|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Facility
|
OP
|
$283.00
|
|
|
Service Code
|
CPT 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$113.20 |
| Max. Negotiated Rate |
$878.00 |
| Rate for Payer: Aetna Commercial |
$240.55
|
| Rate for Payer: Aetna Medicare |
$141.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.95
|
| Rate for Payer: BCBS Complete |
$113.20
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$198.10
|
| Rate for Payer: Cofinity Commercial |
$243.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$198.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.40
|
| Rate for Payer: Healthscope Commercial |
$254.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.55
|
| Rate for Payer: PHP Commercial |
$240.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health SBD |
$178.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.92
|
| Rate for Payer: UHC Core |
$878.00
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Facility
|
IP
|
$283.00
|
|
|
Service Code
|
CPT 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$178.29 |
| Max. Negotiated Rate |
$254.70 |
| Rate for Payer: Aetna Commercial |
$240.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.95
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$198.10
|
| Rate for Payer: Cofinity Commercial |
$243.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$198.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.40
|
| Rate for Payer: Healthscope Commercial |
$254.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.55
|
| Rate for Payer: PHP Commercial |
$240.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health SBD |
$178.29
|
|
|
PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS
|
Professional
|
Both
|
$283.00
|
|
|
Service Code
|
HCPCS 20985
|
| Hospital Charge Code |
20985
|
| Min. Negotiated Rate |
$92.23 |
| Max. Negotiated Rate |
$25,765.00 |
| Rate for Payer: Aetna Commercial |
$186.41
|
| Rate for Payer: Aetna Medicare |
$144.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$186.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.32
|
| Rate for Payer: BCBS Complete |
$96.84
|
| Rate for Payer: BCBS MAPPO |
$139.11
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$210.13
|
| Rate for Payer: BCN Medicare Advantage |
$139.11
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$200.32
|
| Rate for Payer: Cofinity Commercial |
$186.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$139.11
|
| Rate for Payer: Healthscope Commercial |
$222.58
|
| Rate for Payer: Healthscope Commercial |
$257.35
|
| Rate for Payer: Mclaren Medicaid |
$92.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$146.07
|
| Rate for Payer: Meridian Medicaid |
$96.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25,765.00
|
| Rate for Payer: Nomi Health Commercial |
$166.93
|
| Rate for Payer: PACE SWMI |
$139.11
|
| Rate for Payer: PHP Medicare Advantage |
$139.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$218.82
|
| Rate for Payer: Priority Health Medicare |
$139.11
|
| Rate for Payer: Priority Health Narrow Network |
$218.82
|
| Rate for Payer: Priority Health SBD |
$218.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$139.11
|
| Rate for Payer: UHC Medicare Advantage |
$139.11
|
| Rate for Payer: UHCCP Medicaid |
$92.23
|
|
|
PR CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT
|
Professional
|
Both
|
$7,294.00
|
|
|
Service Code
|
HCPCS 61582
|
| Min. Negotiated Rate |
$893.36 |
| Max. Negotiated Rate |
$562,574.00 |
| Rate for Payer: Aetna Commercial |
$3,925.76
|
| Rate for Payer: Aetna Medicare |
$3,046.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,925.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,218.72
|
| Rate for Payer: BCBS Complete |
$2,059.60
|
| Rate for Payer: BCBS MAPPO |
$2,929.67
|
| Rate for Payer: BCBS Trust/PPO |
$893.36
|
| Rate for Payer: BCN Commercial |
$6,455.95
|
| Rate for Payer: BCN Medicare Advantage |
$2,929.67
|
| Rate for Payer: Cash Price |
$5,835.20
|
| Rate for Payer: Cash Price |
$5,835.20
|
| Rate for Payer: Cofinity Commercial |
$4,218.72
|
| Rate for Payer: Cofinity Commercial |
$3,925.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,929.67
|
| Rate for Payer: Healthscope Commercial |
$5,419.89
|
| Rate for Payer: Healthscope Commercial |
$4,687.47
|
| Rate for Payer: Mclaren Medicaid |
$1,961.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,076.15
|
| Rate for Payer: Meridian Medicaid |
$2,059.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$562,574.00
|
| Rate for Payer: Nomi Health Commercial |
$3,515.60
|
| Rate for Payer: PACE SWMI |
$2,929.67
|
| Rate for Payer: PHP Medicare Advantage |
$2,929.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,961.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,741.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,171.32
|
| Rate for Payer: Priority Health Medicare |
$2,929.67
|
| Rate for Payer: Priority Health Narrow Network |
$5,171.32
|
| Rate for Payer: Priority Health SBD |
$5,171.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,695.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,929.67
|
| Rate for Payer: UHC Exchange |
$2,695.13
|
| Rate for Payer: UHC Medicare Advantage |
$2,929.67
|
| Rate for Payer: UHCCP Medicaid |
$1,961.52
|
|
|
PR CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE
|
Professional
|
Both
|
$7,968.00
|
|
|
Service Code
|
HCPCS 61583
|
| Min. Negotiated Rate |
$841.58 |
| Max. Negotiated Rate |
$527,641.00 |
| Rate for Payer: Aetna Commercial |
$3,833.46
|
| Rate for Payer: Aetna Medicare |
$2,975.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,833.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,119.54
|
| Rate for Payer: BCBS Complete |
