Click here to download the Comprehensive Fee Schedule.
Click here to go to the Interactive Fee Schedule on the Provider Portal.
Below are the fee schedules and rates listed by codes for particular provider or facility types.
Administered Drug Services
| Clinician Administered Drugs and Implantable Drug System Devices | July 2018 |
| Physician Administered Drugs | April 2024 |
Dental Professional Services
| Dental Fees – Professional Services | January 2024 |
Hearing and Vision Services
| Audiological (Hearing) | April 2024 |
| Vision | April 2024 |
Home and Community Based Services (HCBS) Waivers
| Assisted Living (AL) Waiver | July 2023 |
| Community Transition Services (CTS) | July 2023 |
| Elderly & Disabled (E&D) Waiver | July 2023 |
| Independent Living (IL) Waiver | July 2023 |
| Intellectual and Developmental Disabilities (ID/DD) Waiver | July 2023 |
| Intellectual/Developmental Disabilities 1915(i) Community Support Program | November 2023 |
| Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver | July 2023 |
Hospital Services
| Out-of-State Hospital Transplant Services’ Case Rates | July 2019 |
| Outpatient Prospective Payment System (OPPS) | April 2024 |
Laboratory and Radiology Services
| Pathology Laboratory | April 2024 |
| Radiology | April 2024 |
Medical Equipment and Supplies
| Durable Medical Equipment (DME), Orthotic, Prosthetic | January 2024 |
| Medical Supply | January 2024 |
Medical and Surgical Services
| Ambulatory Surgical Centers Fee Schedule for DOS | January 2024 |
| Anesthesia Base Unit | April 2023 |
| Medical and Surgical Services | April 2024 |
| Prescribed Pediatric Extended Care (PPEC) | April 2023 |
| Private Duty Nursing (PDN) Services | April 2024 |
| Therapy Services | April 2024 |
| Vaccine | February 2024 |
Mental Health Services
| Autism Spectrum Disorder (ASD) Services | April 2023 |
| Medication Assisted Treatment for Opioid Treatment Services | August 2023 |
| Behavioral Health Services | November 2023 |
Transport Services
| Ambulance | January 2024 |
Other Rates
Providers must use current CPT, HCPCS, CDT and ICD10 books for correct coding.
Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright © 2018 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.
CPT only copyright 2019 American Medical Association. All rights reserved.
