|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$472.50 |
| Max. Negotiated Rate |
$675.00 |
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.50
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$525.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$525.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: PHP Commercial |
$637.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health SBD |
$472.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$74,729.00 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.76
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Healthscope Commercial |
$653.07
|
| Rate for Payer: Healthscope Commercial |
$755.11
|
| Rate for Payer: Mclaren Medicaid |
$274.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,729.00
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.31
|
| Rate for Payer: Priority Health Medicare |
$408.17
|
| Rate for Payer: Priority Health Narrow Network |
$649.31
|
| Rate for Payer: Priority Health SBD |
$649.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$215.34 |
| Max. Negotiated Rate |
$58,127.00 |
| Rate for Payer: Aetna Commercial |
$425.56
|
| Rate for Payer: Aetna Medicare |
$330.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.32
|
| Rate for Payer: BCBS Complete |
$226.11
|
| Rate for Payer: BCBS MAPPO |
$317.58
|
| Rate for Payer: BCBS Trust/PPO |
$652.45
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: BCN Medicare Advantage |
$317.58
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$457.32
|
| Rate for Payer: Cofinity Commercial |
$425.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.58
|
| Rate for Payer: Healthscope Commercial |
$587.52
|
| Rate for Payer: Healthscope Commercial |
$508.13
|
| Rate for Payer: Mclaren Medicaid |
$215.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.46
|
| Rate for Payer: Meridian Medicaid |
$226.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$58,127.00
|
| Rate for Payer: Nomi Health Commercial |
$381.10
|
| Rate for Payer: PACE SWMI |
$317.58
|
| Rate for Payer: PHP Medicare Advantage |
$317.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$510.90
|
| Rate for Payer: Priority Health Medicare |
$317.58
|
| Rate for Payer: Priority Health Narrow Network |
$510.90
|
| Rate for Payer: Priority Health SBD |
$510.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$304.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.58
|
| Rate for Payer: UHC Exchange |
$304.27
|
| Rate for Payer: UHC Medicare Advantage |
$317.58
|
| Rate for Payer: UHCCP Medicaid |
$215.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$55,719.00 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$315.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.13
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Healthscope Commercial |
$561.59
|
| Rate for Payer: Healthscope Commercial |
$485.70
|
| Rate for Payer: Mclaren Medicaid |
$205.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,719.00
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.53
|
| Rate for Payer: Priority Health Medicare |
$303.56
|
| Rate for Payer: Priority Health Narrow Network |
$489.53
|
| Rate for Payer: Priority Health SBD |
$489.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$518.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Exchange |
$518.58
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$822.15 |
| Max. Negotiated Rate |
$1,174.50 |
| Rate for Payer: Aetna Commercial |
$1,109.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.25
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,122.30
|
| Rate for Payer: Cofinity Commercial |
$913.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$913.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Healthscope Commercial |
$1,174.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: PHP Commercial |
$1,109.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health SBD |
$822.15
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$336.57 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna Commercial |
$1,109.25
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$848.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$794.85
