|
Pace Lead Dual Removal
|
Facility
|
IP
|
$4,153.00
|
|
|
Service Code
|
CPT 33235
|
| Hospital Charge Code |
3052395
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,034.97 |
| Max. Negotiated Rate |
$3,820.76 |
| Rate for Payer: Aetna Commercial |
$3,737.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,571.58
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,201.09
|
| Rate for Payer: Cash Price |
$1,245.90
|
| Rate for Payer: Cigna Commercial |
$3,820.76
|
| Rate for Payer: Health EOS Commercial |
$3,696.17
|
| Rate for Payer: HFN Commercial |
$3,820.76
|
| Rate for Payer: Multiplan Commercial |
$3,322.40
|
| Rate for Payer: NAPHCARE Commercial |
$2,491.80
|
| Rate for Payer: Preferred Network Access Commercial |
$3,820.76
|
| Rate for Payer: Quartz Beloit One Network |
$2,034.97
|
| Rate for Payer: Quartz Commercial |
$2,491.80
|
| Rate for Payer: WEA Trust Commercial |
$2,284.15
|
| Rate for Payer: WPS Commercial |
$3,076.13
|
|
|
Pace Lead Dual Removal
|
Facility
|
OP
|
$3,999.00
|
|
|
Service Code
|
CPT 33235
|
| Hospital Charge Code |
4308832
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,959.51 |
| Max. Negotiated Rate |
$15,525.92 |
| Rate for Payer: Aetna Commercial |
$3,599.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,439.14
|
| Rate for Payer: Aetna Managed Medicare |
$3,881.48
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$9,907.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,043.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,639.00
|
| Rate for Payer: Anthem Medicare Advantage |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,119.47
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,881.48
|
| Rate for Payer: Cash Price |
$1,199.70
|
| Rate for Payer: Cash Price |
$1,199.70
|
| Rate for Payer: Cash Price |
$1,199.70
|
| Rate for Payer: Cigna Commercial |
$3,679.08
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,881.48
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,874.87
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,881.48
|
| Rate for Payer: Health EOS Commercial |
$3,559.11
|
| Rate for Payer: HFN Commercial |
$3,679.08
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$14,439.11
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,881.48
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,881.48
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,881.48
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,881.48
|
| Rate for Payer: Multiplan Commercial |
$3,199.20
|
| Rate for Payer: NAPHCARE Commercial |
$5,822.22
|
| Rate for Payer: Preferred Network Access Commercial |
$3,679.08
|
| Rate for Payer: Quartz Beloit One Network |
$1,959.51
|
| Rate for Payer: Quartz Commercial |
$2,599.35
|
| Rate for Payer: Quartz Medicare Advantage |
$3,881.48
|
| Rate for Payer: The Alliance Commercial |
$15,525.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,881.48
|
| Rate for Payer: United Healthcare PPO |
$4,103.00
|
| Rate for Payer: WEA Trust Commercial |
$2,199.45
|
| Rate for Payer: Wellcare Medicare |
$3,881.48
|
| Rate for Payer: WPS Commercial |
$2,962.06
|
|
|
Pace Lead Dual Removal
|
Facility
|
OP
|
$4,153.00
|
|
|
Service Code
|
CPT 33235
|
| Hospital Charge Code |
3052395
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,034.97 |
| Max. Negotiated Rate |
$15,525.92 |
| Rate for Payer: Aetna Commercial |
$3,737.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,571.58
|
| Rate for Payer: Aetna Managed Medicare |
$3,881.48
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$9,907.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,043.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,639.00
|
| Rate for Payer: Anthem Medicare Advantage |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,201.09
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,881.48
|
| Rate for Payer: Cash Price |
$1,245.90
|
| Rate for Payer: Cash Price |
$1,245.90
|
| Rate for Payer: Cash Price |
$1,245.90
|
| Rate for Payer: Cigna Commercial |
$3,820.76
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,881.48
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,874.87
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,881.48
|
| Rate for Payer: Health EOS Commercial |
$3,696.17
|
| Rate for Payer: HFN Commercial |
$3,820.76
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$14,439.11
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,881.48
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,881.48
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,881.48
