part B fee schedules

Fee Schedule 11644-15278

CPT/HCPC Code	Medicare Location	Global Surgery Indicator	Multiple Surgery Indicator	Prevailing Charge Amount	Fee Schedule Amount	Site of Service Amount
11644	001	10	2	X	930.78	X
11644	003	10	2	X	870.20	X
11644	002	10	2	X	919.07	X
11644	004	10	2	X	889.49	X
11646	001	10	2	X	1,214.05	X
11646	004	10	2	X	1,113.00	X
11646	002	10	2	X	1,196.92	X
11646	003	10	2	X	1,126.16	X
11719	004	0	2	X	32.25	15.90
11719	001	0	2	X	36.97	17.79
11719	003	0	2	X	32.25	15.90
11719	002	0	2	X	32.25	15.90
11720	001	0	0	X	76.77	57.36
11720	003	0	0	X	67.76	51.21
11720	002	0	0	X	69.61	52.70
11720	004	0	0	X	67.76	51.21
11721	004	0	0	X	114.20	86.49
11721	001	0	0	X	129.48	96.68
11721	003	0	0	X	114.20	86.49
11721	002	0	0	X	117.36	88.85
11730	004	0	2	X	146.05	126.32
11730	001	0	2	X	159.87	138.20
11730	002	0	2	X	161.74	139.94
11730	003	0	2	X	139.07	120.10
11732	001	ZZZ	0	X	71.44	57.98
11732	003	ZZZ	0	X	67.17	54.59
11732	002	ZZZ	0	X	70.66	57.27
11732	004	ZZZ	0	X	66.35	53.99
11740	004	0	2	X	86.22	65.57
11740	002	0	2	X	103.02	78.37
11740	003	0	2	X	101.74	77.28
11740	001	0	2	X	88.92	67.75
11750	001	10	2	X	442.48	327.84
11750	003	10	2	X	498.70	369.51
11750	002	10	2	X	456.77	338.72
11750	004	10	2	X	404.83	299.75
11755	002	0	2	X	267.16	X
11755	003	0	2	X	251.98	X
11755	004	0	2	X	249.04	X
11755	001	0	2	X	270.81	X
11760	002	10	2	X	216.92	178.74
11760	003	10	2	X	208.97	172.44
11760	004	10	2	X	207.24	170.62
11760	001	10	2	X	215.74	177.22
11762	002	10	2	X	466.25	362.89
11762	003	10	2	X	441.51	342.83
11762	004	10	2	X	445.37	346.11
11762	001	10	2	X	474.07	367.74
11765	001	10	2	X	179.14	141.39
11765	003	10	2	X	171.95	135.79
11765	002	10	2	X	143.05	112.92
11765	004	10	2	X	169.25	133.76
11770	001	10	2	X	977.69	X
11770	003	10	2	X	863.88	X
11770	002	10	2	X	674.36	X
11770	004	10	2	X	804.49	X
11771	001	90	2	X	1,211.85	X
11771	004	90	2	X	1,092.63	X
11771	002	90	2	X	1,222.79	X
11771	003	90	2	X	1,105.41	X
11772	004	90	2	X	1,258.70	X
11772	002	90	2	X	1,368.10	X
11772	003	90	2	X	1,261.15	X
11772	001	90	2	X	1,391.19	X
11900	004	0	2	X	81.98	69.63
11900	002	0	2	X	86.77	73.35
11900	003	0	2	X	82.93	70.34
11900	001	0	2	X	87.72	74.17
11901	001	0	2	X	136.95	114.81
11901	004	0	2	X	128.02	107.72
11901	003	0	2	X	129.47	108.83
11901	002	0	2	X	135.44	113.67
11920		0	2	X	*	X
11921		0	2	X	*	X
11922		ZZZ	0	X	*	X
11950		0	2	X	*	X
11951		0	2	X	*	X
11952		0	2	X	*	X
11954		0	2	X	*	X
11960	001	90	2	X	1,755.22	X
