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 />
28062 1,159.20 872.49<br />
28070 985.16 729.71<br />
28072 985.71 716.54<br />
28080 977.46 738.03<br />
28086 1,050.08 751.17<br />
28088 889.09 619.92<br />
28090 897.28 647.17<br />
28092 809.94 567.45<br />
28100 1,157.01 848.19<br />
28102 1,084.38 1,084.38<br />
28103 890.01 890.01<br />
28104 989.58 731.84<br />
28106 949.99 949.99<br />
28107 1,064.50 777.02<br />
28108 832.56 603.04<br />
28110 NRC 874.69 603.99<br />
28111 995.45 711.03<br />
28112 943.13 663.29<br />
28113 1,146.54 884.99<br />
28114 2,107.96 1,735.85<br />
28116 1,478.99 1,200.67<br />
28118 1,141.64 864.84<br />
28119 1,011.57 759.17<br />
28120 1,383.40 1,085.25<br />
28122 1,304.31 1,052.67<br />
28124 922.88 697.17<br />
28126 749.98 525.03<br />
28130 1,375.26 1,375.26<br />
28140 1,231.49 963.84<br />
28150 836.04 601.95<br />
28153 782.12 550.31<br />
28160 802.38 570.58<br />
28171 NRC 1,813.94 1,813.94<br />
28173 NRC 1,633.98 1,633.98<br />
28175 NRC 1,015.96 1,015.96<br />
28190 477.86 281.12<br />
28192 914.92 667.86<br />
28193 1,048.04 792.59<br />
28200 911.88 662.54<br />
28202 1,200.57 920.72<br />
28208 889.75 644.98<br />
28210 1,130.38 868.83<br />
28220 868.35 641.88<br />
28222 999.51 760.84<br />
28225 758.97 534.79<br />
28226 888.09 650.18<br />
28230 832.94 607.23<br />
28232 741.98 520.09<br />
28234 775.07 550.88<br />
28238 1,333.84 1,045.60<br />
28240 859.08 626.51<br />
28250 1,106.57 845.79<br />
28260 1,357.07 1,094.77<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 36 of 280
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