|
PR INCISION BONE CORTEX HAND/FINGER
|
Professional
|
Both
|
$952.00
|
|
|
Service Code
|
HCPCS 26034
|
| Min. Negotiated Rate |
$58.64 |
| Max. Negotiated Rate |
$97,655.00 |
| Rate for Payer: Aetna Commercial |
$714.31
|
| Rate for Payer: Aetna Medicare |
$554.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$714.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$767.62
|
| Rate for Payer: BCBS Complete |
$381.99
|
| Rate for Payer: BCBS MAPPO |
$533.07
|
| Rate for Payer: BCBS Trust/PPO |
$58.64
|
| Rate for Payer: BCN Commercial |
$816.09
|
| Rate for Payer: BCN Medicare Advantage |
$533.07
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cofinity Commercial |
$767.62
|
| Rate for Payer: Cofinity Commercial |
$714.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$533.07
|
| Rate for Payer: Healthscope Commercial |
$986.18
|
| Rate for Payer: Healthscope Commercial |
$852.91
|
| Rate for Payer: Mclaren Medicaid |
$363.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.72
|
| Rate for Payer: Meridian Medicaid |
$381.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97,655.00
|
| Rate for Payer: Nomi Health Commercial |
$639.68
|
| Rate for Payer: PACE SWMI |
$533.07
|
| Rate for Payer: PHP Medicare Advantage |
$533.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$363.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$858.95
|
| Rate for Payer: Priority Health Medicare |
$533.07
|
| Rate for Payer: Priority Health Narrow Network |
$858.95
|
| Rate for Payer: Priority Health SBD |
$858.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$531.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$533.07
|
| Rate for Payer: UHC Exchange |
$531.92
|
| Rate for Payer: UHC Medicare Advantage |
$533.07
|
| Rate for Payer: UHCCP Medicaid |
$363.80
|
|
|
PR INCISION BONE CORTEX PELVIS&/HIP JOINT
|
Professional
|
Both
|
$2,070.00
|
|
|
Service Code
|
HCPCS 26992
|
| Min. Negotiated Rate |
$650.50 |
| Max. Negotiated Rate |
$178,438.00 |
| Rate for Payer: Aetna Commercial |
$1,288.93
|
| Rate for Payer: Aetna Medicare |
$1,000.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,385.12
|
| Rate for Payer: BCBS Complete |
$683.02
|
| Rate for Payer: BCBS MAPPO |
$961.89
|
| Rate for Payer: BCBS Trust/PPO |
$764.98
|
| Rate for Payer: BCN Commercial |
$1,480.69
|
| Rate for Payer: BCN Medicare Advantage |
$961.89
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cofinity Commercial |
$1,385.12
|
| Rate for Payer: Cofinity Commercial |
$1,288.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$961.89
|
| Rate for Payer: Healthscope Commercial |
$1,779.50
|
| Rate for Payer: Healthscope Commercial |
$1,539.02
|
| Rate for Payer: Mclaren Medicaid |
$650.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,009.98
|
| Rate for Payer: Meridian Medicaid |
$683.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$178,438.00
|
| Rate for Payer: Nomi Health Commercial |
$1,154.27
|
| Rate for Payer: PACE SWMI |
$961.89
|
| Rate for Payer: PHP Medicare Advantage |
$961.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,345.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,556.60
|
| Rate for Payer: Priority Health Medicare |
$961.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,556.60
|
| Rate for Payer: Priority Health SBD |
$1,556.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,354.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$961.89
|
| Rate for Payer: UHC Exchange |
$1,354.01
|
| Rate for Payer: UHC Medicare Advantage |
$961.89
|
| Rate for Payer: UHCCP Medicaid |
$650.50
|
|
|
PR INCISION BONE CORTEX SHOULDER AREA
|
Professional
|
Both
|
$1,359.00
|
|
|
Service Code
|
HCPCS 23035
|
| Min. Negotiated Rate |
$444.74 |
| Max. Negotiated Rate |
$121,183.00 |
| Rate for Payer: Aetna Commercial |
$881.28
|
| Rate for Payer: Aetna Medicare |
$683.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$881.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$947.04
|
| Rate for Payer: BCBS Complete |
$466.98
|
| Rate for Payer: BCBS MAPPO |
$657.67
|
| Rate for Payer: BCBS Trust/PPO |
$887.54
|
| Rate for Payer: BCN Commercial |
$1,005.70
|
| Rate for Payer: BCN Medicare Advantage |
$657.67
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Cofinity Commercial |
$947.04
|
| Rate for Payer: Cofinity Commercial |
$881.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$657.67
|
| Rate for Payer: Healthscope Commercial |
$1,216.69
|
| Rate for Payer: Healthscope Commercial |
$1,052.27
|
| Rate for Payer: Mclaren Medicaid |
$444.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$690.55
|
| Rate for Payer: Meridian Medicaid |
$466.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121,183.00
|
| Rate for Payer: Nomi Health Commercial |
