Question: The national conversion factor for 2011 is $33.9764. How much can a physician in St. Louis bill Medicare for an office visit for a new

 The national conversion factor for 2011 is $33.9764. How much can

The national conversion factor for 2011 is $33.9764.

  1. How much can a physician in St. Louis bill Medicare for an office visit for a new patient with a detailed history and physical and low-complexity medical decision making (assuming the patient has met any deductible for the year)?

2. In which city would a physician receive the highest reimbursement for a TURP?

3. In which city would a physician receive the lowest reimbursement for a colonoscopy with biopsy?

4. Calculate the expected payment for an incision and drainage of a pilonidal cyst in each of the cities listed.

Sample 2011 RVUs for selected HCPCS codes

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