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Procedure
CodeModifier Rate
Effective
DateEnd Date
J0120 $15.76 1/1/2012 12/31/2078
J0128 $68.62 1/1/2012 12/31/2010
J0129 $21.39 1/1/2012 3/31/2012
J0129 $21.68 4/1/2012 6/30/2012
J0129 $21.93 7/1/2012 9/30/2012
J0129 $22.19 10/1/2012 12/31/2012
J0129 $22.40 1/1/2013 12/31/2078
J0130 $555.98 1/1/2012 3/31/2012
J0130 $549.23 4/1/2012 6/30/2012
J0130 $577.47 7/1/2012 9/30/2012
J0130 $575.03 10/1/2012 12/31/2012
J0130 $577.27 1/1/2013 12/31/2078
J0132 $2.85 1/1/2012 6/30/2012
J0132 $3.06 7/1/2012 9/30/2012
J0132 $3.04 10/1/2012 12/31/2078
J0133 $0.03 1/1/2012 6/30/2012
J0133 $0.04 7/1/2012 9/30/2012
J0133 $0.05 10/1/2012 12/31/2012
J0133 $0.03 1/1/2013 12/31/2078
J0135 $433.09 1/1/2012 3/31/2012
J0135 $428.50 4/1/2012 6/30/2012
J0135 $459.43 7/1/2012 9/30/2012
J0135 $456.38 10/1/2012 12/31/2012
J0135 $484.72 1/1/2013 12/31/2078
J0150 $6.71 1/1/2012 3/31/2012
J0150 $7.01 4/1/2012 6/30/2012
J0150 $5.77 7/1/2012 9/30/2012
J0150 $5.95 10/1/2012 12/31/2012
J0150 $7.14 1/1/2013 12/31/2078
J0152 $99.82 1/1/2012 3/31/2012
J0152 $105.06 4/1/2012 6/30/2012
J0152 $108.88 7/1/2012 9/30/2012
J0152 $109.40 10/1/2012 12/31/2012
J0152 $109.01 1/1/2013 12/31/2078
J0171 $0.05 1/1/2012 3/31/2012
J0171 $0.04 4/1/2012 6/30/2012
J0171 $0.06 7/1/2012 9/30/2012
J0171 $0.05 10/1/2012 12/31/2012
J0171 $0.06 1/1/2013 12/31/2078
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0180 $141.19 1/1/2012 6/30/2012
J0180 $140.32 7/1/2012 9/30/2012
J0180 $140.30 10/1/2012 12/31/2012
J0180 $140.68 1/1/2013 12/31/2078
J0190 $3.94 1/1/2012 12/31/2078
J0200 $16.99 1/1/2012 12/31/2078
J0205 $42.03 1/1/2012 3/31/2012
J0205 $41.99 4/1/2012 12/31/2012
J0205 $42.03 1/1/2013 12/31/2078
J0207 $318.58 1/1/2012 3/31/2012
J0207 $323.69 4/1/2012 6/30/2012
J0207 $314.56 7/1/2012 9/30/2012
J0207 $310.18 10/1/2012 12/31/2012
J0207 $306.16 1/1/2013 12/31/2078
J0210 $42.40 1/1/2012 12/31/2078
J0221 $148.31 1/1/2012 6/30/2012
J0221 $153.60 7/1/2012 9/30/2012
J0221 $153.61 10/1/2012 12/31/2012
J0221 $153.62 1/1/2013 12/31/2078
J0256 $3.82 1/1/2012 3/31/2012
J0256 $3.93 4/1/2012 6/30/2012
J0256 $3.90 7/1/2012 9/30/2012
J0256 $3.97 10/1/2012 12/31/2012
J0256 $3.95 1/1/2013 12/31/2078
J0270 $0.66 1/1/2012 3/31/2012
J0270 $0.67 4/1/2012 12/31/2078
J0278 $0.77 1/1/2012 3/31/2012
J0278 $0.59 7/1/2012 9/30/2012
J0278 $0.80 10/1/2012 12/31/2012
J0278 $0.93 1/1/2013 12/31/2078
J0280 $0.38 1/1/2012 3/31/2012
J0280 $0.48 4/1/2012 6/30/2012
J0280 $0.42 7/1/2012 9/30/2012
J0280 $0.60 10/1/2012 12/31/2012
J0280 $0.72 1/1/2013 12/31/2078
J0287 $8.18 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0287 $10.44 4/1/2012 6/30/2012
J0287 $11.14 7/1/2012 9/30/2012
J0287 $10.99 10/1/2012 12/31/2012
J0287 $11.91 1/1/2013 12/31/2078
J0288 $12.00 1/1/2012 3/31/2012
J0288 $14.00 4/1/2012 12/31/2078
J0289 $15.18 1/1/2012 3/31/2012
J0289 $14.58 4/1/2012 6/30/2012
J0289 $14.51 7/1/2012 9/30/2012
J0289 $14.83 10/1/2012 12/31/2012
J0289 $14.46 1/1/2013 12/31/2078
J0290 $2.31 1/1/2012 3/31/2012
J0290 $2.77 4/1/2012 6/30/2012
J0290 $1.51 7/1/2012 9/30/2012
J0290 $1.62 10/1/2012 12/31/2012
J0290 $1.69 1/1/2013 12/31/2078
J0295 $3.08 1/1/2012 3/31/2012
J0295 $2.97 4/1/2012 6/30/2012
J0295 $1.74 7/1/2012 9/30/2012
J0295 $2.24 10/1/2012 12/31/2012
J0295 $2.30 1/1/2013 12/31/2078
J0300 $6.33 1/1/2012 12/31/2078
J0330 $0.15 1/1/2012 12/31/2078
J0350 $2,268.46 1/1/2012 12/31/2078
J0360 $4.81 1/1/2012 3/31/2012
J0360 $4.94 4/1/2012 6/30/2012
J0360 $3.82 7/1/2012 9/30/2012
J0360 $4.04 10/1/2012 12/31/2012
J0360 $3.18 1/1/2013 12/31/2078
J0365 $2.65 1/1/2012 12/31/2078
J0380 $1.15 1/1/2012 12/31/2078
J0390 $17.27 1/1/2012 12/31/2078
J0400 $0.42 1/1/2012 6/30/2012
J0400 $0.45 7/1/2012 9/30/2012
J0400 $0.47 10/1/2012 12/31/2012
J0400 $0.48 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0456 $7.22 1/1/2012 3/31/2012
J0456 $4.73 4/1/2012 6/30/2012
J0456 $4.56 7/1/2012 9/30/2012
J0456 $4.66 10/1/2012 12/31/2012
J0456 $4.35 1/1/2013 12/31/2078
J0461 $0.02 1/1/2012 3/31/2012
J0461 $0.01 4/1/2012 6/30/2012
J0461 $0.02 7/1/2012 9/30/2012
J0461 $0.03 10/1/2012 12/31/2012
J0461 $0.02 1/1/2013 12/31/2078
J0470 $28.66 1/1/2012 3/31/2012
J0470 $27.95 4/1/2012 6/30/2012
J0470 $27.10 7/1/2012 9/30/2012
J0470 $28.34 10/1/2012 12/31/2012
J0470 $30.10 1/1/2013 12/31/2078
J0475 $188.72 1/1/2012 3/31/2012
J0475 $183.42 4/1/2012 6/30/2012
J0475 $180.91 7/1/2012 9/30/2012
J0475 $179.99 10/1/2012 12/31/2012
J0475 $175.88 1/1/2013 12/31/2078
J0476 $77.67 1/1/2012 3/31/2012
J0476 $76.24 4/1/2012 6/30/2012
J0476 $75.95 7/1/2012 9/30/2012
J0476 $76.47 10/1/2012 12/31/2012
J0476 $76.51 1/1/2013 12/31/2078
J0480 $2,220.17 1/1/2012 3/31/2012
J0480 $2,227.72 4/1/2012 6/30/2012
J0480 $2,324.23 7/1/2012 9/30/2012
J0480 $2,324.18 10/1/2012 12/31/2012
J0480 $2,516.73 1/1/2013 12/31/2078
J0490 $38.42 1/1/2012 3/31/2012
J0490 $38.32 4/1/2012 6/30/2012
J0490 $38.33 7/1/2012 9/30/2012
J0490 $38.32 10/1/2012 12/31/2012
J0490 $38.27 1/1/2013 12/31/2078
J0500 $26.08 1/1/2012 3/31/2012
J0500 $28.68 4/1/2012 6/30/2012
J0500 $30.61 7/1/2012 9/30/2012
J0500 $32.00 10/1/2012 12/31/2012
J0500 $33.25 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0515 $24.03 1/1/2012 3/31/2012
J0515 $25.50 4/1/2012 6/30/2012
J0515 $25.42 7/1/2012 9/30/2012
J0515 $26.18 10/1/2012 12/31/2012
J0515 $25.70 1/1/2013 12/31/2078
J0558 $3.47 1/1/2012 3/31/2012
J0558 $3.48 4/1/2012 12/31/2012
J0558 $3.78 1/1/2013 12/31/2078
J0561 $4.37 1/1/2012 3/31/2012
J0561 $4.38 4/1/2012 6/30/2012
J0561 $4.39 7/1/2012 12/13/2012
J0561 $4.74 1/1/2013 12/31/2078
J0585 $5.48 1/1/2012 9/30/2012
J0585 $5.47 10/1/2012 12/31/2078
J0586 $7.33 1/1/2012 3/31/2012
J0586 $7.22 4/1/2012 6/30/2012
J0586 $7.02 7/1/2012 9/30/2012
J0586 $6.95 10/1/2012 12/31/2012
J0586 $6.90 1/1/2013 12/31/2078
J0587 $10.92 1/1/2012 3/31/2012
J0587 $10.93 4/1/2012 6/30/2012
J0587 $10.97 7/1/2012 9/30/2012
J0587 $10.89 10/1/2012 12/31/2078
J0588 $5.53 1/1/2012 3/31/2012
J0588 $4.47 4/1/2012 9/30/2012
J0588 $4.46 10/1/2012 12/31/2078
J0592 $0.75 1/1/2012 12/31/2078
J0597 $30.23 1/1/2012 12/31/2012
J0597 $31.06 1/1/2013 12/31/2078
J0598 $44.20 1/1/2012 3/13/2012
J0598 $45.68 4/1/2012 6/30/2012
J0598 $45.70 7/1/2012 12/31/2012
J0598 $47.19 1/1/2013 12/31/2078
J0600 $190.52 1/1/2012 3/31/2012
J0600 $189.15 4/1/2012 6/30/2012
J0600 $201.40 7/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0610 $0.57 1/1/2012 3/31/2012
J0610 $0.66 4/1/2012 6/30/2012
J0610 $0.68 7/1/2012 9/30/2012
J0610 $0.64 10/1/2012 12/31/2012
J0610 $0.70 1/1/2013 12/31/2078
J0620 $8.96 1/1/2012 12/31/2078
J0630 $57.05 1/1/2012 3/31/2012
J0630 $57.09 4/1/2012 6/30/2012
J0630 $62.33 7/1/2012 9/30/2012
J0630 $62.74 10/1/2012 12/31/2012J0630 $62.75 1/1/2013 12/31/2078
J0636 $1.03 1/1/2012 3/31/2012
J0636 $0.56 4/1/2012 6/30/2012
J0636 $0.37 7/1/2012 9/30/2012
J0636 $0.40 10/1/2012 12/31/2012
J0636 $0.45 1/1/2013 12/31/2078
J0637 $13.34 1/1/2012 3/31/2012
J0637 $12.61 4/1/2012 6/30/2012
J0637 $13.10 7/1/2012 9/30/2012
J0637 $12.85 10/1/2012 12/31/2012
J0637 $12.83 1/1/2013 12/31/2078
J0638 $89.02 1/1/2012 3/31/2012
J0638 $89.13 4/1/2012 6/30/2012
J0638 $89.23 7/1/2012 9/30/2012
J0638 $89.41 10/1/2012 12/31/2012
J0638 $89.54 1/1/2013 12/31/2078
J0640 $1.53 1/1/2012 3/31/2012
J0640 $2.09 4/1/2012 6/30/2012
J0640 $2.96 7/1/2012 9/30/2012
J0640 $2.56 10/1/2012 12/31/2012
J0640 $2.71 1/1/2013 12/31/2078
J0641 $1.71 1/1/2012 3/31/2012
J0641 $1.67 4/1/2012 6/30/2012
J0641 $1.83 7/1/2012 9/30/2012
J0641 $1.91 10/1/2012 12/31/2012
J0641 $1.85 1/1/2013 12/31/2078
J0670 $1.33 1/1/2012 3/31/2012
J0670 $5.07 4/1/2012 6/30/2012
J0670 $7.28 7/1/2012 9/30/2012
J0670 $1.21 10/1/2012 12/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0670 $1.12 1/1/2013 12/31/2078
J0690 $0.66 1/1/2012 3/31/2012
J0690 $0.69 4/1/2012 6/30/2012
J0690 $0.70 7/1/2012 9/30/2012
J0690 $0.74 10/1/2012 12/31/2012
J0690 $0.75 1/1/2013 12/31/2078
J0692 $3.28 1/1/2012 3/31/2012
J0692 $2.93 4/1/2012 6/30/2012
J0692 $2.88 7/1/2012 9/30/2012
J0692 $2.32 10/1/2012 12/31/2012
J0692 $2.38 1/1/2013 12/31/2078
J0694 $5.76 1/1/2012 3/31/2012
J0694 $6.13 4/1/2012 9/30/2012
J0694 $5.65 10/1/2012 12/31/2012
J0694 $5.60 1/1/2013 12/31/2078
J0696 $0.89 1/1/2012 3/31/2012
J0696 $0.82 4/1/2012 6/30/2012
J0696 $0.77 7/1/2012 9/30/2012
J0696 $0.72 10/1/2012 12/31/2012
J0696 $0.73 1/1/2013 12/31/2078
J0697 $2.40 1/1/2012 3/31/2012
J0697 $2.32 4/1/2012 6/30/2012
J0697 $0.73 7/1/2012 9/30/2012
J0697 $3.80 10/1/2012 12/31/2012
J0697 $3.02 1/1/2013 12/31/2078
J0698 $1.71 1/1/2012 3/31/2012
J0698 $1.84 4/1/2012 6/30/2012
J0698 $1.52 7/1/2012 9/30/2012
J0698 $2.06 10/1/2012 12/31/2012
J0698 $1.76 1/1/2013 12/31/2078
J0702 $5.53 1/1/2012 3/31/2012
J0702 $5.50 4/1/2012 6/30/2012
J0702 $5.57 7/1/2012 9/30/2012
J0702 $5.58 10/1/2012 12/31/2012
J0702 $5.57 1/1/2013 12/31/2078
J0706 $0.39 1/1/2012 3/31/2012
J0706 $0.34 4/1/2012 6/30/2012
J0706 $0.56 7/1/2012 9/30/2012
J0706 $0.48 10/1/2012 12/31/2012
J0706 $0.41 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0710 $6.90 1/1/2012 12/31/2078
