EFFECTIVE 9/1/14, HIGHMARK TO ADJUST FEES FOR INDEPENDENT LABORATORY SERVICES FOR MEDICARE ADVANTAGE MEMBERS

Highmark routinely reviews its fee schedules and reimbursement rates and makes adjustments as necessary to maintain appropriate and reasonable payments to providers, to reflect current factors and trends in the marketplace and to manage rising health care costs for our members and group employer customers. As a result of this process, effective with dates of service of Sept. 1, 2014, and beyond, fees will be adjusted for select independent laboratory service procedure codes for services delivered to Medicare Advantage members. The new fees to take effect Sept. 1, 2014, will be established and maintained at 70 percent of the Pennsylvania region CMS payment rates. NaviNet users can easily access current Highmark fees for any procedure code via the Highmark NaviNet system. Please note that the adjusted Medicare Advantage fees for independent laboratory services won’t be reflected in NaviNet until Sept. 1, 2014.

Source: https://www.highmark.com/health/pdfs/pubs/sb-hbs-lab-fee-update-070714.pdf