|
INCISION OF HEEL BONE
|
Professional
|
Both
|
$2,143.00
|
|
|
Service Code
|
CPT 28300
|
| Hospital Charge Code |
9822830001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$616.78 |
| Max. Negotiated Rate |
$2,014.42 |
| Rate for Payer: Aetna of VT Commercial |
$2,014.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,919.91
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$635.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,919.91
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$863.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,372.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,372.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$709.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,372.10
|
| Rate for Payer: Cash Price |
$1,071.50
|
| Rate for Payer: Cash Price |
$1,071.50
|
| Rate for Payer: Cigna Commercial |
$1,167.63
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,022.44
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,022.44
|
| Rate for Payer: Martins Point Health Care Commercial |
$616.78
|
| Rate for Payer: Multiplan Commercial |
$1,992.99
|
| Rate for Payer: MVP Health Care of NY Commercial |
$875.83
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$616.78
|
| Rate for Payer: United Healthcare Commercial |
$948.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$616.78
|
| Rate for Payer: United Healthcare VA CCN |
$616.78
|
|
|
INCISION OF HEEL BONE
|
Facility
|
OP
|
$2,143.00
|
|
|
Service Code
|
CPT 28300
|
| Hospital Charge Code |
9822830001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$949.13 |
| Max. Negotiated Rate |
$2,035.85 |
| Rate for Payer: Aetna of VT Commercial |
$2,035.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,919.91
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$949.13
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,919.91
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,290.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,821.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,735.83
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$964.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,703.68
|
| Rate for Payer: Cash Price |
$1,071.50
|
| Rate for Payer: Cigna Commercial |
$1,714.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,714.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,714.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$964.35
|
| Rate for Payer: Multiplan Commercial |
$1,992.99
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,821.55
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$964.35
|
| Rate for Payer: United Healthcare Commercial |
$2,035.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$964.35
|
| Rate for Payer: United Healthcare VA CCN |
$964.35
|
|
|
INCISION OF HEEL BONE
|
Facility
|
IP
|
$2,299.00
|
|
|
Service Code
|
CPT 28300
|
| Hospital Charge Code |
9852830001
|
|
Hospital Revenue Code
|
985
|
| Min. Negotiated Rate |
$1,701.49 |
| Max. Negotiated Rate |
$2,184.05 |
| Rate for Payer: Aetna of VT Commercial |
$2,184.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,701.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,701.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,954.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,931.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,839.20
|
| Rate for Payer: Cash Price |
$1,149.50
|
| Rate for Payer: Cigna Commercial |
$1,839.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,839.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,839.20
|
| Rate for Payer: Multiplan Commercial |
$2,138.07
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,954.15
|
| Rate for Payer: United Healthcare Commercial |
$2,184.05
|
|
|
INCISION OF HEEL BONE
|
Facility
|
IP
|
$2,143.00
|
|
|
Service Code
|
CPT 28300
|
| Hospital Charge Code |
9822830001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,586.03 |
| Max. Negotiated Rate |
$2,035.85 |
| Rate for Payer: Aetna of VT Commercial |
$2,035.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,586.03
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,586.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,821.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,800.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,714.40
|
| Rate for Payer: Cash Price |
$1,071.50
|
| Rate for Payer: Cigna Commercial |
$1,714.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,714.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,714.40
|
| Rate for Payer: Multiplan Commercial |
$1,992.99
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,821.55
|
| Rate for Payer: United Healthcare Commercial |
$2,035.85
|
|
|
INCISION OF HEEL BONE
|
Professional
|
Both
|
$2,299.00
|
|
|
Service Code
|
CPT 28300
|
| Hospital Charge Code |
9852830001
|
|
Hospital Revenue Code
|
985
|
| Min. Negotiated Rate |
$616.78 |
| Max. Negotiated Rate |
$2,161.06 |
| Rate for Payer: Aetna of VT Commercial |
$2,161.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,059.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$635.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,059.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$863.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,372.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,372.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$709.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,372.10
|
| Rate for Payer: Cash Price |
$1,149.50
|
| Rate for Payer: Cash Price |
$1,149.50
|
| Rate for Payer: Cigna Commercial |
$1,167.63
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,022.44
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,022.44
|
| Rate for Payer: Martins Point Health Care Commercial |
$616.78
|
| Rate for Payer: Multiplan Commercial |
$2,138.07
|
| Rate for Payer: MVP Health Care of NY Commercial |
$875.83
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$616.78
|
| Rate for Payer: United Healthcare Commercial |
$948.79
|
| Rate for Payer: United Healthcare Medicare Advantage |
$616.78
|
| Rate for Payer: United Healthcare VA CCN |
$616.78
|
|
|
INCISION OF HEEL BONE
|
