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Last Modified: 3/2/2011 Location: FL, PR, USVI Business: Part B

2011 reasonable charge fees

The Centers for Medicare& Medicaid Services (CMS) change request (CR) 6991 provides instructions for the calendar year (CY) 2011 annual update for clinical laboratory fee schedule and laboratory services subject to reasonable charge payment.
Below are the 2011 reasonable charge prevailing allowances for Florida. No procedures identified in CR 6991 were profiled for Puerto Rico or the U.S. Virgin Islands because an insufficient volume of services were billed to Medicare during the twelve-month period ending June 30, 2010.

Code
Loc 01
Loc 02
Loc 03
Loc 04
P9016
101.53
101.53
101.53
101.53
86850
44.32
44.32
43.04
46.67
86870
76.21
76.21
76.21
76.21
86920
50.00
50.00
50.00
50.00
86922
49.00
49.00
49.00
49.00
For more information, refer to MLN Matters article MM6991 external link.
Source: CR 6991
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