101 CMR, § 334.03

Current through Register 1533, October 25, 2024

Section 334.03 - General Rate Provisions

(1)General Rate Provisions for the Purchase of Prostheses, Prosthetic Devices, and Orthotic Devices. Payment to provider of prosthetic or orthotic devices or services are the lower of:

(a) the provider's usual and customary charge; or

(b) the rates set forth in 101 CMR 334.03(10) or any applicable administrative bulletin.

(2)Rates for New Codes. New codes that have established Medicare fees as of the date of the Administrative Bulletin will have rates established at:

(a) 94.00% of the corresponding Medicare fee for any item described as being custom fabricated; or

(b) 82.00% of the corresponding Medicare fee for any item described as being prefabricated; or

(c) 70.76% of the corresponding Medicare fee for any item described as being off-the-shelf.

(d) When Medicare fees are not available for new codes, and for certain orthotics and prosthetics, rates will be established at individual consideration at adjusted acquisition cost plus the standard markup as defined in 101 CMR 334.03(9).

(3)Effect of Rates. The rates of payment contained in 101 CMR 334.00 are maximum allowable rates that a governmental unit or purchaser under M.G.L. c. 152 may pay for prostheses, prosthetic devices, or orthotic devices. A governmental unit may pay less than the rates established for a provider under 101 CMR 334.00 provided that any such discount or reduction in charge by the provider is equally available to all governmental units purchasing prostheses, prosthetic devices and orthotic devices from the provider. No rate of payment under 101 CMR 334.00 may exceed the provider's usual and customary charge for the same or similar device.

(4)Terms and Warranties. All terms and warranties, expressed and implied, that are customarily extended by the provider or manufacturer must apply to purchases made under 130 CMR 334.00. A purchaser will not pay for replacement or repair of any item or service covered by such terms or warranties.

(5)Repairs. For repair services providers must maintain and submit adequate documentation on the repair performed as indicated by the purchasing governmental unit. Repair may be billed using codes for the labor component (L7520 for prosthetics or L4205 for orthotic devices) and the parts used in the repair (L7510 for prosthetics or L4210 for orthotic devices).

(6)Modifiers. The following list of letter modifiers must be added, where appropriate, to Healthcare Common Procedure Coding System (HCPCS) procedure codes to determine the percent fee to be paid on claims. Refer to purchasers' manuals for specific coding instructions.

(a) Informational modifiers:

1. LT - Left

2. RT - Right

3. CG - Policy Criteria Applied

(b) Additional modifiers used for MassHealth reimbursement when using the following miscellaneous codes, L0999, L1499, L2999, L3999, L5999, L7499, and L8499:

1. U1 - AAC 40% Off the Shelf (used for not otherwise classified (NOC) codes only -identified in 334.03(10)

2. U2 - AAC 50% Prefabricated (used for NOC codes only - identified in 101 CMR 334.03(10)

3. U3 - AAC 70% Custom (used for NOC codes only - identified in 101 CMR 334.03(10)

(7)Recall Provisions. Whenever an orthotic or prosthetic is subject to recall, the provider will fully address the recall as specified in the manufacturer's recall instructions. For recalls of potentially dangerous or defective orthotic or prosthetic that predictably could cause serious health problems, including death, the provider must provide the publicly aided individual with a copy of the recall notice and fully address the recall as specified in the recall instructions no later than five business days from the date the provider receives the recall notice. Any costs not covered by the manufacturer or other third party for activity associated with amelioration, repair or replacement of recalled equipment is included in the general rate provision.

(8)AAC Methodology and Documentation.

(a) Except where otherwise stipulated in 101 CMR 334.03, payment to an eligible provider is for the AAC as defined in 101 CMR 334.02, plus a standard markup.

(b) The eligible provider must accurately indicate the amount of any discounts set forth in the definition of AAC at 101 CMR 334.02. The provider must maintain documentation evidencing the amount and application of discounts.

