Medicare vs. My Fee Evaluation

ModifierMedicare Allowed150%200%My Fee
(none) .00 .50 .00 (your fee)
(MPPR) .76 .64 .52 (your fee)

View calculated CPT fee values specifically for your Medicare locality.

Access to this feature is available in the following products:
  • Find-A-Code Professional
  • Find-A-Code Facility Base

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Medicare Participating - Assignment Accepted (Mandatory)

ModifierAllowedMedicare 80%Patient Pays 
(none) .00 $##.## $##.##  
(MPPR) .76 $##.## $##.##  

Medicare Non-Participating - Assignment Accepted  (Check To Doctor)

ModifierAllowedMedicare 80%Patient PaysLimiting Charge (Amount Billed)
(none) $##.## $##.## $##.## $##.##
(MPPR) $##.## $##.## $##.## $##.##

Medicare Non-Participating - Assignment NOT Accepted  (Check To Patient)

ModifierAllowedMedicare 80%Patient PaysLimiting Charge (Amount Billed)
(none) $##.## $##.## $##.## $##.##
(MPPR) $##.## $##.## $##.## $##.##


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