R0075 — Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

What the market charges

Across 573 negotiated rates, the middle 80% fall between $33 and $492, with a median of $149.

What Medicare pays

Medicare allowed an average of $87 for this code, across 385,487 services billed by 196 providers. At the median, the market charges 1.7 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing R0075 most, by Medicare service volume, each compared against the national average of $87. Each links to the providers Mishe lists there.

• Maryland — 6 providers billed it, Medicare allowed $82 — 6% below the national average
• New York — 17 providers billed it, Medicare allowed $85 — 2% below the national average
• Florida — 12 providers billed it, Medicare allowed $57 — 34% below the national average
• California — 22 providers billed it, Medicare allowed $101 — 16% above the national average
• Ohio — 9 providers billed it, Medicare allowed $90 — 3% above the national average
• Texas — 23 providers billed it, Medicare allowed $137 — 57% above the national average
• Pennsylvania — 8 providers billed it, Medicare allowed $75 — 14% below the national average
• New Jersey — 6 providers billed it, Medicare allowed $85 — 2% below the national average

Claim-editing rules

These are National Correct Coding Initiative procedure-to-procedure edits — the rules a payer applies when deciding whether two codes billed together are both payable.

Codes this one absorbs

Billed together, R0075 is the payable code and these are not separately payable. 1 pairs in total.

• R0070 — a modifier may allow both to be paid

Other codes

• J2777 — Injection, faricimab-svoa, 0.1 mg
• J0897 — Injection, denosumab, 1 mg
• J9271 — Injection, pembrolizumab, 1 mg
• J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
• G0008 — Administration of influenza virus vaccine
• G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
• J9144 — Injection, daratumumab, 10 mg and hyaluronidase-fihj
• J9299 — Injection, nivolumab, 1 mg
• J1745 — Injection, infliximab, excludes biosimilar, 10 mg
• J2357 — Injection, omalizumab, 5 mg

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

• Contact Mishe to learn how to deploy these resources for your team
• Guides to direct-pay healthcare
• Cash prices by procedure
• Find a provider by state

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