Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois
Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois
Hcpcs Note ProgCov Eff Date HP NDC Ind SurgInd M1 (26) M2 (TC) Assist Surg Co-Surg Unitprice MaxQty StateMax Surg Child Adult G9084 09 Y N G9085 09 Y N G9086 09 Y N G9087 09 Y N G9088 09 Y N G9089 09 Y N G9090 09 Y N G9091 09 Y N G9092 09 Y N G9093 09 Y N G9094 09 Y N G9095 09 Y N G9096 09 Y N G9097 09 Y N G9098 09 Y N G9099 09 Y N G9100 09 Y N G9101 09 Y N G9102 09 Y N G9103 09 Y N G9104 09 Y N Wednesday, April 01, 2009 Page 420 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 G9105 09 Y N G9106 09 Y N G9107 09 Y N G9108 09 Y N G9109 09 Y N G9110 09 Y N G9111 09 Y N G9112 09 Y N G9113 09 Y N G9114 09 Y N G9115 09 Y N G9116 09 Y N G9117 09 Y N G9123 09 Y N G9124 09 Y N G9125 09 Y N G9126 09 Y N G9128 09 Y N G9129 09 Y N G9130 09 Y N H0033 04 N N 118.10 1 118.10 Wednesday, April 01, 2009 Page 421 of 458
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Hcpcs Note ProgCov Eff Date HP NDC Ind SurgInd M1 (26) M2 (TC) Assist Surg Co-Surg Unitprice MaxQty <strong>State</strong>Max Surg Child Adult<br />
G9084 <strong>09</strong> Y N<br />
G9085 <strong>09</strong> Y N<br />
G9086 <strong>09</strong> Y N<br />
G9087 <strong>09</strong> Y N<br />
G9088 <strong>09</strong> Y N<br />
G9089 <strong>09</strong> Y N<br />
G9<strong>09</strong>0 <strong>09</strong> Y N<br />
G9<strong>09</strong>1 <strong>09</strong> Y N<br />
G9<strong>09</strong>2 <strong>09</strong> Y N<br />
G9<strong>09</strong>3 <strong>09</strong> Y N<br />
G9<strong>09</strong>4 <strong>09</strong> Y N<br />
G9<strong>09</strong>5 <strong>09</strong> Y N<br />
G9<strong>09</strong>6 <strong>09</strong> Y N<br />
G9<strong>09</strong>7 <strong>09</strong> Y N<br />
G9<strong>09</strong>8 <strong>09</strong> Y N<br />
G9<strong>09</strong>9 <strong>09</strong> Y N<br />
G9100 <strong>09</strong> Y N<br />
G91<strong>01</strong> <strong>09</strong> Y N<br />
G9102 <strong>09</strong> Y N<br />
G9103 <strong>09</strong> Y N<br />
G91<strong>04</strong> <strong>09</strong> Y N<br />
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