J0715 $5.24 1/1/2012 12/31/2078
J0718 $4.21 1/1/2012 3/31/2012
J0718 $4.35 4/1/2012 6/30/2012
J0718 $4.73 7/1/2012 9/30/2012
J0718 $4.91 10/1/2012 12/31/2012
J0718 $4.89 1/1/2013 12/31/2078
J0720 $20.35 1/1/2012 3/31/2012
J0720 $19.97 4/1/2012 6/30/2012
J0720 $19.44 7/1/2012 9/30/2012
J0720 $20.61 10/1/2012 12/31/2012
J0720 $23.42 1/1/2013 12/31/2078
J0725 $11.52 1/1/2012 3/31/2012
J0725 $12.14 4/1/2012 6/30/2012
J0725 $11.69 7/1/2012 9/30/2012
J0725 $12.76 10/1/2012 12/31/2012
J0725 $12.64 1/1/2013 12/31/2078
J0735 $28.10 1/1/2012 3/31/2012
J0735 $27.83 4/1/2012 6/30/2012
J0735 $23.35 7/1/2012 9/30/2012
J0735 $22.87 10/1/2012 12/31/2012
J0735 $23.92 1/1/2013 12/31/2078
J0740 $754.51 1/1/2012 3/31/2012
J0740 $757.18 4/1/2012 9/30/2012
J0740 $757.02 10/1/2012 12/31/2012
J0740 $756.64 1/1/2013 12/31/2078
J0743 $11.05 1/1/2012 3/31/2012
J0743 $10.29 4/1/2012 6/30/2012
J0743 $9.43 7/1/2012 9/30/2012
J0743 $8.11 10/1/2012 12/31/2012
J0743 $7.75 1/1/2013 12/31/2078
J0744 $1.09 1/1/2012 3/31/2012
J0744 $1.11 4/1/2012 6/30/2012
J0744 $1.04 7/1/2012 9/30/2012
J0744 $1.00 10/1/2012 12/31/2012
J0744 $0.97 1/1/2013 12/31/2078
J0745 $1.35 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0760 $6.57 1/1/2012 12/31/2078
J0770 $13.61 1/1/2012 3/31/2012
J0770 $12.09 4/1/2012 6/30/2012
J0770 $12.24 7/1/2012 9/30/2012
J0770 $11.58 10/1/2012 12/31/2012
J0770 $12.91 1/1/2013 12/31/2078
J0775 $37.51 1/1/2012 12/31/2078
J0780 $2.12 1/1/2012 3/31/2012
J0780 $1.40 4/1/2012 12/31/2078
J0795 $5.61 1/1/2012 3/31/2012
J0795 $5.32 4/1/2012 6/30/2012
J0795 $4.93 7/1/2012 9/30/2012
J0795 $5.82 10/1/2012 12/31/2078
J0800 $2,694.39 1/1/2012 3/31/2012
J0800 $2,692.83 4/1/2012 6/30/2012
J0800 $2,878.10 7/1/2012 9/30/2012
J0800 $2,948.92 10/1/2012 12/31/2012
J0800 $3,014.33 1/1/2013 12/31/2078
J0833 $52.30 1/1/2012 12/31/2078
J0834 $67.48 1/1/2012 3/31/2012
J0834 $68.69 4/1/2012 6/30/2012
J0834 $67.98 7/1/2012 9/30/2012
J0834 $67.37 10/1/2012 12/31/2012
J0834 $68.51 1/1/2013 12/31/2078
J0850 $966.08 1/1/2012 6/30/2012
J0850 $1,010.63 7/1/2012 9/30/2012
J0850 $1,013.87 10/1/2012 12/31/2078
J0878 $0.51 1/1/2012 6/30/2012
J0878 $0.54 7/1/2012 12/31/2012
J0878 $0.57 1/1/2013 12/31/2078
J0881 $3.21 1/1/2012 3/31/2012
J0881 $3.27 4/1/2012 6/30/2012
J0881 $3.31 7/1/2012 9/30/2012
J0881 $3.32 10/1/2012 12/31/2012
J0881 $3.45 1/1/2013 12/31/2078
J0882 $3.21 1/1/2012 3/31/2012
J0882 $3.27 4/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J0882 $3.31 7/1/2012 9/30/2012
J0882 $3.32 10/1/2012 12/31/2012
J0882 $3.45 1/1/2013 12/31/2078
J0885 $9.62 1/1/2012 3/31/2012
J0885 $9.78 4/1/2012 6/30/2012
J0885 $9.75 7/1/2012 9/30/2012
J0885 $9.87 10/1/2012 12/31/2012
J0885 $10.26 1/1/2013 12/31/2078
J0886 $9.62 1/1/2012 3/31/2012
J0886 $9.78 4/1/2012 6/30/2012
J0886 $9.75 7/1/2012 9/30/2012
J0886 $9.87 10/1/2012 12/31/2012
J0886 $10.26 1/1/2013 12/31/2078
J0895 $9.76 1/1/2012 3/31/2012
J0895 $10.07 4/1/2012 6/30/2012
J0895 $8.73 7/1/2012 9/30/2012
J0895 $8.50 10/1/2012 12/31/2012
J0895 $8.24 1/1/2013 12/31/2078
J0897 $14.43 1/1/2012 3/31/2012
J0897 $14.39 4/1/2012 9/30/2012
J0897 $14.32 10/1/2012 12/31/2012
J0897 $14.27 1/1/2013 12/31/2078
J0900 $1.38 1/1/2012 12/31/2078
J0945 $0.80 1/1/2012 12/31/2078
J1000 $6.83 1/1/2012 12/31/2012
J1000 $7.40 1/1/2013 12/31/2078
J1020 $3.12 1/1/2012 3/31/2012
J1020 $3.17 4/1/2012 6/30/2012
J1020 $3.11 7/1/2012 9/30/2012
J1020 $3.06 10/1/2012 12/31/2012
J1020 $3.11 1/1/2013 12/31/2078
J1030 $3.10 1/1/2012 3/31/2012
J1030 $3.35 4/1/2012 6/30/2012
J1030 $3.50 7/1/2012 9/30/2012
J1030 $4.03 10/1/2012 12/31/2012
J1030 $2.89 1/1/2013 12/31/2078
J1040 $7.09 1/1/2012 3/31/2012
J1040 $6.49 4/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1040 $6.33 7/1/2012 9/30/2012
J1040 $7.04 10/1/2012 12/31/2012
J1040 $5.60 1/1/2013 12/31/2078
J1051 $8.23 1/1/2012 3/31/2012
J1051 $8.29 4/1/2012 6/30/2012
J1051 $9.29 7/1/2012 9/30/2012
J1051 $9.31 10/1/2012 12/31/2012
J1055 $88.00 1/1/2012 12/31/2012
J1056 $22.89 1/1/2012 12/31/2012
J1060 $4.14 1/1/2012 12/31/2078
J1070 $4.16 1/1/2012 3/31/2012
J1070 $3.51 4/1/2012 6/30/2012
J1070 $3.93 7/1/2012 9/30/2012
J1070 $5.29 10/1/2012 12/31/2012
J1070 $5.07 1/1/2013 12/31/2078
J1080 $5.44 1/1/2012 3/31/2012
J1080 $6.42 4/1/2012 6/30/2012
J1080 $7.58 7/1/2012 9/30/2012
J1080 $5.66 10/1/2012 12/31/2012
J1080 $5.78 1/1/2013 12/31/2078
J1094 $0.23 1/1/2012 12/31/2078
J1100 $0.11 1/1/2012 3/31/2012
J1100 $0.12 4/1/2012 9/30/2012
J1100 $0.11 10/1/2012 12/31/2012
J1100 $0.10 1/1/2013 12/31/2078
J1110 $26.27 1/1/2012 3/31/2012
J1110 $25.84 4/1/2012 6/30/2012
J1110 $28.76 7/1/2012 9/30/2012
J1110 $33.41 10/1/2012 12/31/2012
J1110 $39.31 1/1/2013 12/31/2078
J1120 $30.50 1/1/2012 3/31/2012
J1120 $30.60 4/1/2012 6/30/2012
J1120 $30.27 7/1/2012 9/30/2012
J1120 $28.82 10/1/2012 12/31/2012
J1120 $28.40 1/1/2013 12/31/2078
J1160 $0.73 1/1/2012 3/31/2012
J1160 $1.66 4/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1160 $1.72 7/1/2012 9/30/2012
J1160 $4.63 10/1/2012 12/31/2012
J1160 $1.35 1/1/2013 12/31/2078
J1162 $680.61 1/1/2012 3/31/2012
J1162 $783.49 4/1/2012 6/30/2012
J1162 $784.51 7/1/2012 9/30/2012
J1162 $899.63 10/1/2012 12/31/2012
J1162 $899.60 1/1/2013 12/31/2078
J1165 $0.35 1/1/2012 9/30/2012
J1165 $0.36 10/1/2012 12/31/2012
J1165 $0.33 1/1/2013 12/31/2078
J1170 $1.71 1/1/2012 3/31/2012
J1170 $1.67 4/1/2012 6/30/2012
J1170 $1.48 7/1/2012 9/30/2012
J1170 $1.66 10/1/2012 12/31/2012
J1170 $1.61 1/1/2013 12/31/2078
J1180 $8.05 1/1/2012 12/31/2078
J1190 $185.09 1/1/2012 3/31/2012
J1190 $199.93 4/1/2012 6/30/2012
J1190 $175.26 7/1/2012 9/30/2012
J1190 $159.00 10/1/2012 12/31/2012
J1190 $165.93 1/1/2013 12/31/2078
J1200 $0.67 1/1/2012 3/31/2012
J1200 $0.70 4/1/2012 6/30/2012
J1200 $0.77 7/1/2012 9/30/2012
J1200 $0.90 10/1/2012 12/31/2012
J1200 $0.84 1/1/2013 12/31/2078
J1205 $279.79 1/1/2012 3/31/2012
J1205 $277.38 4/1/2012 6/30/2012
J1205 $271.09 7/1/2012 9/30/2012
J1205 $259.14 10/1/2012 12/31/2012
J1205 $227.14 1/1/2013 12/31/2078
J1212 $86.27 1/1/2012 3/31/2012
J1212 $86.57 4/1/2012 6/30/2012
J1212 $86.90 7/1/2012 9/30/2012
J1212 $87.15 10/1/2012 12/31/2012
J1212 $86.09 1/1/2013 12/31/2078
J1230 $6.95 1/1/2012 3/31/2012
J1230 $6.97 4/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1230 $7.00 7/1/2012 9/30/2012
J1230 $7.02 10/1/2012 12/31/2012
J1230 $7.08 1/1/2013 12/31/2078
J1240 $4.23 1/1/2012 3/31/2012
J1240 $4.40 4/1/2012 6/30/2012
J1240 $4.18 7/1/2012 9/30/2012
J1240 $4.33 10/1/2012 12/31/2012
J1240 $5.20 1/1/2013 12/31/2078
J1245 $0.81 1/1/2012 3/31/2012
J1245 $0.82 4/1/2012 6/30/2012
J1245 $0.80 7/1/2012 9/30/2012
J1245 $0.81 10/1/2012 12/31/2012
J1245 $0.95 1/1/2013 12/31/2078
J1250 $5.34 1/1/2012 3/31/2012
J1250 $5.79 4/1/2012 6/30/2012
J1250 $5.66 7/1/2012 9/30/2012
J1250 $6.20 10/1/2012 12/31/2012
J1250 $5.44 1/1/2013 12/31/2078
J1260 $5.07 1/1/2012 3/31/2012
J1260 $5.35 4/1/2012 6/30/2012
J1260 $5.22 7/1/2012 9/30/2012
J1260 $4.06 10/1/2012 12/31/2012
J1260 $7.54 1/1/2013 12/31/2078
J1265 $0.55 1/1/2012 3/31/2012
J1265 $0.53 4/1/2012 6/30/2012
J1265 $0.44 7/1/2012 9/30/2012
J1265 $0.40 10/1/2012 12/31/2078
J1267 $0.53 1/1/2012 3/31/2012
J1267 $0.51 4/1/2012 6/30/2012
J1267 $0.48 7/1/2012 9/30/2012
J1267 $0.45 10/1/2012 12/31/2012
J1267 $0.46 1/1/2013 12/31/2078
J1270 $1.43 1/1/2012 3/31/2012
J1270 $0.67 4/1/2012 6/30/2012
J1270 $0.92 7/1/2012 9/30/2012
J1270 $0.94 10/1/2012 12/31/2012
J1270 $0.98 1/1/2013 12/31/2078
J1290 $288.91 1/1/2012 3/31/2012
J1290 $284.88 4/1/2012 6/30/2012
J1290 $285.03 7/1/2012 9/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1290 $318.22 10/1/2012 12/31/2012
J1290 $319.61 1/1/2013 12/31/2078
J1300 $194.11 1/1/2012 3/31/2012
J1300 $195.46 4/1/2012 12/31/2012
J1300 $199.36 1/1/2013 12/31/2078
J1320 $2.24 1/1/2012 12/31/2078
J1325 $14.13 1/1/2012 3/31/2012
J1325 $14.28 4/1/2012 6/30/2012
J1325 $14.25 7/1/2012 9/30/2012
J1325 $14.23 10/1/2012 12/31/2012
J1325 $14.15 1/1/2013 12/31/2078
J1327 $22.83 1/1/2012 3/31/2012
J1327 $23.51 4/1/2012 6/30/2012
J1327 $23.97 7/1/2012 9/30/2012
J1327 $24.64 10/1/2012 12/31/2012
J1327 $25.06 1/1/2013 12/31/2078
J1330 $3.94 1/1/2012 12/31/2078
J1364 $10.12 1/1/2012 3/31/2012
J1364 $10.49 4/1/2012 6/30/2012
J1364 $10.48 7/1/2012 9/30/2012
J1364 $11.59 10/1/2012 12/31/2012
J1364 $10.60 1/1/2013 12/31/2078
J1380 $7.44 1/1/2012 3/31/2012
J1380 $7.56 4/1/2012 6/30/2012
J1380 $9.41 7/1/2012 9/30/2012
J1380 $9.42 10/1/2012 12/31/2012
J1380 $9.30 1/1/2013 12/31/2078
J1410 $114.63 1/1/2012 3/31/2012
J1410 $115.05 4/1/2012 6/30/2012
J1410 $125.18 7/1/2012 9/30/2012
J1410 $125.45 10/1/2012 12/31/2012
J1410 $139.45 1/1/2013 12/31/2078
J1430 $299.94 1/1/2012 12/31/2078
J1435 $0.24 1/1/2012 12/31/2078
J1436 $71.41 1/1/2012 12/31/2078
J1438 $219.59 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1438 $219.33 4/1/2012 6/30/2012
J1438 $228.57 7/1/2012 9/30/2012
J1438 $231.10 10/1/2012 12/31/2012
J1438 $241.34 1/1/2013 12/31/2078
J1440 $257.49 1/1/2012 3/31/2012
J1440 $260.74 4/1/2012 6/30/2012
J1440 $266.95 7/1/2012 9/30/2012
J1440 $268.91 10/1/2012 12/31/2012
