|
PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM
|
Professional
|
Both
|
$8,727.00
|
|
|
Service Code
|
HCPCS 61520
|
| Min. Negotiated Rate |
$1,140.60 |
| Max. Negotiated Rate |
$675,893.00 |
| Rate for Payer: Aetna Commercial |
$4,923.56
|
| Rate for Payer: Aetna Medicare |
$3,821.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,923.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,290.99
|
| Rate for Payer: BCBS Complete |
$2,531.05
|
| Rate for Payer: BCBS MAPPO |
$3,674.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.60
|
| Rate for Payer: BCN Commercial |
$7,615.22
|
| Rate for Payer: BCN Medicare Advantage |
$3,674.30
|
| Rate for Payer: Cash Price |
$6,981.60
|
| Rate for Payer: Cash Price |
$6,981.60
|
| Rate for Payer: Cofinity Commercial |
$5,290.99
|
| Rate for Payer: Cofinity Commercial |
$4,923.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,674.30
|
| Rate for Payer: Healthscope Commercial |
$6,797.46
|
| Rate for Payer: Healthscope Commercial |
$5,878.88
|
| Rate for Payer: Mclaren Medicaid |
$2,410.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,858.02
|
| Rate for Payer: Meridian Medicaid |
$2,531.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$675,893.00
|
| Rate for Payer: Nomi Health Commercial |
$4,409.16
|
| Rate for Payer: PACE SWMI |
$3,674.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,674.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,410.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,672.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,398.04
|
| Rate for Payer: Priority Health Medicare |
$3,674.30
|
| Rate for Payer: Priority Health Narrow Network |
$6,398.04
|
| Rate for Payer: Priority Health SBD |
$6,398.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,612.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,674.30
|
| Rate for Payer: UHC Exchange |
$4,612.24
|
| Rate for Payer: UHC Medicare Advantage |
$3,674.30
|
| Rate for Payer: UHCCP Medicaid |
$2,410.52
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF
|
Professional
|
Both
|
$2,767.00
|
|
|
Service Code
|
HCPCS 36825
|
| Min. Negotiated Rate |
$496.50 |
| Max. Negotiated Rate |
$140,296.00 |
| Rate for Payer: Aetna Commercial |
$1,014.73
|
| Rate for Payer: Aetna Medicare |
$787.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,014.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,090.45
|
| Rate for Payer: BCBS Complete |
$521.32
|
| Rate for Payer: BCBS MAPPO |
$757.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCN Commercial |
$1,135.69
|
| Rate for Payer: BCN Medicare Advantage |
$757.26
|
| Rate for Payer: Cash Price |
$2,213.60
|
| Rate for Payer: Cash Price |
$2,213.60
|
| Rate for Payer: Cofinity Commercial |
$1,090.45
|
| Rate for Payer: Cofinity Commercial |
$1,014.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$757.26
|
| Rate for Payer: Healthscope Commercial |
$1,400.93
|
| Rate for Payer: Healthscope Commercial |
$1,211.62
|
| Rate for Payer: Mclaren Medicaid |
$496.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.12
|
| Rate for Payer: Meridian Medicaid |
$521.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$140,296.00
|
| Rate for Payer: Nomi Health Commercial |
$908.71
|
| Rate for Payer: PACE SWMI |
$757.26
|
| Rate for Payer: PHP Medicare Advantage |
$757.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,798.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,240.21
|
| Rate for Payer: Priority Health Medicare |
$757.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,240.21
|
| Rate for Payer: Priority Health SBD |
$1,240.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$858.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$757.26
|
| Rate for Payer: UHC Exchange |
$858.14
|
| Rate for Payer: UHC Medicare Advantage |
$757.26
|
| Rate for Payer: UHCCP Medicaid |
$496.50
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF
|
Professional
|
Both
|
$1,380.00
|
|
|
Service Code
|
HCPCS 36830
|
| Min. Negotiated Rate |
$418.12 |
| Max. Negotiated Rate |
$117,853.00 |
| Rate for Payer: Aetna Commercial |
$855.26
|
| Rate for Payer: Aetna Medicare |
$663.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$855.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$919.08
|
| Rate for Payer: BCBS Complete |
$439.03
|
| Rate for Payer: BCBS MAPPO |
$638.25
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$953.41
|
| Rate for Payer: BCN Medicare Advantage |
$638.25
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cofinity Commercial |
$919.08
|
| Rate for Payer: Cofinity Commercial |
$855.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.25
|
| Rate for Payer: Healthscope Commercial |
$1,180.76
|
| Rate for Payer: Healthscope Commercial |
$1,021.20
|
| Rate for Payer: Mclaren Medicaid |
$418.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$670.16
|
| Rate for Payer: Meridian Medicaid |
$439.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117,853.00
|
| Rate for Payer: Nomi Health Commercial |
$765.90
|
| Rate for Payer: PACE SWMI |
$638.25
|
| Rate for Payer: PHP Medicare Advantage |
$638.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$897.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,041.31
|
| Rate for Payer: Priority Health Medicare |
$638.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,041.31
|
| Rate for Payer: Priority Health SBD |
$1,041.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,087.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$638.25
|
| Rate for Payer: UHC Exchange |
$1,087.20
|
| Rate for Payer: UHC Medicare Advantage |
$638.25
|
| Rate for Payer: UHCCP Medicaid |
$418.12
|
|
|
PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO
|
Professional
|
Both
|
$342.00
|
|
|
Service Code
|
HCPCS 35686
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$28,570.00 |
