|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
OP
|
$380.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
5104608301
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$168.30 |
| Max. Negotiated Rate |
$361.00 |
| Rate for Payer: Aetna of VT Commercial |
$361.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$340.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$168.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$340.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$228.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$323.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$307.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$171.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$302.10
|
| Rate for Payer: Cash Price |
$190.00
|
| Rate for Payer: Cigna Commercial |
$304.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$304.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$304.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$171.00
|
| Rate for Payer: Multiplan Commercial |
$353.40
|
| Rate for Payer: MVP Health Care of NY Commercial |
$323.00
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$171.00
|
| Rate for Payer: United Healthcare Commercial |
$361.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$171.00
|
| Rate for Payer: United Healthcare VA CCN |
$171.00
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
OP
|
$379.18
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
4504608301
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$167.94 |
| Max. Negotiated Rate |
$360.22 |
| Rate for Payer: Aetna of VT Commercial |
$360.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$339.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$167.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$339.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$228.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$322.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$307.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$170.63
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$301.45
|
| Rate for Payer: Cash Price |
$189.59
|
| Rate for Payer: Cigna Commercial |
$303.34
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$303.34
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$303.34
|
| Rate for Payer: Martins Point Health Care Commercial |
$170.63
|
| Rate for Payer: Multiplan Commercial |
$352.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$322.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$170.63
|
| Rate for Payer: United Healthcare Commercial |
$360.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$170.63
|
| Rate for Payer: United Healthcare VA CCN |
$170.63
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
OP
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9814608301
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$213.48 |
| Max. Negotiated Rate |
$457.90 |
| Rate for Payer: Aetna of VT Commercial |
$457.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$213.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$290.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$409.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$390.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$216.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$383.19
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$385.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$216.90
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$409.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare Commercial |
$457.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare VA CCN |
$216.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
IP
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9824608301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$356.73 |
| Max. Negotiated Rate |
$457.90 |
| Rate for Payer: Aetna of VT Commercial |
$457.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$356.73
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$356.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$409.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$404.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$385.60
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$385.60
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$409.70
|
| Rate for Payer: United Healthcare Commercial |
$457.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Professional
|
Both
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9604608302
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$103.95 |
| Max. Negotiated Rate |
$453.08 |
| Rate for Payer: Aetna of VT Commercial |
$453.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$107.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.65
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$189.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$318.87
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$318.87
|
| Rate for Payer: Martins Point Health Care Commercial |
$195.17
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$159.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare VA CCN |
$103.95
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
OP
|
$862.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9604608301
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$381.78 |
| Max. Negotiated Rate |
$818.90 |
| Rate for Payer: Aetna of VT Commercial |
$818.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$772.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$381.78
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$772.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$518.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$732.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$698.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$387.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$685.29
|
| Rate for Payer: Cash Price |
$431.00
|
| Rate for Payer: Cigna Commercial |
$689.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$689.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$689.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$387.90
|
| Rate for Payer: Multiplan Commercial |
$801.66
|
| Rate for Payer: MVP Health Care of NY Commercial |
$732.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$387.90
|
| Rate for Payer: United Healthcare Commercial |
$818.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$387.90
|
| Rate for Payer: United Healthcare VA CCN |
$387.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Professional
|
Both
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9814608302
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$103.95 |
| Max. Negotiated Rate |
$453.08 |
| Rate for Payer: Aetna of VT Commercial |
$453.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$107.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.65
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$189.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$318.87
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$318.87
|
| Rate for Payer: Martins Point Health Care Commercial |
$195.17
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$159.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare VA CCN |
$103.95
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Professional
|
Both
|
$862.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9604608301
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$103.95 |
| Max. Negotiated Rate |
$810.28 |
| Rate for Payer: Aetna of VT Commercial |
$810.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$772.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$107.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$772.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.65
|
| Rate for Payer: Cash Price |
$431.00
|
| Rate for Payer: Cash Price |
$431.00
|
| Rate for Payer: Cigna Commercial |
$189.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$318.87
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$318.87
|
| Rate for Payer: Martins Point Health Care Commercial |
$195.17
|
| Rate for Payer: Multiplan Commercial |
$801.66
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$159.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare VA CCN |
$103.95
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
OP
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9824608301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$213.48 |
| Max. Negotiated Rate |
$457.90 |
| Rate for Payer: Aetna of VT Commercial |
$457.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$213.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$290.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$409.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$390.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$216.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$383.19
