EMPIRE MEDICARE SERVICES
AREA 99 NEW JERSEY
2005 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
# 36217 355.61 337.83 388.50
36218 257.69 244.81 281.53
# 36218 56.97 54.12 62.24
36245 1,551.51 1,473.93 1,695.02
# 36245 266.51 253.18 291.16
36246 1,487.27 1,412.91 1,624.85
# 36246 298.20 283.29 325.78
36247 2,356.74 2,238.90 2,574.74
# 36247 355.08 337.33 387.93
36248 213.32 202.65 233.05
# 36248 56.97 54.12 62.24
36260 634.25 602.54 692.92
36261 394.05 374.35 430.50
36262 292.82 278.18 319.91
36400 27.86 26.47 30.44
# 36400 19.83 18.84 21.67
36405 24.26 23.05 26.51
# 36405 16.66 15.83 18.20
36406 19.27 18.31 21.06
# 36406 9.55 9.07 10.43
36410 19.69 18.71 21.52
# 36410 9.55 9.07 10.43
# 36420 53.64 50.96 58.60
36420 56.60 53.77 61.84
36425 41.35 39.28 45.17
36430 44.89 42.65 49.05
36440 56.38 53.56 61.59
36450 125.30 119.04 136.90
36455 143.98 136.78 157.30
36460 382.13 363.02 417.47
# 36470 78.07 74.17 85.30
36470 160.47 152.45 175.32
# 36471 109.21 103.75 119.31
36471 198.37 188.45 216.72
# 36475 384.39 365.17 419.95
36475 2,449.00 2,326.55 2,675.53
# 36476 187.51 178.13 204.85
36476 472.32 448.70 516.01
# 36478 384.39 365.17 419.95
36478 2,253.78 2,141.09 2,462.25
# 36479 187.51 178.13 204.85
36479 476.97 453.12 521.09
# 36481 403.40 383.23 440.71
36481 536.08 509.28 585.67
36500 204.18 193.97 223.07
# 36510 72.26 68.65 78.95
36510 210.86 200.32 230.37
36511 102.11 97.00 111.55
36512 102.53 97.40 112.01
36513 105.43 100.16 115.18
# 36514 101.27 96.21 110.64
36514 788.34 748.92 861.26
# 36515 99.15 94.19 108.32
36515 2,872.82 2,729.18 3,138.56
# 36516 71.13 67.57 77.71
36516 3,602.44 3,422.32 3,935.67
# 36522 110.93 105.38 121.19
36522 1,438.18 1,366.27 1,571.21
36550 30.12 28.61 32.90
# 36555 143.45 136.28 156.72
36555 352.62 334.99 385.24
# 36556 136.43 129.61 149.05
36556 342.64 325.51 374.34
# 36557 332.84 316.20 363.63
36557 1,114.15 1,058.44 1,217.21
# 36558 316.83 300.99 346.14
36558 1,098.14 1,043.23 1,199.71
# 36560 394.05 374.35 430.50
36560 1,519.74 1,443.75 1,660.31
# 36561 380.85 361.81 416.08
36561 1,506.12 1,430.81 1,645.43
# 36563 399.56 379.58 436.52
36563 1,403.55 1,333.37 1,533.38
# 36565 380.85 361.81 416.08
36565 1,299.91 1,234.91 1,420.15
# 36566 407.24 386.88 444.91
36566 1,353.35 1,285.68 1,478.53
# 36568 104.32 99.10 113.97
36568 397.99 378.09 434.80
# 36569 102.55 97.42 112.03
36569 388.62 369.19 424.57
# 36570 344.43 327.21 376.29
36570 1,631.12 1,549.56 1,781.99
36571 1,633.29 1,551.63 1,784.37
# 36571 343.23 326.07 374.98
36575 205.18 194.92 224.16
# 36575 45.04 42.79 49.21
36576 425.87 404.58 465.27
# 36576 210.37 199.85 229.83
36578 614.70 583.97 671.57
# 36578 241.59 229.51 263.94
36580 351.69 334.11 384.23
# 36580 75.76 71.97 82.77
36581 965.61 917.33 1,054.93
# 36581 223.17 212.01 243.81
36582 1,310.21 1,244.70 1,431.41
# 36582 331.99 315.39 362.70
36583 1,313.02 1,247.37 1,434.48
# 36583 334.80 318.06 365.77
36584 348.64 331.21 380.89


# These amounts apply when service is performed in a facility setting.

Limiting charge applies to unassigned claims by non-participating providers.

All Current Procedural Terminology (CPT) codes and descriptors are copyrighted
by the American Medical Association.