| Rate for Payer: Aetna Commercial |
$207.78
|
| Rate for Payer: Aetna Medicare |
$161.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.29
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$155.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.52
|
| Rate for Payer: BCN Commercial |
$228.22
|
| Rate for Payer: BCN Medicare Advantage |
$155.06
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cofinity Commercial |
$223.29
|
| Rate for Payer: Cofinity Commercial |
$207.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.06
|
| Rate for Payer: Healthscope Commercial |
$286.86
|
| Rate for Payer: Healthscope Commercial |
$248.10
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$162.81
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28,570.00
|
| Rate for Payer: Nomi Health Commercial |
$186.07
|
| Rate for Payer: PACE SWMI |
$155.06
|
| Rate for Payer: PHP Medicare Advantage |
$155.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.90
|
| Rate for Payer: Priority Health Medicare |
$155.06
|
| Rate for Payer: Priority Health Narrow Network |
$248.90
|
| Rate for Payer: Priority Health SBD |
$248.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$214.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.06
|
| Rate for Payer: UHC Exchange |
$214.16
|
| Rate for Payer: UHC Medicare Advantage |
$155.06
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX
|
Professional
|
Both
|
$2,550.00
|
|
|
Service Code
|
HCPCS 33025
|
| Min. Negotiated Rate |
$488.41 |
| Max. Negotiated Rate |
$136,305.00 |
| Rate for Payer: Aetna Commercial |
$992.00
|
| Rate for Payer: Aetna Medicare |
$769.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,066.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.00
|
| Rate for Payer: BCBS Complete |
$512.83
|
| Rate for Payer: BCBS MAPPO |
$740.30
|
| Rate for Payer: BCBS Trust/PPO |
$724.83
|
| Rate for Payer: BCN Commercial |
$1,108.32
|
| Rate for Payer: BCN Medicare Advantage |
$740.30
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cofinity Commercial |
$992.00
|
| Rate for Payer: Cofinity Commercial |
$1,066.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.30
|
| Rate for Payer: Healthscope Commercial |
$1,369.56
|
| Rate for Payer: Healthscope Commercial |
$1,184.48
|
| Rate for Payer: Mclaren Medicaid |
$488.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.32
|
| Rate for Payer: Meridian Medicaid |
$512.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136,305.00
|
| Rate for Payer: Nomi Health Commercial |
$888.36
|
| Rate for Payer: PACE SWMI |
$740.30
|
| Rate for Payer: PHP Medicare Advantage |
$740.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,657.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,213.10
|
| Rate for Payer: Priority Health Medicare |
$740.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,213.10
|
| Rate for Payer: Priority Health SBD |
$1,213.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,336.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$740.30
|
| Rate for Payer: UHC Exchange |
$1,336.06
|
| Rate for Payer: UHC Medicare Advantage |
$740.30
|
| Rate for Payer: UHCCP Medicaid |
$488.41
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM
|
Professional
|
Both
|
$4,365.00
|
|
|
Service Code
|
HCPCS 63740
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$178,436.00 |
| Rate for Payer: Aetna Commercial |
$1,310.02
|
| Rate for Payer: Aetna Medicare |
$1,016.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,310.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,407.79
|
| Rate for Payer: BCBS Complete |
$681.02
|
| Rate for Payer: BCBS MAPPO |
$977.63
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$1,611.53
|
| Rate for Payer: BCN Medicare Advantage |
$977.63
|
| Rate for Payer: Cash Price |
$3,492.00
|
| Rate for Payer: Cash Price |
$3,492.00
|
| Rate for Payer: Cofinity Commercial |
$1,407.79
|
| Rate for Payer: Cofinity Commercial |
$1,310.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.63
|
| Rate for Payer: Healthscope Commercial |
$1,808.62
|
| Rate for Payer: Healthscope Commercial |
$1,564.21
|
| Rate for Payer: Mclaren Medicaid |
$648.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,026.51
|
| Rate for Payer: Meridian Medicaid |
$681.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178,436.00
|
| Rate for Payer: Nomi Health Commercial |
$1,173.16
|
| Rate for Payer: PACE SWMI |
$977.63
|
| Rate for Payer: PHP Medicare Advantage |
$977.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$648.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,837.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,720.93
|
| Rate for Payer: Priority Health Medicare |
$977.63
|
| Rate for Payer: Priority Health Narrow Network |
$1,720.93
|
| Rate for Payer: Priority Health SBD |
$1,720.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,051.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.63
|
| Rate for Payer: UHC Exchange |
$1,051.23
|
| Rate for Payer: UHC Medicare Advantage |
$977.63
|
| Rate for Payer: UHCCP Medicaid |
$648.59
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM
|
Professional
|
Both
|
$2,403.00
|
|
|
Service Code
|
HCPCS 63741
|
| Min. Negotiated Rate |
$248.83 |
| Max. Negotiated Rate |
$123,991.00 |
| Rate for Payer: Aetna Commercial |
$886.46
|
| Rate for Payer: Aetna Medicare |
$688.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$886.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$952.62
|
| Rate for Payer: BCBS Complete |
$462.28
|
| Rate for Payer: BCBS MAPPO |
$661.54
|
| Rate for Payer: BCBS Trust/PPO |
$248.83
|
| Rate for Payer: BCN Commercial |
$1,017.92
|
| Rate for Payer: BCN Medicare Advantage |
$661.54
|
| Rate for Payer: Cash Price |
$1,922.40
|
| Rate for Payer: Cash Price |
$1,922.40
|
