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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).
2007 |
2006 |
2005
| 2007 Fee Schedules |
| File Title |
Effective Date |
Region |
| Ambulance Fee Schedule |
|
Ambulance Fee Schedule |
01/01/2007 |
MA, ME, NH, VT |
|
Ambulance Fee Schedule |
01/01/2007
Posted 05/01/09 |
RI |
| Anesthesia Conversion Factors |
| Anesthesia Conversion Factors - Revised 12/21/06 |
01/01/2007 |
MA, ME, NH, VT |
|
Anesthesia Conversion Factors |
01/01/2007
Posted 05/01/09 |
RI |
| 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 |
|
Chiropractors Fee Schedule |
01/01/2007
Posted 05/01/09 |
RI |
| Chiropractic Services Demonstration |
01/01/2007 |
Maine |
| Clinical Lab |
| Clinical Lab Fee Schedule |
01/01/2007
Posted 05/01/09 |
RI |
| 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 |
|
Influenza - Administration Fees |
01/01/2007
Posted 05/01/09 |
RI |
| 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 (Rhode Island - entire state) |
01/01/2007 - 12/31/2007
Posted 05/01/09 |
|
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 |
|
Portable X-Ray Transportation Fees |
01/01/2007
Posted 05/01/09 |
RI |
| 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 |
back to top
| 2006 Fee Schedules |
| File Title |
Effective Date |
Region |
| Ambulance Fee Schedule |
| Ambulance Fee Schedule |
01/01/2006 |
MA, ME, NH, VT |
| Ambulance Fee Schedule |
01/01/2006
Posted 05/01/09 |
RI |
| Anesthesia Conversion Factors |
| Anesthesia Conversion Factors - Revised |
01/01/2006 |
MA, ME, NH, VT |
| Anesthesia Conversion Factors |
01/01/2006
Posted 05/01/09 |
RI |
| ASC Pricing Updates |
| ASC Changes - Adds/Deletes |
01/01/2006 |
MA, ME, NH, VT |
| ASC Listing of Codes |
01/01/2006 |
MA, ME, NH, VT |
| ASC Group Rates |
10/01/2005 |
MA, ME, NH, VT |
| Chiropractor |
| Chiropractors Fee Schedule - Revised |
01/01/2006 |
MA, ME, NH, VT |
| Chiropractors Fee Schedule |
01/01/2006
Posted 05/01/09 |
RI |
| Clinical Lab Updates |
| Clinical Lab Fee Schedule |
01/01/2006 |
MA, ME, NH, VT |
| Pricing Equivalency for Automated Tests |
09/01/2005 |
MA, ME, NH, VT |
| Clinical Lab Fee Schedule RI |
01/01/2006
Posted 05/01/09 |
RI |
| Clinical Psychologist |
| Clinical Psychologists Fee Schedule - Revised |
01/01/2006 |
MA, ME, NH, VT |
| Drug Pricing |
|
Influenza - Administrative Fees |
01/01/2006
Posted 05/01/09 |
RI |
| Drug Pricing Updates |
| Not Otherwise Classified (NOC) Drug Pricing File |
| Allowance Limits for Medicare Part B Drugs - Revised December |
10/01/2006-12/31/2006 |
MA, ME, NH, VT |
| Allowance Limits for Medicare Part B Drugs - Revised December |
07/01/2006-09/30/2006 |
MA, ME, NH, VT |
| Allowance Limits for Medicare Part B Drugs - Revised December |
04/01/2006-06/30/2006 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs |
10/01/2006-12/31/2006 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revised October |
07/01/2006-09/30/2006 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revised October |
04/01/2006-06/30/2006 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs |
07/01/2006-09/30/2006 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revised July |
04/01/2006-06/30/2006 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revised July |