$1,990.26
|
| Rate for Payer: BCBS MAPPO |
$2,860.79
|
| Rate for Payer: BCBS Trust/PPO |
$841.58
|
| Rate for Payer: BCN Commercial |
$6,001.73
|
| Rate for Payer: BCN Medicare Advantage |
$2,860.79
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cash Price |
$6,374.40
|
| Rate for Payer: Cofinity Commercial |
$4,119.54
|
| Rate for Payer: Cofinity Commercial |
$3,833.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,860.79
|
| Rate for Payer: Healthscope Commercial |
$5,292.46
|
| Rate for Payer: Healthscope Commercial |
$4,577.26
|
| Rate for Payer: Mclaren Medicaid |
$1,895.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,003.83
|
| Rate for Payer: Meridian Medicaid |
$1,990.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$527,641.00
|
| Rate for Payer: Nomi Health Commercial |
$3,432.95
|
| Rate for Payer: PACE SWMI |
$2,860.79
|
| Rate for Payer: PHP Medicare Advantage |
$2,860.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,895.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,179.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,031.43
|
| Rate for Payer: Priority Health Medicare |
$2,860.79
|
| Rate for Payer: Priority Health Narrow Network |
$5,031.43
|
| Rate for Payer: Priority Health SBD |
$5,031.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,076.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,860.79
|
| Rate for Payer: UHC Exchange |
$3,076.23
|
| Rate for Payer: UHC Medicare Advantage |
$2,860.79
|
| Rate for Payer: UHCCP Medicaid |
$1,895.49
|
|
|
PR CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP
|
Professional
|
Both
|
$3,387.00
|
|
|
Service Code
|
HCPCS 61557
|
| Min. Negotiated Rate |
$1,103.13 |
| Max. Negotiated Rate |
$305,842.00 |
| Rate for Payer: Aetna Commercial |
$2,243.72
|
| Rate for Payer: Aetna Medicare |
$1,741.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,243.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,411.16
|
| Rate for Payer: BCBS Complete |
$1,158.29
|
| Rate for Payer: BCBS MAPPO |
$1,674.42
|
| Rate for Payer: BCBS Trust/PPO |
$2,068.29
|
| Rate for Payer: BCN Commercial |
$3,460.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,674.42
|
| Rate for Payer: Cash Price |
$2,709.60
|
| Rate for Payer: Cash Price |
$2,709.60
|
| Rate for Payer: Cofinity Commercial |
$2,411.16
|
| Rate for Payer: Cofinity Commercial |
$2,243.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,674.42
|
| Rate for Payer: Healthscope Commercial |
$3,097.68
|
| Rate for Payer: Healthscope Commercial |
$2,679.07
|
| Rate for Payer: Mclaren Medicaid |
$1,103.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,758.14
|
| Rate for Payer: Meridian Medicaid |
$1,158.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305,842.00
|
| Rate for Payer: Nomi Health Commercial |
$2,009.30
|
| Rate for Payer: PACE SWMI |
$1,674.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,674.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,103.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,201.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,931.16
|
| Rate for Payer: Priority Health Medicare |
$1,674.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,931.16
|
| Rate for Payer: Priority Health SBD |
$2,931.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,944.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,674.42
|
| Rate for Payer: UHC Exchange |
$1,944.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,674.42
|
| Rate for Payer: UHCCP Medicaid |
$1,103.13
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN
|
Professional
|
Both
|
$9,394.00
|
|
|
Service Code
|
HCPCS 61570
|
| Min. Negotiated Rate |
$610.19 |
| Max. Negotiated Rate |
$339,561.00 |
| Rate for Payer: Aetna Commercial |
$2,488.53
|
| Rate for Payer: Aetna Medicare |
$1,931.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,488.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,674.24
|
| Rate for Payer: BCBS Complete |
$1,281.51
|
| Rate for Payer: BCBS MAPPO |
$1,857.11
|
| Rate for Payer: BCBS Trust/PPO |
$610.19
|
| Rate for Payer: BCN Commercial |
$3,835.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,857.11
|
| Rate for Payer: Cash Price |
$7,515.20
|
| Rate for Payer: Cash Price |
$7,515.20
|
| Rate for Payer: Cofinity Commercial |
$2,674.24
|
| Rate for Payer: Cofinity Commercial |
$2,488.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,857.11
|
| Rate for Payer: Healthscope Commercial |
$3,435.65
|
| Rate for Payer: Healthscope Commercial |
$2,971.38
|
| Rate for Payer: Mclaren Medicaid |
$1,220.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,949.97
|
| Rate for Payer: Meridian Medicaid |
$1,281.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$339,561.00
|
| Rate for Payer: Nomi Health Commercial |
$2,228.53
|
| Rate for Payer: PACE SWMI |
$1,857.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,857.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,220.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,106.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,246.23
|
| Rate for Payer: Priority Health Medicare |
$1,857.11
|
| Rate for Payer: Priority Health Narrow Network |
$3,246.23
|
| Rate for Payer: Priority Health SBD |
$3,246.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,051.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,857.11
|
| Rate for Payer: UHC Exchange |
$2,051.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,857.11
|
| Rate for Payer: UHCCP Medicaid |
$1,220.49
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL
|
Professional
|
Both
|
$4,188.00
|
|
|
Service Code
|
HCPCS 61305
|
| Min. Negotiated Rate |
$1,101.51 |
| Max. Negotiated Rate |
$363,744.00 |
| Rate for Payer: Aetna Commercial |
$2,667.16
|
