HCPCS R0070 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Diagnostic Radiology Services |
| Complexity Level | Low |
National average reimbursement for HCPCS R0070 by major payers:
$154.32
$210.23
$78.52
$129.39
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS R0070 | ||||||
United | R0070 | $257.48 | 1578879656 - ROPER SAINT FRANCIS PHYSICIANS NETWORK, ROPER ST. FRANCIS PHYSICIAN PARTNERS PULMONARY AND CRITICAL CARE | 262946628 - ROPER SAINT FRANCIS PHYSICIANS NETWORK | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $171.00 | 1316929102 - BARRY SIGAL | 561330897 - (NC) SPECTRUM MEDICAL GROUP, P. A. | NC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $314.69 | 1417444340 - JOHN MICHAEL SWEETNAM | 582540874 | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $331.51 | 1467898767 - TODD GANDY | 561398929 | NC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $127.15 | 1568429223 - THOMAS CHANDLER | 472541656 - (SC) IPCCSM, PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $126.68 | 1376696898 - GEORGE AUGUSTINE | 582404034 - (SC) ORANGEBURG LUNG ASSOCIATES, P.A. | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $159.41 | 1093592644 - ANSIBLE HEALTH MEDICAL GROUP PA | 883238466 | MO | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $143.02 | 1093592644 - ANSIBLE HEALTH MEDICAL GROUP PA | 883238466 | OR | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $214.67 | 1427143064 - TRENT MCCAIN | 571004971 - PRISMA HEALTH-UNIVERSITY MEDICAL GROUP | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $164.55 | 1194834275 - JOHN CORTINA | 262546097 - MARY WASHINGTON HEALTHCARE PHYSICIANS | FL | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $628.75 | 1407204233 - THOMAS WHITTON | 411806657 - (MN) CENTRACARE CLINIC | KS | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $374.67 | 1124005897 - CAROL YOUNG | 861441258 | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $214.67 | 1073626073 - AZIM SURKA | 571004971 - PRISMA HEALTH-UNIVERSITY MEDICAL GROUP | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $179.35 | 1669437257 - JOSEPH BOSCIA | 825493121 - (SC) PRIMARY CARE OF UNION PC | SC | Pulmonary Disease Physician (207RP1001X) |
United | R0070 | $158.24 | 1346534773 - AMI VAIDYA | 363167726 - (IL) RIVERSIDE HEALTH SYSTEM | SC | Pulmonary Disease Physician (207RP1001X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS R0070 vs. Other Diagnostic Radiology Services Codes
The HCPCS R0070 code is part of the Diagnostic Radiology Services services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS R0070 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| R0070-HCPCS | Low | Transportation of portable X-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
| R0075-HCPCS | Low | Transportation of portable X-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS R0070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the R0070 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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