|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS 11045
|
| Hospital Charge Code |
11045
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$4,520.00 |
| Rate for Payer: Aetna Commercial |
$31.95
|
| Rate for Payer: Aetna Medicare |
$24.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.33
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$23.84
|
| Rate for Payer: BCBS Trust/PPO |
$111.72
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Medicare Advantage |
$23.84
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$34.33
|
| Rate for Payer: Cofinity Commercial |
$31.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.84
|
| Rate for Payer: Healthscope Commercial |
$38.14
|
| Rate for Payer: Healthscope Commercial |
$44.10
|
| Rate for Payer: Mclaren Medicaid |
$15.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.03
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,520.00
|
| Rate for Payer: Nomi Health Commercial |
$28.61
|
| Rate for Payer: PACE SWMI |
$23.84
|
| Rate for Payer: PHP Medicare Advantage |
$23.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.87
|
| Rate for Payer: Priority Health Medicare |
$23.84
|
| Rate for Payer: Priority Health Narrow Network |
$33.87
|
| Rate for Payer: Priority Health SBD |
$33.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.84
|
| Rate for Payer: UHC Medicare Advantage |
$23.84
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS 11045
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$4,520.00 |
| Rate for Payer: Aetna Commercial |
$31.95
|
| Rate for Payer: Aetna Medicare |
$24.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.33
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$23.84
|
| Rate for Payer: BCBS Trust/PPO |
$111.72
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Medicare Advantage |
$23.84
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$34.33
|
| Rate for Payer: Cofinity Commercial |
$31.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.84
|
| Rate for Payer: Healthscope Commercial |
$38.14
|
| Rate for Payer: Healthscope Commercial |
$44.10
|
| Rate for Payer: Mclaren Medicaid |
$15.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.03
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4,520.00
|
| Rate for Payer: Nomi Health Commercial |
$28.61
|
| Rate for Payer: PACE SWMI |
$23.84
|
| Rate for Payer: PHP Medicare Advantage |
$23.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.87
|
| Rate for Payer: Priority Health Medicare |
$23.84
|
| Rate for Payer: Priority Health Narrow Network |
$33.87
|
| Rate for Payer: Priority Health SBD |
$33.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.84
|
| Rate for Payer: UHC Medicare Advantage |
$23.84
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Facility
|
IP
|
$70.00
|
|
|
Service Code
|
CPT 11045
|
| Hospital Charge Code |
11045
|
| Min. Negotiated Rate |
$44.10 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Aetna Commercial |
$59.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.50
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$49.00
|
| Rate for Payer: Cofinity Commercial |
$60.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.00
|
| Rate for Payer: Healthscope Commercial |
$63.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.50
|
| Rate for Payer: PHP Commercial |
$59.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health SBD |
$44.10
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Facility
|
OP
|
$70.00
|
|
|
Service Code
|
CPT 11045
|
| Hospital Charge Code |
11045
|
| Min. Negotiated Rate |
$26.97 |
| Max. Negotiated Rate |
$878.00 |
| Rate for Payer: Aetna Commercial |
$59.50
|
| Rate for Payer: Aetna Medicare |
$35.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.50
|
| Rate for Payer: BCBS Complete |
$28.00
|
| Rate for Payer: BCBS Trust/PPO |
$84.12
|
| Rate for Payer: BCN Commercial |
$84.12
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$49.00
|
| Rate for Payer: Cofinity Commercial |
$60.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.00
|
| Rate for Payer: Healthscope Commercial |
$63.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.50
|
| Rate for Payer: PHP Commercial |
$59.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health SBD |
$44.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.97
|
| Rate for Payer: UHC Core |
$878.00
|
|
|
PR DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 36593
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$5,521.00 |
| Rate for Payer: Aetna Commercial |
$41.30
|
| Rate for Payer: Aetna Medicare |
$32.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.38
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS MAPPO |
$30.82
|
| Rate for Payer: BCBS Trust/PPO |
$549.96
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Medicare Advantage |
$30.82
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cofinity Commercial |
$44.38
|
| Rate for Payer: Cofinity Commercial |
$41.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.82
|
| Rate for Payer: Healthscope Commercial |
$49.31
|
| Rate for Payer: Healthscope Commercial |
