Fee Schedule
To search use: Ctrl+F
| CPT | Fee |
| 10040 | $2,484.00 |
| 10060 | $2,484.00 |
| 10061 | $2,484.00 |
| 10080 | $2,484.00 |
| 10120 | $2,484.00 |
| 10121 | $2,484.00 |
| 10140 | $3,361.45 |
| 10160 | $2,484.00 |
| 10180 | $3,733.95 |
| 11010 | $2,484.00 |
| 11011 | $3,361.45 |
| 11012 | $3,733.95 |
| 11042 | $3,361.45 |
| 11043 | $3,361.45 |
| 11044 | $3,361.45 |
| 11055 | $1,537.55 |
| 11100 | $2,484.00 |
| 11101 | $2,484.00 |
| 11200 | $2,484.00 |
| 11201 | $2,484.00 |
| 11300 | $2,484.00 |
| 11302 | $2,484.00 |
| 11311 | $2,484.00 |
| 11312 | $2,484.00 |
| 11400 | $2,484.00 |
| 11401 | $3,361.45 |
| 11402 | $2,484.00 |
| 11403 | $2,484.00 |
| 11404 | $2,484.00 |
| 11406 | $3,361.45 |
| 11420 | $3,361.45 |
| 11421 | $2,484.00 |
| 11422 | $2,484.00 |
| 11423 | $2,484.00 |
| 11424 | $3,361.45 |
| 11426 | $3,733.95 |
| 11440 | $2,484.00 |
| 11441 | $2,484.00 |
| 11442 | $2,484.00 |
| 11443 | $2,484.00 |
| 11444 | $2,484.00 |
| 11446 | $3,733.95 |
| 11600 | $1,537.55 |
| 11601 | $2,484.00 |
| 11602 | $2,484.00 |
| 11603 | $2,484.00 |
| 11604 | $3,361.45 |
| 11622 | $3,361.45 |
| 11623 | $2,484.00 |
| 11624 | $3,361.45 |
| 11626 | $3,733.95 |
| 11641 | $2,484.00 |
| 11642 | $2,484.00 |
| 11643 | $2,484.00 |
| 11644 | $3,361.45 |
| 11646 | $3,733.95 |
| 11730 | $2,484.00 |
| 11750 | $2,484.00 |
| 11752 | $5,774.00 |
| 11755 | $2,484.00 |
| 11760 | $2,484.00 |
| 12020 | $2,484.00 |
| 12031 | $2,484.00 |
| 12032 | $2,484.00 |
| 12034 | $3,361.45 |
| 12041 | $2,484.00 |
| 12042 | $2,484.00 |
| 12044 | $3,361.45 |
| 12045 | $3,361.45 |
| 12050 | $2,423.00 |
| 12051 | $2,484.00 |
| 12052 | $2,484.00 |
| 13101 | $4,142.30 |
| 13121 | $4,142.30 |
| 13131 | $3,361.45 |
| 13132 | $4,142.30 |
| 13133 | $2,484.00 |
| 13151 | $4,142.30 |
| 13152 | $4,142.30 |
| 13153 | $2,565.65 |
| 13160 | $3,361.45 |
| 14001 | $4,142.30 |
| 14020 | $4,142.30 |
| 14021 | $4,142.30 |
| 14040 | $3,361.45 |
| 14041 | $4,142.30 |
| 14060 | $4,142.30 |
| 14061 | $4,142.30 |
| 14300 | $5,753.45 |
| 14301 | $5,753.45 |
| 14302 | $3,361.45 |
| 15050 | $3,361.45 |
| 15100 | $3,361.45 |
| 15101 | $4,142.30 |
| 15120 | $4,714.44 |
| 15121 | $4,142.30 |
| 15200 | $4,142.30 |
| 15201 | $3,361.45 |
| 15220 | $3,361.45 |
| 15221 | $3,361.45 |
| 15240 | $4,142.30 |
| 15241 | $4,142.30 |
| 15260 | $3,361.45 |
