ARIZONA PHYSICIANS' FEE SCHEDULE Anesthesia Codes 2021

Code CategoryMPFS Basic

Unit RBRVS Rate00100 Anesthesia 5 $ 305.00

00102 Anesthesia 6 $ 366.00

00103 Anesthesia 5 $ 305.00

00104 Anesthesia 4 $ 244.00

00120 Anesthesia 5 $ 305.00

00124 Anesthesia 4 $ 244.00

00126 Anesthesia 4 $ 244.00

00140 Anesthesia 5 $ 305.00

00142 Anesthesia 4 $ 244.00

00144 Anesthesia 6 $ 366.00

00145 Anesthesia 6 $ 366.00

00147 Anesthesia 4 $ 244.00

00148 Anesthesia 4 $ 244.00

00160 Anesthesia 5 $ 305.00

00162 Anesthesia 7 $ 427.00

00164 Anesthesia 4 $ 244.00

00170 Anesthesia 5 $ 305.00

00172 Anesthesia 6 $ 366.00

00174 Anesthesia 6 $ 366.00

00176 Anesthesia 7 $ 427.00

00190 Anesthesia 5 $ 305.00

00192 Anesthesia 7 $ 427.00

00210 Anesthesia 11 $ 671.00

00211 Anesthesia 10 $ 610.00

00212 Anesthesia 5 $ 305.00

00214 Anesthesia 9 $ 549.00

00215 Anesthesia 9 $ 549.00

00216 Anesthesia 15 $ 915.00

00218 Anesthesia 13 $ 793.00

00220 Anesthesia 10 $ 610.00

00222 Anesthesia 6 $ 366.00

00300 Anesthesia 5 $ 305.00

00320 Anesthesia 6 $ 366.00

00322 Anesthesia 3 $ 183.00

00326 Anesthesia 7 $ 427.00

00350 Anesthesia 10 $ 610.00

00352 Anesthesia 5 $ 305.00

00400 Anesthesia 3 $ 183.00

00402 Anesthesia 5 $ 305.00

00404 Anesthesia 5 $ 305.00

00406 Anesthesia 13 $ 793.00

00410 Anesthesia 4 $ 244.00

00450 Anesthesia 5 $ 305.00

00454 Anesthesia 3 $ 183.00

00470 Anesthesia 6 $ 366.00

00472 Anesthesia 10 $ 610.00

00474 Anesthesia 13 $ 793.00

00500 Anesthesia 15 $ 915.00

00520 Anesthesia 6 $ 366.00

00522 Anesthesia 4 $ 244.00

00524 Anesthesia 4 $ 244.00

00528 Anesthesia 8 $ 488.00

00529 Anesthesia 11 $ 671.00

00530 Anesthesia 4 $ 244.00

00532 Anesthesia 4 $ 244.00

ARIZONA PHYSICIANS' FEE SCHEDULEAnesthesia Codes 2021

Anesthesia Conversion Factor $61.00

PROPOSAL

1



00537 Anesthesia 7 $ 427.00

00539 Anesthesia 18 $ 1,098.00

00540 Anesthesia 12 $ 732.00

00541 Anesthesia 15 $ 915.00

00542 Anesthesia 15 $ 915.00

00546 Anesthesia 15 $ 915.00

00548 Anesthesia 17 $ 1,037.00

00550 Anesthesia 10 $ 610.00

00560 Anesthesia 15 $ 915.00

00561 Anesthesia 25 $ 1,525.00

00562 Anesthesia 20 $ 1,220.00

00563 Anesthesia 25 $ 1,525.00

00566 Anesthesia 25 $ 1,525.00

00567 Anesthesia 18 $ 1,098.00

00580 Anesthesia 20 $ 1,220.00

00600 Anesthesia 10 $ 610.00

00604 Anesthesia 13 $ 793.00

00620 Anesthesia 10 $ 610.00

00625 Anesthesia 13 $ 793.00

00626 Anesthesia 15 $ 915.00

00630 Anesthesia 8 $ 488.00

00632 Anesthesia 7 $ 427.00

00635 Anesthesia 4 $ 244.00

00640 Anesthesia 3 $ 183.00

00670 Anesthesia 13 $ 793.00

00700 Anesthesia 4 $ 244.00

00702 Anesthesia 4 $ 244.00

00730 Anesthesia 5 $ 305.00

00731 Anesthesia 5 $ 305.00

00732 Anesthesia 6 $ 366.00

00750 Anesthesia 4 $ 244.00

00752 Anesthesia 6 $ 366.00

00754 Anesthesia 7 $ 427.00

00756 Anesthesia 7 $ 427.00

00770 Anesthesia 15 $ 915.00

00790 Anesthesia 7 $ 427.00

00792 Anesthesia 13 $ 793.00

00794 Anesthesia 8 $ 488.00

00796 Anesthesia 30 $ 1,830.00

00797 Anesthesia 11 $ 671.00

00800 Anesthesia 4 $ 244.00

00802 Anesthesia 5 $ 305.00

00811 Anesthesia 4 $ 244.00

0812 Anesthesia 3 $ 183.00

00813 Anesthesia 5 $ 305.00

00820 Anesthesia 5 $ 305.00

00830 Anesthesia 4 $ 244.00

00832 Anesthesia 6 $ 366.00

00834 Anesthesia 5 $ 305.00

00836 Anesthesia 6 $ 366.00

00840 Anesthesia 6 $ 366.00

00842 Anesthesia 4 $ 244.00

00844 Anesthesia 7 $ 427.00

00846 Anesthesia 8 $ 488.00

00848 Anesthesia 8 $ 488.00

00851 Anesthesia 6 $ 366.00

00860 Anesthesia 6 $ 366.00

00862 Anesthesia 7 $ 427.00

PROPOSAL

2



00865 Anesthesia 7 $ 427.00

00866 Anesthesia 10 $ 610.00

00868 Anesthesia 10 $ 610.00

00870 Anesthesia 5 $ 305.00

00872 Anesthesia 7 $ 427.00

00873 Anesthesia 5 $ 305.00

00880 Anesthesia 15 $ 915.00

00882 Anesthesia 10 $ 610.00

00902 Anesthesia 5 $ 305.00

00904 Anesthesia 7 $ 427.00

00906 Anesthesia 4 $ 244.00

00908 Anesthesia 6 $ 366.00

00910 Anesthesia 3 $ 183.00

00912 Anesthesia 5 $ 305.00

00914 Anesthesia 5 $ 305.00

00916 Anesthesia 5 $ 305.00

00918 Anesthesia 5 $ 305.00

00920 Anesthesia 3 $ 183.00

00921 Anesthesia 3 $ 183.00

00922 Anesthesia 6 $ 366.00

00924 Anesthesia 4 $ 244.00

00926 Anesthesia 4 $ 244.00

00928 Anesthesia 6 $ 366.00

00930 Anesthesia 4 $ 244.00

00932 Anesthesia 4 $ 244.00

00934 Anesthesia 6 $ 366.00

00936 Anesthesia 8 $ 488.00

00938 Anesthesia 4 $ 244.00

00940 Anesthesia 3 $ 183.00

00942 Anesthesia 4 $ 244.00

00944 Anesthesia 6 $ 366.00

00948 Anesthesia 4 $ 244.00

00950 Anesthesia 5 $ 305.00

00952 Anesthesia 4 $ 244.00

01112 Anesthesia 5 $ 305.00

01120 Anesthesia 6 $ 366.00

01130 Anesthesia 3 $ 183.00

01140 Anesthesia 15 $ 915.00

01150 Anesthesia 10 $ 610.00

01160 Anesthesia 4 $ 244.00

01170 Anesthesia 8 $ 488.00

01173 Anesthesia 12 $ 732.00

01200 Anesthesia 4 $ 244.00

01202 Anesthesia 4 $ 244.00

01210 Anesthesia 6 $ 366.00

01212 Anesthesia 10 $ 610.00

01214 Anesthesia 8 $ 488.00

01215 Anesthesia 10 $ 610.00

01220 Anesthesia 4 $ 244.00

01230 Anesthesia 6 $ 366.00

01232 Anesthesia 5 $ 305.00

01234 Anesthesia 8 $ 488.00

01250 Anesthesia 4 $ 244.00

01260 Anesthesia 3 $ 183.00

01270 Anesthesia 8 $ 488.00

01272 Anesthesia 4 $ 244.00

01274 Anesthesia 6 $ 366.00

01320 Anesthesia 4 $ 244.00

PROPOSAL

3



01360 Anesthesia 5 $ 305.00

01380 Anesthesia 3 $ 183.00

01382 Anesthesia 3 $ 183.00

01390 Anesthesia 3 $ 183.00

01392 Anesthesia 4 $ 244.00

01400 Anesthesia 4 $ 244.00

01402 Anesthesia 7 $ 427.00

01404 Anesthesia 5 $ 305.00

01420 Anesthesia 3 $ 183.00

01430 Anesthesia 3 $ 183.00

01432 Anesthesia 6 $ 366.00

01440 Anesthesia 8 $ 488.00

01442 Anesthesia 8 $ 488.00

01444 Anesthesia 8 $ 488.00

01462 Anesthesia 3 $ 183.00

01464 Anesthesia 3 $ 183.00

01470 Anesthesia 3 $ 183.00

01472 Anesthesia 5 $ 305.00

01474 Anesthesia 5 $ 305.00

01480 Anesthesia 3 $ 183.00

01482 Anesthesia 4 $ 244.00

01484 Anesthesia 4 $ 244.00

01486 Anesthesia 7 $ 427.00

01490 Anesthesia 3 $ 183.00

01500 Anesthesia 8 $ 488.00

01502 Anesthesia 6 $ 366.00

01520 Anesthesia 3 $ 183.00

01522 Anesthesia 5 $ 305.00

01610 Anesthesia 5 $ 305.00

01620 Anesthesia 4 $ 244.00

01622 Anesthesia 4 $ 244.00

01630 Anesthesia 5 $ 305.00

01634 Anesthesia 9 $ 549.00

01636 Anesthesia 15 $ 915.00

01638 Anesthesia 10 $ 610.00

01650 Anesthesia 6 $ 366.00

01652 Anesthesia 10 $ 610.00

01654 Anesthesia 8 $ 488.00

01656 Anesthesia 10 $ 610.00

01670 Anesthesia 4 $ 244.00

01680 Anesthesia 3 $ 183.00

01710 Anesthesia 3 $ 183.00

01712 Anesthesia 5 $ 305.00

01714 Anesthesia 5 $ 305.00

01716 Anesthesia 5 $ 305.00

01730 Anesthesia 3 $ 183.00

01732 Anesthesia 3 $ 183.00

01740 Anesthesia 4 $ 244.00

01742 Anesthesia 5 $ 305.00

01744 Anesthesia 5 $ 305.00

01756 Anesthesia 6 $ 366.00

01758 Anesthesia 5 $ 305.00

01760 Anesthesia 7 $ 427.00

01770 Anesthesia 6 $ 366.00

01772 Anesthesia 6 $ 366.00

01780 Anesthesia 3 $ 183.00

01782 Anesthesia 4 $ 244.00

01810 Anesthesia 3 $ 183.00

PROPOSAL

4



01829 Anesthesia 3 $ 183.00

01830 Anesthesia 3 $ 183.00

01832 Anesthesia 6 $ 366.00

01840 Anesthesia 6 $ 366.00

01842 Anesthesia 6 $ 366.00

01844 Anesthesia 6 $ 366.00

01850 Anesthesia 3 $ 183.00

01852 Anesthesia 4 $ 244.00

01860 Anesthesia 3 $ 183.00

01916 Anesthesia 5 $ 305.00

01920 Anesthesia 7 $ 427.00

01922 Anesthesia 7 $ 427.00

01924 Anesthesia 5 $ 305.00

01925 Anesthesia 7 $ 427.00

01926 Anesthesia 8 $ 488.00

01930 Anesthesia 5 $ 305.00

01931 Anesthesia 7 $ 427.00

01932 Anesthesia 6 $ 366.00

01933 Anesthesia 7 $ 427.00

01935 Anesthesia 5 $ 305.00

01936 Anesthesia 5 $ 305.00

01951 Anesthesia 3 $ 183.00

01952 Anesthesia 5 $ 305.00

01953 Anesthesia 1 $ 61.00

01958 Anesthesia 5 $ 305.00

01960 Anesthesia 5 $ 305.00

01961 Anesthesia 7 $ 427.00

01962 Anesthesia 8 $ 488.00

01963 Anesthesia 8 $ 488.00

01965 Anesthesia 4 $ 244.00

01966 Anesthesia 4 $ 244.00

01967 Anesthesia 5 $ 305.00

01968 Anesthesia 2 $ 122.00

01969 Anesthesia 5 $ 305.00

01990 Anesthesia 7 $ 427.00

01991 Anesthesia 3 $ 183.00

01992 Anesthesia 5 $ 305.00

01996 Anesthesia 3 $ 183.00

01999 Anesthesia 0 BR

99100 Anesthesia 1 $ 61.00

99116 Anesthesia 5 $ 305.00

99135 Anesthesia 5 $ 305.00

99140 Anesthesia 2 $ 122.00

PROPOSAL

5

Code CategoryFY21 NF

RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate10004 00 Surgery 1.50 1.25 105.00$ 87.50$ 10005 00 Surgery 3.99 2.11 279.30$ 147.70$ 10006 00 Surgery 1.77 1.47 123.90$ 102.90$ 10007 00 Surgery 9.06 2.67 634.20$ 186.90$ 10008 00 Surgery 4.81 1.70 336.70$ 119.00$ 10009 00 Surgery 13.91 3.25 973.70$ 227.50$ 10010 00 Surgery 8.22 2.36 575.40$ 165.20$ 10011 00 Surgery - - 709.10$ 709.10$ 10012 00 Surgery - - 402.50$ 402.50$ 10021 00 Surgery 3.02 1.61 211.40$ 112.70$ 10030 00 Surgery 19.53 3.95 1,367.10$ 276.50$ 10035 00 Surgery 12.57 2.46 879.90$ 172.20$ 10036 00 Surgery 10.77 1.25 753.90$ 87.50$ 10040 00 Surgery 3.42 1.52 239.40$ 106.40$ 10060 00 Surgery 3.62 3.01 253.40$ 210.70$ 10061 00 Surgery 6.21 5.33 434.70$ 373.10$ 10080 00 Surgery 7.24 3.06 506.80$ 214.20$ 10081 00 Surgery 10.00 5.06 700.00$ 354.20$ 10120 00 Surgery 4.50 3.04 315.00$ 212.80$ 10121 00 Surgery 7.98 5.40 558.60$ 378.00$ 10140 00 Surgery 5.05 3.46 353.50$ 242.20$ 10160 00 Surgery 3.83 2.77 268.10$ 193.90$ 10180 00 Surgery 7.77 5.22 543.90$ 365.40$ 11000 00 Surgery 1.69 0.81 118.30$ 56.70$ 11001 00 Surgery 0.74 0.42 51.80$ 29.40$ 11004 00 Surgery 16.73 16.73 1,171.10$ 1,171.10$ 11005 00 Surgery 22.84 22.84 1,598.80$ 1,598.80$ 11006 00 Surgery 20.59 20.59 1,441.30$ 1,441.30$ 11008 00 Surgery 8.03 8.03 562.10$ 562.10$ 11010 00 Surgery 13.90 8.03 973.00$ 562.10$ 11011 00 Surgery 15.40 8.74 1,078.00$ 611.80$ 11012 00 Surgery 19.74 12.19 1,381.80$ 853.30$ 11042 00 Surgery 3.82 1.76 267.40$ 123.20$ 11043 00 Surgery 6.90 4.52 483.00$ 316.40$ 11044 00 Surgery 9.16 6.57 641.20$ 459.90$ 11045 00 Surgery 1.21 0.77 84.70$ 53.90$ 11046 00 Surgery 2.17 1.63 151.90$ 114.10$ 11047 00 Surgery 3.58 2.85 250.60$ 199.50$ 11055 00 Surgery 2.05 0.47 143.50$ 32.90$ 11056 00 Surgery 2.35 0.65 164.50$ 45.50$ 11057 00 Surgery 2.58 0.84 180.60$ 58.80$ 11102 00 Surgery 3.05 1.09 213.50$ 76.30$ 11103 00 Surgery 1.55 0.64 108.50$ 44.80$ 11104 00 Surgery 3.82 1.38 267.40$ 96.60$ 11105 00 Surgery 1.79 0.75 125.30$ 52.50$ 11106 00 Surgery 4.67 1.68 326.90$ 117.60$ 11107 00 Surgery 2.14 0.90 149.80$ 63.00$ 11200 00 Surgery 2.63 2.18 184.10$ 152.60$ 11201 00 Surgery 0.54 0.48 37.80$ 33.60$ 11300 00 Surgery 3.03 0.98 212.10$ 68.60$ 11301 00 Surgery 3.66 1.49 256.20$ 104.30$ 11302 00 Surgery 4.18 1.75 292.60$ 122.50$ 11303 00 Surgery 4.60 2.07 322.00$ 144.90$ 11305 00 Surgery 3.18 1.10 222.60$ 77.00$ 11306 00 Surgery 3.68 1.44 257.60$ 100.80$

ARIZONA PHYSICIANS' FEE SCHEDULESurgery Codes 2021

Surgery Conversion Factor $70.00

PROPOSAL

6


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate11307 00 Surgery 4.26 1.85 298.20$ 129.50$ 11308 00 Surgery 4.52 2.10 316.40$ 147.00$ 11310 00 Surgery 3.49 1.33 244.30$ 93.10$ 11311 00 Surgery 4.12 1.84 288.40$ 128.80$ 11312 00 Surgery 4.70 2.17 329.00$ 151.90$ 11313 00 Surgery 5.45 2.79 381.50$ 195.30$ 11400 00 Surgery 3.79 2.42 265.30$ 169.40$ 11401 00 Surgery 4.61 3.05 322.70$ 213.50$ 11402 00 Surgery 5.09 3.36 356.30$ 235.20$ 11403 00 Surgery 5.85 4.31 409.50$ 301.70$ 11404 00 Surgery 6.66 4.76 466.20$ 333.20$ 11406 00 Surgery 9.44 7.24 660.80$ 506.80$ 11420 00 Surgery 3.80 2.39 266.00$ 167.30$ 11421 00 Surgery 4.73 3.17 331.10$ 221.90$ 11422 00 Surgery 5.33 3.93 373.10$ 275.10$ 11423 00 Surgery 6.06 4.52 424.20$ 316.40$ 11424 00 Surgery 6.95 5.16 486.50$ 361.20$ 11426 00 Surgery 9.94 8.00 695.80$ 560.00$ 11440 00 Surgery 4.24 3.03 296.80$ 212.10$ 11441 00 Surgery 5.14 3.82 359.80$ 267.40$ 11442 00 Surgery 5.70 4.22 399.00$ 295.40$ 11443 00 Surgery 6.75 5.18 472.50$ 362.60$ 11444 00 Surgery 8.41 6.58 588.70$ 460.60$ 11446 00 Surgery 11.46 9.37 802.20$ 655.90$ 11450 00 Surgery 12.78 7.60 894.60$ 532.00$ 11451 00 Surgery 15.69 9.66 1,098.30$ 676.20$ 11462 00 Surgery 12.36 7.21 865.20$ 504.70$ 11463 00 Surgery 15.84 9.70 1,108.80$ 679.00$ 11470 00 Surgery 13.44 8.32 940.80$ 582.40$ 11471 00 Surgery 16.21 10.25 1,134.70$ 717.50$ 11600 00 Surgery 5.92 3.56 414.40$ 249.20$ 11601 00 Surgery 6.81 4.31 476.70$ 301.70$ 11602 00 Surgery 7.27 4.68 508.90$ 327.60$ 11603 00 Surgery 8.26 5.59 578.20$ 391.30$ 11604 00 Surgery 9.22 6.19 645.40$ 433.30$ 11606 00 Surgery 13.19 9.23 923.30$ 646.10$ 11620 00 Surgery 5.94 3.58 415.80$ 250.60$ 11621 00 Surgery 6.83 4.32 478.10$ 302.40$ 11622 00 Surgery 7.50 4.89 525.00$ 342.30$ 11623 00 Surgery 8.77 6.08 613.90$ 425.60$ 11624 00 Surgery 9.96 6.90 697.20$ 483.00$ 11626 00 Surgery 12.04 8.52 842.80$ 596.40$ 11640 00 Surgery 6.07 3.67 424.90$ 256.90$ 11641 00 Surgery 7.05 4.50 493.50$ 315.00$ 11642 00 Surgery 7.95 5.27 556.50$ 368.90$ 11643 00 Surgery 9.34 6.61 653.80$ 462.70$ 11644 00 Surgery 11.51 8.22 805.70$ 575.40$ 11646 00 Surgery 14.95 11.40 1,046.50$ 798.00$ 11719 00 Surgery 0.41 0.22 28.70$ 15.40$ 11720 00 Surgery 0.97 0.43 67.90$ 30.10$ 11721 00 Surgery 1.30 0.70 91.00$ 49.00$ 11730 00 Surgery 3.43 1.57 240.10$ 109.90$ 11732 00 Surgery 1.00 0.51 70.00$ 35.70$ 11740 00 Surgery 1.65 0.91 115.50$ 63.70$ 11750 00 Surgery 4.77 2.96 333.90$ 207.20$ 11755 00 Surgery 3.73 1.78 261.10$ 124.60$ 11760 00 Surgery 5.74 3.32 401.80$ 232.40$ 11762 00 Surgery 8.73 5.55 611.10$ 388.50$ 11765 00 Surgery 4.99 2.69 349.30$ 188.30$

PROPOSAL

7


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate11770 00 Surgery 10.35 5.49 724.50$ 384.30$ 11771 00 Surgery 18.59 13.12 1,301.30$ 918.40$ 11772 00 Surgery 22.93 17.29 1,605.10$ 1,210.30$ 11900 00 Surgery 1.65 0.87 115.50$ 60.90$ 11901 00 Surgery 2.06 1.35 144.20$ 94.50$ 11920 00 Surgery 5.69 3.22 398.30$ 225.40$ 11921 00 Surgery 6.46 3.81 452.20$ 266.70$ 11922 00 Surgery 1.77 0.86 123.90$ 60.20$ 11950 00 Surgery 2.35 1.53 164.50$ 107.10$ 11951 00 Surgery 3.14 2.14 219.80$ 149.80$ 11952 00 Surgery 4.21 3.02 294.70$ 211.40$ 11954 00 Surgery 4.63 3.31 324.10$ 231.70$ 11960 00 Surgery 29.95 29.95 2,096.50$ 2,096.50$ 11970 00 Surgery 16.49 16.49 1,154.30$ 1,154.30$ 11971 00 Surgery 16.07 16.07 1,124.90$ 1,124.90$ 11976 00 Surgery 4.27 2.73 298.90$ 191.10$ 11980 00 Surgery 2.78 1.63 194.60$ 114.10$ 11981 00 Surgery 3.05 1.87 213.50$ 130.90$ 11982 00 Surgery 3.44 2.20 240.80$ 154.00$ 11983 00 Surgery 4.26 3.04 298.20$ 212.80$ 12001 00 Surgery 2.76 1.30 193.20$ 91.00$ 12002 00 Surgery 3.34 1.72 233.80$ 120.40$ 12004 00 Surgery 3.88 2.14 271.60$ 149.80$ 12005 00 Surgery 5.19 2.81 363.30$ 196.70$ 12006 00 Surgery 6.06 3.43 424.20$ 240.10$ 12007 00 Surgery 6.90 4.29 483.00$ 300.30$ 12011 00 Surgery 3.34 1.63 233.80$ 114.10$ 12013 00 Surgery 3.47 1.71 242.90$ 119.70$ 12014 00 Surgery 4.24 2.20 296.80$ 154.00$ 12015 00 Surgery 5.10 2.78 357.00$ 194.60$ 12016 00 Surgery 6.49 3.78 454.30$ 264.60$ 12017 00 Surgery 4.49 4.49 314.30$ 314.30$ 12018 00 Surgery 5.09 5.09 356.30$ 356.30$ 12020 00 Surgery 8.92 5.53 624.40$ 387.10$ 12021 00 Surgery 5.16 4.10 361.20$ 287.00$ 12031 00 Surgery 7.79 4.40 545.30$ 308.00$ 12032 00 Surgery 9.06 5.49 634.20$ 384.30$ 12034 00 Surgery 9.91 5.98 693.70$ 418.60$ 12035 00 Surgery 11.72 7.06 820.40$ 494.20$ 12036 00 Surgery 12.93 8.29 905.10$ 580.30$ 12037 00 Surgery 14.47 9.63 1,012.90$ 674.10$ 12041 00 Surgery 7.82 4.22 547.40$ 295.40$ 12042 00 Surgery 9.15 5.68 640.50$ 397.60$ 12044 00 Surgery 11.32 6.21 792.40$ 434.70$ 12045 00 Surgery 12.08 7.87 845.60$ 550.90$ 12046 00 Surgery 15.01 9.33 1,050.70$ 653.10$ 12047 00 Surgery 16.42 10.39 1,149.40$ 727.30$ 12051 00 Surgery 8.37 4.90 585.90$ 343.00$ 12052 00 Surgery 9.31 5.79 651.70$ 405.30$ 12053 00 Surgery 10.88 6.26 761.60$ 438.20$ 12054 00 Surgery 11.49 6.36 804.30$ 445.20$ 12055 00 Surgery 15.01 8.72 1,050.70$ 610.40$ 12056 00 Surgery 17.29 11.27 1,210.30$ 788.90$ 12057 00 Surgery 18.32 12.35 1,282.40$ 864.50$ 13100 00 Surgery 10.24 5.85 716.80$ 409.50$ 13101 00 Surgery 11.94 7.27 835.80$ 508.90$ 13102 00 Surgery 3.52 2.11 246.40$ 147.70$ 13120 00 Surgery 10.64 6.82 744.80$ 477.40$ 13121 00 Surgery 12.77 7.51 893.90$ 525.70$

PROPOSAL

8


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate13122 00 Surgery 3.82 2.42 267.40$ 169.40$ 13131 00 Surgery 11.62 7.06 813.40$ 494.20$ 13132 00 Surgery 14.08 8.79 985.60$ 615.30$ 13133 00 Surgery 5.03 3.67 352.10$ 256.90$ 13151 00 Surgery 12.64 8.11 884.80$ 567.70$ 13152 00 Surgery 14.88 9.78 1,041.60$ 684.60$ 13153 00 Surgery 5.52 4.00 386.40$ 280.00$ 13160 00 Surgery 23.40 23.40 1,638.00$ 1,638.00$ 14000 00 Surgery 18.57 14.56 1,299.90$ 1,019.20$ 14001 00 Surgery 23.66 18.95 1,656.20$ 1,326.50$ 14020 00 Surgery 20.48 16.35 1,433.60$ 1,144.50$ 14021 00 Surgery 25.26 20.51 1,768.20$ 1,435.70$ 14040 00 Surgery 22.14 18.05 1,549.80$ 1,263.50$ 14041 00 Surgery 26.92 22.06 1,884.40$ 1,544.20$ 14060 00 Surgery 22.39 19.20 1,567.30$ 1,344.00$ 14061 00 Surgery 29.00 23.68 2,030.00$ 1,657.60$ 14301 00 Surgery 31.83 25.29 2,228.10$ 1,770.30$ 14302 00 Surgery 6.33 6.33 443.10$ 443.10$ 14350 00 Surgery 19.85 19.85 1,389.50$ 1,389.50$ 15002 00 Surgery 10.45 6.46 731.50$ 452.20$ 15003 00 Surgery 2.12 1.33 148.40$ 93.10$ 15004 00 Surgery 11.83 7.66 828.10$ 536.20$ 15005 00 Surgery 3.54 2.67 247.80$ 186.90$ 15040 00 Surgery 8.03 3.64 562.10$ 254.80$ 15050 00 Surgery 17.62 13.52 1,233.40$ 946.40$ 15100 00 Surgery 25.69 20.94 1,798.30$ 1,465.80$ 15101 00 Surgery 5.67 3.30 396.90$ 231.00$ 15110 00 Surgery 24.24 20.55 1,696.80$ 1,438.50$ 15111 00 Surgery 3.31 2.99 231.70$ 209.30$ 15115 00 Surgery 23.84 20.26 1,668.80$ 1,418.20$ 15116 00 Surgery 4.84 4.41 338.80$ 308.70$ 15120 00 Surgery 24.98 20.16 1,748.60$ 1,411.20$ 15121 00 Surgery 6.35 3.99 444.50$ 279.30$ 15130 00 Surgery 21.41 17.47 1,498.70$ 1,222.90$ 15131 00 Surgery 2.87 2.64 200.90$ 184.80$ 15135 00 Surgery 25.75 22.00 1,802.50$ 1,540.00$ 15136 00 Surgery 2.83 2.64 198.10$ 184.80$ 15150 00 Surgery 21.03 18.88 1,472.10$ 1,321.60$ 15151 00 Surgery 3.50 3.22 245.00$ 225.40$ 15152 00 Surgery 4.32 4.05 302.40$ 283.50$ 15155 00 Surgery 23.56 21.41 1,649.20$ 1,498.70$ 15156 00 Surgery 4.73 4.45 331.10$ 311.50$ 15157 00 Surgery 5.26 4.86 368.20$ 340.20$ 15200 00 Surgery 24.69 19.59 1,728.30$ 1,371.30$ 15201 00 Surgery 4.34 2.27 303.80$ 158.90$ 15220 00 Surgery 22.61 17.72 1,582.70$ 1,240.40$ 15221 00 Surgery 4.00 2.04 280.00$ 142.80$ 15240 00 Surgery 27.23 23.06 1,906.10$ 1,614.20$ 15241 00 Surgery 5.24 3.09 366.80$ 216.30$ 15260 00 Surgery 29.15 24.46 2,040.50$ 1,712.20$ 15261 00 Surgery 6.15 3.99 430.50$ 279.30$ 15271 00 Surgery 4.55 2.45 318.50$ 171.50$ 15272 00 Surgery 0.74 0.50 51.80$ 35.00$ 15273 00 Surgery 9.36 5.81 655.20$ 406.70$ 15274 00 Surgery 2.44 1.32 170.80$ 92.40$ 15275 00 Surgery 4.70 2.74 329.00$ 191.80$ 15276 00 Surgery 0.96 0.73 67.20$ 51.10$ 15277 00 Surgery 10.23 6.59 716.10$ 461.30$ 15278 00 Surgery 2.85 1.66 199.50$ 116.20$

PROPOSAL

9


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate15570 00 Surgery 26.91 21.42 1,883.70$ 1,499.40$ 15572 00 Surgery 25.81 21.45 1,806.70$ 1,501.50$ 15574 00 Surgery 25.83 21.49 1,808.10$ 1,504.30$ 15576 00 Surgery 23.26 19.11 1,628.20$ 1,337.70$ 15600 00 Surgery 10.02 6.15 701.40$ 430.50$ 15610 00 Surgery 10.87 7.09 760.90$ 496.30$ 15620 00 Surgery 13.15 9.48 920.50$ 663.60$ 15630 00 Surgery 13.56 9.94 949.20$ 695.80$ 15650 00 Surgery 14.88 11.01 1,041.60$ 770.70$ 15730 00 Surgery 43.78 26.65 3,064.60$ 1,865.50$ 15731 00 Surgery 32.90 29.08 2,303.00$ 2,035.60$ 15733 00 Surgery 30.24 30.24 2,116.80$ 2,116.80$ 15734 00 Surgery 44.18 44.18 3,092.60$ 3,092.60$ 15736 00 Surgery 35.78 35.78 2,504.60$ 2,504.60$ 15738 00 Surgery 37.68 37.68 2,637.60$ 2,637.60$ 15740 00 Surgery 29.40 24.34 2,058.00$ 1,703.80$ 15750 00 Surgery 27.17 27.17 1,901.90$ 1,901.90$ 15756 00 Surgery 66.81 66.81 4,676.70$ 4,676.70$ 15757 00 Surgery 66.48 66.48 4,653.60$ 4,653.60$ 15758 00 Surgery 66.74 66.74 4,671.80$ 4,671.80$ 15760 00 Surgery 24.81 20.38 1,736.70$ 1,426.60$ 15769 00 Surgery 14.07 14.07 984.90$ 984.90$ 15770 00 Surgery 19.51 19.51 1,365.70$ 1,365.70$ 15771 00 Surgery 16.85 13.96 1,179.50$ 977.20$ 15772 00 Surgery 5.27 4.08 368.90$ 285.60$ 15773 00 Surgery 16.99 14.10 1,189.30$ 987.00$ 15774 00 Surgery 5.12 3.93 358.40$ 275.10$ 15775 00 Surgery 11.15 7.48 780.50$ 523.60$ 15776 00 Surgery 15.15 10.26 1,060.50$ 718.20$ 15777 00 Surgery 6.30 6.30 441.00$ 441.00$ 15780 00 Surgery 25.34 19.32 1,773.80$ 1,352.40$ 15781 00 Surgery 16.14 12.55 1,129.80$ 878.50$ 15782 00 Surgery 15.06 11.04 1,054.20$ 772.80$ 15783 00 Surgery 13.38 10.29 936.60$ 720.30$ 15786 00 Surgery 7.03 3.86 492.10$ 270.20$ 15787 00 Surgery 1.06 0.50 74.20$ 35.00$ 15788 00 Surgery 12.23 6.43 856.10$ 450.10$ 15789 00 Surgery 15.73 11.83 1,101.10$ 828.10$ 15792 00 Surgery 10.68 6.39 747.60$ 447.30$ 15793 00 Surgery 14.02 10.24 981.40$ 716.80$ 15819 00 Surgery 23.37 23.37 1,635.90$ 1,635.90$ 15820 00 Surgery 16.84 14.94 1,178.80$ 1,045.80$ 15821 00 Surgery 18.02 15.94 1,261.40$ 1,115.80$ 15822 00 Surgery 13.48 11.59 943.60$ 811.30$ 15823 00 Surgery 18.11 16.00 1,267.70$ 1,120.00$ 15824 00 Surgery - - 2,321.90$ 2,321.90$ 15825 00 Surgery - - 2,611.70$ 2,611.70$ 15826 00 Surgery - - 1,886.50$ 1,886.50$ 15828 00 Surgery - - 4,933.60$ 4,933.60$ 15829 00 Surgery - - 5,513.90$ 5,513.90$ 15830 00 Surgery 34.41 34.41 2,408.70$ 2,408.70$ 15832 00 Surgery 26.91 26.91 1,883.70$ 1,883.70$ 15833 00 Surgery 25.67 25.67 1,796.90$ 1,796.90$ 15834 00 Surgery 26.13 26.13 1,829.10$ 1,829.10$ 15835 00 Surgery 27.28 27.28 1,909.60$ 1,909.60$ 15836 00 Surgery 22.22 22.22 1,555.40$ 1,555.40$ 15837 00 Surgery 25.57 21.02 1,789.90$ 1,471.40$ 15838 00 Surgery 18.94 18.94 1,325.80$ 1,325.80$ 15839 00 Surgery 26.29 21.67 1,840.30$ 1,516.90$

PROPOSAL

10


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate15840 00 Surgery 29.54 29.54 2,067.80$ 2,067.80$ 15841 00 Surgery 52.19 52.19 3,653.30$ 3,653.30$ 15842 00 Surgery 79.25 79.25 5,547.50$ 5,547.50$ 15845 00 Surgery 29.28 29.28 2,049.60$ 2,049.60$ 15847 00 Surgery - - 1,015.70$ 1,015.70$ 15850 00 Surgery 0.00 0.00 Bundled Code Bundled Code 15851 00 Surgery 3.17 1.33 221.90$ 93.10$ 15852 00 Surgery 1.36 1.36 95.20$ 95.20$ 15860 00 Surgery 3.12 3.12 218.40$ 218.40$ 15876 00 Surgery 0.00 0.00 BR BR15877 00 Surgery 0.00 0.00 BR BR15878 00 Surgery 0.00 0.00 BR BR15879 00 Surgery 0.00 0.00 BR BR15920 00 Surgery 18.52 18.52 1,296.40$ 1,296.40$ 15922 00 Surgery 23.32 23.32 1,632.40$ 1,632.40$ 15931 00 Surgery 20.77 20.77 1,453.90$ 1,453.90$ 15933 00 Surgery 25.51 25.51 1,785.70$ 1,785.70$ 15934 00 Surgery 27.89 27.89 1,952.30$ 1,952.30$ 15935 00 Surgery 33.85 33.85 2,369.50$ 2,369.50$ 15936 00 Surgery 26.61 26.61 1,862.70$ 1,862.70$ 15937 00 Surgery 30.73 30.73 2,151.10$ 2,151.10$ 15940 00 Surgery 20.73 20.73 1,451.10$ 1,451.10$ 15941 00 Surgery 27.24 27.24 1,906.80$ 1,906.80$ 15944 00 Surgery 27.00 27.00 1,890.00$ 1,890.00$ 15945 00 Surgery 29.86 29.86 2,090.20$ 2,090.20$ 15946 00 Surgery 47.57 47.57 3,329.90$ 3,329.90$ 15950 00 Surgery 18.05 18.05 1,263.50$ 1,263.50$ 15951 00 Surgery 26.34 26.34 1,843.80$ 1,843.80$ 15952 00 Surgery 26.83 26.83 1,878.10$ 1,878.10$ 15953 00 Surgery 29.56 29.56 2,069.20$ 2,069.20$ 15956 00 Surgery 34.34 34.34 2,403.80$ 2,403.80$ 15958 00 Surgery 34.87 34.87 2,440.90$ 2,440.90$ 15999 00 Surgery 0.00 0.00 BR BR16000 00 Surgery 2.18 1.32 152.60$ 92.40$ 16020 00 Surgery 2.50 1.61 175.00$ 112.70$ 16025 00 Surgery 4.58 3.22 320.60$ 225.40$ 16030 00 Surgery 5.73 3.83 401.10$ 268.10$ 16035 00 Surgery 5.66 5.66 396.20$ 396.20$ 16036 00 Surgery 2.30 2.30 161.00$ 161.00$ 17000 00 Surgery 1.93 1.56 135.10$ 109.20$ 17003 00 Surgery 0.19 0.06 13.30$ 4.20$ 17004 00 Surgery 4.85 2.84 339.50$ 198.80$ 17106 00 Surgery 10.00 7.95 700.00$ 556.50$ 17107 00 Surgery 13.09 10.35 916.30$ 724.50$ 17108 00 Surgery 18.51 15.19 1,295.70$ 1,063.30$ 17110 00 Surgery 3.33 1.91 233.10$ 133.70$ 17111 00 Surgery 3.90 2.35 273.00$ 164.50$ 17250 00 Surgery 2.63 1.06 184.10$ 74.20$ 17260 00 Surgery 2.90 2.04 203.00$ 142.80$ 17261 00 Surgery 4.35 2.52 304.50$ 176.40$ 17262 00 Surgery 5.23 3.18 366.10$ 222.60$ 17263 00 Surgery 5.66 3.53 396.20$ 247.10$ 17264 00 Surgery 6.07 3.78 424.90$ 264.60$ 17266 00 Surgery 6.91 4.44 483.70$ 310.80$ 17270 00 Surgery 4.39 2.75 307.30$ 192.50$ 17271 00 Surgery 4.87 3.04 340.90$ 212.80$ 17272 00 Surgery 5.53 3.50 387.10$ 245.00$ 17273 00 Surgery 6.15 3.98 430.50$ 278.60$ 17274 00 Surgery 7.19 4.85 503.30$ 339.50$

PROPOSAL

11


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate17276 00 Surgery 8.34 5.84 583.80$ 408.80$ 17280 00 Surgery 4.13 2.51 289.10$ 175.70$ 17281 00 Surgery 5.26 3.41 368.20$ 238.70$ 17282 00 Surgery 6.04 3.96 422.80$ 277.20$ 17283 00 Surgery 7.15 4.94 500.50$ 345.80$ 17284 00 Surgery 8.14 5.77 569.80$ 403.90$ 17286 00 Surgery 10.44 7.84 730.80$ 548.80$ 17311 00 Surgery 19.78 10.36 1,384.60$ 725.20$ 17312 00 Surgery 12.02 5.50 841.40$ 385.00$ 17313 00 Surgery 18.57 9.28 1,299.90$ 649.60$ 17314 00 Surgery 11.50 5.10 805.00$ 357.00$ 17315 00 Surgery 2.26 1.46 158.20$ 102.20$ 17340 00 Surgery 1.53 1.43 107.10$ 100.10$ 17360 00 Surgery 3.61 2.67 252.70$ 186.90$ 17380 00 Surgery - - 161.00$ 161.00$ 17999 00 Surgery 0.00 0.00 BR BR19000 00 Surgery 3.17 1.26 221.90$ 88.20$ 19001 00 Surgery 0.79 0.62 55.30$ 43.40$ 19020 00 Surgery 14.26 9.19 998.20$ 643.30$ 19030 00 Surgery 4.98 2.21 348.60$ 154.70$ 19081 00 Surgery 16.87 4.80 1,180.90$ 336.00$ 19082 00 Surgery 13.51 2.41 945.70$ 168.70$ 19083 00 Surgery 16.89 4.54 1,182.30$ 317.80$ 19084 00 Surgery 13.27 2.26 928.90$ 158.20$ 19085 00 Surgery 25.95 5.26 1,816.50$ 368.20$ 19086 00 Surgery 20.56 2.63 1,439.20$ 184.10$ 19100 00 Surgery 4.68 2.05 327.60$ 143.50$ 19101 00 Surgery 10.16 6.60 711.20$ 462.00$ 19105 00 Surgery 80.00 6.22 5,600.00$ 435.40$ 19110 00 Surgery 14.86 10.39 1,040.20$ 727.30$ 19112 00 Surgery 14.02 9.47 981.40$ 662.90$ 19120 00 Surgery 15.32 12.30 1,072.40$ 861.00$ 19125 00 Surgery 16.89 13.62 1,182.30$ 953.40$ 19126 00 Surgery 4.74 4.74 331.80$ 331.80$ 19281 00 Surgery 7.24 2.88 506.80$ 201.60$ 19282 00 Surgery 5.17 1.45 361.90$ 101.50$ 19283 00 Surgery 8.00 2.92 560.00$ 204.40$ 19284 00 Surgery 6.11 1.49 427.70$ 104.30$ 19285 00 Surgery 12.68 2.47 887.60$ 172.90$ 19286 00 Surgery 10.71 1.25 749.70$ 87.50$ 19287 00 Surgery 21.78 3.68 1,524.60$ 257.60$ 19288 00 Surgery 17.21 1.85 1,204.70$ 129.50$ 19294 00 Surgery 4.85 4.85 339.50$ 339.50$ 19296 00 Surgery 123.51 6.17 8,645.70$ 431.90$ 19297 00 Surgery 2.80 2.80 196.00$ 196.00$ 19298 00 Surgery 29.41 9.28 2,058.70$ 649.60$ 19300 00 Surgery 17.16 12.62 1,201.20$ 883.40$ 19301 00 Surgery 19.49 19.49 1,364.30$ 1,364.30$ 19302 00 Surgery 26.79 26.79 1,875.30$ 1,875.30$ 19303 00 Surgery 28.33 28.33 1,983.10$ 1,983.10$ 19305 00 Surgery 33.84 33.84 2,368.80$ 2,368.80$ 19306 00 Surgery 36.04 36.04 2,522.80$ 2,522.80$ 19307 00 Surgery 35.01 35.01 2,450.70$ 2,450.70$ 19316 00 Surgery 23.25 23.25 1,627.50$ 1,627.50$ 19318 00 Surgery 32.14 32.14 2,249.80$ 2,249.80$ 19325 00 Surgery 18.02 18.02 1,261.40$ 1,261.40$ 19328 00 Surgery 16.27 16.27 1,138.90$ 1,138.90$ 19330 00 Surgery 18.97 18.97 1,327.90$ 1,327.90$ 19340 00 Surgery 22.23 22.23 1,556.10$ 1,556.10$

PROPOSAL

12


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate19342 00 Surgery 22.36 22.36 1,565.20$ 1,565.20$ 19350 00 Surgery 24.51 19.73 1,715.70$ 1,381.10$ 19355 00 Surgery 22.35 18.12 1,564.50$ 1,268.40$ 19357 00 Surgery 34.20 34.20 2,394.00$ 2,394.00$ 19361 00 Surgery 45.85 45.85 3,209.50$ 3,209.50$ 19364 00 Surgery 80.17 80.17 5,611.90$ 5,611.90$ 19367 00 Surgery 52.05 52.05 3,643.50$ 3,643.50$ 19368 00 Surgery 63.96 63.96 4,477.20$ 4,477.20$ 19369 00 Surgery 59.42 59.42 4,159.40$ 4,159.40$ 19370 00 Surgery 19.67 19.67 1,376.90$ 1,376.90$ 19371 00 Surgery 20.92 20.92 1,464.40$ 1,464.40$ 19380 00 Surgery 23.70 23.70 1,659.00$ 1,659.00$ 19396 00 Surgery 8.51 4.20 595.70$ 294.00$ 19499 00 Surgery 0.00 0.00 BR BR20100 00 Surgery 17.72 17.72 1,240.40$ 1,240.40$ 20101 00 Surgery 17.99 6.21 1,259.30$ 434.70$ 20102 00 Surgery 18.67 7.52 1,306.90$ 526.40$ 20103 00 Surgery 17.15 10.15 1,200.50$ 710.50$ 20150 00 Surgery 29.58 29.58 2,070.60$ 2,070.60$ 20200 00 Surgery 6.69 2.76 468.30$ 193.20$ 20205 00 Surgery 9.24 4.54 646.80$ 317.80$ 20206 00 Surgery 7.12 1.66 498.40$ 116.20$ 20220 00 Surgery 7.38 2.55 516.60$ 178.50$ 20225 00 Surgery 12.16 3.78 851.20$ 264.60$ 20240 00 Surgery 4.17 4.17 291.90$ 291.90$ 20245 00 Surgery 10.19 10.19 713.30$ 713.30$ 20250 00 Surgery 11.55 11.55 808.50$ 808.50$ 20251 00 Surgery 12.60 12.60 882.00$ 882.00$ 20500 00 Surgery 3.49 2.55 244.30$ 178.50$ 20501 00 Surgery 4.29 1.08 300.30$ 75.60$ 20520 00 Surgery 6.41 4.32 448.70$ 302.40$ 20525 00 Surgery 14.25 7.26 997.50$ 508.20$ 20526 00 Surgery 2.37 1.67 165.90$ 116.90$ 20527 00 Surgery 2.54 1.91 177.80$ 133.70$ 20550 00 Surgery 1.64 1.14 114.80$ 79.80$ 20551 00 Surgery 1.68 1.15 117.60$ 80.50$ 20552 00 Surgery 1.59 1.11 111.30$ 77.70$ 20553 00 Surgery 1.82 1.25 127.40$ 87.50$ 20555 00 Surgery 9.66 9.66 676.20$ 676.20$ 20560 00 Surgery 0.77 0.48 53.90$ 33.60$ 20561 00 Surgery 1.11 0.71 77.70$ 49.70$ 20600 00 Surgery 1.52 1.05 106.40$ 73.50$ 20604 00 Surgery 2.37 1.35 165.90$ 94.50$ 20605 00 Surgery 1.58 1.09 110.60$ 76.30$ 20606 00 Surgery 2.60 1.55 182.00$ 108.50$ 20610 00 Surgery 1.88 1.34 131.60$ 93.80$ 20611 00 Surgery 2.90 1.76 203.00$ 123.20$ 20612 00 Surgery 1.86 1.21 130.20$ 84.70$ 20615 00 Surgery 7.53 4.71 527.10$ 329.70$ 20650 00 Surgery 6.44 4.64 450.80$ 324.80$ 20660 00 Surgery 7.12 7.12 498.40$ 498.40$ 20661 00 Surgery 15.01 15.01 1,050.70$ 1,050.70$ 20662 00 Surgery 15.30 15.30 1,071.00$ 1,071.00$ 20663 00 Surgery 14.08 14.08 985.60$ 985.60$ 20664 00 Surgery 25.97 25.97 1,817.90$ 1,817.90$ 20665 00 Surgery 3.34 2.77 233.80$ 193.90$ 20670 00 Surgery 11.21 4.25 784.70$ 297.50$ 20680 00 Surgery 18.20 12.34 1,274.00$ 863.80$ 20690 00 Surgery 17.57 17.57 1,229.90$ 1,229.90$

PROPOSAL

13


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate20692 00 Surgery 32.90 32.90 2,303.00$ 2,303.00$ 20693 00 Surgery 13.04 13.04 912.80$ 912.80$ 20694 00 Surgery 12.75 9.98 892.50$ 698.60$ 20696 00 Surgery 35.04 35.04 2,452.80$ 2,452.80$ 20697 00 Surgery 61.22 61.22 4,285.40$ 4,285.40$ 20700 00 Surgery 2.44 2.44 170.80$ 170.80$ 20701 00 Surgery 1.85 1.85 129.50$ 129.50$ 20702 00 Surgery 4.09 4.09 286.30$ 286.30$ 20703 00 Surgery 2.94 2.94 205.80$ 205.80$ 20704 00 Surgery 4.26 4.26 298.20$ 298.20$ 20705 00 Surgery 3.52 3.52 246.40$ 246.40$ 20802 00 Surgery 80.81 80.81 5,656.70$ 5,656.70$ 20805 00 Surgery 96.03 96.03 6,722.10$ 6,722.10$ 20808 00 Surgery 115.99 115.99 8,119.30$ 8,119.30$ 20816 00 Surgery 60.51 60.51 4,235.70$ 4,235.70$ 20822 00 Surgery 52.17 52.17 3,651.90$ 3,651.90$ 20824 00 Surgery 60.61 60.61 4,242.70$ 4,242.70$ 20827 00 Surgery 53.59 53.59 3,751.30$ 3,751.30$ 20838 00 Surgery 82.02 82.02 5,741.40$ 5,741.40$ 20900 00 Surgery 12.11 5.36 847.70$ 375.20$ 20902 00 Surgery 8.19 8.19 573.30$ 573.30$ 20910 00 Surgery 13.96 13.96 977.20$ 977.20$ 20912 00 Surgery 13.98 13.98 978.60$ 978.60$ 20920 00 Surgery 11.50 11.50 805.00$ 805.00$ 20922 00 Surgery 17.74 14.28 1,241.80$ 999.60$ 20924 00 Surgery 14.93 14.93 1,045.10$ 1,045.10$ 20930 00 Surgery - - 239.40$ 239.40$ 20931 00 Surgery 3.25 3.25 227.50$ 227.50$ 20932 00 Surgery 22.27 22.27 1,558.90$ 1,558.90$ 20933 00 Surgery 20.43 20.43 1,430.10$ 1,430.10$ 20934 00 Surgery 22.26 22.26 1,558.20$ 1,558.20$ 20936 00 Surgery - - 254.80$ 254.80$ 20937 00 Surgery 4.90 4.90 343.00$ 343.00$ 20938 00 Surgery 5.42 5.42 379.40$ 379.40$ 20939 00 Surgery 2.05 2.05 143.50$ 143.50$ 20950 00 Surgery 8.08 2.57 565.60$ 179.90$ 20955 00 Surgery 72.17 72.17 5,051.90$ 5,051.90$ 20956 00 Surgery 77.73 77.73 5,441.10$ 5,441.10$ 20957 00 Surgery 80.94 80.94 5,665.80$ 5,665.80$ 20962 00 Surgery 78.31 78.31 5,481.70$ 5,481.70$ 20969 00 Surgery 79.17 79.17 5,541.90$ 5,541.90$ 20970 00 Surgery 83.85 83.85 5,869.50$ 5,869.50$ 20972 00 Surgery 83.63 83.63 5,854.10$ 5,854.10$ 20973 00 Surgery 88.33 88.33 6,183.10$ 6,183.10$ 20974 00 Surgery 2.39 1.48 167.30$ 103.60$ 20975 00 Surgery 5.19 5.19 363.30$ 363.30$ 20979 00 Surgery 1.60 0.93 112.00$ 65.10$ 20982 00 Surgery 115.22 10.66 8,065.40$ 746.20$ 20983 00 Surgery 169.57 9.95 11,869.90$ 696.50$ 20985 00 Surgery 4.26 4.26 298.20$ 298.20$ 20999 00 Surgery 0.00 0.00 BR BR21010 00 Surgery 21.77 21.77 1,523.90$ 1,523.90$ 21011 00 Surgery 10.98 7.55 768.60$ 528.50$ 21012 00 Surgery 9.94 9.94 695.80$ 695.80$ 21013 00 Surgery 15.89 11.77 1,112.30$ 823.90$ 21014 00 Surgery 15.35 15.35 1,074.50$ 1,074.50$ 21015 00 Surgery 20.59 20.59 1,441.30$ 1,441.30$ 21016 00 Surgery 29.48 29.48 2,063.60$ 2,063.60$ 21025 00 Surgery 23.50 19.53 1,645.00$ 1,367.10$

PROPOSAL

14


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate21026 00 Surgery 16.03 12.70 1,122.10$ 889.00$ 21029 00 Surgery 22.68 18.17 1,587.60$ 1,271.90$ 21030 00 Surgery 14.06 10.87 984.20$ 760.90$ 21031 00 Surgery 11.49 8.03 804.30$ 562.10$ 21032 00 Surgery 11.40 7.82 798.00$ 547.40$ 21034 00 Surgery 38.31 33.11 2,681.70$ 2,317.70$ 21040 00 Surgery 14.25 10.96 997.50$ 767.20$ 21044 00 Surgery 25.22 25.22 1,765.40$ 1,765.40$ 21045 00 Surgery 35.03 35.03 2,452.10$ 2,452.10$ 21046 00 Surgery 29.79 29.79 2,085.30$ 2,085.30$ 21047 00 Surgery 37.00 37.00 2,590.00$ 2,590.00$ 21048 00 Surgery 30.18 30.18 2,112.60$ 2,112.60$ 21049 00 Surgery 35.35 35.35 2,474.50$ 2,474.50$ 21050 00 Surgery 25.59 25.59 1,791.30$ 1,791.30$ 21060 00 Surgery 23.21 23.21 1,624.70$ 1,624.70$ 21070 00 Surgery 18.15 18.15 1,270.50$ 1,270.50$ 21073 00 Surgery 11.10 7.23 777.00$ 506.10$ 21076 00 Surgery 25.52 20.99 1,786.40$ 1,469.30$ 21077 00 Surgery 62.39 51.51 4,367.30$ 3,605.70$ 21079 00 Surgery 42.64 34.65 2,984.80$ 2,425.50$ 21080 00 Surgery 49.29 39.48 3,450.30$ 2,763.60$ 21081 00 Surgery 45.38 36.11 3,176.60$ 2,527.70$ 21082 00 Surgery 41.52 32.82 2,906.40$ 2,297.40$ 21083 00 Surgery 39.61 30.46 2,772.70$ 2,132.20$ 21084 00 Surgery 45.27 35.26 3,168.90$ 2,468.20$ 21085 00 Surgery 19.84 14.26 1,388.80$ 998.20$ 21086 00 Surgery 46.49 38.00 3,254.30$ 2,660.00$ 21087 00 Surgery 46.49 38.00 3,254.30$ 2,660.00$ 21088 00 Surgery - - 6,972.70$ 6,972.70$ 21089 00 Surgery 0.00 0.00 BR BR21100 00 Surgery 19.03 10.44 1,332.10$ 730.80$ 21110 00 Surgery 25.71 21.32 1,799.70$ 1,492.40$ 21116 00 Surgery 6.41 1.34 448.70$ 93.80$ 21120 00 Surgery 20.24 15.47 1,416.80$ 1,082.90$ 21121 00 Surgery 19.28 16.06 1,349.60$ 1,124.20$ 21122 00 Surgery 22.66 22.66 1,586.20$ 1,586.20$ 21123 00 Surgery 25.63 25.63 1,794.10$ 1,794.10$ 21125 00 Surgery 83.38 19.84 5,836.60$ 1,388.80$ 21127 00 Surgery 123.66 22.72 8,656.20$ 1,590.40$ 21137 00 Surgery 22.07 22.07 1,544.90$ 1,544.90$ 21138 00 Surgery 26.89 26.89 1,882.30$ 1,882.30$ 21139 00 Surgery 32.50 32.50 2,275.00$ 2,275.00$ 21141 00 Surgery 39.11 39.11 2,737.70$ 2,737.70$ 21142 00 Surgery 40.16 40.16 2,811.20$ 2,811.20$ 21143 00 Surgery 41.56 41.56 2,909.20$ 2,909.20$ 21145 00 Surgery 45.52 45.52 3,186.40$ 3,186.40$ 21146 00 Surgery 47.51 47.51 3,325.70$ 3,325.70$ 21147 00 Surgery 50.04 50.04 3,502.80$ 3,502.80$ 21150 00 Surgery 48.22 48.22 3,375.40$ 3,375.40$ 21151 00 Surgery 53.05 53.05 3,713.50$ 3,713.50$ 21154 00 Surgery 57.05 57.05 3,993.50$ 3,993.50$ 21155 00 Surgery 63.22 63.22 4,425.40$ 4,425.40$ 21159 00 Surgery 75.72 75.72 5,300.40$ 5,300.40$ 21160 00 Surgery 82.09 82.09 5,746.30$ 5,746.30$ 21172 00 Surgery 62.33 62.33 4,363.10$ 4,363.10$ 21175 00 Surgery 65.12 65.12 4,558.40$ 4,558.40$ 21179 00 Surgery 44.75 44.75 3,132.50$ 3,132.50$ 21180 00 Surgery 49.99 49.99 3,499.30$ 3,499.30$ 21181 00 Surgery 21.77 21.77 1,523.90$ 1,523.90$

PROPOSAL

15


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate21182 00 Surgery 62.23 62.23 4,356.10$ 4,356.10$ 21183 00 Surgery 67.73 67.73 4,741.10$ 4,741.10$ 21184 00 Surgery 72.86 72.86 5,100.20$ 5,100.20$ 21188 00 Surgery 47.17 47.17 3,301.90$ 3,301.90$ 21193 00 Surgery 36.19 36.19 2,533.30$ 2,533.30$ 21194 00 Surgery 41.83 41.83 2,928.10$ 2,928.10$ 21195 00 Surgery 40.11 40.11 2,807.70$ 2,807.70$ 21196 00 Surgery 41.07 41.07 2,874.90$ 2,874.90$ 21198 00 Surgery 31.51 31.51 2,205.70$ 2,205.70$ 21199 00 Surgery 29.97 29.97 2,097.90$ 2,097.90$ 21206 00 Surgery 29.28 29.28 2,049.60$ 2,049.60$ 21208 00 Surgery 50.60 21.84 3,542.00$ 1,528.80$ 21209 00 Surgery 23.53 17.76 1,647.10$ 1,243.20$ 21210 00 Surgery 56.35 22.45 3,944.50$ 1,571.50$ 21215 00 Surgery 125.84 23.29 8,808.80$ 1,630.30$ 21230 00 Surgery 21.94 21.94 1,535.80$ 1,535.80$ 21235 00 Surgery 21.45 16.48 1,501.50$ 1,153.60$ 21240 00 Surgery 30.89 30.89 2,162.30$ 2,162.30$ 21242 00 Surgery 29.65 29.65 2,075.50$ 2,075.50$ 21243 00 Surgery 47.13 47.13 3,299.10$ 3,299.10$ 21244 00 Surgery 29.84 29.84 2,088.80$ 2,088.80$ 21245 00 Surgery 36.87 28.13 2,580.90$ 1,969.10$ 21246 00 Surgery 24.96 24.96 1,747.20$ 1,747.20$ 21247 00 Surgery 46.43 46.43 3,250.10$ 3,250.10$ 21248 00 Surgery 29.63 23.59 2,074.10$ 1,651.30$ 21249 00 Surgery 40.16 33.10 2,811.20$ 2,317.00$ 21255 00 Surgery 39.97 39.97 2,797.90$ 2,797.90$ 21256 00 Surgery 36.38 36.38 2,546.60$ 2,546.60$ 21260 00 Surgery 40.88 40.88 2,861.60$ 2,861.60$ 21261 00 Surgery 72.17 72.17 5,051.90$ 5,051.90$ 21263 00 Surgery 66.78 66.78 4,674.60$ 4,674.60$ 21267 00 Surgery 47.83 47.83 3,348.10$ 3,348.10$ 21268 00 Surgery 59.84 59.84 4,188.80$ 4,188.80$ 21270 00 Surgery 29.89 21.98 2,092.30$ 1,538.60$ 21275 00 Surgery 24.83 24.83 1,738.10$ 1,738.10$ 21280 00 Surgery 16.90 16.90 1,183.00$ 1,183.00$ 21282 00 Surgery 11.47 11.47 802.90$ 802.90$ 21295 00 Surgery 5.60 5.60 392.00$ 392.00$ 21296 00 Surgery 12.02 12.02 841.40$ 841.40$ 21299 00 Surgery 0.00 0.00 BR BR21310 00 Surgery 3.93 0.82 275.10$ 57.40$ 21315 00 Surgery 8.44 4.50 590.80$ 315.00$ 21320 00 Surgery 7.75 3.91 542.50$ 273.70$ 21325 00 Surgery 13.15 13.15 920.50$ 920.50$ 21330 00 Surgery 15.75 15.75 1,102.50$ 1,102.50$ 21335 00 Surgery 21.13 21.13 1,479.10$ 1,479.10$ 21336 00 Surgery 19.11 19.11 1,337.70$ 1,337.70$ 21337 00 Surgery 12.36 8.68 865.20$ 607.60$ 21338 00 Surgery 19.79 19.79 1,385.30$ 1,385.30$ 21339 00 Surgery 22.34 22.34 1,563.80$ 1,563.80$ 21340 00 Surgery 21.78 21.78 1,524.60$ 1,524.60$ 21343 00 Surgery 31.82 31.82 2,227.40$ 2,227.40$ 21344 00 Surgery 40.68 40.68 2,847.60$ 2,847.60$ 21345 00 Surgery 23.26 18.43 1,628.20$ 1,290.10$ 21346 00 Surgery 29.80 29.80 2,086.00$ 2,086.00$ 21347 00 Surgery 30.30 30.30 2,121.00$ 2,121.00$ 21348 00 Surgery 31.71 31.71 2,219.70$ 2,219.70$ 21355 00 Surgery 13.00 9.48 910.00$ 663.60$ 21356 00 Surgery 14.97 11.06 1,047.90$ 774.20$

PROPOSAL

16


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate21360 00 Surgery 15.09 15.09 1,056.30$ 1,056.30$ 21365 00 Surgery 31.94 31.94 2,235.80$ 2,235.80$ 21366 00 Surgery 37.52 37.52 2,626.40$ 2,626.40$ 21385 00 Surgery 21.91 21.91 1,533.70$ 1,533.70$ 21386 00 Surgery 20.33 20.33 1,423.10$ 1,423.10$ 21387 00 Surgery 22.87 22.87 1,600.90$ 1,600.90$ 21390 00 Surgery 23.49 23.49 1,644.30$ 1,644.30$ 21395 00 Surgery 29.71 29.71 2,079.70$ 2,079.70$ 21400 00 Surgery 6.13 4.79 429.10$ 335.30$ 21401 00 Surgery 15.32 9.54 1,072.40$ 667.80$ 21406 00 Surgery 17.16 17.16 1,201.20$ 1,201.20$ 21407 00 Surgery 18.80 18.80 1,316.00$ 1,316.00$ 21408 00 Surgery 26.55 26.55 1,858.50$ 1,858.50$ 21421 00 Surgery 19.69 16.53 1,378.30$ 1,157.10$ 21422 00 Surgery 18.85 18.85 1,319.50$ 1,319.50$ 21423 00 Surgery 23.85 23.85 1,669.50$ 1,669.50$ 21431 00 Surgery 20.71 20.71 1,449.70$ 1,449.70$ 21432 00 Surgery 21.34 21.34 1,493.80$ 1,493.80$ 21433 00 Surgery 50.98 50.98 3,568.60$ 3,568.60$ 21435 00 Surgery 41.30 41.30 2,891.00$ 2,891.00$ 21436 00 Surgery 59.83 59.83 4,188.10$ 4,188.10$ 21440 00 Surgery 19.95 16.01 1,396.50$ 1,120.70$ 21445 00 Surgery 23.64 19.02 1,654.80$ 1,331.40$ 21450 00 Surgery 17.77 14.39 1,243.90$ 1,007.30$ 21451 00 Surgery 23.06 19.21 1,614.20$ 1,344.70$ 21452 00 Surgery 22.76 13.78 1,593.20$ 964.60$ 21453 00 Surgery 32.31 27.46 2,261.70$ 1,922.20$ 21454 00 Surgery 14.34 14.34 1,003.80$ 1,003.80$ 21461 00 Surgery 58.34 31.15 4,083.80$ 2,180.50$ 21462 00 Surgery 63.74 34.81 4,461.80$ 2,436.70$ 21465 00 Surgery 23.48 23.48 1,643.60$ 1,643.60$ 21470 00 Surgery 33.99 33.99 2,379.30$ 2,379.30$ 21480 00 Surgery 4.05 0.93 283.50$ 65.10$ 21485 00 Surgery 28.93 23.57 2,025.10$ 1,649.90$ 21490 00 Surgery 23.13 23.13 1,619.10$ 1,619.10$ 21497 00 Surgery 21.22 17.65 1,485.40$ 1,235.50$ 21499 00 Surgery 0.00 0.00 BR BR21501 00 Surgery 14.36 9.67 1,005.20$ 676.90$ 21502 00 Surgery 15.01 15.01 1,050.70$ 1,050.70$ 21510 00 Surgery 13.35 13.35 934.50$ 934.50$ 21550 00 Surgery 8.01 4.55 560.70$ 318.50$ 21552 00 Surgery 13.18 13.18 922.60$ 922.60$ 21554 00 Surgery 21.50 21.50 1,505.00$ 1,505.00$ 21555 00 Surgery 12.92 8.99 904.40$ 629.30$ 21556 00 Surgery 15.59 15.59 1,091.30$ 1,091.30$ 21557 00 Surgery 28.05 28.05 1,963.50$ 1,963.50$ 21558 00 Surgery 39.51 39.51 2,765.70$ 2,765.70$ 21600 00 Surgery 16.42 16.42 1,149.40$ 1,149.40$ 21601 00 Surgery 34.53 34.53 2,417.10$ 2,417.10$ 21602 00 Surgery 46.55 46.55 3,258.50$ 3,258.50$ 21603 00 Surgery 50.74 50.74 3,551.80$ 3,551.80$ 21610 00 Surgery 35.46 35.46 2,482.20$ 2,482.20$ 21615 00 Surgery 18.04 18.04 1,262.80$ 1,262.80$ 21616 00 Surgery 20.85 20.85 1,459.50$ 1,459.50$ 21620 00 Surgery 14.97 14.97 1,047.90$ 1,047.90$ 21627 00 Surgery 15.96 15.96 1,117.20$ 1,117.20$ 21630 00 Surgery 35.14 35.14 2,459.80$ 2,459.80$ 21632 00 Surgery 35.63 35.63 2,494.10$ 2,494.10$ 21685 00 Surgery 28.90 28.90 2,023.00$ 2,023.00$

PROPOSAL

17


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate21700 00 Surgery 10.43 10.43 730.10$ 730.10$ 21705 00 Surgery 15.62 15.62 1,093.40$ 1,093.40$ 21720 00 Surgery 15.60 15.60 1,092.00$ 1,092.00$ 21725 00 Surgery 16.03 16.03 1,122.10$ 1,122.10$ 21740 00 Surgery 30.17 30.17 2,111.90$ 2,111.90$ 21742 00 Surgery - - 2,519.30$ 2,519.30$ 21743 00 Surgery - - 3,314.50$ 3,314.50$ 21750 00 Surgery 19.92 19.92 1,394.40$ 1,394.40$ 21811 00 Surgery 17.46 17.46 1,222.20$ 1,222.20$ 21812 00 Surgery 21.14 21.14 1,479.80$ 1,479.80$ 21813 00 Surgery 29.01 29.01 2,030.70$ 2,030.70$ 21820 00 Surgery 4.38 4.31 306.60$ 301.70$ 21825 00 Surgery 16.09 16.09 1,126.30$ 1,126.30$ 21899 00 Surgery 0.00 0.00 BR BR21920 00 Surgery 7.79 4.56 545.30$ 319.20$ 21925 00 Surgery 14.35 10.86 1,004.50$ 760.20$ 21930 00 Surgery 14.91 10.73 1,043.70$ 751.10$ 21931 00 Surgery 13.88 13.88 971.60$ 971.60$ 21932 00 Surgery 19.55 19.55 1,368.50$ 1,368.50$ 21933 00 Surgery 21.81 21.81 1,526.70$ 1,526.70$ 21935 00 Surgery 30.25 30.25 2,117.50$ 2,117.50$ 21936 00 Surgery 41.63 41.63 2,914.10$ 2,914.10$ 22010 00 Surgery 28.57 28.57 1,999.90$ 1,999.90$ 22015 00 Surgery 28.00 28.00 1,960.00$ 1,960.00$ 22100 00 Surgery 25.48 25.48 1,783.60$ 1,783.60$ 22101 00 Surgery 25.59 25.59 1,791.30$ 1,791.30$ 22102 00 Surgery 24.41 24.41 1,708.70$ 1,708.70$ 22103 00 Surgery 4.16 4.16 291.20$ 291.20$ 22110 00 Surgery 30.94 30.94 2,165.80$ 2,165.80$ 22112 00 Surgery 33.31 33.31 2,331.70$ 2,331.70$ 22114 00 Surgery 33.31 33.31 2,331.70$ 2,331.70$ 22116 00 Surgery 4.16 4.16 291.20$ 291.20$ 22206 00 Surgery 72.09 72.09 5,046.30$ 5,046.30$ 22207 00 Surgery 70.61 70.61 4,942.70$ 4,942.70$ 22208 00 Surgery 17.27 17.27 1,208.90$ 1,208.90$ 22210 00 Surgery 52.91 52.91 3,703.70$ 3,703.70$ 22212 00 Surgery 44.40 44.40 3,108.00$ 3,108.00$ 22214 00 Surgery 44.50 44.50 3,115.00$ 3,115.00$ 22216 00 Surgery 10.69 10.69 748.30$ 748.30$ 22220 00 Surgery 47.78 47.78 3,344.60$ 3,344.60$ 22222 00 Surgery 51.68 51.68 3,617.60$ 3,617.60$ 22224 00 Surgery 46.88 46.88 3,281.60$ 3,281.60$ 22226 00 Surgery 10.63 10.63 744.10$ 744.10$ 22310 00 Surgery 9.12 8.72 638.40$ 610.40$ 22315 00 Surgery 26.12 22.78 1,828.40$ 1,594.60$ 22318 00 Surgery 48.37 48.37 3,385.90$ 3,385.90$ 22319 00 Surgery 53.93 53.93 3,775.10$ 3,775.10$ 22325 00 Surgery 43.24 43.24 3,026.80$ 3,026.80$ 22326 00 Surgery 44.36 44.36 3,105.20$ 3,105.20$ 22327 00 Surgery 45.06 45.06 3,154.20$ 3,154.20$ 22328 00 Surgery 8.30 8.30 581.00$ 581.00$ 22505 00 Surgery 3.85 3.85 269.50$ 269.50$ 22510 00 Surgery 56.39 12.58 3,947.30$ 880.60$ 22511 00 Surgery 56.20 11.83 3,934.00$ 828.10$ 22512 00 Surgery 24.44 6.03 1,710.80$ 422.10$ 22513 00 Surgery 195.32 14.99 13,672.40$ 1,049.30$ 22514 00 Surgery 194.59 14.00 13,621.30$ 980.00$ 22515 00 Surgery 104.94 6.42 7,345.80$ 449.40$ 22526 00 Surgery 66.12 9.51 4,628.40$ 665.70$

PROPOSAL

18


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate22527 00 Surgery 55.12 4.45 3,858.40$ 311.50$ 22532 00 Surgery 53.02 53.02 3,711.40$ 3,711.40$ 22533 00 Surgery 48.85 48.85 3,419.50$ 3,419.50$ 22534 00 Surgery 10.57 10.57 739.90$ 739.90$ 22548 00 Surgery 57.82 57.82 4,047.40$ 4,047.40$ 22551 00 Surgery 50.23 50.23 3,516.10$ 3,516.10$ 22552 00 Surgery 11.64 11.64 814.80$ 814.80$ 22554 00 Surgery 37.13 37.13 2,599.10$ 2,599.10$ 22556 00 Surgery 49.09 49.09 3,436.30$ 3,436.30$ 22558 00 Surgery 45.12 45.12 3,158.40$ 3,158.40$ 22585 00 Surgery 9.59 9.59 671.30$ 671.30$ 22586 00 Surgery 59.84 59.84 4,188.80$ 4,188.80$ 22590 00 Surgery 46.69 46.69 3,268.30$ 3,268.30$ 22595 00 Surgery 44.55 44.55 3,118.50$ 3,118.50$ 22600 00 Surgery 38.26 38.26 2,678.20$ 2,678.20$ 22610 00 Surgery 37.62 37.62 2,633.40$ 2,633.40$ 22612 00 Surgery 46.82 46.82 3,277.40$ 3,277.40$ 22614 00 Surgery 11.50 11.50 805.00$ 805.00$ 22630 00 Surgery 46.59 46.59 3,261.30$ 3,261.30$ 22632 00 Surgery 9.41 9.41 658.70$ 658.70$ 22633 00 Surgery 54.60 54.60 3,822.00$ 3,822.00$ 22634 00 Surgery 14.57 14.57 1,019.90$ 1,019.90$ 22800 00 Surgery 40.03 40.03 2,802.10$ 2,802.10$ 22802 00 Surgery 62.38 62.38 4,366.60$ 4,366.60$ 22804 00 Surgery 71.76 71.76 5,023.20$ 5,023.20$ 22808 00 Surgery 53.75 53.75 3,762.50$ 3,762.50$ 22810 00 Surgery 61.46 61.46 4,302.20$ 4,302.20$ 22812 00 Surgery 64.89 64.89 4,542.30$ 4,542.30$ 22818 00 Surgery 63.48 63.48 4,443.60$ 4,443.60$ 22819 00 Surgery 73.04 73.04 5,112.80$ 5,112.80$ 22830 00 Surgery 24.24 24.24 1,696.80$ 1,696.80$ 22840 00 Surgery 22.31 22.31 1,561.70$ 1,561.70$ 22841 00 Surgery - - 808.50$ 808.50$ 22842 00 Surgery 22.41 22.41 1,568.70$ 1,568.70$ 22843 00 Surgery 23.98 23.98 1,678.60$ 1,678.60$ 22844 00 Surgery 29.03 29.03 2,032.10$ 2,032.10$ 22845 00 Surgery 21.40 21.40 1,498.00$ 1,498.00$ 22846 00 Surgery 22.24 22.24 1,556.80$ 1,556.80$ 22847 00 Surgery 23.59 23.59 1,651.30$ 1,651.30$ 22848 00 Surgery 10.58 10.58 740.60$ 740.60$ 22849 00 Surgery 38.60 38.60 2,702.00$ 2,702.00$ 22850 00 Surgery 21.67 21.67 1,516.90$ 1,516.90$ 22852 00 Surgery 20.84 20.84 1,458.80$ 1,458.80$ 22853 00 Surgery 7.60 7.60 532.00$ 532.00$ 22854 00 Surgery 9.84 9.84 688.80$ 688.80$ 22855 00 Surgery 32.76 32.76 2,293.20$ 2,293.20$ 22856 00 Surgery 48.13 48.13 3,369.10$ 3,369.10$ 22857 00 Surgery 52.09 52.09 3,646.30$ 3,646.30$ 22858 00 Surgery 14.92 14.92 1,044.40$ 1,044.40$ 22859 00 Surgery 9.81 9.81 686.70$ 686.70$ 22861 00 Surgery 68.26 68.26 4,778.20$ 4,778.20$ 22862 00 Surgery 68.19 68.19 4,773.30$ 4,773.30$ 22864 00 Surgery 60.93 60.93 4,265.10$ 4,265.10$ 22865 00 Surgery 66.56 66.56 4,659.20$ 4,659.20$ 22867 00 Surgery 29.06 29.06 2,034.20$ 2,034.20$ 22868 00 Surgery 7.21 7.21 504.70$ 504.70$ 22869 00 Surgery 12.88 12.88 901.60$ 901.60$ 22870 00 Surgery 3.52 3.52 246.40$ 246.40$ 22899 00 Surgery 0.00 0.00 BR BR

PROPOSAL

19


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate22900 00 Surgery 16.69 16.69 1,168.30$ 1,168.30$ 22901 00 Surgery 19.70 19.70 1,379.00$ 1,379.00$ 22902 00 Surgery 14.04 9.84 982.80$ 688.80$ 22903 00 Surgery 13.00 13.00 910.00$ 910.00$ 22904 00 Surgery 30.75 30.75 2,152.50$ 2,152.50$ 22905 00 Surgery 38.92 38.92 2,724.40$ 2,724.40$ 22999 00 Surgery 0.00 0.00 BR BR23000 00 Surgery 16.96 10.63 1,187.20$ 744.10$ 23020 00 Surgery 20.38 20.38 1,426.60$ 1,426.60$ 23030 00 Surgery 13.36 7.50 935.20$ 525.00$ 23031 00 Surgery 12.82 6.39 897.40$ 447.30$ 23035 00 Surgery 20.17 20.17 1,411.90$ 1,411.90$ 23040 00 Surgery 21.21 21.21 1,484.70$ 1,484.70$ 23044 00 Surgery 16.68 16.68 1,167.60$ 1,167.60$ 23065 00 Surgery 6.71 4.75 469.70$ 332.50$ 23066 00 Surgery 17.26 10.82 1,208.20$ 757.40$ 23071 00 Surgery 12.42 12.42 869.40$ 869.40$ 23073 00 Surgery 20.59 20.59 1,441.30$ 1,441.30$ 23075 00 Surgery 15.40 9.67 1,078.00$ 676.90$ 23076 00 Surgery 16.00 16.00 1,120.00$ 1,120.00$ 23077 00 Surgery 33.36 33.36 2,335.20$ 2,335.20$ 23078 00 Surgery 42.27 42.27 2,958.90$ 2,958.90$ 23100 00 Surgery 14.98 14.98 1,048.60$ 1,048.60$ 23101 00 Surgery 13.55 13.55 948.50$ 948.50$ 23105 00 Surgery 18.98 18.98 1,328.60$ 1,328.60$ 23106 00 Surgery 14.88 14.88 1,041.60$ 1,041.60$ 23107 00 Surgery 19.58 19.58 1,370.60$ 1,370.60$ 23120 00 Surgery 17.37 17.37 1,215.90$ 1,215.90$ 23125 00 Surgery 21.00 21.00 1,470.00$ 1,470.00$ 23130 00 Surgery 18.27 18.27 1,278.90$ 1,278.90$ 23140 00 Surgery 16.45 16.45 1,151.50$ 1,151.50$ 23145 00 Surgery 20.60 20.60 1,442.00$ 1,442.00$ 23146 00 Surgery 18.46 18.46 1,292.20$ 1,292.20$ 23150 00 Surgery 19.49 19.49 1,364.30$ 1,364.30$ 23155 00 Surgery 23.57 23.57 1,649.90$ 1,649.90$ 23156 00 Surgery 20.10 20.10 1,407.00$ 1,407.00$ 23170 00 Surgery 16.71 16.71 1,169.70$ 1,169.70$ 23172 00 Surgery 16.87 16.87 1,180.90$ 1,180.90$ 23174 00 Surgery 22.54 22.54 1,577.80$ 1,577.80$ 23180 00 Surgery 19.60 19.60 1,372.00$ 1,372.00$ 23182 00 Surgery 19.85 19.85 1,389.50$ 1,389.50$ 23184 00 Surgery 21.87 21.87 1,530.90$ 1,530.90$ 23190 00 Surgery 17.03 17.03 1,192.10$ 1,192.10$ 23195 00 Surgery 22.07 22.07 1,544.90$ 1,544.90$ 23200 00 Surgery 44.38 44.38 3,106.60$ 3,106.60$ 23210 00 Surgery 52.12 52.12 3,648.40$ 3,648.40$ 23220 00 Surgery 57.00 57.00 3,990.00$ 3,990.00$ 23330 00 Surgery 8.99 4.93 629.30$ 345.10$ 23333 00 Surgery 14.01 14.01 980.70$ 980.70$ 23334 00 Surgery 31.41 31.41 2,198.70$ 2,198.70$ 23335 00 Surgery 37.35 37.35 2,614.50$ 2,614.50$ 23350 00 Surgery 4.89 1.46 342.30$ 102.20$ 23395 00 Surgery 37.79 37.79 2,645.30$ 2,645.30$ 23397 00 Surgery 33.37 33.37 2,335.90$ 2,335.90$ 23400 00 Surgery 28.73 28.73 2,011.10$ 2,011.10$ 23405 00 Surgery 18.31 18.31 1,281.70$ 1,281.70$ 23406 00 Surgery 22.42 22.42 1,569.40$ 1,569.40$ 23410 00 Surgery 24.22 24.22 1,695.40$ 1,695.40$ 23412 00 Surgery 25.16 25.16 1,761.20$ 1,761.20$

PROPOSAL

20


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate23415 00 Surgery 20.63 20.63 1,444.10$ 1,444.10$ 23420 00 Surgery 28.74 28.74 2,011.80$ 2,011.80$ 23430 00 Surgery 21.99 21.99 1,539.30$ 1,539.30$ 23440 00 Surgery 22.35 22.35 1,564.50$ 1,564.50$ 23450 00 Surgery 27.97 27.97 1,957.90$ 1,957.90$ 23455 00 Surgery 29.32 29.32 2,052.40$ 2,052.40$ 23460 00 Surgery 32.17 32.17 2,251.90$ 2,251.90$ 23462 00 Surgery 31.50 31.50 2,205.00$ 2,205.00$ 23465 00 Surgery 33.02 33.02 2,311.40$ 2,311.40$ 23466 00 Surgery 32.95 32.95 2,306.50$ 2,306.50$ 23470 00 Surgery 35.39 35.39 2,477.30$ 2,477.30$ 23472 00 Surgery 42.67 42.67 2,986.90$ 2,986.90$ 23473 00 Surgery 47.60 47.60 3,332.00$ 3,332.00$ 23474 00 Surgery 51.32 51.32 3,592.40$ 3,592.40$ 23480 00 Surgery 24.25 24.25 1,697.50$ 1,697.50$ 23485 00 Surgery 28.02 28.02 1,961.40$ 1,961.40$ 23490 00 Surgery 25.44 25.44 1,780.80$ 1,780.80$ 23491 00 Surgery 29.99 29.99 2,099.30$ 2,099.30$ 23500 00 Surgery 6.60 6.73 462.00$ 471.10$ 23505 00 Surgery 10.63 9.89 744.10$ 692.30$ 23515 00 Surgery 21.28 21.28 1,489.60$ 1,489.60$ 23520 00 Surgery 7.14 7.06 499.80$ 494.20$ 23525 00 Surgery 11.71 10.73 819.70$ 751.10$ 23530 00 Surgery 17.05 17.05 1,193.50$ 1,193.50$ 23532 00 Surgery 18.54 18.54 1,297.80$ 1,297.80$ 23540 00 Surgery 7.01 6.93 490.70$ 485.10$ 23545 00 Surgery 10.30 9.27 721.00$ 648.90$ 23550 00 Surgery 16.94 16.94 1,185.80$ 1,185.80$ 23552 00 Surgery 19.36 19.36 1,355.20$ 1,355.20$ 23570 00 Surgery 6.97 7.18 487.90$ 502.60$ 23575 00 Surgery 12.15 11.24 850.50$ 786.80$ 23585 00 Surgery 28.80 28.80 2,016.00$ 2,016.00$ 23600 00 Surgery 9.91 9.35 693.70$ 654.50$ 23605 00 Surgery 14.01 12.71 980.70$ 889.70$ 23615 00 Surgery 26.10 26.10 1,827.00$ 1,827.00$ 23616 00 Surgery 36.43 36.43 2,550.10$ 2,550.10$ 23620 00 Surgery 8.02 7.69 561.40$ 538.30$ 23625 00 Surgery 11.32 10.39 792.40$ 727.30$ 23630 00 Surgery 23.04 23.04 1,612.80$ 1,612.80$ 23650 00 Surgery 9.60 8.70 672.00$ 609.00$ 23655 00 Surgery 12.10 12.10 847.00$ 847.00$ 23660 00 Surgery 17.32 17.32 1,212.40$ 1,212.40$ 23665 00 Surgery 12.82 11.82 897.40$ 827.40$ 23670 00 Surgery 25.72 25.72 1,800.40$ 1,800.40$ 23675 00 Surgery 16.34 14.81 1,143.80$ 1,036.70$ 23680 00 Surgery 27.37 27.37 1,915.90$ 1,915.90$ 23700 00 Surgery 5.76 5.76 403.20$ 403.20$ 23800 00 Surgery 30.30 30.30 2,121.00$ 2,121.00$ 23802 00 Surgery 37.81 37.81 2,646.70$ 2,646.70$ 23900 00 Surgery 40.84 40.84 2,858.80$ 2,858.80$ 23920 00 Surgery 33.14 33.14 2,319.80$ 2,319.80$ 23921 00 Surgery 13.94 13.94 975.80$ 975.80$ 23929 00 Surgery 0.00 0.00 BR BR23930 00 Surgery 10.99 6.38 769.30$ 446.60$ 23931 00 Surgery 9.16 4.71 641.20$ 329.70$ 23935 00 Surgery 15.15 15.15 1,060.50$ 1,060.50$ 24000 00 Surgery 14.12 14.12 988.40$ 988.40$ 24006 00 Surgery 21.04 21.04 1,472.80$ 1,472.80$ 24065 00 Surgery 7.77 4.79 543.90$ 335.30$

PROPOSAL

21


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate24066 00 Surgery 18.77 12.39 1,313.90$ 867.30$ 24071 00 Surgery 11.99 11.99 839.30$ 839.30$ 24073 00 Surgery 20.49 20.49 1,434.30$ 1,434.30$ 24075 00 Surgery 15.96 9.71 1,117.20$ 679.70$ 24076 00 Surgery 16.06 16.06 1,124.20$ 1,124.20$ 24077 00 Surgery 30.30 30.30 2,121.00$ 2,121.00$ 24079 00 Surgery 38.93 38.93 2,725.10$ 2,725.10$ 24100 00 Surgery 12.44 12.44 870.80$ 870.80$ 24101 00 Surgery 14.91 14.91 1,043.70$ 1,043.70$ 24102 00 Surgery 18.30 18.30 1,281.00$ 1,281.00$ 24105 00 Surgery 10.62 10.62 743.40$ 743.40$ 24110 00 Surgery 17.20 17.20 1,204.00$ 1,204.00$ 24115 00 Surgery 21.81 21.81 1,526.70$ 1,526.70$ 24116 00 Surgery 25.42 25.42 1,779.40$ 1,779.40$ 24120 00 Surgery 15.77 15.77 1,103.90$ 1,103.90$ 24125 00 Surgery 18.44 18.44 1,290.80$ 1,290.80$ 24126 00 Surgery 19.26 19.26 1,348.20$ 1,348.20$ 24130 00 Surgery 15.11 15.11 1,057.70$ 1,057.70$ 24134 00 Surgery 22.11 22.11 1,547.70$ 1,547.70$ 24136 00 Surgery 18.73 18.73 1,311.10$ 1,311.10$ 24138 00 Surgery 20.28 20.28 1,419.60$ 1,419.60$ 24140 00 Surgery 20.80 20.80 1,456.00$ 1,456.00$ 24145 00 Surgery 17.62 17.62 1,233.40$ 1,233.40$ 24147 00 Surgery 18.61 18.61 1,302.70$ 1,302.70$ 24149 00 Surgery 34.70 34.70 2,429.00$ 2,429.00$ 24150 00 Surgery 45.56 45.56 3,189.20$ 3,189.20$ 24152 00 Surgery 39.64 39.64 2,774.80$ 2,774.80$ 24155 00 Surgery 25.20 25.20 1,764.00$ 1,764.00$ 24160 00 Surgery 37.06 37.06 2,594.20$ 2,594.20$ 24164 00 Surgery 21.29 21.29 1,490.30$ 1,490.30$ 24200 00 Surgery 6.56 4.16 459.20$ 291.20$ 24201 00 Surgery 16.51 10.77 1,155.70$ 753.90$ 24220 00 Surgery 5.73 1.97 401.10$ 137.90$ 24300 00 Surgery 12.78 12.78 894.60$ 894.60$ 24301 00 Surgery 22.19 22.19 1,553.30$ 1,553.30$ 24305 00 Surgery 17.15 17.15 1,200.50$ 1,200.50$ 24310 00 Surgery 14.05 14.05 983.50$ 983.50$ 24320 00 Surgery 23.08 23.08 1,615.60$ 1,615.60$ 24330 00 Surgery 21.23 21.23 1,486.10$ 1,486.10$ 24331 00 Surgery 23.25 23.25 1,627.50$ 1,627.50$ 24332 00 Surgery 18.21 18.21 1,274.70$ 1,274.70$ 24340 00 Surgery 18.31 18.31 1,281.70$ 1,281.70$ 24341 00 Surgery 22.02 22.02 1,541.40$ 1,541.40$ 24342 00 Surgery 22.93 22.93 1,605.10$ 1,605.10$ 24343 00 Surgery 21.08 21.08 1,475.60$ 1,475.60$ 24344 00 Surgery 32.26 32.26 2,258.20$ 2,258.20$ 24345 00 Surgery 20.95 20.95 1,466.50$ 1,466.50$ 24346 00 Surgery 32.56 32.56 2,279.20$ 2,279.20$ 24357 00 Surgery 12.34 12.34 863.80$ 863.80$ 24358 00 Surgery 15.62 15.62 1,093.40$ 1,093.40$ 24359 00 Surgery 19.58 19.58 1,370.60$ 1,370.60$ 24360 00 Surgery 26.67 26.67 1,866.90$ 1,866.90$ 24361 00 Surgery 29.75 29.75 2,082.50$ 2,082.50$ 24362 00 Surgery 31.32 31.32 2,192.40$ 2,192.40$ 24363 00 Surgery 42.69 42.69 2,988.30$ 2,988.30$ 24365 00 Surgery 19.00 19.00 1,330.00$ 1,330.00$ 24366 00 Surgery 20.15 20.15 1,410.50$ 1,410.50$ 24370 00 Surgery 45.26 45.26 3,168.20$ 3,168.20$ 24371 00 Surgery 52.12 52.12 3,648.40$ 3,648.40$

PROPOSAL

22


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate24400 00 Surgery 24.39 24.39 1,707.30$ 1,707.30$ 24410 00 Surgery 31.23 31.23 2,186.10$ 2,186.10$ 24420 00 Surgery 31.16 31.16 2,181.20$ 2,181.20$ 24430 00 Surgery 31.14 31.14 2,179.80$ 2,179.80$ 24435 00 Surgery 31.88 31.88 2,231.60$ 2,231.60$ 24470 00 Surgery 19.88 19.88 1,391.60$ 1,391.60$ 24495 00 Surgery 22.57 22.57 1,579.90$ 1,579.90$ 24498 00 Surgery 25.59 25.59 1,791.30$ 1,791.30$ 24500 00 Surgery 10.73 9.86 751.10$ 690.20$ 24505 00 Surgery 14.95 13.42 1,046.50$ 939.40$ 24515 00 Surgery 26.00 26.00 1,820.00$ 1,820.00$ 24516 00 Surgery 25.40 25.40 1,778.00$ 1,778.00$ 24530 00 Surgery 11.36 10.39 795.20$ 727.30$ 24535 00 Surgery 18.46 16.95 1,292.20$ 1,186.50$ 24538 00 Surgery 23.11 23.11 1,617.70$ 1,617.70$ 24545 00 Surgery 27.40 27.40 1,918.00$ 1,918.00$ 24546 00 Surgery 30.59 30.59 2,141.30$ 2,141.30$ 24560 00 Surgery 9.91 8.78 693.70$ 614.60$ 24565 00 Surgery 16.06 14.65 1,124.20$ 1,025.50$ 24566 00 Surgery 21.34 21.34 1,493.80$ 1,493.80$ 24575 00 Surgery 21.62 21.62 1,513.40$ 1,513.40$ 24576 00 Surgery 10.42 9.27 729.40$ 648.90$ 24577 00 Surgery 16.52 15.05 1,156.40$ 1,053.50$ 24579 00 Surgery 24.61 24.61 1,722.70$ 1,722.70$ 24582 00 Surgery 24.09 24.09 1,686.30$ 1,686.30$ 24586 00 Surgery 32.08 32.08 2,245.60$ 2,245.60$ 24587 00 Surgery 32.10 32.10 2,247.00$ 2,247.00$ 24600 00 Surgery 11.05 10.01 773.50$ 700.70$ 24605 00 Surgery 14.17 14.17 991.90$ 991.90$ 24615 00 Surgery 21.09 21.09 1,476.30$ 1,476.30$ 24620 00 Surgery 16.65 16.65 1,165.50$ 1,165.50$ 24635 00 Surgery 19.98 19.98 1,398.60$ 1,398.60$ 24640 00 Surgery 3.04 2.33 212.80$ 163.10$ 24650 00 Surgery 7.86 7.28 550.20$ 509.60$ 24655 00 Surgery 13.19 11.90 923.30$ 833.00$ 24665 00 Surgery 19.47 19.47 1,362.90$ 1,362.90$ 24666 00 Surgery 21.68 21.68 1,517.60$ 1,517.60$ 24670 00 Surgery 8.69 7.93 608.30$ 555.10$ 24675 00 Surgery 13.63 12.34 954.10$ 863.80$ 24685 00 Surgery 19.36 19.36 1,355.20$ 1,355.20$ 24800 00 Surgery 24.62 24.62 1,723.40$ 1,723.40$ 24802 00 Surgery 29.61 29.61 2,072.70$ 2,072.70$ 24900 00 Surgery 21.78 21.78 1,524.60$ 1,524.60$ 24920 00 Surgery 21.67 21.67 1,516.90$ 1,516.90$ 24925 00 Surgery 16.85 16.85 1,179.50$ 1,179.50$ 24930 00 Surgery 22.89 22.89 1,602.30$ 1,602.30$ 24931 00 Surgery 27.51 27.51 1,925.70$ 1,925.70$ 24935 00 Surgery 35.82 35.82 2,507.40$ 2,507.40$ 24940 00 Surgery - - 2,242.10$ 2,242.10$ 24999 00 Surgery 0.00 0.00 BR BR25000 00 Surgery 10.16 10.16 711.20$ 711.20$ 25001 00 Surgery 10.20 10.20 714.00$ 714.00$ 25020 00 Surgery 21.15 21.15 1,480.50$ 1,480.50$ 25023 00 Surgery 38.13 38.13 2,669.10$ 2,669.10$ 25024 00 Surgery 23.08 23.08 1,615.60$ 1,615.60$ 25025 00 Surgery 35.04 35.04 2,452.80$ 2,452.80$ 25028 00 Surgery 19.68 19.68 1,377.60$ 1,377.60$ 25031 00 Surgery 10.89 10.89 762.30$ 762.30$ 25035 00 Surgery 17.32 17.32 1,212.40$ 1,212.40$

PROPOSAL

23


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate25040 00 Surgery 16.56 16.56 1,159.20$ 1,159.20$ 25065 00 Surgery 7.69 4.64 538.30$ 324.80$ 25066 00 Surgery 10.69 10.69 748.30$ 748.30$ 25071 00 Surgery 12.51 12.51 875.70$ 875.70$ 25073 00 Surgery 15.81 15.81 1,106.70$ 1,106.70$ 25075 00 Surgery 15.58 9.31 1,090.60$ 651.70$ 25076 00 Surgery 15.26 15.26 1,068.20$ 1,068.20$ 25077 00 Surgery 26.19 26.19 1,833.30$ 1,833.30$ 25078 00 Surgery 34.23 34.23 2,396.10$ 2,396.10$ 25085 00 Surgery 13.30 13.30 931.00$ 931.00$ 25100 00 Surgery 10.35 10.35 724.50$ 724.50$ 25101 00 Surgery 11.98 11.98 838.60$ 838.60$ 25105 00 Surgery 14.41 14.41 1,008.70$ 1,008.70$ 25107 00 Surgery 18.25 18.25 1,277.50$ 1,277.50$ 25109 00 Surgery 15.81 15.81 1,106.70$ 1,106.70$ 25110 00 Surgery 10.19 10.19 713.30$ 713.30$ 25111 00 Surgery 9.58 9.58 670.60$ 670.60$ 25112 00 Surgery 11.51 11.51 805.70$ 805.70$ 25115 00 Surgery 22.32 22.32 1,562.40$ 1,562.40$ 25116 00 Surgery 17.82 17.82 1,247.40$ 1,247.40$ 25118 00 Surgery 11.30 11.30 791.00$ 791.00$ 25119 00 Surgery 14.76 14.76 1,033.20$ 1,033.20$ 25120 00 Surgery 14.84 14.84 1,038.80$ 1,038.80$ 25125 00 Surgery 17.63 17.63 1,234.10$ 1,234.10$ 25126 00 Surgery 17.76 17.76 1,243.20$ 1,243.20$ 25130 00 Surgery 13.34 13.34 933.80$ 933.80$ 25135 00 Surgery 16.63 16.63 1,164.10$ 1,164.10$ 25136 00 Surgery 14.77 14.77 1,033.90$ 1,033.90$ 25145 00 Surgery 15.44 15.44 1,080.80$ 1,080.80$ 25150 00 Surgery 16.80 16.80 1,176.00$ 1,176.00$ 25151 00 Surgery 17.33 17.33 1,213.10$ 1,213.10$ 25170 00 Surgery 43.30 43.30 3,031.00$ 3,031.00$ 25210 00 Surgery 14.57 14.57 1,019.90$ 1,019.90$ 25215 00 Surgery 18.30 18.30 1,281.00$ 1,281.00$ 25230 00 Surgery 12.80 12.80 896.00$ 896.00$ 25240 00 Surgery 12.72 12.72 890.40$ 890.40$ 25246 00 Surgery 5.87 2.16 410.90$ 151.20$ 25248 00 Surgery 12.41 12.41 868.70$ 868.70$ 25250 00 Surgery 15.83 15.83 1,108.10$ 1,108.10$ 25251 00 Surgery 21.27 21.27 1,488.90$ 1,488.90$ 25259 00 Surgery 12.62 12.62 883.40$ 883.40$ 25260 00 Surgery 18.71 18.71 1,309.70$ 1,309.70$ 25263 00 Surgery 18.76 18.76 1,313.20$ 1,313.20$ 25265 00 Surgery 22.26 22.26 1,558.20$ 1,558.20$ 25270 00 Surgery 14.62 14.62 1,023.40$ 1,023.40$ 25272 00 Surgery 16.60 16.60 1,162.00$ 1,162.00$ 25274 00 Surgery 19.67 19.67 1,376.90$ 1,376.90$ 25275 00 Surgery 19.84 19.84 1,388.80$ 1,388.80$ 25280 00 Surgery 16.76 16.76 1,173.20$ 1,173.20$ 25290 00 Surgery 12.91 12.91 903.70$ 903.70$ 25295 00 Surgery 15.59 15.59 1,091.30$ 1,091.30$ 25300 00 Surgery 20.42 20.42 1,429.40$ 1,429.40$ 25301 00 Surgery 19.04 19.04 1,332.80$ 1,332.80$ 25310 00 Surgery 18.35 18.35 1,284.50$ 1,284.50$ 25312 00 Surgery 21.09 21.09 1,476.30$ 1,476.30$ 25315 00 Surgery 22.77 22.77 1,593.90$ 1,593.90$ 25316 00 Surgery 27.08 27.08 1,895.60$ 1,895.60$ 25320 00 Surgery 29.00 29.00 2,030.00$ 2,030.00$ 25332 00 Surgery 24.93 24.93 1,745.10$ 1,745.10$

