|
DRAINAGE FINGER ABSCESS SIMPLE
|
Professional
|
Both
|
$348.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
5102601001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$134.50 |
| Max. Negotiated Rate |
$516.36 |
| Rate for Payer: Aetna of VT Commercial |
$327.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$138.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$188.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$434.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$434.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$154.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$434.24
|
| Rate for Payer: Cash Price |
$174.00
|
| Rate for Payer: Cash Price |
$174.00
|
| Rate for Payer: Cigna Commercial |
$256.70
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$516.36
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$516.36
|
| Rate for Payer: Martins Point Health Care Commercial |
$318.54
|
| Rate for Payer: Multiplan Commercial |
$323.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$190.99
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$134.50
|
| Rate for Payer: United Healthcare Commercial |
$206.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$134.50
|
| Rate for Payer: United Healthcare VA CCN |
$134.50
|
|
|
DRAINAGE FINGER ABSCESS SIMPLE
|
Professional
|
Both
|
$933.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
9602601001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$134.50 |
| Max. Negotiated Rate |
$877.02 |
| Rate for Payer: Aetna of VT Commercial |
$877.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$835.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$138.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$835.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$188.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$434.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$434.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$154.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$434.24
|
| Rate for Payer: Cash Price |
$466.50
|
| Rate for Payer: Cash Price |
$466.50
|
| Rate for Payer: Cigna Commercial |
$256.70
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$516.36
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$516.36
|
| Rate for Payer: Martins Point Health Care Commercial |
$318.54
|
| Rate for Payer: Multiplan Commercial |
$867.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$190.99
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$134.50
|
| Rate for Payer: United Healthcare Commercial |
$206.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$134.50
|
| Rate for Payer: United Healthcare VA CCN |
$134.50
|
|
|
DRAINAGE FINGER ABSCESS SIMPLE
|
Facility
|
IP
|
$347.64
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
4502601001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$257.29 |
| Max. Negotiated Rate |
$330.26 |
| Rate for Payer: Aetna of VT Commercial |
$330.26
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$257.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$257.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$295.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$292.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$278.11
|
| Rate for Payer: Cash Price |
$173.82
|
| Rate for Payer: Cigna Commercial |
$278.11
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$278.11
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$278.11
|
| Rate for Payer: Multiplan Commercial |
$323.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$295.49
|
| Rate for Payer: United Healthcare Commercial |
$330.26
|
|
|
DRAINAGE FINGER ABSCESS SIMPLE
|
Facility
|
OP
|
$348.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
5102601001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$154.13 |
| Max. Negotiated Rate |
$330.60 |
| Rate for Payer: Aetna of VT Commercial |
$330.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$154.13
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$209.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$295.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$281.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$156.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$276.66
|
| Rate for Payer: Cash Price |
$174.00
|
| Rate for Payer: Cigna Commercial |
$278.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$278.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$278.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$156.60
|
| Rate for Payer: Multiplan Commercial |
$323.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$295.80
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$156.60
|
| Rate for Payer: United Healthcare Commercial |
$330.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$156.60
|
| Rate for Payer: United Healthcare VA CCN |
$156.60
|
|
|
DRAINAGE FINGER ABSCESS SIMPLE
|
Facility
|
IP
|
$610.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
9812601001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$451.46 |
| Max. Negotiated Rate |
$579.50 |
| Rate for Payer: Aetna of VT Commercial |
$579.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$451.46
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$451.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$518.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$512.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$488.00
|
| Rate for Payer: Cash Price |
$305.00
|
| Rate for Payer: Cigna Commercial |
$488.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$488.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$488.00
|
| Rate for Payer: Multiplan Commercial |
$567.30
|
| Rate for Payer: MVP Health Care of NY Commercial |
$518.50
|
| Rate for Payer: United Healthcare Commercial |
$579.50
|
|
|
DRAINAGE FINGER ABSCESS SIMPLE
|
Facility
|
IP
|
$933.00
|
|
|
Service Code
|
CPT 26010
|
| Hospital Charge Code |
9602601001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$690.51 |
| Max. Negotiated Rate |
$886.35 |
| Rate for Payer: Aetna of VT Commercial |
$886.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$690.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$690.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$793.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$783.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$746.40
|
| Rate for Payer: Cash Price |
$466.50
|
| Rate for Payer: Cigna Commercial |
$746.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$746.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$746.40
