|
REMOVE LUNG CATHETER
|
Facility
|
OP
|
$636.00
|
|
|
Service Code
|
CPT 32552
|
| Hospital Charge Code |
9813255201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$281.68 |
| Max. Negotiated Rate |
$604.20 |
| Rate for Payer: Aetna of VT Commercial |
$604.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$569.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$281.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$569.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$382.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$540.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$515.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$286.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$505.62
|
| Rate for Payer: Cash Price |
$318.00
|
| Rate for Payer: Cigna Commercial |
$508.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$508.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$508.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$286.20
|
| Rate for Payer: Multiplan Commercial |
$591.48
|
| Rate for Payer: MVP Health Care of NY Commercial |
$540.60
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$286.20
|
| Rate for Payer: United Healthcare Commercial |
$604.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$286.20
|
| Rate for Payer: United Healthcare VA CCN |
$286.20
|
|
|
REMOVE LUNG CATHETER
|
Facility
|
OP
|
$636.00
|
|
|
Service Code
|
CPT 32552
|
| Hospital Charge Code |
9823255201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$281.68 |
| Max. Negotiated Rate |
$604.20 |
| Rate for Payer: Aetna of VT Commercial |
$604.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$569.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$281.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$569.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$382.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$540.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$515.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$286.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$505.62
|
| Rate for Payer: Cash Price |
$318.00
|
| Rate for Payer: Cigna Commercial |
$508.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$508.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$508.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$286.20
|
| Rate for Payer: Multiplan Commercial |
$591.48
|
| Rate for Payer: MVP Health Care of NY Commercial |
$540.60
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$286.20
|
| Rate for Payer: United Healthcare Commercial |
$604.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$286.20
|
| Rate for Payer: United Healthcare VA CCN |
$286.20
|
|
|
REMOVE LUNG CATHETER
|
Facility
|
IP
|
$636.00
|
|
|
Service Code
|
CPT 32552
|
| Hospital Charge Code |
9823255201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$470.70 |
| Max. Negotiated Rate |
$604.20 |
| Rate for Payer: Aetna of VT Commercial |
$604.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$470.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$470.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$540.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$534.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$508.80
|
| Rate for Payer: Cash Price |
$318.00
|
| Rate for Payer: Cigna Commercial |
$508.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$508.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$508.80
|
| Rate for Payer: Multiplan Commercial |
$591.48
|
| Rate for Payer: MVP Health Care of NY Commercial |
$540.60
|
| Rate for Payer: United Healthcare Commercial |
$604.20
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
IP
|
$45.50
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
4501173201
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$33.67 |
| Max. Negotiated Rate |
$43.23 |
| Rate for Payer: Aetna of VT Commercial |
$43.23
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$33.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$33.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$38.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$38.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$36.40
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cigna Commercial |
$36.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$36.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$36.40
|
| Rate for Payer: Multiplan Commercial |
$42.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$38.67
|
| Rate for Payer: United Healthcare Commercial |
$43.23
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
OP
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9811173201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$46.50 |
| Max. Negotiated Rate |
$99.75 |
| Rate for Payer: Aetna of VT Commercial |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$46.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$63.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$89.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$85.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$47.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$83.47
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$84.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$47.25
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$89.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$47.25
|
| Rate for Payer: United Healthcare Commercial |
$99.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47.25
|
| Rate for Payer: United Healthcare VA CCN |
$47.25
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
OP
|
$45.50
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
4501173201
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$20.15 |
| Max. Negotiated Rate |
$43.23 |
| Rate for Payer: Aetna of VT Commercial |
$43.23
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$40.76
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$20.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$40.76
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$27.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$38.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$36.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$20.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$36.17
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cigna Commercial |
$36.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$36.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$36.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$20.48
|
| Rate for Payer: Multiplan Commercial |
$42.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$38.67
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$20.48
|
| Rate for Payer: United Healthcare Commercial |
$43.23
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20.48
|
| Rate for Payer: United Healthcare VA CCN |
$20.48
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Professional
|
Both
|
$93.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9821173201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$15.69 |
| Max. Negotiated Rate |
$87.42 |
| Rate for Payer: Aetna of VT Commercial |
$87.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$83.32
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$16.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$83.32
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$21.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$18.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$63.66
|
| Rate for Payer: Cash Price |
$46.50
|
| Rate for Payer: Cash Price |
$46.50
|
| Rate for Payer: Cigna Commercial |
$17.76
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$50.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$50.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$31.10
|
| Rate for Payer: Multiplan Commercial |
$86.49
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.28
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare Commercial |
$24.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare VA CCN |
$15.69
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
OP
|
$151.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9601173201
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$66.88 |
| Max. Negotiated Rate |
$143.45 |
| Rate for Payer: Aetna of VT Commercial |
$143.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$135.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$66.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$135.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$90.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$128.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$122.31
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$67.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$120.05
|
| Rate for Payer: Cash Price |
$75.50
|
| Rate for Payer: Cigna Commercial |
