2013 physician fee schedule

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CPT CODE MAX FEE 0025T-6 $228.01 0025T-A $228.01 0025T-M $228.01 0025T-N $228.01 0025T-P $150.15 0099T-2 $2,343.88 01953-4 $45.27 01967-4 $514.43 01968-4 $154.33 01996-6 $87.27 03410-I $267.15 07210-7 $96.18 07210-I $96.18 07220-7 $137.13 07220-I $137.13 07230-7 $247.54 07230-I $247.54 07240-7 $267.15 07240-I $267.15 07241-7 $311.67 07241-I $311.67 07250-7 $108.62 07250-I $108.62 07260-7 $1,398.09 07260-I $1,398.09 07310-7 $224.41 07310-I $224.41 07320-I $284.97 09220-7 $276.04 09220-I $276.04 09240-I $225.33 10021-2 $68.14 10022-2 $68.14 10040-2 $49.85 10060-2 $105.08 10061-2 $170.99 10080-2 $138.92 10081-2 $302.77 10120-2 $99.73 10121-2 $261.78 10140-2 $92.61 10160-2 $85.49 10180-2 $400.72 11000-2 $80.12 11001-2 $55.20 11004-2 $728.19

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Page 1: 2013 Physician Fee Schedule

CPT CODE MAX FEE0025T-6 $228.010025T-A $228.010025T-M $228.010025T-N $228.010025T-P $150.150099T-2 $2,343.8801953-4 $45.2701967-4 $514.4301968-4 $154.3301996-6 $87.2703410-I $267.1507210-7 $96.1807210-I $96.1807220-7 $137.1307220-I $137.1307230-7 $247.5407230-I $247.5407240-7 $267.1507240-I $267.1507241-7 $311.6707241-I $311.6707250-7 $108.6207250-I $108.6207260-7 $1,398.0907260-I $1,398.0907310-7 $224.4107310-I $224.4107320-I $284.9709220-7 $276.0409220-I $276.0409240-I $225.3310021-2 $68.1410022-2 $68.1410040-2 $49.8510060-2 $105.0810061-2 $170.9910080-2 $138.9210081-2 $302.7710120-2 $99.7310121-2 $261.7810140-2 $92.6110160-2 $85.4910180-2 $400.7211000-2 $80.1211001-2 $55.2011004-2 $728.19

Page 2: 2013 Physician Fee Schedule

11005-2 $800.4911006-2 $910.2411008-2 $482.8811010-2 $276.9011011-2 $436.2111012-2 $603.2711042-2 $284.9711043-2 $445.2411044-2 $623.3611045-2 $44.8411046-2 $79.8711047-2 $130.7011055-2 $57.8511056-2 $76.1311057-2 $95.9211100-2 $108.6211101-2 $55.2011200-2 $92.6111201-2 $46.3011300-2 $74.1511301-2 $106.8911302-2 $122.4111303-2 $167.2611305-2 $84.5011306-2 $103.4311307-2 $163.8111308-2 $205.1711310-2 $129.3211311-2 $193.1111312-2 $236.2211313-2 $301.7311400-2 $95.1411401-2 $136.8511402-2 $155.2311403-2 $211.9711404-2 $258.7311406-2 $367.2111420-2 $108.4911421-2 $131.8711422-2 $208.6311423-2 $258.7311424-2 $308.7911426-2 $408.9411440-2 $130.1911441-2 $165.2411442-2 $248.7211443-2 $300.46

Page 3: 2013 Physician Fee Schedule

11444-2 $383.9111446-2 $450.6711450-2 $837.9111451-2 $1,095.3111462-2 $761.1211463-2 $906.3411470-2 $933.0511471-2 $1,095.3111600-2 $206.6111601-2 $245.8011602-2 $302.7711603-2 $356.2111604-2 $436.3411606-2 $489.7711620-2 $208.3911621-2 $263.5911622-2 $293.8611623-2 $356.2111624-2 $454.1711626-2 $614.4611640-2 $245.8011641-2 $276.0411642-2 $338.3711643-2 $463.0711644-2 $489.7711646-2 $605.5411720-2 $57.2511721-2 $98.9911730-2 $117.5411732-2 $56.9711740-2 $83.6711750-2 $480.8811752-2 $489.7711755-2 $109.3411760-2 $113.9911762-2 $507.5611765-2 $516.4711770-2 $765.8211771-2 $970.6411772-2 $1,513.8311900-2 $49.8511901-2 $144.2511920-2 $103.3011921-2 $156.7111922-2 $238.6411950-2 $103.3011951-2 $156.71

Page 4: 2013 Physician Fee Schedule

11952-2 $238.6411954-2 $338.3711960-2 $3,454.2511970-2 $3,838.0511971-2 $3,838.0511980-2 $193.8811981-2 $230.8011982-2 $58.4011983-2 $289.2012001-2 $101.5112002-2 $131.8112004-2 $174.5312005-2 $224.4112006-2 $436.3412007-2 $471.9712011-2 $117.5412013-2 $174.5312014-2 $222.6212015-2 $252.9112016-2 $338.3712017-2 $454.1712018-2 $480.8812020-2 $1,050.7712021-2 $1,380.2612031-2 $153.1712032-2 $211.9112034-2 $293.8612035-2 $463.0712036-2 $561.0012037-2 $605.5412041-2 $140.6912042-2 $208.3912044-2 $238.6412045-2 $265.3812046-2 $400.7212047-2 $454.1712051-2 $229.7512052-2 $293.8612053-2 $338.3712054-2 $427.4212055-2 $471.9712056-2 $685.6712057-2 $926.1413100-2 $267.1513101-2 $311.6713102-2 $72.8813120-2 $311.67

Page 5: 2013 Physician Fee Schedule

13121-2 $480.8813122-2 $164.7213131-2 $365.0913132-2 $748.0313133-2 $358.5813150-2 $400.7213151-2 $471.9713152-2 $801.4413153-2 $380.4513160-2 $1,602.9014000-2 $703.4914001-2 $1,033.0014020-2 $694.5914021-2 $1,264.5314040-2 $979.5614041-2 $1,317.9214060-2 $1,193.2714061-2 $1,736.4614301-2 $1,686.9014302-2 $354.7714350-2 $1,086.3915002-2 $267.5015003-2 $134.9715004-2 $294.2515005-2 $148.3415040-2 $229.6815050-2 $329.4715100-2 $988.4315101-2 $284.9715110-2 $731.2315111-2 $137.8115115-2 $1,013.0315116-2 $263.1915120-2 $1,442.6115121-2 $561.0015130-2 $615.7615131-2 $112.9815135-2 $1,126.0115136-2 $153.9415150-2 $615.7615151-2 $146.4915152-2 $180.0215155-2 $901.3015156-2 $285.5415157-2 $307.8815200-2 $748.0315201-2 $561.00

Page 6: 2013 Physician Fee Schedule

15220-2 $1,148.7515221-2 $623.3615240-2 $926.1415241-2 $845.9615260-2 $1,611.7815261-2 $970.6415271-2 $139.8315272-2 $26.6615273-2 $287.1615274-2 $68.2015275-2 $150.2315276-2 $33.1615277-2 $291.0615278-2 $80.5215570-2 $1,825.5115572-2 $1,825.5115574-2 $1,825.5115576-2 $1,825.5115600-2 $792.5415610-2 $1,015.1815620-2 $1,691.9415630-2 $1,691.9415650-2 $1,700.8615731-2 $1,722.9715732-2 $2,431.0315734-2 $2,431.0315736-2 $2,431.0315738-2 $2,431.0315740-2 $2,431.0315750-2 $2,048.1715756-2 $9,840.8815757-2 $7,978.5015758-2 $7,625.8315760-2 $2,048.1715770-2 $2,448.8715775-2 $56.9715777-2 $206.6315780-2 $2,448.8715781-2 $756.9415782-2 $525.3915783-2 $112.2015786-2 $112.2015787-2 $99.7315788-2 $2,447.4015789-2 $2,447.4015792-2 $967.1815793-2 $967.18

Page 7: 2013 Physician Fee Schedule

15819-2 $2,048.1715820-2 $1,451.5015821-2 $2,083.7715822-2 $1,647.4015823-2 $1,647.4015824-2 $2,048.1715825-2 $3,063.3215826-2 $1,647.4015828-2 $5,957.4415829-2 $1,647.4015830-2 $2,305.3915832-2 $5,957.4415833-2 $5,957.4415834-2 $5,957.4415835-2 $5,957.4415836-2 $5,957.4415837-2 $2,831.7915838-2 $2,831.7915839-2 $2,831.7915840-2 $3,971.6115841-2 $3,971.6115842-2 $3,971.6115845-2 $4,826.5315847-2 $356.2715850-2 $58.7615851-2 $58.7615852-2 $311.6715876-2 $1,273.4315877-2 $1,273.4315878-2 $1,273.4315879-2 $1,273.4315920-2 $1,184.3515922-2 $1,531.6715931-2 $917.2115933-2 $1,246.6815934-2 $1,086.3915935-2 $1,647.4015936-2 $1,309.0215937-2 $1,647.4015940-2 $1,041.8815941-2 $1,415.9015944-2 $1,309.0215945-2 $1,647.4015946-2 $2,413.2515950-2 $917.2115951-2 $1,246.6815952-2 $1,309.02

Page 8: 2013 Physician Fee Schedule

15953-2 $1,647.4015956-2 $2,101.6015958-2 $2,448.8716000-2 $90.8416020-2 $87.2716025-2 $96.1816030-2 $122.9016035-2 $284.9716036-2 $116.6717000-2 $76.7617003-3 $33.4917004-2 $304.5017110-2 $51.7417111-2 $70.0317250-2 $53.4117260-2 $149.6917261-2 $181.9217262-2 $221.9817263-2 $257.0517264-2 $317.1417266-2 $427.2917270-2 $151.8717271-2 $193.6017272-2 $233.3117273-2 $293.8617274-2 $356.2117276-2 $454.1717280-2 $181.9217281-2 $185.2117282-2 $276.0417283-2 $338.3717284-2 $427.4217286-2 $489.7717311-2 $620.1217312-2 $284.5317313-2 $605.5317314-2 $277.2317315-2 $63.2317340-2 $58.7617360-2 $56.9717380-2 $106.8719000-2 $87.2719001-2 $56.9719020-2 $471.9719030-2 $90.8419100-2 $115.7519101-2 $614.46

Page 9: 2013 Physician Fee Schedule

19102-2 $323.3019103-2 $486.3519110-2 $739.1119112-2 $739.1119120-2 $703.4919125-2 $698.0519126-2 $698.0519260-2 $3,846.9919271-2 $5,449.8719272-2 $5,449.8719290-2 $275.8619291-2 $89.6619295-2 $123.7019296-2 $887.0019297-2 $444.1419298-2 $1,013.5319300-2 $879.1119301-2 $785.4919302-2 $2,187.4519303-2 $1,136.8919304-2 $1,158.7819305-2 $2,199.6119306-2 $3,926.2219307-2 $2,193.5319316-2 $4,212.0719318-2 $4,212.0719324-2 $2,333.1219325-2 $2,333.1219328-2 $1,228.9019330-2 $979.5619340-2 $1,095.3119342-2 $1,620.6919350-2 $1,798.8119355-2 $1,798.8119357-2 $3,597.6119361-2 $2,333.1219364-2 $12,689.6219366-2 $2,333.1219367-2 $9,416.5719368-2 $9,416.5719369-2 $9,416.5719370-2 $845.9619371-2 $845.9619380-2 $1,086.3920005-2 $170.9920100-2 $702.6020101-2 $1,191.72

Page 10: 2013 Physician Fee Schedule

20102-2 $1,191.7220103-2 $473.1920150-2 $784.2420200-2 $252.9120205-2 $400.7220206-2 $169.1920220-2 $170.9920225-2 $792.5420240-2 $623.3620245-2 $739.1120250-2 $2,377.6420251-2 $2,377.6420500-2 $112.2020501-2 $112.2020520-2 $122.9020525-2 $1,122.0420526-2 $52.8320527-2 $61.0420550-2 $64.1320551-2 $52.8320552-2 $79.2620553-2 $105.6720555-2 $502.4620600-2 $75.3120605-2 $65.8820610-2 $67.6920612-2 $51.4920615-2 $561.0020650-2 $284.9720660-2 $1,398.0920661-2 $2,137.1820662-2 $623.3620663-2 $623.3620664-2 $2,044.6620665-2 $112.2020670-2 $721.3220680-2 $1,050.7720690-2 $1,870.0420692-2 $3,553.0820693-2 $1,772.0720694-2 $854.9020696-2 $1,930.9120802-2 $6,874.6720805-2 $6,874.6720808-2 $6,874.6720816-2 $7,426.7820822-2 $3,686.67

Page 11: 2013 Physician Fee Schedule

20824-2 $7,311.0220827-2 $3,686.6720838-2 $6,473.9320900-2 $507.5620902-2 $3,401.7220910-2 $970.6420912-2 $1,469.3120920-2 $400.7220922-2 $792.5420924-2 $3,401.7220926-2 $2,431.0320930-2 $514.6220931-2 $514.6220936-2 $514.6220937-2 $1,698.3920938-2 $1,698.3920950-2 $265.3820955-2 $6,411.5820956-2 $5,512.8720957-2 $5,512.8720962-2 $6,411.5820969-2 $8,726.9220970-2 $8,726.9220972-2 $7,257.5720973-2 $7,257.5720974-2 $1,727.5820975-2 $1,717.0921010-2 $2,546.8521011-2 $471.8721012-2 $511.2921013-2 $736.2121014-2 $790.7021015-2 $4,033.9821016-2 $1,587.1921025-2 $1,228.9021026-2 $756.9421029-2 $917.2121030-2 $756.9421031-2 $685.6721032-2 $756.9421034-2 $1,994.7021040-2 $685.6721044-2 $2,101.6021045-2 $2,101.6021046-2 $1,791.4721047-2 $2,688.5521048-2 $1,791.47

Page 12: 2013 Physician Fee Schedule

21049-2 $2,879.6321050-2 $2,546.8521060-2 $2,546.8521070-2 $1,228.9021100-2 $1,700.8621110-2 $1,104.2121116-2 $112.2021120-2 $1,398.0921121-2 $2,083.7721122-2 $2,083.7721123-2 $2,083.7721125-2 $1,380.2621127-2 $1,932.4021137-2 $1,291.2321138-2 $1,932.4021139-2 $1,291.2321141-2 $6,654.9121142-2 $7,054.7821143-2 $7,454.7121145-2 $8,148.0921146-2 $8,557.7121147-2 $8,976.2721150-2 $8,557.7121151-2 $8,557.7121154-2 $9,430.3921155-2 $10,000.3121159-2 $7,364.4521160-2 $9,296.8421172-2 $3,125.6621175-2 $3,125.6621179-2 $4,301.1121180-2 $4,853.2421181-2 $917.2121182-2 $7,943.2921183-2 $7,943.2921184-2 $7,943.2921188-2 $2,760.5721193-2 $5,334.1021194-2 $5,886.2021195-2 $5,832.7921196-2 $6,562.9921198-2 $2,021.4221199-2 $1,837.1921206-2 $2,546.8521208-2 $1,460.4221209-2 $1,362.4621210-2 $2,769.46

Page 13: 2013 Physician Fee Schedule

21215-2 $2,769.4621230-2 $1,469.3121235-2 $1,460.4221240-2 $3,508.6021242-2 $3,731.1921243-2 $5,253.9721244-2 $1,638.5421247-2 $4,479.2221255-2 $2,769.4621256-2 $6,295.8321260-2 $6,295.8321261-2 $7,880.9521263-2 $8,388.5321267-2 $6,295.8321268-2 $7,880.9521270-2 $1,843.3421275-2 $4,203.1621280-2 $1,130.9521282-2 $1,130.9521295-2 $1,469.3121296-2 $1,870.0421310-2 $418.5021315-2 $226.2121320-2 $641.1621325-2 $792.5421330-2 $1,870.0421335-2 $3,054.4121336-2 $758.6421337-2 $224.4121338-2 $1,130.9521339-2 $1,870.0421340-2 $2,484.4921343-2 $2,270.7921344-2 $2,603.4221345-2 $2,600.2521346-2 $2,484.4921347-2 $3,570.8921348-2 $2,922.3721355-2 $623.3621356-2 $1,362.0521360-2 $1,291.2321365-2 $3,437.3321366-2 $3,741.3221385-2 $2,306.4021386-2 $2,270.7921387-2 $3,125.6621390-2 $2,716.03

Page 14: 2013 Physician Fee Schedule

21395-2 $3,570.8921400-2 $845.9621401-2 $1,700.8621406-2 $2,270.7921407-2 $2,742.7421408-2 $2,655.1321421-2 $1,531.6721422-2 $2,315.3221423-2 $2,870.6621431-2 $1,870.0421432-2 $3,749.0121433-2 $5,156.0021435-2 $8,504.2821436-2 $9,258.4621440-2 $845.9621445-2 $1,629.6221450-2 $837.0721451-2 $889.6521452-2 $1,685.8321453-2 $1,700.8621454-2 $3,241.4221461-2 $2,208.4521462-2 $2,422.1521465-2 $1,700.8621470-2 $4,069.5921480-2 $263.5921485-2 $427.4221490-2 $1,700.8621495-2 $1,415.9021497-2 $1,246.6821501-2 $463.0721502-2 $1,193.2721510-2 $845.9621550-2 $224.4121552-2 $681.7221554-2 $1,123.4421555-2 $112.2021556-2 $226.2121557-2 $4,274.4121558-2 $2,111.2321600-2 $1,193.2721610-2 $1,193.2721615-2 $2,885.2121616-2 $4,301.1121620-2 $2,885.2121627-2 $2,546.8521630-2 $4,301.11

Page 15: 2013 Physician Fee Schedule

21632-2 $5,449.8721685-2 $1,738.1121700-2 $1,531.6721705-2 $2,546.8521720-2 $1,522.7321725-2 $1,745.3921740-2 $5,102.5721742-2 $1,639.7021743-2 $1,639.7021750-2 $2,885.2121800-2 $236.8421805-2 $400.7221810-2 $400.7221820-2 $463.0721825-2 $1,700.8621920-2 $224.4121925-2 $463.0721930-2 $224.4121931-2 $713.0221932-2 $1,023.7321933-2 $1,129.2421935-2 $4,274.4121936-2 $2,194.7122010-2 $1,160.7722015-2 $1,160.7722100-2 $1,585.1022101-2 $1,585.1022102-2 $1,585.1022103-2 $914.5122110-2 $3,526.3722112-2 $3,526.3722114-2 $3,526.3722116-2 $914.5122206-2 $3,764.3622207-2 $3,715.3922208-2 $922.1422210-2 $4,301.1122212-2 $4,301.1122214-2 $4,301.1122216-2 $1,078.6022220-2 $4,986.8022222-2 $4,986.8022224-2 $4,986.8022226-2 $1,078.6022305-2 $534.3022310-2 $534.3022315-2 $1,700.86

Page 16: 2013 Physician Fee Schedule

22318-2 $1,553.8622319-2 $1,941.6022325-2 $3,971.6122326-2 $3,971.6122327-2 $3,971.6122328-2 $1,191.7222505-2 $463.0722520-2 $878.7522521-2 $827.4722522-2 $433.5522523-2 $883.9222524-2 $849.1622525-2 $450.6622532-2 $3,945.6722533-2 $3,766.1422534-2 $908.2922548-2 $5,449.8722551-2 $4,194.5122552-2 $1,385.0722554-2 $5,175.3722556-2 $6,171.1622558-2 $4,924.4522585-2 $1,193.2722590-2 $5,449.8722595-2 $5,449.8722600-2 $4,828.5322610-2 $4,710.7322612-2 $5,874.6522614-2 $1,191.7222630-2 $6,171.1622632-2 $1,191.7222633-2 $3,371.6922634-2 $1,049.6022800-2 $5,779.3522802-2 $6,126.6622804-2 $6,659.6822808-2 $3,038.2922810-2 $5,779.3522812-2 $6,126.6622818-2 $5,127.6622819-2 $6,158.3422830-2 $2,938.6722840-2 $4,826.5222841-2 $3,086.0822842-2 $4,840.7622843-2 $4,809.9522844-2 $5,225.78

Page 17: 2013 Physician Fee Schedule

22845-2 $1,915.4722846-2 $2,751.5322847-2 $3,143.4322848-2 $1,191.7222849-2 $4,256.6022850-2 $3,090.0522851-2 $2,424.8922852-2 $4,391.9622855-2 $1,816.6222900-2 $3,695.5822901-2 $1,009.8222902-2 $630.7022903-2 $668.9622904-2 $1,583.7122905-2 $2,053.2623000-2 $837.0723020-2 $2,163.9023030-2 $167.4223031-2 $222.6223035-2 $845.9623040-2 $1,985.8223044-2 $970.6423065-2 $224.4123066-2 $463.0723071-2 $633.0223073-2 $1,111.8523075-2 $489.7723076-2 $979.5623077-2 $4,274.4123078-2 $2,137.9023100-2 $2,163.9023101-2 $970.6423105-2 $2,947.5723106-2 $1,309.0223107-2 $1,985.8223120-2 $1,415.9023125-2 $1,415.9023130-2 $1,424.7923140-2 $1,193.2723145-2 $1,745.3923146-2 $1,415.9023150-2 $3,125.6623155-2 $4,710.7323156-2 $3,695.5823170-2 $1,246.6823172-2 $970.6423174-2 $2,546.85

Page 18: 2013 Physician Fee Schedule

23180-2 $970.6423182-2 $970.6423184-2 $2,546.8523190-2 $1,415.9023195-2 $1,415.9023200-2 $3,401.7223210-2 $5,387.5323220-2 $2,600.2523330-2 $113.9923331-2 $739.1123332-2 $1,077.4823350-2 $113.9923395-2 $3,971.6123397-2 $3,971.6123400-2 $2,270.7923405-2 $1,585.1023406-2 $2,377.6423410-2 $1,923.4823412-2 $2,858.5123415-2 $774.7223420-2 $3,237.8523430-2 $2,377.6423440-2 $2,377.6423450-2 $3,259.2123455-2 $3,695.5823460-2 $3,971.6123462-2 $3,570.8923465-2 $3,401.7223466-2 $3,401.7223470-2 $3,846.9923472-2 $4,817.6323480-2 $1,985.8223485-2 $2,377.6423490-2 $1,700.8623491-2 $2,502.3123500-2 $338.3723505-2 $489.7723515-2 $1,496.0623520-2 $226.2123525-2 $561.0023530-2 $1,415.9023532-2 $1,585.1023540-2 $561.0023545-2 $685.6723550-2 $1,611.7823552-2 $1,736.4623570-2 $311.67

Page 19: 2013 Physician Fee Schedule

23575-2 $685.6723585-2 $1,700.8623600-2 $908.3023605-2 $1,407.0123615-2 $2,502.3123616-2 $2,603.4223620-2 $311.6723625-2 $685.6723630-2 $1,745.3923650-2 $641.1623655-2 $801.4423660-2 $2,546.8523665-2 $525.3923670-2 $2,377.6423675-2 $792.5423680-2 $3,339.3923700-2 $748.0323800-2 $3,517.4723802-2 $3,971.6123900-2 $4,541.5323920-2 $3,401.7223921-2 $623.3623930-2 $167.4223931-2 $112.2023935-2 $845.9624000-2 $1,825.5124006-2 $2,112.0224065-2 $226.2124066-2 $463.0724071-2 $614.4724073-2 $1,056.2024075-2 $578.8224076-2 $1,059.7024077-2 $4,274.4124079-2 $1,969.7924100-2 $1,077.4824101-2 $1,594.0024102-2 $1,976.9224105-2 $801.4424110-2 $1,976.9224115-2 $2,448.8724116-2 $2,101.6024120-2 $1,585.1024125-2 $1,985.8224126-2 $1,745.3924130-2 $1,825.5124134-2 $2,377.64

Page 20: 2013 Physician Fee Schedule

24136-2 $1,585.1024138-2 $1,193.2724140-2 $2,377.6424145-2 $1,585.1024147-2 $1,193.2724149-2 $1,545.2824150-2 $5,387.5324152-2 $3,570.8924155-2 $2,947.5724160-2 $1,193.2724164-2 $792.5424200-2 $105.0824201-2 $578.8224220-2 $112.2024300-2 $492.1824301-2 $2,333.1224305-2 $1,193.2724310-2 $970.6424320-2 $2,448.8724330-2 $2,377.6424331-2 $3,125.6624332-2 $1,083.1024340-2 $1,985.8224341-2 $2,244.4424342-2 $2,778.3524343-2 $2,017.4124344-2 $3,979.1824345-2 $2,017.4124346-2 $3,979.1824350-2 $792.5424351-2 $961.7324352-2 $1,193.2724354-2 $1,193.2724356-2 $1,674.1724357-2 $606.2124358-2 $872.0224359-2 $961.7824360-2 $4,078.5024361-2 $3,401.7224362-2 $3,401.7224363-2 $5,040.2224365-2 $1,246.6824366-2 $1,985.8224400-2 $1,985.8224410-2 $2,270.7924420-2 $3,125.6624430-2 $3,401.72

Page 21: 2013 Physician Fee Schedule

24435-2 $3,971.6124470-2 $1,985.8224495-2 $1,745.3924498-2 $2,502.3124500-2 $694.5924505-2 $1,015.1824515-2 $2,502.3124516-2 $2,396.5324530-2 $703.4924535-2 $1,015.1824538-2 $1,976.9224545-2 $2,778.3524546-2 $2,655.1324560-2 $400.7224565-2 $792.5424566-2 $1,362.4624575-2 $1,745.3924576-2 $507.5624577-2 $935.0124579-2 $2,546.8524582-2 $1,362.4624586-2 $4,033.9824587-2 $4,033.9824600-2 $329.4724605-2 $685.6724615-2 $1,985.8224620-2 $792.5424635-2 $2,092.6624640-2 $160.2724650-2 $685.6724655-2 $837.0724665-2 $1,798.8124666-2 $2,377.6424670-2 $284.9724675-2 $623.3624685-2 $1,451.5024800-2 $3,179.0724802-2 $3,570.8924900-2 $1,985.8224920-2 $1,745.3924925-2 $623.3624930-2 $1,985.8224931-2 $2,377.6424935-2 $1,638.5424940-2 $3,401.7225000-2 $935.0125001-2 $811.96

Page 22: 2013 Physician Fee Schedule

25020-2 $837.0725023-2 $1,745.3925024-2 $390.7025025-2 $1,668.4225028-2 $167.4225031-2 $112.2025035-2 $837.0725040-2 $1,825.5125065-2 $224.4125066-2 $463.0725071-2 $643.4625073-2 $801.1325075-2 $748.0325076-2 $1,059.7025077-2 $4,274.4125078-2 $1,718.2025085-2 $1,415.9025100-2 $1,077.4825101-2 $1,077.4825105-2 $1,700.8625107-2 $1,362.4625109-2 $530.1425110-2 $685.6725111-2 $881.6025112-2 $1,077.4825115-2 $2,057.0225116-2 $2,048.1725118-2 $979.5625119-2 $1,700.8625120-2 $1,558.3625125-2 $1,950.1925126-2 $1,700.8625130-2 $1,077.4825135-2 $1,469.3125136-2 $1,469.3125145-2 $1,585.1025150-2 $1,585.1025151-2 $1,585.1025170-2 $3,401.7225210-2 $1,148.7525215-2 $1,985.8225230-2 $1,246.6825240-2 $1,246.6825246-2 $112.2025248-2 $739.1125250-2 $739.1125251-2 $1,130.95

Page 23: 2013 Physician Fee Schedule

25259-2 $342.0325260-2 $1,159.1925263-2 $1,624.7225265-2 $2,437.0625270-2 $940.1325272-2 $1,159.1925274-2 $1,624.7225275-2 $967.6825280-2 $1,362.4625290-2 $970.6425295-2 $1,246.6825300-2 $2,163.9025301-2 $1,870.0425310-2 $1,870.0425312-2 $2,163.9025315-2 $2,163.9025316-2 $2,947.5725320-2 $3,241.4225332-2 $2,762.4225335-2 $3,241.4225337-2 $2,168.0425350-2 $1,700.8625355-2 $2,377.6425360-2 $1,985.8225365-2 $2,778.3525370-2 $2,778.3525375-2 $3,517.4725390-2 $1,985.8225391-2 $2,448.8725392-2 $2,778.3525393-2 $3,125.6625394-2 $1,038.6025400-2 $2,208.4525405-2 $2,600.2525415-2 $2,947.5725420-2 $3,401.7225425-2 $2,448.8725426-2 $3,125.6625430-2 $729.9425431-2 $1,604.4625440-2 $2,448.8725441-2 $1,469.3125442-2 $1,460.4225443-2 $1,700.8625444-2 $1,700.8625445-2 $1,700.8625446-2 $3,570.89

Page 24: 2013 Physician Fee Schedule

25447-2 $2,529.0125449-2 $1,700.8625450-2 $1,193.2725455-2 $1,700.8625490-2 $1,985.8225491-2 $1,745.3925492-2 $2,671.5325500-2 $516.4725505-2 $685.6725515-2 $1,985.8225520-2 $1,568.9525525-2 $2,275.8625526-2 $2,275.8625530-2 $436.3425535-2 $872.6825545-2 $1,745.3925560-2 $578.8225565-2 $1,104.2125574-2 $2,551.6725575-2 $2,929.7425600-2 $641.1625605-2 $810.3325606-2 $978.8225607-2 $947.2125608-2 $998.2725609-2 $1,108.9225622-2 $463.0725624-2 $881.6025628-2 $1,807.7325630-2 $427.4225635-2 $667.8725645-2 $1,700.8625650-2 $400.7225651-2 $428.2325652-2 $533.9025660-2 $685.6725670-2 $1,745.3925671-2 $811.9625675-2 $623.3625676-2 $1,246.6825680-2 $1,193.2725685-2 $1,700.8625690-2 $970.6425695-2 $1,469.3125800-2 $2,208.4525805-2 $2,716.0325810-2 $2,716.03

Page 25: 2013 Physician Fee Schedule

25820-2 $2,208.4525825-2 $2,671.5325830-2 $2,601.6325900-2 $1,700.8625905-2 $1,585.1025907-2 $623.3625909-2 $1,745.3925915-2 $1,700.8625920-2 $1,700.8625922-2 $623.3625924-2 $1,700.8625927-2 $1,415.9025929-2 $507.5625931-2 $1,415.9026010-2 $113.9926011-2 $251.0926020-2 $837.0726025-2 $721.3226030-2 $1,415.9026034-2 $837.0726035-2 $845.9626037-2 $1,246.6826040-2 $507.5626045-2 $1,246.6826055-2 $756.9426060-2 $507.5626070-2 $881.6026075-2 $739.1126080-2 $703.4926100-2 $881.6026105-2 $739.1126110-2 $623.3626111-2 $623.7526113-2 $820.8426115-2 $561.0026116-2 $979.5626117-2 $1,193.2726118-2 $1,610.3826121-2 $1,540.5626123-2 $1,540.5626125-2 $623.3626130-2 $1,246.6826135-2 $1,398.0926140-2 $1,246.6826145-2 $1,398.0926160-2 $774.7226170-2 $739.11