| Rate for Payer: Aetna Medicare |
$2,070.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,667.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,866.20
|
| Rate for Payer: BCBS Complete |
$1,372.32
|
| Rate for Payer: BCBS MAPPO |
$1,990.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,101.51
|
| Rate for Payer: BCN Commercial |
$2,959.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,990.42
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cofinity Commercial |
$2,866.20
|
| Rate for Payer: Cofinity Commercial |
$2,667.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,990.42
|
| Rate for Payer: Healthscope Commercial |
$3,682.28
|
| Rate for Payer: Healthscope Commercial |
$3,184.67
|
| Rate for Payer: Mclaren Medicaid |
$1,306.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,089.94
|
| Rate for Payer: Meridian Medicaid |
$1,372.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363,744.00
|
| Rate for Payer: Nomi Health Commercial |
$2,388.50
|
| Rate for Payer: PACE SWMI |
$1,990.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,990.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,306.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,722.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,474.28
|
| Rate for Payer: Priority Health Medicare |
$1,990.42
|
| Rate for Payer: Priority Health Narrow Network |
$3,474.28
|
| Rate for Payer: Priority Health SBD |
$3,474.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,367.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,990.42
|
| Rate for Payer: UHC Exchange |
$2,367.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,990.42
|
| Rate for Payer: UHCCP Medicaid |
$1,306.97
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL
|
Professional
|
Both
|
$5,463.00
|
|
|
Service Code
|
HCPCS 61304
|
| Min. Negotiated Rate |
$797.20 |
| Max. Negotiated Rate |
$296,606.00 |
| Rate for Payer: Aetna Commercial |
$2,180.14
|
| Rate for Payer: Aetna Medicare |
$1,692.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,180.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,342.84
|
| Rate for Payer: BCBS Complete |
$1,122.94
|
| Rate for Payer: BCBS MAPPO |
$1,626.97
|
| Rate for Payer: BCBS Trust/PPO |
$797.20
|
| Rate for Payer: BCN Commercial |
$3,350.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,626.97
|
| Rate for Payer: Cash Price |
$4,370.40
|
| Rate for Payer: Cash Price |
$4,370.40
|
| Rate for Payer: Cofinity Commercial |
$2,342.84
|
| Rate for Payer: Cofinity Commercial |
$2,180.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,626.97
|
| Rate for Payer: Healthscope Commercial |
$3,009.89
|
| Rate for Payer: Healthscope Commercial |
$2,603.15
|
| Rate for Payer: Mclaren Medicaid |
$1,069.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,708.32
|
| Rate for Payer: Meridian Medicaid |
$1,122.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$296,606.00
|
| Rate for Payer: Nomi Health Commercial |
$1,952.36
|
| Rate for Payer: PACE SWMI |
$1,626.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,626.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,069.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,550.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,843.00
|
| Rate for Payer: Priority Health Medicare |
$1,626.97
|
| Rate for Payer: Priority Health Narrow Network |
$2,843.00
|
| Rate for Payer: Priority Health SBD |
$2,843.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,963.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,626.97
|
| Rate for Payer: UHC Exchange |
$1,963.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,626.97
|
| Rate for Payer: UHCCP Medicaid |
$1,069.47
|
|
|
PR CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN
|
Professional
|
Both
|
$8,983.00
|
|
|
Service Code
|
HCPCS 61571
|
| Min. Negotiated Rate |
$723.24 |
| Max. Negotiated Rate |
$361,246.00 |
| Rate for Payer: Aetna Commercial |
$2,648.99
|
| Rate for Payer: Aetna Medicare |
$2,055.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,648.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,846.68
|
| Rate for Payer: BCBS Complete |
$1,363.15
|
| Rate for Payer: BCBS MAPPO |
$1,976.86
|
| Rate for Payer: BCBS Trust/PPO |
$723.24
|
| Rate for Payer: BCN Commercial |
$2,939.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,976.86
|
| Rate for Payer: Cash Price |
$7,186.40
|
| Rate for Payer: Cash Price |
$7,186.40
|
| Rate for Payer: Cofinity Commercial |
$2,846.68
|
| Rate for Payer: Cofinity Commercial |
$2,648.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,976.86
|
| Rate for Payer: Healthscope Commercial |
$3,657.19
|
| Rate for Payer: Healthscope Commercial |
$3,162.98
|
| Rate for Payer: Mclaren Medicaid |
$1,298.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,075.70
|
| Rate for Payer: Meridian Medicaid |
$1,363.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361,246.00
|
| Rate for Payer: Nomi Health Commercial |
$2,372.23
|
| Rate for Payer: PACE SWMI |
$1,976.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,976.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,298.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,838.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,451.54
|
| Rate for Payer: Priority Health Medicare |
$1,976.86
|
| Rate for Payer: Priority Health Narrow Network |
$3,451.54
|
| Rate for Payer: Priority Health SBD |
$3,451.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,224.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,976.86
|
| Rate for Payer: UHC Exchange |
$2,224.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,976.86
|
| Rate for Payer: UHCCP Medicaid |
$1,298.24
|
|
|
PR CRANIECTOMY FOR OSTEOMYELITIS
|
Professional
|
Both
|
$5,360.00
|
