|
00926 ANES RADICAL ORCHIECTOMY INGUINAL BASE CHG AND 1ST MIN
|
Facility
IP
|
$787.00
|
|
|
Service Code
|
CPT 00926
|
| Hospital Charge Code |
22406164
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$133.79 |
| Max. Negotiated Rate |
$708.30 |
| Rate for Payer: Aetna POS, PPO, HMO |
$708.30
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$133.79
|
| Rate for Payer: Amerigroup Medicare |
$133.79
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$133.79
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$133.79
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$204.62
|
| Rate for Payer: Copperpoint |
$220.75
|
| Rate for Payer: Humana Medicare |
$133.79
|
| Rate for Payer: SELF PAY |
$629.60
|
| Rate for Payer: Veterans (Triwest) |
$133.79
|
|
|
00926 ANES RADICAL ORCHIECTOMY INGUINAL BASE CHG AND 1ST MIN
|
Facility
OP
|
$787.00
|
|
|
Service Code
|
CPT 00926
|
| Hospital Charge Code |
22406164
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$133.79 |
| Max. Negotiated Rate |
$708.30 |
| Rate for Payer: Aetna POS, PPO, HMO |
$708.30
|
| Rate for Payer: Aetna Medicare |
$220.36
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$133.79
|
| Rate for Payer: Amerigroup Medicare |
$133.79
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$293.94
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$133.79
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$133.79
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$204.62
|
| Rate for Payer: Cigna All Products |
$511.55
|
| Rate for Payer: Copperpoint |
$220.75
|
| Rate for Payer: HealthNet Commercial |
$472.20
|
| Rate for Payer: HealthNet Medicare |
$220.36
|
| Rate for Payer: Humana Medicare |
$133.79
|
| Rate for Payer: SELF PAY |
$629.60
|
| Rate for Payer: Veterans (Triwest) |
$133.79
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$458.82
|
| Rate for Payer: United Healthcare Medicare |
$141.66
|
|
|
00930 ANES ORCHIOPEXY UNILAT OR BI ADDTNL 0:30 CHARGE
|
Facility
IP
|
$284.00
|
|
|
Service Code
|
CPT 00930
|
| Hospital Charge Code |
22406169
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$48.28 |
| Max. Negotiated Rate |
$255.60 |
| Rate for Payer: Aetna POS, PPO, HMO |
$255.60
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$48.28
|
| Rate for Payer: Amerigroup Medicare |
$48.28
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$48.28
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$48.28
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$73.84
|
| Rate for Payer: Copperpoint |
$79.66
|
| Rate for Payer: Humana Medicare |
$48.28
|
| Rate for Payer: SELF PAY |
$227.20
|
| Rate for Payer: Veterans (Triwest) |
$48.28
|
|
|
00930 ANES ORCHIOPEXY UNILAT OR BI ADDTNL 0:30 CHARGE
|
Facility
OP
|
$284.00
|
|
|
Service Code
|
CPT 00930
|
| Hospital Charge Code |
22406169
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$48.28 |
| Max. Negotiated Rate |
$255.60 |
| Rate for Payer: Aetna POS, PPO, HMO |
$255.60
|
| Rate for Payer: Aetna Medicare |
$79.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$48.28
|
| Rate for Payer: Amerigroup Medicare |
$48.28
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$106.07
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$48.28
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$48.28
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$73.84
|
| Rate for Payer: Cigna All Products |
$184.60
|
| Rate for Payer: Copperpoint |
$79.66
|
| Rate for Payer: HealthNet Commercial |
$170.40
|
| Rate for Payer: HealthNet Medicare |
$79.52
|
| Rate for Payer: Humana Medicare |
$48.28
|
| Rate for Payer: SELF PAY |
$227.20
|
| Rate for Payer: Veterans (Triwest) |
$48.28
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$165.57
|
| Rate for Payer: United Healthcare Medicare |
$51.12
|
|
|
00930 ANES ORCHIOPEXY UNILAT OR BILAT ADDITIONAL MINUTES
|
Facility
IP
|
$9.00
|
|
|
Service Code
|
CPT 00930
|
| Hospital Charge Code |
22406168
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
|
|
