Fee Schedules - JA DME
A fee schedule is a complete listing of fees used by Medicare to pay suppliers. This comprehensive listing of fee maximums is used to reimburse a supplier for an item or service. To access the most current fee schedules, select the appropriate Noridian or CMS link(s) below.
DMEPOS Fees - View Medicare DMEPOS Fee Schedules
Drug, Pharmacy Supply and Dispensing Fees - View ASP, pharmacy supply and dispensing fees
Fee Schedule Lookup Tool - Find DMEPOS, Drug or PEN fees. Select applicable state and enter HCPCS to view
Labor Payment Rates - View allowed payment amounts for HCPCS K0739, L4205 and L7520
Oral Anti-Cancer Drug Fees - View oral anti-cancer drug fees
Parenteral and Enteral Nutrition (PEN) Fees - View fees for PEN Items and Services
Pricing - View the three DMEPOS payment methodologies, Gap Filling, Reasonable Charges, Customary Charges, Prevailing Charges, Individual Consideration, Not Otherwise Classified (NOC) Miscellaneous Codes
Resources and Updates
Note: Every effort is made to ensure the accuracy of this information up to our publication; however Noridian is not responsible for any errors or subsequent changes. Inclusion or exclusion of a fee schedule amount for an item or service does not imply coverage. Noridian does not guarantee eligibility for reimbursement based on using this information. Reimbursement is based on factors, including, but not limited to: diagnosis, medical necessity for the DMEPOS item and the Medicare program coverage guidelines.
Noridian does not guarantee eligibility for reimbursement based on using this information. Reimbursement is based on factors including, but not limited to: disease diagnosis, medical necessity for the DMEPOS item and the Medicare program coverage guidelines.
Quarter 1 = January 1 - March 31
Quarter 2 = April 1 - June 30
Quarter 3 = July 1 - September 30
Quarter 4 = October 1 - December 31
Last Updated Fri, 22 Apr 2022 16:57:20 +0000
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