|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
IP
|
$950.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$598.50 |
| Max. Negotiated Rate |
$855.00 |
| Rate for Payer: Aetna Commercial |
$807.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$617.50
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Advantage |
$665.00
|
| Rate for Payer: Cofinity Commercial |
$817.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.00
|
| Rate for Payer: Healthscope Commercial |
$855.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$807.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PHP Commercial |
$807.50
|
| Rate for Payer: Priority Health SBD |
$598.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
OP
|
$950.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$598.50 |
| Max. Negotiated Rate |
$9,359.82 |
| Rate for Payer: Aetna Commercial |
$807.50
|
| Rate for Payer: Aetna Medicare |
$3,010.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$617.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,617.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,617.84
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,377.78
|
| Rate for Payer: BCN Commercial |
$1,377.78
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Advantage |
$665.00
|
| Rate for Payer: Cofinity Commercial |
$817.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$760.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$855.00
|
| Rate for Payer: Mclaren Medicaid |
$1,513.70
|
| Rate for Payer: Mclaren Medicare |
$2,894.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,038.98
|
| Rate for Payer: Meridian Medicaid |
$3,038.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,328.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,183.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$807.50
|
| Rate for Payer: Nomi Health Commercial |
$8,682.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE Medicare |
$2,749.56
|
| Rate for Payer: PACE SWMI |
$2,894.27
|
| Rate for Payer: PHP Commercial |
$807.50
|
| Rate for Payer: PHP Medicare Advantage |
$2,894.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,513.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9,359.82
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health SBD |
$598.50
|
| Rate for Payer: Priority Health Tiered Network |
$7,487.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,894.27
|
| Rate for Payer: UHC Medicaid |
$1,513.70
|
| Rate for Payer: UHCCP Medicaid |
$1,513.70
|
| Rate for Payer: VA VA |
$2,894.27
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 11646
|
| Hospital Charge Code |
11646
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$440.35
|
| Rate for Payer: Aetna Medicare |
$341.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$473.21
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$328.62
|
| Rate for Payer: BCN Commercial |
$458.28
|
| Rate for Payer: BCN Medicare Advantage |
$328.62
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$473.21
|
| Rate for Payer: Cofinity Commercial |
$440.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.62
|
| Rate for Payer: Healthscope Commercial |
$607.95
|
| Rate for Payer: Healthscope Commercial |
$525.79
|
| Rate for Payer: Mclaren Medicaid |
$212.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.05
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$361.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$686.57
|
| Rate for Payer: Nomi Health Commercial |
$394.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE SWMI |
$328.62
|
| Rate for Payer: PHP Medicare Advantage |
$328.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$531.89
|
| Rate for Payer: Priority Health Medicare |
$328.62
|
| Rate for Payer: Priority Health SBD |
$531.89
|
| Rate for Payer: Priority Health Tiered Network |
$531.89
|
| Rate for Payer: Railroad Medicare Medicare |
$328.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$686.34
|
| Rate for Payer: UHC Core |
$686.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$328.62
|
| Rate for Payer: UHC Exchange |
$686.34
|
| Rate for Payer: UHC Medicaid |
$212.36
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 11646
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: PHP Medicare Advantage |
$328.62
|
| Rate for Payer: Aetna Commercial |
$440.35
|
| Rate for Payer: Aetna Medicare |
$341.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$473.21
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$328.62
|
| Rate for Payer: BCN Commercial |
$458.28
|
| Rate for Payer: BCN Medicare Advantage |
$328.62
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$473.21
|
| Rate for Payer: Cofinity Commercial |
