|
PR ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE
|
Professional
|
Both
|
$5,932.00
|
|
|
Service Code
|
HCPCS 61592
|
| Min. Negotiated Rate |
$1,934.47 |
| Max. Negotiated Rate |
$6,587.35 |
| Rate for Payer: Aetna Commercial |
$4,030.59
|
| Rate for Payer: Aetna Medicare |
$3,128.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,030.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,331.38
|
| Rate for Payer: BCBS Complete |
$2,031.19
|
| Rate for Payer: BCBS MAPPO |
$3,007.90
|
| Rate for Payer: BCN Commercial |
$6,587.35
|
| Rate for Payer: BCN Medicare Advantage |
$3,007.90
|
| Rate for Payer: Cash Price |
$4,745.60
|
| Rate for Payer: Cash Price |
$4,745.60
|
| Rate for Payer: Cofinity Commercial |
$4,331.38
|
| Rate for Payer: Cofinity Commercial |
$4,030.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,007.90
|
| Rate for Payer: Healthscope Commercial |
$5,564.61
|
| Rate for Payer: Healthscope Commercial |
$4,812.64
|
| Rate for Payer: Mclaren Medicaid |
$1,934.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,158.30
|
| Rate for Payer: Meridian Medicaid |
$2,031.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,308.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,700.10
|
| Rate for Payer: Nomi Health Commercial |
$3,609.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,449.00
|
| Rate for Payer: PACE SWMI |
$3,007.90
|
| Rate for Payer: PHP Medicare Advantage |
$3,007.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,934.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,538.14
|
| Rate for Payer: Priority Health Medicare |
$3,007.90
|
| Rate for Payer: Priority Health SBD |
$5,538.14
|
| Rate for Payer: Priority Health Tiered Network |
$5,538.14
|
| Rate for Payer: Railroad Medicare Medicare |
$3,007.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,580.65
|
| Rate for Payer: UHC Core |
$5,580.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$3,007.90
|
| Rate for Payer: UHC Exchange |
$5,580.65
|
| Rate for Payer: UHC Medicaid |
$1,934.47
|
| Rate for Payer: UHCCP Medicaid |
$1,934.47
|
|
|
PR ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN
|
Professional
|
Both
|
$3,696.00
|
|
|
Service Code
|
HCPCS 67445
|
| Min. Negotiated Rate |
$836.45 |
| Max. Negotiated Rate |
$2,772.00 |
| Rate for Payer: Aetna Commercial |
$1,692.55
|
| Rate for Payer: Aetna Medicare |
$1,313.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,692.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,818.86
|
| Rate for Payer: BCBS Complete |
$878.27
|
| Rate for Payer: BCBS MAPPO |
$1,263.10
|
| Rate for Payer: BCN Commercial |
$2,240.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,263.10
|
| Rate for Payer: Cash Price |
$2,956.80
|
| Rate for Payer: Cash Price |
$2,956.80
|
| Rate for Payer: Cofinity Commercial |
$1,818.86
|
| Rate for Payer: Cofinity Commercial |
$1,692.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,263.10
|
| Rate for Payer: Healthscope Commercial |
$2,336.74
|
| Rate for Payer: Healthscope Commercial |
$2,020.96
|
| Rate for Payer: Mclaren Medicaid |
$836.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,326.26
|
| Rate for Payer: Meridian Medicaid |
$878.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,389.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,640.33
|
| Rate for Payer: Nomi Health Commercial |
$1,515.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,772.00
|
| Rate for Payer: PACE SWMI |
$1,263.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,263.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,624.87
|
| Rate for Payer: Priority Health Medicare |
$1,263.10
|
| Rate for Payer: Priority Health SBD |
$2,624.87
|
| Rate for Payer: Priority Health Tiered Network |
$2,624.87
|
| Rate for Payer: Railroad Medicare Medicare |
$1,263.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,505.10
|
| Rate for Payer: UHC Core |
$2,505.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,263.10
|
| Rate for Payer: UHC Exchange |
$2,505.10
|
| Rate for Payer: UHC Medicaid |
$836.45
|
| Rate for Payer: UHCCP Medicaid |
$836.45
|
|
|
PR ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY
|
Professional
|
Both
|
$1,712.00
|
|
|
Service Code
|
HCPCS 67400
|
| Min. Negotiated Rate |
$581.06 |
| Max. Negotiated Rate |
$1,785.71 |
| Rate for Payer: Aetna Commercial |
$1,165.88
|
| Rate for Payer: Aetna Medicare |
$904.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,165.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,252.89
|
| Rate for Payer: BCBS Complete |
$610.11
|
| Rate for Payer: BCBS MAPPO |
$870.06
|
| Rate for Payer: BCN Commercial |
$1,520.34
|
| Rate for Payer: BCN Medicare Advantage |
$870.06
|
| Rate for Payer: Cash Price |
$1,369.60
|
| Rate for Payer: Cash Price |
$1,369.60
|
| Rate for Payer: Cofinity Commercial |
$1,252.89
|
| Rate for Payer: Cofinity Commercial |
