|
TREAT FINGER DISLOCATION
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 26775
|
| Hospital Charge Code |
9812677501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$660.69 |
| 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 |
$359.23
|
| 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 |
$488.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$559.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$559.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$401.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$559.82
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$660.69
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$640.82
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$640.82
|
| Rate for Payer: Martins Point Health Care Commercial |
$389.89
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$495.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$348.77
|
| Rate for Payer: United Healthcare Commercial |
$536.51
|
| Rate for Payer: United Healthcare Medicare Advantage |
$348.77
|
| Rate for Payer: United Healthcare VA CCN |
$348.77
|
|
|
TREAT FINGER DISLOCATION
|
Professional
|
Both
|
$632.00
|
|
|
Service Code
|
CPT 26770
|
| Hospital Charge Code |
9812677002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$259.56 |
| Max. Negotiated Rate |
$594.08 |
| Rate for Payer: Aetna of VT Commercial |
$594.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$566.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$267.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$566.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$363.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$382.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$382.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$298.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$382.95
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cigna Commercial |
$489.56
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$472.65
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$472.65
|
| Rate for Payer: Martins Point Health Care Commercial |
$286.21
|
| Rate for Payer: Multiplan Commercial |
$587.76
|
| Rate for Payer: MVP Health Care of NY Commercial |
$368.58
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$259.56
|
| Rate for Payer: United Healthcare Commercial |
$399.28
|
| Rate for Payer: United Healthcare Medicare Advantage |
$259.56
|
| Rate for Payer: United Healthcare VA CCN |
$259.56
|
|
|
TREAT FINGER DISLOCATION
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 26670
|
| Hospital Charge Code |
9812667001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$580.59 |
| 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 |
$318.57
|
| 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 |
$433.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$565.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$565.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$355.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$565.20
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$580.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$574.48
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$574.48
|
| Rate for Payer: Martins Point Health Care Commercial |
$347.51
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$439.19
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$309.29
|
| Rate for Payer: United Healthcare Commercial |
$475.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$309.29
|
| Rate for Payer: United Healthcare VA CCN |
$309.29
|
|
|
TREAT FINGER DISLOCATION
|
Facility
|
IP
|
$283.57
|
|
|
Service Code
|
CPT 26775
|
| Hospital Charge Code |
4502677501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$209.87 |
| Max. Negotiated Rate |
$269.39 |
| Rate for Payer: Aetna of VT Commercial |
$269.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$209.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$209.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$241.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$238.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$226.86
|
| Rate for Payer: Cash Price |
$141.78
|
| Rate for Payer: Cigna Commercial |
$226.86
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$226.86
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$226.86
|
| Rate for Payer: Multiplan Commercial |
$263.72
|
| Rate for Payer: MVP Health Care of NY Commercial |
$241.03
|
| Rate for Payer: United Healthcare Commercial |
$269.39
|
|
|
TREAT FINGER DISLOCATION
|
Facility
|
OP
|
$1,084.00
|
|
|
Service Code
|
CPT 26770
|
| Hospital Charge Code |
9602677001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$480.10 |
| Max. Negotiated Rate |
$1,029.80 |
| Rate for Payer: Aetna of VT Commercial |
$1,029.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$971.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$480.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$971.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$652.57
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$921.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$878.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$487.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$861.78
|
| Rate for Payer: Cash Price |
$542.00
|
| Rate for Payer: Cigna Commercial |
$867.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$867.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$867.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$487.80
|
| Rate for Payer: Multiplan Commercial |
$1,008.12
|
| Rate for Payer: MVP Health Care of NY Commercial |
$921.40
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$487.80
|
| Rate for Payer: United Healthcare Commercial |
$1,029.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$487.80