$440.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.62
|
| Rate for Payer: Healthscope Commercial |
$607.95
|
| Rate for Payer: Healthscope Commercial |
$525.79
|
| Rate for Payer: Mclaren Medicaid |
$212.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.05
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$361.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$686.57
|
| Rate for Payer: Nomi Health Commercial |
$394.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$712.50
|
| Rate for Payer: PACE SWMI |
$328.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$531.89
|
| Rate for Payer: Priority Health Medicare |
$328.62
|
| Rate for Payer: Priority Health SBD |
$531.89
|
| Rate for Payer: Priority Health Tiered Network |
$531.89
|
| Rate for Payer: Railroad Medicare Medicare |
$328.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$686.34
|
| Rate for Payer: UHC Core |
$686.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$328.62
|
| Rate for Payer: UHC Exchange |
$686.34
|
| Rate for Payer: UHC Medicaid |
$212.36
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$332.00
|
|
|
Service Code
|
HCPCS 11620
|
| Min. Negotiated Rate |
$69.65 |
| Max. Negotiated Rate |
$249.00 |
| Rate for Payer: Aetna Commercial |
$141.88
|
| Rate for Payer: Aetna Medicare |
$110.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$141.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.47
|
| Rate for Payer: BCBS Complete |
$73.13
|
| Rate for Payer: BCBS MAPPO |
$105.88
|
| Rate for Payer: BCN Commercial |
$185.25
|
| Rate for Payer: BCN Medicare Advantage |
$105.88
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cofinity Commercial |
$152.47
|
| Rate for Payer: Cofinity Commercial |
$141.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.88
|
| Rate for Payer: Healthscope Commercial |
$195.88
|
| Rate for Payer: Healthscope Commercial |
$169.41
|
| Rate for Payer: Mclaren Medicaid |
$69.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.17
|
| Rate for Payer: Meridian Medicaid |
$73.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$116.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$214.51
|
| Rate for Payer: Nomi Health Commercial |
$127.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.00
|
| Rate for Payer: PACE SWMI |
$105.88
|
| Rate for Payer: PHP Medicare Advantage |
$105.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$169.55
|
| Rate for Payer: Priority Health Medicare |
$105.88
|
| Rate for Payer: Priority Health SBD |
$169.55
|
| Rate for Payer: Priority Health Tiered Network |
$169.55
|
| Rate for Payer: Railroad Medicare Medicare |
$105.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$211.01
|
| Rate for Payer: UHC Core |
$211.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$105.88
|
| Rate for Payer: UHC Exchange |
$211.01
|
| Rate for Payer: UHC Medicaid |
$69.65
|
| Rate for Payer: UHCCP Medicaid |
$69.65
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM
|
Professional
|
Both
|
$391.00
|
|
|
Service Code
|
HCPCS 11621
|
| Min. Negotiated Rate |
$82.43 |
| Max. Negotiated Rate |
$293.25 |
| Rate for Payer: Aetna Commercial |
$168.37
|
| Rate for Payer: Aetna Medicare |
$130.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$180.94
|
| Rate for Payer: BCBS Complete |
$86.55
|
| Rate for Payer: BCBS MAPPO |
$125.65
|
| Rate for Payer: BCN Commercial |
$225.09
|
| Rate for Payer: BCN Medicare Advantage |
$125.65
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cofinity Commercial |
$180.94
|
| Rate for Payer: Cofinity Commercial |
$168.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.65
|
| Rate for Payer: Healthscope Commercial |
$232.45
|
| Rate for Payer: Healthscope Commercial |
$201.04
|
| Rate for Payer: Mclaren Medicaid |
$82.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$131.93
|
| Rate for Payer: Meridian Medicaid |
$86.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$138.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$260.64
|
| Rate for Payer: Nomi Health Commercial |
$150.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$293.25
|
| Rate for Payer: PACE SWMI |
$125.65
|
| Rate for Payer: PHP Medicare Advantage |
$125.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$206.02
|
| Rate for Payer: Priority Health Medicare |
$125.65
|
| Rate for Payer: Priority Health SBD |
$206.02
|
| Rate for Payer: Priority Health Tiered Network |
$206.02
|
| Rate for Payer: Railroad Medicare Medicare |
$125.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$257.82
|
| Rate for Payer: UHC Core |
$257.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$125.65
|
| Rate for Payer: UHC Exchange |
$257.82
|
| Rate for Payer: UHC Medicaid |
