FEE SCHEDULES

The files posted here are in a format to facilitate downloading for the provider or third-party billing contractors to use as they choose. They are not designed to facilitate finding a particular fee amount. There may be a delay from the release of new pricing information to the receipt of the data and the addition of the update to Trispan.com. We update these fee schedules when new information is received.

The Direct Data Entry (DDE) system is the best source for specific information on a given code. For the most current fee schedule values please look up the code on the Medicare Part A Direct Data Entry screen, option 01 'Inquiries' and option 14 'HCPCS'. Enter the HCPCS code in question for detailed information. See the Electronic Media Claims (EMC) page for more information on DDE. Dollar values expressed in these files use the far right two digits as cents, for example, 2474 equals $24.74. Also, if you see 'NA', in the locality place, this means this code is not locality specific.

Fee Schedule Files



STATE

COUNTIES

FEE SCHEDULE AREA

CARRIER NUMBER

LOCALITY NUMBER

Arkansas

All Counties

Statewide

00520

13

Colorado

All Counties

Statewide

00824

01

Florida

All Providers using TriSpan Health Services as Fiscal Intermediary (FI)

Statewide

00590

99

Illinois

Bond, Calhoun, Clinton, Jersey, Macoupin, Madison, Monroe, Montgomery, Randolph, St. Clair, Washington

East. St. Louis

00952

12

Illinois

Cook County

Chicago

00952

16

Illinois

Dupage, Kane, Lake, Will

Suburban Chicago

00952

15

Illinois

All Other Counties

Rest of State

00952

99

Iowa

All Counties

Statewide

00826

00

Louisiana

Jefferson, Orleans, Plaquemines, St. Bernard

New Orleans

00528

01

Louisiana

All Other Parishes

Rest of State

00528

99

Michigan

All Providers using TriSpan Health Services as Fiscal Intermediary (FI)

Statewide

00953

99

Mississippi

All Counties

Statewide

00512

00

Missouri

Jefferson, St. Charles, St. Louis City

Metropolitan 
St. Louis

00523

01

Missouri

All Other Counties with this Carrier

Rest of State

00523

99

Missouri

Clay, Jackson, Platte

Kansas City

00740

02

Missouri

All Other Counties with this Carrier

Western Missouri

00740

99

Tennessee

All Providers using TriSpan Health Services as Fiscal Intermediary (FI)

Statewide

05440

35

Texas

All Providers using TriSpan Health Services as Fiscal Intermediary (FI)

Statewide

00900

99


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