Compensation 2010 Professional Provider Medical Services Fee ...

Ohio Bureau of Workers Compensation
2010 Professional Provider Medical Services Fee Schedule
CPT MOD DESCRIPTION
COVERAGE
FLAG
NON-FAC
FEE
FACILITY
FEE
33332 NRC 3,195.60 3,195.60
33335 NRC 4,316.43 4,316.43
33400 NRC 5,242.42 5,242.42
33401 NRC 3,293.18 3,293.18
33403 NRC 3,424.73 3,424.73
33404 NRC 4,032.99 4,032.99
33405 NRC 5,275.12 5,275.12
33406 NRC 6,616.80 6,616.80
33410 NRC 5,843.22 5,843.22
33411 NRC 7,698.27 7,698.27
33412 NRC 5,673.73 5,673.73
33413 NRC 7,436.84 7,436.84
33414 NRC 4,994.55 4,994.55
33415 NRC 4,620.30 4,620.30
33416 NRC 4,638.74 4,638.74
33417 NRC 3,819.68 3,819.68
33420 NRC 3,068.85 3,068.85
33422 NRC 3,859.55 3,859.55
33425 NRC 6,194.36 6,194.36
33426 NRC 5,494.22 5,494.22
33427 NRC 5,669.82 5,669.82
33430 NRC 6,424.02 6,424.02
33460 NRC 5,788.45 5,788.45
33463 NRC 7,028.02 7,028.02
33464 NRC 5,580.90 5,580.90
33465 NRC 6,278.20 6,278.20
33468 NRC 4,294.14 4,294.14
33470 NRC 2,803.48 2,803.48
33471 NRC 2,733.52 2,733.52
33472 NRC 2,743.93 2,743.93
33474 NRC 4,832.59 4,832.59
33475 NRC 5,358.95 5,358.95
33476 NRC 3,436.61 3,436.61
33478 NRC 3,594.17 3,594.17
33496 NRC 3,822.57 3,822.57
33500 NRC 3,609.76 3,609.76
33501 NRC 2,554.20 2,554.20
33502 NRC 2,898.41 2,898.41
33503 NRC 3,057.49 3,057.49
33504 NRC 3,323.77 3,323.77
33505 NRC 4,737.87 4,737.87
33506 NRC 4,699.90 4,699.90
33507 NRC 3,953.22 3,953.22
33508 NRC 37.02 37.02
33510 NRC 4,490.84 4,490.84
33511 NRC 4,921.05 4,921.05
33512 NRC 5,580.01 5,580.01
33513 NRC 5,713.98 5,713.98
33514 NRC 6,062.30 6,062.30
33516 NRC 6,308.85 6,308.85
33517 NRC 433.11 433.11
33518 NRC 949.75 949.75
33519 NRC 1,260.15 1,260.15
CPT only © 2010 Americal Medical
Association. All rights reserved.
2010 Professional Provider Medical Services Fee Schedule
Effective 1-01-2011 Fees - Page 48 of 280