Part B Fee Schedules

Fee Schedule 44146-45331

CPT/HCPC Code	Medicare Location	Global Surgery Indicator	Multiple Surgery Indicator	Prevailing Charge Amount	Fee Schedule Amount	Site of Service Amount
44146	004	90	2	X	4,197.09	X
44146	002	90	2	X	4,462.66	X
44146	003	90	2	X	4,315.79	X
44146	001	90	2	X	4,633.81	X
44147	001	90	2	X	4,110.41	X
44147	004	90	2	X	3,690.53	X
44147	002	90	2	X	3,956.64	X
44147	003	90	2	X	3,739.49	X
44150	002	90	2	X	4,164.76	X
44150	003	90	2	X	3,870.46	X
44150	004	90	2	X	3,826.37	X
44150	001	90	2	X	4,383.49	X
44151	002	90	2	X	3,397.74	X
44151	003	90	2	X	3,181.19	X
44151	004	90	2	X	3,146.12	X
44151	001	90	2	X	4,071.27	X
44155	004	90	2	X	4,595.33	X
44155	002	90	2	X	4,825.43	X
44155	003	90	2	X	4,618.78	X
44155	001	90	2	X	4,946.43	X
44156	001	90	2	X	3,909.64	X
44156	004	90	2	X	3,564.92	X
44156	003	90	2	X	3,604.55	X
44156	002	90	2	X	4,464.99	X
44157	001	90	2	X	3,811.53	X
44157	002	90	2	X	3,384.51	X
44157	003	90	2	X	3,384.51	X
44157	004	90	2	X	3,384.51	X
44158	003	90	2	X	3,472.15	X
44158	002	90	2	X	3,472.15	X
44158	004	90	2	X	3,472.15	X
44158	001	90	2	X	3,909.96	X
44160	004	90	2	X	3,013.91	X
44160	001	90	2	X	3,650.39	X
44160	002	90	2	X	3,567.34	X
44160	003	90	2	X	3,132.76	X
44180	004	90	2	X	1,566.90	X
44180	002	90	2	X	1,566.90	X
44180	003	90	2	X	1,566.90	X
44180	001	90	2	X	1,753.46	X
44186	001	90	2	X	1,235.08	X
44186	004	90	2	X	1,099.64	X
44186	003	90	2	X	1,099.64	X
44186	002	90	2	X	1,099.64	X
44187	001	90	2	X	2,038.88	X
44187	004	90	2	X	1,816.34	X
44187	002	90	2	X	1,816.34	X
44187	003	90	2	X	1,816.34	X
44188	004	90	2	X	1,992.97	X
44188	001	90	2	X	2,237.78	X
44188	003	90	2	X	1,992.97	X
44188	002	90	2	X	1,992.97	X
44202	004	90	2	X	3,100.23	X
44202	001	90	2	X	3,453.64	X
44202	003	90	2	X	3,100.23	X
44202	002	90	2	X	3,100.23	X
44203	001	ZZZ	0	X	568.13	X
44203	003	ZZZ	0	X	510.81	X
44203	002	ZZZ	0	X	510.81	X
44203	004	ZZZ	0	X	510.81	X
44204	001	90	2	X	3,249.25	X
44204	004	90	2	X	2,943.95	X
44204	002	90	2	X	2,943.95	X
44204	003	90	2	X	2,943.95	X
44205	002	90	2	X	2,607.76	X
44205	003	90	2	X	2,607.76	X
44205	004	90	2	X	2,607.76	X
44205	001	90	2	X	2,875.14	X
44206	003	90	2	X	3,157.58	X
44206	002	90	2	X	3,157.58	X
44206	004	90	2	X	3,157.58	X
44206	001	90	2	X	3,487.10	X
44207	004	90	2	X	3,457.83	X
44207	001	90	2	X	3,814.11	X
44207	003	90	2	X	3,457.83	X
