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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 />

29806 2,216.22 2,216.22<br />

29807 2,157.52 2,157.52<br />

29819 1,208.01 1,208.01<br />

29820 1,113.71 1,113.71<br />

29821 1,219.40 1,219.40<br />

29822 1,184.93 1,184.93<br />

29823 1,295.21 1,295.21<br />

29824 1,391.36 1,391.36<br />

29825 1,207.25 1,207.25<br />

29826 1,385.43 1,385.43<br />

29827 2,262.45 2,262.45<br />

29828 1,910.10 1,910.10<br />

29830 930.94 930.94<br />

29834 1,011.10 1,011.10<br />

29835 1,038.66 1,038.66<br />

29836 1,200.95 1,200.95<br />

29837 1,088.87 1,088.87<br />

29838 1,217.76 1,217.76<br />

29840 919.82 919.82<br />

29843 986.48 986.48<br />

29844 1,016.82 1,016.82<br />

29845 1,172.61 1,172.61<br />

29846 1,067.34 1,067.34<br />

29847 1,118.53 1,118.53<br />

29848 1,027.71 1,027.71<br />

29850 1,213.91 1,213.91<br />

29851 1,942.83 1,942.83<br />

29855 1,629.17 1,629.17<br />

29856 2,085.62 2,085.62<br />

29860 1,359.60 1,359.60<br />

29861 1,500.67 1,500.67<br />

29862 1,684.01 1,684.01<br />

29863 1,681.18 1,681.18<br />

29866 2,176.46 2,176.46<br />

29867 2,654.06 2,654.06<br />

29868 3,515.94 3,515.94<br />

29870 1,171.41 838.19<br />

29871 1,051.27 1,051.27<br />

29873 1,054.05 1,054.05<br />

29874 1,107.56 1,107.56<br />

29875 1,017.16 1,017.16<br />

29876 1,350.21 1,350.21<br />

29877 1,277.29 1,277.29<br />

29879 1,366.99 1,366.99<br />

29880 1,426.00 1,426.00<br />

29881 1,330.05 1,330.05<br />

29882 1,440.78 1,440.78<br />

29883 1,748.42 1,748.42<br />

29884 1,274.18 1,274.18<br />

29885 1,546.40 1,546.40<br />

29886 1,303.63 1,303.63<br />

29887 1,537.65 1,537.65<br />

29888 2,070.77 2,070.77<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 40 of 280

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