$82.43
|
| Rate for Payer: UHCCP Medicaid |
$82.43
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
IP
|
$437.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$275.31 |
| Max. Negotiated Rate |
$393.30 |
| Rate for Payer: Aetna Commercial |
$371.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.05
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Advantage |
$305.90
|
| Rate for Payer: Cofinity Commercial |
$375.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.60
|
| Rate for Payer: Healthscope Commercial |
$393.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| Rate for Payer: PHP Commercial |
$371.45
|
| Rate for Payer: Priority Health SBD |
$275.31
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 11622
|
| Min. Negotiated Rate |
$91.80 |
| Max. Negotiated Rate |
$327.75 |
| Rate for Payer: Aetna Commercial |
$187.79
|
| Rate for Payer: Aetna Medicare |
$145.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.80
|
| Rate for Payer: BCBS Complete |
$96.39
|
| Rate for Payer: BCBS MAPPO |
$140.14
|
| Rate for Payer: BCN Commercial |
$253.97
|
| Rate for Payer: BCN Medicare Advantage |
$140.14
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$201.80
|
| Rate for Payer: Cofinity Commercial |
$187.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.14
|
| Rate for Payer: Healthscope Commercial |
$259.26
|
| Rate for Payer: Healthscope Commercial |
$224.22
|
| Rate for Payer: Mclaren Medicaid |
$91.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.15
|
| Rate for Payer: Meridian Medicaid |
$96.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$294.75
|
| Rate for Payer: Nomi Health Commercial |
$168.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| Rate for Payer: PACE SWMI |
$140.14
|
| Rate for Payer: PHP Medicare Advantage |
$140.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$232.45
|
| Rate for Payer: Priority Health Medicare |
$140.14
|
| Rate for Payer: Priority Health SBD |
$232.45
|
| Rate for Payer: Priority Health Tiered Network |
$232.45
|
| Rate for Payer: Railroad Medicare Medicare |
$140.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.96
|
| Rate for Payer: UHC Core |
$292.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$140.14
|
| Rate for Payer: UHC Exchange |
$292.96
|
| Rate for Payer: UHC Medicaid |
$91.80
|
| Rate for Payer: UHCCP Medicaid |
$91.80
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 11622
|
| Hospital Charge Code |
11622
|
| Min. Negotiated Rate |
$91.80 |
| Max. Negotiated Rate |
$327.75 |
| Rate for Payer: Aetna Commercial |
$187.79
|
| Rate for Payer: Aetna Medicare |
$145.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.80
|
| Rate for Payer: BCBS Complete |
$96.39
|
| Rate for Payer: BCBS MAPPO |
$140.14
|
| Rate for Payer: BCN Commercial |
$253.97
|
| Rate for Payer: BCN Medicare Advantage |
$140.14
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$201.80
|
| Rate for Payer: Cofinity Commercial |
$187.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.14
|
| Rate for Payer: Healthscope Commercial |
$259.26
|
| Rate for Payer: Healthscope Commercial |
$224.22
|
| Rate for Payer: Mclaren Medicaid |
$91.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.15
|
| Rate for Payer: Meridian Medicaid |
$96.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$294.75
|
| Rate for Payer: Nomi Health Commercial |
$168.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| Rate for Payer: PACE SWMI |
$140.14
|
| Rate for Payer: PHP Medicare Advantage |
$140.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$232.45
|
| Rate for Payer: Priority Health Medicare |
$140.14
|
| Rate for Payer: Priority Health SBD |
$232.45
|
| Rate for Payer: Priority Health Tiered Network |
$232.45
|
| Rate for Payer: Railroad Medicare Medicare |
$140.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$292.96
|
| Rate for Payer: UHC Core |
$292.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$140.14
|
| Rate for Payer: UHC Exchange |
$292.96
|
| Rate for Payer: UHC Medicaid |
$91.80
|
| Rate for Payer: UHCCP Medicaid |
$91.80
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
OP
|
$437.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$157.45 |
| Max. Negotiated Rate |
$2,281.79 |
| Rate for Payer: Aetna Commercial |
$371.45
|
| Rate for Payer: Aetna Medicare |
$733.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$881.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$881.99
|
| Rate for Payer: BCBS Complete |
$387.51
|
| Rate for Payer: BCBS MAPPO |
$705.59
|
| Rate for Payer: BCBS Trust/PPO |
$157.45
|
| Rate for Payer: BCN Commercial |
$157.45
|
| Rate for Payer: BCN Medicare Advantage |
$705.59
