|
PR COMPRE EP EVAL ABLTJ 3D MAPG TX SVT
|
Professional
|
Both
|
$1,754.00
|
|
|
Service Code
|
HCPCS 93653
|
| Min. Negotiated Rate |
$521.00 |
| Max. Negotiated Rate |
$123,957.00 |
| Rate for Payer: Aetna Commercial |
$1,062.10
|
| Rate for Payer: Aetna Medicare |
$824.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,062.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,141.36
|
| Rate for Payer: BCBS Complete |
$547.05
|
| Rate for Payer: BCBS MAPPO |
$792.61
|
| Rate for Payer: BCBS Trust/PPO |
$2,938.40
|
| Rate for Payer: BCN Commercial |
$1,207.03
|
| Rate for Payer: BCN Medicare Advantage |
$792.61
|
| Rate for Payer: Cash Price |
$1,403.20
|
| Rate for Payer: Cash Price |
$1,403.20
|
| Rate for Payer: Cofinity Commercial |
$1,141.36
|
| Rate for Payer: Cofinity Commercial |
$1,062.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$792.61
|
| Rate for Payer: Healthscope Commercial |
$1,268.18
|
| Rate for Payer: Healthscope Commercial |
$1,466.33
|
| Rate for Payer: Mclaren Medicaid |
$521.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$832.24
|
| Rate for Payer: Meridian Medicaid |
$547.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123,957.00
|
| Rate for Payer: Nomi Health Commercial |
$951.13
|
| Rate for Payer: PACE SWMI |
$792.61
|
| Rate for Payer: PHP Medicare Advantage |
$792.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$521.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,140.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,149.78
|
| Rate for Payer: Priority Health Medicare |
$792.61
|
| Rate for Payer: Priority Health Narrow Network |
$1,149.78
|
| Rate for Payer: Priority Health SBD |
$1,149.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$792.61
|
| Rate for Payer: UHC Medicare Advantage |
$792.61
|
| Rate for Payer: UHCCP Medicaid |
$521.00
|
|
|
PR COMPRE EP EVAL ABLTJ 3D MAPG TX VT
|
Professional
|
Both
|
$2,350.00
|
|
|
Service Code
|
HCPCS 93654
|
| Min. Negotiated Rate |
$627.92 |
| Max. Negotiated Rate |
$149,415.00 |
| Rate for Payer: Aetna Commercial |
$1,280.34
|
| Rate for Payer: Aetna Medicare |
$993.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,280.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,375.89
|
| Rate for Payer: BCBS Complete |
$659.32
|
| Rate for Payer: BCBS MAPPO |
$955.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,268.06
|
| Rate for Payer: BCN Commercial |
$1,454.79
|
| Rate for Payer: BCN Medicare Advantage |
$955.48
|
| Rate for Payer: Cash Price |
$1,880.00
|
| Rate for Payer: Cash Price |
$1,880.00
|
| Rate for Payer: Cofinity Commercial |
$1,375.89
|
| Rate for Payer: Cofinity Commercial |
$1,280.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$955.48
|
| Rate for Payer: Healthscope Commercial |
$1,528.77
|
| Rate for Payer: Healthscope Commercial |
$1,767.64
|
| Rate for Payer: Mclaren Medicaid |
$627.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,003.25
|
| Rate for Payer: Meridian Medicaid |
$659.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149,415.00
|
| Rate for Payer: Nomi Health Commercial |
$1,146.58
|
| Rate for Payer: PACE SWMI |
$955.48
|
| Rate for Payer: PHP Medicare Advantage |
$955.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$627.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,527.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,385.20
|
| Rate for Payer: Priority Health Medicare |
$955.48
|
| Rate for Payer: Priority Health Narrow Network |
$1,385.20
|
| Rate for Payer: Priority Health SBD |
$1,385.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$955.48
|
| Rate for Payer: UHC Medicare Advantage |
$955.48
|
| Rate for Payer: UHCCP Medicaid |
$627.92
|
|
|
PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION
|
Professional
|
Both
|
$1,842.00
|
|
|
Service Code
|
HCPCS 93656
|
| Min. Negotiated Rate |
$590.44 |
| Max. Negotiated Rate |
$140,567.00 |
| Rate for Payer: Aetna Commercial |
$1,203.41
|
| Rate for Payer: Aetna Medicare |
$933.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,203.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,293.22
|
| Rate for Payer: BCBS Complete |
$619.96
|
| Rate for Payer: BCBS MAPPO |
$898.07
|
| Rate for Payer: BCBS Trust/PPO |
$3,385.35
|
| Rate for Payer: BCN Commercial |
$1,368.79
|
| Rate for Payer: BCN Medicare Advantage |
$898.07
|
| Rate for Payer: Cash Price |
$1,473.60
|
| Rate for Payer: Cash Price |
$1,473.60
|
| Rate for Payer: Cofinity Commercial |
$1,293.22
|
| Rate for Payer: Cofinity Commercial |
$1,203.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$898.07
|
| Rate for Payer: Healthscope Commercial |
$1,436.91
|
| Rate for Payer: Healthscope Commercial |
$1,661.43
|
| Rate for Payer: Mclaren Medicaid |
$590.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$942.97
|