44207	002	90	2	X	3,457.83	X
44208	002	90	2	X	3,739.33	X
44208	003	90	2	X	3,739.33	X
44208	001	90	2	X	4,121.33	X
44208	004	90	2	X	3,739.33	X
44210	003	90	2	X	3,307.63	X
44210	001	90	2	X	3,653.38	X
44210	002	90	2	X	3,307.63	X
44210	004	90	2	X	3,307.63	X
44211	001	90	2	X	4,529.41	X
44211	004	90	2	X	4,110.95	X
44211	003	90	2	X	4,110.95	X
44211	002	90	2	X	4,110.95	X
44212	001	90	2	X	4,236.03	X
44212	004	90	2	X	3,839.57	X
44212	003	90	2	X	3,839.57	X
44212	002	90	2	X	3,839.57	X
44213	002	ZZZ	0	X	360.30	X
44213	003	ZZZ	0	X	360.30	X
44213	004	ZZZ	0	X	360.30	X
44213	001	ZZZ	0	X	400.86	X
44227	001	90	2	X	3,152.34	X
44227	004	90	2	X	2,822.92	X
44227	002	90	2	X	2,822.92	X
44227	003	90	2	X	2,822.92	X
44238		YYY	2	X	#	X
44300	003	90	2	X	1,751.88	X
44300	002	90	2	X	1,843.56	X
44300	004	90	2	X	1,757.67	X
44300	001	90	2	X	1,875.36	X
44310	004	90	2	X	2,226.29	X
44310	001	90	2	X	2,349.41	X
44310	003	90	2	X	2,188.94	X
44310	002	90	2	X	2,270.27	X
44312	001	90	2	X	1,073.77	X
44312	004	90	2	X	1,040.82	X
44312	002	90	2	X	1,068.23	X
44312	003	90	2	X	928.74	X
44314	001	90	2	X	1,940.35	X
44314	004	90	2	X	1,801.64	X
44314	002	90	2	X	1,872.77	X
44314	003	90	2	X	1,772.43	X
44316	004	90	2	X	2,592.05	X
44316	001	90	2	X	2,780.95	X
44316	003	90	2	X	2,577.66	X
44316	002	90	2	X	2,741.37	X
44320	001	90	2	X	2,362.91	X
44320	004	90	2	X	2,144.80	X
44320	002	90	2	X	2,215.88	X
44320	003	90	2	X	2,136.59	X
44322	003	90	2	X	2,218.06	X
44322	002	90	2	X	2,391.54	X
44322	001	90	2	X	2,433.66	X
44322	004	90	2	X	2,192.43	X
44340	001	90	2	X	982.48	X
44340	004	90	2	X	955.73	X
44340	003	90	2	X	922.98	X
44340	002	90	2	X	978.40	X
44345	003	90	2	X	1,988.26	X
44345	002	90	2	X	1,774.45	X
44345	004	90	2	X	1,650.77	X
44345	001	90	2	X	1,800.15	X
44346	004	90	2	X	1,801.91	X
44346	001	90	2	X	2,133.13	X
44346	002	90	2	X	2,101.75	X
44346	003	90	2	X	2,005.65	X
44360	002	0	2	X	757.93	X
44360	003	0	2	X	677.96	X
44360	004	0	2	X	669.32	X
44360	001	0	2	X	730.91	X
44361	001	0	3	X	920.26	X
44361	003	0	3	X	894.13	X
44361	002	0	3	X	899.10	X
44361	004	0	3	X	767.31	X
44363	001	0	3	X	764.45	X
44363	004	0	3	X	703.02	X
44363	003	0	3	X	711.39	X
44363	002	0	3	X	754.12	X
44364	003	0	3	X	933.54	X
44364	002	0	3	X	1,003.40	X
44364	004	0	3	X	922.15	X
44364	001	0	3	X	1,020.24	X
44365	002	0	3	X	992.28	X
44365	003	0	3	X	922.71	X
44365	001	0	3	X	1,009.06	X
