Fee Schedules

The IME Provider Fee Schedules are formatted for viewing online or downloading. To view the Fee Schedule information for a particular Provider Type, scroll down to the specific Provider Type listed below. Also available is a document that explains the factor codes and pricing modifiers found on the Fee Schedules.

Open Fee Schedules - (01/2012)

Medical Transportation Providers Fee Schedule - [ 52kb]

Factor Code Explanation - [ 24kb]

Ambulatory Payment Classification (APC) Documents

Site of Service Discount List

  • Informational Letter #1031 Medicaid Site of Service Differential
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