|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$2,474.00
|
|
|
Service Code
|
HCPCS 32151
|
| Min. Negotiated Rate |
$638.36 |
| Max. Negotiated Rate |
$177,997.00 |
| Rate for Payer: Aetna Commercial |
$1,295.78
|
| Rate for Payer: Aetna Medicare |
$1,005.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,295.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,392.48
|
| Rate for Payer: BCBS Complete |
$670.28
|
| Rate for Payer: BCBS MAPPO |
$967.00
|
| Rate for Payer: BCBS Trust/PPO |
$882.26
|
| Rate for Payer: BCN Commercial |
$1,448.44
|
| Rate for Payer: BCN Medicare Advantage |
$967.00
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cofinity Commercial |
$1,392.48
|
| Rate for Payer: Cofinity Commercial |
$1,295.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.00
|
| Rate for Payer: Healthscope Commercial |
$1,788.95
|
| Rate for Payer: Healthscope Commercial |
$1,547.20
|
| Rate for Payer: Mclaren Medicaid |
$638.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,015.35
|
| Rate for Payer: Meridian Medicaid |
$670.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$177,997.00
|
| Rate for Payer: Nomi Health Commercial |
$1,160.40
|
| Rate for Payer: PACE SWMI |
$967.00
|
| Rate for Payer: PHP Medicare Advantage |
$967.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$638.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,608.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,382.98
|
| Rate for Payer: Priority Health Medicare |
$967.00
|
| Rate for Payer: Priority Health Narrow Network |
$1,382.98
|
| Rate for Payer: Priority Health SBD |
$1,382.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,211.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.00
|
| Rate for Payer: UHC Exchange |
$1,211.95
|
| Rate for Payer: UHC Medicare Advantage |
$967.00
|
| Rate for Payer: UHCCP Medicaid |
$638.36
|
|
|
PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY
|
Professional
|
Both
|
$868.00
|
|
|
Service Code
|
HCPCS 32674
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$38,065.00 |
| Rate for Payer: Aetna Commercial |
$276.52
|
| Rate for Payer: Aetna Medicare |
$214.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$297.16
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS MAPPO |
$206.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,006.41
|
| Rate for Payer: BCN Commercial |
$306.40
|
| Rate for Payer: BCN Medicare Advantage |
$206.36
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Cash Price |
$694.40
|
| Rate for Payer: Cofinity Commercial |
$297.16
|
| Rate for Payer: Cofinity Commercial |
$276.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$206.36
|
| Rate for Payer: Healthscope Commercial |
$330.18
|
| Rate for Payer: Healthscope Commercial |
$381.77
|
| Rate for Payer: Mclaren Medicaid |
$134.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$216.68
|
| Rate for Payer: Meridian Medicaid |
$141.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,065.00
|
| Rate for Payer: Nomi Health Commercial |
$247.63
|
| Rate for Payer: PACE SWMI |
$206.36
|
| Rate for Payer: PHP Medicare Advantage |
$206.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.44
|
| Rate for Payer: Priority Health Medicare |
$206.36
|
| Rate for Payer: Priority Health Narrow Network |
$292.44
|
| Rate for Payer: Priority Health SBD |
$292.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$206.36
|
| Rate for Payer: UHC Medicare Advantage |
$206.36
|
| Rate for Payer: UHCCP Medicaid |
$134.40
|
|
|
PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX
|
Professional
|
Both
|
$1,060.00
|
|
|
Service Code
|
HCPCS 32601
|
| Min. Negotiated Rate |
$194.47 |
| Max. Negotiated Rate |
$54,518.00 |
| Rate for Payer: Aetna Commercial |
$396.49
|
| Rate for Payer: Aetna Medicare |
$307.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$426.08
|
| Rate for Payer: BCBS Complete |
$204.19
|
| Rate for Payer: BCBS MAPPO |
$295.89
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: BCN Medicare Advantage |
$295.89
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cash Price |
$848.00
|
| Rate for Payer: Cofinity Commercial |
$426.08
|
| Rate for Payer: Cofinity Commercial |
$396.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.89
|
| Rate for Payer: Healthscope Commercial |
$547.40
|
| Rate for Payer: Healthscope Commercial |
$473.42
|
| Rate for Payer: Mclaren Medicaid |
$194.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.68
|
| Rate for Payer: Meridian Medicaid |
$204.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,518.00
|
| Rate for Payer: Nomi Health Commercial |
$355.07
|
| Rate for Payer: PACE SWMI |
$295.89
|
| Rate for Payer: PHP Medicare Advantage |
$295.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$689.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.29
|
| Rate for Payer: Priority Health Medicare |
$295.89
|
| Rate for Payer: Priority Health Narrow Network |
$421.29
|
| Rate for Payer: Priority Health SBD |
$421.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.89
|
| Rate for Payer: UHC Exchange |
$450.00
|
| Rate for Payer: UHC Medicare Advantage |
$295.89
|
| Rate for Payer: UHCCP Medicaid |
$194.47
|
|
|
PR THREE AREA LIPOSUCTION - 3 AREA 3.0 HR
|
Professional
|
Both
|
$3,162.00
|
|
|
Service Code
|
HCPCS 00529