|
| Rate for Payer: BCN Commercial |
$794.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$913.50
|
| Rate for Payer: Cofinity Commercial |
$1,122.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$913.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$1,174.50
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,109.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$822.15
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.57
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$893.75
|
| Rate for Payer: VA VA |
$1,587.48
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$55,719.00 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$315.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.13
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Healthscope Commercial |
$561.59
|
| Rate for Payer: Healthscope Commercial |
$485.70
|
| Rate for Payer: Mclaren Medicaid |
$205.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55,719.00
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$489.53
|
| Rate for Payer: Priority Health Medicare |
$303.56
|
| Rate for Payer: Priority Health Narrow Network |
$489.53
|
| Rate for Payer: Priority Health SBD |
$489.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$518.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Exchange |
$518.58
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
|
|
PR EXCISION/UNROOFING CYST KIDNEY
|
Professional
|
Both
|
$2,924.00
|
|
|
Service Code
|
HCPCS 50280
|
| Min. Negotiated Rate |
$604.49 |
| Max. Negotiated Rate |
$169,376.00 |
| Rate for Payer: Aetna Commercial |
$1,210.06
|
| Rate for Payer: Aetna Medicare |
$939.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.36
|
| Rate for Payer: BCBS Complete |
$634.71
|
| Rate for Payer: BCBS MAPPO |
$903.03
|
| Rate for Payer: BCBS Trust/PPO |
$3,769.95
|
| Rate for Payer: BCN Commercial |
$1,386.87
|
| Rate for Payer: BCN Medicare Advantage |
$903.03
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cash Price |
$2,339.20
|
| Rate for Payer: Cofinity Commercial |
$1,300.36
|
| Rate for Payer: Cofinity Commercial |
$1,210.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.03
|
| Rate for Payer: Healthscope Commercial |
$1,670.61
|
| Rate for Payer: Healthscope Commercial |
$1,444.85
|
| Rate for Payer: Mclaren Medicaid |
$604.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.18
|
| Rate for Payer: Meridian Medicaid |
$634.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$169,376.00
|
| Rate for Payer: Nomi Health Commercial |
$1,083.64
|
| Rate for Payer: PACE SWMI |
$903.03
|
| Rate for Payer: PHP Medicare Advantage |
$903.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$604.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,900.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,501.39
|
| Rate for Payer: Priority Health Medicare |
$903.03
|
| Rate for Payer: Priority Health Narrow Network |
$1,501.39
|
| Rate for Payer: Priority Health SBD |
$1,501.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,178.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$903.03
|
| Rate for Payer: UHC Exchange |
$1,178.10
|
| Rate for Payer: UHC Medicare Advantage |
$903.03
|
| Rate for Payer: UHCCP Medicaid |
$604.49
|
|
|
PR EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$33,359.00 |
| Rate for Payer: Aetna Commercial |
$240.44
|
| Rate for Payer: Aetna Medicare |
$186.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$258.38
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS MAPPO |
$179.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,039.77
|
| Rate for Payer: BCN Commercial |
$366.51
|
| Rate for Payer: BCN Medicare Advantage |
$179.43
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$258.38
|
| Rate for Payer: Cofinity Commercial |
$240.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.43
|
| Rate for Payer: Healthscope Commercial |
$331.95
|
| Rate for Payer: Healthscope Commercial |
$287.09
|
| Rate for Payer: Mclaren Medicaid |
$121.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.40
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,359.00
|
| Rate for Payer: Nomi Health Commercial |
