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 />
G9105 <strong>09</strong> Y N<br />
G9106 <strong>09</strong> Y N<br />
G9107 <strong>09</strong> Y N<br />
G9108 <strong>09</strong> Y N<br />
G91<strong>09</strong> <strong>09</strong> Y N<br />
G9110 <strong>09</strong> Y N<br />
G9111 <strong>09</strong> Y N<br />
G9112 <strong>09</strong> Y N<br />
G9113 <strong>09</strong> Y N<br />
G9114 <strong>09</strong> Y N<br />
G9115 <strong>09</strong> Y N<br />
G9116 <strong>09</strong> Y N<br />
G9117 <strong>09</strong> Y N<br />
G9123 <strong>09</strong> Y N<br />
G9124 <strong>09</strong> Y N<br />
G9125 <strong>09</strong> Y N<br />
G9126 <strong>09</strong> Y N<br />
G9128 <strong>09</strong> Y N<br />
G9129 <strong>09</strong> Y N<br />
G9130 <strong>09</strong> Y N<br />
H0033 <strong>04</strong> N N 118.10 1 118.10<br />
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