CorporateBusiness Services
CGS Associates, LLC

December 28, 2016

2017 Jurisdiction B Labor Fees

The labor payment amounts for the HCPCS codes below are effective for claims submitted for Jurisdiction B states with dates of service from January 1, 2017 through December 31, 2017.

K0739 - Repair or nonroutine service for DME other than oxygen requiring the skill of a technician, labor component, per 15 minutes

L4205 - Repair of orthotic device, labor component, per 15 minutes

L7520 - Repair of prosthetic device, labor component, per 15 minutes

State K0739 L4205 L7520
IL $15.02 $22.35 $30.38
IN $15.02 $22.35 $30.38
KY $15.02 $28.65 $38.85
MI $15.02 $22.35 $30.38
MN $15.02 $22.35 $30.38
OH $15.02 $22.35 $30.38
WI $15.02 $22.35 $30.38
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