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,264.80 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Aetna Medicare |
$1,581.00
|
| Rate for Payer: BCBS Complete |
$1,264.80
|
| Rate for Payer: Cash Price |
$2,529.60
|
| Rate for Payer: Cash Price |
$2,529.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,000.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,055.30
|
|
|
PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL
|
Professional
|
Both
|
$2,019.00
|
|
|
Service Code
|
HCPCS 35875
|
| Min. Negotiated Rate |
$369.77 |
| Max. Negotiated Rate |
$104,706.00 |
| Rate for Payer: Aetna Commercial |
$756.59
|
| Rate for Payer: Aetna Medicare |
$587.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$756.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$813.05
|
| Rate for Payer: BCBS Complete |
$388.26
|
| Rate for Payer: BCBS MAPPO |
$564.62
|
| Rate for Payer: BCBS Trust/PPO |
$2,216.75
|
| Rate for Payer: BCN Commercial |
$846.87
|
| Rate for Payer: BCN Medicare Advantage |
$564.62
|
| Rate for Payer: Cash Price |
$1,615.20
|
| Rate for Payer: Cash Price |
$1,615.20
|
| Rate for Payer: Cofinity Commercial |
$756.59
|
| Rate for Payer: Cofinity Commercial |
$813.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$564.62
|
| Rate for Payer: Healthscope Commercial |
$903.39
|
| Rate for Payer: Healthscope Commercial |
$1,044.55
|
| Rate for Payer: Mclaren Medicaid |
$369.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$592.85
|
| Rate for Payer: Meridian Medicaid |
$388.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,706.00
|
| Rate for Payer: Nomi Health Commercial |
$677.54
|
| Rate for Payer: PACE SWMI |
$564.62
|
| Rate for Payer: PHP Medicare Advantage |
$564.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,312.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$923.77
|
| Rate for Payer: Priority Health Medicare |
$564.62
|
| Rate for Payer: Priority Health Narrow Network |
$923.77
|
| Rate for Payer: Priority Health SBD |
$923.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$806.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$564.62
|
| Rate for Payer: UHC Exchange |
$806.20
|
| Rate for Payer: UHC Medicare Advantage |
$564.62
|
| Rate for Payer: UHCCP Medicaid |
$369.77
|
|
|
PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF
|
Professional
|
Both
|
$2,817.00
|
|
|
Service Code
|
HCPCS 35876
|
| Min. Negotiated Rate |
$588.95 |
| Max. Negotiated Rate |
$166,874.00 |
| Rate for Payer: Aetna Commercial |
$1,209.60
|
| Rate for Payer: Aetna Medicare |
$938.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,209.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,299.87
|
| Rate for Payer: BCBS Complete |
$618.40
|
| Rate for Payer: BCBS MAPPO |
$902.69
|
| Rate for Payer: BCBS Trust/PPO |
$3,041.71
|
| Rate for Payer: BCN Commercial |
$1,344.84
|
| Rate for Payer: BCN Medicare Advantage |
$902.69
|
| Rate for Payer: Cash Price |
$2,253.60
|
| Rate for Payer: Cash Price |
$2,253.60
|
| Rate for Payer: Cofinity Commercial |
$1,299.87
|
| Rate for Payer: Cofinity Commercial |
$1,209.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.69
|
| Rate for Payer: Healthscope Commercial |
$1,669.98
|
| Rate for Payer: Healthscope Commercial |
$1,444.30
|
| Rate for Payer: Mclaren Medicaid |
$588.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$947.82
|
| Rate for Payer: Meridian Medicaid |
$618.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$166,874.00
|
| Rate for Payer: Nomi Health Commercial |
$1,083.23
|
| Rate for Payer: PACE SWMI |
$902.69
|
| Rate for Payer: PHP Medicare Advantage |
$902.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$588.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,831.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,468.37
|
| Rate for Payer: Priority Health Medicare |
$902.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,468.37
|
| Rate for Payer: Priority Health SBD |
$1,468.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,242.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$902.69
|
| Rate for Payer: UHC Exchange |
$1,242.92
|
| Rate for Payer: UHC Medicare Advantage |
$902.69
|
| Rate for Payer: UHCCP Medicaid |
$588.95
|
|
|
PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 34490
|
| Min. Negotiated Rate |
$361.25 |
| Max. Negotiated Rate |
$114,800.00 |
| Rate for Payer: Aetna Commercial |
$742.11
|
| Rate for Payer: Aetna Medicare |
$575.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$742.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$797.49
|
| Rate for Payer: BCBS Complete |
$379.31
|
| Rate for Payer: BCBS MAPPO |
$553.81
|
| Rate for Payer: BCBS Trust/PPO |
$2,309.73
|
| Rate for Payer: BCN Commercial |
$933.86
|
| Rate for Payer: BCN Medicare Advantage |
$553.81
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cofinity Commercial |
$797.49
|
| Rate for Payer: Cofinity Commercial |
$742.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$553.81
|
| Rate for Payer: Healthscope Commercial |
$886.10
|
| Rate for Payer: Healthscope Commercial |
$1,024.55
|
| Rate for Payer: Mclaren Medicaid |
$361.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$581.50
|
| Rate for Payer: Meridian Medicaid |
$379.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$114,800.00
