|
REPAIR HAND TENDON
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 26410
|
| Hospital Charge Code |
9812641001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$1,098.96 |
| Rate for Payer: Aetna of VT Commercial |
$0.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$588.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$799.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$978.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$978.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$656.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$978.72
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$1,098.96
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$934.50
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$934.50
|
| Rate for Payer: Martins Point Health Care Commercial |
$571.03
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$810.86
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$571.03
|
| Rate for Payer: United Healthcare Commercial |
$878.42
|
| Rate for Payer: United Healthcare Medicare Advantage |
$571.03
|
| Rate for Payer: United Healthcare VA CCN |
$571.03
|
|
|
REPAIR HAND TENDON
|
Facility
|
IP
|
$1,742.00
|
|
|
Service Code
|
CPT 26410
|
| Hospital Charge Code |
9812641002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$1,289.25 |
| Max. Negotiated Rate |
$1,654.90 |
| Rate for Payer: Aetna of VT Commercial |
$1,654.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,289.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,289.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,480.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,463.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,393.60
|
| Rate for Payer: Cash Price |
$871.00
|
| Rate for Payer: Cigna Commercial |
$1,393.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,393.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,393.60
|
| Rate for Payer: Multiplan Commercial |
$1,620.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,480.70
|
| Rate for Payer: United Healthcare Commercial |
$1,654.90
|
|
|
REPAIR HAND TENDON
|
Facility
|
IP
|
$3,086.61
|
|
|
Service Code
|
CPT 26410
|
| Hospital Charge Code |
4502641001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,284.40 |
| Max. Negotiated Rate |
$2,932.28 |
| Rate for Payer: Aetna of VT Commercial |
$2,932.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,284.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,284.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,623.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,592.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,469.29
|
| Rate for Payer: Cash Price |
$1,543.31
|
| Rate for Payer: Cigna Commercial |
$2,469.29
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,469.29
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,469.29
|
| Rate for Payer: Multiplan Commercial |
$2,870.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,623.62
|
| Rate for Payer: United Healthcare Commercial |
$2,932.28
|
|
|
REPAIR HAND TENDON
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 26410
|
| Hospital Charge Code |
9812641001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$0.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$0.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.81
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$0.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$0.45
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare VA CCN |
$0.45
|
|
|
REPAIR HAND TENDON
|
Facility
|
OP
|
$3,086.61
|
|
|
Service Code
|
CPT 26410
|
| Hospital Charge Code |
4502641001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,367.06 |
| Max. Negotiated Rate |
$2,932.28 |
| Rate for Payer: Aetna of VT Commercial |
$2,932.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,765.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,367.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,765.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,858.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,623.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,500.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,388.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,453.85
|
| Rate for Payer: Cash Price |
$1,543.31
|
| Rate for Payer: Cigna Commercial |
$2,469.29
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,469.29
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,469.29
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,388.97
|
| Rate for Payer: Multiplan Commercial |
$2,870.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,623.62
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,388.97
|
| Rate for Payer: United Healthcare Commercial |
$2,932.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,388.97
|
| Rate for Payer: United Healthcare VA CCN |
$1,388.97
|
|
|
REPAIR HAND TENDON
|
Facility
|
OP
|
$1,742.00
|
|
|
Service Code
|
CPT 26410
|
| Hospital Charge Code |
9822641001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$771.53 |
| Max. Negotiated Rate |
$1,654.90 |
| Rate for Payer: Aetna of VT Commercial |
$1,654.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,560.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$771.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,560.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,048.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,480.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,411.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$783.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,384.89
|
| Rate for Payer: Cash Price |
$871.00
|
| Rate for Payer: Cigna Commercial |
$1,393.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,393.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,393.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$783.90
|
| Rate for Payer: Multiplan Commercial |
$1,620.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,480.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$783.90
|
| Rate for Payer: United Healthcare Commercial |
$1,654.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$783.90
|
| Rate for Payer: United Healthcare VA CCN |
$783.90
|
|
|
REPAIR LOWER LEG TENDONS
|
Facility
|
IP
|
$1,519.00
|
|
|
Service Code
|
CPT 27675
|
| Hospital Charge Code |
9822767501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,124.21 |
| Max. Negotiated Rate |
$1,443.05 |
| Rate for Payer: Aetna of VT Commercial |
$1,443.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,124.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,124.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,291.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,275.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,215.20
|
| Rate for Payer: Cash Price |
$759.50
|
| Rate for Payer: Cigna Commercial |
$1,215.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,215.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,215.20
|
| Rate for Payer: Multiplan Commercial |
$1,412.67
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,291.15
|
| Rate for Payer: United Healthcare Commercial |
$1,443.05
|
|
|
REPAIR LOWER LEG TENDONS
|
Professional
|
Both
|
$1,519.00
|
|
|
Service Code
|
CPT 27675
|
| Hospital Charge Code |
9822767501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$474.06 |
| Max. Negotiated Rate |
$1,427.86 |
| Rate for Payer: Aetna of VT Commercial |
$1,427.86
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,360.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$488.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,360.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$663.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$958.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$958.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$545.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$958.49
|
| Rate for Payer: Cash Price |
$759.50
|
| Rate for Payer: Cash Price |
$759.50
|
| Rate for Payer: Cigna Commercial |
$896.45
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$781.75
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$781.75
|
| Rate for Payer: Martins Point Health Care Commercial |
$474.07
|
| Rate for Payer: Multiplan Commercial |
$1,412.67
|
| Rate for Payer: MVP Health Care of NY Commercial |
$673.17
