2011 Patient Price List for Limited Coverage Tests

Note: Patients may be responsible for the test/charges below should Medicare deny payment for services.

If Medicare denies payment for any of the listed limited coverage tests, you may want to appeal the denial.  Please follow the appeal process directions printed on the Notice of Medicare Claim Determination (or denial) you received in the mail OR follow the simplified steps listed below:

1. Write a statement on the Notice such as AI would like to appeal this claim determination.
2. Mail the Notice back to:         
   Medicare Medical Director
   Palmetto Government Benefits Administrators
   PO Box 100190
   Columbia, SC 29202-3190

If Medicare does not reverse the appeal, then you are responsible for payment of the test(s) when billed by MUSC Laboratory Services.

Thank you for using MUSC Laboratory Services.