$57.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5,521.00
|
| Rate for Payer: Nomi Health Commercial |
$36.98
|
| Rate for Payer: PACE SWMI |
$30.82
|
| Rate for Payer: PHP Medicare Advantage |
$30.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.31
|
| Rate for Payer: Priority Health Medicare |
$30.82
|
| Rate for Payer: Priority Health Narrow Network |
$55.31
|
| Rate for Payer: Priority Health SBD |
$55.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.82
|
| Rate for Payer: UHC Medicare Advantage |
$30.82
|
|
|
PR DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI
|
Professional
|
Both
|
$1,834.00
|
|
|
Service Code
|
HCPCS 27027
|
| Min. Negotiated Rate |
$573.40 |
| Max. Negotiated Rate |
$158,800.00 |
| Rate for Payer: Aetna Commercial |
$1,143.49
|
| Rate for Payer: Aetna Medicare |
$887.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,143.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,228.82
|
| Rate for Payer: BCBS Complete |
$602.07
|
| Rate for Payer: BCBS MAPPO |
$853.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,182.34
|
| Rate for Payer: BCN Commercial |
$1,310.63
|
| Rate for Payer: BCN Medicare Advantage |
$853.35
|
| Rate for Payer: Cash Price |
$1,467.20
|
| Rate for Payer: Cash Price |
$1,467.20
|
| Rate for Payer: Cofinity Commercial |
$1,228.82
|
| Rate for Payer: Cofinity Commercial |
$1,143.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.35
|
| Rate for Payer: Healthscope Commercial |
$1,365.36
|
| Rate for Payer: Healthscope Commercial |
$1,578.70
|
| Rate for Payer: Mclaren Medicaid |
$573.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$896.02
|
| Rate for Payer: Meridian Medicaid |
$602.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$158,800.00
|
| Rate for Payer: Nomi Health Commercial |
$1,024.02
|
| Rate for Payer: PACE SWMI |
$853.35
|
| Rate for Payer: PHP Medicare Advantage |
$853.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,192.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,362.73
|
| Rate for Payer: Priority Health Medicare |
$853.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,362.73
|
| Rate for Payer: Priority Health SBD |
$1,362.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$853.35
|
| Rate for Payer: UHC Medicare Advantage |
$853.35
|
| Rate for Payer: UHCCP Medicaid |
$573.40
|
|
|
PR DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT
|
Professional
|
Both
|
$948.00
|
|
|
Service Code
|
HCPCS 27496
|
| Min. Negotiated Rate |
$361.89 |
| Max. Negotiated Rate |
$97,272.00 |
| Rate for Payer: Aetna Commercial |
$712.81
|
| Rate for Payer: Aetna Medicare |
$553.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$766.01
|
| Rate for Payer: BCBS Complete |
$379.98
|
| Rate for Payer: BCBS MAPPO |
$531.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,098.34
|
| Rate for Payer: BCN Commercial |
$811.21
|
| Rate for Payer: BCN Medicare Advantage |
$531.95
|
| Rate for Payer: Cash Price |
$758.40
|
| Rate for Payer: Cash Price |
$758.40
|
| Rate for Payer: Cofinity Commercial |
$766.01
|
| Rate for Payer: Cofinity Commercial |
$712.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.95
|
| Rate for Payer: Healthscope Commercial |
$984.11
|
| Rate for Payer: Healthscope Commercial |
$851.12
|
| Rate for Payer: Mclaren Medicaid |
$361.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.55
|
| Rate for Payer: Meridian Medicaid |
$379.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97,272.00
|
| Rate for Payer: Nomi Health Commercial |
$638.34
|
| Rate for Payer: PACE SWMI |
$531.95
|
| Rate for Payer: PHP Medicare Advantage |
$531.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$616.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$855.91
|
| Rate for Payer: Priority Health Medicare |
$531.95
|
| Rate for Payer: Priority Health Narrow Network |
$855.91
|
| Rate for Payer: Priority Health SBD |
$855.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$586.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.95
|
| Rate for Payer: UHC Exchange |
$586.45
|
| Rate for Payer: UHC Medicare Advantage |
$531.95
|
| Rate for Payer: UHCCP Medicaid |
$361.89
|
|
|
PR DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL
|
Professional
|
Both
|
$1,692.00
|
|
|
Service Code
|
HCPCS 24495
|
| Min. Negotiated Rate |
$501.36 |
| Max. Negotiated Rate |
$161,969.00 |
| Rate for Payer: Aetna Commercial |
$1,145.75
|
| Rate for Payer: Aetna Medicare |
$889.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,145.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,231.26
|
| Rate for Payer: BCBS Complete |
$619.51
|
| Rate for Payer: BCBS MAPPO |
$855.04
|
| Rate for Payer: BCBS Trust/PPO |
$501.36
|
| Rate for Payer: BCN Commercial |
$1,369.28
|
| Rate for Payer: BCN Medicare Advantage |
$855.04
|
| Rate for Payer: Cash Price |
$1,353.60
|
| Rate for Payer: Cash Price |
$1,353.60
|
| Rate for Payer: Cofinity Commercial |
$1,231.26
|
| Rate for Payer: Cofinity Commercial |
$1,145.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$855.04
|
| Rate for Payer: Healthscope Commercial |
$1,581.82
|
| Rate for Payer: Healthscope Commercial |
