To access a fee schedule, select the program from the drop-down list. Next, choose the type of rates for which you want to view or print the fee schedule. After choosing the rate type, you will see a list of the current and historical versions of the corresponding schedule. Click the schedule you want to view.

Information provided on fee schedules does not guarantee coverage or payment. Providers must reference provider manuals for specific coverage information or program limitations and verify if services are covered for their provider type and specialty and the beneficiary. For additional information, please refer to the FAQ page and select the Fee Schedule category.

Disclaimer: Effective with the processing date of July 28, 2017, retroactive to dates of service on and after July 1, 2017, the previously implemented provider payment reduction was restored. Claims with a date of service prior to July 1, 2017, continue to receive the reduction. Effective for claims with DOS on and after 07/01/2018 the DRG adjustment percentage was increased to 78% for outliers (both cost outlier and day outlier).