$120.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$120.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$120.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$67.95
|
| Rate for Payer: Multiplan Commercial |
$140.43
|
| Rate for Payer: MVP Health Care of NY Commercial |
$128.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$67.95
|
| Rate for Payer: United Healthcare Commercial |
$143.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$67.95
|
| Rate for Payer: United Healthcare VA CCN |
$67.95
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Professional
|
Both
|
$151.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9601173201
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$15.69 |
| Max. Negotiated Rate |
$141.94 |
| Rate for Payer: Aetna of VT Commercial |
$141.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$135.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$16.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$135.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$21.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$18.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$63.66
|
| Rate for Payer: Cash Price |
$75.50
|
| Rate for Payer: Cash Price |
$75.50
|
| Rate for Payer: Cigna Commercial |
$17.76
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$50.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$50.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$31.10
|
| Rate for Payer: Multiplan Commercial |
$140.43
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.28
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare Commercial |
$24.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare VA CCN |
$15.69
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
OP
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9811173202
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$46.50 |
| Max. Negotiated Rate |
$99.75 |
| Rate for Payer: Aetna of VT Commercial |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$46.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$63.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$89.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$85.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$47.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$83.47
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$84.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$47.25
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$89.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$47.25
|
| Rate for Payer: United Healthcare Commercial |
$99.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47.25
|
| Rate for Payer: United Healthcare VA CCN |
$47.25
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
IP
|
$151.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9601173201
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$111.76 |
| Max. Negotiated Rate |
$143.45 |
| Rate for Payer: Aetna of VT Commercial |
$143.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$111.76
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$111.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$128.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$126.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$120.80
|
| Rate for Payer: Cash Price |
$75.50
|
| Rate for Payer: Cigna Commercial |
$120.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$120.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$120.80
|
| Rate for Payer: Multiplan Commercial |
$140.43
|
| Rate for Payer: MVP Health Care of NY Commercial |
$128.35
|
| Rate for Payer: United Healthcare Commercial |
$143.45
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
OP
|
$93.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9821173201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$41.19 |
| Max. Negotiated Rate |
$88.35 |
| Rate for Payer: Aetna of VT Commercial |
$88.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$83.32
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$41.19
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$83.32
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$55.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$79.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$75.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$41.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$73.94
|
| Rate for Payer: Cash Price |
$46.50
|
| Rate for Payer: Cigna Commercial |
$74.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$74.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$74.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$41.85
|
| Rate for Payer: Multiplan Commercial |
$86.49
|
| Rate for Payer: MVP Health Care of NY Commercial |
$79.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$41.85
|
| Rate for Payer: United Healthcare Commercial |
$88.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$41.85
|
| Rate for Payer: United Healthcare VA CCN |
$41.85
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
IP
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9811173202
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$77.71 |
| Max. Negotiated Rate |
$99.75 |
| Rate for Payer: Aetna of VT Commercial |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$77.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$77.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$89.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$88.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$84.00
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$84.00
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$89.25
|
| Rate for Payer: United Healthcare Commercial |
$99.75
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
IP
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9811173201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$77.71 |
| Max. Negotiated Rate |
$99.75 |
| Rate for Payer: Aetna of VT Commercial |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$77.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$77.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$89.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$88.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$84.00
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$84.00
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$89.25
|
| Rate for Payer: United Healthcare Commercial |
$99.75
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9811173201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$15.69 |
| Max. Negotiated Rate |
$98.70 |
| Rate for Payer: Aetna of VT Commercial |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$16.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$21.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$18.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$63.66
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$17.76
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$50.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$50.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$31.10
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.28
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare Commercial |
$24.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare VA CCN |
$15.69
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
IP
|
$46.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
5101173201
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$34.04 |
| Max. Negotiated Rate |
$43.70 |
| Rate for Payer: Aetna of VT Commercial |
$43.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$34.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$34.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$39.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$38.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$36.80
|
| Rate for Payer: Cash Price |
$23.00
|
| Rate for Payer: Cigna Commercial |
$36.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$36.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$36.80
|
| Rate for Payer: Multiplan Commercial |
$42.78
|
| Rate for Payer: MVP Health Care of NY Commercial |
$39.10
|
| Rate for Payer: United Healthcare Commercial |
$43.70
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9811173202
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$15.69 |
| Max. Negotiated Rate |
$98.70 |
| Rate for Payer: Aetna of VT Commercial |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$16.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$21.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$18.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$63.66
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$17.76
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$50.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$50.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$31.10