Facility
|
OP
|
$2,299.00
|
|
|
Service Code
|
CPT 28300
|
| Hospital Charge Code |
9852830001
|
|
Hospital Revenue Code
|
985
|
| Min. Negotiated Rate |
$1,018.23 |
| Max. Negotiated Rate |
$2,184.05 |
| Rate for Payer: Aetna of VT Commercial |
$2,184.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,059.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,018.23
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,059.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,384.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,954.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,862.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,034.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,827.70
|
| Rate for Payer: Cash Price |
$1,149.50
|
| Rate for Payer: Cigna Commercial |
$1,839.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,839.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,839.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,034.55
|
| Rate for Payer: Multiplan Commercial |
$2,138.07
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,954.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,034.55
|
| Rate for Payer: United Healthcare Commercial |
$2,184.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,034.55
|
| Rate for Payer: United Healthcare VA CCN |
$1,034.55
|
|
|
INCISION OF METATARSAL
|
Facility
|
OP
|
$1,249.00
|
|
|
Service Code
|
CPT 28308
|
| Hospital Charge Code |
9822830801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$553.18 |
| Max. Negotiated Rate |
$1,186.55 |
| Rate for Payer: Aetna of VT Commercial |
$1,186.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,118.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$553.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,118.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$751.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,061.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,011.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$562.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$992.96
|
| Rate for Payer: Cash Price |
$624.50
|
| Rate for Payer: Cigna Commercial |
$999.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$999.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$999.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$562.05
|
| Rate for Payer: Multiplan Commercial |
$1,161.57
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,061.65
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$562.05
|
| Rate for Payer: United Healthcare Commercial |
$1,186.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$562.05
|
| Rate for Payer: United Healthcare VA CCN |
$562.05
|
|
|
INCISION OF METATARSAL
|
Facility
|
OP
|
$1,450.00
|
|
|
Service Code
|
CPT 28306
|
| Hospital Charge Code |
9822830601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$642.21 |
| Max. Negotiated Rate |
$1,377.50 |
| Rate for Payer: Aetna of VT Commercial |
$1,377.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,299.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$642.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,299.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$872.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,232.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,174.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$652.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,152.75
|
| Rate for Payer: Cash Price |
$725.00
|
| Rate for Payer: Cigna Commercial |
$1,160.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,160.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,160.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$652.50
|
| Rate for Payer: Multiplan Commercial |
$1,348.50
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,232.50
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$652.50
|
| Rate for Payer: United Healthcare Commercial |
$1,377.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$652.50
|
| Rate for Payer: United Healthcare VA CCN |
$652.50
|
|
|
INCISION OF METATARSAL
|
Professional
|
Both
|
$1,450.00
|
|
|
Service Code
|
CPT 28306
|
| Hospital Charge Code |
9822830601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$388.32 |
| Max. Negotiated Rate |
$1,363.00 |
| Rate for Payer: Aetna of VT Commercial |
$1,363.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,299.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$399.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,299.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$543.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$858.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$858.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$446.57
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$858.28
|
| Rate for Payer: Cash Price |
$725.00
|
| Rate for Payer: Cash Price |
$725.00
|
| Rate for Payer: Cigna Commercial |
$737.50
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$936.55
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$936.55
|
| Rate for Payer: Martins Point Health Care Commercial |
$573.97
|
| Rate for Payer: Multiplan Commercial |
$1,348.50
|
| Rate for Payer: MVP Health Care of NY Commercial |
$551.41
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$388.32
|
| Rate for Payer: United Healthcare Commercial |
$597.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$388.32
|
| Rate for Payer: United Healthcare VA CCN |
$388.32
|
|
|
INCISION OF METATARSAL
|
Professional
|
Both
|
$1,249.00
|
|
|
Service Code
|
CPT 28308
|
| Hospital Charge Code |
9822830801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$372.52 |
| Max. Negotiated Rate |
$1,174.06 |
| Rate for Payer: Aetna of VT Commercial |
$1,174.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,118.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$383.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,118.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$521.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$765.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$765.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$428.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$765.64