00930 ANES ORCHIOPEXY UNILAT OR BILAT ADDITIONAL MINUTES
|
Facility
OP
|
$9.00
|
|
|
Service Code
|
CPT 00930
|
| Hospital Charge Code |
22406168
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Aetna Medicare |
$2.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$3.36
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Cigna All Products |
$5.85
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: HealthNet Commercial |
$5.40
|
| Rate for Payer: HealthNet Medicare |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$5.25
|
| Rate for Payer: United Healthcare Medicare |
$1.62
|
|
|
00938 ANES INSERTION OF PENILE PRO ADDTNL 0:30 CHARGE
|
Facility
OP
|
$284.00
|
|
|
Service Code
|
CPT 00938
|
| Hospital Charge Code |
22406172
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$48.28 |
| Max. Negotiated Rate |
$255.60 |
| Rate for Payer: Aetna POS, PPO, HMO |
$255.60
|
| Rate for Payer: Aetna Medicare |
$79.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$48.28
|
| Rate for Payer: Amerigroup Medicare |
$48.28
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$106.07
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$48.28
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$48.28
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$73.84
|
| Rate for Payer: Cigna All Products |
$184.60
|
| Rate for Payer: Copperpoint |
$79.66
|
| Rate for Payer: HealthNet Commercial |
$170.40
|
| Rate for Payer: HealthNet Medicare |
$79.52
|
| Rate for Payer: Humana Medicare |
$48.28
|
| Rate for Payer: SELF PAY |
$227.20
|
| Rate for Payer: Veterans (Triwest) |
$48.28
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$165.57
|
| Rate for Payer: United Healthcare Medicare |
$51.12
|
|
|
00938 ANES INSERTION OF PENILE PRO ADDTNL 0:30 CHARGE
|
Facility
IP
|
$284.00
|
|
|
Service Code
|
CPT 00938
|
| Hospital Charge Code |
22406172
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$48.28 |
| Max. Negotiated Rate |
$255.60 |
| Rate for Payer: Aetna POS, PPO, HMO |
$255.60
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$48.28
|
| Rate for Payer: Amerigroup Medicare |
$48.28
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$48.28
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$48.28
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$73.84
|
| Rate for Payer: Copperpoint |
$79.66
|
| Rate for Payer: Humana Medicare |
$48.28
|
| Rate for Payer: SELF PAY |
$227.20
|
| Rate for Payer: Veterans (Triwest) |
$48.28
|
|
|
00938 ANES INSERTION OF PENILE PROSTH ADDITIONAL MINUTES
|
Facility
OP
|
$9.00
|
|
|
Service Code
|
CPT 00938
|
| Hospital Charge Code |
22406171
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Aetna Medicare |
$2.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$3.36
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Cigna All Products |
$5.85
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: HealthNet Commercial |
$5.40
|
| Rate for Payer: HealthNet Medicare |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$5.25
|
| Rate for Payer: United Healthcare Medicare |
$1.62
|
|
|
00938 ANES INSERTION OF PENILE PROSTH ADDITIONAL MINUTES
|
Facility
IP
|
$9.00
|
|
|
Service Code
|
CPT 00938
|
| Hospital Charge Code |
22406171
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
|
|
00940 ANES VAGINAL PROCEDURES ADDITIONAL MINUTES
|
Facility
OP
|
$9.00
|
|
|
Service Code
|
CPT 00940
|
| Hospital Charge Code |
22406174
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Aetna Medicare |
$2.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$3.36
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Cigna All Products |
$5.85
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: HealthNet Commercial |
$5.40
|
| Rate for Payer: HealthNet Medicare |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$5.25
|
| Rate for Payer: United Healthcare Medicare |
$1.62
|
|
|
00940 ANES VAGINAL PROCEDURES ADDITIONAL MINUTES
|
Facility
IP
|
$9.00
|
|
|
Service Code
|
CPT 00940
|
| Hospital Charge Code |
22406174
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