$1,165.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$870.06
|
| Rate for Payer: Healthscope Commercial |
$1,609.61
|
| Rate for Payer: Healthscope Commercial |
$1,392.10
|
| Rate for Payer: Mclaren Medicaid |
$581.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$913.56
|
| Rate for Payer: Meridian Medicaid |
$610.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$957.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,785.71
|
| Rate for Payer: Nomi Health Commercial |
$1,044.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,284.00
|
| Rate for Payer: PACE SWMI |
$870.06
|
| Rate for Payer: PHP Medicare Advantage |
$870.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$581.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,780.84
|
| Rate for Payer: Priority Health Medicare |
$870.06
|
| Rate for Payer: Priority Health SBD |
$1,780.84
|
| Rate for Payer: Priority Health Tiered Network |
$1,780.84
|
| Rate for Payer: Railroad Medicare Medicare |
$870.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,665.63
|
| Rate for Payer: UHC Core |
$1,665.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$870.06
|
| Rate for Payer: UHC Exchange |
$1,665.63
|
| Rate for Payer: UHC Medicaid |
$581.06
|
| Rate for Payer: UHCCP Medicaid |
$581.06
|
|
|
PR ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$2,732.00
|
|
|
Service Code
|
HCPCS 67413
|
| Min. Negotiated Rate |
$540.17 |
| Max. Negotiated Rate |
$2,049.00 |
| Rate for Payer: Aetna Commercial |
$1,082.89
|
| Rate for Payer: Aetna Medicare |
$840.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,082.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,163.71
|
| Rate for Payer: BCBS Complete |
$567.18
|
| Rate for Payer: BCBS MAPPO |
$808.13
|
| Rate for Payer: BCN Commercial |
$1,412.27
|
| Rate for Payer: BCN Medicare Advantage |
$808.13
|
| Rate for Payer: Cash Price |
$2,185.60
|
| Rate for Payer: Cash Price |
$2,185.60
|
| Rate for Payer: Cofinity Commercial |
$1,163.71
|
| Rate for Payer: Cofinity Commercial |
$1,082.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.13
|
| Rate for Payer: Healthscope Commercial |
$1,495.04
|
| Rate for Payer: Healthscope Commercial |
$1,293.01
|
| Rate for Payer: Mclaren Medicaid |
$540.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$848.54
|
| Rate for Payer: Meridian Medicaid |
$567.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$888.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,665.77
|
| Rate for Payer: Nomi Health Commercial |
$969.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,049.00
|
| Rate for Payer: PACE SWMI |
$808.13
|
| Rate for Payer: PHP Medicare Advantage |
$808.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$540.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,654.26
|
| Rate for Payer: Priority Health Medicare |
$808.13
|
| Rate for Payer: Priority Health SBD |
$1,654.26
|
| Rate for Payer: Priority Health Tiered Network |
$1,654.26
|
| Rate for Payer: Railroad Medicare Medicare |
$808.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,541.57
|
| Rate for Payer: UHC Core |
$1,541.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$808.13
|
| Rate for Payer: UHC Exchange |
$1,541.57
|
| Rate for Payer: UHC Medicaid |
$540.17
|
| Rate for Payer: UHCCP Medicaid |
$540.17
|
|
|
PR ORCHIECTOMY PARTIAL
|
Professional
|
Both
|
$1,136.00
|
|
|
Service Code
|
HCPCS 54522
|
| Min. Negotiated Rate |
$341.23 |
| Max. Negotiated Rate |
$1,038.24 |
| Rate for Payer: Aetna Commercial |
$706.01
|
| Rate for Payer: Aetna Medicare |
$547.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$706.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$758.69
|
| Rate for Payer: BCBS Complete |
$358.29
|
| Rate for Payer: BCBS MAPPO |
$526.87
|
| Rate for Payer: BCN Commercial |
$882.42
|
| Rate for Payer: BCN Medicare Advantage |
$526.87
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cash Price |
$908.80
|
| Rate for Payer: Cofinity Commercial |
$758.69
|
| Rate for Payer: Cofinity Commercial |
$706.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.87
|
| Rate for Payer: Healthscope Commercial |
$974.71
|
| Rate for Payer: Healthscope Commercial |
$842.99
|
| Rate for Payer: Mclaren Medicaid |
$341.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$553.21
|
| Rate for Payer: Meridian Medicaid |
$358.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$579.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,033.04
|
| Rate for Payer: Nomi Health Commercial |
$632.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$852.00
|
| Rate for Payer: PACE SWMI |
$526.87
|
| Rate for Payer: PHP Medicare Advantage |
$526.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$961.24
|
| Rate for Payer: Priority Health Medicare |
$526.87
|
| Rate for Payer: Priority Health SBD |
$961.24
|
| Rate for Payer: Priority Health Tiered Network |
$961.24
|
