Compensation 2010 Professional Provider Medical Services Fee ...

Ohio Bureau of Workers Compensation
2010 Professional Provider Medical Services Fee Schedule
CPT MOD DESCRIPTION
COVERAGE
FLAG
NON-FAC
FEE
FACILITY
FEE
22905 NRC 2,923.18 2,923.18
22999 BR 0.00 0.00
23000 1,067.72 736.78
23020 1,421.08 1,421.08
23030 838.67 526.80
23031 761.96 435.60
23035 1,409.83 1,409.83
23040 1,481.84 1,481.84
23044 1,178.04 1,178.04
23065 NRC 432.64 346.47
23066 NRC 1,018.19 700.98
23071 NRC 898.87 898.87
23073 NRC 1,489.61 1,489.61
23075 NRC 743.64 572.07
23076 NRC 1,122.84 1,122.84
23077 NRC 2,449.49 2,449.49
23078 NRC 3,042.95 3,042.95
23100 NRC 1,002.85 1,002.85
23101 916.89 916.89
23105 1,308.17 1,308.17
23106 984.90 984.90
23107 1,358.17 1,358.17
23120 1,183.70 1,183.70
23125 1,450.05 1,450.05
23130 1,238.46 1,238.46
23140 1,066.39 1,066.39
23145 1,426.62 1,426.62
23146 1,244.21 1,244.21
23150 1,353.71 1,353.71
23155 1,631.96 1,631.96
23156 1,387.58 1,387.58
23170 1,106.30 1,106.30
23172 1,136.20 1,136.20
23174 1,551.62 1,551.62
23180 1,404.22 1,404.22
23182 1,360.82 1,360.82
23184 1,527.25 1,527.25
23190 1,153.85 1,153.85
23195 1,552.58 1,552.58
23200 NRC 2,881.02 2,881.02
23210 NRC 3,372.00 3,372.00
23220 NRC 3,742.91 3,742.91
23330 450.90 307.54
23331 1,206.37 1,206.37
23332 1,830.92 1,830.92
23350 303.24 113.37
23395 2,681.52 2,681.52
23397 2,392.15 2,392.15
23400 2,025.02 2,025.02
23405 1,299.20 1,299.20
23406 1,622.89 1,622.89
23410 1,710.23 1,710.23
23412 1,782.64 1,782.64
CPT only © 2010 Americal Medical
Association. All rights reserved.
2010 Professional Provider Medical Services Fee Schedule
Effective 1-01-2011 Fees - Page 18 of 280