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 86778 B 04 N N 9.40 9.40 18.80 86781 B 04 N N 8.64 8.64 17.29 86784 B 04 N N 5.10 5.10 10.20 86787 B 04 N N 7.50 7.50 15.00 86788 B 04 1/1/2007 N N 7.06 7.06 14.12 86789 B 04 1/1/2007 N N 6.03 6.03 12.07 86790 B 04 N N 8.42 8.42 16.85 86793 B 04 N N 5.10 5.10 10.20 86800 B 04 N N 5.90 5.90 11.80 86803 B 04 N N 8.42 8.42 16.85 86804 B 04 N N 6.20 6.20 12.40 86805 B 04 N N 23.90 23.90 47.80 86806 B 04 N N 21.72 21.72 43.45 86807 B 04 N N 18.05 18.05 36.10 86808 B 04 N N 13.55 13.55 27.10 86812 B 04 N N 3.10 3.10 6.20 86813 B 04 N N 8.42 8.42 16.85 86816 B 04 N N 7.50 7.50 15.00 86817 B 04 N N 14.00 14.00 28.00 86821 B 04 N N 28.05 28.05 56.10 86822 B 04 N N 13.35 13.35 26.70 Wednesday, April 01, 2009 Page 346 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 86849 A 04 Y N 86850 A 04 N N 2.82 2.82 5.65 86860 A 04 N N 5.95 5.95 11.90 86870 A 04 N N 7.17 7.17 14.35 86880 A 04 N N 2.90 2.90 5.80 86885 A 04 N N 3.05 3.05 6.10 86886 A 04 N N 3.10 3.10 6.20 86890 04 N N 40.40 86891 04 N N 101.80 86900 A 04 N N 1.75 1.75 3.50 86901 A 04 N N 2.35 2.35 4.70 86903 A 04 N N 6.15 6.15 12.30 86904 A 04 N N 6.20 6.20 12.40 86905 A 04 N N 2.47 2.47 4.95 86906 A 04 N N 2.30 2.30 4.60 86910 A 04 N N 12.02 12.02 24.05 86911 A 04 N N 3.40 3.40 6.80 86920 A 04 N N 2.35 2.35 4.70 86921 A 04 N N 4.70 4.70 9.40 86922 A 04 N N 4.70 4.70 9.40 86927 09 Y N Wednesday, April 01, 2009 Page 347 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:
Page 249 and 250:
Page 251 and 252:
Page 253 and 254:
Page 255 and 256:
Page 257 and 258:
Page 259 and 260:
Page 261 and 262:
Page 263 and 264:
Page 265 and 266:
Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Page 279 and 280:
Page 281 and 282:
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Page 289 and 290:
Page 291 and 292:
Page 293 and 294:
Page 295 and 296:
Page 297 and 298:
Page 299 and 300:
Page 301 and 302:
Page 303 and 304: Hcpcs Note ProgCov Eff Date HP NDC
Page 353: Hcpcs Note ProgCov Eff Date HP NDC
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?