|
FINE NEEDLE ASPIRATION BX W/CT GDN 1ST L
|
Facility
|
OP
|
$2,944.00
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
2400108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$567.88 |
| Max. Negotiated Rate |
$2,796.80 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,766.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$688.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$668.09
|
| Rate for Payer: Cash Price |
$1,766.40
|
| Rate for Payer: Cash Price |
$1,766.40
|
| Rate for Payer: Cigna Commercial |
$2,502.40
|
| Rate for Payer: First Health Commercial |
$2,649.60
|
| Rate for Payer: First Health Workers Compensation |
$859.83
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,649.60
|
| Rate for Payer: GEHA Commercial |
$2,355.20
|
| Rate for Payer: GEHA Medicare |
$668.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,649.60
|
| Rate for Payer: Humana ChoiceCare |
$734.90
|
| Rate for Payer: Humana Medicare Advantage |
$668.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$1,122.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$702.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$668.09
|
| Rate for Payer: Multiplan All |
$2,679.04
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,135.75
|
| Rate for Payer: OMNI Networks Commercial |
$2,060.80
|
| Rate for Payer: One Health Plan PPO/POS |
$2,649.60
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$811.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$702.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$668.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,796.80
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,336.18
|
| Rate for Payer: Three Rivers Provider Network All |
$2,208.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$654.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$702.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$668.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,737.92
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$668.09
|
| Rate for Payer: Zelis Auto |
$1,177.60
|
| Rate for Payer: Zelis Medicare |
$567.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$801.71
|
| Rate for Payer: Zelis Worker's Compensation |
$607.96
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN 1ST L
|
Facility
|
IP
|
$2,944.00
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
7778514
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$803.71 |
| Max. Negotiated Rate |
$2,796.80 |
| Rate for Payer: Cash Price |
$1,766.40
|
| Rate for Payer: Cigna Commercial |
$2,502.40
|
| Rate for Payer: First Health Commercial |
$2,649.60
|
| Rate for Payer: First Health Workers Compensation |
$1,136.68
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,649.60
|
| Rate for Payer: GEHA Commercial |
$2,060.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,649.60
|
| Rate for Payer: Multiplan All |
$2,679.04
|
| Rate for Payer: OMNI Networks Commercial |
$2,060.80
|
| Rate for Payer: One Health Plan PPO/POS |
$2,649.60
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,796.80
|
| Rate for Payer: Three Rivers Provider Network All |
$2,208.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,737.92
|
| Rate for Payer: Zelis Auto |
$1,177.60
|
| Rate for Payer: Zelis Worker's Compensation |
$803.71
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN 1ST L
|
Facility
|
IP
|
$2,944.00
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
2400108
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$803.71 |
| Max. Negotiated Rate |
$2,796.80 |
| Rate for Payer: Cash Price |
$1,766.40
|
| Rate for Payer: Cigna Commercial |
$2,502.40
|
| Rate for Payer: First Health Commercial |
$2,649.60
|
| Rate for Payer: First Health Workers Compensation |
$1,136.68
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,649.60
|
| Rate for Payer: GEHA Commercial |
$2,060.80
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,649.60
|
| Rate for Payer: Multiplan All |
$2,679.04
|
| Rate for Payer: OMNI Networks Commercial |
$2,060.80
|
| Rate for Payer: One Health Plan PPO/POS |
$2,649.60
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,796.80
|
| Rate for Payer: Three Rivers Provider Network All |
$2,208.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,737.92
|
| Rate for Payer: Zelis Auto |
$1,177.60
|
| Rate for Payer: Zelis Worker's Compensation |
$803.71
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN 1ST L
|
Facility
|
OP
|
$2,944.00
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
7778514
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$567.88 |
| Max. Negotiated Rate |
$2,796.80 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,766.40
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$688.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$668.09
|
| Rate for Payer: Cash Price |
$1,766.40
|
| Rate for Payer: Cash Price |
$1,766.40
|
| Rate for Payer: Cigna Commercial |
$2,502.40
|
| Rate for Payer: First Health Commercial |
$2,649.60
|
| Rate for Payer: First Health Workers Compensation |
$859.83
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,649.60
|
| Rate for Payer: GEHA Commercial |
$2,355.20
|
| Rate for Payer: GEHA Medicare |
$668.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,649.60
|
| Rate for Payer: Humana ChoiceCare |
$734.90
|
| Rate for Payer: Humana Medicare Advantage |
$668.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$1,122.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$702.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$668.09
|
| Rate for Payer: Multiplan All |
$2,679.04
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,135.75
|
| Rate for Payer: OMNI Networks Commercial |
$2,060.80
|
| Rate for Payer: One Health Plan PPO/POS |
$2,649.60
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$811.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$702.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$668.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,796.80
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,336.18
