Jurisdiction A DME MAC

4th Quarter 2005 DMEPOS/PEN Fee Schedule Updates

Updated October 1, 2006

Inclusion of a fee schedule amount for an item does not necessarily indicate coverage

MOD1

MOD2

CT

DC

DE

MA

MD

ME

NH

NJ

NY

PA

RI

VT

L2232

$78.20

$78.20

$78.20

$78.20

$78.20

$78.20

$78.20

$78.20

$78.20

$78.20

$78.20

$78.20