|
REMOVAL OF NAIL BED
|
Facility
|
IP
|
$485.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9811175001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$358.95 |
| Max. Negotiated Rate |
$460.75 |
| Rate for Payer: Aetna of VT Commercial |
$460.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$358.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$358.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$412.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$407.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$388.00
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cigna Commercial |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$388.00
|
| Rate for Payer: Multiplan Commercial |
$451.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$412.25
|
| Rate for Payer: United Healthcare Commercial |
$460.75
|
|
|
REMOVAL OF NAIL BED
|
Facility
|
OP
|
$485.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9601175002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$214.81 |
| Max. Negotiated Rate |
$460.75 |
| Rate for Payer: Aetna of VT Commercial |
$460.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$214.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$291.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$412.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$392.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$218.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$385.57
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cigna Commercial |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$388.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$218.25
|
| Rate for Payer: Multiplan Commercial |
$451.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$412.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$218.25
|
| Rate for Payer: United Healthcare Commercial |
$460.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$218.25
|
| Rate for Payer: United Healthcare VA CCN |
$218.25
|
|
|
REMOVAL OF NAIL BED
|
Professional
|
Both
|
$783.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9601175001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$96.97 |
| Max. Negotiated Rate |
$736.02 |
| Rate for Payer: Aetna of VT Commercial |
$736.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$701.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$99.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$701.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$135.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$263.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$263.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$111.52
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$263.55
|
| Rate for Payer: Cash Price |
$391.50
|
| Rate for Payer: Cash Price |
$391.50
|
| Rate for Payer: Cigna Commercial |
$177.93
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$246.86
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$246.86
|
| Rate for Payer: Martins Point Health Care Commercial |
$152.53
|
| Rate for Payer: Multiplan Commercial |
$728.19
|
| Rate for Payer: MVP Health Care of NY Commercial |
$137.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$96.97
|
| Rate for Payer: United Healthcare Commercial |
$149.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$96.97
|
| Rate for Payer: United Healthcare VA CCN |
$96.97
|
|
|
REMOVAL OF NAIL BED
|
Facility
|
OP
|
$485.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9811175001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$214.81 |
| Max. Negotiated Rate |
$460.75 |
| Rate for Payer: Aetna of VT Commercial |
$460.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$214.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$291.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$412.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$392.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$218.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$385.57
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cigna Commercial |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$388.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$218.25
|
| Rate for Payer: Multiplan Commercial |
$451.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$412.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$218.25
|
| Rate for Payer: United Healthcare Commercial |
$460.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$218.25
|
| Rate for Payer: United Healthcare VA CCN |
$218.25
|
|
|
REMOVAL OF NAIL BED
|
Facility
|
OP
|
$783.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9601175001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$346.79 |
| Max. Negotiated Rate |
$743.85 |
| Rate for Payer: Aetna of VT Commercial |
$743.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$701.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$346.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$701.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$471.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$665.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$634.23
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$352.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$622.49
|
| Rate for Payer: Cash Price |
$391.50
|
| Rate for Payer: Cigna Commercial |
$626.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$626.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$626.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$352.35
|
| Rate for Payer: Multiplan Commercial |
$728.19
|
| Rate for Payer: MVP Health Care of NY Commercial |
$665.55
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$352.35
|
| Rate for Payer: United Healthcare Commercial |
$743.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$352.35
|
| Rate for Payer: United Healthcare VA CCN |
$352.35
|
|
|
REMOVAL OF NAIL BED
|
Facility
|
IP
|
$298.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
5101175001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$220.55 |
| Max. Negotiated Rate |
$283.10 |
| Rate for Payer: Aetna of VT Commercial |
$283.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$220.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$220.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$253.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$250.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$238.40
|
| Rate for Payer: Cash Price |
$149.00
|
| Rate for Payer: Cigna Commercial |
$238.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$238.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$238.40
|
| Rate for Payer: Multiplan Commercial |
$277.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$253.30
|
| Rate for Payer: United Healthcare Commercial |
$283.10
|
|
|
REMOVAL OF NAIL BED
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9811175001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$96.97 |
| Max. Negotiated Rate |
$455.90 |
| Rate for Payer: Aetna of VT Commercial |
$455.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$99.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$135.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$263.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$263.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$111.52
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$263.55
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cigna Commercial |
$177.93
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$246.86
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$246.86
|
| Rate for Payer: Martins Point Health Care Commercial |
$152.53
|
| Rate for Payer: Multiplan Commercial |
$451.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$137.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$96.97
|
| Rate for Payer: United Healthcare Commercial |
$149.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$96.97
|
| Rate for Payer: United Healthcare VA CCN |
$96.97
|
|
|
REMOVAL OF NAIL BED
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9811175002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$96.97 |
| Max. Negotiated Rate |
$455.90 |
| Rate for Payer: Aetna of VT Commercial |