$1,368.06
|
| Rate for Payer: Mclaren Medicaid |
$590.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$897.79
|
| Rate for Payer: Meridian Medicaid |
$619.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161,969.00
|
| Rate for Payer: Nomi Health Commercial |
$1,026.05
|
| Rate for Payer: PACE SWMI |
$855.04
|
| Rate for Payer: PHP Medicare Advantage |
$855.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$590.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,099.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,419.21
|
| Rate for Payer: Priority Health Medicare |
$855.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,419.21
|
| Rate for Payer: Priority Health SBD |
$1,419.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$776.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$855.04
|
| Rate for Payer: UHC Exchange |
$776.25
|
| Rate for Payer: UHC Medicare Advantage |
$855.04
|
| Rate for Payer: UHCCP Medicaid |
$590.01
|
|
|
PR DECOMPRESSION FINGERS&/HAND INJECTION INJURY
|
Professional
|
Both
|
$2,186.00
|
|
|
Service Code
|
HCPCS 26035
|
| Min. Negotiated Rate |
$89.15 |
| Max. Negotiated Rate |
$152,676.00 |
| Rate for Payer: Aetna Commercial |
$1,113.73
|
| Rate for Payer: Aetna Medicare |
$864.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,113.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,196.84
|
| Rate for Payer: BCBS Complete |
$591.11
|
| Rate for Payer: BCBS MAPPO |
$831.14
|
| Rate for Payer: BCBS Trust/PPO |
$89.15
|
| Rate for Payer: BCN Commercial |
$1,268.12
|
| Rate for Payer: BCN Medicare Advantage |
$831.14
|
| Rate for Payer: Cash Price |
$1,748.80
|
| Rate for Payer: Cash Price |
$1,748.80
|
| Rate for Payer: Cofinity Commercial |
$1,196.84
|
| Rate for Payer: Cofinity Commercial |
$1,113.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$831.14
|
| Rate for Payer: Healthscope Commercial |
$1,537.61
|
| Rate for Payer: Healthscope Commercial |
$1,329.82
|
| Rate for Payer: Mclaren Medicaid |
$562.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$872.70
|
| Rate for Payer: Meridian Medicaid |
$591.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152,676.00
|
| Rate for Payer: Nomi Health Commercial |
$997.37
|
| Rate for Payer: PACE SWMI |
$831.14
|
| Rate for Payer: PHP Medicare Advantage |
$831.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$562.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,420.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,333.21
|
| Rate for Payer: Priority Health Medicare |
$831.14
|
| Rate for Payer: Priority Health Narrow Network |
$1,333.21
|
| Rate for Payer: Priority Health SBD |
$1,333.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$749.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$831.14
|
| Rate for Payer: UHC Exchange |
$749.99
|
| Rate for Payer: UHC Medicare Advantage |
$831.14
|
| Rate for Payer: UHCCP Medicaid |
$562.96
|
|
|
PR DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH
|
Professional
|
Both
|
$5,746.00
|
|
|
Service Code
|
HCPCS 61330
|
| Min. Negotiated Rate |
$322.79 |
| Max. Negotiated Rate |
$325,220.00 |
| Rate for Payer: Aetna Commercial |
$2,386.11
|
| Rate for Payer: Aetna Medicare |
$1,851.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,386.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,564.18
|
| Rate for Payer: BCBS Complete |
$1,229.18
|
| Rate for Payer: BCBS MAPPO |
$1,780.68
|
| Rate for Payer: BCBS Trust/PPO |
$322.79
|
| Rate for Payer: BCN Commercial |
$2,648.64
|
| Rate for Payer: BCN Medicare Advantage |
$1,780.68
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cofinity Commercial |
$2,564.18
|
| Rate for Payer: Cofinity Commercial |
$2,386.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,780.68
|
| Rate for Payer: Healthscope Commercial |
$3,294.26
|
| Rate for Payer: Healthscope Commercial |
$2,849.09
|
| Rate for Payer: Mclaren Medicaid |
$1,170.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,869.71
|
| Rate for Payer: Meridian Medicaid |
$1,229.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325,220.00
|
| Rate for Payer: Nomi Health Commercial |
$2,136.82
|
| Rate for Payer: PACE SWMI |
$1,780.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,780.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,170.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,734.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,112.01
|
| Rate for Payer: Priority Health Medicare |
$1,780.68
|
| Rate for Payer: Priority Health Narrow Network |
$3,112.01
|
| Rate for Payer: Priority Health SBD |
$3,112.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,714.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,780.68
|
| Rate for Payer: UHC Exchange |
$1,714.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,780.68
|
| Rate for Payer: UHCCP Medicaid |
$1,170.65
|
|
|
PR DECOMPRESSION PLANTAR DIGITAL NERVE
|
Professional
|
Both
|
$1,573.00
|
|
|
Service Code
|
HCPCS 64726
|
| Min. Negotiated Rate |
$175.73 |
| Max. Negotiated Rate |
$47,489.00 |
| Rate for Payer: Aetna Commercial |
$346.78
|
| Rate for Payer: Aetna Medicare |
