EMPIRE MEDICARE SERVICES
AREA 99 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
23675 566.48 538.16 618.88
23680 806.15 765.84 880.72
23700 208.28 197.87 227.55
23800 1,088.30 1,033.89 1,188.97
23802 1,187.47 1,128.10 1,297.32
23900 1,393.41 1,323.74 1,522.30
23920 1,089.36 1,034.89 1,190.12
23921 461.22 438.16 503.88
# 23930 230.45 218.93 251.77
23930 400.93 380.88 438.01
# 23931 173.53 164.85 189.58
23931 332.55 315.92 363.31
23935 530.52 503.99 579.59
24000 495.69 470.91 541.55
24006 752.42 714.80 822.02
# 24065 162.70 154.57 177.76
24065 225.04 213.79 245.86
# 24066 410.61 390.08 448.59
24066 615.01 584.26 671.90
# 24075 319.81 303.82 349.39
24075 487.74 463.35 532.85
24076 490.18 465.67 535.52
24077 856.55 813.72 935.78
24100 417.92 397.02 456.57
24101 532.21 505.60 581.44
24102 657.81 624.92 718.66
24105 351.38 333.81 383.88
24110 622.19 591.08 679.74
24115 748.44 711.02 817.67
24116 927.52 881.14 1,013.31
24120 554.92 527.17 606.25
24125 612.64 582.01 669.31
24126 669.40 635.93 731.32
24130 541.14 514.08 591.19
24134 821.25 780.19 897.22
24136 673.34 639.67 735.62
24138 697.99 663.09 762.55
24140 805.32 765.05 879.81
24145 687.96 653.56 751.59
24147 711.13 675.57 776.91
24149 1,140.83 1,083.79 1,246.36
24150 1,034.20 982.49 1,129.86
24151 1,199.93 1,139.93 1,310.92
24152 780.08 741.08 852.24
24153 719.70 683.72 786.28
24155 890.73 846.19 973.12
24160 650.07 617.57 710.21
24164 529.38 502.91 578.35
# 24200 146.07 138.77 159.59
24200 221.98 210.88 242.51
# 24201 386.20 366.89 421.92
24201 623.69 592.51 681.39
# 24220 73.39 69.72 80.18
24220 209.09 198.64 228.44
24300 414.79 394.05 453.16
24301 811.34 770.77 886.39
24305 621.89 590.80 679.42
24310 508.86 483.42 555.93
24320 800.58 760.55 874.63
24330 773.08 734.43 844.59
24331 854.38 811.66 933.41
24332 627.38 596.01 685.41
24340 658.47 625.55 719.38
24341 698.73 663.79 763.36
24342 849.36 806.89 927.92
24343 740.71 703.67 809.22
24344 1,129.42 1,072.95 1,233.89
24345 735.57 698.79 803.61
24346 1,120.68 1,064.65 1,224.35
24350 476.68 452.85 520.78
24351 522.72 496.58 571.07
24352 557.25 529.39 608.80
24354 556.85 529.01 608.36
24356 573.01 544.36 626.01
24360 965.44 917.17 1,054.75
24361 1,086.08 1,031.78 1,186.55
24362 1,114.64 1,058.91 1,217.75
24363 1,423.76 1,352.57 1,555.46
24365 689.41 654.94 753.18
24366 737.14 700.28 805.32
24400 883.75 839.56 965.49
24410 1,118.26 1,062.35 1,221.70
24420 1,058.72 1,005.78 1,156.65
24430 1,001.36 951.29 1,093.98
24435 1,066.15 1,012.84 1,164.77
24470 727.88 691.49 795.21
24495 735.99 699.19 804.07
24498 940.30 893.29 1,027.28
# 24500 301.80 286.71 329.72
24500 351.42 333.85 383.93
# 24505 466.20 442.89 509.32
24505 517.51 491.63 565.37
24515 933.24 886.58 1,019.57
24516 921.79 875.70 1,007.06
# 24530 330.72 314.18 361.31
24530 380.33 361.31 415.51
# 24535 596.25 566.44 651.41
24535 647.99 615.59 707.93
24538 803.03 762.88 877.31
24545 838.96 797.01 916.56


# 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.