MedicareNHIC - Part B

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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.

2010 | 2009 | 2008 Fee Schedule Archive (2007, 2006, 2005)

2010 Fee Schedules
File Title	Effective Date	Region
Ambulance Fee Schedule
Ambulance Fee Schedule	01/01/2010	MA, ME, NH, VT, RI
Anesthesia Conversion Factors
Anesthesia Conversion Factors (Revised 01/14/2010)	01/01/2010	MA, ME, NH, RI, VT
ASC Pricing Updates
County Name	Effective Date	CBSA Locality
Maine
Maine - Aroostook, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Piscataquis, Somerset, Statewide, Waldo, Washington	01/01/2010	20 (Text File)
Maine - Penobscot	01/01/2010	12620 (Text File)
Maine - Androscoggin	01/01/2010	30340 (Text File)
Maine - Cumberland, Sagadahoc, York	01/01/2010	38860 (Text File)
Massachusetts
Massachusetts - Dukes, Nantucket, Statewide	01/01/2010	22 (Text File)
Massachusetts - Barnstable	01/01/2010	12700 (Text File)
Massachusetts - Norfolk, Plymouth, Suffolk	01/01/2010	14484 (Text File)
Massachusetts - Middlesex	01/01/2010	15764 (Text File)
Massachusetts - Essex	01/01/2010	37764 (Text File)
Massachusetts - Berkshire	01/01/2010	38340 (Text File)
Massachusetts - Bristol	01/01/2010	39300 (Text File)
Massachusetts - Franklin, Hampden, Hampshire	01/01/2010	44140 (Text File)
Massachusetts - Worcester	01/01/2010	49340 (Text File)
New Hampshire
New Hampshire - Belknap, Carroll, Cheshire, Coos, Grafton, Merrimack, Statewide, Sullivan	01/01/2010	30 (Text File)
New Hampshire - Hillsborough	01/01/2010	31700 (Text File)
New Hampshire - Rockingham, Strafford	01/01/2010	40484 (Text File)
Vermont
Vermont - Addison, Bennington, Caledonia, Essex, Lomoille, Orange, Orleans, Rutland, Statewide, Washington, Windham, Windsor	01/01/2010	47 (Text File)
Vermont - Chittenden, Franklin, Grand Isle	01/01/2010	15540 (Text File)
Rhode Island
Rhode Island - Entire State	01/01/2010	RI39300 (Text File)
Chiropractic
Chiropractor Fee Schedule	01/01/2010	MA, ME, NH, RI, VT
Clinical Lab Updates
Clinical Lab Fee Schedule MA	01/01/2010	MA
Clinical Lab Fee Schedule ME	01/01/2010	ME
Clinical Lab Fee Schedule NH	01/01/2010	NH
Clinical Lab Fee Schedule RI	01/01/2010	RI
Clinical Lab Fee Schedule VT	01/01/2010	VT
Pricing Equivalency for Automated Tests	01/01/2010	MA, ME, NH, RI, VT
Clinical Psychologist
Clinical Psychologist Fee Schedule	01/01/2010	MA, ME, NH, RI, VT
Clinical Social Worker
Clinical Social Worker Fee Schedule	01/01/2010	MA, ME, NH, RI, VT
