NHIC New England Providers Fee Schedule

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This page contains the most current Medicare fee schedules and related information. There is also a link to archived fee schedules for the past two years.

2008 | 2007 | Fee Schedule Archive (2006 & 2005)

2008 Fee Schedules - Revised
File Title	Effective Date	Region
Ambulance Fee Schedule
Ambulance Fee Schedule - Revised in July	07/01/2008	MA, ME, NH, VT
Ambulance Fee Schedule - Revised	01/01/2008	MA, ME, NH, VT
Anesthesia Conversion Factors
Anesthesia Conversion Factors - Revised	01/01/2008	MA, ME, NH, VT
ASC Pricing Updates
ASC Fee Schedules - Revised	01/01/2008	MA, ME, NH, VT
Chiropractor
Chiropractor Fee Schedule - Revised	01/01/2008	MA, ME, NH, VT
Clinical Lab Updates
Clinical Lab Fee Schedule	07/01/2008	MA, ME, NH, VT
Clinical Lab Fee Schedule - Revised	01/01/2008	MA, ME, NH, VT
Pricing Equivalency for Automated Tests	01/01/2008	MA, ME, NH, VT
Clinical Psychologist
Clinical Psychologist Fee Schedule - Revised in July	07/01/2008	MA, ME, NH, VT
Clinical Psychologist Fee Schedule - Revised	01/01/2008	MA, ME, NH, VT
Drug Pricing Updates
Allowance Limits for Medicare Part B Drugs	07/01/2008-9/30/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised in July	04/01/2008-06/30/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised in July	01/01/2008-03/31/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - April	04/01/2008-06/30/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised April	01/01/2008-03/31/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised	01/01/2008-03/31/2008	MA, ME, NH, VT
Influenza - Administration Fee - Revised	01/01/2008	MA, ME, NH, VT
Tositumomab - Administration & Supply Fee - Revised	01/01/2008	MA, ME, NH, VT
Durable Medical Equipment
Durable Medical Equipment, Prosthetics, Orthotics & Supplies	01/01/2008	MA, ME, NH, VT
Licensed Clinical Social Worker (LCSW)
Licensed Clinical Social Worker Fees - Revised in July	07/01/2008	MA, ME, NH, VT
Licensed Clinical Social Worker Fees - Revised	01/01/2008	MA, ME, NH, VT
Revised Physician Fee Schedules - 2008
New 2008 Medicare Physician Fee Schedule Payment Rates Effective for Dates of Service July 1, 2008 through December 31, 2008. (JSMTDL 08410)
Legislative Change Affecting the 2008 Medicare Physician Fee Schedule (MPFS), and Extension of the 2008 Participation Open Enrollment Period (JSM 08096)
2008 Medicare Participating Physician or Supplier Agreement Mail completed application to: Provider Enrollment, P.O. Box 3434, Hingham, MA02044
2008 Added HCPCS Codes
2008 Deleted HCPCS Codes
Fee Schedule Disclaimer: Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.
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File Title	Effective Date	Formats - Which should I use?
Mental Health Codes - Revised Fee Schedule Amounts	07/01/2008- 12/31/2008	Download Text File	Not Available	Not Available
Fee Schedule Area 03 (Maine - York and Cumberland Counties)	01/01/2008- 12/31/2008	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Maine - rest of Maine Counties)	01/01/2008- 12/31/2008	Download Text File	Download CSV	View PDF
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties)	01/01/2008- 12/31/2008	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Rest of Massachusetts Counties)	01/01/2008- 12/31/2008	Download Text File	Download CSV	View PDF
Fee Schedule Area 40 (New Hampshire - entire state)	01/01/2008- 12/31/2008	Download Text File	Download CSV	View PDF
Fee Schedule Area 50 (Vermont - entire state)	01/01/2008- 12/31/2008	Download Text File	Download CSV	View PDF
Physician Fee Schedule Updates
July Update to the Fee Schedule	01/01/2008	Fee Updates Update to the Indicators
April Update to the Fee Schedule	01/01/2008	Fee Updates Update to the Indicators
Revised Portable X-Ray
Portable X-Ray Transportation Fees - Revised	01/01/2008	MA, ME, NH, VT
Radiopharmaceuticals
Radiopharmaceuticals - Revised	01/01/2008	MA, ME, NH, VT
Splints & Casts
Splints & Cast Supplies	01/01/2008	MA, ME, NH, VT

