Negotiated reimbursement rates for D7830 across 6 states, sourced from CMS Transparency in Coverage data. 104 rate records.
D7830 represents manipulation under anesthesia, a procedure where a patient is sedated to allow for the manipulation of a joint to restore its normal function. This is typically indicated for patients with significant pain or limited mobility due to joint issues. Documentation should include the patient's consent, details of the manipulation performed, and any pre-existing conditions. Reimbursement for this procedure can differ based on the insurance plan and state regulations, with some payors covering it under surgical benefits while others may classify it differently, impacting patient costs.
Reimbursement rates for D7830 vary significantly by state, payor, and provider network. The national average negotiated rate is $225. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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| State | Avg Rate |
|---|---|
| Arizona | $585 |
| Wisconsin | $577 |
| Nevada | $571 |
| Connecticut | $550 |
| New York | $314 |
| State | Avg Rate |
|---|---|
| Wisconsin | $577 |
| Nevada | $571 |
| Connecticut | $550 |
| New York | $314 |
| South Carolina | $158 |