|
| Rate for Payer: United Healthcare VA CCN |
$487.80
|
|
|
TREAT FINGER DISLOCATION
|
Professional
|
Both
|
$1,242.00
|
|
|
Service Code
|
CPT 26670
|
| Hospital Charge Code |
9812667002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$309.29 |
| Max. Negotiated Rate |
$1,167.48 |
| Rate for Payer: Aetna of VT Commercial |
$1,167.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,112.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$318.57
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,112.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$433.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$565.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$565.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$355.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$565.20
|
| Rate for Payer: Cash Price |
$621.00
|
| Rate for Payer: Cash Price |
$621.00
|
| Rate for Payer: Cigna Commercial |
$580.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$574.48
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$574.48
|
| Rate for Payer: Martins Point Health Care Commercial |
$347.51
|
| Rate for Payer: Multiplan Commercial |
$1,155.06
|
| Rate for Payer: MVP Health Care of NY Commercial |
$439.19
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$309.29
|
| Rate for Payer: United Healthcare Commercial |
$475.78
|
| Rate for Payer: United Healthcare Medicare Advantage |
$309.29
|
| Rate for Payer: United Healthcare VA CCN |
$309.29
|
|
|
TREAT FINGER DISLOCATION
|
Facility
|
OP
|
$283.57
|
|
|
Service Code
|
CPT 26775
|
| Hospital Charge Code |
4502677501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$125.59 |
| Max. Negotiated Rate |
$269.39 |
| Rate for Payer: Aetna of VT Commercial |
$269.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$254.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$125.59
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$254.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$170.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$241.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$229.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$127.61
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$225.44
|
| Rate for Payer: Cash Price |
$141.78
|
| Rate for Payer: Cigna Commercial |
$226.86
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$226.86
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$226.86
|
| Rate for Payer: Martins Point Health Care Commercial |
$127.61
|
| Rate for Payer: Multiplan Commercial |
$263.72
|
| Rate for Payer: MVP Health Care of NY Commercial |
$241.03
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$127.61
|
| Rate for Payer: United Healthcare Commercial |
$269.39
|
| Rate for Payer: United Healthcare Medicare Advantage |
$127.61
|
| Rate for Payer: United Healthcare VA CCN |
$127.61
|
|
|
TREAT FINGER DISLOCATION
|
Facility
|
IP
|
$632.00
|
|
|
Service Code
|
CPT 26770
|
| Hospital Charge Code |
9602677002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$467.74 |
| Max. Negotiated Rate |
$600.40 |
| Rate for Payer: Aetna of VT Commercial |
$600.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$467.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$467.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$537.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$530.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$505.60
|
| Rate for Payer: Cash Price |
$316.00
|
| Rate for Payer: Cigna Commercial |
$505.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$505.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$505.60
|
| Rate for Payer: Multiplan Commercial |
$587.76
|
| Rate for Payer: MVP Health Care of NY Commercial |
$537.20
|
| Rate for Payer: United Healthcare Commercial |
$600.40
|
|
|
TREAT FINGER DISLOCATION
|
Facility
|
IP
|
$451.86
|
|
|
Service Code
|
CPT 26770
|
| Hospital Charge Code |
4502677001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$334.42 |
| Max. Negotiated Rate |
$429.27 |
| Rate for Payer: Aetna of VT Commercial |
$429.27
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$334.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$334.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$384.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$379.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$361.49
|
| Rate for Payer: Cash Price |
$225.93
|
| Rate for Payer: Cigna Commercial |
$361.49
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$361.49
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$361.49
|
| Rate for Payer: Multiplan Commercial |
$420.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$384.08
|
| Rate for Payer: United Healthcare Commercial |
$429.27
|
|
|
TREAT FINGER DISLOCATION
|
Facility
|
IP
|
$883.00
|
|
|
Service Code
|
CPT 26775
|
| Hospital Charge Code |
9812677502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$653.51 |
| Max. Negotiated Rate |
$838.85 |
| Rate for Payer: Aetna of VT Commercial |
$838.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$653.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$653.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$750.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$741.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$706.40
|
| Rate for Payer: Cash Price |
$441.50
|
| Rate for Payer: Cigna Commercial |
$706.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$706.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$706.40
|
| Rate for Payer: Multiplan Commercial |
$821.19
|
| Rate for Payer: MVP Health Care of NY Commercial |
$750.55
|
| Rate for Payer: United Healthcare Commercial |
$838.85
|
|
|
TREAT FINGER DISLOCATION
|
Facility
|
OP
|
$883.00
|
|
|
Service Code
|
CPT 26775
|
