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Description - DE Medical Assistance Program

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C2607 SPINECATH INTRADISCAL CATH 9 $0.00<br />

C2608 SCIMED 6F WISEGUI<strong>DE</strong> CATHETER 9 $0.00<br />

C2609 FLEXIMA BIL DRAINAGE CATH 9 $0.00<br />

C2610 FLEXTIPPLUS INTRASPINAL CATH 9 $0.00<br />

C2611 ALGOLINE INTRASPINAL CATH 9 $0.00<br />

C2612 INDURA CATHETER 9 $0.00<br />

C2614 PROBE, PERC LUMB DISC 9 $0.00<br />

C2615 SEALANT, PULMONARY, LIQUID 9 $0.00<br />

C2616 BRACHYTX, NON-STR,YTTRIUM-90 9 $0.00<br />

C2617 STENT, NON-COR, TEM W/O <strong>DE</strong>L 9 $0.00<br />

C2618 PROBE, CRYOABLATION 9 $0.00<br />

C2619 PMKR, DUAL, NON RATE-RESP 9 $0.00<br />

C2620 PMKR, SINGLE, NON RATE-RESP 9 $0.00<br />

C2621 PMKR, OTHER THAN SING/DUAL 9 $0.00<br />

C2622 PROSTHESIS, PENILE, NON-INF 9 $0.00<br />

C2625 STENT, NON-COR, TEM W/<strong>DE</strong>L SY 9 $0.00<br />

C2626 INFUSION PUMP, NON-PROG,TEMP 9 $0.00<br />

C2627 CATH, SUPRAPUBIC/CYSTOSCOPIC 9 $0.00<br />

C2628 CATHETER, OCCLUSION 9 $0.00<br />

C2629 INTRO/SHEATH, LASER 9 $0.00<br />

C2630 CATH, EP, COOL-TIP 9 $0.00<br />

C2631 REP <strong>DE</strong>V, URINARY, W/O SLING 9 $0.00<br />

C2632 BRACHYTX SOL, I-125, PER MCI O $0.00<br />

C2633 BRACHYTX SOURCE, CESIUM-131 O $0.00<br />

C2634 BRACHYTX, NON-STR, HA, I-125 9 $0.00<br />

C2635 BRACHYTX, NON-STR, HA, P-103 9 $0.00<br />

C2636 BRACHY LINEAR, NON-STR,P-103 9 $0.00<br />

C2637 BRACHY,NON-STR,YTTERBIUM-169 9 $0.00<br />

C2638 BRACHYTX, STRAN<strong>DE</strong>D, I-125 9 $0.00<br />

C2639 BRACHYTX, NON-STRAN<strong>DE</strong>D,I-125 9 $0.00<br />

C2640 BRACHYTX, STRAN<strong>DE</strong>D, P-103 9 $0.00<br />

C2641 BRACHYTX, NON-STRAN<strong>DE</strong>D,P-103 9 $0.00<br />

C2642 BRACHYTX, STRAN<strong>DE</strong>D, C-131 9 $0.00<br />

C2643 BRACHYTX, NON-STRAN<strong>DE</strong>D,C-131 9 $0.00<br />

C2676 RSPONSE CV CATHETER 9 $0.00<br />

C2698 BRACHYTX, STRAN<strong>DE</strong>D, NOS 9 $0.00<br />

C2699 BRACHYTX, NON-STRAN<strong>DE</strong>D, NOS 9 $0.00<br />

C2700 MYCROPHYLAX PLUS SC <strong>DE</strong>FIB 9 $0.00<br />

C2701 PHYLAX XM SC <strong>DE</strong>FIB 9 $0.00<br />

C2702 VENTAK PRIZM 2 VR <strong>DE</strong>FIB 9 $0.00<br />

C2703 VENTAK PRIZM VR HE <strong>DE</strong>FIB 9 $0.00<br />

C2704 VENTAK MINI IV+ <strong>DE</strong>FIB 9 $0.00<br />

C2801 <strong>DE</strong>FEN<strong>DE</strong>R IV DR 612 DC <strong>DE</strong>FIB 9 $0.00<br />

C2802 PHYLAX AV 9 $0.00<br />

C2803 VENTAK PRIZM DR HE <strong>DE</strong>FIB 9 $0.00<br />

C2804 VENTAK PRIZM 2 DR <strong>DE</strong>FIB 9 $0.00<br />

C2805 JEWEL AF 7250 <strong>DE</strong>FIB 9 $0.00<br />

C2806 GEM VR 7227 <strong>DE</strong>FIB 9 $0.00<br />

C2807 CONTAK CD 1823 9 $0.00

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