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 />
32562 184.80 144.39<br />
32601 696.34 696.34<br />
32602 754.91 754.91<br />
32603 988.91 988.91<br />
32604 1,099.14 1,099.14<br />
32605 869.98 869.98<br />
32606 1,051.38 1,051.38<br />
32650 1,486.19 1,486.19<br />
32651 2,421.21 2,421.21<br />
32652 3,691.47 3,691.47<br />
32653 2,335.68 2,335.68<br />
32654 2,613.71 2,613.71<br />
32655 2,123.93 2,123.93<br />
32656 1,782.75 1,782.75<br />
32657 1,756.31 1,756.31<br />
32658 1,602.74 1,602.74<br />
32659 1,639.32 1,639.32<br />
32660 NRC 2,355.64 2,355.64<br />
32661 NRC 1,793.24 1,793.24<br />
32662 NRC 2,011.86 2,011.86<br />
32663 3,156.34 3,156.34<br />
32664 NRC 1,898.68 1,898.68<br />
32665 NRC 2,752.99 2,752.99<br />
32800 NRC 2,056.53 2,056.53<br />
32810 2,007.39 2,007.39<br />
32815 6,222.82 6,222.82<br />
32820 3,002.77 3,002.77<br />
32850 NRC 0.00 0.00<br />
32851 5,771.97 5,771.97<br />
32852 6,383.49 6,383.49<br />
32853 6,887.97 6,887.97<br />
32854 7,524.57 7,524.57<br />
32855 NRC 0.00 0.00<br />
32856 NRC 0.00 0.00<br />
32900 3,071.41 3,071.41<br />
32905 3,003.72 3,003.72<br />
32906 3,730.13 3,730.13<br />
32940 2,758.81 2,758.81<br />
32960 309.96 231.42<br />
32997 NRC 792.21 792.21<br />
32998 5,658.27 663.73<br />
32999 BR 0.00 0.00<br />
33010 281.02 281.02<br />
33011 280.13 280.13<br />
33015 1,179.63 1,179.63<br />
33020 1,965.45 1,965.45<br />
33025 1,804.59 1,804.59<br />
33030 2,904.69 2,904.69<br />
33031 3,248.81 3,248.81<br />
33050 2,240.72 2,240.72<br />
33120 NRC 3,534.14 3,534.14<br />
33130 NRC 3,279.38 3,279.38<br />
33140 NRC 3,618.48 3,618.48<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 46 of 280
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