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,881.48
|
| Rate for Payer: Multiplan Commercial |
$3,322.40
|
| Rate for Payer: NAPHCARE Commercial |
$5,822.22
|
| Rate for Payer: Preferred Network Access Commercial |
$3,820.76
|
| Rate for Payer: Quartz Beloit One Network |
$2,034.97
|
| Rate for Payer: Quartz Commercial |
$2,699.45
|
| Rate for Payer: Quartz Medicare Advantage |
$3,881.48
|
| Rate for Payer: The Alliance Commercial |
$15,525.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,881.48
|
| Rate for Payer: United Healthcare PPO |
$4,103.00
|
| Rate for Payer: WEA Trust Commercial |
$2,284.15
|
| Rate for Payer: Wellcare Medicare |
$3,881.48
|
| Rate for Payer: WPS Commercial |
$3,076.13
|
|
|
Pace Lead Dual Removal
|
Facility
|
IP
|
$3,999.00
|
|
|
Service Code
|
CPT 33235
|
| Hospital Charge Code |
4308832
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,959.51 |
| Max. Negotiated Rate |
$3,679.08 |
| Rate for Payer: Aetna Commercial |
$3,599.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$3,439.14
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$2,119.47
|
| Rate for Payer: Cash Price |
$1,199.70
|
| Rate for Payer: Cigna Commercial |
$3,679.08
|
| Rate for Payer: Health EOS Commercial |
$3,559.11
|
| Rate for Payer: HFN Commercial |
$3,679.08
|
| Rate for Payer: Multiplan Commercial |
$3,199.20
|
| Rate for Payer: NAPHCARE Commercial |
$2,399.40
|
| Rate for Payer: Preferred Network Access Commercial |
$3,679.08
|
| Rate for Payer: Quartz Beloit One Network |
$1,959.51
|
| Rate for Payer: Quartz Commercial |
$2,399.40
|
| Rate for Payer: WEA Trust Commercial |
$2,199.45
|
| Rate for Payer: WPS Commercial |
$2,962.06
|
|
|
Pace Lead Single Removal
|
Facility
|
OP
|
$3,030.00
|
|
|
Service Code
|
CPT 33234
|
| Hospital Charge Code |
4308817
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,484.70 |
| Max. Negotiated Rate |
$15,525.92 |
| Rate for Payer: Aetna Commercial |
$2,727.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,605.80
|
| Rate for Payer: Aetna Managed Medicare |
$3,881.48
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$9,907.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,043.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,639.00
|
| Rate for Payer: Anthem Medicare Advantage |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,605.90
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,881.48
|
| Rate for Payer: Cash Price |
$909.00
|
| Rate for Payer: Cash Price |
$909.00
|
| Rate for Payer: Cash Price |
$909.00
|
| Rate for Payer: Cigna Commercial |
$2,787.60
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,881.48
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,874.87
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,881.48
|
| Rate for Payer: Health EOS Commercial |
$2,696.70
|
| Rate for Payer: HFN Commercial |
$2,787.60
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$14,439.11
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,881.48
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,881.48
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,881.48
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,881.48
|
| Rate for Payer: Multiplan Commercial |
$2,424.00
|
| Rate for Payer: NAPHCARE Commercial |
$5,822.22
|
| Rate for Payer: Preferred Network Access Commercial |
$2,787.60
|
| Rate for Payer: Quartz Beloit One Network |
$1,484.70
|
| Rate for Payer: Quartz Commercial |
$1,969.50
|
| Rate for Payer: Quartz Medicare Advantage |
$3,881.48
|
| Rate for Payer: The Alliance Commercial |
$15,525.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,881.48
|
| Rate for Payer: United Healthcare PPO |
$4,103.00
|
| Rate for Payer: WEA Trust Commercial |
$1,666.50
|
| Rate for Payer: Wellcare Medicare |
$3,881.48
|
| Rate for Payer: WPS Commercial |
$2,244.32
|
|
|
Pace Lead Single Removal
|
Facility
|
IP
|
$3,145.00
|
|
|
Service Code
|
CPT 33234
|
| Hospital Charge Code |
3052394
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,541.05 |
| Max. Negotiated Rate |
$2,893.40 |
| Rate for Payer: Aetna Commercial |
$2,830.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,704.70
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,666.85
|
| Rate for Payer: Cash Price |
$943.50
|
| Rate for Payer: Cigna Commercial |
$2,893.40
|
| Rate for Payer: Health EOS Commercial |
$2,799.05
|
| Rate for Payer: HFN Commercial |
$2,893.40
|
| Rate for Payer: Multiplan Commercial |
$2,516.00
|
| Rate for Payer: NAPHCARE Commercial |
$1,887.00