|
|
00940 ANES VAGINAL PROCEDURES ADDTNL 0:30 CHARGE
|
Facility
OP
|
$284.00
|
|
|
Service Code
|
CPT 00940
|
| Hospital Charge Code |
22406175
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$48.28 |
| Max. Negotiated Rate |
$255.60 |
| Rate for Payer: Aetna POS, PPO, HMO |
$255.60
|
| Rate for Payer: Aetna Medicare |
$79.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$48.28
|
| Rate for Payer: Amerigroup Medicare |
$48.28
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$106.07
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$48.28
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$48.28
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$73.84
|
| Rate for Payer: Cigna All Products |
$184.60
|
| Rate for Payer: Copperpoint |
$79.66
|
| Rate for Payer: HealthNet Commercial |
$170.40
|
| Rate for Payer: HealthNet Medicare |
$79.52
|
| Rate for Payer: Humana Medicare |
$48.28
|
| Rate for Payer: SELF PAY |
$227.20
|
| Rate for Payer: Veterans (Triwest) |
$48.28
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$165.57
|
| Rate for Payer: United Healthcare Medicare |
$51.12
|
|
|
00940 ANES VAGINAL PROCEDURES ADDTNL 0:30 CHARGE
|
Facility
IP
|
$284.00
|
|
|
Service Code
|
CPT 00940
|
| Hospital Charge Code |
22406175
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$48.28 |
| Max. Negotiated Rate |
$255.60 |
| Rate for Payer: Aetna POS, PPO, HMO |
$255.60
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$48.28
|
| Rate for Payer: Amerigroup Medicare |
$48.28
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$48.28
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$48.28
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$73.84
|
| Rate for Payer: Copperpoint |
$79.66
|
| Rate for Payer: Humana Medicare |
$48.28
|
| Rate for Payer: SELF PAY |
$227.20
|
| Rate for Payer: Veterans (Triwest) |
$48.28
|
|
|
00940 ANES VAGINAL PROCEDURES BASE CHARGE AND 1ST MINUTE
|
Facility
IP
|
$710.00
|
|
|
Service Code
|
CPT 00940
|
| Hospital Charge Code |
22406173
|
|
Hospital Revenue Code
|
964
|
| Min. Negotiated Rate |
$120.70 |
| Max. Negotiated Rate |
$639.00 |
| Rate for Payer: Aetna POS, PPO, HMO |
$639.00
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$120.70
|
| Rate for Payer: Amerigroup Medicare |
$120.70
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$120.70
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$120.70
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$184.60
|
| Rate for Payer: Copperpoint |
$199.16
|
| Rate for Payer: Humana Medicare |
$120.70
|
| Rate for Payer: SELF PAY |
$568.00
|
| Rate for Payer: Veterans (Triwest) |
$120.70
|
|
|
00940 ANES VAGINAL PROCEDURES BASE CHARGE AND 1ST MINUTE
|
Facility
OP
|
$710.00
|
|
|
Service Code
|
CPT 00940
|
| Hospital Charge Code |
22406173
|
|
Hospital Revenue Code
|
964
|
| Min. Negotiated Rate |
$120.70 |
| Max. Negotiated Rate |
$639.00 |
| Rate for Payer: Aetna POS, PPO, HMO |
$639.00
|
| Rate for Payer: Aetna Medicare |
$198.80
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$120.70
|
| Rate for Payer: Amerigroup Medicare |
$120.70
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$265.19
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$120.70
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$120.70
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$184.60
|
| Rate for Payer: Cigna All Products |
$497.00
|
| Rate for Payer: Copperpoint |
$199.16
|
| Rate for Payer: HealthNet Commercial |
$426.00
|
| Rate for Payer: HealthNet Medicare |
$198.80
|
| Rate for Payer: Humana Medicare |
$120.70
|
| Rate for Payer: SELF PAY |
$568.00
|
| Rate for Payer: Veterans (Triwest) |
$120.70
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$413.93
|
| Rate for Payer: United Healthcare Medicare |
$127.80
|
|
|
00944 ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF
|
Facility
OP
|
$563.00
|
|
|
Service Code
|
CPT 00944
|
| Hospital Charge Code |
23597458
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$95.71 |