$789.20
|
| Rate for Payer: PACE SWMI |
$657.67
|
| Rate for Payer: PHP Medicare Advantage |
$657.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,048.77
|
| Rate for Payer: Priority Health Medicare |
$657.67
|
| Rate for Payer: Priority Health Narrow Network |
$1,048.77
|
| Rate for Payer: Priority Health SBD |
$1,048.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$985.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$657.67
|
| Rate for Payer: UHC Exchange |
$985.87
|
| Rate for Payer: UHC Medicare Advantage |
$657.67
|
| Rate for Payer: UHCCP Medicaid |
$444.74
|
|
|
PR INCISION DEEP BONE CORTEX FOREARM&/WRIST
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 25035
|
| Min. Negotiated Rate |
$140.53 |
| Max. Negotiated Rate |
$104,191.00 |
| Rate for Payer: Aetna Commercial |
$765.49
|
| Rate for Payer: Aetna Medicare |
$594.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$822.61
|
| Rate for Payer: BCBS Complete |
$406.82
|
| Rate for Payer: BCBS MAPPO |
$571.26
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$866.91
|
| Rate for Payer: BCN Medicare Advantage |
$571.26
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$822.61
|
| Rate for Payer: Cofinity Commercial |
$765.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.26
|
| Rate for Payer: Healthscope Commercial |
$914.02
|
| Rate for Payer: Healthscope Commercial |
$1,056.83
|
| Rate for Payer: Mclaren Medicaid |
$387.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$599.82
|
| Rate for Payer: Meridian Medicaid |
$406.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104,191.00
|
| Rate for Payer: Nomi Health Commercial |
$685.51
|
| Rate for Payer: PACE SWMI |
$571.26
|
| Rate for Payer: PHP Medicare Advantage |
$571.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$917.47
|
| Rate for Payer: Priority Health Medicare |
$571.26
|
| Rate for Payer: Priority Health Narrow Network |
$917.47
|
| Rate for Payer: Priority Health SBD |
$917.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$963.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.26
|
| Rate for Payer: UHC Exchange |
$963.18
|
| Rate for Payer: UHC Medicare Advantage |
$571.26
|
| Rate for Payer: UHCCP Medicaid |
$387.45
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
OP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$193.31 |
| Max. Negotiated Rate |
$1,230.33 |
| Rate for Payer: Aetna Commercial |
$311.95
|
| Rate for Payer: Aetna Medicare |
$407.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$489.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$489.31
|
| Rate for Payer: BCBS Complete |
$220.31
|
| Rate for Payer: BCBS MAPPO |
$391.45
|
| Rate for Payer: BCBS Trust/PPO |
$240.15
|
| Rate for Payer: BCN Commercial |
$240.15
|
| Rate for Payer: BCN Medicare Advantage |
$391.45
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$256.90
|
| Rate for Payer: Cofinity Commercial |
$315.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.45
|
| Rate for Payer: Healthscope Commercial |
$330.30
|
| Rate for Payer: Mclaren Medicaid |
$209.82
|
| Rate for Payer: Mclaren Medicare |
$391.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.02
|
| Rate for Payer: Meridian Medicaid |
$220.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$450.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: Nomi Health Commercial |
$822.04
|
| Rate for Payer: PACE Medicare |
$371.88
|
| Rate for Payer: PACE SWMI |
$391.45
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: PHP Medicare Advantage |
$391.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,230.33
|
| Rate for Payer: Priority Health Medicare |
$391.45
|
| Rate for Payer: Priority Health Narrow Network |
$984.26
|
| Rate for Payer: Priority Health SBD |
$231.21
|
| Rate for Payer: Railroad Medicare Medicare |
$391.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.31
|
| Rate for Payer: UHC Core |
$878.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.45
|
| Rate for Payer: UHC Exchange |
$940.00
|
| Rate for Payer: UHC Medicare Advantage |
$391.45
|
| Rate for Payer: UHCCP Medicaid |
$220.39
|
| Rate for Payer: VA VA |
$391.45
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
IP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$231.21 |
| Max. Negotiated Rate |
$330.30 |
| Rate for Payer: Aetna Commercial |
$311.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.55
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$256.90
|
| Rate for Payer: Cofinity Commercial |
$315.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Healthscope Commercial |
$330.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health SBD |
$231.21
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$32,027.00 |
| Rate for Payer: Aetna Commercial |
