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TRICARE Allowable Charges

PRO TIP

If you know the procedure code for the information you are seeking use one of our rate providers to isolate your search.

On this page you will find the CHAMPUS Maximum Allowable Charges (CMAC) for the most frequently used procedures or services. These charges are the maximum amounts TRICARE is allowed to pay for each procedure or service and are tied by law to Medicare's allowable charges.

We are providing this information so that you may be aware of what TRICARE is currently allowed to pay for various medical procedures or services before you see a provider. These amounts do not reflect TRICARE Beneficiary out of pocket cost shares, co-payments, deductibles, or payments made by any other Health Plan Coverages.

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Step 1 - Identify the Locality

Procedure pricing is calculated based on locality. Enter a ZIP Code, select a State, or specify a Foreign Country.

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DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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