Drug Pricing
Allowance Limit for Medicare Part B Drugs	01/01/2010	MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs (Revised 12-21-2009)	01/01/2010 Effective Date: (Revision Published 02/25/10)	MA, ME, NH, RI, VT
Influenza - Administrative Fees	01/01/2010	MA, ME, NH, RI, VT
Durable Medical Equipment
Durable Medical Equipment, Prosthetics, Orthotics & Supplies	01/01/2010	MA, ME, NH, RI, VT
Physician Fee Schedules - 2010 Please note, the 2010 fee schedules published are the most recent fees issued from CMS.
2010 Medicare Participating Physician or Supplier Agreement Mail completed application to: Provider Enrollment, P.O. Box 3434, Hingham, MA 02044
2010 HCPCS Changes
2010 HCPCS Additions
2010 HCPCS Deletions
File Title	Effective Date	Formats - Which should I use?
Fee Schedule Area 03 (Maine - York and Cumberland Counties)	01/01/2010 - 12/31/2010	Download Text File	Download CSV	View PDF
Fee Schedule Area 03 (Maine - York and Cumberland Counties)–Correction (01/21/10)	01/01/2010 - 12/31/2010			View PDF
Fee Schedule Area 99 (Maine - remainder of Maine Counties)	01/01/2010 - 12/31/2010	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Maine - remainder of Maine Counties) –Correction (01/21/10)	01/01/2010 - 12/31/2010			View PDF
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties)	01/01/2010 - 12/31/2010	Download Text File	Download CSV	View PDF
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties)–Correction (01/21/10)	01/01/2010 - 12/31/2010			View PDF
Fee Schedule Area 99 (Massachusetts - rest of Massachusetts Counties)	01/01/2010 - 12/31/2010	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Massachusetts - rest of Massachusetts Counties)–Correction (01/21/10)	01/01/2010 - 12/31/2010			View PDF
Fee Schedule Area 40 (New Hampshire - entire state)	01/01/2010 - 12/31/2010	Download Text File	Download CSV	View PDF
Fee Schedule Area 40 (New Hampshire - entire state)–Correction (01/21/10)	01/01/2010 - 12/31/2010			View PDF
Fee Schedule (Rhode Island - entire state)	01/01/2010 - 12/31/2010	Download Text File	Download CSV	View PDF
Fee Schedule (Rhode Island - entire state)–Correction (01/21/10)	01/01/2010 - 12/31/2010			View PDF
Fee Schedule Area 50 (Vermont - entire state)	01/01/2010 - 12/31/2010	Download Text File	Download CSV	View PDF
Fee Schedule Area 50 (Vermont - entire state)–Correction (01/21/10)	01/01/2010 - 12/31/2010			View PDF
Splints & Casts
Splints & Casts Fee Schedule	01/01/2010	MA, ME, NH, RI, VT