|
|
Service Code
|
HCPCS 61501
|
| Min. Negotiated Rate |
$264.68 |
| Max. Negotiated Rate |
$203,522.00 |
| Rate for Payer: Aetna Commercial |
$1,479.19
|
| Rate for Payer: Aetna Medicare |
$1,148.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,479.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,589.57
|
| Rate for Payer: BCBS Complete |
$772.04
|
| Rate for Payer: BCBS MAPPO |
$1,103.87
|
| Rate for Payer: BCBS Trust/PPO |
$264.68
|
| Rate for Payer: BCN Commercial |
$2,316.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,103.87
|
| Rate for Payer: Cash Price |
$4,288.00
|
| Rate for Payer: Cash Price |
$4,288.00
|
| Rate for Payer: Cofinity Commercial |
$1,589.57
|
| Rate for Payer: Cofinity Commercial |
$1,479.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,103.87
|
| Rate for Payer: Healthscope Commercial |
$2,042.16
|
| Rate for Payer: Healthscope Commercial |
$1,766.19
|
| Rate for Payer: Mclaren Medicaid |
$735.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,159.06
|
| Rate for Payer: Meridian Medicaid |
$772.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$203,522.00
|
| Rate for Payer: Nomi Health Commercial |
$1,324.64
|
| Rate for Payer: PACE SWMI |
$1,103.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,103.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$735.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,484.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,951.84
|
| Rate for Payer: Priority Health Medicare |
$1,103.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,951.84
|
| Rate for Payer: Priority Health SBD |
$1,951.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,352.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,103.87
|
| Rate for Payer: UHC Exchange |
$1,352.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,103.87
|
| Rate for Payer: UHCCP Medicaid |
$735.28
|
|
|
PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NRV
|
Professional
|
Both
|
$6,301.00
|
|
|
Service Code
|
HCPCS 61460
|
| Min. Negotiated Rate |
$1,018.03 |
| Max. Negotiated Rate |
$382,093.00 |
| Rate for Payer: Aetna Commercial |
$2,800.76
|
| Rate for Payer: Aetna Medicare |
$2,173.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,800.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,009.77
|
| Rate for Payer: BCBS Complete |
$1,440.31
|
| Rate for Payer: BCBS MAPPO |
$2,090.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.03
|
| Rate for Payer: BCN Commercial |
$4,310.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,090.12
|
| Rate for Payer: Cash Price |
$5,040.80
|
| Rate for Payer: Cash Price |
$5,040.80
|
| Rate for Payer: Cofinity Commercial |
$3,009.77
|
| Rate for Payer: Cofinity Commercial |
$2,800.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,090.12
|
| Rate for Payer: Healthscope Commercial |
$3,866.72
|
| Rate for Payer: Healthscope Commercial |
$3,344.19
|
| Rate for Payer: Mclaren Medicaid |
$1,371.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,194.63
|
| Rate for Payer: Meridian Medicaid |
$1,440.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382,093.00
|
| Rate for Payer: Nomi Health Commercial |
$2,508.14
|
| Rate for Payer: PACE SWMI |
$2,090.12
|
| Rate for Payer: PHP Medicare Advantage |
$2,090.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,371.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,095.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,647.74
|
| Rate for Payer: Priority Health Medicare |
$2,090.12
|
| Rate for Payer: Priority Health Narrow Network |
$3,647.74
|
| Rate for Payer: Priority Health SBD |
$3,647.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,525.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,090.12
|
| Rate for Payer: UHC Exchange |
$2,525.30
|
| Rate for Payer: UHC Medicare Advantage |
$2,090.12
|
| Rate for Payer: UHCCP Medicaid |
$1,371.72
|
|
|
PR CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL
|
Professional
|
Both
|
$2,739.00
|
|
|
Service Code
|
HCPCS 61500
|
| Min. Negotiated Rate |
$534.64 |
| Max. Negotiated Rate |
$234,068.00 |
| Rate for Payer: Aetna Commercial |
$1,695.96
|
| Rate for Payer: Aetna Medicare |
$1,316.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,695.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,822.52
|
| Rate for Payer: BCBS Complete |
$882.52
|
| Rate for Payer: BCBS MAPPO |
$1,265.64
|
| Rate for Payer: BCBS Trust/PPO |
$534.64
|
| Rate for Payer: BCN Commercial |
$2,658.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,265.64
|
| Rate for Payer: Cash Price |
$2,191.20
|
| Rate for Payer: Cash Price |
$2,191.20
|
| Rate for Payer: Cofinity Commercial |
$1,822.52
|
| Rate for Payer: Cofinity Commercial |
$1,695.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,265.64
|
| Rate for Payer: Healthscope Commercial |
$2,341.43
|
| Rate for Payer: Healthscope Commercial |
$2,025.02
|
| Rate for Payer: Mclaren Medicaid |
$840.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,328.92
|
| Rate for Payer: Meridian Medicaid |
$882.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$234,068.00
|
| Rate for Payer: Nomi Health Commercial |
$1,518.77
|
| Rate for Payer: PACE SWMI |
$1,265.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,265.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,780.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,243.02
|
| Rate for Payer: Priority Health Medicare |
$1,265.64
|
| Rate for Payer: Priority Health Narrow Network |
$2,243.02
|
| Rate for Payer: Priority Health SBD |
$2,243.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,626.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,265.64
|
| Rate for Payer: UHC Exchange |
$1,626.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,265.64