|
| Rate for Payer: Multiplan Commercial |
$867.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$793.05
|
| Rate for Payer: United Healthcare Commercial |
$886.35
|
|
|
DRAINAGE OF BONE LESION
|
Facility
|
IP
|
$1,945.00
|
|
|
Service Code
|
CPT 27303
|
| Hospital Charge Code |
9822730301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,439.49 |
| Max. Negotiated Rate |
$1,847.75 |
| Rate for Payer: Aetna of VT Commercial |
$1,847.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,439.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,439.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,653.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,633.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,556.00
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cigna Commercial |
$1,556.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,556.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,556.00
|
| Rate for Payer: Multiplan Commercial |
$1,808.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,653.25
|
| Rate for Payer: United Healthcare Commercial |
$1,847.75
|
|
|
DRAINAGE OF BONE LESION
|
Professional
|
Both
|
$1,945.00
|
|
|
Service Code
|
CPT 27303
|
| Hospital Charge Code |
9822730301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$607.85 |
| Max. Negotiated Rate |
$1,828.30 |
| Rate for Payer: Aetna of VT Commercial |
$1,828.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,742.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$626.09
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,742.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$850.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,135.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,135.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$699.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,135.05
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cigna Commercial |
$1,150.56
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,013.69
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,013.69
|
| Rate for Payer: Martins Point Health Care Commercial |
$607.85
|
| Rate for Payer: Multiplan Commercial |
$1,808.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$863.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$607.85
|
| Rate for Payer: United Healthcare Commercial |
$935.06
|
| Rate for Payer: United Healthcare Medicare Advantage |
$607.85
|
| Rate for Payer: United Healthcare VA CCN |
$607.85
|
|
|
DRAINAGE OF BONE LESION
|
Facility
|
OP
|
$1,945.00
|
|
|
Service Code
|
CPT 27303
|
| Hospital Charge Code |
9822730301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$861.44 |
| Max. Negotiated Rate |
$1,847.75 |
| Rate for Payer: Aetna of VT Commercial |
$1,847.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,742.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$861.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,742.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,170.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,653.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,575.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$875.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,546.28
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cigna Commercial |
$1,556.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,556.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,556.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$875.25
|
| Rate for Payer: Multiplan Commercial |
$1,808.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,653.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$875.25
|
| Rate for Payer: United Healthcare Commercial |
$1,847.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$875.25
|
| Rate for Payer: United Healthcare VA CCN |
$875.25
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9816770001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.74 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
OP
|
$571.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9826770001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$252.90 |
| Max. Negotiated Rate |
$542.45 |
| Rate for Payer: Aetna of VT Commercial |
$542.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$252.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$343.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$485.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$462.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$256.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$453.94
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cigna Commercial |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$456.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$256.95
|
| Rate for Payer: Multiplan Commercial |
$531.03
|
| Rate for Payer: MVP Health Care of NY Commercial |
$485.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$256.95
|
| Rate for Payer: United Healthcare Commercial |
$542.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$256.95
|
| Rate for Payer: United Healthcare VA CCN |
$256.95
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9816770001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$427.19 |
| Rate for Payer: Aetna of VT Commercial |
$0.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$113.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$154.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$127.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$427.19
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$204.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.30
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.30
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.47
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$157.01
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare Commercial |
$170.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare VA CCN |
$110.57
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
IP
|
$5,351.47
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
4506770001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$3,960.62 |
| Max. Negotiated Rate |
$5,083.90 |
| Rate for Payer: Aetna of VT Commercial |
$5,083.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,960.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,960.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$4,548.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$4,495.23
