Procedure Code Procedure Description Pricing Indicator Rate Type Mod1 Mod2 Mod3 Mod4 Max Fee Max Fee Eff. Date Max Fee End Date PA
S5125 ATTENDANT CARE SERVICE /15M HHPDN OAB         NA NA NA N
S5125 ATTENDANT CARE SERVICE /15M HHPDN BS2         NA NA NA N
S5125 ATTENDANT CARE SERVICE /15M MAXFEE OAU         9.81 1/1/2024 12/31/2299 N
S5125 ATTENDANT CARE SERVICE /15M MAXFEE DEF         4.70 1/1/2024 12/31/2299 N
S5125 ATTENDANT CARE SERVICE /15M MAXFEE OU8         7.05 1/1/2024 12/31/2299 N