| 15261 | $3,361.45 |
| 15350 | $3,361.45 |
| 15351 | $0.00 |
| 15630 | $4,142.30 |
| 15731 | $4,714.44 |
| 15760 | $3,361.45 |
| 15773 | $4,142.30 |
| 15781 | $3,361.45 |
| 15820 | $3,361.45 |
| 15821 | $3,361.45 |
| 15822 | $3,361.45 |
| 15823 | $4,142.30 |
| 15828 | $4,714.44 |
| 15831 | $4,142.30 |
| 15836 | $3,733.95 |
| 15839 | $3,733.95 |
| 15847 | $2,565.65 |
| 15851 | $2,484.00 |
| 15876 | $4,714.44 |
| 16015 | $3,361.45 |
| 17000 | $2,484.00 |
| 17003 | $2,484.00 |
| 17004 | $2,484.00 |
| 17110 | $2,484.00 |
| 17261 | $2,484.00 |
| 17262 | $2,484.00 |
| 17280 | $2,484.00 |
| 17281 | $2,484.00 |
| 17282 | $2,484.00 |
| 17999 | $1,537.55 |
| 19300 | $5,753.45 |
| 19316 | $8,569.26 |
| 19318 | $8,569.26 |
| 19325 | $12,387.40 |
| 19328 | $5,008.94 |
| 19330 | $5,008.94 |
| 19342 | $12,387.40 |
| 19371 | $5,753.45 |
| 19380 | $8,569.26 |
| 20005 | $3,361.45 |
| 20103 | $3,361.45 |
| 20205 | $4,142.30 |
| 20225 | $3,361.45 |
| 20245 | $4,142.30 |
| 20520 | $2,484.00 |
| 20525 | $4,142.30 |
| 20526 | $2,484.00 |
| 20550 | $2,484.00 |
| 20551 | $2,484.00 |
| 20552 | $2,484.00 |
| 20553 | $2,484.00 |
| 20600 | $2,484.00 |
| 20605 | $3,361.45 |
| 20610 | $4,142.30 |
| 20612 | $3,361.45 |
| 20650 | $4,253.48 |
| 20670 | $2,484.00 |
| 20680 | $4,142.30 |
| 20690 | $9,401.04 |
| 20694 | $3,361.45 |
| 20900 | $9,401.04 |
| 20902 | $9,401.04 |
| 20910 | $5,753.45 |
| 20912 | $4,714.44 |
| 20926 | $5,753.45 |
| 21012 | $3,361.45 |
| 21014 | $3,733.95 |
| 21016 | $3,733.95 |
| 21025 | $7,695.49 |
| 21026 | $7,695.49 |
| 21040 | $4,230.85 |
| 21044 | $7,695.49 |
| 21046 | $7,695.49 |
| 21047 | $7,695.49 |
| 21049 | $7,695.49 |
| 21230 | $8,014.35 |
| 21235 | $8,014.35 |
| 21310 | $3,361.45 |
| 21315 | $3,361.45 |
| 21320 | $4,230.85 |
| 21330 | $7,695.49 |
| 21337 | $4,230.85 |
| 21365 | $7,695.49 |
| 21390 | $8,014.35 |
| 21407 | $7,695.49 |
| 21445 | $7,695.49 |
| 21450 | $4,142.30 |
| 21451 | $5,753.45 |
| 21452 | $7,695.49 |
| 21453 | $7,695.49 |
| 21454 | $7,695.49 |
| 21461 | $7,695.49 |
| 21462 | $7,695.49 |
| 21465 | $7,695.49 |
| 21470 | $7,695.49 |
| 21480 | $2,484.00 |
| 21501 | $3,733.95 |
| 21502 | $4,253.48 |
| 21555 | $3,361.45 |
| 21556 | $3,733.95 |
| 21557 | $5,753.45 |
| 21931 | $3,361.45 |
| 21935 | $4,142.30 |
| 22899 | $1,537.55 |
| 23000 | $3,733.95 |