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$4,281.18
|
| Rate for Payer: Cash Price |
$2,675.74
|
| Rate for Payer: Cigna Commercial |
$4,281.18
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$4,281.18
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$4,281.18
|
| Rate for Payer: Multiplan Commercial |
$4,976.87
|
| Rate for Payer: MVP Health Care of NY Commercial |
$4,548.75
|
| Rate for Payer: United Healthcare Commercial |
$5,083.90
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9816770001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$0.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$0.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.81
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$0.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$0.45
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare VA CCN |
$0.45
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
OP
|
$5,352.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
5106770001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$2,370.40 |
| Max. Negotiated Rate |
$5,084.40 |
| Rate for Payer: Aetna of VT Commercial |
$5,084.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$4,794.86
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$2,370.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$4,794.86
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$3,221.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$4,549.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$4,335.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$2,408.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$4,254.84
|
| Rate for Payer: Cash Price |
$2,676.00
|
| Rate for Payer: Cigna Commercial |
$4,281.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$4,281.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$4,281.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$2,408.40
|
| Rate for Payer: Multiplan Commercial |
$4,977.36
|
| Rate for Payer: MVP Health Care of NY Commercial |
$4,549.20
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$2,408.40
|
| Rate for Payer: United Healthcare Commercial |
$5,084.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$2,408.40
|
| Rate for Payer: United Healthcare VA CCN |
$2,408.40
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
IP
|
$5,352.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
5106770001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$3,961.02 |
| Max. Negotiated Rate |
$5,084.40 |
| Rate for Payer: Aetna of VT Commercial |
$5,084.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,961.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,961.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$4,549.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$4,495.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$4,281.60
|
| Rate for Payer: Cash Price |
$2,676.00
|
| Rate for Payer: Cigna Commercial |
$4,281.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$4,281.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$4,281.60
|
| Rate for Payer: Multiplan Commercial |
$4,977.36
|
| Rate for Payer: MVP Health Care of NY Commercial |
$4,549.20
|
| Rate for Payer: United Healthcare Commercial |
$5,084.40
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Professional
|
Both
|
$5,923.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9606770001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$110.57 |
| Max. Negotiated Rate |
$5,567.62 |
| Rate for Payer: Aetna of VT Commercial |
$5,567.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$5,306.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$113.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$5,306.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$154.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$127.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$427.19
|
| Rate for Payer: Cash Price |
$2,961.50
|
| Rate for Payer: Cash Price |
$2,961.50
|
| Rate for Payer: Cigna Commercial |
$204.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.30
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.30
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.47
|
| Rate for Payer: Multiplan Commercial |
$5,508.39
|
| Rate for Payer: MVP Health Care of NY Commercial |
$157.01
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare Commercial |
$170.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare VA CCN |
$110.57
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
IP
|
$571.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9816770002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$422.60 |
| Max. Negotiated Rate |
$542.45 |
| Rate for Payer: Aetna of VT Commercial |
$542.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$422.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$422.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$485.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$479.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$456.80
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cigna Commercial |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$456.80
|
| Rate for Payer: Multiplan Commercial |
$531.03
|
| Rate for Payer: MVP Health Care of NY Commercial |
$485.35
|
| Rate for Payer: United Healthcare Commercial |
$542.45
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Professional
|
Both
|
$571.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9816770002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$110.57 |
| Max. Negotiated Rate |
$536.74 |
| Rate for Payer: Aetna of VT Commercial |
$536.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$113.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$154.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$127.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$427.19
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cigna Commercial |
$204.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.30
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.30
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.47
|
| Rate for Payer: Multiplan Commercial |
$531.03
|
| Rate for Payer: MVP Health Care of NY Commercial |
$157.01
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare Commercial |
$170.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare VA CCN |
$110.57
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Professional
|
Both
|
$571.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9606770002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$110.57 |