$269.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$346.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$372.66
|
| Rate for Payer: BCBS Complete |
$184.52
|
| Rate for Payer: BCBS MAPPO |
$258.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,254.71
|
| Rate for Payer: BCN Commercial |
$393.87
|
| Rate for Payer: BCN Medicare Advantage |
$258.79
|
| Rate for Payer: Cash Price |
$1,258.40
|
| Rate for Payer: Cash Price |
$1,258.40
|
| Rate for Payer: Cofinity Commercial |
$372.66
|
| Rate for Payer: Cofinity Commercial |
$346.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$258.79
|
| Rate for Payer: Healthscope Commercial |
$478.76
|
| Rate for Payer: Healthscope Commercial |
$414.06
|
| Rate for Payer: Mclaren Medicaid |
$175.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$271.73
|
| Rate for Payer: Meridian Medicaid |
$184.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47,489.00
|
| Rate for Payer: Nomi Health Commercial |
$310.55
|
| Rate for Payer: PACE SWMI |
$258.79
|
| Rate for Payer: PHP Medicare Advantage |
$258.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,022.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$462.37
|
| Rate for Payer: Priority Health Medicare |
$258.79
|
| Rate for Payer: Priority Health Narrow Network |
$462.37
|
| Rate for Payer: Priority Health SBD |
$462.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$258.79
|
| Rate for Payer: UHC Exchange |
$336.79
|
| Rate for Payer: UHC Medicare Advantage |
$258.79
|
| Rate for Payer: UHCCP Medicaid |
$175.73
|
|
|
PR DECOMPRESSION UNSPECIFIED NERVE
|
Professional
|
Both
|
$1,783.00
|
|
|
Service Code
|
HCPCS 64722
|
| Min. Negotiated Rate |
$242.82 |
| Max. Negotiated Rate |
$64,748.00 |
| Rate for Payer: Aetna Commercial |
$480.90
|
| Rate for Payer: Aetna Medicare |
$373.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$516.79
|
| Rate for Payer: BCBS Complete |
$254.96
|
| Rate for Payer: BCBS MAPPO |
$358.88
|
| Rate for Payer: BCBS Trust/PPO |
$5,909.56
|
| Rate for Payer: BCN Commercial |
$537.55
|
| Rate for Payer: BCN Medicare Advantage |
$358.88
|
| Rate for Payer: Cash Price |
$1,426.40
|
| Rate for Payer: Cash Price |
$1,426.40
|
| Rate for Payer: Cofinity Commercial |
$516.79
|
| Rate for Payer: Cofinity Commercial |
$480.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$358.88
|
| Rate for Payer: Healthscope Commercial |
$663.93
|
| Rate for Payer: Healthscope Commercial |
$574.21
|
| Rate for Payer: Mclaren Medicaid |
$242.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$376.82
|
| Rate for Payer: Meridian Medicaid |
$254.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64,748.00
|
| Rate for Payer: Nomi Health Commercial |
$430.66
|
| Rate for Payer: PACE SWMI |
$358.88
|
| Rate for Payer: PHP Medicare Advantage |
$358.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$242.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,158.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$642.65
|
| Rate for Payer: Priority Health Medicare |
$358.88
|
| Rate for Payer: Priority Health Narrow Network |
$642.65
|
| Rate for Payer: Priority Health SBD |
$642.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$358.88
|
| Rate for Payer: UHC Exchange |
$397.50
|
| Rate for Payer: UHC Medicare Advantage |
$358.88
|
| Rate for Payer: UHCCP Medicaid |
$242.82
|
|
|
PR DECOMPRESSIVE FASCIOTOMY HAND
|
Professional
|
Both
|
$1,363.00
|
|
|
Service Code
|
HCPCS 26037
|
| Min. Negotiated Rate |
$109.10 |
| Max. Negotiated Rate |
$99,923.00 |
| Rate for Payer: Aetna Commercial |
$730.49
|
| Rate for Payer: Aetna Medicare |
$566.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$730.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$785.00
|
| Rate for Payer: BCBS Complete |
$387.81
|
| Rate for Payer: BCBS MAPPO |
$545.14
|
| Rate for Payer: BCBS Trust/PPO |
$109.10
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$545.14
|
| Rate for Payer: Cash Price |
$1,090.40
|
| Rate for Payer: Cash Price |
$1,090.40
|
| Rate for Payer: Cofinity Commercial |
$785.00
|
| Rate for Payer: Cofinity Commercial |
$730.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$545.14
|
| Rate for Payer: Healthscope Commercial |
$872.22
|
| Rate for Payer: Healthscope Commercial |
$1,008.51
|
| Rate for Payer: Mclaren Medicaid |
$369.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$572.40
|
| Rate for Payer: Meridian Medicaid |
$387.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99,923.00
|
| Rate for Payer: Nomi Health Commercial |
$654.17
|
| Rate for Payer: PACE SWMI |
$545.14
|
| Rate for Payer: PHP Medicare Advantage |
$545.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$885.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$871.67
|
| Rate for Payer: Priority Health Medicare |
$545.14
|
| Rate for Payer: Priority Health Narrow Network |
$871.67
|
| Rate for Payer: Priority Health SBD |
$871.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$680.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$545.14
|
| Rate for Payer: UHC Exchange |
$680.38
|
| Rate for Payer: UHC Medicare Advantage |
$545.14
|
| Rate for Payer: UHCCP Medicaid |
