December 29, 2006
2007 DMEPOS—ASC Allowable Fees
CODE |
FEE |
CODE |
FEE |
|---|---|---|---|
E0782 |
4180.54 |
L8642 |
251.06 |
E0783 |
7971.67 |
L8658 |
262.39 |
E0785 |
460.08 |
L8670 |
465.61 |
E0786 |
7775.89 |
L8680 |
388.54 |
L8600 |
522.32 |
L8681 |
955.39 |
L8603 |
366.83 |
L8682 |
5042.80 |
L8606 |
192.56 |
L8683 |
4438.80 |
L8610 |
535.77 |
L8684 |
582.91 |
L8612 |
565.08 |
L8686 |
7057.99 |
L8613 |
253.00 |
L8687 |
14395.13 |
L8614 |
16013.67 |
L8688 |
9185.27 |
L8619 |
6869.27 |
L8690 |
ICIC |
L8630 |
281.81 |
L8691 |
ICIC |
L8641 |
305.85 |
L8695 |
14.10 |
V2785 |
ICIC |
Source: Publication 100-04, Transmittal 1131, Change Request 5448