11960	004	90	2	X	1,568.29	X
11960	003	90	2	X	1,587.45	X
11960	002	90	2	X	1,722.48	X
11970	004	90	2	X	1,722.71	X
11970	002	90	2	X	2,339.47	X
11970	003	90	2	X	1,743.84	X
11970	001	90	2	X	1,927.03	X
11971	001	90	2	X	730.12	X
11971	003	90	2	X	891.33	X
11971	002	90	2	X	920.22	X
11971	004	90	2	X	637.93	X
11976		0	2	X	*	X
11980	004	0	2	X	261.14	185.17
11980	001	0	2	X	292.40	203.48
11980	002	0	2	X	261.14	185.17
11980	003	0	2	X	261.14	185.17
11981	003	0	2	X	249.04	173.68
11981	002	0	2	X	249.04	173.68
11981	004	0	2	X	249.04	173.68
11981	001	0	2	X	281.52	193.01
11982	004	0	2	X	284.39	209.02
11982	001	0	2	X	320.94	232.37
11982	003	0	2	X	284.39	209.02
11982	002	0	2	X	284.39	209.02
11983	002	0	2	X	462.81	387.43
11983	003	0	2	X	462.81	387.43
11983	001	0	2	X	519.03	430.50
11983	004	0	2	X	462.81	387.43
12001	004	0	2	X	194.03	X
12001	002	0	2	X	213.88	X
12001	003	0	2	X	192.28	X
12001	001	0	2	X	218.29	X
12002	004	0	2	X	259.30	X
12002	001	0	2	X	269.33	X
12002	003	0	2	X	262.17	X
12002	002	0	2	X	272.65	X
12004	003	0	2	X	373.90	X
12004	002	0	2	X	381.40	X
12004	001	0	2	X	306.86	X
12004	004	0	2	X	380.71	X
12005	004	0	2	X	467.06	X
12005	003	0	2	X	480.13	X
12005	002	0	2	X	485.11	X
12005	001	0	2	X	491.61	X
12006	001	0	2	X	582.19	X
12006	004	0	2	X	549.57	X
12006	003	0	2	X	548.01	X
12006	002	0	2	X	575.56	X
12007	002	0	2	X	666.60	X
12007	003	0	2	X	635.98	X
12007	004	0	2	X	628.87	X
12007	001	0	2	X	674.00	X
12011	004	0	2	X	208.90	X
12011	002	0	2	X	230.44	X
12011	003	0	2	X	209.32	X
12011	001	0	2	X	238.77	X
12013	004	0	2	X	285.04	X
12013	001	0	2	X	284.25	X
12013	003	0	2	X	301.33	X
12013	002	0	2	X	299.27	X
12014	002	0	2	X	335.23	X
12014	003	0	2	X	343.49	X
12014	004	0	2	X	314.87	X
12014	001	0	2	X	317.31	X
12015	003	0	2	X	479.94	X
12015	002	0	2	X	510.15	X
12015	004	0	2	X	517.95	X
12015	001	0	2	X	397.85	X
12016	004	0	2	X	612.68	X
12016	001	0	2	X	835.54	X
12016	003	0	2	X	685.03	X
12016	002	0	2	X	770.91	X
12017	001	0	2	X	869.13	X
12017	004	0	2	X	982.64	X
12017	002	0	2	X	1,005.35	X
12017	003	0	2	X	814.01	X
12018	004	0	2	X	1,144.07	X
12018	003	0	2	X	1,158.28	X
12018	002	0	2	X	1,227.37	X
12018	001	0	2	X	1,243.94	X
12020	003	10	2	X	436.95	X
12020	002	10	2	X	448.70	X
12020	004	10	2	X	461.35	X
12020	001	10	2	X	440.81	X
12021	002	10	2	X	574.43	X
12021	003	10	2	X	521.44	X
12021	004	10	2	X	500.42	X
12021	001	10	2	X	574.12	X
12031	002	10	2	X	267.34	X
12031	003	10	2	X	249.36	X
12031	001	10	2	X	276.43	X
