Fee Schedules

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 ensure our supplier community has access to the most current fee schedules used by DME suppliers, select the appropriate Noridian or CMS link(s) from this page.

Fee Schedule Brief Description

DMEPOS

Medicare DMEPOS Fee Schedules

Drug, Pharmacy Supply and Dispensing

Average Sales Price, pharmacy supply and dispensing fees

Fee Schedule Lookup Tool

Use this tool to find DMEPOS, Drug or PEN fee. Select your state and enter a DME HCPCS to view

Labor Payment Rates

Allowed payment amounts for HCPCS codes K0739, L4205 and L7520

Oral Anti-Cancer Drugs

Drugs meeting requirements for coverage under the Omnibus Budget Reconciliation Act (OBRA)

Parenteral and Enteral Nutrition (PEN)

Fees for PEN Items and Services

 

Resources and Updates

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.

Note: 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.

Last Updated Aug 11, 2015