|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$629.71
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
4502660501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$466.05 |
| Max. Negotiated Rate |
$598.22 |
| Rate for Payer: Aetna of VT Commercial |
$598.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$466.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$466.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$535.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$528.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$503.77
|
| Rate for Payer: Cash Price |
$314.86
|
| Rate for Payer: Cigna Commercial |
$503.77
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$503.77
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$503.77
|
| Rate for Payer: Multiplan Commercial |
$585.63
|
| Rate for Payer: MVP Health Care of NY Commercial |
$535.25
|
| Rate for Payer: United Healthcare Commercial |
$598.22
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 26600
|
| Hospital Charge Code |
9812660001
|
|
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 METACARPAL FRACTURE
|
Facility
|
IP
|
$1,360.00
|
|
|
Service Code
|
CPT 26608
|
| Hospital Charge Code |
9602660802
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,006.54 |
| Max. Negotiated Rate |
$1,292.00 |
| Rate for Payer: Aetna of VT Commercial |
$1,292.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,006.54
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,006.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,156.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,142.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,088.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cigna Commercial |
$1,088.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,088.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,088.00
|
| Rate for Payer: Multiplan Commercial |
$1,264.80
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,156.00
|
| Rate for Payer: United Healthcare Commercial |
$1,292.00
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$1,485.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
9602660501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$657.71 |
| Max. Negotiated Rate |
$1,410.75 |
| Rate for Payer: Aetna of VT Commercial |
$1,410.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,330.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$657.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,330.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$893.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,262.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,202.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$668.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,180.58
|
| Rate for Payer: Cash Price |
$742.50
|
| Rate for Payer: Cigna Commercial |
$1,188.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,188.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,188.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$668.25
|
| Rate for Payer: Multiplan Commercial |
$1,381.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,262.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$668.25
|
| Rate for Payer: United Healthcare Commercial |
$1,410.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$668.25
|
| Rate for Payer: United Healthcare VA CCN |
$668.25
|
|
|
TREAT METACARPAL FRACTURE
|
Professional
|
Both
|
$181.00
|
|
|
Service Code
|
CPT 26600
|
| Hospital Charge Code |
5102660001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$162.16 |
| Max. Negotiated Rate |
$540.11 |
| Rate for Payer: Aetna of VT Commercial |
$170.14
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$162.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$295.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$162.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$401.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$368.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$368.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$329.83
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$368.04
|
| Rate for Payer: Cash Price |
$90.50
|
| Rate for Payer: Cash Price |
$90.50
|
| Rate for Payer: Cigna Commercial |
$540.11
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$493.22
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$493.22
|
| Rate for Payer: Martins Point Health Care Commercial |
$300.94
|
| Rate for Payer: Multiplan Commercial |
$168.33
|
| Rate for Payer: MVP Health Care of NY Commercial |
$407.27
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$286.81
|
| Rate for Payer: United Healthcare Commercial |
$441.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$286.81
|
| Rate for Payer: United Healthcare VA CCN |
$286.81
|
|
|
TREAT METACARPAL FRACTURE
|
Professional
|
Both
|
$1,360.00
|
|
|
Service Code
|
CPT 26608
|
| Hospital Charge Code |
9602660802
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$465.15 |
| Max. Negotiated Rate |
$1,278.40 |
| Rate for Payer: Aetna of VT Commercial |
$1,278.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,218.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$479.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,218.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$651.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$678.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$678.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$534.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$678.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cigna Commercial |
$881.31
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$768.37
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$768.37
|
| Rate for Payer: Martins Point Health Care Commercial |
$465.15
|
| Rate for Payer: Multiplan Commercial |
$1,264.80
|
| Rate for Payer: MVP Health Care of NY Commercial |
$660.51
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$465.15
|
| Rate for Payer: United Healthcare Commercial |
$715.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$465.15
|
| Rate for Payer: United Healthcare VA CCN |
$465.15
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$2,761.00
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
9602661501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,043.42 |
| Max. Negotiated Rate |
$2,622.95 |
| Rate for Payer: Aetna of VT Commercial |
$2,622.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,043.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,043.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,346.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,319.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,208.80
|
| Rate for Payer: Cash Price |
$1,380.50
|
| Rate for Payer: Cigna Commercial |
$2,208.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,208.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,208.80
|
| Rate for Payer: Multiplan Commercial |
$2,567.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,346.85
|
| Rate for Payer: United Healthcare Commercial |
$2,622.95
|
|
|
TREAT METACARPAL FRACTURE
|
Professional
|
Both
|
$2,720.00
|
|
|
Service Code
|
CPT 26608
|
| Hospital Charge Code |
9602660801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$465.15 |