PROPOSAL

24


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate25335 00 Surgery 27.90 27.90 1,953.00$ 1,953.00$ 25337 00 Surgery 26.17 26.17 1,831.90$ 1,831.90$ 25350 00 Surgery 19.94 19.94 1,395.80$ 1,395.80$ 25355 00 Surgery 22.64 22.64 1,584.80$ 1,584.80$ 25360 00 Surgery 19.33 19.33 1,353.10$ 1,353.10$ 25365 00 Surgery 27.10 27.10 1,897.00$ 1,897.00$ 25370 00 Surgery 29.87 29.87 2,090.90$ 2,090.90$ 25375 00 Surgery 28.20 28.20 1,974.00$ 1,974.00$ 25390 00 Surgery 22.72 22.72 1,590.40$ 1,590.40$ 25391 00 Surgery 29.44 29.44 2,060.80$ 2,060.80$ 25392 00 Surgery 29.95 29.95 2,096.50$ 2,096.50$ 25393 00 Surgery 33.35 33.35 2,334.50$ 2,334.50$ 25394 00 Surgery 23.19 23.19 1,623.30$ 1,623.30$ 25400 00 Surgery 23.72 23.72 1,660.40$ 1,660.40$ 25405 00 Surgery 30.58 30.58 2,140.60$ 2,140.60$ 25415 00 Surgery 28.62 28.62 2,003.40$ 2,003.40$ 25420 00 Surgery 34.45 34.45 2,411.50$ 2,411.50$ 25425 00 Surgery 28.49 28.49 1,994.30$ 1,994.30$ 25426 00 Surgery 33.16 33.16 2,321.20$ 2,321.20$ 25430 00 Surgery 21.62 21.62 1,513.40$ 1,513.40$ 25431 00 Surgery 23.30 23.30 1,631.00$ 1,631.00$ 25440 00 Surgery 22.70 22.70 1,589.00$ 1,589.00$ 25441 00 Surgery 27.72 27.72 1,940.40$ 1,940.40$ 25442 00 Surgery 23.86 23.86 1,670.20$ 1,670.20$ 25443 00 Surgery 23.21 23.21 1,624.70$ 1,624.70$ 25444 00 Surgery 24.46 24.46 1,712.20$ 1,712.20$ 25445 00 Surgery 21.29 21.29 1,490.30$ 1,490.30$ 25446 00 Surgery 34.53 34.53 2,417.10$ 2,417.10$ 25447 00 Surgery 24.49 24.49 1,714.30$ 1,714.30$ 25449 00 Surgery 30.45 30.45 2,131.50$ 2,131.50$ 25450 00 Surgery 18.30 18.30 1,281.00$ 1,281.00$ 25455 00 Surgery 21.60 21.60 1,512.00$ 1,512.00$ 25490 00 Surgery 21.26 21.26 1,488.20$ 1,488.20$ 25491 00 Surgery 21.85 21.85 1,529.50$ 1,529.50$ 25492 00 Surgery 26.79 26.79 1,875.30$ 1,875.30$ 25500 00 Surgery 8.42 7.61 589.40$ 532.70$ 25505 00 Surgery 14.98 13.60 1,048.60$ 952.00$ 25515 00 Surgery 19.79 19.79 1,385.30$ 1,385.30$ 25520 00 Surgery 17.14 16.14 1,199.80$ 1,129.80$ 25525 00 Surgery 23.28 23.28 1,629.60$ 1,629.60$ 25526 00 Surgery 28.22 28.22 1,975.40$ 1,975.40$ 25530 00 Surgery 7.87 7.20 550.90$ 504.00$ 25535 00 Surgery 14.76 13.59 1,033.20$ 951.30$ 25545 00 Surgery 18.45 18.45 1,291.50$ 1,291.50$ 25560 00 Surgery 8.58 7.65 600.60$ 535.50$ 25565 00 Surgery 15.38 13.78 1,076.60$ 964.60$ 25574 00 Surgery 19.96 19.96 1,397.20$ 1,397.20$ 25575 00 Surgery 26.69 26.69 1,868.30$ 1,868.30$ 25600 00 Surgery 10.01 9.54 700.70$ 667.80$ 25605 00 Surgery 16.08 15.17 1,125.60$ 1,061.90$ 25606 00 Surgery 19.70 19.70 1,379.00$ 1,379.00$ 25607 00 Surgery 21.81 21.81 1,526.70$ 1,526.70$ 25608 00 Surgery 24.40 24.40 1,708.00$ 1,708.00$ 25609 00 Surgery 30.98 30.98 2,168.60$ 2,168.60$ 25622 00 Surgery 9.12 8.40 638.40$ 588.00$ 25624 00 Surgery 14.55 13.17 1,018.50$ 921.90$ 25628 00 Surgery 21.29 21.29 1,490.30$ 1,490.30$ 25630 00 Surgery 9.10 8.44 637.00$ 590.80$ 25635 00 Surgery 13.84 12.55 968.80$ 878.50$

PROPOSAL

25


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate25645 00 Surgery 16.93 16.93 1,185.10$ 1,185.10$ 25650 00 Surgery 9.80 9.07 686.00$ 634.90$ 25651 00 Surgery 14.50 14.50 1,015.00$ 1,015.00$ 25652 00 Surgery 18.41 18.41 1,288.70$ 1,288.70$ 25660 00 Surgery 13.27 13.27 928.90$ 928.90$ 25670 00 Surgery 18.04 18.04 1,262.80$ 1,262.80$ 25671 00 Surgery 15.78 15.78 1,104.60$ 1,104.60$ 25675 00 Surgery 13.24 11.95 926.80$ 836.50$ 25676 00 Surgery 18.68 18.68 1,307.60$ 1,307.60$ 25680 00 Surgery 15.67 15.67 1,096.90$ 1,096.90$ 25685 00 Surgery 21.74 21.74 1,521.80$ 1,521.80$ 25690 00 Surgery 14.54 14.54 1,017.80$ 1,017.80$ 25695 00 Surgery 18.82 18.82 1,317.40$ 1,317.40$ 25800 00 Surgery 21.64 21.64 1,514.80$ 1,514.80$ 25805 00 Surgery 25.05 25.05 1,753.50$ 1,753.50$ 25810 00 Surgery 25.54 25.54 1,787.80$ 1,787.80$ 25820 00 Surgery 19.13 19.13 1,339.10$ 1,339.10$ 25825 00 Surgery 23.35 23.35 1,634.50$ 1,634.50$ 25830 00 Surgery 30.02 30.02 2,101.40$ 2,101.40$ 25900 00 Surgery 21.17 21.17 1,481.90$ 1,481.90$ 25905 00 Surgery 20.78 20.78 1,454.60$ 1,454.60$ 25907 00 Surgery 18.22 18.22 1,275.40$ 1,275.40$ 25909 00 Surgery 20.28 20.28 1,419.60$ 1,419.60$ 25915 00 Surgery 34.44 34.44 2,410.80$ 2,410.80$ 25920 00 Surgery 21.54 21.54 1,507.80$ 1,507.80$ 25922 00 Surgery 19.06 19.06 1,334.20$ 1,334.20$ 25924 00 Surgery 21.05 21.05 1,473.50$ 1,473.50$ 25927 00 Surgery 25.65 25.65 1,795.50$ 1,795.50$ 25929 00 Surgery 17.74 17.74 1,241.80$ 1,241.80$ 25931 00 Surgery 23.74 23.74 1,661.80$ 1,661.80$ 25999 00 Surgery 0.00 0.00 BR BR26010 00 Surgery 9.98 4.12 698.60$ 288.40$ 26011 00 Surgery 14.23 5.48 996.10$ 383.60$ 26020 00 Surgery 16.43 16.43 1,150.10$ 1,150.10$ 26025 00 Surgery 12.50 12.50 875.00$ 875.00$ 26030 00 Surgery 14.49 14.49 1,014.30$ 1,014.30$ 26034 00 Surgery 16.26 16.26 1,138.20$ 1,138.20$ 26035 00 Surgery 25.43 25.43 1,780.10$ 1,780.10$ 26037 00 Surgery 16.66 16.66 1,166.20$ 1,166.20$ 26040 00 Surgery 9.35 9.35 654.50$ 654.50$ 26045 00 Surgery 13.98 13.98 978.60$ 978.60$ 26055 00 Surgery 17.49 8.62 1,224.30$ 603.40$ 26060 00 Surgery 7.61 7.61 532.70$ 532.70$ 26070 00 Surgery 9.57 9.57 669.90$ 669.90$ 26075 00 Surgery 9.99 9.99 699.30$ 699.30$ 26080 00 Surgery 11.76 11.76 823.20$ 823.20$ 26100 00 Surgery 10.04 10.04 702.80$ 702.80$ 26105 00 Surgery 10.11 10.11 707.70$ 707.70$ 26110 00 Surgery 9.61 9.61 672.70$ 672.70$ 26111 00 Surgery 12.28 12.28 859.60$ 859.60$ 26113 00 Surgery 16.14 16.14 1,129.80$ 1,129.80$ 26115 00 Surgery 16.44 9.78 1,150.80$ 684.60$ 26116 00 Surgery 15.51 15.51 1,085.70$ 1,085.70$ 26117 00 Surgery 21.82 21.82 1,527.40$ 1,527.40$ 26118 00 Surgery 31.05 31.05 2,173.50$ 2,173.50$ 26121 00 Surgery 17.73 17.73 1,241.10$ 1,241.10$ 26123 00 Surgery 24.65 24.65 1,725.50$ 1,725.50$ 26125 00 Surgery 7.92 7.92 554.40$ 554.40$ 26130 00 Surgery 13.89 13.89 972.30$ 972.30$

PROPOSAL

26


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate26135 00 Surgery 16.38 16.38 1,146.60$ 1,146.60$ 26140 00 Surgery 15.02 15.02 1,051.40$ 1,051.40$ 26145 00 Surgery 15.24 15.24 1,066.80$ 1,066.80$ 26160 00 Surgery 18.18 9.34 1,272.60$ 653.80$ 26170 00 Surgery 12.08 12.08 845.60$ 845.60$ 26180 00 Surgery 13.30 13.30 931.00$ 931.00$ 26185 00 Surgery 16.45 16.45 1,151.50$ 1,151.50$ 26200 00 Surgery 13.35 13.35 934.50$ 934.50$ 26205 00 Surgery 17.95 17.95 1,256.50$ 1,256.50$ 26210 00 Surgery 13.22 13.22 925.40$ 925.40$ 26215 00 Surgery 16.82 16.82 1,177.40$ 1,177.40$ 26230 00 Surgery 14.80 14.80 1,036.00$ 1,036.00$ 26235 00 Surgery 14.58 14.58 1,020.60$ 1,020.60$ 26236 00 Surgery 13.07 13.07 914.90$ 914.90$ 26250 00 Surgery 31.43 31.43 2,200.10$ 2,200.10$ 26260 00 Surgery 23.55 23.55 1,648.50$ 1,648.50$ 26262 00 Surgery 18.64 18.64 1,304.80$ 1,304.80$ 26320 00 Surgery 10.35 10.35 724.50$ 724.50$ 26340 00 Surgery 10.29 10.29 720.30$ 720.30$ 26341 00 Surgery 3.34 2.28 233.80$ 159.60$ 26350 00 Surgery 22.29 22.29 1,560.30$ 1,560.30$ 26352 00 Surgery 24.98 24.98 1,748.60$ 1,748.60$ 26356 00 Surgery 23.57 23.57 1,649.90$ 1,649.90$ 26357 00 Surgery 26.46 26.46 1,852.20$ 1,852.20$ 26358 00 Surgery 29.21 29.21 2,044.70$ 2,044.70$ 26370 00 Surgery 23.56 23.56 1,649.20$ 1,649.20$ 26372 00 Surgery 27.47 27.47 1,922.90$ 1,922.90$ 26373 00 Surgery 26.43 26.43 1,850.10$ 1,850.10$ 26390 00 Surgery 26.12 26.12 1,828.40$ 1,828.40$ 26392 00 Surgery 30.03 30.03 2,102.10$ 2,102.10$ 26410 00 Surgery 17.95 17.95 1,256.50$ 1,256.50$ 26412 00 Surgery 21.42 21.42 1,499.40$ 1,499.40$ 26415 00 Surgery 25.46 25.46 1,782.20$ 1,782.20$ 26416 00 Surgery 27.50 27.50 1,925.00$ 1,925.00$ 26418 00 Surgery 18.52 18.52 1,296.40$ 1,296.40$ 26420 00 Surgery 22.21 22.21 1,554.70$ 1,554.70$ 26426 00 Surgery 14.90 14.90 1,043.00$ 1,043.00$ 26428 00 Surgery 23.80 23.80 1,666.00$ 1,666.00$ 26432 00 Surgery 16.14 16.14 1,129.80$ 1,129.80$ 26433 00 Surgery 17.03 17.03 1,192.10$ 1,192.10$ 26434 00 Surgery 20.68 20.68 1,447.60$ 1,447.60$ 26437 00 Surgery 19.80 19.80 1,386.00$ 1,386.00$ 26440 00 Surgery 19.56 19.56 1,369.20$ 1,369.20$ 26442 00 Surgery 29.47 29.47 2,062.90$ 2,062.90$ 26445 00 Surgery 18.27 18.27 1,278.90$ 1,278.90$ 26449 00 Surgery 20.58 20.58 1,440.60$ 1,440.60$ 26450 00 Surgery 13.51 13.51 945.70$ 945.70$ 26455 00 Surgery 13.41 13.41 938.70$ 938.70$ 26460 00 Surgery 13.18 13.18 922.60$ 922.60$ 26471 00 Surgery 19.61 19.61 1,372.70$ 1,372.70$ 26474 00 Surgery 19.36 19.36 1,355.20$ 1,355.20$ 26476 00 Surgery 19.12 19.12 1,338.40$ 1,338.40$ 26477 00 Surgery 18.58 18.58 1,300.60$ 1,300.60$ 26478 00 Surgery 19.71 19.71 1,379.70$ 1,379.70$ 26479 00 Surgery 20.08 20.08 1,405.60$ 1,405.60$ 26480 00 Surgery 23.52 23.52 1,646.40$ 1,646.40$ 26483 00 Surgery 26.08 26.08 1,825.60$ 1,825.60$ 26485 00 Surgery 25.06 25.06 1,754.20$ 1,754.20$ 26489 00 Surgery 28.90 28.90 2,023.00$ 2,023.00$

PROPOSAL

27


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate26490 00 Surgery 24.95 24.95 1,746.50$ 1,746.50$ 26492 00 Surgery 27.54 27.54 1,927.80$ 1,927.80$ 26494 00 Surgery 25.05 25.05 1,753.50$ 1,753.50$ 26496 00 Surgery 26.95 26.95 1,886.50$ 1,886.50$ 26497 00 Surgery 26.92 26.92 1,884.40$ 1,884.40$ 26498 00 Surgery 35.03 35.03 2,452.10$ 2,452.10$ 26499 00 Surgery 25.93 25.93 1,815.10$ 1,815.10$ 26500 00 Surgery 19.68 19.68 1,377.60$ 1,377.60$ 26502 00 Surgery 22.48 22.48 1,573.60$ 1,573.60$ 26508 00 Surgery 20.07 20.07 1,404.90$ 1,404.90$ 26510 00 Surgery 19.07 19.07 1,334.90$ 1,334.90$ 26516 00 Surgery 22.11 22.11 1,547.70$ 1,547.70$ 26517 00 Surgery 25.77 25.77 1,803.90$ 1,803.90$ 26518 00 Surgery 26.09 26.09 1,826.30$ 1,826.30$ 26520 00 Surgery 20.48 20.48 1,433.60$ 1,433.60$ 26525 00 Surgery 20.53 20.53 1,437.10$ 1,437.10$ 26530 00 Surgery 15.98 15.98 1,118.60$ 1,118.60$ 26531 00 Surgery 18.62 18.62 1,303.40$ 1,303.40$ 26535 00 Surgery 12.94 12.94 905.80$ 905.80$ 26536 00 Surgery 22.40 22.40 1,568.00$ 1,568.00$ 26540 00 Surgery 20.80 20.80 1,456.00$ 1,456.00$ 26541 00 Surgery 24.80 24.80 1,736.00$ 1,736.00$ 26542 00 Surgery 21.48 21.48 1,503.60$ 1,503.60$ 26545 00 Surgery 21.79 21.79 1,525.30$ 1,525.30$ 26546 00 Surgery 30.59 30.59 2,141.30$ 2,141.30$ 26548 00 Surgery 23.73 23.73 1,661.10$ 1,661.10$ 26550 00 Surgery 49.35 49.35 3,454.50$ 3,454.50$ 26551 00 Surgery 97.71 97.71 6,839.70$ 6,839.70$ 26553 00 Surgery 97.06 97.06 6,794.20$ 6,794.20$ 26554 00 Surgery 112.94 112.94 7,905.80$ 7,905.80$ 26555 00 Surgery 41.48 41.48 2,903.60$ 2,903.60$ 26556 00 Surgery 100.87 100.87 7,060.90$ 7,060.90$ 26560 00 Surgery 18.92 18.92 1,324.40$ 1,324.40$ 26561 00 Surgery 29.23 29.23 2,046.10$ 2,046.10$ 26562 00 Surgery 40.78 40.78 2,854.60$ 2,854.60$ 26565 00 Surgery 21.82 21.82 1,527.40$ 1,527.40$ 26567 00 Surgery 21.43 21.43 1,500.10$ 1,500.10$ 26568 00 Surgery 27.90 27.90 1,953.00$ 1,953.00$ 26580 00 Surgery 45.71 45.71 3,199.70$ 3,199.70$ 26587 00 Surgery 30.79 30.79 2,155.30$ 2,155.30$ 26590 00 Surgery 42.56 42.56 2,979.20$ 2,979.20$ 26591 00 Surgery 14.43 14.43 1,010.10$ 1,010.10$ 26593 00 Surgery 19.18 19.18 1,342.60$ 1,342.60$ 26596 00 Surgery 24.06 24.06 1,684.20$ 1,684.20$ 26600 00 Surgery 8.91 8.45 623.70$ 591.50$ 26605 00 Surgery 9.79 8.81 685.30$ 616.70$ 26607 00 Surgery 14.97 14.97 1,047.90$ 1,047.90$ 26608 00 Surgery 14.30 14.30 1,001.00$ 1,001.00$ 26615 00 Surgery 17.04 17.04 1,192.80$ 1,192.80$ 26641 00 Surgery 12.44 11.31 870.80$ 791.70$ 26645 00 Surgery 12.92 11.75 904.40$ 822.50$ 26650 00 Surgery 14.30 14.30 1,001.00$ 1,001.00$ 26665 00 Surgery 18.52 18.52 1,296.40$ 1,296.40$ 26670 00 Surgery 10.35 9.26 724.50$ 648.20$ 26675 00 Surgery 13.74 12.53 961.80$ 877.10$ 26676 00 Surgery 15.10 15.10 1,057.00$ 1,057.00$ 26685 00 Surgery 17.04 17.04 1,192.80$ 1,192.80$ 26686 00 Surgery 18.50 18.50 1,295.00$ 1,295.00$ 26700 00 Surgery 9.95 9.18 696.50$ 642.60$

PROPOSAL

28


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate26705 00 Surgery 12.60 11.42 882.00$ 799.40$ 26706 00 Surgery 13.22 13.22 925.40$ 925.40$ 26715 00 Surgery 16.95 16.95 1,186.50$ 1,186.50$ 26720 00 Surgery 5.92 5.55 414.40$ 388.50$ 26725 00 Surgery 10.14 9.02 709.80$ 631.40$ 26727 00 Surgery 14.07 14.07 984.90$ 984.90$ 26735 00 Surgery 17.60 17.60 1,232.00$ 1,232.00$ 26740 00 Surgery 6.89 6.52 482.30$ 456.40$ 26742 00 Surgery 11.16 10.01 781.20$ 700.70$ 26746 00 Surgery 21.94 21.94 1,535.80$ 1,535.80$ 26750 00 Surgery 5.54 5.57 387.80$ 389.90$ 26755 00 Surgery 9.53 8.18 667.10$ 572.60$ 26756 00 Surgery 12.56 12.56 879.20$ 879.20$ 26765 00 Surgery 14.84 14.84 1,038.80$ 1,038.80$ 26770 00 Surgery 8.44 7.69 590.80$ 538.30$ 26775 00 Surgery 11.65 10.43 815.50$ 730.10$ 26776 00 Surgery 13.34 13.34 933.80$ 933.80$ 26785 00 Surgery 16.17 16.17 1,131.90$ 1,131.90$ 26820 00 Surgery 24.68 24.68 1,727.60$ 1,727.60$ 26841 00 Surgery 22.92 22.92 1,604.40$ 1,604.40$ 26842 00 Surgery 24.76 24.76 1,733.20$ 1,733.20$ 26843 00 Surgery 23.29 23.29 1,630.30$ 1,630.30$ 26844 00 Surgery 25.60 25.60 1,792.00$ 1,792.00$ 26850 00 Surgery 21.81 21.81 1,526.70$ 1,526.70$ 26852 00 Surgery 24.74 24.74 1,731.80$ 1,731.80$ 26860 00 Surgery 18.13 18.13 1,269.10$ 1,269.10$ 26861 00 Surgery 3.01 3.01 210.70$ 210.70$ 26862 00 Surgery 22.75 22.75 1,592.50$ 1,592.50$ 26863 00 Surgery 6.64 6.64 464.80$ 464.80$ 26910 00 Surgery 22.61 22.61 1,582.70$ 1,582.70$ 26951 00 Surgery 20.68 20.68 1,447.60$ 1,447.60$ 26952 00 Surgery 20.27 20.27 1,418.90$ 1,418.90$ 26989 00 Surgery 0.00 0.00 BR BR26990 00 Surgery 19.97 19.97 1,397.90$ 1,397.90$ 26991 00 Surgery 21.35 15.55 1,494.50$ 1,088.50$ 26992 00 Surgery 29.70 29.70 2,079.00$ 2,079.00$ 27000 00 Surgery 12.01 12.01 840.70$ 840.70$ 27001 00 Surgery 16.05 16.05 1,123.50$ 1,123.50$ 27003 00 Surgery 17.73 17.73 1,241.10$ 1,241.10$ 27005 00 Surgery 21.23 21.23 1,486.10$ 1,486.10$ 27006 00 Surgery 21.23 21.23 1,486.10$ 1,486.10$ 27025 00 Surgery 27.19 27.19 1,903.30$ 1,903.30$ 27027 00 Surgery 26.02 26.02 1,821.40$ 1,821.40$ 27030 00 Surgery 27.68 27.68 1,937.60$ 1,937.60$ 27033 00 Surgery 28.73 28.73 2,011.10$ 2,011.10$ 27035 00 Surgery 33.69 33.69 2,358.30$ 2,358.30$ 27036 00 Surgery 29.97 29.97 2,097.90$ 2,097.90$ 27040 00 Surgery 10.34 5.84 723.80$ 408.80$ 27041 00 Surgery 20.76 20.76 1,453.20$ 1,453.20$ 27043 00 Surgery 13.83 13.83 968.10$ 968.10$ 27045 00 Surgery 21.71 21.71 1,519.70$ 1,519.70$ 27047 00 Surgery 14.65 10.60 1,025.50$ 742.00$ 27048 00 Surgery 18.07 18.07 1,264.90$ 1,264.90$ 27049 00 Surgery 39.69 39.69 2,778.30$ 2,778.30$ 27050 00 Surgery 11.98 11.98 838.60$ 838.60$ 27052 00 Surgery 17.10 17.10 1,197.00$ 1,197.00$ 27054 00 Surgery 20.34 20.34 1,423.80$ 1,423.80$ 27057 00 Surgery 29.85 29.85 2,089.50$ 2,089.50$ 27059 00 Surgery 53.22 53.22 3,725.40$ 3,725.40$

PROPOSAL

29


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate27060 00 Surgery 13.80 13.80 966.00$ 966.00$ 27062 00 Surgery 13.48 13.48 943.60$ 943.60$ 27065 00 Surgery 15.56 15.56 1,089.20$ 1,089.20$ 27066 00 Surgery 24.14 24.14 1,689.80$ 1,689.80$ 27067 00 Surgery 30.55 30.55 2,138.50$ 2,138.50$ 27070 00 Surgery 26.22 26.22 1,835.40$ 1,835.40$ 27071 00 Surgery 28.60 28.60 2,002.00$ 2,002.00$ 27075 00 Surgery 61.38 61.38 4,296.60$ 4,296.60$ 27076 00 Surgery 74.25 74.25 5,197.50$ 5,197.50$ 27077 00 Surgery 82.81 82.81 5,796.70$ 5,796.70$ 27078 00 Surgery 60.55 60.55 4,238.50$ 4,238.50$ 27080 00 Surgery 15.10 15.10 1,057.00$ 1,057.00$ 27086 00 Surgery 9.40 4.97 658.00$ 347.90$ 27087 00 Surgery 18.14 18.14 1,269.80$ 1,269.80$ 27090 00 Surgery 24.48 24.48 1,713.60$ 1,713.60$ 27091 00 Surgery 46.92 46.92 3,284.40$ 3,284.40$ 27093 00 Surgery 7.04 2.01 492.80$ 140.70$ 27095 00 Surgery 9.53 2.43 667.10$ 170.10$ 27096 00 Surgery 4.88 2.43 341.60$ 170.10$ 27097 00 Surgery 20.20 20.20 1,414.00$ 1,414.00$ 27098 00 Surgery 20.55 20.55 1,438.50$ 1,438.50$ 27100 00 Surgery 24.52 24.52 1,716.40$ 1,716.40$ 27105 00 Surgery 25.71 25.71 1,799.70$ 1,799.70$ 27110 00 Surgery 28.67 28.67 2,006.90$ 2,006.90$ 27111 00 Surgery 26.69 26.69 1,868.30$ 1,868.30$ 27120 00 Surgery 38.31 38.31 2,681.70$ 2,681.70$ 27122 00 Surgery 32.53 32.53 2,277.10$ 2,277.10$ 27125 00 Surgery 33.37 33.37 2,335.90$ 2,335.90$ 27130 00 Surgery 37.90 37.90 2,653.00$ 2,653.00$ 27132 00 Surgery 49.24 49.24 3,446.80$ 3,446.80$ 27134 00 Surgery 56.15 56.15 3,930.50$ 3,930.50$ 27137 00 Surgery 43.22 43.22 3,025.40$ 3,025.40$ 27138 00 Surgery 44.90 44.90 3,143.00$ 3,143.00$ 27140 00 Surgery 26.36 26.36 1,845.20$ 1,845.20$ 27146 00 Surgery 37.72 37.72 2,640.40$ 2,640.40$ 27147 00 Surgery 43.11 43.11 3,017.70$ 3,017.70$ 27151 00 Surgery 46.62 46.62 3,263.40$ 3,263.40$ 27156 00 Surgery 50.22 50.22 3,515.40$ 3,515.40$ 27158 00 Surgery 41.28 41.28 2,889.60$ 2,889.60$ 27161 00 Surgery 35.89 35.89 2,512.30$ 2,512.30$ 27165 00 Surgery 40.64 40.64 2,844.80$ 2,844.80$ 27170 00 Surgery 34.55 34.55 2,418.50$ 2,418.50$ 27175 00 Surgery 19.69 19.69 1,378.30$ 1,378.30$ 27176 00 Surgery 27.23 27.23 1,906.10$ 1,906.10$ 27177 00 Surgery 32.91 32.91 2,303.70$ 2,303.70$ 27178 00 Surgery 27.23 27.23 1,906.10$ 1,906.10$ 27179 00 Surgery 28.90 28.90 2,023.00$ 2,023.00$ 27181 00 Surgery 33.04 33.04 2,312.80$ 2,312.80$ 27185 00 Surgery 21.23 21.23 1,486.10$ 1,486.10$ 27187 00 Surgery 29.38 29.38 2,056.60$ 2,056.60$ 27197 00 Surgery 3.90 3.90 273.00$ 273.00$ 27198 00 Surgery 9.35 9.35 654.50$ 654.50$ 27200 00 Surgery 5.50 5.54 385.00$ 387.80$ 27202 00 Surgery 15.63 15.63 1,094.10$ 1,094.10$ 27215 00 Surgery 17.65 17.65 1,235.50$ 1,235.50$ 27216 00 Surgery 26.13 26.13 1,829.10$ 1,829.10$ 27217 00 Surgery 24.57 24.57 1,719.90$ 1,719.90$ 27218 00 Surgery 33.76 33.76 2,363.20$ 2,363.20$ 27220 00 Surgery 12.38 12.21 866.60$ 854.70$

PROPOSAL

30


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate27222 00 Surgery 28.86 28.86 2,020.20$ 2,020.20$ 27226 00 Surgery 31.16 31.16 2,181.20$ 2,181.20$ 27227 00 Surgery 48.67 48.67 3,406.90$ 3,406.90$ 27228 00 Surgery 55.26 55.26 3,868.20$ 3,868.20$ 27230 00 Surgery 14.39 14.13 1,007.30$ 989.10$ 27232 00 Surgery 21.87 21.87 1,530.90$ 1,530.90$ 27235 00 Surgery 26.77 26.77 1,873.90$ 1,873.90$ 27236 00 Surgery 35.18 35.18 2,462.60$ 2,462.60$ 27238 00 Surgery 13.82 13.82 967.40$ 967.40$ 27240 00 Surgery 28.33 28.33 1,983.10$ 1,983.10$ 27244 00 Surgery 36.21 36.21 2,534.70$ 2,534.70$ 27245 00 Surgery 36.17 36.17 2,531.90$ 2,531.90$ 27246 00 Surgery 11.57 11.45 809.90$ 801.50$ 27248 00 Surgery 22.02 22.02 1,541.40$ 1,541.40$ 27250 00 Surgery 5.30 5.30 371.00$ 371.00$ 27252 00 Surgery 22.35 22.35 1,564.50$ 1,564.50$ 27253 00 Surgery 27.80 27.80 1,946.00$ 1,946.00$ 27254 00 Surgery 37.53 37.53 2,627.10$ 2,627.10$ 27256 00 Surgery 8.98 6.98 628.60$ 488.60$ 27257 00 Surgery 10.67 10.67 746.90$ 746.90$ 27258 00 Surgery 32.81 32.81 2,296.70$ 2,296.70$ 27259 00 Surgery 45.47 45.47 3,182.90$ 3,182.90$ 27265 00 Surgery 12.02 12.02 841.40$ 841.40$ 27266 00 Surgery 17.29 17.29 1,210.30$ 1,210.30$ 27267 00 Surgery 12.95 12.95 906.50$ 906.50$ 27268 00 Surgery 16.10 16.10 1,127.00$ 1,127.00$ 27269 00 Surgery 36.60 36.60 2,562.00$ 2,562.00$ 27275 00 Surgery 5.44 5.44 380.80$ 380.80$ 27279 00 Surgery 25.45 25.45 1,781.50$ 1,781.50$ 27280 00 Surgery 40.11 40.11 2,807.70$ 2,807.70$ 27282 00 Surgery 25.38 25.38 1,776.60$ 1,776.60$ 27284 00 Surgery 47.30 47.30 3,311.00$ 3,311.00$ 27286 00 Surgery 48.41 48.41 3,388.70$ 3,388.70$ 27290 00 Surgery 47.89 47.89 3,352.30$ 3,352.30$ 27295 00 Surgery 36.82 36.82 2,577.40$ 2,577.40$ 27299 00 Surgery 0.00 0.00 BR BR27301 00 Surgery 20.25 14.97 1,417.50$ 1,047.90$ 27303 00 Surgery 19.06 19.06 1,334.20$ 1,334.20$ 27305 00 Surgery 14.27 14.27 998.90$ 998.90$ 27306 00 Surgery 9.87 9.87 690.90$ 690.90$ 27307 00 Surgery 14.23 14.23 996.10$ 996.10$ 27310 00 Surgery 21.63 21.63 1,514.10$ 1,514.10$ 27323 00 Surgery 8.20 5.12 574.00$ 358.40$ 27324 00 Surgery 12.05 12.05 843.50$ 843.50$ 27325 00 Surgery 16.72 16.72 1,170.40$ 1,170.40$ 27326 00 Surgery 15.46 15.46 1,082.20$ 1,082.20$ 27327 00 Surgery 14.95 9.22 1,046.50$ 645.40$ 27328 00 Surgery 18.39 18.39 1,287.30$ 1,287.30$ 27329 00 Surgery 30.63 30.63 2,144.10$ 2,144.10$ 27330 00 Surgery 12.42 12.42 869.40$ 869.40$ 27331 00 Surgery 14.11 14.11 987.70$ 987.70$ 27332 00 Surgery 19.10 19.10 1,337.00$ 1,337.00$ 27333 00 Surgery 17.43 17.43 1,220.10$ 1,220.10$ 27334 00 Surgery 20.28 20.28 1,419.60$ 1,419.60$ 27335 00 Surgery 22.65 22.65 1,585.50$ 1,585.50$ 27337 00 Surgery 12.39 12.39 867.30$ 867.30$ 27339 00 Surgery 22.23 22.23 1,556.10$ 1,556.10$ 27340 00 Surgery 11.07 11.07 774.90$ 774.90$ 27345 00 Surgery 14.35 14.35 1,004.50$ 1,004.50$

PROPOSAL

31


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate27347 00 Surgery 15.62 15.62 1,093.40$ 1,093.40$ 27350 00 Surgery 19.34 19.34 1,353.80$ 1,353.80$ 27355 00 Surgery 17.94 17.94 1,255.80$ 1,255.80$ 27356 00 Surgery 21.87 21.87 1,530.90$ 1,530.90$ 27357 00 Surgery 24.16 24.16 1,691.20$ 1,691.20$ 27358 00 Surgery 8.10 8.10 567.00$ 567.00$ 27360 00 Surgery 26.54 26.54 1,857.80$ 1,857.80$ 27364 00 Surgery 46.01 46.01 3,220.70$ 3,220.70$ 27365 00 Surgery 60.52 60.52 4,236.40$ 4,236.40$ 27369 00 Surgery 5.09 1.17 356.30$ 81.90$ 27372 00 Surgery 17.87 11.84 1,250.90$ 828.80$ 27380 00 Surgery 18.38 18.38 1,286.60$ 1,286.60$ 27381 00 Surgery 24.27 24.27 1,698.90$ 1,698.90$ 27385 00 Surgery 17.88 17.88 1,251.60$ 1,251.60$ 27386 00 Surgery 25.38 25.38 1,776.60$ 1,776.60$ 27390 00 Surgery 13.32 13.32 932.40$ 932.40$ 27391 00 Surgery 16.26 16.26 1,138.20$ 1,138.20$ 27392 00 Surgery 21.09 21.09 1,476.30$ 1,476.30$ 27393 00 Surgery 14.90 14.90 1,043.00$ 1,043.00$ 27394 00 Surgery 19.40 19.40 1,358.00$ 1,358.00$ 27395 00 Surgery 26.05 26.05 1,823.50$ 1,823.50$ 27396 00 Surgery 18.30 18.30 1,281.00$ 1,281.00$ 27397 00 Surgery 27.01 27.01 1,890.70$ 1,890.70$ 27400 00 Surgery 20.60 20.60 1,442.00$ 1,442.00$ 27403 00 Surgery 19.08 19.08 1,335.60$ 1,335.60$ 27405 00 Surgery 20.00 20.00 1,400.00$ 1,400.00$ 27407 00 Surgery 23.55 23.55 1,648.50$ 1,648.50$ 27409 00 Surgery 28.58 28.58 2,000.60$ 2,000.60$ 27412 00 Surgery 48.55 48.55 3,398.50$ 3,398.50$ 27415 00 Surgery 40.47 40.47 2,832.90$ 2,832.90$ 27416 00 Surgery 28.91 28.91 2,023.70$ 2,023.70$ 27418 00 Surgery 24.56 24.56 1,719.20$ 1,719.20$ 27420 00 Surgery 21.97 21.97 1,537.90$ 1,537.90$ 27422 00 Surgery 21.99 21.99 1,539.30$ 1,539.30$ 27424 00 Surgery 22.13 22.13 1,549.10$ 1,549.10$ 27425 00 Surgery 13.42 13.42 939.40$ 939.40$ 27427 00 Surgery 21.07 21.07 1,474.90$ 1,474.90$ 27428 00 Surgery 32.93 32.93 2,305.10$ 2,305.10$ 27429 00 Surgery 37.07 37.07 2,594.90$ 2,594.90$ 27430 00 Surgery 21.95 21.95 1,536.50$ 1,536.50$ 27435 00 Surgery 23.95 23.95 1,676.50$ 1,676.50$ 27437 00 Surgery 19.56 19.56 1,369.20$ 1,369.20$ 27438 00 Surgery 24.82 24.82 1,737.40$ 1,737.40$ 27440 00 Surgery 23.59 23.59 1,651.30$ 1,651.30$ 27441 00 Surgery 24.34 24.34 1,703.80$ 1,703.80$ 27442 00 Surgery 25.72 25.72 1,800.40$ 1,800.40$ 27443 00 Surgery 24.13 24.13 1,689.10$ 1,689.10$ 27445 00 Surgery 37.00 37.00 2,590.00$ 2,590.00$ 27446 00 Surgery 34.03 34.03 2,382.10$ 2,382.10$ 27447 00 Surgery 37.85 37.85 2,649.50$ 2,649.50$ 27448 00 Surgery 23.85 23.85 1,669.50$ 1,669.50$ 27450 00 Surgery 30.00 30.00 2,100.00$ 2,100.00$ 27454 00 Surgery 38.16 38.16 2,671.20$ 2,671.20$ 27455 00 Surgery 28.32 28.32 1,982.40$ 1,982.40$ 27457 00 Surgery 28.38 28.38 1,986.60$ 1,986.60$ 27465 00 Surgery 36.84 36.84 2,578.80$ 2,578.80$ 27466 00 Surgery 34.94 34.94 2,445.80$ 2,445.80$ 27468 00 Surgery 39.57 39.57 2,769.90$ 2,769.90$ 27470 00 Surgery 34.77 34.77 2,433.90$ 2,433.90$

PROPOSAL

32


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate27472 00 Surgery 37.28 37.28 2,609.60$ 2,609.60$ 27475 00 Surgery 19.62 19.62 1,373.40$ 1,373.40$ 27477 00 Surgery 21.68 21.68 1,517.60$ 1,517.60$ 27479 00 Surgery 27.14 27.14 1,899.80$ 1,899.80$ 27485 00 Surgery 19.89 19.89 1,392.30$ 1,392.30$ 27486 00 Surgery 41.41 41.41 2,898.70$ 2,898.70$ 27487 00 Surgery 51.67 51.67 3,616.90$ 3,616.90$ 27488 00 Surgery 35.39 35.39 2,477.30$ 2,477.30$ 27495 00 Surgery 33.33 33.33 2,333.10$ 2,333.10$ 27496 00 Surgery 16.22 16.22 1,135.40$ 1,135.40$ 27497 00 Surgery 17.20 17.20 1,204.00$ 1,204.00$ 27498 00 Surgery 19.43 19.43 1,360.10$ 1,360.10$ 27499 00 Surgery 20.76 20.76 1,453.20$ 1,453.20$ 27500 00 Surgery 15.51 14.25 1,085.70$ 997.50$ 27501 00 Surgery 15.03 14.73 1,052.10$ 1,031.10$ 27502 00 Surgery 22.34 22.34 1,563.80$ 1,563.80$ 27503 00 Surgery 23.72 23.72 1,660.40$ 1,660.40$ 27506 00 Surgery 39.42 39.42 2,759.40$ 2,759.40$ 27507 00 Surgery 28.59 28.59 2,001.30$ 2,001.30$ 27508 00 Surgery 15.60 14.76 1,092.00$ 1,033.20$ 27509 00 Surgery 19.93 19.93 1,395.10$ 1,395.10$ 27510 00 Surgery 20.13 20.13 1,409.10$ 1,409.10$ 27511 00 Surgery 29.42 29.42 2,059.40$ 2,059.40$ 27513 00 Surgery 36.50 36.50 2,555.00$ 2,555.00$ 27514 00 Surgery 28.54 28.54 1,997.80$ 1,997.80$ 27516 00 Surgery 15.35 14.33 1,074.50$ 1,003.10$ 27517 00 Surgery 20.37 20.37 1,425.90$ 1,425.90$ 27519 00 Surgery 26.32 26.32 1,842.40$ 1,842.40$ 27520 00 Surgery 9.67 8.91 676.90$ 623.70$ 27524 00 Surgery 22.26 22.26 1,558.20$ 1,558.20$ 27530 00 Surgery 9.12 8.54 638.40$ 597.80$ 27532 00 Surgery 18.32 17.08 1,282.40$ 1,195.60$ 27535 00 Surgery 26.51 26.51 1,855.70$ 1,855.70$ 27536 00 Surgery 34.94 34.94 2,445.80$ 2,445.80$ 27538 00 Surgery 14.34 13.31 1,003.80$ 931.70$ 27540 00 Surgery 24.05 24.05 1,683.50$ 1,683.50$ 27550 00 Surgery 15.63 14.42 1,094.10$ 1,009.40$ 27552 00 Surgery 18.75 18.75 1,312.50$ 1,312.50$ 27556 00 Surgery 25.90 25.90 1,813.00$ 1,813.00$ 27557 00 Surgery 30.86 30.86 2,160.20$ 2,160.20$ 27558 00 Surgery 35.15 35.15 2,460.50$ 2,460.50$ 27560 00 Surgery 11.17 10.22 781.90$ 715.40$ 27562 00 Surgery 14.49 14.49 1,014.30$ 1,014.30$ 27566 00 Surgery 26.37 26.37 1,845.90$ 1,845.90$ 27570 00 Surgery 4.46 4.46 312.20$ 312.20$ 27580 00 Surgery 43.31 43.31 3,031.70$ 3,031.70$ 27590 00 Surgery 23.17 23.17 1,621.90$ 1,621.90$ 27591 00 Surgery 28.49 28.49 1,994.30$ 1,994.30$ 27592 00 Surgery 19.74 19.74 1,381.80$ 1,381.80$ 27594 00 Surgery 14.97 14.97 1,047.90$ 1,047.90$ 27596 00 Surgery 21.03 21.03 1,472.10$ 1,472.10$ 27598 00 Surgery 20.79 20.79 1,455.30$ 1,455.30$ 27599 00 Surgery 0.00 0.00 BR BR27600 00 Surgery 11.91 11.91 833.70$ 833.70$ 27601 00 Surgery 13.10 13.10 917.00$ 917.00$ 27602 00 Surgery 14.18 14.18 992.60$ 992.60$ 27603 00 Surgery 16.02 11.56 1,121.40$ 809.20$ 27604 00 Surgery 13.96 9.69 977.20$ 678.30$ 27605 00 Surgery 10.13 5.39 709.10$ 377.30$

PROPOSAL

33


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate27606 00 Surgery 8.07 8.07 564.90$ 564.90$ 27607 00 Surgery 17.71 17.71 1,239.70$ 1,239.70$ 27610 00 Surgery 19.16 19.16 1,341.20$ 1,341.20$ 27612 00 Surgery 16.41 16.41 1,148.70$ 1,148.70$ 27613 00 Surgery 7.54 4.67 527.80$ 326.90$ 27614 00 Surgery 17.42 12.05 1,219.40$ 843.50$ 27615 00 Surgery 30.14 30.14 2,109.80$ 2,109.80$ 27616 00 Surgery 37.43 37.43 2,620.10$ 2,620.10$ 27618 00 Surgery 14.48 8.97 1,013.60$ 627.90$ 27619 00 Surgery 13.55 13.55 948.50$ 948.50$ 27620 00 Surgery 13.28 13.28 929.60$ 929.60$ 27625 00 Surgery 16.85 16.85 1,179.50$ 1,179.50$ 27626 00 Surgery 17.71 17.71 1,239.70$ 1,239.70$ 27630 00 Surgery 16.41 10.60 1,148.70$ 742.00$ 27632 00 Surgery 12.18 12.18 852.60$ 852.60$ 27634 00 Surgery 19.98 19.98 1,398.60$ 1,398.60$ 27635 00 Surgery 17.20 17.20 1,204.00$ 1,204.00$ 27637 00 Surgery 21.91 21.91 1,533.70$ 1,533.70$ 27638 00 Surgery 22.36 22.36 1,565.20$ 1,565.20$ 27640 00 Surgery 24.52 24.52 1,716.40$ 1,716.40$ 27641 00 Surgery 19.34 19.34 1,353.80$ 1,353.80$ 27645 00 Surgery 52.12 52.12 3,648.40$ 3,648.40$ 27646 00 Surgery 45.21 45.21 3,164.70$ 3,164.70$ 27647 00 Surgery 29.23 29.23 2,046.10$ 2,046.10$ 27648 00 Surgery 6.51 1.53 455.70$ 107.10$ 27650 00 Surgery 19.43 19.43 1,360.10$ 1,360.10$ 27652 00 Surgery 19.49 19.49 1,364.30$ 1,364.30$ 27654 00 Surgery 20.93 20.93 1,465.10$ 1,465.10$ 27656 00 Surgery 16.62 10.40 1,163.40$ 728.00$ 27658 00 Surgery 10.88 10.88 761.60$ 761.60$ 27659 00 Surgery 13.81 13.81 966.70$ 966.70$ 27664 00 Surgery 10.67 10.67 746.90$ 746.90$ 27665 00 Surgery 12.41 12.41 868.70$ 868.70$ 27675 00 Surgery 14.45 14.45 1,011.50$ 1,011.50$ 27676 00 Surgery 17.64 17.64 1,234.80$ 1,234.80$ 27680 00 Surgery 12.35 12.35 864.50$ 864.50$ 27681 00 Surgery 15.23 15.23 1,066.10$ 1,066.10$ 27685 00 Surgery 19.67 13.64 1,376.90$ 954.80$ 27686 00 Surgery 15.81 15.81 1,106.70$ 1,106.70$ 27687 00 Surgery 13.36 13.36 935.20$ 935.20$ 27690 00 Surgery 18.91 18.91 1,323.70$ 1,323.70$ 27691 00 Surgery 21.94 21.94 1,535.80$ 1,535.80$ 27692 00 Surgery 3.01 3.01 210.70$ 210.70$ 27695 00 Surgery 13.99 13.99 979.30$ 979.30$ 27696 00 Surgery 16.22 16.22 1,135.40$ 1,135.40$ 27698 00 Surgery 18.79 18.79 1,315.30$ 1,315.30$ 27700 00 Surgery 17.86 17.86 1,250.20$ 1,250.20$ 27702 00 Surgery 28.40 28.40 1,988.00$ 1,988.00$ 27703 00 Surgery 32.85 32.85 2,299.50$ 2,299.50$ 27704 00 Surgery 16.85 16.85 1,179.50$ 1,179.50$ 27705 00 Surgery 22.32 22.32 1,562.40$ 1,562.40$ 27707 00 Surgery 11.79 11.79 825.30$ 825.30$ 27709 00 Surgery 34.02 34.02 2,381.40$ 2,381.40$ 27712 00 Surgery 32.50 32.50 2,275.00$ 2,275.00$ 27715 00 Surgery 31.65 31.65 2,215.50$ 2,215.50$ 27720 00 Surgery 25.83 25.83 1,808.10$ 1,808.10$ 27722 00 Surgery 26.42 26.42 1,849.40$ 1,849.40$ 27724 00 Surgery 37.05 37.05 2,593.50$ 2,593.50$ 27725 00 Surgery 35.82 35.82 2,507.40$ 2,507.40$

PROPOSAL

34


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate27726 00 Surgery 28.29 28.29 1,980.30$ 1,980.30$ 27727 00 Surgery 30.64 30.64 2,144.80$ 2,144.80$ 27730 00 Surgery 17.42 17.42 1,219.40$ 1,219.40$ 27732 00 Surgery 13.43 13.43 940.10$ 940.10$ 27734 00 Surgery 19.47 19.47 1,362.90$ 1,362.90$ 27740 00 Surgery 20.95 20.95 1,466.50$ 1,466.50$ 27742 00 Surgery 22.98 22.98 1,608.60$ 1,608.60$ 27745 00 Surgery 22.50 22.50 1,575.00$ 1,575.00$ 27750 00 Surgery 10.33 9.56 723.10$ 669.20$ 27752 00 Surgery 15.94 14.58 1,115.80$ 1,020.60$ 27756 00 Surgery 17.06 17.06 1,194.20$ 1,194.20$ 27758 00 Surgery 26.45 26.45 1,851.50$ 1,851.50$ 27759 00 Surgery 29.45 29.45 2,061.50$ 2,061.50$ 27760 00 Surgery 9.89 9.11 692.30$ 637.70$ 27762 00 Surgery 14.19 12.83 993.30$ 898.10$ 27766 00 Surgery 17.90 17.90 1,253.00$ 1,253.00$ 27767 00 Surgery 8.66 8.58 606.20$ 600.60$ 27768 00 Surgery 13.24 13.24 926.80$ 926.80$ 27769 00 Surgery 21.61 21.61 1,512.70$ 1,512.70$ 27780 00 Surgery 9.18 8.44 642.60$ 590.80$ 27781 00 Surgery 12.90 11.85 903.00$ 829.50$ 27784 00 Surgery 20.85 20.85 1,459.50$ 1,459.50$ 27786 00 Surgery 9.35 8.55 654.50$ 598.50$ 27788 00 Surgery 12.62 11.42 883.40$ 799.40$ 27792 00 Surgery 19.08 19.08 1,335.60$ 1,335.60$ 27808 00 Surgery 9.98 9.07 698.60$ 634.90$ 27810 00 Surgery 13.99 12.60 979.30$ 882.00$ 27814 00 Surgery 22.61 22.61 1,582.70$ 1,582.70$ 27816 00 Surgery 9.80 8.71 686.00$ 609.70$ 27818 00 Surgery 14.50 12.94 1,015.00$ 905.80$ 27822 00 Surgery 25.89 25.89 1,812.30$ 1,812.30$ 27823 00 Surgery 29.14 29.14 2,039.80$ 2,039.80$ 27824 00 Surgery 9.48 9.08 663.60$ 635.60$ 27825 00 Surgery 16.14 14.56 1,129.80$ 1,019.20$ 27826 00 Surgery 25.24 25.24 1,766.80$ 1,766.80$ 27827 00 Surgery 33.08 33.08 2,315.60$ 2,315.60$ 27828 00 Surgery 39.23 39.23 2,746.10$ 2,746.10$ 27829 00 Surgery 20.98 20.98 1,468.60$ 1,468.60$ 27830 00 Surgery 11.58 10.66 810.60$ 746.20$ 27831 00 Surgery 12.09 12.09 846.30$ 846.30$ 27832 00 Surgery 22.39 22.39 1,567.30$ 1,567.30$ 27840 00 Surgery 11.23 11.23 786.10$ 786.10$ 27842 00 Surgery 14.66 14.66 1,026.20$ 1,026.20$ 27846 00 Surgery 21.14 21.14 1,479.80$ 1,479.80$ 27848 00 Surgery 23.53 23.53 1,647.10$ 1,647.10$ 27860 00 Surgery 4.94 4.94 345.80$ 345.80$ 27870 00 Surgery 29.87 29.87 2,090.90$ 2,090.90$ 27871 00 Surgery 20.33 20.33 1,423.10$ 1,423.10$ 27880 00 Surgery 26.55 26.55 1,858.50$ 1,858.50$ 27881 00 Surgery 25.15 25.15 1,760.50$ 1,760.50$ 27882 00 Surgery 17.40 17.40 1,218.00$ 1,218.00$ 27884 00 Surgery 16.89 16.89 1,182.30$ 1,182.30$ 27886 00 Surgery 19.21 19.21 1,344.70$ 1,344.70$ 27888 00 Surgery 19.24 19.24 1,346.80$ 1,346.80$ 27889 00 Surgery 18.66 18.66 1,306.20$ 1,306.20$ 27892 00 Surgery 15.81 15.81 1,106.70$ 1,106.70$ 27893 00 Surgery 18.14 18.14 1,269.80$ 1,269.80$ 27894 00 Surgery 24.42 24.42 1,709.40$ 1,709.40$ 27899 00 Surgery 0.00 0.00 BR BR

PROPOSAL

35


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate28001 00 Surgery 8.12 4.90 568.40$ 343.00$ 28002 00 Surgery 12.89 9.22 902.30$ 645.40$ 28003 00 Surgery 20.67 16.41 1,446.90$ 1,148.70$ 28005 00 Surgery 16.78 16.78 1,174.60$ 1,174.60$ 28008 00 Surgery 12.85 8.63 899.50$ 604.10$ 28010 00 Surgery 6.80 6.03 476.00$ 422.10$ 28011 00 Surgery 9.23 8.17 646.10$ 571.90$ 28020 00 Surgery 16.32 10.75 1,142.40$ 752.50$ 28022 00 Surgery 14.51 9.52 1,015.70$ 666.40$ 28024 00 Surgery 13.58 8.85 950.60$ 619.50$ 28035 00 Surgery 15.73 10.44 1,101.10$ 730.80$ 28039 00 Surgery 14.73 10.16 1,031.10$ 711.20$ 28041 00 Surgery 13.16 13.16 921.20$ 921.20$ 28043 00 Surgery 11.56 7.59 809.20$ 531.30$ 28045 00 Surgery 14.37 10.11 1,005.90$ 707.70$ 28046 00 Surgery 20.91 20.91 1,463.70$ 1,463.70$ 28047 00 Surgery 30.26 30.26 2,118.20$ 2,118.20$ 28050 00 Surgery 12.41 8.10 868.70$ 567.00$ 28052 00 Surgery 13.23 8.29 926.10$ 580.30$ 28054 00 Surgery 10.98 6.80 768.60$ 476.00$ 28055 00 Surgery 11.29 11.29 790.30$ 790.30$ 28060 00 Surgery 15.53 10.55 1,087.10$ 738.50$ 28062 00 Surgery 17.17 11.85 1,201.90$ 829.50$ 28070 00 Surgery 15.62 10.31 1,093.40$ 721.70$ 28072 00 Surgery 14.48 9.37 1,013.60$ 655.90$ 28080 00 Surgery 15.72 10.88 1,100.40$ 761.60$ 28086 00 Surgery 16.08 10.44 1,125.60$ 730.80$ 28088 00 Surgery 13.27 8.24 928.90$ 576.80$ 28090 00 Surgery 13.84 8.95 968.80$ 626.50$ 28092 00 Surgery 12.50 7.83 875.00$ 548.10$ 28100 00 Surgery 18.32 12.23 1,282.40$ 856.10$ 28102 00 Surgery 18.06 18.06 1,264.20$ 1,264.20$ 28103 00 Surgery 11.31 11.31 791.70$ 791.70$ 28104 00 Surgery 15.71 10.37 1,099.70$ 725.90$ 28106 00 Surgery 12.44 12.44 870.80$ 870.80$ 28107 00 Surgery 16.91 11.18 1,183.70$ 782.60$ 28108 00 Surgery 12.95 8.37 906.50$ 585.90$ 28110 00 Surgery 13.72 8.46 960.40$ 592.20$ 28111 00 Surgery 14.42 9.42 1,009.40$ 659.40$ 28112 00 Surgery 14.41 9.09 1,008.70$ 636.30$ 28113 00 Surgery 17.40 12.39 1,218.00$ 867.30$ 28114 00 Surgery 31.54 24.42 2,207.80$ 1,709.40$ 28116 00 Surgery 22.69 16.95 1,588.30$ 1,186.50$ 28118 00 Surgery 17.94 12.28 1,255.80$ 859.60$ 28119 00 Surgery 15.53 10.55 1,087.10$ 738.50$ 28120 00 Surgery 20.07 14.57 1,404.90$ 1,019.90$ 28122 00 Surgery 17.57 12.77 1,229.90$ 893.90$ 28124 00 Surgery 14.16 9.70 991.20$ 679.00$ 28126 00 Surgery 11.60 7.18 812.00$ 502.60$ 28130 00 Surgery 18.19 18.19 1,273.30$ 1,273.30$ 28140 00 Surgery 17.22 12.64 1,205.40$ 884.80$ 28150 00 Surgery 12.52 8.13 876.40$ 569.10$ 28153 00 Surgery 12.17 7.70 851.90$ 539.00$ 28160 00 Surgery 12.28 7.78 859.60$ 544.60$ 28171 00 Surgery 32.67 32.67 2,286.90$ 2,286.90$ 28173 00 Surgery 21.24 21.24 1,486.80$ 1,486.80$ 28175 00 Surgery 13.69 13.69 958.30$ 958.30$ 28190 00 Surgery 7.44 3.89 520.80$ 272.30$ 28192 00 Surgery 13.80 9.09 966.00$ 636.30$

PROPOSAL

36


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate28193 00 Surgery 15.60 10.72 1,092.00$ 750.40$ 28200 00 Surgery 14.69 9.49 1,028.30$ 664.30$ 28202 00 Surgery 17.77 12.55 1,243.90$ 878.50$ 28208 00 Surgery 14.40 9.30 1,008.00$ 651.00$ 28210 00 Surgery 17.77 12.45 1,243.90$ 871.50$ 28220 00 Surgery 13.38 8.84 936.60$ 618.80$ 28222 00 Surgery 15.45 10.47 1,081.50$ 732.90$ 28225 00 Surgery 12.45 7.74 871.50$ 541.80$ 28226 00 Surgery 18.61 11.74 1,302.70$ 821.80$ 28230 00 Surgery 12.92 8.29 904.40$ 580.30$ 28232 00 Surgery 11.36 7.02 795.20$ 491.40$ 28234 00 Surgery 12.21 7.77 854.70$ 543.90$ 28238 00 Surgery 19.68 14.14 1,377.60$ 989.80$ 28240 00 Surgery 13.31 8.59 931.70$ 601.30$ 28250 00 Surgery 17.16 11.78 1,201.20$ 824.60$ 28260 00 Surgery 20.81 15.23 1,456.70$ 1,066.10$ 28261 00 Surgery 35.83 27.67 2,508.10$ 1,936.90$ 28262 00 Surgery 41.22 32.94 2,885.40$ 2,305.80$ 28264 00 Surgery 26.97 20.42 1,887.90$ 1,429.40$ 28270 00 Surgery 14.54 9.75 1,017.80$ 682.50$ 28272 00 Surgery 11.48 7.30 803.60$ 511.00$ 28280 00 Surgery 15.13 10.10 1,059.10$ 707.00$ 28285 00 Surgery 15.91 11.13 1,113.70$ 779.10$ 28286 00 Surgery 13.14 8.62 919.80$ 603.40$ 28288 00 Surgery 18.05 12.67 1,263.50$ 886.90$ 28289 00 Surgery 20.83 13.37 1,458.10$ 935.90$ 28291 00 Surgery 21.53 14.39 1,507.10$ 1,007.30$ 28292 00 Surgery 21.01 14.03 1,470.70$ 982.10$ 28295 00 Surgery 33.25 18.16 2,327.50$ 1,271.20$ 28296 00 Surgery 26.85 14.93 1,879.50$ 1,045.10$ 28297 00 Surgery 31.24 17.63 2,186.80$ 1,234.10$ 28298 00 Surgery 25.07 14.61 1,754.90$ 1,022.70$ 28299 00 Surgery 30.18 17.10 2,112.60$ 1,197.00$ 28300 00 Surgery 19.12 19.12 1,338.40$ 1,338.40$ 28302 00 Surgery 21.16 21.16 1,481.20$ 1,481.20$ 28304 00 Surgery 24.48 17.81 1,713.60$ 1,246.70$ 28305 00 Surgery 19.85 19.85 1,389.50$ 1,389.50$ 28306 00 Surgery 17.93 11.69 1,255.10$ 818.30$ 28307 00 Surgery 18.20 12.06 1,274.00$ 844.20$ 28308 00 Surgery 16.99 11.22 1,189.30$ 785.40$ 28309 00 Surgery 26.06 26.06 1,824.20$ 1,824.20$ 28310 00 Surgery 16.28 10.56 1,139.60$ 739.20$ 28312 00 Surgery 15.15 9.39 1,060.50$ 657.30$ 28313 00 Surgery 15.78 10.52 1,104.60$ 736.40$ 28315 00 Surgery 14.33 9.55 1,003.10$ 668.50$ 28320 00 Surgery 18.12 18.12 1,268.40$ 1,268.40$ 28322 00 Surgery 23.38 16.93 1,636.60$ 1,185.10$ 28340 00 Surgery 16.80 11.92 1,176.00$ 834.40$ 28341 00 Surgery 19.47 14.21 1,362.90$ 994.70$ 28344 00 Surgery 12.50 8.12 875.00$ 568.40$ 28345 00 Surgery 15.23 10.56 1,066.10$ 739.20$ 28360 00 Surgery 32.39 32.39 2,267.30$ 2,267.30$ 28400 00 Surgery 7.29 6.73 510.30$ 471.10$ 28405 00 Surgery 11.63 10.48 814.10$ 733.60$ 28406 00 Surgery 16.43 16.43 1,150.10$ 1,150.10$ 28415 00 Surgery 33.13 33.13 2,319.10$ 2,319.10$ 28420 00 Surgery 38.32 38.32 2,682.40$ 2,682.40$ 28430 00 Surgery 7.10 6.22 497.00$ 435.40$ 28435 00 Surgery 9.84 8.70 688.80$ 609.00$

PROPOSAL

37


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate28436 00 Surgery 14.45 14.45 1,011.50$ 1,011.50$ 28445 00 Surgery 30.20 30.20 2,114.00$ 2,114.00$ 28446 00 Surgery 36.12 36.12 2,528.40$ 2,528.40$ 28450 00 Surgery 6.23 5.61 436.10$ 392.70$ 28455 00 Surgery 8.54 7.59 597.80$ 531.30$ 28456 00 Surgery 10.70 10.70 749.00$ 749.00$ 28465 00 Surgery 18.53 18.53 1,297.10$ 1,297.10$ 28470 00 Surgery 6.45 6.03 451.50$ 422.10$ 28475 00 Surgery 7.56 6.65 529.20$ 465.50$ 28476 00 Surgery 11.34 11.34 793.80$ 793.80$ 28485 00 Surgery 16.45 16.45 1,151.50$ 1,151.50$ 28490 00 Surgery 4.15 3.62 290.50$ 253.40$ 28495 00 Surgery 5.22 4.32 365.40$ 302.40$ 28496 00 Surgery 13.66 7.18 956.20$ 502.60$ 28505 00 Surgery 19.60 14.55 1,372.00$ 1,018.50$ 28510 00 Surgery 3.56 3.50 249.20$ 245.00$ 28515 00 Surgery 4.77 4.14 333.90$ 289.80$ 28525 00 Surgery 16.99 11.83 1,189.30$ 828.10$ 28530 00 Surgery 3.35 2.91 234.50$ 203.70$ 28531 00 Surgery 9.94 5.27 695.80$ 368.90$ 28540 00 Surgery 5.68 5.09 397.60$ 356.30$ 28545 00 Surgery 9.10 7.96 637.00$ 557.20$ 28546 00 Surgery 17.75 10.32 1,242.50$ 722.40$ 28555 00 Surgery 25.53 19.24 1,787.10$ 1,346.80$ 28570 00 Surgery 6.91 5.76 483.70$ 403.20$ 28575 00 Surgery 11.16 9.98 781.20$ 698.60$ 28576 00 Surgery 11.40 11.40 798.00$ 798.00$ 28585 00 Surgery 25.78 20.08 1,804.60$ 1,405.60$ 28600 00 Surgery 6.41 5.44 448.70$ 380.80$ 28605 00 Surgery 10.08 8.96 705.60$ 627.20$ 28606 00 Surgery 11.19 11.19 783.30$ 783.30$ 28615 00 Surgery 24.25 24.25 1,697.50$ 1,697.50$ 28630 00 Surgery 4.56 3.23 319.20$ 226.10$ 28635 00 Surgery 5.25 3.94 367.50$ 275.80$ 28636 00 Surgery 9.29 5.83 650.30$ 408.10$ 28645 00 Surgery 19.42 14.21 1,359.40$ 994.70$ 28660 00 Surgery 3.57 2.71 249.90$ 189.70$ 28665 00 Surgery 4.38 3.68 306.60$ 257.60$ 28666 00 Surgery 5.08 5.08 355.60$ 355.60$ 28675 00 Surgery 16.96 11.86 1,187.20$ 830.20$ 28705 00 Surgery 35.80 35.80 2,506.00$ 2,506.00$ 28715 00 Surgery 27.71 27.71 1,939.70$ 1,939.70$ 28725 00 Surgery 22.87 22.87 1,600.90$ 1,600.90$ 28730 00 Surgery 21.58 21.58 1,510.60$ 1,510.60$ 28735 00 Surgery 22.91 22.91 1,603.70$ 1,603.70$ 28737 00 Surgery 20.03 20.03 1,402.10$ 1,402.10$ 28740 00 Surgery 24.72 18.12 1,730.40$ 1,268.40$ 28750 00 Surgery 23.54 17.05 1,647.80$ 1,193.50$ 28755 00 Surgery 15.16 9.76 1,061.20$ 683.20$ 28760 00 Surgery 22.73 16.61 1,591.10$ 1,162.70$ 28800 00 Surgery 15.54 15.54 1,087.80$ 1,087.80$ 28805 00 Surgery 20.87 20.87 1,460.90$ 1,460.90$ 28810 00 Surgery 12.46 12.46 872.20$ 872.20$ 28820 00 Surgery 9.11 5.29 637.70$ 370.30$ 28825 00 Surgery 8.92 5.13 624.40$ 359.10$ 28890 00 Surgery 9.20 6.36 644.00$ 445.20$ 28899 00 Surgery 0.00 0.00 BR BR29000 00 Surgery 10.14 5.71 709.80$ 399.70$ 29010 00 Surgery 7.89 4.68 552.30$ 327.60$

PROPOSAL

38


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate29015 00 Surgery 8.47 5.26 592.90$ 368.20$ 29035 00 Surgery 7.39 4.17 517.30$ 291.90$ 29040 00 Surgery 8.45 5.04 591.50$ 352.80$ 29044 00 Surgery 8.28 4.87 579.60$ 340.90$ 29046 00 Surgery 9.06 5.45 634.20$ 381.50$ 29049 00 Surgery 2.87 2.02 200.90$ 141.40$ 29055 00 Surgery 6.29 3.94 440.30$ 275.80$ 29058 00 Surgery 3.60 2.75 252.00$ 192.50$ 29065 00 Surgery 2.78 1.98 194.60$ 138.60$ 29075 00 Surgery 2.54 1.82 177.80$ 127.40$ 29085 00 Surgery 2.77 1.95 193.90$ 136.50$ 29086 00 Surgery 2.15 1.40 150.50$ 98.00$ 29105 00 Surgery 2.40 1.24 168.00$ 86.80$ 29125 00 Surgery 1.89 1.16 132.30$ 81.20$ 29126 00 Surgery 2.21 1.41 154.70$ 98.70$ 29130 00 Surgery 1.20 0.85 84.00$ 59.50$ 29131 00 Surgery 1.52 1.00 106.40$ 70.00$ 29200 00 Surgery 0.97 0.54 67.90$ 37.80$ 29240 00 Surgery 0.90 0.54 63.00$ 37.80$ 29260 00 Surgery 0.88 0.57 61.60$ 39.90$ 29280 00 Surgery 0.86 0.57 60.20$ 39.90$ 29305 00 Surgery 7.17 4.62 501.90$ 323.40$ 29325 00 Surgery 7.91 5.16 553.70$ 361.20$ 29345 00 Surgery 3.93 2.91 275.10$ 203.70$ 29355 00 Surgery 4.17 3.14 291.90$ 219.80$ 29358 00 Surgery 4.64 3.01 324.80$ 210.70$ 29365 00 Surgery 3.54 2.53 247.80$ 177.10$ 29405 00 Surgery 2.33 1.71 163.10$ 119.70$ 29425 00 Surgery 2.20 1.59 154.00$ 111.30$ 29435 00 Surgery 3.31 2.37 231.70$ 165.90$ 29440 00 Surgery 1.24 0.82 86.80$ 57.40$ 29445 00 Surgery 3.77 2.93 263.90$ 205.10$ 29450 00 Surgery 4.17 3.28 291.90$ 229.60$ 29505 00 Surgery 2.54 1.51 177.80$ 105.70$ 29515 00 Surgery 2.06 1.43 144.20$ 100.10$ 29520 00 Surgery 1.05 0.54 73.50$ 37.80$ 29530 00 Surgery 0.89 0.53 62.30$ 37.10$ 29540 00 Surgery 0.82 0.52 57.40$ 36.40$ 29550 00 Surgery 0.55 0.33 38.50$ 23.10$ 29580 00 Surgery 1.87 0.77 130.90$ 53.90$ 29581 00 Surgery 2.65 0.80 185.50$ 56.00$ 29584 00 Surgery 2.48 0.46 173.60$ 32.20$ 29700 00 Surgery 1.80 0.97 126.00$ 67.90$ 29705 00 Surgery 1.87 1.34 130.90$ 93.80$ 29710 00 Surgery 3.55 2.42 248.50$ 169.40$ 29720 00 Surgery 2.47 1.28 172.90$ 89.60$ 29730 00 Surgery 1.84 1.29 128.80$ 90.30$ 29740 00 Surgery 2.88 2.03 201.60$ 142.10$ 29750 00 Surgery 3.13 2.27 219.10$ 158.90$ 29799 00 Surgery 0.00 0.00 BR BR29800 00 Surgery 15.68 15.68 1,097.60$ 1,097.60$ 29804 00 Surgery 17.80 17.80 1,246.00$ 1,246.00$ 29805 00 Surgery 13.93 13.93 975.10$ 975.10$ 29806 00 Surgery 31.20 31.20 2,184.00$ 2,184.00$ 29807 00 Surgery 30.49 30.49 2,134.30$ 2,134.30$ 29819 00 Surgery 17.40 17.40 1,218.00$ 1,218.00$ 29820 00 Surgery 15.93 15.93 1,115.10$ 1,115.10$ 29821 00 Surgery 17.60 17.60 1,232.00$ 1,232.00$ 29822 00 Surgery 16.03 16.03 1,122.10$ 1,122.10$

PROPOSAL

39


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate29823 00 Surgery 17.53 17.53 1,227.10$ 1,227.10$ 29824 00 Surgery 20.00 20.00 1,400.00$ 1,400.00$ 29825 00 Surgery 17.39 17.39 1,217.30$ 1,217.30$ 29826 00 Surgery 5.11 5.11 357.70$ 357.70$ 29827 00 Surgery 31.54 31.54 2,207.80$ 2,207.80$ 29828 00 Surgery 27.07 27.07 1,894.90$ 1,894.90$ 29830 00 Surgery 13.38 13.38 936.60$ 936.60$ 29834 00 Surgery 14.61 14.61 1,022.70$ 1,022.70$ 29835 00 Surgery 15.09 15.09 1,056.30$ 1,056.30$ 29836 00 Surgery 17.25 17.25 1,207.50$ 1,207.50$ 29837 00 Surgery 15.63 15.63 1,094.10$ 1,094.10$ 29838 00 Surgery 17.55 17.55 1,228.50$ 1,228.50$ 29840 00 Surgery 13.36 13.36 935.20$ 935.20$ 29843 00 Surgery 14.41 14.41 1,008.70$ 1,008.70$ 29844 00 Surgery 14.78 14.78 1,034.60$ 1,034.60$ 29845 00 Surgery 17.30 17.30 1,211.00$ 1,211.00$ 29846 00 Surgery 15.46 15.46 1,082.20$ 1,082.20$ 29847 00 Surgery 16.11 16.11 1,127.70$ 1,127.70$ 29848 00 Surgery 15.08 15.08 1,055.60$ 1,055.60$ 29850 00 Surgery 18.43 18.43 1,290.10$ 1,290.10$ 29851 00 Surgery 27.44 27.44 1,920.80$ 1,920.80$ 29855 00 Surgery 23.07 23.07 1,614.90$ 1,614.90$ 29856 00 Surgery 29.13 29.13 2,039.10$ 2,039.10$ 29860 00 Surgery 19.00 19.00 1,330.00$ 1,330.00$ 29861 00 Surgery 21.35 21.35 1,494.50$ 1,494.50$ 29862 00 Surgery 24.02 24.02 1,681.40$ 1,681.40$ 29863 00 Surgery 23.98 23.98 1,678.60$ 1,678.60$ 29866 00 Surgery 31.01 31.01 2,170.70$ 2,170.70$ 29867 00 Surgery 37.71 37.71 2,639.70$ 2,639.70$ 29868 00 Surgery 49.17 49.17 3,441.90$ 3,441.90$ 29870 00 Surgery 16.74 12.01 1,171.80$ 840.70$ 29871 00 Surgery 15.21 15.21 1,064.70$ 1,064.70$ 29873 00 Surgery 15.84 15.84 1,108.80$ 1,108.80$ 29874 00 Surgery 15.90 15.90 1,113.00$ 1,113.00$ 29875 00 Surgery 14.69 14.69 1,028.30$ 1,028.30$ 29876 00 Surgery 19.31 19.31 1,351.70$ 1,351.70$ 29877 00 Surgery 18.37 18.37 1,285.90$ 1,285.90$ 29879 00 Surgery 19.55 19.55 1,368.50$ 1,368.50$ 29880 00 Surgery 16.63 16.63 1,164.10$ 1,164.10$ 29881 00 Surgery 16.04 16.04 1,122.80$ 1,122.80$ 29882 00 Surgery 20.41 20.41 1,428.70$ 1,428.70$ 29883 00 Surgery 24.75 24.75 1,732.50$ 1,732.50$ 29884 00 Surgery 18.30 18.30 1,281.00$ 1,281.00$ 29885 00 Surgery 22.32 22.32 1,562.40$ 1,562.40$ 29886 00 Surgery 18.81 18.81 1,316.70$ 1,316.70$ 29887 00 Surgery 22.24 22.24 1,556.80$ 1,556.80$ 29888 00 Surgery 28.84 28.84 2,018.80$ 2,018.80$ 29889 00 Surgery 36.09 36.09 2,526.30$ 2,526.30$ 29891 00 Surgery 19.75 19.75 1,382.50$ 1,382.50$ 29892 00 Surgery 18.94 18.94 1,325.80$ 1,325.80$ 29893 00 Surgery 19.44 12.57 1,360.80$ 879.90$ 29894 00 Surgery 14.67 14.67 1,026.90$ 1,026.90$ 29895 00 Surgery 13.75 13.75 962.50$ 962.50$ 29897 00 Surgery 14.62 14.62 1,023.40$ 1,023.40$ 29898 00 Surgery 16.49 16.49 1,154.30$ 1,154.30$ 29899 00 Surgery 30.13 30.13 2,109.10$ 2,109.10$ 29900 00 Surgery 14.84 14.84 1,038.80$ 1,038.80$ 29901 00 Surgery 15.97 15.97 1,117.90$ 1,117.90$ 29902 00 Surgery 16.94 16.94 1,185.80$ 1,185.80$

PROPOSAL

40


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate29904 00 Surgery 18.86 18.86 1,320.20$ 1,320.20$ 29905 00 Surgery 15.00 15.00 1,050.00$ 1,050.00$ 29906 00 Surgery 19.37 19.37 1,355.90$ 1,355.90$ 29907 00 Surgery 25.88 25.88 1,811.60$ 1,811.60$ 29914 00 Surgery 29.41 29.41 2,058.70$ 2,058.70$ 29915 00 Surgery 30.14 30.14 2,109.80$ 2,109.80$ 29916 00 Surgery 30.14 30.14 2,109.80$ 2,109.80$ 29999 00 Surgery 0.00 0.00 BR BR30000 00 Surgery 7.89 3.48 552.30$ 243.60$ 30020 00 Surgery 7.96 3.50 557.20$ 245.00$ 30100 00 Surgery 4.27 1.95 298.90$ 136.50$ 30110 00 Surgery 7.31 3.80 511.70$ 266.00$ 30115 00 Surgery 13.73 13.73 961.10$ 961.10$ 30117 00 Surgery 29.23 9.80 2,046.10$ 686.00$ 30118 00 Surgery 23.29 23.29 1,630.30$ 1,630.30$ 30120 00 Surgery 15.13 12.42 1,059.10$ 869.40$ 30124 00 Surgery 8.86 8.86 620.20$ 620.20$ 30125 00 Surgery 19.23 19.23 1,346.10$ 1,346.10$ 30130 00 Surgery 12.28 12.28 859.60$ 859.60$ 30140 00 Surgery 8.71 5.18 609.70$ 362.60$ 30150 00 Surgery 23.69 23.69 1,658.30$ 1,658.30$ 30160 00 Surgery 23.96 23.96 1,677.20$ 1,677.20$ 30200 00 Surgery 3.33 1.69 233.10$ 118.30$ 30210 00 Surgery 4.45 2.94 311.50$ 205.80$ 30220 00 Surgery 9.26 3.66 648.20$ 256.20$ 30300 00 Surgery 6.06 3.54 424.20$ 247.80$ 30310 00 Surgery 6.13 6.13 429.10$ 429.10$ 30320 00 Surgery 14.33 14.33 1,003.10$ 1,003.10$ 30400 00 Surgery 36.85 36.85 2,579.50$ 2,579.50$ 30410 00 Surgery 42.37 42.37 2,965.90$ 2,965.90$ 30420 00 Surgery 42.82 42.82 2,997.40$ 2,997.40$ 30430 00 Surgery 32.25 32.25 2,257.50$ 2,257.50$ 30435 00 Surgery 40.15 40.15 2,810.50$ 2,810.50$ 30450 00 Surgery 52.33 52.33 3,663.10$ 3,663.10$ 30460 00 Surgery 24.74 24.74 1,731.80$ 1,731.80$ 30462 00 Surgery 47.63 47.63 3,334.10$ 3,334.10$ 30465 00 Surgery 30.24 30.24 2,116.80$ 2,116.80$ 30468 00 Surgery 83.90 4.87 5,873.00$ 340.90$ 30520 00 Surgery 19.78 19.78 1,384.60$ 1,384.60$ 30540 00 Surgery 21.71 21.71 1,519.70$ 1,519.70$ 30545 00 Surgery 29.49 29.49 2,064.30$ 2,064.30$ 30560 00 Surgery 9.42 4.33 659.40$ 303.10$ 30580 00 Surgery 18.21 13.54 1,274.70$ 947.80$ 30600 00 Surgery 17.68 12.49 1,237.60$ 874.30$ 30620 00 Surgery 19.87 19.87 1,390.90$ 1,390.90$ 30630 00 Surgery 19.71 19.71 1,379.70$ 1,379.70$ 30801 00 Surgery 6.66 4.48 466.20$ 313.60$ 30802 00 Surgery 8.38 5.97 586.60$ 417.90$ 30901 00 Surgery 4.63 1.64 324.10$ 114.80$ 30903 00 Surgery 7.29 2.27 510.30$ 158.90$ 30905 00 Surgery 10.60 3.09 742.00$ 216.30$ 30906 00 Surgery 10.94 3.95 765.80$ 276.50$ 30915 00 Surgery 17.69 17.69 1,238.30$ 1,238.30$ 30920 00 Surgery 25.66 25.66 1,796.20$ 1,796.20$ 30930 00 Surgery 3.43 3.43 240.10$ 240.10$ 30999 00 Surgery 0.00 0.00 BR BR31000 00 Surgery 5.44 3.12 380.80$ 218.40$ 31002 00 Surgery 5.75 5.75 402.50$ 402.50$ 31020 00 Surgery 14.53 11.48 1,017.10$ 803.60$

PROPOSAL

41


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate31030 00 Surgery 19.03 15.14 1,332.10$ 1,059.80$ 31032 00 Surgery 17.51 17.51 1,225.70$ 1,225.70$ 31040 00 Surgery 23.75 23.75 1,662.50$ 1,662.50$ 31050 00 Surgery 15.20 15.20 1,064.00$ 1,064.00$ 31051 00 Surgery 20.43 20.43 1,430.10$ 1,430.10$ 31070 00 Surgery 13.98 13.98 978.60$ 978.60$ 31075 00 Surgery 24.33 24.33 1,703.10$ 1,703.10$ 31080 00 Surgery 32.02 32.02 2,241.40$ 2,241.40$ 31081 00 Surgery 34.28 34.28 2,399.60$ 2,399.60$ 31084 00 Surgery 35.52 35.52 2,486.40$ 2,486.40$ 31085 00 Surgery 36.58 36.58 2,560.60$ 2,560.60$ 31086 00 Surgery 34.56 34.56 2,419.20$ 2,419.20$ 31087 00 Surgery 32.83 32.83 2,298.10$ 2,298.10$ 31090 00 Surgery 32.76 32.76 2,293.20$ 2,293.20$ 31200 00 Surgery 18.47 18.47 1,292.90$ 1,292.90$ 31201 00 Surgery 23.51 23.51 1,645.70$ 1,645.70$ 31205 00 Surgery 27.82 27.82 1,947.40$ 1,947.40$ 31225 00 Surgery 53.48 53.48 3,743.60$ 3,743.60$ 31230 00 Surgery 59.26 59.26 4,148.20$ 4,148.20$ 31231 00 Surgery 5.79 1.86 405.30$ 130.20$ 31233 00 Surgery 7.99 3.90 559.30$ 273.00$ 31235 00 Surgery 9.07 4.56 634.90$ 319.20$ 31237 00 Surgery 7.52 4.61 526.40$ 322.70$ 31238 00 Surgery 7.37 4.83 515.90$ 338.10$ 31239 00 Surgery 17.77 17.77 1,243.90$ 1,243.90$ 31240 00 Surgery 4.59 4.59 321.30$ 321.30$ 31241 00 Surgery 12.88 12.88 901.60$ 901.60$ 31253 00 Surgery 14.51 14.51 1,015.70$ 1,015.70$ 31254 00 Surgery 12.89 7.05 902.30$ 493.50$ 31255 00 Surgery 9.37 9.37 655.90$ 655.90$ 31256 00 Surgery 5.22 5.22 365.40$ 365.40$ 31257 00 Surgery 12.93 12.93 905.10$ 905.10$ 31259 00 Surgery 13.69 13.69 958.30$ 958.30$ 31267 00 Surgery 7.68 7.68 537.60$ 537.60$ 31276 00 Surgery 10.95 10.95 766.50$ 766.50$ 31287 00 Surgery 5.82 5.82 407.40$ 407.40$ 31288 00 Surgery 6.79 6.79 475.30$ 475.30$ 31290 00 Surgery 33.39 33.39 2,337.30$ 2,337.30$ 31291 00 Surgery 35.36 35.36 2,475.20$ 2,475.20$ 31292 00 Surgery 28.98 28.98 2,028.60$ 2,028.60$ 31293 00 Surgery 31.36 31.36 2,195.20$ 2,195.20$ 31294 00 Surgery 35.83 35.83 2,508.10$ 2,508.10$ 31295 00 Surgery 55.37 4.57 3,875.90$ 319.90$ 31296 00 Surgery 56.12 5.20 3,928.40$ 364.00$ 31297 00 Surgery 54.95 4.16 3,846.50$ 291.20$ 31298 00 Surgery 105.01 7.41 7,350.70$ 518.70$ 31299 00 Surgery 0.00 0.00 BR BR31300 00 Surgery 37.27 37.27 2,608.90$ 2,608.90$ 31360 00 Surgery 60.61 60.61 4,242.70$ 4,242.70$ 31365 00 Surgery 74.66 74.66 5,226.20$ 5,226.20$ 31367 00 Surgery 64.34 64.34 4,503.80$ 4,503.80$ 31368 00 Surgery 71.26 71.26 4,988.20$ 4,988.20$ 31370 00 Surgery 60.54 60.54 4,237.80$ 4,237.80$ 31375 00 Surgery 57.50 57.50 4,025.00$ 4,025.00$ 31380 00 Surgery 56.70 56.70 3,969.00$ 3,969.00$ 31382 00 Surgery 62.14 62.14 4,349.80$ 4,349.80$ 31390 00 Surgery 82.77 82.77 5,793.90$ 5,793.90$ 31395 00 Surgery 87.26 87.26 6,108.20$ 6,108.20$ 31400 00 Surgery 29.61 29.61 2,072.70$ 2,072.70$

PROPOSAL

42


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate31420 00 Surgery 24.39 24.39 1,707.30$ 1,707.30$ 31500 00 Surgery 4.15 4.15 290.50$ 290.50$ 31502 00 Surgery 1.02 1.02 71.40$ 71.40$ 31505 00 Surgery 2.68 1.41 187.60$ 98.70$ 31510 00 Surgery 6.35 3.49 444.50$ 244.30$ 31511 00 Surgery 6.27 3.84 438.90$ 268.80$ 31512 00 Surgery 6.30 3.71 441.00$ 259.70$ 31513 00 Surgery 3.79 3.79 265.30$ 265.30$ 31515 00 Surgery 6.35 3.21 444.50$ 224.70$ 31520 00 Surgery 4.49 4.49 314.30$ 314.30$ 31525 00 Surgery 7.41 4.61 518.70$ 322.70$ 31526 00 Surgery 4.53 4.53 317.10$ 317.10$ 31527 00 Surgery 5.61 5.61 392.70$ 392.70$ 31528 00 Surgery 4.15 4.15 290.50$ 290.50$ 31529 00 Surgery 4.65 4.65 325.50$ 325.50$ 31530 00 Surgery 5.73 5.73 401.10$ 401.10$ 31531 00 Surgery 6.07 6.07 424.90$ 424.90$ 31535 00 Surgery 5.46 5.46 382.20$ 382.20$ 31536 00 Surgery 6.05 6.05 423.50$ 423.50$ 31540 00 Surgery 6.96 6.96 487.20$ 487.20$ 31541 00 Surgery 7.59 7.59 531.30$ 531.30$ 31545 00 Surgery 10.43 10.43 730.10$ 730.10$ 31546 00 Surgery 15.85 15.85 1,109.50$ 1,109.50$ 31551 00 Surgery 45.03 45.03 3,152.10$ 3,152.10$ 31552 00 Surgery 43.47 43.47 3,042.90$ 3,042.90$ 31553 00 Surgery 49.61 49.61 3,472.70$ 3,472.70$ 31554 00 Surgery 49.63 49.63 3,474.10$ 3,474.10$ 31560 00 Surgery 9.00 9.00 630.00$ 630.00$ 31561 00 Surgery 9.82 9.82 687.40$ 687.40$ 31570 00 Surgery 10.08 6.62 705.60$ 463.40$ 31571 00 Surgery 7.17 7.17 501.90$ 501.90$ 31572 00 Surgery 15.86 5.21 1,110.20$ 364.70$ 31573 00 Surgery 8.33 4.29 583.10$ 300.30$ 31574 00 Surgery 30.14 4.30 2,109.80$ 301.00$ 31575 00 Surgery 3.76 1.94 263.20$ 135.80$ 31576 00 Surgery 7.98 3.42 558.60$ 239.40$ 31577 00 Surgery 8.28 3.86 579.60$ 270.20$ 31578 00 Surgery 8.93 4.24 625.10$ 296.80$ 31579 00 Surgery 5.78 3.44 404.60$ 240.80$ 31580 00 Surgery 37.94 37.94 2,655.80$ 2,655.80$ 31584 00 Surgery 41.83 41.83 2,928.10$ 2,928.10$ 31587 00 Surgery 35.24 35.24 2,466.80$ 2,466.80$ 31590 00 Surgery 26.98 26.98 1,888.60$ 1,888.60$ 31591 00 Surgery 32.09 32.09 2,246.30$ 2,246.30$ 31592 00 Surgery 50.58 50.58 3,540.60$ 3,540.60$ 31599 00 Surgery 0.00 0.00 BR BR31600 00 Surgery 8.97 8.97 627.90$ 627.90$ 31601 00 Surgery 13.03 13.03 912.10$ 912.10$ 31603 00 Surgery 9.37 9.37 655.90$ 655.90$ 31605 00 Surgery 9.73 9.73 681.10$ 681.10$ 31610 00 Surgery 28.42 28.42 1,989.40$ 1,989.40$ 31611 00 Surgery 15.83 15.83 1,108.10$ 1,108.10$ 31612 00 Surgery 2.70 1.41 189.00$ 98.70$ 31613 00 Surgery 12.91 12.91 903.70$ 903.70$ 31614 00 Surgery 21.44 21.44 1,500.80$ 1,500.80$ 31615 00 Surgery 5.11 3.33 357.70$ 233.10$ 31622 00 Surgery 7.31 3.83 511.70$ 268.10$ 31623 00 Surgery 8.20 3.85 574.00$ 269.50$ 31624 00 Surgery 7.59 3.89 531.30$ 272.30$

PROPOSAL

43


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate31625 00 Surgery 10.53 4.54 737.10$ 317.80$ 31626 00 Surgery 25.35 5.76 1,774.50$ 403.20$ 31627 00 Surgery 37.49 2.82 2,624.30$ 197.40$ 31628 00 Surgery 11.18 5.11 782.60$ 357.70$ 31629 00 Surgery 13.84 5.42 968.80$ 379.40$ 31630 00 Surgery 5.78 5.78 404.60$ 404.60$ 31631 00 Surgery 6.62 6.62 463.40$ 463.40$ 31632 00 Surgery 1.89 1.44 132.30$ 100.80$ 31633 00 Surgery 2.36 1.85 165.20$ 129.50$ 31634 00 Surgery 51.27 5.54 3,588.90$ 387.80$ 31635 00 Surgery 8.60 5.10 602.00$ 357.00$ 31636 00 Surgery 6.37 6.37 445.90$ 445.90$ 31637 00 Surgery 2.25 2.25 157.50$ 157.50$ 31638 00 Surgery 7.23 7.23 506.10$ 506.10$ 31640 00 Surgery 7.24 7.24 506.80$ 506.80$ 31641 00 Surgery 7.43 7.43 520.10$ 520.10$ 31643 00 Surgery 5.06 5.06 354.20$ 354.20$ 31645 00 Surgery 8.04 4.27 562.80$ 298.90$ 31646 00 Surgery 4.12 4.12 288.40$ 288.40$ 31647 00 Surgery 6.05 6.05 423.50$ 423.50$ 31648 00 Surgery 5.79 5.79 405.30$ 405.30$ 31649 00 Surgery 1.96 1.96 137.20$ 137.20$ 31651 00 Surgery 2.22 2.22 155.40$ 155.40$ 31652 00 Surgery 37.33 6.47 2,613.10$ 452.90$ 31653 00 Surgery 38.74 7.15 2,711.80$ 500.50$ 31654 00 Surgery 3.63 1.95 254.10$ 136.50$ 31660 00 Surgery 5.70 5.70 399.00$ 399.00$ 31661 00 Surgery 6.02 6.02 421.40$ 421.40$ 31717 00 Surgery 8.61 3.09 602.70$ 216.30$ 31720 00 Surgery 1.59 1.59 111.30$ 111.30$ 31725 00 Surgery 2.28 2.28 159.60$ 159.60$ 31730 00 Surgery 35.74 4.38 2,501.80$ 306.60$ 31750 00 Surgery 40.65 40.65 2,845.50$ 2,845.50$ 31755 00 Surgery 51.66 51.66 3,616.20$ 3,616.20$ 31760 00 Surgery 40.22 40.22 2,815.40$ 2,815.40$ 31766 00 Surgery 51.94 51.94 3,635.80$ 3,635.80$ 31770 00 Surgery 38.86 38.86 2,720.20$ 2,720.20$ 31775 00 Surgery 40.92 40.92 2,864.40$ 2,864.40$ 31780 00 Surgery 34.73 34.73 2,431.10$ 2,431.10$ 31781 00 Surgery 40.51 40.51 2,835.70$ 2,835.70$ 31785 00 Surgery 31.22 31.22 2,185.40$ 2,185.40$ 31786 00 Surgery 42.17 42.17 2,951.90$ 2,951.90$ 31800 00 Surgery 21.22 21.22 1,485.40$ 1,485.40$ 31805 00 Surgery 23.95 23.95 1,676.50$ 1,676.50$ 31820 00 Surgery 13.12 9.62 918.40$ 673.40$ 31825 00 Surgery 17.92 14.01 1,254.40$ 980.70$ 31830 00 Surgery 14.30 10.50 1,001.00$ 735.00$ 31899 00 Surgery 0.00 0.00 BR BR32035 00 Surgery 21.50 21.50 1,505.00$ 1,505.00$ 32036 00 Surgery 23.17 23.17 1,621.90$ 1,621.90$ 32096 00 Surgery 23.46 23.46 1,642.20$ 1,642.20$ 32097 00 Surgery 23.41 23.41 1,638.70$ 1,638.70$ 32098 00 Surgery 22.20 22.20 1,554.00$ 1,554.00$ 32100 00 Surgery 23.59 23.59 1,651.30$ 1,651.30$ 32110 00 Surgery 43.03 43.03 3,012.10$ 3,012.10$ 32120 00 Surgery 25.57 25.57 1,789.90$ 1,789.90$ 32124 00 Surgery 27.09 27.09 1,896.30$ 1,896.30$ 32140 00 Surgery 28.98 28.98 2,028.60$ 2,028.60$ 32141 00 Surgery 44.52 44.52 3,116.40$ 3,116.40$

PROPOSAL

44


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate32150 00 Surgery 29.42 29.42 2,059.40$ 2,059.40$ 32151 00 Surgery 29.42 29.42 2,059.40$ 2,059.40$ 32160 00 Surgery 23.29 23.29 1,630.30$ 1,630.30$ 32200 00 Surgery 33.31 33.31 2,331.70$ 2,331.70$ 32215 00 Surgery 23.49 23.49 1,644.30$ 1,644.30$ 32220 00 Surgery 46.59 46.59 3,261.30$ 3,261.30$ 32225 00 Surgery 29.08 29.08 2,035.60$ 2,035.60$ 32310 00 Surgery 26.87 26.87 1,880.90$ 1,880.90$ 32320 00 Surgery 46.89 46.89 3,282.30$ 3,282.30$ 32400 00 Surgery 4.80 2.46 336.00$ 172.20$ 32408 00 Surgery 27.71 4.44 1,939.70$ 310.80$ 32440 00 Surgery 45.92 45.92 3,214.40$ 3,214.40$ 32442 00 Surgery 89.26 89.26 6,248.20$ 6,248.20$ 32445 00 Surgery 103.10 103.10 7,217.00$ 7,217.00$ 32480 00 Surgery 43.28 43.28 3,029.60$ 3,029.60$ 32482 00 Surgery 46.35 46.35 3,244.50$ 3,244.50$ 32484 00 Surgery 41.93 41.93 2,935.10$ 2,935.10$ 32486 00 Surgery 68.44 68.44 4,790.80$ 4,790.80$ 32488 00 Surgery 69.87 69.87 4,890.90$ 4,890.90$ 32491 00 Surgery 43.05 43.05 3,013.50$ 3,013.50$ 32501 00 Surgery 7.12 7.12 498.40$ 498.40$ 32503 00 Surgery 52.48 52.48 3,673.60$ 3,673.60$ 32504 00 Surgery 59.77 59.77 4,183.90$ 4,183.90$ 32505 00 Surgery 27.25 27.25 1,907.50$ 1,907.50$ 32506 00 Surgery 4.57 4.57 319.90$ 319.90$ 32507 00 Surgery 4.57 4.57 319.90$ 319.90$ 32540 00 Surgery 50.45 50.45 3,531.50$ 3,531.50$ 32550 00 Surgery 24.63 5.99 1,724.10$ 419.30$ 32551 00 Surgery 4.57 4.57 319.90$ 319.90$ 32552 00 Surgery 5.41 4.63 378.70$ 324.10$ 32553 00 Surgery 15.89 5.13 1,112.30$ 359.10$ 32554 00 Surgery 7.08 2.61 495.60$ 182.70$ 32555 00 Surgery 9.61 3.22 672.70$ 225.40$ 32556 00 Surgery 22.11 3.60 1,547.70$ 252.00$ 32557 00 Surgery 19.82 4.36 1,387.40$ 305.20$ 32560 00 Surgery 7.93 2.25 555.10$ 157.50$ 32561 00 Surgery 2.76 1.98 193.20$ 138.60$ 32562 00 Surgery 2.47 1.77 172.90$ 123.90$ 32601 00 Surgery 8.99 8.99 629.30$ 629.30$ 32604 00 Surgery 13.97 13.97 977.90$ 977.90$ 32606 00 Surgery 13.47 13.47 942.90$ 942.90$ 32607 00 Surgery 8.98 8.98 628.60$ 628.60$ 32608 00 Surgery 11.06 11.06 774.20$ 774.20$ 32609 00 Surgery 7.49 7.49 524.30$ 524.30$ 32650 00 Surgery 19.51 19.51 1,365.70$ 1,365.70$ 32651 00 Surgery 32.03 32.03 2,242.10$ 2,242.10$ 32652 00 Surgery 48.56 48.56 3,399.20$ 3,399.20$ 32653 00 Surgery 31.01 31.01 2,170.70$ 2,170.70$ 32654 00 Surgery 33.80 33.80 2,366.00$ 2,366.00$ 32655 00 Surgery 27.99 27.99 1,959.30$ 1,959.30$ 32656 00 Surgery 23.50 23.50 1,645.00$ 1,645.00$ 32658 00 Surgery 20.90 20.90 1,463.00$ 1,463.00$ 32659 00 Surgery 21.43 21.43 1,500.10$ 1,500.10$ 32661 00 Surgery 23.36 23.36 1,635.20$ 1,635.20$ 32662 00 Surgery 26.12 26.12 1,828.40$ 1,828.40$ 32663 00 Surgery 40.92 40.92 2,864.40$ 2,864.40$ 32664 00 Surgery 24.81 24.81 1,736.70$ 1,736.70$ 32665 00 Surgery 35.98 35.98 2,518.60$ 2,518.60$ 32666 00 Surgery 25.45 25.45 1,781.50$ 1,781.50$

PROPOSAL

45


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate32667 00 Surgery 4.57 4.57 319.90$ 319.90$ 32668 00 Surgery 4.58 4.58 320.60$ 320.60$ 32669 00 Surgery 39.25 39.25 2,747.50$ 2,747.50$ 32670 00 Surgery 46.87 46.87 3,280.90$ 3,280.90$ 32671 00 Surgery 51.83 51.83 3,628.10$ 3,628.10$ 32672 00 Surgery 44.53 44.53 3,117.10$ 3,117.10$ 32673 00 Surgery 35.52 35.52 2,486.40$ 2,486.40$ 32674 00 Surgery 6.29 6.29 440.30$ 440.30$ 32701 00 Surgery 6.21 6.21 434.70$ 434.70$ 32800 00 Surgery 27.73 27.73 1,941.10$ 1,941.10$ 32810 00 Surgery 26.35 26.35 1,844.50$ 1,844.50$ 32815 00 Surgery 82.02 82.02 5,741.40$ 5,741.40$ 32820 00 Surgery 38.94 38.94 2,725.80$ 2,725.80$ 32850 00 Surgery 0.00 0.00 BR BR32851 00 Surgery 95.58 95.58 6,690.60$ 6,690.60$ 32852 00 Surgery 104.56 104.56 7,319.20$ 7,319.20$ 32853 00 Surgery 133.47 133.47 9,342.90$ 9,342.90$ 32854 00 Surgery 141.56 141.56 9,909.20$ 9,909.20$ 32855 00 Surgery - - 549.50$ 549.50$ 32856 00 Surgery - - 671.30$ 671.30$ 32900 00 Surgery 41.75 41.75 2,922.50$ 2,922.50$ 32905 00 Surgery 39.02 39.02 2,731.40$ 2,731.40$ 32906 00 Surgery 48.16 48.16 3,371.20$ 3,371.20$ 32940 00 Surgery 36.05 36.05 2,523.50$ 2,523.50$ 32960 00 Surgery 3.73 2.66 261.10$ 186.20$ 32994 00 Surgery 162.13 12.69 11,349.10$ 888.30$ 32997 00 Surgery 9.92 9.92 694.40$ 694.40$ 32998 00 Surgery 102.62 12.67 7,183.40$ 886.90$ 32999 00 Surgery 0.00 0.00 BR BR33016 00 Surgery 6.89 6.89 482.30$ 482.30$ 33017 00 Surgery 7.14 7.14 499.80$ 499.80$ 33018 00 Surgery 8.11 8.11 567.70$ 567.70$ 33019 00 Surgery 6.60 6.60 462.00$ 462.00$ 33020 00 Surgery 24.19 24.19 1,693.30$ 1,693.30$ 33025 00 Surgery 22.51 22.51 1,575.70$ 1,575.70$ 33030 00 Surgery 58.44 58.44 4,090.80$ 4,090.80$ 33031 00 Surgery 72.36 72.36 5,065.20$ 5,065.20$ 33050 00 Surgery 29.43 29.43 2,060.10$ 2,060.10$ 33120 00 Surgery 61.15 61.15 4,280.50$ 4,280.50$ 33130 00 Surgery 39.94 39.94 2,795.80$ 2,795.80$ 33140 00 Surgery 45.52 45.52 3,186.40$ 3,186.40$ 33141 00 Surgery 3.86 3.86 270.20$ 270.20$ 33202 00 Surgery 22.56 22.56 1,579.20$ 1,579.20$ 33203 00 Surgery 23.63 23.63 1,654.10$ 1,654.10$ 33206 00 Surgery 13.41 13.41 938.70$ 938.70$ 33207 00 Surgery 14.10 14.10 987.00$ 987.00$ 33208 00 Surgery 15.31 15.31 1,071.70$ 1,071.70$ 33210 00 Surgery 4.75 4.75 332.50$ 332.50$ 33211 00 Surgery 4.97 4.97 347.90$ 347.90$ 33212 00 Surgery 9.50 9.50 665.00$ 665.00$ 33213 00 Surgery 9.89 9.89 692.30$ 692.30$ 33214 00 Surgery 14.12 14.12 988.40$ 988.40$ 33215 00 Surgery 9.11 9.11 637.70$ 637.70$ 33216 00 Surgery 10.96 10.96 767.20$ 767.20$ 33217 00 Surgery 10.85 10.85 759.50$ 759.50$ 33218 00 Surgery 11.45 11.45 801.50$ 801.50$ 33220 00 Surgery 11.07 11.07 774.90$ 774.90$ 33221 00 Surgery 10.66 10.66 746.20$ 746.20$ 33222 00 Surgery 10.08 10.08 705.60$ 705.60$

