Podiatry Fee Schedule Key - Illinois Department of Healthcare and ...
Podiatry Fee Schedule Key - Illinois Department of Healthcare and ...
Podiatry Fee Schedule Key - Illinois Department of Healthcare and ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Prior Prog<br />
H<strong>and</strong> NDC<br />
HCPCS Approv Cov EffectiveDt Price Ind Surg Ind AsstSurg State Max<br />
29700 04 I 24.15<br />
29730 04 I 36.00<br />
29740 04 I 46.55<br />
29750 04 I 44.30<br />
29799 04 Y I<br />
29891 04 07/01/2008 M Y 480.00<br />
29892 04 07/01/2008 M Y 480.00<br />
29893 04 07/01/2008 M 171.90<br />
29894 04 02/01/2006 M 480.00<br />
29895 04 07/01/2008 M Y 480.00<br />
29897 04 07/01/2008 M 480.00<br />
29898 04 02/01/2006 M Y 480.00<br />
29899 04 07/01/2008 M Y 659.00<br />
64455 04 01/01/2009 N 38.95<br />
64632 04 01/01/2009 N 90.50<br />
64704 04 01/01/2009 N 90.50<br />
73600 04 N 21.50<br />
73610 04 N 28.70<br />
73620 04 N 17.00<br />
73630 04 N 21.50<br />
73650 04 N 17.00<br />
73660 04 N 14.35<br />
76499 04 Y N<br />
81000 04 N 3.50<br />
82947 04 N 5.10<br />
84550 04 N 5.90<br />
85002 04 N 2.30<br />
85014 04 N 3.10<br />
85345 04 N 4.00<br />
85610 04 N 5.10<br />
85651 04 N 4.60<br />
85652 04 N 3.50<br />
87101 04 N 6.20<br />
87220 04 N 4.70<br />
90703 04 N N 1.85<br />
97597 04 01/01/2011 Y N<br />
97598 04 01/01/2011 Y N<br />
99070 04 Y<br />
99199 Y 04 Y M<br />
99201 04 10/01/2009 N 27.95<br />
99202 04 10/01/2009 N 32.00<br />
99203 04 10/01/2009 N 41.60<br />
99204 04 10/01/2009 N 66.40
Change language