|
2022-4
Archived August 10, 2022 |
Fee Schedule: Medicine (XLS 394KB)
|
|
|
2022-3
Archived August 2, 2022 |
Fee Schedule: Medicine (XLS 382KB)
|
|
|
2022-2
2022-2
2022-2
Archived June 30, 2022 |
Fee Schedule: Drug (XLS 207KB)
Fee Schedule: Medicine (XLS 382KB)
Fee Schedule: Radiology (XLS 154KB)
|
|
|
2022-1
2022-1
Archived June 30, 2022 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1348KB)
Procedure Codes: Radiology (PDF 940KB)
|
|
|
2022-1
2022-1
2022-1
2022-1
2022-1
Archived April 19, 2022 |
Fee Schedule: Anesthesia (XLS 71KB)
Fee Schedule: Drug (XLS 204KB)
Fee Schedule: Medicine (XLS 382KB)
Fee Schedule: Radiology (XLS 154KB)
Fee Schedule: Surgery (XLS 922KB)
|
|
|
2021-3
2021-1
2021-4
2021-1
Archived April 19, 2022 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1340KB)
Procedure Codes: Radiology (PDF 940KB)
Procedure Codes: Surgery (PDF 3005KB)
Procedure Codes: Anesthesia (PDF 1966KB)
|
|
2015 - 4 (10/15/15)
Archived March 18, 2022 |
Policy Guidelines (PDF 1,122KB)
|
|
|
2021-2
2021-6
2021-6
2021-3
2021-4
Archived March 11, 2022 |
Fee Schedule: Anesthesia (XLS 74KB)
Fee Schedule: Drug (XLS 187KB)
Fee Schedule: Medicine (XLS 378KB)
Fee Schedule: Radiology (XLS 152KB)
Fee Schedule: Surgery (XLS 920KB)
|
|
|
2021-2
Archived November 19, 2021 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1336KB)
|
|
|
2021-5
Archived September 30, 2021 |
Fee Schedule: Drug (XLS 203KB)
|
|
|
2021-3
2021-3
Archived September 23, 2021 |
Fee Schedule: Surgery (XLS 920KB)
Procedure Codes: Surgery (XLS 215KB)
|
|
|
2021-4
Archived September 7, 2021 |
Fee Schedule: Drug (XLS 203KB)
|
|
|
2021-5
Archived September 7, 2021 |
Fee Schedule: Medicine (XLS 378KB)
|
|
|
2021-3
Archived August 26, 2021 |
Fee Schedule: Drug (XLS 196KB)
|
|
|
2021-4
Archived August 2, 2021 |
Fee Schedule: Medicine (XLS 376KB)
|
|
|
2021-2
2021-2
2021-3
Archived July 1, 2021 |
Fee Schedule: Radiology (XLS 153KB)
Fee Schedule: Drug (XLS 195KB)
Fee Schedule: Medicine (XLS 370KB)
|
|
|
2021-1
2021-2
Archived July 1, 2021 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1333KB)
Procedure Codes: Surgery (PDF 2152KB)
|
|
|
2021-1
Archived June 9, 2021 |
Procedure Codes: Surgery (PDF 3005KB)
|
|
|
2021-1
2021-1
2021-2
2021-1
2021-2
Archived April 27, 2021 |
Fee Schedule: Anesthesia (XLS 74KB)
Fee Schedule: Drug (XLS 187KB)
Fee Schedule: Medicine (XLS 370KB)
Fee Schedule: Radiology (XLS 152KB)
Fee Schedule: Surgery (XLS 919KB)
|
|
|
2020-2
2020-1
2020-1
2020-1
Archived April 27, 2021 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1995KB)
Procedure Codes: Radiology (PDF 1040KB)
Procedure Codes: Surgery (PDF 3005KB)