PROPOSAL

46


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate33223 00 Surgery 12.10 12.10 847.00$ 847.00$ 33224 00 Surgery 15.11 15.11 1,057.70$ 1,057.70$ 33225 00 Surgery 13.72 13.72 960.40$ 960.40$ 33226 00 Surgery 14.46 14.46 1,012.20$ 1,012.20$ 33227 00 Surgery 9.98 9.98 698.60$ 698.60$ 33228 00 Surgery 10.45 10.45 731.50$ 731.50$ 33229 00 Surgery 11.05 11.05 773.50$ 773.50$ 33230 00 Surgery 11.30 11.30 791.00$ 791.00$ 33231 00 Surgery 11.81 11.81 826.70$ 826.70$ 33233 00 Surgery 6.86 6.86 480.20$ 480.20$ 33234 00 Surgery 14.32 14.32 1,002.40$ 1,002.40$ 33235 00 Surgery 18.78 18.78 1,314.60$ 1,314.60$ 33236 00 Surgery 22.90 22.90 1,603.00$ 1,603.00$ 33237 00 Surgery 24.55 24.55 1,718.50$ 1,718.50$ 33238 00 Surgery 27.68 27.68 1,937.60$ 1,937.60$ 33240 00 Surgery 10.75 10.75 752.50$ 752.50$ 33241 00 Surgery 6.34 6.34 443.80$ 443.80$ 33243 00 Surgery 40.09 40.09 2,806.30$ 2,806.30$ 33244 00 Surgery 25.51 25.51 1,785.70$ 1,785.70$ 33249 00 Surgery 26.99 26.99 1,889.30$ 1,889.30$ 33250 00 Surgery 42.55 42.55 2,978.50$ 2,978.50$ 33251 00 Surgery 47.58 47.58 3,330.60$ 3,330.60$ 33254 00 Surgery 39.65 39.65 2,775.50$ 2,775.50$ 33255 00 Surgery 47.52 47.52 3,326.40$ 3,326.40$ 33256 00 Surgery 56.73 56.73 3,971.10$ 3,971.10$ 33257 00 Surgery 17.03 17.03 1,192.10$ 1,192.10$ 33258 00 Surgery 19.00 19.00 1,330.00$ 1,330.00$ 33259 00 Surgery 24.70 24.70 1,729.00$ 1,729.00$ 33261 00 Surgery 47.08 47.08 3,295.60$ 3,295.60$ 33262 00 Surgery 11.01 11.01 770.70$ 770.70$ 33263 00 Surgery 11.45 11.45 801.50$ 801.50$ 33264 00 Surgery 11.96 11.96 837.20$ 837.20$ 33265 00 Surgery 39.78 39.78 2,784.60$ 2,784.60$ 33266 00 Surgery 53.89 53.89 3,772.30$ 3,772.30$ 33270 00 Surgery 16.59 16.59 1,161.30$ 1,161.30$ 33271 00 Surgery 13.30 13.30 931.00$ 931.00$ 33272 00 Surgery 10.20 10.20 714.00$ 714.00$ 33273 00 Surgery 11.71 11.71 819.70$ 819.70$ 33274 00 Surgery 14.23 14.23 996.10$ 996.10$ 33275 00 Surgery 15.43 15.43 1,080.10$ 1,080.10$ 33285 00 Surgery 149.03 2.58 10,432.10$ 180.60$ 33286 00 Surgery 4.04 2.55 282.80$ 178.50$ 33289 00 Surgery 9.74 9.74 681.80$ 681.80$ 33300 00 Surgery 71.45 71.45 5,001.50$ 5,001.50$ 33305 00 Surgery 119.43 119.43 8,360.10$ 8,360.10$ 33310 00 Surgery 34.15 34.15 2,390.50$ 2,390.50$ 33315 00 Surgery 55.93 55.93 3,915.10$ 3,915.10$ 33320 00 Surgery 30.91 30.91 2,163.70$ 2,163.70$ 33321 00 Surgery 34.70 34.70 2,429.00$ 2,429.00$ 33322 00 Surgery 40.63 40.63 2,844.10$ 2,844.10$ 33330 00 Surgery 41.61 41.61 2,912.70$ 2,912.70$ 33335 00 Surgery 54.57 54.57 3,819.90$ 3,819.90$ 33340 00 Surgery 23.06 23.06 1,614.20$ 1,614.20$ 33361 00 Surgery 35.34 35.34 2,473.80$ 2,473.80$ 33362 00 Surgery 38.50 38.50 2,695.00$ 2,695.00$ 33363 00 Surgery 39.93 39.93 2,795.10$ 2,795.10$ 33364 00 Surgery 39.95 39.95 2,796.50$ 2,796.50$ 33365 00 Surgery 41.62 41.62 2,913.40$ 2,913.40$ 33366 00 Surgery 45.90 45.90 3,213.00$ 3,213.00$

PROPOSAL

47


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate33367 00 Surgery 18.35 18.35 1,284.50$ 1,284.50$ 33368 00 Surgery 21.66 21.66 1,516.20$ 1,516.20$ 33369 00 Surgery 28.60 28.60 2,002.00$ 2,002.00$ 33390 00 Surgery 56.21 56.21 3,934.70$ 3,934.70$ 33391 00 Surgery 66.93 66.93 4,685.10$ 4,685.10$ 33404 00 Surgery 51.08 51.08 3,575.60$ 3,575.60$ 33405 00 Surgery 66.32 66.32 4,642.40$ 4,642.40$ 33406 00 Surgery 84.13 84.13 5,889.10$ 5,889.10$ 33410 00 Surgery 74.23 74.23 5,196.10$ 5,196.10$ 33411 00 Surgery 97.95 97.95 6,856.50$ 6,856.50$ 33412 00 Surgery 91.95 91.95 6,436.50$ 6,436.50$ 33413 00 Surgery 94.15 94.15 6,590.50$ 6,590.50$ 33414 00 Surgery 62.75 62.75 4,392.50$ 4,392.50$ 33415 00 Surgery 59.10 59.10 4,137.00$ 4,137.00$ 33416 00 Surgery 59.05 59.05 4,133.50$ 4,133.50$ 33417 00 Surgery 48.76 48.76 3,413.20$ 3,413.20$ 33418 00 Surgery 52.51 52.51 3,675.70$ 3,675.70$ 33419 00 Surgery 12.40 12.40 868.00$ 868.00$ 33420 00 Surgery 42.38 42.38 2,966.60$ 2,966.60$ 33422 00 Surgery 48.61 48.61 3,402.70$ 3,402.70$ 33425 00 Surgery 79.79 79.79 5,585.30$ 5,585.30$ 33426 00 Surgery 69.52 69.52 4,866.40$ 4,866.40$ 33427 00 Surgery 71.21 71.21 4,984.70$ 4,984.70$ 33430 00 Surgery 81.81 81.81 5,726.70$ 5,726.70$ 33440 00 Surgery 96.38 96.38 6,746.60$ 6,746.60$ 33460 00 Surgery 70.14 70.14 4,909.80$ 4,909.80$ 33463 00 Surgery 89.68 89.68 6,277.60$ 6,277.60$ 33464 00 Surgery 71.18 71.18 4,982.60$ 4,982.60$ 33465 00 Surgery 80.35 80.35 5,624.50$ 5,624.50$ 33468 00 Surgery 71.59 71.59 5,011.30$ 5,011.30$ 33470 00 Surgery 36.21 36.21 2,534.70$ 2,534.70$ 33471 00 Surgery 38.72 38.72 2,710.40$ 2,710.40$ 33474 00 Surgery 63.68 63.68 4,457.60$ 4,457.60$ 33475 00 Surgery 67.85 67.85 4,749.50$ 4,749.50$ 33476 00 Surgery 44.55 44.55 3,118.50$ 3,118.50$ 33477 00 Surgery 39.58 39.58 2,770.60$ 2,770.60$ 33478 00 Surgery 46.02 46.02 3,221.40$ 3,221.40$ 33496 00 Surgery 48.65 48.65 3,405.50$ 3,405.50$ 33500 00 Surgery 45.61 45.61 3,192.70$ 3,192.70$ 33501 00 Surgery 32.63 32.63 2,284.10$ 2,284.10$ 33502 00 Surgery 37.35 37.35 2,614.50$ 2,614.50$ 33503 00 Surgery 38.83 38.83 2,718.10$ 2,718.10$ 33504 00 Surgery 42.89 42.89 3,002.30$ 3,002.30$ 33505 00 Surgery 60.22 60.22 4,215.40$ 4,215.40$ 33506 00 Surgery 59.96 59.96 4,197.20$ 4,197.20$ 33507 00 Surgery 50.31 50.31 3,521.70$ 3,521.70$ 33508 00 Surgery 0.46 0.46 32.20$ 32.20$ 33510 00 Surgery 56.49 56.49 3,954.30$ 3,954.30$ 33511 00 Surgery 62.02 62.02 4,341.40$ 4,341.40$ 33512 00 Surgery 70.73 70.73 4,951.10$ 4,951.10$ 33513 00 Surgery 72.64 72.64 5,084.80$ 5,084.80$ 33514 00 Surgery 76.56 76.56 5,359.20$ 5,359.20$ 33516 00 Surgery 78.93 78.93 5,525.10$ 5,525.10$ 33517 00 Surgery 5.46 5.46 382.20$ 382.20$ 33518 00 Surgery 12.01 12.01 840.70$ 840.70$ 33519 00 Surgery 15.88 15.88 1,111.60$ 1,111.60$ 33521 00 Surgery 19.06 19.06 1,334.20$ 1,334.20$ 33522 00 Surgery 21.40 21.40 1,498.00$ 1,498.00$ 33523 00 Surgery 24.27 24.27 1,698.90$ 1,698.90$

PROPOSAL

48


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate33530 00 Surgery 15.32 15.32 1,072.40$ 1,072.40$ 33533 00 Surgery 54.69 54.69 3,828.30$ 3,828.30$ 33534 00 Surgery 64.19 64.19 4,493.30$ 4,493.30$ 33535 00 Surgery 71.52 71.52 5,006.40$ 5,006.40$ 33536 00 Surgery 76.96 76.96 5,387.20$ 5,387.20$ 33542 00 Surgery 76.78 76.78 5,374.60$ 5,374.60$ 33545 00 Surgery 89.61 89.61 6,272.70$ 6,272.70$ 33548 00 Surgery 86.60 86.60 6,062.00$ 6,062.00$ 33572 00 Surgery 6.73 6.73 471.10$ 471.10$ 33600 00 Surgery 50.26 50.26 3,518.20$ 3,518.20$ 33602 00 Surgery 48.77 48.77 3,413.90$ 3,413.90$ 33606 00 Surgery 51.99 51.99 3,639.30$ 3,639.30$ 33608 00 Surgery 52.64 52.64 3,684.80$ 3,684.80$ 33610 00 Surgery 51.90 51.90 3,633.00$ 3,633.00$ 33611 00 Surgery 56.96 56.96 3,987.20$ 3,987.20$ 33612 00 Surgery 58.49 58.49 4,094.30$ 4,094.30$ 33615 00 Surgery 58.38 58.38 4,086.60$ 4,086.60$ 33617 00 Surgery 63.23 63.23 4,426.10$ 4,426.10$ 33619 00 Surgery 80.18 80.18 5,612.60$ 5,612.60$ 33620 00 Surgery 48.17 48.17 3,371.90$ 3,371.90$ 33621 00 Surgery 27.21 27.21 1,904.70$ 1,904.70$ 33622 00 Surgery 100.18 100.18 7,012.60$ 7,012.60$ 33641 00 Surgery 47.89 47.89 3,352.30$ 3,352.30$ 33645 00 Surgery 50.58 50.58 3,540.60$ 3,540.60$ 33647 00 Surgery 53.07 53.07 3,714.90$ 3,714.90$ 33660 00 Surgery 51.30 51.30 3,591.00$ 3,591.00$ 33665 00 Surgery 55.88 55.88 3,911.60$ 3,911.60$ 33670 00 Surgery 57.62 57.62 4,033.40$ 4,033.40$ 33675 00 Surgery 57.58 57.58 4,030.60$ 4,030.60$ 33676 00 Surgery 59.10 59.10 4,137.00$ 4,137.00$ 33677 00 Surgery 61.36 61.36 4,295.20$ 4,295.20$ 33681 00 Surgery 53.90 53.90 3,773.00$ 3,773.00$ 33684 00 Surgery 55.16 55.16 3,861.20$ 3,861.20$ 33688 00 Surgery 55.02 55.02 3,851.40$ 3,851.40$ 33690 00 Surgery 35.14 35.14 2,459.80$ 2,459.80$ 33692 00 Surgery 57.15 57.15 4,000.50$ 4,000.50$ 33694 00 Surgery 56.96 56.96 3,987.20$ 3,987.20$ 33697 00 Surgery 60.00 60.00 4,200.00$ 4,200.00$ 33702 00 Surgery 45.25 45.25 3,167.50$ 3,167.50$ 33710 00 Surgery 59.90 59.90 4,193.00$ 4,193.00$ 33720 00 Surgery 45.29 45.29 3,170.30$ 3,170.30$ 33722 00 Surgery 47.58 47.58 3,330.60$ 3,330.60$ 33724 00 Surgery 44.96 44.96 3,147.20$ 3,147.20$ 33726 00 Surgery 59.37 59.37 4,155.90$ 4,155.90$ 33730 00 Surgery 58.63 58.63 4,104.10$ 4,104.10$ 33732 00 Surgery 48.20 48.20 3,374.00$ 3,374.00$ 33735 00 Surgery 37.95 37.95 2,656.50$ 2,656.50$ 33736 00 Surgery 41.16 41.16 2,881.20$ 2,881.20$ 33737 00 Surgery 38.00 38.00 2,660.00$ 2,660.00$ 33741 00 Surgery 22.10 22.10 1,547.00$ 1,547.00$ 33745 00 Surgery 31.20 31.20 2,184.00$ 2,184.00$ 33746 00 Surgery 12.33 12.33 863.10$ 863.10$ 33750 00 Surgery 36.98 36.98 2,588.60$ 2,588.60$ 33755 00 Surgery 38.54 38.54 2,697.80$ 2,697.80$ 33762 00 Surgery 37.54 37.54 2,627.80$ 2,627.80$ 33764 00 Surgery 38.54 38.54 2,697.80$ 2,697.80$ 33766 00 Surgery 39.01 39.01 2,730.70$ 2,730.70$ 33767 00 Surgery 41.63 41.63 2,914.10$ 2,914.10$ 33768 00 Surgery 12.15 12.15 850.50$ 850.50$

PROPOSAL

49


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate33770 00 Surgery 61.81 61.81 4,326.70$ 4,326.70$ 33771 00 Surgery 63.62 63.62 4,453.40$ 4,453.40$ 33774 00 Surgery 52.62 52.62 3,683.40$ 3,683.40$ 33775 00 Surgery 54.20 54.20 3,794.00$ 3,794.00$ 33776 00 Surgery 57.29 57.29 4,010.30$ 4,010.30$ 33777 00 Surgery 55.33 55.33 3,873.10$ 3,873.10$ 33778 00 Surgery 68.67 68.67 4,806.90$ 4,806.90$ 33779 00 Surgery 67.92 67.92 4,754.40$ 4,754.40$ 33780 00 Surgery 69.16 69.16 4,841.20$ 4,841.20$ 33781 00 Surgery 67.54 67.54 4,727.80$ 4,727.80$ 33782 00 Surgery 94.23 94.23 6,596.10$ 6,596.10$ 33783 00 Surgery 101.82 101.82 7,127.40$ 7,127.40$ 33786 00 Surgery 66.57 66.57 4,659.90$ 4,659.90$ 33788 00 Surgery 44.88 44.88 3,141.60$ 3,141.60$ 33800 00 Surgery 28.87 28.87 2,020.90$ 2,020.90$ 33802 00 Surgery 31.77 31.77 2,223.90$ 2,223.90$ 33803 00 Surgery 33.72 33.72 2,360.40$ 2,360.40$ 33813 00 Surgery 36.31 36.31 2,541.70$ 2,541.70$ 33814 00 Surgery 44.59 44.59 3,121.30$ 3,121.30$ 33820 00 Surgery 28.31 28.31 1,981.70$ 1,981.70$ 33822 00 Surgery 29.85 29.85 2,089.50$ 2,089.50$ 33824 00 Surgery 34.54 34.54 2,417.80$ 2,417.80$ 33840 00 Surgery 36.27 36.27 2,538.90$ 2,538.90$ 33845 00 Surgery 39.03 39.03 2,732.10$ 2,732.10$ 33851 00 Surgery 37.24 37.24 2,606.80$ 2,606.80$ 33852 00 Surgery 40.95 40.95 2,866.50$ 2,866.50$ 33853 00 Surgery 53.60 53.60 3,752.00$ 3,752.00$ 33858 00 Surgery 99.07 99.07 6,934.90$ 6,934.90$ 33859 00 Surgery 71.20 71.20 4,984.00$ 4,984.00$ 33863 00 Surgery 91.91 91.91 6,433.70$ 6,433.70$ 33864 00 Surgery 93.88 93.88 6,571.60$ 6,571.60$ 33866 00 Surgery 26.94 26.94 1,885.80$ 1,885.80$ 33871 00 Surgery 95.14 95.14 6,659.80$ 6,659.80$ 33875 00 Surgery 79.72 79.72 5,580.40$ 5,580.40$ 33877 00 Surgery 105.20 105.20 7,364.00$ 7,364.00$ 33880 00 Surgery 52.13 52.13 3,649.10$ 3,649.10$ 33881 00 Surgery 44.68 44.68 3,127.60$ 3,127.60$ 33883 00 Surgery 32.43 32.43 2,270.10$ 2,270.10$ 33884 00 Surgery 11.46 11.46 802.20$ 802.20$ 33886 00 Surgery 27.78 27.78 1,944.60$ 1,944.60$ 33889 00 Surgery 22.95 22.95 1,606.50$ 1,606.50$ 33891 00 Surgery 27.98 27.98 1,958.60$ 1,958.60$ 33910 00 Surgery 76.51 76.51 5,355.70$ 5,355.70$ 33915 00 Surgery 40.27 40.27 2,818.90$ 2,818.90$ 33916 00 Surgery 122.94 122.94 8,605.80$ 8,605.80$ 33917 00 Surgery 42.63 42.63 2,984.10$ 2,984.10$ 33920 00 Surgery 52.95 52.95 3,706.50$ 3,706.50$ 33922 00 Surgery 40.65 40.65 2,845.50$ 2,845.50$ 33924 00 Surgery 8.33 8.33 583.10$ 583.10$ 33925 00 Surgery 50.15 50.15 3,510.50$ 3,510.50$ 33926 00 Surgery 70.55 70.55 4,938.50$ 4,938.50$ 33927 00 Surgery 74.40 74.40 5,208.00$ 5,208.00$ 33928 00 Surgery - - 5,160.40$ 5,160.40$ 33929 00 Surgery - - 3,322.20$ 3,322.20$ 33930 00 Surgery 0.00 0.00 BR BR33933 00 Surgery - - 775.60$ 775.60$ 33935 00 Surgery 143.98 143.98 10,078.60$ 10,078.60$ 33940 00 Surgery 0.00 0.00 BR BR33944 00 Surgery - - 618.80$ 618.80$

PROPOSAL

50


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate33945 00 Surgery 141.72 141.72 9,920.40$ 9,920.40$ 33946 00 Surgery 9.03 9.03 632.10$ 632.10$ 33947 00 Surgery 10.04 10.04 702.80$ 702.80$ 33948 00 Surgery 6.97 6.97 487.90$ 487.90$ 33949 00 Surgery 6.75 6.75 472.50$ 472.50$ 33951 00 Surgery 12.35 12.35 864.50$ 864.50$ 33952 00 Surgery 12.47 12.47 872.90$ 872.90$ 33953 00 Surgery 13.81 13.81 966.70$ 966.70$ 33954 00 Surgery 13.89 13.89 972.30$ 972.30$ 33955 00 Surgery 24.17 24.17 1,691.90$ 1,691.90$ 33956 00 Surgery 24.36 24.36 1,705.20$ 1,705.20$ 33957 00 Surgery 5.37 5.37 375.90$ 375.90$ 33958 00 Surgery 5.37 5.37 375.90$ 375.90$ 33959 00 Surgery 6.84 6.84 478.80$ 478.80$ 33962 00 Surgery 6.84 6.84 478.80$ 478.80$ 33963 00 Surgery 13.64 13.64 954.80$ 954.80$ 33964 00 Surgery 14.38 14.38 1,006.60$ 1,006.60$ 33965 00 Surgery 5.37 5.37 375.90$ 375.90$ 33966 00 Surgery 6.91 6.91 483.70$ 483.70$ 33967 00 Surgery 7.58 7.58 530.60$ 530.60$ 33968 00 Surgery 0.99 0.99 69.30$ 69.30$ 33969 00 Surgery 7.96 7.96 557.20$ 557.20$ 33970 00 Surgery 10.29 10.29 720.30$ 720.30$ 33971 00 Surgery 20.53 20.53 1,437.10$ 1,437.10$ 33973 00 Surgery 14.68 14.68 1,027.60$ 1,027.60$ 33974 00 Surgery 26.04 26.04 1,822.80$ 1,822.80$ 33975 00 Surgery 37.95 37.95 2,656.50$ 2,656.50$ 33976 00 Surgery 46.27 46.27 3,238.90$ 3,238.90$ 33977 00 Surgery 32.64 32.64 2,284.80$ 2,284.80$ 33978 00 Surgery 38.82 38.82 2,717.40$ 2,717.40$ 33979 00 Surgery 56.74 56.74 3,971.80$ 3,971.80$ 33980 00 Surgery 51.84 51.84 3,628.80$ 3,628.80$ 33981 00 Surgery 24.23 24.23 1,696.10$ 1,696.10$ 33982 00 Surgery 56.96 56.96 3,987.20$ 3,987.20$ 33983 00 Surgery 67.42 67.42 4,719.40$ 4,719.40$ 33984 00 Surgery 8.29 8.29 580.30$ 580.30$ 33985 00 Surgery 14.98 14.98 1,048.60$ 1,048.60$ 33986 00 Surgery 15.27 15.27 1,068.90$ 1,068.90$ 33987 00 Surgery 6.10 6.10 427.00$ 427.00$ 33988 00 Surgery 22.69 22.69 1,588.30$ 1,588.30$ 33989 00 Surgery 14.38 14.38 1,006.60$ 1,006.60$ 33990 00 Surgery 10.56 10.56 739.20$ 739.20$ 33991 00 Surgery 13.79 13.79 965.30$ 965.30$ 33992 00 Surgery 5.49 5.49 384.30$ 384.30$ 33993 00 Surgery 4.83 4.83 338.10$ 338.10$ 33995 00 Surgery 10.61 10.61 742.70$ 742.70$ 33997 00 Surgery 4.72 4.72 330.40$ 330.40$ 33999 00 Surgery 0.00 0.00 BR BR34001 00 Surgery 26.59 26.59 1,861.30$ 1,861.30$ 34051 00 Surgery 29.05 29.05 2,033.50$ 2,033.50$ 34101 00 Surgery 17.40 17.40 1,218.00$ 1,218.00$ 34111 00 Surgery 17.49 17.49 1,224.30$ 1,224.30$ 34151 00 Surgery 40.50 40.50 2,835.00$ 2,835.00$ 34201 00 Surgery 29.80 29.80 2,086.00$ 2,086.00$ 34203 00 Surgery 27.61 27.61 1,932.70$ 1,932.70$ 34401 00 Surgery 42.90 42.90 3,003.00$ 3,003.00$ 34421 00 Surgery 21.46 21.46 1,502.20$ 1,502.20$ 34451 00 Surgery 41.71 41.71 2,919.70$ 2,919.70$ 34471 00 Surgery 31.36 31.36 2,195.20$ 2,195.20$

PROPOSAL

51


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate34490 00 Surgery 18.90 18.90 1,323.00$ 1,323.00$ 34501 00 Surgery 25.94 25.94 1,815.80$ 1,815.80$ 34502 00 Surgery 45.21 45.21 3,164.70$ 3,164.70$ 34510 00 Surgery 29.67 29.67 2,076.90$ 2,076.90$ 34520 00 Surgery 28.71 28.71 2,009.70$ 2,009.70$ 34530 00 Surgery 27.33 27.33 1,913.10$ 1,913.10$ 34701 00 Surgery 36.15 36.15 2,530.50$ 2,530.50$ 34702 00 Surgery 53.91 53.91 3,773.70$ 3,773.70$ 34703 00 Surgery 40.02 40.02 2,801.40$ 2,801.40$ 34704 00 Surgery 66.81 66.81 4,676.70$ 4,676.70$ 34705 00 Surgery 44.51 44.51 3,115.70$ 3,115.70$ 34706 00 Surgery 66.97 66.97 4,687.90$ 4,687.90$ 34707 00 Surgery 33.96 33.96 2,377.20$ 2,377.20$ 34708 00 Surgery 53.91 53.91 3,773.70$ 3,773.70$ 34709 00 Surgery 9.41 9.41 658.70$ 658.70$ 34710 00 Surgery 23.23 23.23 1,626.10$ 1,626.10$ 34711 00 Surgery 8.68 8.68 607.60$ 607.60$ 34712 00 Surgery 19.18 19.18 1,342.60$ 1,342.60$ 34713 00 Surgery 3.62 3.62 253.40$ 253.40$ 34714 00 Surgery 7.86 7.86 550.20$ 550.20$ 34715 00 Surgery 8.75 8.75 612.50$ 612.50$ 34716 00 Surgery 10.82 10.82 757.40$ 757.40$ 34717 00 Surgery 12.82 12.82 897.40$ 897.40$ 34718 00 Surgery 35.76 35.76 2,503.20$ 2,503.20$ 34808 00 Surgery 5.79 5.79 405.30$ 405.30$ 34812 00 Surgery 6.01 6.01 420.70$ 420.70$ 34813 00 Surgery 6.90 6.90 483.00$ 483.00$ 34820 00 Surgery 10.11 10.11 707.70$ 707.70$ 34830 00 Surgery 51.21 51.21 3,584.70$ 3,584.70$ 34831 00 Surgery 55.91 55.91 3,913.70$ 3,913.70$ 34832 00 Surgery 55.03 55.03 3,852.10$ 3,852.10$ 34833 00 Surgery 11.41 11.41 798.70$ 798.70$ 34834 00 Surgery 3.77 3.77 263.90$ 263.90$ 34839 00 Surgery 0.00 0.00 Bundled Code Bundled Code 34841 00 Surgery - - 2,940.00$ 2,940.00$ 34842 00 Surgery - - 3,217.20$ 3,217.20$ 34843 00 Surgery - - 3,530.10$ 3,530.10$ 34844 00 Surgery - - 3,915.10$ 3,915.10$ 34845 00 Surgery - - 3,472.70$ 3,472.70$ 34846 00 Surgery - - 3,803.80$ 3,803.80$ 34847 00 Surgery - - 4,009.60$ 4,009.60$ 34848 00 Surgery - - 4,281.20$ 4,281.20$ 35001 00 Surgery 32.88 32.88 2,301.60$ 2,301.60$ 35002 00 Surgery 33.06 33.06 2,314.20$ 2,314.20$ 35005 00 Surgery 28.94 28.94 2,025.80$ 2,025.80$ 35011 00 Surgery 29.34 29.34 2,053.80$ 2,053.80$ 35013 00 Surgery 36.78 36.78 2,574.60$ 2,574.60$ 35021 00 Surgery 36.81 36.81 2,576.70$ 2,576.70$ 35022 00 Surgery 42.16 42.16 2,951.20$ 2,951.20$ 35045 00 Surgery 28.41 28.41 1,988.70$ 1,988.70$ 35081 00 Surgery 50.37 50.37 3,525.90$ 3,525.90$ 35082 00 Surgery 63.32 63.32 4,432.40$ 4,432.40$ 35091 00 Surgery 52.17 52.17 3,651.90$ 3,651.90$ 35092 00 Surgery 75.33 75.33 5,273.10$ 5,273.10$ 35102 00 Surgery 54.68 54.68 3,827.60$ 3,827.60$ 35103 00 Surgery 64.86 64.86 4,540.20$ 4,540.20$ 35111 00 Surgery 38.59 38.59 2,701.30$ 2,701.30$ 35112 00 Surgery 47.47 47.47 3,322.90$ 3,322.90$ 35121 00 Surgery 45.91 45.91 3,213.70$ 3,213.70$

PROPOSAL

52


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate35122 00 Surgery 54.90 54.90 3,843.00$ 3,843.00$ 35131 00 Surgery 40.06 40.06 2,804.20$ 2,804.20$ 35132 00 Surgery 47.47 47.47 3,322.90$ 3,322.90$ 35141 00 Surgery 31.99 31.99 2,239.30$ 2,239.30$ 35142 00 Surgery 38.58 38.58 2,700.60$ 2,700.60$ 35151 00 Surgery 35.91 35.91 2,513.70$ 2,513.70$ 35152 00 Surgery 40.59 40.59 2,841.30$ 2,841.30$ 35180 00 Surgery 25.81 25.81 1,806.70$ 1,806.70$ 35182 00 Surgery 52.37 52.37 3,665.90$ 3,665.90$ 35184 00 Surgery 28.03 28.03 1,962.10$ 1,962.10$ 35188 00 Surgery 37.80 37.80 2,646.00$ 2,646.00$ 35189 00 Surgery 43.86 43.86 3,070.20$ 3,070.20$ 35190 00 Surgery 22.28 22.28 1,559.60$ 1,559.60$ 35201 00 Surgery 27.55 27.55 1,928.50$ 1,928.50$ 35206 00 Surgery 22.85 22.85 1,599.50$ 1,599.50$ 35207 00 Surgery 22.15 22.15 1,550.50$ 1,550.50$ 35211 00 Surgery 40.79 40.79 2,855.30$ 2,855.30$ 35216 00 Surgery 60.94 60.94 4,265.80$ 4,265.80$ 35221 00 Surgery 42.99 42.99 3,009.30$ 3,009.30$ 35226 00 Surgery 24.26 24.26 1,698.20$ 1,698.20$ 35231 00 Surgery 36.63 36.63 2,564.10$ 2,564.10$ 35236 00 Surgery 29.35 29.35 2,054.50$ 2,054.50$ 35241 00 Surgery 41.97 41.97 2,937.90$ 2,937.90$ 35246 00 Surgery 45.72 45.72 3,200.40$ 3,200.40$ 35251 00 Surgery 50.56 50.56 3,539.20$ 3,539.20$ 35256 00 Surgery 29.96 29.96 2,097.20$ 2,097.20$ 35261 00 Surgery 28.45 28.45 1,991.50$ 1,991.50$ 35266 00 Surgery 25.28 25.28 1,769.60$ 1,769.60$ 35271 00 Surgery 40.47 40.47 2,832.90$ 2,832.90$ 35276 00 Surgery 42.61 42.61 2,982.70$ 2,982.70$ 35281 00 Surgery 47.12 47.12 3,298.40$ 3,298.40$ 35286 00 Surgery 27.23 27.23 1,906.10$ 1,906.10$ 35301 00 Surgery 32.98 32.98 2,308.60$ 2,308.60$ 35302 00 Surgery 32.65 32.65 2,285.50$ 2,285.50$ 35303 00 Surgery 36.02 36.02 2,521.40$ 2,521.40$ 35304 00 Surgery 37.03 37.03 2,592.10$ 2,592.10$ 35305 00 Surgery 35.85 35.85 2,509.50$ 2,509.50$ 35306 00 Surgery 12.93 12.93 905.10$ 905.10$ 35311 00 Surgery 45.50 45.50 3,185.00$ 3,185.00$ 35321 00 Surgery 26.04 26.04 1,822.80$ 1,822.80$ 35331 00 Surgery 42.23 42.23 2,956.10$ 2,956.10$ 35341 00 Surgery 39.87 39.87 2,790.90$ 2,790.90$ 35351 00 Surgery 37.43 37.43 2,620.10$ 2,620.10$ 35355 00 Surgery 30.01 30.01 2,100.70$ 2,100.70$ 35361 00 Surgery 44.20 44.20 3,094.00$ 3,094.00$ 35363 00 Surgery 47.16 47.16 3,301.20$ 3,301.20$ 35371 00 Surgery 23.79 23.79 1,665.30$ 1,665.30$ 35372 00 Surgery 28.42 28.42 1,989.40$ 1,989.40$ 35390 00 Surgery 4.62 4.62 323.40$ 323.40$ 35400 00 Surgery 4.31 4.31 301.70$ 301.70$ 35500 00 Surgery 9.26 9.26 648.20$ 648.20$ 35501 00 Surgery 42.39 42.39 2,967.30$ 2,967.30$ 35506 00 Surgery 36.98 36.98 2,588.60$ 2,588.60$ 35508 00 Surgery 38.54 38.54 2,697.80$ 2,697.80$ 35509 00 Surgery 41.03 41.03 2,872.10$ 2,872.10$ 35510 00 Surgery 35.71 35.71 2,499.70$ 2,499.70$ 35511 00 Surgery 32.56 32.56 2,279.20$ 2,279.20$ 35512 00 Surgery 35.01 35.01 2,450.70$ 2,450.70$ 35515 00 Surgery 38.54 38.54 2,697.80$ 2,697.80$

PROPOSAL

53


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate35516 00 Surgery 35.43 35.43 2,480.10$ 2,480.10$ 35518 00 Surgery 33.18 33.18 2,322.60$ 2,322.60$ 35521 00 Surgery 35.65 35.65 2,495.50$ 2,495.50$ 35522 00 Surgery 35.56 35.56 2,489.20$ 2,489.20$ 35523 00 Surgery 37.15 37.15 2,600.50$ 2,600.50$ 35525 00 Surgery 33.05 33.05 2,313.50$ 2,313.50$ 35526 00 Surgery 50.57 50.57 3,539.90$ 3,539.90$ 35531 00 Surgery 56.61 56.61 3,962.70$ 3,962.70$ 35533 00 Surgery 43.77 43.77 3,063.90$ 3,063.90$ 35535 00 Surgery 55.28 55.28 3,869.60$ 3,869.60$ 35536 00 Surgery 49.09 49.09 3,436.30$ 3,436.30$ 35537 00 Surgery 60.56 60.56 4,239.20$ 4,239.20$ 35538 00 Surgery 67.84 67.84 4,748.80$ 4,748.80$ 35539 00 Surgery 63.64 63.64 4,454.80$ 4,454.80$ 35540 00 Surgery 70.96 70.96 4,967.20$ 4,967.20$ 35556 00 Surgery 40.76 40.76 2,853.20$ 2,853.20$ 35558 00 Surgery 35.71 35.71 2,499.70$ 2,499.70$ 35560 00 Surgery 49.52 49.52 3,466.40$ 3,466.40$ 35563 00 Surgery 38.45 38.45 2,691.50$ 2,691.50$ 35565 00 Surgery 38.21 38.21 2,674.70$ 2,674.70$ 35566 00 Surgery 48.56 48.56 3,399.20$ 3,399.20$ 35570 00 Surgery 42.80 42.80 2,996.00$ 2,996.00$ 35571 00 Surgery 38.58 38.58 2,700.60$ 2,700.60$ 35572 00 Surgery 10.06 10.06 704.20$ 704.20$ 35583 00 Surgery 41.98 41.98 2,938.60$ 2,938.60$ 35585 00 Surgery 48.72 48.72 3,410.40$ 3,410.40$ 35587 00 Surgery 39.49 39.49 2,764.30$ 2,764.30$ 35600 00 Surgery 7.48 7.48 523.60$ 523.60$ 35601 00 Surgery 40.66 40.66 2,846.20$ 2,846.20$ 35606 00 Surgery 34.10 34.10 2,387.00$ 2,387.00$ 35612 00 Surgery 30.34 30.34 2,123.80$ 2,123.80$ 35616 00 Surgery 31.99 31.99 2,239.30$ 2,239.30$ 35621 00 Surgery 31.91 31.91 2,233.70$ 2,233.70$ 35623 00 Surgery 38.18 38.18 2,672.60$ 2,672.60$ 35626 00 Surgery 46.57 46.57 3,259.90$ 3,259.90$ 35631 00 Surgery 53.93 53.93 3,775.10$ 3,775.10$ 35632 00 Surgery 52.48 52.48 3,673.60$ 3,673.60$ 35633 00 Surgery 57.60 57.60 4,032.00$ 4,032.00$ 35634 00 Surgery 51.35 51.35 3,594.50$ 3,594.50$ 35636 00 Surgery 46.31 46.31 3,241.70$ 3,241.70$ 35637 00 Surgery 48.18 48.18 3,372.60$ 3,372.60$ 35638 00 Surgery 50.69 50.69 3,548.30$ 3,548.30$ 35642 00 Surgery 28.66 28.66 2,006.20$ 2,006.20$ 35645 00 Surgery 27.54 27.54 1,927.80$ 1,927.80$ 35646 00 Surgery 49.84 49.84 3,488.80$ 3,488.80$ 35647 00 Surgery 45.14 45.14 3,159.80$ 3,159.80$ 35650 00 Surgery 29.69 29.69 2,078.30$ 2,078.30$ 35654 00 Surgery 39.78 39.78 2,784.60$ 2,784.60$ 35656 00 Surgery 31.41 31.41 2,198.70$ 2,198.70$ 35661 00 Surgery 31.58 31.58 2,210.60$ 2,210.60$ 35663 00 Surgery 35.37 35.37 2,475.90$ 2,475.90$ 35665 00 Surgery 34.15 34.15 2,390.50$ 2,390.50$ 35666 00 Surgery 37.46 37.46 2,622.20$ 2,622.20$ 35671 00 Surgery 32.97 32.97 2,307.90$ 2,307.90$ 35681 00 Surgery 2.34 2.34 163.80$ 163.80$ 35682 00 Surgery 10.28 10.28 719.60$ 719.60$ 35683 00 Surgery 11.88 11.88 831.60$ 831.60$ 35685 00 Surgery 5.78 5.78 404.60$ 404.60$ 35686 00 Surgery 4.66 4.66 326.20$ 326.20$

PROPOSAL

54


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate35691 00 Surgery 27.49 27.49 1,924.30$ 1,924.30$ 35693 00 Surgery 24.25 24.25 1,697.50$ 1,697.50$ 35694 00 Surgery 28.70 28.70 2,009.00$ 2,009.00$ 35695 00 Surgery 29.80 29.80 2,086.00$ 2,086.00$ 35697 00 Surgery 4.31 4.31 301.70$ 301.70$ 35700 00 Surgery 4.43 4.43 310.10$ 310.10$ 35701 00 Surgery 12.83 12.83 898.10$ 898.10$ 35702 00 Surgery 12.05 12.05 843.50$ 843.50$ 35703 00 Surgery 12.24 12.24 856.80$ 856.80$ 35800 00 Surgery 21.16 21.16 1,481.20$ 1,481.20$ 35820 00 Surgery 58.71 58.71 4,109.70$ 4,109.70$ 35840 00 Surgery 35.32 35.32 2,472.40$ 2,472.40$ 35860 00 Surgery 24.40 24.40 1,708.00$ 1,708.00$ 35870 00 Surgery 36.24 36.24 2,536.80$ 2,536.80$ 35875 00 Surgery 17.34 17.34 1,213.80$ 1,213.80$ 35876 00 Surgery 27.56 27.56 1,929.20$ 1,929.20$ 35879 00 Surgery 26.86 26.86 1,880.20$ 1,880.20$ 35881 00 Surgery 29.76 29.76 2,083.20$ 2,083.20$ 35883 00 Surgery 35.01 35.01 2,450.70$ 2,450.70$ 35884 00 Surgery 36.01 36.01 2,520.70$ 2,520.70$ 35901 00 Surgery 13.78 13.78 964.60$ 964.60$ 35903 00 Surgery 16.55 16.55 1,158.50$ 1,158.50$ 35905 00 Surgery 51.73 51.73 3,621.10$ 3,621.10$ 35907 00 Surgery 55.38 55.38 3,876.60$ 3,876.60$ 36000 00 Surgery 0.00 0.00 Bundled Code Bundled Code 36002 00 Surgery 4.45 3.02 311.50$ 211.40$ 36005 00 Surgery 8.58 1.40 600.60$ 98.00$ 36010 00 Surgery 16.69 3.19 1,168.30$ 223.30$ 36011 00 Surgery 26.14 4.59 1,829.80$ 321.30$ 36012 00 Surgery 26.57 5.04 1,859.90$ 352.80$ 36013 00 Surgery 24.69 3.58 1,728.30$ 250.60$ 36014 00 Surgery 25.30 4.41 1,771.00$ 308.70$ 36015 00 Surgery 27.24 4.96 1,906.80$ 347.20$ 36100 00 Surgery 17.73 4.57 1,241.10$ 319.90$ 36140 00 Surgery 15.47 2.61 1,082.90$ 182.70$ 36160 00 Surgery 17.17 3.58 1,201.90$ 250.60$ 36200 00 Surgery 18.43 4.05 1,290.10$ 283.50$ 36215 00 Surgery 32.75 6.15 2,292.50$ 430.50$ 36216 00 Surgery 34.19 7.88 2,393.30$ 551.60$ 36217 00 Surgery 56.71 9.52 3,969.70$ 666.40$ 36218 00 Surgery 6.51 1.46 455.70$ 102.20$ 36221 00 Surgery 31.81 5.84 2,226.70$ 408.80$ 36222 00 Surgery 38.05 8.26 2,663.50$ 578.20$ 36223 00 Surgery 49.92 9.34 3,494.40$ 653.80$ 36224 00 Surgery 63.50 10.55 4,445.00$ 738.50$ 36225 00 Surgery 47.33 9.29 3,313.10$ 650.30$ 36226 00 Surgery 60.70 10.44 4,249.00$ 730.80$ 36227 00 Surgery 7.27 3.44 508.90$ 240.80$ 36228 00 Surgery 39.76 7.08 2,783.20$ 495.60$ 36245 00 Surgery 40.13 6.84 2,809.10$ 478.80$ 36246 00 Surgery 26.13 7.36 1,829.10$ 515.20$ 36247 00 Surgery 45.55 8.72 3,188.50$ 610.40$ 36248 00 Surgery 3.85 1.42 269.50$ 99.40$ 36251 00 Surgery 41.62 7.47 2,913.40$ 522.90$ 36252 00 Surgery 44.89 10.45 3,142.30$ 731.50$ 36253 00 Surgery 65.26 10.26 4,568.20$ 718.20$ 36254 00 Surgery 64.08 11.96 4,485.60$ 837.20$ 36260 00 Surgery 19.36 19.36 1,355.20$ 1,355.20$ 36261 00 Surgery 12.13 12.13 849.10$ 849.10$

PROPOSAL

55


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate36262 00 Surgery 9.25 9.25 647.50$ 647.50$ 36299 00 Surgery 0.00 0.00 BR BR36400 00 Surgery 0.80 0.56 56.00$ 39.20$ 36405 00 Surgery 0.68 0.44 47.60$ 30.80$ 36406 00 Surgery 0.50 0.25 35.00$ 17.50$ 36410 00 Surgery 0.51 0.27 35.70$ 18.90$ 36415 00 Surgery - - 6.30$ 6.30$ 36416 00 Surgery 0.00 0.00 Bundled Code Bundled Code 36420 00 Surgery 1.39 1.39 97.30$ 97.30$ 36425 00 Surgery 1.18 1.18 82.60$ 82.60$ 36430 00 Surgery 1.08 1.08 75.60$ 75.60$ 36440 00 Surgery 1.46 1.46 102.20$ 102.20$ 36450 00 Surgery 4.97 4.97 347.90$ 347.90$ 36455 00 Surgery 3.69 3.69 258.30$ 258.30$ 36456 00 Surgery 2.84 2.84 198.80$ 198.80$ 36460 00 Surgery 10.12 10.12 708.40$ 708.40$ 36465 00 Surgery 44.29 3.47 3,100.30$ 242.90$ 36466 00 Surgery 49.40 4.49 3,458.00$ 314.30$ 36468 00 Surgery 0.00 0.00 BR BR36470 00 Surgery 3.37 1.12 235.90$ 78.40$ 36471 00 Surgery 5.92 2.20 414.40$ 154.00$ 36473 00 Surgery 41.31 5.22 2,891.70$ 365.40$ 36474 00 Surgery 8.46 2.62 592.20$ 183.40$ 36475 00 Surgery 37.76 8.13 2,643.20$ 569.10$ 36476 00 Surgery 8.96 3.91 627.20$ 273.70$ 36478 00 Surgery 31.74 8.08 2,221.80$ 565.60$ 36479 00 Surgery 9.43 3.95 660.10$ 276.50$ 36481 00 Surgery 56.44 9.47 3,950.80$ 662.90$ 36482 00 Surgery 55.63 5.24 3,894.10$ 366.80$ 36483 00 Surgery 4.26 2.59 298.20$ 181.30$ 36500 00 Surgery 5.31 5.31 371.70$ 371.70$ 36510 00 Surgery 2.45 1.54 171.50$ 107.80$ 36511 00 Surgery 3.20 3.20 224.00$ 224.00$ 36512 00 Surgery 3.13 3.13 219.10$ 219.10$ 36513 00 Surgery 3.16 3.16 221.20$ 221.20$ 36514 00 Surgery 18.97 2.75 1,327.90$ 192.50$ 36516 00 Surgery 58.51 2.47 4,095.70$ 172.90$ 36522 00 Surgery 50.66 2.85 3,546.20$ 199.50$ 36555 00 Surgery 5.78 2.45 404.60$ 171.50$ 36556 00 Surgery 6.56 2.46 459.20$ 172.20$ 36557 00 Surgery 35.69 9.43 2,498.30$ 660.10$ 36558 00 Surgery 25.54 7.57 1,787.80$ 529.90$ 36560 00 Surgery 40.02 11.28 2,801.40$ 789.60$ 36561 00 Surgery 31.90 9.77 2,233.00$ 683.90$ 36563 00 Surgery 36.15 10.72 2,530.50$ 750.40$ 36565 00 Surgery 26.24 9.83 1,836.80$ 688.10$ 36566 00 Surgery 137.89 10.51 9,652.30$ 735.70$ 36568 00 Surgery 2.66 2.66 186.20$ 186.20$ 36569 00 Surgery 2.72 2.72 190.40$ 190.40$ 36570 00 Surgery 46.55 9.78 3,258.50$ 684.60$ 36571 00 Surgery 40.58 9.19 2,840.60$ 643.30$ 36572 00 Surgery 13.34 2.64 933.80$ 184.80$ 36573 00 Surgery 12.16 2.45 851.20$ 171.50$ 36575 00 Surgery 4.80 1.00 336.00$ 70.00$ 36576 00 Surgery 10.54 5.39 737.80$ 377.30$ 36578 00 Surgery 13.84 5.92 968.80$ 414.40$ 36580 00 Surgery 6.25 1.91 437.50$ 133.70$ 36581 00 Surgery 24.71 5.34 1,729.70$ 373.80$ 36582 00 Surgery 29.04 8.42 2,032.80$ 589.40$

PROPOSAL

56


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate36583 00 Surgery 37.99 9.69 2,659.30$ 678.30$ 36584 00 Surgery 10.54 1.74 737.80$ 121.80$ 36585 00 Surgery 34.47 7.95 2,412.90$ 556.50$ 36589 00 Surgery 4.94 4.03 345.80$ 282.10$ 36590 00 Surgery 6.68 5.55 467.60$ 388.50$ 36591 00 Surgery 0.77 0.77 53.90$ 53.90$ 36592 00 Surgery 0.87 0.87 60.90$ 60.90$ 36593 00 Surgery 0.96 0.96 67.20$ 67.20$ 36595 00 Surgery 18.87 5.30 1,320.90$ 371.00$ 36596 00 Surgery 3.52 1.27 246.40$ 88.90$ 36597 00 Surgery 3.64 1.76 254.80$ 123.20$ 36598 00 Surgery 3.66 1.04 256.20$ 72.80$ 36600 00 Surgery 0.87 0.46 60.90$ 32.20$ 36620 00 Surgery 1.29 1.29 90.30$ 90.30$ 36625 00 Surgery 3.08 3.08 215.60$ 215.60$ 36640 00 Surgery 3.39 3.39 237.30$ 237.30$ 36660 00 Surgery 1.99 1.99 139.30$ 139.30$ 36680 00 Surgery 1.73 1.73 121.10$ 121.10$ 36800 00 Surgery 3.57 3.57 249.90$ 249.90$ 36810 00 Surgery 6.24 6.24 436.80$ 436.80$ 36815 00 Surgery 3.93 3.93 275.10$ 275.10$ 36818 00 Surgery 20.15 20.15 1,410.50$ 1,410.50$ 36819 00 Surgery 21.34 21.34 1,493.80$ 1,493.80$ 36820 00 Surgery 21.05 21.05 1,473.50$ 1,473.50$ 36821 00 Surgery 19.35 19.35 1,354.50$ 1,354.50$ 36823 00 Surgery 41.41 41.41 2,898.70$ 2,898.70$ 36825 00 Surgery 23.24 23.24 1,626.80$ 1,626.80$ 36830 00 Surgery 19.46 19.46 1,362.20$ 1,362.20$ 36831 00 Surgery 17.95 17.95 1,256.50$ 1,256.50$ 36832 00 Surgery 22.07 22.07 1,544.90$ 1,544.90$ 36833 00 Surgery 23.63 23.63 1,654.10$ 1,654.10$ 36835 00 Surgery 14.20 14.20 994.00$ 994.00$ 36838 00 Surgery 33.27 33.27 2,328.90$ 2,328.90$ 36860 00 Surgery 7.20 3.24 504.00$ 226.80$ 36861 00 Surgery 4.09 4.09 286.30$ 286.30$ 36901 00 Surgery 21.68 4.89 1,517.60$ 342.30$ 36902 00 Surgery 38.96 6.96 2,727.20$ 487.20$ 36903 00 Surgery 147.65 9.17 10,335.50$ 641.90$ 36904 00 Surgery 57.25 10.69 4,007.50$ 748.30$ 36905 00 Surgery 73.18 12.89 5,122.60$ 902.30$ 36906 00 Surgery 185.01 14.85 12,950.70$ 1,039.50$ 36907 00 Surgery 19.77 4.26 1,383.90$ 298.20$ 36908 00 Surgery 54.39 6.02 3,807.30$ 421.40$ 36909 00 Surgery 61.77 5.86 4,323.90$ 410.20$ 37140 00 Surgery 68.54 68.54 4,797.80$ 4,797.80$ 37145 00 Surgery 63.58 63.58 4,450.60$ 4,450.60$ 37160 00 Surgery 65.29 65.29 4,570.30$ 4,570.30$ 37180 00 Surgery 62.76 62.76 4,393.20$ 4,393.20$ 37181 00 Surgery 68.54 68.54 4,797.80$ 4,797.80$ 37182 00 Surgery 23.57 23.57 1,649.90$ 1,649.90$ 37183 00 Surgery 188.92 10.79 13,224.40$ 755.30$ 37184 00 Surgery 56.70 12.53 3,969.00$ 877.10$ 37185 00 Surgery 16.23 4.74 1,136.10$ 331.80$ 37186 00 Surgery 39.23 7.10 2,746.10$ 497.00$ 37187 00 Surgery 56.58 11.39 3,960.60$ 797.30$ 37188 00 Surgery 48.51 8.06 3,395.70$ 564.20$ 37191 00 Surgery 69.04 6.45 4,832.80$ 451.50$ 37192 00 Surgery 40.42 10.02 2,829.40$ 701.40$ 37193 00 Surgery 47.62 10.07 3,333.40$ 704.90$

PROPOSAL

57


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate37195 00 Surgery - - 1,980.30$ 1,980.30$ 37197 00 Surgery 49.03 8.72 3,432.10$ 610.40$ 37200 00 Surgery 6.25 6.25 437.50$ 437.50$ 37211 00 Surgery 11.21 11.21 784.70$ 784.70$ 37212 00 Surgery 9.80 9.80 686.00$ 686.00$ 37213 00 Surgery 6.74 6.74 471.80$ 471.80$ 37214 00 Surgery 3.56 3.56 249.20$ 249.20$ 37215 00 Surgery 29.07 29.07 2,034.90$ 2,034.90$ 37216 00 Surgery 28.49 28.49 1,994.30$ 1,994.30$ 37217 00 Surgery 31.33 31.33 2,193.10$ 2,193.10$ 37218 00 Surgery 23.91 23.91 1,673.70$ 1,673.70$ 37220 00 Surgery 83.83 11.65 5,868.10$ 815.50$ 37221 00 Surgery 108.70 14.37 7,609.00$ 1,005.90$ 37222 00 Surgery 20.68 5.38 1,447.60$ 376.60$ 37223 00 Surgery 49.23 6.19 3,446.10$ 433.30$ 37224 00 Surgery 99.12 12.94 6,938.40$ 905.80$ 37225 00 Surgery 314.02 17.52 21,981.40$ 1,226.40$ 37226 00 Surgery 285.70 15.13 19,999.00$ 1,059.10$ 37227 00 Surgery 402.50 20.99 28,175.00$ 1,469.30$ 37228 00 Surgery 141.95 15.75 9,936.50$ 1,102.50$ 37229 00 Surgery 315.86 20.29 22,110.20$ 1,420.30$ 37230 00 Surgery 300.50 20.27 21,035.00$ 1,418.90$ 37231 00 Surgery 403.82 21.81 28,267.40$ 1,526.70$ 37232 00 Surgery 28.34 5.80 1,983.80$ 406.00$ 37233 00 Surgery 34.97 9.46 2,447.90$ 662.20$ 37234 00 Surgery 118.41 8.30 8,288.70$ 581.00$ 37235 00 Surgery 125.83 11.46 8,808.10$ 802.20$ 37236 00 Surgery 95.08 12.88 6,655.60$ 901.60$ 37237 00 Surgery 48.47 6.13 3,392.90$ 429.10$ 37238 00 Surgery 113.98 8.93 7,978.60$ 625.10$ 37239 00 Surgery 57.04 4.42 3,992.80$ 309.40$ 37241 00 Surgery 147.86 12.55 10,350.20$ 878.50$ 37242 00 Surgery 231.27 13.79 16,188.90$ 965.30$ 37243 00 Surgery 284.68 16.14 19,927.60$ 1,129.80$ 37244 00 Surgery 213.35 19.15 14,934.50$ 1,340.50$ 37246 00 Surgery 59.55 10.08 4,168.50$ 705.60$ 37247 00 Surgery 18.54 4.93 1,297.80$ 345.10$ 37248 00 Surgery 44.13 8.61 3,089.10$ 602.70$ 37249 00 Surgery 14.78 4.21 1,034.60$ 294.70$ 37252 00 Surgery 33.00 2.61 2,310.00$ 182.70$ 37253 00 Surgery 5.36 2.07 375.20$ 144.90$ 37500 00 Surgery 18.38 18.38 1,286.60$ 1,286.60$ 37501 00 Surgery 0.00 0.00 BR BR37565 00 Surgery 21.42 21.42 1,499.40$ 1,499.40$ 37600 00 Surgery 21.63 21.63 1,514.10$ 1,514.10$ 37605 00 Surgery 21.45 21.45 1,501.50$ 1,501.50$ 37606 00 Surgery 21.41 21.41 1,498.70$ 1,498.70$ 37607 00 Surgery 10.95 10.95 766.50$ 766.50$ 37609 00 Surgery 9.43 6.01 660.10$ 420.70$ 37615 00 Surgery 15.72 15.72 1,100.40$ 1,100.40$ 37616 00 Surgery 32.25 32.25 2,257.50$ 2,257.50$ 37617 00 Surgery 38.89 38.89 2,722.30$ 2,722.30$ 37618 00 Surgery 11.47 11.47 802.90$ 802.90$ 37619 00 Surgery 51.00 51.00 3,570.00$ 3,570.00$ 37650 00 Surgery 13.36 13.36 935.20$ 935.20$ 37660 00 Surgery 38.87 38.87 2,720.90$ 2,720.90$ 37700 00 Surgery 7.18 7.18 502.60$ 502.60$ 37718 00 Surgery 12.41 12.41 868.70$ 868.70$ 37722 00 Surgery 13.75 13.75 962.50$ 962.50$

PROPOSAL

58


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate37735 00 Surgery 16.92 16.92 1,184.40$ 1,184.40$ 37760 00 Surgery 18.32 18.32 1,282.40$ 1,282.40$ 37761 00 Surgery 15.68 15.68 1,097.60$ 1,097.60$ 37765 00 Surgery 13.05 7.91 913.50$ 553.70$ 37766 00 Surgery 15.17 9.67 1,061.90$ 676.90$ 37780 00 Surgery 6.84 6.84 478.80$ 478.80$ 37785 00 Surgery 10.64 7.53 744.80$ 527.10$ 37788 00 Surgery 36.79 36.79 2,575.30$ 2,575.30$ 37790 00 Surgery 14.19 14.19 993.30$ 993.30$ 37799 00 Surgery 0.00 0.00 BR BR38100 00 Surgery 34.00 34.00 2,380.00$ 2,380.00$ 38101 00 Surgery 34.44 34.44 2,410.80$ 2,410.80$ 38102 00 Surgery 7.67 7.67 536.90$ 536.90$ 38115 00 Surgery 37.57 37.57 2,629.90$ 2,629.90$ 38120 00 Surgery 31.19 31.19 2,183.30$ 2,183.30$ 38129 00 Surgery 0.00 0.00 BR BR38200 00 Surgery 3.81 3.81 266.70$ 266.70$ 38204 00 Surgery 0.00 0.00 Bundled Code Bundled Code 38205 00 Surgery 2.47 2.47 172.90$ 172.90$ 38206 00 Surgery 2.47 2.47 172.90$ 172.90$ 38207 00 Surgery 1.29 1.29 90.30$ 90.30$ 38208 00 Surgery 0.83 0.83 58.10$ 58.10$ 38209 00 Surgery 0.35 0.35 24.50$ 24.50$ 38210 00 Surgery 2.31 2.31 161.70$ 161.70$ 38211 00 Surgery 2.10 2.10 147.00$ 147.00$ 38212 00 Surgery 1.39 1.39 97.30$ 97.30$ 38213 00 Surgery 0.35 0.35 24.50$ 24.50$ 38214 00 Surgery 1.18 1.18 82.60$ 82.60$ 38215 00 Surgery 1.39 1.39 97.30$ 97.30$ 38220 00 Surgery 4.94 2.03 345.80$ 142.10$ 38221 00 Surgery 4.74 2.03 331.80$ 142.10$ 38222 00 Surgery 5.20 2.24 364.00$ 156.80$ 38230 00 Surgery 5.99 5.99 419.30$ 419.30$ 38232 00 Surgery 5.84 5.84 408.80$ 408.80$ 38240 00 Surgery 6.95 6.95 486.50$ 486.50$ 38241 00 Surgery 5.16 5.16 361.20$ 361.20$ 38242 00 Surgery 3.71 3.71 259.70$ 259.70$ 38243 00 Surgery 3.59 3.59 251.30$ 251.30$ 38300 00 Surgery 10.26 6.16 718.20$ 431.20$ 38305 00 Surgery 14.54 14.54 1,017.80$ 1,017.80$ 38308 00 Surgery 13.59 13.59 951.30$ 951.30$ 38380 00 Surgery 16.67 16.67 1,166.90$ 1,166.90$ 38381 00 Surgery 23.49 23.49 1,644.30$ 1,644.30$ 38382 00 Surgery 20.09 20.09 1,406.30$ 1,406.30$ 38500 00 Surgery 10.05 7.53 703.50$ 527.10$ 38505 00 Surgery 3.61 2.02 252.70$ 141.40$ 38510 00 Surgery 15.62 12.27 1,093.40$ 858.90$ 38520 00 Surgery 13.71 13.71 959.70$ 959.70$ 38525 00 Surgery 12.99 12.99 909.30$ 909.30$ 38530 00 Surgery 16.61 16.61 1,162.70$ 1,162.70$ 38531 00 Surgery 13.11 13.11 917.70$ 917.70$ 38542 00 Surgery 15.15 15.15 1,060.50$ 1,060.50$ 38550 00 Surgery 15.38 15.38 1,076.60$ 1,076.60$ 38555 00 Surgery 30.26 30.26 2,118.20$ 2,118.20$ 38562 00 Surgery 20.75 20.75 1,452.50$ 1,452.50$ 38564 00 Surgery 20.82 20.82 1,457.40$ 1,457.40$ 38570 00 Surgery 15.11 15.11 1,057.70$ 1,057.70$ 38571 00 Surgery 19.36 19.36 1,355.20$ 1,355.20$ 38572 00 Surgery 26.65 26.65 1,865.50$ 1,865.50$

PROPOSAL

59


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate38573 00 Surgery 34.20 34.20 2,394.00$ 2,394.00$ 38589 00 Surgery 0.00 0.00 BR BR38700 00 Surgery 23.41 23.41 1,638.70$ 1,638.70$ 38720 00 Surgery 39.04 39.04 2,732.80$ 2,732.80$ 38724 00 Surgery 42.16 42.16 2,951.20$ 2,951.20$ 38740 00 Surgery 20.67 20.67 1,446.90$ 1,446.90$ 38745 00 Surgery 26.00 26.00 1,820.00$ 1,820.00$ 38746 00 Surgery 6.28 6.28 439.60$ 439.60$ 38747 00 Surgery 7.84 7.84 548.80$ 548.80$ 38760 00 Surgery 24.68 24.68 1,727.60$ 1,727.60$ 38765 00 Surgery 38.36 38.36 2,685.20$ 2,685.20$ 38770 00 Surgery 23.53 23.53 1,647.10$ 1,647.10$ 38780 00 Surgery 30.40 30.40 2,128.00$ 2,128.00$ 38790 00 Surgery 2.38 2.38 166.60$ 166.60$ 38792 00 Surgery 2.46 0.97 172.20$ 67.90$ 38794 00 Surgery 8.52 8.52 596.40$ 596.40$ 38900 00 Surgery 4.05 4.05 283.50$ 283.50$ 38999 00 Surgery 0.00 0.00 BR BR39000 00 Surgery 14.57 14.57 1,019.90$ 1,019.90$ 39010 00 Surgery 23.07 23.07 1,614.90$ 1,614.90$ 39200 00 Surgery 25.49 25.49 1,784.30$ 1,784.30$ 39220 00 Surgery 33.12 33.12 2,318.40$ 2,318.40$ 39401 00 Surgery 8.99 8.99 629.30$ 629.30$ 39402 00 Surgery 11.77 11.77 823.90$ 823.90$ 39499 00 Surgery 0.00 0.00 BR BR39501 00 Surgery 25.19 25.19 1,763.30$ 1,763.30$ 39503 00 Surgery 170.22 170.22 11,915.40$ 11,915.40$ 39540 00 Surgery 25.43 25.43 1,780.10$ 1,780.10$ 39541 00 Surgery 27.64 27.64 1,934.80$ 1,934.80$ 39545 00 Surgery 26.25 26.25 1,837.50$ 1,837.50$ 39560 00 Surgery 23.53 23.53 1,647.10$ 1,647.10$ 39561 00 Surgery 36.60 36.60 2,562.00$ 2,562.00$ 39599 00 Surgery 0.00 0.00 BR BR40490 00 Surgery 3.69 2.03 258.30$ 142.10$ 40500 00 Surgery 15.46 10.68 1,082.20$ 747.60$ 40510 00 Surgery 14.51 10.20 1,015.70$ 714.00$ 40520 00 Surgery 14.86 10.40 1,040.20$ 728.00$ 40525 00 Surgery 16.20 16.20 1,134.00$ 1,134.00$ 40527 00 Surgery 18.17 18.17 1,271.90$ 1,271.90$ 40530 00 Surgery 16.39 11.77 1,147.30$ 823.90$ 40650 00 Surgery 14.21 9.09 994.70$ 636.30$ 40652 00 Surgery 15.36 10.46 1,075.20$ 732.20$ 40654 00 Surgery 17.18 12.36 1,202.60$ 865.20$ 40700 00 Surgery 29.59 29.59 2,071.30$ 2,071.30$ 40701 00 Surgery 34.97 34.97 2,447.90$ 2,447.90$ 40702 00 Surgery 29.35 29.35 2,054.50$ 2,054.50$ 40720 00 Surgery 30.13 30.13 2,109.10$ 2,109.10$ 40761 00 Surgery 31.71 31.71 2,219.70$ 2,219.70$ 40799 00 Surgery 0.00 0.00 BR BR40800 00 Surgery 6.23 3.55 436.10$ 248.50$ 40801 00 Surgery 8.76 5.85 613.20$ 409.50$ 40804 00 Surgery 5.79 3.34 405.30$ 233.80$ 40805 00 Surgery 8.58 5.85 600.60$ 409.50$ 40806 00 Surgery 3.02 0.83 211.40$ 58.10$ 40808 00 Surgery 4.99 2.54 349.30$ 177.80$ 40810 00 Surgery 6.45 3.57 451.50$ 249.90$ 40812 00 Surgery 8.58 5.47 600.60$ 382.90$ 40814 00 Surgery 11.23 8.42 786.10$ 589.40$ 40816 00 Surgery 11.88 8.87 831.60$ 620.90$

PROPOSAL

60


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate40818 00 Surgery 11.20 8.02 784.00$ 561.40$ 40819 00 Surgery 8.13 5.91 569.10$ 413.70$ 40820 00 Surgery 7.95 5.02 556.50$ 351.40$ 40830 00 Surgery 8.40 4.86 588.00$ 340.20$ 40831 00 Surgery 10.61 6.70 742.70$ 469.00$ 40840 00 Surgery 25.12 18.32 1,758.40$ 1,282.40$ 40842 00 Surgery 27.48 19.87 1,923.60$ 1,390.90$ 40843 00 Surgery 35.54 25.64 2,487.80$ 1,794.80$ 40844 00 Surgery 44.46 34.59 3,112.20$ 2,421.30$ 40845 00 Surgery 43.66 35.35 3,056.20$ 2,474.50$ 40899 00 Surgery 0.00 0.00 BR BR41000 00 Surgery 4.68 3.17 327.60$ 221.90$ 41005 00 Surgery 6.51 3.24 455.70$ 226.80$ 41006 00 Surgery 9.99 6.68 699.30$ 467.60$ 41007 00 Surgery 9.81 6.46 686.70$ 452.20$ 41008 00 Surgery 11.67 7.53 816.90$ 527.10$ 41009 00 Surgery 12.50 8.26 875.00$ 578.20$ 41010 00 Surgery 6.53 3.19 457.10$ 223.30$ 41015 00 Surgery 11.91 8.86 833.70$ 620.20$ 41016 00 Surgery 13.98 10.25 978.60$ 717.50$ 41017 00 Surgery 13.86 10.15 970.20$ 710.50$ 41018 00 Surgery 15.46 11.72 1,082.20$ 820.40$ 41019 00 Surgery 14.06 14.06 984.20$ 984.20$ 41100 00 Surgery 5.52 3.13 386.40$ 219.10$ 41105 00 Surgery 5.53 3.21 387.10$ 224.70$ 41108 00 Surgery 4.94 2.66 345.80$ 186.20$ 41110 00 Surgery 6.83 3.80 478.10$ 266.00$ 41112 00 Surgery 10.06 7.12 704.20$ 498.40$ 41113 00 Surgery 10.88 7.83 761.60$ 548.10$ 41114 00 Surgery 17.94 17.94 1,255.80$ 1,255.80$ 41115 00 Surgery 7.83 4.27 548.10$ 298.90$ 41116 00 Surgery 10.03 6.29 702.10$ 440.30$ 41120 00 Surgery 31.76 31.76 2,223.20$ 2,223.20$ 41130 00 Surgery 39.00 39.00 2,730.00$ 2,730.00$ 41135 00 Surgery 63.84 63.84 4,468.80$ 4,468.80$ 41140 00 Surgery 64.40 64.40 4,508.00$ 4,508.00$ 41145 00 Surgery 81.25 81.25 5,687.50$ 5,687.50$ 41150 00 Surgery 64.71 64.71 4,529.70$ 4,529.70$ 41153 00 Surgery 70.31 70.31 4,921.70$ 4,921.70$ 41155 00 Surgery 88.24 88.24 6,176.80$ 6,176.80$ 41250 00 Surgery 8.52 4.53 596.40$ 317.10$ 41251 00 Surgery 9.36 5.34 655.20$ 373.80$ 41252 00 Surgery 9.76 6.12 683.20$ 428.40$ 41510 00 Surgery 13.54 13.54 947.80$ 947.80$ 41512 00 Surgery 19.86 19.86 1,390.20$ 1,390.20$ 41520 00 Surgery 10.85 7.30 759.50$ 511.00$ 41530 00 Surgery 29.22 11.39 2,045.40$ 797.30$ 41599 00 Surgery 0.00 0.00 BR BR41800 00 Surgery 9.05 4.62 633.50$ 323.40$ 41805 00 Surgery 9.58 6.02 670.60$ 421.40$ 41806 00 Surgery 12.57 8.43 879.90$ 590.10$ 41820 00 Surgery - - 525.70$ 525.70$ 41821 00 Surgery - - 118.30$ 118.30$ 41822 00 Surgery 10.59 5.84 741.30$ 408.80$ 41823 00 Surgery 15.59 10.59 1,091.30$ 741.30$ 41825 00 Surgery 6.61 3.49 462.70$ 244.30$ 41826 00 Surgery 9.38 5.98 656.60$ 418.60$ 41827 00 Surgery 13.13 8.53 919.10$ 597.10$ 41828 00 Surgery 10.53 6.52 737.10$ 456.40$

PROPOSAL

61


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate41830 00 Surgery 14.07 9.33 984.90$ 653.10$ 41850 00 Surgery - - 262.50$ 262.50$ 41870 00 Surgery - - 657.30$ 657.30$ 41872 00 Surgery 13.82 8.78 967.40$ 614.60$ 41874 00 Surgery 11.61 7.18 812.70$ 502.60$ 41899 00 Surgery 0.00 0.00 BR BR42000 00 Surgery 4.73 3.08 331.10$ 215.60$ 42100 00 Surgery 4.36 3.15 305.20$ 220.50$ 42104 00 Surgery 6.44 3.93 450.80$ 275.10$ 42106 00 Surgery 7.80 4.85 546.00$ 339.50$ 42107 00 Surgery 13.89 9.85 972.30$ 689.50$ 42120 00 Surgery 29.87 29.87 2,090.90$ 2,090.90$ 42140 00 Surgery 9.02 4.61 631.40$ 322.70$ 42145 00 Surgery 20.25 20.25 1,417.50$ 1,417.50$ 42160 00 Surgery 7.00 4.21 490.00$ 294.70$ 42180 00 Surgery 7.54 5.39 527.80$ 377.30$ 42182 00 Surgery 9.73 7.49 681.10$ 524.30$ 42200 00 Surgery 27.59 27.59 1,931.30$ 1,931.30$ 42205 00 Surgery 28.69 28.69 2,008.30$ 2,008.30$ 42210 00 Surgery 32.01 32.01 2,240.70$ 2,240.70$ 42215 00 Surgery 20.95 20.95 1,466.50$ 1,466.50$ 42220 00 Surgery 17.25 17.25 1,207.50$ 1,207.50$ 42225 00 Surgery 29.41 29.41 2,058.70$ 2,058.70$ 42226 00 Surgery 26.54 26.54 1,857.80$ 1,857.80$ 42227 00 Surgery 24.77 24.77 1,733.90$ 1,733.90$ 42235 00 Surgery 21.78 21.78 1,524.60$ 1,524.60$ 42260 00 Surgery 25.04 19.41 1,752.80$ 1,358.70$ 42280 00 Surgery 5.33 3.21 373.10$ 224.70$ 42281 00 Surgery 6.78 4.73 474.60$ 331.10$ 42299 00 Surgery 0.00 0.00 BR BR42300 00 Surgery 6.39 4.51 447.30$ 315.70$ 42305 00 Surgery 12.41 12.41 868.70$ 868.70$ 42310 00 Surgery 5.15 3.91 360.50$ 273.70$ 42320 00 Surgery 7.72 5.17 540.40$ 361.90$ 42330 00 Surgery 6.90 4.79 483.00$ 335.30$ 42335 00 Surgery 12.61 7.55 882.70$ 528.50$ 42340 00 Surgery 15.43 9.92 1,080.10$ 694.40$ 42400 00 Surgery 3.02 1.54 211.40$ 107.80$ 42405 00 Surgery 8.91 6.59 623.70$ 461.30$ 42408 00 Surgery 16.16 10.21 1,131.20$ 714.70$ 42409 00 Surgery 11.49 6.62 804.30$ 463.40$ 42410 00 Surgery 18.31 18.31 1,281.70$ 1,281.70$ 42415 00 Surgery 30.74 30.74 2,151.80$ 2,151.80$ 42420 00 Surgery 34.49 34.49 2,414.30$ 2,414.30$ 42425 00 Surgery 24.39 24.39 1,707.30$ 1,707.30$ 42426 00 Surgery 39.22 39.22 2,745.40$ 2,745.40$ 42440 00 Surgery 12.06 12.06 844.20$ 844.20$ 42450 00 Surgery 13.90 10.65 973.00$ 745.50$ 42500 00 Surgery 13.26 10.12 928.20$ 708.40$ 42505 00 Surgery 16.83 13.37 1,178.10$ 935.90$ 42507 00 Surgery 14.72 14.72 1,030.40$ 1,030.40$ 42509 00 Surgery 24.27 24.27 1,698.90$ 1,698.90$ 42510 00 Surgery 18.04 18.04 1,262.80$ 1,262.80$ 42550 00 Surgery 4.72 1.79 330.40$ 125.30$ 42600 00 Surgery 15.82 10.28 1,107.40$ 719.60$ 42650 00 Surgery 2.28 1.68 159.60$ 117.60$ 42660 00 Surgery 3.52 2.53 246.40$ 177.10$ 42665 00 Surgery 10.89 6.17 762.30$ 431.90$ 42699 00 Surgery 0.00 0.00 BR BR

PROPOSAL

62


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate42700 00 Surgery 5.72 3.94 400.40$ 275.80$ 42720 00 Surgery 13.19 11.25 923.30$ 787.50$ 42725 00 Surgery 23.37 23.37 1,635.90$ 1,635.90$ 42800 00 Surgery 4.69 3.33 328.30$ 233.10$ 42804 00 Surgery 6.17 3.44 431.90$ 240.80$ 42806 00 Surgery 6.89 3.99 482.30$ 279.30$ 42808 00 Surgery 6.79 4.77 475.30$ 333.90$ 42809 00 Surgery 5.97 3.66 417.90$ 256.20$ 42810 00 Surgery 11.57 8.26 809.90$ 578.20$ 42815 00 Surgery 15.95 15.95 1,116.50$ 1,116.50$ 42820 00 Surgery 8.44 8.44 590.80$ 590.80$ 42821 00 Surgery 8.82 8.82 617.40$ 617.40$ 42825 00 Surgery 7.73 7.73 541.10$ 541.10$ 42826 00 Surgery 7.37 7.37 515.90$ 515.90$ 42830 00 Surgery 6.11 6.11 427.70$ 427.70$ 42831 00 Surgery 6.64 6.64 464.80$ 464.80$ 42835 00 Surgery 5.68 5.68 397.60$ 397.60$ 42836 00 Surgery 7.07 7.07 494.90$ 494.90$ 42842 00 Surgery 29.94 29.94 2,095.80$ 2,095.80$ 42844 00 Surgery 40.81 40.81 2,856.70$ 2,856.70$ 42845 00 Surgery 65.45 65.45 4,581.50$ 4,581.50$ 42860 00 Surgery 5.56 5.56 389.20$ 389.20$ 42870 00 Surgery 17.59 17.59 1,231.30$ 1,231.30$ 42890 00 Surgery 42.03 42.03 2,942.10$ 2,942.10$ 42892 00 Surgery 54.97 54.97 3,847.90$ 3,847.90$ 42894 00 Surgery 69.57 69.57 4,869.90$ 4,869.90$ 42900 00 Surgery 9.69 9.69 678.30$ 678.30$ 42950 00 Surgery 23.90 23.90 1,673.00$ 1,673.00$ 42953 00 Surgery 28.87 28.87 2,020.90$ 2,020.90$ 42955 00 Surgery 22.66 22.66 1,586.20$ 1,586.20$ 42960 00 Surgery 4.75 4.75 332.50$ 332.50$ 42961 00 Surgery 12.22 12.22 855.40$ 855.40$ 42962 00 Surgery 15.11 15.11 1,057.70$ 1,057.70$ 42970 00 Surgery 12.02 12.02 841.40$ 841.40$ 42971 00 Surgery 13.27 13.27 928.90$ 928.90$ 42972 00 Surgery 14.81 14.81 1,036.70$ 1,036.70$ 42999 00 Surgery 0.00 0.00 BR BR43020 00 Surgery 16.67 16.67 1,166.90$ 1,166.90$ 43030 00 Surgery 15.18 15.18 1,062.60$ 1,062.60$ 43045 00 Surgery 38.19 38.19 2,673.30$ 2,673.30$ 43100 00 Surgery 18.43 18.43 1,290.10$ 1,290.10$ 43101 00 Surgery 29.55 29.55 2,068.50$ 2,068.50$ 43107 00 Surgery 87.24 87.24 6,106.80$ 6,106.80$ 43108 00 Surgery 130.13 130.13 9,109.10$ 9,109.10$ 43112 00 Surgery 101.97 101.97 7,137.90$ 7,137.90$ 43113 00 Surgery 127.11 127.11 8,897.70$ 8,897.70$ 43116 00 Surgery 145.49 145.49 10,184.30$ 10,184.30$ 43117 00 Surgery 95.31 95.31 6,671.70$ 6,671.70$ 43118 00 Surgery 106.11 106.11 7,427.70$ 7,427.70$ 43121 00 Surgery 83.62 83.62 5,853.40$ 5,853.40$ 43122 00 Surgery 74.77 74.77 5,233.90$ 5,233.90$ 43123 00 Surgery 131.77 131.77 9,223.90$ 9,223.90$ 43124 00 Surgery 111.38 111.38 7,796.60$ 7,796.60$ 43130 00 Surgery 23.13 23.13 1,619.10$ 1,619.10$ 43135 00 Surgery 43.08 43.08 3,015.60$ 3,015.60$ 43180 00 Surgery 15.91 15.91 1,113.70$ 1,113.70$ 43191 00 Surgery 4.50 4.50 315.00$ 315.00$ 43192 00 Surgery 4.93 4.93 345.10$ 345.10$ 43193 00 Surgery 4.90 4.90 343.00$ 343.00$

PROPOSAL

63


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate43194 00 Surgery 5.59 5.59 391.30$ 391.30$ 43195 00 Surgery 5.33 5.33 373.10$ 373.10$ 43196 00 Surgery 5.68 5.68 397.60$ 397.60$ 43197 00 Surgery 5.82 2.40 407.40$ 168.00$ 43198 00 Surgery 6.39 2.86 447.30$ 200.20$ 43200 00 Surgery 7.84 2.55 548.80$ 178.50$ 43201 00 Surgery 7.73 2.99 541.10$ 209.30$ 43202 00 Surgery 10.88 2.99 761.60$ 209.30$ 43204 00 Surgery 3.93 3.93 275.10$ 275.10$ 43205 00 Surgery 4.10 4.10 287.00$ 287.00$ 43206 00 Surgery 9.06 3.87 634.20$ 270.90$ 43210 00 Surgery 12.59 12.59 881.30$ 881.30$ 43211 00 Surgery 6.82 6.82 477.40$ 477.40$ 43212 00 Surgery 5.53 5.53 387.10$ 387.10$ 43213 00 Surgery 38.66 7.55 2,706.20$ 528.50$ 43214 00 Surgery 5.61 5.61 392.70$ 392.70$ 43215 00 Surgery 12.08 4.11 845.60$ 287.70$ 43216 00 Surgery 12.57 3.89 879.90$ 272.30$ 43217 00 Surgery 12.82 4.66 897.40$ 326.20$ 43220 00 Surgery 30.22 3.44 2,115.40$ 240.80$ 43226 00 Surgery 11.55 3.80 808.50$ 266.00$ 43227 00 Surgery 19.11 4.80 1,337.70$ 336.00$ 43229 00 Surgery 22.16 5.74 1,551.20$ 401.80$ 43231 00 Surgery 4.63 4.63 324.10$ 324.10$ 43232 00 Surgery 5.79 5.79 405.30$ 405.30$ 43233 00 Surgery 6.69 6.69 468.30$ 468.30$ 43235 00 Surgery 8.93 3.57 625.10$ 249.90$ 43236 00 Surgery 12.08 4.02 845.60$ 281.40$ 43237 00 Surgery 5.69 5.69 398.30$ 398.30$ 43238 00 Surgery 6.76 6.76 473.20$ 473.20$ 43239 00 Surgery 11.49 4.02 804.30$ 281.40$ 43240 00 Surgery 11.39 11.39 797.30$ 797.30$ 43241 00 Surgery 4.13 4.13 289.10$ 289.10$ 43242 00 Surgery 7.63 7.63 534.10$ 534.10$ 43243 00 Surgery 6.89 6.89 482.30$ 482.30$ 43244 00 Surgery 7.12 7.12 498.40$ 498.40$ 43245 00 Surgery 18.54 5.14 1,297.80$ 359.80$ 43246 00 Surgery 5.83 5.83 408.10$ 408.10$ 43247 00 Surgery 11.60 5.15 812.00$ 360.50$ 43248 00 Surgery 12.41 4.83 868.70$ 338.10$ 43249 00 Surgery 34.45 4.47 2,411.50$ 312.90$ 43250 00 Surgery 13.84 4.98 968.80$ 348.60$ 43251 00 Surgery 15.14 5.70 1,059.80$ 399.00$ 43252 00 Surgery 10.16 4.90 711.20$ 343.00$ 43253 00 Surgery 7.63 7.63 534.10$ 534.10$ 43254 00 Surgery 7.85 7.85 549.50$ 549.50$ 43255 00 Surgery 20.07 5.83 1,404.90$ 408.10$ 43257 00 Surgery 6.75 6.75 472.50$ 472.50$ 43259 00 Surgery 6.57 6.57 459.90$ 459.90$ 43260 00 Surgery 9.38 9.38 656.60$ 656.60$ 43261 00 Surgery 9.84 9.84 688.80$ 688.80$ 43262 00 Surgery 10.39 10.39 727.30$ 727.30$ 43263 00 Surgery 10.39 10.39 727.30$ 727.30$ 43264 00 Surgery 10.59 10.59 741.30$ 741.30$ 43265 00 Surgery 12.61 12.61 882.70$ 882.70$ 43266 00 Surgery 6.33 6.33 443.10$ 443.10$ 43270 00 Surgery 22.66 6.53 1,586.20$ 457.10$ 43273 00 Surgery 3.49 3.49 244.30$ 244.30$ 43274 00 Surgery 13.47 13.47 942.90$ 942.90$

PROPOSAL

64


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate43275 00 Surgery 10.95 10.95 766.50$ 766.50$ 43276 00 Surgery 14.02 14.02 981.40$ 981.40$ 43277 00 Surgery 11.01 11.01 770.70$ 770.70$ 43278 00 Surgery 12.58 12.58 880.60$ 880.60$ 43279 00 Surgery 37.95 37.95 2,656.50$ 2,656.50$ 43280 00 Surgery 31.89 31.89 2,232.30$ 2,232.30$ 43281 00 Surgery 45.51 45.51 3,185.70$ 3,185.70$ 43282 00 Surgery 51.15 51.15 3,580.50$ 3,580.50$ 43283 00 Surgery 4.65 4.65 325.50$ 325.50$ 43284 00 Surgery 19.29 19.29 1,350.30$ 1,350.30$ 43285 00 Surgery 19.86 19.86 1,390.20$ 1,390.20$ 43286 00 Surgery 93.45 93.45 6,541.50$ 6,541.50$ 43287 00 Surgery 104.53 104.53 7,317.10$ 7,317.10$ 43288 00 Surgery 110.06 110.06 7,704.20$ 7,704.20$ 43289 00 Surgery 0.00 0.00 BR BR43300 00 Surgery 18.11 18.11 1,267.70$ 1,267.70$ 43305 00 Surgery 31.96 31.96 2,237.20$ 2,237.20$ 43310 00 Surgery 43.45 43.45 3,041.50$ 3,041.50$ 43312 00 Surgery 46.53 46.53 3,257.10$ 3,257.10$ 43313 00 Surgery 80.03 80.03 5,602.10$ 5,602.10$ 43314 00 Surgery 86.13 86.13 6,029.10$ 6,029.10$ 43320 00 Surgery 41.35 41.35 2,894.50$ 2,894.50$ 43325 00 Surgery 40.22 40.22 2,815.40$ 2,815.40$ 43327 00 Surgery 24.21 24.21 1,694.70$ 1,694.70$ 43328 00 Surgery 32.97 32.97 2,307.90$ 2,307.90$ 43330 00 Surgery 39.58 39.58 2,770.60$ 2,770.60$ 43331 00 Surgery 39.27 39.27 2,748.90$ 2,748.90$ 43332 00 Surgery 33.98 33.98 2,378.60$ 2,378.60$ 43333 00 Surgery 37.24 37.24 2,606.80$ 2,606.80$ 43334 00 Surgery 36.62 36.62 2,563.40$ 2,563.40$ 43335 00 Surgery 39.15 39.15 2,740.50$ 2,740.50$ 43336 00 Surgery 42.54 42.54 2,977.80$ 2,977.80$ 43337 00 Surgery 45.34 45.34 3,173.80$ 3,173.80$ 43338 00 Surgery 3.38 3.38 236.60$ 236.60$ 43340 00 Surgery 40.85 40.85 2,859.50$ 2,859.50$ 43341 00 Surgery 41.05 41.05 2,873.50$ 2,873.50$ 43351 00 Surgery 38.66 38.66 2,706.20$ 2,706.20$ 43352 00 Surgery 31.31 31.31 2,191.70$ 2,191.70$ 43360 00 Surgery 65.88 65.88 4,611.60$ 4,611.60$ 43361 00 Surgery 79.60 79.60 5,572.00$ 5,572.00$ 43400 00 Surgery 45.07 45.07 3,154.90$ 3,154.90$ 43405 00 Surgery 42.72 42.72 2,990.40$ 2,990.40$ 43410 00 Surgery 29.87 29.87 2,090.90$ 2,090.90$ 43415 00 Surgery 74.94 74.94 5,245.80$ 5,245.80$ 43420 00 Surgery 29.54 29.54 2,067.80$ 2,067.80$ 43425 00 Surgery 42.28 42.28 2,959.60$ 2,959.60$ 43450 00 Surgery 5.61 2.31 392.70$ 161.70$ 43453 00 Surgery 26.67 2.50 1,866.90$ 175.00$ 43460 00 Surgery 6.18 6.18 432.60$ 432.60$ 43496 00 Surgery - - 4,085.90$ 4,085.90$ 43499 00 Surgery 0.00 0.00 BR BR43500 00 Surgery 23.20 23.20 1,624.00$ 1,624.00$ 43501 00 Surgery 39.84 39.84 2,788.80$ 2,788.80$ 43502 00 Surgery 45.16 45.16 3,161.20$ 3,161.20$ 43510 00 Surgery 28.13 28.13 1,969.10$ 1,969.10$ 43520 00 Surgery 20.28 20.28 1,419.60$ 1,419.60$ 43605 00 Surgery 24.78 24.78 1,734.60$ 1,734.60$ 43610 00 Surgery 29.02 29.02 2,031.40$ 2,031.40$ 43611 00 Surgery 36.15 36.15 2,530.50$ 2,530.50$

PROPOSAL

65


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate43620 00 Surgery 58.64 58.64 4,104.80$ 4,104.80$ 43621 00 Surgery 67.07 67.07 4,694.90$ 4,694.90$ 43622 00 Surgery 68.34 68.34 4,783.80$ 4,783.80$ 43631 00 Surgery 42.87 42.87 3,000.90$ 3,000.90$ 43632 00 Surgery 59.96 59.96 4,197.20$ 4,197.20$ 43633 00 Surgery 56.74 56.74 3,971.80$ 3,971.80$ 43634 00 Surgery 62.85 62.85 4,399.50$ 4,399.50$ 43635 00 Surgery 3.30 3.30 231.00$ 231.00$ 43640 00 Surgery 34.89 34.89 2,442.30$ 2,442.30$ 43641 00 Surgery 35.66 35.66 2,496.20$ 2,496.20$ 43644 00 Surgery 51.32 51.32 3,592.40$ 3,592.40$ 43645 00 Surgery 54.29 54.29 3,800.30$ 3,800.30$ 43647 00 Surgery - - 1,220.80$ 1,220.80$ 43648 00 Surgery - - 1,143.10$ 1,143.10$ 43651 00 Surgery 19.44 19.44 1,360.80$ 1,360.80$ 43652 00 Surgery 22.68 22.68 1,587.60$ 1,587.60$ 43653 00 Surgery 17.13 17.13 1,199.10$ 1,199.10$ 43659 00 Surgery 0.00 0.00 BR BR43752 00 Surgery 1.18 1.18 82.60$ 82.60$ 43753 00 Surgery 0.65 0.65 45.50$ 45.50$ 43754 00 Surgery 6.44 1.05 450.80$ 73.50$ 43755 00 Surgery 5.86 1.73 410.20$ 121.10$ 43756 00 Surgery 8.36 1.48 585.20$ 103.60$ 43757 00 Surgery 11.27 2.23 788.90$ 156.10$ 43761 00 Surgery 3.63 3.04 254.10$ 212.80$ 43762 00 Surgery 7.11 1.11 497.70$ 77.70$ 43763 00 Surgery 10.68 2.47 747.60$ 172.90$ 43770 00 Surgery 33.36 33.36 2,335.20$ 2,335.20$ 43771 00 Surgery 37.91 37.91 2,653.70$ 2,653.70$ 43772 00 Surgery 28.06 28.06 1,964.20$ 1,964.20$ 43773 00 Surgery 37.91 37.91 2,653.70$ 2,653.70$ 43774 00 Surgery 28.43 28.43 1,990.10$ 1,990.10$ 43775 00 Surgery 32.82 32.82 2,297.40$ 2,297.40$ 43800 00 Surgery 27.55 27.55 1,928.50$ 1,928.50$ 43810 00 Surgery 30.11 30.11 2,107.70$ 2,107.70$ 43820 00 Surgery 39.72 39.72 2,780.40$ 2,780.40$ 43825 00 Surgery 38.81 38.81 2,716.70$ 2,716.70$ 43830 00 Surgery 20.83 20.83 1,458.10$ 1,458.10$ 43831 00 Surgery 18.07 18.07 1,264.90$ 1,264.90$ 43832 00 Surgery 30.86 30.86 2,160.20$ 2,160.20$ 43840 00 Surgery 40.17 40.17 2,811.90$ 2,811.90$ 43842 00 Surgery 33.68 33.68 2,357.60$ 2,357.60$ 43843 00 Surgery 38.02 38.02 2,661.40$ 2,661.40$ 43845 00 Surgery 57.32 57.32 4,012.40$ 4,012.40$ 43846 00 Surgery 48.87 48.87 3,420.90$ 3,420.90$ 43847 00 Surgery 53.51 53.51 3,745.70$ 3,745.70$ 43848 00 Surgery 57.10 57.10 3,997.00$ 3,997.00$ 43850 00 Surgery 48.21 48.21 3,374.70$ 3,374.70$ 43855 00 Surgery 50.02 50.02 3,501.40$ 3,501.40$ 43860 00 Surgery 48.27 48.27 3,378.90$ 3,378.90$ 43865 00 Surgery 50.60 50.60 3,542.00$ 3,542.00$ 43870 00 Surgery 21.02 21.02 1,471.40$ 1,471.40$ 43880 00 Surgery 46.86 46.86 3,280.20$ 3,280.20$ 43881 00 Surgery - - 1,395.80$ 1,395.80$ 43882 00 Surgery - - 1,574.30$ 1,574.30$ 43886 00 Surgery 10.92 10.92 764.40$ 764.40$ 43887 00 Surgery 9.79 9.79 685.30$ 685.30$ 43888 00 Surgery 13.82 13.82 967.40$ 967.40$ 43999 00 Surgery 0.00 0.00 BR BR

PROPOSAL

66


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate44005 00 Surgery 32.25 32.25 2,257.50$ 2,257.50$ 44010 00 Surgery 25.32 25.32 1,772.40$ 1,772.40$ 44015 00 Surgery 4.18 4.18 292.60$ 292.60$ 44020 00 Surgery 28.83 28.83 2,018.10$ 2,018.10$ 44021 00 Surgery 28.80 28.80 2,016.00$ 2,016.00$ 44025 00 Surgery 28.89 28.89 2,022.30$ 2,022.30$ 44050 00 Surgery 27.65 27.65 1,935.50$ 1,935.50$ 44055 00 Surgery 43.96 43.96 3,077.20$ 3,077.20$ 44100 00 Surgery 3.11 3.11 217.70$ 217.70$ 44110 00 Surgery 25.02 25.02 1,751.40$ 1,751.40$ 44111 00 Surgery 28.77 28.77 2,013.90$ 2,013.90$ 44120 00 Surgery 36.05 36.05 2,523.50$ 2,523.50$ 44121 00 Surgery 7.10 7.10 497.00$ 497.00$ 44125 00 Surgery 34.73 34.73 2,431.10$ 2,431.10$ 44126 00 Surgery 72.99 72.99 5,109.30$ 5,109.30$ 44127 00 Surgery 84.31 84.31 5,901.70$ 5,901.70$ 44128 00 Surgery 7.19 7.19 503.30$ 503.30$ 44130 00 Surgery 38.80 38.80 2,716.00$ 2,716.00$ 44132 00 Surgery 0.00 0.00 BR BR44133 00 Surgery 0.00 0.00 BR BR44135 00 Surgery 0.00 0.00 BR BR44136 00 Surgery 0.00 0.00 BR BR44137 00 Surgery - - 2,267.30$ 2,267.30$ 44139 00 Surgery 3.54 3.54 247.80$ 247.80$ 44140 00 Surgery 39.58 39.58 2,770.60$ 2,770.60$ 44141 00 Surgery 53.74 53.74 3,761.80$ 3,761.80$ 44143 00 Surgery 49.01 49.01 3,430.70$ 3,430.70$ 44144 00 Surgery 52.06 52.06 3,644.20$ 3,644.20$ 44145 00 Surgery 48.50 48.50 3,395.00$ 3,395.00$ 44146 00 Surgery 61.96 61.96 4,337.20$ 4,337.20$ 44147 00 Surgery 56.92 56.92 3,984.40$ 3,984.40$ 44150 00 Surgery 54.81 54.81 3,836.70$ 3,836.70$ 44151 00 Surgery 63.92 63.92 4,474.40$ 4,474.40$ 44155 00 Surgery 60.85 60.85 4,259.50$ 4,259.50$ 44156 00 Surgery 68.41 68.41 4,788.70$ 4,788.70$ 44157 00 Surgery 64.88 64.88 4,541.60$ 4,541.60$ 44158 00 Surgery 66.47 66.47 4,652.90$ 4,652.90$ 44160 00 Surgery 36.55 36.55 2,558.50$ 2,558.50$ 44180 00 Surgery 27.17 27.17 1,901.90$ 1,901.90$ 44186 00 Surgery 19.28 19.28 1,349.60$ 1,349.60$ 44187 00 Surgery 32.26 32.26 2,258.20$ 2,258.20$ 44188 00 Surgery 35.95 35.95 2,516.50$ 2,516.50$ 44202 00 Surgery 40.86 40.86 2,860.20$ 2,860.20$ 44203 00 Surgery 7.05 7.05 493.50$ 493.50$ 44204 00 Surgery 45.15 45.15 3,160.50$ 3,160.50$ 44205 00 Surgery 39.21 39.21 2,744.70$ 2,744.70$ 44206 00 Surgery 51.38 51.38 3,596.60$ 3,596.60$ 44207 00 Surgery 53.15 53.15 3,720.50$ 3,720.50$ 44208 00 Surgery 57.91 57.91 4,053.70$ 4,053.70$ 44210 00 Surgery 51.80 51.80 3,626.00$ 3,626.00$ 44211 00 Surgery 61.66 61.66 4,316.20$ 4,316.20$ 44212 00 Surgery 59.53 59.53 4,167.10$ 4,167.10$ 44213 00 Surgery 5.48 5.48 383.60$ 383.60$ 44227 00 Surgery 48.90 48.90 3,423.00$ 3,423.00$ 44238 00 Surgery 0.00 0.00 BR BR44300 00 Surgery 24.88 24.88 1,741.60$ 1,741.60$ 44310 00 Surgery 30.56 30.56 2,139.20$ 2,139.20$ 44312 00 Surgery 17.56 17.56 1,229.20$ 1,229.20$ 44314 00 Surgery 29.56 29.56 2,069.20$ 2,069.20$

PROPOSAL

67


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate44316 00 Surgery 41.88 41.88 2,931.60$ 2,931.60$ 44320 00 Surgery 35.37 35.37 2,475.90$ 2,475.90$ 44322 00 Surgery 30.10 30.10 2,107.00$ 2,107.00$ 44340 00 Surgery 18.38 18.38 1,286.60$ 1,286.60$ 44345 00 Surgery 30.88 30.88 2,161.60$ 2,161.60$ 44346 00 Surgery 34.84 34.84 2,438.80$ 2,438.80$ 44360 00 Surgery 4.17 4.17 291.90$ 291.90$ 44361 00 Surgery 4.62 4.62 323.40$ 323.40$ 44363 00 Surgery 5.57 5.57 389.90$ 389.90$ 44364 00 Surgery 5.94 5.94 415.80$ 415.80$ 44365 00 Surgery 5.29 5.29 370.30$ 370.30$ 44366 00 Surgery 6.97 6.97 487.90$ 487.90$ 44369 00 Surgery 7.14 7.14 499.80$ 499.80$ 44370 00 Surgery 7.73 7.73 541.10$ 541.10$ 44372 00 Surgery 6.96 6.96 487.20$ 487.20$ 44373 00 Surgery 5.59 5.59 391.30$ 391.30$ 44376 00 Surgery 8.25 8.25 577.50$ 577.50$ 44377 00 Surgery 8.69 8.69 608.30$ 608.30$ 44378 00 Surgery 11.18 11.18 782.60$ 782.60$ 44379 00 Surgery 11.88 11.88 831.60$ 831.60$ 44380 00 Surgery 5.92 1.64 414.40$ 114.80$ 44381 00 Surgery 31.01 2.43 2,170.70$ 170.10$ 44382 00 Surgery 9.18 2.14 642.60$ 149.80$ 44384 00 Surgery 4.49 4.49 314.30$ 314.30$ 44385 00 Surgery 6.44 2.09 450.80$ 146.30$ 44386 00 Surgery 9.54 2.58 667.80$ 180.60$ 44388 00 Surgery 9.50 4.56 665.00$ 319.20$ 44389 00 Surgery 12.53 5.01 877.10$ 350.70$ 44390 00 Surgery 12.20 6.12 854.00$ 428.40$ 44391 00 Surgery 20.46 6.70 1,432.20$ 469.00$ 44392 00 Surgery 11.60 5.78 812.00$ 404.60$ 44394 00 Surgery 13.24 6.55 926.80$ 458.50$ 44401 00 Surgery 82.23 7.04 5,756.10$ 492.80$ 44402 00 Surgery 7.59 7.59 531.30$ 531.30$ 44403 00 Surgery 8.84 8.84 618.80$ 618.80$ 44404 00 Surgery 12.61 5.00 882.70$ 350.00$ 44405 00 Surgery 17.32 5.32 1,212.40$ 372.40$ 44406 00 Surgery 6.67 6.67 466.90$ 466.90$ 44407 00 Surgery 8.00 8.00 560.00$ 560.00$ 44408 00 Surgery 6.74 6.74 471.80$ 471.80$ 44500 00 Surgery 0.57 0.57 39.90$ 39.90$ 44602 00 Surgery 41.52 41.52 2,906.40$ 2,906.40$ 44603 00 Surgery 47.66 47.66 3,336.20$ 3,336.20$ 44604 00 Surgery 31.15 31.15 2,180.50$ 2,180.50$ 44605 00 Surgery 38.23 38.23 2,676.10$ 2,676.10$ 44615 00 Surgery 31.57 31.57 2,209.90$ 2,209.90$ 44620 00 Surgery 25.45 25.45 1,781.50$ 1,781.50$ 44625 00 Surgery 29.69 29.69 2,078.30$ 2,078.30$ 44626 00 Surgery 46.96 46.96 3,287.20$ 3,287.20$ 44640 00 Surgery 41.10 41.10 2,877.00$ 2,877.00$ 44650 00 Surgery 42.35 42.35 2,964.50$ 2,964.50$ 44660 00 Surgery 39.18 39.18 2,742.60$ 2,742.60$ 44661 00 Surgery 45.47 45.47 3,182.90$ 3,182.90$ 44680 00 Surgery 31.89 31.89 2,232.30$ 2,232.30$ 44700 00 Surgery 29.25 29.25 2,047.50$ 2,047.50$ 44701 00 Surgery 4.99 4.99 349.30$ 349.30$ 44705 00 Surgery 3.27 2.10 228.90$ 147.00$ 44715 00 Surgery - - 719.60$ 719.60$ 44720 00 Surgery 8.09 8.09 566.30$ 566.30$

