PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST
|
Professional
|
Both
|
$438.00
|
|
Service Code
|
HCPCS 30905
|
Min. Negotiated Rate |
$67.31 |
Max. Negotiated Rate |
$835.24 |
Rate for Payer: Aetna Commercial |
$136.69
|
Rate for Payer: BCBS Complete |
$70.68
|
Rate for Payer: BCBS Trust/PPO |
$835.24
|
Rate for Payer: Cash Price |
$350.40
|
Rate for Payer: Cash Price |
$350.40
|
Rate for Payer: Mclaren Medicaid |
$67.31
|
Rate for Payer: Meridian Medicaid |
$70.68
|
Rate for Payer: Priority Health Choice Medicaid |
$67.31
|
Rate for Payer: Priority Health Cigna Priority Health |
$306.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146.32
|
Rate for Payer: Priority Health Narrow Network |
$146.32
|
Rate for Payer: Priority Health SBD |
$146.32
|
|
PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ
|
Professional
|
Both
|
$587.00
|
|
Service Code
|
HCPCS 30906
|
Min. Negotiated Rate |
$84.35 |
Max. Negotiated Rate |
$907.62 |
Rate for Payer: Aetna Commercial |
$174.23
|
Rate for Payer: BCBS Complete |
$88.57
|
Rate for Payer: BCBS Trust/PPO |
$907.62
|
Rate for Payer: Cash Price |
$469.60
|
Rate for Payer: Cash Price |
$469.60
|
Rate for Payer: Mclaren Medicaid |
$84.35
|
Rate for Payer: Meridian Medicaid |
$88.57
|
Rate for Payer: Priority Health Choice Medicaid |
$84.35
|
Rate for Payer: Priority Health Cigna Priority Health |
$410.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$183.83
|
Rate for Payer: Priority Health Narrow Network |
$183.83
|
Rate for Payer: Priority Health SBD |
$183.83
|
|
PR CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ
|
Professional
|
Both
|
$765.00
|
|
Service Code
|
HCPCS 42961
|
Min. Negotiated Rate |
$269.96 |
Max. Negotiated Rate |
$742.62 |
Rate for Payer: Aetna Commercial |
$551.09
|
Rate for Payer: BCBS Complete |
$284.49
|
Rate for Payer: BCBS Trust/PPO |
$269.96
|
Rate for Payer: Cash Price |
$612.00
|
Rate for Payer: Cash Price |
$612.00
|
Rate for Payer: Mclaren Medicaid |
$270.94
|
Rate for Payer: Meridian Medicaid |
$284.49
|
Rate for Payer: Priority Health Choice Medicaid |
$270.94
|
Rate for Payer: Priority Health Cigna Priority Health |
$535.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.62
|
Rate for Payer: Priority Health Narrow Network |
$742.62
|
Rate for Payer: Priority Health SBD |
$742.62
|
|
PR CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ
|
Professional
|
Both
|
$1,864.00
|
|
Service Code
|
HCPCS 42962
|
Min. Negotiated Rate |
$333.56 |
Max. Negotiated Rate |
$1,304.80 |
Rate for Payer: Aetna Commercial |
$682.74
|
Rate for Payer: BCBS Complete |
$350.24
|
Rate for Payer: BCBS Trust/PPO |
$346.04
|
Rate for Payer: Cash Price |
$1,491.20
|
Rate for Payer: Cash Price |
$1,491.20
|
Rate for Payer: Mclaren Medicaid |
$333.56
|
Rate for Payer: Meridian Medicaid |
$350.24
|
Rate for Payer: Priority Health Choice Medicaid |
$333.56
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,304.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$918.42
|
Rate for Payer: Priority Health Narrow Network |
$918.42
|
Rate for Payer: Priority Health SBD |
$918.42
|
|
PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS
|
Professional
|
Both
|
$528.00
|
|
Service Code
|
HCPCS 95929
|
Min. Negotiated Rate |
$103.30 |
Max. Negotiated Rate |
$369.60 |
Rate for Payer: Aetna Commercial |
$260.29
|
Rate for Payer: BCBS Complete |
$211.20
|
Rate for Payer: BCBS Trust/PPO |
$111.47
|
Rate for Payer: Cash Price |
$422.40
|
Rate for Payer: Cash Price |
$422.40
|
Rate for Payer: Priority Health Cigna Priority Health |
$369.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.30
|
Rate for Payer: Priority Health Narrow Network |
$103.30
|
Rate for Payer: Priority Health SBD |
