|
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
|
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
|
$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
|
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 FINGER ABSCESS
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9812601101
|
|
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 FINGER ABSCESS
|
Professional
|
Both
|
$1,042.00
|
|
|
Service Code
|
CPT 23655
|
| Hospital Charge Code |
9822601101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$393.78 |
| Max. Negotiated Rate |
$979.48 |
| Rate for Payer: Aetna of VT Commercial |
$979.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$405.59
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$551.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$531.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$531.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$452.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$531.24
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cigna Commercial |
$746.99
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$652.65
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$652.65
|
| Rate for Payer: Martins Point Health Care Commercial |
$393.78
|
| Rate for Payer: Multiplan Commercial |
$969.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$559.17
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$393.78
|
| Rate for Payer: United Healthcare Commercial |
$605.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$393.78
|
| Rate for Payer: United Healthcare VA CCN |
$393.78
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Facility
|
IP
|
$437.90
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
4502601101
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$324.09 |
| Max. Negotiated Rate |
$416.00 |
| Rate for Payer: Aetna of VT Commercial |
$416.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$324.09
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$324.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$372.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$367.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$350.32
|
| Rate for Payer: Cash Price |
$218.95
|
| Rate for Payer: Cigna Commercial |
$350.32
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$350.32
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$350.32
|
| Rate for Payer: Multiplan Commercial |
$407.25
|
| Rate for Payer: MVP Health Care of NY Commercial |
$372.21
|
| Rate for Payer: United Healthcare Commercial |
$416.00
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Facility
|
IP
|
$1,042.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9822601101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$771.18 |
| Max. Negotiated Rate |
$989.90 |
| Rate for Payer: Aetna of VT Commercial |
$989.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$771.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$771.18
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$885.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$875.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$833.60
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cigna Commercial |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$833.60
|
| Rate for Payer: Multiplan Commercial |
$969.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$885.70
|
| Rate for Payer: United Healthcare Commercial |
$989.90
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Facility
|
OP
|
$437.90
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
4502601101
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$193.95 |
| Max. Negotiated Rate |
$416.00 |
| Rate for Payer: Aetna of VT Commercial |
$416.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$392.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$193.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$392.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$263.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$372.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$354.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$197.06
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$348.13
|
| Rate for Payer: Cash Price |
$218.95
|
| Rate for Payer: Cigna Commercial |
$350.32
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$350.32
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$350.32
|
| Rate for Payer: Martins Point Health Care Commercial |
$197.06
|
| Rate for Payer: Multiplan Commercial |
$407.25
|
| Rate for Payer: MVP Health Care of NY Commercial |
$372.21
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$197.06
|
| Rate for Payer: United Healthcare Commercial |
$416.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$197.06
|
| Rate for Payer: United Healthcare VA CCN |
$197.06
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Facility
|
OP
|
$1,042.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9822601101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$461.50 |
| Max. Negotiated Rate |
$989.90 |
| Rate for Payer: Aetna of VT Commercial |
$989.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$461.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$627.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$885.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$844.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$468.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$828.39
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cigna Commercial |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$833.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$468.90
|
| Rate for Payer: Multiplan Commercial |
$969.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$885.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$468.90
|
| Rate for Payer: United Healthcare Commercial |
$989.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$468.90
|
| Rate for Payer: United Healthcare VA CCN |
$468.90
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9812601101
|
|
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 FINGER ABSCESS
|
Facility
|
OP
|
$1,042.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9812601102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$461.50 |
| Max. Negotiated Rate |
$989.90 |
| Rate for Payer: Aetna of VT Commercial |
$989.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$461.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$627.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$885.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$844.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$468.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$828.39