Procedure Codes: Anesthesia (PDF 833KB)
|
|
|
2021-1
2021-1
Archived January 8, 2021 |
Fee Schedule: Medicine (XLS 369KB)
Fee Schedule: Surgery (XLS 919KB)
|
|
|
2020-1
2020-5
2020-6
2020-3
2020-3
Archived January 4, 2021 |
Fee Schedule: Anesthesia (XLS 74KB)
Fee Schedule: Drug (XLS 187KB)
Fee Schedule: Medicine (XLS 370KB)
Fee Schedule: Radiology (XLS 156KB)
Fee Schedule: Surgery (XLS 919KB)
|
|
|
2020-4
2020-1
Archived September 4, 2020 |
Fee Schedule: Drug and Drug Administration (XLS 187KB)
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1058KB)
|
|
|
2019-2
2019-1
2019-1
2019-1
Archived August 17, 2020 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1995KB)
Procedure Codes: Radiology (PDF 1040KB)
Procedure Codes: Surgery (PDF 3005KB)
Procedure Codes: Anesthesia (PDF 833KB)
|
|
|
2020-5
2020-3
2020-2
2020-2
Archived August 17, 2020 |
Fee Schedule: Medicine (XLS 370KB)
Fee Schedule: Drug and Drug Administration (XLS 191KB)
Fee Schedule: Radiology (XLS 156KB)
Fee Schedule: Surgery (XLS 919KB)
|
|
|
2020-2
Archived June 5, 2020 |
Fee Schedule: Drugs (XLS 190KB)
|
|
|
2020-4
Archived May 20, 2020 |
Fee Schedule: Medicine (XLS 370KB)
|
|
|
2020-3
Archived April 30, 2020 |
Fee Schedule: Medicine (XLS 373KB)
|
|
|
2020-1
Archived April 30, 2020 |
Fee Schedule: Drugs (XLS 181KB)
|
|
|
2020-1
Archived April 30, 2020 |
Fee Schedule: Radiology (XLS 155KB)
|
|
|
2020-1
Archived April 30, 2020 |
Fee Schedule: Surgery (XLS 923KB)
|
|
|
2019-1
Archived April 30, 2020 |
Fee Schedule: Anesthesia (XLS 74KB)
|
|
|
2020-2
Archived April 13, 2020 |
Fee Schedule: Medicine (XLS 370KB)
|
|
|
2020-1
Archived March 24, 2020 |
Fee Schedule: Medicine (XLS 371KB)
|
|
|
2019-1
2019-2
2019-2
2019-3
Archived January 13, 2020 |
Fee Schedule: Medicine (XLS 355KB)
Fee Schedule: Drug and Drug Administration (XLS 181KB)
Fee Schedule: Radiology (XLS 150KB)
Fee Schedule: Surgery (XLS 914KB)
|
|
|
2019-1
Archived December 18, 2019 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1154KB)
|
|
|
2019-2 (04/01/19)
Archived August 28, 2019 |
Fee Schedule: Surgery (XLS 913KB)
|
|
|
2018-1
2018-1
2018-1
2018-1
Archived March 22, 2019 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1264KB)
Procedure Codes: Radiology (PDF 649KB)
Procedure Codes: Surgery (PDF 1111KB)
Procedure Codes: Anesthesia (PDF 512KB)
|
|
|
2019-1 (01/01/19)
2019-1 (01/01/19)
2019-1 (01/01/19)
Archived March 22, 2019 |
Fee Schedule: Drug & Drug Administration (XLS 177KB)
Fee Schedule: Radiology (XLS 149KB)
Fee Schedule: Surgery (XLS 913KB)
|
|
|
2018-2 (04/01/18)
2018-2 (04/01/18)
2018-1 (01/01/18)
2018-2 (04/01/18)
2018-1 (01/01/18)
