EMPIRE MEDICARE SERVICES
AREA 01 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
# 40530 448.61 426.18 490.11
40530 598.42 568.50 653.78
# 40650 312.13 296.52 341.00
40650 474.42 450.70 518.31
# 40652 387.00 367.65 422.80
40652 548.36 520.94 599.08
# 40654 463.03 439.88 505.86
40654 633.18 601.52 691.75
40700 967.79 919.40 1,057.31
40701 1,220.78 1,159.74 1,333.70
40702 949.76 902.27 1,037.61
40720 1,067.15 1,013.79 1,165.86
40761 1,136.79 1,079.95 1,241.94
# 40800 134.00 127.30 146.40
40800 189.02 179.57 206.51
# 40801 240.02 228.02 262.22
40801 299.20 284.24 326.88
# 40804 139.77 132.78 152.70
40804 210.97 200.42 230.48
# 40805 250.04 237.54 273.17
40805 327.25 310.89 357.52
# 40806 37.02 35.17 40.45
40806 98.98 94.03 108.13
# 40808 110.61 105.08 120.84
40808 165.16 156.90 180.44
# 40810 134.07 127.37 146.48
40810 190.94 181.39 208.60
# 40812 214.37 203.65 234.20
40812 275.40 261.63 300.87
# 40814 332.16 315.55 362.88
40814 380.71 361.67 415.92
# 40816 346.90 329.56 378.99
40816 401.00 380.95 438.09
# 40818 288.39 273.97 315.07
40818 343.87 326.68 375.68
# 40819 250.65 238.12 273.84
40819 296.42 281.60 323.84
# 40820 168.65 160.22 184.25
40820 237.54 225.66 259.51
# 40830 174.67 165.94 190.83
40830 250.03 237.53 273.16
# 40831 251.18 238.62 274.41
40831 325.61 309.33 355.73
# 40840 712.64 677.01 778.56
40840 843.02 800.87 921.00
# 40842 703.86 668.67 768.97
40842 855.97 813.17 935.15
# 40843 897.63 852.75 980.66
40843 1,089.50 1,035.03 1,190.28
# 40844 1,250.37 1,187.85 1,366.03
40844 1,445.48 1,373.21 1,579.19
# 40845 1,430.13 1,358.62 1,562.41
40845 1,608.60 1,528.17 1,757.40
# 41000 121.74 115.65 133.00
41000 163.81 155.62 178.96
# 41005 134.47 127.75 146.91
41005 209.37 198.90 228.74
# 41006 289.84 275.35 316.65
41006 364.74 346.50 398.48
# 41007 275.82 262.03 301.33
41007 373.84 355.15 408.42
# 41008 298.62 283.69 326.24
41008 367.05 348.70 401.01
# 41009 326.39 310.07 356.58
41009 391.12 371.56 427.29
# 41010 119.06 113.11 130.08
41010 203.67 193.49 222.51
# 41015 367.21 348.85 401.18
41015 425.93 404.63 465.32
# 41016 377.91 359.01 412.86
41016 442.63 420.50 483.58
# 41017 381.60 362.52 416.90
41017 443.56 421.38 484.59
# 41018 440.92 418.87 481.70
41018 513.51 487.83 561.00
# 41100 136.54 129.71 149.17
41100 183.24 174.08 200.19
# 41105 122.76 116.62 134.11
41105 168.53 160.10 184.12
# 41108 98.03 93.13 107.10
41108 141.96 134.86 155.09
# 41110 141.16 134.10 154.22
41110 203.58 193.40 222.41
# 41112 269.12 255.66 294.01
41112 326.92 310.57 357.16
# 41113 301.34 286.27 329.21
41113 360.06 342.06 393.37
41114 703.17 668.01 768.21
# 41115 162.40 154.28 177.42
41115 228.98 217.53 250.16
# 41116 236.23 224.42 258.08
41116 307.90 292.51 336.39
41120 1,130.17 1,073.66 1,234.71
41130 1,231.41 1,169.84 1,345.32
41135 2,070.74 1,967.20 2,262.28
41140 2,340.95 2,223.90 2,557.49
41145 2,713.10 2,577.45 2,964.07
41150 2,139.84 2,032.85 2,337.78
41153 2,185.25 2,075.99 2,387.39
41155 2,438.56 2,316.63 2,664.12


# 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.