|
PR BIOPSY SOFT TISSUE SHOULDER DEEP
|
Professional
|
Both
|
$848.00
|
|
|
Service Code
|
HCPCS 23066
|
| Min. Negotiated Rate |
$244.10 |
| Max. Negotiated Rate |
$64,548.00 |
| Rate for Payer: Aetna Commercial |
$479.33
|
| Rate for Payer: Aetna Medicare |
$372.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$479.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$515.10
|
| Rate for Payer: BCBS Complete |
$256.30
|
| Rate for Payer: BCBS MAPPO |
$357.71
|
| Rate for Payer: BCBS Trust/PPO |
$426.87
|
| Rate for Payer: BCN Commercial |
$833.19
|
| Rate for Payer: BCN Medicare Advantage |
$357.71
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Cofinity Commercial |
$515.10
|
| Rate for Payer: Cofinity Commercial |
$479.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.71
|
| Rate for Payer: Healthscope Commercial |
$661.76
|
| Rate for Payer: Healthscope Commercial |
$572.34
|
| Rate for Payer: Mclaren Medicaid |
$244.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.60
|
| Rate for Payer: Meridian Medicaid |
$256.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64,548.00
|
| Rate for Payer: Nomi Health Commercial |
$429.25
|
| Rate for Payer: PACE SWMI |
$357.71
|
| Rate for Payer: PHP Medicare Advantage |
$357.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$551.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$573.99
|
| Rate for Payer: Priority Health Medicare |
$357.71
|
| Rate for Payer: Priority Health Narrow Network |
$573.99
|
| Rate for Payer: Priority Health SBD |
$573.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$483.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.71
|
| Rate for Payer: UHC Exchange |
$483.49
|
| Rate for Payer: UHC Medicare Advantage |
$357.71
|
| Rate for Payer: UHCCP Medicaid |
$244.10
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP
|
Professional
|
Both
|
$696.00
|
|
|
Service Code
|
HCPCS 27324
|
| Min. Negotiated Rate |
$269.87 |
| Max. Negotiated Rate |
$72,833.00 |
| Rate for Payer: Aetna Commercial |
$532.46
|
| Rate for Payer: Aetna Medicare |
$413.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.20
|
| Rate for Payer: BCBS Complete |
$283.36
|
| Rate for Payer: BCBS MAPPO |
$397.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: BCN Commercial |
$606.45
|
| Rate for Payer: BCN Medicare Advantage |
$397.36
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cofinity Commercial |
$572.20
|
| Rate for Payer: Cofinity Commercial |
$532.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.36
|
| Rate for Payer: Healthscope Commercial |
$735.12
|
| Rate for Payer: Healthscope Commercial |
$635.78
|
| Rate for Payer: Mclaren Medicaid |
$269.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.23
|
| Rate for Payer: Meridian Medicaid |
$283.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72,833.00
|
| Rate for Payer: Nomi Health Commercial |
$476.83
|
| Rate for Payer: PACE SWMI |
$397.36
|
| Rate for Payer: PHP Medicare Advantage |
$397.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$452.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.62
|
| Rate for Payer: Priority Health Medicare |
$397.36
|
| Rate for Payer: Priority Health Narrow Network |
$638.62
|
| Rate for Payer: Priority Health SBD |
$638.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$487.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.36
|
| Rate for Payer: UHC Exchange |
$487.78
|
| Rate for Payer: UHC Medicare Advantage |
$397.36
|
| Rate for Payer: UHCCP Medicaid |
$269.87
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL
|
Professional
|
Both
|
$481.00
|
|
|
Service Code
|
HCPCS 27323
|
| Min. Negotiated Rate |
$113.74 |
| Max. Negotiated Rate |
$30,724.00 |
| Rate for Payer: Aetna Commercial |
$223.71
|
| Rate for Payer: Aetna Medicare |
$173.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.41
|
| Rate for Payer: BCBS Complete |
$119.43
|
| Rate for Payer: BCBS MAPPO |
$166.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.54
|
| Rate for Payer: BCN Commercial |
$402.67
|
| Rate for Payer: BCN Medicare Advantage |
$166.95
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cofinity Commercial |
$240.41
|
| Rate for Payer: Cofinity Commercial |
$223.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.95
|
| Rate for Payer: Healthscope Commercial |
$308.86
|
| Rate for Payer: Healthscope Commercial |
$267.12
|
| Rate for Payer: Mclaren Medicaid |
$113.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.30
|
| Rate for Payer: Meridian Medicaid |
$119.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30,724.00
|
| Rate for Payer: Nomi Health Commercial |
$200.34
|
| Rate for Payer: PACE SWMI |
$166.95
|
| Rate for Payer: PHP Medicare Advantage |
$166.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$269.19
|
| Rate for Payer: Priority Health Medicare |
$166.95
|
| Rate for Payer: Priority Health Narrow Network |
$269.19
|
| Rate for Payer: Priority Health SBD |
$269.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.95
|
| Rate for Payer: UHC Exchange |
$318.87
|
| Rate for Payer: UHC Medicare Advantage |