| Max. Negotiated Rate |
$506.70 |
| Rate for Payer: Aetna POS, PPO, HMO |
$506.70
|
| Rate for Payer: Aetna Medicare |
$157.64
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$95.71
|
| Rate for Payer: Amerigroup Medicare |
$95.71
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$210.28
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$95.71
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$95.71
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$146.38
|
| Rate for Payer: Cigna All Products |
$365.95
|
| Rate for Payer: Copperpoint |
$157.92
|
| Rate for Payer: HealthNet Commercial |
$337.80
|
| Rate for Payer: HealthNet Medicare |
$157.64
|
| Rate for Payer: Humana Medicare |
$95.71
|
| Rate for Payer: SELF PAY |
$450.40
|
| Rate for Payer: Veterans (Triwest) |
$95.71
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$328.23
|
| Rate for Payer: United Healthcare Medicare |
$101.34
|
|
|
00944 ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF
|
Facility
IP
|
$563.00
|
|
|
Service Code
|
CPT 00944
|
| Hospital Charge Code |
23597458
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$95.71 |
| Max. Negotiated Rate |
$506.70 |
| Rate for Payer: Humana Medicare |
$95.71
|
| Rate for Payer: SELF PAY |
$450.40
|
| Rate for Payer: Aetna POS, PPO, HMO |
$506.70
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$95.71
|
| Rate for Payer: Amerigroup Medicare |
$95.71
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$95.71
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$95.71
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$146.38
|
| Rate for Payer: Copperpoint |
$157.92
|
| Rate for Payer: Veterans (Triwest) |
$95.71
|
|
|
00944 ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF
|
Facility
OP
|
$563.00
|
|
|
Service Code
|
CPT 00944
|
| Hospital Charge Code |
23597459
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$95.71 |
| Max. Negotiated Rate |
$506.70 |
| Rate for Payer: Aetna POS, PPO, HMO |
$506.70
|
| Rate for Payer: Aetna Medicare |
$157.64
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$95.71
|
| Rate for Payer: Amerigroup Medicare |
$95.71
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$210.28
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$95.71
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$95.71
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$146.38
|
| Rate for Payer: Cigna All Products |
$365.95
|
| Rate for Payer: Copperpoint |
$157.92
|
| Rate for Payer: HealthNet Commercial |
$337.80
|
| Rate for Payer: HealthNet Medicare |
$157.64
|
| Rate for Payer: Humana Medicare |
$95.71
|
| Rate for Payer: SELF PAY |
$450.40
|
| Rate for Payer: Veterans (Triwest) |
$95.71
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$328.23
|
| Rate for Payer: United Healthcare Medicare |
$101.34
|
|
|
00944 ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF
|
Facility
IP
|
$563.00
|
|
|
Service Code
|
CPT 00944
|
| Hospital Charge Code |
23597457
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$95.71 |
| Max. Negotiated Rate |
$506.70 |
| Rate for Payer: Aetna POS, PPO, HMO |
$506.70
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$95.71
|
| Rate for Payer: Amerigroup Medicare |
$95.71
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$95.71
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$95.71
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$146.38
|
| Rate for Payer: Copperpoint |
$157.92
|
| Rate for Payer: Humana Medicare |
$95.71
|
| Rate for Payer: SELF PAY |
$450.40
|
| Rate for Payer: Veterans (Triwest) |
$95.71
|
|
|
00944 ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF
|
Facility
OP
|
$563.00
|
|
|
Service Code
|
CPT 00944
|
| Hospital Charge Code |
23597457
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$95.71 |
| Max. Negotiated Rate |
$506.70 |
| Rate for Payer: Aetna POS, PPO, HMO |
$506.70
|
| Rate for Payer: Aetna Medicare |
$157.64
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$95.71
|
| Rate for Payer: Amerigroup Medicare |
