|
INCISIONAL BIOPSY SKIN EA SEP/ADDL LESIO
|
Facility
|
OP
|
$191.40
|
|
|
Service Code
|
CPT 11107
|
| Hospital Charge Code |
7211107
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$47.85 |
| Max. Negotiated Rate |
$181.83 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$114.84
|
| Rate for Payer: Cash Price |
$114.84
|
| Rate for Payer: Cigna Commercial |
$162.69
|
| Rate for Payer: First Health Commercial |
$172.26
|
| Rate for Payer: First Health Workers Compensation |
$73.90
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$172.26
|
| Rate for Payer: GEHA Commercial |
$153.12
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$172.26
|
| Rate for Payer: Humana ChoiceCare |
$49.76
|
| Rate for Payer: Multiplan All |
$174.17
|
| Rate for Payer: New Mexico Health Connections Medicare |
$114.84
|
| Rate for Payer: OMNI Networks Commercial |
$133.98
|
| Rate for Payer: One Health Plan PPO/POS |
$172.26
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$181.83
|
| Rate for Payer: Three Rivers Provider Network All |
$143.55
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$168.43
|
| Rate for Payer: United Healthcare Managed Medicaid |
$47.85
|
| Rate for Payer: United Payors & United Providers UP&UP |
$178.00
|
| Rate for Payer: Zelis Auto |
$76.56
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$95.70
|
| Rate for Payer: Zelis Worker's Compensation |
$52.25
|
|
|
INCISIONAL BIOPSY SKIN EA SEP/ADDL LESIO
|
Facility
|
IP
|
$191.40
|
|
|
Service Code
|
CPT 11107
|
| Hospital Charge Code |
7211107
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$52.25 |
| Max. Negotiated Rate |
$181.83 |
| Rate for Payer: Cash Price |
$114.84
|
| Rate for Payer: Cigna Commercial |
$162.69
|
| Rate for Payer: First Health Commercial |
$172.26
|
| Rate for Payer: First Health Workers Compensation |
$73.90
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$172.26
|
| Rate for Payer: GEHA Commercial |
$133.98
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$172.26
|
| Rate for Payer: Multiplan All |
$174.17
|
| Rate for Payer: OMNI Networks Commercial |
$133.98
|
| Rate for Payer: One Health Plan PPO/POS |
$172.26
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$181.83
|
| Rate for Payer: Three Rivers Provider Network All |
$143.55
|
| Rate for Payer: United Payors & United Providers UP&UP |
$178.00
|
| Rate for Payer: Zelis Auto |
$76.56
|
| Rate for Payer: Zelis Worker's Compensation |
$52.25
|
|
|
INCISIONAL BIOPSY SKIN EA SEP/ADDL LESIO
|
Facility
|
IP
|
$191.40
|
|
|
Service Code
|
CPT 11107
|
| Hospital Charge Code |
8511120
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$52.25 |
| Max. Negotiated Rate |
$181.83 |
| Rate for Payer: Cash Price |
$114.84
|
| Rate for Payer: Cigna Commercial |
$162.69
|
| Rate for Payer: First Health Commercial |
$172.26
|
| Rate for Payer: First Health Workers Compensation |
$73.90
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$172.26
|
| Rate for Payer: GEHA Commercial |
$133.98
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$172.26
|
| Rate for Payer: Multiplan All |
$174.17
|
| Rate for Payer: OMNI Networks Commercial |
$133.98
|
| Rate for Payer: One Health Plan PPO/POS |
$172.26
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$181.83
|
| Rate for Payer: Three Rivers Provider Network All |
$143.55
|
| Rate for Payer: United Payors & United Providers UP&UP |
$178.00
|
| Rate for Payer: Zelis Auto |
$76.56
|
| Rate for Payer: Zelis Worker's Compensation |
$52.25
|
|
|
INCISIONAL BIOPSY SKIN EA SEP/ADDL LESIO
|
Facility
|
OP
|
$191.40
|
|
|
Service Code
|
CPT 11107
|
| Hospital Charge Code |
8511120
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$47.85 |
| Max. Negotiated Rate |
$181.83 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$114.84
|
| Rate for Payer: Cash Price |
$114.84
|
| Rate for Payer: Cigna Commercial |
$162.69
|
| Rate for Payer: First Health Commercial |
$172.26
|
| Rate for Payer: First Health Workers Compensation |
$73.90
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$172.26
|
| Rate for Payer: GEHA Commercial |
$153.12
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$172.26
|
| Rate for Payer: Humana ChoiceCare |
$49.76
|
| Rate for Payer: Multiplan All |
$174.17
|
| Rate for Payer: New Mexico Health Connections Medicare |
$114.84
|
| Rate for Payer: OMNI Networks Commercial |
$133.98
|
| Rate for Payer: One Health Plan PPO/POS |
$172.26
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$181.83
|
| Rate for Payer: Three Rivers Provider Network All |
$143.55
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$168.43
|
| Rate for Payer: United Healthcare Managed Medicaid |
$47.85
|