$166.95
|
| Rate for Payer: UHCCP Medicaid |
$113.74
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP
|
Professional
|
Both
|
$1,073.00
|
|
|
Service Code
|
HCPCS 24066
|
| Min. Negotiated Rate |
$75.99 |
| Max. Negotiated Rate |
$74,659.00 |
| Rate for Payer: Aetna Commercial |
$551.09
|
| Rate for Payer: Aetna Medicare |
$427.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$551.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$592.21
|
| Rate for Payer: BCBS Complete |
$292.98
|
| Rate for Payer: BCBS MAPPO |
$411.26
|
| Rate for Payer: BCBS Trust/PPO |
$75.99
|
| Rate for Payer: BCN Commercial |
$920.67
|
| Rate for Payer: BCN Medicare Advantage |
$411.26
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cofinity Commercial |
$592.21
|
| Rate for Payer: Cofinity Commercial |
$551.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.26
|
| Rate for Payer: Healthscope Commercial |
$760.83
|
| Rate for Payer: Healthscope Commercial |
$658.02
|
| Rate for Payer: Mclaren Medicaid |
$279.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$431.82
|
| Rate for Payer: Meridian Medicaid |
$292.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,659.00
|
| Rate for Payer: Nomi Health Commercial |
$493.51
|
| Rate for Payer: PACE SWMI |
$411.26
|
| Rate for Payer: PHP Medicare Advantage |
$411.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$656.94
|
| Rate for Payer: Priority Health Medicare |
$411.26
|
| Rate for Payer: Priority Health Narrow Network |
$656.94
|
| Rate for Payer: Priority Health SBD |
$656.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$566.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.26
|
| Rate for Payer: UHC Exchange |
$566.89
|
| Rate for Payer: UHC Medicare Advantage |
$411.26
|
| Rate for Payer: UHCCP Medicaid |
$279.03
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL
|
Professional
|
Both
|
$467.00
|
|
|
Service Code
|
HCPCS 24065
|
| Min. Negotiated Rate |
$105.22 |
| Max. Negotiated Rate |
$28,465.00 |
| Rate for Payer: Aetna Commercial |
$206.57
|
| Rate for Payer: Aetna Medicare |
$160.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.99
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCBS MAPPO |
$154.16
|
| Rate for Payer: BCBS Trust/PPO |
$126.93
|
| Rate for Payer: BCN Commercial |
$380.19
|
| Rate for Payer: BCN Medicare Advantage |
$154.16
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$221.99
|
| Rate for Payer: Cofinity Commercial |
$206.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.16
|
| Rate for Payer: Healthscope Commercial |
$285.20
|
| Rate for Payer: Healthscope Commercial |
$246.66
|
| Rate for Payer: Mclaren Medicaid |
$105.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.87
|
| Rate for Payer: Meridian Medicaid |
$110.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28,465.00
|
| Rate for Payer: Nomi Health Commercial |
$184.99
|
| Rate for Payer: PACE SWMI |
$154.16
|
| Rate for Payer: PHP Medicare Advantage |
$154.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$250.87
|
| Rate for Payer: Priority Health Medicare |
$154.16
|
| Rate for Payer: Priority Health Narrow Network |
$250.87
|
| Rate for Payer: Priority Health SBD |
$250.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$304.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.16
|
| Rate for Payer: UHC Exchange |
$304.14
|
| Rate for Payer: UHC Medicare Advantage |
$154.16
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
|
|
PR BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$2,545.00
|
|
|
Service Code
|
HCPCS 62269
|
| Min. Negotiated Rate |
$165.08 |
| Max. Negotiated Rate |
$45,895.00 |
| Rate for Payer: Aetna Commercial |
$330.69
|
| Rate for Payer: Aetna Medicare |
$256.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$355.36
|
| Rate for Payer: BCBS Complete |
$173.33
|
| Rate for Payer: BCBS MAPPO |
$246.78
|
| Rate for Payer: BCBS Trust/PPO |
$567.92
|
| Rate for Payer: BCN Commercial |
$375.79
|
| Rate for Payer: BCN Medicare Advantage |
$246.78
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cofinity Commercial |
$355.36
|
| Rate for Payer: Cofinity Commercial |
$330.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.78
|
| Rate for Payer: Healthscope Commercial |
$456.54
|
| Rate for Payer: Healthscope Commercial |
$394.85
|
| Rate for Payer: Mclaren Medicaid |
$165.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.12
|
| Rate for Payer: Meridian Medicaid |
$173.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,895.00
|
| Rate for Payer: Nomi Health Commercial |
$296.14
|
| Rate for Payer: PACE SWMI |
$246.78
|
| Rate for Payer: PHP Medicare Advantage |
$246.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$165.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$435.07
|
| Rate for Payer: Priority Health Medicare |
$246.78
|
| Rate for Payer: Priority Health Narrow Network |
$435.07
|
| Rate for Payer: Priority Health SBD |
$435.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$718.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.78
|
| Rate for Payer: UHC Exchange |
