EMPIRE MEDICARE SERVICES
AREA 01 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
# 28740 665.75 632.46 727.33
28740 869.65 826.17 950.10
# 28750 642.81 610.67 702.27
28750 886.01 841.71 967.97
# 28755 387.46 368.09 423.30
28755 496.58 471.75 542.51
# 28760 604.74 574.50 660.68
28760 718.47 682.55 784.93
28800 639.81 607.82 698.99
28805 641.20 609.14 700.51
28810 487.44 463.07 532.53
# 28820 374.14 355.43 408.74
28820 548.91 521.46 599.68
# 28825 323.34 307.17 353.25
28825 486.09 461.79 531.06
# 28890 244.06 231.86 266.64
28890 412.36 391.74 450.50
# 29000 185.78 176.49 202.96
29000 242.65 230.52 265.10
# 29010 181.49 172.42 198.28
29010 251.30 238.74 274.55
# 29015 180.93 171.88 197.66
29015 244.74 232.50 267.38
# 29020 160.12 152.11 174.93
29020 242.42 230.30 264.85
# 29025 198.45 188.53 216.81
29025 258.09 245.19 281.97
# 29035 154.35 146.63 168.62
29035 248.66 236.23 271.66
# 29040 172.10 163.50 188.03
29040 216.49 205.67 236.52
# 29044 186.22 176.91 203.45
29044 281.92 267.82 307.99
# 29046 209.21 198.75 228.56
29046 261.92 248.82 286.14
# 29049 64.98 61.73 70.99
29049 100.58 95.55 109.88
# 29055 150.40 142.88 164.31
29055 220.67 209.64 241.09
# 29058 92.08 87.48 100.60
29058 130.92 124.37 143.03
# 29065 75.09 71.34 82.04
29065 101.91 96.81 111.33
# 29075 67.11 63.75 73.31
29075 93.92 89.22 102.60
# 29085 69.17 65.71 75.57
29085 99.23 94.27 108.41
# 29086 50.10 47.60 54.74
29086 71.83 68.24 78.48
# 29105 62.89 59.75 68.71
29105 96.18 91.37 105.08
# 29125 44.27 42.06 48.37
29125 73.40 69.73 80.19
# 29126 54.72 51.98 59.78
29126 89.40 84.93 97.67
# 29130 30.12 28.61 32.90
29130 43.99 41.79 48.06
# 29131 34.26 32.55 37.43
29131 57.37 54.50 62.68
# 29200 43.26 41.10 47.27
29200 60.83 57.79 66.46
# 29220 45.17 42.91 49.35
29220 60.43 57.41 66.02
# 29240 47.32 44.95 51.69
29240 69.98 66.48 76.45
# 29260 38.69 36.76 42.27
29260 58.11 55.20 63.48
# 29280 36.35 34.53 39.71
29280 58.54 55.61 63.95
# 29305 176.14 167.33 192.43
29305 249.19 236.73 272.24
# 29325 198.39 188.47 216.74
29325 271.44 257.87 296.55
# 29345 113.99 108.29 124.53
29345 146.82 139.48 160.40
# 29355 122.72 116.58 134.07
29355 150.00 142.50 163.88
# 29358 116.95 111.10 127.77
29358 162.26 154.15 177.27
# 29365 98.61 93.68 107.73
29365 131.44 124.87 143.60
# 29405 72.47 68.85 79.18
29405 96.05 91.25 104.94
# 29425 80.24 76.23 87.66
29425 102.90 97.76 112.42
# 29435 97.69 92.81 106.73
29435 126.81 120.47 138.54
# 29440 38.29 36.38 41.84
29440 57.71 54.82 63.04
# 29445 125.71 119.42 137.33
29445 165.01 156.76 180.27
# 29450 143.75 136.56 157.04
29450 161.32 153.25 176.24
# 29505 51.42 48.85 56.18
29505 85.17 80.91 93.05
# 29515 53.86 51.17 58.85
29515 72.81 69.17 79.55
# 29520 44.49 42.27 48.61
29520 62.06 58.96 67.80
# 29530 39.96 37.96 43.65


# 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.