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Payer Rates and Charges

Reasonable Charges Data Table (Outpatient and Professional) Version V3.14 dtd 01/01/14

Reasonable Charges Data Tables, V3.14, dtd 01/01/14
Table Table Name
C Observation Care Facility Nationwide Base and Hourly Charges
D Partial Hospitalization Facility Nationwide Per Diem Charge
E Ambulance and Other Emergency Transportation Charges by HCPCS Code
F Outpatient Facility Nationwide Charges by CPT/HCPCS Code
G Physician and Other Professional Services Relative Value Units (RVUs) by CPT/HCPCS Code
H Professional Anesthesia Nationwide Base Units by CPT Code
I Outpatient Dental Professional Nationwide Charges by HCPCS Code
J Pathology and Laboratory Services Relative Value Unites (RVUs)
K Durable Medical Equipment, Supplies, Vision, and Hearing Hardware Nationwide Charges by HCPCS Code
L Professional Services Value Unit (RVU) and Conversion Factor Geographic Area Adjustment Factors (GAAFs) by Zip Code
M Charge Adjustment Factors for Professional Services Charge Modifiers
N Acute Inpatient Facility Charges Geographic
O Skilled Nursing Facility/Sub-Acute Inpatient Facility Charges Geographic Area Adjustment Factors (GAAFS) By Zip Code
p Outpatient Facility Charges Geographic Area Adjustment Factors (GAAFs) by Zip Code
Q Durable Medical Equipment, Supplies, Vision and Hearing Hardware Charges Geographic Area Adjustment Factors (GAAFs) by Zip Code
R Outpatient Dental Professional charges Geographic Area Adjustment Factors (GAAFs) by Zip Code
S Professional Services Conversion Factors

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