|
PR EXC/CURTG CST/B9 TUM PHALANGES FOOT
|
Professional
|
Both
|
$532.00
|
|
|
Service Code
|
HCPCS 28108
|
| Min. Negotiated Rate |
$188.51 |
| Max. Negotiated Rate |
$50,395.00 |
| Rate for Payer: Aetna Commercial |
$370.59
|
| Rate for Payer: Aetna Medicare |
$287.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$370.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$398.25
|
| Rate for Payer: BCBS Complete |
$197.94
|
| Rate for Payer: BCBS MAPPO |
$276.56
|
| Rate for Payer: BCBS Trust/PPO |
$252.00
|
| Rate for Payer: BCN Commercial |
$630.40
|
| Rate for Payer: BCN Medicare Advantage |
$276.56
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cofinity Commercial |
$398.25
|
| Rate for Payer: Cofinity Commercial |
$370.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$276.56
|
| Rate for Payer: Healthscope Commercial |
$511.64
|
| Rate for Payer: Healthscope Commercial |
$442.50
|
| Rate for Payer: Mclaren Medicaid |
$188.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$290.39
|
| Rate for Payer: Meridian Medicaid |
$197.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50,395.00
|
| Rate for Payer: Nomi Health Commercial |
$331.87
|
| Rate for Payer: PACE SWMI |
$276.56
|
| Rate for Payer: PHP Medicare Advantage |
$276.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$445.26
|
| Rate for Payer: Priority Health Medicare |
$276.56
|
| Rate for Payer: Priority Health Narrow Network |
$445.26
|
| Rate for Payer: Priority Health SBD |
$445.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$464.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$276.56
|
| Rate for Payer: UHC Exchange |
$464.97
|
| Rate for Payer: UHC Medicare Advantage |
$276.56
|
| Rate for Payer: UHCCP Medicaid |
$188.51
|
|
|
PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT
|
Professional
|
Both
|
$961.00
|
|
|
Service Code
|
HCPCS 28106
|
| Min. Negotiated Rate |
$276.05 |
| Max. Negotiated Rate |
$74,736.00 |
| Rate for Payer: Aetna Commercial |
$546.80
|
| Rate for Payer: Aetna Medicare |
$424.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.61
|
| Rate for Payer: BCBS Complete |
$289.85
|
| Rate for Payer: BCBS MAPPO |
$408.06
|
| Rate for Payer: BCBS Trust/PPO |
$907.62
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$408.06
|
| Rate for Payer: Cash Price |
$768.80
|
| Rate for Payer: Cash Price |
$768.80
|
| Rate for Payer: Cofinity Commercial |
$587.61
|
| Rate for Payer: Cofinity Commercial |
$546.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.06
|
| Rate for Payer: Healthscope Commercial |
$754.91
|
| Rate for Payer: Healthscope Commercial |
$652.90
|
| Rate for Payer: Mclaren Medicaid |
$276.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.46
|
| Rate for Payer: Meridian Medicaid |
$289.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,736.00
|
| Rate for Payer: Nomi Health Commercial |
$489.67
|
| Rate for Payer: PACE SWMI |
$408.06
|
| Rate for Payer: PHP Medicare Advantage |
$408.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$276.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$653.88
|
| Rate for Payer: Priority Health Medicare |
$408.06
|
| Rate for Payer: Priority Health Narrow Network |
$653.88
|
| Rate for Payer: Priority Health SBD |
$653.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$612.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.06
|
| Rate for Payer: UHC Exchange |
$612.68
|
| Rate for Payer: UHC Medicare Advantage |
$408.06
|
| Rate for Payer: UHCCP Medicaid |
$276.05
|
|
|
PR EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT
|
Professional
|
Both
|
$1,003.00
|
|
|
Service Code
|
HCPCS 25136
|
| Min. Negotiated Rate |
$328.66 |
| Max. Negotiated Rate |
$88,600.00 |
| Rate for Payer: Aetna Commercial |
$647.27
|
| Rate for Payer: Aetna Medicare |
$502.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$647.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$695.58
|
| Rate for Payer: BCBS Complete |
$345.09
|
| Rate for Payer: BCBS MAPPO |
$483.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,019.62
|
| Rate for Payer: BCN Commercial |
$738.88
|
| Rate for Payer: BCN Medicare Advantage |
$483.04
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cash Price |
$802.40
|
| Rate for Payer: Cofinity Commercial |
$695.58
|
| Rate for Payer: Cofinity Commercial |
$647.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$483.04
|
| Rate for Payer: Healthscope Commercial |
$893.62
|
| Rate for Payer: Healthscope Commercial |
$772.86
|
| Rate for Payer: Mclaren Medicaid |
$328.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$507.19
|
| Rate for Payer: Meridian Medicaid |
$345.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88,600.00
|
| Rate for Payer: Nomi Health Commercial |
$579.65
|
| Rate for Payer: PACE SWMI |
$483.04
|
| Rate for Payer: PHP Medicare Advantage |
$483.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$328.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$651.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$777.53
|
| Rate for Payer: Priority Health Medicare |
$483.04
|
| Rate for Payer: Priority Health Narrow Network |
$777.53
|
| Rate for Payer: Priority Health SBD |
