Description - DE Medical Assistance Program

77052 COMP SCREEN MAMMOGRAM ADD-ON 0.32 1.00
77053 X-RAY OF MAMMARY DUCT 1.88 1.00
77054 X-RAY OF MAMMARY DUCTS 2.53 1.00
77055 MAMMOGRAM, ONE BREAST 2.28 1.00
77056 MAMMOGRAM, BOTH BREASTS 2.91 1.00
77057 MAMMOGRAM, SCREENING 2.17 1.00
77058 MRI, ONE BREAST 20.31 1.00
77059 MRI, BOTH BREASTS 21.41 1.00
77261 RADIATION THERAPY PLANNING 2 1.00
77262 RADIATION THERAPY PLANNING 3.03 1.00
77263 RADIATION THERAPY PLANNING 4.5 1.00
77280 SET RADIATION THERAPY FIELD 4.96 1.00
77285 SET RADIATION THERAPY FIELD 8.62 1.00
77290 SET RADIATION THERAPY FIELD 13.61 1.00
77295 SET RADIATION THERAPY FIELD 16.45 1.00
77300 RADIATION THERAPY DOSE PLAN 1.9 1.00
77301 RADIOTHERAPY DOSE PLAN, IMRT 59.89 1.00
77305 TELETX ISODOSE PLAN SIMPLE 1.87 1.00
77310 TELETX ISODOSE PLAN INTERMED 2.65 1.00
77315 TELETX ISODOSE PLAN COMPLEX 3.94 1.00
77321 SPECIAL TELETX PORT PLAN 3.05 1.00
77326 BRACHYTX ISODOSE CALC SIMP 3.87 1.00
77327 BRACHYTX ISODOSE CALC INTERM 5.49 1.00
77328 BRACHYTX ISODOSE PLAN COMPL 7.48 1.00
77331 SPECIAL RADIATION DOSIMETRY 1.73 1.00
77332 RADIATION TREATMENT AID(S) 2.1 1.00
77333 RADIATION TREATMENT AID(S) 1.74 1.00
77334 RADIATION TREATMENT AID(S) 4.18 1.00
77336 RADIATION PHYSICS CONSULT 1.48 1.00
77338 DESIGN MLC DEVICE FOR IMRT 13.26 1.00
77370 RADIATION PHYSICS CONSULT 3.08 1.00
77371 SRS, MULTISOURCE 30.24 1.00
77372 SRS, LINEAR BASED 22.27 1.00
77373 SBRT DELIVERY 41.34 1.00
77401 RADIATION TREATMENT DELIVERY 0.72 1.00