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Fee and Rate Schedules

Most fee and rate schedules are provided here in PDF format. You must have Adobe Acrobat or a similar PDF reader installed on your workstation to view these documents.

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Fee Schedules

Audiology Fee Schedule as of 2007: PDF - Excel

Chiropractor Fee Schedule as of July 2005: PDF

Clinical Laboratory Fee Schedule as of Jan 2011: PDF - Excel 
Note: To view a previous fee schedule, click on the Independent Laboratory Services page under Covered Services and go to the Archive section

Durable Medical Equipment (DME) Fee Schedule as of Jan. 1, 2011: PDF - Excel 
Note: To view a previous fee schedule or updates, click on the DME page under Covered Services and go to the Archive section.

Hospital Outpatient Laboratory Fee Schedule as of Jan. 2011: PDF - Excel
Note: To view a previous fee schedule, click on the Hospital Services page under Covered Services and go to the Archive section

Nursing Facility Laboratory Fee Schedule as of Jan. 2011: PDF - Excel
Note: To view a previous fee schedule or updates, click on the Nursing Facility Services page under Covered Services and go to the Archive section.

Physician Fee Schedule effective Jan. 2011: PDF - Excel
Note: To view a previous fee schedule, click on the Physicians Services page under Covered Services and go to the Archive section.

Physician Injectable Drug List (PIDL) Updated Nov. 21, 2011: PDF - Excel
PIDL Frequently Asked Questions: PDF
PIDL Tutorial: PDF
Note: To view a previous fee schedule, click on the Physicians Services page under Covered Services and go to the Archive section

Preventive Health Fee Schedule as of July 2011: PDF - Excel

Transportation Fee Schedule as of Nov. 2007: PDF

Vision Fee Schedule as of Nov. 2007: PDF

Rate Schedules

Ambulatory Surgical Center Services as of November 2009: PDF 

Dental Rates as of April 2009: PDF

Home Health Rates as of July 2006: PDF

Nursing Facility Rates effective Jan 1, 2012: PDF 
CPT codes approved for ancillary billing include:

  • X-rays, physical, speech and occupational therapy codes may be billed using the outpatient procedure codes from the Physicians fee schedule listed above. Oxygen may be billed using the Durable Medical Equipment (DME) fee schedule listed above.
  • Ancillary payment methodology is outlined in 907 KAR 1:065, section 12. The current allowable procedure codes for billing nursing facility ancillary services are provided at the following links:

 

Last Updated 1/31/2012
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