|
PR PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY
|
Professional
|
Both
|
$3,811.00
|
|
|
Service Code
|
HCPCS 45116
|
| Min. Negotiated Rate |
$187.02 |
| Max. Negotiated Rate |
$272,678.00 |
| Rate for Payer: Aetna Commercial |
$1,969.63
|
| Rate for Payer: Aetna Medicare |
$1,528.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,969.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,116.61
|
| Rate for Payer: BCBS Complete |
$1,031.03
|
| Rate for Payer: BCBS MAPPO |
$1,469.87
|
| Rate for Payer: BCBS Trust/PPO |
$187.02
|
| Rate for Payer: BCN Commercial |
$2,233.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,469.87
|
| Rate for Payer: Cash Price |
$3,048.80
|
| Rate for Payer: Cash Price |
$3,048.80
|
| Rate for Payer: Cofinity Commercial |
$2,116.61
|
| Rate for Payer: Cofinity Commercial |
$1,969.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,469.87
|
| Rate for Payer: Healthscope Commercial |
$2,719.26
|
| Rate for Payer: Healthscope Commercial |
$2,351.79
|
| Rate for Payer: Mclaren Medicaid |
$981.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,543.36
|
| Rate for Payer: Meridian Medicaid |
$1,031.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$272,678.00
|
| Rate for Payer: Nomi Health Commercial |
$1,763.84
|
| Rate for Payer: PACE SWMI |
$1,469.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,469.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$981.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,477.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,738.96
|
| Rate for Payer: Priority Health Medicare |
$1,469.87
|
| Rate for Payer: Priority Health Narrow Network |
$2,738.96
|
| Rate for Payer: Priority Health SBD |
$2,738.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,712.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,469.87
|
| Rate for Payer: UHC Exchange |
$1,712.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,469.87
|
| Rate for Payer: UHCCP Medicaid |
$981.93
|
|
|
PR PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR
|
Professional
|
Both
|
$5,455.00
|
|
|
Service Code
|
HCPCS 45113
|
| Min. Negotiated Rate |
$234.57 |
| Max. Negotiated Rate |
$329,134.00 |
| Rate for Payer: Aetna Commercial |
$2,370.54
|
| Rate for Payer: Aetna Medicare |
$1,839.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,370.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,547.45
|
| Rate for Payer: BCBS Complete |
$1,241.26
|
| Rate for Payer: BCBS MAPPO |
$1,769.06
|
| Rate for Payer: BCBS Trust/PPO |
$234.57
|
| Rate for Payer: BCN Commercial |
$2,697.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,769.06
|
| Rate for Payer: Cash Price |
$4,364.00
|
| Rate for Payer: Cash Price |
$4,364.00
|
| Rate for Payer: Cofinity Commercial |
$2,547.45
|
| Rate for Payer: Cofinity Commercial |
$2,370.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,769.06
|
| Rate for Payer: Healthscope Commercial |
$3,272.76
|
| Rate for Payer: Healthscope Commercial |
$2,830.50
|
| Rate for Payer: Mclaren Medicaid |
$1,182.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,857.51
|
| Rate for Payer: Meridian Medicaid |
$1,241.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329,134.00
|
| Rate for Payer: Nomi Health Commercial |
$2,122.87
|
| Rate for Payer: PACE SWMI |
$1,769.06
|
| Rate for Payer: PHP Medicare Advantage |
$1,769.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,182.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,545.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,301.55
|
| Rate for Payer: Priority Health Medicare |
$1,769.06
|
| Rate for Payer: Priority Health Narrow Network |
$3,301.55
|
| Rate for Payer: Priority Health SBD |
$3,301.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,139.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,769.06
|
| Rate for Payer: UHC Exchange |
$2,139.66
|
| Rate for Payer: UHC Medicare Advantage |
$1,769.06
|
| Rate for Payer: UHCCP Medicaid |
$1,182.15
|
|
|
PR PRCTECT PRTL W/O ANAST PRNL APPR
|
Professional
|
Both
|
$3,047.00
|
|
|
Service Code
|
HCPCS 45123
|
| Min. Negotiated Rate |
$710.78 |
| Max. Negotiated Rate |
$198,022.00 |
| Rate for Payer: Aetna Commercial |
$1,426.31
|
| Rate for Payer: Aetna Medicare |
$1,106.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,426.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,532.75
|
| Rate for Payer: BCBS Complete |
$746.32
|
| Rate for Payer: BCBS MAPPO |
$1,064.41
|
| Rate for Payer: BCBS Trust/PPO |
$2,046.11
|
| Rate for Payer: BCN Commercial |
$1,621.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,064.41
|
| Rate for Payer: Cash Price |
$2,437.60
|
