20 % of the network rate

[mamaof4boys 1]

Does anyone know how much the network rate for the surgeon and asst surgeon is, for anthem blue cross blue shield. I have to pay 20% of the network rate. I was trying to get a guess on how much money I will need. I am going to be sleeved on Aug 30th. Thanks.

[Janae 12]

Ask your surgeon for the CPT and ICD-9 codes for your procedure. Call Anthem and tell them you need the allowed amounts for those codes. They will be agle to give you the amounts. If there ise more than 1 CPT code, ask Anthem to explain how the multiple surgery rules will be applied. Usually it is 100% for highest fee, 50% of 2nd highest and 25$ of all others, but Anthem may have different rules.

They can also give you the amount allowed for the hospital bill (if there are no complications) with the same codes,

Anesthesia is more variable because the amount of time for your surgery may vary from others.

Hope this helps and GOOD LUCK!!