|
| Rate for Payer: Preferred Network Access Commercial |
$2,893.40
|
| Rate for Payer: Quartz Beloit One Network |
$1,541.05
|
| Rate for Payer: Quartz Commercial |
$1,887.00
|
| Rate for Payer: WEA Trust Commercial |
$1,729.75
|
| Rate for Payer: WPS Commercial |
$2,329.50
|
|
|
Pace Lead Single Removal
|
Facility
|
IP
|
$3,030.00
|
|
|
Service Code
|
CPT 33234
|
| Hospital Charge Code |
4308817
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,484.70 |
| Max. Negotiated Rate |
$2,787.60 |
| Rate for Payer: Aetna Commercial |
$2,727.00
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,605.80
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,605.90
|
| Rate for Payer: Cash Price |
$909.00
|
| Rate for Payer: Cigna Commercial |
$2,787.60
|
| Rate for Payer: Health EOS Commercial |
$2,696.70
|
| Rate for Payer: HFN Commercial |
$2,787.60
|
| Rate for Payer: Multiplan Commercial |
$2,424.00
|
| Rate for Payer: NAPHCARE Commercial |
$1,818.00
|
| Rate for Payer: Preferred Network Access Commercial |
$2,787.60
|
| Rate for Payer: Quartz Beloit One Network |
$1,484.70
|
| Rate for Payer: Quartz Commercial |
$1,818.00
|
| Rate for Payer: WEA Trust Commercial |
$1,666.50
|
| Rate for Payer: WPS Commercial |
$2,244.32
|
|
|
Pace Lead Single Removal
|
Facility
|
OP
|
$3,145.00
|
|
|
Service Code
|
CPT 33234
|
| Hospital Charge Code |
3052394
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$1,541.05 |
| Max. Negotiated Rate |
$15,525.92 |
| Rate for Payer: Aetna Commercial |
$2,830.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$2,704.70
|
| Rate for Payer: Aetna Managed Medicare |
$3,881.48
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$9,907.00
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$8,043.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$7,639.00
|
| Rate for Payer: Anthem Medicare Advantage |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$1,666.85
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$3,881.48
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$3,881.48
|
| Rate for Payer: Cash Price |
$943.50
|
| Rate for Payer: Cash Price |
$943.50
|
| Rate for Payer: Cash Price |
$943.50
|
| Rate for Payer: Cigna Commercial |
$2,893.40
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$3,881.48
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$11,874.87
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$3,881.48
|
| Rate for Payer: Health EOS Commercial |
$2,799.05
|
| Rate for Payer: HFN Commercial |
$2,893.40
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$14,439.11
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$3,881.48
|
| Rate for Payer: Independent Care Health Plan Medicare |
$3,881.48
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$3,881.48
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$3,881.48
|
| Rate for Payer: Multiplan Commercial |
$2,516.00
|
| Rate for Payer: NAPHCARE Commercial |
$5,822.22
|
| Rate for Payer: Preferred Network Access Commercial |
$2,893.40
|
| Rate for Payer: Quartz Beloit One Network |
$1,541.05
|
| Rate for Payer: Quartz Commercial |
$2,044.25
|
| Rate for Payer: Quartz Medicare Advantage |
$3,881.48
|
| Rate for Payer: The Alliance Commercial |
$15,525.92
|
| Rate for Payer: United Healthcare Medicare Advantage |
$3,881.48
|
| Rate for Payer: United Healthcare PPO |
$4,103.00
|
| Rate for Payer: WEA Trust Commercial |
$1,729.75
|
| Rate for Payer: Wellcare Medicare |
$3,881.48
|
| Rate for Payer: WPS Commercial |
$2,329.50
|
|
|
Pacemaker Analysis Review And Report Double Lead
|
Professional
|
Both
|
$433.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
2982423
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$49.65 |
| Max. Negotiated Rate |
$411.35 |
| Rate for Payer: Aetna Commercial |
$411.35
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$372.38
|
| Rate for Payer: Cash Price |
$129.90
|
| Rate for Payer: Cash Price |
$129.90
|
| Rate for Payer: Cigna Commercial |
$411.35
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$49.65
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$259.80
|
| Rate for Payer: Health EOS Commercial |
$394.03
|
| Rate for Payer: HFN Commercial |
$411.35
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$267.22
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$267.22
|
| Rate for Payer: Multiplan Commercial |
$346.40
|
| Rate for Payer: Preferred Network Access Commercial |
$411.35
|
| Rate for Payer: Quartz Beloit One Network |
$190.52
|
| Rate for Payer: Quartz Commercial |