12031	004	10	2	X	245.04	X
12032	002	10	2	X	336.71	X
12032	003	10	2	X	328.70	X
12032	001	10	2	X	306.78	X
12032	004	10	2	X	320.06	X
12034	004	10	2	X	465.11	X
12034	002	10	2	X	496.11	X
12034	003	10	2	X	470.43	X
12034	001	10	2	X	405.88	X
12035	004	10	2	X	572.17	X
12035	002	10	2	X	610.24	X
12035	001	10	2	X	617.86	X
12035	003	10	2	X	578.78	X
12036	001	10	2	X	746.03	X
12036	002	10	2	X	731.83	X
12036	003	10	2	X	706.45	X
12036	004	10	2	X	692.03	X
12037	002	10	2	X	910.55	X
12037	003	10	2	X	856.34	X
12037	004	10	2	X	846.52	X
12037	001	10	2	X	923.81	X
12041	001	10	2	X	286.45	X
12041	003	10	2	X	254.46	X
12041	002	10	2	X	273.35	X
12041	004	10	2	X	247.89	X
12042	003	10	2	X	361.07	X
12042	002	10	2	X	356.58	X
12042	001	10	2	X	360.01	X
12042	004	10	2	X	337.05	X
12044	001	10	2	X	341.40	X
12044	004	10	2	X	472.53	X
12044	002	10	2	X	502.39	X
12044	003	10	2	X	478.00	X
12045	001	10	2	X	620.79	X
12045	004	10	2	X	575.45	X
12045	002	10	2	X	613.26	X
12045	003	10	2	X	582.11	X
12046	004	10	2	X	763.40	X
12046	001	10	2	X	829.31	X
12046	002	10	2	X	818.15	X
12046	003	10	2	X	774.59	X
12047	002	10	2	X	955.73	X
12047	003	10	2	X	896.03	X
12047	001	10	2	X	970.12	X
12047	004	10	2	X	885.37	X
12051	001	10	2	X	336.13	X
12051	004	10	2	X	287.98	X
12051	003	10	2	X	301.97	X
12051	002	10	2	X	319.24	X
12052	002	10	2	X	423.46	X
12052	003	10	2	X	405.17	X
12052	004	10	2	X	386.28	X
12052	001	10	2	X	415.54	X
12053	001	10	2	X	477.51	X
12053	003	10	2	X	466.65	X
12053	002	10	2	X	443.16	X
12053	004	10	2	X	428.53	X
12054	001	10	2	X	802.07	X
12054	003	10	2	X	653.58	X
12054	002	10	2	X	690.21	X
12054	004	10	2	X	645.79	X
12055	004	10	2	X	824.71	X
12055	003	10	2	X	834.64	X
12055	002	10	2	X	883.44	X
12055	001	10	2	X	895.24	X
12056	003	10	2	X	1,089.74	X
12056	001	10	2	X	1,173.83	X
12056	002	10	2	X	1,157.45	X
12056	004	10	2	X	1,076.48	X
12057	001	10	2	X	1,336.96	X
12057	003	10	2	X	1,246.79	X
12057	002	10	2	X	1,319.49	X
12057	004	10	2	X	1,231.53	X
13100	002	10	2	X	416.83	X
13100	003	10	2	X	399.11	X
13100	004	10	2	X	395.27	X
13100	001	10	2	X	423.79	X
13101	003	10	2	X	562.91	X
13101	002	10	2	X	585.36	X
13101	004	10	2	X	562.30	X
13101	001	10	2	X	589.94	X
13102	002	ZZZ	0	X	173.85	162.21
13102	003	ZZZ	0	X	173.85	162.21
13102	001	ZZZ	0	X	191.90	178.24
13102	004	ZZZ	0	X	173.85	162.21
13120	003	10	2	X	421.22	X
13120	002	10	2	X	448.56	X
13120	004	10	2	X	431.62	X
13120	001	10	2	X	452.37	X
13121	003	10	2	X	651.15	X
13121	002	10	2	X	690.38	X