44365	004	0	3	X	911.38	X
44366	001	0	3	X	1,179.32	X
44366	004	0	3	X	1,083.96	X
44366	002	0	3	X	1,163.55	X
44366	003	0	3	X	1,097.93	X
44369	004	0	3	X	1,173.95	X
44369	003	0	3	X	1,189.24	X
44369	002	0	3	X	1,262.21	X
44369	001	0	3	X	1,279.68	X
44370	001	0	3	X	575.84	X
44370	004	0	3	X	526.58	X
44370	002	0	3	X	526.58	X
44370	003	0	3	X	526.58	X
44372	004	0	3	X	1,102.91	X
44372	002	0	3	X	1,243.17	X
44372	003	0	3	X	1,211.43	X
44372	001	0	3	X	1,210.88	X
44373	003	0	3	X	935.66	X
44373	002	0	3	X	1,164.73	X
44373	004	0	3	X	1,133.56	X
44373	001	0	3	X	1,012.47	X
44376	001	0	2	X	979.21	X
44376	004	0	2	X	911.21	X
44376	002	0	2	X	968.18	X
44376	003	0	2	X	922.24	X
44377	003	0	3	X	975.43	X
44377	002	0	3	X	1,024.25	X
44377	004	0	3	X	963.73	X
44377	001	0	3	X	1,036.03	X
44378	001	0	3	X	1,351.11	X
44378	004	0	3	X	1,256.96	X
44378	002	0	3	X	1,335.84	X
44378	003	0	3	X	1,272.19	X
44379	001	0	3	X	940.63	X
44379	003	0	3	X	859.12	X
44379	002	0	3	X	859.12	X
44379	004	0	3	X	859.12	X
44380	002	0	2	X	680.91	X
44380	003	0	2	X	667.11	X
44380	001	0	2	X	712.36	X
44380	004	0	2	X	531.66	X
44381		0	3	X	*	X
44382	004	0	3	X	735.62	X
44382	001	0	3	X	736.50	X
44382	003	0	3	X	485.74	X
44382	002	0	3	X	773.02	X
44384		0	3	X	*	X
44385	001	0	2	X	732.25	X
44385	003	0	2	X	789.50	X
44385	002	0	2	X	697.62	X
44385	004	0	2	X	502.62	X
44386	003	0	2	X	372.22	X
44386	002	0	2	X	392.85	X
44386	004	0	2	X	367.78	X
44386	001	0	2	X	812.25	X
44388	004	0	2	X	938.85	X
44388	002	0	2	X	876.49	X
44388	003	0	2	X	910.99	X
44388	001	0	2	X	919.37	X
44389	002	0	3	X	977.64	X
44389	003	0	3	X	940.37	X
44389	001	0	3	X	982.35	X
44389	004	0	3	X	957.46	X
44390	004	0	3	X	651.03	X
44390	001	0	3	X	704.46	X
44390	002	0	3	X	796.62	X
44390	003	0	3	X	658.76	X
44391	002	0	3	X	1,080.44	X
44391	003	0	3	X	984.41	X
44391	004	0	3	X	972.05	X
44391	001	0	3	X	1,064.70	X
44392	004	0	3	X	1,308.53	X
44392	002	0	3	X	1,344.53	X
44392	003	0	3	X	1,343.31	X
44392	001	0	3	X	1,397.43	X
44394	001	0	3	X	1,397.43	X
44394	004	0	3	X	1,308.53	X
44394	002	0	3	X	1,344.53	X
44394	003	0	3	X	1,343.31	X
44401		0	3	X	*	X
44402		0	3	X	*	X
44403		0	3	X	*	X
44404		0	3	X	*	X
44405		0	3	X	*	X
44406		0	3	X	*	X
44407		0	3	X	*	X
44408		0	3	X	*	X
44500	001	0	0	X	66.91	X
44500	003	0	0	X	62.90	X
44500	002	0	0	X	66.11	X
44500	004	0	0	X	62.10	X
44602	004	90	2	X	2,069.30	X
44602	002	90	2	X	2,306.45	X
