|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
OP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
20300008
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$377.34 |
| 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 |
$213.60
|
| 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 |
$188.67
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$284.80
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| 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 |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$492.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8150052
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$134.32 |
| Max. Negotiated Rate |
$467.40 |
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cigna Commercial |
$418.20
|
| Rate for Payer: First Health Commercial |
$442.80
|
| Rate for Payer: First Health Workers Compensation |
$189.96
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$442.80
|
| Rate for Payer: GEHA Commercial |
$344.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$442.80
|
| Rate for Payer: Multiplan All |
$447.72
|
| Rate for Payer: OMNI Networks Commercial |
$344.40
|
| Rate for Payer: One Health Plan PPO/POS |
$442.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$467.40
|
| Rate for Payer: Three Rivers Provider Network All |
$369.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$457.56
|
| Rate for Payer: Zelis Auto |
$196.80
|
| Rate for Payer: Zelis Worker's Compensation |
$134.32
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8899226
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$338.20 |
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$249.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
20300008
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$338.20 |
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$249.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$1,161.38
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
9610060
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$317.06 |
| Max. Negotiated Rate |
$1,103.31 |
| Rate for Payer: Cash Price |
$696.83
|
| Rate for Payer: Cigna Commercial |
$987.17
|
| Rate for Payer: First Health Commercial |
$1,045.24
|
| Rate for Payer: First Health Workers Compensation |
$448.41
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,045.24
|
| Rate for Payer: GEHA Commercial |
$812.97
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,045.24
|
| Rate for Payer: Multiplan All |
$1,056.86
|
| Rate for Payer: OMNI Networks Commercial |
$812.97
|
| Rate for Payer: One Health Plan PPO/POS |
$1,045.24
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,103.31
|
| Rate for Payer: Three Rivers Provider Network All |
$871.03
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,080.08
|
| Rate for Payer: Zelis Auto |
$464.55
|
| Rate for Payer: Zelis Worker's Compensation |
$317.06
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
OP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
7210060
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$377.34 |
| 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 |
$213.60
|
| 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 |
$188.67
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$284.80
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| 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 |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$1,178.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
1900008
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$321.59 |
| Max. Negotiated Rate |
$1,119.10 |
| Rate for Payer: Cash Price |
$706.80
|
| Rate for Payer: Cigna Commercial |
$1,001.30
|
| Rate for Payer: First Health Commercial |
$1,060.20
|
| Rate for Payer: First Health Workers Compensation |
$454.83
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,060.20
|
| Rate for Payer: GEHA Commercial |
$824.60
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,060.20
|
| Rate for Payer: Multiplan All |
$1,071.98
|
| Rate for Payer: OMNI Networks Commercial |
$824.60
|
| Rate for Payer: One Health Plan PPO/POS |
$1,060.20
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,119.10
|
| Rate for Payer: Three Rivers Provider Network All |
$883.50
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,095.54
|
| Rate for Payer: Zelis Auto |
$471.20
|
| Rate for Payer: Zelis Worker's Compensation |
$321.59
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
OP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8899226
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$377.34 |
| 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 |
$213.60
|
| 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 |
$188.67
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$284.80
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| 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 |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Commercial |
$302.60
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$299.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
6110060
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$81.63 |
| Max. Negotiated Rate |
$284.05 |
| Rate for Payer: Cash Price |
$179.40
|
| Rate for Payer: Cigna Commercial |
$254.15
|
| Rate for Payer: First Health Commercial |
$269.10
|
| Rate for Payer: First Health Workers Compensation |
$115.44
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$269.10
|
| Rate for Payer: GEHA Commercial |
$209.30
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$269.10
|
| Rate for Payer: Multiplan All |
$272.09
|
| Rate for Payer: OMNI Networks Commercial |
$209.30
|
| Rate for Payer: One Health Plan PPO/POS |
$269.10
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$284.05
|
| Rate for Payer: Three Rivers Provider Network All |
