| 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 |