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Podiatry Fee Schedule Key - Illinois Department of Healthcare and ...

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<strong>Healthcare</strong> <strong>and</strong> Family Services<br />

<strong>Podiatry</strong> <strong>Fee</strong> <strong>Schedule</strong><br />

Revised 01/01/11<br />

HCPCS<br />

Prior<br />

Approv<br />

Prog<br />

Cov<br />

EffectiveDt<br />

H<strong>and</strong><br />

Price<br />

NDC<br />

Ind Surg Ind AsstSurg State Max<br />

10060 04 I 36.00<br />

10061 04 I 66.50<br />

10120 04 I 39.05<br />

10121 04 I 77.60<br />

10140 04 I 41.50<br />

10160 04 I 35.95<br />

11042 04 I 70.55<br />

11043 04 M 170.55<br />

11044 04 01/01/2010 N Y 219.35<br />

11045 04 01/01/2011 Y I<br />

11046 04 01/01/2011 Y M<br />

11047 04 01/01/2011 Y M<br />

11055 04 01/01/2006 I 22.15<br />

11056 04 01/01/2006 Y I<br />

11057 04 01/01/2006 Y I<br />

11100 04 I 50.20<br />

11420 04 I 38.30<br />

11421 04 I 50.85<br />

11422 04 I 64.80<br />

11423 04 I 77.90<br />

11424 04 I 92.40<br />

11426 04 I 127.48<br />

11719 04 01/01/2009 N 15.90<br />

11720 04 I 15.90<br />

11721 04 I 18.10<br />

11730 04 I 34.30<br />

11732 04 I 14.45<br />

11740 04 I 36.00<br />

11750 04 I 61.85<br />

11752 04 M 167.40<br />

11755 04 I 38.80<br />

11760 04 I 60.80<br />

11762 04 I 87.75<br />

11765 04 I 38.40<br />

12001 04 I 53.10<br />

12041 04 I 72.10<br />

13131 04 I 127.85

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