Quarterly Physician Drug Code and Rate Update: QTR 3, CR 133662

In alignment with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate update, we retroactively updated the Physician Drug Rates to July 1, 2025. We implemented these new rates for billing on August 13, 2025. 

You can find the updated rates on the Rate Setting page of the Health PAS Online Portal.  

Adjustment of Claims 

We will reprocess claims submitted at or above the new rates, for dates of service July 1, 2025, through August 12, 2025. No provider action is needed.   

For questions, please contact your Provider Relations Specialist.