$215.32
|
| Rate for Payer: PACE SWMI |
$179.43
|
| Rate for Payer: PHP Medicare Advantage |
$179.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$282.26
|
| Rate for Payer: Priority Health Medicare |
$179.43
|
| Rate for Payer: Priority Health Narrow Network |
$282.26
|
| Rate for Payer: Priority Health SBD |
$282.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$275.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.43
|
| Rate for Payer: UHC Exchange |
$275.57
|
| Rate for Payer: UHC Medicare Advantage |
$179.43
|
| Rate for Payer: UHCCP Medicaid |
$121.20
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$111.40 |
| Max. Negotiated Rate |
$30,755.00 |
| Rate for Payer: Aetna Commercial |
$220.78
|
| Rate for Payer: Aetna Medicare |
$171.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.25
|
| Rate for Payer: BCBS Complete |
$116.97
|
| Rate for Payer: BCBS MAPPO |
$164.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,624.59
|
| Rate for Payer: BCN Commercial |
$342.07
|
| Rate for Payer: BCN Medicare Advantage |
$164.76
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$237.25
|
| Rate for Payer: Cofinity Commercial |
$220.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$164.76
|
| Rate for Payer: Healthscope Commercial |
$304.81
|
| Rate for Payer: Healthscope Commercial |
$263.62
|
| Rate for Payer: Mclaren Medicaid |
$111.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$173.00
|
| Rate for Payer: Meridian Medicaid |
$116.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30,755.00
|
| Rate for Payer: Nomi Health Commercial |
$197.71
|
| Rate for Payer: PACE SWMI |
$164.76
|
| Rate for Payer: PHP Medicare Advantage |
$164.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.93
|
| Rate for Payer: Priority Health Medicare |
$164.76
|
| Rate for Payer: Priority Health Narrow Network |
$259.93
|
| Rate for Payer: Priority Health SBD |
$259.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$164.76
|
| Rate for Payer: UHC Exchange |
$224.20
|
| Rate for Payer: UHC Medicare Advantage |
$164.76
|
| Rate for Payer: UHCCP Medicaid |
$111.40
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Min. Negotiated Rate |
$274.13 |
| Max. Negotiated Rate |
$74,619.00 |
| Rate for Payer: Aetna Commercial |
$546.55
|
| Rate for Payer: Aetna Medicare |
$424.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.33
|
| Rate for Payer: BCBS Complete |
$287.84
|
| Rate for Payer: BCBS MAPPO |
$407.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$407.87
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$587.33
|
| Rate for Payer: Cofinity Commercial |
$546.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.87
|
| Rate for Payer: Healthscope Commercial |
$652.59
|
| Rate for Payer: Healthscope Commercial |
$754.56
|
| Rate for Payer: Mclaren Medicaid |
$274.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.26
|
| Rate for Payer: Meridian Medicaid |
$287.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,619.00
|
| Rate for Payer: Nomi Health Commercial |
$489.44
|
| Rate for Payer: PACE SWMI |
$407.87
|
| Rate for Payer: PHP Medicare Advantage |
$407.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.28
|
| Rate for Payer: Priority Health Medicare |
$407.87
|
| Rate for Payer: Priority Health Narrow Network |
$648.28
|
| Rate for Payer: Priority Health SBD |
$648.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.87
|
| Rate for Payer: UHC Medicare Advantage |
$407.87
|
| Rate for Payer: UHCCP Medicaid |
$274.13
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$450.01 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,400.64
|
| Rate for Payer: BCN Commercial |
$1,400.64
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Cofinity Commercial |
$1,038.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,038.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$934.29
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$450.01
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,578.75
|
| Rate for Payer: VA VA |
$2,804.18
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,483.00
|
|
|
Service Code
|
HCPCS 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$274.13 |