2009 Fee Schedules
File Title	Effective Date	Region
Ambulance Fee Schedule
Ambulance Fee Schedule	01/01/2009	MA, ME, NH, VT
Ambulance Fee Schedule	01/01/2009 Posted 05/01/09	RI
Anesthesia Conversion Factors
Anesthesia Conversion Factors	01/01/2009	MA, ME, NH, VT
Anesthesia Conversion Factors	01/01/2009 Posted 05/01/09	RI
ASC Pricing Files
ASC Fee Schedules	01/01/2009	MA, ME, NH, VT
Chiropractic
Chiropractor Fee Schedule	01/01/2009	MA, ME, NH, VT
Chiropractor Fee Schedule	01/01/2009 Posted 05/01/09	RI
Clinical Lab Updates
Clinical Lab Fee Schedule MA	01/01/2009	MA
Clinical Lab Fee Schedule ME	01/01/2009	ME
Clinical Lab Fee Schedule NH	01/01/2009	NH
Clinical Lab Fee Schedule RI	01/01/2009 Posted 05/01/09	RI
Clinical Lab Fee Schedule VT	01/01/2009	VT
Pricing Equivalency for Automated Tests	01/01/2009	MA, ME, NH, VT
Clinical Psychologist
Clinical Psychologist Fee Schedule	01/01/2009	MA, ME, NH, VT
Drug Pricing
Influenza - Administrative Fees	01/01/2009	MA, ME, NH, VT
Influenza - Administrative Fees	01/01/2009 Posted 05/01/09	RI
Allowance Limit for Medicare Part B Drugs	07/01/2009 to 09/30/2009	MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs	01/01/2009	MA, ME, NH, VT
Revised Allowance Limit for Medicare Part B Drugs- October	10/01/2009 to 12/31/2009	MA, ME, NH, RI, VT
Revised Allowance Limit for Medicare Part B Drugs- October Revised 12/23/2009	10/01/2009 to 12/31/2009	MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs - April	04/01/2009 to 06/30/2009	MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs - January	01/01/2009 to 03/31/2009	MA, ME, NH, VT
Allowance Limit for Medicare Part B Drugs – January Revised 12/23/2009	01/01/2009 to 03/31/2009	MA, ME, NH, RI, VT
Tositumomab - Administration & Supply Fee	01/01/2009	MA, ME, NH, VT
Durable Medical Equipment
Durable Medical Equipment, Prosthetics, Orthotics & Supplies	01/01/2009	MA, ME, NH, VT
Licensed Clinical Social Worker (LCSW)
Licensed Clinical Social Worker Fees	01/01/2009	MA, ME, NH, VT
Revised Physician Fee Schedules
Revised Fee Schedule Maine	01/01/2009	ME
Revised Fee Schedule Massachusetts	01/01/2009	MA
Revised Fee Schedule New Hampshire	01/01/2009	NH
Revised Fee Schedule Vermont	01/01/2009	VT
Physician Fee Schedule Updates
September Fee Schedule Update	01/01/2009	Fee Updates
April Update to the Fee Schedule	01/01/2009	Fee Updates
Portable X-Ray
Portable X-Ray Transportation Fees	01/01/2009	MA, ME, NH, VT
Portable X-Ray Transportation Fees	01/01/2009 Posted 05/01/09	RI
Radiopharmaceuticals
Radiopharmaceuticals	01/01/2009	MA, ME, NH, VT
Splints & Casts
Splints & Casts Supplies	01/01/2009	MA, ME, NH, VT
Physician Fee Schedules - 2009
2009 Medicare Participating Physician or Supplier Agreement Mail completed application to: Provider Enrollment, P.O. Box 3434, Hingham, MA 02044
2009 Added HCPCS Codes
2009 Deleted HCPCS Codes
File Title	Effective Date	Formats - Which should I use?
Fee Schedule Area 03 (Maine - York and Cumberland Counties)	01/01/2009 - 12/31/2009	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Maine - rest of Maine Counties)	01/01/2009 - 12/31/2009	Download Text File	Download CSV	View PDF
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties)	01/01/2009 - 12/31/2009	Download Text File	Download CSV	View PDF
Fee Schedule Area 99 (Massachusetts - rest of Massachusetts Counties)	01/01/2009 - 12/31/2009	Download Text File	Download CSV	View PDF
Fee Schedule Area 40 (New Hampshire - entire state)	01/01/2009 - 12/31/2009	Download Text File	Download CSV	View PDF
Fee Schedule (Rhode Island - entire state)	01/01/2009 - 12/31/2009 Posted 05/01/09		Download CSV	View PDF
Fee Schedule Area 50 (Vermont - entire state)	01/01/2009 - 12/31/2009	Download Text File	Download CSV	View PDF

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
Ambulance Fee Schedule	01/01/2008 - 06/30/2008 Posted 05/01/09	RI
Ambulance Fee Schedule	07/01/2008 - 12/31/2008 Posted 05/01/09	RI
Anesthesia Conversion Factors
Anesthesia Conversion Factors - Revised	01/01/2008	MA, ME, NH, VT
Anesthesia Conversion Factors	01/01/2008 Posted 05/01/09	RI
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
Chiropractor Fee Schedule	01/01/2008 Posted 05/01/09	RI
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 Lab Fee Schedule - RI	01/01/2008 Posted 05/01/09	RI
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 - Revised March 2009	10/01/2008-12/31/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs	10/01/2008-12/31/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised March 2009	07/01/2008-09/30/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised September	07/01/2008-09/30/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised March 2009	04/01/2008-06/30/2008	MA, ME, NH, VT
Allowance Limits for Medicare Part B Drugs - Revised September	04/01/2008-06/30/2008	MA, ME, NH, VT
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, MA 02044
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 (Rhode Island - entire state)	01/01/2008 - 12/31/2008 Posted 05/01/09		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
Portable X-Ray
Portable X-Ray Transportation Fees	01/01/2008 Posted 05/01/09	RI
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

02/25/2010