| Hospital Charge Code |
9822677501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$391.08 |
| Max. Negotiated Rate |
$838.85 |
| Rate for Payer: Aetna of VT Commercial |
$838.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$791.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$391.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$791.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$531.57
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$750.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$715.23
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$397.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$701.99
|
| Rate for Payer: Cash Price |
$441.50
|
| Rate for Payer: Cigna Commercial |
$706.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$706.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$706.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$397.35
|
| Rate for Payer: Multiplan Commercial |
$821.19
|
| Rate for Payer: MVP Health Care of NY Commercial |
$750.55
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$397.35
|
| Rate for Payer: United Healthcare Commercial |
$838.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$397.35
|
| Rate for Payer: United Healthcare VA CCN |
$397.35
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
IP
|
$1,182.00
|
|
|
Service Code
|
CPT 26755
|
| Hospital Charge Code |
9812675501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$874.80 |
| Max. Negotiated Rate |
$1,122.90 |
| Rate for Payer: Aetna of VT Commercial |
$1,122.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$874.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$874.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,004.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$992.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$945.60
|
| Rate for Payer: Cash Price |
$591.00
|
| Rate for Payer: Cigna Commercial |
$945.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$945.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$945.60
|
| Rate for Payer: Multiplan Commercial |
$1,099.26
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,004.70
|
| Rate for Payer: United Healthcare Commercial |
$1,122.90
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
IP
|
$1,418.00
|
|
|
Service Code
|
CPT 26765
|
| Hospital Charge Code |
9602676502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,049.46 |
| Max. Negotiated Rate |
$1,347.10 |
| Rate for Payer: Aetna of VT Commercial |
$1,347.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,049.46
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,049.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,205.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,191.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,134.40
|
| Rate for Payer: Cash Price |
$709.00
|
| Rate for Payer: Cigna Commercial |
$1,134.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,134.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,134.40
|
| Rate for Payer: Multiplan Commercial |
$1,318.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,205.30
|
| Rate for Payer: United Healthcare Commercial |
$1,347.10
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
OP
|
$203.00
|
|
|
Service Code
|
CPT 26750
|
| Hospital Charge Code |
5102675001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$89.91 |
| Max. Negotiated Rate |
$192.85 |
| Rate for Payer: Aetna of VT Commercial |
$192.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$181.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$89.91
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$181.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$122.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$172.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$164.43
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$91.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$161.38
|
| Rate for Payer: Cash Price |
$101.50
|
| Rate for Payer: Cigna Commercial |
$162.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$162.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$162.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$91.35
|
| Rate for Payer: Multiplan Commercial |
$188.79
|
| Rate for Payer: MVP Health Care of NY Commercial |
$172.55
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$91.35
|
| Rate for Payer: United Healthcare Commercial |
$192.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$91.35
|
| Rate for Payer: United Healthcare VA CCN |
$91.35
|
|
|
TREAT FINGER FRACTURE EACH
|
Professional
|
Both
|
$1,418.00
|
|
|
Service Code
|
CPT 26765
|
| Hospital Charge Code |
9602676502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$485.99 |
| Max. Negotiated Rate |
$1,332.92 |
| Rate for Payer: Aetna of VT Commercial |
$1,332.92
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,270.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$500.57
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,270.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$680.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$603.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$603.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$558.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$603.75
|
| Rate for Payer: Cash Price |
$709.00
|
| Rate for Payer: Cash Price |
$709.00
|
| Rate for Payer: Cigna Commercial |
$919.55
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$803.34
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$803.34
|
| Rate for Payer: Martins Point Health Care Commercial |
$485.99
|
| Rate for Payer: Multiplan Commercial |
$1,318.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$690.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$485.99
|
| Rate for Payer: United Healthcare Commercial |
