|
PR TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART
|
Professional
|
Both
|
$4,566.00
|
|
|
Service Code
|
HCPCS 35691
|
| Min. Negotiated Rate |
$592.78 |
| Max. Negotiated Rate |
$168,084.00 |
| Rate for Payer: Aetna Commercial |
$1,221.26
|
| Rate for Payer: Aetna Medicare |
$947.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,221.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,312.40
|
| Rate for Payer: BCBS Complete |
$622.42
|
| Rate for Payer: BCBS MAPPO |
$911.39
|
| Rate for Payer: BCBS Trust/PPO |
$1,610.26
|
| Rate for Payer: BCN Commercial |
$1,350.70
|
| Rate for Payer: BCN Medicare Advantage |
$911.39
|
| Rate for Payer: Cash Price |
$3,652.80
|
| Rate for Payer: Cash Price |
$3,652.80
|
| Rate for Payer: Cofinity Commercial |
$1,312.40
|
| Rate for Payer: Cofinity Commercial |
$1,221.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$911.39
|
| Rate for Payer: Healthscope Commercial |
$1,686.07
|
| Rate for Payer: Healthscope Commercial |
$1,458.22
|
| Rate for Payer: Mclaren Medicaid |
$592.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$956.96
|
| Rate for Payer: Meridian Medicaid |
$622.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$168,084.00
|
| Rate for Payer: Nomi Health Commercial |
$1,093.67
|
| Rate for Payer: PACE SWMI |
$911.39
|
| Rate for Payer: PHP Medicare Advantage |
$911.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$592.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,967.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,476.34
|
| Rate for Payer: Priority Health Medicare |
$911.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,476.34
|
| Rate for Payer: Priority Health SBD |
$1,476.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,561.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$911.39
|
| Rate for Payer: UHC Exchange |
$1,561.80
|
| Rate for Payer: UHC Medicare Advantage |
$911.39
|
| Rate for Payer: UHCCP Medicaid |
$592.78
|
|
|
PR TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART
|
Professional
|
Both
|
$1,756.00
|
|
|
Service Code
|
HCPCS 35693
|
| Min. Negotiated Rate |
$526.11 |
| Max. Negotiated Rate |
$148,108.00 |
| Rate for Payer: Aetna Commercial |
$1,079.84
|
| Rate for Payer: Aetna Medicare |
$838.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,079.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,160.42
|
| Rate for Payer: BCBS Complete |
$552.42
|
| Rate for Payer: BCBS MAPPO |
$805.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,046.11
|
| Rate for Payer: BCN Commercial |
$1,193.84
|
| Rate for Payer: BCN Medicare Advantage |
$805.85
|
| Rate for Payer: Cash Price |
$1,404.80
|
| Rate for Payer: Cash Price |
$1,404.80
|
| Rate for Payer: Cofinity Commercial |
$1,160.42
|
| Rate for Payer: Cofinity Commercial |
$1,079.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$805.85
|
| Rate for Payer: Healthscope Commercial |
$1,490.82
|
| Rate for Payer: Healthscope Commercial |
$1,289.36
|
| Rate for Payer: Mclaren Medicaid |
$526.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$846.14
|
| Rate for Payer: Meridian Medicaid |
$552.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$148,108.00
|
| Rate for Payer: Nomi Health Commercial |
$967.02
|
| Rate for Payer: PACE SWMI |
$805.85
|
| Rate for Payer: PHP Medicare Advantage |
$805.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$526.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,141.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,309.35
|
| Rate for Payer: Priority Health Medicare |
$805.85
|
| Rate for Payer: Priority Health Narrow Network |
$1,309.35
|
| Rate for Payer: Priority Health SBD |
$1,309.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,227.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$805.85
|
| Rate for Payer: UHC Exchange |
$1,227.31
|
| Rate for Payer: UHC Medicare Advantage |
$805.85
|
| Rate for Payer: UHCCP Medicaid |
$526.11
|
|
|
PR TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR
|
Professional
|
Both
|
$2,775.00
|
|
|
Service Code
|
HCPCS 26497
|
| Min. Negotiated Rate |
$584.26 |
| Max. Negotiated Rate |
$160,205.00 |
| Rate for Payer: Aetna Commercial |
$1,143.37
|
| Rate for Payer: Aetna Medicare |
$887.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,143.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,228.69
|
| Rate for Payer: BCBS Complete |
$613.47
|
| Rate for Payer: BCBS MAPPO |
$853.26
|
| Rate for Payer: BCBS Trust/PPO |
$2,458.71
|
| Rate for Payer: BCN Commercial |
$1,344.84
|
| Rate for Payer: BCN Medicare Advantage |
$853.26
|
| Rate for Payer: Cash Price |
$2,220.00
|
| Rate for Payer: Cash Price |
$2,220.00
|
| Rate for Payer: Cofinity Commercial |
$1,228.69
|
| Rate for Payer: Cofinity Commercial |
$1,143.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.26
|
| Rate for Payer: Healthscope Commercial |
$1,578.53
|
| Rate for Payer: Healthscope Commercial |
$1,365.22
|
| Rate for Payer: Mclaren Medicaid |
$584.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.92
|
| Rate for Payer: Meridian Medicaid |
$613.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160,205.00
|
| Rate for Payer: Nomi Health Commercial |
$1,023.91
|
| Rate for Payer: PACE SWMI |
$853.26
|
| Rate for Payer: PHP Medicare Advantage |
$853.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$584.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,803.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,399.37
