|
PR REMOVAL EMBEDDED FOREIGN BODY EYELID
|
Professional
|
Both
|
$480.00
|
|
|
Service Code
|
HCPCS 67938
|
| Min. Negotiated Rate |
$73.06 |
| Max. Negotiated Rate |
$20,243.00 |
| Rate for Payer: Aetna Commercial |
$141.56
|
| Rate for Payer: Aetna Medicare |
$109.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$141.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.12
|
| Rate for Payer: BCBS Complete |
$76.71
|
| Rate for Payer: BCBS MAPPO |
$105.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,699.01
|
| Rate for Payer: BCN Commercial |
$399.74
|
| Rate for Payer: BCN Medicare Advantage |
$105.64
|
| Rate for Payer: Cash Price |
$384.00
|
| Rate for Payer: Cash Price |
$384.00
|
| Rate for Payer: Cofinity Commercial |
$152.12
|
| Rate for Payer: Cofinity Commercial |
$141.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.64
|
| Rate for Payer: Healthscope Commercial |
$195.43
|
| Rate for Payer: Healthscope Commercial |
$169.02
|
| Rate for Payer: Mclaren Medicaid |
$73.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.92
|
| Rate for Payer: Meridian Medicaid |
$76.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,243.00
|
| Rate for Payer: Nomi Health Commercial |
$126.77
|
| Rate for Payer: PACE SWMI |
$105.64
|
| Rate for Payer: PHP Medicare Advantage |
$105.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$73.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$205.30
|
| Rate for Payer: Priority Health Medicare |
$105.64
|
| Rate for Payer: Priority Health Narrow Network |
$205.30
|
| Rate for Payer: Priority Health SBD |
$205.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$433.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.64
|
| Rate for Payer: UHC Exchange |
$433.08
|
| Rate for Payer: UHC Medicare Advantage |
$105.64
|
| Rate for Payer: UHCCP Medicaid |
$73.06
|
|
|
PR REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES
|
Professional
|
Both
|
$954.00
|
|
|
Service Code
|
HCPCS 20694
|
| Min. Negotiated Rate |
$224.72 |
| Max. Negotiated Rate |
$60,167.00 |
| Rate for Payer: Aetna Commercial |
$442.07
|
| Rate for Payer: Aetna Medicare |
$343.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$442.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$475.06
|
| Rate for Payer: BCBS Complete |
$235.96
|
| Rate for Payer: BCBS MAPPO |
$329.90
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$634.30
|
| Rate for Payer: BCN Medicare Advantage |
$329.90
|
| Rate for Payer: Cash Price |
$763.20
|
| Rate for Payer: Cash Price |
$763.20
|
| Rate for Payer: Cofinity Commercial |
$475.06
|
| Rate for Payer: Cofinity Commercial |
$442.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.90
|
| Rate for Payer: Healthscope Commercial |
$610.32
|
| Rate for Payer: Healthscope Commercial |
$527.84
|
| Rate for Payer: Mclaren Medicaid |
$224.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.40
|
| Rate for Payer: Meridian Medicaid |
$235.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,167.00
|
| Rate for Payer: Nomi Health Commercial |
$395.88
|
| Rate for Payer: PACE SWMI |
$329.90
|
| Rate for Payer: PHP Medicare Advantage |
$329.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$620.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$530.24
|
| Rate for Payer: Priority Health Medicare |
$329.90
|
| Rate for Payer: Priority Health Narrow Network |
$530.24
|
| Rate for Payer: Priority Health SBD |
$530.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$542.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.90
|
| Rate for Payer: UHC Exchange |
$542.27
|
| Rate for Payer: UHC Medicare Advantage |
$329.90
|
| Rate for Payer: UHCCP Medicaid |
$224.72
|
|
|
PR REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 65205
|
| Min. Negotiated Rate |
$18.32 |
| Max. Negotiated Rate |
$5,085.00 |
| Rate for Payer: Aetna Commercial |
$36.19
|
| Rate for Payer: Aetna Medicare |
$28.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.89
|
| Rate for Payer: BCBS Complete |
$19.24
|
| Rate for Payer: BCBS MAPPO |
$27.01
|
| Rate for Payer: BCBS Trust/PPO |
$238.26
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Medicare Advantage |
$27.01
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$38.89
|
| Rate for Payer: Cofinity Commercial |
$36.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.01
|
| Rate for Payer: Healthscope Commercial |
$49.97
|
| Rate for Payer: Healthscope Commercial |
$43.22
|
| Rate for Payer: Mclaren Medicaid |
$18.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.36
|
| Rate for Payer: Meridian Medicaid |
$19.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,085.00
|
| Rate for Payer: Nomi Health Commercial |
$32.41
|
| Rate for Payer: PACE SWMI |
$27.01
|
| Rate for Payer: PHP Medicare Advantage |
$27.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.31
|
| Rate for Payer: Priority Health Medicare |
$27.01
|
| Rate for Payer: Priority Health Narrow Network |
$50.31
|
| Rate for Payer: Priority Health SBD |