Page 26: 2013 Physician Fee Schedule

26180-2 $739.1126185-2 $767.2326200-2 $1,246.6826205-2 $1,585.1026210-2 $1,130.9526215-2 $1,460.4226230-2 $970.6426235-2 $739.1126236-2 $623.3626250-2 $1,469.3126260-2 $1,469.3126262-2 $1,469.3126320-2 $979.5626340-2 $196.0526341-2 $71.8626350-2 $1,433.0126352-2 $2,510.1026356-2 $1,624.7226357-2 $1,624.7226358-2 $2,510.1026370-2 $1,496.9526372-2 $1,916.7926373-2 $1,506.0826390-2 $1,506.0826392-2 $2,035.4426410-2 $584.1826412-2 $1,277.8826415-2 $803.2326416-2 $1,031.4226418-2 $638.9226420-2 $1,277.8826426-2 $1,496.9526428-2 $2,035.4426432-2 $520.2826433-2 $638.9226434-2 $757.5826437-2 $575.0226440-2 $994.9126442-2 $994.9126445-2 $757.5826449-2 $940.1326450-2 $757.5826455-2 $520.2826460-2 $520.2826471-2 $1,277.8826474-2 $994.9126476-2 $1,040.54

Page 27: 2013 Physician Fee Schedule

26477-2 $1,040.5426478-2 $1,506.0826479-2 $1,506.0826480-2 $1,624.7226483-2 $2,154.1426485-2 $2,035.4426489-2 $2,510.1026490-2 $1,916.7926492-2 $2,510.1026494-2 $2,263.6626496-2 $1,916.7926497-2 $1,916.7926498-2 $2,510.1026499-2 $1,916.7926500-2 $1,277.8826502-2 $1,506.0826508-2 $1,506.0826510-2 $2,254.5126516-2 $1,246.6826517-2 $1,870.0426518-2 $2,208.4526520-2 $1,246.6826525-2 $1,166.5426530-2 $1,469.3126531-2 $1,700.8626535-2 $1,122.0426536-2 $1,700.8626540-2 $1,700.8626541-2 $2,101.6026542-2 $1,665.2526545-2 $1,469.3126546-2 $1,512.7926548-2 $1,246.6826550-2 $4,977.8726551-2 $5,862.4526553-2 $6,032.5826554-2 $5,862.4526555-2 $5,387.5326556-2 $4,134.6626560-2 $1,415.9026561-2 $1,985.8226562-2 $2,671.5326565-2 $1,469.3126567-2 $1,469.3126568-2 $1,950.1926580-2 $2,431.0326587-2 $1,469.31

Page 28: 2013 Physician Fee Schedule

26590-2 $1,193.2726591-2 $2,208.4526593-2 $1,469.3126596-2 $1,825.5126600-2 $236.8426605-2 $543.2126607-2 $845.9626608-2 $818.9826615-2 $854.9026641-2 $489.7726645-2 $489.7726650-2 $881.6026665-2 $1,807.7326670-2 $463.0726675-2 $507.5626676-2 $783.6326685-2 $1,130.9526686-2 $1,130.9526700-2 $224.4126705-2 $463.0726706-2 $756.9426715-2 $1,104.2126720-2 $176.3226725-2 $418.5026727-2 $756.9426735-2 $1,015.1826740-2 $302.7726742-2 $436.3426746-2 $1,255.5826750-2 $117.5426755-2 $224.4126756-2 $320.6126765-2 $498.6726770-2 $140.6926775-2 $169.1926776-2 $320.6126785-2 $587.7726820-2 $1,985.8226841-2 $1,585.1026842-2 $1,985.8226843-2 $1,585.1026844-2 $1,985.8226850-2 $1,469.3126852-2 $1,870.0426860-2 $1,130.9526861-2 $561.0026862-2 $1,469.31

Page 29: 2013 Physician Fee Schedule

26863-2 $739.1126910-2 $988.4326951-2 $578.8226952-2 $748.0326990-2 $167.4226991-2 $87.2726992-2 $845.9627000-2 $507.5627001-2 $623.3627003-2 $623.3627005-2 $1,193.2727006-2 $1,193.2727025-2 $1,700.8627027-2 $1,534.3027030-2 $2,778.3527033-2 $2,671.5327035-2 $3,401.7227036-2 $3,322.5627040-2 $224.4127041-2 $463.0727043-2 $711.8627045-2 $1,132.7127047-2 $730.2227048-2 $1,050.7727049-2 $4,274.4127050-2 $1,193.2727052-2 $2,769.4627054-2 $3,971.6127057-2 $1,688.6827059-2 $3,070.0427060-2 $970.6427062-2 $739.1127065-2 $970.6427066-2 $1,531.6727067-2 $1,531.6727070-2 $970.6427071-2 $2,546.8527075-2 $5,387.5327076-2 $5,387.5327077-2 $5,387.5327078-2 $5,387.5327080-2 $1,335.7427086-2 $112.2027087-2 $685.6727090-2 $2,778.3527091-2 $2,769.4627093-2 $138.92

Page 30: 2013 Physician Fee Schedule

27095-2 $138.9227096-2 $80.1827097-2 $2,671.5327098-2 $2,671.5327100-2 $2,947.5727105-2 $3,125.6627110-2 $3,971.6127111-2 $2,947.5727120-2 $4,710.7327122-2 $3,971.6127125-2 $3,989.4427130-2 $5,497.9527132-2 $7,364.4527134-2 $8,922.8427137-2 $6,117.7727138-2 $6,117.7727140-2 $2,377.6427146-2 $3,971.6127147-2 $4,301.1127151-2 $5,494.4027156-2 $4,301.1127158-2 $4,301.1127161-2 $3,472.9927165-2 $3,597.6127170-2 $3,214.7227175-2 $2,048.1727176-2 $2,894.1127177-2 $4,586.0927178-2 $4,131.9527179-2 $3,125.6627181-2 $4,710.7327185-2 $1,585.1027187-2 $4,131.9527193-2 $275.8627194-2 $543.1027200-2 $561.0027201-2 $845.9627202-2 $1,415.9027215-2 $2,163.7527216-2 $1,086.2027217-2 $2,706.8427218-2 $2,706.8427220-2 $970.6427222-2 $2,270.7927226-2 $2,982.7027227-2 $3,655.1227228-2 $4,077.53

Page 31: 2013 Physician Fee Schedule

27230-2 $792.5427232-2 $1,870.0427235-2 $3,749.0127236-2 $4,123.0127238-2 $792.5427240-2 $1,870.0427244-2 $3,704.4727245-2 $3,413.7527246-2 $623.3627248-2 $1,415.9027250-2 $739.1127252-2 $1,415.9027253-2 $3,179.0727254-2 $3,855.8527256-2 $1,825.5127257-2 $1,415.9027258-2 $3,179.0727259-2 $4,452.5227265-2 $739.1127266-2 $1,415.9027267-2 $579.4027268-2 $715.8027269-2 $3,017.0827275-2 $463.0727280-2 $2,778.3527282-2 $2,778.3527284-2 $4,131.9527286-2 $4,363.4527290-2 $5,102.5727295-2 $3,374.9927301-2 $471.9727303-2 $837.0727305-2 $970.6427306-2 $507.5627307-2 $739.1127310-2 $2,270.7927323-2 $224.4127324-2 $463.0727325-2 $1,360.6227326-2 $1,360.6227327-2 $641.1627328-2 $801.4427329-2 $4,274.4127330-2 $1,941.3127331-2 $2,092.6627332-2 $2,431.0327333-2 $2,947.57

Page 32: 2013 Physician Fee Schedule

27334-2 $2,074.8827335-2 $3,401.7227337-2 $634.1827339-2 $1,144.3127340-2 $917.2127345-2 $1,700.8627347-2 $1,197.6127350-2 $1,789.9027355-2 $1,923.4827356-2 $2,439.9727357-2 $2,947.5727358-2 $507.5627360-2 $1,923.4827364-2 $3,101.3427365-2 $3,401.7227370-2 $112.2027372-2 $739.1127380-2 $1,985.8227381-2 $1,985.8227385-2 $2,377.6427386-2 $3,125.6627390-2 $970.6427391-2 $1,415.9027392-2 $2,163.9027393-2 $1,193.2727394-2 $1,585.1027395-2 $2,377.6427396-2 $2,947.5727397-2 $3,401.7227400-2 $3,125.6627403-2 $2,315.3227405-2 $2,618.0827407-2 $2,885.2127409-2 $3,374.9927412-2 $3,201.9727415-2 $3,209.7227416-2 $3,345.8327418-2 $3,348.2727420-2 $2,947.5727422-2 $2,947.5727424-2 $2,947.5727425-2 $2,484.4927427-2 $3,045.5027428-2 $3,900.4027429-2 $4,060.6827430-2 $2,947.5727435-2 $1,647.40

Page 33: 2013 Physician Fee Schedule

27437-2 $2,511.2027438-2 $4,657.3227440-2 $3,695.5827441-2 $4,986.8027442-2 $4,879.9527443-2 $6,580.8027445-2 $4,879.9527446-2 $5,556.7527447-2 $5,546.0327448-2 $2,831.7927450-2 $3,686.6727454-2 $3,971.6127455-2 $2,270.7927457-2 $2,778.3527465-2 $3,125.6627466-2 $3,401.7227468-2 $4,586.0927470-2 $3,971.6127472-2 $4,586.0927475-2 $2,546.8527477-2 $2,546.8527479-2 $3,125.6627485-2 $2,163.9027486-2 $6,536.3027487-2 $6,580.8027488-2 $1,130.9527495-2 $3,749.0127496-2 $758.6427497-2 $974.1227498-2 $974.1227499-2 $1,189.6327500-2 $1,041.8827501-2 $974.1227502-2 $2,048.1727503-2 $1,956.8627506-2 $3,508.6027507-2 $3,577.5327508-2 $792.5427509-2 $1,517.2127510-2 $1,576.2027511-2 $3,577.5327513-2 $3,577.5327514-2 $3,472.9927516-2 $623.3627517-2 $1,415.9027519-2 $2,947.5727520-2 $756.94

Page 34: 2013 Physician Fee Schedule

27524-2 $2,048.1727530-2 $623.3627532-2 $1,317.9227535-2 $2,603.4227536-2 $2,911.9227538-2 $997.3827540-2 $2,778.3527550-2 $970.6427552-2 $970.6427556-2 $2,778.3527557-2 $2,778.3527558-2 $2,655.1327560-2 $418.5027562-2 $400.7227566-2 $2,377.6427570-2 $418.5027580-2 $3,472.9927590-2 $2,716.0327591-2 $2,502.3127592-2 $2,546.8527594-2 $623.3627596-2 $917.2127598-2 $2,448.8727600-2 $837.0727601-2 $935.0127602-2 $1,246.6827603-2 $1,255.5827604-2 $1,255.5827605-2 $282.0927606-2 $507.5627607-2 $845.9627610-2 $1,807.7327612-2 $1,745.3927613-2 $224.4127614-2 $463.0727615-2 $4,274.4127616-2 $2,411.5127618-2 $730.2227619-2 $1,050.7727620-2 $1,745.3927625-2 $1,736.4627626-2 $2,119.4127630-2 $685.6727632-2 $627.2227634-2 $1,028.3727635-2 $1,745.3927637-2 $2,457.79

Page 35: 2013 Physician Fee Schedule

27638-2 $2,546.8527640-2 $2,119.4127641-2 $1,246.6827645-2 $2,974.2627646-2 $1,567.3027647-2 $1,246.6827648-2 $112.2027650-2 $2,092.6627652-2 $2,635.9027654-2 $2,537.9127656-2 $1,193.2727658-2 $1,246.6827659-2 $1,415.9027664-2 $1,246.6827665-2 $1,585.1027675-2 $1,193.2727676-2 $1,193.2727680-2 $926.1427681-2 $1,193.2727685-2 $1,335.7427686-2 $1,585.1027687-2 $1,415.9027690-2 $1,585.1027691-2 $1,976.9227692-2 $507.5627695-2 $1,976.9227696-2 $2,778.3527698-2 $2,333.1227700-2 $3,401.7227702-2 $5,494.4027703-2 $5,708.1327704-2 $658.9827705-2 $2,146.0927707-2 $1,246.6827709-2 $3,401.7227712-2 $3,401.7227715-2 $4,710.7327720-2 $2,947.5727722-2 $3,401.7227724-2 $3,472.9927725-2 $3,401.7227726-2 $2,156.7227727-2 $2,431.0327730-2 $1,985.8227732-2 $1,193.2727734-2 $2,448.8727740-2 $3,570.89

Page 36: 2013 Physician Fee Schedule

27742-2 $4,301.1127745-2 $3,241.4227750-2 $1,059.7027752-2 $1,362.4627756-2 $2,333.1227758-2 $2,546.8527759-2 $2,922.3727760-2 $801.4427762-2 $899.3927766-2 $1,914.5527767-2 $447.6727768-2 $561.9127769-2 $1,315.0227780-2 $694.5927781-2 $694.5927784-2 $1,282.3327786-2 $614.4627788-2 $765.8227792-2 $1,798.8127808-2 $1,228.9027810-2 $1,398.0927814-2 $2,529.0127816-2 $792.5427818-2 $1,585.1027822-2 $2,698.1927823-2 $2,858.5127824-2 $758.6427825-2 $1,517.2127826-2 $2,706.8427827-2 $2,706.8427828-2 $2,818.9227829-2 $1,836.1827830-2 $561.0027831-2 $685.6727832-2 $1,585.1027840-2 $561.0027842-2 $685.6727846-2 $1,923.4827848-2 $1,585.1027860-2 $400.7227870-2 $3,045.5027871-2 $3,401.7227880-2 $2,333.1227881-2 $2,546.8527882-2 $1,700.8627884-2 $507.5627886-2 $1,130.95

Page 37: 2013 Physician Fee Schedule

27888-2 $1,976.9227889-2 $2,333.1227892-2 $922.4027893-2 $922.4027894-2 $1,189.6328001-2 $489.7728002-2 $703.4928003-2 $730.2228005-2 $1,130.9528008-2 $703.4928010-2 $112.2028011-2 $284.9728020-2 $1,166.5428022-2 $578.8228024-2 $507.5628035-2 $1,585.1028039-2 $722.2928041-2 $693.3128043-2 $516.4728045-2 $685.6728046-2 $810.3328047-2 $1,482.8528050-2 $1,193.2728052-2 $739.1128054-2 $507.5628055-2 $1,009.2228060-2 $837.0728062-2 $845.9628070-2 $1,193.2728072-2 $739.1128080-2 $1,041.8828086-2 $1,246.6828088-2 $970.6428090-2 $748.0328092-2 $703.4928100-2 $1,193.2728102-2 $1,415.9028103-2 $1,415.9028104-2 $970.6428106-2 $1,193.2728107-2 $1,193.2728108-2 $899.3928110-2 $507.5628111-2 $1,415.9028112-2 $792.5428113-2 $792.5428114-2 $1,567.30

Page 38: 2013 Physician Fee Schedule

28116-2 $1,415.9028118-2 $970.6428119-2 $1,050.7728120-2 $1,193.2728122-2 $1,166.5428124-2 $739.1128126-2 $961.7328130-2 $1,985.8228140-2 $872.6828150-2 $792.5428153-2 $801.4428160-2 $694.5928171-2 $1,415.9028173-2 $1,130.9528175-2 $739.1128190-2 $140.6928192-2 $578.8228193-2 $1,193.2728200-2 $1,193.2728202-2 $1,585.1028208-2 $561.0028210-2 $845.9628220-2 $970.6428222-2 $1,211.0828225-2 $561.0028226-2 $739.1128230-2 $578.8228232-2 $284.9728234-2 $226.2128238-2 $1,415.9028240-2 $739.1128250-2 $854.9028260-2 $1,700.8628261-2 $1,825.5128262-2 $2,733.8328264-2 $2,163.9028270-2 $605.5428272-2 $605.5428280-2 $703.4928285-2 $881.6028286-2 $694.5928288-2 $507.5628289-2 $889.2228290-2 $1,184.3528292-2 $1,407.0128293-2 $1,727.5828294-2 $1,727.58

Page 39: 2013 Physician Fee Schedule

28296-2 $1,754.2828297-2 $1,683.0028298-2 $1,700.8628299-2 $1,415.9028300-2 $1,870.0428302-2 $1,745.3928304-2 $1,585.1028305-2 $1,745.3928306-2 $1,424.7928307-2 $1,567.3028308-2 $1,130.9528309-2 $1,745.3928310-2 $623.3628312-2 $400.7228313-2 $739.1128315-2 $1,050.7728320-2 $1,077.4828322-2 $926.1428340-2 $970.6428341-2 $1,362.4628344-2 $970.6428345-2 $1,415.9028360-2 $2,431.0328400-2 $569.9228405-2 $1,050.7728406-2 $1,700.8628415-2 $1,950.1928420-2 $2,137.1828430-2 $578.8228435-2 $1,050.7728436-2 $1,700.8628445-2 $2,270.7928446-2 $2,539.1028450-2 $454.1728455-2 $685.6728456-2 $988.4328465-2 $1,077.4828470-2 $471.9728475-2 $605.5428476-2 $804.5228485-2 $1,033.0028490-2 $185.2128495-2 $293.8628496-2 $988.4328505-2 $525.3928510-2 $276.0428515-2 $276.04

Page 40: 2013 Physician Fee Schedule

28525-2 $525.3928530-2 $276.0428531-2 $594.8028540-2 $454.1728545-2 $561.0028546-2 $623.3628555-2 $1,415.9028570-2 $739.1128575-2 $739.1128576-2 $646.5528585-2 $1,700.8628600-2 $186.9928605-2 $463.0728606-2 $623.3628615-2 $1,130.9528630-2 $131.8128635-2 $284.9728636-2 $275.8628645-2 $792.5428660-2 $112.2028665-2 $167.4228666-2 $160.3528675-2 $561.0028705-2 $3,695.5828715-2 $2,671.5328725-2 $2,217.3428730-2 $2,163.9028735-2 $1,745.3928737-2 $1,371.3928740-2 $792.5428750-2 $1,415.9028755-2 $792.5428760-2 $1,193.2728800-2 $1,691.9428805-2 $1,700.8628810-2 $1,033.0028820-2 $534.3028825-2 $561.0028890-2 $439.4829000-2 $623.3629010-2 $623.3629015-2 $739.1129020-2 $561.0029025-2 $730.2229035-2 $471.9729040-2 $739.1129044-2 $561.00

Page 41: 2013 Physician Fee Schedule

29046-2 $623.3629049-2 $112.2029055-2 $329.4729058-2 $169.1929065-2 $226.2129075-2 $157.0929085-2 $158.4929086-2 $51.4529105-2 $194.1229125-2 $62.3329126-2 $87.2729130-2 $58.7629131-2 $53.4229200-2 $67.6929240-2 $65.8829260-2 $64.1329280-2 $46.3029305-2 $489.7729325-2 $578.8229345-2 $247.5429355-2 $265.3829358-2 $507.5629365-2 $276.0429405-2 $215.5129425-2 $220.8529435-2 $267.1529440-2 $44.5129445-2 $245.4529450-2 $96.1829505-2 $133.5629515-2 $99.7329520-2 $169.1929530-2 $89.0529540-2 $67.6929550-2 $56.9729580-2 $96.1829581-2 $132.1729582-2 $124.4929583-2 $71.6229584-2 $124.4929590-2 $112.2029700-2 $108.6229705-2 $64.1329710-2 $112.2029715-2 $112.2029720-2 $80.1229730-2 $108.62

Page 42: 2013 Physician Fee Schedule

29740-2 $112.2029750-2 $112.2029800-2 $1,228.9029804-2 $2,448.8729805-2 $1,169.2929806-2 $2,843.2829807-2 $3,221.4629819-2 $3,214.7229820-2 $2,261.8629821-2 $3,214.7229822-2 $2,261.8629823-2 $3,214.7229824-2 $994.1029825-2 $3,214.7229826-2 $2,893.2529827-2 $2,261.7029828-2 $1,178.6229830-2 $1,371.3929834-2 $3,294.8629835-2 $2,315.3229836-2 $3,294.8629837-2 $2,315.3229838-2 $3,294.8629840-2 $1,362.4629843-2 $2,217.3429844-2 $2,591.3529845-2 $3,081.1529846-2 $3,125.6629847-2 $2,377.6429848-2 $1,184.3529850-2 $2,655.1329851-2 $2,655.1329855-2 $2,603.4229856-2 $2,603.4229860-2 $1,598.5829861-2 $3,833.5729862-2 $3,146.9229863-2 $3,526.0029866-2 $3,705.5129867-2 $3,209.7229868-2 $3,209.7229870-2 $1,166.5429871-2 $2,083.7729873-2 $1,761.6629874-2 $3,214.7229875-2 $2,428.3729876-2 $2,974.26

Page 43: 2013 Physician Fee Schedule

29877-2 $2,676.8229879-2 $2,974.2629880-2 $3,510.3629881-2 $2,676.8229882-2 $2,974.2629883-2 $3,846.9929884-2 $2,974.2629885-2 $2,974.2629886-2 $2,083.7729887-2 $2,974.2629888-2 $4,768.6329889-2 $5,298.4929891-2 $2,840.9129892-2 $2,840.9129893-2 $663.7929894-2 $3,214.7229895-2 $2,261.8629897-2 $2,261.8629898-2 $3,214.7229899-2 $2,590.9929900-2 $597.8529901-2 $660.4229902-2 $750.7929904-2 $1,149.4829905-2 $1,324.3429906-2 $1,324.3429907-2 $1,080.6929914-2 $1,747.2929915-2 $1,780.3229916-2 $1,780.6730000-2 $284.9730020-2 $267.1530100-2 $167.4230110-2 $233.3130115-2 $845.9630117-2 $801.4430118-2 $1,309.0230120-2 $2,048.1730124-2 $471.9730125-2 $845.9630130-2 $561.0030140-2 $1,362.4630150-2 $2,163.9030160-2 $3,241.4230200-2 $46.3030210-2 $64.1330220-2 $2,235.15

Page 44: 2013 Physician Fee Schedule

30300-2 $94.3930310-2 $587.7730320-2 $615.9030400-2 $2,333.1230410-2 $3,357.2030420-2 $3,784.6030430-2 $507.5630435-2 $792.5430450-2 $2,270.7930460-2 $491.3930462-2 $1,362.0530465-2 $1,034.5630520-2 $2,831.7930540-2 $2,163.9030545-2 $4,078.5030560-2 $112.2030580-2 $2,048.1730600-2 $1,166.5430620-2 $2,235.1530630-2 $2,315.3230801-2 $167.4230802-2 $365.0930901-2 $115.7530903-2 $206.6130905-2 $427.4230906-2 $400.7230915-2 $1,415.9030920-2 $1,460.4231000-2 $92.6131002-2 $400.7231020-2 $837.0731030-2 $2,021.4231032-2 $2,333.1231040-2 $1,496.0631050-2 $1,496.0631051-2 $1,647.4031070-2 $1,585.1031075-2 $2,600.2531080-2 $2,546.8531081-2 $2,546.8531084-2 $3,401.7231085-2 $3,401.7231086-2 $3,401.7231087-2 $3,401.7231090-2 $3,686.6731200-2 $1,309.0231201-2 $1,594.00

Page 45: 2013 Physician Fee Schedule

31230-2 $5,494.4031231-2 $233.8131235-2 $630.7831237-2 $613.9631238-2 $361.6531239-2 $2,312.8531240-2 $1,362.4631254-2 $1,276.2731255-2 $1,554.4231256-2 $1,039.0031267-2 $1,096.2831276-2 $2,307.0931287-2 $1,564.3131288-2 $1,564.3131290-2 $4,634.0931291-2 $4,634.0931292-2 $3,582.7731293-2 $3,919.1831294-2 $4,482.7031295-2 $2,383.9831296-2 $4,435.4231297-2 $4,386.9031300-2 $4,131.9531320-2 $4,131.9531360-2 $4,131.9531365-2 $4,523.7631367-2 $4,131.9531368-2 $4,826.5331370-2 $5,102.5731375-2 $4,131.9531380-2 $4,131.9531382-2 $4,131.9531390-2 $6,928.1231395-2 $7,827.4931400-2 $4,078.5031420-2 $3,179.0731500-2 $329.4731502-2 $217.3031510-2 $167.4231511-2 $329.4731512-2 $329.4731513-2 $329.4731515-2 $489.7731520-2 $179.8731525-2 $587.7731526-2 $1,050.7731527-2 $1,309.02

Page 46: 2013 Physician Fee Schedule

31528-2 $561.0031529-2 $400.7231530-2 $926.1431531-2 $837.0731535-2 $837.0731536-2 $1,050.7731540-2 $1,095.3131541-2 $1,647.4031545-2 $1,670.7031546-2 $2,005.1031560-2 $3,009.9031561-2 $3,009.9031570-2 $837.0731571-2 $837.0731575-2 $463.0731576-2 $845.9631577-2 $1,130.9531578-2 $845.9631579-2 $845.9631580-2 $4,131.9531582-2 $4,131.9531584-2 $4,131.9531587-2 $4,131.9531588-2 $4,131.9531590-2 $2,048.1731595-2 $4,131.9531600-2 $979.5631601-2 $1,246.6831603-2 $1,246.6831605-2 $1,870.0431610-2 $2,600.2531611-2 $1,415.9031612-2 $561.0031613-2 $641.1631614-2 $1,291.2331615-2 $694.5931622-2 $694.5931623-2 $645.2231624-2 $645.2231625-2 $748.0331626-2 $568.1031627-2 $1,161.7031628-2 $748.0331629-2 $748.0331630-2 $641.1631631-2 $641.1631632-2 $156.92

Page 47: 2013 Physician Fee Schedule

31633-2 $196.8231634-2 $2,136.9031636-2 $516.4531637-2 $152.3531638-2 $516.4531640-2 $935.0131641-2 $1,237.7931643-2 $598.8031645-2 $703.4931646-2 $703.4931656-2 $748.0331715-2 $169.1931717-2 $169.1931720-2 $169.1931725-2 $226.2131730-2 $1,293.0831750-2 $2,831.7931755-2 $1,415.9031760-2 $4,256.6031766-2 $2,876.3231770-2 $2,876.3231775-2 $2,876.3231780-2 $2,876.3231781-2 $2,876.3231785-2 $2,876.3231786-2 $2,876.3231800-2 $2,048.1731805-2 $4,131.9531820-2 $845.9631825-2 $970.6431830-2 $970.6432000-2 $226.2132002-2 $587.7732005-2 $169.1932019-2 $524.2032020-2 $587.7732035-2 $1,451.5032036-2 $1,825.5132096-2 $979.5232097-2 $979.5232098-2 $824.4632100-2 $3,152.3732110-2 $2,537.9132120-2 $2,600.2532124-2 $2,600.2532140-2 $3,615.4332141-2 $3,615.43

Page 48: 2013 Physician Fee Schedule

32150-2 $2,600.2532151-2 $2,716.0332160-2 $2,600.2532200-2 $2,716.0332201-2 $852.5732215-2 $2,600.2532220-2 $3,971.6132225-2 $2,600.2532320-2 $4,826.5332400-2 $224.4132405-2 $224.4132420-2 $400.7232421-2 $185.3632422-2 $430.1832440-2 $4,657.3232442-2 $6,097.4432445-2 $4,657.3232480-2 $4,416.8932482-2 $4,415.4132484-2 $4,415.4132486-2 $5,853.5732488-2 $4,415.4132491-2 $3,726.3032501-2 $1,209.2932503-2 $3,581.6232504-2 $4,237.1132505-2 $1,554.8732506-2 $261.8532507-2 $261.8532540-2 $3,793.5232550-2 $473.3132551-2 $430.1832552-2 $263.1832553-2 $693.3132560-2 $145.7232561-2 $118.2632562-2 $106.0832601-2 $967.1832604-2 $1,009.2332606-2 $1,009.2332607-2 $458.6432608-2 $563.3032609-2 $389.5332650-2 $2,598.7732651-2 $2,598.7732652-2 $3,961.2532653-2 $2,598.77

Page 49: 2013 Physician Fee Schedule

32654-2 $2,539.9032655-2 $3,607.9932656-2 $3,751.0032658-2 $3,465.0532659-2 $3,439.8032661-2 $3,465.0532662-2 $4,566.7832663-2 $4,415.4132664-2 $3,128.6332665-2 $3,397.7532666-2 $1,281.6332667-2 $231.0532668-2 $232.0632669-2 $1,974.3432670-2 $2,357.4632671-2 $3,224.6832672-2 $2,236.4232673-2 $1,731.5032674-2 $317.0432800-2 $3,152.3732810-2 $1,683.0032815-2 $3,152.3732820-2 $1,925.2632851-2 $8,469.1632852-2 $8,469.1632853-2 $10,151.2332854-2 $10,151.2332900-2 $2,716.0332905-2 $2,600.2532906-2 $3,686.6732940-2 $2,716.0332960-2 $400.7232997-2 $628.2533010-2 $224.4133015-2 $302.7733020-2 $3,464.0433025-2 $3,437.3333030-2 $6,073.2133031-2 $8,620.0633050-2 $3,464.0433120-2 $7,595.9733130-2 $4,256.6033140-2 $4,718.4433202-2 $2,053.7033203-2 $2,053.7033206-2 $1,834.4433207-2 $1,834.44

Page 50: 2013 Physician Fee Schedule

33208-2 $2,769.4633210-2 $792.5433211-2 $790.5633212-2 $792.5433213-2 $790.5633214-2 $1,093.3333215-2 $799.5233216-2 $1,834.4433217-2 $1,833.4533218-2 $935.0133220-2 $933.5633221-2 $952.2233222-2 $658.9833223-2 $656.0033224-2 $970.2733225-2 $970.2733226-2 $930.9733227-2 $586.4033228-2 $586.4033229-2 $586.4033230-2 $1,149.8833231-2 $1,149.8833233-2 $891.4833234-2 $891.4833235-2 $891.4833236-2 $891.4833237-2 $891.4833238-2 $1,429.7533240-2 $790.5633241-2 $790.5633243-2 $1,993.2533244-2 $1,993.2533249-2 $4,701.3633250-2 $6,358.2033251-2 $7,595.9733254-2 $4,528.1133255-2 $4,879.5133256-2 $5,421.8133257-2 $1,892.0933258-2 $1,913.0733259-2 $2,333.9233261-2 $7,595.9733262-2 $554.7433263-2 $554.7433264-2 $554.7433265-2 $4,528.1133266-2 $5,150.66

Page 51: 2013 Physician Fee Schedule

33282-2 $387.7433284-2 $260.9333300-2 $3,437.3333305-2 $6,073.2133310-2 $4,363.4533315-2 $6,919.1933320-2 $3,464.0433321-2 $6,078.6533322-2 $6,073.2133330-2 $6,073.2133332-2 $8,680.2833335-2 $8,673.4833400-2 $6,919.1933401-2 $5,550.7733403-2 $6,913.2433404-2 $6,919.1933405-2 $7,569.2833406-2 $7,569.2733410-2 $6,925.3233411-2 $7,569.2833412-2 $7,569.2833413-2 $11,017.4833414-2 $6,913.2433415-2 $6,919.1933416-2 $6,913.2433417-2 $6,919.1933420-2 $5,218.3533422-2 $7,230.8733425-2 $7,916.5633426-2 $7,916.5633427-2 $7,916.5633430-2 $8,860.4933460-2 $7,595.9733463-2 $7,594.5033464-2 $7,594.5033465-2 $8,673.4833468-2 $9,350.2633470-2 $5,556.7533471-2 $5,550.7733472-2 $5,556.7533474-2 $6,919.1933475-2 $6,913.2433476-2 $7,640.5233478-2 $8,335.0933496-2 $5,305.7833500-2 $6,073.2133501-2 $5,801.62