|
| Rate for Payer: Priority Health Medicare |
$853.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,399.37
|
| Rate for Payer: Priority Health SBD |
$1,399.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,040.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$853.26
|
| Rate for Payer: UHC Exchange |
$1,040.62
|
| Rate for Payer: UHC Medicare Advantage |
$853.26
|
| Rate for Payer: UHCCP Medicaid |
$584.26
|
|
|
PR TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND
|
Professional
|
Both
|
$5,615.00
|
|
|
Service Code
|
HCPCS 26551
|
| Min. Negotiated Rate |
$201.28 |
| Max. Negotiated Rate |
$584,089.00 |
| Rate for Payer: Aetna Commercial |
$4,214.38
|
| Rate for Payer: Aetna Medicare |
$3,270.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,214.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,528.89
|
| Rate for Payer: BCBS Complete |
$2,217.26
|
| Rate for Payer: BCBS MAPPO |
$3,145.06
|
| Rate for Payer: BCBS Trust/PPO |
$201.28
|
| Rate for Payer: BCN Commercial |
$4,818.85
|
| Rate for Payer: BCN Medicare Advantage |
$3,145.06
|
| Rate for Payer: Cash Price |
$4,492.00
|
| Rate for Payer: Cash Price |
$4,492.00
|
| Rate for Payer: Cofinity Commercial |
$4,528.89
|
| Rate for Payer: Cofinity Commercial |
$4,214.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,145.06
|
| Rate for Payer: Healthscope Commercial |
$5,818.36
|
| Rate for Payer: Healthscope Commercial |
$5,032.10
|
| Rate for Payer: Mclaren Medicaid |
$2,111.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,302.31
|
| Rate for Payer: Meridian Medicaid |
$2,217.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$584,089.00
|
| Rate for Payer: Nomi Health Commercial |
$3,774.07
|
| Rate for Payer: PACE SWMI |
$3,145.06
|
| Rate for Payer: PHP Medicare Advantage |
$3,145.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,111.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,649.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,029.06
|
| Rate for Payer: Priority Health Medicare |
$3,145.06
|
| Rate for Payer: Priority Health Narrow Network |
$5,029.06
|
| Rate for Payer: Priority Health SBD |
$5,029.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,832.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,145.06
|
| Rate for Payer: UHC Exchange |
$3,832.68
|
| Rate for Payer: UHC Medicare Advantage |
$3,145.06
|
| Rate for Payer: UHCCP Medicaid |
$2,111.68
|
|
|
PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP
|
Professional
|
Both
|
$2,819.00
|
|
|
Service Code
|
HCPCS 27691
|
| Min. Negotiated Rate |
$484.15 |
| Max. Negotiated Rate |
$131,454.00 |
| Rate for Payer: Aetna Commercial |
$957.64
|
| Rate for Payer: Aetna Medicare |
$743.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,029.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$957.64
|
| Rate for Payer: BCBS Complete |
$508.36
|
| Rate for Payer: BCBS MAPPO |
$714.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,829.97
|
| Rate for Payer: BCN Commercial |
$1,090.73
|
| Rate for Payer: BCN Medicare Advantage |
$714.66
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cash Price |
$2,255.20
|
| Rate for Payer: Cofinity Commercial |
$957.64
|
| Rate for Payer: Cofinity Commercial |
$1,029.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$714.66
|
| Rate for Payer: Healthscope Commercial |
$1,322.12
|
| Rate for Payer: Healthscope Commercial |
$1,143.46
|
| Rate for Payer: Mclaren Medicaid |
$484.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$750.39
|
| Rate for Payer: Meridian Medicaid |
$508.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131,454.00
|
| Rate for Payer: Nomi Health Commercial |
$857.59
|
| Rate for Payer: PACE SWMI |
$714.66
|
| Rate for Payer: PHP Medicare Advantage |
$714.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$484.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,832.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.95
|
| Rate for Payer: Priority Health Medicare |
$714.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,145.95
|
| Rate for Payer: Priority Health SBD |
$1,145.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$714.66
|
| Rate for Payer: UHC Exchange |
$964.29
|
| Rate for Payer: UHC Medicare Advantage |
$714.66
|
| Rate for Payer: UHCCP Medicaid |
$484.15
|
|
|
PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 27692
|
| Min. Negotiated Rate |
$65.39 |
| Max. Negotiated Rate |
$17,820.00 |
| Rate for Payer: Aetna Commercial |
$132.19
|
| Rate for Payer: Aetna Medicare |
$102.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.06
|
| Rate for Payer: BCBS Complete |
$68.66
|
| Rate for Payer: BCBS MAPPO |
$98.65
|
| Rate for Payer: BCBS Trust/PPO |
$3,094.06
|
| Rate for Payer: BCN Commercial |
$145.14
|
| Rate for Payer: BCN Medicare Advantage |
$98.65
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$142.06
|
| Rate for Payer: Cofinity Commercial |
$132.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.65
|
| Rate for Payer: Healthscope Commercial |
$182.50
|
| Rate for Payer: Healthscope Commercial |
$157.84
|
| Rate for Payer: Mclaren Medicaid |
$65.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.58
|
| Rate for Payer: Meridian Medicaid |
$68.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,820.00
|
| Rate for Payer: Nomi Health Commercial |
$118.38
|
| Rate for Payer: PACE SWMI |
$98.65
|
| Rate for Payer: PHP Medicare Advantage |