| Rate for Payer: Cash Price |
$2,437.60
|
| Rate for Payer: Cofinity Commercial |
$1,532.75
|
| Rate for Payer: Cofinity Commercial |
$1,426.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,064.41
|
| Rate for Payer: Healthscope Commercial |
$1,969.16
|
| Rate for Payer: Healthscope Commercial |
$1,703.06
|
| Rate for Payer: Mclaren Medicaid |
$710.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,117.63
|
| Rate for Payer: Meridian Medicaid |
$746.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$198,022.00
|
| Rate for Payer: Nomi Health Commercial |
$1,277.29
|
| Rate for Payer: PACE SWMI |
$1,064.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,064.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$710.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,980.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,981.88
|
| Rate for Payer: Priority Health Medicare |
$1,064.41
|
| Rate for Payer: Priority Health Narrow Network |
$1,981.88
|
| Rate for Payer: Priority Health SBD |
$1,981.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,189.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,064.41
|
| Rate for Payer: UHC Exchange |
$1,189.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,064.41
|
| Rate for Payer: UHCCP Medicaid |
$710.78
|
|
|
PR PREDNISONE IR OR DR ORAL 1MG
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
HCPCS J7512
|
| Max. Negotiated Rate |
$1.00 |
| Rate for Payer: Aetna Commercial |
$0.01
|
| Rate for Payer: Aetna Medicare |
$0.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.01
|
| Rate for Payer: BCBS Complete |
$0.40
|
| Rate for Payer: BCBS MAPPO |
$0.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.01
|
| Rate for Payer: BCN Commercial |
$0.01
|
| Rate for Payer: BCN Medicare Advantage |
$0.00
|
| Rate for Payer: Cash Price |
$0.80
|
| Rate for Payer: Cash Price |
$0.80
|
| Rate for Payer: Cofinity Commercial |
$0.01
|
| Rate for Payer: Cofinity Commercial |
$0.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.00
|
| Rate for Payer: Healthscope Commercial |
$0.01
|
| Rate for Payer: Healthscope Commercial |
$0.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.00
|
| Rate for Payer: Nomi Health Commercial |
$0.00
|
| Rate for Payer: PACE SWMI |
$0.00
|
| Rate for Payer: PHP Medicare Advantage |
$0.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$0.65
|
| Rate for Payer: Priority Health Medicare |
$0.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.00
|
| Rate for Payer: UHC Exchange |
$0.01
|
| Rate for Payer: UHC Medicare Advantage |
$0.00
|
|
|
PR PREDNISONE ORAL
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
HCPCS J7506
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$0.65 |
| Rate for Payer: Aetna Medicare |
$0.50
|
| Rate for Payer: BCBS Complete |
$0.40
|
| Rate for Payer: Cash Price |
$0.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$0.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$0.65
|
|
|
PR PREPARE FECAL MICROBIOTA FOR INSTILLATION
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS 44705
|
| Min. Negotiated Rate |
$45.58 |
| Max. Negotiated Rate |
$12,834.00 |
| Rate for Payer: Aetna Commercial |
$96.49
|
| Rate for Payer: Aetna Medicare |
$102.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.49
|
| Rate for Payer: BCBS Complete |
$47.86
|
| Rate for Payer: BCBS Trust/PPO |
$252.00
|
| Rate for Payer: BCN Commercial |
$163.71
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Mclaren Medicaid |
$45.58
|
| Rate for Payer: Meridian Medicaid |
$47.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,834.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$126.48
|
| Rate for Payer: Priority Health Narrow Network |
$126.48
|
| Rate for Payer: Priority Health SBD |
$126.48
|
| Rate for Payer: UHCCP Medicaid |
$45.58
|
|
|
PR PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA
|
Professional
|
Both
|
$942.00
|
|
|
Service Code
|
HCPCS 49013
|
| Min. Negotiated Rate |
$290.11 |
| Max. Negotiated Rate |
$81,698.00 |
| Rate for Payer: Aetna Commercial |
$594.21
|
| Rate for Payer: Aetna Medicare |
$461.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$594.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$638.55
|
| Rate for Payer: BCBS Complete |
$304.62
|
| Rate for Payer: BCBS MAPPO |
$443.44
|
| Rate for Payer: BCBS Trust/PPO |
$562.11
|
| Rate for Payer: BCN Commercial |
$660.20
|
| Rate for Payer: BCN Medicare Advantage |
$443.44
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cofinity Commercial |
$638.55
|
| Rate for Payer: Cofinity Commercial |
$594.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.44
|
| Rate for Payer: Healthscope Commercial |