$50.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.01
|
| Rate for Payer: UHC Exchange |
$63.92
|
| Rate for Payer: UHC Medicare Advantage |
$27.01
|
| Rate for Payer: UHCCP Medicaid |
$18.32
|
|
|
PR REMOVAL FOREIGN BODY DEEP PENILE TISSUE
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 54115
|
| Min. Negotiated Rate |
$275.62 |
| Max. Negotiated Rate |
$74,781.00 |
| Rate for Payer: Aetna Commercial |
$547.19
|
| Rate for Payer: Aetna Medicare |
$424.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$547.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$588.02
|
| Rate for Payer: BCBS Complete |
$289.40
|
| Rate for Payer: BCBS MAPPO |
$408.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,119.54
|
| Rate for Payer: BCN Commercial |
$663.13
|
| Rate for Payer: BCN Medicare Advantage |
$408.35
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cofinity Commercial |
$588.02
|
| Rate for Payer: Cofinity Commercial |
$547.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.35
|
| Rate for Payer: Healthscope Commercial |
$755.45
|
| Rate for Payer: Healthscope Commercial |
$653.36
|
| Rate for Payer: Mclaren Medicaid |
$275.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.77
|
| Rate for Payer: Meridian Medicaid |
$289.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,781.00
|
| Rate for Payer: Nomi Health Commercial |
$490.02
|
| Rate for Payer: PACE SWMI |
$408.35
|
| Rate for Payer: PHP Medicare Advantage |
$408.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$275.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$552.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$684.38
|
| Rate for Payer: Priority Health Medicare |
$408.35
|
| Rate for Payer: Priority Health Narrow Network |
$684.38
|
| Rate for Payer: Priority Health SBD |
$684.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$663.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.35
|
| Rate for Payer: UHC Exchange |
$663.46
|
| Rate for Payer: UHC Medicare Advantage |
$408.35
|
| Rate for Payer: UHCCP Medicaid |
$275.62
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 27372
|
| Min. Negotiated Rate |
$262.84 |
| Max. Negotiated Rate |
$71,077.00 |
| Rate for Payer: Aetna Commercial |
$519.52
|
| Rate for Payer: Aetna Medicare |
$403.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$558.29
|
| Rate for Payer: BCBS Complete |
$275.98
|
| Rate for Payer: BCBS MAPPO |
$387.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,545.42
|
| Rate for Payer: BCN Commercial |
$869.36
|
| Rate for Payer: BCN Medicare Advantage |
$387.70
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$558.29
|
| Rate for Payer: Cofinity Commercial |
$519.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.70
|
| Rate for Payer: Healthscope Commercial |
$717.24
|
| Rate for Payer: Healthscope Commercial |
$620.32
|
| Rate for Payer: Mclaren Medicaid |
$262.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$407.08
|
| Rate for Payer: Meridian Medicaid |
$275.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71,077.00
|
| Rate for Payer: Nomi Health Commercial |
$465.24
|
| Rate for Payer: PACE SWMI |
$387.70
|
| Rate for Payer: PHP Medicare Advantage |
$387.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$620.29
|
| Rate for Payer: Priority Health Medicare |
$387.70
|
| Rate for Payer: Priority Health Narrow Network |
$620.29
|
| Rate for Payer: Priority Health SBD |
$620.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$551.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.70
|
| Rate for Payer: UHC Exchange |
$551.09
|
| Rate for Payer: UHC Medicare Advantage |
$387.70
|
| Rate for Payer: UHCCP Medicaid |
$262.84
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Facility
|
OP
|
$1,114.00
|
|
|
Service Code
|
CPT 27372
|
| Hospital Charge Code |
27372
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$427.16 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna Commercial |
$946.90
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,075.65
|
| Rate for Payer: BCN Commercial |
$1,075.65
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$958.04
|
| Rate for Payer: Cofinity Commercial |
$779.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$779.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$1,002.60
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$946.90
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$946.90
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$701.82
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$427.16
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,578.75
|
| Rate for Payer: VA VA |
$2,804.18
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 27372
|
| Hospital Charge Code |
27372
|
| Min. Negotiated Rate |
$262.84 |
| Max. Negotiated Rate |
$71,077.00 |
| Rate for Payer: Aetna Commercial |
$519.52
|
| Rate for Payer: Aetna Medicare |
$403.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$558.29
|
| Rate for Payer: BCBS Complete |
$275.98
|
| Rate for Payer: BCBS MAPPO |
