|
PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
|
Professional
|
Both
|
$476.00
|
|
|
Service Code
|
HCPCS 99291
|
| Min. Negotiated Rate |
$135.47 |
| Max. Negotiated Rate |
$31,608.00 |
| Rate for Payer: Aetna Commercial |
$273.49
|
| Rate for Payer: Aetna Medicare |
$212.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$293.90
|
| Rate for Payer: BCBS Complete |
$142.24
|
| Rate for Payer: BCBS MAPPO |
$204.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,522.56
|
| Rate for Payer: BCN Commercial |
$397.30
|
| Rate for Payer: BCN Medicare Advantage |
$204.10
|
| Rate for Payer: Cash Price |
$380.80
|
| Rate for Payer: Cash Price |
$380.80
|
| Rate for Payer: Cofinity Commercial |
$293.90
|
| Rate for Payer: Cofinity Commercial |
$273.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.10
|
| Rate for Payer: Healthscope Commercial |
$377.58
|
| Rate for Payer: Healthscope Commercial |
$326.56
|
| Rate for Payer: Mclaren Medicaid |
$135.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.30
|
| Rate for Payer: Meridian Medicaid |
$142.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,608.00
|
| Rate for Payer: Nomi Health Commercial |
$244.92
|
| Rate for Payer: PACE SWMI |
$204.10
|
| Rate for Payer: PHP Medicare Advantage |
$204.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$309.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.84
|
| Rate for Payer: Priority Health Medicare |
$204.10
|
| Rate for Payer: Priority Health Narrow Network |
$414.84
|
| Rate for Payer: Priority Health SBD |
$414.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$269.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.10
|
| Rate for Payer: UHC Exchange |
$269.00
|
| Rate for Payer: UHC Medicare Advantage |
$204.10
|
| Rate for Payer: UHCCP Medicaid |
$135.47
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN
|
Professional
|
Both
|
$582.00
|
|
|
Service Code
|
HCPCS 99466
|
| Min. Negotiated Rate |
$168.10 |
| Max. Negotiated Rate |
$34,101.00 |
| Rate for Payer: Aetna Commercial |
$292.32
|
| Rate for Payer: Aetna Medicare |
$226.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$292.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.14
|
| Rate for Payer: BCBS Complete |
$232.80
|
| Rate for Payer: BCBS MAPPO |
$218.15
|
| Rate for Payer: BCBS Trust/PPO |
$168.10
|
| Rate for Payer: BCN Commercial |
$334.26
|
| Rate for Payer: BCN Medicare Advantage |
$218.15
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cofinity Commercial |
$314.14
|
| Rate for Payer: Cofinity Commercial |
$292.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.15
|
| Rate for Payer: Healthscope Commercial |
$349.04
|
| Rate for Payer: Healthscope Commercial |
$403.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34,101.00
|
| Rate for Payer: Nomi Health Commercial |
$261.78
|
| Rate for Payer: PACE SWMI |
$218.15
|
| Rate for Payer: PHP Medicare Advantage |
$218.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$378.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$308.27
|
| Rate for Payer: Priority Health Medicare |
$218.15
|
| Rate for Payer: Priority Health Narrow Network |
$308.27
|
| Rate for Payer: Priority Health SBD |
$308.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$218.15
|
| Rate for Payer: UHC Medicare Advantage |
$218.15
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN
|
Professional
|
Both
|
$243.00
|
|
|
Service Code
|
HCPCS 99467
|
| Min. Negotiated Rate |
$97.20 |
| Max. Negotiated Rate |
$17,259.00 |
| Rate for Payer: Aetna Commercial |
$146.52
|
| Rate for Payer: Aetna Medicare |
$113.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.45
|
| Rate for Payer: BCBS Complete |
$97.20
|
| Rate for Payer: BCBS MAPPO |
$109.34
|
| Rate for Payer: BCBS Trust/PPO |
$137.11
|
| Rate for Payer: BCN Commercial |
$169.08
|
| Rate for Payer: BCN Medicare Advantage |
$109.34
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cofinity Commercial |
$157.45
|
| Rate for Payer: Cofinity Commercial |
$146.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.34
|
| Rate for Payer: Healthscope Commercial |
$174.94
|
| Rate for Payer: Healthscope Commercial |
$202.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,259.00
|
| Rate for Payer: Nomi Health Commercial |
$131.21
|
| Rate for Payer: PACE SWMI |
$109.34
|
| Rate for Payer: PHP Medicare Advantage |
$109.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$154.80
|
| Rate for Payer: Priority Health Medicare |
$109.34
|
| Rate for Payer: Priority Health Narrow Network |
$154.80
|
| Rate for Payer: Priority Health SBD |
$154.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.34
|
| Rate for Payer: UHC Medicare Advantage |
$109.34
|
|
|
PR CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY
|
Professional
|
Both
|
$5,018.00
|
|
|
Service Code
|
HCPCS 61322
|
| Min. Negotiated Rate |
$569.51 |
| Max. Negotiated Rate |
$431,635.00 |
| Rate for Payer: PHP Medicare Advantage |
$2,360.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,261.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,124.89
|
| Rate for Payer: Priority Health Medicare |
$2,360.75
|
| Rate for Payer: Priority Health Narrow Network |
$4,124.89
|
| Rate for Payer: Priority Health SBD |
$4,124.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,126.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,360.75
|
| Rate for Payer: UHC Exchange |
$2,126.60
|
| Rate for Payer: UHC Medicare Advantage |
$2,360.75
|
| Rate for Payer: UHCCP Medicaid |
$1,549.36
|
| Rate for Payer: Aetna Commercial |
$3,163.40
|
| Rate for Payer: Aetna Medicare |
$2,455.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,163.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,399.48
|
| Rate for Payer: BCBS Complete |
$1,626.83
|
| Rate for Payer: BCBS MAPPO |
$2,360.75
|
| Rate for Payer: BCBS Trust/PPO |
$569.51
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,360.75
|
| Rate for Payer: Cash Price |
$4,014.40
|
| Rate for Payer: Cash Price |