Page 52: 2013 Physician Fee Schedule

33502-2 $4,363.4533503-2 $6,073.2133504-2 $8,673.4833505-2 $8,662.5933506-2 $8,662.5933507-2 $5,851.0133510-2 $6,981.5133511-2 $7,204.1733512-2 $7,551.4533513-2 $7,907.6733514-2 $8,148.0933516-2 $8,379.6133517-2 $310.3533518-2 $637.9333519-2 $931.0333521-2 $1,163.7833522-2 $1,396.5333523-2 $1,396.5333530-2 $1,549.4733533-2 $6,965.3933534-2 $7,180.9333535-2 $7,525.7233536-2 $7,887.7733542-2 $8,620.0633545-2 $10,374.3333572-2 $1,922.6033600-2 $5,214.3733602-2 $5,214.3733606-2 $5,214.3733608-2 $5,231.2033610-2 $8,326.1933611-2 $10,361.4933612-2 $10,361.4933615-2 $7,594.5033617-2 $7,594.5033619-2 $13,818.1133620-2 $2,682.9533621-2 $1,447.9733622-2 $6,079.4233641-2 $6,242.4233645-2 $6,919.1933647-2 $10,409.9533660-2 $8,335.0933665-2 $8,673.4833670-2 $10,374.3333675-5 $6,356.8633676-2 $6,612.20

Page 53: 2013 Physician Fee Schedule

33677-2 $7,260.2933681-2 $8,335.0933684-2 $8,673.4833688-2 $9,519.4633690-2 $3,464.0433692-2 $9,688.6533694-2 $10,374.3333697-2 $9,680.2733702-2 $6,919.1933710-2 $10,374.3333720-2 $8,673.4833722-2 $10,361.4933724-2 $5,278.3333726-2 $6,612.2033730-2 $8,673.4833732-2 $6,232.0433735-2 $5,556.7533736-2 $5,550.7733737-2 $5,556.7533750-2 $5,218.3533755-2 $5,218.3533762-2 $5,218.3533764-2 $5,218.3533766-2 $5,218.3533767-2 $5,214.3733768-2 $1,220.3633770-2 $5,054.5533771-2 $11,051.1133774-2 $9,688.6533775-2 $10,374.3333776-2 $11,060.0333777-2 $5,058.0233778-2 $5,058.0233779-2 $10,374.3333780-2 $11,060.0333781-2 $5,058.0233782-2 $5,120.9833783-2 $5,536.0433786-2 $10,374.3333788-2 $6,073.2133800-2 $13,215.3033802-2 $4,131.9533803-2 $5,218.3533813-2 $6,358.2033814-2 $6,358.2033820-2 $3,490.7733822-2 $4,131.95

Page 54: 2013 Physician Fee Schedule

33824-2 $5,218.3533840-2 $5,218.3533845-2 $6,919.1933851-2 $6,073.2133852-2 $13,829.4833853-2 $13,818.1133860-2 $9,688.6533863-2 $9,680.2733864-2 $7,085.7133870-2 $13,829.4833875-2 $8,620.0633877-2 $8,620.0633910-2 $7,595.9733915-2 $5,218.3533916-2 $13,099.2933917-2 $7,594.5033920-2 $8,662.5933922-2 $13,086.4133924-2 $4,515.2133925-2 $6,300.4133926-2 $7,412.7633945-2 $11,888.2033960-2 $2,208.4533961-2 $2,203.4933967-2 $1,005.2433968-2 $814.8233970-2 $2,083.7733971-2 $1,834.4433973-2 $2,085.7433974-2 $1,833.4534001-2 $2,885.2134051-2 $3,971.6134101-2 $2,671.5334111-2 $2,671.5334151-2 $4,710.7334201-2 $2,333.1234203-2 $2,252.9734401-2 $5,725.8934421-2 $2,270.7934451-2 $1,941.3134471-2 $5,725.8934490-2 $2,154.9934501-2 $4,363.4534502-2 $8,502.8134510-2 $4,710.7334520-2 $4,710.7334530-2 $2,350.93

Page 55: 2013 Physician Fee Schedule

34800-2 $2,551.2534802-2 $2,835.1934803-2 $2,604.1934804-2 $2,835.1934808-2 $382.3434812-2 $576.3134813-2 $534.1534820-2 $879.9334825-2 $992.3834826-2 $496.2034833-2 $848.3034834-2 $426.8734900-2 $2,188.5135001-2 $4,541.5335002-2 $4,541.5335005-2 $4,541.5335011-2 $3,464.0435013-2 $3,525.2035021-2 $5,725.8935022-2 $5,725.8935045-2 $3,464.0435081-2 $6,429.4135082-2 $6,830.1535091-2 $6,919.1935092-2 $6,919.1935102-2 $6,429.4135103-2 $6,429.4135111-2 $4,826.5335112-2 $4,826.5335121-2 $6,919.1935122-2 $6,919.1935131-2 $5,725.8935132-2 $5,725.8935141-2 $4,363.4535142-2 $4,363.4535151-2 $4,710.7335152-2 $4,710.7335180-2 $4,710.7335182-2 $7,088.3935184-2 $4,710.7335188-2 $4,710.7335189-2 $7,088.3935190-2 $4,710.7335201-2 $4,710.7335206-2 $4,710.7335207-2 $2,377.6435211-2 $7,088.39

Page 56: 2013 Physician Fee Schedule

35216-2 $7,088.3935221-2 $7,088.3935226-2 $4,875.5135231-2 $5,877.3035236-2 $5,877.3035241-2 $8,851.6035246-2 $8,851.6035251-2 $8,851.6035256-2 $4,710.7335261-2 $4,710.7335266-2 $4,710.7335271-2 $7,088.3935276-2 $7,088.3935281-2 $6,411.5835286-2 $4,710.7335301-2 $4,310.0435302-2 $3,584.5535303-2 $3,782.7435304-2 $3,982.1635305-2 $3,782.7435306-2 $756.3135311-2 $5,218.3535321-2 $5,494.4035331-2 $5,725.8935341-2 $6,919.1935351-2 $5,556.7535355-2 $6,082.1135361-2 $6,411.5835363-2 $6,349.2535371-2 $3,971.6135372-2 $3,971.6135390-2 $4,306.0635450-2 $4,666.2335452-2 $4,666.2335458-2 $2,885.2135460-2 $2,333.1235471-2 $4,363.4535472-2 $4,363.4535475-2 $1,647.4035476-2 $1,647.4035501-2 $5,556.7535506-2 $5,556.7535508-2 $5,494.4035509-2 $5,494.4035510-2 $4,586.6635511-2 $4,710.7335512-2 $3,932.37

Page 57: 2013 Physician Fee Schedule

35515-2 $5,494.4035516-2 $4,710.7335518-2 $4,710.7335521-2 $3,971.6135522-2 $3,306.0135523-2 $2,844.5435525-2 $3,206.2735526-2 $5,725.8935531-2 $5,592.3435533-2 $5,494.4035535-2 $4,181.6235536-2 $5,725.8935537-2 $4,362.7435538-2 $4,362.7435539-2 $4,362.7435540-2 $4,362.7435548-2 $5,725.8935556-2 $5,164.9035558-2 $4,710.7335560-2 $6,206.7835563-2 $5,494.4035565-2 $5,494.4035566-2 $5,556.7535570-2 $4,019.6335571-2 $5,494.4035583-2 $5,556.7535585-2 $5,556.7535587-2 $2,992.1035601-2 $4,879.9535606-2 $4,879.9535612-2 $3,971.6135616-2 $3,971.6135621-2 $5,262.8735623-2 $4,364.9735626-2 $5,725.8935631-2 $6,411.5835632-2 $4,688.5935633-2 $4,688.5935634-2 $4,688.5935636-2 $5,725.8935637-2 $4,362.7435638-2 $4,362.7435642-2 $4,879.9535645-2 $4,879.9535646-2 $5,743.7335647-2 $4,501.9635650-2 $3,891.49

Page 58: 2013 Physician Fee Schedule

35654-2 $5,494.4035656-2 $3,953.8135661-2 $3,971.6135663-2 $3,971.6135665-2 $3,971.6135666-2 $4,363.4535671-2 $4,363.4535681-2 $2,885.2135685-2 $834.2135686-2 $945.4435691-2 $4,869.5635693-2 $4,869.5635694-2 $4,869.5635695-2 $4,869.5635697-2 $534.6035701-2 $1,745.3935721-2 $1,558.3635741-2 $1,585.1035761-2 $1,585.1035800-2 $1,745.3935820-2 $2,288.5835840-2 $2,261.8635860-2 $1,469.3135870-2 $1,985.8235875-2 $2,333.1235876-2 $2,329.6635879-2 $2,129.6435881-2 $2,129.6435883-2 $2,211.7735884-2 $2,416.0435901-2 $1,984.8335903-2 $1,984.8335905-2 $1,984.8335907-2 $1,984.8336000-2 $92.6136002-2 $392.0836005-2 $213.8036010-2 $367.2136011-2 $470.6936012-2 $454.1736013-2 $367.2136014-2 $470.6936015-2 $564.1536100-2 $400.7236120-2 $145.2136140-2 $145.2136147-2 $609.83

Page 59: 2013 Physician Fee Schedule

36148-2 $243.4736160-2 $276.0436200-2 $302.7736215-2 $470.6936216-2 $454.1736217-2 $564.1536218-2 $101.5136245-2 $470.6936246-2 $454.1736247-2 $564.1536248-2 $101.5136251-2 $1,552.9136252-2 $1,705.7436253-2 $2,375.1736254-2 $2,471.4436260-2 $5,654.6836261-2 $2,822.8636262-2 $2,796.1736400-2 $94.3936405-2 $115.7536406-2 $92.6136410-2 $65.8836415-2 $6.4236416-2 $4.0636420-2 $186.9936425-2 $115.7536430-2 $55.2036440-2 $284.9736450-2 $1,148.7536455-2 $1,148.7536460-2 $284.9736468-2 $169.1936469-2 $169.1936470-2 $113.9936471-2 $169.1936475-2 $1,701.6936476-2 $850.8436478-2 $1,524.8136479-2 $763.0536481-2 $641.1636500-2 $641.1636510-2 $169.1936511-2 $388.9236512-2 $388.9236513-2 $388.9236514-2 $388.9236515-2 $485.13

Page 60: 2013 Physician Fee Schedule

36516-2 $485.1336522-2 $454.1736540-2 $12.6636550-2 $42.2836555-2 $182.1936556-2 $172.8836557-2 $631.6836558-2 $599.7636560-2 $755.3536561-2 $724.7736563-2 $4,389.8436565-2 $724.7736566-2 $779.2936568-2 $132.9836569-2 $126.3436570-2 $654.2936571-2 $621.0436575-2 $125.0036576-2 $472.1036578-2 $530.6136580-2 $94.4236581-2 $501.3536582-2 $730.0936583-2 $736.7336584-2 $93.0936585-2 $684.8736589-2 $699.5036590-2 $2,194.2536591-2 $10.4936592-2 $10.4936593-2 $37.3136595-2 $261.9836596-2 $238.0536597-2 $86.4436598-2 $141.5336600-2 $108.6236620-2 $245.8036625-2 $329.4736640-2 $338.3736660-2 $276.0436680-2 $471.9736810-2 $1,228.9036815-2 $739.1136818-2 $1,683.6236819-2 $1,979.4936820-2 $1,014.9636821-2 $2,163.90

Page 61: 2013 Physician Fee Schedule

36822-2 $1,905.6636823-2 $666.1836825-2 $3,464.0436830-2 $2,911.9236831-2 $2,025.4636832-2 $3,704.4736833-2 $2,025.4636838-2 $2,889.7736860-2 $226.2136861-2 $284.9736870-2 $965.6837140-2 $5,716.9937145-2 $5,725.8937160-2 $5,725.8937180-2 $5,725.8937181-2 $5,725.8937187-2 $913.7137188-2 $655.4937191-2 $2,820.7537192-2 $1,898.9337193-2 $1,812.5837200-2 $220.8537201-2 $685.6737202-2 $685.6737203-2 $1,095.3137204-2 $2,754.0537205-2 $431.0137206-2 $213.8037207-2 $431.0137208-2 $213.8037209-2 $152.1737210-2 $2,275.0037220-2 $3,751.7537221-2 $6,132.5937222-2 $1,096.3337223-2 $6,089.6237224-2 $4,499.4937225-2 $12,558.5037226-2 $10,533.8737227-2 $16,960.3137228-2 $6,384.3137229-2 $12,473.6337230-2 $9,834.9137231-2 $15,702.8137232-2 $1,450.1337233-2 $1,788.8537234-2 $4,541.91

Page 62: 2013 Physician Fee Schedule

37235-2 $4,873.3437500-2 $291.3637565-2 $2,048.1737600-2 $1,469.3137605-2 $2,048.1737606-2 $2,546.8537607-2 $731.7137609-2 $525.3937615-2 $2,048.1737616-2 $2,048.1737617-2 $2,048.1737618-2 $1,985.8237619-2 $1,754.3437650-2 $1,130.9537660-2 $1,985.8237700-2 $1,015.1837718-2 $1,284.9237722-2 $1,545.6237735-2 $2,671.5337760-2 $1,985.8237761-2 $893.8837765-2 $659.6037766-2 $845.7937780-2 $685.6737785-2 $284.9737788-2 $4,363.4537790-2 $756.9438100-2 $3,214.7238101-2 $3,285.9338102-2 $1,606.3838115-2 $3,285.9338120-2 $2,201.0638200-2 $365.0938220-2 $55.4738221-2 $94.9638230-2 $792.5438232-2 $471.7438240-2 $792.5438241-2 $792.5438242-2 $47.4338300-2 $179.8738305-2 $1,086.3938308-2 $1,077.4838380-2 $2,048.1738381-2 $2,048.1738382-2 $2,048.1738500-2 $810.33

Page 63: 2013 Physician Fee Schedule

38505-2 $507.5638510-2 $810.3338520-2 $721.3238525-2 $578.8238530-2 $1,585.1038542-2 $792.5438550-2 $1,415.9038555-2 $1,380.2638562-2 $1,700.8638564-2 $3,179.0738570-2 $1,359.9938571-2 $2,271.0338572-2 $2,731.6538700-2 $2,448.8738720-2 $3,401.7238724-2 $3,401.7238740-2 $1,513.8338745-2 $2,938.6738746-2 $756.9438747-2 $1,169.0438760-2 $2,333.1238770-2 $3,437.3338780-2 $6,411.5838790-2 $561.0038792-2 $419.1738794-2 $471.9738900-2 $215.3939000-2 $2,333.1239010-2 $3,508.6039200-2 $4,586.0939220-2 $4,577.1939400-2 $1,086.3939503-2 $4,363.4539540-2 $3,971.6139541-2 $3,615.4339545-2 $4,363.4539560-2 $2,836.5939561-2 $3,545.0140490-2 $338.3740500-2 $1,113.1140510-2 $1,113.1140520-2 $810.3340525-2 $2,520.1140527-2 $2,537.9140530-2 $1,415.9040650-2 $765.8240652-2 $1,415.90

Page 64: 2013 Physician Fee Schedule

40654-2 $2,831.7940700-2 $2,057.0240701-2 $3,009.9040702-2 $3,695.5840720-2 $2,270.7940761-2 $3,259.2140800-2 $112.2040801-2 $311.6740804-2 $163.8540805-2 $507.5640806-2 $112.2040808-2 $167.4240810-2 $167.4240812-2 $329.4740814-2 $739.1140816-2 $792.5440818-2 $356.2140819-2 $284.9740820-2 $276.0440830-2 $224.4140831-2 $356.2140840-2 $1,193.2740842-2 $792.5440843-2 $1,531.6740844-2 $1,843.3440845-2 $2,796.1741000-2 $211.9141005-2 $623.3641006-2 $463.0741007-2 $623.3641008-2 $400.7241009-2 $970.6441010-2 $210.1641015-2 $917.2141016-2 $917.2141017-2 $917.2141018-2 $1,415.9041100-2 $238.6441105-2 $471.9741108-2 $311.6741110-2 $252.9141112-2 $685.6741113-2 $917.2141114-2 $845.9641115-2 $418.5041116-2 $694.5941120-2 $1,148.75

Page 65: 2013 Physician Fee Schedule

41130-2 $2,217.3441135-2 $4,363.4541140-2 $3,615.4341145-2 $5,156.0041150-2 $5,494.4041153-2 $4,924.4541155-2 $5,494.4041250-2 $224.4141251-2 $329.4741252-2 $507.5641500-2 $1,985.8241510-2 $1,985.8241520-2 $445.2441800-I $233.3141826-I $935.0142000-2 $267.1542100-2 $284.9742104-2 $242.2242106-2 $543.2142107-2 $845.9642120-2 $1,380.2642140-2 $276.0442145-2 $3,179.0742160-2 $400.7242180-2 $400.7242182-2 $1,923.4842200-2 $3,098.9642205-2 $3,900.4042210-2 $4,363.4542215-2 $2,582.4642220-2 $3,285.9342225-2 $3,285.9342226-2 $3,285.9342227-2 $3,285.9342235-2 $3,125.6642260-2 $2,057.0242300-2 $210.1642305-2 $463.0742310-2 $226.2142320-2 $623.3642330-2 $338.3742335-2 $917.2142340-2 $1,130.9542400-2 $507.5642405-2 $498.6742408-2 $801.4442409-2 $694.59

Page 66: 2013 Physician Fee Schedule

42410-2 $1,202.1742415-2 $2,849.6242420-2 $3,472.9942425-2 $2,546.8542426-2 $4,675.1242440-2 $1,460.4242450-2 $1,077.4842500-2 $1,415.9042505-2 $1,228.9042507-2 $1,415.9042508-2 $1,825.5142509-2 $2,154.9942510-2 $2,154.9942550-2 $112.2042600-2 $1,415.9042650-2 $138.9242660-2 $220.8542665-2 $169.1942700-2 $276.0442720-2 $471.9742725-2 $1,148.7542800-2 $167.4242802-2 $284.9742804-2 $224.4142806-2 $365.0942808-2 $703.4942809-2 $703.4942810-2 $970.6442815-2 $2,074.8842820-2 $997.3842821-2 $997.3842825-2 $935.0142826-2 $935.0142830-2 $614.4642831-2 $507.5642835-2 $427.4242836-2 $507.5642842-2 $1,362.4642844-2 $2,386.5542845-2 $2,386.5542860-2 $365.0942870-2 $400.7242890-2 $3,731.1942892-2 $4,595.0042894-2 $4,372.3542900-2 $2,270.7942950-2 $2,831.79

Page 67: 2013 Physician Fee Schedule

42953-2 $3,846.9942955-2 $2,831.7942960-2 $302.7742961-2 $329.4742962-2 $400.7242970-2 $400.7242972-2 $400.7243020-2 $2,600.2543030-2 $2,671.5343100-2 $3,125.6643101-2 $4,078.5043107-2 $5,113.2743108-2 $5,964.1243112-2 $5,964.1243113-2 $5,964.1243116-2 $5,964.1243117-2 $5,964.1243118-2 $5,964.1243121-2 $5,268.7043122-2 $5,268.7043123-2 $5,964.1243124-2 $5,113.2743130-2 $3,401.7243135-2 $4,078.5043200-2 $587.7743201-2 $20.3243202-2 $730.2243204-2 $1,130.9543205-2 $1,362.4643215-2 $1,104.2143216-2 $1,362.4643217-2 $1,362.4643219-2 $1,015.1843220-2 $748.0343226-2 $543.2143227-2 $1,362.4643228-2 $1,362.4643231-2 $737.9743232-2 $774.5243234-2 $641.1643235-2 $667.8743236-2 $840.1743237-2 $719.4543238-2 $844.4643239-2 $748.0343240-2 $1,324.1243241-2 $1,362.46

Page 68: 2013 Physician Fee Schedule

43242-2 $1,263.6843243-2 $1,335.7443244-2 $1,337.2443245-2 $881.6043246-2 $1,362.4643247-2 $801.4443248-2 $857.8543249-2 $859.0443250-2 $1,152.2143251-2 $1,148.7543255-2 $1,059.7043256-2 $1,203.2343258-2 $1,086.3943259-2 $1,362.4643260-2 $1,122.0443261-2 $1,126.9843262-2 $1,700.8643263-2 $1,985.8243264-2 $2,377.6443265-2 $3,134.5843267-2 $1,985.8243268-2 $1,985.8243269-2 $2,377.6443271-2 $1,985.8243273-2 $238.7943279-2 $2,639.7443280-2 $2,623.7943281-2 $2,409.1943282-2 $2,710.6343283-2 $258.1743300-2 $4,541.5343305-2 $3,900.4043310-2 $4,879.9543312-2 $5,156.0043313-2 $4,672.9843314-2 $4,938.5343320-2 $4,363.4543325-2 $3,464.0443327-2 $2,130.0043328-2 $2,141.4043330-2 $3,615.4343331-2 $3,401.7243332-2 $2,421.6043333-2 $2,432.9943334-2 $2,397.6843335-2 $2,409.0743336-2 $2,397.92

Page 69: 2013 Physician Fee Schedule

43337-2 $2,619.1343338-2 $213.1143340-2 $3,971.6143341-2 $3,971.6143350-2 $2,270.7943351-2 $2,270.7943352-2 $2,270.7943360-2 $5,268.7043361-2 $5,964.1243400-2 $4,363.4543401-2 $4,363.4543405-2 $3,403.3843410-2 $3,401.7243415-2 $4,078.5043420-2 $2,270.7943425-2 $3,695.5843450-2 $210.1643453-2 $569.9243456-2 $917.2143458-2 $740.0843460-2 $917.2143496-2 $7,251.4943500-2 $2,270.7943501-2 $2,511.2043502-2 $2,511.6543510-2 $2,511.2043520-2 $2,110.4943605-2 $2,270.7943610-2 $2,092.6643611-2 $2,094.1643620-2 $4,924.4543621-2 $4,920.0343622-2 $5,996.5443631-2 $4,079.0043632-2 $4,079.0043633-2 $4,079.0043634-2 $5,996.5443635-2 $1,129.9943640-2 $3,437.3343641-2 $2,511.2043644-2 $2,285.2843645-2 $2,490.5643647-2 $1,149.0543648-2 $1,206.2043651-2 $1,545.1143652-2 $2,128.1743653-2 $1,428.50

Page 70: 2013 Physician Fee Schedule

43750-2 $872.6843752-2 $46.3943753-2 $88.2843754-2 $130.9943755-2 $237.9543756-2 $328.3643757-2 $423.0643760-2 $169.1943761-2 $169.1943770-2 $2,099.3143771-2 $2,152.6943772-2 $1,453.7543773-2 $2,152.6943774-2 $1,453.7543775-2 $1,960.5143800-2 $2,448.8743810-2 $2,831.7943820-2 $2,831.7943825-2 $3,321.5743830-2 $2,039.2643831-2 $1,496.0643832-2 $3,001.0043840-2 $2,448.8743843-2 $4,362.0043845-2 $2,490.5643846-2 $4,577.1943847-2 $3,697.9143848-2 $3,697.9143850-2 $4,078.5043855-2 $4,416.8943860-2 $3,535.2943865-2 $4,416.8943880-2 $2,270.7943881-2 $1,149.0543882-2 $1,206.2043886-2 $455.6243887-2 $446.9343888-2 $636.8744005-2 $2,555.7444010-2 $3,125.6644015-2 $623.3644020-2 $2,947.5744021-2 $2,288.5844025-2 $3,054.4144050-2 $2,226.2344055-2 $2,181.7244100-2 $302.77

Page 71: 2013 Physician Fee Schedule

44110-2 $2,431.0344111-2 $3,695.5844120-2 $3,277.0444121-2 $818.1244125-2 $3,277.0444126-2 $3,143.6044127-2 $3,571.8244128-2 $713.2644130-2 $2,377.6444139-2 $1,047.1944140-2 $3,134.5844141-2 $3,731.1944143-2 $3,508.6044144-2 $3,268.1244145-2 $3,330.4744146-2 $4,568.2744147-2 $4,568.2744150-2 $4,568.2744151-2 $3,811.3544155-2 $6,037.5944156-2 $7,809.6744157-2 $3,897.0444158-2 $5,002.3244160-2 $3,107.8444180-2 $1,005.5844186-2 $1,328.3644187-2 $1,692.1244188-2 $1,813.7844202-2 $2,995.4944203-2 $713.2644204-2 $2,342.7444205-2 $2,708.4044206-6 $2,986.6944207-2 $2,826.7744208-2 $3,875.6444210-2 $3,875.6444211-2 $3,513.8344212-2 $5,131.8444213-2 $814.4044227-2 $2,621.9644300-2 $1,959.1044310-2 $2,172.8244312-2 $1,567.3044314-2 $2,324.2044316-2 $2,333.1244320-2 $2,333.1244322-2 $2,983.18

Page 72: 2013 Physician Fee Schedule

44340-2 $284.9744345-2 $1,415.9044346-2 $3,615.4344360-2 $1,246.6844361-2 $1,362.4644363-2 $1,362.4644364-2 $1,362.4644365-2 $1,362.4644366-2 $1,362.4644369-2 $1,362.4644370-2 $1,203.2344372-2 $1,852.2344373-2 $1,852.2344376-2 $1,244.7144377-2 $1,362.4644378-2 $1,362.4644379-2 $1,203.2344380-2 $284.9744382-2 $356.2144383-2 $386.5644385-2 $284.9744386-2 $356.2144388-2 $284.9744389-2 $356.2144390-2 $356.2144391-2 $356.2144392-2 $356.2144393-2 $356.2144394-2 $353.2444397-2 $463.8744500-2 $104.2944602-2 $2,312.8544603-2 $3,052.9644604-2 $2,430.5944605-2 $3,054.4144615-2 $2,312.8544620-2 $2,137.1844625-2 $3,366.1144626-2 $3,215.4444640-2 $2,163.9044650-2 $2,831.7944660-2 $2,831.7944661-2 $3,098.9644680-2 $4,078.5044700-2 $2,706.9344701-2 $257.4744800-2 $2,270.79

Page 73: 2013 Physician Fee Schedule

44820-2 $2,048.1744850-2 $2,048.1744900-2 $1,246.6844901-2 $395.8344950-2 $1,442.6144960-2 $1,745.3944970-2 $1,322.1045000-2 $561.0045005-2 $356.2145020-2 $917.2145100-2 $623.3645108-2 $2,270.7945110-2 $5,075.8545111-2 $2,546.8545112-2 $4,879.9545113-2 $4,875.9945114-2 $3,900.4045119-2 $7,460.0545120-2 $5,494.4045121-2 $6,037.5945123-2 $2,552.5345126-2 $7,986.5745130-2 $2,947.5745135-2 $5,156.0045136-2 $4,489.4545150-2 $1,015.1845160-2 $2,270.7945171-2 $903.1645172-2 $1,312.4245190-2 $1,464.4445300-2 $106.8745303-2 $167.4245305-2 $220.8545307-2 $463.0745308-2 $245.5845309-2 $245.5845315-2 $400.7245317-2 $338.3745320-2 $471.9745321-2 $400.7245327-2 $323.3045330-2 $174.5345331-2 $236.8445332-2 $169.1945333-2 $338.3745334-2 $338.3745335-2 $284.58

Page 74: 2013 Physician Fee Schedule

45337-2 $792.5445338-2 $336.4245339-2 $470.9645340-2 $172.0945341-2 $413.2645342-2 $434.3545345-2 $387.9645355-2 $302.7745378-2 $1,050.7745379-2 $1,585.1045380-2 $1,050.7745381-2 $1,215.5445382-2 $1,433.7145383-2 $1,148.7545384-2 $1,379.3045385-2 $1,380.2645386-2 $417.3745387-2 $941.7845391-2 $735.9445392-2 $778.5445395-2 $3,951.5745397-2 $6,083.1545400-2 $1,946.6145402-2 $2,449.4145500-2 $1,843.3445505-2 $1,861.1045520-2 $112.2045540-2 $2,502.3145541-2 $2,502.3145550-2 $3,143.4645560-2 $1,148.7545562-2 $1,382.6545563-2 $3,182.4945800-2 $2,831.7945805-2 $3,179.0745820-2 $2,831.7945825-2 $3,179.0745900-2 $169.1945905-2 $242.2245910-2 $578.8245915-2 $382.9145990-2 $176.2946020-2 $168.2446030-2 $112.2046040-2 $471.9746045-2 $471.9746050-2 $192.34

Page 75: 2013 Physician Fee Schedule

46060-2 $1,237.7946070-2 $507.5646080-2 $801.4446083-2 $267.1546200-2 $1,130.9546220-2 $169.1946221-2 $263.5946250-2 $988.4346255-2 $1,166.5446257-2 $1,228.9046258-2 $1,460.4246260-2 $2,074.8846261-2 $2,217.3446262-2 $2,217.3446270-2 $684.3446275-2 $1,496.0646280-2 $1,807.7346285-2 $507.5646288-2 $1,808.0546320-2 $208.3946500-2 $67.6946505-2 $362.5146600-2 $105.0846604-2 $169.1946606-2 $167.4246608-2 $284.9746610-2 $222.6246611-2 $222.0346612-2 $463.0746614-2 $229.7546615-2 $230.4546700-2 $2,048.1746705-2 $2,831.7946706-2 $417.3746707-2 $695.6346710-2 $1,525.7646712-2 $3,178.1446715-2 $2,502.3146716-2 $2,502.3146730-2 $2,315.3246735-2 $4,541.5346740-2 $5,102.5746742-2 $5,096.6446744-2 $5,096.6446746-2 $5,096.6446748-2 $5,337.8546750-2 $1,994.70

Page 76: 2013 Physician Fee Schedule

46751-2 $2,716.0346753-2 $2,716.0346754-2 $1,193.2746760-2 $2,270.7946761-2 $2,511.2046762-2 $4,221.0146900-2 $112.2046910-2 $112.2046916-2 $158.4946917-2 $162.0646922-2 $162.0646924-2 $997.3846930-2 $261.4346940-2 $167.4246942-2 $112.2046945-2 $133.5646946-2 $284.9746947-2 $946.3847000-2 $311.6747001-2 $311.6747010-2 $2,831.7947011-2 $905.8647015-2 $2,838.8847100-2 $1,861.1047120-2 $3,472.9947122-2 $5,298.4947125-2 $5,298.4947130-2 $5,298.4947135-2 $11,888.2047136-2 $11,895.4847350-2 $2,333.1247360-2 $3,179.0747361-2 $2,711.6747362-2 $2,416.9347400-2 $3,401.7247420-2 $3,321.5747425-2 $4,131.9547460-2 $3,900.4047480-2 $2,217.3447490-2 $917.2147500-2 $183.4147505-2 $106.8947510-2 $238.6447511-2 $845.9647525-2 $463.0747530-2 $463.0747550-2 $463.07

Page 77: 2013 Physician Fee Schedule

47552-2 $463.0747553-2 $685.6747554-2 $2,377.6447555-2 $685.6747556-2 $685.6747560-2 $836.7047561-2 $927.0847562-2 $1,676.3147563-2 $1,880.3847564-2 $2,517.3847570-2 $2,048.0047600-2 $2,235.1547605-2 $2,422.1547610-2 $2,751.6447620-2 $4,416.8947630-2 $650.0547700-2 $3,054.4147701-2 $3,098.9647711-2 $3,059.7747712-2 $3,059.7747715-2 $3,054.4147719-2 $2,330.9347720-2 $3,125.6647721-2 $3,695.5847740-2 $3,695.5847741-2 $4,409.6847760-2 $3,098.9647765-2 $3,695.5847780-2 $4,603.8847785-2 $4,606.0347800-2 $4,256.6047801-2 $3,098.9647802-2 $3,125.6647900-2 $4,254.2548000-2 $2,270.7948001-2 $3,936.0048020-2 $2,546.8548100-2 $2,377.6448102-2 $284.9748105-2 $2,492.6548120-2 $2,831.7948140-2 $3,268.1248145-2 $3,749.0148146-2 $4,600.4248148-2 $2,831.7948150-2 $4,603.8848152-2 $4,600.42