$718.73
|
| Rate for Payer: UHC Medicare Advantage |
$246.78
|
| Rate for Payer: UHCCP Medicaid |
$165.08
|
|
|
PR BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$681.00
|
|
|
Service Code
|
HCPCS 54505
|
| Min. Negotiated Rate |
$135.04 |
| Max. Negotiated Rate |
$36,830.00 |
| Rate for Payer: Aetna Commercial |
$268.74
|
| Rate for Payer: Aetna Medicare |
$208.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.79
|
| Rate for Payer: BCBS Complete |
$141.79
|
| Rate for Payer: BCBS MAPPO |
$200.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,963.16
|
| Rate for Payer: BCN Commercial |
$303.46
|
| Rate for Payer: BCN Medicare Advantage |
$200.55
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cofinity Commercial |
$288.79
|
| Rate for Payer: Cofinity Commercial |
$268.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.55
|
| Rate for Payer: Healthscope Commercial |
$371.02
|
| Rate for Payer: Healthscope Commercial |
$320.88
|
| Rate for Payer: Mclaren Medicaid |
$135.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.58
|
| Rate for Payer: Meridian Medicaid |
$141.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36,830.00
|
| Rate for Payer: Nomi Health Commercial |
$240.66
|
| Rate for Payer: PACE SWMI |
$200.55
|
| Rate for Payer: PHP Medicare Advantage |
$200.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$334.48
|
| Rate for Payer: Priority Health Medicare |
$200.55
|
| Rate for Payer: Priority Health Narrow Network |
$334.48
|
| Rate for Payer: Priority Health SBD |
$334.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.55
|
| Rate for Payer: UHC Exchange |
$289.80
|
| Rate for Payer: UHC Medicare Advantage |
$200.55
|
| Rate for Payer: UHCCP Medicaid |
$135.04
|
|
|
PR BIOPSY THYROID PERCUTANEOUS CORE NEEDLE
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 60100
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$13,698.00 |
| Rate for Payer: Aetna Commercial |
$97.07
|
| Rate for Payer: Aetna Medicare |
$75.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.07
|
| Rate for Payer: BCBS Complete |
$50.55
|
| Rate for Payer: BCBS MAPPO |
$72.44
|
| Rate for Payer: BCBS Trust/PPO |
$172.75
|
| Rate for Payer: BCN Commercial |
$161.26
|
| Rate for Payer: BCN Medicare Advantage |
$72.44
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$97.07
|
| Rate for Payer: Cofinity Commercial |
$104.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.44
|
| Rate for Payer: Healthscope Commercial |
$134.01
|
| Rate for Payer: Healthscope Commercial |
$115.90
|
| Rate for Payer: Mclaren Medicaid |
$48.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.06
|
| Rate for Payer: Meridian Medicaid |
$50.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,698.00
|
| Rate for Payer: Nomi Health Commercial |
$86.93
|
| Rate for Payer: PACE SWMI |
$72.44
|
| Rate for Payer: PHP Medicare Advantage |
$72.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$121.70
|
| Rate for Payer: Priority Health Medicare |
$72.44
|
| Rate for Payer: Priority Health Narrow Network |
$121.70
|
| Rate for Payer: Priority Health SBD |
$121.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.44
|
| Rate for Payer: UHC Exchange |
$139.19
|
| Rate for Payer: UHC Medicare Advantage |
$72.44
|
| Rate for Payer: UHCCP Medicaid |
$48.14
|
|
|
PR BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 41100
|
| Min. Negotiated Rate |
$69.44 |
| Max. Negotiated Rate |
$18,855.00 |
| Rate for Payer: Aetna Commercial |
$136.25
|
| Rate for Payer: Aetna Medicare |
$105.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.42
|
| Rate for Payer: BCBS Complete |
$72.91
|
| Rate for Payer: BCBS MAPPO |
$101.68
|
| Rate for Payer: BCBS Trust/PPO |
$824.68
|
| Rate for Payer: BCN Commercial |
$276.59
|
| Rate for Payer: BCN Medicare Advantage |
$101.68
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$146.42
|
| Rate for Payer: Cofinity Commercial |
$136.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.68
|
| Rate for Payer: Healthscope Commercial |
$188.11
|
| Rate for Payer: Healthscope Commercial |
$162.69
|
| Rate for Payer: Mclaren Medicaid |
$69.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.76
|
| Rate for Payer: Meridian Medicaid |
$72.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,855.00
|
| Rate for Payer: Nomi Health Commercial |
$122.02
|
| Rate for Payer: PACE SWMI |
$101.68
|
| Rate for Payer: PHP Medicare Advantage |
$101.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.29
|
| Rate for Payer: Priority Health Medicare |
$101.68
|
| Rate for Payer: Priority Health Narrow Network |
$193.29
|
| Rate for Payer: Priority Health SBD |
$193.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.68
|
| Rate for Payer: UHC Exchange |
$171.37
|
| Rate for Payer: UHC Medicare Advantage |
$101.68
|
| Rate for Payer: UHCCP Medicaid |
$69.44
|
|
|
PR BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 41105
|
| Min. Negotiated Rate |
$71.36 |
| Max. Negotiated Rate |
$19,327.00 |
| Rate for Payer: Aetna Commercial |
$139.99
|
| Rate for Payer: Aetna Medicare |
