|
DRAINAGE OF NOSE LESION
|
Professional
|
Both
|
$531.00
|
|
|
Service Code
|
CPT 30020
|
| Hospital Charge Code |
9813002002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$116.60 |
| Max. Negotiated Rate |
$499.14 |
| Rate for Payer: Aetna of VT Commercial |
$499.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$475.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$120.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$475.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$163.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$337.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$337.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$134.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$337.74
|
| Rate for Payer: Cash Price |
$265.50
|
| Rate for Payer: Cash Price |
$265.50
|
| Rate for Payer: Cigna Commercial |
$185.97
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$407.33
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$407.33
|
| Rate for Payer: Martins Point Health Care Commercial |
$251.50
|
| Rate for Payer: Multiplan Commercial |
$493.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$165.57
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$116.60
|
| Rate for Payer: United Healthcare Commercial |
$179.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$116.60
|
| Rate for Payer: United Healthcare VA CCN |
$116.60
|
|
|
DRAINAGE OF NOSE LESION
|
Facility
|
IP
|
$531.00
|
|
|
Service Code
|
CPT 30020
|
| Hospital Charge Code |
9813002001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$392.99 |
| Max. Negotiated Rate |
$504.45 |
| Rate for Payer: Aetna of VT Commercial |
$504.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$392.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$392.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$451.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$446.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$424.80
|
| Rate for Payer: Cash Price |
$265.50
|
| Rate for Payer: Cigna Commercial |
$424.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.80
|
| Rate for Payer: Multiplan Commercial |
$493.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$451.35
|
| Rate for Payer: United Healthcare Commercial |
$504.45
|
|
|
DRAINAGE OF NOSE LESION
|
Facility
|
IP
|
$531.00
|
|
|
Service Code
|
CPT 30020
|
| Hospital Charge Code |
9813002002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$392.99 |
| Max. Negotiated Rate |
$504.45 |
| Rate for Payer: Aetna of VT Commercial |
$504.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$392.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$392.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$451.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$446.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$424.80
|
| Rate for Payer: Cash Price |
$265.50
|
| Rate for Payer: Cigna Commercial |
$424.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.80
|
| Rate for Payer: Multiplan Commercial |
$493.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$451.35
|
| Rate for Payer: United Healthcare Commercial |
$504.45
|
|
|
DRAINAGE OF NOSE LESION
|
Professional
|
Both
|
$531.00
|
|
|
Service Code
|
CPT 30020
|
| Hospital Charge Code |
9823002001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$116.60 |
| Max. Negotiated Rate |
$499.14 |
| Rate for Payer: Aetna of VT Commercial |
$499.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$475.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$120.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$475.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$163.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$337.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$337.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$134.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$337.74
|
| Rate for Payer: Cash Price |
$265.50
|
| Rate for Payer: Cash Price |
$265.50
|
| Rate for Payer: Cigna Commercial |
$185.97
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$407.33
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$407.33
|
| Rate for Payer: Martins Point Health Care Commercial |
$251.50
|
| Rate for Payer: Multiplan Commercial |
$493.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$165.57
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$116.60
|
| Rate for Payer: United Healthcare Commercial |
$179.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$116.60
|
| Rate for Payer: United Healthcare VA CCN |
$116.60
|
|
|
DRAINAGE OF NOSE LESION
|
Facility
|
OP
|
$2,024.57
|
|
|
Service Code
|
CPT 30020
|
| Hospital Charge Code |
4503002001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$896.68 |
| Max. Negotiated Rate |
$1,923.34 |
| Rate for Payer: Aetna of VT Commercial |
$1,923.34
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,813.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$896.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,813.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,218.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,720.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,639.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$911.06
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,609.53
|
| Rate for Payer: Cash Price |
$1,012.28
|
| Rate for Payer: Cigna Commercial |
$1,619.66
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,619.66
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,619.66
|
| Rate for Payer: Martins Point Health Care Commercial |
$911.06
|
| Rate for Payer: Multiplan Commercial |
$1,882.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,720.88
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$911.06
|
| Rate for Payer: United Healthcare Commercial |
$1,923.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$911.06
|
| Rate for Payer: United Healthcare VA CCN |
$911.06
|
|
|
DRAINAGE OF NOSE LESION
|
Facility
|
IP
|
$2,024.57
|
|
|
Service Code
|
CPT 30020
|
| Hospital Charge Code |
4503002001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,498.38 |
| Max. Negotiated Rate |
$1,923.34 |
| Rate for Payer: Aetna of VT Commercial |
$1,923.34
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,498.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,498.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,720.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,700.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,619.66
|
| Rate for Payer: Cash Price |
$1,012.28
|
| Rate for Payer: Cigna Commercial |
$1,619.66
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,619.66
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,619.66
|
| Rate for Payer: Multiplan Commercial |
$1,882.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,720.88
|
| Rate for Payer: United Healthcare Commercial |
$1,923.34
|
|
|
DRAINAGE OF NOSE LESION
|
Facility
|
OP
|
$531.00
|
|
|
Service Code
|
CPT 30020
|
| Hospital Charge Code |
9813002002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$235.18 |
| Max. Negotiated Rate |
$504.45 |
| Rate for Payer: Aetna of VT Commercial |