$820.36
|
| Rate for Payer: Healthscope Commercial |
$709.50
|
| Rate for Payer: Mclaren Medicaid |
$290.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$465.61
|
| Rate for Payer: Meridian Medicaid |
$304.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81,698.00
|
| Rate for Payer: Nomi Health Commercial |
$532.13
|
| Rate for Payer: PACE SWMI |
$443.44
|
| Rate for Payer: PHP Medicare Advantage |
$443.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$612.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$808.98
|
| Rate for Payer: Priority Health Medicare |
$443.44
|
| Rate for Payer: Priority Health Narrow Network |
$808.98
|
| Rate for Payer: Priority Health SBD |
$808.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$443.44
|
| Rate for Payer: UHC Medicare Advantage |
$443.44
|
| Rate for Payer: UHCCP Medicaid |
$290.11
|
|
|
PR PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 15004
|
| Min. Negotiated Rate |
$138.90 |
| Max. Negotiated Rate |
$45,974.00 |
| Rate for Payer: Aetna Commercial |
$333.22
|
| Rate for Payer: Aetna Medicare |
$258.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$333.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.08
|
| Rate for Payer: BCBS Complete |
$174.67
|
| Rate for Payer: BCBS MAPPO |
$248.67
|
| Rate for Payer: BCBS Trust/PPO |
$138.90
|
| Rate for Payer: BCN Commercial |
$576.64
|
| Rate for Payer: BCN Medicare Advantage |
$248.67
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$358.08
|
| Rate for Payer: Cofinity Commercial |
$333.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.67
|
| Rate for Payer: Healthscope Commercial |
$460.04
|
| Rate for Payer: Healthscope Commercial |
$397.87
|
| Rate for Payer: Mclaren Medicaid |
$166.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.10
|
| Rate for Payer: Meridian Medicaid |
$174.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,974.00
|
| Rate for Payer: Nomi Health Commercial |
$298.40
|
| Rate for Payer: PACE SWMI |
$248.67
|
| Rate for Payer: PHP Medicare Advantage |
$248.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$435.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$348.12
|
| Rate for Payer: Priority Health Medicare |
$248.67
|
| Rate for Payer: Priority Health Narrow Network |
$348.12
|
| Rate for Payer: Priority Health SBD |
$348.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$418.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$248.67
|
| Rate for Payer: UHC Exchange |
$418.75
|
| Rate for Payer: UHC Medicare Advantage |
$248.67
|
| Rate for Payer: UHCCP Medicaid |
$166.35
|
|
|
PR PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS 15005
|
| Min. Negotiated Rate |
$57.08 |
| Max. Negotiated Rate |
$15,907.00 |
| Rate for Payer: Aetna Commercial |
$115.86
|
| Rate for Payer: Aetna Medicare |
$89.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.50
|
| Rate for Payer: BCBS Complete |
$59.93
|
| Rate for Payer: BCBS MAPPO |
$86.46
|
| Rate for Payer: BCBS Trust/PPO |
$206.12
|
| Rate for Payer: BCN Commercial |
$169.57
|
| Rate for Payer: BCN Medicare Advantage |
$86.46
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$124.50
|
| Rate for Payer: Cofinity Commercial |
$115.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.46
|
| Rate for Payer: Healthscope Commercial |
$159.95
|
| Rate for Payer: Healthscope Commercial |
$138.34
|
| Rate for Payer: Mclaren Medicaid |
$57.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.78
|
| Rate for Payer: Meridian Medicaid |
$59.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,907.00
|
| Rate for Payer: Nomi Health Commercial |
$103.75
|
| Rate for Payer: PACE SWMI |
$86.46
|
| Rate for Payer: PHP Medicare Advantage |
$86.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$120.10
|
| Rate for Payer: Priority Health Medicare |
$86.46
|
| Rate for Payer: Priority Health Narrow Network |
$120.10
|
| Rate for Payer: Priority Health SBD |
$120.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.46
|
| Rate for Payer: UHC Exchange |
$130.75
|
| Rate for Payer: UHC Medicare Advantage |
$86.46
|
| Rate for Payer: UHCCP Medicaid |
$57.08
|
|
|
PR PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT
|
Professional
|
Both
|
$562.00
|
|
|
Service Code
|
HCPCS 15002
|
| Min. Negotiated Rate |
$138.90 |
| Max. Negotiated Rate |
$38,756.00 |
| Rate for Payer: Aetna Commercial |
$282.07
|
| Rate for Payer: Aetna Medicare |
$218.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$282.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$303.12
|
| Rate for Payer: BCBS Complete |
$147.61
|
| Rate for Payer: BCBS MAPPO |
$210.50
|
| Rate for Payer: BCBS Trust/PPO |
