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Archived DME Fee Schedules
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Archived DME Fee Schedules
Page Content
2021 Fee Schedule
DME Fee Schedule Updated 04/20/2022 (pdf)
(xls)
DME Fee Schedule Updated 01/11/2022 (pdf)
(xls)
DME Fee Schedule Updated 04/05/2021 (pdf)
(xls)
Fee Schedule Key Updated 04/05/2021 (pdf)
2020 Fee Schedule
DME Fee Schedule Updated 09/25/2020 (pdf)
(xls)
Fee Schedule Key Updated 09/25/2020 (pdf)
2019 Fee Schedule
DME Fee Schedule Updated 11/13/2019 (pdf)
(xls)
Fee Schedule Key Updated 11/13/2019 (pdf)
DME Fee Schedule Updated 07/24/2019 (pdf)
(xls)
DME Fee Schedule Key (pdf)
2018 Fee Schedule
DME Fee Schedule (pdf)
DME Fee Schedule Key Updated 12/01/2018 (pdf)
Instructions for Reading Attachments (pdf)
2017 Fee Schedule
DME Fee Schedule (pdf)
DME Items Requiring a Face-to-Face Encounter (pdf)
2016 Archived Fee Schedule
Complete List Sorted by HCPCS Code (pdf) (xlsx)
2015 Archived Fee Schedules
Complete List Sorted By HCPCS Code (pdf)
Instructions for Reading Attachments
Wheelchair Fee Schedule
Sorted By HCPCS Code (pdf)
DME Supplies Required to be Billed Through the Pharmacy System
DME Supplies Required to be Billed Through the Pharmacy System (pdf)
2014 Archived Fee Schedules
Complete List Sorted By HCPCS Code (pdf)
Wheelchair ONLY - Listed By HCPCS Code (pdf)
2013 Archived Fee Schedules
Complete List Sorted By HCPCS Code (pdf)
Wheelchair ONLY - Listed By HCPCS Code (pdf)
xxMedicaid Reimbursement
Medical Providers Home
Medicaid Reimbursement Home
Archived DME Fee Schedules
Currently selected
2016 Practitioner Fee Schedule
2017 Practitioner Fee Schedule
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