Rate Benchmarking
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See a sample rate comparisonRevenue Code (RC) 0431 Fee Schedule
Revenue Code (RC) 0431 is classified under Occupational Therapy.
Visit charge
| Key Fact | Detail |
|---|---|
| Service Type | Occupational Therapy |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0431 by major payers:
$447.84
BCBS / Anthem
$84.32
UnitedHealthcare
$215.63
Aetna
$132.03
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for RC 0431.
RC 0431
5 of 25 sample ratesHigher to lower in this preview
Children'S Hospital
Childrens Hospital Inc
$155.00Published rateSurgical Specialty Center Of Baton Rouge, LLC, Surgical Specialty Center Of Baton Rouge
Surgical Specialty Center Of Baton Rouge, LLC
$97.00Published rateLife Care Centers Of America, Inc., Life Care Center Of Winter Haven
Life Care Centers Of America, Inc.
$65.00Published rateOaks Of Kissimmee Operations LLC, Kissimmee Health And Rehabilitation Center
Oaks Of Kissimmee Operations LLC
$65.00Published rateAcadia-St. Landry Hospital Service District, Acadia-St. Landry Hospital
$60.00Published rate
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Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
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See a sample payer proposalRevenue Code 0431 vs. Other Occupational Therapy Codes
The table lists codes related to 0431. 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 0431. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0431 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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