| Rate for Payer: Railroad Medicare Medicare |
$526.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,038.24
|
| Rate for Payer: UHC Core |
$1,038.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$526.87
|
| Rate for Payer: UHC Exchange |
$1,038.24
|
| Rate for Payer: UHC Medicaid |
$341.23
|
| Rate for Payer: UHCCP Medicaid |
$341.23
|
|
|
PR ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 54530
|
| Min. Negotiated Rate |
$299.27 |
| Max. Negotiated Rate |
$894.56 |
| Rate for Payer: Aetna Commercial |
$616.99
|
| Rate for Payer: Aetna Medicare |
$478.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$663.03
|
| Rate for Payer: BCBS Complete |
$314.23
|
| Rate for Payer: BCBS MAPPO |
$460.44
|
| Rate for Payer: BCN Commercial |
$767.39
|
| Rate for Payer: BCN Medicare Advantage |
$460.44
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cofinity Commercial |
$663.03
|
| Rate for Payer: Cofinity Commercial |
$616.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.44
|
| Rate for Payer: Healthscope Commercial |
$851.81
|
| Rate for Payer: Healthscope Commercial |
$736.70
|
| Rate for Payer: Mclaren Medicaid |
$299.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.46
|
| Rate for Payer: Meridian Medicaid |
$314.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$894.56
|
| Rate for Payer: Nomi Health Commercial |
$552.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$748.50
|
| Rate for Payer: PACE SWMI |
$460.44
|
| Rate for Payer: PHP Medicare Advantage |
$460.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$299.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$835.94
|
| Rate for Payer: Priority Health Medicare |
$460.44
|
| Rate for Payer: Priority Health SBD |
$835.94
|
| Rate for Payer: Priority Health Tiered Network |
$835.94
|
| Rate for Payer: Railroad Medicare Medicare |
$460.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$891.05
|
| Rate for Payer: UHC Core |
$891.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.44
|
| Rate for Payer: UHC Exchange |
$891.05
|
| Rate for Payer: UHC Medicaid |
$299.27
|
| Rate for Payer: UHCCP Medicaid |
$299.27
|
|
|
PR ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL
|
Professional
|
Both
|
$1,443.00
|
|
|
Service Code
|
HCPCS 54535
|
| Min. Negotiated Rate |
$429.62 |
| Max. Negotiated Rate |
$1,313.09 |
| Rate for Payer: Aetna Commercial |
$890.24
|
| Rate for Payer: Aetna Medicare |
$690.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$890.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$956.68
|
| Rate for Payer: BCBS Complete |
$451.10
|
| Rate for Payer: BCBS MAPPO |
$664.36
|
| Rate for Payer: BCN Commercial |
$1,114.98
|
| Rate for Payer: BCN Medicare Advantage |
$664.36
|
| Rate for Payer: Cash Price |
$1,154.40
|
| Rate for Payer: Cash Price |
$1,154.40
|
| Rate for Payer: Cofinity Commercial |
$956.68
|
| Rate for Payer: Cofinity Commercial |
$890.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$664.36
|
| Rate for Payer: Healthscope Commercial |
$1,229.07
|
| Rate for Payer: Healthscope Commercial |
$1,062.98
|
| Rate for Payer: Mclaren Medicaid |
$429.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$697.58
|
| Rate for Payer: Meridian Medicaid |
$451.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$730.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,308.13
|
| Rate for Payer: Nomi Health Commercial |
$797.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,082.25
|
| Rate for Payer: PACE SWMI |
$664.36
|
| Rate for Payer: PHP Medicare Advantage |
$664.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,214.58
|
| Rate for Payer: Priority Health Medicare |
$664.36
|
| Rate for Payer: Priority Health SBD |
$1,214.58
|
| Rate for Payer: Priority Health Tiered Network |
$1,214.58
|
| Rate for Payer: Railroad Medicare Medicare |
$664.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,313.09
|
| Rate for Payer: UHC Core |
$1,313.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$664.36
|
| Rate for Payer: UHC Exchange |
$1,313.09
|
| Rate for Payer: UHC Medicaid |
$429.62
|
| Rate for Payer: UHCCP Medicaid |
$429.62
|
|
|
PR ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 54520
|
| Min. Negotiated Rate |
$194.90 |
| Max. Negotiated Rate |
$576.40 |
| Rate for Payer: Aetna Commercial |
$401.09
|
| Rate for Payer: Aetna Medicare |
$311.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$401.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$431.02
|
| Rate for Payer: BCBS Complete |
$204.65
|
| Rate for Payer: BCBS MAPPO |
$299.32
|
| Rate for Payer: BCN Commercial |
$495.49
|
| Rate for Payer: BCN Medicare Advantage |
$299.32
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cofinity Commercial |
$431.02
|
| Rate for Payer: Cofinity Commercial |
$401.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$299.32
|
| Rate for Payer: Healthscope Commercial |