|
| Rate for Payer: Cash Price |
$624.50
|
| Rate for Payer: Cash Price |
$624.50
|
| Rate for Payer: Cigna Commercial |
$705.78
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$879.46
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$879.46
|
| Rate for Payer: Martins Point Health Care Commercial |
$540.51
|
| Rate for Payer: Multiplan Commercial |
$1,161.57
|
| Rate for Payer: MVP Health Care of NY Commercial |
$528.98
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$372.52
|
| Rate for Payer: United Healthcare Commercial |
$573.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$372.52
|
| Rate for Payer: United Healthcare VA CCN |
$372.52
|
|
|
INCISION OF METATARSAL
|
Facility
|
IP
|
$1,450.00
|
|
|
Service Code
|
CPT 28306
|
| Hospital Charge Code |
9822830601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,073.14 |
| Max. Negotiated Rate |
$1,377.50 |
| Rate for Payer: Aetna of VT Commercial |
$1,377.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,073.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,073.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,232.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,218.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,160.00
|
| Rate for Payer: Cash Price |
$725.00
|
| Rate for Payer: Cigna Commercial |
$1,160.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,160.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,160.00
|
| Rate for Payer: Multiplan Commercial |
$1,348.50
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,232.50
|
| Rate for Payer: United Healthcare Commercial |
$1,377.50
|
|
|
INCISION OF METATARSAL
|
Facility
|
IP
|
$1,249.00
|
|
|
Service Code
|
CPT 28308
|
| Hospital Charge Code |
9822830801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$924.38 |
| Max. Negotiated Rate |
$1,186.55 |
| Rate for Payer: Aetna of VT Commercial |
$1,186.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$924.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$924.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,061.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,049.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$999.20
|
| Rate for Payer: Cash Price |
$624.50
|
| Rate for Payer: Cigna Commercial |
$999.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$999.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$999.20
|
| Rate for Payer: Multiplan Commercial |
$1,161.57
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,061.65
|
| Rate for Payer: United Healthcare Commercial |
$1,186.55
|
|
|
INCISION OF MIDFOOT BONES
|
Professional
|
Both
|
$2,535.00
|
|
|
Service Code
|
CPT 28304
|
| Hospital Charge Code |
9822830401
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$584.13 |
| Max. Negotiated Rate |
$2,382.90 |
| Rate for Payer: Aetna of VT Commercial |
$2,382.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,271.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$601.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,271.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$817.78
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,261.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,261.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$671.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,261.85
|
| Rate for Payer: Cash Price |
$1,267.50
|
| Rate for Payer: Cash Price |
$1,267.50
|
| Rate for Payer: Cigna Commercial |
$1,104.03
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,282.16
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,282.16
|
| Rate for Payer: Martins Point Health Care Commercial |
$781.99
|
| Rate for Payer: Multiplan Commercial |
$2,357.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$829.46
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$584.13
|
| Rate for Payer: United Healthcare Commercial |
$898.57
|
| Rate for Payer: United Healthcare Medicare Advantage |
$584.13
|
| Rate for Payer: United Healthcare VA CCN |
$584.13
|
|
|
INCISION OF MIDFOOT BONES
|
Facility
|
OP
|
$2,535.00
|
|
|
Service Code
|
CPT 28304
|
| Hospital Charge Code |
9822830401
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,122.75 |
| Max. Negotiated Rate |
$2,408.25 |
| Rate for Payer: Aetna of VT Commercial |
$2,408.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,271.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,122.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,271.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,526.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,154.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,053.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,140.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,015.33
|
| Rate for Payer: Cash Price |
$1,267.50
|
| Rate for Payer: Cigna Commercial |
$2,028.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,028.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,028.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,140.75
|
| Rate for Payer: Multiplan Commercial |
$2,357.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,154.75
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,140.75
|
| Rate for Payer: United Healthcare Commercial |
$2,408.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,140.75
|
| Rate for Payer: United Healthcare VA CCN |
$1,140.75
|
|
|
INCISION OF MIDFOOT BONES
|
Facility
|
IP
|
$2,535.00
|
|
|
Service Code
|
CPT 28304
|
| Hospital Charge Code |
9822830401
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,876.15 |
| Max. Negotiated Rate |
$2,408.25 |
| Rate for Payer: Aetna of VT Commercial |
$2,408.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,876.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,876.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,154.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,129.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,028.00
|
| Rate for Payer: Cash Price |
$1,267.50
|
| Rate for Payer: Cigna Commercial |
$2,028.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,028.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,028.00