(c)Current Catalogue Price. The AAC to the eligible provider will not exceed the manufacturer's current catalogue price.

(d) Where the manufacturer is the provider, the AAC cannot exceed the actual cost of raw materials. Low-cost items (those with an AAC less than $5.00) may be grouped together and billed at $5.00 plus the mark up listed in 101 CMR 334.03(9): Individual Consideration.

(9)Individual Consideration. Except where otherwise stipulated in 101 CMR 334.03, payment to an eligible provider for individual consideration will be the lower of:

(a) the eligible provider's usual and customary charge; or

(b) the AAC to the provider, plus a markup not to exceed:

1. 70% for any item described as being custom fabricated; or

2. 50% for any item described as being prefabricated; or

3. 40% for any item described as being off-the-shelf; or

(c) Such schedule of allowable fees as may be issued as an amendment or revision to 101 CMR 334.00.

(10)Payment Rates. For code descriptions, see the O&P service code spreadsheet at www.mass.gov/regulations/101-CMR-33400-prostheses-prosthetic-devices-and-orthotic-devices

Code	Rate	Description (see the O&P service code spreadsheet at www.mass.gov/regulations/101-CMR-33400-prosthesesprosthetic- devices-and-orthotic-devices)
A5500	$79.50
A5501	$238.41
A5503	$40.48
A5504	$40.48
A5505	$40.48
A5506	$40.48
A5507	$40.48
A5508	AAC + 70%
A5510	AAC + 50%
A5512	$32.42
A5513	$48.38
A5514	$48.38
A6530	$49.64
A6531	$47.17
A6532	$66.48
A6533	$85.10
A6534	$85.10
A6535	$73.77
A6536	$94.57
A6540	AAC + 50%
A6541	$191.49
A6544	$28.36
A6545	AAC + 40%
A6549	AAC + 50%
A8000	$167.25
A8001	$167.25
A8002	AAC + 70%
A8003	AAC + 70%
A8004	AAC + 40%
A9283	AAC + 70%
A9285	AAC + 40%
K0672	$77.82
K1007	AAC + 70%
K1014	$7,931.58
K1015	AAC + 50%
K1022	$743.36
L0112	$1,472.63
L0113	$261.74
L0120	$20.14
L0130	$171.62
L0140	$72.77
L0150	$124.26
L0160	$183.61
L0170	$828.94
L0172	$111.63
L0174	$322.06
L0180	$434.40
L0190	$526.44
L0200	$493.70
L0220	$134.08
L0450 CG	$176.59
L0452	AAC + 70%
L0454 CG	$366.51
L0455	$203.81
L0456	$1,046.46
L0457	$584.47
L0458	$818.56
L0460	$1,056.17
L0462	$1,146.01
L0464	$1,364.30
L0466	$434.47
L0467	$233.32
L0468	$489.73
L0469	$346.23
L0470	$695.52
L0472	$423.77
L0480	$1,678.68
L0482	$1,751.64
L0484	$2,388.39
L0486	$2,533.96
L0488	$921.34
L0490	$259.65
L0491	$704.90
L0492	$463.87
L0621CG	$95.41
L0622	$347.20
L0623	AAC + 50%
L0624	AAC + 70%