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cigna Commercial |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$833.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$468.90
|
| Rate for Payer: Multiplan Commercial |
$969.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$885.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$468.90
|
| Rate for Payer: United Healthcare Commercial |
$989.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$468.90
|
| Rate for Payer: United Healthcare VA CCN |
$468.90
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Professional
|
Both
|
$1,042.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9812601102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$176.50 |
| Max. Negotiated Rate |
$979.48 |
| Rate for Payer: Aetna of VT Commercial |
$979.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$181.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$933.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$247.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$676.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$676.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$202.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$676.69
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cigna Commercial |
$334.51
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$722.08
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$722.08
|
| Rate for Payer: Martins Point Health Care Commercial |
$445.02
|
| Rate for Payer: Multiplan Commercial |
$969.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$250.63
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$176.50
|
| Rate for Payer: United Healthcare Commercial |
$271.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$176.50
|
| Rate for Payer: United Healthcare VA CCN |
$176.50
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Facility
|
IP
|
$1,042.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9812601102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$771.18 |
| Max. Negotiated Rate |
$989.90 |
| Rate for Payer: Aetna of VT Commercial |
$989.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$771.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$771.18
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$885.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$875.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$833.60
|
| Rate for Payer: Cash Price |
$521.00
|
| Rate for Payer: Cigna Commercial |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$833.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$833.60
|
| Rate for Payer: Multiplan Commercial |
$969.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$885.70
|
| Rate for Payer: United Healthcare Commercial |
$989.90
|
|
|
DRAINAGE OF FINGER ABSCESS
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 26011
|
| Hospital Charge Code |
9812601101
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$722.08 |
| 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 |
$181.79
|
| 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 |
$247.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$676.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$676.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$202.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$676.69
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$334.51
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$722.08
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$722.08
|
| Rate for Payer: Martins Point Health Care Commercial |
$445.02
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$250.63
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$176.50
|
| Rate for Payer: United Healthcare Commercial |
$271.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$176.50
|
| Rate for Payer: United Healthcare VA CCN |
$176.50
|
|
|
DRAINAGE OF GLAND ABSCESS
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
9815642001
|
|
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 GLAND ABSCESS
|
Facility
|
IP
|
$311.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
9815642002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$230.17 |
| Max. Negotiated Rate |
$295.45 |
| Rate for Payer: Aetna of VT Commercial |
$295.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$230.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$230.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$264.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$261.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$248.80
|
| Rate for Payer: Cash Price |
$155.50
|
| Rate for Payer: Cigna Commercial |
$248.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$248.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$248.80
|
| Rate for Payer: Multiplan Commercial |
$289.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$264.35
|
| Rate for Payer: United Healthcare Commercial |
$295.45
|
|
|
DRAINAGE OF GLAND ABSCESS
|
Facility
|
OP
|
$144.76
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
4505642001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$64.11 |
| Max. Negotiated Rate |
$137.52 |
| Rate for Payer: Aetna of VT Commercial |
$137.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$129.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$64.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$129.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$87.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$123.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$117.26
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$65.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$115.08
|
| Rate for Payer: Cash Price |
$72.38
|
| Rate for Payer: Cigna Commercial |
$115.81
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$115.81
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$115.81
|
| Rate for Payer: Martins Point Health Care Commercial |
$65.14
|
| Rate for Payer: Multiplan Commercial |
$134.63
|
| Rate for Payer: MVP Health Care of NY Commercial |
$123.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$65.14
|
| Rate for Payer: United Healthcare Commercial |
$137.52
|
| Rate for Payer: United Healthcare Medicare Advantage |
$65.14
|
| Rate for Payer: United Healthcare VA CCN |
$65.14
|
|
|
DRAINAGE OF GLAND ABSCESS
|
Facility
|
OP
|
$311.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
9815642002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$137.74 |
| Max. Negotiated Rate |
$295.45 |
| Rate for Payer: Aetna of VT Commercial |
