Oxygen and Oxygen Equipment Bid Limits

 
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Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
                       (DMEPOS) Competitive Bidding Program • Round 2021

Oxygen and Oxygen Equipment Bid Limits

Alabama, AL                                                                          3
Arizona, AZ                                                                          3
California, CA                                                                       3
Colorado, CO                                                                         3
Connecticut, CT                                                                      3
District of Columbia, DC                                                             3
Delaware, DE                                                                         3
Florida, FL                                                                          3
Georgia, GA                                                                          3
Hawaii, HI                                                                           3
Iowa, IA                                                                             3
Idaho, ID                                                                            4
Illinois, IL                                                                         4
Indiana, IN                                                                          4
Kansas, KS                                                                           4
Kentucky, KY                                                                         4
Louisiana, LA                                                                        4
Massachusetts, MA                                                                    4
Maryland, MD                                                                         4
Michigan, MI                                                                         4
Minnesota, MN                                                                        4
Missouri, MO                                                                         4
Mississippi, MS                                                                      4
North Carolina, NC                                                                   4
Nebraska, NE                                                                         4
New Hampshire, NH                                                                    4
New Jersey, NJ                                                                       4
New Mexico, NM                                                                       5
Nevada, NV                                                                           5
New York, NY                                                                         5
Ohio, OH                                                                             5
Oklahoma, OK         5
Oregon, OR           5
Pennsylvania, PA     5
Rhode Island, RI     5
South Carolina, SC   5
Tennessee, TN        5
Texas, TX            5
Utah, UT             6
Virginia, VA         6
Washington, WA       6
Wisconsin, WI        6
West Virginia, WV    6
DMEPOS Competitive Bidding Program
                   Product Category: Oxygen and Oxygen Equipment
                                                    Round 2021
Lead Item HCPCS Code: E1390 Oxygen Concentrator, Single Delivery Port, Capable Of Delivering 85
             Percent Or Greater Oxygen Concentration At The Prescribed Flow Rate

       CBA State    CBA Name                                                          Bid Limit
       AL           Birmingham-Hoover, AL                                             $189.86
       AR           Little Rock-North Little Rock-Conway, AR                          $189.86
       AZ           Phoenix-Mesa-Scottsdale, AZ                                       $189.86
       AZ           Tucson, AZ                                                        $189.86
       CA           Bakersfield, CA                                                   $189.86
       CA           Fresno, CA                                                        $189.86
       CA           Los Angeles County, CA                                            $189.86
       CA           Orange County, CA                                                 $189.86
       CA           Oxnard-Thousand Oaks-Ventura, CA                                  $189.86
       CA           Riverside-San Bernardino-Ontario, CA                              $189.86
       CA           Sacramento--Roseville--Arden-Arcade, CA                           $189.86
       CA           San Diego-Carlsbad, CA                                            $189.86
       CA           San Francisco-Oakland-Hayward, CA                                 $189.86
       CA           San Jose-Sunnyvale-Santa Clara, CA                                $189.86
       CA           Stockton-Lodi, CA                                                 $189.86
       CA           Visalia-Porterville, CA                                           $189.86
       CO           Colorado Springs, CO                                              $189.86
       CO           Denver-Aurora-Lakewood, CO                                        $189.86
       CT           Bridgeport-Stamford-Norwalk, CT                                   $189.86
       CT           Hartford-West Hartford-East Hartford, CT                          $189.86
       CT           New Haven-Milford, CT                                             $189.86
       DC           Washington, DC                                                    $189.86
       DE           Wilmington, DE                                                    $189.86
       FL           Cape Coral-Fort Myers, FL                                         $189.86
       FL           Deltona-Daytona Beach-Ormond Beach, FL                            $189.86
       FL           Jacksonville, FL                                                  $189.86
       FL           Lakeland-Winter Haven, FL                                         $189.86
       FL           Miami-Fort Lauderdale-West Palm Beach, FL                         $189.86
       FL           North Port-Sarasota-Bradenton, FL                                 $189.86
       FL           Ocala, FL                                                         $189.86
       FL           Orlando-Kissimmee-Sanford, FL                                     $189.86
       FL           Palm Bay-Melbourne-Titusville, FL                                 $189.86
       FL           Tampa-St. Petersburg-Clearwater, FL                               $189.86
       GA           Atlanta-Sandy Springs-Roswell, GA                                 $189.86
       GA           Augusta-Richmond County, GA                                       $189.86
       GA           Catoosa, Dade & Walker Counties, GA                               $189.86
       HI           Honolulu, HI                                                      $189.86
       IA           Council Bluffs, IA                                                $189.86

