2021 Alabama Workers' Compensation Prevailing

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2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE0001U-8CPTCODE: 628.950154U-8CPTCODE: 95.5210021-2CPTCODE: 76.6611200-2CPTCODE: 104.200002U-8CPTCODE: 102.780155U-8CPTCODE: 95.5210030-2CPTCODE: 184.5811201-2CPTCODE: 52.100003U-8CPTCODE: 111.630156U-8CPTCODE: 2,252.3210035-2CPTCODE: 99.6611300-2CPTCODE: 83.430004U-8CPTCODE: 42.060157U-8CPTCODE: 553.0710036-2CPTCODE: 50.1411301-2CPTCODE: 120.270005U-8CPTCODE: 2,730.470158U-8CPTCODE: 553.0710040-2CPTCODE: 56.0911302-2CPTCODE: 137.730007U-8CPTCODE: 100.560159U-8CPTCODE: 553.0710060-2CPTCODE: 118.2311303-2CPTCODE: 188.190008U-8CPTCODE: 514.650160U-8CPTCODE: 553.0710061-2CPTCODE: 192.3911305-2CPTCODE: 95.070009U-8CPTCODE: 26.270161U-8CPTCODE: 553.0710080-2CPTCODE: 156.3111306-2CPTCODE: 116.370010U-8CPTCODE: 89.910162U-8CPTCODE: 1,106.1310081-2CPTCODE: 340.6511307-2CPTCODE: 184.310011U-8CPTCODE: 100.5601953-4CPTCODE: 50.9310120-2CPTCODE: 112.2211308-2CPTCODE: 230.850012U-8CPTCODE: 514.6501967-4CPTCODE: 578.8010121-2CPTCODE: 294.5411310-2CPTCODE: 145.510013U-8CPTCODE: 514.6501968-4CPTCODE: 173.6510140-2CPTCODE: 104.2011311-2CPTCODE: 217.280014U-8CPTCODE: 514.6501996-6CPTCODE: 98.2010160-2CPTCODE: 96.1911312-2CPTCODE: 265.780016U-8CPTCODE: 192.230227U-8CPTCODE: 64.4610180-2CPTCODE: 450.8811313-2CPTCODE: 339.490017M-8CPTCODE: 4,153.800228U-8CPTCODE: 482.0611000-2CPTCODE: 90.1511400-2CPTCODE: 107.040017U-8CPTCODE: 107.470229U-8CPTCODE: 544.5411001-2CPTCODE: 62.1211401-2CPTCODE: 153.9800731-4CPTCODE: 324.800230U-8CPTCODE: 245.9111004-2CPTCODE: 819.3211402-2CPTCODE: 174.6600732-4CPTCODE: 324.800231U-8CPTCODE: 245.9111005-2CPTCODE: 900.6811403-2CPTCODE: 238.500080U-8CPTCODE: 20.380232U-8CPTCODE: 245.9111006-2CPTCODE: 1,024.1511404-2CPTCODE: 291.1100811-4CPTCODE: 358.990233U-8CPTCODE: 245.9111008-2CPTCODE: 543.3111406-2CPTCODE: 413.1600812-4CPTCODE: 358.990234U-8CPTCODE: 245.9111010-2CPTCODE: 311.5511420-2CPTCODE: 122.0700813-4CPTCODE: 358.990235U-8CPTCODE: 554.1111011-2CPTCODE: 490.8011421-2CPTCODE: 148.380082U-8CPTCODE: 85.280236U-8CPTCODE: 245.9111012-2CPTCODE: 678.7611422-2CPTCODE: 234.740139U-8CPTCODE: 687.270237U-8CPTCODE: 642.3811042-2CPTCODE: 320.6411423-2CPTCODE: 291.110140U-8CPTCODE: 23.820238U-8CPTCODE: 642.3811043-2CPTCODE: 500.9711424-2CPTCODE: 347.440141U-8CPTCODE: 23.820239U-8CPTCODE: 554.5011044-2CPTCODE: 701.3711426-2CPTCODE: 460.120142U-8CPTCODE: 23.820437T-2CPTCODE: 222.8211045-2CPTCODE: 50.4611440-2CPTCODE: 146.480143U-8CPTCODE: 91.380500T-8CPTCODE: 26.4411046-2CPTCODE: 89.8611441-2CPTCODE: 185.910144U-8CPTCODE: 91.3809220-ICPTCODE: 310.5911047-2CPTCODE: 147.0611442-2CPTCODE: 279.840145U-8CPTCODE: 91.3810004-2CPTCODE: 46.4911055-2CPTCODE: 65.0811443-2CPTCODE: 338.060146U-8CPTCODE: 91.3810005-2CPTCODE: 79.1611056-2CPTCODE: 85.6511444-2CPTCODE: 431.950147U-8CPTCODE: 91.3810006-2CPTCODE: 53.9811057-2CPTCODE: 107.9211446-2CPTCODE: 507.060148U-8CPTCODE: 91.3810007-2CPTCODE: 101.5311102-2CPTCODE: 42.2511450-2CPTCODE: 942.770149U-8CPTCODE: 91.3810008-2CPTCODE: 66.2511103-2CPTCODE: 24.4911451-2CPTCODE: 1,232.400150U-8CPTCODE: 91.3810009-2CPTCODE: 123.4311104-2CPTCODE: 53.0611462-2CPTCODE: 856.370151U-8CPTCODE: 23.8210010-2CPTCODE: 90.2211105-2CPTCODE: 28.9311463-2CPTCODE: 1,019.760152U-8CPTCODE: 23.8210011-2CPTCODE: 123.4311106-2CPTCODE: 64.4711470-2CPTCODE: 1,049.810153U-8CPTCODE: 4,616.9510012-2CPTCODE: 90.2211107-2CPTCODE: 34.5411471-2CPTCODE: 1,232.40Page 1