|
| Rate for Payer: UHCCP Medicaid |
$840.50
|
|
|
PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ
|
Professional
|
Both
|
$5,312.00
|
|
|
Service Code
|
HCPCS 61580
|
| Min. Negotiated Rate |
$901.81 |
| Max. Negotiated Rate |
$441,445.00 |
| Rate for Payer: Aetna Commercial |
$3,174.67
|
| Rate for Payer: Aetna Medicare |
$2,463.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,174.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,411.59
|
| Rate for Payer: BCBS Complete |
$1,674.03
|
| Rate for Payer: BCBS MAPPO |
$2,369.16
|
| Rate for Payer: BCBS Trust/PPO |
$901.81
|
| Rate for Payer: BCN Commercial |
$3,653.84
|
| Rate for Payer: BCN Medicare Advantage |
$2,369.16
|
| Rate for Payer: Cash Price |
$4,249.60
|
| Rate for Payer: Cash Price |
$4,249.60
|
| Rate for Payer: Cofinity Commercial |
$3,411.59
|
| Rate for Payer: Cofinity Commercial |
$3,174.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,369.16
|
| Rate for Payer: Healthscope Commercial |
$4,382.95
|
| Rate for Payer: Healthscope Commercial |
$3,790.66
|
| Rate for Payer: Mclaren Medicaid |
$1,594.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,487.62
|
| Rate for Payer: Meridian Medicaid |
$1,674.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$441,445.00
|
| Rate for Payer: Nomi Health Commercial |
$2,842.99
|
| Rate for Payer: PACE SWMI |
$2,369.16
|
| Rate for Payer: PHP Medicare Advantage |
$2,369.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,594.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,452.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,254.56
|
| Rate for Payer: Priority Health Medicare |
$2,369.16
|
| Rate for Payer: Priority Health Narrow Network |
$4,254.56
|
| Rate for Payer: Priority Health SBD |
$4,254.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,512.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,369.16
|
| Rate for Payer: UHC Exchange |
$2,512.63
|
| Rate for Payer: UHC Medicare Advantage |
$2,369.16
|
| Rate for Payer: UHCCP Medicaid |
$1,594.31
|
|
|
PR CRANIOPLASTY SKULL DEFECT <5 CM DIAMETER
|
Professional
|
Both
|
$5,342.00
|
|
|
Service Code
|
HCPCS 62140
|
| Min. Negotiated Rate |
$330.72 |
| Max. Negotiated Rate |
$184,324.00 |
| Rate for Payer: Aetna Commercial |
$1,349.23
|
| Rate for Payer: Aetna Medicare |
$1,047.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,349.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,449.92
|
| Rate for Payer: BCBS Complete |
$700.24
|
| Rate for Payer: BCBS MAPPO |
$1,006.89
|
| Rate for Payer: BCBS Trust/PPO |
$330.72
|
| Rate for Payer: BCN Commercial |
$2,092.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,006.89
|
| Rate for Payer: Cash Price |
$4,273.60
|
| Rate for Payer: Cash Price |
$4,273.60
|
| Rate for Payer: Cofinity Commercial |
$1,449.92
|
| Rate for Payer: Cofinity Commercial |
$1,349.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,006.89
|
| Rate for Payer: Healthscope Commercial |
$1,862.75
|
| Rate for Payer: Healthscope Commercial |
$1,611.02
|
| Rate for Payer: Mclaren Medicaid |
$666.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,057.23
|
| Rate for Payer: Meridian Medicaid |
$700.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184,324.00
|
| Rate for Payer: Nomi Health Commercial |
$1,208.27
|
| Rate for Payer: PACE SWMI |
$1,006.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,006.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,472.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,771.56
|
| Rate for Payer: Priority Health Medicare |
$1,006.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,771.56
|
| Rate for Payer: Priority Health SBD |
$1,771.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,225.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,006.89
|
| Rate for Payer: UHC Exchange |
$1,225.67
|
| Rate for Payer: UHC Medicare Advantage |
$1,006.89
|
| Rate for Payer: UHCCP Medicaid |
$666.90
|
|
|
PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER
|
Professional
|
Both
|
$6,362.00
|
|
|
Service Code
|
HCPCS 62141
|
| Min. Negotiated Rate |
$415.77 |
| Max. Negotiated Rate |
$206,357.00 |
| Rate for Payer: Aetna Commercial |
$1,516.73
|
| Rate for Payer: Aetna Medicare |
$1,177.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,516.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,629.92
|
| Rate for Payer: BCBS Complete |
$785.23
|
| Rate for Payer: BCBS MAPPO |
$1,131.89
|
| Rate for Payer: BCBS Trust/PPO |
$415.77
|
| Rate for Payer: BCN Commercial |
$2,339.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,131.89
|
| Rate for Payer: Cash Price |
$5,089.60
|
| Rate for Payer: Cash Price |
$5,089.60
|
| Rate for Payer: Cofinity Commercial |
$1,629.92
|
| Rate for Payer: Cofinity Commercial |
$1,516.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,131.89
|
| Rate for Payer: Healthscope Commercial |
$2,094.00
|
| Rate for Payer: Healthscope Commercial |
$1,811.02
|
| Rate for Payer: Mclaren Medicaid |
$747.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,188.48
|
| Rate for Payer: Meridian Medicaid |
$785.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$206,357.00
|
| Rate for Payer: Nomi Health Commercial |
$1,358.27
|
| Rate for Payer: PACE SWMI |
$1,131.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,131.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$747.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,135.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,983.68
|
| Rate for Payer: Priority Health Medicare |
$1,131.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,983.68
|
| Rate for Payer: Priority Health SBD |
$1,983.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,363.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,131.89