$4,014.40
|
| Rate for Payer: Cofinity Commercial |
$3,399.48
|
| Rate for Payer: Cofinity Commercial |
$3,163.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,360.75
|
| Rate for Payer: Healthscope Commercial |
$4,367.39
|
| Rate for Payer: Healthscope Commercial |
$3,777.20
|
| Rate for Payer: Mclaren Medicaid |
$1,549.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,478.79
|
| Rate for Payer: Meridian Medicaid |
$1,626.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$431,635.00
|
| Rate for Payer: Nomi Health Commercial |
$2,832.90
|
| Rate for Payer: PACE SWMI |
$2,360.75
|
|
|
PR CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL
|
Professional
|
Both
|
$4,357.00
|
|
|
Service Code
|
HCPCS 61321
|
| Min. Negotiated Rate |
$431.09 |
| Max. Negotiated Rate |
$385,373.00 |
| Rate for Payer: Aetna Commercial |
$2,825.07
|
| Rate for Payer: Aetna Medicare |
$2,192.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,825.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,035.89
|
| Rate for Payer: BCBS Complete |
$1,452.61
|
| Rate for Payer: BCBS MAPPO |
$2,108.26
|
| Rate for Payer: BCBS Trust/PPO |
$431.09
|
| Rate for Payer: BCN Commercial |
$3,133.89
|
| Rate for Payer: BCN Medicare Advantage |
$2,108.26
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cofinity Commercial |
$3,035.89
|
| Rate for Payer: Cofinity Commercial |
$2,825.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,108.26
|
| Rate for Payer: Healthscope Commercial |
$3,900.28
|
| Rate for Payer: Healthscope Commercial |
$3,373.22
|
| Rate for Payer: Mclaren Medicaid |
$1,383.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,213.67
|
| Rate for Payer: Meridian Medicaid |
$1,452.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385,373.00
|
| Rate for Payer: Nomi Health Commercial |
$2,529.91
|
| Rate for Payer: PACE SWMI |
$2,108.26
|
| Rate for Payer: PHP Medicare Advantage |
$2,108.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,383.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,832.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,678.46
|
| Rate for Payer: Priority Health Medicare |
$2,108.26
|
| Rate for Payer: Priority Health Narrow Network |
$3,678.46
|
| Rate for Payer: Priority Health SBD |
$3,678.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,416.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,108.26
|
| Rate for Payer: UHC Exchange |
$2,416.30
|
| Rate for Payer: UHC Medicare Advantage |
$2,108.26
|
| Rate for Payer: UHCCP Medicaid |
$1,383.44
|
|
|
PR CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL
|
Professional
|
Both
|
$6,842.00
|
|
|
Service Code
|
HCPCS 61320
|
| Min. Negotiated Rate |
$495.02 |
| Max. Negotiated Rate |
$343,181.00 |
| Rate for Payer: Aetna Commercial |
$2,522.23
|
| Rate for Payer: Aetna Medicare |
$1,957.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,522.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,710.45
|
| Rate for Payer: BCBS Complete |
$1,296.95
|
| Rate for Payer: BCBS MAPPO |
$1,882.26
|
| Rate for Payer: BCBS Trust/PPO |
$495.02
|
| Rate for Payer: BCN Commercial |
$3,871.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,882.26
|
| Rate for Payer: Cash Price |
$5,473.60
|
| Rate for Payer: Cash Price |
$5,473.60
|
| Rate for Payer: Cofinity Commercial |
$2,710.45
|
| Rate for Payer: Cofinity Commercial |
$2,522.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,882.26
|
| Rate for Payer: Healthscope Commercial |
$3,482.18
|
| Rate for Payer: Healthscope Commercial |
$3,011.62
|
| Rate for Payer: Mclaren Medicaid |
$1,235.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,976.37
|
| Rate for Payer: Meridian Medicaid |
$1,296.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343,181.00
|
| Rate for Payer: Nomi Health Commercial |
$2,258.71
|
| Rate for Payer: PACE SWMI |
$1,882.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,882.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,278.07
|
| Rate for Payer: Priority Health Medicare |
$1,882.26
|
| Rate for Payer: Priority Health Narrow Network |
$3,278.07
|
| Rate for Payer: Priority Health SBD |
$3,278.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,224.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,882.26
|
| Rate for Payer: UHC Exchange |
$2,224.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,882.26
|
| Rate for Payer: UHCCP Medicaid |
$1,235.19
|
|
|
PR CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR
|
Professional
|
Both
|
$7,040.00
|
|
|
Service Code
|
HCPCS 61315
|
| Min. Negotiated Rate |
$1,127.39 |
| Max. Negotiated Rate |
$375,055.00 |
| Rate for Payer: Aetna Commercial |
$2,747.91
|
| Rate for Payer: Aetna Medicare |
$2,132.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,747.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,952.98
|
| Rate for Payer: BCBS Complete |
$1,413.47
|
| Rate for Payer: BCBS MAPPO |
$2,050.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.39
|
| Rate for Payer: BCN Commercial |
$4,232.33
|
| Rate for Payer: BCN Medicare Advantage |
$2,050.68
|
| Rate for Payer: Cash Price |
$5,632.00
|
| Rate for Payer: Cash Price |
$5,632.00
|
| Rate for Payer: Cofinity Commercial |
$2,952.98
|
| Rate for Payer: Cofinity Commercial |
$2,747.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,050.68
|
| Rate for Payer: Healthscope Commercial |
$3,793.76
|
| Rate for Payer: Healthscope Commercial |
$3,281.09
|
| Rate for Payer: Mclaren Medicaid |
$1,346.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,153.21
|
| Rate for Payer: Meridian Medicaid |
$1,413.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375,055.00
|
| Rate for Payer: Nomi Health Commercial |
$2,460.82
|
| Rate for Payer: PACE SWMI |
$2,050.68
|
| Rate for Payer: PHP Medicare Advantage |
$2,050.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,346.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,576.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,584.61
|
