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Department of Veterans' Affairs Fee Schedules for Medical Services

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Item Nos. Patients LMO <strong>Fee</strong><br />

5067 1 $182.00<br />

2 $156.15<br />

3 $147.55<br />

4 $143.25<br />

5 $140.65<br />

6 $138.95<br />

7+ $134.00<br />

Item Nos. Patients LMO <strong>Fee</strong><br />

5260 1 $53.45<br />

2 $37.35<br />

3 $32.00<br />

4 $29.35<br />

5 $27.75<br />

6 $26.65<br />

7+ $22.75<br />

5220 1 $39.10<br />

2 $30.20<br />

3 $27.20<br />

4 $25.75<br />

5 $24.85<br />

6 $24.30<br />

7+ $22.10<br />

5263 1 $66.20<br />

2 $48.05<br />

3 $42.00<br />

4 $39.00<br />

5 $37.15<br />

6 $35.95<br />

7+ $31.35<br />

5223 1 $50.05<br />

2 $40.00<br />

3 $36.65<br />

4 $34.95<br />

5 $33.95<br />

6 $33.25<br />

7+ $30.75<br />

5265 1 $84.50<br />

2 $68.40<br />

3 $63.05<br />

4 $60.40<br />

5 $58.80<br />

6 $57.70<br />

7+ $53.80<br />

5227 1 $70.15<br />

2 $61.25<br />

3 $58.25<br />

4 $56.80<br />

5 $55.90<br />

6 $55.35<br />

7+ $53.15<br />

5267 1 $109.80<br />

2 $93.70<br />

3 $88.35<br />

4 $85.70<br />

5 $84.10<br />

6 $83.00<br />

7+ $79.10<br />

5228 1 $95.45<br />

2 $86.55<br />

3 $83.55<br />

4 $82.10<br />

5 $81.20<br />

6 $80.65<br />

7+ $78.45<br />

10 1 NOVEMBER 2011 – 31 OCTOBER 2012

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