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HCPCS Level II

VIEWS: 4 PAGES: 1

									     MICHIGAN WORKERS' COMPENSATION HEALTH CARE SERVICES RULES
                REIMBURSEMENT RATES - FEE SCHEDULE



                                            HCPCS Level II
Calculate the Michigan MAP (Maximum Allowable Payment) with the following formula(s):
(Formula component 1.05 below represents Medicare + 5%), rounded

Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS),
rounded, x 1.05 = Michigan MAP, rounded


                                       Medicare       Michigan         Michigan
                                       Pymt Amt       Multiplier         MAP
                         Example:      $1,764.00       1.05            $1,852.20
                       User Entry:                      1.05             $0.00


                                                        2012 CMS HCPCS Level II




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