L0625CG	$50.77
L0626	$71.53
L0627	$377.30
L0628CG	$77.35
L0629	AAC + 70%
L0630	$148.65
L0631	$942.24
L0632	AAC + 70%
L0633	$263.20
L0634	AAC + 70%
L0635	$860.03
L0636	$1,588.01
L0637	$1,074.72
L0638	$1,387.69
L0639	$1,074.72
L0640	$1,101.01
L0641	$53.09
L0642	$279.98
L0643	$95.19
L0648	$699.21
L0649	$168.54
L0650	$694.79
L0651	$805.16
L0700	$2,264.04
L0710	$2,442.73
L0810	$3,408.91
L0820	$2,903.06
L0830	$3,775.52
L0859	$1,304.52
L0861	$197.83
L0970	$100.50
L0972	$90.50
L0974	$198.36
L0976	$150.29
L0978	$182.02
L0980	$20.48
L0982	$19.09
L0984	$60.14
L0999 U1	AAC + 40%
L0999 U2	AAC + 50%
L0999 U3	AAC + 70%
L1000	$2,593.50
L1001	AAC + 50%
L1005	$2,937.69
L1010	$74.66
L1020	$87.13
L1025	$134.98
L1030	$64.12
L1040	$78.63
L1050	$83.92
L1060	$100.23
L1070	$90.70
L1080	$59.39
L1085	$155.16
L1090	$92.39
L1100	$194.97
L1110	$303.81
L1120	$40.03
L1200	$1,874.70
L1210	$263.75
L1220	$223.31
L1230	$644.28
L1240	$85.08
L1250	$85.03
L1260	$85.08
L1270	$85.08
L1280	$115.94
L1290	$85.08
L1300	$1,791.08
L1310	$1,927.64
L1499 U1	AAC + 40%
L1499 U2	AAC + 50%
L1499U3	AAC + 70%
L1600	$156.08
L1610	$41.72
L1620	$158.89
L1630	$227.73
L1640	$620.14
L1650	$269.27
L1652	$327.17
L1660	$185.00
L1680	$1,228.13
L1681	$1,768.59
L1685	$1,598.62
L1686	$884.30
L1690	$1,774.87
L1700	$1,955.97
L1710	$2,402.52
L1720	$1,358.65
L1730	$1,428.41
L1755	$2,127.81
L1810	$104.20
L1812	$61.25
L1820	$133.85
L1830	$54.12
L1831	$270.14
L1832	$697.99
L1833	$420.86
L1834	$1,043.26
L1836	$92.10
L1840	$983.21
L1843	$823.54
L1844	$1,721.52
L1845	$765.77
L1846	$1,306.54
L1847	$527.92
L1848	$455.55
L1850	$189.35
L1851	$534.42
L1852	$505.54
L1860	$1,143.56
L1900	$320.15
L1902	$80.85
L1904	$631.98
L1906	$118.42
L1907	$592.04
L1910	$278.78
L1920	$468.35
L1930	$240.06
L1932	$819.04
L1940	$664.66
L1945	$1,244.09
L1950	$961.29
L1951	$770.82
L1960	$744.94
L1970	$956.32
L1971	$430.21
L1980	$478.53
L1990	$569.28
L2000	$1,160.64
L2005	$4,311.44
L2006	$35,630.23
L2010	$1,054.93
L2020	$1,503.49
L2030	$1,214.08
L2034	$2,114.58
L2035	$161.71
L2036	$2,493.47
L2037	$2,238.49
L2038	$1,921.50
L2040	$228.81
L2050	$640.21
L2060	$651.69
L2070	$157.31
L2080	$483.40
L2090	$464.57
L2106	$913.78
L2108	$1,388.14
L2112	$497.06
L2114	$600.35
L2116	$771.01
L2126	$1,447.41
L2128	$2,304.52
L2132	$742.76
L2134	$1,045.57
L2136	$1,168.68
L2180	$121.47
L2182	$123.13
L2184	$129.26
L2186	$156.01
L2188	$330.39
L2190	$102.39
L2192	$378.71
L2200	$47.92
L2210	$67.76
L2220	$82.54
