This article is for acute care hospitals caring for our members
Effective for dates of service on or after July 1, 2025, we’ve updated our commercial HMO, PPO, and Indemnity hospital outpatient fee schedules in accordance with your existing provider contract to:
- Include new and unpriced Current Procedural Terminology (CPT®΄) and Healthcare Common Procedure Coding System (HCPCS) codes
- Update drug fees to reflect pricing based on current benchmarks
- Delete codes that are no longer valid
These updates enable us to maintain consistency with industry practices for billable codes and fees.
Resources
Resources
- Additions and deletions to the acute care hospital outpatient fee schedule, effective July 1, 2025
- Outpatient drug fee schedule for 2025, 3rd quarter
To download your fee schedules, log in and go to Office Resources>Billing & Reimbursement>Fee schedules.
Complete electronic versions of your hospital outpatient fee schedules are available from your network representative.
Questions?
If you have any questions, please call Network Management and Credentialing Services at 1-800-316-BLUE(2583). As always, thank you for the care you provide to our members.
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