| Rate for Payer: Cofinity Commercial |
$952.62
|
| Rate for Payer: Cofinity Commercial |
$886.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.54
|
| Rate for Payer: Healthscope Commercial |
$1,223.85
|
| Rate for Payer: Healthscope Commercial |
$1,058.46
|
| Rate for Payer: Mclaren Medicaid |
$440.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.62
|
| Rate for Payer: Meridian Medicaid |
$462.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$123,991.00
|
| Rate for Payer: Nomi Health Commercial |
$793.85
|
| Rate for Payer: PACE SWMI |
$661.54
|
| Rate for Payer: PHP Medicare Advantage |
$661.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,187.47
|
| Rate for Payer: Priority Health Medicare |
$661.54
|
| Rate for Payer: Priority Health Narrow Network |
$1,187.47
|
| Rate for Payer: Priority Health SBD |
$1,187.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$690.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$661.54
|
| Rate for Payer: UHC Exchange |
$690.22
|
| Rate for Payer: UHC Medicare Advantage |
$661.54
|
| Rate for Payer: UHCCP Medicaid |
$440.27
|
|
|
PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH
|
Professional
|
Both
|
$5,855.00
|
|
|
Service Code
|
HCPCS 62192
|
| Min. Negotiated Rate |
$478.64 |
| Max. Negotiated Rate |
$176,499.00 |
| Rate for Payer: Aetna Commercial |
$1,317.45
|
| Rate for Payer: Aetna Medicare |
$1,022.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,317.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,415.76
|
| Rate for Payer: BCBS Complete |
$682.80
|
| Rate for Payer: BCBS MAPPO |
$983.17
|
| Rate for Payer: BCBS Trust/PPO |
$478.64
|
| Rate for Payer: BCN Commercial |
$2,002.62
|
| Rate for Payer: BCN Medicare Advantage |
$983.17
|
| Rate for Payer: Cash Price |
$4,684.00
|
| Rate for Payer: Cash Price |
$4,684.00
|
| Rate for Payer: Cofinity Commercial |
$1,415.76
|
| Rate for Payer: Cofinity Commercial |
$1,317.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$983.17
|
| Rate for Payer: Healthscope Commercial |
$1,818.86
|
| Rate for Payer: Healthscope Commercial |
$1,573.07
|
| Rate for Payer: Mclaren Medicaid |
$650.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,032.33
|
| Rate for Payer: Meridian Medicaid |
$682.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176,499.00
|
| Rate for Payer: Nomi Health Commercial |
$1,179.80
|
| Rate for Payer: PACE SWMI |
$983.17
|
| Rate for Payer: PHP Medicare Advantage |
$983.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,805.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,731.73
|
| Rate for Payer: Priority Health Medicare |
$983.17
|
| Rate for Payer: Priority Health Narrow Network |
$1,731.73
|
| Rate for Payer: Priority Health SBD |
$1,731.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,166.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$983.17
|
| Rate for Payer: UHC Exchange |
$1,166.13
|
| Rate for Payer: UHC Medicare Advantage |
$983.17
|
| Rate for Payer: UHCCP Medicaid |
$650.29
|
|
|
PR CRTJ SHUNT VENTRICULO-ATR-JUG-AUR
|
Professional
|
Both
|
$5,065.00
|
|
|
Service Code
|
HCPCS 62220
|
| Min. Negotiated Rate |
$635.38 |
| Max. Negotiated Rate |
$175,455.00 |
| Rate for Payer: Aetna Commercial |
$1,291.89
|
| Rate for Payer: Aetna Medicare |
$1,002.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,291.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,388.30
|
| Rate for Payer: BCBS Complete |
$667.15
|
| Rate for Payer: BCBS MAPPO |
$964.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,359.32
|
| Rate for Payer: BCN Commercial |
$1,984.31
|
| Rate for Payer: BCN Medicare Advantage |
$964.10
|
| Rate for Payer: Cash Price |
$4,052.00
|
| Rate for Payer: Cash Price |
$4,052.00
|
| Rate for Payer: Cofinity Commercial |
$1,388.30
|
| Rate for Payer: Cofinity Commercial |
$1,291.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$964.10
|
| Rate for Payer: Healthscope Commercial |
$1,783.58
|
| Rate for Payer: Healthscope Commercial |
$1,542.56
|
| Rate for Payer: Mclaren Medicaid |
$635.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,012.30
|
| Rate for Payer: Meridian Medicaid |
$667.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175,455.00
|
| Rate for Payer: Nomi Health Commercial |
$1,156.92
|
| Rate for Payer: PACE SWMI |
$964.10
|
| Rate for Payer: PHP Medicare Advantage |
$964.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$635.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,292.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,691.36
|
| Rate for Payer: Priority Health Medicare |
$964.10
|
| Rate for Payer: Priority Health Narrow Network |
$1,691.36
|
| Rate for Payer: Priority Health SBD |
$1,691.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,124.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$964.10
|
| Rate for Payer: UHC Exchange |
$1,124.17
|
| Rate for Payer: UHC Medicare Advantage |
$964.10
|
| Rate for Payer: UHCCP Medicaid |
$635.38
|
|
|
PR CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS
|
Professional
|
Both
|
$5,051.00
|
|
|
Service Code
|
HCPCS 62223
|
| Min. Negotiated Rate |
$672.87 |
| Max. Negotiated Rate |
$187,042.00 |
| Rate for Payer: Aetna Commercial |
$1,359.62
|
| Rate for Payer: Aetna Medicare |
$1,055.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,359.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,461.08
|
| Rate for Payer: BCBS Complete |
$706.51
|
| Rate for Payer: BCBS MAPPO |
$1,014.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,466.56
|
| Rate for Payer: BCN Commercial |
$2,125.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,014.64
|
| Rate for Payer: Cash Price |
$4,040.80
|
| Rate for Payer: Cash Price |
$4,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,461.08
|
| Rate for Payer: Cofinity Commercial |
