|
BIOPSY OF PROSTATE
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
9825570001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$120.09 |
| Max. Negotiated Rate |
$413.60 |
| Rate for Payer: Aetna of VT Commercial |
$413.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$394.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$123.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$394.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$168.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$383.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$383.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$138.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$383.15
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cigna Commercial |
$209.93
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$370.82
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$370.82
|
| Rate for Payer: Martins Point Health Care Commercial |
$227.70
|
| Rate for Payer: Multiplan Commercial |
$409.20
|
| Rate for Payer: MVP Health Care of NY Commercial |
$170.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$120.09
|
| Rate for Payer: United Healthcare Commercial |
$184.73
|
| Rate for Payer: United Healthcare Medicare Advantage |
$120.09
|
| Rate for Payer: United Healthcare VA CCN |
$120.09
|
|
|
BIOPSY OF PROSTATE
|
Facility
|
OP
|
$440.00
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
9825570001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$194.88 |
| Max. Negotiated Rate |
$418.00 |
| Rate for Payer: Aetna of VT Commercial |
$418.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$394.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$194.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$394.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$264.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$374.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$356.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$198.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$349.80
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cigna Commercial |
$352.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$352.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$352.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$198.00
|
| Rate for Payer: Multiplan Commercial |
$409.20
|
| Rate for Payer: MVP Health Care of NY Commercial |
$374.00
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$198.00
|
| Rate for Payer: United Healthcare Commercial |
$418.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$198.00
|
| Rate for Payer: United Healthcare VA CCN |
$198.00
|
|
|
BIOPSY OF PROSTATE
|
Facility
|
IP
|
$440.00
|
|
|
Service Code
|
CPT 55700
|
| Hospital Charge Code |
9825570001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$325.64 |
| Max. Negotiated Rate |
$418.00 |
| Rate for Payer: Aetna of VT Commercial |
$418.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$325.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$325.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$374.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$369.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$352.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cigna Commercial |
$352.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$352.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$352.00
|
| Rate for Payer: Multiplan Commercial |
$409.20
|
| Rate for Payer: MVP Health Care of NY Commercial |
$374.00
|
| Rate for Payer: United Healthcare Commercial |
$418.00
|
|
|
BIOPSY OF UTERUS LINING
|
Facility
|
IP
|
$417.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
9605810001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$308.62 |
| Max. Negotiated Rate |
$396.15 |
| Rate for Payer: Aetna of VT Commercial |
$396.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$308.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$308.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$354.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$350.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$333.60
|
| Rate for Payer: Cash Price |
$208.50
|
| Rate for Payer: Cigna Commercial |
$333.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$333.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$333.60
|
| Rate for Payer: Multiplan Commercial |
$387.81
|
| Rate for Payer: MVP Health Care of NY Commercial |
$354.45
|
| Rate for Payer: United Healthcare Commercial |
$396.15
|
|
|
BIOPSY OF UTERUS LINING
|
Facility
|
OP
|
$417.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
9605810001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$184.69 |
| Max. Negotiated Rate |
$396.15 |
| Rate for Payer: Aetna of VT Commercial |
$396.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$373.59
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$184.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$373.59
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$251.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$354.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$337.77
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$187.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$331.51
|
| Rate for Payer: Cash Price |
$208.50
|
| Rate for Payer: Cigna Commercial |
$333.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$333.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$333.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$187.65
|
| Rate for Payer: Multiplan Commercial |
$387.81
|
| Rate for Payer: MVP Health Care of NY Commercial |
$354.45
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$187.65
|
| Rate for Payer: United Healthcare Commercial |
$396.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$187.65
|
| Rate for Payer: United Healthcare VA CCN |
$187.65
|
|
|
BIOPSY OF UTERUS LINING
|
Professional
|
Both
|
$417.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
9605810001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$57.91 |
| Max. Negotiated Rate |
$391.98 |
| Rate for Payer: Aetna of VT Commercial |
$391.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$373.59
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$59.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$373.59
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$81.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$195.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$195.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$66.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$195.27
|
| Rate for Payer: Cash Price |
$208.50
|
| Rate for Payer: Cash Price |
$208.50
|
| Rate for Payer: Cigna Commercial |
$102.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$154.81
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$154.81
|
| Rate for Payer: Martins Point Health Care Commercial |
$93.88
|
| Rate for Payer: Multiplan Commercial |
$387.81
|
| Rate for Payer: MVP Health Care of NY Commercial |
$82.23
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$57.91
|
| Rate for Payer: United Healthcare Commercial |
$89.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57.91
|
| Rate for Payer: United Healthcare VA CCN |
$57.91
|
|
|
BIOPSY OF UTERUS LINING
|
Facility
|
OP
|