Page 78: 2013 Physician Fee Schedule

48153-2 $4,600.4248154-2 $4,600.4248155-2 $4,541.5348160-2 $11,888.2048400-2 $181.6648500-2 $2,831.7948510-2 $2,831.7948511-2 $959.1548520-2 $3,107.8448540-2 $3,900.4048545-2 $3,279.9948547-2 $3,952.8348548-2 $3,016.7149000-2 $1,994.7049002-2 $2,831.7949010-2 $2,270.7949020-2 $1,861.1049021-2 $635.7549040-2 $2,217.3449041-2 $959.1549060-2 $1,861.1049061-2 $639.4549062-2 $1,779.7649082-2 $210.7649083-2 $397.1849084-2 $128.8649180-2 $325.4849200-2 $1,914.5549201-2 $2,315.3249203-2 $1,541.1849204-2 $1,689.2449205-2 $1,934.0649215-2 $5,102.5749220-2 $4,007.2449250-2 $1,309.0249255-2 $1,861.1049320-2 $962.0449321-2 $1,202.5649322-2 $1,247.7549323-2 $1,359.9949324-2 $835.3449325-2 $963.0149326-2 $498.5349327-2 $208.1349400-2 $284.9749402-2 $1,277.9449411-2 $622.59

Page 79: 2013 Physician Fee Schedule

49412-2 $129.7049418-2 $1,769.3049419-2 $1,116.6249421-2 $1,095.3149422-2 $1,096.2849423-2 $207.0549424-2 $103.5249425-2 $1,745.3949426-2 $810.3349427-2 $327.5749428-2 $818.1249429-2 $818.1249435-2 $319.7949436-2 $383.0249440-2 $719.3049441-2 $784.5849442-2 $651.6849446-2 $515.2849450-2 $208.6849451-2 $287.9549452-2 $448.8349460-2 $146.8949465-2 $96.7649491-2 $1,473.7749492-2 $2,467.8849495-2 $1,539.0749496-2 $2,573.5449500-2 $1,540.5649501-2 $2,573.5449505-2 $1,298.3649507-2 $2,573.5449520-2 $1,691.9449521-2 $2,573.5449525-2 $1,398.0949540-2 $1,878.9349550-2 $1,380.2649553-2 $1,421.3349555-2 $1,941.3149557-2 $1,572.7449560-2 $1,798.8149561-2 $1,799.8149565-2 $2,333.1249570-2 $845.9649572-2 $1,513.8349580-2 $1,122.0449582-2 $1,126.9849585-2 $1,589.55

Page 80: 2013 Physician Fee Schedule

49587-2 $1,589.5549590-2 $1,807.7349600-2 $1,985.8249605-2 $3,125.6649606-2 $1,985.8249610-2 $2,502.3149611-2 $2,502.3149650-2 $1,291.4849651-2 $1,429.9749652-2 $1,363.4449653-2 $1,701.7349654-2 $1,564.5049655-2 $1,883.5649656-2 $1,570.6649657-2 $2,267.8249900-2 $926.1449904-2 $2,474.4449905-2 $2,327.5349906-2 $5,704.6850010-2 $2,315.3250020-2 $1,905.6650021-2 $266.4550040-2 $2,831.7950045-2 $2,831.7950060-2 $2,831.7950065-2 $3,971.6150070-2 $3,971.6150075-2 $4,149.7450080-2 $3,651.0650081-2 $4,603.8850100-2 $2,270.7950120-2 $2,831.7950125-2 $2,831.7950130-2 $2,796.1750135-2 $3,971.6150200-2 $739.1150205-2 $1,291.2350220-2 $2,796.1750225-2 $3,633.2450230-2 $4,247.6950234-2 $4,247.6950236-2 $3,633.2450240-2 $3,374.9950280-2 $3,339.3950290-2 $3,339.3950300-2 $1,745.3950320-2 $3,971.61

Page 81: 2013 Physician Fee Schedule

50340-2 $3,285.9350360-2 $6,660.9850365-2 $8,210.4150370-2 $2,377.6450380-2 $4,986.8050382-2 $304.1650384-2 $274.3750385-2 $257.6450386-2 $194.6950387-2 $109.2550389-2 $86.9050390-2 $276.0450391-2 $175.5950392-2 $276.0450393-2 $276.0450394-2 $46.3050395-2 $276.0450396-2 $112.2050398-2 $92.6150400-2 $3,508.6050405-2 $3,962.7050500-2 $2,831.7950520-2 $3,695.5850525-2 $3,971.6150526-2 $3,971.6150540-2 $4,639.4950541-2 $1,247.7550542-2 $2,833.5550543-2 $2,868.7950544-2 $2,878.8850545-2 $3,739.0250546-2 $3,085.8550548-2 $2,555.2850551-2 $1,585.1050553-2 $463.0750555-2 $463.0750557-2 $507.5650561-2 $463.0750562-2 $1,299.5650570-2 $226.2150572-2 $284.9750574-2 $284.9750575-2 $1,992.9350576-2 $284.9750580-2 $284.9750590-2 $2,217.3450593-2 $821.89

Page 82: 2013 Physician Fee Schedule

50600-2 $2,778.3550605-2 $1,647.4050610-2 $3,285.9350620-2 $3,009.9050630-2 $3,285.9350650-2 $3,285.9350660-2 $3,695.5850684-2 $46.3050686-2 $112.2050688-2 $112.2050690-2 $64.1350700-2 $3,464.0450715-2 $3,285.9350722-2 $2,600.2550725-2 $4,256.6050727-2 $3,146.5350728-2 $3,146.5350740-2 $3,401.7250750-2 $3,971.6150760-2 $3,143.4650770-2 $3,695.5850780-2 $3,143.4650782-2 $3,249.9650783-2 $3,249.9650785-2 $3,651.0650800-2 $3,401.7250810-2 $4,986.8050815-2 $4,986.8050820-2 $4,986.8050825-2 $6,206.7850830-2 $4,986.8050840-2 $4,986.8050845-2 $3,936.0050860-2 $3,054.4150900-2 $3,285.9350920-2 $3,285.9350930-2 $3,971.6150940-2 $3,285.9350945-2 $2,918.2350947-2 $3,471.9450948-2 $2,773.3450951-2 $400.7250953-2 $463.0750955-2 $463.0750957-2 $463.0750961-2 $463.0750970-2 $169.19

Page 83: 2013 Physician Fee Schedule

50972-2 $284.9750974-2 $284.9750976-2 $284.9750980-2 $284.9751000-2 $162.0651005-2 $44.5151010-2 $320.6151020-2 $2,163.9051030-2 $2,163.9051040-2 $2,163.9051045-2 $1,496.0651050-2 $1,745.3951060-2 $3,001.0051065-2 $1,861.1051080-2 $1,130.9551100-2 $120.0851101-2 $38.4751102-2 $233.1651500-2 $2,377.6451520-2 $2,671.5351525-2 $2,796.1751530-2 $2,600.2551535-2 $2,546.8551550-2 $2,315.3251555-2 $3,285.9351565-2 $3,971.6151570-2 $4,256.6051575-2 $5,663.5951580-2 $5,663.5951585-2 $7,088.3951590-2 $7,364.4551595-2 $8,504.2851596-2 $8,370.7251597-2 $8,504.2851600-2 $46.3051605-2 $92.6151610-2 $92.6151700-2 $56.9751701-2 $10.8451702-2 $32.5251703-2 $65.0451705-2 $112.2051710-2 $112.2051715-2 $487.8051720-2 $90.8451725-2 $160.2751726-2 $210.16

Page 84: 2013 Physician Fee Schedule

51727-2 $478.8251728-2 $478.8251729-2 $483.4651736-2 $105.0851741-2 $113.9951784-2 $161.9851785-2 $302.7751792-2 $149.6051797-2 $284.9751798-2 $123.3151800-2 $3,285.9351820-2 $4,986.8051840-2 $2,431.0351841-2 $2,537.9151845-2 $2,101.6051860-2 $2,270.7951865-2 $3,285.9351880-2 $1,362.4651900-2 $3,553.0851920-2 $3,285.9351925-2 $3,285.9351940-2 $3,971.6151960-2 $4,986.8051980-2 $3,285.9351990-2 $1,927.0151992-2 $2,480.9352000-2 $284.9752001-2 $261.3952005-2 $489.7752007-2 $543.2152010-2 $543.2152204-2 $605.5452214-2 $507.5652224-2 $463.0752234-2 $917.2152235-2 $1,611.7852240-2 $2,315.3252250-2 $471.9752260-2 $400.7252265-2 $242.2252270-2 $685.6752275-2 $685.6752276-2 $1,033.0052277-2 $1,015.1852281-2 $507.5652282-2 $959.1552283-2 $463.07

Page 85: 2013 Physician Fee Schedule

52285-2 $605.5452290-2 $641.1652300-2 $926.1452301-2 $895.6152305-2 $1,015.1852310-2 $525.3952315-2 $739.1152317-2 $1,647.4052318-2 $2,270.7952320-2 $1,050.7752325-2 $1,985.8252327-2 $490.8852330-2 $801.4452332-2 $792.5452334-2 $988.4352341-2 $624.1052342-2 $685.9652343-2 $749.2252344-2 $753.4252345-2 $829.3352346-2 $903.8452351-2 $601.6252352-2 $1,827.3452353-2 $2,171.7352354-2 $1,404.2552355-2 $1,339.5952400-2 $792.7852402-2 $728.1952500-2 $1,772.0752510-2 $970.6452601-2 $2,787.2752630-2 $3,285.9352640-2 $1,647.4052647-2 $2,789.8152648-2 $2,789.8152649-2 $1,879.2652700-2 $1,130.9553000-2 $471.9753010-2 $1,415.9053020-2 $267.1553025-2 $112.2053040-2 $507.5653060-2 $224.4153080-2 $685.6753085-2 $3,285.9353200-2 $329.4753210-2 $2,377.64

Page 86: 2013 Physician Fee Schedule

53215-2 $3,009.9053220-2 $2,048.1753230-2 $2,101.6053235-2 $2,270.7953240-2 $685.6753250-2 $2,048.1753260-2 $167.4253265-2 $400.7253270-2 $284.9753275-2 $507.5653400-2 $1,647.4053405-2 $1,923.4853410-2 $2,600.2553415-2 $2,564.6153420-2 $3,285.9353425-2 $3,285.9353430-2 $1,950.1953431-2 $1,981.2553440-2 $3,285.9353442-2 $1,647.4053444-2 $1,507.1453445-2 $3,846.9953446-2 $1,338.9253447-2 $1,923.4853448-2 $1,840.8253449-2 $1,923.4853450-2 $667.8753460-2 $507.5653500-2 $1,179.5853502-2 $2,270.7953505-2 $1,700.8653510-2 $2,270.7953515-2 $3,285.9353520-2 $739.1153600-2 $71.2153601-2 $67.6953605-2 $242.2253620-2 $90.8453621-2 $90.8453660-2 $60.5453661-2 $58.7653665-2 $163.8553850-2 $1,622.9553855-2 $695.6353860-2 $2,593.5954000-2 $112.2054001-2 $160.27

Page 87: 2013 Physician Fee Schedule

54015-2 $226.2154050-2 $99.7354055-2 $115.7554056-2 $106.8754057-2 $819.2454060-2 $233.3154065-2 $338.3754100-2 $112.2054105-2 $284.9754110-2 $1,415.9054111-2 $2,270.7954112-2 $3,054.4154115-2 $845.9654120-2 $1,700.8654125-2 $3,401.7254130-2 $4,879.9554135-2 $5,895.1154150-2 $133.5654160-2 $122.9054161-2 $658.9854162-2 $428.2354163-2 $399.0354164-2 $342.0354200-2 $112.2054205-2 $1,415.9054220-2 $1,184.3554230-2 $112.2054231-2 $72.3054235-2 $73.0354240-2 $73.0354250-2 $80.1254300-2 $1,415.9054304-2 $2,377.6454308-2 $1,415.9054312-2 $1,415.9054316-2 $2,377.6454318-2 $2,377.6454322-2 $2,733.8354324-2 $2,822.8654326-2 $2,822.8654328-2 $3,775.7554332-2 $3,570.8954336-2 $3,570.8954340-2 $1,647.4054344-2 $2,822.8654348-2 $3,241.4254352-2 $3,570.89

Page 88: 2013 Physician Fee Schedule

54360-2 $1,460.4254380-2 $2,377.6454385-2 $3,001.0054390-2 $3,001.0054400-2 $2,484.4954401-2 $2,983.1854405-2 $3,838.0554406-2 $2,009.0654408-2 $2,195.3754410-2 $2,510.9754411-2 $2,762.6354415-2 $978.8154416-2 $1,304.1454417-2 $1,434.8454420-2 $2,101.6054430-2 $2,101.6054435-2 $1,415.9054440-2 $1,496.0654450-2 $169.1954500-2 $92.6154505-2 $445.2454512-2 $767.4954520-2 $899.3954522-2 $871.5054530-2 $1,870.0454535-2 $2,502.3154550-2 $1,415.9054560-2 $2,101.6054600-2 $1,184.3554620-2 $685.6754640-2 $1,585.1054650-2 $1,572.7454660-2 $685.6754670-2 $1,415.9054680-2 $1,700.8654690-2 $822.1154692-2 $1,441.6354700-2 $436.3454800-2 $112.2054830-2 $917.2154840-2 $1,202.1754860-2 $1,104.2154861-2 $1,700.8654865-2 $697.9454900-2 $1,700.8654901-2 $2,377.6455000-2 $94.39

Page 89: 2013 Physician Fee Schedule

55040-2 $1,130.9555041-2 $1,611.7855060-2 $1,015.1855100-2 $284.9755110-2 $1,407.0155120-2 $284.9755150-2 $1,451.5055175-2 $2,048.1755180-2 $2,048.1755200-2 $525.3955250-2 $516.4755300-2 $623.3655400-2 $1,451.5055450-2 $525.3955500-2 $1,041.8855520-2 $917.2155530-2 $1,424.7955535-2 $1,513.8355540-2 $1,629.6255550-2 $1,151.5455600-2 $561.0055605-2 $1,469.3155650-2 $3,401.7255680-2 $3,401.7255700-2 $418.5055705-2 $1,415.9055720-2 $1,415.9055725-2 $2,377.6455801-2 $3,615.4355810-2 $4,826.5355812-2 $4,826.5355815-2 $6,411.5855821-2 $3,615.4355831-2 $3,615.4355840-2 $4,826.5355842-2 $4,826.5355845-2 $5,351.9055860-2 $1,647.4055862-2 $2,270.7955865-2 $3,802.4255870-2 $40.9655873-2 $1,173.7255875-2 $1,089.4755876-2 $240.7555920-2 $596.8956405-2 $275.8656420-2 $162.06

Page 90: 2013 Physician Fee Schedule

56440-2 $703.4956441-2 $534.3056442-2 $128.8956501-2 $192.3456515-2 $756.9456605-2 $275.8656606-2 $53.4656620-2 $2,119.4156625-2 $2,716.0356630-2 $3,098.9656631-2 $4,224.0556632-2 $4,230.3656633-2 $3,086.1656634-2 $4,224.0556637-2 $4,224.0556640-2 $5,325.1956700-2 $400.7256740-2 $792.5456800-2 $400.7256805-2 $365.0956810-2 $836.2056820-2 $177.5256821-2 $242.5657000-2 $543.2157010-2 $534.3057020-2 $112.2057022-2 $359.8557023-2 $359.8557061-2 $534.3057065-2 $623.3657100-2 $115.7557105-2 $516.4757106-2 $1,511.9957107-2 $1,890.7357109-2 $2,267.9857110-2 $2,377.6457111-2 $2,781.4557112-2 $3,336.8557120-2 $2,163.9057130-2 $561.0057135-2 $427.4257150-2 $90.8457155-2 $564.4857156-2 $209.6057160-2 $105.0857170-2 $65.8857180-2 $169.19

Page 91: 2013 Physician Fee Schedule

57200-2 $400.7257210-2 $436.3457220-2 $1,415.9057230-2 $1,415.9057240-2 $1,122.0457250-2 $935.0157260-2 $1,166.5457265-2 $1,558.3657268-2 $2,101.6057270-2 $1,843.3457280-2 $2,101.6057282-2 $2,119.4157283-2 $1,737.8557284-2 $2,327.7157285-2 $1,236.9157287-2 $1,196.2157288-2 $2,716.0357289-2 $1,959.1057291-2 $2,270.7957292-2 $2,270.7957295-2 $1,061.4557296-2 $1,611.1057300-2 $2,600.2557305-2 $3,125.6657307-2 $3,695.5857308-2 $2,481.6357310-2 $2,270.7957311-2 $2,252.9757320-2 $3,125.6657330-2 $3,125.6657335-2 $2,110.4957400-2 $211.9157410-2 $226.2157415-2 $222.4257420-2 $177.5257421-2 $242.5657423-2 $1,767.3557425-2 $1,758.0757426-2 $1,341.4057452-2 $190.5657454-2 $293.8657455-2 $199.2057456-2 $189.7257460-2 $646.5557461-2 $676.2157500-2 $153.1757505-2 $284.97

Page 92: 2013 Physician Fee Schedule

57510-2 $149.6057511-2 $190.5657513-2 $917.2157520-2 $881.6057522-2 $883.5757530-2 $801.4457531-2 $4,780.5357540-2 $2,270.7957545-2 $2,546.8557550-2 $2,101.6057555-2 $2,502.3157556-2 $2,502.3157558-2 $448.6857700-2 $756.9457720-2 $1,015.1857800-2 $167.4258100-2 $176.3258110-2 $69.5258120-2 $587.7758140-2 $2,288.5858145-2 $2,208.4558146-2 $1,883.6158150-2 $2,350.9358152-2 $3,134.5858180-2 $2,742.7458200-2 $2,769.4658210-2 $5,895.1158240-2 $8,228.2258260-2 $2,520.1158262-2 $2,818.9258263-2 $2,982.7058267-2 $3,321.5758270-2 $2,885.2158275-2 $2,876.3258280-2 $3,098.9658285-2 $5,049.1358290-2 $1,365.9658291-2 $1,501.4758292-2 $1,650.5358293-2 $2,405.3458294-2 $2,093.6658300-2 $167.4258301-2 $65.8858340-2 $163.8558345-2 $217.2558346-2 $615.9458350-2 $115.75

Page 93: 2013 Physician Fee Schedule

58353-2 $683.1558356-2 $721.7358400-2 $1,861.1058410-2 $2,671.5358520-2 $1,843.3458540-2 $2,537.9158541-2 $1,737.5658542-2 $1,821.4658543-2 $1,737.5658544-2 $1,821.4658545-2 $1,159.9958546-2 $1,159.9958548-2 $4,492.8458550-2 $1,615.0858552-2 $1,501.4758553-2 $1,365.9658554-2 $1,501.4758555-2 $524.7658558-2 $721.5558559-2 $1,030.5658560-2 $1,030.5658561-2 $1,030.5658562-2 $851.2758563-2 $1,180.7058570-2 $1,396.6258571-2 $1,507.3758572-2 $1,396.6258573-2 $1,507.3758600-2 $1,184.3558605-2 $1,104.2158615-2 $1,059.7058660-2 $1,064.1058661-2 $1,823.5458662-2 $1,247.7558670-2 $1,262.3458671-2 $1,202.5658672-2 $1,297.3158673-2 $1,262.3458700-2 $1,335.7458720-2 $1,994.7058740-2 $2,261.8658750-2 $4,434.7058752-2 $3,553.0858760-2 $3,553.0858770-2 $3,553.0858800-2 $792.5458805-2 $2,057.02

Page 94: 2013 Physician Fee Schedule

58820-2 $792.5458822-2 $2,048.1758823-2 $639.4558825-2 $3,553.0858900-2 $1,861.1058920-2 $1,843.3458925-2 $1,700.8658940-2 $1,736.4658943-2 $2,956.4458950-2 $2,448.8758951-2 $3,811.3558952-2 $3,526.3758953-2 $3,778.9858954-2 $4,027.8658956-2 $3,058.6658957-2 $2,675.0458958-2 $2,980.2358960-2 $4,007.2459000-3 $146.0359001-2 $379.5759012-3 $146.0359015-3 $146.0359020-3 $121.1159025-3 $92.6159030-3 $169.1959050-3 $19.6159051-3 $22.8859100-3 $2,377.6459120-3 $2,333.1259121-3 $2,529.0159130-3 $2,333.1259135-3 $2,778.3559136-3 $2,662.5859140-3 $2,386.5559150-3 $1,362.4659151-3 $2,288.5859160-3 $685.6759200-3 $374.0159300-3 $917.2159320-3 $756.9459325-3 $756.9459350-3 $2,333.1259400-3 $3,187.9959409-3 $1,959.6059410-3 $2,021.4259425-3 $563.5259426-3 $849.46

Page 95: 2013 Physician Fee Schedule

59430-3 $62.3359510-3 $3,187.9959514-3 $2,598.7759515-3 $2,662.5859525-3 $1,264.5359610-3 $3,184.8759612-3 $1,959.6759614-3 $2,017.0359618-3 $3,184.8759620-3 $2,596.9559622-3 $2,654.3059812-3 $694.5959820-3 $881.6059821-3 $881.6059830-3 $1,291.2359840-3 $578.8259841-3 $658.9859850-3 $1,380.2659851-3 $1,496.0659852-3 $2,377.6459855-3 $1,104.4759856-3 $1,194.4659857-2 $1,906.2459866-3 $1,005.4359870-3 $658.9859871-3 $726.2360000-2 $561.0060001-2 $170.1660100-2 $169.1960200-2 $1,380.2660210-2 $2,184.4060212-2 $2,397.0960220-2 $2,074.8860225-2 $2,217.3460240-2 $2,555.7460252-2 $3,472.9960254-2 $4,657.3260260-2 $2,778.3560270-2 $3,695.5860271-2 $2,797.9860280-2 $1,959.1060281-2 $1,905.6660300-2 $141.0660500-2 $2,929.7460502-2 $2,911.9260505-2 $3,695.5860512-2 $589.04

Page 96: 2013 Physician Fee Schedule

60520-2 $3,695.5860521-2 $3,697.9160522-2 $3,697.9160540-2 $3,570.8960545-2 $4,131.9560600-2 $3,125.6660605-2 $4,416.8960650-2 $3,265.1561000-2 $463.0761001-2 $400.7261020-2 $276.0461026-2 $400.7261050-2 $226.2161055-2 $311.6761070-2 $276.0461105-2 $1,130.9561107-2 $3,971.6161108-2 $3,579.8061120-2 $1,130.9561140-2 $3,125.6661150-2 $3,695.5861151-2 $329.4761154-2 $3,731.1961156-2 $3,971.6161210-2 $3,989.4461215-2 $1,985.8261250-2 $2,048.1761253-2 $2,502.3161304-2 $5,325.1961305-2 $6,082.1161312-2 $4,853.2461313-2 $4,853.2461314-2 $4,363.4561315-2 $4,363.4561316-2 $650.4661320-2 $4,639.4961321-2 $4,639.4961322-2 $4,118.2161323-2 $5,097.9561330-2 $3,971.6161332-2 $3,971.6161333-2 $3,971.6161334-2 $3,971.6161340-2 $2,448.8761343-2 $6,919.1961345-2 $3,125.6661440-2 $4,363.45

Page 97: 2013 Physician Fee Schedule

61450-2 $4,363.4561458-2 $5,325.1961460-2 $5,325.1961470-2 $6,295.8361480-2 $6,295.8361490-2 $3,695.5861500-2 $5,672.4961501-2 $5,672.4961510-2 $6,616.4361512-2 $6,242.4261514-2 $5,449.8761516-2 $5,449.8761517-2 $777.8461518-2 $6,527.3961519-2 $6,803.4261520-2 $6,794.5361521-2 $6,465.0461522-2 $5,449.8761524-2 $5,449.8761526-2 $5,449.8761530-2 $7,489.1261531-2 $3,793.0561533-2 $8,005.6161534-2 $5,449.8761535-2 $5,325.1961536-2 $5,556.7561537-2 $4,702.3661538-2 $6,001.9961539-2 $6,001.9961540-2 $4,752.8961541-2 $7,311.0261542-2 $7,364.4561543-2 $7,311.0261544-2 $4,639.4961545-2 $6,616.4361546-2 $5,325.1961548-2 $5,578.2261550-2 $3,277.0461552-2 $4,639.4961556-2 $3,125.6661557-2 $3,125.6661558-2 $4,301.1161559-2 $4,301.1161563-2 $5,209.4261564-2 $7,408.9761566-2 $5,173.1261567-2 $5,690.44

Page 98: 2013 Physician Fee Schedule

61570-2 $5,325.1961571-2 $5,325.1961575-2 $1,923.4861576-2 $1,923.4861580-2 $1,850.2561581-2 $3,439.8061582-2 $3,027.7161583-2 $3,069.7461584-2 $1,951.1961585-2 $2,346.4961586-2 $1,894.8761590-2 $2,590.3361591-2 $2,127.8061592-2 $1,724.1261595-2 $2,127.8061596-2 $2,548.3361597-2 $3,322.0961598-2 $3,288.4261600-2 $3,027.7161601-2 $3,027.7161605-2 $3,027.7161606-2 $3,027.7161607-2 $4,045.3661608-2 $4,045.3661609-2 $2,043.7161610-2 $3,944.4261611-2 $2,043.7161612-2 $3,944.4261613-2 $3,944.4261615-2 $3,322.0961616-2 $4,079.0061618-2 $2,262.3661619-2 $1,522.2661623-2 $2,412.1261624-2 $3,152.3761626-2 $952.8361680-2 $6,322.5461682-2 $7,364.4561684-2 $6,322.5461686-2 $7,364.4561690-2 $6,322.5461692-2 $7,364.4561697-2 $6,491.2861698-2 $6,491.2861700-2 $6,322.5461702-2 $7,364.4561703-2 $6,295.83

Page 99: 2013 Physician Fee Schedule

61705-2 $6,295.8361708-2 $6,295.8361710-2 $6,295.8361711-2 $6,295.8361720-2 $5,957.4461735-2 $5,957.4461750-2 $5,957.4461751-2 $5,957.4461760-2 $5,689.5761770-2 $5,957.4461781-2 $288.1861782-2 $288.1861783-2 $288.1861790-2 $2,448.8761791-2 $3,846.9961796-2 $1,391.5861797-2 $380.1561798-2 $1,391.5861799-2 $525.6261800-2 $269.6761850-2 $3,953.8161860-2 $4,363.4561863-2 $1,945.5761864-2 $583.8161867-2 $2,593.2161868-2 $777.9661880-2 $1,638.5461885-2 $1,638.5461886-2 $1,501.3861888-2 $1,638.5462000-2 $2,983.1862005-2 $3,686.6762010-2 $4,247.6962100-2 $4,639.4962115-2 $4,301.1162116-2 $4,301.1162117-2 $4,301.1162120-2 $4,363.4562121-2 $4,265.4762140-2 $3,009.9062141-2 $3,695.5862142-2 $3,285.9362143-2 $3,285.9362145-2 $4,256.6062146-2 $2,956.4462147-2 $3,490.7762148-2 $689.75

Page 100: 2013 Physician Fee Schedule

62160-2 $844.2462161-2 $3,368.8262162-2 $3,706.2562163-2 $3,031.4062164-2 $4,379.7462165-2 $4,528.8162180-2 $4,479.2262190-2 $3,695.5862192-2 $3,401.7262194-2 $970.6462200-2 $4,924.4562201-2 $4,924.4562220-2 $3,971.6162223-2 $3,686.6762225-2 $970.6462230-2 $1,594.0062252-2 $98.3962256-2 $1,585.1062258-2 $1,870.0462263-2 $994.1362264-2 $646.3962267-2 $300.5462268-2 $169.1962269-2 $169.1962270-2 $163.8562272-2 $128.2362273-2 $436.3462279-3 $507.5662280-2 $338.3762281-2 $837.0762282-2 $338.3762284-2 $376.6662287-2 $3,437.3362290-2 $374.0162291-2 $374.0162292-2 $3,321.5762294-2 $792.5462310-2 $400.7262311-2 $276.0462318-2 $386.2962319-2 $327.9862350-2 $2,017.0362351-2 $3,992.6462355-2 $334.5862360-2 $5,071.2362361-2 $5,071.2362362-2 $5,071.23

Page 101: 2013 Physician Fee Schedule

62365-2 $2,534.8462367-2 $36.5562368-2 $36.5562369-2 $121.0662370-2 $127.7663001-2 $4,603.8863003-2 $4,764.1863005-2 $3,953.8163011-2 $3,953.8163012-2 $4,888.8363015-2 $5,663.5963016-2 $5,663.5963017-2 $4,871.0463020-2 $4,052.6663030-2 $3,433.8263035-2 $940.1363040-2 $4,718.9863042-2 $4,781.0663043-2 $806.8563044-2 $806.8563045-2 $4,718.9863046-2 $4,764.1863047-2 $3,647.4063048-2 $825.5063050-2 $4,815.8763051-2 $5,274.2263055-2 $4,764.1863056-2 $3,953.8163057-2 $917.2163064-2 $4,924.4563066-2 $1,130.9563075-2 $3,967.7663076-2 $970.6463077-2 $4,301.1163078-2 $961.7363081-2 $5,672.4963082-2 $1,415.9063085-2 $5,672.4963086-2 $1,415.9063087-2 $5,672.4963088-2 $1,415.9063090-2 $5,672.4963091-2 $1,415.9063101-2 $4,966.9963102-2 $4,966.9963103-2 $1,238.0963170-2 $4,924.45

Page 102: 2013 Physician Fee Schedule

63172-2 $5,111.4963173-2 $5,111.4963180-2 $6,001.9963182-2 $6,919.1963185-2 $4,363.4563190-2 $5,262.8763191-2 $4,924.4563194-2 $4,924.4563195-2 $4,924.4563196-2 $4,924.4563197-2 $4,924.4563198-2 $6,295.8363199-2 $6,295.8363200-2 $5,761.5363250-2 $6,001.9963251-2 $6,001.9963252-2 $6,001.9963265-2 $5,111.4963266-2 $5,316.2463267-2 $4,639.4963268-2 $4,639.4963270-2 $5,325.1963271-2 $5,316.2463272-2 $4,639.4963273-2 $4,639.4963275-2 $5,325.1963276-2 $5,316.2463277-2 $4,639.4963278-2 $4,639.4963280-2 $5,325.1963281-2 $5,316.2463282-2 $4,639.4963283-2 $4,639.4963285-2 $5,325.1963286-2 $5,316.2463287-2 $5,316.2463290-2 $5,316.2463295-2 $1,000.6263300-2 $5,672.4963301-2 $5,556.7563302-2 $5,672.4963303-2 $5,672.4963304-2 $5,672.4963305-2 $5,672.4963306-2 $5,672.4963307-2 $5,672.4963308-2 $1,415.90

Page 103: 2013 Physician Fee Schedule

63600-2 $2,448.8763610-2 $917.2163615-2 $2,448.8763620-2 $1,391.5863621-2 $437.1063650-2 $2,448.8763655-2 $3,695.5863661-2 $717.6663662-2 $1,082.8663663-2 $1,220.8363664-2 $1,128.0863685-2 $3,054.4163688-2 $3,054.4163700-2 $2,716.0363702-2 $3,401.7263704-2 $3,731.1963706-2 $3,401.7263707-2 $4,541.5363709-2 $5,797.1663710-2 $4,541.5363740-2 $3,971.6163741-2 $3,054.4163744-2 $1,585.1063746-2 $1,585.1064400-2 $64.1364402-2 $83.6764405-2 $92.6164408-2 $112.2064410-2 $112.2064412-2 $112.2064413-2 $94.3964415-2 $112.2064416-2 $192.4364417-2 $112.2064418-2 $112.2064420-2 $160.2764421-2 $276.0464425-2 $167.4264430-2 $226.2164435-2 $99.7364445-2 $112.2064446-2 $192.4364447-2 $96.2164448-2 $1,954.0864449-2 $188.8464450-2 $162.0664455-2 $74.11

