Fee For Service Fee Schedule

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Please Note: The Last Change Date is for informational purposes. It doesn't necessarily mean the rate has changed. 
For Example:
• Other programs/populations might be added to a particular procedure code. Pgm Ind column.
• A modifier might be added, or removed. M1 thru M4 columns.
• Program indicator Description might change . Pgm Ind Description column.
• Number of units allowed might have changed. Min Units / Max Units columns.
                                        

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