$98.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$154.18
|
| Rate for Payer: Priority Health Medicare |
$98.65
|
| Rate for Payer: Priority Health Narrow Network |
$154.18
|
| Rate for Payer: Priority Health SBD |
$154.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$98.65
|
| Rate for Payer: UHC Exchange |
$133.85
|
| Rate for Payer: UHC Medicare Advantage |
$98.65
|
| Rate for Payer: UHCCP Medicaid |
$65.39
|
|
|
PR TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC
|
Professional
|
Both
|
$1,995.00
|
|
|
Service Code
|
HCPCS 27690
|
| Min. Negotiated Rate |
$416.63 |
| Max. Negotiated Rate |
$112,720.00 |
| Rate for Payer: Aetna Commercial |
$822.61
|
| Rate for Payer: Aetna Medicare |
$638.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$822.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$884.00
|
| Rate for Payer: BCBS Complete |
$437.46
|
| Rate for Payer: BCBS MAPPO |
$613.89
|
| Rate for Payer: BCBS Trust/PPO |
$627.07
|
| Rate for Payer: BCN Commercial |
$935.81
|
| Rate for Payer: BCN Medicare Advantage |
$613.89
|
| Rate for Payer: Cash Price |
$1,596.00
|
| Rate for Payer: Cash Price |
$1,596.00
|
| Rate for Payer: Cofinity Commercial |
$884.00
|
| Rate for Payer: Cofinity Commercial |
$822.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$613.89
|
| Rate for Payer: Healthscope Commercial |
$982.22
|
| Rate for Payer: Healthscope Commercial |
$1,135.70
|
| Rate for Payer: Mclaren Medicaid |
$416.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$644.58
|
| Rate for Payer: Meridian Medicaid |
$437.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$112,720.00
|
| Rate for Payer: Nomi Health Commercial |
$736.67
|
| Rate for Payer: PACE SWMI |
$613.89
|
| Rate for Payer: PHP Medicare Advantage |
$613.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,296.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$984.14
|
| Rate for Payer: Priority Health Medicare |
$613.89
|
| Rate for Payer: Priority Health Narrow Network |
$984.14
|
| Rate for Payer: Priority Health SBD |
$984.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$865.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$613.89
|
| Rate for Payer: UHC Exchange |
$865.53
|
| Rate for Payer: UHC Medicare Advantage |
$613.89
|
| Rate for Payer: UHCCP Medicaid |
$416.63
|
|
|
PR TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN
|
Professional
|
Both
|
$2,062.00
|
|
|
Service Code
|
HCPCS 26480
|
| Min. Negotiated Rate |
$467.96 |
| Max. Negotiated Rate |
$137,934.00 |
| Rate for Payer: Aetna Commercial |
$921.44
|
| Rate for Payer: Aetna Medicare |
$715.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$921.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$990.20
|
| Rate for Payer: BCBS Complete |
$491.36
|
| Rate for Payer: BCBS MAPPO |
$687.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,024.37
|
| Rate for Payer: BCN Commercial |
$1,168.91
|
| Rate for Payer: BCN Medicare Advantage |
$687.64
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cofinity Commercial |
$990.20
|
| Rate for Payer: Cofinity Commercial |
$921.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.64
|
| Rate for Payer: Healthscope Commercial |
$1,272.13
|
| Rate for Payer: Healthscope Commercial |
$1,100.22
|
| Rate for Payer: Mclaren Medicaid |
$467.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$722.02
|
| Rate for Payer: Meridian Medicaid |
$491.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$137,934.00
|
| Rate for Payer: Nomi Health Commercial |
$825.17
|
| Rate for Payer: PACE SWMI |
$687.64
|
| Rate for Payer: PHP Medicare Advantage |
$687.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$467.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,340.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,214.65
|
| Rate for Payer: Priority Health Medicare |
$687.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,214.65
|
| Rate for Payer: Priority Health SBD |
$1,214.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,040.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$687.64
|
| Rate for Payer: UHC Exchange |
$1,040.85
|
| Rate for Payer: UHC Medicare Advantage |
$687.64
|
| Rate for Payer: UHCCP Medicaid |
$467.96
|
|
|
PR TRURL DRAINAGE PROSTATIC ABSCESS
|
Professional
|
Both
|
$827.00
|
|
|
Service Code
|
HCPCS 52700
|
| Min. Negotiated Rate |
$283.70 |
| Max. Negotiated Rate |
$77,767.00 |
| Rate for Payer: Aetna Commercial |
$567.33
|
| Rate for Payer: Aetna Medicare |
$440.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$567.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.67
|
| Rate for Payer: BCBS Complete |
$299.24
|
| Rate for Payer: BCBS MAPPO |
$423.38
|
| Rate for Payer: BCBS Trust/PPO |
$283.70
|
| Rate for Payer: BCN Commercial |
$640.16
|
| Rate for Payer: BCN Medicare Advantage |
$423.38
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$609.67
|
| Rate for Payer: Cofinity Commercial |
$567.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$423.38
|
| Rate for Payer: Healthscope Commercial |
$783.25
|
| Rate for Payer: Healthscope Commercial |
$677.41
|
| Rate for Payer: Mclaren Medicaid |
$284.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$444.55
|
| Rate for Payer: Meridian Medicaid |
$299.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$77,767.00
|
| Rate for Payer: Nomi Health Commercial |
$508.06
|
| Rate for Payer: PACE SWMI |
$423.38
|
| Rate for Payer: PHP Medicare Advantage |