$553.74
|
| Rate for Payer: Healthscope Commercial |
$478.91
|
| Rate for Payer: Mclaren Medicaid |
$194.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$314.29
|
| Rate for Payer: Meridian Medicaid |
$204.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$329.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$576.40
|
| Rate for Payer: Nomi Health Commercial |
$359.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$474.75
|
| Rate for Payer: PACE SWMI |
$299.32
|
| Rate for Payer: PHP Medicare Advantage |
$299.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$539.75
|
| Rate for Payer: Priority Health Medicare |
$299.32
|
| Rate for Payer: Priority Health SBD |
$539.75
|
| Rate for Payer: Priority Health Tiered Network |
$539.75
|
| Rate for Payer: Railroad Medicare Medicare |
$299.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$571.83
|
| Rate for Payer: UHC Core |
$571.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$299.32
|
| Rate for Payer: UHC Exchange |
$571.83
|
| Rate for Payer: UHC Medicaid |
$194.90
|
| Rate for Payer: UHCCP Medicaid |
$194.90
|
|
|
PR ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS
|
Professional
|
Both
|
$1,544.00
|
|
|
Service Code
|
HCPCS 54650
|
| Min. Negotiated Rate |
$413.22 |
| Max. Negotiated Rate |
$1,254.38 |
| Rate for Payer: Aetna Commercial |
$854.68
|
| Rate for Payer: Aetna Medicare |
$663.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$854.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$918.46
|
| Rate for Payer: BCBS Complete |
$433.88
|
| Rate for Payer: BCBS MAPPO |
$637.82
|
| Rate for Payer: BCN Commercial |
$1,069.16
|
| Rate for Payer: BCN Medicare Advantage |
$637.82
|
| Rate for Payer: Cash Price |
$1,235.20
|
| Rate for Payer: Cash Price |
$1,235.20
|
| Rate for Payer: Cofinity Commercial |
$918.46
|
| Rate for Payer: Cofinity Commercial |
$854.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$637.82
|
| Rate for Payer: Healthscope Commercial |
$1,179.97
|
| Rate for Payer: Healthscope Commercial |
$1,020.51
|
| Rate for Payer: Mclaren Medicaid |
$413.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$669.71
|
| Rate for Payer: Meridian Medicaid |
$433.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$701.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,251.86
|
| Rate for Payer: Nomi Health Commercial |
$765.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,158.00
|
| Rate for Payer: PACE SWMI |
$637.82
|
| Rate for Payer: PHP Medicare Advantage |
$637.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,164.67
|
| Rate for Payer: Priority Health Medicare |
$637.82
|
| Rate for Payer: Priority Health SBD |
$1,164.67
|
| Rate for Payer: Priority Health Tiered Network |
$1,164.67
|
| Rate for Payer: Railroad Medicare Medicare |
$637.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,254.38
|
| Rate for Payer: UHC Core |
$1,254.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$637.82
|
| Rate for Payer: UHC Exchange |
$1,254.38
|
| Rate for Payer: UHC Medicaid |
$413.22
|
| Rate for Payer: UHCCP Medicaid |
$413.22
|
|
|
PR ORCHIOPEXY INGUINAL OR SCROTAL APPROACH
|
Professional
|
Both
|
$1,809.00
|
|
|
Service Code
|
HCPCS 54640
|
| Min. Negotiated Rate |
$251.13 |
| Max. Negotiated Rate |
$1,356.75 |
| Rate for Payer: Aetna Commercial |
$521.29
|
| Rate for Payer: Aetna Medicare |
$404.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$521.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$560.19
|
| Rate for Payer: BCBS Complete |
$263.69
|
| Rate for Payer: BCBS MAPPO |
$389.02
|
| Rate for Payer: BCN Commercial |
$650.37
|
| Rate for Payer: BCN Medicare Advantage |
$389.02
|
| Rate for Payer: Cash Price |
$1,447.20
|
| Rate for Payer: Cash Price |
$1,447.20
|
| Rate for Payer: Cofinity Commercial |
$560.19
|
| Rate for Payer: Cofinity Commercial |
$521.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$389.02
|
| Rate for Payer: Healthscope Commercial |
$719.69
|
| Rate for Payer: Healthscope Commercial |
$622.43
|
| Rate for Payer: Mclaren Medicaid |
$251.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$408.47
|
| Rate for Payer: Meridian Medicaid |
$263.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$427.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$760.88
|
| Rate for Payer: Nomi Health Commercial |
$466.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,356.75
|
| Rate for Payer: PACE SWMI |
$389.02
|
| Rate for Payer: PHP Medicare Advantage |
$389.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$708.46
|
| Rate for Payer: Priority Health Medicare |
$389.02
|
| Rate for Payer: Priority Health SBD |
$708.46
|
| Rate for Payer: Priority Health Tiered Network |
$708.46
|
| Rate for Payer: Railroad Medicare Medicare |
$389.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$767.43
|
| Rate for Payer: UHC Core |
