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Fee Schedules
Physicians
Effective For Dates Of Service 01/01/2012
Family Practice, General Practice, Osteopath, Internal Medicine, Pediatrics, Geriatrics
Obstetrics, OB/GYN, Maternal Fetal Medicine
All other physicians excluding Obstetrics, OB/GYN, Maternal Fetal Medicine
Pediatric
Pediatric Subspecialist excluding Neonatologist
Neonatologist
Anesthesiologist
Effective For Dates Of Service 01/01/2012
Injectable Drug Fee
Effective For Dates Of Service 10/01/2011
Effective For Dates Of Service 07/11/2011
Independent Lab and X-ray
Effective For Dates Of Service 01/01/2012
- Independent Lab
- 20120101_INDEP_LAB_SCHED.xls
- 20120101_INDEP_LAB_SCHED.pdf
- Independent X-ray
- 20120101_XRAY_SCHED.xls
- 20120101_XRAY_SCHED.pdf
Private and School Base Rehabilitative Therapy Services
Effective For Dates Of Service 01/01/2012
- Private Rehab Services
- 20120101_PRIVATE_REHAB_SCHED.pdf
- 20120101_PRIVATE_REHAB_SCHED.xls
- School Based Rehab Services
- 20120101_SCHOOL BASED REHAB_SCHED.pdf
- 20120101_SCHOOL BASED REHAB_SCHED.xls
Oral and Maxillofacial Surgeons
Effective For Dates Of Service 07/11/2011
Durable Medical Equipment
Effective For Dates Of Service 01/01/2012
Incontinence Supplies
Effective For Dates Of Service 07/11/2011
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