CLFS-F Sample COLUMN LAYOUT ----------- 1--HCPCS CODE CPT and alpha-numeric codes subject to the Clinical Laboratory Fee Schedule. 2--MODIFIER Where modifier is shown, QW denotes a CLIA waiver test. 3--CARRIER Carrier Code. 4--LOCALITY Carrier locality.00-single state carrier,01-North Dakota,02-South Dakota,20-Puerto Rico. 5--Region Region that the carrier/locality combination represents. 6--60%_PRICING Region's 60% pricing 7--62%_PRICING Region's 62% pricing 8--60%_NATIONAL_LIMIT The 60% National Limitation Amount 9--62%_NATIONAL_LIMIT The 62% National Limitation Amount 10--MEDIAN Median of the 2010 60% Updated Base Fee Amounts from all Medicare Part B Carriers. 11--FLOOR 60% Floor. BBRA of 1999 requires a payment floor of $14.76 for all Pap Smears; the 62% floor equals the 60% floor. HCPCS_CODE MODIFIER CARRIER LOCALITY REGION 60%_PRICING 62%_PRICING 60%_NATIONAL_LIMIT 62%_NATIONAL_LIMIT MEDIAN FLOOR ATP02 00512 00 Mississippi 7.33 7.57 7.33 7.57 9.9 0 ATP02 00520 00 Arkansas 6.37 6.58 7.33 7.57 9.9 0 ATP02 00528 00 Louisiana 5.3 5.48 7.33 7.57 9.9 0 ATP02 00630 00 Indiana 7.33 7.57 7.33 7.57 9.9 0 ATP02 00660 00 Kentucky 4.5 4.65 7.33 7.57 9.9 0 ATP02 00831 00 Alaska 7.33 7.57 7.33 7.57 9.9 0 ATP02 00835 00 Oregon 7.33 7.57 7.33 7.57 9.9 0 ATP02 00836 00 Washington State 7.33 7.57 7.33 7.57 9.9 0 ATP02 00880 00 South Carolina 2.27 2.35 7.33 7.57 9.9 0 ATP02 00883 00 Ohio 6.37 6.58 7.33 7.57 9.9 0 ATP02 00884 00 West Virginia 7.33 7.57 7.33 7.57 9.9 0 ATP02 11302 00 Virginia 7.33 7.57 7.33 7.57 9.9 0 ATP02 00951 00 Wisconsin 7.33 7.57 7.33 7.57 9.9 0 ATP02 00952 00 Illinois 7.33 7.57 7.33 7.57 9.9 0 ATP02 00953 00 Michigan 6.46 6.68 7.33 7.57 9.9 0 ATP02 00954 00 Minnesota 7.33 7.57 7.33 7.57 9.9 0 ATP02 01102 00 California, Northern California 7.33 7.57 7.33 7.57 9.9 0 ATP02 01192 00 California, Southern California Occidental 7.33 7.57 7.33 7.57 9.9 0