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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 Schedule​Effective Date (Beginning)​
Air Ambulance Rate Memo​​


1-1-20
1-1-19
​1-1-17
Ambulance Fee Schedule
1​-1-24
7-1-23
1-1-23
1-1-22
1-1-21
1-1-20
1-1-19
1-1-18
2-20-14
​​​​4-9-13
7-1-11
​APC/OPPS Rates
1-1​-24
8-1-23
2-23-23
1-1-22
ASC Fee Schedule

1-1​-24
7-1-23
1-1-23
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

1-1-1​5
1-1-14
2-1-13
1-1-12
1-1-11
1-1-09
7-1-05
​​Clinical Lab Fee Schedule
1-1​-24​
7-1-23
​1-1-23
1-1-22
1-1-21
1-1-20
1-1-19
1-1-17
​1-1-15
1-1-14
2-1-13
1-1-12
1-1-11
1-1-10
1-1-07
Critical Care Access Hospitals Fee Schedule


7-1-​23
6-1-23
3​-1-23
2​-1-23
1-1-2​3
​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




1-1-157-1-05

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
23 Add
1-1-23
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