| 23030 | $3,733.95 |
| 23031 | $3,733.95 |
| 23040 | $4,253.48 |
| 23044 | $5,753.45 |
| 23071 | $3,361.45 |
| 23073 | $3,733.95 |
| 23075 | $3,361.45 |
| 23076 | $3,733.95 |
| 23107 | $9,401.04 |
| 23120 | $6,591.80 |
| 23130 | $6,591.80 |
| 23140 | $5,753.45 |
| 23145 | $6,591.80 |
| 23146 | $9,401.04 |
| 23156 | $9,401.04 |
| 23180 | $9,401.04 |
| 23190 | $5,753.45 |
| 23330 | $2,484.00 |
| 23331 | $2,484.00 |
| 23410 | $9,401.04 |
| 23412 | $9,401.04 |
| 23420 | $9,401.04 |
| 23430 | $9,401.04 |
| 23440 | $9,401.04 |
| 23455 | $9,401.04 |
| 23462 | $9,401.04 |
| 23480 | $9,401.04 |
| 23485 | $17,294.85 |
| 23515 | $9,401.04 |
| 23550 | $9,401.04 |
| 23552 | $9,401.04 |
| 23585 | $9,401.04 |
| 23605 | $3,361.45 |
| 23615 | $17,294.85 |
| 23616 | $24,489.36 |
| 23630 | $9,401.04 |
| 23665 | $3,361.45 |
| 23670 | $9,401.04 |
| 23680 | $17,294.85 |
| 23700 | $2,484.00 |
| 23930 | $3,733.95 |
| 23931 | $3,361.45 |
| 24000 | $5,753.45 |
| 24066 | $3,733.95 |
| 24071 | $3,733.95 |
| 24075 | $3,361.45 |
| 24076 | $3,733.95 |
| 24101 | $5,753.45 |
| 24105 | $4,253.48 |
| 24110 | $4,253.48 |
| 24120 | $4,253.48 |
| 24147 | $4,253.48 |
| 24149 | $9,401.04 |
| 24160 | $4,253.48 |
| 24164 | $4,253.48 |
| 24201 | $3,733.95 |
| 24301 | $9,401.04 |
| 24305 | $5,753.45 |
| 24310 | $4,253.48 |
| 24320 | $9,401.04 |
| 24331 | $9,401.04 |
| 24332 | $4,253.48 |
| 24340 | $9,401.04 |
| 24341 | $9,401.04 |
| 24342 | $9,401.04 |
| 24345 | $9,401.04 |
| 24350 | $4,142.30 |
| 24351 | $4,142.30 |
| 24352 | $4,142.30 |
| 24354 | $4,142.30 |
| 24356 | $4,142.30 |
| 24358 | $4,253.48 |
| 24359 | $4,253.48 |
| 24365 | $17,294.85 |
| 24515 | $17,294.85 |
| 24538 | $9,401.04 |
| 24545 | $17,294.85 |
| 24546 | $17,294.85 |
| 24565 | $3,361.45 |
| 24575 | $17,294.85 |
| 24579 | $17,294.85 |
| 24635 | $9,401.04 |
| 24655 | $2,484.00 |
| 24665 | $9,401.04 |
| 24666 | $17,294.85 |
| 24685 | $9,401.04 |
| 25000 | $4,142.30 |
| 25028 | $4,253.48 |
| 25031 | $3,361.45 |
| 25040 | $6,591.80 |
| 25065 | $2,484.00 |
| 25066 | $3,733.95 |
| 25071 | $2,565.65 |
| 25073 | $3,733.95 |
| 25075 | $3,361.45 |
| 25076 | $4,142.30 |
| 25101 | $4,253.48 |
| 25110 | $4,142.30 |
| 25111 | $4,142.30 |
| 25112 | $5,753.45 |
| 25115 | $5,753.45 |
| 25118 | $3,361.45 |
| 25120 | $4,253.48 |
| 25130 | $4,253.48 |