| Max. Negotiated Rate |
$74,619.00 |
| Rate for Payer: Aetna Commercial |
$546.55
|
| Rate for Payer: Aetna Medicare |
$424.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.33
|
| Rate for Payer: BCBS Complete |
$287.84
|
| Rate for Payer: BCBS MAPPO |
$407.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$407.87
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$587.33
|
| Rate for Payer: Cofinity Commercial |
$546.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.87
|
| Rate for Payer: Healthscope Commercial |
$652.59
|
| Rate for Payer: Healthscope Commercial |
$754.56
|
| Rate for Payer: Mclaren Medicaid |
$274.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.26
|
| Rate for Payer: Meridian Medicaid |
$287.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74,619.00
|
| Rate for Payer: Nomi Health Commercial |
$489.44
|
| Rate for Payer: PACE SWMI |
$407.87
|
| Rate for Payer: PHP Medicare Advantage |
$407.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$648.28
|
| Rate for Payer: Priority Health Medicare |
$407.87
|
| Rate for Payer: Priority Health Narrow Network |
$648.28
|
| Rate for Payer: Priority Health SBD |
$648.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.87
|
| Rate for Payer: UHC Medicare Advantage |
$407.87
|
| Rate for Payer: UHCCP Medicaid |
$274.13
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,483.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$934.29 |
| Max. Negotiated Rate |
$1,334.70 |
| Rate for Payer: Aetna Commercial |
$1,260.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.95
|
| Rate for Payer: Cash Price |
$1,186.40
|
| Rate for Payer: Cofinity Commercial |
$1,038.10
|
| Rate for Payer: Cofinity Commercial |
$1,275.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,038.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,186.40
|
| Rate for Payer: Healthscope Commercial |
$1,334.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,260.55
|
| Rate for Payer: PHP Commercial |
$1,260.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.95
|
| Rate for Payer: Priority Health SBD |
$934.29
|
|
|
PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR
|
Professional
|
Both
|
$1,870.00
|
|
|
Service Code
|
HCPCS 43101
|
| Min. Negotiated Rate |
$263.62 |
| Max. Negotiated Rate |
$178,841.00 |
| Rate for Payer: Aetna Commercial |
$1,299.38
|
| Rate for Payer: Aetna Medicare |
$1,008.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,299.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,396.35
|
| Rate for Payer: BCBS Complete |
$671.84
|
| Rate for Payer: BCBS MAPPO |
$969.69
|
| Rate for Payer: BCBS Trust/PPO |
$263.62
|
| Rate for Payer: BCN Commercial |
$1,454.79
|
| Rate for Payer: BCN Medicare Advantage |
$969.69
|
| Rate for Payer: Cash Price |
$1,496.00
|
| Rate for Payer: Cash Price |
$1,496.00
|
| Rate for Payer: Cofinity Commercial |
$1,396.35
|
| Rate for Payer: Cofinity Commercial |
$1,299.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$969.69
|
| Rate for Payer: Healthscope Commercial |
$1,793.93
|
| Rate for Payer: Healthscope Commercial |
$1,551.50
|
| Rate for Payer: Mclaren Medicaid |
$639.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,018.17
|
| Rate for Payer: Meridian Medicaid |
$671.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178,841.00
|
| Rate for Payer: Nomi Health Commercial |
$1,163.63
|
| Rate for Payer: PACE SWMI |
$969.69
|
| Rate for Payer: PHP Medicare Advantage |
$969.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$639.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,215.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,785.01
|
| Rate for Payer: Priority Health Medicare |
$969.69
|
| Rate for Payer: Priority Health Narrow Network |
$1,785.01
|
| Rate for Payer: Priority Health SBD |
$1,785.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,197.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$969.69
|
| Rate for Payer: UHC Exchange |
$1,197.17
|
| Rate for Payer: UHC Medicare Advantage |
$969.69
|
| Rate for Payer: UHCCP Medicaid |
$639.85
|
|
|
PR EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 67840
|
| Min. Negotiated Rate |
