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  Wednesday, February 21, 2024
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Fee Schedules (40 rows returned) List
 
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Fee Schedules (40 rows returned)

 
 TitleFile TypeSize (KB)Release Date 
Anesthesia & Base Units - Part II Schedule of Maximum Allowable PaymentPDF368.101/01/2024 
Anesthesia CPT & Base Units - PDFPDF120.101/01/2024 
Durable Medical Equipment Fee Schedule - ExcelXLSX108.701/01/2024 
Durable Medical Equipment Fee Schedule - PDFPDF464.501/01/2024 
Lab Max Allowable - Fee SchedulePDF691.701/01/2024 
Orthotic and Prosthetic Fee Schedule - ExcelXLSX12601/01/2024 
Orthotic and Prosthetic Fee Schedule - PDFPDF560.301/01/2024 
Outpatient - Site of Service - Maximum Allowable PaymentPDF327.201/01/2024 
Physician Fee Schedule - ExcelXLSX318.301/01/2024 
Physician Fee Schedule - PDFPDF2286.101/01/2024 
Portable X-Rays and CT Scans Fee Schedule - ExcelXLSX13.901/01/2024 
Portable X-Rays and CT Scans Fee Schedule - PDFPDF105.901/01/2024 
Provider's Administered Drug List - COVID-19 Monoclonal AntibodiesPDF206.401/01/2024 
Provider's Administered Drug List - COVID-19 Monoclonal Antibodies - ExcelXLSX55.701/01/2024 
Provider's Administered Drug List - ExcelXLSX70.501/01/2024 
Provider's Administered Drug List - PDFPDF455.101/01/2024 
Zipped Fee Schedules - 4th Quarter 2023ZIP4218.201/01/2024 
Zipped Fee Schedules - 3rd Quarter 2023ZIP3776.510/01/2023 
Zipped Fee Schedules - 2nd Quarter 2023ZIP6719.207/01/2023 
Zipped Fee Schedules - 1st Quarter 2023ZIP4881.604/01/2023 
Provider's Administered Drug List - COVID-19 Vaccine Administration CodesPDF127.901/01/2023 
Zipped Fee Schedules - 4th Quarter 2022ZIP4799.901/01/2023 
Zipped Fee Schedules - 3rd Quarter 2022ZIP4164.510/01/2022 
Zipped Fee Schedules - 2nd Quarter 2022ZIP2393.806/30/2022 
Zipped Fee Schedules - 1st Quarter 2022ZIP3795.704/01/2022 
Anesthesia CPT & Base Units - ExcelXLSX18.901/01/2022 
Zipped Fee Schedules - 4th Quarter 2021ZIP390101/01/2022 
Zipped Fee Schedules - 3rd Quarter 2021ZIP5312.610/01/2021 
Primary Care and OBGYN codes Updated to 2020 Medicare Rate (Effective 7/1/2021)PDF69.407/01/2021 
Zipped Fee Schedules - 2nd Quarter 2021ZIP4968.207/01/2021 
Zipped Fee Schedules - 1st Quarter 2019 ZIP3974.304/01/2019 
Zipped Medicaid Policy Manuals 2019 - 2nd Quarter - Fee SchedulesZIP3580.104/01/2019 
Zipped Fee Schedules - 2018ZIP17250.612/31/2018 
House Bill 44 PCP Rate IncreasePDF520.401/01/2018 
Zipped Fee Schedules - 2017ZIP1190801/01/2018 
House Bill 751 PCP Rate Increase - July 2016PDF199.407/01/2016 
House Bill 76 PCP Rate Increase - July 2015PDF26807/01/2015 
Zipped Fee Schedules - 2014 thru 2016ZIP19031.412/31/2014 
Zipped Fee Schedules - 2010 thru 2013 ExcelZIP4451.608/26/2013 
Zipped Fee Schedules - 2010 thru 2013 PDFZIP14844.608/26/2013 
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