Page 104: 2013 Physician Fee Schedule

64479-2 $272.5964480-2 $113.6964483-2 $236.1364484-2 $94.7564490-2 $303.7664491-2 $148.4064492-2 $129.8564493-2 $282.8964494-2 $134.4964495-2 $117.1064505-2 $169.1964508-2 $169.1964510-2 $293.8664517-2 $285.9264520-2 $329.4764530-2 $94.3964550-2 $105.0864553-2 $1,825.5164555-2 $1,825.5164561-2 $1,596.1264565-2 $1,825.5164566-2 $194.6864568-2 $1,023.4364569-2 $902.3364570-2 $780.9764575-2 $2,261.8664580-2 $2,261.8664581-2 $1,974.3064585-2 $1,130.9564590-2 $2,261.8664595-2 $1,130.9564600-2 $400.7264605-2 $507.5664610-2 $623.3664611-2 $146.3364612-2 $1,095.3164613-2 $1,095.3164614-2 $473.7164620-2 $226.2164630-2 $329.4764632-2 $120.0464633-2 $441.9464634-2 $201.5464635-2 $434.3964636-2 $181.3864640-2 $329.4764650-0 $366.24

Page 105: 2013 Physician Fee Schedule

64653-2 $366.2464680-2 $463.0764681-2 $408.2664702-2 $739.1164704-2 $1,041.8864708-2 $1,576.2064712-2 $1,870.0464713-2 $2,270.7964714-2 $1,576.2064716-2 $1,576.2064718-2 $1,745.3964719-2 $1,077.4864721-2 $1,065.9264722-2 $1,558.3664726-2 $739.1164732-2 $1,077.4864734-2 $1,077.4864736-2 $1,077.4864738-2 $1,585.1064740-2 $1,585.1064742-2 $1,585.1064744-2 $1,246.6864746-2 $845.9664752-2 $2,546.8564755-2 $2,546.8564760-2 $2,163.9064761-2 $2,163.9064763-2 $970.6464766-2 $1,585.1064771-2 $2,048.1764772-2 $3,401.7264774-2 $463.0764776-2 $1,700.8664778-2 $226.2164782-2 $765.8264784-2 $1,585.1064786-2 $1,585.1064787-2 $1,041.8864788-2 $765.8264790-2 $1,415.9064792-2 $1,415.9064795-2 $338.3764802-2 $2,270.7964804-2 $3,125.6664809-2 $3,125.6664818-2 $2,181.7264820-2 $752.67

Page 106: 2013 Physician Fee Schedule

64821-2 $820.3164822-2 $82.0464823-2 $853.6764831-2 $748.0364832-2 $224.4164834-2 $1,041.8864835-2 $1,371.3964836-2 $1,576.2064837-2 $516.4764840-2 $1,576.2064856-2 $1,870.0464857-2 $1,798.8164858-2 $1,576.2064859-2 $516.4764861-2 $2,163.9064862-2 $2,163.9064864-2 $3,971.6164865-2 $3,971.6164866-2 $3,971.6164868-2 $3,971.6164870-2 $3,971.6164885-2 $1,870.0464886-2 $1,870.0464890-2 $1,870.0464891-2 $1,870.0464892-2 $2,831.7964893-2 $2,831.7964895-2 $3,642.1564896-2 $3,642.1564897-2 $5,619.0764898-2 $5,619.0764901-2 $1,415.9064902-2 $1,870.0464905-2 $1,674.1764907-2 $1,674.1764910-2 $885.1964911-2 $1,116.2265091-2 $1,674.1765093-2 $2,163.9065101-2 $1,994.7065103-2 $2,199.5465105-2 $2,831.7965110-2 $3,464.0465112-2 $3,464.0465114-2 $4,256.6065130-2 $1,745.3965135-2 $2,101.60

Page 107: 2013 Physician Fee Schedule

65140-2 $2,083.7765150-2 $1,745.3965155-2 $2,083.7765175-2 $881.6065205-2 $85.4965210-2 $80.1265220-2 $94.3965222-2 $99.7365235-2 $3,054.4165260-2 $1,825.5165265-2 $2,831.7965270-2 $167.4265272-2 $284.9765273-2 $284.9765275-2 $90.8465280-2 $1,700.8665285-2 $1,985.8265286-2 $1,700.8665290-2 $685.6765400-2 $917.2165410-2 $169.1965420-2 $685.6765426-2 $694.5965430-2 $112.2065435-2 $103.3065436-2 $169.1965450-2 $276.0465600-2 $1,415.9065710-2 $4,488.1365730-2 $5,102.5765750-2 $4,603.8865755-2 $5,049.1365756-2 $1,885.6265760-2 $3,321.5765765-2 $5,325.1965770-2 $5,619.0765771-2 $2,745.7265772-2 $1,362.4665775-2 $1,870.0465778-2 $1,473.9465779-2 $1,390.1865780-2 $3,742.2065781-2 $4,490.9165782-2 $4,115.9065800-2 $169.1965805-2 $169.1965810-2 $1,415.90

Page 108: 2013 Physician Fee Schedule

65815-2 $917.2165820-2 $2,048.1765850-2 $1,282.3365855-2 $1,326.8565860-2 $2,008.5865865-2 $2,101.6065870-2 $1,745.3965875-2 $1,745.3965880-2 $1,745.3965900-2 $1,745.3965920-2 $1,166.5465930-2 $1,985.8266020-2 $739.1166030-2 $845.9666130-2 $1,870.0466150-2 $2,448.8766155-2 $2,448.8766160-2 $2,448.8766165-2 $2,448.8766170-2 $1,994.7066172-2 $1,993.2566174-2 $1,453.1166175-2 $1,588.9666180-2 $1,932.4066185-2 $1,932.4066220-2 $3,464.0466225-2 $4,256.6066250-2 $1,513.8366500-2 $917.2166505-2 $917.2166600-2 $1,994.7066605-2 $3,900.4066625-2 $1,745.3966630-2 $1,745.3966635-2 $1,745.3966680-2 $1,905.6666682-2 $1,122.0466700-2 $1,896.7866710-2 $1,896.7866720-2 $1,896.7866740-2 $1,896.7866761-2 $1,086.3966762-2 $1,077.4866770-2 $1,398.0966820-2 $1,264.5366821-2 $899.3966825-2 $2,224.10

Page 109: 2013 Physician Fee Schedule

66830-2 $1,478.2166840-2 $2,769.4666850-2 $3,722.2966852-2 $4,301.1166920-2 $2,537.9166930-2 $2,386.5566940-2 $2,359.8166982-2 $1,543.3966983-2 $3,312.6566984-2 $3,312.6566985-2 $2,039.2666986-2 $3,312.6566990-2 $313.0367005-2 $1,843.3467010-2 $2,537.9167015-2 $1,415.9067025-2 $2,101.6067027-2 $1,335.2167028-2 $471.9767030-2 $1,861.1067031-2 $1,861.1067036-2 $3,757.9367038-2 $3,944.9167039-2 $4,131.9567040-2 $4,318.9267041-2 $2,544.9367042-2 $2,914.4967043-2 $3,057.8867101-2 $3,784.6067105-2 $3,784.6067107-2 $3,472.9967108-2 $4,407.9667110-2 $1,994.7067112-2 $1,700.8667113-2 $3,578.9967115-2 $1,700.8667120-2 $1,985.8267121-2 $1,985.8267141-2 $1,540.5667145-2 $1,772.0767208-2 $2,137.1867210-2 $1,772.0767218-2 $2,208.4567220-2 $2,010.5067221-2 $650.8367225-2 $322.5667227-2 $2,413.25

Page 110: 2013 Physician Fee Schedule

67228-2 $1,772.0767229-2 $1,309.1967250-2 $3,464.0467255-2 $4,256.6067311-2 $1,736.4667312-2 $1,736.4667314-2 $2,368.7467316-2 $2,475.6067318-2 $2,368.7467320-2 $2,520.1167331-2 $2,502.3167332-2 $1,718.6567334-2 $2,368.7467335-2 $507.5667340-2 $2,956.4467343-2 $2,368.7467345-2 $1,246.6867346-2 $599.4567400-2 $2,288.5867405-2 $1,870.0467412-2 $2,457.7967413-2 $1,700.8667414-2 $3,464.0467415-2 $329.4767420-2 $3,900.4067430-2 $3,900.4067440-2 $3,464.0467445-2 $3,464.0467450-2 $3,900.4067500-2 $113.9967505-2 $329.4767515-2 $97.9567550-2 $2,448.8767560-2 $1,246.6867570-2 $5,325.1967700-2 $94.3967710-2 $112.2067715-2 $112.2067800-2 $153.1767801-2 $329.4767805-2 $338.3767808-2 $578.8267810-2 $144.2567820-2 $83.6767825-2 $169.1967830-2 $169.1967835-2 $169.19

Page 111: 2013 Physician Fee Schedule

67840-2 $233.3167850-2 $229.7567875-2 $276.0467880-2 $1,130.9567882-2 $1,130.9567900-2 $1,896.7867901-2 $1,629.6267902-2 $2,315.3267903-2 $2,796.1767904-2 $2,315.3267906-2 $2,831.7967908-2 $1,861.1067909-2 $1,861.1067911-2 $2,101.6067912-2 $1,758.0767914-2 $284.9767915-2 $226.2167916-2 $1,415.9067917-2 $1,585.1067921-2 $284.9767922-2 $226.2167923-2 $1,148.7567924-2 $1,496.0667930-2 $284.9767935-2 $480.8867938-2 $92.6167950-2 $1,130.9567961-2 $1,772.0767966-2 $2,092.6667971-2 $2,092.6667973-2 $2,600.2567974-2 $3,125.6667975-2 $400.7268020-2 $113.9968040-2 $46.3068100-2 $197.6868110-2 $284.9768115-2 $400.7268130-2 $400.7268135-2 $112.2068200-2 $90.8468320-2 $1,496.0668325-2 $1,985.8268326-2 $2,546.8568328-2 $3,241.4268330-2 $845.9668335-2 $1,095.31

Page 112: 2013 Physician Fee Schedule

68340-2 $1,095.3168360-2 $845.9668362-2 $1,745.3968371-2 $944.1968400-2 $169.1968420-2 $94.3968440-2 $112.2068500-2 $2,101.6068505-2 $2,101.6068510-2 $329.4768520-2 $2,101.6068525-2 $329.4768530-2 $329.4768540-2 $2,270.7968550-2 $3,366.1168700-2 $561.0068705-2 $169.1968720-2 $2,315.3268745-2 $2,600.2568750-2 $2,315.3268760-2 $137.1368761-2 $106.8968770-2 $917.2168801-2 $111.3868810-2 $218.1268811-2 $491.8868815-2 $451.6668816-2 $522.2868840-2 $112.2068850-2 $112.2069000-2 $108.6269005-2 $167.4269020-2 $112.2069100-2 $140.6969105-2 $169.1969110-2 $623.3669120-2 $1,415.9069140-2 $1,130.9569145-2 $169.1969150-2 $2,270.7969155-2 $2,270.7969200-2 $97.9569205-2 $329.4769210-2 $40.9669220-2 $46.3069222-2 $169.1969300-2 $1,496.06

Page 113: 2013 Physician Fee Schedule

69310-2 $5,414.2469320-2 $5,414.2469400-2 $85.4969401-2 $105.0869405-2 $55.2069420-2 $320.6169421-2 $471.9769424-2 $133.5669433-2 $226.2169436-2 $471.9769440-2 $1,878.9369450-2 $1,985.8269501-2 $1,309.0269502-2 $3,125.6669505-2 $3,811.3569511-2 $3,802.4269530-2 $3,695.5869535-2 $3,285.9369540-2 $329.4769550-2 $5,449.8769552-2 $5,449.8769554-2 $5,449.8769601-2 $3,464.0469602-2 $2,537.9169603-2 $4,256.6069604-2 $2,466.6969605-2 $4,256.6069610-2 $219.0669620-2 $2,333.1269631-2 $2,671.5369632-2 $2,894.1169633-2 $2,769.4669635-2 $3,045.5069636-2 $3,918.2269637-2 $5,271.7869641-2 $3,294.8669642-2 $3,811.3569643-2 $3,811.3569644-2 $3,882.5869645-2 $4,016.1669646-2 $5,494.4069650-2 $1,834.4469660-2 $2,564.6169661-2 $4,078.5069662-2 $1,282.3369666-2 $4,078.5069667-2 $4,078.50

Page 114: 2013 Physician Fee Schedule

69670-2 $4,363.4569676-2 $4,363.4569700-2 $1,415.9069710-2 $3,686.6769711-2 $1,870.0469720-2 $4,879.9569725-2 $4,879.9569740-2 $5,957.4469745-2 $5,957.4469801-2 $3,401.7269805-2 $3,401.7269806-2 $3,374.9969820-2 $4,764.1869840-2 $2,831.7969905-2 $4,078.5069910-2 $4,078.5069915-2 $5,325.1969930-2 $5,957.4469950-2 $5,325.1969955-2 $5,325.1969960-2 $5,325.1969970-2 $5,325.1970010-5 $525.3970010-P $206.6170015-5 $525.3970015-P $206.6170030-5 $144.2570030-P $46.3070100-5 $85.4970100-P $39.1770110-5 $112.2070110-P $53.4270120-5 $85.4970120-P $40.9670130-5 $94.3970130-P $58.7670134-5 $128.2370134-P $58.7670140-5 $64.1370140-P $44.5170150-5 $112.2070150-P $56.9770160-5 $67.6970160-P $39.1770170-5 $146.0370170-P $55.2070190-5 $87.27

Page 115: 2013 Physician Fee Schedule

70190-P $49.8570200-5 $97.9570200-P $55.2070210-5 $60.1070210-P $23.3670220-5 $105.1670220-P $43.3970240-5 $67.6970240-P $32.0570250-5 $89.0570250-P $42.7570260-5 $133.5670260-P $60.5470300-5 $42.7570300-P $12.4570310-5 $58.7670310-P $17.8270320-5 $80.1270320-P $33.8470328-5 $87.2770328-P $40.9670330-5 $106.8770330-P $55.2070332-5 $163.8570332-P $89.0570336-5 $872.6870336-P $302.7770350-5 $138.9270350-P $57.7870355-5 $67.6970355-P $51.6470360-5 $71.2170360-P $37.3870370-5 $121.1170370-P $40.9670373-5 $215.5170373-P $39.1770380-5 $67.6970380-P $35.6370390-5 $144.2570390-P $46.3070450-5 $393.5970450-P $146.8970460-5 $436.3470460-P $163.5670470-5 $530.7270470-P $198.62

Page 116: 2013 Physician Fee Schedule

70480-5 $359.9870480-P $146.8970481-5 $418.8370481-P $170.2570482-5 $499.0770482-P $203.6370486-5 $351.7970486-P $143.5570487-5 $409.0670487-P $166.9170488-5 $499.0770488-P $245.8070490-5 $359.9870490-P $146.8970491-5 $418.8370491-P $170.2570492-5 $499.0770492-P $203.6370496-5 $524.3170496-P $157.4370498-5 $535.5670498-P $160.2570540-5 $872.6870540-P $302.7770542-5 $677.5370542-P $203.8370543-5 $898.2270543-P $269.8970544-5 $688.7670544-P $206.6470545-5 $752.0270545-P $226.3270546-5 $998.0170546-P $299.4170547-5 $655.0370547-P $196.7970548-5 $714.0670548-P $213.6670549-5 $948.8270549-P $285.3570551-5 $872.6870551-P $302.7770552-5 $875.4070552-P $302.7770553-5 $1,161.7470553-P $302.7770554-5 $339.24

Page 117: 2013 Physician Fee Schedule

70554-P $231.0370555-5 $350.1970555-P $231.0370557-P $265.9770558-P $277.9470559-P $291.2471010-5 $60.1071010-P $23.3671015-5 $80.1271015-P $44.5171020-5 $85.1271020-P $33.3971021-5 $108.6271021-P $40.9671022-5 $117.5471022-P $35.6371023-5 $122.9071023-P $60.1071030-5 $122.9071030-P $49.8571034-5 $117.5471034-P $64.1371035-5 $121.1171035-P $40.9671040-5 $215.5171040-P $62.3371060-5 $284.9771060-P $65.8871100-5 $96.1871100-P $44.5171101-5 $113.9971101-P $60.5471110-5 $121.1171110-P $62.3371111-5 $186.9971111-P $87.2771120-5 $94.3971120-P $40.9671130-5 $97.9571130-P $39.1771250-5 $409.0671250-P $166.9171260-5 $482.6971260-P $196.9571270-5 $589.0471270-P $240.3671275-5 $632.54

Page 118: 2013 Physician Fee Schedule

71275-P $189.7671550-5 $872.6871550-P $302.7771551-5 $714.0671551-P $213.6671552-5 $948.8271552-P $285.3571555-5 $1,118.3271555-P $302.7772010-5 $138.9272010-P $92.6172020-5 $64.1372020-P $35.6372040-5 $89.0572040-P $36.7172050-5 $137.1372050-P $51.6472052-5 $154.9572052-P $60.5472069-5 $83.6772069-P $44.5172070-5 $101.5172070-P $40.9672072-5 $112.2072072-P $51.6472074-5 $138.9272074-P $58.7672080-5 $83.6772080-P $44.5172090-5 $113.9972090-P $49.8572100-5 $115.7572100-P $49.8572110-5 $153.1772110-P $64.1372114-5 $211.9772114-P $64.1372120-5 $153.1772120-P $42.7572125-5 $409.0672125-P $166.9172126-5 $482.6972126-P $196.9572127-5 $589.0472127-P $276.0472128-5 $409.0672128-P $166.91

Page 119: 2013 Physician Fee Schedule

72129-5 $482.6972129-P $196.9572130-5 $589.0472130-P $240.3672131-5 $409.0672131-P $166.9172132-5 $482.6972132-P $196.9572133-5 $589.0472133-P $240.3672141-5 $872.6872141-P $302.7772142-5 $883.5772142-P $302.7772146-5 $872.6872146-P $302.7772147-5 $883.5772147-P $302.7772148-5 $872.6872148-P $302.7772149-5 $883.5772149-P $302.7772156-5 $1,161.7472156-P $302.7772157-5 $1,120.6372157-P $302.7772158-5 $1,161.7472158-P $302.7772159-5 $824.1972159-P $302.7772170-5 $85.4972170-P $39.1772190-5 $115.7572190-P $44.5172191-5 $597.4072191-P $179.9272192-5 $409.0672192-P $166.9172193-5 $466.3572193-P $189.9772194-5 $556.3472194-P $226.9972195-5 $619.9072195-P $185.5572196-5 $872.6872196-P $302.7772197-5 $898.22

Page 120: 2013 Physician Fee Schedule

72197-P $269.8972198-5 $824.1972198-P $302.7772200-5 $97.9572200-P $32.0572202-5 $108.6272202-P $39.1772220-5 $90.8472220-P $39.1772240-5 $436.3472240-P $154.9572255-5 $436.3472255-P $160.2772265-5 $436.3472265-P $131.8172270-5 $650.0572270-P $210.1672275-5 $198.2472275-P $59.7872285-5 $436.3472285-P $101.5172291-5 $153.2172291-P $79.0472292-5 $196.9872292-P $79.0472295-5 $436.3472295-P $117.5473000-5 $73.0373000-P $35.6373010-5 $89.0573010-P $40.9673020-5 $73.0373020-P $35.6373030-5 $90.8473030-P $40.9673040-5 $293.8673040-P $92.6173050-5 $90.8473050-P $42.7573060-5 $89.0573060-P $39.1773070-5 $85.4973070-P $35.6373080-5 $94.3973080-P $40.9673085-5 $311.6773085-P $133.56

Page 121: 2013 Physician Fee Schedule

73090-5 $85.4973090-P $35.6373092-5 $67.6973092-P $30.2773100-5 $73.0373100-P $35.6373110-5 $92.6173110-P $40.9673115-5 $311.6773115-P $133.5673120-5 $67.6973120-P $35.6373130-5 $87.2773130-P $40.9673140-5 $65.8873140-P $33.8473200-5 $300.9973200-P $186.9973201-5 $334.8473201-P $267.1573202-5 $334.8473202-P $267.1573206-5 $330.3373206-P $99.8073218-5 $586.1773218-P $175.7173219-5 $639.5873219-P $192.5873220-5 $872.6873220-P $302.7773221-5 $872.6873221-P $302.7773222-5 $653.6373222-P $196.7973223-5 $868.6973223-P $260.0573225-5 $824.1973225-P $302.7773500-5 $85.4973500-P $37.3873510-5 $99.7373510-P $44.5173520-5 $113.9973520-P $58.7673525-5 $302.7773525-P $133.5673530-5 $284.97

Page 122: 2013 Physician Fee Schedule

73530-P $49.8573540-5 $92.6173540-P $46.3073550-5 $90.8473550-P $39.1773560-5 $80.1573560-P $32.0773562-5 $89.7773562-P $38.4873564-5 $108.6273564-P $44.5173565-5 $144.2573565-P $53.4273580-5 $311.6773580-P $89.0573590-5 $87.2773590-P $35.6373592-5 $64.1373592-P $30.2773600-5 $80.1273600-P $33.8473610-5 $92.6173610-P $40.9673615-5 $302.7773615-P $133.5673620-5 $67.6973620-P $35.6373630-5 $92.6173630-P $36.7173650-5 $80.1273650-P $35.6373660-5 $64.1373660-P $33.8473700-5 $356.2173700-P $133.5173701-5 $382.9173701-P $143.5573702-5 $382.9173702-P $143.5573706-5 $330.3373706-P $99.8073718-5 $586.1773718-P $175.7173719-5 $639.5873719-P $220.6973720-5 $872.6873720-P $302.77

Page 123: 2013 Physician Fee Schedule

73721-5 $872.6873721-P $302.7773722-5 $653.6373722-P $196.7973723-5 $864.4873723-P $260.0573725-5 $824.1973725-P $302.7774000-5 $73.4474000-P $30.0474010-5 $108.6274010-P $40.9674020-5 $115.7574020-P $51.6474022-5 $131.8174022-P $55.0774150-5 $409.0674150-P $166.9174160-5 $474.5474160-P $193.6074170-5 $572.6874170-P $233.6974174-5 $290.8174174-P $154.9974175-5 $615.6774175-P $184.1574176-5 $127.4574176-P $161.9974177-5 $199.4874177-P $169.9174178-5 $252.1174178-P $187.8374181-5 $872.6874181-P $302.7774182-5 $714.0674182-P $213.6674183-5 $948.8274183-P $285.3574185-5 $824.1974185-P $302.7774190-5 $116.0774190-P $52.1674210-5 $162.0674210-P $60.5474220-5 $147.7974220-P $64.1374230-5 $131.81

Page 124: 2013 Physician Fee Schedule

74230-P $92.6174235-5 $1,398.0974235-P $1,398.0974240-5 $169.1974240-P $63.4474241-5 $172.7374241-P $65.0974245-5 $213.7374245-P $80.1174246-5 $231.5474246-P $86.8074247-5 $240.4374247-P $90.1474249-5 $254.6974249-P $95.1474250-5 $158.4974250-P $67.6974251-5 $158.1174251-P $67.2774260-5 $215.5174260-P $85.4974261-5 $217.3874261-P $173.9174262-5 $244.0574262-P $191.3074263-5 $217.3874263-P $173.9174270-5 $169.1974270-P $63.4474280-5 $213.7374280-P $80.1174283-5 $226.2174283-P $94.3974290-5 $144.2574290-P $56.9774291-5 $83.6774291-P $53.4274300-5 $215.5174300-P $58.7674301-5 $105.0874301-P $33.8474305-5 $160.2774305-P $80.1274320-5 $208.3974320-P $85.4974327-5 $1,781.0074327-P $694.59

Page 125: 2013 Physician Fee Schedule

74328-5 $356.2174328-P $113.9974329-5 $382.9174329-P $149.6074330-5 $211.9174330-P $113.9974340-5 $418.5074340-P $113.9974350-5 $302.7774350-P $108.6274355-5 $302.7774355-P $108.6274360-5 $128.2374360-P $89.0574363-5 $293.8674363-P $89.0574400-5 $229.7574400-P $90.8474410-5 $220.8574410-P $92.6174415-5 $284.9774415-P $105.0874420-5 $147.7974420-P $56.9774425-5 $183.4174425-P $73.0374430-5 $167.4274430-P $55.2074440-5 $183.4174440-P $65.8874445-5 $183.4174445-P $94.3974450-5 $176.3274450-P $55.2074455-5 $183.4174455-P $89.0574470-5 $156.7174470-P $65.8874475-5 $748.0374475-P $311.6774480-5 $578.8274480-P $224.4174485-5 $748.0374485-P $311.6774710-5 $140.6974710-P $56.9774740-5 $220.85

Page 126: 2013 Physician Fee Schedule

74740-P $58.7674742-5 $194.8674742-P $153.4774775-5 $311.6774775-P $101.5175552-5 $949.0275552-P $293.8675554-5 $1,205.1275554-P $294.3675555-5 $817.8775555-P $294.3675557-5 $264.6475557-P $123.5775559-5 $383.5575559-P $156.2275561-5 $355.5775561-P $136.4075563-5 $439.5075563-P $163.2175565-5 $391.8775565-P $99.7175571-5 $56.2375571-P $45.8075572-5 $322.8975572-P $223.7675573-5 $322.8975573-P $281.7375574-5 $377.9675574-P $297.9675600-5 $614.4675600-P $219.0675605-5 $854.9075605-P $245.8075625-5 $854.9075625-P $162.0675630-5 $810.3375630-P $276.0475635-5 $646.6075635-P $193.9875650-5 $926.1475650-P $265.3875658-5 $1,077.4875658-P $265.3875660-5 $534.3075660-P $144.2575662-5 $641.1675662-P $242.22

Page 127: 2013 Physician Fee Schedule

75665-5 $534.3075665-P $138.9275671-5 $650.0575671-P $267.1575676-5 $534.3075676-P $206.6175680-5 $650.0575680-P $302.7775685-5 $534.3075685-P $206.6175705-5 $641.1675705-P $265.3875710-5 $436.3475710-P $121.1175716-5 $650.0575716-P $167.4275726-5 $970.6475726-P $185.2175731-5 $854.9075731-P $224.4175733-5 $970.6475733-P $320.6175736-5 $650.0575736-P $206.6175741-5 $650.0575741-P $206.6175743-5 $756.9475743-P $685.6775746-5 $650.0575746-P $206.6175756-5 $650.0575756-P $122.9075774-5 $400.7275774-P $151.3975791-5 $447.5275791-P $121.7375801-5 $534.3075801-P $122.9075803-5 $650.0575803-P $206.6175805-5 $534.3075805-P $162.0675807-5 $650.0575807-P $224.4175809-5 $231.0375809-P $132.7775810-5 $534.30

Page 128: 2013 Physician Fee Schedule

75810-P $122.9075820-5 $311.6775820-P $85.4975822-5 $436.3475822-P $137.1375825-5 $436.3475825-P $115.7575827-5 $436.3475827-P $122.9075831-5 $471.9775831-P $144.2575833-5 $534.3075833-P $284.9775840-5 $471.9775840-P $185.2175842-5 $534.3075842-P $284.9775860-5 $650.0575860-P $265.3875870-5 $534.3075870-P $206.6175872-5 $961.7375872-P $418.5075880-5 $436.3475880-P $122.9075885-5 $970.6475885-P $302.7775887-5 $970.6475887-P $302.7775889-5 $970.6475889-P $302.7775891-5 $970.6475891-P $302.7775893-5 $1,638.5475893-P $471.9775894-5 $587.7775894-P $245.8075896-5 $587.7775896-P $245.8075898-5 $935.0175898-P $338.3775900-5 $589.0475900-P $245.4575901-5 $368.5975901-P $104.3475902-5 $368.5975902-P $104.34

Page 129: 2013 Physician Fee Schedule

75952-5 $832.1575952-P $250.2175953-5 $382.3475953-P $106.8375954-5 $695.1775954-P $235.7975960-5 $586.2275960-P $244.8375961-5 $1,095.3175961-P $400.7275962-5 $605.5475962-P $238.6475964-5 $302.7775964-P $117.5475966-5 $605.5475966-P $236.8475968-5 $302.7775968-P $117.5475970-5 $320.6175970-P $138.9275978-5 $605.5475978-P $238.6475980-5 $970.6475980-P $302.7775982-5 $1,050.7775982-P $534.3075984-5 $284.9775984-P $206.6175989-5 $320.6175989-P $137.1376000-5 $87.2776000-P $71.2176001-5 $418.5076001-P $165.6276010-5 $201.2676010-P $101.5176080-5 $73.0376080-P $55.2076098-5 $62.3376098-P $19.6176100-5 $211.9176100-P $96.1876101-5 $256.4776101-P $158.4976102-5 $338.3776102-P $140.6976120-5 $238.64

Page 130: 2013 Physician Fee Schedule

76120-P $89.0576125-5 $55.2076125-P $28.5076140-5 $97.9576140-P $97.9576376-5 $156.4276376-P $13.6676377-5 $201.1276377-P $50.9176380-5 $144.2576380-P $53.4276506-5 $365.0976506-P $238.6476510-5 $275.0076510-P $145.8976511-5 $293.8676511-P $122.9076512-5 $220.8576512-P $91.7976513-5 $320.6176513-P $133.5176514-5 $218.0976514-P $143.6376516-5 $284.9776516-P $131.8176519-5 $220.8576519-P $115.7576529-5 $293.8676529-P $128.2376536-5 $201.2676536-P $94.3976604-5 $400.7276604-P $115.7576645-5 $167.4276645-P $63.4476700-5 $213.7376700-P $80.1176705-5 $160.2776705-P $60.1076770-5 $302.7776770-P $153.1776775-5 $254.6976775-P $113.9976776-5 $224.9576776-P $100.9276800-5 $293.8676800-P $133.56

Page 131: 2013 Physician Fee Schedule

76801-5 $101.6476801-P $40.6576802-5 $75.8976802-P $31.1776805-5 $178.1276805-P $66.7576810-5 $183.4176810-P $133.5676811-5 $298.1276811-P $157.2076812-5 $178.8776812-P $94.8676813-5 $91.1976813-P $36.4876814-5 $68.0976814-P $27.9776815-5 $133.5676815-P $50.0976816-5 $96.1876816-P $36.7176817-5 $115.1876817-P $46.0876818-5 $215.5176818-P $128.2376819-5 $105.4376819-P $42.1776820-5 $99.4276820-P $30.9876821-5 $109.7576821-P $42.6076825-5 $356.2176825-P $185.2176826-5 $267.2476826-P $72.4376827-5 $241.3776827-P $63.7976828-5 $267.2476828-P $72.4376830-5 $195.9376830-P $153.1776831-5 $222.2876831-P $88.3076856-5 $243.7176856-P $96.1876857-5 $150.2176857-P $40.9676870-5 $302.77

Page 132: 2013 Physician Fee Schedule

76870-P $115.7576872-5 $450.6776872-P $153.1776873-5 $393.5776873-P $139.9376880-5 $245.8076881-5 $175.4176881-P $74.0476882-5 $45.4376882-P $30.4176885-5 $234.4576885-P $102.0176886-5 $234.4676886-P $102.0176930-5 $436.3476930-P $229.7576932-5 $436.3476932-P $233.3176937-5 $102.4076937-P $37.2376940-5 $239.3876940-P $95.7576941-5 $191.4576941-P $106.3676942-5 $263.5976942-P $115.7576945-5 $392.7176945-P $178.3576946-5 $192.3476946-P $105.0876948-5 $400.7276948-P $178.1276950-5 $311.6776950-P $101.5176965-5 $310.6876965-P $103.5876970-5 $167.4276970-P $56.9776975-P $153.0976977-5 $306.8976977-P $100.3176998-5 $293.0476998-P $133.7577001-5 $88.7677001-P $32.8377002-5 $88.7677002-P $32.83