2007 Fee Schedules
File Title	Effective Date	Region
Ambulance Fee Schedule
Ambulance Fee Schedule	01/01/2007	MA, ME, NH, VT
Anesthesia Conversion Factors
Anesthesia Conversion Factors - Revised 12/21/06	01/01/2007	MA, ME, NH, VT
ASC Pricing Updates
ASC Group Rates	01/01/2007	MA, ME, NH, VT
ASC Changes - Adds/Deletes	01/01/2007	MA, ME, NH, VT
ASC Listing of Codes	01/01/2007	MA, ME, NH, VT
Chiropractor
Chiropractors Fee Schedule- Revised 12/21/06	01/01/2007	MA, ME, NH, VT
Chiropractic Services Demonstration	01/01/2007	Maine
Clinical Lab Updates
Clinical Lab Fee Schedule	01/01/2007	MA, ME, NH, VT
Pricing Equivalency for Automated Tests	01/01/2007	MA, ME, NH, VT
Clinical Psychologist
Clinical Psychologists Fee Schedule- Revised	01/01/2007	MA, ME, NH, VT
Drug Pricing Updates
Administration Fees - Influenza Revised 01/04/07	01/01/2007	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised April 2008	10/01/2007-12/31/2007	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - October	10/01/2007-12/31/2007	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - July Revised	07/01/07-09/30/07	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - April Revised	04/01/2007-06/30/2007	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - January Revised	01/01/2007-03/31/2007	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs	04/01/2007-06/30/2007	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - January Revised	01/01/2007-03/31/2007	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs	01/01/2007-03/31/2007	MA, ME, NH, VT
Durable Medical Equipment
Durable Medical Equipment, Prosthetics, Orthotics & Supplies - April Update	01/01/2007	MA, ME, NH, VT
Durable Medical Equipment, Prosthetics, Orthotics & Supplies- Revised 01/04/07	01/01/2007	MA, ME, NH, VT
Imaging Services - CAP Payment Amount (CR 5357)
CAP Payment Amount for Imaging Services	Revised 2/26/07 Effective 1/01/07	Maine
CAP Payment Amount for Imaging Services	Revised 2/26/07 Effective 1/01/07	Massachusetts
CAP Payment Amount for Imaging Services	Revised 2/26/07 Effective 1/01/07	New Hampshire
CAP Payment Amount for Imaging Services	Revised 2/26/07 Effective 1/01/07	Vermont
CAP Payment Amount for Imaging Services	01/01/2007	Maine
CAP Payment Amount for Imaging Services	01/01/2007	Massachusetts
CAP Payment Amount for Imaging Services	01/01/2007	New Hampshire
CAP Payment Amount for Imaging Services	01/01/2007	Vermont
Licensed Clinical Social Worker (LCSW)
Licensed Clinical Social Workers Fee Schedule- Revised	01/01/2007	MA, ME, NH, VT
Revised Physician Fee Schedules - 2007
July 2007 Updateto the Fee Schedule - Due to the changes in the formatting, we are adding the July 2007 updated Physician Fee Schedules. The new fee schedules include the OPPS cap amount when applicable.
Cover Letter and Anesthesia Conversion Factors - Revised
Legislative Change to the Update Factor for the 2007 Medicare Physician Fee Schedule (MPFS) and Extension of the Participating Enrollment Period (MM 5448)
Announcement About Medicare Participation for 2007
Medicare Participating Physician or Supplier Agreement
2007 Added HCPCS Codes
2007 Deleted HCPCS Codes
Fee Schedule Disclaimer: Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.
For optimal printing of Text Files with Microsoft Internet Explorer: Open the text file you need. Go to the Tool Bar at top of page. Select "View", Select "Text Size", Choose "Smallest". Make sure the printer mode is in "Landscape". Print the file.
File Title	Effective Date	Formats - Which should I use?
Fee Schedule Area 03 (Maine - York and Cumberland Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV	View PDF
Fee Schedule Area 03 (Maine - York and Cumberland Counties)	01/01/2007 Posted 07/02/2007	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Maine - rest of Maine Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Maine - rest of Maine Counties)	01/01/2007 Posted 07/02/2007	Download Text File	Download CSV	View PDF
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV	View PDF
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties)	01/01/2007 Posted 07/02/2007	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Rest of Massachusetts Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Rest of Massachusetts Counties)	01/01/2007 Posted 07/02/2007	Download Text File	Download CSV	View PDF
Fee Schedule Area 40 (New Hampshire - entire state)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV	View PDF
Fee Schedule Area 40 (New Hampshire - entire state)	01/01/2007 Posted 07/02/2007	Download Text File	Download CSV	View PDF
Fee Schedule Area 50 (Vermont - entire state)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV	View PDF
Fee Schedule Area 50 (Vermont - entire state)	01/01/2007 Posted 07/02/2007	Download Text File	Download CSV	View PDF
Physician Fee Schedule Updates
October Update to the Fee Schedule	01/01/2007	Fee Updates Update to the Indicators
July Update to the Fee Schedule	01/01/2007	Fee Updates Update to the Indicators
April Update to the Fee Schedule	01/01/2007	Fee Updates Update to the Indicators
Update to the Fee Schedule	01/01/2007	Fee Corrections/Additions Update to the Indicators
Portable X-Ray
Portable X-Ray Equipment Transportation	01/01/2007	MA, ME, NH, VT
Radiopharmaceuticals
Tositumomab - G3001	01/01/2007	MA, ME, NH, VT
Radiopharmaceuticals	01/01/2007	MA, ME, NH, VT
Splints & Casts
Splints & Casts	01/01/2007	MA, ME, NH, VT

07/31/2008