Jurisdiction A DME MAC
2007 DMEPOS/PEN Fee Schedule Updates (Revised 4/2/07)
Inclusion of a fee schedule amount for an item does not necessarily indicate coverage
Frequently Serviced Items
HCPCS	Mod1	Mod2	CT	DC	DE	MA	MD	ME	NH	NJ	NY	PA	RI	VT
E0450	RR		$954.52	$859.47	$954.52	$954.52	$811.34	$887.68	$954.52	$954.52	$954.52	$954.52	$954.52	$837.57
E0460	RR		$733.57	$623.53	$623.53	$623.53	$733.57	$623.53	$623.53	$623.53	$623.53	$623.53	$623.53	$623.53
E0461	RR		$954.52	$859.47	$954.52	$954.52	$811.34	$887.68	$954.52	$954.52	$954.52	$954.52	$954.52	$837.57
E0463	RR		$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38
E0464	RR		$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38	$1,406.38
E0500	RR		$107.03	$100.22	$103.33	$109.77	$105.46	$109.77	$109.77	$109.77	$109.77	$104.07	$109.77	$109.77
E0575	RR		$102.78	$87.36	$99.13	$102.78	$91.09	$102.78	$102.78	$102.78	$102.78	$94.65	$102.78	$102.78
E0935	RR		$22.73	$22.73	$22.73	$22.73	$22.73	$22.73	$22.73	$22.73	$19.32	$22.73	$19.32	$22.73
K0455	RR		$264.87	$264.87	$225.14	$225.14	$257.89	$225.14	$225.14	$225.14	$225.14	$225.14	$231.27	$225.14