Fee Schedules

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Title	File Attachment
Physician-Administered Drug 2024	Physician-AdministeredDrug2024.pdf
Outpatient Hospital 2024	OutpatientHospital2024.pdf
Medical Provider 2024	MedicalProvider2024.pdf
Long Term Care Hospital 2024	LongTermCareHospital2024.pdf
Inpatient Hospital 2024	InpatientHospital2024.pdf
Home Health 2024	HomeHealth2024.pdf
Durable Medical Equipment 2024	DurableMedicalEquipment2024.pdf
Dental 2024	Dental2024.pdf
Clinical Lab 2024	ClinicalLab2024.pdf
Ambulatory Surgical Center 2024	AmbulatorySurgicalCenter2024.pdf
Anesthesia 2024	Anesthesia2024.pdf
Ambulance 2024	Ambulance2024.pdf
Ambulatory Surgical Center 2023	AmbulatorySurgicalCenter2023_2.pdf
Medical Provider 2023	MedicalProvider2023_2.pdf
Outpatient Hospital 2023	OutpatientHospital2023_0.pdf
Physician-Administered Drug 2023	Physician-AdministeredDrug2023_0.pdf
Long Term Care Hospital 2023	LongTermCareHospital2023.pdf
Inpatient Hospital 2023	InpatientHospital2023.pdf
Home Health 2023	HomeHealth2023_0.pdf
Durable Medical Equipment 2023	DurableMedicalEquipment2023_0.pdf
Dental 2023	Dental2023_1.pdf
Clinical Lab 2023	ClinicalLab2023_0.pdf
Anesthesia 2023	Anesthesia2023_0.pdf
Ambulance 2023	Ambulance2023.pdf
Medical Provider 2022	MedicalProvider2022.pdf
Ambulatory Surgical Center 2022	AmbulatorySurgicalCenter2022.pdf
Outpatient Hospital 2022	OutpatientHospital2022_0.pdf
Physician-Administered Drug 2022	Physician-AdministeredDrug2022.pdf
Long Term Care Hospital 2022	LongTermCareHospital2022.pdf
Inpatient Hospital 2022	InpatientHospital2022_0.pdf
Home Health 2022	HomeHealth2022.pdf
Durable Medical Equipment 2022	DurableMedicalEquipment2022.pdf
Dental 2022	Dental2022.pdf
Clinical Lab 2022	ClinicalLab2022.pdf
Anesthesia 2022	Anesthesia2022.pdf
Ambulance 2022	Ambulance2022.pdf
Inpatient Hospital 2021	InpatientHospital2021_1.pdf
Long Term Care Hospital 2021	LongTermCareHospital2021_0.pdf
Outpatient Hospital 2021	OutpatientHospital2021_1.pdf
Physician-Administered Drug 2021	Physician-AdministeredDrug2021.pdf
Medical Provider 2021	MedicalProvider2021_2.pdf
Home Health 2021	HomeHealth2021.pdf
Durable Medical Equipment 2021	DME2021.pdf
Dental 2021	Dental2021.pdf
Clinical Lab 2021	ClinicalLab2021.pdf
Ambulatory Surgical Center 2021	AmbulatorySurgicalCenter2021_0.pdf
Anesthesia 2021	Anesthesia2021.pdf
Ambulance 2021	Ambulance2021.pdf
Home Health 2020	Home Health Care 2020 July Update_0.pdf
Outpatient Hospital 2020	Outpatient Hospital 2020.pdf
Ambulatory Surgery Center 2020	ASC 2020.pdf
Dental 2020	Dental 2020.pdf
Medical Provider 2020	Medical Provider 2020.pdf
Physician-Administered Drugs 2020	Physician Administered Drugs 2020.pdf
Clinical Laboratory 2020	Clinical Laboratory 2020.pdf
Durable Medical Equipment 2020	DME 2020.pdf
Ambulance 2020	Ambulance 2020.pdf
Anesthesia 2020	Anesthesia 2020.pdf
Long Term Care Hospital 2020	LTCH 2020_0.pdf
Inpatient Hospital 2020	InpatientHospitalJanuary2020.pdf
PhysicianAdministeredDrugsJuly2016	PhysicianAdministeredDrugsJuly2016.pdf
OutpatientHospitalJuly2016	OutpatientHospitalJuly2016.pdf
MedicalProviderJuly2016	MedicalProviderJuly2016.pdf
InpatientHospitalJuly2016	InpatientHospitalJuly2016.pdf
HomeHealthCareJuly2016	HomeHealthCareJuly2016.pdf
DMEJuly2016	DMEJuly2016.pdf
DentalJuly2016	DentalJuly2016.pdf
ClinicalLaboratoryJuly2016	ClinicalLaboratoryJuly2016.pdf
AnesthesiaJuly2016	AnesthesiaJuly2016.pdf
ASCJuly2016	ASCJuly2016.pdf
AmbulanceJuly2016	AmbulanceJuly2016.pdf
PhysicianAdministeredDrugsJuly2017	PhysicianAdministeredDrugsJuly2017.pdf
OutpatientHospitalJuly2017	OutpatientHospitalJuly2017.pdf
MedicalProviderJuly2017	MedicalProviderJuly2017.pdf
InpatientHospitaJuly2017	InpatientHospitaJuly2017.pdf
HomeHealthCareJuly2017	HomeHealthCareJuly2017.pdf
DMEJuly2017	DMEJuly2017.pdf
DentalJuly2017	DentalJuly2017.pdf
ClinicalLaboratoryJuly2017	ClinicalLaboratoryJuly2017.pdf
AnesthesiaJuly2017	AnesthesiaJuly2017.pdf
ASCJuly2017	ASCJuly2017.pdf
AmbulanceJuly2017	AmbulanceJuly2017.pdf
Physician-Administered Drugs January 2018	PhysicianAdministeredDrugsJanuary2018.pdf
Outpatient Hospital January 2018	OutpatientHospitalJanuary2018.pdf
Medical Provider January 2018	MedicalProviderJanuary2018.pdf
Inpatient Hospital January 2018	InpatientHospitalJanuary2018.pdf
Home Health Care January 2018	HomeHealthCareJanuary2018.pdf
DME January 2018	DMEJanuary2018.pdf
Dental January 2018	DentalJanuary2018.pdf
Clinical Laboratory January 2018	ClinicalLaboratoryJanuary2018.pdf
Anesthesia January 2018	AnesthesiaJanuary2018.pdf
Ambulatory Surgery Center January 2018	ASCJanuary2018.pdf
Ambulance January 2018	AmbulanceJanuary2018.pdf
Physician-Administered Drugs January 2019	PhysicianAdministeredDrugsJanuary2019.pdf
Outpatient Hospital January 2019	OutpatientHospitalJanuary2019.pdf
Medical Provider January 2019	MedicalProviderJanuary2019.pdf
Inpatient Hospital January 2019	InpatientHospitalJanuary2019.pdf
Home Health Care January 2019	HomeHealthCareJanuary2019.pdf
DME January 2019	DMEJanuary2019.pdf
Dental January 2019	DentalJanuary2019.pdf
Clinical Laboratory January 2019	ClinicalLaboratoryJanuary2019.pdf
Ambulatory Surgery Center January 2019	ASCJanuary2019.pdf
Anesthesia January 2019	AnesthesiaJanuary2019.pdf
Ambulance January 2019	AmbulanceJanuary2019.pdf
Outpatient Hospital 2018	OutpatientHospitalJanuary2018_0.pdf
Physician-Administered Drugs 2018	PhysicianAdministeredDrugsJanuary2018_0.pdf