| Rate for Payer: United Payors & United Providers UP&UP |
$178.00
|
| Rate for Payer: Zelis Auto |
$76.56
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$95.70
|
| Rate for Payer: Zelis Worker's Compensation |
$52.25
|
|
|
INCISIONAL BIOPSY SKIN EA SEP/ADDL LESIO
|
Facility
|
IP
|
$213.00
|
|
|
Service Code
|
CPT 11107
|
| Hospital Charge Code |
20300148
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$58.15 |
| Max. Negotiated Rate |
$202.35 |
| Rate for Payer: Cash Price |
$127.80
|
| Rate for Payer: Cigna Commercial |
$181.05
|
| Rate for Payer: First Health Commercial |
$191.70
|
| Rate for Payer: First Health Workers Compensation |
$82.24
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$191.70
|
| Rate for Payer: GEHA Commercial |
$149.10
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$191.70
|
| Rate for Payer: Multiplan All |
$193.83
|
| Rate for Payer: OMNI Networks Commercial |
$149.10
|
| Rate for Payer: One Health Plan PPO/POS |
$191.70
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$202.35
|
| Rate for Payer: Three Rivers Provider Network All |
$159.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$198.09
|
| Rate for Payer: Zelis Auto |
$85.20
|
| Rate for Payer: Zelis Worker's Compensation |
$58.15
|
|
|
INCISIONAL BIOPSY SKIN EA SEP/ADDL LESIO
|
Facility
|
IP
|
$3,029.00
|
|
|
Service Code
|
CPT 11107
|
| Hospital Charge Code |
1999253
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$826.92 |
| Max. Negotiated Rate |
$2,877.55 |
| Rate for Payer: Cash Price |
$1,817.40
|
| Rate for Payer: Cigna Commercial |
$2,574.65
|
| Rate for Payer: First Health Commercial |
$2,726.10
|
| Rate for Payer: First Health Workers Compensation |
$1,169.50
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,726.10
|
| Rate for Payer: GEHA Commercial |
$2,120.30
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,726.10
|
| Rate for Payer: Multiplan All |
$2,756.39
|
| Rate for Payer: OMNI Networks Commercial |
$2,120.30
|
| Rate for Payer: One Health Plan PPO/POS |
$2,726.10
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,877.55
|
| Rate for Payer: Three Rivers Provider Network All |
$2,271.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,816.97
|
| Rate for Payer: Zelis Auto |
$1,211.60
|
| Rate for Payer: Zelis Worker's Compensation |
$826.92
|
|
|
INCISIONAL BIOPSY SKIN EA SEP/ADDL LESIO
|
Facility
|
OP
|
$213.00
|
|
|
Service Code
|
CPT 11107
|
| Hospital Charge Code |
20300148
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$53.25 |
| Max. Negotiated Rate |
$202.35 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$127.80
|
| Rate for Payer: Cash Price |
$127.80
|
| Rate for Payer: Cigna Commercial |
$181.05
|
| Rate for Payer: First Health Commercial |
$191.70
|
| Rate for Payer: First Health Workers Compensation |
$82.24
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$191.70
|
| Rate for Payer: GEHA Commercial |
$170.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$191.70
|
| Rate for Payer: Humana ChoiceCare |
$55.38
|
| Rate for Payer: Multiplan All |
$193.83
|
| Rate for Payer: New Mexico Health Connections Medicare |
$127.80
|
| Rate for Payer: OMNI Networks Commercial |
$149.10
|
| Rate for Payer: One Health Plan PPO/POS |
$191.70
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$202.35
|
| Rate for Payer: Three Rivers Provider Network All |
$159.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$187.44
|
| Rate for Payer: United Healthcare Managed Medicaid |
$53.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$198.09
|
| Rate for Payer: Zelis Auto |
$85.20
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$106.50
|
| Rate for Payer: Zelis Worker's Compensation |
$58.15
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$2,632.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
1999252
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$373.22 |
| Max. Negotiated Rate |
$2,500.40 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,579.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$373.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$581.24
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cigna Commercial |
$2,237.20
|
| Rate for Payer: First Health Commercial |
$2,368.80
|
| Rate for Payer: First Health Workers Compensation |
$1,016.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,368.80
|
| Rate for Payer: GEHA Commercial |
$2,105.60
|
| Rate for Payer: GEHA Medicare |
$581.24
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,368.80
|
| Rate for Payer: Humana ChoiceCare |
$639.36
|
| Rate for Payer: Humana Medicare Advantage |
$581.24
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$976.48