$747.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$485.99
|
| Rate for Payer: United Healthcare VA CCN |
$485.99
|
|
|
TREAT FINGER FRACTURE EACH
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
CPT 26755
|
| Hospital Charge Code |
9812675502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$271.31 |
| Max. Negotiated Rate |
$705.94 |
| Rate for Payer: Aetna of VT Commercial |
$705.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$672.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$279.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$672.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$379.83
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$406.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$406.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$312.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$406.45
|
| Rate for Payer: Cash Price |
$375.50
|
| Rate for Payer: Cash Price |
$375.50
|
| Rate for Payer: Cigna Commercial |
$508.65
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$524.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$524.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$318.52
|
| Rate for Payer: Multiplan Commercial |
$698.43
|
| Rate for Payer: MVP Health Care of NY Commercial |
$385.26
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$271.31
|
| Rate for Payer: United Healthcare Commercial |
$417.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$271.31
|
| Rate for Payer: United Healthcare VA CCN |
$271.31
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 26742
|
| Hospital Charge Code |
9812674201
|
|
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
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
OP
|
$201.63
|
|
|
Service Code
|
CPT 26720
|
| Hospital Charge Code |
4502672001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$89.30 |
| Max. Negotiated Rate |
$191.55 |
| Rate for Payer: Aetna of VT Commercial |
$191.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$180.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$89.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$180.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$121.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$171.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$163.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$90.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$160.30
|
| Rate for Payer: Cash Price |
$100.82
|
| Rate for Payer: Cigna Commercial |
$161.30
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$161.30
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$161.30
|
| Rate for Payer: Martins Point Health Care Commercial |
$90.73
|
| Rate for Payer: Multiplan Commercial |
$187.52
|
| Rate for Payer: MVP Health Care of NY Commercial |
$171.39
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$90.73
|
| Rate for Payer: United Healthcare Commercial |
$191.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$90.73
|
| Rate for Payer: United Healthcare VA CCN |
$90.73
|
|
|
TREAT FINGER FRACTURE EACH
|
Professional
|
Both
|
$1,418.00
|
|
|
Service Code
|
CPT 26765
|
| Hospital Charge Code |
9822676501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$485.99 |
| Max. Negotiated Rate |
$1,332.92 |
| Rate for Payer: Aetna of VT Commercial |
$1,332.92
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,270.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$500.57
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,270.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$680.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$603.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$603.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$558.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$603.75
|
| Rate for Payer: Cash Price |
$709.00
|
| Rate for Payer: Cash Price |
$709.00
|
| Rate for Payer: Cigna Commercial |
$919.55
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$803.34
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$803.34
|
| Rate for Payer: Martins Point Health Care Commercial |
$485.99
|
| Rate for Payer: Multiplan Commercial |
$1,318.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$690.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$485.99
|
| Rate for Payer: United Healthcare Commercial |
$747.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$485.99
|
| Rate for Payer: United Healthcare VA CCN |
$485.99
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
OP
|
$1,209.00
|
|
|
Service Code
|
CPT 26725
|
| Hospital Charge Code |
9812672501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$535.47 |
| Max. Negotiated Rate |
$1,148.55 |
| Rate for Payer: Aetna of VT Commercial |
$1,148.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,083.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$535.47
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,083.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$727.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,027.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$979.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$544.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$961.15
|
| Rate for Payer: Cash Price |
$604.50
|
| Rate for Payer: Cigna Commercial |
$967.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$967.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$967.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$544.05
|
| Rate for Payer: Multiplan Commercial |
$1,124.37
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,027.65
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$544.05
|
| Rate for Payer: United Healthcare Commercial |
$1,148.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$544.05
|