$455.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$99.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$434.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$135.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$263.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$263.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$111.52
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$263.55
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cigna Commercial |
$177.93
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$246.86
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$246.86
|
| Rate for Payer: Martins Point Health Care Commercial |
$152.53
|
| Rate for Payer: Multiplan Commercial |
$451.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$137.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$96.97
|
| Rate for Payer: United Healthcare Commercial |
$149.17
|
| Rate for Payer: United Healthcare Medicare Advantage |
$96.97
|
| Rate for Payer: United Healthcare VA CCN |
$96.97
|
|
|
REMOVAL OF NAIL BED
|
Facility
|
IP
|
$485.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9811175002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$358.95 |
| Max. Negotiated Rate |
$460.75 |
| Rate for Payer: Aetna of VT Commercial |
$460.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$358.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$358.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$412.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$407.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$388.00
|
| Rate for Payer: Cash Price |
$242.50
|
| Rate for Payer: Cigna Commercial |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$388.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$388.00
|
| Rate for Payer: Multiplan Commercial |
$451.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$412.25
|
| Rate for Payer: United Healthcare Commercial |
$460.75
|
|
|
REMOVAL OF NAIL BED
|
Facility
|
IP
|
$297.28
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
4501175001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$220.02 |
| Max. Negotiated Rate |
$282.42 |
| Rate for Payer: Aetna of VT Commercial |
$282.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$220.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$220.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$252.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$249.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$237.82
|
| Rate for Payer: Cash Price |
$148.64
|
| Rate for Payer: Cigna Commercial |
$237.82
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$237.82
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$237.82
|
| Rate for Payer: Multiplan Commercial |
$276.47
|
| Rate for Payer: MVP Health Care of NY Commercial |
$252.69
|
| Rate for Payer: United Healthcare Commercial |
$282.42
|
|
|
REMOVAL OF NAIL BED
|
Facility
|
IP
|
$783.00
|
|
|
Service Code
|
CPT 11750
|
| Hospital Charge Code |
9601175001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$579.50 |
| Max. Negotiated Rate |
$743.85 |
| Rate for Payer: Aetna of VT Commercial |
$743.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$579.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$579.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$665.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$657.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$626.40
|
| Rate for Payer: Cash Price |
$391.50
|
| Rate for Payer: Cigna Commercial |
$626.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$626.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$626.40
|
| Rate for Payer: Multiplan Commercial |
$728.19
|
| Rate for Payer: MVP Health Care of NY Commercial |
$665.55
|
| Rate for Payer: United Healthcare Commercial |
$743.85
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
IP
|
$355.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9601173001
|
|
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
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
OP
|
$154.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
5101173001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$68.21 |
| Max. Negotiated Rate |
$146.30 |
| Rate for Payer: Aetna of VT Commercial |
$146.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$137.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$68.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$137.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$92.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$130.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$124.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$69.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$122.43
|
| Rate for Payer: Cash Price |
$77.00
|
| Rate for Payer: Cigna Commercial |
$123.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$123.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$123.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$69.30
|
| Rate for Payer: Multiplan Commercial |
$143.22
|
| Rate for Payer: MVP Health Care of NY Commercial |
$130.90
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$69.30
|
| Rate for Payer: United Healthcare Commercial |
$146.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$69.30
|
| Rate for Payer: United Healthcare VA CCN |
$69.30
|
|
|
REMOVAL OF NAIL PLATE
|
Professional
|
Both
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9811173001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$189.88 |
| Rate for Payer: Aetna of VT Commercial |
$189.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$52.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$71.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$58.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$144.49
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$56.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$175.89
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$175.89
|
| Rate for Payer: Martins Point Health Care Commercial |
$108.86
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$72.02
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare Commercial |
$78.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare VA CCN |
$50.72
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
IP
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9811173001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$149.50 |
| Max. Negotiated Rate |
$191.90 |
| Rate for Payer: Aetna of VT Commercial |
$191.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$149.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$149.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$171.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$169.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$161.60
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$161.60
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$171.70
|
| Rate for Payer: United Healthcare Commercial |
$191.90
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
IP
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9821173001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$149.50 |
| Max. Negotiated Rate |
$191.90 |
| Rate for Payer: Aetna of VT Commercial |
$191.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$149.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$149.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$171.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$169.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$161.60
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$161.60
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$171.70
|
| Rate for Payer: United Healthcare Commercial |
$191.90
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
OP
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9821173001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$89.47 |
| Max. Negotiated Rate |
$191.90 |
| Rate for Payer: Aetna of VT Commercial |
$191.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$89.47
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$121.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$171.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$163.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$90.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$160.59
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$161.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$90.90