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$380.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$581.24
|
| Rate for Payer: Multiplan All |
$2,395.12
|
| Rate for Payer: New Mexico Health Connections Medicare |
$988.11
|
| Rate for Payer: OMNI Networks Commercial |
$1,842.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,368.80
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$439.71
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$380.82
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$581.24
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,500.40
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,162.48
|
| Rate for Payer: Three Rivers Provider Network All |
$1,974.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$569.62
|
| Rate for Payer: United Healthcare Managed Medicaid |
$380.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$581.24
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,447.76
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$581.24
|
| Rate for Payer: Zelis Auto |
$1,052.80
|
| Rate for Payer: Zelis Medicare |
$494.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$697.49
|
| Rate for Payer: Zelis Worker's Compensation |
$718.54
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$2,632.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
20300147
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$718.54 |
| Max. Negotiated Rate |
$2,500.40 |
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cigna Commercial |
$2,237.20
|
| Rate for Payer: First Health Commercial |
$2,368.80
|
| Rate for Payer: First Health Workers Compensation |
$1,016.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,368.80
|
| Rate for Payer: GEHA Commercial |
$1,842.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,368.80
|
| Rate for Payer: Multiplan All |
$2,395.12
|
| Rate for Payer: OMNI Networks Commercial |
$1,842.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,368.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,500.40
|
| Rate for Payer: Three Rivers Provider Network All |
$1,974.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,447.76
|
| Rate for Payer: Zelis Auto |
$1,052.80
|
| Rate for Payer: Zelis Worker's Compensation |
$718.54
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$2,632.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
21600214
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$718.54 |
| Max. Negotiated Rate |
$2,500.40 |
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cigna Commercial |
$2,237.20
|
| Rate for Payer: First Health Commercial |
$2,368.80
|
| Rate for Payer: First Health Workers Compensation |
$1,016.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,368.80
|
| Rate for Payer: GEHA Commercial |
$1,842.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,368.80
|
| Rate for Payer: Multiplan All |
$2,395.12
|
| Rate for Payer: OMNI Networks Commercial |
$1,842.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,368.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,500.40
|
| Rate for Payer: Three Rivers Provider Network All |
$1,974.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,447.76
|
| Rate for Payer: Zelis Auto |
$1,052.80
|
| Rate for Payer: Zelis Worker's Compensation |
$718.54
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$445.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
23500061
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$121.48 |
| Max. Negotiated Rate |
$422.75 |
| Rate for Payer: Cash Price |
$267.00
|
| Rate for Payer: Cigna Commercial |
$378.25
|
| Rate for Payer: First Health Commercial |
$400.50
|
| Rate for Payer: First Health Workers Compensation |
$171.81
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$400.50
|
| Rate for Payer: GEHA Commercial |
$311.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$400.50
|
| Rate for Payer: Multiplan All |
$404.95
|
| Rate for Payer: OMNI Networks Commercial |
$311.50
|
| Rate for Payer: One Health Plan PPO/POS |
$400.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$422.75
|
| Rate for Payer: Three Rivers Provider Network All |
$333.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$413.85
|
| Rate for Payer: Zelis Auto |
$178.00
|
| Rate for Payer: Zelis Worker's Compensation |
$121.48
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$416.79
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
8511119
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$395.95 |
| Rate for Payer: Cash Price |
$250.07
|
| Rate for Payer: Cigna Commercial |
$354.27
|
| Rate for Payer: First Health Commercial |
$375.11
|
| Rate for Payer: First Health Workers Compensation |
$160.92
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$375.11
