Provider Manuals > Physician >
Physician Manual ArchiveBelow are the previous versions of the Physician Manual.
| Version | Manual Document | Change Notes |
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2024-2 Archived April 9, 2024 |
Fee Schedule: Radiology (XLS 164KB) |
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2023 - 1 2023 - 1 2023 - 1 2023 - 1 2024 - 2 2024 - 2 2024 - 2 2024 - 2 2024 - 1 Archived March 28, 2024 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1688KB) Procedure Codes: Radiology (PDF 1171KB) Procedure Codes: Surgery (PDF 3225KB) Procedure Codes: Anesthesia (PDF 929KB) Fee Schedule: Drug (XLS 211KB) Fee Schedule: Medicine (XLS 1474KB) Fee Schedule: Radiology (XLS 157KB) Fee Schedule: Surgery (XLS 911KB) Fee Schedule: Anesthesia (XLS 70KB) |
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2024-1 Archived February 15, 2024 |
Fee Schedule: Surgery (XLS 917KB) |
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2024-1 Archived February 7, 2024 |
Fee Schedule: Radiology (XLS 163KB) |
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2024-1 2024-1 Archived January 12, 2024 |
Fee Schedule: Drug (XLS 217KB) Fee Schedule: Medicine (XLS 1479KB) |
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2023-12 2023-8 2023-4 2023-4 2023-2 Archived January 3, 2024 |
Fee Schedule: Drug (XLS 212KB) Fee Schedule: Medicine (XLS 1469KB) Fee Schedule: Radiology (XLS 157KB) Fee Schedule: Surgery (XLS 910KB) Fee Schedule: Anesthesia (XLS 70KB) |
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2023-11 Archived December 15, 2023 |
Fee Schedule: Drug (XLS 205KB) |
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2023-10 2023-7 2023-3 2023-3 Archived October 2, 2023 |
Fee Schedule: Drug (XLS 208KB) Fee Schedule: Medicine (XLS 396KB) Fee Schedule: Radiology (XLS 156KB) Fee Schedule: Surgery (XLS 931KB) |
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2023-9 2023-6 Archived September 22, 2023 |
Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 388KB) |
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2023-8 Archived September 1, 2023 |
Fee Schedule: Drug (XLS 208KB) |
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2023-7 Archived July 31, 2023 |
Fee Schedule: Drug (XLS 203KB) |
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2022-1 Archived July 17, 2023 |
Policy Guidelines (PDF 1,161KB) |
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2023-6 Archived July 5, 2023 |
Fee Schedule: Drug (XLS 209KB) |
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2022-2 2022-1 2022-1 2022-2 Archived May 26, 2023 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1347KB) Procedure Codes: Surgery (PDF 2688KB) Procedure Codes: Anesthesia (PDF 803KB) Procedure Codes: Radiology (PDF 938KB) |
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2023-5 2023-5 Archived May 18, 2023 |
Fee Schedule: Drug (XLS 203KB) Fee Schedule: Medicine (XLS 378KB) |
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2023-4 2023-4 2023-2 Archived May 15, 2023 |
Fee Schedule: Drug (XLS 210KB) Fee Schedule: Medicine (XLS 384KB) Fee Schedule: Surgery (XLS 932KB) |
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2023-1 2023-3 2023-3 2023-2 2023-1 Archived May 2, 2023 |
Fee Schedule: Anesthesia (XLS 70KB) Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 394KB) Fee Schedule: Radiology (XLS 156KB) Fee Schedule: Surgery (XLS 931KB) |
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2023-2 Archived February 13, 2023 |
Fee Schedule: Drug (XLS 213KB) | |
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2023-2 Archived February 6, 2023 |
Fee Schedule: Medicine (XLS 400KB) |
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2023-1 Archived January 30, 2023 |
Fee Schedule: Medicine (XLS 401KB) |
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2023-1 Archived January 24, 2023 |
Fee Schedule: Radiology (XLS 161KB) |
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2022-11 2022-4 2022-3 2017-1 Archived December 22, 2022 |
Fee Schedule: Medicine (XLS 396KB) Fee Schedule: Radiology (XLS 154KB) Fee Schedule: Surgery (XLS 928KB) Enhanced Program Fee Schedule (XLS 48KB) |
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2022-10 Archived November 29, 2022 |
Fee Schedule: Medicine (XLS 396KB) |
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2022-9 Archived November 4, 2022 |
Fee Schedule: Medicine (XLS 395KB) |
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2022-8 Archived October 19, 2022 |
Fee Schedule: Medicine (XLS 395KB) |
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2022-5 2022-7 Archived October 5, 2022 |
Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 394KB) |
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2022-4 2022-6 2022-3 Archived September 7, 2022 |
Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 395KB) Fee Schedule: Radiology (XLS 154KB) |
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2022-3 2022-5 2022-2 Archived August 16, 2022 |
Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 394KB) Fee Schedule: Surgery (XLS 928KB) |
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2022-4 Archived August 10, 2022 |
Fee Schedule: Medicine (XLS 394KB) |
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2022-3 Archived August 2, 2022 |
Fee Schedule: Medicine (XLS 382KB) |
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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) |
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2022-1 2022-1 Archived June 30, 2022 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1348KB) Procedure Codes: Radiology (PDF 940KB) |
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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) |
