|
DIAGNOSTIC ANOSCOPY SPX
|
Facility
|
IP
|
$231.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
9824660001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$170.96 |
| Max. Negotiated Rate |
$219.45 |
| Rate for Payer: Aetna of VT Commercial |
$219.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$170.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$170.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$196.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$194.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$184.80
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cigna Commercial |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$184.80
|
| Rate for Payer: Multiplan Commercial |
$214.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$196.35
|
| Rate for Payer: United Healthcare Commercial |
$219.45
|
|
|
DIAGNOSTIC ANOSCOPY SPX
|
Facility
|
OP
|
$231.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
9824660001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$102.31 |
| Max. Negotiated Rate |
$219.45 |
| Rate for Payer: Aetna of VT Commercial |
$219.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$206.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$102.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$206.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$139.06
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$196.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$187.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$103.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$183.65
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cigna Commercial |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$184.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$103.95
|
| Rate for Payer: Multiplan Commercial |
$214.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$196.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$219.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare VA CCN |
$103.95
|
|
|
DIAGNOSTIC ANOSCOPY SPX
|
Facility
|
IP
|
$231.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
9814660001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$170.96 |
| Max. Negotiated Rate |
$219.45 |
| Rate for Payer: Aetna of VT Commercial |
$219.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$170.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$170.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$196.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$194.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$184.80
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cigna Commercial |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$184.80
|
| Rate for Payer: Multiplan Commercial |
$214.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$196.35
|
| Rate for Payer: United Healthcare Commercial |
$219.45
|
|
|
DIAGNOSTIC ANOSCOPY SPX
|
Facility
|
OP
|
$115.81
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
4504660001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$51.29 |
| Max. Negotiated Rate |
$110.02 |
| Rate for Payer: Aetna of VT Commercial |
$110.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$103.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$51.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$103.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$69.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$98.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$93.81
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$52.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$92.07
|
| Rate for Payer: Cash Price |
$57.91
|
| Rate for Payer: Cigna Commercial |
$92.65
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$92.65
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$92.65
|
| Rate for Payer: Martins Point Health Care Commercial |
$52.11
|
| Rate for Payer: Multiplan Commercial |
$107.70
|
| Rate for Payer: MVP Health Care of NY Commercial |
$98.44
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$52.11
|
| Rate for Payer: United Healthcare Commercial |
$110.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$52.11
|
| Rate for Payer: United Healthcare VA CCN |
$52.11
|
|
|
DIAGNOSTIC ANOSCOPY SPX
|
Facility
|
IP
|
$231.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
9814660002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$170.96 |
| Max. Negotiated Rate |
$219.45 |
| Rate for Payer: Aetna of VT Commercial |
$219.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$170.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$170.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$196.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$194.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$184.80
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cigna Commercial |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$184.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$184.80
|
| Rate for Payer: Multiplan Commercial |
$214.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$196.35
|
| Rate for Payer: United Healthcare Commercial |
$219.45
|
|
|
DIAGNOSTIC ANOSCOPY SPX
|
Facility
|
IP
|
$115.81
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
4504660001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$85.71 |
| Max. Negotiated Rate |
$110.02 |
| Rate for Payer: Aetna of VT Commercial |
$110.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$85.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$85.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$98.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$97.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$92.65
|
| Rate for Payer: Cash Price |
$57.91
|
| Rate for Payer: Cigna Commercial |
$92.65
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$92.65
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$92.65
|
| Rate for Payer: Multiplan Commercial |
$107.70
|
| Rate for Payer: MVP Health Care of NY Commercial |
$98.44
|
| Rate for Payer: United Healthcare Commercial |
$110.02
|
|
|
DIAGNOSTIC ANOSCOPY SPX
|
Professional
|
Both
|
$231.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
9814660002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$39.05 |
| Max. Negotiated Rate |
$217.14 |
| Rate for Payer: Aetna of VT Commercial |
$217.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$206.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$40.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$206.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$54.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$150.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$150.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$44.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$150.71
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cigna Commercial |
$71.01