Page 133: 2013 Physician Fee Schedule

77003-5 $91.1977003-P $35.2677011-5 $436.5277011-P $133.7577012-5 $459.6277012-P $137.4077013-5 $420.7177013-P $184.8277014-5 $131.3277014-P $119.1677021-5 $745.3677021-P $201.8477022-5 $931.4077022-P $279.6677031-5 $412.4477031-P $101.7777032-5 $159.2977032-P $89.9877051-5 $21.8977051-P $4.1377052-5 $21.8977052-P $4.1377053-5 $137.0377053-P $59.5877054-5 $187.6277054-P $59.5877055-5 $90.2877055-P $36.1177056-5 $112.1177056-P $54.7277057-5 $88.2877057-P $41.4677058-5 $316.1477058-P $231.0377059-5 $390.3177059-P $231.0377072-5 $75.3977072-P $43.7777073-5 $75.3977073-P $42.5677074-5 $133.7577074-P $76.6077075-5 $243.1977075-P $89.9877076-5 $76.6077076-P $36.4877077-5 $69.31

Page 134: 2013 Physician Fee Schedule

77077-P $40.1377078-5 $79.0477078-P $62.0177079-5 $125.2477079-P $81.4777080-5 $156.8577080-P $36.4877081-5 $79.0477081-P $24.3277084-5 $386.6677084-P $261.4277261-E $463.0777261-P $463.0777262-E $587.7777262-P $587.7777263-E $703.4977263-P $703.4977280-E $578.8277280-P $176.3277285-E $694.5977285-P $203.0277290-E $730.2277290-P $252.9177295-E $723.2777295-P $252.3377300-E $265.3877300-P $169.1977301-E $2,231.5277301-P $239.1577305-E $374.0177305-P $151.3977310-E $552.1277310-P $222.6277315-E $828.1677315-P $356.2177321-E $578.8277321-P $233.3177326-E $498.6777326-P $201.2677327-E $552.1277327-P $265.3877328-E $739.1177328-P $418.5077331-E $418.5077331-P $179.8777332-E $427.4277332-P $169.19

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77333-E $480.8877333-P $229.7577334-E $641.1677334-P $293.8677336-E $418.5077336-P $293.8677338-E $697.9577338-P $329.2677370-E $400.7277370-P $242.2277371-E $1,243.8977372-E $944.7777401-E $197.6877402-E $197.6877403-E $197.6877404-E $197.6877406-E $197.6877407-E $267.1577408-E $267.1577409-E $267.1577411-E $267.1577412-E $320.6177413-E $320.6177414-E $320.6177416-E $320.6177417-E $65.8877417-P $37.3877418-E $1,205.4477421-E $183.7477421-P $55.8777422-E $211.0577423-E $211.0577427-E $87.4777427-P $87.4777430-E $128.5277430-P $128.5277431-E $83.4677431-P $83.4677432-E $5,180.7677432-P $5,180.7677469-E $298.5777470-E $658.9877470-P $265.3877520-E $180.7577522-E $205.2377523-E $246.3577525-E $268.49

Page 136: 2013 Physician Fee Schedule

77600-P $338.3777750-E $881.6077750-P $917.2177761-E $1,656.3477761-P $1,104.2177762-E $1,932.4077762-P $1,309.0277763-E $2,119.4177763-P $1,460.4277776-E $1,825.5177776-P $1,211.0877777-E $2,190.6477777-P $1,460.4277778-E $2,760.5777778-P $1,878.9377785-E $285.1577785-P $109.4277786-E $854.9077786-P $246.4777787-E $1,270.4877787-P $378.5577789-E $80.1277789-P $80.1277790-E $391.8277790-P $311.6778000-5 $85.4978000-P $37.3878001-5 $108.6278001-P $49.8578003-5 $169.1978003-P $49.8578006-5 $219.0678006-P $99.7378007-5 $302.7778007-P $96.1878010-5 $219.0678010-P $92.6178011-5 $302.7778011-P $174.5378015-5 $338.3778015-P $128.2378016-5 $382.9178016-P $137.1378018-5 $454.1778018-P $183.4178020-5 $85.3378020-P $52.41

Page 137: 2013 Physician Fee Schedule

78070-5 $436.3478070-P $140.6978075-5 $463.0778075-P $183.4178102-5 $525.3978102-P $203.0278103-5 $561.0078103-P $154.9578104-5 $650.0578104-P $147.7978110-5 $105.0878110-P $49.8578111-5 $252.9178111-P $65.8878120-5 $215.5178120-P $97.9578121-5 $311.6778121-P $140.6978122-5 $265.3878122-P $101.5178130-5 $436.3478130-P $131.8178135-5 $436.3478135-P $154.9578140-5 $436.3478140-P $140.6978185-5 $534.3078185-P $112.2078190-5 $471.9778190-P $137.1378191-5 $471.9778191-P $137.1378195-5 $471.9778195-P $105.0878201-5 $436.3478201-P $117.5478202-5 $685.6778202-P $101.5178205-5 $436.3478205-P $117.5478206-5 $636.2478206-P $97.3278215-5 $507.5678215-P $144.2578216-5 $1,130.9578216-P $133.5678226-5 $315.99

Page 138: 2013 Physician Fee Schedule

78226-P $53.4678227-5 $429.7978227-P $64.6078230-5 $251.0978230-P $99.7378231-5 $311.6778231-P $99.7378232-5 $356.2178232-P $140.6978258-5 $179.8778258-P $73.0378261-5 $471.9778261-P $201.2678262-5 $329.4778262-P $90.8478264-5 $356.2178264-P $151.3978267-5 $233.2278267-P $69.9778268-5 $33.5478268-P $10.0678270-5 $183.4178270-P $39.1778271-5 $183.4178271-P $39.1778272-5 $220.8578272-P $40.9678278-5 $471.9778278-P $160.2778282-5 $284.9778282-P $76.5778290-5 $525.3978290-P $105.0878291-5 $534.3078291-P $140.6978300-5 $525.3978300-P $146.0378305-5 $641.1678305-P $199.4778306-5 $623.3678306-P $149.6078315-5 $338.3778315-P $130.0278320-5 $525.3978320-P $96.1878350-5 $329.4778350-P $105.08

Page 139: 2013 Physician Fee Schedule

78351-5 $329.4778351-P $105.0878414-5 $471.9778414-P $186.9978428-5 $436.3478428-P $229.7578445-5 $320.6178445-P $158.4978451-5 $680.5678451-P $175.0778452-5 $1,014.4678452-P $398.8378453-5 $470.7178453-P $127.5378454-5 $457.9678454-P $169.2778456-5 $389.1978456-P $147.2378457-5 $427.4278457-P $160.2778458-5 $445.2478458-P $160.2778466-5 $587.7778466-P $169.1978468-5 $587.7778468-P $169.1978469-5 $587.7778469-P $169.1978472-5 $516.4778472-P $174.5378473-5 $819.2478473-P $329.4778481-5 $837.0778481-P $219.0678483-5 $1,228.9078483-P $356.2178494-5 $491.0278494-P $164.6678496-5 $422.1778496-P $164.6678579-5 $184.9678579-P $25.8478580-5 $463.0778580-P $128.2378582-5 $341.5978582-P $56.1378597-5 $209.46

Page 140: 2013 Physician Fee Schedule

78597-P $38.8678598-5 $320.6178598-P $44.1178600-5 $507.5678600-P $149.6078601-5 $650.0578601-P $185.2178605-5 $703.4978605-P $144.2578606-5 $819.2478606-P $154.9578607-5 $703.4978607-P $144.2578610-5 $356.2178610-P $65.8878615-5 $356.2178615-P $65.8878630-5 $650.0578630-P $101.5178635-5 $320.6178635-P $154.9578645-5 $365.0978645-P $140.6978647-5 $646.3378647-P $103.1078650-5 $436.3478650-P $154.9578660-5 $251.0978700-5 $365.0978700-P $105.0878701-5 $578.8278701-P $133.5678707-5 $694.5978707-P $158.4978708-5 $406.4978708-P $181.1678709-5 $683.5978709-P $156.8278710-5 $650.0578710-P $101.5178725-5 $284.9778725-P $144.2578730-5 $92.6178730-P $30.2778740-5 $265.3878740-P $87.2778761-5 $819.24

Page 141: 2013 Physician Fee Schedule

78761-P $201.2678800-5 $356.2178800-P $167.4278801-5 $534.3078801-P $167.4278802-5 $730.2278802-P $167.4278803-5 $365.0978803-P $105.0878804-E $897.6578804-P $89.1078805-5 $338.3778805-P $94.3978806-5 $748.0378806-P $151.3978807-5 $361.6578807-P $105.9778808-5 $67.9778808-P $67.9778811-5 $1,520.9378811-P $303.4178812-5 $1,520.9378812-P $303.4178813-5 $1,520.9378813-P $303.4178814-5 $1,713.3278814-P $313.7478815-5 $1,713.3278815-P $313.7478816-5 $1,713.3278816-P $313.7479005-E $595.2179005-P $404.1279101-E $404.1279101-P $161.3979403-E $897.6579403-P $212.7879445-E $397.6679445-P $240.1580047-8 $30.6680047-P $10.8380048-8 $10.5080048-P $3.7280050-8 $37.5680051-8 $11.4180053-8 $14.0080053-P $4.93

Page 142: 2013 Physician Fee Schedule

80055-8 $46.7780061-8 $20.0480069-8 $11.2480069-P $3.9480074-8 $42.2880074-P $12.6880076-8 $10.2180076-P $3.9480100-8 $51.7480101-8 $35.3480102-8 $37.9580103-8 $53.2780104-8 $29.0580150-8 $32.5180152-8 $25.9480154-8 $23.2680156-8 $46.5680157-8 $17.7280157-P $6.2580158-8 $51.7480160-8 $29.8380162-8 $43.1180164-8 $43.1180166-8 $34.4880168-8 $46.5680170-8 $31.0480172-8 $34.4880173-8 $32.3480173-P $11.3980174-8 $55.8580176-8 $25.8780178-8 $14.4980182-8 $23.2680184-8 $28.4680185-8 $34.0580186-8 $43.1180188-8 $28.4680190-8 $36.2980192-8 $51.7480194-8 $26.5880195-8 $19.0080195-P $6.7180196-8 $18.1980197-8 $27.8480198-8 $30.5380200-8 $48.0880202-8 $43.11

Page 143: 2013 Physician Fee Schedule

80299-8 $61.3880400-8 $82.4480402-8 $220.3680406-8 $220.3680408-8 $395.2880410-8 $361.6580412-8 $1,017.6680414-8 $173.2680415-8 $166.5280416-8 $363.2480417-8 $121.0980418-8 $2,001.6680420-8 $195.1080422-8 $169.8980424-8 $181.6680426-8 $555.0880428-8 $269.1380430-8 $311.1880432-8 $243.9280434-8 $277.5480435-8 $403.7080436-8 $240.5380438-8 $131.2180439-8 $174.9380440-8 $248.9580500-8 $55.0580500-P $55.2080502-8 $93.4680502-P $89.0581000-8 $11.4881001-8 $10.2781002-8 $9.3781003-8 $9.0581005-8 $12.4581007-8 $8.9081015-8 $9.4681020-8 $18.0081025-8 $16.3981050-8 $8.6082000-8 $23.1482003-8 $56.0882009-8 $8.9082010-8 $30.2782013-8 $58.6782016-8 $32.5682017-8 $49.3382024-8 $131.81

Page 144: 2013 Physician Fee Schedule

82030-8 $87.2782040-8 $11.0282042-8 $8.0382043-8 $15.5282044-8 $7.7782045-8 $73.6082045-P $25.9582055-8 $39.2582075-8 $55.2082085-8 $22.1082088-8 $132.2082101-8 $162.0682103-8 $46.5682104-8 $46.5682105-8 $46.2982106-8 $46.2982107-8 $98.2582107-P $34.6582108-8 $56.0082120-8 $24.7982120-P $8.7482127-8 $27.9182128-8 $33.2182131-8 $176.9182135-8 $44.7082136-8 $153.6182139-8 $153.6182140-8 $32.0582143-8 $32.0582145-8 $138.9282150-8 $15.4982154-8 $94.2182157-8 $97.9582160-8 $76.5782163-8 $65.8882164-8 $37.5082172-8 $44.8882175-8 $62.0782180-8 $32.0582190-8 $25.8782205-8 $28.2482232-8 $50.0982239-8 $51.7482240-8 $64.1382247-8 $10.0182248-8 $10.0182252-8 $12.45

Page 145: 2013 Physician Fee Schedule

82261-8 $43.4182270-8 $8.7382271-8 $6.9582271-P $2.4582272-8 $5.2282272-P $1.8282274-8 $5.8482274-P $2.0482286-8 $65.8882300-8 $66.6882306-8 $100.9782308-8 $92.6182310-8 $13.6082330-8 $40.4382331-8 $23.1482340-8 $11.2082355-8 $22.1082360-8 $24.0682365-8 $26.7182370-8 $23.0782373-8 $8.8682373-P $3.1382374-8 $12.4582375-8 $24.4882376-8 $12.4582378-8 $50.6082379-8 $49.3382380-8 $31.6782382-8 $46.1182383-8 $81.9482384-8 $93.1682387-8 $68.9882390-8 $22.1082397-8 $17.1782415-8 $49.6982435-8 $7.9282436-8 $7.9282438-8 $8.6082441-8 $17.6282465-8 $10.6982480-8 $23.0782482-8 $33.8482485-8 $35.9782486-8 $22.4382487-8 $78.3782488-8 $74.8182489-8 $51.47

Page 146: 2013 Physician Fee Schedule

82491-8 $21.7382492-8 $43.2782495-8 $42.3082507-8 $69.7482520-8 $43.3982523-8 $10.8482525-8 $33.8482528-8 $78.3782530-8 $46.5682533-8 $40.5782540-8 $16.7082541-8 $43.2782542-8 $43.2782543-8 $43.2782544-8 $43.2782550-8 $15.9582552-8 $46.9282553-8 $45.4582554-8 $45.4582565-8 $11.1382570-8 $9.0082575-8 $22.4382585-8 $23.0782595-8 $15.8682600-8 $48.0682607-8 $41.5082608-8 $62.5282610-8 $12.9482610-P $4.5582615-8 $23.5982626-8 $71.2182627-8 $68.9882633-8 $92.6182634-8 $80.1282638-8 $33.2182646-8 $115.7582649-8 $17.6282651-8 $74.8182652-8 $89.0582654-8 $32.0582656-8 $19.7682656-P $6.9882657-8 $39.4582658-8 $39.4582664-8 $55.2082666-8 $67.6982668-8 $87.10

Page 147: 2013 Physician Fee Schedule

82670-8 $85.4982671-8 $61.5382672-8 $50.5182677-8 $52.5782679-8 $44.5182690-8 $73.4482693-8 $24.1582696-8 $115.7582705-8 $15.1482710-8 $35.6382715-8 $45.2282725-8 $45.7882726-8 $153.6182728-8 $34.9782735-8 $40.4382742-8 $48.0682746-8 $56.9782747-8 $55.1882757-8 $47.6482759-8 $84.0482760-8 $25.0482775-8 $48.0682776-8 $33.8482784-8 $55.2082785-8 $39.6382787-8 $53.5382800-8 $7.2282803-8 $35.2382805-8 $65.6182810-8 $30.2882820-8 $6.8982930-8 $9.6882938-8 $62.3382941-8 $62.3382943-8 $17.8282945-8 $12.6682945-P $3.7982946-8 $16.0282947-8 $13.3682948-8 $7.1382950-8 $9.9882951-8 $25.9082952-8 $16.6582953-8 $60.5482955-8 $17.2982960-8 $17.8282962-8 $6.89

Page 148: 2013 Physician Fee Schedule

82963-8 $51.6482965-8 $17.8282975-8 $11.5882977-8 $13.1982978-8 $67.6982979-8 $24.9382980-8 $61.5382985-8 $39.0983001-8 $74.8183002-8 $67.6983003-8 $69.4383008-8 $51.6483009-8 $175.5983009-P $61.9783010-8 $16.5183012-8 $89.0583013-8 $34.4483014-8 $239.5383015-8 $31.6783018-8 $64.1383020-8 $33.6483021-8 $19.4783026-8 $7.5983030-8 $21.6483033-8 $23.1483036-8 $23.7783037-8 $14.0383037-P $4.9883045-8 $14.2483050-8 $19.6183051-8 $21.3783055-8 $24.9383060-8 $55.2083065-8 $44.5183068-8 $46.3083069-8 $5.0783070-8 $17.8283071-8 $33.8483080-8 $43.4183088-8 $113.9983090-8 $56.0883090-P $16.8383150-8 $32.0583491-8 $49.8583497-8 $37.5083498-8 $71.2183499-8 $71.21

Page 149: 2013 Physician Fee Schedule

83500-8 $66.1683505-8 $81.7383516-8 $29.4583518-8 $31.0483519-8 $36.1983520-8 $31.0483525-8 $44.5183527-8 $43.7683528-8 $51.6483540-8 $11.5083550-8 $24.9383570-8 $55.2083582-8 $44.2583586-8 $33.6483593-8 $113.9983605-8 $38.4883615-8 $8.2083625-8 $46.3083630-8 $19.7683630-P $6.9883631-8 $29.9283631-P $10.0083632-8 $103.3083633-8 $32.0583634-8 $64.1383655-8 $55.1383661-8 $67.7483662-8 $65.5883663-8 $22.7083663-P $8.0383664-8 $11.3583664-P $4.0083670-8 $24.4883690-8 $13.3683698-8 $69.4383698-P $24.4483700-8 $18.7383700-P $4.3483701-8 $62.7383701-P $9.8783704-8 $70.7383704-P $12.6783718-8 $19.4183719-8 $24.0683721-8 $20.6883727-8 $56.9783735-8 $17.90

Page 150: 2013 Physician Fee Schedule

83775-8 $40.9683785-8 $37.5083788-8 $18.8883789-8 $43.2783805-8 $96.1883825-8 $61.5383835-8 $47.8283840-8 $80.1283857-8 $55.2083858-8 $46.3983861-8 $11.0383864-8 $133.5683866-8 $35.6383872-8 $12.4583873-8 $101.5183874-8 $89.0583876-8 $18.8883876-P $6.6483883-8 $21.7383885-8 $133.5683887-8 $138.9283890-8 $35.9583891-8 $34.4483892-8 $35.9583893-8 $34.4483894-8 $35.9583896-8 $35.9583897-8 $34.4483898-8 $37.9583900-8 $52.8983900-P $18.6383901-8 $37.4483902-8 $35.5983903-8 $37.4483904-8 $37.4483905-8 $37.4483906-8 $37.4483907-8 $19.6283907-P $5.8583908-8 $24.3383908-P $8.5783909-8 $26.4583909-P $9.3183912-8 $37.1283913-8 $19.2183913-P $5.7483914-8 $26.45

Page 151: 2013 Physician Fee Schedule

83914-P $9.3183915-8 $38.0383916-8 $67.6983918-8 $48.4183919-8 $29.9583921-8 $34.7183921-P $12.2383925-8 $208.8283930-8 $19.4183935-8 $17.8283937-8 $82.4483945-8 $35.3483950-8 $112.3483950-P $39.6283951-8 $94.1783951-P $33.2283970-8 $169.1983986-8 $17.8283987-8 $15.3183992-8 $58.7683993-8 $28.1083993-P $9.4084022-8 $61.5384030-8 $8.9084035-8 $8.9084060-8 $15.6684061-8 $15.1684066-8 $17.8284075-8 $9.7084078-8 $11.2084080-8 $51.9284081-8 $48.0684085-8 $26.7184087-8 $55.2084100-8 $8.2084105-8 $9.3784106-8 $16.0284110-8 $23.1484112-8 $63.0584119-8 $40.9684120-8 $55.2084126-8 $113.9984127-8 $53.4684132-8 $13.3684133-8 $6.8684134-8 $34.9184135-8 $55.07

Page 152: 2013 Physician Fee Schedule

84138-8 $71.2184140-8 $68.9884143-8 $68.9884144-8 $51.8284145-8 $47.3084146-8 $85.4984150-8 $49.8584152-8 $28.6784152-P $10.1284153-8 $41.3984154-8 $35.9384155-8 $6.5184156-8 $4.1284156-P $1.4784157-8 $4.1284157-P $1.4784160-8 $11.0284163-8 $16.5384163-P $5.8184165-8 $26.8884166-8 $30.2184166-P $28.4884181-8 $68.2584182-8 $68.2584202-8 $67.9384203-8 $18.2384206-8 $49.8584207-8 $81.7384210-8 $26.7184220-8 $23.0784228-8 $115.7584233-8 $169.1984234-8 $85.4984235-8 $169.1984238-8 $160.2784244-8 $65.8884252-8 $74.8184255-8 $63.2484260-8 $84.5984270-8 $41.3984275-8 $58.7684285-8 $122.9084295-8 $6.5984300-8 $9.1784302-8 $5.9684302-P $2.1084305-8 $37.95

Page 153: 2013 Physician Fee Schedule

84307-8 $37.9584311-8 $25.8784315-8 $5.3484375-8 $23.1484376-8 $37.4484377-8 $37.4484378-8 $37.4484379-8 $37.4484392-8 $40.9684402-8 $83.4684403-8 $89.0584425-8 $46.1184430-8 $41.8484431-8 $18.7884432-8 $54.2984436-8 $23.1484437-8 $11.9384439-8 $44.5184442-8 $24.0684443-8 $42.4884445-8 $138.9284446-8 $41.8484449-8 $42.0684450-8 $9.3784460-8 $9.0084466-8 $53.5384478-8 $12.4584479-8 $14.0084480-8 $55.2084481-8 $81.9484482-8 $8.6084484-8 $27.8484485-8 $29.8384488-8 $23.1484490-8 $24.0684510-8 $23.1484512-8 $21.3284520-8 $6.6684525-8 $4.8384540-8 $10.4284545-8 $19.6184550-8 $7.1384560-8 $8.2084577-8 $138.9284578-8 $6.2384580-8 $44.5184583-8 $9.37

Page 154: 2013 Physician Fee Schedule

84585-8 $44.0884586-8 $60.5484588-8 $119.3484590-8 $27.4584591-8 $18.4184591-P $6.5084597-8 $55.2084600-8 $67.6984620-8 $40.9684630-8 $20.8684681-8 $28.0684702-8 $26.7184703-8 $16.9184704-8 $14.9284704-P $5.2584729-P $12.4485002-8 $8.0385004-8 $8.7485004-P $3.0585007-8 $10.6985008-8 $11.7385009-8 $10.3085013-8 $8.7285014-8 $9.0085018-8 $7.8385025-8 $25.3885027-8 $12.5285032-8 $8.0685032-P $2.4785041-8 $5.9785044-8 $11.6885045-8 $12.4585046-8 $10.4985048-8 $8.0385049-8 $7.4585049-P $2.2285055-8 $89.3685055-P $31.5285060-8 $30.2785060-P $56.9785097-8 $117.8285097-P $163.8585170-8 $8.8385175-8 $17.8285210-8 $37.1785220-8 $105.0885230-8 $66.16

Page 155: 2013 Physician Fee Schedule

85240-8 $56.0885244-8 $89.0585245-8 $86.1985246-8 $86.1985247-8 $86.1985250-8 $66.1685260-8 $92.8085270-8 $66.1685280-8 $66.1685290-8 $66.1685291-8 $44.5185292-8 $16.1985293-8 $105.0885300-8 $40.9685301-8 $19.2185302-8 $46.3085303-8 $86.1985305-8 $48.0685306-8 $86.1985307-8 $59.7485307-P $21.0985335-8 $86.1985337-8 $43.1185345-8 $11.2085347-8 $17.8285348-8 $10.6985360-8 $49.8585362-8 $17.8285366-8 $17.2485370-8 $17.2485378-8 $17.2485379-8 $17.2485380-8 $11.5185380-P $4.0685384-8 $20.5385385-8 $20.5385390-8 $24.9385397-8 $49.5385397-P $17.4885400-8 $24.9385410-8 $7.1385415-8 $86.1985420-8 $17.8285421-8 $24.9385441-8 $10.6985445-8 $16.0285460-8 $19.21

Page 156: 2013 Physician Fee Schedule

85461-8 $17.6785475-8 $86.1985520-8 $16.0285525-8 $39.6685530-8 $67.6985536-8 $10.8385540-8 $24.9385547-8 $55.2085549-8 $94.3985555-8 $12.4585557-8 $31.7185576-8 $43.7685597-8 $39.6685598-8 $15.6685610-8 $12.7585611-8 $7.4085612-8 $7.6885613-8 $7.4085635-8 $26.8885651-8 $8.3785652-8 $7.4785660-8 $9.9885670-8 $21.1985675-8 $42.7585705-8 $15.5285730-8 $15.6085732-8 $17.2985810-8 $18.3686000-8 $9.9886001-8 $11.6686001-P $4.1286003-8 $16.2886005-8 $68.9886021-8 $16.8486022-8 $17.8286023-8 $24.2986038-8 $40.9686039-8 $26.8286060-8 $18.6986063-8 $15.6086064-8 $82.3786064-P $29.0686077-8 $53.4286077-P $16.0286078-8 $64.8986078-P $19.6186079-8 $46.39

Page 157: 2013 Physician Fee Schedule

86140-8 $15.3086146-8 $89.6986146-P $31.6386147-8 $129.3286148-8 $114.1986155-8 $94.3986156-8 $15.5286157-8 $15.5286160-8 $53.5386161-8 $53.5386162-8 $71.2186171-8 $26.7186185-8 $19.2186200-8 $20.1286200-P $7.0886215-8 $26.7186225-8 $41.8486226-8 $17.1786235-8 $40.9686243-8 $35.9786255-8 $34.5386256-8 $25.9086277-8 $64.1386280-8 $32.0586294-8 $21.5186294-P $7.6086300-8 $28.6786300-P $10.1286301-8 $28.6786301-P $10.1286304-8 $28.6786304-P $10.1286305-8 $23.6686308-8 $15.1186309-8 $12.9986310-8 $26.7186316-8 $42.7586317-8 $17.7286318-8 $32.0586320-8 $48.0686325-8 $72.1486327-8 $15.0486329-8 $55.2886331-8 $25.6586332-8 $40.9686334-8 $55.2086335-8 $49.77

Page 158: 2013 Physician Fee Schedule

86335-P $28.4886336-8 $22.5386336-P $7.9386337-8 $103.3086340-8 $33.8486341-8 $33.6386343-8 $83.6786344-8 $32.0586352-8 $109.4586353-8 $179.8786355-8 $79.2186355-P $27.9486356-8 $78.3486356-P $27.6386357-8 $79.2186357-P $27.9486359-8 $119.4586360-8 $111.0286361-8 $120.2786367-8 $79.2186367-P $27.9486376-8 $32.0586378-8 $10.6986382-8 $33.8486384-8 $63.7686386-8 $23.2486403-8 $21.3786406-8 $47.4686430-8 $13.8186431-8 $13.3686480-8 $126.7686480-P $44.6986481-8 $70.7886485-8 $20.6886486-8 $13.2686486-P $3.5086490-8 $14.9086510-8 $17.8286580-8 $14.2486586-8 $20.6886587-P $29.0686590-8 $23.3686592-8 $9.9886593-8 $14.9786602-8 $14.6586603-8 $120.6886606-8 $60.34

Page 159: 2013 Physician Fee Schedule

86609-8 $60.3486611-8 $10.8386611-P $3.7986612-8 $60.3486615-8 $48.2886617-8 $75.2686618-8 $48.2886619-8 $48.2886622-8 $48.6286625-8 $86.0486628-8 $51.7486631-8 $51.7486632-8 $68.9886635-8 $60.3486638-8 $86.1986641-8 $71.7286644-8 $51.7486645-8 $60.3486648-8 $51.7486651-8 $51.7486652-8 $51.7486653-8 $51.7486654-8 $51.7486658-8 $179.3186663-8 $67.2386664-8 $56.8986665-8 $67.2386666-8 $10.8386666-P $3.7986668-8 $34.4886671-8 $34.4886674-8 $34.4886677-8 $77.5986682-8 $60.3486683-8 $5.9186683-P $2.0786684-8 $77.5986687-8 $48.0686688-8 $129.3286689-8 $78.3786692-8 $56.8986694-8 $82.7686695-8 $68.9886696-8 $52.5886696-P $18.5686698-8 $60.3486701-8 $41.98

Page 160: 2013 Physician Fee Schedule

86702-8 $68.2586703-8 $108.6286704-8 $39.5986705-8 $33.4986706-8 $35.0386707-8 $41.1186708-8 $35.0386709-8 $29.1786710-8 $51.7486713-8 $50.0086717-8 $43.1186720-8 $43.1186723-8 $77.5986727-8 $60.3486729-8 $68.9886732-8 $68.9886735-8 $60.3486738-8 $51.7486741-8 $77.5986744-8 $68.9886747-8 $86.1986750-8 $19.8186753-8 $60.3486756-8 $60.3486757-8 $52.5886757-P $18.5686759-8 $86.1986762-8 $17.1786765-8 $77.5986768-8 $68.9886771-8 $34.4886774-8 $103.4386777-8 $60.3486778-8 $86.1986780-8 $14.8486784-8 $65.5386787-8 $51.7486788-8 $36.2386788-P $12.7786789-8 $31.0186789-P $10.9486790-8 $51.7486793-8 $51.7486800-8 $53.4286803-8 $33.4986804-8 $54.8186805-8 $57.95

Page 161: 2013 Physician Fee Schedule

86806-8 $78.3786807-8 $119.3486808-8 $92.6186812-8 $92.6186813-8 $141.8786816-8 $86.9986817-8 $381.1286821-8 $295.6486822-8 $545.0086825-8 $233.7386826-8 $77.9186849-8 $51.7486850-8 $10.3586860-8 $10.3586870-8 $27.9686880-8 $13.5286885-8 $10.0986886-8 $13.5286890-8 $122.4186891-8 $122.4186900-8 $32.3586901-8 $17.2486902-8 $5.9486904-8 $17.2486905-8 $15.5286906-8 $17.2486910-8 $301.7386920-8 $17.2486922-8 $38.7986927-8 $96.5386930-8 $7.8386931-8 $96.5386932-8 $96.5386940-8 $15.5286941-8 $110.3386965-8 $24.1586970-8 $43.1186971-8 $43.1186972-8 $43.1186975-8 $43.1186976-8 $43.1186977-8 $43.1186978-8 $43.1187001-8 $53.4287003-8 $67.6987015-8 $14.0087040-8 $38.93

Page 162: 2013 Physician Fee Schedule

87045-8 $25.4987046-8 $4.2887046-P $1.5087070-8 $25.8187071-8 $8.5887071-P $3.0087073-8 $8.5887073-P $3.0087075-8 $27.9887076-8 $25.3787077-8 $16.7287077-P $5.9187081-8 $16.0287084-8 $14.4487086-8 $22.7087088-8 $29.4087101-8 $17.2987102-8 $23.6987103-8 $23.1487106-8 $26.7187107-8 $17.9987107-P $6.3387109-8 $65.7287110-8 $25.3787116-8 $24.9387118-8 $12.4587140-8 $35.6387143-8 $67.6987147-8 $11.9387149-8 $63.9687149-P $19.1887150-8 $103.5387152-8 $18.7087152-P $5.6187153-8 $136.3287158-8 $46.3087164-8 $58.4187166-8 $16.7087168-8 $7.0387168-P $2.1087169-8 $7.0387169-P $2.1087172-8 $7.0387172-P $2.1087176-8 $21.3787177-8 $17.7287181-8 $22.28