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$474.06
|
| Rate for Payer: United Healthcare Commercial |
$729.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$474.06
|
| Rate for Payer: United Healthcare VA CCN |
$474.06
|
|
|
REPAIR LOWER LEG TENDONS
|
Facility
|
OP
|
$1,519.00
|
|
|
Service Code
|
CPT 27675
|
| Hospital Charge Code |
9822767501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$672.77 |
| Max. Negotiated Rate |
$1,443.05 |
| Rate for Payer: Aetna of VT Commercial |
$1,443.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,360.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$672.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,360.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$914.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,291.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,230.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$683.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,207.61
|
| Rate for Payer: Cash Price |
$759.50
|
| Rate for Payer: Cigna Commercial |
$1,215.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,215.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,215.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$683.55
|
| Rate for Payer: Multiplan Commercial |
$1,412.67
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,291.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$683.55
|
| Rate for Payer: United Healthcare Commercial |
$1,443.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$683.55
|
| Rate for Payer: United Healthcare VA CCN |
$683.55
|
|
|
REPAIR NAIL BED
|
Professional
|
Both
|
$374.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
5101176001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$103.60 |
| Max. Negotiated Rate |
$351.56 |
| Rate for Payer: Aetna of VT Commercial |
$351.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$335.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$106.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$335.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$272.89
|
| Rate for Payer: Cash Price |
$187.00
|
| Rate for Payer: Cash Price |
$187.00
|
| Rate for Payer: Cigna Commercial |
$189.86
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.42
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.42
|
| Rate for Payer: Martins Point Health Care Commercial |
$175.23
|
| Rate for Payer: Multiplan Commercial |
$347.82
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare Commercial |
$159.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare VA CCN |
$103.60
|
|
|
REPAIR NAIL BED
|
Professional
|
Both
|
$958.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9601176001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$103.60 |
| Max. Negotiated Rate |
$900.52 |
| Rate for Payer: Aetna of VT Commercial |
$900.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$858.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$106.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$858.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$272.89
|
| Rate for Payer: Cash Price |
$479.00
|
| Rate for Payer: Cash Price |
$479.00
|
| Rate for Payer: Cigna Commercial |
$189.86
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.42
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.42
|
| Rate for Payer: Martins Point Health Care Commercial |
$175.23
|
| Rate for Payer: Multiplan Commercial |
$890.94
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare Commercial |
$159.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare VA CCN |
$103.60
|
|
|
REPAIR NAIL BED
|
Professional
|
Both
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9811176002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$103.60 |
| Max. Negotiated Rate |
$549.90 |
| Rate for Payer: Aetna of VT Commercial |
$549.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$106.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$272.89
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$189.86
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.42
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.42
|
| Rate for Payer: Martins Point Health Care Commercial |
$175.23
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare Commercial |
$159.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare VA CCN |
$103.60
|
|
|
REPAIR NAIL BED
|
Facility
|
OP
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9601176002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$259.10 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna of VT Commercial |
$555.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$259.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$352.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$497.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$473.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$263.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$465.07
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$468.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.25
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$497.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$263.25
|
| Rate for Payer: United Healthcare Commercial |
$555.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$263.25
|
| Rate for Payer: United Healthcare VA CCN |
$263.25
|
|
|
REPAIR NAIL BED
|
Facility
|
IP
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9601176002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$432.96 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna of VT Commercial |
$555.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$432.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$432.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$497.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$491.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$468.00
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$468.00
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$497.25
|
| Rate for Payer: United Healthcare Commercial |
$555.75
|
|
|
REPAIR NAIL BED
|
Facility
|
OP
|
$374.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
5101176001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$165.64 |
| Max. Negotiated Rate |
$355.30 |
| Rate for Payer: Aetna of VT Commercial |
$355.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$335.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$165.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$335.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$225.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$302.94
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$168.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$297.33
|
| Rate for Payer: Cash Price |
$187.00
|
| Rate for Payer: Cigna Commercial |
$299.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$299.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$299.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$168.30
|
| Rate for Payer: Multiplan Commercial |
$347.82
|
| Rate for Payer: MVP Health Care of NY Commercial |
$317.90
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$168.30
|
| Rate for Payer: United Healthcare Commercial |
$355.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$168.30
|
| Rate for Payer: United Healthcare VA CCN |
$168.30
|
|
|
REPAIR NAIL BED
|
Facility
|
IP
|
$374.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
5101176001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$276.80 |
| Max. Negotiated Rate |
$355.30 |
| Rate for Payer: Aetna of VT Commercial |
$355.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$276.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$276.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$314.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$299.20
|
| Rate for Payer: Cash Price |
$187.00
|
| Rate for Payer: Cigna Commercial |
$299.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$299.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$299.20
|
| Rate for Payer: Multiplan Commercial |
$347.82
|
| Rate for Payer: MVP Health Care of NY Commercial |
$317.90
|
| Rate for Payer: United Healthcare Commercial |
$355.30
|
|
|
REPAIR NAIL BED
|
Facility
|
OP
|
$958.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9601176001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$424.30 |
| Max. Negotiated Rate |
