Rate Benchmarking
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See a sample rate comparisonRevenue Code (RC) 0423 Fee Schedule
Revenue Code (RC) 0423 is classified under Physical Therapy.
Group rate
| Key Fact | Detail |
|---|---|
| Service Type | Physical Therapy |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0423 by major payers:
$520.49
BCBS / Anthem
$80.71
UnitedHealthcare
$217.35
Aetna
$130.15
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for RC 0423.
RC 0423
5 of 25 sample ratesHigher to lower in this preview
Inova Health Care Services, Inova Mount Vernon Hospital
Inova Health Care Services
$426.00Published rateResolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
$214.00Published rateOpelousas General Hospital Authority
$131.00Published rateCovenant Medical Center
$116.00Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$50.00Published rate
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Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalRevenue Code 0423 vs. Other Physical Therapy Codes
The table lists codes related to 0423. Select one to see its fee schedule.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0423. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0423 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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