$423.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$537.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$707.82
|
| Rate for Payer: Priority Health Medicare |
$423.38
|
| Rate for Payer: Priority Health Narrow Network |
$707.82
|
| Rate for Payer: Priority Health SBD |
$707.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$473.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$423.38
|
| Rate for Payer: UHC Exchange |
$473.22
|
| Rate for Payer: UHC Medicare Advantage |
$423.38
|
| Rate for Payer: UHCCP Medicaid |
$284.99
|
|
|
PR TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY
|
Professional
|
Both
|
$3,550.00
|
|
|
Service Code
|
HCPCS 53854
|
| Min. Negotiated Rate |
$246.23 |
| Max. Negotiated Rate |
$66,614.00 |
| Rate for Payer: Aetna Commercial |
$487.40
|
| Rate for Payer: Aetna Medicare |
$378.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.77
|
| Rate for Payer: BCBS Complete |
$258.54
|
| Rate for Payer: BCBS MAPPO |
$363.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,462.86
|
| Rate for Payer: BCN Commercial |
$2,456.58
|
| Rate for Payer: BCN Medicare Advantage |
$363.73
|
| Rate for Payer: Cash Price |
$2,840.00
|
| Rate for Payer: Cash Price |
$2,840.00
|
| Rate for Payer: Cofinity Commercial |
$523.77
|
| Rate for Payer: Cofinity Commercial |
$487.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.73
|
| Rate for Payer: Healthscope Commercial |
$581.97
|
| Rate for Payer: Healthscope Commercial |
$672.90
|
| Rate for Payer: Mclaren Medicaid |
$246.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.92
|
| Rate for Payer: Meridian Medicaid |
$258.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66,614.00
|
| Rate for Payer: Nomi Health Commercial |
$436.48
|
| Rate for Payer: PACE SWMI |
$363.73
|
| Rate for Payer: PHP Medicare Advantage |
$363.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,307.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$611.42
|
| Rate for Payer: Priority Health Medicare |
$363.73
|
| Rate for Payer: Priority Health Narrow Network |
$611.42
|
| Rate for Payer: Priority Health SBD |
$611.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.73
|
| Rate for Payer: UHC Medicare Advantage |
$363.73
|
| Rate for Payer: UHCCP Medicaid |
$246.23
|
|
|
PR TRURL DSTRJ PRSTATE TISS RF THERMOTH
|
Professional
|
Both
|
$2,935.00
|
|
|
Service Code
|
HCPCS 53852
|
| Min. Negotiated Rate |
$246.23 |
| Max. Negotiated Rate |
$66,681.00 |
| Rate for Payer: Aetna Commercial |
$487.40
|
| Rate for Payer: Aetna Medicare |
$378.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$523.77
|
| Rate for Payer: BCBS Complete |
$258.54
|
| Rate for Payer: BCBS MAPPO |
$363.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,575.92
|
| Rate for Payer: BCN Commercial |
$2,032.41
|
| Rate for Payer: BCN Medicare Advantage |
$363.73
|
| Rate for Payer: Cash Price |
$2,348.00
|
| Rate for Payer: Cash Price |
$2,348.00
|
| Rate for Payer: Cofinity Commercial |
$523.77
|
| Rate for Payer: Cofinity Commercial |
$487.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.73
|
| Rate for Payer: Healthscope Commercial |
$672.90
|
| Rate for Payer: Healthscope Commercial |
$581.97
|
| Rate for Payer: Mclaren Medicaid |
$246.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.92
|
| Rate for Payer: Meridian Medicaid |
$258.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$66,681.00
|
| Rate for Payer: Nomi Health Commercial |
$436.48
|
| Rate for Payer: PACE SWMI |
$363.73
|
| Rate for Payer: PHP Medicare Advantage |
$363.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,907.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$611.42
|
| Rate for Payer: Priority Health Medicare |
$363.73
|
| Rate for Payer: Priority Health Narrow Network |
$611.42
|
| Rate for Payer: Priority Health SBD |
$611.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,868.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.73
|
| Rate for Payer: UHC Exchange |
$3,868.53
|
| Rate for Payer: UHC Medicare Advantage |
$363.73
|
| Rate for Payer: UHCCP Medicaid |
$246.23
|
|
|
PR TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE
|
Professional
|
Both
|
$1,590.00
|
|
|
Service Code
|
HCPCS 52601
|
| Min. Negotiated Rate |
$465.62 |
| Max. Negotiated Rate |
$127,964.00 |
| Rate for Payer: Aetna Commercial |
$932.00
|
| Rate for Payer: Aetna Medicare |
$723.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,001.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.00
|
| Rate for Payer: BCBS Complete |
$488.90
|
| Rate for Payer: BCBS MAPPO |
$695.52
|
| Rate for Payer: BCBS Trust/PPO |
$659.32
|
| Rate for Payer: BCN Commercial |
$1,048.70
|
| Rate for Payer: BCN Medicare Advantage |
$695.52
|
| Rate for Payer: Cash Price |
$1,272.00
|
| Rate for Payer: Cash Price |
$1,272.00
|
| Rate for Payer: Cofinity Commercial |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$1,001.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.52
|
| Rate for Payer: Healthscope Commercial |
$1,286.71
|
| Rate for Payer: Healthscope Commercial |
$1,112.83
|
| Rate for Payer: Mclaren Medicaid |
$465.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$730.30
|
| Rate for Payer: Meridian Medicaid |
$488.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127,964.00
|
| Rate for Payer: Nomi Health Commercial |
$834.62
|
| Rate for Payer: PACE SWMI |
$695.52
|
| Rate for Payer: PHP Medicare Advantage |
