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

Prior Prog
Hand NDC
HCPCS Approv Cov EffectiveDt Price Ind Surg Ind AsstSurg State Max
27630 04 02/01/2006 M 188.65
27632 04 01/01/2010 M Y 230.50
27634 04 01/01/2010 M Y 376.84
27635 04 02/01/2006 M Y 374.55
27637 04 07/01/2008 M Y 599.35
27638 04 02/01/2006 M Y 599.35
27640 04 02/01/2006 M 407.80
27641 04 02/01/2006 M 335.00
27645 04 02/01/2006 M Y 599.35
27646 04 07/01/2008 M Y 599.35
27647 04 02/01/2006 M Y 499.50
27648 04 02/01/2006 I 82.75
27650 04 02/01/2006 M Y 359.30
27652 04 02/01/2006 M Y 480.00
27654 04 02/01/2006 M Y 449.50
27656 04 07/01/2008 M Y 299.70
27658 04 02/01/2006 M Y 224.70
27659 04 07/01/2008 M Y 416.20
27664 04 07/01/2008 M Y 182.50
27665 04 07/01/2008 M Y 302.40
27675 04 02/01/2006 M Y 239.30
27676 04 02/01/2006 M Y 313.20
27680 04 06/01/2009 M Y 381.50
27681 04 02/01/2006 M Y 231.00
27685 04 02/01/2006 M Y 262.20
27686 04 02/01/2006 M Y 257.00
27687 04 02/01/2006 M Y 262.20
27690 04 02/01/2006 M Y 299.70
27691 04 02/01/2006 M Y 524.40
27692 04 02/01/2006 M Y 149.80
27695 04 02/01/2006 M Y 374.55
27696 04 07/01/2008 M Y 561.85
27698 04 02/01/2006 M Y 453.70
27700 04 02/01/2006 M Y 718.70
27702 04 02/01/2006 M Y 749.20
27703 04 02/01/2006 Y M Y
27704 04 02/01/2006 M Y 249.35
27705 04 02/01/2006 M Y 412.00
27707 04 02/01/2006 M Y 359.30
27709 04 02/01/2006 M Y 524.40
27712 04 02/01/2006 M Y 674.20
27715 04 07/01/2008 M Y 749.20
27720 04 02/01/2006 M Y 629.90