$321.13
|
|
PR CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS
|
Professional
|
Both
|
$333.00
|
|
Service Code
|
HCPCS 95928
|
Min. Negotiated Rate |
$99.85 |
Max. Negotiated Rate |
$316.20 |
Rate for Payer: Aetna Commercial |
$253.19
|
Rate for Payer: Aetna Commercial |
$253.19
|
Rate for Payer: BCBS Complete |
$194.80
|
Rate for Payer: BCBS Complete |
$133.20
|
Rate for Payer: BCBS Trust/PPO |
$99.85
|
Rate for Payer: BCBS Trust/PPO |
$99.85
|
Rate for Payer: Cash Price |
$266.40
|
Rate for Payer: Cash Price |
$266.40
|
Rate for Payer: Cash Price |
$389.60
|
Rate for Payer: Cash Price |
$389.60
|
Rate for Payer: Priority Health Cigna Priority Health |
$340.90
|
Rate for Payer: Priority Health Cigna Priority Health |
$233.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.75
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.75
|
Rate for Payer: Priority Health Narrow Network |
$103.75
|
Rate for Payer: Priority Health Narrow Network |
$103.75
|
Rate for Payer: Priority Health SBD |
$316.20
|
Rate for Payer: Priority Health SBD |
$316.20
|
|
PR CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI
|
Professional
|
Both
|
$322.00
|
|
Service Code
|
HCPCS 95939
|
Min. Negotiated Rate |
$128.80 |
Max. Negotiated Rate |
$732.55 |
Rate for Payer: Aetna Commercial |
$578.57
|
Rate for Payer: BCBS Complete |
$128.80
|
Rate for Payer: BCBS Trust/PPO |
$596.45
|
Rate for Payer: Cash Price |
$257.60
|
Rate for Payer: Cash Price |
$257.60
|
Rate for Payer: Priority Health Cigna Priority Health |
$225.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$154.95
|
Rate for Payer: Priority Health Narrow Network |
$154.95
|
Rate for Payer: Priority Health SBD |
$732.55
|
|
PR CURETTAGE POSTPARTUM
|
Professional
|
Both
|
$535.00
|
|
Service Code
|
HCPCS 59160
|
Min. Negotiated Rate |
$121.84 |
Max. Negotiated Rate |
$516.15 |
Rate for Payer: Aetna Commercial |
$203.67
|
Rate for Payer: BCBS Complete |
$127.93
|
Rate for Payer: BCBS Trust/PPO |
$516.15
|
Rate for Payer: Cash Price |
$428.00
|
Rate for Payer: Cash Price |
$428.00
|
Rate for Payer: Mclaren Medicaid |
$121.84
|
Rate for Payer: Meridian Medicaid |
$127.93
|
Rate for Payer: Priority Health Choice Medicaid |
$121.84
|
Rate for Payer: Priority Health Cigna Priority Health |
$374.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$269.14
|
Rate for Payer: Priority Health Narrow Network |
$269.14
|
Rate for Payer: Priority Health SBD |
$269.14
|
|
PR CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ
|
Professional
|
Both
|
$328.00
|
|
Service Code
|
HCPCS 46942
|
Min. Negotiated Rate |
$83.50 |
Max. Negotiated Rate |
$1,144.83 |
Rate for Payer: Aetna Commercial |
$172.65
|
Rate for Payer: BCBS Complete |
$87.68
|
Rate for Payer: BCBS Trust/PPO |
$1,144.83
|
Rate for Payer: Cash Price |
$262.40
|
Rate for Payer: Cash Price |
$262.40
|
Rate for Payer: Mclaren Medicaid |
$83.50
|
Rate for Payer: Meridian Medicaid |
$87.68
|
Rate for Payer: Priority Health Choice Medicaid |
$83.50
|
Rate for Payer: Priority Health Cigna Priority Health |
$229.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.72
|
Rate for Payer: Priority Health Narrow Network |
$228.72
|
Rate for Payer: Priority Health SBD |
$228.72
|
|
PR CUSTOM EAR PLUGS
|
Professional
|
Both
|
$140.00
|
|
Service Code
|
HCPCS 00592
|
Hospital Revenue Code
|
990
|
Min. Negotiated Rate |
$56.00 |
Max. Negotiated Rate |
$98.00 |
Rate for Payer: BCBS Complete |
$56.00
|
Rate for Payer: Cash Price |
$112.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$98.00
|
|
PR CUTANEOUS VESICOSTOMY
|
Professional
|
Both
|
$1,431.00
|
|
Service Code
|
HCPCS 51980
|
Min. Negotiated Rate |
$454.54 |
Max. Negotiated Rate |
$2,370.48 |