| Rate for Payer: Meridian Medicaid |
$619.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$140,567.00
|
| Rate for Payer: Nomi Health Commercial |
$1,077.68
|
| Rate for Payer: PACE SWMI |
$898.07
|
| Rate for Payer: PHP Medicare Advantage |
$898.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$590.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,197.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,303.74
|
| Rate for Payer: Priority Health Medicare |
$898.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,303.74
|
| Rate for Payer: Priority Health SBD |
$1,303.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$898.07
|
| Rate for Payer: UHC Medicare Advantage |
$898.07
|
| Rate for Payer: UHCCP Medicaid |
$590.44
|
|
|
PR COMPRE EP EVAL R ATR VNTRC PACG&REC HIS BNDL REC
|
Professional
|
Both
|
$1,319.00
|
|
|
Service Code
|
HCPCS 93620
|
| Min. Negotiated Rate |
$383.61 |
| Max. Negotiated Rate |
$119,327.00 |
| Rate for Payer: Aetna Commercial |
$1,103.18
|
| Rate for Payer: Aetna Medicare |
$659.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,103.18
|
| Rate for Payer: BCBS Complete |
$402.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,200.30
|
| Rate for Payer: BCN Commercial |
$7,115.72
|
| Rate for Payer: Cash Price |
$1,055.20
|
| Rate for Payer: Cash Price |
$1,055.20
|
| Rate for Payer: Mclaren Medicaid |
$383.61
|
| Rate for Payer: Meridian Medicaid |
$402.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119,327.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$857.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,128.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,128.13
|
| Rate for Payer: Priority Health SBD |
$846.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,101.03
|
| Rate for Payer: UHC Exchange |
$2,101.03
|
| Rate for Payer: UHCCP Medicaid |
$383.61
|
|
|
PR COMPRE EP EVAL W/L ATRIAL PACG&REC C SINS/L ATR
|
Professional
|
Both
|
$245.00
|
|
|
Service Code
|
HCPCS 93621
|
| Min. Negotiated Rate |
$50.91 |
| Max. Negotiated Rate |
$15,803.00 |
| Rate for Payer: Aetna Commercial |
$205.99
|
| Rate for Payer: Aetna Medicare |
$122.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.99
|
| Rate for Payer: BCBS Complete |
$53.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,215.62
|
| Rate for Payer: BCN Commercial |
$1,640.93
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Mclaren Medicaid |
$50.91
|
| Rate for Payer: Meridian Medicaid |
$53.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,803.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$50.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$150.20
|
| Rate for Payer: Priority Health Narrow Network |
$150.20
|
| Rate for Payer: Priority Health SBD |
$112.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,328.61
|
| Rate for Payer: UHC Exchange |
$2,328.61
|
| Rate for Payer: UHCCP Medicaid |
$50.91
|
|
|
PR CONDITIONING PLAY AUDIOMETRY
|
Professional
|
Both
|
$131.00
|
|
|
Service Code
|
HCPCS 92582
|
| Min. Negotiated Rate |
$31.45 |
| Max. Negotiated Rate |
$11,354.00 |
| Rate for Payer: Aetna Commercial |
$105.94
|
| Rate for Payer: Aetna Medicare |
$82.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.85
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS MAPPO |
$79.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,061.43
|
| Rate for Payer: BCN Commercial |
$119.72
|
| Rate for Payer: BCN Medicare Advantage |
$79.06
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cofinity Commercial |
$113.85
|
| Rate for Payer: Cofinity Commercial |
$105.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.06
|
| Rate for Payer: Healthscope Commercial |
$126.50
|
| Rate for Payer: Healthscope Commercial |
$146.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$83.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,354.00
|
| Rate for Payer: Nomi Health Commercial |
$94.87
|
| Rate for Payer: PACE SWMI |
$79.06
|
| Rate for Payer: PHP Medicare Advantage |
$79.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$117.60
|
| Rate for Payer: Priority Health Medicare |
$79.06
|
| Rate for Payer: Priority Health Narrow Network |
$117.60
|
| Rate for Payer: Priority Health SBD |
$117.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$79.06
|
| Rate for Payer: UHC Exchange |
$31.45
|
| Rate for Payer: UHC Medicare Advantage |
$79.06
|
|
|
PR CONIZATION CERVIX W/WO D&C RPR ELTRD EXC
|
Facility
|
IP
|
$924.00
|
|
|
Service Code
|
CPT 57522
|
| Hospital Charge Code |
57522
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$582.12 |
| Max. Negotiated Rate |
$831.60 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.60
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$646.80
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$646.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health SBD |