$246.81
|
| Rate for Payer: The Alliance Commercial |
$216.50
|
| Rate for Payer: United Healthcare Medicaid |
$49.65
|
| Rate for Payer: WEA Trust Commercial |
$238.15
|
| Rate for Payer: WPS Commercial |
$320.72
|
|
|
Pacemaker Analysis Review And Report Double Lead
|
Facility
|
IP
|
$937.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
2982423
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$459.13 |
| Max. Negotiated Rate |
$862.04 |
| Rate for Payer: Aetna Commercial |
$843.30
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$805.82
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$496.61
|
| Rate for Payer: Cash Price |
$281.10
|
| Rate for Payer: Cigna Commercial |
$862.04
|
| Rate for Payer: Health EOS Commercial |
$833.93
|
| Rate for Payer: HFN Commercial |
$862.04
|
| Rate for Payer: Multiplan Commercial |
$749.60
|
| Rate for Payer: NAPHCARE Commercial |
$562.20
|
| Rate for Payer: Preferred Network Access Commercial |
$862.04
|
| Rate for Payer: Quartz Beloit One Network |
$459.13
|
| Rate for Payer: Quartz Commercial |
$562.20
|
| Rate for Payer: WEA Trust Commercial |
$515.35
|
| Rate for Payer: WPS Commercial |
$694.04
|
|
|
Pacemaker Analysis Review And Report Double Lead
|
Facility
|
OP
|
$937.00
|
|
|
Service Code
|
CPT 93280
|
| Hospital Charge Code |
2982423
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$37.27 |
| Max. Negotiated Rate |
$862.04 |
| Rate for Payer: Aetna Commercial |
$843.30
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$805.82
|
| Rate for Payer: Aetna Managed Medicare |
$37.27
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$609.05
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$468.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$449.76
|
| Rate for Payer: Anthem Medicare Advantage |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$496.61
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$37.27
|
| Rate for Payer: Cash Price |
$281.10
|
| Rate for Payer: Cash Price |
$281.10
|
| Rate for Payer: Cigna Commercial |
$862.04
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$37.27
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$524.35
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$37.27
|
| Rate for Payer: Health EOS Commercial |
$833.93
|
| Rate for Payer: HFN Commercial |
$862.04
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$138.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$37.27
|
| Rate for Payer: Independent Care Health Plan Medicare |
$37.27
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$37.27
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$37.27
|
| Rate for Payer: Multiplan Commercial |
$749.60
|
| Rate for Payer: NAPHCARE Commercial |
$55.90
|
| Rate for Payer: Preferred Network Access Commercial |
$862.04
|
| Rate for Payer: Quartz Beloit One Network |
$459.13
|
| Rate for Payer: Quartz Commercial |
$609.05
|
| Rate for Payer: Quartz Medicare Advantage |
$37.27
|
| Rate for Payer: The Alliance Commercial |
$149.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37.27
|
| Rate for Payer: WEA Trust Commercial |
$515.35
|
| Rate for Payer: Wellcare Medicare |
$37.27
|
| Rate for Payer: WPS Commercial |
$694.04
|
|
|
Pacemaker Analysis Review And Report, including connection, recording & disconnection
|
Facility
|
OP
|
$459.00
|
|
|
Service Code
|
CPT 93288
|
| Hospital Charge Code |
2982421
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$37.27 |
| Max. Negotiated Rate |
$422.28 |
| Rate for Payer: Aetna Commercial |
$413.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$394.74
|
| Rate for Payer: Aetna Managed Medicare |
$37.27
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$298.35
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$229.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$220.32
|
| Rate for Payer: Anthem Medicare Advantage |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$243.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$37.27
|
| Rate for Payer: Cash Price |
$137.70
|
| Rate for Payer: Cash Price |
$137.70
|
| Rate for Payer: Cigna Commercial |
$422.28
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$37.27
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$256.86
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$37.27
|
| Rate for Payer: Health EOS Commercial |
$408.51
|
| Rate for Payer: HFN Commercial |
$422.28
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$138.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$37.27
|
