|
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS
|
Facility
|
OP
|
$228.00
|
|
|
Service Code
|
CPT 36591
|
| Hospital Charge Code |
2209998
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$49.11 |
| Max. Negotiated Rate |
$249.80 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$61.99
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$136.80
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$61.99
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$49.11
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$124.90
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cigna Commercial |
$193.80
|
| Rate for Payer: First Health Commercial |
$205.20
|
| Rate for Payer: First Health Workers Compensation |
$88.03
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$205.20
|
| Rate for Payer: GEHA Commercial |
$182.40
|
| Rate for Payer: GEHA Medicare |
$124.90
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$205.20
|
| Rate for Payer: Humana ChoiceCare |
$137.39
|
| Rate for Payer: Humana Medicare Advantage |
$124.90
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$209.83
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$50.11
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$124.90
|
| Rate for Payer: Multiplan All |
$207.48
|
| Rate for Payer: New Mexico Health Connections Medicare |
$212.33
|
| Rate for Payer: OMNI Networks Commercial |
$159.60
|
| Rate for Payer: One Health Plan PPO/POS |
$205.20
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$57.86
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$50.11
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$124.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$216.60
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$249.80
|
| Rate for Payer: Three Rivers Provider Network All |
$171.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$122.40
|
| Rate for Payer: United Healthcare Commercial |
$193.80
|
| Rate for Payer: United Healthcare Managed Medicaid |
$50.11
|
| Rate for Payer: United Healthcare Medicare Advantage |
$124.90
|
| Rate for Payer: United Payors & United Providers UP&UP |
$212.04
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$124.90
|
| Rate for Payer: Zelis Auto |
$91.20
|
| Rate for Payer: Zelis Medicare |
$106.17
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$149.88
|
| Rate for Payer: Zelis Worker's Compensation |
$62.24
|
|
|
COLLECT BLOOD FROM IMPLANT VENOUS ACCESS
|
Facility
|
OP
|
$228.00
|
|
| Hospital Charge Code |
8150102
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$57.00 |
| Max. Negotiated Rate |
$216.60 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cigna Commercial |
$193.80
|
| Rate for Payer: First Health Commercial |
$205.20
|
| Rate for Payer: First Health Workers Compensation |
$88.03
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$205.20
|
| Rate for Payer: GEHA Commercial |
$182.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$205.20
|
| Rate for Payer: Humana ChoiceCare |
$59.28
|
| Rate for Payer: Multiplan All |
$207.48
|
| Rate for Payer: New Mexico Health Connections Medicare |
$136.80
|
| Rate for Payer: OMNI Networks Commercial |
$159.60
|
| Rate for Payer: One Health Plan PPO/POS |
$205.20
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$216.60
|
| Rate for Payer: Three Rivers Provider Network All |
$171.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$200.64
|
| Rate for Payer: United Healthcare Managed Medicaid |
$57.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$212.04
|
| Rate for Payer: Zelis Auto |
$91.20
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$114.00
|
| Rate for Payer: Zelis Worker's Compensation |
$62.24
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
8699252
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
21799492
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9799223
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
8499252
|
|
Hospital Revenue Code
|
513
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$80.00 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$80.00
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
8099284
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$10.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: Zelis Auto |
$6.00
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$27.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
6180026
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$7.37 |
| Max. Negotiated Rate |
$25.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$16.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cigna Commercial |
$22.95
|
| Rate for Payer: First Health Commercial |
$24.30
|
| Rate for Payer: First Health Workers Compensation |
$10.42
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$24.30
|
| Rate for Payer: GEHA Commercial |
$21.60
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$24.30
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$24.57
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$18.90
|
| Rate for Payer: One Health Plan PPO/POS |
$24.30
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$25.65
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$20.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Commercial |
$22.95
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$25.11
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$10.80
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$7.37
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
21599499
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$10.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
8499252
|
|
Hospital Revenue Code
|
513
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$10.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9100001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Commercial |
$12.75
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
7599223
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$27.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
24500035
|
|
Hospital Revenue Code
|
280
|
| Min. Negotiated Rate |
$7.37 |
| Max. Negotiated Rate |
$25.65 |
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cigna Commercial |
$22.95
|
| Rate for Payer: First Health Commercial |
$24.30
|
| Rate for Payer: First Health Workers Compensation |
$10.42
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$24.30
|
| Rate for Payer: GEHA Commercial |
$18.90
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$24.30
|
| Rate for Payer: Multiplan All |
$24.57
|
| Rate for Payer: OMNI Networks Commercial |
$18.90
|
| Rate for Payer: One Health Plan PPO/POS |