$767.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$389.02
|
| Rate for Payer: UHC Exchange |
$767.43
|
| Rate for Payer: UHC Medicaid |
$251.13
|
| Rate for Payer: UHCCP Medicaid |
$251.13
|
|
|
PR ORPHENADRINE INJECTION
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS J2360
|
| Min. Negotiated Rate |
$4.67 |
| Max. Negotiated Rate |
$23.25 |
| Rate for Payer: Aetna Commercial |
$11.01
|
| Rate for Payer: Aetna Medicare |
$8.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.84
|
| Rate for Payer: BCBS MAPPO |
$8.22
|
| Rate for Payer: BCBS Trust/PPO |
$5.31
|
| Rate for Payer: BCN Commercial |
$10.25
|
| Rate for Payer: BCN Medicare Advantage |
$8.22
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cofinity Commercial |
$11.01
|
| Rate for Payer: Cofinity Commercial |
$11.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.22
|
| Rate for Payer: Healthscope Commercial |
$15.21
|
| Rate for Payer: Healthscope Commercial |
$13.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.67
|
| Rate for Payer: Nomi Health Commercial |
$9.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.25
|
| Rate for Payer: PACE SWMI |
$8.22
|
| Rate for Payer: PHP Medicare Advantage |
$8.22
|
| Rate for Payer: Priority Health Medicare |
$8.22
|
| Rate for Payer: Railroad Medicare Medicare |
$8.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$6.39
|
| Rate for Payer: UHC Core |
$6.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8.22
|
| Rate for Payer: UHC Exchange |
$6.39
|
|
|
PR ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 97760
|
| Min. Negotiated Rate |
$43.05 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$58.44
|
| Rate for Payer: Aetna Medicare |
$45.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.44
|
| Rate for Payer: BCBS MAPPO |
$43.61
|
| Rate for Payer: BCN Commercial |
$70.71
|
| Rate for Payer: BCN Medicare Advantage |
$43.61
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$62.80
|
| Rate for Payer: Cofinity Commercial |
$58.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.61
|
| Rate for Payer: Healthscope Commercial |
$69.78
|
| Rate for Payer: Healthscope Commercial |
$80.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$47.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.50
|
| Rate for Payer: Nomi Health Commercial |
$52.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.50
|
| Rate for Payer: PACE SWMI |
$43.61
|
| Rate for Payer: PHP Medicare Advantage |
$43.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$43.61
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$43.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.05
|
| Rate for Payer: UHC Core |
$43.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$43.61
|
| Rate for Payer: UHC Exchange |
$43.05
|
|
|
PR ORTHOTICS/PROSTH MGMT &/TRAING SBSQ ENCTR 15 MIN
|
Professional
|
Both
|
$109.00
|
|
|
Service Code
|
HCPCS 97763
|
| Min. Negotiated Rate |
$45.96 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$63.26
|
| Rate for Payer: Aetna Medicare |
$49.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.98
|
| Rate for Payer: BCBS MAPPO |
$47.21
|
| Rate for Payer: BCN Commercial |
$77.18
|
| Rate for Payer: BCN Medicare Advantage |
$47.21
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cofinity Commercial |
$63.26
|
| Rate for Payer: Cofinity Commercial |
$67.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.21
|
| Rate for Payer: Healthscope Commercial |
$87.34
|
| Rate for Payer: Healthscope Commercial |
$75.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.89
|
| Rate for Payer: Nomi Health Commercial |
$56.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.75
|
| Rate for Payer: PACE SWMI |
$47.21
|
| Rate for Payer: PHP Medicare Advantage |
$47.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$47.21
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$47.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.96
|
| Rate for Payer: UHC Core |
$45.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$47.21
|
| Rate for Payer: UHC Exchange |
$45.96
|
|
|
PR ORTHOVISC INJ PER DOSE
|
Professional
|
Both
|
$195.00
|
|
|
Service Code
|
HCPCS J7324
|
| Min. Negotiated Rate |
$109.09 |
| Max. Negotiated Rate |
$201.82 |
| Rate for Payer: Aetna Commercial |
$146.18
|
| Rate for Payer: Aetna Medicare |
$113.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.18
|
| Rate for Payer: BCBS MAPPO |
$109.09
|
| Rate for Payer: BCBS Trust/PPO |
$113.35
|
| Rate for Payer: BCN Commercial |
$130.97
|
| Rate for Payer: BCN Medicare Advantage |
$109.09
|
| Rate for Payer: Cash Price |
$156.00
|
| Rate for Payer: Cash Price |
$156.00
|
| Rate for Payer: Cofinity Commercial |
$157.09
|
| Rate for Payer: Cofinity Commercial |
$146.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.09
|
| Rate for Payer: Healthscope Commercial |
$174.54
|
| Rate for Payer: Healthscope Commercial |
