EMPIRE MEDICARE SERVICES
AREA 99 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
76946 26 21.69 20.61 23.70
76946 TC 68.15 64.74 74.45
76946 89.84 85.35 98.15
76948 26 21.27 20.21 23.24
76948 TC 68.15 64.74 74.45
76948 89.42 84.95 97.69
76950 26 32.09 30.49 35.06
76950 TC 58.13 55.22 63.50
76950 90.22 85.71 98.57
76965 26 74.15 70.44 81.01
76965 TC 247.75 235.36 270.66
76965 321.90 305.81 351.68
76970 26 22.06 20.96 24.10
76970 TC 46.74 44.40 51.06
76970 68.80 65.36 75.16
76975 26 45.37 43.10 49.57
76975 TC 68.15 64.74 74.45
76975 113.51 107.83 124.00
76977 26 3.19 3.03 3.48
76977 TC 36.62 34.79 40.01
76977 39.81 37.82 43.49
76986 26 69.19 65.73 75.59
76986 TC 116.69 110.86 127.49
76986 185.88 176.59 203.08
77261 79.15 75.19 86.47
77262 119.26 113.30 130.30
77263 177.09 168.24 193.48
77280 26 38.47 36.55 42.03
77280 TC 154.21 146.50 168.48
77280 192.69 183.06 210.52
77285 26 57.77 54.88 63.11
77285 TC 248.12 235.71 271.07
77285 305.88 290.59 334.18
77290 26 85.82 81.53 93.76
77290 TC 289.83 275.34 316.64
77290 375.64 356.86 410.39
77295 26 250.64 238.11 273.83
77295 TC 1,242.40 1,180.28 1,357.32
77295 1,493.04 1,418.39 1,631.15
77300 26 34.09 32.39 37.25
77300 TC 59.41 56.44 64.91
77300 93.50 88.83 102.15
77301 26 439.56 417.58 480.22
77301 TC 1,242.40 1,180.28 1,357.32
77301 1,681.96 1,597.86 1,837.54
77305 26 38.90 36.96 42.50
77305 TC 83.36 79.19 91.07
77305 122.26 116.15 133.57
77310 26 57.77 54.88 63.11
77310 TC 104.03 98.83 113.65
77310 161.79 153.70 176.76
77315 26 85.82 81.53 93.76
77315 TC 118.39 112.47 129.34
77315 204.21 194.00 223.10
77321 26 52.12 49.51 56.94
77321 TC 179.49 170.52 196.10
77321 231.61 220.03 253.03
77326 26 51.33 48.76 56.07
77326 TC 105.30 100.04 115.05
77326 156.63 148.80 171.12
77327 26 76.18 72.37 83.23
77327 TC 154.21 146.50 168.48
77327 230.40 218.88 251.71
77328 26 115.08 109.33 125.73
77328 TC 219.98 208.98 240.33
77328 335.06 318.31 366.06
77331 26 47.74 45.35 52.15
77331 TC 21.94 20.84 23.97
77331 69.68 66.20 76.13
77332 26 29.66 28.18 32.41
77332 TC 59.41 56.44 64.91
77332 89.07 84.62 97.31
77333 26 46.13 43.82 50.39
77333 TC 84.63 80.40 92.46
77333 130.76 124.22 142.85
77334 26 68.19 64.78 74.50
77334 TC 144.52 137.29 157.88
77334 212.71 202.07 232.38
77336 132.70 126.07 144.98
77370 155.06 147.31 169.41
77401 79.54 75.56 86.89
77402 79.54 75.56 86.89
77403 79.54 75.56 86.89
77404 79.54 75.56 86.89
77406 79.54 75.56 86.89
77407 93.48 88.81 102.13
77408 93.48 88.81 102.13
77409 93.48 88.81 102.13
77411 93.48 88.81 102.13
77412 104.03 98.83 113.65
77413 104.03 98.83 113.65
77414 104.03 98.83 113.65
77416 104.03 98.83 113.65
77417 26.50 25.18 28.96
77418 771.09 732.54 842.42
77421 26 21.67 20.59 23.68
77421 TC 146.18 138.87 159.70
77421 167.84 159.45 183.37
77422 77.31 73.44 84.46
77423 100.63 95.60 109.94


# 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.