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE11600-2CPTCODE: 232.4711952-2CPTCODE: 268.5012053-2CPTCODE: 380.7215111-2CPTCODE: 155.0511601-2CPTCODE: 276.5611954-2CPTCODE: 380.7212054-2CPTCODE: 480.9115115-2CPTCODE: 1,139.8111602-2CPTCODE: 340.6511960-2CPTCODE: 3,886.5312055-2CPTCODE: 531.0315116-2CPTCODE: 296.1311603-2CPTCODE: 400.7911970-2CPTCODE: 4,318.3712056-2CPTCODE: 771.4815120-2CPTCODE: 1,623.1511604-2CPTCODE: 490.9511971-2CPTCODE: 4,318.3712057-2CPTCODE: 1,042.0415121-2CPTCODE: 631.2211606-2CPTCODE: 551.0711980-2CPTCODE: 218.1413100-2CPTCODE: 300.5815130-2CPTCODE: 692.8311620-2CPTCODE: 234.4711981-2CPTCODE: 259.6913101-2CPTCODE: 350.6815131-2CPTCODE: 127.1211621-2CPTCODE: 296.5811982-2CPTCODE: 65.7113102-2CPTCODE: 82.0015135-2CPTCODE: 1,266.9211622-2CPTCODE: 330.6411983-2CPTCODE: 325.3813120-2CPTCODE: 350.6815136-2CPTCODE: 173.2011623-2CPTCODE: 400.7912001-2CPTCODE: 114.2213121-2CPTCODE: 541.0615150-2CPTCODE: 692.8311624-2CPTCODE: 511.0112002-2CPTCODE: 148.3113122-2CPTCODE: 185.3315151-2CPTCODE: 164.8211626-2CPTCODE: 691.3612004-2CPTCODE: 196.3713131-2CPTCODE: 410.7815152-2CPTCODE: 202.5511640-2CPTCODE: 276.5612005-2CPTCODE: 252.5013132-2CPTCODE: 841.6415155-2CPTCODE: 1,014.1011641-2CPTCODE: 310.5912006-2CPTCODE: 490.9513133-2CPTCODE: 403.4615156-2CPTCODE: 321.2711642-2CPTCODE: 380.7212007-2CPTCODE: 531.0313151-2CPTCODE: 531.0315157-2CPTCODE: 346.4111643-2CPTCODE: 521.0212011-2CPTCODE: 132.2513152-2CPTCODE: 901.7315200-2CPTCODE: 841.6411644-2CPTCODE: 551.0712013-2CPTCODE: 196.3713153-2CPTCODE: 428.0615201-2CPTCODE: 631.2211646-2CPTCODE: 681.3312014-2CPTCODE: 250.4813160-2CPTCODE: 1,803.5015220-2CPTCODE: 1,292.5211720-2CPTCODE: 64.4112015-2CPTCODE: 284.5614000-2CPTCODE: 791.5315221-2CPTCODE: 701.3711721-2CPTCODE: 111.3812016-2CPTCODE: 380.7214001-2CPTCODE: 1,162.2815240-2CPTCODE: 1,042.0411730-2CPTCODE: 132.2512017-2CPTCODE: 511.0114020-2CPTCODE: 781.5215241-2CPTCODE: 951.8211732-2CPTCODE: 64.0912018-2CPTCODE: 541.0614021-2CPTCODE: 1,422.7815260-2CPTCODE: 1,813.4911740-2CPTCODE: 94.1412020-2CPTCODE: 1,182.2614040-2CPTCODE: 1,102.1615261-2CPTCODE: 1,092.1111750-2CPTCODE: 541.0612021-2CPTCODE: 1,552.9914041-2CPTCODE: 1,482.8515271-2CPTCODE: 157.3311755-2CPTCODE: 123.0312031-2CPTCODE: 172.3414060-2CPTCODE: 1,342.6115272-2CPTCODE: 29.9811760-2CPTCODE: 128.2612032-2CPTCODE: 238.4414061-2CPTCODE: 1,953.7815273-2CPTCODE: 323.1011762-2CPTCODE: 571.0712034-2CPTCODE: 330.6414301-2CPTCODE: 1,898.0115274-2CPTCODE: 76.7311765-2CPTCODE: 581.1012035-2CPTCODE: 521.0214302-2CPTCODE: 399.1715275-2CPTCODE: 169.0311770-2CPTCODE: 861.6712036-2CPTCODE: 631.2214350-2CPTCODE: 1,222.3415276-2CPTCODE: 37.3211771-2CPTCODE: 1,092.1112037-2CPTCODE: 681.3315002-2CPTCODE: 300.9815277-2CPTCODE: 327.4811772-2CPTCODE: 1,703.2912041-2CPTCODE: 158.3115003-2CPTCODE: 151.8715278-2CPTCODE: 90.6011900-2CPTCODE: 56.0912042-2CPTCODE: 234.4715004-2CPTCODE: 331.0815570-2CPTCODE: 2,053.9711901-2CPTCODE: 162.3112044-2CPTCODE: 268.5015005-2CPTCODE: 166.9015572-2CPTCODE: 2,053.9711920-2CPTCODE: 116.2312045-2CPTCODE: 298.5915040-2CPTCODE: 258.4215574-2CPTCODE: 2,053.9711921-2CPTCODE: 176.3212046-2CPTCODE: 450.8815050-2CPTCODE: 370.7015576-2CPTCODE: 2,053.9711922-2CPTCODE: 268.5012047-2CPTCODE: 511.0115100-2CPTCODE: 1,112.1315600-2CPTCODE: 891.7211950-2CPTCODE: 116.2312051-2CPTCODE: 258.5015101-2CPTCODE: 320.6415610-2CPTCODE: 1,142.2311951-2CPTCODE: 176.3212052-2CPTCODE: 330.6415110-2CPTCODE: 822.7315620-2CPTCODE: 1,903.68Page 2

