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Fee and Rate Schedules

Most fee and rate schedules are provided in PDF format. You must have Adobe Acrobat or a similar PDF reader installed to view these documents. Download the free Adobe Reader.

What's New

Dec. 10, 2013 - Providers may begin billing for the new services listed below on Jan. 1, 2014.

  • Physical Therapy Fee Schedule PDF
  • Occupational Therapy Fee Schedule PDF
  • Speech Therapy Fee Schedule effective PDF
  • Mental Health Substance Abuse Services Facility Fee Schedule effective PDF
  • Mental Health Substance Abuse Services Non-facility Fee Schedule PDF
Fee Schedules

Audiology Fee Schedule as of December 2013: PDF

Chiropractor Fee Schedule as of July 2005: PDF

Clinical Laboratory Fee Schedule as of January 2014: PDF - Excel
Note: To view a previous fee schedule, visit 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, visit the DME page under Covered Services and go to the Archive section.

Hospital Outpatient Laboratory Fee Schedule as of January 2014: PDF - Excel
Note: To view a previous fee schedule, visit the Hospital Services page under Covered Services and go to the Archive section

Nursing Facility Laboratory Fee Schedule as of January 2013: PDF - Excel
Note: To view a previous fee schedule or updates, visit the Nursing Facility Services page under Covered Services and go to the Archive section.

Physician Fee Schedule effective January 2014: PDF - Excel
Note: To view a previous fee schedule, visit the Physicians Services page under Covered Services and go to the Archive section.

Physician Injectable Drug List (PIDL) Updated Feb. 21, 2014: PDF
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 January 2014PDF - Excel

Transportation Fee Schedule effective January 2011: PDF

Vision Fee Schedule as of December 2013: PDF

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Rate Schedules

Ambulatory Surgical Center Services as of November 2009: PDF

Community Mental Health Centers (CMHC) Modifiers and Rates
CMHC New Services and Codes Effective January 2014

  • CMHC Procedure Codes Modifiers Rates as of January 2014: PDF
  • CMHC Modifiers: PDF
  • CMHC CPT Procedure Codes for crossover Claims Only as of January 2013: PDF

Dental Rates

Home Health Rates as of July 2006: PDF

Nursing Facility Rates effective Jul. 1, 2014: PDF
CPT codes approved for ancillary billing include:

  • X-rays and 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 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:

Renal Dialysis Rates - Medicare Part B Drugs effective July 2013 - PDF

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Last Updated 8/18/2014
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