$1,359.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,014.64
|
| Rate for Payer: Healthscope Commercial |
$1,877.08
|
| Rate for Payer: Healthscope Commercial |
$1,623.42
|
| Rate for Payer: Mclaren Medicaid |
$672.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,065.37
|
| Rate for Payer: Meridian Medicaid |
$706.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187,042.00
|
| Rate for Payer: Nomi Health Commercial |
$1,217.57
|
| Rate for Payer: PACE SWMI |
$1,014.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,014.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$672.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,283.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,794.86
|
| Rate for Payer: Priority Health Medicare |
$1,014.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,794.86
|
| Rate for Payer: Priority Health SBD |
$1,794.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,116.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,014.64
|
| Rate for Payer: UHC Exchange |
$1,116.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,014.64
|
| Rate for Payer: UHCCP Medicaid |
$672.87
|
|
|
PR CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA
|
Professional
|
Both
|
$7,247.00
|
|
|
Service Code
|
HCPCS 62100
|
| Min. Negotiated Rate |
$1,019.84 |
| Max. Negotiated Rate |
$283,559.00 |
| Rate for Payer: Aetna Commercial |
$2,069.63
|
| Rate for Payer: Aetna Medicare |
$1,606.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,069.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,224.08
|
| Rate for Payer: BCBS Complete |
$1,070.83
|
| Rate for Payer: BCBS MAPPO |
$1,544.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.41
|
| Rate for Payer: BCN Commercial |
$3,210.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,544.50
|
| Rate for Payer: Cash Price |
$5,797.60
|
| Rate for Payer: Cash Price |
$5,797.60
|
| Rate for Payer: Cofinity Commercial |
$2,224.08
|
| Rate for Payer: Cofinity Commercial |
$2,069.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,544.50
|
| Rate for Payer: Healthscope Commercial |
$2,857.32
|
| Rate for Payer: Healthscope Commercial |
$2,471.20
|
| Rate for Payer: Mclaren Medicaid |
$1,019.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,621.72
|
| Rate for Payer: Meridian Medicaid |
$1,070.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283,559.00
|
| Rate for Payer: Nomi Health Commercial |
$1,853.40
|
| Rate for Payer: PACE SWMI |
$1,544.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,544.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,019.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,710.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,719.04
|
| Rate for Payer: Priority Health Medicare |
$1,544.50
|
| Rate for Payer: Priority Health Narrow Network |
$2,719.04
|
| Rate for Payer: Priority Health SBD |
$2,719.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,886.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,544.50
|
| Rate for Payer: UHC Exchange |
$1,886.10
|
| Rate for Payer: UHC Medicare Advantage |
$1,544.50
|
| Rate for Payer: UHCCP Medicaid |
$1,019.84
|
|
|
PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI
|
Professional
|
Both
|
$2,068.00
|
|
|
Service Code
|
HCPCS 55873
|
| Min. Negotiated Rate |
$490.11 |
| Max. Negotiated Rate |
$134,365.00 |
| Rate for Payer: Aetna Commercial |
$979.67
|
| Rate for Payer: Aetna Medicare |
$760.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,052.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$979.67
|
| Rate for Payer: BCBS Complete |
$514.62
|
| Rate for Payer: BCBS MAPPO |
$731.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,980.07
|
| Rate for Payer: BCN Commercial |
$8,449.24
|
| Rate for Payer: BCN Medicare Advantage |
$731.10
|
| Rate for Payer: Cash Price |
$1,654.40
|
| Rate for Payer: Cash Price |
$1,654.40
|
| Rate for Payer: Cofinity Commercial |
$979.67
|
| Rate for Payer: Cofinity Commercial |
$1,052.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.10
|
| Rate for Payer: Healthscope Commercial |
$1,352.54
|
| Rate for Payer: Healthscope Commercial |
$1,169.76
|
| Rate for Payer: Mclaren Medicaid |
$490.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$767.66
|
| Rate for Payer: Meridian Medicaid |
$514.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134,365.00
|
| Rate for Payer: Nomi Health Commercial |
$877.32
|
| Rate for Payer: PACE SWMI |
$731.10
|
| Rate for Payer: PHP Medicare Advantage |
$731.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,344.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,216.46
|
| Rate for Payer: Priority Health Medicare |
$731.10
|
| Rate for Payer: Priority Health Narrow Network |
$1,216.46
|
| Rate for Payer: Priority Health SBD |
$1,216.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,330.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.10
|
| Rate for Payer: UHC Exchange |
$1,330.27
|
| Rate for Payer: UHC Medicare Advantage |
$731.10
|
| Rate for Payer: UHCCP Medicaid |
$490.11
|
|
|
PR CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE
|
Professional
|
Both
|
$103.00
|
|
|
Service Code
|
HCPCS 17340
|
| Min. Negotiated Rate |
$31.52 |
| Max. Negotiated Rate |
$8,687.00 |
| Rate for Payer: Aetna Commercial |
$62.32
|
| Rate for Payer: Aetna Medicare |
$48.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.97
|
| Rate for Payer: BCBS Complete |
$33.10
|
| Rate for Payer: BCBS MAPPO |
$46.51
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$76.72
|
| Rate for Payer: BCN Medicare Advantage |
$46.51
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$66.97
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.51
|
| Rate for Payer: Healthscope Commercial |
$86.04
|
| Rate for Payer: Healthscope Commercial |
$74.42
|
| Rate for Payer: Mclaren Medicaid |
