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- Mar 17, 2011
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How much variability is there by region and/or health system in regards to contacted rates for procedures? I’ve reviewed the CMS website, and for any given CPT code (I.e. 64483) there is a fair amount of variability (~10-25%) by region.
Do the same degrees of variability exist among private payors? I’m not referring to SOS. For example could BCBS have a contracted rate for in office stim trial of X within the Kaiser system, and 0.3X at the smaller private group in the same area?
Do the same degrees of variability exist among private payors? I’m not referring to SOS. For example could BCBS have a contracted rate for in office stim trial of X within the Kaiser system, and 0.3X at the smaller private group in the same area?