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
Parenteral and Enteral Nutrition
HCPCS Mod1 Mod2 CT DC DE MA MD ME NH NJ NY PA RI VT
B4034       $6.38 $6.38 $6.38 $6.38 $6.38 $6.38 $6.38 $6.38 $6.38 $6.38 $6.38 $6.38
B4035       $12.16 $12.16 $12.16 $12.16 $12.16 $12.16 $12.16 $12.16 $12.16 $12.16 $12.16 $12.16
B4036       $8.34 $8.34 $8.34 $8.34 $8.34 $8.34 $8.34 $8.34 $8.34 $8.34 $8.34 $8.34
B4081       $22.55 $22.55 $22.55 $22.55 $22.55 $22.55 $22.55 $22.55 $22.55 $22.55 $22.55 $22.55
B4082       $16.78 $16.78 $16.78 $16.78 $16.78 $16.78 $16.78 $16.78 $16.78 $16.78 $16.78 $16.78
B4083       $2.57 $2.57 $2.57 $2.57 $2.57 $2.57 $2.57 $2.57 $2.57 $2.57 $2.57 $2.57
B4086       $37.22 $37.22 $37.22 $37.22 $37.22 $37.22 $37.22 $37.22 $37.22 $37.22 $37.22 $37.22
B4149       $1.64 $1.64 $1.64 $1.64 $1.64 $1.64 $1.64 $1.64 $1.64 $1.64 $1.64 $1.64
B4150       $0.70 $0.70 $0.70 $0.70 $0.70 $0.70 $0.70 $0.70 $0.70 $0.70 $0.70 $0.70
B4152       $0.58 $0.58 $0.58 $0.58 $0.58 $0.58 $0.58 $0.58 $0.58 $0.58 $0.58 $0.58
B4153       $1.99 $1.99 $1.99 $1.99 $1.99 $1.99 $1.99 $1.99 $1.99 $1.99 $1.99 $1.99
B4154       $1.27 $1.27 $1.27 $1.27 $1.27 $1.27 $1.27 $1.27 $1.27 $1.27 $1.27 $1.27
B4155       $0.99 $0.99 $0.99 $0.99 $0.99 $0.99 $0.99 $0.99 $0.99 $0.99 $0.99 $0.99
B4164       $17.19 $17.19 $17.19 $17.19 $17.19 $17.19 $17.19 $17.19 $17.19 $17.19 $17.19 $17.19
B4168       $25.04 $25.04 $25.04 $25.04 $25.04 $25.04 $25.04 $25.04 $25.04 $25.04 $25.04 $25.04
B4176       $48.46 $48.46 $48.46 $48.46 $48.46 $48.46 $48.46 $48.46 $48.46 $48.46 $48.46 $48.46
B4178       $58.18 $58.18 $58.18 $58.18 $58.18 $58.18 $58.18 $58.18 $58.18 $58.18 $58.18 $58.18
B4180       $24.65 $24.65 $24.65 $24.65 $24.65 $24.65 $24.65 $24.65 $24.65 $24.65 $24.65 $24.65
B4185       $11.36 $11.36 $11.36 $11.36 $11.36 $11.36 $11.36 $11.36 $11.36 $11.36 $11.36 $11.36
B4189       $179.72 $179.72 $179.72 $179.72 $179.72 $179.72 $179.72 $179.72 $179.72 $179.72 $179.72 $179.72
B4193       $232.24 $232.24 $232.24 $232.24 $232.24 $232.24 $232.24 $232.24 $232.24 $232.24 $232.24 $232.24
B4197       $282.74 $282.74 $282.74 $282.74 $282.74 $282.74 $282.74 $282.74 $282.74 $282.74 $282.74 $282.74
B4199       $323.09 $323.09 $323.09 $323.09 $323.09 $323.09 $323.09 $323.09 $323.09 $323.09 $323.09 $323.09
B4216       $7.81 $7.81 $7.81 $7.81 $7.81 $7.81 $7.81 $7.81 $7.81 $7.81 $7.81 $7.81
B4220       $8.09 $8.09 $8.09 $8.09 $8.09 $8.09 $8.09 $8.09 $8.09 $8.09 $8.09 $8.09
B4222       $9.98 $9.98 $9.98 $9.98 $9.98 $9.98 $9.98 $9.98 $9.98 $9.98 $9.98 $9.98
B4224       $25.29 $25.29 $25.29 $25.29 $25.29 $25.29 $25.29 $25.29 $25.29 $25.29 $25.29 $25.29
B5000       $12.02 $12.02 $12.02 $12.02 $12.02 $12.02 $12.02 $12.02 $12.02 $12.02 $12.02 $12.02
B5100       $4.70 $4.70 $4.70 $4.70 $4.70 $4.70 $4.70 $4.70 $4.70 $4.70 $4.70 $4.70
B9000 NU    $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99
B9000 RR    $117.53 $117.53 $117.53 $117.53 $117.53 $117.53 $117.53 $117.53 $117.53 $117.53 $117.53 $117.53
B9000 UE    $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24
B9002 NU    $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99 $1,278.99
B9002 RR    $123.88 $123.88 $123.88 $123.88 $123.88 $123.88 $123.88 $123.88 $123.88 $123.88 $123.88 $123.88
B9002 UE    $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24 $959.24
B9004 NU    $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22
B9004 RR    $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88
B9004 UE    $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41
B9006 NU    $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22 $2,551.22
B9006 RR    $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88 $403.88
B9006 UE    $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41 $1,913.41
E0776 NU BA $106.37 $106.37 $106.37 $106.37 $106.37 $106.37 $106.37 $106.37 $106.37 $106.37 $106.37 $106.37
E0776 RR BA $26.92 $26.92 $26.92 $26.92 $26.92 $26.92 $26.92 $26.92 $26.92 $26.92 $26.92 $26.92
E0776 UE BA $79.78 $79.78 $79.78 $79.78 $79.78 $79.78 $79.78 $79.78 $79.78 $79.78 $79.78 $79.78