| Max. Negotiated Rate |
$2,556.80 |
| Rate for Payer: Aetna of VT Commercial |
$2,556.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,436.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$479.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,436.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$651.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$678.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$678.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$534.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$678.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cigna Commercial |
$881.31
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$768.37
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$768.37
|
| Rate for Payer: Martins Point Health Care Commercial |
$465.15
|
| Rate for Payer: Multiplan Commercial |
$2,529.60
|
| Rate for Payer: MVP Health Care of NY Commercial |
$660.51
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$465.15
|
| Rate for Payer: United Healthcare Commercial |
$715.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$465.15
|
| Rate for Payer: United Healthcare VA CCN |
$465.15
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$647.00
|
|
|
Service Code
|
CPT 26600
|
| Hospital Charge Code |
9812660002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$478.84 |
| Max. Negotiated Rate |
$614.65 |
| Rate for Payer: Aetna of VT Commercial |
$614.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$478.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$478.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$549.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$543.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$517.60
|
| Rate for Payer: Cash Price |
$323.50
|
| Rate for Payer: Cigna Commercial |
$517.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$517.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$517.60
|
| Rate for Payer: Multiplan Commercial |
$601.71
|
| Rate for Payer: MVP Health Care of NY Commercial |
$549.95
|
| Rate for Payer: United Healthcare Commercial |
$614.65
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$855.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
9602660502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$378.68 |
| Max. Negotiated Rate |
$812.25 |
| Rate for Payer: Aetna of VT Commercial |
$812.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$765.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$378.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$765.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$514.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$726.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$692.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$384.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$679.73
|
| Rate for Payer: Cash Price |
$427.50
|
| Rate for Payer: Cigna Commercial |
$684.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$684.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$684.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$384.75
|
| Rate for Payer: Multiplan Commercial |
$795.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$726.75
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$384.75
|
| Rate for Payer: United Healthcare Commercial |
$812.25
|
| Rate for Payer: United Healthcare Medicare Advantage |
$384.75
|
| Rate for Payer: United Healthcare VA CCN |
$384.75
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$180.69
|
|
|
Service Code
|
CPT 26600
|
| Hospital Charge Code |
4502660001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$80.03 |
| Max. Negotiated Rate |
$171.66 |
| Rate for Payer: Aetna of VT Commercial |
$171.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$161.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$80.03
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$161.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$108.78
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$153.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$146.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$81.31
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$143.65
|
| Rate for Payer: Cash Price |
$90.34
|
| Rate for Payer: Cigna Commercial |
$144.55
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$144.55
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$144.55
|
| Rate for Payer: Martins Point Health Care Commercial |
$81.31
|
| Rate for Payer: Multiplan Commercial |
$168.04
|
| Rate for Payer: MVP Health Care of NY Commercial |
$153.59
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$81.31
|
| Rate for Payer: United Healthcare Commercial |
$171.66
|
| Rate for Payer: United Healthcare Medicare Advantage |
$81.31
|
| Rate for Payer: United Healthcare VA CCN |
$81.31
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$1,360.00
|
|
|
Service Code
|
CPT 26608
|
| Hospital Charge Code |
9602660802
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$602.34 |
| Max. Negotiated Rate |
$1,292.00 |
| Rate for Payer: Aetna of VT Commercial |
$1,292.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,218.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$602.34
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,218.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$818.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,156.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,101.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$612.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,081.20
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cigna Commercial |
$1,088.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,088.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,088.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$612.00
|
| Rate for Payer: Multiplan Commercial |
$1,264.80
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,156.00
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$612.00
|
| Rate for Payer: United Healthcare Commercial |
$1,292.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$612.00
|
| Rate for Payer: United Healthcare VA CCN |
$612.00
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$2,761.00
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
9602661501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,222.85 |
| Max. Negotiated Rate |
$2,622.95 |
| Rate for Payer: Aetna of VT Commercial |
$2,622.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,473.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,222.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,473.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,662.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,346.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,236.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,242.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,194.99
|
| Rate for Payer: Cash Price |
$1,380.50
|
| Rate for Payer: Cigna Commercial |
$2,208.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,208.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,208.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,242.45
|
| Rate for Payer: Multiplan Commercial |