Page 163: 2013 Physician Fee Schedule

87184-8 $15.6087185-8 $14.9187185-P $5.2787186-8 $26.7187187-8 $17.9987188-8 $40.9687190-8 $10.6987197-8 $16.0287198-8 $31.9987198-P $11.2687199-8 $31.9987199-P $11.2687205-8 $8.3787206-8 $30.2787207-8 $16.1987209-8 $111.7387209-P $75.0487210-8 $8.9087220-8 $8.6087230-8 $46.3087250-8 $60.4487252-8 $44.0887253-8 $26.7187254-8 $10.1587254-P $3.0487255-8 $22.9087255-P $8.1087260-8 $41.1187265-8 $41.1187267-8 $31.1787267-P $10.9787269-8 $30.5987269-P $10.7887270-8 $41.1187271-8 $31.1787271-P $10.9787272-8 $41.1187273-8 $32.3487273-P $11.3987274-8 $41.1187275-8 $32.3487275-P $11.3987276-8 $41.1187277-8 $32.3487277-P $11.3987278-8 $41.1187279-8 $32.34

Page 164: 2013 Physician Fee Schedule

87279-P $11.3987280-8 $41.1187281-8 $32.3487281-P $11.3987283-8 $32.3487283-P $11.3987285-8 $41.1187290-8 $41.1187299-8 $41.1187300-8 $20.1887300-P $6.0487301-8 $82.2087305-8 $34.9087305-P $10.4787320-8 $41.1187324-8 $41.1187327-8 $40.3487327-P $12.1087328-8 $82.2087329-8 $61.0587329-P $21.5487332-8 $41.1187335-8 $41.1187336-8 $40.3487336-P $12.1087337-8 $40.3487337-P $12.1087339-8 $32.3487339-P $11.3987340-8 $28.9487341-8 $22.7787350-8 $28.9487380-8 $44.1787385-8 $41.1187389-8 $34.5487390-8 $41.1187391-8 $41.1187400-8 $20.1887400-P $6.0487420-8 $41.1187425-8 $41.1187427-8 $32.3487427-P $11.3987430-8 $41.1187449-8 $41.1187450-8 $27.4087451-8 $21.51

Page 165: 2013 Physician Fee Schedule

87451-P $7.6087470-8 $106.5887471-8 $159.8787472-8 $182.7087475-8 $106.5887476-8 $159.8787477-8 $182.7087480-8 $106.5887481-8 $159.8787482-8 $182.7087485-8 $106.5887486-8 $159.8787487-8 $182.7087490-8 $106.5887491-8 $159.8787492-8 $182.7087493-8 $103.5387495-8 $106.5887496-8 $159.8787497-8 $182.7087498-8 $108.5887498-P $38.3087500-8 $104.1187500-P $36.7287501-8 $47.8187502-8 $82.7387503-8 $29.4887510-8 $106.5887511-8 $159.8787512-8 $182.7087515-8 $106.5887516-8 $159.8787517-8 $182.7087520-8 $106.5887521-8 $159.8787522-8 $182.7087525-8 $106.5887526-8 $159.8787527-8 $182.7087528-8 $106.5887529-8 $159.8787530-8 $182.7087531-8 $106.5887532-8 $159.8787533-8 $182.7087534-8 $106.5887535-8 $159.87

Page 166: 2013 Physician Fee Schedule

87536-8 $182.7087537-8 $106.5887538-8 $159.8787539-8 $182.7087540-8 $106.5887541-8 $159.8787542-8 $182.7087550-8 $106.5887551-8 $159.8787552-8 $182.7087555-8 $106.5887556-8 $159.8787557-8 $182.7087560-8 $106.5887561-8 $159.8787562-8 $182.7087580-8 $106.5887581-8 $159.8787582-8 $182.7087590-8 $106.5887591-8 $159.8787592-8 $182.7087620-8 $106.5887621-8 $159.8787622-8 $182.7087640-8 $108.5887640-P $38.3087641-8 $108.5887641-P $38.3087650-8 $106.5887651-8 $159.8787652-8 $182.7087653-8 $108.5887653-P $38.3087660-8 $79.1387660-P $27.9287797-8 $106.5887798-8 $159.8787799-8 $182.7087800-8 $63.9687800-P $19.1887801-8 $102.3387801-P $30.7187802-8 $22.2487802-P $11.2687803-8 $31.9987803-P $11.26

Page 167: 2013 Physician Fee Schedule

87807-8 $20.6687807-P $10.4687808-8 $19.4687808-P $9.8587809-8 $18.6587809-P $9.4487810-8 $41.1187850-8 $41.1187880-8 $41.1187899-8 $41.1187901-8 $513.0687901-P $153.2387903-8 $704.2487903-P $210.8587904-8 $29.5387904-P $10.4587905-8 $14.2287905-P $5.0287906-8 $81.2588104-8 $83.6788104-P $64.1388106-8 $73.0388106-P $73.0388108-8 $73.0388108-P $64.1388112-8 $135.6588112-P $74.4888120-8 $581.3088120-P $68.4688121-8 $490.9088121-P $60.4688125-8 $144.2588125-P $46.3088130-8 $92.6188130-P $73.0388140-8 $26.7188140-P $73.0388141-8 $17.5188141-P $13.7188142-8 $28.1888142-P $8.3788143-8 $27.7188147-8 $12.7488147-P $8.9788148-8 $12.7488148-P $8.9788150-8 $15.14

Page 168: 2013 Physician Fee Schedule

88150-P $10.6988152-8 $12.9588152-P $9.1388153-8 $12.7488153-P $8.9788154-8 $12.7488154-P $8.9788155-8 $13.9088155-P $14.2488160-8 $56.9788160-P $56.9788161-8 $56.9788161-P $23.1488162-8 $105.0888162-P $105.0888164-8 $12.7488164-P $8.9788165-8 $12.7488165-P $8.9788166-8 $12.7488166-P $8.9788167-8 $12.7488167-P $8.9788172-8 $89.0588172-P $89.0588173-8 $192.3488173-P $89.0588174-8 $33.8888174-P $8.1388175-8 $33.8888175-P $8.1388177-8 $35.8688177-P $27.9088182-8 $302.7788182-P $203.0288184-8 $69.3988185-8 $69.3988187-8 $97.2088187-P $97.2088188-8 $121.3088188-P $121.3088189-8 $159.8488189-P $159.8488230-8 $525.7888233-8 $641.1688235-8 $641.1688237-8 $418.50

Page 169: 2013 Physician Fee Schedule

88239-8 $641.1688245-8 $641.1688248-8 $382.9188249-8 $353.2988261-8 $238.6488262-8 $320.6188263-8 $641.1688264-8 $299.4188267-8 $534.3088269-8 $436.3488271-8 $34.4488272-8 $19.4788273-8 $58.3988274-8 $149.6988275-8 $267.9788280-8 $69.1388283-8 $105.0888285-8 $23.1488289-8 $83.4688300-8 $56.9788300-P $19.6188302-8 $96.1888302-P $85.4988304-8 $128.2388304-P $92.6188305-8 $176.3288305-P $169.1988307-8 $311.6788307-P $311.6788309-8 $400.7288309-P $400.7288311-8 $49.8588311-P $49.8588312-8 $42.7588312-P $42.7588313-8 $46.3088313-P $44.5188314-8 $19.6188314-P $19.6188319-8 $30.2788319-P $30.2788321-8 $113.9988321-P $113.9988323-8 $158.4988323-P $167.4288325-8 $151.3988325-P $151.39

Page 170: 2013 Physician Fee Schedule

88329-8 $108.6288329-P $108.6288331-8 $195.9388331-P $169.1988332-8 $101.5188332-P $90.8488333-8 $151.4688333-P $132.8488334-8 $80.7088334-P $70.7788342-8 $149.6088342-P $144.2588346-8 $160.2788346-P $90.8488347-8 $160.2788347-P $90.8488348-8 $641.1688348-P $605.5488349-8 $881.6088349-P $284.9788355-8 $165.6288356-8 $165.6288358-8 $165.6288360-8 $135.8788360-P $79.5588361-8 $125.0088361-P $70.4888363-8 $48.4488365-8 $284.9788367-8 $252.6188367-P $92.9288368-8 $230.8488368-P $100.7088371-8 $68.2588372-8 $241.3788385-P $98.8088386-P $124.2088387-8 $53.9188387-P $42.9088388-8 $31.8888388-P $26.6788720-8 $8.9788720-P $2.6988738-8 $8.9388740-8 $8.9788740-P $2.6988741-8 $8.97

Page 171: 2013 Physician Fee Schedule

88741-P $2.6989049-8 $210.1889049-P $78.9289050-8 $19.2189051-8 $13.7189055-8 $6.3789055-P $1.9189060-8 $15.4189125-8 $11.5889160-8 $16.0289190-8 $11.2089220-8 $9.1889230-8 $33.9189235-8 $15.8289300-8 $13.8189310-8 $13.4589320-8 $29.9589321-8 $23.6289321-P $7.0989322-8 $28.9189322-P $8.6789325-8 $113.0989330-8 $42.7589331-8 $31.0189331-P $8.6389355-8 $17.8290371-6 $1,074.8590371-A $1,074.8590371-N $1,074.8590375-6 $1,194.6290375-A $1,194.6290375-N $1,194.6290376-6 $1,163.1890376-A $1,163.1890376-N $1,163.1890384-6 $178.1590385-6 $65.8790389-6 $103.3090389-A $103.3090389-N $103.3090396-6 $926.6790396-A $926.6790396-N $926.6790460-6 $23.3290460-A $23.3290460-N $23.3290461-6 $13.10

Page 172: 2013 Physician Fee Schedule

90461-A $13.1090461-N $13.1090471-6 $8.9790471-A $8.9790471-N $8.9790472-6 $23.9490472-A $23.9490472-N $23.9490473-6 $8.3490473-A $8.3490473-N $8.3490474-6 $8.3490474-A $8.3490474-N $8.3490586-Q $288.9290632-6 $97.3290633-6 $38.9290634-6 $38.9290645-6 $38.9290646-6 $37.4490647-6 $35.9390648-6 $40.4290654-2 $20.0790655-6 $19.9490657-6 $7.5090658-6 $7.5090669-6 $20.9690670-6 $143.5790675-6 $197.6190675-A $197.6190675-N $197.6190676-6 $119.7690680-6 $79.3690681-6 $141.6590696-6 $65.6090700-A $47.0990700-N $47.0990701-6 $44.5190701-A $44.5190701-N $44.5190702-6 $21.3790702-A $21.3790702-N $21.3790703-6 $21.3790703-A $21.3790703-N $21.3790704-6 $39.17

Page 173: 2013 Physician Fee Schedule

90704-A $39.1790704-N $39.1790705-6 $40.9690705-A $40.9690705-N $40.9690706-6 $40.9690706-A $40.9690706-N $40.9690707-6 $73.4490707-A $73.4490707-N $73.4490708-6 $55.0790708-A $55.0790708-N $55.0790712-6 $39.1790712-A $39.1790712-N $39.1790713-6 $50.0990713-A $50.0990713-N $50.0990714-6 $25.1490714-A $25.1490714-N $25.1490715-6 $51.6990715-A $51.6990715-N $51.6990718-6 $12.4590718-A $12.4590718-N $12.4590719-6 $19.6190720-A $67.2790720-N $67.2790732-6 $44.5190732-A $44.5190732-N $44.5190734-6 $92.4290735-A $94.2190735-N $94.2190740-6 $266.0090743-6 $94.5890744-6 $49.4090746-6 $113.1390747-6 $286.7990748-6 $83.7590801-B $232.4090801-C $232.4090801-X $232.40

Page 174: 2013 Physician Fee Schedule

90802-B $184.1590802-C $184.1590802-X $184.1590804-B $108.2490804-C $108.2490804-X $108.2490805-B $130.7390805-C $130.7390805-X $130.7390806-B $161.6690806-C $161.6690806-X $161.6690807-B $176.4090807-C $176.4090807-X $176.4090808-B $226.3290808-C $226.3290808-X $226.3290809-B $248.8090809-C $248.8090809-X $248.8090810-B $118.0790810-C $118.0790810-X $118.0790811-B $141.9890811-C $141.9890811-X $141.9890812-B $150.4190812-C $150.4190812-X $150.4190813-B $171.4890813-C $171.4890813-X $171.4890814-B $222.0990814-C $222.0990814-X $222.0990815-B $247.3990815-C $247.3990815-X $247.3990816-B $247.3990816-C $247.3990816-X $247.3990817-B $134.9490817-C $134.9490817-X $134.9490818-B $167.2890818-C $167.28

Page 175: 2013 Physician Fee Schedule

90818-X $167.2890819-B $178.7590819-C $178.7590819-X $178.7590821-B $247.3990821-C $247.3990821-X $247.3990822-B $268.4990822-C $268.4990822-X $268.4990823-B $123.7090823-C $123.7090823-X $123.7090824-B $146.1990824-C $146.1990824-X $146.1990826-B $172.9090826-C $172.9090826-X $172.9090827-B $195.3990827-C $195.3990827-X $195.3990828-B $261.4590828-C $261.4590828-X $261.4590829-B $285.3590829-C $285.3590829-X $285.3590845-B $168.6890845-C $168.6890845-X $168.6890846-B $143.8590846-C $143.8590846-X $143.8590847-B $171.4890847-C $171.4890847-X $171.4890849-B $95.5990849-C $95.5990849-X $95.5990853-B $77.3290853-C $77.3290853-X $77.3290857-C $74.5190862-B $83.8690862-C $83.8690862-X $83.86

Page 176: 2013 Physician Fee Schedule

90865-2 $334.7890865-B $334.7890865-C $334.7890865-X $334.7890869-2 $454.9190870-B $264.2690870-C $264.2690870-X $264.2690875-C $113.6390876-C $154.1590880-C $164.4690885-C $197.5090887-C $165.8790935-6 $217.3090937-6 $471.9790945-6 $217.3090947-6 $471.9790951-6 $552.4290952-6 $552.4290953-6 $552.4290954-6 $533.7790955-6 $533.7790956-6 $533.7790957-6 $523.2990958-6 $523.2990959-6 $523.2990960-6 $466.1890961-6 $466.1890962-6 $466.1890963-6 $552.4290964-6 $533.7790965-6 $523.2990966-6 $466.1890967-6 $19.8190968-6 $17.4890969-6 $16.3290970-6 $16.3290989-6 $1,228.9091000-6 $124.6791010-6 $133.5691013-6 $251.7391013-P $96.8291020-6 $89.0591022-6 $69.5291022-P $55.8791030-6 $115.7591034-6 $202.71

Page 177: 2013 Physician Fee Schedule

91034-P $142.0291040-6 $94.2591040-P $80.0591065-6 $56.9791110-5 $912.2891110-P $162.2491117-6 $194.4391120-6 $174.3091120-P $116.2091122-6 $144.2592002-6 $99.7392002-A $99.7392002-M $99.7392002-N $99.7392004-6 $101.5192004-A $101.5192004-M $101.5192004-N $101.5192012-6 $65.8892012-A $65.8892012-M $65.8892012-N $65.8892014-6 $94.3992014-A $94.3992014-M $94.3992014-N $94.3992018-6 $463.0792018-A $463.0792018-M $463.0792018-N $463.0792019-6 $427.4292019-A $427.4292019-M $427.4292019-N $427.4292020-6 $49.8592020-A $49.8592020-M $49.8592020-N $49.8592025-6 $99.7192060-6 $51.6492060-A $51.6492060-M $51.6492060-N $51.6492065-6 $42.7592065-A $42.7592065-M $42.7592065-N $42.75

Page 178: 2013 Physician Fee Schedule

92071-2 $40.4092072-2 $128.8692081-6 $56.9792081-A $56.9792081-M $56.9792081-N $56.9792082-6 $65.8892082-A $65.8892082-M $65.8892082-N $65.8892083-6 $158.4992083-A $158.4992083-M $158.4992083-N $158.4992100-6 $42.7592100-A $42.7592100-M $42.7592100-N $42.7592132-6 $55.8192132-P $24.4992133-6 $55.8192133-P $24.4992134-6 $55.8192134-P $24.4992136-6 $153.0992136-A $153.0992136-M $153.0992136-N $153.0992136-P $72.0392140-6 $49.8592140-A $49.8592140-M $49.8592140-N $49.8592225-6 $64.1392225-A $64.1392225-M $64.1392225-N $64.1392226-6 $42.7592226-A $42.7592226-M $42.7592226-N $42.7592227-A $54.6792227-N $54.6792227-P $54.6792228-A $54.6792228-N $54.6792228-P $54.67

Page 179: 2013 Physician Fee Schedule

92230-6 $122.9092230-A $122.9092230-M $122.9092230-N $122.9092235-6 $356.2192235-A $356.2192235-M $356.2192235-N $356.2192240-6 $348.0592250-6 $85.4992250-A $85.4992250-M $85.4992250-N $85.4992260-6 $64.1392260-A $64.1392260-M $64.1392260-N $64.1392265-6 $44.5192265-A $44.5192265-M $44.5192265-N $44.5192270-6 $183.4192270-A $183.4192270-M $183.4192270-N $183.4192275-6 $199.4792275-M $199.4792284-6 $176.3292284-A $176.3292284-M $176.3292284-N $176.3292285-6 $67.6992285-M $67.6992286-6 $267.1592286-A $267.1592286-M $267.1592286-N $267.1592310-6 $338.3792310-M $338.3792352-6 $73.0392352-M $73.0392353-6 $73.0392353-M $73.0392502-6 $44.5192502-M $146.0392504-6 $201.2692506-6 $117.54

Page 180: 2013 Physician Fee Schedule

92507-6 $117.5492511-6 $195.9392512-6 $115.7592516-6 $73.0392531-6 $39.1792532-6 $60.5492533-6 $55.2092534-6 $60.5492540-6 $151.8892540-P $70.7292541-6 $203.0292542-6 $190.5692543-6 $190.5692544-6 $56.9792545-6 $58.7692546-6 $252.9192547-6 $33.8492550-6 $33.0492551-6 $44.5192551-V $44.5192552-6 $42.7592552-V $42.7592553-6 $56.9792553-V $56.9792555-6 $30.2792555-V $30.2792556-6 $40.9692556-V $40.9692557-6 $83.6792557-V $83.6792558-2 $31.6792558-P $10.3592559-6 $19.6192559-V $19.6192560-6 $37.3892560-V $37.3892561-6 $32.0592561-V $32.0592562-6 $12.4592562-V $12.4592563-6 $12.4592563-V $12.4592564-6 $12.4592564-V $12.4592565-6 $21.3792565-V $21.3792567-6 $46.30

Page 181: 2013 Physician Fee Schedule

92567-V $46.3092568-6 $35.6392568-V $35.6392570-6 $81.1692570-V $81.1692571-6 $58.7692571-V $58.7692572-6 $37.3892572-V $37.3892573-6 $19.6192573-V $19.6192575-6 $40.9692575-V $40.9692576-6 $40.9692576-V $40.9692577-6 $21.3792577-V $21.3792579-6 $132.2392582-6 $46.3092583-6 $133.5692584-6 $199.4792585-6 $302.7792587-6 $36.0092588-6 $58.9092601-6 $100.2892602-6 $100.2892603-6 $90.7992604-6 $90.7992605-6 $100.2892606-6 $100.2892607-6 $100.2892608-6 $50.1492609-6 $100.2892610-6 $100.2892611-6 $123.3192612-6 $140.9492613-P $56.9192614-6 $158.5592615-P $63.6992616-6 $40.6592617-P $70.4792618-2 $31.5292620-6 $46.4892621-6 $11.6292625-6 $41.3292626-6 $23.5992627-6 $23.59

Page 182: 2013 Physician Fee Schedule

92630-6 $161.3992633-6 $161.3992950-6 $276.0492950-A $276.0492953-6 $338.3792960-6 $329.4792960-A $329.4792961-6 $437.2992961-P $271.1292973-6 $1,091.4392974-6 $444.9292980-6 $3,223.4092981-6 $1,726.2492982-6 $2,974.2692984-6 $1,469.3192986-6 $5,156.0092987-6 $4,736.6792990-6 $5,156.0092992-6 $2,775.3892993-6 $5,550.7792995-6 $2,965.4892996-6 $1,465.4892997-6 $2,458.7792998-6 $1,195.1493000-6 $83.6793000-A $83.6793000-N $83.6793005-6 $67.6993005-A $67.6993005-N $67.6993010-6 $24.9393010-A $35.6393010-N $35.6393015-6 $302.7793016-6 $95.1493017-6 $90.8493018-6 $174.5393024-6 $756.9493024-A $756.9493024-N $756.9493040-6 $51.6493041-6 $12.4593042-6 $17.8293224-6 $480.8893225-6 $112.2093226-6 $192.3493227-6 $176.32

Page 183: 2013 Physician Fee Schedule

93268-6 $265.3393270-6 $67.1193271-6 $130.9093272-6 $54.0093278-6 $154.9593278-P $73.0393279-6 $63.0393279-P $40.6693280-6 $74.4193280-P $48.8093281-6 $87.0293281-P $56.9393282-6 $80.5193282-P $53.2793283-6 $98.0093283-P $67.0993284-6 $114.6793284-P $79.7093285-6 $54.4893285-P $33.3493286-6 $30.9193286-P $17.0793287-6 $40.6693287-P $24.8093288-6 $48.8093288-P $27.2593289-6 $74.8293289-P $49.2193290-6 $36.1993290-P $24.0093291-6 $46.7693291-P $27.6693292-6 $42.2993292-P $27.2593293-6 $67.5093293-P $19.1193294-6 $41.4893295-6 $74.8293296-6 $41.0793297-6 $28.8793298-6 $33.3493303-6 $513.5493303-P $232.0393304-6 $338.7693304-P $89.7393306-6 $301.7293306-A $301.72

Page 184: 2013 Physician Fee Schedule

93306-N $301.7293306-P $80.9293307-6 $418.5093307-A $418.5093307-N $418.5093307-P $185.2193308-6 $265.3893308-A $265.3893308-N $265.3893308-P $73.0393312-6 $926.1493312-P $561.0093313-6 $151.7493313-P $151.7493314-6 $167.2693314-P $167.2693315-6 $1,160.1293315-P $706.9293316-6 $190.2693316-P $188.7293317-6 $213.4593317-P $211.9193320-6 $242.2293320-A $242.2293320-N $242.2293320-P $64.1393321-6 $265.3893321-P $73.0393350-6 $703.4993351-6 $312.2993352-6 $43.5193451-6 $882.7693451-P $467.0193452-6 $1,385.0793452-P $531.3693453-6 $1,742.7393453-P $885.6093454-6 $1,424.9493454-P $664.0693455-6 $1,983.0793455-P $816.6993456-6 $1,787.7293456-P $870.2393457-6 $2,345.8593457-P $1,022.8693458-6 $1,805.3893458-P $722.72

Page 185: 2013 Physician Fee Schedule

93459-6 $2,363.5193459-P $871.9493460-6 $2,163.0493460-P $1,076.9693461-6 $2,721.1793461-P $1,229.5993462-6 $383.8693463-6 $145.6493464-6 $345.7393464-P $128.2093503-6 $721.3293503-P $715.5093505-6 $721.3293505-P $721.3293530-6 $701.8693531-6 $1,178.3793532-6 $1,131.1993533-6 $1,178.3793561-6 $605.5493561-P $605.5493562-6 $149.6093562-P $149.6093563-6 $420.3193564-6 $758.6093565-6 $291.5993566-6 $343.9993567-6 $287.6193568-6 $224.9693580-6 $2,361.9793600-6 $293.8693600-P $293.8693602-6 $329.4793602-P $329.4793603-6 $338.3793603-P $338.3793610-6 $489.7793610-P $489.7793612-6 $338.3793612-P $338.3793618-6 $338.3793618-P $338.3793619-6 $1,791.4093619-P $714.8893620-6 $2,163.9093620-P $2,163.9093621-6 $2,502.3193621-P $2,502.31

Page 186: 2013 Physician Fee Schedule

93622-6 $2,502.3193622-P $2,502.3193623-6 $338.3793623-P $338.3793624-6 $667.8793624-P $667.8793631-6 $3,499.6793631-P $3,499.6793640-6 $338.3793640-P $338.3793641-6 $336.4293641-P $134.5793642-6 $336.4293642-P $134.5793650-6 $4,879.9593650-P $4,879.9593651-6 $4,869.5693651-P $4,869.5693652-6 $4,869.5693652-P $4,869.5693660-6 $226.2193660-P $226.2193724-6 $102.6293724-P $40.3693745-6 $90.3893745-P $32.2893770-6 $7.1393880-6 $578.8293880-P $263.5993882-6 $194.1293882-P $89.0593886-6 $273.7493886-P $131.8193888-6 $74.8193888-P $44.5193922-6 $285.9493922-P $156.4593923-6 $285.9493923-P $156.4593924-6 $302.7793924-P $158.1193925-6 $302.7793925-P $158.4993926-6 $101.5193926-P $53.4293930-6 $237.0393930-P $151.39

Page 187: 2013 Physician Fee Schedule

93931-6 $67.6993931-P $51.6493965-6 $265.3893965-P $131.8193970-6 $265.3893970-P $131.8193971-6 $89.0593971-P $44.4093975-6 $578.8293975-P $263.5993976-6 $194.1293976-P $89.0593978-6 $578.8293978-P $131.8193979-6 $194.1293979-P $44.5193980-6 $267.2493980-P $131.0193981-6 $89.6693981-P $44.8393990-6 $67.1194002-6 $154.4294002-A $154.4294002-N $154.4294003-6 $52.2894003-A $52.2894003-N $52.2894004-6 $154.4294004-A $154.4294004-N $154.4294010-6 $94.3994010-A $94.3994010-N $94.3994010-P $51.6494011-6 $121.7394012-6 $187.8294013-6 $40.0094014-6 $238.0594015-6 $62.8894016-6 $50.9194060-6 $122.9094060-A $122.9094060-N $122.9094060-P $76.5794070-6 $276.0494070-A $276.0494070-N $276.04

Page 188: 2013 Physician Fee Schedule

94070-P $64.1394150-6 $55.2094150-A $55.2094150-N $55.2094200-6 $65.8894200-A $65.8894200-N $65.8894250-6 $49.8594250-A $49.8594250-N $49.8594375-6 $56.9794375-A $56.9794375-N $56.9794375-P $23.1494400-6 $92.6194400-A $92.6194400-N $92.6194610-6 $74.1794610-A $74.1794610-N $74.1794620-6 $261.7894620-A $261.7894620-N $261.7894620-P $183.4194621-6 $239.5394640-6 $44.5194640-A $44.5194640-N $44.5194642-6 $284.9794642-A $284.9794642-N $284.9794644-6 $40.1394644-A $40.1394644-N $40.1394644-P $13.3894645-6 $15.8194645-A $15.8194645-N $15.8194645-P $4.8694660-6 $190.5694660-A $190.5694660-N $190.5694664-6 $35.6394664-A $35.6394664-N $35.6394667-6 $49.8594667-A $49.85

Page 189: 2013 Physician Fee Schedule

94667-N $49.8594680-6 $62.3394680-A $62.3394680-N $62.3394681-6 $112.2094681-A $112.2094681-N $112.2094690-6 $62.3394690-A $62.3394690-N $62.3394726-6 $77.9694726-P $18.7994727-6 $61.5694727-P $18.7994728-6 $61.5694728-P $18.7994729-6 $77.2094750-6 $58.7694750-A $58.7694750-N $58.7694772-6 $525.3994772-P $201.2694780-6 $54.8294781-6 $21.2995000-6* $6.4095004-6* $5.3495010-6* $10.1795015-6* $10.1795024-6* $14.6595027-6* $6.4095028-6* $19.6895044-6 $8.4195060-6 $21.3795065-6 $19.6195070-6 $133.5695115-6 $8.9095117-6 $8.9095120-6 $12.4595125-6 $19.6195130-6 $46.3095131-6 $30.2795132-6 $39.1795133-6 $40.9695134-6 $40.9695144-6 $57.1995145-6 $33.8495146-6 $19.61

Page 190: 2013 Physician Fee Schedule

95147-6 $40.9695148-6 $42.7595149-6 $39.1795165-6 $100.9295170-6 $73.0395180-6 $49.8595251-6 $23.5995800-6 $1,520.0395800-P $77.0695801-6 $2,566.0895801-P $68.7195805-6 $721.3295805-P $285.9495806-6 $835.8495807-6 $1,143.8195807-P $454.1795808-6 $1,143.8195808-P $454.1795810-6 $1,143.8195810-P $454.1795811-6 $928.7095811-P $436.9595812-6 $217.6395813-6 $217.6395816-6 $147.7995819-6 $220.8595819-P $121.1195822-6 $215.5195824-6 $162.0695827-6 $276.0495827-A $276.0495827-N $276.0495829-P $247.5495830-6 $1,513.8395830-A $3,645.7295830-N $3,645.7295831-6 $44.5195832-6 $46.3095833-6 $55.2095834-6 $158.4995851-6 $62.3395852-6 $33.8495857-6 $101.5195860-6 $236.8495860-P $151.3995861-6 $311.6795861-P $210.16

Page 191: 2013 Physician Fee Schedule

95863-6 $436.3495863-P $311.6795864-6 $569.9295864-P $329.4795865-6 $235.8895865-P $121.6695866-6 $170.0995866-P $86.9095867-6 $105.0895868-6 $149.6095869-6 $137.1395870-6 $129.4195872-6 $137.1395872-P $87.2795873-6 $94.3595873-P $48.4295874-6 $94.3595874-P $48.4295885-6 $44.7495885-P $14.4395886-6 $71.1195886-P $38.4795887-6 $63.1695887-P $30.2495900-6 $62.3295900-P $46.7595903-6 $70.8095903-P $56.6695904-6 $53.8295904-P $41.0795905-6 $96.2395905-P $3.6595920-6 $233.3195921-6 $49.5095921-P $17.0195922-6 $49.5095922-P $17.0195923-6 $49.5095923-P $17.0195925-6 $170.9995926-6 $57.3695927-6 $57.3695928-6 $92.9695928-P $92.9695929-6 $92.9695929-P $92.9695930-6 $253.33

Page 192: 2013 Physician Fee Schedule

95930-P $103.5895933-6 $256.4795933-P $103.5895934-6 $50.9995934-P $17.5295936-6 $253.3395936-P $17.5295937-6 $124.6795938-6 $199.6295938-P $66.3495939-6 $369.1095939-P $133.1195950-6 $739.1195950-P $311.6795951-P $311.6795953-6 $698.2595953-P $310.3595955-6 $210.1695955-A $210.1695955-N $210.1695956-6 $267.2495956-P $353.4395958-P $203.0295961-6 $233.3195961-P $92.5195962-6 $233.3195962-P $92.5195970-6 $86.8295971-6 $86.8295972-6 $86.8295973-6 $86.8295974-6 $86.8295975-6 $86.8295978-6 $116.2095979-6 $91.6795990-6 $65.0495990-Q $65.0495991-6 $79.7995991-Q $79.7995992-6 $233.0996101-6 $160.1596101-C $160.1596102-6 $80.7096102-C $80.7096103-6 $39.7396103-C $39.7396105-6 $186.48

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96105-C $186.4896110-6 $163.0596110-C $163.0596111-6 $146.1996111-C $146.1996116-6 $73.2596116-C $73.2596118-6 $132.8496118-C $132.8496119-6 $67.0496119-C $67.0496120-6 $53.3996120-C $53.3996125-6 $150.3996125-C $150.3996360-6 $68.7696361-6 $22.1496365-6 $83.9196366-6 $29.1496367-6 $46.6296368-6 $27.9796369-6 $178.9096370-6 $18.6596371-6 $82.7596372-6 $19.8196372-A $19.8196372-C $19.8196372-N $19.8196374-6 $62.9396375-6 $29.1496401-6 $60.8496401-Q $60.8496402-6 $42.2196402-Q $42.2196405-Q $58.8696406-Q $129.5296409-6 $141.5396409-Q $141.5396411-6 $83.1896411-Q $83.1896413-6 $199.8896413-Q $199.8896415-6 $45.9496415-Q $45.9496416-6 $214.7896416-Q $214.7896417-6 $98.08

