(Claims) Can I see what TRICARE allows as reimbursement for the CPT® codes I use?
You may visit the Defense Health Agency's website for current TRICARE allowable charges, also referred to as CHAMPUS Maximum Allowable Charges (CMAC).
Non-participating TRICARE non-network providers can bill up to 115 percent of the CMAC.
CPT is a registered trademark of the American Medical Association. All rights reserved.