|
| Rate for Payer: Nomi Health Commercial |
$664.57
|
| Rate for Payer: PACE SWMI |
$553.81
|
| Rate for Payer: PHP Medicare Advantage |
$553.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$899.84
|
| Rate for Payer: Priority Health Medicare |
$553.81
|
| Rate for Payer: Priority Health Narrow Network |
$899.84
|
| Rate for Payer: Priority Health SBD |
$899.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$748.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$553.81
|
| Rate for Payer: UHC Exchange |
$748.17
|
| Rate for Payer: UHC Medicare Advantage |
$553.81
|
| Rate for Payer: UHCCP Medicaid |
$361.25
|
|
|
PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF
|
Professional
|
Both
|
$2,115.00
|
|
|
Service Code
|
HCPCS 36831
|
| Min. Negotiated Rate |
$387.87 |
| Max. Negotiated Rate |
$108,959.00 |
| Rate for Payer: Aetna Commercial |
$792.49
|
| Rate for Payer: Aetna Medicare |
$615.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$792.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$851.63
|
| Rate for Payer: BCBS Complete |
$407.26
|
| Rate for Payer: BCBS MAPPO |
$591.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,521.50
|
| Rate for Payer: BCN Commercial |
$882.06
|
| Rate for Payer: BCN Medicare Advantage |
$591.41
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cash Price |
$1,692.00
|
| Rate for Payer: Cofinity Commercial |
$851.63
|
| Rate for Payer: Cofinity Commercial |
$792.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$591.41
|
| Rate for Payer: Healthscope Commercial |
$946.26
|
| Rate for Payer: Healthscope Commercial |
$1,094.11
|
| Rate for Payer: Mclaren Medicaid |
$387.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$620.98
|
| Rate for Payer: Meridian Medicaid |
$407.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108,959.00
|
| Rate for Payer: Nomi Health Commercial |
$709.69
|
| Rate for Payer: PACE SWMI |
$591.41
|
| Rate for Payer: PHP Medicare Advantage |
$591.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,374.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$964.74
|
| Rate for Payer: Priority Health Medicare |
$591.41
|
| Rate for Payer: Priority Health Narrow Network |
$964.74
|
| Rate for Payer: Priority Health SBD |
$964.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$545.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$591.41
|
| Rate for Payer: UHC Exchange |
$545.86
|
| Rate for Payer: UHC Medicare Advantage |
$591.41
|
| Rate for Payer: UHCCP Medicaid |
$387.87
|
|
|
PR THROMBECTOMY,ARTERIOVENOUS FISTULA
|
Professional
|
Both
|
$1,910.00
|
|
|
Service Code
|
HCPCS 36870
|
| Min. Negotiated Rate |
$764.00 |
| Max. Negotiated Rate |
$1,241.50 |
| Rate for Payer: Aetna Medicare |
$955.00
|
| Rate for Payer: BCBS Complete |
$764.00
|
| Rate for Payer: Cash Price |
$1,528.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,241.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,241.50
|
|
|
PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX
|
Professional
|
Both
|
$622.00
|
|
|
Service Code
|
HCPCS 37211
|
| Min. Negotiated Rate |
$241.12 |
| Max. Negotiated Rate |
$68,065.00 |
| Rate for Payer: Aetna Commercial |
$493.58
|
| Rate for Payer: Aetna Medicare |
$383.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$493.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$530.41
|
| Rate for Payer: BCBS Complete |
$253.18
|
| Rate for Payer: BCBS MAPPO |
$368.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,423.24
|
| Rate for Payer: BCN Commercial |
$549.27
|
| Rate for Payer: BCN Medicare Advantage |
$368.34
|
| Rate for Payer: Cash Price |
$497.60
|
| Rate for Payer: Cash Price |
$497.60
|
| Rate for Payer: Cofinity Commercial |
$530.41
|
| Rate for Payer: Cofinity Commercial |
$493.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.34
|
| Rate for Payer: Healthscope Commercial |
$589.34
|
| Rate for Payer: Healthscope Commercial |
$681.43
|
| Rate for Payer: Mclaren Medicaid |
$241.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$386.76
|
| Rate for Payer: Meridian Medicaid |
$253.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68,065.00
|
| Rate for Payer: Nomi Health Commercial |
$442.01
|
| Rate for Payer: PACE SWMI |
$368.34
|
| Rate for Payer: PHP Medicare Advantage |
$368.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$404.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$599.89
|
| Rate for Payer: Priority Health Medicare |
$368.34
|
| Rate for Payer: Priority Health Narrow Network |
$599.89
|
| Rate for Payer: Priority Health SBD |
$599.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$368.34
|
| Rate for Payer: UHC Medicare Advantage |
$368.34
|
| Rate for Payer: UHCCP Medicaid |
$241.12
|
|
|
PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX
|
Professional
|
Both
|
$1,091.00
|
|
|
Service Code
|
HCPCS 37213
|
| Min. Negotiated Rate |
$143.99 |
| Max. Negotiated Rate |
$40,716.00 |
| Rate for Payer: Aetna Commercial |
$294.68
|
| Rate for Payer: Aetna Medicare |
$228.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.67
|
| Rate for Payer: BCBS Complete |
$151.19
|
| Rate for Payer: BCBS MAPPO |
$219.91
|
| Rate for Payer: BCBS Trust/PPO |
$399.45
|
| Rate for Payer: BCN Commercial |
$328.39
|
| Rate for Payer: BCN Medicare Advantage |
$219.91
