|
PR DIVISION ABERRANT VESSEL VASCULAR RING
|
Professional
|
Both
|
$4,233.00
|
|
|
Service Code
|
HCPCS 33802
|
| Min. Negotiated Rate |
$689.69 |
| Max. Negotiated Rate |
$192,285.00 |
| Rate for Payer: Aetna Commercial |
$1,400.54
|
| Rate for Payer: Aetna Medicare |
$1,086.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,400.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,505.06
|
| Rate for Payer: BCBS Complete |
$724.17
|
| Rate for Payer: BCBS MAPPO |
$1,045.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,485.05
|
| Rate for Payer: BCN Commercial |
$1,564.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,045.18
|
| Rate for Payer: Cash Price |
$3,386.40
|
| Rate for Payer: Cash Price |
$3,386.40
|
| Rate for Payer: Cofinity Commercial |
$1,505.06
|
| Rate for Payer: Cofinity Commercial |
$1,400.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,045.18
|
| Rate for Payer: Healthscope Commercial |
$1,933.58
|
| Rate for Payer: Healthscope Commercial |
$1,672.29
|
| Rate for Payer: Mclaren Medicaid |
$689.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,097.44
|
| Rate for Payer: Meridian Medicaid |
$724.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192,285.00
|
| Rate for Payer: Nomi Health Commercial |
$1,254.22
|
| Rate for Payer: PACE SWMI |
$1,045.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,045.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$689.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,751.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,714.60
|
| Rate for Payer: Priority Health Medicare |
$1,045.18
|
| Rate for Payer: Priority Health Narrow Network |
$1,714.60
|
| Rate for Payer: Priority Health SBD |
$1,714.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,970.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,045.18
|
| Rate for Payer: UHC Exchange |
$1,970.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,045.18
|
| Rate for Payer: UHCCP Medicaid |
$689.69
|
|
|
PR DIVISION PLANTAR FASCIA & MUSCLE SPX
|
Professional
|
Both
|
$1,311.00
|
|
|
Service Code
|
HCPCS 28250
|
| Min. Negotiated Rate |
$269.45 |
| Max. Negotiated Rate |
$72,409.00 |
| Rate for Payer: Aetna Commercial |
$532.42
|
| Rate for Payer: Aetna Medicare |
$413.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.16
|
| Rate for Payer: BCBS Complete |
$282.92
|
| Rate for Payer: BCBS MAPPO |
$397.33
|
| Rate for Payer: BCBS Trust/PPO |
$3,050.93
|
| Rate for Payer: BCN Commercial |
$856.16
|
| Rate for Payer: BCN Medicare Advantage |
$397.33
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cash Price |
$1,048.80
|
| Rate for Payer: Cofinity Commercial |
$572.16
|
| Rate for Payer: Cofinity Commercial |
$532.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.33
|
| Rate for Payer: Healthscope Commercial |
$735.06
|
| Rate for Payer: Healthscope Commercial |
$635.73
|
| Rate for Payer: Mclaren Medicaid |
$269.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.20
|
| Rate for Payer: Meridian Medicaid |
$282.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72,409.00
|
| Rate for Payer: Nomi Health Commercial |
$476.80
|
| Rate for Payer: PACE SWMI |
$397.33
|
| Rate for Payer: PHP Medicare Advantage |
$397.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$852.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$636.07
|
| Rate for Payer: Priority Health Medicare |
$397.33
|
| Rate for Payer: Priority Health Narrow Network |
$636.07
|
| Rate for Payer: Priority Health SBD |
$636.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$608.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.33
|
| Rate for Payer: UHC Exchange |
$608.94
|
| Rate for Payer: UHC Medicare Advantage |
$397.33
|
| Rate for Payer: UHCCP Medicaid |
$269.45
|
|
|
PR DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB
|
Professional
|
Both
|
$1,119.00
|
|
|
Service Code
|
HCPCS 21705
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$95,386.00 |
| Rate for Payer: Aetna Commercial |
$694.21
|
| Rate for Payer: Aetna Medicare |
$538.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$694.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$746.02
|
| Rate for Payer: BCBS Complete |
$355.82
|
| Rate for Payer: BCBS MAPPO |
$518.07
|
| Rate for Payer: BCBS Trust/PPO |
$35.00
|
| Rate for Payer: BCN Commercial |
$770.16
|
| Rate for Payer: BCN Medicare Advantage |
$518.07
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cash Price |
$895.20
|
