April 23, 2014
2014 MPFSDB HHH Fee Schedule
Facility and Non-Facility RVU changes led to fee changes for certain codes on the MPFSDB fee schedules. The codes and fees are detailed below. These revised fees are effective January 1, 2014. All other fees remain unchanged due to the President signing into law the “Protecting Access to Medicare Act 2014” averting the expiration of the 0.5% update to the physician fee schedule conversion factor and the 1.0 work floor GPCI that will remain in effect until December 31, 2014.
State | Carrier Number | Locality | HCPCS | Modifier | Non Facility Fee | |
---|---|---|---|---|---|---|
DE | 12102 | 01 | 77293 | $474.58 | ||
DE | 12102 | 01 | 77293 | TC | $369.18 | |
DOC | 12202 | 01 | 77293 | $541.57 | ||
DOC | 12202 | 01 | 77293 | TC | $427.58 | |
CO | 04112 | 01 | 77293 | $462.60 | ||
CO | 04112 | 01 | 77293 | TC | $358.56 | |
IA | 05102 | 00 | 77293 | $416.06 | ||
IA | 05102 | 00 | 77293 | TC | $317.15 | |
KS | 05202 | 00 | 77293 | $420.07 | ||
KS | 05202 | 00 | 77293 | TC | $319.76 | |
MD | 12302 | 99 | 77293 | $474.28 | *Rest of State | |
MD | 12302 | 99 | 77293 | TC | $368.51 | *Rest of State |
MD | 12302 | 01 | 77293 | $499.41 | *Baltimore and Surrounding counties | |
MD | 12302 | 01 | 77293 | TC | $390.26 | *Baltimore and Surrounding counties |
MO | 05302 | 99 | 77293 | *Rest of State | ||
MO | 05302 | 99 | 77293 | TC | *Rest of State | |
MO | 05302 | 02 | 77293 | *Metro Kansas City | ||
MO | 05302 | 02 | 77293 | TC | *Metro Kansas City | |
MO | 05302 | 01 | 77293 | *Metro St.Louis | ||
MO | 05302 | 01 | 77293 | TC | *Metro St.Louis | |
MT | 03202 | 01 | 77293 | $460.26 | ||
MT | 03202 | 01 | 77293 | TC | $355.78 | |
NE | 05402 | 00 | 77293 | $420.92 | ||
NE | 05402 | 00 | 77293 | TC | $322.08 | |
ND | 03302 | 01 | 77293 | $457.78 | ||
ND | 03302 | 01 | 77293 | TC | $355.05 | |
PA | 12502 | 99 | 77293 | $429.49 | *Rest of State | |
PA | 12502 | 99 | 77293 | TC | $327.67 | *Rest of State |
PA | 12502 | 01 | 77293 | $490.68 | *Metro Philadelphia | |
PA | 12502 | 01 | 77293 | TC | $381.82 | *Metro Philadelphia |
SD | 03402 | 02 | 77293 | $457.31 | ||
SD | 03402 | 02 | 77293 | TC | $355.51 | |
UT | 03502 | 09 | 77293 | $429.04 | ||
UT | 03502 | 09 | 77293 | TC | $326.98 | |
VA | 11302 | 00 | 77293 | $451.05 | ||
VA | 11302 | 00 | 77293 | TC | $348.53 | |
WV | 11402 | 16 | 77293 | $396.10 | ||
WV | 11402 | 16 | 77293 | TC | $296.11 | |
WY | 03602 | 21 | 77293 | $460.50 | ||
WY | 03602 | 21 | 77293 | TC | $355.80 |