PROPOSAL

68


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate44721 00 Surgery 11.31 11.31 791.70$ 791.70$ 44799 00 Surgery 0.00 0.00 BR BR44800 00 Surgery 22.79 22.79 1,595.30$ 1,595.30$ 44820 00 Surgery 24.84 24.84 1,738.80$ 1,738.80$ 44850 00 Surgery 22.07 22.07 1,544.90$ 1,544.90$ 44899 00 Surgery 0.00 0.00 BR BR44900 00 Surgery 23.25 23.25 1,627.50$ 1,627.50$ 44950 00 Surgery 19.02 19.02 1,331.40$ 1,331.40$ 44955 00 Surgery 2.45 2.45 171.50$ 171.50$ 44960 00 Surgery 25.95 25.95 1,816.50$ 1,816.50$ 44970 00 Surgery 17.82 17.82 1,247.40$ 1,247.40$ 44979 00 Surgery 0.00 0.00 BR BR45000 00 Surgery 12.53 12.53 877.10$ 877.10$ 45005 00 Surgery 9.26 4.83 648.20$ 338.10$ 45020 00 Surgery 16.95 16.95 1,186.50$ 1,186.50$ 45100 00 Surgery 8.86 8.86 620.20$ 620.20$ 45108 00 Surgery 11.05 11.05 773.50$ 773.50$ 45110 00 Surgery 53.67 53.67 3,756.90$ 3,756.90$ 45111 00 Surgery 31.95 31.95 2,236.50$ 2,236.50$ 45112 00 Surgery 54.46 54.46 3,812.20$ 3,812.20$ 45113 00 Surgery 54.55 54.55 3,818.50$ 3,818.50$ 45114 00 Surgery 53.76 53.76 3,763.20$ 3,763.20$ 45116 00 Surgery 44.98 44.98 3,148.60$ 3,148.60$ 45119 00 Surgery 54.93 54.93 3,845.10$ 3,845.10$ 45120 00 Surgery 47.33 47.33 3,313.10$ 3,313.10$ 45121 00 Surgery 51.66 51.66 3,616.20$ 3,616.20$ 45123 00 Surgery 32.64 32.64 2,284.80$ 2,284.80$ 45126 00 Surgery 80.30 80.30 5,621.00$ 5,621.00$ 45130 00 Surgery 31.67 31.67 2,216.90$ 2,216.90$ 45135 00 Surgery 37.71 37.71 2,639.70$ 2,639.70$ 45136 00 Surgery 52.24 52.24 3,656.80$ 3,656.80$ 45150 00 Surgery 12.51 12.51 875.70$ 875.70$ 45160 00 Surgery 30.38 30.38 2,126.60$ 2,126.60$ 45171 00 Surgery 18.34 18.34 1,283.80$ 1,283.80$ 45172 00 Surgery 24.36 24.36 1,705.20$ 1,705.20$ 45190 00 Surgery 20.83 20.83 1,458.10$ 1,458.10$ 45300 00 Surgery 3.92 1.41 274.40$ 98.70$ 45303 00 Surgery 30.07 2.46 2,104.90$ 172.20$ 45305 00 Surgery 5.41 2.13 378.70$ 149.10$ 45307 00 Surgery 6.07 2.79 424.90$ 195.30$ 45308 00 Surgery 6.16 2.47 431.20$ 172.90$ 45309 00 Surgery 6.35 2.63 444.50$ 184.10$ 45315 00 Surgery 6.88 3.13 481.60$ 219.10$ 45317 00 Surgery 6.55 3.21 458.50$ 224.70$ 45320 00 Surgery 6.76 3.09 473.20$ 216.30$ 45321 00 Surgery 3.05 3.05 213.50$ 213.50$ 45327 00 Surgery 3.43 3.43 240.10$ 240.10$ 45330 00 Surgery 5.60 1.62 392.00$ 113.40$ 45331 00 Surgery 8.78 2.09 614.60$ 146.30$ 45332 00 Surgery 8.38 3.05 586.60$ 213.50$ 45333 00 Surgery 10.08 2.73 705.60$ 191.10$ 45334 00 Surgery 16.05 3.41 1,123.50$ 238.70$ 45335 00 Surgery 8.79 1.94 615.30$ 135.80$ 45337 00 Surgery 3.35 3.35 234.50$ 234.50$ 45338 00 Surgery 9.07 3.50 634.90$ 245.00$ 45340 00 Surgery 14.39 2.26 1,007.30$ 158.20$ 45341 00 Surgery 3.60 3.60 252.00$ 252.00$ 45342 00 Surgery 4.94 4.94 345.80$ 345.80$ 45346 00 Surgery 79.97 4.67 5,597.90$ 326.90$

PROPOSAL

69


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate45347 00 Surgery 4.49 4.49 314.30$ 314.30$ 45349 00 Surgery 5.77 5.77 403.90$ 403.90$ 45350 00 Surgery 20.55 2.93 1,438.50$ 205.10$ 45378 00 Surgery 10.23 5.40 716.10$ 378.00$ 45379 00 Surgery 13.09 6.94 916.30$ 485.80$ 45380 00 Surgery 13.23 5.85 926.10$ 409.50$ 45381 00 Surgery 13.34 5.85 933.80$ 409.50$ 45382 00 Surgery 21.24 7.53 1,486.80$ 527.10$ 45384 00 Surgery 14.86 6.64 1,040.20$ 464.80$ 45385 00 Surgery 13.70 7.39 959.00$ 517.30$ 45386 00 Surgery 18.99 6.16 1,329.30$ 431.20$ 45388 00 Surgery 84.91 7.88 5,943.70$ 551.60$ 45389 00 Surgery 8.43 8.43 590.10$ 590.10$ 45390 00 Surgery 9.66 9.66 676.20$ 676.20$ 45391 00 Surgery 7.48 7.48 523.60$ 523.60$ 45392 00 Surgery 8.87 8.87 620.90$ 620.90$ 45393 00 Surgery 7.37 7.37 515.90$ 515.90$ 45395 00 Surgery 57.50 57.50 4,025.00$ 4,025.00$ 45397 00 Surgery 62.25 62.25 4,357.50$ 4,357.50$ 45398 00 Surgery 25.23 6.85 1,766.10$ 479.50$ 45399 00 Surgery 0.00 0.00 BR BR45400 00 Surgery 33.11 33.11 2,317.70$ 2,317.70$ 45402 00 Surgery 44.23 44.23 3,096.10$ 3,096.10$ 45499 00 Surgery 0.00 0.00 BR BR45500 00 Surgery 16.91 16.91 1,183.70$ 1,183.70$ 45505 00 Surgery 17.74 17.74 1,241.80$ 1,241.80$ 45520 00 Surgery 4.98 1.15 348.60$ 80.50$ 45540 00 Surgery 30.93 30.93 2,165.10$ 2,165.10$ 45541 00 Surgery 27.86 27.86 1,950.20$ 1,950.20$ 45550 00 Surgery 42.95 42.95 3,006.50$ 3,006.50$ 45560 00 Surgery 20.35 20.35 1,424.50$ 1,424.50$ 45562 00 Surgery 33.32 33.32 2,332.40$ 2,332.40$ 45563 00 Surgery 49.25 49.25 3,447.50$ 3,447.50$ 45800 00 Surgery 37.69 37.69 2,638.30$ 2,638.30$ 45805 00 Surgery 43.67 43.67 3,056.90$ 3,056.90$ 45820 00 Surgery 37.78 37.78 2,644.60$ 2,644.60$ 45825 00 Surgery 45.71 45.71 3,199.70$ 3,199.70$ 45900 00 Surgery 6.30 6.30 441.00$ 441.00$ 45905 00 Surgery 4.98 4.98 348.60$ 348.60$ 45910 00 Surgery 5.64 5.64 394.80$ 394.80$ 45915 00 Surgery 10.64 6.83 744.80$ 478.10$ 45990 00 Surgery 3.08 3.08 215.60$ 215.60$ 45999 00 Surgery 0.00 0.00 BR BR46020 00 Surgery 8.45 7.03 591.50$ 492.10$ 46030 00 Surgery 4.56 2.64 319.20$ 184.80$ 46040 00 Surgery 16.67 12.55 1,166.90$ 878.50$ 46045 00 Surgery 13.05 13.05 913.50$ 913.50$ 46050 00 Surgery 7.04 2.95 492.80$ 206.50$ 46060 00 Surgery 14.34 14.34 1,003.80$ 1,003.80$ 46070 00 Surgery 8.07 8.07 564.90$ 564.90$ 46080 00 Surgery 8.51 4.65 595.70$ 325.50$ 46083 00 Surgery 6.22 3.22 435.40$ 225.40$ 46200 00 Surgery 14.26 9.93 998.20$ 695.10$ 46220 00 Surgery 7.38 3.54 516.60$ 247.80$ 46221 00 Surgery 8.60 5.72 602.00$ 400.40$ 46230 00 Surgery 9.22 5.08 645.40$ 355.60$ 46250 00 Surgery 14.48 9.45 1,013.60$ 661.50$ 46255 00 Surgery 15.75 10.57 1,102.50$ 739.90$ 46257 00 Surgery 12.66 12.66 886.20$ 886.20$

PROPOSAL

70


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate46258 00 Surgery 14.19 14.19 993.30$ 993.30$ 46260 00 Surgery 14.26 14.26 998.20$ 998.20$ 46261 00 Surgery 15.50 15.50 1,085.00$ 1,085.00$ 46262 00 Surgery 16.56 16.56 1,159.20$ 1,159.20$ 46270 00 Surgery 16.05 11.81 1,123.50$ 826.70$ 46275 00 Surgery 16.87 12.42 1,180.90$ 869.40$ 46280 00 Surgery 14.14 14.14 989.80$ 989.80$ 46285 00 Surgery 16.80 12.42 1,176.00$ 869.40$ 46288 00 Surgery 16.41 16.41 1,148.70$ 1,148.70$ 46320 00 Surgery 6.31 3.32 441.70$ 232.40$ 46500 00 Surgery 9.52 5.53 666.40$ 387.10$ 46505 00 Surgery 9.32 7.39 652.40$ 517.30$ 46600 00 Surgery 3.57 1.18 249.90$ 82.60$ 46601 00 Surgery 4.48 2.78 313.60$ 194.60$ 46604 00 Surgery 21.15 1.91 1,480.50$ 133.70$ 46606 00 Surgery 8.56 2.21 599.20$ 154.70$ 46607 00 Surgery 6.26 3.74 438.20$ 261.80$ 46608 00 Surgery 9.00 2.47 630.00$ 172.90$ 46610 00 Surgery 8.48 2.34 593.60$ 163.80$ 46611 00 Surgery 6.78 2.34 474.60$ 163.80$ 46612 00 Surgery 10.34 2.80 723.80$ 196.00$ 46614 00 Surgery 5.01 1.86 350.70$ 130.20$ 46615 00 Surgery 5.36 2.66 375.20$ 186.20$ 46700 00 Surgery 19.37 19.37 1,355.90$ 1,355.90$ 46705 00 Surgery 16.96 16.96 1,187.20$ 1,187.20$ 46706 00 Surgery 5.28 5.28 369.60$ 369.60$ 46707 00 Surgery 14.96 14.96 1,047.20$ 1,047.20$ 46710 00 Surgery 33.03 33.03 2,312.10$ 2,312.10$ 46712 00 Surgery 66.02 66.02 4,621.40$ 4,621.40$ 46715 00 Surgery 16.53 16.53 1,157.10$ 1,157.10$ 46716 00 Surgery 36.46 36.46 2,552.20$ 2,552.20$ 46730 00 Surgery 58.72 58.72 4,110.40$ 4,110.40$ 46735 00 Surgery 67.59 67.59 4,731.30$ 4,731.30$ 46740 00 Surgery 64.06 64.06 4,484.20$ 4,484.20$ 46742 00 Surgery 74.04 74.04 5,182.80$ 5,182.80$ 46744 00 Surgery 104.51 104.51 7,315.70$ 7,315.70$ 46746 00 Surgery 115.16 115.16 8,061.20$ 8,061.20$ 46748 00 Surgery 124.82 124.82 8,737.40$ 8,737.40$ 46750 00 Surgery 22.17 22.17 1,551.90$ 1,551.90$ 46751 00 Surgery 19.87 19.87 1,390.90$ 1,390.90$ 46753 00 Surgery 18.44 18.44 1,290.80$ 1,290.80$ 46754 00 Surgery 10.09 6.96 706.30$ 487.20$ 46760 00 Surgery 32.14 32.14 2,249.80$ 2,249.80$ 46761 00 Surgery 27.06 27.06 1,894.20$ 1,894.20$ 46900 00 Surgery 7.15 3.97 500.50$ 277.90$ 46910 00 Surgery 7.99 3.95 559.30$ 276.50$ 46916 00 Surgery 7.63 4.11 534.10$ 287.70$ 46917 00 Surgery 13.08 3.74 915.60$ 261.80$ 46922 00 Surgery 9.35 4.01 654.50$ 280.70$ 46924 00 Surgery 16.71 5.28 1,169.70$ 369.60$ 46930 00 Surgery 6.56 4.51 459.20$ 315.70$ 46940 00 Surgery 7.83 4.25 548.10$ 297.50$ 46942 00 Surgery 7.45 3.80 521.50$ 266.00$ 46945 00 Surgery 10.07 10.07 704.90$ 704.90$ 46946 00 Surgery 11.33 11.33 793.10$ 793.10$ 46947 00 Surgery 11.42 11.42 799.40$ 799.40$ 46948 00 Surgery 13.25 13.25 927.50$ 927.50$ 46999 00 Surgery 0.00 0.00 BR BR47000 00 Surgery 9.31 2.56 651.70$ 179.20$

PROPOSAL

71


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate47001 00 Surgery 3.05 3.05 213.50$ 213.50$ 47010 00 Surgery 35.92 35.92 2,514.40$ 2,514.40$ 47015 00 Surgery 34.61 34.61 2,422.70$ 2,422.70$ 47100 00 Surgery 25.17 25.17 1,761.90$ 1,761.90$ 47120 00 Surgery 69.00 69.00 4,830.00$ 4,830.00$ 47122 00 Surgery 100.96 100.96 7,067.20$ 7,067.20$ 47125 00 Surgery 90.76 90.76 6,353.20$ 6,353.20$ 47130 00 Surgery 97.58 97.58 6,830.60$ 6,830.60$ 47133 00 Surgery 0.00 0.00 BR BR47135 00 Surgery 158.38 158.38 11,086.60$ 11,086.60$ 47140 00 Surgery 105.21 105.21 7,364.70$ 7,364.70$ 47141 00 Surgery 125.79 125.79 8,805.30$ 8,805.30$ 47142 00 Surgery 138.63 138.63 9,704.10$ 9,704.10$ 47143 00 Surgery - - 716.80$ 716.80$ 47144 00 Surgery - - 917.70$ 917.70$ 47145 00 Surgery - - 945.70$ 945.70$ 47146 00 Surgery 9.66 9.66 676.20$ 676.20$ 47147 00 Surgery 11.23 11.23 786.10$ 786.10$ 47300 00 Surgery 33.64 33.64 2,354.80$ 2,354.80$ 47350 00 Surgery 40.51 40.51 2,835.70$ 2,835.70$ 47360 00 Surgery 55.62 55.62 3,893.40$ 3,893.40$ 47361 00 Surgery 89.19 89.19 6,243.30$ 6,243.30$ 47362 00 Surgery 42.25 42.25 2,957.50$ 2,957.50$ 47370 00 Surgery 36.97 36.97 2,587.90$ 2,587.90$ 47371 00 Surgery 37.25 37.25 2,607.50$ 2,607.50$ 47379 00 Surgery 0.00 0.00 BR BR47380 00 Surgery 42.65 42.65 2,985.50$ 2,985.50$ 47381 00 Surgery 43.85 43.85 3,069.50$ 3,069.50$ 47382 00 Surgery 124.61 21.35 8,722.70$ 1,494.50$ 47383 00 Surgery 197.22 12.91 13,805.40$ 903.70$ 47399 00 Surgery 0.00 0.00 BR BR47400 00 Surgery 63.79 63.79 4,465.30$ 4,465.30$ 47420 00 Surgery 39.51 39.51 2,765.70$ 2,765.70$ 47425 00 Surgery 40.61 40.61 2,842.70$ 2,842.70$ 47460 00 Surgery 37.70 37.70 2,639.00$ 2,639.00$ 47480 00 Surgery 26.10 26.10 1,827.00$ 1,827.00$ 47490 00 Surgery 9.73 9.73 681.10$ 681.10$ 47531 00 Surgery 12.69 2.05 888.30$ 143.50$ 47532 00 Surgery 26.04 6.16 1,822.80$ 431.20$ 47533 00 Surgery 37.38 7.65 2,616.60$ 535.50$ 47534 00 Surgery 41.43 10.67 2,900.10$ 746.90$ 47535 00 Surgery 28.89 5.64 2,022.30$ 394.80$ 47536 00 Surgery 20.63 3.80 1,444.10$ 266.00$ 47537 00 Surgery 14.71 2.77 1,029.70$ 193.90$ 47538 00 Surgery 126.03 6.80 8,822.10$ 476.00$ 47539 00 Surgery 138.26 12.12 9,678.20$ 848.40$ 47540 00 Surgery 141.36 12.67 9,895.20$ 886.90$ 47541 00 Surgery 36.59 9.61 2,561.30$ 672.70$ 47542 00 Surgery 15.62 3.92 1,093.40$ 274.40$ 47543 00 Surgery 12.96 4.15 907.20$ 290.50$ 47544 00 Surgery 28.24 4.51 1,976.80$ 315.70$ 47550 00 Surgery 4.86 4.86 340.20$ 340.20$ 47552 00 Surgery 7.94 7.94 555.80$ 555.80$ 47553 00 Surgery 7.99 7.99 559.30$ 559.30$ 47554 00 Surgery 15.18 15.18 1,062.60$ 1,062.60$ 47555 00 Surgery 9.51 9.51 665.70$ 665.70$ 47556 00 Surgery 10.77 10.77 753.90$ 753.90$ 47562 00 Surgery 19.54 19.54 1,367.80$ 1,367.80$ 47563 00 Surgery 21.26 21.26 1,488.20$ 1,488.20$

PROPOSAL

72


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate47564 00 Surgery 33.09 33.09 2,316.30$ 2,316.30$ 47570 00 Surgery 23.00 23.00 1,610.00$ 1,610.00$ 47579 00 Surgery 0.00 0.00 BR BR47600 00 Surgery 31.64 31.64 2,214.80$ 2,214.80$ 47605 00 Surgery 33.35 33.35 2,334.50$ 2,334.50$ 47610 00 Surgery 37.10 37.10 2,597.00$ 2,597.00$ 47612 00 Surgery 37.80 37.80 2,646.00$ 2,646.00$ 47620 00 Surgery 40.81 40.81 2,856.70$ 2,856.70$ 47700 00 Surgery 31.48 31.48 2,203.60$ 2,203.60$ 47701 00 Surgery 51.57 51.57 3,609.90$ 3,609.90$ 47711 00 Surgery 46.08 46.08 3,225.60$ 3,225.60$ 47712 00 Surgery 59.19 59.19 4,143.30$ 4,143.30$ 47715 00 Surgery 39.51 39.51 2,765.70$ 2,765.70$ 47720 00 Surgery 34.35 34.35 2,404.50$ 2,404.50$ 47721 00 Surgery 40.24 40.24 2,816.80$ 2,816.80$ 47740 00 Surgery 39.01 39.01 2,730.70$ 2,730.70$ 47741 00 Surgery 43.84 43.84 3,068.80$ 3,068.80$ 47760 00 Surgery 66.56 66.56 4,659.20$ 4,659.20$ 47765 00 Surgery 89.81 89.81 6,286.70$ 6,286.70$ 47780 00 Surgery 73.12 73.12 5,118.40$ 5,118.40$ 47785 00 Surgery 95.60 95.60 6,692.00$ 6,692.00$ 47800 00 Surgery 46.19 46.19 3,233.30$ 3,233.30$ 47801 00 Surgery 33.17 33.17 2,321.90$ 2,321.90$ 47802 00 Surgery 45.32 45.32 3,172.40$ 3,172.40$ 47900 00 Surgery 40.21 40.21 2,814.70$ 2,814.70$ 47999 00 Surgery 0.00 0.00 BR BR48000 00 Surgery 55.75 55.75 3,902.50$ 3,902.50$ 48001 00 Surgery 68.28 68.28 4,779.60$ 4,779.60$ 48020 00 Surgery 34.99 34.99 2,449.30$ 2,449.30$ 48100 00 Surgery 26.09 26.09 1,826.30$ 1,826.30$ 48102 00 Surgery 15.98 6.87 1,118.60$ 480.90$ 48105 00 Surgery 83.90 83.90 5,873.00$ 5,873.00$ 48120 00 Surgery 32.75 32.75 2,292.50$ 2,292.50$ 48140 00 Surgery 46.20 46.20 3,234.00$ 3,234.00$ 48145 00 Surgery 48.38 48.38 3,386.60$ 3,386.60$ 48146 00 Surgery 55.97 55.97 3,917.90$ 3,917.90$ 48148 00 Surgery 37.08 37.08 2,595.60$ 2,595.60$ 48150 00 Surgery 92.08 92.08 6,445.60$ 6,445.60$ 48152 00 Surgery 85.65 85.65 5,995.50$ 5,995.50$ 48153 00 Surgery 91.80 91.80 6,426.00$ 6,426.00$ 48154 00 Surgery 86.03 86.03 6,022.10$ 6,022.10$ 48155 00 Surgery 53.92 53.92 3,774.40$ 3,774.40$ 48160 00 Surgery - - 6,505.80$ 6,505.80$ 48400 00 Surgery 3.15 3.15 220.50$ 220.50$ 48500 00 Surgery 34.19 34.19 2,393.30$ 2,393.30$ 48510 00 Surgery 32.64 32.64 2,284.80$ 2,284.80$ 48520 00 Surgery 32.65 32.65 2,285.50$ 2,285.50$ 48540 00 Surgery 38.80 38.80 2,716.00$ 2,716.00$ 48545 00 Surgery 39.94 39.94 2,795.80$ 2,795.80$ 48547 00 Surgery 53.09 53.09 3,716.30$ 3,716.30$ 48548 00 Surgery 49.53 49.53 3,467.10$ 3,467.10$ 48550 00 Surgery 0.00 0.00 BR BR48551 00 Surgery - - 482.30$ 482.30$ 48552 00 Surgery 6.94 6.94 485.80$ 485.80$ 48554 00 Surgery 76.28 76.28 5,339.60$ 5,339.60$ 48556 00 Surgery 37.87 37.87 2,650.90$ 2,650.90$ 48999 00 Surgery 0.00 0.00 BR BR49000 00 Surgery 22.69 22.69 1,588.30$ 1,588.30$ 49002 00 Surgery 30.82 30.82 2,157.40$ 2,157.40$

PROPOSAL

73


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate49010 00 Surgery 27.19 27.19 1,903.30$ 1,903.30$ 49013 00 Surgery 12.73 12.73 891.10$ 891.10$ 49014 00 Surgery 10.53 10.53 737.10$ 737.10$ 49020 00 Surgery 47.04 47.04 3,292.80$ 3,292.80$ 49040 00 Surgery 29.71 29.71 2,079.70$ 2,079.70$ 49060 00 Surgery 32.38 32.38 2,266.60$ 2,266.60$ 49062 00 Surgery 22.75 22.75 1,592.50$ 1,592.50$ 49082 00 Surgery 6.47 2.13 452.90$ 149.10$ 49083 00 Surgery 9.07 3.08 634.90$ 215.60$ 49084 00 Surgery 3.17 3.17 221.90$ 221.90$ 49180 00 Surgery 5.14 2.43 359.80$ 170.10$ 49185 00 Surgery 38.31 3.44 2,681.70$ 240.80$ 49203 00 Surgery 35.16 35.16 2,461.20$ 2,461.20$ 49204 00 Surgery 44.73 44.73 3,131.10$ 3,131.10$ 49205 00 Surgery 51.32 51.32 3,592.40$ 3,592.40$ 49215 00 Surgery 65.37 65.37 4,575.90$ 4,575.90$ 49250 00 Surgery 17.39 17.39 1,217.30$ 1,217.30$ 49255 00 Surgery 23.29 23.29 1,630.30$ 1,630.30$ 49320 00 Surgery 9.71 9.71 679.70$ 679.70$ 49321 00 Surgery 10.19 10.19 713.30$ 713.30$ 49322 00 Surgery 11.08 11.08 775.60$ 775.60$ 49323 00 Surgery 18.72 18.72 1,310.40$ 1,310.40$ 49324 00 Surgery 11.50 11.50 805.00$ 805.00$ 49325 00 Surgery 12.27 12.27 858.90$ 858.90$ 49326 00 Surgery 5.56 5.56 389.20$ 389.20$ 49327 00 Surgery 3.86 3.86 270.20$ 270.20$ 49329 00 Surgery 0.00 0.00 BR BR49400 00 Surgery 4.40 2.65 308.00$ 185.50$ 49402 00 Surgery 25.26 25.26 1,768.20$ 1,768.20$ 49405 00 Surgery 27.32 5.66 1,912.40$ 396.20$ 49406 00 Surgery 27.33 5.66 1,913.10$ 396.20$ 49407 00 Surgery 22.70 6.03 1,589.00$ 422.10$ 49411 00 Surgery 14.75 5.32 1,032.50$ 372.40$ 49412 00 Surgery 2.43 2.43 170.10$ 170.10$ 49418 00 Surgery 33.66 5.85 2,356.20$ 409.50$ 49419 00 Surgery 12.62 12.62 883.40$ 883.40$ 49421 00 Surgery 6.70 6.70 469.00$ 469.00$ 49422 00 Surgery 6.53 6.53 457.10$ 457.10$ 49423 00 Surgery 18.62 2.05 1,303.40$ 143.50$ 49424 00 Surgery 5.48 1.08 383.60$ 75.60$ 49425 00 Surgery 20.73 20.73 1,451.10$ 1,451.10$ 49426 00 Surgery 19.84 19.84 1,388.80$ 1,388.80$ 49427 00 Surgery 1.12 1.12 78.40$ 78.40$ 49428 00 Surgery 12.77 12.77 893.90$ 893.90$ 49429 00 Surgery 13.58 13.58 950.60$ 950.60$ 49435 00 Surgery 3.51 3.51 245.70$ 245.70$ 49436 00 Surgery 5.56 5.56 389.20$ 389.20$ 49440 00 Surgery 27.20 5.89 1,904.00$ 412.30$ 49441 00 Surgery 30.88 6.94 2,161.60$ 485.80$ 49442 00 Surgery 25.90 5.97 1,813.00$ 417.90$ 49446 00 Surgery 26.19 4.25 1,833.30$ 297.50$ 49450 00 Surgery 19.51 1.91 1,365.70$ 133.70$ 49451 00 Surgery 21.00 2.57 1,470.00$ 179.90$ 49452 00 Surgery 25.54 3.97 1,787.80$ 277.90$ 49460 00 Surgery 21.81 1.42 1,526.70$ 99.40$ 49465 00 Surgery 4.36 0.89 305.20$ 62.30$ 49491 00 Surgery 23.65 23.65 1,655.50$ 1,655.50$ 49492 00 Surgery 28.42 28.42 1,989.40$ 1,989.40$ 49495 00 Surgery 12.13 12.13 849.10$ 849.10$

PROPOSAL

74


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate49496 00 Surgery 18.22 18.22 1,275.40$ 1,275.40$ 49500 00 Surgery 12.31 12.31 861.70$ 861.70$ 49501 00 Surgery 17.98 17.98 1,258.60$ 1,258.60$ 49505 00 Surgery 15.48 15.48 1,083.60$ 1,083.60$ 49507 00 Surgery 17.37 17.37 1,215.90$ 1,215.90$ 49520 00 Surgery 18.74 18.74 1,311.80$ 1,311.80$ 49521 00 Surgery 21.22 21.22 1,485.40$ 1,485.40$ 49525 00 Surgery 16.99 16.99 1,189.30$ 1,189.30$ 49540 00 Surgery 20.17 20.17 1,411.90$ 1,411.90$ 49550 00 Surgery 17.09 17.09 1,196.30$ 1,196.30$ 49553 00 Surgery 18.72 18.72 1,310.40$ 1,310.40$ 49555 00 Surgery 17.87 17.87 1,250.90$ 1,250.90$ 49557 00 Surgery 21.39 21.39 1,497.30$ 1,497.30$ 49560 00 Surgery 21.82 21.82 1,527.40$ 1,527.40$ 49561 00 Surgery 27.47 27.47 1,922.90$ 1,922.90$ 49565 00 Surgery 22.73 22.73 1,591.10$ 1,591.10$ 49566 00 Surgery 27.72 27.72 1,940.40$ 1,940.40$ 49568 00 Surgery 7.85 7.85 549.50$ 549.50$ 49570 00 Surgery 12.44 12.44 870.80$ 870.80$ 49572 00 Surgery 15.37 15.37 1,075.90$ 1,075.90$ 49580 00 Surgery 9.99 9.99 699.30$ 699.30$ 49582 00 Surgery 14.37 14.37 1,005.90$ 1,005.90$ 49585 00 Surgery 13.25 13.25 927.50$ 927.50$ 49587 00 Surgery 14.14 14.14 989.80$ 989.80$ 49590 00 Surgery 17.02 17.02 1,191.40$ 1,191.40$ 49600 00 Surgery 21.77 21.77 1,523.90$ 1,523.90$ 49605 00 Surgery 145.40 145.40 10,178.00$ 10,178.00$ 49606 00 Surgery 33.58 33.58 2,350.60$ 2,350.60$ 49610 00 Surgery 20.53 20.53 1,437.10$ 1,437.10$ 49611 00 Surgery 18.11 18.11 1,267.70$ 1,267.70$ 49650 00 Surgery 12.79 12.79 895.30$ 895.30$ 49651 00 Surgery 16.65 16.65 1,165.50$ 1,165.50$ 49652 00 Surgery 22.03 22.03 1,542.10$ 1,542.10$ 49653 00 Surgery 27.56 27.56 1,929.20$ 1,929.20$ 49654 00 Surgery 24.99 24.99 1,749.30$ 1,749.30$ 49655 00 Surgery 30.60 30.60 2,142.00$ 2,142.00$ 49656 00 Surgery 27.12 27.12 1,898.40$ 1,898.40$ 49657 00 Surgery 39.02 39.02 2,731.40$ 2,731.40$ 49659 00 Surgery 0.00 0.00 BR BR49900 00 Surgery 24.14 24.14 1,689.80$ 1,689.80$ 49904 00 Surgery 41.01 41.01 2,870.70$ 2,870.70$ 49905 00 Surgery 10.37 10.37 725.90$ 725.90$ 49906 00 Surgery - - 5,157.60$ 5,157.60$ 49999 00 Surgery 0.00 0.00 BR BR50010 00 Surgery 21.66 21.66 1,516.20$ 1,516.20$ 50020 00 Surgery 29.56 29.56 2,069.20$ 2,069.20$ 50040 00 Surgery 26.91 26.91 1,883.70$ 1,883.70$ 50045 00 Surgery 27.15 27.15 1,900.50$ 1,900.50$ 50060 00 Surgery 33.17 33.17 2,321.90$ 2,321.90$ 50065 00 Surgery 35.17 35.17 2,461.90$ 2,461.90$ 50070 00 Surgery 34.49 34.49 2,414.30$ 2,414.30$ 50075 00 Surgery 42.38 42.38 2,966.60$ 2,966.60$ 50080 00 Surgery 25.31 25.31 1,771.70$ 1,771.70$ 50081 00 Surgery 37.18 37.18 2,602.60$ 2,602.60$ 50100 00 Surgery 32.01 32.01 2,240.70$ 2,240.70$ 50120 00 Surgery 27.64 27.64 1,934.80$ 1,934.80$ 50125 00 Surgery 28.61 28.61 2,002.70$ 2,002.70$ 50130 00 Surgery 30.05 30.05 2,103.50$ 2,103.50$ 50135 00 Surgery 32.63 32.63 2,284.10$ 2,284.10$

PROPOSAL

75


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate50200 00 Surgery 16.30 3.69 1,141.00$ 258.30$ 50205 00 Surgery 22.18 22.18 1,552.60$ 1,552.60$ 50220 00 Surgery 30.70 30.70 2,149.00$ 2,149.00$ 50225 00 Surgery 34.98 34.98 2,448.60$ 2,448.60$ 50230 00 Surgery 37.28 37.28 2,609.60$ 2,609.60$ 50234 00 Surgery 37.94 37.94 2,655.80$ 2,655.80$ 50236 00 Surgery 42.67 42.67 2,986.90$ 2,986.90$ 50240 00 Surgery 38.58 38.58 2,700.60$ 2,700.60$ 50250 00 Surgery 35.43 35.43 2,480.10$ 2,480.10$ 50280 00 Surgery 28.23 28.23 1,976.10$ 1,976.10$ 50290 00 Surgery 26.20 26.20 1,834.00$ 1,834.00$ 50300 00 Surgery 0.00 0.00 BR BR50320 00 Surgery 44.64 44.64 3,124.80$ 3,124.80$ 50323 00 Surgery - - 426.30$ 426.30$ 50325 00 Surgery - - 395.50$ 395.50$ 50327 00 Surgery 6.38 6.38 446.60$ 446.60$ 50328 00 Surgery 5.56 5.56 389.20$ 389.20$ 50329 00 Surgery 5.30 5.30 371.00$ 371.00$ 50340 00 Surgery 28.18 28.18 1,972.60$ 1,972.60$ 50360 00 Surgery 71.42 71.42 4,999.40$ 4,999.40$ 50365 00 Surgery 84.76 84.76 5,933.20$ 5,933.20$ 50370 00 Surgery 35.72 35.72 2,500.40$ 2,500.40$ 50380 00 Surgery 59.80 59.80 4,186.00$ 4,186.00$ 50382 00 Surgery 32.53 7.36 2,277.10$ 515.20$ 50384 00 Surgery 27.23 6.62 1,906.10$ 463.40$ 50385 00 Surgery 32.55 6.33 2,278.50$ 443.10$ 50386 00 Surgery 23.17 4.68 1,621.90$ 327.60$ 50387 00 Surgery 17.30 2.41 1,211.00$ 168.70$ 50389 00 Surgery 12.50 1.55 875.00$ 108.50$ 50390 00 Surgery 2.76 2.76 193.20$ 193.20$ 50391 00 Surgery 3.70 2.85 259.00$ 199.50$ 50396 00 Surgery 3.35 3.35 234.50$ 234.50$ 50400 00 Surgery 33.62 33.62 2,353.40$ 2,353.40$ 50405 00 Surgery 40.59 40.59 2,841.30$ 2,841.30$ 50430 00 Surgery 18.58 4.45 1,300.60$ 311.50$ 50431 00 Surgery 9.12 1.89 638.40$ 132.30$ 50432 00 Surgery 27.73 5.91 1,941.10$ 413.70$ 50433 00 Surgery 35.20 7.35 2,464.00$ 514.50$ 50434 00 Surgery 28.20 5.53 1,974.00$ 387.10$ 50435 00 Surgery 18.16 2.86 1,271.20$ 200.20$ 50436 00 Surgery 4.36 4.36 305.20$ 305.20$ 50437 00 Surgery 7.23 7.23 506.10$ 506.10$ 50500 00 Surgery 36.38 36.38 2,546.60$ 2,546.60$ 50520 00 Surgery 34.29 34.29 2,400.30$ 2,400.30$ 50525 00 Surgery 43.53 43.53 3,047.10$ 3,047.10$ 50526 00 Surgery 46.62 46.62 3,263.40$ 3,263.40$ 50540 00 Surgery 33.37 33.37 2,335.90$ 2,335.90$ 50541 00 Surgery 26.75 26.75 1,872.50$ 1,872.50$ 50542 00 Surgery 34.01 34.01 2,380.70$ 2,380.70$ 50543 00 Surgery 43.36 43.36 3,035.20$ 3,035.20$ 50544 00 Surgery 36.16 36.16 2,531.20$ 2,531.20$ 50545 00 Surgery 38.88 38.88 2,721.60$ 2,721.60$ 50546 00 Surgery 35.09 35.09 2,456.30$ 2,456.30$ 50547 00 Surgery 47.44 47.44 3,320.80$ 3,320.80$ 50548 00 Surgery 39.15 39.15 2,740.50$ 2,740.50$ 50549 00 Surgery 0.00 0.00 BR BR50551 00 Surgery 10.61 8.52 742.70$ 596.40$ 50553 00 Surgery 11.36 9.11 795.20$ 637.70$ 50555 00 Surgery 12.10 9.86 847.00$ 690.20$

PROPOSAL

76


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate50557 00 Surgery 12.31 10.00 861.70$ 700.00$ 50561 00 Surgery 13.95 11.42 976.50$ 799.40$ 50562 00 Surgery 16.78 16.78 1,174.60$ 1,174.60$ 50570 00 Surgery 14.23 14.23 996.10$ 996.10$ 50572 00 Surgery 15.39 15.39 1,077.30$ 1,077.30$ 50574 00 Surgery 16.36 16.36 1,145.20$ 1,145.20$ 50575 00 Surgery 20.68 20.68 1,447.60$ 1,447.60$ 50576 00 Surgery 16.32 16.32 1,142.40$ 1,142.40$ 50580 00 Surgery 17.60 17.60 1,232.00$ 1,232.00$ 50590 00 Surgery 21.94 16.63 1,535.80$ 1,164.10$ 50592 00 Surgery 94.20 9.92 6,594.00$ 694.40$ 50593 00 Surgery 126.49 13.23 8,854.30$ 926.10$ 50600 00 Surgery 27.31 27.31 1,911.70$ 1,911.70$ 50605 00 Surgery 29.36 29.36 2,055.20$ 2,055.20$ 50606 00 Surgery 17.42 4.34 1,219.40$ 303.80$ 50610 00 Surgery 27.50 27.50 1,925.00$ 1,925.00$ 50620 00 Surgery 26.32 26.32 1,842.40$ 1,842.40$ 50630 00 Surgery 26.00 26.00 1,820.00$ 1,820.00$ 50650 00 Surgery 30.21 30.21 2,114.70$ 2,114.70$ 50660 00 Surgery 33.27 33.27 2,328.90$ 2,328.90$ 50684 00 Surgery 3.71 1.46 259.70$ 102.20$ 50686 00 Surgery 4.21 2.55 294.70$ 178.50$ 50688 00 Surgery 2.23 2.23 156.10$ 156.10$ 50690 00 Surgery 3.39 2.01 237.30$ 140.70$ 50693 00 Surgery 31.47 5.88 2,202.90$ 411.60$ 50694 00 Surgery 35.00 7.69 2,450.00$ 538.30$ 50695 00 Surgery 42.23 9.91 2,956.10$ 693.70$ 50700 00 Surgery 26.97 26.97 1,887.90$ 1,887.90$ 50705 00 Surgery 58.03 5.09 4,062.10$ 356.30$ 50706 00 Surgery 27.43 5.25 1,920.10$ 367.50$ 50715 00 Surgery 35.21 35.21 2,464.70$ 2,464.70$ 50722 00 Surgery 30.09 30.09 2,106.30$ 2,106.30$ 50725 00 Surgery 32.07 32.07 2,244.90$ 2,244.90$ 50727 00 Surgery 14.90 14.90 1,043.00$ 1,043.00$ 50728 00 Surgery 21.47 21.47 1,502.90$ 1,502.90$ 50740 00 Surgery 36.23 36.23 2,536.10$ 2,536.10$ 50750 00 Surgery 33.56 33.56 2,349.20$ 2,349.20$ 50760 00 Surgery 33.24 33.24 2,326.80$ 2,326.80$ 50770 00 Surgery 33.56 33.56 2,349.20$ 2,349.20$ 50780 00 Surgery 32.38 32.38 2,266.60$ 2,266.60$ 50782 00 Surgery 31.28 31.28 2,189.60$ 2,189.60$ 50783 00 Surgery 32.80 32.80 2,296.00$ 2,296.00$ 50785 00 Surgery 35.33 35.33 2,473.10$ 2,473.10$ 50800 00 Surgery 26.95 26.95 1,886.50$ 1,886.50$ 50810 00 Surgery 41.55 41.55 2,908.50$ 2,908.50$ 50815 00 Surgery 35.64 35.64 2,494.80$ 2,494.80$ 50820 00 Surgery 38.25 38.25 2,677.50$ 2,677.50$ 50825 00 Surgery 48.21 48.21 3,374.70$ 3,374.70$ 50830 00 Surgery 52.41 52.41 3,668.70$ 3,668.70$ 50840 00 Surgery 35.84 35.84 2,508.80$ 2,508.80$ 50845 00 Surgery 36.49 36.49 2,554.30$ 2,554.30$ 50860 00 Surgery 27.53 27.53 1,927.10$ 1,927.10$ 50900 00 Surgery 24.56 24.56 1,719.20$ 1,719.20$ 50920 00 Surgery 25.68 25.68 1,797.60$ 1,797.60$ 50930 00 Surgery 32.05 32.05 2,243.50$ 2,243.50$ 50940 00 Surgery 25.87 25.87 1,810.90$ 1,810.90$ 50945 00 Surgery 28.27 28.27 1,978.90$ 1,978.90$ 50947 00 Surgery 40.34 40.34 2,823.80$ 2,823.80$ 50948 00 Surgery 37.21 37.21 2,604.70$ 2,604.70$

PROPOSAL

77


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate50949 00 Surgery 0.00 0.00 BR BR50951 00 Surgery 11.14 8.89 779.80$ 622.30$ 50953 00 Surgery 11.76 9.45 823.20$ 661.50$ 50955 00 Surgery 12.52 10.18 876.40$ 712.60$ 50957 00 Surgery 12.65 10.24 885.50$ 716.80$ 50961 00 Surgery 11.43 9.18 800.10$ 642.60$ 50970 00 Surgery 10.72 10.72 750.40$ 750.40$ 50972 00 Surgery 10.35 10.35 724.50$ 724.50$ 50974 00 Surgery 13.67 13.67 956.90$ 956.90$ 50976 00 Surgery 13.49 13.49 944.30$ 944.30$ 50980 00 Surgery 10.30 10.30 721.00$ 721.00$ 51020 00 Surgery 13.73 13.73 961.10$ 961.10$ 51030 00 Surgery 13.83 13.83 968.10$ 968.10$ 51040 00 Surgery 8.49 8.49 594.30$ 594.30$ 51045 00 Surgery 14.75 14.75 1,032.50$ 1,032.50$ 51050 00 Surgery 13.79 13.79 965.30$ 965.30$ 51060 00 Surgery 17.00 17.00 1,190.00$ 1,190.00$ 51065 00 Surgery 16.93 16.93 1,185.10$ 1,185.10$ 51080 00 Surgery 11.93 11.93 835.10$ 835.10$ 51100 00 Surgery 2.18 1.12 152.60$ 78.40$ 51101 00 Surgery 4.55 1.50 318.50$ 105.00$ 51102 00 Surgery 7.19 4.21 503.30$ 294.70$ 51500 00 Surgery 18.60 18.60 1,302.00$ 1,302.00$ 51520 00 Surgery 17.38 17.38 1,216.60$ 1,216.60$ 51525 00 Surgery 25.07 25.07 1,754.90$ 1,754.90$ 51530 00 Surgery 22.46 22.46 1,572.20$ 1,572.20$ 51535 00 Surgery 22.75 22.75 1,592.50$ 1,592.50$ 51550 00 Surgery 28.06 28.06 1,964.20$ 1,964.20$ 51555 00 Surgery 36.79 36.79 2,575.30$ 2,575.30$ 51565 00 Surgery 37.51 37.51 2,625.70$ 2,625.70$ 51570 00 Surgery 42.76 42.76 2,993.20$ 2,993.20$ 51575 00 Surgery 52.93 52.93 3,705.10$ 3,705.10$ 51580 00 Surgery 55.17 55.17 3,861.90$ 3,861.90$ 51585 00 Surgery 61.37 61.37 4,295.90$ 4,295.90$ 51590 00 Surgery 56.23 56.23 3,936.10$ 3,936.10$ 51595 00 Surgery 63.58 63.58 4,450.60$ 4,450.60$ 51596 00 Surgery 68.49 68.49 4,794.30$ 4,794.30$ 51597 00 Surgery 66.69 66.69 4,668.30$ 4,668.30$ 51600 00 Surgery 6.47 1.28 452.90$ 89.60$ 51605 00 Surgery 1.12 1.12 78.40$ 78.40$ 51610 00 Surgery 3.76 1.85 263.20$ 129.50$ 51700 00 Surgery 2.32 0.90 162.40$ 63.00$ 51701 00 Surgery 1.34 0.74 93.80$ 51.80$ 51702 00 Surgery 1.87 0.73 130.90$ 51.10$ 51703 00 Surgery 4.37 2.22 305.90$ 155.40$ 51705 00 Surgery 2.86 1.50 200.20$ 105.00$ 51710 00 Surgery 4.00 2.30 280.00$ 161.00$ 51715 00 Surgery 10.79 5.82 755.30$ 407.40$ 51720 00 Surgery 2.61 1.27 182.70$ 88.90$ 51725 00 Surgery 6.71 6.71 469.70$ 469.70$ 51725 26 Surgery 2.21 2.21 154.70$ 154.70$ 51725 TC Surgery 4.50 4.50 315.00$ 315.00$ 51726 00 Surgery 9.02 9.02 631.40$ 631.40$ 51726 26 Surgery 2.46 2.46 172.20$ 172.20$ 51726 TC Surgery 6.56 6.56 459.20$ 459.20$ 51727 00 Surgery 10.85 10.85 759.50$ 759.50$ 51727 26 Surgery 3.08 3.08 215.60$ 215.60$ 51727 TC Surgery 7.77 7.77 543.90$ 543.90$ 51728 00 Surgery 10.95 10.95 766.50$ 766.50$

PROPOSAL

78


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate51728 26 Surgery 3.01 3.01 210.70$ 210.70$ 51728 TC Surgery 7.94 7.94 555.80$ 555.80$ 51729 00 Surgery 11.62 11.62 813.40$ 813.40$ 51729 26 Surgery 3.67 3.67 256.90$ 256.90$ 51729 TC Surgery 7.95 7.95 556.50$ 556.50$ 51736 00 Surgery 0.39 0.39 27.30$ 27.30$ 51736 26 Surgery 0.24 0.24 16.80$ 16.80$ 51736 TC Surgery 0.15 0.15 10.50$ 10.50$ 51741 00 Surgery 0.41 0.41 28.70$ 28.70$ 51741 26 Surgery 0.25 0.25 17.50$ 17.50$ 51741 TC Surgery 0.16 0.16 11.20$ 11.20$ 51784 00 Surgery 1.93 1.93 135.10$ 135.10$ 51784 26 Surgery 1.08 1.08 75.60$ 75.60$ 51784 TC Surgery 0.85 0.85 59.50$ 59.50$ 51785 00 Surgery 12.85 12.85 899.50$ 899.50$ 51785 26 Surgery 2.72 2.72 190.40$ 190.40$ 51785 TC Surgery 10.13 10.13 709.10$ 709.10$ 51792 00 Surgery 7.93 7.93 555.10$ 555.10$ 51792 26 Surgery 1.58 1.58 110.60$ 110.60$ 51792 TC Surgery 6.35 6.35 444.50$ 444.50$ 51797 00 Surgery 5.52 5.52 386.40$ 386.40$ 51797 26 Surgery 1.14 1.14 79.80$ 79.80$ 51797 TC Surgery 4.38 4.38 306.60$ 306.60$ 51798 00 Surgery 0.30 0.30 21.00$ 21.00$ 51800 00 Surgery 30.37 30.37 2,125.90$ 2,125.90$ 51820 00 Surgery 31.61 31.61 2,212.70$ 2,212.70$ 51840 00 Surgery 20.27 20.27 1,418.90$ 1,418.90$ 51841 00 Surgery 23.43 23.43 1,640.10$ 1,640.10$ 51845 00 Surgery 17.01 17.01 1,190.70$ 1,190.70$ 51860 00 Surgery 21.82 21.82 1,527.40$ 1,527.40$ 51865 00 Surgery 26.24 26.24 1,836.80$ 1,836.80$ 51880 00 Surgery 13.64 13.64 954.80$ 954.80$ 51900 00 Surgery 24.01 24.01 1,680.70$ 1,680.70$ 51920 00 Surgery 22.27 22.27 1,558.90$ 1,558.90$ 51925 00 Surgery 31.66 31.66 2,216.20$ 2,216.20$ 51940 00 Surgery 47.75 47.75 3,342.50$ 3,342.50$ 51960 00 Surgery 40.29 40.29 2,820.30$ 2,820.30$ 51980 00 Surgery 20.83 20.83 1,458.10$ 1,458.10$ 51990 00 Surgery 21.76 21.76 1,523.20$ 1,523.20$ 51992 00 Surgery 24.51 24.51 1,715.70$ 1,715.70$ 51999 00 Surgery 0.00 0.00 BR BR52000 00 Surgery 6.91 2.33 483.70$ 163.10$ 52001 00 Surgery 12.82 8.32 897.40$ 582.40$ 52005 00 Surgery 9.10 3.84 637.00$ 268.80$ 52007 00 Surgery 14.19 4.80 993.30$ 336.00$ 52010 00 Surgery 11.86 4.78 830.20$ 334.60$ 52204 00 Surgery 11.69 4.09 818.30$ 286.30$ 52214 00 Surgery 22.98 5.12 1,608.60$ 358.40$ 52224 00 Surgery 23.92 5.90 1,674.40$ 413.00$ 52234 00 Surgery 7.11 7.11 497.70$ 497.70$ 52235 00 Surgery 8.35 8.35 584.50$ 584.50$ 52240 00 Surgery 11.34 11.34 793.80$ 793.80$ 52250 00 Surgery 6.92 6.92 484.40$ 484.40$ 52260 00 Surgery 6.10 6.10 427.00$ 427.00$ 52265 00 Surgery 11.51 4.72 805.70$ 330.40$ 52270 00 Surgery 12.59 5.28 881.30$ 369.60$ 52275 00 Surgery 16.27 7.18 1,138.90$ 502.60$ 52276 00 Surgery 7.66 7.66 536.20$ 536.20$ 52277 00 Surgery 9.35 9.35 654.50$ 654.50$

PROPOSAL

79


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate52281 00 Surgery 9.86 4.40 690.20$ 308.00$ 52282 00 Surgery 9.71 9.71 679.70$ 679.70$ 52283 00 Surgery 10.27 5.85 718.90$ 409.50$ 52285 00 Surgery 10.18 5.68 712.60$ 397.60$ 52287 00 Surgery 11.41 4.91 798.70$ 343.70$ 52290 00 Surgery 7.06 7.06 494.20$ 494.20$ 52300 00 Surgery 8.12 8.12 568.40$ 568.40$ 52301 00 Surgery 8.40 8.40 588.00$ 588.00$ 52305 00 Surgery 8.06 8.06 564.20$ 564.20$ 52310 00 Surgery 9.19 4.38 643.30$ 306.60$ 52315 00 Surgery 14.05 7.96 983.50$ 557.20$ 52317 00 Surgery 26.97 10.04 1,887.90$ 702.80$ 52318 00 Surgery 13.72 13.72 960.40$ 960.40$ 52320 00 Surgery 7.13 7.13 499.10$ 499.10$ 52325 00 Surgery 9.27 9.27 648.90$ 648.90$ 52327 00 Surgery 7.64 7.64 534.80$ 534.80$ 52330 00 Surgery 18.09 7.63 1,266.30$ 534.10$ 52332 00 Surgery 13.09 4.50 916.30$ 315.00$ 52334 00 Surgery 5.30 5.30 371.00$ 371.00$ 52341 00 Surgery 8.22 8.22 575.40$ 575.40$ 52342 00 Surgery 8.94 8.94 625.80$ 625.80$ 52343 00 Surgery 9.94 9.94 695.80$ 695.80$ 52344 00 Surgery 10.67 10.67 746.90$ 746.90$ 52345 00 Surgery 11.41 11.41 798.70$ 798.70$ 52346 00 Surgery 12.92 12.92 904.40$ 904.40$ 52351 00 Surgery 8.75 8.75 612.50$ 612.50$ 52352 00 Surgery 10.24 10.24 716.80$ 716.80$ 52353 00 Surgery 11.34 11.34 793.80$ 793.80$ 52354 00 Surgery 12.08 12.08 845.60$ 845.60$ 52355 00 Surgery 13.52 13.52 946.40$ 946.40$ 52356 00 Surgery 12.04 12.04 842.80$ 842.80$ 52400 00 Surgery 13.88 13.88 971.60$ 971.60$ 52402 00 Surgery 7.73 7.73 541.10$ 541.10$ 52441 00 Surgery 41.08 6.08 2,875.60$ 425.60$ 52442 00 Surgery 29.26 1.49 2,048.20$ 104.30$ 52450 00 Surgery 13.80 13.80 966.00$ 966.00$ 52500 00 Surgery 14.32 14.32 1,002.40$ 1,002.40$ 52601 00 Surgery 21.23 21.23 1,486.10$ 1,486.10$ 52630 00 Surgery 11.77 11.77 823.90$ 823.90$ 52640 00 Surgery 9.31 9.31 651.70$ 651.70$ 52647 00 Surgery 48.78 18.94 3,414.60$ 1,325.80$ 52648 00 Surgery 50.30 20.17 3,521.00$ 1,411.90$ 52649 00 Surgery 24.08 24.08 1,685.60$ 1,685.60$ 52700 00 Surgery 12.87 12.87 900.90$ 900.90$ 53000 00 Surgery 4.33 4.33 303.10$ 303.10$ 53010 00 Surgery 8.63 8.63 604.10$ 604.10$ 53020 00 Surgery 2.81 2.81 196.70$ 196.70$ 53025 00 Surgery 1.97 1.97 137.90$ 137.90$ 53040 00 Surgery 11.45 11.45 801.50$ 801.50$ 53060 00 Surgery 5.57 4.87 389.90$ 340.90$ 53080 00 Surgery 12.27 12.27 858.90$ 858.90$ 53085 00 Surgery 18.96 18.96 1,327.20$ 1,327.20$ 53200 00 Surgery 4.61 4.12 322.70$ 288.40$ 53210 00 Surgery 22.46 22.46 1,572.20$ 1,572.20$ 53215 00 Surgery 27.00 27.00 1,890.00$ 1,890.00$ 53220 00 Surgery 13.18 13.18 922.60$ 922.60$ 53230 00 Surgery 17.81 17.81 1,246.70$ 1,246.70$ 53235 00 Surgery 18.49 18.49 1,294.30$ 1,294.30$ 53240 00 Surgery 12.39 12.39 867.30$ 867.30$

PROPOSAL

80


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate53250 00 Surgery 11.55 11.55 808.50$ 808.50$ 53260 00 Surgery 6.08 5.30 425.60$ 371.00$ 53265 00 Surgery 6.73 5.51 471.10$ 385.70$ 53270 00 Surgery 6.18 5.37 432.60$ 375.90$ 53275 00 Surgery 7.67 7.67 536.90$ 536.90$ 53400 00 Surgery 23.32 23.32 1,632.40$ 1,632.40$ 53405 00 Surgery 25.46 25.46 1,782.20$ 1,782.20$ 53410 00 Surgery 28.56 28.56 1,999.20$ 1,999.20$ 53415 00 Surgery 32.94 32.94 2,305.80$ 2,305.80$ 53420 00 Surgery 24.54 24.54 1,717.80$ 1,717.80$ 53425 00 Surgery 27.29 27.29 1,910.30$ 1,910.30$ 53430 00 Surgery 28.43 28.43 1,990.10$ 1,990.10$ 53431 00 Surgery 33.57 33.57 2,349.90$ 2,349.90$ 53440 00 Surgery 21.97 21.97 1,537.90$ 1,537.90$ 53442 00 Surgery 22.89 22.89 1,602.30$ 1,602.30$ 53444 00 Surgery 23.13 23.13 1,619.10$ 1,619.10$ 53445 00 Surgery 22.05 22.05 1,543.50$ 1,543.50$ 53446 00 Surgery 18.76 18.76 1,313.20$ 1,313.20$ 53447 00 Surgery 23.54 23.54 1,647.80$ 1,647.80$ 53448 00 Surgery 37.19 37.19 2,603.30$ 2,603.30$ 53449 00 Surgery 17.91 17.91 1,253.70$ 1,253.70$ 53450 00 Surgery 11.94 11.94 835.80$ 835.80$ 53460 00 Surgery 13.37 13.37 935.90$ 935.90$ 53500 00 Surgery 21.93 21.93 1,535.10$ 1,535.10$ 53502 00 Surgery 14.19 14.19 993.30$ 993.30$ 53505 00 Surgery 14.18 14.18 992.60$ 992.60$ 53510 00 Surgery 18.45 18.45 1,291.50$ 1,291.50$ 53515 00 Surgery 23.19 23.19 1,623.30$ 1,623.30$ 53520 00 Surgery 16.30 16.30 1,141.00$ 1,141.00$ 53600 00 Surgery 2.59 1.85 181.30$ 129.50$ 53601 00 Surgery 2.50 1.56 175.00$ 109.20$ 53605 00 Surgery 1.87 1.87 130.90$ 130.90$ 53620 00 Surgery 4.83 2.53 338.10$ 177.10$ 53621 00 Surgery 4.59 2.08 321.30$ 145.60$ 53660 00 Surgery 2.21 1.21 154.70$ 84.70$ 53661 00 Surgery 2.18 1.17 152.60$ 81.90$ 53665 00 Surgery 1.12 1.12 78.40$ 78.40$ 53850 00 Surgery 46.24 10.31 3,236.80$ 721.70$ 53852 00 Surgery 44.92 11.04 3,144.40$ 772.80$ 53854 00 Surgery 54.11 11.05 3,787.70$ 773.50$ 53855 00 Surgery 21.86 2.39 1,530.20$ 167.30$ 53860 00 Surgery 71.09 6.47 4,976.30$ 452.90$ 53899 00 Surgery 0.00 0.00 BR BR54000 00 Surgery 4.77 3.21 333.90$ 224.70$ 54001 00 Surgery 5.81 4.08 406.70$ 285.60$ 54015 00 Surgery 8.91 8.91 623.70$ 623.70$ 54050 00 Surgery 4.12 3.07 288.40$ 214.90$ 54055 00 Surgery 3.93 2.76 275.10$ 193.20$ 54056 00 Surgery 4.19 3.18 293.30$ 222.60$ 54057 00 Surgery 4.16 2.80 291.20$ 196.00$ 54060 00 Surgery 5.72 3.80 400.40$ 266.00$ 54065 00 Surgery 6.52 4.95 456.40$ 346.50$ 54100 00 Surgery 6.00 3.52 420.00$ 246.40$ 54105 00 Surgery 8.13 6.22 569.10$ 435.40$ 54110 00 Surgery 18.26 18.26 1,278.20$ 1,278.20$ 54111 00 Surgery 23.30 23.30 1,631.00$ 1,631.00$ 54112 00 Surgery 27.29 27.29 1,910.30$ 1,910.30$ 54115 00 Surgery 13.33 12.42 933.10$ 869.40$ 54120 00 Surgery 18.42 18.42 1,289.40$ 1,289.40$

PROPOSAL

81


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate54125 00 Surgery 23.81 23.81 1,666.70$ 1,666.70$ 54130 00 Surgery 34.76 34.76 2,433.20$ 2,433.20$ 54135 00 Surgery 43.97 43.97 3,077.90$ 3,077.90$ 54150 00 Surgery 4.49 2.84 314.30$ 198.80$ 54160 00 Surgery 6.56 4.23 459.20$ 296.10$ 54161 00 Surgery 5.75 5.75 402.50$ 402.50$ 54162 00 Surgery 7.67 5.83 536.90$ 408.10$ 54163 00 Surgery 6.36 6.36 445.20$ 445.20$ 54164 00 Surgery 5.62 5.62 393.40$ 393.40$ 54200 00 Surgery 3.35 2.49 234.50$ 174.30$ 54205 00 Surgery 15.54 15.54 1,087.80$ 1,087.80$ 54220 00 Surgery 6.46 3.89 452.20$ 272.30$ 54230 00 Surgery 3.03 2.30 212.10$ 161.00$ 54231 00 Surgery 4.14 3.35 289.80$ 234.50$ 54235 00 Surgery 2.59 2.12 181.30$ 148.40$ 54240 00 Surgery 3.04 3.04 212.80$ 212.80$ 54240 26 Surgery 1.90 1.90 133.00$ 133.00$ 54240 TC Surgery 1.14 1.14 79.80$ 79.80$ 54250 00 Surgery 3.54 3.54 247.80$ 247.80$ 54250 26 Surgery 3.15 3.15 220.50$ 220.50$ 54250 TC Surgery 0.39 0.39 27.30$ 27.30$ 54300 00 Surgery 18.86 18.86 1,320.20$ 1,320.20$ 54304 00 Surgery 21.83 21.83 1,528.10$ 1,528.10$ 54308 00 Surgery 20.90 20.90 1,463.00$ 1,463.00$ 54312 00 Surgery 23.86 23.86 1,670.20$ 1,670.20$ 54316 00 Surgery 29.01 29.01 2,030.70$ 2,030.70$ 54318 00 Surgery 20.77 20.77 1,453.90$ 1,453.90$ 54322 00 Surgery 22.80 22.80 1,596.00$ 1,596.00$ 54324 00 Surgery 28.21 28.21 1,974.70$ 1,974.70$ 54326 00 Surgery 27.48 27.48 1,923.60$ 1,923.60$ 54328 00 Surgery 27.31 27.31 1,911.70$ 1,911.70$ 54332 00 Surgery 29.47 29.47 2,062.90$ 2,062.90$ 54336 00 Surgery 34.64 34.64 2,424.80$ 2,424.80$ 54340 00 Surgery 16.64 16.64 1,164.80$ 1,164.80$ 54344 00 Surgery 27.53 27.53 1,927.10$ 1,927.10$ 54348 00 Surgery 29.47 29.47 2,062.90$ 2,062.90$ 54352 00 Surgery 41.21 41.21 2,884.70$ 2,884.70$ 54360 00 Surgery 21.04 21.04 1,472.80$ 1,472.80$ 54380 00 Surgery 23.31 23.31 1,631.70$ 1,631.70$ 54385 00 Surgery 27.13 27.13 1,899.10$ 1,899.10$ 54390 00 Surgery 36.16 36.16 2,531.20$ 2,531.20$ 54400 00 Surgery 15.51 15.51 1,085.70$ 1,085.70$ 54401 00 Surgery 19.30 19.30 1,351.00$ 1,351.00$ 54405 00 Surgery 23.58 23.58 1,650.60$ 1,650.60$ 54406 00 Surgery 21.34 21.34 1,493.80$ 1,493.80$ 54408 00 Surgery 23.07 23.07 1,614.90$ 1,614.90$ 54410 00 Surgery 25.16 25.16 1,761.20$ 1,761.20$ 54411 00 Surgery 30.13 30.13 2,109.10$ 2,109.10$ 54415 00 Surgery 15.49 15.49 1,084.30$ 1,084.30$ 54416 00 Surgery 20.87 20.87 1,460.90$ 1,460.90$ 54417 00 Surgery 26.19 26.19 1,833.30$ 1,833.30$ 54420 00 Surgery 20.54 20.54 1,437.80$ 1,437.80$ 54430 00 Surgery 18.66 18.66 1,306.20$ 1,306.20$ 54435 00 Surgery 12.10 12.10 847.00$ 847.00$ 54437 00 Surgery 19.76 19.76 1,383.20$ 1,383.20$ 54438 00 Surgery 38.92 38.92 2,724.40$ 2,724.40$ 54440 00 Surgery - - 1,168.30$ 1,168.30$ 54450 00 Surgery 2.00 1.67 140.00$ 116.90$ 54500 00 Surgery 2.15 2.15 150.50$ 150.50$

PROPOSAL

82


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate54505 00 Surgery 6.14 6.14 429.80$ 429.80$ 54512 00 Surgery 15.77 15.77 1,103.90$ 1,103.90$ 54520 00 Surgery 9.59 9.59 671.30$ 671.30$ 54522 00 Surgery 17.19 17.19 1,203.30$ 1,203.30$ 54530 00 Surgery 14.85 14.85 1,039.50$ 1,039.50$ 54535 00 Surgery 21.71 21.71 1,519.70$ 1,519.70$ 54550 00 Surgery 14.37 14.37 1,005.90$ 1,005.90$ 54560 00 Surgery 20.08 20.08 1,405.60$ 1,405.60$ 54600 00 Surgery 13.22 13.22 925.40$ 925.40$ 54620 00 Surgery 8.73 8.73 611.10$ 611.10$ 54640 00 Surgery 12.67 12.67 886.90$ 886.90$ 54650 00 Surgery 20.79 20.79 1,455.30$ 1,455.30$ 54660 00 Surgery 10.45 10.45 731.50$ 731.50$ 54670 00 Surgery 11.92 11.92 834.40$ 834.40$ 54680 00 Surgery 22.98 22.98 1,608.60$ 1,608.60$ 54690 00 Surgery 19.14 19.14 1,339.80$ 1,339.80$ 54692 00 Surgery 22.07 22.07 1,544.90$ 1,544.90$ 54699 00 Surgery 0.00 0.00 BR BR54700 00 Surgery 6.24 6.24 436.80$ 436.80$ 54800 00 Surgery 3.63 3.63 254.10$ 254.10$ 54830 00 Surgery 10.88 10.88 761.60$ 761.60$ 54840 00 Surgery 9.43 9.43 660.10$ 660.10$ 54860 00 Surgery 12.24 12.24 856.80$ 856.80$ 54861 00 Surgery 16.59 16.59 1,161.30$ 1,161.30$ 54865 00 Surgery 10.50 10.50 735.00$ 735.00$ 54900 00 Surgery 23.35 23.35 1,634.50$ 1,634.50$ 54901 00 Surgery 30.86 30.86 2,160.20$ 2,160.20$ 55000 00 Surgery 3.53 2.45 247.10$ 171.50$ 55040 00 Surgery 9.90 9.90 693.00$ 693.00$ 55041 00 Surgery 14.96 14.96 1,047.20$ 1,047.20$ 55060 00 Surgery 11.12 11.12 778.40$ 778.40$ 55100 00 Surgery 6.77 4.88 473.90$ 341.60$ 55110 00 Surgery 11.33 11.33 793.10$ 793.10$ 55120 00 Surgery 10.35 10.35 724.50$ 724.50$ 55150 00 Surgery 14.40 14.40 1,008.00$ 1,008.00$ 55175 00 Surgery 10.66 10.66 746.20$ 746.20$ 55180 00 Surgery 20.21 20.21 1,414.70$ 1,414.70$ 55200 00 Surgery 11.86 8.09 830.20$ 566.30$ 55250 00 Surgery 10.42 6.66 729.40$ 466.20$ 55300 00 Surgery 5.43 5.43 380.10$ 380.10$ 55400 00 Surgery 14.60 14.60 1,022.00$ 1,022.00$ 55500 00 Surgery 11.53 11.53 807.10$ 807.10$ 55520 00 Surgery 13.52 13.52 946.40$ 946.40$ 55530 00 Surgery 10.30 10.30 721.00$ 721.00$ 55535 00 Surgery 12.57 12.57 879.90$ 879.90$ 55540 00 Surgery 16.43 16.43 1,150.10$ 1,150.10$ 55550 00 Surgery 12.53 12.53 877.10$ 877.10$ 55559 00 Surgery 0.00 0.00 BR BR55600 00 Surgery 12.32 12.32 862.40$ 862.40$ 55605 00 Surgery 15.29 15.29 1,070.30$ 1,070.30$ 55650 00 Surgery 20.97 20.97 1,467.90$ 1,467.90$ 55680 00 Surgery 10.14 10.14 709.80$ 709.80$ 55700 00 Surgery 7.35 3.78 514.50$ 264.60$ 55705 00 Surgery 7.74 7.74 541.80$ 541.80$ 55706 00 Surgery 10.93 10.93 765.10$ 765.10$ 55720 00 Surgery 13.22 13.22 925.40$ 925.40$ 55725 00 Surgery 17.36 17.36 1,215.20$ 1,215.20$ 55801 00 Surgery 31.90 31.90 2,233.00$ 2,233.00$ 55810 00 Surgery 38.10 38.10 2,667.00$ 2,667.00$

PROPOSAL

83


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate55812 00 Surgery 46.78 46.78 3,274.60$ 3,274.60$ 55815 00 Surgery 51.25 51.25 3,587.50$ 3,587.50$ 55821 00 Surgery 25.47 25.47 1,782.90$ 1,782.90$ 55831 00 Surgery 27.55 27.55 1,928.50$ 1,928.50$ 55840 00 Surgery 34.06 34.06 2,384.20$ 2,384.20$ 55842 00 Surgery 34.12 34.12 2,388.40$ 2,388.40$ 55845 00 Surgery 39.62 39.62 2,773.40$ 2,773.40$ 55860 00 Surgery 25.52 25.52 1,786.40$ 1,786.40$ 55862 00 Surgery 31.90 31.90 2,233.00$ 2,233.00$ 55865 00 Surgery 38.86 38.86 2,720.20$ 2,720.20$ 55866 00 Surgery 41.95 41.95 2,936.50$ 2,936.50$ 55870 00 Surgery 5.11 4.11 357.70$ 287.70$ 55873 00 Surgery 186.69 22.28 13,068.30$ 1,559.60$ 55874 00 Surgery 93.45 4.77 6,541.50$ 333.90$ 55875 00 Surgery 22.53 22.53 1,577.10$ 1,577.10$ 55876 00 Surgery 4.38 2.92 306.60$ 204.40$ 55880 00 Surgery 28.57 28.57 1,999.90$ 1,999.90$ 55899 00 Surgery 0.00 0.00 BR BR55920 00 Surgery 13.28 13.28 929.60$ 929.60$ 55970 00 Surgery 0.00 0.00 BR BR55980 00 Surgery 0.00 0.00 BR BR56405 00 Surgery 4.18 3.67 292.60$ 256.90$ 56420 00 Surgery 5.20 3.21 364.00$ 224.70$ 56440 00 Surgery 5.33 5.33 373.10$ 373.10$ 56441 00 Surgery 5.24 4.48 366.80$ 313.60$ 56442 00 Surgery 1.37 1.37 95.90$ 95.90$ 56501 00 Surgery 5.40 3.82 378.00$ 267.40$ 56515 00 Surgery 7.96 6.20 557.20$ 434.00$ 56605 00 Surgery 2.79 1.74 195.30$ 121.80$ 56606 00 Surgery 1.14 0.86 79.80$ 60.20$ 56620 00 Surgery 16.93 16.93 1,185.10$ 1,185.10$ 56625 00 Surgery 19.47 19.47 1,362.90$ 1,362.90$ 56630 00 Surgery 28.07 28.07 1,964.90$ 1,964.90$ 56631 00 Surgery 34.66 34.66 2,426.20$ 2,426.20$ 56632 00 Surgery 41.79 41.79 2,925.30$ 2,925.30$ 56633 00 Surgery 36.01 36.01 2,520.70$ 2,520.70$ 56634 00 Surgery 37.87 37.87 2,650.90$ 2,650.90$ 56637 00 Surgery 43.96 43.96 3,077.20$ 3,077.20$ 56640 00 Surgery 44.65 44.65 3,125.50$ 3,125.50$ 56700 00 Surgery 5.94 5.94 415.80$ 415.80$ 56740 00 Surgery 9.24 9.24 646.80$ 646.80$ 56800 00 Surgery 7.39 7.39 517.30$ 517.30$ 56805 00 Surgery 34.37 34.37 2,405.90$ 2,405.90$ 56810 00 Surgery 7.94 7.94 555.80$ 555.80$ 56820 00 Surgery 3.62 2.47 253.40$ 172.90$ 56821 00 Surgery 4.86 3.32 340.20$ 232.40$ 57000 00 Surgery 5.90 5.90 413.00$ 413.00$ 57010 00 Surgery 13.44 13.44 940.80$ 940.80$ 57020 00 Surgery 3.57 2.36 249.90$ 165.20$ 57022 00 Surgery 5.32 5.32 372.40$ 372.40$ 57023 00 Surgery 9.40 9.40 658.00$ 658.00$ 57061 00 Surgery 4.70 3.31 329.00$ 231.70$ 57065 00 Surgery 7.08 5.44 495.60$ 380.80$ 57100 00 Surgery 2.99 1.93 209.30$ 135.10$ 57105 00 Surgery 5.06 4.21 354.20$ 294.70$ 57106 00 Surgery 15.63 15.63 1,094.10$ 1,094.10$ 57107 00 Surgery 42.50 42.50 2,975.00$ 2,975.00$ 57109 00 Surgery 50.64 50.64 3,544.80$ 3,544.80$ 57110 00 Surgery 26.69 26.69 1,868.30$ 1,868.30$

PROPOSAL

84


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate57111 00 Surgery 50.64 50.64 3,544.80$ 3,544.80$ 57120 00 Surgery 15.59 15.59 1,091.30$ 1,091.30$ 57130 00 Surgery 6.60 5.05 462.00$ 353.50$ 57135 00 Surgery 7.09 5.48 496.30$ 383.60$ 57150 00 Surgery 1.72 0.78 120.40$ 54.60$ 57155 00 Surgery 11.38 8.22 796.60$ 575.40$ 57156 00 Surgery 6.54 4.36 457.80$ 305.20$ 57160 00 Surgery 2.14 1.37 149.80$ 95.90$ 57170 00 Surgery 2.24 1.41 156.80$ 98.70$ 57180 00 Surgery 5.70 3.53 399.00$ 247.10$ 57200 00 Surgery 9.67 9.67 676.90$ 676.90$ 57210 00 Surgery 11.55 11.55 808.50$ 808.50$ 57220 00 Surgery 10.12 10.12 708.40$ 708.40$ 57230 00 Surgery 12.31 12.31 861.70$ 861.70$ 57240 00 Surgery 17.98 17.98 1,258.60$ 1,258.60$ 57250 00 Surgery 18.08 18.08 1,265.60$ 1,265.60$ 57260 00 Surgery 22.92 22.92 1,604.40$ 1,604.40$ 57265 00 Surgery 25.70 25.70 1,799.00$ 1,799.00$ 57267 00 Surgery 7.39 7.39 517.30$ 517.30$ 57268 00 Surgery 14.88 14.88 1,041.60$ 1,041.60$ 57270 00 Surgery 23.93 23.93 1,675.10$ 1,675.10$ 57280 00 Surgery 28.43 28.43 1,990.10$ 1,990.10$ 57282 00 Surgery 20.42 20.42 1,429.40$ 1,429.40$ 57283 00 Surgery 20.56 20.56 1,439.20$ 1,439.20$ 57284 00 Surgery 24.50 24.50 1,715.00$ 1,715.00$ 57285 00 Surgery 20.41 20.41 1,428.70$ 1,428.70$ 57287 00 Surgery 21.64 21.64 1,514.80$ 1,514.80$ 57288 00 Surgery 21.79 21.79 1,525.30$ 1,525.30$ 57289 00 Surgery 23.37 23.37 1,635.90$ 1,635.90$ 57291 00 Surgery 16.20 16.20 1,134.00$ 1,134.00$ 57292 00 Surgery 24.46 24.46 1,712.20$ 1,712.20$ 57295 00 Surgery 14.70 14.70 1,029.00$ 1,029.00$ 57296 00 Surgery 28.01 28.01 1,960.70$ 1,960.70$ 57300 00 Surgery 17.85 17.85 1,249.50$ 1,249.50$ 57305 00 Surgery 28.91 28.91 2,023.70$ 2,023.70$ 57307 00 Surgery 31.43 31.43 2,200.10$ 2,200.10$ 57308 00 Surgery 19.37 19.37 1,355.90$ 1,355.90$ 57310 00 Surgery 14.33 14.33 1,003.10$ 1,003.10$ 57311 00 Surgery 16.19 16.19 1,133.30$ 1,133.30$ 57320 00 Surgery 16.42 16.42 1,149.40$ 1,149.40$ 57330 00 Surgery 22.37 22.37 1,565.90$ 1,565.90$ 57335 00 Surgery 34.72 34.72 2,430.40$ 2,430.40$ 57400 00 Surgery 3.85 3.85 269.50$ 269.50$ 57410 00 Surgery 3.09 3.09 216.30$ 216.30$ 57415 00 Surgery 5.12 5.12 358.40$ 358.40$ 57420 00 Surgery 3.82 2.63 267.40$ 184.10$ 57421 00 Surgery 5.15 3.56 360.50$ 249.20$ 57423 00 Surgery 27.34 27.34 1,913.80$ 1,913.80$ 57425 00 Surgery 28.65 28.65 2,005.50$ 2,005.50$ 57426 00 Surgery 25.57 25.57 1,789.90$ 1,789.90$ 57452 00 Surgery 3.67 2.66 256.90$ 186.20$ 57454 00 Surgery 4.95 3.93 346.50$ 275.10$ 57455 00 Surgery 4.71 3.20 329.70$ 224.00$ 57456 00 Surgery 4.42 2.97 309.40$ 207.90$ 57460 00 Surgery 9.48 4.70 663.60$ 329.00$ 57461 00 Surgery 10.55 5.42 738.50$ 379.40$ 57465 00 Surgery 1.66 1.27 116.20$ 88.90$ 57500 00 Surgery 4.55 2.20 318.50$ 154.00$ 57505 00 Surgery 4.33 3.13 303.10$ 219.10$

PROPOSAL

85


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate57510 00 Surgery 4.78 3.32 334.60$ 232.40$ 57511 00 Surgery 5.66 4.27 396.20$ 298.90$ 57513 00 Surgery 5.81 4.26 406.70$ 298.20$ 57520 00 Surgery 10.29 8.63 720.30$ 604.10$ 57522 00 Surgery 8.85 7.48 619.50$ 523.60$ 57530 00 Surgery 10.91 10.91 763.70$ 763.70$ 57531 00 Surgery 53.77 53.77 3,763.90$ 3,763.90$ 57540 00 Surgery 23.37 23.37 1,635.90$ 1,635.90$ 57545 00 Surgery 24.60 24.60 1,722.00$ 1,722.00$ 57550 00 Surgery 12.67 12.67 886.90$ 886.90$ 57555 00 Surgery 18.25 18.25 1,277.50$ 1,277.50$ 57556 00 Surgery 17.30 17.30 1,211.00$ 1,211.00$ 57558 00 Surgery 4.53 3.73 317.10$ 261.10$ 57700 00 Surgery 10.35 10.35 724.50$ 724.50$ 57720 00 Surgery 9.80 9.80 686.00$ 686.00$ 57800 00 Surgery 2.24 1.41 156.80$ 98.70$ 58100 00 Surgery 3.01 1.88 210.70$ 131.60$ 58110 00 Surgery 1.49 1.20 104.30$ 84.00$ 58120 00 Surgery 8.68 6.82 607.60$ 477.40$ 58140 00 Surgery 27.52 27.52 1,926.40$ 1,926.40$ 58145 00 Surgery 16.77 16.77 1,173.90$ 1,173.90$ 58146 00 Surgery 34.14 34.14 2,389.80$ 2,389.80$ 58150 00 Surgery 29.77 29.77 2,083.90$ 2,083.90$ 58152 00 Surgery 36.59 36.59 2,561.30$ 2,561.30$ 58180 00 Surgery 28.26 28.26 1,978.20$ 1,978.20$ 58200 00 Surgery 39.74 39.74 2,781.80$ 2,781.80$ 58210 00 Surgery 53.46 53.46 3,742.20$ 3,742.20$ 58240 00 Surgery 85.89 85.89 6,012.30$ 6,012.30$ 58260 00 Surgery 24.74 24.74 1,731.80$ 1,731.80$ 58262 00 Surgery 27.34 27.34 1,913.80$ 1,913.80$ 58263 00 Surgery 29.34 29.34 2,053.80$ 2,053.80$ 58267 00 Surgery 31.55 31.55 2,208.50$ 2,208.50$ 58270 00 Surgery 26.38 26.38 1,846.60$ 1,846.60$ 58275 00 Surgery 29.22 29.22 2,045.40$ 2,045.40$ 58280 00 Surgery 31.28 31.28 2,189.60$ 2,189.60$ 58285 00 Surgery 41.58 41.58 2,910.60$ 2,910.60$ 58290 00 Surgery 34.03 34.03 2,382.10$ 2,382.10$ 58291 00 Surgery 36.80 36.80 2,576.00$ 2,576.00$ 58292 00 Surgery 38.79 38.79 2,715.30$ 2,715.30$ 58294 00 Surgery 36.00 36.00 2,520.00$ 2,520.00$ 58300 00 Surgery 3.05 1.49 213.50$ 104.30$ 58301 00 Surgery 3.19 1.96 223.30$ 137.20$ 58321 00 Surgery 2.40 1.42 168.00$ 99.40$ 58322 00 Surgery 2.67 1.69 186.90$ 118.30$ 58323 00 Surgery 0.45 0.36 31.50$ 25.20$ 58340 00 Surgery 6.90 1.67 483.00$ 116.90$ 58345 00 Surgery 8.50 8.50 595.00$ 595.00$ 58346 00 Surgery 14.16 14.16 991.20$ 991.20$ 58350 00 Surgery 4.28 2.73 299.60$ 191.10$ 58353 00 Surgery 30.29 6.79 2,120.30$ 475.30$ 58356 00 Surgery 54.78 10.47 3,834.60$ 732.90$ 58400 00 Surgery 13.59 13.59 951.30$ 951.30$ 58410 00 Surgery 24.10 24.10 1,687.00$ 1,687.00$ 58520 00 Surgery 23.60 23.60 1,652.00$ 1,652.00$ 58540 00 Surgery 27.08 27.08 1,895.60$ 1,895.60$ 58541 00 Surgery 21.52 21.52 1,506.40$ 1,506.40$ 58542 00 Surgery 24.51 24.51 1,715.70$ 1,715.70$ 58543 00 Surgery 24.88 24.88 1,741.60$ 1,741.60$ 58544 00 Surgery 26.78 26.78 1,874.60$ 1,874.60$

PROPOSAL

86


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate58545 00 Surgery 26.57 26.57 1,859.90$ 1,859.90$ 58546 00 Surgery 32.91 32.91 2,303.70$ 2,303.70$ 58548 00 Surgery 55.15 55.15 3,860.50$ 3,860.50$ 58550 00 Surgery 26.01 26.01 1,820.70$ 1,820.70$ 58552 00 Surgery 28.93 28.93 2,025.10$ 2,025.10$ 58553 00 Surgery 33.12 33.12 2,318.40$ 2,318.40$ 58554 00 Surgery 38.55 38.55 2,698.50$ 2,698.50$ 58555 00 Surgery 10.65 4.46 745.50$ 312.20$ 58558 00 Surgery 42.87 6.78 3,000.90$ 474.60$ 58559 00 Surgery 8.36 8.36 585.20$ 585.20$ 58560 00 Surgery 9.22 9.22 645.40$ 645.40$ 58561 00 Surgery 10.52 10.52 736.40$ 736.40$ 58562 00 Surgery 12.71 6.52 889.70$ 456.40$ 58563 00 Surgery 64.72 7.24 4,530.40$ 506.80$ 58565 00 Surgery 54.33 13.43 3,803.10$ 940.10$ 58570 00 Surgery 23.62 23.62 1,653.40$ 1,653.40$ 58571 00 Surgery 26.60 26.60 1,862.00$ 1,862.00$ 58572 00 Surgery 30.51 30.51 2,135.70$ 2,135.70$ 58573 00 Surgery 35.76 35.76 2,503.20$ 2,503.20$ 58575 00 Surgery 56.41 56.41 3,948.70$ 3,948.70$ 58578 00 Surgery 0.00 0.00 BR BR58579 00 Surgery 0.00 0.00 BR BR58600 00 Surgery 10.94 10.94 765.80$ 765.80$ 58605 00 Surgery 9.91 9.91 693.70$ 693.70$ 58611 00 Surgery 2.24 2.24 156.80$ 156.80$ 58615 00 Surgery 7.49 7.49 524.30$ 524.30$ 58660 00 Surgery 20.05 20.05 1,403.50$ 1,403.50$ 58661 00 Surgery 19.21 19.21 1,344.70$ 1,344.70$ 58662 00 Surgery 20.98 20.98 1,468.60$ 1,468.60$ 58670 00 Surgery 10.96 10.96 767.20$ 767.20$ 58671 00 Surgery 10.96 10.96 767.20$ 767.20$ 58672 00 Surgery 21.62 21.62 1,513.40$ 1,513.40$ 58673 00 Surgery 23.47 23.47 1,642.90$ 1,642.90$ 58674 00 Surgery 24.03 24.03 1,682.10$ 1,682.10$ 58679 00 Surgery 0.00 0.00 BR BR58700 00 Surgery 23.44 23.44 1,640.80$ 1,640.80$ 58720 00 Surgery 22.19 22.19 1,553.30$ 1,553.30$ 58740 00 Surgery 26.55 26.55 1,858.50$ 1,858.50$ 58750 00 Surgery 26.88 26.88 1,881.60$ 1,881.60$ 58752 00 Surgery 26.81 26.81 1,876.70$ 1,876.70$ 58760 00 Surgery 24.26 24.26 1,698.20$ 1,698.20$ 58770 00 Surgery 25.46 25.46 1,782.20$ 1,782.20$ 58800 00 Surgery 10.62 9.28 743.40$ 649.60$ 58805 00 Surgery 12.58 12.58 880.60$ 880.60$ 58820 00 Surgery 9.93 9.93 695.10$ 695.10$ 58822 00 Surgery 21.10 21.10 1,477.00$ 1,477.00$ 58825 00 Surgery 20.95 20.95 1,466.50$ 1,466.50$ 58900 00 Surgery 12.83 12.83 898.10$ 898.10$ 58920 00 Surgery 21.10 21.10 1,477.00$ 1,477.00$ 58925 00 Surgery 22.54 22.54 1,577.80$ 1,577.80$ 58940 00 Surgery 16.28 16.28 1,139.60$ 1,139.60$ 58943 00 Surgery 34.51 34.51 2,415.70$ 2,415.70$ 58950 00 Surgery 33.68 33.68 2,357.60$ 2,357.60$ 58951 00 Surgery 42.25 42.25 2,957.50$ 2,957.50$ 58952 00 Surgery 48.18 48.18 3,372.60$ 3,372.60$ 58953 00 Surgery 58.73 58.73 4,111.10$ 4,111.10$ 58954 00 Surgery 63.56 63.56 4,449.20$ 4,449.20$ 58956 00 Surgery 39.90 39.90 2,793.00$ 2,793.00$ 58957 00 Surgery 46.64 46.64 3,264.80$ 3,264.80$

PROPOSAL

87


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate58958 00 Surgery 48.93 48.93 3,425.10$ 3,425.10$ 58960 00 Surgery 28.72 28.72 2,010.40$ 2,010.40$ 58970 00 Surgery 7.04 5.78 492.80$ 404.60$ 58974 00 Surgery - - 306.60$ 306.60$ 58976 00 Surgery 7.60 6.25 532.00$ 437.50$ 58999 00 Surgery 0.00 0.00 BR BR59000 00 Surgery 3.49 2.33 244.30$ 163.10$ 59001 00 Surgery 5.22 5.22 365.40$ 365.40$ 59012 00 Surgery 5.91 5.91 413.70$ 413.70$ 59015 00 Surgery 4.60 3.86 322.00$ 270.20$ 59020 00 Surgery 2.06 2.06 144.20$ 144.20$ 59020 26 Surgery 1.07 1.07 74.90$ 74.90$ 59020 TC Surgery 0.99 0.99 69.30$ 69.30$ 59025 00 Surgery 1.44 1.44 100.80$ 100.80$ 59025 26 Surgery 0.87 0.87 60.90$ 60.90$ 59025 TC Surgery 0.57 0.57 39.90$ 39.90$ 59030 00 Surgery 3.29 3.29 230.30$ 230.30$ 59050 00 Surgery 1.48 1.48 103.60$ 103.60$ 59051 00 Surgery 1.23 1.23 86.10$ 86.10$ 59070 00 Surgery 11.87 9.05 830.90$ 633.50$ 59072 00 Surgery 15.30 15.30 1,071.00$ 1,071.00$ 59074 00 Surgery 11.36 9.05 795.20$ 633.50$ 59076 00 Surgery 15.30 15.30 1,071.00$ 1,071.00$ 59100 00 Surgery 25.20 25.20 1,764.00$ 1,764.00$ 59120 00 Surgery 24.02 24.02 1,681.40$ 1,681.40$ 59121 00 Surgery 24.04 24.04 1,682.80$ 1,682.80$ 59130 00 Surgery 27.95 27.95 1,956.50$ 1,956.50$ 59135 00 Surgery 27.60 27.60 1,932.00$ 1,932.00$ 59136 00 Surgery 26.51 26.51 1,855.70$ 1,855.70$ 59140 00 Surgery 12.29 12.29 860.30$ 860.30$ 59150 00 Surgery 23.31 23.31 1,631.70$ 1,631.70$ 59151 00 Surgery 22.73 22.73 1,591.10$ 1,591.10$ 59160 00 Surgery 7.80 5.50 546.00$ 385.00$ 59200 00 Surgery 2.97 1.31 207.90$ 91.70$ 59300 00 Surgery 6.70 4.31 469.00$ 301.70$ 59320 00 Surgery 4.43 4.43 310.10$ 310.10$ 59325 00 Surgery 7.07 7.07 494.90$ 494.90$ 59350 00 Surgery 8.21 8.21 574.70$ 574.70$ 59400 00 Surgery 70.26 70.26 4,918.20$ 4,918.20$ 59409 00 Surgery 23.64 23.64 1,654.80$ 1,654.80$ 59410 00 Surgery 31.17 31.17 2,181.90$ 2,181.90$ 59412 00 Surgery 3.01 3.01 210.70$ 210.70$ 59414 00 Surgery 2.68 2.68 187.60$ 187.60$ 59425 00 Surgery 16.39 12.81 1,147.30$ 896.70$ 59426 00 Surgery 29.99 23.47 2,099.30$ 1,642.90$ 59430 00 Surgery 7.62 5.29 533.40$ 370.30$ 59510 00 Surgery 77.60 77.60 5,432.00$ 5,432.00$ 59514 00 Surgery 26.75 26.75 1,872.50$ 1,872.50$ 59515 00 Surgery 38.41 38.41 2,688.70$ 2,688.70$ 59525 00 Surgery 14.15 14.15 990.50$ 990.50$ 59610 00 Surgery 73.45 73.45 5,141.50$ 5,141.50$ 59612 00 Surgery 26.71 26.71 1,869.70$ 1,869.70$ 59614 00 Surgery 33.75 33.75 2,362.50$ 2,362.50$ 59618 00 Surgery 78.45 78.45 5,491.50$ 5,491.50$ 59620 00 Surgery 27.62 27.62 1,933.40$ 1,933.40$ 59622 00 Surgery 39.78 39.78 2,784.60$ 2,784.60$ 59812 00 Surgery 10.58 9.06 740.60$ 634.20$ 59820 00 Surgery 12.73 11.25 891.10$ 787.50$ 59821 00 Surgery 12.59 11.05 881.30$ 773.50$

PROPOSAL

88


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate59830 00 Surgery 13.61 13.61 952.70$ 952.70$ 59840 00 Surgery 7.26 6.50 508.20$ 455.00$ 59841 00 Surgery 12.43 10.94 870.10$ 765.80$ 59850 00 Surgery 11.49 11.49 804.30$ 804.30$ 59851 00 Surgery 12.50 12.50 875.00$ 875.00$ 59852 00 Surgery 17.25 17.25 1,207.50$ 1,207.50$ 59855 00 Surgery 12.51 12.51 875.70$ 875.70$ 59856 00 Surgery 14.63 14.63 1,024.10$ 1,024.10$ 59857 00 Surgery 17.09 17.09 1,196.30$ 1,196.30$ 59866 00 Surgery 6.98 6.98 488.60$ 488.60$ 59870 00 Surgery 15.58 15.58 1,090.60$ 1,090.60$ 59871 00 Surgery 3.89 3.89 272.30$ 272.30$ 59897 00 Surgery 0.00 0.00 BR BR59898 00 Surgery 0.00 0.00 BR BR59899 00 Surgery - - 1,130.50$ 1,130.50$ 60000 00 Surgery 5.28 4.49 369.60$ 314.30$ 60100 00 Surgery 3.25 2.25 227.50$ 157.50$ 60200 00 Surgery 19.59 19.59 1,371.30$ 1,371.30$ 60210 00 Surgery 20.77 20.77 1,453.90$ 1,453.90$ 60212 00 Surgery 30.41 30.41 2,128.70$ 2,128.70$ 60220 00 Surgery 20.71 20.71 1,449.70$ 1,449.70$ 60225 00 Surgery 27.34 27.34 1,913.80$ 1,913.80$ 60240 00 Surgery 26.91 26.91 1,883.70$ 1,883.70$ 60252 00 Surgery 38.71 38.71 2,709.70$ 2,709.70$ 60254 00 Surgery 48.66 48.66 3,406.20$ 3,406.20$ 60260 00 Surgery 31.90 31.90 2,233.00$ 2,233.00$ 60270 00 Surgery 40.04 40.04 2,802.80$ 2,802.80$ 60271 00 Surgery 30.91 30.91 2,163.70$ 2,163.70$ 60280 00 Surgery 13.15 13.15 920.50$ 920.50$ 60281 00 Surgery 17.27 17.27 1,208.90$ 1,208.90$ 60300 00 Surgery 3.30 1.43 231.00$ 100.10$ 60500 00 Surgery 28.49 28.49 1,994.30$ 1,994.30$ 60502 00 Surgery 38.15 38.15 2,670.50$ 2,670.50$ 60505 00 Surgery 40.88 40.88 2,861.60$ 2,861.60$ 60512 00 Surgery 7.09 7.09 496.30$ 496.30$ 60520 00 Surgery 30.81 30.81 2,156.70$ 2,156.70$ 60521 00 Surgery 32.85 32.85 2,299.50$ 2,299.50$ 60522 00 Surgery 40.05 40.05 2,803.50$ 2,803.50$ 60540 00 Surgery 31.63 31.63 2,214.10$ 2,214.10$ 60545 00 Surgery 36.58 36.58 2,560.60$ 2,560.60$ 60600 00 Surgery 39.82 39.82 2,787.40$ 2,787.40$ 60605 00 Surgery 48.25 48.25 3,377.50$ 3,377.50$ 60650 00 Surgery 35.03 35.03 2,452.10$ 2,452.10$ 60659 00 Surgery 0.00 0.00 BR BR60699 00 Surgery 0.00 0.00 BR BR61000 00 Surgery 3.33 3.33 233.10$ 233.10$ 61001 00 Surgery 3.14 3.14 219.80$ 219.80$ 61020 00 Surgery 3.07 3.07 214.90$ 214.90$ 61026 00 Surgery 3.10 3.10 217.00$ 217.00$ 61050 00 Surgery 2.40 2.40 168.00$ 168.00$ 61055 00 Surgery 3.50 3.50 245.00$ 245.00$ 61070 00 Surgery 1.64 1.64 114.80$ 114.80$ 61105 00 Surgery 13.67 13.67 956.90$ 956.90$ 61107 00 Surgery 9.19 9.19 643.30$ 643.30$ 61108 00 Surgery 26.63 26.63 1,864.10$ 1,864.10$ 61120 00 Surgery 22.16 22.16 1,551.20$ 1,551.20$ 61140 00 Surgery 37.54 37.54 2,627.80$ 2,627.80$ 61150 00 Surgery 39.87 39.87 2,790.90$ 2,790.90$ 61151 00 Surgery 29.35 29.35 2,054.50$ 2,054.50$

PROPOSAL

89


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate61154 00 Surgery 37.67 37.67 2,636.90$ 2,636.90$ 61156 00 Surgery 36.69 36.69 2,568.30$ 2,568.30$ 61210 00 Surgery 10.77 10.77 753.90$ 753.90$ 61215 00 Surgery 15.06 15.06 1,054.20$ 1,054.20$ 61250 00 Surgery 25.66 25.66 1,796.20$ 1,796.20$ 61253 00 Surgery 29.35 29.35 2,054.50$ 2,054.50$ 61304 00 Surgery 48.44 48.44 3,390.80$ 3,390.80$ 61305 00 Surgery 59.16 59.16 4,141.20$ 4,141.20$ 61312 00 Surgery 61.07 61.07 4,274.90$ 4,274.90$ 61313 00 Surgery 58.46 58.46 4,092.20$ 4,092.20$ 61314 00 Surgery 53.97 53.97 3,777.90$ 3,777.90$ 61315 00 Surgery 60.92 60.92 4,264.40$ 4,264.40$ 61316 00 Surgery 2.57 2.57 179.90$ 179.90$ 61320 00 Surgery 55.93 55.93 3,915.10$ 3,915.10$ 61321 00 Surgery 62.65 62.65 4,385.50$ 4,385.50$ 61322 00 Surgery 70.10 70.10 4,907.00$ 4,907.00$ 61323 00 Surgery 70.37 70.37 4,925.90$ 4,925.90$ 61330 00 Surgery 52.89 52.89 3,702.30$ 3,702.30$ 61333 00 Surgery 59.47 59.47 4,162.90$ 4,162.90$ 61340 00 Surgery 42.53 42.53 2,977.10$ 2,977.10$ 61343 00 Surgery 64.69 64.69 4,528.30$ 4,528.30$ 61345 00 Surgery 60.21 60.21 4,214.70$ 4,214.70$ 61450 00 Surgery 56.58 56.58 3,960.60$ 3,960.60$ 61458 00 Surgery 59.39 59.39 4,157.30$ 4,157.30$ 61460 00 Surgery 62.07 62.07 4,344.90$ 4,344.90$ 61500 00 Surgery 38.47 38.47 2,692.90$ 2,692.90$ 61501 00 Surgery 33.13 33.13 2,319.10$ 2,319.10$ 61510 00 Surgery 64.80 64.80 4,536.00$ 4,536.00$ 61512 00 Surgery 75.20 75.20 5,264.00$ 5,264.00$ 61514 00 Surgery 56.41 56.41 3,948.70$ 3,948.70$ 61516 00 Surgery 55.22 55.22 3,865.40$ 3,865.40$ 61517 00 Surgery 2.56 2.56 179.20$ 179.20$ 61518 00 Surgery 81.54 81.54 5,707.80$ 5,707.80$ 61519 00 Surgery 86.71 86.71 6,069.70$ 6,069.70$ 61520 00 Surgery 110.00 110.00 7,700.00$ 7,700.00$ 61521 00 Surgery 93.05 93.05 6,513.50$ 6,513.50$ 61522 00 Surgery 64.49 64.49 4,514.30$ 4,514.30$ 61524 00 Surgery 61.44 61.44 4,300.80$ 4,300.80$ 61526 00 Surgery 98.28 98.28 6,879.60$ 6,879.60$ 61530 00 Surgery 90.43 90.43 6,330.10$ 6,330.10$ 61531 00 Surgery 36.16 36.16 2,531.20$ 2,531.20$ 61533 00 Surgery 45.03 45.03 3,152.10$ 3,152.10$ 61534 00 Surgery 48.69 48.69 3,408.30$ 3,408.30$ 61535 00 Surgery 29.67 29.67 2,076.90$ 2,076.90$ 61536 00 Surgery 75.92 75.92 5,314.40$ 5,314.40$ 61537 00 Surgery 72.49 72.49 5,074.30$ 5,074.30$ 61538 00 Surgery 78.36 78.36 5,485.20$ 5,485.20$ 61539 00 Surgery 69.57 69.57 4,869.90$ 4,869.90$ 61540 00 Surgery 64.20 64.20 4,494.00$ 4,494.00$ 61541 00 Surgery 63.36 63.36 4,435.20$ 4,435.20$ 61543 00 Surgery 64.06 64.06 4,484.20$ 4,484.20$ 61544 00 Surgery 55.99 55.99 3,919.30$ 3,919.30$ 61545 00 Surgery 93.80 93.80 6,566.00$ 6,566.00$ 61546 00 Surgery 68.01 68.01 4,760.70$ 4,760.70$ 61548 00 Surgery 46.22 46.22 3,235.40$ 3,235.40$ 61550 00 Surgery 35.27 35.27 2,468.90$ 2,468.90$ 61552 00 Surgery 43.85 43.85 3,069.50$ 3,069.50$ 61556 00 Surgery 50.40 50.40 3,528.00$ 3,528.00$ 61557 00 Surgery 49.71 49.71 3,479.70$ 3,479.70$