March 2019                                                                                        3
DMEPOS Competitive Bidding Program
                   Product Category: Oxygen and Oxygen Equipment
                                                      Round 2021
Lead Item HCPCS Code: E1390 Oxygen Concentrator, Single Delivery Port, Capable Of Delivering 85
             Percent Or Greater Oxygen Concentration At The Prescribed Flow Rate

       CBA State    CBA Name                                                          Bid Limit
       ID           Boise City, ID                                                    $189.86
       IL           Aurora-Elgin-Joliet, IL                                           $189.86
       IL           Chicago-Naperville-Arlington Heights, IL                          $189.86
       IL           East St. Louis, IL                                                $189.86
       IL           Lake & McHenry Counties, IL                                       $189.86
       IN           Dearborn, Franklin, Ohio & Union Counties, IN                     $189.86
       IN           Gary, IN                                                          $189.86
       IN           Indianapolis-Carmel-Anderson, IN                                  $189.86
       IN           Jeffersonville-New Albany, IN                                     $189.86
       KS           Kansas City-Overland Park-Ottawa, KS                              $189.86
       KS           Wichita, KS                                                       $189.86
       KY           Covington-Florence-Newport, KY                                    $189.86
       KY           Louisville-Jefferson County, KY                                   $189.86
       LA           Baton Rouge, LA                                                   $189.86
       LA           New Orleans-Metairie, LA                                          $189.86
       MA           Boston-Cambridge-Quincy, MA                                       $189.86
       MA           Bristol County, MA                                                $189.86
       MA           Springfield, MA                                                   $189.86
       MA           Worcester, MA                                                     $189.86
       MD           Baltimore-Columbia-Towson, MD                                     $189.86
       MD           Calvert, Charles & Prince George's Counties, MD                   $189.86
       MD           Silver Spring-Rockville-Bethesda, MD                              $189.86
       MI           Detroit-Warren-Dearborn, MI                                       $189.86
       MI           Flint, MI                                                         $189.86
       MI           Grand Rapids-Wyoming, MI                                          $189.86
       MN           Minneapolis-St. Paul-Bloomington, MN                              $189.86
       MO           Kansas City, MO                                                   $189.86
       MO           St. Louis, MO                                                     $189.86
       MS           Jackson, MS                                                       $189.86
       MS           South Haven-Olive Branch, MS                                      $189.86
       NC           Asheville, NC                                                     $189.86
       NC           Charlotte-Concord-Gastonia, NC                                    $189.86
       NC           Greensboro-High Point, NC                                         $189.86
       NC           Raleigh, NC                                                       $189.86
       NE           Omaha, NE                                                         $189.86
       NH           Rockingham & Strafford Counties, NH                               $189.86
       NJ           Camden, NJ                                                        $189.86
       NJ           Elizabeth-Lakewood-New Brunswick, NJ                              $189.86

March 2019                                                                                        4
DMEPOS Competitive Bidding Program
                   Product Category: Oxygen and Oxygen Equipment
                                                     Round 2021
Lead Item HCPCS Code: E1390 Oxygen Concentrator, Single Delivery Port, Capable Of Delivering 85
             Percent Or Greater Oxygen Concentration At The Prescribed Flow Rate