$369.34
|
|
|
PR DECORTICATION & PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$4,013.00
|
|
|
Service Code
|
HCPCS 32320
|
| Min. Negotiated Rate |
$518.79 |
| Max. Negotiated Rate |
$284,441.00 |
| Rate for Payer: Aetna Commercial |
$2,065.22
|
| Rate for Payer: Aetna Medicare |
$1,602.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,065.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,219.34
|
| Rate for Payer: BCBS Complete |
$1,067.93
|
| Rate for Payer: BCBS MAPPO |
$1,541.21
|
| Rate for Payer: BCBS Trust/PPO |
$518.79
|
| Rate for Payer: BCN Commercial |
$2,313.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,541.21
|
| Rate for Payer: Cash Price |
$3,210.40
|
| Rate for Payer: Cash Price |
$3,210.40
|
| Rate for Payer: Cofinity Commercial |
$2,219.34
|
| Rate for Payer: Cofinity Commercial |
$2,065.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,541.21
|
| Rate for Payer: Healthscope Commercial |
$2,851.24
|
| Rate for Payer: Healthscope Commercial |
$2,465.94
|
| Rate for Payer: Mclaren Medicaid |
$1,017.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,618.27
|
| Rate for Payer: Meridian Medicaid |
$1,067.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$284,441.00
|
| Rate for Payer: Nomi Health Commercial |
$1,849.45
|
| Rate for Payer: PACE SWMI |
$1,541.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,541.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,017.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,608.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,204.24
|
| Rate for Payer: Priority Health Medicare |
$1,541.21
|
| Rate for Payer: Priority Health Narrow Network |
$2,204.24
|
| Rate for Payer: Priority Health SBD |
$2,204.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,923.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,541.21
|
| Rate for Payer: UHC Exchange |
$1,923.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,541.21
|
| Rate for Payer: UHCCP Medicaid |
$1,017.08
|
|
|
PR DECORTICATION PULMONARY PARTIAL SEPARATE PROC
|
Professional
|
Both
|
$2,062.00
|
|
|
Service Code
|
HCPCS 32225
|
| Min. Negotiated Rate |
$468.07 |
| Max. Negotiated Rate |
$176,560.00 |
| Rate for Payer: Aetna Commercial |
$1,282.11
|
| Rate for Payer: Aetna Medicare |
$995.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,282.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,377.79
|
| Rate for Payer: BCBS Complete |
$663.79
|
| Rate for Payer: BCBS MAPPO |
$956.80
|
| Rate for Payer: BCBS Trust/PPO |
$468.07
|
| Rate for Payer: BCN Commercial |
$1,437.69
|
| Rate for Payer: BCN Medicare Advantage |
$956.80
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cash Price |
$1,649.60
|
| Rate for Payer: Cofinity Commercial |
$1,377.79
|
| Rate for Payer: Cofinity Commercial |
$1,282.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$956.80
|
| Rate for Payer: Healthscope Commercial |
$1,770.08
|
| Rate for Payer: Healthscope Commercial |
$1,530.88
|
| Rate for Payer: Mclaren Medicaid |
$632.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,004.64
|
| Rate for Payer: Meridian Medicaid |
$663.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176,560.00
|
| Rate for Payer: Nomi Health Commercial |
$1,148.16
|
| Rate for Payer: PACE SWMI |
$956.80
|
| Rate for Payer: PHP Medicare Advantage |
$956.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$632.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,340.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,368.16
|
| Rate for Payer: Priority Health Medicare |
$956.80
|
| Rate for Payer: Priority Health Narrow Network |
$1,368.16
|
| Rate for Payer: Priority Health SBD |
$1,368.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,273.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$956.80
|
| Rate for Payer: UHC Exchange |
$1,273.24
|
| Rate for Payer: UHC Medicare Advantage |
$956.80
|
| Rate for Payer: UHCCP Medicaid |
$632.18
|
|
|
PR DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,963.00
|
|
|
Service Code
|
HCPCS 32220
|
| Min. Negotiated Rate |
$758.11 |
| Max. Negotiated Rate |
$282,667.00 |
| Rate for Payer: Aetna Commercial |
$2,056.86
|
| Rate for Payer: Aetna Medicare |
$1,596.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,056.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,210.36
|
| Rate for Payer: BCBS Complete |
$1,065.47
|
| Rate for Payer: BCBS MAPPO |
$1,534.97
|
| Rate for Payer: BCBS Trust/PPO |
$758.11
|
| Rate for Payer: BCN Commercial |
$2,302.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,534.97
|
| Rate for Payer: Cash Price |
$2,370.40
|
| Rate for Payer: Cash Price |
$2,370.40
|
| Rate for Payer: Cofinity Commercial |
$2,210.36
|
| Rate for Payer: Cofinity Commercial |
$2,056.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,534.97
|
| Rate for Payer: Healthscope Commercial |
$2,839.69
|
| Rate for Payer: Healthscope Commercial |
$2,455.95
|
| Rate for Payer: Mclaren Medicaid |
$1,014.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,611.72
|
| Rate for Payer: Meridian Medicaid |
$1,065.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$282,667.00
