2008 Medicare Fees for 98940-98942

Notice: The Medicare Fee Schedule was to revert to a 10% cut on July 1, 2008, following a 6-month freeze. On June 27, 2008, Congress failed to extend the freeze and avoid this cut. On June 30th, the Department of Health and Human Services (HHS) announced that they would essentially freeze the Medicare Fee Schedule at its current levels for a period of ten days, until Congress returns from the July 4 recess. Many offices may want to hold their claims until new action is taken.

This courtesy report is limited to the three CMT codes (98940-98942) for Chiropractic. The "Allowed Amount" for non-participating doctors is not listed. It is 5% less than the Allowed Amount for participating doctors. Reports for ALL procedure and supply codes (CPT and HCPCS) are available by using InstaFee$ & Files software (click here for more information and to order), and from from the Medicare/CMS website: www.cms.hhs.gov/PhysicianFeeSched/PFSCSF/list.asp.

Alabama-05010/00 Hawaii/Guam Missouri - Metro Kansas City Puerto Rico
Alabama-00740/04 Idaho Missouri - Metro St. Louis Rhode Island
Alaska Illinois - Chicago Missouri - Rest of State South Carolina
Arkansas Illinois - Suburban Chicago Montana South Dakota
Arizona Illinois - East St. Louis Nebraska Tennessee
California - Anaheim/Santa Ana Illinois - Rest of State Nevada Texas - Austin
California - Los Angeles Indiana New Hampshire Texas - Beaumont
California - Marin/Napa/Solano Iowa New Jersey - Northern Texas - Brazoria
California - Oakland/Berkeley Kansas New Jersey - Rest of State Texas - Dallas
California - San Francisco Kentucky New Mexico Texas - Fort Worth
California - San Mateo Louisiana - New Orleans New York - Manhattan Texas - Galveston
California - Santa Clara Louisiana - Rest of State New York - NYC Suburbs/Long Island Texas - Houston
California - Ventura Maine - Southern New York - Poughkpsie/No. NYC Sub Texas - Rest of State
California - Rest of State Maine - Rest of State New York - Queens Utah
Colorado Maryland - Baltimore/Surr. Counties New York - Rest of State Vermont
Connecticut Maryland - DC Suburbs North Carolina Virgin Islands
Delaware Maryland - Rest of State North Dakota Virginia
DC & Maryland/VA Suburbs Massachusetts - Metro Boston Ohio Virginia - DC Suburbs
Florida - Fort Lauderdale Massachusetts - Rest of State Oklahoma Washington - Seattle & King Cnty
Florida - Miami Michigan - Detroit Oregon - Portland Washington - Rest of State
Florida - Rest of State Michigan - Rest of State Oregon - Rest of State West Virginia
Georgia - Atlanta Minnesota Pennsylvania - Metro Philadelphia Wisconsin
Georgia - Rest of State Mississippi Pennsylvania - Rest of State Wyoming



PARTICIPATING
NON-PAR
Alabama
00510/00
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.59 $18.07 $4.52 $24.68
98941 31.33 $25.06 $6.27 $34.23
98942 41.13 $32.90 $8.23 $44.93
PARTICIPATING
NON-PAR
Alabama
00740/04
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.86 $18.29 $4.57 $24.97
98941 31.68 $25.34 $6.34 $34.61
98942 41.55 $33.24 $8.31 $45.39
PARTICIPATING
NON-PAR
Alaska
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 25.01 $20.01 $5.00 $27.32
98941 34.52 $27.62 $6.90 $37.71
98942 45.09 $36.07 $9.02 $49.26
PARTICIPATING
NON-PAR
Arkansas
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.43 $17.94 $4.49 $24.50
98941 31.14 $24.91 $6.23 $34.02
98942 40.85 $32.68 $8.17 $44.63
PARTICIPATING