$387.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,545.42
|
| Rate for Payer: BCN Commercial |
$869.36
|
| Rate for Payer: BCN Medicare Advantage |
$387.70
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$558.29
|
| Rate for Payer: Cofinity Commercial |
$519.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.70
|
| Rate for Payer: Healthscope Commercial |
$717.24
|
| Rate for Payer: Healthscope Commercial |
$620.32
|
| Rate for Payer: Mclaren Medicaid |
$262.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$407.08
|
| Rate for Payer: Meridian Medicaid |
$275.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71,077.00
|
| Rate for Payer: Nomi Health Commercial |
$465.24
|
| Rate for Payer: PACE SWMI |
$387.70
|
| Rate for Payer: PHP Medicare Advantage |
$387.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$620.29
|
| Rate for Payer: Priority Health Medicare |
$387.70
|
| Rate for Payer: Priority Health Narrow Network |
$620.29
|
| Rate for Payer: Priority Health SBD |
$620.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$551.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.70
|
| Rate for Payer: UHC Exchange |
$551.09
|
| Rate for Payer: UHC Medicare Advantage |
$387.70
|
| Rate for Payer: UHCCP Medicaid |
$262.84
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Facility
|
IP
|
$1,114.00
|
|
|
Service Code
|
CPT 27372
|
| Hospital Charge Code |
27372
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$701.82 |
| Max. Negotiated Rate |
$1,002.60 |
| Rate for Payer: Aetna Commercial |
$946.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.10
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$779.80
|
| Rate for Payer: Cofinity Commercial |
$958.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$779.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.20
|
| Rate for Payer: Healthscope Commercial |
$1,002.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$946.90
|
| Rate for Payer: PHP Commercial |
$946.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health SBD |
$701.82
|
|
|
PR REMOVAL FOREIGN BODY FOOT COMPLICATED
|
Professional
|
Both
|
$942.00
|
|
|
Service Code
|
HCPCS 28193
|
| Min. Negotiated Rate |
$236.43 |
| Max. Negotiated Rate |
$64,229.00 |
| Rate for Payer: Aetna Commercial |
$466.86
|
| Rate for Payer: Aetna Medicare |
$362.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$466.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$501.70
|
| Rate for Payer: BCBS Complete |
$248.25
|
| Rate for Payer: BCBS MAPPO |
$348.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,271.09
|
| Rate for Payer: BCN Commercial |
$756.96
|
| Rate for Payer: BCN Medicare Advantage |
$348.40
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cofinity Commercial |
$501.70
|
| Rate for Payer: Cofinity Commercial |
$466.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.40
|
| Rate for Payer: Healthscope Commercial |
$644.54
|
| Rate for Payer: Healthscope Commercial |
$557.44
|
| Rate for Payer: Mclaren Medicaid |
$236.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.82
|
| Rate for Payer: Meridian Medicaid |
$248.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64,229.00
|
| Rate for Payer: Nomi Health Commercial |
$418.08
|
| Rate for Payer: PACE SWMI |
$348.40
|
| Rate for Payer: PHP Medicare Advantage |
$348.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$612.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$561.78
|
| Rate for Payer: Priority Health Medicare |
$348.40
|
| Rate for Payer: Priority Health Narrow Network |
$561.78
|
| Rate for Payer: Priority Health SBD |
$561.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$582.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.40
|
| Rate for Payer: UHC Exchange |
$582.11
|
| Rate for Payer: UHC Medicare Advantage |
$348.40
|
| Rate for Payer: UHCCP Medicaid |
$236.43
|
|
|
PR REMOVAL FOREIGN BODY FOOT DEEP
|
Professional
|
Both
|
$765.00
|
|
|
Service Code
|
HCPCS 28192
|
| Min. Negotiated Rate |
$202.35 |
| Max. Negotiated Rate |
$54,328.00 |
| Rate for Payer: Aetna Commercial |
$399.01
|
| Rate for Payer: Aetna Medicare |
$309.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$399.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$428.79
|
| Rate for Payer: BCBS Complete |
$212.47
|
| Rate for Payer: BCBS MAPPO |
$297.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.05
|
| Rate for Payer: BCN Commercial |
$666.06
|
| Rate for Payer: BCN Medicare Advantage |
$297.77
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cofinity Commercial |
$428.79
|
| Rate for Payer: Cofinity Commercial |
$399.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$297.77
|
| Rate for Payer: Healthscope Commercial |
$550.87
|
| Rate for Payer: Healthscope Commercial |
$476.43
|
| Rate for Payer: Mclaren Medicaid |
$202.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$312.66
|
| Rate for Payer: Meridian Medicaid |
$212.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,328.00
|
| Rate for Payer: Nomi Health Commercial |
