Reimbursements

Immunization and Injectable Reimbursement (Effective 1/01/2021)

All updates and revisions to the following covered immunization and injectable reimbursement rate schedule shall be communicated via electronic notification to Provider and shall not require an amendment to the Agreement. Unless otherwise specified in a provider’s contract, these rates apply to Banner Health Insurance Group Inc. and Banner Health Plan Inc.

Approved In-Office Laboratory Services (Effective 1/01/2021)

This in-office lab list applies to all providers contracted with Banner Medicare Advantage Prime and Plus plans. The laboratory services identified below by CPT code and any subsequent CPT codes may be provided in a contracted physician’s office.