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Advantage |
$305.90
|
| Rate for Payer: Cofinity Commercial |
$375.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.59
|
| Rate for Payer: Healthscope Commercial |
$393.30
|
| Rate for Payer: Mclaren Medicaid |
$369.02
|
| Rate for Payer: Mclaren Medicare |
$705.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.87
|
| Rate for Payer: Meridian Medicaid |
$740.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$811.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$371.45
|
| Rate for Payer: Nomi Health Commercial |
$2,116.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$327.75
|
| Rate for Payer: PACE Medicare |
$670.31
|
| Rate for Payer: PACE SWMI |
$705.59
|
| Rate for Payer: PHP Commercial |
$371.45
|
| Rate for Payer: PHP Medicare Advantage |
$705.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,281.79
|
| Rate for Payer: Priority Health Medicare |
$705.59
|
| Rate for Payer: Priority Health SBD |
$275.31
|
| Rate for Payer: Priority Health Tiered Network |
$1,825.43
|
| Rate for Payer: Railroad Medicare Medicare |
$705.59
|
| Rate for Payer: UHC Medicaid |
$369.02
|
| Rate for Payer: UHCCP Medicaid |
$369.02
|
| Rate for Payer: VA VA |
$705.59
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$543.00
|
|
|
Service Code
|
HCPCS 11623
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$407.25 |
| Rate for Payer: Aetna Commercial |
$232.87
|
| Rate for Payer: Aetna Medicare |
$180.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.24
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$173.78
|
| Rate for Payer: BCN Commercial |
$313.73
|
| Rate for Payer: BCN Medicare Advantage |
$173.78
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Commercial |
$250.24
|
| Rate for Payer: Cofinity Commercial |
$232.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.78
|
| Rate for Payer: Healthscope Commercial |
$321.49
|
| Rate for Payer: Healthscope Commercial |
$278.05
|
| Rate for Payer: Mclaren Medicaid |
$113.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.47
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$191.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.55
|
| Rate for Payer: Nomi Health Commercial |
$208.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
| Rate for Payer: PACE SWMI |
$173.78
|
| Rate for Payer: PHP Medicare Advantage |
$173.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$287.14
|
| Rate for Payer: Priority Health Medicare |
$173.78
|
| Rate for Payer: Priority Health SBD |
$287.14
|
| Rate for Payer: Priority Health Tiered Network |
$287.14
|
| Rate for Payer: Railroad Medicare Medicare |
$173.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.14
|
| Rate for Payer: UHC Core |
$365.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.78
|
| Rate for Payer: UHC Exchange |
$365.14
|
| Rate for Payer: UHC Medicaid |
$113.32
|
| Rate for Payer: UHCCP Medicaid |
$113.32
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
IP
|
$543.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$342.09 |
| Max. Negotiated Rate |
$488.70 |
| Rate for Payer: Aetna Commercial |
$461.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.95
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Advantage |
$380.10
|
| Rate for Payer: Cofinity Commercial |
$466.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.40
|
| Rate for Payer: Healthscope Commercial |
$488.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$461.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
| Rate for Payer: PHP Commercial |
$461.55
|
| Rate for Payer: Priority Health SBD |
$342.09
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$543.00
|
|
|
Service Code
|
HCPCS 11623
|
| Hospital Charge Code |
11623
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$407.25 |
| Rate for Payer: Aetna Commercial |
$232.87
|
| Rate for Payer: Aetna Medicare |
$180.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.24
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$173.78
|
| Rate for Payer: BCN Commercial |
$313.73
|
| Rate for Payer: BCN Medicare Advantage |
$173.78
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Commercial |
$250.24
|
| Rate for Payer: Cofinity Commercial |
$232.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.78
|
| Rate for Payer: Healthscope Commercial |
$321.49
|
| Rate for Payer: Healthscope Commercial |
$278.05
|
| Rate for Payer: Mclaren Medicaid |
$113.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.47
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$191.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$366.55
|
| Rate for Payer: Nomi Health Commercial |
$208.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