$224.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$278.07
|
| Rate for Payer: Zelis Auto |
$119.60
|
| Rate for Payer: Zelis Worker's Compensation |
$81.63
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
OP
|
$299.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
21600101
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$81.63 |
| Max. Negotiated Rate |
$377.34 |
| 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 |
$179.40
|
| 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 |
$188.67
|
| Rate for Payer: Cash Price |
$179.40
|
| Rate for Payer: Cash Price |
$179.40
|
| Rate for Payer: Cigna Commercial |
$254.15
|
| Rate for Payer: First Health Commercial |
$269.10
|
| Rate for Payer: First Health Workers Compensation |
$115.44
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$269.10
|
| Rate for Payer: GEHA Commercial |
$239.20
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$269.10
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$272.09
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$209.30
|
| Rate for Payer: One Health Plan PPO/POS |
$269.10
|
| 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 |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$284.05
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$224.25
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$278.07
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$119.60
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$81.63
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8510060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$338.20 |
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$249.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$492.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
1000022
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$134.32 |
| Max. Negotiated Rate |
$467.40 |
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cigna Commercial |
$418.20
|
| Rate for Payer: First Health Commercial |
$442.80
|
| Rate for Payer: First Health Workers Compensation |
$189.96
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$442.80
|
| Rate for Payer: GEHA Commercial |
$344.40
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$442.80
|
| Rate for Payer: Multiplan All |
$447.72
|
| Rate for Payer: OMNI Networks Commercial |
$344.40
|
| Rate for Payer: One Health Plan PPO/POS |
$442.80
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$467.40
|
| Rate for Payer: Three Rivers Provider Network All |
$369.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$457.56
|
| Rate for Payer: Zelis Auto |
$196.80
|
| Rate for Payer: Zelis Worker's Compensation |
$134.32
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
OP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8510060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$377.34 |
| 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 |
$213.60
|
| 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 |
$188.67
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$284.80
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| 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 |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8299286
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$338.20 |
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$249.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
OP
|
$1,161.38
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
9610060
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$116.60 |
| Max. Negotiated Rate |
$1,103.31 |
| 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 |
$696.83
|
| 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 |
$188.67
|
| Rate for Payer: Cash Price |
$696.83
|
| Rate for Payer: Cash Price |
$696.83
|
| Rate for Payer: Cigna Commercial |
$987.17
|
| Rate for Payer: First Health Commercial |
$1,045.24
|
| Rate for Payer: First Health Workers Compensation |
$448.41
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$1,045.24
|
| Rate for Payer: GEHA Commercial |
$929.10
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$1,045.24
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$1,056.86
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$812.97
|
| Rate for Payer: One Health Plan PPO/POS |
$1,045.24
|
| 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 |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$1,103.31
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$871.03
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$1,080.08
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$464.55
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$317.06
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
IP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8710060
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$338.20 |
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$249.20
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE ABSCESS SIMPLE/SINGL
|
Facility
|
OP
|
$356.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
8299286
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$377.34 |
| 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 |
$213.60
|
| 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 |
$188.67
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$302.60
|
| Rate for Payer: First Health Commercial |
$320.40
|
| Rate for Payer: First Health Workers Compensation |
$137.45
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$320.40
|
| Rate for Payer: GEHA Commercial |
$284.80
|
| Rate for Payer: GEHA Medicare |
$188.67
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$320.40
|
| Rate for Payer: Humana ChoiceCare |
$207.54
|
| Rate for Payer: Humana Medicare Advantage |
$188.67
|
| Rate for Payer: Molina Healthcare of New Mexico Health Insurance Marketplace |
