If my bid amount for the lead item is below the maximum winning bid amount and I'm offered a contract, will I be reimbursed at my bid amount for the lead item, which is below the winning amount?
For Round 2021, under the lead item pricing methodology, the single payment amount (SPA) for the lead item Healthcare Common Procedure Coding System (HCPCS) code is the maximum bid amount submitted for that item by suppliers whose bids for the item are in the winning range in that competitive bidding area and product category combination (competition). Therefore, all bidders who are awarded a contract for a competition will be paid at the maximum winning bid amount for the competition. Please see the Lead Item Pricing fact sheet for additional information on the lead item pricing methodology and how the SPAs for non-lead items in the product category will be calculated.
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