| Rate for Payer: Priority Health Medicare |
$2,050.68
|
| Rate for Payer: Priority Health Narrow Network |
$3,584.61
|
| Rate for Payer: Priority Health SBD |
$3,584.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,654.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,050.68
|
| Rate for Payer: UHC Exchange |
$2,654.19
|
| Rate for Payer: UHC Medicare Advantage |
$2,050.68
|
| Rate for Payer: UHCCP Medicaid |
$1,346.16
|
|
|
PR CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL
|
Professional
|
Both
|
$5,612.00
|
|
|
Service Code
|
HCPCS 61314
|
| Min. Negotiated Rate |
$1,064.00 |
| Max. Negotiated Rate |
$330,208.00 |
| Rate for Payer: Aetna Commercial |
$2,426.46
|
| Rate for Payer: Aetna Medicare |
$1,883.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,426.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,607.54
|
| Rate for Payer: BCBS Complete |
$1,250.20
|
| Rate for Payer: BCBS MAPPO |
$1,810.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,064.00
|
| Rate for Payer: BCN Commercial |
$3,730.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,810.79
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cofinity Commercial |
$2,607.54
|
| Rate for Payer: Cofinity Commercial |
$2,426.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,810.79
|
| Rate for Payer: Healthscope Commercial |
$3,349.96
|
| Rate for Payer: Healthscope Commercial |
$2,897.26
|
| Rate for Payer: Mclaren Medicaid |
$1,190.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,901.33
|
| Rate for Payer: Meridian Medicaid |
$1,250.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$330,208.00
|
| Rate for Payer: Nomi Health Commercial |
$2,172.95
|
| Rate for Payer: PACE SWMI |
$1,810.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,810.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,190.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,647.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,163.76
|
| Rate for Payer: Priority Health Medicare |
$1,810.79
|
| Rate for Payer: Priority Health Narrow Network |
$3,163.76
|
| Rate for Payer: Priority Health SBD |
$3,163.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,212.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,810.79
|
| Rate for Payer: UHC Exchange |
$2,212.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,810.79
|
| Rate for Payer: UHCCP Medicaid |
$1,190.67
|
|
|
PR CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$4,171.00
|
|
|
Service Code
|
HCPCS 61313
|
| Min. Negotiated Rate |
$1,065.58 |
| Max. Negotiated Rate |
$359,354.00 |
| Rate for Payer: Aetna Commercial |
$2,638.45
|
| Rate for Payer: Aetna Medicare |
$2,047.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,638.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,835.35
|
| Rate for Payer: BCBS Complete |
$1,359.12
|
| Rate for Payer: BCBS MAPPO |
$1,968.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.58
|
| Rate for Payer: BCN Commercial |
$4,059.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,968.99
|
| Rate for Payer: Cash Price |
$3,336.80
|
| Rate for Payer: Cash Price |
$3,336.80
|
| Rate for Payer: Cofinity Commercial |
$2,835.35
|
| Rate for Payer: Cofinity Commercial |
$2,638.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,968.99
|
| Rate for Payer: Healthscope Commercial |
$3,642.63
|
| Rate for Payer: Healthscope Commercial |
$3,150.38
|
| Rate for Payer: Mclaren Medicaid |
$1,294.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,067.44
|
| Rate for Payer: Meridian Medicaid |
$1,359.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$359,354.00
|
| Rate for Payer: Nomi Health Commercial |
$2,362.79
|
| Rate for Payer: PACE SWMI |
$1,968.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,968.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,294.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,711.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,441.87
|
| Rate for Payer: Priority Health Medicare |
$1,968.99
|
| Rate for Payer: Priority Health Narrow Network |
$3,441.87
|
| Rate for Payer: Priority Health SBD |
$3,441.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,375.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,968.99
|
| Rate for Payer: UHC Exchange |
$2,375.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,968.99
|
| Rate for Payer: UHCCP Medicaid |
$1,294.40
|
|
|
PR CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL
|
Professional
|
Both
|
$7,129.00
|
|
|
Service Code
|
HCPCS 61312
|
| Min. Negotiated Rate |
$831.54 |
| Max. Negotiated Rate |
$375,620.00 |
| Rate for Payer: Aetna Commercial |
$2,751.62
|
| Rate for Payer: Aetna Medicare |
$2,135.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,751.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,956.97
|
| Rate for Payer: BCBS Complete |
$1,413.47
|
| Rate for Payer: BCBS MAPPO |
$2,053.45
|
| Rate for Payer: BCBS Trust/PPO |
$831.54
|
| Rate for Payer: BCN Commercial |
$4,233.69
|
| Rate for Payer: BCN Medicare Advantage |
$2,053.45
|
| Rate for Payer: Cash Price |
$5,703.20
|
| Rate for Payer: Cash Price |
$5,703.20
|
| Rate for Payer: Cofinity Commercial |
$2,956.97
|
| Rate for Payer: Cofinity Commercial |
$2,751.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,053.45
|
| Rate for Payer: Healthscope Commercial |
$3,798.88
|
| Rate for Payer: Healthscope Commercial |
$3,285.52
|
| Rate for Payer: Mclaren Medicaid |
$1,346.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,156.12
|
| Rate for Payer: Meridian Medicaid |
$1,413.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375,620.00
|
| Rate for Payer: Nomi Health Commercial |
$2,464.14
|
| Rate for Payer: PACE SWMI |
$2,053.45
|
| Rate for Payer: PHP Medicare Advantage |
$2,053.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,346.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,633.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,582.34
|
| Rate for Payer: Priority Health Medicare |
$2,053.45
|
