Fee Schedules (53 rows returned) List
| | | » | Fee Schedules (53 rows returned) |
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| Allowable CPT Anesthesia Base Units | PDF | 249.7 | 04/01/2025 | |
| Durable Medical Equipment Services Fee Schedule - (Excel) | XLSX | 115 | 04/01/2025 | |
| Durable Medical Equipment Services Fee Schedule - (PDF) | PDF | 497.9 | 04/01/2025 | |
| Lab Max Allowable | PDF | 695.8 | 04/01/2025 | |
| Orthotic & Prosthetic (O&P) Services Fee Schedule - (Excel) | XLSX | 126.1 | 04/01/2025 | |
| Orthotic & Prosthetic (O&P) Services Fee Schedule - (PDF) | PDF | 473.1 | 04/01/2025 | |
| Outpatient - Site of Service- Maximum Allowable Payment | PDF | 332.3 | 04/01/2025 | |
| Physician Fee Schedule (Enhanced Rate Crosswalk) - Excel | XLSX | 161.1 | 04/01/2025 | |
| Physician Fee Schedule (Enhanced Rate Crosswalk) - PDF | PDF | 116.4 | 04/01/2025 | |
| Physician Fee Schedule - Excel | XLSX | 304.8 | 04/01/2025 | |
| Physician Fee Schedule - PDF | PDF | 2303.5 | 04/01/2025 | |
| Portable X-Rays and CT Scans Fee Schedule - PDF | PDF | 92.4 | 04/01/2025 | |
| Provider's Administered Drug List - COVID-19 Monoclonal Antibodies - Excel | XLSX | 36 | 04/01/2025 | |
| Provider's Administered Drug List - COVID-19 Monoclonal Antibodies - PDF | PDF | 187.9 | 04/01/2025 | |
| Provider's Administered Drug List - Excel | XLSX | 68 | 04/01/2025 | |
| Provider's Administered Drug List - PDF | PDF | 573.8 | 04/01/2025 | |
| Provider's Administered Drug List - Vaccines - Excel | XLSX | 15.9 | 04/01/2025 | |
| Provider's Administered Drug List - Vaccines - PDF | PDF | 121.8 | 04/01/2025 | |
| Zipped Fee Schedule - 1st Quarter 2025 | ZIP | 4788.5 | 04/01/2025 | |
| Anesthesia CPT & Base Units - PDF | PDF | 120.8 | 10/01/2024 | |
| Portable X-Rays and CT Scans Fee Schedule - Excel | XLSX | 14.4 | 10/01/2024 | |
| Zipped Fee Schedules - 4th Quarter 2024 | ZIP | 5554.1 | 10/01/2024 | |
| Zipped Fee Schedules - 2nd Quarter 2024 | ZIP | 4187.7 | 07/01/2024 | |
| Zipped Fee Schedules - 3rd Quarter 2024 | ZIP | 4732.5 | 07/01/2024 | |
| Zipped Fee Schedules - 1st Quarter 2020 | ZIP | 4374.1 | 04/18/2024 | |
| Zipped Fee Schedules - 1st Quarter 2021 | ZIP | 4118.4 | 04/18/2024 | |
| Zipped Fee Schedules - 2nd Quarter 2020 | ZIP | 4378.1 | 04/18/2024 | |
| Zipped Fee Schedules - 3rd Quarter 2019 | ZIP | 5277.8 | 04/18/2024 | |
| Zipped Fee Schedules - 3rd Quarter 2020 | ZIP | 4351.4 | 04/18/2024 | |
| Zipped Fee Schedules - 4th Quarter 2019 | ZIP | 4662.4 | 04/18/2024 | |
| Zipped Fee Schedules - 4th Quarter 2020 | ZIP | 4209.8 | 04/18/2024 | |
| Zipped Fee Schedules - 1st Quarter 2024 | ZIP | 4754.8 | 03/29/2024 | |
| Zipped Fee Schedules - 4th Quarter 2023 | ZIP | 4218.2 | 01/01/2024 | |
| Zipped Fee Schedules - 3rd Quarter 2023 | ZIP | 3776.5 | 10/01/2023 | |
| Zipped Fee Schedules - 2nd Quarter 2023 | ZIP | 6719.2 | 07/01/2023 | |
| Zipped Fee Schedules - 1st Quarter 2023 | ZIP | 4881.6 | 04/01/2023 | |
| Zipped Fee Schedules - 4th Quarter 2022 | ZIP | 4799.9 | 01/01/2023 | |
| Zipped Fee Schedules - 3rd Quarter 2022 | ZIP | 4164.5 | 10/01/2022 | |
| Zipped Fee Schedules - 2nd Quarter 2022 | ZIP | 2393.8 | 06/30/2022 | |
| Zipped Fee Schedules - 1st Quarter 2022 | ZIP | 3795.7 | 04/01/2022 | |
| Zipped Fee Schedules - 4th Quarter 2021 | ZIP | 3901 | 01/01/2022 | |
| Zipped Fee Schedules - 3rd Quarter 2021 | ZIP | 5312.6 | 10/01/2021 | |
| Zipped Fee Schedules - 2nd Quarter 2021 | ZIP | 4968.2 | 07/01/2021 | |
| Zipped Fee Schedules - 1st Quarter 2019 | ZIP | 3974.3 | 04/01/2019 | |
| Zipped Fee Schedules - 2nd Quarter 2019 | ZIP | 3580.1 | 04/01/2019 | |
| Zipped Fee Schedules - 2018 | ZIP | 17250.6 | 12/31/2018 | |
| House Bill 44 PCP Rate Increase | PDF | 520.4 | 01/01/2018 | |
| Zipped Fee Schedules - 2017 | ZIP | 11908 | 01/01/2018 | |
| House Bill 751 PCP Rate Increase - July 2016 | PDF | 199.4 | 07/01/2016 | |
| House Bill 76 PCP Rate Increase - July 2015 | PDF | 268 | 07/01/2015 | |
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