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE15630-2CPTCODE: 1,903.6815825-2CPTCODE: 3,446.6815950-2CPTCODE: 1,032.0017313-2CPTCODE: 681.3215650-2CPTCODE: 1,913.7115826-2CPTCODE: 1,853.5715951-2CPTCODE: 1,402.7017314-2CPTCODE: 311.9315730-2CPTCODE: 984.2715828-2CPTCODE: 6,702.9915952-2CPTCODE: 1,472.8417315-2CPTCODE: 71.1415731-2CPTCODE: 1,938.5915829-2CPTCODE: 1,853.5715953-2CPTCODE: 1,853.5717340-2CPTCODE: 66.1115733-2CPTCODE: 1,123.9415830-2CPTCODE: 2,593.9015956-2CPTCODE: 2,364.6117360-2CPTCODE: 64.0915734-2CPTCODE: 2,735.2715832-2CPTCODE: 6,702.9915958-2CPTCODE: 2,755.3417380-2CPTCODE: 120.2515736-2CPTCODE: 2,735.2715833-2CPTCODE: 6,702.9916000-2CPTCODE: 102.2119000-2CPTCODE: 98.2015738-2CPTCODE: 2,735.2715834-2CPTCODE: 6,702.9916020-2CPTCODE: 98.2019001-2CPTCODE: 64.0915740-2CPTCODE: 2,735.2715835-2CPTCODE: 6,702.9916025-2CPTCODE: 108.2119020-2CPTCODE: 531.0315750-2CPTCODE: 2,304.4915836-2CPTCODE: 6,702.9916030-2CPTCODE: 138.2819030-2CPTCODE: 102.2115756-2CPTCODE: 11,072.4215837-2CPTCODE: 3,186.1816035-2CPTCODE: 320.6419081-2CPTCODE: 254.6215757-2CPTCODE: 8,976.9715838-2CPTCODE: 3,186.1816036-2CPTCODE: 131.2719082-2CPTCODE: 123.6915758-2CPTCODE: 8,580.1715839-2CPTCODE: 3,186.1817000-2CPTCODE: 86.3619083-2CPTCODE: 239.1015760-2CPTCODE: 2,304.4915840-2CPTCODE: 4,468.6417003-3CPTCODE: 37.6919084-2CPTCODE: 116.3415769-2CPTCODE: 501.8015841-2CPTCODE: 4,468.6417004-2CPTCODE: 342.6119085-2CPTCODE: 279.6115770-2CPTCODE: 2,755.3415842-2CPTCODE: 4,468.6417110-2CPTCODE: 58.2119086-2CPTCODE: 130.8715771-2CPTCODE: 498.4015845-2CPTCODE: 5,430.5517111-2CPTCODE: 78.8019100-2CPTCODE: 130.2415772-2CPTCODE: 148.7015847-2CPTCODE: 400.8517250-2CPTCODE: 60.0919101-2CPTCODE: 691.3615773-2CPTCODE: 504.0315850-2CPTCODE: 66.1117260-2CPTCODE: 168.4219110-2CPTCODE: 831.6115774-2CPTCODE: 142.9815851-2CPTCODE: 66.1117261-2CPTCODE: 204.7019112-2CPTCODE: 831.6115775-2CPTCODE: 64.0915852-2CPTCODE: 350.6817262-2CPTCODE: 249.7719120-2CPTCODE: 791.5315777-2CPTCODE: 232.4815876-2CPTCODE: 1,432.7917263-2CPTCODE: 289.2119125-2CPTCODE: 785.4015780-2CPTCODE: 2,755.3415877-2CPTCODE: 1,432.7917264-2CPTCODE: 356.8319126-2CPTCODE: 785.4015781-2CPTCODE: 851.6715878-2CPTCODE: 1,432.7917266-2CPTCODE: 480.7719281-2CPTCODE: 255.5615782-2CPTCODE: 591.1415879-2CPTCODE: 1,432.7917270-2CPTCODE: 170.8819282-2CPTCODE: 71.9215783-2CPTCODE: 126.2415920-2CPTCODE: 1,332.5717271-2CPTCODE: 217.8319283-2CPTCODE: 149.0315786-2CPTCODE: 126.2415922-2CPTCODE: 1,723.3517272-2CPTCODE: 262.5119284-2CPTCODE: 72.3815787-2CPTCODE: 112.2215931-2CPTCODE: 1,032.0017273-2CPTCODE: 330.6419285-2CPTCODE: 126.4215788-2CPTCODE: 2,753.6815933-2CPTCODE: 1,402.7017274-2CPTCODE: 400.7919286-2CPTCODE: 67.6515789-2CPTCODE: 2,753.6815934-2CPTCODE: 1,222.3417276-2CPTCODE: 511.0119287-2CPTCODE: 198.8815792-2CPTCODE: 1,088.2215935-2CPTCODE: 1,853.5717280-2CPTCODE: 204.7019288-2CPTCODE: 92.8715793-2CPTCODE: 1,088.2215936-2CPTCODE: 1,472.8417281-2CPTCODE: 208.4019294-2CPTCODE: 174.1815819-2CPTCODE: 2,304.4915937-2CPTCODE: 1,853.5717282-2CPTCODE: 310.5919296-2CPTCODE: 998.0115820-2CPTCODE: 1,633.1515940-2CPTCODE: 1,172.2717283-2CPTCODE: 380.7219297-2CPTCODE: 499.7315821-2CPTCODE: 2,344.5415941-2CPTCODE: 1,593.0917284-2CPTCODE: 480.9119298-2CPTCODE: 1,140.3615822-2CPTCODE: 1,853.5715944-2CPTCODE: 1,472.8417286-2CPTCODE: 551.0719300-2CPTCODE: 989.1315823-2CPTCODE: 1,853.5715945-2CPTCODE: 1,853.5717311-2CPTCODE: 697.7219301-2CPTCODE: 883.7915824-2CPTCODE: 2,304.4915946-2CPTCODE: 2,715.2517312-2CPTCODE: 320.1419302-2CPTCODE: 2,461.20Page 3

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE19303-2CPTCODE: 1,279.1620520-2CPTCODE: 138.2820705-2CPTCODE: 127.1021012-2CPTCODE: 575.2719305-2CPTCODE: 2,474.8820525-2CPTCODE: 1,262.4520802-2CPTCODE: 7,735.0021013-2CPTCODE: 828.3519306-2CPTCODE: 4,417.5720526-2CPTCODE: 59.4520805-2CPTCODE: 7,735.0021014-2CPTCODE: 889.6519307-2CPTCODE: 2,468.0420527-2CPTCODE: 68.6820808-2CPTCODE: 7,735.0021015-2CPTCODE: 4,538.8319316-2CPTCODE: 4,739.1920550-2CPTCODE: 72.1620816-2CPTCODE: 8,356.2121016-2CPTCODE: 1,785.8319318-2CPTCODE: 4,739.1920551-2CPTCODE: 59.4520822-2CPTCODE: 4,148.0421025-2CPTCODE: 