| Rate for Payer: Priority Health Narrow Network |
$3,582.34
|
| Rate for Payer: Priority Health SBD |
$3,582.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,385.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,053.45
|
| Rate for Payer: UHC Exchange |
$2,385.63
|
| Rate for Payer: UHC Medicare Advantage |
$2,053.45
|
| Rate for Payer: UHCCP Medicaid |
$1,346.16
|
|
|
PR CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY
|
Professional
|
Both
|
$8,807.00
|
|
|
Service Code
|
HCPCS 61323
|
| Min. Negotiated Rate |
$679.39 |
| Max. Negotiated Rate |
$433,856.00 |
| Rate for Payer: Aetna Commercial |
$3,153.19
|
| Rate for Payer: Aetna Medicare |
$2,447.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,153.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,388.51
|
| Rate for Payer: BCBS Complete |
$1,618.77
|
| Rate for Payer: BCBS MAPPO |
$2,353.13
|
| Rate for Payer: BCBS Trust/PPO |
$679.39
|
| Rate for Payer: BCN Commercial |
$4,887.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,353.13
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cofinity Commercial |
$3,388.51
|
| Rate for Payer: Cofinity Commercial |
$3,153.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,353.13
|
| Rate for Payer: Healthscope Commercial |
$4,353.29
|
| Rate for Payer: Healthscope Commercial |
$3,765.01
|
| Rate for Payer: Mclaren Medicaid |
$1,541.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,470.79
|
| Rate for Payer: Meridian Medicaid |
$1,618.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433,856.00
|
| Rate for Payer: Nomi Health Commercial |
$2,823.76
|
| Rate for Payer: PACE SWMI |
$2,353.13
|
| Rate for Payer: PHP Medicare Advantage |
$2,353.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,541.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,724.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,134.56
|
| Rate for Payer: Priority Health Medicare |
$2,353.13
|
| Rate for Payer: Priority Health Narrow Network |
$4,134.56
|
| Rate for Payer: Priority Health SBD |
$4,134.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,197.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,353.13
|
| Rate for Payer: UHC Exchange |
$2,197.80
|
| Rate for Payer: UHC Medicare Advantage |
$2,353.13
|
| Rate for Payer: UHCCP Medicaid |
$1,541.69
|
|
|
PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA
|
Professional
|
Both
|
$8,419.00
|
|
|
Service Code
|
HCPCS 61518
|
| Min. Negotiated Rate |
$1,142.71 |
| Max. Negotiated Rate |
$501,737.00 |
| Rate for Payer: Aetna Commercial |
$3,677.47
|
| Rate for Payer: Aetna Medicare |
$2,854.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,677.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,951.91
|
| Rate for Payer: BCBS Complete |
$1,890.97
|
| Rate for Payer: BCBS MAPPO |
$2,744.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,142.71
|
| Rate for Payer: BCN Commercial |
$5,660.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,744.38
|
| Rate for Payer: Cash Price |
$6,735.20
|
| Rate for Payer: Cash Price |
$6,735.20
|
| Rate for Payer: Cofinity Commercial |
$3,951.91
|
| Rate for Payer: Cofinity Commercial |
$3,677.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,744.38
|
| Rate for Payer: Healthscope Commercial |
$5,077.10
|
| Rate for Payer: Healthscope Commercial |
$4,391.01
|
| Rate for Payer: Mclaren Medicaid |
$1,800.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,881.60
|
| Rate for Payer: Meridian Medicaid |
$1,890.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$501,737.00
|
| Rate for Payer: Nomi Health Commercial |
$3,293.26
|
| Rate for Payer: PACE SWMI |
$2,744.38
|
| Rate for Payer: PHP Medicare Advantage |
$2,744.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,800.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,472.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,792.57
|
| Rate for Payer: Priority Health Medicare |
$2,744.38
|
| Rate for Payer: Priority Health Narrow Network |
$4,792.57
|
| Rate for Payer: Priority Health SBD |
$4,792.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,341.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,744.38
|
| Rate for Payer: UHC Exchange |
$3,341.75
|
| Rate for Payer: UHC Medicare Advantage |
$2,744.38
|
| Rate for Payer: UHCCP Medicaid |
$1,800.92
|
|
|
PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA
|
Professional
|
Both
|
$7,858.00
|
|
|
Service Code
|
HCPCS 61530
|
| Min. Negotiated Rate |
$1,728.07 |
| Max. Negotiated Rate |
$557,374.00 |
| Rate for Payer: Aetna Commercial |
$4,082.04
|
| Rate for Payer: Aetna Medicare |
$3,168.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,082.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,386.67
|
| Rate for Payer: BCBS Complete |
$2,092.02
|
| Rate for Payer: BCBS MAPPO |
$3,046.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,728.07
|
| Rate for Payer: BCN Commercial |
$6,271.56
|
| Rate for Payer: BCN Medicare Advantage |
$3,046.30
|
| Rate for Payer: Cash Price |
$6,286.40
|
| Rate for Payer: Cash Price |
$6,286.40
|
| Rate for Payer: Cofinity Commercial |
$4,386.67
|
| Rate for Payer: Cofinity Commercial |
$4,082.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,046.30
|
| Rate for Payer: Healthscope Commercial |
$5,635.66
|
| Rate for Payer: Healthscope Commercial |
$4,874.08
|
| Rate for Payer: Mclaren Medicaid |
$1,992.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,198.62
|
| Rate for Payer: Meridian Medicaid |
$2,092.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$557,374.00
|
| Rate for Payer: Nomi Health Commercial |
$3,655.56
|
| Rate for Payer: PACE SWMI |
$3,046.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,046.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,992.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,107.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,300.44
|
| Rate for Payer: Priority Health Medicare |
$3,046.30
|
| Rate for Payer: Priority Health Narrow Network |
$5,300.44
|