Rate for Payer: Aetna Commercial |
$916.03
|
Rate for Payer: BCBS Complete |
$477.27
|
Rate for Payer: BCBS Trust/PPO |
$2,370.48
|
Rate for Payer: Cash Price |
$1,144.80
|
Rate for Payer: Cash Price |
$1,144.80
|
Rate for Payer: Mclaren Medicaid |
$454.54
|
Rate for Payer: Meridian Medicaid |
$477.27
|
Rate for Payer: Priority Health Choice Medicaid |
$454.54
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,001.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,139.07
|
Rate for Payer: Priority Health Narrow Network |
$1,139.07
|
Rate for Payer: Priority Health SBD |
$1,139.07
|
|
PR CV STRS TST XERS&/OR RX CONT ECG I&R ONLY
|
Professional
|
Both
|
$167.00
|
|
Service Code
|
HCPCS 93018
|
Min. Negotiated Rate |
$8.73 |
Max. Negotiated Rate |
$1,814.71 |
Rate for Payer: Aetna Commercial |
$19.31
|
Rate for Payer: BCBS Complete |
$9.17
|
Rate for Payer: BCBS Trust/PPO |
$1,814.71
|
Rate for Payer: Cash Price |
$133.60
|
Rate for Payer: Cash Price |
$133.60
|
Rate for Payer: Mclaren Medicaid |
$8.73
|
Rate for Payer: Meridian Medicaid |
$9.17
|
Rate for Payer: Priority Health Choice Medicaid |
$8.73
|
Rate for Payer: Priority Health Cigna Priority Health |
$116.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.38
|
Rate for Payer: Priority Health Narrow Network |
$19.38
|
Rate for Payer: Priority Health SBD |
$19.38
|
|
PR CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY
|
Professional
|
Both
|
$111.00
|
|
Service Code
|
HCPCS 93017
|
Min. Negotiated Rate |
$43.41 |
Max. Negotiated Rate |
$1,426.94 |
Rate for Payer: Aetna Commercial |
$43.41
|
Rate for Payer: BCBS Complete |
$44.40
|
Rate for Payer: BCBS Trust/PPO |
$1,426.94
|
Rate for Payer: Cash Price |
$88.80
|
Rate for Payer: Cash Price |
$88.80
|
Rate for Payer: Priority Health Cigna Priority Health |
$77.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.60
|
Rate for Payer: Priority Health Narrow Network |
$50.60
|
Rate for Payer: Priority Health SBD |
$50.60
|
|
PR CV STRS TST XERS&/OR RX CONT ECG W/O I&R
|
Professional
|
Both
|
$111.00
|
|
Service Code
|
HCPCS 93016
|
Min. Negotiated Rate |
$13.21 |
Max. Negotiated Rate |
$1,780.90 |
Rate for Payer: Aetna Commercial |
$28.99
|
Rate for Payer: BCBS Complete |
$13.87
|
Rate for Payer: BCBS Trust/PPO |
$1,780.90
|
Rate for Payer: Cash Price |
$88.80
|
Rate for Payer: Cash Price |
$88.80
|
Rate for Payer: Mclaren Medicaid |
$13.21
|
Rate for Payer: Meridian Medicaid |
$13.87
|
Rate for Payer: Priority Health Choice Medicaid |
$13.21
|
Rate for Payer: Priority Health Cigna Priority Health |
$77.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.32
|
Rate for Payer: Priority Health Narrow Network |
$29.32
|
Rate for Payer: Priority Health SBD |
$29.32
|
|
PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R
|
Professional
|
Both
|
$443.00
|
|
Service Code
|
HCPCS 93015
|
Min. Negotiated Rate |
$91.71 |
Max. Negotiated Rate |
$2,485.65 |
Rate for Payer: Aetna Commercial |
$91.71
|
Rate for Payer: BCBS Complete |
$177.20
|
Rate for Payer: BCBS Trust/PPO |
$2,485.65
|
Rate for Payer: Cash Price |
$354.40
|
Rate for Payer: Cash Price |
$354.40
|
Rate for Payer: Priority Health Cigna Priority Health |
$310.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$99.30
|
Rate for Payer: Priority Health Narrow Network |
$99.30
|
Rate for Payer: Priority Health SBD |
$99.30
|
|
PR CYSTECTOMY COMPLETE SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,756.00
|
|
Service Code
|
HCPCS 51570
|
Min. Negotiated Rate |
$931.24 |
Max. Negotiated Rate |
$3,145.50 |
Rate for Payer: Aetna Commercial |
$1,887.68
|
Rate for Payer: BCBS Complete |
$977.80
|
Rate for Payer: BCBS Trust/PPO |
$3,145.50
|
Rate for Payer: Cash Price |
$2,204.80