$695.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$465.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,033.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,157.34
|
| Rate for Payer: Priority Health Medicare |
$695.52
|
| Rate for Payer: Priority Health Narrow Network |
$1,157.34
|
| Rate for Payer: Priority Health SBD |
$1,157.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$879.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$695.52
|
| Rate for Payer: UHC Exchange |
$879.97
|
| Rate for Payer: UHC Medicare Advantage |
$695.52
|
| Rate for Payer: UHCCP Medicaid |
$465.62
|
|
|
PR TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 52640
|
| Min. Negotiated Rate |
$209.59 |
| Max. Negotiated Rate |
$56,308.00 |
| Rate for Payer: Aetna Commercial |
$413.72
|
| Rate for Payer: Aetna Medicare |
$321.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$444.60
|
| Rate for Payer: BCBS Complete |
$220.07
|
| Rate for Payer: BCBS MAPPO |
$308.75
|
| Rate for Payer: BCBS Trust/PPO |
$733.28
|
| Rate for Payer: BCN Commercial |
$467.17
|
| Rate for Payer: BCN Medicare Advantage |
$308.75
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cofinity Commercial |
$444.60
|
| Rate for Payer: Cofinity Commercial |
$413.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.75
|
| Rate for Payer: Healthscope Commercial |
$571.19
|
| Rate for Payer: Healthscope Commercial |
$494.00
|
| Rate for Payer: Mclaren Medicaid |
$209.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$324.19
|
| Rate for Payer: Meridian Medicaid |
$220.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,308.00
|
| Rate for Payer: Nomi Health Commercial |
$370.50
|
| Rate for Payer: PACE SWMI |
$308.75
|
| Rate for Payer: PHP Medicare Advantage |
$308.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$518.75
|
| Rate for Payer: Priority Health Medicare |
$308.75
|
| Rate for Payer: Priority Health Narrow Network |
$518.75
|
| Rate for Payer: Priority Health SBD |
$518.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$483.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.75
|
| Rate for Payer: UHC Exchange |
$483.98
|
| Rate for Payer: UHC Medicare Advantage |
$308.75
|
| Rate for Payer: UHCCP Medicaid |
$209.59
|
|
|
PR TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS
|
Professional
|
Both
|
$789.00
|
|
|
Service Code
|
HCPCS 52630
|
| Min. Negotiated Rate |
$262.20 |
| Max. Negotiated Rate |
$71,078.00 |
| Rate for Payer: Aetna Commercial |
$520.43
|
| Rate for Payer: Aetna Medicare |
$403.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$520.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$559.27
|
| Rate for Payer: BCBS Complete |
$275.31
|
| Rate for Payer: BCBS MAPPO |
$388.38
|
| Rate for Payer: BCBS Trust/PPO |
$727.47
|
| Rate for Payer: BCN Commercial |
$586.90
|
| Rate for Payer: BCN Medicare Advantage |
$388.38
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$559.27
|
| Rate for Payer: Cofinity Commercial |
$520.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$388.38
|
| Rate for Payer: Healthscope Commercial |
$718.50
|
| Rate for Payer: Healthscope Commercial |
$621.41
|
| Rate for Payer: Mclaren Medicaid |
$262.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$407.80
|
| Rate for Payer: Meridian Medicaid |
$275.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71,078.00
|
| Rate for Payer: Nomi Health Commercial |
$466.06
|
| Rate for Payer: PACE SWMI |
$388.38
|
| Rate for Payer: PHP Medicare Advantage |
$388.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$512.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.78
|
| Rate for Payer: Priority Health Medicare |
$388.38
|
| Rate for Payer: Priority Health Narrow Network |
$649.78
|
| Rate for Payer: Priority Health SBD |
$649.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$521.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$388.38
|
| Rate for Payer: UHC Exchange |
$521.99
|
| Rate for Payer: UHC Medicare Advantage |
$388.38
|
| Rate for Payer: UHCCP Medicaid |
$262.20
|
|
|
PR TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP
|
Professional
|
Both
|
$154.00
|
|
|
Service Code
|
HCPCS 95921
|
| Min. Negotiated Rate |
$27.69 |
| Max. Negotiated Rate |
$12,536.00 |
| Rate for Payer: Aetna Commercial |
$106.20
|
| Rate for Payer: Aetna Medicare |
$82.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.12
|
| Rate for Payer: BCBS Complete |
$29.07
|
| Rate for Payer: BCBS MAPPO |
$79.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,174.41
|
| Rate for Payer: BCN Commercial |
$127.55
|
| Rate for Payer: BCN Medicare Advantage |
$79.25
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cofinity Commercial |
$114.12
|
| Rate for Payer: Cofinity Commercial |
$106.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.25
|
| Rate for Payer: Healthscope Commercial |
$146.61
|
| Rate for Payer: Healthscope Commercial |
$126.80
|
| Rate for Payer: Mclaren Medicaid |
$27.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.21
|
| Rate for Payer: Meridian Medicaid |
$29.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,536.00
|
| Rate for Payer: Nomi Health Commercial |
$95.10
|
| Rate for Payer: PACE SWMI |
$79.25
|
| Rate for Payer: PHP Medicare Advantage |
$79.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$118.96
|
| Rate for Payer: Priority Health Medicare |
$79.25
|
| Rate for Payer: Priority Health Narrow Network |
$118.96
