UnitedHealthcare / Medicare crack pipe
59400 Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care
Medicare: $1600-1800
Seaton SW quote:$13,000-16,000
Midwife: ~$4000
Finally dug the medicare info out of http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp
HCPC
Modifier
Short Description
Carrier/ Locality
Non-Facility Price
Facility Price
Non-Facility Limiting Charge
Facility Limiting Charge
GPCI Work
GPCI PE
GPCI MP
Proc Stat
WORK RVU
NA Flag for Trans Non-Fac PE RVU
Transitioned Non-Fac PE RVU
NA Flg for Fully Imp Non-Fac PE RVU
Fully Implemented Non-Fac PE RVU
NA Flag for Trans Facility PE RVU
Transitioned Facility PE RVU
NA Flag for Fully Imp Fac PE RVU
Fully Implemented Facility PE RVU
MP RVU
Transitioned Non-Fac Total
Transitioned Facility Total
Fully Implemented Non-Fac Total
Fully Implemented Facility Total
PCTC
Global
Pre Op
Intra Op
Post Op
Mult Surg
Bilt Surg
Asst Surg
Co Surg
Team Surg
Phys Supv
Medical Supply Code
Endobase
Conv Fact
Not Used For Medicare
Diag Imaging Family Ind
OPPS Non-Facility Payment Amount
OPPS Facility Payment Amount
Non-Fac PE Used for OPPS Pmt Amt
Facility PE Used for OPPS Pmt Amt
Malpractice Used for OPPS Pmt Amt
59400
Obstetrical care
0090031
NA
$1,671.06
NA
$1,825.64
1
1.016
0.969
A
26.8
NA
14.71
NA
14.09
14.71
14.09
5.5
47.01
47.01
46.39
46.39
0
MMM
0
0
0
2
0
1
0
0
09
38.087
99
NA
NA
0
0
0
Medicare: $1600-1800
Seaton SW quote:$13,000-16,000
Midwife: ~$4000
Finally dug the medicare info out of http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp
HCPC
Modifier
Short Description
Carrier/ Locality
Non-Facility Price
Facility Price
Non-Facility Limiting Charge
Facility Limiting Charge
GPCI Work
GPCI PE
GPCI MP
Proc Stat
WORK RVU
NA Flag for Trans Non-Fac PE RVU
Transitioned Non-Fac PE RVU
NA Flg for Fully Imp Non-Fac PE RVU
Fully Implemented Non-Fac PE RVU
NA Flag for Trans Facility PE RVU
Transitioned Facility PE RVU
NA Flag for Fully Imp Fac PE RVU
Fully Implemented Facility PE RVU
MP RVU
Transitioned Non-Fac Total
Transitioned Facility Total
Fully Implemented Non-Fac Total
Fully Implemented Facility Total
PCTC
Global
Pre Op
Intra Op
Post Op
Mult Surg
Bilt Surg
Asst Surg
Co Surg
Team Surg
Phys Supv
Medical Supply Code
Endobase
Conv Fact
Not Used For Medicare
Diag Imaging Family Ind
OPPS Non-Facility Payment Amount
OPPS Facility Payment Amount
Non-Fac PE Used for OPPS Pmt Amt
Facility PE Used for OPPS Pmt Amt
Malpractice Used for OPPS Pmt Amt
59400
Obstetrical care
0090031
NA
$1,671.06
NA
$1,825.64
1
1.016
0.969
A
26.8
NA
14.71
NA
14.09
14.71
14.09
5.5
47.01
47.01
46.39
46.39
0
MMM
0
0
0
2
0
1
0
0
09
38.087
99
NA
NA
0
0
0