$108.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.44
|
| Rate for Payer: BCBS Complete |
$74.93
|
| Rate for Payer: BCBS MAPPO |
$104.47
|
| Rate for Payer: BCBS Trust/PPO |
$609.66
|
| Rate for Payer: BCN Commercial |
$276.59
|
| Rate for Payer: BCN Medicare Advantage |
$104.47
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$150.44
|
| Rate for Payer: Cofinity Commercial |
$139.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.47
|
| Rate for Payer: Healthscope Commercial |
$193.27
|
| Rate for Payer: Healthscope Commercial |
$167.15
|
| Rate for Payer: Mclaren Medicaid |
$71.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.69
|
| Rate for Payer: Meridian Medicaid |
$74.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19,327.00
|
| Rate for Payer: Nomi Health Commercial |
$125.36
|
| Rate for Payer: PACE SWMI |
$104.47
|
| Rate for Payer: PHP Medicare Advantage |
$104.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$197.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.67
|
| Rate for Payer: Priority Health Medicare |
$104.47
|
| Rate for Payer: Priority Health Narrow Network |
$198.67
|
| Rate for Payer: Priority Health SBD |
$198.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.47
|
| Rate for Payer: UHC Exchange |
$158.31
|
| Rate for Payer: UHC Medicare Advantage |
$104.47
|
| Rate for Payer: UHCCP Medicaid |
$71.36
|
|
|
PR BIOPSY URETHRA
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 53200
|
| Min. Negotiated Rate |
$90.74 |
| Max. Negotiated Rate |
$24,921.00 |
| Rate for Payer: Aetna Commercial |
$182.17
|
| Rate for Payer: Aetna Medicare |
$141.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.77
|
| Rate for Payer: BCBS Complete |
$95.28
|
| Rate for Payer: BCBS MAPPO |
$135.95
|
| Rate for Payer: BCBS Trust/PPO |
$364.00
|
| Rate for Payer: BCN Commercial |
$230.17
|
| Rate for Payer: BCN Medicare Advantage |
$135.95
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$195.77
|
| Rate for Payer: Cofinity Commercial |
$182.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.95
|
| Rate for Payer: Healthscope Commercial |
$251.51
|
| Rate for Payer: Healthscope Commercial |
$217.52
|
| Rate for Payer: Mclaren Medicaid |
$90.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.75
|
| Rate for Payer: Meridian Medicaid |
$95.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24,921.00
|
| Rate for Payer: Nomi Health Commercial |
$163.14
|
| Rate for Payer: PACE SWMI |
$135.95
|
| Rate for Payer: PHP Medicare Advantage |
$135.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$225.30
|
| Rate for Payer: Priority Health Medicare |
$135.95
|
| Rate for Payer: Priority Health Narrow Network |
$225.30
|
| Rate for Payer: Priority Health SBD |
$225.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$301.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$135.95
|
| Rate for Payer: UHC Exchange |
$301.35
|
| Rate for Payer: UHC Medicare Advantage |
$135.95
|
| Rate for Payer: UHCCP Medicaid |
$90.74
|
|
|
PR BIOPSY VAGINAL MUCOSA EXTENSIVE
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 57105
|
| Min. Negotiated Rate |
$94.15 |
| Max. Negotiated Rate |
$25,722.00 |
| Rate for Payer: Aetna Commercial |
$184.42
|
| Rate for Payer: Aetna Medicare |
$143.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.19
|
| Rate for Payer: BCBS Complete |
$98.86
|
| Rate for Payer: BCBS MAPPO |
$137.63
|
| Rate for Payer: BCBS Trust/PPO |
$3,594.02
|
| Rate for Payer: BCN Commercial |
$260.95
|
| Rate for Payer: BCN Medicare Advantage |
$137.63
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$198.19
|
| Rate for Payer: Cofinity Commercial |
$184.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.63
|
| Rate for Payer: Healthscope Commercial |
$254.62
|
| Rate for Payer: Healthscope Commercial |
$220.21
|
| Rate for Payer: Mclaren Medicaid |
$94.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.51
|
| Rate for Payer: Meridian Medicaid |
$98.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,722.00
|
| Rate for Payer: Nomi Health Commercial |
$165.16
|
| Rate for Payer: PACE SWMI |
$137.63
|
| Rate for Payer: PHP Medicare Advantage |
$137.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$220.74
|
| Rate for Payer: Priority Health Medicare |
$137.63
|
| Rate for Payer: Priority Health Narrow Network |
$220.74
|
| Rate for Payer: Priority Health SBD |
$220.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.63
|
| Rate for Payer: UHC Exchange |
$161.94
|
| Rate for Payer: UHC Medicare Advantage |
$137.63
|
| Rate for Payer: UHCCP Medicaid |
$94.15
|
|
|
PR BIOPSY VAGINAL MUCOSA SIMPLE
|
Professional
|
Both
|
$169.00
|
|
|
Service Code
|
HCPCS 57100
|
| Min. Negotiated Rate |
$41.96 |
| Max. Negotiated Rate |
$11,623.00 |
| Rate for Payer: Aetna Commercial |
$84.69
|
| Rate for Payer: Aetna Medicare |
$65.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.01
|
| Rate for Payer: BCBS Complete |
$44.06
|
| Rate for Payer: BCBS MAPPO |
$63.20
|
| Rate for Payer: BCBS Trust/PPO |
$3,206.78
|
| Rate for Payer: BCN Commercial |
$151.98
|
