Therapeutic Shoes - 2006 Region A DMERC Fee Schedule

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.

HCPCS		MOD1		MOD2		Ceiling		Floor		CT		DE		MA		ME		NH		NJ		NY		PA		RI		VT
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A5500						71.23		53.42		59.36		59.36		59.36		59.36		59.36		59.36		59.36		59.36		59.36		59.36
A5501						213.65		160.24		178.04		178.04		178.04		178.04		178.04		178.04		178.04		178.04		178.04		178.04
A5503						31.68		23.76		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40
A5504						31.68		23.76		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40
A5505						31.68		23.76		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40
A5506						31.68		23.76		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40
A5507						31.68		23.76		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40		26.40
A5512						29.06		21.80		24.22		24.22		24.22		24.22		24.22		24.22		24.22		24.22		24.22		24.22
A5513						43.37		32.53		36.14		36.14		36.14		36.14		36.14		36.14		36.14		36.14		36.14		36.14