Compensation 2010 Professional Provider Medical Services Fee ...

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Ohio Bureau of Workers Compensation 2010 Professional Provider Medical Services Fee Schedule CPT MOD DESCRIPTION COVERAGE FLAG NON-FAC FEE FACILITY FEE 86378 NRC 23.81 23.81 86382 NRC 30.28 30.28 86384 NRC 20.39 20.39 86403 NRC 18.25 18.25 86406 NRC 10.81 10.81 86430 10.16 10.16 86431 10.16 10.16 86480 NRC 110.96 110.96 86481 NRC 109.03 109.03 86485 8.75 8.75 86486 BR 0.00 0.00 86490 8.49 8.49 86510 8.49 8.49 86580 9.48 9.48 86590 NRC 19.76 19.76 86592 7.64 7.64 86593 7.88 7.88 86602 18.21 18.21 86603 23.04 23.04 86606 24.61 24.61 86609 23.08 23.08 86611 18.21 18.21 86612 23.11 23.11 86615 23.61 23.61 86617 27.74 27.74 86618 30.50 30.50 86619 23.96 23.96 86622 15.99 15.99 86625 23.50 23.50 86628 21.50 21.50 86631 NRC 21.18 21.18 86632 NRC 22.73 22.73 86635 20.54 20.54 86638 21.71 21.71 86641 24.61 24.61 86644 25.78 25.78 86645 30.15 30.15 86648 NRC 24.61 24.61 86651 23.61 23.61 86652 23.61 23.61 86653 23.61 23.61 86654 23.61 23.61 86658 23.33 23.33 86663 NRC 23.50 23.50 86664 NRC 24.61 24.61 86665 NRC 24.61 24.61 86666 NRC 18.21 18.21 86668 NRC 18.63 18.63 86671 21.95 21.95 86674 26.35 26.35 86677 NRC 25.99 25.99 86682 NRC 23.29 23.29 86684 28.38 28.38 CPT only © 2010 Americal Medical Association. All rights reserved. 2010 Professional Provider Medical Services Fee Schedule Effective 1-01-2011 Fees - Page 160 of 280
Ohio Bureau of Workers Compensation 2010 Professional Provider Medical Services Fee Schedule CPT MOD DESCRIPTION COVERAGE FLAG NON-FAC FEE FACILITY FEE 86687 15.03 15.03 86688 25.09 25.09 86689 34.65 34.65 86692 30.73 30.73 86694 NRC 25.78 25.78 86695 NRC 23.61 23.61 86696 NRC 34.65 34.65 86698 22.39 22.39 86701 15.90 15.90 86702 24.21 24.21 86703 24.56 24.56 86704 21.58 21.58 86705 21.08 21.08 86706 19.23 19.23 86707 20.71 20.71 86708 22.19 22.19 86709 20.15 20.15 86710 24.28 24.28 86713 NRC 27.40 27.40 86717 NRC 21.94 21.94 86720 NRC 23.61 23.61 86723 NRC 23.61 23.61 86727 NRC 23.04 23.04 86729 NRC 21.40 21.40 86732 NRC 23.61 23.61 86735 NRC 23.36 23.36 86738 NRC 23.71 23.71 86741 NRC 23.61 23.61 86744 NRC 23.61 23.61 86747 NRC 26.91 26.91 86750 NRC 23.61 23.61 86753 NRC 22.19 22.19 86756 23.08 23.08 86757 NRC 34.65 34.65 86759 NRC 23.61 23.61 86762 NRC 25.78 25.78 86765 NRC 23.08 23.08 86768 NRC 23.61 23.61 86771 NRC 23.61 23.61 86774 26.49 26.49 86777 NRC 25.78 25.78 86778 NRC 25.79 25.79 86780 NRC 23.71 23.71 86784 NRC 22.50 22.50 86787 NRC 23.08 23.08 86788 30.15 30.15 86789 25.78 25.78 86790 NRC 23.08 23.08 86793 NRC 23.61 23.61 86800 NRC 28.48 28.48 86803 23.59 23.59 86804 27.74 27.74 86805 NRC 93.61 93.61 CPT only © 2010 Americal Medical Association. All rights reserved. 2010 Professional Provider Medical Services Fee Schedule Effective 1-01-2011 Fees - Page 161 of 280
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Compensation 2010 Professional Provider Medical Services Fee ...

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