PROPOSAL

90


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate61558 00 Surgery 55.48 55.48 3,883.60$ 3,883.60$ 61559 00 Surgery 70.67 70.67 4,946.90$ 4,946.90$ 61563 00 Surgery 58.46 58.46 4,092.20$ 4,092.20$ 61564 00 Surgery 70.90 70.90 4,963.00$ 4,963.00$ 61566 00 Surgery 66.10 66.10 4,627.00$ 4,627.00$ 61567 00 Surgery 75.28 75.28 5,269.60$ 5,269.60$ 61570 00 Surgery 55.17 55.17 3,861.90$ 3,861.90$ 61571 00 Surgery 58.70 58.70 4,109.00$ 4,109.00$ 61575 00 Surgery 73.78 73.78 5,164.60$ 5,164.60$ 61576 00 Surgery 124.39 124.39 8,707.30$ 8,707.30$ 61580 00 Surgery 73.89 73.89 5,172.30$ 5,172.30$ 61581 00 Surgery 84.92 84.92 5,944.40$ 5,944.40$ 61582 00 Surgery 89.91 89.91 6,293.70$ 6,293.70$ 61583 00 Surgery 86.75 86.75 6,072.50$ 6,072.50$ 61584 00 Surgery 85.65 85.65 5,995.50$ 5,995.50$ 61585 00 Surgery 97.48 97.48 6,823.60$ 6,823.60$ 61586 00 Surgery 75.49 75.49 5,284.30$ 5,284.30$ 61590 00 Surgery 89.49 89.49 6,264.30$ 6,264.30$ 61591 00 Surgery 90.46 90.46 6,332.20$ 6,332.20$ 61592 00 Surgery 94.36 94.36 6,605.20$ 6,605.20$ 61595 00 Surgery 70.70 70.70 4,949.00$ 4,949.00$ 61596 00 Surgery 71.50 71.50 5,005.00$ 5,005.00$ 61597 00 Surgery 87.79 87.79 6,145.30$ 6,145.30$ 61598 00 Surgery 85.22 85.22 5,965.40$ 5,965.40$ 61600 00 Surgery 63.42 63.42 4,439.40$ 4,439.40$ 61601 00 Surgery 72.07 72.07 5,044.90$ 5,044.90$ 61605 00 Surgery 64.03 64.03 4,482.10$ 4,482.10$ 61606 00 Surgery 86.83 86.83 6,078.10$ 6,078.10$ 61607 00 Surgery 90.45 90.45 6,331.50$ 6,331.50$ 61608 00 Surgery 96.70 96.70 6,769.00$ 6,769.00$ 61611 00 Surgery 13.71 13.71 959.70$ 959.70$ 61613 00 Surgery 97.76 97.76 6,843.20$ 6,843.20$ 61615 00 Surgery 84.09 84.09 5,886.30$ 5,886.30$ 61616 00 Surgery 99.09 99.09 6,936.30$ 6,936.30$ 61618 00 Surgery 38.06 38.06 2,664.20$ 2,664.20$ 61619 00 Surgery 40.97 40.97 2,867.90$ 2,867.90$ 61623 00 Surgery 16.68 16.68 1,167.60$ 1,167.60$ 61624 00 Surgery 33.65 33.65 2,355.50$ 2,355.50$ 61626 00 Surgery 25.86 25.86 1,810.20$ 1,810.20$ 61630 00 Surgery 40.18 40.18 2,812.60$ 2,812.60$ 61635 00 Surgery 42.48 42.48 2,973.60$ 2,973.60$ 61640 00 Surgery 14.01 14.01 980.70$ 980.70$ 61641 00 Surgery 4.92 4.92 344.40$ 344.40$ 61642 00 Surgery 9.84 9.84 688.80$ 688.80$ 61645 00 Surgery 24.48 24.48 1,713.60$ 1,713.60$ 61650 00 Surgery 16.67 16.67 1,166.90$ 1,166.90$ 61651 00 Surgery 7.15 7.15 500.50$ 500.50$ 61680 00 Surgery 66.85 66.85 4,679.50$ 4,679.50$ 61682 00 Surgery 122.22 122.22 8,555.40$ 8,555.40$ 61684 00 Surgery 83.67 83.67 5,856.90$ 5,856.90$ 61686 00 Surgery 132.04 132.04 9,242.80$ 9,242.80$ 61690 00 Surgery 64.26 64.26 4,498.20$ 4,498.20$ 61692 00 Surgery 107.32 107.32 7,512.40$ 7,512.40$ 61697 00 Surgery 123.56 123.56 8,649.20$ 8,649.20$ 61698 00 Surgery 135.97 135.97 9,517.90$ 9,517.90$ 61700 00 Surgery 100.27 100.27 7,018.90$ 7,018.90$ 61702 00 Surgery 118.24 118.24 8,276.80$ 8,276.80$ 61703 00 Surgery 40.12 40.12 2,808.40$ 2,808.40$ 61705 00 Surgery 76.64 76.64 5,364.80$ 5,364.80$

PROPOSAL

91


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate61708 00 Surgery 74.97 74.97 5,247.90$ 5,247.90$ 61710 00 Surgery 63.25 63.25 4,427.50$ 4,427.50$ 61711 00 Surgery 75.75 75.75 5,302.50$ 5,302.50$ 61720 00 Surgery 37.53 37.53 2,627.10$ 2,627.10$ 61735 00 Surgery 47.07 47.07 3,294.90$ 3,294.90$ 61750 00 Surgery 41.54 41.54 2,907.80$ 2,907.80$ 61751 00 Surgery 40.88 40.88 2,861.60$ 2,861.60$ 61760 00 Surgery 46.71 46.71 3,269.70$ 3,269.70$ 61770 00 Surgery 47.85 47.85 3,349.50$ 3,349.50$ 61781 00 Surgery 6.93 6.93 485.10$ 485.10$ 61782 00 Surgery 5.04 5.04 352.80$ 352.80$ 61783 00 Surgery 6.82 6.82 477.40$ 477.40$ 61790 00 Surgery 26.08 26.08 1,825.60$ 1,825.60$ 61791 00 Surgery 33.29 33.29 2,330.30$ 2,330.30$ 61796 00 Surgery 30.01 30.01 2,100.70$ 2,100.70$ 61797 00 Surgery 6.45 6.45 451.50$ 451.50$ 61798 00 Surgery 40.66 40.66 2,846.20$ 2,846.20$ 61799 00 Surgery 8.87 8.87 620.90$ 620.90$ 61800 00 Surgery 4.48 4.48 313.60$ 313.60$ 61850 00 Surgery 29.13 29.13 2,039.10$ 2,039.10$ 61860 00 Surgery 46.14 46.14 3,229.80$ 3,229.80$ 61863 00 Surgery 44.38 44.38 3,106.60$ 3,106.60$ 61864 00 Surgery 8.30 8.30 581.00$ 581.00$ 61867 00 Surgery 67.20 67.20 4,704.00$ 4,704.00$ 61868 00 Surgery 14.62 14.62 1,023.40$ 1,023.40$ 61880 00 Surgery 17.17 17.17 1,201.90$ 1,201.90$ 61885 00 Surgery 15.49 15.49 1,084.30$ 1,084.30$ 61886 00 Surgery 25.69 25.69 1,798.30$ 1,798.30$ 61888 00 Surgery 11.75 11.75 822.50$ 822.50$ 62000 00 Surgery 30.57 30.57 2,139.90$ 2,139.90$ 62005 00 Surgery 37.54 37.54 2,627.80$ 2,627.80$ 62010 00 Surgery 45.35 45.35 3,174.50$ 3,174.50$ 62100 00 Surgery 46.01 46.01 3,220.70$ 3,220.70$ 62115 00 Surgery 49.70 49.70 3,479.00$ 3,479.00$ 62117 00 Surgery 57.96 57.96 4,057.20$ 4,057.20$ 62120 00 Surgery 62.64 62.64 4,384.80$ 4,384.80$ 62121 00 Surgery 46.22 46.22 3,235.40$ 3,235.40$ 62140 00 Surgery 30.03 30.03 2,102.10$ 2,102.10$ 62141 00 Surgery 33.76 33.76 2,363.20$ 2,363.20$ 62142 00 Surgery 26.18 26.18 1,832.60$ 1,832.60$ 62143 00 Surgery 30.89 30.89 2,162.30$ 2,162.30$ 62145 00 Surgery 41.51 41.51 2,905.70$ 2,905.70$ 62146 00 Surgery 36.92 36.92 2,584.40$ 2,584.40$ 62147 00 Surgery 41.87 41.87 2,930.90$ 2,930.90$ 62148 00 Surgery 3.70 3.70 259.00$ 259.00$ 62160 00 Surgery 5.57 5.57 389.90$ 389.90$ 62161 00 Surgery 44.71 44.71 3,129.70$ 3,129.70$ 62162 00 Surgery 55.72 55.72 3,900.40$ 3,900.40$ 62164 00 Surgery 61.72 61.72 4,320.40$ 4,320.40$ 62165 00 Surgery 44.60 44.60 3,122.00$ 3,122.00$ 62180 00 Surgery 47.18 47.18 3,302.60$ 3,302.60$ 62190 00 Surgery 27.46 27.46 1,922.20$ 1,922.20$ 62192 00 Surgery 29.01 29.01 2,030.70$ 2,030.70$ 62194 00 Surgery 14.58 14.58 1,020.60$ 1,020.60$ 62200 00 Surgery 40.64 40.64 2,844.80$ 2,844.80$ 62201 00 Surgery 35.81 35.81 2,506.70$ 2,506.70$ 62220 00 Surgery 28.99 28.99 2,029.30$ 2,029.30$ 62223 00 Surgery 30.71 30.71 2,149.70$ 2,149.70$ 62225 00 Surgery 15.74 15.74 1,101.80$ 1,101.80$

PROPOSAL

92


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate62230 00 Surgery 24.88 24.88 1,741.60$ 1,741.60$ 62252 00 Surgery 2.41 2.41 168.70$ 168.70$ 62252 26 Surgery 1.35 1.35 94.50$ 94.50$ 62252 TC Surgery 1.06 1.06 74.20$ 74.20$ 62256 00 Surgery 17.98 17.98 1,258.60$ 1,258.60$ 62258 00 Surgery 32.99 32.99 2,309.30$ 2,309.30$ 62263 00 Surgery 18.85 9.04 1,319.50$ 632.80$ 62264 00 Surgery 13.48 7.21 943.60$ 504.70$ 62267 00 Surgery 7.98 4.51 558.60$ 315.70$ 62268 00 Surgery 7.55 7.55 528.50$ 528.50$ 62269 00 Surgery 7.62 7.62 533.40$ 533.40$ 62270 00 Surgery 3.88 1.79 271.60$ 125.30$ 62272 00 Surgery 5.23 2.57 366.10$ 179.90$ 62273 00 Surgery 5.03 3.29 352.10$ 230.30$ 62280 00 Surgery 11.07 4.97 774.90$ 347.90$ 62281 00 Surgery 7.23 4.67 506.10$ 326.90$ 62282 00 Surgery 9.86 4.24 690.20$ 296.80$ 62284 00 Surgery 5.89 2.48 412.30$ 173.60$ 62287 00 Surgery 16.95 16.95 1,186.50$ 1,186.50$ 62290 00 Surgery 10.92 4.78 764.40$ 334.60$ 62291 00 Surgery 10.24 4.53 716.80$ 317.10$ 62292 00 Surgery 17.06 17.06 1,194.20$ 1,194.20$ 62294 00 Surgery 28.07 28.07 1,964.90$ 1,964.90$ 62302 00 Surgery 7.79 3.49 545.30$ 244.30$ 62303 00 Surgery 7.92 3.49 554.40$ 244.30$ 62304 00 Surgery 7.70 3.44 539.00$ 240.80$ 62305 00 Surgery 8.37 3.58 585.90$ 250.60$ 62320 00 Surgery 4.91 2.89 343.70$ 202.30$ 62321 00 Surgery 7.96 3.14 557.20$ 219.80$ 62322 00 Surgery 4.27 2.37 298.90$ 165.90$ 62323 00 Surgery 7.85 2.89 549.50$ 202.30$ 62324 00 Surgery 4.16 2.60 291.20$ 182.00$ 62325 00 Surgery 7.62 3.23 533.40$ 226.10$ 62326 00 Surgery 4.24 2.51 296.80$ 175.70$ 62327 00 Surgery 7.87 3.01 550.90$ 210.70$ 62328 00 Surgery 7.67 2.58 536.90$ 180.60$ 62329 00 Surgery 9.69 3.29 678.30$ 230.30$ 62350 00 Surgery 11.73 11.73 821.10$ 821.10$ 62351 00 Surgery 26.58 26.58 1,860.60$ 1,860.60$ 62355 00 Surgery 8.02 8.02 561.40$ 561.40$ 62360 00 Surgery 9.44 9.44 660.80$ 660.80$ 62361 00 Surgery 12.75 12.75 892.50$ 892.50$ 62362 00 Surgery 11.37 11.37 795.90$ 795.90$ 62365 00 Surgery 8.74 8.74 611.80$ 611.80$ 62367 00 Surgery 0.92 0.72 64.40$ 50.40$ 62368 00 Surgery 1.31 1.03 91.70$ 72.10$ 62369 00 Surgery 2.85 1.04 199.50$ 72.80$ 62370 00 Surgery 2.90 1.36 203.00$ 95.20$ 62380 00 Surgery - - 2,624.30$ 2,624.30$ 63001 00 Surgery 36.41 36.41 2,548.70$ 2,548.70$ 63003 00 Surgery 36.44 36.44 2,550.80$ 2,550.80$ 63005 00 Surgery 35.32 35.32 2,472.40$ 2,472.40$ 63011 00 Surgery 32.42 32.42 2,269.40$ 2,269.40$ 63012 00 Surgery 35.21 35.21 2,464.70$ 2,464.70$ 63015 00 Surgery 43.66 43.66 3,056.20$ 3,056.20$ 63016 00 Surgery 44.96 44.96 3,147.20$ 3,147.20$ 63017 00 Surgery 37.27 37.27 2,608.90$ 2,608.90$ 63020 00 Surgery 34.24 34.24 2,396.80$ 2,396.80$ 63030 00 Surgery 28.81 28.81 2,016.70$ 2,016.70$

PROPOSAL

93


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate63035 00 Surgery 5.64 5.64 394.80$ 394.80$ 63040 00 Surgery 41.02 41.02 2,871.40$ 2,871.40$ 63042 00 Surgery 38.22 38.22 2,675.40$ 2,675.40$ 63043 00 Surgery - - 1,265.60$ 1,265.60$ 63044 00 Surgery - - 1,201.90$ 1,201.90$ 63045 00 Surgery 38.01 38.01 2,660.70$ 2,660.70$ 63046 00 Surgery 36.28 36.28 2,539.60$ 2,539.60$ 63047 00 Surgery 32.63 32.63 2,284.10$ 2,284.10$ 63048 00 Surgery 6.21 6.21 434.70$ 434.70$ 63050 00 Surgery 44.16 44.16 3,091.20$ 3,091.20$ 63051 00 Surgery 50.10 50.10 3,507.00$ 3,507.00$ 63055 00 Surgery 48.00 48.00 3,360.00$ 3,360.00$ 63056 00 Surgery 44.01 44.01 3,080.70$ 3,080.70$ 63057 00 Surgery 9.43 9.43 660.10$ 660.10$ 63064 00 Surgery 52.67 52.67 3,686.90$ 3,686.90$ 63066 00 Surgery 6.04 6.04 422.80$ 422.80$ 63075 00 Surgery 40.06 40.06 2,804.20$ 2,804.20$ 63076 00 Surgery 7.18 7.18 502.60$ 502.60$ 63077 00 Surgery 44.14 44.14 3,089.80$ 3,089.80$ 63078 00 Surgery 6.10 6.10 427.00$ 427.00$ 63081 00 Surgery 51.80 51.80 3,626.00$ 3,626.00$ 63082 00 Surgery 7.80 7.80 546.00$ 546.00$ 63085 00 Surgery 56.67 56.67 3,966.90$ 3,966.90$ 63086 00 Surgery 5.56 5.56 389.20$ 389.20$ 63087 00 Surgery 70.88 70.88 4,961.60$ 4,961.60$ 63088 00 Surgery 7.60 7.60 532.00$ 532.00$ 63090 00 Surgery 57.72 57.72 4,040.40$ 4,040.40$ 63091 00 Surgery 5.22 5.22 365.40$ 365.40$ 63101 00 Surgery 68.56 68.56 4,799.20$ 4,799.20$ 63102 00 Surgery 66.91 66.91 4,683.70$ 4,683.70$ 63103 00 Surgery 8.64 8.64 604.80$ 604.80$ 63170 00 Surgery 47.02 47.02 3,291.40$ 3,291.40$ 63172 00 Surgery 41.70 41.70 2,919.00$ 2,919.00$ 63173 00 Surgery 50.91 50.91 3,563.70$ 3,563.70$ 63185 00 Surgery 33.56 33.56 2,349.20$ 2,349.20$ 63190 00 Surgery 36.62 36.62 2,563.40$ 2,563.40$ 63191 00 Surgery 40.77 40.77 2,853.90$ 2,853.90$ 63194 00 Surgery 47.14 47.14 3,299.80$ 3,299.80$ 63195 00 Surgery 45.20 45.20 3,164.00$ 3,164.00$ 63196 00 Surgery 52.53 52.53 3,677.10$ 3,677.10$ 63197 00 Surgery 50.49 50.49 3,534.30$ 3,534.30$ 63198 00 Surgery 61.59 61.59 4,311.30$ 4,311.30$ 63199 00 Surgery 64.51 64.51 4,515.70$ 4,515.70$ 63200 00 Surgery 44.91 44.91 3,143.70$ 3,143.70$ 63250 00 Surgery 87.30 87.30 6,111.00$ 6,111.00$ 63251 00 Surgery 89.24 89.24 6,246.80$ 6,246.80$ 63252 00 Surgery 89.22 89.22 6,245.40$ 6,245.40$ 63265 00 Surgery 49.21 49.21 3,444.70$ 3,444.70$ 63266 00 Surgery 50.82 50.82 3,557.40$ 3,557.40$ 63267 00 Surgery 40.50 40.50 2,835.00$ 2,835.00$ 63268 00 Surgery 41.93 41.93 2,935.10$ 2,935.10$ 63270 00 Surgery 61.25 61.25 4,287.50$ 4,287.50$ 63271 00 Surgery 61.10 61.10 4,277.00$ 4,277.00$ 63272 00 Surgery 55.10 55.10 3,857.00$ 3,857.00$ 63273 00 Surgery 55.10 55.10 3,857.00$ 3,857.00$ 63275 00 Surgery 53.28 53.28 3,729.60$ 3,729.60$ 63276 00 Surgery 52.92 52.92 3,704.40$ 3,704.40$ 63277 00 Surgery 46.08 46.08 3,225.60$ 3,225.60$ 63278 00 Surgery 47.04 47.04 3,292.80$ 3,292.80$

PROPOSAL

94


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate63280 00 Surgery 62.57 62.57 4,379.90$ 4,379.90$ 63281 00 Surgery 61.90 61.90 4,333.00$ 4,333.00$ 63282 00 Surgery 58.41 58.41 4,088.70$ 4,088.70$ 63283 00 Surgery 56.12 56.12 3,928.40$ 3,928.40$ 63285 00 Surgery 77.03 77.03 5,392.10$ 5,392.10$ 63286 00 Surgery 76.07 76.07 5,324.90$ 5,324.90$ 63287 00 Surgery 80.80 80.80 5,656.00$ 5,656.00$ 63290 00 Surgery 82.17 82.17 5,751.90$ 5,751.90$ 63295 00 Surgery 9.64 9.64 674.80$ 674.80$ 63300 00 Surgery 53.86 53.86 3,770.20$ 3,770.20$ 63301 00 Surgery 65.03 65.03 4,552.10$ 4,552.10$ 63302 00 Surgery 64.23 64.23 4,496.10$ 4,496.10$ 63303 00 Surgery 68.21 68.21 4,774.70$ 4,774.70$ 63304 00 Surgery 69.27 69.27 4,848.90$ 4,848.90$ 63305 00 Surgery 73.69 73.69 5,158.30$ 5,158.30$ 63306 00 Surgery 72.40 72.40 5,068.00$ 5,068.00$ 63307 00 Surgery 70.91 70.91 4,963.70$ 4,963.70$ 63308 00 Surgery 9.45 9.45 661.50$ 661.50$ 63600 00 Surgery 32.24 32.24 2,256.80$ 2,256.80$ 63610 00 Surgery 17.03 17.03 1,192.10$ 1,192.10$ 63620 00 Surgery 33.14 33.14 2,319.80$ 2,319.80$ 63621 00 Surgery 7.39 7.39 517.30$ 517.30$ 63650 00 Surgery 66.47 12.15 4,652.90$ 850.50$ 63655 00 Surgery 24.69 24.69 1,728.30$ 1,728.30$ 63661 00 Surgery 20.21 9.59 1,414.70$ 671.30$ 63662 00 Surgery 25.02 25.02 1,751.40$ 1,751.40$ 63663 00 Surgery 26.64 13.26 1,864.80$ 928.20$ 63664 00 Surgery 26.01 26.01 1,820.70$ 1,820.70$ 63685 00 Surgery 10.68 10.68 747.60$ 747.60$ 63688 00 Surgery 10.97 10.97 767.90$ 767.90$ 63700 00 Surgery 38.70 38.70 2,709.00$ 2,709.00$ 63702 00 Surgery 42.30 42.30 2,961.00$ 2,961.00$ 63704 00 Surgery 49.14 49.14 3,439.80$ 3,439.80$ 63706 00 Surgery 54.55 54.55 3,818.50$ 3,818.50$ 63707 00 Surgery 27.62 27.62 1,933.40$ 1,933.40$ 63709 00 Surgery 32.86 32.86 2,300.20$ 2,300.20$ 63710 00 Surgery 32.02 32.02 2,241.40$ 2,241.40$ 63740 00 Surgery 29.08 29.08 2,035.60$ 2,035.60$ 63741 00 Surgery 19.92 19.92 1,394.40$ 1,394.40$ 63744 00 Surgery 20.33 20.33 1,423.10$ 1,423.10$ 63746 00 Surgery 18.00 18.00 1,260.00$ 1,260.00$ 64400 00 Surgery 3.34 1.47 233.80$ 102.90$ 64405 00 Surgery 2.19 1.57 153.30$ 109.90$ 64408 00 Surgery 2.29 1.28 160.30$ 89.60$ 64415 00 Surgery 3.35 1.84 234.50$ 128.80$ 64416 00 Surgery 1.88 1.88 131.60$ 131.60$ 64417 00 Surgery 4.14 1.77 289.80$ 123.90$ 64418 00 Surgery 2.62 1.68 183.40$ 117.60$ 64420 00 Surgery 2.94 1.73 205.80$ 121.10$ 64421 00 Surgery 0.99 0.73 69.30$ 51.10$ 64425 00 Surgery 3.38 1.62 236.60$ 113.40$ 64430 00 Surgery 2.86 1.61 200.20$ 112.70$ 64435 00 Surgery 2.35 1.28 164.50$ 89.60$ 64445 00 Surgery 3.78 1.57 264.60$ 109.90$ 64446 00 Surgery 1.72 1.72 120.40$ 120.40$ 64447 00 Surgery 2.64 1.54 184.80$ 107.80$ 64448 00 Surgery 1.77 1.77 123.90$ 123.90$ 64449 00 Surgery 1.82 1.82 127.40$ 127.40$ 64450 00 Surgery 2.29 1.24 160.30$ 86.80$

PROPOSAL

95


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate64451 00 Surgery 6.58 2.30 460.60$ 161.00$ 64454 00 Surgery 6.56 2.38 459.20$ 166.60$ 64455 00 Surgery 1.42 0.98 99.40$ 68.60$ 64461 00 Surgery 3.95 2.25 276.50$ 157.50$ 64462 00 Surgery 2.18 1.43 152.60$ 100.10$ 64463 00 Surgery 6.64 2.40 464.80$ 168.00$ 64479 00 Surgery 7.88 3.82 551.60$ 267.40$ 64480 00 Surgery 3.99 1.82 279.30$ 127.40$ 64483 00 Surgery 7.33 3.25 513.10$ 227.50$ 64484 00 Surgery 3.29 1.52 230.30$ 106.40$ 64486 00 Surgery 3.36 1.63 235.20$ 114.10$ 64487 00 Surgery 6.18 1.88 432.60$ 131.60$ 64488 00 Surgery 4.14 2.02 289.80$ 141.40$ 64489 00 Surgery 9.87 2.27 690.90$ 158.90$ 64490 00 Surgery 5.72 3.09 400.40$ 216.30$ 64491 00 Surgery 2.89 1.76 202.30$ 123.20$ 64492 00 Surgery 2.90 1.79 203.00$ 125.30$ 64493 00 Surgery 5.25 2.64 367.50$ 184.80$ 64494 00 Surgery 2.69 1.51 188.30$ 105.70$ 64495 00 Surgery 2.69 1.53 188.30$ 107.10$ 64505 00 Surgery 4.01 2.95 280.70$ 206.50$ 64510 00 Surgery 4.35 2.25 304.50$ 157.50$ 64517 00 Surgery 5.74 3.68 401.80$ 257.60$ 64520 00 Surgery 6.83 2.46 478.10$ 172.20$ 64530 00 Surgery 6.87 2.75 480.90$ 192.50$ 64553 00 Surgery 71.59 10.61 5,011.30$ 742.70$ 64555 00 Surgery 65.18 9.95 4,562.60$ 696.50$ 64561 00 Surgery 22.83 8.87 1,598.10$ 620.90$ 64566 00 Surgery 3.74 0.90 261.80$ 63.00$ 64568 00 Surgery 18.20 18.20 1,274.00$ 1,274.00$ 64569 00 Surgery 22.48 22.48 1,573.60$ 1,573.60$ 64570 00 Surgery 21.71 21.71 1,519.70$ 1,519.70$ 64575 00 Surgery 9.86 9.86 690.20$ 690.20$ 64580 00 Surgery 9.27 9.27 648.90$ 648.90$ 64581 00 Surgery 19.30 19.30 1,351.00$ 1,351.00$ 64585 00 Surgery 7.49 4.20 524.30$ 294.00$ 64590 00 Surgery 8.03 4.71 562.10$ 329.70$ 64595 00 Surgery 7.17 3.72 501.90$ 260.40$ 64600 00 Surgery 13.82 6.68 967.40$ 467.60$ 64605 00 Surgery 19.12 10.24 1,338.40$ 716.80$ 64610 00 Surgery 23.66 14.24 1,656.20$ 996.80$ 64611 00 Surgery 3.72 3.19 260.40$ 223.30$ 64612 00 Surgery 3.97 3.44 277.90$ 240.80$ 64615 00 Surgery 4.52 3.62 316.40$ 253.40$ 64616 00 Surgery 4.00 3.19 280.00$ 223.30$ 64617 00 Surgery 4.80 3.15 336.00$ 220.50$ 64620 00 Surgery 6.18 5.16 432.60$ 361.20$ 64624 00 Surgery 12.17 4.29 851.90$ 300.30$ 64625 00 Surgery 14.83 5.65 1,038.10$ 395.50$ 64630 00 Surgery 7.49 5.61 524.30$ 392.70$ 64632 00 Surgery 2.60 1.94 182.00$ 135.80$ 64633 00 Surgery 12.54 6.56 877.80$ 459.20$ 64634 00 Surgery 5.66 1.98 396.20$ 138.60$ 64635 00 Surgery 12.42 6.47 869.40$ 452.90$ 64636 00 Surgery 5.16 1.74 361.20$ 121.80$ 64640 00 Surgery 7.51 3.46 525.70$ 242.20$ 64642 00 Surgery 4.39 3.14 307.30$ 219.80$ 64643 00 Surgery 2.74 2.08 191.80$ 145.60$ 64644 00 Surgery 5.18 3.44 362.60$ 240.80$

PROPOSAL

96


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate64645 00 Surgery 3.54 2.41 247.80$ 168.70$ 64646 00 Surgery 4.62 3.39 323.40$ 237.30$ 64647 00 Surgery 5.28 3.92 369.60$ 274.40$ 64650 00 Surgery 2.61 1.19 182.70$ 83.30$ 64653 00 Surgery 3.10 1.51 217.00$ 105.70$ 64680 00 Surgery 10.42 4.71 729.40$ 329.70$ 64681 00 Surgery 14.17 6.58 991.90$ 460.60$ 64702 00 Surgery 15.03 15.03 1,052.10$ 1,052.10$ 64704 00 Surgery 9.50 9.50 665.00$ 665.00$ 64708 00 Surgery 15.01 15.01 1,050.70$ 1,050.70$ 64712 00 Surgery 17.53 17.53 1,227.10$ 1,227.10$ 64713 00 Surgery 23.15 23.15 1,620.50$ 1,620.50$ 64714 00 Surgery 22.37 22.37 1,565.90$ 1,565.90$ 64716 00 Surgery 15.13 15.13 1,059.10$ 1,059.10$ 64718 00 Surgery 17.70 17.70 1,239.00$ 1,239.00$ 64719 00 Surgery 11.98 11.98 838.60$ 838.60$ 64721 00 Surgery 13.05 12.83 913.50$ 898.10$ 64722 00 Surgery 10.47 10.47 732.90$ 732.90$ 64726 00 Surgery 7.83 7.83 548.10$ 548.10$ 64727 00 Surgery 5.29 5.29 370.30$ 370.30$ 64732 00 Surgery 13.33 13.33 933.10$ 933.10$ 64734 00 Surgery 15.05 15.05 1,053.50$ 1,053.50$ 64736 00 Surgery 9.76 9.76 683.20$ 683.20$ 64738 00 Surgery 13.20 13.20 924.00$ 924.00$ 64740 00 Surgery 13.75 13.75 962.50$ 962.50$ 64742 00 Surgery 14.28 14.28 999.60$ 999.60$ 64744 00 Surgery 14.86 14.86 1,040.20$ 1,040.20$ 64746 00 Surgery 12.75 12.75 892.50$ 892.50$ 64755 00 Surgery 27.31 27.31 1,911.70$ 1,911.70$ 64760 00 Surgery 15.37 15.37 1,075.90$ 1,075.90$ 64763 00 Surgery 15.22 15.22 1,065.40$ 1,065.40$ 64766 00 Surgery 18.79 18.79 1,315.30$ 1,315.30$ 64771 00 Surgery 17.82 17.82 1,247.40$ 1,247.40$ 64772 00 Surgery 16.56 16.56 1,159.20$ 1,159.20$ 64774 00 Surgery 11.96 11.96 837.20$ 837.20$ 64776 00 Surgery 11.52 11.52 806.40$ 806.40$ 64778 00 Surgery 5.34 5.34 373.80$ 373.80$ 64782 00 Surgery 13.45 13.45 941.50$ 941.50$ 64783 00 Surgery 6.35 6.35 444.50$ 444.50$ 64784 00 Surgery 21.50 21.50 1,505.00$ 1,505.00$ 64786 00 Surgery 29.78 29.78 2,084.60$ 2,084.60$ 64787 00 Surgery 7.04 7.04 492.80$ 492.80$ 64788 00 Surgery 11.88 11.88 831.60$ 831.60$ 64790 00 Surgery 24.62 24.62 1,723.40$ 1,723.40$ 64792 00 Surgery 31.48 31.48 2,203.60$ 2,203.60$ 64795 00 Surgery 5.60 5.60 392.00$ 392.00$ 64802 00 Surgery 24.89 24.89 1,742.30$ 1,742.30$ 64804 00 Surgery 35.14 35.14 2,459.80$ 2,459.80$ 64809 00 Surgery 32.17 32.17 2,251.90$ 2,251.90$ 64818 00 Surgery 22.98 22.98 1,608.60$ 1,608.60$ 64820 00 Surgery 21.42 21.42 1,499.40$ 1,499.40$ 64821 00 Surgery 20.61 20.61 1,442.70$ 1,442.70$ 64822 00 Surgery 20.61 20.61 1,442.70$ 1,442.70$ 64823 00 Surgery 23.37 23.37 1,635.90$ 1,635.90$ 64831 00 Surgery 20.36 20.36 1,425.20$ 1,425.20$ 64832 00 Surgery 9.79 9.79 685.30$ 685.30$ 64834 00 Surgery 21.85 21.85 1,529.50$ 1,529.50$ 64835 00 Surgery 24.08 24.08 1,685.60$ 1,685.60$ 64836 00 Surgery 24.08 24.08 1,685.60$ 1,685.60$

PROPOSAL

97


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate64837 00 Surgery 10.71 10.71 749.70$ 749.70$ 64840 00 Surgery 28.36 28.36 1,985.20$ 1,985.20$ 64856 00 Surgery 29.71 29.71 2,079.70$ 2,079.70$ 64857 00 Surgery 31.06 31.06 2,174.20$ 2,174.20$ 64858 00 Surgery 34.65 34.65 2,425.50$ 2,425.50$ 64859 00 Surgery 7.28 7.28 509.60$ 509.60$ 64861 00 Surgery 44.86 44.86 3,140.20$ 3,140.20$ 64862 00 Surgery 40.48 40.48 2,833.60$ 2,833.60$ 64864 00 Surgery 25.17 25.17 1,761.90$ 1,761.90$ 64865 00 Surgery 32.00 32.00 2,240.00$ 2,240.00$ 64866 00 Surgery 37.23 37.23 2,606.10$ 2,606.10$ 64868 00 Surgery 29.32 29.32 2,052.40$ 2,052.40$ 64872 00 Surgery 3.42 3.42 239.40$ 239.40$ 64874 00 Surgery 5.12 5.12 358.40$ 358.40$ 64876 00 Surgery 5.78 5.78 404.60$ 404.60$ 64885 00 Surgery 32.34 32.34 2,263.80$ 2,263.80$ 64886 00 Surgery 37.38 37.38 2,616.60$ 2,616.60$ 64890 00 Surgery 31.83 31.83 2,228.10$ 2,228.10$ 64891 00 Surgery 33.83 33.83 2,368.10$ 2,368.10$ 64892 00 Surgery 30.94 30.94 2,165.80$ 2,165.80$ 64893 00 Surgery 33.01 33.01 2,310.70$ 2,310.70$ 64895 00 Surgery 39.06 39.06 2,734.20$ 2,734.20$ 64896 00 Surgery 42.08 42.08 2,945.60$ 2,945.60$ 64897 00 Surgery 37.32 37.32 2,612.40$ 2,612.40$ 64898 00 Surgery 40.41 40.41 2,828.70$ 2,828.70$ 64901 00 Surgery 17.48 17.48 1,223.60$ 1,223.60$ 64902 00 Surgery 20.23 20.23 1,416.10$ 1,416.10$ 64905 00 Surgery 29.90 29.90 2,093.00$ 2,093.00$ 64907 00 Surgery 38.33 38.33 2,683.10$ 2,683.10$ 64910 00 Surgery 23.01 23.01 1,610.70$ 1,610.70$ 64911 00 Surgery 30.26 30.26 2,118.20$ 2,118.20$ 64912 00 Surgery 25.92 25.92 1,814.40$ 1,814.40$ 64913 00 Surgery 5.19 5.19 363.30$ 363.30$ 64999 00 Surgery 0.00 0.00 BR BR65091 00 Surgery 21.31 21.31 1,491.70$ 1,491.70$ 65093 00 Surgery 21.14 21.14 1,479.80$ 1,479.80$ 65101 00 Surgery 24.42 24.42 1,709.40$ 1,709.40$ 65103 00 Surgery 25.21 25.21 1,764.70$ 1,764.70$ 65105 00 Surgery 27.47 27.47 1,922.90$ 1,922.90$ 65110 00 Surgery 38.06 38.06 2,664.20$ 2,664.20$ 65112 00 Surgery 43.67 43.67 3,056.90$ 3,056.90$ 65114 00 Surgery 45.56 45.56 3,189.20$ 3,189.20$ 65125 00 Surgery 13.69 8.47 958.30$ 592.90$ 65130 00 Surgery 24.40 24.40 1,708.00$ 1,708.00$ 65135 00 Surgery 24.69 24.69 1,728.30$ 1,728.30$ 65140 00 Surgery 26.56 26.56 1,859.20$ 1,859.20$ 65150 00 Surgery 19.97 19.97 1,397.90$ 1,397.90$ 65155 00 Surgery 27.62 27.62 1,933.40$ 1,933.40$ 65175 00 Surgery 22.26 22.26 1,558.20$ 1,558.20$ 65205 00 Surgery 0.86 0.85 60.20$ 59.50$ 65210 00 Surgery 1.14 1.06 79.80$ 74.20$ 65220 00 Surgery 1.77 1.21 123.90$ 84.70$ 65222 00 Surgery 1.98 1.47 138.60$ 102.90$ 65235 00 Surgery 21.05 21.05 1,473.50$ 1,473.50$ 65260 00 Surgery 28.38 28.38 1,986.60$ 1,986.60$ 65265 00 Surgery 31.88 31.88 2,231.60$ 2,231.60$ 65270 00 Surgery 8.49 4.08 594.30$ 285.60$ 65272 00 Surgery 15.61 10.22 1,092.70$ 715.40$ 65273 00 Surgery 10.99 10.99 769.30$ 769.30$

PROPOSAL

98


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate65275 00 Surgery 17.27 13.34 1,208.90$ 933.80$ 65280 00 Surgery 19.38 19.38 1,356.60$ 1,356.60$ 65285 00 Surgery 31.97 31.97 2,237.90$ 2,237.90$ 65286 00 Surgery 20.80 14.31 1,456.00$ 1,001.70$ 65290 00 Surgery 14.17 14.17 991.90$ 991.90$ 65400 00 Surgery 20.20 17.39 1,414.00$ 1,217.30$ 65410 00 Surgery 4.20 2.95 294.00$ 206.50$ 65420 00 Surgery 15.96 10.94 1,117.20$ 765.80$ 65426 00 Surgery 19.84 13.80 1,388.80$ 966.00$ 65430 00 Surgery 3.35 2.93 234.50$ 205.10$ 65435 00 Surgery 2.39 1.98 167.30$ 138.60$ 65436 00 Surgery 11.21 10.65 784.70$ 745.50$ 65450 00 Surgery 9.51 9.29 665.70$ 650.30$ 65600 00 Surgery 12.55 9.80 878.50$ 686.00$ 65710 00 Surgery 32.94 32.94 2,305.80$ 2,305.80$ 65730 00 Surgery 36.21 36.21 2,534.70$ 2,534.70$ 65750 00 Surgery 36.41 36.41 2,548.70$ 2,548.70$ 65755 00 Surgery 36.24 36.24 2,536.80$ 2,536.80$ 65756 00 Surgery 33.91 33.91 2,373.70$ 2,373.70$ 65757 00 Surgery - - 251.30$ 251.30$ 65760 00 Surgery - - 2,416.40$ 2,416.40$ 65765 00 Surgery - - 3,502.80$ 3,502.80$ 65767 00 Surgery - - 3,262.00$ 3,262.00$ 65770 00 Surgery 40.37 40.37 2,825.90$ 2,825.90$ 65771 00 Surgery - - 1,327.90$ 1,327.90$ 65772 00 Surgery 13.33 11.66 933.10$ 816.20$ 65775 00 Surgery 16.50 16.50 1,155.00$ 1,155.00$ 65778 00 Surgery 42.82 1.55 2,997.40$ 108.50$ 65779 00 Surgery 36.79 4.30 2,575.30$ 301.00$ 65780 00 Surgery 19.34 19.34 1,353.80$ 1,353.80$ 65781 00 Surgery 38.33 38.33 2,683.10$ 2,683.10$ 65782 00 Surgery 33.09 33.09 2,316.30$ 2,316.30$ 65785 00 Surgery 70.12 12.80 4,908.40$ 896.00$ 65800 00 Surgery 3.48 2.61 243.60$ 182.70$ 65810 00 Surgery 13.40 13.40 938.00$ 938.00$ 65815 00 Surgery 19.08 13.75 1,335.60$ 962.50$ 65820 00 Surgery 23.64 23.64 1,654.80$ 1,654.80$ 65850 00 Surgery 24.38 24.38 1,706.60$ 1,706.60$ 65855 00 Surgery 7.18 5.93 502.60$ 415.10$ 65860 00 Surgery 8.99 7.16 629.30$ 501.20$ 65865 00 Surgery 13.83 13.83 968.10$ 968.10$ 65870 00 Surgery 17.19 17.19 1,203.30$ 1,203.30$ 65875 00 Surgery 18.36 18.36 1,285.20$ 1,285.20$ 65880 00 Surgery 19.30 19.30 1,351.00$ 1,351.00$ 65900 00 Surgery 28.69 28.69 2,008.30$ 2,008.30$ 65920 00 Surgery 22.90 22.90 1,603.00$ 1,603.00$ 65930 00 Surgery 18.55 18.55 1,298.50$ 1,298.50$ 66020 00 Surgery 5.81 3.78 406.70$ 264.60$ 66030 00 Surgery 5.23 3.20 366.10$ 224.00$ 66130 00 Surgery 20.79 16.30 1,455.30$ 1,141.00$ 66150 00 Surgery 25.39 25.39 1,777.30$ 1,777.30$ 66155 00 Surgery 25.38 25.38 1,776.60$ 1,776.60$ 66160 00 Surgery 28.56 28.56 1,999.20$ 1,999.20$ 66170 00 Surgery 31.58 31.58 2,210.60$ 2,210.60$ 66172 00 Surgery 34.48 34.48 2,413.60$ 2,413.60$ 66174 00 Surgery 27.16 27.16 1,901.20$ 1,901.20$ 66175 00 Surgery 28.50 28.50 1,995.00$ 1,995.00$ 66179 00 Surgery 31.18 31.18 2,182.60$ 2,182.60$ 66180 00 Surgery 32.89 32.89 2,302.30$ 2,302.30$

PROPOSAL

99


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate66183 00 Surgery 29.76 29.76 2,083.20$ 2,083.20$ 66184 00 Surgery 22.82 22.82 1,597.40$ 1,597.40$ 66185 00 Surgery 24.52 24.52 1,716.40$ 1,716.40$ 66225 00 Surgery 26.95 26.95 1,886.50$ 1,886.50$ 66250 00 Surgery 22.34 16.05 1,563.80$ 1,123.50$ 66500 00 Surgery 11.31 11.31 791.70$ 791.70$ 66505 00 Surgery 12.31 12.31 861.70$ 861.70$ 66600 00 Surgery 26.02 26.02 1,821.40$ 1,821.40$ 66605 00 Surgery 31.53 31.53 2,207.10$ 2,207.10$ 66625 00 Surgery 12.40 12.40 868.00$ 868.00$ 66630 00 Surgery 16.37 16.37 1,145.90$ 1,145.90$ 66635 00 Surgery 16.52 16.52 1,156.40$ 1,156.40$ 66680 00 Surgery 15.08 15.08 1,055.60$ 1,055.60$ 66682 00 Surgery 20.43 20.43 1,430.10$ 1,430.10$ 66700 00 Surgery 13.16 11.29 921.20$ 790.30$ 66710 00 Surgery 12.91 11.29 903.70$ 790.30$ 66711 00 Surgery 14.63 14.63 1,024.10$ 1,024.10$ 66720 00 Surgery 13.53 11.81 947.10$ 826.70$ 66740 00 Surgery 12.79 11.29 895.30$ 790.30$ 66761 00 Surgery 8.78 6.82 614.60$ 477.40$ 66762 00 Surgery 13.92 12.26 974.40$ 858.20$ 66770 00 Surgery 15.40 13.88 1,078.00$ 971.60$ 66820 00 Surgery 13.40 13.40 938.00$ 938.00$ 66821 00 Surgery 9.73 9.03 681.10$ 632.10$ 66825 00 Surgery 23.92 23.92 1,674.40$ 1,674.40$ 66830 00 Surgery 20.51 20.51 1,435.70$ 1,435.70$ 66840 00 Surgery 20.02 20.02 1,401.40$ 1,401.40$ 66850 00 Surgery 22.75 22.75 1,592.50$ 1,592.50$ 66852 00 Surgery 24.21 24.21 1,694.70$ 1,694.70$ 66920 00 Surgery 21.61 21.61 1,512.70$ 1,512.70$ 66930 00 Surgery 24.72 24.72 1,730.40$ 1,730.40$ 66940 00 Surgery 22.60 22.60 1,582.00$ 1,582.00$ 66982 00 Surgery 21.52 21.52 1,506.40$ 1,506.40$ 66983 00 Surgery - - 1,563.10$ 1,563.10$ 66984 00 Surgery 15.71 15.71 1,099.70$ 1,099.70$ 66985 00 Surgery 22.17 22.17 1,551.90$ 1,551.90$ 66986 00 Surgery 26.09 26.09 1,826.30$ 1,826.30$ 66987 00 Surgery - - 1,705.20$ 1,705.20$ 66988 00 Surgery - - 1,393.70$ 1,393.70$ 66990 00 Surgery 2.58 2.58 180.60$ 180.60$ 66999 00 Surgery 0.00 0.00 BR BR67005 00 Surgery 13.65 13.65 955.50$ 955.50$ 67010 00 Surgery 15.62 15.62 1,093.40$ 1,093.40$ 67015 00 Surgery 17.41 17.41 1,218.70$ 1,218.70$ 67025 00 Surgery 21.67 18.22 1,516.90$ 1,275.40$ 67027 00 Surgery 24.47 24.47 1,712.90$ 1,712.90$ 67028 00 Surgery 3.30 2.66 231.00$ 186.20$ 67030 00 Surgery 16.04 16.04 1,122.80$ 1,122.80$ 67031 00 Surgery 11.38 10.26 796.60$ 718.20$ 67036 00 Surgery 25.89 25.89 1,812.30$ 1,812.30$ 67039 00 Surgery 27.69 27.69 1,938.30$ 1,938.30$ 67040 00 Surgery 29.91 29.91 2,093.70$ 2,093.70$ 67041 00 Surgery 33.01 33.01 2,310.70$ 2,310.70$ 67042 00 Surgery 33.01 33.01 2,310.70$ 2,310.70$ 67043 00 Surgery 34.80 34.80 2,436.00$ 2,436.00$ 67101 00 Surgery 9.71 8.21 679.70$ 574.70$ 67105 00 Surgery 8.62 7.93 603.40$ 555.10$ 67107 00 Surgery 32.42 32.42 2,269.40$ 2,269.40$ 67108 00 Surgery 34.34 34.34 2,403.80$ 2,403.80$

PROPOSAL

100


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate67110 00 Surgery 25.89 23.46 1,812.30$ 1,642.20$ 67113 00 Surgery 38.40 38.40 2,688.00$ 2,688.00$ 67115 00 Surgery 14.39 14.39 1,007.30$ 1,007.30$ 67120 00 Surgery 19.59 16.01 1,371.30$ 1,120.70$ 67121 00 Surgery 26.09 26.09 1,826.30$ 1,826.30$ 67141 00 Surgery 15.23 14.01 1,066.10$ 980.70$ 67145 00 Surgery 15.30 14.31 1,071.00$ 1,001.70$ 67208 00 Surgery 17.43 16.66 1,220.10$ 1,166.20$ 67210 00 Surgery 14.97 14.37 1,047.90$ 1,005.90$ 67218 00 Surgery 40.19 40.19 2,813.30$ 2,813.30$ 67220 00 Surgery 15.45 14.37 1,081.50$ 1,005.90$ 67221 00 Surgery 8.06 6.03 564.20$ 422.10$ 67225 00 Surgery 0.85 0.80 59.50$ 56.00$ 67227 00 Surgery 8.56 7.33 599.20$ 513.10$ 67228 00 Surgery 9.88 8.76 691.60$ 613.20$ 67229 00 Surgery 33.46 33.46 2,342.20$ 2,342.20$ 67250 00 Surgery 25.85 25.85 1,809.50$ 1,809.50$ 67255 00 Surgery 19.85 19.85 1,389.50$ 1,389.50$ 67299 00 Surgery 0.00 0.00 BR BR67311 00 Surgery 17.26 17.26 1,208.20$ 1,208.20$ 67312 00 Surgery 20.87 20.87 1,460.90$ 1,460.90$ 67314 00 Surgery 19.76 19.76 1,383.20$ 1,383.20$ 67316 00 Surgery 23.35 23.35 1,634.50$ 1,634.50$ 67318 00 Surgery 20.66 20.66 1,446.20$ 1,446.20$ 67320 00 Surgery 9.13 9.13 639.10$ 639.10$ 67331 00 Surgery 8.67 8.67 606.90$ 606.90$ 67332 00 Surgery 9.40 9.40 658.00$ 658.00$ 67334 00 Surgery 8.54 8.54 597.80$ 597.80$ 67335 00 Surgery 4.20 4.20 294.00$ 294.00$ 67340 00 Surgery 10.16 10.16 711.20$ 711.20$ 67343 00 Surgery 19.22 19.22 1,345.40$ 1,345.40$ 67345 00 Surgery 7.08 6.25 495.60$ 437.50$ 67346 00 Surgery 5.47 5.47 382.90$ 382.90$ 67399 00 Surgery 0.00 0.00 BR BR67400 00 Surgery 29.83 29.83 2,088.10$ 2,088.10$ 67405 00 Surgery 25.83 25.83 1,808.10$ 1,808.10$ 67412 00 Surgery 28.42 28.42 1,989.40$ 1,989.40$ 67413 00 Surgery 27.64 27.64 1,934.80$ 1,934.80$ 67414 00 Surgery 41.90 41.90 2,933.00$ 2,933.00$ 67415 00 Surgery 2.98 2.98 208.60$ 208.60$ 67420 00 Surgery 50.13 50.13 3,509.10$ 3,509.10$ 67430 00 Surgery 39.88 39.88 2,791.60$ 2,791.60$ 67440 00 Surgery 38.70 38.70 2,709.00$ 2,709.00$ 67445 00 Surgery 44.04 44.04 3,082.80$ 3,082.80$ 67450 00 Surgery 40.08 40.08 2,805.60$ 2,805.60$ 67500 00 Surgery 2.18 1.79 152.60$ 125.30$ 67505 00 Surgery 2.53 2.09 177.10$ 146.30$ 67515 00 Surgery 1.49 1.36 104.30$ 95.20$ 67550 00 Surgery 31.16 31.16 2,181.20$ 2,181.20$ 67560 00 Surgery 31.86 31.86 2,230.20$ 2,230.20$ 67570 00 Surgery 38.65 38.65 2,705.50$ 2,705.50$ 67599 00 Surgery 0.00 0.00 BR BR67700 00 Surgery 8.66 3.35 606.20$ 234.50$ 67710 00 Surgery 7.37 2.83 515.90$ 198.10$ 67715 00 Surgery 7.99 3.12 559.30$ 218.40$ 67800 00 Surgery 3.75 2.97 262.50$ 207.90$ 67801 00 Surgery 4.75 3.81 332.50$ 266.70$ 67805 00 Surgery 5.90 4.71 413.00$ 329.70$ 67808 00 Surgery 10.59 10.59 741.30$ 741.30$

PROPOSAL

101


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate67810 00 Surgery 5.53 1.99 387.10$ 139.30$ 67820 00 Surgery 0.61 0.65 42.70$ 45.50$ 67825 00 Surgery 3.94 3.51 275.80$ 245.70$ 67830 00 Surgery 8.20 3.96 574.00$ 277.20$ 67835 00 Surgery 12.71 12.71 889.70$ 889.70$ 67840 00 Surgery 8.47 4.53 592.90$ 317.10$ 67850 00 Surgery 6.52 3.78 456.40$ 264.60$ 67875 00 Surgery 5.49 2.77 384.30$ 193.90$ 67880 00 Surgery 13.79 10.61 965.30$ 742.70$ 67882 00 Surgery 16.80 13.57 1,176.00$ 949.90$ 67900 00 Surgery 19.14 14.64 1,339.80$ 1,024.80$ 67901 00 Surgery 23.44 16.99 1,640.80$ 1,189.30$ 67902 00 Surgery 20.95 20.95 1,466.50$ 1,466.50$ 67903 00 Surgery 17.76 13.87 1,243.20$ 970.90$ 67904 00 Surgery 21.81 17.18 1,526.70$ 1,202.60$ 67906 00 Surgery 14.56 14.56 1,019.20$ 1,019.20$ 67908 00 Surgery 15.62 12.46 1,093.40$ 872.20$ 67909 00 Surgery 16.20 12.65 1,134.00$ 885.50$ 67911 00 Surgery 16.15 16.15 1,130.50$ 1,130.50$ 67912 00 Surgery 27.28 14.04 1,909.60$ 982.80$ 67914 00 Surgery 14.56 9.45 1,019.20$ 661.50$ 67915 00 Surgery 9.44 5.72 660.80$ 400.40$ 67916 00 Surgery 18.17 12.39 1,271.90$ 867.30$ 67917 00 Surgery 18.47 13.15 1,292.90$ 920.50$ 67921 00 Surgery 14.29 8.98 1,000.30$ 628.60$ 67922 00 Surgery 9.13 5.70 639.10$ 399.00$ 67923 00 Surgery 18.16 12.39 1,271.20$ 867.30$ 67924 00 Surgery 19.29 13.15 1,350.30$ 920.50$ 67930 00 Surgery 11.03 6.84 772.10$ 478.80$ 67935 00 Surgery 17.66 12.71 1,236.20$ 889.70$ 67938 00 Surgery 8.20 3.38 574.00$ 236.60$ 67950 00 Surgery 17.24 13.35 1,206.80$ 934.50$ 67961 00 Surgery 17.30 13.09 1,211.00$ 916.30$ 67966 00 Surgery 22.82 18.87 1,597.40$ 1,320.90$ 67971 00 Surgery 20.76 20.76 1,453.20$ 1,453.20$ 67973 00 Surgery 26.69 26.69 1,868.30$ 1,868.30$ 67974 00 Surgery 26.63 26.63 1,864.10$ 1,864.10$ 67975 00 Surgery 19.65 19.65 1,375.50$ 1,375.50$ 67999 00 Surgery 0.00 0.00 BR BR68020 00 Surgery 3.53 3.20 247.10$ 224.00$ 68040 00 Surgery 1.80 1.38 126.00$ 96.60$ 68100 00 Surgery 5.38 2.75 376.60$ 192.50$ 68110 00 Surgery 7.03 4.27 492.10$ 298.90$ 68115 00 Surgery 9.95 5.27 696.50$ 368.90$ 68130 00 Surgery 16.35 11.89 1,144.50$ 832.30$ 68135 00 Surgery 4.58 4.32 320.60$ 302.40$ 68200 00 Surgery 1.21 0.99 84.70$ 69.30$ 68320 00 Surgery 21.97 15.55 1,537.90$ 1,088.50$ 68325 00 Surgery 18.89 18.89 1,322.30$ 1,322.30$ 68326 00 Surgery 18.55 18.55 1,298.50$ 1,298.50$ 68328 00 Surgery 20.38 20.38 1,426.60$ 1,426.60$ 68330 00 Surgery 18.42 13.26 1,289.40$ 928.20$ 68335 00 Surgery 18.62 18.62 1,303.40$ 1,303.40$ 68340 00 Surgery 17.72 11.47 1,240.40$ 802.90$ 68360 00 Surgery 16.06 11.81 1,124.20$ 826.70$ 68362 00 Surgery 18.87 18.87 1,320.90$ 1,320.90$ 68371 00 Surgery 11.92 11.92 834.40$ 834.40$ 68399 00 Surgery 0.00 0.00 BR BR68400 00 Surgery 8.98 3.77 628.60$ 263.90$

PROPOSAL

102


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate68420 00 Surgery 10.02 4.80 701.40$ 336.00$ 68440 00 Surgery 3.02 2.88 211.40$ 201.60$ 68500 00 Surgery 30.32 30.32 2,122.40$ 2,122.40$ 68505 00 Surgery 30.18 30.18 2,112.60$ 2,112.60$ 68510 00 Surgery 13.65 8.34 955.50$ 583.80$ 68520 00 Surgery 21.11 21.11 1,477.70$ 1,477.70$ 68525 00 Surgery 7.50 7.50 525.00$ 525.00$ 68530 00 Surgery 13.00 7.30 910.00$ 511.00$ 68540 00 Surgery 28.24 28.24 1,976.80$ 1,976.80$ 68550 00 Surgery 35.05 35.05 2,453.50$ 2,453.50$ 68700 00 Surgery 17.39 17.39 1,217.30$ 1,217.30$ 68705 00 Surgery 7.71 4.76 539.70$ 333.20$ 68720 00 Surgery 23.21 23.21 1,624.70$ 1,624.70$ 68745 00 Surgery 23.32 23.32 1,632.40$ 1,632.40$ 68750 00 Surgery 24.51 24.51 1,715.70$ 1,715.70$ 68760 00 Surgery 6.50 4.20 455.00$ 294.00$ 68761 00 Surgery 4.37 3.40 305.90$ 238.00$ 68770 00 Surgery 18.09 18.09 1,266.30$ 1,266.30$ 68801 00 Surgery 2.78 2.26 194.60$ 158.20$ 68810 00 Surgery 4.74 3.69 331.80$ 258.30$ 68811 00 Surgery 3.89 3.89 272.30$ 272.30$ 68815 00 Surgery 11.52 6.40 806.40$ 448.00$ 68816 00 Surgery 25.55 4.52 1,788.50$ 316.40$ 68840 00 Surgery 3.87 3.37 270.90$ 235.90$ 68850 00 Surgery 1.78 1.55 124.60$ 108.50$ 68899 00 Surgery 0.00 0.00 BR BR69000 00 Surgery 5.58 3.57 390.60$ 249.90$ 69005 00 Surgery 6.49 4.62 454.30$ 323.40$ 69020 00 Surgery 7.00 4.18 490.00$ 292.60$ 69090 00 Surgery - - 67.20$ 67.20$ 69100 00 Surgery 2.91 1.36 203.70$ 95.20$ 69105 00 Surgery 4.34 1.82 303.80$ 127.40$ 69110 00 Surgery 14.03 9.61 982.10$ 672.70$ 69120 00 Surgery 11.78 11.78 824.60$ 824.60$ 69140 00 Surgery 26.84 26.84 1,878.80$ 1,878.80$ 69145 00 Surgery 12.26 7.49 858.20$ 524.30$ 69150 00 Surgery 30.36 30.36 2,125.20$ 2,125.20$ 69155 00 Surgery 48.22 48.22 3,375.40$ 3,375.40$ 69200 00 Surgery 2.39 1.37 167.30$ 95.90$ 69205 00 Surgery 2.79 2.79 195.30$ 195.30$ 69209 00 Surgery 0.44 0.44 30.80$ 30.80$ 69210 00 Surgery 1.39 0.97 97.30$ 67.90$ 69220 00 Surgery 2.32 1.49 162.40$ 104.30$ 69222 00 Surgery 6.41 3.96 448.70$ 277.20$ 69300 00 Surgery 18.76 13.48 1,313.20$ 943.60$ 69310 00 Surgery 33.31 33.31 2,331.70$ 2,331.70$ 69320 00 Surgery 46.29 46.29 3,240.30$ 3,240.30$ 69399 00 Surgery 0.00 0.00 BR BR69420 00 Surgery 5.64 3.49 394.80$ 244.30$ 69421 00 Surgery 4.38 4.38 306.60$ 306.60$ 69424 00 Surgery 3.86 1.76 270.20$ 123.20$ 69433 00 Surgery 5.93 3.81 415.10$ 266.70$ 69436 00 Surgery 4.61 4.61 322.70$ 322.70$ 69440 00 Surgery 20.66 20.66 1,446.20$ 1,446.20$ 69450 00 Surgery 16.38 16.38 1,146.60$ 1,146.60$ 69501 00 Surgery 21.26 21.26 1,488.20$ 1,488.20$ 69502 00 Surgery 28.29 28.29 1,980.30$ 1,980.30$ 69505 00 Surgery 36.49 36.49 2,554.30$ 2,554.30$ 69511 00 Surgery 37.34 37.34 2,613.80$ 2,613.80$

PROPOSAL

103


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate69530 00 Surgery 49.61 49.61 3,472.70$ 3,472.70$ 69535 00 Surgery 78.48 78.48 5,493.60$ 5,493.60$ 69540 00 Surgery 6.24 3.75 436.80$ 262.50$ 69550 00 Surgery 31.58 31.58 2,210.60$ 2,210.60$ 69552 00 Surgery 46.96 46.96 3,287.20$ 3,287.20$ 69554 00 Surgery 74.37 74.37 5,205.90$ 5,205.90$ 69601 00 Surgery 30.46 30.46 2,132.20$ 2,132.20$ 69602 00 Surgery 32.41 32.41 2,268.70$ 2,268.70$ 69603 00 Surgery 38.10 38.10 2,667.00$ 2,667.00$ 69604 00 Surgery 33.07 33.07 2,314.90$ 2,314.90$ 69610 00 Surgery 11.21 8.37 784.70$ 585.90$ 69620 00 Surgery 21.72 14.44 1,520.40$ 1,010.80$ 69631 00 Surgery 26.60 26.60 1,862.00$ 1,862.00$ 69632 00 Surgery 32.27 32.27 2,258.90$ 2,258.90$ 69633 00 Surgery 31.31 31.31 2,191.70$ 2,191.70$ 69635 00 Surgery 37.61 37.61 2,632.70$ 2,632.70$ 69636 00 Surgery 41.81 41.81 2,926.70$ 2,926.70$ 69637 00 Surgery 42.74 42.74 2,991.80$ 2,991.80$ 69641 00 Surgery 31.05 31.05 2,173.50$ 2,173.50$ 69642 00 Surgery 39.83 39.83 2,788.10$ 2,788.10$ 69643 00 Surgery 36.52 36.52 2,556.40$ 2,556.40$ 69644 00 Surgery 44.63 44.63 3,124.10$ 3,124.10$ 69645 00 Surgery 43.97 43.97 3,077.90$ 3,077.90$ 69646 00 Surgery 46.45 46.45 3,251.50$ 3,251.50$ 69650 00 Surgery 23.93 23.93 1,675.10$ 1,675.10$ 69660 00 Surgery 27.49 27.49 1,924.30$ 1,924.30$ 69661 00 Surgery 35.82 35.82 2,507.40$ 2,507.40$ 69662 00 Surgery 34.33 34.33 2,403.10$ 2,403.10$ 69666 00 Surgery 24.08 24.08 1,685.60$ 1,685.60$ 69667 00 Surgery 24.10 24.10 1,687.00$ 1,687.00$ 69670 00 Surgery 28.11 28.11 1,967.70$ 1,967.70$ 69676 00 Surgery 24.89 24.89 1,742.30$ 1,742.30$ 69700 00 Surgery 19.94 19.94 1,395.80$ 1,395.80$ 69705 00 Surgery 89.20 5.06 6,244.00$ 354.20$ 69706 00 Surgery 91.89 7.04 6,432.30$ 492.80$ 69710 00 Surgery 0.00 0.00 BR BR69711 00 Surgery 25.14 25.14 1,759.80$ 1,759.80$ 69714 00 Surgery 31.25 31.25 2,187.50$ 2,187.50$ 69715 00 Surgery 38.49 38.49 2,694.30$ 2,694.30$ 69717 00 Surgery 32.79 32.79 2,295.30$ 2,295.30$ 69718 00 Surgery 38.88 38.88 2,721.60$ 2,721.60$ 69720 00 Surgery 35.27 35.27 2,468.90$ 2,468.90$ 69725 00 Surgery 55.09 55.09 3,856.30$ 3,856.30$ 69740 00 Surgery 34.32 34.32 2,402.40$ 2,402.40$ 69745 00 Surgery 36.63 36.63 2,564.10$ 2,564.10$ 69799 00 Surgery 0.00 0.00 BR BR69801 00 Surgery 6.55 3.59 458.50$ 251.30$ 69805 00 Surgery 30.49 30.49 2,134.30$ 2,134.30$ 69806 00 Surgery 27.50 27.50 1,925.00$ 1,925.00$ 69905 00 Surgery 27.36 27.36 1,915.20$ 1,915.20$ 69910 00 Surgery 29.52 29.52 2,066.40$ 2,066.40$ 69915 00 Surgery 44.49 44.49 3,114.30$ 3,114.30$ 69930 00 Surgery 35.98 35.98 2,518.60$ 2,518.60$ 69949 00 Surgery 0.00 0.00 BR BR69950 00 Surgery 51.37 51.37 3,595.90$ 3,595.90$ 69955 00 Surgery 57.92 57.92 4,054.40$ 4,054.40$ 69960 00 Surgery 55.58 55.58 3,890.60$ 3,890.60$ 69970 00 Surgery 62.63 62.63 4,384.10$ 4,384.10$ 69979 00 Surgery 0.00 0.00 BR BR

PROPOSAL

104


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate69990 00 Surgery 6.38 6.38 446.60$ 446.60$

PROPOSAL

105


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate70010 00 Radiology 1.72 1.72 120.40$ 120.40$ 70015 00 Radiology 4.97 4.97 347.90$ 347.90$ 70015 26 Radiology 1.67 1.67 116.90$ 116.90$ 70015 TC Radiology 3.30 3.30 231.00$ 231.00$ 70030 00 Radiology 0.94 0.94 65.80$ 65.80$ 70030 26 Radiology 0.26 0.26 18.20$ 18.20$ 70030 TC Radiology 0.68 0.68 47.60$ 47.60$ 70100 00 Radiology 1.12 1.12 78.40$ 78.40$ 70100 26 Radiology 0.26 0.26 18.20$ 18.20$ 70100 TC Radiology 0.86 0.86 60.20$ 60.20$ 70110 00 Radiology 1.27 1.27 88.90$ 88.90$ 70110 26 Radiology 0.35 0.35 24.50$ 24.50$ 70110 TC Radiology 0.92 0.92 64.40$ 64.40$ 70120 00 Radiology 1.11 1.11 77.70$ 77.70$ 70120 26 Radiology 0.26 0.26 18.20$ 18.20$ 70120 TC Radiology 0.85 0.85 59.50$ 59.50$ 70130 00 Radiology 1.83 1.83 128.10$ 128.10$ 70130 26 Radiology 0.48 0.48 33.60$ 33.60$ 70130 TC Radiology 1.35 1.35 94.50$ 94.50$ 70134 00 Radiology 1.74 1.74 121.80$ 121.80$ 70134 26 Radiology 0.50 0.50 35.00$ 35.00$ 70134 TC Radiology 1.24 1.24 86.80$ 86.80$ 70140 00 Radiology 0.94 0.94 65.80$ 65.80$ 70140 26 Radiology 0.29 0.29 20.30$ 20.30$ 70140 TC Radiology 0.65 0.65 45.50$ 45.50$ 70150 00 Radiology 1.38 1.38 96.60$ 96.60$ 70150 26 Radiology 0.37 0.37 25.90$ 25.90$ 70150 TC Radiology 1.01 1.01 70.70$ 70.70$ 70160 00 Radiology 1.11 1.11 77.70$ 77.70$ 70160 26 Radiology 0.25 0.25 17.50$ 17.50$ 70160 TC Radiology 0.86 0.86 60.20$ 60.20$ 70170 00 Radiology - - 98.70$ 98.70$ 70170 26 Radiology 0.42 0.42 29.40$ 29.40$ 70170 TC Radiology - - 70.00$ 70.00$ 70190 00 Radiology 1.13 1.13 79.10$ 79.10$ 70190 26 Radiology 0.32 0.32 22.40$ 22.40$ 70190 TC Radiology 0.81 0.81 56.70$ 56.70$ 70200 00 Radiology 1.41 1.41 98.70$ 98.70$ 70200 26 Radiology 0.40 0.40 28.00$ 28.00$ 70200 TC Radiology 1.01 1.01 70.70$ 70.70$ 70210 00 Radiology 0.94 0.94 65.80$ 65.80$ 70210 26 Radiology 0.25 0.25 17.50$ 17.50$ 70210 TC Radiology 0.69 0.69 48.30$ 48.30$ 70220 00 Radiology 1.10 1.10 77.00$ 77.00$ 70220 26 Radiology 0.31 0.31 21.70$ 21.70$ 70220 TC Radiology 0.79 0.79 55.30$ 55.30$ 70240 00 Radiology 0.97 0.97 67.90$ 67.90$ 70240 26 Radiology 0.27 0.27 18.90$ 18.90$ 70240 TC Radiology 0.70 0.70 49.00$ 49.00$ 70250 00 Radiology 1.04 1.04 72.80$ 72.80$ 70250 26 Radiology 0.26 0.26 18.20$ 18.20$ 70250 TC Radiology 0.78 0.78 54.60$ 54.60$ 70260 00 Radiology 1.31 1.31 91.70$ 91.70$ 70260 26 Radiology 0.40 0.40 28.00$ 28.00$ 70260 TC Radiology 0.91 0.91 63.70$ 63.70$

ARIZONA PHYSICIANS' FEE SCHEDULERadiology Codes 2021

Radiology Conversion Factor $70.00

PROPOSAL

106


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate70300 00 Radiology 0.38 0.38 26.60$ 26.60$ 70300 26 Radiology 0.15 0.15 10.50$ 10.50$ 70300 TC Radiology 0.23 0.23 16.10$ 16.10$ 70310 00 Radiology 1.13 1.13 79.10$ 79.10$ 70310 26 Radiology 0.22 0.22 15.40$ 15.40$ 70310 TC Radiology 0.91 0.91 63.70$ 63.70$ 70320 00 Radiology 1.65 1.65 115.50$ 115.50$ 70320 26 Radiology 0.33 0.33 23.10$ 23.10$ 70320 TC Radiology 1.32 1.32 92.40$ 92.40$ 70328 00 Radiology 1.01 1.01 70.70$ 70.70$ 70328 26 Radiology 0.26 0.26 18.20$ 18.20$ 70328 TC Radiology 0.75 0.75 52.50$ 52.50$ 70330 00 Radiology 1.56 1.56 109.20$ 109.20$ 70330 26 Radiology 0.34 0.34 23.80$ 23.80$ 70330 TC Radiology 1.22 1.22 85.40$ 85.40$ 70332 00 Radiology 2.52 2.52 176.40$ 176.40$ 70332 26 Radiology 0.78 0.78 54.60$ 54.60$ 70332 TC Radiology 1.74 1.74 121.80$ 121.80$ 70336 00 Radiology 8.82 8.82 617.40$ 617.40$ 70336 26 Radiology 2.07 2.07 144.90$ 144.90$ 70336 TC Radiology 6.75 6.75 472.50$ 472.50$ 70350 00 Radiology 0.48 0.48 33.60$ 33.60$ 70350 26 Radiology 0.25 0.25 17.50$ 17.50$ 70350 TC Radiology 0.23 0.23 16.10$ 16.10$ 70355 00 Radiology 0.54 0.54 37.80$ 37.80$ 70355 26 Radiology 0.30 0.30 21.00$ 21.00$ 70355 TC Radiology 0.24 0.24 16.80$ 16.80$ 70360 00 Radiology 0.92 0.92 64.40$ 64.40$ 70360 26 Radiology 0.26 0.26 18.20$ 18.20$ 70360 TC Radiology 0.66 0.66 46.20$ 46.20$ 70370 00 Radiology 2.83 2.83 198.10$ 198.10$ 70370 26 Radiology 0.43 0.43 30.10$ 30.10$ 70370 TC Radiology 2.40 2.40 168.00$ 168.00$ 70371 00 Radiology 3.21 3.21 224.70$ 224.70$ 70371 26 Radiology 1.20 1.20 84.00$ 84.00$ 70371 TC Radiology 2.01 2.01 140.70$ 140.70$ 70380 00 Radiology 1.10 1.10 77.00$ 77.00$ 70380 26 Radiology 0.24 0.24 16.80$ 16.80$ 70380 TC Radiology 0.86 0.86 60.20$ 60.20$ 70390 00 Radiology 3.51 3.51 245.70$ 245.70$ 70390 26 Radiology 0.54 0.54 37.80$ 37.80$ 70390 TC Radiology 2.97 2.97 207.90$ 207.90$ 70450 00 Radiology 3.33 3.33 233.10$ 233.10$ 70450 26 Radiology 1.20 1.20 84.00$ 84.00$ 70450 TC Radiology 2.13 2.13 149.10$ 149.10$ 70460 00 Radiology 4.68 4.68 327.60$ 327.60$ 70460 26 Radiology 1.59 1.59 111.30$ 111.30$ 70460 TC Radiology 3.09 3.09 216.30$ 216.30$ 70470 00 Radiology 5.50 5.50 385.00$ 385.00$ 70470 26 Radiology 1.78 1.78 124.60$ 124.60$ 70470 TC Radiology 3.72 3.72 260.40$ 260.40$ 70480 00 Radiology 4.98 4.98 348.60$ 348.60$ 70480 26 Radiology 1.79 1.79 125.30$ 125.30$ 70480 TC Radiology 3.19 3.19 223.30$ 223.30$ 70481 00 Radiology 5.75 5.75 402.50$ 402.50$ 70481 26 Radiology 1.59 1.59 111.30$ 111.30$ 70481 TC Radiology 4.16 4.16 291.20$ 291.20$ 70482 00 Radiology 6.76 6.76 473.20$ 473.20$ 70482 26 Radiology 1.77 1.77 123.90$ 123.90$

PROPOSAL

107


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate70482 TC Radiology 4.99 4.99 349.30$ 349.30$ 70486 00 Radiology 4.03 4.03 282.10$ 282.10$ 70486 26 Radiology 1.20 1.20 84.00$ 84.00$ 70486 TC Radiology 2.83 2.83 198.10$ 198.10$ 70487 00 Radiology 4.81 4.81 336.70$ 336.70$ 70487 26 Radiology 1.58 1.58 110.60$ 110.60$ 70487 TC Radiology 3.23 3.23 226.10$ 226.10$ 70488 00 Radiology 5.89 5.89 412.30$ 412.30$ 70488 26 Radiology 1.78 1.78 124.60$ 124.60$ 70488 TC Radiology 4.11 4.11 287.70$ 287.70$ 70490 00 Radiology 4.72 4.72 330.40$ 330.40$ 70490 26 Radiology 1.79 1.79 125.30$ 125.30$ 70490 TC Radiology 2.93 2.93 205.10$ 205.10$ 70491 00 Radiology 5.85 5.85 409.50$ 409.50$ 70491 26 Radiology 1.93 1.93 135.10$ 135.10$ 70491 TC Radiology 3.92 3.92 274.40$ 274.40$ 70492 00 Radiology 7.09 7.09 496.30$ 496.30$ 70492 26 Radiology 2.29 2.29 160.30$ 160.30$ 70492 TC Radiology 4.80 4.80 336.00$ 336.00$ 70496 00 Radiology 8.66 8.66 606.20$ 606.20$ 70496 26 Radiology 2.46 2.46 172.20$ 172.20$ 70496 TC Radiology 6.20 6.20 434.00$ 434.00$ 70498 00 Radiology 8.65 8.65 605.50$ 605.50$ 70498 26 Radiology 2.46 2.46 172.20$ 172.20$ 70498 TC Radiology 6.19 6.19 433.30$ 433.30$ 70540 00 Radiology 7.44 7.44 520.80$ 520.80$ 70540 26 Radiology 1.88 1.88 131.60$ 131.60$ 70540 TC Radiology 5.56 5.56 389.20$ 389.20$ 70542 00 Radiology 8.87 8.87 620.90$ 620.90$ 70542 26 Radiology 2.30 2.30 161.00$ 161.00$ 70542 TC Radiology 6.57 6.57 459.90$ 459.90$ 70543 00 Radiology 11.15 11.15 780.50$ 780.50$ 70543 26 Radiology 3.02 3.02 211.40$ 211.40$ 70543 TC Radiology 8.13 8.13 569.10$ 569.10$ 70544 00 Radiology 6.98 6.98 488.60$ 488.60$ 70544 26 Radiology 1.68 1.68 117.60$ 117.60$ 70544 TC Radiology 5.30 5.30 371.00$ 371.00$ 70545 00 Radiology 7.35 7.35 514.50$ 514.50$ 70545 26 Radiology 1.68 1.68 117.60$ 117.60$ 70545 TC Radiology 5.67 5.67 396.90$ 396.90$ 70546 00 Radiology 10.67 10.67 746.90$ 746.90$ 70546 26 Radiology 2.07 2.07 144.90$ 144.90$ 70546 TC Radiology 8.60 8.60 602.00$ 602.00$ 70547 00 Radiology 7.01 7.01 490.70$ 490.70$ 70547 26 Radiology 1.69 1.69 118.30$ 118.30$ 70547 TC Radiology 5.32 5.32 372.40$ 372.40$ 70548 00 Radiology 7.90 7.90 553.00$ 553.00$ 70548 26 Radiology 2.10 2.10 147.00$ 147.00$ 70548 TC Radiology 5.80 5.80 406.00$ 406.00$ 70549 00 Radiology 11.20 11.20 784.00$ 784.00$ 70549 26 Radiology 2.54 2.54 177.80$ 177.80$ 70549 TC Radiology 8.66 8.66 606.20$ 606.20$ 70551 00 Radiology 6.32 6.32 442.40$ 442.40$ 70551 26 Radiology 2.07 2.07 144.90$ 144.90$ 70551 TC Radiology 4.25 4.25 297.50$ 297.50$ 70552 00 Radiology 8.80 8.80 616.00$ 616.00$ 70552 26 Radiology 2.51 2.51 175.70$ 175.70$ 70552 TC Radiology 6.29 6.29 440.30$ 440.30$ 70553 00 Radiology 10.39 10.39 727.30$ 727.30$

PROPOSAL

108


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate70553 26 Radiology 3.23 3.23 226.10$ 226.10$ 70553 TC Radiology 7.16 7.16 501.20$ 501.20$ 70554 00 Radiology 12.39 12.39 867.30$ 867.30$ 70554 26 Radiology 2.99 2.99 209.30$ 209.30$ 70554 TC Radiology 9.40 9.40 658.00$ 658.00$ 70555 00 Radiology - - 1,449.70$ 1,449.70$ 70555 26 Radiology 3.54 3.54 247.80$ 247.80$ 70555 TC Radiology - - 1,203.30$ 1,203.30$ 70557 00 Radiology - - 3,010.00$ 3,010.00$ 70557 26 Radiology 4.72 4.72 330.40$ 330.40$ 70557 TC Radiology - - 2,678.90$ 2,678.90$ 70558 00 Radiology - - 3,168.90$ 3,168.90$ 70558 26 Radiology 4.96 4.96 347.20$ 347.20$ 70558 TC Radiology - - 2,820.30$ 2,820.30$ 70559 00 Radiology - - 2,971.50$ 2,971.50$ 70559 26 Radiology 4.68 4.68 327.60$ 327.60$ 70559 TC Radiology - - 2,644.60$ 2,644.60$ 71045 00 Radiology 0.75 0.75 52.50$ 52.50$ 71045 26 Radiology 0.26 0.26 18.20$ 18.20$ 71045 TC Radiology 0.49 0.49 34.30$ 34.30$ 71046 00 Radiology 0.98 0.98 68.60$ 68.60$ 71046 26 Radiology 0.31 0.31 21.70$ 21.70$ 71046 TC Radiology 0.67 0.67 46.90$ 46.90$ 71047 00 Radiology 1.24 1.24 86.80$ 86.80$ 71047 26 Radiology 0.39 0.39 27.30$ 27.30$ 71047 TC Radiology 0.85 0.85 59.50$ 59.50$ 71048 00 Radiology 1.33 1.33 93.10$ 93.10$ 71048 26 Radiology 0.45 0.45 31.50$ 31.50$ 71048 TC Radiology 0.88 0.88 61.60$ 61.60$ 71100 00 Radiology 1.07 1.07 74.90$ 74.90$ 71100 26 Radiology 0.32 0.32 22.40$ 22.40$ 71100 TC Radiology 0.75 0.75 52.50$ 52.50$ 71101 00 Radiology 1.23 1.23 86.10$ 86.10$ 71101 26 Radiology 0.38 0.38 26.60$ 26.60$ 71101 TC Radiology 0.85 0.85 59.50$ 59.50$ 71110 00 Radiology 1.28 1.28 89.60$ 89.60$ 71110 26 Radiology 0.41 0.41 28.70$ 28.70$ 71110 TC Radiology 0.87 0.87 60.90$ 60.90$ 71111 00 Radiology 1.53 1.53 107.10$ 107.10$ 71111 26 Radiology 0.45 0.45 31.50$ 31.50$ 71111 TC Radiology 1.08 1.08 75.60$ 75.60$ 71120 00 Radiology 0.98 0.98 68.60$ 68.60$ 71120 26 Radiology 0.28 0.28 19.60$ 19.60$ 71120 TC Radiology 0.70 0.70 49.00$ 49.00$ 71130 00 Radiology 1.21 1.21 84.70$ 84.70$ 71130 26 Radiology 0.31 0.31 21.70$ 21.70$ 71130 TC Radiology 0.90 0.90 63.00$ 63.00$ 71250 00 Radiology 4.18 4.18 292.60$ 292.60$ 71250 26 Radiology 1.52 1.52 106.40$ 106.40$ 71250 TC Radiology 2.66 2.66 186.20$ 186.20$ 71260 00 Radiology 5.29 5.29 370.30$ 370.30$ 71260 26 Radiology 1.64 1.64 114.80$ 114.80$ 71260 TC Radiology 3.65 3.65 255.50$ 255.50$ 71270 00 Radiology 6.27 6.27 438.90$ 438.90$ 71270 26 Radiology 1.75 1.75 122.50$ 122.50$ 71270 TC Radiology 4.52 4.52 316.40$ 316.40$ 71271 00 Radiology 4.32 4.32 302.40$ 302.40$ 71271 26 Radiology 1.52 1.52 106.40$ 106.40$ 71271 TC Radiology 2.80 2.80 196.00$ 196.00$

PROPOSAL

109


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate71275 00 Radiology 8.84 8.84 618.80$ 618.80$ 71275 26 Radiology 2.56 2.56 179.20$ 179.20$ 71275 TC Radiology 6.28 6.28 439.60$ 439.60$ 71550 00 Radiology 11.33 11.33 793.10$ 793.10$ 71550 26 Radiology 2.05 2.05 143.50$ 143.50$ 71550 TC Radiology 9.28 9.28 649.60$ 649.60$ 71551 00 Radiology 12.50 12.50 875.00$ 875.00$ 71551 26 Radiology 2.44 2.44 170.80$ 170.80$ 71551 TC Radiology 10.06 10.06 704.20$ 704.20$ 71552 00 Radiology 15.84 15.84 1,108.80$ 1,108.80$ 71552 26 Radiology 3.17 3.17 221.90$ 221.90$ 71552 TC Radiology 12.67 12.67 886.90$ 886.90$ 71555 00 Radiology 11.01 11.01 770.70$ 770.70$ 71555 26 Radiology 2.53 2.53 177.10$ 177.10$ 71555 TC Radiology 8.48 8.48 593.60$ 593.60$ 72020 00 Radiology 0.72 0.72 50.40$ 50.40$ 72020 26 Radiology 0.23 0.23 16.10$ 16.10$ 72020 TC Radiology 0.49 0.49 34.30$ 34.30$ 72040 00 Radiology 1.15 1.15 80.50$ 80.50$ 72040 26 Radiology 0.32 0.32 22.40$ 22.40$ 72040 TC Radiology 0.83 0.83 58.10$ 58.10$ 72050 00 Radiology 1.54 1.54 107.80$ 107.80$ 72050 26 Radiology 0.39 0.39 27.30$ 27.30$ 72050 TC Radiology 1.15 1.15 80.50$ 80.50$ 72052 00 Radiology 1.81 1.81 126.70$ 126.70$ 72052 26 Radiology 0.42 0.42 29.40$ 29.40$ 72052 TC Radiology 1.39 1.39 97.30$ 97.30$ 72070 00 Radiology 0.95 0.95 66.50$ 66.50$ 72070 26 Radiology 0.29 0.29 20.30$ 20.30$ 72070 TC Radiology 0.66 0.66 46.20$ 46.20$ 72072 00 Radiology 1.14 1.14 79.80$ 79.80$ 72072 26 Radiology 0.32 0.32 22.40$ 22.40$ 72072 TC Radiology 0.82 0.82 57.40$ 57.40$ 72074 00 Radiology 1.30 1.30 91.00$ 91.00$ 72074 26 Radiology 0.35 0.35 24.50$ 24.50$ 72074 TC Radiology 0.95 0.95 66.50$ 66.50$ 72080 00 Radiology 1.01 1.01 70.70$ 70.70$ 72080 26 Radiology 0.30 0.30 21.00$ 21.00$ 72080 TC Radiology 0.71 0.71 49.70$ 49.70$ 72081 00 Radiology 1.23 1.23 86.10$ 86.10$ 72081 26 Radiology 0.37 0.37 25.90$ 25.90$ 72081 TC Radiology 0.86 0.86 60.20$ 60.20$ 72082 00 Radiology 2.04 2.04 142.80$ 142.80$ 72082 26 Radiology 0.44 0.44 30.80$ 30.80$ 72082 TC Radiology 1.60 1.60 112.00$ 112.00$ 72083 00 Radiology 2.31 2.31 161.70$ 161.70$ 72083 26 Radiology 0.51 0.51 35.70$ 35.70$ 72083 TC Radiology 1.80 1.80 126.00$ 126.00$ 72084 00 Radiology 2.85 2.85 199.50$ 199.50$ 72084 26 Radiology 0.59 0.59 41.30$ 41.30$ 72084 TC Radiology 2.26 2.26 158.20$ 158.20$ 72100 00 Radiology 1.16 1.16 81.20$ 81.20$ 72100 26 Radiology 0.32 0.32 22.40$ 22.40$ 72100 TC Radiology 0.84 0.84 58.80$ 58.80$ 72110 00 Radiology 1.48 1.48 103.60$ 103.60$ 72110 26 Radiology 0.37 0.37 25.90$ 25.90$ 72110 TC Radiology 1.11 1.11 77.70$ 77.70$ 72114 00 Radiology 1.81 1.81 126.70$ 126.70$ 72114 26 Radiology 0.43 0.43 30.10$ 30.10$

PROPOSAL

110


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

111


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate72159 26 Radiology 2.54 2.54 177.80$ 177.80$ 72159 TC Radiology 8.83 8.83 618.10$ 618.10$ 72170 00 Radiology 0.81 0.81 56.70$ 56.70$ 72170 26 Radiology 0.25 0.25 17.50$ 17.50$ 72170 TC Radiology 0.56 0.56 39.20$ 39.20$ 72190 00 Radiology 1.22 1.22 85.40$ 85.40$ 72190 26 Radiology 0.36 0.36 25.20$ 25.20$ 72190 TC Radiology 0.86 0.86 60.20$ 60.20$ 72191 00 Radiology 9.61 9.61 672.70$ 672.70$ 72191 26 Radiology 2.53 2.53 177.10$ 177.10$ 72191 TC Radiology 7.08 7.08 495.60$ 495.60$ 72192 00 Radiology 4.19 4.19 293.30$ 293.30$ 72192 26 Radiology 1.53 1.53 107.10$ 107.10$ 72192 TC Radiology 2.66 2.66 186.20$ 186.20$ 72193 00 Radiology 7.27 7.27 508.90$ 508.90$ 72193 26 Radiology 1.63 1.63 114.10$ 114.10$ 72193 TC Radiology 5.64 5.64 394.80$ 394.80$ 72194 00 Radiology 8.10 8.10 567.00$ 567.00$ 72194 26 Radiology 1.71 1.71 119.70$ 119.70$ 72194 TC Radiology 6.39 6.39 447.30$ 447.30$ 72195 00 Radiology 7.56 7.56 529.20$ 529.20$ 72195 26 Radiology 2.05 2.05 143.50$ 143.50$ 72195 TC Radiology 5.51 5.51 385.70$ 385.70$ 72196 00 Radiology 8.88 8.88 621.60$ 621.60$ 72196 26 Radiology 2.45 2.45 171.50$ 171.50$ 72196 TC Radiology 6.43 6.43 450.10$ 450.10$ 72197 00 Radiology 11.15 11.15 780.50$ 780.50$ 72197 26 Radiology 3.09 3.09 216.30$ 216.30$ 72197 TC Radiology 8.06 8.06 564.20$ 564.20$ 72198 00 Radiology 11.07 11.07 774.90$ 774.90$ 72198 26 Radiology 2.51 2.51 175.70$ 175.70$ 72198 TC Radiology 8.56 8.56 599.20$ 599.20$ 72200 00 Radiology 0.96 0.96 67.20$ 67.20$ 72200 26 Radiology 0.24 0.24 16.80$ 16.80$ 72200 TC Radiology 0.72 0.72 50.40$ 50.40$ 72202 00 Radiology 1.14 1.14 79.80$ 79.80$ 72202 26 Radiology 0.32 0.32 22.40$ 22.40$ 72202 TC Radiology 0.82 0.82 57.40$ 57.40$ 72220 00 Radiology 0.94 0.94 65.80$ 65.80$ 72220 26 Radiology 0.25 0.25 17.50$ 17.50$ 72220 TC Radiology 0.69 0.69 48.30$ 48.30$ 72240 00 Radiology 3.40 3.40 238.00$ 238.00$ 72240 26 Radiology 1.30 1.30 91.00$ 91.00$ 72240 TC Radiology 2.10 2.10 147.00$ 147.00$ 72255 00 Radiology 3.45 3.45 241.50$ 241.50$ 72255 26 Radiology 1.37 1.37 95.90$ 95.90$ 72255 TC Radiology 2.08 2.08 145.60$ 145.60$ 72265 00 Radiology 3.17 3.17 221.90$ 221.90$ 72265 26 Radiology 1.16 1.16 81.20$ 81.20$ 72265 TC Radiology 2.01 2.01 140.70$ 140.70$ 72270 00 Radiology 4.34 4.34 303.80$ 303.80$ 72270 26 Radiology 1.91 1.91 133.70$ 133.70$ 72270 TC Radiology 2.43 2.43 170.10$ 170.10$ 72275 00 Radiology 4.10 4.10 287.00$ 287.00$ 72275 26 Radiology 1.11 1.11 77.70$ 77.70$ 72275 TC Radiology 2.99 2.99 209.30$ 209.30$ 72285 00 Radiology 3.68 3.68 257.60$ 257.60$ 72285 26 Radiology 1.66 1.66 116.20$ 116.20$ 72285 TC Radiology 2.02 2.02 141.40$ 141.40$

PROPOSAL

112


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

113


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

114


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate73560 26 Radiology 0.24 0.24 16.80$ 16.80$ 73560 TC Radiology 0.76 0.76 53.20$ 53.20$ 73562 00 Radiology 1.18 1.18 82.60$ 82.60$ 73562 26 Radiology 0.27 0.27 18.90$ 18.90$ 73562 TC Radiology 0.91 0.91 63.70$ 63.70$ 73564 00 Radiology 1.34 1.34 93.80$ 93.80$ 73564 26 Radiology 0.32 0.32 22.40$ 22.40$ 73564 TC Radiology 1.02 1.02 71.40$ 71.40$ 73565 00 Radiology 1.19 1.19 83.30$ 83.30$ 73565 26 Radiology 0.25 0.25 17.50$ 17.50$ 73565 TC Radiology 0.94 0.94 65.80$ 65.80$ 73580 00 Radiology 4.28 4.28 299.60$ 299.60$ 73580 26 Radiology 0.82 0.82 57.40$ 57.40$ 73580 TC Radiology 3.46 3.46 242.20$ 242.20$ 73590 00 Radiology 0.92 0.92 64.40$ 64.40$ 73590 26 Radiology 0.23 0.23 16.10$ 16.10$ 73590 TC Radiology 0.69 0.69 48.30$ 48.30$ 73592 00 Radiology 0.92 0.92 64.40$ 64.40$ 73592 26 Radiology 0.23 0.23 16.10$ 16.10$ 73592 TC Radiology 0.69 0.69 48.30$ 48.30$ 73600 00 Radiology 0.95 0.95 66.50$ 66.50$ 73600 26 Radiology 0.24 0.24 16.80$ 16.80$ 73600 TC Radiology 0.71 0.71 49.70$ 49.70$ 73610 00 Radiology 1.07 1.07 74.90$ 74.90$ 73610 26 Radiology 0.25 0.25 17.50$ 17.50$ 73610 TC Radiology 0.82 0.82 57.40$ 57.40$ 73615 00 Radiology 4.02 4.02 281.40$ 281.40$ 73615 26 Radiology 0.83 0.83 58.10$ 58.10$ 73615 TC Radiology 3.19 3.19 223.30$ 223.30$ 73620 00 Radiology 0.83 0.83 58.10$ 58.10$ 73620 26 Radiology 0.22 0.22 15.40$ 15.40$ 73620 TC Radiology 0.61 0.61 42.70$ 42.70$ 73630 00 Radiology 1.00 1.00 70.00$ 70.00$ 73630 26 Radiology 0.24 0.24 16.80$ 16.80$ 73630 TC Radiology 0.76 0.76 53.20$ 53.20$ 73650 00 Radiology 0.84 0.84 58.80$ 58.80$ 73650 26 Radiology 0.23 0.23 16.10$ 16.10$ 73650 TC Radiology 0.61 0.61 42.70$ 42.70$ 73660 00 Radiology 0.85 0.85 59.50$ 59.50$ 73660 26 Radiology 0.19 0.19 13.30$ 13.30$ 73660 TC Radiology 0.66 0.66 46.20$ 46.20$ 73700 00 Radiology 4.08 4.08 285.60$ 285.60$ 73700 26 Radiology 1.41 1.41 98.70$ 98.70$ 73700 TC Radiology 2.67 2.67 186.90$ 186.90$ 73701 00 Radiology 5.28 5.28 369.60$ 369.60$ 73701 26 Radiology 1.63 1.63 114.10$ 114.10$ 73701 TC Radiology 3.65 3.65 255.50$ 255.50$ 73702 00 Radiology 6.16 6.16 431.20$ 431.20$ 73702 26 Radiology 1.70 1.70 119.00$ 119.00$ 73702 TC Radiology 4.46 4.46 312.20$ 312.20$ 73706 00 Radiology 10.33 10.33 723.10$ 723.10$ 73706 26 Radiology 2.64 2.64 184.80$ 184.80$ 73706 TC Radiology 7.69 7.69 538.30$ 538.30$ 73718 00 Radiology 7.35 7.35 514.50$ 514.50$ 73718 26 Radiology 1.89 1.89 132.30$ 132.30$ 73718 TC Radiology 5.46 5.46 382.20$ 382.20$ 73719 00 Radiology 8.67 8.67 606.90$ 606.90$ 73719 26 Radiology 2.30 2.30 161.00$ 161.00$ 73719 TC Radiology 6.37 6.37 445.90$ 445.90$

PROPOSAL

115


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

116


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate74183 TC Radiology 8.08 8.08 565.60$ 565.60$ 74185 00 Radiology 11.09 11.09 776.30$ 776.30$ 74185 26 Radiology 2.52 2.52 176.40$ 176.40$ 74185 TC Radiology 8.57 8.57 599.90$ 599.90$ 74190 00 Radiology - - 114.10$ 114.10$ 74190 26 Radiology 0.66 0.66 46.20$ 46.20$ 74190 TC Radiology - - 68.60$ 68.60$ 74210 00 Radiology 2.91 2.91 203.70$ 203.70$ 74210 26 Radiology 0.84 0.84 58.80$ 58.80$ 74210 TC Radiology 2.07 2.07 144.90$ 144.90$ 74220 00 Radiology 2.96 2.96 207.20$ 207.20$ 74220 26 Radiology 0.86 0.86 60.20$ 60.20$ 74220 TC Radiology 2.10 2.10 147.00$ 147.00$ 74221 00 Radiology 3.32 3.32 232.40$ 232.40$ 74221 26 Radiology 0.99 0.99 69.30$ 69.30$ 74221 TC Radiology 2.33 2.33 163.10$ 163.10$ 74230 00 Radiology 3.91 3.91 273.70$ 273.70$ 74230 26 Radiology 0.76 0.76 53.20$ 53.20$ 74230 TC Radiology 3.15 3.15 220.50$ 220.50$ 74235 00 Radiology - - 336.00$ 336.00$ 74235 26 Radiology 1.67 1.67 116.90$ 116.90$ 74235 TC Radiology - - 218.40$ 218.40$ 74240 00 Radiology 3.67 3.67 256.90$ 256.90$ 74240 26 Radiology 1.13 1.13 79.10$ 79.10$ 74240 TC Radiology 2.54 2.54 177.80$ 177.80$ 74246 00 Radiology 4.21 4.21 294.70$ 294.70$ 74246 26 Radiology 1.26 1.26 88.20$ 88.20$ 74246 TC Radiology 2.95 2.95 206.50$ 206.50$ 74248 00 Radiology 2.49 2.49 174.30$ 174.30$ 74248 26 Radiology 0.99 0.99 69.30$ 69.30$ 74248 TC Radiology 1.50 1.50 105.00$ 105.00$ 74250 00 Radiology 3.68 3.68 257.60$ 257.60$ 74250 26 Radiology 1.14 1.14 79.80$ 79.80$ 74250 TC Radiology 2.54 2.54 177.80$ 177.80$ 74251 00 Radiology 11.92 11.92 834.40$ 834.40$ 74251 26 Radiology 1.64 1.64 114.80$ 114.80$ 74251 TC Radiology 10.28 10.28 719.60$ 719.60$ 74261 00 Radiology 13.78 13.78 964.60$ 964.60$ 74261 26 Radiology 3.38 3.38 236.60$ 236.60$ 74261 TC Radiology 10.40 10.40 728.00$ 728.00$ 74262 00 Radiology 15.53 15.53 1,087.10$ 1,087.10$ 74262 26 Radiology 3.51 3.51 245.70$ 245.70$ 74262 TC Radiology 12.02 12.02 841.40$ 841.40$ 74263 00 Radiology 22.20 22.20 1,554.00$ 1,554.00$ 74263 26 Radiology 3.26 3.26 228.20$ 228.20$ 74263 TC Radiology 18.94 18.94 1,325.80$ 1,325.80$ 74270 00 Radiology 4.66 4.66 326.20$ 326.20$ 74270 26 Radiology 1.46 1.46 102.20$ 102.20$ 74270 TC Radiology 3.20 3.20 224.00$ 224.00$ 74280 00 Radiology 6.73 6.73 471.10$ 471.10$ 74280 26 Radiology 1.76 1.76 123.20$ 123.20$ 74280 TC Radiology 4.97 4.97 347.90$ 347.90$ 74283 00 Radiology 7.73 7.73 541.10$ 541.10$ 74283 26 Radiology 2.95 2.95 206.50$ 206.50$ 74283 TC Radiology 4.78 4.78 334.60$ 334.60$ 74290 00 Radiology 2.57 2.57 179.90$ 179.90$ 74290 26 Radiology 0.45 0.45 31.50$ 31.50$ 74290 TC Radiology 2.12 2.12 148.40$ 148.40$ 74300 00 Radiology - - 81.90$ 81.90$

PROPOSAL

117


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate74300 26 Radiology 0.41 0.41 28.70$ 28.70$ 74300 TC Radiology - - 53.20$ 53.20$ 74301 00 Radiology - - 58.10$ 58.10$ 74301 26 Radiology 0.30 0.30 21.00$ 21.00$ 74301 TC Radiology - - 37.80$ 37.80$ 74328 00 Radiology - - 191.10$ 191.10$ 74328 26 Radiology 0.82 0.82 57.40$ 57.40$ 74328 TC Radiology - - 133.70$ 133.70$ 74329 00 Radiology - - 163.80$ 163.80$ 74329 26 Radiology 0.82 0.82 57.40$ 57.40$ 74329 TC Radiology - - 106.40$ 106.40$ 74330 00 Radiology - - 272.30$ 272.30$ 74330 26 Radiology 1.05 1.05 73.50$ 73.50$ 74330 TC Radiology - - 198.80$ 198.80$ 74340 00 Radiology - - 210.00$ 210.00$ 74340 26 Radiology 0.77 0.77 53.90$ 53.90$ 74340 TC Radiology - - 157.50$ 157.50$ 74355 00 Radiology - - 277.20$ 277.20$ 74355 26 Radiology 1.08 1.08 75.60$ 75.60$ 74355 TC Radiology - - 202.30$ 202.30$ 74360 00 Radiology - - 231.00$ 231.00$ 74360 26 Radiology 0.79 0.79 55.30$ 55.30$ 74360 TC Radiology - - 175.70$ 175.70$ 74363 00 Radiology - - 244.30$ 244.30$ 74363 26 Radiology 1.23 1.23 86.10$ 86.10$ 74363 TC Radiology - - 158.90$ 158.90$ 74400 00 Radiology 3.98 3.98 278.60$ 278.60$ 74400 26 Radiology 0.68 0.68 47.60$ 47.60$ 74400 TC Radiology 3.30 3.30 231.00$ 231.00$ 74410 00 Radiology 4.11 4.11 287.70$ 287.70$ 74410 26 Radiology 0.68 0.68 47.60$ 47.60$ 74410 TC Radiology 3.43 3.43 240.10$ 240.10$ 74415 00 Radiology 4.67 4.67 326.90$ 326.90$ 74415 26 Radiology 0.68 0.68 47.60$ 47.60$ 74415 TC Radiology 3.99 3.99 279.30$ 279.30$ 74420 00 Radiology 2.24 2.24 156.80$ 156.80$ 74420 26 Radiology 0.72 0.72 50.40$ 50.40$ 74420 TC Radiology 1.52 1.52 106.40$ 106.40$ 74425 00 Radiology 4.07 4.07 284.90$ 284.90$ 74425 26 Radiology 0.71 0.71 49.70$ 49.70$ 74425 TC Radiology 3.36 3.36 235.20$ 235.20$ 74430 00 Radiology 1.19 1.19 83.30$ 83.30$ 74430 26 Radiology 0.44 0.44 30.80$ 30.80$ 74430 TC Radiology 0.75 0.75 52.50$ 52.50$ 74440 00 Radiology 2.89 2.89 202.30$ 202.30$ 74440 26 Radiology 0.52 0.52 36.40$ 36.40$ 74440 TC Radiology 2.37 2.37 165.90$ 165.90$ 74445 00 Radiology - - 193.90$ 193.90$ 74445 26 Radiology 1.57 1.57 109.90$ 109.90$ 74445 TC Radiology - - 83.30$ 83.30$ 74450 00 Radiology - - 140.00$ 140.00$ 74450 26 Radiology 0.46 0.46 32.20$ 32.20$ 74450 TC Radiology - - 107.80$ 107.80$ 74455 00 Radiology 3.09 3.09 216.30$ 216.30$ 74455 26 Radiology 0.45 0.45 31.50$ 31.50$ 74455 TC Radiology 2.64 2.64 184.80$ 184.80$ 74470 00 Radiology - - 144.20$ 144.20$ 74470 26 Radiology 0.75 0.75 52.50$ 52.50$ 74470 TC Radiology - - 92.40$ 92.40$