$504.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$475.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$235.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$475.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$319.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$451.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$430.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$238.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$422.14
|
| Rate for Payer: Cash Price |
$265.50
|
| Rate for Payer: Cigna Commercial |
$424.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$424.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$424.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$238.95
|
| Rate for Payer: Multiplan Commercial |
$493.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$451.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$238.95
|
| Rate for Payer: United Healthcare Commercial |
$504.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$238.95
|
| Rate for Payer: United Healthcare VA CCN |
$238.95
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Facility
|
OP
|
$355.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
9601008002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$157.23 |
| Max. Negotiated Rate |
$337.25 |
| Rate for Payer: Aetna of VT Commercial |
$337.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$318.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$157.23
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$318.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$213.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$301.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$287.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$159.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$282.23
|
| Rate for Payer: Cash Price |
$177.50
|
| Rate for Payer: Cigna Commercial |
$284.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$159.75
|
| Rate for Payer: Multiplan Commercial |
$330.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$301.75
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$159.75
|
| Rate for Payer: United Healthcare Commercial |
$337.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$159.75
|
| Rate for Payer: United Healthcare VA CCN |
$159.75
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Facility
|
IP
|
$355.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
9601008002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$262.74 |
| Max. Negotiated Rate |
$337.25 |
| Rate for Payer: Aetna of VT Commercial |
$337.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$262.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$262.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$301.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$298.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$284.00
|
| Rate for Payer: Cash Price |
$177.50
|
| Rate for Payer: Cigna Commercial |
$284.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.00
|
| Rate for Payer: Multiplan Commercial |
$330.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$301.75
|
| Rate for Payer: United Healthcare Commercial |
$337.25
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Facility
|
IP
|
$632.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
5101008001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$467.74 |
| Max. Negotiated Rate |
$600.40 |
| Rate for Payer: Aetna of VT Commercial |
$600.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$467.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$467.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$537.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$530.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$505.60
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cigna Commercial |
$505.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$505.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$505.60
|
| Rate for Payer: Multiplan Commercial |
$587.76
|
| Rate for Payer: MVP Health Care of NY Commercial |
$537.20
|
| Rate for Payer: United Healthcare Commercial |
$600.40
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Facility
|
OP
|
$986.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
9601008001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$436.70 |
| Max. Negotiated Rate |
$936.70 |
| Rate for Payer: Aetna of VT Commercial |
$936.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$883.36
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$436.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$883.36
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$593.57
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$838.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$798.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$443.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$783.87
|
| Rate for Payer: Cash Price |
$493.00
|
| Rate for Payer: Cigna Commercial |
$788.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$788.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$788.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$443.70
|
| Rate for Payer: Multiplan Commercial |
$916.98
|
| Rate for Payer: MVP Health Care of NY Commercial |
$838.10
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$443.70
|
| Rate for Payer: United Healthcare Commercial |
$936.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$443.70
|
| Rate for Payer: United Healthcare VA CCN |
$443.70
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
9601008001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$99.67 |
| Max. Negotiated Rate |
$926.84 |
| Rate for Payer: Aetna of VT Commercial |
$926.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$883.36
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$102.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$883.36
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$139.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$317.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$114.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$317.29
|
| Rate for Payer: Cash Price |
$493.00
|
| Rate for Payer: Cash Price |
$493.00
|
| Rate for Payer: Cigna Commercial |
$182.90
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$379.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$379.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$233.92
|
| Rate for Payer: Multiplan Commercial |
$916.98
|
| Rate for Payer: MVP Health Care of NY Commercial |
$141.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$99.67
|
| Rate for Payer: United Healthcare Commercial |
$153.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$99.67
|
| Rate for Payer: United Healthcare VA CCN |
$99.67
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
9601008001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$729.74 |
| Max. Negotiated Rate |
$936.70 |
| Rate for Payer: Aetna of VT Commercial |
$936.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$729.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$729.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$838.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$828.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$788.80
|
| Rate for Payer: Cash Price |
$493.00
|
| Rate for Payer: Cigna Commercial |