|
| Rate for Payer: UHC Exchange |
$1,363.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,131.89
|
| Rate for Payer: UHCCP Medicaid |
$747.84
|
|
|
PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG
|
Professional
|
Both
|
$5,986.00
|
|
|
Service Code
|
HCPCS 62145
|
| Min. Negotiated Rate |
$914.41 |
| Max. Negotiated Rate |
$256,784.00 |
| Rate for Payer: Aetna Commercial |
$1,861.25
|
| Rate for Payer: Aetna Medicare |
$1,444.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,861.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,000.15
|
| Rate for Payer: BCBS Complete |
$960.13
|
| Rate for Payer: BCBS MAPPO |
$1,388.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,092.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,388.99
|
| Rate for Payer: Cash Price |
$4,788.80
|
| Rate for Payer: Cash Price |
$4,788.80
|
| Rate for Payer: Cofinity Commercial |
$2,000.15
|
| Rate for Payer: Cofinity Commercial |
$1,861.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,388.99
|
| Rate for Payer: Healthscope Commercial |
$2,569.63
|
| Rate for Payer: Healthscope Commercial |
$2,222.38
|
| Rate for Payer: Mclaren Medicaid |
$914.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,458.44
|
| Rate for Payer: Meridian Medicaid |
$960.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256,784.00
|
| Rate for Payer: Nomi Health Commercial |
$1,666.79
|
| Rate for Payer: PACE SWMI |
$1,388.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,388.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$914.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,890.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,465.96
|
| Rate for Payer: Priority Health Medicare |
$1,388.99
|
| Rate for Payer: Priority Health Narrow Network |
$2,465.96
|
| Rate for Payer: Priority Health SBD |
$2,465.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,598.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,388.99
|
| Rate for Payer: UHC Exchange |
$1,598.70
|
| Rate for Payer: UHC Medicare Advantage |
$1,388.99
|
| Rate for Payer: UHCCP Medicaid |
$914.41
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT <5 CM DIAMETER
|
Professional
|
Both
|
$6,377.00
|
|
|
Service Code
|
HCPCS 62146
|
| Min. Negotiated Rate |
$818.56 |
| Max. Negotiated Rate |
$226,852.00 |
| Rate for Payer: Aetna Commercial |
$1,664.76
|
| Rate for Payer: Aetna Medicare |
$1,292.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,664.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,789.00
|
| Rate for Payer: BCBS Complete |
$859.49
|
| Rate for Payer: BCBS MAPPO |
$1,242.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.15
|
| Rate for Payer: BCN Commercial |
$2,567.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,242.36
|
| Rate for Payer: Cash Price |
$5,101.60
|
| Rate for Payer: Cash Price |
$5,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,789.00
|
| Rate for Payer: Cofinity Commercial |
$1,664.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,242.36
|
| Rate for Payer: Healthscope Commercial |
$2,298.37
|
| Rate for Payer: Healthscope Commercial |
$1,987.78
|
| Rate for Payer: Mclaren Medicaid |
$818.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,304.48
|
| Rate for Payer: Meridian Medicaid |
$859.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226,852.00
|
| Rate for Payer: Nomi Health Commercial |
$1,490.83
|
| Rate for Payer: PACE SWMI |
$1,242.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,242.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,145.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,174.76
|
| Rate for Payer: Priority Health Medicare |
$1,242.36
|
| Rate for Payer: Priority Health Narrow Network |
$2,174.76
|
| Rate for Payer: Priority Health SBD |
$2,174.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,368.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,242.36
|
| Rate for Payer: UHC Exchange |
$1,368.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,242.36
|
| Rate for Payer: UHCCP Medicaid |
$818.56
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER
|
Professional
|
Both
|
$7,296.00
|
|
|
Service Code
|
HCPCS 62147
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$256,248.00 |
| Rate for Payer: Aetna Commercial |
$1,895.70
|
| Rate for Payer: Aetna Medicare |
$1,471.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,895.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,037.17
|
| Rate for Payer: BCBS Complete |
$977.80
|
| Rate for Payer: BCBS MAPPO |
$1,414.70
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$2,898.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,414.70
|
| Rate for Payer: Cash Price |
$5,836.80
|
| Rate for Payer: Cash Price |
$5,836.80
|
| Rate for Payer: Cofinity Commercial |
$2,037.17
|
| Rate for Payer: Cofinity Commercial |
$1,895.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,414.70
|
| Rate for Payer: Healthscope Commercial |
$2,617.20
|
| Rate for Payer: Healthscope Commercial |
$2,263.52
|
| Rate for Payer: Mclaren Medicaid |
$931.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,485.44
|
| Rate for Payer: Meridian Medicaid |
$977.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256,248.00
|
| Rate for Payer: Nomi Health Commercial |
$1,697.64
|
| Rate for Payer: PACE SWMI |
$1,414.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,414.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$931.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,742.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,453.43
|
| Rate for Payer: Priority Health Medicare |
$1,414.70
|
| Rate for Payer: Priority Health Narrow Network |
$2,453.43
|
| Rate for Payer: Priority Health SBD |
