Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois

More documents

Recommendations

Info

Hcpcs Note ProgCov Eff Date HP NDC Ind SurgInd M1 (26) M2 (TC) Assist Surg Co-Surg Unitprice MaxQty StateMax Surg Child Adult 75887 04 N I 54.60 75889 04 N I 128.20 75891 04 N I 93.40 75893 04 N I 98.10 75894 04 N I 64.05 75896 04 N I 64.05 75898 04 N I 56.20 75900 04 N I 201.20 75901 04 N I 66.60 75902 04 N I 66.60 75940 04 N I 66.60 75945 04 N I 64.05 75946 04 N I 49.40 75952 04 N I 162.85 75953 04 N I 68.30 75954 04 N I 83.00 75956 04 N M Y 221.10 75957 04 N M Y 189.42 75958 04 N M Y 126.26 75959 04 N M Y 110.52 75960 04 N I 83.00 Wednesday, April 01, 2009 Page 290 of 458
Hcpcs Note ProgCov Eff Date HP NDC Ind SurgInd M1 (26) M2 (TC) Assist Surg Co-Surg Unitprice MaxQty StateMax Surg Child Adult 75961 04 N I 62.15 75962 04 N I 83.00 75964 04 N I 83.00 75966 04 N I 83.00 75968 04 N I 83.00 75970 04 N I 78.90 75978 04 N I 65.35 75980 04 N I 83.00 75982 04 N I 41.90 75984 04 N I 53.60 75989 04 N I 84.90 75992 04 N I 83.00 75993 04 Y I 75994 04 N I 83.00 75995 04 N I 83.00 75996 04 Y I 76000 04 N I 32.70 76001 04 N I 56.45 76010 A 04 N N 16.20 16.20 32.40 76080 04 N I 26.15 76098 A 04 N N 6.20 6.20 12.40 Wednesday, April 01, 2009 Page 291 of 458
Page 1 and 2:
Healthcare and Family Services Prac
Page 3 and 4:
Q State maximum amount now includes
Page 5 and 6:
MODIFIERS RECOGNIZED IN PROCESSING
Page 7 and 8:
HO Masters degree level; added 0601
Page 9 and 10:
Health Care and Family Services Rev
Page 11 and 12:
Hcpcs Note ProgCov Eff Date HP NDC
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
Page 235 and 236:
Page 237 and 238:
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Page 245 and 246:
Page 247 and 248: Hcpcs Note ProgCov Eff Date HP NDC
Page 297: Hcpcs Note ProgCov Eff Date HP NDC
Page 349 and 350:
Page 351 and 352:
Page 353 and 354:
Page 355 and 356:
Page 357 and 358:
Page 359 and 360:
Page 361 and 362:
Page 363 and 364:
Page 365 and 366:
Page 367 and 368:
Page 369 and 370:
Page 371 and 372:
Page 373 and 374:
Page 375 and 376:
Page 377 and 378:
Page 379 and 380:
Page 381 and 382:
Page 383 and 384:
Page 385 and 386:
Page 387 and 388:
Page 389 and 390:
Page 391 and 392:
Page 393 and 394:
Page 395 and 396:
Page 397 and 398:
Page 399 and 400:
Page 401 and 402:
Page 403 and 404:
Page 405 and 406:
Page 407 and 408:
Page 409 and 410:
Page 411 and 412:
Page 413 and 414:
Page 415 and 416:
Page 417 and 418:
Page 419 and 420:
Page 421 and 422:
Page 423 and 424:
Page 425 and 426:
Page 427 and 428:
Page 429 and 430:
Page 431 and 432:
Page 433 and 434:
Page 435 and 436:
Page 437 and 438:
Page 439 and 440:
Page 441 and 442:
Page 443 and 444:
Page 445 and 446:
Page 447 and 448:
Page 449 and 450:
Page 451 and 452:
Page 453 and 454:
Page 455 and 456:
Page 457 and 458:
Page 459 and 460:
Page 461 and 462:
Page 463 and 464:
Page 465 and 466:
show all

Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois

Create successful ePaper yourself

Delete template?

Save as template?