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$176.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$176.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$109.07
|
| Rate for Payer: Multiplan Commercial |
$214.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$55.45
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$39.05
|
| Rate for Payer: United Healthcare Commercial |
$60.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39.05
|
| Rate for Payer: United Healthcare VA CCN |
$39.05
|
|
|
DIAGNOSTIC ANOSCOPY SPX
|
Professional
|
Both
|
$231.00
|
|
|
Service Code
|
CPT 46600
|
| Hospital Charge Code |
9824660001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$39.05 |
| Max. Negotiated Rate |
$217.14 |
| Rate for Payer: Aetna of VT Commercial |
$217.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$206.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$40.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$206.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$54.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$150.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$150.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$44.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$150.71
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cash Price |
$115.50
|
| Rate for Payer: Cigna Commercial |
$71.01
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$176.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$176.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$109.07
|
| Rate for Payer: Multiplan Commercial |
$214.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$55.45
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$39.05
|
| Rate for Payer: United Healthcare Commercial |
$60.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$39.05
|
| Rate for Payer: United Healthcare VA CCN |
$39.05
|
|
|
DIAGNOSTIC COLONOSCOPY
|
Facility
|
OP
|
$709.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
9824537801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$314.02 |
| Max. Negotiated Rate |
$673.55 |
| Rate for Payer: Aetna of VT Commercial |
$673.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$635.19
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$314.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$635.19
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$426.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$602.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$574.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$319.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$563.65
|
| Rate for Payer: Cash Price |
$354.50
|
| Rate for Payer: Cigna Commercial |
$567.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$567.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$567.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$319.05
|
| Rate for Payer: Multiplan Commercial |
$659.37
|
| Rate for Payer: MVP Health Care of NY Commercial |
$602.65
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$319.05
|
| Rate for Payer: United Healthcare Commercial |
$673.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$319.05
|
| Rate for Payer: United Healthcare VA CCN |
$319.05
|
|
|
DIAGNOSTIC COLONOSCOPY
|
Facility
|
IP
|
$709.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
9824537801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$524.73 |
| Max. Negotiated Rate |
$673.55 |
| Rate for Payer: Aetna of VT Commercial |
$673.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$524.73
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$524.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$602.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$595.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$567.20
|
| Rate for Payer: Cash Price |
$354.50
|
| Rate for Payer: Cigna Commercial |
$567.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$567.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$567.20
|
| Rate for Payer: Multiplan Commercial |
$659.37
|
| Rate for Payer: MVP Health Care of NY Commercial |
$602.65
|
| Rate for Payer: United Healthcare Commercial |
$673.55
|
|
|
DIAGNOSTIC COLONOSCOPY
|
Professional
|
Both
|
$709.00
|
|
|
Service Code
|
CPT 45378
|
| Hospital Charge Code |
9824537801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$170.15 |
| Max. Negotiated Rate |
$666.46 |
| Rate for Payer: Aetna of VT Commercial |
$666.46
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$635.19
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$175.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$635.19
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$238.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$642.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$642.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$195.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$642.84
|
| Rate for Payer: Cash Price |
$354.50
|
| Rate for Payer: Cash Price |
$354.50
|
| Rate for Payer: Cigna Commercial |
$311.76
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$520.98
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$520.98
|
| Rate for Payer: Martins Point Health Care Commercial |
$319.51
|
| Rate for Payer: Multiplan Commercial |
$659.37
|
| Rate for Payer: MVP Health Care of NY Commercial |
$241.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$170.15
|
| Rate for Payer: United Healthcare Commercial |
$261.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$170.15
|
| Rate for Payer: United Healthcare VA CCN |
$170.15
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
IP
|
$770.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9603150501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$569.88 |
| Max. Negotiated Rate |
$731.50 |
| Rate for Payer: Aetna of VT Commercial |
$731.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$569.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$569.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$654.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$646.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$616.00
|
| Rate for Payer: Cash Price |
$385.00
|
| Rate for Payer: Cigna Commercial |
$616.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$616.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$616.00
|
| Rate for Payer: Multiplan Commercial |
$716.10
|
| Rate for Payer: MVP Health Care of NY Commercial |
$654.50
|
| Rate for Payer: United Healthcare Commercial |
$731.50
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
IP
|
$221.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9813150502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$163.56 |
| Max. Negotiated Rate |
$209.95 |
| Rate for Payer: Aetna of VT Commercial |