J1440 $275.69 1/1/2013 12/31/2078
J1441 $408.13 1/1/2012 3/31/2012
J1441 $414.07 4/1/2012 6/30/2012
J1441 $423.37 7/1/2012 9/30/2012
J1441 $426.87 10/1/2012 12/31/2012
J1441 $435.92 1/1/2013 12/31/2078
J1450 $4.33 1/1/2012 3/31/2012
J1450 $4.56 4/1/2012 6/30/2012
J1450 $4.73 7/1/2012 9/30/2012
J1450 $5.07 10/1/2012 12/31/2012
J1450 $4.29 1/1/2013 12/31/2078
J1451 $7.76 1/1/2012 3/31/2012
J1451 $7.07 4/1/2012 6/30/2012
J1451 $6.40 7/1/2012 9/30/2012
J1451 $6.51 10/1/2012 12/31/2012
J1451 $6.25 1/1/2013 12/31/2078
J1453 $1.72 1/1/2012 6/30/2012
J1453 $1.71 7/1/2012 9/30/2012
J1453 $1.72 10/1/2012 12/31/2012
J1453 $1.73 1/1/2013 12/31/2078
J1455 $13.32 1/1/2012 9/30/2012
J1455 $3.50 10/1/2012 12/31/2078
J1457 $2.07 1/1/2012 3/31/2012
J1457 $2.08 4/1/2012 12/31/2078
J1459 $35.07 1/1/2012 3/31/2012
J1459 $35.04 4/1/2012 9/30/2012
J1459 $35.14 10/1/2012 12/31/2012
J1459 $35.57 1/1/2013 12/31/2078
J1460 $21.47 1/1/2012 3/31/2012
J1460 $21.57 4/1/2012 6/30/2012
J1460 $22.90 7/1/2012 9/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1460 $23.34 10/1/2012 12/31/2012
J1460 $23.76 1/1/2013 12/31/2078
J1559 $7.29 1/1/2012 12/31/2078
J1560 $214.70 1/1/2012 3/31/2012
J1560 $215.71 4/1/2012 6/30/2012
J1560 $228.99 7/1/2012 9/30/2012
J1560 $233.37 10/1/2012 12/31/2012
J1560 $237.62 1/1/2013 12/31/2078
J1561 $37.62 1/1/2012 3/31/2012
J1561 $37.61 4/1/2012 6/30/2012
J1561 $38.40 7/1/2012 9/30/2012
J1561 $38.28 10/1/2012 12/31/2012
J1561 $38.23 1/1/2013 12/31/2078
J1562 $7.25 1/1/2012 12/31/2078
J1566 $30.82 1/1/2012 3/31/2012
J1566 $31.51 4/1/2012 6/30/2012
J1566 $31.10 7/1/2012 9/30/2012
J1566 $32.21 10/1/2012 12/31/2012
J1566 $34.74 1/1/2013 12/31/2078
J1568 $56.87 1/1/2012 3/31/2012
J1568 $34.64 4/1/2012 6/30/2012
J1568 $34.21 7/1/2012 9/30/2012
J1568 $33.21 10/1/2012 12/31/2012
J1568 $31.60 1/1/2013 12/31/2078
J1569 $37.93 1/1/2012 3/31/2012
J1569 $40.21 4/1/2012 6/30/2012
J1569 $39.27 7/1/2012 9/30/2012
J1569 $37.62 10/1/2012 12/31/2012
J1569 $37.64 1/1/2013 12/31/2078
J1570 $67.31 1/1/2012 3/31/2012
J1570 $75.68 4/1/2012 6/30/2012
J1570 $82.71 7/1/2012 9/30/2012
J1570 $73.04 10/1/2012 12/31/2012
J1570 $72.47 1/1/2013 12/31/2078
J1571 $49.80 1/1/2012 3/31/2012
J1571 $48.16 4/1/2012 6/30/2012
J1571 $51.05 7/1/2012 9/30/2012
J1571 $52.14 10/1/2012 12/31/2012
J1571 $52.01 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1572 $35.08 1/1/2012 3/31/2012
J1572 $34.93 4/1/2012 6/30/2012
J1572 $34.30 7/1/2012 9/30/2012
J1572 $34.43 10/1/2012 12/31/2012
J1572 $34.95 1/1/2013 12/31/2078
J1573 $49.80 1/1/2012 3/31/2012
J1573 $48.16 4/1/2012 6/30/2012
J1573 $51.05 7/1/2012 9/30/2012
J1573 $52.14 10/1/2012 12/31/2012
J1573 $52.01 1/1/2013 12/31/2078
J1580 $1.17 1/1/2012 3/31/2012
J1580 $1.25 4/1/2012 6/30/2012
J1580 $1.33 7/1/2012 9/30/2012
J1580 $1.29 10/1/2012 12/31/2012
J1580 $1.04 1/1/2013 12/31/2078
J1590 $0.80 1/1/2012 12/31/2078
J1600 $7.17 1/1/2012 3/31/2012
J1600 $25.04 4/1/2012 12/31/2078
J1610 $106.46 1/1/2012 3/31/2012
J1610 $110.77 4/1/2012 6/30/2012
J1610 $113.85 7/1/2012 9/30/2012
J1610 $111.23 10/1/2012 12/31/2012
J1610 $118.18 1/1/2013 12/31/2078
J1620 $180.30 1/1/2012 12/31/2078
J1626 $0.74 1/1/2012 3/31/2012
J1626 $1.12 4/1/2012 6/30/2012
J1626 $0.44 7/1/2012 12/31/2012
J1626 $0.63 1/1/2013 12/31/2078
J1630 $3.17 1/1/2012 3/31/2012
J1630 $2.72 4/1/2012 6/30/2012
J1630 $2.02 7/1/2012 9/30/2012
J1630 $2.11 10/1/2012 12/31/2078
J1631 $16.96 1/1/2012 3/31/2012
J1631 $17.69 4/1/2012 6/30/2012
J1631 $19.14 7/1/2012 9/30/2012
J1631 $19.51 10/1/2012 12/31/2012
J1631 $19.16 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1640 $10.63 1/1/2012 3/31/2012
J1640 $10.62 4/1/2012 6/30/2012
J1640 $13.22 7/1/2012 9/30/2012
J1640 $13.26 10/1/2012 12/31/2012
J1640 $13.32 1/1/2013 12/31/2078
J1642 $0.16 1/1/2012 3/31/2012
J1642 $0.15 4/1/2012 9/30/2012
J1642 $0.17 10/1/2012 12/31/2078
J1644 $0.27 1/1/2012 3/31/2012
J1644 $0.23 4/1/2012 6/30/2012
J1644 $0.19 7/1/2012 9/30/2012
J1644 $0.21 10/1/2012 12/31/2012
J1644 $0.20 1/1/2013 12/31/2078
J1645 $10.97 1/1/2012 3/31/2012
J1645 $11.03 4/1/2012 6/30/2012
J1645 $11.09 7/1/2012 9/30/2012
J1645 $11.04 10/1/2012 12/31/2012
J1645 $10.76 1/1/2013 12/31/2078
J1650 $5.51 1/1/2012 3/31/2012
J1650 $5.18 4/1/2012 6/30/2012
J1650 $4.36 7/1/2012 9/30/2012
J1650 $4.20 10/1/2012 12/31/2012
J1650 $3.43 1/1/2013 12/31/2078
J1652 $6.16 1/1/2012 3/31/2012
J1652 $5.49 4/1/2012 6/30/2012
J1652 $5.09 7/1/2012 9/30/2012
J1652 $4.67 10/1/2012 12/31/2012
J1652 $4.25 1/1/2013 12/31/2078
J1655 $3.49 1/1/2012 12/31/2078
J1670 $239.41 1/1/2012 3/31/2012
J1670 $251.62 4/1/2012 6/30/2012
J1670 $274.37 7/1/2012 9/30/2012
J1670 $276.27 10/1/2012 12/31/2012
J1670 $278.27 1/1/2013 12/31/2078
J1675 $1,100.93 1/1/2012 12/31/2078
J1680 $155.00 1/1/2012 12/31/2012
J1700 $0.66 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1710 $4.69 1/1/2012 12/31/2078
J1720 $4.08 1/1/2012 3/31/2012
J1720 $4.11 4/1/2012 6/30/2012
J1720 $4.29 7/1/2012 9/30/2012
J1720 $4.28 10/1/2012 12/31/2012
J1720 $4.39 1/1/2013 12/31/2078
J1730 $111.84 1/1/2012 12/31/2078
J1740 $151.26 1/1/2012 3/31/2012
J1740 $151.89 4/1/2012 6/30/2012
J1740 $151.84 7/1/2012 9/30/2012
J1740 $151.64 10/1/2012 12/31/2012
J1740 $151.51 1/1/2013 12/31/2078
J1742 $182.77 1/1/2012 3/31/2012
J1742 $191.69 4/1/2012 6/30/2012
J1742 $178.89 7/1/2012 9/30/2012
J1742 $139.24 10/1/2012 12/31/2012
J1742 $114.39 1/1/2013 12/31/2078
J1743 $455.03 1/1/2012 12/31/2078
J1745 $62.68 1/1/2012 3/31/2012
J1745 $63.53 4/1/2012 6/30/2012
J1745 $64.26 7/1/2012 9/30/2012
J1745 $65.18 10/1/2012 12/31/2012
J1745 $66.41 1/1/2013 12/31/2078
J1750 $12.05 1/1/2012 3/31/2012
J1750 $12.10 4/1/2012 6/30/2012
J1750 $11.99 7/1/2012 9/30/2012
J1750 $12.00 10/1/2012 12/31/2012
J1750 $11.97 1/1/2013 12/31/2078
J1756 $0.32 1/1/2012 3/31/2012
J1756 $0.29 4/1/2012 6/30/2012
J1756 $0.28 7/1/2012 9/30/2012
J1756 $0.29 10/1/2012 12/31/2012
J1756 $0.28 1/1/2013 12/31/2078
J1786 $41.99 1/1/2012 6/30/2012
J1786 $41.74 7/1/2012 12/31/2012
J1786 $41.86 1/1/2013 12/31/2078
J1790 $3.23 1/1/2012 3/31/2012
J1790 $2.66 4/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1790 $3.31 7/1/2012 9/30/2012
J1790 $3.32 10/1/2012 12/31/2012
J1790 $3.29 1/1/2013 12/31/2078
J1800 $3.11 1/1/2012 3/31/2012
J1800 $3.01 4/1/2012 6/30/2012
J1800 $2.85 7/1/2012 9/30/2012
J1800 $3.43 10/1/2012 12/31/2012
J1800 $3.73 1/1/2013 12/31/2078
J1810 $5.58 1/1/2012 12/31/2078
J1815 $0.47 1/1/2012 3/31/2012
J1815 $0.48 4/1/2012 6/30/2012
J1815 $0.49 7/1/2012 9/30/2012
J1815 $0.51 10/1/2012 12/31/2012
J1815 $0.53 1/1/2013 12/31/2078
J1817 $2.70 1/1/2012 3/31/2012
J1817 $2.83 4/1/2012 6/30/2012
J1817 $3.01 7/1/2012 9/30/2012
J1817 $3.09 10/1/2012 12/31/2012
J1817 $5.32 1/1/2013 12/31/2078
J1830 $119.30 1/1/2012 12/31/2078
J1835 $42.28 1/1/2012 12/31/2078
J1840 $7.69 1/1/2012 12/31/2078
J1850 $1.15 1/1/2012 12/31/2078
J1885 $0.26 1/1/2012 3/31/2012
J1885 $0.27 4/1/2012 6/30/2012
J1885 $0.23 7/1/2012 12/31/2012
J1885 $0.29 1/1/2013 12/31/2078
J1890 $8.64 1/1/2012 12/31/2078
J1930 $33.08 1/1/2012 3/31/2012
J1930 $33.24 4/1/2012 6/30/2012
J1930 $33.59 7/1/2012 9/30/2012
J1930 $33.82 10/1/2012 12/31/2012
J1930 $34.97 1/1/2013 12/31/2078
J1931 $26.84 1/1/2012 6/30/2012
J1931 $26.64 7/1/2012 9/30/2012
J1931 $26.67 10/1/2012 12/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J1931 $28.20 1/1/2013 12/31/2078
J1940 $0.70 1/1/2012 3/31/2012
J1940 $0.48 4/1/2012 6/30/2012
J1940 $0.67 7/1/2012 12/31/2012
J1940 $2.13 1/1/2013 12/31/2078
J1945 $396.81 1/1/2012 3/31/2012
J1945 $396.86 4/1/2012 9/30/2012
J1945 $551.76 10/1/2012 12/31/2012
J1945 $570.54 1/1/2013 12/31/2078
J1950 $637.30 1/1/2012 3/31/2012
J1950 $607.25 4/1/2012 6/30/2012
J1950 $653.30 7/1/2012 9/30/2012
J1950 $663.95 10/1/2012 12/31/2012
J1950 $672.89 1/1/2013 12/31/2078
J1953 $0.28 1/1/2012 3/31/2012
J1953 $0.26 4/1/2012 6/30/2012
J1953 $0.24 7/1/2012 9/30/2012
J1953 $0.25 10/1/2012 12/31/2012
J1953 $0.20 1/1/2013 12/31/2078
J1955 $8.02 1/1/2012 3/31/2012
J1955 $8.10 4/1/2012 6/30/2012
J1955 $7.45 7/1/2012 9/30/2012
J1955 $6.24 10/1/2012 12/31/2012
J1955 $6.29 1/1/2013 12/31/2078
J1960 $3.17 1/1/2012 12/31/2078
J1980 $14.03 1/1/2012 3/31/2012
J1980 $14.39 4/1/2012 6/30/2012
J1980 $14.77 7/1/2012 9/30/2012
J1980 $14.74 10/1/2012 12/31/2012
J1980 $16.04 1/1/2013 12/31/2078
J1990 $21.05 1/1/2012 12/31/2078
J2001 $0.02 1/1/2012 12/31/2078
J2010 $6.41 1/1/2012 6/30/2012
J2010 $7.03 7/1/2012 9/30/2012
J2010 $7.05 10/1/2012 12/31/2012
J2010 $7.39 1/1/2013 12/31/2078
J2020 $36.04 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2020 $37.04 4/1/2012 6/30/2012
J2020 $38.61 7/1/2012 9/30/2012
J2020 $39.32 10/1/2012 12/31/2012
J2020 $38.95 1/1/2013 12/31/2078
J2060 $0.67 1/1/2012 3/31/2012
J2060 $0.79 4/1/2012 6/30/2012
J2060 $0.87 7/1/2012 9/30/2012
J2060 $1.34 10/1/2012 12/31/2012
J2060 $0.81 1/1/2013 12/31/2078
J2150 $0.98 1/1/2012 3/31/2012
J2150 $1.20 4/1/2012 6/30/2012
J2150 $2.13 7/1/2012 9/30/2012
J2150 $1.47 10/1/2012 12/31/2012
J2150 $1.90 1/1/2013 12/31/2078
J2175 $1.99 1/1/2012 3/31/2012
J2175 $1.76 4/1/2012 6/30/2012