| Rate for Payer: Independent Care Health Plan Medicare |
$37.27
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$37.27
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$37.27
|
| Rate for Payer: Multiplan Commercial |
$367.20
|
| Rate for Payer: NAPHCARE Commercial |
$55.90
|
| Rate for Payer: Preferred Network Access Commercial |
$422.28
|
| Rate for Payer: Quartz Beloit One Network |
$224.91
|
| Rate for Payer: Quartz Commercial |
$298.35
|
| Rate for Payer: Quartz Medicare Advantage |
$37.27
|
| Rate for Payer: The Alliance Commercial |
$149.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37.27
|
| Rate for Payer: WEA Trust Commercial |
$252.45
|
| Rate for Payer: Wellcare Medicare |
$37.27
|
| Rate for Payer: WPS Commercial |
$339.98
|
|
|
Pacemaker Analysis Review And Report, including connection, recording & disconnection
|
Facility
|
IP
|
$459.00
|
|
|
Service Code
|
CPT 93288
|
| Hospital Charge Code |
2982421
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$224.91 |
| Max. Negotiated Rate |
$422.28 |
| Rate for Payer: Aetna Commercial |
$413.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$394.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$243.27
|
| Rate for Payer: Cash Price |
$137.70
|
| Rate for Payer: Cigna Commercial |
$422.28
|
| Rate for Payer: Health EOS Commercial |
$408.51
|
| Rate for Payer: HFN Commercial |
$422.28
|
| Rate for Payer: Multiplan Commercial |
$367.20
|
| Rate for Payer: NAPHCARE Commercial |
$275.40
|
| Rate for Payer: Preferred Network Access Commercial |
$422.28
|
| Rate for Payer: Quartz Beloit One Network |
$224.91
|
| Rate for Payer: Quartz Commercial |
$275.40
|
| Rate for Payer: WEA Trust Commercial |
$252.45
|
| Rate for Payer: WPS Commercial |
$339.98
|
|
|
Pacemaker Analysis Review And Report Multiple Lead
|
Facility
|
OP
|
$1,244.00
|
|
|
Service Code
|
CPT 93281
|
| Hospital Charge Code |
2982424
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$37.27 |
| Max. Negotiated Rate |
$1,144.48 |
| Rate for Payer: Aetna Commercial |
$1,119.60
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,069.84
|
| Rate for Payer: Aetna Managed Medicare |
$37.27
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$808.60
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$622.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$597.12
|
| Rate for Payer: Anthem Medicare Advantage |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$659.32
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$37.27
|
| Rate for Payer: Cash Price |
$373.20
|
| Rate for Payer: Cash Price |
$373.20
|
| Rate for Payer: Cigna Commercial |
$1,144.48
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$37.27
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$696.14
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$37.27
|
| Rate for Payer: Health EOS Commercial |
$1,107.16
|
| Rate for Payer: HFN Commercial |
$1,144.48
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$138.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$37.27
|
| Rate for Payer: Independent Care Health Plan Medicare |
$37.27
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$37.27
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$37.27
|
| Rate for Payer: Multiplan Commercial |
$995.20
|
| Rate for Payer: NAPHCARE Commercial |
$55.90
|
| Rate for Payer: Preferred Network Access Commercial |
$1,144.48
|
| Rate for Payer: Quartz Beloit One Network |
$609.56
|
| Rate for Payer: Quartz Commercial |
$808.60
|
| Rate for Payer: Quartz Medicare Advantage |
$37.27
|
| Rate for Payer: The Alliance Commercial |
$149.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37.27
|
| Rate for Payer: WEA Trust Commercial |
$684.20
|
| Rate for Payer: Wellcare Medicare |
$37.27
|
| Rate for Payer: WPS Commercial |
$921.43
|
|
|
Pacemaker Analysis Review And Report Multiple Lead
|
Facility
|
IP
|
$1,244.00
|
|
|
Service Code
|
CPT 93281
|
| Hospital Charge Code |
2982424
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$609.56 |
| Max. Negotiated Rate |
$1,144.48 |
| Rate for Payer: Aetna Commercial |
$1,119.60
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$1,069.84
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$659.32
|
| Rate for Payer: Cash Price |
$373.20
|
| Rate for Payer: Cigna Commercial |
$1,144.48
|
| Rate for Payer: Health EOS Commercial |
$1,107.16
|
| Rate for Payer: HFN Commercial |
$1,144.48
|
| Rate for Payer: Multiplan Commercial |
$995.20
|
| Rate for Payer: NAPHCARE Commercial |
$746.40
|
| Rate for Payer: Preferred Network Access Commercial |