$777.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$578.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$483.04
|
| Rate for Payer: UHC Exchange |
$578.51
|
| Rate for Payer: UHC Medicare Advantage |
$483.04
|
| Rate for Payer: UHCCP Medicaid |
$328.66
|
|
|
PR EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT
|
Professional
|
Both
|
$1,011.00
|
|
|
Service Code
|
HCPCS 25135
|
| Min. Negotiated Rate |
$370.19 |
| Max. Negotiated Rate |
$99,607.00 |
| Rate for Payer: Aetna Commercial |
$730.17
|
| Rate for Payer: Aetna Medicare |
$566.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$730.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$784.66
|
| Rate for Payer: BCBS Complete |
$388.70
|
| Rate for Payer: BCBS MAPPO |
$544.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,158.03
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$544.90
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cash Price |
$808.80
|
| Rate for Payer: Cofinity Commercial |
$784.66
|
| Rate for Payer: Cofinity Commercial |
$730.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$544.90
|
| Rate for Payer: Healthscope Commercial |
$871.84
|
| Rate for Payer: Healthscope Commercial |
$1,008.06
|
| Rate for Payer: Mclaren Medicaid |
$370.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$572.14
|
| Rate for Payer: Meridian Medicaid |
$388.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99,607.00
|
| Rate for Payer: Nomi Health Commercial |
$653.88
|
| Rate for Payer: PACE SWMI |
$544.90
|
| Rate for Payer: PHP Medicare Advantage |
$544.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$370.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$657.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$875.75
|
| Rate for Payer: Priority Health Medicare |
$544.90
|
| Rate for Payer: Priority Health Narrow Network |
$875.75
|
| Rate for Payer: Priority Health SBD |
$875.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$661.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$544.90
|
| Rate for Payer: UHC Exchange |
$661.43
|
| Rate for Payer: UHC Medicare Advantage |
$544.90
|
| Rate for Payer: UHCCP Medicaid |
$370.19
|
|
|
PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT
|
Professional
|
Both
|
$1,216.00
|
|
|
Service Code
|
HCPCS 25126
|
| Min. Negotiated Rate |
$394.48 |
| Max. Negotiated Rate |
$106,684.00 |
| Rate for Payer: Aetna Commercial |
$779.09
|
| Rate for Payer: Aetna Medicare |
$604.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$779.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$837.23
|
| Rate for Payer: BCBS Complete |
$414.20
|
| Rate for Payer: BCBS MAPPO |
$581.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,153.28
|
| Rate for Payer: BCN Commercial |
$887.44
|
| Rate for Payer: BCN Medicare Advantage |
$581.41
|
| Rate for Payer: Cash Price |
$972.80
|
| Rate for Payer: Cash Price |
$972.80
|
| Rate for Payer: Cofinity Commercial |
$837.23
|
| Rate for Payer: Cofinity Commercial |
$779.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$581.41
|
| Rate for Payer: Healthscope Commercial |
$930.26
|
| Rate for Payer: Healthscope Commercial |
$1,075.61
|
| Rate for Payer: Mclaren Medicaid |
$394.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$610.48
|
| Rate for Payer: Meridian Medicaid |
$414.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106,684.00
|
| Rate for Payer: Nomi Health Commercial |
$697.69
|
| Rate for Payer: PACE SWMI |
$581.41
|
| Rate for Payer: PHP Medicare Advantage |
$581.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$394.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$790.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$934.27
|
| Rate for Payer: Priority Health Medicare |
$581.41
|
| Rate for Payer: Priority Health Narrow Network |
$934.27
|
| Rate for Payer: Priority Health SBD |
$934.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$937.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$581.41
|
| Rate for Payer: UHC Exchange |
$937.41
|
| Rate for Payer: UHC Medicare Advantage |
$581.41
|
| Rate for Payer: UHCCP Medicaid |
$394.48
|
|
|
PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT
|
Professional
|
Both
|
$2,319.00
|
|
|
Service Code
|
HCPCS 25125
|
| Min. Negotiated Rate |
$87.17 |
| Max. Negotiated Rate |
$105,970.00 |
| Rate for Payer: Aetna Commercial |
$773.97
|
| Rate for Payer: Aetna Medicare |
$600.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$773.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.73
|
| Rate for Payer: BCBS Complete |
$411.52
|
| Rate for Payer: BCBS MAPPO |
$577.59
|
| Rate for Payer: BCBS Trust/PPO |
$87.17
|
| Rate for Payer: BCN Commercial |
$881.57
|
| Rate for Payer: BCN Medicare Advantage |
$577.59
|
| Rate for Payer: Cash Price |
$1,855.20
|
| Rate for Payer: Cash Price |
$1,855.20
|
| Rate for Payer: Cofinity Commercial |
$831.73
|
| Rate for Payer: Cofinity Commercial |
$773.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$577.59
|
| Rate for Payer: Healthscope Commercial |
$924.14
|
| Rate for Payer: Healthscope Commercial |
$1,068.54
|
| Rate for Payer: Mclaren Medicaid |
$391.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$606.47
|
| Rate for Payer: Meridian Medicaid |
