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
26750 350.30 344.20
26755 610.03 537.59
26756 828.15 828.15
26765 972.31 972.31
26770 530.63 490.98
26775 741.74 673.11
26776 880.15 880.15
26785 1,063.26 1,063.26
26820 1,579.55 1,579.55
26841 1,454.75 1,454.75
26842 1,586.52 1,586.52
26843 1,474.32 1,474.32
26844 1,647.02 1,647.02
26850 1,382.43 1,382.43
26852 1,591.05 1,591.05
26860 1,104.49 1,104.49
26861 223.34 223.34
26862 1,445.69 1,445.69
26863 501.60 501.60
26910 1,435.58 1,435.58
26951 1,258.86 1,258.86
26952 1,290.15 1,290.15
26989 BR 0.00 0.00
26990 1,267.27 1,267.27
26991 1,395.97 1,071.90
26992 1,992.35 1,992.35
27000 904.66 904.66
27001 1,108.18 1,108.18
27003 1,207.52 1,207.52
27005 1,504.40 1,504.40
27006 1,520.31 1,520.31
27025 1,880.14 1,880.14
27027 1,712.11 1,712.11
27030 1,965.38 1,965.38
27033 2,037.01 2,037.01
27035 2,365.29 2,365.29
27036 2,092.89 2,092.89
27040 NRC 674.56 419.87
27041 NRC 1,422.86 1,422.86
27043 NRC 1,011.57 1,011.57
27045 NRC 1,608.71 1,608.71
27047 NRC 999.90 811.55
27048 NRC 1,226.92 1,226.92
27049 NRC 2,741.95 2,741.95
27050 NRC 747.74 747.74
27052 NRC 1,159.60 1,159.60
27054 1,405.61 1,405.61
27057 1,939.38 1,939.38
27059 NRC 3,955.03 3,955.03
27060 888.21 888.21
27062 922.31 922.31
27065 1,032.91 1,032.91
27066 1,675.92 1,675.92
CPT only © 2010 Americal Medical
Association. All rights reserved.
2010 Professional Provider Medical Services Fee Schedule
Effective 1-01-2011 Fees - Page 28 of 280