Buffalo DME

Return to Fee Schedules

Use the links below to print or download copies of our physician fee schedules. For your convenience, files are offered in two formats.

  • PDF Format - requires Acrobat Reader. If you don't already have it installed, you can download it free at Adobe.com.
  • Excel Spreadsheets - requires Microsoft Excel software.

Every attempt has been made to ensure that these fee schedules are accurate, but there may be instances when inaccuracies occur. In such a case, our payment will be based on the official fee schedules maintained by Excellus BlueCross BlueShield and we will update these fee schedules accordingly.

2020 Fee Schedules

  • Telehealth (COVID-19) Commercial and Medicare Fee Schedule
  • WNY DME Commercial Medicare Fee Schedule
  • WNY DME Special Programs (Essential Programs - HNY) Fee Schedule

2019 Fee Schedules

  • WNY DME Commercial Medicare Fee Schedule
  • WNY DME Special Programs (Essential Programs - HNY) Fee Schedule

2018 Fee Schedules

  • WNY DME Commercial Medicare Fee Schedule
  • WNY DME Special Programs (Essential Programs - HNY) Fee Schedule
  • WNY DME Safety Net (Medicaid Managed Care - Child Health Plus) Fee Schedule

Reimbursement Rates

For dates of service between January 1, 2020, and July 31, 2020, new 2020 CPT codes will be paid using the current conversion factors (effective as of August 1, 2019), multiplied by 2020 GPCI-adjusted relative value units (RVUs). If Medicare has not yet established rates, services will be priced at the Health Plan’s discretion. Should Medicare establish rates in the future, the Health Plan will utilize the same relative value units within approximately 45 days of the Centers for Medicare & Medicaid Services publication.

For dates of service on or after August 1, 2020, the 2019 GPCI-adjusted RVUs will be multiplied by the conversion factors which will become effective on August 1, 2020.