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.

MPFS - View the Medicare Part B Physician Fee Schedules.

Ambulance - View fees that apply to all ambulance services, including volunteer, municipal, private, independent, and institutional providers, i.e., hospitals, critical access hospitals (except when it is the only ambulance service within 35 miles), and skilled nursing facilities.

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

Anesthesia Conversion Factors - View the anesthesia conversion factors (CF) which are specific to the locality where the anesthesia service is rendered.

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

Clinical Laboratory Gap Filled Codes - View Clinical Lab Gap Filled Codes and their fee amounts.

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

COVID-19 Lab Fee Schedule - View the COVID-19 Lab fees.

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

Home Infusion Therapy Fees - View the Home Infusion Therapy fees.

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

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

Radiopharmaceutical - View the reimbursement and invoice submission requirements, indication if a code is considered non-covered, and references to fees based on the CMS Average Sale Price (ASP) Drug Fee Schedule.


Last Updated Wed, 13 Jan 2021 16:08:45 +0000

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