$411.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105,970.00
|
| Rate for Payer: Nomi Health Commercial |
$693.11
|
| Rate for Payer: PACE SWMI |
$577.59
|
| Rate for Payer: PHP Medicare Advantage |
$577.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,507.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$927.65
|
| Rate for Payer: Priority Health Medicare |
$577.59
|
| Rate for Payer: Priority Health Narrow Network |
$927.65
|
| Rate for Payer: Priority Health SBD |
$927.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$952.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$577.59
|
| Rate for Payer: UHC Exchange |
$952.74
|
| Rate for Payer: UHC Medicare Advantage |
$577.59
|
| Rate for Payer: UHCCP Medicaid |
$391.92
|
|
|
PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION
|
Professional
|
Both
|
$1,052.00
|
|
|
Service Code
|
HCPCS 19120
|
| Min. Negotiated Rate |
$271.79 |
| Max. Negotiated Rate |
$74,345.00 |
| Rate for Payer: Aetna Commercial |
$543.26
|
| Rate for Payer: Aetna Medicare |
$421.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$543.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$583.80
|
| Rate for Payer: BCBS Complete |
$285.38
|
| Rate for Payer: BCBS MAPPO |
$405.42
|
| Rate for Payer: BCBS Trust/PPO |
$540.00
|
| Rate for Payer: BCN Commercial |
$762.83
|
| Rate for Payer: BCN Medicare Advantage |
$405.42
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cofinity Commercial |
$583.80
|
| Rate for Payer: Cofinity Commercial |
$543.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.42
|
| Rate for Payer: Healthscope Commercial |
$750.03
|
| Rate for Payer: Healthscope Commercial |
$648.67
|
| Rate for Payer: Mclaren Medicaid |
$271.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.69
|
| Rate for Payer: Meridian Medicaid |
$285.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,345.00
|
| Rate for Payer: Nomi Health Commercial |
$486.50
|
| Rate for Payer: PACE SWMI |
$405.42
|
| Rate for Payer: PHP Medicare Advantage |
$405.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$571.62
|
| Rate for Payer: Priority Health Medicare |
$405.42
|
| Rate for Payer: Priority Health Narrow Network |
$571.62
|
| Rate for Payer: Priority Health SBD |
$571.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$446.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$405.42
|
| Rate for Payer: UHC Exchange |
$446.64
|
| Rate for Payer: UHC Medicare Advantage |
$405.42
|
| Rate for Payer: UHCCP Medicaid |
$271.79
|
|
|
PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION
|
Professional
|
Both
|
$1,052.00
|
|
|
Service Code
|
HCPCS 19120
|
| Hospital Charge Code |
19120
|
| Min. Negotiated Rate |
$271.79 |
| Max. Negotiated Rate |
$74,345.00 |
| Rate for Payer: Aetna Commercial |
$543.26
|
| Rate for Payer: Aetna Medicare |
$421.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$543.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$583.80
|
| Rate for Payer: BCBS Complete |
$285.38
|
| Rate for Payer: BCBS MAPPO |
$405.42
|
| Rate for Payer: BCBS Trust/PPO |
$540.00
|
| Rate for Payer: BCN Commercial |
$762.83
|
| Rate for Payer: BCN Medicare Advantage |
$405.42
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cofinity Commercial |
$583.80
|
| Rate for Payer: Cofinity Commercial |
$543.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.42
|
| Rate for Payer: Healthscope Commercial |
$750.03
|
| Rate for Payer: Healthscope Commercial |
$648.67
|
| Rate for Payer: Mclaren Medicaid |
$271.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.69
|
| Rate for Payer: Meridian Medicaid |
$285.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,345.00
|
| Rate for Payer: Nomi Health Commercial |
$486.50
|
| Rate for Payer: PACE SWMI |
$405.42
|
| Rate for Payer: PHP Medicare Advantage |
$405.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$571.62
|
| Rate for Payer: Priority Health Medicare |
$405.42
|
| Rate for Payer: Priority Health Narrow Network |
$571.62
|
| Rate for Payer: Priority Health SBD |
$571.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$446.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$405.42
|
| Rate for Payer: UHC Exchange |
$446.64
|
| Rate for Payer: UHC Medicare Advantage |
$405.42
|
| Rate for Payer: UHCCP Medicaid |
$271.79
|
|
|
PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION
|
Facility
|
IP
|
$1,052.00
|
|
|
Service Code
|
CPT 19120
|
| Hospital Charge Code |
19120
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$662.76 |
| Max. Negotiated Rate |
$946.80 |
| Rate for Payer: Aetna Commercial |
$894.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$683.80
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cofinity Commercial |
$736.40
|
| Rate for Payer: Cofinity Commercial |
$904.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$736.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$841.60
|
| Rate for Payer: Healthscope Commercial |
$946.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$894.20
|
| Rate for Payer: PHP Commercial |
$894.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.80
|
| Rate for Payer: Priority Health SBD |
$662.76
|
|
|
PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION
|