44602	003	90	2	X	2,071.67	X
44602	001	90	2	X	2,315.81	X
44603	001	90	2	X	2,736.79	X
44603	004	90	2	X	2,479.44	X
44603	003	90	2	X	2,507.71	X
44603	002	90	2	X	2,691.99	X
44604	003	90	2	X	2,232.01	X
44604	002	90	2	X	2,461.57	X
44604	004	90	2	X	2,224.89	X
44604	001	90	2	X	2,476.78	X
44605	004	90	2	X	2,539.06	X
44605	001	90	2	X	2,882.98	X
44605	003	90	2	X	2,645.14	X
44605	002	90	2	X	2,836.52	X
44615	001	90	2	X	2,124.78	X
44615	004	90	2	X	1,937.97	X
44615	003	90	2	X	1,959.21	X
44615	002	90	2	X	2,092.45	X
44620	001	90	2	X	1,919.35	X
44620	004	90	2	X	1,769.80	X
44620	002	90	2	X	1,889.59	X
44620	003	90	2	X	1,767.00	X
44625	004	90	2	X	2,199.84	X
44625	001	90	2	X	2,508.17	X
44625	003	90	2	X	2,199.84	X
44625	002	90	2	X	2,199.84	X
44626	001	90	2	X	3,590.24	X
44626	004	90	2	X	3,203.79	X
44626	003	90	2	X	3,203.79	X
44626	002	90	2	X	3,203.79	X
44640	003	90	2	X	2,133.32	X
44640	002	90	2	X	2,244.07	X
44640	004	90	2	X	2,168.92	X
44640	001	90	2	X	2,291.66	X
44650	003	90	2	X	2,362.83	X
44650	002	90	2	X	2,514.38	X
44650	001	90	2	X	2,551.22	X
44650	004	90	2	X	2,336.78	X
44660	004	90	2	X	2,346.08	X
44660	002	90	2	X	2,516.63	X
44660	003	90	2	X	2,373.20	X
44660	001	90	2	X	2,551.43	X
44661	003	90	2	X	3,013.70	X
44661	002	90	2	X	3,188.64	X
44661	004	90	2	X	2,999.82	X
44661	001	90	2	X	3,266.37	X
44680	001	90	2	X	3,073.41	X
44680	003	90	2	X	2,534.47	X
44680	002	90	2	X	3,015.02	X
44680	004	90	2	X	2,901.70	X
44700	004	90	2	X	2,471.07	X
44700	001	90	2	X	2,831.54	X
44700	002	90	2	X	2,471.07	X
44700	003	90	2	X	2,471.07	X
44701	004	ZZZ	0	X	344.60	X
44701	001	ZZZ	0	X	378.37	X
44701	002	ZZZ	0	X	344.60	X
44701	003	ZZZ	0	X	344.60	X
44705		XXX	9	X	*	X
44715		XXX	2	X	*	X
44720	001	XXX	2	X	593.63	X
44720	002	XXX	2	X	544.09	X
44720	003	XXX	2	X	544.09	X
44720	004	XXX	2	X	544.09	X
44721	001	XXX	2	X	880.45	X
44721	004	XXX	2	X	790.28	X
44721	003	XXX	2	X	790.28	X
44721	002	XXX	2	X	790.28	X
44799		YYY	2	X	#	X
44800	004	90	2	X	1,858.63	X
44800	001	90	2	X	1,960.11	X
44800	002	90	2	X	1,887.92	X
44800	003	90	2	X	1,833.09	X
44820	002	90	2	X	1,948.87	X
44820	003	90	2	X	2,010.78	X
44820	001	90	2	X	2,072.45	X
44820	004	90	2	X	1,855.33	X
44850	004	90	2	X	1,595.15	X
44850	001	90	2	X	1,754.67	X
44850	003	90	2	X	1,613.20	X
44850	002	90	2	X	2,136.43	X
44899		YYY	2	X	#	X
44900	002	90	2	X	1,232.52	X
44900	003	90	2	X	1,232.52	X
