Forum - Questions & Answers

Oct 18th, 2010 - dsharma83

average charges for 99201-99204

What are the average charges for outpatient codes between 99201-99204? I understand that it varies with geographical location etc., but is there a guide for how much one can charge based on those codes?

Oct 19th, 2010 - afzal.zee 19 

average charges for 99201-99205

You may charge as below or follow the Medicare fee schedule as per your area
99201 100
99202 150
99203 200
99204 250
99205 300

Oct 19th, 2010 -

Technically

One can charge as much as one wants to charge. No one pays retail price in medicine. Prices are set by insurers in a basically one-sided process unless you are a large group with sizable market share. And we are not allowed to share charges as that is considered price fixing and a federal crime.

Oct 19th, 2010 - rmscudera01 1 

Average Charges

Many physicians offices set their fee schedule according to the Medicare fee schedue. In the offices I have managed we have set the standard fee anywhere from 125 to 150% of the current Medicare fee schedule.

Oct 21st, 2010 - Codapedia Editor 1,399 

average charges

go to mitsi.org and you will find data about charges based on national CMS data.



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