$138.90
|
| Rate for Payer: BCN Commercial |
$505.78
|
| Rate for Payer: BCN Medicare Advantage |
$210.50
|
| Rate for Payer: Cash Price |
$449.60
|
| Rate for Payer: Cash Price |
$449.60
|
| Rate for Payer: Cofinity Commercial |
$303.12
|
| Rate for Payer: Cofinity Commercial |
$282.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.50
|
| Rate for Payer: Healthscope Commercial |
$389.42
|
| Rate for Payer: Healthscope Commercial |
$336.80
|
| Rate for Payer: Mclaren Medicaid |
$140.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$221.02
|
| Rate for Payer: Meridian Medicaid |
$147.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,756.00
|
| Rate for Payer: Nomi Health Commercial |
$252.60
|
| Rate for Payer: PACE SWMI |
$210.50
|
| Rate for Payer: PHP Medicare Advantage |
$210.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$294.84
|
| Rate for Payer: Priority Health Medicare |
$210.50
|
| Rate for Payer: Priority Health Narrow Network |
$294.84
|
| Rate for Payer: Priority Health SBD |
$294.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$210.50
|
| Rate for Payer: UHC Exchange |
$346.33
|
| Rate for Payer: UHC Medicare Advantage |
$210.50
|
| Rate for Payer: UHCCP Medicaid |
$140.58
|
|
|
PR PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 15003
|
| Min. Negotiated Rate |
$28.33 |
| Max. Negotiated Rate |
$8,062.00 |
| Rate for Payer: Aetna Commercial |
$57.54
|
| Rate for Payer: Aetna Medicare |
$44.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.83
|
| Rate for Payer: BCBS Complete |
$29.75
|
| Rate for Payer: BCBS MAPPO |
$42.94
|
| Rate for Payer: BCBS Trust/PPO |
$138.90
|
| Rate for Payer: BCN Commercial |
$101.65
|
| Rate for Payer: BCN Medicare Advantage |
$42.94
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cofinity Commercial |
$61.83
|
| Rate for Payer: Cofinity Commercial |
$57.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.94
|
| Rate for Payer: Healthscope Commercial |
$79.44
|
| Rate for Payer: Healthscope Commercial |
$68.70
|
| Rate for Payer: Mclaren Medicaid |
$28.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.09
|
| Rate for Payer: Meridian Medicaid |
$29.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,062.00
|
| Rate for Payer: Nomi Health Commercial |
$51.53
|
| Rate for Payer: PACE SWMI |
$42.94
|
| Rate for Payer: PHP Medicare Advantage |
$42.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.51
|
| Rate for Payer: Priority Health Medicare |
$42.94
|
| Rate for Payer: Priority Health Narrow Network |
$60.51
|
| Rate for Payer: Priority Health SBD |
$60.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.94
|
| Rate for Payer: UHC Exchange |
$76.82
|
| Rate for Payer: UHC Medicare Advantage |
$42.94
|
| Rate for Payer: UHCCP Medicaid |
$28.33
|
|
|
PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 94640
|
| Min. Negotiated Rate |
$7.16 |
| Max. Negotiated Rate |
$1,259.00 |
| Rate for Payer: Aetna Commercial |
$9.59
|
| Rate for Payer: Aetna Medicare |
$7.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.59
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$7.16
|
| Rate for Payer: BCBS Trust/PPO |
$255.17
|
| Rate for Payer: BCN Commercial |
$13.19
|
| Rate for Payer: BCN Medicare Advantage |
$7.16
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$9.59
|
| Rate for Payer: Cofinity Commercial |
$10.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.16
|
| Rate for Payer: Healthscope Commercial |
$13.25
|
| Rate for Payer: Healthscope Commercial |
$11.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.00
|
| Rate for Payer: Nomi Health Commercial |
$8.59
|
| Rate for Payer: PACE SWMI |
$7.16
|
| Rate for Payer: PHP Medicare Advantage |
$7.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10.86
|
| Rate for Payer: Priority Health Medicare |
$7.16
|
| Rate for Payer: Priority Health Narrow Network |
$10.86
|
| Rate for Payer: Priority Health SBD |
$10.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.16
|
| Rate for Payer: UHC Exchange |
$27.92
|
| Rate for Payer: UHC Medicare Advantage |
$7.16
|
|
|
PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 15 MIN
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS 99401
|
| Min. Negotiated Rate |
$14.91 |
| Max. Negotiated Rate |
$3,539.00 |
| Rate for Payer: Aetna Commercial |
$25.12
|
| Rate for Payer: Aetna Medicare |
$33.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.12
|
| Rate for Payer: BCBS Complete |
$15.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,234.11
|
| Rate for Payer: BCN Commercial |
$56.19
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Mclaren Medicaid |
$14.91
|
