EMPIRE MEDICARE SERVICES
AREA 01 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE
MOD PAR
FEE
NONPAR
FEE
LIMITING
CHARGE

11640

181.17

172.11

197.93

#

11641

163.25

155.09

178.35

11641

232.60

220.97

254.12

#

11642

189.92

180.42

207.48

11642

268.51

255.08

293.34

#

11643

224.97

213.72

245.78

11643

310.04

294.54

338.72

#

11644

288.57

274.14

315.26

11644

391.67

372.09

427.90

#

11646

421.56

400.48

460.55

11646

527.44

501.07

576.23

#

11719

10.79

10.25

11.79

11719

19.11

18.15

20.87

#

11720

19.85

18.86

21.69

11720

30.03

28.53

32.81

#

11721

33.94

32.24

37.08

11721

44.58

42.35

48.70

#

11730

70.35

66.83

76.85

11730

98.09

93.19

107.17

#

11732

35.61

33.83

38.90

11732

45.78

43.49

50.01

#

11740

32.49

30.87

35.50

11740

41.74

39.65

45.60

#

11750

164.06

155.86

179.24

11750

183.02

173.87

199.95

11752

258.67

245.74

282.60

#

11755

93.29

88.63

101.92

11755

130.28

123.77

142.34

#

11760

153.86

146.17

168.10

11760

192.69

183.06

210.52

#

11762

237.80

225.91

259.80

11762

262.77

249.63

287.07

#

11765

65.75

62.46

71.83

11765

113.38

107.71

123.87

#

11770

186.17

176.86

203.39

11770

278.18

264.27

303.91

#

11771

410.53

390.00

448.50

11771

518.72

492.78

566.70

#

11772

547.16

519.80

597.77

11772

659.97

626.97

721.02

#

11900

31.30

29.74

34.20

11900

51.64

49.06

56.42

#

11901

49.36

46.89

53.92

11901

63.70

60.52

69.60

#

11920

123.80

117.61

135.25

11920

244.94

232.69

267.59

#

11921

146.80

139.46

160.38

11921

271.63

258.05

296.76

#

11922

33.79

32.10

36.92

11922

74.94

71.19

81.87

#

11950

53.92

51.22

58.90

11950

88.60

84.17

96.80

#

11951

75.35

71.58

82.32

11951

120.66

114.63

131.82

#

11952

105.10

99.85

114.83

11952

159.66

151.68

174.43

#

11954

125.01

118.76

136.57

11954

196.67

186.84

214.87

11960

893.74

849.05

976.41

11970

605.74

575.45

661.77

#

11971

272.90

259.26

298.15

11971

519.79

493.80

567.87

#

11976

110.55

105.02

120.77

11976

158.64

150.71

173.32

#

11980

89.10

84.65

97.35

11980

114.07

108.37

124.63

#

11981

95.21

90.45

104.02

11981

142.37

135.25

155.54

#

11982

116.01

110.21

126.74

11982

167.80

159.41

183.32

#

11983

208.76

198.32

228.07

11983

246.67

234.34

269.49

#

12001

109.29

103.83

119.40

12001

165.70

157.42

181.03

#

12002

122.46

116.34

133.79

12002

175.63

166.85

191.88

#

12004

144.25

137.04

157.60

12004

205.29

195.03

224.28

#

12005

180.11

171.10

196.77

12005

255.47

242.70

279.11

#

12006

229.47

218.00

250.70

12006

316.85

301.01

346.16

#

12007

265.53

252.25

290.09

12007

358.47

340.55

391.63

#

12011

112.53

106.90

122.94

12011

175.41

166.64

191.64

#

12013

129.43

122.96

141.40

12013

191.84

182.25

209.59

#

12014

156.13

148.32

170.57

12014

226.40

215.08

247.34

#

12015

196.39

186.57

214.56

12015

283.78

269.59

310.03

#

12016

241.10

229.05

263.41

12016

335.41

318.64

366.44

12017

293.63

278.95

320.79

12018

349.42

331.95

381.74

#

12020

205.35

195.08

224.34

12020

293.19

278.53

320.31

#

12021

147.82

140.43

161.49

12021

167.24

158.88

182.71


# 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.