| Rate for Payer: PACE SWMI |
$173.78
|
| Rate for Payer: PHP Medicare Advantage |
$173.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$287.14
|
| Rate for Payer: Priority Health Medicare |
$173.78
|
| Rate for Payer: Priority Health SBD |
$287.14
|
| Rate for Payer: Priority Health Tiered Network |
$287.14
|
| Rate for Payer: Railroad Medicare Medicare |
$173.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.14
|
| Rate for Payer: UHC Core |
$365.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.78
|
| Rate for Payer: UHC Exchange |
$365.14
|
| Rate for Payer: UHC Medicaid |
$113.32
|
| Rate for Payer: UHCCP Medicaid |
$113.32
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
OP
|
$543.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$172.79 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna Commercial |
$461.55
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$172.79
|
| Rate for Payer: BCN Commercial |
$172.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cash Price |
$434.40
|
| Rate for Payer: Cofinity Advantage |
$380.10
|
| Rate for Payer: Cofinity Commercial |
$466.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$488.70
|
| Rate for Payer: Mclaren Medicaid |
$860.68
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$461.55
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$407.25
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$461.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$342.09
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
OP
|
$613.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$386.19 |
| Max. Negotiated Rate |
$5,321.93 |
| Rate for Payer: Aetna Commercial |
$521.05
|
| Rate for Payer: Aetna Medicare |
$1,711.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$398.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,057.07
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,057.07
|
| Rate for Payer: BCBS Complete |
$903.80
|
| Rate for Payer: BCBS MAPPO |
$1,645.66
|
| Rate for Payer: BCBS Trust/PPO |
$814.47
|
| Rate for Payer: BCN Commercial |
$814.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,645.66
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Advantage |
$429.10
|
| Rate for Payer: Cofinity Commercial |
$527.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$490.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,645.66
|
| Rate for Payer: Healthscope Commercial |
$551.70
|
| Rate for Payer: Mclaren Medicaid |
$860.68
|
| Rate for Payer: Mclaren Medicare |
$1,645.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,727.94
|
| Rate for Payer: Meridian Medicaid |
$1,727.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,892.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,810.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$521.05
|
| Rate for Payer: Nomi Health Commercial |
$4,936.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
| Rate for Payer: PACE Medicare |
$1,563.38
|
| Rate for Payer: PACE SWMI |
$1,645.66
|
| Rate for Payer: PHP Commercial |
$521.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,645.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$860.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,321.93
|
| Rate for Payer: Priority Health Medicare |
$1,645.66
|
| Rate for Payer: Priority Health SBD |
$386.19
|
| Rate for Payer: Priority Health Tiered Network |
$4,257.54
|
| Rate for Payer: Railroad Medicare Medicare |
$1,645.66
|
| Rate for Payer: UHC Medicaid |
$860.68
|
| Rate for Payer: UHCCP Medicaid |
$860.68
|
| Rate for Payer: VA VA |
$1,645.66
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
IP
|
$613.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$386.19 |
| Max. Negotiated Rate |
$551.70 |
| Rate for Payer: Aetna Commercial |
$521.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$398.45
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Advantage |
$429.10
|
| Rate for Payer: Cofinity Commercial |
$527.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$490.40
|
| Rate for Payer: Healthscope Commercial |
$551.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$521.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
| Rate for Payer: PHP Commercial |
$521.05
|
| Rate for Payer: Priority Health SBD |
$386.19
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$613.00
|
|
|
Service Code
|
HCPCS 11624
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$459.75 |
| Rate for Payer: Aetna Commercial |
$266.83
|
| Rate for Payer: Aetna Medicare |
$207.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.75
|
| Rate for Payer: BCBS Complete |
$135.97
|
| Rate for Payer: BCBS MAPPO |
$199.13
|
| Rate for Payer: BCN Commercial |
