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Gapfill Pricing Inquiries

Final Gapfill Payment Determinations - Calendar Year 2016

This file includes test codes and final 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 final pricing file includes the national limitation amount and the individual locality prices.

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