PROPOSAL

118


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate74485 00 Radiology 3.49 3.49 244.30$ 244.30$ 74485 26 Radiology 1.13 1.13 79.10$ 79.10$ 74485 TC Radiology 2.36 2.36 165.20$ 165.20$ 74710 00 Radiology 1.17 1.17 81.90$ 81.90$ 74710 26 Radiology 0.48 0.48 33.60$ 33.60$ 74710 TC Radiology 0.69 0.69 48.30$ 48.30$ 74712 00 Radiology 13.47 13.47 942.90$ 942.90$ 74712 26 Radiology 4.23 4.23 296.10$ 296.10$ 74712 TC Radiology 9.24 9.24 646.80$ 646.80$ 74713 00 Radiology 6.51 6.51 455.70$ 455.70$ 74713 26 Radiology 2.61 2.61 182.70$ 182.70$ 74713 TC Radiology 3.90 3.90 273.00$ 273.00$ 74740 00 Radiology 2.86 2.86 200.20$ 200.20$ 74740 26 Radiology 0.54 0.54 37.80$ 37.80$ 74740 TC Radiology 2.32 2.32 162.40$ 162.40$ 74742 00 Radiology - - 172.20$ 172.20$ 74742 26 Radiology 0.87 0.87 60.90$ 60.90$ 74742 TC Radiology - - 112.00$ 112.00$ 74775 00 Radiology - - 169.40$ 169.40$ 74775 26 Radiology 0.89 0.89 62.30$ 62.30$ 74775 TC Radiology - - 108.50$ 108.50$ 75557 00 Radiology 9.18 9.18 642.60$ 642.60$ 75557 26 Radiology 3.27 3.27 228.90$ 228.90$ 75557 TC Radiology 5.91 5.91 413.70$ 413.70$ 75559 00 Radiology 12.72 12.72 890.40$ 890.40$ 75559 26 Radiology 3.99 3.99 279.30$ 279.30$ 75559 TC Radiology 8.73 8.73 611.10$ 611.10$ 75561 00 Radiology 12.12 12.12 848.40$ 848.40$ 75561 26 Radiology 3.63 3.63 254.10$ 254.10$ 75561 TC Radiology 8.49 8.49 594.30$ 594.30$ 75563 00 Radiology 14.27 14.27 998.90$ 998.90$ 75563 26 Radiology 4.16 4.16 291.20$ 291.20$ 75563 TC Radiology 10.11 10.11 707.70$ 707.70$ 75565 00 Radiology 1.53 1.53 107.10$ 107.10$ 75565 26 Radiology 0.35 0.35 24.50$ 24.50$ 75565 TC Radiology 1.18 1.18 82.60$ 82.60$ 75571 00 Radiology 3.09 3.09 216.30$ 216.30$ 75571 26 Radiology 0.83 0.83 58.10$ 58.10$ 75571 TC Radiology 2.26 2.26 158.20$ 158.20$ 75572 00 Radiology 7.96 7.96 557.20$ 557.20$ 75572 26 Radiology 2.43 2.43 170.10$ 170.10$ 75572 TC Radiology 5.53 5.53 387.10$ 387.10$ 75573 00 Radiology 10.83 10.83 758.10$ 758.10$ 75573 26 Radiology 3.57 3.57 249.90$ 249.90$ 75573 TC Radiology 7.26 7.26 508.20$ 508.20$ 75574 00 Radiology 11.64 11.64 814.80$ 814.80$ 75574 26 Radiology 3.35 3.35 234.50$ 234.50$ 75574 TC Radiology 8.29 8.29 580.30$ 580.30$ 75600 00 Radiology 5.91 5.91 413.70$ 413.70$ 75600 26 Radiology 0.69 0.69 48.30$ 48.30$ 75600 TC Radiology 5.22 5.22 365.40$ 365.40$ 75605 00 Radiology 3.70 3.70 259.00$ 259.00$ 75605 26 Radiology 1.57 1.57 109.90$ 109.90$ 75605 TC Radiology 2.13 2.13 149.10$ 149.10$ 75625 00 Radiology 3.93 3.93 275.10$ 275.10$ 75625 26 Radiology 1.99 1.99 139.30$ 139.30$ 75625 TC Radiology 1.94 1.94 135.80$ 135.80$ 75630 00 Radiology 4.84 4.84 338.80$ 338.80$ 75630 26 Radiology 2.78 2.78 194.60$ 194.60$

PROPOSAL

119


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate75630 TC Radiology 2.06 2.06 144.20$ 144.20$ 75635 00 Radiology 12.99 12.99 909.30$ 909.30$ 75635 26 Radiology 3.35 3.35 234.50$ 234.50$ 75635 TC Radiology 9.64 9.64 674.80$ 674.80$ 75705 00 Radiology 7.30 7.30 511.00$ 511.00$ 75705 26 Radiology 3.36 3.36 235.20$ 235.20$ 75705 TC Radiology 3.94 3.94 275.80$ 275.80$ 75710 00 Radiology 4.64 4.64 324.80$ 324.80$ 75710 26 Radiology 2.44 2.44 170.80$ 170.80$ 75710 TC Radiology 2.20 2.20 154.00$ 154.00$ 75716 00 Radiology 4.99 4.99 349.30$ 349.30$ 75716 26 Radiology 2.73 2.73 191.10$ 191.10$ 75716 TC Radiology 2.26 2.26 158.20$ 158.20$ 75726 00 Radiology 5.20 5.20 364.00$ 364.00$ 75726 26 Radiology 2.76 2.76 193.20$ 193.20$ 75726 TC Radiology 2.44 2.44 170.80$ 170.80$ 75731 00 Radiology 4.60 4.60 322.00$ 322.00$ 75731 26 Radiology 1.60 1.60 112.00$ 112.00$ 75731 TC Radiology 3.00 3.00 210.00$ 210.00$ 75733 00 Radiology 5.06 5.06 354.20$ 354.20$ 75733 26 Radiology 1.80 1.80 126.00$ 126.00$ 75733 TC Radiology 3.26 3.26 228.20$ 228.20$ 75736 00 Radiology 4.27 4.27 298.90$ 298.90$ 75736 26 Radiology 1.54 1.54 107.80$ 107.80$ 75736 TC Radiology 2.73 2.73 191.10$ 191.10$ 75741 00 Radiology 4.02 4.02 281.40$ 281.40$ 75741 26 Radiology 1.78 1.78 124.60$ 124.60$ 75741 TC Radiology 2.24 2.24 156.80$ 156.80$ 75743 00 Radiology 4.53 4.53 317.10$ 317.10$ 75743 26 Radiology 2.26 2.26 158.20$ 158.20$ 75743 TC Radiology 2.27 2.27 158.90$ 158.90$ 75746 00 Radiology 4.08 4.08 285.60$ 285.60$ 75746 26 Radiology 1.55 1.55 108.50$ 108.50$ 75746 TC Radiology 2.53 2.53 177.10$ 177.10$ 75756 00 Radiology 4.72 4.72 330.40$ 330.40$ 75756 26 Radiology 1.59 1.59 111.30$ 111.30$ 75756 TC Radiology 3.13 3.13 219.10$ 219.10$ 75774 00 Radiology 3.04 3.04 212.80$ 212.80$ 75774 26 Radiology 1.37 1.37 95.90$ 95.90$ 75774 TC Radiology 1.67 1.67 116.90$ 116.90$ 75801 00 Radiology - - 518.70$ 518.70$ 75801 26 Radiology 1.28 1.28 89.60$ 89.60$ 75801 TC Radiology - - 430.50$ 430.50$ 75803 00 Radiology - - 518.70$ 518.70$ 75803 26 Radiology 1.64 1.64 114.80$ 114.80$ 75803 TC Radiology - - 404.60$ 404.60$ 75805 00 Radiology - - 532.00$ 532.00$ 75805 26 Radiology 1.14 1.14 79.80$ 79.80$ 75805 TC Radiology - - 452.20$ 452.20$ 75807 00 Radiology - - 546.00$ 546.00$ 75807 26 Radiology 1.55 1.55 108.50$ 108.50$ 75807 TC Radiology - - 436.80$ 436.80$ 75809 00 Radiology 2.61 2.61 182.70$ 182.70$ 75809 26 Radiology 0.69 0.69 48.30$ 48.30$ 75809 TC Radiology 1.92 1.92 134.40$ 134.40$ 75810 00 Radiology - - 891.10$ 891.10$ 75810 26 Radiology 1.38 1.38 96.60$ 96.60$ 75810 TC Radiology - - 793.10$ 793.10$ 75820 00 Radiology 3.45 3.45 241.50$ 241.50$

PROPOSAL

120


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate75820 26 Radiology 1.48 1.48 103.60$ 103.60$ 75820 TC Radiology 1.97 1.97 137.90$ 137.90$ 75822 00 Radiology 4.13 4.13 289.10$ 289.10$ 75822 26 Radiology 2.04 2.04 142.80$ 142.80$ 75822 TC Radiology 2.09 2.09 146.30$ 146.30$ 75825 00 Radiology 3.55 3.55 248.50$ 248.50$ 75825 26 Radiology 1.58 1.58 110.60$ 110.60$ 75825 TC Radiology 1.97 1.97 137.90$ 137.90$ 75827 00 Radiology 3.71 3.71 259.70$ 259.70$ 75827 26 Radiology 1.59 1.59 111.30$ 111.30$ 75827 TC Radiology 2.12 2.12 148.40$ 148.40$ 75831 00 Radiology 3.67 3.67 256.90$ 256.90$ 75831 26 Radiology 1.52 1.52 106.40$ 106.40$ 75831 TC Radiology 2.15 2.15 150.50$ 150.50$ 75833 00 Radiology 4.44 4.44 310.80$ 310.80$ 75833 26 Radiology 2.04 2.04 142.80$ 142.80$ 75833 TC Radiology 2.40 2.40 168.00$ 168.00$ 75840 00 Radiology 3.96 3.96 277.20$ 277.20$ 75840 26 Radiology 1.60 1.60 112.00$ 112.00$ 75840 TC Radiology 2.36 2.36 165.20$ 165.20$ 75842 00 Radiology 4.81 4.81 336.70$ 336.70$ 75842 26 Radiology 2.09 2.09 146.30$ 146.30$ 75842 TC Radiology 2.72 2.72 190.40$ 190.40$ 75860 00 Radiology 3.91 3.91 273.70$ 273.70$ 75860 26 Radiology 1.59 1.59 111.30$ 111.30$ 75860 TC Radiology 2.32 2.32 162.40$ 162.40$ 75870 00 Radiology 5.06 5.06 354.20$ 354.20$ 75870 26 Radiology 1.78 1.78 124.60$ 124.60$ 75870 TC Radiology 3.28 3.28 229.60$ 229.60$ 75872 00 Radiology 3.96 3.96 277.20$ 277.20$ 75872 26 Radiology 1.60 1.60 112.00$ 112.00$ 75872 TC Radiology 2.36 2.36 165.20$ 165.20$ 75880 00 Radiology 3.34 3.34 233.80$ 233.80$ 75880 26 Radiology 0.99 0.99 69.30$ 69.30$ 75880 TC Radiology 2.35 2.35 164.50$ 164.50$ 75885 00 Radiology 4.18 4.18 292.60$ 292.60$ 75885 26 Radiology 1.91 1.91 133.70$ 133.70$ 75885 TC Radiology 2.27 2.27 158.90$ 158.90$ 75887 00 Radiology 4.22 4.22 295.40$ 295.40$ 75887 26 Radiology 1.93 1.93 135.10$ 135.10$ 75887 TC Radiology 2.29 2.29 160.30$ 160.30$ 75889 00 Radiology 3.78 3.78 264.60$ 264.60$ 75889 26 Radiology 1.50 1.50 105.00$ 105.00$ 75889 TC Radiology 2.28 2.28 159.60$ 159.60$ 75891 00 Radiology 3.82 3.82 267.40$ 267.40$ 75891 26 Radiology 1.52 1.52 106.40$ 106.40$ 75891 TC Radiology 2.30 2.30 161.00$ 161.00$ 75893 00 Radiology 3.24 3.24 226.80$ 226.80$ 75893 26 Radiology 0.75 0.75 52.50$ 52.50$ 75893 TC Radiology 2.49 2.49 174.30$ 174.30$ 75894 00 Radiology - - 2,050.30$ 2,050.30$ 75894 26 Radiology 2.05 2.05 143.50$ 143.50$ 75894 TC Radiology - - 1,906.80$ 1,906.80$ 75898 00 Radiology - - 270.90$ 270.90$ 75898 26 Radiology 2.58 2.58 180.60$ 180.60$ 75898 TC Radiology - - 89.60$ 89.60$ 75901 00 Radiology 6.97 6.97 487.90$ 487.90$ 75901 26 Radiology 0.68 0.68 47.60$ 47.60$ 75901 TC Radiology 6.29 6.29 440.30$ 440.30$

PROPOSAL

121


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate75902 00 Radiology 2.70 2.70 189.00$ 189.00$ 75902 26 Radiology 0.55 0.55 38.50$ 38.50$ 75902 TC Radiology 2.15 2.15 150.50$ 150.50$ 75956 00 Radiology - - 688.80$ 688.80$ 75956 26 Radiology 9.79 9.79 685.30$ 685.30$ 75956 TC Radiology 0.00 0.00 BR BR75957 00 Radiology - - 589.40$ 589.40$ 75957 26 Radiology 8.39 8.39 587.30$ 587.30$ 75957 TC Radiology 0.00 0.00 BR BR75958 00 Radiology - - 389.90$ 389.90$ 75958 26 Radiology 5.56 5.56 389.20$ 389.20$ 75958 TC Radiology 0.00 0.00 BR BR75959 00 Radiology - - 340.90$ 340.90$ 75959 26 Radiology 4.87 4.87 340.90$ 340.90$ 75959 TC Radiology 0.00 0.00 BR BR75970 00 Radiology - - 863.10$ 863.10$ 75970 26 Radiology 1.11 1.11 77.70$ 77.70$ 75970 TC Radiology - - 785.40$ 785.40$ 75984 00 Radiology 3.05 3.05 213.50$ 213.50$ 75984 26 Radiology 1.11 1.11 77.70$ 77.70$ 75984 TC Radiology 1.94 1.94 135.80$ 135.80$ 75989 00 Radiology 3.48 3.48 243.60$ 243.60$ 75989 26 Radiology 1.63 1.63 114.10$ 114.10$ 75989 TC Radiology 1.85 1.85 129.50$ 129.50$ 76000 00 Radiology 1.25 1.25 87.50$ 87.50$ 76000 26 Radiology 0.45 0.45 31.50$ 31.50$ 76000 TC Radiology 0.80 0.80 56.00$ 56.00$ 76010 00 Radiology 0.87 0.87 60.90$ 60.90$ 76010 26 Radiology 0.26 0.26 18.20$ 18.20$ 76010 TC Radiology 0.61 0.61 42.70$ 42.70$ 76080 00 Radiology 1.77 1.77 123.90$ 123.90$ 76080 26 Radiology 0.74 0.74 51.80$ 51.80$ 76080 TC Radiology 1.03 1.03 72.10$ 72.10$ 76098 00 Radiology 1.23 1.23 86.10$ 86.10$ 76098 26 Radiology 0.45 0.45 31.50$ 31.50$ 76098 TC Radiology 0.78 0.78 54.60$ 54.60$ 76100 00 Radiology 2.75 2.75 192.50$ 192.50$ 76100 26 Radiology 0.85 0.85 59.50$ 59.50$ 76100 TC Radiology 1.90 1.90 133.00$ 133.00$ 76101 00 Radiology 3.03 3.03 212.10$ 212.10$ 76101 26 Radiology 0.80 0.80 56.00$ 56.00$ 76101 TC Radiology 2.23 2.23 156.10$ 156.10$ 76102 00 Radiology 5.31 5.31 371.70$ 371.70$ 76102 26 Radiology 0.87 0.87 60.90$ 60.90$ 76102 TC Radiology 4.44 4.44 310.80$ 310.80$ 76120 00 Radiology 3.39 3.39 237.30$ 237.30$ 76120 26 Radiology 0.57 0.57 39.90$ 39.90$ 76120 TC Radiology 2.82 2.82 197.40$ 197.40$ 76125 00 Radiology - - 86.10$ 86.10$ 76125 26 Radiology 0.38 0.38 26.60$ 26.60$ 76125 TC Radiology - - 59.50$ 59.50$ 76140 00 Radiology 0.00 0.00 BR BR76145 00 Radiology 24.31 24.31 1,701.70$ 1,701.70$ 76376 00 Radiology 0.66 0.66 46.20$ 46.20$ 76376 26 Radiology 0.28 0.28 19.60$ 19.60$ 76376 TC Radiology 0.38 0.38 26.60$ 26.60$ 76377 00 Radiology 2.08 2.08 145.60$ 145.60$ 76377 26 Radiology 1.12 1.12 78.40$ 78.40$ 76377 TC Radiology 0.96 0.96 67.20$ 67.20$

PROPOSAL

122


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate76380 00 Radiology 4.18 4.18 292.60$ 292.60$ 76380 26 Radiology 1.35 1.35 94.50$ 94.50$ 76380 TC Radiology 2.83 2.83 198.10$ 198.10$ 76390 00 Radiology 12.31 12.31 861.70$ 861.70$ 76390 26 Radiology 1.99 1.99 139.30$ 139.30$ 76390 TC Radiology 10.32 10.32 722.40$ 722.40$ 76391 00 Radiology 6.70 6.70 469.00$ 469.00$ 76391 26 Radiology 1.55 1.55 108.50$ 108.50$ 76391 TC Radiology 5.15 5.15 360.50$ 360.50$ 76496 00 Radiology - - 137.20$ 137.20$ 76496 26 Radiology - - 48.30$ 48.30$ 76496 TC Radiology - - 88.90$ 88.90$ 76497 00 Radiology - - 226.80$ 226.80$ 76497 26 Radiology - - 45.50$ 45.50$ 76497 TC Radiology - - 181.30$ 181.30$ 76498 00 Radiology - - 197.40$ 197.40$ 76498 26 Radiology - - 39.20$ 39.20$ 76498 TC Radiology - - 158.20$ 158.20$ 76499 00 Radiology 0.00 0.00 BR BR76499 26 Radiology 0.00 0.00 BR BR76499 TC Radiology 0.00 0.00 BR BR76506 00 Radiology 3.44 3.44 240.80$ 240.80$ 76506 26 Radiology 0.91 0.91 63.70$ 63.70$ 76506 TC Radiology 2.53 2.53 177.10$ 177.10$ 76510 00 Radiology 2.13 2.13 149.10$ 149.10$ 76510 26 Radiology 1.14 1.14 79.80$ 79.80$ 76510 TC Radiology 0.99 0.99 69.30$ 69.30$ 76511 00 Radiology 1.68 1.68 117.60$ 117.60$ 76511 26 Radiology 1.03 1.03 72.10$ 72.10$ 76511 TC Radiology 0.65 0.65 45.50$ 45.50$ 76512 00 Radiology 1.43 1.43 100.10$ 100.10$ 76512 26 Radiology 0.89 0.89 62.30$ 62.30$ 76512 TC Radiology 0.54 0.54 37.80$ 37.80$ 76513 00 Radiology 2.29 2.29 160.30$ 160.30$ 76513 26 Radiology 0.93 0.93 65.10$ 65.10$ 76513 TC Radiology 1.36 1.36 95.20$ 95.20$ 76514 00 Radiology 0.34 0.34 23.80$ 23.80$ 76514 26 Radiology 0.23 0.23 16.10$ 16.10$ 76514 TC Radiology 0.11 0.11 7.70$ 7.70$ 76516 00 Radiology 1.36 1.36 95.20$ 95.20$ 76516 26 Radiology 0.65 0.65 45.50$ 45.50$ 76516 TC Radiology 0.71 0.71 49.70$ 49.70$ 76519 00 Radiology 1.96 1.96 137.20$ 137.20$ 76519 26 Radiology 0.88 0.88 61.60$ 61.60$ 76519 TC Radiology 1.08 1.08 75.60$ 75.60$ 76529 00 Radiology 2.54 2.54 177.80$ 177.80$ 76529 26 Radiology 0.93 0.93 65.10$ 65.10$ 76529 TC Radiology 1.61 1.61 112.70$ 112.70$ 76536 00 Radiology 3.42 3.42 239.40$ 239.40$ 76536 26 Radiology 0.81 0.81 56.70$ 56.70$ 76536 TC Radiology 2.61 2.61 182.70$ 182.70$ 76604 00 Radiology 1.96 1.96 137.20$ 137.20$ 76604 26 Radiology 0.82 0.82 57.40$ 57.40$ 76604 TC Radiology 1.14 1.14 79.80$ 79.80$ 76641 00 Radiology 3.12 3.12 218.40$ 218.40$ 76641 26 Radiology 1.03 1.03 72.10$ 72.10$ 76641 TC Radiology 2.09 2.09 146.30$ 146.30$ 76642 00 Radiology 2.57 2.57 179.90$ 179.90$ 76642 26 Radiology 0.97 0.97 67.90$ 67.90$

PROPOSAL

123


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

124


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate76819 26 Radiology 1.10 1.10 77.00$ 77.00$ 76819 TC Radiology 1.43 1.43 100.10$ 100.10$ 76820 00 Radiology 1.36 1.36 95.20$ 95.20$ 76820 26 Radiology 0.71 0.71 49.70$ 49.70$ 76820 TC Radiology 0.65 0.65 45.50$ 45.50$ 76821 00 Radiology 2.68 2.68 187.60$ 187.60$ 76821 26 Radiology 0.99 0.99 69.30$ 69.30$ 76821 TC Radiology 1.69 1.69 118.30$ 118.30$ 76825 00 Radiology 8.07 8.07 564.90$ 564.90$ 76825 26 Radiology 2.34 2.34 163.80$ 163.80$ 76825 TC Radiology 5.73 5.73 401.10$ 401.10$ 76826 00 Radiology 4.84 4.84 338.80$ 338.80$ 76826 26 Radiology 1.17 1.17 81.90$ 81.90$ 76826 TC Radiology 3.67 3.67 256.90$ 256.90$ 76827 00 Radiology 2.15 2.15 150.50$ 150.50$ 76827 26 Radiology 0.81 0.81 56.70$ 56.70$ 76827 TC Radiology 1.34 1.34 93.80$ 93.80$ 76828 00 Radiology 1.51 1.51 105.70$ 105.70$ 76828 26 Radiology 0.79 0.79 55.30$ 55.30$ 76828 TC Radiology 0.72 0.72 50.40$ 50.40$ 76830 00 Radiology 3.64 3.64 254.80$ 254.80$ 76830 26 Radiology 0.98 0.98 68.60$ 68.60$ 76830 TC Radiology 2.66 2.66 186.20$ 186.20$ 76831 00 Radiology 3.55 3.55 248.50$ 248.50$ 76831 26 Radiology 1.03 1.03 72.10$ 72.10$ 76831 TC Radiology 2.52 2.52 176.40$ 176.40$ 76856 00 Radiology 3.22 3.22 225.40$ 225.40$ 76856 26 Radiology 0.98 0.98 68.60$ 68.60$ 76856 TC Radiology 2.24 2.24 156.80$ 156.80$ 76857 00 Radiology 1.40 1.40 98.00$ 98.00$ 76857 26 Radiology 0.69 0.69 48.30$ 48.30$ 76857 TC Radiology 0.71 0.71 49.70$ 49.70$ 76870 00 Radiology 3.08 3.08 215.60$ 215.60$ 76870 26 Radiology 0.91 0.91 63.70$ 63.70$ 76870 TC Radiology 2.17 2.17 151.90$ 151.90$ 76872 00 Radiology 5.51 5.51 385.70$ 385.70$ 76872 26 Radiology 0.95 0.95 66.50$ 66.50$ 76872 TC Radiology 4.56 4.56 319.20$ 319.20$ 76873 00 Radiology 5.18 5.18 362.60$ 362.60$ 76873 26 Radiology 2.22 2.22 155.40$ 155.40$ 76873 TC Radiology 2.96 2.96 207.20$ 207.20$ 76881 00 Radiology 1.94 1.94 135.80$ 135.80$ 76881 26 Radiology 0.89 0.89 62.30$ 62.30$ 76881 TC Radiology 1.05 1.05 73.50$ 73.50$ 76882 00 Radiology 1.65 1.65 115.50$ 115.50$ 76882 26 Radiology 0.68 0.68 47.60$ 47.60$ 76882 TC Radiology 0.97 0.97 67.90$ 67.90$ 76885 00 Radiology 4.20 4.20 294.00$ 294.00$ 76885 26 Radiology 1.05 1.05 73.50$ 73.50$ 76885 TC Radiology 3.15 3.15 220.50$ 220.50$ 76886 00 Radiology 3.08 3.08 215.60$ 215.60$ 76886 26 Radiology 0.89 0.89 62.30$ 62.30$ 76886 TC Radiology 2.19 2.19 153.30$ 153.30$ 76932 00 Radiology - - 193.20$ 193.20$ 76932 26 Radiology 1.00 1.00 70.00$ 70.00$ 76932 TC Radiology - - 121.80$ 121.80$ 76936 00 Radiology 7.92 7.92 554.40$ 554.40$ 76936 26 Radiology 2.77 2.77 193.90$ 193.90$ 76936 TC Radiology 5.15 5.15 360.50$ 360.50$

PROPOSAL

125


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate76937 00 Radiology 1.12 1.12 78.40$ 78.40$ 76937 26 Radiology 0.40 0.40 28.00$ 28.00$ 76937 TC Radiology 0.72 0.72 50.40$ 50.40$ 76940 00 Radiology - - 329.70$ 329.70$ 76940 26 Radiology 2.94 2.94 205.80$ 205.80$ 76940 TC Radiology - - 125.30$ 125.30$ 76941 00 Radiology - - 247.80$ 247.80$ 76941 26 Radiology 1.89 1.89 132.30$ 132.30$ 76941 TC Radiology - - 114.10$ 114.10$ 76942 00 Radiology 1.69 1.69 118.30$ 118.30$ 76942 26 Radiology 0.90 0.90 63.00$ 63.00$ 76942 TC Radiology 0.79 0.79 55.30$ 55.30$ 76945 00 Radiology - - 186.90$ 186.90$ 76945 26 Radiology 0.95 0.95 66.50$ 66.50$ 76945 TC Radiology - - 119.70$ 119.70$ 76946 00 Radiology 0.95 0.95 66.50$ 66.50$ 76946 26 Radiology 0.54 0.54 37.80$ 37.80$ 76946 TC Radiology 0.41 0.41 28.70$ 28.70$ 76948 00 Radiology 2.35 2.35 164.50$ 164.50$ 76948 26 Radiology 0.95 0.95 66.50$ 66.50$ 76948 TC Radiology 1.40 1.40 98.00$ 98.00$ 76965 00 Radiology 2.70 2.70 189.00$ 189.00$ 76965 26 Radiology 1.94 1.94 135.80$ 135.80$ 76965 TC Radiology 0.76 0.76 53.20$ 53.20$ 76975 00 Radiology - - 202.30$ 202.30$ 76975 26 Radiology 1.19 1.19 83.30$ 83.30$ 76975 TC Radiology - - 119.70$ 119.70$ 76977 00 Radiology 0.21 0.21 14.70$ 14.70$ 76977 26 Radiology 0.08 0.08 5.60$ 5.60$ 76977 TC Radiology 0.13 0.13 9.10$ 9.10$ 76978 00 Radiology 9.28 9.28 649.60$ 649.60$ 76978 26 Radiology 2.29 2.29 160.30$ 160.30$ 76978 TC Radiology 6.99 6.99 489.30$ 489.30$ 76979 00 Radiology 6.33 6.33 443.10$ 443.10$ 76979 26 Radiology 1.20 1.20 84.00$ 84.00$ 76979 TC Radiology 5.13 5.13 359.10$ 359.10$ 76981 00 Radiology 3.14 3.14 219.80$ 219.80$ 76981 26 Radiology 0.84 0.84 58.80$ 58.80$ 76981 TC Radiology 2.30 2.30 161.00$ 161.00$ 76982 00 Radiology 2.92 2.92 204.40$ 204.40$ 76982 26 Radiology 0.85 0.85 59.50$ 59.50$ 76982 TC Radiology 2.07 2.07 144.90$ 144.90$ 76983 00 Radiology 1.83 1.83 128.10$ 128.10$ 76983 26 Radiology 0.72 0.72 50.40$ 50.40$ 76983 TC Radiology 1.11 1.11 77.70$ 77.70$ 76998 00 Radiology - - 126.00$ 126.00$ 76998 26 Radiology 1.81 1.81 126.70$ 126.70$ 76998 TC Radiology 0.00 0.00 BR BR76999 00 Radiology 0.00 0.00 BR BR76999 26 Radiology 0.00 0.00 BR BR76999 TC Radiology 0.00 0.00 BR BR77001 00 Radiology 3.01 3.01 210.70$ 210.70$ 77001 26 Radiology 0.54 0.54 37.80$ 37.80$ 77001 TC Radiology 2.47 2.47 172.90$ 172.90$ 77002 00 Radiology 3.41 3.41 238.70$ 238.70$ 77002 26 Radiology 0.80 0.80 56.00$ 56.00$ 77002 TC Radiology 2.61 2.61 182.70$ 182.70$ 77003 00 Radiology 3.07 3.07 214.90$ 214.90$ 77003 26 Radiology 0.85 0.85 59.50$ 59.50$

PROPOSAL

126


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate77003 TC Radiology 2.22 2.22 155.40$ 155.40$ 77011 00 Radiology 6.90 6.90 483.00$ 483.00$ 77011 26 Radiology 1.81 1.81 126.70$ 126.70$ 77011 TC Radiology 5.09 5.09 356.30$ 356.30$ 77012 00 Radiology 4.33 4.33 303.10$ 303.10$ 77012 26 Radiology 2.08 2.08 145.60$ 145.60$ 77012 TC Radiology 2.25 2.25 157.50$ 157.50$ 77013 00 Radiology - - 1,038.10$ 1,038.10$ 77013 26 Radiology 5.37 5.37 375.90$ 375.90$ 77013 TC Radiology - - 664.30$ 664.30$ 77014 00 Radiology 3.62 3.62 253.40$ 253.40$ 77014 26 Radiology 1.30 1.30 91.00$ 91.00$ 77014 TC Radiology 2.32 2.32 162.40$ 162.40$ 77021 00 Radiology 13.51 13.51 945.70$ 945.70$ 77021 26 Radiology 2.05 2.05 143.50$ 143.50$ 77021 TC Radiology 11.46 11.46 802.20$ 802.20$ 77022 00 Radiology - - 1,359.40$ 1,359.40$ 77022 26 Radiology 6.06 6.06 424.20$ 424.20$ 77022 TC Radiology - - 938.00$ 938.00$ 77046 00 Radiology 6.97 6.97 487.90$ 487.90$ 77046 26 Radiology 2.03 2.03 142.10$ 142.10$ 77046 TC Radiology 4.94 4.94 345.80$ 345.80$ 77047 00 Radiology 7.16 7.16 501.20$ 501.20$ 77047 26 Radiology 2.24 2.24 156.80$ 156.80$ 77047 TC Radiology 4.92 4.92 344.40$ 344.40$ 77048 00 Radiology 11.10 11.10 777.00$ 777.00$ 77048 26 Radiology 2.96 2.96 207.20$ 207.20$ 77048 TC Radiology 8.14 8.14 569.80$ 569.80$ 77049 00 Radiology 11.34 11.34 793.80$ 793.80$ 77049 26 Radiology 3.24 3.24 226.80$ 226.80$ 77049 TC Radiology 8.10 8.10 567.00$ 567.00$ 77053 00 Radiology 1.62 1.62 113.40$ 113.40$ 77053 26 Radiology 0.51 0.51 35.70$ 35.70$ 77053 TC Radiology 1.11 1.11 77.70$ 77.70$ 77054 00 Radiology 2.10 2.10 147.00$ 147.00$ 77054 26 Radiology 0.63 0.63 44.10$ 44.10$ 77054 TC Radiology 1.47 1.47 102.90$ 102.90$ 77061 00 Radiology - - 263.90$ 263.90$ 77061 26 Radiology - - 79.80$ 79.80$ 77061 TC Radiology - - 184.10$ 184.10$ 77062 00 Radiology - - 333.20$ 333.20$ 77062 26 Radiology - - 98.00$ 98.00$ 77062 TC Radiology - - 235.20$ 235.20$ 77063 00 Radiology 1.59 1.59 111.30$ 111.30$ 77063 26 Radiology 0.86 0.86 60.20$ 60.20$ 77063 TC Radiology 0.73 0.73 51.10$ 51.10$ 77065 00 Radiology 3.76 3.76 263.20$ 263.20$ 77065 26 Radiology 1.14 1.14 79.80$ 79.80$ 77065 TC Radiology 2.62 2.62 183.40$ 183.40$ 77066 00 Radiology 4.76 4.76 333.20$ 333.20$ 77066 26 Radiology 1.41 1.41 98.70$ 98.70$ 77066 TC Radiology 3.35 3.35 234.50$ 234.50$ 77067 00 Radiology 3.85 3.85 269.50$ 269.50$ 77067 26 Radiology 1.08 1.08 75.60$ 75.60$ 77067 TC Radiology 2.77 2.77 193.90$ 193.90$ 77071 00 Radiology 1.60 1.60 112.00$ 112.00$ 77072 00 Radiology 0.76 0.76 53.20$ 53.20$ 77072 26 Radiology 0.27 0.27 18.90$ 18.90$ 77072 TC Radiology 0.49 0.49 34.30$ 34.30$

PROPOSAL

127


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate77073 00 Radiology 1.32 1.32 92.40$ 92.40$ 77073 26 Radiology 0.39 0.39 27.30$ 27.30$ 77073 TC Radiology 0.93 0.93 65.10$ 65.10$ 77074 00 Radiology 1.90 1.90 133.00$ 133.00$ 77074 26 Radiology 0.62 0.62 43.40$ 43.40$ 77074 TC Radiology 1.28 1.28 89.60$ 89.60$ 77075 00 Radiology 2.89 2.89 202.30$ 202.30$ 77075 26 Radiology 0.79 0.79 55.30$ 55.30$ 77075 TC Radiology 2.10 2.10 147.00$ 147.00$ 77076 00 Radiology 3.11 3.11 217.70$ 217.70$ 77076 26 Radiology 0.99 0.99 69.30$ 69.30$ 77076 TC Radiology 2.12 2.12 148.40$ 148.40$ 77077 00 Radiology 1.37 1.37 95.90$ 95.90$ 77077 26 Radiology 0.49 0.49 34.30$ 34.30$ 77077 TC Radiology 0.88 0.88 61.60$ 61.60$ 77078 00 Radiology 3.32 3.32 232.40$ 232.40$ 77078 26 Radiology 0.35 0.35 24.50$ 24.50$ 77078 TC Radiology 2.97 2.97 207.90$ 207.90$ 77080 00 Radiology 1.11 1.11 77.70$ 77.70$ 77080 26 Radiology 0.28 0.28 19.60$ 19.60$ 77080 TC Radiology 0.83 0.83 58.10$ 58.10$ 77081 00 Radiology 0.92 0.92 64.40$ 64.40$ 77081 26 Radiology 0.29 0.29 20.30$ 20.30$ 77081 TC Radiology 0.63 0.63 44.10$ 44.10$ 77084 00 Radiology 10.58 10.58 740.60$ 740.60$ 77084 26 Radiology 2.24 2.24 156.80$ 156.80$ 77084 TC Radiology 8.34 8.34 583.80$ 583.80$ 77085 00 Radiology 1.53 1.53 107.10$ 107.10$ 77085 26 Radiology 0.43 0.43 30.10$ 30.10$ 77085 TC Radiology 1.10 1.10 77.00$ 77.00$ 77086 00 Radiology 0.98 0.98 68.60$ 68.60$ 77086 26 Radiology 0.24 0.24 16.80$ 16.80$ 77086 TC Radiology 0.74 0.74 51.80$ 51.80$ 77261 00 Radiology 2.06 2.06 144.20$ 144.20$ 77262 00 Radiology 3.13 3.13 219.10$ 219.10$ 77263 00 Radiology 4.87 4.87 340.90$ 340.90$ 77280 00 Radiology 8.30 8.30 581.00$ 581.00$ 77280 26 Radiology 1.10 1.10 77.00$ 77.00$ 77280 TC Radiology 7.20 7.20 504.00$ 504.00$ 77285 00 Radiology 13.75 13.75 962.50$ 962.50$ 77285 26 Radiology 1.65 1.65 115.50$ 115.50$ 77285 TC Radiology 12.10 12.10 847.00$ 847.00$ 77290 00 Radiology 14.37 14.37 1,005.90$ 1,005.90$ 77290 26 Radiology 2.36 2.36 165.20$ 165.20$ 77290 TC Radiology 12.01 12.01 840.70$ 840.70$ 77293 00 Radiology 13.04 13.04 912.80$ 912.80$ 77293 26 Radiology 3.05 3.05 213.50$ 213.50$ 77293 TC Radiology 9.99 9.99 699.30$ 699.30$ 77295 00 Radiology 14.07 14.07 984.90$ 984.90$ 77295 26 Radiology 6.49 6.49 454.30$ 454.30$ 77295 TC Radiology 7.58 7.58 530.60$ 530.60$ 77299 00 Radiology 0.00 0.00 BR BR77299 26 Radiology 0.00 0.00 BR BR77299 TC Radiology 0.00 0.00 BR BR77300 00 Radiology 1.93 1.93 135.10$ 135.10$ 77300 26 Radiology 0.94 0.94 65.80$ 65.80$ 77300 TC Radiology 0.99 0.99 69.30$ 69.30$ 77301 00 Radiology 55.46 55.46 3,882.20$ 3,882.20$ 77301 26 Radiology 12.10 12.10 847.00$ 847.00$

PROPOSAL

128


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate77301 TC Radiology 43.36 43.36 3,035.20$ 3,035.20$ 77306 00 Radiology 4.31 4.31 301.70$ 301.70$ 77306 26 Radiology 2.12 2.12 148.40$ 148.40$ 77306 TC Radiology 2.19 2.19 153.30$ 153.30$ 77307 00 Radiology 8.38 8.38 586.60$ 586.60$ 77307 26 Radiology 4.41 4.41 308.70$ 308.70$ 77307 TC Radiology 3.97 3.97 277.90$ 277.90$ 77316 00 Radiology 6.78 6.78 474.60$ 474.60$ 77316 26 Radiology 2.12 2.12 148.40$ 148.40$ 77316 TC Radiology 4.66 4.66 326.20$ 326.20$ 77317 00 Radiology 8.90 8.90 623.00$ 623.00$ 77317 26 Radiology 2.77 2.77 193.90$ 193.90$ 77317 TC Radiology 6.13 6.13 429.10$ 429.10$ 77318 00 Radiology 12.68 12.68 887.60$ 887.60$ 77318 26 Radiology 4.40 4.40 308.00$ 308.00$ 77318 TC Radiology 8.28 8.28 579.60$ 579.60$ 77321 00 Radiology 2.75 2.75 192.50$ 192.50$ 77321 26 Radiology 1.45 1.45 101.50$ 101.50$ 77321 TC Radiology 1.30 1.30 91.00$ 91.00$ 77331 00 Radiology 1.89 1.89 132.30$ 132.30$ 77331 26 Radiology 1.33 1.33 93.10$ 93.10$ 77331 TC Radiology 0.56 0.56 39.20$ 39.20$ 77332 00 Radiology 1.22 1.22 85.40$ 85.40$ 77332 26 Radiology 0.69 0.69 48.30$ 48.30$ 77332 TC Radiology 0.53 0.53 37.10$ 37.10$ 77333 00 Radiology 3.89 3.89 272.30$ 272.30$ 77333 26 Radiology 1.15 1.15 80.50$ 80.50$ 77333 TC Radiology 2.74 2.74 191.80$ 191.80$ 77334 00 Radiology 3.67 3.67 256.90$ 256.90$ 77334 26 Radiology 1.74 1.74 121.80$ 121.80$ 77334 TC Radiology 1.93 1.93 135.10$ 135.10$ 77336 00 Radiology 2.37 2.37 165.90$ 165.90$ 77338 00 Radiology 13.77 13.77 963.90$ 963.90$ 77338 26 Radiology 6.49 6.49 454.30$ 454.30$ 77338 TC Radiology 7.28 7.28 509.60$ 509.60$ 77370 00 Radiology 3.75 3.75 262.50$ 262.50$ 77371 00 Radiology - - 2,443.70$ 2,443.70$ 77372 00 Radiology 30.77 30.77 2,153.90$ 2,153.90$ 77373 00 Radiology 33.59 33.59 2,351.30$ 2,351.30$ 77385 00 Radiology - - 790.30$ 790.30$ 77386 00 Radiology - - 792.40$ 792.40$ 77387 00 Radiology - - 238.70$ 238.70$ 77399 00 Radiology 0.00 0.00 BR BR77399 26 Radiology 0.00 0.00 BR BR77399 TC Radiology 0.00 0.00 BR BR77401 00 Radiology 1.26 1.26 88.20$ 88.20$ 77402 00 Radiology - - 297.50$ 297.50$ 77407 00 Radiology - - 410.20$ 410.20$ 77412 00 Radiology - - 545.30$ 545.30$ 77417 00 Radiology 0.34 0.34 23.80$ 23.80$ 77423 00 Radiology - - 193.20$ 193.20$ 77424 00 Radiology 0.00 0.00 BR BR77425 00 Radiology 0.00 0.00 BR BR77427 00 Radiology 5.50 5.50 385.00$ 385.00$ 77431 00 Radiology 3.09 3.09 216.30$ 216.30$ 77432 00 Radiology 12.29 12.29 860.30$ 860.30$ 77435 00 Radiology 18.54 18.54 1,297.80$ 1,297.80$ 77469 00 Radiology 9.20 9.20 644.00$ 644.00$ 77470 00 Radiology 3.86 3.86 270.20$ 270.20$

PROPOSAL

129


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate77470 26 Radiology 3.10 3.10 217.00$ 217.00$ 77470 TC Radiology 0.76 0.76 53.20$ 53.20$ 77499 00 Radiology 0.00 0.00 BR BR77499 26 Radiology 0.00 0.00 BR BR77499 TC Radiology 0.00 0.00 BR BR77520 00 Radiology - - 1,926.40$ 1,926.40$ 77522 00 Radiology - - 1,925.70$ 1,925.70$ 77523 00 Radiology - - 2,231.60$ 2,231.60$ 77525 00 Radiology - - 2,480.10$ 2,480.10$ 77600 00 Radiology 14.33 14.33 1,003.10$ 1,003.10$ 77600 26 Radiology 2.03 2.03 142.10$ 142.10$ 77600 TC Radiology 12.30 12.30 861.00$ 861.00$ 77605 00 Radiology 29.85 29.85 2,089.50$ 2,089.50$ 77605 26 Radiology 2.96 2.96 207.20$ 207.20$ 77605 TC Radiology 26.89 26.89 1,882.30$ 1,882.30$ 77610 00 Radiology 20.82 20.82 1,457.40$ 1,457.40$ 77610 26 Radiology 1.99 1.99 139.30$ 139.30$ 77610 TC Radiology 18.83 18.83 1,318.10$ 1,318.10$ 77615 00 Radiology 32.48 32.48 2,273.60$ 2,273.60$ 77615 26 Radiology 2.79 2.79 195.30$ 195.30$ 77615 TC Radiology 29.69 29.69 2,078.30$ 2,078.30$ 77620 00 Radiology 19.12 19.12 1,338.40$ 1,338.40$ 77620 26 Radiology 2.47 2.47 172.90$ 172.90$ 77620 TC Radiology 16.65 16.65 1,165.50$ 1,165.50$ 77750 00 Radiology 11.25 11.25 787.50$ 787.50$ 77750 26 Radiology 7.57 7.57 529.90$ 529.90$ 77750 TC Radiology 3.68 3.68 257.60$ 257.60$ 77761 00 Radiology 11.93 11.93 835.10$ 835.10$ 77761 26 Radiology 5.85 5.85 409.50$ 409.50$ 77761 TC Radiology 6.08 6.08 425.60$ 425.60$ 77762 00 Radiology 15.71 15.71 1,099.70$ 1,099.70$ 77762 26 Radiology 8.74 8.74 611.80$ 611.80$ 77762 TC Radiology 6.97 6.97 487.90$ 487.90$ 77763 00 Radiology 22.08 22.08 1,545.60$ 1,545.60$ 77763 26 Radiology 13.15 13.15 920.50$ 920.50$ 77763 TC Radiology 8.93 8.93 625.10$ 625.10$ 77767 00 Radiology 7.22 7.22 505.40$ 505.40$ 77767 26 Radiology 1.60 1.60 112.00$ 112.00$ 77767 TC Radiology 5.62 5.62 393.40$ 393.40$ 77768 00 Radiology 10.67 10.67 746.90$ 746.90$ 77768 26 Radiology 2.13 2.13 149.10$ 149.10$ 77768 TC Radiology 8.54 8.54 597.80$ 597.80$ 77770 00 Radiology 10.13 10.13 709.10$ 709.10$ 77770 26 Radiology 2.95 2.95 206.50$ 206.50$ 77770 TC Radiology 7.18 7.18 502.60$ 502.60$ 77771 00 Radiology 17.66 17.66 1,236.20$ 1,236.20$ 77771 26 Radiology 5.76 5.76 403.20$ 403.20$ 77771 TC Radiology 11.90 11.90 833.00$ 833.00$ 77772 00 Radiology 26.41 26.41 1,848.70$ 1,848.70$ 77772 26 Radiology 8.12 8.12 568.40$ 568.40$ 77772 TC Radiology 18.29 18.29 1,280.30$ 1,280.30$ 77778 00 Radiology 25.80 25.80 1,806.00$ 1,806.00$ 77778 26 Radiology 13.28 13.28 929.60$ 929.60$ 77778 TC Radiology 12.52 12.52 876.40$ 876.40$ 77789 00 Radiology 3.82 3.82 267.40$ 267.40$ 77789 26 Radiology 1.74 1.74 121.80$ 121.80$ 77789 TC Radiology 2.08 2.08 145.60$ 145.60$ 77790 00 Radiology 0.45 0.45 31.50$ 31.50$ 77799 00 Radiology 0.00 0.00 BR BR

PROPOSAL

130


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate77799 26 Radiology 0.00 0.00 BR BR77799 TC Radiology 0.00 0.00 BR BR78012 00 Radiology 2.40 2.40 168.00$ 168.00$ 78012 26 Radiology 0.26 0.26 18.20$ 18.20$ 78012 TC Radiology 2.14 2.14 149.80$ 149.80$ 78013 00 Radiology 5.75 5.75 402.50$ 402.50$ 78013 26 Radiology 0.51 0.51 35.70$ 35.70$ 78013 TC Radiology 5.24 5.24 366.80$ 366.80$ 78014 00 Radiology 7.03 7.03 492.10$ 492.10$ 78014 26 Radiology 0.69 0.69 48.30$ 48.30$ 78014 TC Radiology 6.34 6.34 443.80$ 443.80$ 78015 00 Radiology 6.67 6.67 466.90$ 466.90$ 78015 26 Radiology 0.94 0.94 65.80$ 65.80$ 78015 TC Radiology 5.73 5.73 401.10$ 401.10$ 78016 00 Radiology 8.33 8.33 583.10$ 583.10$ 78016 26 Radiology 0.97 0.97 67.90$ 67.90$ 78016 TC Radiology 7.36 7.36 515.20$ 515.20$ 78018 00 Radiology 9.23 9.23 646.10$ 646.10$ 78018 26 Radiology 1.17 1.17 81.90$ 81.90$ 78018 TC Radiology 8.06 8.06 564.20$ 564.20$ 78020 00 Radiology 2.41 2.41 168.70$ 168.70$ 78020 26 Radiology 0.79 0.79 55.30$ 55.30$ 78020 TC Radiology 1.62 1.62 113.40$ 113.40$ 78070 00 Radiology 8.68 8.68 607.60$ 607.60$ 78070 26 Radiology 1.11 1.11 77.70$ 77.70$ 78070 TC Radiology 7.57 7.57 529.90$ 529.90$ 78071 00 Radiology 10.36 10.36 725.20$ 725.20$ 78071 26 Radiology 1.65 1.65 115.50$ 115.50$ 78071 TC Radiology 8.71 8.71 609.70$ 609.70$ 78072 00 Radiology 13.04 13.04 912.80$ 912.80$ 78072 26 Radiology 2.15 2.15 150.50$ 150.50$ 78072 TC Radiology 10.89 10.89 762.30$ 762.30$ 78075 00 Radiology 13.17 13.17 921.90$ 921.90$ 78075 26 Radiology 1.05 1.05 73.50$ 73.50$ 78075 TC Radiology 12.12 12.12 848.40$ 848.40$ 78099 00 Radiology 0.00 0.00 BR BR78099 26 Radiology 0.00 0.00 BR BR78099 TC Radiology 0.00 0.00 BR BR78102 00 Radiology 5.06 5.06 354.20$ 354.20$ 78102 26 Radiology 0.74 0.74 51.80$ 51.80$ 78102 TC Radiology 4.32 4.32 302.40$ 302.40$ 78103 00 Radiology 6.32 6.32 442.40$ 442.40$ 78103 26 Radiology 0.98 0.98 68.60$ 68.60$ 78103 TC Radiology 5.34 5.34 373.80$ 373.80$ 78104 00 Radiology 7.32 7.32 512.40$ 512.40$ 78104 26 Radiology 1.10 1.10 77.00$ 77.00$ 78104 TC Radiology 6.22 6.22 435.40$ 435.40$ 78110 00 Radiology 2.06 2.06 144.20$ 144.20$ 78110 26 Radiology 0.23 0.23 16.10$ 16.10$ 78110 TC Radiology 1.83 1.83 128.10$ 128.10$ 78111 00 Radiology 2.19 2.19 153.30$ 153.30$ 78111 26 Radiology 0.27 0.27 18.90$ 18.90$ 78111 TC Radiology 1.92 1.92 134.40$ 134.40$ 78120 00 Radiology 2.11 2.11 147.70$ 147.70$ 78120 26 Radiology 0.28 0.28 19.60$ 19.60$ 78120 TC Radiology 1.83 1.83 128.10$ 128.10$ 78121 00 Radiology 2.31 2.31 161.70$ 161.70$ 78121 26 Radiology 0.39 0.39 27.30$ 27.30$ 78121 TC Radiology 1.92 1.92 134.40$ 134.40$

PROPOSAL

131


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate78122 00 Radiology 2.86 2.86 200.20$ 200.20$ 78122 26 Radiology 0.59 0.59 41.30$ 41.30$ 78122 TC Radiology 2.27 2.27 158.90$ 158.90$ 78130 00 Radiology 3.70 3.70 259.00$ 259.00$ 78130 26 Radiology 0.73 0.73 51.10$ 51.10$ 78130 TC Radiology 2.97 2.97 207.90$ 207.90$ 78140 00 Radiology 3.29 3.29 230.30$ 230.30$ 78140 26 Radiology 0.73 0.73 51.10$ 51.10$ 78140 TC Radiology 2.56 2.56 179.20$ 179.20$ 78185 00 Radiology 5.05 5.05 353.50$ 353.50$ 78185 26 Radiology 0.48 0.48 33.60$ 33.60$ 78185 TC Radiology 4.57 4.57 319.90$ 319.90$ 78191 00 Radiology 3.70 3.70 259.00$ 259.00$ 78191 26 Radiology 0.73 0.73 51.10$ 51.10$ 78191 TC Radiology 2.97 2.97 207.90$ 207.90$ 78195 00 Radiology 10.42 10.42 729.40$ 729.40$ 78195 26 Radiology 1.64 1.64 114.80$ 114.80$ 78195 TC Radiology 8.78 8.78 614.60$ 614.60$ 78199 00 Radiology 0.00 0.00 BR BR78199 26 Radiology 0.00 0.00 BR BR78199 TC Radiology 0.00 0.00 BR BR78201 00 Radiology 5.61 5.61 392.70$ 392.70$ 78201 26 Radiology 0.60 0.60 42.00$ 42.00$ 78201 TC Radiology 5.01 5.01 350.70$ 350.70$ 78202 00 Radiology 6.16 6.16 431.20$ 431.20$ 78202 26 Radiology 0.69 0.69 48.30$ 48.30$ 78202 TC Radiology 5.47 5.47 382.90$ 382.90$ 78215 00 Radiology 5.76 5.76 403.20$ 403.20$ 78215 26 Radiology 0.68 0.68 47.60$ 47.60$ 78215 TC Radiology 5.08 5.08 355.60$ 355.60$ 78216 00 Radiology 3.80 3.80 266.00$ 266.00$ 78216 26 Radiology 0.77 0.77 53.90$ 53.90$ 78216 TC Radiology 3.03 3.03 212.10$ 212.10$ 78226 00 Radiology 9.63 9.63 674.10$ 674.10$ 78226 26 Radiology 1.03 1.03 72.10$ 72.10$ 78226 TC Radiology 8.60 8.60 602.00$ 602.00$ 78227 00 Radiology 12.96 12.96 907.20$ 907.20$ 78227 26 Radiology 1.25 1.25 87.50$ 87.50$ 78227 TC Radiology 11.71 11.71 819.70$ 819.70$ 78230 00 Radiology 5.15 5.15 360.50$ 360.50$ 78230 26 Radiology 0.63 0.63 44.10$ 44.10$ 78230 TC Radiology 4.52 4.52 316.40$ 316.40$ 78231 00 Radiology 3.12 3.12 218.40$ 218.40$ 78231 26 Radiology 0.62 0.62 43.40$ 43.40$ 78231 TC Radiology 2.50 2.50 175.00$ 175.00$ 78232 00 Radiology 3.06 3.06 214.20$ 214.20$ 78232 26 Radiology 0.56 0.56 39.20$ 39.20$ 78232 TC Radiology 2.50 2.50 175.00$ 175.00$ 78258 00 Radiology 6.28 6.28 439.60$ 439.60$ 78258 26 Radiology 0.98 0.98 68.60$ 68.60$ 78258 TC Radiology 5.30 5.30 371.00$ 371.00$ 78261 00 Radiology 6.03 6.03 422.10$ 422.10$ 78261 26 Radiology 0.82 0.82 57.40$ 57.40$ 78261 TC Radiology 5.21 5.21 364.70$ 364.70$ 78262 00 Radiology 7.13 7.13 499.10$ 499.10$ 78262 26 Radiology 0.96 0.96 67.20$ 67.20$ 78262 TC Radiology 6.17 6.17 431.90$ 431.90$ 78264 00 Radiology 9.77 9.77 683.90$ 683.90$ 78264 26 Radiology 1.10 1.10 77.00$ 77.00$

PROPOSAL

132


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate78264 TC Radiology 8.67 8.67 606.90$ 606.90$ 78265 00 Radiology 11.53 11.53 807.10$ 807.10$ 78265 26 Radiology 1.35 1.35 94.50$ 94.50$ 78265 TC Radiology 10.18 10.18 712.60$ 712.60$ 78266 00 Radiology 12.80 12.80 896.00$ 896.00$ 78266 26 Radiology 1.41 1.41 98.70$ 98.70$ 78266 TC Radiology 11.39 11.39 797.30$ 797.30$ 78267 00 Radiology - - 23.80$ 23.80$ 78268 00 Radiology - - 203.70$ 203.70$ 78278 00 Radiology 10.24 10.24 716.80$ 716.80$ 78278 26 Radiology 1.37 1.37 95.90$ 95.90$ 78278 TC Radiology 8.87 8.87 620.90$ 620.90$ 78282 00 Radiology - - 126.00$ 126.00$ 78282 26 Radiology 0.46 0.46 32.20$ 32.20$ 78282 TC Radiology - - 94.50$ 94.50$ 78290 00 Radiology 9.72 9.72 680.40$ 680.40$ 78290 26 Radiology 0.95 0.95 66.50$ 66.50$ 78290 TC Radiology 8.77 8.77 613.90$ 613.90$ 78291 00 Radiology 7.37 7.37 515.90$ 515.90$ 78291 26 Radiology 1.19 1.19 83.30$ 83.30$ 78291 TC Radiology 6.18 6.18 432.60$ 432.60$ 78299 00 Radiology 0.00 0.00 BR BR78299 26 Radiology 0.00 0.00 BR BR78299 TC Radiology 0.00 0.00 BR BR78300 00 Radiology 6.76 6.76 473.20$ 473.20$ 78300 26 Radiology 0.88 0.88 61.60$ 61.60$ 78300 TC Radiology 5.88 5.88 411.60$ 411.60$ 78305 00 Radiology 8.18 8.18 572.60$ 572.60$ 78305 26 Radiology 1.15 1.15 80.50$ 80.50$ 78305 TC Radiology 7.03 7.03 492.10$ 492.10$ 78306 00 Radiology 8.80 8.80 616.00$ 616.00$ 78306 26 Radiology 1.19 1.19 83.30$ 83.30$ 78306 TC Radiology 7.61 7.61 532.70$ 532.70$ 78315 00 Radiology 10.18 10.18 712.60$ 712.60$ 78315 26 Radiology 1.41 1.41 98.70$ 98.70$ 78315 TC Radiology 8.77 8.77 613.90$ 613.90$ 78350 00 Radiology 0.94 0.94 65.80$ 65.80$ 78350 26 Radiology 0.32 0.32 22.40$ 22.40$ 78350 TC Radiology 0.62 0.62 43.40$ 43.40$ 78351 00 Radiology 0.44 0.44 30.80$ 30.80$ 78399 00 Radiology 0.00 0.00 BR BR78399 26 Radiology 0.00 0.00 BR BR78399 TC Radiology 0.00 0.00 BR BR78414 00 Radiology - - 147.00$ 147.00$ 78414 26 Radiology 0.63 0.63 44.10$ 44.10$ 78414 TC Radiology - - 102.90$ 102.90$ 78428 00 Radiology 5.48 5.48 383.60$ 383.60$ 78428 26 Radiology 1.08 1.08 75.60$ 75.60$ 78428 TC Radiology 4.40 4.40 308.00$ 308.00$ 78429 00 Radiology - - 971.60$ 971.60$ 78429 26 Radiology 2.35 2.35 164.50$ 164.50$ 78429 TC Radiology - - 806.40$ 806.40$ 78430 00 Radiology - - 1,115.10$ 1,115.10$ 78430 26 Radiology 2.23 2.23 156.10$ 156.10$ 78430 TC Radiology - - 959.00$ 959.00$ 78431 00 Radiology - - 1,309.70$ 1,309.70$ 78431 26 Radiology 2.59 2.59 181.30$ 181.30$ 78431 TC Radiology - - 1,126.30$ 1,126.30$ 78432 00 Radiology - - 1,385.30$ 1,385.30$

PROPOSAL

133


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate78432 26 Radiology 2.76 2.76 193.20$ 193.20$ 78432 TC Radiology - - 1,191.40$ 1,191.40$ 78433 00 Radiology - - 1,509.90$ 1,509.90$ 78433 26 Radiology 3.00 3.00 210.00$ 210.00$ 78433 TC Radiology - - 1,298.50$ 1,298.50$ 78434 00 Radiology - - 434.70$ 434.70$ 78434 26 Radiology 0.87 0.87 60.90$ 60.90$ 78434 TC Radiology - - 373.80$ 373.80$ 78445 00 Radiology 6.03 6.03 422.10$ 422.10$ 78445 26 Radiology 0.72 0.72 50.40$ 50.40$ 78445 TC Radiology 5.31 5.31 371.70$ 371.70$ 78451 00 Radiology 10.01 10.01 700.70$ 700.70$ 78451 26 Radiology 1.90 1.90 133.00$ 133.00$ 78451 TC Radiology 8.11 8.11 567.70$ 567.70$ 78452 00 Radiology 13.94 13.94 975.80$ 975.80$ 78452 26 Radiology 2.23 2.23 156.10$ 156.10$ 78452 TC Radiology 11.71 11.71 819.70$ 819.70$ 78453 00 Radiology 8.80 8.80 616.00$ 616.00$ 78453 26 Radiology 1.39 1.39 97.30$ 97.30$ 78453 TC Radiology 7.41 7.41 518.70$ 518.70$ 78454 00 Radiology 12.73 12.73 891.10$ 891.10$ 78454 26 Radiology 1.86 1.86 130.20$ 130.20$ 78454 TC Radiology 10.87 10.87 760.90$ 760.90$ 78456 00 Radiology 9.22 9.22 645.40$ 645.40$ 78456 26 Radiology 1.39 1.39 97.30$ 97.30$ 78456 TC Radiology 7.83 7.83 548.10$ 548.10$ 78457 00 Radiology 5.27 5.27 368.90$ 368.90$ 78457 26 Radiology 1.08 1.08 75.60$ 75.60$ 78457 TC Radiology 4.19 4.19 293.30$ 293.30$ 78458 00 Radiology 6.04 6.04 422.80$ 422.80$ 78458 26 Radiology 1.27 1.27 88.90$ 88.90$ 78458 TC Radiology 4.77 4.77 333.90$ 333.90$ 78459 00 Radiology - - 881.30$ 881.30$ 78459 26 Radiology 2.14 2.14 149.80$ 149.80$ 78459 TC Radiology - - 731.50$ 731.50$ 78466 00 Radiology 5.82 5.82 407.40$ 407.40$ 78466 26 Radiology 1.00 1.00 70.00$ 70.00$ 78466 TC Radiology 4.82 4.82 337.40$ 337.40$ 78468 00 Radiology 5.81 5.81 406.70$ 406.70$ 78468 26 Radiology 1.11 1.11 77.70$ 77.70$ 78468 TC Radiology 4.70 4.70 329.00$ 329.00$ 78469 00 Radiology 6.48 6.48 453.60$ 453.60$ 78469 26 Radiology 1.28 1.28 89.60$ 89.60$ 78469 TC Radiology 5.20 5.20 364.00$ 364.00$ 78472 00 Radiology 6.70 6.70 469.00$ 469.00$ 78472 26 Radiology 1.35 1.35 94.50$ 94.50$ 78472 TC Radiology 5.35 5.35 374.50$ 374.50$ 78473 00 Radiology 8.49 8.49 594.30$ 594.30$ 78473 26 Radiology 2.01 2.01 140.70$ 140.70$ 78473 TC Radiology 6.48 6.48 453.60$ 453.60$ 78481 00 Radiology 5.21 5.21 364.70$ 364.70$ 78481 26 Radiology 1.36 1.36 95.20$ 95.20$ 78481 TC Radiology 3.85 3.85 269.50$ 269.50$ 78483 00 Radiology 7.12 7.12 498.40$ 498.40$ 78483 26 Radiology 2.04 2.04 142.80$ 142.80$ 78483 TC Radiology 5.08 5.08 355.60$ 355.60$ 78491 00 Radiology - - 905.80$ 905.80$ 78491 26 Radiology 2.07 2.07 144.90$ 144.90$ 78491 TC Radiology - - 760.90$ 760.90$

PROPOSAL

134


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate78492 00 Radiology - - 1,085.00$ 1,085.00$ 78492 26 Radiology 2.45 2.45 171.50$ 171.50$ 78492 TC Radiology - - 911.40$ 911.40$ 78494 00 Radiology 6.71 6.71 469.70$ 469.70$ 78494 26 Radiology 1.65 1.65 115.50$ 115.50$ 78494 TC Radiology 5.06 5.06 354.20$ 354.20$ 78496 00 Radiology 1.25 1.25 87.50$ 87.50$ 78496 26 Radiology 0.69 0.69 48.30$ 48.30$ 78496 TC Radiology 0.56 0.56 39.20$ 39.20$ 78499 00 Radiology 0.00 0.00 BR BR78499 26 Radiology 0.00 0.00 BR BR78499 TC Radiology 0.00 0.00 BR BR78579 00 Radiology 5.50 5.50 385.00$ 385.00$ 78579 26 Radiology 0.67 0.67 46.90$ 46.90$ 78579 TC Radiology 4.83 4.83 338.10$ 338.10$ 78580 00 Radiology 6.96 6.96 487.20$ 487.20$ 78580 26 Radiology 1.03 1.03 72.10$ 72.10$ 78580 TC Radiology 5.93 5.93 415.10$ 415.10$ 78582 00 Radiology 9.79 9.79 685.30$ 685.30$ 78582 26 Radiology 1.47 1.47 102.90$ 102.90$ 78582 TC Radiology 8.32 8.32 582.40$ 582.40$ 78597 00 Radiology 5.95 5.95 416.50$ 416.50$ 78597 26 Radiology 1.01 1.01 70.70$ 70.70$ 78597 TC Radiology 4.94 4.94 345.80$ 345.80$ 78598 00 Radiology 8.94 8.94 625.80$ 625.80$ 78598 26 Radiology 1.16 1.16 81.20$ 81.20$ 78598 TC Radiology 7.78 7.78 544.60$ 544.60$ 78599 00 Radiology 0.00 0.00 BR BR78599 26 Radiology 0.00 0.00 BR BR78599 TC Radiology 0.00 0.00 BR BR78600 00 Radiology 5.40 5.40 378.00$ 378.00$ 78600 26 Radiology 0.62 0.62 43.40$ 43.40$ 78600 TC Radiology 4.78 4.78 334.60$ 334.60$ 78601 00 Radiology 6.35 6.35 444.50$ 444.50$ 78601 26 Radiology 0.70 0.70 49.00$ 49.00$ 78601 TC Radiology 5.65 5.65 395.50$ 395.50$ 78605 00 Radiology 5.87 5.87 410.90$ 410.90$ 78605 26 Radiology 0.74 0.74 51.80$ 51.80$ 78605 TC Radiology 5.13 5.13 359.10$ 359.10$ 78606 00 Radiology 9.76 9.76 683.20$ 683.20$ 78606 26 Radiology 0.90 0.90 63.00$ 63.00$ 78606 TC Radiology 8.86 8.86 620.20$ 620.20$ 78608 00 Radiology - - 1,166.90$ 1,166.90$ 78608 26 Radiology 2.02 2.02 141.40$ 141.40$ 78608 TC Radiology - - 1,026.90$ 1,026.90$ 78609 00 Radiology 2.14 2.14 149.80$ 149.80$ 78609 26 Radiology 2.14 2.14 149.80$ 149.80$ 78609 TC Radiology 0.00 0.00 BR BR78610 00 Radiology 5.13 5.13 359.10$ 359.10$ 78610 26 Radiology 0.41 0.41 28.70$ 28.70$ 78610 TC Radiology 4.72 4.72 330.40$ 330.40$ 78630 00 Radiology 9.93 9.93 695.10$ 695.10$ 78630 26 Radiology 0.95 0.95 66.50$ 66.50$ 78630 TC Radiology 8.98 8.98 628.60$ 628.60$ 78635 00 Radiology 9.94 9.94 695.80$ 695.80$ 78635 26 Radiology 0.87 0.87 60.90$ 60.90$ 78635 TC Radiology 9.07 9.07 634.90$ 634.90$ 78645 00 Radiology 9.52 9.52 666.40$ 666.40$ 78645 26 Radiology 0.77 0.77 53.90$ 53.90$

PROPOSAL

135


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate78645 TC Radiology 8.75 8.75 612.50$ 612.50$ 78650 00 Radiology 8.17 8.17 571.90$ 571.90$ 78650 26 Radiology 0.73 0.73 51.10$ 51.10$ 78650 TC Radiology 7.44 7.44 520.80$ 520.80$ 78660 00 Radiology 5.59 5.59 391.30$ 391.30$ 78660 26 Radiology 0.76 0.76 53.20$ 53.20$ 78660 TC Radiology 4.83 4.83 338.10$ 338.10$ 78699 00 Radiology 0.00 0.00 BR BR78699 26 Radiology 0.00 0.00 BR BR78699 TC Radiology 0.00 0.00 BR BR78700 00 Radiology 5.05 5.05 353.50$ 353.50$ 78700 26 Radiology 0.62 0.62 43.40$ 43.40$ 78700 TC Radiology 4.43 4.43 310.10$ 310.10$ 78701 00 Radiology 6.48 6.48 453.60$ 453.60$ 78701 26 Radiology 0.68 0.68 47.60$ 47.60$ 78701 TC Radiology 5.80 5.80 406.00$ 406.00$ 78707 00 Radiology 6.80 6.80 476.00$ 476.00$ 78707 26 Radiology 1.31 1.31 91.70$ 91.70$ 78707 TC Radiology 5.49 5.49 384.30$ 384.30$ 78708 00 Radiology 5.19 5.19 363.30$ 363.30$ 78708 26 Radiology 1.66 1.66 116.20$ 116.20$ 78708 TC Radiology 3.53 3.53 247.10$ 247.10$ 78709 00 Radiology 10.81 10.81 756.70$ 756.70$ 78709 26 Radiology 1.92 1.92 134.40$ 134.40$ 78709 TC Radiology 8.89 8.89 622.30$ 622.30$ 78725 00 Radiology 3.31 3.31 231.70$ 231.70$ 78725 26 Radiology 0.52 0.52 36.40$ 36.40$ 78725 TC Radiology 2.79 2.79 195.30$ 195.30$ 78730 00 Radiology 2.26 2.26 158.20$ 158.20$ 78730 26 Radiology 0.22 0.22 15.40$ 15.40$ 78730 TC Radiology 2.04 2.04 142.80$ 142.80$ 78740 00 Radiology 6.49 6.49 454.30$ 454.30$ 78740 26 Radiology 0.78 0.78 54.60$ 54.60$ 78740 TC Radiology 5.71 5.71 399.70$ 399.70$ 78761 00 Radiology 6.23 6.23 436.10$ 436.10$ 78761 26 Radiology 1.01 1.01 70.70$ 70.70$ 78761 TC Radiology 5.22 5.22 365.40$ 365.40$ 78799 00 Radiology 0.00 0.00 BR BR78799 26 Radiology 0.00 0.00 BR BR78799 TC Radiology 0.00 0.00 BR BR78800 00 Radiology 7.53 7.53 527.10$ 527.10$ 78800 26 Radiology 0.91 0.91 63.70$ 63.70$ 78800 TC Radiology 6.62 6.62 463.40$ 463.40$ 78801 00 Radiology 8.31 8.31 581.70$ 581.70$ 78801 26 Radiology 1.02 1.02 71.40$ 71.40$ 78801 TC Radiology 7.29 7.29 510.30$ 510.30$ 78802 00 Radiology 9.21 9.21 644.70$ 644.70$ 78802 26 Radiology 1.10 1.10 77.00$ 77.00$ 78802 TC Radiology 8.11 8.11 567.70$ 567.70$ 78803 00 Radiology 11.38 11.38 796.60$ 796.60$ 78803 26 Radiology 1.47 1.47 102.90$ 102.90$ 78803 TC Radiology 9.91 9.91 693.70$ 693.70$ 78804 00 Radiology 19.42 19.42 1,359.40$ 1,359.40$ 78804 26 Radiology 1.38 1.38 96.60$ 96.60$ 78804 TC Radiology 18.04 18.04 1,262.80$ 1,262.80$ 78808 00 Radiology 1.19 1.19 83.30$ 83.30$ 78811 00 Radiology - - 1,219.40$ 1,219.40$ 78811 26 Radiology 2.08 2.08 145.60$ 145.60$ 78811 TC Radiology - - 1,073.10$ 1,073.10$

PROPOSAL

136


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate78812 00 Radiology - - 1,522.50$ 1,522.50$ 78812 26 Radiology 2.61 2.61 182.70$ 182.70$ 78812 TC Radiology - - 1,339.80$ 1,339.80$ 78813 00 Radiology - - 1,516.90$ 1,516.90$ 78813 26 Radiology 2.62 2.62 183.40$ 183.40$ 78813 TC Radiology - - 1,334.90$ 1,334.90$ 78814 00 Radiology - - 1,726.90$ 1,726.90$ 78814 26 Radiology 2.99 2.99 209.30$ 209.30$ 78814 TC Radiology - - 1,519.70$ 1,519.70$ 78815 00 Radiology - - 1,942.50$ 1,942.50$ 78815 26 Radiology 3.35 3.35 234.50$ 234.50$ 78815 TC Radiology - - 1,709.40$ 1,709.40$ 78816 00 Radiology - - 1,954.40$ 1,954.40$ 78816 26 Radiology 3.37 3.37 235.90$ 235.90$ 78816 TC Radiology - - 1,719.90$ 1,719.90$ 78830 00 Radiology 14.46 14.46 1,012.20$ 1,012.20$ 78830 26 Radiology 2.01 2.01 140.70$ 140.70$ 78830 TC Radiology 12.45 12.45 871.50$ 871.50$ 78831 00 Radiology 20.87 20.87 1,460.90$ 1,460.90$ 78831 26 Radiology 2.45 2.45 171.50$ 171.50$ 78831 TC Radiology 18.42 18.42 1,289.40$ 1,289.40$ 78832 00 Radiology 27.19 27.19 1,903.30$ 1,903.30$ 78832 26 Radiology 2.88 2.88 201.60$ 201.60$ 78832 TC Radiology 24.31 24.31 1,701.70$ 1,701.70$ 78835 00 Radiology 3.00 3.00 210.00$ 210.00$ 78835 26 Radiology 0.63 0.63 44.10$ 44.10$ 78835 TC Radiology 2.37 2.37 165.90$ 165.90$ 78999 00 Radiology 0.00 0.00 BR BR78999 26 Radiology 0.00 0.00 BR BR78999 TC Radiology 0.00 0.00 BR BR79005 00 Radiology 3.98 3.98 278.60$ 278.60$ 79005 26 Radiology 2.47 2.47 172.90$ 172.90$ 79005 TC Radiology 1.51 1.51 105.70$ 105.70$ 79101 00 Radiology 4.32 4.32 302.40$ 302.40$ 79101 26 Radiology 2.76 2.76 193.20$ 193.20$ 79101 TC Radiology 1.56 1.56 109.20$ 109.20$ 79200 00 Radiology 3.95 3.95 276.50$ 276.50$ 79200 26 Radiology 2.35 2.35 164.50$ 164.50$ 79200 TC Radiology 1.60 1.60 112.00$ 112.00$ 79300 00 Radiology - - 219.10$ 219.10$ 79300 26 Radiology 1.89 1.89 132.30$ 132.30$ 79300 TC Radiology - - 87.50$ 87.50$ 79403 00 Radiology 5.43 5.43 380.10$ 380.10$ 79403 26 Radiology 3.03 3.03 212.10$ 212.10$ 79403 TC Radiology 2.40 2.40 168.00$ 168.00$ 79440 00 Radiology 3.55 3.55 248.50$ 248.50$ 79440 26 Radiology 2.35 2.35 164.50$ 164.50$ 79440 TC Radiology 1.20 1.20 84.00$ 84.00$ 79445 00 Radiology - - 406.00$ 406.00$ 79445 26 Radiology 3.22 3.22 225.40$ 225.40$ 79445 TC Radiology - - 182.70$ 182.70$ 79999 00 Radiology 0.00 0.00 BR BR79999 26 Radiology 0.00 0.00 BR BR79999 TC Radiology 0.00 0.00 BR BR

PROPOSAL

137


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate80047 00 Pathology 0.39 0.39 25.58$ 25.58$ 80048 00 Pathology 0.24 0.24 15.76$ 15.76$ 80050 00 Pathology - - 84.50$ 84.50$ 80051 00 Pathology 0.20 0.20 13.06$ 13.06$ 80053 00 Pathology 0.30 0.30 19.67$ 19.67$ 80055 00 Pathology 1.37 1.37 89.06$ 89.06$ 80061 00 Pathology 0.38 0.38 24.94$ 24.94$ 80069 00 Pathology 0.25 0.25 16.17$ 16.17$ 80074 00 Pathology 1.37 1.37 88.73$ 88.73$ 80076 00 Pathology 0.23 0.23 15.22$ 15.22$ 80081 00 Pathology 2.15 2.15 139.45$ 139.45$ 80143 00 Pathology 0.53 0.53 34.72$ 34.72$ 80145 00 Pathology 1.11 1.11 71.85$ 71.85$ 80150 00 Pathology 0.43 0.43 28.09$ 28.09$ 80151 00 Pathology 0.53 0.53 34.72$ 34.72$ 80155 00 Pathology 1.11 1.11 71.85$ 71.85$ 80156 00 Pathology 0.42 0.42 27.14$ 27.14$ 80157 00 Pathology 0.38 0.38 24.68$ 24.68$ 80158 00 Pathology 0.52 0.52 33.62$ 33.62$ 80159 00 Pathology 0.58 0.58 37.54$ 37.54$ 80161 00 Pathology 0.53 0.53 34.72$ 34.72$ 80162 00 Pathology 0.38 0.38 24.74$ 24.74$ 80163 00 Pathology 0.38 0.38 24.74$ 24.74$ 80164 00 Pathology 0.39 0.39 25.22$ 25.22$ 80165 00 Pathology 0.39 0.39 25.22$ 25.22$ 80167 00 Pathology 0.53 0.53 34.72$ 34.72$ 80168 00 Pathology 0.47 0.47 30.44$ 30.44$ 80169 00 Pathology 0.39 0.39 25.58$ 25.58$ 80170 00 Pathology 0.47 0.47 30.51$ 30.51$ 80171 00 Pathology 0.62 0.62 40.37$ 40.37$ 80173 00 Pathology 0.45 0.45 29.40$ 29.40$ 80175 00 Pathology 0.38 0.38 24.68$ 24.68$ 80176 00 Pathology 0.42 0.42 27.37$ 27.37$ 80177 00 Pathology 0.38 0.38 24.68$ 24.68$ 80178 00 Pathology 0.19 0.19 12.31$ 12.31$ 80179 00 Pathology 0.53 0.53 34.72$ 34.72$ 80180 00 Pathology 0.52 0.52 33.62$ 33.62$ 80181 00 Pathology 0.53 0.53 34.72$ 34.72$ 80183 00 Pathology 0.38 0.38 24.68$ 24.68$ 80184 00 Pathology 0.44 0.44 28.50$ 28.50$ 80185 00 Pathology 0.38 0.38 24.68$ 24.68$ 80186 00 Pathology 0.39 0.39 25.63$ 25.63$ 80187 00 Pathology 0.78 0.78 50.50$ 50.50$ 80188 00 Pathology 0.48 0.48 30.90$ 30.90$ 80189 00 Pathology 0.78 0.78 50.50$ 50.50$ 80190 00 Pathology 1.72 1.72 111.77$ 111.77$ 80192 00 Pathology 0.48 0.48 31.20$ 31.20$ 80193 00 Pathology 1.11 1.11 71.85$ 71.85$ 80194 00 Pathology 0.42 0.42 27.20$ 27.20$ 80195 00 Pathology 0.39 0.39 25.58$ 25.58$ 80197 00 Pathology 0.39 0.39 25.58$ 25.58$ 80198 00 Pathology 0.41 0.41 26.34$ 26.34$ 80199 00 Pathology 0.78 0.78 50.50$ 50.50$ 80200 00 Pathology 0.46 0.46 30.05$ 30.05$ 80201 00 Pathology 0.34 0.34 22.20$ 22.20$

ARIZONA PHYSICIANS' FEE SCHEDULEPathology Codes 2021

Pathology Conversion Factor $65.00

PROPOSAL

138


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate80202 00 Pathology 0.39 0.39 25.22$ 25.22$ 80203 00 Pathology 0.38 0.38 24.68$ 24.68$ 80204 00 Pathology 1.11 1.11 71.85$ 71.85$ 80210 00 Pathology 0.78 0.78 50.50$ 50.50$ 80230 00 Pathology 1.11 1.11 71.85$ 71.85$ 80235 00 Pathology 0.78 0.78 50.50$ 50.50$ 80280 00 Pathology 1.11 1.11 71.85$ 71.85$ 80285 00 Pathology 0.78 0.78 50.50$ 50.50$ 80299 00 Pathology 0.53 0.53 34.72$ 34.72$ 80305 00 Pathology 0.36 0.36 23.47$ 23.47$ 80306 00 Pathology 0.49 0.49 31.93$ 31.93$ 80307 00 Pathology 1.78 1.78 115.76$ 115.76$ 80320 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80321 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80322 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80323 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80324 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80325 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80326 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80327 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80328 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80329 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80330 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80331 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80332 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80333 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80334 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80335 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80336 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80337 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80338 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80339 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80340 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80341 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80342 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80343 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80344 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80345 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80346 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80347 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80348 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80349 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80350 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80351 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80352 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80353 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80354 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80355 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80356 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80357 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80358 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80359 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80360 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80361 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80362 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80363 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80364 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80365 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80366 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483

PROPOSAL

139


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate80367 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80368 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80369 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80370 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80371 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80372 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80373 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80374 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80375 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80376 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80377 00 Pathology 0.00 0.00 See G0480-G0483 See G0480-G0483 80400 00 Pathology 0.93 0.93 60.77$ 60.77$ 80402 00 Pathology 2.49 2.49 161.99$ 161.99$ 80406 00 Pathology 2.24 2.24 145.79$ 145.79$ 80408 00 Pathology 3.60 3.60 233.79$ 233.79$ 80410 00 Pathology 2.30 2.30 149.72$ 149.72$ 80412 00 Pathology 22.97 22.97 1,493.28$ 1,493.28$ 80414 00 Pathology 1.48 1.48 96.20$ 96.20$ 80415 00 Pathology 1.60 1.60 104.11$ 104.11$ 80416 00 Pathology 6.00 6.00 389.93$ 389.93$ 80417 00 Pathology 1.26 1.26 81.95$ 81.95$ 80418 00 Pathology 16.61 16.61 1,079.47$ 1,079.47$ 80420 00 Pathology 4.64 4.64 301.56$ 301.56$ 80422 00 Pathology 1.32 1.32 85.82$ 85.82$ 80424 00 Pathology 1.45 1.45 94.07$ 94.07$ 80426 00 Pathology 4.25 4.25 276.46$ 276.46$ 80428 00 Pathology 1.91 1.91 124.25$ 124.25$ 80430 00 Pathology 3.71 3.71 240.92$ 240.92$ 80432 00 Pathology 4.75 4.75 308.50$ 308.50$ 80434 00 Pathology 8.17 8.17 530.96$ 530.96$ 80435 00 Pathology 2.95 2.95 191.87$ 191.87$ 80436 00 Pathology 2.61 2.61 169.82$ 169.82$ 80438 00 Pathology 1.44 1.44 93.91$ 93.91$ 80439 00 Pathology 1.93 1.93 125.20$ 125.20$ 80500 00 Pathology 0.64 0.55 41.60$ 35.75$ 80502 00 Pathology 2.08 1.99 135.20$ 129.35$ 81000 00 Pathology 0.12 0.12 7.49$ 7.49$ 81001 00 Pathology 0.09 0.09 5.91$ 5.91$ 81002 00 Pathology 0.10 0.10 6.48$ 6.48$ 81003 00 Pathology 0.06 0.06 4.19$ 4.19$ 81005 00 Pathology 0.06 0.06 4.04$ 4.04$ 81007 00 Pathology 0.86 0.86 55.85$ 55.85$ 81015 00 Pathology 0.09 0.09 5.68$ 5.68$ 81020 00 Pathology 0.13 0.13 8.76$ 8.76$ 81025 00 Pathology 0.25 0.25 16.04$ 16.04$ 81050 00 Pathology 0.10 0.10 6.78$ 6.78$ 81099 00 Pathology 0.00 0.00 BR BR81105 00 Pathology 3.50 3.50 227.68$ 227.68$ 81106 00 Pathology 3.50 3.50 227.68$ 227.68$ 81107 00 Pathology 3.50 3.50 227.68$ 227.68$ 81108 00 Pathology 3.50 3.50 227.68$ 227.68$ 81109 00 Pathology 3.50 3.50 227.68$ 227.68$ 81110 00 Pathology 3.50 3.50 227.68$ 227.68$ 81111 00 Pathology 3.50 3.50 227.68$ 227.68$ 81112 00 Pathology 3.50 3.50 227.68$ 227.68$ 81120 00 Pathology 5.54 5.54 359.99$ 359.99$ 81121 00 Pathology 8.48 8.48 551.01$ 551.01$ 81161 00 Pathology 8.00 8.00 519.73$ 519.73$ 81162 00 Pathology 52.30 52.30 3,399.45$ 3,399.45$

PROPOSAL

140


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate81163 00 Pathology 13.41 13.41 871.81$ 871.81$ 81164 00 Pathology 16.74 16.74 1,088.32$ 1,088.32$ 81165 00 Pathology 8.11 8.11 526.96$ 526.96$ 81166 00 Pathology 8.64 8.64 561.36$ 561.36$ 81167 00 Pathology 8.11 8.11 526.96$ 526.96$ 81168 00 Pathology 5.94 5.94 386.18$ 386.18$ 81170 00 Pathology 8.60 8.60 558.85$ 558.85$ 81171 00 Pathology 3.93 3.93 255.21$ 255.21$ 81172 00 Pathology 7.88 7.88 511.96$ 511.96$ 81173 00 Pathology 8.64 8.64 561.36$ 561.36$ 81174 00 Pathology 5.31 5.31 345.00$ 345.00$ 81175 00 Pathology 19.39 19.39 1,260.21$ 1,260.21$ 81176 00 Pathology 6.93 6.93 450.62$ 450.62$ 81177 00 Pathology 3.93 3.93 255.21$ 255.21$ 81178 00 Pathology 3.93 3.93 255.21$ 255.21$ 81179 00 Pathology 3.93 3.93 255.21$ 255.21$ 81180 00 Pathology 3.93 3.93 255.21$ 255.21$ 81181 00 Pathology 3.93 3.93 255.21$ 255.21$ 81182 00 Pathology 3.93 3.93 255.21$ 255.21$ 81183 00 Pathology 3.93 3.93 255.21$ 255.21$ 81184 00 Pathology 3.93 3.93 255.21$ 255.21$ 81185 00 Pathology 24.25 24.25 1,576.46$ 1,576.46$ 81186 00 Pathology 5.31 5.31 345.00$ 345.00$ 81187 00 Pathology 3.93 3.93 255.21$ 255.21$ 81188 00 Pathology 3.93 3.93 255.21$ 255.21$ 81189 00 Pathology 7.88 7.88 511.96$ 511.96$ 81190 00 Pathology 5.31 5.31 345.00$ 345.00$ 81191 00 Pathology 5.94 5.94 386.18$ 386.18$ 81192 00 Pathology 5.94 5.94 386.18$ 386.18$ 81193 00 Pathology 5.94 5.94 386.18$ 386.18$ 81194 00 Pathology 14.85 14.85 965.47$ 965.47$ 81200 00 Pathology 1.35 1.35 88.02$ 88.02$ 81201 00 Pathology 22.35 22.35 1,453.01$ 1,453.01$ 81202 00 Pathology 8.02 8.02 521.59$ 521.59$ 81203 00 Pathology 5.73 5.73 372.57$ 372.57$ 81204 00 Pathology 3.93 3.93 255.21$ 255.21$ 81205 00 Pathology 2.72 2.72 176.95$ 176.95$ 81206 00 Pathology 4.70 4.70 305.43$ 305.43$ 81207 00 Pathology 4.15 4.15 269.81$ 269.81$ 81208 00 Pathology 6.15 6.15 399.80$ 399.80$ 81209 00 Pathology 1.13 1.13 73.23$ 73.23$ 81210 00 Pathology 5.03 5.03 326.74$ 326.74$ 81212 00 Pathology 12.61 12.61 819.65$ 819.65$ 81215 00 Pathology 10.75 10.75 699.03$ 699.03$ 81216 00 Pathology 5.31 5.31 344.85$ 344.85$ 81217 00 Pathology 10.75 10.75 699.03$ 699.03$ 81218 00 Pathology 6.93 6.93 450.62$ 450.62$ 81219 00 Pathology 3.49 3.49 226.58$ 226.58$ 81220 00 Pathology 15.95 15.95 1,036.85$ 1,036.85$ 81221 00 Pathology 2.79 2.79 181.10$ 181.10$ 81222 00 Pathology 12.47 12.47 810.46$ 810.46$ 81223 00 Pathology 14.30 14.30 929.55$ 929.55$ 81224 00 Pathology 4.84 4.84 314.35$ 314.35$ 81225 00 Pathology 8.35 8.35 542.75$ 542.75$ 81226 00 Pathology 12.92 12.92 839.97$ 839.97$ 81227 00 Pathology 5.01 5.01 325.64$ 325.64$ 81228 00 Pathology 25.79 25.79 1,676.55$ 1,676.55$ 81229 00 Pathology 33.24 33.24 2,160.89$ 2,160.89$ 81230 00 Pathology 5.01 5.01 325.64$ 325.64$

PROPOSAL

141


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate81231 00 Pathology 5.01 5.01 325.64$ 325.64$ 81232 00 Pathology 5.01 5.01 325.64$ 325.64$ 81233 00 Pathology 5.03 5.03 326.74$ 326.74$ 81234 00 Pathology 3.93 3.93 255.21$ 255.21$ 81235 00 Pathology 9.30 9.30 604.64$ 604.64$ 81236 00 Pathology 8.11 8.11 526.96$ 526.96$ 81237 00 Pathology 5.03 5.03 326.74$ 326.74$ 81238 00 Pathology 17.20 17.20 1,117.70$ 1,117.70$ 81239 00 Pathology 7.88 7.88 511.96$ 511.96$ 81240 00 Pathology 1.88 1.88 122.37$ 122.37$ 81241 00 Pathology 2.10 2.10 136.68$ 136.68$ 81242 00 Pathology 1.05 1.05 68.22$ 68.22$ 81243 00 Pathology 1.63 1.63 106.26$ 106.26$ 81244 00 Pathology 1.29 1.29 83.62$ 83.62$ 81245 00 Pathology 4.74 4.74 308.32$ 308.32$ 81246 00 Pathology 2.38 2.38 154.62$ 154.62$ 81247 00 Pathology 5.01 5.01 325.64$ 325.64$ 81248 00 Pathology 10.75 10.75 699.03$ 699.03$ 81249 00 Pathology 17.20 17.20 1,117.70$ 1,117.70$ 81250 00 Pathology 1.68 1.68 108.96$ 108.96$ 81251 00 Pathology 1.35 1.35 88.02$ 88.02$ 81252 00 Pathology 2.90 2.90 188.37$ 188.37$ 81253 00 Pathology 1.76 1.76 114.60$ 114.60$ 81254 00 Pathology 1.00 1.00 65.20$ 65.20$ 81255 00 Pathology 1.47 1.47 95.84$ 95.84$ 81256 00 Pathology 1.87 1.87 121.75$ 121.75$ 81257 00 Pathology 2.93 2.93 190.49$ 190.49$ 81258 00 Pathology 10.75 10.75 699.03$ 699.03$ 81259 00 Pathology 17.20 17.20 1,117.70$ 1,117.70$ 81260 00 Pathology 1.13 1.13 73.23$ 73.23$ 81261 00 Pathology 5.67 5.67 368.82$ 368.82$ 81262 00 Pathology 1.96 1.96 127.70$ 127.70$ 81263 00 Pathology 8.44 8.44 548.64$ 548.64$ 81264 00 Pathology 4.95 4.95 321.77$ 321.77$ 81265 00 Pathology 6.68 6.68 434.17$ 434.17$ 81266 00 Pathology 8.74 8.74 567.81$ 567.81$ 81267 00 Pathology 5.95 5.95 386.46$ 386.46$ 81268 00 Pathology 7.47 7.47 485.81$ 485.81$ 81269 00 Pathology 5.80 5.80 377.04$ 377.04$ 81270 00 Pathology 2.63 2.63 170.75$ 170.75$ 81271 00 Pathology 3.93 3.93 255.21$ 255.21$ 81272 00 Pathology 9.44 9.44 613.82$ 613.82$ 81273 00 Pathology 3.58 3.58 232.61$ 232.61$ 81274 00 Pathology 7.88 7.88 511.96$ 511.96$ 81275 00 Pathology 5.54 5.54 359.99$ 359.99$ 81276 00 Pathology 5.54 5.54 359.99$ 359.99$ 81277 00 Pathology 33.24 33.24 2,160.89$ 2,160.89$ 81278 00 Pathology 5.94 5.94 386.18$ 386.18$ 81279 00 Pathology 5.31 5.31 345.00$ 345.00$ 81283 00 Pathology 2.10 2.10 136.68$ 136.68$ 81284 00 Pathology 3.93 3.93 255.21$ 255.21$ 81285 00 Pathology 7.88 7.88 511.96$ 511.96$ 81286 00 Pathology 7.88 7.88 511.96$ 511.96$ 81287 00 Pathology 3.57 3.57 232.18$ 232.18$ 81288 00 Pathology 5.51 5.51 358.26$ 358.26$ 81289 00 Pathology 5.31 5.31 345.00$ 345.00$ 81290 00 Pathology 1.13 1.13 73.23$ 73.23$ 81291 00 Pathology 1.87 1.87 121.72$ 121.72$ 81292 00 Pathology 19.36 19.36 1,258.16$ 1,258.16$

PROPOSAL

142


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate81293 00 Pathology 9.49 9.49 616.60$ 616.60$ 81294 00 Pathology 5.80 5.80 377.04$ 377.04$ 81295 00 Pathology 10.94 10.94 711.04$ 711.04$ 81296 00 Pathology 9.68 9.68 629.13$ 629.13$ 81297 00 Pathology 6.11 6.11 397.34$ 397.34$ 81298 00 Pathology 18.39 18.39 1,195.66$ 1,195.66$ 81299 00 Pathology 8.83 8.83 573.75$ 573.75$ 81300 00 Pathology 6.82 6.82 443.35$ 443.35$ 81301 00 Pathology 9.99 9.99 649.31$ 649.31$ 81302 00 Pathology 15.13 15.13 983.33$ 983.33$ 81303 00 Pathology 3.44 3.44 223.54$ 223.54$ 81304 00 Pathology 4.30 4.30 279.42$ 279.42$ 81305 00 Pathology 5.03 5.03 326.74$ 326.74$ 81306 00 Pathology 8.35 8.35 542.75$ 542.75$ 81307 00 Pathology 19.39 19.39 1,260.21$ 1,260.21$ 81308 00 Pathology 8.64 8.64 561.36$ 561.36$ 81309 00 Pathology 7.88 7.88 511.96$ 511.96$ 81310 00 Pathology 7.07 7.07 459.23$ 459.23$ 81311 00 Pathology 8.48 8.48 551.01$ 551.01$ 81312 00 Pathology 3.93 3.93 255.21$ 255.21$ 81313 00 Pathology 7.31 7.31 475.12$ 475.12$ 81314 00 Pathology 9.44 9.44 613.82$ 613.82$ 81315 00 Pathology 5.94 5.94 386.18$ 386.18$ 81316 00 Pathology 5.94 5.94 386.18$ 386.18$ 81317 00 Pathology 19.39 19.39 1,260.21$ 1,260.21$ 81318 00 Pathology 9.49 9.49 616.60$ 616.60$ 81319 00 Pathology 5.83 5.83 379.09$ 379.09$ 81320 00 Pathology 8.35 8.35 542.75$ 542.75$ 81321 00 Pathology 17.20 17.20 1,117.70$ 1,117.70$ 81322 00 Pathology 1.34 1.34 86.81$ 86.81$ 81323 00 Pathology 8.60 8.60 558.85$ 558.85$ 81324 00 Pathology 21.73 21.73 1,412.70$ 1,412.70$ 81325 00 Pathology 22.06 22.06 1,433.60$ 1,433.60$ 81326 00 Pathology 1.34 1.34 86.81$ 86.81$ 81327 00 Pathology 5.50 5.50 357.66$ 357.66$ 81328 00 Pathology 5.01 5.01 325.64$ 325.64$ 81329 00 Pathology 3.93 3.93 255.21$ 255.21$ 81330 00 Pathology 1.35 1.35 87.55$ 87.55$ 81331 00 Pathology 1.46 1.46 95.13$ 95.13$ 81332 00 Pathology 1.25 1.25 81.31$ 81.31$ 81333 00 Pathology 3.93 3.93 255.21$ 255.21$ 81334 00 Pathology 9.44 9.44 613.82$ 613.82$ 81335 00 Pathology 5.01 5.01 325.64$ 325.64$ 81336 00 Pathology 8.64 8.64 561.36$ 561.36$ 81337 00 Pathology 5.31 5.31 345.00$ 345.00$ 81338 00 Pathology 4.31 4.31 280.04$ 280.04$ 81339 00 Pathology 5.31 5.31 345.00$ 345.00$ 81340 00 Pathology 5.99 5.99 389.18$ 389.18$ 81341 00 Pathology 1.42 1.42 92.38$ 92.38$ 81342 00 Pathology 5.77 5.77 375.36$ 375.36$ 81343 00 Pathology 3.93 3.93 255.21$ 255.21$ 81344 00 Pathology 3.93 3.93 255.21$ 255.21$ 81345 00 Pathology 5.31 5.31 345.00$ 345.00$ 81346 00 Pathology 5.01 5.01 325.64$ 325.64$ 81347 00 Pathology 5.54 5.54 359.99$ 359.99$ 81348 00 Pathology 5.03 5.03 326.74$ 326.74$ 81350 00 Pathology 6.71 6.71 435.90$ 435.90$ 81351 00 Pathology 18.39 18.39 1,195.66$ 1,195.66$ 81352 00 Pathology 9.44 9.44 613.82$ 613.82$

PROPOSAL

143


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate81353 00 Pathology 8.83 8.83 573.75$ 573.75$ 81355 00 Pathology 2.53 2.53 164.30$ 164.30$ 81357 00 Pathology 5.54 5.54 359.99$ 359.99$ 81360 00 Pathology 5.54 5.54 359.99$ 359.99$ 81361 00 Pathology 5.01 5.01 325.64$ 325.64$ 81362 00 Pathology 10.75 10.75 699.03$ 699.03$ 81363 00 Pathology 5.80 5.80 377.04$ 377.04$ 81364 00 Pathology 9.30 9.30 604.64$ 604.64$ 81370 00 Pathology 11.52 11.52 749.08$ 749.08$ 81371 00 Pathology 11.59 11.59 753.55$ 753.55$ 81372 00 Pathology 11.57 11.57 751.82$ 751.82$ 81373 00 Pathology 3.65 3.65 237.38$ 237.38$ 81374 00 Pathology 2.13 2.13 138.46$ 138.46$ 81375 00 Pathology 6.33 6.33 411.20$ 411.20$ 81376 00 Pathology 3.50 3.50 227.68$ 227.68$ 81377 00 Pathology 2.72 2.72 176.48$ 176.48$ 81378 00 Pathology 9.90 9.90 643.74$ 643.74$ 81379 00 Pathology 9.61 9.61 624.76$ 624.76$ 81380 00 Pathology 5.08 5.08 330.19$ 330.19$ 81381 00 Pathology 4.87 4.87 316.50$ 316.50$ 81382 00 Pathology 3.54 3.54 230.40$ 230.40$ 81383 00 Pathology 3.13 3.13 203.29$ 203.29$ 81400 00 Pathology 1.83 1.83 119.15$ 119.15$ 81401 00 Pathology 3.93 3.93 255.21$ 255.21$ 81402 00 Pathology 4.31 4.31 280.04$ 280.04$ 81403 00 Pathology 5.31 5.31 345.00$ 345.00$ 81404 00 Pathology 7.88 7.88 511.96$ 511.96$ 81405 00 Pathology 8.64 8.64 561.36$ 561.36$ 81406 00 Pathology 8.11 8.11 526.96$ 526.96$ 81407 00 Pathology 24.25 24.25 1,576.46$ 1,576.46$ 81408 00 Pathology 57.32 57.32 3,725.66$ 3,725.66$ 81410 00 Pathology 14.44 14.44 938.87$ 938.87$ 81411 00 Pathology 38.70 38.70 2,515.18$ 2,515.18$ 81412 00 Pathology 70.17 70.17 4,561.26$ 4,561.26$ 81413 00 Pathology 16.76 16.76 1,089.57$ 1,089.57$ 81414 00 Pathology 16.76 16.76 1,089.57$ 1,089.57$ 81415 00 Pathology 136.99 136.99 8,904.34$ 8,904.34$ 81416 00 Pathology 343.91 343.91 22,353.99$ 22,353.99$ 81417 00 Pathology 9.17 9.17 596.11$ 596.11$ 81419 00 Pathology 70.17 70.17 4,561.26$ 4,561.26$ 81420 00 Pathology 21.75 21.75 1,413.98$ 1,413.98$ 81422 00 Pathology 21.75 21.75 1,413.98$ 1,413.98$ 81425 00 Pathology 144.19 144.19 9,372.28$ 9,372.28$ 81426 00 Pathology 77.66 77.66 5,048.18$ 5,048.18$ 81427 00 Pathology 66.99 66.99 4,354.65$ 4,354.65$ 81430 00 Pathology 46.57 46.57 3,027.10$ 3,027.10$ 81431 00 Pathology 19.48 19.48 1,265.93$ 1,265.93$ 81432 00 Pathology 19.46 19.46 1,264.96$ 1,264.96$ 81433 00 Pathology 12.58 12.58 817.65$ 817.65$ 81434 00 Pathology 17.14 17.14 1,113.81$ 1,113.81$ 81435 00 Pathology 16.76 16.76 1,089.57$ 1,089.57$ 81436 00 Pathology 16.76 16.76 1,089.57$ 1,089.57$ 81437 00 Pathology 12.58 12.58 817.65$ 817.65$ 81438 00 Pathology 12.58 12.58 817.65$ 817.65$ 81439 00 Pathology 16.76 16.76 1,089.57$ 1,089.57$ 81440 00 Pathology 95.26 95.26 6,192.06$ 6,192.06$ 81442 00 Pathology 61.43 61.43 3,993.17$ 3,993.17$ 81443 00 Pathology 70.17 70.17 4,561.26$ 4,561.26$ 81445 00 Pathology 17.14 17.14 1,113.81$ 1,113.81$