|
| Rate for Payer: Three Rivers Provider Network All |
$2,208.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$654.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$702.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$668.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,737.92
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$668.09
|
| Rate for Payer: Zelis Auto |
$1,177.60
|
| Rate for Payer: Zelis Medicare |
$567.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$801.71
|
| Rate for Payer: Zelis Worker's Compensation |
$607.96
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN 1ST L
|
Facility
|
OP
|
$1,615.00
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
8899220
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$440.89 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$969.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$688.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$668.09
|
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,292.00
|
| Rate for Payer: GEHA Medicare |
$668.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Humana ChoiceCare |
$734.90
|
| Rate for Payer: Humana Medicare Advantage |
$668.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$1,122.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$702.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$668.09
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,135.75
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$811.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$702.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$668.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,336.18
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$654.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$702.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$668.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$668.09
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Medicare |
$567.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$801.71
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN 1ST L
|
Facility
|
IP
|
$1,615.00
|
|
|
Service Code
|
CPT 10009
|
| Hospital Charge Code |
8899220
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$440.89 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,130.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
OP
|
$262.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
8899221
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$65.50 |
| Max. Negotiated Rate |
$248.90 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$157.20
|
| Rate for Payer: Cash Price |
$157.20
|
| Rate for Payer: Cigna Commercial |
$222.70
|
| Rate for Payer: First Health Commercial |
$235.80
|
| Rate for Payer: First Health Workers Compensation |
$101.16
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$235.80
|
| Rate for Payer: GEHA Commercial |
$209.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$235.80
|
| Rate for Payer: Humana ChoiceCare |
$68.12
|
| Rate for Payer: Multiplan All |
$238.42
|
| Rate for Payer: New Mexico Health Connections Medicare |
$157.20
|
| Rate for Payer: OMNI Networks Commercial |
$183.40
|
| Rate for Payer: One Health Plan PPO/POS |
$235.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$248.90
|
| Rate for Payer: Three Rivers Provider Network All |
$196.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$230.56
|
| Rate for Payer: United Healthcare Managed Medicaid |
$65.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$243.66
|
| Rate for Payer: Zelis Auto |
$104.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$131.00
|
| Rate for Payer: Zelis Worker's Compensation |
$71.53
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
IP
|
$2,247.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
2400109
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$613.43 |
| Max. Negotiated Rate |
$2,134.65 |
| Rate for Payer: Cash Price |
$1,348.20
|
| Rate for Payer: Cigna Commercial |
$1,909.95
|
| Rate for Payer: First Health Commercial |
$2,022.30
|
| Rate for Payer: First Health Workers Compensation |
$867.57
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,022.30
|
| Rate for Payer: GEHA Commercial |
$1,572.90
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,022.30
|
| Rate for Payer: Multiplan All |
$2,044.77
|
| Rate for Payer: OMNI Networks Commercial |
$1,572.90
|
| Rate for Payer: One Health Plan PPO/POS |
$2,022.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,134.65
|
| Rate for Payer: Three Rivers Provider Network All |
$1,685.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,089.71
|
| Rate for Payer: Zelis Auto |
$898.80
|
| Rate for Payer: Zelis Worker's Compensation |
$613.43
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
OP
|
$2,247.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
2400109
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$480.91 |
| Max. Negotiated Rate |
$2,134.65 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,348.20
|
| Rate for Payer: Cash Price |
$1,348.20
|
| Rate for Payer: Cash Price |
$1,348.20
|
| Rate for Payer: Cigna Commercial |
$1,909.95
|
| Rate for Payer: First Health Commercial |
$2,022.30
|
| Rate for Payer: First Health Workers Compensation |
$680.14
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,022.30
|
| Rate for Payer: GEHA Commercial |
$1,797.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,022.30
|
| Rate for Payer: Humana ChoiceCare |
$584.22
|
| Rate for Payer: Multiplan All |
$2,044.77
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,348.20
|
| Rate for Payer: OMNI Networks Commercial |
$1,572.90
|
| Rate for Payer: One Health Plan PPO/POS |
$2,022.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,134.65
|
| Rate for Payer: Three Rivers Provider Network All |
$1,685.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$1,977.36
|
| Rate for Payer: United Healthcare Managed Medicaid |
$561.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,089.71
|