|
| Rate for Payer: Priority Health SBD |
$58.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$79.25
|
| Rate for Payer: UHC Exchange |
$69.85
|
| Rate for Payer: UHC Medicare Advantage |
$79.25
|
| Rate for Payer: UHCCP Medicaid |
$27.69
|
|
|
PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT
|
Professional
|
Both
|
$181.00
|
|
|
Service Code
|
HCPCS 95924
|
| Min. Negotiated Rate |
$53.89 |
| Max. Negotiated Rate |
$21,861.00 |
| Rate for Payer: Aetna Commercial |
$181.95
|
| Rate for Payer: Aetna Medicare |
$141.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.52
|
| Rate for Payer: BCBS Complete |
$56.58
|
| Rate for Payer: BCBS MAPPO |
$135.78
|
| Rate for Payer: BCBS Trust/PPO |
$987.92
|
| Rate for Payer: BCN Commercial |
$221.37
|
| Rate for Payer: BCN Medicare Advantage |
$135.78
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cash Price |
$144.80
|
| Rate for Payer: Cofinity Commercial |
$195.52
|
| Rate for Payer: Cofinity Commercial |
$181.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.78
|
| Rate for Payer: Healthscope Commercial |
$217.25
|
| Rate for Payer: Healthscope Commercial |
$251.19
|
| Rate for Payer: Mclaren Medicaid |
$53.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.57
|
| Rate for Payer: Meridian Medicaid |
$56.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,861.00
|
| Rate for Payer: Nomi Health Commercial |
$162.94
|
| Rate for Payer: PACE SWMI |
$135.78
|
| Rate for Payer: PHP Medicare Advantage |
$135.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$204.89
|
| Rate for Payer: Priority Health Medicare |
$135.78
|
| Rate for Payer: Priority Health Narrow Network |
$204.89
|
| Rate for Payer: Priority Health SBD |
$115.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$135.78
|
| Rate for Payer: UHC Medicare Advantage |
$135.78
|
| Rate for Payer: UHCCP Medicaid |
$53.89
|
|
|
PR TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ
|
Professional
|
Both
|
$185.00
|
|
|
Service Code
|
HCPCS 95922
|
| Min. Negotiated Rate |
$28.54 |
| Max. Negotiated Rate |
$13,868.00 |
| Rate for Payer: Aetna Commercial |
$109.42
|
| Rate for Payer: Aetna Medicare |
$84.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$109.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$117.59
|
| Rate for Payer: BCBS Complete |
$29.97
|
| Rate for Payer: BCBS MAPPO |
$81.66
|
| Rate for Payer: BCBS Trust/PPO |
$759.70
|
| Rate for Payer: BCN Commercial |
$141.23
|
| Rate for Payer: BCN Medicare Advantage |
$81.66
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Cash Price |
$148.00
|
| Rate for Payer: Cofinity Commercial |
$117.59
|
| Rate for Payer: Cofinity Commercial |
$109.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.66
|
| Rate for Payer: Healthscope Commercial |
$151.07
|
| Rate for Payer: Healthscope Commercial |
$130.66
|
| Rate for Payer: Mclaren Medicaid |
$28.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$85.74
|
| Rate for Payer: Meridian Medicaid |
$29.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,868.00
|
| Rate for Payer: Nomi Health Commercial |
$97.99
|
| Rate for Payer: PACE SWMI |
$81.66
|
| Rate for Payer: PHP Medicare Advantage |
$81.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$128.46
|
| Rate for Payer: Priority Health Medicare |
$81.66
|
| Rate for Payer: Priority Health Narrow Network |
$128.46
|
| Rate for Payer: Priority Health SBD |
$61.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.66
|
| Rate for Payer: UHC Exchange |
$75.16
|
| Rate for Payer: UHC Medicare Advantage |
$81.66
|
| Rate for Payer: UHCCP Medicaid |
$28.54
|
|
|
PR TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 31730
|
| Min. Negotiated Rate |
$122.00 |
| Max. Negotiated Rate |
$26,591.00 |
| Rate for Payer: Aetna Commercial |
$193.52
|
| Rate for Payer: Aetna Medicare |
$150.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.96
|
| Rate for Payer: BCBS Complete |
$122.00
|
| Rate for Payer: BCBS MAPPO |
$144.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.54
|
| Rate for Payer: BCN Commercial |
$1,574.52
|
| Rate for Payer: BCN Medicare Advantage |
$144.42
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$207.96
|
| Rate for Payer: Cofinity Commercial |
$193.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.42
|
| Rate for Payer: Healthscope Commercial |
$231.07
|
| Rate for Payer: Healthscope Commercial |
$267.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26,591.00
|
| Rate for Payer: Nomi Health Commercial |
$173.30
|
| Rate for Payer: PACE SWMI |
$144.42
|
| Rate for Payer: PHP Medicare Advantage |
$144.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$203.46
|
| Rate for Payer: Priority Health Medicare |
$144.42
|
| Rate for Payer: Priority Health Narrow Network |
$203.46
|
| Rate for Payer: Priority Health SBD |
$203.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.42
|
| Rate for Payer: UHC Exchange |
$231.16
|
| Rate for Payer: UHC Medicare Advantage |
$144.42
|
|
|
PR TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD
|
Professional
|
Both
|
$1,243.00
|
|
|
Service Code
|
HCPCS 44015
|
| Min. Negotiated Rate |
$89.46 |
| Max. Negotiated Rate |
$25,470.00 |
| Rate for Payer: Aetna Commercial |
$183.11
|
| Rate for Payer: Aetna Medicare |
$142.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.78
|
| Rate for Payer: BCBS Complete |
$93.93
|
| Rate for Payer: BCBS MAPPO |
$136.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,262.71
