Recieved a quote for just the professional billing charges for 360 fusion. Anterior part was $58,000 and the posterior part was 81,000!!!This is not any hospital anesthesia, or vascular surgeon charges!Just the spine surgeon charges!
Just want to give a quick rundown of my new insurance and how this will work for my surgeon in nyc.I am sched for 360 single level fusion on march 9th. I work for a local health care system and this is our new ins as of Jan 1.It is a BC/BS ppo product for our UHS health care system.Tier 1 is in network coverage(UHS PROVIDERS)tier 2 is out of network BC/BS providers and then there is out of network coverage.Apparently my spine surgeon does not par with any insurance and his charges will fall out of network.The billing office told me to call my insurance with the codes and fees they gave me and see what the insurance will pay of those fees and then they will let me know if they will accept that. Has anyone had experience with this? Are these charges off the chart or in the ballpark..or is it cuz he's a big time nyc surgeon he can charge what he wants. lynette