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See a sample rate comparisonRevenue Code (RC) 0874 Fee Schedule
Revenue Code (RC) 0874 is classified under Cell/Gene Therapy.
Infusion of Modified Cells (Effective 4/1/19)
| Key Fact | Detail |
|---|---|
| Service Type | Cell/Gene Therapy |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0874 by major payers:
$686.90
BCBS / Anthem
$129.40
UnitedHealthcare
$472.50
Aetna
$1,395.33
Cigna
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RC 0874
1 of 1 sample ratesHigher to lower in this preview
Acadia-St. Landry Hospital Service District, Acadia-St. Landry Hospital
$225.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0874 vs. Other Cell/Gene Therapy Codes
The table lists codes related to 0874. 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 0874. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0874 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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