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 />
26356 2,150.21 2,150.21<br />
26357 1,734.57 1,734.57<br />
26358 1,838.27 1,838.27<br />
26370 1,525.04 1,525.04<br />
26372 1,779.02 1,779.02<br />
26373 1,694.36 1,694.36<br />
26390 1,679.31 1,679.31<br />
26392 1,953.18 1,953.18<br />
26410 1,115.27 1,115.27<br />
26412 1,360.21 1,360.21<br />
26415 1,430.26 1,430.26<br />
26416 1,641.76 1,641.76<br />
26418 1,124.25 1,124.25<br />
26420 1,425.15 1,425.15<br />
26426 1,121.64 1,121.64<br />
26428 1,501.91 1,501.91<br />
26432 977.21 977.21<br />
26433 1,049.28 1,049.28<br />
26434 1,276.98 1,276.98<br />
26437 1,231.09 1,231.09<br />
26440 1,225.85 1,225.85<br />
26442 1,908.59 1,908.59<br />
26445 1,135.75 1,135.75<br />
26449 1,511.28 1,511.28<br />
26450 797.64 797.64<br />
26455 793.19 793.19<br />
26460 768.74 768.74<br />
26471 1,215.59 1,215.59<br />
26474 1,176.17 1,176.17<br />
26476 1,148.10 1,148.10<br />
26477 1,148.91 1,148.91<br />
26478 1,241.03 1,241.03<br />
26479 1,236.04 1,236.04<br />
26480 1,491.12 1,491.12<br />
26483 1,687.19 1,687.19<br />
26485 1,613.58 1,613.58<br />
26489 1,802.83 1,802.83<br />
26490 1,582.69 1,582.69<br />
26492 1,769.99 1,769.99<br />
26494 1,600.40 1,600.40<br />
26496 1,723.43 1,723.43<br />
26497 1,742.10 1,742.10<br />
26498 2,334.34 2,334.34<br />
26499 1,664.00 1,664.00<br />
26500 1,245.39 1,245.39<br />
26502 1,412.99 1,412.99<br />
26508 1,243.37 1,243.37<br />
26510 1,182.62 1,182.62<br />
26516 1,399.04 1,399.04<br />
26517 1,660.48 1,660.48<br />
26518 1,681.27 1,681.27<br />
26520 1,286.93 1,286.93<br />
26525 1,288.67 1,288.67<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 26 of 280
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