| Rate for Payer: Meridian Medicaid |
$15.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,539.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.41
|
| Rate for Payer: Priority Health Narrow Network |
$31.41
|
| Rate for Payer: Priority Health SBD |
$31.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.71
|
| Rate for Payer: UHC Exchange |
$46.71
|
| Rate for Payer: UHCCP Medicaid |
$14.91
|
|
|
PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 30 MIN
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 99402
|
| Min. Negotiated Rate |
$30.03 |
| Max. Negotiated Rate |
$7,070.00 |
| Rate for Payer: Aetna Commercial |
$51.32
|
| Rate for Payer: Aetna Medicare |
$57.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.32
|
| Rate for Payer: BCBS Complete |
$31.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,381.50
|
| Rate for Payer: BCN Commercial |
$90.89
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Mclaren Medicaid |
$30.03
|
| Rate for Payer: Meridian Medicaid |
$31.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,070.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.72
|
| Rate for Payer: Priority Health Narrow Network |
$63.72
|
| Rate for Payer: Priority Health SBD |
$63.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.93
|
| Rate for Payer: UHC Exchange |
$78.93
|
| Rate for Payer: UHCCP Medicaid |
$30.03
|
|
|
PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 45 MIN
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 99403
|
| Min. Negotiated Rate |
$44.94 |
| Max. Negotiated Rate |
$10,608.00 |
| Rate for Payer: Aetna Commercial |
$76.44
|
| Rate for Payer: Aetna Medicare |
$73.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.44
|
| Rate for Payer: BCBS Complete |
$47.19
|
| Rate for Payer: BCBS Trust/PPO |
$393.06
|
| Rate for Payer: BCN Commercial |
$125.10
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Mclaren Medicaid |
$44.94
|
| Rate for Payer: Meridian Medicaid |
$47.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,608.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.13
|
| Rate for Payer: Priority Health Narrow Network |
$95.13
|
| Rate for Payer: Priority Health SBD |
$95.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.08
|
| Rate for Payer: UHC Exchange |
$109.08
|
| Rate for Payer: UHCCP Medicaid |
$44.94
|
|
|
PR PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 60 MIN
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 99404
|
| Min. Negotiated Rate |
$60.71 |
| Max. Negotiated Rate |
$14,088.00 |
| Rate for Payer: Aetna Commercial |
$101.22
|
| Rate for Payer: Aetna Medicare |
$94.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$101.22
|
| Rate for Payer: BCBS Complete |
$63.75
|
| Rate for Payer: BCBS Trust/PPO |
$805.13
|
| Rate for Payer: BCN Commercial |
$159.31
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Mclaren Medicaid |
$60.71
|
| Rate for Payer: Meridian Medicaid |
$63.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,088.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$60.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$126.98
|
| Rate for Payer: Priority Health Narrow Network |
$126.98
|
| Rate for Payer: Priority Health SBD |
$126.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.47
|
| Rate for Payer: UHC Exchange |
$140.47
|
| Rate for Payer: UHCCP Medicaid |
$60.71
|
|
|
PR PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 99412
|
| Min. Negotiated Rate |
$13.09 |
| Max. Negotiated Rate |
$1,844.00 |
| Rate for Payer: Aetna Commercial |
$13.09
|
| Rate for Payer: Aetna Medicare |
$16.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,314.41
|
| Rate for Payer: BCN Commercial |
$36.65
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,844.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.61
|
| Rate for Payer: Priority Health Narrow Network |
$16.61
|
| Rate for Payer: Priority Health SBD |
$16.61
|
|
|
PR PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 93279
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$9,720.00 |
| Rate for Payer: Aetna Commercial |
$81.43
|
| Rate for Payer: Aetna Medicare |
$63.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.51
|
| Rate for Payer: BCBS Complete |
$20.58
|
| Rate for Payer: BCBS MAPPO |
$60.77
|
| Rate for Payer: BCBS Trust/PPO |
$530.41
|
| Rate for Payer: BCN Commercial |
$99.20
|
| Rate for Payer: BCN Medicare Advantage |
$60.77
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cofinity Commercial |
$87.51
|
| Rate for Payer: Cofinity Commercial |
$81.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60.77
|
| Rate for Payer: Healthscope Commercial |
$112.42
|