$2,453.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,641.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,414.70
|
| Rate for Payer: UHC Exchange |
$1,641.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,414.70
|
| Rate for Payer: UHCCP Medicaid |
$931.24
|
|
|
PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG
|
Professional
|
Both
|
$7,866.00
|
|
|
Service Code
|
HCPCS 61540
|
| Min. Negotiated Rate |
$611.24 |
| Max. Negotiated Rate |
$394,837.00 |
| Rate for Payer: Aetna Commercial |
$2,893.84
|
| Rate for Payer: Aetna Medicare |
$2,245.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,893.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,109.80
|
| Rate for Payer: BCBS Complete |
$1,487.27
|
| Rate for Payer: BCBS MAPPO |
$2,159.58
|
| Rate for Payer: BCBS Trust/PPO |
$611.24
|
| Rate for Payer: BCN Commercial |
$3,209.63
|
| Rate for Payer: BCN Medicare Advantage |
$2,159.58
|
| Rate for Payer: Cash Price |
$6,292.80
|
| Rate for Payer: Cash Price |
$6,292.80
|
| Rate for Payer: Cofinity Commercial |
$3,109.80
|
| Rate for Payer: Cofinity Commercial |
$2,893.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,159.58
|
| Rate for Payer: Healthscope Commercial |
$3,995.22
|
| Rate for Payer: Healthscope Commercial |
$3,455.33
|
| Rate for Payer: Mclaren Medicaid |
$1,416.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,267.56
|
| Rate for Payer: Meridian Medicaid |
$1,487.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$394,837.00
|
| Rate for Payer: Nomi Health Commercial |
$2,591.50
|
| Rate for Payer: PACE SWMI |
$2,159.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,159.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,416.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,112.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,767.74
|
| Rate for Payer: Priority Health Medicare |
$2,159.58
|
| Rate for Payer: Priority Health Narrow Network |
$3,767.74
|
| Rate for Payer: Priority Health SBD |
$3,767.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,738.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,159.58
|
| Rate for Payer: UHC Exchange |
$2,738.95
|
| Rate for Payer: UHC Medicare Advantage |
$2,159.58
|
| Rate for Payer: UHCCP Medicaid |
$1,416.45
|
|
|
PR CRANIOTOMY EXCISION CRANIOPHARYNGIOMA
|
Professional
|
Both
|
$6,696.00
|
|
|
Service Code
|
HCPCS 61545
|
| Min. Negotiated Rate |
$2,070.57 |
| Max. Negotiated Rate |
$577,748.00 |
| Rate for Payer: Aetna Commercial |
$4,234.51
|
| Rate for Payer: Aetna Medicare |
$3,286.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,234.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,550.52
|
| Rate for Payer: BCBS Complete |
$2,174.10
|
| Rate for Payer: BCBS MAPPO |
$3,160.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.35
|
| Rate for Payer: BCN Commercial |
$6,510.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,160.08
|
| Rate for Payer: Cash Price |
$5,356.80
|
| Rate for Payer: Cash Price |
$5,356.80
|
| Rate for Payer: Cofinity Commercial |
$4,550.52
|
| Rate for Payer: Cofinity Commercial |
$4,234.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,160.08
|
| Rate for Payer: Healthscope Commercial |
$5,846.15
|
| Rate for Payer: Healthscope Commercial |
$5,056.13
|
| Rate for Payer: Mclaren Medicaid |
$2,070.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,318.08
|
| Rate for Payer: Meridian Medicaid |
$2,174.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$577,748.00
|
| Rate for Payer: Nomi Health Commercial |
$3,792.10
|
| Rate for Payer: PACE SWMI |
$3,160.08
|
| Rate for Payer: PHP Medicare Advantage |
$3,160.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,070.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,352.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,505.73
|
| Rate for Payer: Priority Health Medicare |
$3,160.08
|
| Rate for Payer: Priority Health Narrow Network |
$5,505.73
|
| Rate for Payer: Priority Health SBD |
$5,505.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,340.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,160.08
|
| Rate for Payer: UHC Exchange |
$3,340.80
|
| Rate for Payer: UHC Medicare Advantage |
$3,160.08
|
| Rate for Payer: UHCCP Medicaid |
$2,070.57
|
|
|
PR CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE
|
Professional
|
Both
|
$5,612.00
|
|
|
Service Code
|
HCPCS 62121
|
| Min. Negotiated Rate |
$998.12 |
| Max. Negotiated Rate |
$279,232.00 |
| Rate for Payer: Aetna Commercial |
$2,003.46
|
| Rate for Payer: Aetna Medicare |
$1,554.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,003.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,152.97
|
| Rate for Payer: BCBS Complete |
$1,048.03
|
| Rate for Payer: BCBS MAPPO |
$1,495.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,394.18
|
| Rate for Payer: BCN Commercial |
$2,295.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,495.12
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cofinity Commercial |
$2,152.97
|
| Rate for Payer: Cofinity Commercial |
$2,003.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,495.12
|
| Rate for Payer: Healthscope Commercial |
$2,765.97
|
| Rate for Payer: Healthscope Commercial |
$2,392.19
|
| Rate for Payer: Mclaren Medicaid |
$998.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,569.88
|
| Rate for Payer: Meridian Medicaid |
$1,048.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$279,232.00
|
| Rate for Payer: Nomi Health Commercial |
$1,794.14
|
| Rate for Payer: PACE SWMI |
$1,495.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,495.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$998.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,647.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,678.65
|
