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CMS reimburses in the range of $200 to $350 for CPT 91034 depending on locality code. If appropriate, the visit is often coded with an E and M code (99211-00215) in addition to 91034. Third parties usually reimburse more than CMS. Usual and customary charges fall at $560 for the 50th percentile and $1,021 for the 90th percentile.