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.28
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare Commercial |
$24.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare VA CCN |
$15.69
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9601173202
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$15.69 |
| Max. Negotiated Rate |
$98.70 |
| Rate for Payer: Aetna of VT Commercial |
$98.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$16.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$21.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$18.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$63.66
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$17.76
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$50.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$50.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$31.10
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.28
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare Commercial |
$24.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare VA CCN |
$15.69
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
OP
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9601173202
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$46.50 |
| Max. Negotiated Rate |
$99.75 |
| Rate for Payer: Aetna of VT Commercial |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$46.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$94.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$63.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$89.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$85.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$47.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$83.47
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$84.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$47.25
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$89.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$47.25
|
| Rate for Payer: United Healthcare Commercial |
$99.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$47.25
|
| Rate for Payer: United Healthcare VA CCN |
$47.25
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
IP
|
$105.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9601173202
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$77.71 |
| Max. Negotiated Rate |
$99.75 |
| Rate for Payer: Aetna of VT Commercial |
$99.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$77.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$77.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$89.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$88.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$84.00
|
| Rate for Payer: Cash Price |
$52.50
|
| Rate for Payer: Cigna Commercial |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$84.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$84.00
|
| Rate for Payer: Multiplan Commercial |
$97.65
|
| Rate for Payer: MVP Health Care of NY Commercial |
$89.25
|
| Rate for Payer: United Healthcare Commercial |
$99.75
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
IP
|
$93.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
9821173201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$68.83 |
| Max. Negotiated Rate |
$88.35 |
| Rate for Payer: Aetna of VT Commercial |
$88.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$68.83
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$68.83
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$79.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$78.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$74.40
|
| Rate for Payer: Cash Price |
$46.50
|
| Rate for Payer: Cigna Commercial |
$74.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$74.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$74.40
|
| Rate for Payer: Multiplan Commercial |
$86.49
|
| Rate for Payer: MVP Health Care of NY Commercial |
$79.05
|
| Rate for Payer: United Healthcare Commercial |
$88.35
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
5101173201
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$15.69 |
| Max. Negotiated Rate |
$63.66 |
| Rate for Payer: Aetna of VT Commercial |
$43.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$41.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$16.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$41.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$21.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$63.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$18.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$63.66
|
| Rate for Payer: Cash Price |
$23.00
|
| Rate for Payer: Cash Price |
$23.00
|
| Rate for Payer: Cigna Commercial |
$17.76
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$50.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$50.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$31.10
|
| Rate for Payer: Multiplan Commercial |
$42.78
|
| Rate for Payer: MVP Health Care of NY Commercial |
$22.28
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare Commercial |
$24.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$15.69
|
| Rate for Payer: United Healthcare VA CCN |
$15.69
|
|
|
REMOVE NAIL PLATE ADD-ON
|
Facility
|
OP
|
$46.00
|
|
|
Service Code
|
CPT 11732
|
| Hospital Charge Code |
5101173201
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$20.37 |
| Max. Negotiated Rate |
$43.70 |
| Rate for Payer: Aetna of VT Commercial |
$43.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$41.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$20.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$41.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$27.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$39.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$37.26
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$20.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$36.57
|
| Rate for Payer: Cash Price |
$23.00
|
| Rate for Payer: Cigna Commercial |
$36.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$36.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$36.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$20.70
|
| Rate for Payer: Multiplan Commercial |
$42.78
|
| Rate for Payer: MVP Health Care of NY Commercial |
$39.10
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$20.70
|
| Rate for Payer: United Healthcare Commercial |
$43.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$20.70
|
| Rate for Payer: United Healthcare VA CCN |
$20.70
|
|
|
REMOVE PILONIDAL CYST EXTEN
|
Facility
|
IP
|
$1,535.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
9821177101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,136.05 |
| Max. Negotiated Rate |
$1,458.25 |
| Rate for Payer: Aetna of VT Commercial |
$1,458.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,136.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,136.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,304.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,289.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,228.00
|
| Rate for Payer: Cash Price |
$767.50
|
| Rate for Payer: Cigna Commercial |
$1,228.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,228.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,228.00
|
| Rate for Payer: Multiplan Commercial |
$1,427.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,304.75
|
| Rate for Payer: United Healthcare Commercial |
$1,458.25
|
|
|
REMOVE PILONIDAL CYST EXTEN
|
Professional
|
Both
|
$1,535.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
9821177101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$419.76 |
| Max. Negotiated Rate |
$1,442.90 |
| Rate for Payer: Aetna of VT Commercial |
$1,442.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,375.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$432.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,375.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$587.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$766.34
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$766.34
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$482.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$766.34
|
| Rate for Payer: Cash Price |
$767.50
|
| Rate for Payer: Cash Price |
$767.50
|
| Rate for Payer: Cigna Commercial |
$768.35
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$971.01
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$971.01
|
| Rate for Payer: Martins Point Health Care Commercial |
$586.14
|
| Rate for Payer: Multiplan Commercial |
$1,427.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$596.06
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$419.76
|
| Rate for Payer: United Healthcare Commercial |
$645.72
|
| Rate for Payer: United Healthcare Medicare Advantage |
$419.76
|
| Rate for Payer: United Healthcare VA CCN |
$419.76
|
|