$357.32
|
| Rate for Payer: PACE SWMI |
$297.77
|
| Rate for Payer: PHP Medicare Advantage |
$297.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$477.32
|
| Rate for Payer: Priority Health Medicare |
$297.77
|
| Rate for Payer: Priority Health Narrow Network |
$477.32
|
| Rate for Payer: Priority Health SBD |
$477.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$512.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$297.77
|
| Rate for Payer: UHC Exchange |
$512.15
|
| Rate for Payer: UHC Medicare Advantage |
$297.77
|
| Rate for Payer: UHCCP Medicaid |
$202.35
|
|
|
PR REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS
|
Professional
|
Both
|
$598.00
|
|
|
Service Code
|
HCPCS 28190
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$23,121.00 |
| Rate for Payer: Aetna Commercial |
$168.76
|
| Rate for Payer: Aetna Medicare |
$130.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.35
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS MAPPO |
$125.94
|
| Rate for Payer: BCBS Trust/PPO |
$996.37
|
| Rate for Payer: BCN Commercial |
$351.36
|
| Rate for Payer: BCN Medicare Advantage |
$125.94
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cofinity Commercial |
$181.35
|
| Rate for Payer: Cofinity Commercial |
$168.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.94
|
| Rate for Payer: Healthscope Commercial |
$232.99
|
| Rate for Payer: Healthscope Commercial |
$201.50
|
| Rate for Payer: Mclaren Medicaid |
$85.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.24
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,121.00
|
| Rate for Payer: Nomi Health Commercial |
$151.13
|
| Rate for Payer: PACE SWMI |
$125.94
|
| Rate for Payer: PHP Medicare Advantage |
$125.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$203.54
|
| Rate for Payer: Priority Health Medicare |
$125.94
|
| Rate for Payer: Priority Health Narrow Network |
$203.54
|
| Rate for Payer: Priority Health SBD |
$203.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$342.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.94
|
| Rate for Payer: UHC Exchange |
$342.74
|
| Rate for Payer: UHC Medicare Advantage |
$125.94
|
| Rate for Payer: UHCCP Medicaid |
$85.63
|
|
|
PR REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES
|
Professional
|
Both
|
$369.00
|
|
|
Service Code
|
HCPCS 30310
|
| Min. Negotiated Rate |
$132.49 |
| Max. Negotiated Rate |
$36,371.00 |
| Rate for Payer: Aetna Commercial |
$256.65
|
| Rate for Payer: Aetna Medicare |
$199.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.80
|
| Rate for Payer: BCBS Complete |
$139.11
|
| Rate for Payer: BCBS MAPPO |
$191.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,405.81
|
| Rate for Payer: BCN Commercial |
$307.87
|
| Rate for Payer: BCN Medicare Advantage |
$191.53
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cofinity Commercial |
$275.80
|
| Rate for Payer: Cofinity Commercial |
$256.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.53
|
| Rate for Payer: Healthscope Commercial |
$354.33
|
| Rate for Payer: Healthscope Commercial |
$306.45
|
| Rate for Payer: Mclaren Medicaid |
$132.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$201.11
|
| Rate for Payer: Meridian Medicaid |
$139.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36,371.00
|
| Rate for Payer: Nomi Health Commercial |
$229.84
|
| Rate for Payer: PACE SWMI |
$191.53
|
| Rate for Payer: PHP Medicare Advantage |
$191.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.98
|
| Rate for Payer: Priority Health Medicare |
$191.53
|
| Rate for Payer: Priority Health Narrow Network |
$291.98
|
| Rate for Payer: Priority Health SBD |
$291.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$210.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$191.53
|
| Rate for Payer: UHC Exchange |
$210.95
|
| Rate for Payer: UHC Medicare Advantage |
$191.53
|
| Rate for Payer: UHCCP Medicaid |
$132.49
|
|
|
PR REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE
|
Professional
|
Both
|
$392.00
|
|
|
Service Code
|
HCPCS 30300
|
| Min. Negotiated Rate |
$77.96 |
| Max. Negotiated Rate |
$21,602.00 |
| Rate for Payer: Aetna Commercial |
$150.55
|
| Rate for Payer: Aetna Medicare |
$116.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.78
|
| Rate for Payer: BCBS Complete |
$81.86
|
| Rate for Payer: BCBS MAPPO |
$112.35
|
| Rate for Payer: BCBS Trust/PPO |
$829.43
|
| Rate for Payer: BCN Commercial |
$311.29
|
| Rate for Payer: BCN Medicare Advantage |
$112.35
|
| Rate for Payer: Cash Price |
$313.60
|
| Rate for Payer: Cash Price |
$313.60
|
| Rate for Payer: Cofinity Commercial |
$161.78
|
| Rate for Payer: Cofinity Commercial |
$150.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.35
|
| Rate for Payer: Healthscope Commercial |
$207.85
|
| Rate for Payer: Healthscope Commercial |
$179.76
|
| Rate for Payer: Mclaren Medicaid |
$77.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.97
|
| Rate for Payer: Meridian Medicaid |
$81.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,602.00