$259.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
9605810002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$114.71 |
| Max. Negotiated Rate |
$246.05 |
| Rate for Payer: Aetna of VT Commercial |
$246.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$232.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$114.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$232.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$155.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$220.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$209.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$116.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$205.91
|
| Rate for Payer: Cash Price |
$129.50
|
| Rate for Payer: Cigna Commercial |
$207.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$207.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$207.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$116.55
|
| Rate for Payer: Multiplan Commercial |
$240.87
|
| Rate for Payer: MVP Health Care of NY Commercial |
$220.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$116.55
|
| Rate for Payer: United Healthcare Commercial |
$246.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$116.55
|
| Rate for Payer: United Healthcare VA CCN |
$116.55
|
|
|
BIOPSY OF UTERUS LINING
|
Facility
|
IP
|
$259.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
9605810002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$191.69 |
| Max. Negotiated Rate |
$246.05 |
| Rate for Payer: Aetna of VT Commercial |
$246.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$191.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$191.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$220.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$217.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$207.20
|
| Rate for Payer: Cash Price |
$129.50
|
| Rate for Payer: Cigna Commercial |
$207.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$207.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$207.20
|
| Rate for Payer: Multiplan Commercial |
$240.87
|
| Rate for Payer: MVP Health Care of NY Commercial |
$220.15
|
| Rate for Payer: United Healthcare Commercial |
$246.05
|
|
|
BIOPSY OF UTERUS LINING
|
Professional
|
Both
|
$159.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
5105810001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$57.91 |
| Max. Negotiated Rate |
$195.27 |
| Rate for Payer: Aetna of VT Commercial |
$149.46
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$142.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$59.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$142.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$81.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$195.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$195.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$66.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$195.27
|
| Rate for Payer: Cash Price |
$79.50
|
| Rate for Payer: Cash Price |
$79.50
|
| Rate for Payer: Cigna Commercial |
$102.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$154.81
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$154.81
|
| Rate for Payer: Martins Point Health Care Commercial |
$93.88
|
| Rate for Payer: Multiplan Commercial |
$147.87
|
| Rate for Payer: MVP Health Care of NY Commercial |
$82.23
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$57.91
|
| Rate for Payer: United Healthcare Commercial |
$89.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57.91
|
| Rate for Payer: United Healthcare VA CCN |
$57.91
|
|
|
BIOPSY OF UTERUS LINING
|
Facility
|
IP
|
$159.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
5105810001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$117.68 |
| Max. Negotiated Rate |
$151.05 |
| Rate for Payer: Aetna of VT Commercial |
$151.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$117.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$117.68
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$135.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$133.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$127.20
|
| Rate for Payer: Cash Price |
$79.50
|
| Rate for Payer: Cigna Commercial |
$127.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$127.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$127.20
|
| Rate for Payer: Multiplan Commercial |
$147.87
|
| Rate for Payer: MVP Health Care of NY Commercial |
$135.15
|
| Rate for Payer: United Healthcare Commercial |
$151.05
|
|
|
BIOPSY OF UTERUS LINING
|
Facility
|
OP
|
$159.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
5105810001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$70.42 |
| Max. Negotiated Rate |
$151.05 |
| Rate for Payer: Aetna of VT Commercial |
$151.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$142.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$70.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$142.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$95.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$135.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$128.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$71.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$126.41
|
| Rate for Payer: Cash Price |
$79.50
|
| Rate for Payer: Cigna Commercial |
$127.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$127.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$127.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$71.55
|
| Rate for Payer: Multiplan Commercial |
$147.87
|
| Rate for Payer: MVP Health Care of NY Commercial |
$135.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$71.55
|
| Rate for Payer: United Healthcare Commercial |
$151.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$71.55
|
| Rate for Payer: United Healthcare VA CCN |
$71.55
|
|
|
BIOPSY OF UTERUS LINING
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
CPT 58100
|
| Hospital Charge Code |
9605810002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$57.91 |
| Max. Negotiated Rate |
$243.46 |
| Rate for Payer: Aetna of VT Commercial |
$243.46
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$232.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$59.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$232.04
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$81.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$195.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$195.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$66.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$195.27
|
| Rate for Payer: Cash Price |
$129.50
|
| Rate for Payer: Cash Price |
$129.50
|
| Rate for Payer: Cigna Commercial |
$102.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$154.81
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$154.81
|
| Rate for Payer: Martins Point Health Care Commercial |
$93.88
|
| Rate for Payer: Multiplan Commercial |
$240.87
|
| Rate for Payer: MVP Health Care of NY Commercial |
$82.23
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$57.91
|
| Rate for Payer: United Healthcare Commercial |
$89.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$57.91
|
| Rate for Payer: United Healthcare VA CCN |
$57.91
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Facility
|