Facility
|
OP
|
$1,052.00
|
|
|
Service Code
|
CPT 19120
|
| Hospital Charge Code |
19120
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$448.26 |
| Max. Negotiated Rate |
$11,792.02 |
| Rate for Payer: Aetna Commercial |
$894.20
|
| Rate for Payer: Aetna Medicare |
$3,901.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$683.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4,689.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4,689.81
|
| Rate for Payer: BCBS Complete |
$2,111.54
|
| Rate for Payer: BCBS MAPPO |
$3,751.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,599.88
|
| Rate for Payer: BCCCP Commercial |
$515.37
|
| Rate for Payer: BCN Commercial |
$1,599.88
|
| Rate for Payer: BCN Medicare Advantage |
$3,751.85
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cofinity Commercial |
$904.72
|
| Rate for Payer: Cofinity Commercial |
$736.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$736.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$841.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,751.85
|
| Rate for Payer: Healthscope Commercial |
$946.80
|
| Rate for Payer: Mclaren Medicaid |
$2,010.99
|
| Rate for Payer: Mclaren Medicare |
$3,751.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,939.44
|
| Rate for Payer: Meridian Medicaid |
$2,111.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4,314.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$894.20
|
| Rate for Payer: Nomi Health Commercial |
$7,878.88
|
| Rate for Payer: PACE Medicare |
$3,564.26
|
| Rate for Payer: PACE SWMI |
$3,751.85
|
| Rate for Payer: PHP Commercial |
$894.20
|
| Rate for Payer: PHP Medicare Advantage |
$3,751.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,010.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11,792.02
|
| Rate for Payer: Priority Health Medicare |
$3,751.85
|
| Rate for Payer: Priority Health Narrow Network |
$9,433.62
|
| Rate for Payer: Priority Health SBD |
$662.76
|
| Rate for Payer: Railroad Medicare Medicare |
$3,751.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.26
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,751.85
|
| Rate for Payer: UHC Medicare Advantage |
$3,751.85
|
| Rate for Payer: UHCCP Medicaid |
$2,112.29
|
| Rate for Payer: VA VA |
$3,751.85
|
|
|
PR EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS
|
Professional
|
Both
|
$1,411.00
|
|
|
Service Code
|
HCPCS 60200
|
| Min. Negotiated Rate |
$217.13 |
| Max. Negotiated Rate |
$119,099.00 |
| Rate for Payer: Aetna Commercial |
$862.38
|
| Rate for Payer: Aetna Medicare |
$669.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$862.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$926.74
|
| Rate for Payer: BCBS Complete |
$453.56
|
| Rate for Payer: BCBS MAPPO |
$643.57
|
| Rate for Payer: BCBS Trust/PPO |
$217.13
|
| Rate for Payer: BCN Commercial |
$981.75
|
| Rate for Payer: BCN Medicare Advantage |
$643.57
|
| Rate for Payer: Cash Price |
$1,128.80
|
| Rate for Payer: Cash Price |
$1,128.80
|
| Rate for Payer: Cofinity Commercial |
$926.74
|
| Rate for Payer: Cofinity Commercial |
$862.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.57
|
| Rate for Payer: Healthscope Commercial |
$1,190.60
|
| Rate for Payer: Healthscope Commercial |
$1,029.71
|
| Rate for Payer: Mclaren Medicaid |
$431.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$675.75
|
| Rate for Payer: Meridian Medicaid |
$453.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$119,099.00
|
| Rate for Payer: Nomi Health Commercial |
$772.28
|
| Rate for Payer: PACE SWMI |
$643.57
|
| Rate for Payer: PHP Medicare Advantage |
$643.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$431.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$917.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.30
|
| Rate for Payer: Priority Health Medicare |
$643.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,088.30
|
| Rate for Payer: Priority Health SBD |
$1,088.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.57
|
| Rate for Payer: UHC Exchange |
$766.06
|
| Rate for Payer: UHC Medicare Advantage |
$643.57
|
| Rate for Payer: UHCCP Medicaid |
$431.96
|
|
|
PR EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM
|
Professional
|
Both
|
$3,970.00
|
|
|
Service Code
|
HCPCS 49204
|
| Min. Negotiated Rate |
$624.45 |
| Max. Negotiated Rate |
$271,838.00 |
| Rate for Payer: Aetna Commercial |
$2,046.13
|
| Rate for Payer: Aetna Medicare |
$1,985.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,046.13
|
| Rate for Payer: BCBS Complete |
$1,588.00
|
| Rate for Payer: BCBS Trust/PPO |
$624.45
|
| Rate for Payer: BCN Commercial |
$2,216.64
|
| Rate for Payer: Cash Price |
$3,176.00
|
| Rate for Payer: Cash Price |
$3,176.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$271,838.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,580.50
|
|
|
PR EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM
|
Professional
|
Both
|
$3,208.00
|
|
|
Service Code
|
HCPCS 49205
|
| Min. Negotiated Rate |
$366.64 |
| Max. Negotiated Rate |
$312,212.00 |
| Rate for Payer: Aetna Commercial |
$2,348.49
|
| Rate for Payer: Aetna Medicare |
$1,604.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,348.49
|
