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Fee Schedules and Related Information

Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).

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 
All 2010 Fee Schedules published are the most recent fees issued from CMS.
File Title Effective Date Region
Ambulance Fee Schedule
Ambulance Fee Schedule (Revised 07/01/2010) 01/01/2010 MA, ME, NH, VT, RI
Ambulance Fee Schedule 01/01/2010 MA, ME, NH, VT, RI
Anesthesia Conversion Factors
Anesthesia Conversion Factors (Revised 06/01/2010) 06/01/2010 MA, ME, NH, RI, VT
Anesthesia Conversion Factors (Revised 05/13/2010) 01/01/2010 MA, ME, NH, RI, VT
Anesthesia Conversion Factors (Revised 01/14/2010) 01/01/2010 MA, ME, NH, RI, VT
ASC Pricing Updates
County Name Effective Date CBSA Locality
ASC Pricing Update for Code C9800
JSM10374		 03/23/2010 to 06/30/2010 All CBSA Locations
Maine
Maine - Aroostook, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Piscataquis, Somerset, Statewide, Waldo, Washington 01/01/2010 20 (Text File)
Maine - Aroostook, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Piscataquis, Somerset, Statewide, Waldo, Washington (Revised 06/10/2010) 01/01/2010 20 (Text File)
Maine - Aroostook, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Piscataquis, Somerset, Statewide, Waldo, Washington 07/01/2010 20 (Text File)
Maine - Penobscot 01/01/2010 12620 (Text File)
Maine - Penobscot (Revised 06/10/2010) 01/01/2010 12620 (Text File)
Maine - Penobscot 07/01/2010 12620 (Text File)
Maine - Androscoggin 01/01/2010 30340 (Text File)
Maine - Androscoggin (Revised 06/10/2010) 01/01/2010 30340 (Text File)
Maine - Androscoggin 07/01/2010 30340 (Text File)
Maine - Cumberland, Sagadahoc, York 01/01/2010 38860 (Text File)
Maine - Cumberland, Sagadahoc, York (Revised 06/10/2010) 01/01/2010 38860 (Text File)
Maine - Cumberland, Sagadahoc, York 07/01/2010 38860 (Text File)
Massachusetts
Massachusetts - Dukes, Nantucket, Statewide 01/01/2010 22 (Text File)
Massachusetts - Dukes, Nantucket, Statewide (Revised 06/10/2010) 01/01/2010 22 (Text File)
Massachusetts - Dukes, Nantucket, Statewide 07/01/2010 22 (Text File)
Massachusetts - Barnstable 01/01/2010 12700 (Text File)
Massachusetts - Barnstable (Revised 06/10/2010) 01/01/2010 12700 (Text File)
Massachusetts - Barnstable 07/01/2010 12700 (Text File)
Massachusetts - Norfolk, Plymouth, Suffolk 01/01/2010 14484 (Text File)
Massachusetts - Norfolk, Plymouth, Suffolk (Revised 06/10/2010) 01/01/2010 14484 (Text File)
Massachusetts - Norfolk, Plymouth, Suffolk 07/01/2010 14484 (Text File)
Massachusetts - Middlesex 01/01/2010 15764 (Text File)
Massachusetts - Middlesex (Revised 06/10/2010) 01/01/2010 15764 (Text File)
Massachusetts - Middlesex 07/01/2010 15764 (Text File)
Massachusetts - Essex 01/01/2010 37764 (Text File)
Massachusetts - Essex (Revised 06/10/2010) 01/01/2010 37764 (Text File)
Massachusetts - Essex 07/01/2010 37764 (Text File)
Massachusetts - Berkshire 01/01/2010 38340 (Text File)
Massachusetts - Berkshire (Revised 06/10/2010) 01/01/2010 38340 (Text File)
Massachusetts - Berkshire 07/01/2010 38340 (Text File)
Massachusetts - Bristol 01/01/2010 39300 (Text File)
Massachusetts - Bristol (Revised 06/10/2010) 01/01/2010 39300 (Text File)
Massachusetts - Bristol 07/01/2010 39300 (Text File)
Massachusetts - Franklin, Hampden, Hampshire 01/01/2010 44140 (Text File)
Massachusetts - Franklin, Hampden, Hampshire (Revised 06/10/2010) 01/01/2010 44140 (Text File)
Massachusetts - Franklin, Hampden, Hampshire 07/01/2010 44140 (Text File)
Massachusetts - Worcester 01/01/2010 49340 (Text File)
Massachusetts - Worcester (Revised 06/10/2010) 01/01/2010 49340 (Text File)
Massachusetts - Worcester 07/01/2010 49340 (Text File)
New Hampshire
New Hampshire - Belknap, Carroll, Cheshire, Coos, Grafton, Merrimack, Statewide, Sullivan 01/01/2010 30 (Text File)
New Hampshire - Belknap, Carroll, Cheshire, Coos, Grafton, Merrimack, Statewide, Sullivan (Revised 06/10/2010) 01/01/2010 30 (Text File)
New Hampshire - Belknap, Carroll, Cheshire, Coos, Grafton, Merrimack, Statewide, Sullivan 07/01/2010 30 (Text File)
New Hampshire - Hillsborough 01/01/2010 31700 (Text File)
New Hampshire - Hillsborough (Revised 06/10/2010) 01/01/2010 31700 (Text File)
New Hampshire - Hillsborough 07/01/2010 31700 (Text File)
New Hampshire - Rockingham, Strafford 01/01/2010 40484 (Text File)
New Hampshire - Rockingham, Strafford (Revised 06/10/2010) 01/01/2010 40484 (Text File)
New Hampshire - Rockingham, Strafford 07/01/2010 40484 (Text File)
Vermont
Vermont - Addison, Bennington, Caledonia, Essex, Lomoille, Orange, Orleans, Rutland, Statewide, Washington, Windham, Windsor 01/01/2010 47 (Text File)
Vermont - Addison, Bennington, Caledonia, Essex, Lomoille, Orange, Orleans, Rutland, Statewide, Washington, Windham, Windsor (Revised 06/10/2010) 01/01/2010 47 (Text File)
