Description - DE Medical Assistance Program

64866 FUSION OF FACIAL/OTHER NERVE 31.13 1.00
64868 FUSION OF FACIAL/OTHER NERVE 27.47 1.00
64870 FUSION OF FACIAL/OTHER NERVE 28.71 1.00
64872 SUBSEQUENT REPAIR OF NERVE 3.17 1.00
64874 REPAIR & REVISE NERVE ADD-ON 4.59 1.00
64876 REPAIR NERVE/SHORTEN BONE 5.34 1.00
64885 NERVE GRAFT, HEAD OR NECK 29.75 1.00
64886 NERVE GRAFT, HEAD OR NECK 35.27 1.00
64890 NERVE GRAFT, HAND OR FOOT 28.65 1.00
64891 NERVE GRAFT, HAND OR FOOT 30.25 1.00
64892 NERVE GRAFT, ARM OR LEG 27.76 1.00
64893 NERVE GRAFT, ARM OR LEG 29.35 1.00
64895 NERVE GRAFT, HAND OR FOOT 34.81 1.00
64896 NERVE GRAFT, HAND OR FOOT 40.98 1.00
64897 NERVE GRAFT, ARM OR LEG 33.52 1.00
64898 NERVE GRAFT, ARM OR LEG 36.49 1.00
64901 NERVE GRAFT ADD-ON 16.55 1.00
64902 NERVE GRAFT ADD-ON 19.07 1.00
64905 NERVE PEDICLE TRANSFER 27.06 1.00
64907 NERVE PEDICLE TRANSFER 32.01 1.00
64910 NERVE REPAIR W/ALLOGRAFT 21.4 1.00
64911 NEURORRAPHY W/VEIN AUTOGRAFT 26.41 1.00
65091 REVISE EYE 16.09 1.00
65093 REVISE EYE WITH IMPLANT 15.95 1.00
65101 REMOVAL OF EYE 18.6 1.00
65103 REMOVE EYE/INSERT IMPLANT 19.44 1.00
65105 REMOVE EYE/ATTACH IMPLANT 21.48 1.00
65110 REMOVAL OF EYE 30.43 1.00
65112 REMOVE EYE/REVISE SOCKET 35.62 1.00
65114 REMOVE EYE/REVISE SOCKET 37.32 1.00
65125 REVISE OCULAR IMPLANT 7.32 1.00
65130 INSERT OCULAR IMPLANT 18.44 1.00
65135 INSERT OCULAR IMPLANT 18.76 1.00
65140 ATTACH OCULAR IMPLANT 20 1.00
65150 REVISE OCULAR IMPLANT 14.06 1.00