| Rate for Payer: Healthscope Commercial |
$97.23
|
| Rate for Payer: Mclaren Medicaid |
$19.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63.81
|
| Rate for Payer: Meridian Medicaid |
$20.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9,720.00
|
| Rate for Payer: Nomi Health Commercial |
$72.92
|
| Rate for Payer: PACE SWMI |
$60.77
|
| Rate for Payer: PHP Medicare Advantage |
$60.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94.64
|
| Rate for Payer: Priority Health Medicare |
$60.77
|
| Rate for Payer: Priority Health Narrow Network |
$94.64
|
| Rate for Payer: Priority Health SBD |
$42.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$60.77
|
| Rate for Payer: UHC Medicare Advantage |
$60.77
|
| Rate for Payer: UHCCP Medicaid |
$19.60
|
|
|
PR PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON
|
Professional
|
Both
|
$87.00
|
|
|
Service Code
|
HCPCS 93285
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$8,688.00 |
| Rate for Payer: Aetna Commercial |
$71.84
|
| Rate for Payer: Aetna Commercial |
$71.84
|
| Rate for Payer: Aetna Medicare |
$55.75
|
| Rate for Payer: Aetna Medicare |
$55.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.84
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$53.61
|
| Rate for Payer: BCBS MAPPO |
$53.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.75
|
| Rate for Payer: BCN Commercial |
$88.94
|
| Rate for Payer: BCN Commercial |
$88.94
|
| Rate for Payer: BCN Medicare Advantage |
$53.61
|
| Rate for Payer: BCN Medicare Advantage |
$53.61
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$69.60
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$69.60
|
| Rate for Payer: Cofinity Commercial |
$71.84
|
| Rate for Payer: Cofinity Commercial |
$77.20
|
| Rate for Payer: Cofinity Commercial |
$71.84
|
| Rate for Payer: Cofinity Commercial |
$77.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.61
|
| Rate for Payer: Healthscope Commercial |
$85.78
|
| Rate for Payer: Healthscope Commercial |
$99.18
|
| Rate for Payer: Healthscope Commercial |
$99.18
|
| Rate for Payer: Healthscope Commercial |
$85.78
|
| Rate for Payer: Mclaren Medicaid |
$15.76
|
| Rate for Payer: Mclaren Medicaid |
$15.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.29
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,688.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,688.00
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: Nomi Health Commercial |
$64.33
|
| Rate for Payer: PACE SWMI |
$53.61
|
| Rate for Payer: PACE SWMI |
$53.61
|
| Rate for Payer: PHP Medicare Advantage |
$53.61
|
| Rate for Payer: PHP Medicare Advantage |
$53.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.27
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.27
|
| Rate for Payer: Priority Health Medicare |
$53.61
|
| Rate for Payer: Priority Health Medicare |
$53.61
|
| Rate for Payer: Priority Health Narrow Network |
$84.27
|
| Rate for Payer: Priority Health Narrow Network |
$84.27
|
| Rate for Payer: Priority Health SBD |
$34.84
|
| Rate for Payer: Priority Health SBD |
$34.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.61
|
| Rate for Payer: UHC Medicare Advantage |
$53.61
|
| Rate for Payer: UHC Medicare Advantage |
$53.61
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
|
|
PR PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB
|
Professional
|
Both
|
$170.00
|
|
|
Service Code
|
HCPCS 93284
|
| Min. Negotiated Rate |
$37.91 |
| Max. Negotiated Rate |
$15,333.00 |
| Rate for Payer: Aetna Commercial |
$128.59
|
| Rate for Payer: Aetna Medicare |
$99.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.18
|
| Rate for Payer: BCBS Complete |
$39.81
|
| Rate for Payer: BCBS MAPPO |
$95.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,468.15
|
| Rate for Payer: BCN Commercial |
$155.40
|
| Rate for Payer: BCN Medicare Advantage |
$95.96
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Cofinity Commercial |
$138.18
|
| Rate for Payer: Cofinity Commercial |
$128.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.96
|
| Rate for Payer: Healthscope Commercial |
$153.54
|
| Rate for Payer: Healthscope Commercial |
$177.53
|
| Rate for Payer: Mclaren Medicaid |
$37.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.76
|
| Rate for Payer: Meridian Medicaid |
$39.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,333.00
|
| Rate for Payer: Nomi Health Commercial |
$115.15
|
| Rate for Payer: PACE SWMI |
$95.96
|
| Rate for Payer: PHP Medicare Advantage |
$95.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$147.84
|
| Rate for Payer: Priority Health Medicare |
$95.96
|
| Rate for Payer: Priority Health Narrow Network |