|
| Rate for Payer: GEHA Commercial |
$291.75
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$375.11
|
| Rate for Payer: Multiplan All |
$379.28
|
| Rate for Payer: OMNI Networks Commercial |
$291.75
|
| Rate for Payer: One Health Plan PPO/POS |
$375.11
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$395.95
|
| Rate for Payer: Three Rivers Provider Network All |
$312.59
|
| Rate for Payer: United Payors & United Providers UP&UP |
$387.61
|
| Rate for Payer: Zelis Auto |
$166.72
|
| Rate for Payer: Zelis Worker's Compensation |
$113.78
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$416.79
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
7211106
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$395.95 |
| Rate for Payer: Cash Price |
$250.07
|
| Rate for Payer: Cigna Commercial |
$354.27
|
| Rate for Payer: First Health Commercial |
$375.11
|
| Rate for Payer: First Health Workers Compensation |
$160.92
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$375.11
|
| Rate for Payer: GEHA Commercial |
$291.75
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$375.11
|
| Rate for Payer: Multiplan All |
$379.28
|
| Rate for Payer: OMNI Networks Commercial |
$291.75
|
| Rate for Payer: One Health Plan PPO/POS |
$375.11
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$395.95
|
| Rate for Payer: Three Rivers Provider Network All |
$312.59
|
| Rate for Payer: United Payors & United Providers UP&UP |
$387.61
|
| Rate for Payer: Zelis Auto |
$166.72
|
| Rate for Payer: Zelis Worker's Compensation |
$113.78
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$2,632.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
20300147
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$373.22 |
| Max. Negotiated Rate |
$2,500.40 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,579.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$373.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$581.24
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cigna Commercial |
$2,237.20
|
| Rate for Payer: First Health Commercial |
$2,368.80
|
| Rate for Payer: First Health Workers Compensation |
$1,016.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,368.80
|
| Rate for Payer: GEHA Commercial |
$2,105.60
|
| Rate for Payer: GEHA Medicare |
$581.24
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,368.80
|
| Rate for Payer: Humana ChoiceCare |
$639.36
|
| Rate for Payer: Humana Medicare Advantage |
$581.24
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$976.48
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$380.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$581.24
|
| Rate for Payer: Multiplan All |
$2,395.12
|
| Rate for Payer: New Mexico Health Connections Medicare |
$988.11
|
| Rate for Payer: OMNI Networks Commercial |
$1,842.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,368.80
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$439.71
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$380.82
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$581.24
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,500.40
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,162.48
|
| Rate for Payer: Three Rivers Provider Network All |
$1,974.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$569.62
|
| Rate for Payer: United Healthcare Managed Medicaid |
$380.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$581.24
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,447.76
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$581.24
|
| Rate for Payer: Zelis Auto |
$1,052.80
|
| Rate for Payer: Zelis Medicare |
$494.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$697.49
|
| Rate for Payer: Zelis Worker's Compensation |
$718.54
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$416.79
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
8511119
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$1,162.48 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$250.07
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$373.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$581.24
|
| Rate for Payer: Cash Price |
$250.07
|
| Rate for Payer: Cash Price |
$250.07
|
| Rate for Payer: Cigna Commercial |
$354.27
|
| Rate for Payer: First Health Commercial |
$375.11
|
| Rate for Payer: First Health Workers Compensation |
$160.92
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$375.11
|
| Rate for Payer: GEHA Commercial |
$333.43
|
| Rate for Payer: GEHA Medicare |
$581.24
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$375.11
|
| Rate for Payer: Humana ChoiceCare |
$639.36
|
| Rate for Payer: Humana Medicare Advantage |
$581.24