| Rate for Payer: Cofinity Commercial |
$746.02
|
| Rate for Payer: Cofinity Commercial |
$694.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$518.07
|
| Rate for Payer: Healthscope Commercial |
$958.43
|
| Rate for Payer: Healthscope Commercial |
$828.91
|
| Rate for Payer: Mclaren Medicaid |
$338.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$543.97
|
| Rate for Payer: Meridian Medicaid |
$355.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95,386.00
|
| Rate for Payer: Nomi Health Commercial |
$621.68
|
| Rate for Payer: PACE SWMI |
$518.07
|
| Rate for Payer: PHP Medicare Advantage |
$518.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$727.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$806.55
|
| Rate for Payer: Priority Health Medicare |
$518.07
|
| Rate for Payer: Priority Health Narrow Network |
$806.55
|
| Rate for Payer: Priority Health SBD |
$806.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$721.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$518.07
|
| Rate for Payer: UHC Exchange |
$721.63
|
| Rate for Payer: UHC Medicare Advantage |
$518.07
|
| Rate for Payer: UHCCP Medicaid |
$338.88
|
|
|
PR DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB
|
Professional
|
Both
|
$1,549.00
|
|
|
Service Code
|
HCPCS 21700
|
| Min. Negotiated Rate |
$227.27 |
| Max. Negotiated Rate |
$63,655.00 |
| Rate for Payer: Aetna Commercial |
$463.39
|
| Rate for Payer: Aetna Medicare |
$359.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.97
|
| Rate for Payer: BCBS Complete |
$238.63
|
| Rate for Payer: BCBS MAPPO |
$345.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,117.06
|
| Rate for Payer: BCN Commercial |
$516.04
|
| Rate for Payer: BCN Medicare Advantage |
$345.81
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cofinity Commercial |
$497.97
|
| Rate for Payer: Cofinity Commercial |
$463.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.81
|
| Rate for Payer: Healthscope Commercial |
$639.75
|
| Rate for Payer: Healthscope Commercial |
$553.30
|
| Rate for Payer: Mclaren Medicaid |
$227.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$363.10
|
| Rate for Payer: Meridian Medicaid |
$238.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63,655.00
|
| Rate for Payer: Nomi Health Commercial |
$414.97
|
| Rate for Payer: PACE SWMI |
$345.81
|
| Rate for Payer: PHP Medicare Advantage |
$345.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$540.92
|
| Rate for Payer: Priority Health Medicare |
$345.81
|
| Rate for Payer: Priority Health Narrow Network |
$540.92
|
| Rate for Payer: Priority Health SBD |
$540.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$596.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.81
|
| Rate for Payer: UHC Exchange |
$596.85
|
| Rate for Payer: UHC Medicare Advantage |
$345.81
|
| Rate for Payer: UHCCP Medicaid |
$227.27
|
|
|
PR DIVISION STRICTURE RECTUM
|
Professional
|
Both
|
$1,380.00
|
|
|
Service Code
|
HCPCS 45150
|
| Min. Negotiated Rate |
$275.62 |
| Max. Negotiated Rate |
$75,460.00 |
| Rate for Payer: Aetna Commercial |
$550.55
|
| Rate for Payer: Aetna Medicare |
$427.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$550.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$591.64
|
| Rate for Payer: BCBS Complete |
$289.40
|
| Rate for Payer: BCBS MAPPO |
$410.86
|
| Rate for Payer: BCN Commercial |
$622.57
|
| Rate for Payer: BCN Medicare Advantage |
$410.86
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cofinity Commercial |
$591.64
|
| Rate for Payer: Cofinity Commercial |
$550.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.86
|
| Rate for Payer: Healthscope Commercial |
$760.09
|
| Rate for Payer: Healthscope Commercial |
$657.38
|
| Rate for Payer: Mclaren Medicaid |
$275.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$431.40
|
| Rate for Payer: Meridian Medicaid |
$289.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75,460.00
|
| Rate for Payer: Nomi Health Commercial |
$493.03
|
| Rate for Payer: PACE SWMI |
$410.86
|
| Rate for Payer: PHP Medicare Advantage |
$410.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$275.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$897.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$766.62
|
| Rate for Payer: Priority Health Medicare |
$410.86
|
| Rate for Payer: Priority Health Narrow Network |
$766.62
|
| Rate for Payer: Priority Health SBD |
$766.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$447.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.86