Archived December 27, 2018 |
Fee Schedule: Medicine (XLS 124KB)
Fee Schedule: Drug & Drug Administration (XLS 176KB)
Fee Schedule: Radiology (XLS 150KB)
Fee Schedule: Surgery (XLS 912KB)
Fee Schedule: Anesthesia (XLS 74KB)
|
|
|
2017-1
Archived March 30, 2018 |
Procedure Codes: Medicine and Drugs (PDF 512KB)
|
|
|
2018-1 (01/01/18)
2018-1 (01/01/18)
2018-1 (01/01/18)
Archived March 30, 2018 |
Fee Schedule: Medicine (XLS 124KB)
Fee Schedule: Drug & Drug Administration (XLS 174KB)
Fee Schedule: Surgery (XLS 911KB)
|
|
|
2017-1
2017-1
2017-1
Archived March 27, 2018 |
Procedure Codes: Radiology (PDF 206KB)
Procedure Codes: Surgery (PDF 1.08MB)
Procedure Codes: Anesthesia (PDF 99KB)
|
|
|
2017-2 (04/01/17)
2017-2 (04/01/17)
2017-2 (04/01/17)
2017-2 (04/01/17)
2017-1 (01/01/17)
Archived December 27, 2017 |
Fee Schedule: Medicine (XLS 122KB)
Fee Schedule: Drug & Drug Administration (XLS 177KB)
Fee Schedule: Radiology (XLS 151KB)
Fee Schedule: Surgery (XLS 909KB)
Fee Schedule: Anesthesia (XLS 62KB)
|
|
|
2017-1 (04/01/10)
Archived July 21, 2017 |
Enhanced Program Fee Schedule: Physician Section 6 (XLS 22KB)
|
|
|
2017-1 (01/01/17)
2017-1 (01/01/17)
2017-1 (01/01/17)
2017-1 (01/01/17)
Archived March 24, 2017 |
Fee Schedule: Medicine (XLS 121KB)
Fee Schedule: Drug & Drug Administration (XLS 175KB)
Fee Schedule: Radiology (XLS 150KB)
Fee Schedule: Surgery (XLS 909KB)
|
|
|
2015-1 (10/15/15)
2016-1
2016-1
2016-2
2016-1
Archived March 23, 2017 |
Procedure Codes: General Information (PDF 80KB)
Procedure Codes: Medicine and Drugs (PDF 521KB)
Procedure Codes: Radiology (PDF 216KB)
Procedure Codes: Surgery (PDF 1.28MB)
Procedure Codes: Anesthesia (PDF 101KB)
|
|
|
2016-2 (04/01/16)
2016-2 (04/01/16)
2016-2 (04/01/16)
2016-1 (01/01/16)
2016-1 (01/01/16)
Archived December 29, 2016 |
Fee Schedule: Medicine (XLS 115KB)
Fee Schedule: Drug & Drug Administration (XLS 169KB)
Fee Schedule: Surgery (XLS 903KB)
Fee Schedule: Anesthesia (XLS 62KB)
Fee Schedule: Radiology (XLS 57KB)
|
|
|
2016-1 (03/30/16)
Archived April 27, 2016 |
Procedure Codes: Surgery (PDF 1.13MB)
|
|
|
2016-1 (01/01/16)
2016-1 (01/01/16)
2016-1 (01/01/16)
Archived March 30, 2016 |
Fee Schedule: Medicine (XLS 119KB)
Fee Schedule: Drug & Drug Administration (XLS 169KB)
Fee Schedule: Surgery (XLS 800KB)
|
|
|
2015-2 (05/05/15)
2015-2 (05/05/15)
2015-2 (05/05/15)
2015-2 (05/05/15)
Archived March 30, 2016 |
Procedure Codes: Medicine and Drugs (PDF 454KB)
Procedure Codes: Radiology (PDF 193KB)
Procedure Codes: Surgery (PDF 1.05MB)
Procedure Codes: Anesthesia (PDF 104KB)
|
|
|
2015 - 1 (01/01/15)
2015 - 2 (04/01/15)
2015 - 2 (04/01/15)
2015 - 2 (04/01/15)