$316.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicaid |
$118.97
|
| Rate for Payer: Molina Healthcare of New Mexico Medicare |
$188.67
|
| Rate for Payer: Multiplan All |
$323.96
|
| Rate for Payer: New Mexico Health Connections Medicare |
$320.74
|
| Rate for Payer: OMNI Networks Commercial |
$249.20
|
| Rate for Payer: One Health Plan PPO/POS |
$320.40
|
| 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 |
$188.67
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$338.20
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$377.34
|
| Rate for Payer: Three Rivers Provider Network All |
$267.00
|
| Rate for Payer: TriWest Veterans Administration/VAPC3 |
$184.90
|
| Rate for Payer: United Healthcare Managed Medicaid |
$118.97
|
| Rate for Payer: United Healthcare Medicare Advantage |
$188.67
|
| Rate for Payer: United Payors & United Providers UP&UP |
$331.08
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$188.67
|
| Rate for Payer: Zelis Auto |
$142.40
|
| Rate for Payer: Zelis Medicare |
$160.37
|
| Rate for Payer: Zelis Primary Direct / Supplemental Network |
$226.40
|
| Rate for Payer: Zelis Worker's Compensation |
$97.19
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
OP
|
$757.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
21600188
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$206.66 |
| 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 Community HMO |
$454.20
|
| 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: Cash Price |
$454.20
|
| Rate for Payer: Cash Price |
$454.20
|
| Rate for Payer: Cigna Commercial |
$643.45
|
| Rate for Payer: First Health Commercial |
$681.30
|
| Rate for Payer: First Health Workers Compensation |
$292.28
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$681.30
|
| Rate for Payer: GEHA Commercial |
$605.60
|
| Rate for Payer: GEHA Medicare |
$2,717.63
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$681.30
|
| 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: Multiplan All |
$688.87
|
| Rate for Payer: New Mexico Health Connections Medicare |
$4,619.97
|
| Rate for Payer: OMNI Networks Commercial |
$529.90
|
| Rate for Payer: One Health Plan PPO/POS |
$681.30
|
| 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 Commercial |
$719.15
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$5,435.26
|
| Rate for Payer: Three Rivers Provider Network All |
$567.75
|
| 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: United Payors & United Providers UP&UP |
$704.01
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$2,717.63
|
| Rate for Payer: Zelis Auto |
$302.80
|
| 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 |
$206.66
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
IP
|
$7,297.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
1000039
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,992.08 |
| Max. Negotiated Rate |
$6,932.15 |
| Rate for Payer: Cash Price |
$4,378.20
|
| Rate for Payer: Cigna Commercial |
$6,202.45
|
| Rate for Payer: First Health Commercial |
$6,567.30
|
| Rate for Payer: First Health Workers Compensation |
$2,817.37
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$6,567.30
|
| Rate for Payer: GEHA Commercial |
$5,107.90
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$6,567.30
|
| Rate for Payer: Multiplan All |
$6,640.27
|
| Rate for Payer: OMNI Networks Commercial |
$5,107.90
|
| Rate for Payer: One Health Plan PPO/POS |
$6,567.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$6,932.15
|
| Rate for Payer: Three Rivers Provider Network All |
$5,472.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$6,786.21
|
| Rate for Payer: Zelis Auto |
$2,918.80
|
| Rate for Payer: Zelis Worker's Compensation |
$1,992.08
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
IP
|
$757.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
21600188
|
|
Hospital Revenue Code
|
517
|
| Min. Negotiated Rate |
$206.66 |
| Max. Negotiated Rate |
$719.15 |
| Rate for Payer: Cash Price |
$454.20
|
| Rate for Payer: Cigna Commercial |
$643.45
|
| Rate for Payer: First Health Commercial |
$681.30
|
| Rate for Payer: First Health Workers Compensation |
$292.28
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$681.30
|
| Rate for Payer: GEHA Commercial |
$529.90
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$681.30
|
| Rate for Payer: Multiplan All |
$688.87
|
| Rate for Payer: OMNI Networks Commercial |
$529.90
|
| Rate for Payer: One Health Plan PPO/POS |
$681.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$719.15
|
| Rate for Payer: Three Rivers Provider Network All |
$567.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$704.01
|
| Rate for Payer: Zelis Auto |
$302.80
|
| Rate for Payer: Zelis Worker's Compensation |
$206.66
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
IP
|
$757.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
20300013
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$206.66 |
| Max. Negotiated Rate |
$719.15 |
| Rate for Payer: Cash Price |
$454.20
|
| Rate for Payer: Cigna Commercial |
$643.45
|
| Rate for Payer: First Health Commercial |
$681.30
|
| Rate for Payer: First Health Workers Compensation |
$292.28
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$681.30
|
| Rate for Payer: GEHA Commercial |
$529.90
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$681.30
|
| Rate for Payer: Multiplan All |
$688.87
|
| Rate for Payer: OMNI Networks Commercial |
$529.90
|
| Rate for Payer: One Health Plan PPO/POS |
$681.30
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$719.15
|
| Rate for Payer: Three Rivers Provider Network All |
$567.75
|
| Rate for Payer: United Payors & United Providers UP&UP |
$704.01
|
| Rate for Payer: Zelis Auto |
$302.80
|