| Rate for Payer: Priority Health SBD |
$5,300.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,891.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,046.30
|
| Rate for Payer: UHC Exchange |
$3,891.61
|
| Rate for Payer: UHC Medicare Advantage |
$3,046.30
|
| Rate for Payer: UHCCP Medicaid |
$1,992.40
|
|
|
PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA
|
Professional
|
Both
|
$8,718.00
|
|
|
Service Code
|
HCPCS 61519
|
| Min. Negotiated Rate |
$1,169.66 |
| Max. Negotiated Rate |
$534,650.00 |
| Rate for Payer: Aetna Commercial |
$3,914.96
|
| Rate for Payer: Aetna Medicare |
$3,038.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,914.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,207.12
|
| Rate for Payer: BCBS Complete |
$2,008.60
|
| Rate for Payer: BCBS MAPPO |
$2,921.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,169.66
|
| Rate for Payer: BCN Commercial |
$6,020.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,921.61
|
| Rate for Payer: Cash Price |
$6,974.40
|
| Rate for Payer: Cash Price |
$6,974.40
|
| Rate for Payer: Cofinity Commercial |
$4,207.12
|
| Rate for Payer: Cofinity Commercial |
$3,914.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,921.61
|
| Rate for Payer: Healthscope Commercial |
$5,404.98
|
| Rate for Payer: Healthscope Commercial |
$4,674.58
|
| Rate for Payer: Mclaren Medicaid |
$1,912.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,067.69
|
| Rate for Payer: Meridian Medicaid |
$2,008.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$534,650.00
|
| Rate for Payer: Nomi Health Commercial |
$3,505.93
|
| Rate for Payer: PACE SWMI |
$2,921.61
|
| Rate for Payer: PHP Medicare Advantage |
$2,921.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,912.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,666.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,079.20
|
| Rate for Payer: Priority Health Medicare |
$2,921.61
|
| Rate for Payer: Priority Health Narrow Network |
$5,079.20
|
| Rate for Payer: Priority Health SBD |
$5,079.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,671.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,921.61
|
| Rate for Payer: UHC Exchange |
$3,671.64
|
| Rate for Payer: UHC Medicare Advantage |
$2,921.61
|
| Rate for Payer: UHCCP Medicaid |
$1,912.95
|
|
|
PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS
|
Professional
|
Both
|
$6,227.00
|
|
|
Service Code
|
HCPCS 61522
|
| Min. Negotiated Rate |
$581.66 |
| Max. Negotiated Rate |
$396,815.00 |
| Rate for Payer: Aetna Commercial |
$2,909.82
|
| Rate for Payer: Aetna Medicare |
$2,258.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,909.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,126.97
|
| Rate for Payer: BCBS Complete |
$1,495.77
|
| Rate for Payer: BCBS MAPPO |
$2,171.51
|
| Rate for Payer: BCBS Trust/PPO |
$581.66
|
| Rate for Payer: BCN Commercial |
$4,475.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,171.51
|
| Rate for Payer: Cash Price |
$4,981.60
|
| Rate for Payer: Cash Price |
$4,981.60
|
| Rate for Payer: Cofinity Commercial |
$3,126.97
|
| Rate for Payer: Cofinity Commercial |
$2,909.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,171.51
|
| Rate for Payer: Healthscope Commercial |
$4,017.29
|
| Rate for Payer: Healthscope Commercial |
$3,474.42
|
| Rate for Payer: Mclaren Medicaid |
$1,424.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,280.09
|
| Rate for Payer: Meridian Medicaid |
$1,495.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$396,815.00
|
| Rate for Payer: Nomi Health Commercial |
$2,605.81
|
| Rate for Payer: PACE SWMI |
$2,171.51
|
| Rate for Payer: PHP Medicare Advantage |
$2,171.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,424.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,047.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,787.65
|
| Rate for Payer: Priority Health Medicare |
$2,171.51
|
| Rate for Payer: Priority Health Narrow Network |
$3,787.65
|
| Rate for Payer: Priority Health SBD |
$3,787.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,482.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,171.51
|
| Rate for Payer: UHC Exchange |
$2,482.46
|
| Rate for Payer: UHC Medicare Advantage |
$2,171.51
|
| Rate for Payer: UHCCP Medicaid |
$1,424.54
|
|
|
PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST
|
Professional
|
Both
|
$7,109.00
|
|
|
Service Code
|
HCPCS 61524
|
| Min. Negotiated Rate |
$322.26 |
| Max. Negotiated Rate |
$378,160.00 |
| Rate for Payer: Aetna Commercial |
$2,771.75
|
| Rate for Payer: Aetna Medicare |
$2,151.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,771.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,978.60
|
| Rate for Payer: BCBS Complete |
$1,425.54
|
| Rate for Payer: BCBS MAPPO |
$2,068.47
|
| Rate for Payer: BCBS Trust/PPO |
$322.26
|
| Rate for Payer: BCN Commercial |
$3,075.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,068.47
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Cofinity Commercial |
$2,978.60
|
| Rate for Payer: Cofinity Commercial |
$2,771.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,068.47
|
| Rate for Payer: Healthscope Commercial |
$3,826.67
|
| Rate for Payer: Healthscope Commercial |
$3,309.55
|
| Rate for Payer: Mclaren Medicaid |
$1,357.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,171.89
|
| Rate for Payer: Meridian Medicaid |
$1,425.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$378,160.00
|
| Rate for Payer: Nomi Health Commercial |
$2,482.16
|
| Rate for Payer: PACE SWMI |
$2,068.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,068.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,357.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,620.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,610.20
|
| Rate for Payer: Priority Health Medicare |
$2,068.47
|
| Rate for Payer: Priority Health Narrow Network |
$3,610.20
|
| Rate for Payer: Priority Health SBD |