$356.06
|
| Rate for Payer: BCN Medicare Advantage |
$199.13
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Commercial |
$286.75
|
| Rate for Payer: Cofinity Commercial |
$266.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.13
|
| Rate for Payer: Healthscope Commercial |
$368.39
|
| Rate for Payer: Healthscope Commercial |
$318.61
|
| Rate for Payer: Mclaren Medicaid |
$129.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.09
|
| Rate for Payer: Meridian Medicaid |
$135.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$417.10
|
| Rate for Payer: Nomi Health Commercial |
$238.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
| Rate for Payer: PACE SWMI |
$199.13
|
| Rate for Payer: PHP Medicare Advantage |
$199.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$325.89
|
| Rate for Payer: Priority Health Medicare |
$199.13
|
| Rate for Payer: Priority Health SBD |
$325.89
|
| Rate for Payer: Priority Health Tiered Network |
$325.89
|
| Rate for Payer: Railroad Medicare Medicare |
$199.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$415.49
|
| Rate for Payer: UHC Core |
$415.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.13
|
| Rate for Payer: UHC Exchange |
$415.49
|
| Rate for Payer: UHC Medicaid |
$129.50
|
| Rate for Payer: UHCCP Medicaid |
$129.50
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$613.00
|
|
|
Service Code
|
HCPCS 11624
|
| Hospital Charge Code |
11624
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$459.75 |
| Rate for Payer: Aetna Commercial |
$266.83
|
| Rate for Payer: Aetna Medicare |
$207.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.75
|
| Rate for Payer: BCBS Complete |
$135.97
|
| Rate for Payer: BCBS MAPPO |
$199.13
|
| Rate for Payer: BCN Commercial |
$356.06
|
| Rate for Payer: BCN Medicare Advantage |
$199.13
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cash Price |
$490.40
|
| Rate for Payer: Cofinity Commercial |
$286.75
|
| Rate for Payer: Cofinity Commercial |
$266.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.13
|
| Rate for Payer: Healthscope Commercial |
$368.39
|
| Rate for Payer: Healthscope Commercial |
$318.61
|
| Rate for Payer: Mclaren Medicaid |
$129.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.09
|
| Rate for Payer: Meridian Medicaid |
$135.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$417.10
|
| Rate for Payer: Nomi Health Commercial |
$238.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$459.75
|
| Rate for Payer: PACE SWMI |
$199.13
|
| Rate for Payer: PHP Medicare Advantage |
$199.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$325.89
|
| Rate for Payer: Priority Health Medicare |
$199.13
|
| Rate for Payer: Priority Health SBD |
$325.89
|
| Rate for Payer: Priority Health Tiered Network |
$325.89
|
| Rate for Payer: Railroad Medicare Medicare |
$199.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$415.49
|
| Rate for Payer: UHC Core |
$415.49
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$199.13
|
| Rate for Payer: UHC Exchange |
$415.49
|
| Rate for Payer: UHC Medicaid |
$129.50
|
| Rate for Payer: UHCCP Medicaid |
$129.50
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$958.00
|
|
|
Service Code
|
HCPCS 11626
|
| Min. Negotiated Rate |
$162.09 |
| Max. Negotiated Rate |
$718.50 |
| Rate for Payer: Aetna Commercial |
$335.80
|
| Rate for Payer: Aetna Medicare |
$260.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$335.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.86
|
| Rate for Payer: BCBS Complete |
$170.19
|
| Rate for Payer: BCBS MAPPO |
$250.60
|
| Rate for Payer: BCN Commercial |
$343.61
|
| Rate for Payer: BCN Medicare Advantage |
$250.60
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Commercial |
$360.86
|
| Rate for Payer: Cofinity Commercial |
$335.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.60
|
| Rate for Payer: Healthscope Commercial |
$463.61
|
| Rate for Payer: Healthscope Commercial |
$400.96
|
| Rate for Payer: Mclaren Medicaid |
$162.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.13
|
| Rate for Payer: Meridian Medicaid |
$170.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$275.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$513.79
|
| Rate for Payer: Nomi Health Commercial |
$300.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: PACE SWMI |
$250.60
|
| Rate for Payer: PHP Medicare Advantage |
$250.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$398.81
|
| Rate for Payer: Priority Health Medicare |
$250.60
|
| Rate for Payer: Priority Health SBD |
$398.81
|
| Rate for Payer: Priority Health Tiered Network |
$398.81
|
| Rate for Payer: Railroad Medicare Medicare |
$250.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$513.46
|
| Rate for Payer: UHC Core |
$513.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$250.60
|
| Rate for Payer: UHC Exchange |
$513.46
|
| Rate for Payer: UHC Medicaid |
$162.09
|
| Rate for Payer: UHCCP Medicaid |
$162.09
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$958.00
|
|
|
Service Code
|
HCPCS 11626
|
| Hospital Charge Code |
11626
|
| Min. Negotiated Rate |
$162.09 |
| Max. Negotiated Rate |
$718.50 |
| Rate for Payer: Aetna Commercial |
$335.80
|
| Rate for Payer: Aetna Medicare |
$260.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$335.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.86
|
| Rate for Payer: BCBS Complete |
$170.19
|
| Rate for Payer: BCBS MAPPO |
$250.60
|
| Rate for Payer: BCN Commercial |
$343.61
|
| Rate for Payer: BCN Medicare Advantage |
$250.60
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Commercial |
$335.80
|
| Rate for Payer: Cofinity Commercial |
$360.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.60
|
| Rate for Payer: Healthscope Commercial |
$463.61
|
| Rate for Payer: Healthscope Commercial |
$400.96
|
| Rate for Payer: Mclaren Medicaid |
$162.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.13
|
| Rate for Payer: Meridian Medicaid |
$170.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$275.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$513.79
|
| Rate for Payer: Nomi Health Commercial |
$300.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: PACE SWMI |
$250.60
|
| Rate for Payer: PHP Medicare Advantage |
$250.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$398.81
|
| Rate for Payer: Priority Health Medicare |
$250.60
|
| Rate for Payer: Priority Health SBD |
$398.81
|
| Rate for Payer: Priority Health Tiered Network |
$398.81
|
| Rate for Payer: Railroad Medicare Medicare |
$250.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$513.46
|
| Rate for Payer: UHC Core |
$513.46
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$250.60
|
| Rate for Payer: UHC Exchange |
$513.46
|
| Rate for Payer: UHC Medicaid |
$162.09
|
| Rate for Payer: UHCCP Medicaid |
$162.09
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
OP
|
$958.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$603.54 |
| Max. Negotiated Rate |
$9,359.82 |
| Rate for Payer: Aetna Commercial |
$814.30
|
| Rate for Payer: Aetna Medicare |
$3,010.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$622.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,617.84
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,617.84
|
| Rate for Payer: BCBS Complete |
$1,589.53
|
| Rate for Payer: BCBS MAPPO |
$2,894.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,180.96
|
| Rate for Payer: BCN Commercial |
$1,180.96
|
| Rate for Payer: BCN Medicare Advantage |
$2,894.27
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Advantage |
$670.60
|
| Rate for Payer: Cofinity Commercial |
$823.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$766.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,894.27
|
| Rate for Payer: Healthscope Commercial |
$862.20
|
| Rate for Payer: Mclaren Medicaid |
$1,513.70
|
| Rate for Payer: Mclaren Medicare |
$2,894.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,038.98
|
| Rate for Payer: Meridian Medicaid |
$3,038.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,328.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,183.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$814.30
|
| Rate for Payer: Nomi Health Commercial |
$8,682.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: PACE Medicare |
$2,749.56
|
| Rate for Payer: PACE SWMI |
$2,894.27
|
| Rate for Payer: PHP Commercial |
$814.30
|
| Rate for Payer: PHP Medicare Advantage |
$2,894.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,513.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$9,359.82
|
| Rate for Payer: Priority Health Medicare |
$2,894.27
|
| Rate for Payer: Priority Health SBD |
$603.54
|
| Rate for Payer: Priority Health Tiered Network |
$7,487.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2,894.27
|
| Rate for Payer: UHC Medicaid |
$1,513.70
|
| Rate for Payer: UHCCP Medicaid |
$1,513.70
|
| Rate for Payer: VA VA |
$2,894.27
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
IP
|
$958.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$603.54 |
| Max. Negotiated Rate |
$862.20 |
| Rate for Payer: Aetna Commercial |
$814.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$622.70
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cofinity Advantage |
$670.60
|
| Rate for Payer: Cofinity Commercial |
$823.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$766.40
