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Fee Schedules

Physicians

Family Practice, General Practice, Osteopath, Internal Medicine, Pediatrics, Geriatrics
Effective For Dates Of Service 01/01/14

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Obstetrics, OB/GYN, Maternal Fetal Medicine

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

All other physicians

excluding Obstetrics, OB/GYN, Maternal Fetal Medicine

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Pediatric

Pediatric Subspecialist excluding Neonatologist

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Neonatologist

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2012

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Independent Lab

Effective For Dates Of Service 01/01/2012

 

 

Private and School Base Rehabilitative Therapy Services

School-Based Therapy Services

Effective For Dates Of Service 01/01/2013

Effective For Dates of Service 04/01/2011

Private Therapy Services

Effective For Dates of Service 07/01/2011

 

Dental Services

Effective For Dates Of Service 07/11/2011

Oral and Maxillofacial Surgeons

Effective For Dates Of Service 07/11/2011

 

Durable Medical Equipment

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 07/11/2012

Effective For Dates Of Service 01/01/2012

 

Effective For Dates Of Service 07/11/2011

 

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Fee Schedule Archive