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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) |
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2015 - 4 (10/15/15) Archived March 18, 2022 |
Policy Guidelines (PDF 1,122KB) |
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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) |
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2021-2 Archived November 19, 2021 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1336KB) |
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2021-5 Archived September 30, 2021 |
Fee Schedule: Drug (XLS 203KB) |
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2021-3 2021-3 Archived September 23, 2021 |
Fee Schedule: Surgery (XLS 920KB) Procedure Codes: Surgery (XLS 215KB) |
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2021-4 Archived September 7, 2021 |
Fee Schedule: Drug (XLS 203KB) |
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2021-5 Archived September 7, 2021 |
Fee Schedule: Medicine (XLS 378KB) |
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2021-3 Archived August 26, 2021 |
Fee Schedule: Drug (XLS 196KB) |
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2021-4 Archived August 2, 2021 |
Fee Schedule: Medicine (XLS 376KB) |
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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) |
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2021-1 2021-2 Archived July 1, 2021 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1333KB) Procedure Codes: Surgery (PDF 2152KB) |
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2021-1 Archived June 9, 2021 |
Procedure Codes: Surgery (PDF 3005KB) |
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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) |
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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) |
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2021-1 2021-1 Archived January 8, 2021 |
Fee Schedule: Medicine (XLS 369KB) Fee Schedule: Surgery (XLS 919KB) |
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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) |
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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) |
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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) |
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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) |
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2020-2 Archived June 5, 2020 |
Fee Schedule: Drugs (XLS 190KB) |
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2020-4 Archived May 20, 2020 |
Fee Schedule: Medicine (XLS 370KB) |
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2020-3 Archived April 30, 2020 |
Fee Schedule: Medicine (XLS 373KB) |
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2020-1 Archived April 30, 2020 |
Fee Schedule: Drugs (XLS 181KB) |
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2020-1 Archived April 30, 2020 |
Fee Schedule: Radiology (XLS 155KB) |
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2020-1 Archived April 30, 2020 |
Fee Schedule: Surgery (XLS 923KB) |
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2019-1 Archived April 30, 2020 |
Fee Schedule: Anesthesia (XLS 74KB) |
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2020-2 Archived April 13, 2020 |
Fee Schedule: Medicine (XLS 370KB) |
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2020-1 Archived March 24, 2020 |
Fee Schedule: Medicine (XLS 371KB) |
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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) |
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2019-1 Archived December 18, 2019 |
Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1154KB) |
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2019-2 (04/01/19) Archived August 28, 2019 |
Fee Schedule: Surgery (XLS 913KB) |
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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) |
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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) |
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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) |
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2017-1 Archived March 30, 2018 |
Procedure Codes: Medicine and Drugs (PDF 512KB) |
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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) |
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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) |
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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) |
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2017-1 (04/01/10) Archived July 21, 2017 |
Enhanced Program Fee Schedule: Physician Section 6 (XLS 22KB) |
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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) |
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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) |
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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) |
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2016-1 (03/30/16) Archived April 27, 2016 |
Procedure Codes: Surgery (PDF 1.13MB) |
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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) |
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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) |
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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) |
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2008 - 1 (05/15/08) Archived October 15, 2015 |
