J Codes

[marciam]

 

[Pay_My_Claims]

Do you want to know how much to bill or how much is reimbursed??? The provider should already have his own fee schedule.

[cohenmk]

Hi...we price our drugs based on highest contracted reimbursement rates/versus invoice for the drug in question.  I have also seen where the drugs were priced anywhere from 150% to 300% over the Medicare Fee Schedule, which can be found at: http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01a1_2009aspfiles.asp#TopOfPage

or: CMS Home > Medicare > Medicare Part B Drug Average Sales Price > 2009 ASP Drug Pricing Files

Hope this helps.