$3,610.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,363.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,068.47
|
| Rate for Payer: UHC Exchange |
$2,363.30
|
| Rate for Payer: UHC Medicare Advantage |
$2,068.47
|
| Rate for Payer: UHCCP Medicaid |
$1,357.66
|
|
|
PR CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV
|
Professional
|
Both
|
$7,844.00
|
|
|
Service Code
|
HCPCS 61458
|
| Min. Negotiated Rate |
$861.66 |
| Max. Negotiated Rate |
$365,737.00 |
| Rate for Payer: Aetna Commercial |
$2,682.32
|
| Rate for Payer: Aetna Medicare |
$2,081.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,682.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,882.49
|
| Rate for Payer: BCBS Complete |
$1,380.14
|
| Rate for Payer: BCBS MAPPO |
$2,001.73
|
| Rate for Payer: BCBS Trust/PPO |
$861.66
|
| Rate for Payer: BCN Commercial |
$4,127.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,001.73
|
| Rate for Payer: Cash Price |
$6,275.20
|
| Rate for Payer: Cash Price |
$6,275.20
|
| Rate for Payer: Cofinity Commercial |
$2,882.49
|
| Rate for Payer: Cofinity Commercial |
$2,682.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,001.73
|
| Rate for Payer: Healthscope Commercial |
$3,703.20
|
| Rate for Payer: Healthscope Commercial |
$3,202.77
|
| Rate for Payer: Mclaren Medicaid |
$1,314.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,101.82
|
| Rate for Payer: Meridian Medicaid |
$1,380.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$365,737.00
|
| Rate for Payer: Nomi Health Commercial |
$2,402.08
|
| Rate for Payer: PACE SWMI |
$2,001.73
|
| Rate for Payer: PHP Medicare Advantage |
$2,001.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,314.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,098.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,482.82
|
| Rate for Payer: Priority Health Medicare |
$2,001.73
|
| Rate for Payer: Priority Health Narrow Network |
$3,482.82
|
| Rate for Payer: Priority Health SBD |
$3,482.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,629.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,001.73
|
| Rate for Payer: UHC Exchange |
$2,629.82
|
| Rate for Payer: UHC Medicare Advantage |
$2,001.73
|
| Rate for Payer: UHCCP Medicaid |
$1,314.42
|
|
|
PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION
|
Professional
|
Both
|
$6,713.00
|
|
|
Service Code
|
HCPCS 61450
|
| Min. Negotiated Rate |
$732.75 |
| Max. Negotiated Rate |
$348,277.00 |
| Rate for Payer: Aetna Commercial |
$2,554.54
|
| Rate for Payer: Aetna Medicare |
$1,982.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,554.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,745.17
|
| Rate for Payer: BCBS Complete |
$1,313.05
|
| Rate for Payer: BCBS MAPPO |
$1,906.37
|
| Rate for Payer: BCBS Trust/PPO |
$732.75
|
| Rate for Payer: BCN Commercial |
$2,831.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,906.37
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cofinity Commercial |
$2,745.17
|
| Rate for Payer: Cofinity Commercial |
$2,554.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,906.37
|
| Rate for Payer: Healthscope Commercial |
$3,526.78
|
| Rate for Payer: Healthscope Commercial |
$3,050.19
|
| Rate for Payer: Mclaren Medicaid |
$1,250.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,001.69
|
| Rate for Payer: Meridian Medicaid |
$1,313.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$348,277.00
|
| Rate for Payer: Nomi Health Commercial |
$2,287.64
|
| Rate for Payer: PACE SWMI |
$1,906.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,906.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,250.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,363.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,325.28
|
| Rate for Payer: Priority Health Medicare |
$1,906.37
|
| Rate for Payer: Priority Health Narrow Network |
$3,325.28
|
| Rate for Payer: Priority Health SBD |
$3,325.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,139.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,906.37
|
| Rate for Payer: UHC Exchange |
$2,139.47
|
| Rate for Payer: UHC Medicare Advantage |
$1,906.37
|
| Rate for Payer: UHCCP Medicaid |
$1,250.52
|
|
|
PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD
|
Professional
|
Both
|
$4,610.00
|
|
|
Service Code
|
HCPCS 61343
|
| Min. Negotiated Rate |
$230.87 |
| Max. Negotiated Rate |
$398,243.00 |
| Rate for Payer: Aetna Commercial |
$2,910.48
|
| Rate for Payer: Aetna Medicare |
$2,258.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,910.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,127.68
|
| Rate for Payer: BCBS Complete |
$1,496.67
|
| Rate for Payer: BCBS MAPPO |
$2,172.00
|
| Rate for Payer: BCBS Trust/PPO |
$230.87
|
| Rate for Payer: BCN Commercial |
$4,491.99
|
| Rate for Payer: BCN Medicare Advantage |
$2,172.00
|
| Rate for Payer: Cash Price |
$3,688.00
|
| Rate for Payer: Cash Price |
$3,688.00
|
| Rate for Payer: Cofinity Commercial |
$3,127.68
|
| Rate for Payer: Cofinity Commercial |
$2,910.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,172.00
|
| Rate for Payer: Healthscope Commercial |
$4,018.20
|
| Rate for Payer: Healthscope Commercial |
$3,475.20
|
| Rate for Payer: Mclaren Medicaid |
$1,425.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,280.60
|
| Rate for Payer: Meridian Medicaid |
$1,496.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$398,243.00
|
| Rate for Payer: Nomi Health Commercial |
$2,606.40
|
| Rate for Payer: PACE SWMI |
$2,172.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,172.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,425.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,996.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,792.76
|
| Rate for Payer: Priority Health Medicare |
$2,172.00
|
| Rate for Payer: Priority Health Narrow Network |
$3,792.76
|
| Rate for Payer: Priority Health SBD |
$3,792.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,679.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,172.00
