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Laboratory Fees

The Laboratory fee table includes fees for lab services, whether provided in a physician office, or reference center.

These fees are often overlooked by busy practitioners, to their financial detriment.

Lab fees list a National Limit, Midpoint, Floor, and State amount. Many users simply select their state amount in order to submit claims to medicare that will match their reimbursement amount. Others select a percentage multiple in order to calculate a standard fee throughout their practice.

In order to view the Lab breakout of fees, just click on the payment amount next to the code you wish to view fee details for.
1. Note the dollar value for the code is listed here

2. Your user preferences for the Lab table are listed here. Missouri, New York, and California are split states. In this example, the user has selected the carrier for Northern California. A second setting allows you to view the standard Lab Amount or that amount, multiplied by a user defined percent amount. In this case, the user just wants to see the government fee amount for Northern California, without any added multiple applied.

3. The Lab Limiting amount is always listed here, note that it matches the user selected settings, as it should in this case.

4. Flash Code also displays the Lab amount multiplied by 125% and 150% for your reference.