Medicare vs. My Fee Evaluation
| Modifier |
Medicare Allowed |
150% |
200% |
My Fee |
| Medicare has not established fees for this medical code. |
Note: Subscribers with the Hospital/Facility product will see calculated values below.
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Medicare Participating - Assignment Accepted (Mandatory)
| Modifier |
Allowed |
Medicare 80% |
Patient Pays |
|
| Medicare has not established fees for this medical code. | |
Medicare Non-Participating - Assignment Accepted (Check To Doctor)
| Modifier |
Allowed |
Medicare 80% |
Patient Pays |
Limiting Charge (Amount Billed) |
| Medicare has not established fees for this medical code. |
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
| Modifier |
Allowed |
Medicare 80% |
Patient Pays |
Limiting Charge (Amount Billed) |
| Medicare has not established fees for this medical code. |