|
| Rate for Payer: Nomi Health Commercial |
$1,841.96
|
| Rate for Payer: PACE SWMI |
$1,534.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,534.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,014.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,925.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,197.75
|
| Rate for Payer: Priority Health Medicare |
$1,534.97
|
| Rate for Payer: Priority Health Narrow Network |
$2,197.75
|
| Rate for Payer: Priority Health SBD |
$2,197.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,837.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,534.97
|
| Rate for Payer: UHC Exchange |
$1,837.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,534.97
|
| Rate for Payer: UHCCP Medicaid |
$1,014.73
|
|
|
PR DEGARELIX INJECTION
|
Professional
|
Both
|
$6.00
|
|
|
Service Code
|
HCPCS J9155
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$413.00 |
| Rate for Payer: Aetna Commercial |
$5.84
|
| Rate for Payer: Aetna Medicare |
$4.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.27
|
| Rate for Payer: BCBS Complete |
$2.40
|
| Rate for Payer: BCBS MAPPO |
$4.36
|
| Rate for Payer: BCBS Trust/PPO |
$4.18
|
| Rate for Payer: BCN Commercial |
$4.06
|
| Rate for Payer: BCN Medicare Advantage |
$4.36
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Cofinity Commercial |
$6.27
|
| Rate for Payer: Cofinity Commercial |
$5.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.36
|
| Rate for Payer: Healthscope Commercial |
$6.97
|
| Rate for Payer: Healthscope Commercial |
$8.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$413.00
|
| Rate for Payer: Nomi Health Commercial |
$5.23
|
| Rate for Payer: PACE SWMI |
$4.36
|
| Rate for Payer: PHP Medicare Advantage |
$4.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.90
|
| Rate for Payer: Priority Health Medicare |
$4.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.36
|
| Rate for Payer: UHC Exchange |
$4.54
|
| Rate for Payer: UHC Medicare Advantage |
$4.36
|
|
|
PR DELAYED CREATION EXIT SITE EMBEDDED CATHETER
|
Professional
|
Both
|
$1,290.00
|
|
|
Service Code
|
HCPCS 49436
|
| Min. Negotiated Rate |
$120.13 |
| Max. Negotiated Rate |
$33,037.00 |
| Rate for Payer: Aetna Commercial |
$240.81
|
| Rate for Payer: Aetna Medicare |
$186.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$258.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.81
|
| Rate for Payer: BCBS Complete |
$126.14
|
| Rate for Payer: BCBS MAPPO |
$179.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,493.58
|
| Rate for Payer: BCN Commercial |
$801.43
|
| Rate for Payer: BCN Medicare Advantage |
$179.71
|
| Rate for Payer: Cash Price |
$1,032.00
|
| Rate for Payer: Cash Price |
$1,032.00
|
| Rate for Payer: Cofinity Commercial |
$258.78
|
| Rate for Payer: Cofinity Commercial |
$240.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.71
|
| Rate for Payer: Healthscope Commercial |
$332.46
|
| Rate for Payer: Healthscope Commercial |
$287.54
|
| Rate for Payer: Mclaren Medicaid |
$120.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.70
|
| Rate for Payer: Meridian Medicaid |
$126.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,037.00
|
| Rate for Payer: Nomi Health Commercial |
$215.65
|
| Rate for Payer: PACE SWMI |
$179.71
|
| Rate for Payer: PHP Medicare Advantage |
$179.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$838.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$334.68
|
| Rate for Payer: Priority Health Medicare |
$179.71
|
| Rate for Payer: Priority Health Narrow Network |
$334.68
|
| Rate for Payer: Priority Health SBD |
$334.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.71
|
| Rate for Payer: UHC Exchange |
$200.71
|
| Rate for Payer: UHC Medicare Advantage |
$179.71
|
| Rate for Payer: UHCCP Medicaid |
$120.13
|
|
|
PR DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS
|
Professional
|
Both
|
$906.00
|
|
|
Service Code
|
HCPCS 15630
|
| Min. Negotiated Rate |
$223.01 |
| Max. Negotiated Rate |
$59,782.00 |
| Rate for Payer: Aetna Commercial |
$435.53
|
| Rate for Payer: Aetna Medicare |
$338.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$435.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$468.03
|
| Rate for Payer: BCBS Complete |
$234.16
|
| Rate for Payer: BCBS MAPPO |
$325.02
|
| Rate for Payer: BCBS Trust/PPO |
$3,918.45
|
| Rate for Payer: BCN Commercial |
$677.79
|
| Rate for Payer: BCN Medicare Advantage |
$325.02
|
| Rate for Payer: Cash Price |
$724.80
|
| Rate for Payer: Cash Price |
$724.80
|
| Rate for Payer: Cofinity Commercial |
$468.03
|
| Rate for Payer: Cofinity Commercial |
$435.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.02
|
| Rate for Payer: Healthscope Commercial |
$601.29
|
| Rate for Payer: Healthscope Commercial |
$520.03
|
| Rate for Payer: Mclaren Medicaid |
$223.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$341.27
|
| Rate for Payer: Meridian Medicaid |
$234.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59,782.00
|
| Rate for Payer: Nomi Health Commercial |
$390.02
|
| Rate for Payer: PACE SWMI |
$325.02
|
| Rate for Payer: PHP Medicare Advantage |
