Fee Schedule 2009 Total Items: 158893

Search for Go Category All Capped Rental Items Frequently Serviced Items Inexpensive and Other Routinely Purchased Items Ostomy Tracheostomy & Urological Items Oxygen and Oxygen Equipment Prosthetics & Orthotics Supplies Surgical Dressings Therapeutic Shoes Transcutaneous Electrical Nerve Stimulators State All Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming of 15890 158893 Items /Page Go ID Year HCPCS Modifier 1 Modifier 2 Description Jurisdiction Category Status Region State Base Ceiling Floor Allowable Gap Pricing Change Indicator 1 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Alabama $0.34 $0.47 $0.40 $0.45 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 2 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Arkansas $0.62 $0.47 $0.40 $0.47 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 3 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Arizona $0.35 $0.47 $0.40 $0.46 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 4 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 California $0.51 $0.47 $0.40 $0.47 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 5 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Colorado $0.36 $0.47 $0.40 $0.47 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 6 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Connecticut $0.57 $0.47 $0.40 $0.47 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 7 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 District of Columbia $0.41 $0.47 $0.40 $0.47 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 8 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Delaware $0.41 $0.47 $0.40 $0.47 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 9 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Florida $0.34 $0.47 $0.40 $0.45 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release 10 2009 A4216     Sterile water/saline, 10 ml D Ostomy Tracheostomy & Urological Items A 00 Georgia $0.60 $0.47 $0.40 $0.47 No Gap filling Required No change to Updated Fee INDICATOR Schedule Amount since previous release