| Rate for Payer: BCN Medicare Advantage |
$63.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cofinity Commercial |
$91.01
|
| Rate for Payer: Cofinity Commercial |
$84.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.20
|
| Rate for Payer: Healthscope Commercial |
$116.92
|
| Rate for Payer: Healthscope Commercial |
$101.12
|
| Rate for Payer: Mclaren Medicaid |
$41.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.36
|
| Rate for Payer: Meridian Medicaid |
$44.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,623.00
|
| Rate for Payer: Nomi Health Commercial |
$75.84
|
| Rate for Payer: PACE SWMI |
$63.20
|
| Rate for Payer: PHP Medicare Advantage |
$63.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97.22
|
| Rate for Payer: Priority Health Medicare |
$63.20
|
| Rate for Payer: Priority Health Narrow Network |
$97.22
|
| Rate for Payer: Priority Health SBD |
$97.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.20
|
| Rate for Payer: UHC Exchange |
$101.30
|
| Rate for Payer: UHC Medicare Advantage |
$63.20
|
| Rate for Payer: UHCCP Medicaid |
$41.96
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 20251
|
| Min. Negotiated Rate |
$106.88 |
| Max. Negotiated Rate |
$75,015.00 |
| Rate for Payer: Aetna Commercial |
$559.88
|
| Rate for Payer: Aetna Medicare |
$434.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$559.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$601.66
|
| Rate for Payer: BCBS Complete |
$293.87
|
| Rate for Payer: BCBS MAPPO |
$417.82
|
| Rate for Payer: BCBS Trust/PPO |
$106.88
|
| Rate for Payer: BCN Commercial |
$618.67
|
| Rate for Payer: BCN Medicare Advantage |
$417.82
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cofinity Commercial |
$601.66
|
| Rate for Payer: Cofinity Commercial |
$559.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.82
|
| Rate for Payer: Healthscope Commercial |
$772.97
|
| Rate for Payer: Healthscope Commercial |
$668.51
|
| Rate for Payer: Mclaren Medicaid |
$279.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.71
|
| Rate for Payer: Meridian Medicaid |
$293.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,015.00
|
| Rate for Payer: Nomi Health Commercial |
$501.38
|
| Rate for Payer: PACE SWMI |
$417.82
|
| Rate for Payer: PHP Medicare Advantage |
$417.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$644.22
|
| Rate for Payer: Priority Health Medicare |
$417.82
|
| Rate for Payer: Priority Health Narrow Network |
$644.22
|
| Rate for Payer: Priority Health SBD |
$644.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$532.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$417.82
|
| Rate for Payer: UHC Exchange |
$532.55
|
| Rate for Payer: UHC Medicare Advantage |
$417.82
|
| Rate for Payer: UHCCP Medicaid |
$279.88
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN THORACIC
|
Professional
|
Both
|
$803.00
|
|
|
Service Code
|
HCPCS 20250
|
| Min. Negotiated Rate |
$254.54 |
| Max. Negotiated Rate |
$68,958.00 |
| Rate for Payer: Aetna Commercial |
$508.36
|
| Rate for Payer: Aetna Medicare |
$394.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$508.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.29
|
| Rate for Payer: BCBS Complete |
$267.27
|
| Rate for Payer: BCBS MAPPO |
$379.37
|
| Rate for Payer: BCBS Trust/PPO |
$556.70
|
| Rate for Payer: BCN Commercial |
$569.80
|
| Rate for Payer: BCN Medicare Advantage |
$379.37
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cofinity Commercial |
$546.29
|
| Rate for Payer: Cofinity Commercial |
$508.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.37
|
| Rate for Payer: Healthscope Commercial |
$701.83
|
| Rate for Payer: Healthscope Commercial |
$606.99
|
| Rate for Payer: Mclaren Medicaid |
$254.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.34
|
| Rate for Payer: Meridian Medicaid |
$267.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68,958.00
|
| Rate for Payer: Nomi Health Commercial |
$455.24
|
| Rate for Payer: PACE SWMI |
$379.37
|
| Rate for Payer: PHP Medicare Advantage |
$379.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$602.48
|
| Rate for Payer: Priority Health Medicare |
$379.37
|
| Rate for Payer: Priority Health Narrow Network |
$602.48
|
| Rate for Payer: Priority Health SBD |
$602.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.37
|
| Rate for Payer: UHC Exchange |
$466.12
|
| Rate for Payer: UHC Medicare Advantage |
$379.37
|
| Rate for Payer: UHCCP Medicaid |
$254.54
|
|
|
PR BIOPSY VESTIBULE MOUTH
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 40808
|
| Min. Negotiated Rate |
$58.15 |
| Max. Negotiated Rate |
$15,417.00 |
| Rate for Payer: Aetna Commercial |
$113.32
|
| Rate for Payer: Aetna Medicare |
$87.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.78
|
| Rate for Payer: BCBS Complete |
$61.06
|
| Rate for Payer: BCBS MAPPO |
$84.57
|
| Rate for Payer: BCBS Trust/PPO |
$547.85
|
| Rate for Payer: BCN Commercial |
$249.22
|
| Rate for Payer: BCN Medicare Advantage |
$84.57
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$121.78
|
| Rate for Payer: Cofinity Commercial |