13121	001	10	2	X	696.29	X
13121	004	10	2	X	659.78	X
13122	003	ZZZ	0	X	202.18	188.01
13122	002	ZZZ	0	X	202.18	188.01
13122	004	ZZZ	0	X	202.18	188.01
13122	001	ZZZ	0	X	223.05	206.47
13131	003	10	2	X	548.55	X
13131	002	10	2	X	572.48	X
13131	001	10	2	X	571.83	X
13131	004	10	2	X	512.42	X
13132	001	10	2	X	918.08	X
13132	004	10	2	X	864.75	X
13132	003	10	2	X	871.54	X
13132	002	10	2	X	908.94	X
13133	002	ZZZ	0	X	299.67	285.44
13133	003	ZZZ	0	X	299.67	285.44
13133	001	ZZZ	0	X	329.37	312.77
13133	004	ZZZ	0	X	299.67	285.44
13151	001	10	2	X	787.99	X
13151	004	10	2	X	752.42	X
13151	002	10	2	X	780.55	X
13151	003	10	2	X	757.21	X
13152	004	10	2	X	1,247.40	X
13152	002	10	2	X	1,343.01	X
13152	003	10	2	X	1,262.28	X
13152	001	10	2	X	1,362.54	X
13153	004	ZZZ	0	X	329.06	310.72
13153	001	ZZZ	0	X	362.73	341.27
13153	002	ZZZ	0	X	329.06	310.72
13153	003	ZZZ	0	X	329.06	310.72
13160	001	90	2	X	1,456.25	X
13160	004	90	2	X	1,396.20	X
13160	003	90	2	X	1,398.95	X
13160	002	90	2	X	1,450.80	X
14000	001	90	2	X	1,029.91	X
14000	004	90	2	X	952.92	X
14000	002	90	2	X	1,017.15	X
14000	003	90	2	X	964.06	X
14001	004	90	2	X	1,375.19	X
14001	002	90	2	X	1,477.10	X
14001	003	90	2	X	1,391.01	X
14001	001	90	2	X	1,446.86	X
14020	001	90	2	X	1,283.52	X
14020	002	90	2	X	1,266.68	X
14020	003	90	2	X	1,197.16	X
14020	004	90	2	X	1,182.80	X
14021	001	90	2	X	1,861.02	X
14021	004	90	2	X	1,707.25	X
14021	003	90	2	X	1,871.99	X
14021	002	90	2	X	1,902.11	X
14040	002	90	2	X	1,844.67	X
14040	003	90	2	X	1,799.73	X
14040	001	90	2	X	1,780.43	X
14040	004	90	2	X	1,836.36	X
14041	004	90	2	X	2,027.80	X
14041	001	90	2	X	2,232.76	X
14041	003	90	2	X	2,051.76	X
14041	002	90	2	X	2,177.12	X
14060	001	90	2	X	1,999.58	X
14060	004	90	2	X	1,978.26	X
14060	003	90	2	X	2,038.29	X
14060	002	90	2	X	2,113.91	X
14061	004	90	2	X	2,387.39	X
14061	003	90	2	X	2,416.65	X
14061	002	90	2	X	2,571.58	X
14061	001	90	2	X	2,608.95	X
14301	003	90	2	X	1,754.59	1,495.73
14301	002	90	2	X	1,754.59	1,495.73
14301	004	90	2	X	1,754.59	1,495.73
14301	001	90	2	X	1,982.55	1,675.50
14302	001	ZZZ	0	X	434.45	X
14302	004	ZZZ	0	X	390.69	X
14302	002	ZZZ	0	X	390.69	X
14302	003	ZZZ	0	X	390.69	X
14350	001	90	2	X	1,822.08	X
14350	003	90	2	X	1,690.97	X
14350	002	90	2	X	1,759.67	X
14350	004	90	2	X	1,671.70	X
15002	002	0	0	X	509.39	355.02
15002	003	0	0	X	509.39	355.02
15002	001	0	0	X	591.74	402.85
15002	004	0	0	X	509.39	355.02
15003	003	ZZZ	0	X	112.93	72.94
15003	002	ZZZ	0	X	112.93	72.94