$582.12
|
|
|
PR CONIZATION CERVIX W/WO D&C RPR ELTRD EXC
|
Facility
|
OP
|
$924.00
|
|
|
Service Code
|
CPT 57522
|
| Hospital Charge Code |
57522
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$271.49 |
| Max. Negotiated Rate |
$9,791.14 |
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Aetna Medicare |
$3,239.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,894.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,894.05
|
| Rate for Payer: BCBS Complete |
$1,753.26
|
| Rate for Payer: BCBS MAPPO |
$3,115.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,324.88
|
| Rate for Payer: BCCCP Commercial |
$293.81
|
| Rate for Payer: BCN Commercial |
$1,324.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,115.24
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Cofinity Commercial |
$646.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$646.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,115.24
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Mclaren Medicaid |
$1,669.77
|
| Rate for Payer: Mclaren Medicare |
$3,115.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,271.00
|
| Rate for Payer: Meridian Medicaid |
$1,753.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,582.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: Nomi Health Commercial |
$6,542.00
|
| Rate for Payer: PACE Medicare |
$2,959.48
|
| Rate for Payer: PACE SWMI |
$3,115.24
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: PHP Medicare Advantage |
$3,115.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,669.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,791.14
|
| Rate for Payer: Priority Health Medicare |
$3,115.24
|
| Rate for Payer: Priority Health Narrow Network |
$7,832.91
|
| Rate for Payer: Priority Health SBD |
$582.12
|
| Rate for Payer: Railroad Medicare Medicare |
$3,115.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$271.49
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,115.24
|
| Rate for Payer: UHC Medicare Advantage |
$3,115.24
|
| Rate for Payer: UHCCP Medicaid |
$1,753.88
|
| Rate for Payer: VA VA |
$3,115.24
|
|
|
PR CONIZATION CERVIX W/WO D&C RPR ELTRD EXC
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 57522
|
| Hospital Charge Code |
57522
|
| Min. Negotiated Rate |
$164.65 |
| Max. Negotiated Rate |
$45,207.00 |
| Rate for Payer: Aetna Commercial |
$326.32
|
| Rate for Payer: Aetna Medicare |
$253.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.67
|
| Rate for Payer: BCBS Complete |
$172.88
|
| Rate for Payer: BCBS MAPPO |
$243.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,117.50
|
| Rate for Payer: BCN Commercial |
$447.14
|
| Rate for Payer: BCN Medicare Advantage |
$243.52
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$326.32
|
| Rate for Payer: Cofinity Commercial |
$350.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.52
|
| Rate for Payer: Healthscope Commercial |
$450.51
|
| Rate for Payer: Healthscope Commercial |
$389.63
|
| Rate for Payer: Mclaren Medicaid |
$164.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.70
|
| Rate for Payer: Meridian Medicaid |
$172.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,207.00
|
| Rate for Payer: Nomi Health Commercial |
$292.22
|
| Rate for Payer: PACE SWMI |
$243.52
|
| Rate for Payer: PHP Medicare Advantage |
$243.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$383.95
|
| Rate for Payer: Priority Health Medicare |
$243.52
|
| Rate for Payer: Priority Health Narrow Network |
$383.95
|
| Rate for Payer: Priority Health SBD |
$383.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$403.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.52
|
| Rate for Payer: UHC Exchange |
$403.76
|
| Rate for Payer: UHC Medicare Advantage |
$243.52
|
| Rate for Payer: UHCCP Medicaid |
$164.65
|
|
|
PR CONIZATION CERVIX W/WO D&C RPR ELTRD EXC
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 57522
|
| Min. Negotiated Rate |
$164.65 |
| Max. Negotiated Rate |
$45,207.00 |
| Rate for Payer: Aetna Commercial |
$326.32
|
| Rate for Payer: Aetna Medicare |
$253.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$350.67
|
| Rate for Payer: BCBS Complete |
$172.88
|
| Rate for Payer: BCBS MAPPO |
$243.52
|
| Rate for Payer: BCBS Trust/PPO |
$3,117.50
|
| Rate for Payer: BCN Commercial |
$447.14
|
| Rate for Payer: BCN Medicare Advantage |
$243.52
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$350.67
|
| Rate for Payer: Cofinity Commercial |
$326.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$243.52
|
| Rate for Payer: Healthscope Commercial |
$450.51
|
| Rate for Payer: Healthscope Commercial |
$389.63
|
| Rate for Payer: Mclaren Medicaid |
$164.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$255.70
|
| Rate for Payer: Meridian Medicaid |