01/01/2006-03/31/2006 |
MA, ME, NH, VT |
|
Allowance Limits
for Medicare Part B Drugs |
04/01/2006-06/30/2006 |
MA, ME, NH, VT |
|
Allowance Limits
for Medicare Part B Drugs - Revised |
01/01/2006-03/31/2006 |
MA, ME, NH, VT |
| Influenza Administration Fees - Revised |
01/01/2006 |
MA, ME, NH, VT |
| Allowance Limits for Medicare Part B Drugs |
01/01/2006-03/31/2006 |
MA, ME, NH, VT |
| Durable Medical Equipment |
|
Durable
Medical Equipment, Prosthetics, Orthotics & Supplies -
October Update |
01/01/2006 |
MA, ME, NH, VT |
| Durable Medical Equipment, Prosthetics, Orthotics & Supplies |
01/01/2006 |
MA, ME, NH, VT |
| Licensed Clinical Social Worker (LCSW) |
| Licensed Clinical Social Workers Fee Schedule - Revised |
01/01/2006 |
MA, ME, NH, VT |
|
Physician Fee Schedules-2006 REVISED |
| Cover Letter and Key Medicare News for 2006 |
|
Original Medicare Participating
Physician or Supplier Agreement |
| Revised Medicare Participating Physician or Supplier Agreement |
| Creation of a Second Participation Enrollment Period for 2006 |
| List of DELETED Codes for 2006 |
| List of Added Codes for 2006 |
| 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) |
01/01/2006 |
View PDF |
Download Text
File |
Download CSV File |
| Fee Schedule Area 99 (Maine - rest of Maine Counties) |
01/01/2006 |
View PDF |
Download Text
File |
Download CSV File |
| Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and Suffolk
Counties) |
01/01/2006 |
View PDF |
Download Text
File |
Download CSV File |
| Fee Schedule Area 99 (Rest of Massachusetts Counties) |
01/01/2006 |
View PDF |
Download Text
File |
Download CSV File |
| Fee Schedule Area 40 (New Hampshire - entire state) |
01/01/2006 |
View PDF |
Download Text
File |
Download CSV File |
| Fee Schedule (Rhode Island - entire state) |
01/01/2006
Posted 05/01/09 |
View PDF |
|
Download CSV File |
| Fee Schedule Area 50 (Vermont - entire state) |
01/01/2006 |
View PDF |
Download Text
File |
Download CSV File |
| Physician Fee
Schedule Updates |
| October Update to the Fee
Schedule |
01/01/2006 |
|
| July Update to the Fee Schedule |
01/01/2006 |
|
|
April Update to the Fee
Schedule |
01/01/2006 |
|
| Portable X-Ray |
| Portable X-Ray Equipment Transportation - Revised |
01/01/2006 |
MA, ME, NH, VT |
|
Portable X-Ray Transportation Fees |
01/01/2006
Posted 05/01/09 |
RI |
| Radiopharmaceuticals |
|
Tositumomab - G3001 |
07/01/2006 |
MA, ME, NH, VT |
|
Radiopharmaceuticals
|
07/01/2006 |
MA, ME, NH, VT |
|
Radiopharmaceuticals
|
01/01/2006 |
MA, ME, NH, VT |
| Splints & Casts |
| Splints & Casts |
01/01/2006 |
MA, ME, NH, VT |
back to top
| 2005 Fee Schedules |
| File Title |
Effective Date |
Region |
| Ambulance Fee Schedule |
| Ambulance
Fee Schedule |
01/01/2005 |
MA, ME, NH, VT |
| Ambulance
Prevailing Rates |
01/01/2005 |
MA, ME, NH, VT |
| Anesthesia Conversion Factors |
| Anesthesia
Conversion Factors |
01/01/2005 |
MA, ME, NH, VT |
| ASC Pricing Updates |
| ASC
Changes - Adds/Deletes |
01/01/2005 |
MA, ME, NH, VT |
|
ASC
Listing of Codes |
07/01/2005 |
MA, ME, NH, VT |
| Chiropractor |
| Chiropractors
Fee Schedule - Revised |
01/01/2005 |
MA, ME, NH, VT |
| Clinical Lab Updates |
| Clinical
Lab Fee Schedule |
01/01/2007 |
MA, ME, NH, VT |
|
Clinical
Laboratory Travel - P9603 and P9604 |