$788.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$788.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$788.80
|
| Rate for Payer: Multiplan Commercial |
$916.98
|
| Rate for Payer: MVP Health Care of NY Commercial |
$838.10
|
| Rate for Payer: United Healthcare Commercial |
$936.70
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Facility
|
OP
|
$632.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
5101008001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$279.91 |
| Max. Negotiated Rate |
$600.40 |
| Rate for Payer: Aetna of VT Commercial |
$600.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$566.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$279.91
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$566.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$380.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$537.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$511.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$284.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$502.44
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cigna Commercial |
$505.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$505.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$505.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$284.40
|
| Rate for Payer: Multiplan Commercial |
$587.76
|
| Rate for Payer: MVP Health Care of NY Commercial |
$537.20
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$284.40
|
| Rate for Payer: United Healthcare Commercial |
$600.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$284.40
|
| Rate for Payer: United Healthcare VA CCN |
$284.40
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Professional
|
Both
|
$632.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
5101008001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$99.67 |
| Max. Negotiated Rate |
$594.08 |
| Rate for Payer: Aetna of VT Commercial |
$594.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$566.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$102.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$566.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$139.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$317.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$114.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$317.29
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cigna Commercial |
$182.90
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$379.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$379.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$233.92
|
| Rate for Payer: Multiplan Commercial |
$587.76
|
| Rate for Payer: MVP Health Care of NY Commercial |
$141.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$99.67
|
| Rate for Payer: United Healthcare Commercial |
$153.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$99.67
|
| Rate for Payer: United Healthcare VA CCN |
$99.67
|
|
|
DRAINAGE OF PILONIDAL CYST
|
Professional
|
Both
|
$355.00
|
|
|
Service Code
|
CPT 10080
|
| Hospital Charge Code |
9601008002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$99.67 |
| Max. Negotiated Rate |
$379.04 |
| Rate for Payer: Aetna of VT Commercial |
$333.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$318.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$102.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$318.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$139.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$317.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$114.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$317.29
|
| Rate for Payer: Cash Price |
$177.50
|
| Rate for Payer: Cash Price |
$177.50
|
| Rate for Payer: Cigna Commercial |
$182.90
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$379.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$379.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$233.92
|
| Rate for Payer: Multiplan Commercial |
$330.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$141.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$99.67
|
| Rate for Payer: United Healthcare Commercial |
$153.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$99.67
|
| Rate for Payer: United Healthcare VA CCN |
$99.67
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Facility
|
OP
|
$10.34
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
4504500501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$4.58 |
| Max. Negotiated Rate |
$9.82 |
| Rate for Payer: Aetna of VT Commercial |
$9.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$9.26
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$4.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$9.26
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$6.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$8.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$8.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$4.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$8.22
|
| Rate for Payer: Cash Price |
$5.17
|
| Rate for Payer: Cigna Commercial |
$8.27
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$8.27
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$8.27
|
| Rate for Payer: Martins Point Health Care Commercial |
$4.65
|
| Rate for Payer: Multiplan Commercial |
$9.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$8.79
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$4.65
|
| Rate for Payer: United Healthcare Commercial |
$9.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$4.65
|
| Rate for Payer: United Healthcare VA CCN |
$4.65
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Professional
|
Both
|
$545.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
9814500501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$157.08 |
| Max. Negotiated Rate |
$512.30 |
| Rate for Payer: Aetna of VT Commercial |
$512.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$161.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$219.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$407.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$407.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$180.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$407.99
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cigna Commercial |
$282.09
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$492.19
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$492.19
|
| Rate for Payer: Martins Point Health Care Commercial |
$300.01
|
| Rate for Payer: Multiplan Commercial |
$506.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$223.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$157.08
|
| Rate for Payer: United Healthcare Commercial |
$241.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$157.08
|
| Rate for Payer: United Healthcare VA CCN |
$157.08
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Facility
|
IP
|
$10.34
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
4504500501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$7.65 |
| Max. Negotiated Rate |
$9.82 |
| Rate for Payer: Aetna of VT Commercial |