L2230	$77.34
L2232	$104.72
L2240	$103.72
L2250	$358.16
L2260	$202.05
L2265	$158.28
L2270	$63.30
L2275	$132.71
L2280	$503.60
L2300	$271.39
L2310	$124.00
L2320	$254.22
L2330	$442.90
L2335	$302.57
L2340	$450.50
L2350	$898.15
L2360	$52.15
L2370	$258.75
L2375	$122.01
L2380	$124.09
L2385	$172.10
L2387	$222.41
L2390	$147.12
L2395	$210.28
L2397	$108.41
L2405	$91.73
L2415	$127.79
L2425	$150.81
L2430	$150.81
L2492	$119.58
L2500	$423.99
L2510	$815.37
L2520	$600.62
L2525	$1,638.27
L2526	$890.29
L2530	$268.61
L2540	$568.20
L2550	$289.49
L2570	$480.11
L2580	$521.97
L2600	$207.02
L2610	$244.79
L2620	$359.34
L2622	$411.94
L2624	$333.78
L2627	$2,303.94
L2628	$1,969.34
L2630	$309.48
L2640	$443.58
L2650	$121.29
L2660	$250.16
L2670	$171.94
L2680	$157.73
L2750	$112.33
L2755	$137.44
L2760	$61.24
L2768	$137.07
L2780	$90.95
L2785	$34.55
L2795	$114.20
L2800	$143.36
L2810	$104.97
L2820	$116.24
L2830	$126.26
L2840	$38.54
L2850	$69.70
L2999 U1	AAC + 40%
L2999 U2	AAC + 50%
L2999 U3	AAC + 70%
L3000	$330.51
L3001	$139.17
L3002	$169.93
L3003	$183.37
L3010	$183.37
L3020	$208.74
L3030	$80.30
L3031	$128.87
L3040	$43.19
L3050	$43.19
L3060	$67.68
L3070	$29.16
L3080	$29.16
L3090	$37.37
L3100	$34.24
L3140	$81.73
L3150	$74.71
L3160	AAC + 50%
L3170	$40.30
L3201	$73.33
L3202	$64.17
L3203	$77.38
L3204	AAC + 50%
L3206	AAC + 50%
L3207	AAC + 50%
L3208	AAC + 50%
L3209	AAC + 50%
L3211	AAC + 50%
L3212	AAC + 50%
L3213	AAC + 50%
L3214	AAC + 50%
L3215	AAC + 50%
L3216	AAC + 50%
L3217	AAC + 50%
L3219	AAC + 50%
L3221	AAC + 50%
L3222	$146.67
L3224	$75.13
L3225	$90.92
L3230	AAC + 70%
L3250	$460.51
L3251	AAC + 70%
L3252	$467.17
L3253	AAC + 50%
L3254	AAC + 70%
L3255	AAC + 70%
L3257	AAC + 70%
L3260	AAC + 70%
L3265	AAC + 50%
L3300	$54.86
L3310	$85.64
L3320	$70.92
L3330	$595.47
L3332	$77.59
L3334	$40.16
L3340	$89.69
L3350	$24.10
L3360	$37.47
L3370	$52.15
L3380	$52.15
L3390	$52.15
L3400	$42.84
L3410	$97.68
L3420	$57.56
L3430	$168.61
L3440	$80.30
L3450	$111.09
L3455	$42.84
L3460	$36.10
L3465	$61.54
L3470	$65.56
L3480	$65.56
L3485	$21.27
L3500	$30.78
L3510	$30.78
L3520	$33.43
L3530	$33.43
L3540	$53.54
L3550	$9.34
L3560	$24.10
L3570	$89.69
L3580	$68.24
L3590	$56.20
L3595	$44.14
L3600	$80.30
L3610	$105.71
L3620	$80.30
L3630	$105.71
L3640	$45.49
L3649	AAC + 70%
L3650	$63.24
L3660	$117.92
L3670	$97.29
L3671	$862.84
L3674	$1,131.86
L3675	$168.04
L3677	AAC + 50%
L3678	AAC + 40%
L3702	$276.49
L3710	$133.57
L3720	$645.15
L3730	$1,185.52