| Rate for Payer: Zelis Auto |
$898.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,123.50
|
| Rate for Payer: Zelis Worker's Compensation |
$480.91
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
OP
|
$1,615.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
8233969
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$403.75 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$969.00
|
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,292.00
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Humana ChoiceCare |
$419.90
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$969.00
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$1,421.20
|
| Rate for Payer: United Healthcare Managed Medicaid |
$403.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$807.50
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
OP
|
$262.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
8233970
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$65.50 |
| Max. Negotiated Rate |
$248.90 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$157.20
|
| Rate for Payer: Cash Price |
$157.20
|
| Rate for Payer: Cigna Commercial |
$222.70
|
| Rate for Payer: First Health Commercial |
$235.80
|
| Rate for Payer: First Health Workers Compensation |
$101.16
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$235.80
|
| Rate for Payer: GEHA Commercial |
$209.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$235.80
|
| Rate for Payer: Humana ChoiceCare |
$68.12
|
| Rate for Payer: Multiplan All |
$238.42
|
| Rate for Payer: New Mexico Health Connections Medicare |
$157.20
|
| Rate for Payer: OMNI Networks Commercial |
$183.40
|
| Rate for Payer: One Health Plan PPO/POS |
$235.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$248.90
|
| Rate for Payer: Three Rivers Provider Network All |
$196.50
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$230.56
|
| Rate for Payer: United Healthcare Managed Medicaid |
$65.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$243.66
|
| Rate for Payer: Zelis Auto |
$104.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$131.00
|
| Rate for Payer: Zelis Worker's Compensation |
$71.53
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
IP
|
$1,615.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
8233969
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$440.89 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,130.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
IP
|
$262.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
8899221
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$71.53 |
| Max. Negotiated Rate |
$248.90 |
| Rate for Payer: Cash Price |
$157.20
|
| Rate for Payer: Cigna Commercial |
$222.70
|
| Rate for Payer: First Health Commercial |
$235.80
|
| Rate for Payer: First Health Workers Compensation |
$101.16
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$235.80
|
| Rate for Payer: GEHA Commercial |
$183.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$235.80
|
| Rate for Payer: Multiplan All |
$238.42
|
| Rate for Payer: OMNI Networks Commercial |
$183.40
|
| Rate for Payer: One Health Plan PPO/POS |
$235.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$248.90
|
| Rate for Payer: Three Rivers Provider Network All |
$196.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$243.66
|
| Rate for Payer: Zelis Auto |
$104.80
|
| Rate for Payer: Zelis Worker's Compensation |
$71.53
|
|
|
FINE NEEDLE ASPIRATION BX W/CT GDN EA AD
|
Facility
|
IP
|
$262.00
|
|
|
Service Code
|
CPT 10010
|
| Hospital Charge Code |
8233970
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$71.53 |
| Max. Negotiated Rate |
$248.90 |
| Rate for Payer: Cash Price |
$157.20
|
| Rate for Payer: Cigna Commercial |
$222.70
|
| Rate for Payer: First Health Commercial |
$235.80
|
| Rate for Payer: First Health Workers Compensation |
$101.16
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$235.80
|
| Rate for Payer: GEHA Commercial |
$183.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$235.80
|
| Rate for Payer: Multiplan All |
$238.42
|
| Rate for Payer: OMNI Networks Commercial |
$183.40
|
| Rate for Payer: One Health Plan PPO/POS |
$235.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$248.90
|
| Rate for Payer: Three Rivers Provider Network All |
$196.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$243.66
|
| Rate for Payer: Zelis Auto |
$104.80
|
| Rate for Payer: Zelis Worker's Compensation |
$71.53
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN 1S
|
Facility
|
IP
|
$1,615.00
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
8233967
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$440.89 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,130.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN 1S
|
Facility
|
OP
|
$1,615.00
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
8233967
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$440.89 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$969.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$688.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$668.09
|
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,292.00
|
| Rate for Payer: GEHA Medicare |
$668.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Humana ChoiceCare |
$734.90
|
| Rate for Payer: Humana Medicare Advantage |
$668.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$1,122.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$702.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$668.09
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,135.75
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$811.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$702.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$668.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,336.18
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$654.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$702.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$668.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$668.09
