| Reimbursement Changes and Updates |
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| BCBSTX Relative Values |
Facility Relative Values
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| Independent Clinical Laboratory |
Professional component for procedures listed on the Clinical Lab Schedule will be reimbursed at $5.00 for HMO and $5.50 for PPO. Codes not listed may require individual consideration (IC) to determine the BCBSTX compensation allowable amount.
Independent Clinical Lab Schedule
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| Durable Medical Equipment/Prosthetics and Orthotics |
Codes not listed may require individual consideration (IC) to determine the BCBSTX compensation allowable amount.
|
| Drugs |
Note: The Drug/Injectable Fee Schedule will be updated on the following dates: 6/1/2008, 9/1/2008, 12/1/2008, 3/1/2009 and 6/1/2009. Codes not listed may require individual consideration (IC) to determine the BCBSTX compensation allowable amount.
|
| Other Codes |
Codes not listed may require individual consideration (IC) to determine the BCBSTX compensation allowable amount.
|
| Multiple Imaging Procedure Reduction – Technical Component |
|
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