|
| Rate for Payer: Nomi Health Commercial |
$134.82
|
| Rate for Payer: PACE SWMI |
$112.35
|
| Rate for Payer: PHP Medicare Advantage |
$112.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.41
|
| Rate for Payer: Priority Health Medicare |
$112.35
|
| Rate for Payer: Priority Health Narrow Network |
$172.41
|
| Rate for Payer: Priority Health SBD |
$172.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.35
|
| Rate for Payer: UHC Exchange |
$235.88
|
| Rate for Payer: UHC Medicare Advantage |
$112.35
|
| Rate for Payer: UHCCP Medicaid |
$77.96
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Facility
|
IP
|
$405.00
|
|
|
Service Code
|
CPT 20520
|
| Hospital Charge Code |
20520
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$255.15 |
| Max. Negotiated Rate |
$364.50 |
| Rate for Payer: Aetna Commercial |
$344.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.25
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$283.50
|
| Rate for Payer: Cofinity Commercial |
$348.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$283.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.00
|
| Rate for Payer: Healthscope Commercial |
$364.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.25
|
| Rate for Payer: PHP Commercial |
$344.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health SBD |
$255.15
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Professional
|
Both
|
$405.00
|
|
|
Service Code
|
HCPCS 20520
|
| Min. Negotiated Rate |
$96.06 |
| Max. Negotiated Rate |
$25,753.00 |
| Rate for Payer: Aetna Commercial |
$188.71
|
| Rate for Payer: Aetna Medicare |
$146.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$188.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.80
|
| Rate for Payer: BCBS Complete |
$100.86
|
| Rate for Payer: BCBS MAPPO |
$140.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: BCN Medicare Advantage |
$140.83
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$202.80
|
| Rate for Payer: Cofinity Commercial |
$188.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.83
|
| Rate for Payer: Healthscope Commercial |
$260.54
|
| Rate for Payer: Healthscope Commercial |
$225.33
|
| Rate for Payer: Mclaren Medicaid |
$96.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.87
|
| Rate for Payer: Meridian Medicaid |
$100.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,753.00
|
| Rate for Payer: Nomi Health Commercial |
$169.00
|
| Rate for Payer: PACE SWMI |
$140.83
|
| Rate for Payer: PHP Medicare Advantage |
$140.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$227.47
|
| Rate for Payer: Priority Health Medicare |
$140.83
|
| Rate for Payer: Priority Health Narrow Network |
$227.47
|
| Rate for Payer: Priority Health SBD |
$227.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.83
|
| Rate for Payer: UHC Exchange |
$287.15
|
| Rate for Payer: UHC Medicare Advantage |
$140.83
|
| Rate for Payer: UHCCP Medicaid |
$96.06
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Professional
|
Both
|
$405.00
|
|
|
Service Code
|
HCPCS 20520
|
| Hospital Charge Code |
20520
|
| Min. Negotiated Rate |
$96.06 |
| Max. Negotiated Rate |
$25,753.00 |
| Rate for Payer: Aetna Commercial |
$188.71
|
| Rate for Payer: Aetna Medicare |
$146.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$188.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.80
|
| Rate for Payer: BCBS Complete |
$100.86
|
| Rate for Payer: BCBS MAPPO |
$140.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: BCN Medicare Advantage |
$140.83
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$202.80
|
| Rate for Payer: Cofinity Commercial |
$188.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.83
|
| Rate for Payer: Healthscope Commercial |
$260.54
|
| Rate for Payer: Healthscope Commercial |
$225.33
|
| Rate for Payer: Mclaren Medicaid |
$96.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.87
|
| Rate for Payer: Meridian Medicaid |
$100.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,753.00
|
| Rate for Payer: Nomi Health Commercial |
$169.00
|
| Rate for Payer: PACE SWMI |
$140.83
|
| Rate for Payer: PHP Medicare Advantage |
$140.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$227.47
|
| Rate for Payer: Priority Health Medicare |
$140.83
|
| Rate for Payer: Priority Health Narrow Network |
$227.47
|
| Rate for Payer: Priority Health SBD |
$227.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$287.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.83
|
| Rate for Payer: UHC Exchange |
$287.15
|
| Rate for Payer: UHC Medicare Advantage |
$140.83
|
| Rate for Payer: UHCCP Medicaid |
$96.06
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Facility
|
OP
|
$405.00
|
|
|
Service Code
|
CPT 20520
|
| Hospital Charge Code |
20520
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$155.50 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna Commercial |
$344.25
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$263.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$965.26
