April 2021 Update: MPFSDB Supplemental Fee Schedule

Published 03/11/2021

The following fees are based on the calendar year (CY) 2021 Medicare Physician Fee Schedule (MPFS) Final Rule.

HCPCS Code
Modifier
State
Contractor Number
Locality
Facility Fee
Effective
G2025
 
North Carolina
11502
00
$99.45
January 1, 2021
G2082
 
North Carolina
11502
00
$34.60
January 1, 2021 
G2083
 
North Carolina
11502
00
$34.60
January 1, 2021 
G9868
 
North Carolina
11502
00
$27.91
April 1, 2021  
G9869
 
North Carolina
11502
00
$37.34
April 1, 2021  
G9870
 
North Carolina
11502
00
$46.76
April 1, 2021  
G2025
 
South Carolina
11202
01
$99.45
January 1, 2021 
G2082
 
South Carolina
11202
01
$34.14
January 1, 2021 
G2083
 
South Carolina
11202
01
$34.14
January 1, 2021 
G9868
 
South Carolina
11202
01
$27.91
April 1, 2021  
G9869
 
South Carolina
11202
01
$37.34
April 1, 2021  
G9870
 
South Carolina
11202
01
$46.76
April 1, 2021  
G2025
 
Virginia
11302
00
$99.45
January 1, 2021 
G2082
 
Virginia
11302
00
$35.36
January 1, 2021 
G2083
 
Virginia
11302
00
$35.36
January 1, 2021 
G9868
 
Virginia
11302
00
$27.91
April 1, 2021  
G9869
 
Virginia
11302
00
$37.34
April 1, 2021  
G9870
 
Virginia
11302
00
$46.76
April 1, 2021  
G2025
 
West Virginia
11402
16
$99.45
January 1, 2021 
G2082
 
West Virginia
11402
16
$34.60
January 1, 2021 
G2083
 
West Virginia
11402
16
$34.60
January 1, 2021 
G9868
 
West Virginia
11402
16
$27.91
April 1, 2021  
G9869
 
West Virginia
11402
16
$37.34
April 1, 2021  
G9870
 
West Virginia
11402
16
$46.76
April 1, 2021