$325.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$223.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$588.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$468.67
|
| Rate for Payer: Priority Health Medicare |
$325.02
|
| Rate for Payer: Priority Health Narrow Network |
$468.67
|
| Rate for Payer: Priority Health SBD |
$468.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$413.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.02
|
| Rate for Payer: UHC Exchange |
$413.59
|
| Rate for Payer: UHC Medicare Advantage |
$325.02
|
| Rate for Payer: UHCCP Medicaid |
$223.01
|
|
|
PR DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 15620
|
| Min. Negotiated Rate |
$75.69 |
| Max. Negotiated Rate |
$56,909.00 |
| Rate for Payer: Aetna Commercial |
$414.96
|
| Rate for Payer: Aetna Medicare |
$322.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$414.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$445.92
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$309.67
|
| Rate for Payer: BCBS Trust/PPO |
$75.69
|
| Rate for Payer: BCN Commercial |
$657.27
|
| Rate for Payer: BCN Medicare Advantage |
$309.67
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cofinity Commercial |
$445.92
|
| Rate for Payer: Cofinity Commercial |
$414.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.67
|
| Rate for Payer: Healthscope Commercial |
$572.89
|
| Rate for Payer: Healthscope Commercial |
$495.47
|
| Rate for Payer: Mclaren Medicaid |
$212.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.15
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,909.00
|
| Rate for Payer: Nomi Health Commercial |
$371.60
|
| Rate for Payer: PACE SWMI |
$309.67
|
| Rate for Payer: PHP Medicare Advantage |
$309.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$445.65
|
| Rate for Payer: Priority Health Medicare |
$309.67
|
| Rate for Payer: Priority Health Narrow Network |
$445.65
|
| Rate for Payer: Priority Health SBD |
$445.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$425.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.67
|
| Rate for Payer: UHC Exchange |
$425.06
|
| Rate for Payer: UHC Medicare Advantage |
$309.67
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS
|
Professional
|
Both
|
$612.00
|
|
|
Service Code
|
HCPCS 15610
|
| Min. Negotiated Rate |
$159.54 |
| Max. Negotiated Rate |
$42,476.00 |
| Rate for Payer: Aetna Commercial |
$310.81
|
| Rate for Payer: Aetna Medicare |
$241.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$310.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.01
|
| Rate for Payer: BCBS Complete |
$167.52
|
| Rate for Payer: BCBS MAPPO |
$231.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,032.46
|
| Rate for Payer: BCN Commercial |
$541.46
|
| Rate for Payer: BCN Medicare Advantage |
$231.95
|
| Rate for Payer: Cash Price |
$489.60
|
| Rate for Payer: Cash Price |
$489.60
|
| Rate for Payer: Cofinity Commercial |
$334.01
|
| Rate for Payer: Cofinity Commercial |
$310.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.95
|
| Rate for Payer: Healthscope Commercial |
$429.11
|
| Rate for Payer: Healthscope Commercial |
$371.12
|
| Rate for Payer: Mclaren Medicaid |
$159.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.55
|
| Rate for Payer: Meridian Medicaid |
$167.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42,476.00
|
| Rate for Payer: Nomi Health Commercial |
$278.34
|
| Rate for Payer: PACE SWMI |
$231.95
|
| Rate for Payer: PHP Medicare Advantage |
$231.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$397.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$334.13
|
| Rate for Payer: Priority Health Medicare |
$231.95
|
| Rate for Payer: Priority Health Narrow Network |
$334.13
|
| Rate for Payer: Priority Health SBD |
$334.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$255.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.95
|
| Rate for Payer: UHC Exchange |
$255.28
|
| Rate for Payer: UHC Medicare Advantage |
$231.95
|
| Rate for Payer: UHCCP Medicaid |
$159.54
|
|
|
PR DELAY FLAP/SECTIONING FLAP TRUNK
|
Professional
|
Both
|
$529.00
|
|
|
Service Code
|
HCPCS 15600
|
| Min. Negotiated Rate |
$137.17 |
| Max. Negotiated Rate |
$36,684.00 |
| Rate for Payer: Aetna Commercial |
$266.37
|
| Rate for Payer: Aetna Medicare |
$206.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.24
|
| Rate for Payer: BCBS Complete |
$144.03
|
| Rate for Payer: BCBS MAPPO |
$198.78
|
| Rate for Payer: BCBS Trust/PPO |
$852.18
|
| Rate for Payer: BCN Commercial |
$497.47
|
| Rate for Payer: BCN Medicare Advantage |
$198.78
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Cofinity Commercial |
$286.24
|
| Rate for Payer: Cofinity Commercial |
$266.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$198.78
|
| Rate for Payer: Healthscope Commercial |
$367.74
|
| Rate for Payer: Healthscope Commercial |
$318.05
|
| Rate for Payer: Mclaren Medicaid |
$137.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$208.72
|
| Rate for Payer: Meridian Medicaid |
$144.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36,684.00
|
