| EMPIRE | MEDICARE SERVICES | |
| AREA 01 | NEW JERSEY | |
| 2006 FEE SCHEDULE | ||
| # | PROCEDURE CODE |
MOD | PAR FEE |
NONPAR FEE |
LIMITING CHARGE |
|---|---|---|---|---|---|
|
# |
15115 |
776.49 |
737.67 |
848.32 |
|
|
15115 |
863.42 |
820.25 |
943.29 |
||
|
# |
15116 |
164.19 |
155.98 |
179.38 |
|
|
15116 |
185.46 |
176.19 |
202.62 |
||
|
# |
15120 |
797.15 |
757.29 |
870.88 |
|
|
15120 |
933.54 |
886.86 |
1,019.89 |
||
|
# |
15121 |
205.86 |
195.57 |
224.91 |
|
|
15121 |
328.85 |
312.41 |
359.27 |
||
|
# |
15130 |
610.49 |
579.97 |
666.97 |
|
|
15130 |
773.70 |
735.02 |
845.27 |
||
|
# |
15131 |
97.48 |
92.61 |
106.50 |
|
|
15131 |
117.36 |
111.49 |
128.21 |
||
|
# |
15135 |
843.17 |
801.01 |
921.16 |
|
|
15135 |
924.08 |
877.88 |
1,009.56 |
||
|
# |
15136 |
98.50 |
93.58 |
107.62 |
|
|
15136 |
108.67 |
103.24 |
118.73 |
||
|
# |
15150 |
671.50 |
637.93 |
733.62 |
|
|
15150 |
764.90 |
726.66 |
835.66 |
||
|
# |
15151 |
129.82 |
123.33 |
141.83 |
|
|
15151 |
151.08 |
143.53 |
165.06 |
||
|
# |
15152 |
162.15 |
154.04 |
177.15 |
|
|
15152 |
185.27 |
176.01 |
202.41 |
||
|
# |
15155 |
722.30 |
686.19 |
789.12 |
|
|
15155 |
762.06 |
723.96 |
832.55 |
||
|
# |
15156 |
180.87 |
171.83 |
197.60 |
|
|
15156 |
195.66 |
185.88 |
213.76 |
||
|
# |
15157 |
197.08 |
187.23 |
215.31 |
|
|
15157 |
216.97 |
206.12 |
237.04 |
||
|
# |
15170 |
330.34 |
313.82 |
360.89 |
|
|
15170 |
398.30 |
378.39 |
435.15 |
||
|
# |
15171 |
97.82 |
92.93 |
106.87 |
|
|
15171 |
100.59 |
95.56 |
109.89 |
||
|
# |
15175 |
496.31 |
471.49 |
542.21 |
|
|
15175 |
562.42 |
534.30 |
614.45 |
||
|
# |
15176 |
154.70 |
146.97 |
169.02 |
|
|
15176 |
160.25 |
152.24 |
175.08 |
||
|
# |
15200 |
645.28 |
613.02 |
704.97 |
|
|
15200 |
793.70 |
754.02 |
867.12 |
||
|
# |
15201 |
88.60 |
84.17 |
96.80 |
|
|
15201 |
178.76 |
169.82 |
195.29 |
||
|
# |
15220 |
655.90 |
623.11 |
716.58 |
|
|
15220 |
771.95 |
733.35 |
843.35 |
||
|
# |
15221 |
79.51 |
75.53 |
86.86 |
|
|
15221 |
161.34 |
153.27 |
176.26 |
||
|
# |
15240 |
764.48 |
726.26 |
835.20 |
|
|
15240 |
868.97 |
825.52 |
949.35 |
||
|
# |
15241 |
125.13 |
118.87 |
136.70 |
|
|
15241 |
196.33 |
186.51 |
214.49 |
||
|
# |
15260 |
825.62 |
784.34 |
901.99 |
|
|
15260 |
901.45 |
856.38 |
984.84 |
||
|
# |
15261 |
161.89 |
153.80 |
176.87 |
|
|
15261 |
221.99 |
210.89 |
242.52 |
||
|
# |
15300 |
281.62 |
267.54 |
307.67 |
|
|
15300 |
326.46 |
310.14 |
356.66 |
||
|
# |
15301 |
63.75 |
60.56 |
69.64 |
|
|
15301 |
66.99 |
63.64 |
73.19 |
||
|
# |
15320 |
327.27 |
310.91 |
357.55 |
|
|
15320 |
377.67 |
358.79 |
412.61 |
||
|
# |
15321 |
95.17 |
90.41 |
103.97 |
|
|
15321 |
99.79 |
94.80 |
109.02 |
||
|
# |
15330 |
281.15 |
267.09 |
307.15 |
|
|
15330 |
326.00 |
309.70 |
356.16 |
||
|
# |
15331 |
63.75 |
60.56 |
69.64 |
|
|
15331 |
66.53 |
63.20 |
72.68 |
||
|
# |
15335 |
313.99 |
298.29 |
343.03 |
|
|
15335 |
361.61 |
343.53 |
395.06 |
||
|
# |
15336 |
91.07 |
86.52 |
99.50 |
|
|
15336 |
96.61 |
91.78 |
105.55 |
||
|
# |
15340 |
291.88 |
277.29 |
318.88 |
|
|
15340 |
349.68 |
332.20 |
382.03 |
||
|
# |
15341 |
31.51 |
29.93 |
34.42 |
|
|
15341 |
50.46 |
47.94 |
55.13 |
||
|
# |
15360 |
313.89 |
298.20 |
342.93 |
|
|
15360 |
378.16 |
359.25 |
413.14 |
||
|
# |
15361 |
72.54 |
68.91 |
79.25 |
|
|
15361 |
78.09 |
74.19 |
85.32 |
||
|
# |
15365 |
331.31 |
314.74 |
361.95 |
|
|
15365 |
394.19 |
374.48 |
430.65 |
||
|
# |
15366 |
91.22 |
86.66 |
99.66 |
|
|
15366 |
96.77 |
91.93 |
105.72 |
||
|
15400 |
363.18 |
345.02 |
396.77 |
||
|
# |
15401 |
65.60 |
62.32 |
71.67 |
|
|
15401 |
133.10 |
126.45 |
145.42 |
||
|
# |
15420 |
375.30 |
356.54 |
410.02 |
|
|
15420 |
421.07 |
400.02 |
460.02 |
||
|
# |
15421 |
96.55 |
91.72 |
105.48 |
|
|
15421 |
128.92 |
122.47 |
140.84 |
||
|
# |
15430 |
561.42 |
533.35 |
613.35 |
|
|
15430 |
574.83 |
546.09 |
628.00 |
||
|
# |
15570 |
731.76 |
695.17 |
799.45 |
|
|
15570 |
942.13 |
895.02 |
1,029.27 |
||
|
# |
15572 |
714.67 |
678.94 |
780.78 |
|
|
15572 |
855.69 |
812.91 |
934.85 |
||
|
# |
15574 |
801.09 |
761.04 |
875.20 |
|
|
15574 |
935.17 |
888.41 |
1,021.67 |
||
|
# |
15576 |
699.13 |
664.17 |
763.80 |
|
|
15576 |
832.29 |
790.68 |
909.28 |
||
|
# |
15600 |
228.48 |
217.06 |
249.62 |
|
|
15600 |
438.85 |
416.91 |
479.45 |
||
|
# |
15610 |
268.52 |
255.09 |
293.35 |