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$385.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$216.90
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$409.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare Commercial |
$457.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare VA CCN |
$216.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Professional
|
Both
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9824608301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$103.95 |
| Max. Negotiated Rate |
$453.08 |
| Rate for Payer: Aetna of VT Commercial |
$453.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$107.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.65
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$189.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$318.87
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$318.87
|
| Rate for Payer: Martins Point Health Care Commercial |
$195.17
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$159.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare VA CCN |
$103.95
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Professional
|
Both
|
$380.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
5104608301
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$103.95 |
| Max. Negotiated Rate |
$357.20 |
| Rate for Payer: Aetna of VT Commercial |
$357.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$340.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$107.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$340.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.65
|
| Rate for Payer: Cash Price |
$190.00
|
| Rate for Payer: Cash Price |
$190.00
|
| Rate for Payer: Cigna Commercial |
$189.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$318.87
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$318.87
|
| Rate for Payer: Martins Point Health Care Commercial |
$195.17
|
| Rate for Payer: Multiplan Commercial |
$353.40
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$159.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare VA CCN |
$103.95
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
IP
|
$380.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
5104608301
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$281.24 |
| Max. Negotiated Rate |
$361.00 |
| Rate for Payer: Aetna of VT Commercial |
$361.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$281.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$281.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$323.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$319.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$304.00
|
| Rate for Payer: Cash Price |
$190.00
|
| Rate for Payer: Cigna Commercial |
$304.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$304.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$304.00
|
| Rate for Payer: Multiplan Commercial |
$353.40
|
| Rate for Payer: MVP Health Care of NY Commercial |
$323.00
|
| Rate for Payer: United Healthcare Commercial |
$361.00
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Professional
|
Both
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9814608301
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$103.95 |
| Max. Negotiated Rate |
$453.08 |
| Rate for Payer: Aetna of VT Commercial |
$453.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$107.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$296.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.65
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$189.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$318.87
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$318.87
|
| Rate for Payer: Martins Point Health Care Commercial |
$195.17
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare Commercial |
$159.91
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.95
|
| Rate for Payer: United Healthcare VA CCN |
$103.95
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
IP
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9814608301
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$356.73 |
| Max. Negotiated Rate |
$457.90 |
| Rate for Payer: Aetna of VT Commercial |
$457.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$356.73
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$356.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$409.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$404.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$385.60
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$385.60
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$409.70
|
| Rate for Payer: United Healthcare Commercial |
$457.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
OP
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9814608302
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$213.48 |
| Max. Negotiated Rate |
$457.90 |
| Rate for Payer: Aetna of VT Commercial |
$457.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$213.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$290.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$409.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$390.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$216.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$383.19
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$385.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$216.90
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$409.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare Commercial |
$457.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare VA CCN |
$216.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
OP
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9604608302
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$213.48 |
| Max. Negotiated Rate |
$457.90 |
| Rate for Payer: Aetna of VT Commercial |
$457.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$213.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$431.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$290.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$409.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$390.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$216.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$383.19
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$385.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$216.90
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$409.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare Commercial |
$457.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$216.90
|
| Rate for Payer: United Healthcare VA CCN |
$216.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
IP
|
$482.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9604608302
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$356.73 |
| Max. Negotiated Rate |
$457.90 |
| Rate for Payer: Aetna of VT Commercial |
$457.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$356.73
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$356.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$409.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$404.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$385.60
|
| Rate for Payer: Cash Price |
$241.00
|
| Rate for Payer: Cigna Commercial |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$385.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$385.60
|
| Rate for Payer: Multiplan Commercial |
$448.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$409.70
|
| Rate for Payer: United Healthcare Commercial |
$457.90
|
|
|
INCISE EXTERNAL HEMORRHOID
|
Facility
|
IP
|
$862.00
|
|
|
Service Code
|
CPT 46083
|
| Hospital Charge Code |
9604608301
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$637.97 |
| Max. Negotiated Rate |
$818.90 |
| Rate for Payer: Aetna of VT Commercial |
$818.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$637.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$637.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$732.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$724.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$689.60
|
| Rate for Payer: Cash Price |
$431.00
|
| Rate for Payer: Cigna Commercial |
$689.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$689.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$689.60
|
| Rate for Payer: Multiplan Commercial |
$801.66
|
| Rate for Payer: MVP Health Care of NY Commercial |
$732.70
|
| Rate for Payer: United Healthcare Commercial |
$818.90
|
|
|