Vermont - Addison, Bennington, Caledonia, Essex, Lomoille, Orange, Orleans, Rutland, Statewide, Washington, Windham, Windsor 07/01/2010 47 (Text File)
Vermont - Chittenden, Franklin, Grand Isle 01/01/2010 15540 (Text File)
Vermont - Chittenden, Franklin, Grand Isle (Revised 06/10/2010) 01/01/2010 15540 (Text File)
Vermont - Chittenden, Franklin, Grand Isle 07/01/2010 15540 (Text File)
Rhode Island
Rhode Island - Entire State 01/01/2010 RI39300 (Text File)
Rhode Island - Entire State (Revised 06/10/2010) 01/01/2010 RI39300 (Text File)
Rhode Island - Entire State 07/01/2010 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- January (Revised 03/18/2010) 01/01/2010 to 03/31/2010 (Revision Published 03/25/2010) MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs- January (Revised 06/18/2010) 01/01/2010 to 03/31/2010 MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs- April 04/01/2010-06/30/2010 MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs- April (Revised 06/18/2010) 04/01/2010 to 06/30/2010 MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs- July 07/01/2010 to 09/30/2010 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 (Revised 05/13/2010) 01/01/2010 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
Click Here To View Fee Schedules Prior to CMS Changes of 06/01/2010    
Current CMS Fee Schedule Files Revised as of 06/21/10 (JSM 10335) Effective Date Formats - Which should I use?
Maine Area 03    
Fee Schedule Area 03 (Maine - York and Cumberland Counties) 01/01/2010 - 05/31/2010 Download Text File    
Fee Schedule Area 03 (Maine - York and Cumberland Counties) 06/01/2010 Download Text File    
Fee Schedule Area 03 (Maine - York and Cumberland Counties) 07/01/2010 Download Text File    
Maine Area 99    
Fee Schedule Area 99 (Maine - remainder of Maine Counties) 01/01/2010 - 05/31/2010 Download Text File    
Fee Schedule Area 99 (Maine - remainder of Maine Counties) 06/01/2010 Download Text File    
Fee Schedule Area 99 (Maine - remainder of Maine Counties) 07/01/2010 Download Text File    
Massachusetts Area 01    
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties) 01/01/2010 - 05/31/2010 Download Text File    
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties) 06/01/2010 Download Text File    
Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk Counties) 07/01/2010 Download Text File    
Massachusetts Area 99    
Fee Schedule Area 99 (Massachusetts - rest of Massachusetts Counties) 01/01/2010 - 05/31/2010 Download Text File    
Fee Schedule Area 99 (Massachusetts - rest of Massachusetts Counties) 06/01/2010 Download Text File    
Fee Schedule Area 99 (Massachusetts - rest of Massachusetts Counties) 07/01/2010 Download Text File    
New Hampshire Area 40- Entire State    
Fee Schedule Area 40 (New Hampshire - entire state) 01/01/2010 - 05/31/2010 Download Text File    
Fee Schedule Area 40 (New Hampshire - entire state) 06/01/2010 Download Text File    
Fee Schedule Area 40 (New Hampshire - entire state) 07/01/2010 Download Text File    
Rhode Island- Entire State    
Fee Schedule (Rhode Island - entire state) 01/01/2010 - 05/31/2010 Download Text File    
Fee Schedule (Rhode Island - entire state) 06/01/2010 Download Text File    
Fee Schedule (Rhode Island - entire state) 07/01/2010 Download Text File    
Vermont Area 50- Entire State    
Fee Schedule Area 50 (Vermont - entire state) 01/01/2010 - 05/31/2010 Download Text File    
Fee Schedule Area 50 (Vermont - entire state) 06/01/2010 Download Text File    
Fee Schedule Area 50 (Vermont - entire state) 07/01/2010 Download Text File    
Splints & Casts
Splints & Casts Fee Schedule 01/01/2010 MA, ME, NH, RI, VT

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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- July (Revised 03/18/2010) 07/01/2009 to 09/30/2009 (Revision Published 03/25/2010) MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs- July (Revised 06/18/2010) 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- October (Revised 03/18/2010) 10/01/2009 to 12/31/2009 (Revision Published 03/25/2010) MA, ME, NH, RI, VT
Allowance Limit for Medicare Part B Drugs- October (Revised 06/18/2010) 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- April (Revised 03/18/2010) 04/01/2009 to 06/30/2009 (Revision Published 03/25/2010) 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
April Update to the Fee Schedule 01/01/2009
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

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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
April Update to the Fee Schedule 01/01/2008
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

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08/23/2010
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