1,382.6919325-2CPTCODE: 2,625.1120552-2CPTCODE: 89.1820824-2CPTCODE: 8,225.9621026-2CPTCODE: 851.6719328-2CPTCODE: 1,382.6920553-2CPTCODE: 118.8920827-2CPTCODE: 4,148.0421029-2CPTCODE: 1,032.0019330-2CPTCODE: 1,102.1620555-2CPTCODE: 565.3520838-2CPTCODE: 7,284.1221030-2CPTCODE: 851.6719340-2CPTCODE: 1,232.4020560-2CPTCODE: 50.1420900-2CPTCODE: 571.0721031-2CPTCODE: 771.4819342-2CPTCODE: 1,823.5120561-2CPTCODE: 86.1220902-2CPTCODE: 3,827.4221032-2CPTCODE: 851.6719350-2CPTCODE: 2,023.9320600-2CPTCODE: 84.7320910-2CPTCODE: 1,092.1121034-2CPTCODE: 2,244.3319355-2CPTCODE: 2,023.9320604-2CPTCODE: 86.8020912-2CPTCODE: 1,653.2021040-2CPTCODE: 771.4819357-2CPTCODE: 4,047.8420605-2CPTCODE: 74.1220920-2CPTCODE: 450.8821044-2CPTCODE: 2,364.6119361-2CPTCODE: 2,625.1120606-2CPTCODE: 95.6020922-2CPTCODE: 891.7221045-2CPTCODE: 2,364.6119364-2CPTCODE: 14,277.6820610-2CPTCODE: 76.1620924-2CPTCODE: 3,827.4221046-2CPTCODE: 2,015.6619367-2CPTCODE: 10,595.0220611-2CPTCODE: 109.1820930-2CPTCODE: 579.0221047-2CPTCODE: 3,025.0119368-2CPTCODE: 10,595.0220612-2CPTCODE: 57.9320931-2CPTCODE: 579.0221048-2CPTCODE: 2,015.6619369-2CPTCODE: 10,595.0220615-2CPTCODE: 631.2220932-2CPTCODE: 759.3821049-2CPTCODE: 3,240.0019370-2CPTCODE: 951.8220650-2CPTCODE: 320.6420933-2CPTCODE: 696.7321050-2CPTCODE: 2,865.5819371-2CPTCODE: 951.8220660-2CPTCODE: 1,573.0620934-2CPTCODE: 758.9921060-2CPTCODE: 2,865.5819380-2CPTCODE: 1,222.3420661-2CPTCODE: 2,404.6420936-2CPTCODE: 579.0221070-2CPTCODE: 1,382.6920100-2CPTCODE: 790.5220662-2CPTCODE: 701.3720937-2CPTCODE: 1,910.9321100-2CPTCODE: 1,913.7120101-2CPTCODE: 1,340.8620663-2CPTCODE: 701.3720938-2CPTCODE: 1,910.9321110-2CPTCODE: 1,242.3920102-2CPTCODE: 1,340.8620664-2CPTCODE: 2,300.5320939-2CPTCODE: 71.9721116-2CPTCODE: 126.2420103-2CPTCODE: 532.4020665-2CPTCODE: 126.2420950-2CPTCODE: 298.5921120-2CPTCODE: 1,573.0620150-2CPTCODE: 882.3820670-2CPTCODE: 811.5920955-2CPTCODE: 7,213.9621121-2CPTCODE: 2,344.5420200-2CPTCODE: 284.5620680-2CPTCODE: 1,182.2620956-2CPTCODE: 6,202.7821122-2CPTCODE: 2,344.5420205-2CPTCODE: 450.8820690-2CPTCODE: 2,104.0720957-2CPTCODE: 6,202.7821123-2CPTCODE: 2,344.5420206-2CPTCODE: 190.3620692-2CPTCODE: 3,997.7420962-2CPTCODE: 7,213.9621125-2CPTCODE: 1,552.9920220-2CPTCODE: 192.3920693-2CPTCODE: 1,993.8420969-2CPTCODE: 9,819.0621127-2CPTCODE: 2,174.2420225-2CPTCODE: 891.7220694-2CPTCODE: 961.8920970-2CPTCODE: 9,819.0621137-2CPTCODE: 1,452.8320240-2CPTCODE: 701.3720696-2CPTCODE: 2,172.5620972-2CPTCODE: 8,165.8321138-2CPTCODE: 2,174.2420245-2CPTCODE: 831.6120700-2CPTCODE: 89.0720973-2CPTCODE: 8,165.8321139-2CPTCODE: 1,452.8320250-2CPTCODE: 2,675.2020701-2CPTCODE: 66.5620974-2CPTCODE: 1,943.7821141-2CPTCODE: 7,487.7420251-2CPTCODE: 2,675.2020702-2CPTCODE: 148.1420975-2CPTCODE: 1,931.9821142-2CPTCODE: 7,937.6620500-2CPTCODE: 126.2420703-2CPTCODE: 106.3521010-2CPTCODE: 2,865.5821143-2CPTCODE: 8,387.6320501-2CPTCODE: 126.2420704-2CPTCODE: 154.3221011-2CPTCODE: 530.9221145-2CPTCODE: 9,167.79Page 4

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE21146-2CPTCODE: 9,628.6721261-2CPTCODE: 8,867.2221401-2CPTCODE: 1,913.7121601-2CPTCODE: 2,631.3821147-2CPTCODE: 10,099.6121263-2CPTCODE: 9,438.3121406-2CPTCODE: 2,554.9721602-2CPTCODE: 3,621.1521150-2CPTCODE: 9,628.6721267-2CPTCODE: 7,083.7221407-2CPTCODE: 3,085.9821603-2CPTCODE: 2,508.2121151-2CPTCODE: 9,628.6721268-2CPTCODE: 8,867.2221408-2CPTCODE: 2,987.4121610-2CPTCODE: 1,342.6121154-2CPTCODE: 10,610.5721270-2CPTCODE: 2,074.0421421-2CPTCODE: 1,723.3521615-2CPTCODE: 3,246.2821155-2CPTCODE: 11,251.8121275-2CPTCODE: 4,729.1621422-2CPTCODE: 2,605.0721616-2CPTCODE: 4,839.3821159-2CPTCODE: 8,286.0821280-2CPTCODE: 1,272.4821423-2CPTCODE: 