| Rate for Payer: Priority Health Medicare |
$1,495.12
|
| Rate for Payer: Priority Health Narrow Network |
$2,678.65
|
| Rate for Payer: Priority Health SBD |
$2,678.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,822.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,495.12
|
| Rate for Payer: UHC Exchange |
$1,822.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,495.12
|
| Rate for Payer: UHCCP Medicaid |
$998.12
|
|
|
PR CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY
|
Professional
|
Both
|
$7,067.00
|
|
|
Service Code
|
HCPCS 61537
|
| Min. Negotiated Rate |
$1,595.37 |
| Max. Negotiated Rate |
$446,135.00 |
| Rate for Payer: Aetna Commercial |
$3,268.50
|
| Rate for Payer: Aetna Medicare |
$2,536.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,268.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,512.42
|
| Rate for Payer: BCBS Complete |
$1,675.14
|
| Rate for Payer: BCBS MAPPO |
$2,439.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,057.20
|
| Rate for Payer: BCN Commercial |
$3,618.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,439.18
|
| Rate for Payer: Cash Price |
$5,653.60
|
| Rate for Payer: Cash Price |
$5,653.60
|
| Rate for Payer: Cofinity Commercial |
$3,512.42
|
| Rate for Payer: Cofinity Commercial |
$3,268.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,439.18
|
| Rate for Payer: Healthscope Commercial |
$4,512.48
|
| Rate for Payer: Healthscope Commercial |
$3,902.69
|
| Rate for Payer: Mclaren Medicaid |
$1,595.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,561.14
|
| Rate for Payer: Meridian Medicaid |
$1,675.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$446,135.00
|
| Rate for Payer: Nomi Health Commercial |
$2,927.02
|
| Rate for Payer: PACE SWMI |
$2,439.18
|
| Rate for Payer: PHP Medicare Advantage |
$2,439.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,595.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,593.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,242.62
|
| Rate for Payer: Priority Health Medicare |
$2,439.18
|
| Rate for Payer: Priority Health Narrow Network |
$4,242.62
|
| Rate for Payer: Priority Health SBD |
$4,242.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,084.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,439.18
|
| Rate for Payer: UHC Exchange |
$2,084.26
|
| Rate for Payer: UHC Medicare Advantage |
$2,439.18
|
| Rate for Payer: UHCCP Medicaid |
$1,595.37
|
|
|
PR CRICOPHARYNGEAL MYOTOMY
|
Professional
|
Both
|
$2,284.00
|
|
|
Service Code
|
HCPCS 43030
|
| Min. Negotiated Rate |
$226.11 |
| Max. Negotiated Rate |
$92,954.00 |
| Rate for Payer: Aetna Commercial |
$673.14
|
| Rate for Payer: Aetna Medicare |
$522.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$673.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$723.37
|
| Rate for Payer: BCBS Complete |
$355.82
|
| Rate for Payer: BCBS MAPPO |
$502.34
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$768.69
|
| Rate for Payer: BCN Medicare Advantage |
$502.34
|
| Rate for Payer: Cash Price |
$1,827.20
|
| Rate for Payer: Cash Price |
$1,827.20
|
| Rate for Payer: Cofinity Commercial |
$723.37
|
| Rate for Payer: Cofinity Commercial |
$673.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.34
|
| Rate for Payer: Healthscope Commercial |
$929.33
|
| Rate for Payer: Healthscope Commercial |
$803.74
|
| Rate for Payer: Mclaren Medicaid |
$338.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.46
|
| Rate for Payer: Meridian Medicaid |
$355.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92,954.00
|
| Rate for Payer: Nomi Health Commercial |
$602.81
|
| Rate for Payer: PACE SWMI |
$502.34
|
| Rate for Payer: PHP Medicare Advantage |
$502.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,484.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$945.61
|
| Rate for Payer: Priority Health Medicare |
$502.34
|
| Rate for Payer: Priority Health Narrow Network |
$945.61
|
| Rate for Payer: Priority Health SBD |
$945.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$700.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.34
|
| Rate for Payer: UHC Exchange |
$700.35
|
| Rate for Payer: UHC Medicare Advantage |
$502.34
|
| Rate for Payer: UHCCP Medicaid |
$338.88
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 99292
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$15,882.00 |
| Rate for Payer: Aetna Commercial |
$136.63
|
| Rate for Payer: Aetna Medicare |
$106.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.82
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCBS MAPPO |
$101.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$173.48
|
| Rate for Payer: BCN Medicare Advantage |
$101.96
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$146.82
|
| Rate for Payer: Cofinity Commercial |
$136.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.96
|
| Rate for Payer: Healthscope Commercial |
$188.63
|
| Rate for Payer: Healthscope Commercial |
$163.14
|
| Rate for Payer: Mclaren Medicaid |
$67.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.06
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,882.00
|
| Rate for Payer: Nomi Health Commercial |
$122.35
|
| Rate for Payer: PACE SWMI |
$101.96
|
| Rate for Payer: PHP Medicare Advantage |
$101.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$142.68
|
| Rate for Payer: Priority Health Medicare |
$101.96
|
| Rate for Payer: Priority Health Narrow Network |
$142.68
|
| Rate for Payer: Priority Health SBD |
$142.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$130.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.96
|
| Rate for Payer: UHC Exchange |
$130.18
|
| Rate for Payer: UHC Medicare Advantage |
$101.96
|
| Rate for Payer: UHCCP Medicaid |
$67.73
|
|