INCISE FINGER TENDON SHEATH
|
Facility
|
IP
|
$1,533.00
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
9822605501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,134.57 |
| Max. Negotiated Rate |
$1,456.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,456.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,134.57
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,134.57
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,303.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,287.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,226.40
|
| Rate for Payer: Cash Price |
$766.50
|
| Rate for Payer: Cigna Commercial |
$1,226.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,226.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,226.40
|
| Rate for Payer: Multiplan Commercial |
$1,425.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,303.05
|
| Rate for Payer: United Healthcare Commercial |
$1,456.35
|
|
|
INCISE FINGER TENDON SHEATH
|
Facility
|
OP
|
$1,533.00
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
9822605501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$678.97 |
| Max. Negotiated Rate |
$1,456.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,456.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,373.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$678.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,373.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$922.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,303.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,241.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$689.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,218.73
|
| Rate for Payer: Cash Price |
$766.50
|
| Rate for Payer: Cigna Commercial |
$1,226.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,226.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,226.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$689.85
|
| Rate for Payer: Multiplan Commercial |
$1,425.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,303.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$689.85
|
| Rate for Payer: United Healthcare Commercial |
$1,456.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$689.85
|
| Rate for Payer: United Healthcare VA CCN |
$689.85
|
|
|
INCISE FINGER TENDON SHEATH
|
Professional
|
Both
|
$1,533.00
|
|
|
Service Code
|
CPT 26055
|
| Hospital Charge Code |
9822605501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$283.78 |
| Max. Negotiated Rate |
$1,441.02 |
| Rate for Payer: Aetna of VT Commercial |
$1,441.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,373.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$292.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,373.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$397.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$986.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$986.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$326.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$986.14
|
| Rate for Payer: Cash Price |
$766.50
|
| Rate for Payer: Cash Price |
$766.50
|
| Rate for Payer: Cigna Commercial |
$535.23
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$905.69
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$905.69
|
| Rate for Payer: Martins Point Health Care Commercial |
$557.12
|
| Rate for Payer: Multiplan Commercial |
$1,425.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$402.97
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$283.78
|
| Rate for Payer: United Healthcare Commercial |
$436.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$283.78
|
| Rate for Payer: United Healthcare VA CCN |
$283.78
|
|
|
INCISION OF ANAL ABSCESS
|
Facility
|
OP
|
$422.00
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
9814605002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$186.90 |
| Max. Negotiated Rate |
$400.90 |
| Rate for Payer: Aetna of VT Commercial |
$400.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$378.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$186.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$378.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$254.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$358.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$341.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$189.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$335.49
|
| Rate for Payer: Cash Price |
$211.00
|
| Rate for Payer: Cigna Commercial |
$337.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$337.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$337.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$189.90
|
| Rate for Payer: Multiplan Commercial |
$392.46
|
| Rate for Payer: MVP Health Care of NY Commercial |
$358.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$189.90
|
| Rate for Payer: United Healthcare Commercial |
$400.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$189.90
|
| Rate for Payer: United Healthcare VA CCN |
$189.90
|
|
|
INCISION OF ANAL ABSCESS
|
Facility
|
IP
|
$1,371.66
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
4504605001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,015.17 |
| Max. Negotiated Rate |
$1,303.08 |
| Rate for Payer: Aetna of VT Commercial |
$1,303.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,015.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,015.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,165.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,152.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,097.33
|
| Rate for Payer: Cash Price |
$685.83
|
| Rate for Payer: Cigna Commercial |
$1,097.33
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,097.33
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,097.33
|
| Rate for Payer: Multiplan Commercial |
$1,275.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,165.91
|
| Rate for Payer: United Healthcare Commercial |
$1,303.08
|
|
|
INCISION OF ANAL ABSCESS
|
Facility
|
OP
|
$422.00
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
9814605001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$186.90 |
| Max. Negotiated Rate |
$400.90 |
| Rate for Payer: Aetna of VT Commercial |
$400.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$378.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$186.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$378.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$254.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$358.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$341.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$189.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$335.49
|
| Rate for Payer: Cash Price |
$211.00
|
| Rate for Payer: Cigna Commercial |
$337.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$337.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$337.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$189.90
|
| Rate for Payer: Multiplan Commercial |
$392.46
|
| Rate for Payer: MVP Health Care of NY Commercial |
$358.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$189.90
|
| Rate for Payer: United Healthcare Commercial |
$400.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$189.90
|
| Rate for Payer: United Healthcare VA CCN |
$189.90
|
|
|
INCISION OF ANAL ABSCESS
|
Professional
|
Both
|
$422.00
|
|
|
Service Code
|
CPT 46050
|
| Hospital Charge Code |
9814605002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$96.17 |
| Max. Negotiated Rate |
$396.68 |
| Rate for Payer: Aetna of VT Commercial |
$396.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$378.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$99.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$378.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$134.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$294.93
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$294.93
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$110.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$294.93
|
| Rate for Payer: Cash Price |
$211.00
|
| Rate for Payer: Cash Price |
$211.00
|
| Rate for Payer: Cigna Commercial |
$175.27
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$362.07
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$362.07
|
| Rate for Payer: Martins Point Health Care Commercial |
$222.72
|
| Rate for Payer: Multiplan Commercial |
$392.46
|
| Rate for Payer: MVP Health Care of NY Commercial |
$136.56
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$96.17
|
| Rate for Payer: United Healthcare Commercial |
$147.94
|
| Rate for Payer: United Healthcare Medicare Advantage |
$96.17
|
| Rate for Payer: United Healthcare VA CCN |
$96.17
|
|