| Rate for Payer: United Healthcare VA CCN |
$544.05
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
OP
|
$860.00
|
|
|
Service Code
|
CPT 26725
|
| Hospital Charge Code |
9602672502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$380.89 |
| Max. Negotiated Rate |
$817.00 |
| Rate for Payer: Aetna of VT Commercial |
$817.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$770.47
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$380.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$770.47
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$517.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$731.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$696.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$387.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$683.70
|
| Rate for Payer: Cash Price |
$430.00
|
| Rate for Payer: Cigna Commercial |
$688.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$688.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$688.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$387.00
|
| Rate for Payer: Multiplan Commercial |
$799.80
|
| Rate for Payer: MVP Health Care of NY Commercial |
$731.00
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$387.00
|
| Rate for Payer: United Healthcare Commercial |
$817.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$387.00
|
| Rate for Payer: United Healthcare VA CCN |
$387.00
|
|
|
TREAT FINGER FRACTURE EACH
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 26742
|
| Hospital Charge Code |
9812674201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$625.65 |
| 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 |
$337.93
|
| 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 |
$459.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$625.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$625.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$377.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$625.65
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$619.65
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$604.82
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$604.82
|
| Rate for Payer: Martins Point Health Care Commercial |
$366.95
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$465.89
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$328.09
|
| Rate for Payer: United Healthcare Commercial |
$504.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$328.09
|
| Rate for Payer: United Healthcare VA CCN |
$328.09
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
IP
|
$3,130.00
|
|
|
Service Code
|
CPT 26735
|
| Hospital Charge Code |
9602673501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,316.51 |
| Max. Negotiated Rate |
$2,973.50 |
| Rate for Payer: Aetna of VT Commercial |
$2,973.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,316.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,316.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,660.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,629.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,504.00
|
| Rate for Payer: Cash Price |
$1,565.00
|
| Rate for Payer: Cigna Commercial |
$2,504.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,504.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,504.00
|
| Rate for Payer: Multiplan Commercial |
$2,910.90
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,660.50
|
| Rate for Payer: United Healthcare Commercial |
$2,973.50
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
IP
|
$1,085.00
|
|
|
Service Code
|
CPT 26742
|
| Hospital Charge Code |
9812674202
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$803.01 |
| Max. Negotiated Rate |
$1,030.75 |
| Rate for Payer: Aetna of VT Commercial |
$1,030.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$803.01
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$803.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$922.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$911.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$868.00
|
| Rate for Payer: Cash Price |
$542.50
|
| Rate for Payer: Cigna Commercial |
$868.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$868.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$868.00
|
| Rate for Payer: Multiplan Commercial |
$1,009.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$922.25
|
| Rate for Payer: United Healthcare Commercial |
$1,030.75
|
|
|
TREAT FINGER FRACTURE EACH
|
Facility
|
OP
|
$492.00
|
|
|
Service Code
|
CPT 26720
|
| Hospital Charge Code |
9812672002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$217.91 |
| Max. Negotiated Rate |
$467.40 |
| Rate for Payer: Aetna of VT Commercial |
$467.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$440.78
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$217.91
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$440.78
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$296.18
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$418.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$398.52
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$221.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$391.14
|
| Rate for Payer: Cash Price |
$246.00
|
| Rate for Payer: Cigna Commercial |
$393.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$393.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$393.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$221.40
|
| Rate for Payer: Multiplan Commercial |
$457.56
|
| Rate for Payer: MVP Health Care of NY Commercial |
$418.20
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$221.40
|
| Rate for Payer: United Healthcare Commercial |
$467.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$221.40
|
| Rate for Payer: United Healthcare VA CCN |
$221.40
|
|