|
Rate for Payer: Cash Price |
$2,204.80
|
Rate for Payer: Mclaren Medicaid |
$931.24
|
Rate for Payer: Meridian Medicaid |
$977.80
|
Rate for Payer: Priority Health Choice Medicaid |
$931.24
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,929.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,339.76
|
Rate for Payer: Priority Health Narrow Network |
$2,339.76
|
Rate for Payer: Priority Health SBD |
$2,339.76
|
|
PR CYSTECTOMY PARTIAL COMPLICATED
|
Professional
|
Both
|
$7,600.00
|
|
Service Code
|
HCPCS 51555
|
Min. Negotiated Rate |
$798.96 |
Max. Negotiated Rate |
$5,320.00 |
Rate for Payer: Aetna Commercial |
$1,622.71
|
Rate for Payer: BCBS Complete |
$838.91
|
Rate for Payer: BCBS Trust/PPO |
$2,383.69
|
Rate for Payer: Cash Price |
$6,080.00
|
Rate for Payer: Cash Price |
$6,080.00
|
Rate for Payer: Mclaren Medicaid |
$798.96
|
Rate for Payer: Meridian Medicaid |
$838.91
|
Rate for Payer: Priority Health Choice Medicaid |
$798.96
|
Rate for Payer: Priority Health Cigna Priority Health |
$5,320.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,002.57
|
Rate for Payer: Priority Health Narrow Network |
$2,002.57
|
Rate for Payer: Priority Health SBD |
$2,002.57
|
|
PR CYSTECTOMY PARTIAL SIMPLE
|
Professional
|
Both
|
$1,515.00
|
|
Service Code
|
HCPCS 51550
|
Min. Negotiated Rate |
$612.38 |
Max. Negotiated Rate |
$2,405.35 |
Rate for Payer: Aetna Commercial |
$1,235.96
|
Rate for Payer: BCBS Complete |
$643.00
|
Rate for Payer: BCBS Trust/PPO |
$2,405.35
|
Rate for Payer: Cash Price |
$1,212.00
|
Rate for Payer: Cash Price |
$1,212.00
|
Rate for Payer: Mclaren Medicaid |
$612.38
|
Rate for Payer: Meridian Medicaid |
$643.00
|
Rate for Payer: Priority Health Choice Medicaid |
$612.38
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,060.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,534.62
|
Rate for Payer: Priority Health Narrow Network |
$1,534.62
|
Rate for Payer: Priority Health SBD |
$1,534.62
|
|
PR CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY
|
Professional
|
Both
|
$3,722.00
|
|
Service Code
|
HCPCS 51575
|
Min. Negotiated Rate |
$1,146.37 |
Max. Negotiated Rate |
$3,111.16 |
Rate for Payer: Aetna Commercial |
$2,337.60
|
Rate for Payer: BCBS Complete |
$1,203.69
|
Rate for Payer: BCBS Trust/PPO |
$3,111.16
|
Rate for Payer: Cash Price |
$2,977.60
|
Rate for Payer: Cash Price |
$2,977.60
|
Rate for Payer: Mclaren Medicaid |
$1,146.37
|
Rate for Payer: Meridian Medicaid |
$1,203.69
|
Rate for Payer: Priority Health Choice Medicaid |
$1,146.37
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,605.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,886.06
|
Rate for Payer: Priority Health Narrow Network |
$2,886.06
|
Rate for Payer: Priority Health SBD |
$2,886.06
|
|
PR CYSTO BLADDER W/URETERAL CATHETERIZATION
|
Professional
|
Both
|
$548.00
|
|
Service Code
|
HCPCS 52005
|
Min. Negotiated Rate |
$84.14 |
Max. Negotiated Rate |
$2,077.80 |
Rate for Payer: Aetna Commercial |
$169.08
|
Rate for Payer: BCBS Complete |
$88.35
|
Rate for Payer: BCBS Trust/PPO |
$2,077.80
|
Rate for Payer: Cash Price |
$438.40
|
Rate for Payer: Cash Price |
$438.40
|
Rate for Payer: Mclaren Medicaid |
$84.14
|
Rate for Payer: Meridian Medicaid |
$88.35
|
Rate for Payer: Priority Health Choice Medicaid |
$84.14
|
Rate for Payer: Priority Health Cigna Priority Health |
$383.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$209.11
|
Rate for Payer: Priority Health Narrow Network |
$209.11
|
Rate for Payer: Priority Health SBD |
$209.11
|
|
PR CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS
|
Professional
|
Both
|
$758.00
|
|
Service Code
|
HCPCS 52281
|
Min. Negotiated Rate |
$95.85 |
Max. Negotiated Rate |
