Fee Schedules

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. Providers may access the most current fee schedules from the link(s) below.

Medicare Physician Fee Schedule (MPFS) - View the Medicare Part B Physician Fee Schedules.

Ambulance - View fees that apply to all ambulance services.

Ambulatory Surgical Center (ASC) - View ASC Payment Rates.

Anesthesia Conversion Factors - View the anesthesia conversion factors (CF) for specific localities.

Clinical Diagnostic Laboratory - View the Outpatient Diagnostic Laboratory services fee schedule.

Part B Drug Average Sales Price – View reimbursement for Part B Drugs and Vaccines.

Contractor Status Codes (C-Status) - View contractor priced codes.

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule & Labor Payment - Access the DMEPOS Fee Schedules, Labor Payment, and Jurisdiction lists.

Radiopharmaceutical - View the reimbursement and invoice submission requirements.

Home Infusion Therapy Fees - View the Home Infusion Therapy (HIT) fees.

Opioid Treatment Program (OTP) - View the OTP fees.

Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services - View MPPR allowed amounts for select therapy services paid.

Allowed Amount Reductions – View possible reasons an allowed amount is reduced.

 

Last Updated Aug 29 , 2023

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