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Fee Schedules (Historic)

​​The Fee Schedules and Manuals below are historic.
If you would like to view the current Fee Schedules, please visit Fee Schedules and Manuals (Current).

Fee ScheduleEffective Date (Beginning)​
Air Ambulance Rate Memo​​
1-1-20
1-1-19

​1-1-18



Ambulance Fee Schedule
1-2-22
12-1-21
1-1-20
1-1-19
1-1-18
2-20-14
​​​​4-9-13
7-1-11
​APC/OPPS Rates
1-1-22
ASC Fee Schedule
1-1-22
1-1-21
1-1-20
1-1-19
8-4-17
1-10-11
8-1-03
Casts and Splints Fee Schedule
1-1-15
1-1-14
2-1-13
1-1-12
1-1-11
7-1-05




​​Clinical Lab Fee Schedule
1-1-22
1-1-21
1-1-20
1-1-19
1-1​-18
1-1-15
1-1-14
2-1-13
1-1-12
1-1-11

Critical Care Access Hospitals Fee Schedule
1-1-2​3
2​-1-23
3​-1-23
6-1-23
7-1-​23
​1-1-22
12-1-21
4-1-21
3-1-21



Dental Fee Schedule
9-9-19
1-1-18
1-3-17



​Dialysis Fee Schedule
1-1-15

7-1-05









DME Fee Schedule
​1-1-22
1-1-21
1-1-20
1-1-19
1-1-18
1-3-17
1-1-15
1-1-14
2-1-13
1-1-12
1-1-11
​Drugs and Biologicals Fee Schedule
1-1-22
1-1-21
1-1-20
1-1-19
4-4-18
1-1-14
2-1-13
1-1-12
1-1-11

Enteral and Parenteral Fee Schedule
1-3-17
1-1-14
2-1-13
1-1-12

1-1-10.

​Facility Fee Limits
​​7-1-18

Facility Fee Limits with Allowances and CPT Codes
7-1-18
7-1-18




​​Ground Ambulance Fee Schedule
2-19-14

7-1-08
10-1-01





Home Health Care Rates
1-1-15











​Home Infusion Therapy Fee Schedule

1-1-06









​​Hospice Reimbursement Rates
7-17-18


​Immune Globulins and Vaccine Fee Schedule
1-1-07


PEN Fee Schedule
​1-1-22
1-1-21
1-1-20
1-1-19
1-1-18
​RBRVS Fee Schedule
1-1-22
1-1-21
1-1-20
1-1-19
1-1-18
1-1-15
1-1-14
2-1-13
7-1-12
1-13-11
​RBRVS Billing Manual
1-1-21

1-1-09
Vaccine and Toxoid Fee Schedule
10-1-01