J2175 $1.65 7/1/2012 9/30/2012
J2175 $2.16 10/1/2012 12/31/2012
J2175 $2.07 1/1/2013 12/31/2078
J2180 $3.79 1/1/2012 12/31/2078
J2210 $5.55 1/1/2012 3/31/2012
J2210 $5.27 4/1/2012 6/30/2012
J2210 $4.00 7/1/2012 9/30/2012
J2210 $3.80 10/1/2012 12/31/2012
J2210 $4.03 1/1/2013 12/31/2078
J2250 $0.14 1/1/2012 3/31/2012
J2250 $0.13 4/1/2012 6/30/2012
J2250 $0.12 7/1/2012 9/30/2012
J2250 $0.16 10/1/2012 12/31/2012
J2250 $0.18 1/1/2013 12/31/2078
J2260 $4.53 1/1/2012 3/31/2012
J2260 $4.50 4/1/2012 6/30/2012
J2260 $5.49 7/1/2012 9/30/2012
J2260 $3.72 10/1/2012 12/31/2012
J2260 $2.68 1/1/2013 12/31/2078
J2270 $1.95 1/1/2012 3/31/2012
J2270 $1.74 4/1/2012 6/30/2012
J2270 $3.21 7/1/2012 9/30/2012
J2270 $3.39 10/1/2012 12/31/2012
J2270 $3.62 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2275 $2.41 1/1/2012 3/31/2012
J2275 $3.63 4/1/2012 6/30/2012
J2275 $4.97 7/1/2012 9/30/2012
J2275 $2.71 10/1/2012 12/31/2012
J2275 $4.31 1/1/2013 12/31/2078
J2278 $6.61 1/1/2012 12/31/2012
J2278 $6.62 1/1/2013 12/31/2078
J2300 $0.87 1/1/2012 3/31/2012
J2300 $0.91 4/1/2012 6/30/2012
J2300 $0.81 7/1/2012 9/30/2012
J2300 $0.89 10/1/2012 12/31/2012
J2300 $0.97 1/1/2013 12/31/2078
J2310 $10.44 1/1/2012 3/31/2012
J2310 $8.15 4/1/2012 6/30/2012
J2310 $8.05 7/1/2012 9/30/2012
J2310 $10.18 10/1/2012 12/31/2012
J2310 $12.18 1/1/2013 12/31/2078
J2320 $3.75 1/1/2012 12/31/2078
J2323 $11.06 1/1/2012 3/31/2012
J2323 $11.11 4/1/2012 6/30/2012
J2323 $11.56 7/1/2012 9/30/2012
J2323 $11.59 10/1/2012 12/31/2012
J2323 $12.30 1/1/2013 12/31/2078
J2325 $49.64 1/1/2012 3/31/2012
J2325 $49.25 4/1/2012 6/30/2012
J2325 $51.63 7/1/2012 9/30/2012
J2325 $51.81 10/1/2012 12/31/2012
J2325 $54.32 1/1/2013 12/31/2078
J2353 $121.59 1/1/2012 3/31/2012
J2353 $123.10 4/1/2012 6/30/2012
J2353 $125.77 7/1/2012 9/30/2012
J2353 $127.00 10/1/2012 12/31/2012
J2353 $129.66 1/1/2013 12/31/2078
J2354 $1.40 1/1/2012 3/31/2012
J2354 $1.65 4/1/2012 6/30/2012
J2354 $1.47 7/1/2012 9/30/2012
J2354 $1.51 10/1/2012 12/31/2012
J2354 $1.41 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2355 $244.32 1/1/2012 3/31/2012
J2355 $243.69 4/1/2012 6/30/2012
J2355 $244.51 7/1/2012 9/30/2012
J2355 $244.00 10/1/2012 12/31/2012
J2355 $262.88 1/1/2013 12/31/2078
J2357 $21.93 1/1/2012 3/31/2012
J2357 $22.73 4/1/2012 6/30/2012
J2357 $22.79 7/1/2012 9/30/2012
J2357 $23.53 10/1/2012 12/31/2012
J2357 $23.54 1/1/2013 12/31/2078
J2360 $6.12 1/1/2012 3/31/2012
J2360 $8.71 4/1/2012 6/30/2012
J2360 $7.14 7/1/2012 9/30/2012
J2360 $6.48 10/1/2012 12/31/2012
J2360 $6.62 1/1/2013 12/31/2078
J2370 $0.81 1/1/2012 3/31/2012
J2370 $1.14 4/1/2012 6/30/2012
J2370 $0.79 7/1/2012 9/30/2012
J2370 $0.42 10/1/2012 12/31/2012
J2370 $1.15 1/1/2013 12/31/2078
J2400 $15.88 1/1/2012 3/31/2012
J2400 $15.09 4/1/2012 6/30/2012
J2400 $29.97 7/1/2012 9/30/2012
J2400 $24.33 10/1/2012 12/31/2012
J2400 $22.25 1/1/2013 12/31/2078
J2405 $0.09 1/1/2012 3/31/2012
J2405 $0.12 4/1/2012 6/30/2012
J2405 $0.17 7/1/2012 9/30/2012
J2405 $0.22 10/1/2012 12/31/2012
J2405 $0.17 1/1/2013 12/31/2078
J2410 $2.31 1/1/2012 3/31/2012
J2410 $2.29 4/1/2012 6/30/2012
J2410 $2.30 7/1/2012 9/30/2012
J2410 $2.28 10/1/2012 12/31/2012
J2410 $2.32 1/1/2013 12/31/2078
J2425 $11.69 1/1/2012 3/31/2012
J2425 $11.77 4/1/2012 6/30/2012
J2425 $11.99 7/1/2012 9/30/2012
J2425 $12.12 10/1/2012 12/31/2012
J2425 $12.97 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2430 $12.65 1/1/2012 3/31/2012
J2430 $10.23 4/1/2012 6/30/2012
J2430 $12.04 7/1/2012 9/30/2012
J2430 $10.50 10/1/2012 12/31/2012
J2430 $9.72 1/1/2013 12/31/2078
J2440 $1.54 1/1/2012 3/31/2012
J2440 $1.27 4/1/2012 6/30/2012
J2440 $1.15 7/1/2012 9/30/2012
J2440 $1.08 10/1/2012 12/31/2012
J2440 $1.28 1/1/2013 12/31/2078
J2460 $0.94 1/1/2012 12/31/2078
J2469 $18.47 1/1/2012 3/31/2012
J2469 $18.44 4/1/2012 6/30/2012
J2469 $18.88 7/1/2012 9/30/2012
J2469 $19.02 10/1/2012 12/31/2012
J2469 $18.98 1/1/2013 12/31/2078
J2501 $2.20 1/1/2012 3/31/2012
J2501 $2.01 4/1/2012 6/30/2012
J2501 $1.86 7/1/2012 9/30/2012
J2501 $1.74 10/1/2012 12/31/2012
J2501 $1.80 1/1/2013 12/31/2078
J2503 $1,029.07 1/1/2012 3/31/2012
J2503 $1,030.50 4/1/2012 6/30/2012
J2503 $1,035.90 7/1/2012 9/30/2012
J2503 $1,029.95 10/1/2012 12/31/2012
J2503 $1,029.33 1/1/2013 12/31/2078
J2504 $259.70 1/1/2012 9/30/2012
J2504 $265.48 10/1/2012 12/31/2012
J2504 $267.83 1/1/2013 12/31/2078
J2505 $2,754.07 1/1/2012 3/31/2012
J2505 $2,804.07 4/1/2012 6/30/2012
J2505 $2,853.47 7/1/2012 9/30/2012
J2505 $2,838.89 10/1/2012 12/31/2012
J2505 $2,921.12 1/1/2013 12/31/2078
J2507 $302.13 1/1/2012 3/31/2012
J2507 $302.04 4/1/2012 6/30/2012
J2507 $301.94 7/1/2012 9/30/2012
J2507 $320.77 10/1/2012 12/31/2012
J2507 $356.54 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2510 $12.29 1/1/2012 3/31/2012
J2510 $12.72 4/1/2012 6/30/2012
J2510 $12.70 7/1/2012 9/30/2012
J2510 $12.62 10/1/2012 12/31/2012
J2510 $13.52 1/1/2013 12/31/2078
J2513 $12.72 1/1/2012 12/31/2078
J2515 $21.75 1/1/2012 3/31/2012
J2515 $21.78 4/1/2012 6/30/2012
J2515 $21.41 7/1/2012 9/30/2012
J2515 $26.36 10/1/2012 12/31/2012
J2515 $33.02 1/1/2013 12/31/2078
J2540 $0.70 1/1/2012 3/31/2012
J2540 $0.71 4/1/2012 6/30/2012
J2540 $0.59 7/1/2012 9/30/2012
J2540 $0.60 10/1/2012 12/31/2078
J2543 $3.49 1/1/2012 3/31/2012
J2543 $3.03 4/1/2012 6/30/2012
J2543 $2.68 7/1/2012 9/30/2012
J2543 $2.54 10/1/2012 12/31/2012
J2543 $2.98 1/1/2013 12/31/2078
J2545 $55.11 1/1/2012 3/31/2012
J2545 $50.05 4/1/2012 6/30/2012
J2545 $59.84 7/1/2012 9/30/2012
J2545 $60.78 10/1/2012 12/31/2012
J2545 $63.66 1/1/2013 12/31/2078
J2550 $1.74 1/1/2012 3/31/2012
J2550 $1.67 4/1/2012 6/30/2012
J2550 $1.73 7/1/2012 9/30/2012
J2550 $1.90 10/1/2012 12/31/2012
J2550 $1.63 1/1/2013 12/31/2078
J2560 $2.71 1/1/2012 3/31/2012
J2560 $19.66 4/1/2012 6/30/2012
J2560 $14.64 7/1/2012 9/30/2012
J2560 $16.13 10/1/2012 12/31/2012
J2560 $13.95 1/1/2013 12/31/2078
J2562 $286.03 1/1/2012 3/31/2012
J2562 $286.00 4/1/2012 6/30/2012
J2562 $288.22 7/1/2012 9/30/2012
J2562 $287.45 10/1/2012 12/31/2012
J2562 $291.39 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2590 $0.62 1/1/2012 3/31/2012
J2590 $0.53 4/1/2012 6/30/2012
J2590 $0.65 7/1/2012 9/30/2012
J2590 $0.69 10/1/2012 12/31/2012
J2590 $0.61 1/1/2013 12/31/2078
J2597 $3.98 1/1/2012 3/31/2012
J2597 $5.73 4/1/2012 6/30/2012
J2597 $5.44 7/1/2012 9/30/2012
J2597 $6.12 10/1/2012 12/31/2012
J2597 $5.63 1/1/2013 12/31/2078
J2650 $0.52 1/1/2012 12/31/2078
J2670 $3.44 1/1/2012 12/31/2078
J2680 $11.34 1/1/2012 3/31/2012
J2680 $14.69 4/1/2012 6/30/2012
J2680 $5.10 7/1/2012 9/30/2012
J2680 $15.51 10/1/2012 12/31/2012
J2680 $15.37 1/1/2013 12/31/2078
J2690 $7.78 1/1/2012 3/31/2012
J2690 $9.70 4/1/2012 6/30/2012
J2690 $11.91 7/1/2012 9/30/2012
J2690 $12.61 10/1/2012 12/31/2012
J2690 $13.66 1/1/2013 12/31/2078
J2700 $2.84 1/1/2012 3/31/2012
J2700 $2.81 4/1/2012 6/30/2012
J2700 $2.26 7/1/2012 9/30/2012
J2700 $2.38 10/1/2012 12/31/2012
J2700 $2.26 1/1/2013 12/31/2078
J2710 $0.09 1/1/2012 12/31/2078
J2720 $0.49 1/1/2012 3/31/2012
J2720 $0.51 4/1/2012 6/30/2012
J2720 $0.60 7/1/2012 9/30/2012
J2720 $0.59 10/1/2012 12/31/2012
J2720 $0.77 1/1/2013 12/31/2078
J2724 $13.14 1/1/2012 3/31/2012
J2724 $13.11 4/1/2012 6/30/2012
J2724 $13.54 7/1/2012 9/30/2012
J2724 $13.59 10/1/2012 12/31/2012
J2724 $13.50 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2725 $21.78 1/1/2012 12/31/2078
J2730 $90.20 1/1/2012 3/31/2012
J2730 $84.79 4/1/2012 6/30/2012
J2730 $88.66 7/1/2012 9/30/2012
J2730 $88.60 10/1/2012 12/31/2012
J2730 $89.99 1/1/2013 12/31/2078
J2760 $54.58 1/1/2012 12/31/2012
J2760 $105.99 1/1/2013 12/31/2078
J2765 $0.32 1/1/2012 3/31/2012
J2765 $0.34 4/1/2012 6/30/2012
J2765 $0.29 7/1/2012 9/30/2012
J2765 $0.36 10/1/2012 12/31/2012
J2765 $0.44 1/1/2013 12/31/2078
J2778 $401.84 1/1/2012 3/31/2012
J2778 $400.72 4/1/2012 6/30/2012
J2778 $398.84 7/1/2012 9/30/2012
J2778 $398.31 10/1/2012 12/31/2012
J2778 $398.01 1/1/2013 12/31/2078
J2780 $0.76 1/1/2012 3/31/2012
J2780 $0.85 4/1/2012 6/30/2012
J2780 $1.11 7/1/2012 9/30/2012
J2780 $1.34 10/1/2012 12/31/2012
J2780 $1.17 1/1/2013 12/31/2078
J2785 $52.73 1/1/2012 3/31/2012
J2785 $52.66 4/1/2012 6/30/2012
J2785 $52.92 7/1/2012 9/30/2012
J2785 $53.67 10/1/2012 12/31/2012
J2785 $53.64 1/1/2013 12/31/2078
J2788 $24.99 1/1/2012 3/31/2012
J2788 $25.13 4/1/2012 6/30/2012
J2788 $25.99 7/1/2012 9/30/2012
J2788 $25.86 10/1/2012 12/31/2012
J2788 $24.54 1/1/2013 12/31/2078
J2790 $82.19 1/1/2012 3/31/2012
J2790 $83.88 4/1/2012 6/30/2012
J2790 $83.65 7/1/2012 9/30/2012
J2790 $83.77 10/1/2012 12/31/2012
J2790 $84.45 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2791 $5.19 1/1/2012 3/31/2012
J2791 $5.18 4/1/2012 9/30/2012
J2791 $5.19 10/1/2012 12/31/2012
J2791 $5.07 1/1/2013 12/31/2078
J2792 $15.71 1/1/2012 3/31/2012
J2792 $16.41 4/1/2012 6/30/2012
J2792 $18.19 7/1/2012 9/30/2012
J2792 $18.43 10/1/2012 12/31/2012
J2792 $18.33 1/1/2013 12/31/2078
J2793 $27.27 1/1/2012 12/31/2078
J2796 $46.81 1/1/2012 3/31/2012
J2796 $47.87 4/1/2012 6/30/2012
J2796 $47.97 7/1/2012 9/30/2012
J2796 $48.18 10/1/2012 12/31/2012
