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Description - DE Medical Assistance Program

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58559 HYSTEROSCOPY, LYSIS 9.37 1.00<br />

58560 HYSTEROSCOPY, RESECT SEPTUM 10.58 1.00<br />

58561 HYSTEROSCOPY, REMOVE MYOMA 14.97 1.00<br />

58562 HYSTEROSCOPY, REMOVE FB 7.93 1.00<br />

58563 HYSTEROSCOPY, ABLATION 9.37 1.00<br />

58565 HYSTEROSCOPY, STERILIZATION 11.74 1.00<br />

58570 TLH, UTERUS 250 G OR LESS 25.01 1.00<br />

58571 TLH W/T/O 250 G OR LESS 27.66 1.00<br />

58572 TLH, UTERUS OVER 250 G 31.06 1.00<br />

58573 TLH W/T/O UTERUS OVER 250 G 35.47 1.00<br />

58600 DIVISION OF FALLOPIAN TUBE 9.83 1.00<br />

58605 DIVISION OF FALLOPIAN TUBE 8.89 1.00<br />

58611 LIGATE OVIDUCT(S) ADD-ON 2.12 1.00<br />

58615 OCCLU<strong>DE</strong> FALLOPIAN TUBE(S) 6.69 1.00<br />

58660 LAPAROSCOPY, LYSIS 18.21 1.00<br />

58661 LAPAROSCOPY, REMOVE ADNEXA 17.47 1.00<br />

58662 LAPAROSCOPY, EXCISE LESIONS 19.11 1.00<br />

58670 LAPAROSCOPY, TUBAL CAUTERY 9.88 1.00<br />

58671 LAPAROSCOPY, TUBAL BLOCK 9.87 1.00<br />

58672 LAPAROSCOPY, FIMBRIOPLASTY 20.01 1.00<br />

58673 LAPAROSCOPY, SALPINGOSTOMY 21.78 1.00<br />

58700 REMOVAL OF FALLOPIAN TUBE 20.84 1.00<br />

58720 REMOVAL OF OVARY/TUBE(S) 19.46 1.00<br />

58740 ADHESIOLYSIS TUBE, OVARY 23.72 1.00<br />

58770 CREATE NEW TUBAL OPENING 22.86 1.00<br />

58800 DRAINAGE OF OVARIAN CYST(S) 8.09 1.00<br />

58805 DRAINAGE OF OVARIAN CYST(S) 10.95 1.00<br />

58820 DRAIN OVARY ABSCESS, OPEN 8.43 1.00<br />

58822 DRAIN OVARY ABSCESS, PERCUT 19.69 1.00<br />

58823 DRAIN PELVIC ABSCESS, PERCUT 4.87 1.00<br />

58825 TRANSPOSITION, OVARY(S) 18.82 1.00<br />

58900 BIOPSY OF OVARY(S) 11.57 1.00<br />

58920 PARTIAL REMOVAL OF OVARY(S) 18.92 1.00<br />

58925 REMOVAL OF OVARIAN CYST(S) 19.92 1.00<br />

58940 REMOVAL OF OVARY(S) 13.74 1.00

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