|
PR LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR
|
Professional
|
Both
|
$2,189.00
|
|
|
Service Code
|
HCPCS 63044
|
| Min. Negotiated Rate |
$179.97 |
| Max. Negotiated Rate |
$1,641.75 |
| Rate for Payer: Aetna Commercial |
$741.31
|
| Rate for Payer: Aetna Medicare |
$1,094.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$741.31
|
| Rate for Payer: BCBS Complete |
$188.97
|
| Rate for Payer: BCN Commercial |
$378.69
|
| Rate for Payer: Cash Price |
$1,751.20
|
| Rate for Payer: Cash Price |
$1,751.20
|
| Rate for Payer: Mclaren Medicaid |
$179.97
|
| Rate for Payer: Meridian Medicaid |
$188.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,016.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,641.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,006.98
|
| Rate for Payer: Priority Health SBD |
$1,006.98
|
| Rate for Payer: Priority Health Tiered Network |
$1,006.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$509.14
|
| Rate for Payer: UHC Core |
$509.14
|
| Rate for Payer: UHC Exchange |
$509.14
|
| Rate for Payer: UHC Medicaid |
$179.97
|
| Rate for Payer: UHCCP Medicaid |
$179.97
|
|
|
PR LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID
|
Professional
|
Both
|
$6,512.00
|
|
|
Service Code
|
HCPCS 63172
|
| Min. Negotiated Rate |
$892.04 |
| Max. Negotiated Rate |
$4,884.00 |
| Rate for Payer: Aetna Commercial |
$1,864.99
|
| Rate for Payer: Aetna Medicare |
$1,447.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,004.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,864.99
|
| Rate for Payer: BCBS Complete |
$936.64
|
| Rate for Payer: BCBS MAPPO |
$1,391.78
|
| Rate for Payer: BCN Commercial |
$2,376.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,391.78
|
| Rate for Payer: Cash Price |
$5,209.60
|
| Rate for Payer: Cash Price |
$5,209.60
|
| Rate for Payer: Cofinity Commercial |
$2,004.16
|
| Rate for Payer: Cofinity Commercial |
$1,864.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,391.78
|
| Rate for Payer: Healthscope Commercial |
$2,574.79
|
| Rate for Payer: Healthscope Commercial |
$2,226.85
|
| Rate for Payer: Mclaren Medicaid |
$892.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,461.37
|
| Rate for Payer: Meridian Medicaid |
$936.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,530.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,564.44
|
| Rate for Payer: Nomi Health Commercial |
$1,670.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,884.00
|
| Rate for Payer: PACE SWMI |
$1,391.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,391.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$892.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,512.55
|
| Rate for Payer: Priority Health Medicare |
$1,391.78
|
| Rate for Payer: Priority Health SBD |
$2,512.55
|
| Rate for Payer: Priority Health Tiered Network |
$2,512.55
|
| Rate for Payer: Railroad Medicare Medicare |
$1,391.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,439.41
|
| Rate for Payer: UHC Core |
$2,439.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,391.78
|
| Rate for Payer: UHC Exchange |
$2,439.41
|
| Rate for Payer: UHC Medicaid |
$892.04
|
| Rate for Payer: UHCCP Medicaid |
$892.04
|
|
|
PR LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL
|
Professional
|
Both
|
$7,064.00
|
|
|
Service Code
|
HCPCS 63173
|
| Min. Negotiated Rate |
$1,082.25 |
| Max. Negotiated Rate |
$5,298.00 |
| Rate for Payer: Aetna Commercial |
$2,265.42
|
| Rate for Payer: Aetna Medicare |
$1,758.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,265.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,434.48
|
| Rate for Payer: BCBS Complete |
$1,136.36
|
| Rate for Payer: BCBS MAPPO |
$1,690.61
|
| Rate for Payer: BCN Commercial |
$2,635.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,690.61
|
| Rate for Payer: Cash Price |
$5,651.20
|
| Rate for Payer: Cash Price |
$5,651.20
|
| Rate for Payer: Cofinity Commercial |
$2,434.48
|
| Rate for Payer: Cofinity Commercial |
$2,265.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,690.61
|
| Rate for Payer: Healthscope Commercial |
$3,127.63
|
| Rate for Payer: Healthscope Commercial |
$2,704.98
|
| Rate for Payer: Mclaren Medicaid |
$1,082.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,775.14
|
| Rate for Payer: Meridian Medicaid |
$1,136.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,859.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,130.45
|
| Rate for Payer: Nomi Health Commercial |
$2,028.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,298.00
|
| Rate for Payer: PACE SWMI |
$1,690.61
|
| Rate for Payer: PHP Medicare Advantage |
$1,690.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,082.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,061.45
|
| Rate for Payer: Priority Health Medicare |
$1,690.61
|
| Rate for Payer: Priority Health SBD |
$3,061.45
|
| Rate for Payer: Priority Health Tiered Network |
$3,061.45
|
| Rate for Payer: Railroad Medicare Medicare |