15003	004	ZZZ	0	X	112.93	72.94
15003	001	ZZZ	0	X	131.32	82.37
15004	002	0	0	X	614.75	439.74
15004	003	0	0	X	614.75	439.74
15004	004	0	0	X	614.75	439.74
15004	001	0	0	X	712.73	498.59
15005	003	ZZZ	0	X	190.87	145.88
15005	002	ZZZ	0	X	190.87	145.88
15005	004	ZZZ	0	X	190.87	145.88
15005	001	ZZZ	0	X	219.79	164.72
15040	001	0	0	X	538.81	262.65
15040	004	0	0	X	459.26	233.63
15040	002	0	0	X	459.26	233.63
15040	003	0	0	X	459.26	233.63
15050	003	90	2	X	1,087.00	X
15050	002	90	2	X	1,111.06	X
15050	004	90	2	X	1,082.26	X
15050	001	90	2	X	1,133.81	X
15100	003	90	2	X	1,813.26	X
15100	002	90	2	X	1,851.75	X
15100	004	90	2	X	1,806.62	X
15100	001	90	2	X	1,861.12	X
15101	002	ZZZ	0	X	1,390.60	X
15101	003	ZZZ	0	X	1,367.77	X
15101	004	ZZZ	0	X	1,378.10	X
15101	001	ZZZ	0	X	1,388.88	X
15110	003	90	2	X	1,469.36	1,228.00
15110	002	90	2	X	1,469.36	1,228.00
15110	004	90	2	X	1,469.36	1,228.00
15110	001	90	2	X	1,692.84	1,397.39
15111	001	ZZZ	0	X	266.42	226.30
15111	004	ZZZ	0	X	234.36	201.59
15111	002	ZZZ	0	X	234.36	201.59
15111	003	ZZZ	0	X	234.36	201.59
15115	003	90	2	X	1,387.40	1,264.12
15115	002	90	2	X	1,387.40	1,264.12
15115	001	90	2	X	1,583.19	1,432.27
15115	004	90	2	X	1,387.40	1,264.12
15116	004	ZZZ	0	X	304.77	274.56
15116	002	ZZZ	0	X	304.77	274.56
15116	003	ZZZ	0	X	304.77	274.56
15116	001	ZZZ	0	X	344.80	307.86
15120	002	90	2	X	2,748.14	X
15120	003	90	2	X	2,703.56	X
15120	004	90	2	X	2,695.44	X
15120	001	90	2	X	2,758.92	X
15121	004	ZZZ	0	X	2,139.11	X
15121	001	ZZZ	0	X	2,168.75	X
15121	003	ZZZ	0	X	636.58	X
15121	002	ZZZ	0	X	2,163.57	X
15130	001	90	2	X	1,408.84	1,125.47
15130	004	90	2	X	1,214.52	982.99
15130	003	90	2	X	1,214.52	982.99
15130	002	90	2	X	1,214.52	982.99
15131	004	ZZZ	0	X	191.56	163.34
15131	001	ZZZ	0	X	217.87	183.35
15131	002	ZZZ	0	X	191.56	163.34
15131	003	ZZZ	0	X	191.56	163.34
15135	001	90	2	X	1,694.38	1,553.98
15135	004	90	2	X	1,484.91	1,370.13
15135	002	90	2	X	1,484.91	1,370.13
15135	003	90	2	X	1,484.91	1,370.13
15136	002	ZZZ	0	X	179.14	164.72
15136	003	ZZZ	0	X	179.14	164.72
15136	004	ZZZ	0	X	179.14	164.72
15136	001	ZZZ	0	X	202.44	184.77
15150	001	90	2	X	1,405.13	1,242.97
15150	004	90	2	X	1,222.90	1,090.41
15150	002	90	2	X	1,222.90	1,090.41
15150	003	90	2	X	1,222.90	1,090.41
15151	002	ZZZ	0	X	247.80	217.58
15151	003	ZZZ	0	X	247.80	217.58
15151	004	ZZZ	0	X	247.80	217.58
15151	001	ZZZ	0	X	281.12	244.24
15152	001	ZZZ	0	X	345.20	305.06
15152	004	ZZZ	0	X	304.63	271.80
15152	003	ZZZ	0	X	304.63	271.80