|
| Rate for Payer: UHC Exchange |
$447.80
|
| Rate for Payer: UHC Medicare Advantage |
$410.86
|
| Rate for Payer: UHCCP Medicaid |
$275.62
|
|
|
PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 34710
|
| Min. Negotiated Rate |
$497.14 |
| Max. Negotiated Rate |
$140,539.00 |
| Rate for Payer: Aetna Commercial |
$1,020.37
|
| Rate for Payer: Aetna Medicare |
$791.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,020.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,096.52
|
| Rate for Payer: BCBS Complete |
$522.00
|
| Rate for Payer: BCBS MAPPO |
$761.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,852.75
|
| Rate for Payer: BCN Commercial |
$1,133.25
|
| Rate for Payer: BCN Medicare Advantage |
$761.47
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cofinity Commercial |
$1,096.52
|
| Rate for Payer: Cofinity Commercial |
$1,020.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$761.47
|
| Rate for Payer: Healthscope Commercial |
$1,218.35
|
| Rate for Payer: Healthscope Commercial |
$1,408.72
|
| Rate for Payer: Mclaren Medicaid |
$497.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$799.54
|
| Rate for Payer: Meridian Medicaid |
$522.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$140,539.00
|
| Rate for Payer: Nomi Health Commercial |
$913.76
|
| Rate for Payer: PACE SWMI |
$761.47
|
| Rate for Payer: PHP Medicare Advantage |
$761.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$497.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,092.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,239.15
|
| Rate for Payer: Priority Health Medicare |
$761.47
|
| Rate for Payer: Priority Health Narrow Network |
$1,239.15
|
| Rate for Payer: Priority Health SBD |
$1,239.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$761.47
|
| Rate for Payer: UHC Medicare Advantage |
$761.47
|
| Rate for Payer: UHCCP Medicaid |
$497.14
|
|
|
PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL
|
Professional
|
Both
|
$629.00
|
|
|
Service Code
|
HCPCS 34711
|
| Min. Negotiated Rate |
$183.39 |
| Max. Negotiated Rate |
$52,232.00 |
| Rate for Payer: Aetna Commercial |
$379.70
|
| Rate for Payer: Aetna Medicare |
$294.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$379.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$408.04
|
| Rate for Payer: BCBS Complete |
$192.56
|
| Rate for Payer: BCBS MAPPO |
$283.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,060.83
|
| Rate for Payer: BCN Commercial |
$418.30
|
| Rate for Payer: BCN Medicare Advantage |
$283.36
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Cash Price |
$503.20
|
| Rate for Payer: Cofinity Commercial |
$408.04
|
| Rate for Payer: Cofinity Commercial |
$379.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$283.36
|
| Rate for Payer: Healthscope Commercial |
$453.38
|
| Rate for Payer: Healthscope Commercial |
$524.22
|
| Rate for Payer: Mclaren Medicaid |
$183.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$297.53
|
| Rate for Payer: Meridian Medicaid |
$192.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,232.00
|
| Rate for Payer: Nomi Health Commercial |
$340.03
|
| Rate for Payer: PACE SWMI |
$283.36
|
| Rate for Payer: PHP Medicare Advantage |
$283.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$456.31
|
| Rate for Payer: Priority Health Medicare |
$283.36
|
| Rate for Payer: Priority Health Narrow Network |
$456.31
|
| Rate for Payer: Priority Health SBD |
$456.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$283.36
|
| Rate for Payer: UHC Medicare Advantage |
$283.36
|
| Rate for Payer: UHCCP Medicaid |
$183.39
|
|
|
PR DOG EAR REVISION
|
Professional
|
Both
|
$1,845.00
|
|
|
Service Code
|
HCPCS 00565
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$738.00 |
| Max. Negotiated Rate |
$1,199.25 |
| Rate for Payer: Aetna Medicare |
$922.50
|
| Rate for Payer: BCBS Complete |
$738.00
|
| Rate for Payer: Cash Price |
$1,476.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,199.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,199.25
|
|
|
PR DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 99324
|
| Min. Negotiated Rate |
$36.80 |
| Max. Negotiated Rate |
$59.80 |
| Rate for Payer: Aetna Medicare |
$46.00
|
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
|
|
PR DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 99335
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$92.95 |