L3740	$1,405.54
L3760	$417.72
L3761	$417.72
L3762	$90.22
L3763	$696.74
L3764	$910.47
L3765	$1,227.82
L3766	$1,300.17
L3806	$434.99
L3807	$208.88
L3808	$404.52
L3809	$208.88
L3900	$1,283.23
L3901	$1,585.08
L3904	$3,039.43
L3905	$949.63
L3906	$462.71
L3908	$68.73
L3912	$81.60
L3913	$259.35
L3915	$444.02
L3916	$444.02
L3917	$88.28
L3918	$88.28
L3919	$259.35
L3921	$307.58
L3923	$99.79
L3924	$99.79
L3925	$44.90
L3927	$29.18
L3929	$67.26
L3930	$67.26
L3931	$177.58
L3933	$204.28
L3935	$211.53
L3956	AAC+ 50%
L3960	$751.31
L3961	$1,403.42
L3962	$823.14
L3967	$1,899.46
L3971	$1,803.04
L3973	$1,899.46
L3975	$1,608.80
L3976	$1,608.80
L3977	$1,803.04
L3978	$1,899.46
L3980	$354.67
L3981	$840.80
L3982	$373.81
L3984	$371.86
L3995	$37.52
L3999 U1	AAC + 40%
L3999 U2	AAC + 50%
L3999 U3	AAC + 70%
L4000	$1,540.53
L4002	AAC + 70%
L4010	$676.46
L4020	$876.97
L4030	$508.91
L4040	$450.48
L4045	$440.86
L4050	$506.83
L4055	$359.29
L4060	$335.50
L4070	$317.57
L4080	$135.94
L4090	$105.90
L4100	$118.99
L4110	$102.27
L4130	$500.08
L4205	$22.86
L4210	AAC + 70%
L4350	$91.31
L4360	$324.62
L4361	$324.62
L4370	$221.33
L4386	$145.51
L4387	$125.56
L4392	$22.55
L4394	$16.47
L4396	$160.91
L4397	$138.85
L4398	$74.08
L4631	$1,725.88
L5000	$542.58
L5010	$1,315.14
L5020	$2,237.48
L5050	$2,925.61
L5060	$2,966.02
L5100	$2,999.95
L5105	$4,569.22
L5150	$3,857.52
L5160	$4,523.68
L5200	$4,498.53
L5210	$2,832.68
L5220	$3,040.23
L5230	$4,286.17
L5250	$5,983.14
L5270	$6,423.67
L5280	$6,434.58
L5301	$2,634.23
L5312	$3,542.14
L5321	$3,716.15
L5331	$5,537.58
L5341	$5,427.27
L5400	$1,292.43
L5410	$493.53
L5420	$1,632.29
L5430	$565.38
L5450	$437.49
L5460	$643.25
L5500	$1,570.76
L5505	$2,198.75
L5510	$1,958.30
L5520	$2,051.00
L5530	$2,235.01
L5535	$2,033.91
L5540	$2,216.92
L5560	$2,111.42
L5570	$2,546.41
L5580	$2,640.91
L5585	$2,578.76
L5590	$2,978.07
L5595	$5,310.67
L5600	$6,279.68
L5610	$2,656.61
L5611	$2,306.91
L5613	$3,508.95
L5614	$1,778.94
L5616	$1,646.51
L5617	$619.62
L5618	$402.69
L5620	$398.07
L5622	$485.27
L5624	$520.54
L5626	$619.91
L5628	$587.35
L5629	$455.03
L5630	$548.80
L5631	$629.11
L5632	$271.76
L5634	$424.99
L5636	$364.82
L5637	$357.17
L5638	$522.60
L5639	$1,605.32
L5640	$686.66
L5642	$665.33
L5643	$2,228.54
L5644	$832.28
L5645	$954.27
L5646	$784.51
L5647	$1,138.96
L5648	$707.00
L5649	$2,044.57
L5650	$524.25
L5651	$1,719.50
L5652	$578.50
L5653	$654.48
L5654	$474.86
L5655	$338.99
L5656	$402.21
L5658	$454.03
L5661	$871.33