$201.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$120.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.26
|
| Rate for Payer: Nomi Health Commercial |
$130.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$146.25
|
| Rate for Payer: PACE SWMI |
$109.09
|
| Rate for Payer: PHP Medicare Advantage |
$109.09
|
| Rate for Payer: Priority Health Medicare |
$109.09
|
| Rate for Payer: Railroad Medicare Medicare |
$109.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.26
|
| Rate for Payer: UHC Core |
$111.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$109.09
|
| Rate for Payer: UHC Exchange |
$111.26
|
|
|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$7,153.06
|
|
|
Service Code
|
APR-DRG 4851
|
| Min. Negotiated Rate |
$6,812.44 |
| Max. Negotiated Rate |
$7,153.06 |
| Rate for Payer: BCBS Complete |
$7,153.06
|
| Rate for Payer: Mclaren Medicaid |
$6,812.44
|
| Rate for Payer: Meridian Medicaid |
$7,153.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,812.44
|
| Rate for Payer: UHC Medicaid |
$6,812.44
|
| Rate for Payer: UHCCP Medicaid |
$6,812.44
|
|
|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$13,290.81
|
|
|
Service Code
|
APR-DRG 4853
|
| Min. Negotiated Rate |
$12,657.92 |
| Max. Negotiated Rate |
$13,290.81 |
| Rate for Payer: UHCCP Medicaid |
$12,657.92
|
| Rate for Payer: BCBS Complete |
$13,290.81
|
| Rate for Payer: Mclaren Medicaid |
$12,657.92
|
| Rate for Payer: Meridian Medicaid |
$13,290.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,657.92
|
| Rate for Payer: UHC Medicaid |
$12,657.92
|
|
|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$8,366.17
|
|
|
Service Code
|
APR-DRG 4852
|
| Min. Negotiated Rate |
$7,967.78 |
| Max. Negotiated Rate |
$8,366.17 |
| Rate for Payer: BCBS Complete |
$8,366.17
|
| Rate for Payer: Mclaren Medicaid |
$7,967.78
|
| Rate for Payer: Meridian Medicaid |
$8,366.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,967.78
|
| Rate for Payer: UHC Medicaid |
$7,967.78
|
| Rate for Payer: UHCCP Medicaid |
$7,967.78
|
|
|
PROSTATECTOMY PROCEDURES
|
Facility
|
IP
|
$18,714.81
|
|
|
Service Code
|
APR-DRG 4854
|
| Min. Negotiated Rate |
$17,823.62 |
| Max. Negotiated Rate |
$18,714.81 |
| Rate for Payer: BCBS Complete |
$18,714.81
|
| Rate for Payer: Mclaren Medicaid |
$17,823.62
|
| Rate for Payer: Meridian Medicaid |
$18,714.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,823.62
|
| Rate for Payer: UHC Medicaid |
$17,823.62
|
| Rate for Payer: UHCCP Medicaid |
$17,823.62
|
|
|
PROSTATECTOMY WITH CC
|
Facility
|
IP
|
$28,513.59
|
|
|
Service Code
|
MSDRG 666
|
| Min. Negotiated Rate |
$13,393.11 |
| Max. Negotiated Rate |
$28,513.59 |
| Rate for Payer: Aetna Medicare |
$14,661.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17,622.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17,622.51
|
| Rate for Payer: BCBS MAPPO |
$14,098.01
|
| Rate for Payer: BCBS Trust/PPO |
$26,753.00
|
| Rate for Payer: BCN Commercial |
$26,753.00
|
| Rate for Payer: BCN Medicare Advantage |
$14,098.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14,098.01
|
| Rate for Payer: Mclaren Medicare |
$14,098.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,802.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16,212.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$15,507.81
|
| Rate for Payer: Nomi Health Commercial |
$22,565.97
|
| Rate for Payer: PACE Medicare |
$13,393.11
|
| Rate for Payer: PACE SWMI |
$14,098.01
|
| Rate for Payer: PHP Medicare Advantage |
$14,098.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28,202.46
|
| Rate for Payer: Priority Health Medicare |
$14,098.01
|
| Rate for Payer: Priority Health Tiered Network |
$22,561.96
|
| Rate for Payer: Railroad Medicare Medicare |
$14,098.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28,513.59
|
| Rate for Payer: UHC Core |
$23,855.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14,098.01
|
| Rate for Payer: UHC Exchange |
$19,481.95
|
| Rate for Payer: VA VA |
$14,098.01
|
|
|
PROSTATECTOMY WITH MCC
|
Facility
|
IP
|
$51,120.73
|
|
|
Service Code
|
MSDRG 665
|
| Min. Negotiated Rate |
$23,465.31 |
| Max. Negotiated Rate |
$51,120.73 |
| Rate for Payer: Aetna Medicare |
$25,688.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30,875.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30,875.41
|
| Rate for Payer: BCBS MAPPO |
$24,700.33
|
| Rate for Payer: BCBS Trust/PPO |
$51,120.73
|
| Rate for Payer: BCN Commercial |
$51,120.73
|
| Rate for Payer: BCN Medicare Advantage |
$24,700.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24,700.33
|
| Rate for Payer: Mclaren Medicare |
$24,700.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25,935.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28,405.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$27,170.36
|
| Rate for Payer: Nomi Health Commercial |
$40,263.48
|