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cash Price |
$872.80
|
| Rate for Payer: Cofinity Commercial |
$316.67
|
| Rate for Payer: Cofinity Commercial |
$294.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.91
|
| Rate for Payer: Healthscope Commercial |
$351.86
|
| Rate for Payer: Healthscope Commercial |
$406.83
|
| Rate for Payer: Mclaren Medicaid |
$143.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.91
|
| Rate for Payer: Meridian Medicaid |
$151.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,716.00
|
| Rate for Payer: Nomi Health Commercial |
$263.89
|
| Rate for Payer: PACE SWMI |
$219.91
|
| Rate for Payer: PHP Medicare Advantage |
$219.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$709.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$357.38
|
| Rate for Payer: Priority Health Medicare |
$219.91
|
| Rate for Payer: Priority Health Narrow Network |
$357.38
|
| Rate for Payer: Priority Health SBD |
$357.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.91
|
| Rate for Payer: UHC Medicare Advantage |
$219.91
|
| Rate for Payer: UHCCP Medicaid |
$143.99
|
|
|
PR THROMBOLYSIS CEREBRAL IV INFUSION
|
Professional
|
Both
|
$1,409.00
|
|
|
Service Code
|
HCPCS 37195
|
| Min. Negotiated Rate |
$241.57 |
| Max. Negotiated Rate |
$147,749.00 |
| Rate for Payer: Aetna Commercial |
$1,244.65
|
| Rate for Payer: Aetna Medicare |
$704.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,244.65
|
| Rate for Payer: BCBS Complete |
$253.65
|
| Rate for Payer: BCBS Trust/PPO |
$789.81
|
| Rate for Payer: BCN Commercial |
$307.67
|
| Rate for Payer: Cash Price |
$1,127.20
|
| Rate for Payer: Cash Price |
$1,127.20
|
| Rate for Payer: Mclaren Medicaid |
$241.57
|
| Rate for Payer: Meridian Medicaid |
$253.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147,749.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$915.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,305.11
|
| Rate for Payer: Priority Health Narrow Network |
$1,305.11
|
| Rate for Payer: Priority Health SBD |
$1,305.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.04
|
| Rate for Payer: UHC Exchange |
$448.04
|
| Rate for Payer: UHCCP Medicaid |
$241.57
|
|
|
PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION
|
Professional
|
Both
|
$638.00
|
|
|
Service Code
|
HCPCS 92977
|
| Min. Negotiated Rate |
$50.78 |
| Max. Negotiated Rate |
$7,418.00 |
| Rate for Payer: Aetna Commercial |
$68.05
|
| Rate for Payer: Aetna Medicare |
$52.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.12
|
| Rate for Payer: BCBS Complete |
$255.20
|
| Rate for Payer: BCBS MAPPO |
$50.78
|
| Rate for Payer: BCBS Trust/PPO |
$294.26
|
| Rate for Payer: BCN Commercial |
$77.21
|
| Rate for Payer: BCN Medicare Advantage |
$50.78
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cash Price |
$510.40
|
| Rate for Payer: Cofinity Commercial |
$73.12
|
| Rate for Payer: Cofinity Commercial |
$68.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.78
|
| Rate for Payer: Healthscope Commercial |
$93.94
|
| Rate for Payer: Healthscope Commercial |
$81.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,418.00
|
| Rate for Payer: Nomi Health Commercial |
$60.94
|
| Rate for Payer: PACE SWMI |
$50.78
|
| Rate for Payer: PHP Medicare Advantage |
$50.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$414.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.16
|
| Rate for Payer: Priority Health Medicare |
$50.78
|
| Rate for Payer: Priority Health Narrow Network |
$78.16
|
| Rate for Payer: Priority Health SBD |
$78.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.78
|
| Rate for Payer: UHC Exchange |
$448.04
|
| Rate for Payer: UHC Medicare Advantage |
$50.78
|
|
|
PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH
|
Professional
|
Both
|
$793.00
|
|
|
Service Code
|
HCPCS 92975
|
| Min. Negotiated Rate |
$234.30 |
| Max. Negotiated Rate |
$55,185.00 |
| Rate for Payer: Aetna Commercial |
$479.49
|
| Rate for Payer: Aetna Medicare |
$372.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$479.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$515.28
|
| Rate for Payer: BCBS Complete |
$246.02
|
| Rate for Payer: BCBS MAPPO |
$357.83
|
| Rate for Payer: BCBS Trust/PPO |
$392.00
|
| Rate for Payer: BCN Commercial |
$535.10
|
| Rate for Payer: BCN Medicare Advantage |
$357.83
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cofinity Commercial |
$515.28
|
| Rate for Payer: Cofinity Commercial |
$479.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.83
|
| Rate for Payer: Healthscope Commercial |
$661.99
|
| Rate for Payer: Healthscope Commercial |
$572.53
|
| Rate for Payer: Mclaren Medicaid |
$234.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.72
|
| Rate for Payer: Meridian Medicaid |
$246.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,185.00
|
| Rate for Payer: Nomi Health Commercial |
$429.40
|
| Rate for Payer: PACE SWMI |
$357.83
|
| Rate for Payer: PHP Medicare Advantage |
$357.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.98
|
| Rate for Payer: Priority Health Medicare |
$357.83
|
| Rate for Payer: Priority Health Narrow Network |
$516.98
|
| Rate for Payer: Priority Health SBD |
$516.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$554.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.83