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$171.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$90.90
|
| Rate for Payer: United Healthcare Commercial |
$191.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90.90
|
| Rate for Payer: United Healthcare VA CCN |
$90.90
|
|
|
REMOVAL OF NAIL PLATE
|
Professional
|
Both
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9821173001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$189.88 |
| Rate for Payer: Aetna of VT Commercial |
$189.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$52.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$71.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$58.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$144.49
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$56.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$175.89
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$175.89
|
| Rate for Payer: Martins Point Health Care Commercial |
$108.86
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$72.02
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare Commercial |
$78.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare VA CCN |
$50.72
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
OP
|
$153.24
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
4501173001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$67.87 |
| Max. Negotiated Rate |
$145.58 |
| Rate for Payer: Aetna of VT Commercial |
$145.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$137.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$67.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$137.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$92.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$130.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$124.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$68.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$121.83
|
| Rate for Payer: Cash Price |
$76.62
|
| Rate for Payer: Cigna Commercial |
$122.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$122.59
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$122.59
|
| Rate for Payer: Martins Point Health Care Commercial |
$68.96
|
| Rate for Payer: Multiplan Commercial |
$142.51
|
| Rate for Payer: MVP Health Care of NY Commercial |
$130.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$68.96
|
| Rate for Payer: United Healthcare Commercial |
$145.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$68.96
|
| Rate for Payer: United Healthcare VA CCN |
$68.96
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
IP
|
$153.24
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
4501173001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$113.41 |
| Max. Negotiated Rate |
$145.58 |
| Rate for Payer: Aetna of VT Commercial |
$145.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$113.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$113.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$130.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$128.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$122.59
|
| Rate for Payer: Cash Price |
$76.62
|
| Rate for Payer: Cigna Commercial |
$122.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$122.59
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$122.59
|
| Rate for Payer: Multiplan Commercial |
$142.51
|
| Rate for Payer: MVP Health Care of NY Commercial |
$130.25
|
| Rate for Payer: United Healthcare Commercial |
$145.58
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
IP
|
$154.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
5101173001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$113.98 |
| Max. Negotiated Rate |
$146.30 |
| Rate for Payer: Aetna of VT Commercial |
$146.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$113.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$113.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$130.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$129.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$123.20
|
| Rate for Payer: Cash Price |
$77.00
|
| Rate for Payer: Cigna Commercial |
$123.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$123.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$123.20
|
| Rate for Payer: Multiplan Commercial |
$143.22
|
| Rate for Payer: MVP Health Care of NY Commercial |
$130.90
|
| Rate for Payer: United Healthcare Commercial |
$146.30
|
|
|
REMOVAL OF NAIL PLATE
|
Professional
|
Both
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9811173002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$189.88 |
| Rate for Payer: Aetna of VT Commercial |
$189.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$52.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$71.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$58.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$144.49
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$56.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$175.89
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$175.89
|
| Rate for Payer: Martins Point Health Care Commercial |
$108.86
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$72.02
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare Commercial |
$78.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare VA CCN |
$50.72
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
OP
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9811173002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$89.47 |
| Max. Negotiated Rate |
$191.90 |
| Rate for Payer: Aetna of VT Commercial |
$191.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$89.47
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$121.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$171.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$163.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$90.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$160.59
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$161.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$90.90
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$171.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$90.90
|
| Rate for Payer: United Healthcare Commercial |
$191.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90.90
|
| Rate for Payer: United Healthcare VA CCN |
$90.90
|
|
|
REMOVAL OF NAIL PLATE
|
Facility
|
IP
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9811173002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$149.50 |
| Max. Negotiated Rate |
$191.90 |
| Rate for Payer: Aetna of VT Commercial |
$191.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$149.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$149.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$171.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$169.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$161.60
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$161.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$161.60
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$171.70
|
| Rate for Payer: United Healthcare Commercial |
$191.90
|
|
|
REMOVAL OF NAIL PLATE
|
Professional
|
Both
|
$202.00
|
|
|
Service Code
|
CPT 11730
|
| Hospital Charge Code |
9601173002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$189.88 |
| Rate for Payer: Aetna of VT Commercial |
$189.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$52.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$180.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$71.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$144.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$58.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$144.49
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cash Price |
$101.00
|
| Rate for Payer: Cigna Commercial |
$56.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$175.89
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$175.89
|
| Rate for Payer: Martins Point Health Care Commercial |
$108.86
|
| Rate for Payer: Multiplan Commercial |
$187.86
|
| Rate for Payer: MVP Health Care of NY Commercial |
$72.02
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare Commercial |
$78.02
|
| Rate for Payer: United Healthcare Medicare Advantage |
$50.72
|
| Rate for Payer: United Healthcare VA CCN |
$50.72
|
|