$99.47 |
| Max. Negotiated Rate |
$27,099.00 |
| Rate for Payer: Aetna Commercial |
$194.29
|
| Rate for Payer: Aetna Medicare |
$150.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.79
|
| Rate for Payer: BCBS Complete |
$104.44
|
| Rate for Payer: BCBS MAPPO |
$144.99
|
| Rate for Payer: BCBS Trust/PPO |
$337.06
|
| Rate for Payer: BCN Commercial |
$410.49
|
| Rate for Payer: BCN Medicare Advantage |
$144.99
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$208.79
|
| Rate for Payer: Cofinity Commercial |
$194.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.99
|
| Rate for Payer: Healthscope Commercial |
$268.23
|
| Rate for Payer: Healthscope Commercial |
$231.98
|
| Rate for Payer: Mclaren Medicaid |
$99.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.24
|
| Rate for Payer: Meridian Medicaid |
$104.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27,099.00
|
| Rate for Payer: Nomi Health Commercial |
$173.99
|
| Rate for Payer: PACE SWMI |
$144.99
|
| Rate for Payer: PHP Medicare Advantage |
$144.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$273.15
|
| Rate for Payer: Priority Health Medicare |
$144.99
|
| Rate for Payer: Priority Health Narrow Network |
$273.15
|
| Rate for Payer: Priority Health SBD |
$273.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$403.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.99
|
| Rate for Payer: UHC Exchange |
$403.64
|
| Rate for Payer: UHC Medicare Advantage |
$144.99
|
| Rate for Payer: UHCCP Medicaid |
$99.47
|
|
|
PR EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC
|
Professional
|
Both
|
$1,223.00
|
|
|
Service Code
|
HCPCS 40816
|
| Min. Negotiated Rate |
$196.60 |
| Max. Negotiated Rate |
$52,889.00 |
| Rate for Payer: Aetna Commercial |
$384.57
|
| Rate for Payer: Aetna Medicare |
$298.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$384.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.27
|
| Rate for Payer: BCBS Complete |
$206.43
|
| Rate for Payer: BCBS MAPPO |
$286.99
|
| Rate for Payer: BCBS Trust/PPO |
$726.41
|
| Rate for Payer: BCN Commercial |
$590.81
|
| Rate for Payer: BCN Medicare Advantage |
$286.99
|
| Rate for Payer: Cash Price |
$978.40
|
| Rate for Payer: Cash Price |
$978.40
|
| Rate for Payer: Cofinity Commercial |
$413.27
|
| Rate for Payer: Cofinity Commercial |
$384.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$286.99
|
| Rate for Payer: Healthscope Commercial |
$530.93
|
| Rate for Payer: Healthscope Commercial |
$459.18
|
| Rate for Payer: Mclaren Medicaid |
$196.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$301.34
|
| Rate for Payer: Meridian Medicaid |
$206.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52,889.00
|
| Rate for Payer: Nomi Health Commercial |
$344.39
|
| Rate for Payer: PACE SWMI |
$286.99
|
| Rate for Payer: PHP Medicare Advantage |
$286.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$794.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$547.08
|
| Rate for Payer: Priority Health Medicare |
$286.99
|
| Rate for Payer: Priority Health Narrow Network |
$547.08
|
| Rate for Payer: Priority Health SBD |
$547.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$352.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$286.99
|
| Rate for Payer: UHC Exchange |
$352.24
|
| Rate for Payer: UHC Medicare Advantage |
$286.99
|
| Rate for Payer: UHCCP Medicaid |
$196.60
|
|
|
PR EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR
|
Professional
|
Both
|
$679.00
|
|
|
Service Code
|
HCPCS 40814
|
| Min. Negotiated Rate |
$183.82 |
| Max. Negotiated Rate |
$49,527.00 |
| Rate for Payer: Aetna Commercial |
$358.77
|
| Rate for Payer: Aetna Medicare |
$278.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$385.55
|
| Rate for Payer: BCBS Complete |
$193.01
|
| Rate for Payer: BCBS MAPPO |
$267.74
|
| Rate for Payer: BCBS Trust/PPO |
$684.68
|
| Rate for Payer: BCN Commercial |
$548.78
|
| Rate for Payer: BCN Medicare Advantage |
$267.74
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Cofinity Commercial |
$385.55
|
| Rate for Payer: Cofinity Commercial |
$358.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.74
|