J2796 $49.32 1/1/2013 12/31/2078
J2800 $28.22 1/1/2012 3/31/2012
J2800 $28.27 4/1/2012 6/30/2012
J2800 $28.26 7/1/2012 9/30/2012
J2800 $37.10 10/1/2012 12/31/2012
J2800 $36.43 1/1/2013 12/31/2078
J2805 $76.11 1/1/2012 3/31/2012
J2805 $75.92 4/1/2012 6/30/2012
J2805 $79.22 7/1/2012 9/30/2012
J2805 $67.01 10/1/2012 12/31/2012
J2805 $55.20 1/1/2013 12/31/2078
J2810 $0.23 1/1/2012 3/31/2012
J2810 $0.25 4/1/2012 6/30/2012
J2810 $0.24 7/1/2012 9/30/2012
J2810 $0.26 10/1/2012 12/31/2012
J2810 $0.23 1/1/2013 12/31/2078
J2820 $24.76 1/1/2012 3/31/2012
J2820 $24.83 4/1/2012 6/30/2012
J2820 $25.12 7/1/2012 9/30/2012
J2820 $31.59 10/1/2012 12/31/2012
J2820 $29.69 1/1/2013 12/31/2078
J2850 $27.49 1/1/2012 12/31/2078
J2910 $24.50 1/1/2012 12/31/2078
J2920 $1.87 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J2920 $1.94 4/1/2012 6/30/2012
J2920 $1.98 7/1/2012 9/30/2012
J2920 $2.07 10/1/2012 12/31/2012
J2920 $1.63 1/1/2013 12/31/2078
J2930 $2.58 1/1/2012 3/31/2012
J2930 $2.87 4/1/2012 6/30/2012
J2930 $3.08 7/1/2012 9/30/2012
J2930 $2.86 10/1/2012 12/31/2012
J2930 $2.60 1/1/2013 12/31/2078
J2940 $42.30 1/1/2012 12/31/2078
J2941 $51.96 1/1/2012 12/31/2078
J2950 $0.38 1/1/2012 12/31/2078
J2995 $79.50 1/1/2012 12/31/2078
J2997 $45.68 1/1/2012 3/31/2012
J2997 $46.36 4/1/2012 6/30/2012
J2997 $48.90 7/1/2012 9/30/2012
J2997 $49.22 10/1/2012 12/31/2012
J2997 $51.91 1/1/2013 12/31/2078
J3000 $9.96 1/1/2012 3/31/2012
J3000 $10.73 4/1/2012 6/30/2012
J3000 $10.99 7/1/2012 9/30/2012
J3000 $11.35 10/1/2012 12/31/2012
J3000 $15.07 1/1/2013 12/31/2078
J3010 $0.35 1/1/2012 3/31/2012
J3010 $0.33 4/1/2012 6/30/2012
J3010 $0.37 7/1/2012 9/30/2012
J3010 $0.80 10/1/2012 12/31/2012
J3010 $0.47 1/1/2013 12/31/2078
J3030 $75.20 1/1/2012 3/31/2012
J3030 $62.39 4/1/2012 6/30/2012
J3030 $59.55 7/1/2012 9/30/2012
J3030 $51.89 10/1/2012 12/31/2078
J3070 $14.33 1/1/2012 3/31/2012
J3070 $13.68 4/1/2012 6/30/2012
J3070 $13.47 7/1/2012 9/30/2012
J3070 $19.61 10/1/2012 12/31/2012
J3070 $24.50 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J3095 $2.04 1/1/2012 3/31/2012
J3095 $2.05 4/1/2012 6/30/2012
J3095 $1.93 7/1/2012 9/30/2012
J3095 $2.65 10/1/2012 12/31/2078
J3101 $64.18 1/1/2012 3/31/2012
J3101 $66.24 4/1/2012 6/30/2012
J3101 $66.52 7/1/2012 9/30/2012
J3101 $66.50 10/1/2012 12/31/2012
J3101 $70.77 1/1/2013 12/31/2078
J3105 $3.66 1/1/2012 3/31/2012
J3105 $5.65 4/1/2012 6/30/2012
J3105 $6.06 7/1/2012 9/30/2012
J3105 $5.52 10/1/2012 12/31/2012
J3105 $3.81 1/1/2013 12/31/2078
J3110 $7.55 1/1/2012 12/31/2078
J3120 $4.73 1/1/2012 3/31/2012
J3120 $4.74 4/1/2012 6/30/2012
J3120 $4.68 7/1/2012 9/30/2012
J3120 $4.64 10/1/2012 12/31/2012
J3120 $4.63 1/1/2013 12/31/2078
J3130 $9.47 1/1/2012 3/31/2012
J3130 $9.48 4/1/2012 6/30/2012
J3130 $9.36 7/1/2012 9/30/2012
J3130 $9.28 10/1/2012 12/31/2012
J3130 $9.26 1/1/2013 12/31/2078
J3140 $0.56 1/1/2012 12/31/2078
J3150 $0.79 1/1/2012 12/31/2078
J3230 $9.07 1/1/2012 3/31/2012
J3230 $9.04 4/1/2012 6/30/2012
J3230 $9.24 7/1/2012 9/30/2012
J3230 $25.08 10/1/2012 12/31/2012
J3230 $17.86 1/1/2013 12/31/2078
J3240 $1,052.40 1/1/2012 3/31/2012
J3240 $1,053.30 4/1/2012 6/30/2012
J3240 $1,054.29 7/1/2012 9/30/2012
J3240 $1,053.79 10/1/2012 12/31/2012
J3240 $1,051.90 1/1/2013 12/31/2078
J3246 $10.31 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J3246 $8.71 4/1/2012 6/30/2012
J3246 $10.13 7/1/2012 9/30/2012
J3246 $8.69 10/1/2012 12/31/2012
J3246 $7.90 1/1/2013 12/31/2078
J3250 $5.78 1/1/2012 3/31/2012
J3250 $5.77 4/1/2012 6/30/2012
J3250 $10.69 7/1/2012 9/30/2012
J3250 $10.44 10/1/2012 12/31/2012
J3250 $10.38 1/1/2013 12/31/2078
J3260 $1.95 1/1/2012 3/31/2012
J3260 $2.61 4/1/2012 6/30/2012
J3260 $1.62 7/1/2012 9/30/2012
J3260 $2.75 10/1/2012 12/31/2012
J3260 $2.55 1/1/2013 12/31/2078
J3265 $2.19 1/1/2012 12/31/2078
J3280 $4.76 1/1/2012 12/31/2078
J3285 $61.24 1/1/2012 12/31/2078
J3300 $3.49 1/1/2012 6/30/2012
J3300 $3.54 7/1/2012 9/30/2012
J3300 $3.57 10/1/2012 12/31/2012
J3300 $3.78 1/1/2013 12/31/2078
J3301 $1.69 1/1/2012 3/31/2012
J3301 $1.70 4/1/2012 9/30/2012
J3301 $1.67 10/1/2012 12/31/2012
J3301 $1.80 1/1/2013 12/31/2078
J3302 $0.28 1/1/2012 12/31/2078
J3303 $1.68 1/1/2012 3/31/2012
J3303 $1.72 4/1/2012 6/30/2012
J3303 $1.43 7/1/2012 9/30/2012
J3303 $1.51 10/1/2012 12/31/2012
J3303 $1.82 1/1/2013 12/31/2078
J3305 $149.71 1/1/2012 12/31/2078
J3310 $6.90 1/1/2012 12/31/2078
J3315 $178.09 1/1/2012 3/31/2012
J3315 $193.77 4/1/2012 6/30/2012
J3315 $171.11 7/1/2012 9/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J3315 $160.30 10/1/2012 12/31/2012
J3315 $175.79 1/1/2013 12/31/2078
J3320 $30.08 1/1/2012 12/31/2078
J3350 $61.07 1/1/2012 12/31/2078
J3360 $0.91 1/1/2012 3/31/2012
J3360 $1.02 4/1/2012 6/30/2012
J3360 $1.11 7/1/2012 9/30/2012
J3360 $1.42 10/1/2012 12/31/2012
J3360 $3.34 1/1/2013 12/31/2078
J3364 $9.16 1/1/2012 12/31/2078
J3365 $457.73 1/1/2012 12/31/2078
J3370 $2.56 1/1/2012 3/31/2012
J3370 $2.73 4/1/2012 6/30/2012
J3370 $2.66 7/1/2012 9/30/2012
J3370 $2.40 10/1/2012 12/31/2012
J3370 $2.42 1/1/2013 12/31/2078
J3385 $349.23 1/1/2012 3/31/2012
J3385 $349.35 4/1/2012 6/30/2012
J3385 $349.20 7/1/2012 9/30/2012
J3385 $349.31 10/1/2012 12/31/2012
J3385 $348.86 1/1/2013 12/31/2078
J3396 $10.05 1/1/2012 3/31/2012
J3396 $10.06 4/1/2012 9/30/2012
J3396 $10.16 10/1/2012 12/31/2012
J3396 $10.28 1/1/2013 12/31/2078
J3400 $16.74 1/1/2012 12/31/2078
J3410 $1.24 1/1/2012 3/31/2012
J3410 $1.27 4/1/2012 6/30/2012
J3410 $1.07 7/1/2012 9/30/2012
J3410 $1.44 10/1/2012 12/31/2012
J3410 $1.31 1/1/2013 12/31/2078
J3420 $0.66 1/1/2012 3/31/2012
J3420 $0.45 4/1/2012 6/30/2012
J3420 $0.47 7/1/2012 9/30/2012
J3420 $0.54 10/1/2012 12/31/2012
J3420 $0.56 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J3430 $1.43 1/1/2012 12/31/2078
J3470 $21.20 1/1/2012 12/31/2078
J3471 $0.21 1/1/2012 3/31/2012
J3471 $0.22 4/1/2012 6/30/2012
J3471 $0.24 7/1/2012 12/31/2012
J3471 $0.25 1/1/2013 12/31/2078
J3472 $137.80 1/1/2012 12/31/2078
J3473 $0.64 1/1/2012 6/30/2012
J3473 $0.36 7/1/2012 9/30/2012
J3473 $0.34 10/1/2012 12/31/2012
J3473 $0.33 1/1/2013 12/31/2078
J3475 $0.08 1/1/2012 3/31/2012
J3475 $0.10 4/1/2012 6/30/2012
J3475 $0.14 7/1/2012 9/30/2012
J3475 $0.12 10/1/2012 12/31/2012
J3475 $0.15 1/1/2013 12/31/2078
J3480 $0.01 1/1/2012 12/31/2078
J3487 $226.83 1/1/2012 3/31/2012
J3487 $226.20 4/1/2012 6/30/2012
J3487 $225.29 7/1/2012 9/30/2012
J3487 $224.10 10/1/2012 12/31/2012
J3487 $222.60 1/1/2013 12/31/2078
J3488 $222.64 1/1/2012 3/31/2012
J3488 $222.63 4/1/2012 6/30/2012
J3488 $224.63 7/1/2012 9/30/2012
J3488 $224.75 10/1/2012 12/31/2012
J3488 $224.70 1/1/2013 12/31/2078
J3490 $3,500.00 1/1/2012 12/31/2078
J3520 $3.94 1/1/2012 12/31/2078
J3590 $6,240.00 1/1/2012 12/31/2078
J7030 $1.15 1/1/2012 6/30/2012
J7030 $1.09 7/1/2012 9/30/2012
J7030 $1.10 10/1/2012 12/31/2012
J7030 $1.07 1/1/2013 12/31/2078
J7040 $0.57 1/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7040 $0.55 7/1/2012 12/31/2012
J7040 $0.53 1/1/2013 12/31/2078
J7042 $0.36 1/1/2012 3/31/2012
J7042 $0.35 4/1/2012 6/30/2012
J7042 $0.34 7/1/2012 9/30/2012
J7042 $0.36 10/1/2012 12/31/2012
J7042 $0.49 1/1/2013 12/31/2078
J7050 $0.29 1/1/2012 6/30/2012
J7050 $0.27 7/1/2012 12/31/2078
J7060 $1.07 1/1/2012 3/31/2012
J7060 $1.05 4/1/2012 6/30/2012
J7060 $1.02 7/1/2012 9/30/2012
J7060 $1.05 10/1/2012 12/31/2012
J7060 $1.03 1/1/2013 12/31/2078
J7070 $2.10 1/1/2012 3/31/2012
J7070 $2.07 4/1/2012 6/30/2012
J7070 $2.04 7/1/2012 9/30/2012
J7070 $2.10 10/1/2012 12/31/2012
J7070 $2.05 1/1/2013 12/31/2078
J7100 $20.46 1/1/2012 3/31/2012
J7100 $21.71 4/1/2012 6/30/2012
J7100 $21.78 7/1/2012 9/30/2012
J7100 $21.02 10/1/2012 12/31/2012
J7100 $21.93 1/1/2013 12/31/2078
J7110 $14.52 1/1/2012 12/31/2078
J7120 $1.06 1/1/2012 3/31/2012
J7120 $1.03 4/1/2012 6/30/2012
J7120 $0.99 7/1/2012 9/30/2012
J7120 $1.02 10/1/2012 12/31/2012
J7120 $0.99 1/1/2013 12/31/2078
J7185 $1.05 1/1/2012 3/31/2012
J7185 $1.09 4/1/2012 6/30/2012
J7185 $1.08 7/1/2012 9/30/2012
J7185 $1.10 10/1/2012 12/31/2078
J7186 $0.92 1/1/2012 6/30/2012
J7186 $0.93 7/1/2012 12/31/2012
J7186 $0.94 1/1/2013 12/31/2078
J7187 $0.89 1/1/2012 9/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7187 $0.90 10/1/2012 12/31/2078
J7189 $1.56 1/1/2012 3/31/2012
J7189 $1.58 4/1/2012 6/30/2012
J7189 $1.61 7/1/2012 12/31/2078
J7190 $0.89 1/1/2012 3/31/2012
J7190 $0.90 4/1/2012 12/31/2012
J7190 $0.92 1/1/2013 12/31/2078
J7191 $1.86 1/1/2012 12/31/2078
J7192 $1.11 1/1/2012 12/31/2012
J7192 $1.13 1/1/2013 12/31/2078
J7193 $0.91 1/1/2012 3/31/2012
J7193 $0.92 4/1/2012 6/30/2012
J7193 $0.93 7/1/2012 9/30/2012
J7193 $0.94 10/1/2012 12/31/2012
J7193 $0.96 1/1/2013 12/31/2078
J7194 $0.89 1/1/2012 3/31/2012
J7194 $0.88 4/1/2012 6/30/2012
J7194 $1.03 7/1/2012 12/31/2012
J7194 $1.06 1/1/2013 12/31/2078
J7195 $1.18 1/1/2012 3/31/2012
J7195 $1.19 4/1/2012 6/30/2012
J7195 $1.23 7/1/2012 9/30/2012
J7195 $1.24 10/1/2012 12/31/2012
J7195 $1.25 1/1/2013 12/31/2078
J7196 $102.38 1/1/2012 12/31/2078
J7197 $2.76 1/1/2012 6/30/2012
J7197 $2.88 7/1/2012 9/30/2012
J7197 $3.04 10/1/2012 12/31/2078