$31.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.84
|
| Rate for Payer: Meridian Medicaid |
$33.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,687.00
|
| Rate for Payer: Nomi Health Commercial |
$55.81
|
| Rate for Payer: PACE SWMI |
$46.51
|
| Rate for Payer: PHP Medicare Advantage |
$46.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66.37
|
| Rate for Payer: Priority Health Medicare |
$46.51
|
| Rate for Payer: Priority Health Narrow Network |
$66.37
|
| Rate for Payer: Priority Health SBD |
$66.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.51
|
| Rate for Payer: UHC Exchange |
$46.70
|
| Rate for Payer: UHC Medicare Advantage |
$46.51
|
| Rate for Payer: UHCCP Medicaid |
$31.52
|
|
|
PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC
|
Professional
|
Both
|
$4,560.00
|
|
|
Service Code
|
HCPCS 51595
|
| Min. Negotiated Rate |
$1,387.06 |
| Max. Negotiated Rate |
$383,535.00 |
| Rate for Payer: Aetna Commercial |
$2,788.79
|
| Rate for Payer: Aetna Medicare |
$2,164.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,788.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,996.91
|
| Rate for Payer: BCBS Complete |
$1,456.41
|
| Rate for Payer: BCBS MAPPO |
$2,081.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,019.16
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,081.19
|
| Rate for Payer: Cash Price |
$3,648.00
|
| Rate for Payer: Cash Price |
$3,648.00
|
| Rate for Payer: Cofinity Commercial |
$2,996.91
|
| Rate for Payer: Cofinity Commercial |
$2,788.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,081.19
|
| Rate for Payer: Healthscope Commercial |
$3,850.20
|
| Rate for Payer: Healthscope Commercial |
$3,329.90
|
| Rate for Payer: Mclaren Medicaid |
$1,387.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,185.25
|
| Rate for Payer: Meridian Medicaid |
$1,456.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$383,535.00
|
| Rate for Payer: Nomi Health Commercial |
$2,497.43
|
| Rate for Payer: PACE SWMI |
$2,081.19
|
| Rate for Payer: PHP Medicare Advantage |
$2,081.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,387.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,964.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,447.52
|
| Rate for Payer: Priority Health Medicare |
$2,081.19
|
| Rate for Payer: Priority Health Narrow Network |
$3,447.52
|
| Rate for Payer: Priority Health SBD |
$3,447.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,670.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,081.19
|
| Rate for Payer: UHC Exchange |
$2,670.80
|
| Rate for Payer: UHC Medicare Advantage |
$2,081.19
|
| Rate for Payer: UHCCP Medicaid |
$1,387.06
|
|
|
PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR
|
Professional
|
Both
|
$4,906.00
|
|
|
Service Code
|
HCPCS 51596
|
| Min. Negotiated Rate |
$1,498.46 |
| Max. Negotiated Rate |
$413,944.00 |
| Rate for Payer: Aetna Commercial |
$3,012.56
|
| Rate for Payer: Aetna Medicare |
$2,338.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,012.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,237.38
|
| Rate for Payer: BCBS Complete |
$1,573.38
|
| Rate for Payer: BCBS MAPPO |
$2,248.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,189.80
|
| Rate for Payer: BCN Commercial |
$3,380.67
|
| Rate for Payer: BCN Medicare Advantage |
$2,248.18
|
| Rate for Payer: Cash Price |
$3,924.80
|
| Rate for Payer: Cash Price |
$3,924.80
|
| Rate for Payer: Cofinity Commercial |
$3,237.38
|
| Rate for Payer: Cofinity Commercial |
$3,012.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,248.18
|
| Rate for Payer: Healthscope Commercial |
$4,159.13
|
| Rate for Payer: Healthscope Commercial |
$3,597.09
|
| Rate for Payer: Mclaren Medicaid |
$1,498.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,360.59
|
| Rate for Payer: Meridian Medicaid |
$1,573.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$413,944.00
|
| Rate for Payer: Nomi Health Commercial |
$2,697.82
|
| Rate for Payer: PACE SWMI |
$2,248.18
|
| Rate for Payer: PHP Medicare Advantage |
$2,248.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,498.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,188.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,715.42
|
| Rate for Payer: Priority Health Medicare |
$2,248.18
|
| Rate for Payer: Priority Health Narrow Network |
$3,715.42
|
| Rate for Payer: Priority Health SBD |
$3,715.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,853.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,248.18
|
| Rate for Payer: UHC Exchange |
$2,853.25
|
| Rate for Payer: UHC Medicare Advantage |
$2,248.18
|
| Rate for Payer: UHCCP Medicaid |
$1,498.46
|
|
|
PR CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST
|
Professional
|
Both
|
$4,911.00
|
|
|
Service Code
|
HCPCS 51590
|
| Min. Negotiated Rate |
$1,226.24 |
| Max. Negotiated Rate |
$338,864.00 |
| Rate for Payer: Aetna Commercial |
$2,464.84
|
| Rate for Payer: Aetna Medicare |
$1,913.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,464.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,648.78
|
| Rate for Payer: BCBS Complete |
$1,287.55
|
| Rate for Payer: BCBS MAPPO |
$1,839.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,561.73
|
| Rate for Payer: BCN Commercial |
$2,767.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,839.43
|
| Rate for Payer: Cash Price |
$3,928.80
|
| Rate for Payer: Cash Price |
$3,928.80
|
| Rate for Payer: Cofinity Commercial |
$2,648.78
|
| Rate for Payer: Cofinity Commercial |
$2,464.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,839.43
|
| Rate for Payer: Healthscope Commercial |
$3,402.95
|
| Rate for Payer: Healthscope Commercial |
$2,943.09
|
| Rate for Payer: Mclaren Medicaid |
$1,226.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,931.40
|