| Rate for Payer: Healthscope Commercial |
$495.32
|
| Rate for Payer: Healthscope Commercial |
$428.38
|
| Rate for Payer: Mclaren Medicaid |
$183.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$281.13
|
| Rate for Payer: Meridian Medicaid |
$193.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49,527.00
|
| Rate for Payer: Nomi Health Commercial |
$321.29
|
| Rate for Payer: PACE SWMI |
$267.74
|
| Rate for Payer: PHP Medicare Advantage |
$267.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$441.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.30
|
| Rate for Payer: Priority Health Medicare |
$267.74
|
| Rate for Payer: Priority Health Narrow Network |
$508.30
|
| Rate for Payer: Priority Health SBD |
$508.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$267.74
|
| Rate for Payer: UHC Exchange |
$334.82
|
| Rate for Payer: UHC Medicare Advantage |
$267.74
|
| Rate for Payer: UHCCP Medicaid |
$183.82
|
|
|
PR EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR
|
Professional
|
Both
|
$575.00
|
|
|
Service Code
|
HCPCS 40812
|
| Min. Negotiated Rate |
$117.36 |
| Max. Negotiated Rate |
$32,110.00 |
| Rate for Payer: Aetna Commercial |
$229.56
|
| Rate for Payer: Aetna Medicare |
$178.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.69
|
| Rate for Payer: BCBS Complete |
$123.23
|
| Rate for Payer: BCBS MAPPO |
$171.31
|
| Rate for Payer: BCBS Trust/PPO |
$465.43
|
| Rate for Payer: BCN Commercial |
$332.58
|
| Rate for Payer: BCN Medicare Advantage |
$171.31
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Cofinity Commercial |
$246.69
|
| Rate for Payer: Cofinity Commercial |
$229.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.31
|
| Rate for Payer: Healthscope Commercial |
$316.92
|
| Rate for Payer: Healthscope Commercial |
$274.10
|
| Rate for Payer: Mclaren Medicaid |
$117.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.88
|
| Rate for Payer: Meridian Medicaid |
$123.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,110.00
|
| Rate for Payer: Nomi Health Commercial |
$205.57
|
| Rate for Payer: PACE SWMI |
$171.31
|
| Rate for Payer: PHP Medicare Advantage |
$171.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$117.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$326.94
|
| Rate for Payer: Priority Health Medicare |
$171.31
|
| Rate for Payer: Priority Health Narrow Network |
$326.94
|
| Rate for Payer: Priority Health SBD |
$326.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.31
|
| Rate for Payer: UHC Exchange |
$227.96
|
| Rate for Payer: UHC Medicare Advantage |
$171.31
|
| Rate for Payer: UHCCP Medicaid |
$117.36
|
|
|
PR EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE
|
Professional
|
Both
|
$902.00
|
|
|
Service Code
|
HCPCS 42107
|
| Min. Negotiated Rate |
$210.66 |
| Max. Negotiated Rate |
$57,708.00 |
| Rate for Payer: Aetna Commercial |
$413.90
|
| Rate for Payer: Aetna Medicare |
$321.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$413.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$444.79
|
| Rate for Payer: BCBS Complete |
$221.19
|
| Rate for Payer: BCBS MAPPO |
$308.88
|
| Rate for Payer: BCBS Trust/PPO |
$306.41
|
| Rate for Payer: BCN Commercial |
$666.56
|
| Rate for Payer: BCN Medicare Advantage |
$308.88
|
| Rate for Payer: Cash Price |
$721.60
|
| Rate for Payer: Cash Price |
$721.60
|
| Rate for Payer: Cofinity Commercial |
$444.79
|
| Rate for Payer: Cofinity Commercial |
$413.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.88
|
| Rate for Payer: Healthscope Commercial |
$571.43
|
| Rate for Payer: Healthscope Commercial |
$494.21
|
| Rate for Payer: Mclaren Medicaid |
$210.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$324.32
|
| Rate for Payer: Meridian Medicaid |
$221.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57,708.00
|
| Rate for Payer: Nomi Health Commercial |
$370.66
|
| Rate for Payer: PACE SWMI |
$308.88
|
| Rate for Payer: PHP Medicare Advantage |
$308.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$586.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$581.08
|
| Rate for Payer: Priority Health Medicare |
$308.88
|
| Rate for Payer: Priority Health Narrow Network |
$581.08
|
| Rate for Payer: Priority Health SBD |
$581.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$431.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.88
|
| Rate for Payer: UHC Exchange |
$431.00
|
| Rate for Payer: UHC Medicare Advantage |
$308.88
|
| Rate for Payer: UHCCP Medicaid |
$210.66
|
|
|
PR EXC LESION PALATE UVULA W/O CLOSURE
|
Professional
|
Both
|
$385.00
|
|
|
Service Code
|
HCPCS 42104
|
| Min. Negotiated Rate |
$87.33 |
| Max. Negotiated Rate |
$23,589.00 |
| Rate for Payer: Aetna Commercial |
$170.92
|
| Rate for Payer: Aetna Medicare |
$132.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.67
|
| Rate for Payer: BCBS Complete |
$91.70
|
| Rate for Payer: BCBS MAPPO |
$127.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,644.60
|
| Rate for Payer: BCN Commercial |
$320.57
|
| Rate for Payer: BCN Medicare Advantage |
$127.55
|
| Rate for Payer: Cash Price |
$308.00
|
| Rate for Payer: Cash Price |
$308.00
|
| Rate for Payer: Cofinity Commercial |
$183.67
|
| Rate for Payer: Cofinity Commercial |
$170.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.55
|
| Rate for Payer: Healthscope Commercial |
$235.97
|
| Rate for Payer: Healthscope Commercial |
$204.08
|
| Rate for Payer: Mclaren Medicaid |
$87.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.93
|
| Rate for Payer: Meridian Medicaid |
$91.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,589.00
|
| Rate for Payer: Nomi Health Commercial |
$153.06
|
| Rate for Payer: PACE SWMI |
$127.55
|
| Rate for Payer: PHP Medicare Advantage |
$127.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.40
|
| Rate for Payer: Priority Health Medicare |
$127.55
|
| Rate for Payer: Priority Health Narrow Network |
$243.40
|
| Rate for Payer: Priority Health SBD |
$243.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.55
|
| Rate for Payer: UHC Exchange |
$179.68
|
| Rate for Payer: UHC Medicare Advantage |
$127.55
|
| Rate for Payer: UHCCP Medicaid |
$87.33
|
|
|
PR EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE
|
Professional
|
Both
|
$506.00
|
|
|
Service Code
|
HCPCS 42106
|
| Min. Negotiated Rate |
$104.16 |
| Max. Negotiated Rate |
$28,426.00 |
| Rate for Payer: Aetna Commercial |
$204.11
|
| Rate for Payer: Aetna Medicare |
$158.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.34
|
| Rate for Payer: BCBS Complete |
$109.37
|
| Rate for Payer: BCBS MAPPO |
$152.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,938.86
|
| Rate for Payer: BCN Commercial |
$374.33
|
| Rate for Payer: BCN Medicare Advantage |
$152.32
|
| Rate for Payer: Cash Price |
$404.80
|
| Rate for Payer: Cash Price |
$404.80
|
| Rate for Payer: Cofinity Commercial |
$219.34
|
| Rate for Payer: Cofinity Commercial |
$204.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.32
|
| Rate for Payer: Healthscope Commercial |
$281.79
|
| Rate for Payer: Healthscope Commercial |
$243.71
|
| Rate for Payer: Mclaren Medicaid |
$104.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.94
|
| Rate for Payer: Meridian Medicaid |
$109.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28,426.00
|
| Rate for Payer: Nomi Health Commercial |
$182.78
|
| Rate for Payer: PACE SWMI |
$152.32
|
| Rate for Payer: PHP Medicare Advantage |
$152.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$328.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$288.16
|
| Rate for Payer: Priority Health Medicare |
$152.32
|
| Rate for Payer: Priority Health Narrow Network |
$288.16
|
| Rate for Payer: Priority Health SBD |
$288.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$237.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.32
|
| Rate for Payer: UHC Exchange |
$237.86
|
| Rate for Payer: UHC Medicare Advantage |
$152.32
|
| Rate for Payer: UHCCP Medicaid |
$104.16
|
|
|
PR EXC LESION SPERMATIC CORD SEPARATE PROCEDURE
|
Facility
|
IP
|
$1,270.00
|
|
|
Service Code
|
CPT 55520
|
| Hospital Charge Code |
55520
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$800.10 |
| Max. Negotiated Rate |
$1,143.00 |
| Rate for Payer: Aetna Commercial |
$1,079.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$825.50
|
| Rate for Payer: Cash Price |
$1,016.00
|
| Rate for Payer: Cofinity Commercial |
$1,092.20
|
| Rate for Payer: Cofinity Commercial |
$889.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$889.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,016.00
|
| Rate for Payer: Healthscope Commercial |
$1,143.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,079.50
|
| Rate for Payer: PHP Commercial |
$1,079.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$825.50
|
| Rate for Payer: Priority Health SBD |
$800.10
|
|
|
PR EXC LESION SPERMATIC CORD SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,270.00
|
|
|
Service Code
|
HCPCS 55520
|
| Min. Negotiated Rate |
$298.20 |
| Max. Negotiated Rate |
$81,623.00 |
| Rate for Payer: Aetna Commercial |
$596.78
|
| Rate for Payer: Aetna Medicare |
$463.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$596.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$641.32
|
| Rate for Payer: BCBS Complete |
$313.11
|
| Rate for Payer: BCBS MAPPO |
$445.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,718.10
|
| Rate for Payer: BCN Commercial |
$671.93
|
| Rate for Payer: BCN Medicare Advantage |
$445.36
|
| Rate for Payer: Cash Price |
$1,016.00
|
| Rate for Payer: Cash Price |
$1,016.00
|
| Rate for Payer: Cofinity Commercial |
$641.32
|
| Rate for Payer: Cofinity Commercial |
$596.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.36
|
| Rate for Payer: Healthscope Commercial |
$823.92
|
| Rate for Payer: Healthscope Commercial |
$712.58
|
| Rate for Payer: Mclaren Medicaid |
$298.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$467.63
|
| Rate for Payer: Meridian Medicaid |
$313.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81,623.00
|
| Rate for Payer: Nomi Health Commercial |
$534.43
|
| Rate for Payer: PACE SWMI |
$445.36
|
| Rate for Payer: PHP Medicare Advantage |
$445.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$825.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$739.25
|
| Rate for Payer: Priority Health Medicare |
$445.36
|
| Rate for Payer: Priority Health Narrow Network |
$739.25
|
| Rate for Payer: Priority Health SBD |
$739.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$445.36
|
| Rate for Payer: UHC Exchange |
$435.98
|
| Rate for Payer: UHC Medicare Advantage |
$445.36
|
| Rate for Payer: UHCCP Medicaid |
$298.20
|
|
|
PR EXC LESION SPERMATIC CORD SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,270.00
|
|
|
Service Code
|
HCPCS 55520
|
| Hospital Charge Code |
55520
|
| Min. Negotiated Rate |
$298.20 |
| Max. Negotiated Rate |
$81,623.00 |
| Rate for Payer: Aetna Commercial |
$596.78
|
| Rate for Payer: Aetna Medicare |
$463.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$596.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$641.32
|
| Rate for Payer: BCBS Complete |
$313.11
|
| Rate for Payer: BCBS MAPPO |
$445.36
|
| Rate for Payer: BCBS Trust/PPO |
$2,718.10
|
| Rate for Payer: BCN Commercial |
$671.93
|
| Rate for Payer: BCN Medicare Advantage |
$445.36
|
| Rate for Payer: Cash Price |
$1,016.00
|
| Rate for Payer: Cash Price |
$1,016.00
|
| Rate for Payer: Cofinity Commercial |
$596.78
|
| Rate for Payer: Cofinity Commercial |
$641.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.36
|
| Rate for Payer: Healthscope Commercial |
$823.92
|
| Rate for Payer: Healthscope Commercial |
$712.58
|
| Rate for Payer: Mclaren Medicaid |
$298.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$467.63
|
| Rate for Payer: Meridian Medicaid |
$313.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81,623.00
|
| Rate for Payer: Nomi Health Commercial |
$534.43
|
| Rate for Payer: PACE SWMI |
$445.36
|
| Rate for Payer: PHP Medicare Advantage |
$445.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$825.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$739.25
|
| Rate for Payer: Priority Health Medicare |
$445.36
|
| Rate for Payer: Priority Health Narrow Network |
$739.25
|
| Rate for Payer: Priority Health SBD |
$739.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$445.36
|
| Rate for Payer: UHC Exchange |
$435.98
|
| Rate for Payer: UHC Medicare Advantage |
$445.36
|
| Rate for Payer: UHCCP Medicaid |
$298.20
|
|