$147.84
|
| Rate for Payer: Priority Health SBD |
$83.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$95.96
|
| Rate for Payer: UHC Medicare Advantage |
$95.96
|
| Rate for Payer: UHCCP Medicaid |
$37.91
|
|
|
PR PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
HCPCS 93283
|
| Min. Negotiated Rate |
$34.93 |
| Max. Negotiated Rate |
$14,223.00 |
| Rate for Payer: Aetna Commercial |
$119.13
|
| Rate for Payer: Aetna Medicare |
$92.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.02
|
| Rate for Payer: BCBS Complete |
$36.68
|
| Rate for Payer: BCBS MAPPO |
$88.90
|
| Rate for Payer: BCBS Trust/PPO |
$214.49
|
| Rate for Payer: BCN Commercial |
$144.16
|
| Rate for Payer: BCN Medicare Advantage |
$88.90
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cofinity Commercial |
$128.02
|
| Rate for Payer: Cofinity Commercial |
$119.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.90
|
| Rate for Payer: Healthscope Commercial |
$142.24
|
| Rate for Payer: Healthscope Commercial |
$164.46
|
| Rate for Payer: Mclaren Medicaid |
$34.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.34
|
| Rate for Payer: Meridian Medicaid |
$36.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,223.00
|
| Rate for Payer: Nomi Health Commercial |
$106.68
|
| Rate for Payer: PACE SWMI |
$88.90
|
| Rate for Payer: PHP Medicare Advantage |
$88.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$137.02
|
| Rate for Payer: Priority Health Medicare |
$88.90
|
| Rate for Payer: Priority Health Narrow Network |
$137.02
|
| Rate for Payer: Priority Health SBD |
$76.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.90
|
| Rate for Payer: UHC Medicare Advantage |
$88.90
|
| Rate for Payer: UHCCP Medicaid |
$34.93
|
|
|
PR PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB
|
Professional
|
Both
|
$124.00
|
|
|
Service Code
|
HCPCS 93282
|
| Min. Negotiated Rate |
$25.77 |
| Max. Negotiated Rate |
$11,633.00 |
| Rate for Payer: Aetna Commercial |
$96.53
|
| Rate for Payer: Aetna Medicare |
$74.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.53
|
| Rate for Payer: BCBS Complete |
$27.06
|
| Rate for Payer: BCBS MAPPO |
$72.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,583.32
|
| Rate for Payer: BCN Commercial |
$118.26
|
| Rate for Payer: BCN Medicare Advantage |
$72.04
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cash Price |
$99.20
|
| Rate for Payer: Cofinity Commercial |
$96.53
|
| Rate for Payer: Cofinity Commercial |
$103.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.04
|
| Rate for Payer: Healthscope Commercial |
$115.26
|
| Rate for Payer: Healthscope Commercial |
$133.27
|
| Rate for Payer: Mclaren Medicaid |
$25.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.64
|
| Rate for Payer: Meridian Medicaid |
$27.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,633.00
|
| Rate for Payer: Nomi Health Commercial |
$86.45
|
| Rate for Payer: PACE SWMI |
$72.04
|
| Rate for Payer: PHP Medicare Advantage |
$72.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$111.59
|
| Rate for Payer: Priority Health Medicare |
$72.04
|
| Rate for Payer: Priority Health Narrow Network |
$111.59
|
| Rate for Payer: Priority Health SBD |
$56.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.04
|
| Rate for Payer: UHC Medicare Advantage |
$72.04
|
| Rate for Payer: UHCCP Medicaid |
$25.77
|
|
|
PR PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS
|
Professional
|
Both
|
$5,726.00
|
|
|
Service Code
|
HCPCS 33031
|
| Min. Negotiated Rate |
$1,051.32 |
| Max. Negotiated Rate |
$437,908.00 |
| Rate for Payer: Aetna Commercial |
$3,177.30
|
| Rate for Payer: Aetna Medicare |
$2,465.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,177.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,414.41
|
| Rate for Payer: BCBS Complete |
$1,632.19
|
| Rate for Payer: BCBS MAPPO |
$2,371.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,051.32
|
| Rate for Payer: BCN Commercial |
$3,542.92
|
| Rate for Payer: BCN Medicare Advantage |
$2,371.12
|
| Rate for Payer: Cash Price |
$4,580.80
|
| Rate for Payer: Cash Price |
$4,580.80
|
| Rate for Payer: Cofinity Commercial |
$3,414.41
|
| Rate for Payer: Cofinity Commercial |
$3,177.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,371.12
|
| Rate for Payer: Healthscope Commercial |
$4,386.57
|
| Rate for Payer: Healthscope Commercial |
$3,793.79
|
| Rate for Payer: Mclaren Medicaid |
$1,554.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,489.68
|
| Rate for Payer: Meridian Medicaid |
$1,632.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$437,908.00
|
| Rate for Payer: Nomi Health Commercial |