44900	004	90	2	X	1,232.52	X
44900	001	90	2	X	1,377.72	X
44950	002	90	2	X	1,383.75	X
44950	003	90	2	X	1,297.93	X
44950	001	90	2	X	1,426.12	X
44950	004	90	2	X	1,262.49	X
44955	004	ZZZ	0	X	884.40	X
44955	001	ZZZ	0	X	874.54	X
44955	002	ZZZ	0	X	875.98	X
44955	003	ZZZ	0	X	491.98	X
44960	001	90	2	X	1,886.62	X
44960	003	90	2	X	1,770.50	X
44960	002	90	2	X	1,891.93	X
44960	004	90	2	X	1,750.79	X
44970	003	90	2	X	1,220.89	X
44970	002	90	2	X	1,220.89	X
44970	001	90	2	X	1,359.99	X
44970	004	90	2	X	1,220.89	X
44979		YYY	2	X	#	X
45000	004	90	2	X	635.15	X
45000	002	90	2	X	672.98	X
45000	003	90	2	X	642.01	X
45000	001	90	2	X	682.31	X
45005	003	10	2	X	386.54	X
45005	002	10	2	X	384.01	X
45005	004	10	2	X	395.54	X
45005	001	10	2	X	409.31	X
45020	001	90	2	X	821.34	X
45020	004	90	2	X	776.71	X
45020	003	90	2	X	767.07	X
45020	002	90	2	X	798.65	X
45100	002	90	2	X	703.64	X
45100	003	90	2	X	682.99	X
45100	004	90	2	X	687.01	X
45100	001	90	2	X	720.45	X
45108	002	90	2	X	835.79	X
45108	003	90	2	X	782.54	X
45108	004	90	2	X	773.76	X
45108	001	90	2	X	848.71	X
45110	004	90	2	X	4,258.71	X
45110	001	90	2	X	4,832.24	X
45110	002	90	2	X	4,652.03	X
45110	003	90	2	X	4,329.31	X
45111	004	90	2	X	3,388.87	X
45111	002	90	2	X	3,403.04	X
45111	003	90	2	X	3,321.81	X
45111	001	90	2	X	3,565.47	X
45112	001	90	2	X	4,947.02	X
45112	003	90	2	X	4,544.53	X
45112	002	90	2	X	4,868.34	X
45112	004	90	2	X	4,347.42	X
45113	002	90	2	X	4,868.34	X
45113	003	90	2	X	4,544.53	X
45113	001	90	2	X	4,947.02	X
45113	004	90	2	X	4,347.42	X
45114	002	90	2	X	4,470.88	X
45114	003	90	2	X	4,158.40	X
45114	001	90	2	X	4,828.38	X
45114	004	90	2	X	4,116.96	X
45116	003	90	2	X	3,373.05	X
45116	002	90	2	X	3,602.30	X
45116	001	90	2	X	3,658.03	X
45116	004	90	2	X	3,335.96	X
45119	003	90	2	X	4,016.58	X
45119	002	90	2	X	4,016.58	X
45119	001	90	2	X	4,542.76	X
45119	004	90	2	X	4,016.58	X
45120	004	90	2	X	4,414.05	X
45120	001	90	2	X	4,876.23	X
45120	003	90	2	X	4,464.43	X
45120	002	90	2	X	4,795.79	X
45121	004	90	2	X	3,919.96	X
45121	001	90	2	X	4,553.49	X
45121	002	90	2	X	4,457.53	X
45121	003	90	2	X	4,251.67	X
45123	003	90	2	X	3,321.81	X
45123	002	90	2	X	3,403.04	X
45123	001	90	2	X	3,565.47	X
45123	004	90	2	X	3,388.87	X
45126	004	90	2	X	4,775.58	4,753.35
45126	002	90	2	X	4,775.58	4,753.35
45126	001	90	2	X	5,331.44	5,305.38
45126	003	90	2	X	4,775.58	4,753.35
45130	002	90	2	X	2,935.20	X