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$976.48
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$380.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$581.24
|
| Rate for Payer: Multiplan All |
$379.28
|
| Rate for Payer: New Mexico Health Connections Medicare |
$988.11
|
| Rate for Payer: OMNI Networks Commercial |
$291.75
|
| Rate for Payer: One Health Plan PPO/POS |
$375.11
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$439.71
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$380.82
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$581.24
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$395.95
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,162.48
|
| Rate for Payer: Three Rivers Provider Network All |
$312.59
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$569.62
|
| Rate for Payer: United Healthcare Managed Medicaid |
$380.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$581.24
|
| Rate for Payer: United Payors & United Providers UP&UP |
$387.61
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$581.24
|
| Rate for Payer: Zelis Auto |
$166.72
|
| Rate for Payer: Zelis Medicare |
$494.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$697.49
|
| Rate for Payer: Zelis Worker's Compensation |
$113.78
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$416.79
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
7211106
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$113.78 |
| Max. Negotiated Rate |
$1,162.48 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$250.07
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$373.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$581.24
|
| Rate for Payer: Cash Price |
$250.07
|
| Rate for Payer: Cash Price |
$250.07
|
| Rate for Payer: Cigna Commercial |
$354.27
|
| Rate for Payer: First Health Commercial |
$375.11
|
| Rate for Payer: First Health Workers Compensation |
$160.92
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$375.11
|
| Rate for Payer: GEHA Commercial |
$333.43
|
| Rate for Payer: GEHA Medicare |
$581.24
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$375.11
|
| Rate for Payer: Humana ChoiceCare |
$639.36
|
| Rate for Payer: Humana Medicare Advantage |
$581.24
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$976.48
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$380.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$581.24
|
| Rate for Payer: Multiplan All |
$379.28
|
| Rate for Payer: New Mexico Health Connections Medicare |
$988.11
|
| Rate for Payer: OMNI Networks Commercial |
$291.75
|
| Rate for Payer: One Health Plan PPO/POS |
$375.11
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$439.71
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$380.82
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$581.24
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$395.95
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,162.48
|
| Rate for Payer: Three Rivers Provider Network All |
$312.59
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$569.62
|
| Rate for Payer: United Healthcare Managed Medicaid |
$380.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$581.24
|
| Rate for Payer: United Payors & United Providers UP&UP |
$387.61
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$581.24
|
| Rate for Payer: Zelis Auto |
$166.72
|
| Rate for Payer: Zelis Medicare |
$494.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$697.49
|
| Rate for Payer: Zelis Worker's Compensation |
$113.78
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$2,632.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
21600214
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$373.22 |
| Max. Negotiated Rate |
$2,500.40 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$1,579.20
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$373.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$581.24
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cigna Commercial |
$2,237.20
|
| Rate for Payer: First Health Commercial |
$2,368.80
|
| Rate for Payer: First Health Workers Compensation |
$1,016.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,368.80
|
| Rate for Payer: GEHA Commercial |
$2,105.60
|
| Rate for Payer: GEHA Medicare |
$581.24
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,368.80
|
| Rate for Payer: Humana ChoiceCare |
$639.36
|
| Rate for Payer: Humana Medicare Advantage |
$581.24
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$976.48
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$380.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$581.24
|
| Rate for Payer: Multiplan All |
$2,395.12
|
| Rate for Payer: New Mexico Health Connections Medicare |