J7198 $1.64 1/1/2012 3/31/2012
J7198 $1.63 4/1/2012 12/31/2078
J7300 $600.00 1/1/2012 12/31/2078
J7302 $716.00 1/1/2012 12/31/2078
J7306 $427.50 1/1/2012 12/31/2078
J7308 $151.40 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7308 $150.74 4/1/2012 6/30/2012
J7308 $161.83 7/1/2012 9/30/2012
J7308 $161.18 10/1/2012 12/31/2012
J7308 $160.72 1/1/2013 12/31/2078
J7309 $70.42 1/1/2012 6/30/2012
J7309 $75.82 7/1/2012 9/30/2012
J7309 $75.95 10/1/2012 12/31/2012
J7309 $83.69 1/1/2013 12/31/2078
J7310 $16,960.00 1/1/2012 12/31/2078
J7311 $19,345.00 1/1/2012 12/31/2078
J7312 $195.95 1/1/2012 3/31/2012
J7312 $195.94 4/1/2012 6/30/2012
J7312 $195.81 7/1/2012 9/30/2012
J7312 $195.76 10/1/2012 12/31/2012
J7312 $195.86 1/1/2013 12/31/2078
J7321 $90.55 1/1/2012 3/31/2012
J7321 $89.49 4/1/2012 6/30/2012
J7321 $89.20 7/1/2012 9/30/2012
J7321 $92.25 10/1/2012 12/31/2012
J7321 $89.98 1/1/2013 12/31/2078
J7323 $154.08 1/1/2012 3/31/2012
J7323 $147.39 4/1/2012 6/30/2012
J7323 $156.03 7/1/2012 9/30/2012
J7323 $151.09 10/1/2012 12/31/2012
J7323 $151.34 1/1/2013 12/31/2078
J7324 $165.38 1/1/2012 3/31/2012
J7324 $166.38 4/1/2012 6/30/2012
J7324 $168.83 7/1/2012 9/30/2012
J7324 $169.91 10/1/2012 12/31/2012
J7324 $167.46 1/1/2013 12/31/2078
J7325 $12.27 1/1/2012 3/31/2012
J7325 $12.35 4/1/2012 6/30/2012
J7325 $12.32 7/1/2012 9/30/2012
J7325 $12.22 10/1/2012 12/31/2012
J7325 $12.06 1/1/2013 12/31/2078
J7500 $0.10 1/1/2012 3/31/2012
J7500 $0.22 4/1/2012 6/30/2012
J7500 $0.06 7/1/2012 12/31/2012
J7500 $0.12 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7501 $119.28 1/1/2012 6/30/2012
J7501 $132.05 7/1/2012 9/30/2012
J7501 $144.62 10/1/2012 12/31/2012
J7501 $161.37 1/1/2013 12/31/2078
J7502 $3.19 1/1/2012 3/31/2012
J7502 $3.61 4/1/2012 6/30/2012
J7502 $3.31 7/1/2012 9/30/2012
J7502 $3.22 10/1/2012 12/31/2012
J7502 $3.59 1/1/2013 12/31/2078
J7504 $616.22 1/1/2012 3/31/2012
J7504 $618.09 4/1/2012 6/30/2012
J7504 $646.19 7/1/2012 9/30/2012
J7504 $646.10 10/1/2012 12/31/2012
J7504 $671.43 1/1/2013 12/31/2078
J7505 $1,132.96 1/1/2012 3/31/2012
J7505 $1,156.08 4/1/2012 12/31/2078
J7506 $0.02 1/1/2012 9/30/2012
J7506 $0.05 10/1/2012 12/31/2012
J7506 $0.02 1/1/2013 12/31/2078
J7507 $2.56 1/1/2012 3/31/2012
J7507 $2.26 4/1/2012 6/30/2012
J7507 $2.27 7/1/2012 9/30/2012
J7507 $2.09 10/1/2012 12/31/2012
J7507 $1.80 1/1/2013 12/31/2078
J7509 $0.88 1/1/2012 3/31/2012
J7509 $0.93 4/1/2012 6/30/2012
J7509 $0.83 7/1/2012 9/30/2012
J7509 $0.68 10/1/2012 12/31/2012
J7509 $0.72 1/1/2013 12/31/2078
J7510 $0.02 1/1/2012 3/31/2012
J7510 $0.03 4/1/2012 12/31/2012
J7510 $0.04 1/1/2013 12/31/2078
J7511 $441.66 1/1/2012 3/31/2012
J7511 $445.03 4/1/2012 6/30/2012
J7511 $469.47 7/1/2012 9/30/2012
J7511 $465.73 10/1/2012 12/31/2012
J7511 $538.68 1/1/2013 12/31/2078
J7513 $526.34 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7515 $0.84 1/1/2012 3/31/2012
J7515 $0.98 4/1/2012 6/30/2012
J7515 $1.05 7/1/2012 9/30/2012
J7515 $0.88 10/1/2012 12/31/2012
J7515 $0.98 1/1/2013 12/31/2078
J7516 $25.94 1/1/2012 3/31/2012
J7516 $34.04 4/1/2012 6/30/2012
J7516 $34.94 7/1/2012 9/30/2012
J7516 $30.61 10/1/2012 12/31/2012
J7516 $33.58 1/1/2013 12/31/2078
J7517 $1.31 1/1/2012 3/31/2012
J7517 $1.50 4/1/2012 6/30/2012
J7517 $1.31 7/1/2012 9/30/2012
J7517 $1.27 10/1/2012 12/31/2012
J7517 $1.25 1/1/2013 12/31/2078
J7518 $3.30 1/1/2012 3/31/2012
J7518 $3.32 4/1/2012 6/30/2012
J7518 $3.58 7/1/2012 9/30/2012
J7518 $3.60 10/1/2012 12/31/2012
J7518 $3.63 1/1/2013 12/31/2078
J7520 $11.00 1/1/2012 6/30/2012
J7520 $11.51 7/1/2012 9/30/2012
J7520 $11.55 10/1/2012 12/31/2012
J7520 $12.37 1/1/2013 12/31/2078
J7604 $0.22 1/1/2012 12/31/2078
J7605 $5.35 1/1/2012 3/31/2012
J7605 $5.11 4/1/2012 6/30/2012
J7605 $5.36 7/1/2012 9/30/2012
J7605 $5.22 10/1/2012 12/31/2012
J7605 $5.33 1/1/2013 12/31/2078
J7606 $4.85 1/1/2012 3/31/2012
J7606 $5.03 4/1/2012 6/30/2012
J7606 $5.09 7/1/2012 9/30/2012
J7606 $5.21 10/1/2012 12/31/2012
J7606 $5.52 1/1/2013 12/31/2078
J7607 $0.03 1/1/2012 12/31/2078
J7608 $2.15 1/1/2012 3/31/2012
J7608 $3.18 4/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7608 $2.32 7/1/2012 9/30/2012
J7608 $2.17 10/1/2012 12/31/2012
J7608 $1.55 1/1/2013 12/31/2078
J7609 $0.12 1/1/2012 12/31/2078
J7610 $5.00 1/1/2012 12/31/2078
J7611 $0.11 1/1/2012 3/31/2012
J7611 $0.10 4/1/2012 9/30/2012
J7611 $0.11 10/1/2012 12/31/2078
J7612 $0.21 1/1/2012 6/30/2012
J7612 $0.19 7/1/2012 9/30/2012
J7612 $0.28 10/1/2012 12/31/2012
J7612 $0.24 1/1/2013 12/31/2078
J7613 $0.06 1/1/2012 9/30/2012
J7613 $0.05 10/1/2012 12/31/2078
J7614 $0.26 1/1/2012 3/31/2012
J7614 $0.29 4/1/2012 6/30/2012
J7614 $0.26 7/1/2012 12/31/2012
J7614 $0.21 1/1/2013 12/31/2078
J7615 $3.15 1/1/2012 12/31/2078
J7620 $0.28 1/1/2012 3/31/2012
J7620 $0.30 4/1/2012 6/30/2012
J7620 $0.22 7/1/2012 9/30/2012
J7620 $0.21 10/1/2012 12/31/2078
J7622 $0.04 1/1/2012 12/31/2078
J7624 $1.21 1/1/2012 12/31/2078
J7626 $4.63 1/1/2012 3/31/2012
J7626 $4.96 4/1/2012 6/30/2012
J7626 $4.97 7/1/2012 9/30/2012
J7626 $4.87 10/1/2012 12/31/2012
J7626 $5.26 1/1/2013 12/31/2078
J7627 $2.76 1/1/2012 12/31/2078
J7628 $0.18 1/1/2012 12/31/2078
J7629 $0.18 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7631 $0.39 1/1/2012 3/31/2012
J7631 $0.36 4/1/2012 6/30/2012
J7631 $0.53 7/1/2012 12/31/2012
J7631 $0.61 1/1/2013 12/31/2078
J7632 $0.09 1/1/2012 12/31/2078
J7635 $0.12 1/1/2012 12/31/2078
J7636 $0.12 1/1/2012 12/31/2078
J7637 $0.13 1/1/2012 12/31/2078
J7638 $0.13 1/1/2012 12/31/2078
J7639 $28.11 1/1/2012 6/30/2012
J7639 $30.62 7/1/2012 9/30/2012
J7639 $30.64 10/1/2012 12/31/2078
J7640 $1.69 1/1/2012 12/31/2078
J7641 $0.21 1/1/2012 12/31/2078
J7642 $1.04 1/1/2012 12/31/2078
J7643 $1.04 1/1/2012 12/31/2078
J7644 $0.27 1/1/2012 6/30/2012
J7644 $0.26 7/1/2012 9/30/2012
J7644 $0.25 10/1/2012 12/31/2012
J7644 $0.24 1/1/2013 12/31/2078
J7645 $8.50 1/1/2012 12/31/2078
J7647 $0.61 1/1/2012 12/31/2078
J7648 $0.14 1/1/2012 12/31/2078
J7649 $0.16 1/1/2012 12/31/2078
J7650 $3.40 1/1/2012 12/31/2078
J7657 $10.20 1/1/2012 12/31/2078
J7658 $2.07 1/1/2012 12/31/2078
J7659 $2.07 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J7660 $3.40 1/1/2012 12/31/2078
J7667 $0.05 1/1/2012 12/31/2078
J7668 $0.22 1/1/2012 12/31/2078
J7669 $0.25 1/1/2012 12/31/2078
J7670 $0.05 1/1/2012 12/31/2078
J7674 $0.49 1/1/2012 9/30/2012
J7674 $0.50 10/1/2012 12/31/2078
J7676 $103.04 1/1/2012 12/31/2078
J7680 $0.01 1/1/2012 12/31/2078
J7681 $0.01 1/1/2012 12/31/2078
J7682 $84.13 1/1/2012 3/31/2012
J7682 $84.32 4/1/2012 6/30/2012
J7682 $91.65 7/1/2012 9/30/2012
J7682 $92.45 10/1/2012 12/31/2012
J7682 $94.05 1/1/2013 12/31/2078
J7683 $0.56 1/1/2012 12/31/2078
J7684 $0.56 1/1/2012 12/31/2078
J7685 $4.80 1/1/2012 12/31/2078
J7686 $418.15 1/1/2012 6/30/2012
J7686 $418.16 7/1/2012 9/30/2012
J7686 $438.93 10/1/2012 12/31/2012
J7686 $438.92 1/1/2013 12/31/2078
J8498 $0.01 1/1/2012 12/31/2078
J8501 $6.17 1/1/2012 6/30/2012
J8501 $6.23 7/1/2012 9/30/2012
J8501 $6.29 10/1/2012 12/31/2012
J8501 $6.48 1/1/2013 12/31/2078
J8510 $3.90 1/1/2012 3/31/2012
J8510 $4.12 4/1/2012 6/30/2012
J8510 $4.73 7/1/2012 9/30/2012
J8510 $5.31 10/1/2012 12/31/2012
J8510 $5.56 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J8515 $14.57 1/1/2012 12/31/2078
J8520 $7.83 1/1/2012 3/31/2012
J8520 $7.86 4/1/2012 6/30/2012
J8520 $8.23 7/1/2012 9/30/2012
J8520 $8.28 10/1/2012 12/31/2012
J8520 $8.87 1/1/2013 12/31/2078
J8521 $25.85 1/1/2012 3/31/2012
J8521 $26.02 4/1/2012 6/30/2012
J8521 $27.32 7/1/2012 9/30/2012
J8521 $27.55 10/1/2012 12/31/2012
J8521 $29.51 1/1/2013 12/31/2078
J8530 $0.82 1/1/2012 6/30/2012
J8530 $0.90 7/1/2012 9/30/2012
J8530 $0.95 10/1/2012 12/31/2012
J8530 $0.93 1/1/2013 12/31/2078
J8560 $40.70 1/1/2012 3/31/2012
J8560 $47.13 4/1/2012 6/30/2012
J8560 $50.95 7/1/2012 9/30/2012
J8560 $52.17 10/1/2012 12/31/2012
J8560 $52.36 1/1/2013 12/31/2078
J8597 $0.01 1/1/2012 12/31/2078
J8600 $7.37 1/1/2012 3/31/2012
J8600 $7.38 4/1/2012 6/30/2012
J8600 $8.05 7/1/2012 9/30/2012
J8600 $8.22 10/1/2012 12/31/2012
J8600 $8.41 1/1/2013 12/31/2078
J8610 $0.13 1/1/2012 3/31/2012
J8610 $0.12 4/1/2012 12/31/2012
J8610 $0.21 1/1/2013 12/31/2078
J8705 $79.46 1/1/2012 3/31/2012
J8705 $81.84 4/1/2012 6/30/2012
J8705 $81.85 7/1/2012 9/30/2012
J8705 $83.93 10/1/2012 12/31/2012
J8705 $84.22 1/1/2013 12/31/2078
J9000 $3.88 1/1/2012 3/31/2012
J9000 $3.48 4/1/2012 6/30/2012
J9000 $3.29 7/1/2012 9/30/2012
J9000 $3.55 10/1/2012 12/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9000 $3.41 1/1/2013 12/31/2078
J9001 $543.03 1/1/2012 3/31/2012
J9001 $538.79 4/1/2012 12/31/2012
J9010 $589.08 1/1/2012 3/31/2012
J9010 $586.73 4/1/2012 6/30/2012
J9010 $600.84 7/1/2012 9/30/2012
J9010 $587.78 10/1/2012 12/31/2012
J9010 $611.45 1/1/2013 12/31/2078
J9015 $1,054.34 1/1/2012 3/31/2012
J9015 $1,097.99 4/1/2012 6/30/2012
J9015 $1,246.98 7/1/2012 12/31/2078
J9017 $40.84 1/1/2012 3/31/2012
J9017 $40.58 4/1/2012 6/30/2012
J9017 $42.45 7/1/2012 9/30/2012
J9017 $44.99 10/1/2012 12/31/2012
J9017 $45.13 1/1/2013 12/31/2078
J9020 $63.27 1/1/2012 9/30/2012
J9020 $63.21 10/1/2012 12/31/2012
