Medicare Carrier Pricing Data

Medicare Part B Carriers and DMERCS set prices on a wide range of items and services such as radiopharmaceuticals, medical nutrition, cardiac catheters, PET Scans and much more, in multiple formats—yet no central database for pricing exists. This is challenging for payers who must collect and maintain that valuable data. Optum Medicare Carrier Pricing Data features, easy access to carrier set prices, items and services listed in consistent data formats, and a single source for researching prices from multiple carrier websites.

Payers whose contracts require payment amounts to match Medicare carrier payment rates spend valuable time researching and maintaining Medicare Part B carrier set pricing across multiple localities. Optum Medicare Carrier Pricing Data helps you to efficiently and effectively manage this data. We offer:

· A comprehensive collection of all carrier priced items
  and services
· Customizable solution to fit your data needs
· Data available for a single locality or nationally
· One resource to track fees for all Medicare carriers
  and localities
· Text format for consistency in loading into your
  payment system or database
· Delivered monthly to keep you current as 
  changes occur

File types are organized with the following categories:

·          Medicare Physician Fee Schedule
·          Clinical Lab
·          Clinical (Psychology/Social Work/
·          Medical Nutrition)
·          ASC Pricing
·          Ambulance
·          DMEPOS
·          Other Fees (Casting, Dispensing, LCA)
·          NOC Drug Pricing
·          Reasonable Charge
·          Other Carrier Priced Codes
·          (Chiropractic, OPPS)
·          Oral Anti Cancer Drug Pricing
·          Drug Pricing
·          Automated Test Pricing
·          Other Par Fees (Vaccine Administration, Cardiac
           Cath.,Portable X-ray, Radiopharmaceuticals)
·          Other Drug Pricing
·          ASC Drug Pricing
·          Parenteral/Enteral Nutrition

For pricing and ordering details, please call 1.800.464.3649, option 1.