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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

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CodeMap® Covered Medicare Contractors

Durable Medical Equipment Contractors

State Name
MAC-Part B
MAC-Part A
Alabama
  Palmetto GBA (10112, MAC B)
Palmetto GBA (10111, MAC A)
 
Alaska
  Noridian Healthcare Solutions, LLC (02102, MAC B)
Noridian Healthcare Solutions, LLC (02101, MAC A)
 
American Samoa
  Noridian Healthcare Solutions, LLC (01212, MAC B)
Noridian Healthcare Solutions, LLC (01211, MAC A)
 
Arizona
Noridian Healthcare Solutions, LLC (03102, MAC B)
 
  Noridian Healthcare Solutions, LLC (03101, MAC A)
Arkansas
Novitas Solutions, Inc. (07102, MAC B)
   
  Novitas Solutions, Inc. (07101, MAC A)
 
California - Entire State
    Noridian Healthcare Solutions, LLC (01111, MAC A)
 
California - Northern
Noridian Healthcare Solutions, LLC (01112, MAC B)
 
California - Southern
Noridian Healthcare Solutions, LLC (01182, MAC B)
 
Colorado
  Novitas Solutions, Inc. (04112, MAC B)
 
Novitas Solutions, Inc. (04111, MAC A)
   
Connecticut
  National Government Services, Inc. (13102, MAC B)
 
National Government Services, Inc. (13101, MAC A)
   
Delaware
  Novitas Solutions, Inc. (12102, MAC B)
 
Novitas Solutions, Inc. (12101, MAC A)
   
District of Columbia
  Novitas Solutions, Inc. (12202, MAC B)
 
Novitas Solutions, Inc. (12201, MAC A)
   
Florida
  First Coast Service Options, Inc. (09102, MAC B)
 
First Coast Service Options, Inc. (09101, MAC A)
   
Georgia
  Palmetto GBA (10212, MAC B)
Palmetto GBA (10211, MAC A)
 
State Name
MAC-Part B
MAC-Part A
Guam
  Noridian Healthcare Solutions, LLC (01212, MAC B)
Noridian Healthcare Solutions, LLC (01211, MAC A)
 
Hawaii
  Noridian Healthcare Solutions, LLC (01212, MAC B)
Noridian Healthcare Solutions, LLC (01211, MAC A)
 
Idaho
  Noridian Healthcare Solutions, LLC (02202, MAC B)
Noridian Healthcare Solutions, LLC (02201, MAC A)
 
Illinois
National Government Services, Inc. (06102, MAC B)
 
National Government Services, Inc. (06101, MAC A)
 
Indiana
Wisconsin Physicians Service Insurance Corporation (08102, MAC B)
 
Wisconsin Physicians Service Insurance Corporation (08101, MAC A)
 
Iowa
Wisconsin Physicians Service Insurance Corporation (05102, MAC B)
Wisconsin Physicians Service Insurance Corporation (05101, MAC A)
Kansas
Wisconsin Physicians Service Insurance Corporation (05202, MAC B)
Wisconsin Physicians Service Insurance Corporation (05201, MAC A)
Kentucky
CGS Administrators, LLC (15102, MAC B)
 
CGS Administrators, LLC (15101, MAC A)
 
Louisiana
Novitas Solutions, Inc. (07202, MAC B)
   
  Novitas Solutions, Inc. (07201, MAC A)
 
Maine
  National Government Services, Inc. (14112, MAC B)
National Government Services, Inc. (14111, MAC A)
 
Maryland
  Novitas Solutions, Inc. (12302, MAC B)
 
Novitas Solutions, Inc. (12301, MAC A)
   
Massachusetts
  National Government Services, Inc. (14212, MAC B)
National Government Services, Inc. (14211, MAC A)
 
Michigan
Wisconsin Physicians Service Insurance Corporation (08202, MAC B)
Wisconsin Physicians Service Insurance Corporation (08201, MAC A)
Minnesota
National Government Services, Inc. (06202, MAC B)
National Government Services, Inc. (06201, MAC A)
State Name
MAC-Part B
MAC-Part A
Mississippi
  Novitas Solutions, Inc. (07302, MAC B)
 
Novitas Solutions, Inc. (07301, MAC A)
   