       CBA State    CBA Name                                                          Bid Limit
       NJ           Jersey City-Newark, NJ                                            $189.86
       NM           Albuquerque, NM                                                   $189.86
       NV           Las Vegas-Henderson-Paradise, NV                                  $189.86
       NY           Albany-Schenectady-Troy, NY                                       $189.86
       NY           Bronx-Manhattan, NY                                               $189.86
       NY           Buffalo-Cheektowaga-Niagara Falls, NY                             $189.86
       NY           Nassau, Kings, Queens & Richmond Counties, NY                     $189.86
       NY           Port Chester-White Plains-Yonkers, NY                             $189.86
       NY           Poughkeepsie-Newburgh-Middletown, NY                              $189.86
       NY           Rochester, NY                                                     $189.86
       NY           Suffolk County, NY                                                $189.86
       NY           Syracuse, NY                                                      $189.86
       OH           Akron, OH                                                         $189.86
       OH           Cincinnati, OH                                                    $189.86
       OH           Cleveland-Elyria, OH                                              $189.86
       OH           Columbus, OH                                                      $189.86
       OH           Dayton, OH                                                        $189.86
       OH           Toledo, OH                                                        $189.86
       OH           Youngstown-Warren-Boardman, OH                                    $189.86
       OK           Oklahoma City, OK                                                 $189.86
       OK           Tulsa, OK                                                         $189.86
       OR           Portland-Hillsboro-Beaverton, OR                                  $189.86
       PA           Allentown-Bethlehem-Easton, PA                                    $189.86
       PA           Mercer County, PA                                                 $189.86
       PA           Philadelphia, PA                                                  $189.86
       PA           Pittsburgh, PA                                                    $189.86
       PA           Scranton--Wilkes-Barre--Hazleton, PA                              $189.86
       RI           Providence, RI                                                    $189.86
       SC           Aiken & Edgefield Counties, SC                                    $189.86
       SC           Charleston-North Charleston, SC                                   $189.86
       SC           Chester, Lancaster & York Counties, SC                            $189.86
       SC           Columbia, SC                                                      $189.86
       SC           Greenville-Anderson-Mauldin, SC                                   $189.86
       TN           Chattanooga, TN                                                   $189.86
       TN           Knoxville, TN                                                     $189.86
       TN           Memphis, TN                                                       $189.86
       TN           Nashville-Davidson--Murfreesboro--Franklin, TN                    $189.86
       TX           Austin-Round Rock, TX                                             $189.86

March 2019                                                                                        5
DMEPOS Competitive Bidding Program
                   Product Category: Oxygen and Oxygen Equipment
                                                      Round 2021
Lead Item HCPCS Code: E1390 Oxygen Concentrator, Single Delivery Port, Capable Of Delivering 85
             Percent Or Greater Oxygen Concentration At The Prescribed Flow Rate

       CBA State    CBA Name                                                          Bid Limit
       TX           Beaumont-Port Arthur, TX                                          $189.86
       TX           Dallas-Fort Worth-Arlington, TX                                   $189.86
       TX           El Paso, TX                                                       $189.86
       TX           Houston-The Woodlands-Sugar Land, TX                              $189.86
       TX           McAllen-Edinburg-Mission, TX                                      $189.86
       TX           San Antonio-New Braunfels, TX                                     $189.86
       UT           Salt Lake City, UT                                                $189.86
       VA           Arlington-Alexandria-Reston, VA                                   $189.86
       VA           Richmond, VA                                                      $189.86
       VA           Virginia Beach-Norfolk-Newport News, VA                           $189.86
       WA           Seattle-Tacoma-Bellevue, WA                                       $189.86
       WA           Vancouver, WA                                                     $189.86
       WI           Kenosha County, WI                                                $189.86
       WI           Milwaukee-Waukesha-West Allis, WI                                 $189.86
       WI           Pierce & St. Croix Counties, WI                                   $189.86
       WV           Huntington, WV                                                    $189.86

March 2019                                                                                        6
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