| Rate for Payer: Aetna Medicare |
$71.50
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.95
|
|
|
PR DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES
|
Professional
|
Both
|
$202.00
|
|
|
Service Code
|
HCPCS 99336
|
| Min. Negotiated Rate |
$80.80 |
| Max. Negotiated Rate |
$131.30 |
| Rate for Payer: Aetna Medicare |
$101.00
|
| Rate for Payer: BCBS Complete |
$80.80
|
| Rate for Payer: Cash Price |
$161.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$131.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$131.30
|
|
|
PR DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 99334
|
| Min. Negotiated Rate |
$36.40 |
| Max. Negotiated Rate |
$59.15 |
| Rate for Payer: Aetna Medicare |
$45.50
|
| Rate for Payer: BCBS Complete |
$36.40
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
|
|
PR DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES
|
Professional
|
Both
|
$289.00
|
|
|
Service Code
|
HCPCS 99337
|
| Min. Negotiated Rate |
$115.60 |
| Max. Negotiated Rate |
$187.85 |
| Rate for Payer: Aetna Medicare |
$144.50
|
| Rate for Payer: BCBS Complete |
$115.60
|
| Rate for Payer: Cash Price |
$231.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.85
|
|
|
PR DOPPLER ECHO COLOR FLOW VELOCITY MAPPING
|
Professional
|
Both
|
$330.00
|
|
|
Service Code
|
HCPCS 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$1.92 |
| Max. Negotiated Rate |
$3,273.00 |
| Rate for Payer: Aetna Commercial |
$27.12
|
| Rate for Payer: Aetna Commercial |
$27.12
|
| Rate for Payer: Aetna Medicare |
$21.05
|
| Rate for Payer: Aetna Medicare |
$21.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.12
|
| Rate for Payer: BCBS Complete |
$2.02
|
| Rate for Payer: BCBS Complete |
$2.02
|
| Rate for Payer: BCBS MAPPO |
$20.24
|
| Rate for Payer: BCBS MAPPO |
$20.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Medicare Advantage |
$20.24
|
| Rate for Payer: BCN Medicare Advantage |
$20.24
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cofinity Commercial |
$29.15
|
| Rate for Payer: Cofinity Commercial |
$27.12
|
| Rate for Payer: Cofinity Commercial |
$27.12
|
| Rate for Payer: Cofinity Commercial |
$29.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.24
|
| Rate for Payer: Healthscope Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$37.44
|
| Rate for Payer: Healthscope Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$37.44
|
| Rate for Payer: Mclaren Medicaid |
$1.92
|
| Rate for Payer: Mclaren Medicaid |
$1.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.25
|
| Rate for Payer: Meridian Medicaid |
$2.02
|
| Rate for Payer: Meridian Medicaid |
$2.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,273.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,273.00
|
| Rate for Payer: Nomi Health Commercial |
$24.29
|
| Rate for Payer: Nomi Health Commercial |
$24.29
|
| Rate for Payer: PACE SWMI |
$20.24
|
| Rate for Payer: PACE SWMI |
$20.24
|
| Rate for Payer: PHP Medicare Advantage |
$20.24
|
| Rate for Payer: PHP Medicare Advantage |
$20.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$214.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$130.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32.96
|
| Rate for Payer: Priority Health Medicare |
$20.24
|
| Rate for Payer: Priority Health Medicare |
$20.24
|
| Rate for Payer: Priority Health Narrow Network |
$32.96
|
| Rate for Payer: Priority Health Narrow Network |
$32.96
|
| Rate for Payer: Priority Health SBD |
$4.24
|
| Rate for Payer: Priority Health SBD |
$4.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.24
|
| Rate for Payer: UHC Exchange |
$155.00
|
| Rate for Payer: UHC Exchange |
$155.00
|
| Rate for Payer: UHC Medicare Advantage |
$20.24
|
| Rate for Payer: UHC Medicare Advantage |
$20.24
|
| Rate for Payer: UHCCP Medicaid |
$1.92
|
| Rate for Payer: UHCCP Medicaid |
$1.92
|
|
|
PR DOPPLER ECHO COLOR FLOW VELOCITY MAPPING
|
Facility
|
OP
|
$201.00
|
|
|
Service Code
|
CPT 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$23.19 |
| Max. Negotiated Rate |
$180.90 |
| Rate for Payer: Aetna Commercial |
$170.85
|
| Rate for Payer: Aetna Commercial |
$280.50
|
| Rate for Payer: Aetna Medicare |
$165.00
|
| Rate for Payer: Aetna Medicare |
$100.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.50
|
| Rate for Payer: BCBS Complete |
$80.40
|
| Rate for Payer: BCBS Complete |
$132.00
|
| Rate for Payer: BCBS Trust/PPO |
$90.08
|
| Rate for Payer: BCBS Trust/PPO |
$90.08
|
| Rate for Payer: BCN Commercial |