2015 - 2 (04/01/15)
Archived December 29, 2015 |
Fee Schedule Anesthesia (XLS 57KB)
Fee Schedule Drug & Drug Administration (XLS 51KB)
Fee Schedule Medicine (XLS 49KB)
Fee Schedule Radiology (XLS 137KB)
Fee Schedule Surgery (XLS 312KB)
|
|
2008 - 1 (05/15/08)
2015 - 3 (08/07/15)
Archived October 15, 2015 |
Procedure Codes - General Information (PDF 41KB)
Policy Guidelines (PDF 308KB) |
|
2008 - 2 (04/15/08)
Archived September 14, 2015 |
Policy Guidelines (PDF 339KB)
|
|
2008 - 1 (05/08/08)
Archived September 14, 2015 |
Prior Approval Guidelines (PDF 282KB)
|
|
2015 - 1 (01/01/15)
Archived May 5, 2015 |
Fee Schedules Surgery (XLS 785KB)
|
|
2015 - 1 (01/01/15)
Archived May 5, 2015 |
Fee Schedules Radiology (XLS 137KB)
|
|
2015 - 1 (01/01/15)
Archived May 5, 2015 |
Fee Schedules Drugs (XLS 115KB)
|
|
2015 - 1 (01/01/15)
Archived May 5, 2015 |
Fee Schedules Medicine (XLS 114KB)
|
|
2015 - 1 (04/01/14)
Archived May 5, 2015 |
Procedure Codes Medicine and Drugs (PDF 667KB)
|
|
2015 - 1 (04/01/14)
Archived May 5, 2015 |
Procedure Codes Radiology (PDF 294KB)
|
|
2015 - 1 (04/01/14)
Archived May 5, 2015 |
Procedure Codes Surgery (PDF 1,724KB)
|
|
2015 - 1 (04/01/11)
Archived May 5, 2015 |
Procedure Codes Anesthesia (PDF 96KB)
|
|
2014 - 2 (04/01/14)
Archived March 10, 2015 |
Fee Schedules Radiology (XLS 148KB)
|
|
2014 - 3 (09/01/14)
Archived December 31, 2014 |
Fee Schedules Medicine (XLS 125KB)
|
|
2014 - 2 (04/01/14)
Archived December 31, 2014 |
Fee Schedules Drugs and Drug Administration (XLS 175KB)
|
|
2014 - 2 (04/01/14)
Archived December 31, 2014 |
Fee Schedules Surgery (XLS 825KB)
|
|
2010 - 1 (11/18/10)
Archived December 31, 2014 |
Fee Schedules Anesthesia (XLS 71KB)
|
|
2014 - 2 (04/01/14)
Archived August 29, 2014 |
Fee Schedules Medicine (XLS 130KB)
|
|
2013 - 2 (01/01/13)
Archived May 23, 2014 |
Primary Care Rate Increase Fee Schedule (XLSX 38KB) |
|
2014 - 1 (04/01/14)
Archived May 12, 2014 |
Procedure Codes: Medicine and Drugs (PDF 645KB)
|
|
2014 - 1 (01/01/14)
Archived April 4, 2014 |
Fee Schedules:
Fee Schedules Drugs (XLS 173KB)
Fee Schedules Medicine (XLS 130KB)
Fee Schedules Radiology (XLS 148KB)
Fee Schedules Surgery (XLS 791KB)
|
|
2013 - 2 (04/01/13)
Archived April 4, 2014 |
Procedure Codes:
Procedure Codes Medicine and Drugs (PDF 688KB)
Procedure Codes Radiology (PDF 266KB)
Procedure Codes Surgery (PDF 1763KB)
|
|
2013 - 3 (4/01/13)
Archived January 2, 2014 |
Fee Schedules:
Fee Schedules Drugs (XLS 173KB)
Fee Schedules Medicine (XLS 128KB)
Fee Schedules Radiology (XLS 148KB)
Fee Schedules Surgery (XLS 786KB)
| |
2013 - 4 (05/01/13)
Archived October 8, 2013 |
