EMPIRE MEDICARE SERVICES
AREA 01 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
88332 26 35.95 34.15 39.27
88332 TC 10.45 9.93 11.42
88332 46.40 44.08 50.69
88333 26 74.09 70.39 80.95
88333 TC 26.90 25.56 29.39
88333 101.00 95.95 110.34
88334 26 36.41 34.59 39.78
88334 TC 16.46 15.64 17.99
88334 52.87 50.23 57.76
88342 26 51.83 49.24 56.63
88342 TC 51.60 49.02 56.37
88342 103.43 98.26 113.00
88346 26 52.23 49.62 57.06
88346 TC 56.68 53.85 61.93
88346 108.91 103.46 118.98
88347 26 51.77 49.18 56.56
88347 TC 42.81 40.67 46.77
88347 94.58 89.85 103.33
88348 26 92.35 87.73 100.89
88348 TC 406.67 386.34 444.29
88348 499.02 474.07 545.18
88349 26 46.84 44.50 51.18
88349 TC 152.01 144.41 166.07
88349 198.85 188.91 217.25
88355 26 113.28 107.62 123.76
88355 TC 372.09 353.49 406.51
88355 485.38 461.11 530.28
88356 26 183.77 174.58 200.77
88356 TC 138.05 131.15 150.82
88356 321.82 305.73 351.59
88358 26 60.27 57.26 65.85
88358 TC 22.92 21.77 25.04
88358 83.20 79.04 90.90
88360 26 68.05 64.65 74.35
88360 TC 58.99 56.04 64.45
88360 127.04 120.69 138.79
88361 26 73.66 69.98 80.48
88361 TC 120.02 114.02 131.12
88361 193.67 183.99 211.59
88362 26 132.86 126.22 145.15
88362 TC 176.98 168.13 193.35
88362 309.84 294.35 338.50
88365 26 72.80 69.16 79.53
88365 TC 75.64 71.86 82.64
88365 148.44 141.02 162.17
88367 26 79.30 75.34 86.64
88367 TC 164.03 155.83 179.20
88367 243.34 231.17 265.85
88368 26 86.09 81.79 94.06
88368 TC 85.44 81.17 93.35
88368 171.52 162.94 187.38
88371 26 21.21 20.15 23.17
88372 26 22.60 21.47 24.69
88385 26 92.41 87.79 100.96
88385 TC 300.43 285.41 328.22
88385 392.84 373.20 429.18
88386 26 116.24 110.43 126.99
88386 TC 290.99 276.44 317.91
88386 407.24 386.88 444.91
# 89049 70.83 67.29 77.38
89049 222.94 211.79 243.56
89060 26 22.60 21.47 24.69
# 89100 34.87 33.13 38.10
89100 110.24 104.73 120.44
# 89105 28.65 27.22 31.30
89105 123.89 117.70 135.36
# 89130 24.79 23.55 27.08
89130 99.69 94.71 108.92
# 89132 10.76 10.22 11.75
89132 79.65 75.67 87.02
# 89135 44.71 42.47 48.84
89135 121.00 114.95 132.19
# 89136 12.95 12.30 14.15
89136 89.24 84.78 97.50
# 89140 51.65 49.07 56.43
89140 135.80 129.01 148.36
# 89141 50.44 47.92 55.11
89141 164.65 156.42 179.88
89220 20.62 19.59 22.53
89230 5.82 5.53 6.36
90465 21.52 20.44 23.51
90466 12.39 11.77 13.54
# 90467 11.35 10.78 12.40
90467 15.04 14.29 16.43
# 90468 9.16 8.70 10.01
90468 11.47 10.90 12.54
90471 21.52 20.44 23.51
90472 12.39 11.77 13.54
# 90473 10.42 9.90 11.39
90473 15.97 15.17 17.45
# 90474 9.16 8.70 10.01
90474 11.01 10.46 12.03
90760 75.51 71.73 82.49
90761 23.58 22.40 25.76
90765 92.37 87.75 100.91
90766 29.96 28.46 32.73
90767 50.24 47.73 54.89
90768 28.63 27.20 31.28
90772 21.52 20.44 23.51
90773 21.89 20.80 23.92
90774 68.80 65.36 75.16
90775 31.84 30.25 34.79
# 90801 157.48 149.61 172.05
90801 168.57 160.14 184.16


# 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.