Physician Fee Schedules
The appearance on this website of a code and rate is not an indication of coverage, nor a guarantee of payment. AHCCCS covered procedures can be viewed in the AHCCCS Medical Policy Manual (AMPM). AHCCCS covered services can differ based upon enrollment.
Physician fee schedules are updated annually for dates of service on and after October 1st. Quarterly updates at January 1, April 1, and July 1 may be made to accommodate new codes or rate adjustments.
For facility and non-facility Place of Service (POS) codes, see the following document: Place of Service (POS) Code Set
Starting 11/1/2023, the ABA codes (97151-97518) schedule is listed separately under the Applied Behavioral Analysis (ABA) webpage
The Vaccine for Children (VFC) administration rate is $21.33.
2024
- FFS/Acute MCO/ALTCS MCO Programs Capped Fee Schedule Effective October 1, 2023
Download Rate Groups
Rates by Service Category
Rates by Modifier Values
2023
- FFS/Acute MCO/ALTCS MCO Programs Capped Fee Schedule Effective October 1, 2022
Download Rate Groups
Rates by Service Category
Rates by Modifier Values
2022
- FFS/Acute MCO/ALTCS MCO Programs Capped Fee Schedule Effective October 1, 2021
- Anesthesia
- Physician Fee
- Drugs (Moved to Current and Historical Fee Schedules under Physician Administered Drug)
- Durable Medical Equipment (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
- Enteral and Parenteral Therapy (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
- Evaluation and Management Services (Moved to Physician Fee above)
- Maternity Care and Delivery (Moved to Physician Fee above)
- Medical and Surgical Supplies (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
- Medicine and Professional Medical Services (Moved to Physician Fee above)
- Orthotics and Prosthetics (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
- Pathology and Laboratory (Moved to Current and Historical Fee Schedules under Clinical Laboratory (CLAB))
- Radiology (Moved to Physician Fee above)
- Surgery (Moved to Physician Fee above)
- Vision and Hearing Services (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
Download Rate Groups
Rates by Service Category
Rates by Modifier Values
2021
- FFS/Acute MCO/ALTCS MCO Programs Capped Fee Schedule Effective October 1, 2020
- Anesthesia
- Drugs
- Durable Medical Equipment
- Enteral and Parenteral Therapy
- Evaluation and Management Services
- Maternity Care and Delivery
- Medical and Surgical Supplies
- Medicine and Professional Medical Services
- Orthotics and Prosthetics
- Pathology and Laboratory
- Radiology
- Surgery
- Vision and Hearing Services
Download All Rates
Download Rate Groups
Rates by Service Category
Rates by Modifier Values
Historical Physician Fee Schedules
Primary Care Enhanced Reimbursement
The Primary Care Enhanced Reimbursement (“PCP Parity”) mandated by Section 1202 of the Affordable Care Act is discontinued effective for dates of service on and after 01/01/2015. For information related to that program, see the following links:
Reimbursement and General Fee Schedule FAQs
Contacts
Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs.gov.