| 25151 | $4,253.48 |
| 25210 | $4,253.48 |
| 25215 | $5,753.45 |
| 25230 | $5,753.45 |
| 25240 | $5,753.45 |
| 25248 | $3,361.45 |
| 25250 | $2,484.00 |
| 25251 | $4,253.48 |
| 25260 | $5,753.45 |
| 25263 | $9,401.04 |
| 25265 | $4,253.48 |
| 25270 | $5,753.45 |
| 25272 | $4,253.48 |
| 25274 | $5,753.45 |
| 25275 | $4,253.48 |
| 25310 | $4,253.48 |
| 25312 | $5,753.45 |
| 25320 | $9,401.04 |
| 25332 | $6,591.80 |
| 25390 | $9,401.04 |
| 25400 | $9,401.04 |
| 25440 | $9,401.04 |
| 25447 | $6,591.80 |
| 25449 | $9,401.04 |
| 25505 | $2,484.00 |
| 25515 | $9,401.04 |
| 25520 | $3,361.45 |
| 25525 | $9,401.04 |
| 25526 | $9,401.04 |
| 25545 | $9,401.04 |
| 25560 | $3,361.45 |
| 25565 | $3,361.45 |
| 25574 | $9,401.04 |
| 25575 | $9,401.04 |
| 25605 | $4,142.30 |
| 25606 | $4,253.48 |
| 25607 | $9,401.04 |
| 25608 | $9,401.04 |
| 25609 | $9,401.04 |
| 25620 | $6,591.80 |
| 25628 | $9,401.04 |
| 25645 | $4,253.48 |
| 25651 | $4,253.48 |
| 25660 | $2,484.00 |
| 25675 | $2,484.00 |
| 25820 | $9,401.04 |
| 25825 | $9,401.04 |
| 25929 | $4,142.30 |
| 26011 | $2,484.00 |
| 26020 | $4,253.48 |
| 26025 | $4,253.48 |
| 26030 | $4,253.48 |
| 26034 | $3,361.45 |
| 26040 | $5,753.45 |
| 26045 | $4,253.48 |
| 26055 | $3,361.45 |
| 26070 | $3,361.45 |
| 26075 | $5,753.45 |
| 26080 | $5,753.45 |
| 26105 | $4,253.48 |
| 26110 | $2,484.00 |
| 26111 | $4,142.30 |
| 26113 | $3,361.45 |
| 26115 | $3,361.45 |
| 26116 | $3,361.45 |
| 26117 | $4,142.30 |
| 26121 | $5,753.45 |
| 26123 | $5,753.45 |
| 26125 | $5,753.45 |
| 26130 | $4,253.48 |
| 26140 | $3,361.45 |
| 26145 | $4,142.30 |
| 26160 | $4,142.30 |
| 26170 | $4,142.30 |
| 26200 | $3,361.45 |
| 26210 | $3,361.45 |
| 26230 | $8,014.35 |
| 26235 | $4,142.30 |
| 26236 | $4,142.30 |
| 26275 | $1,000.00 |
| 26320 | $3,361.45 |
| 26350 | $4,253.48 |
| 26352 | $9,401.04 |
| 26356 | $5,753.45 |
| 26357 | $5,753.45 |
| 26358 | $9,401.04 |
| 26370 | $5,753.45 |
| 26372 | $9,401.04 |
| 26373 | $4,253.48 |
| 26392 | $9,401.04 |
| 26410 | $4,142.30 |
| 26412 | $4,253.48 |
| 26415 | $5,753.45 |
| 26416 | $6,591.80 |
| 26418 | $5,753.45 |
| 26420 | $5,753.45 |
| 26426 | $4,253.48 |
| 26428 | $4,253.48 |
| 26432 | $4,142.30 |
| 26433 | $4,253.48 |
| 26434 | $4,253.48 |
| 26437 | $4,253.48 |
| 26440 | $4,142.30 |
| 26445 | $4,253.48 |
| 26460 | $4,142.30 |
| 26480 | $4,253.48 |