NON-PAR
Arizona
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.76 $19.01 $4.75 $25.96
98941 32.84 $26.27 $6.57 $35.88
98942 43.04 $34.43 $8.61 $47.02
PARTICIPATING
NON-PAR
California
Anaheim/Santa Ana
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 26.59 $21.27 $5.32 $29.05
98941 36.63 $29.30 $7.33 $40.02
98942 47.71 $38.17 $9.54 $52.12
PARTICIPATING
NON-PAR
California
Los Angeles
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 26.18 $20.94 $5.24 $28.60
98941 36.1 $28.88 $7.22 $39.44
98942 47.08 $37.66 $9.42 $51.43
PARTICIPATING
NON-PAR
California
Marin/Napa/Solano
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 26.88 $21.50 $5.38 $29.37
98941 37.05 $29.64 $7.41 $40.48
98942 48.11 $38.49 $9.62 $52.56
PARTICIPATING
NON-PAR
California
Oakland/Berkeley
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 27.39 $21.91 $5.48 $30.80
98941 37.75 $30.20 $7.55 $42.06
98942 49.02 $39.22 $9.80 $55.03
PARTICIPATING
NON-PAR
California
San Francisco
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 28.85 $23.08 $5.77 $31.52
98941 39.69 $31.75 $7.94 $43.36
98942 51.37 $41.10 $10.27 $56.12
PARTICIPATING
NON-PAR
California
San Mateo
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 28.98 $23.18 $5.80 $31.66
98941 39.88 $31.90 $7.98 $43.57
98942 51.64 $41.31 $10.33 $56.42
PARTICIPATING
NON-PAR
California
Santa Clara
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 28.57 $22.86 $5.71 $31.21
98941 39.37 $31.50 $7.87 $43.01
98942 51.05 $40.84 $10.21 $55.77
PARTICIPATING
NON-PAR
California
Ventura
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 26.18 $20.94 $5.24 $28.60
98941 36.09 $28.87 $7.22 $39.43
98942 46.99 $37.59 $9.40 $51.34
PARTICIPATING
NON-PAR
California
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 24.43 $19.54 $4.89 $26.69
98941 33.77 $27.02 $6.75 $36.89
98942 44.09 $35.27 $8.82 $48.17
PARTICIPATING
NON-PAR
Colorado
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.92 $19.14 $4.78 $26.13
98941 33.07 $26.46 $6.61 $36.13
98942 43.26 $34.61 $8.65 $47.26
PARTICIPATING
NON-PAR
Connecticut
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 26.05 $20.84 $5.21 $28.46
98941 35.91 $28.73 $7.18 $39.23
98942 46.87 $37.50 $9.37 $51.21
PARTICIPATING
NON-PAR
Delaware
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 24.35 $19.48 $4.87 $26.60
98941 33.65 $26.92 $6.73 $36.76
98942 44.01 $35.21 $8.80 $48.08
PARTICIPATING
NON-PAR
DC & MD
VA Suburbs
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 26.67 $21.34 $5.33 $29.14
98941 36.74 $29.39 $7.35 $40.14
98942 47.91 $38.33 $9.58 $52.34
PARTICIPATING
NON-PAR
Florida
Fort Lauderdale
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 24.40 $19.52 $4.88 $26.66
98941 33.55 $26.84 $6.71 $36.65
98942 44.21 $35.37 $8.84 $48.30
PARTICIPATING
NON-PAR
Florida
Miami
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 25.14 $20.11 $5.03 $27.47
98941 34.44 $27.55 $6.89 $37.63
98942 45.50 $36.40 $9.10 $49.71
PARTICIPATING
NON-PAR
Florida
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.65 $18.92 $4.73 $25.84
98941 32.63 $26.10 $6.53 $35.65
98942 42.95 $34.36 $8.59 $46.92
PARTICIPATING
NON-PAR
Georgia
Atlanta
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 24.53 $19.62 $4.91 $26.80
98941 33.88 $27.10 $6.78 $37.01
98942 44.31 $35.45 $8.86 $48.41
PARTICIPATING
NON-PAR
Georgia
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.93 $18.34 $4.59 $25.05
98941 31.75 $25.40 $6.35 $34.69
