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Code History
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Fees
SCH (Sole Community Hospital)‡:
Lab Fees
Modifier
National Minimum
National Maximum (NLA)
Carrier Limit
My Fee
Estimated Payment†
Facility
(none)
$0.00
$13.99
$11.24
(your fee)
$11.24
Facility
(none)
$0.00
$14.46
$11.61
(your fee)
$11.61
Non-Facility
(none)
$0.00
$13.99
$11.24
(your fee)
$11.24
Non-Facility
(none)
$0.00
$14.46
$11.61
(your fee)
$11.61
† Estimated Payment is the lesser of: Carrier Limit, National Maximum, and Provider Fee ("My Fee"), but not less than the National Minimum. ‡ Qualified labs of Sole Community Hospitals receive a 62% update, rather than 60% (higher payment). N/E = No fee has been established for this code/modifier combination by CMS. N/A = You must select a carrier to show carrier-specific data. Sign In or Subscribe to continue.
APC Fee Information
Note: APC information, including Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more, is available to Subscribers with the Hospital/Facility product.
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