$172.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,207.00
|
| Rate for Payer: Nomi Health Commercial |
$292.22
|
| Rate for Payer: PACE SWMI |
$243.52
|
| Rate for Payer: PHP Medicare Advantage |
$243.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$383.95
|
| Rate for Payer: Priority Health Medicare |
$243.52
|
| Rate for Payer: Priority Health Narrow Network |
$383.95
|
| Rate for Payer: Priority Health SBD |
$383.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$403.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$243.52
|
| Rate for Payer: UHC Exchange |
$403.76
|
| Rate for Payer: UHC Medicare Advantage |
$243.52
|
| Rate for Payer: UHCCP Medicaid |
$164.65
|
|
|
PR CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER
|
Professional
|
Both
|
$1,039.00
|
|
|
Service Code
|
HCPCS 57520
|
| Min. Negotiated Rate |
$191.49 |
| Max. Negotiated Rate |
$52,472.00 |
| Rate for Payer: Aetna Commercial |
$378.67
|
| Rate for Payer: Aetna Medicare |
$293.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$378.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.93
|
| Rate for Payer: BCBS Complete |
$201.06
|
| Rate for Payer: BCBS MAPPO |
$282.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,148.52
|
| Rate for Payer: BCN Commercial |
$520.93
|
| Rate for Payer: BCN Medicare Advantage |
$282.59
|
| Rate for Payer: Cash Price |
$831.20
|
| Rate for Payer: Cash Price |
$831.20
|
| Rate for Payer: Cofinity Commercial |
$406.93
|
| Rate for Payer: Cofinity Commercial |
$378.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.59
|
| Rate for Payer: Healthscope Commercial |
$522.79
|
| Rate for Payer: Healthscope Commercial |
$452.14
|
| Rate for Payer: Mclaren Medicaid |
$191.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.72
|
| Rate for Payer: Meridian Medicaid |
$201.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,472.00
|
| Rate for Payer: Nomi Health Commercial |
$339.11
|
| Rate for Payer: PACE SWMI |
$282.59
|
| Rate for Payer: PHP Medicare Advantage |
$282.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$675.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$446.45
|
| Rate for Payer: Priority Health Medicare |
$282.59
|
| Rate for Payer: Priority Health Narrow Network |
$446.45
|
| Rate for Payer: Priority Health SBD |
$446.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.59
|
| Rate for Payer: UHC Exchange |
$450.00
|
| Rate for Payer: UHC Medicare Advantage |
$282.59
|
| Rate for Payer: UHCCP Medicaid |
$191.49
|
|
|
PR CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT
|
Professional
|
Both
|
$1,701.00
|
|
|
Service Code
|
HCPCS 57291
|
| Min. Negotiated Rate |
$353.37 |
| Max. Negotiated Rate |
$97,954.00 |
| Rate for Payer: Aetna Commercial |
$704.99
|
| Rate for Payer: Aetna Medicare |
$547.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$704.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$757.60
|
| Rate for Payer: BCBS Complete |
$371.04
|
| Rate for Payer: BCBS MAPPO |
$526.11
|
| Rate for Payer: BCBS Trust/PPO |
$1,525.20
|
| Rate for Payer: BCN Commercial |
$807.78
|
| Rate for Payer: BCN Medicare Advantage |
$526.11
|
| Rate for Payer: Cash Price |
$1,360.80
|
| Rate for Payer: Cash Price |
$1,360.80
|
| Rate for Payer: Cofinity Commercial |
$757.60
|
| Rate for Payer: Cofinity Commercial |
$704.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.11
|
| Rate for Payer: Healthscope Commercial |
$973.30
|
| Rate for Payer: Healthscope Commercial |
$841.78
|
| Rate for Payer: Mclaren Medicaid |
$353.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$552.42
|
| Rate for Payer: Meridian Medicaid |
$371.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97,954.00
|
| Rate for Payer: Nomi Health Commercial |
$631.33
|
| Rate for Payer: PACE SWMI |
$526.11
|
| Rate for Payer: PHP Medicare Advantage |
$526.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$353.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,105.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$825.42
|
| Rate for Payer: Priority Health Medicare |
$526.11
|
| Rate for Payer: Priority Health Narrow Network |
$825.42
|
| Rate for Payer: Priority Health SBD |
$825.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$674.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.11
|
| Rate for Payer: UHC Exchange |
$674.93
|
| Rate for Payer: UHC Medicare Advantage |
$526.11
|
| Rate for Payer: UHCCP Medicaid |
$353.37
|
|
|
PR CONSULTS
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 00125
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Medicare |
$255.00
|
| Rate for Payer: BCBS Complete |
$204.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
|
|
PR CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT
|
Professional
|
Both
|
$274.00
|
|
|
Service Code
