Compensation 2010 Professional Provider Medical Services Fee ...
Compensation 2010 Professional Provider Medical Services Fee ...
Compensation 2010 Professional Provider Medical Services Fee ...
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Ohio Bureau of Workers <strong>Compensation</strong><br />
<strong>2010</strong> <strong>Professional</strong> <strong>Provider</strong> <strong>Medical</strong> <strong>Services</strong> <strong>Fee</strong> Schedule<br />
CPT MOD DESCRIPTION<br />
COVERAGE<br />
FLAG<br />
NON-FAC<br />
FEE<br />
FACILITY<br />
FEE<br />
19103 NRC 1,112.15 423.59<br />
19105 NRC 4,127.42 420.79<br />
19110 NRC 921.50 679.02<br />
19112 NRC 860.61 611.26<br />
19120 NRC 964.35 833.96<br />
19125 NRC 1,072.03 929.44<br />
19126 NRC 346.74 346.74<br />
19260 NRC 2,537.15 2,537.15<br />
19271 NRC 3,435.94 3,435.94<br />
19272 NRC 3,817.78 3,817.78<br />
19290 NRC 326.55 144.30<br />
19291 NRC 140.66 70.51<br />
19295 NRC 177.12 177.12<br />
19296 NRC 7,615.00 448.04<br />
19297 NRC 203.33 203.33<br />
19298 NRC 2,533.09 711.42<br />
19300 NRC 1,014.85 810.49<br />
19301 NRC 1,328.13 1,328.13<br />
19302 NRC 1,844.64 1,844.64<br />
19303 NRC 2,059.68 2,059.68<br />
19304 NRC 1,153.61 1,153.61<br />
19305 NRC 2,327.51 2,327.51<br />
19306 NRC 2,442.10 2,442.10<br />
19307 NRC 2,449.25 2,449.25<br />
19316 NRC 1,610.58 1,610.58<br />
19318 NRC 2,335.12 2,335.12<br />
19324 NRC 1,005.88 1,005.88<br />
19325 NRC 1,332.69 1,332.69<br />
19328 NRC 1,014.41 1,014.41<br />
19330 NRC 1,299.96 1,299.96<br />
19340 NRC 1,700.74 1,700.74<br />
19342 NRC 1,912.36 1,912.36<br />
19350 NRC 1,700.00 1,398.04<br />
19355 NRC 1,451.14 1,192.64<br />
19357 NRC 3,233.04 3,233.04<br />
19361 NRC 3,489.46 3,489.46<br />
19364 NRC 5,861.13 5,861.13<br />
19366 NRC 2,914.94 2,914.94<br />
19367 NRC 3,790.26 3,790.26<br />
19368 NRC 4,693.20 4,693.20<br />
19369 NRC 4,323.96 4,323.96<br />
19370 NRC 1,414.44 1,414.44<br />
19371 NRC 1,622.59 1,622.59<br />
19380 NRC 1,595.43 1,595.43<br />
19396 NRC 468.40 282.35<br />
19499 NRC 0.00 0.00<br />
20005 615.60 492.84<br />
<strong>2010</strong>0 1,268.68 1,268.68<br />
<strong>2010</strong>1 786.35 428.72<br />
<strong>2010</strong>2 932.77 529.39<br />
<strong>2010</strong>3 1,129.48 735.25<br />
20150 2,007.61 2,007.61<br />
20200 NRC 383.64 197.59<br />
CPT only © <strong>2010</strong> Americal <strong>Medical</strong><br />
Association. All rights reserved.<br />
<strong>2010</strong> <strong>Professional</strong> <strong>Provider</strong> <strong>Medical</strong> <strong>Services</strong> <strong>Fee</strong> Schedule<br />
Effective 1-01-2011 <strong>Fee</strong>s - Page 10 of 280
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