$209.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$163.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$163.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$187.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$185.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$176.80
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cigna Commercial |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$176.80
|
| Rate for Payer: Multiplan Commercial |
$205.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.85
|
| Rate for Payer: United Healthcare Commercial |
$209.95
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Professional
|
Both
|
$770.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9603150501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$47.24 |
| Max. Negotiated Rate |
$723.80 |
| Rate for Payer: Aetna of VT Commercial |
$723.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$689.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$48.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$689.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$66.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$54.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$117.67
|
| Rate for Payer: Cash Price |
$385.00
|
| Rate for Payer: Cash Price |
$385.00
|
| Rate for Payer: Cigna Commercial |
$74.70
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$135.78
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$135.78
|
| Rate for Payer: Martins Point Health Care Commercial |
$83.85
|
| Rate for Payer: Multiplan Commercial |
$716.10
|
| Rate for Payer: MVP Health Care of NY Commercial |
$67.08
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare Commercial |
$72.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare VA CCN |
$47.24
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Professional
|
Both
|
$221.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9603150502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$47.24 |
| Max. Negotiated Rate |
$207.74 |
| Rate for Payer: Aetna of VT Commercial |
$207.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$48.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$66.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$54.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$117.67
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cigna Commercial |
$74.70
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$135.78
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$135.78
|
| Rate for Payer: Martins Point Health Care Commercial |
$83.85
|
| Rate for Payer: Multiplan Commercial |
$205.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$67.08
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare Commercial |
$72.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare VA CCN |
$47.24
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
OP
|
$770.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9603150501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$341.03 |
| Max. Negotiated Rate |
$731.50 |
| Rate for Payer: Aetna of VT Commercial |
$731.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$689.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$341.03
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$689.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$463.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$654.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$623.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$346.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$612.15
|
| Rate for Payer: Cash Price |
$385.00
|
| Rate for Payer: Cigna Commercial |
$616.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$616.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$616.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$346.50
|
| Rate for Payer: Multiplan Commercial |
$716.10
|
| Rate for Payer: MVP Health Care of NY Commercial |
$654.50
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$346.50
|
| Rate for Payer: United Healthcare Commercial |
$731.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$346.50
|
| Rate for Payer: United Healthcare VA CCN |
$346.50
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Professional
|
Both
|
$221.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9813150501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$47.24 |
| Max. Negotiated Rate |
$207.74 |
| Rate for Payer: Aetna of VT Commercial |
$207.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$48.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$66.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$54.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$117.67
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cigna Commercial |
$74.70
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$135.78
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$135.78
|
| Rate for Payer: Martins Point Health Care Commercial |
$83.85
|
| Rate for Payer: Multiplan Commercial |
$205.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$67.08
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare Commercial |
$72.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare VA CCN |
$47.24
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
IP
|
$550.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
5103150501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$407.06 |
| Max. Negotiated Rate |
$522.50 |
| Rate for Payer: Aetna of VT Commercial |
$522.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$407.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$407.06
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$467.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$462.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$440.00
|
| Rate for Payer: Cash Price |
$275.00
|
| Rate for Payer: Cigna Commercial |
$440.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$440.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$440.00
|
| Rate for Payer: Multiplan Commercial |
$511.50
|
| Rate for Payer: MVP Health Care of NY Commercial |
$467.50
|
| Rate for Payer: United Healthcare Commercial |
$522.50
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
OP
|
$221.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9603150502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$97.88 |
| Max. Negotiated Rate |
$209.95 |
| Rate for Payer: Aetna of VT Commercial |
$209.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$97.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$133.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$187.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$179.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$99.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$175.69
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cigna Commercial |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$176.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$99.45