|
HCPCS 95250
|
| Min. Negotiated Rate |
$109.60 |
| Max. Negotiated Rate |
$20,130.00 |
| Rate for Payer: Aetna Commercial |
$170.64
|
| Rate for Payer: Aetna Medicare |
$132.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.37
|
| Rate for Payer: BCBS Complete |
$109.60
|
| Rate for Payer: BCBS MAPPO |
$127.34
|
| Rate for Payer: BCBS Trust/PPO |
$424.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: BCN Medicare Advantage |
$127.34
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cash Price |
$219.20
|
| Rate for Payer: Cofinity Commercial |
$183.37
|
| Rate for Payer: Cofinity Commercial |
$170.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.34
|
| Rate for Payer: Healthscope Commercial |
$203.74
|
| Rate for Payer: Healthscope Commercial |
$235.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,130.00
|
| Rate for Payer: Nomi Health Commercial |
$152.81
|
| Rate for Payer: PACE SWMI |
$127.34
|
| Rate for Payer: PHP Medicare Advantage |
$127.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$200.37
|
| Rate for Payer: Priority Health Medicare |
$127.34
|
| Rate for Payer: Priority Health Narrow Network |
$200.37
|
| Rate for Payer: Priority Health SBD |
$200.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$151.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.34
|
| Rate for Payer: UHC Exchange |
$151.58
|
| Rate for Payer: UHC Medicare Advantage |
$127.34
|
|
|
PR CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 95249
|
| Min. Negotiated Rate |
$36.80 |
| Max. Negotiated Rate |
$8,462.00 |
| Rate for Payer: Aetna Commercial |
$78.63
|
| Rate for Payer: Aetna Medicare |
$61.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.50
|
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: BCBS MAPPO |
$58.68
|
| Rate for Payer: BCBS Trust/PPO |
$234.04
|
| Rate for Payer: BCN Medicare Advantage |
$58.68
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$84.50
|
| Rate for Payer: Cofinity Commercial |
$78.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$58.68
|
| Rate for Payer: Healthscope Commercial |
$108.56
|
| Rate for Payer: Healthscope Commercial |
$93.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$61.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,462.00
|
| Rate for Payer: Nomi Health Commercial |
$70.42
|
| Rate for Payer: PACE SWMI |
$58.68
|
| Rate for Payer: PHP Medicare Advantage |
$58.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$88.65
|
| Rate for Payer: Priority Health Medicare |
$58.68
|
| Rate for Payer: Priority Health Narrow Network |
$88.65
|
| Rate for Payer: Priority Health SBD |
$88.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$58.68
|
| Rate for Payer: UHC Medicare Advantage |
$58.68
|
|
|
PR CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN
|
Professional
|
Both
|
$3,434.00
|
|
|
Service Code
|
HCPCS 50825
|
| Min. Negotiated Rate |
$1,047.11 |
| Max. Negotiated Rate |
$288,945.00 |
| Rate for Payer: Aetna Commercial |
$2,101.64
|
| Rate for Payer: Aetna Medicare |
$1,631.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,258.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,101.64
|
| Rate for Payer: BCBS Complete |
$1,099.47
|
| Rate for Payer: BCBS MAPPO |
$1,568.39
|
| Rate for Payer: BCBS Trust/PPO |
$3,355.23
|
| Rate for Payer: BCN Commercial |
$2,362.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.39
|
| Rate for Payer: Cash Price |
$2,747.20
|
| Rate for Payer: Cash Price |
$2,747.20
|
| Rate for Payer: Cofinity Commercial |
$2,258.48
|
| Rate for Payer: Cofinity Commercial |
$2,101.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.39
|
| Rate for Payer: Healthscope Commercial |
$2,901.52
|
| Rate for Payer: Healthscope Commercial |
$2,509.42
|
| Rate for Payer: Mclaren Medicaid |
$1,047.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.81
|
| Rate for Payer: Meridian Medicaid |
$1,099.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$288,945.00
|
| Rate for Payer: Nomi Health Commercial |
$1,882.07
|
| Rate for Payer: PACE SWMI |
$1,568.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,047.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,232.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,601.74
|
| Rate for Payer: Priority Health Medicare |
$1,568.39
|
| Rate for Payer: Priority Health Narrow Network |
$2,601.74
|
| Rate for Payer: Priority Health SBD |
$2,601.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,112.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,568.39
|
| Rate for Payer: UHC Exchange |
$2,112.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,568.39
|
| Rate for Payer: UHCCP Medicaid |
$1,047.11
|
|
|
PR CONTINENT ILEOSTOMY KOCK PROCEDURE SPX
|
Professional
|
Both
|
$4,041.00
|
|
|
Service Code
|
HCPCS 44316
|
| Min. Negotiated Rate |
$202.06 |