$988.11
|
| Rate for Payer: OMNI Networks Commercial |
$1,842.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,368.80
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$439.71
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$380.82
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$581.24
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,500.40
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,162.48
|
| Rate for Payer: Three Rivers Provider Network All |
$1,974.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$569.62
|
| Rate for Payer: United Healthcare Managed Medicaid |
$380.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$581.24
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,447.76
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$581.24
|
| Rate for Payer: Zelis Auto |
$1,052.80
|
| Rate for Payer: Zelis Medicare |
$494.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$697.49
|
| Rate for Payer: Zelis Worker's Compensation |
$718.54
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
OP
|
$445.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
23500061
|
|
Hospital Revenue Code
|
519
|
| Min. Negotiated Rate |
$121.48 |
| Max. Negotiated Rate |
$1,162.48 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$267.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$471.12
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$373.22
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$581.24
|
| Rate for Payer: Cash Price |
$267.00
|
| Rate for Payer: Cash Price |
$267.00
|
| Rate for Payer: Cigna Commercial |
$378.25
|
| Rate for Payer: First Health Commercial |
$400.50
|
| Rate for Payer: First Health Workers Compensation |
$171.81
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$400.50
|
| Rate for Payer: GEHA Commercial |
$356.00
|
| Rate for Payer: GEHA Medicare |
$581.24
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$400.50
|
| Rate for Payer: Humana ChoiceCare |
$639.36
|
| Rate for Payer: Humana Medicare Advantage |
$581.24
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$976.48
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$380.82
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$581.24
|
| Rate for Payer: Multiplan All |
$404.95
|
| Rate for Payer: New Mexico Health Connections Medicare |
$988.11
|
| Rate for Payer: OMNI Networks Commercial |
$311.50
|
| Rate for Payer: One Health Plan PPO/POS |
$400.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$439.71
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$380.82
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$581.24
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$422.75
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,162.48
|
| Rate for Payer: Three Rivers Provider Network All |
$333.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$569.62
|
| Rate for Payer: United Healthcare Managed Medicaid |
$380.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$581.24
|
| Rate for Payer: United Payors & United Providers UP&UP |
$413.85
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$581.24
|
| Rate for Payer: Zelis Auto |
$178.00
|
| Rate for Payer: Zelis Medicare |
$494.05
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$697.49
|
| Rate for Payer: Zelis Worker's Compensation |
$121.48
|
|
|
INCISIONAL BIOPSY SKIN SINGLE LESION
|
Facility
|
IP
|
$2,632.00
|
|
|
Service Code
|
CPT 11106
|
| Hospital Charge Code |
1999252
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$718.54 |
| Max. Negotiated Rate |
$2,500.40 |
| Rate for Payer: Cash Price |
$1,579.20
|
| Rate for Payer: Cigna Commercial |
$2,237.20
|
| Rate for Payer: First Health Commercial |
$2,368.80
|
| Rate for Payer: First Health Workers Compensation |
$1,016.22
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$2,368.80
|
| Rate for Payer: GEHA Commercial |
$1,842.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$2,368.80
|
| Rate for Payer: Multiplan All |
$2,395.12
|
| Rate for Payer: OMNI Networks Commercial |
$1,842.40
|
| Rate for Payer: One Health Plan PPO/POS |
$2,368.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$2,500.40
|
| Rate for Payer: Three Rivers Provider Network All |
$1,974.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$2,447.76
|
| Rate for Payer: Zelis Auto |
$1,052.80
|
| Rate for Payer: Zelis Worker's Compensation |
$718.54
|
|
|
INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); COMPLICATED OR MULTIPLE
|
Facility
|
OP
|
$758.74
|
|
|
Service Code
|
CPT 10061
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$116.60 |
| Max. Negotiated Rate |
$758.74 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$147.18