| Rate for Payer: BCBS Complete |
$1,283.20
|
| Rate for Payer: BCBS Trust/PPO |
$366.64
|
| Rate for Payer: BCN Commercial |
$2,544.55
|
| Rate for Payer: Cash Price |
$2,566.40
|
| Rate for Payer: Cash Price |
$2,566.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$312,212.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,085.20
|
|
|
PR EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX
|
Professional
|
Both
|
$1,051.00
|
|
|
Service Code
|
HCPCS 42870
|
| Min. Negotiated Rate |
$377.01 |
| Max. Negotiated Rate |
$102,647.00 |
| Rate for Payer: Aetna Commercial |
$729.30
|
| Rate for Payer: Aetna Medicare |
$566.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$729.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.72
|
| Rate for Payer: BCBS Complete |
$395.86
|
| Rate for Payer: BCBS MAPPO |
$544.25
|
| Rate for Payer: BCBS Trust/PPO |
$829.43
|
| Rate for Payer: BCN Commercial |
$869.36
|
| Rate for Payer: BCN Medicare Advantage |
$544.25
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cash Price |
$840.80
|
| Rate for Payer: Cofinity Commercial |
$783.72
|
| Rate for Payer: Cofinity Commercial |
$729.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$544.25
|
| Rate for Payer: Healthscope Commercial |
$870.80
|
| Rate for Payer: Healthscope Commercial |
$1,006.86
|
| Rate for Payer: Mclaren Medicaid |
$377.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$571.46
|
| Rate for Payer: Meridian Medicaid |
$395.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102,647.00
|
| Rate for Payer: Nomi Health Commercial |
$653.10
|
| Rate for Payer: PACE SWMI |
$544.25
|
| Rate for Payer: PHP Medicare Advantage |
$544.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$377.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$683.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,057.77
|
| Rate for Payer: Priority Health Medicare |
$544.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,057.77
|
| Rate for Payer: Priority Health SBD |
$1,057.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$482.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$544.25
|
| Rate for Payer: UHC Exchange |
$482.15
|
| Rate for Payer: UHC Medicare Advantage |
$544.25
|
| Rate for Payer: UHCCP Medicaid |
$377.01
|
|
|
PR EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY
|
Professional
|
Both
|
$2,652.00
|
|
|
Service Code
|
HCPCS 15830
|
| Min. Negotiated Rate |
$226.01 |
| Max. Negotiated Rate |
$207,275.00 |
| Rate for Payer: Aetna Commercial |
$1,509.38
|
| Rate for Payer: Aetna Medicare |
$1,171.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,509.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,622.02
|
| Rate for Payer: BCBS Complete |
$795.97
|
| Rate for Payer: BCBS MAPPO |
$1,126.40
|
| Rate for Payer: BCBS Trust/PPO |
$226.01
|
| Rate for Payer: BCN Commercial |
$1,711.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,126.40
|
| Rate for Payer: Cash Price |
$2,121.60
|
| Rate for Payer: Cash Price |
$2,121.60
|
| Rate for Payer: Cofinity Commercial |
$1,622.02
|
| Rate for Payer: Cofinity Commercial |
$1,509.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,126.40
|
| Rate for Payer: Healthscope Commercial |
$2,083.84
|
| Rate for Payer: Healthscope Commercial |
$1,802.24
|
| Rate for Payer: Mclaren Medicaid |
$758.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,182.72
|
| Rate for Payer: Meridian Medicaid |
$795.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$207,275.00
|
| Rate for Payer: Nomi Health Commercial |
$1,351.68
|
| Rate for Payer: PACE SWMI |
$1,126.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,126.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$758.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,588.89
|
| Rate for Payer: Priority Health Medicare |
$1,126.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,588.89
|
| Rate for Payer: Priority Health SBD |
$1,588.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,283.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,126.40
|
| Rate for Payer: UHC Exchange |
$1,283.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,126.40
|
| Rate for Payer: UHCCP Medicaid |
$758.07
|
|
|
PR EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F
|
Professional
|
Both
|
$2,651.00
|
|
|
Service Code
|
HCPCS 26390
|
| Min. Negotiated Rate |
$153.74 |
| Max. Negotiated Rate |
$155,243.00 |
| Rate for Payer: Aetna Commercial |
$1,106.95
|
| Rate for Payer: Aetna Medicare |
$859.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,106.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,189.56
|
| Rate for Payer: BCBS Complete |
$594.02
|
| Rate for Payer: BCBS MAPPO |
$826.08
|
| Rate for Payer: BCBS Trust/PPO |
$153.74
|
| Rate for Payer: BCN Commercial |
$1,303.31
|
| Rate for Payer: BCN Medicare Advantage |
$826.08
|
| Rate for Payer: Cash Price |
$2,120.80
|
| Rate for Payer: Cash Price |
$2,120.80
|
| Rate for Payer: Cofinity Commercial |
$1,189.56
|
| Rate for Payer: Cofinity Commercial |
$1,106.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$826.08
|
| Rate for Payer: Healthscope Commercial |
$1,528.25
|
| Rate for Payer: Healthscope Commercial |
$1,321.73
|
| Rate for Payer: Mclaren Medicaid |