| 26483 | $4,253.48 |
| 26490 | $4,253.48 |
| 26530 | $9,401.04 |
| 26531 | $9,401.04 |
| 26535 | $6,591.80 |
| 26536 | $9,401.04 |
| 26540 | $5,753.45 |
| 26541 | $8,014.35 |
| 26546 | $9,401.04 |
| 26548 | $5,753.45 |
| 26560 | $3,361.45 |
| 26565 | $6,591.80 |
| 26567 | $6,591.80 |
| 26605 | $3,361.45 |
| 26608 | $4,253.48 |
| 26615 | $5,753.45 |
| 26645 | $2,484.00 |
| 26650 | $4,253.48 |
| 26665 | $5,753.45 |
| 26676 | $4,253.48 |
| 26685 | $4,253.48 |
| 26705 | $3,361.45 |
| 26706 | $4,253.48 |
| 26715 | $5,753.45 |
| 26725 | $2,484.00 |
| 26727 | $8,014.35 |
| 26735 | $5,753.45 |
| 26740 | $2,484.00 |
| 26742 | $3,361.45 |
| 26746 | $6,591.80 |
| 26756 | $4,253.48 |
| 26765 | $5,753.45 |
| 26776 | $4,253.48 |
| 26785 | $4,253.48 |
| 26850 | $9,401.04 |
| 26852 | $9,401.04 |
| 26860 | $4,253.48 |
| 26861 | $3,361.45 |
| 26910 | $4,253.48 |
| 26951 | $4,253.48 |
| 26952 | $5,753.45 |
| 26989 | $1,801.52 |
| 26990 | $4,253.48 |
| 26991 | $2,484.00 |
| 27033 | $9,401.04 |
| 27062 | $6,591.80 |
| 27066 | $6,591.80 |
| 27096 | $2,484.00 |
| 27248 | $6,591.80 |
| 27299 | $1,606.85 |
| 27301 | $4,142.30 |
| 27310 | $5,753.45 |
| 27323 | $2,484.00 |
| 27327 | $3,361.45 |
| 27328 | $4,142.30 |
| 27331 | $5,753.45 |
| 27332 | $5,753.45 |
| 27333 | $5,753.45 |
| 27334 | $5,753.45 |
| 27337 | $3,733.95 |
| 27339 | $3,733.95 |
| 27340 | $4,253.48 |
| 27345 | $5,753.45 |
| 27347 | $5,753.45 |
| 27355 | $4,253.48 |
| 27360 | $6,591.80 |
| 27372 | $8,014.35 |
| 27380 | $9,401.04 |
| 27381 | $9,401.04 |
| 27385 | $9,401.04 |
| 27403 | $9,401.04 |
| 27405 | $9,401.04 |
| 27407 | $9,401.04 |
| 27409 | $9,401.04 |
| 27420 | $9,401.04 |
| 27422 | $9,401.04 |
| 27424 | $9,401.04 |
| 27427 | $9,401.04 |
| 27428 | $17,294.85 |
| 27430 | $9,401.04 |
| 27509 | $9,401.04 |
| 27524 | $9,401.04 |
| 27535 | $6,591.80 |
| 27540 | $5,753.45 |
| 27557 | $4,083.65 |
| 27570 | $2,484.00 |
| 27599 | $1,684.27 |
| 27603 | $3,733.95 |
| 27604 | $4,253.48 |
| 27610 | $4,253.48 |
| 27612 | $4,253.48 |
| 27618 | $3,361.45 |
| 27619 | $4,142.30 |
| 27620 | $5,753.45 |
| 27625 | $5,753.45 |
| 27626 | $5,753.45 |
| 27630 | $4,253.48 |
| 27632 | $3,733.95 |
| 27634 | $3,733.95 |
| 27635 | $4,253.48 |
| 27640 | $4,253.48 |
| 27650 | $9,401.04 |
| 27652 | $9,401.04 |
| 27654 | $9,401.04 |
| 27658 | $4,253.48 |
