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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 />

27443 1,690.88 1,690.88<br />

27445 2,641.61 2,641.61<br />

27446 2,331.84 2,331.84<br />

27447 3,251.58 3,251.58<br />

27448 1,702.74 1,702.74<br />

27450 2,125.75 2,125.75<br />

27454 2,700.00 2,700.00<br />

27455 1,959.34 1,959.34<br />

27457 2,018.27 2,018.27<br />

27465 2,599.29 2,599.29<br />

27466 2,479.97 2,479.97<br />

27468 2,806.79 2,806.79<br />

27470 2,469.99 2,469.99<br />

27472 2,666.19 2,666.19<br />

27475 NRC 1,360.72 1,360.72<br />

27477 1,513.20 1,513.20<br />

27479 1,746.98 1,746.98<br />

27485 1,384.03 1,384.03<br />

27486 2,970.54 2,970.54<br />

27487 3,741.87 3,741.87<br />

27488 2,518.33 2,518.33<br />

27495 2,370.09 2,370.09<br />

27496 1,057.29 1,057.29<br />

27497 1,147.98 1,147.98<br />

27498 1,264.12 1,264.12<br />

27499 1,384.97 1,384.97<br />

27500 1,039.74 972.64<br />

27501 1,024.79 1,012.59<br />

27502 1,635.75 1,635.75<br />

27503 1,663.92 1,663.92<br />

27506 2,801.77 2,801.77<br />

27507 2,055.35 2,055.35<br />

27508 1,050.47 996.33<br />

27509 1,316.82 1,316.82<br />

27510 1,443.43 1,443.43<br />

27511 2,133.78 2,133.78<br />

27513 2,675.28 2,675.28<br />

27514 2,102.42 2,102.42<br />

27516 992.34 940.49<br />

27517 1,402.86 1,402.86<br />

27519 1,915.35 1,915.35<br />

27520 620.17 566.79<br />

27524 1,558.71 1,558.71<br />

27530 777.10 727.54<br />

27532 1,241.77 1,179.24<br />

27535 1,909.92 1,909.92<br />

27536 2,492.69 2,492.69<br />

27538 929.75 876.37<br />

27540 1,700.06 1,700.06<br />

27550 991.93 929.40<br />

27552 1,276.73 1,276.73<br />

27556 1,884.27 1,884.27<br />

27557 2,259.81 2,259.81<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 32 of 280

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