| Rate for Payer: Meridian Medicaid |
$1,287.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$338,864.00
|
| Rate for Payer: Nomi Health Commercial |
$2,207.32
|
| Rate for Payer: PACE SWMI |
$1,839.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,839.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,226.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,192.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,045.41
|
| Rate for Payer: Priority Health Medicare |
$1,839.43
|
| Rate for Payer: Priority Health Narrow Network |
$3,045.41
|
| Rate for Payer: Priority Health SBD |
$3,045.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,376.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,839.43
|
| Rate for Payer: UHC Exchange |
$2,376.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,839.43
|
| Rate for Payer: UHCCP Medicaid |
$1,226.24
|
|
|
PR CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST
|
Professional
|
Both
|
$2,652.00
|
|
|
Service Code
|
HCPCS 51565
|
| Min. Negotiated Rate |
$820.90 |
| Max. Negotiated Rate |
$226,242.00 |
| Rate for Payer: Aetna Commercial |
$1,645.64
|
| Rate for Payer: Aetna Medicare |
$1,277.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,645.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,768.45
|
| Rate for Payer: BCBS Complete |
$861.94
|
| Rate for Payer: BCBS MAPPO |
$1,228.09
|
| Rate for Payer: BCN Commercial |
$1,851.60
|
| Rate for Payer: BCN Medicare Advantage |
$1,228.09
|
| Rate for Payer: Cash Price |
$2,121.60
|
| Rate for Payer: Cash Price |
$2,121.60
|
| Rate for Payer: Cofinity Commercial |
$1,768.45
|
| Rate for Payer: Cofinity Commercial |
$1,645.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,228.09
|
| Rate for Payer: Healthscope Commercial |
$2,271.97
|
| Rate for Payer: Healthscope Commercial |
$1,964.94
|
| Rate for Payer: Mclaren Medicaid |
$820.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,289.49
|
| Rate for Payer: Meridian Medicaid |
$861.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226,242.00
|
| Rate for Payer: Nomi Health Commercial |
$1,473.71
|
| Rate for Payer: PACE SWMI |
$1,228.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,228.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$820.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,039.33
|
| Rate for Payer: Priority Health Medicare |
$1,228.09
|
| Rate for Payer: Priority Health Narrow Network |
$2,039.33
|
| Rate for Payer: Priority Health SBD |
$2,039.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,614.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,228.09
|
| Rate for Payer: UHC Exchange |
$1,614.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,228.09
|
| Rate for Payer: UHCCP Medicaid |
$820.90
|
|
|
PR CSTOPLASTY/CSTOURTP PLSTC ANY
|
Professional
|
Both
|
$1,135.00
|
|
|
Service Code
|
HCPCS 51800
|
| Min. Negotiated Rate |
$662.43 |
| Max. Negotiated Rate |
$182,345.00 |
| Rate for Payer: Aetna Commercial |
$1,326.80
|
| Rate for Payer: Aetna Medicare |
$1,029.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,326.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,425.82
|
| Rate for Payer: BCBS Complete |
$695.55
|
| Rate for Payer: BCBS MAPPO |
$990.15
|
| Rate for Payer: BCBS Trust/PPO |
$3,574.48
|
| Rate for Payer: BCN Commercial |
$1,493.39
|
| Rate for Payer: BCN Medicare Advantage |
$990.15
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Cofinity Commercial |
$1,425.82
|
| Rate for Payer: Cofinity Commercial |
$1,326.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$990.15
|
| Rate for Payer: Healthscope Commercial |
$1,831.78
|
| Rate for Payer: Healthscope Commercial |
$1,584.24
|
| Rate for Payer: Mclaren Medicaid |
$662.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,039.66
|
| Rate for Payer: Meridian Medicaid |
$695.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182,345.00
|
| Rate for Payer: Nomi Health Commercial |
$1,188.18
|
| Rate for Payer: PACE SWMI |
$990.15
|
| Rate for Payer: PHP Medicare Advantage |
$990.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$662.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$737.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,645.73
|
| Rate for Payer: Priority Health Medicare |
$990.15
|
| Rate for Payer: Priority Health Narrow Network |
$1,645.73
|
| Rate for Payer: Priority Health SBD |
$1,645.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,312.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$990.15
|
| Rate for Payer: UHC Exchange |
$1,312.74
|
| Rate for Payer: UHC Medicare Advantage |
$990.15
|
| Rate for Payer: UHCCP Medicaid |
$662.43
|
|
|
PR CSTOURTP W/UNI/BI URTRONEOCSTOST
|
Professional
|
Both
|
$2,417.00
|
|
|
Service Code
|
HCPCS 51820
|
| Min. Negotiated Rate |
$692.89 |
| Max. Negotiated Rate |
$190,521.00 |
| Rate for Payer: Aetna Commercial |
$1,386.98
|
| Rate for Payer: Aetna Medicare |
$1,076.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,386.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,490.49
|
| Rate for Payer: BCBS Complete |
$727.53
|
| Rate for Payer: BCBS MAPPO |
$1,035.06
|
| Rate for Payer: BCBS Trust/PPO |
$4,989.27
|
| Rate for Payer: BCN Commercial |
$1,561.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,035.06
|
| Rate for Payer: Cash Price |
$1,933.60
|
| Rate for Payer: Cash Price |
$1,933.60
|
| Rate for Payer: Cofinity Commercial |
$1,490.49
|
| Rate for Payer: Cofinity Commercial |
$1,386.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,035.06
|
| Rate for Payer: Healthscope Commercial |
$1,914.86
|
| Rate for Payer: Healthscope Commercial |
$1,656.10
|
| Rate for Payer: Mclaren Medicaid |
$692.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,086.81
|
| Rate for Payer: Meridian Medicaid |
$727.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190,521.00