$1,144.48
|
| Rate for Payer: Quartz Beloit One Network |
$609.56
|
| Rate for Payer: Quartz Commercial |
$746.40
|
| Rate for Payer: WEA Trust Commercial |
$684.20
|
| Rate for Payer: WPS Commercial |
$921.43
|
|
|
Pacemaker Analysis Review And Report Multiple Lead
|
Professional
|
Both
|
$578.00
|
|
|
Service Code
|
CPT 93281
|
| Hospital Charge Code |
2982424
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$58.03 |
| Max. Negotiated Rate |
$549.10 |
| Rate for Payer: Aetna Commercial |
$549.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$497.08
|
| Rate for Payer: Cash Price |
$173.40
|
| Rate for Payer: Cash Price |
$173.40
|
| Rate for Payer: Cigna Commercial |
$549.10
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$58.03
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$346.80
|
| Rate for Payer: Health EOS Commercial |
$525.98
|
| Rate for Payer: HFN Commercial |
$549.10
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$285.19
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$285.19
|
| Rate for Payer: Multiplan Commercial |
$462.40
|
| Rate for Payer: Preferred Network Access Commercial |
$549.10
|
| Rate for Payer: Quartz Beloit One Network |
$254.32
|
| Rate for Payer: Quartz Commercial |
$329.46
|
| Rate for Payer: The Alliance Commercial |
$289.00
|
| Rate for Payer: United Healthcare Medicaid |
$58.03
|
| Rate for Payer: WEA Trust Commercial |
$317.90
|
| Rate for Payer: WPS Commercial |
$428.12
|
|
|
Pacemaker Analysis Review And Report Single Lead
|
Facility
|
IP
|
$712.00
|
|
|
Service Code
|
CPT 93279
|
| Hospital Charge Code |
2982422
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$348.88 |
| Max. Negotiated Rate |
$655.04 |
| Rate for Payer: Aetna Commercial |
$640.80
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$612.32
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$377.36
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$655.04
|
| Rate for Payer: Health EOS Commercial |
$633.68
|
| Rate for Payer: HFN Commercial |
$655.04
|
| Rate for Payer: Multiplan Commercial |
$569.60
|
| Rate for Payer: NAPHCARE Commercial |
$427.20
|
| Rate for Payer: Preferred Network Access Commercial |
$655.04
|
| Rate for Payer: Quartz Beloit One Network |
$348.88
|
| Rate for Payer: Quartz Commercial |
$427.20
|
| Rate for Payer: WEA Trust Commercial |
$391.60
|
| Rate for Payer: WPS Commercial |
$527.38
|
|
|
Pacemaker Analysis Review And Report Single Lead
|
Facility
|
OP
|
$712.00
|
|
|
Service Code
|
CPT 93279
|
| Hospital Charge Code |
2982422
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$37.27 |
| Max. Negotiated Rate |
$655.04 |
| Rate for Payer: Aetna Commercial |
$640.80
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$612.32
|
| Rate for Payer: Aetna Managed Medicare |
$37.27
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$462.80
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$356.00
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$341.76
|
| Rate for Payer: Anthem Medicare Advantage |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$377.36
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$37.27
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cash Price |
$213.60
|
| Rate for Payer: Cigna Commercial |
$655.04
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$37.27
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$398.44
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$37.27
|
| Rate for Payer: Health EOS Commercial |
$633.68
|
| Rate for Payer: HFN Commercial |
$655.04
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$138.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$37.27
|
| Rate for Payer: Independent Care Health Plan Medicare |
$37.27
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$37.27
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$37.27
|
| Rate for Payer: Multiplan Commercial |
$569.60
|
| Rate for Payer: NAPHCARE Commercial |
$55.90
|
| Rate for Payer: Preferred Network Access Commercial |
$655.04
|
| Rate for Payer: Quartz Beloit One Network |
$348.88
|
| Rate for Payer: Quartz Commercial |
$462.80
|
| Rate for Payer: Quartz Medicare Advantage |
$37.27
|
| Rate for Payer: The Alliance Commercial |
$149.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37.27
|
| Rate for Payer: WEA Trust Commercial |
$391.60
|
| Rate for Payer: Wellcare Medicare |
$37.27
|
| Rate for Payer: WPS Commercial |
$527.38
|
|
|
Pacemaker Analysis Review And Report Single Lead
|
Professional
|
Both
|
$330.00
|
|
|