|
| Rate for Payer: UHC Exchange |
$554.92
|
| Rate for Payer: UHC Medicare Advantage |
$357.83
|
| Rate for Payer: UHCCP Medicaid |
$234.30
|
|
|
PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX
|
Professional
|
Both
|
$1,611.00
|
|
|
Service Code
|
HCPCS 37212
|
| Min. Negotiated Rate |
$210.66 |
| Max. Negotiated Rate |
$59,458.00 |
| Rate for Payer: Aetna Commercial |
$430.09
|
| Rate for Payer: Aetna Medicare |
$333.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$430.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$462.18
|
| Rate for Payer: BCBS Complete |
$221.19
|
| Rate for Payer: BCBS MAPPO |
$320.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,739.86
|
| Rate for Payer: BCN Commercial |
$480.37
|
| Rate for Payer: BCN Medicare Advantage |
$320.96
|
| Rate for Payer: Cash Price |
$1,288.80
|
| Rate for Payer: Cash Price |
$1,288.80
|
| Rate for Payer: Cofinity Commercial |
$462.18
|
| Rate for Payer: Cofinity Commercial |
$430.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.96
|
| Rate for Payer: Healthscope Commercial |
$513.54
|
| Rate for Payer: Healthscope Commercial |
$593.78
|
| Rate for Payer: Mclaren Medicaid |
$210.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$337.01
|
| Rate for Payer: Meridian Medicaid |
$221.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,458.00
|
| Rate for Payer: Nomi Health Commercial |
$385.15
|
| Rate for Payer: PACE SWMI |
$320.96
|
| Rate for Payer: PHP Medicare Advantage |
$320.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,047.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$522.79
|
| Rate for Payer: Priority Health Medicare |
$320.96
|
| Rate for Payer: Priority Health Narrow Network |
$522.79
|
| Rate for Payer: Priority Health SBD |
$522.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.96
|
| Rate for Payer: UHC Medicare Advantage |
$320.96
|
| Rate for Payer: UHCCP Medicaid |
$210.66
|
|
|
PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC
|
Professional
|
Both
|
$3,708.00
|
|
|
Service Code
|
HCPCS 32659
|
| Min. Negotiated Rate |
$467.32 |
| Max. Negotiated Rate |
$129,757.00 |
| Rate for Payer: Aetna Commercial |
$945.22
|
| Rate for Payer: Aetna Medicare |
$733.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,015.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$945.22
|
| Rate for Payer: BCBS Complete |
$490.69
|
| Rate for Payer: BCBS MAPPO |
$705.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,271.62
|
| Rate for Payer: BCN Commercial |
$1,058.97
|
| Rate for Payer: BCN Medicare Advantage |
$705.39
|
| Rate for Payer: Cash Price |
$2,966.40
|
| Rate for Payer: Cash Price |
$2,966.40
|
| Rate for Payer: Cofinity Commercial |
$945.22
|
| Rate for Payer: Cofinity Commercial |
$1,015.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.39
|
| Rate for Payer: Healthscope Commercial |
$1,304.97
|
| Rate for Payer: Healthscope Commercial |
$1,128.62
|
| Rate for Payer: Mclaren Medicaid |
$467.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.66
|
| Rate for Payer: Meridian Medicaid |
$490.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$129,757.00
|
| Rate for Payer: Nomi Health Commercial |
$846.47
|
| Rate for Payer: PACE SWMI |
$705.39
|
| Rate for Payer: PHP Medicare Advantage |
$705.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$467.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,410.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,012.21
|
| Rate for Payer: Priority Health Medicare |
$705.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,012.21
|
| Rate for Payer: Priority Health SBD |
$1,012.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,126.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$705.39
|
| Rate for Payer: UHC Exchange |
$1,126.61
|
| Rate for Payer: UHC Medicare Advantage |
$705.39
|
| Rate for Payer: UHCCP Medicaid |
$467.32
|
|
|
PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS
|
Professional
|
Both
|
$4,459.00
|
|
|
Service Code
|
HCPCS 32652
|
| Min. Negotiated Rate |
$1,005.88 |
| Max. Negotiated Rate |
$294,583.00 |
| Rate for Payer: Aetna Commercial |
$2,138.89
|
| Rate for Payer: Aetna Medicare |
$1,660.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,138.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,298.51
|
| Rate for Payer: BCBS Complete |
$1,102.59
|
| Rate for Payer: BCBS MAPPO |
$1,596.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,005.88
|
| Rate for Payer: BCN Commercial |
$2,390.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,596.19
|
| Rate for Payer: Cash Price |
$3,567.20
|
| Rate for Payer: Cash Price |
$3,567.20
|
| Rate for Payer: Cofinity Commercial |
$2,298.51
|
| Rate for Payer: Cofinity Commercial |
$2,138.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,596.19
|
| Rate for Payer: Healthscope Commercial |
$2,952.95
|
| Rate for Payer: Healthscope Commercial |
$2,553.90
|
| Rate for Payer: Mclaren Medicaid |
$1,050.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,676.00
|
| Rate for Payer: Meridian Medicaid |
$1,102.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$294,583.00
|
| Rate for Payer: Nomi Health Commercial |
$1,915.43
|
| Rate for Payer: PACE SWMI |
$1,596.19
|
| Rate for Payer: PHP Medicare Advantage |