3,229.9121620-2CPTCODE: 3,246.2821160-2CPTCODE: 10,460.2921282-2CPTCODE: 1,272.4821431-2CPTCODE: 2,104.0721627-2CPTCODE: 2,865.5821172-2CPTCODE: 3,516.8321295-2CPTCODE: 1,653.2021432-2CPTCODE: 4,218.1921630-2CPTCODE: 4,839.3821175-2CPTCODE: 3,516.8321296-2CPTCODE: 2,104.0721433-2CPTCODE: 5,801.2521632-2CPTCODE: 6,131.9021179-2CPTCODE: 4,839.3821310-2CPTCODE: 470.8821435-2CPTCODE: 9,568.5521685-2CPTCODE: 1,955.6321180-2CPTCODE: 5,460.6121315-2CPTCODE: 254.5121436-2CPTCODE: 10,417.1221700-2CPTCODE: 1,723.3521181-2CPTCODE: 1,032.0021320-2CPTCODE: 721.4021440-2CPTCODE: 951.8221705-2CPTCODE: 2,865.5821182-2CPTCODE: 8,937.3621325-2CPTCODE: 891.7221445-2CPTCODE: 1,833.5621720-2CPTCODE: 1,713.3021183-2CPTCODE: 8,937.3621330-2CPTCODE: 2,104.0721450-2CPTCODE: 941.8221725-2CPTCODE: 1,963.8121184-2CPTCODE: 8,937.3621335-2CPTCODE: 3,436.6621451-2CPTCODE: 1,000.9821740-2CPTCODE: 5,741.1521188-2CPTCODE: 3,106.0421336-2CPTCODE: 853.5921452-2CPTCODE: 1,896.8121742-2CPTCODE: 1,844.9021193-2CPTCODE: 6,001.6321337-2CPTCODE: 252.5021453-2CPTCODE: 1,913.7121743-2CPTCODE: 1,844.9021194-2CPTCODE: 6,622.8421338-2CPTCODE: 1,272.4821454-2CPTCODE: 3,647.0621750-2CPTCODE: 3,246.2821195-2CPTCODE: 6,562.7421339-2CPTCODE: 2,104.0721461-2CPTCODE: 2,484.8221811-2CPTCODE: 675.6721196-2CPTCODE: 7,384.3221340-2CPTCODE: 2,795.4221462-2CPTCODE: 2,725.2821812-2CPTCODE: 810.6121198-2CPTCODE: 2,274.3921343-2CPTCODE: 2,554.9721465-2CPTCODE: 1,913.7121813-2CPTCODE: 1,109.8521199-2CPTCODE: 2,067.1021344-2CPTCODE: 2,929.2221470-2CPTCODE: 4,578.8721820-2CPTCODE: 521.0221206-2CPTCODE: 2,865.5821345-2CPTCODE: 2,925.6621480-2CPTCODE: 296.5821825-2CPTCODE: 1,913.7121208-2CPTCODE: 1,643.1821346-2CPTCODE: 2,795.4221485-2CPTCODE: 480.9121920-2CPTCODE: 252.5021209-2CPTCODE: 1,532.9821347-2CPTCODE: 4,017.7621490-2CPTCODE: 1,913.7121925-2CPTCODE: 521.0221210-2CPTCODE: 3,116.0421348-2CPTCODE: 3,288.1021497-2CPTCODE: 1,402.7021930-2CPTCODE: 252.5021215-2CPTCODE: 3,116.0421355-2CPTCODE: 701.3721501-2CPTCODE: 521.0221931-2CPTCODE: 802.2621230-2CPTCODE: 1,653.2021356-2CPTCODE: 1,532.5121502-2CPTCODE: 1,342.6121932-2CPTCODE: 1,151.8521235-2CPTCODE: 1,643.1821360-2CPTCODE: 1,452.8321510-2CPTCODE: 951.8221933-2CPTCODE: 1,270.5521240-2CPTCODE: 3,947.6821365-2CPTCODE: 3,867.5021550-2CPTCODE: 252.5021935-2CPTCODE: 4,809.3321242-2CPTCODE: 4,198.1321366-2CPTCODE: 4,209.5421552-2CPTCODE: 767.0321936-2CPTCODE: 2,469.3621243-2CPTCODE: 5,911.4921385-2CPTCODE: 2,595.0421554-2CPTCODE: 1,264.0322010-2CPTCODE: 1,306.0421244-2CPTCODE: 1,843.6021386-2CPTCODE: 2,554.9721555-2CPTCODE: 126.2422015-2CPTCODE: 1,306.0421247-2CPTCODE: 5,039.7721387-2CPTCODE: 3,516.8321556-2CPTCODE: 254.5122100-2CPTCODE: 1,783.4621255-2CPTCODE: 3,116.0421390-2CPTCODE: 3,055.9321557-2CPTCODE: 4,809.3322101-2CPTCODE: 1,783.4621256-2CPTCODE: 7,083.7221395-2CPTCODE: 4,017.7621558-2CPTCODE: 2,375.4522102-2CPTCODE: 1,783.4621260-2CPTCODE: 7,083.7221400-2CPTCODE: 951.8221600-2CPTCODE: 1,342.6122103-2CPTCODE: 1,028.96Page 5

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE22110-2CPTCODE: 3,967.6822558-2CPTCODE: 5,540.7222859-2CPTCODE: 368.1323174-2CPTCODE: 2,865.5822112-2CPTCODE: 3,967.6822585-2CPTCODE: 1,342.6122900-2CPTCODE: 4,158.0623180-2CPTCODE: 1,092.1122114-2CPTCODE: 3,967.6822586-2CPTCODE: 2,981.0122901-2CPTCODE: 1,136.2023182-2CPTCODE: 1,092.1122116-2CPTCODE: 1,028.9622590-2CPTCODE: 6,131.9022902-2CPTCODE: 709.6323184-2CPTCODE: 2,865.5822206-2CPTCODE: 4,235.4522595-2CPTCODE: 6,131.9022903-2CPTCODE: 752.6823190-2CPTCODE: 1,593.0922207-2CPTCODE: 4,180.3622600-2CPTCODE: 5,432.8022904-2CPTCODE: 1,781.9123195-2CPTCODE: 1,593.0922208-2CPTCODE: 1,037.5622610-2CPTCODE: 5,300.2622905-2CPTCODE: 2,310.2223200-2CPTCODE: 3,827.4222210-2CPTCODE: 