Section 55, Laboratory Services: January 1, 2025, Rate Update, CR 129908
Effective January 1, 2025, MaineCare updated the rates for Section 55, Laboratory Services. The new rates were implemented for billing on February 26, 2025. You may view the updated fee schedule on the Rate Setting page of the Health PAS Online Portal.
We will reprocess affected claims that paid at the incorrect rates from January 1, 2025, through February 25, 2025. No provider action is needed.
See the table of affected codes and new rates below.
|
Code |
Modifier |
Rate effective 1/1/2025 |
|
88106 |
26 |
$17.20 |
|
88112 |
|
$61.36 |
|
88112 |
26 |
$25.12 |
|
88185 |
|
$20.08 |
|
88187 |
|
$33.13 |
|
88300 |
TC |
$10.84 |
|
88302 |
|
$29.73 |
|
88302 |
TC |
$23.54 |
|
88304 |
|
$38.25 |
|
88304 |
TC |
$27.97 |
|
88305 |
|
$65.44 |
|
88305 |
TC |
$31.51 |
|
88323 |
TC |
$26.49 |
|
88355 |
|
$130.76 |
|
88355 |
TC |
$54.76 |
|
88363 |
|
$21.54 |
|
88367 |
|
$98.37 |
|
88367 |
TC |
$68.05 |
|
88367 |
26 |
$30.32 |
|
88368 |
26 |
$38.72 |
|
88380 |
|
$114.42 |
|
88380 |
TC |
$65.90 |
|
88380 |
26 |
$48.52 |
|
88381 |
26 |
$21.49 |
For questions, please contact your Provider Relations Specialist.