$565.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$867.38
|
| Rate for Payer: Meridian Medicaid |
$594.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$155,243.00
|
| Rate for Payer: Nomi Health Commercial |
$991.30
|
| Rate for Payer: PACE SWMI |
$826.08
|
| Rate for Payer: PHP Medicare Advantage |
$826.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$565.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,723.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,355.61
|
| Rate for Payer: Priority Health Medicare |
$826.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,355.61
|
| Rate for Payer: Priority Health SBD |
$1,355.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,036.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$826.08
|
| Rate for Payer: UHC Exchange |
$1,036.67
|
| Rate for Payer: UHC Medicare Advantage |
$826.08
|
| Rate for Payer: UHCCP Medicaid |
$565.73
|
|
|
PR EXC FRENUM LABIAL/BUCCAL
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 40819
|
| Min. Negotiated Rate |
$130.57 |
| Max. Negotiated Rate |
$34,546.00 |
| Rate for Payer: Aetna Commercial |
$254.35
|
| Rate for Payer: Aetna Medicare |
$197.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.33
|
| Rate for Payer: BCBS Complete |
$137.10
|
| Rate for Payer: BCBS MAPPO |
$189.81
|
| Rate for Payer: BCBS Trust/PPO |
$760.22
|
| Rate for Payer: BCN Commercial |
$394.36
|
| Rate for Payer: BCN Medicare Advantage |
$189.81
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$273.33
|
| Rate for Payer: Cofinity Commercial |
$254.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.81
|
| Rate for Payer: Healthscope Commercial |
$351.15
|
| Rate for Payer: Healthscope Commercial |
$303.70
|
| Rate for Payer: Mclaren Medicaid |
$130.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.30
|
| Rate for Payer: Meridian Medicaid |
$137.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34,546.00
|
| Rate for Payer: Nomi Health Commercial |
$227.77
|
| Rate for Payer: PACE SWMI |
$189.81
|
| Rate for Payer: PHP Medicare Advantage |
$189.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$130.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$358.56
|
| Rate for Payer: Priority Health Medicare |
$189.81
|
| Rate for Payer: Priority Health Narrow Network |
$358.56
|
| Rate for Payer: Priority Health SBD |
$358.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.81
|
| Rate for Payer: UHC Exchange |
$277.04
|
| Rate for Payer: UHC Medicare Advantage |
$189.81
|
| Rate for Payer: UHCCP Medicaid |
$130.57
|
|
|
PR EXC/FULGURATION URETHRAL CARUNCLE
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 53265
|
| Min. Negotiated Rate |
$122.05 |
| Max. Negotiated Rate |
$33,394.00 |
| Rate for Payer: Aetna Commercial |
$243.93
|
| Rate for Payer: Aetna Medicare |
$189.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$262.14
|
| Rate for Payer: BCBS Complete |
$128.15
|
| Rate for Payer: BCBS MAPPO |
$182.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,099.39
|
| Rate for Payer: BCN Commercial |
$334.26
|
| Rate for Payer: BCN Medicare Advantage |
$182.04
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$262.14
|
| Rate for Payer: Cofinity Commercial |
$243.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.04
|
| Rate for Payer: Healthscope Commercial |
$336.77
|
| Rate for Payer: Healthscope Commercial |
$291.26
|
| Rate for Payer: Mclaren Medicaid |
$122.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$191.14
|
| Rate for Payer: Meridian Medicaid |
$128.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,394.00
|
| Rate for Payer: Nomi Health Commercial |
$218.45
|
| Rate for Payer: PACE SWMI |
$182.04
|
| Rate for Payer: PHP Medicare Advantage |
$182.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$122.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$301.98
|
| Rate for Payer: Priority Health Medicare |
$182.04
|
| Rate for Payer: Priority Health Narrow Network |
$301.98
|
| Rate for Payer: Priority Health SBD |
$301.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$364.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.04
|
| Rate for Payer: UHC Exchange |
$364.09
|
| Rate for Payer: UHC Medicare Advantage |
$182.04
|
| Rate for Payer: UHCCP Medicaid |
$122.05
|
|
|
PR EXC/FULGURATION URETHRAL POLYP DSTL URETHRA
|
Professional
|
Both
|
$275.00
|
|
|
Service Code
|
HCPCS 53260
|
| Min. Negotiated Rate |
$116.94 |
| Max. Negotiated Rate |
$32,009.00 |
| Rate for Payer: Aetna Commercial |
$233.24
|
| Rate for Payer: Aetna Medicare |
$181.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.65
|
| Rate for Payer: BCBS Complete |
$122.79
|
| Rate for Payer: BCBS MAPPO |
$174.06
|
| Rate for Payer: BCBS Trust/PPO |
$546.26
|
| Rate for Payer: BCN Commercial |
$302.00
|
| Rate for Payer: BCN Medicare Advantage |
$174.06
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cofinity Commercial |
$250.65
|
| Rate for Payer: Cofinity Commercial |
$233.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.06
|
| Rate for Payer: Healthscope Commercial |
$322.01
|
| Rate for Payer: Healthscope Commercial |
$278.50
|
| Rate for Payer: Mclaren Medicaid |
$116.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.76