|
| Rate for Payer: BCN Commercial |
$965.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$348.30
|
| Rate for Payer: Cofinity Commercial |
$283.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$283.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$364.50
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.25
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$344.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$255.15
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.50
|
| Rate for Payer: UHC Core |
$1,463.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$893.75
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
PR REMOVAL FOREIGN BODY PELVIS/HIP DEEP
|
Professional
|
Both
|
$1,367.00
|
|
|
Service Code
|
HCPCS 27087
|
| Min. Negotiated Rate |
$401.51 |
| Max. Negotiated Rate |
$109,870.00 |
| Rate for Payer: Aetna Commercial |
$801.32
|
| Rate for Payer: Aetna Medicare |
$621.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$801.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$861.12
|
| Rate for Payer: BCBS Complete |
$421.59
|
| Rate for Payer: BCBS MAPPO |
$598.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,172.30
|
| Rate for Payer: BCN Commercial |
$906.01
|
| Rate for Payer: BCN Medicare Advantage |
$598.00
|
| Rate for Payer: Cash Price |
$1,093.60
|
| Rate for Payer: Cash Price |
$1,093.60
|
| Rate for Payer: Cofinity Commercial |
$861.12
|
| Rate for Payer: Cofinity Commercial |
$801.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.00
|
| Rate for Payer: Healthscope Commercial |
$956.80
|
| Rate for Payer: Healthscope Commercial |
$1,106.30
|
| Rate for Payer: Mclaren Medicaid |
$401.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$627.90
|
| Rate for Payer: Meridian Medicaid |
$421.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$109,870.00
|
| Rate for Payer: Nomi Health Commercial |
$717.60
|
| Rate for Payer: PACE SWMI |
$598.00
|
| Rate for Payer: PHP Medicare Advantage |
$598.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$888.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$950.55
|
| Rate for Payer: Priority Health Medicare |
$598.00
|
| Rate for Payer: Priority Health Narrow Network |
$950.55
|
| Rate for Payer: Priority Health SBD |
$950.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$734.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.00
|
| Rate for Payer: UHC Exchange |
$734.90
|
| Rate for Payer: UHC Medicare Advantage |
$598.00
|
| Rate for Payer: UHCCP Medicaid |
$401.51
|
|
|
PR REMOVAL FOREIGN BODY PHARYNX
|
Professional
|
Both
|
$303.00
|
|
|
Service Code
|
HCPCS 42809
|
| Min. Negotiated Rate |
$81.37 |
| Max. Negotiated Rate |
$22,361.00 |
| Rate for Payer: Aetna Commercial |
$161.31
|
| Rate for Payer: Aetna Medicare |
$125.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$173.35
|
| Rate for Payer: BCBS Complete |
$85.44
|
| Rate for Payer: BCBS MAPPO |
$120.38
|
| Rate for Payer: BCBS Trust/PPO |
$147.92
|
| Rate for Payer: BCN Commercial |
$300.53
|
| Rate for Payer: BCN Medicare Advantage |
$120.38
|
| Rate for Payer: Cash Price |
$242.40
|
| Rate for Payer: Cash Price |
$242.40
|
| Rate for Payer: Cofinity Commercial |
$173.35
|
| Rate for Payer: Cofinity Commercial |
$161.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.38
|
| Rate for Payer: Healthscope Commercial |
$222.70
|
| Rate for Payer: Healthscope Commercial |
$192.61
|
| Rate for Payer: Mclaren Medicaid |
$81.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$126.40
|
| Rate for Payer: Meridian Medicaid |
$85.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22,361.00
|
| Rate for Payer: Nomi Health Commercial |
$144.46
|
| Rate for Payer: PACE SWMI |
$120.38
|
| Rate for Payer: PHP Medicare Advantage |
$120.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$196.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$229.08
|
| Rate for Payer: Priority Health Medicare |
$120.38
|
| Rate for Payer: Priority Health Narrow Network |
$229.08
|
| Rate for Payer: Priority Health SBD |
$229.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.38
|
| Rate for Payer: UHC Exchange |
$223.86
|
| Rate for Payer: UHC Medicare Advantage |
$120.38
|
| Rate for Payer: UHCCP Medicaid |
$81.37
|
|
|
PR REMOVAL FOREIGN BODY SCROTUM
|
Professional
|
Both
|
$669.00
|
|
|
Service Code
|
HCPCS 55120
|
| Min. Negotiated Rate |
$230.04 |
| Max. Negotiated Rate |
$62,293.00 |
| Rate for Payer: Aetna Commercial |
$456.36
|
| Rate for Payer: Aetna Medicare |
$354.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$456.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$490.42
|
| Rate for Payer: BCBS Complete |
$241.54
|
| Rate for Payer: BCBS MAPPO |
$340.57
|
| Rate for Payer: BCBS Trust/PPO |
$3,266.48
|
| Rate for Payer: BCN Commercial |
$514.58
|
| Rate for Payer: BCN Medicare Advantage |
$340.57
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cofinity Commercial |
$490.42
|
| Rate for Payer: Cofinity Commercial |