|
| Rate for Payer: Nomi Health Commercial |
$1,242.07
|
| Rate for Payer: PACE SWMI |
$1,035.06
|
| Rate for Payer: PHP Medicare Advantage |
$1,035.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$692.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,571.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,720.83
|
| Rate for Payer: Priority Health Medicare |
$1,035.06
|
| Rate for Payer: Priority Health Narrow Network |
$1,720.83
|
| Rate for Payer: Priority Health SBD |
$1,720.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,232.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,035.06
|
| Rate for Payer: UHC Exchange |
$1,232.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,035.06
|
| Rate for Payer: UHCCP Medicaid |
$692.89
|
|
|
PR CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ
|
Professional
|
Both
|
$937.00
|
|
|
Service Code
|
HCPCS 42972
|
| Min. Negotiated Rate |
$252.53 |
| Max. Negotiated Rate |
$89,950.00 |
| Rate for Payer: Aetna Commercial |
$648.40
|
| Rate for Payer: Aetna Medicare |
$503.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$648.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$696.79
|
| Rate for Payer: BCBS Complete |
$343.53
|
| Rate for Payer: BCBS MAPPO |
$483.88
|
| Rate for Payer: BCBS Trust/PPO |
$252.53
|
| Rate for Payer: BCN Commercial |
$745.24
|
| Rate for Payer: BCN Medicare Advantage |
$483.88
|
| Rate for Payer: Cash Price |
$749.60
|
| Rate for Payer: Cash Price |
$749.60
|
| Rate for Payer: Cofinity Commercial |
$696.79
|
| Rate for Payer: Cofinity Commercial |
$648.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$483.88
|
| Rate for Payer: Healthscope Commercial |
$895.18
|
| Rate for Payer: Healthscope Commercial |
$774.21
|
| Rate for Payer: Mclaren Medicaid |
$327.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$508.07
|
| Rate for Payer: Meridian Medicaid |
$343.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89,950.00
|
| Rate for Payer: Nomi Health Commercial |
$580.66
|
| Rate for Payer: PACE SWMI |
$483.88
|
| Rate for Payer: PHP Medicare Advantage |
$483.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$609.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$915.17
|
| Rate for Payer: Priority Health Medicare |
$483.88
|
| Rate for Payer: Priority Health Narrow Network |
$915.17
|
| Rate for Payer: Priority Health SBD |
$915.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$526.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$483.88
|
| Rate for Payer: UHC Exchange |
$526.78
|
| Rate for Payer: UHC Medicare Advantage |
$483.88
|
| Rate for Payer: UHCCP Medicaid |
$327.17
|
|
|
PR CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS
|
Professional
|
Both
|
$749.00
|
|
|
Service Code
|
HCPCS 42970
|
| Min. Negotiated Rate |
$265.82 |
| Max. Negotiated Rate |
$72,778.00 |
| Rate for Payer: Aetna Commercial |
$524.78
|
| Rate for Payer: Aetna Medicare |
$407.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.95
|
| Rate for Payer: BCBS Complete |
$279.11
|
| Rate for Payer: BCBS MAPPO |
$391.63
|
| Rate for Payer: BCBS Trust/PPO |
$313.28
|
| Rate for Payer: BCN Commercial |
$604.99
|
| Rate for Payer: BCN Medicare Advantage |
$391.63
|
| Rate for Payer: Cash Price |
$599.20
|
| Rate for Payer: Cash Price |
$599.20
|
| Rate for Payer: Cofinity Commercial |
$563.95
|
| Rate for Payer: Cofinity Commercial |
$524.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.63
|
| Rate for Payer: Healthscope Commercial |
$724.52
|
| Rate for Payer: Healthscope Commercial |
$626.61
|
| Rate for Payer: Mclaren Medicaid |
$265.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.21
|
| Rate for Payer: Meridian Medicaid |
$279.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72,778.00
|
| Rate for Payer: Nomi Health Commercial |
$469.96
|
| Rate for Payer: PACE SWMI |
$391.63
|
| Rate for Payer: PHP Medicare Advantage |
$391.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$265.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$486.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$743.96
|
| Rate for Payer: Priority Health Medicare |
$391.63
|
| Rate for Payer: Priority Health Narrow Network |
$743.96
|
| Rate for Payer: Priority Health SBD |
$743.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$375.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.63
|
| Rate for Payer: UHC Exchange |
$375.20
|
| Rate for Payer: UHC Medicare Advantage |
$391.63
|
| Rate for Payer: UHCCP Medicaid |
$265.82
|
|
|
PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST
|
Professional
|
Both
|
$575.00
|
|
|
Service Code
|
HCPCS 30905
|
| Min. Negotiated Rate |
$67.95 |
| Max. Negotiated Rate |
$18,981.00 |
| Rate for Payer: Aetna Commercial |
$137.64
|
| Rate for Payer: Aetna Medicare |
$106.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$137.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.92
|
| Rate for Payer: BCBS Complete |
$71.35
|
| Rate for Payer: BCBS MAPPO |
$102.72
|
| Rate for Payer: BCBS Trust/PPO |
$835.24
|
| Rate for Payer: BCN Commercial |
$519.95
|
| Rate for Payer: BCN Medicare Advantage |
$102.72
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Cofinity Commercial |
$147.92
|
| Rate for Payer: Cofinity Commercial |
$137.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.72
|
| Rate for Payer: Healthscope Commercial |
$190.03
|
| Rate for Payer: Healthscope Commercial |
$164.35
|
| Rate for Payer: Mclaren Medicaid |
$67.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.86
|
| Rate for Payer: Meridian Medicaid |
$71.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,981.00
|
| Rate for Payer: Nomi Health Commercial |
$123.26
|
| Rate for Payer: PACE SWMI |
$102.72
|
| Rate for Payer: PHP Medicare Advantage |
$102.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146.46