|
| Rate for Payer: Meridian Medicaid |
$122.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,009.00
|
| Rate for Payer: Nomi Health Commercial |
$208.87
|
| Rate for Payer: PACE SWMI |
$174.06
|
| Rate for Payer: PHP Medicare Advantage |
$174.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$178.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.27
|
| Rate for Payer: Priority Health Medicare |
$174.06
|
| Rate for Payer: Priority Health Narrow Network |
$290.27
|
| Rate for Payer: Priority Health SBD |
$290.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$342.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.06
|
| Rate for Payer: UHC Exchange |
$342.12
|
| Rate for Payer: UHC Medicare Advantage |
$174.06
|
| Rate for Payer: UHCCP Medicaid |
$116.94
|
|
|
PR EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I
|
Professional
|
Both
|
$1,274.00
|
|
|
Service Code
|
HCPCS 50435
|
| Min. Negotiated Rate |
$62.62 |
| Max. Negotiated Rate |
$17,406.00 |
| Rate for Payer: Aetna Commercial |
$125.16
|
| Rate for Payer: Aetna Medicare |
$97.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$125.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.50
|
| Rate for Payer: BCBS Complete |
$65.75
|
| Rate for Payer: BCBS MAPPO |
$93.40
|
| Rate for Payer: BCN Commercial |
$888.91
|
| Rate for Payer: BCN Medicare Advantage |
$93.40
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Cofinity Commercial |
$134.50
|
| Rate for Payer: Cofinity Commercial |
$125.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.40
|
| Rate for Payer: Healthscope Commercial |
$172.79
|
| Rate for Payer: Healthscope Commercial |
$149.44
|
| Rate for Payer: Mclaren Medicaid |
$62.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$98.07
|
| Rate for Payer: Meridian Medicaid |
$65.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,406.00
|
| Rate for Payer: Nomi Health Commercial |
$112.08
|
| Rate for Payer: PACE SWMI |
$93.40
|
| Rate for Payer: PHP Medicare Advantage |
$93.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$62.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$828.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$155.52
|
| Rate for Payer: Priority Health Medicare |
$93.40
|
| Rate for Payer: Priority Health Narrow Network |
$155.52
|
| Rate for Payer: Priority Health SBD |
$155.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$93.40
|
| Rate for Payer: UHC Medicare Advantage |
$93.40
|
| Rate for Payer: UHCCP Medicaid |
$62.62
|
|
|
PR EXCHNG ABSC/CST DRG CATH RAD GID SPX
|
Professional
|
Both
|
$1,274.00
|
|
|
Service Code
|
HCPCS 49423
|
| Min. Negotiated Rate |
$44.09 |
| Max. Negotiated Rate |
$12,523.00 |
| Rate for Payer: Aetna Commercial |
$89.19
|
| Rate for Payer: Aetna Medicare |
$69.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$89.19
|
| Rate for Payer: BCBS Complete |
$46.29
|
| Rate for Payer: BCBS MAPPO |
$66.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,009.05
|
| Rate for Payer: BCN Commercial |
$875.23
|
| Rate for Payer: BCN Medicare Advantage |
$66.56
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Cofinity Commercial |
$95.85
|
| Rate for Payer: Cofinity Commercial |
$89.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.56
|
| Rate for Payer: Healthscope Commercial |
$106.50
|
| Rate for Payer: Healthscope Commercial |
$123.14
|
| Rate for Payer: Mclaren Medicaid |
$44.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.89
|
| Rate for Payer: Meridian Medicaid |
$46.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12,523.00
|
| Rate for Payer: Nomi Health Commercial |
$79.87
|
| Rate for Payer: PACE SWMI |
$66.56
|
| Rate for Payer: PHP Medicare Advantage |
$66.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$828.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$122.89
|
| Rate for Payer: Priority Health Medicare |
$66.56
|
| Rate for Payer: Priority Health Narrow Network |
$122.89
|
| Rate for Payer: Priority Health SBD |
$122.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$66.56
|
| Rate for Payer: UHC Exchange |
$105.37
|
| Rate for Payer: UHC Medicare Advantage |
$66.56
|
| Rate for Payer: UHCCP Medicaid |
$44.09
|
|
|
PR EXC HYDROCELE SPRMATIC CORD UNI SPX
|
Professional
|
Both
|
$725.00
|
|
|
Service Code
|
HCPCS 55500
|
| Min. Negotiated Rate |
$252.83 |
| Max. Negotiated Rate |
$69,196.00 |
| Rate for Payer: Aetna Commercial |
$502.81
|
| Rate for Payer: Aetna Medicare |
$390.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$502.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$540.33
|
| Rate for Payer: BCBS Complete |
$265.47
|
| Rate for Payer: BCBS MAPPO |
$375.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,419.09
|
| Rate for Payer: BCN Commercial |
$570.77
|
| Rate for Payer: BCN Medicare Advantage |
$375.23
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Cash Price |
$580.00
|
| Rate for Payer: Cofinity Commercial |
$540.33
|
| Rate for Payer: Cofinity Commercial |
$502.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$375.23
|
| Rate for Payer: Healthscope Commercial |
$694.18
|
| Rate for Payer: Healthscope Commercial |
$600.37
|
| Rate for Payer: Mclaren Medicaid |
