Fee Schedules
Physicians
Family Practice, General Practice, Osteopath, Internal Medicine, Pediatrics, Geriatrics
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 01/01/2014
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 01/01/2013
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 01/01/2014
Effective For Dates Of Service 01/01/2013
Effective For Dates Of Service 01/01/2012
Neonatologist
Effective For Dates Of Service 01/01/2014
Effective For Dates Of Service 01/01/2013
Effective For Dates Of Service 01/01/2012
Anesthesiologist
Effective For Dates Of Service 01/01/2014
Effective For Dates Of Service 01/01/2012
Injectable Drug Fee
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 01/01/2014
Effective For Dates Of Service 01/01/2013
Effective For Dates Of Service 01/01/2012
Independent Lab
Effective For Dates Of Service 01/01/2012
Out-Patient Surgical Fee Schedule
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 01/01/2014
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 12/01/2013
- RBHS Non contracted Provider rates effective 12-1-2013 web.xlsx
- RBHS Non contracted Provider rates effective 12-1-2013 web.pdf
- RBHS-DAODAS Provider rates effective 12-1-2013 web.xlsx
- RBHS-DAODAS Provider rates effective 12-1-2013 web.pdf
- RBHS-LEA Provider Rates eff 12-1-13 xlsx
- RBHS-LEA Provider Rates eff 12-1-13 web pdf
Vision Fee Schedule
Effective For Dates Of Service 12/01/2014
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