Insurance - Amount Allowed

[Guest guest]

Hi All, I am trying to appeal what my insurance has paid. I'm just

curious as to what others have found as allowable charges for Lefort

I, BSSO, genio. The turbinectomies they are not allowing at all,

yet they were necessary to open the airway up. (Surgery was for

sleep apnea)

My surgeon & asst. surgeon were non-participating, though I was

referred from a participating physician (pulmonologist).

The charges and what my BSBS (Federal Employees) allowed follows:

Lefort 1 Surgeon, $5700 Allowed: $1236.90

Asst Surgeon, 1425 Allowed: 1236.90

BSSO Surgeon, 5510 Allowed: 1323.44

Asst Surgeon, 1800 Allowed: 1440.00 (seems out they would

allow more for Asst. than Surgeon)

Genio Surgeon 5300 Allowed: 968.24

Asst Surgeon 1325 Allowed: 1060.00

Turbin. Surgeon 1150 Allowed: 0

Asst Surgeon 287.50 Allowed: 0

Of course the total was $22497.50, I already paid $6000, and the

amount they have paid so far is about $10,000.

I would like anyone input on what they're OS charged and what their

insurance companies allowed.

Thanks for your help.

Shirley