$90.08
|
| Rate for Payer: BCN Commercial |
$90.08
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cofinity Commercial |
$283.80
|
| Rate for Payer: Cofinity Commercial |
$140.70
|
| Rate for Payer: Cofinity Commercial |
$172.86
|
| Rate for Payer: Cofinity Commercial |
$231.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$140.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$231.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.80
|
| Rate for Payer: Healthscope Commercial |
$297.00
|
| Rate for Payer: Healthscope Commercial |
$180.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$170.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.50
|
| Rate for Payer: PHP Commercial |
$280.50
|
| Rate for Payer: PHP Commercial |
$170.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$130.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$214.50
|
| Rate for Payer: Priority Health SBD |
$207.90
|
| Rate for Payer: Priority Health SBD |
$126.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.19
|
|
|
PR DOPPLER ECHO COLOR FLOW VELOCITY MAPPING
|
Professional
|
Both
|
$330.00
|
|
|
Service Code
|
HCPCS 93325
|
| Min. Negotiated Rate |
$1.92 |
| Max. Negotiated Rate |
$3,273.00 |
| Rate for Payer: Aetna Commercial |
$27.12
|
| Rate for Payer: Aetna Commercial |
$27.12
|
| Rate for Payer: Aetna Medicare |
$21.05
|
| Rate for Payer: Aetna Medicare |
$21.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.15
|
| Rate for Payer: BCBS Complete |
$2.02
|
| Rate for Payer: BCBS Complete |
$2.02
|
| Rate for Payer: BCBS MAPPO |
$20.24
|
| Rate for Payer: BCBS MAPPO |
$20.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Medicare Advantage |
$20.24
|
| Rate for Payer: BCN Medicare Advantage |
$20.24
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cofinity Commercial |
$27.12
|
| Rate for Payer: Cofinity Commercial |
$29.15
|
| Rate for Payer: Cofinity Commercial |
$27.12
|
| Rate for Payer: Cofinity Commercial |
$29.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.24
|
| Rate for Payer: Healthscope Commercial |
$37.44
|
| Rate for Payer: Healthscope Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$37.44
|
| Rate for Payer: Mclaren Medicaid |
$1.92
|
| Rate for Payer: Mclaren Medicaid |
$1.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.25
|
| Rate for Payer: Meridian Medicaid |
$2.02
|
| Rate for Payer: Meridian Medicaid |
$2.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,273.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,273.00
|
| Rate for Payer: Nomi Health Commercial |
$24.29
|
| Rate for Payer: Nomi Health Commercial |
$24.29
|
| Rate for Payer: PACE SWMI |
$20.24
|
| Rate for Payer: PACE SWMI |
$20.24
|
| Rate for Payer: PHP Medicare Advantage |
$20.24
|
| Rate for Payer: PHP Medicare Advantage |
$20.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$214.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$130.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$32.96
|
| Rate for Payer: Priority Health Medicare |
$20.24
|
| Rate for Payer: Priority Health Medicare |
$20.24
|
| Rate for Payer: Priority Health Narrow Network |
$32.96
|
| Rate for Payer: Priority Health Narrow Network |
$32.96
|
| Rate for Payer: Priority Health SBD |
$4.24
|
| Rate for Payer: Priority Health SBD |
$4.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.24
|
| Rate for Payer: UHC Exchange |
$155.00
|
| Rate for Payer: UHC Exchange |
$155.00
|
| Rate for Payer: UHC Medicare Advantage |
$20.24
|
| Rate for Payer: UHC Medicare Advantage |
$20.24
|
| Rate for Payer: UHCCP Medicaid |
$1.92
|
| Rate for Payer: UHCCP Medicaid |
$1.92
|
|
|
PR DOPPLER ECHO COLOR FLOW VELOCITY MAPPING
|
Facility
|
IP
|
$201.00
|
|
|
Service Code
|
CPT 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$126.63 |
| Max. Negotiated Rate |
$180.90 |
| Rate for Payer: Aetna Commercial |
$170.85
|
| Rate for Payer: Aetna Commercial |
$280.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$214.50
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cofinity Commercial |
$140.70
|
| Rate for Payer: Cofinity Commercial |
$231.00
|
| Rate for Payer: Cofinity Commercial |
$283.80
|
| Rate for Payer: Cofinity Commercial |
$172.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$231.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$140.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$160.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$264.00
|
| Rate for Payer: Healthscope Commercial |