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Medicare |
$567.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$801.71
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN 1S
|
Facility
|
OP
|
$1,615.00
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
8899218
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$440.89 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$969.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$688.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$668.09
|
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,292.00
|
| Rate for Payer: GEHA Medicare |
$668.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Humana ChoiceCare |
$734.90
|
| Rate for Payer: Humana Medicare Advantage |
$668.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$1,122.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$702.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$668.09
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,135.75
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$811.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$702.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$668.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,336.18
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$654.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$702.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$668.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$668.09
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Medicare |
$567.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$801.71
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN 1S
|
Facility
|
IP
|
$1,615.00
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
8899218
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$440.89 |
| Max. Negotiated Rate |
$1,534.25 |
| Rate for Payer: Cash Price |
$969.00
|
| Rate for Payer: Cigna Commercial |
$1,372.75
|
| Rate for Payer: First Health Commercial |
$1,453.50
|
| Rate for Payer: First Health Workers Compensation |
$623.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,453.50
|
| Rate for Payer: GEHA Commercial |
$1,130.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,453.50
|
| Rate for Payer: Multiplan All |
$1,469.65
|
| Rate for Payer: OMNI Networks Commercial |
$1,130.50
|
| Rate for Payer: One Health Plan PPO/POS |
$1,453.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,534.25
|
| Rate for Payer: Three Rivers Provider Network All |
$1,211.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,501.95
|
| Rate for Payer: Zelis Auto |
$646.00
|
| Rate for Payer: Zelis Worker's Compensation |
$440.89
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN 1S
|
Facility
|
OP
|
$3,051.00
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
7778512
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$567.88 |
| Max. Negotiated Rate |
$2,898.45 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,830.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$869.01
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$688.43
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$668.09
|
| Rate for Payer: Cash Price |
$1,830.60
|
| Rate for Payer: Cash Price |
$1,830.60
|
| Rate for Payer: Cigna Commercial |
$2,593.35
|
| Rate for Payer: First Health Commercial |
$2,745.90
|
| Rate for Payer: First Health Workers Compensation |
$859.83
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,745.90
|
| Rate for Payer: GEHA Commercial |
$2,440.80
|
| Rate for Payer: GEHA Medicare |
$668.09
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,745.90
|
| Rate for Payer: Humana ChoiceCare |
$734.90
|
| Rate for Payer: Humana Medicare Advantage |
$668.09
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$1,122.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$702.45
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$668.09
|
| Rate for Payer: Multiplan All |
$2,776.41
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,135.75
|
| Rate for Payer: OMNI Networks Commercial |
$2,135.70
|
| Rate for Payer: One Health Plan PPO/POS |
$2,745.90
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$811.08
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$702.45
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$668.09
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,898.45
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,336.18
|
| Rate for Payer: Three Rivers Provider Network All |
$2,288.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$654.73
|
| Rate for Payer: United Healthcare Managed Medicaid |
$702.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$668.09
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,837.43
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$668.09
|
| Rate for Payer: Zelis Auto |
$1,220.40
|
| Rate for Payer: Zelis Medicare |
$567.88
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$801.71
|
| Rate for Payer: Zelis Worker's Compensation |
$607.96
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN 1S
|
Facility
|
IP
|
$3,051.00
|
|
|
Service Code
|
CPT 10007
|
| Hospital Charge Code |
7778512
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$832.92 |
| Max. Negotiated Rate |
$2,898.45 |
| Rate for Payer: Cash Price |
$1,830.60
|
| Rate for Payer: Cigna Commercial |
$2,593.35
|
| Rate for Payer: First Health Commercial |
$2,745.90
|
| Rate for Payer: First Health Workers Compensation |
$1,177.99
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,745.90
|
| Rate for Payer: GEHA Commercial |
$2,135.70
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,745.90
|
| Rate for Payer: Multiplan All |
$2,776.41
|
| Rate for Payer: OMNI Networks Commercial |
$2,135.70
|
| Rate for Payer: One Health Plan PPO/POS |
$2,745.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,898.45
|
| Rate for Payer: Three Rivers Provider Network All |
$2,288.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,837.43
|
| Rate for Payer: Zelis Auto |
$1,220.40