|
| Rate for Payer: Multiplan Commercial |
$205.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$99.45
|
| Rate for Payer: United Healthcare Commercial |
$209.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$99.45
|
| Rate for Payer: United Healthcare VA CCN |
$99.45
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
OP
|
$550.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
5103150501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$243.59 |
| Max. Negotiated Rate |
$522.50 |
| Rate for Payer: Aetna of VT Commercial |
$522.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$492.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$243.59
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$492.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$331.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$467.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$445.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$247.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$437.25
|
| Rate for Payer: Cash Price |
$275.00
|
| Rate for Payer: Cigna Commercial |
$440.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$440.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$440.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$247.50
|
| Rate for Payer: Multiplan Commercial |
$511.50
|
| Rate for Payer: MVP Health Care of NY Commercial |
$467.50
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$247.50
|
| Rate for Payer: United Healthcare Commercial |
$522.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$247.50
|
| Rate for Payer: United Healthcare VA CCN |
$247.50
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
5103150501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$47.24 |
| Max. Negotiated Rate |
$517.00 |
| Rate for Payer: Aetna of VT Commercial |
$517.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$492.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$48.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$492.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$66.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$117.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$54.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$117.67
|
| Rate for Payer: Cash Price |
$275.00
|
| Rate for Payer: Cash Price |
$275.00
|
| Rate for Payer: Cigna Commercial |
$74.70
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$135.78
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$135.78
|
| Rate for Payer: Martins Point Health Care Commercial |
$83.85
|
| Rate for Payer: Multiplan Commercial |
$511.50
|
| Rate for Payer: MVP Health Care of NY Commercial |
$67.08
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare Commercial |
$72.67
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47.24
|
| Rate for Payer: United Healthcare VA CCN |
$47.24
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
IP
|
$549.05
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
4503150501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$406.35 |
| Max. Negotiated Rate |
$521.60 |
| Rate for Payer: Aetna of VT Commercial |
$521.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$406.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$406.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$466.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$461.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$439.24
|
| Rate for Payer: Cash Price |
$274.52
|
| Rate for Payer: Cigna Commercial |
$439.24
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$439.24
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$439.24
|
| Rate for Payer: Multiplan Commercial |
$510.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$466.69
|
| Rate for Payer: United Healthcare Commercial |
$521.60
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
IP
|
$221.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9813150501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$163.56 |
| Max. Negotiated Rate |
$209.95 |
| Rate for Payer: Aetna of VT Commercial |
$209.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$163.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$163.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$187.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$185.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$176.80
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cigna Commercial |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$176.80
|
| Rate for Payer: Multiplan Commercial |
$205.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.85
|
| Rate for Payer: United Healthcare Commercial |
$209.95
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
IP
|
$221.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9603150502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$163.56 |
| Max. Negotiated Rate |
$209.95 |
| Rate for Payer: Aetna of VT Commercial |
$209.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$163.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$163.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$187.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$185.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$176.80
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cigna Commercial |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$176.80
|
| Rate for Payer: Multiplan Commercial |
$205.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.85
|
| Rate for Payer: United Healthcare Commercial |
$209.95
|
|
|
DIAGNOSTIC LARYNGOSCOPY
|
Facility
|
OP
|
$221.00
|
|
|
Service Code
|
CPT 31505
|
| Hospital Charge Code |
9813150502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$97.88 |
| Max. Negotiated Rate |
$209.95 |
| Rate for Payer: Aetna of VT Commercial |
$209.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$97.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$197.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$133.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$187.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$179.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$99.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$175.69
|
| Rate for Payer: Cash Price |
$110.50
|
| Rate for Payer: Cigna Commercial |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$176.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$176.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$99.45
|
| Rate for Payer: Multiplan Commercial |
$205.53
|
| Rate for Payer: MVP Health Care of NY Commercial |
$187.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$99.45
|
| Rate for Payer: United Healthcare Commercial |
$209.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$99.45
|
| Rate for Payer: United Healthcare VA CCN |
$99.45
|
|