$180.90
|
| Rate for Payer: Healthscope Commercial |
$297.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$170.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$280.50
|
| Rate for Payer: PHP Commercial |
$170.85
|
| Rate for Payer: PHP Commercial |
$280.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$214.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$130.65
|
| Rate for Payer: Priority Health SBD |
$207.90
|
| Rate for Payer: Priority Health SBD |
$126.63
|
|
|
PR DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$11.08 |
| Max. Negotiated Rate |
$7,181.00 |
| Rate for Payer: Aetna Commercial |
$60.92
|
| Rate for Payer: Aetna Commercial |
$60.92
|
| Rate for Payer: Aetna Medicare |
$47.28
|
| Rate for Payer: Aetna Medicare |
$47.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.92
|
| Rate for Payer: BCBS Complete |
$11.63
|
| Rate for Payer: BCBS Complete |
$11.63
|
| Rate for Payer: BCBS MAPPO |
$45.46
|
| Rate for Payer: BCBS MAPPO |
$45.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Medicare Advantage |
$45.46
|
| Rate for Payer: BCN Medicare Advantage |
$45.46
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$65.46
|
| Rate for Payer: Cofinity Commercial |
$60.92
|
| Rate for Payer: Cofinity Commercial |
$60.92
|
| Rate for Payer: Cofinity Commercial |
$65.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.46
|
| Rate for Payer: Healthscope Commercial |
$72.74
|
| Rate for Payer: Healthscope Commercial |
$84.10
|
| Rate for Payer: Healthscope Commercial |
$72.74
|
| Rate for Payer: Healthscope Commercial |
$84.10
|
| Rate for Payer: Mclaren Medicaid |
$11.08
|
| Rate for Payer: Mclaren Medicaid |
$11.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.73
|
| Rate for Payer: Meridian Medicaid |
$11.63
|
| Rate for Payer: Meridian Medicaid |
$11.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,181.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,181.00
|
| Rate for Payer: Nomi Health Commercial |
$54.55
|
| Rate for Payer: Nomi Health Commercial |
$54.55
|
| Rate for Payer: PACE SWMI |
$45.46
|
| Rate for Payer: PACE SWMI |
$45.46
|
| Rate for Payer: PHP Medicare Advantage |
$45.46
|
| Rate for Payer: PHP Medicare Advantage |
$45.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.57
|
| Rate for Payer: Priority Health Medicare |
$45.46
|
| Rate for Payer: Priority Health Medicare |
$45.46
|
| Rate for Payer: Priority Health Narrow Network |
$71.57
|
| Rate for Payer: Priority Health Narrow Network |
$71.57
|
| Rate for Payer: Priority Health SBD |
$24.48
|
| Rate for Payer: Priority Health SBD |
$24.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.46
|
| Rate for Payer: UHC Exchange |
$150.00
|
| Rate for Payer: UHC Exchange |
$150.00
|
| Rate for Payer: UHC Medicare Advantage |
$45.46
|
| Rate for Payer: UHC Medicare Advantage |
$45.46
|
| Rate for Payer: UHCCP Medicaid |
$11.08
|
| Rate for Payer: UHCCP Medicaid |
$11.08
|
|
|
PR DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 93320
|
| Min. Negotiated Rate |
$11.08 |
| Max. Negotiated Rate |
$7,181.00 |
| Rate for Payer: Aetna Commercial |
$60.92
|
| Rate for Payer: Aetna Commercial |
$60.92
|
| Rate for Payer: Aetna Medicare |
$47.28
|
| Rate for Payer: Aetna Medicare |
$47.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.92
|
| Rate for Payer: BCBS Complete |
$11.63
|
| Rate for Payer: BCBS Complete |
$11.63
|
| Rate for Payer: BCBS MAPPO |
$45.46
|
| Rate for Payer: BCBS MAPPO |
$45.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Medicare Advantage |
$45.46
|
| Rate for Payer: BCN Medicare Advantage |
$45.46
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$65.46
|
| Rate for Payer: Cofinity Commercial |
$60.92
|
| Rate for Payer: Cofinity Commercial |
$60.92
|
| Rate for Payer: Cofinity Commercial |
$65.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.46
|
| Rate for Payer: Healthscope Commercial |
$72.74
|
| Rate for Payer: Healthscope Commercial |
$84.10
|
| Rate for Payer: Healthscope Commercial |
$72.74
|
| Rate for Payer: Healthscope Commercial |
$84.10
|
| Rate for Payer: Mclaren Medicaid |
$11.08
|
| Rate for Payer: Mclaren Medicaid |
$11.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$47.73
|
| Rate for Payer: Meridian Medicaid |
$11.63
|
| Rate for Payer: Meridian Medicaid |
$11.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,181.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7,181.00
|
| Rate for Payer: Nomi Health Commercial |