|
| Rate for Payer: BCN Commercial |
$205.73
|
| Rate for Payer: BCN Medicare Advantage |
$136.65
|
| Rate for Payer: Cash Price |
$994.40
|
| Rate for Payer: Cash Price |
$994.40
|
| Rate for Payer: Cofinity Commercial |
$196.78
|
| Rate for Payer: Cofinity Commercial |
$183.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.65
|
| Rate for Payer: Healthscope Commercial |
$252.80
|
| Rate for Payer: Healthscope Commercial |
$218.64
|
| Rate for Payer: Mclaren Medicaid |
$89.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$143.48
|
| Rate for Payer: Meridian Medicaid |
$93.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,470.00
|
| Rate for Payer: Nomi Health Commercial |
$163.98
|
| Rate for Payer: PACE SWMI |
$136.65
|
| Rate for Payer: PHP Medicare Advantage |
$136.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$807.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$249.96
|
| Rate for Payer: Priority Health Medicare |
$136.65
|
| Rate for Payer: Priority Health Narrow Network |
$249.96
|
| Rate for Payer: Priority Health SBD |
$249.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$136.65
|
| Rate for Payer: UHC Exchange |
$184.52
|
| Rate for Payer: UHC Medicare Advantage |
$136.65
|
| Rate for Payer: UHCCP Medicaid |
$89.46
|
|
|
PR TUBE THORACOSTOMY INCLUDES WATER SEAL
|
Professional
|
Both
|
$602.00
|
|
|
Service Code
|
HCPCS 32551
|
| Min. Negotiated Rate |
$98.19 |
| Max. Negotiated Rate |
$27,634.00 |
| Rate for Payer: Aetna Commercial |
$199.78
|
| Rate for Payer: Aetna Medicare |
$155.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.69
|
| Rate for Payer: BCBS Complete |
$103.10
|
| Rate for Payer: BCBS MAPPO |
$149.09
|
| Rate for Payer: BCBS Trust/PPO |
$753.36
|
| Rate for Payer: BCN Commercial |
$223.81
|
| Rate for Payer: BCN Medicare Advantage |
$149.09
|
| Rate for Payer: Cash Price |
$481.60
|
| Rate for Payer: Cash Price |
$481.60
|
| Rate for Payer: Cofinity Commercial |
$214.69
|
| Rate for Payer: Cofinity Commercial |
$199.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.09
|
| Rate for Payer: Healthscope Commercial |
$238.54
|
| Rate for Payer: Healthscope Commercial |
$275.82
|
| Rate for Payer: Mclaren Medicaid |
$98.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.54
|
| Rate for Payer: Meridian Medicaid |
$103.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,634.00
|
| Rate for Payer: Nomi Health Commercial |
$178.91
|
| Rate for Payer: PACE SWMI |
$149.09
|
| Rate for Payer: PHP Medicare Advantage |
$149.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$391.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.73
|
| Rate for Payer: Priority Health Medicare |
$149.09
|
| Rate for Payer: Priority Health Narrow Network |
$212.73
|
| Rate for Payer: Priority Health SBD |
$212.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.09
|
| Rate for Payer: UHC Medicare Advantage |
$149.09
|
| Rate for Payer: UHCCP Medicaid |
$98.19
|
|
|
PR TUBOTUBAL ANASTATOMOSIS
|
Professional
|
Both
|
$1,653.00
|
|
|
Service Code
|
HCPCS 58750
|
| Min. Negotiated Rate |
$428.98 |
| Max. Negotiated Rate |
$162,769.00 |
| Rate for Payer: Aetna Commercial |
$1,170.95
|
| Rate for Payer: Aetna Medicare |
$908.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,170.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,258.33
|
| Rate for Payer: BCBS Complete |
$661.20
|
| Rate for Payer: BCBS MAPPO |
$873.84
|
| Rate for Payer: BCBS Trust/PPO |
$428.98
|
| Rate for Payer: BCN Commercial |
$1,334.09
|
| Rate for Payer: BCN Medicare Advantage |
$873.84
|
| Rate for Payer: Cash Price |
$1,322.40
|
| Rate for Payer: Cash Price |
$1,322.40
|
| Rate for Payer: Cofinity Commercial |
$1,258.33
|
| Rate for Payer: Cofinity Commercial |
$1,170.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$873.84
|
| Rate for Payer: Healthscope Commercial |
$1,398.14
|
| Rate for Payer: Healthscope Commercial |
$1,616.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$917.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162,769.00
|
| Rate for Payer: Nomi Health Commercial |
$1,048.61
|
| Rate for Payer: PACE SWMI |
$873.84
|
| Rate for Payer: PHP Medicare Advantage |
$873.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,074.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,360.16
|
| Rate for Payer: Priority Health Medicare |
$873.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,360.16
|
| Rate for Payer: Priority Health SBD |
$1,360.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,276.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$873.84
|
| Rate for Payer: UHC Exchange |
$1,276.42
|
| Rate for Payer: UHC Medicare Advantage |
$873.84
|
|
|
PR TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA
|
Professional
|
Both
|
$3,910.00
|
|
|
Service Code
|
HCPCS 61108
|
| Min. Negotiated Rate |
$594.70 |
| Max. Negotiated Rate |
$163,544.00 |
| Rate for Payer: Aetna Commercial |
$1,199.38
|
| Rate for Payer: Aetna Medicare |
$930.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,199.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.89
|
| Rate for Payer: BCBS Complete |
$624.44
|
| Rate for Payer: BCBS MAPPO |
$895.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,532.07
|
| Rate for Payer: BCN Commercial |
$1,862.28
|
| Rate for Payer: BCN Medicare Advantage |
$895.06
|
| Rate for Payer: Cash Price |
$3,128.00
|
| Rate for Payer: Cash Price |
$3,128.00