$1,596.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,898.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,277.00
|
| Rate for Payer: Priority Health Medicare |
$1,596.19
|
| Rate for Payer: Priority Health Narrow Network |
$2,277.00
|
| Rate for Payer: Priority Health SBD |
$2,277.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,499.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,596.19
|
| Rate for Payer: UHC Exchange |
$1,499.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,596.19
|
| Rate for Payer: UHCCP Medicaid |
$1,050.09
|
|
|
PR THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX
|
Professional
|
Both
|
$2,559.00
|
|
|
Service Code
|
HCPCS 60522
|
| Min. Negotiated Rate |
$603.85 |
| Max. Negotiated Rate |
$242,237.00 |
| Rate for Payer: Aetna Commercial |
$1,760.77
|
| Rate for Payer: Aetna Medicare |
$1,366.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,760.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,892.17
|
| Rate for Payer: BCBS Complete |
$909.58
|
| Rate for Payer: BCBS MAPPO |
$1,314.01
|
| Rate for Payer: BCBS Trust/PPO |
$603.85
|
| Rate for Payer: BCN Commercial |
$1,968.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,314.01
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cash Price |
$2,047.20
|
| Rate for Payer: Cofinity Commercial |
$1,892.17
|
| Rate for Payer: Cofinity Commercial |
$1,760.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,314.01
|
| Rate for Payer: Healthscope Commercial |
$2,430.92
|
| Rate for Payer: Healthscope Commercial |
$2,102.42
|
| Rate for Payer: Mclaren Medicaid |
$866.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,379.71
|
| Rate for Payer: Meridian Medicaid |
$909.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$242,237.00
|
| Rate for Payer: Nomi Health Commercial |
$1,576.81
|
| Rate for Payer: PACE SWMI |
$1,314.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,314.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$866.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,663.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,178.76
|
| Rate for Payer: Priority Health Medicare |
$1,314.01
|
| Rate for Payer: Priority Health Narrow Network |
$2,178.76
|
| Rate for Payer: Priority Health SBD |
$2,178.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,821.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,314.01
|
| Rate for Payer: UHC Exchange |
$1,821.98
|
| Rate for Payer: UHC Medicare Advantage |
$1,314.01
|
| Rate for Payer: UHCCP Medicaid |
$866.27
|
|
|
PR THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 60520
|
| Min. Negotiated Rate |
$250.94 |
| Max. Negotiated Rate |
$187,483.00 |
| Rate for Payer: Aetna Commercial |
$1,363.58
|
| Rate for Payer: Aetna Medicare |
$1,058.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,465.34
|
| Rate for Payer: BCBS Complete |
$708.52
|
| Rate for Payer: BCBS MAPPO |
$1,017.60
|
| Rate for Payer: BCBS Trust/PPO |
$250.94
|
| Rate for Payer: BCN Commercial |
$1,531.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.60
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cofinity Commercial |
$1,465.34
|
| Rate for Payer: Cofinity Commercial |
$1,363.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.60
|
| Rate for Payer: Healthscope Commercial |
$1,882.56
|
| Rate for Payer: Healthscope Commercial |
$1,628.16
|
| Rate for Payer: Mclaren Medicaid |
$674.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.48
|
| Rate for Payer: Meridian Medicaid |
$708.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187,483.00
|
| Rate for Payer: Nomi Health Commercial |
$1,221.12
|
| Rate for Payer: PACE SWMI |
$1,017.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$674.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,295.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,697.34
|
| Rate for Payer: Priority Health Medicare |
$1,017.60
|
| Rate for Payer: Priority Health Narrow Network |
$1,697.34
|
| Rate for Payer: Priority Health SBD |
$1,697.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,539.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.60
|
| Rate for Payer: UHC Exchange |
$1,539.66
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.60
|
| Rate for Payer: UHCCP Medicaid |
$674.78
|
|
|
PR THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX
|
Professional
|
Both
|
$3,947.00
|
|
|
Service Code
|
HCPCS 60521
|
| Min. Negotiated Rate |
$373.51 |
| Max. Negotiated Rate |
$199,802.00 |
| Rate for Payer: Aetna Commercial |
$1,453.94
|
| Rate for Payer: Aetna Medicare |
$1,128.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,453.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,562.44
|
| Rate for Payer: BCBS Complete |
$752.14
|
| Rate for Payer: BCBS MAPPO |
$1,085.03
|
| Rate for Payer: BCBS Trust/PPO |
$373.51
|
| Rate for Payer: BCN Commercial |
$1,625.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,085.03
|
| Rate for Payer: Cash Price |
$3,157.60
|
| Rate for Payer: Cash Price |
$3,157.60
|
| Rate for Payer: Cofinity Commercial |
$1,562.44
|
| Rate for Payer: Cofinity Commercial |
$1,453.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,085.03
|
| Rate for Payer: Healthscope Commercial |
$2,007.31
|
| Rate for Payer: Healthscope Commercial |
$1,736.05
|
| Rate for Payer: Mclaren Medicaid |
