January 2000 Wisconsin Worker's Compensation Hospital Radiology Data Base 

The certified formula amounts shown in the radiology data base only reflect the technical component of the service. These amounts do not include the professional components or other related charges.  This should be considered when reviewing hospital bill and making any re-imbursements using the certified amounts in this radiology data base.

To aid you in finding the certified formula amount you're looking for:  go to the toolbar at the top of the screen, click on Edit, click on Find (on this Page), enter the CPT Code that would be in the name and then click on the Find Next Button.  Continue clicking until you reach the address you're looking for. 

January 2000 CPT Code: