|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN
|
Professional
|
Both
|
$435.00
|
|
|
Service Code
|
HCPCS 98011
|
| Min. Negotiated Rate |
$174.00 |
| Max. Negotiated Rate |
$282.75 |
| Rate for Payer: Aetna Medicare |
$217.50
|
| Rate for Payer: BCBS Complete |
$174.00
|
| Rate for Payer: Cash Price |
$348.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$282.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.75
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN
|
Professional
|
Both
|
$207.00
|
|
|
Service Code
|
HCPCS 98009
|
| Min. Negotiated Rate |
$82.80 |
| Max. Negotiated Rate |
$134.55 |
| Rate for Payer: Aetna Medicare |
$103.50
|
| Rate for Payer: BCBS Complete |
$82.80
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.55
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN
|
Professional
|
Both
|
$332.00
|
|
|
Service Code
|
HCPCS 98010
|
| Min. Negotiated Rate |
$132.80 |
| Max. Negotiated Rate |
$215.80 |
| Rate for Payer: Aetna Medicare |
$166.00
|
| Rate for Payer: BCBS Complete |
$132.80
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$215.80
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN
|
Professional
|
Both
|
$121.00
|
|
|
Service Code
|
HCPCS 98008
|
| Min. Negotiated Rate |
$48.40 |
| Max. Negotiated Rate |
$78.65 |
| Rate for Payer: Aetna Medicare |
$60.50
|
| Rate for Payer: BCBS Complete |
$48.40
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.65
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 98005
|
| Min. Negotiated Rate |
$77.60 |
| Max. Negotiated Rate |
$126.10 |
| Rate for Payer: Aetna Medicare |
$97.00
|
| Rate for Payer: BCBS Complete |
$77.60
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.10
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN
|
Professional
|
Both
|
$263.00
|
|
|
Service Code
|
HCPCS 98006
|
| Min. Negotiated Rate |
$105.20 |
| Max. Negotiated Rate |
$170.95 |
| Rate for Payer: Aetna Medicare |
$131.50
|
| Rate for Payer: BCBS Complete |
$105.20
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$170.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.95
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN
|
Professional
|
Both
|
$111.00
|
|
|
Service Code
|
HCPCS 98004
|
| Min. Negotiated Rate |
$44.40 |
| Max. Negotiated Rate |
$72.15 |
| Rate for Payer: Aetna Medicare |
$55.50
|
| Rate for Payer: BCBS Complete |
$44.40
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.15
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN
|
Professional
|
Both
|
$237.00
|
|
|
Service Code
|
HCPCS 98001
|
| Min. Negotiated Rate |
$94.80 |
| Max. Negotiated Rate |
$154.05 |
| Rate for Payer: Aetna Medicare |
$118.50
|
| Rate for Payer: BCBS Complete |
$94.80
|
| Rate for Payer: Cash Price |
$189.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$154.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$154.05
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN
|
Professional
|
Both
|
$355.00
|
|
|
Service Code
|
HCPCS 98002
|
| Min. Negotiated Rate |
$142.00 |
| Max. Negotiated Rate |
$230.75 |
| Rate for Payer: Aetna Medicare |
$177.50
|
| Rate for Payer: BCBS Complete |
$142.00
|
| Rate for Payer: Cash Price |
$284.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$230.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.75
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN
|
Professional
|
Both
|
$127.00
|
|
|
Service Code
|
HCPCS 98000
|
| Min. Negotiated Rate |
$50.80 |
| Max. Negotiated Rate |
$82.55 |
| Rate for Payer: Aetna Medicare |
$63.50
|
| Rate for Payer: BCBS Complete |
$50.80
|
| Rate for Payer: Cash Price |
$101.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$82.55
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN
|
Professional
|
Both
|
$355.00
|
|
|
Service Code
|
HCPCS 98007
|
| Min. Negotiated Rate |
$142.00 |
| Max. Negotiated Rate |
$230.75 |
| Rate for Payer: Aetna Medicare |
$177.50
|
| Rate for Payer: BCBS Complete |
$142.00
|
| Rate for Payer: Cash Price |
$284.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$230.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$230.75
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN
|
Professional
|
Both
|
$477.00
|
|
|
Service Code
|
HCPCS 98003
|
| Min. Negotiated Rate |
$190.80 |
| Max. Negotiated Rate |
$310.05 |
| Rate for Payer: Aetna Medicare |
$238.50
|
| Rate for Payer: BCBS Complete |
$190.80
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$310.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.05
|
|
|
PR SYNDACTYLIZATION TOES
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 28280
|
| Min. Negotiated Rate |
$325.92 |
| Max. Negotiated Rate |
$602.95 |
| Rate for Payer: Aetna Commercial |
$436.73
|
| Rate for Payer: Aetna Medicare |
$338.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$469.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.73
|
| Rate for Payer: BCBS Complete |
$340.80
|
| Rate for Payer: BCBS MAPPO |
$325.92
|
| Rate for Payer: BCN Medicare Advantage |
$325.92
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$469.32
|
| Rate for Payer: Cofinity Commercial |
$436.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.92
|
| Rate for Payer: Healthscope Commercial |
$602.95
|
| Rate for Payer: Healthscope Commercial |
$521.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$553.80
|
| Rate for Payer: Nomi Health Commercial |
$391.10
|
| Rate for Payer: PACE SWMI |
$325.92
|
| Rate for Payer: PHP Medicare Advantage |
$325.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$553.80
|
| Rate for Payer: Priority Health Medicare |
$325.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.92
|
| Rate for Payer: UHC Medicare Advantage |
$325.92
|
|
|
PR SYNOVECTOMY CARPOMETACARPAL JOINT
|
Professional
|
Both
|
$1,182.00
|
|
|
Service Code
|
HCPCS 26130
|
| Min. Negotiated Rate |
$454.89 |
| Max. Negotiated Rate |
$841.55 |
| Rate for Payer: Aetna Commercial |
$609.55
|
| Rate for Payer: Aetna Medicare |
$473.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.55
|
| Rate for Payer: BCBS Complete |
$472.80
|
| Rate for Payer: BCBS MAPPO |
$454.89
|
| Rate for Payer: BCN Medicare Advantage |
$454.89
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cash Price |
$945.60
|
| Rate for Payer: Cofinity Commercial |
$655.04
|
| Rate for Payer: Cofinity Commercial |
$609.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$454.89
|
| Rate for Payer: Healthscope Commercial |
$727.82
|
| Rate for Payer: Healthscope Commercial |
$841.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$477.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$768.30
|
| Rate for Payer: Nomi Health Commercial |
$545.87
|
| Rate for Payer: PACE SWMI |
$454.89
|
| Rate for Payer: PHP Medicare Advantage |
$454.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$768.30
|
| Rate for Payer: Priority Health Medicare |
$454.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$454.89
|
| Rate for Payer: UHC Medicare Advantage |
$454.89
|
|
|
PR SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT
|
Professional
|
Both
|
$1,276.00
|
|
|
Service Code
|
HCPCS 25118
|
| Min. Negotiated Rate |
$371.57 |
| Max. Negotiated Rate |
$829.40 |
| Rate for Payer: Aetna Commercial |
$497.90
|
| Rate for Payer: Aetna Medicare |
$386.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.90
|
| Rate for Payer: BCBS Complete |
$510.40
|
| Rate for Payer: BCBS MAPPO |
$371.57
|
| Rate for Payer: BCN Medicare Advantage |
$371.57
|
| Rate for Payer: Cash Price |
$1,020.80
|
| Rate for Payer: Cash Price |
$1,020.80
|
| Rate for Payer: Cofinity Commercial |
$535.06
|
| Rate for Payer: Cofinity Commercial |
$497.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.57
|
| Rate for Payer: Healthscope Commercial |
$687.40
|
| Rate for Payer: Healthscope Commercial |
$594.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$829.40
|
| Rate for Payer: Nomi Health Commercial |
$445.88
|
| Rate for Payer: PACE SWMI |
$371.57
|
| Rate for Payer: PHP Medicare Advantage |
$371.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$829.40
|
| Rate for Payer: Priority Health Medicare |
$371.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.57
|
| Rate for Payer: UHC Medicare Advantage |
$371.57
|
|
|
PR SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH
|
Professional
|
Both
|
$1,016.00
|
|
|
Service Code
|
HCPCS 28072
|
| Min. Negotiated Rate |
$311.75 |
| Max. Negotiated Rate |
$660.40 |
| Rate for Payer: Aetna Commercial |
$417.75
|
| Rate for Payer: Aetna Medicare |
$324.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$417.75
|
| Rate for Payer: BCBS Complete |
$406.40
|
| Rate for Payer: BCBS MAPPO |
$311.75
|
| Rate for Payer: BCN Medicare Advantage |
$311.75
|
| Rate for Payer: Cash Price |
$812.80
|
| Rate for Payer: Cash Price |
$812.80
|
| Rate for Payer: Cofinity Commercial |
$448.92
|
| Rate for Payer: Cofinity Commercial |
$417.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.75
|
| Rate for Payer: Healthscope Commercial |
$498.80
|
| Rate for Payer: Healthscope Commercial |
$576.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$660.40
|
| Rate for Payer: Nomi Health Commercial |
$374.10
|
| Rate for Payer: PACE SWMI |
$311.75
|
| Rate for Payer: PHP Medicare Advantage |
$311.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$660.40
|
| Rate for Payer: Priority Health Medicare |
$311.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$311.75
|
| Rate for Payer: UHC Medicare Advantage |
$311.75
|
|
|
PR SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD
|
Professional
|
Both
|
$1,726.00
|
|
|
Service Code
|
HCPCS 26135
|
| Min. Negotiated Rate |
$537.34 |
| Max. Negotiated Rate |
$1,121.90 |
| Rate for Payer: Aetna Commercial |
$720.04
|
| Rate for Payer: Aetna Medicare |
$558.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$773.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$720.04
|
| Rate for Payer: BCBS Complete |
$690.40
|
| Rate for Payer: BCBS MAPPO |
$537.34
|
| Rate for Payer: BCN Medicare Advantage |
$537.34
|
| Rate for Payer: Cash Price |
$1,380.80
|
| Rate for Payer: Cash Price |
$1,380.80
|
| Rate for Payer: Cofinity Commercial |
$773.77
|
| Rate for Payer: Cofinity Commercial |
$720.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.34
|
| Rate for Payer: Healthscope Commercial |
$994.08
|
| Rate for Payer: Healthscope Commercial |
$859.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,121.90
|
| Rate for Payer: Nomi Health Commercial |
$644.81
|
| Rate for Payer: PACE SWMI |
$537.34
|
| Rate for Payer: PHP Medicare Advantage |
$537.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,121.90
|
| Rate for Payer: Priority Health Medicare |
$537.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$537.34
|
| Rate for Payer: UHC Medicare Advantage |
$537.34
|
|
|
PR SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT
|
Professional
|
Both
|
$1,476.00
|
|
|
Service Code
|
HCPCS 26140
|
| Min. Negotiated Rate |
$491.61 |
| Max. Negotiated Rate |
$959.40 |
| Rate for Payer: Aetna Commercial |
$658.76
|
| Rate for Payer: Aetna Medicare |
$511.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$707.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.76
|
| Rate for Payer: BCBS Complete |
$590.40
|
| Rate for Payer: BCBS MAPPO |
$491.61
|
| Rate for Payer: BCN Medicare Advantage |
$491.61
|
| Rate for Payer: Cash Price |
$1,180.80
|
| Rate for Payer: Cash Price |
$1,180.80
|
| Rate for Payer: Cofinity Commercial |
$707.92
|
| Rate for Payer: Cofinity Commercial |
$658.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.61
|
| Rate for Payer: Healthscope Commercial |
$786.58
|
| Rate for Payer: Healthscope Commercial |
$909.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$516.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$959.40
|
| Rate for Payer: Nomi Health Commercial |
$589.93
|
| Rate for Payer: PACE SWMI |
$491.61
|
| Rate for Payer: PHP Medicare Advantage |
$491.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$959.40
|
| Rate for Payer: Priority Health Medicare |
$491.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$491.61
|
| Rate for Payer: UHC Medicare Advantage |
$491.61
|
|
|
PR SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN
|
Professional
|
Both
|
$1,680.00
|
|
|
Service Code
|
HCPCS 26145
|
| Min. Negotiated Rate |
$500.59 |
| Max. Negotiated Rate |
$1,092.00 |
| Rate for Payer: Aetna Commercial |
$670.79
|
| Rate for Payer: Aetna Medicare |
$520.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$720.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$670.79
|
| Rate for Payer: BCBS Complete |
$672.00
|
| Rate for Payer: BCBS MAPPO |
$500.59
|
| Rate for Payer: BCN Medicare Advantage |
$500.59
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cofinity Commercial |
$720.85
|
| Rate for Payer: Cofinity Commercial |
$670.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$500.59
|
| Rate for Payer: Healthscope Commercial |
$926.09
|
| Rate for Payer: Healthscope Commercial |
$800.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$525.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,092.00
|
| Rate for Payer: Nomi Health Commercial |
$600.71
|
| Rate for Payer: PACE SWMI |
$500.59
|
| Rate for Payer: PHP Medicare Advantage |
$500.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.00
|
| Rate for Payer: Priority Health Medicare |
$500.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$500.59
|
| Rate for Payer: UHC Medicare Advantage |
$500.59
|
|
|
PR SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA
|
Professional
|
Both
|
$1,796.00
|
|
|
Service Code
|
HCPCS 25119
|
| Min. Negotiated Rate |
$487.16 |
| Max. Negotiated Rate |
$1,167.40 |
| Rate for Payer: Aetna Commercial |
$652.79
|
| Rate for Payer: Aetna Medicare |
$506.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$701.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$652.79
|
| Rate for Payer: BCBS Complete |
$718.40
|
| Rate for Payer: BCBS MAPPO |
$487.16
|
| Rate for Payer: BCN Medicare Advantage |
$487.16
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cash Price |
$1,436.80
|
| Rate for Payer: Cofinity Commercial |
$701.51
|
| Rate for Payer: Cofinity Commercial |
$652.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$487.16
|
| Rate for Payer: Healthscope Commercial |
$779.46
|
| Rate for Payer: Healthscope Commercial |
$901.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$511.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,167.40
|
| Rate for Payer: Nomi Health Commercial |
$584.59
|
| Rate for Payer: PACE SWMI |
$487.16
|
| Rate for Payer: PHP Medicare Advantage |
$487.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,167.40
|
| Rate for Payer: Priority Health Medicare |
$487.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$487.16
|
| Rate for Payer: UHC Medicare Advantage |
$487.16
|
|
|
PR SYNVISC OR SYNVISC-ONE
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS J7325
|
| Min. Negotiated Rate |
$7.95 |
| Max. Negotiated Rate |
$33.15 |
| Rate for Payer: Aetna Commercial |
$10.65
|
| Rate for Payer: Aetna Medicare |
$8.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.65
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS MAPPO |
$7.95
|
| Rate for Payer: BCN Medicare Advantage |
$7.95
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$11.45
|
| Rate for Payer: Cofinity Commercial |
$10.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.95
|
| Rate for Payer: Healthscope Commercial |
$14.71
|
| Rate for Payer: Healthscope Commercial |
$12.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.15
|
| Rate for Payer: Nomi Health Commercial |
$9.54
|
| Rate for Payer: PACE SWMI |
$7.95
|
| Rate for Payer: PHP Medicare Advantage |
$7.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health Medicare |
$7.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.95
|
| Rate for Payer: UHC Medicare Advantage |
$7.95
|
|
|
PR TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 11103
|
| Min. Negotiated Rate |
$20.59 |
| Max. Negotiated Rate |
$68.25 |
| Rate for Payer: Aetna Commercial |
$27.59
|
| Rate for Payer: Aetna Medicare |
$21.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.59
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: BCBS MAPPO |
$20.59
|
| Rate for Payer: BCN Medicare Advantage |
$20.59
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$29.65
|
| Rate for Payer: Cofinity Commercial |
