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Gapfill Pricing Inquiries

Preliminary Gapfill Payment Determinations - Calendar Year 2016

This file includes test codes and preliminary prices, by locality, for clinical diagnostic laboratory tests that CMS determined should be priced by Medicare Administrative Contractors (MACs) for 2016 using the gapfilling methodology.  The criteria and process for gapfilling are specified in 42 CFR 414.508(b).  This preliminary pricing file includes the national limitation amount and the individual locality prices.

The public is invited to submit comments on these preliminary pricing decisions.  Please submit any comments to Glenn.McGuirk@cms.hhs.gov by August 10, 2016.