|
| Rate for Payer: UHC Exchange |
$2,679.21
|
| Rate for Payer: UHC Medicare Advantage |
$2,172.00
|
| Rate for Payer: UHCCP Medicaid |
$1,425.40
|
|
|
PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM
|
Professional
|
Both
|
$8,071.00
|
|
|
Service Code
|
HCPCS 61526
|
| Min. Negotiated Rate |
$811.47 |
| Max. Negotiated Rate |
$602,849.00 |
| Rate for Payer: Aetna Commercial |
$4,366.56
|
| Rate for Payer: Aetna Medicare |
$3,388.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,366.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,692.43
|
| Rate for Payer: BCBS Complete |
$2,257.52
|
| Rate for Payer: BCBS MAPPO |
$3,258.63
|
| Rate for Payer: BCBS Trust/PPO |
$811.47
|
| Rate for Payer: BCN Commercial |
$4,908.76
|
| Rate for Payer: BCN Medicare Advantage |
$3,258.63
|
| Rate for Payer: Cash Price |
$6,456.80
|
| Rate for Payer: Cash Price |
$6,456.80
|
| Rate for Payer: Cofinity Commercial |
$4,692.43
|
| Rate for Payer: Cofinity Commercial |
$4,366.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,258.63
|
| Rate for Payer: Healthscope Commercial |
$6,028.47
|
| Rate for Payer: Healthscope Commercial |
$5,213.81
|
| Rate for Payer: Mclaren Medicaid |
$2,150.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,421.56
|
| Rate for Payer: Meridian Medicaid |
$2,257.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$602,849.00
|
| Rate for Payer: Nomi Health Commercial |
$3,910.36
|
| Rate for Payer: PACE SWMI |
$3,258.63
|
| Rate for Payer: PHP Medicare Advantage |
$3,258.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,150.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,246.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,723.54
|
| Rate for Payer: Priority Health Medicare |
$3,258.63
|
| Rate for Payer: Priority Health Narrow Network |
$5,723.54
|
| Rate for Payer: Priority Health SBD |
$5,723.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,865.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,258.63
|
| Rate for Payer: UHC Exchange |
$3,865.54
|
| Rate for Payer: UHC Medicare Advantage |
$3,258.63
|
| Rate for Payer: UHCCP Medicaid |
$2,150.02
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL
|
Professional
|
Both
|
$4,023.00
|
|
|
Service Code
|
HCPCS 61514
|
| Min. Negotiated Rate |
$137.36 |
| Max. Negotiated Rate |
$347,724.00 |
| Rate for Payer: Aetna Commercial |
$2,549.71
|
| Rate for Payer: Aetna Medicare |
$1,978.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,549.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,739.99
|
| Rate for Payer: BCBS Complete |
$1,312.60
|
| Rate for Payer: BCBS MAPPO |
$1,902.77
|
| Rate for Payer: BCBS Trust/PPO |
$137.36
|
| Rate for Payer: BCN Commercial |
$3,926.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,902.77
|
| Rate for Payer: Cash Price |
$3,218.40
|
| Rate for Payer: Cash Price |
$3,218.40
|
| Rate for Payer: Cofinity Commercial |
$2,739.99
|
| Rate for Payer: Cofinity Commercial |
$2,549.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,902.77
|
| Rate for Payer: Healthscope Commercial |
$3,520.12
|
| Rate for Payer: Healthscope Commercial |
$3,044.43
|
| Rate for Payer: Mclaren Medicaid |
$1,250.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,997.91
|
| Rate for Payer: Meridian Medicaid |
$1,312.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$347,724.00
|
| Rate for Payer: Nomi Health Commercial |
$2,283.32
|
| Rate for Payer: PACE SWMI |
$1,902.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,902.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,250.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,614.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,316.75
|
| Rate for Payer: Priority Health Medicare |
$1,902.77
|
| Rate for Payer: Priority Health Narrow Network |
$3,316.75
|
| Rate for Payer: Priority Health SBD |
$3,316.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,282.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,902.77
|
| Rate for Payer: UHC Exchange |
$2,282.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,902.77
|
| Rate for Payer: UHCCP Medicaid |
$1,250.10
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL
|
Professional
|
Both
|
$4,604.00
|
|
|
Service Code
|
HCPCS 61510
|
| Min. Negotiated Rate |
$455.92 |
| Max. Negotiated Rate |
$398,608.00 |
| Rate for Payer: Aetna Commercial |
$2,924.44
|
| Rate for Payer: Aetna Medicare |
$2,269.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,924.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,142.68
|
| Rate for Payer: BCBS Complete |
$1,507.85
|
| Rate for Payer: BCBS MAPPO |
$2,182.42
|
| Rate for Payer: BCBS Trust/PPO |
$455.92
|
| Rate for Payer: BCN Commercial |
$4,506.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,182.42
|
| Rate for Payer: Cash Price |
$3,683.20
|
| Rate for Payer: Cash Price |
$3,683.20
|
| Rate for Payer: Cofinity Commercial |
$3,142.68
|
| Rate for Payer: Cofinity Commercial |
$2,924.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,182.42
|
| Rate for Payer: Healthscope Commercial |
$4,037.48
|
| Rate for Payer: Healthscope Commercial |
$3,491.87
|
| Rate for Payer: Mclaren Medicaid |
$1,436.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,291.54
|
| Rate for Payer: Meridian Medicaid |
$1,507.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$398,608.00
|
| Rate for Payer: Nomi Health Commercial |
$2,618.90
|
| Rate for Payer: PACE SWMI |
$2,182.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,182.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,436.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,992.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,816.64
|
| Rate for Payer: Priority Health Medicare |
$2,182.42
|
| Rate for Payer: Priority Health Narrow Network |
$3,816.64
|
| Rate for Payer: Priority Health SBD |
$3,816.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,562.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,182.42
|
| Rate for Payer: UHC Exchange |
