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Illinois Medicare MPFSDB Fee Changes

April 1, 2004

Procedure codes 89220 and 89230 are changed from status “X” (statutory exclusion) to status “A” (active). Please refer to the following table for the participating amount information.

Code/MOD Locality PAR Amount
89220 IL-12 $15.08
89220 IL-12 $16.46
89220 IL-15 $17.23
89220 IL-15 $18.83
89220 IL-16 $17.68
89220 IL-16 $19.31
89220 IL-99 $14.15
89220 IL-99 $15.48

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