Home Health Rates
Effective June 19, 2004
Revenue Code |
Fee |
Plus Copay (effective 1/1/03) |
Standard Copay (eliminated 6/19/04) |
| 421 - Physical therapy visit charge | $58.64 |
$3.00 |
none |
| 424 - Physical therapy evaluation or re-evaluation | $58.64 |
$3.00 |
none |
| 431 - Occupational therapy visit | $63.92 |
$3.00 |
none |
| 434 - Occupational therapy evaluation or re-evaluation | $63.92 |
$3.00 |
none |
| 441 - Speech-language pathology visit | $64.01 |
$3.00 |
none |
| 444 - Speech-language pathology evaluation or re-evaluation | $64.01 |
$3.00 |
none |
| 551 - Skilled nursing visit | $62.85 |
$3.00 |
none |
| 559 - Skilled nursing evaluation | $62.85 |
$3.00 |
none |
| 571 - Home health aide visit | $29.49 |
$3.00 |
none |
| 270 - Medical/surgical supplies, general classification | Acquisition cost |
none |
none |
| 271 - Medical/surgical supplies, non sterile supplies | Acquisition cost |
none |
none |
| 272 - Medical/surgical supplies, sterile supplies | Acquisition cost |
none |
none |