$9.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$7.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$7.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$8.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$8.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$8.27
|
| Rate for Payer: Cash Price |
$5.17
|
| Rate for Payer: Cigna Commercial |
$8.27
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$8.27
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$8.27
|
| Rate for Payer: Multiplan Commercial |
$9.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$8.79
|
| Rate for Payer: United Healthcare Commercial |
$9.82
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Professional
|
Both
|
$545.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
9824500501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$157.08 |
| Max. Negotiated Rate |
$512.30 |
| Rate for Payer: Aetna of VT Commercial |
$512.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$161.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$219.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$407.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$407.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$180.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$407.99
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cigna Commercial |
$282.09
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$492.19
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$492.19
|
| Rate for Payer: Martins Point Health Care Commercial |
$300.01
|
| Rate for Payer: Multiplan Commercial |
$506.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$223.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$157.08
|
| Rate for Payer: United Healthcare Commercial |
$241.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$157.08
|
| Rate for Payer: United Healthcare VA CCN |
$157.08
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Facility
|
OP
|
$545.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
9814500501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$241.38 |
| Max. Negotiated Rate |
$517.75 |
| Rate for Payer: Aetna of VT Commercial |
$517.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$241.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$328.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$463.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$441.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$245.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$433.27
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cigna Commercial |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$436.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$245.25
|
| Rate for Payer: Multiplan Commercial |
$506.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$463.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$245.25
|
| Rate for Payer: United Healthcare Commercial |
$517.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$245.25
|
| Rate for Payer: United Healthcare VA CCN |
$245.25
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Facility
|
IP
|
$545.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
9814500502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$403.35 |
| Max. Negotiated Rate |
$517.75 |
| Rate for Payer: Aetna of VT Commercial |
$517.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$403.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$403.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$463.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$457.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$436.00
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cigna Commercial |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$436.00
|
| Rate for Payer: Multiplan Commercial |
$506.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$463.25
|
| Rate for Payer: United Healthcare Commercial |
$517.75
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Facility
|
OP
|
$545.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
9814500502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$241.38 |
| Max. Negotiated Rate |
$517.75 |
| Rate for Payer: Aetna of VT Commercial |
$517.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$241.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$328.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$463.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$441.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$245.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$433.27
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cigna Commercial |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$436.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$245.25
|
| Rate for Payer: Multiplan Commercial |
$506.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$463.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$245.25
|
| Rate for Payer: United Healthcare Commercial |
$517.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$245.25
|
| Rate for Payer: United Healthcare VA CCN |
$245.25
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Facility
|
IP
|
$545.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
9814500501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$403.35 |
| Max. Negotiated Rate |
$517.75 |
| Rate for Payer: Aetna of VT Commercial |
$517.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$403.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$403.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$463.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$457.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$436.00
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cigna Commercial |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$436.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$436.00
|
| Rate for Payer: Multiplan Commercial |
$506.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$463.25
|
| Rate for Payer: United Healthcare Commercial |
$517.75
|
|
|
DRAINAGE OF RECTAL ABSCESS
|
Professional
|
Both
|
$545.00
|
|
|
Service Code
|
CPT 45005
|
| Hospital Charge Code |
9814500502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$157.08 |
| Max. Negotiated Rate |
$512.30 |
| Rate for Payer: Aetna of VT Commercial |
$512.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$161.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$488.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$219.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$407.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$407.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$180.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$407.99
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cash Price |
$272.50
|
| Rate for Payer: Cigna Commercial |
$282.09
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$492.19
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$492.19
|
| Rate for Payer: Martins Point Health Care Commercial |
$300.01
|
| Rate for Payer: Multiplan Commercial |
$506.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$223.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$157.08
|
| Rate for Payer: United Healthcare Commercial |
$241.64
|
| Rate for Payer: United Healthcare Medicare Advantage |
$157.08
|
| Rate for Payer: United Healthcare VA CCN |
$157.08
|
|
