Guest guest Posted July 1, 2005 Report Share Posted July 1, 2005 Hi Folks, Just found out about this newsgroup, and feels so nice to be a part of the community here. I have my surgery scheduled in Sept....Upper, lower jaw to be moved forward and genio... The quote from the doctor (including the asst. surgeon is almost $30k. The doctor is out-of-network, and that means only 80% of the Usual & customary reasonable charge will be covered by United Health Care(UHC). Does any one have any experience with what UHC considers the UCR for: Lefort I osteotomy, 1 piece (CPT, 21141) & Bilateral sagittal Split Ramus Osteotomy (CPT 21196). I am really nervous about the variance b/w what the doctor has quoted, and what the insurance would mark as UCR. While the hospital is in-network for UHC, the anestheosologist they contract with are not. Apprarently, they accept charges equivalent to in-network only when the OS is also in-network. They hinted that I can try negotiating a discount (after I am billed)....since, I don't have the option of choosing the anesthesiologist, is there any way, I can get to an 'in-network' deal? Scares me at what I might land paying out of my pocket..... Thanks a lot, -Sriram Quote Link to comment Share on other sites More sharing options...
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