$113.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.57
|
| Rate for Payer: Healthscope Commercial |
$156.45
|
| Rate for Payer: Healthscope Commercial |
$135.31
|
| Rate for Payer: Mclaren Medicaid |
$58.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.80
|
| Rate for Payer: Meridian Medicaid |
$61.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,417.00
|
| Rate for Payer: Nomi Health Commercial |
$101.48
|
| Rate for Payer: PACE SWMI |
$84.57
|
| Rate for Payer: PHP Medicare Advantage |
$84.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$160.48
|
| Rate for Payer: Priority Health Medicare |
$84.57
|
| Rate for Payer: Priority Health Narrow Network |
$160.48
|
| Rate for Payer: Priority Health SBD |
$160.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$84.57
|
| Rate for Payer: UHC Exchange |
$131.79
|
| Rate for Payer: UHC Medicare Advantage |
$84.57
|
| Rate for Payer: UHCCP Medicaid |
$58.15
|
|
|
PR BIOPSY VULVA/PERINEUM 1 LESION SPX
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 56605
|
| Min. Negotiated Rate |
$37.70 |
| Max. Negotiated Rate |
$10,615.00 |
| Rate for Payer: Aetna Commercial |
$76.07
|
| Rate for Payer: Aetna Medicare |
$59.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.75
|
| Rate for Payer: BCBS Complete |
$39.58
|
| Rate for Payer: BCBS MAPPO |
$56.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,173.43
|
| Rate for Payer: BCN Commercial |
$114.27
|
| Rate for Payer: BCN Medicare Advantage |
$56.77
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$81.75
|
| Rate for Payer: Cofinity Commercial |
$76.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.77
|
| Rate for Payer: Healthscope Commercial |
$90.83
|
| Rate for Payer: Healthscope Commercial |
$105.02
|
| Rate for Payer: Mclaren Medicaid |
$37.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.61
|
| Rate for Payer: Meridian Medicaid |
$39.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,615.00
|
| Rate for Payer: Nomi Health Commercial |
$68.12
|
| Rate for Payer: PACE SWMI |
$56.77
|
| Rate for Payer: PHP Medicare Advantage |
$56.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$87.80
|
| Rate for Payer: Priority Health Medicare |
$56.77
|
| Rate for Payer: Priority Health Narrow Network |
$87.80
|
| Rate for Payer: Priority Health SBD |
$87.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.77
|
| Rate for Payer: UHC Exchange |
$112.35
|
| Rate for Payer: UHC Medicare Advantage |
$56.77
|
| Rate for Payer: UHCCP Medicaid |
$37.70
|
|
|
PR BIOPSY VULVA/PERINEUM EACH ADDL LESION
|
Professional
|
Both
|
$192.00
|
|
|
Service Code
|
HCPCS 56606
|
| Min. Negotiated Rate |
$18.32 |
| Max. Negotiated Rate |
$5,288.00 |
| Rate for Payer: Aetna Commercial |
$36.98
|
| Rate for Payer: Aetna Medicare |
$28.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.74
|
| Rate for Payer: BCBS Complete |
$19.24
|
| Rate for Payer: BCBS MAPPO |
$27.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,893.96
|
| Rate for Payer: BCN Commercial |
$56.68
|
| Rate for Payer: BCN Medicare Advantage |
$27.60
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cofinity Commercial |
$39.74
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.60
|
| Rate for Payer: Healthscope Commercial |
$51.06
|
| Rate for Payer: Healthscope Commercial |
$44.16
|
| Rate for Payer: Mclaren Medicaid |
$18.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.98
|
| Rate for Payer: Meridian Medicaid |
$19.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,288.00
|
| Rate for Payer: Nomi Health Commercial |
$33.12
|
| Rate for Payer: PACE SWMI |
$27.60
|
| Rate for Payer: PHP Medicare Advantage |
$27.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$124.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$43.16
|
| Rate for Payer: Priority Health Medicare |
$27.60
|
| Rate for Payer: Priority Health Narrow Network |
$43.16
|
| Rate for Payer: Priority Health SBD |
$43.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.60
|
| Rate for Payer: UHC Exchange |
$48.39
|
| Rate for Payer: UHC Medicare Advantage |
$27.60
|
| Rate for Payer: UHCCP Medicaid |
$18.32
|
|
|
PR BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT
|
Professional
|
Both
|
$674.00
|
|
|
Service Code
|
HCPCS 33933
|
| Min. Negotiated Rate |
$251.71 |
| Max. Negotiated Rate |
$70,538.00 |
| Rate for Payer: Aetna Commercial |
$536.72
|
| Rate for Payer: Aetna Medicare |
$337.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.72
|
| Rate for Payer: BCBS Complete |
$264.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,305.43
|
| Rate for Payer: BCN Commercial |
$627.12
|
| Rate for Payer: Cash Price |
$539.20
|
| Rate for Payer: Cash Price |
$539.20
|
| Rate for Payer: Mclaren Medicaid |
$251.71
|
| Rate for Payer: Meridian Medicaid |
$264.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$70,538.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$438.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$676.49
|
| Rate for Payer: Priority Health Narrow Network |
$676.49
|
| Rate for Payer: Priority Health SBD |