$2,567.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,346.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,242.45
|
| Rate for Payer: United Healthcare Commercial |
$2,622.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,242.45
|
| Rate for Payer: United Healthcare VA CCN |
$1,242.45
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$1,433.00
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
9602661502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$634.68 |
| Max. Negotiated Rate |
$1,361.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,361.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,283.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$634.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,283.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$862.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,218.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,160.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$644.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,139.23
|
| Rate for Payer: Cash Price |
$716.50
|
| Rate for Payer: Cigna Commercial |
$1,146.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,146.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,146.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$644.85
|
| Rate for Payer: Multiplan Commercial |
$1,332.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,218.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$644.85
|
| Rate for Payer: United Healthcare Commercial |
$1,361.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$644.85
|
| Rate for Payer: United Healthcare VA CCN |
$644.85
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$1,433.00
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
9822661501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$634.68 |
| Max. Negotiated Rate |
$1,361.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,361.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,283.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$634.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,283.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$862.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,218.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,160.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$644.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,139.23
|
| Rate for Payer: Cash Price |
$716.50
|
| Rate for Payer: Cigna Commercial |
$1,146.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,146.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,146.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$644.85
|
| Rate for Payer: Multiplan Commercial |
$1,332.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,218.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$644.85
|
| Rate for Payer: United Healthcare Commercial |
$1,361.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$644.85
|
| Rate for Payer: United Healthcare VA CCN |
$644.85
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 26600
|
| Hospital Charge Code |
9812660001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.74 |
| 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 |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.84
|
| 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: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
|
|
TREAT METACARPAL FRACTURE
|
Professional
|
Both
|
$630.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
5102660501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$293.72 |
| Max. Negotiated Rate |
$592.20 |
| Rate for Payer: Aetna of VT Commercial |
$592.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$564.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$302.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$564.42
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$411.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$509.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$509.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$337.78
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$509.72
|
| Rate for Payer: Cash Price |
$315.00
|
| Rate for Payer: Cash Price |
$315.00
|
| Rate for Payer: Cigna Commercial |
$555.46
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$536.41
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$536.41
|
| Rate for Payer: Martins Point Health Care Commercial |
$326.48
|
| Rate for Payer: Multiplan Commercial |
$585.90
|
| Rate for Payer: MVP Health Care of NY Commercial |
$417.08
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$293.72
|
| Rate for Payer: United Healthcare Commercial |
$451.83
|
| Rate for Payer: United Healthcare Medicare Advantage |
$293.72
|
| Rate for Payer: United Healthcare VA CCN |
$293.72
|
|
|
TREAT METACARPAL FRACTURE
|
Professional
|
Both
|
$1,433.00
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
9602661502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$553.56 |
| Max. Negotiated Rate |
$1,347.02 |
| Rate for Payer: Aetna of VT Commercial |
$1,347.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,283.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$570.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,283.82
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$774.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$770.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$770.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$636.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$770.39
|
| Rate for Payer: Cash Price |
$716.50
|
| Rate for Payer: Cash Price |
$716.50
|
| Rate for Payer: Cigna Commercial |
$1,045.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$917.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$917.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$553.56
|
| Rate for Payer: Multiplan Commercial |
$1,332.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$786.06
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$553.56
|
| Rate for Payer: United Healthcare Commercial |
$851.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$553.56
|
| Rate for Payer: United Healthcare VA CCN |
$553.56
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$181.00
|
|
|
Service Code
|
CPT 26600
|
| Hospital Charge Code |
5102660001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$133.96 |
| Max. Negotiated Rate |
$171.95 |
| Rate for Payer: Aetna of VT Commercial |
$171.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$133.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$133.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$153.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$152.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$144.80
|
| Rate for Payer: Cash Price |
$90.50
|
| Rate for Payer: Cigna Commercial |
$144.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$144.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$144.80
|
| Rate for Payer: Multiplan Commercial |
$168.33
|
| Rate for Payer: MVP Health Care of NY Commercial |
$153.85
|
| Rate for Payer: United Healthcare Commercial |
$171.95
|
|
|
TREAT METACARPAL FRACTURE
|
Professional
|
Both
|
$1,329.00
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
