Fee Schedules

Private Mental Health Fee Schedule

Private Mental Health Fee Schedule.xlsx

Audiology Fee Schedule

Audiology Fee Schedule.xlsx

Anesthesia Fee Schedule

Anesthesia Fee Schedule.xlsx

Dental Fee Schedule

Dental Fee Schedule.xlsx

Licensed Independent Practitioners (LIPS) Fee Schedule

Licensed Independent Fee Schedule..xlsx

Other Medical Professionals Fee Schedule

Nurse Practitioner, Physician Assistant, Nurse Midwife, Licensed Midwife , Dieticians

Other Medical Professional.xlsx

Therapists Fee Schedule

Speech Therapist

Speech Therapy Fee Schedule.xlsx

Physical Therapist

Physical Therapy Fee Schedule.xlsx

Occupational Therapy

Occupational Therapy Fee Schedule.xlsx

Physicians

Pediatric Subspecialists

Pediatric Subspecialist Fee Schedule.xlsx

Neonatologists

Neonatologists Fee Schedule.xlsx

Obstetrics and Gynecology

Obstetrics Fee Schedule.xlsx

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

Family Practice Fee Schedule.xlsx

Other Physicians

Other Physicians Fee Schedule.xlsx

Vision Fee Schedule

Vison Fee Schedule.xlsx

Podiatry Fee Schedule

Podiatry Fee Schedule.xlsx

Chiropractic Fee Schedule

Chiropractor Fee Schedule.xlsx

Outpatient Hospital Fee Schedule

Outpatient Hospital Fee Schedule.xlsx

Ambulatory Surgery Fee Schedule

Ambulatory Surgery Fee Schedule.xlsx

DME Fee Schedule

DME Fee Schedule.xlsx

Ambulance Fee Schedule

Ambulance Fee Schedule.xlsx

Independent Lab And Radiology Fee Schedule

Lab Rad Fee Schedule.xlsx

ESRD/RHC/FQHC Fee Schedule

ESRD Fee Schedule.xlsx

Rehabilitative Behavioral Health 

Effective For Dates Of Service 7-1-2016

• RBHS-non contracted Provider -Rates

Effective For Dates Of Service 1-1-2016

• RBHS-LEA Provider Rates eff 01-01-2016

• RBHS-non contracted Provider -Rates eff 1-1-2016

DAODAS

Effective For Dates Of Service

• DAODAS Provider - Rates eff 12-1-2014