EMPIRE MEDICARE SERVICES
AREA 99 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
31287 273.25 259.59 298.53
31288 317.19 301.33 346.53
31290 1,244.17 1,181.96 1,359.25
31291 1,310.28 1,244.77 1,431.49
31292 1,078.46 1,024.54 1,178.22
31293 1,171.01 1,112.46 1,279.33
31294 1,356.10 1,288.30 1,481.55
31300 1,244.15 1,181.94 1,359.23
31320 662.55 629.42 723.83
31360 1,435.99 1,364.19 1,568.82
31365 1,891.99 1,797.39 2,067.00
31367 1,859.35 1,766.38 2,031.34
31368 2,234.26 2,122.55 2,440.93
31370 1,854.60 1,761.87 2,026.15
31375 1,724.57 1,638.34 1,884.09
31380 1,736.48 1,649.66 1,897.11
31382 1,790.46 1,700.94 1,956.08
31390 2,205.69 2,095.41 2,409.72
31395 2,521.89 2,395.80 2,755.17
31400 1,022.98 971.83 1,117.60
31420 839.62 797.64 917.29
31500 121.69 115.61 132.95
# 31502 39.41 37.44 43.06
31502 40.68 38.65 44.45
# 31505 51.82 49.23 56.61
31505 87.45 83.08 95.54
# 31510 134.80 128.06 147.27
31510 222.16 211.05 242.71
# 31511 137.34 130.47 150.04
31511 225.12 213.86 245.94
# 31512 146.13 138.82 159.64
31512 224.59 213.36 245.36
31513 151.19 143.63 165.17
# 31515 121.26 115.20 132.48
31515 226.86 215.52 247.85
31520 174.72 165.98 190.88
# 31525 182.10 173.00 198.95
31525 266.49 253.17 291.15
31526 182.27 173.16 199.13
31527 218.57 207.64 238.79
31528 162.60 154.47 177.64
31529 186.56 177.23 203.81
31530 227.41 216.04 248.45
31531 248.89 236.45 271.92
31535 219.31 208.34 239.59
31536 246.86 234.52 269.70
31540 283.16 269.00 309.35
31541 310.62 295.09 339.35
31545 410.24 389.73 448.19
31546 624.55 593.32 682.32
31560 365.29 347.03 399.08
31561 398.17 378.26 435.00
# 31570 265.36 252.09 289.90
31570 405.30 385.04 442.80
31571 291.97 277.37 318.98
# 31575 84.54 80.31 92.36
31575 127.80 121.41 139.62
# 31576 137.74 130.85 150.48
31576 238.67 226.74 260.75
# 31577 170.26 161.75 186.01
31577 265.25 251.99 289.79
# 31578 185.20 175.94 202.33
31578 302.67 287.54 330.67
# 31579 158.73 150.79 173.41
31579 256.69 243.86 280.44
31580 1,202.25 1,142.14 1,313.46
31582 2,015.00 1,914.25 2,201.39
31584 1,609.99 1,529.49 1,758.91
31587 902.87 857.73 986.39
31588 1,135.36 1,078.59 1,240.38
31590 966.79 918.45 1,056.22
31595 803.00 762.85 877.28
31600 448.61 426.18 490.11
31601 292.45 277.83 319.50
31603 252.38 239.76 275.72
31605 206.33 196.01 225.41
31610 726.13 689.82 793.29
31611 539.74 512.75 589.66
# 31612 53.76 51.07 58.73
31612 85.57 81.29 93.48
31613 451.39 428.82 493.14
31614 673.06 639.41 735.32
# 31615 139.40 132.43 152.29
31615 198.77 188.83 217.15
# 31620 82.72 78.58 90.37
31620 299.42 284.45 327.12
# 31622 161.47 153.40 176.41
31622 356.97 339.12 389.99
# 31623 163.16 155.00 178.25
31623 391.73 372.14 427.96
# 31624 163.16 155.00 178.25
31624 364.17 345.96 397.85
# 31625 190.76 181.22 208.40
31625 386.68 367.35 422.45
# 31628 211.97 201.37 231.58
31628 455.39 432.62 497.51
# 31629 226.94 215.59 247.93
31629 773.57 734.89 845.12
31630 235.34 223.57 257.11
31631 259.94 246.94 283.98


# 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.