Home Infusion Therapy Fees

Section 5012(d) of the 21st Century Cures Act (Pub. L 144-255) amended sections 1861(s)(2) and 1861(iii) of the Social Security Act (the Act), requiring the Secretary to establish a new Medicare home infusion therapy services benefit. The Medicare home infusion therapy services benefit covers the professional services, including nursing services, furnished in accordance with the plan of care, patient training and education (not otherwise covered under the durable medical equipment benefit), remote monitoring, and monitoring services for the provision of home infusion therapy services and home infusion drugs furnished by a qualified home infusion therapy supplier.

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2021 Home Infusion Therapy Fees

State/Locality/Counties G0068 G0069 G0070 G0088 G0089 G0090
Hawaii $168.99 $228.33 $284.06 $205.52 $277.69 $345.47
Nevada $163.06 $220.33 $274.10 $198.32 $267.95 $333.35
Northern California
Area 05 - San Francisco County
$186.29 $251.71 $313.14 $226.56 $306.11 $380.84
Northern California
Area 06 - San Mateo County
$186.29 $251.71 $313.14 $226.56 $306.11 $380.84
Northern California
Area 07 - Alameda and Contra Costa Counties
$186.29 $251.71 $313.14 $226.56 $306.11 $380.84
Northern California
Area 09 - Santa Clara County
$191.42 $258.63 $321.75 $232.80 $314.54 $391.31
Northern California
Area 51 - Napa County
$176.20 $238.07 $296.18 $214.29 $289.53 $360.21
Northern California
Area 52 - Marin County
$184.85 $249.76 $310.71 $224.81 $303.74 $377.89
Northern California
Area 53 - Solano County
$176.20 $238.07 $296.18 $214.29 $289.53 $360.21
Northern California
Area 54 - Kern County
$165.63 $223.79 $278.40 $201.43 $272.16 $338.59
Northern California
Area 55 - Butte County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 56 - Fresno County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 57 - Kings County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 58 - Madera County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 59 - Merced County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 60 - Stanislaus County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 61 - Shasta County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 62 - Riverside and San Bernardino Counties
$166.43 $224.87 $279.75 $202.41 $273.48 $340.23
Northern California
Area 63 - Placer and Sacramento Counties
$165.95 $224.22 $278.94 $201.82 $272.69 $339.25
Northern California
Area 64 - Monterey County
$170.91 $230.93 $287.29 $207.86 $280.85 $349.40
Northern California
Area 65 - San Benito County
$188.05 $254.09 $316.10 $228.71 $309.01 $384.44
Northern California
Area 66 - Santa Cruz County
$173.96 $235.04 $292.41 $211.56 $285.85 $355.62
Northern California
Area 67 - Sonoma County
$172.19 $232.66 $289.44 $209.42 $282.95 $352.02
Northern California
Area 68 - San Joaquin County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 69 - Tulare County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 70 - Sutter County
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Northern California
Area 75 - All Other Counties
$164.34 $222.06 $276.25 $199.88 $270.05 $335.97
Southern California
Area 17 - Ventura County
$173.31 $234.18 $291.33 $210.78 $284.79 $354.31
Southern California
Area 18 - Los Angeles County
$174.92 $236.34 $294.02 $212.73 $287.43 $357.59
Southern California
Area 26 - Orange County
$174.92 $236.34 $294.02 $212.73 $287.43 $357.59
Southern California
Area 71 - Imperial County
$164.50 $222.27 $276.52 $200.07 $270.32 $336.30
Southern California
Area 72 - San Diego County
$170.75 $230.71 $287.02 $207.67 $280.58 $349.07
Southern California
Area 73 - San Luis Obispo County
$165.79 $224.01 $278.67 $201.63 $272.42 $338.92
Southern California
Area 74 - Santa Barbara County
$171.87 $232.23 $288.91 $209.03 $282.42 $351.36

 

Last Updated Wed, 20 Jan 2021 20:14:43 +0000