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. 1996 Spring;17(3):161–170.

Table 4. Average Medicare and PPO Payments per RVU for Broad Categories of Physician Services by Private Payer: 1993.

Type of Service Categories Payer 1 Payer 2


Medicare PPO Differential
(Percent)
Medicare PPO Differential
(Percent)
All Physician Services $30.11 $46.48 35.2 $29.58 $44.29 33.2
Evaluation and Management 28.57 33.75 15.3 28.21 37.24 24.2
Procedures 30.93 57.96 46.6 31.18 55.81 44.1
Imaging 32.78 55.35 40.8 33.58 57.53 41.6
Tests 29.79 48.19 38.2 29.94 46.25 35.3

NOTE: PPO is preferred provider organization. RVU is relative value unit.

SOURCE: Urban Institute analysis of 1993 claims from the Medicare National Claims History System and two large private payers.