$2,364.67 |
Rate for Payer: Aetna Commercial |
$193.91
|
Rate for Payer: BCBS Complete |
$100.64
|
Rate for Payer: BCBS Trust/PPO |
$2,364.67
|
Rate for Payer: Cash Price |
$606.40
|
Rate for Payer: Cash Price |
$606.40
|
Rate for Payer: Mclaren Medicaid |
$95.85
|
Rate for Payer: Meridian Medicaid |
$100.64
|
Rate for Payer: Priority Health Choice Medicaid |
$95.85
|
Rate for Payer: Priority Health Cigna Priority Health |
$530.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$240.46
|
Rate for Payer: Priority Health Narrow Network |
$240.46
|
Rate for Payer: Priority Health SBD |
$240.46
|
|
PR CYSTO FRAGMENTATION URETERAL STONE
|
Professional
|
Both
|
$652.00
|
|
Service Code
|
HCPCS 52325
|
Min. Negotiated Rate |
$200.65 |
Max. Negotiated Rate |
$4,083.76 |
Rate for Payer: Aetna Commercial |
$410.09
|
Rate for Payer: BCBS Complete |
$210.68
|
Rate for Payer: BCBS Trust/PPO |
$4,083.76
|
Rate for Payer: Cash Price |
$521.60
|
Rate for Payer: Cash Price |
$521.60
|
Rate for Payer: Mclaren Medicaid |
$200.65
|
Rate for Payer: Meridian Medicaid |
$210.68
|
Rate for Payer: Priority Health Choice Medicaid |
$200.65
|
Rate for Payer: Priority Health Cigna Priority Health |
$456.40
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$504.70
|
Rate for Payer: Priority Health Narrow Network |
$504.70
|
Rate for Payer: Priority Health SBD |
$504.70
|
|
PR CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT
|
Professional
|
Both
|
$536.00
|
|
Service Code
|
HCPCS 52305
|
Min. Negotiated Rate |
$174.45 |
Max. Negotiated Rate |
$894.94 |
Rate for Payer: Aetna Commercial |
$356.38
|
Rate for Payer: BCBS Complete |
$183.17
|
Rate for Payer: BCBS Trust/PPO |
$894.94
|
Rate for Payer: Cash Price |
$428.80
|
Rate for Payer: Cash Price |
$428.80
|
Rate for Payer: Mclaren Medicaid |
$174.45
|
Rate for Payer: Meridian Medicaid |
$183.17
|
Rate for Payer: Priority Health Choice Medicaid |
$174.45
|
Rate for Payer: Priority Health Cigna Priority Health |
$375.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$439.85
|
Rate for Payer: Priority Health Narrow Network |
$439.85
|
Rate for Payer: Priority Health SBD |
$439.85
|
|
PR CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL
|
Professional
|
Both
|
$1,686.00
|
|
Service Code
|
HCPCS 52442
|
Min. Negotiated Rate |
$31.74 |
Max. Negotiated Rate |
$1,180.20 |
Rate for Payer: Aetna Commercial |
$66.05
|
Rate for Payer: BCBS Complete |
$33.33
|
Rate for Payer: BCBS Trust/PPO |
$367.70
|
Rate for Payer: Cash Price |
$1,348.80
|
Rate for Payer: Cash Price |
$1,348.80
|
Rate for Payer: Mclaren Medicaid |
$31.74
|
Rate for Payer: Meridian Medicaid |
$33.33
|
Rate for Payer: Priority Health Choice Medicaid |
$31.74
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,180.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79.97
|
Rate for Payer: Priority Health Narrow Network |
$79.97
|
Rate for Payer: Priority Health SBD |
$79.97
|
|
PR CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE
|
Professional
|
Both
|
$2,204.00
|
|
Service Code
|
HCPCS 52441
|
Min. Negotiated Rate |
$131.63 |
Max. Negotiated Rate |
$1,542.80 |
Rate for Payer: Aetna Commercial |
$268.82
|
Rate for Payer: BCBS Complete |
$138.21
|
Rate for Payer: BCBS Trust/PPO |
$528.83
|
Rate for Payer: Cash Price |
$1,763.20
|
Rate for Payer: Cash Price |
$1,763.20
|
Rate for Payer: Mclaren Medicaid |
$131.63
|
Rate for Payer: Meridian Medicaid |
$138.21
|
Rate for Payer: Priority Health Choice Medicaid |
$131.63
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,542.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$330.70
|
Rate for Payer: Priority Health Narrow Network |
$330.70
|
Rate for Payer: Priority Health SBD |
$330.70
|
|