PROPOSAL

144


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate81448 00 Pathology 16.76 16.76 1,089.57$ 1,089.57$ 81450 00 Pathology 21.77 21.77 1,414.88$ 1,414.88$ 81455 00 Pathology 83.67 83.67 5,438.73$ 5,438.73$ 81460 00 Pathology 36.88 36.88 2,397.47$ 2,397.47$ 81465 00 Pathology 26.82 26.82 1,743.61$ 1,743.61$ 81470 00 Pathology 26.19 26.19 1,702.63$ 1,702.63$ 81471 00 Pathology 26.19 26.19 1,702.63$ 1,702.63$ 81479 00 Pathology 0.00 0.00 BR BR81490 00 Pathology 24.09 24.09 1,565.99$ 1,565.99$ 81493 00 Pathology 30.09 30.09 1,955.97$ 1,955.97$ 81500 00 Pathology 7.47 7.47 485.27$ 485.27$ 81503 00 Pathology 25.71 25.71 1,670.96$ 1,670.96$ 81504 00 Pathology 14.90 14.90 968.67$ 968.67$ 81506 00 Pathology 1.98 1.98 128.39$ 128.39$ 81507 00 Pathology 22.78 22.78 1,480.95$ 1,480.95$ 81508 00 Pathology 1.56 1.56 101.15$ 101.15$ 81509 00 Pathology 42.63 42.63 2,770.72$ 2,770.72$ 81510 00 Pathology 1.59 1.59 103.46$ 103.46$ 81511 00 Pathology 4.40 4.40 285.94$ 285.94$ 81512 00 Pathology 1.99 1.99 129.50$ 129.50$ 81513 00 Pathology 4.09 4.09 265.70$ 265.70$ 81514 00 Pathology 7.54 7.54 489.91$ 489.91$ 81518 00 Pathology 111.00 111.00 7,214.75$ 7,214.75$ 81519 00 Pathology 111.00 111.00 7,214.75$ 7,214.75$ 81520 00 Pathology 71.94 71.94 4,676.10$ 4,676.10$ 81521 00 Pathology 111.00 111.00 7,214.75$ 7,214.75$ 81522 00 Pathology 111.00 111.00 7,214.75$ 7,214.75$ 81525 00 Pathology 89.30 89.30 5,804.59$ 5,804.59$ 81528 00 Pathology 14.58 14.58 947.94$ 947.94$ 81529 00 Pathology 206.14 206.14 13,399.35$ 13,399.35$ 81535 00 Pathology 16.61 16.61 1,079.44$ 1,079.44$ 81536 00 Pathology 5.09 5.09 330.76$ 330.76$ 81538 00 Pathology 82.28 82.28 5,348.19$ 5,348.19$ 81539 00 Pathology 21.78 21.78 1,415.75$ 1,415.75$ 81540 00 Pathology 107.47 107.47 6,985.62$ 6,985.62$ 81541 00 Pathology 111.00 111.00 7,214.75$ 7,214.75$ 81542 00 Pathology 111.00 111.00 7,214.75$ 7,214.75$ 81546 00 Pathology 103.17 103.17 6,706.20$ 6,706.20$ 81551 00 Pathology 58.18 58.18 3,781.55$ 3,781.55$ 81552 00 Pathology 222.85 222.85 14,485.39$ 14,485.39$ 81554 00 Pathology 157.62 157.62 10,245.58$ 10,245.58$ 81595 00 Pathology 92.86 92.86 6,035.58$ 6,035.58$ 81596 00 Pathology 2.07 2.07 134.48$ 134.48$ 81599 00 Pathology 0.00 0.00 BR BR82009 00 Pathology 0.13 0.13 8.42$ 8.42$ 82010 00 Pathology 0.23 0.23 15.22$ 15.22$ 82013 00 Pathology 0.35 0.35 22.89$ 22.89$ 82016 00 Pathology 0.47 0.47 30.72$ 30.72$ 82017 00 Pathology 0.48 0.48 31.43$ 31.43$ 82024 00 Pathology 1.11 1.11 71.94$ 71.94$ 82030 00 Pathology 0.74 0.74 48.06$ 48.06$ 82040 00 Pathology 0.14 0.14 9.22$ 9.22$ 82042 00 Pathology 0.22 0.22 14.49$ 14.49$ 82043 00 Pathology 0.17 0.17 10.77$ 10.77$ 82044 00 Pathology 0.18 0.18 11.61$ 11.61$ 82045 00 Pathology 0.97 0.97 63.22$ 63.22$ 82075 00 Pathology 0.86 0.86 55.88$ 55.88$ 82077 00 Pathology 0.49 0.49 32.17$ 32.17$ 82085 00 Pathology 0.28 0.28 18.09$ 18.09$

PROPOSAL

145


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate82088 00 Pathology 1.17 1.17 75.91$ 75.91$ 82103 00 Pathology 0.39 0.39 25.04$ 25.04$ 82104 00 Pathology 0.41 0.41 26.94$ 26.94$ 82105 00 Pathology 0.48 0.48 31.24$ 31.24$ 82106 00 Pathology 0.49 0.49 31.67$ 31.67$ 82107 00 Pathology 1.85 1.85 119.99$ 119.99$ 82108 00 Pathology 0.73 0.73 47.46$ 47.46$ 82120 00 Pathology 0.17 0.17 11.16$ 11.16$ 82127 00 Pathology 0.41 0.41 26.41$ 26.41$ 82128 00 Pathology 0.40 0.40 25.84$ 25.84$ 82131 00 Pathology 0.66 0.66 42.81$ 42.81$ 82135 00 Pathology 0.47 0.47 30.64$ 30.64$ 82136 00 Pathology 0.56 0.56 36.53$ 36.53$ 82139 00 Pathology 0.48 0.48 31.43$ 31.43$ 82140 00 Pathology 0.42 0.42 27.14$ 27.14$ 82143 00 Pathology 0.27 0.27 17.42$ 17.42$ 82150 00 Pathology 0.19 0.19 12.07$ 12.07$ 82154 00 Pathology 0.83 0.83 53.71$ 53.71$ 82157 00 Pathology 0.84 0.84 54.54$ 54.54$ 82160 00 Pathology 0.73 0.73 47.60$ 47.60$ 82163 00 Pathology 0.59 0.59 38.23$ 38.23$ 82164 00 Pathology 0.42 0.42 27.20$ 27.20$ 82172 00 Pathology 0.60 0.60 39.29$ 39.29$ 82175 00 Pathology 0.54 0.54 35.34$ 35.34$ 82180 00 Pathology 0.28 0.28 18.42$ 18.42$ 82190 00 Pathology 0.46 0.46 29.62$ 29.62$ 82232 00 Pathology 0.46 0.46 30.14$ 30.14$ 82239 00 Pathology 0.49 0.49 31.89$ 31.89$ 82240 00 Pathology 0.76 0.76 49.51$ 49.51$ 82247 00 Pathology 0.14 0.14 9.35$ 9.35$ 82248 00 Pathology 0.14 0.14 9.35$ 9.35$ 82252 00 Pathology 0.13 0.13 8.49$ 8.49$ 82261 00 Pathology 0.48 0.48 31.43$ 31.43$ 82270 00 Pathology 0.13 0.13 8.16$ 8.16$ 82271 00 Pathology 0.15 0.15 9.91$ 9.91$ 82272 00 Pathology 0.12 0.12 7.88$ 7.88$ 82274 00 Pathology 0.46 0.46 29.66$ 29.66$ 82286 00 Pathology 0.15 0.15 9.61$ 9.61$ 82300 00 Pathology 0.68 0.68 44.04$ 44.04$ 82306 00 Pathology 0.85 0.85 55.14$ 55.14$ 82308 00 Pathology 0.77 0.77 49.91$ 49.91$ 82310 00 Pathology 0.15 0.15 9.61$ 9.61$ 82330 00 Pathology 0.39 0.39 25.48$ 25.48$ 82331 00 Pathology 0.38 0.38 24.85$ 24.85$ 82340 00 Pathology 0.17 0.17 11.23$ 11.23$ 82355 00 Pathology 0.33 0.33 21.57$ 21.57$ 82360 00 Pathology 0.37 0.37 23.97$ 23.97$ 82365 00 Pathology 0.37 0.37 24.03$ 24.03$ 82370 00 Pathology 0.36 0.36 23.32$ 23.32$ 82373 00 Pathology 0.52 0.52 33.64$ 33.64$ 82374 00 Pathology 0.14 0.14 9.09$ 9.09$ 82375 00 Pathology 0.35 0.35 22.95$ 22.95$ 82376 00 Pathology 0.40 0.40 26.21$ 26.21$ 82378 00 Pathology 0.54 0.54 35.32$ 35.32$ 82379 00 Pathology 0.48 0.48 31.43$ 31.43$ 82380 00 Pathology 0.26 0.26 17.18$ 17.18$ 82382 00 Pathology 0.78 0.78 50.86$ 50.86$ 82383 00 Pathology 0.83 0.83 54.17$ 54.17$ 82384 00 Pathology 0.72 0.72 47.04$ 47.04$

PROPOSAL

146


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

147


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

148


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

149


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate83835 00 Pathology 0.49 0.49 31.56$ 31.56$ 83857 00 Pathology 0.31 0.31 20.01$ 20.01$ 83861 00 Pathology 0.64 0.64 41.88$ 41.88$ 83864 00 Pathology 0.82 0.82 53.09$ 53.09$ 83872 00 Pathology 0.17 0.17 10.92$ 10.92$ 83873 00 Pathology 0.49 0.49 32.04$ 32.04$ 83874 00 Pathology 0.37 0.37 24.07$ 24.07$ 83876 00 Pathology 1.46 1.46 94.74$ 94.74$ 83880 00 Pathology 1.13 1.13 73.13$ 73.13$ 83883 00 Pathology 0.39 0.39 25.33$ 25.33$ 83885 00 Pathology 0.70 0.70 45.66$ 45.66$ 83915 00 Pathology 0.32 0.32 20.77$ 20.77$ 83916 00 Pathology 0.78 0.78 51.02$ 51.02$ 83918 00 Pathology 0.68 0.68 43.96$ 43.96$ 83919 00 Pathology 0.47 0.47 30.64$ 30.64$ 83921 00 Pathology 0.61 0.61 39.51$ 39.51$ 83930 00 Pathology 0.19 0.19 12.31$ 12.31$ 83935 00 Pathology 0.20 0.20 12.70$ 12.70$ 83937 00 Pathology 0.86 0.86 55.61$ 55.61$ 83945 00 Pathology 0.41 0.41 26.92$ 26.92$ 83950 00 Pathology 1.85 1.85 119.99$ 119.99$ 83951 00 Pathology 1.85 1.85 119.99$ 119.99$ 83970 00 Pathology 1.18 1.18 76.90$ 76.90$ 83986 00 Pathology 0.10 0.10 6.67$ 6.67$ 83987 00 Pathology 0.10 0.10 6.67$ 6.67$ 83992 00 Pathology - - 77.35$ 77.35$ 83993 00 Pathology 0.56 0.56 36.57$ 36.57$ 84030 00 Pathology 0.16 0.16 10.25$ 10.25$ 84035 00 Pathology 0.11 0.11 7.41$ 7.41$ 84060 00 Pathology 0.22 0.22 14.23$ 14.23$ 84066 00 Pathology 0.28 0.28 17.99$ 17.99$ 84075 00 Pathology 0.15 0.15 9.65$ 9.65$ 84078 00 Pathology 0.24 0.24 15.39$ 15.39$ 84080 00 Pathology 0.42 0.42 27.53$ 27.53$ 84081 00 Pathology 0.47 0.47 30.77$ 30.77$ 84085 00 Pathology 0.27 0.27 17.59$ 17.59$ 84087 00 Pathology 0.31 0.31 19.99$ 19.99$ 84100 00 Pathology 0.14 0.14 8.83$ 8.83$ 84105 00 Pathology 0.17 0.17 10.77$ 10.77$ 84106 00 Pathology 0.17 0.17 10.84$ 10.84$ 84110 00 Pathology 0.24 0.24 15.72$ 15.72$ 84112 00 Pathology 2.81 2.81 182.76$ 182.76$ 84119 00 Pathology 0.38 0.38 24.89$ 24.89$ 84120 00 Pathology 0.42 0.42 27.40$ 27.40$ 84126 00 Pathology 1.12 1.12 72.86$ 72.86$ 84132 00 Pathology 0.14 0.14 8.87$ 8.87$ 84133 00 Pathology 0.14 0.14 8.81$ 8.81$ 84134 00 Pathology 0.42 0.42 27.18$ 27.18$ 84135 00 Pathology 0.61 0.61 39.62$ 39.62$ 84138 00 Pathology 0.60 0.60 39.21$ 39.21$ 84140 00 Pathology 0.59 0.59 38.50$ 38.50$ 84143 00 Pathology 0.65 0.65 42.49$ 42.49$ 84144 00 Pathology 0.60 0.60 38.86$ 38.86$ 84145 00 Pathology 0.78 0.78 50.71$ 50.71$ 84146 00 Pathology 0.56 0.56 36.10$ 36.10$ 84150 00 Pathology 1.20 1.20 77.81$ 77.81$ 84152 00 Pathology 0.53 0.53 34.26$ 34.26$ 84153 00 Pathology 0.53 0.53 34.26$ 34.26$ 84154 00 Pathology 0.53 0.53 34.26$ 34.26$

PROPOSAL

150


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

151


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate84450 00 Pathology 0.15 0.15 9.65$ 9.65$ 84460 00 Pathology 0.15 0.15 9.87$ 9.87$ 84466 00 Pathology 0.37 0.37 23.77$ 23.77$ 84478 00 Pathology 0.16 0.16 10.69$ 10.69$ 84479 00 Pathology 0.19 0.19 12.05$ 12.05$ 84480 00 Pathology 0.41 0.41 26.41$ 26.41$ 84481 00 Pathology 0.49 0.49 31.56$ 31.56$ 84482 00 Pathology 0.45 0.45 29.36$ 29.36$ 84484 00 Pathology 0.36 0.36 23.23$ 23.23$ 84485 00 Pathology 0.21 0.21 13.41$ 13.41$ 84488 00 Pathology 0.21 0.21 13.60$ 13.60$ 84490 00 Pathology 0.28 0.28 18.50$ 18.50$ 84510 00 Pathology 0.30 0.30 19.80$ 19.80$ 84512 00 Pathology 0.29 0.29 18.80$ 18.80$ 84520 00 Pathology 0.11 0.11 7.36$ 7.36$ 84525 00 Pathology 0.15 0.15 9.56$ 9.56$ 84540 00 Pathology 0.16 0.16 10.36$ 10.36$ 84545 00 Pathology 0.21 0.21 13.41$ 13.41$ 84550 00 Pathology 0.13 0.13 8.42$ 8.42$ 84560 00 Pathology 0.15 0.15 9.46$ 9.46$ 84577 00 Pathology 0.48 0.48 31.30$ 31.30$ 84578 00 Pathology 0.13 0.13 8.33$ 8.33$ 84580 00 Pathology 0.27 0.27 17.79$ 17.79$ 84583 00 Pathology 0.17 0.17 11.27$ 11.27$ 84585 00 Pathology 0.44 0.44 28.87$ 28.87$ 84586 00 Pathology 1.01 1.01 65.81$ 65.81$ 84588 00 Pathology 0.97 0.97 63.22$ 63.22$ 84590 00 Pathology 0.33 0.33 21.63$ 21.63$ 84591 00 Pathology 0.49 0.49 31.78$ 31.78$ 84597 00 Pathology 0.39 0.39 25.56$ 25.56$ 84600 00 Pathology 0.49 0.49 31.87$ 31.87$ 84620 00 Pathology 0.37 0.37 24.05$ 24.05$ 84630 00 Pathology 0.33 0.33 21.22$ 21.22$ 84681 00 Pathology 0.60 0.60 38.77$ 38.77$ 84702 00 Pathology 0.43 0.43 28.04$ 28.04$ 84703 00 Pathology 0.22 0.22 14.01$ 14.01$ 84704 00 Pathology 0.44 0.44 28.48$ 28.48$ 84830 00 Pathology 0.36 0.36 23.66$ 23.66$ 84999 00 Pathology 0.00 0.00 BR BR85002 00 Pathology 0.14 0.14 8.98$ 8.98$ 85004 00 Pathology 0.19 0.19 12.05$ 12.05$ 85007 00 Pathology 0.11 0.11 7.08$ 7.08$ 85008 00 Pathology 0.10 0.10 6.39$ 6.39$ 85009 00 Pathology 0.15 0.15 9.44$ 9.44$ 85013 00 Pathology 0.20 0.20 13.04$ 13.04$ 85014 00 Pathology 0.07 0.07 4.41$ 4.41$ 85018 00 Pathology 0.07 0.07 4.41$ 4.41$ 85025 00 Pathology 0.22 0.22 14.47$ 14.47$ 85027 00 Pathology 0.19 0.19 12.05$ 12.05$ 85032 00 Pathology 0.12 0.12 8.03$ 8.03$ 85041 00 Pathology 0.09 0.09 5.63$ 5.63$ 85044 00 Pathology 0.12 0.12 8.03$ 8.03$ 85045 00 Pathology 0.11 0.11 7.43$ 7.43$ 85046 00 Pathology 0.16 0.16 10.38$ 10.38$ 85048 00 Pathology 0.07 0.07 4.73$ 4.73$ 85049 00 Pathology 0.13 0.13 8.35$ 8.35$ 85055 00 Pathology 1.02 1.02 66.58$ 66.58$ 85060 00 Pathology 0.71 0.71 46.15$ 46.15$ 85097 00 Pathology 2.00 1.41 130.00$ 91.65$

PROPOSAL

152


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

153


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate85547 00 Pathology 0.25 0.25 16.02$ 16.02$ 85549 00 Pathology 0.54 0.54 34.93$ 34.93$ 85555 00 Pathology 0.21 0.21 13.92$ 13.92$ 85557 00 Pathology 0.38 0.38 24.89$ 24.89$ 85576 00 Pathology 0.71 0.71 46.40$ 46.40$ 85576 26 Pathology 0.53 0.53 34.45$ 34.45$ 85597 00 Pathology 0.52 0.52 33.49$ 33.49$ 85598 00 Pathology 0.52 0.52 33.49$ 33.49$ 85610 00 Pathology 0.12 0.12 7.99$ 7.99$ 85611 00 Pathology 0.11 0.11 7.34$ 7.34$ 85612 00 Pathology 0.50 0.50 32.58$ 32.58$ 85613 00 Pathology 0.27 0.27 17.85$ 17.85$ 85635 00 Pathology 0.28 0.28 18.35$ 18.35$ 85651 00 Pathology 0.12 0.12 7.95$ 7.95$ 85652 00 Pathology 0.08 0.08 5.03$ 5.03$ 85660 00 Pathology 0.16 0.16 10.26$ 10.26$ 85670 00 Pathology 0.17 0.17 10.75$ 10.75$ 85675 00 Pathology 0.20 0.20 12.76$ 12.76$ 85705 00 Pathology 0.28 0.28 17.94$ 17.94$ 85730 00 Pathology 0.17 0.17 11.20$ 11.20$ 85732 00 Pathology 0.19 0.19 12.05$ 12.05$ 85810 00 Pathology 0.33 0.33 21.74$ 21.74$ 85999 00 Pathology 0.00 0.00 BR BR86000 00 Pathology 0.20 0.20 13.00$ 13.00$ 86001 00 Pathology 0.22 0.22 14.57$ 14.57$ 86003 00 Pathology 0.15 0.15 9.72$ 9.72$ 86005 00 Pathology 0.23 0.23 14.85$ 14.85$ 86008 00 Pathology 0.51 0.51 33.40$ 33.40$ 86021 00 Pathology 0.43 0.43 28.04$ 28.04$ 86022 00 Pathology 0.53 0.53 34.22$ 34.22$ 86023 00 Pathology 0.36 0.36 23.21$ 23.21$ 86038 00 Pathology 0.35 0.35 22.52$ 22.52$ 86039 00 Pathology 0.32 0.32 20.79$ 20.79$ 86060 00 Pathology 0.21 0.21 13.60$ 13.60$ 86063 00 Pathology 0.17 0.17 10.75$ 10.75$ 86077 00 Pathology 1.56 1.45 101.40$ 94.25$ 86078 00 Pathology 1.56 1.45 101.40$ 94.25$ 86079 00 Pathology 1.55 1.44 100.75$ 93.60$ 86140 00 Pathology 0.15 0.15 9.65$ 9.65$ 86141 00 Pathology 0.37 0.37 24.12$ 24.12$ 86146 00 Pathology 0.73 0.73 47.41$ 47.41$ 86147 00 Pathology 0.73 0.73 47.41$ 47.41$ 86148 00 Pathology 0.46 0.46 29.94$ 29.94$ 86152 00 Pathology 7.19 7.19 467.16$ 467.16$ 86153 26 Pathology 1.00 1.00 65.00$ 65.00$ 86155 00 Pathology 0.46 0.46 29.79$ 29.79$ 86156 00 Pathology 0.23 0.23 15.03$ 15.03$ 86157 00 Pathology 0.23 0.23 15.01$ 15.01$ 86160 00 Pathology 0.34 0.34 22.35$ 22.35$ 86161 00 Pathology 0.34 0.34 22.35$ 22.35$ 86162 00 Pathology 0.58 0.58 37.85$ 37.85$ 86171 00 Pathology 0.29 0.29 18.65$ 18.65$ 86200 00 Pathology 0.37 0.37 24.12$ 24.12$ 86215 00 Pathology 0.38 0.38 24.68$ 24.68$ 86225 00 Pathology 0.39 0.39 25.60$ 25.60$ 86226 00 Pathology 0.35 0.35 22.56$ 22.56$ 86235 00 Pathology 0.51 0.51 33.40$ 33.40$ 86255 00 Pathology 0.35 0.35 22.45$ 22.45$ 86255 26 Pathology 0.53 0.53 34.45$ 34.45$

PROPOSAL

154


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate86256 00 Pathology 0.35 0.35 22.45$ 22.45$ 86256 26 Pathology 0.53 0.53 34.45$ 34.45$ 86277 00 Pathology 0.45 0.45 29.32$ 29.32$ 86280 00 Pathology 0.23 0.23 15.26$ 15.26$ 86294 00 Pathology 0.73 0.73 47.63$ 47.63$ 86300 00 Pathology 0.60 0.60 38.77$ 38.77$ 86301 00 Pathology 0.60 0.60 38.77$ 38.77$ 86304 00 Pathology 0.60 0.60 38.77$ 38.77$ 86305 00 Pathology 0.60 0.60 38.77$ 38.77$ 86308 00 Pathology 0.15 0.15 9.65$ 9.65$ 86309 00 Pathology 0.19 0.19 12.05$ 12.05$ 86310 00 Pathology 0.21 0.21 13.73$ 13.73$ 86316 00 Pathology 0.60 0.60 38.77$ 38.77$ 86317 00 Pathology 0.43 0.43 27.92$ 27.92$ 86318 00 Pathology 0.52 0.52 33.70$ 33.70$ 86320 00 Pathology 0.86 0.86 55.74$ 55.74$ 86320 26 Pathology 0.53 0.53 34.45$ 34.45$ 86325 00 Pathology 0.66 0.66 43.09$ 43.09$ 86325 26 Pathology 0.53 0.53 34.45$ 34.45$ 86327 00 Pathology 0.86 0.86 55.74$ 55.74$ 86327 26 Pathology 0.64 0.64 41.60$ 41.60$ 86328 00 Pathology - - 91.00$ 91.00$ 86329 00 Pathology 0.40 0.40 26.17$ 26.17$ 86331 00 Pathology 0.34 0.34 22.32$ 22.32$ 86332 00 Pathology 0.70 0.70 45.40$ 45.40$ 86334 00 Pathology 0.64 0.64 41.62$ 41.62$ 86334 26 Pathology 0.53 0.53 34.45$ 34.45$ 86335 00 Pathology 0.84 0.84 54.67$ 54.67$ 86335 26 Pathology 0.53 0.53 34.45$ 34.45$ 86336 00 Pathology 0.45 0.45 29.04$ 29.04$ 86337 00 Pathology 0.61 0.61 39.88$ 39.88$ 86340 00 Pathology 0.43 0.43 28.09$ 28.09$ 86341 00 Pathology 0.68 0.68 43.91$ 43.91$ 86343 00 Pathology 0.36 0.36 23.21$ 23.21$ 86344 00 Pathology 0.30 0.30 19.35$ 19.35$ 86352 00 Pathology 3.89 3.89 253.08$ 253.08$ 86353 00 Pathology 1.41 1.41 91.33$ 91.33$ 86355 00 Pathology 1.08 1.08 70.28$ 70.28$ 86356 00 Pathology 0.77 0.77 49.89$ 49.89$ 86357 00 Pathology 1.08 1.08 70.28$ 70.28$ 86359 00 Pathology 1.08 1.08 70.28$ 70.28$ 86360 00 Pathology 1.35 1.35 87.52$ 87.52$ 86361 00 Pathology 0.77 0.77 49.89$ 49.89$ 86367 00 Pathology 2.23 2.23 144.89$ 144.89$ 86376 00 Pathology 0.42 0.42 27.10$ 27.10$ 86382 00 Pathology 0.48 0.48 31.50$ 31.50$ 86384 00 Pathology 0.39 0.39 25.35$ 25.35$ 86386 00 Pathology 0.62 0.62 40.57$ 40.57$ 86403 00 Pathology 0.33 0.33 21.50$ 21.50$ 86406 00 Pathology 0.30 0.30 19.82$ 19.82$ 86408 00 Pathology - - 84.50$ 84.50$ 86409 00 Pathology - - 211.25$ 211.25$ 86413 00 Pathology - - 84.50$ 84.50$ 86430 00 Pathology 0.18 0.18 11.44$ 11.44$ 86431 00 Pathology 0.16 0.16 10.56$ 10.56$ 86480 00 Pathology 1.78 1.78 115.46$ 115.46$ 86481 00 Pathology 2.87 2.87 186.28$ 186.28$ 86485 00 Pathology - - 39.00$ 39.00$ 86486 00 Pathology 0.17 0.17 11.05$ 11.05$

PROPOSAL

155


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

156


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate86710 00 Pathology 0.39 0.39 25.24$ 25.24$ 86711 00 Pathology 0.48 0.48 31.46$ 31.46$ 86713 00 Pathology 0.44 0.44 28.50$ 28.50$ 86717 00 Pathology 0.35 0.35 22.82$ 22.82$ 86720 00 Pathology 0.46 0.46 30.18$ 30.18$ 86723 00 Pathology 0.38 0.38 24.57$ 24.57$ 86727 00 Pathology 0.37 0.37 23.97$ 23.97$ 86732 00 Pathology 0.43 0.43 27.94$ 27.94$ 86735 00 Pathology 0.37 0.37 24.31$ 24.31$ 86738 00 Pathology 0.38 0.38 24.66$ 24.66$ 86741 00 Pathology 0.38 0.38 24.57$ 24.57$ 86744 00 Pathology 0.46 0.46 29.79$ 29.79$ 86747 00 Pathology 0.43 0.43 28.00$ 28.00$ 86750 00 Pathology 0.38 0.38 24.57$ 24.57$ 86753 00 Pathology 0.36 0.36 23.08$ 23.08$ 86756 00 Pathology 0.46 0.46 29.60$ 29.60$ 86757 00 Pathology 0.55 0.55 36.05$ 36.05$ 86759 00 Pathology 0.52 0.52 33.96$ 33.96$ 86762 00 Pathology 0.41 0.41 26.81$ 26.81$ 86765 00 Pathology 0.37 0.37 23.99$ 23.99$ 86768 00 Pathology 0.38 0.38 24.57$ 24.57$ 86769 00 Pathology - - 84.50$ 84.50$ 86771 00 Pathology 0.70 0.70 45.60$ 45.60$ 86774 00 Pathology 0.42 0.42 27.57$ 27.57$ 86777 00 Pathology 0.41 0.41 26.81$ 26.81$ 86778 00 Pathology 0.41 0.41 26.84$ 26.84$ 86780 00 Pathology 0.38 0.38 24.66$ 24.66$ 86784 00 Pathology 0.36 0.36 23.40$ 23.40$ 86787 00 Pathology 0.37 0.37 23.99$ 23.99$ 86788 00 Pathology 0.48 0.48 31.39$ 31.39$ 86789 00 Pathology 0.41 0.41 26.81$ 26.81$ 86790 00 Pathology 0.37 0.37 23.99$ 23.99$ 86793 00 Pathology 0.38 0.38 24.57$ 24.57$ 86794 00 Pathology 0.48 0.48 31.39$ 31.39$ 86800 00 Pathology 0.46 0.46 29.64$ 29.64$ 86803 00 Pathology 0.41 0.41 26.58$ 26.58$ 86804 00 Pathology 0.44 0.44 28.86$ 28.86$ 86805 00 Pathology 5.43 5.43 353.03$ 353.03$ 86806 00 Pathology 1.36 1.36 88.65$ 88.65$ 86807 00 Pathology 2.25 2.25 146.51$ 146.51$ 86808 00 Pathology 0.85 0.85 55.29$ 55.29$ 86812 00 Pathology 0.74 0.74 48.08$ 48.08$ 86813 00 Pathology 1.66 1.66 108.04$ 108.04$ 86816 00 Pathology 0.86 0.86 56.20$ 56.20$ 86817 00 Pathology 3.04 3.04 197.72$ 197.72$ 86821 00 Pathology 1.05 1.05 68.11$ 68.11$ 86825 00 Pathology 3.14 3.14 203.96$ 203.96$ 86826 00 Pathology 1.05 1.05 68.05$ 68.05$ 86828 00 Pathology 1.84 1.84 119.58$ 119.58$ 86829 00 Pathology 1.84 1.84 119.58$ 119.58$ 86830 00 Pathology 2.74 2.74 177.94$ 177.94$ 86831 00 Pathology 2.35 2.35 152.53$ 152.53$ 86832 00 Pathology 9.28 9.28 603.09$ 603.09$ 86833 00 Pathology 9.34 9.34 606.91$ 606.91$ 86834 00 Pathology 10.25 10.25 666.07$ 666.07$ 86835 00 Pathology 9.26 9.26 601.62$ 601.62$ 86849 00 Pathology 0.00 0.00 BR BR86850 00 Pathology 0.28 0.28 18.20$ 18.20$ 86860 00 Pathology - - 61.75$ 61.75$

PROPOSAL

157


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate86870 00 Pathology - - 85.15$ 85.15$ 86880 00 Pathology 0.15 0.15 10.04$ 10.04$ 86885 00 Pathology 0.16 0.16 10.66$ 10.66$ 86886 00 Pathology 0.15 0.15 9.65$ 9.65$ 86890 00 Pathology - - 195.00$ 195.00$ 86891 00 Pathology - - 275.60$ 275.60$ 86900 00 Pathology 0.09 0.09 5.57$ 5.57$ 86901 00 Pathology 0.09 0.09 5.57$ 5.57$ 86902 00 Pathology 0.18 0.18 11.83$ 11.83$ 86904 00 Pathology 0.47 0.47 30.44$ 30.44$ 86905 00 Pathology 0.11 0.11 7.13$ 7.13$ 86906 00 Pathology 0.22 0.22 14.44$ 14.44$ 86910 00 Pathology - - 50.70$ 50.70$ 86911 00 Pathology - - 43.55$ 43.55$ 86920 00 Pathology - - 68.90$ 68.90$ 86921 00 Pathology - - 61.75$ 61.75$ 86922 00 Pathology - - 73.45$ 73.45$ 86923 00 Pathology - - 55.25$ 55.25$ 86927 00 Pathology - - 39.00$ 39.00$ 86930 00 Pathology - - 229.45$ 229.45$ 86931 00 Pathology - - 172.25$ 172.25$ 86932 00 Pathology - - 195.00$ 195.00$ 86940 00 Pathology 0.25 0.25 16.34$ 16.34$ 86941 00 Pathology 0.35 0.35 22.56$ 22.56$ 86945 00 Pathology - - 57.20$ 57.20$ 86950 00 Pathology - - 148.85$ 148.85$ 86960 00 Pathology - - 64.35$ 64.35$ 86965 00 Pathology - - 64.35$ 64.35$ 86970 00 Pathology - - 57.20$ 57.20$ 86971 00 Pathology - - 46.15$ 46.15$ 86972 00 Pathology - - 80.60$ 80.60$ 86975 00 Pathology - - 61.75$ 61.75$ 86976 00 Pathology - - 68.90$ 68.90$ 86977 00 Pathology - - 68.90$ 68.90$ 86978 00 Pathology - - 68.90$ 68.90$ 86985 00 Pathology - - 50.70$ 50.70$ 86999 00 Pathology 0.00 0.00 BR BR87003 00 Pathology 0.48 0.48 31.37$ 31.37$ 87015 00 Pathology 0.19 0.19 12.44$ 12.44$ 87040 00 Pathology 0.30 0.30 19.22$ 19.22$ 87045 00 Pathology 0.27 0.27 17.59$ 17.59$ 87046 00 Pathology 0.27 0.27 17.59$ 17.59$ 87070 00 Pathology 0.25 0.25 16.06$ 16.06$ 87071 00 Pathology 0.28 0.28 18.42$ 18.42$ 87073 00 Pathology 0.28 0.28 17.99$ 17.99$ 87075 00 Pathology 0.27 0.27 17.64$ 17.64$ 87076 00 Pathology 0.23 0.23 15.05$ 15.05$ 87077 00 Pathology 0.23 0.23 15.05$ 15.05$ 87081 00 Pathology 0.19 0.19 12.35$ 12.35$ 87084 00 Pathology 0.78 0.78 50.43$ 50.43$ 87086 00 Pathology 0.23 0.23 15.03$ 15.03$ 87088 00 Pathology 0.23 0.23 15.07$ 15.07$ 87101 00 Pathology 0.22 0.22 14.36$ 14.36$ 87102 00 Pathology 0.24 0.24 15.67$ 15.67$ 87103 00 Pathology 0.59 0.59 38.11$ 38.11$ 87106 00 Pathology 0.30 0.30 19.22$ 19.22$ 87107 00 Pathology 0.30 0.30 19.22$ 19.22$ 87109 00 Pathology 0.44 0.44 28.67$ 28.67$ 87110 00 Pathology 0.56 0.56 36.51$ 36.51$

PROPOSAL

158


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

159


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate87301 00 Pathology 0.34 0.34 22.32$ 22.32$ 87305 00 Pathology 0.34 0.34 22.32$ 22.32$ 87320 00 Pathology 0.43 0.43 27.94$ 27.94$ 87324 00 Pathology 0.34 0.34 22.32$ 22.32$ 87327 00 Pathology 0.38 0.38 25.00$ 25.00$ 87328 00 Pathology 0.40 0.40 25.74$ 25.74$ 87329 00 Pathology 0.34 0.34 22.32$ 22.32$ 87332 00 Pathology 0.34 0.34 22.32$ 22.32$ 87335 00 Pathology 0.36 0.36 23.58$ 23.58$ 87336 00 Pathology 0.46 0.46 29.81$ 29.81$ 87337 00 Pathology 0.34 0.34 22.32$ 22.32$ 87338 00 Pathology 0.41 0.41 26.79$ 26.79$ 87339 00 Pathology 0.46 0.46 29.81$ 29.81$ 87340 00 Pathology 0.30 0.30 19.24$ 19.24$ 87341 00 Pathology 0.30 0.30 19.24$ 19.24$ 87350 00 Pathology 0.33 0.33 21.48$ 21.48$ 87380 00 Pathology 0.53 0.53 34.20$ 34.20$ 87385 00 Pathology 0.38 0.38 24.68$ 24.68$ 87389 00 Pathology 0.69 0.69 44.86$ 44.86$ 87390 00 Pathology 0.69 0.69 44.82$ 44.82$ 87391 00 Pathology 0.63 0.63 40.80$ 40.80$ 87400 00 Pathology 0.40 0.40 26.32$ 26.32$ 87420 00 Pathology 0.40 0.40 25.91$ 25.91$ 87425 00 Pathology 0.34 0.34 22.32$ 22.32$ 87426 00 Pathology - - 91.00$ 91.00$ 87427 00 Pathology 0.34 0.34 22.32$ 22.32$ 87428 00 Pathology - - 147.55$ 147.55$ 87430 00 Pathology 0.48 0.48 31.31$ 31.31$ 87449 00 Pathology 0.34 0.34 22.32$ 22.32$ 87451 00 Pathology 0.30 0.30 19.58$ 19.58$ 87471 00 Pathology 1.01 1.01 65.37$ 65.37$ 87472 00 Pathology 1.23 1.23 79.80$ 79.80$ 87475 00 Pathology 0.57 0.57 37.35$ 37.35$ 87476 00 Pathology 1.01 1.01 65.37$ 65.37$ 87480 00 Pathology 0.57 0.57 37.35$ 37.35$ 87481 00 Pathology 1.01 1.01 65.37$ 65.37$ 87482 00 Pathology 1.60 1.60 103.83$ 103.83$ 87483 00 Pathology 11.94 11.94 776.39$ 776.39$ 87485 00 Pathology 0.57 0.57 37.35$ 37.35$ 87486 00 Pathology 1.01 1.01 65.37$ 65.37$ 87487 00 Pathology 1.23 1.23 79.80$ 79.80$ 87490 00 Pathology 0.65 0.65 42.38$ 42.38$ 87491 00 Pathology 1.01 1.01 65.37$ 65.37$ 87492 00 Pathology 1.53 1.53 99.61$ 99.61$ 87493 00 Pathology 1.07 1.07 69.43$ 69.43$ 87495 00 Pathology 0.86 0.86 55.94$ 55.94$ 87496 00 Pathology 1.01 1.01 65.37$ 65.37$ 87497 00 Pathology 1.23 1.23 79.80$ 79.80$ 87498 00 Pathology 1.01 1.01 65.37$ 65.37$ 87500 00 Pathology 1.01 1.01 65.37$ 65.37$ 87501 00 Pathology 1.47 1.47 95.58$ 95.58$ 87502 00 Pathology 2.75 2.75 178.46$ 178.46$ 87503 00 Pathology 0.84 0.84 54.43$ 54.43$ 87505 00 Pathology 3.68 3.68 238.98$ 238.98$ 87506 00 Pathology 7.54 7.54 489.91$ 489.91$ 87507 00 Pathology 11.94 11.94 776.39$ 776.39$ 87510 00 Pathology 0.57 0.57 37.35$ 37.35$ 87511 00 Pathology 1.01 1.01 65.37$ 65.37$ 87512 00 Pathology 1.20 1.20 77.79$ 77.79$

PROPOSAL

160


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate87516 00 Pathology 1.01 1.01 65.37$ 65.37$ 87517 00 Pathology 1.23 1.23 79.80$ 79.80$ 87520 00 Pathology 0.89 0.89 58.16$ 58.16$ 87521 00 Pathology 1.01 1.01 65.37$ 65.37$ 87522 00 Pathology 1.23 1.23 79.80$ 79.80$ 87525 00 Pathology 0.85 0.85 55.51$ 55.51$ 87526 00 Pathology 1.13 1.13 73.13$ 73.13$ 87527 00 Pathology 1.20 1.20 77.79$ 77.79$ 87528 00 Pathology 0.57 0.57 37.35$ 37.35$ 87529 00 Pathology 1.01 1.01 65.37$ 65.37$ 87530 00 Pathology 1.23 1.23 79.80$ 79.80$ 87531 00 Pathology 1.66 1.66 108.04$ 108.04$ 87532 00 Pathology 1.01 1.01 65.37$ 65.37$ 87533 00 Pathology 1.20 1.20 77.79$ 77.79$ 87534 00 Pathology 0.63 0.63 40.83$ 40.83$ 87535 00 Pathology 1.01 1.01 65.37$ 65.37$ 87536 00 Pathology 2.44 2.44 158.53$ 158.53$ 87537 00 Pathology 0.63 0.63 40.83$ 40.83$ 87538 00 Pathology 1.01 1.01 65.37$ 65.37$ 87539 00 Pathology 1.68 1.68 109.20$ 109.20$ 87540 00 Pathology 0.57 0.57 37.35$ 37.35$ 87541 00 Pathology 1.01 1.01 65.37$ 65.37$ 87542 00 Pathology 1.20 1.20 77.79$ 77.79$ 87550 00 Pathology 0.57 0.57 37.35$ 37.35$ 87551 00 Pathology 1.38 1.38 89.86$ 89.86$ 87552 00 Pathology 1.23 1.23 79.80$ 79.80$ 87555 00 Pathology 0.77 0.77 50.07$ 50.07$ 87556 00 Pathology 1.19 1.19 77.64$ 77.64$ 87557 00 Pathology 1.23 1.23 79.80$ 79.80$ 87560 00 Pathology 0.78 0.78 50.84$ 50.84$ 87561 00 Pathology 1.01 1.01 65.37$ 65.37$ 87562 00 Pathology 1.23 1.23 79.80$ 79.80$ 87563 00 Pathology 1.01 1.01 65.37$ 65.37$ 87580 00 Pathology 0.57 0.57 37.35$ 37.35$ 87581 00 Pathology 1.01 1.01 65.37$ 65.37$ 87582 00 Pathology 8.67 8.67 563.73$ 563.73$ 87590 00 Pathology 0.77 0.77 50.07$ 50.07$ 87591 00 Pathology 1.01 1.01 65.37$ 65.37$ 87592 00 Pathology 1.23 1.23 79.80$ 79.80$ 87623 00 Pathology 1.01 1.01 65.37$ 65.37$ 87624 00 Pathology 1.01 1.01 65.37$ 65.37$ 87625 00 Pathology 1.16 1.16 75.54$ 75.54$ 87631 00 Pathology 4.09 4.09 265.70$ 265.70$ 87632 00 Pathology 6.25 6.25 406.21$ 406.21$ 87633 00 Pathology 11.94 11.94 776.39$ 776.39$ 87634 00 Pathology 2.01 2.01 130.77$ 130.77$ 87635 00 Pathology - - 102.70$ 102.70$ 87636 00 Pathology - - 286.00$ 286.00$ 87637 00 Pathology - - 286.00$ 286.00$ 87640 00 Pathology 1.01 1.01 65.37$ 65.37$ 87641 00 Pathology 1.01 1.01 65.37$ 65.37$ 87650 00 Pathology 0.57 0.57 37.35$ 37.35$ 87651 00 Pathology 1.01 1.01 65.37$ 65.37$ 87652 00 Pathology 1.20 1.20 77.79$ 77.79$ 87653 00 Pathology 1.01 1.01 65.37$ 65.37$ 87660 00 Pathology 0.57 0.57 37.35$ 37.35$ 87661 00 Pathology 1.01 1.01 65.37$ 65.37$ 87662 00 Pathology 1.47 1.47 95.58$ 95.58$ 87797 00 Pathology 0.86 0.86 55.94$ 55.94$

PROPOSAL

161


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate87798 00 Pathology 1.01 1.01 65.37$ 65.37$ 87799 00 Pathology 1.23 1.23 79.80$ 79.80$ 87800 00 Pathology 1.25 1.25 81.35$ 81.35$ 87801 00 Pathology 2.01 2.01 130.77$ 130.77$ 87802 00 Pathology 0.36 0.36 23.71$ 23.71$ 87803 00 Pathology 0.46 0.46 29.81$ 29.81$ 87804 00 Pathology 0.47 0.47 30.83$ 30.83$ 87806 00 Pathology 0.94 0.94 61.05$ 61.05$ 87807 00 Pathology 0.38 0.38 24.40$ 24.40$ 87808 00 Pathology 0.44 0.44 28.48$ 28.48$ 87809 00 Pathology 0.62 0.62 40.54$ 40.54$ 87810 00 Pathology 1.01 1.01 65.74$ 65.74$ 87811 00 Pathology - - 83.20$ 83.20$ 87850 00 Pathology 0.70 0.70 45.75$ 45.75$ 87880 00 Pathology 0.47 0.47 30.79$ 30.79$ 87899 00 Pathology 0.46 0.46 29.94$ 29.94$ 87900 00 Pathology 3.74 3.74 242.82$ 242.82$ 87901 00 Pathology 7.38 7.38 479.59$ 479.59$ 87902 00 Pathology 7.38 7.38 479.59$ 479.59$ 87903 00 Pathology 14.00 14.00 910.29$ 910.29$ 87904 00 Pathology 0.75 0.75 48.56$ 48.56$ 87905 00 Pathology 0.35 0.35 22.76$ 22.76$ 87906 00 Pathology 3.69 3.69 239.80$ 239.80$ 87910 00 Pathology 7.38 7.38 479.59$ 479.59$ 87912 00 Pathology 7.38 7.38 479.59$ 479.59$ 87999 00 Pathology 0.00 0.00 BR BR88000 00 Pathology - - 399.10$ 399.10$ 88005 00 Pathology - - 465.40$ 465.40$ 88007 00 Pathology - - 487.50$ 487.50$ 88012 00 Pathology - - 399.10$ 399.10$ 88014 00 Pathology - - 365.95$ 365.95$ 88016 00 Pathology - - 509.60$ 509.60$ 88020 00 Pathology - - 687.05$ 687.05$ 88025 00 Pathology - - 664.95$ 664.95$ 88027 00 Pathology - - 709.15$ 709.15$ 88028 00 Pathology - - 399.10$ 399.10$ 88029 00 Pathology - - 399.10$ 399.10$ 88036 00 Pathology - - 199.55$ 199.55$ 88037 00 Pathology - - 177.45$ 177.45$ 88040 00 Pathology - - 1,108.25$ 1,108.25$ 88045 00 Pathology - - 111.15$ 111.15$ 88099 00 Pathology 0.00 0.00 BR BR88104 00 Pathology 1.93 1.93 125.45$ 125.45$ 88104 26 Pathology 0.79 0.79 51.35$ 51.35$ 88104 TC Pathology 1.14 1.14 74.10$ 74.10$ 88106 00 Pathology 1.92 1.92 124.80$ 124.80$ 88106 26 Pathology 0.56 0.56 36.40$ 36.40$ 88106 TC Pathology 1.36 1.36 88.40$ 88.40$ 88108 00 Pathology 1.83 1.83 118.95$ 118.95$ 88108 26 Pathology 0.65 0.65 42.25$ 42.25$ 88108 TC Pathology 1.18 1.18 76.70$ 76.70$ 88112 00 Pathology 1.94 1.94 126.10$ 126.10$ 88112 26 Pathology 0.80 0.80 52.00$ 52.00$ 88112 TC Pathology 1.14 1.14 74.10$ 74.10$ 88120 00 Pathology 18.14 18.14 1,179.10$ 1,179.10$ 88120 26 Pathology 1.67 1.67 108.55$ 108.55$ 88120 TC Pathology 16.47 16.47 1,070.55$ 1,070.55$ 88121 00 Pathology 13.09 13.09 850.85$ 850.85$ 88121 26 Pathology 1.39 1.39 90.35$ 90.35$

PROPOSAL

162


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate88121 TC Pathology 11.70 11.70 760.50$ 760.50$ 88125 00 Pathology 0.77 0.77 50.05$ 50.05$ 88125 26 Pathology 0.40 0.40 26.00$ 26.00$ 88125 TC Pathology 0.37 0.37 24.05$ 24.05$ 88130 00 Pathology 0.52 0.52 33.49$ 33.49$ 88140 00 Pathology 0.23 0.23 14.88$ 14.88$ 88141 00 Pathology 0.63 0.63 40.95$ 40.95$ 88142 00 Pathology 0.58 0.58 37.74$ 37.74$ 88143 00 Pathology 0.66 0.66 42.92$ 42.92$ 88147 00 Pathology 1.45 1.45 94.18$ 94.18$ 88148 00 Pathology 0.46 0.46 29.81$ 29.81$ 88150 00 Pathology 0.43 0.43 28.22$ 28.22$ 88152 00 Pathology 0.79 0.79 51.49$ 51.49$ 88153 00 Pathology 0.69 0.69 44.76$ 44.76$ 88155 00 Pathology 0.42 0.42 27.29$ 27.29$ 88160 00 Pathology 2.06 2.06 133.90$ 133.90$ 88160 26 Pathology 0.74 0.74 48.10$ 48.10$ 88160 TC Pathology 1.32 1.32 85.80$ 85.80$ 88161 00 Pathology 2.06 2.06 133.90$ 133.90$ 88161 26 Pathology 0.73 0.73 47.45$ 47.45$ 88161 TC Pathology 1.33 1.33 86.45$ 86.45$ 88162 00 Pathology 2.99 2.99 194.35$ 194.35$ 88162 26 Pathology 1.12 1.12 72.80$ 72.80$ 88162 TC Pathology 1.87 1.87 121.55$ 121.55$ 88164 00 Pathology 0.43 0.43 28.22$ 28.22$ 88165 00 Pathology 1.21 1.21 78.65$ 78.65$ 88166 00 Pathology 0.43 0.43 28.22$ 28.22$ 88167 00 Pathology 0.43 0.43 28.22$ 28.22$ 88172 00 Pathology 1.60 1.60 104.00$ 104.00$ 88172 26 Pathology 1.03 1.03 66.95$ 66.95$ 88172 TC Pathology 0.57 0.57 37.05$ 37.05$ 88173 00 Pathology 4.49 4.49 291.85$ 291.85$ 88173 26 Pathology 2.04 2.04 132.60$ 132.60$ 88173 TC Pathology 2.45 2.45 159.25$ 159.25$ 88174 00 Pathology 0.73 0.73 47.26$ 47.26$ 88175 00 Pathology 0.76 0.76 49.57$ 49.57$ 88177 00 Pathology 0.84 0.84 54.60$ 54.60$ 88177 26 Pathology 0.63 0.63 40.95$ 40.95$ 88177 TC Pathology 0.21 0.21 13.65$ 13.65$ 88182 00 Pathology 4.03 4.03 261.95$ 261.95$ 88182 26 Pathology 1.11 1.11 72.15$ 72.15$ 88182 TC Pathology 2.92 2.92 189.80$ 189.80$ 88184 00 Pathology 2.00 2.00 130.00$ 130.00$ 88185 00 Pathology 0.66 0.66 42.90$ 42.90$ 88187 00 Pathology 1.05 1.05 68.25$ 68.25$ 88188 00 Pathology 1.80 1.80 117.00$ 117.00$ 88189 00 Pathology 2.44 2.44 158.60$ 158.60$ 88199 00 Pathology 0.00 0.00 BR BR88199 26 Pathology 0.00 0.00 BR BR88199 TC Pathology 0.00 0.00 BR BR88230 00 Pathology 3.34 3.34 217.00$ 217.00$ 88233 00 Pathology 4.03 4.03 262.16$ 262.16$ 88235 00 Pathology 4.31 4.31 279.98$ 279.98$ 88237 00 Pathology 4.12 4.12 267.78$ 267.78$ 88239 00 Pathology 4.23 4.23 274.81$ 274.81$ 88240 00 Pathology 0.37 0.37 24.35$ 24.35$ 88241 00 Pathology 0.35 0.35 22.52$ 22.52$ 88245 00 Pathology 4.96 4.96 322.59$ 322.59$ 88248 00 Pathology 4.96 4.96 322.59$ 322.59$

PROPOSAL

163


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate88249 00 Pathology 4.96 4.96 322.59$ 322.59$ 88261 00 Pathology 7.58 7.58 492.42$ 492.42$ 88262 00 Pathology 3.60 3.60 233.77$ 233.77$ 88263 00 Pathology 4.31 4.31 279.97$ 279.97$ 88264 00 Pathology 4.14 4.14 269.38$ 269.38$ 88267 00 Pathology 5.40 5.40 351.27$ 351.27$ 88269 00 Pathology 4.98 4.98 323.50$ 323.50$ 88271 00 Pathology 0.61 0.61 39.90$ 39.90$ 88272 00 Pathology 1.17 1.17 75.82$ 75.82$ 88273 00 Pathology 1.00 1.00 64.85$ 64.85$ 88274 00 Pathology 1.21 1.21 78.95$ 78.95$ 88275 00 Pathology 1.47 1.47 95.36$ 95.36$ 88280 00 Pathology 0.96 0.96 62.35$ 62.35$ 88283 00 Pathology 1.97 1.97 127.79$ 127.79$ 88285 00 Pathology 0.77 0.77 50.13$ 50.13$ 88289 00 Pathology 0.99 0.99 64.14$ 64.14$ 88291 00 Pathology 0.97 0.97 63.05$ 63.05$ 88299 00 Pathology 0.00 0.00 BR BR88300 00 Pathology 0.45 0.45 29.25$ 29.25$ 88300 26 Pathology 0.13 0.13 8.45$ 8.45$ 88300 TC Pathology 0.32 0.32 20.80$ 20.80$ 88302 00 Pathology 0.92 0.92 59.80$ 59.80$ 88302 26 Pathology 0.20 0.20 13.00$ 13.00$ 88302 TC Pathology 0.72 0.72 46.80$ 46.80$ 88304 00 Pathology 1.21 1.21 78.65$ 78.65$ 88304 26 Pathology 0.33 0.33 21.45$ 21.45$ 88304 TC Pathology 0.88 0.88 57.20$ 57.20$ 88305 00 Pathology 2.05 2.05 133.25$ 133.25$ 88305 26 Pathology 1.08 1.08 70.20$ 70.20$ 88305 TC Pathology 0.97 0.97 63.05$ 63.05$ 88307 00 Pathology 8.32 8.32 540.80$ 540.80$ 88307 26 Pathology 2.39 2.39 155.35$ 155.35$ 88307 TC Pathology 5.93 5.93 385.45$ 385.45$ 88309 00 Pathology 12.66 12.66 822.90$ 822.90$ 88309 26 Pathology 4.21 4.21 273.65$ 273.65$ 88309 TC Pathology 8.45 8.45 549.25$ 549.25$ 88311 00 Pathology 0.61 0.61 39.65$ 39.65$ 88311 26 Pathology 0.36 0.36 23.40$ 23.40$ 88311 TC Pathology 0.25 0.25 16.25$ 16.25$ 88312 00 Pathology 3.24 3.24 210.60$ 210.60$ 88312 26 Pathology 0.77 0.77 50.05$ 50.05$ 88312 TC Pathology 2.47 2.47 160.55$ 160.55$ 88313 00 Pathology 2.34 2.34 152.10$ 152.10$ 88313 26 Pathology 0.35 0.35 22.75$ 22.75$ 88313 TC Pathology 1.99 1.99 129.35$ 129.35$ 88314 00 Pathology 2.91 2.91 189.15$ 189.15$ 88314 26 Pathology 0.62 0.62 40.30$ 40.30$ 88314 TC Pathology 2.29 2.29 148.85$ 148.85$ 88319 00 Pathology 3.73 3.73 242.45$ 242.45$ 88319 26 Pathology 0.78 0.78 50.70$ 50.70$ 88319 TC Pathology 2.95 2.95 191.75$ 191.75$ 88321 00 Pathology 2.84 2.43 184.60$ 157.95$ 88323 00 Pathology 3.29 3.29 213.85$ 213.85$ 88323 26 Pathology 2.51 2.51 163.15$ 163.15$ 88323 TC Pathology 0.78 0.78 50.70$ 50.70$ 88325 00 Pathology 4.78 4.05 310.70$ 263.25$ 88329 00 Pathology 1.70 1.03 110.50$ 66.95$ 88331 00 Pathology 3.00 3.00 195.00$ 195.00$ 88331 26 Pathology 1.79 1.79 116.35$ 116.35$

PROPOSAL

164


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate88331 TC Pathology 1.21 1.21 78.65$ 78.65$ 88332 00 Pathology 1.58 1.58 102.70$ 102.70$ 88332 26 Pathology 0.89 0.89 57.85$ 57.85$ 88332 TC Pathology 0.69 0.69 44.85$ 44.85$ 88333 00 Pathology 2.76 2.76 179.40$ 179.40$ 88333 26 Pathology 1.79 1.79 116.35$ 116.35$ 88333 TC Pathology 0.97 0.97 63.05$ 63.05$ 88334 00 Pathology 1.64 1.64 106.60$ 106.60$ 88334 26 Pathology 1.09 1.09 70.85$ 70.85$ 88334 TC Pathology 0.55 0.55 35.75$ 35.75$ 88341 00 Pathology 2.69 2.69 174.85$ 174.85$ 88341 26 Pathology 0.82 0.82 53.30$ 53.30$ 88341 TC Pathology 1.87 1.87 121.55$ 121.55$ 88342 00 Pathology 3.04 3.04 197.60$ 197.60$ 88342 26 Pathology 1.01 1.01 65.65$ 65.65$ 88342 TC Pathology 2.03 2.03 131.95$ 131.95$ 88344 00 Pathology 5.11 5.11 332.15$ 332.15$ 88344 26 Pathology 1.10 1.10 71.50$ 71.50$ 88344 TC Pathology 4.01 4.01 260.65$ 260.65$ 88346 00 Pathology 4.18 4.18 271.70$ 271.70$ 88346 26 Pathology 1.04 1.04 67.60$ 67.60$ 88346 TC Pathology 3.14 3.14 204.10$ 204.10$ 88348 00 Pathology 12.40 12.40 806.00$ 806.00$ 88348 26 Pathology 2.24 2.24 145.60$ 145.60$ 88348 TC Pathology 10.16 10.16 660.40$ 660.40$ 88350 00 Pathology 3.17 3.17 206.05$ 206.05$ 88350 26 Pathology 0.84 0.84 54.60$ 54.60$ 88350 TC Pathology 2.33 2.33 151.45$ 151.45$ 88355 00 Pathology 4.17 4.17 271.05$ 271.05$ 88355 26 Pathology 2.41 2.41 156.65$ 156.65$ 88355 TC Pathology 1.76 1.76 114.40$ 114.40$ 88356 00 Pathology 6.99 6.99 454.35$ 454.35$ 88356 26 Pathology 3.73 3.73 242.45$ 242.45$ 88356 TC Pathology 3.26 3.26 211.90$ 211.90$ 88358 00 Pathology 4.04 4.04 262.60$ 262.60$ 88358 26 Pathology 1.44 1.44 93.60$ 93.60$ 88358 TC Pathology 2.60 2.60 169.00$ 169.00$ 88360 00 Pathology 3.58 3.58 232.70$ 232.70$ 88360 26 Pathology 1.21 1.21 78.65$ 78.65$ 88360 TC Pathology 2.37 2.37 154.05$ 154.05$ 88361 00 Pathology 3.56 3.56 231.40$ 231.40$ 88361 26 Pathology 1.26 1.26 81.90$ 81.90$ 88361 TC Pathology 2.30 2.30 149.50$ 149.50$ 88362 00 Pathology 6.43 6.43 417.95$ 417.95$ 88362 26 Pathology 3.24 3.24 210.60$ 210.60$ 88362 TC Pathology 3.19 3.19 207.35$ 207.35$ 88363 00 Pathology 0.67 0.57 43.55$ 37.05$ 88364 00 Pathology 4.14 4.14 269.10$ 269.10$ 88364 26 Pathology 1.00 1.00 65.00$ 65.00$ 88364 TC Pathology 3.14 3.14 204.10$ 204.10$ 88365 00 Pathology 5.33 5.33 346.45$ 346.45$ 88365 26 Pathology 1.26 1.26 81.90$ 81.90$ 88365 TC Pathology 4.07 4.07 264.55$ 264.55$ 88366 00 Pathology 8.41 8.41 546.65$ 546.65$ 88366 26 Pathology 1.79 1.79 116.35$ 116.35$ 88366 TC Pathology 6.62 6.62 430.30$ 430.30$ 88367 00 Pathology 3.32 3.32 215.80$ 215.80$ 88367 26 Pathology 0.97 0.97 63.05$ 63.05$ 88367 TC Pathology 2.35 2.35 152.75$ 152.75$

PROPOSAL

165


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate88368 00 Pathology 3.93 3.93 255.45$ 255.45$ 88368 26 Pathology 1.19 1.19 77.35$ 77.35$ 88368 TC Pathology 2.74 2.74 178.10$ 178.10$ 88369 00 Pathology 3.39 3.39 220.35$ 220.35$ 88369 26 Pathology 0.93 0.93 60.45$ 60.45$ 88369 TC Pathology 2.46 2.46 159.90$ 159.90$ 88371 00 Pathology 0.64 0.64 41.41$ 41.41$ 88371 26 Pathology 0.56 0.56 36.40$ 36.40$ 88372 00 Pathology 0.75 0.75 48.84$ 48.84$ 88372 26 Pathology 0.53 0.53 34.45$ 34.45$ 88373 00 Pathology 2.10 2.10 136.50$ 136.50$ 88373 26 Pathology 0.75 0.75 48.75$ 48.75$ 88373 TC Pathology 1.35 1.35 87.75$ 87.75$ 88374 00 Pathology 10.10 10.10 656.50$ 656.50$ 88374 26 Pathology 1.26 1.26 81.90$ 81.90$ 88374 TC Pathology 8.84 8.84 574.60$ 574.60$ 88375 00 Pathology 1.41 1.41 91.65$ 91.65$ 88377 00 Pathology 12.17 12.17 791.05$ 791.05$ 88377 26 Pathology 1.85 1.85 120.25$ 120.25$ 88377 TC Pathology 10.32 10.32 670.80$ 670.80$ 88380 00 Pathology 3.85 3.85 250.25$ 250.25$ 88380 26 Pathology 1.59 1.59 103.35$ 103.35$ 88380 TC Pathology 2.26 2.26 146.90$ 146.90$ 88381 00 Pathology 5.87 5.87 381.55$ 381.55$ 88381 26 Pathology 0.71 0.71 46.15$ 46.15$ 88381 TC Pathology 5.16 5.16 335.40$ 335.40$ 88387 00 Pathology 1.02 1.02 66.30$ 66.30$ 88387 26 Pathology 0.79 0.79 51.35$ 51.35$ 88387 TC Pathology 0.23 0.23 14.95$ 14.95$ 88388 00 Pathology 1.08 1.08 70.20$ 70.20$ 88388 26 Pathology 0.68 0.68 44.20$ 44.20$ 88388 TC Pathology 0.40 0.40 26.00$ 26.00$ 88399 00 Pathology 0.00 0.00 BR BR88399 26 Pathology 0.00 0.00 BR BR88399 TC Pathology 0.00 0.00 BR BR88720 00 Pathology 0.14 0.14 9.35$ 9.35$ 88738 00 Pathology 0.14 0.14 9.35$ 9.35$ 88740 00 Pathology 0.27 0.27 17.45$ 17.45$ 88741 00 Pathology 0.27 0.27 17.45$ 17.45$ 88749 00 Pathology 0.00 0.00 BR BR89049 00 Pathology 7.71 1.78 501.15$ 115.70$ 89050 00 Pathology 0.14 0.14 8.79$ 8.79$ 89051 00 Pathology 0.16 0.16 10.43$ 10.43$ 89055 00 Pathology 0.12 0.12 7.95$ 7.95$ 89060 00 Pathology 0.21 0.21 13.65$ 13.65$ 89060 26 Pathology 0.53 0.53 34.45$ 34.45$ 89125 00 Pathology 0.17 0.17 10.95$ 10.95$ 89160 00 Pathology 0.14 0.14 9.03$ 9.03$ 89190 00 Pathology 0.17 0.17 10.79$ 10.79$ 89220 00 Pathology 0.54 0.54 35.10$ 35.10$ 89230 00 Pathology 0.07 0.07 4.55$ 4.55$ 89240 00 Pathology 0.00 0.00 BR BR89250 00 Pathology - - 1,981.85$ 1,981.85$ 89251 00 Pathology - - 2,061.15$ 2,061.15$ 89253 00 Pathology 0.00 0.00 BR BR89254 00 Pathology 0.00 0.00 BR BR89255 00 Pathology 0.00 0.00 BR BR89257 00 Pathology 0.00 0.00 BR BR89258 00 Pathology 0.00 0.00 BR BR

PROPOSAL

166


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate89259 00 Pathology 0.00 0.00 BR BR89260 00 Pathology 0.00 0.00 BR BR89261 00 Pathology 0.00 0.00 BR BR89264 00 Pathology 0.00 0.00 BR BR89268 00 Pathology 0.00 0.00 BR BR89272 00 Pathology 0.00 0.00 BR BR89280 00 Pathology 0.00 0.00 BR BR89281 00 Pathology 0.00 0.00 BR BR89290 00 Pathology 0.00 0.00 BR BR89291 00 Pathology 0.00 0.00 BR BR89300 00 Pathology 0.28 0.28 18.33$ 18.33$ 89310 00 Pathology 0.25 0.25 16.04$ 16.04$ 89320 00 Pathology 0.35 0.35 22.93$ 22.93$ 89321 00 Pathology 0.35 0.35 22.45$ 22.45$ 89322 00 Pathology 0.44 0.44 28.87$ 28.87$ 89325 00 Pathology 0.31 0.31 19.88$ 19.88$ 89329 00 Pathology 0.56 0.56 36.49$ 36.49$ 89330 00 Pathology 0.30 0.30 19.34$ 19.34$ 89331 00 Pathology 0.56 0.56 36.49$ 36.49$ 89335 00 Pathology 0.00 0.00 BR BR89337 00 Pathology 0.00 0.00 BR BR89342 00 Pathology 0.00 0.00 BR BR89343 00 Pathology 0.00 0.00 BR BR89344 00 Pathology 0.00 0.00 BR BR89346 00 Pathology 0.00 0.00 BR BR89352 00 Pathology 0.00 0.00 BR BR89353 00 Pathology 0.00 0.00 BR BR89354 00 Pathology 0.00 0.00 BR BR89356 00 Pathology 0.00 0.00 BR BR89398 00 Pathology 0.00 0.00 BR BRG0480 00 Pathology 3.28 3.28 213.16$ 213.16$ G0481 00 Pathology 4.49 4.49 291.70$ 291.70$ G0482 00 Pathology 5.70 5.70 370.22$ 370.22$ G0483 00 Pathology 7.08 7.08 459.97$ 459.97$ G2023 00 Pathology 0.67 0.67 43.70$ 43.70$ G2024 00 Pathology 0.73 0.73 47.43$ 47.43$ U0001 00 Pathology - - 72.15$ 72.15$ U0002 00 Pathology - - 102.70$ 102.70$

PROPOSAL

167


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate90281 00 Medicine 0.00 0.00 BR BR90283 00 Medicine 0.00 0.00 BR BR90284 00 Medicine 0.00 0.00 BR BR90287 00 Medicine 0.00 0.00 BR BR90288 00 Medicine 0.00 0.00 BR BR90291 00 Medicine 0.00 0.00 BR BR90296 00 Medicine 0.00 0.00 BR BR90371 00 Medicine - - 254.15$ 254.15$ 90375 00 Medicine - - 544.05$ 544.05$ 90376 00 Medicine - - 475.80$ 475.80$ 90377 00 Medicine 0.00 0.00 BR BR90378 00 Medicine 0.00 0.00 BR BR90384 00 Medicine - - 187.20$ 187.20$ 90385 00 Medicine - - 85.80$ 85.80$ 90386 00 Medicine - - 200.85$ 200.85$ 90389 00 Medicine - - 174.20$ 174.20$ 90393 00 Medicine 0.00 0.00 BR BR90396 00 Medicine - - 193.05$ 193.05$ 90399 00 Medicine 0.00 0.00 BR BR90460 00 Medicine 0.49 0.49 31.85$ 31.85$ 90461 00 Medicine 0.37 0.37 24.05$ 24.05$ 90471 00 Medicine 0.49 0.49 31.85$ 31.85$ 90472 00 Medicine 0.37 0.37 24.05$ 24.05$ 90473 00 Medicine 0.49 0.49 31.85$ 31.85$ 90474 00 Medicine 0.37 0.37 24.05$ 24.05$ 90476 00 Medicine 0.00 0.00 BR BR90477 00 Medicine 0.00 0.00 BR BR90581 00 Medicine - - 222.95$ 222.95$ 90585 00 Medicine - - 200.85$ 200.85$ 90586 00 Medicine - - 286.00$ 286.00$ 90587 00 Medicine 0.00 0.00 BR BR90619 00 Medicine 0.00 0.00 BR BR90620 00 Medicine 0.00 0.00 BR BR90621 00 Medicine 0.00 0.00 BR BR90625 00 Medicine 0.00 0.00 BR BR90630 00 Medicine 0.00 0.00 BR BR90632 00 Medicine - - 121.55$ 121.55$ 90633 00 Medicine - - 53.30$ 53.30$ 90634 00 Medicine - - 56.55$ 56.55$ 90636 00 Medicine - - 147.55$ 147.55$ 90644 00 Medicine - - 42.90$ 42.90$ 90647 00 Medicine - - 45.50$ 45.50$ 90648 00 Medicine - - 42.90$ 42.90$ 90649 00 Medicine - - 203.45$ 203.45$ 90650 00 Medicine 0.00 0.00 BR BR90651 00 Medicine 0.00 0.00 BR BR90653 00 Medicine - - 119.60$ 119.60$ 90654 00 Medicine 0.00 0.00 BR BR90655 00 Medicine - - 24.05$ 24.05$ 90656 00 Medicine - - 24.05$ 24.05$ 90657 00 Medicine - - 24.70$ 24.70$ 90658 00 Medicine - - 24.70$ 24.70$ 90660 00 Medicine - - 31.85$ 31.85$ 90661 00 Medicine 0.00 0.00 BR BR90662 00 Medicine - - 122.20$ 122.20$

ARIZONA PHYSICIANS' FEE SCHEDULEMedicine Codes 2021

Medicine Conversion Factor $65.00

PROPOSAL

168


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate90664 00 Medicine 0.00 0.00 BR BR90666 00 Medicine 0.00 0.00 BR BR90667 00 Medicine 0.00 0.00 BR BR90668 00 Medicine 0.00 0.00 BR BR90670 00 Medicine - - 461.50$ 461.50$ 90672 00 Medicine - - 53.95$ 53.95$ 90673 00 Medicine 0.00 0.00 BR BR90674 00 Medicine - - 58.50$ 58.50$ 90675 00 Medicine - - 637.65$ 637.65$ 90676 00 Medicine 0.00 0.00 BR BR90680 00 Medicine - - 120.25$ 120.25$ 90681 00 Medicine - - 120.25$ 120.25$ 90682 00 Medicine - - 122.20$ 122.20$ 90685 00 Medicine - - 42.25$ 42.25$ 90686 00 Medicine - - 39.00$ 39.00$ 90687 00 Medicine - - 19.50$ 19.50$ 90688 00 Medicine - - 38.35$ 38.35$ 90689 00 Medicine 0.00 0.00 BR BR90690 00 Medicine - - 61.75$ 61.75$ 90691 00 Medicine - - 248.30$ 248.30$ 90694 00 Medicine - - 122.20$ 122.20$ 90696 00 Medicine 0.00 0.00 BR BR90697 00 Medicine 0.00 0.00 BR BR90698 00 Medicine - - 120.25$ 120.25$ 90700 00 Medicine - - 40.30$ 40.30$ 90702 00 Medicine - - 32.50$ 32.50$ 90707 00 Medicine - - 80.60$ 80.60$ 90710 00 Medicine - - 214.50$ 214.50$ 90713 00 Medicine - - 45.50$ 45.50$ 90714 00 Medicine - - 50.70$ 50.70$ 90715 00 Medicine - - 68.25$ 68.25$ 90716 00 Medicine - - 117.65$ 117.65$ 90717 00 Medicine - - 136.50$ 136.50$ 90723 00 Medicine - - 117.65$ 117.65$ 90732 00 Medicine - - 240.50$ 240.50$ 90733 00 Medicine - - 160.55$ 160.55$ 90734 00 Medicine - - 152.75$ 152.75$ 90736 00 Medicine - - 257.40$ 257.40$ 90738 00 Medicine - - 105.95$ 105.95$ 90739 00 Medicine - - 263.25$ 263.25$ 90740 00 Medicine - - 282.10$ 282.10$ 90743 00 Medicine - - 80.60$ 80.60$ 90744 00 Medicine - - 56.55$ 56.55$ 90746 00 Medicine - - 139.75$ 139.75$ 90747 00 Medicine - - 282.10$ 282.10$ 90748 00 Medicine - - 89.70$ 89.70$ 90749 00 Medicine 0.00 0.00 BR BR90750 00 Medicine 0.00 0.00 BR BR90756 00 Medicine - - 55.25$ 55.25$ 90785 00 Medicine 0.43 0.38 27.95$ 24.70$ 90791 00 Medicine 5.18 4.48 336.70$ 291.20$ 90792 00 Medicine 5.78 5.06 375.70$ 328.90$ 90832 00 Medicine 2.23 1.97 144.95$ 128.05$ 90833 00 Medicine 2.04 1.82 132.60$ 118.30$ 90834 00 Medicine 2.96 2.61 192.40$ 169.65$ 90836 00 Medicine 2.58 2.30 167.70$ 149.50$ 90837 00 Medicine 4.37 3.86 284.05$ 250.90$ 90838 00 Medicine 3.42 3.06 222.30$ 198.90$ 90839 00 Medicine 4.16 3.67 270.40$ 238.55$

PROPOSAL

169


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate90840 00 Medicine 1.97 1.74 128.05$ 113.10$ 90845 00 Medicine 2.81 2.50 182.65$ 162.50$ 90846 00 Medicine 2.84 2.82 184.60$ 183.30$ 90847 00 Medicine 2.94 2.92 191.10$ 189.80$ 90849 00 Medicine 1.01 0.81 65.65$ 52.65$ 90853 00 Medicine 0.79 0.69 51.35$ 44.85$ 90863 00 Medicine 0.75 0.71 48.75$ 46.15$ 90865 00 Medicine 4.86 3.60 315.90$ 234.00$ 90867 00 Medicine - - 445.90$ 445.90$ 90868 00 Medicine - - 287.30$ 287.30$ 90869 00 Medicine - - 407.55$ 407.55$ 90870 00 Medicine 5.08 3.10 330.20$ 201.50$ 90875 00 Medicine 1.78 1.76 115.70$ 114.40$ 90876 00 Medicine 3.09 2.79 200.85$ 181.35$ 90880 00 Medicine 3.09 2.58 200.85$ 167.70$ 90882 00 Medicine - - 160.55$ 160.55$ 90885 00 Medicine 0.00 0.00 Bundled Code Bundled Code 90887 00 Medicine 0.00 0.00 Bundled Code Bundled Code 90889 00 Medicine 0.00 0.00 Bundled Code Bundled Code 90899 00 Medicine 0.00 0.00 BR BR90901 00 Medicine 1.20 0.57 78.00$ 37.05$ 90912 00 Medicine 2.38 1.26 154.70$ 81.90$ 90913 00 Medicine 0.94 0.71 61.10$ 46.15$ 90935 00 Medicine 2.10 2.10 136.50$ 136.50$ 90937 00 Medicine 3.02 3.02 196.30$ 196.30$ 90940 00 Medicine - - 126.10$ 126.10$ 90945 00 Medicine 2.49 2.49 161.85$ 161.85$ 90947 00 Medicine 3.58 3.58 232.70$ 232.70$ 90951 00 Medicine 34.35 34.35 2,232.75$ 2,232.75$ 90952 00 Medicine - - 1,576.25$ 1,576.25$ 90953 00 Medicine - - 1,050.40$ 1,050.40$ 90954 00 Medicine 22.64 22.64 1,471.60$ 1,471.60$ 90955 00 Medicine 15.31 15.31 995.15$ 995.15$ 90956 00 Medicine 10.17 10.17 661.05$ 661.05$ 90957 00 Medicine 22.61 22.61 1,469.65$ 1,469.65$ 90958 00 Medicine 14.72 14.72 956.80$ 956.80$ 90959 00 Medicine 9.50 9.50 617.50$ 617.50$ 90960 00 Medicine 10.39 10.39 675.35$ 675.35$ 90961 00 Medicine 8.60 8.60 559.00$ 559.00$ 90962 00 Medicine 5.89 5.89 382.85$ 382.85$ 90963 00 Medicine 17.76 17.76 1,154.40$ 1,154.40$ 90964 00 Medicine 15.26 15.26 991.90$ 991.90$ 90965 00 Medicine 14.68 14.68 954.20$ 954.20$ 90966 00 Medicine 8.59 8.59 558.35$ 558.35$ 90967 00 Medicine 0.52 0.52 33.80$ 33.80$ 90968 00 Medicine 0.51 0.51 33.15$ 33.15$ 90969 00 Medicine 0.49 0.49 31.85$ 31.85$ 90970 00 Medicine 0.28 0.28 18.20$ 18.20$ 90989 00 Medicine - - 787.80$ 787.80$ 90993 00 Medicine - - 170.95$ 170.95$ 90997 00 Medicine 2.59 2.59 168.35$ 168.35$ 90999 00 Medicine 0.00 0.00 BR BR91010 00 Medicine 6.52 6.52 423.80$ 423.80$ 91010 26 Medicine 1.89 1.89 122.85$ 122.85$ 91010 TC Medicine 4.63 4.63 300.95$ 300.95$ 91013 00 Medicine 0.78 0.78 50.70$ 50.70$ 91013 26 Medicine 0.27 0.27 17.55$ 17.55$ 91013 TC Medicine 0.51 0.51 33.15$ 33.15$ 91020 00 Medicine 8.27 8.27 537.55$ 537.55$

PROPOSAL

170


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate91020 26 Medicine 2.13 2.13 138.45$ 138.45$ 91020 TC Medicine 6.14 6.14 399.10$ 399.10$ 91022 00 Medicine 5.14 5.14 334.10$ 334.10$ 91022 26 Medicine 2.12 2.12 137.80$ 137.80$ 91022 TC Medicine 3.02 3.02 196.30$ 196.30$ 91030 00 Medicine 4.34 4.34 282.10$ 282.10$ 91030 26 Medicine 1.35 1.35 87.75$ 87.75$ 91030 TC Medicine 2.99 2.99 194.35$ 194.35$ 91034 00 Medicine 5.85 5.85 380.25$ 380.25$ 91034 26 Medicine 1.44 1.44 93.60$ 93.60$ 91034 TC Medicine 4.41 4.41 286.65$ 286.65$ 91035 00 Medicine 14.81 14.81 962.65$ 962.65$ 91035 26 Medicine 2.38 2.38 154.70$ 154.70$ 91035 TC Medicine 12.43 12.43 807.95$ 807.95$ 91037 00 Medicine 5.12 5.12 332.80$ 332.80$ 91037 26 Medicine 1.43 1.43 92.95$ 92.95$ 91037 TC Medicine 3.69 3.69 239.85$ 239.85$ 91038 00 Medicine 13.23 13.23 859.95$ 859.95$ 91038 26 Medicine 1.62 1.62 105.30$ 105.30$ 91038 TC Medicine 11.61 11.61 754.65$ 754.65$ 91040 00 Medicine 16.11 16.11 1,047.15$ 1,047.15$ 91040 26 Medicine 1.43 1.43 92.95$ 92.95$ 91040 TC Medicine 14.68 14.68 954.20$ 954.20$ 91065 00 Medicine 2.70 2.70 175.50$ 175.50$ 91065 26 Medicine 0.30 0.30 19.50$ 19.50$ 91065 TC Medicine 2.40 2.40 156.00$ 156.00$ 91110 00 Medicine 25.38 25.38 1,649.70$ 1,649.70$ 91110 26 Medicine 3.68 3.68 239.20$ 239.20$ 91110 TC Medicine 21.70 21.70 1,410.50$ 1,410.50$ 91111 00 Medicine 27.79 27.79 1,806.35$ 1,806.35$ 91111 26 Medicine 1.48 1.48 96.20$ 96.20$ 91111 TC Medicine 26.31 26.31 1,710.15$ 1,710.15$ 91112 00 Medicine 49.21 49.21 3,198.65$ 3,198.65$ 91112 26 Medicine 3.09 3.09 200.85$ 200.85$ 91112 TC Medicine 46.12 46.12 2,997.80$ 2,997.80$ 91117 00 Medicine 3.96 3.96 257.40$ 257.40$ 91120 00 Medicine 15.71 15.71 1,021.15$ 1,021.15$ 91120 26 Medicine 1.42 1.42 92.30$ 92.30$ 91120 TC Medicine 14.29 14.29 928.85$ 928.85$ 91122 00 Medicine 7.99 7.99 519.35$ 519.35$ 91122 26 Medicine 2.56 2.56 166.40$ 166.40$ 91122 TC Medicine 5.43 5.43 352.95$ 352.95$ 91132 00 Medicine 12.27 12.27 797.55$ 797.55$ 91132 26 Medicine 0.77 0.77 50.05$ 50.05$ 91132 TC Medicine 11.50 11.50 747.50$ 747.50$ 91133 00 Medicine 12.94 12.94 841.10$ 841.10$ 91133 26 Medicine 0.97 0.97 63.05$ 63.05$ 91133 TC Medicine 11.97 11.97 778.05$ 778.05$ 91200 00 Medicine 0.94 0.94 61.10$ 61.10$ 91200 26 Medicine 0.32 0.32 20.80$ 20.80$ 91200 TC Medicine 0.62 0.62 40.30$ 40.30$ 91299 00 Medicine 0.00 0.00 BR BR91299 26 Medicine 0.00 0.00 BR BR91299 TC Medicine 0.00 0.00 BR BR91300 00 Medicine 0.00 0.00 BR BR91301 00 Medicine 0.00 0.00 BR BR92002 00 Medicine 2.51 1.36 163.15$ 88.40$ 92004 00 Medicine 4.37 2.77 284.05$ 180.05$ 92012 00 Medicine 2.61 1.48 169.65$ 96.20$

PROPOSAL

171


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate92014 00 Medicine 3.68 2.23 239.20$ 144.95$ 92015 00 Medicine 0.58 0.57 37.70$ 37.05$ 92018 00 Medicine 4.06 4.06 263.90$ 263.90$ 92019 00 Medicine 2.08 2.08 135.20$ 135.20$ 92020 00 Medicine 0.81 0.59 52.65$ 38.35$ 92025 00 Medicine 1.07 1.07 69.55$ 69.55$ 92025 26 Medicine 0.56 0.56 36.40$ 36.40$ 92025 TC Medicine 0.51 0.51 33.15$ 33.15$ 92060 00 Medicine 1.84 1.84 119.60$ 119.60$ 92060 26 Medicine 1.07 1.07 69.55$ 69.55$ 92060 TC Medicine 0.77 0.77 50.05$ 50.05$ 92065 00 Medicine 1.56 1.56 101.40$ 101.40$ 92065 26 Medicine 0.51 0.51 33.15$ 33.15$ 92065 TC Medicine 1.05 1.05 68.25$ 68.25$ 92071 00 Medicine 1.07 0.94 69.55$ 61.10$ 92072 00 Medicine 3.73 2.79 242.45$ 181.35$ 92081 00 Medicine 0.98 0.98 63.70$ 63.70$ 92081 26 Medicine 0.46 0.46 29.90$ 29.90$ 92081 TC Medicine 0.52 0.52 33.80$ 33.80$ 92082 00 Medicine 1.38 1.38 89.70$ 89.70$ 92082 26 Medicine 0.61 0.61 39.65$ 39.65$ 92082 TC Medicine 0.77 0.77 50.05$ 50.05$ 92083 00 Medicine 1.84 1.84 119.60$ 119.60$ 92083 26 Medicine 0.78 0.78 50.70$ 50.70$ 92083 TC Medicine 1.06 1.06 68.90$ 68.90$ 92100 00 Medicine 2.48 0.95 161.20$ 61.75$ 92132 00 Medicine 0.92 0.92 59.80$ 59.80$ 92132 26 Medicine 0.47 0.47 30.55$ 30.55$ 92132 TC Medicine 0.45 0.45 29.25$ 29.25$ 92133 00 Medicine 1.08 1.08 70.20$ 70.20$ 92133 26 Medicine 0.63 0.63 40.95$ 40.95$ 92133 TC Medicine 0.45 0.45 29.25$ 29.25$ 92134 00 Medicine 1.19 1.19 77.35$ 77.35$ 92134 26 Medicine 0.73 0.73 47.45$ 47.45$ 92134 TC Medicine 0.46 0.46 29.90$ 29.90$ 92136 00 Medicine 1.59 1.59 103.35$ 103.35$ 92136 26 Medicine 0.88 0.88 57.20$ 57.20$ 92136 TC Medicine 0.71 0.71 46.15$ 46.15$ 92145 00 Medicine 0.39 0.39 25.35$ 25.35$ 92145 26 Medicine 0.18 0.18 11.70$ 11.70$ 92145 TC Medicine 0.21 0.21 13.65$ 13.65$ 92201 00 Medicine 0.72 0.66 46.80$ 42.90$ 92202 00 Medicine 0.46 0.42 29.90$ 27.30$ 92227 00 Medicine 0.46 0.46 29.90$ 29.90$ 92228 00 Medicine 0.89 0.89 57.85$ 57.85$ 92228 26 Medicine 0.52 0.52 33.80$ 33.80$ 92228 TC Medicine 0.37 0.37 24.05$ 24.05$ 92229 00 Medicine 0.00 0.00 BR BR92230 00 Medicine 2.65 0.97 172.25$ 63.05$ 92235 00 Medicine 3.42 3.42 222.30$ 222.30$ 92235 26 Medicine 1.22 1.22 79.30$ 79.30$ 92235 TC Medicine 2.20 2.20 143.00$ 143.00$ 92240 00 Medicine 5.93 5.93 385.45$ 385.45$ 92240 26 Medicine 1.34 1.34 87.10$ 87.10$ 92240 TC Medicine 4.59 4.59 298.35$ 298.35$ 92242 00 Medicine 7.35 7.35 477.75$ 477.75$ 92242 26 Medicine 1.56 1.56 101.40$ 101.40$ 92242 TC Medicine 5.79 5.79 376.35$ 376.35$ 92250 00 Medicine 1.14 1.14 74.10$ 74.10$

PROPOSAL

172


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate92250 26 Medicine 0.61 0.61 39.65$ 39.65$ 92250 TC Medicine 0.53 0.53 34.45$ 34.45$ 92260 00 Medicine 0.58 0.31 37.70$ 20.15$ 92265 00 Medicine 2.54 2.54 165.10$ 165.10$ 92265 26 Medicine 1.32 1.32 85.80$ 85.80$ 92265 TC Medicine 1.22 1.22 79.30$ 79.30$ 92270 00 Medicine 3.00 3.00 195.00$ 195.00$ 92270 26 Medicine 1.21 1.21 78.65$ 78.65$ 92270 TC Medicine 1.79 1.79 116.35$ 116.35$ 92273 00 Medicine 3.83 3.83 248.95$ 248.95$ 92273 26 Medicine 1.06 1.06 68.90$ 68.90$ 92273 TC Medicine 2.77 2.77 180.05$ 180.05$ 92274 00 Medicine 2.60 2.60 169.00$ 169.00$ 92274 26 Medicine 0.94 0.94 61.10$ 61.10$ 92274 TC Medicine 1.66 1.66 107.90$ 107.90$ 92283 00 Medicine 1.59 1.59 103.35$ 103.35$ 92283 26 Medicine 0.26 0.26 16.90$ 16.90$ 92283 TC Medicine 1.33 1.33 86.45$ 86.45$ 92284 00 Medicine 1.72 1.72 111.80$ 111.80$ 92284 26 Medicine 0.35 0.35 22.75$ 22.75$ 92284 TC Medicine 1.37 1.37 89.05$ 89.05$ 92285 00 Medicine 0.67 0.67 43.55$ 43.55$ 92285 26 Medicine 0.09 0.09 5.85$ 5.85$ 92285 TC Medicine 0.58 0.58 37.70$ 37.70$ 92286 00 Medicine 1.14 1.14 74.10$ 74.10$ 92286 26 Medicine 0.63 0.63 40.95$ 40.95$ 92286 TC Medicine 0.51 0.51 33.15$ 33.15$ 92287 00 Medicine 5.05 5.05 328.25$ 328.25$ 92287 26 Medicine 1.32 1.32 85.80$ 85.80$ 92287 TC Medicine 3.73 3.73 242.45$ 242.45$ 92310 00 Medicine 3.01 1.72 195.65$ 111.80$ 92311 00 Medicine 3.13 1.55 203.45$ 100.75$ 92312 00 Medicine 3.60 1.78 234.00$ 115.70$ 92313 00 Medicine 2.95 1.27 191.75$ 82.55$ 92314 00 Medicine 2.58 1.01 167.70$ 65.65$ 92315 00 Medicine 2.41 0.61 156.65$ 39.65$ 92316 00 Medicine 2.98 0.92 193.70$ 59.80$ 92317 00 Medicine 2.53 0.61 164.45$ 39.65$ 92325 00 Medicine 1.38 1.38 89.70$ 89.70$ 92326 00 Medicine 1.15 1.15 74.75$ 74.75$ 92340 00 Medicine 1.02 0.55 66.30$ 35.75$ 92341 00 Medicine 1.16 0.69 75.40$ 44.85$ 92342 00 Medicine 1.24 0.78 80.60$ 50.70$ 92352 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92353 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92354 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92355 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92358 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92370 00 Medicine 0.92 0.48 59.80$ 31.20$ 92371 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92499 00 Medicine 0.00 0.00 BR BR92499 26 Medicine 0.00 0.00 BR BR92499 TC Medicine 0.00 0.00 BR BR92502 00 Medicine 2.73 2.73 177.45$ 177.45$ 92504 00 Medicine 0.86 0.27 55.90$ 17.55$ 92507 00 Medicine 2.24 2.24 145.60$ 145.60$ 92508 00 Medicine 0.69 0.69 44.85$ 44.85$ 92511 00 Medicine 3.45 1.08 224.25$ 70.20$ 92512 00 Medicine 1.76 0.80 114.40$ 52.00$

PROPOSAL

173


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate92516 00 Medicine 2.03 0.67 131.95$ 43.55$ 92517 00 Medicine 2.50 1.26 162.50$ 81.90$ 92518 00 Medicine 2.33 1.26 151.45$ 81.90$ 92519 00 Medicine 3.88 1.89 252.20$ 122.85$ 92520 00 Medicine 2.36 1.15 153.40$ 74.75$ 92521 00 Medicine 3.92 3.92 254.80$ 254.80$ 92522 00 Medicine 3.28 3.28 213.20$ 213.20$ 92523 00 Medicine 6.74 6.74 438.10$ 438.10$ 92524 00 Medicine 3.21 3.21 208.65$ 208.65$ 92526 00 Medicine 2.48 2.48 161.20$ 161.20$ 92531 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92532 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92533 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92534 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92537 00 Medicine 1.22 1.22 79.30$ 79.30$ 92537 26 Medicine 0.91 0.91 59.15$ 59.15$ 92537 TC Medicine 0.31 0.31 20.15$ 20.15$ 92538 00 Medicine 0.66 0.66 42.90$ 42.90$ 92538 26 Medicine 0.46 0.46 29.90$ 29.90$ 92538 TC Medicine 0.20 0.20 13.00$ 13.00$ 92540 00 Medicine 3.21 3.21 208.65$ 208.65$ 92540 26 Medicine 2.27 2.27 147.55$ 147.55$ 92540 TC Medicine 0.94 0.94 61.10$ 61.10$ 92541 00 Medicine 0.74 0.74 48.10$ 48.10$ 92541 26 Medicine 0.61 0.61 39.65$ 39.65$ 92541 TC Medicine 0.13 0.13 8.45$ 8.45$ 92542 00 Medicine 0.86 0.86 55.90$ 55.90$ 92542 26 Medicine 0.73 0.73 47.45$ 47.45$ 92542 TC Medicine 0.13 0.13 8.45$ 8.45$ 92544 00 Medicine 0.53 0.53 34.45$ 34.45$ 92544 26 Medicine 0.42 0.42 27.30$ 27.30$ 92544 TC Medicine 0.11 0.11 7.15$ 7.15$ 92545 00 Medicine 0.49 0.49 31.85$ 31.85$ 92545 26 Medicine 0.39 0.39 25.35$ 25.35$ 92545 TC Medicine 0.10 0.10 6.50$ 6.50$ 92546 00 Medicine 3.48 3.48 226.20$ 226.20$ 92546 26 Medicine 0.43 0.43 27.95$ 27.95$ 92546 TC Medicine 3.05 3.05 198.25$ 198.25$ 92547 00 Medicine 0.29 0.29 18.85$ 18.85$ 92548 00 Medicine 1.45 1.45 94.25$ 94.25$ 92548 26 Medicine 1.00 1.00 65.00$ 65.00$ 92548 TC Medicine 0.45 0.45 29.25$ 29.25$ 92549 00 Medicine 1.86 1.86 120.90$ 120.90$ 92549 26 Medicine 1.31 1.31 85.15$ 85.15$ 92549 TC Medicine 0.55 0.55 35.75$ 35.75$ 92550 00 Medicine 0.65 0.65 42.25$ 42.25$ 92551 00 Medicine 0.34 0.34 22.10$ 22.10$ 92552 00 Medicine 0.94 0.94 61.10$ 61.10$ 92553 00 Medicine 1.15 1.15 74.75$ 74.75$ 92555 00 Medicine 0.72 0.72 46.80$ 46.80$ 92556 00 Medicine 1.14 1.14 74.10$ 74.10$ 92557 00 Medicine 1.12 0.95 72.80$ 61.75$ 92558 00 Medicine 0.28 0.25 18.20$ 16.25$ 92559 00 Medicine - - 59.15$ 59.15$ 92560 00 Medicine - - 40.95$ 40.95$ 92561 00 Medicine 1.15 1.15 74.75$ 74.75$ 92562 00 Medicine 1.35 1.35 87.75$ 87.75$ 92563 00 Medicine 0.91 0.91 59.15$ 59.15$ 92564 00 Medicine 0.69 0.69 44.85$ 44.85$

PROPOSAL

174


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate92565 00 Medicine 0.51 0.51 33.15$ 33.15$ 92567 00 Medicine 0.48 0.31 31.20$ 20.15$ 92568 00 Medicine 0.45 0.44 29.25$ 28.60$ 92570 00 Medicine 0.97 0.87 63.05$ 56.55$ 92571 00 Medicine 0.81 0.81 52.65$ 52.65$ 92572 00 Medicine 1.04 1.04 67.60$ 67.60$ 92575 00 Medicine 1.99 1.99 129.35$ 129.35$ 92576 00 Medicine 1.10 1.10 71.50$ 71.50$ 92577 00 Medicine 0.44 0.44 28.60$ 28.60$ 92579 00 Medicine 1.37 1.11 89.05$ 72.15$ 92582 00 Medicine 2.19 2.19 142.35$ 142.35$ 92583 00 Medicine 1.47 1.47 95.55$ 95.55$ 92584 00 Medicine 3.48 3.48 226.20$ 226.20$ 92587 00 Medicine 0.65 0.65 42.25$ 42.25$ 92587 26 Medicine 0.53 0.53 34.45$ 34.45$ 92587 TC Medicine 0.12 0.12 7.80$ 7.80$ 92588 00 Medicine 0.99 0.99 64.35$ 64.35$ 92588 26 Medicine 0.83 0.83 53.95$ 53.95$ 92588 TC Medicine 0.16 0.16 10.40$ 10.40$ 92590 00 Medicine - - 107.25$ 107.25$ 92591 00 Medicine - - 137.15$ 137.15$ 92592 00 Medicine - - 42.90$ 42.90$ 92593 00 Medicine - - 70.85$ 70.85$ 92594 00 Medicine - - 40.95$ 40.95$ 92595 00 Medicine - - 88.40$ 88.40$ 92596 00 Medicine 1.96 1.96 127.40$ 127.40$ 92597 00 Medicine 2.08 2.08 135.20$ 135.20$ 92601 00 Medicine 4.88 3.63 317.20$ 235.95$ 92602 00 Medicine 3.10 2.05 201.50$ 133.25$ 92603 00 Medicine 4.54 3.53 295.10$ 229.45$ 92604 00 Medicine 2.75 1.96 178.75$ 127.40$ 92605 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92606 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92607 00 Medicine 3.66 3.66 237.90$ 237.90$ 92608 00 Medicine 1.47 1.47 95.55$ 95.55$ 92609 00 Medicine 3.06 3.06 198.90$ 198.90$ 92610 00 Medicine 2.48 2.03 161.20$ 131.95$ 92611 00 Medicine 2.69 2.69 174.85$ 174.85$ 92612 00 Medicine 5.77 1.92 375.05$ 124.80$ 92613 00 Medicine 1.07 1.07 69.55$ 69.55$ 92614 00 Medicine 4.30 1.90 279.50$ 123.50$ 92615 00 Medicine 0.95 0.95 61.75$ 61.75$ 92616 00 Medicine 6.33 2.86 411.45$ 185.90$ 92617 00 Medicine 1.19 1.19 77.35$ 77.35$ 92618 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92620 00 Medicine 2.70 2.34 175.50$ 152.10$ 92621 00 Medicine 0.66 0.55 42.90$ 35.75$ 92625 00 Medicine 2.03 1.80 131.95$ 117.00$ 92626 00 Medicine 2.62 2.19 170.30$ 142.35$ 92627 00 Medicine 0.62 0.52 40.30$ 33.80$ 92630 00 Medicine 0.00 0.00 BR BR92633 00 Medicine 0.00 0.00 BR BR92640 00 Medicine 3.31 2.76 215.15$ 179.40$ 92650 00 Medicine 0.83 0.83 53.95$ 53.95$ 92651 00 Medicine 2.62 2.62 170.30$ 170.30$ 92652 00 Medicine 3.43 3.43 222.95$ 222.95$ 92653 00 Medicine 2.51 2.51 163.15$ 163.15$ 92700 00 Medicine 0.00 0.00 BR BR92920 00 Medicine 15.45 15.45 1,004.25$ 1,004.25$

PROPOSAL

175


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate92921 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92924 00 Medicine 18.42 18.42 1,197.30$ 1,197.30$ 92925 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92928 00 Medicine 17.19 17.19 1,117.35$ 1,117.35$ 92929 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92933 00 Medicine 19.30 19.30 1,254.50$ 1,254.50$ 92934 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92937 00 Medicine 17.17 17.17 1,116.05$ 1,116.05$ 92938 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92941 00 Medicine 19.31 19.31 1,255.15$ 1,255.15$ 92943 00 Medicine 19.33 19.33 1,256.45$ 1,256.45$ 92944 00 Medicine 0.00 0.00 Bundled Code Bundled Code 92950 00 Medicine 9.72 5.37 631.80$ 349.05$ 92953 00 Medicine 0.03 0.03 1.95$ 1.95$ 92960 00 Medicine 4.64 3.16 301.60$ 205.40$ 92961 00 Medicine 7.20 7.20 468.00$ 468.00$ 92970 00 Medicine 5.50 5.50 357.50$ 357.50$ 92971 00 Medicine 2.93 2.93 190.45$ 190.45$ 92973 00 Medicine 5.16 5.16 335.40$ 335.40$ 92974 00 Medicine 4.71 4.71 306.15$ 306.15$ 92975 00 Medicine 10.97 10.97 713.05$ 713.05$ 92977 00 Medicine 1.58 1.58 102.70$ 102.70$ 92978 00 Medicine - - 518.05$ 518.05$ 92978 26 Medicine 2.77 2.77 180.05$ 180.05$ 92978 TC Medicine - - 336.70$ 336.70$ 92979 00 Medicine - - 315.25$ 315.25$ 92979 26 Medicine 2.20 2.20 143.00$ 143.00$ 92979 TC Medicine - - 170.30$ 170.30$ 92986 00 Medicine 38.47 38.47 2,500.55$ 2,500.55$ 92987 00 Medicine 39.76 39.76 2,584.40$ 2,584.40$ 92990 00 Medicine 31.73 31.73 2,062.45$ 2,062.45$ 92997 00 Medicine 18.50 18.50 1,202.50$ 1,202.50$ 92998 00 Medicine 9.20 9.20 598.00$ 598.00$ 93000 00 Medicine 0.43 0.43 27.95$ 27.95$ 93005 00 Medicine 0.19 0.19 12.35$ 12.35$ 93010 00 Medicine 0.24 0.24 15.60$ 15.60$ 93015 00 Medicine 2.06 2.06 133.90$ 133.90$ 93016 00 Medicine 0.63 0.63 40.95$ 40.95$ 93017 00 Medicine 1.01 1.01 65.65$ 65.65$ 93018 00 Medicine 0.42 0.42 27.30$ 27.30$ 93024 00 Medicine 3.16 3.16 205.40$ 205.40$ 93024 26 Medicine 1.62 1.62 105.30$ 105.30$ 93024 TC Medicine 1.54 1.54 100.10$ 100.10$ 93025 00 Medicine 3.94 3.94 256.10$ 256.10$ 93025 26 Medicine 1.08 1.08 70.20$ 70.20$ 93025 TC Medicine 2.86 2.86 185.90$ 185.90$ 93040 00 Medicine 0.37 0.37 24.05$ 24.05$ 93041 00 Medicine 0.17 0.17 11.05$ 11.05$ 93042 00 Medicine 0.20 0.20 13.00$ 13.00$ 93050 00 Medicine 0.47 0.47 30.55$ 30.55$ 93050 26 Medicine 0.24 0.24 15.60$ 15.60$ 93050 TC Medicine 0.23 0.23 14.95$ 14.95$ 93224 00 Medicine 2.31 2.31 150.15$ 150.15$ 93225 00 Medicine 0.58 0.58 37.70$ 37.70$ 93226 00 Medicine 1.19 1.19 77.35$ 77.35$ 93227 00 Medicine 0.54 0.54 35.10$ 35.10$ 93228 00 Medicine 0.75 0.75 48.75$ 48.75$ 93229 00 Medicine 20.55 20.55 1,335.75$ 1,335.75$ 93241 00 Medicine 0.00 0.00 BR BR

