Single Payment Amounts

Below you will find the single payment amounts (SPAs) for the Healthcare Common Procedure Coding System (HCPCS) codes included in Round 2021 of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. Existing payment amounts will be replaced with these SPAs for the selected HCPCS codes in certain competitive bidding areas (CBAs) when Round 2021 is implemented on January 1, 2021. For more information on how SPAs are calculated, please see the Lead Item Pricing fact sheet.

SPAs for each CBA and product category combination are available below in Microsoft Excel format (XLS).

Resources

SPA for Off-The-Shelf (OTS) Back Braces Excel File

Updated: 10/27/2020

SPA for OTS Knee Braces Excel File

Updated: 10/27/2020

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Updated: 10/27/2020