OP
|
$348.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
9605660501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$154.13 |
| Max. Negotiated Rate |
$330.60 |
| Rate for Payer: Aetna of VT Commercial |
$330.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$154.13
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$209.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$295.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$281.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$156.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$276.66
|
| Rate for Payer: Cash Price |
$174.00
|
| Rate for Payer: Cigna Commercial |
$278.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$278.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$278.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$156.60
|
| Rate for Payer: Multiplan Commercial |
$323.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$295.80
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$156.60
|
| Rate for Payer: United Healthcare Commercial |
$330.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$156.60
|
| Rate for Payer: United Healthcare VA CCN |
$156.60
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Facility
|
OP
|
$210.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
9605660502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$93.01 |
| Max. Negotiated Rate |
$199.50 |
| Rate for Payer: Aetna of VT Commercial |
$199.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$188.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$93.01
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$188.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$126.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$170.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$94.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$166.95
|
| Rate for Payer: Cash Price |
$105.00
|
| Rate for Payer: Cigna Commercial |
$168.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$168.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$168.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$94.50
|
| Rate for Payer: Multiplan Commercial |
$195.30
|
| Rate for Payer: MVP Health Care of NY Commercial |
$178.50
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$94.50
|
| Rate for Payer: United Healthcare Commercial |
$199.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$94.50
|
| Rate for Payer: United Healthcare VA CCN |
$94.50
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Facility
|
IP
|
$210.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
9605660502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$155.42 |
| Max. Negotiated Rate |
$199.50 |
| Rate for Payer: Aetna of VT Commercial |
$199.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$155.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$155.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$178.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$176.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$168.00
|
| Rate for Payer: Cash Price |
$105.00
|
| Rate for Payer: Cigna Commercial |
$168.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$168.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$168.00
|
| Rate for Payer: Multiplan Commercial |
$195.30
|
| Rate for Payer: MVP Health Care of NY Commercial |
$178.50
|
| Rate for Payer: United Healthcare Commercial |
$199.50
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Facility
|
IP
|
$348.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
9605660501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$257.55 |
| Max. Negotiated Rate |
$330.60 |
| Rate for Payer: Aetna of VT Commercial |
$330.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$257.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$257.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$295.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$292.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$278.40
|
| Rate for Payer: Cash Price |
$174.00
|
| Rate for Payer: Cigna Commercial |
$278.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$278.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$278.40
|
| Rate for Payer: Multiplan Commercial |
$323.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$295.80
|
| Rate for Payer: United Healthcare Commercial |
$330.60
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Professional
|
Both
|
$138.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
5105660501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$54.49 |
| Max. Negotiated Rate |
$148.22 |
| Rate for Payer: Aetna of VT Commercial |
$129.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$123.63
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$56.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$123.63
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$76.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$148.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$148.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$62.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$148.22
|
| Rate for Payer: Cash Price |
$69.00
|
| Rate for Payer: Cash Price |
$69.00
|
| Rate for Payer: Cigna Commercial |
$95.90
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$147.61
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$147.61
|
| Rate for Payer: Martins Point Health Care Commercial |
$89.82
|
| Rate for Payer: Multiplan Commercial |
$128.34
|
| Rate for Payer: MVP Health Care of NY Commercial |
$77.38
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$54.49
|
| Rate for Payer: United Healthcare Commercial |
$83.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54.49
|
| Rate for Payer: United Healthcare VA CCN |
$54.49
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Professional
|
Both
|
$348.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
9605660501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$54.49 |
| Max. Negotiated Rate |
$327.12 |
| Rate for Payer: Aetna of VT Commercial |
$327.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$56.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$311.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$76.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$148.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$148.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$62.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$148.22
|
| Rate for Payer: Cash Price |
$174.00
|
| Rate for Payer: Cash Price |
$174.00
|
| Rate for Payer: Cigna Commercial |
$95.90
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$147.61
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$147.61
|
| Rate for Payer: Martins Point Health Care Commercial |
$89.82
|
| Rate for Payer: Multiplan Commercial |
$323.64
|
| Rate for Payer: MVP Health Care of NY Commercial |
$77.38
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$54.49
|
| Rate for Payer: United Healthcare Commercial |
$83.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54.49
|
| Rate for Payer: United Healthcare VA CCN |
$54.49
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
9605660502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$54.49 |
| Max. Negotiated Rate |
$197.40 |