|
| Rate for Payer: Multiplan Commercial |
$2,357.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,154.75
|
| Rate for Payer: United Healthcare Commercial |
$2,408.25
|
|
|
INCISION OF RECTAL ABSCESS
|
Professional
|
Both
|
$3,875.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
9604604001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$403.03 |
| Max. Negotiated Rate |
$3,642.50 |
| Rate for Payer: Aetna of VT Commercial |
$3,642.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,471.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$415.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,471.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$564.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$713.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$713.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$463.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$713.92
|
| Rate for Payer: Cash Price |
$1,937.50
|
| Rate for Payer: Cash Price |
$1,937.50
|
| Rate for Payer: Cigna Commercial |
$731.98
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$867.64
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$867.64
|
| Rate for Payer: Martins Point Health Care Commercial |
$525.42
|
| Rate for Payer: Multiplan Commercial |
$3,603.75
|
| Rate for Payer: MVP Health Care of NY Commercial |
$572.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$403.03
|
| Rate for Payer: United Healthcare Commercial |
$619.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$403.03
|
| Rate for Payer: United Healthcare VA CCN |
$403.03
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
OP
|
$3,875.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
9604604001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,716.24 |
| Max. Negotiated Rate |
$3,681.25 |
| Rate for Payer: Aetna of VT Commercial |
$3,681.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,471.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,716.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,471.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$2,332.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,293.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,138.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,743.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,080.62
|
| Rate for Payer: Cash Price |
$1,937.50
|
| Rate for Payer: Cigna Commercial |
$3,100.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$3,100.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$3,100.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,743.75
|
| Rate for Payer: Multiplan Commercial |
$3,603.75
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,293.75
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,743.75
|
| Rate for Payer: United Healthcare Commercial |
$3,681.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,743.75
|
| Rate for Payer: United Healthcare VA CCN |
$1,743.75
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
IP
|
$1,353.00
|
|
|
Service Code
|
CPT 46060
|
| Hospital Charge Code |
9824606001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,001.36 |
| Max. Negotiated Rate |
$1,285.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,285.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,001.36
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,001.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,150.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,136.52
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,082.40
|
| Rate for Payer: Cash Price |
$676.50
|
| Rate for Payer: Cigna Commercial |
$1,082.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,082.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,082.40
|
| Rate for Payer: Multiplan Commercial |
$1,258.29
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,150.05
|
| Rate for Payer: United Healthcare Commercial |
$1,285.35
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
IP
|
$2,784.67
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
4504604001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,060.93 |
| Max. Negotiated Rate |
$2,645.44 |
| Rate for Payer: Aetna of VT Commercial |
$2,645.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,060.93
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,060.93
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,366.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,339.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,227.74
|
| Rate for Payer: Cash Price |
$1,392.34
|
| Rate for Payer: Cigna Commercial |
$2,227.74
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,227.74
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,227.74
|
| Rate for Payer: Multiplan Commercial |
$2,589.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,366.97
|
| Rate for Payer: United Healthcare Commercial |
$2,645.44
|
|
|
INCISION OF RECTAL ABSCESS
|
Professional
|
Both
|
$1,090.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
9814604002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$403.03 |
| Max. Negotiated Rate |
$1,024.60 |
| Rate for Payer: Aetna of VT Commercial |
$1,024.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$976.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$415.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$976.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$564.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$713.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$713.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$463.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$713.92
|
| Rate for Payer: Cash Price |
$545.00
|
| Rate for Payer: Cash Price |
$545.00
|
| Rate for Payer: Cigna Commercial |
$731.98
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$867.64
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$867.64
|
| Rate for Payer: Martins Point Health Care Commercial |
$525.42
|
| Rate for Payer: Multiplan Commercial |
$1,013.70
|
| Rate for Payer: MVP Health Care of NY Commercial |
$572.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$403.03
|
| Rate for Payer: United Healthcare Commercial |