15152	002	ZZZ	0	X	304.63	271.80
15155	004	90	2	X	1,230.17	1,173.76
15155	002	90	2	X	1,230.17	1,173.76
15155	003	90	2	X	1,230.17	1,173.76
15155	001	90	2	X	1,400.11	1,331.04
15156	001	ZZZ	0	X	364.70	338.98
15156	003	ZZZ	0	X	323.39	302.38
15156	002	ZZZ	0	X	323.39	302.38
15156	004	ZZZ	0	X	323.39	302.38
15157	003	ZZZ	0	X	357.71	329.54
15157	002	ZZZ	0	X	357.71	329.54
15157	004	ZZZ	0	X	357.71	329.54
15157	001	ZZZ	0	X	403.80	369.31
15200	001	90	2	X	1,383.67	X
15200	004	90	2	X	1,746.50	X
15200	002	90	2	X	1,774.61	X
15200	003	90	2	X	1,667.22	X
15201	004	ZZZ	0	X	435.77	X
15201	002	ZZZ	0	X	484.01	X
15201	003	ZZZ	0	X	441.23	X
15201	001	ZZZ	0	X	494.44	X
15220	004	90	2	X	1,801.45	X
15220	003	90	2	X	1,810.93	X
15220	002	90	2	X	1,894.48	X
15220	001	90	2	X	1,883.63	X
15221	003	ZZZ	0	X	422.56	X
15221	002	ZZZ	0	X	1,347.98	X
15221	004	ZZZ	0	X	417.27	X
15221	001	ZZZ	0	X	1,352.33	X
15240	004	90	2	X	1,815.74	X
15240	001	90	2	X	1,880.20	X
15240	003	90	2	X	1,783.94	X
15240	002	90	2	X	1,865.20	X
15241	003	ZZZ	0	X	1,471.32	X
15241	002	ZZZ	0	X	1,493.26	X
15241	004	ZZZ	0	X	1,468.24	X
15241	001	ZZZ	0	X	1,498.53	X
15260	001	90	2	X	2,077.32	X
15260	004	90	2	X	2,008.82	X
15260	002	90	2	X	2,065.56	X
15260	003	90	2	X	2,011.48	X
15261	001	ZZZ	0	X	1,099.78	X
15261	002	ZZZ	0	X	1,188.49	X
15261	003	ZZZ	0	X	1,051.51	X
15261	004	ZZZ	0	X	689.67	X
15271	001	0	2	X	261.85	161.00
15271	004	0	2	X	232.62	145.64
15271	002	0	2	X	232.62	145.64
15271	003	0	2	X	232.62	145.64
15272	002	ZZZ	0	X	44.02	28.84
15272	003	ZZZ	0	X	44.02	28.84
15272	001	ZZZ	0	X	49.05	31.43
15272	004	ZZZ	0	X	44.02	28.84
15273	002	0	2	X	481.20	347.13
15273	003	0	2	X	481.20	347.13
15273	004	0	2	X	481.20	347.13
15273	001	0	2	X	540.28	384.74
15274	002	ZZZ	0	X	112.57	73.29
15274	003	ZZZ	0	X	112.57	73.29
15274	004	ZZZ	0	X	112.57	73.29
15274	001	ZZZ	0	X	125.74	80.19
15275	001	0	2	X	281.78	187.01
15275	004	0	2	X	251.21	169.52
15275	002	0	2	X	251.21	169.52
15275	003	0	2	X	251.21	169.52
15276	004	ZZZ	0	X	55.10	41.48
15276	001	ZZZ	0	X	60.80	45.01
15276	003	ZZZ	0	X	55.10	41.48
15276	002	ZZZ	0	X	55.10	41.48
15277	004	0	2	X	485.97	359.73
15277	001	0	2	X	541.07	394.62
15277	003	0	2	X	485.97	359.73
15277	002	0	2	X	485.97	359.73
15278	001	ZZZ	0	X	148.08	99.46
15278	004	ZZZ	0	X	132.80	90.90
15278	003	ZZZ	0	X	132.80	90.90
15278	002	ZZZ	0	X	132.80	90.90

Fee Schedule 11644-15278

Top Services

PA.GOV

To vote in the Nov. 5 election, register by Oct. 21, 2024!