4,839.3822612-2CPTCODE: 6,609.8423000-2CPTCODE: 941.8223210-2CPTCODE: 6,061.7522212-2CPTCODE: 4,839.3822614-2CPTCODE: 1,340.8623020-2CPTCODE: 2,434.7123220-2CPTCODE: 2,925.6622214-2CPTCODE: 4,839.3822630-2CPTCODE: 6,943.4623030-2CPTCODE: 188.3723330-2CPTCODE: 128.2622216-2CPTCODE: 1,213.5922632-2CPTCODE: 1,340.8623031-2CPTCODE: 250.4823333-2CPTCODE: 687.8022220-2CPTCODE: 5,610.8822633-2CPTCODE: 3,793.6423035-2CPTCODE: 951.8223334-2CPTCODE: 1,223.0422222-2CPTCODE: 5,610.8822634-2CPTCODE: 1,180.9523040-2CPTCODE: 2,234.3323335-2CPTCODE: 1,499.2122224-2CPTCODE: 5,610.8822800-2CPTCODE: 6,502.6123044-2CPTCODE: 1,092.1123350-2CPTCODE: 128.2622226-2CPTCODE: 1,213.5922802-2CPTCODE: 6,893.3723065-2CPTCODE: 252.5023395-2CPTCODE: 4,468.6422310-2CPTCODE: 601.1722804-2CPTCODE: 7,493.1123066-2CPTCODE: 521.0223397-2CPTCODE: 4,468.6422315-2CPTCODE: 1,913.7122808-2CPTCODE: 3,418.5223071-2CPTCODE: 712.2423400-2CPTCODE: 2,554.9722318-2CPTCODE: 1,748.3122810-2CPTCODE: 6,502.6123073-2CPTCODE: 1,250.9923405-2CPTCODE: 1,783.4622319-2CPTCODE: 2,184.5822812-2CPTCODE: 6,893.3723075-2CPTCODE: 551.0723406-2CPTCODE: 2,675.2022325-2CPTCODE: 4,468.6422818-2CPTCODE: 5,769.3623076-2CPTCODE: 1,102.1623410-2CPTCODE: 2,164.2022326-2CPTCODE: 4,468.6422819-2CPTCODE: 6,929.0423077-2CPTCODE: 4,809.3323412-2CPTCODE: 3,216.2422327-2CPTCODE: 4,468.6422830-2CPTCODE: 3,306.4323078-2CPTCODE: 2,405.4423415-2CPTCODE: 871.6822328-2CPTCODE: 1,340.8622840-2CPTCODE: 5,430.5423100-2CPTCODE: 2,434.7123420-2CPTCODE: 3,643.0622505-2CPTCODE: 521.0222841-2CPTCODE: 3,472.2923101-2CPTCODE: 1,092.1123430-2CPTCODE: 2,675.2022510-2CPTCODE: 2,046.9222842-2CPTCODE: 5,446.5623105-2CPTCODE: 3,316.4523440-2CPTCODE: 2,675.2022511-2CPTCODE: 2,025.5022843-2CPTCODE: 5,411.9023106-2CPTCODE: 1,472.8423450-2CPTCODE: 3,667.0922512-2CPTCODE: 1,131.3022844-2CPTCODE: 5,879.7723107-2CPTCODE: 2,234.3323455-2CPTCODE: 4,158.0622513-2CPTCODE: 635.1622845-2CPTCODE: 2,155.2023120-2CPTCODE: 1,593.0923460-2CPTCODE: 4,468.6422514-2CPTCODE: 593.0122846-2CPTCODE: 3,095.8623125-2CPTCODE: 1,593.0923462-2CPTCODE: 4,017.7622515-2CPTCODE: 265.9022847-2CPTCODE: 3,536.8223130-2CPTCODE: 1,603.0923465-2CPTCODE: 3,827.4222532-2CPTCODE: 4,439.4522848-2CPTCODE: 1,340.8623140-2CPTCODE: 1,342.6123466-2CPTCODE: 3,827.4222533-2CPTCODE: 4,237.4522849-2CPTCODE: 4,789.2923145-2CPTCODE: 1,963.8123470-2CPTCODE: 4,328.4222534-2CPTCODE: 1,021.9622850-2CPTCODE: 3,476.7523146-2CPTCODE: 1,593.0923472-2CPTCODE: 5,420.5422548-2CPTCODE: 6,131.9022852-2CPTCODE: 4,941.6023150-2CPTCODE: 3,516.8323473-2CPTCODE: 2,890.9022551-2CPTCODE: 4,719.4422853-2CPTCODE: 284.3923155-2CPTCODE: 5,300.2623474-2CPTCODE: 3,629.8022552-2CPTCODE: 1,558.4122854-2CPTCODE: 368.1323156-2CPTCODE: 4,158.0623480-2CPTCODE: 2,234.3322554-2CPTCODE: 5,823.0522855-2CPTCODE: 2,043.9623170-2CPTCODE: 1,402.7023485-2CPTCODE: 2,675.2022556-2CPTCODE: 6,943.4622858-2CPTCODE: 681.4123172-2CPTCODE: 1,092.1123490-2CPTCODE: 1,913.71Page 6

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE23491-2CPTCODE: 2,815.4724000-2CPTCODE: 2,053.9724305-2CPTCODE: 1,342.6124538-2CPTCODE: 2,224.3323500-2CPTCODE: 380.7224006-2CPTCODE: 2,376.3324310-2CPTCODE: 1,092.1124545-2CPTCODE: 3,126.0523505-2CPTCODE: 551.0724065-2CPTCODE: 254.5124320-2CPTCODE: 2,755.3424546-2CPTCODE: 2,987.4123515-2CPTCODE: 1,683.2824066-2CPTCODE: 521.0224330-2CPTCODE: 2,675.2024560-2CPTCODE: 450.8823520-2CPTCODE: 254.5124071-2CPTCODE: 691.3824331-2CPTCODE: 3,516.8324565-2CPTCODE: 891.7223525-2CPTCODE: 631.2224073-2CPTCODE: 1,188.3824332-2CPTCODE: 1,218.6524566-2CPTCODE: 1,532.9823530-2CPTCODE: 1,593.0924075-2CPTCODE: 651.2624340-2CPTCODE: 2,234.3324575-2CPTCODE: 1,963.8123532-2CPTCODE: 1,783.4624076-2CPTCODE: 