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96417-Q $98.0896420-Q $87.2796422-Q $140.6996423-Q $40.9696425-Q $96.1896440-Q $245.8096446-Q $416.8996450-Q $245.8096521-Q $177.5396522-6 $127.8896522-Q $127.8896523-6 $32.2896523-Q $32.2896542-Q $86.1996900-6 $30.6896910-6 $50.6096912-6 $51.7896913-6 $163.0596920-6 $177.5296921-6 $191.0796922-6 $253.4198925-6 $43.5898926-6 $52.0198927-6 $65.6198928-6 $92.5198929-6 $132.9199002-6 $122.9099051-6 $18.6399078-6 $254.6999078-A $254.6999078-N $254.6999080-6 $75.2899170-6 $173.4699175-6 $122.3099175-A $122.3099175-B $122.3099175-C $122.3099175-N $122.3099175-R $122.3099183-6 $68.9899183-A $68.9899195-6 $62.3399195-A $62.3399201-6 $60.2499201-A $60.2499201-C $65.1299201-N $60.24

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99201-Q $60.2499202-6 $74.8599202-A $74.8599202-C $82.0499202-N $74.8599202-Q $74.8599203-6 $105.8899203-A $105.8899203-C $112.3999203-N $105.8899203-Q $105.8899204-6 $151.8799204-A $151.8799204-C $164.0699204-N $151.8799204-Q $151.8799205-6 $226.3899205-A $226.3899205-C $226.3899205-N $226.3899205-Q $226.3899211-6 $41.9899211-A $41.9899211-C $41.9899211-N $41.9899211-Q $41.9899212-6 $56.5899212-A $56.5899212-C $56.5899212-N $56.5899212-Q $56.5899213-6 $65.7299213-A $65.7299213-C $65.7299213-N $65.7299213-Q $65.7299214-6 $85.7999214-A $85.7999214-C $85.7999214-N $85.7999214-Q $85.7999215-6 $125.9499215-A $125.9499215-C $125.9499215-N $125.9499215-Q $125.9499217-6 $99.25

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99218-6 $117.2499218-A $117.2499219-6 $150.0099219-A $150.0099220-6 $220.6899220-A $220.6899221-6 $117.5499221-B $117.5499221-C $117.5499221-N $117.5499222-6 $149.6099222-B $149.6099222-C $149.6099222-N $149.6099223-6 $220.8599223-B $220.8599223-C $220.8599223-N $220.8599224-6 $32.4699224-A $32.4699224-C $32.4699224-N $32.4699224-Q $32.4699224-X $32.4699225-6 $58.0999225-A $58.0999225-C $58.0999225-N $58.0999225-Q $58.0999225-X $58.0999226-6 $86.5799226-A $86.5799226-C $86.5799226-N $86.5799226-Q $86.5799226-X $86.5799231-6 $62.3399231-B $62.3399231-C $62.3399231-E $62.3399231-N $62.3399232-6 $80.1299232-B $80.1299232-C $80.1299232-E $80.1299232-N $80.1299233-6 $106.87

Page 197: 2013 Physician Fee Schedule

99233-B $106.8799233-C $106.8799233-E $106.8799233-N $106.8799234-6 $176.6099234-A $176.6099234-C $176.6099234-N $176.6099234-Q $176.6099235-6 $202.5099235-A $202.5099235-C $202.5099235-N $202.5099235-Q $202.5099236-6 $266.4599236-A $266.4599236-C $266.4599236-N $266.4599236-Q $266.4599238-6 $97.9599238-B $97.9599238-C $97.9599238-E $97.9599238-N $97.9599239-6 $100.3799239-C $100.3799239-D $100.3799239-E $100.3799239-N $100.3799241-9 $120.5199241-A $120.5199241-N $120.5199242-9 $149.6899242-A $149.6899242-N $149.6899243-9 $173.4099243-A $173.4099243-N $173.4099244-9 $226.3899244-A $226.3899244-N $226.3899245-9 $250.0899245-A $250.0899245-N $250.0899251-9 $117.5499251-A $117.5499251-N $117.54

Page 198: 2013 Physician Fee Schedule

99252-9 $146.0399252-A $146.0399252-N $146.0399253-9 $169.1999253-A $169.1999253-N $169.1999254-9 $220.8599254-A $220.8599254-N $220.8599255-9 $252.9199255-A $252.9199255-N $252.9199281-6 $56.9799281-A $56.9799281-C $56.9799281-N $56.9799282-6 $76.5799282-A $76.5799282-C $76.5799282-N $76.5799283-6 $94.3999283-A $94.3999283-C $94.3999283-N $94.3999284-6 $115.7599284-C $115.7599284-N $115.7599285-6 $172.7399285-A $172.7399285-C $172.7399285-N $172.7399291-6 $226.2199291-A $226.2199291-B $226.2199291-C $226.2199291-N $226.2199292-6 $169.1999292-A $169.1999292-B $169.1999292-C $169.1999292-N $169.1999304-6 $84.4299304-A $84.4299304-C $84.4299304-N $84.4299305-6 $112.9899305-A $112.98

Page 199: 2013 Physician Fee Schedule

99305-C $112.9899305-N $112.9899306-6 $141.5399306-A $141.5399306-C $141.5399306-N $141.5399307-6 $37.2499307-A $37.2499307-C $37.2499307-N $37.2499308-6 $62.0799308-A $62.0799308-C $62.0799308-N $62.0799309-6 $86.9099309-A $86.9099309-C $86.9099309-N $86.9099310-6 $108.0199310-A $108.0199310-C $108.0199310-N $108.0199315-6 $86.7999315-A $86.7999315-B $86.7999315-C $86.7999315-N $86.7999316-6 $86.7999316-A $86.7999316-B $86.7999316-C $86.7999316-N $86.7999318-6 $72.0099318-A $72.0099318-C $72.0099318-N $72.0099324-6 $60.8499324-A $60.8499324-C $60.8499324-N $60.8499325-6 $90.6399325-A $90.6399325-C $90.6399325-N $90.6399326-6 $132.8499326-A $132.8499326-C $132.84

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99326-N $132.8499327-6 $177.5399327-A $177.5399327-C $177.5399327-N $177.5399328-6 $222.2399328-A $222.2399328-C $222.2399328-N $222.2399334-6 $39.7399334-A $39.7399334-C $39.7399334-N $39.7399335-6 $65.8099335-A $65.8099335-C $65.8099335-N $65.8099336-6 $104.2899336-A $104.2899336-C $104.2899336-N $104.2899337-6 $156.4299337-A $156.4299337-C $156.4299337-N $156.4299341-6 $87.2799341-A $87.2799341-C $87.2799341-N $87.2799342-6 $99.7399342-A $99.7399342-C $99.7399342-N $99.7399343-6 $146.0399343-A $146.0399343-C $146.0399343-N $146.0399344-6 $208.5899344-A $208.5899344-C $208.5899344-N $208.5899345-6 $260.3599345-A $260.3599345-C $260.3599345-N $260.3599347-6 $59.3899347-A $59.38

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99347-C $59.3899347-N $59.3899348-6 $80.6999348-A $80.6999348-C $80.6999348-N $80.6999349-6 $108.1199349-A $108.1199349-C $108.1199349-N $108.1199350-6 $129.4199350-A $129.4199350-C $129.4199350-N $129.4199354-6 $233.8199354-A $233.8199354-C $233.8199354-E $233.8199354-N $233.8199355-A $112.7199355-C $112.7199355-E $112.7199355-N $112.7199356-6 $233.8199356-E $233.8199357-6 $112.7199358-6 $301.1299359-6 $150.5599367-6 $75.2899368-6 $75.2899381-6 $53.4299382-6 $55.2099383-6 $61.7799391-6 $51.6499392-6 $56.9799393-6 $56.9799394-6 $65.8899460-6 $145.6899462-6 $73.4299463-6 $219.1099464-6 $173.6599465-6 $160.8399465-A $160.8399465-N $160.8399466-6 $206.2899466-A $206.2899466-C $206.28

Page 202: 2013 Physician Fee Schedule

99466-N $206.2899467-6 $124.7099467-A $124.7099467-C $124.7099467-N $124.7099468-6 $540.7799469-6 $410.2499471-6 $540.7799472-6 $393.9299475-6 $372.7999476-6 $326.6099477-6 $349.7499478-6 $151.5199479-6 $139.8599480-6 $134.03A9507-G $1,076.36A9523-Q $3,249.17A9600-6 $985.04A9600-E $985.04A9600-Q $985.04G0104-2 $167.48G0105-2 $782.54G0106-P $225.32G0117-6 $54.23G0117-A $54.23G0117-M $54.23G0117-N $54.23G0117-P $54.23G0120-P $855.63G0121-2 $782.54G0122-P $57.85G0130-5 $306.89G0130-P $100.31G0141-8 $12.74G0143-8 $27.71G0144-8 $27.71G0145-8 $27.71G0147-8 $12.74G0148-8 $12.74G0202-5 $97.32G0202-P $45.89G0204-5 $97.32G0204-P $45.89G0206-5 $84.82G0206-P $40.33G0219-5 $2,182.86G0219-P $326.74

Page 203: 2013 Physician Fee Schedule

G0245-6 $67.75G0246-6 $47.43G0247-6 $67.75G0252-6 $1,596.33G0252-P $318.45G0256-E $2,031.33G0256-P $1,412.03G0257-6 $184.29G0259-2 $74.53G0261-E $2,031.33G0261-P $1,412.03G0268-2 $36.59G0274-P $216.82G0275-5 $819.85G0275-P $382.14G0278-5 $548.82G0278-P $174.81G0283-D $31.17G0283-N $31.17G0288-5 $451.26G0288-P $101.64G0289-2 $1,599.04G0306-8 $17.29G0306-P $5.19G0307-8 $8.58G0307-P $2.99G0328-6 $25.30G0364-2 $89.09G0365-6 $72.30G0365-P $37.44G0372-6 $33.53G0389-5 $154.42G0389-P $70.52G0406-6 $41.89G0406-9 $41.89G0406-A $41.89G0406-N $41.89G0407-6 $75.23G0407-9 $75.23G0407-A $75.23G0407-N $75.23G0408-6 $107.76G0408-9 $107.76G0408-A $107.76G0408-N $107.76G0409-6 $9.76G0412-2 $1,588.50

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G0413-2 $1,078.04G0414-2 $2,286.61G0415-2 $2,371.68G0416-8 $673.76G0416-P $210.15G0417-8 $1,308.11G0417-P $402.34G0418-8 $2,246.88G0418-P $699.61G0419-8 $2,662.70G0419-P $806.09G0420-6 $136.81G0420-X $136.81G0421-6 $30.72G0421-C $30.72G0421-X $30.72G0422-6 $77.68G0423-6 $77.68G0424-6 $36.52G0425-6 $126.37G0425-9 $126.37G0425-A $126.37G0425-N $126.37G0426-6 $171.59G0426-9 $171.59G0426-A $171.59G0426-N $171.59G0427-6 $251.59G0427-9 $251.59G0427-A $251.59G0427-N $251.59G0431-8 $145.23G0434-8 $29.05G0436-C $17.82G0436-X $17.82G0437-C $34.17G0437-X $34.17G0438-6 $118.46G0439-6 $108.21G0440-2 $254.05G0441-2 $66.06G9141-6 $19.71J0120-6 $45.44J0120-Q $45.44J0129-6 $23.26J0129-Q $23.26J0130-6 $890.73

Page 205: 2013 Physician Fee Schedule

J0133-6 $0.44J0133-Q $0.44J0150-6 $52.16J0150-Q $52.16J0152-6 $106.97J0152-Q $106.97J0171-6 $0.10J0171-Q $0.10J0180-6 $156.67J0180-Q $156.67J0190-6 $18.51J0190-Q $18.51J0200-6 $26.97J0200-Q $26.97J0205-6 $65.61J0205-Q $65.61J0207-6 $542.00J0207-Q $542.00J0210-6 $18.51J0210-Q $18.51J0215-6 $37.50J0215-Q $37.50J0220-6 $145.14J0220-Q $145.14J0256-6 $171.82J0256-Q $171.82J0275-6 $31.45J0278-6 $4.01J0278-Q $4.01J0280-6 $18.51J0280-Q $18.51J0282-6 $25.27J0282-Q $25.27J0285-6 $49.42J0285-Q $49.42J0287-6 $31.17J0287-Q $31.17J0288-6 $21.68J0288-Q $21.68J0289-6 $51.09J0289-Q $51.09J0290-6 $18.51J0290-Q $18.51J0300-6 $18.51J0300-Q $18.51J0330-6 $18.51J0330-Q $18.51

Page 206: 2013 Physician Fee Schedule

J0348-6 $2.74J0348-Q $2.74J0360-6 $18.51J0360-Q $18.51J0364-6 $4.44J0364-Q $4.44J0365-6 $3.68J0365-Q $3.68J0380-6 $18.51J0380-Q $18.51J0390-6 $38.39J0390-Q $38.39J0395-6 $317.36J0395-Q $317.36J0400-6 $0.41J0400-Q $0.41J0456-6 $34.54J0456-Q $34.54J0461-6 $0.02J0461-Q $0.02J0470-6 $58.86J0470-Q $58.86J0475-6 $363.88J0475-Q $363.88J0476-6 $128.74J0476-Q $128.74J0480-6 $2,308.84J0480-Q $2,308.84J0500-6 $18.51J0500-Q $18.51J0515-6 $18.51J0515-Q $18.51J0520-6 $18.51J0520-Q $18.51J0558-6 $4.56J0558-Q $4.56J0559-6 $0.11J0559-Q $0.11J0561-6 $6.31J0561-Q $6.31J0583-6 $2.44J0583-Q $2.44J0585-6 $6.25J0585-Q $6.25J0586-6 $8.20J0586-Q $8.20J0587-6 $12.85

Page 207: 2013 Physician Fee Schedule

J0587-Q $12.85J0592-6 $1.35J0592-Q $1.35J0594-Q $12.11J0595-6 $10.76J0595-Q $10.76J0597-6 $41.51J0597-Q $41.51J0598-6 $49.37J0598-Q $49.37J0600-6 $66.75J0600-Q $66.75J0610-6 $57.19J0610-Q $57.19J0620-6 $18.51J0620-Q $18.51J0630-6 $84.12J0630-Q $84.12J0636-6 $19.71J0636-Q $19.71J0637-6 $44.90J0637-Q $44.90J0638-6 $102.71J0638-Q $102.71J0640-Q $40.36J0641-6 $1.53J0641-Q $1.53J0670-6 $18.51J0670-Q $18.51J0690-6 $18.51J0690-Q $18.51J0692-6 $11.12J0692-Q $11.12J0694-6 $18.51J0696-6 $18.51J0696-Q $18.51J0697-6 $18.51J0697-Q $18.51J0698-6 $18.51J0698-Q $18.51J0702-6 $6.77J0702-Q $6.77J0706-6 $4.47J0706-Q $4.47J0710-6 $18.51J0710-Q $18.51J0718-6 $4.54

Page 208: 2013 Physician Fee Schedule

J0718-Q $4.54J0720-6 $18.51J0720-Q $18.51J0725-6 $18.51J0725-Q $18.51J0735-6 $86.79J0735-Q $86.79J0740-3 $1,184.48J0740-6 $1,217.96J0740-Q $1,217.96J0743-6 $18.51J0743-Q $18.51J0744-6 $21.70J0744-Q $21.70J0745-6 $18.51J0745-Q $18.51J0760-6 $18.51J0760-Q $18.51J0770-6 $62.25J0770-Q $62.25J0775-6 $44.42J0775-Q $44.42J0780-6 $18.51J0780-Q $18.51J0795-6 $6.42J0795-Q $6.42J0800-6 $43.76J0800-Q $43.76J0833-6 $139.02J0833-Q $139.02J0834-6 $133.44J0834-Q $133.44J0878-6 $0.44J0878-Q $0.44J0881-6 $5.73J0881-Q $5.73J0882-6 $5.73J0882-Q $5.73J0885-6 $15.52J0885-Q $15.52J0886-6 $15.52J0886-Q $15.52J0894-Q $31.01J0895-6 $18.51J0900-6 $18.51J0900-Q $18.51J0945-6 $18.51

Page 209: 2013 Physician Fee Schedule

J0945-Q $18.51J1000-6 $18.51J1000-Q $18.51J1020-6 $18.51J1020-Q $18.51J1030-6 $18.51J1030-Q $18.51J1040-6 $18.51J1040-Q $18.51J1051-6 $6.95J1051-Q $6.95J1056-6 $34.69J1060-6 $18.51J1060-Q $18.51J1070-6 $18.51J1070-Q $18.51J1080-6 $18.51J1080-Q $18.51J1094-6 $1.35J1094-Q $1.35J1100-6 $18.51J1100-Q $18.51J1110-6 $18.51J1110-Q $18.51J1120-6 $70.10J1120-Q $70.10J1160-6 $18.51J1160-Q $18.51J1162-6 $744.88J1162-Q $744.88J1165-6 $18.51J1165-Q $18.51J1170-6 $18.51J1170-Q $18.51J1180-6 $18.51J1180-Q $18.51J1200-6 $18.51J1200-Q $18.51J1205-6 $18.51J1205-Q $18.51J1212-6 $79.06J1212-Q $79.06J1230-6 $18.51J1230-Q $18.51J1240-6 $18.51J1240-Q $18.51J1245-6 $55.07

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J1260-6 $2.99J1260-Q $2.99J1267-6 $0.96J1267-Q $0.96J1270-6 $15.38J1270-Q $15.38J1290-6 $318.75J1290-Q $318.75J1300-6 $218.24J1300-Q $218.24J1320-6 $18.51J1320-Q $18.51J1325-6 $27.40J1325-Q $27.40J1327-6 $17.67J1327-Q $17.67J1330-Q $16.74J1335-6 $33.24J1335-Q $33.24J1380-6 $18.51J1380-Q $18.51J1410-6 $68.44J1410-Q $68.44J1430-6 $103.97J1430-Q $103.97J1435-6 $18.51J1435-Q $18.51J1436-6 $117.74J1436-Q $117.74J1438-6 $206.24J1438-Q $206.24J1440-Q $260.75J1441-Q $418.85J1450-6 $124.79J1450-Q $124.79J1451-6 $17.18J1451-Q $17.18J1452-6 $1,405.64J1452-Q $1,405.64J1453-6 $2.21J1453-Q $2.21J1455-6 $18.51J1455-Q $18.51J1457-6 $1.86J1457-Q $1.86J1458-6 $440.65J1458-Q $440.65

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J1459-6 $52.90J1459-Q $52.90J1460-6 $18.51J1460-Q $18.51J1560-6 $18.51J1560-Q $18.51J1561-6 $53.95J1561-Q $53.95J1566-6 $43.02J1566-Q $43.02J1567-6 $52.57J1567-Q $52.57J1570-6 $65.61J1570-Q $65.61J1580-6 $18.51J1580-Q $18.51J1590-6 $1.40J1590-Q $1.40J1600-6 $18.51J1600-Q $18.51J1626-6 $27.40J1626-Q $27.40J1630-6 $18.51J1630-Q $18.51J1631-6 $60.54J1631-Q $60.54J1640-6 $10.15J1640-Q $10.15J1652-6 $11.79J1652-Q $11.79J1655-6 $5.84J1655-Q $5.84J1670-6 $111.75J1670-Q $111.75J1680-6 $78.35J1680-Q $78.35J1700-6 $18.51J1700-Q $18.51J1710-6 $18.51J1710-Q $18.51J1720-6 $18.51J1720-Q $18.51J1740-6 $173.87J1740-Q $173.87J1742-6 $263.40J1742-Q $263.40J1745-6 $89.10

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J1745-Q $89.10J1756-6 $0.94J1756-Q $0.94J1786-6 $44.98J1786-Q $44.98J1790-6 $18.51J1790-Q $18.51J1800-6 $18.51J1800-Q $18.51J1810-6 $18.51J1810-Q $18.51J1815-6 $0.16J1815-Q $0.16J1817-6 $1.64J1817-Q $1.64J1826-6 $930.82J1826-Q $930.82J1835-6 $1,285.18J1835-Q $1,285.18J1840-6 $18.51J1840-Q $18.51J1850-6 $18.51J1850-Q $18.51J1885-6 $18.51J1885-Q $18.51J1890-6 $18.51J1890-Q $18.51J1930-6 $30.32J1930-Q $30.32J1931-6 $33.24J1931-Q $33.24J1940-6 $18.51J1940-Q $18.51J1945-6 $224.09J1945-Q $224.09J1953-6 $0.72J1953-Q $0.72J1956-6 $32.94J1956-Q $32.94J1960-6 $18.51J1960-Q $18.51J1980-6 $18.51J1980-Q $18.51J1990-6 $18.51J1990-Q $18.51J2010-6 $18.51J2010-Q $18.51

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J2020-6 $52.97J2020-Q $52.97J2060-6 $18.51J2060-Q $18.51J2150-6 $18.51J2150-Q $18.51J2160-6 $18.51J2160-Q $18.51J2175-6 $18.51J2175-Q $18.51J2180-6 $18.51J2180-Q $18.51J2185-6 $7.30J2185-Q $7.30J2210-6 $18.51J2210-Q $18.51J2248-6 $2.42J2248-Q $2.42J2270-6 $18.51J2270-Q $18.51J2271-6 $22.46J2271-Q $22.46J2275-6 $21.86J2275-Q $21.86J2278-6 $8.66J2278-Q $8.66J2280-6 $14.55J2280-Q $14.55J2320-6 $18.51J2320-Q $18.51J2325-6 $43.86J2325-Q $43.86J2353-6 $116.27J2353-Q $116.27J2354-6 $6.37J2354-Q $6.37J2355-6 $395.20J2355-Q $395.20J2357-6 $20.29J2357-Q $20.29J2358-6 $3.62J2358-Q $3.62J2360-6 $18.51J2360-Q $18.51J2370-6 $18.51J2370-Q $18.51J2400-6 $41.72

Page 214: 2013 Physician Fee Schedule

J2400-Q $41.72J2405-6 $10.09J2405-Q $10.09J2410-6 $18.51J2410-Q $18.51J2425-6 $17.07J2425-Q $17.07J2426-6 $8.65J2426-Q $8.65J2460-6 $18.51J2460-Q $18.51J2469-6 $43.92J2469-Q $43.92J2501-6 $7.16J2501-Q $7.16J2503-6 $1,334.08J2503-Q $1,334.08J2504-6 $243.33J2504-Q $243.33J2505-6 $3,923.06J2505-Q $3,923.06J2510-6 $18.51J2510-Q $18.51J2513-6 $19.74J2513-Q $19.74J2515-6 $18.51J2515-Q $18.51J2540-6 $18.51J2540-Q $18.51J2543-6 $8.00J2543-Q $8.00J2550-6 $18.51J2550-Q $18.51J2560-6 $18.51J2560-Q $18.51J2562-6 $323.37J2562-Q $323.37J2590-6 $18.51J2590-Q $18.51J2650-6 $18.51J2650-Q $18.51J2680-6 $45.06J2680-Q $45.06J2690-6 $18.51J2690-Q $18.51J2700-6 $18.51J2700-Q $18.51

Page 215: 2013 Physician Fee Schedule

J2710-6 $18.51J2710-Q $18.51J2720-6 $18.51J2720-Q $18.51J2730-6 $58.86J2730-Q $58.86J2760-6 $57.19J2760-Q $57.19J2765-6 $18.51J2765-Q $18.51J2770-6 $151.01J2770-Q $151.01J2780-6 $2.25J2780-Q $2.25J2783-6 $495.37J2783-Q $495.37J2785-6 $66.33J2785-Q $66.33J2788-6 $51.23J2788-Q $51.23J2790-6 $117.74J2792-6 $34.44J2792-Q $34.44J2794-6 $7.04J2794-C $7.04J2794-Q $7.04J2794-X $7.04J2795-6 $1.41J2795-Q $1.41J2796-6 $52.28J2796-Q $52.28J2800-6 $18.51J2800-Q $18.51J2820-Q $196.81J2910-6 $18.51J2910-Q $18.51J2916-6 $11.65J2916-Q $11.65J2920-6 $18.51J2920-Q $18.51J2930-6 $18.51J2930-Q $18.51J2940-6 $61.32J2940-Q $61.32J2941-6 $61.32J2941-Q $61.32J2950-6 $18.51

Page 216: 2013 Physician Fee Schedule

J2950-Q $18.51J2993-6 $1,932.77J2997-6 $38.64J2997-Q $38.64J3000-6 $18.51J3000-Q $18.51J3010-6 $18.51J3010-Q $18.51J3070-6 $18.51J3070-Q $18.51J3095-6 $2.83J3095-Q $2.83J3101-6 $70.04J3101-Q $70.04J3105-6 $18.51J3105-Q $18.51J3120-6 $18.51J3120-Q $18.51J3130-6 $18.51J3130-Q $18.51J3140-6 $18.51J3140-Q $18.51J3150-6 $18.51J3150-Q $18.51J3230-6 $18.51J3230-Q $18.51J3240-6 $328.02J3240-Q $328.02J3243-6 $1.37J3243-Q $1.37J3246-6 $12.81J3246-Q $12.81J3250-6 $18.51J3250-Q $18.51J3260-6 $18.51J3260-Q $18.51J3262-6 $3.85J3262-Q $3.85J3280-6 $18.51J3280-Q $18.51J3285-6 $80.70J3300-6 $4.52J3300-Q $4.52J3301-6 $18.51J3301-Q $18.51J3302-6 $18.51J3302-Q $18.51

Page 217: 2013 Physician Fee Schedule

J3303-6 $18.51J3303-Q $18.51J3310-6 $18.51J3310-Q $18.51J3315-6 $562.70J3315-Q $562.70J3320-6 $40.06J3320-Q $40.06J3350-6 $126.16J3350-Q $126.16J3357-6 $130.75J3357-Q $130.75J3360-6 $18.51J3360-Q $18.51J3364-6 $98.49J3364-Q $98.49J3370-6 $47.09J3370-Q $47.09J3385-6 $382.89J3385-Q $382.89J3396-6 $13.08J3396-Q $13.08J3400-6 $18.51J3400-Q $18.51J3410-6 $18.51J3410-Q $18.51J3411-6 $1.33J3411-Q $1.33J3415-6 $1.33J3415-Q $1.33J3420-6 $18.51J3420-Q $18.51J3430-6 $18.51J3430-Q $18.51J3465-6 $6.99J3465-Q $6.99J3470-6 $18.51J3470-Q $18.51J3471-6 $0.17J3471-Q $0.17J3472-6 $201.74J3472-Q $201.74J3473-6 $0.58J3473-Q $0.58J3485-6 $1.41J3485-Q $1.41J3486-6 $29.10

Page 218: 2013 Physician Fee Schedule

J3486-Q $29.10J3487-6 $310.15J3487-Q $310.15J7189-6 $1.92J7189-Q $1.92J7302-6 $549.20J7302-Q $549.20J7308-6 $147.73J7308-Q $147.73J7309-6 $93.63J7309-Q $93.63J7312-6 $214.93J7312-Q $214.93J7321-6 $143.68J7323-6 $151.72J7324-6 $258.99J7325-6 $18.57J7335-6 $32.95J7335-Q $32.95J7511-6 $475.79J7511-Q $475.79J7513-6 $690.13J7513-Q $341.31J7516-6 $48.11J7516-Q $48.11J9000-Q $92.51J9001-Q $454.37J9010-6 $726.71J9010-Q $726.71J9020-Q $94.21J9025-Q $5.10J9027-Q $146.65J9031-Q $282.58J9033-Q $22.29J9035-Q $84.33J9040-Q $492.87J9041-Q $40.18J9045-Q $163.56J9050-Q $142.98J9055-Q $70.65J9060-Q $68.44J9070-Q $10.09J9098-Q $533.90J9100-Q $13.45J9120-Q $21.86J9130-Q $25.23J9150-Q $136.27

Page 219: 2013 Physician Fee Schedule

J9151-Q $103.30J9155-Q $4.41J9160-Q $1,405.47J9165-Q $23.55J9171-Q $22.17J9175-6 $4.67J9175-Q $4.67J9178-Q $37.86J9181-Q $26.90J9185-Q $314.57J9190-Q $5.06J9200-Q $218.67J9201-Q $133.99J9202-Q $754.46J9206-Q $172.05J9207-Q $74.32J9208-Q $220.31J9209-Q $58.41J9211-Q $418.85J9212-Q $7.50J9213-Q $53.82J9214-Q $18.51J9215-Q $15.02J9216-Q $259.04J9217-Q $859.55J9218-Q $41.72J9225-Q $6,256.96J9230-Q $20.18J9250-Q $16.83J9260-Q $28.59J9263-Q $12.57J9264-Q $11.21J9265-Q $338.12J9268-Q $2,664.37J9270-Q $139.63J9280-Q $230.45J9293-Q $1,140.43J9300-6 $2,815.03J9302-Q $54.12J9305-Q $59.79J9307-Q $192.21J9310-Q $694.62J9315-Q $259.70J9320-Q $126.85J9328-Q $5.51J9330-Q $55.75J9340-Q $155.23

Page 220: 2013 Physician Fee Schedule

J9351-Q $32.00J9355-Q $71.20J9357-Q $616.92J9360-Q $28.59J9370-Q $60.54J9395-Q $119.30J9600-Q $3,918.81P9045-6 $80.64P9045-Q $80.64P9046-6 $36.32P9046-Q $36.32P9047-6 $108.80P9047-Q $108.80P9048-6 $121.65P9048-Q $121.65P9612-6 $11.98P9615-6 $8.90Q0138-6 $0.98Q0138-Q $0.98Q0139-6 $0.98Q0139-Q $0.98Q3025-6 $111.26Q3026-6 $37.66Q3031-6 $53.19Q4081-6 $1.54Q4081-Q $1.54Q9945-5 $0.97Q9945-G $0.97Q9946-5 $0.51Q9946-G $0.51Q9947-5 $0.37Q9947-G $0.37Q9948-5 $1.03Q9948-G $1.03Q9949-5 $0.47Q9949-G $0.47Q9950-5 $0.44Q9950-G $0.44Q9965-5 $0.48Q9965-G $0.48Q9966-5 $0.56Q9966-G $0.56Q9967-5 $0.57Q9967-G $0.57S0107-6 $103.17S0107-Q $103.17S0147-6 $302.76

Page 221: 2013 Physician Fee Schedule

S0147-Q $302.76S0156-6 $10.00S0156-Q $10.00S0164-6 $29.44S0164-Q $29.44S0166-6 $6.88S0166-Q $6.88S0167-6 $4.19S0167-Q $4.19S0180-6 $715.43S0180-Q $715.43S0195-6 $93.35S0265-6 $31.04S0390-6 $60.98S2068-2 $4,288.00S2075-2 $1,400.37S2076-2 $877.72S2078-2 $1,796.40S2079-2 $2,811.91S2083-2 $61.97S2095-2 $2,194.25S2114-2 $1,255.12S2117-2 $1,355.67S2118-2 $4,192.11S2225-2 $265.97S2325-2 $1,944.27S3000-6 $53.19S3000-A $53.19S3000-M $53.19S3000-N $53.19S3865-8 $5,133.73S3866-8 $834.75S5550-6 $0.19S5550-Q $0.19S5551-6 $0.43S5551Q $0.43S8945-D $37.95S8945-N $37.95S9015-6 $597.40S9015-P $49.21S9025-6 $663.46S9034-2 $2,044.87S9055-6 $619.51

Effective January 1, 2013