Service Code
|
CPT 93279
|
| Hospital Charge Code |
2982422
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$41.78 |
| Max. Negotiated Rate |
$313.50 |
| Rate for Payer: Aetna Commercial |
$313.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$283.80
|
| Rate for Payer: Cash Price |
$99.00
|
| Rate for Payer: Cash Price |
$99.00
|
| Rate for Payer: Cigna Commercial |
$313.50
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid |
$41.78
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$198.00
|
| Rate for Payer: Health EOS Commercial |
$300.30
|
| Rate for Payer: HFN Commercial |
$313.50
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$226.20
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$226.20
|
| Rate for Payer: Multiplan Commercial |
$264.00
|
| Rate for Payer: Preferred Network Access Commercial |
$313.50
|
| Rate for Payer: Quartz Beloit One Network |
$145.20
|
| Rate for Payer: Quartz Commercial |
$188.10
|
| Rate for Payer: The Alliance Commercial |
$165.00
|
| Rate for Payer: United Healthcare Medicaid |
$41.78
|
| Rate for Payer: WEA Trust Commercial |
$181.50
|
| Rate for Payer: WPS Commercial |
$244.43
|
|
|
PACEMAKER ANTI-BACTERL 3122-E
|
Facility
|
IP
|
$6,155.00
|
|
| Hospital Charge Code |
2973673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,015.95 |
| Max. Negotiated Rate |
$5,662.60 |
| Rate for Payer: Aetna Commercial |
$5,539.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,293.30
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,262.15
|
| Rate for Payer: Cash Price |
$1,846.50
|
| Rate for Payer: Cigna Commercial |
$5,662.60
|
| Rate for Payer: Health EOS Commercial |
$5,477.95
|
| Rate for Payer: HFN Commercial |
$5,662.60
|
| Rate for Payer: Multiplan Commercial |
$4,924.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,693.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,662.60
|
| Rate for Payer: Quartz Beloit One Network |
$3,015.95
|
| Rate for Payer: Quartz Commercial |
$3,693.00
|
| Rate for Payer: WEA Trust Commercial |
$3,385.25
|
| Rate for Payer: WPS Commercial |
$4,559.01
|
|
|
PACEMAKER ANTI-BACTERL 3122-E
|
Facility
|
OP
|
$6,155.00
|
|
| Hospital Charge Code |
2973673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,723.40 |
| Max. Negotiated Rate |
$24,620.00 |
| Rate for Payer: Aetna Commercial |
$5,539.50
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$5,293.30
|
| Rate for Payer: Aetna Managed Medicare |
$1,723.40
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$4,000.75
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$3,077.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$2,954.40
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,262.15
|
| Rate for Payer: Cash Price |
$1,846.50
|
| Rate for Payer: Cigna Commercial |
$5,662.60
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$3,444.34
|
| Rate for Payer: Health EOS Commercial |
$5,477.95
|
| Rate for Payer: HFN Commercial |
$5,662.60
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$4,616.25
|
| Rate for Payer: Multiplan Commercial |
$4,924.00
|
| Rate for Payer: NAPHCARE Commercial |
$3,693.00
|
| Rate for Payer: Preferred Network Access Commercial |
$5,662.60
|
| Rate for Payer: Quartz Beloit One Network |
$3,015.95
|
| Rate for Payer: Quartz Commercial |
$4,000.75
|
| Rate for Payer: Quartz Medicare Advantage |
$3,693.00
|
| Rate for Payer: The Alliance Commercial |
$24,620.00
|
| Rate for Payer: WEA Trust Commercial |
$3,385.25
|
| Rate for Payer: WPS Commercial |
$4,559.01
|
|
|
PACEMAKER ANTI-BACTERL #3133-E
|
Facility
|
OP
|
$7,373.00
|
|
| Hospital Charge Code |
2973723
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$2,064.44 |
| Max. Negotiated Rate |
$29,492.00 |
| Rate for Payer: Aetna Commercial |
$6,635.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,340.78
|
| Rate for Payer: Aetna Managed Medicare |
$2,064.44
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$4,792.45
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$3,686.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$3,539.04
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,907.69
|
| Rate for Payer: Cash Price |
$2,211.90
|
| Rate for Payer: Cigna Commercial |
$6,783.16
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$4,125.93
|
| Rate for Payer: Health EOS Commercial |
$6,561.97
|
| Rate for Payer: HFN Commercial |
$6,783.16
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$5,529.75
|
| Rate for Payer: Multiplan Commercial |
$5,898.40
|
| Rate for Payer: NAPHCARE Commercial |