$456.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$340.57
|
| Rate for Payer: Healthscope Commercial |
$630.05
|
| Rate for Payer: Healthscope Commercial |
$544.91
|
| Rate for Payer: Mclaren Medicaid |
$230.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$357.60
|
| Rate for Payer: Meridian Medicaid |
$241.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62,293.00
|
| Rate for Payer: Nomi Health Commercial |
$408.68
|
| Rate for Payer: PACE SWMI |
$340.57
|
| Rate for Payer: PHP Medicare Advantage |
$340.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$230.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$434.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$570.94
|
| Rate for Payer: Priority Health Medicare |
$340.57
|
| Rate for Payer: Priority Health Narrow Network |
$570.94
|
| Rate for Payer: Priority Health SBD |
$570.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$444.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$340.57
|
| Rate for Payer: UHC Exchange |
$444.85
|
| Rate for Payer: UHC Medicare Advantage |
$340.57
|
| Rate for Payer: UHCCP Medicaid |
$230.04
|
|
|
PR REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS
|
Professional
|
Both
|
$450.00
|
|
|
Service Code
|
HCPCS 23330
|
| Min. Negotiated Rate |
$64.52 |
| Max. Negotiated Rate |
$29,354.00 |
| Rate for Payer: Aetna Commercial |
$215.51
|
| Rate for Payer: Aetna Medicare |
$167.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.60
|
| Rate for Payer: BCBS Complete |
$115.41
|
| Rate for Payer: BCBS MAPPO |
$160.83
|
| Rate for Payer: BCBS Trust/PPO |
$64.52
|
| Rate for Payer: BCN Commercial |
$444.20
|
| Rate for Payer: BCN Medicare Advantage |
$160.83
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cofinity Commercial |
$231.60
|
| Rate for Payer: Cofinity Commercial |
$215.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$160.83
|
| Rate for Payer: Healthscope Commercial |
$297.54
|
| Rate for Payer: Healthscope Commercial |
$257.33
|
| Rate for Payer: Mclaren Medicaid |
$109.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$168.87
|
| Rate for Payer: Meridian Medicaid |
$115.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29,354.00
|
| Rate for Payer: Nomi Health Commercial |
$193.00
|
| Rate for Payer: PACE SWMI |
$160.83
|
| Rate for Payer: PHP Medicare Advantage |
$160.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$292.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$260.03
|
| Rate for Payer: Priority Health Medicare |
$160.83
|
| Rate for Payer: Priority Health Narrow Network |
$260.03
|
| Rate for Payer: Priority Health SBD |
$260.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$160.83
|
| Rate for Payer: UHC Exchange |
$293.25
|
| Rate for Payer: UHC Medicare Advantage |
$160.83
|
| Rate for Payer: UHCCP Medicaid |
$109.91
|
|
|
PR REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP
|
Professional
|
Both
|
$907.00
|
|
|
Service Code
|
HCPCS 24201
|
| Min. Negotiated Rate |
$162.72 |
| Max. Negotiated Rate |
$65,153.00 |
| Rate for Payer: Aetna Commercial |
$518.78
|
| Rate for Payer: Aetna Medicare |
$402.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$518.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$557.50
|
| Rate for Payer: BCBS Complete |
$277.33
|
| Rate for Payer: BCBS MAPPO |
$387.15
|
| Rate for Payer: BCBS Trust/PPO |
$162.72
|
| Rate for Payer: BCN Commercial |
$810.72
|
| Rate for Payer: BCN Medicare Advantage |
$387.15
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cash Price |
$725.60
|
| Rate for Payer: Cofinity Commercial |
$557.50
|
| Rate for Payer: Cofinity Commercial |
$518.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.15
|
| Rate for Payer: Healthscope Commercial |
$716.23
|
| Rate for Payer: Healthscope Commercial |
$619.44
|
| Rate for Payer: Mclaren Medicaid |
$264.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.51
|
| Rate for Payer: Meridian Medicaid |
$277.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65,153.00
|
| Rate for Payer: Nomi Health Commercial |
$464.58
|
| Rate for Payer: PACE SWMI |
$387.15
|
| Rate for Payer: PHP Medicare Advantage |
$387.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$264.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$589.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$624.38
|
| Rate for Payer: Priority Health Medicare |
$387.15
|
| Rate for Payer: Priority Health Narrow Network |
$624.38
|
| Rate for Payer: Priority Health SBD |
$624.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$537.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.15
|
| Rate for Payer: UHC Exchange |
$537.46
|
| Rate for Payer: UHC Medicare Advantage |
$387.15
|
| Rate for Payer: UHCCP Medicaid |
$264.12
|
|
|
PR REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,105.00
|
|
|
Service Code
|
HCPCS 27090
|
| Min. Negotiated Rate |
$412.60 |
| Max. Negotiated Rate |
$147,733.00 |
| Rate for Payer: Aetna Commercial |
$1,071.02
|
| Rate for Payer: Aetna Medicare |