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$147.18
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$116.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$379.37
|
| Rate for Payer: First Health Workers Compensation |
$488.25
|
| Rate for Payer: GEHA Medicare |
$379.37
|
| Rate for Payer: Humana ChoiceCare |
$417.31
|
| Rate for Payer: Humana Medicare Advantage |
$379.37
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$637.34
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$379.37
|
| Rate for Payer: New Mexico Health Connections Medicare |
$644.93
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$137.37
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$118.97
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$379.37
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$758.74
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$371.78
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$379.37
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$379.37
|
| Rate for Payer: Zelis Medicare |
$322.46
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$455.24
|
| Rate for Payer: Zelis Worker's Compensation |
$345.23
|
|
|
INCISION AND DRAINAGE OF VAGINAL HEMATOMA; NON-OBSTETRICAL (EG, POST-TRAUMA, SPONTANEOUS BLEEDING)
|
Facility
|
OP
|
$5,435.26
|
|
|
Service Code
|
CPT 57023
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$1,554.42 |
| Max. Negotiated Rate |
$5,435.26 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$1,962.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$1,962.15
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$1,554.42
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$2,717.63
|
| Rate for Payer: First Health Workers Compensation |
$3,497.59
|
| Rate for Payer: GEHA Medicare |
$2,717.63
|
| Rate for Payer: Humana ChoiceCare |
$2,989.39
|
| Rate for Payer: Humana Medicare Advantage |
$2,717.63
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$4,565.62
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$1,586.07
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$2,717.63
|
| Rate for Payer: New Mexico Health Connections Medicare |
$4,619.97
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$1,831.34
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$1,586.07
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$2,717.63
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$5,435.26
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$2,663.28
|
| Rate for Payer: United Healthcare Managed Medicaid |
$1,586.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$2,717.63
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$2,717.63
|
| Rate for Payer: Zelis Medicare |
$2,309.99
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$3,261.16
|
| Rate for Payer: Zelis Worker's Compensation |
$2,473.04
|
|
|
INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS
|
Facility
|
OP
|
$577.68
|
|
|
Service Code
|
CPT 56405
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$122.37 |
| Max. Negotiated Rate |
$577.68 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$154.47
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$154.47
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$122.37
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$288.84
|
| Rate for Payer: First Health Workers Compensation |
$371.74
|
| Rate for Payer: GEHA Medicare |
$288.84
|
| Rate for Payer: Humana ChoiceCare |
$317.72
|
| Rate for Payer: Humana Medicare Advantage |
$288.84
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$485.25
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$124.86
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$288.84
|
| Rate for Payer: New Mexico Health Connections Medicare |
$491.03
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$144.17
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$124.86
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$288.84
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$577.68
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$283.06
|
| Rate for Payer: United Healthcare Managed Medicaid |
$124.86
|
| Rate for Payer: United Healthcare Medicare Advantage |
$288.84
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$288.84
|
| Rate for Payer: Zelis Medicare |
$245.51
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$346.61
|
| Rate for Payer: Zelis Worker's Compensation |
$262.84
|
|
|
INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL
|
Facility
|
OP
|
$1,731.42
|
|
|
Service Code
|
CPT 46050
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$735.85 |
| Max. Negotiated Rate |
$1,731.42 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$1,427.06