| Max. Negotiated Rate |
$536.74 |
| Rate for Payer: Aetna of VT Commercial |
$536.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$113.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$154.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$127.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$427.19
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cigna Commercial |
$204.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.30
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.30
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.47
|
| Rate for Payer: Multiplan Commercial |
$531.03
|
| Rate for Payer: MVP Health Care of NY Commercial |
$157.01
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare Commercial |
$170.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare VA CCN |
$110.57
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
IP
|
$5,923.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9606770001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$4,383.61 |
| Max. Negotiated Rate |
$5,626.85 |
| Rate for Payer: Aetna of VT Commercial |
$5,626.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$4,383.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$4,383.61
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$5,034.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$4,975.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$4,738.40
|
| Rate for Payer: Cash Price |
$2,961.50
|
| Rate for Payer: Cigna Commercial |
$4,738.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$4,738.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$4,738.40
|
| Rate for Payer: Multiplan Commercial |
$5,508.39
|
| Rate for Payer: MVP Health Care of NY Commercial |
$5,034.55
|
| Rate for Payer: United Healthcare Commercial |
$5,626.85
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
OP
|
$5,923.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9606770001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,623.30 |
| Max. Negotiated Rate |
$5,626.85 |
| Rate for Payer: Aetna of VT Commercial |
$5,626.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$5,306.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$2,623.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$5,306.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$3,565.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$5,034.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$4,797.63
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$2,665.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$4,708.78
|
| Rate for Payer: Cash Price |
$2,961.50
|
| Rate for Payer: Cigna Commercial |
$4,738.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$4,738.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$4,738.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$2,665.35
|
| Rate for Payer: Multiplan Commercial |
$5,508.39
|
| Rate for Payer: MVP Health Care of NY Commercial |
$5,034.55
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$2,665.35
|
| Rate for Payer: United Healthcare Commercial |
$5,626.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$2,665.35
|
| Rate for Payer: United Healthcare VA CCN |
$2,665.35
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
OP
|
$571.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9816770002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$252.90 |
| Max. Negotiated Rate |
$542.45 |
| Rate for Payer: Aetna of VT Commercial |
$542.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$252.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$343.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$485.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$462.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$256.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$453.94
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cigna Commercial |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$456.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$256.95
|
| Rate for Payer: Multiplan Commercial |
$531.03
|
| Rate for Payer: MVP Health Care of NY Commercial |
$485.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$256.95
|
| Rate for Payer: United Healthcare Commercial |
$542.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$256.95
|
| Rate for Payer: United Healthcare VA CCN |
$256.95
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Professional
|
Both
|
$571.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9826770001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$110.57 |
| Max. Negotiated Rate |
$536.74 |
| Rate for Payer: Aetna of VT Commercial |
$536.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$113.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$511.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$154.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$427.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$127.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$427.19
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cigna Commercial |
$204.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.30
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.30
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.47
|
| Rate for Payer: Multiplan Commercial |
$531.03
|
| Rate for Payer: MVP Health Care of NY Commercial |
$157.01
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare Commercial |
$170.09
|
| Rate for Payer: United Healthcare Medicare Advantage |
$110.57
|
| Rate for Payer: United Healthcare VA CCN |
$110.57
|
|
|
DRAINAGE OF EYELID ABSCESS
|
Facility
|
IP
|
$571.00
|
|
|
Service Code
|
CPT 67700
|
| Hospital Charge Code |
9826770001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$422.60 |
| Max. Negotiated Rate |
$542.45 |
| Rate for Payer: Aetna of VT Commercial |
$542.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$422.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$422.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$485.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$479.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$456.80
|
| Rate for Payer: Cash Price |
$285.50
|
| Rate for Payer: Cigna Commercial |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$456.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$456.80
|
| Rate for Payer: Multiplan Commercial |
$531.03
|
| Rate for Payer: MVP Health Care of NY Commercial |
$485.35
|
| Rate for Payer: United Healthcare Commercial |
$542.45
|
|