45130	003	90	2	X	2,907.76	X
45130	004	90	2	X	2,454.10	X
45130	001	90	2	X	2,899.96	X
45135	004	90	2	X	3,586.18	X
45135	001	90	2	X	4,010.80	X
45135	003	90	2	X	3,628.59	X
45135	002	90	2	X	3,936.23	X
45136	004	90	2	X	3,314.00	X
45136	001	90	2	X	3,673.75	X
45136	002	90	2	X	3,314.00	X
45136	003	90	2	X	3,314.00	X
45150	001	90	2	X	1,051.38	X
45150	004	90	2	X	959.55	X
45150	002	90	2	X	1,302.37	X
45150	003	90	2	X	1,452.70	X
45160	001	90	2	X	2,277.27	X
45160	004	90	2	X	2,153.48	X
45160	002	90	2	X	2,255.87	X
45160	003	90	2	X	1,902.66	X
45171	002	90	2	X	996.95	X
45171	003	90	2	X	996.95	X
45171	001	90	2	X	1,121.04	X
45171	004	90	2	X	996.95	X
45172	001	90	2	X	1,538.56	X
45172	003	90	2	X	1,374.26	X
45172	002	90	2	X	1,374.26	X
45172	004	90	2	X	1,374.26	X
45190	001	90	2	X	1,578.02	X
45190	004	90	2	X	1,436.27	X
45190	003	90	2	X	1,452.57	X
45190	002	90	2	X	1,554.92	X
45300	004	0	2	X	146.05	116.23
45300	003	0	2	X	137.71	109.74
45300	002	0	2	X	146.90	116.99
45300	001	0	2	X	148.99	118.65
45303	001	0	3	X	154.03	114.54
45303	004	0	3	X	138.03	101.81
45303	002	0	3	X	151.23	112.24
45303	003	0	3	X	147.72	107.84
45305	004	0	3	X	268.99	X
45305	001	0	3	X	266.99	X
45305	003	0	3	X	258.18	X
45305	002	0	3	X	265.62	X
45307	004	0	3	X	462.53	X
45307	002	0	3	X	456.97	X
45307	003	0	3	X	465.97	X
45307	001	0	3	X	436.78	X
45308	004	0	3	X	350.77	X
45308	002	0	3	X	408.61	X
45308	003	0	3	X	405.02	X
45308	001	0	3	X	432.47	X
45309	004	0	3	X	350.77	X
45309	003	0	3	X	405.02	X
45309	002	0	3	X	408.61	X
45309	001	0	3	X	432.47	X
45315	002	0	3	X	423.16	X
45315	003	0	3	X	405.74	X
45315	004	0	3	X	348.99	X
45315	001	0	3	X	451.22	X
45317	001	0	3	X	528.15	X
45317	003	0	3	X	515.62	X
45317	002	0	3	X	518.33	X
45317	004	0	3	X	513.57	X
45320	003	0	3	X	706.84	X
45320	002	0	3	X	688.76	X
45320	004	0	3	X	704.25	X
45320	001	0	3	X	725.39	X
45321	004	0	3	X	565.82	X
45321	003	0	3	X	567.73	X
45321	002	0	3	X	579.21	X
45321	001	0	3	X	582.05	X
45327	004	0	3	X	204.69	X
45327	001	0	3	X	227.46	X
45327	002	0	3	X	204.69	X
45327	003	0	3	X	204.69	X
45330	001	0	2	X	242.31	179.56
45330	004	0	2	X	221.31	163.77
45330	003	0	2	X	275.09	201.70
45330	002	0	2	X	238.84	176.85
45331	004	0	3	X	418.08	X
45331	002	0	3	X	440.21	X
45331	003	0	3	X	431.41	X
45331	001	0	3	X	441.73	X

Fee Schedule 44146-45331

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