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.

26910 AMPUTATE METACARPAL BONE 3 $650.27<br />

26951 AMPUTATION OF FINGER/THUMB 3 $575.19<br />

26952 AMPUTATION OF FINGER/THUMB 3 $588.05<br />

26989 HAND/FINGER SURGERY 5 $0.00<br />

26990 DRAINAGE OF PELVIS LESION 3 $566.81<br />

26991 DRAINAGE OF PELVIS BURSA 3 $634.82<br />

26992 DRAINAGE OF BONE LESION 3 $885.37<br />

27000 INCISION OF HIP TENDON 3 $405.35<br />

27001 INCISION OF HIP TENDON 3 $494.80<br />

27003 INCISION OF HIP TENDON 3 $538.90<br />

27005 INCISION OF HIP TENDON 3 $669.52<br />

27006 INCISION OF HIP TENDONS 3 $677.37<br />

27010 GLUTEAL-ILIOTIBIAL FASCIOTOMY (OBER O $0.00<br />

27015 ILIAC CREST FASCIOTOMY (SOUTTER OR O $0.00<br />

27025 INCISION OF HIP/THIGH FASCIA 3 $834.13<br />

27027 BUTTOCK FASCIOTOMY 3 $780.66<br />

27030 DRAINAGE OF HIP JOINT 3 $871.85<br />

27033 EXPLORATION OF HIP JOINT 3 $903.52<br />

27035 <strong>DE</strong>NERVATION OF HIP JOINT 3 $1,043.03<br />

27036 EXCISION OF HIP JOINT/MUSCLE 3 $929.69<br />

27040 BIOPSY OF SOFT TISSUES 3 $311.38<br />

27041 BIOPSY OF SOFT TISSUES 3 $632.48<br />

27043 EXC HIP PELVIS LES SC > 3 CM 3 $448.39<br />

27045 EXC HIP/PELV TUM <strong>DE</strong>EP > 5 CM 3 $712.44<br />

27047 EXC HIP/PELVIS LES SC < 3 CM 3 $454.56<br />

27048 EXC HIP/PELV TUM <strong>DE</strong>EP < 5 CM 3 $540.93<br />

27049 RESECT HIP/PELV TUM < 5 CM 3 $1,199.39<br />

27050 BIOPSY OF SACROILIAC JOINT 3 $334.42<br />

27052 BIOPSY OF HIP JOINT 3 $517.84<br />

27054 REMOVAL OF HIP JOINT LINING 3 $626.65<br />

27057 BUTTOCK FASCIOTOMY W/DBRDMT 3 $883.42<br />

27059 RESECT HIP/PELV TUM > 5 CM 3 $1,742.41<br />

27060 REMOVAL OF ISCHIAL BURSA 3 $395.40<br />

27062 REMOVE FEMUR LESION/BURSA 3 $412.95<br />

27065 REMOVAL OF HIP BONE LESION 3 $461.93<br />

27066 REMOVAL OF HIP BONE LESION 3 $745.79<br />

27067 REMOVE/GRAFT HIP BONE LESION 3 $955.83<br />

27070 PARTIAL REMOVAL OF HIP BONE 3 $783.53<br />

27071 PARTIAL REMOVAL OF HIP BONE 3 $838.64<br />

27075 RESECT HIP TUMOR 3 $1,964.27<br />

27076 RESECT HIP TUM INCL ACETABUL 3 $2,173.31<br />

27077 RESECT HIP TUM W/INNOM BONE 3 $2,604.89<br />

27078 RSECT HIP TUM INCL FEMUR 3 $1,714.30<br />

27079 EXTENSIVE HIP SURGERY O $0.00<br />

27080 REMOVAL OF TAIL BONE 3 $460.58<br />

27086 REMOVE HIP FOREIGN BODY 3 $222.45<br />

27087 REMOVE HIP FOREIGN BODY 3 $583.04<br />

27090 REMOVAL OF HIP PROSTHESIS 3 $766.60<br />

27091 REMOVAL OF HIP PROSTHESIS 3 $1,487.98

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

Saved successfully!

Ooh no, something went wrong!