$252.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$393.99
|
| Rate for Payer: Meridian Medicaid |
$265.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69,196.00
|
| Rate for Payer: Nomi Health Commercial |
$450.28
|
| Rate for Payer: PACE SWMI |
$375.23
|
| Rate for Payer: PHP Medicare Advantage |
$375.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$471.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.01
|
| Rate for Payer: Priority Health Medicare |
$375.23
|
| Rate for Payer: Priority Health Narrow Network |
$629.01
|
| Rate for Payer: Priority Health SBD |
$629.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$400.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$375.23
|
| Rate for Payer: UHC Exchange |
$400.84
|
| Rate for Payer: UHC Medicare Advantage |
$375.23
|
| Rate for Payer: UHCCP Medicaid |
$252.83
|
|
|
PR EXC ILEOANAL RSVR W/ILEOSTOMY
|
Professional
|
Both
|
$3,254.00
|
|
|
Service Code
|
HCPCS 45136
|
| Min. Negotiated Rate |
$1,131.88 |
| Max. Negotiated Rate |
$314,451.00 |
| Rate for Payer: Aetna Commercial |
$2,264.35
|
| Rate for Payer: Aetna Medicare |
$1,757.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,264.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,433.33
|
| Rate for Payer: BCBS Complete |
$1,188.47
|
| Rate for Payer: BCBS MAPPO |
$1,689.81
|
| Rate for Payer: BCBS Trust/PPO |
$1,476.07
|
| Rate for Payer: BCN Commercial |
$2,582.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,689.81
|
| Rate for Payer: Cash Price |
$2,603.20
|
| Rate for Payer: Cash Price |
$2,603.20
|
| Rate for Payer: Cofinity Commercial |
$2,433.33
|
| Rate for Payer: Cofinity Commercial |
$2,264.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,689.81
|
| Rate for Payer: Healthscope Commercial |
$3,126.15
|
| Rate for Payer: Healthscope Commercial |
$2,703.70
|
| Rate for Payer: Mclaren Medicaid |
$1,131.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,774.30
|
| Rate for Payer: Meridian Medicaid |
$1,188.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$314,451.00
|
| Rate for Payer: Nomi Health Commercial |
$2,027.77
|
| Rate for Payer: PACE SWMI |
$1,689.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,689.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,131.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,115.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,163.14
|
| Rate for Payer: Priority Health Medicare |
$1,689.81
|
| Rate for Payer: Priority Health Narrow Network |
$3,163.14
|
| Rate for Payer: Priority Health SBD |
$3,163.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,820.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,689.81
|
| Rate for Payer: UHC Exchange |
$1,820.66
|
| Rate for Payer: UHC Medicare Advantage |
$1,689.81
|
| Rate for Payer: UHCCP Medicaid |
$1,131.88
|
|
|
PR EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP
|
Professional
|
Both
|
$4,392.00
|
|
|
Service Code
|
HCPCS 33120
|
| Min. Negotiated Rate |
$1,008.52 |
| Max. Negotiated Rate |
$370,040.00 |
| Rate for Payer: Aetna Commercial |
$2,687.72
|
| Rate for Payer: Aetna Medicare |
$2,085.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,687.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,888.29
|
| Rate for Payer: BCBS Complete |
$1,379.70
|
| Rate for Payer: BCBS MAPPO |
$2,005.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,008.52
|
| Rate for Payer: BCN Commercial |
$2,991.68
|
| Rate for Payer: BCN Medicare Advantage |
$2,005.76
|
| Rate for Payer: Cash Price |
$3,513.60
|
| Rate for Payer: Cash Price |
$3,513.60
|
| Rate for Payer: Cofinity Commercial |
$2,888.29
|
| Rate for Payer: Cofinity Commercial |
$2,687.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,005.76
|
| Rate for Payer: Healthscope Commercial |
$3,710.66
|
| Rate for Payer: Healthscope Commercial |
$3,209.22
|
| Rate for Payer: Mclaren Medicaid |
$1,314.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,106.05
|
| Rate for Payer: Meridian Medicaid |
$1,379.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$370,040.00
|
| Rate for Payer: Nomi Health Commercial |
$2,406.91
|
| Rate for Payer: PACE SWMI |
$2,005.76
|
| Rate for Payer: PHP Medicare Advantage |
$2,005.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,314.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,854.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,268.59
|
| Rate for Payer: Priority Health Medicare |
$2,005.76
|
| Rate for Payer: Priority Health Narrow Network |
$3,268.59
|
| Rate for Payer: Priority Health SBD |
$3,268.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,747.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,005.76
|
| Rate for Payer: UHC Exchange |
$2,747.92
|
| Rate for Payer: UHC Medicare Advantage |
$2,005.76
|
| Rate for Payer: UHCCP Medicaid |
$1,314.00
|
|
|
PR EXCIS CHEST WALL TUMOR/RIBS
|
Professional
|
Both
|
$2,265.00
|
|
|
Service Code
|
HCPCS 19260
|
| Min. Negotiated Rate |
$906.00 |
| Max. Negotiated Rate |
$1,472.25 |
| Rate for Payer: Aetna Medicare |
$1,132.50
|
| Rate for Payer: BCBS Complete |
$906.00
|
| Rate for Payer: Cash Price |
$1,812.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,472.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.25
|
|
