| 2005 Medicare Physicians Fee Schedule For Code G0372 | |||||
| New England - Effective October 25, 2005 | |||||
| CODE/ | PAR | NON-PAR | LIMIT | ||
| AREA | MOD | FEE | FEE | CHARGE | |
| Maine | |||||
| 03 | G0372 | $ 21.55 | $ 20.47 | $ 23.54 | |
| # | 03 | G0372 | $ 8.97 | $ 8.52 | $ 9.80 |
| 99 | G0372 | $ 19.96 | $ 18.96 | $ 21.80 | |
| # | 99 | G0372 | $ 8.73 | $ 8.29 | $ 9.53 |
| Massachusetts | |||||
| 01 | G0372 | $ 25.96 | $ 24.66 | $ 28.36 | |
| # | 01 | G0372 | $ 9.91 | $ 9.41 | $ 10.82 |
| 99 | G0372 | $ 23.31 | $ 22.14 | $ 25.46 | |
| # | 99 | G0372 | $ 9.35 | $ 8.88 | $ 10.21 |
| New Hampshire | |||||
| 40 | G0372 | $ 22.01 | $ 20.91 | $ 24.05 | |
| # | 40 | G0372 | $ 9.14 | $ 8.68 | $ 9.98 |
| Vermont | |||||
| 50 | G0372 | $ 21.08 | $ 20.03 | $ 23.03 | |
| # | 50 | G0372 | $ 8.86 | $ 8.42 | $ 9.68 |
| A pound sign (#) indicates the facility rate. | |||||
| 03 – ME – York and Cumberland Counties | |||||
| 99 – ME – Rest of State | |||||
| 01 - MA – Middlesex, Norfolk, Suffix Counties | |||||
| 99 – MA – Rest of State | |||||
| 10/27/05; corrected area # 1/12/06 | |||||