L5665	$733.12
L5666	$91.75
L5668	$133.04
L5670	$309.50
L5671	$534.16
L5672	$376.50
L5673	$847.18
L5676	$509.74
L5677	$705.96
L5678	$42.64
L5679	$705.96
L5680	$371.06
L5681	$1,386.70
L5682	$895.44
L5683	$1,386.70
L5684	$64.74
L5685	$135.03
L5686	$64.67
L5688	$76.25
L5690	$140.11
L5692	$168.76
L5694	$259.76
L5695	$197.17
L5696	$254.62
L5697	$114.94
L5698	$129.02
L5699	$259.02
L5700	$3,129.15
L5701	$3,881.97
L5702	$4,892.64
L5703	$2,538.85
L5704	$638.04
L5705	$1,169.72
L5706	$1,140.92
L5707	$1,532.83
L5710	$436.08
L5711	$731.56
L5712	$581.28
L5714	$523.34
L5716	$940.24
L5718	$1,129.38
L5722	$1,059.62
L5724	$1,949.13
L5726	$2,421.29
L5728	$3,407.01
L5780	$1,310.33
L5781	$4,218.07
L5782	$4,446.79
L5785	$743.91
L5790	$1,029.51
L5795	$1,537.32
L5810	$697.09
L5811	$1,044.25
L5812	$789.97
L5814	$3,915.16
L5816	$984.77
L5818	$1,375.00
L5822	$2,438.25
L5824	$1,913.41
L5826	$3,348.20
L5828	$4,043.36
L5830	$2,716.93
L5840	$3,978.32
L5845	$1,889.54
L5848	$1,133.62
L5850	$137.37
L5855	$331.64
L5856	$25,595.62
L5857	$9,268.37
L5858	$19,592.72
L5859	$11,514.22
L5910	$518.57
L5920	$759.72
L5925	$360.83
L5930	$3,727.46
L5940	$538.66
L5950	$1,049.03
L5960	$1,153.87
L5961	$4,901.22
L5962	$631.21
L5964	$1,143.58
L5966	$1,473.11
L5968	$3,830.93
L5969	$14,203.36
L5970	$290.79
L5971	$290.79
L5972	$441.17
L5973	$18,495.80
L5974	$326.25
L5975	$488.72
L5976	$737.86
L5978	$398.85
L5979	$2,543.48
L5980	$4,674.05
L5981	$3,480.96
L5982	$824.28
L5984	$743.36
L5985	$312.71
L5986	$696.57
L5987	$7,583.69
L5988	$2,106.01
L5990	$1,912.58
L5991	$7,761.83
L5999 U1	AAC + 40%
L5999 U2	AAC + 50%
L5999 U3	AAC + 70%
L6000	$1,426.84
L6010	$1,587.83
L6020	$1,480.40
L6026	$4,543.03
L6050	$2,259.92
L6055	$3,567.70
L6100	$2,274.11
L6110	$2,270.25
L6120	$2,868.95
L6130	$3,117.94
L6200	$3,569.39
L6205	$4,947.99
L6250	$2,958.43
L6300	$5,331.17
L6310	$3,258.75
L6320	$1,843.60
L6350	$4,206.25
L6360	$3,420.45
L6370	$2,249.89
L6380	$1,259.88
L6382	$1,641.98
L6384	$2,047.44
L6386	$485.69
L6388	$629.46
L6400	$2,491.79
L6450	$4,335.92
L6500	$3,737.44
L6550	$4,395.15
L6570	$5,969.55
L6580	$1,741.88
L6582	$1,541.44
L6584	$2,549.35
L6586	$2,228.51
L6588	$3,748.15
L6590	$3,309.05
L6600	$201.43
L6605	$198.89
L6610	$178.79
L6611	$434.06
L6615	$186.55
L6616	$67.25
L6620	$345.95
L6621	$2,411.30
L6623	$757.48
L6624	$3,970.28
L6625	$761.51
L6628	$610.86
L6629	$162.24
L6630	$308.58
L6632	$74.98
L6635	$193.52
L6637	$525.75
L6638	$2,636.31
