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Description - DE Medical Assistance Program

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32960 THERAPEUTIC PNEUMOTHORAX 3 $138.30<br />

32997 TOTAL LUNG LAVAGE 3 $349.49<br />

32998 PERQ RF ABLATE TX, PUL TUMOR 3 $2,719.26<br />

32999 CHEST SURGERY PROCEDURE 5 $0.00<br />

3300F AJCC STAGE DOCD B/4 THXPY 9 $0.00<br />

33010 DRAINAGE OF HEART SAC 3 $122.75<br />

33011 REPEAT DRAINAGE OF HEART SAC 3 $121.62<br />

33015 INCISION OF HEART SAC 3 $521.18<br />

3301F CANCER STAGE DOCD METAST 9 $0.00<br />

33020 INCISION OF HEART SAC 3 $854.04<br />

33025 INCISION OF HEART SAC 3 $783.72<br />

3302F AJCC STAGE 0 DOCÏD O $0.00<br />

33030 PARTIAL REMOVAL OF HEART SAC 3 $1,259.12<br />

33031 PARTIAL REMOVAL OF HEART SAC 3 $1,404.69<br />

3303F AJCC STAGE IA DOCÏD O $0.00<br />

3304F AJCC STAGE IB DOCÏD O $0.00<br />

33050 REMOVAL OF HEART SAC LESION 3 $974.34<br />

3305F AJCC STAGE IC DOCÏD O $0.00<br />

3306F AJCC STAGE IIA DOCÏD O $0.00<br />

3307F AJCC STAGE IIB DOCÏD O $0.00<br />

3308F AJCC STAGE IIC DOCÏD O $0.00<br />

3309F AJCC STAGE IIIA DOCÏD O $0.00<br />

33100 PERICARDIECTOMY (SEPARATE PROCEDURE O $0.00<br />

3310F AJCC STAGE IIIB DOCÏD O $0.00<br />

3311F AJCC STAGE IIIC DOCÏD O $0.00<br />

33120 REMOVAL OF HEART LESION 3 $1,529.74<br />

3312F AJCC STAGE IVA DOCÏD O $0.00<br />

33130 REMOVAL OF HEART LESION 3 $1,423.85<br />

3313F AJCC STAGE IVB DOCÏD O $0.00<br />

33140 HEART REVASCULARIZE (TMR) 3 $1,559.70<br />

33141 HEART TMR W/OTHER PROCEDURE 3 $138.20<br />

3314F AJCC STAGE IVC DOCÏD O $0.00<br />

3315F ER+ OR PR+ BREAST CANCER 9 $0.00<br />

3316F ER- OR PR- BREAST CANCER 9 $0.00<br />

3317F PATH RPT MALIG CANCER DOCD 9 $0.00<br />

3318F PATH RPT MALIG CANCER DOCD 9 $0.00<br />

3319F X-RAY/CT/ULTRSND ET AL ORD 9 $0.00<br />

33200 INSERTION OF HEART PACEMAKER O $0.00<br />

33201 INSERTION OF HEART PACEMAKER O $0.00<br />

33202 INSERT EPICARD ELTRD, OPEN 3 $763.06<br />

33203 INSERT EPICARD ELTRD, ENDO 3 $807.17<br />

33206 INSERTION OF HEART PACEMAKER 3 $467.25<br />

33207 INSERTION OF HEART PACEMAKER 3 $497.93<br />

33208 INSERTION OF HEART PACEMAKER 3 $538.50<br />

3320F NO XRAY/CT/ ET AL ORDD 9 $0.00<br />

33210 INSERTION OF HEART ELECTRO<strong>DE</strong> 3 $185.16<br />

33211 INSERTION OF HEART ELECTRO<strong>DE</strong> 3 $186.51<br />

33212 INSERTION OF PULSE GENERATOR 3 $346.25<br />

33213 INSERTION OF PULSE GENERATOR 3 $395.89

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