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 />
11421 NRC 304.20 224.90<br />
11422 NRC 339.75 271.12<br />
11423 NRC 396.03 317.49<br />
11424 NRC 457.97 366.47<br />
11426 NRC 662.43 562.54<br />
11440 NRC 256.40 200.74<br />
11441 NRC 326.15 262.86<br />
11442 NRC 367.12 292.39<br />
11443 NRC 441.90 361.84<br />
11444 NRC 559.29 465.50<br />
11446 NRC 771.16 665.17<br />
11450 NRC 711.72 495.16<br />
11451 NRC 922.57 647.30<br />
11462 NRC 700.33 475.38<br />
11463 NRC 944.47 657.00<br />
11470 NRC 778.86 558.49<br />
11471 NRC 971.37 697.62<br />
11600 NRC 362.48 238.95<br />
11601 NRC 443.88 305.10<br />
11602 NRC 486.82 335.84<br />
11603 NRC 555.23 399.68<br />
11604 NRC 615.66 441.05<br />
11606 NRC 878.29 657.92<br />
11620 NRC 369.37 242.79<br />
11621 NRC 447.72 308.18<br />
11622 NRC 505.94 354.96<br />
11623 NRC 594.48 438.16<br />
11624 NRC 670.07 498.50<br />
11626 NRC 814.08 618.88<br />
11640 NRC 383.95 252.79<br />
11641 NRC 468.02 325.43<br />
11642 NRC 539.75 384.20<br />
11643 NRC 639.68 481.83<br />
11644 NRC 788.96 599.09<br />
11646 NRC 1,042.21 839.37<br />
11719 NRC 41.87 18.23<br />
11720 60.81 34.12<br />
11721 86.05 57.84<br />
11730 191.22 116.50<br />
11732 88.42 60.97<br />
11740 88.41 63.24<br />
11750 430.66 357.46<br />
11752 618.88 538.05<br />
11755 NRC 260.87 170.89<br />
11760 408.99 268.69<br />
11762 534.81 399.08<br />
11765 NRC 255.35 136.40<br />
11770 NRC 525.76 373.25<br />
11771 NRC 1,097.30 873.88<br />
11772 NRC 1,325.63 1,134.23<br />
11900 NRC 112.34 66.59<br />
11901 NRC 144.28 103.86<br />
11920 NRC 356.41 240.51<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 4 of 280
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