09/01/2005 |
MA, ME, NH, VT |
|
Pricing
Equivalency for Automated Tests |
01/01/2005 |
MA, ME, NH, VT |
| Clinical Psychologist |
| Clinical
Psychologists Fee Schedule - Revised |
01/01/2007 |
MA, ME, NH, VT |
| Drug Pricing Updates |
|
Allowance
Limits for Medicare Part B Drugs - Revised 4/1/06 |
10/01/2005 - 12/31/2005 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revised 4/1/06 |
07/01/2005 - 09/30/2005 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revised 4/1/06 |
04/1/2005 - 06/30/2005 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revised 4/1/06 |
01/01/2005 - 03/31/2005 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revision |
10/1/2005 - 12/31/2005 |
MA, ME, NH, VT |
|
Allowance
Limits For Flu and Pneumococcal Vaccines |
9/1/2005 |
MA, ME, NH, VT |
|
Quarterly
Average Sales Price (ASP) Medicare Part B Drug Pricing File |
Jan Revisions (1/1/05) April New (4/1/05) |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revision 2 |
04/1/2005 - 6/30/2005 |
MA, ME, NH, VT |
|
Updates
to Injection Codes Priced by Carrier |
04/01/2005 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs - Revisions |
01/01/2005 |
MA, ME, NH, VT |
|
Allowance
Limits for Medicare Part B Drugs |
01/01/2005-03/31/2005 |
MA, ME, NH, VT |
|
Correction
to Allowance Limits for Medicare Part B Drugs |
01/01/2005 |
MA, ME, NH, VT |
|
Drug
Pricing - Carrier Priced |
01/01/2005 |
MA, ME, NH, VT |
|
Influenza
Administration Fees - Revised |
01/01/2005 |
MA, ME, NH, VT |
| Durable Medical Equipment |
|
Durable
Medical Equipment, Prosthetics, Orthotics & Supplies - October
Update |
01/01/2005 |
MA, ME, NH, VT |
|
Durable
Medical Equipment, Prosthetics, Orthotics & Supplies -
Update |
01/01/2005 |
MA, ME, NH, VT |
|
DMEPOS Fee Schedule |
01/01/2005 |
MA, ME, NH, VT |
| Licensed Clinical Social Worker (LCSW) |
|
Licensed
Clinical Social Workers Fee Schedule |
01/01/2005 |
MA, ME, NH, VT |
| Physician Fee Schedules - 2005 REVISED |
|
Original Cover
Letter and Fact Sheet for 2005 -pertinent to all areas. |
| 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 |
| Fee Schedule Area 03 (Maine - York and Cumberland Counties) |
01/01/2005 |
View
PDF |
Download
Text File |
| Fee Schedule Area 99 (Maine - rest of Maine Counties) |
01/01/2005 |
View
PDF |
Download
Text File |
| Fee Schedule Area 01 (Massachusetts - Middlesex, Norfolk and
Suffolk Counties) |
01/01/2005 |
View
PDF |
Download
Text File |
| Fee Schedule Area 99 (Rest of Massachusetts Counties) |
01/01/2005 |
View
PDF |
Download
Text File |
| Fee Schedule Area 40 (New Hampshire - entire state) |
01/01/2005 |
View
PDF |
Download
Text File |
| Fee Schedule Area 50 (Vermont - entire state) |
01/01/2005 |
View
PDF |
Download
Text File |
| Physician Fee Schedule Updates |
| New Code - G0372 - Added to 2005 MPFSDB |
10/25/2005 |
View
Indicators
View
Fees |
|
October
Update to the 2005 MPFSDB |
01/01/2005 |
View
Indicators |
| July Update to the 2005 MPFSDB |
03/22/2005 |
View
View
Indicators |
| First Update to the 2005 MPFSDB - April |
01/01/2005 |
View
View
Indicators |
| Portable X-Ray |
|
Portable
X-Ray Equipment Transportation |
01/01/2005 |
MA, ME, NH, VT |
| Splints & Casts |
|
Splints
& Casts |
01/01/2005 |
MA, ME, NH, VT |
back to top
05/01/2009 |