J9020 $63.20 1/1/2013 12/31/2078
J9025 $5.26 1/1/2012 3/31/2012
J9025 $5.39 4/1/2012 9/30/2012
J9025 $5.52 10/1/2012 12/31/2012
J9025 $5.53 1/1/2013 12/31/2078
J9027 $122.19 1/1/2012 3/31/2012
J9027 $122.54 4/1/2012 6/30/2012
J9027 $126.07 7/1/2012 9/30/2012
J9027 $125.76 10/1/2012 12/31/2012
J9027 $126.25 1/1/2013 12/31/2078
J9031 $115.47 1/1/2012 3/31/2012
J9031 $119.88 4/1/2012 6/30/2012
J9031 $119.30 7/1/2012 9/30/2012
J9031 $116.81 10/1/2012 12/31/2012
J9031 $120.87 1/1/2013 12/31/2078
J9033 $18.81 1/1/2012 6/30/2012
J9033 $18.93 7/1/2012 9/30/2012
J9033 $20.61 10/1/2012 12/31/2012
J9033 $20.62 1/1/2013 12/31/2078
J9035 $61.09 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9035 $60.96 4/1/2012 6/30/2012
J9035 $62.32 7/1/2012 12/31/2012
J9035 $63.45 1/1/2013 12/31/2078
J9040 $25.58 1/1/2012 3/31/2012
J9040 $30.20 4/1/2012 6/30/2012
J9040 $25.67 7/1/2012 9/30/2012
J9040 $24.16 10/1/2012 12/31/2012
J9040 $21.39 1/1/2013 12/31/2078
J9041 $42.45 1/1/2012 3/31/2012
J9041 $42.46 4/1/2012 6/30/2012
J9041 $43.47 7/1/2012 12/31/2012
J9041 $44.31 1/1/2013 12/31/2078
J9043 $135.20 1/1/2012 3/31/2012
J9043 $134.33 4/1/2012 6/30/2012
J9043 $135.20 7/1/2012 9/30/2012
J9043 $136.07 10/1/2012 12/31/2012
J9043 $137.82 1/1/2013 12/31/2078
J9045 $4.21 1/1/2012 3/31/2012
J9045 $3.56 4/1/2012 6/30/2012
J9045 $3.68 7/1/2012 9/30/2012
J9045 $3.28 10/1/2012 12/31/2012
J9045 $3.29 1/1/2013 12/31/2078
J9050 $175.80 1/1/2012 6/30/2012
J9050 $175.30 7/1/2012 9/30/2012
J9050 $175.76 10/1/2012 12/31/2012
J9050 $175.75 1/1/2013 12/31/2078
J9055 $50.46 1/1/2012 3/31/2012
J9055 $50.42 4/1/2012 6/30/2012
J9055 $51.13 7/1/2012 9/30/2012
J9055 $51.09 10/1/2012 12/31/2012
J9055 $51.80 1/1/2013 12/31/2078
J9060 $1.78 1/1/2012 3/31/2012
J9060 $1.80 4/1/2012 6/30/2012
J9060 $1.90 7/1/2012 12/31/2012
J9060 $2.12 1/1/2013 12/31/2078
J9065 $23.40 1/1/2012 3/31/2012
J9065 $23.15 4/1/2012 6/30/2012
J9065 $28.80 7/1/2012 9/30/2012
J9065 $28.24 10/1/2012 12/31/2012
J9065 $29.17 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9070 $14.91 1/1/2012 3/31/2012
J9070 $14.96 4/1/2012 6/30/2012
J9070 $23.07 7/1/2012 9/30/2012
J9070 $23.48 10/1/2012 12/31/2012
J9070 $23.37 1/1/2013 12/31/2078
J9098 $513.17 1/1/2012 9/30/2012
J9098 $523.87 10/1/2012 12/31/2012
J9098 $528.75 1/1/2013 12/31/2078
J9100 $0.94 1/1/2012 3/31/2012
J9100 $0.87 4/1/2012 6/30/2012
J9100 $0.82 7/1/2012 9/30/2012
J9100 $0.95 10/1/2012 12/31/2012
J9100 $0.96 1/1/2013 12/31/2078
J9120 $577.38 1/1/2012 3/31/2012
J9120 $578.75 4/1/2012 6/30/2012
J9120 $575.16 7/1/2012 9/30/2012
J9120 $578.93 10/1/2012 12/31/2012
J9120 $577.60 1/1/2013 12/31/2078
J9130 $3.61 1/1/2012 3/31/2012
J9130 $3.47 4/1/2012 6/30/2012
J9130 $3.34 7/1/2012 9/30/2012
J9130 $3.40 10/1/2012 12/31/2012
J9130 $3.40 1/1/2013 12/31/2078
J9150 $14.34 1/1/2012 3/31/2012
J9150 $17.64 4/1/2012 6/30/2012
J9150 $18.96 7/1/2012 9/30/2012
J9150 $19.19 10/1/2012 12/31/2012
J9150 $22.05 1/1/2013 12/31/2078
J9151 $57.66 1/1/2012 12/31/2078
J9155 $2.80 1/1/2012 3/31/2012
J9155 $2.96 4/1/2012 6/30/2012
J9155 $3.00 7/1/2012 9/30/2012
J9155 $2.99 10/1/2012 12/31/2012
J9155 $2.86 1/1/2013 12/31/2078
J9160 $1,646.18 1/1/2012 12/31/2078
J9165 $12.14 1/1/2012 12/31/2078
J9171 $13.96 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9171 $11.72 4/1/2012 6/30/2012
J9171 $8.41 7/1/2012 9/30/2012
J9171 $6.69 10/1/2012 12/31/2012
J9171 $6.37 1/1/2013 12/31/2078
J9175 $4.07 1/1/2012 12/31/2078
J9178 $1.73 1/1/2012 3/31/2012
J9178 $1.70 4/1/2012 6/30/2012
J9178 $1.55 7/1/2012 9/30/2012
J9178 $1.61 10/1/2012 12/31/2012
J9178 $1.58 1/1/2013 12/31/2078
J9179 $90.05 1/1/2012 3/31/2012
J9179 $91.04 4/1/2012 6/30/2012
J9179 $92.82 7/1/2012 9/30/2012
J9179 $92.81 10/1/2012 12/31/2012
J9179 $95.54 1/1/2013 12/31/2078
J9181 $0.76 1/1/2012 3/31/2012
J9181 $0.80 4/1/2012 6/30/2012
J9181 $0.85 7/1/2012 9/30/2012
J9181 $0.74 10/1/2012 12/31/2078
J9185 $95.24 1/1/2012 3/31/2012
J9185 $89.12 4/1/2012 6/30/2012
J9185 $83.13 7/1/2012 9/30/2012
J9185 $84.88 10/1/2012 12/31/2012
J9185 $86.66 1/1/2013 12/31/2078
J9190 $1.43 1/1/2012 3/31/2012
J9190 $1.52 4/1/2012 6/30/2012
J9190 $1.55 7/1/2012 9/30/2012
J9190 $2.34 10/1/2012 12/31/2012
J9190 $1.82 1/1/2013 12/31/2078
J9200 $62.01 1/1/2012 3/31/2012
J9200 $68.04 4/1/2012 6/30/2012
J9200 $53.29 7/1/2012 9/30/2012
J9200 $52.39 10/1/2012 12/31/2012
J9200 $65.32 1/1/2013 12/31/2078
J9201 $51.19 1/1/2012 3/31/2012
J9201 $35.17 4/1/2012 6/30/2012
J9201 $26.22 7/1/2012 9/30/2012
J9201 $12.25 10/1/2012 12/31/2012
J9201 $10.86 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9202 $176.68 1/1/2012 3/31/2012
J9202 $172.90 4/1/2012 6/30/2012
J9202 $150.57 7/1/2012 9/30/2012
J9202 $166.01 10/1/2012 12/31/2012
J9202 $178.39 1/1/2013 12/31/2078
J9206 $4.67 1/1/2012 3/31/2012
J9206 $4.65 4/1/2012 6/30/2012
J9206 $3.79 7/1/2012 9/30/2012
J9206 $4.38 10/1/2012 12/31/2012
J9206 $4.70 1/1/2013 12/31/2078
J9207 $64.69 1/1/2012 3/31/2012
J9207 $65.59 4/1/2012 6/30/2012
J9207 $65.55 7/1/2012 9/30/2012
J9207 $66.49 10/1/2012 12/31/2012
J9207 $66.43 1/1/2013 12/31/2078
J9208 $32.04 1/1/2012 3/31/2012
J9208 $31.70 4/1/2012 6/30/2012
J9208 $30.17 7/1/2012 9/30/2012
J9208 $30.49 10/1/2012 12/31/2012
J9208 $29.16 1/1/2013 12/31/2078
J9209 $4.19 1/1/2012 3/31/2012
J9209 $4.49 4/1/2012 6/30/2012
J9209 $4.12 7/1/2012 9/30/2012
J9209 $3.71 10/1/2012 12/31/2012
J9209 $3.60 1/1/2013 12/31/2078
J9211 $116.51 1/1/2012 3/31/2012
J9211 $104.43 4/1/2012 6/30/2012
J9211 $87.12 7/1/2012 9/30/2012
J9211 $100.00 10/1/2012 12/31/2012
J9211 $97.96 1/1/2013 12/31/2078
J9212 $6.55 1/1/2012 12/31/2078
J9213 $40.53 1/1/2012 12/31/2078
J9214 $17.76 1/1/2012 3/31/2012
J9214 $17.96 4/1/2012 6/30/2012
J9214 $18.50 7/1/2012 9/30/2012
J9214 $19.06 10/1/2012 12/31/2012
J9214 $19.29 1/1/2013 12/31/2078
J9215 $8.60 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9216 $430.93 1/1/2012 12/31/2078
J9217 $215.04 1/1/2012 3/31/2012
J9217 $214.97 4/1/2012 6/30/2012
J9217 $216.75 7/1/2012 9/30/2012
J9217 $217.02 10/1/2012 12/31/2012
J9217 $215.13 1/1/2013 12/31/2078
J9218 $4.86 1/1/2012 3/31/2012
J9218 $5.17 4/1/2012 6/30/2012
J9218 $5.67 7/1/2012 9/30/2012
J9218 $5.98 10/1/2012 12/31/2012
J9218 $7.46 1/1/2013 12/31/2078
J9225 $3,188.77 1/1/2012 3/31/2012
J9225 $3,139.60 4/1/2012 6/30/2012
J9225 $3,022.99 7/1/2012 9/30/2012
J9225 $3,016.50 10/1/2012 12/31/2012
J9225 $2,981.05 1/1/2013 12/31/2078
J9226 $15,698.31 1/1/2012 3/31/2012
J9226 $15,936.02 4/1/2012 6/30/2012
J9226 $15,933.54 7/1/2012 9/30/2012
J9226 $16,172.58 10/1/2012 12/31/2012
J9226 $16,177.64 1/1/2013 12/31/2078
J9228 $125.05 1/1/2012 3/31/2012
J9228 $125.18 4/1/2012 6/30/2012
J9228 $125.17 7/1/2012 9/30/2012
J9228 $125.16 10/1/2012 12/31/2012
J9228 $125.17 1/1/2013 12/31/2078
J9230 $157.86 1/1/2012 12/31/2078
J9245 $1,315.21 1/1/2012 3/31/2012
J9245 $1,352.09 4/1/2012 6/30/2012
J9245 $1,314.58 7/1/2012 9/30/2012
J9245 $1,312.54 10/1/2012 12/31/2012
J9245 $1,314.21 1/1/2013 12/31/2078
J9250 $0.16 1/1/2012 3/31/2012
J9250 $0.20 4/1/2012 9/30/2012
J9250 $0.19 10/1/2012 12/31/2012
J9250 $0.20 1/1/2013 12/31/2078
J9260 $1.55 1/1/2012 3/31/2012
J9260 $1.95 4/1/2012 6/30/2012
J9260 $1.99 7/1/2012 9/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9260 $1.89 10/1/2012 12/31/2012
J9260 $1.95 1/1/2013 12/31/2078
J9263 $10.26 1/1/2012 3/31/2012
J9263 $9.79 4/1/2012 6/30/2012
J9263 $9.44 7/1/2012 9/30/2012
J9263 $9.25 10/1/2012 12/31/2012
J9263 $4.08 1/1/2013 12/31/2078
J9264 $9.63 1/1/2012 3/31/2012
J9264 $9.59 4/1/2012 6/30/2012
J9264 $9.57 7/1/2012 9/30/2012
J9264 $9.59 10/1/2012 12/31/2012
J9264 $9.52 1/1/2013 12/31/2078
J9265 $7.55 1/1/2012 3/31/2012
J9265 $7.23 4/1/2012 6/30/2012
J9265 $7.51 7/1/2012 9/30/2012
J9265 $6.24 10/1/2012 12/31/2012
J9265 $5.40 1/1/2013 12/31/2078
J9266 $2,726.85 1/1/2012 3/31/2012
J9266 $5,890.00 4/1/2012 12/31/2078
J9268 $1,088.96 1/1/2012 3/31/2012
J9268 $839.53 4/1/2012 6/30/2012
J9268 $922.49 7/1/2012 9/30/2012
J9268 $946.92 10/1/2012 12/31/2012
J9268 $1,290.39 1/1/2013 12/31/2078
J9270 $78.99 1/1/2012 12/31/2078
J9280 $17.84 1/1/2012 3/31/2012
J9280 $18.15 4/1/2012 9/30/2012
J9280 $22.90 10/1/2012 12/31/2012
J9280 $24.04 1/1/2013 12/31/2078
J9293 $39.57 1/1/2012 3/31/2012
J9293 $29.97 4/1/2012 6/30/2012
J9293 $29.00 7/1/2012 9/30/2012
J9293 $36.22 10/1/2012 12/31/2012
J9293 $36.88 1/1/2013 12/31/2078
J9300 $2,742.59 1/1/2012 12/31/2078
J9302 $45.42 1/1/2012 9/30/2012
J9302 $45.44 10/1/2012 12/31/2012
J9302 $45.42 1/1/2013 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9303 $87.17 1/1/2012 3/31/2012
J9303 $87.35 4/1/2012 6/30/2012
J9303 $88.87 7/1/2012 9/30/2012
J9303 $89.02 10/1/2012 12/31/2012
J9303 $89.20 1/1/2013 12/31/2078
J9305 $55.06 1/1/2012 3/31/2012
J9305 $54.96 4/1/2012 6/30/2012
J9305 $56.38 7/1/2012 9/30/2012
J9305 $56.51 10/1/2012 12/31/2012
J9305 $58.06 1/1/2013 12/31/2078
J9307 $165.63 1/1/2012 6/30/2012
J9307 $174.03 7/1/2012 9/30/2012
J9307 $173.94 10/1/2012 12/31/2012
J9307 $182.65 1/1/2013 12/31/2078
J9310 $626.92 1/1/2012 3/31/2012
J9310 $641.96 4/1/2012 6/30/2012
J9310 $643.13 7/1/2012 9/30/2012