$4,423.80
|
| Rate for Payer: Preferred Network Access Commercial |
$6,783.16
|
| Rate for Payer: Quartz Beloit One Network |
$3,612.77
|
| Rate for Payer: Quartz Commercial |
$4,792.45
|
| Rate for Payer: Quartz Medicare Advantage |
$4,423.80
|
| Rate for Payer: The Alliance Commercial |
$29,492.00
|
| Rate for Payer: WEA Trust Commercial |
$4,055.15
|
| Rate for Payer: WPS Commercial |
$5,461.18
|
|
|
PACEMAKER ANTI-BACTERL #3133-E
|
Facility
|
IP
|
$7,373.00
|
|
| Hospital Charge Code |
2973723
|
|
Hospital Revenue Code
|
275
|
| Min. Negotiated Rate |
$3,612.77 |
| Max. Negotiated Rate |
$6,783.16 |
| Rate for Payer: Aetna Commercial |
$6,635.70
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$6,340.78
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$3,907.69
|
| Rate for Payer: Cash Price |
$2,211.90
|
| Rate for Payer: Cigna Commercial |
$6,783.16
|
| Rate for Payer: Health EOS Commercial |
$6,561.97
|
| Rate for Payer: HFN Commercial |
$6,783.16
|
| Rate for Payer: Multiplan Commercial |
$5,898.40
|
| Rate for Payer: NAPHCARE Commercial |
$4,423.80
|
| Rate for Payer: Preferred Network Access Commercial |
$6,783.16
|
| Rate for Payer: Quartz Beloit One Network |
$3,612.77
|
| Rate for Payer: Quartz Commercial |
$4,423.80
|
| Rate for Payer: WEA Trust Commercial |
$4,055.15
|
| Rate for Payer: WPS Commercial |
$5,461.18
|
|
|
Pacemaker Check In Person
|
Facility
|
OP
|
$209.00
|
|
|
Service Code
|
CPT 93288
|
| Hospital Charge Code |
3052481
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$37.27 |
| Max. Negotiated Rate |
$192.28 |
| Rate for Payer: Aetna Commercial |
$188.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$179.74
|
| Rate for Payer: Aetna Managed Medicare |
$37.27
|
| Rate for Payer: Anthem Blue Access PPO/Blue Traditional |
$135.85
|
| Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus |
$104.50
|
| Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI |
$100.32
|
| Rate for Payer: Anthem Medicare Advantage |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$110.77
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO |
$37.27
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO |
$37.27
|
| Rate for Payer: Cash Price |
$62.70
|
| Rate for Payer: Cash Price |
$62.70
|
| Rate for Payer: Cigna Commercial |
$192.28
|
| Rate for Payer: Cook Children's Health Plan (CCHP) Commercial |
$37.27
|
| Rate for Payer: Dean Health DHI/DHP/ASO |
$116.96
|
| Rate for Payer: Dean Health Medicare Advantage/Medicare Select |
$37.27
|
| Rate for Payer: Health EOS Commercial |
$186.01
|
| Rate for Payer: HFN Commercial |
$192.28
|
| Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO |
$138.64
|
| Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO |
$37.27
|
| Rate for Payer: Independent Care Health Plan Medicare |
$37.27
|
| Rate for Payer: Managed Health Services Medicare Advantage |
$37.27
|
| Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace |
$37.27
|
| Rate for Payer: Multiplan Commercial |
$167.20
|
| Rate for Payer: NAPHCARE Commercial |
$55.90
|
| Rate for Payer: Preferred Network Access Commercial |
$192.28
|
| Rate for Payer: Quartz Beloit One Network |
$102.41
|
| Rate for Payer: Quartz Commercial |
$135.85
|
| Rate for Payer: Quartz Medicare Advantage |
$37.27
|
| Rate for Payer: The Alliance Commercial |
$149.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$37.27
|
| Rate for Payer: United Healthcare PPO |
$156.75
|
| Rate for Payer: WEA Trust Commercial |
$114.95
|
| Rate for Payer: Wellcare Medicare |
$37.27
|
| Rate for Payer: WPS Commercial |
$154.81
|
|
|
Pacemaker Check In Person
|
Facility
|
IP
|
$209.00
|
|
|
Service Code
|
CPT 93288
|
| Hospital Charge Code |
3052481
|
|
Hospital Revenue Code
|
480
|
| Min. Negotiated Rate |
$102.41 |
| Max. Negotiated Rate |
$192.28 |
| Rate for Payer: Aetna Commercial |
$188.10
|
| Rate for Payer: Aetna Gatekeeper/Not Gatekeeper |
$179.74
|
| Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO |
$110.77
|
| Rate for Payer: Cash Price |
$62.70
|
| Rate for Payer: Cigna Commercial |
$192.28
|
| Rate for Payer: Health EOS Commercial |
$186.01
|
| Rate for Payer: HFN Commercial |
$192.28
|
| Rate for Payer: Multiplan Commercial |
$167.20
|
| Rate for Payer: NAPHCARE Commercial |
$125.40
|
| Rate for Payer: Preferred Network Access Commercial |
$192.28
|
| Rate for Payer: Quartz Beloit One Network |
$102.41
|
| Rate for Payer: Quartz Commercial |
$125.40
|
| Rate for Payer: WEA Trust Commercial |
$114.95
|
| Rate for Payer: WPS Commercial |
$154.81
|
|