1,192.3224341-2CPTCODE: 2,525.3324576-2CPTCODE: 571.0723540-2CPTCODE: 631.2224077-2CPTCODE: 4,809.3324342-2CPTCODE: 3,126.0524577-2CPTCODE: 1,052.0323545-2CPTCODE: 771.4824079-2CPTCODE: 2,216.3024343-2CPTCODE: 2,269.8924579-2CPTCODE: 2,865.5823550-2CPTCODE: 1,813.4924100-2CPTCODE: 1,212.3324344-2CPTCODE: 4,477.1624582-2CPTCODE: 1,532.9823552-2CPTCODE: 1,953.7824101-2CPTCODE: 1,793.4824345-2CPTCODE: 2,269.8924586-2CPTCODE: 4,538.8323570-2CPTCODE: 350.6824102-2CPTCODE: 2,224.3324346-2CPTCODE: 4,477.1624587-2CPTCODE: 4,538.8323575-2CPTCODE: 771.4824105-2CPTCODE: 901.7324357-2CPTCODE: 682.0824600-2CPTCODE: 370.7023585-2CPTCODE: 1,913.7124110-2CPTCODE: 2,224.3324358-2CPTCODE: 981.1424605-2CPTCODE: 771.4823600-2CPTCODE: 1,021.9724115-2CPTCODE: 2,755.3424359-2CPTCODE: 1,082.1424615-2CPTCODE: 2,234.3323605-2CPTCODE: 1,583.0924116-2CPTCODE: 2,364.6124360-2CPTCODE: 4,588.9124620-2CPTCODE: 891.7223615-2CPTCODE: 2,815.4724120-2CPTCODE: 1,783.4624361-2CPTCODE: 3,827.4224635-2CPTCODE: 2,354.5623616-2CPTCODE: 2,929.2224125-2CPTCODE: 2,234.3324362-2CPTCODE: 3,827.4224640-2CPTCODE: 180.3323620-2CPTCODE: 350.6824126-2CPTCODE: 1,963.8124363-2CPTCODE: 5,670.9924650-2CPTCODE: 771.4823625-2CPTCODE: 771.4824130-2CPTCODE: 2,053.9724365-2CPTCODE: 1,402.7024655-2CPTCODE: 941.8223630-2CPTCODE: 1,963.8124134-2CPTCODE: 2,675.2024366-2CPTCODE: 2,234.3324665-2CPTCODE: 2,023.9323650-2CPTCODE: 721.4024136-2CPTCODE: 1,783.4624370-2CPTCODE: 3,190.5824666-2CPTCODE: 2,675.2023655-2CPTCODE: 901.7324138-2CPTCODE: 1,342.6124371-2CPTCODE: 3,676.5024670-2CPTCODE: 320.6423660-2CPTCODE: 2,865.5824140-2CPTCODE: 2,675.2024400-2CPTCODE: 2,234.3324675-2CPTCODE: 701.3723665-2CPTCODE: 591.1424145-2CPTCODE: 1,783.4624410-2CPTCODE: 2,554.9724685-2CPTCODE: 1,633.1523670-2CPTCODE: 2,675.2024147-2CPTCODE: 1,342.6124420-2CPTCODE: 3,516.8324800-2CPTCODE: 3,576.9223675-2CPTCODE: 891.7224149-2CPTCODE: 1,738.6724430-2CPTCODE: 3,827.4224802-2CPTCODE: 4,017.7623680-2CPTCODE: 3,757.3024150-2CPTCODE: 6,061.7524435-2CPTCODE: 4,468.6424900-2CPTCODE: 2,234.3323700-2CPTCODE: 841.6424152-2CPTCODE: 4,017.7624470-2CPTCODE: 2,234.3324920-2CPTCODE: 1,963.8123800-2CPTCODE: 3,957.6624155-2CPTCODE: 3,316.4524495-2CPTCODE: 1,963.8124925-2CPTCODE: 701.3723802-2CPTCODE: 4,468.6424160-2CPTCODE: 1,342.6124498-2CPTCODE: 2,815.4724930-2CPTCODE: 2,234.3323900-2CPTCODE: 5,109.8824164-2CPTCODE: 891.7224500-2CPTCODE: 781.5224931-2CPTCODE: 2,675.2023920-2CPTCODE: 3,827.4224200-2CPTCODE: 118.2324505-2CPTCODE: 1,142.2324935-2CPTCODE: 1,843.6023921-2CPTCODE: 701.3724201-2CPTCODE: 651.2624515-2CPTCODE: 2,815.4724940-2CPTCODE: 3,827.4223930-2CPTCODE: 188.3724220-2CPTCODE: 126.2424516-2CPTCODE: 2,696.4525000-2CPTCODE: 1,052.0323931-2CPTCODE: 126.2424300-2CPTCODE: 553.7824530-2CPTCODE: 791.5325001-2CPTCODE: 913.5723935-2CPTCODE: 951.8224301-2CPTCODE: 2,625.1124535-2CPTCODE: 1,142.2325020-2CPTCODE: 941.82Page 7

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE25023-2CPTCODE: 1,963.8125210-2CPTCODE: 1,292.5225393-2CPTCODE: 3,516.8325605-2CPTCODE: 911.7525024-2CPTCODE: 439.5925215-2CPTCODE: 2,234.3325394-2CPTCODE: 1,168.5725606-2CPTCODE: 1,101.3225025-2CPTCODE: 1,877.2125230-2CPTCODE: 1,402.7025400-2CPTCODE: 2,484.8225607-2CPTCODE: 1,065.7425028-2CPTCODE: 188.3725240-2CPTCODE: 1,402.7025405-2CPTCODE: 2,925.6625608-2CPTCODE: 1,123.2025031-2CPTCODE: 126.2425246-2CPTCODE: 126.2425415-2CPTCODE: 3,316.4525609-2CPTCODE: 1,247.7025035-2CPTCODE: 941.8225248-2CPTCODE: 831.6125420-2CPTCODE: 3,827.4225622-2CPTCODE: 521.0225040-2CPTCODE: 2,053.9725250-2CPTCODE: 831.6125425-2CPTCODE: 2,755.3425624-2CPTCODE: 991.9325065-2CPTCODE: 252.5025251-2CPTCODE: 1,272.4825426-2CPTCODE: 3,516.8325628-2CPTCODE: 2,033.9625066-2CPTCODE: 