EMPIRE MEDICARE SERVICES
AREA 99 NEW JERSEY
2006 FEE SCHEDULE

 

# PROCEDURE
CODE		 MOD PAR
FEE		 NONPAR
FEE		 LIMITING
CHARGE
93307 224.91 213.66 245.71
93308 26 30.17 28.66 32.96
93308 TC 87.49 83.12 95.59
93308 117.66 111.78 128.55
93312 26 123.41 117.24 134.83
93312 TC 171.42 162.85 187.28
93312 294.83 280.09 322.10
93313 48.67 46.24 53.18
93314 26 70.82 67.28 77.37
93314 TC 171.42 162.85 187.28
93314 242.23 230.12 264.64
93315 26 156.04 148.24 170.48
93315 TC 158.84 150.90 173.54
93315 317.21 301.35 346.55
93316 49.57 47.09 54.15
93317 26 103.70 98.52 113.30
93317 TC 158.84 150.90 173.54
93317 262.45 249.33 286.73
93318 26 112.48 106.86 122.89
93320 26 21.75 20.66 23.76
93320 TC 76.94 73.09 84.05
93320 98.69 93.76 107.82
93321 26 8.84 8.40 9.66
93321 TC 50.02 47.52 54.65
93321 58.86 55.92 64.31
93325 26 4.41 4.19 4.82
93325 TC 131.15 124.59 143.28
93325 135.56 128.78 148.10
93350 26 84.52 80.29 92.33
93350 TC 79.85 75.86 87.24
93350 164.37 156.15 179.57
93501 26 175.88 167.09 192.15
93501 TC 757.52 719.64 827.59
93501 933.41 886.74 1,019.75
93503 151.24 143.68 165.23
93505 26 255.04 242.29 278.63
93505 TC 90.29 85.78 98.65
93505 345.33 328.06 377.27
93508 26 260.62 247.59 284.73
93508 TC 560.00 532.00 611.80
93508 820.62 779.59 896.53
93510 26 274.27 260.56 299.64
93510 TC 1,656.79 1,573.95 1,810.04
93510 1,931.06 1,834.51 2,109.69
93511 26 315.23 299.47 344.39
93511 TC 1,612.23 1,531.62 1,761.36
93511 1,927.46 1,831.09 2,105.75
93514 26 429.07 407.62 468.76
93524 26 426.87 405.53 466.36
93524 TC 2,107.86 2,002.47 2,302.84
93524 2,534.73 2,407.99 2,769.19
93526 26 371.45 352.88 405.81
93526 TC 2,165.88 2,057.59 2,366.23
93526 2,537.33 2,410.46 2,772.03
93527 26 446.96 424.61 488.30
93527 TC 2,107.86 2,002.47 2,302.84
93527 2,554.82 2,427.08 2,791.14
93528 26 549.54 522.06 600.37
93528 TC 2,107.86 2,002.47 2,302.84
93528 2,657.40 2,524.53 2,903.21
93529 26 298.19 283.28 325.77
93529 TC 2,107.86 2,002.47 2,302.84
93529 2,406.05 2,285.75 2,628.61
93530 26 259.77 246.78 283.80
93530 TC 757.52 719.64 827.59
93530 1,017.29 966.43 1,111.39
93531 26 503.29 478.13 549.85
93531 TC 2,165.88 2,057.59 2,366.23
93531 2,669.17 2,535.71 2,916.07
93532 26 600.97 570.92 656.56
93533 26 400.51 380.48 437.55
93539 22.96 21.81 25.08
93540 24.57 23.34 26.84
93541 16.50 15.68 18.03
93542 16.50 15.68 18.03
93543 16.50 15.68 18.03
93544 14.49 13.77 15.84
93545 22.96 21.81 25.08
93555 26 46.69 44.36 51.01
93555 TC 279.28 265.32 305.12
93555 325.97 309.67 356.12
93556 26 47.48 45.11 51.88
93556 TC 439.49 417.52 480.15
93556 486.97 462.62 532.01
93561 26 27.29 25.93 29.82
93561 TC 24.26 23.05 26.51
93561 51.55 48.97 56.32
93562 26 8.81 8.37 9.63
93562 TC 15.05 14.30 16.45
93562 23.86 22.67 26.07
93571 26 102.20 97.09 111.65
93571 TC 202.65 192.52 221.40
93571 304.85 289.61 333.05
93572 26 79.60 75.62 86.96
93580 1,070.21 1,016.70 1,169.21
93581 1,426.60 1,355.27 1,558.56
93600 26 124.90 118.66 136.46
93600 TC 87.91 83.51 96.04
93600 212.81 202.17 232.50


# 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.