The prices listed are based on the rates used by Medicare in 2009 in Harris County Texas. Harris County is among the more expensive areas of the country for medical services, however Medicare rates are still about 60% below the usual charges for patients who are not insured and those who have insurance with companies that don't hold contracts with the specific provider being consulted.
In PPC, the physicians and medical facilities have agreed to charge our members based on these published prices. If a member has purchased the PPC group insurance from New Era Life issued to the Association then their policy pays claims based on this published price list.
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- Medicine - CPT code range 90281 to 96999; 97001 to 97799; 98925 to 99199
- Surgery - CPT code range 10021 to 69999
- Radiology - CPT code range 70010 to 79999
- Anesthesia - CPT code range 00100 to 01999; 99100 to 99142
- Pathology - CPT code range 80002 to 89399
- Evaluation and Management – CPT code range 99201 to 99499
- Hospital DRG code range DRG-001 to DRG-999
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