Missouri - Entire State
Wisconsin Physicians Service Insurance Corporation (05302, MAC B)
Wisconsin Physicians Service Insurance Corporation (05301, MAC A)
Wisconsin Physicians Service Insurance Corporation (05901, MAC A)  
Missouri - Northwestern
Wisconsin Physicians Service Insurance Corporation (05302, MAC B)
 
Montana
  Noridian Healthcare Solutions, LLC (03202, MAC B)
Noridian Healthcare Solutions, LLC (03201, MAC A)
 
Nebraska
Wisconsin Physicians Service Insurance Corporation (05402, MAC B)
Wisconsin Physicians Service Insurance Corporation (05401, MAC A)
Nevada
  Noridian Healthcare Solutions, LLC (01312, MAC B)
Noridian Healthcare Solutions, LLC (01311, MAC A)
 
New Hampshire
  National Government Services, Inc. (14312, MAC B)
National Government Services, Inc. (14311, MAC A)
 
New Jersey
  Novitas Solutions, Inc. (12402, MAC B)
 
Novitas Solutions, Inc. (12401, MAC A)
   
New Mexico
  Novitas Solutions, Inc. (04212, MAC B)
 
Novitas Solutions, Inc. (04211, MAC A)
   
New York - Downstate
National Government Services, Inc. (13202, MAC B)
 
New York - Entire State
  National Government Services, Inc. (13201, MAC A)
New York - Queens
National Government Services, Inc. (13292, MAC B)
 
New York - Upstate
National Government Services, Inc. (13282, MAC B)
 
North Carolina
  Palmetto GBA (11502, MAC B)
Palmetto GBA (11501, MAC A)
 
State Name
MAC-Part B
MAC-Part A
North Dakota
  Noridian Healthcare Solutions, LLC (03302, MAC B)
Noridian Healthcare Solutions, LLC (03301, MAC A)
 
Northern Mariana Islands
  Noridian Healthcare Solutions, LLC (01212, MAC B)
Noridian Healthcare Solutions, LLC (01211, MAC A)
 
Ohio
CGS Administrators, LLC (15202, MAC B)
 
CGS Administrators, LLC (15201, MAC A)
 
Oklahoma
  Novitas Solutions, Inc. (04312, MAC B)
 
Novitas Solutions, Inc. (04311, MAC A)
   
Oregon
  Noridian Healthcare Solutions, LLC (02302, MAC B)
Noridian Healthcare Solutions, LLC (02301, MAC A)
 
Pennsylvania
  Novitas Solutions, Inc. (12502, MAC B)
 
Novitas Solutions, Inc. (12501, MAC A)
   
Puerto Rico
  First Coast Service Options, Inc. (09202, MAC B)
First Coast Service Options, Inc. (09201, MAC A)
 
Rhode Island
  National Government Services, Inc. (14412, MAC B)
National Government Services, Inc. (14411, MAC A)
 
South Carolina
  Palmetto GBA (11202, MAC B)
Palmetto GBA (11201, MAC A)
 
South Dakota
  Noridian Healthcare Solutions, LLC (03402, MAC B)
Noridian Healthcare Solutions, LLC (03401, MAC A)
 
Tennessee
  Palmetto GBA (10312, MAC B)
Palmetto GBA (10311, MAC A)
 
Texas
  Novitas Solutions, Inc. (04412, MAC B)
 
Novitas Solutions, Inc. (04411, MAC A)
   
Utah
  Noridian Healthcare Solutions, LLC (03502, MAC B)
Noridian Healthcare Solutions, LLC (03501, MAC A)
 
Vermont
  National Government Services, Inc. (14512, MAC B)
National Government Services, Inc. (14511, MAC A)
 
State Name
MAC-Part B
MAC-Part A
Virgin Islands
  First Coast Service Options, Inc. (09302, MAC B)
First Coast Service Options, Inc. (09201, MAC A)
 
Virginia
  Palmetto GBA (11302, MAC B)
Palmetto GBA (11301, MAC A)
 
Washington
  Noridian Healthcare Solutions, LLC (02402, MAC B)
Noridian Healthcare Solutions, LLC (02401, MAC A)
 
West Virginia
  Palmetto GBA (11402, MAC B)
Palmetto GBA (11401, MAC A)
 
Wisconsin
National Government Services, Inc. (06302, MAC B)
National Government Services, Inc. (06301, MAC A)
Wyoming
  Noridian Healthcare Solutions, LLC (03602, MAC B)
Noridian Healthcare Solutions, LLC (03601, MAC A)
 

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