 LIFE SUSTAINING 3 $12.00
A0424 EXTRA AMBULANCE ATTENDANT 5 $0.00
A0425 GROUND MILEAGE 9 $0.00
A0426 ALS 1 3 $35.00
A0427 ALS1-EMERGENCY 3 $55.00
A0428 BLS 3 $35.00
A0429 BLS-EMERGENCY 3 $55.00
A0430 FIXED WING AIR TRANSPORT 9 $0.00
A0431 ROTARY WING AIR TRANSPORT 3 $2,124.00
A0432 PI VOLUNTEER AMBULANCE CO 9 $0.00
A0433 ALS 2 9 $0.00
A0434 SPECIALTY CARE TRANSPORT 9 $0.00
A0435 FIXED WING AIR MILEAGE 9 $0.00
A0436 ROTARY WING AIR MILEAGE 3 $12.80
A0800 AMB TRANS 7PM-7AM O $0.00
A0888 NONCOVERED AMBULANCE MILEAGE 9 $0.00
A0998 AMBULANCE RESPONSE/TREATMENT 9 $0.00
A0999 UNLISTED AMBULANCE SERVICE 9 $0.00
A2000 MANIPULATION OF SPINE BY CHIROPRACT 9 $0.00
A4190 TRANSPARENT FILM, EACH O $0.00
A4200 GAUZE PADS, MEDICATED OR NON-MEDICA O $0.00
A4202 GAUZE, ELASTIC, ALL TYPES, PER ROLL O $0.00
A4203 GAUZE, NON-ELASTIC, PER ROLL O $0.00
A4204 ABSORPTIVE DRESSING (E.G. HYDROCOLL O $0.00
A4205 NON-ABSORPTIVE DRESSING (E.G. HYDRO O $0.00
A4206 1 CC STERILE SYRINGE&NEEDLE 3 $0.22
A4207 2 CC STERILE SYRINGE&NEEDLE 3 $0.20
A4208 3 CC STERILE SYRINGE&NEEDLE 3 $0.18
A4209 5+ CC STERILE SYRINGE&NEEDLE 3 $0.36
A4210 NONNEEDLE INJECTION DEVICE 3 $1.50
A4211 SUPP FOR SELF-ADM INJECTIONS O $0.00
A4212 NON CORING NEEDLE OR STYLET 5 $0.00
A4213 20+ CC SYRINGE ONLY 3 $0.68
A4214 30 CC STERILE WATER/SALINE O $0.00
A4215 STERILE NEEDLE 5 $0.00
A4216 STERILE WATER/SALINE, 10 ML 3 $0.54
A4217 STERILE WATER/SALINE, 500 ML 3 $3.13
A4218 STERILE SALINE OR WATER 6 $0.00
A4220 INFUSION PUMP REFILL KIT 9 $0.00
A4221 MAINT DRUG INFUS CATH PER WK 3 $22.52
A4222 INFUSION SUPPLIES WITH PUMP 3 $46.50
A4223 INFUSION SUPPLIES W/O PUMP 6 $0.00
A4230 INFUS INSULIN PUMP NON NEEDL 3 $10.07
A4231 INFUSION INSULIN PUMP NEEDLE 5 $0.00
A4232 SYRINGE W/NEEDLE INSULIN 3CC 3 $2.54
A4233 ALKALIN BATT FOR GLUCOSE MON 6 $0.00