Description - DE Medical Assistance Program

35570 ARTERY BYPASS GRAFT 3 $1,495.25
35571 ARTERY BYPASS GRAFT 3 $1,364.43
35572 HARVEST FEMOROPOPLITEAL VEIN 3 $351.73
35582 VEIN BYPASS GRAFT O $0.00
35583 VEIN BYPASS GRAFT 3 $1,469.31
35585 VEIN BYPASS GRAFT 3 $1,710.28
35587 VEIN BYPASS GRAFT 3 $1,406.16
35600 HARVEST ART FOR CABG ADD-ON 3 $259.45
35601 ARTERY BYPASS GRAFT 3 $1,477.29
35606 ARTERY BYPASS GRAFT 3 $1,201.63
35612 ARTERY BYPASS GRAFT 3 $930.26
35616 ARTERY BYPASS GRAFT 3 $1,171.53
35621 ARTERY BYPASS GRAFT 3 $1,125.68
35623 BYPASS GRAFT, NOT VEIN 3 $1,376.03
35626 ARTERY BYPASS GRAFT 3 $1,583.66
35631 ARTERY BYPASS GRAFT 3 $1,886.79
35632 ARTERY BYPASS GRAFT 3 $1,830.56
35633 ARTERY BYPASS GRAFT 3 $1,975.08
35634 ARTERY BYPASS GRAFT 3 $1,791.52
35636 ARTERY BYPASS GRAFT 3 $1,673.47
35637 ARTERY BYPASS GRAFT 3 $1,744.05
35638 ARTERY BYPASS GRAFT 3 $1,779.41
35641 ARTERY BYPASS GRAFT O $0.00
35642 ARTERY BYPASS GRAFT 3 $1,049.43
35645 ARTERY BYPASS GRAFT 3 $1,008.20
35646 ARTERY BYPASS GRAFT 3 $1,753.53
35647 ARTERY BYPASS GRAFT 3 $1,586.30
35650 ARTERY BYPASS GRAFT 3 $1,085.71
35651 ARTERY BYPASS GRAFT 3 $1,419.99
35654 ARTERY BYPASS GRAFT 3 $1,402.12
35656 ARTERY BYPASS GRAFT 3 $1,103.89
35661 ARTERY BYPASS GRAFT 3 $1,109.35
35663 ARTERY BYPASS GRAFT 3 $1,284.63
35665 ARTERY BYPASS GRAFT 3 $1,201.59
35666 ARTERY BYPASS GRAFT 3 $1,297.80
35671 ARTERY BYPASS GRAFT 3 $1,144.29
35681 COMPOSITE BYPASS GRAFT 3 $81.42
35682 COMPOSITE BYPASS GRAFT 3 $362.45
35683 COMPOSITE BYPASS GRAFT 3 $426.75
35685 BYPASS GRAFT PATENCY/PATCH 3 $203.61
35686 BYPASS GRAFT/AV FIST PATENCY 3 $169.93
35691 ARTERIAL TRANSPOSITION 3 $995.78
35693 ARTERIAL TRANSPOSITION 3 $883.40
35694 ARTERIAL TRANSPOSITION 3 $1,031.96
35695 ARTERIAL TRANSPOSITION 3 $1,075.40
35697 REIMPLANT ARTERY EACH 3 $152.01
35700 REOPERATION, BYPASS GRAFT 3 $156.22
35701 EXPLORATION, CAROTID ARTERY 3 $543.22
3570F RPRT BONE SCINT XREF W XRAY 9 $0.00