$24.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$25.65
|
| Rate for Payer: Three Rivers Provider Network All |
$20.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$25.11
|
| Rate for Payer: Zelis Auto |
$10.80
|
| Rate for Payer: Zelis Worker's Compensation |
$7.37
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$27.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
2209999
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$7.37 |
| Max. Negotiated Rate |
$25.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$16.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cigna Commercial |
$22.95
|
| Rate for Payer: First Health Commercial |
$24.30
|
| Rate for Payer: First Health Workers Compensation |
$10.42
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$24.30
|
| Rate for Payer: GEHA Commercial |
$21.60
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$24.30
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$24.57
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$18.90
|
| Rate for Payer: One Health Plan PPO/POS |
$24.30
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$25.65
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$20.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Commercial |
$22.95
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$25.11
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$10.80
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$7.37
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
8900012
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$27.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
21600081
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$7.37 |
| Max. Negotiated Rate |
$25.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$16.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cigna Commercial |
$22.95
|
| Rate for Payer: First Health Commercial |
$24.30
|
| Rate for Payer: First Health Workers Compensation |
$10.42
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$24.30
|
| Rate for Payer: GEHA Commercial |
$21.60
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$24.30
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$24.57
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$18.90
|
| Rate for Payer: One Health Plan PPO/POS |
$24.30
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$25.65
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$20.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$25.11
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$10.80
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$7.37
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9100001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: GEHA Commercial |
$10.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9299216
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$10.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$27.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
7236415
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$7.37 |
| Max. Negotiated Rate |
$25.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$16.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cash Price |
$16.20
|
| Rate for Payer: Cigna Commercial |
$22.95
|
| Rate for Payer: First Health Commercial |
$24.30
|
| Rate for Payer: First Health Workers Compensation |
$10.42
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$24.30
|
| Rate for Payer: GEHA Commercial |
$21.60
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$24.30
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$24.57
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$18.90
|
| Rate for Payer: One Health Plan PPO/POS |
$24.30
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$25.65
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$20.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$25.11
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$10.80
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$7.37
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9399223
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9099223
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$10.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9699351
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9299216
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
IP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
7999253
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$10.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
|
COLLECTION VENOUS BLOOD VENIPUNCTURE
|
Facility
|
OP
|
$15.00
|
|
|
Service Code
|
CPT 36415
|
| Hospital Charge Code |
9099223
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$4.09 |
| Max. Negotiated Rate |
$18.18 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$9.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$15.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$12.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$9.09
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cigna Commercial |
$12.75
|
| Rate for Payer: First Health Commercial |
$13.50
|
| Rate for Payer: First Health Workers Compensation |
$5.79
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$13.50
|
| Rate for Payer: GEHA Commercial |
$12.00
|
| Rate for Payer: GEHA Medicare |
$9.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$13.50
|
| Rate for Payer: Humana ChoiceCare |
$10.00
|
| Rate for Payer: Humana Medicare Advantage |
$9.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$15.27
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$12.46
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$9.09
|
| Rate for Payer: Multiplan All |
$13.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$15.45
|
| Rate for Payer: OMNI Networks Commercial |
$10.50
|
| Rate for Payer: One Health Plan PPO/POS |
$13.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$14.39
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$12.46
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$9.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$14.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$18.18
|
| Rate for Payer: Three Rivers Provider Network All |
$11.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$8.91
|
| Rate for Payer: United Healthcare Managed Medicaid |
$12.46
|
| Rate for Payer: United Healthcare Medicare Advantage |
$9.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$13.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$9.09
|
| Rate for Payer: Zelis Auto |
$6.00
|
| Rate for Payer: Zelis Medicare |
$7.73
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$10.91
|
| Rate for Payer: Zelis Worker's Compensation |
$4.09
|
|