$910.10 |
| Rate for Payer: Aetna of VT Commercial |
$910.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$858.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$424.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$858.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$576.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$814.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$775.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$431.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$761.61
|
| Rate for Payer: Cash Price |
$479.00
|
| Rate for Payer: Cigna Commercial |
$766.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$766.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$766.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$431.10
|
| Rate for Payer: Multiplan Commercial |
$890.94
|
| Rate for Payer: MVP Health Care of NY Commercial |
$814.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$431.10
|
| Rate for Payer: United Healthcare Commercial |
$910.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$431.10
|
| Rate for Payer: United Healthcare VA CCN |
$431.10
|
|
|
REPAIR NAIL BED
|
Facility
|
OP
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9811176002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$259.10 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna of VT Commercial |
$555.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$259.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$352.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$497.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$473.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$263.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$465.07
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$468.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.25
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$497.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$263.25
|
| Rate for Payer: United Healthcare Commercial |
$555.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$263.25
|
| Rate for Payer: United Healthcare VA CCN |
$263.25
|
|
|
REPAIR NAIL BED
|
Facility
|
IP
|
$373.27
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
4501176001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$276.26 |
| Max. Negotiated Rate |
$354.61 |
| Rate for Payer: Aetna of VT Commercial |
$354.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$276.26
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$276.26
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$313.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$298.62
|
| Rate for Payer: Cash Price |
$186.64
|
| Rate for Payer: Cigna Commercial |
$298.62
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$298.62
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$298.62
|
| Rate for Payer: Multiplan Commercial |
$347.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$317.28
|
| Rate for Payer: United Healthcare Commercial |
$354.61
|
|
|
REPAIR NAIL BED
|
Facility
|
IP
|
$958.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9601176001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$709.02 |
| Max. Negotiated Rate |
$910.10 |
| Rate for Payer: Aetna of VT Commercial |
$910.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$709.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$709.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$814.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$804.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$766.40
|
| Rate for Payer: Cash Price |
$479.00
|
| Rate for Payer: Cigna Commercial |
$766.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$766.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$766.40
|
| Rate for Payer: Multiplan Commercial |
$890.94
|
| Rate for Payer: MVP Health Care of NY Commercial |
$814.30
|
| Rate for Payer: United Healthcare Commercial |
$910.10
|
|
|
REPAIR NAIL BED
|
Facility
|
IP
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9811176002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$432.96 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna of VT Commercial |
$555.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$432.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$432.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$497.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$491.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$468.00
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$468.00
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$497.25
|
| Rate for Payer: United Healthcare Commercial |
$555.75
|
|
|
REPAIR NAIL BED
|
Professional
|
Both
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9811176001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$103.60 |
| Max. Negotiated Rate |
$549.90 |
| Rate for Payer: Aetna of VT Commercial |
$549.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$106.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$272.89
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$189.86
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.42
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.42
|
| Rate for Payer: Martins Point Health Care Commercial |
$175.23
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare Commercial |
$159.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare VA CCN |
$103.60
|
|
|
REPAIR NAIL BED
|
Professional
|
Both
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9601176002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$103.60 |
| Max. Negotiated Rate |
$549.90 |
| Rate for Payer: Aetna of VT Commercial |
$549.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$106.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$145.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$272.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$272.89
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$189.86
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$284.42
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$284.42
|
| Rate for Payer: Martins Point Health Care Commercial |
$175.23
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$147.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare Commercial |
$159.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$103.60
|
| Rate for Payer: United Healthcare VA CCN |
$103.60
|
|
|
REPAIR NAIL BED
|
Facility
|
OP
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9811176001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$259.10 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna of VT Commercial |
$555.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$259.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$524.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$352.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$497.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$473.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$263.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$465.07
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$468.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$263.25
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$497.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$263.25
|
| Rate for Payer: United Healthcare Commercial |
$555.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$263.25
|
| Rate for Payer: United Healthcare VA CCN |
$263.25
|
|
|
REPAIR NAIL BED
|
Facility
|
IP
|
$585.00
|
|
|
Service Code
|
CPT 11760
|
| Hospital Charge Code |
9811176001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$432.96 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna of VT Commercial |
$555.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$432.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$432.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$497.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$491.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$468.00
|
| Rate for Payer: Cash Price |
$292.50
|
| Rate for Payer: Cigna Commercial |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$468.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$468.00
|
| Rate for Payer: Multiplan Commercial |
$544.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$497.25
|
| Rate for Payer: United Healthcare Commercial |
$555.75
|
|
