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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 />

20926 909.33 909.33<br />

20930 245.84 245.84<br />

20931 244.89 244.89<br />

20936 374.12 374.12<br />

20937 367.02 367.02<br />

20938 402.03 402.03<br />

20950 476.91 187.91<br />

20955 5,378.52 5,378.52<br />

20956 5,592.16 5,592.16<br />

20957 5,482.50 5,482.50<br />

20962 5,489.67 5,489.67<br />

20969 5,949.88 5,949.88<br />

20970 6,031.07 6,031.07<br />

20972 5,077.86 5,077.86<br />

20973 5,430.29 5,430.29<br />

20974 134.83 98.99<br />

20975 372.62 372.62<br />

20979 105.98 73.19<br />

20982 NRC 7,110.19 849.87<br />

20985 318.24 318.24<br />

20999 BR 0.00 0.00<br />

21010 1,528.21 1,528.21<br />

21011 NRC 662.13 522.59<br />

21012 NRC 718.57 718.57<br />

21013 NRC 1,033.92 844.82<br />

21014 NRC 1,111.96 1,111.96<br />

21015 NRC 1,334.43 1,334.43<br />

21016 NRC 2,247.53 2,247.53<br />

21025 1,786.54 1,535.67<br />

21026 1,196.59 997.57<br />

21029 NRC 1,548.66 1,325.24<br />

21030 NRC 1,001.88 831.84<br />

21031 NRC 750.07 578.50<br />

21032 NRC 762.59 573.49<br />

21034 NRC 2,721.96 2,439.82<br />

21040 NRC 1,010.06 828.58<br />

21044 NRC 1,837.09 1,837.09<br />

21045 NRC 2,564.39 2,564.39<br />

21046 NRC 2,225.29 2,225.29<br />

21047 NRC 2,709.84 2,709.84<br />

21048 NRC 2,268.95 2,268.95<br />

21049 NRC 2,622.68 2,622.68<br />

21050 1,820.07 1,820.07<br />

21060 1,693.69 1,693.69<br />

21070 NRC 1,303.69 1,303.69<br />

21073 NRC 750.92 518.35<br />

21076 1,951.90 1,714.76<br />

21077 4,828.50 4,353.45<br />

21079 3,298.66 2,880.03<br />

21080 3,732.15 3,225.07<br />

21081 NRC 3,418.90 2,949.18<br />

21082 NRC 3,182.25 2,730.08<br />

21083 NRC 2,941.09 2,450.78<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 12 of 280

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