521.0225259-2CPTCODE: 384.8325430-2CPTCODE: 821.2925630-2CPTCODE: 480.9125071-2CPTCODE: 723.9825260-2CPTCODE: 1,304.2625431-2CPTCODE: 1,805.2525635-2CPTCODE: 751.4625073-2CPTCODE: 901.4025263-2CPTCODE: 1,828.0425440-2CPTCODE: 2,755.3425645-2CPTCODE: 1,913.7125075-2CPTCODE: 841.6425265-2CPTCODE: 2,742.0525441-2CPTCODE: 1,653.2025650-2CPTCODE: 450.8825076-2CPTCODE: 1,192.3225270-2CPTCODE: 1,057.7725442-2CPTCODE: 1,643.1825651-2CPTCODE: 481.8125077-2CPTCODE: 4,809.3325272-2CPTCODE: 1,304.2625443-2CPTCODE: 1,913.7125652-2CPTCODE: 600.7125078-2CPTCODE: 1,933.2225274-2CPTCODE: 1,828.0425444-2CPTCODE: 1,913.7125660-2CPTCODE: 771.4825085-2CPTCODE: 1,593.0925275-2CPTCODE: 1,088.7825445-2CPTCODE: 1,913.7125670-2CPTCODE: 1,963.8125100-2CPTCODE: 1,212.3325280-2CPTCODE: 1,532.9825446-2CPTCODE: 4,017.7625671-2CPTCODE: 913.5725101-2CPTCODE: 1,212.3325290-2CPTCODE: 1,092.1125447-2CPTCODE: 2,845.5125675-2CPTCODE: 701.3725105-2CPTCODE: 1,913.7125295-2CPTCODE: 1,402.7025449-2CPTCODE: 1,913.7125676-2CPTCODE: 1,402.7025107-2CPTCODE: 1,532.9825300-2CPTCODE: 2,434.7125450-2CPTCODE: 1,342.6125680-2CPTCODE: 1,342.6125109-2CPTCODE: 596.5025301-2CPTCODE: 2,104.0725455-2CPTCODE: 1,913.7125685-2CPTCODE: 1,913.7125110-2CPTCODE: 771.4825310-2CPTCODE: 2,104.0725490-2CPTCODE: 2,234.3325690-2CPTCODE: 1,092.1125111-2CPTCODE: 991.9325312-2CPTCODE: 2,434.7125491-2CPTCODE: 1,963.8125695-2CPTCODE: 1,653.2025112-2CPTCODE: 1,212.3325315-2CPTCODE: 2,434.7125492-2CPTCODE: 3,005.8625800-2CPTCODE: 2,484.8225115-2CPTCODE: 2,314.4625316-2CPTCODE: 3,316.4525500-2CPTCODE: 581.1025805-2CPTCODE: 3,055.9325116-2CPTCODE: 2,304.4925320-2CPTCODE: 3,647.0625505-2CPTCODE: 771.4825810-2CPTCODE: 3,055.9325118-2CPTCODE: 1,102.1625332-2CPTCODE: 3,108.1125515-2CPTCODE: 2,234.3325820-2CPTCODE: 2,484.8225119-2CPTCODE: 1,913.7125335-2CPTCODE: 3,647.0625520-2CPTCODE: 1,765.3025825-2CPTCODE: 3,005.8625120-2CPTCODE: 1,753.3925337-2CPTCODE: 2,439.3625525-2CPTCODE: 2,560.6725830-2CPTCODE: 2,927.2125125-2CPTCODE: 2,194.2525350-2CPTCODE: 1,913.7125526-2CPTCODE: 2,560.6725900-2CPTCODE: 1,913.7125126-2CPTCODE: 1,913.7125355-2CPTCODE: 2,675.2025530-2CPTCODE: 490.9525905-2CPTCODE: 1,783.4625130-2CPTCODE: 1,212.3325360-2CPTCODE: 2,234.3325535-2CPTCODE: 981.9025907-2CPTCODE: 701.3725135-2CPTCODE: 1,653.2025365-2CPTCODE: 3,126.0525545-2CPTCODE: 1,963.8125909-2CPTCODE: 1,963.8125136-2CPTCODE: 1,653.2025370-2CPTCODE: 3,126.0525560-2CPTCODE: 651.2625915-2CPTCODE: 1,913.7125145-2CPTCODE: 1,783.4625375-2CPTCODE: 3,957.6625565-2CPTCODE: 1,242.3925920-2CPTCODE: 1,913.7125150-2CPTCODE: 1,783.4625390-2CPTCODE: 2,234.3325574-2CPTCODE: 2,871.0025922-2CPTCODE: 701.3725151-2CPTCODE: 1,783.4625391-2CPTCODE: 2,755.3425575-2CPTCODE: 3,296.3825924-2CPTCODE: 1,913.7125170-2CPTCODE: 3,827.4225392-2CPTCODE: 3,126.0525600-2CPTCODE: 721.4025927-2CPTCODE: 1,593.09Page 8

2021 Alabama Workers' Compensation Prevailing Rate/MaximumFee Schedule for Physicians effective March 1, 2021CPT CODE MAX FEE CPT CODEMAX FEECPT CODEMAX FEE CPT CODE MAX FEE25929-2CPTCODE: 571.0726205-2CPTCODE: 1,783.4626450-2CPTCODE: 852.3926548-2CPTCODE: 1,402.7025931-2CPTCODE: 1,593.0926210-2CPTCODE: 1,272.4826455-2CPTCODE: 585.3926550-2CPTCODE: 5,600.8326010-2CPTCODE: 128.2626215-2CPTCODE: 1,643.1826460-2CPTCODE: 585.3926551-2CPTCODE: 6,596.1126011-2CPTCODE: 282.5126230-2CPTCODE: 1,092.1126471-2CP

cpt code:11740-2 94.14 cpt code:11750-2 541.06 cpt code:11755-2 123.03 cpt code:11760-2 128.26 cpt code:11762-2 571.07 cpt code:11765-2 581.10 cpt code:11770-2 861.67 cpt code:11771-2 1,092.11 cpt code:11772-2 1,703.29 cpt code:11900-2 56.09 cpt code:11901-2 162.31 cpt code:11920-2 116.23 cpt code

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