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 J7648 04 Y Y N J7649 04 Y Y N J7650 04 1/1/2007 Y Y N J7657 04 1/1/2007 Y Y N J7658 04 Y Y N J7659 04 Y Y N J7660 04 1/1/2007 Y Y N J7665 04 N Y N 2.15 J7667 04 1/1/2007 Y Y N J7668 04 Y Y N J7669 04 N Y N 0.54 1 0.54 J7670 04 1/1/2007 Y Y N J7674 04 N Y N 0.47 2 0.94 J7676 04 1/1/2008 Y Y N J7680 04 Y Y N J7681 04 Y Y N J7682 04 N Y N 63.79 1 63.79 J7683 04 Y Y N J7684 04 Y Y N J7685 04 1/1/2007 Y Y N J7699 04 Y Y N Wednesday, April 01, 2009 Page 444 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 J7799 04 Y Y N J8499 04 Y Y N J8501 04 Y Y N J8510 04 Y Y N J8520 04 N Y N 3.91 100 391.00 J8521 04 N Y N 13.07 200 2614.00 J8530 04 N Y N 1.91 60 114.60 J8560 04 N Y N 63.56 4 254.24 J8565 04 N Y N 70.68 1 70.68 J8600 04 N Y N 5.39 3 16.17 J8610 04 N Y N 0.36 12 4.32 J8700 04 N Y N 8.84 50 442.00 J8705 04 1/1/2009 N Y N 82.16 10 821.60 J8999 04 Y Y N J9000 04 N Y N 11.67 20 233.40 J9001 04 N Y N 459.35 10 4593.50 J9010 04 N N N 637.29 3 1911.87 J9015 04 N Y N 891.57 1 891.57 J9017 04 N Y N 39.87 15 598.05 J9020 04 N Y N 65.70 2 131.40 J9025 04 N Y N 4.93 185 912.05 Wednesday, April 01, 2009 Page 445 of 458
- Page 401 and 402: Hcpcs Note ProgCov Eff Date HP NDC
- Page 403 and 404: Hcpcs Note ProgCov Eff Date HP NDC
- Page 405 and 406: Hcpcs Note ProgCov Eff Date HP NDC
- Page 407 and 408: Hcpcs Note ProgCov Eff Date HP NDC
- Page 409 and 410: Hcpcs Note ProgCov Eff Date HP NDC
- Page 411 and 412: Hcpcs Note ProgCov Eff Date HP NDC
- Page 413 and 414: Hcpcs Note ProgCov Eff Date HP NDC
- Page 415 and 416: Hcpcs Note ProgCov Eff Date HP NDC
- Page 417 and 418: Hcpcs Note ProgCov Eff Date HP NDC
- Page 419 and 420: Hcpcs Note ProgCov Eff Date HP NDC
- Page 421 and 422: Hcpcs Note ProgCov Eff Date HP NDC
- Page 423 and 424: Hcpcs Note ProgCov Eff Date HP NDC
- Page 425 and 426: Hcpcs Note ProgCov Eff Date HP NDC
- Page 427 and 428: Hcpcs Note ProgCov Eff Date HP NDC
- Page 429 and 430: Hcpcs Note ProgCov Eff Date HP NDC
- Page 431 and 432: Hcpcs Note ProgCov Eff Date HP NDC
- Page 433 and 434: Hcpcs Note ProgCov Eff Date HP NDC
- Page 435 and 436: Hcpcs Note ProgCov Eff Date HP NDC
- Page 437 and 438: Hcpcs Note ProgCov Eff Date HP NDC
- Page 439 and 440: Hcpcs Note ProgCov Eff Date HP NDC
- Page 441 and 442: Hcpcs Note ProgCov Eff Date HP NDC
- Page 443 and 444: Hcpcs Note ProgCov Eff Date HP NDC
- Page 445 and 446: Hcpcs Note ProgCov Eff Date HP NDC
- Page 447 and 448: Hcpcs Note ProgCov Eff Date HP NDC
- Page 449 and 450: Hcpcs Note ProgCov Eff Date HP NDC
- Page 451: Hcpcs Note ProgCov Eff Date HP NDC
- Page 455 and 456: Hcpcs Note ProgCov Eff Date HP NDC
- Page 457 and 458: Hcpcs Note ProgCov Eff Date HP NDC
- Page 459 and 460: Hcpcs Note ProgCov Eff Date HP NDC
- Page 461 and 462: Hcpcs Note ProgCov Eff Date HP NDC
- Page 463 and 464: Hcpcs Note ProgCov Eff Date HP NDC
- Page 465 and 466: Hcpcs Note ProgCov Eff Date HP NDC
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 />
J7799 <strong>04</strong> Y Y N<br />
J8499 <strong>04</strong> Y Y N<br />
J85<strong>01</strong> <strong>04</strong> Y Y N<br />
J8510 <strong>04</strong> Y Y N<br />
J8520 <strong>04</strong> N Y N 3.91 100 391.00<br />
J8521 <strong>04</strong> N Y N 13.07 200 2614.00<br />
J8530 <strong>04</strong> N Y N 1.91 60 114.60<br />
J8560 <strong>04</strong> N Y N 63.56 4 254.24<br />
J8565 <strong>04</strong> N Y N 70.68 1 70.68<br />
J8600 <strong>04</strong> N Y N 5.39 3 16.17<br />
J8610 <strong>04</strong> N Y N 0.36 12 4.32<br />
J8700 <strong>04</strong> N Y N 8.84 50 442.00<br />
J8705 <strong>04</strong> 1/1/20<strong>09</strong> N Y N 82.16 10 821.60<br />
J8999 <strong>04</strong> Y Y N<br />
J9000 <strong>04</strong> N Y N 11.67 20 233.40<br />
J90<strong>01</strong> <strong>04</strong> N Y N 459.35 10 4593.50<br />
J9<strong>01</strong>0 <strong>04</strong> N N N 637.29 3 1911.87<br />
J9<strong>01</strong>5 <strong>04</strong> N Y N 891.57 1 891.57<br />
J9<strong>01</strong>7 <strong>04</strong> N Y N 39.87 15 598.05<br />
J9020 <strong>04</strong> N Y N 65.70 2 131.40<br />
J9025 <strong>04</strong> N Y N 4.93 185 912.05<br />
Wednesday, April <strong>01</strong>, 20<strong>09</strong> Page 445 <strong>of</strong> 458
Change language