|
| Rate for Payer: Priority Health Medicare |
$102.72
|
| Rate for Payer: Priority Health Narrow Network |
$146.46
|
| Rate for Payer: Priority Health SBD |
$146.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.72
|
| Rate for Payer: UHC Exchange |
$285.78
|
| Rate for Payer: UHC Medicare Advantage |
$102.72
|
| Rate for Payer: UHCCP Medicaid |
$67.95
|
|
|
PR CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ
|
Professional
|
Both
|
$599.00
|
|
|
Service Code
|
HCPCS 30906
|
| Min. Negotiated Rate |
$84.35 |
| Max. Negotiated Rate |
$23,773.00 |
| Rate for Payer: Aetna Commercial |
$170.70
|
| Rate for Payer: Aetna Medicare |
$132.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.44
|
| Rate for Payer: BCBS Complete |
$88.57
|
| Rate for Payer: BCBS MAPPO |
$127.39
|
| Rate for Payer: BCBS Trust/PPO |
$907.62
|
| Rate for Payer: BCN Commercial |
$551.23
|
| Rate for Payer: BCN Medicare Advantage |
$127.39
|
| Rate for Payer: Cash Price |
$479.20
|
| Rate for Payer: Cash Price |
$479.20
|
| Rate for Payer: Cofinity Commercial |
$183.44
|
| Rate for Payer: Cofinity Commercial |
$170.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.39
|
| Rate for Payer: Healthscope Commercial |
$235.67
|
| Rate for Payer: Healthscope Commercial |
$203.82
|
| Rate for Payer: Mclaren Medicaid |
$84.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.76
|
| Rate for Payer: Meridian Medicaid |
$88.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,773.00
|
| Rate for Payer: Nomi Health Commercial |
$152.87
|
| Rate for Payer: PACE SWMI |
$127.39
|
| Rate for Payer: PHP Medicare Advantage |
$127.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$389.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$183.53
|
| Rate for Payer: Priority Health Medicare |
$127.39
|
| Rate for Payer: Priority Health Narrow Network |
$183.53
|
| Rate for Payer: Priority Health SBD |
$183.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.39
|
| Rate for Payer: UHC Exchange |
$273.56
|
| Rate for Payer: UHC Medicare Advantage |
$127.39
|
| Rate for Payer: UHCCP Medicaid |
$84.35
|
|
|
PR CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ
|
Professional
|
Both
|
$780.00
|
|
|
Service Code
|
HCPCS 42961
|
| Min. Negotiated Rate |
$269.96 |
| Max. Negotiated Rate |
$74,140.00 |
| Rate for Payer: Aetna Commercial |
$534.35
|
| Rate for Payer: Aetna Medicare |
$414.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.23
|
| Rate for Payer: BCBS Complete |
$284.71
|
| Rate for Payer: BCBS MAPPO |
$398.77
|
| Rate for Payer: BCBS Trust/PPO |
$269.96
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$398.77
|
| Rate for Payer: Cash Price |
$624.00
|
| Rate for Payer: Cash Price |
$624.00
|
| Rate for Payer: Cofinity Commercial |
$574.23
|
| Rate for Payer: Cofinity Commercial |
$534.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.77
|
| Rate for Payer: Healthscope Commercial |
$737.72
|
| Rate for Payer: Healthscope Commercial |
$638.03
|
| Rate for Payer: Mclaren Medicaid |
$271.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.71
|
| Rate for Payer: Meridian Medicaid |
$284.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,140.00
|
| Rate for Payer: Nomi Health Commercial |
$478.52
|
| Rate for Payer: PACE SWMI |
$398.77
|
| Rate for Payer: PHP Medicare Advantage |
$398.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$507.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$758.87
|
| Rate for Payer: Priority Health Medicare |
$398.77
|
| Rate for Payer: Priority Health Narrow Network |
$758.87
|
| Rate for Payer: Priority Health SBD |
$758.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$434.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$398.77
|
| Rate for Payer: UHC Exchange |
$434.57
|
| Rate for Payer: UHC Medicare Advantage |
$398.77
|
| Rate for Payer: UHCCP Medicaid |
$271.15
|
|
|
PR CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ
|
Professional
|
Both
|
$1,901.00
|
|
|
Service Code
|
HCPCS 42962
|
| Min. Negotiated Rate |
$334.20 |
| Max. Negotiated Rate |
$91,881.00 |
| Rate for Payer: Aetna Commercial |
$659.90
|
| Rate for Payer: Aetna Medicare |
$512.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$659.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$709.14
|
| Rate for Payer: BCBS Complete |
$350.91
|
| Rate for Payer: BCBS MAPPO |
$492.46
|
| Rate for Payer: BCBS Trust/PPO |
$346.04
|
| Rate for Payer: BCN Commercial |
$763.31
|
| Rate for Payer: BCN Medicare Advantage |
$492.46
|
| Rate for Payer: Cash Price |
$1,520.80
|
| Rate for Payer: Cash Price |
$1,520.80
|
| Rate for Payer: Cofinity Commercial |
$709.14
|
| Rate for Payer: Cofinity Commercial |
$659.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.46
|
| Rate for Payer: Healthscope Commercial |
$911.05
|
| Rate for Payer: Healthscope Commercial |
$787.94
|
| Rate for Payer: Mclaren Medicaid |
$334.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.08
|
| Rate for Payer: Meridian Medicaid |
$350.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91,881.00
|
| Rate for Payer: Nomi Health Commercial |
$590.95
|
| Rate for Payer: PACE SWMI |
$492.46
|
| Rate for Payer: PHP Medicare Advantage |
$492.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$334.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,235.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$934.26
|
| Rate for Payer: Priority Health Medicare |
$492.46
|
| Rate for Payer: Priority Health Narrow Network |
$934.26
|
| Rate for Payer: Priority Health SBD |
$934.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$534.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$492.46
|
| Rate for Payer: UHC Exchange |
$534.84
|
| Rate for Payer: UHC Medicare Advantage |
$492.46
|
| Rate for Payer: UHCCP Medicaid |
$334.20
|
|