$54.55
|
| Rate for Payer: Nomi Health Commercial |
$54.55
|
| Rate for Payer: PACE SWMI |
$45.46
|
| Rate for Payer: PACE SWMI |
$45.46
|
| Rate for Payer: PHP Medicare Advantage |
$45.46
|
| Rate for Payer: PHP Medicare Advantage |
$45.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.57
|
| Rate for Payer: Priority Health Medicare |
$45.46
|
| Rate for Payer: Priority Health Medicare |
$45.46
|
| Rate for Payer: Priority Health Narrow Network |
$71.57
|
| Rate for Payer: Priority Health Narrow Network |
$71.57
|
| Rate for Payer: Priority Health SBD |
$24.48
|
| Rate for Payer: Priority Health SBD |
$24.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.46
|
| Rate for Payer: UHC Exchange |
$150.00
|
| Rate for Payer: UHC Exchange |
$150.00
|
| Rate for Payer: UHC Medicare Advantage |
$45.46
|
| Rate for Payer: UHC Medicare Advantage |
$45.46
|
| Rate for Payer: UHCCP Medicaid |
$11.08
|
| Rate for Payer: UHCCP Medicaid |
$11.08
|
|
|
PR DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL
|
Facility
|
OP
|
$259.00
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$51.28 |
| Max. Negotiated Rate |
$233.10 |
| Rate for Payer: Aetna Commercial |
$220.15
|
| Rate for Payer: Aetna Commercial |
$149.60
|
| Rate for Payer: Aetna Medicare |
$129.50
|
| Rate for Payer: Aetna Medicare |
$88.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.40
|
| Rate for Payer: BCBS Complete |
$70.40
|
| Rate for Payer: BCBS Complete |
$103.60
|
| Rate for Payer: BCBS Trust/PPO |
$147.66
|
| Rate for Payer: BCBS Trust/PPO |
$147.66
|
| Rate for Payer: BCN Commercial |
$147.66
|
| Rate for Payer: BCN Commercial |
$147.66
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$151.36
|
| Rate for Payer: Cofinity Commercial |
$181.30
|
| Rate for Payer: Cofinity Commercial |
$222.74
|
| Rate for Payer: Cofinity Commercial |
$123.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$123.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$181.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$140.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.20
|
| Rate for Payer: Healthscope Commercial |
$158.40
|
| Rate for Payer: Healthscope Commercial |
$233.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.15
|
| Rate for Payer: PHP Commercial |
$220.15
|
| Rate for Payer: PHP Commercial |
$149.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.35
|
| Rate for Payer: Priority Health SBD |
$110.88
|
| Rate for Payer: Priority Health SBD |
$163.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.28
|
|
|
PR DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL
|
Facility
|
IP
|
$259.00
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$163.17 |
| Max. Negotiated Rate |
$233.10 |
| Rate for Payer: Aetna Commercial |
$220.15
|
| Rate for Payer: Aetna Commercial |
$149.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.40
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cofinity Commercial |
$222.74
|
| Rate for Payer: Cofinity Commercial |
$123.20
|
| Rate for Payer: Cofinity Commercial |
$151.36
|
| Rate for Payer: Cofinity Commercial |
$181.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$123.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$181.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$140.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.20
|
| Rate for Payer: Healthscope Commercial |
$233.10
|
| Rate for Payer: Healthscope Commercial |
$158.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.60
|
| Rate for Payer: PHP Commercial |
$149.60
|
| Rate for Payer: PHP Commercial |
$220.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$168.35
|
| Rate for Payer: Priority Health SBD |
$163.17
|
| Rate for Payer: Priority Health SBD |
$110.88
|
|
|
PR DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 93321
|
| Min. Negotiated Rate |
$4.47 |
| Max. Negotiated Rate |
$3,549.00 |
| Rate for Payer: Aetna Commercial |
$29.91
|
| Rate for Payer: Aetna Medicare |
$23.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.14
|
| Rate for Payer: BCBS Complete |
$4.69
|
| Rate for Payer: BCBS MAPPO |
$22.32
|
| Rate for Payer: BCBS Trust/PPO |
$2,553.80
|
| Rate for Payer: BCN Commercial |
$36.65
|
| Rate for Payer: BCN Medicare Advantage |
$22.32
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$32.14
|
| Rate for Payer: Cofinity Commercial |
$29.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.32
|
| Rate for Payer: Healthscope Commercial |
$41.29
|