| Rate for Payer: PACE Medicare |
$23,465.31
|
| Rate for Payer: PACE SWMI |
$24,700.33
|
| Rate for Payer: PHP Medicare Advantage |
$24,700.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$50,320.42
|
| Rate for Payer: Priority Health Medicare |
$24,700.33
|
| Rate for Payer: Priority Health Tiered Network |
$40,256.33
|
| Rate for Payer: Railroad Medicare Medicare |
$24,700.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50,875.56
|
| Rate for Payer: UHC Core |
$42,563.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24,700.33
|
| Rate for Payer: UHC Exchange |
$34,760.80
|
| Rate for Payer: VA VA |
$24,700.33
|
|
|
PROSTATECTOMY WITHOUT CC/MCC
|
Facility
|
IP
|
$18,031.06
|
|
|
Service Code
|
MSDRG 667
|
| Min. Negotiated Rate |
$8,671.55 |
| Max. Negotiated Rate |
$18,031.06 |
| Rate for Payer: Aetna Medicare |
$9,493.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11,409.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11,409.94
|
| Rate for Payer: BCBS MAPPO |
$9,127.95
|
| Rate for Payer: BCBS Trust/PPO |
$16,350.49
|
| Rate for Payer: BCN Commercial |
$16,350.49
|
| Rate for Payer: BCN Medicare Advantage |
$9,127.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9,127.95
|
| Rate for Payer: Mclaren Medicare |
$9,127.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9,584.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10,497.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$10,040.75
|
| Rate for Payer: Nomi Health Commercial |
$14,269.98
|
| Rate for Payer: PACE Medicare |
$8,671.55
|
| Rate for Payer: PACE SWMI |
$9,127.95
|
| Rate for Payer: PHP Medicare Advantage |
$9,127.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$17,834.31
|
| Rate for Payer: Priority Health Medicare |
$9,127.95
|
| Rate for Payer: Priority Health Tiered Network |
$14,267.45
|
| Rate for Payer: Railroad Medicare Medicare |
$9,127.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18,031.06
|
| Rate for Payer: UHC Core |
$15,085.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$9,127.95
|
| Rate for Payer: UHC Exchange |
$12,319.75
|
| Rate for Payer: VA VA |
$9,127.95
|
|
|
PR OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC
|
Professional
|
Both
|
$1,996.00
|
|
|
Service Code
|
HCPCS 28114
|
| Min. Negotiated Rate |
$508.64 |
| Max. Negotiated Rate |
$1,497.00 |
| Rate for Payer: Aetna Commercial |
$1,037.71
|
| Rate for Payer: Aetna Medicare |
$805.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,037.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,115.15
|
| Rate for Payer: BCBS Complete |
$534.07
|
| Rate for Payer: BCBS MAPPO |
$774.41
|
| Rate for Payer: BCN Commercial |
$1,274.84
|
| Rate for Payer: BCN Medicare Advantage |
$774.41
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cash Price |
$1,596.80
|
| Rate for Payer: Cofinity Commercial |
$1,115.15
|
| Rate for Payer: Cofinity Commercial |
$1,037.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$774.41
|
| Rate for Payer: Healthscope Commercial |
$1,432.66
|
| Rate for Payer: Healthscope Commercial |
$1,239.06
|
| Rate for Payer: Mclaren Medicaid |
$508.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$813.13
|
| Rate for Payer: Meridian Medicaid |
$534.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$851.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,471.21
|
| Rate for Payer: Nomi Health Commercial |
$929.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,497.00
|
| Rate for Payer: PACE SWMI |
$774.41
|
| Rate for Payer: PHP Medicare Advantage |
$774.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,362.76
|
| Rate for Payer: Priority Health Medicare |
$774.41
|
| Rate for Payer: Priority Health SBD |
$1,362.76
|
| Rate for Payer: Priority Health Tiered Network |
$1,362.76
|
| Rate for Payer: Railroad Medicare Medicare |
$774.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,441.50
|
| Rate for Payer: UHC Core |
$1,441.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$774.41
|
| Rate for Payer: UHC Exchange |
$1,441.50
|
| Rate for Payer: UHC Medicaid |
$508.64
|
| Rate for Payer: UHCCP Medicaid |
$508.64
|
|
|
PR OSTC PRTL EXOSTC/CONDYLC METAR HEAD
|
Professional
|
Both
|
$1,018.00
|
|
|
Service Code
|
HCPCS 28288
|
| Min. Negotiated Rate |
$265.61 |
| Max. Negotiated Rate |
$763.50 |
| Rate for Payer: Aetna Commercial |
$539.00
|
| Rate for Payer: Aetna Medicare |
$418.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$539.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$579.23
|
| Rate for Payer: BCBS Complete |
$278.89
|
| Rate for Payer: BCBS MAPPO |
$402.24
|
| Rate for Payer: BCN Commercial |
$661.82
|
| Rate for Payer: BCN Medicare Advantage |
$402.24
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cash Price |
$814.40
|
| Rate for Payer: Cofinity Commercial |
$579.23
|
| Rate for Payer: Cofinity Commercial |
$539.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.24