| Max. Negotiated Rate |
$253,541.00 |
| Rate for Payer: Aetna Commercial |
$1,844.43
|
| Rate for Payer: Aetna Medicare |
$1,431.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,844.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,982.07
|
| Rate for Payer: BCBS Complete |
$954.53
|
| Rate for Payer: BCBS MAPPO |
$1,376.44
|
| Rate for Payer: BCBS Trust/PPO |
$202.06
|
| Rate for Payer: BCN Commercial |
$2,064.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,376.44
|
| Rate for Payer: Cash Price |
$3,232.80
|
| Rate for Payer: Cash Price |
$3,232.80
|
| Rate for Payer: Cofinity Commercial |
$1,982.07
|
| Rate for Payer: Cofinity Commercial |
$1,844.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,376.44
|
| Rate for Payer: Healthscope Commercial |
$2,546.41
|
| Rate for Payer: Healthscope Commercial |
$2,202.30
|
| Rate for Payer: Mclaren Medicaid |
$909.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,445.26
|
| Rate for Payer: Meridian Medicaid |
$954.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253,541.00
|
| Rate for Payer: Nomi Health Commercial |
$1,651.73
|
| Rate for Payer: PACE SWMI |
$1,376.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,376.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$909.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,626.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,533.14
|
| Rate for Payer: Priority Health Medicare |
$1,376.44
|
| Rate for Payer: Priority Health Narrow Network |
$2,533.14
|
| Rate for Payer: Priority Health SBD |
$2,533.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,241.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,376.44
|
| Rate for Payer: UHC Exchange |
$1,241.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,376.44
|
| Rate for Payer: UHCCP Medicaid |
$909.08
|
|
|
PR CONT INTRAOP NEURO MONITOR
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS G0453
|
| Min. Negotiated Rate |
$29.77 |
| Max. Negotiated Rate |
$4,658.00 |
| Rate for Payer: Aetna Commercial |
$39.89
|
| Rate for Payer: Aetna Medicare |
$30.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.87
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: BCBS MAPPO |
$29.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,643.01
|
| Rate for Payer: BCN Commercial |
$45.94
|
| Rate for Payer: BCN Medicare Advantage |
$29.77
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cofinity Commercial |
$42.87
|
| Rate for Payer: Cofinity Commercial |
$39.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.77
|
| Rate for Payer: Healthscope Commercial |
$47.63
|
| Rate for Payer: Healthscope Commercial |
$55.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$31.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,658.00
|
| Rate for Payer: Nomi Health Commercial |
$35.72
|
| Rate for Payer: PACE SWMI |
$29.77
|
| Rate for Payer: PHP Medicare Advantage |
$29.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42.97
|
| Rate for Payer: Priority Health Medicare |
$29.77
|
| Rate for Payer: Priority Health Narrow Network |
$42.97
|
| Rate for Payer: Priority Health SBD |
$42.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.77
|
| Rate for Payer: UHC Medicare Advantage |
$29.77
|
|
|
PR CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R
|
Professional
|
Both
|
$74.00
|
|
|
Service Code
|
HCPCS 95251
|
| Min. Negotiated Rate |
$21.94 |
| Max. Negotiated Rate |
$5,073.00 |
| Rate for Payer: Aetna Commercial |
$43.83
|
| Rate for Payer: Aetna Medicare |
$34.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.83
|
| Rate for Payer: BCBS Complete |
$23.04
|
| Rate for Payer: BCBS MAPPO |
$32.71
|
| Rate for Payer: BCBS Trust/PPO |
$534.11
|
| Rate for Payer: BCN Commercial |
$49.85
|
| Rate for Payer: BCN Medicare Advantage |
$32.71
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cofinity Commercial |
$47.10
|
| Rate for Payer: Cofinity Commercial |
$43.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.71
|
| Rate for Payer: Healthscope Commercial |
$60.51
|
| Rate for Payer: Healthscope Commercial |
$52.34
|
| Rate for Payer: Mclaren Medicaid |
$21.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.35
|
| Rate for Payer: Meridian Medicaid |
$23.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,073.00
|
| Rate for Payer: Nomi Health Commercial |
$39.25
|
| Rate for Payer: PACE SWMI |
$32.71
|
| Rate for Payer: PHP Medicare Advantage |
$32.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$46.59
|
| Rate for Payer: Priority Health Medicare |
$32.71
|
| Rate for Payer: Priority Health Narrow Network |
$46.59
|
| Rate for Payer: Priority Health SBD |
$46.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.71
|
| Rate for Payer: UHC Exchange |
$29.14
|
| Rate for Payer: UHC Medicare Advantage |
$32.71
|