$95.71
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$210.28
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$95.71
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$95.71
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$146.38
|
| Rate for Payer: Cigna All Products |
$365.95
|
| Rate for Payer: Copperpoint |
$157.92
|
| Rate for Payer: HealthNet Commercial |
$337.80
|
| Rate for Payer: HealthNet Medicare |
$157.64
|
| Rate for Payer: Humana Medicare |
$95.71
|
| Rate for Payer: SELF PAY |
$450.40
|
| Rate for Payer: Veterans (Triwest) |
$95.71
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$328.23
|
| Rate for Payer: United Healthcare Medicare |
$101.34
|
|
|
00944 ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF
|
Facility
IP
|
$563.00
|
|
|
Service Code
|
CPT 00944
|
| Hospital Charge Code |
23597459
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$95.71 |
| Max. Negotiated Rate |
$506.70 |
| Rate for Payer: Aetna POS, PPO, HMO |
$506.70
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$95.71
|
| Rate for Payer: Amerigroup Medicare |
$95.71
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$95.71
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$95.71
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$146.38
|
| Rate for Payer: Copperpoint |
$157.92
|
| Rate for Payer: Humana Medicare |
$95.71
|
| Rate for Payer: SELF PAY |
$450.40
|
| Rate for Payer: Veterans (Triwest) |
$95.71
|
|
|
00952 ANES HYSTEROSCOPY ADDITIONAL MINUTES
|
Facility
OP
|
$9.00
|
|
|
Service Code
|
CPT 00952
|
| Hospital Charge Code |
22406177
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Aetna Medicare |
$2.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$3.36
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Cigna All Products |
$5.85
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: HealthNet Commercial |
$5.40
|
| Rate for Payer: HealthNet Medicare |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$5.25
|
| Rate for Payer: United Healthcare Medicare |
$1.62
|
|
|
00952 ANES HYSTEROSCOPY ADDITIONAL MINUTES
|
Facility
IP
|
$9.00
|
|
|
Service Code
|
CPT 00952
|
| Hospital Charge Code |
22406177
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$1.53 |
| Max. Negotiated Rate |
$8.10 |
| Rate for Payer: Aetna POS, PPO, HMO |
$8.10
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$1.53
|
| Rate for Payer: Amerigroup Medicare |
$1.53
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$1.53
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$1.53
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$2.34
|
| Rate for Payer: Copperpoint |
$2.52
|
| Rate for Payer: Humana Medicare |
$1.53
|
| Rate for Payer: SELF PAY |
$7.20
|
| Rate for Payer: Veterans (Triwest) |
$1.53
|
|
|
00952 ANES HYSTEROSCOPY ADDTNL 0:30 CHARGE
|
Facility
OP
|
$284.00
|
|
|
Service Code
|
CPT 00952
|
| Hospital Charge Code |
22406179
|
|
Hospital Revenue Code
|
370
|
| Min. Negotiated Rate |
$48.28 |
| Max. Negotiated Rate |
$255.60 |
| Rate for Payer: Aetna POS, PPO, HMO |
$255.60
|
| Rate for Payer: Aetna Medicare |
$79.52
|
| Rate for Payer: Allwell from Arizona Complete Health Medicare Advantage |
$48.28
|
| Rate for Payer: Amerigroup Medicare |
$48.28
|
| Rate for Payer: Arizona Physicians IPA (APIPA) Medicare and Medicaid |
$106.07
|
| Rate for Payer: Arizona Complete Care Health Medicare Advantage |
$48.28
|
| Rate for Payer: Banner University Care Advantage Health Maintenance Organization |
$48.28
|
| Rate for Payer: City of Bisbee Police Bisbee Police |
$73.84
|
| Rate for Payer: Cigna All Products |
$184.60
|
| Rate for Payer: Copperpoint |
$79.66
|
| Rate for Payer: HealthNet Commercial |
$170.40
|
| Rate for Payer: HealthNet Medicare |
$79.52
|
| Rate for Payer: Humana Medicare |
$48.28
|
| Rate for Payer: SELF PAY |
$227.20
|
| Rate for Payer: Veterans (Triwest) |
$48.28
|
| Rate for Payer: United Healthcare (PPO, HMO, HMO, POS) |
$165.57
|
| Rate for Payer: United Healthcare Medicare |
$51.12
|
|