|
| Rate for Payer: Healthscope Commercial |
$744.14
|
| Rate for Payer: Healthscope Commercial |
$643.58
|
| Rate for Payer: Mclaren Medicaid |
$265.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$422.35
|
| Rate for Payer: Meridian Medicaid |
$278.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$442.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$759.38
|
| Rate for Payer: Nomi Health Commercial |
$482.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$763.50
|
| Rate for Payer: PACE SWMI |
$402.24
|
| Rate for Payer: PHP Medicare Advantage |
$402.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$707.46
|
| Rate for Payer: Priority Health Medicare |
$402.24
|
| Rate for Payer: Priority Health SBD |
$707.46
|
| Rate for Payer: Priority Health Tiered Network |
$707.46
|
| Rate for Payer: Railroad Medicare Medicare |
$402.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$751.44
|
| Rate for Payer: UHC Core |
$751.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$402.24
|
| Rate for Payer: UHC Exchange |
$751.44
|
| Rate for Payer: UHC Medicaid |
$265.61
|
| Rate for Payer: UHCCP Medicaid |
$265.61
|
|
|
PR OSTECTOMY CALCANEUS
|
Professional
|
Both
|
$1,060.00
|
|
|
Service Code
|
HCPCS 28118
|
| Min. Negotiated Rate |
$258.80 |
| Max. Negotiated Rate |
$795.00 |
| Rate for Payer: Aetna Commercial |
$528.09
|
| Rate for Payer: Aetna Medicare |
$409.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$567.50
|
| Rate for Payer: BCBS Complete |
$271.74
|
| Rate for Payer: BCBS MAPPO |
$394.10
|
| Rate for Payer: BCN Commercial |
$646.37
|
| Rate for Payer: BCN Medicare Advantage |
$394.10
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cofinity Commercial |
$567.50
|
| Rate for Payer: Cofinity Commercial |
$528.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$394.10
|
| Rate for Payer: Healthscope Commercial |
$729.09
|
| Rate for Payer: Healthscope Commercial |
$630.56
|
| Rate for Payer: Mclaren Medicaid |
$258.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$413.81
|
| Rate for Payer: Meridian Medicaid |
$271.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$433.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$739.73
|
| Rate for Payer: Nomi Health Commercial |
$472.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$795.00
|
| Rate for Payer: PACE SWMI |
$394.10
|
| Rate for Payer: PHP Medicare Advantage |
$394.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$258.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$690.97
|
| Rate for Payer: Priority Health Medicare |
$394.10
|
| Rate for Payer: Priority Health SBD |
$690.97
|
| Rate for Payer: Priority Health Tiered Network |
$690.97
|
| Rate for Payer: Railroad Medicare Medicare |
$394.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$728.68
|
| Rate for Payer: UHC Core |
$728.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$394.10
|
| Rate for Payer: UHC Exchange |
$728.68
|
| Rate for Payer: UHC Medicaid |
$258.80
|
| Rate for Payer: UHCCP Medicaid |
$258.80
|
|
|
PR OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 28119
|
| Min. Negotiated Rate |
$220.67 |
| Max. Negotiated Rate |
$944.25 |
| Rate for Payer: Aetna Commercial |
$450.15
|
| Rate for Payer: Aetna Medicare |
$349.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$450.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.74
|
| Rate for Payer: BCBS Complete |
$231.70
|
| Rate for Payer: BCBS MAPPO |
$335.93
|
| Rate for Payer: BCN Commercial |
$554.25
|
| Rate for Payer: BCN Medicare Advantage |
$335.93
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$483.74
|
| Rate for Payer: Cofinity Commercial |
$450.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.93
|
| Rate for Payer: Healthscope Commercial |
$621.47
|
| Rate for Payer: Healthscope Commercial |
$537.49
|
| Rate for Payer: Mclaren Medicaid |
$220.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.73
|
| Rate for Payer: Meridian Medicaid |
$231.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$369.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$638.17
|
| Rate for Payer: Nomi Health Commercial |
$403.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$944.25
|
| Rate for Payer: PACE SWMI |
$335.93
|
| Rate for Payer: PHP Medicare Advantage |
$335.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$592.49
|
| Rate for Payer: Priority Health Medicare |
$335.93
|
| Rate for Payer: Priority Health SBD |
$592.49
|
| Rate for Payer: Priority Health Tiered Network |
$592.49
|
| Rate for Payer: Railroad Medicare Medicare |
$335.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$629.51
|
| Rate for Payer: UHC Core |
$629.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$335.93
|
| Rate for Payer: UHC Exchange |
$629.51
|
| Rate for Payer: UHC Medicaid |
$220.67
|
| Rate for Payer: UHCCP Medicaid |
$220.67
|
|