5102661501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$553.56 |
| Max. Negotiated Rate |
$1,249.26 |
| Rate for Payer: Aetna of VT Commercial |
$1,249.26
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,190.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$570.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,190.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$774.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$770.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$770.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$636.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$770.39
|
| Rate for Payer: Cash Price |
$664.50
|
| Rate for Payer: Cash Price |
$664.50
|
| Rate for Payer: Cigna Commercial |
$1,045.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$917.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$917.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$553.56
|
| Rate for Payer: Multiplan Commercial |
$1,235.97
|
| Rate for Payer: MVP Health Care of NY Commercial |
$786.06
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$553.56
|
| Rate for Payer: United Healthcare Commercial |
$851.54
|
| Rate for Payer: United Healthcare Medicare Advantage |
$553.56
|
| Rate for Payer: United Healthcare VA CCN |
$553.56
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$1,329.00
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
5102661501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$588.61 |
| Max. Negotiated Rate |
$1,262.55 |
| Rate for Payer: Aetna of VT Commercial |
$1,262.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,190.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$588.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,190.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$800.06
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,129.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,076.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$598.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,056.56
|
| Rate for Payer: Cash Price |
$664.50
|
| Rate for Payer: Cigna Commercial |
$1,063.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,063.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,063.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$598.05
|
| Rate for Payer: Multiplan Commercial |
$1,235.97
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,129.65
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$598.05
|
| Rate for Payer: United Healthcare Commercial |
$1,262.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$598.05
|
| Rate for Payer: United Healthcare VA CCN |
$598.05
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
OP
|
$629.71
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
4502660501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$278.90 |
| Max. Negotiated Rate |
$598.22 |
| Rate for Payer: Aetna of VT Commercial |
$598.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$564.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$278.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$564.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$379.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$535.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$510.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$283.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$500.62
|
| Rate for Payer: Cash Price |
$314.86
|
| Rate for Payer: Cigna Commercial |
$503.77
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$503.77
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$503.77
|
| Rate for Payer: Martins Point Health Care Commercial |
$283.37
|
| Rate for Payer: Multiplan Commercial |
$585.63
|
| Rate for Payer: MVP Health Care of NY Commercial |
$535.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$283.37
|
| Rate for Payer: United Healthcare Commercial |
$598.22
|
| Rate for Payer: United Healthcare Medicare Advantage |
$283.37
|
| Rate for Payer: United Healthcare VA CCN |
$283.37
|
|
|
TREAT METACARPAL FRACTURE
|
Professional
|
Both
|
$647.00
|
|
|
Service Code
|
CPT 26600
|
| Hospital Charge Code |
9602660002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$286.81 |
| Max. Negotiated Rate |
$608.18 |
| Rate for Payer: Aetna of VT Commercial |
$608.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$579.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$295.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$579.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$401.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$368.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$368.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$329.83
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$368.04
|
| Rate for Payer: Cash Price |
$323.50
|
| Rate for Payer: Cash Price |
$323.50
|
| Rate for Payer: Cigna Commercial |
$540.11
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$493.22
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$493.22
|
| Rate for Payer: Martins Point Health Care Commercial |
$300.94
|
| Rate for Payer: Multiplan Commercial |
$601.71
|
| Rate for Payer: MVP Health Care of NY Commercial |
$407.27
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$286.81
|
| Rate for Payer: United Healthcare Commercial |
$441.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$286.81
|
| Rate for Payer: United Healthcare VA CCN |
$286.81
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$2,720.00
|
|
|
Service Code
|
CPT 26608
|
| Hospital Charge Code |
9602660801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,013.07 |
| Max. Negotiated Rate |
$2,584.00 |
| Rate for Payer: Aetna of VT Commercial |
$2,584.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,013.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,013.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,312.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,284.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,176.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cigna Commercial |
$2,176.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,176.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,176.00
|
| Rate for Payer: Multiplan Commercial |
$2,529.60
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,312.00
|
| Rate for Payer: United Healthcare Commercial |
$2,584.00
|
|
|
TREAT METACARPAL FRACTURE
|
Facility
|
IP
|
$855.00
|
|
|
Service Code
|
CPT 26605
|
| Hospital Charge Code |
9602660502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$632.79 |
| Max. Negotiated Rate |
$812.25 |
| Rate for Payer: Aetna of VT Commercial |
$812.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$632.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$632.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$726.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$718.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$684.00
|
| Rate for Payer: Cash Price |
$427.50
|
| Rate for Payer: Cigna Commercial |
$684.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$684.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$684.00
|
| Rate for Payer: Multiplan Commercial |
$795.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$726.75
|
| Rate for Payer: United Healthcare Commercial |
$812.25
|
|
