Fee Schedule

Below is the link to the Medicaid Fee Schedule.  The Table of Contents contains active bookmark links to each section of the fee schedule.  Clicking the bookmark will bring the user directly to that section.  Users can print individual sections by indicating the pages numbers to be printed.

Medicaid Fee Schedule 

* Last Update (July 2017)

 

Please Note:

  • The rates listed are the Base Medicaid Rates
  • When the rate is listed as $0, then the claim is either priced manually and requires supporting documentation or prices based as percentage
  • Codes billed with modifiers may price differently
  • Special Programs may have different pricing with the use of modifiers or provider specific certification

National Correct Coding MUE Data  

DME Providers 
Outpatient Hospitals, Outpatient Psych, and Dialysis  
Ambulatory Surgical Centers and Professional Providers 

Ambulatory Payment Classification (APC) Fee Schedule
 For the following items, visit the Hospital Provider Directory page.

APC Fee Schedule
APC Status Codes
Frequently Asked Questions

J Codes Requiring NDC

J Code Conversion Table  

 

 

 

 

 

PDF All PDFs require the free Adobe Reader.

 

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