Primary Care Rate Increase FAQs (PDF 169KB) |
|
2013 - 1 (01/01/13)
Archived June 26, 2013 |
Primary Care Rate Increase Fee Schedule (XLSX 34KB) |
Added a tab with a key for the regions. |
2013 - 2 (1/01/13)
Archived April 9, 2013 |
Fee Schedules:
Fee Schedules Drugs (XLS 163KB)
Fee Schedules Medicine (XLS 138KB)
Fee Schedules Radiology (XLS 147KB)
Fee Schedules Surgery (XLS 836KB)
| |
2013 - 1 (1/01/13)
Archived April 9, 2013 |
Procedure Codes:
Procedure Codes Medicine and Drugs (PDF 644KB)
Procedure Codes Radiology (PDF 264KB)
Procedure Codes Surgery (PDF 1.75MB)
|
|
2012 - 2 (04/01/12)
Archived January 2, 2013 |
Fee Schedules:
Fee Schedules Drugs (XLS 119KB)
Fee Schedules Medicine (XLS 130KB)
Fee Schedules Radiology (XLS 151KB)
Fee Schedules Surgery (XLS 885KB)
| |
2011 - 1 (4/01/11)
Archived April 4, 2012 |
Procedure Codes:
Procedure Codes Medicine and Drugs (PDF 657KB)
Procedure Codes Radiology (PDF 275KB)
Procedure Codes Surgery (PDF 1.71MB)
|
|
2012 - 1 (01/01/12)
Archived April 4, 2012 |
Fee Schedules:
Fee Schedules Drugs (XLS 128KB)
Fee Schedules Medicine (XLS 117KB)
Fee Schedules Radiology (XLS 150KB)
Fee Schedules Surgery (XLS 877KB)
| |
2011 - 2 (04/01/11)
Archived December 29, 2011 |
Fee Schedules:
Fee Schedules Drugs (XLS 114KB)
Fee Schedules Medicine (XLS 124KB)
Fee Schedules Surgery (XLS 879KB)
| |
2011 - 3 (07/01/11)
Archived December 29, 2011 |
Fee Schedules Radiology (XLS 149KB) |
|
2011 - 2 (04/01/11)
Archived June 30, 2011 |
Fee Schedules Radiology (XLS 143KB) |
|
2010 - 2 (12/23/10)
Archived June 20, 2011 |
150003 Billing Guidelines (PDF 6.46MB) |
|
2010 - 1 (4/01/10)
Archived April 4, 2011 |
Procedure Codes:
Procedure Codes Radiology (PDF 336KB)
Procedure Codes Surgery (PDF 2.15MB)
|
|
2011 - 1 (01/01/11)
Archived April 4, 2011 |
Fee Schedules:
Fee Schedules Radiology (XLS 136KB)
Fee Schedules Surgery (XLS 874KB)
|
|
2011 - 1 (01/01/11)
Archived April 1, 2011 |
Fee Schedules:
Fee Schedules Medicine (XLS 122KB)
Fee Schedules Drugs (XLS 111KB)
|
|
2010 - 1 (11/18/10)
Archived April 1, 2011 |
Procedure Codes Anesthesia (PDF 111KB)
|
|
2010 - 1 (04/01/10)
Archived April 1, 2011 |
Procedure Codes Medicine and Drugs (PDF 973KB) |
|
2010 - 1 (11/18/10)
Archived January 12, 2011 |
150003 Billing Guidelines (PDF 6.09MB) |
|
2010 - 2 (10/01/10)
Archived January 5, 2011 |
Fee Schedules Drugs (XLS 112KB)
|
|
2010 - 1 (4/01/10)
Archived January 5, 2011 |
Fee Schedules:
Fee Schedules Medicine (XLS 132KB)
Fee Schedules Radiology (XLS 142KB)
Fee Schedules Surgery (XLS 951KB)
|
|
2010 - 02 (07/01/10)
Archived November 17, 2010 |
150002 Billing Guidelines (PDF 1.98MB) |
|
2010 - 1 (4/01/10)
