Supplies - 2006 Region A DMERC Fee Schedule
(Click here for a text version of this fee schedule.)

HCPCSMOD1MOD2CeilingFloorCTDEMAMENHNJNYPARIVT
A4217  $3.13$2.66$3.13$3.13$2.66$2.66$2.66$3.13$2.66$3.13$2.66$3.05
A4221  $22.64$19.24$22.64$22.64$22.64$22.64$22.64$22.64$22.64$22.64$22.64$22.64
A4222  $46.73$39.72$46.73$46.73$46.73$46.73$46.73$46.73$46.73$46.73$46.73$46.73
A4255  $4.11$3.49$3.91$3.91$3.91$3.91$3.91$3.91$3.91$3.91$3.91$3.91
A4256  $11.44$9.72$11.44$11.44$11.44$11.44$11.44$9.72$9.72$9.72$11.44$11.44
A4257  $12.75$10.84$12.75$12.75$12.75$12.75$12.75$12.75$12.75$12.75$12.75$12.75
A4258  $18.05$15.34$18.05$18.05$18.05$18.05$18.05$18.05$18.05$18.05$18.05$18.05
A4259  $0.00$0.00$12.06$10.83$10.83$10.83$10.83$12.06$12.06$10.83$10.83$10.83
A4265  $3.39$2.88$3.39$3.39$3.39$3.39$3.39$3.39$3.39$3.39$3.39$3.39
A4556  $12.14$10.32$12.14$12.14$10.32$10.32$10.32$12.14$12.14$10.32$12.14$10.32
A4557  $21.10$17.94$21.10$17.94$21.10$21.10$21.10$17.94$19.07$17.94$21.10$21.10
A4558  $5.45$4.63$5.45$4.63$4.63$4.63$4.63$5.45$4.63$4.63$5.45$4.63
A4595  $28.81$24.49$28.81$28.81$28.81$28.81$28.81$28.81$28.81$28.81$28.81$28.81
A6550  $27.42$23.31$27.42$27.42$27.42$27.42$27.42$27.42$27.42$27.42$27.42$27.42
A7018  $0.38$0.32$0.38$0.38$0.38$0.38$0.38$0.38$0.38$0.38$0.38$0.38
E1701  $10.61$9.02$9.02$10.37$10.37$10.37$10.37$10.37$10.61$10.37$10.37$10.37
E1702  $22.57$19.18$19.18$20.81$22.57$22.57$22.57$20.81$22.57$20.81$22.57$22.57
K0552  $2.65$2.25$2.65$2.65$2.65$2.65$2.65$2.65$2.65$2.65$2.65$2.65
K0609  $806.09$685.18$806.09$806.09$806.09$806.09$806.09$806.09$806.09$806.09$806.09$806.09
K0609KF $871.43$740.72$871.43$871.43$871.43$871.43$871.43$871.43$871.43$871.43$871.43$871.43

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

Capped Rental   Frequently Serviced Items   Inexpensive/Routinely Purchased Items   Ostomy, Tracheostomy & Urologicals  
Oxygen & Oxygen Equipment   Prosthetics & Orthotics   Surgical Dressings   Supplies   TENS   Therapeutic Shoes  
Back to 2006 Fee Schedule