| 27659 | $9,401.04 |
| 27664 | $9,401.04 |
| 27665 | $9,401.04 |
| 27675 | $4,253.48 |
| 27676 | $9,401.04 |
| 27680 | $4,253.48 |
| 27685 | $4,253.48 |
| 27686 | $4,253.48 |
| 27687 | $4,253.48 |
| 27690 | $9,401.04 |
| 27691 | $9,401.04 |
| 27695 | $9,401.04 |
| 27696 | $9,401.04 |
| 27698 | $9,401.04 |
| 27704 | $4,253.48 |
| 27726 | $9,401.04 |
| 27752 | $2,484.00 |
| 27758 | $17,294.85 |
| 27766 | $9,401.04 |
| 27784 | $9,401.04 |
| 27792 | $9,401.04 |
| 27810 | $2,484.00 |
| 27814 | $9,401.04 |
| 27822 | $9,401.04 |
| 27823 | $9,401.04 |
| 27826 | $9,401.04 |
| 27827 | $17,294.85 |
| 27828 | $17,294.85 |
| 27829 | $9,401.04 |
| 27832 | $9,401.04 |
| 27846 | $9,401.04 |
| 27848 | $9,401.04 |
| 27870 | $17,294.85 |
| 27892 | $4,253.48 |
| 27894 | $4,253.48 |
| 27899 | $1,537.55 |
| 28002 | $4,142.30 |
| 28003 | $4,253.48 |
| 28010 | $2,484.00 |
| 28020 | $4,253.48 |
| 28022 | $4,253.48 |
| 28024 | $2,484.00 |
| 28035 | $5,753.45 |
| 28039 | $3,733.95 |
| 28041 | $3,733.95 |
| 28043 | $3,361.45 |
| 28045 | $4,142.30 |
| 28046 | $4,142.30 |
| 28060 | $4,253.48 |
| 28062 | $4,253.48 |
| 28070 | $9,401.04 |
| 28080 | $4,142.30 |
| 28090 | $4,142.30 |
| 28092 | $4,142.30 |
| 28100 | $4,253.48 |
| 28103 | $9,401.04 |
| 28104 | $4,253.48 |
| 28107 | $9,401.04 |
| 28110 | $4,253.48 |
| 28112 | $4,253.48 |
| 28113 | $4,253.48 |
| 28116 | $4,253.48 |
| 28118 | $5,753.45 |
| 28119 | $5,753.45 |
| 28120 | $8,014.35 |
| 28122 | $4,253.48 |
| 28124 | $5,753.45 |
| 28126 | $5,753.45 |
| 28150 | $4,253.48 |
| 28153 | $5,753.45 |
| 28160 | $4,253.48 |
| 28190 | $2,484.00 |
| 28192 | $3,361.45 |
| 28193 | $5,753.45 |
| 28200 | $4,253.48 |
| 28202 | $9,401.04 |
| 28208 | $4,253.48 |
| 28210 | $9,401.04 |
| 28225 | $4,253.48 |
| 28230 | $3,361.45 |
| 28232 | $3,361.45 |
| 28234 | $3,361.45 |
| 28238 | $9,401.04 |
| 28240 | $4,253.48 |
| 28250 | $4,253.48 |
| 28270 | $4,253.48 |
| 28280 | $4,253.48 |
| 28285 | $4,253.48 |
| 28288 | $4,253.48 |
| 28289 | $4,253.48 |
| 28290 | $3,361.45 |
| 28292 | $4,253.48 |
| 28293 | $4,142.30 |
| 28294 | $4,142.30 |
| 28295 | $4,253.48 |
| 28296 | $4,253.48 |
| 28297 | $9,401.04 |
| 28298 | $9,401.04 |
| 28299 | $9,401.04 |
| 28300 | $9,401.04 |
| 28306 | $9,401.04 |
| 28307 | $9,401.04 |
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