$676.49
|
| Rate for Payer: UHCCP Medicaid |
$251.71
|
|
|
PR BLADDER INSTILLATION ANTICARCINOGENIC AGENT
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 51720
|
| Min. Negotiated Rate |
$27.90 |
| Max. Negotiated Rate |
$7,751.00 |
| Rate for Payer: Aetna Commercial |
$56.44
|
| Rate for Payer: Aetna Medicare |
$43.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.65
|
| Rate for Payer: BCBS Complete |
$29.30
|
| Rate for Payer: BCBS MAPPO |
$42.12
|
| Rate for Payer: BCBS Trust/PPO |
$2,209.35
|
| Rate for Payer: BCN Commercial |
$102.88
|
| Rate for Payer: BCN Medicare Advantage |
$42.12
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cofinity Commercial |
$60.65
|
| Rate for Payer: Cofinity Commercial |
$56.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.12
|
| Rate for Payer: Healthscope Commercial |
$77.92
|
| Rate for Payer: Healthscope Commercial |
$67.39
|
| Rate for Payer: Mclaren Medicaid |
$27.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.23
|
| Rate for Payer: Meridian Medicaid |
$29.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,751.00
|
| Rate for Payer: Nomi Health Commercial |
$50.54
|
| Rate for Payer: PACE SWMI |
$42.12
|
| Rate for Payer: PHP Medicare Advantage |
$42.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.70
|
| Rate for Payer: Priority Health Medicare |
$42.12
|
| Rate for Payer: Priority Health Narrow Network |
$68.70
|
| Rate for Payer: Priority Health SBD |
$68.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$191.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.12
|
| Rate for Payer: UHC Exchange |
$191.21
|
| Rate for Payer: UHC Medicare Advantage |
$42.12
|
| Rate for Payer: UHCCP Medicaid |
$27.90
|
|
|
PR BLADDER PRESSURE MEASUREMENT DURING FILLING
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 51726
|
| Min. Negotiated Rate |
$53.25 |
| Max. Negotiated Rate |
$51,354.00 |
| Rate for Payer: Aetna Commercial |
$337.17
|
| Rate for Payer: Aetna Medicare |
$261.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$337.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$362.33
|
| Rate for Payer: BCBS Complete |
$55.91
|
| Rate for Payer: BCBS MAPPO |
$251.62
|
| Rate for Payer: BCBS Trust/PPO |
$3,274.93
|
| Rate for Payer: BCN Commercial |
$441.76
|
| Rate for Payer: BCN Medicare Advantage |
$251.62
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$362.33
|
| Rate for Payer: Cofinity Commercial |
$337.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.62
|
| Rate for Payer: Healthscope Commercial |
$465.50
|
| Rate for Payer: Healthscope Commercial |
$402.59
|
| Rate for Payer: Mclaren Medicaid |
$53.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$264.20
|
| Rate for Payer: Meridian Medicaid |
$55.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51,354.00
|
| Rate for Payer: Nomi Health Commercial |
$301.94
|
| Rate for Payer: PACE SWMI |
$251.62
|
| Rate for Payer: PHP Medicare Advantage |
$251.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$479.87
|
| Rate for Payer: Priority Health Medicare |
$251.62
|
| Rate for Payer: Priority Health Narrow Network |
$479.87
|
| Rate for Payer: Priority Health SBD |
$132.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.62
|
| Rate for Payer: UHC Exchange |
$385.09
|
| Rate for Payer: UHC Medicare Advantage |
$251.62
|
| Rate for Payer: UHCCP Medicaid |
$53.25
|
|
|
PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL
|
Professional
|
Both
|
$461.00
|
|
|
Service Code
|
HCPCS 38206
|
| Min. Negotiated Rate |
$51.97 |
| Max. Negotiated Rate |
$14,585.00 |
| Rate for Payer: Aetna Commercial |
$103.27
|
| Rate for Payer: Aetna Medicare |
$80.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.98
|
| Rate for Payer: BCBS Complete |
$54.57
|
| Rate for Payer: BCBS MAPPO |
$77.07
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.35
|
| Rate for Payer: BCN Commercial |
$120.21
|
| Rate for Payer: BCN Medicare Advantage |
$77.07
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cofinity Commercial |
$110.98
|
| Rate for Payer: Cofinity Commercial |
$103.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.07
|
| Rate for Payer: Healthscope Commercial |
$142.58
|
| Rate for Payer: Healthscope Commercial |
$123.31
|
| Rate for Payer: Mclaren Medicaid |
$51.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.92
|
| Rate for Payer: Meridian Medicaid |
$54.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,585.00
|
| Rate for Payer: Nomi Health Commercial |
$92.48
|
| Rate for Payer: PACE SWMI |
$77.07
|
| Rate for Payer: PHP Medicare Advantage |
$77.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$299.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$162.44
|
| Rate for Payer: Priority Health Medicare |
$77.07
|
| Rate for Payer: Priority Health Narrow Network |
$162.44
|
| Rate for Payer: Priority Health SBD |
$162.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.07
|
| Rate for Payer: UHC Exchange |
$88.42
|
| Rate for Payer: UHC Medicare Advantage |
$77.07
|
| Rate for Payer: UHCCP Medicaid |
$51.97
|
|
|
PR BLDR IRRIGATION SMPL LAVAGE &/INSTLJ