| Rate for Payer: UHCCP Medicaid |
$21.94
|
|
|
PR CONTINUOUS INHALATION TREATMENT 1ST HR
|
Professional
|
Both
|
$84.00
|
|
|
Service Code
|
HCPCS 94644
|
| Min. Negotiated Rate |
$33.60 |
| Max. Negotiated Rate |
$8,252.00 |
| Rate for Payer: Aetna Commercial |
$68.54
|
| Rate for Payer: Aetna Medicare |
$53.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.66
|
| Rate for Payer: BCBS Complete |
$33.60
|
| Rate for Payer: BCBS MAPPO |
$51.15
|
| Rate for Payer: BCBS Trust/PPO |
$270.49
|
| Rate for Payer: BCN Commercial |
$86.99
|
| Rate for Payer: BCN Medicare Advantage |
$51.15
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$73.66
|
| Rate for Payer: Cofinity Commercial |
$68.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.15
|
| Rate for Payer: Healthscope Commercial |
$81.84
|
| Rate for Payer: Healthscope Commercial |
$94.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,252.00
|
| Rate for Payer: Nomi Health Commercial |
$61.38
|
| Rate for Payer: PACE SWMI |
$51.15
|
| Rate for Payer: PHP Medicare Advantage |
$51.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$80.96
|
| Rate for Payer: Priority Health Medicare |
$51.15
|
| Rate for Payer: Priority Health Narrow Network |
$80.96
|
| Rate for Payer: Priority Health SBD |
$80.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.15
|
| Rate for Payer: UHC Exchange |
$39.27
|
| Rate for Payer: UHC Medicare Advantage |
$51.15
|
|
|
PR CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE
|
Professional
|
Both
|
$62.00
|
|
|
Service Code
|
HCPCS 49465
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$5,398.00 |
| Rate for Payer: Aetna Commercial |
$38.10
|
| Rate for Payer: Aetna Medicare |
$29.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.10
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$28.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,618.71
|
| Rate for Payer: BCN Commercial |
$200.85
|
| Rate for Payer: BCN Medicare Advantage |
$28.43
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cofinity Commercial |
$40.94
|
| Rate for Payer: Cofinity Commercial |
$38.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.43
|
| Rate for Payer: Healthscope Commercial |
$52.60
|
| Rate for Payer: Healthscope Commercial |
$45.49
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.85
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,398.00
|
| Rate for Payer: Nomi Health Commercial |
$34.12
|
| Rate for Payer: PACE SWMI |
$28.43
|
| Rate for Payer: PHP Medicare Advantage |
$28.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.10
|
| Rate for Payer: Priority Health Medicare |
$28.43
|
| Rate for Payer: Priority Health Narrow Network |
$53.10
|
| Rate for Payer: Priority Health SBD |
$53.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.43
|
| Rate for Payer: UHC Medicare Advantage |
$28.43
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
|
PR CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX
|
Professional
|
Both
|
$396.00
|
|
|
Service Code
|
HCPCS 30903
|
| Min. Negotiated Rate |
$49.42 |
| Max. Negotiated Rate |
$13,934.00 |
| Rate for Payer: Aetna Commercial |
$100.62
|
| Rate for Payer: Aetna Medicare |
$78.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.13
|
| Rate for Payer: BCBS Complete |
$51.89
|
| Rate for Payer: BCBS MAPPO |
$75.09
|
| Rate for Payer: BCBS Trust/PPO |
$798.79
|
| Rate for Payer: BCN Commercial |
$363.58
|
| Rate for Payer: BCN Medicare Advantage |
$75.09
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cofinity Commercial |
$108.13
|
| Rate for Payer: Cofinity Commercial |
$100.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$75.09
|
| Rate for Payer: Healthscope Commercial |
$138.92
|
| Rate for Payer: Healthscope Commercial |
$120.14
|
| Rate for Payer: Mclaren Medicaid |
$49.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.84
|
| Rate for Payer: Meridian Medicaid |
$51.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,934.00
|
| Rate for Payer: Nomi Health Commercial |
$90.11
|
| Rate for Payer: PACE SWMI |
$75.09
|
| Rate for Payer: PHP Medicare Advantage |
$75.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$257.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$106.60
|
| Rate for Payer: Priority Health Medicare |
$75.09
|
| Rate for Payer: Priority Health Narrow Network |
$106.60
|
| Rate for Payer: Priority Health SBD |
$106.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$75.09
|
| Rate for Payer: UHC Exchange |
$231.88
|
| Rate for Payer: UHC Medicare Advantage |
$75.09
|
| Rate for Payer: UHCCP Medicaid |
$49.42
|
|
|
PR CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE
|
Professional
|
Both
|
$264.00
|
|
|
Service Code
|
HCPCS 30901
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$10,179.00 |
| Rate for Payer: Aetna Commercial |