J9310 $659.72 10/1/2012 12/31/2012
J9310 $660.78 1/1/2013 12/31/2078
J9315 $225.98 1/1/2012 3/31/2012
J9315 $226.03 4/1/2012 6/30/2012
J9315 $231.56 7/1/2012 9/30/2012
J9315 $233.16 10/1/2012 12/31/2012
J9315 $242.28 1/1/2013 12/31/2078
J9320 $269.20 1/1/2012 3/31/2012
J9320 $274.19 4/1/2012 6/30/2012
J9320 $276.28 7/1/2012 9/30/2012
J9320 $274.16 10/1/2012 12/31/2012
J9320 $271.16 1/1/2013 12/31/2078
J9328 $4.82 1/1/2012 3/31/2012
J9328 $4.81 4/1/2012 6/30/2012
J9328 $4.82 7/1/2012 12/31/2012
J9328 $4.83 1/1/2013 12/31/2078
J9330 $52.33 1/1/2012 3/31/2012
J9330 $52.18 4/1/2012 6/30/2012
J9330 $53.30 7/1/2012 9/30/2012
J9330 $53.51 10/1/2012 12/31/2012
J9330 $56.14 1/1/2013 12/31/2078
J9340 $130.38 1/1/2012 3/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
J9340 $143.01 4/1/2012 9/30/2012
J9340 $175.30 10/1/2012 12/31/2012
J9340 $175.48 1/1/2013 12/31/2078
J9351 $7.87 1/1/2012 3/31/2012
J9351 $6.71 4/1/2012 6/30/2012
J9351 $4.04 7/1/2012 9/30/2012
J9351 $3.13 10/1/2012 12/31/2012
J9351 $3.17 1/1/2013 12/31/2078
J9355 $72.45 1/1/2012 3/31/2012
J9355 $74.34 4/1/2012 6/30/2012
J9355 $74.51 7/1/2012 9/30/2012
J9355 $76.40 10/1/2012 12/31/2012
J9355 $76.54 1/1/2013 12/31/2078
J9357 $991.36 1/1/2012 3/31/2012
J9357 $991.66 4/1/2012 6/30/2012
J9357 $1,006.83 7/1/2012 9/30/2012
J9357 $1,006.27 10/1/2012 12/31/2012
J9357 $1,038.99 1/1/2013 12/31/2078
J9360 $1.01 1/1/2012 3/31/2012
J9360 $1.24 4/1/2012 6/30/2012
J9360 $1.29 7/1/2012 9/30/2012
J9360 $1.07 10/1/2012 12/31/2012
J9360 $1.17 1/1/2013 12/31/2078
J9370 $4.55 1/1/2012 3/31/2012
J9370 $4.69 4/1/2012 6/30/2012
J9370 $3.64 7/1/2012 9/30/2012
J9370 $3.60 10/1/2012 12/31/2012
J9370 $3.78 1/1/2013 12/31/2078
J9390 $11.59 1/1/2012 3/31/2012
J9390 $10.75 4/1/2012 6/30/2012
J9390 $9.87 7/1/2012 9/30/2012
J9390 $9.16 10/1/2012 12/31/2012
J9390 $11.06 1/1/2013 12/31/2078
J9395 $86.25 1/1/2012 3/31/2012
J9395 $86.08 4/1/2012 6/30/2012
J9395 $87.09 7/1/2012 9/30/2012
J9395 $87.04 10/1/2012 12/31/2012
J9395 $88.34 1/1/2013 12/31/2078
J9600 $3,004.74 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
Q0138 $0.65 1/1/2012 3/31/2012
Q0138 $0.64 4/1/2012 6/30/2012
Q0138 $0.63 7/1/2012 9/30/2012
Q0138 $0.64 10/1/2012 12/31/2078
Q0139 $0.65 1/1/2012 3/31/2012
Q0139 $0.64 4/1/2012 6/30/2012
Q0139 $0.63 7/1/2012 9/30/2012
Q0139 $0.64 10/1/2012 12/31/2078
Q0162 $0.08 1/1/2012 3/31/2012
Q0162 $0.07 4/1/2012 9/30/2012
Q0162 $0.06 10/1/2012 12/31/2012
Q0162 $0.04 1/1/2013 12/31/2078
Q2046 $980.50 7/1/2012 12/31/2012
Q4074 $68.90 1/1/2012 6/30/2012
Q4074 $71.09 7/1/2012 9/30/2012
Q4074 $73.67 10/1/2012 12/31/2078
Q4081 $0.96 1/1/2012 3/31/2012
Q4081 $0.98 4/1/2012 9/30/2012
Q4081 $0.99 10/1/2012 12/31/2012
Q4081 $1.03 1/1/2013 12/31/2078
Q4101 $36.57 1/1/2012 3/31/2012
Q4101 $36.56 4/1/2012 6/30/2012
Q4101 $38.04 7/1/2012 9/30/2012
Q4101 $38.06 10/1/2012 12/31/2012
Q4101 $39.47 1/1/2013 12/31/2078
Q4106 $41.28 1/1/2012 3/31/2012
Q4106 $41.31 4/1/2012 6/30/2012
Q4106 $42.66 7/1/2012 9/30/2012
Q4106 $42.57 10/1/2012 12/31/2012
Q4106 $40.91 1/1/2013 12/31/2078
Q9953 $62.05 1/1/2012 12/31/2078
Q9954 $10.52 1/1/2012 6/30/2012
Q9954 $8.82 7/1/2012 9/30/2012
Q9954 $9.34 10/1/2012 12/31/2012
Q9954 $11.66 1/1/2013 12/31/2078
Q9956 $40.77 1/1/2012 3/31/2012
Q9956 $40.21 4/1/2012 6/30/2012
Q9956 $38.83 7/1/2012 9/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
Q9956 $38.61 10/1/2012 12/31/2012
Q9956 $37.02 1/1/2013 12/31/2078
Q9957 $61.16 1/1/2012 3/31/2012
Q9957 $60.32 4/1/2012 6/30/2012
Q9957 $58.25 7/1/2012 9/30/2012
Q9957 $57.91 10/1/2012 12/31/2012
Q9957 $55.54 1/1/2013 12/31/2078
Q9960 $0.14 1/1/2012 6/30/2012
Q9960 $0.17 7/1/2012 9/30/2012
Q9960 $0.16 10/1/2012 12/31/2012
Q9960 $0.17 1/1/2013 12/31/2078
Q9961 $0.17 1/1/2012 3/31/2012
Q9961 $0.18 4/1/2012 6/30/2012
Q9961 $0.19 7/1/2012 12/31/2078
Q9962 $0.18 1/1/2012 12/31/2078
Q9963 $0.23 1/1/2012 6/30/2012
Q9963 $0.20 4/1/2012 9/30/2012
Q9963 $0.18 10/1/2012 12/31/2078
Q9964 $0.29 1/1/2012 12/31/2078
Q9965 $1.00 1/1/2012 3/31/2012
Q9965 $0.94 4/1/2012 6/30/2012
Q9965 $0.91 7/1/2012 9/30/2012
Q9965 $0.90 10/1/2012 12/31/2012
Q9965 $0.94 1/1/2013 12/31/2078
Q9966 $0.28 1/1/2012 3/31/2012
Q9966 $0.27 4/1/2012 9/30/2012
Q9966 $0.21 10/1/2012 12/31/2012
Q9966 $0.23 1/1/2013 12/31/2078
Q9967 $0.15 1/1/2012 3/31/2012
Q9967 $0.16 4/1/2012 6/30/2012
Q9967 $0.13 7/1/2012 9/30/2012
Q9967 $0.10 10/1/2012 12/31/2078
S0020 $1.97 1/1/2012 12/31/2078
90371 $116.80 1/1/2012 3/31/2012
90371 $113.13 4/1/2012 6/30/2012
90371 $113.06 7/1/2012 9/30/2012
90371 $97.15 10/1/2012 12/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
90371 $104.73 1/1/2013 12/31/2078
90375 $187.92 1/1/2012 3/31/2012
90375 $186.90 4/1/2012 6/30/2012
90375 $204.80 7/1/2012 9/30/2012
90375 $207.35 10/1/2012 12/31/2012
90375 $206.47 1/1/2013 12/31/2078
90376 $179.69 1/1/2012 3/31/2012
90376 $174.92 4/1/2012 6/30/2012
90376 $192.65 7/1/2012 9/30/2012
90376 $194.67 10/1/2012 12/31/2012
90376 $197.46 1/1/2013 12/31/2078
90378 $74.65 1/1/2012 12/31/2078
90384 $114.63 1/1/2012 12/31/2078
90385 $25.24 1/1/2012 3/31/2012
90385 $24.65 4/1/2012 6/30/2012
90385 $25.07 7/1/2012 9/30/2012
90385 $25.73 10/1/2012 12/31/2012
90385 $24.62 1/1/2013 12/31/2078
90386 $115.32 1/1/2012 12/31/2078
90389 $188.20 1/1/2012 12/31/2078
90396 $110.41 1/1/2012 12/31/2078
90581 $119.81 1/1/2012 12/31/2078
90585 $112.82 1/1/2012 3/31/2012
90585 $113.88 4/1/2012 6/30/2012
90585 $115.04 7/1/2012 9/30/2012
90585 $116.14 10/1/2012 12/31/2012
90585 $120.87 1/1/2013 12/31/2078
90586 $115.47 1/1/2012 3/31/2012
90586 $119.88 4/1/2012 6/30/2012
90586 $119.30 7/1/2012 9/30/2012
90586 $116.81 10/1/2012 12/31/2012
90586 $120.87 1/1/2013 12/31/2078
90632 $54.18 1/1/2012 3/31/2012
90632 $52.43 4/1/2012 6/30/2012
90632 $51.99 7/1/2012 9/30/2012
90632 $49.85 10/1/2012 12/31/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
90632 $50.93 1/1/2013 12/31/2078
90633 $21.90 1/1/2012 12/31/2078
90634 $23.41 1/1/2012 12/31/2078
90636 $110.64 1/1/2012 12/31/2078
90645 $23.34 1/1/2012 12/31/2078
90646 $28.68 1/1/2012 12/31/2078
90647 $22.16 1/1/2012 12/31/2078
90648 $23.41 1/1/2012 12/31/2078
90649 $120.00 1/1/2012 12/31/2078
90655 $15.71 1/1/2012 9/30/2012
90655 $16.46 10/1/2012 12/31/2078
90656 $12.38 1/1/2012 9/30/2012
90656 $12.40 10/1/2012 12/31/2078
90657 $6.65 1/1/2012 9/30/2012
90657 $6.02 10/1/2012 12/31/2078
90658 $11.37 1/1/2012 12/31/2078
90660 $22.32 1/1/2012 9/30/2012
90660 $23.46 10/1/2012 12/31/2078
90665 $86.10 1/1/2012 12/31/2012
90669 $95.48 1/1/2012 12/31/2078
90670 $129.28 1/1/2012 3/31/2012
90670 $137.74 4/1/2012 9/30/2012
90670 $137.03 10/1/2012 12/31/2078
90675 $200.62 1/1/2012 3/31/2012
90675 $201.17 4/1/2012 6/30/2012
90675 $205.90 7/1/2012 9/30/2012
90675 $208.73 10/1/2012 12/31/2012
90675 $190.40 1/1/2013 12/31/2078
90676 $178.75 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
90680 $39.59 1/1/2012 12/31/2078
90681 $101.53 1/1/2012 12/31/2078
90690 $6.69 1/1/2012 12/31/2078
90691 $61.08 1/1/2012 3/31/2012
90691 $62.57 4/1/2012 6/30/2012
90691 $68.71 7/1/2012 9/30/2012
90691 $63.58 10/1/2012 12/31/2012
90691 $68.27 1/1/2013 12/31/2078
90692 $29.21 1/1/2012 12/31/2078
90696 $49.92 1/1/2012 12/31/2078
90698 $85.41 1/1/2012 12/31/2078
90700 $16.15 1/1/2012 12/31/2078
90701 $11.97 1/1/2012 12/31/2012
90702 $32.27 1/1/2012 12/31/2078
90703 $31.96 1/1/2012 3/31/2012
90703 $32.15 4/1/2012 6/30/2012
90703 $33.54 7/1/2012 9/30/2012
90703 $34.67 10/1/2012 12/31/2012
90703 $35.41 1/1/2013 12/31/2078
90704 $22.78 1/1/2012 12/31/2078
90705 $17.43 1/1/2012 12/31/2078
90706 $19.51 1/1/2012 12/31/2078
90707 $47.07 1/1/2012 12/31/2078
90708 $19.64 1/1/2012 12/31/2078
90710 $162.18 1/1/2012 12/31/2078
90712 $19.73 1/1/2012 12/31/2078
90713 $28.14 1/1/2012 12/31/2078
90714 $19.09 1/1/2012 3/31/2012
90714 $19.92 4/1/2012 6/30/2012
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
90714 $19.32 7/1/2012 9/30/2012
90714 $19.31 10/1/2012 12/31/2012
90714 $19.93 1/1/2013 12/31/2078
90715 $41.15 1/1/2012 3/31/2012
90715 $37.60 4/1/2012 6/30/2012
90715 $40.23 7/1/2012 9/30/2012
90715 $34.66 10/1/2012 12/31/2012
90715 $33.35 1/1/2013 12/31/2078
90716 $81.67 1/1/2012 12/31/2078
90717 $68.08 1/1/2012 3/31/2012
90717 $71.49 4/1/2012 12/31/2078
90718 $17.85 1/1/2012 3/31/2012
90718 $17.05 4/1/2012 6/30/2012
90718 $19.10 7/1/2012 9/30/2012
90718 $20.35 10/1/2012 12/31/2012
90719 $26.74 1/1/2012 12/31/2078
90720 $28.34 1/1/2012 12/31/2078
90721 $46.35 1/1/2012 12/31/2078
90723 $81.65 1/1/2012 12/31/2078
90725 $14.77 1/1/2012 12/31/2078
90727 $23.00 1/1/2012 12/31/2078
90732 $57.19 1/1/2012 3/31/2012
90732 $65.77 4/1/2012 12/31/2078
90733 $106.49 1/1/2012 12/31/2078
90734 $102.50 1/1/2012 12/31/2078
90735 $102.08 1/1/2012 12/31/2078
90740 $119.42 1/1/2012 12/31/2078
90743 $24.22 1/1/2012 12/31/2078
90744 $24.22 1/1/2012 12/31/2078
90746 $59.71 1/1/2012 12/31/2078
Procedure
CodeModifier Rate
Effective
DateEnd Date
Medicare Part B Drug Fee Schedule
Updated January 1, 2013
90747 $119.42 1/1/2012 12/31/2078
90748 $66.47 1/1/2012 12/31/2078
