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. 2014 Oct 9;54(10):1565–1573. doi: 10.1111/head.12456

Table 1.

Sources of Unit Prices

Healthcare Resource Unit Price Source
Emergency department visit $473.82/Visit State Emergency Department. Databases (2013). Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost & Utilization Project. Weighted average of mean hospital costs associated with International Classification of Diseases, Ninth Revision (ICD9) 346.x.
Inpatient hospitalization $6155.42/Hospitalization National Inpatient Statistics (2009). Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost & Utilization Project. Weighted average of mean hospital costs associated with ICD9 346.7-346.73. Inflated to 2013 US$ using the medical care consumer price index.
Urgent care visit $130.28/Visit 2013 Medicare Physician Fee Schedule (MPFS) reimbursement, without geographic adjustment, for Current Procedural Terminology (CPT) 99214 (office or other outpatient visit for an established patient requiring a detailed history and examination of at least 25 minutes). Divided by 0.82 to estimate commercial reimbursements from Medicare reimbursements (per Medicare Payment Advisory Commission Report).
OnabotulinumtoxinA drug $5.25/Unit Redbook wholesale acquisition cost.
OnabotulinumtoxinA administration $175.51/Administration 2013 MPFS reimbursement, without geographic adjustment, for CPT 64615 (chemodenervation of muscle[s]; muscle[s] innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral [eg, for chronic migraine]). Divided by 0.82 to estimate commercial reimbursements from Medicare reimbursements (per Medicare Payment Advisory Commission Report).