L6640	$300.80
L6641	$204.17
L6642	$285.60
L6645	$342.81
L6646	$3,324.98
L6647	$547.38
L6648	$3,429.23
L6650	$396.37
L6655	$88.28
L6660	$125.04
L6665	$60.14
L6670	$54.99
L6672	$181.07
L6675	$171.95
L6676	$136.22
L6677	$312.73
L6680	$253.53
L6682	$308.50
L6684	$461.37
L6686	$845.30
L6687	$619.41
L6688	$601.20
L6689	$739.37
L6690	$775.42
L6691	$494.24
L6692	$668.72
L6693	$2,992.91
L6694	$847.18
L6695	$705.96
L6696	$1,386.70
L6697	$1,386.70
L6698	$534.16
L6703	$415.51
L6704	$628.90
L6706	$429.50
L6707	$1,546.96
L6708	$930.54
L6709	$1,301.03
L6711	$618.27
L6712	$1,138.37
L6713	$1,436.76
L6714	$1,216.91
L6715	$3,328.28
L6721	$2,162.92
L6722	$1,864.61
L6805	$388.31
L6810	$200.51
L6880	$25,187.74
L6881	$4,309.88
L6882	$3,269.24
L6883	$1,704.09
L6884	$2,418.11
L6885	$3,420.45
L6890	$176.19
L6895	$799.51
L6900	$1,622.04
L6905	$1,576.66
L6910	$1,535.99
L6915	$721.72
L6920	$8,190.34
L6925	$9,522.22
L6930	$7,985.51
L6935	$9,296.88
L6940	$10,192.40
L6945	$11,601.32
L6950	$10,716.32
L6955	$12,974.04
L6960	$14,300.88
L6965	$16,853.00
L6970	$17,960.63
L6975	$20,243.74
L7007	$3,893.14
L7008	$6,578.20
L7009	$4,081.25
L7040	$3,120.07
L7045	$1,735.72
L7170	$6,357.81
L7180	$40,421.00
L7181	$42,240.23
L7185	$6,622.39
L7186	$10,450.86
L7190	$8,875.04
L7191	$11,002.10
L7259	$4,528.70
L7360	$289.11
L7362	$298.81
L7364	$540.69
L7366	$736.07
L7367	$410.43
L7368	$532.05
L7400	$323.11
L7401	$361.72
L7402	$390.64
L7403	$388.21
L7404	$585.96
L7405	$766.34
L7499 U1	AAC + 40%
L7499 U2	AAC + 50%
L7499 U3	AAC + 70%
L7510	AAC + 70%
L7520	$31.88
L7600	AAC + 70%
L7700	$117.41
L7900	$557.55
L7902	AAC + 70%
L8000	$34.83
L8001	$115.37
L8002	$151.71
L8010	$57.99
L8015	$55.13
L8020	$187.93
L8030	$340.04
L8031	$340.04
L8032	$31.09
L8033	AAC + 70%
L8035	$3,862.24
L8039	AAC + 50%
L8300	$79.02
L8310	$124.76
L8320	$66.32
L8330	$61.66
L8400	$16.79
L8410	$25.87
L8415	$26.77
L8417	$69.06
L8420	$19.48
L8430	$22.81
L8435	$25.42
L8440	$44.06
L8460	$71.83
L8465	$55.04
L8470	$6.25
L8480	$10.92
L8485	$10.95
L8499 U1	AAC + 40%
L8499 U2	AAC + 50%
L8499 U3	AAC + 70%
L8600	$590.06
L8603	$353.98
L8604	AAC + 40%
L8605	$568.39
L8606	$173.97
L8609	$5,991.81
L8610	$548.31
L8612	$672.13
L8613	$292.68
L8614	$17,935.61
L8701	AAC + 70%
L8702	AAC + 70%
S1040	$1,848.89

101 CMR, § 334.03

Amended by Mass Register Issue 1381, eff. 12/28/2018.

Amended by Mass Register Issue 1383, eff. 12/28/2018.

Amended by Mass Register Issue 1518, eff. 4/1/2024.