|
| Rate for Payer: Healthscope Commercial |
$862.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$814.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: PHP Commercial |
$814.30
|
| Rate for Payer: Priority Health SBD |
$603.54
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$827.00
|
|
|
Service Code
|
HCPCS 11606
|
| Hospital Charge Code |
11606
|
| Min. Negotiated Rate |
$175.51 |
| Max. Negotiated Rate |
$620.25 |
| Rate for Payer: Aetna Commercial |
$363.88
|
| Rate for Payer: Aetna Medicare |
$282.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$363.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.03
|
| Rate for Payer: BCBS Complete |
$184.29
|
| Rate for Payer: BCBS MAPPO |
$271.55
|
| Rate for Payer: BCN Commercial |
$473.08
|
| Rate for Payer: BCN Medicare Advantage |
$271.55
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$391.03
|
| Rate for Payer: Cofinity Commercial |
$363.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.55
|
| Rate for Payer: Healthscope Commercial |
$502.37
|
| Rate for Payer: Healthscope Commercial |
$434.48
|
| Rate for Payer: Mclaren Medicaid |
$175.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.13
|
| Rate for Payer: Meridian Medicaid |
$184.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$298.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$557.39
|
| Rate for Payer: Nomi Health Commercial |
$325.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
| Rate for Payer: PACE SWMI |
$271.55
|
| Rate for Payer: PHP Medicare Advantage |
$271.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$432.99
|
| Rate for Payer: Priority Health Medicare |
$271.55
|
| Rate for Payer: Priority Health SBD |
$432.99
|
| Rate for Payer: Priority Health Tiered Network |
$432.99
|
| Rate for Payer: Railroad Medicare Medicare |
$271.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$556.71
|
| Rate for Payer: UHC Core |
$556.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$271.55
|
| Rate for Payer: UHC Exchange |
$556.71
|
| Rate for Payer: UHC Medicaid |
$175.51
|
| Rate for Payer: UHCCP Medicaid |
$175.51
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$827.00
|
|
|
Service Code
|
HCPCS 11606
|
| Min. Negotiated Rate |
$175.51 |
| Max. Negotiated Rate |
$620.25 |
| Rate for Payer: PHP Medicare Advantage |
$271.55
|
| Rate for Payer: Aetna Commercial |
$363.88
|
| Rate for Payer: Aetna Medicare |
$282.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$363.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$391.03
|
| Rate for Payer: BCBS Complete |
$184.29
|
| Rate for Payer: BCBS MAPPO |
$271.55
|
| Rate for Payer: BCN Commercial |
$473.08
|
| Rate for Payer: BCN Medicare Advantage |
$271.55
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Commercial |
$391.03
|
| Rate for Payer: Cofinity Commercial |
$363.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.55
|
| Rate for Payer: Healthscope Commercial |
$502.37
|
| Rate for Payer: Healthscope Commercial |
$434.48
|
| Rate for Payer: Mclaren Medicaid |
$175.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.13
|
| Rate for Payer: Meridian Medicaid |
$184.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$298.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$557.39
|
| Rate for Payer: Nomi Health Commercial |
$325.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
| Rate for Payer: PACE SWMI |
$271.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$432.99
|
| Rate for Payer: Priority Health Medicare |
$271.55
|
| Rate for Payer: Priority Health SBD |
$432.99
|
| Rate for Payer: Priority Health Tiered Network |
$432.99
|
| Rate for Payer: Railroad Medicare Medicare |
$271.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$556.71
|
| Rate for Payer: UHC Core |
$556.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$271.55
|
| Rate for Payer: UHC Exchange |
$556.71
|
| Rate for Payer: UHC Medicaid |
$175.51
|
| Rate for Payer: UHCCP Medicaid |
$175.51
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
IP
|
$827.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$521.01 |
| Max. Negotiated Rate |
$744.30 |
| Rate for Payer: Aetna Commercial |
$702.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$537.55
|
| Rate for Payer: Cash Price |
$661.60
|
| Rate for Payer: Cofinity Advantage |
$578.90
|
| Rate for Payer: Cofinity Commercial |
$711.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$661.60
|
| Rate for Payer: Healthscope Commercial |
$744.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$702.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$620.25
|
| Rate for Payer: PHP Commercial |
$702.95
|
| Rate for Payer: Priority Health SBD |
$521.01
|
|