$295.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$278.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$137.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$278.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$187.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$264.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$251.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$139.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$247.25
|
| Rate for Payer: Cash Price |
$155.50
|
| Rate for Payer: Cigna Commercial |
$248.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$248.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$248.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$139.95
|
| Rate for Payer: Multiplan Commercial |
$289.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$264.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$139.95
|
| Rate for Payer: United Healthcare Commercial |
$295.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$139.95
|
| Rate for Payer: United Healthcare VA CCN |
$139.95
|
|
|
DRAINAGE OF GLAND ABSCESS
|
Facility
|
IP
|
$144.76
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
4505642001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$107.14 |
| Max. Negotiated Rate |
$137.52 |
| Rate for Payer: Aetna of VT Commercial |
$137.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$107.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$107.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$123.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$121.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$115.81
|
| Rate for Payer: Cash Price |
$72.38
|
| Rate for Payer: Cigna Commercial |
$115.81
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$115.81
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$115.81
|
| Rate for Payer: Multiplan Commercial |
$134.63
|
| Rate for Payer: MVP Health Care of NY Commercial |
$123.05
|
| Rate for Payer: United Healthcare Commercial |
$137.52
|
|
|
DRAINAGE OF GLAND ABSCESS
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
9815642001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$284.42 |
| 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 |
$106.38
|
| 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 |
$144.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$247.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$247.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$118.77
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$247.15
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$183.97
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.42
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.42
|
| Rate for Payer: Martins Point Health Care Commercial |
$174.27
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$146.66
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.28
|
| Rate for Payer: United Healthcare Commercial |
$158.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.28
|
| Rate for Payer: United Healthcare VA CCN |
$103.28
|
|
|
DRAINAGE OF GLAND ABSCESS
|
Professional
|
Both
|
$311.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
9815642002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$103.28 |
| Max. Negotiated Rate |
$292.34 |
| Rate for Payer: Aetna of VT Commercial |
$292.34
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$278.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$106.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$278.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$144.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$247.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$247.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$118.77
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$247.15
|
| Rate for Payer: Cash Price |
$155.50
|
| Rate for Payer: Cash Price |
$155.50
|
| Rate for Payer: Cigna Commercial |
$183.97
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.42
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.42
|
| Rate for Payer: Martins Point Health Care Commercial |
$174.27
|
| Rate for Payer: Multiplan Commercial |
$289.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$146.66
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.28
|
| Rate for Payer: United Healthcare Commercial |
$158.88
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.28
|
| Rate for Payer: United Healthcare VA CCN |
$103.28
|
|
|
DRAINAGE OF GLAND ABSCESS
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 56420
|
| Hospital Charge Code |
9815642001
|
|
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 GUM LESION
|
Facility
|
OP
|
$438.00
|
|
|
Service Code
|
CPT 41800
|
| Hospital Charge Code |
9814180001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$193.99 |
| Max. Negotiated Rate |
$416.10 |
| Rate for Payer: Aetna of VT Commercial |
$416.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$392.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$193.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$392.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$263.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$372.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$354.78
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$197.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$348.21
|
| Rate for Payer: Cash Price |
$219.00
|
| Rate for Payer: Cigna Commercial |
$350.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$350.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$350.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$197.10
|
| Rate for Payer: Multiplan Commercial |
$407.34
|
| Rate for Payer: MVP Health Care of NY Commercial |
$372.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$197.10
|
| Rate for Payer: United Healthcare Commercial |
$416.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$197.10
|
| Rate for Payer: United Healthcare VA CCN |
$197.10
|
|
|
DRAINAGE OF GUM LESION
|
Facility
|
IP
|
$438.00
|
|
|
Service Code
|
CPT 41800
|
| Hospital Charge Code |
9824180001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$324.16 |
| Max. Negotiated Rate |
$416.10 |
| Rate for Payer: Aetna of VT Commercial |
$416.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$324.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$324.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$372.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$367.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$350.40
|
| Rate for Payer: Cash Price |
$219.00
|
| Rate for Payer: Cigna Commercial |
$350.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$350.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$350.40
|
| Rate for Payer: Multiplan Commercial |
$407.34
|
| Rate for Payer: MVP Health Care of NY Commercial |
$372.30
|
| Rate for Payer: United Healthcare Commercial |
$416.10
|
|