| Rate for Payer: Healthscope Commercial |
$35.71
|
| Rate for Payer: Mclaren Medicaid |
$4.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.44
|
| Rate for Payer: Meridian Medicaid |
$4.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,549.00
|
| Rate for Payer: Nomi Health Commercial |
$26.78
|
| Rate for Payer: PACE SWMI |
$22.32
|
| Rate for Payer: PHP Medicare Advantage |
$22.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.32
|
| Rate for Payer: Priority Health Medicare |
$22.32
|
| Rate for Payer: Priority Health Narrow Network |
$35.32
|
| Rate for Payer: Priority Health SBD |
$9.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.32
|
| Rate for Payer: UHC Exchange |
$63.87
|
| Rate for Payer: UHC Medicare Advantage |
$22.32
|
| Rate for Payer: UHCCP Medicaid |
$4.47
|
|
|
PR DRAIN ABD ABSCESS PERCUTANEOUS
|
Professional
|
Both
|
$619.00
|
|
|
Service Code
|
HCPCS 49021
|
| Min. Negotiated Rate |
$247.60 |
| Max. Negotiated Rate |
$402.35 |
| Rate for Payer: Aetna Medicare |
$309.50
|
| Rate for Payer: BCBS Complete |
$247.60
|
| Rate for Payer: Cash Price |
$495.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$402.35
|
|
|
PR DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH
|
Professional
|
Both
|
$374.00
|
|
|
Service Code
|
HCPCS 30000
|
| Min. Negotiated Rate |
$79.02 |
| Max. Negotiated Rate |
$21,307.00 |
| Rate for Payer: Aetna Commercial |
$154.70
|
| Rate for Payer: Aetna Medicare |
$120.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.25
|
| Rate for Payer: BCBS Complete |
$82.97
|
| Rate for Payer: BCBS MAPPO |
$115.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,942.56
|
| Rate for Payer: BCN Commercial |
$396.81
|
| Rate for Payer: BCN Medicare Advantage |
$115.45
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cofinity Commercial |
$166.25
|
| Rate for Payer: Cofinity Commercial |
$154.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.45
|
| Rate for Payer: Healthscope Commercial |
$213.58
|
| Rate for Payer: Healthscope Commercial |
$184.72
|
| Rate for Payer: Mclaren Medicaid |
$79.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.22
|
| Rate for Payer: Meridian Medicaid |
$82.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,307.00
|
| Rate for Payer: Nomi Health Commercial |
$138.54
|
| Rate for Payer: PACE SWMI |
$115.45
|
| Rate for Payer: PHP Medicare Advantage |
$115.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$243.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.10
|
| Rate for Payer: Priority Health Medicare |
$115.45
|
| Rate for Payer: Priority Health Narrow Network |
$170.10
|
| Rate for Payer: Priority Health SBD |
$170.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.45
|
| Rate for Payer: UHC Exchange |
$227.18
|
| Rate for Payer: UHC Medicare Advantage |
$115.45
|
| Rate for Payer: UHCCP Medicaid |
$79.02
|
|
|
PR DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 30020
|
| Min. Negotiated Rate |
$79.24 |
| Max. Negotiated Rate |
$21,474.00 |
| Rate for Payer: Aetna Commercial |
$154.98
|
| Rate for Payer: Aetna Medicare |
$120.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.55
|
| Rate for Payer: BCBS Complete |
$83.20
|
| Rate for Payer: BCBS MAPPO |
$115.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,109.43
|
| Rate for Payer: BCN Commercial |
$401.20
|
| Rate for Payer: BCN Medicare Advantage |
$115.66
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$166.55
|
| Rate for Payer: Cofinity Commercial |
$154.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.66
|
| Rate for Payer: Healthscope Commercial |
$213.97
|
| Rate for Payer: Healthscope Commercial |
$185.06
|
| Rate for Payer: Mclaren Medicaid |
$79.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.44
|
| Rate for Payer: Meridian Medicaid |
$83.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,474.00
|
| Rate for Payer: Nomi Health Commercial |
$138.79
|
| Rate for Payer: PACE SWMI |
$115.66
|
| Rate for Payer: PHP Medicare Advantage |
$115.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$197.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.41
|
| Rate for Payer: Priority Health Medicare |
$115.66
|
| Rate for Payer: Priority Health Narrow Network |
$172.41
|
| Rate for Payer: Priority Health SBD |
$172.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.66
|
| Rate for Payer: UHC Exchange |
$193.14
|
| Rate for Payer: UHC Medicare Advantage |
$115.66
|
| Rate for Payer: UHCCP Medicaid |
$79.24
|
|