| Rate for Payer: Aetna of VT Commercial |
$197.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$188.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$56.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$188.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$76.29
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$148.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$148.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$62.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$148.22
|
| Rate for Payer: Cash Price |
$105.00
|
| Rate for Payer: Cash Price |
$105.00
|
| Rate for Payer: Cigna Commercial |
$95.90
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$147.61
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$147.61
|
| Rate for Payer: Martins Point Health Care Commercial |
$89.82
|
| Rate for Payer: Multiplan Commercial |
$195.30
|
| Rate for Payer: MVP Health Care of NY Commercial |
$77.38
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$54.49
|
| Rate for Payer: United Healthcare Commercial |
$83.82
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54.49
|
| Rate for Payer: United Healthcare VA CCN |
$54.49
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Facility
|
OP
|
$138.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
5105660501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$61.12 |
| Max. Negotiated Rate |
$131.10 |
| Rate for Payer: Aetna of VT Commercial |
$131.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$123.63
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$61.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$123.63
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$83.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$117.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$111.78
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$62.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$109.71
|
| Rate for Payer: Cash Price |
$69.00
|
| Rate for Payer: Cigna Commercial |
$110.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$110.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$110.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$62.10
|
| Rate for Payer: Multiplan Commercial |
$128.34
|
| Rate for Payer: MVP Health Care of NY Commercial |
$117.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$62.10
|
| Rate for Payer: United Healthcare Commercial |
$131.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$62.10
|
| Rate for Payer: United Healthcare VA CCN |
$62.10
|
|
|
BIOPSY OF VULVA/PERINEUM
|
Facility
|
IP
|
$138.00
|
|
|
Service Code
|
CPT 56605
|
| Hospital Charge Code |
5105660501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$102.13 |
| Max. Negotiated Rate |
$131.10 |
| Rate for Payer: Aetna of VT Commercial |
$131.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$102.13
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$102.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$117.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$115.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$110.40
|
| Rate for Payer: Cash Price |
$69.00
|
| Rate for Payer: Cigna Commercial |
$110.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$110.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$110.40
|
| Rate for Payer: Multiplan Commercial |
$128.34
|
| Rate for Payer: MVP Health Care of NY Commercial |
$117.30
|
| Rate for Payer: United Healthcare Commercial |
$131.10
|
|
|
BIOPSY/REMOVAL LYMPH NODES
|
Facility
|
IP
|
$1,286.00
|
|
|
Service Code
|
CPT 38525
|
| Hospital Charge Code |
9603852502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$951.77 |
| Max. Negotiated Rate |
$1,221.70 |
| Rate for Payer: Aetna of VT Commercial |
$1,221.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$951.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$951.77
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,093.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,080.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,028.80
|
| Rate for Payer: Cash Price |
$643.00
|
| Rate for Payer: Cigna Commercial |
$1,028.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,028.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,028.80
|
| Rate for Payer: Multiplan Commercial |
$1,195.98
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,093.10
|
| Rate for Payer: United Healthcare Commercial |
$1,221.70
|
|
|
BIOPSY/REMOVAL LYMPH NODES
|
Facility
|
IP
|
$6,341.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
5103850001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$4,692.97 |
| Max. Negotiated Rate |
$6,023.95 |
| Rate for Payer: Aetna of VT Commercial |
$6,023.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$4,692.97
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$4,692.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$5,389.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$5,326.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$5,072.80
|
| Rate for Payer: Cash Price |
$3,170.50
|
| Rate for Payer: Cigna Commercial |
$5,072.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$5,072.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$5,072.80
|
| Rate for Payer: Multiplan Commercial |
$5,897.13
|
| Rate for Payer: MVP Health Care of NY Commercial |
$5,389.85
|
| Rate for Payer: United Healthcare Commercial |
$6,023.95
|
|
|
BIOPSY/REMOVAL LYMPH NODES
|
Facility
|
IP
|
$1,455.00
|
|
|
Service Code
|
CPT 38510
|
| Hospital Charge Code |
9823851001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,076.85 |
| Max. Negotiated Rate |
$1,382.25 |
| Rate for Payer: Aetna of VT Commercial |
$1,382.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,076.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,076.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,236.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,222.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,164.00
|
| Rate for Payer: Cash Price |
$727.50
|
| Rate for Payer: Cigna Commercial |
$1,164.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,164.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,164.00
|
| Rate for Payer: Multiplan Commercial |
$1,353.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,236.75
|
| Rate for Payer: United Healthcare Commercial |
$1,382.25
|
|
|
BIOPSY/REMOVAL LYMPH NODES
|
Facility
|
IP
|
$7,135.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
9603850001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$5,280.61 |
| Max. Negotiated Rate |
$6,778.25 |
| Rate for Payer: Aetna of VT Commercial |
$6,778.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$5,280.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$5,280.61
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$6,064.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$5,993.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$5,708.00
|
| Rate for Payer: Cash Price |
$3,567.50
|
| Rate for Payer: Cigna Commercial |
$5,708.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$5,708.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$5,708.00
|
| Rate for Payer: Multiplan Commercial |
$6,635.55
|
| Rate for Payer: MVP Health Care of NY Commercial |
$6,064.75
|
| Rate for Payer: United Healthcare Commercial |
$6,778.25
|
|