98942 41.71 $33.37 $8.34 $45.57
PARTICIPATING
NON-PAR
Hawaii/Guam
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 25.05 $20.04 $5.01 $27.37
98941 34.57 $27.66 $6.91 $37.77
98942 45.07 $36.06 $9.01 $49.24
PARTICIPATING
NON-PAR
Idaho
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.77 $18.22 $4.55 $24.88
98941 31.58 $25.26 $6.32 $34.50
98942 41.39 $33.11 $8.28 $45.22
PARTICIPATING
NON-PAR
Illinois
Chicago
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 25.59 $20.47 $5.12 $27.96
98941 35.17 $28.14 $7.03 $38.42
98942 46.22 $36.98 $9.24 $50.50
PARTICIPATING
NON-PAR
Illinois
Suburban Chicago
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 25.27 $20.22 $5.05 $27.61
98941 34.77 $27.82 $6.95 $37.99
98942 45.64 $36.51 $9.13 $49.86
PARTICIPATING
NON-PAR
Illinois
East St. Louis
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.69 $18.95 $4.74 $25.88
98941 32.64 $26.11 $6.53 $35.66
98942 43.05 $34.44 $8.61 $47.03
PARTICIPATING
NON-PAR
Illinois
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.04 $18.43 $4.61 $25.17
98941 31.85 $25.48 $6.37 $34.80
98942 41.93 $33.54 $8.39 $45.81
PARTICIPATING
NON-PAR
Indiana
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.07 $18.46 $4.61 $25.20
98941 31.98 $25.58 $6.40 $34.94
98942 41.88 $33.50 $8.38 $45.75
PARTICIPATING
NON-PAR
Iowa
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.71 $18.17 $4.54 $24.81
98941 31.5 $25.20 $6.30 $34.41
98942 41.30 $33.04 $8.26 $45.12
PARTICIPATING
NON-PAR
Kansas
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.86 $18.29 $4.57 $24.97
98941 31.68 $25.34 $6.34 $34.61
98942 41.55 $33.24 $8.31 $45.39
PARTICIPATING
NON-PAR
Kentucky
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.70 $18.16 $4.54 $24.80
98941 31.46 $25.17 $6.29 $34.37
98942 41.33 $33.06 $8.27 $45.15
PARTICIPATING
NON-PAR
Louisiana
New Orleans
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.98 $19.18 $4.80 $26.20
98941 33.11 $26.49 $6.62 $36.17
98942 43.40 $34.72 $8.68 $47.41
PARTICIPATING
NON-PAR
Louisiana
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.83 $18.26 $4.57 $24.94
98941 31.61 $25.29 $6.32 $34.53
98942 41.57 $33.26 $8.31 $45.42
PARTICIPATING
NON-PAR
Maine
Southern
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.99 $19.19 $4.80 $26.21
98941 33.19 $26.55 $6.64 $36.26
98942 43.35 $34.68 $8.67 $47.36
PARTICIPATING
NON-PAR
Maine
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 22.90 $18.32 $4.58 $25.02
98941 31.74 $25.39 $6.35 $34.68
98942 41.60 $33.28 $8.32 $45.45
Maryland
PARTICIPATING
NON-PAR
Baltimore &
Surrounding Counties
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 24.76 $19.81 $4.95 $27.05
98941 34.16 $27.33 $6.83 $37.32
98942 44.70 $35.76 $8.94 $48.83
PARTICIPATING
NON-PAR
Maryland
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 23.76 $19.01 $4.75 $25.96
98941 32.85 $26.28 $6.57 $35.89
98942 43.02 $34.42 $8.60 $47.00
PARTICIPATING
NON-PAR
Massachusetts
Metro Boston
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 26.96 $21.57 $5.39 $29.45
98941 37.12 $29.70 $7.42 $40.55
98942 48.25 $38.60 $9.65 $52.71
PARTICIPATING
NON-PAR
Massachusetts
Rest of State
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 24.91 $19.93 $4.98 $27.21
98941 34.38 $27.50 $6.88 $37.56
98942 44.88 $35.90 $8.98 $49.03
PARTICIPATING
NON-PAR
Michigan
Detroit
CMT Code Allowed Amount Medicare 80% Portion Patient 20% Portion Limiting Charge
98940 25.44 $20.35