$716.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,139.28
|
| Rate for Payer: Meridian Medicaid |
$752.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$199,802.00
|
| Rate for Payer: Nomi Health Commercial |
$1,302.04
|
| Rate for Payer: PACE SWMI |
$1,085.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,085.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$716.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,565.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,800.20
|
| Rate for Payer: Priority Health Medicare |
$1,085.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,800.20
|
| Rate for Payer: Priority Health SBD |
$1,800.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,633.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,085.03
|
| Rate for Payer: UHC Exchange |
$1,633.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,085.03
|
| Rate for Payer: UHCCP Medicaid |
$716.32
|
|
|
PR THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL
|
Professional
|
Both
|
$3,191.00
|
|
|
Service Code
|
HCPCS 60260
|
| Min. Negotiated Rate |
$317.51 |
| Max. Negotiated Rate |
$194,265.00 |
| Rate for Payer: Aetna Commercial |
$1,404.67
|
| Rate for Payer: Aetna Medicare |
$1,090.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,404.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,509.49
|
| Rate for Payer: BCBS Complete |
$733.57
|
| Rate for Payer: BCBS MAPPO |
$1,048.26
|
| Rate for Payer: BCBS Trust/PPO |
$317.51
|
| Rate for Payer: BCN Commercial |
$1,591.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.26
|
| Rate for Payer: Cash Price |
$2,552.80
|
| Rate for Payer: Cash Price |
$2,552.80
|
| Rate for Payer: Cofinity Commercial |
$1,509.49
|
| Rate for Payer: Cofinity Commercial |
$1,404.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.26
|
| Rate for Payer: Healthscope Commercial |
$1,939.28
|
| Rate for Payer: Healthscope Commercial |
$1,677.22
|
| Rate for Payer: Mclaren Medicaid |
$698.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,100.67
|
| Rate for Payer: Meridian Medicaid |
$733.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194,265.00
|
| Rate for Payer: Nomi Health Commercial |
$1,257.91
|
| Rate for Payer: PACE SWMI |
$1,048.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$698.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,074.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,760.35
|
| Rate for Payer: Priority Health Medicare |
$1,048.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,760.35
|
| Rate for Payer: Priority Health SBD |
$1,760.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,237.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,048.26
|
| Rate for Payer: UHC Exchange |
$1,237.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,048.26
|
| Rate for Payer: UHCCP Medicaid |
$698.64
|
|
|
PR THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH
|
Professional
|
Both
|
$2,186.00
|
|
|
Service Code
|
HCPCS 60271
|
| Min. Negotiated Rate |
$677.98 |
| Max. Negotiated Rate |
$188,330.00 |
| Rate for Payer: Aetna Commercial |
$1,363.89
|
| Rate for Payer: Aetna Medicare |
$1,058.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,363.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,465.68
|
| Rate for Payer: BCBS Complete |
$711.88
|
| Rate for Payer: BCBS MAPPO |
$1,017.83
|
| Rate for Payer: BCBS Trust/PPO |
$3,645.80
|
| Rate for Payer: BCN Commercial |
$1,542.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.83
|
| Rate for Payer: Cash Price |
$1,748.80
|
| Rate for Payer: Cash Price |
$1,748.80
|
| Rate for Payer: Cofinity Commercial |
$1,465.68
|
| Rate for Payer: Cofinity Commercial |
$1,363.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.83
|
| Rate for Payer: Healthscope Commercial |
$1,882.99
|
| Rate for Payer: Healthscope Commercial |
$1,628.53
|
| Rate for Payer: Mclaren Medicaid |
$677.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.72
|
| Rate for Payer: Meridian Medicaid |
$711.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$188,330.00
|
| Rate for Payer: Nomi Health Commercial |
$1,221.40
|
| Rate for Payer: PACE SWMI |
$1,017.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$677.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,420.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,706.50
|
| Rate for Payer: Priority Health Medicare |
$1,017.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,706.50
|
| Rate for Payer: Priority Health SBD |
$1,706.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,382.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.83
|
| Rate for Payer: UHC Exchange |
$1,382.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.83
|
| Rate for Payer: UHCCP Medicaid |
$677.98
|
|
|
PR THYROIDECTOMY TOTAL/COMPLETE
|
Professional
|
Both
|
$3,110.00
|
|
|
Service Code
|
HCPCS 60240
|
| Min. Negotiated Rate |
$590.01 |
| Max. Negotiated Rate |
$163,755.00 |
| Rate for Payer: Aetna Commercial |
$1,185.98
|
| Rate for Payer: Aetna Medicare |
$920.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,185.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,274.49
|
| Rate for Payer: BCBS Complete |
$619.51
|
| Rate for Payer: BCBS MAPPO |
$885.06
|
| Rate for Payer: BCBS Trust/PPO |
$681.51
|
| Rate for Payer: BCN Commercial |
$1,341.91
|
| Rate for Payer: BCN Medicare Advantage |
$885.06
|
| Rate for Payer: Cash Price |
$2,488.00
|
| Rate for Payer: Cash Price |
$2,488.00
|
| Rate for Payer: Cofinity Commercial |
$1,274.49
|
| Rate for Payer: Cofinity Commercial |
$1,185.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$885.06
|
| Rate for Payer: Healthscope Commercial |
$1,637.36
|
| Rate for Payer: Healthscope Commercial |
$1,416.10
|
| Rate for Payer: Mclaren Medicaid |
$590.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$929.31
|
| Rate for Payer: Meridian Medicaid |
$619.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163,755.00
|
| Rate for Payer: Nomi Health Commercial |
$1,062.07
|
| Rate for Payer: PACE SWMI |
$885.06
|
| Rate for Payer: PHP Medicare Advantage |
$885.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$590.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,021.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,485.71
|
| Rate for Payer: Priority Health Medicare |
$885.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,485.71
|
| Rate for Payer: Priority Health SBD |
$1,485.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,362.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$885.06
|
| Rate for Payer: UHC Exchange |
$1,362.55
|
| Rate for Payer: UHC Medicare Advantage |
$885.06
|
| Rate for Payer: UHCCP Medicaid |
$590.01
|
|
|
PR THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT
|
Professional
|
Both
|
$2,397.00
|
|
|
Service Code
|
HCPCS 60252
|
| Min. Negotiated Rate |
$785.58 |
| Max. Negotiated Rate |
$235,827.00 |
| Rate for Payer: Aetna Commercial |
$1,701.87
|
| Rate for Payer: Aetna Medicare |
$1,320.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,701.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,828.87
|
| Rate for Payer: BCBS Complete |
$888.56
|
| Rate for Payer: BCBS MAPPO |
$1,270.05
|
| Rate for Payer: BCBS Trust/PPO |
$785.58
|
| Rate for Payer: BCN Commercial |
$1,930.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,270.05
|
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cash Price |
$1,917.60
|
| Rate for Payer: Cofinity Commercial |
$1,828.87
|
| Rate for Payer: Cofinity Commercial |
$1,701.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,270.05
|
| Rate for Payer: Healthscope Commercial |
$2,349.59
|
| Rate for Payer: Healthscope Commercial |
$2,032.08
|
| Rate for Payer: Mclaren Medicaid |
$846.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,333.55
|
| Rate for Payer: Meridian Medicaid |
$888.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235,827.00
|
| Rate for Payer: Nomi Health Commercial |
$1,524.06
|
| Rate for Payer: PACE SWMI |
$1,270.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,270.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,558.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,134.61
|
| Rate for Payer: Priority Health Medicare |
$1,270.05
|
| Rate for Payer: Priority Health Narrow Network |
$2,134.61
|
| Rate for Payer: Priority Health SBD |
$2,134.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,531.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,270.05
|
| Rate for Payer: UHC Exchange |
$1,531.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,270.05
|
| Rate for Payer: UHCCP Medicaid |
$846.25
|
|
|
PR THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT
|
Professional
|
Both
|
$3,161.00
|
|
|
Service Code
|
HCPCS 60254
|
| Min. Negotiated Rate |
$225.06 |
| Max. Negotiated Rate |
$297,968.00 |
| Rate for Payer: Aetna Commercial |
$2,151.91
|
| Rate for Payer: Aetna Medicare |
$1,670.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,151.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,312.50
|
| Rate for Payer: BCBS Complete |
$1,121.16
|
| Rate for Payer: BCBS MAPPO |
$1,605.90
|
| Rate for Payer: BCBS Trust/PPO |
$225.06
|
| Rate for Payer: BCN Commercial |
$2,438.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,605.90
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cash Price |
$2,528.80
|
| Rate for Payer: Cofinity Commercial |
$2,312.50
|
| Rate for Payer: Cofinity Commercial |
$2,151.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,605.90
|
| Rate for Payer: Healthscope Commercial |
$2,970.92
|
| Rate for Payer: Healthscope Commercial |
$2,569.44
|
| Rate for Payer: Mclaren Medicaid |
$1,067.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,686.20
|
| Rate for Payer: Meridian Medicaid |
$1,121.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$297,968.00
|
| Rate for Payer: Nomi Health Commercial |
$1,927.08
|
| Rate for Payer: PACE SWMI |
$1,605.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,605.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,067.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,054.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,693.03
|
| Rate for Payer: Priority Health Medicare |
$1,605.90
|
| Rate for Payer: Priority Health Narrow Network |
$2,693.03
|
| Rate for Payer: Priority Health SBD |
$2,693.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,895.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,605.90
|
| Rate for Payer: UHC Exchange |
$1,895.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,605.90
|
| Rate for Payer: UHCCP Medicaid |
$1,067.77
|
|