|
| Rate for Payer: Cofinity Commercial |
$1,288.89
|
| Rate for Payer: Cofinity Commercial |
$1,199.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$895.06
|
| Rate for Payer: Healthscope Commercial |
$1,655.86
|
| Rate for Payer: Healthscope Commercial |
$1,432.10
|
| Rate for Payer: Mclaren Medicaid |
$594.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$939.81
|
| Rate for Payer: Meridian Medicaid |
$624.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163,544.00
|
| Rate for Payer: Nomi Health Commercial |
$1,074.07
|
| Rate for Payer: PACE SWMI |
$895.06
|
| Rate for Payer: PHP Medicare Advantage |
$895.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,541.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,577.62
|
| Rate for Payer: Priority Health Medicare |
$895.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,577.62
|
| Rate for Payer: Priority Health SBD |
$1,577.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$966.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$895.06
|
| Rate for Payer: UHC Exchange |
$966.10
|
| Rate for Payer: UHC Medicare Advantage |
$895.06
|
| Rate for Payer: UHCCP Medicaid |
$594.70
|
|
|
PR TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE
|
Professional
|
Both
|
$2,479.00
|
|
|
Service Code
|
HCPCS 61107
|
| Min. Negotiated Rate |
$201.07 |
| Max. Negotiated Rate |
$56,648.00 |
| Rate for Payer: Aetna Commercial |
$414.94
|
| Rate for Payer: Aetna Medicare |
$322.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$414.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$445.91
|
| Rate for Payer: BCBS Complete |
$211.12
|
| Rate for Payer: BCBS MAPPO |
$309.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,532.60
|
| Rate for Payer: BCN Commercial |
$633.87
|
| Rate for Payer: BCN Medicare Advantage |
$309.66
|
| Rate for Payer: Cash Price |
$1,983.20
|
| Rate for Payer: Cash Price |
$1,983.20
|
| Rate for Payer: Cofinity Commercial |
$445.91
|
| Rate for Payer: Cofinity Commercial |
$414.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.66
|
| Rate for Payer: Healthscope Commercial |
$572.87
|
| Rate for Payer: Healthscope Commercial |
$495.46
|
| Rate for Payer: Mclaren Medicaid |
$201.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.14
|
| Rate for Payer: Meridian Medicaid |
$211.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,648.00
|
| Rate for Payer: Nomi Health Commercial |
$371.59
|
| Rate for Payer: PACE SWMI |
$309.66
|
| Rate for Payer: PHP Medicare Advantage |
$309.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,611.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$535.17
|
| Rate for Payer: Priority Health Medicare |
$309.66
|
| Rate for Payer: Priority Health Narrow Network |
$535.17
|
| Rate for Payer: Priority Health SBD |
$535.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.66
|
| Rate for Payer: UHC Exchange |
$466.64
|
| Rate for Payer: UHC Medicare Advantage |
$309.66
|
| Rate for Payer: UHCCP Medicaid |
$201.07
|
|
|
PR TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE
|
Professional
|
Both
|
$2,149.00
|
|
|
Service Code
|
HCPCS 61105
|
| Min. Negotiated Rate |
$188.07 |
| Max. Negotiated Rate |
$83,666.00 |
| Rate for Payer: Aetna Commercial |
$615.86
|
| Rate for Payer: Aetna Medicare |
$477.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$615.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$661.82
|
| Rate for Payer: BCBS Complete |
$322.51
|
| Rate for Payer: BCBS MAPPO |
$459.60
|
| Rate for Payer: BCBS Trust/PPO |
$188.07
|
| Rate for Payer: BCN Commercial |
$957.24
|
| Rate for Payer: BCN Medicare Advantage |
$459.60
|
| Rate for Payer: Cash Price |
$1,719.20
|
| Rate for Payer: Cash Price |
$1,719.20
|
| Rate for Payer: Cofinity Commercial |
$661.82
|
| Rate for Payer: Cofinity Commercial |
$615.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$459.60
|
| Rate for Payer: Healthscope Commercial |
$850.26
|
| Rate for Payer: Healthscope Commercial |
$735.36
|
| Rate for Payer: Mclaren Medicaid |
$307.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$482.58
|
| Rate for Payer: Meridian Medicaid |
$322.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83,666.00
|
| Rate for Payer: Nomi Health Commercial |
$551.52
|
| Rate for Payer: PACE SWMI |
$459.60
|
| Rate for Payer: PHP Medicare Advantage |
$459.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$307.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,396.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$812.70
|
| Rate for Payer: Priority Health Medicare |
$459.60
|
| Rate for Payer: Priority Health Narrow Network |
$812.70
|
| Rate for Payer: Priority Health SBD |
$812.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$505.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$459.60
|
| Rate for Payer: UHC Exchange |
$505.17
|
| Rate for Payer: UHC Medicare Advantage |
$459.60
|
| Rate for Payer: UHCCP Medicaid |
$307.15
|
|
|
PR TWO AREA LIPOSUCTION - 2 AREA 2.0 HR
|
Professional
|
Both
|
$2,754.00
|
|
|
Service Code
|
HCPCS 00528
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,101.60 |
| Max. Negotiated Rate |
$5,000.00 |
| Rate for Payer: Aetna Medicare |
$1,377.00
|
| Rate for Payer: BCBS Complete |
$1,101.60
|
| Rate for Payer: Cash Price |
$2,203.20
|
| Rate for Payer: Cash Price |
$2,203.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,000.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,790.10
|
|