$831.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,071.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,150.95
|
| Rate for Payer: BCBS Complete |
$565.83
|
| Rate for Payer: BCBS MAPPO |
$799.27
|
| Rate for Payer: BCBS Trust/PPO |
$412.60
|
| Rate for Payer: BCN Commercial |
$1,222.67
|
| Rate for Payer: BCN Medicare Advantage |
$799.27
|
| Rate for Payer: Cash Price |
$1,684.00
|
| Rate for Payer: Cash Price |
$1,684.00
|
| Rate for Payer: Cofinity Commercial |
$1,150.95
|
| Rate for Payer: Cofinity Commercial |
$1,071.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$799.27
|
| Rate for Payer: Healthscope Commercial |
$1,478.65
|
| Rate for Payer: Healthscope Commercial |
$1,278.83
|
| Rate for Payer: Mclaren Medicaid |
$538.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$839.23
|
| Rate for Payer: Meridian Medicaid |
$565.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147,733.00
|
| Rate for Payer: Nomi Health Commercial |
$959.12
|
| Rate for Payer: PACE SWMI |
$799.27
|
| Rate for Payer: PHP Medicare Advantage |
$799.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$538.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,368.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,278.76
|
| Rate for Payer: Priority Health Medicare |
$799.27
|
| Rate for Payer: Priority Health Narrow Network |
$1,278.76
|
| Rate for Payer: Priority Health SBD |
$1,278.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$928.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$799.27
|
| Rate for Payer: UHC Exchange |
$928.42
|
| Rate for Payer: UHC Medicare Advantage |
$799.27
|
| Rate for Payer: UHCCP Medicaid |
$538.89
|
|
|
PR REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG&RESPIR SNR
|
Professional
|
Both
|
$2,509.00
|
|
|
Service Code
|
HCPCS 64584
|
| Min. Negotiated Rate |
$468.17 |
| Max. Negotiated Rate |
$129,244.00 |
| Rate for Payer: Aetna Commercial |
$933.86
|
| Rate for Payer: Aetna Medicare |
$724.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,003.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$933.86
|
| Rate for Payer: BCBS Complete |
$491.58
|
| Rate for Payer: BCBS MAPPO |
$696.91
|
| Rate for Payer: BCN Commercial |
$1,064.34
|
| Rate for Payer: BCN Medicare Advantage |
$696.91
|
| Rate for Payer: Cash Price |
$2,007.20
|
| Rate for Payer: Cash Price |
$2,007.20
|
| Rate for Payer: Cofinity Commercial |
$933.86
|
| Rate for Payer: Cofinity Commercial |
$1,003.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$696.91
|
| Rate for Payer: Healthscope Commercial |
$1,289.28
|
| Rate for Payer: Healthscope Commercial |
$1,115.06
|
| Rate for Payer: Mclaren Medicaid |
$468.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$731.76
|
| Rate for Payer: Meridian Medicaid |
$491.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129,244.00
|
| Rate for Payer: Nomi Health Commercial |
$836.29
|
| Rate for Payer: PACE SWMI |
$696.91
|
| Rate for Payer: PHP Medicare Advantage |
$696.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$468.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,630.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,244.91
|
| Rate for Payer: Priority Health Medicare |
$696.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,244.91
|
| Rate for Payer: Priority Health SBD |
$1,244.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$696.91
|
| Rate for Payer: UHC Medicare Advantage |
$696.91
|
| Rate for Payer: UHCCP Medicaid |
$468.17
|
|
|
PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 69210
|
| Min. Negotiated Rate |
$20.45 |
| Max. Negotiated Rate |
$5,801.00 |
| Rate for Payer: Aetna Commercial |
$41.06
|
| Rate for Payer: Aetna Medicare |
$31.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.06
|
| Rate for Payer: BCBS Complete |
$21.47
|
| Rate for Payer: BCBS MAPPO |
$30.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,090.48
|
| Rate for Payer: BCN Commercial |
$55.76
|
| Rate for Payer: BCN Medicare Advantage |
$30.64
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cofinity Commercial |
$44.12
|
| Rate for Payer: Cofinity Commercial |
$41.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.64
|
| Rate for Payer: Healthscope Commercial |
$49.02
|
| Rate for Payer: Healthscope Commercial |
$56.68
|
| Rate for Payer: Mclaren Medicaid |
$20.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.17
|
| Rate for Payer: Meridian Medicaid |
$21.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,801.00
|
| Rate for Payer: Nomi Health Commercial |
$36.77
|
| Rate for Payer: PACE SWMI |
$30.64
|
| Rate for Payer: PHP Medicare Advantage |
$30.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.18
|
| Rate for Payer: Priority Health Medicare |
$30.64
|
| Rate for Payer: Priority Health Narrow Network |
$47.18
|
| Rate for Payer: Priority Health SBD |
$47.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.64
|
| Rate for Payer: UHC Exchange |
$51.41
|
| Rate for Payer: UHC Medicare Advantage |
$30.64
|
| Rate for Payer: UHCCP Medicaid |
$20.45
|
|