$2,562.34
|
| Rate for Payer: UHC Medicare Advantage |
$2,182.42
|
| Rate for Payer: UHCCP Medicaid |
$1,436.05
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL
|
Professional
|
Both
|
$7,117.00
|
|
|
Service Code
|
HCPCS 61516
|
| Min. Negotiated Rate |
$108.83 |
| Max. Negotiated Rate |
$339,296.00 |
| Rate for Payer: Aetna Commercial |
$2,484.90
|
| Rate for Payer: Aetna Medicare |
$1,928.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,484.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,670.34
|
| Rate for Payer: BCBS Complete |
$1,279.95
|
| Rate for Payer: BCBS MAPPO |
$1,854.40
|
| Rate for Payer: BCBS Trust/PPO |
$108.83
|
| Rate for Payer: BCN Commercial |
$3,832.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,854.40
|
| Rate for Payer: Cash Price |
$5,693.60
|
| Rate for Payer: Cash Price |
$5,693.60
|
| Rate for Payer: Cofinity Commercial |
$2,670.34
|
| Rate for Payer: Cofinity Commercial |
$2,484.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,854.40
|
| Rate for Payer: Healthscope Commercial |
$3,430.64
|
| Rate for Payer: Healthscope Commercial |
$2,967.04
|
| Rate for Payer: Mclaren Medicaid |
$1,219.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,947.12
|
| Rate for Payer: Meridian Medicaid |
$1,279.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$339,296.00
|
| Rate for Payer: Nomi Health Commercial |
$2,225.28
|
| Rate for Payer: PACE SWMI |
$1,854.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,854.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,219.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,626.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,249.64
|
| Rate for Payer: Priority Health Medicare |
$1,854.40
|
| Rate for Payer: Priority Health Narrow Network |
$3,249.64
|
| Rate for Payer: Priority Health SBD |
$3,249.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,213.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,854.40
|
| Rate for Payer: UHC Exchange |
$2,213.73
|
| Rate for Payer: UHC Medicare Advantage |
$1,854.40
|
| Rate for Payer: UHCCP Medicaid |
$1,219.00
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL
|
Professional
|
Both
|
$5,385.00
|
|
|
Service Code
|
HCPCS 61512
|
| Min. Negotiated Rate |
$223.47 |
| Max. Negotiated Rate |
$463,149.00 |
| Rate for Payer: Aetna Commercial |
$3,392.46
|
| Rate for Payer: Aetna Medicare |
$2,632.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,392.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,645.63
|
| Rate for Payer: BCBS Complete |
$1,742.68
|
| Rate for Payer: BCBS MAPPO |
$2,531.69
|
| Rate for Payer: BCBS Trust/PPO |
$223.47
|
| Rate for Payer: BCN Commercial |
$5,220.76
|
| Rate for Payer: BCN Medicare Advantage |
$2,531.69
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Cofinity Commercial |
$3,645.63
|
| Rate for Payer: Cofinity Commercial |
$3,392.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,531.69
|
| Rate for Payer: Healthscope Commercial |
$4,683.63
|
| Rate for Payer: Healthscope Commercial |
$4,050.70
|
| Rate for Payer: Mclaren Medicaid |
$1,659.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,658.27
|
| Rate for Payer: Meridian Medicaid |
$1,742.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$463,149.00
|
| Rate for Payer: Nomi Health Commercial |
$3,038.03
|
| Rate for Payer: PACE SWMI |
$2,531.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,531.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,659.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,500.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,413.23
|
| Rate for Payer: Priority Health Medicare |
$2,531.69
|
| Rate for Payer: Priority Health Narrow Network |
$4,413.23
|
| Rate for Payer: Priority Health SBD |
$4,413.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,138.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,531.69
|
| Rate for Payer: UHC Exchange |
$3,138.85
|
| Rate for Payer: UHC Medicare Advantage |
$2,531.69
|
| Rate for Payer: UHCCP Medicaid |
$1,659.70
|
|
|
PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL
|
Professional
|
Both
|
$10,436.00
|
|
|
Service Code
|
HCPCS 61521
|
| Min. Negotiated Rate |
$1,168.07 |
| Max. Negotiated Rate |
$574,794.00 |
| Rate for Payer: Aetna Commercial |
$4,203.83
|
| Rate for Payer: Aetna Medicare |
$3,262.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,203.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,517.55
|
| Rate for Payer: BCBS Complete |
$2,156.66
|
| Rate for Payer: BCBS MAPPO |
$3,137.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$6,470.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,137.19
|
| Rate for Payer: Cash Price |
$8,348.80
|
| Rate for Payer: Cash Price |
$8,348.80
|
| Rate for Payer: Cofinity Commercial |
$4,517.55
|
| Rate for Payer: Cofinity Commercial |
$4,203.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,137.19
|
| Rate for Payer: Healthscope Commercial |
$5,803.80
|
| Rate for Payer: Healthscope Commercial |
$5,019.50
|
| Rate for Payer: Mclaren Medicaid |
$2,053.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,294.05
|
| Rate for Payer: Meridian Medicaid |
$2,156.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$574,794.00
|
| Rate for Payer: Nomi Health Commercial |
$3,764.63
|
| Rate for Payer: PACE SWMI |
$3,137.19
|
| Rate for Payer: PHP Medicare Advantage |
$3,137.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,053.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,783.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,486.41
|
| Rate for Payer: Priority Health Medicare |
$3,137.19
|
| Rate for Payer: Priority Health Narrow Network |
$5,486.41
|
| Rate for Payer: Priority Health SBD |
$5,486.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,784.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,137.19
|
| Rate for Payer: UHC Exchange |
$3,784.57
|
| Rate for Payer: UHC Medicare Advantage |
$3,137.19
|
| Rate for Payer: UHCCP Medicaid |
$2,053.96
|
|