PROPOSAL

176


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate93242 00 Medicine 0.44 0.44 28.60$ 28.60$ 93243 00 Medicine 0.00 0.00 BR BR93244 00 Medicine 0.71 0.71 46.15$ 46.15$ 93245 00 Medicine 0.00 0.00 BR BR93246 00 Medicine 0.44 0.44 28.60$ 28.60$ 93247 00 Medicine 0.00 0.00 BR BR93248 00 Medicine 0.78 0.78 50.70$ 50.70$ 93260 00 Medicine 2.21 2.21 143.65$ 143.65$ 93260 26 Medicine 1.24 1.24 80.60$ 80.60$ 93260 TC Medicine 0.97 0.97 63.05$ 63.05$ 93261 00 Medicine 2.02 2.02 131.30$ 131.30$ 93261 26 Medicine 1.06 1.06 68.90$ 68.90$ 93261 TC Medicine 0.96 0.96 62.40$ 62.40$ 93264 00 Medicine 1.45 1.03 94.25$ 66.95$ 93268 00 Medicine 5.78 5.78 375.70$ 375.70$ 93270 00 Medicine 0.26 0.26 16.90$ 16.90$ 93271 00 Medicine 4.80 4.80 312.00$ 312.00$ 93272 00 Medicine 0.72 0.72 46.80$ 46.80$ 93278 00 Medicine 0.87 0.87 56.55$ 56.55$ 93278 26 Medicine 0.36 0.36 23.40$ 23.40$ 93278 TC Medicine 0.51 0.51 33.15$ 33.15$ 93279 00 Medicine 1.93 1.93 125.45$ 125.45$ 93279 26 Medicine 0.92 0.92 59.80$ 59.80$ 93279 TC Medicine 1.01 1.01 65.65$ 65.65$ 93280 00 Medicine 2.29 2.29 148.85$ 148.85$ 93280 26 Medicine 1.11 1.11 72.15$ 72.15$ 93280 TC Medicine 1.18 1.18 76.70$ 76.70$ 93281 00 Medicine 2.44 2.44 158.60$ 158.60$ 93281 26 Medicine 1.24 1.24 80.60$ 80.60$ 93281 TC Medicine 1.20 1.20 78.00$ 78.00$ 93282 00 Medicine 2.32 2.32 150.80$ 150.80$ 93282 26 Medicine 1.23 1.23 79.95$ 79.95$ 93282 TC Medicine 1.09 1.09 70.85$ 70.85$ 93283 00 Medicine 2.84 2.84 184.60$ 184.60$ 93283 26 Medicine 1.65 1.65 107.25$ 107.25$ 93283 TC Medicine 1.19 1.19 77.35$ 77.35$ 93284 00 Medicine 3.07 3.07 199.55$ 199.55$ 93284 26 Medicine 1.80 1.80 117.00$ 117.00$ 93284 TC Medicine 1.27 1.27 82.55$ 82.55$ 93285 00 Medicine 1.73 1.73 112.45$ 112.45$ 93285 26 Medicine 0.75 0.75 48.75$ 48.75$ 93285 TC Medicine 0.98 0.98 63.70$ 63.70$ 93286 00 Medicine 1.32 1.32 85.80$ 85.80$ 93286 26 Medicine 0.44 0.44 28.60$ 28.60$ 93286 TC Medicine 0.88 0.88 57.20$ 57.20$ 93287 00 Medicine 1.54 1.54 100.10$ 100.10$ 93287 26 Medicine 0.66 0.66 42.90$ 42.90$ 93287 TC Medicine 0.88 0.88 57.20$ 57.20$ 93288 00 Medicine 1.60 1.60 104.00$ 104.00$ 93288 26 Medicine 0.60 0.60 39.00$ 39.00$ 93288 TC Medicine 1.00 1.00 65.00$ 65.00$ 93289 00 Medicine 2.09 2.09 135.85$ 135.85$ 93289 26 Medicine 1.08 1.08 70.20$ 70.20$ 93289 TC Medicine 1.01 1.01 65.65$ 65.65$ 93290 00 Medicine 1.53 1.53 99.45$ 99.45$ 93290 26 Medicine 0.62 0.62 40.30$ 40.30$ 93290 TC Medicine 0.91 0.91 59.15$ 59.15$ 93291 00 Medicine 1.41 1.41 91.65$ 91.65$ 93291 26 Medicine 0.53 0.53 34.45$ 34.45$

PROPOSAL

177


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate93291 TC Medicine 0.88 0.88 57.20$ 57.20$ 93292 00 Medicine 1.44 1.44 93.60$ 93.60$ 93292 26 Medicine 0.61 0.61 39.65$ 39.65$ 93292 TC Medicine 0.83 0.83 53.95$ 53.95$ 93293 00 Medicine 1.48 1.48 96.20$ 96.20$ 93293 26 Medicine 0.43 0.43 27.95$ 27.95$ 93293 TC Medicine 1.05 1.05 68.25$ 68.25$ 93294 00 Medicine 0.88 0.88 57.20$ 57.20$ 93295 00 Medicine 1.09 1.09 70.85$ 70.85$ 93296 00 Medicine 0.74 0.74 48.10$ 48.10$ 93297 00 Medicine 0.77 0.77 50.05$ 50.05$ 93298 00 Medicine 0.77 0.77 50.05$ 50.05$ 93303 00 Medicine 6.82 6.82 443.30$ 443.30$ 93303 26 Medicine 1.80 1.80 117.00$ 117.00$ 93303 TC Medicine 5.02 5.02 326.30$ 326.30$ 93304 00 Medicine 4.78 4.78 310.70$ 310.70$ 93304 26 Medicine 1.06 1.06 68.90$ 68.90$ 93304 TC Medicine 3.72 3.72 241.80$ 241.80$ 93306 00 Medicine 5.96 5.96 387.40$ 387.40$ 93306 26 Medicine 2.03 2.03 131.95$ 131.95$ 93306 TC Medicine 3.93 3.93 255.45$ 255.45$ 93307 00 Medicine 4.21 4.21 273.65$ 273.65$ 93307 26 Medicine 1.30 1.30 84.50$ 84.50$ 93307 TC Medicine 2.91 2.91 189.15$ 189.15$ 93308 00 Medicine 2.95 2.95 191.75$ 191.75$ 93308 26 Medicine 0.73 0.73 47.45$ 47.45$ 93308 TC Medicine 2.22 2.22 144.30$ 144.30$ 93312 00 Medicine 7.23 7.23 469.95$ 469.95$ 93312 26 Medicine 3.13 3.13 203.45$ 203.45$ 93312 TC Medicine 4.10 4.10 266.50$ 266.50$ 93313 00 Medicine 0.33 0.33 21.45$ 21.45$ 93314 00 Medicine 6.98 6.98 453.70$ 453.70$ 93314 26 Medicine 2.62 2.62 170.30$ 170.30$ 93314 TC Medicine 4.36 4.36 283.40$ 283.40$ 93315 00 Medicine - - 482.30$ 482.30$ 93315 26 Medicine 3.69 3.69 239.85$ 239.85$ 93315 TC Medicine - - 241.15$ 241.15$ 93316 00 Medicine 0.79 0.79 51.35$ 51.35$ 93317 00 Medicine - - 341.90$ 341.90$ 93317 26 Medicine 2.62 2.62 170.30$ 170.30$ 93317 TC Medicine - - 170.95$ 170.95$ 93318 00 Medicine - - 388.70$ 388.70$ 93318 26 Medicine 2.99 2.99 194.35$ 194.35$ 93318 TC Medicine - - 194.35$ 194.35$ 93320 00 Medicine 1.56 1.56 101.40$ 101.40$ 93320 26 Medicine 0.52 0.52 33.80$ 33.80$ 93320 TC Medicine 1.04 1.04 67.60$ 67.60$ 93321 00 Medicine 0.78 0.78 50.70$ 50.70$ 93321 26 Medicine 0.21 0.21 13.65$ 13.65$ 93321 TC Medicine 0.57 0.57 37.05$ 37.05$ 93325 00 Medicine 0.73 0.73 47.45$ 47.45$ 93325 26 Medicine 0.09 0.09 5.85$ 5.85$ 93325 TC Medicine 0.64 0.64 41.60$ 41.60$ 93350 00 Medicine 5.64 5.64 366.60$ 366.60$ 93350 26 Medicine 2.03 2.03 131.95$ 131.95$ 93350 TC Medicine 3.61 3.61 234.65$ 234.65$ 93351 00 Medicine 6.97 6.97 453.05$ 453.05$ 93351 26 Medicine 2.42 2.42 157.30$ 157.30$ 93351 TC Medicine 4.55 4.55 295.75$ 295.75$

PROPOSAL

178


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate93352 00 Medicine 0.98 0.98 63.70$ 63.70$ 93355 00 Medicine 6.61 6.61 429.65$ 429.65$ 93356 00 Medicine 1.18 0.35 76.70$ 22.75$ 93451 00 Medicine 26.77 26.77 1,740.05$ 1,740.05$ 93451 26 Medicine 3.81 3.81 247.65$ 247.65$ 93451 TC Medicine 22.96 22.96 1,492.40$ 1,492.40$ 93452 00 Medicine 28.14 28.14 1,829.10$ 1,829.10$ 93452 26 Medicine 6.88 6.88 447.20$ 447.20$ 93452 TC Medicine 21.26 21.26 1,381.90$ 1,381.90$ 93453 00 Medicine 35.91 35.91 2,334.15$ 2,334.15$ 93453 26 Medicine 9.22 9.22 599.30$ 599.30$ 93453 TC Medicine 26.69 26.69 1,734.85$ 1,734.85$ 93454 00 Medicine 28.19 28.19 1,832.35$ 1,832.35$ 93454 26 Medicine 6.97 6.97 453.05$ 453.05$ 93454 TC Medicine 21.22 21.22 1,379.30$ 1,379.30$ 93455 00 Medicine 31.66 31.66 2,057.90$ 2,057.90$ 93455 26 Medicine 8.12 8.12 527.80$ 527.80$ 93455 TC Medicine 23.54 23.54 1,530.10$ 1,530.10$ 93456 00 Medicine 35.33 35.33 2,296.45$ 2,296.45$ 93456 26 Medicine 9.07 9.07 589.55$ 589.55$ 93456 TC Medicine 26.26 26.26 1,706.90$ 1,706.90$ 93457 00 Medicine 38.76 38.76 2,519.40$ 2,519.40$ 93457 26 Medicine 10.21 10.21 663.65$ 663.65$ 93457 TC Medicine 28.55 28.55 1,855.75$ 1,855.75$ 93458 00 Medicine 32.57 32.57 2,117.05$ 2,117.05$ 93458 26 Medicine 8.58 8.58 557.70$ 557.70$ 93458 TC Medicine 23.99 23.99 1,559.35$ 1,559.35$ 93459 00 Medicine 35.22 35.22 2,289.30$ 2,289.30$ 93459 26 Medicine 9.74 9.74 633.10$ 633.10$ 93459 TC Medicine 25.48 25.48 1,656.20$ 1,656.20$ 93460 00 Medicine 39.08 39.08 2,540.20$ 2,540.20$ 93460 26 Medicine 10.91 10.91 709.15$ 709.15$ 93460 TC Medicine 28.17 28.17 1,831.05$ 1,831.05$ 93461 00 Medicine 43.33 43.33 2,816.45$ 2,816.45$ 93461 26 Medicine 12.04 12.04 782.60$ 782.60$ 93461 TC Medicine 31.29 31.29 2,033.85$ 2,033.85$ 93462 00 Medicine 6.15 6.15 399.75$ 399.75$ 93463 00 Medicine 2.85 2.85 185.25$ 185.25$ 93464 00 Medicine 6.98 6.98 453.70$ 453.70$ 93464 26 Medicine 2.55 2.55 165.75$ 165.75$ 93464 TC Medicine 4.43 4.43 287.95$ 287.95$ 93503 00 Medicine 2.55 2.55 165.75$ 165.75$ 93505 00 Medicine 20.70 20.70 1,345.50$ 1,345.50$ 93505 26 Medicine 6.52 6.52 423.80$ 423.80$ 93505 TC Medicine 14.18 14.18 921.70$ 921.70$ 93530 00 Medicine - - 1,477.45$ 1,477.45$ 93530 26 Medicine 5.85 5.85 380.25$ 380.25$ 93530 TC Medicine - - 1,093.30$ 1,093.30$ 93531 00 Medicine - - 3,211.00$ 3,211.00$ 93531 26 Medicine 12.23 12.23 794.95$ 794.95$ 93531 TC Medicine - - 2,408.25$ 2,408.25$ 93532 00 Medicine - - 4,032.60$ 4,032.60$ 93532 26 Medicine 15.35 15.35 997.75$ 997.75$ 93532 TC Medicine - - 3,024.45$ 3,024.45$ 93533 00 Medicine - - 3,380.00$ 3,380.00$ 93533 26 Medicine 10.27 10.27 667.55$ 667.55$ 93533 TC Medicine - - 2,704.00$ 2,704.00$ 93561 00 Medicine - - 158.60$ 158.60$ 93561 26 Medicine 1.32 1.32 85.80$ 85.80$

PROPOSAL

179


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate93561 TC Medicine - - 72.80$ 72.80$ 93562 00 Medicine - - 183.30$ 183.30$ 93562 26 Medicine 1.08 1.08 70.20$ 70.20$ 93562 TC Medicine - - 113.75$ 113.75$ 93563 00 Medicine 1.67 1.67 108.55$ 108.55$ 93564 00 Medicine 1.77 1.77 115.05$ 115.05$ 93565 00 Medicine 1.30 1.30 84.50$ 84.50$ 93566 00 Medicine 4.16 1.32 270.40$ 85.80$ 93567 00 Medicine 3.51 1.52 228.15$ 98.80$ 93568 00 Medicine 3.88 1.39 252.20$ 90.35$ 93571 00 Medicine - - 397.15$ 397.15$ 93571 26 Medicine 2.12 2.12 137.80$ 137.80$ 93571 TC Medicine - - 258.05$ 258.05$ 93572 00 Medicine - - 214.50$ 214.50$ 93572 26 Medicine 1.54 1.54 100.10$ 100.10$ 93572 TC Medicine - - 113.75$ 113.75$ 93580 00 Medicine 28.37 28.37 1,844.05$ 1,844.05$ 93581 00 Medicine 38.66 38.66 2,512.90$ 2,512.90$ 93582 00 Medicine 19.34 19.34 1,257.10$ 1,257.10$ 93583 00 Medicine 21.64 21.64 1,406.60$ 1,406.60$ 93590 00 Medicine 31.31 31.31 2,035.15$ 2,035.15$ 93591 00 Medicine 25.85 25.85 1,680.25$ 1,680.25$ 93592 00 Medicine 11.39 11.39 740.35$ 740.35$ 93600 00 Medicine - - 378.30$ 378.30$ 93600 26 Medicine 3.48 3.48 226.20$ 226.20$ 93600 TC Medicine - - 151.45$ 151.45$ 93602 00 Medicine - - 308.75$ 308.75$ 93602 26 Medicine 3.42 3.42 222.30$ 222.30$ 93602 TC Medicine - - 86.45$ 86.45$ 93603 00 Medicine - - 353.60$ 353.60$ 93603 26 Medicine 3.42 3.42 222.30$ 222.30$ 93603 TC Medicine - - 130.65$ 130.65$ 93609 00 Medicine - - 737.75$ 737.75$ 93609 26 Medicine 8.10 8.10 526.50$ 526.50$ 93609 TC Medicine - - 206.70$ 206.70$ 93610 00 Medicine - - 420.55$ 420.55$ 93610 26 Medicine 4.80 4.80 312.00$ 312.00$ 93610 TC Medicine - - 105.30$ 105.30$ 93612 00 Medicine - - 434.20$ 434.20$ 93612 26 Medicine 4.76 4.76 309.40$ 309.40$ 93612 TC Medicine - - 121.55$ 121.55$ 93613 00 Medicine 8.67 8.67 563.55$ 563.55$ 93615 00 Medicine - - 89.70$ 89.70$ 93615 26 Medicine 1.09 1.09 70.85$ 70.85$ 93615 TC Medicine - - 18.85$ 18.85$ 93616 00 Medicine - - 148.85$ 148.85$ 93616 26 Medicine 1.71 1.71 111.15$ 111.15$ 93616 TC Medicine - - 37.05$ 37.05$ 93618 00 Medicine - - 700.70$ 700.70$ 93618 26 Medicine 6.41 6.41 416.65$ 416.65$ 93618 TC Medicine - - 280.15$ 280.15$ 93619 00 Medicine - - 1,311.70$ 1,311.70$ 93619 26 Medicine 11.43 11.43 742.95$ 742.95$ 93619 TC Medicine - - 564.20$ 564.20$ 93620 00 Medicine - - 1,599.65$ 1,599.65$ 93620 26 Medicine 18.31 18.31 1,190.15$ 1,190.15$ 93620 TC Medicine - - 399.75$ 399.75$ 93621 00 Medicine - - 297.05$ 297.05$ 93621 26 Medicine 3.42 3.42 222.30$ 222.30$

PROPOSAL

180


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate93621 TC Medicine - - 74.10$ 74.10$ 93622 00 Medicine - - 438.75$ 438.75$ 93622 26 Medicine 5.02 5.02 326.30$ 326.30$ 93622 TC Medicine - - 109.85$ 109.85$ 93623 00 Medicine - - 322.40$ 322.40$ 93623 26 Medicine 3.72 3.72 241.80$ 241.80$ 93623 TC Medicine - - 80.60$ 80.60$ 93624 00 Medicine - - 590.20$ 590.20$ 93624 26 Medicine 6.98 6.98 453.70$ 453.70$ 93624 TC Medicine - - 130.00$ 130.00$ 93631 00 Medicine - - 1,002.95$ 1,002.95$ 93631 26 Medicine 11.52 11.52 748.80$ 748.80$ 93631 TC Medicine - - 250.90$ 250.90$ 93640 00 Medicine - - 854.75$ 854.75$ 93640 26 Medicine 5.23 5.23 339.95$ 339.95$ 93640 TC Medicine - - 512.85$ 512.85$ 93641 00 Medicine - - 1,125.80$ 1,125.80$ 93641 26 Medicine 9.10 9.10 591.50$ 591.50$ 93641 TC Medicine - - 529.10$ 529.10$ 93642 00 Medicine 9.86 9.86 640.90$ 640.90$ 93642 26 Medicine 7.42 7.42 482.30$ 482.30$ 93642 TC Medicine 2.44 2.44 158.60$ 158.60$ 93644 00 Medicine 5.75 5.75 373.75$ 373.75$ 93644 26 Medicine 4.19 4.19 272.35$ 272.35$ 93644 TC Medicine 1.56 1.56 101.40$ 101.40$ 93650 00 Medicine 17.28 17.28 1,123.20$ 1,123.20$ 93653 00 Medicine 24.44 24.44 1,588.60$ 1,588.60$ 93654 00 Medicine 32.71 32.71 2,126.15$ 2,126.15$ 93655 00 Medicine 12.44 12.44 808.60$ 808.60$ 93656 00 Medicine 32.82 32.82 2,133.30$ 2,133.30$ 93657 00 Medicine 12.43 12.43 807.95$ 807.95$ 93660 00 Medicine 4.59 4.59 298.35$ 298.35$ 93660 26 Medicine 2.66 2.66 172.90$ 172.90$ 93660 TC Medicine 1.93 1.93 125.45$ 125.45$ 93662 00 Medicine - - 286.65$ 286.65$ 93662 26 Medicine 3.30 3.30 214.50$ 214.50$ 93662 TC Medicine - - 72.15$ 72.15$ 93668 00 Medicine 0.41 0.41 26.65$ 26.65$ 93701 00 Medicine 0.81 0.81 52.65$ 52.65$ 93702 00 Medicine 4.30 4.30 279.50$ 279.50$ 93724 00 Medicine 8.26 8.26 536.90$ 536.90$ 93724 26 Medicine 6.99 6.99 454.35$ 454.35$ 93724 TC Medicine 1.27 1.27 82.55$ 82.55$ 93740 00 Medicine 0.00 0.00 Bundled Code Bundled Code 93745 00 Medicine - - 191.10$ 191.10$ 93745 26 Medicine - - 124.15$ 124.15$ 93745 TC Medicine - - 66.95$ 66.95$ 93750 00 Medicine 1.44 1.14 93.60$ 74.10$ 93770 00 Medicine 0.00 0.00 Bundled Code Bundled Code 93784 00 Medicine 1.35 1.35 87.75$ 87.75$ 93786 00 Medicine 0.67 0.67 43.55$ 43.55$ 93788 00 Medicine 0.15 0.15 9.75$ 9.75$ 93790 00 Medicine 0.53 0.53 34.45$ 34.45$ 93792 00 Medicine 1.94 1.94 126.10$ 126.10$ 93793 00 Medicine 0.33 0.33 21.45$ 21.45$ 93797 00 Medicine 0.49 0.27 31.85$ 17.55$ 93798 00 Medicine 0.75 0.40 48.75$ 26.00$ 93799 00 Medicine 0.00 0.00 BR BR93799 26 Medicine 0.00 0.00 BR BR

PROPOSAL

181


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate93799 TC Medicine 0.00 0.00 BR BR93880 00 Medicine 5.85 5.85 380.25$ 380.25$ 93880 26 Medicine 1.12 1.12 72.80$ 72.80$ 93880 TC Medicine 4.73 4.73 307.45$ 307.45$ 93882 00 Medicine 3.81 3.81 247.65$ 247.65$ 93882 26 Medicine 0.71 0.71 46.15$ 46.15$ 93882 TC Medicine 3.10 3.10 201.50$ 201.50$ 93886 00 Medicine 8.14 8.14 529.10$ 529.10$ 93886 26 Medicine 1.35 1.35 87.75$ 87.75$ 93886 TC Medicine 6.79 6.79 441.35$ 441.35$ 93888 00 Medicine 4.90 4.90 318.50$ 318.50$ 93888 26 Medicine 0.74 0.74 48.10$ 48.10$ 93888 TC Medicine 4.16 4.16 270.40$ 270.40$ 93890 00 Medicine 8.36 8.36 543.40$ 543.40$ 93890 26 Medicine 1.47 1.47 95.55$ 95.55$ 93890 TC Medicine 6.89 6.89 447.85$ 447.85$ 93892 00 Medicine 9.38 9.38 609.70$ 609.70$ 93892 26 Medicine 1.70 1.70 110.50$ 110.50$ 93892 TC Medicine 7.68 7.68 499.20$ 499.20$ 93893 00 Medicine 11.13 11.13 723.45$ 723.45$ 93893 26 Medicine 1.73 1.73 112.45$ 112.45$ 93893 TC Medicine 9.40 9.40 611.00$ 611.00$ 93895 00 Medicine 0.00 0.00 BR BR93895 26 Medicine 0.00 0.00 BR BR93895 TC Medicine 0.00 0.00 BR BR93922 00 Medicine 2.50 2.50 162.50$ 162.50$ 93922 26 Medicine 0.37 0.37 24.05$ 24.05$ 93922 TC Medicine 2.13 2.13 138.45$ 138.45$ 93923 00 Medicine 3.87 3.87 251.55$ 251.55$ 93923 26 Medicine 0.63 0.63 40.95$ 40.95$ 93923 TC Medicine 3.24 3.24 210.60$ 210.60$ 93924 00 Medicine 4.80 4.80 312.00$ 312.00$ 93924 26 Medicine 0.70 0.70 45.50$ 45.50$ 93924 TC Medicine 4.10 4.10 266.50$ 266.50$ 93925 00 Medicine 7.45 7.45 484.25$ 484.25$ 93925 26 Medicine 1.10 1.10 71.50$ 71.50$ 93925 TC Medicine 6.35 6.35 412.75$ 412.75$ 93926 00 Medicine 4.39 4.39 285.35$ 285.35$ 93926 26 Medicine 0.68 0.68 44.20$ 44.20$ 93926 TC Medicine 3.71 3.71 241.15$ 241.15$ 93930 00 Medicine 6.05 6.05 393.25$ 393.25$ 93930 26 Medicine 1.14 1.14 74.10$ 74.10$ 93930 TC Medicine 4.91 4.91 319.15$ 319.15$ 93931 00 Medicine 3.78 3.78 245.70$ 245.70$ 93931 26 Medicine 0.70 0.70 45.50$ 45.50$ 93931 TC Medicine 3.08 3.08 200.20$ 200.20$ 93970 00 Medicine 5.74 5.74 373.10$ 373.10$ 93970 26 Medicine 0.97 0.97 63.05$ 63.05$ 93970 TC Medicine 4.77 4.77 310.05$ 310.05$ 93971 00 Medicine 3.61 3.61 234.65$ 234.65$ 93971 26 Medicine 0.63 0.63 40.95$ 40.95$ 93971 TC Medicine 2.98 2.98 193.70$ 193.70$ 93975 00 Medicine 8.14 8.14 529.10$ 529.10$ 93975 26 Medicine 1.63 1.63 105.95$ 105.95$ 93975 TC Medicine 6.51 6.51 423.15$ 423.15$ 93976 00 Medicine 4.81 4.81 312.65$ 312.65$ 93976 26 Medicine 1.12 1.12 72.80$ 72.80$ 93976 TC Medicine 3.69 3.69 239.85$ 239.85$ 93978 00 Medicine 5.53 5.53 359.45$ 359.45$

PROPOSAL

182


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate93978 26 Medicine 1.13 1.13 73.45$ 73.45$ 93978 TC Medicine 4.40 4.40 286.00$ 286.00$ 93979 00 Medicine 3.57 3.57 232.05$ 232.05$ 93979 26 Medicine 0.69 0.69 44.85$ 44.85$ 93979 TC Medicine 2.88 2.88 187.20$ 187.20$ 93980 00 Medicine 3.52 3.52 228.80$ 228.80$ 93980 26 Medicine 1.75 1.75 113.75$ 113.75$ 93980 TC Medicine 1.77 1.77 115.05$ 115.05$ 93981 00 Medicine 2.14 2.14 139.10$ 139.10$ 93981 26 Medicine 0.61 0.61 39.65$ 39.65$ 93981 TC Medicine 1.53 1.53 99.45$ 99.45$ 93985 00 Medicine 7.84 7.84 509.60$ 509.60$ 93985 26 Medicine 1.12 1.12 72.80$ 72.80$ 93985 TC Medicine 6.72 6.72 436.80$ 436.80$ 93986 00 Medicine 4.53 4.53 294.45$ 294.45$ 93986 26 Medicine 0.69 0.69 44.85$ 44.85$ 93986 TC Medicine 3.84 3.84 249.60$ 249.60$ 93990 00 Medicine 4.51 4.51 293.15$ 293.15$ 93990 26 Medicine 0.70 0.70 45.50$ 45.50$ 93990 TC Medicine 3.81 3.81 247.65$ 247.65$ 93998 00 Medicine 0.00 0.00 BR BR94002 00 Medicine 2.66 2.66 172.90$ 172.90$ 94003 00 Medicine 1.90 1.90 123.50$ 123.50$ 94004 00 Medicine 1.40 1.40 91.00$ 91.00$ 94005 00 Medicine 0.00 0.00 Bundled Code Bundled Code 94010 00 Medicine 0.86 0.86 55.90$ 55.90$ 94010 26 Medicine 0.24 0.24 15.60$ 15.60$ 94010 TC Medicine 0.62 0.62 40.30$ 40.30$ 94011 00 Medicine 2.50 2.50 162.50$ 162.50$ 94012 00 Medicine 4.06 4.06 263.90$ 263.90$ 94013 00 Medicine 0.57 0.57 37.05$ 37.05$ 94014 00 Medicine 1.62 1.62 105.30$ 105.30$ 94015 00 Medicine 0.90 0.90 58.50$ 58.50$ 94016 00 Medicine 0.72 0.72 46.80$ 46.80$ 94060 00 Medicine 1.35 1.35 87.75$ 87.75$ 94060 26 Medicine 0.30 0.30 19.50$ 19.50$ 94060 TC Medicine 1.05 1.05 68.25$ 68.25$ 94070 00 Medicine 1.81 1.81 117.65$ 117.65$ 94070 26 Medicine 0.82 0.82 53.30$ 53.30$ 94070 TC Medicine 0.99 0.99 64.35$ 64.35$ 94150 00 Medicine 0.00 0.00 Bundled Code Bundled Code 94150 26 Medicine 0.00 0.00 Bundled Code Bundled Code 94150 TC Medicine 0.00 0.00 Bundled Code Bundled Code 94200 00 Medicine 0.52 0.52 33.80$ 33.80$ 94200 26 Medicine 0.11 0.11 7.15$ 7.15$ 94200 TC Medicine 0.41 0.41 26.65$ 26.65$ 94375 00 Medicine 1.13 1.13 73.45$ 73.45$ 94375 26 Medicine 0.42 0.42 27.30$ 27.30$ 94375 TC Medicine 0.71 0.71 46.15$ 46.15$ 94450 00 Medicine 1.79 1.79 116.35$ 116.35$ 94450 26 Medicine 0.53 0.53 34.45$ 34.45$ 94450 TC Medicine 1.26 1.26 81.90$ 81.90$ 94452 00 Medicine 1.49 1.49 96.85$ 96.85$ 94452 26 Medicine 0.41 0.41 26.65$ 26.65$ 94452 TC Medicine 1.08 1.08 70.20$ 70.20$ 94453 00 Medicine 2.05 2.05 133.25$ 133.25$ 94453 26 Medicine 0.54 0.54 35.10$ 35.10$ 94453 TC Medicine 1.51 1.51 98.15$ 98.15$ 94610 00 Medicine 1.60 1.60 104.00$ 104.00$

PROPOSAL

183


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate94617 00 Medicine 2.74 2.74 178.10$ 178.10$ 94617 26 Medicine 0.97 0.97 63.05$ 63.05$ 94617 TC Medicine 1.77 1.77 115.05$ 115.05$ 94618 00 Medicine 0.97 0.97 63.05$ 63.05$ 94618 26 Medicine 0.65 0.65 42.25$ 42.25$ 94618 TC Medicine 0.32 0.32 20.80$ 20.80$ 94619 00 Medicine 2.13 2.13 138.45$ 138.45$ 94619 26 Medicine 0.68 0.68 44.20$ 44.20$ 94619 TC Medicine 1.45 1.45 94.25$ 94.25$ 94621 00 Medicine 4.59 4.59 298.35$ 298.35$ 94621 26 Medicine 1.98 1.98 128.70$ 128.70$ 94621 TC Medicine 2.61 2.61 169.65$ 169.65$ 94640 00 Medicine 0.41 0.41 26.65$ 26.65$ 94642 00 Medicine - - 82.55$ 82.55$ 94644 00 Medicine 1.76 1.76 114.40$ 114.40$ 94645 00 Medicine 0.48 0.48 31.20$ 31.20$ 94660 00 Medicine 1.83 1.09 118.95$ 70.85$ 94662 00 Medicine 1.03 1.03 66.95$ 66.95$ 94664 00 Medicine 0.49 0.49 31.85$ 31.85$ 94667 00 Medicine 0.62 0.62 40.30$ 40.30$ 94668 00 Medicine 0.96 0.96 62.40$ 62.40$ 94669 00 Medicine 0.67 0.67 43.55$ 43.55$ 94680 00 Medicine 1.55 1.55 100.75$ 100.75$ 94680 26 Medicine 0.36 0.36 23.40$ 23.40$ 94680 TC Medicine 1.19 1.19 77.35$ 77.35$ 94681 00 Medicine 1.49 1.49 96.85$ 96.85$ 94681 26 Medicine 0.29 0.29 18.85$ 18.85$ 94681 TC Medicine 1.20 1.20 78.00$ 78.00$ 94690 00 Medicine 1.28 1.28 83.20$ 83.20$ 94690 26 Medicine 0.11 0.11 7.15$ 7.15$ 94690 TC Medicine 1.17 1.17 76.05$ 76.05$ 94726 00 Medicine 1.59 1.59 103.35$ 103.35$ 94726 26 Medicine 0.35 0.35 22.75$ 22.75$ 94726 TC Medicine 1.24 1.24 80.60$ 80.60$ 94727 00 Medicine 1.28 1.28 83.20$ 83.20$ 94727 26 Medicine 0.35 0.35 22.75$ 22.75$ 94727 TC Medicine 0.93 0.93 60.45$ 60.45$ 94728 00 Medicine 1.19 1.19 77.35$ 77.35$ 94728 26 Medicine 0.36 0.36 23.40$ 23.40$ 94728 TC Medicine 0.83 0.83 53.95$ 53.95$ 94729 00 Medicine 1.73 1.73 112.45$ 112.45$ 94729 26 Medicine 0.26 0.26 16.90$ 16.90$ 94729 TC Medicine 1.47 1.47 95.55$ 95.55$ 94760 00 Medicine 0.07 0.07 4.55$ 4.55$ 94761 00 Medicine 0.11 0.11 7.15$ 7.15$ 94762 00 Medicine 0.79 0.79 51.35$ 51.35$ 94772 00 Medicine - - 581.75$ 581.75$ 94772 26 Medicine - - 232.70$ 232.70$ 94772 TC Medicine - - 349.05$ 349.05$ 94774 00 Medicine - - 549.90$ 549.90$ 94775 00 Medicine - - 86.45$ 86.45$ 94776 00 Medicine - - 411.45$ 411.45$ 94777 00 Medicine - - 51.35$ 51.35$ 94780 00 Medicine 1.48 0.69 96.20$ 44.85$ 94781 00 Medicine 0.58 0.24 37.70$ 15.60$ 94799 00 Medicine 0.00 0.00 BR BR94799 26 Medicine 0.00 0.00 BR BR94799 TC Medicine 0.00 0.00 BR BR95004 00 Medicine 0.12 0.12 7.80$ 7.80$

PROPOSAL

184


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate95012 00 Medicine 0.58 0.58 37.70$ 37.70$ 95017 00 Medicine 0.25 0.11 16.25$ 7.15$ 95018 00 Medicine 0.62 0.21 40.30$ 13.65$ 95024 00 Medicine 0.25 0.03 16.25$ 1.95$ 95027 00 Medicine 0.14 0.14 9.10$ 9.10$ 95028 00 Medicine 0.38 0.38 24.70$ 24.70$ 95044 00 Medicine 0.16 0.16 10.40$ 10.40$ 95052 00 Medicine 0.20 0.20 13.00$ 13.00$ 95056 00 Medicine 1.41 1.41 91.65$ 91.65$ 95060 00 Medicine 1.06 1.06 68.90$ 68.90$ 95065 00 Medicine 0.78 0.78 50.70$ 50.70$ 95070 00 Medicine 1.02 1.02 66.30$ 66.30$ 95076 00 Medicine 3.44 2.14 223.60$ 139.10$ 95079 00 Medicine 2.44 1.97 158.60$ 128.05$ 95115 00 Medicine 0.27 0.27 17.55$ 17.55$ 95117 00 Medicine 0.33 0.33 21.45$ 21.45$ 95120 00 Medicine - - 22.75$ 22.75$ 95125 00 Medicine - - 27.95$ 27.95$ 95130 00 Medicine - - 39.00$ 39.00$ 95131 00 Medicine - - 50.05$ 50.05$ 95132 00 Medicine - - 60.45$ 60.45$ 95133 00 Medicine - - 72.80$ 72.80$ 95134 00 Medicine - - 87.10$ 87.10$ 95144 00 Medicine 0.48 0.09 31.20$ 5.85$ 95145 00 Medicine 1.00 0.09 65.00$ 5.85$ 95146 00 Medicine 1.84 0.09 119.60$ 5.85$ 95147 00 Medicine 1.82 0.09 118.30$ 5.85$ 95148 00 Medicine 2.66 0.09 172.90$ 5.85$ 95149 00 Medicine 3.54 0.09 230.10$ 5.85$ 95165 00 Medicine 0.46 0.09 29.90$ 5.85$ 95170 00 Medicine 0.34 0.09 22.10$ 5.85$ 95180 00 Medicine 3.95 2.97 256.75$ 193.05$ 95199 00 Medicine 0.00 0.00 BR BR95249 00 Medicine 1.68 1.68 109.20$ 109.20$ 95250 00 Medicine 4.51 4.51 293.15$ 293.15$ 95251 00 Medicine 1.02 1.02 66.30$ 66.30$ 95700 00 Medicine - - 458.90$ 458.90$ 95705 00 Medicine - - 378.95$ 378.95$ 95706 00 Medicine - - 700.05$ 700.05$ 95707 00 Medicine - - 817.70$ 817.70$ 95708 00 Medicine - - 557.05$ 557.05$ 95709 00 Medicine - - 1,372.15$ 1,372.15$ 95710 00 Medicine - - 1,726.40$ 1,726.40$ 95711 00 Medicine - - 403.00$ 403.00$ 95712 00 Medicine - - 817.70$ 817.70$ 95713 00 Medicine - - 1,065.35$ 1,065.35$ 95714 00 Medicine - - 594.75$ 594.75$ 95715 00 Medicine - - 1,585.35$ 1,585.35$ 95716 00 Medicine - - 2,151.50$ 2,151.50$ 95717 00 Medicine 2.96 2.93 192.40$ 190.45$ 95718 00 Medicine 3.95 3.88 256.75$ 252.20$ 95719 00 Medicine 4.58 4.53 297.70$ 294.45$ 95720 00 Medicine 6.05 5.96 393.25$ 387.40$ 95721 00 Medicine 6.09 5.97 395.85$ 388.05$ 95722 00 Medicine 7.42 7.28 482.30$ 473.20$ 95723 00 Medicine 7.57 7.40 492.05$ 481.00$ 95724 00 Medicine 9.47 9.29 615.55$ 603.85$ 95725 00 Medicine 8.65 8.44 562.25$ 548.60$ 95726 00 Medicine 12.00 11.76 780.00$ 764.40$

PROPOSAL

185


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate95782 00 Medicine 27.14 27.14 1,764.10$ 1,764.10$ 95782 26 Medicine 3.62 3.62 235.30$ 235.30$ 95782 TC Medicine 23.52 23.52 1,528.80$ 1,528.80$ 95783 00 Medicine 28.77 28.77 1,870.05$ 1,870.05$ 95783 26 Medicine 3.93 3.93 255.45$ 255.45$ 95783 TC Medicine 24.84 24.84 1,614.60$ 1,614.60$ 95800 00 Medicine 4.88 4.88 317.20$ 317.20$ 95800 26 Medicine 1.20 1.20 78.00$ 78.00$ 95800 TC Medicine 3.68 3.68 239.20$ 239.20$ 95801 00 Medicine 2.62 2.62 170.30$ 170.30$ 95801 26 Medicine 1.20 1.20 78.00$ 78.00$ 95801 TC Medicine 1.42 1.42 92.30$ 92.30$ 95803 00 Medicine 4.50 4.50 292.50$ 292.50$ 95803 26 Medicine 1.29 1.29 83.85$ 83.85$ 95803 TC Medicine 3.21 3.21 208.65$ 208.65$ 95805 00 Medicine 12.30 12.30 799.50$ 799.50$ 95805 26 Medicine 1.68 1.68 109.20$ 109.20$ 95805 TC Medicine 10.62 10.62 690.30$ 690.30$ 95806 00 Medicine 2.94 2.94 191.10$ 191.10$ 95806 26 Medicine 1.30 1.30 84.50$ 84.50$ 95806 TC Medicine 1.64 1.64 106.60$ 106.60$ 95807 00 Medicine 11.66 11.66 757.90$ 757.90$ 95807 26 Medicine 1.76 1.76 114.40$ 114.40$ 95807 TC Medicine 9.90 9.90 643.50$ 643.50$ 95808 00 Medicine 19.34 19.34 1,257.10$ 1,257.10$ 95808 26 Medicine 2.51 2.51 163.15$ 163.15$ 95808 TC Medicine 16.83 16.83 1,093.95$ 1,093.95$ 95810 00 Medicine 18.02 18.02 1,171.30$ 1,171.30$ 95810 26 Medicine 3.48 3.48 226.20$ 226.20$ 95810 TC Medicine 14.54 14.54 945.10$ 945.10$ 95811 00 Medicine 18.81 18.81 1,222.65$ 1,222.65$ 95811 26 Medicine 3.61 3.61 234.65$ 234.65$ 95811 TC Medicine 15.20 15.20 988.00$ 988.00$ 95812 00 Medicine 10.13 10.13 658.45$ 658.45$ 95812 26 Medicine 1.66 1.66 107.90$ 107.90$ 95812 TC Medicine 8.47 8.47 550.55$ 550.55$ 95813 00 Medicine 12.46 12.46 809.90$ 809.90$ 95813 26 Medicine 2.53 2.53 164.45$ 164.45$ 95813 TC Medicine 9.93 9.93 645.45$ 645.45$ 95816 00 Medicine 11.08 11.08 720.20$ 720.20$ 95816 26 Medicine 1.66 1.66 107.90$ 107.90$ 95816 TC Medicine 9.42 9.42 612.30$ 612.30$ 95819 00 Medicine 13.29 13.29 863.85$ 863.85$ 95819 26 Medicine 1.67 1.67 108.55$ 108.55$ 95819 TC Medicine 11.62 11.62 755.30$ 755.30$ 95822 00 Medicine 12.12 12.12 787.80$ 787.80$ 95822 26 Medicine 1.67 1.67 108.55$ 108.55$ 95822 TC Medicine 10.45 10.45 679.25$ 679.25$ 95824 00 Medicine - - 191.75$ 191.75$ 95824 26 Medicine 1.14 1.14 74.10$ 74.10$ 95824 TC Medicine - - 117.00$ 117.00$ 95829 00 Medicine 56.36 56.36 3,663.40$ 3,663.40$ 95829 26 Medicine 9.69 9.69 629.85$ 629.85$ 95829 TC Medicine 46.67 46.67 3,033.55$ 3,033.55$ 95830 00 Medicine 18.98 2.69 1,233.70$ 174.85$ 95836 00 Medicine 3.07 3.07 199.55$ 199.55$ 95851 00 Medicine 0.66 0.22 42.90$ 14.30$ 95852 00 Medicine 0.53 0.16 34.45$ 10.40$ 95857 00 Medicine 1.63 0.86 105.95$ 55.90$

PROPOSAL

186


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate95860 00 Medicine 3.49 3.49 226.85$ 226.85$ 95860 26 Medicine 1.49 1.49 96.85$ 96.85$ 95860 TC Medicine 2.00 2.00 130.00$ 130.00$ 95861 00 Medicine 5.04 5.04 327.60$ 327.60$ 95861 26 Medicine 2.37 2.37 154.05$ 154.05$ 95861 TC Medicine 2.67 2.67 173.55$ 173.55$ 95863 00 Medicine 6.57 6.57 427.05$ 427.05$ 95863 26 Medicine 2.88 2.88 187.20$ 187.20$ 95863 TC Medicine 3.69 3.69 239.85$ 239.85$ 95864 00 Medicine 7.35 7.35 477.75$ 477.75$ 95864 26 Medicine 3.09 3.09 200.85$ 200.85$ 95864 TC Medicine 4.26 4.26 276.90$ 276.90$ 95865 00 Medicine 4.58 4.58 297.70$ 297.70$ 95865 26 Medicine 2.40 2.40 156.00$ 156.00$ 95865 TC Medicine 2.18 2.18 141.70$ 141.70$ 95866 00 Medicine 3.99 3.99 259.35$ 259.35$ 95866 26 Medicine 1.90 1.90 123.50$ 123.50$ 95866 TC Medicine 2.09 2.09 135.85$ 135.85$ 95867 00 Medicine 3.29 3.29 213.85$ 213.85$ 95867 26 Medicine 1.22 1.22 79.30$ 79.30$ 95867 TC Medicine 2.07 2.07 134.55$ 134.55$ 95868 00 Medicine 4.29 4.29 278.85$ 278.85$ 95868 26 Medicine 1.82 1.82 118.30$ 118.30$ 95868 TC Medicine 2.47 2.47 160.55$ 160.55$ 95869 00 Medicine 3.00 3.00 195.00$ 195.00$ 95869 26 Medicine 0.58 0.58 37.70$ 37.70$ 95869 TC Medicine 2.42 2.42 157.30$ 157.30$ 95870 00 Medicine 2.68 2.68 174.20$ 174.20$ 95870 26 Medicine 0.57 0.57 37.05$ 37.05$ 95870 TC Medicine 2.11 2.11 137.15$ 137.15$ 95872 00 Medicine 6.01 6.01 390.65$ 390.65$ 95872 26 Medicine 4.44 4.44 288.60$ 288.60$ 95872 TC Medicine 1.57 1.57 102.05$ 102.05$ 95873 00 Medicine 2.33 2.33 151.45$ 151.45$ 95873 26 Medicine 0.58 0.58 37.70$ 37.70$ 95873 TC Medicine 1.75 1.75 113.75$ 113.75$ 95874 00 Medicine 2.43 2.43 157.95$ 157.95$ 95874 26 Medicine 0.57 0.57 37.05$ 37.05$ 95874 TC Medicine 1.86 1.86 120.90$ 120.90$ 95875 00 Medicine 4.03 4.03 261.95$ 261.95$ 95875 26 Medicine 1.70 1.70 110.50$ 110.50$ 95875 TC Medicine 2.33 2.33 151.45$ 151.45$ 95885 00 Medicine 1.95 1.95 126.75$ 126.75$ 95885 26 Medicine 0.54 0.54 35.10$ 35.10$ 95885 TC Medicine 1.41 1.41 91.65$ 91.65$ 95886 00 Medicine 2.99 2.99 194.35$ 194.35$ 95886 26 Medicine 1.33 1.33 86.45$ 86.45$ 95886 TC Medicine 1.66 1.66 107.90$ 107.90$ 95887 00 Medicine 2.59 2.59 168.35$ 168.35$ 95887 26 Medicine 1.09 1.09 70.85$ 70.85$ 95887 TC Medicine 1.50 1.50 97.50$ 97.50$ 95905 00 Medicine 1.39 1.39 90.35$ 90.35$ 95905 26 Medicine 0.08 0.08 5.20$ 5.20$ 95905 TC Medicine 1.31 1.31 85.15$ 85.15$ 95907 00 Medicine 2.78 2.78 180.70$ 180.70$ 95907 26 Medicine 1.55 1.55 100.75$ 100.75$ 95907 TC Medicine 1.23 1.23 79.95$ 79.95$ 95908 00 Medicine 3.51 3.51 228.15$ 228.15$ 95908 26 Medicine 1.94 1.94 126.10$ 126.10$

PROPOSAL

187


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate95908 TC Medicine 1.57 1.57 102.05$ 102.05$ 95909 00 Medicine 4.19 4.19 272.35$ 272.35$ 95909 26 Medicine 2.31 2.31 150.15$ 150.15$ 95909 TC Medicine 1.88 1.88 122.20$ 122.20$ 95910 00 Medicine 5.51 5.51 358.15$ 358.15$ 95910 26 Medicine 3.11 3.11 202.15$ 202.15$ 95910 TC Medicine 2.40 2.40 156.00$ 156.00$ 95911 00 Medicine 6.61 6.61 429.65$ 429.65$ 95911 26 Medicine 3.86 3.86 250.90$ 250.90$ 95911 TC Medicine 2.75 2.75 178.75$ 178.75$ 95912 00 Medicine 7.65 7.65 497.25$ 497.25$ 95912 26 Medicine 4.62 4.62 300.30$ 300.30$ 95912 TC Medicine 3.03 3.03 196.95$ 196.95$ 95913 00 Medicine 8.88 8.88 577.20$ 577.20$ 95913 26 Medicine 5.47 5.47 355.55$ 355.55$ 95913 TC Medicine 3.41 3.41 221.65$ 221.65$ 95921 00 Medicine 2.61 2.61 169.65$ 169.65$ 95921 26 Medicine 1.31 1.31 85.15$ 85.15$ 95921 TC Medicine 1.30 1.30 84.50$ 84.50$ 95922 00 Medicine 3.10 3.10 201.50$ 201.50$ 95922 26 Medicine 1.38 1.38 89.70$ 89.70$ 95922 TC Medicine 1.72 1.72 111.80$ 111.80$ 95923 00 Medicine 3.83 3.83 248.95$ 248.95$ 95923 26 Medicine 1.31 1.31 85.15$ 85.15$ 95923 TC Medicine 2.52 2.52 163.80$ 163.80$ 95924 00 Medicine 4.42 4.42 287.30$ 287.30$ 95924 26 Medicine 2.52 2.52 163.80$ 163.80$ 95924 TC Medicine 1.90 1.90 123.50$ 123.50$ 95925 00 Medicine 4.62 4.62 300.30$ 300.30$ 95925 26 Medicine 0.83 0.83 53.95$ 53.95$ 95925 TC Medicine 3.79 3.79 246.35$ 246.35$ 95926 00 Medicine 4.26 4.26 276.90$ 276.90$ 95926 26 Medicine 0.80 0.80 52.00$ 52.00$ 95926 TC Medicine 3.46 3.46 224.90$ 224.90$ 95927 00 Medicine 4.18 4.18 271.70$ 271.70$ 95927 26 Medicine 0.78 0.78 50.70$ 50.70$ 95927 TC Medicine 3.40 3.40 221.00$ 221.00$ 95928 00 Medicine 6.96 6.96 452.40$ 452.40$ 95928 26 Medicine 2.31 2.31 150.15$ 150.15$ 95928 TC Medicine 4.65 4.65 302.25$ 302.25$ 95929 00 Medicine 7.16 7.16 465.40$ 465.40$ 95929 26 Medicine 2.29 2.29 148.85$ 148.85$ 95929 TC Medicine 4.87 4.87 316.55$ 316.55$ 95930 00 Medicine 1.97 1.97 128.05$ 128.05$ 95930 26 Medicine 0.54 0.54 35.10$ 35.10$ 95930 TC Medicine 1.43 1.43 92.95$ 92.95$ 95933 00 Medicine 2.53 2.53 164.45$ 164.45$ 95933 26 Medicine 0.92 0.92 59.80$ 59.80$ 95933 TC Medicine 1.61 1.61 104.65$ 104.65$ 95937 00 Medicine 3.07 3.07 199.55$ 199.55$ 95937 26 Medicine 1.01 1.01 65.65$ 65.65$ 95937 TC Medicine 2.06 2.06 133.90$ 133.90$ 95938 00 Medicine 10.58 10.58 687.70$ 687.70$ 95938 26 Medicine 1.33 1.33 86.45$ 86.45$ 95938 TC Medicine 9.25 9.25 601.25$ 601.25$ 95939 00 Medicine 16.02 16.02 1,041.30$ 1,041.30$ 95939 26 Medicine 3.46 3.46 224.90$ 224.90$ 95939 TC Medicine 12.56 12.56 816.40$ 816.40$ 95940 00 Medicine 0.95 0.95 61.75$ 61.75$

PROPOSAL

188


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate95941 00 Medicine 0.00 0.00 BR BR95943 00 Medicine - - 297.05$ 297.05$ 95943 26 Medicine - - 178.10$ 178.10$ 95943 TC Medicine - - 118.95$ 118.95$ 95954 00 Medicine 11.56 11.56 751.40$ 751.40$ 95954 26 Medicine 3.21 3.21 208.65$ 208.65$ 95954 TC Medicine 8.35 8.35 542.75$ 542.75$ 95955 00 Medicine 6.36 6.36 413.40$ 413.40$ 95955 26 Medicine 1.56 1.56 101.40$ 101.40$ 95955 TC Medicine 4.80 4.80 312.00$ 312.00$ 95957 00 Medicine 7.40 7.40 481.00$ 481.00$ 95957 26 Medicine 2.96 2.96 192.40$ 192.40$ 95957 TC Medicine 4.44 4.44 288.60$ 288.60$ 95958 00 Medicine 17.54 17.54 1,140.10$ 1,140.10$ 95958 26 Medicine 6.52 6.52 423.80$ 423.80$ 95958 TC Medicine 11.02 11.02 716.30$ 716.30$ 95961 00 Medicine 9.25 9.25 601.25$ 601.25$ 95961 26 Medicine 4.69 4.69 304.85$ 304.85$ 95961 TC Medicine 4.56 4.56 296.40$ 296.40$ 95962 00 Medicine 7.72 7.72 501.80$ 501.80$ 95962 26 Medicine 5.02 5.02 326.30$ 326.30$ 95962 TC Medicine 2.70 2.70 175.50$ 175.50$ 95965 00 Medicine - - 3,932.50$ 3,932.50$ 95965 26 Medicine 12.03 12.03 781.95$ 781.95$ 95965 TC Medicine - - 3,146.00$ 3,146.00$ 95966 00 Medicine - - 2,018.25$ 2,018.25$ 95966 26 Medicine 6.16 6.16 400.40$ 400.40$ 95966 TC Medicine - - 1,614.60$ 1,614.60$ 95967 00 Medicine - - 1,764.75$ 1,764.75$ 95967 26 Medicine 5.39 5.39 350.35$ 350.35$ 95967 TC Medicine - - 1,411.80$ 1,411.80$ 95970 00 Medicine 0.56 0.55 36.40$ 35.75$ 95971 00 Medicine 1.43 1.16 92.95$ 75.40$ 95972 00 Medicine 1.65 1.20 107.25$ 78.00$ 95976 00 Medicine 1.17 1.15 76.05$ 74.75$ 95977 00 Medicine 1.57 1.54 102.05$ 100.10$ 95980 00 Medicine 1.32 1.32 85.80$ 85.80$ 95981 00 Medicine 1.08 0.52 70.20$ 33.80$ 95982 00 Medicine 1.71 1.09 111.15$ 70.85$ 95983 00 Medicine 1.49 1.46 96.85$ 94.90$ 95984 00 Medicine 1.30 1.29 84.50$ 83.85$ 95990 00 Medicine 2.72 2.72 176.80$ 176.80$ 95991 00 Medicine 3.36 1.18 218.40$ 76.70$ 95992 00 Medicine 1.28 1.07 83.20$ 69.55$ 95999 00 Medicine 0.00 0.00 BR BR96000 00 Medicine 2.58 2.58 167.70$ 167.70$ 96001 00 Medicine 3.24 3.24 210.60$ 210.60$ 96002 00 Medicine 0.65 0.65 42.25$ 42.25$ 96003 00 Medicine 0.49 0.49 31.85$ 31.85$ 96004 00 Medicine 3.22 3.22 209.30$ 209.30$ 96020 00 Medicine 0.00 0.00 BR BR96020 26 Medicine 4.66 4.66 302.90$ 302.90$ 96020 TC Medicine 0.00 0.00 BR BR96040 00 Medicine 0.00 0.00 Bundled Code Bundled Code 96105 00 Medicine 2.91 2.91 189.15$ 189.15$ 96110 00 Medicine 0.29 0.29 18.85$ 18.85$ 96112 00 Medicine 3.77 3.71 245.05$ 241.15$ 96113 00 Medicine 1.68 1.56 109.20$ 101.40$ 96116 00 Medicine 2.78 2.40 180.70$ 156.00$

PROPOSAL

189


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate96121 00 Medicine 2.36 2.13 153.40$ 138.45$ 96125 00 Medicine 3.07 3.07 199.55$ 199.55$ 96127 00 Medicine 0.14 0.14 9.10$ 9.10$ 96130 00 Medicine 3.46 3.11 224.90$ 202.15$ 96131 00 Medicine 2.62 2.34 170.30$ 152.10$ 96132 00 Medicine 3.82 3.04 248.30$ 197.60$ 96133 00 Medicine 2.98 2.29 193.70$ 148.85$ 96136 00 Medicine 1.34 0.70 87.10$ 45.50$ 96137 00 Medicine 1.20 0.54 78.00$ 35.10$ 96138 00 Medicine 1.07 1.07 69.55$ 69.55$ 96139 00 Medicine 1.07 1.07 69.55$ 69.55$ 96146 00 Medicine 0.06 0.06 3.90$ 3.90$ 96156 00 Medicine 2.79 2.47 181.35$ 160.55$ 96158 00 Medicine 1.91 1.69 124.15$ 109.85$ 96159 00 Medicine 0.66 0.59 42.90$ 38.35$ 96160 00 Medicine 0.08 0.08 5.20$ 5.20$ 96161 00 Medicine 0.08 0.08 5.20$ 5.20$ 96164 00 Medicine 0.28 0.25 18.20$ 16.25$ 96165 00 Medicine 0.13 0.11 8.45$ 7.15$ 96167 00 Medicine 2.04 1.80 132.60$ 117.00$ 96168 00 Medicine 0.73 0.64 47.45$ 41.60$ 96170 00 Medicine 2.34 2.21 152.10$ 143.65$ 96171 00 Medicine 0.84 0.79 54.60$ 51.35$ 96360 00 Medicine 1.04 1.04 67.60$ 67.60$ 96361 00 Medicine 0.40 0.40 26.00$ 26.00$ 96365 00 Medicine 2.11 2.11 137.15$ 137.15$ 96366 00 Medicine 0.64 0.64 41.60$ 41.60$ 96367 00 Medicine 0.92 0.92 59.80$ 59.80$ 96368 00 Medicine 0.61 0.61 39.65$ 39.65$ 96369 00 Medicine 4.55 4.55 295.75$ 295.75$ 96370 00 Medicine 0.44 0.44 28.60$ 28.60$ 96371 00 Medicine 1.89 1.89 122.85$ 122.85$ 96372 00 Medicine 0.41 0.41 26.65$ 26.65$ 96373 00 Medicine 0.53 0.53 34.45$ 34.45$ 96374 00 Medicine 1.20 1.20 78.00$ 78.00$ 96375 00 Medicine 0.49 0.49 31.85$ 31.85$ 96376 00 Medicine - - 19.50$ 19.50$ 96377 00 Medicine 0.58 0.58 37.70$ 37.70$ 96379 00 Medicine 0.00 0.00 BR BR96401 00 Medicine 2.36 2.36 153.40$ 153.40$ 96402 00 Medicine 0.95 0.95 61.75$ 61.75$ 96405 00 Medicine 2.51 0.84 163.15$ 54.60$ 96406 00 Medicine 3.90 1.30 253.50$ 84.50$ 96409 00 Medicine 3.25 3.25 211.25$ 211.25$ 96411 00 Medicine 1.78 1.78 115.70$ 115.70$ 96413 00 Medicine 4.25 4.25 276.25$ 276.25$ 96415 00 Medicine 0.90 0.90 58.50$ 58.50$ 96416 00 Medicine 4.22 4.22 274.30$ 274.30$ 96417 00 Medicine 2.06 2.06 133.90$ 133.90$ 96420 00 Medicine 3.31 3.31 215.15$ 215.15$ 96422 00 Medicine 5.16 5.16 335.40$ 335.40$ 96423 00 Medicine 2.37 2.37 154.05$ 154.05$ 96425 00 Medicine 5.53 5.53 359.45$ 359.45$ 96440 00 Medicine 28.54 3.60 1,855.10$ 234.00$ 96446 00 Medicine 6.18 0.74 401.70$ 48.10$ 96450 00 Medicine 5.23 2.26 339.95$ 146.90$ 96521 00 Medicine 4.38 4.38 284.70$ 284.70$ 96522 00 Medicine 3.75 3.75 243.75$ 243.75$ 96523 00 Medicine 0.83 0.83 53.95$ 53.95$

PROPOSAL

190


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate96542 00 Medicine 4.02 1.21 261.30$ 78.65$ 96549 00 Medicine - - 0.65$ 0.65$ 96567 00 Medicine 4.25 4.25 276.25$ 276.25$ 96570 00 Medicine 1.61 1.61 104.65$ 104.65$ 96571 00 Medicine 0.75 0.75 48.75$ 48.75$ 96573 00 Medicine 6.90 6.90 448.50$ 448.50$ 96574 00 Medicine 8.49 8.49 551.85$ 551.85$ 96900 00 Medicine 0.68 0.68 44.20$ 44.20$ 96902 00 Medicine 0.00 0.00 Bundled Code Bundled Code 96904 00 Medicine 2.13 2.13 138.45$ 138.45$ 96910 00 Medicine 3.50 3.50 227.50$ 227.50$ 96912 00 Medicine 3.01 3.01 195.65$ 195.65$ 96913 00 Medicine 4.44 4.44 288.60$ 288.60$ 96920 00 Medicine 4.76 1.86 309.40$ 120.90$ 96921 00 Medicine 5.20 2.09 338.00$ 135.85$ 96922 00 Medicine 7.05 3.38 458.25$ 219.70$ 96931 00 Medicine 5.14 5.14 334.10$ 334.10$ 96932 00 Medicine 3.84 3.84 249.60$ 249.60$ 96933 00 Medicine 1.30 1.30 84.50$ 84.50$ 96934 00 Medicine 3.34 3.34 217.10$ 217.10$ 96935 00 Medicine 2.10 2.10 136.50$ 136.50$ 96936 00 Medicine 1.24 1.24 80.60$ 80.60$ 96999 00 Medicine 0.00 0.00 BR BR

PROPOSAL

191


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate97010 00 Physical Medicine 0.18 0.18 11.70$ 11.70$ 97012 00 Physical Medicine 0.43 0.43 27.95$ 27.95$ 97014 00 Physical Medicine 0.39 0.39 25.35$ 25.35$ 97016 00 Physical Medicine 0.35 0.35 22.75$ 22.75$ 97018 00 Physical Medicine 0.17 0.17 11.05$ 11.05$ 97022 00 Physical Medicine 0.52 0.52 33.80$ 33.80$ 97024 00 Physical Medicine 0.21 0.21 13.65$ 13.65$ 97026 00 Physical Medicine 0.19 0.19 12.35$ 12.35$ 97028 00 Physical Medicine 0.24 0.24 15.60$ 15.60$ 97032 00 Physical Medicine 0.43 0.43 27.95$ 27.95$ 97033 00 Physical Medicine 0.59 0.59 38.35$ 38.35$ 97034 00 Physical Medicine 0.43 0.43 27.95$ 27.95$ 97035 00 Physical Medicine 0.42 0.42 27.30$ 27.30$ 97036 00 Physical Medicine 1.01 1.01 65.65$ 65.65$ 97039 00 Physical Medicine - - 25.35$ 25.35$ 97110 00 Physical Medicine 0.87 0.87 56.55$ 56.55$ 97112 00 Physical Medicine 1.01 1.01 65.65$ 65.65$ 97113 00 Physical Medicine 1.10 1.10 71.50$ 71.50$ 97116 00 Physical Medicine 0.87 0.87 56.55$ 56.55$ 97124 00 Physical Medicine 0.85 0.85 55.25$ 55.25$ 97129 00 Physical Medicine 0.67 0.67 43.55$ 43.55$ 97130 00 Physical Medicine 0.65 0.64 42.25$ 41.60$ 97139 00 Physical Medicine - - 31.85$ 31.85$ 97140 00 Physical Medicine 0.80 0.80 52.00$ 52.00$ 97150 00 Physical Medicine 0.52 0.52 33.80$ 33.80$ 97151 00 Physical Medicine 0.00 0.00 BR BR97152 00 Physical Medicine 0.00 0.00 BR BR97153 00 Physical Medicine 0.00 0.00 BR BR97154 00 Physical Medicine 0.00 0.00 BR BR97155 00 Physical Medicine 0.00 0.00 BR BR97156 00 Physical Medicine 0.00 0.00 BR BR97157 00 Physical Medicine 0.00 0.00 BR BR97158 00 Physical Medicine 0.00 0.00 BR BR97161 00 Physical Medicine 2.92 2.92 189.80$ 189.80$ 97162 00 Physical Medicine 2.92 2.92 189.80$ 189.80$ 97163 00 Physical Medicine 2.92 2.92 189.80$ 189.80$ 97164 00 Physical Medicine 2.00 2.00 130.00$ 130.00$ 97165 00 Physical Medicine 2.83 2.83 183.95$ 183.95$ 97166 00 Physical Medicine 2.83 2.83 183.95$ 183.95$ 97167 00 Physical Medicine 2.83 2.83 183.95$ 183.95$ 97168 00 Physical Medicine 1.91 1.91 124.15$ 124.15$ 97169 00 Physical Medicine - - 100.75$ 100.75$ 97170 00 Physical Medicine - - 100.75$ 100.75$ 97171 00 Physical Medicine - - 100.75$ 100.75$ 97172 00 Physical Medicine - - 50.70$ 50.70$ 97530 00 Physical Medicine 1.13 1.13 73.45$ 73.45$ 97533 00 Physical Medicine 1.74 1.74 113.10$ 113.10$ 97535 00 Physical Medicine 0.97 0.97 63.05$ 63.05$ 97537 00 Physical Medicine 0.93 0.93 60.45$ 60.45$ 97542 00 Physical Medicine 0.94 0.94 61.10$ 61.10$ 97545 00 Physical Medicine - - 317.20$ 317.20$ 97546 00 Physical Medicine - - 126.75$ 126.75$ 97597 00 Physical Medicine 2.94 1.04 191.10$ 67.60$ 97598 00 Physical Medicine 1.34 0.73 87.10$ 47.45$ 97602 00 Physical Medicine - - 160.55$ 160.55$

ARIZONA PHYSICIANS' FEE SCHEDULEPhysical Medicine Codes 2021

Physical Medicine Conversion Factor $65.00

PROPOSAL

192


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate97605 00 Physical Medicine 1.24 0.73 80.60$ 47.45$ 97606 00 Physical Medicine 1.47 0.80 95.55$ 52.00$ 97607 00 Physical Medicine 10.08 0.67 655.20$ 43.55$ 97608 00 Physical Medicine 9.81 0.74 637.65$ 48.10$ 97610 00 Physical Medicine 11.93 0.53 775.45$ 34.45$ 97750 00 Physical Medicine 0.99 0.99 64.35$ 64.35$ 97755 00 Physical Medicine 1.11 1.11 72.15$ 72.15$ 97760 00 Physical Medicine 1.44 1.44 93.60$ 93.60$ 97761 00 Physical Medicine 1.22 1.22 79.30$ 79.30$ 97763 00 Physical Medicine 1.58 1.58 102.70$ 102.70$ 97799 00 Physical Medicine 0.00 0.00 BR BR97802 00 Physical Medicine 1.08 0.95 70.20$ 61.75$ 97803 00 Physical Medicine 0.93 0.81 60.45$ 52.65$ 97804 00 Physical Medicine 0.49 0.45 31.85$ 29.25$ 97810 00 Physical Medicine 1.06 0.88 68.90$ 57.20$ 97811 00 Physical Medicine 0.80 0.73 52.00$ 47.45$ 97813 00 Physical Medicine 1.21 0.95 78.65$ 61.75$ 97814 00 Physical Medicine 1.00 0.81 65.00$ 52.65$ 98925 00 Physical Medicine 0.92 0.70 59.80$ 45.50$ 98926 00 Physical Medicine 1.30 1.03 84.50$ 66.95$ 98927 00 Physical Medicine 1.70 1.36 110.50$ 88.40$ 98928 00 Physical Medicine 2.07 1.70 134.55$ 110.50$ 98929 00 Physical Medicine 2.49 2.08 161.85$ 135.20$ 98940 00 Physical Medicine 0.81 0.64 52.65$ 41.60$ 98941 00 Physical Medicine 1.16 0.98 75.40$ 63.70$ 98942 00 Physical Medicine 1.52 1.34 98.80$ 87.10$ 98943 00 Physical Medicine 0.79 0.68 51.35$ 44.20$ 98960 00 Physical Medicine 0.80 0.80 52.00$ 52.00$ 98961 00 Physical Medicine 0.39 0.39 25.35$ 25.35$ 98962 00 Physical Medicine 0.29 0.29 18.85$ 18.85$ 98966 00 Physical Medicine 0.40 0.37 26.00$ 24.05$ 98967 00 Physical Medicine 0.77 0.73 50.05$ 47.45$ 98968 00 Physical Medicine 1.13 1.09 73.45$ 70.85$ 98970 00 Physical Medicine 0.34 0.33 22.10$ 21.45$ 98971 00 Physical Medicine 0.60 0.59 39.00$ 38.35$ 98972 00 Physical Medicine 0.94 0.94 61.10$ 61.10$

PROPOSAL

193


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate99202 00 E&M 2.12 1.43 137.80$ 92.95$ 99203 00 E&M 3.26 2.42 211.90$ 157.30$ 99204 00 E&M 4.87 3.94 316.55$ 256.10$ 99205 00 E&M 6.43 5.35 417.95$ 347.75$ 99211 00 E&M 0.66 0.26 42.90$ 16.90$ 99212 00 E&M 1.63 1.04 105.95$ 67.60$ 99213 00 E&M 2.65 1.95 172.25$ 126.75$ 99214 00 E&M 3.76 2.88 244.40$ 187.20$ 99215 00 E&M 5.25 4.24 341.25$ 275.60$ 99217 00 E&M 2.07 2.07 134.55$ 134.55$ 99218 00 E&M 2.82 2.82 183.30$ 183.30$ 99219 00 E&M 3.85 3.85 250.25$ 250.25$ 99220 00 E&M 5.21 5.21 338.65$ 338.65$ 99221 00 E&M 2.90 2.90 188.50$ 188.50$ 99222 00 E&M 3.90 3.90 253.50$ 253.50$ 99223 00 E&M 5.74 5.74 373.10$ 373.10$ 99224 00 E&M 1.11 1.11 72.15$ 72.15$ 99225 00 E&M 2.06 2.06 133.90$ 133.90$ 99226 00 E&M 2.96 2.96 192.40$ 192.40$ 99231 00 E&M 1.10 1.10 71.50$ 71.50$ 99232 00 E&M 2.06 2.06 133.90$ 133.90$ 99233 00 E&M 2.96 2.96 192.40$ 192.40$ 99234 00 E&M 3.77 3.77 245.05$ 245.05$ 99235 00 E&M 4.79 4.79 311.35$ 311.35$ 99236 00 E&M 6.15 6.15 399.75$ 399.75$ 99238 00 E&M 2.07 2.07 134.55$ 134.55$ 99239 00 E&M 3.05 3.05 198.25$ 198.25$ 99241 00 E&M 1.35 0.93 87.75$ 60.45$ 99242 00 E&M 2.55 1.96 165.75$ 127.40$ 99243 00 E&M 3.49 2.74 226.85$ 178.10$ 99244 00 E&M 5.23 4.41 339.95$ 286.65$ 99245 00 E&M 6.37 5.45 414.05$ 354.25$ 99251 00 E&M 1.41 1.41 91.65$ 91.65$ 99252 00 E&M 2.15 2.15 139.75$ 139.75$ 99253 00 E&M 3.30 3.30 214.50$ 214.50$ 99254 00 E&M 4.78 4.78 310.70$ 310.70$ 99255 00 E&M 5.76 5.76 374.40$ 374.40$ 99281 00 E&M 0.64 0.64 41.60$ 41.60$ 99282 00 E&M 1.24 1.24 80.60$ 80.60$ 99283 00 E&M 2.09 2.09 135.85$ 135.85$ 99284 00 E&M 3.55 3.55 230.75$ 230.75$ 99285 00 E&M 5.18 5.18 336.70$ 336.70$ 99288 00 E&M 0.00 0.00 Bundled Code Bundled Code 99291 00 E&M 8.11 6.33 527.15$ 411.45$ 99292 00 E&M 3.55 3.18 230.75$ 206.70$ 99304 00 E&M 2.57 2.57 167.05$ 167.05$ 99305 00 E&M 3.71 3.71 241.15$ 241.15$ 99306 00 E&M 4.77 4.77 310.05$ 310.05$ 99307 00 E&M 1.26 1.26 81.90$ 81.90$ 99308 00 E&M 1.98 1.98 128.70$ 128.70$ 99309 00 E&M 2.61 2.61 169.65$ 169.65$ 99310 00 E&M 3.87 3.87 251.55$ 251.55$ 99315 00 E&M 2.09 2.09 135.85$ 135.85$ 99316 00 E&M 3.01 3.01 195.65$ 195.65$ 99318 00 E&M 2.74 2.74 178.10$ 178.10$

ARIZONA PHYSICIANS' FEE SCHEDULEE&M Codes 2021

E&M Conversion Factor $65.00

PROPOSAL

194


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate99324 00 E&M 1.55 1.55 100.75$ 100.75$ 99325 00 E&M 2.27 2.27 147.55$ 147.55$ 99326 00 E&M 3.97 3.97 258.05$ 258.05$ 99327 00 E&M 5.32 5.32 345.80$ 345.80$ 99328 00 E&M 6.26 6.26 406.90$ 406.90$ 99334 00 E&M 1.72 1.72 111.80$ 111.80$ 99335 00 E&M 2.74 2.74 178.10$ 178.10$ 99336 00 E&M 3.88 3.88 252.20$ 252.20$ 99337 00 E&M 5.55 5.55 360.75$ 360.75$ 99339 00 E&M 0.00 0.00 Bundled Code Bundled Code 99340 00 E&M 0.00 0.00 Bundled Code Bundled Code 99341 00 E&M 1.56 1.56 101.40$ 101.40$ 99342 00 E&M 2.20 2.20 143.00$ 143.00$ 99343 00 E&M 3.64 3.64 236.60$ 236.60$ 99344 00 E&M 5.19 5.19 337.35$ 337.35$ 99345 00 E&M 6.32 6.32 410.80$ 410.80$ 99347 00 E&M 1.57 1.57 102.05$ 102.05$ 99348 00 E&M 2.40 2.40 156.00$ 156.00$ 99349 00 E&M 3.70 3.70 240.50$ 240.50$ 99350 00 E&M 5.12 5.12 332.80$ 332.80$ 99354 00 E&M 3.70 3.46 240.50$ 224.90$ 99355 00 E&M 2.76 2.55 179.40$ 165.75$ 99356 00 E&M 2.62 2.62 170.30$ 170.30$ 99357 00 E&M 2.63 2.63 170.95$ 170.95$ 99358 00 E&M 3.20 3.20 208.00$ 208.00$ 99359 00 E&M 1.53 1.53 99.45$ 99.45$ 99360 00 E&M 1.76 1.76 114.40$ 114.40$ 99366 00 E&M 1.23 1.20 79.95$ 78.00$ 99367 00 E&M 1.62 1.62 105.30$ 105.30$ 99368 00 E&M 1.05 1.05 68.25$ 68.25$ 99374 00 E&M 0.00 0.00 Bundled Code Bundled Code 99375 00 E&M 3.00 2.54 195.00$ 165.10$ 99377 00 E&M 0.00 0.00 Bundled Code Bundled Code 99378 00 E&M 3.00 2.54 195.00$ 165.10$ 99379 00 E&M 0.00 0.00 Bundled Code Bundled Code 99380 00 E&M 0.00 0.00 Bundled Code Bundled Code 99381 00 E&M 0.00 0.00 BR BR99382 00 E&M 0.00 0.00 BR BR99383 00 E&M 0.00 0.00 BR BR99384 00 E&M 0.00 0.00 BR BR99385 00 E&M 0.00 0.00 BR BR99386 00 E&M 0.00 0.00 BR BR99387 00 E&M 0.00 0.00 BR BR99391 00 E&M 0.00 0.00 BR BR99392 00 E&M 0.00 0.00 BR BR99393 00 E&M 0.00 0.00 BR BR99394 00 E&M 0.00 0.00 BR BR99395 00 E&M 0.00 0.00 BR BR99396 00 E&M 0.00 0.00 BR BR99397 00 E&M 0.00 0.00 BR BR99401 00 E&M 0.00 0.00 BR BR99402 00 E&M 0.00 0.00 BR BR99403 00 E&M 0.00 0.00 BR BR99404 00 E&M 0.00 0.00 BR BR99406 00 E&M 0.00 0.00 BR BR99407 00 E&M 0.00 0.00 BR BR99408 00 E&M 0.00 0.00 BR BR99409 00 E&M 0.00 0.00 BR BR99411 00 E&M 0.00 0.00 BR BR

PROPOSAL

195


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate99412 00 E&M 0.00 0.00 BR BR99415 00 E&M 0.29 0.29 18.85$ 18.85$ 99416 00 E&M 0.15 0.15 9.75$ 9.75$ 99417 00 E&M 0.00 0.00 BR BR99421 00 E&M 0.43 0.37 27.95$ 24.05$ 99422 00 E&M 0.86 0.75 55.90$ 48.75$ 99423 00 E&M 1.36 1.18 88.40$ 76.70$ 99429 00 E&M 0.00 0.00 BR BR99439 00 E&M 1.08 0.81 70.20$ 52.65$ 99441 00 E&M 1.63 1.04 105.95$ 67.60$ 99442 00 E&M 2.66 1.96 172.90$ 127.40$ 99443 00 E&M 3.77 2.89 245.05$ 187.85$ 99446 00 E&M 0.54 0.54 35.10$ 35.10$ 99447 00 E&M 0.97 0.97 63.05$ 63.05$ 99448 00 E&M 1.54 1.54 100.10$ 100.10$ 99449 00 E&M 2.10 2.10 136.50$ 136.50$ 99450 00 E&M 0.00 0.00 BR BR99451 00 E&M 1.04 1.04 67.60$ 67.60$ 99452 00 E&M 1.05 1.05 68.25$ 68.25$ 99453 00 E&M 0.55 0.55 35.75$ 35.75$ 99454 00 E&M 1.81 1.81 117.65$ 117.65$ 99455 00 E&M 5.23 5.23 339.95$ 339.95$ 99456 00 E&M 6.87 6.87 446.55$ 446.55$ 99457 00 E&M 1.46 0.91 94.90$ 59.15$ 99458 00 E&M 1.18 0.91 76.70$ 59.15$ 99460 00 E&M 2.74 2.74 178.10$ 178.10$ 99461 00 E&M 2.65 1.80 172.25$ 117.00$ 99462 00 E&M 1.19 1.19 77.35$ 77.35$ 99463 00 E&M 3.16 3.16 205.40$ 205.40$ 99464 00 E&M 2.14 2.14 139.10$ 139.10$ 99465 00 E&M 4.18 4.18 271.70$ 271.70$ 99466 00 E&M 6.81 6.81 442.65$ 442.65$ 99467 00 E&M 3.41 3.41 221.65$ 221.65$ 99468 00 E&M 26.22 26.22 1,704.30$ 1,704.30$ 99469 00 E&M 11.34 11.34 737.10$ 737.10$ 99471 00 E&M 22.70 22.70 1,475.50$ 1,475.50$ 99472 00 E&M 11.56 11.56 751.40$ 751.40$ 99473 00 E&M 0.33 0.33 21.45$ 21.45$ 99474 00 E&M 0.43 0.25 27.95$ 16.25$ 99475 00 E&M 16.41 16.41 1,066.65$ 1,066.65$ 99476 00 E&M 9.85 9.85 640.25$ 640.25$ 99477 00 E&M 9.94 9.94 646.10$ 646.10$ 99478 00 E&M 3.90 3.90 253.50$ 253.50$ 99479 00 E&M 3.55 3.55 230.75$ 230.75$ 99480 00 E&M 3.41 3.41 221.65$ 221.65$ 99483 00 E&M 8.10 5.70 526.50$ 370.50$ 99484 00 E&M 1.34 0.88 87.10$ 57.20$ 99485 00 E&M 0.00 0.00 Bundled Code Bundled Code 99486 00 E&M 0.00 0.00 Bundled Code Bundled Code 99487 00 E&M 2.63 1.47 170.95$ 95.55$ 99489 00 E&M 1.26 0.74 81.90$ 48.10$ 99490 00 E&M 1.18 0.91 76.70$ 59.15$ 99491 00 E&M 2.36 2.36 153.40$ 153.40$ 99492 00 E&M 4.42 2.69 287.30$ 174.85$ 99493 00 E&M 4.42 2.94 287.30$ 191.10$ 99494 00 E&M 1.69 1.17 109.85$ 76.05$ 99495 00 E&M 5.96 4.16 387.40$ 270.40$ 99496 00 E&M 8.07 5.66 524.55$ 367.90$ 99497 00 E&M 2.46 2.25 159.90$ 146.25$

PROPOSAL

196


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate99498 00 E&M 2.13 2.12 138.45$ 137.80$ 99499 00 E&M 0.00 0.00 BR BRG2010 00 E&M 0.35 0.27 22.75$ 17.55$ G2012 00 E&M 0.42 0.38 27.30$ 24.70$

PROPOSAL

197


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate99000 00 Special Service - - 11.05$ 11.05$ 99001 00 Special Service - - 13.00$ 13.00$ 99002 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99024 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99026 00 Special Service 0.00 0.00 BR BR99027 00 Special Service 0.00 0.00 BR BR99050 00 Special Service - - 36.40$ 36.40$ 99051 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99053 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99056 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99058 00 Special Service - - 43.55$ 43.55$ 99060 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99070 00 Special Service 0.00 0.00 BR BR99071 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99072 00 Special Service 0.00 0.00 BR BR99075 00 Special Service 0.00 0.00 BR BR99078 00 Special Service 0.00 0.00 Bundled Code Bundled Code 99080 00 Special Service 0.00 0.00 BR BR99082 00 Special Service - - 55.90$ 55.90$ 99091 00 Special Service 1.63 1.63 105.95$ 105.95$ 99100 00 Special Service 0.00 0.00 See Anesthesia Section See Anesthesia Section99116 00 Special Service 0.00 0.00 See Anesthesia Section See Anesthesia Section99135 00 Special Service 0.00 0.00 See Anesthesia Section See Anesthesia Section99140 00 Special Service 0.00 0.00 See Anesthesia Section See Anesthesia Section99151 00 Special Service 2.54 0.73 165.10$ 47.45$ 99152 00 Special Service 1.51 0.36 98.15$ 23.40$ 99153 00 Special Service 0.31 0.31 20.15$ 20.15$ 99155 00 Special Service 2.43 2.43 157.95$ 157.95$ 99156 00 Special Service 2.22 2.22 144.30$ 144.30$ 99157 00 Special Service 1.83 1.83 118.95$ 118.95$ 99170 00 Special Service 4.69 2.50 304.85$ 162.50$ 99172 00 Special Service - - 34.45$ 34.45$ 99173 00 Special Service 0.09 0.09 5.85$ 5.85$ 99174 00 Special Service 0.16 0.16 10.40$ 10.40$ 99175 00 Special Service 0.86 0.86 55.90$ 55.90$ 99177 00 Special Service 0.13 0.13 8.45$ 8.45$ 99183 00 Special Service 3.15 3.15 204.75$ 204.75$ 99184 00 Special Service 6.36 6.36 413.40$ 413.40$ 99188 00 Special Service 0.36 0.30 23.40$ 19.50$ 99190 00 Special Service - - 864.50$ 864.50$ 99191 00 Special Service - - 605.15$ 605.15$ 99192 00 Special Service - - 432.25$ 432.25$ 99195 00 Special Service 3.11 3.11 202.15$ 202.15$ 99199 00 Special Service 0.00 0.00 BR BR99500 00 Special Service 0.00 0.00 BR BR99501 00 Special Service 0.00 0.00 BR BR99502 00 Special Service 0.00 0.00 BR BR99503 00 Special Service 0.00 0.00 BR BR99504 00 Special Service 0.00 0.00 BR BR99505 00 Special Service 0.00 0.00 BR BR99506 00 Special Service 0.00 0.00 BR BR99507 00 Special Service 0.00 0.00 BR BR99509 00 Special Service 0.00 0.00 BR BR99510 00 Special Service 0.00 0.00 BR BR99511 00 Special Service 0.00 0.00 BR BR

ARIZONA PHYSICIANS' FEE SCHEDULESpecial Service Codes 2021

Special Service Conversion Factor $65.00

PROPOSAL

198


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate99512 00 Special Service 0.00 0.00 BR BR99600 00 Special Service 0.00 0.00 BR BR99601 00 Special Service 0.00 0.00 BR BR99602 00 Special Service 0.00 0.00 BR BR99605 00 Special Service 0.00 0.00 BR BR99606 00 Special Service 0.00 0.00 BR BR99607 00 Special Service 0.00 0.00 BR BR

AZ099-001 00 Peer-to-Peer interprofessional

telephone consultations between treating

physician or medical provider and Peer

Reviewer; 5-10 minutes of medical consultative

discussion and review.

Special Service 1.16 1.16 75.43$ 75.43$

AZ099-002 00 Peer-to-Peer interprofessional telephone

consultations between treating physician or

medical provider and Peer Reviewer; 11-30 minutes of

medical consultative discussion and review.

Special Service 1.55 1.55 100.57$ 100.57$

AZ099-003 00 Meeting with NCM with patient.

Special Service 1.16 1.16 75.43$ 75.43$

AZ099-004 00 Meeting with NCM without patient.

Special Service 1.55 1.55 100.57$ 100.57$

AZ099-005 00 Completion of workers’ compensation

insurance forms (i.e. return-to-work status, work

restrictions, supportive care restrictions) which are

requested or required either by the Commission,

the applicable payer (insurance, self-insured employer, or the Special

Fund of the Commission), or a third-party

administrator of the applicable payer, not to exceed more than one

billing in a thirty (30) day period. The applicable form

must be attached to the billing.

Special Service 0.62 0.62 40.30$ 40.30$

AZ099-026 00 Mileage charge, within a radius of 7 miles, for a collection and

handling service performed outside the physician's

office or laboratory.

Special Service 0.00 0.00 BR BR

AZ099-027 00 Over 7 miles, per mile.


AZ099-028 00 When more than one patient seen,

apportion mileage charge among total number of

patients.


AZ099-030 00 Mileage round-trip: each mile in

excess of 8 miles of travel by physician.


PROPOSAL

199


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS RateAZ099-031 00 Within large metropolitan areas a travel

time basis may be appropriate. Code AZ099-

031 00 would apply to Arizona's major

metropolitan areas, to include Phoenix, Tucson, Flagstaff, Kingman and Yuma. This code would

only be used when travel times are 45 minutes or

more.


AZ099-044 00 Services rendered in a night medical

care facility: a charge in addition to the usual value

of the procedure may be warranted.


AZ099-099 00 Expert testimony at hearing, per

hour.

Special Service 1.70 1.70 110.62$ 110.62$

PROPOSAL

200


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate0042T 00 Category III 0.00 0.00 RNE RNE0054T 00 Category III 0.00 0.00 RNE RNE0055T 00 Category III 0.00 0.00 RNE RNE0071T 00 Category III 0.00 0.00 RNE RNE0072T 00 Category III 0.00 0.00 RNE RNE0075T 00 Category III 0.00 0.00 RNE RNE0075T 26 Category III 0.00 0.00 RNE RNE0075T TC Category III 0.00 0.00 RNE RNE0076T 00 Category III 0.00 0.00 RNE RNE0076T 26 Category III 0.00 0.00 RNE RNE0076T TC Category III 0.00 0.00 RNE RNE0095T 00 Category III 0.00 0.00 RNE RNE0098T 00 Category III 0.00 0.00 RNE RNE0100T 00 Category III 0.00 0.00 RNE RNE0101T 00 Category III 0.00 0.00 RNE RNE0102T 00 Category III 0.00 0.00 RNE RNE0106T 00 Category III 0.00 0.00 RNE RNE0107T 00 Category III 0.00 0.00 RNE RNE0108T 00 Category III 0.00 0.00 RNE RNE0109T 00 Category III 0.00 0.00 RNE RNE0110T 00 Category III 0.00 0.00 RNE RNE0163T 00 Category III 0.00 0.00 RNE RNE0164T 00 Category III 0.00 0.00 RNE RNE0165T 00 Category III 0.00 0.00 RNE RNE0174T 00 Category III 0.00 0.00 RNE RNE0175T 00 Category III 0.00 0.00 RNE RNE0184T 00 Category III 0.00 0.00 RNE RNE0191T 00 Category III 0.00 0.00 RNE RNE0198T 00 Category III 0.00 0.00 RNE RNE0200T 00 Category III 0.00 0.00 RNE RNE0201T 00 Category III 0.00 0.00 RNE RNE0202T 00 Category III 0.00 0.00 RNE RNE0207T 00 Category III 0.00 0.00 RNE RNE0208T 00 Category III 0.00 0.00 RNE RNE0209T 00 Category III 0.00 0.00 RNE RNE0210T 00 Category III 0.00 0.00 RNE RNE0211T 00 Category III 0.00 0.00 RNE RNE0212T 00 Category III 0.00 0.00 RNE RNE0213T 00 Category III 0.00 0.00 RNE RNE0214T 00 Category III 0.00 0.00 RNE RNE0215T 00 Category III 0.00 0.00 RNE RNE0216T 00 Category III 0.00 0.00 RNE RNE0217T 00 Category III 0.00 0.00 RNE RNE0218T 00 Category III 0.00 0.00 RNE RNE0219T 00 Category III 0.00 0.00 RNE RNE0220T 00 Category III 0.00 0.00 RNE RNE0221T 00 Category III 0.00 0.00 RNE RNE0222T 00 Category III 0.00 0.00 RNE RNE0232T 00 Category III 0.00 0.00 RNE RNE0234T 00 Category III 0.00 0.00 RNE RNE0235T 00 Category III 0.00 0.00 RNE RNE0236T 00 Category III 0.00 0.00 RNE RNE0237T 00 Category III 0.00 0.00 RNE RNE0238T 00 Category III 0.00 0.00 RNE RNE0253T 00 Category III 0.00 0.00 RNE RNE

ARIZONA PHYSICIANS' FEE SCHEDULE

Category III Codes 2021

PROPOSAL

201


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate0263T 00 Category III 0.00 0.00 RNE RNE0264T 00 Category III 0.00 0.00 RNE RNE0265T 00 Category III 0.00 0.00 RNE RNE0266T 00 Category III 0.00 0.00 RNE RNE0267T 00 Category III 0.00 0.00 RNE RNE0268T 00 Category III 0.00 0.00 RNE RNE0269T 00 Category III 0.00 0.00 RNE RNE0270T 00 Category III 0.00 0.00 RNE RNE0271T 00 Category III 0.00 0.00 RNE RNE0272T 00 Category III 0.00 0.00 RNE RNE0273T 00 Category III 0.00 0.00 RNE RNE0274T 00 Category III 0.00 0.00 RNE RNE0275T 00 Category III 0.00 0.00 RNE RNE0278T 00 Category III 0.00 0.00 RNE RNE0290T 00 Category III 0.00 0.00 RNE RNE0308T 00 Category III 0.00 0.00 RNE RNE0312T 00 Category III 0.00 0.00 RNE RNE0313T 00 Category III 0.00 0.00 RNE RNE0314T 00 Category III 0.00 0.00 RNE RNE0315T 00 Category III 0.00 0.00 RNE RNE0316T 00 Category III 0.00 0.00 RNE RNE0317T 00 Category III 0.00 0.00 RNE RNE0329T 00 Category III 0.00 0.00 RNE RNE0330T 00 Category III 0.00 0.00 RNE RNE0331T 00 Category III 0.00 0.00 RNE RNE0332T 00 Category III 0.00 0.00 RNE RNE0333T 00 Category III 0.00 0.00 RNE RNE0335T 00 Category III 0.00 0.00 RNE RNE0338T 00 Category III 0.00 0.00 RNE RNE0339T 00 Category III 0.00 0.00 RNE RNE0342T 00 Category III 0.00 0.00 RNE RNE0345T 00 Category III 0.00 0.00 RNE RNE0347T 00 Category III 0.00 0.00 RNE RNE0348T 00 Category III 0.00 0.00 RNE RNE0349T 00 Category III 0.00 0.00 RNE RNE0350T 00 Category III 0.00 0.00 RNE RNE0351T 00 Category III 0.00 0.00 RNE RNE0352T 00 Category III 0.00 0.00 RNE RNE0353T 00 Category III 0.00 0.00 RNE RNE0354T 00 Category III 0.00 0.00 RNE RNE0355T 00 Category III 0.00 0.00 RNE RNE0356T 00 Category III 0.00 0.00 RNE RNE0358T 00 Category III 0.00 0.00 RNE RNE0362T 00 Category III 0.00 0.00 RNE RNE0373T 00 Category III 0.00 0.00 RNE RNE0376T 00 Category III 0.00 0.00 RNE RNE0378T 00 Category III 0.00 0.00 RNE RNE0379T 00 Category III 0.00 0.00 RNE RNE0394T 00 Category III 0.00 0.00 RNE RNE0395T 00 Category III 0.00 0.00 RNE RNE0397T 00 Category III 0.00 0.00 RNE RNE0398T 00 Category III 0.00 0.00 RNE RNE0402T 00 Category III 0.00 0.00 RNE RNE0403T 00 Category III 0.00 0.00 RNE RNE0404T 00 Category III 0.00 0.00 RNE RNE0408T 00 Category III 0.00 0.00 RNE RNE0409T 00 Category III 0.00 0.00 RNE RNE0410T 00 Category III 0.00 0.00 RNE RNE0411T 00 Category III 0.00 0.00 RNE RNE

PROPOSAL

202


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

203


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate0468T 00 Category III 0.00 0.00 RNE RNE0468T 00 Category III 0.00 0.00 RNE RNE0469T 00 Category III 0.00 0.00 RNE RNE0470T 00 Category III 0.00 0.00 RNE RNE0471T 00 Category III 0.00 0.00 RNE RNE0472T 00 Category III 0.00 0.00 RNE RNE0473T 00 Category III 0.00 0.00 RNE RNE0474T 00 Category III 0.00 0.00 RNE RNE0475T 00 Category III 0.00 0.00 RNE RNE0476T 00 Category III 0.00 0.00 RNE RNE0477T 00 Category III 0.00 0.00 RNE RNE0478T 00 Category III 0.00 0.00 RNE RNE0479T 00 Category III 0.00 0.00 RNE RNE0480T 00 Category III 0.00 0.00 RNE RNE0481T 00 Category III 0.00 0.00 RNE RNE0483T 00 Category III 0.00 0.00 RNE RNE0484T 00 Category III 0.00 0.00 RNE RNE0485T 00 Category III 0.00 0.00 RNE RNE0486T 00 Category III 0.00 0.00 RNE RNE0487T 00 Category III 0.00 0.00 RNE RNE0488T 00 Category III 0.00 0.00 RNE RNE0489T 00 Category III 0.00 0.00 RNE RNE0490T 00 Category III 0.00 0.00 RNE RNE0491T 00 Category III 0.00 0.00 RNE RNE0492T 00 Category III 0.00 0.00 RNE RNE0493T 00 Category III 0.00 0.00 RNE RNE0494T 00 Category III 0.00 0.00 RNE RNE0495T 00 Category III 0.00 0.00 RNE RNE0496T 00 Category III 0.00 0.00 RNE RNE0497T 00 Category III 0.00 0.00 RNE RNE0498T 00 Category III 0.00 0.00 RNE RNE0499T 00 Category III 0.00 0.00 RNE RNE0500T 00 Category III 0.00 0.00 RNE RNE0501T 00 Category III 0.00 0.00 RNE RNE0502T 00 Category III 0.00 0.00 RNE RNE0503T 00 Category III 0.00 0.00 RNE RNE0504T 00 Category III 0.00 0.00 RNE RNE0505T 00 Category III 0.00 0.00 RNE RNE0506T 00 Category III 0.00 0.00 RNE RNE0506T 26 Category III 0.00 0.00 RNE RNE0506T TC Category III 0.00 0.00 RNE RNE0507T 00 Category III 0.00 0.00 RNE RNE0507T 26 Category III 0.00 0.00 RNE RNE0507T TC Category III 0.00 0.00 RNE RNE0508T 00 Category III 0.00 0.00 RNE RNE0508T 26 Category III 0.00 0.00 RNE RNE0508T TC Category III 0.00 0.00 RNE RNE0509T 00 Category III 0.00 0.00 RNE RNE0509T 26 Category III 0.00 0.00 RNE RNE0509T TC Category III 0.00 0.00 RNE RNE0510T 00 Category III 0.00 0.00 RNE RNE0511T 00 Category III 0.00 0.00 RNE RNE0512T 00 Category III 0.00 0.00 RNE RNE0513T 00 Category III 0.00 0.00 RNE RNE0514T 00 Category III 0.00 0.00 RNE RNE0515T 00 Category III 0.00 0.00 RNE RNE0516T 00 Category III 0.00 0.00 RNE RNE0517T 00 Category III 0.00 0.00 RNE RNE0518T 00 Category III 0.00 0.00 RNE RNE

PROPOSAL

204


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate0519T 00 Category III 0.00 0.00 RNE RNE0520T 00 Category III 0.00 0.00 RNE RNE0521T 00 Category III 0.00 0.00 RNE RNE0521T 26 Category III 0.00 0.00 RNE RNE0521T TC Category III 0.00 0.00 RNE RNE0522T 00 Category III 0.00 0.00 RNE RNE0522T 26 Category III 0.00 0.00 RNE RNE0522T TC Category III 0.00 0.00 RNE RNE0523T 00 Category III 0.00 0.00 RNE RNE0524T 00 Category III 0.00 0.00 RNE RNE0525T 00 Category III 0.00 0.00 RNE RNE0526T 00 Category III 0.00 0.00 RNE RNE0527T 00 Category III 0.00 0.00 RNE RNE0528T 00 Category III 0.00 0.00 RNE RNE0528T 26 Category III 0.00 0.00 RNE RNE0528T TC Category III 0.00 0.00 RNE RNE0529T 00 Category III 0.00 0.00 RNE RNE0529T 26 Category III 0.00 0.00 RNE RNE0529T TC Category III 0.00 0.00 RNE RNE0530T 00 Category III 0.00 0.00 RNE RNE0531T 00 Category III 0.00 0.00 RNE RNE0532T 00 Category III 0.00 0.00 RNE RNE0533T 00 Category III 0.00 0.00 RNE RNE0533T 26 Category III 0.00 0.00 RNE RNE0533T TC Category III 0.00 0.00 RNE RNE0534T 00 Category III 0.00 0.00 RNE RNE0534T 26 Category III 0.00 0.00 RNE RNE0534T TC Category III 0.00 0.00 RNE RNE0535T 00 Category III 0.00 0.00 RNE RNE0535T 26 Category III 0.00 0.00 RNE RNE0535T TC Category III 0.00 0.00 RNE RNE0536T 00 Category III 0.00 0.00 RNE RNE0536T 26 Category III 0.00 0.00 RNE RNE0536T TC Category III 0.00 0.00 RNE RNE0537T 00 Category III 0.00 0.00 RNE RNE0538T 00 Category III 0.00 0.00 RNE RNE0539T 00 Category III 0.00 0.00 RNE RNE0540T 00 Category III 0.00 0.00 RNE RNE0541T 00 Category III 0.00 0.00 RNE RNE0542T 00 Category III 0.00 0.00 RNE RNE0543T 00 Category III 0.00 0.00 RNE RNE0544T 00 Category III 0.00 0.00 RNE RNE0545T 00 Category III 0.00 0.00 RNE RNE0546T 00 Category III 0.00 0.00 RNE RNE0547T 00 Category III 0.00 0.00 RNE RNE0548T 00 Category III 0.00 0.00 RNE RNE0549T 00 Category III 0.00 0.00 RNE RNE0550T 00 Category III 0.00 0.00 RNE RNE0551T 00 Category III 0.00 0.00 RNE RNE0552T 00 Category III 0.00 0.00 RNE RNE0553T 00 Category III 0.00 0.00 RNE RNE0554T 00 Category III 0.00 0.00 RNE RNE0555T 00 Category III 0.00 0.00 RNE RNE0556T 00 Category III 0.00 0.00 RNE RNE0557T 00 Category III 0.00 0.00 RNE RNE0558T 00 Category III 0.00 0.00 RNE RNE0559T 00 Category III 0.00 0.00 RNE RNE0560T 00 Category III 0.00 0.00 RNE RNE0561T 00 Category III 0.00 0.00 RNE RNE

PROPOSAL

205


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC


PROPOSAL

206


RVUFY21 FAC

RVUFY21 NF

RBRVS RateFY21 FAC

RBRVS Rate0622T 00 Category III 0.00 0.00 RNE RNE0623T 00 Category III 0.00 0.00 RNE RNE0624T 00 Category III 0.00 0.00 RNE RNE0625T 00 Category III 0.00 0.00 RNE RNE0626T 00 Category III 0.00 0.00 RNE RNE0627T 00 Category III 0.00 0.00 RNE RNE0628T 00 Category III 0.00 0.00 RNE RNE0629T 00 Category III 0.00 0.00 RNE RNE0630T 00 Category III 0.00 0.00 RNE RNE0631T 00 Category III 0.00 0.00 RNE RNE0632T 00 Category III 0.00 0.00 RNE RNE0633T 00 Category III 0.00 0.00 RNE RNE0634T 00 Category III 0.00 0.00 RNE RNE0635T 00 Category III 0.00 0.00 RNE RNE0636T 00 Category III 0.00 0.00 RNE RNE0637T 00 Category III 0.00 0.00 RNE RNE0638T 00 Category III 0.00 0.00 RNE RNE0639T 00 Category III 0.00 0.00 RNE RNE

PROPOSAL

207

Documents

ARIZONA PHYSICIANS' FEE SCHEDULE Anesthesia Codes 2021