$232.41
|
| Rate for Payer: Aetna Medicare |
$180.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.75
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS MAPPO |
$173.44
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: BCN Medicare Advantage |
$173.44
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$249.75
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.44
|
| Rate for Payer: Healthscope Commercial |
$320.86
|
| Rate for Payer: Healthscope Commercial |
$277.50
|
| Rate for Payer: Mclaren Medicaid |
$118.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.11
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,027.00
|
| Rate for Payer: Nomi Health Commercial |
$208.13
|
| Rate for Payer: PACE SWMI |
$173.44
|
| Rate for Payer: PHP Medicare Advantage |
$173.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.05
|
| Rate for Payer: Priority Health Medicare |
$173.44
|
| Rate for Payer: Priority Health Narrow Network |
$251.05
|
| Rate for Payer: Priority Health SBD |
$251.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.44
|
| Rate for Payer: UHC Exchange |
$174.93
|
| Rate for Payer: UHC Medicare Advantage |
$173.44
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$32,027.00 |
| Rate for Payer: Aetna Commercial |
$232.41
|
| Rate for Payer: Aetna Medicare |
$180.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.75
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS MAPPO |
$173.44
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: BCN Medicare Advantage |
$173.44
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$249.75
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.44
|
| Rate for Payer: Healthscope Commercial |
$320.86
|
| Rate for Payer: Healthscope Commercial |
$277.50
|
| Rate for Payer: Mclaren Medicaid |
$118.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.11
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$32,027.00
|
| Rate for Payer: Nomi Health Commercial |
$208.13
|
| Rate for Payer: PACE SWMI |
$173.44
|
| Rate for Payer: PHP Medicare Advantage |
$173.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.05
|
| Rate for Payer: Priority Health Medicare |
$173.44
|
| Rate for Payer: Priority Health Narrow Network |
$251.05
|
| Rate for Payer: Priority Health SBD |
$251.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.44
|
| Rate for Payer: UHC Exchange |
$174.93
|
| Rate for Payer: UHC Medicare Advantage |
$173.44
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 10060
|
| Min. Negotiated Rate |
$10.31 |
| Max. Negotiated Rate |
$18,232.00 |
| Rate for Payer: Aetna Commercial |
$134.12
|
| Rate for Payer: Aetna Medicare |
$104.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.13
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$100.09
|
| Rate for Payer: BCBS Trust/PPO |
$10.31
|
| Rate for Payer: BCN Commercial |
$147.64
|
| Rate for Payer: BCN Medicare Advantage |
$100.09
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$144.13
|
| Rate for Payer: Cofinity Commercial |
$134.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.09
|
| Rate for Payer: Healthscope Commercial |
$185.17
|
| Rate for Payer: Healthscope Commercial |
$160.14
|
| Rate for Payer: Mclaren Medicaid |
$69.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.09
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,232.00
|
| Rate for Payer: Nomi Health Commercial |
$120.11
|
| Rate for Payer: PACE SWMI |
$100.09
|
| Rate for Payer: PHP Medicare Advantage |
$100.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.39
|
| Rate for Payer: Priority Health Medicare |
$100.09
|
| Rate for Payer: Priority Health Narrow Network |
$145.39
|
| Rate for Payer: Priority Health SBD |
$145.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.09
|
| Rate for Payer: UHC Exchange |
$104.89
|
| Rate for Payer: UHC Medicare Advantage |
$100.09
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
OP
|
$184.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$104.35 |
| Max. Negotiated Rate |
$878.00 |
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: Aetna Medicare |
$202.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$243.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$243.35
|
| Rate for Payer: BCBS Complete |
$109.57
|
| Rate for Payer: BCBS MAPPO |
$194.68
|
| Rate for Payer: BCBS Trust/PPO |
$150.70
|
| Rate for Payer: BCN Commercial |
$150.70
|
| Rate for Payer: BCN Medicare Advantage |
$194.68
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Cofinity Commercial |
$128.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$128.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.68
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Mclaren Medicaid |
$104.35
|
| Rate for Payer: Mclaren Medicare |
$194.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.41
|
| Rate for Payer: Meridian Medicaid |
$109.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$223.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: Nomi Health Commercial |
$408.83
|
| Rate for Payer: PACE Medicare |
$184.95
|
| Rate for Payer: PACE SWMI |
$194.68
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: PHP Medicare Advantage |
$194.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$611.90
|
| Rate for Payer: Priority Health Medicare |
$194.68
|
| Rate for Payer: Priority Health Narrow Network |
$489.52
|
| Rate for Payer: Priority Health SBD |
$115.92
|
| Rate for Payer: Railroad Medicare Medicare |
$194.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.79
|
| Rate for Payer: UHC Core |
$878.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.68
|
| Rate for Payer: UHC Medicare Advantage |
$194.68
|
| Rate for Payer: UHCCP Medicaid |
$109.60
|
| Rate for Payer: VA VA |
$194.68
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
IP
|
$184.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$115.92 |
| Max. Negotiated Rate |
$165.60 |
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.60
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$128.80
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$128.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health SBD |
$115.92
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 10060
|
| Hospital Charge Code |
10060
|
| Min. Negotiated Rate |
$10.31 |
| Max. Negotiated Rate |
$18,232.00 |
| Rate for Payer: Aetna Commercial |
$134.12
|
| Rate for Payer: Aetna Medicare |
$104.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.13
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$100.09
|
| Rate for Payer: BCBS Trust/PPO |
$10.31
|
| Rate for Payer: BCN Commercial |
$147.64
|
| Rate for Payer: BCN Medicare Advantage |
$100.09
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$144.13
|
| Rate for Payer: Cofinity Commercial |
$134.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.09
|
| Rate for Payer: Healthscope Commercial |
$185.17
|
| Rate for Payer: Healthscope Commercial |
$160.14
|
| Rate for Payer: Mclaren Medicaid |
$69.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.09
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,232.00
|
| Rate for Payer: Nomi Health Commercial |
$120.11
|
| Rate for Payer: PACE SWMI |
$100.09
|
| Rate for Payer: PHP Medicare Advantage |
$100.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.39
|
| Rate for Payer: Priority Health Medicare |
$100.09
|
| Rate for Payer: Priority Health Narrow Network |
$145.39
|
| Rate for Payer: Priority Health SBD |
$145.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.09
|
| Rate for Payer: UHC Exchange |
$104.89
|
| Rate for Payer: UHC Medicare Advantage |
$100.09
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
|
|
PR INCISION&DRAINAGE BURSA FOOT
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 28001
|
| Min. Negotiated Rate |
$61.34 |
| Max. Negotiated Rate |
$17,104.00 |
| Rate for Payer: Aetna Commercial |
$123.25
|
| Rate for Payer: Aetna Medicare |
$95.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.45
|
| Rate for Payer: BCBS Complete |
$64.41
|
| Rate for Payer: BCBS MAPPO |
$91.98
|
| Rate for Payer: BCBS Trust/PPO |
$795.62
|
| Rate for Payer: BCN Commercial |
$249.71
|
| Rate for Payer: BCN Medicare Advantage |
$91.98
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cofinity Commercial |
$132.45
|
| Rate for Payer: Cofinity Commercial |
$123.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.98
|
| Rate for Payer: Healthscope Commercial |
$170.16
|
| Rate for Payer: Healthscope Commercial |
$147.17
|
| Rate for Payer: Mclaren Medicaid |
$61.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.58
|
| Rate for Payer: Meridian Medicaid |
$64.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17,104.00
|
| Rate for Payer: Nomi Health Commercial |
$110.38
|
| Rate for Payer: PACE SWMI |
$91.98
|
| Rate for Payer: PHP Medicare Advantage |
$91.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$288.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.53
|
| Rate for Payer: Priority Health Medicare |
$91.98
|
| Rate for Payer: Priority Health Narrow Network |
$145.53
|
| Rate for Payer: Priority Health SBD |
$145.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.98
|
| Rate for Payer: UHC Exchange |
$353.03
|
| Rate for Payer: UHC Medicare Advantage |
$91.98
|
| Rate for Payer: UHCCP Medicaid |
$61.34
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Facility
|
OP
|
$673.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
10180
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$189.05 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna Commercial |
$572.05
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.45
|
| 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 |
$1,524.96
|
| Rate for Payer: BCN Commercial |
$1,524.96
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$578.78
|
| Rate for Payer: Cofinity Commercial |
$471.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$471.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$538.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$605.70
|
| 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 |
$572.05
|
| 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 |
$572.05
|
| 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 |
$437.45
|
| 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 |
$423.99
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.05
|
| 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 INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Facility
|
IP
|
$673.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
10180
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$423.99 |
| Max. Negotiated Rate |
$605.70 |
| Rate for Payer: Aetna Commercial |
$572.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.45
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$471.10
|
| Rate for Payer: Cofinity Commercial |
$578.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$471.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$538.40
|
| Rate for Payer: Healthscope Commercial |
$605.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$572.05
|
| Rate for Payer: PHP Commercial |
$572.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health SBD |
$423.99
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 10180
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$31,435.00 |
| Rate for Payer: Aetna Commercial |
$229.58
|
| Rate for Payer: Aetna Medicare |
$178.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.72
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$171.33
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$386.55
|
| Rate for Payer: BCN Medicare Advantage |
$171.33
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$246.72
|
| Rate for Payer: Cofinity Commercial |
$229.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.33
|
| Rate for Payer: Healthscope Commercial |
$316.96
|
| Rate for Payer: Healthscope Commercial |
$274.13
|
| Rate for Payer: Mclaren Medicaid |
$115.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.90
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,435.00
|
| Rate for Payer: Nomi Health Commercial |
$205.60
|
| Rate for Payer: PACE SWMI |
$171.33
|
| Rate for Payer: PHP Medicare Advantage |
$171.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.37
|
| Rate for Payer: Priority Health Medicare |
$171.33
|
| Rate for Payer: Priority Health Narrow Network |
$243.37
|
| Rate for Payer: Priority Health SBD |
$243.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.33
|
| Rate for Payer: UHC Exchange |
$229.55
|
| Rate for Payer: UHC Medicare Advantage |
$171.33
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 10180
|
| Hospital Charge Code |
10180
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$31,435.00 |
| Rate for Payer: Aetna Commercial |
$229.58
|
| Rate for Payer: Aetna Medicare |
$178.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.72
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$171.33
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$386.55
|
| Rate for Payer: BCN Medicare Advantage |
$171.33
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$246.72
|
| Rate for Payer: Cofinity Commercial |
$229.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.33
|
| Rate for Payer: Healthscope Commercial |
$316.96
|
| Rate for Payer: Healthscope Commercial |
$274.13
|
| Rate for Payer: Mclaren Medicaid |
$115.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.90
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,435.00
|
| Rate for Payer: Nomi Health Commercial |
$205.60
|
| Rate for Payer: PACE SWMI |
$171.33
|
| Rate for Payer: PHP Medicare Advantage |
$171.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.37
|
| Rate for Payer: Priority Health Medicare |
$171.33
|
| Rate for Payer: Priority Health Narrow Network |
$243.37
|
| Rate for Payer: Priority Health SBD |
$243.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.33
|
| Rate for Payer: UHC Exchange |
$229.55
|
| Rate for Payer: UHC Medicare Advantage |
$171.33
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
|
|
PR INCISION & DRAINAGE FOREARM&/WRIST BURSA
|
Professional
|
Both
|
$729.00
|
|
|
Service Code
|
HCPCS 25031
|
| Min. Negotiated Rate |
$244.31 |
| Max. Negotiated Rate |
$65,405.00 |
| Rate for Payer: Aetna Commercial |
$479.22
|
| Rate for Payer: Aetna Medicare |
$371.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$479.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$514.99
|
| Rate for Payer: BCBS Complete |
$256.53
|
| Rate for Payer: BCBS MAPPO |
$357.63
|
| Rate for Payer: BCBS Trust/PPO |
$942.49
|
| Rate for Payer: BCN Commercial |
$547.32
|
| Rate for Payer: BCN Medicare Advantage |
$357.63
|
| Rate for Payer: Cash Price |
$583.20
|
| Rate for Payer: Cash Price |
$583.20
|
| Rate for Payer: Cofinity Commercial |
$514.99
|
| Rate for Payer: Cofinity Commercial |
$479.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.63
|
| Rate for Payer: Healthscope Commercial |
$661.62
|
| Rate for Payer: Healthscope Commercial |
$572.21
|
| Rate for Payer: Mclaren Medicaid |
$244.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.51
|
| Rate for Payer: Meridian Medicaid |
$256.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$65,405.00
|
| Rate for Payer: Nomi Health Commercial |
$429.16
|
| Rate for Payer: PACE SWMI |
$357.63
|
| Rate for Payer: PHP Medicare Advantage |
$357.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$473.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$577.55
|
| Rate for Payer: Priority Health Medicare |
$357.63
|
| Rate for Payer: Priority Health Narrow Network |
$577.55
|
| Rate for Payer: Priority Health SBD |
$577.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.63
|
| Rate for Payer: UHC Exchange |
$562.45
|
| Rate for Payer: UHC Medicare Advantage |
$357.63
|
| Rate for Payer: UHCCP Medicaid |
$244.31
|
|
|
PR INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA
|
Professional
|
Both
|
$1,140.00
|
|
|
Service Code
|
HCPCS 27603
|
| Min. Negotiated Rate |
$252.19 |
| Max. Negotiated Rate |
$69,219.00 |
| Rate for Payer: Aetna Commercial |
$497.81
|
| Rate for Payer: Aetna Medicare |
$386.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$497.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.96
|
| Rate for Payer: BCBS Complete |
$264.80
|
| Rate for Payer: BCBS MAPPO |
$371.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,557.43
|
| Rate for Payer: BCN Commercial |
$777.97
|
| Rate for Payer: BCN Medicare Advantage |
$371.50
|
| Rate for Payer: Cash Price |
$912.00
|
| Rate for Payer: Cash Price |
$912.00
|
| Rate for Payer: Cofinity Commercial |
$534.96
|
| Rate for Payer: Cofinity Commercial |
$497.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.50
|
| Rate for Payer: Healthscope Commercial |
$687.28
|
| Rate for Payer: Healthscope Commercial |
$594.40
|
| Rate for Payer: Mclaren Medicaid |
$252.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.08
|
| Rate for Payer: Meridian Medicaid |
$264.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69,219.00
|
| Rate for Payer: Nomi Health Commercial |
$445.80
|
| Rate for Payer: PACE SWMI |
$371.50
|
| Rate for Payer: PHP Medicare Advantage |
$371.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$601.48
|
| Rate for Payer: Priority Health Medicare |
$371.50
|
| Rate for Payer: Priority Health Narrow Network |
$601.48
|
| Rate for Payer: Priority Health SBD |
$601.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$812.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.50
|
| Rate for Payer: UHC Exchange |
$812.65
|
| Rate for Payer: UHC Medicare Advantage |
$371.50
|
| Rate for Payer: UHCCP Medicaid |
$252.19
|
|
|
PR INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA
|
Professional
|
Both
|
$888.00
|
|
|
Service Code
|
HCPCS 27604
|
| Min. Negotiated Rate |
$216.41 |
| Max. Negotiated Rate |
$56,921.00 |
| Rate for Payer: Aetna Commercial |
$428.09
|
| Rate for Payer: Aetna Medicare |
$332.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$428.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.04
|
| Rate for Payer: BCBS Complete |
$227.23
|
| Rate for Payer: BCBS MAPPO |
$319.47
|
| Rate for Payer: BCBS Trust/PPO |
$557.88
|
| Rate for Payer: BCN Commercial |
$661.18
|
| Rate for Payer: BCN Medicare Advantage |
$319.47
|
| Rate for Payer: Cash Price |
$710.40
|
| Rate for Payer: Cash Price |
$710.40
|
| Rate for Payer: Cofinity Commercial |
$460.04
|
| Rate for Payer: Cofinity Commercial |
$428.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.47
|
| Rate for Payer: Healthscope Commercial |
$591.02
|
| Rate for Payer: Healthscope Commercial |
$511.15
|
| Rate for Payer: Mclaren Medicaid |
$216.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.44
|
| Rate for Payer: Meridian Medicaid |
$227.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,921.00
|
| Rate for Payer: Nomi Health Commercial |
$383.36
|
| Rate for Payer: PACE SWMI |
$319.47
|
| Rate for Payer: PHP Medicare Advantage |
$319.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$577.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$498.69
|
| Rate for Payer: Priority Health Medicare |
$319.47
|
| Rate for Payer: Priority Health Narrow Network |
$498.69
|
| Rate for Payer: Priority Health SBD |
$498.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$636.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.47
|
| Rate for Payer: UHC Exchange |
$636.24
|
| Rate for Payer: UHC Medicare Advantage |
$319.47
|
| Rate for Payer: UHCCP Medicaid |
$216.41
|
|
|
PR INCISION & DRAINAGE PILONIDAL CYST COMPLICATED
|
Professional
|
Both
|
$454.00
|
|
|
Service Code
|
HCPCS 10081
|
| Min. Negotiated Rate |
$12.91 |
| Max. Negotiated Rate |
$30,139.00 |
| Rate for Payer: Aetna Commercial |
$219.87
|
| Rate for Payer: Aetna Medicare |
$170.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.28
|
| Rate for Payer: BCBS Complete |
$115.85
|
| Rate for Payer: BCBS MAPPO |
$164.08
|
| Rate for Payer: BCBS Trust/PPO |
$12.91
|
| Rate for Payer: BCN Commercial |
$406.41
|
| Rate for Payer: BCN Medicare Advantage |
$164.08
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Cash Price |
$363.20
|
| Rate for Payer: Cofinity Commercial |
$236.28
|
| Rate for Payer: Cofinity Commercial |
$219.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$164.08
|
| Rate for Payer: Healthscope Commercial |
$303.55
|
| Rate for Payer: Healthscope Commercial |
$262.53
|
| Rate for Payer: Mclaren Medicaid |
$110.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$172.28
|
| Rate for Payer: Meridian Medicaid |
$115.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30,139.00
|
| Rate for Payer: Nomi Health Commercial |
$196.90
|
| Rate for Payer: PACE SWMI |
$164.08
|
| Rate for Payer: PHP Medicare Advantage |
$164.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$232.53
|
| Rate for Payer: Priority Health Medicare |
$164.08
|
| Rate for Payer: Priority Health Narrow Network |
$232.53
|
| Rate for Payer: Priority Health SBD |
$232.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$268.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$164.08
|
| Rate for Payer: UHC Exchange |
$268.73
|
| Rate for Payer: UHC Medicare Advantage |
$164.08
|
| Rate for Payer: UHCCP Medicaid |
$110.33
|
|
|
PR INCISION & DRAINAGE PILONIDAL CYST SIMPLE
|
Professional
|
Both
|
$313.00
|
|
|
Service Code
|
HCPCS 10080
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$18,191.00 |
| Rate for Payer: Aetna Commercial |
$132.94
|
| Rate for Payer: Aetna Medicare |
$103.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.86
|
| Rate for Payer: BCBS Complete |
$71.35
|
| Rate for Payer: BCBS MAPPO |
$99.21
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$297.64
|
| Rate for Payer: BCN Medicare Advantage |
$99.21
|
| Rate for Payer: Cash Price |
$250.40
|
| Rate for Payer: Cash Price |
$250.40
|
| Rate for Payer: Cofinity Commercial |
$142.86
|
| Rate for Payer: Cofinity Commercial |
$132.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.21
|
| Rate for Payer: Healthscope Commercial |
$183.54
|
| Rate for Payer: Healthscope Commercial |
$158.74
|
| Rate for Payer: Mclaren Medicaid |
$67.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.17
|
| Rate for Payer: Meridian Medicaid |
$71.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18,191.00
|
| Rate for Payer: Nomi Health Commercial |
$119.05
|
| Rate for Payer: PACE SWMI |
$99.21
|
| Rate for Payer: PHP Medicare Advantage |
$99.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$203.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$143.58
|
| Rate for Payer: Priority Health Medicare |
$99.21
|
| Rate for Payer: Priority Health Narrow Network |
$143.58
|
| Rate for Payer: Priority Health SBD |
$143.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.21
|
| Rate for Payer: UHC Exchange |
$174.54
|
| Rate for Payer: UHC Medicare Advantage |
$99.21
|
| Rate for Payer: UHCCP Medicaid |
$67.95
|
|
|
PR INCISION&DRAINAGE UPPER ARM/ELBOW BURSA
|
Professional
|
Both
|
$742.00
|
|
|
Service Code
|
HCPCS 23931
|
| Min. Negotiated Rate |
$29.72 |
| Max. Negotiated Rate |
$28,357.00 |
| Rate for Payer: Aetna Commercial |
$206.13
|
| Rate for Payer: Aetna Medicare |
$159.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.52
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCBS MAPPO |
$153.83
|
| Rate for Payer: BCBS Trust/PPO |
$29.72
|
| Rate for Payer: BCN Commercial |
$448.61
|
| Rate for Payer: BCN Medicare Advantage |
$153.83
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cash Price |
$593.60
|
| Rate for Payer: Cofinity Commercial |
$221.52
|
| Rate for Payer: Cofinity Commercial |
$206.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.83
|
| Rate for Payer: Healthscope Commercial |
$284.59
|
| Rate for Payer: Healthscope Commercial |
$246.13
|
| Rate for Payer: Mclaren Medicaid |
$105.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.52
|
| Rate for Payer: Meridian Medicaid |
$110.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28,357.00
|
| Rate for Payer: Nomi Health Commercial |
$184.60
|
| Rate for Payer: PACE SWMI |
$153.83
|
| Rate for Payer: PHP Medicare Advantage |
$153.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$482.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$250.35
|
| Rate for Payer: Priority Health Medicare |
$153.83
|
| Rate for Payer: Priority Health Narrow Network |
$250.35
|
| Rate for Payer: Priority Health SBD |
$250.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$300.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.83
|
| Rate for Payer: UHC Exchange |
$300.81
|
| Rate for Payer: UHC Medicare Advantage |
$153.83
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
|
|
PR INCISION EXTENSOR TENDON SHEATH WRIST
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25000
|
| Hospital Charge Code |
25000
|
| Min. Negotiated Rate |
$173.81 |
| Max. Negotiated Rate |
$61,105.00 |
| Rate for Payer: Aetna Commercial |
$447.25
|
| Rate for Payer: Aetna Medicare |
$347.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.63
|
| Rate for Payer: BCBS Complete |
$241.32
|
| Rate for Payer: BCBS MAPPO |
$333.77
|
| Rate for Payer: BCBS Trust/PPO |
$173.81
|
| Rate for Payer: BCN Commercial |
$514.58
|
| Rate for Payer: BCN Medicare Advantage |
$333.77
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$480.63
|
| Rate for Payer: Cofinity Commercial |
$447.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.77
|
| Rate for Payer: Healthscope Commercial |
$617.47
|
| Rate for Payer: Healthscope Commercial |
$534.03
|
| Rate for Payer: Mclaren Medicaid |
$229.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.46
|
| Rate for Payer: Meridian Medicaid |
$241.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61,105.00
|
| Rate for Payer: Nomi Health Commercial |
$400.52
|
| Rate for Payer: PACE SWMI |
$333.77
|
| Rate for Payer: PHP Medicare Advantage |
$333.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$543.46
|
| Rate for Payer: Priority Health Medicare |
$333.77
|
| Rate for Payer: Priority Health Narrow Network |
$543.46
|
| Rate for Payer: Priority Health SBD |
$543.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$492.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.77
|
| Rate for Payer: UHC Exchange |
$492.67
|
| Rate for Payer: UHC Medicare Advantage |
$333.77
|
| Rate for Payer: UHCCP Medicaid |
$229.83
|
|
|
PR INCISION EXTENSOR TENDON SHEATH WRIST
|
Facility
|
OP
|
$1,175.00
|
|
|
Service Code
|
CPT 25000
|
| Hospital Charge Code |
25000
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$368.24 |
| Max. Negotiated Rate |
$4,928.37 |
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: Aetna Medicare |
$1,630.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,960.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,960.06
|
| Rate for Payer: BCBS Complete |
$882.50
|
| Rate for Payer: BCBS MAPPO |
$1,568.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,028.81
|
| Rate for Payer: BCN Commercial |
$1,028.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,568.05
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$822.50
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$822.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,568.05
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Mclaren Medicaid |
$840.47
|
| Rate for Payer: Mclaren Medicare |
$1,568.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,646.45
|
| Rate for Payer: Meridian Medicaid |
$882.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,803.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$998.75
|
| Rate for Payer: Nomi Health Commercial |
$3,292.90
|
| Rate for Payer: PACE Medicare |
$1,489.65
|
| Rate for Payer: PACE SWMI |
$1,568.05
|
| Rate for Payer: PHP Commercial |
$998.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,568.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,928.37
|
| Rate for Payer: Priority Health Medicare |
$1,568.05
|
| Rate for Payer: Priority Health Narrow Network |
$3,942.70
|
| Rate for Payer: Priority Health SBD |
$740.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,568.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$368.24
|
| Rate for Payer: UHC Core |
$4,155.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,568.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,568.05
|
| Rate for Payer: UHCCP Medicaid |
$882.81
|
| Rate for Payer: VA VA |
$1,568.05
|
|