|
Professional
|
Both
|
$176.00
|
|
|
Service Code
|
HCPCS 51700
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$5,351.00 |
| Rate for Payer: Aetna Commercial |
$38.26
|
| Rate for Payer: Aetna Medicare |
$29.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.11
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$28.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,655.16
|
| Rate for Payer: BCN Commercial |
$89.53
|
| Rate for Payer: BCN Medicare Advantage |
$28.55
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cofinity Commercial |
$41.11
|
| Rate for Payer: Cofinity Commercial |
$38.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.55
|
| Rate for Payer: Healthscope Commercial |
$52.82
|
| Rate for Payer: Healthscope Commercial |
$45.68
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.98
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,351.00
|
| Rate for Payer: Nomi Health Commercial |
$34.26
|
| Rate for Payer: PACE SWMI |
$28.55
|
| Rate for Payer: PHP Medicare Advantage |
$28.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$47.41
|
| Rate for Payer: Priority Health Medicare |
$28.55
|
| Rate for Payer: Priority Health Narrow Network |
$47.41
|
| Rate for Payer: Priority Health SBD |
$47.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.55
|
| Rate for Payer: UHC Exchange |
$102.50
|
| Rate for Payer: UHC Medicare Advantage |
$28.55
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
|
PR BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD
|
Professional
|
Both
|
$918.00
|
|
|
Service Code
|
HCPCS 15821
|
| Min. Negotiated Rate |
$312.59 |
| Max. Negotiated Rate |
$95,177.00 |
| Rate for Payer: Aetna Commercial |
$684.28
|
| Rate for Payer: Aetna Medicare |
$531.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$684.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$735.35
|
| Rate for Payer: BCBS Complete |
$368.57
|
| Rate for Payer: BCBS MAPPO |
$510.66
|
| Rate for Payer: BCBS Trust/PPO |
$312.59
|
| Rate for Payer: BCN Commercial |
$903.57
|
| Rate for Payer: BCN Medicare Advantage |
$510.66
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cofinity Commercial |
$735.35
|
| Rate for Payer: Cofinity Commercial |
$684.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$510.66
|
| Rate for Payer: Healthscope Commercial |
$944.72
|
| Rate for Payer: Healthscope Commercial |
$817.06
|
| Rate for Payer: Mclaren Medicaid |
$351.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$536.19
|
| Rate for Payer: Meridian Medicaid |
$368.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95,177.00
|
| Rate for Payer: Nomi Health Commercial |
$612.79
|
| Rate for Payer: PACE SWMI |
$510.66
|
| Rate for Payer: PHP Medicare Advantage |
$510.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$351.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$745.46
|
| Rate for Payer: Priority Health Medicare |
$510.66
|
| Rate for Payer: Priority Health Narrow Network |
$745.46
|
| Rate for Payer: Priority Health SBD |
$745.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$614.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$510.66
|
| Rate for Payer: UHC Exchange |
$614.06
|
| Rate for Payer: UHC Medicare Advantage |
$510.66
|
| Rate for Payer: UHCCP Medicaid |
$351.02
|
|
|
PR BLEPHAROPLASTY UPPER EYELID
|
Professional
|
Both
|
$944.00
|
|
|
Service Code
|
HCPCS 15822
|
| Min. Negotiated Rate |
$31.71 |
| Max. Negotiated Rate |
$69,091.00 |
| Rate for Payer: Aetna Commercial |
$495.48
|
| Rate for Payer: Aetna Medicare |
$384.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$495.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.45
|
| Rate for Payer: BCBS Complete |
$267.27
|
| Rate for Payer: BCBS MAPPO |
$369.76
|
| Rate for Payer: BCBS Trust/PPO |
$31.71
|
| Rate for Payer: BCN Commercial |
$675.35
|
| Rate for Payer: BCN Medicare Advantage |
$369.76
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Cofinity Commercial |
$532.45
|
| Rate for Payer: Cofinity Commercial |
$495.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$369.76
|
| Rate for Payer: Healthscope Commercial |
$684.06
|
| Rate for Payer: Healthscope Commercial |
$591.62
|
| Rate for Payer: Mclaren Medicaid |
$254.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$388.25
|
| Rate for Payer: Meridian Medicaid |
$267.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69,091.00
|
| Rate for Payer: Nomi Health Commercial |
$443.71
|
| Rate for Payer: PACE SWMI |
$369.76
|
| Rate for Payer: PHP Medicare Advantage |
$369.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$613.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$541.37
|
| Rate for Payer: Priority Health Medicare |
$369.76
|
| Rate for Payer: Priority Health Narrow Network |
$541.37
|
| Rate for Payer: Priority Health SBD |
$541.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$500.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$369.76
|
| Rate for Payer: UHC Exchange |
$500.53
|
| Rate for Payer: UHC Medicare Advantage |
$369.76
|
| Rate for Payer: UHCCP Medicaid |
$254.54
|
|