Procedure Codes - General Information (PDF 41KB)
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2008 - 2 (04/15/08) Archived September 14, 2015 |
Policy Guidelines (PDF 339KB) |
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2008 - 1 (05/08/08) Archived September 14, 2015 |
Prior Approval Guidelines (PDF 282KB) |
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2015 - 1 (01/01/15) Archived May 5, 2015 |
Fee Schedules Surgery (XLS 785KB) |
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2015 - 1 (01/01/15) Archived May 5, 2015 |
Fee Schedules Radiology (XLS 137KB) |
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2015 - 1 (01/01/15) Archived May 5, 2015 |
Fee Schedules Drugs (XLS 115KB) |
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2015 - 1 (01/01/15) Archived May 5, 2015 |
Fee Schedules Medicine (XLS 114KB) |
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2015 - 1 (04/01/14) Archived May 5, 2015 |
Procedure Codes Medicine and Drugs (PDF 667KB) |
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2015 - 1 (04/01/14) Archived May 5, 2015 |
Procedure Codes Radiology (PDF 294KB) |
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2015 - 1 (04/01/14) Archived May 5, 2015 |
Procedure Codes Surgery (PDF 1,724KB) |
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2015 - 1 (04/01/11) Archived May 5, 2015 |
Procedure Codes Anesthesia (PDF 96KB) |
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2014 - 2 (04/01/14) Archived March 10, 2015 |
Fee Schedules Radiology (XLS 148KB) |
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2014 - 3 (09/01/14) Archived December 31, 2014 |
Fee Schedules Medicine (XLS 125KB) |
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2014 - 2 (04/01/14) Archived December 31, 2014 |
Fee Schedules Drugs and Drug Administration (XLS 175KB) |
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2014 - 2 (04/01/14) Archived December 31, 2014 |
Fee Schedules Surgery (XLS 825KB) |
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2010 - 1 (11/18/10) Archived December 31, 2014 |
Fee Schedules Anesthesia (XLS 71KB) |
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2014 - 2 (04/01/14) Archived August 29, 2014 |
Fee Schedules Medicine (XLS 130KB) |
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2013 - 2 (01/01/13) Archived May 23, 2014 |
Primary Care Rate Increase Fee Schedule (XLSX 38KB) |
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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: |
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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) |
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2013 - 3 (4/01/13) Archived January 2, 2014 |
Fee Schedules: | |
2013 - 4 (05/01/13) Archived October 8, 2013 |
Primary Care Rate Increase FAQs (PDF 169KB) |
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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: | |
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) |
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2012 - 2 (04/01/12) Archived January 2, 2013 |
Fee Schedules: | |
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) |
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2012 - 1 (01/01/12) Archived April 4, 2012 |
Fee Schedules: | |
2011 - 2 (04/01/11) Archived December 29, 2011 |
Fee Schedules: | |
2011 - 3 (07/01/11) Archived December 29, 2011 |
Fee Schedules Radiology (XLS 149KB) |
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2011 - 2 (04/01/11) Archived June 30, 2011 |
Fee Schedules Radiology (XLS 143KB) |
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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) |
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2011 - 1 (01/01/11)
Archived April 4, 2011 |
Fee Schedules: Fee Schedules Radiology (XLS 136KB)Fee Schedules Surgery (XLS 874KB)
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2011 - 1 (01/01/11) Archived April 1, 2011 |
Fee Schedules: Fee Schedules Medicine (XLS 122KB) |
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2010 - 1 (11/18/10) Archived April 1, 2011 |
Procedure Codes Anesthesia (PDF 111KB) |
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2010 - 1 (04/01/10) Archived April 1, 2011 |
Procedure Codes Medicine and Drugs (PDF 973KB) |
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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) |
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2010 - 1 (4/01/10) Archived January 5, 2011 |
Fee Schedules: Fee Schedules Medicine (XLS 132KB) |
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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) |
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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) |
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2009 - 1 (4/01/09) Archived April 1, 2010 |
Procedure Codes: Procedure Codes Medicine (PDF 294k) |
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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) |
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2009 - 1 (12/22/08) Archived April 1, 2009 |
Fee Schedules: Fee Schedules Medicine (XLS 118k) |
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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) |
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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) |
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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)
Update - 4/1/2007 (PDF 17KB) Update - 1/1/2008 (PDF 32KB) Update - 4/2/2008 (PDF 29KB) |
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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) |
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