Archived September 30, 2010 |
Fee Schedules Drugs (XLS 109KB)
|
|
2010 - 01 (05/31/10)
Archived July 29, 2010 |
150002 Billing Guidelines (PDF 2.34MB) |
|
2009 - 3 (12/01/09)
Archived July 19, 2010 |
150002 Billing Guidelines (PDF 852KB) |
|
2009 - 1 (4/01/09)
Archived April 1, 2010 |
Fee Schedules:
Fee Schedules Medicine (XLS 130k)
Fee Schedules Drugs (XLS 260k)
Fee Schedules Radiology (XLS 155k)
Fee Schedules Surgery (XLS 1.02MB)
|
|
2009 - 1 (4/01/09)
Archived April 1, 2010 |
Procedure Codes:
Procedure Codes Medicine (PDF 294k)
Procedure Codes Drugs (PDF 148k)
Procedure Codes Radiology (PDF 242k)
Procedure Codes Surgery (PDF 853k)
|
|
2009 - 2 (10/01/09)
Archived December 3, 2009 |
150002 Billing Guidelines (PDF 1.48MB) |
|
2009 - 1 (1/29/08)
Archived September 23, 2009 |
150002 Billing Guidelines (PDF 1.30MB) |
|
2009 - 1 (1/02/09)
Archived May 7, 2009 |
150001 Billing Guidelines (PDF 441KB) |
|
2008 - 1 (5/15/08)
Archived April 1, 2009 |
Procedure Codes:
Procedure Codes Medicine (PDF 413k)
Procedure Codes Drugs (PDF 71k)
Procedure Codes Radiology (PDF 140k)
Procedure Codes Surgery (PDF 764k)
|
|
2009 - 1 (12/22/08)
Archived April 1, 2009 |
Fee Schedules:
Fee Schedules Medicine (XLS 118k)
Fee Schedules Drugs (XLS 101k)
Fee Schedules Surgery (XLS 933k)
|
|
2008 - 4 (11/11/08)
Archived January 05, 2009 |
Billing Guidelines (PDF 1.03MB) |
|
2009 - 1 (12/08)
Archived December 11, 2008 |
Fee Schedules Radiology (XLS 187k)
|
|
2008 - 3 (6/4/08)
Archived December 4, 2008 |
Billing Guidelines (PDF 465KB) |
|
2008 - 1 (5/21/08)
Archived November 25, 2008 |
Fee Schedules:
Fee Schedules Medicine (XLS 99k)
Fee Schedules Drugs (XLS 89k)
Fee Schedules Radiology (XLS 116k)
Fee Schedules Surgery (XLS 740k)
|
|
2006 - 1 (11/21/06)
Archived August 4, 2008 |
Prior Approval Guidelines (PDF 124KB) |
|
2008 - 2 (1/30/08)
Archived July 24, 2008 |
Billing Guidelines (PDF 462KB) |
|
2006 - 1 (4/06)
Archived May 21, 2008 |
Procedure Codes & Fee Schedule (PDF 1.3MB) |
|
2008 - 1 (2/15)
Archived May 14, 2008 |
Policy Guidelines (PDF 338KB) |
|
2004 - 1 (1/05)
Archived February 29, 2008 |
Policy Guidelines (PDF 617KB) |
|
2008 - 1 (1/16)
Archived February 6, 2008 |
Billing Guidelines (PDF 463KB) |
|
2007 - 1 (5/07)
Archived January 18, 2008 |
Billing Guidelines (PDF 491KB) |
|
2007 - 1
Archived October 5, 2007 |
Procedure Codes & Fee Schedule Update (PDF 17KB) |
|
2006 - 1 (5/06)
Archived July 11, 2007 |
Billing Guidelines (PDF 537KB) |
|
| 2004 - 1 |
Prior Approval Guidelines (PDF 150KB) |
|
| 2005 - 1 |
Billing Guidelines (PDF 560KB) |
|
| 2005 - 1 (4/05) |
Procedure Codes & Fee Schedule (PDF 1.3MB) |
|
|
|
|
 |
|
|
