Skip to main content

Fee Schedule Archive

2016 - 2012

Physicians

Enhanced Qualifying Primary Care

Family Practice, General Practice, Osteopath, Internal Medicine, Pediatrics, Geriatrics

Effective For Dates Of Service 01/01/16

Effective For Dates Of Service 01/01/15

Effective For Dates Of Service 01/01/14

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012  

Obstetrics, OB/GYN, Maternal Fetal Medicine

Effective For Dates Of Service 01/01/16

Effective For Dates Of Service 01/01/15

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

All other physicians

excluding Obstetrics, OB/GYN, Maternal Fetal Medicine

Effective For Dates Of Service 01/01/16

Effective For Dates Of Service 01/01/15

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Pediatric

Pediatric Subspecialist excluding Neonatologist

Effective For Dates Of Service 01/01/16

Effective For Dates Of Service 01/01/15

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013 

Effective For Dates Of Service 01/01/2012

Neonatologist

Effective For Dates Of Service 01/01/16

Effective For Dates Of Service 01/01/15

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Anesthesiologist

Effective For Dates Of Service 01/01/2015

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2012

Injectable Drug Fee

Effective For Dates Of Service 01/01/16

Effective For Dates Of Service 01/01/2015

Effective For Dates Of Service 12/20/2014

Effective For Dates Of Service 12/20/2013

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 07/01/2012

Effective For Dates Of Service 04/01/2012

Effective For Dates Of Service 01/01/2012

Effective For Dates Of Service 07/11/2011

Independent Lab and X-ray

Effective For Dates Of Service 01/01/2016

Effective For Dates Of Service 01/01/2015

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 01/01/2012

Independent Lab Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2012

Out-Patient Surgical Fee Schedule

Effective for Dates of Service 01/01/2015

Effective for Dates of Service 01/01/2012

Private and School Base Rehabilitative Therapy Services

School-Based Therapy Services

Effective For Dates Of Service 01/01/2013

Effective For Dates of Service 04/01/2011

Private Therapy Services

Effective For Dates of Service 07/01/2011

Dental Services

Effective For Dates Of Service 07/11/2011

Oral and Maxillofacial Surgeons

Effective For Dates Of Service 07/11/2011

Durable Medical Equipment

Effective For Dates Of Service 01/01/2016

Effective For Dates Of Service 01/01/2015

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2014

Effective For Dates Of Service 01/01/2013

Effective For Dates Of Service 07/11/2012

Effective For Dates Of Service 01/01/2012

Incontinence Supplies

Effective For Dates Of Service 07/11/2011

Rehabilitative Behavioral Health 

Effective For Dates Of Service 3-1-2015

Effective For Dates Of Service 12-1-2014

Effective For Dates Of Service 11-1-2014

Effective For Dates Of Service 12/01/2013

Vision Fee Schedule

Effective For Dates Of Service 12/01/2014

2011 and Older

Physicians 

Effective For Dates Of Service 07/11/2011 Family Practice, General Practice, Osteopath, Internal Medicine, Pediatrics, Geriatrics

Obstetrics, OB/GYN, Maternal Fetal Medicine

All other physicians excluding Obstetrics, OB/GYN, Maternal Fetal Medicine

Pediatric

Pediatric Subspecialist excluding Neonatologist

Neonatologist

Anesthesiologist

Effective For Dates Of Service 07/11/2011

Injectable Drug Fee

Effective For Dates Of Service 10/01/2011

Independent Lab and X-ray

Effective For Dates Of Service 07/11/2011

Private and School Base Rehabilitative Therapy Services

Effective For Dates Of Service 07/11/2011

Dental Services

Effective For Dates Of Service 07/11/2011

Oral and Maxillofacial Surgeons

Effective For Dates Of Service 07/11/2011

Durable Medical Equipment

Effective For Dates Of Service 07/11/2011

Incontinence Supplies

Effective For Dates Of Service 07/11/2011

Private and School Base Rehabilitative Therapy Services

Effective For Dates Of Service 07/11/2011

Dental Services

Effective For Dates Of Service 07/11/2011

Oral and Maxillofacial Surgeons

Effective For Dates Of Service 07/11/2011

Durable Medical Equipment

Effective For Dates Of Service 07/11/2011

Incontinence Supplies

Effective For Dates Of Service 07/11/2011

Private and School Base Rehabilitative Therapy Services

School-Based Therapy Services

Effective For Dates of Service 04/01/2011

Private Therapy Services Effective For Dates of Service 07/01/2011  

Archived Fee Schedules

Physicians

Effective For Dates Of Service 04/08/2011

Effective For Dates Of Service 01/01/2011

Effective For Dates Of Service 10/01/2010

Effective For Dates Of Service 01/01/2010

Effective For Dates Of Service 10/01/2009

Effective For Dates Of Service 04/01/2009

Effective For Dates of Service 01/01/2009

Effective For Dates Of Service 10/01/2008

Archived Physicians Fee Schedules

Anesthesia Services

Effective For Dates Of Service 04/08/2011

Effective For Dates Of Service 10/01/2009

Effective For Dates Of Service 10/01/2008

Pediatric Subspecialist, Pricing Specialty AA

Effective For Dates Of Service 04/08/2011

Effective For Dates Of Service 01/01/2011

Effective For Dates Of Service 10/01/2010

Effective For Dates Of Service 01/01/2010

Effective For Dates Of Service 10/01/2009

Effective For Dates Of Service 04/01/2009

Effective For Dates Of Service 01/01/2009

Effective For Dates Of Service 10/01/2008

Injectable Drug Fee

Effective For Dates Of Service 07/11/2011

Effective For Dates Of Service 07/01/2011

Effective For Dates Of Service 04/08/2011

Effective For Dates Of Service 01/01/2011

Effective For Dates Of Service 10/01/2010

Private and School Base Rehabilitative Therapy Services

Effective For Dates Of Service 10/01/2008

Dental Services

Effective For Dates Of Service 04/01/2009

Effective For Dates Of Service 10/01/2008

Oral and Maxillofacial Surgeons

Effective For Dates Of Service 04/08/2011

Effective For Dates Of Service 10/1/2009

Effective For Dates Of Service 10/01/2008

Durable Medical Equipment

Effective For Dates Of Service 04/08/2011

Effective For Dates Of Service 10/01/2009

Effective For Dates Of Service 10/01/2008

Incontinence Supplies

Effective For Dates Of Service 04/08/2011

Effective For Dates Of Service 10/01/2008