$27.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.59
|
| Rate for Payer: Healthscope Commercial |
$32.94
|
| Rate for Payer: Healthscope Commercial |
$38.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.25
|
| Rate for Payer: Nomi Health Commercial |
$24.71
|
| Rate for Payer: PACE SWMI |
$20.59
|
| Rate for Payer: PHP Medicare Advantage |
$20.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.25
|
| Rate for Payer: Priority Health Medicare |
$20.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.59
|
| Rate for Payer: UHC Medicare Advantage |
$20.59
|
|
|
PR TANGENTIAL BIOPSY SKIN SINGLE LESION
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 11102
|
| Min. Negotiated Rate |
$35.41 |
| Max. Negotiated Rate |
$126.10 |
| Rate for Payer: Aetna Commercial |
$47.45
|
| Rate for Payer: Aetna Medicare |
$36.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.45
|
| Rate for Payer: BCBS Complete |
$77.60
|
| Rate for Payer: BCBS MAPPO |
$35.41
|
| Rate for Payer: BCN Medicare Advantage |
$35.41
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$50.99
|
| Rate for Payer: Cofinity Commercial |
$47.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.41
|
| Rate for Payer: Healthscope Commercial |
$65.51
|
| Rate for Payer: Healthscope Commercial |
$56.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.10
|
| Rate for Payer: Nomi Health Commercial |
$42.49
|
| Rate for Payer: PACE SWMI |
$35.41
|
| Rate for Payer: PHP Medicare Advantage |
$35.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.10
|
| Rate for Payer: Priority Health Medicare |
$35.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.41
|
| Rate for Payer: UHC Medicare Advantage |
$35.41
|
|
|
PR TAP BLOCK UNILATERAL BY INJECTION(S)
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 64486
|
| Min. Negotiated Rate |
$45.60 |
| Max. Negotiated Rate |
$92.46 |
| Rate for Payer: Aetna Commercial |
$66.97
|
| Rate for Payer: Aetna Medicare |
$51.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.97
|
| Rate for Payer: BCBS Complete |
$45.60
|
| Rate for Payer: BCBS MAPPO |
$49.98
|
| Rate for Payer: BCN Medicare Advantage |
$49.98
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$71.97
|
| Rate for Payer: Cofinity Commercial |
$66.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.98
|
| Rate for Payer: Healthscope Commercial |
$79.97
|
| Rate for Payer: Healthscope Commercial |
$92.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.10
|
| Rate for Payer: Nomi Health Commercial |
$59.98
|
| Rate for Payer: PACE SWMI |
$49.98
|
| Rate for Payer: PHP Medicare Advantage |
$49.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.10
|
| Rate for Payer: Priority Health Medicare |
$49.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.98
|
| Rate for Payer: UHC Medicare Advantage |
$49.98
|
|
|
PR TATTOOING INCL MICROPIGMENTATION 6.0 CM/<
|
Professional
|
Both
|
$323.00
|
|
|
Service Code
|
HCPCS 11920
|
| Min. Negotiated Rate |
$108.46 |
| Max. Negotiated Rate |
$209.95 |
| Rate for Payer: Aetna Commercial |
$145.34
|
| Rate for Payer: Aetna Medicare |
$112.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.34
|
| Rate for Payer: BCBS Complete |
$129.20
|
| Rate for Payer: BCBS MAPPO |
$108.46
|
| Rate for Payer: BCN Medicare Advantage |
$108.46
|
| Rate for Payer: Cash Price |
$258.40
|
| Rate for Payer: Cash Price |
$258.40
|
| Rate for Payer: Cofinity Commercial |
$156.18
|
| Rate for Payer: Cofinity Commercial |
$145.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.46
|
| Rate for Payer: Healthscope Commercial |
$200.65
|
| Rate for Payer: Healthscope Commercial |
$173.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$113.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$209.95
|
| Rate for Payer: Nomi Health Commercial |
$130.15
|
| Rate for Payer: PACE SWMI |
$108.46
|
| Rate for Payer: PHP Medicare Advantage |
$108.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.95
|
| Rate for Payer: Priority Health Medicare |
$108.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$108.46
|
| Rate for Payer: UHC Medicare Advantage |
$108.46
|
|
