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Revenue Code (RC) 0424 Fee Schedule

Revenue Code (RC) 0424 is classified under Physical Therapy.

Evaluation or reevaluation

Key FactDetail
Service Type

Physical Therapy

Complexity LevelModerate

National average reimbursement for Revenue Code 0424 by major payers:

BCBS / Anthem logo

$500.85

BCBS / Anthem

UnitedHealthcare logo

$80.76

UnitedHealthcare

Aetna logo

$216.68

Aetna

Cigna logo

$132.05

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for RC 0424.

RC 0424
5 of 25 sample ratesHigher to lower in this preview
  1. Inova Health Care Services, Inova Loudoun Hospital

    Inova Health Care Services

    VAGeneral Acute Care HospitalNPI 1376564302Tax ID 54-0620889

    $426.00Published rate
  2. Clhg-Leesville, Byrd Regional Hospital

    LAGeneral Acute Care HospitalNPI 1881665164Tax ID 82-4337635

    $200.00Published rate
  3. University Healthcare System, L.C., Tulane Lakeside Hospital

    LAGeneral Acute Care HospitalNPI 1497792527Tax ID 62-1596506

    $130.00Published rate
  4. Maricopa County Special Health Care District, Valleywise Health

    AZGeneral Acute Care HospitalNPI 1073576740Tax ID 86-0830701

    $125.00Published rate
  5. Crosbyton Clinic Hospital

    TXRural Acute Care HospitalNPI 1063500270Tax ID 75-0711276

    $40.00Published rate

National sample. Rates vary by location, specialty, and contract.

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Payer Contract Negotiation

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Revenue Code 0424 vs. Other Physical Therapy Codes

The table lists codes related to 0424. Select one to see its fee schedule.

CodeComplexityDescription
0423-RCModerateGroup rate
0424-RCModerateEvaluation or reevaluation
0425-RCModeratePhysical Therapy

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0424. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0424 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.

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