|
| Rate for Payer: Zelis Worker's Compensation |
$832.92
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN EA
|
Facility
|
IP
|
$808.00
|
|
|
Service Code
|
CPT 10008
|
| Hospital Charge Code |
8899219
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$220.58 |
| Max. Negotiated Rate |
$767.60 |
| Rate for Payer: Cash Price |
$484.80
|
| Rate for Payer: Cigna Commercial |
$686.80
|
| Rate for Payer: First Health Commercial |
$727.20
|
| Rate for Payer: First Health Workers Compensation |
$311.97
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$727.20
|
| Rate for Payer: GEHA Commercial |
$565.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$727.20
|
| Rate for Payer: Multiplan All |
$735.28
|
| Rate for Payer: OMNI Networks Commercial |
$565.60
|
| Rate for Payer: One Health Plan PPO/POS |
$727.20
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$767.60
|
| Rate for Payer: Three Rivers Provider Network All |
$606.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$751.44
|
| Rate for Payer: Zelis Auto |
$323.20
|
| Rate for Payer: Zelis Worker's Compensation |
$220.58
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN EA
|
Facility
|
IP
|
$808.00
|
|
|
Service Code
|
CPT 10008
|
| Hospital Charge Code |
8233968
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$220.58 |
| Max. Negotiated Rate |
$767.60 |
| Rate for Payer: Cash Price |
$484.80
|
| Rate for Payer: Cigna Commercial |
$686.80
|
| Rate for Payer: First Health Commercial |
$727.20
|
| Rate for Payer: First Health Workers Compensation |
$311.97
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$727.20
|
| Rate for Payer: GEHA Commercial |
$565.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$727.20
|
| Rate for Payer: Multiplan All |
$735.28
|
| Rate for Payer: OMNI Networks Commercial |
$565.60
|
| Rate for Payer: One Health Plan PPO/POS |
$727.20
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$767.60
|
| Rate for Payer: Three Rivers Provider Network All |
$606.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$751.44
|
| Rate for Payer: Zelis Auto |
$323.20
|
| Rate for Payer: Zelis Worker's Compensation |
$220.58
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN EA
|
Facility
|
IP
|
$192.00
|
|
|
Service Code
|
CPT 10008
|
| Hospital Charge Code |
7778513
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$52.42 |
| Max. Negotiated Rate |
$182.40 |
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cigna Commercial |
$163.20
|
| Rate for Payer: First Health Commercial |
$172.80
|
| Rate for Payer: First Health Workers Compensation |
$74.13
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$172.80
|
| Rate for Payer: GEHA Commercial |
$134.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$172.80
|
| Rate for Payer: Multiplan All |
$174.72
|
| Rate for Payer: OMNI Networks Commercial |
$134.40
|
| Rate for Payer: One Health Plan PPO/POS |
$172.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$182.40
|
| Rate for Payer: Three Rivers Provider Network All |
$144.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$178.56
|
| Rate for Payer: Zelis Auto |
$76.80
|
| Rate for Payer: Zelis Worker's Compensation |
$52.42
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN EA
|
Facility
|
OP
|
$192.00
|
|
|
Service Code
|
CPT 10008
|
| Hospital Charge Code |
7778513
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$48.00 |
| Max. Negotiated Rate |
$410.55 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$115.20
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cash Price |
$115.20
|
| Rate for Payer: Cigna Commercial |
$163.20
|
| Rate for Payer: First Health Commercial |
$172.80
|
| Rate for Payer: First Health Workers Compensation |
$410.55
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$172.80
|
| Rate for Payer: GEHA Commercial |
$153.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$172.80
|
| Rate for Payer: Humana ChoiceCare |
$49.92
|
| Rate for Payer: Multiplan All |
$174.72
|
| Rate for Payer: New Mexico Health Connections Medicare |
$115.20
|
| Rate for Payer: OMNI Networks Commercial |
$134.40
|
| Rate for Payer: One Health Plan PPO/POS |
$172.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$182.40
|
| Rate for Payer: Three Rivers Provider Network All |
$144.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$168.96
|
| Rate for Payer: United Healthcare Managed Medicaid |
$48.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$178.56
|
| Rate for Payer: Zelis Auto |
$76.80
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$96.00
|
| Rate for Payer: Zelis Worker's Compensation |
$290.29
|
|
|
FINE NEEDLE ASPIRATION BX W/FLOUR GDN EA
|
Facility
|
OP
|
$808.00
|
|
|
Service Code
|
CPT 10008
|
| Hospital Charge Code |
8899219
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$202.00 |
| Max. Negotiated Rate |
$767.60 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$484.80
|
| Rate for Payer: Cash Price |
$484.80
|
| Rate for Payer: Cigna Commercial |
$686.80
|
| Rate for Payer: First Health Commercial |
$727.20
|
| Rate for Payer: First Health Workers Compensation |
$311.97
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$727.20
|
| Rate for Payer: GEHA Commercial |
$646.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$727.20
|
| Rate for Payer: Humana ChoiceCare |
$210.08
|
| Rate for Payer: Multiplan All |
$735.28
|
| Rate for Payer: New Mexico Health Connections Medicare |
$484.80
|
| Rate for Payer: OMNI Networks Commercial |
$565.60
|
| Rate for Payer: One Health Plan PPO/POS |
$727.20
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$767.60
|
| Rate for Payer: Three Rivers Provider Network All |
$606.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$711.04
|
| Rate for Payer: United Healthcare Managed Medicaid |
$202.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$751.44
|
| Rate for Payer: Zelis Auto |
$323.20
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$404.00
|
| Rate for Payer: Zelis Worker's Compensation |
$220.58
|
|