| Rate for Payer: Zelis Worker's Compensation |
$206.66
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
OP
|
$757.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
20300013
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$206.66 |
| 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 Community HMO |
$454.20
|
| 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: Cash Price |
$454.20
|
| Rate for Payer: Cash Price |
$454.20
|
| Rate for Payer: Cigna Commercial |
$643.45
|
| Rate for Payer: First Health Commercial |
$681.30
|
| Rate for Payer: First Health Workers Compensation |
$292.28
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$681.30
|
| Rate for Payer: GEHA Commercial |
$605.60
|
| Rate for Payer: GEHA Medicare |
$2,717.63
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$681.30
|
| 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: Multiplan All |
$688.87
|
| Rate for Payer: New Mexico Health Connections Medicare |
$4,619.97
|
| Rate for Payer: OMNI Networks Commercial |
$529.90
|
| Rate for Payer: One Health Plan PPO/POS |
$681.30
|
| 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 Commercial |
$719.15
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$5,435.26
|
| Rate for Payer: Three Rivers Provider Network All |
$567.75
|
| 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: United Payors & United Providers UP&UP |
$704.01
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$2,717.63
|
| Rate for Payer: Zelis Auto |
$302.80
|
| 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 |
$206.66
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
OP
|
$553.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
6110180
|
|
Hospital Revenue Code
|
975
|
| Min. Negotiated Rate |
$150.97 |
| 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 Community HMO |
$331.80
|
| 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: Cash Price |
$331.80
|
| Rate for Payer: Cash Price |
$331.80
|
| Rate for Payer: Cigna Commercial |
$470.05
|
| Rate for Payer: First Health Commercial |
$497.70
|
| Rate for Payer: First Health Workers Compensation |
$213.51
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$497.70
|
| Rate for Payer: GEHA Commercial |
$442.40
|
| Rate for Payer: GEHA Medicare |
$2,717.63
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$497.70
|
| 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: Multiplan All |
$503.23
|
| Rate for Payer: New Mexico Health Connections Medicare |
$4,619.97
|
| Rate for Payer: OMNI Networks Commercial |
$387.10
|
| Rate for Payer: One Health Plan PPO/POS |
$497.70
|
| 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 Commercial |
$525.35
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$5,435.26
|
| Rate for Payer: Three Rivers Provider Network All |
$414.75
|
| 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: United Payors & United Providers UP&UP |
$514.29
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$2,717.63
|
| Rate for Payer: Zelis Auto |
$221.20
|
| 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 |
$150.97
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
IP
|
$10,111.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
1900013
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,760.30 |
| Max. Negotiated Rate |
$9,605.45 |
| Rate for Payer: Cash Price |
$6,066.60
|
| Rate for Payer: Cigna Commercial |
$8,594.35
|
| Rate for Payer: First Health Commercial |
$9,099.90
|
| Rate for Payer: First Health Workers Compensation |
$3,903.86
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$9,099.90
|
| Rate for Payer: GEHA Commercial |
$7,077.70
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$9,099.90
|
| Rate for Payer: Multiplan All |
$9,201.01
|
| Rate for Payer: OMNI Networks Commercial |
$7,077.70
|
| Rate for Payer: One Health Plan PPO/POS |
$9,099.90
|
| Rate for Payer: Providence Risk & Insurance Services Commercial |
$9,605.45
|
| Rate for Payer: Three Rivers Provider Network All |
$7,583.25
|
| Rate for Payer: United Payors & United Providers UP&UP |
$9,403.23
|
| Rate for Payer: Zelis Auto |
$4,044.40
|
| Rate for Payer: Zelis Worker's Compensation |
$2,760.30
|
|
|
INCISION & DRAINAGE COMPLEX PO WOUND INF
|
Facility
|
OP
|
$10,111.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
1900013
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$1,554.42 |
| Max. Negotiated Rate |
$9,605.45 |
| 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 Community HMO |
$6,066.60
|
| 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: Cash Price |
$6,066.60
|
| Rate for Payer: Cash Price |
$6,066.60
|
| Rate for Payer: Cigna Commercial |
$8,594.35
|
| Rate for Payer: First Health Commercial |
$9,099.90
|
| Rate for Payer: First Health Workers Compensation |
$3,903.86
|
| Rate for Payer: Galaxy Health Commercial/Workers Compensation |
$9,099.90
|
| Rate for Payer: GEHA Commercial |
$8,088.80
|
| Rate for Payer: GEHA Medicare |
$2,717.63
|
| Rate for Payer: Great West Healthcare (Cigna) Commercial |
$9,099.90
|
| 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: Multiplan All |
$9,201.01
|
| Rate for Payer: New Mexico Health Connections Medicare |
$4,619.97
|
| Rate for Payer: OMNI Networks Commercial |
$7,077.70
|
| Rate for Payer: One Health Plan PPO/POS |
$9,099.90
|
| 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 Commercial |
$9,605.45
|
| Rate for Payer: Providence Risk & Insurance Services Worker's Compensation |
$5,435.26
|
| Rate for Payer: Three Rivers Provider Network All |
$7,583.25
|
| 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: United Payors & United Providers UP&UP |
$9,403.23
|
| Rate for Payer: VistaCare Hospice Medicaid/Medicare |
$2,717.63
|
| Rate for Payer: Zelis Auto |
$4,044.40
|
| 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 |
$2,760.30
|
|