$2,845.34
|
| Rate for Payer: PACE SWMI |
$2,371.12
|
| Rate for Payer: PHP Medicare Advantage |
$2,371.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,554.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,721.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,869.03
|
| Rate for Payer: Priority Health Medicare |
$2,371.12
|
| Rate for Payer: Priority Health Narrow Network |
$3,869.03
|
| Rate for Payer: Priority Health SBD |
$3,869.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,785.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,371.12
|
| Rate for Payer: UHC Exchange |
$1,785.05
|
| Rate for Payer: UHC Medicare Advantage |
$2,371.12
|
| Rate for Payer: UHCCP Medicaid |
$1,554.47
|
|
|
PR PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS
|
Professional
|
Both
|
$3,419.00
|
|
|
Service Code
|
HCPCS 33030
|
| Min. Negotiated Rate |
$1,062.94 |
| Max. Negotiated Rate |
$353,824.00 |
| Rate for Payer: Aetna Commercial |
$2,572.40
|
| Rate for Payer: Aetna Medicare |
$1,996.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,572.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,764.37
|
| Rate for Payer: BCBS Complete |
$1,322.90
|
| Rate for Payer: BCBS MAPPO |
$1,919.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,062.94
|
| Rate for Payer: BCN Commercial |
$2,865.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,919.70
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Cash Price |
$2,735.20
|
| Rate for Payer: Cofinity Commercial |
$2,764.37
|
| Rate for Payer: Cofinity Commercial |
$2,572.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,919.70
|
| Rate for Payer: Healthscope Commercial |
$3,551.44
|
| Rate for Payer: Healthscope Commercial |
$3,071.52
|
| Rate for Payer: Mclaren Medicaid |
$1,259.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,015.68
|
| Rate for Payer: Meridian Medicaid |
$1,322.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$353,824.00
|
| Rate for Payer: Nomi Health Commercial |
$2,303.64
|
| Rate for Payer: PACE SWMI |
$1,919.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,919.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,259.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,222.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,133.51
|
| Rate for Payer: Priority Health Medicare |
$1,919.70
|
| Rate for Payer: Priority Health Narrow Network |
$3,133.51
|
| Rate for Payer: Priority Health SBD |
$3,133.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,624.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,919.70
|
| Rate for Payer: UHC Exchange |
$1,624.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,919.70
|
| Rate for Payer: UHCCP Medicaid |
$1,259.90
|
|
|
PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST
|
Professional
|
Both
|
$4,133.00
|
|
|
Service Code
|
HCPCS 37184
|
| Min. Negotiated Rate |
$268.81 |
| Max. Negotiated Rate |
$75,904.00 |
| Rate for Payer: Aetna Commercial |
$548.02
|
| Rate for Payer: Aetna Medicare |
$425.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$548.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$588.92
|
| Rate for Payer: BCBS Complete |
$282.25
|
| Rate for Payer: BCBS MAPPO |
$408.97
|
| Rate for Payer: BCBS Trust/PPO |
$939.85
|
| Rate for Payer: BCN Commercial |
$2,516.69
|
| Rate for Payer: BCN Medicare Advantage |
$408.97
|
| Rate for Payer: Cash Price |
$3,306.40
|
| Rate for Payer: Cash Price |
$3,306.40
|
| Rate for Payer: Cofinity Commercial |
$588.92
|
| Rate for Payer: Cofinity Commercial |
$548.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.97
|
| Rate for Payer: Healthscope Commercial |
$756.59
|
| Rate for Payer: Healthscope Commercial |
$654.35
|
| Rate for Payer: Mclaren Medicaid |
$268.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$429.42
|
| Rate for Payer: Meridian Medicaid |
$282.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,904.00
|
| Rate for Payer: Nomi Health Commercial |
$490.76
|
| Rate for Payer: PACE SWMI |
$408.97
|
| Rate for Payer: PHP Medicare Advantage |
$408.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$268.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,686.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$667.44
|
| Rate for Payer: Priority Health Medicare |
$408.97
|
| Rate for Payer: Priority Health Narrow Network |
$667.44
|
| Rate for Payer: Priority Health SBD |
$667.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$505.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.97
|
| Rate for Payer: UHC Exchange |
$505.74
|
| Rate for Payer: UHC Medicare Advantage |
$408.97
|
| Rate for Payer: UHCCP Medicaid |
$268.81
|
|