$73.02
|
| Rate for Payer: Aetna Medicare |
$56.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$78.47
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$54.49
|
| Rate for Payer: BCBS Trust/PPO |
$897.05
|
| Rate for Payer: BCN Commercial |
$232.12
|
| Rate for Payer: BCN Medicare Advantage |
$54.49
|
| Rate for Payer: Cash Price |
$211.20
|
| Rate for Payer: Cash Price |
$211.20
|
| Rate for Payer: Cofinity Commercial |
$78.47
|
| Rate for Payer: Cofinity Commercial |
$73.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.49
|
| Rate for Payer: Healthscope Commercial |
$87.18
|
| Rate for Payer: Healthscope Commercial |
$100.81
|
| Rate for Payer: Mclaren Medicaid |
$36.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.21
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10,179.00
|
| Rate for Payer: Nomi Health Commercial |
$65.39
|
| Rate for Payer: PACE SWMI |
$54.49
|
| Rate for Payer: PHP Medicare Advantage |
$54.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$171.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$78.33
|
| Rate for Payer: Priority Health Medicare |
$54.49
|
| Rate for Payer: Priority Health Narrow Network |
$78.33
|
| Rate for Payer: Priority Health SBD |
$78.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.49
|
| Rate for Payer: UHC Exchange |
$132.15
|
| Rate for Payer: UHC Medicare Advantage |
$54.49
|
| Rate for Payer: UHCCP Medicaid |
$36.00
|
|
|
PR CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE
|
Professional
|
Both
|
$326.00
|
|
|
Service Code
|
HCPCS 42960
|
| Min. Negotiated Rate |
$104.37 |
| Max. Negotiated Rate |
$28,377.00 |
| Rate for Payer: Aetna Commercial |
$206.64
|
| Rate for Payer: Aetna Medicare |
$160.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.06
|
| Rate for Payer: BCBS Complete |
$109.59
|
| Rate for Payer: BCBS MAPPO |
$154.21
|
| Rate for Payer: BCBS Trust/PPO |
$278.94
|
| Rate for Payer: BCN Commercial |
$235.54
|
| Rate for Payer: BCN Medicare Advantage |
$154.21
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$222.06
|
| Rate for Payer: Cofinity Commercial |
$206.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.21
|
| Rate for Payer: Healthscope Commercial |
$285.29
|
| Rate for Payer: Healthscope Commercial |
$246.74
|
| Rate for Payer: Mclaren Medicaid |
$104.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.92
|
| Rate for Payer: Meridian Medicaid |
$109.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28,377.00
|
| Rate for Payer: Nomi Health Commercial |
$185.05
|
| Rate for Payer: PACE SWMI |
$154.21
|
| Rate for Payer: PHP Medicare Advantage |
$154.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$211.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.54
|
| Rate for Payer: Priority Health Medicare |
$154.21
|
| Rate for Payer: Priority Health Narrow Network |
$290.54
|
| Rate for Payer: Priority Health SBD |
$290.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.21
|
| Rate for Payer: UHC Exchange |
$179.68
|
| Rate for Payer: UHC Medicare Advantage |
$154.21
|
| Rate for Payer: UHCCP Medicaid |
$104.37
|
|
|
PR CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ
|
Professional
|
Both
|
$2,096.00
|
|
|
Service Code
|
HCPCS 49446
|
| Min. Negotiated Rate |
$91.59 |
| Max. Negotiated Rate |
$25,756.00 |
| Rate for Payer: Aetna Commercial |
$185.35
|
| Rate for Payer: Aetna Medicare |
$143.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.18
|
| Rate for Payer: BCBS Complete |
$96.17
|
| Rate for Payer: BCBS MAPPO |
$138.32
|
| Rate for Payer: BCBS Trust/PPO |
$605.43
|
| Rate for Payer: BCN Commercial |
$1,182.11
|
| Rate for Payer: BCN Medicare Advantage |
$138.32
|
| Rate for Payer: Cash Price |
$1,676.80
|
| Rate for Payer: Cash Price |
$1,676.80
|
| Rate for Payer: Cofinity Commercial |
$199.18
|
| Rate for Payer: Cofinity Commercial |
$185.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.32
|
| Rate for Payer: Healthscope Commercial |
$221.31
|
| Rate for Payer: Healthscope Commercial |
$255.89
|
| Rate for Payer: Mclaren Medicaid |
$91.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.24
|
| Rate for Payer: Meridian Medicaid |
$96.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,756.00
|
| Rate for Payer: Nomi Health Commercial |
$165.98
|
| Rate for Payer: PACE SWMI |
$138.32
|
| Rate for Payer: PHP Medicare Advantage |
$138.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,362.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.14
|
| Rate for Payer: Priority Health Medicare |
$138.32
|
| Rate for Payer: Priority Health Narrow Network |
$254.14
|
| Rate for Payer: Priority Health SBD |
$254.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$138.32
|
| Rate for Payer: UHC Medicare Advantage |
$138.32
|
| Rate for Payer: UHCCP Medicaid |
$91.59
|
|