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$1,427.06
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$1,130.51
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$865.71
|
| Rate for Payer: First Health Workers Compensation |
$1,114.17
|
| Rate for Payer: GEHA Medicare |
$865.71
|
| Rate for Payer: Humana ChoiceCare |
$952.28
|
| Rate for Payer: Humana Medicare Advantage |
$865.71
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$1,454.39
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$1,153.54
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$865.71
|
| Rate for Payer: New Mexico Health Connections Medicare |
$1,471.71
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$1,331.92
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$1,153.54
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$865.71
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$1,731.42
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$848.40
|
| Rate for Payer: United Healthcare Managed Medicaid |
$1,153.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$865.71
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$865.71
|
| Rate for Payer: Zelis Medicare |
$735.85
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$1,038.85
|
| Rate for Payer: Zelis Worker's Compensation |
$787.80
|
|
|
INCISION & DRAINAGE ABSCESS COMPL/MULTPL
|
Facility
|
OP
|
$625.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
23500008
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$116.60 |
| Max. Negotiated Rate |
$758.74 |
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Advantage HMO |
$147.18
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Community HMO |
$375.00
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Blue Preferred |
$147.18
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Managed Medicaid |
$116.60
|
| Rate for Payer: Blue Cross Blue Shield of New Mexico Medicare Advantage |
$379.37
|
| Rate for Payer: Cash Price |
$375.00
|
| Rate for Payer: Cash Price |
$375.00
|
| Rate for Payer: Cigna Commercial |
$531.25
|
| Rate for Payer: First Health Commercial |
$562.50
|
| Rate for Payer: First Health Workers Compensation |
$241.31
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$562.50
|
| Rate for Payer: GEHA Commercial |
$500.00
|
| Rate for Payer: GEHA Medicare |
$379.37
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$562.50
|
| Rate for Payer: Humana ChoiceCare |
$417.31
|
| Rate for Payer: Humana Medicare Advantage |
$379.37
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$637.34
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$379.37
|
| Rate for Payer: Multiplan All |
$568.75
|
| Rate for Payer: New Mexico Health Connections Medicare |
$644.93
|
| Rate for Payer: OMNI Networks Commercial |
$437.50
|
| Rate for Payer: One Health Plan PPO/POS |
$562.50
|
| Rate for Payer: Presbyterian Health Plan Exchange |
$137.37
|
| Rate for Payer: Presbyterian Health Plan Medicaid |
$118.97
|
| Rate for Payer: Presbyterian Health Plan Medicare HMO/Medicare POS |
$379.37
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$593.75
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$758.74
|
| Rate for Payer: Three Rivers Provider Network All |
$468.75
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$371.78
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$379.37
|
| Rate for Payer: United Payors & United Providers UP&UP |
$581.25
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$379.37
|
| Rate for Payer: Zelis Auto |
$250.00
|
| Rate for Payer: Zelis Medicare |
$322.46
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$455.24
|
| Rate for Payer: Zelis Worker's Compensation |
$170.62
|
|
|
INCISION & DRAINAGE ABSCESS COMPL/MULTPL
|
Facility
|
IP
|
$875.00
|
|
| Hospital Charge Code |
8150053
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$238.88 |
| Max. Negotiated Rate |
$831.25 |
| Rate for Payer: Cash Price |
$525.00
|
| Rate for Payer: Cigna Commercial |
$743.75
|
| Rate for Payer: First Health Commercial |
$787.50
|
| Rate for Payer: First Health Workers Compensation |
$337.84
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$787.50
|
| Rate for Payer: GEHA Commercial |
$612.50
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$787.50
|
| Rate for Payer: Multiplan All |
$796.25
|
| Rate for Payer: OMNI Networks Commercial |
$612.50
|
| Rate for Payer: One Health Plan PPO/POS |
$787.50
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$831.25
|
| Rate for Payer: Three Rivers Provider Network All |
$656.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$813.75
|
| Rate for Payer: Zelis Auto |
$350.00
|
| Rate for Payer: Zelis Worker's Compensation |
$238.88
|
|