$619.98
|
| Rate for Payer: United Healthcare Medicare Advantage |
$403.03
|
| Rate for Payer: United Healthcare VA CCN |
$403.03
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
IP
|
$3,875.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
9604604001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,867.89 |
| Max. Negotiated Rate |
$3,681.25 |
| Rate for Payer: Aetna of VT Commercial |
$3,681.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,867.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,867.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,293.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,255.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,100.00
|
| Rate for Payer: Cash Price |
$1,937.50
|
| Rate for Payer: Cigna Commercial |
$3,100.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$3,100.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$3,100.00
|
| Rate for Payer: Multiplan Commercial |
$3,603.75
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,293.75
|
| Rate for Payer: United Healthcare Commercial |
$3,681.25
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
OP
|
$2,784.67
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
4504604001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,233.33 |
| Max. Negotiated Rate |
$2,645.44 |
| Rate for Payer: Aetna of VT Commercial |
$2,645.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,494.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,233.33
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,494.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,676.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,366.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,255.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,253.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,213.81
|
| Rate for Payer: Cash Price |
$1,392.34
|
| Rate for Payer: Cigna Commercial |
$2,227.74
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,227.74
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,227.74
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,253.10
|
| Rate for Payer: Multiplan Commercial |
$2,589.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,366.97
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,253.10
|
| Rate for Payer: United Healthcare Commercial |
$2,645.44
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,253.10
|
| Rate for Payer: United Healthcare VA CCN |
$1,253.10
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
IP
|
$2,785.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
5104604001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$2,061.18 |
| Max. Negotiated Rate |
$2,645.75 |
| Rate for Payer: Aetna of VT Commercial |
$2,645.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,061.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,061.18
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,367.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,339.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,228.00
|
| Rate for Payer: Cash Price |
$1,392.50
|
| Rate for Payer: Cigna Commercial |
$2,228.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,228.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,228.00
|
| Rate for Payer: Multiplan Commercial |
$2,590.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,367.25
|
| Rate for Payer: United Healthcare Commercial |
$2,645.75
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
OP
|
$1,090.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
9814604002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$482.76 |
| Max. Negotiated Rate |
$1,035.50 |
| Rate for Payer: Aetna of VT Commercial |
$1,035.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$976.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$482.76
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$976.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$656.18
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$926.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$882.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$490.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$866.55
|
| Rate for Payer: Cash Price |
$545.00
|
| Rate for Payer: Cigna Commercial |
$872.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$872.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$872.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$490.50
|
| Rate for Payer: Multiplan Commercial |
$1,013.70
|
| Rate for Payer: MVP Health Care of NY Commercial |
$926.50
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$490.50
|
| Rate for Payer: United Healthcare Commercial |
$1,035.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$490.50
|
| Rate for Payer: United Healthcare VA CCN |
$490.50
|
|
|
INCISION OF RECTAL ABSCESS
|
Facility
|
OP
|
$1,353.00
|
|
|
Service Code
|
CPT 46060
|
| Hospital Charge Code |
9824606001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$599.24 |
| Max. Negotiated Rate |
$1,285.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,285.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,212.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$599.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,212.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$814.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,150.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,095.93
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$608.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,075.63
|
| Rate for Payer: Cash Price |
$676.50
|
| Rate for Payer: Cigna Commercial |
$1,082.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,082.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,082.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$608.85
|
| Rate for Payer: Multiplan Commercial |
$1,258.29
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,150.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$608.85
|
| Rate for Payer: United Healthcare Commercial |
$1,285.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$608.85
|
| Rate for Payer: United Healthcare VA CCN |
$608.85
|
|
