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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