| Rate for Payer: Nomi Health Commercial |
$238.54
|
| Rate for Payer: PACE SWMI |
$198.78
|
| Rate for Payer: PHP Medicare Advantage |
$198.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.33
|
| Rate for Payer: Priority Health Medicare |
$198.78
|
| Rate for Payer: Priority Health Narrow Network |
$290.33
|
| Rate for Payer: Priority Health SBD |
$290.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$198.78
|
| Rate for Payer: UHC Exchange |
$363.33
|
| Rate for Payer: UHC Medicare Advantage |
$198.78
|
| Rate for Payer: UHCCP Medicaid |
$137.17
|
|
|
PR DELIVERY/BIRTHING ROOM RESUSCITATION
|
Professional
|
Both
|
$465.00
|
|
|
Service Code
|
HCPCS 99465
|
| Min. Negotiated Rate |
$89.25 |
| Max. Negotiated Rate |
$20,841.00 |
| Rate for Payer: Aetna Commercial |
$179.02
|
| Rate for Payer: Aetna Medicare |
$138.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.38
|
| Rate for Payer: BCBS Complete |
$93.71
|
| Rate for Payer: BCBS MAPPO |
$133.60
|
| Rate for Payer: BCBS Trust/PPO |
$115.04
|
| Rate for Payer: BCN Commercial |
$204.27
|
| Rate for Payer: BCN Medicare Advantage |
$133.60
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cash Price |
$372.00
|
| Rate for Payer: Cofinity Commercial |
$192.38
|
| Rate for Payer: Cofinity Commercial |
$179.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.60
|
| Rate for Payer: Healthscope Commercial |
$213.76
|
| Rate for Payer: Healthscope Commercial |
$247.16
|
| Rate for Payer: Mclaren Medicaid |
$89.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.28
|
| Rate for Payer: Meridian Medicaid |
$93.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,841.00
|
| Rate for Payer: Nomi Health Commercial |
$160.32
|
| Rate for Payer: PACE SWMI |
$133.60
|
| Rate for Payer: PHP Medicare Advantage |
$133.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$302.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$188.91
|
| Rate for Payer: Priority Health Medicare |
$133.60
|
| Rate for Payer: Priority Health Narrow Network |
$188.91
|
| Rate for Payer: Priority Health SBD |
$188.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$133.60
|
| Rate for Payer: UHC Medicare Advantage |
$133.60
|
| Rate for Payer: UHCCP Medicaid |
$89.25
|
|
|
PR DELIVERY PLACENTA SEPARATE PROCEDURE
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 59414
|
| Min. Negotiated Rate |
$68.68 |
| Max. Negotiated Rate |
$16,405.00 |
| Rate for Payer: Aetna Commercial |
$119.69
|
| Rate for Payer: Aetna Medicare |
$92.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.62
|
| Rate for Payer: BCBS Complete |
$89.09
|
| Rate for Payer: BCBS MAPPO |
$89.32
|
| Rate for Payer: BCBS Trust/PPO |
$68.68
|
| Rate for Payer: BCN Commercial |
$132.43
|
| Rate for Payer: BCN Medicare Advantage |
$89.32
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$128.62
|
| Rate for Payer: Cofinity Commercial |
$119.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.32
|
| Rate for Payer: Healthscope Commercial |
$165.24
|
| Rate for Payer: Healthscope Commercial |
$142.91
|
| Rate for Payer: Mclaren Medicaid |
$84.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.79
|
| Rate for Payer: Meridian Medicaid |
$89.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,405.00
|
| Rate for Payer: Nomi Health Commercial |
$107.18
|
| Rate for Payer: PACE SWMI |
$89.32
|
| Rate for Payer: PHP Medicare Advantage |
$89.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$126.68
|
| Rate for Payer: Priority Health Medicare |
$89.32
|
| Rate for Payer: Priority Health Narrow Network |
$126.68
|
| Rate for Payer: Priority Health SBD |
$126.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.32
|
| Rate for Payer: UHC Exchange |
$106.09
|
| Rate for Payer: UHC Medicare Advantage |
$89.32
|
| Rate for Payer: UHCCP Medicaid |
$84.85
|
|
|
PR DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 94664
|
| Min. Negotiated Rate |
$16.08 |
| Max. Negotiated Rate |
$2,370.00 |
| Rate for Payer: Aetna Commercial |
$21.55
|
| Rate for Payer: Aetna Medicare |
$16.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.16
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCBS MAPPO |
$16.08
|
| Rate for Payer: BCBS Trust/PPO |
$379.32
|
| Rate for Payer: BCN Commercial |
$24.92
|
| Rate for Payer: BCN Medicare Advantage |
$16.08
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$23.16
|
| Rate for Payer: Cofinity Commercial |
$21.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.08
|
| Rate for Payer: Healthscope Commercial |
$29.75
|
| Rate for Payer: Healthscope Commercial |
$25.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,370.00
|
| Rate for Payer: Nomi Health Commercial |
$19.30
|
| Rate for Payer: PACE SWMI |
$16.08
|
| Rate for Payer: PHP Medicare Advantage |
$16.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24.43
|
| Rate for Payer: Priority Health Medicare |
$16.08
|
| Rate for Payer: Priority Health Narrow Network |
$24.43
|
| Rate for Payer: Priority Health SBD |
$24.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$16.08
|
| Rate for Payer: UHC Exchange |
$25.58
|
| Rate for Payer: UHC Medicare Advantage |
$16.08
|
|