$1,690.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,037.92
|
| Rate for Payer: UHC Core |
$3,037.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,690.61
|
| Rate for Payer: UHC Exchange |
$3,037.92
|
| Rate for Payer: UHC Medicaid |
$1,082.25
|
| Rate for Payer: UHCCP Medicaid |
$1,082.25
|
|
|
PR LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV
|
Professional
|
Both
|
$5,245.00
|
|
|
Service Code
|
HCPCS 63001
|
| Min. Negotiated Rate |
$761.26 |
| Max. Negotiated Rate |
$3,933.75 |
| Rate for Payer: Aetna Commercial |
$1,589.67
|
| Rate for Payer: Aetna Medicare |
$1,233.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,589.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,708.30
|
| Rate for Payer: BCBS Complete |
$799.32
|
| Rate for Payer: BCBS MAPPO |
$1,186.32
|
| Rate for Payer: BCN Commercial |
$2,065.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,186.32
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cash Price |
$4,196.00
|
| Rate for Payer: Cofinity Commercial |
$1,708.30
|
| Rate for Payer: Cofinity Commercial |
$1,589.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,186.32
|
| Rate for Payer: Healthscope Commercial |
$2,194.69
|
| Rate for Payer: Healthscope Commercial |
$1,898.11
|
| Rate for Payer: Mclaren Medicaid |
$761.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,245.64
|
| Rate for Payer: Meridian Medicaid |
$799.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,304.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,227.00
|
| Rate for Payer: Nomi Health Commercial |
$1,423.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,933.75
|
| Rate for Payer: PACE SWMI |
$1,186.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,186.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$761.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,183.44
|
| Rate for Payer: Priority Health Medicare |
$1,186.32
|
| Rate for Payer: Priority Health SBD |
$2,183.44
|
| Rate for Payer: Priority Health Tiered Network |
$2,183.44
|
| Rate for Payer: Railroad Medicare Medicare |
$1,186.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,177.21
|
| Rate for Payer: UHC Core |
$2,177.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,186.32
|
| Rate for Payer: UHC Exchange |
$2,177.21
|
| Rate for Payer: UHC Medicaid |
$761.26
|
| Rate for Payer: UHCCP Medicaid |
$761.26
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Facility
|
OP
|
$2,075.00
|
|
|
Service Code
|
CPT 44970
|
| Hospital Charge Code |
44970
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,307.25 |
| Max. Negotiated Rate |
$19,480.40 |
| Rate for Payer: Aetna Commercial |
$1,763.75
|
| Rate for Payer: Aetna Medicare |
$6,264.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,348.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$3,715.45
|
| Rate for Payer: BCN Commercial |
$3,715.45
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cofinity Advantage |
$1,452.50
|
| Rate for Payer: Cofinity Commercial |
$1,784.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,660.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$1,867.50
|
| Rate for Payer: Mclaren Medicaid |
$3,150.44
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$6,324.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,763.75
|
| Rate for Payer: Nomi Health Commercial |
$18,071.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,556.25
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$1,763.75
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,480.40
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health SBD |
$1,307.25
|
| Rate for Payer: Priority Health Tiered Network |
$15,584.32
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: VA VA |
$6,023.79
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Professional
|
Both
|
$2,075.00
|
|
|
Service Code
|
HCPCS 44970
|
| Min. Negotiated Rate |
$368.70 |
| Max. Negotiated Rate |
$1,556.25 |
| Rate for Payer: Aetna Commercial |
$766.21
|
| Rate for Payer: Aetna Medicare |
$594.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$766.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$823.39
|
| Rate for Payer: BCBS Complete |
$387.13
|
| Rate for Payer: BCBS MAPPO |
$571.80
|
| Rate for Payer: BCN Commercial |
$910.81
|
| Rate for Payer: BCN Medicare Advantage |
$571.80
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cofinity Commercial |
$823.39
|
| Rate for Payer: Cofinity Commercial |
$766.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.80
|
| Rate for Payer: Healthscope Commercial |
$914.88
|
| Rate for Payer: Healthscope Commercial |
$1,057.83
|
| Rate for Payer: Mclaren Medicaid |
$368.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$600.39
|
| Rate for Payer: Meridian Medicaid |
$387.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$628.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,077.91
|
| Rate for Payer: Nomi Health Commercial |
$686.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,556.25
|
| Rate for Payer: PACE SWMI |
$571.80
|
| Rate for Payer: PHP Medicare Advantage |
$571.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,109.76
|
| Rate for Payer: Priority Health Medicare |
$571.80
|
| Rate for Payer: Priority Health SBD |
$1,109.76
|
| Rate for Payer: Priority Health Tiered Network |
$1,109.76
|
| Rate for Payer: Railroad Medicare Medicare |
$571.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,067.09
|
| Rate for Payer: UHC Core |
$1,067.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$571.80
|
| Rate for Payer: UHC Exchange |
$1,067.09
|
| Rate for Payer: UHC Medicaid |
$368.70
|
| Rate for Payer: UHCCP Medicaid |
$368.70
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Facility
|
IP
|
$2,075.00
|
|
|
Service Code
|
CPT 44970
|
| Hospital Charge Code |
44970
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,307.25 |
| Max. Negotiated Rate |
$1,867.50 |
| Rate for Payer: Aetna Commercial |
$1,763.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,348.75
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cofinity Advantage |
$1,452.50
|
| Rate for Payer: Cofinity Commercial |
$1,784.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,660.00
|
| Rate for Payer: Healthscope Commercial |
$1,867.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,763.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,556.25
|
| Rate for Payer: PHP Commercial |
$1,763.75
|
| Rate for Payer: Priority Health SBD |
$1,307.25
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Professional
|
Both
|
$2,075.00
|
|
|
Service Code
|
HCPCS 44970
|
| Hospital Charge Code |
44970
|
| Min. Negotiated Rate |
$368.70 |
| Max. Negotiated Rate |
$1,556.25 |
| Rate for Payer: Aetna Commercial |
$766.21
|
| Rate for Payer: Aetna Medicare |
$594.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$766.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$823.39
|
| Rate for Payer: BCBS Complete |
$387.13
|
| Rate for Payer: BCBS MAPPO |
$571.80
|
| Rate for Payer: BCN Commercial |
$910.81
|
| Rate for Payer: BCN Medicare Advantage |
$571.80
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cash Price |
$1,660.00
|
| Rate for Payer: Cofinity Commercial |
$823.39
|
| Rate for Payer: Cofinity Commercial |
$766.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.80
|
| Rate for Payer: Healthscope Commercial |
$914.88
|
| Rate for Payer: Healthscope Commercial |
$1,057.83
|
| Rate for Payer: Mclaren Medicaid |
$368.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$600.39
|
| Rate for Payer: Meridian Medicaid |
$387.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$628.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,077.91
|
| Rate for Payer: Nomi Health Commercial |
$686.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,556.25
|
| Rate for Payer: PACE SWMI |
$571.80
|
| Rate for Payer: PHP Medicare Advantage |
$571.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,109.76
|
| Rate for Payer: Priority Health Medicare |
$571.80
|
| Rate for Payer: Priority Health SBD |
$1,109.76
|
| Rate for Payer: Priority Health Tiered Network |
$1,109.76
|
| Rate for Payer: Railroad Medicare Medicare |
$571.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,067.09
|
| Rate for Payer: UHC Core |
$1,067.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$571.80
|
| Rate for Payer: UHC Exchange |
$1,067.09
|
| Rate for Payer: UHC Medicaid |
$368.70
|
| Rate for Payer: UHCCP Medicaid |
$368.70
|
|
|
PR LAPAROSCOPIC SURGICAL SPLENECTOMY
|
Professional
|
Both
|
$4,147.00
|
|
|
Service Code
|
HCPCS 38120
|
| Min. Negotiated Rate |
$636.87 |
| Max. Negotiated Rate |
$3,110.25 |
| Rate for Payer: Aetna Commercial |
$1,327.59
|
| Rate for Payer: Aetna Medicare |
$1,030.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,327.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,426.67
|
| Rate for Payer: BCBS Complete |
$668.71
|
| Rate for Payer: BCBS MAPPO |
$990.74
|
| Rate for Payer: BCN Commercial |
$1,595.04
|
| Rate for Payer: BCN Medicare Advantage |
$990.74
|
| Rate for Payer: Cash Price |
$3,317.60
|
| Rate for Payer: Cash Price |
$3,317.60
|
| Rate for Payer: Cofinity Commercial |
$1,426.67
|
| Rate for Payer: Cofinity Commercial |
$1,327.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$990.74
|
| Rate for Payer: Healthscope Commercial |
$1,832.87
|
| Rate for Payer: Healthscope Commercial |
$1,585.18
|
| Rate for Payer: Mclaren Medicaid |
$636.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,040.28
|
| Rate for Payer: Meridian Medicaid |
$668.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,089.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,891.71
|
| Rate for Payer: Nomi Health Commercial |
$1,188.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,110.25
|
| Rate for Payer: PACE SWMI |
$990.74
|
| Rate for Payer: PHP Medicare Advantage |
$990.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$636.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,122.32
|
| Rate for Payer: Priority Health Medicare |
$990.74
|
| Rate for Payer: Priority Health SBD |
$2,122.32
|
| Rate for Payer: Priority Health Tiered Network |
$2,122.32
|
| Rate for Payer: Railroad Medicare Medicare |
$990.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,874.68
|
| Rate for Payer: UHC Core |
$1,874.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$990.74
|
| Rate for Payer: UHC Exchange |
$1,874.68
|
| Rate for Payer: UHC Medicaid |
$636.87
|
| Rate for Payer: UHCCP Medicaid |
$636.87
|
|
|
PR LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL
|
Professional
|
Both
|
$2,281.00
|
|
|
Service Code
|
HCPCS 60650
|
| Min. Negotiated Rate |
$703.97 |
| Max. Negotiated Rate |
$2,122.47 |
| Rate for Payer: Aetna Commercial |
$1,473.71
|
| Rate for Payer: Aetna Medicare |
$1,143.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,473.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,583.68
|
| Rate for Payer: BCBS Complete |
$739.17
|
| Rate for Payer: BCBS MAPPO |
$1,099.78
|
| Rate for Payer: BCN Commercial |
$1,790.74
|
| Rate for Payer: BCN Medicare Advantage |
$1,099.78
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Cofinity Commercial |
$1,583.68
|
| Rate for Payer: Cofinity Commercial |
$1,473.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,099.78
|
| Rate for Payer: Healthscope Commercial |
$2,034.59
|
| Rate for Payer: Healthscope Commercial |
$1,759.65
|
| Rate for Payer: Mclaren Medicaid |
$703.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,154.77
|
| Rate for Payer: Meridian Medicaid |
$739.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,209.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,122.47
|
| Rate for Payer: Nomi Health Commercial |
$1,319.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,710.75
|
| Rate for Payer: PACE SWMI |
$1,099.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,099.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$703.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,941.77
|
| Rate for Payer: Priority Health Medicare |
$1,099.78
|
| Rate for Payer: Priority Health SBD |
$1,941.77
|
| Rate for Payer: Priority Health Tiered Network |
$1,941.77
|
| Rate for Payer: Railroad Medicare Medicare |
$1,099.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,121.74
|
| Rate for Payer: UHC Core |
$2,121.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,099.78
|
| Rate for Payer: UHC Exchange |
$2,121.74
|
| Rate for Payer: UHC Medicaid |
$703.97
|
| Rate for Payer: UHCCP Medicaid |
$703.97
|
|
|
PR LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,735.00
|
|
|
Service Code
|
HCPCS 44204
|
| Min. Negotiated Rate |
$901.20 |
| Max. Negotiated Rate |
$2,801.25 |
| Rate for Payer: Aetna Commercial |
$1,884.82
|
| Rate for Payer: Aetna Medicare |
$1,462.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,884.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,025.48
|
| Rate for Payer: BCBS Complete |
$946.26
|
| Rate for Payer: BCBS MAPPO |
$1,406.58
|
| Rate for Payer: BCN Commercial |
$2,290.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,406.58
|
| Rate for Payer: Cash Price |
$2,988.00
|
| Rate for Payer: Cash Price |
$2,988.00
|
| Rate for Payer: Cofinity Commercial |
$2,025.48
|
| Rate for Payer: Cofinity Commercial |
$1,884.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,406.58
|
| Rate for Payer: Healthscope Commercial |
$2,602.17
|
| Rate for Payer: Healthscope Commercial |
$2,250.53
|
| Rate for Payer: Mclaren Medicaid |
$901.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,476.91
|
| Rate for Payer: Meridian Medicaid |
$946.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,547.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,734.92
|
| Rate for Payer: Nomi Health Commercial |
$1,687.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,801.25
|
| Rate for Payer: PACE SWMI |
$1,406.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,406.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$901.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,791.09
|
| Rate for Payer: Priority Health Medicare |
$1,406.58
|
| Rate for Payer: Priority Health SBD |
$2,791.09
|
| Rate for Payer: Priority Health Tiered Network |
$2,791.09
|
| Rate for Payer: Railroad Medicare Medicare |
$1,406.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,738.57
|
| Rate for Payer: UHC Core |
$2,738.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,406.58
|
| Rate for Payer: UHC Exchange |
$2,738.57
|
| Rate for Payer: UHC Medicaid |
$901.20
|
| Rate for Payer: UHCCP Medicaid |
$901.20
|
|
|
PR LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX
|
Professional
|
Both
|
$2,086.00
|
|
|
Service Code
|
HCPCS 57425
|
| Min. Negotiated Rate |
$548.48 |
| Max. Negotiated Rate |
$1,735.76 |
| Rate for Payer: Aetna Commercial |
$1,143.45
|
| Rate for Payer: Aetna Medicare |
$887.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,143.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,228.78
|
| Rate for Payer: BCBS Complete |
$575.90
|
| Rate for Payer: BCBS MAPPO |
$853.32
|
| Rate for Payer: BCN Commercial |
$1,456.60
|
| Rate for Payer: BCN Medicare Advantage |
$853.32
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Cash Price |
$1,668.80
|
| Rate for Payer: Cofinity Commercial |
$1,228.78
|
| Rate for Payer: Cofinity Commercial |
$1,143.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.32
|
| Rate for Payer: Healthscope Commercial |
$1,578.64
|
| Rate for Payer: Healthscope Commercial |
$1,365.31
|
| Rate for Payer: Mclaren Medicaid |
$548.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$895.99
|
| Rate for Payer: Meridian Medicaid |
$575.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$938.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,735.76
|
| Rate for Payer: Nomi Health Commercial |
$1,023.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,564.50
|
| Rate for Payer: PACE SWMI |
$853.32
|
| Rate for Payer: PHP Medicare Advantage |
$853.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$548.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,475.22
|
| Rate for Payer: Priority Health Medicare |
$853.32
|
| Rate for Payer: Priority Health SBD |
$1,475.22
|
| Rate for Payer: Priority Health Tiered Network |
$1,475.22
|
| Rate for Payer: Railroad Medicare Medicare |
$853.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,730.62
|
| Rate for Payer: UHC Core |
$1,730.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$853.32
|
| Rate for Payer: UHC Exchange |
$1,730.62
|
| Rate for Payer: UHC Medicaid |
$548.48
|
| Rate for Payer: UHCCP Medicaid |
$548.48
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 44180
|
| Min. Negotiated Rate |
$551.24 |
| Max. Negotiated Rate |
$1,796.25 |
| Rate for Payer: Aetna Commercial |
$1,152.16
|
| Rate for Payer: Aetna Medicare |
$894.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,152.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,238.14
|
| Rate for Payer: BCBS Complete |
$578.80
|
| Rate for Payer: BCBS MAPPO |
$859.82
|
| Rate for Payer: BCN Commercial |
$1,384.39
|
| Rate for Payer: BCN Medicare Advantage |
$859.82
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,238.14
|
| Rate for Payer: Cofinity Commercial |
$1,152.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$859.82
|
| Rate for Payer: Healthscope Commercial |
$1,590.67
|
| Rate for Payer: Healthscope Commercial |
$1,375.71
|
| Rate for Payer: Mclaren Medicaid |
$551.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.81
|
| Rate for Payer: Meridian Medicaid |
$578.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$945.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,645.54
|
| Rate for Payer: Nomi Health Commercial |
$1,031.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,796.25
|
| Rate for Payer: PACE SWMI |
$859.82
|
| Rate for Payer: PHP Medicare Advantage |
$859.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$551.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,686.78
|
| Rate for Payer: Priority Health Medicare |
$859.82
|
| Rate for Payer: Priority Health SBD |
$1,686.78
|
| Rate for Payer: Priority Health Tiered Network |
$1,686.78
|
| Rate for Payer: Railroad Medicare Medicare |
$859.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,639.38
|
| Rate for Payer: UHC Core |
$1,639.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$859.82
|
| Rate for Payer: UHC Exchange |
$1,639.38
|
| Rate for Payer: UHC Medicaid |
$551.24
|
| Rate for Payer: UHCCP Medicaid |
$551.24
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,395.00
|
|
|
Service Code
|
HCPCS 44180
|
| Hospital Charge Code |
44180
|
| Min. Negotiated Rate |
$551.24 |
| Max. Negotiated Rate |
$1,796.25 |
| Rate for Payer: Aetna Commercial |
$1,152.16
|
| Rate for Payer: Aetna Medicare |
$894.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,152.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,238.14
|
| Rate for Payer: BCBS Complete |
$578.80
|
| Rate for Payer: BCBS MAPPO |
$859.82
|
| Rate for Payer: BCN Commercial |
$1,384.39
|
| Rate for Payer: BCN Medicare Advantage |
$859.82
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Commercial |
$1,238.14
|
| Rate for Payer: Cofinity Commercial |
$1,152.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$859.82
|
| Rate for Payer: Healthscope Commercial |
$1,590.67
|
| Rate for Payer: Healthscope Commercial |
$1,375.71
|
| Rate for Payer: Mclaren Medicaid |
$551.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$902.81
|
| Rate for Payer: Meridian Medicaid |
$578.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$945.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,645.54
|
| Rate for Payer: Nomi Health Commercial |
$1,031.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,796.25
|
| Rate for Payer: PACE SWMI |
$859.82
|
| Rate for Payer: PHP Medicare Advantage |
$859.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$551.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,686.78
|
| Rate for Payer: Priority Health Medicare |
$859.82
|
| Rate for Payer: Priority Health SBD |
$1,686.78
|
| Rate for Payer: Priority Health Tiered Network |
$1,686.78
|
| Rate for Payer: Railroad Medicare Medicare |
$859.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,639.38
|
| Rate for Payer: UHC Core |
$1,639.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$859.82
|
| Rate for Payer: UHC Exchange |
$1,639.38
|
| Rate for Payer: UHC Medicaid |
$551.24
|
| Rate for Payer: UHCCP Medicaid |
$551.24
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$2,395.00
|
|
|
Service Code
|
CPT 44180
|
| Hospital Charge Code |
44180
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,508.85 |
| Max. Negotiated Rate |
$2,155.50 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Advantage |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,796.25
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$2,395.00
|
|
|
Service Code
|
CPT 44180
|
| Hospital Charge Code |
44180
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,508.85 |
| Max. Negotiated Rate |
$19,480.40 |
| Rate for Payer: Aetna Commercial |
$2,035.75
|
| Rate for Payer: Aetna Medicare |
$6,264.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,556.75
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7,529.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7,529.74
|
| Rate for Payer: BCBS Complete |
$3,308.27
|
| Rate for Payer: BCBS MAPPO |
$6,023.79
|
| Rate for Payer: BCBS Trust/PPO |
$3,502.96
|
| Rate for Payer: BCN Commercial |
$3,502.96
|
| Rate for Payer: BCN Medicare Advantage |
$6,023.79
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cash Price |
$1,916.00
|
| Rate for Payer: Cofinity Advantage |
$1,676.50
|
| Rate for Payer: Cofinity Commercial |
$2,059.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,916.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6,023.79
|
| Rate for Payer: Healthscope Commercial |
$2,155.50
|
| Rate for Payer: Mclaren Medicaid |
$3,150.44
|
| Rate for Payer: Mclaren Medicare |
$6,023.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6,324.98
|
| Rate for Payer: Meridian Medicaid |
$6,324.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6,927.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6,626.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,035.75
|
| Rate for Payer: Nomi Health Commercial |
$18,071.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,796.25
|
| Rate for Payer: PACE Medicare |
$5,722.60
|
| Rate for Payer: PACE SWMI |
$6,023.79
|
| Rate for Payer: PHP Commercial |
$2,035.75
|
| Rate for Payer: PHP Medicare Advantage |
$6,023.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,150.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19,480.40
|
| Rate for Payer: Priority Health Medicare |
$6,023.79
|
| Rate for Payer: Priority Health SBD |
$1,508.85
|
| Rate for Payer: Priority Health Tiered Network |
$15,584.32
|
| Rate for Payer: Railroad Medicare Medicare |
$6,023.79
|
| Rate for Payer: UHC Medicaid |
$3,150.44
|
| Rate for Payer: UHCCP Medicaid |
$3,150.44
|
| Rate for Payer: VA VA |
$6,023.79
|
|
|
PR LAPAROSCOPY FULGURATION OVIDUCTS
|
Professional
|
Both
|
$1,524.00
|
|
|
Service Code
|
HCPCS 58670
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$1,143.00 |
| Rate for Payer: Aetna Commercial |
$439.69
|
| Rate for Payer: Aetna Medicare |
$341.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$472.51
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$328.13
|
| Rate for Payer: BCN Commercial |
$558.74
|
| Rate for Payer: BCN Medicare Advantage |
$328.13
|
| Rate for Payer: Cash Price |
$1,219.20
|
| Rate for Payer: Cash Price |
$1,219.20
|
| Rate for Payer: Cofinity Commercial |
$472.51
|
| Rate for Payer: Cofinity Commercial |
$439.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.13
|
| Rate for Payer: Healthscope Commercial |
$607.04
|
| Rate for Payer: Healthscope Commercial |
$525.01
|
| Rate for Payer: Mclaren Medicaid |
$212.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$344.54
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$360.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$663.10
|
| Rate for Payer: Nomi Health Commercial |
$393.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,143.00
|
| Rate for Payer: PACE SWMI |
$328.13
|
| Rate for Payer: PHP Medicare Advantage |
$328.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$565.88
|
| Rate for Payer: Priority Health Medicare |
$328.13
|
| Rate for Payer: Priority Health SBD |
$565.88
|
| Rate for Payer: Priority Health Tiered Network |
$565.88
|
| Rate for Payer: Railroad Medicare Medicare |
$328.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$650.67
|
| Rate for Payer: UHC Core |
$650.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$328.13
|
| Rate for Payer: UHC Exchange |
$650.67
|
| Rate for Payer: UHC Medicaid |
$212.36
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT
|
Professional
|
Both
|
$3,098.00
|
|
|
Service Code
|
HCPCS 50546
|
| Min. Negotiated Rate |
$688.20 |
| Max. Negotiated Rate |
$2,323.50 |
| Rate for Payer: Aetna Commercial |
$1,431.92
|
| Rate for Payer: Aetna Medicare |
$1,111.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,431.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,538.78
|
| Rate for Payer: BCBS Complete |
$722.61
|
| Rate for Payer: BCBS MAPPO |
$1,068.60
|
| Rate for Payer: BCN Commercial |
$1,794.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,068.60
|
| Rate for Payer: Cash Price |
$2,478.40
|
| Rate for Payer: Cash Price |
$2,478.40
|
| Rate for Payer: Cofinity Commercial |
$1,538.78
|
| Rate for Payer: Cofinity Commercial |
$1,431.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,068.60
|
| Rate for Payer: Healthscope Commercial |
$1,976.91
|
| Rate for Payer: Healthscope Commercial |
$1,709.76
|
| Rate for Payer: Mclaren Medicaid |
$688.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,122.03
|
| Rate for Payer: Meridian Medicaid |
$722.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,175.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,116.85
|
| Rate for Payer: Nomi Health Commercial |
$1,282.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,323.50
|
| Rate for Payer: PACE SWMI |
$1,068.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,068.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$688.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,955.04
|
| Rate for Payer: Priority Health Medicare |
$1,068.60
|
| Rate for Payer: Priority Health SBD |
$1,955.04
|
| Rate for Payer: Priority Health Tiered Network |
$1,955.04
|
| Rate for Payer: Railroad Medicare Medicare |
$1,068.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,129.59
|
| Rate for Payer: UHC Core |
$2,129.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,068.60
|
| Rate for Payer: UHC Exchange |
$2,129.59
|
| Rate for Payer: UHC Medicaid |
$688.20
|
| Rate for Payer: UHCCP Medicaid |
$688.20
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY
|
Professional
|
Both
|
$2,670.00
|
|
|
Service Code
|
HCPCS 50548
|
| Min. Negotiated Rate |
$759.56 |
| Max. Negotiated Rate |
$2,384.90 |
| Rate for Payer: Aetna Commercial |
$1,584.62
|
| Rate for Payer: Aetna Medicare |
$1,229.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,584.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,702.87
|
| Rate for Payer: BCBS Complete |
$797.54
|
| Rate for Payer: BCBS MAPPO |
$1,182.55
|
| Rate for Payer: BCN Commercial |
$1,993.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,182.55
|
| Rate for Payer: Cash Price |
$2,136.00
|
| Rate for Payer: Cash Price |
$2,136.00
|
| Rate for Payer: Cofinity Commercial |
$1,702.87
|
| Rate for Payer: Cofinity Commercial |
$1,584.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,182.55
|
| Rate for Payer: Healthscope Commercial |
$2,187.72
|
| Rate for Payer: Healthscope Commercial |
$1,892.08
|
| Rate for Payer: Mclaren Medicaid |
$759.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,241.68
|
| Rate for Payer: Meridian Medicaid |
$797.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,300.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,357.86
|
| Rate for Payer: Nomi Health Commercial |
$1,419.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,002.50
|
| Rate for Payer: PACE SWMI |
$1,182.55
|
| Rate for Payer: PHP Medicare Advantage |
$1,182.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$759.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,172.02
|
| Rate for Payer: Priority Health Medicare |
$1,182.55
|
| Rate for Payer: Priority Health SBD |
$2,172.02
|
| Rate for Payer: Priority Health Tiered Network |
$2,172.02
|
| Rate for Payer: Railroad Medicare Medicare |
$1,182.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,384.90
|
| Rate for Payer: UHC Core |
$2,384.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,182.55
|
| Rate for Payer: UHC Exchange |
$2,384.90
|
| Rate for Payer: UHC Medicaid |
$759.56
|
| Rate for Payer: UHCCP Medicaid |
$759.56
|
|
|
PR LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS
|
Professional
|
Both
|
$2,363.00
|
|
|
Service Code
|
HCPCS 54692
|
| Min. Negotiated Rate |
$434.09 |
| Max. Negotiated Rate |
$1,772.25 |
| Rate for Payer: Aetna Commercial |
$901.61
|
| Rate for Payer: Aetna Medicare |
$699.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$901.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$968.89
|
| Rate for Payer: BCBS Complete |
$455.79
|
| Rate for Payer: BCBS MAPPO |
$672.84
|
| Rate for Payer: BCN Commercial |
$1,130.42
|
| Rate for Payer: BCN Medicare Advantage |
$672.84
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Cofinity Commercial |
$968.89
|
| Rate for Payer: Cofinity Commercial |
$901.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$672.84
|
| Rate for Payer: Healthscope Commercial |
$1,244.75
|
| Rate for Payer: Healthscope Commercial |
$1,076.54
|
| Rate for Payer: Mclaren Medicaid |
$434.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$706.48
|
| Rate for Payer: Meridian Medicaid |
$455.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$740.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,329.05
|
| Rate for Payer: Nomi Health Commercial |
$807.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,772.25
|
| Rate for Payer: PACE SWMI |
$672.84
|
| Rate for Payer: PHP Medicare Advantage |
$672.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$434.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,231.40
|
| Rate for Payer: Priority Health Medicare |
$672.84
|
| Rate for Payer: Priority Health SBD |
$1,231.40
|
| Rate for Payer: Priority Health Tiered Network |
$1,231.40
|
| Rate for Payer: Railroad Medicare Medicare |
$672.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,340.01
|
| Rate for Payer: UHC Core |
$1,340.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$672.84
|
| Rate for Payer: UHC Exchange |
$1,340.01
|
| Rate for Payer: UHC Medicaid |
$434.09
|
| Rate for Payer: UHCCP Medicaid |
$434.09
|
|
|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE
|
Professional
|
Both
|
$3,445.00
|
|
|
Service Code
|
HCPCS 45400
|
| Min. Negotiated Rate |
$666.05 |
| Max. Negotiated Rate |
$2,583.75 |
| Rate for Payer: Aetna Commercial |
$1,384.07
|
| Rate for Payer: Aetna Medicare |
$1,074.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,384.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,487.36
|
| Rate for Payer: BCBS Complete |
$699.35
|
| Rate for Payer: BCBS MAPPO |
$1,032.89
|
| Rate for Payer: BCN Commercial |
$1,687.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,032.89
|
| Rate for Payer: Cash Price |
$2,756.00
|
| Rate for Payer: Cash Price |
$2,756.00
|
| Rate for Payer: Cofinity Commercial |
$1,487.36
|
| Rate for Payer: Cofinity Commercial |
$1,384.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,032.89
|
| Rate for Payer: Healthscope Commercial |
$1,910.85
|
| Rate for Payer: Healthscope Commercial |
$1,652.62
|
| Rate for Payer: Mclaren Medicaid |
$666.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,084.53
|
| Rate for Payer: Meridian Medicaid |
$699.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,136.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,003.53
|
| Rate for Payer: Nomi Health Commercial |
$1,239.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,583.75
|
| Rate for Payer: PACE SWMI |
$1,032.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,032.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,056.30
|
| Rate for Payer: Priority Health Medicare |
$1,032.89
|
| Rate for Payer: Priority Health SBD |
$2,056.30
|
| Rate for Payer: Priority Health Tiered Network |
$2,056.30
|
| Rate for Payer: Railroad Medicare Medicare |
$1,032.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,009.25
|
| Rate for Payer: UHC Core |
$2,009.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,032.89
|
| Rate for Payer: UHC Exchange |
$2,009.25
|
| Rate for Payer: UHC Medicaid |
$666.05
|
| Rate for Payer: UHCCP Medicaid |
$666.05
|
|
|
PR LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ
|
Professional
|
Both
|
$4,803.00
|
|
|
Service Code
|
HCPCS 45402
|
| Min. Negotiated Rate |
$888.21 |
| Max. Negotiated Rate |
$3,602.25 |
| Rate for Payer: Aetna Commercial |
$1,853.09
|
| Rate for Payer: Aetna Medicare |
$1,438.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,853.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,991.38
|
| Rate for Payer: BCBS Complete |
$932.62
|
| Rate for Payer: BCBS MAPPO |
$1,382.90
|
| Rate for Payer: BCN Commercial |
$2,255.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,382.90
|
| Rate for Payer: Cash Price |
$3,842.40
|
| Rate for Payer: Cash Price |
$3,842.40
|
| Rate for Payer: Cofinity Commercial |
$1,991.38
|
| Rate for Payer: Cofinity Commercial |
$1,853.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,382.90
|
| Rate for Payer: Healthscope Commercial |
$2,558.36
|
| Rate for Payer: Healthscope Commercial |
$2,212.64
|
| Rate for Payer: Mclaren Medicaid |
$888.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,452.05
|
| Rate for Payer: Meridian Medicaid |
$932.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,521.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,691.23
|
| Rate for Payer: Nomi Health Commercial |
$1,659.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,602.25
|
| Rate for Payer: PACE SWMI |
$1,382.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,382.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$888.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,748.00
|
| Rate for Payer: Priority Health Medicare |
$1,382.90
|
| Rate for Payer: Priority Health SBD |
$2,748.00
|
| Rate for Payer: Priority Health Tiered Network |
$2,748.00
|
| Rate for Payer: Railroad Medicare Medicare |
$1,382.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,686.66
|
| Rate for Payer: UHC Core |
$2,686.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,382.90
|
| