|
PR TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX
|
Professional
|
Both
|
$581.00
|
|
|
Service Code
|
HCPCS 57530
|
| Min. Negotiated Rate |
$241.33 |
| Max. Negotiated Rate |
$66,287.00 |
| Rate for Payer: Aetna Commercial |
$477.59
|
| Rate for Payer: Aetna Medicare |
$370.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$477.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$513.23
|
| Rate for Payer: BCBS Complete |
$253.40
|
| Rate for Payer: BCBS MAPPO |
$356.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,900.30
|
| Rate for Payer: BCN Commercial |
$550.25
|
| Rate for Payer: BCN Medicare Advantage |
$356.41
|
| Rate for Payer: Cash Price |
$464.80
|
| Rate for Payer: Cash Price |
$464.80
|
| Rate for Payer: Cofinity Commercial |
$513.23
|
| Rate for Payer: Cofinity Commercial |
$477.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.41
|
| Rate for Payer: Healthscope Commercial |
$659.36
|
| Rate for Payer: Healthscope Commercial |
$570.26
|
| Rate for Payer: Mclaren Medicaid |
$241.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.23
|
| Rate for Payer: Meridian Medicaid |
$253.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66,287.00
|
| Rate for Payer: Nomi Health Commercial |
$427.69
|
| Rate for Payer: PACE SWMI |
$356.41
|
| Rate for Payer: PHP Medicare Advantage |
$356.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$377.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$563.52
|
| Rate for Payer: Priority Health Medicare |
$356.41
|
| Rate for Payer: Priority Health Narrow Network |
$563.52
|
| Rate for Payer: Priority Health SBD |
$563.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$437.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$356.41
|
| Rate for Payer: UHC Exchange |
$437.99
|
| Rate for Payer: UHC Medicare Advantage |
$356.41
|
| Rate for Payer: UHCCP Medicaid |
$241.33
|
|
|
PR TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG
|
Professional
|
Both
|
$952.00
|
|
|
Service Code
|
HCPCS 57720
|
| Min. Negotiated Rate |
$215.34 |
| Max. Negotiated Rate |
$59,326.00 |
| Rate for Payer: Aetna Commercial |
$425.96
|
| Rate for Payer: Aetna Medicare |
$330.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.75
|
| Rate for Payer: BCBS Complete |
$226.11
|
| Rate for Payer: BCBS MAPPO |
$317.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.88
|
| Rate for Payer: BCN Commercial |
$493.07
|
| Rate for Payer: BCN Medicare Advantage |
$317.88
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cofinity Commercial |
$457.75
|
| Rate for Payer: Cofinity Commercial |
$425.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.88
|
| Rate for Payer: Healthscope Commercial |
$588.08
|
| Rate for Payer: Healthscope Commercial |
$508.61
|
| Rate for Payer: Mclaren Medicaid |
$215.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.77
|
| Rate for Payer: Meridian Medicaid |
$226.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,326.00
|
| Rate for Payer: Nomi Health Commercial |
$381.46
|
| Rate for Payer: PACE SWMI |
$317.88
|
| Rate for Payer: PHP Medicare Advantage |
$317.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$503.00
|
| Rate for Payer: Priority Health Medicare |
$317.88
|
| Rate for Payer: Priority Health Narrow Network |
$503.00
|
| Rate for Payer: Priority Health SBD |
$503.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.88
|
| Rate for Payer: UHC Exchange |
$411.24
|
| Rate for Payer: UHC Medicare Advantage |
$317.88
|
| Rate for Payer: UHCCP Medicaid |
$215.34
|
|
|
PR TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC
|
Professional
|
Both
|
$462.00
|
|
|
Service Code
|
HCPCS 31615
|
| Min. Negotiated Rate |
$74.12 |
| Max. Negotiated Rate |
$20,255.00 |
| Rate for Payer: Aetna Commercial |
$147.35
|
| Rate for Payer: Aetna Medicare |
$114.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.34
|
| Rate for Payer: BCBS Complete |
$77.83
|
| Rate for Payer: BCBS MAPPO |
$109.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,672.60
|
| Rate for Payer: BCN Commercial |
$253.14
|
| Rate for Payer: BCN Medicare Advantage |
$109.96
|
| Rate for Payer: Cash Price |
$369.60
|
| Rate for Payer: Cash Price |
$369.60
|
| Rate for Payer: Cofinity Commercial |
$158.34
|
| Rate for Payer: Cofinity Commercial |
$147.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.96
|
| Rate for Payer: Healthscope Commercial |
$203.43
|
| Rate for Payer: Healthscope Commercial |
$175.94
|
| Rate for Payer: Mclaren Medicaid |
$74.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.46
|
| Rate for Payer: Meridian Medicaid |
$77.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,255.00
|
| Rate for Payer: Nomi Health Commercial |
$131.95
|
| Rate for Payer: PACE SWMI |
$109.96
|
| Rate for Payer: PHP Medicare Advantage |
$109.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.35
|
| Rate for Payer: Priority Health Medicare |
$109.96
|
| Rate for Payer: Priority Health Narrow Network |
$160.35
|
| Rate for Payer: Priority Health SBD |
$160.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$245.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.96
|
| Rate for Payer: UHC Exchange |
$245.86
|
| Rate for Payer: UHC Medicare Advantage |
$109.96
|
| Rate for Payer: UHCCP Medicaid |
$74.12
|
|
|
PR TRACHEOPLASTY CERVICAL
|
Professional
|
Both
|
$4,405.00
|
|
|
Service Code
|
HCPCS 31750
|
| Min. Negotiated Rate |
$863.29 |
| Max. Negotiated Rate |
$237,670.00 |
| Rate for Payer: Aetna Commercial |
$1,685.65
|
| Rate for Payer: Aetna Medicare |
$1,308.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,685.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,811.45
|
| Rate for Payer: BCBS Complete |
$906.45
|
| Rate for Payer: BCBS MAPPO |
$1,257.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,349.28
|
| Rate for Payer: BCN Commercial |
$1,995.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,257.95
|
| Rate for Payer: Cash Price |
$3,524.00
|
| Rate for Payer: Cash Price |
$3,524.00
|
| Rate for Payer: Cofinity Commercial |
$1,811.45
|
| Rate for Payer: Cofinity Commercial |
$1,685.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,257.95
|
| Rate for Payer: Healthscope Commercial |
$2,327.21
|
| Rate for Payer: Healthscope Commercial |
$2,012.72
|
| Rate for Payer: Mclaren Medicaid |
$863.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,320.85
|
| Rate for Payer: Meridian Medicaid |
$906.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237,670.00
|
| Rate for Payer: Nomi Health Commercial |
$1,509.54
|
| Rate for Payer: PACE SWMI |
$1,257.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,257.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$863.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,863.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,880.75
|
| Rate for Payer: Priority Health Medicare |
$1,257.95
|
| Rate for Payer: Priority Health Narrow Network |
$1,880.75
|
| Rate for Payer: Priority Health SBD |
$1,880.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,251.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,257.95
|
| Rate for Payer: UHC Exchange |
$1,251.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,257.95
|
| Rate for Payer: UHCCP Medicaid |
$863.29
|
|
|
PR TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION
|
Professional
|
Both
|
$1,355.00
|
|
|
Service Code
|
HCPCS 31614
|
| Min. Negotiated Rate |
$455.82 |
| Max. Negotiated Rate |
$125,622.00 |
| Rate for Payer: Aetna Commercial |
$893.18
|
| Rate for Payer: Aetna Medicare |
$693.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$893.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$959.83
|
| Rate for Payer: BCBS Complete |
$478.61
|
| Rate for Payer: BCBS MAPPO |
$666.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,319.17
|
| Rate for Payer: BCN Commercial |
$1,052.12
|
| Rate for Payer: BCN Medicare Advantage |
$666.55
|
| Rate for Payer: Cash Price |
$1,084.00
|
| Rate for Payer: Cash Price |
$1,084.00
|
| Rate for Payer: Cofinity Commercial |
$959.83
|
| Rate for Payer: Cofinity Commercial |
$893.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$666.55
|
| Rate for Payer: Healthscope Commercial |
$1,233.12
|
| Rate for Payer: Healthscope Commercial |
$1,066.48
|
| Rate for Payer: Mclaren Medicaid |
$455.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$699.88
|
| Rate for Payer: Meridian Medicaid |
$478.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$125,622.00
|
| Rate for Payer: Nomi Health Commercial |
$799.86
|
| Rate for Payer: PACE SWMI |
$666.55
|
| Rate for Payer: PHP Medicare Advantage |
$666.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$455.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$880.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$995.53
|
| Rate for Payer: Priority Health Medicare |
$666.55
|
| Rate for Payer: Priority Health Narrow Network |
$995.53
|
| Rate for Payer: Priority Health SBD |
$995.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$819.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$666.55
|
| Rate for Payer: UHC Exchange |
$819.88
|
| Rate for Payer: UHC Medicare Advantage |
$666.55
|
| Rate for Payer: UHCCP Medicaid |
$455.82
|
|
|
PR TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION
|
Professional
|
Both
|
$912.00
|
|
|
Service Code
|
HCPCS 31613
|
| Min. Negotiated Rate |
$270.51 |
| Max. Negotiated Rate |
$74,515.00 |
| Rate for Payer: Aetna Commercial |
$528.39
|
| Rate for Payer: Aetna Medicare |
$410.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$567.82
|
| Rate for Payer: BCBS Complete |
$284.04
|
| Rate for Payer: BCBS MAPPO |
$394.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$625.99
|
| Rate for Payer: BCN Medicare Advantage |
$394.32
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$567.82
|
| Rate for Payer: Cofinity Commercial |
$528.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$394.32
|
| Rate for Payer: Healthscope Commercial |
$729.49
|
| Rate for Payer: Healthscope Commercial |
$630.91
|
| Rate for Payer: Mclaren Medicaid |
$270.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$414.04
|
| Rate for Payer: Meridian Medicaid |
$284.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,515.00
|
| Rate for Payer: Nomi Health Commercial |
$473.18
|
| Rate for Payer: PACE SWMI |
$394.32
|
| Rate for Payer: PHP Medicare Advantage |
$394.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$593.24
|
| Rate for Payer: Priority Health Medicare |
$394.32
|
| Rate for Payer: Priority Health Narrow Network |
$593.24
|
| Rate for Payer: Priority Health SBD |
$593.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$570.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$394.32
|
| Rate for Payer: UHC Exchange |
$570.55
|
| Rate for Payer: UHC Medicare Advantage |
$394.32
|
| Rate for Payer: UHCCP Medicaid |
$270.51
|
|
|
PR TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE
|
Professional
|
Both
|
$809.00
|
|
|
Service Code
|
HCPCS 31605
|
| Min. Negotiated Rate |
$210.23 |
| Max. Negotiated Rate |
$59,524.00 |
| Rate for Payer: Aetna Commercial |
$429.04
|
| Rate for Payer: Aetna Medicare |
$332.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$461.06
|
| Rate for Payer: BCBS Complete |
$220.74
|
| Rate for Payer: BCBS MAPPO |
$320.18
|
| Rate for Payer: BCBS Trust/PPO |
$424.08
|
| Rate for Payer: BCN Commercial |
$481.35
|
| Rate for Payer: BCN Medicare Advantage |
$320.18
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cofinity Commercial |
$461.06
|
| Rate for Payer: Cofinity Commercial |
$429.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.18
|
| Rate for Payer: Healthscope Commercial |
$592.33
|
| Rate for Payer: Healthscope Commercial |
$512.29
|
| Rate for Payer: Mclaren Medicaid |
$210.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$336.19
|
| Rate for Payer: Meridian Medicaid |
$220.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,524.00
|
| Rate for Payer: Nomi Health Commercial |
$384.22
|
| Rate for Payer: PACE SWMI |
$320.18
|
| Rate for Payer: PHP Medicare Advantage |
$320.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$525.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$453.73
|
| Rate for Payer: Priority Health Medicare |
$320.18
|
| Rate for Payer: Priority Health Narrow Network |
$453.73
|
| Rate for Payer: Priority Health SBD |
$453.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.18
|
| Rate for Payer: UHC Exchange |
$249.76
|
| Rate for Payer: UHC Medicare Advantage |
$320.18
|
| Rate for Payer: UHCCP Medicaid |
$210.23
|
|
|
PR TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL
|
Professional
|
Both
|
$1,189.00
|
|
|
Service Code
|
HCPCS 31603
|
| Min. Negotiated Rate |
$202.56 |
| Max. Negotiated Rate |
$57,209.00 |
| Rate for Payer: Aetna Commercial |
$410.59
|
| Rate for Payer: Aetna Medicare |
$318.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$410.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$441.23
|
| Rate for Payer: BCBS Complete |
$212.69
|
| Rate for Payer: BCBS MAPPO |
$306.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,439.09
|
| Rate for Payer: BCN Commercial |
$464.73
|
| Rate for Payer: BCN Medicare Advantage |
$306.41
|
| Rate for Payer: Cash Price |
$951.20
|
| Rate for Payer: Cash Price |
$951.20
|
| Rate for Payer: Cofinity Commercial |
$441.23
|
| Rate for Payer: Cofinity Commercial |
$410.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.41
|
| Rate for Payer: Healthscope Commercial |
$566.86
|
| Rate for Payer: Healthscope Commercial |
$490.26
|
| Rate for Payer: Mclaren Medicaid |
$202.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.73
|
| Rate for Payer: Meridian Medicaid |
$212.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,209.00
|
| Rate for Payer: Nomi Health Commercial |
$367.69
|
| Rate for Payer: PACE SWMI |
$306.41
|
| Rate for Payer: PHP Medicare Advantage |
$306.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$772.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$440.75
|
| Rate for Payer: Priority Health Medicare |
$306.41
|
| Rate for Payer: Priority Health Narrow Network |
$440.75
|
| Rate for Payer: Priority Health SBD |
$440.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$302.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.41
|
| Rate for Payer: UHC Exchange |
$302.65
|
| Rate for Payer: UHC Medicare Advantage |
$306.41
|
| Rate for Payer: UHCCP Medicaid |
$202.56
|
|
|
PR TRACHEOSTOMY FENESTRATION W/SKIN FLAPS
|
Professional
|
Both
|
$1,549.00
|
|
|
Service Code
|
HCPCS 31610
|
| Min. Negotiated Rate |
$610.88 |
| Max. Negotiated Rate |
$168,761.00 |
| Rate for Payer: Aetna Commercial |
$1,200.12
|
| Rate for Payer: Aetna Medicare |
$931.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,200.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,289.68
|
| Rate for Payer: BCBS Complete |
$641.42
|
| Rate for Payer: BCBS MAPPO |
$895.61
|
| Rate for Payer: BCBS Trust/PPO |
$825.73
|
| Rate for Payer: BCN Commercial |
$1,410.81
|
| Rate for Payer: BCN Medicare Advantage |
$895.61
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cofinity Commercial |
$1,289.68
|
| Rate for Payer: Cofinity Commercial |
$1,200.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$895.61
|
| Rate for Payer: Healthscope Commercial |
$1,656.88
|
| Rate for Payer: Healthscope Commercial |
$1,432.98
|
| Rate for Payer: Mclaren Medicaid |
$610.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$940.39
|
| Rate for Payer: Meridian Medicaid |
$641.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168,761.00
|
| Rate for Payer: Nomi Health Commercial |
$1,074.73
|
| Rate for Payer: PACE SWMI |
$895.61
|
| Rate for Payer: PHP Medicare Advantage |
$895.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$610.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,335.24
|
| Rate for Payer: Priority Health Medicare |
$895.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,335.24
|
| Rate for Payer: Priority Health SBD |
$1,335.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$895.61
|
| Rate for Payer: UHC Exchange |
$953.50
|
| Rate for Payer: UHC Medicare Advantage |
$895.61
|
| Rate for Payer: UHCCP Medicaid |
$610.88
|
|
|
PR TRACHEOSTOMY PLANNED SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,050.00
|
|
|
Service Code
|
HCPCS 31600
|
| Min. Negotiated Rate |
$193.40 |
| Max. Negotiated Rate |
$54,430.00 |
| Rate for Payer: Aetna Commercial |
$391.80
|
| Rate for Payer: Aetna Medicare |
$304.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$421.04
|
| Rate for Payer: BCBS Complete |
$203.07
|
| Rate for Payer: BCBS MAPPO |
$292.39
|
| Rate for Payer: BCBS Trust/PPO |
$753.88
|
| Rate for Payer: BCN Commercial |
$442.74
|
| Rate for Payer: BCN Medicare Advantage |
$292.39
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cofinity Commercial |
$421.04
|
| Rate for Payer: Cofinity Commercial |
$391.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$292.39
|
| Rate for Payer: Healthscope Commercial |
$540.92
|
| Rate for Payer: Healthscope Commercial |
$467.82
|
| Rate for Payer: Mclaren Medicaid |
$193.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$307.01
|
| Rate for Payer: Meridian Medicaid |
$203.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54,430.00
|
| Rate for Payer: Nomi Health Commercial |
$350.87
|
| Rate for Payer: PACE SWMI |
$292.39
|
| Rate for Payer: PHP Medicare Advantage |
$292.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$193.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$682.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$420.37
|
| Rate for Payer: Priority Health Medicare |
$292.39
|
| Rate for Payer: Priority Health Narrow Network |
$420.37
|
| Rate for Payer: Priority Health SBD |
$420.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$504.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$292.39
|
| Rate for Payer: UHC Exchange |
$504.69
|
| Rate for Payer: UHC Medicare Advantage |
$292.39
|
| Rate for Payer: UHCCP Medicaid |
$193.40
|
|
|
PR TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX
|
Professional
|
Both
|
$1,038.00
|
|
|
Service Code
|
HCPCS 31601
|
| Min. Negotiated Rate |
$286.27 |
| Max. Negotiated Rate |
$79,774.00 |
| Rate for Payer: Aetna Commercial |
$574.74
|
| Rate for Payer: Aetna Medicare |
$446.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$617.63
|
| Rate for Payer: BCBS Complete |
$300.58
|
| Rate for Payer: BCBS MAPPO |
$428.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,079.85
|
| Rate for Payer: BCN Commercial |
$653.36
|
| Rate for Payer: BCN Medicare Advantage |
$428.91
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cash Price |
$830.40
|
| Rate for Payer: Cofinity Commercial |
$617.63
|
| Rate for Payer: Cofinity Commercial |
$574.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$428.91
|
| Rate for Payer: Healthscope Commercial |
$793.48
|
| Rate for Payer: Healthscope Commercial |
$686.26
|
| Rate for Payer: Mclaren Medicaid |
$286.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$450.36
|
| Rate for Payer: Meridian Medicaid |
$300.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79,774.00
|
| Rate for Payer: Nomi Health Commercial |
$514.69
|
| Rate for Payer: PACE SWMI |
$428.91
|
| Rate for Payer: PHP Medicare Advantage |
$428.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$674.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$621.51
|
| Rate for Payer: Priority Health Medicare |
$428.91
|
| Rate for Payer: Priority Health Narrow Network |
$621.51
|
| Rate for Payer: Priority Health SBD |
$621.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$337.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$428.91
|
| Rate for Payer: UHC Exchange |
$337.91
|
| Rate for Payer: UHC Medicare Advantage |
$428.91
|
| Rate for Payer: UHCCP Medicaid |
$286.27
|
|
|
PR TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 31502
|
| Min. Negotiated Rate |
$21.94 |
| Max. Negotiated Rate |
$6,233.00 |
| Rate for Payer: Aetna Commercial |
$44.09
|
| Rate for Payer: Aetna Medicare |
$34.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.38
|
| Rate for Payer: BCBS Complete |
$23.04
|
| Rate for Payer: BCBS MAPPO |
$32.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,778.79
|
| Rate for Payer: BCN Commercial |
$50.82
|
| Rate for Payer: BCN Medicare Advantage |
$32.90
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$47.38
|
| Rate for Payer: Cofinity Commercial |
$44.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.90
|
| Rate for Payer: Healthscope Commercial |
$60.86
|
| Rate for Payer: Healthscope Commercial |
$52.64
|
| Rate for Payer: Mclaren Medicaid |
$21.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.54
|
| Rate for Payer: Meridian Medicaid |
$23.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6,233.00
|
| Rate for Payer: Nomi Health Commercial |
$39.48
|
| Rate for Payer: PACE SWMI |
$32.90
|
| Rate for Payer: PHP Medicare Advantage |
$32.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.20
|
| Rate for Payer: Priority Health Medicare |
$32.90
|
| Rate for Payer: Priority Health Narrow Network |
$48.20
|
| Rate for Payer: Priority Health SBD |
$48.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.90
|
| Rate for Payer: UHC Exchange |
$118.09
|
| Rate for Payer: UHC Medicare Advantage |
$32.90
|
| Rate for Payer: UHCCP Medicaid |
$21.94
|
|
|
PR TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I
|
Professional
|
Both
|
$1,385.00
|
|
|
Service Code
|
HCPCS 34712
|
| Min. Negotiated Rate |
$409.60 |
| Max. Negotiated Rate |
$115,857.00 |
| Rate for Payer: Aetna Commercial |
$838.21
|
| Rate for Payer: Aetna Medicare |
$650.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$838.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$900.76
|
| Rate for Payer: BCBS Complete |
$430.08
|
| Rate for Payer: BCBS MAPPO |
$625.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,464.98
|
| Rate for Payer: BCN Commercial |
$936.79
|
| Rate for Payer: BCN Medicare Advantage |
$625.53
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Cofinity Commercial |
$900.76
|
| Rate for Payer: Cofinity Commercial |
$838.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$625.53
|
| Rate for Payer: Healthscope Commercial |
$1,000.85
|
| Rate for Payer: Healthscope Commercial |
$1,157.23
|
| Rate for Payer: Mclaren Medicaid |
$409.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$656.81
|
| Rate for Payer: Meridian Medicaid |
$430.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115,857.00
|
| Rate for Payer: Nomi Health Commercial |
$750.64
|
| Rate for Payer: PACE SWMI |
$625.53
|
| Rate for Payer: PHP Medicare Advantage |
$625.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$409.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,021.10
|
| Rate for Payer: Priority Health Medicare |
$625.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,021.10
|
| Rate for Payer: Priority Health SBD |
$1,021.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$625.53
|
| Rate for Payer: UHC Medicare Advantage |
$625.53
|
| Rate for Payer: UHCCP Medicaid |
$409.60
|
|
|
PR TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE
|
Professional
|
Both
|
$5,665.00
|
|
|
Service Code
|
HCPCS 33366
|
| Min. Negotiated Rate |
$982.14 |
| Max. Negotiated Rate |
$277,846.00 |
| Rate for Payer: Aetna Commercial |
$2,010.83
|
| Rate for Payer: Aetna Medicare |
$1,560.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,010.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,160.89
|
| Rate for Payer: BCBS Complete |
$1,031.25
|
| Rate for Payer: BCBS MAPPO |
$1,500.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,001.66
|
| Rate for Payer: BCN Commercial |
$2,244.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,500.62
|
| Rate for Payer: Cash Price |
$4,532.00
|
| Rate for Payer: Cash Price |
$4,532.00
|
| Rate for Payer: Cofinity Commercial |
$2,160.89
|
| Rate for Payer: Cofinity Commercial |
$2,010.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,500.62
|
| Rate for Payer: Healthscope Commercial |
$2,400.99
|
| Rate for Payer: Healthscope Commercial |
$2,776.15
|
| Rate for Payer: Mclaren Medicaid |
$982.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,575.65
|
| Rate for Payer: Meridian Medicaid |
$1,031.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$277,846.00
|
| Rate for Payer: Nomi Health Commercial |
$1,800.74
|
| Rate for Payer: PACE SWMI |
$1,500.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,500.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$982.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,682.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,442.14
|
| Rate for Payer: Priority Health Medicare |
$1,500.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,442.14
|
| Rate for Payer: Priority Health SBD |
$2,442.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,500.62
|
| Rate for Payer: UHC Medicare Advantage |
$1,500.62
|
| Rate for Payer: UHCCP Medicaid |
$982.14
|
|
|
PR TRANSCATH INSERT OR REPLACE LEADLESS PM VENTR
|
Professional
|
Both
|
$1,630.00
|
|
|
Service Code
|
HCPCS 0387T
|
| Min. Negotiated Rate |
$652.00 |
| Max. Negotiated Rate |
$1,059.50 |
| Rate for Payer: Aetna Medicare |
$815.00
|
| Rate for Payer: BCBS Complete |
$652.00
|
| Rate for Payer: Cash Price |
$1,304.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,059.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,059.50
|
|
|
PR TRANSCATH INTRO, STENT, EXCL COR, CAROT, VERT
|
Professional
|
Both
|
$119.00
|
|
|
Service Code
|
HCPCS 75960
|
| Min. Negotiated Rate |
$47.60 |
| Max. Negotiated Rate |
$77.35 |
| Rate for Payer: Aetna Medicare |
$59.50
|
| Rate for Payer: BCBS Complete |
$47.60
|
| Rate for Payer: Cash Price |
$95.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.35
|
|
|
PR TRANSCATH OCCLUSION,PERCUT
|
Professional
|
Both
|
$1,856.00
|
|
|
Service Code
|
HCPCS 37204
|
| Min. Negotiated Rate |
$742.40 |
| Max. Negotiated Rate |
$1,206.40 |
| Rate for Payer: Aetna Medicare |
$928.00
|
| Rate for Payer: BCBS Complete |
$742.40
|
| Rate for Payer: Cash Price |
$1,484.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,206.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,206.40
|
|
|
PR TRANSCATH RX INFUSE OTHER
|
Professional
|
Both
|
$1,639.00
|
|
|
Service Code
|
HCPCS 37202
|
| Min. Negotiated Rate |
$655.60 |
| Max. Negotiated Rate |
$1,065.35 |
| Rate for Payer: Aetna Medicare |
$819.50
|
| Rate for Payer: BCBS Complete |
$655.60
|
| Rate for Payer: Cash Price |
$1,311.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,065.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,065.35
|
|
|
PR TRANSCATH STENT EACH ADDN VESSL,PERC
|
Professional
|
Both
|
$928.00
|
|
|
Service Code
|
HCPCS 37206
|
| Min. Negotiated Rate |
$371.20 |
| Max. Negotiated Rate |
$603.20 |
| Rate for Payer: Aetna Medicare |
$464.00
|
| Rate for Payer: BCBS Complete |
$371.20
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$603.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$603.20
|
|
|
PR TRANSCATH STENT INIT VESSEL,PERCUT
|
Professional
|
Both
|
$1,719.00
|
|
|
Service Code
|
HCPCS 37205
|
| Min. Negotiated Rate |
$687.60 |
| Max. Negotiated Rate |
$1,117.35 |
| Rate for Payer: Aetna Medicare |
$859.50
|
| Rate for Payer: BCBS Complete |
$687.60
|
| Rate for Payer: Cash Price |
$1,375.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,117.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,117.35
|
|
|
PR TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART
|
Professional
|
Both
|
$4,519.00
|
|
|
Service Code
|
HCPCS 61596
|
| Min. Negotiated Rate |
$757.05 |
| Max. Negotiated Rate |
$433,467.00 |
| Rate for Payer: Aetna Commercial |
$3,097.66
|
| Rate for Payer: Aetna Medicare |
$2,404.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,097.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,328.83
|
| Rate for Payer: BCBS Complete |
$1,631.75
|
| Rate for Payer: BCBS MAPPO |
$2,311.69
|
| Rate for Payer: BCBS Trust/PPO |
$757.05
|
| Rate for Payer: BCN Commercial |
$3,574.19
|
| Rate for Payer: BCN Medicare Advantage |
$2,311.69
|
| Rate for Payer: Cash Price |
$3,615.20
|
| Rate for Payer: Cash Price |
$3,615.20
|
| Rate for Payer: Cofinity Commercial |
$3,328.83
|
| Rate for Payer: Cofinity Commercial |
$3,097.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,311.69
|
| Rate for Payer: Healthscope Commercial |
$4,276.63
|
| Rate for Payer: Healthscope Commercial |
$3,698.70
|
| Rate for Payer: Mclaren Medicaid |
$1,554.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,427.27
|
| Rate for Payer: Meridian Medicaid |
$1,631.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433,467.00
|
| Rate for Payer: Nomi Health Commercial |
$2,774.03
|
| Rate for Payer: PACE SWMI |
$2,311.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,311.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,554.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,937.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,157.32
|
| Rate for Payer: Priority Health Medicare |
$2,311.69
|
| Rate for Payer: Priority Health Narrow Network |
$4,157.32
|
| Rate for Payer: Priority Health SBD |
$4,157.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,094.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,311.69
|
| Rate for Payer: UHC Exchange |
$3,094.22
|
| Rate for Payer: UHC Medicare Advantage |
$2,311.69
|
| Rate for Payer: UHCCP Medicaid |
$1,554.05
|
|
|
PR TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT
|
Professional
|
Both
|
$123.00
|
|
|
Service Code
|
HCPCS 93892
|
| Min. Negotiated Rate |
$36.85 |
| Max. Negotiated Rate |
$23,232.00 |
| Rate for Payer: Aetna Commercial |
$351.75
|
| Rate for Payer: Aetna Medicare |
$273.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$351.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$378.00
|
| Rate for Payer: BCBS Complete |
$38.69
|
| Rate for Payer: BCBS MAPPO |
$262.50
|
| Rate for Payer: BCBS Trust/PPO |
$477.58
|
| Rate for Payer: BCN Commercial |
$466.20
|
| Rate for Payer: BCN Medicare Advantage |
$262.50
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cash Price |
$98.40
|
| Rate for Payer: Cofinity Commercial |
$378.00
|
| Rate for Payer: Cofinity Commercial |
$351.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$262.50
|
| Rate for Payer: Healthscope Commercial |
$485.62
|
| Rate for Payer: Healthscope Commercial |
$420.00
|
| Rate for Payer: Mclaren Medicaid |
$36.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$275.62
|
| Rate for Payer: Meridian Medicaid |
$38.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,232.00
|
| Rate for Payer: Nomi Health Commercial |
$315.00
|
| Rate for Payer: PACE SWMI |
$262.50
|
| Rate for Payer: PHP Medicare Advantage |
$262.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$444.17
|
| Rate for Payer: Priority Health Medicare |
$262.50
|
| Rate for Payer: Priority Health Narrow Network |
$444.17
|
| Rate for Payer: Priority Health SBD |
$78.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$276.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$262.50
|
| Rate for Payer: UHC Exchange |
$276.25
|
| Rate for Payer: UHC Medicare Advantage |
$262.50
|
| Rate for Payer: UHCCP Medicaid |
$36.85
|
|
|
PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL
|
Professional
|
Both
|
$632.00
|
|
|
Service Code
|
HCPCS 93886
|
| Min. Negotiated Rate |
$28.54 |
| Max. Negotiated Rate |
$37,941.00 |
| Rate for Payer: Aetna Commercial |
$307.53
|
| Rate for Payer: Aetna Commercial |
$307.53
|
| Rate for Payer: Aetna Medicare |
$238.68
|
| Rate for Payer: Aetna Medicare |
$238.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.53
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS MAPPO |
$229.50
|
| Rate for Payer: BCBS MAPPO |
$229.50
|
| Rate for Payer: BCBS Trust/PPO |
$362.41
|
| Rate for Payer: BCBS Trust/PPO |
$362.41
|
| Rate for Payer: BCN Commercial |
$395.34
|
| Rate for Payer: BCN Commercial |
$395.34
|
| Rate for Payer: BCN Medicare Advantage |
$229.50
|
| Rate for Payer: BCN Medicare Advantage |
$229.50
|
| Rate for Payer: Cash Price |
$505.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$505.60
|
| Rate for Payer: Cofinity Commercial |
$330.48
|
| Rate for Payer: Cofinity Commercial |
$307.53
|
| Rate for Payer: Cofinity Commercial |
$307.53
|
| Rate for Payer: Cofinity Commercial |
$330.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$229.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$229.50
|
| Rate for Payer: Healthscope Commercial |
$367.20
|
| Rate for Payer: Healthscope Commercial |
$424.58
|
| Rate for Payer: Healthscope Commercial |
$367.20
|
| Rate for Payer: Healthscope Commercial |
$424.58
|
| Rate for Payer: Mclaren Medicaid |
$28.54
|
| Rate for Payer: Mclaren Medicaid |
$28.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$240.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$240.98
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,941.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,941.00
|
| Rate for Payer: Nomi Health Commercial |
$275.40
|
| Rate for Payer: Nomi Health Commercial |
$275.40
|
| Rate for Payer: PACE SWMI |
$229.50
|
| Rate for Payer: PACE SWMI |
$229.50
|
| Rate for Payer: PHP Medicare Advantage |
$229.50
|
| Rate for Payer: PHP Medicare Advantage |
$229.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$410.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$372.26
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$372.26
|
| Rate for Payer: Priority Health Medicare |
$229.50
|
| Rate for Payer: Priority Health Medicare |
$229.50
|
| Rate for Payer: Priority Health Narrow Network |
$372.26
|
| Rate for Payer: Priority Health Narrow Network |
$372.26
|
| Rate for Payer: Priority Health SBD |
$61.51
|
| Rate for Payer: Priority Health SBD |
$61.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$229.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$229.50
|
| Rate for Payer: UHC Exchange |
$246.54
|
| Rate for Payer: UHC Exchange |
$246.54
|
| Rate for Payer: UHC Medicare Advantage |
$229.50
|
| Rate for Payer: UHC Medicare Advantage |
$229.50
|
| Rate for Payer: UHCCP Medicaid |
$28.54
|
| Rate for Payer: UHCCP Medicaid |
$28.54
|
|
|
PR TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD
|
Professional
|
Both
|
$368.00
|
|
|
Service Code
|
HCPCS 93888
|
| Min. Negotiated Rate |
$22.58 |
| Max. Negotiated Rate |
$18,336.00 |
| Rate for Payer: Aetna Commercial |
$194.22
|
| Rate for Payer: Aetna Medicare |
$150.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.71
|
| Rate for Payer: BCBS Complete |
$23.71
|
| Rate for Payer: BCBS MAPPO |
$144.94
|
| Rate for Payer: BCBS Trust/PPO |
$118.34
|
| Rate for Payer: BCN Commercial |
$233.10
|
| Rate for Payer: BCN Medicare Advantage |
$144.94
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cofinity Commercial |
$208.71
|
| Rate for Payer: Cofinity Commercial |
$194.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.94
|
| Rate for Payer: Healthscope Commercial |
$268.14
|
| Rate for Payer: Healthscope Commercial |
$231.90
|
| Rate for Payer: Mclaren Medicaid |
$22.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.19
|
| Rate for Payer: Meridian Medicaid |
$23.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,336.00
|
| Rate for Payer: Nomi Health Commercial |
$173.93
|
| Rate for Payer: PACE SWMI |
$144.94
|
| Rate for Payer: PHP Medicare Advantage |
$144.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$216.66
|
| Rate for Payer: Priority Health Medicare |
$144.94
|
| Rate for Payer: Priority Health Narrow Network |
$216.66
|
| Rate for Payer: Priority Health SBD |
$33.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$164.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.94
|
| Rate for Payer: UHC Exchange |
$164.50
|
| Rate for Payer: UHC Medicare Advantage |
$144.94
|
| Rate for Payer: UHCCP Medicaid |
$22.58
|
|
|
PR TRANSECTION/AVULSION GREATER OCCIPITAL NERVE
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 64744
|
| Min. Negotiated Rate |
$333.77 |
| Max. Negotiated Rate |
$90,848.00 |
| Rate for Payer: Aetna Commercial |
$667.40
|
| Rate for Payer: Aetna Medicare |
$517.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$667.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$717.21
|
| Rate for Payer: BCBS Complete |
$350.46
|
| Rate for Payer: BCBS MAPPO |
$498.06
|
| Rate for Payer: BCBS Trust/PPO |
$864.83
|
| Rate for Payer: BCN Commercial |
$827.01
|
| Rate for Payer: BCN Medicare Advantage |
$498.06
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$717.21
|
| Rate for Payer: Cofinity Commercial |
$667.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$498.06
|
| Rate for Payer: Healthscope Commercial |
$921.41
|
| Rate for Payer: Healthscope Commercial |
$796.90
|
| Rate for Payer: Mclaren Medicaid |
$333.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$522.96
|
| Rate for Payer: Meridian Medicaid |
$350.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$90,848.00
|
| Rate for Payer: Nomi Health Commercial |
$597.67
|
| Rate for Payer: PACE SWMI |
$498.06
|
| Rate for Payer: PHP Medicare Advantage |
$498.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$885.50
|
| Rate for Payer: Priority Health Medicare |
$498.06
|
| Rate for Payer: Priority Health Narrow Network |
$885.50
|
| Rate for Payer: Priority Health SBD |
$885.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$502.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$498.06
|
| Rate for Payer: UHC Exchange |
$502.88
|
| Rate for Payer: UHC Medicare Advantage |
$498.06
|
| Rate for Payer: UHCCP Medicaid |
$333.77
|
|
