Fees

Welcome to the WPS Medicare Fees page. WPS strives to provide the most accurate fee schedule information possible. Therefore, due to the number of carriers and localities WPS Medicare supports, we provide links with direct access to the CMS website. Linking to the CMS website will provide the most current fee schedules available.

Please make your selection from the left hand navigation or top level drop down navigation.

If you have issues downloading fee schedule files from the CMS website, please contact your company's IT representative for assistance.

If you have questions regarding fee amounts as it pertains to claims payments, please contact your Customer Service Representative.

Important Links

HPSA/PSA Overview(external link)
HPSA Surgical Incentive Payment (HSIP) information including zip codes eligible for automatic payment.

Medicare Physician Fee Schedule Database (MPFSDB)/Fee Schedule Look-Up(external link)
This Website is designed to provide information on services covered by the Medicare Physician Fee Schedule (MPFS). It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.). Note: The assistant at surgery payment policy indicators for HCPCS/CPT codes can be found on the Medicare Physician Fee Schedule Database.

Page Last Updated: Thursday, 15-Dec-2011 12:41:44 CST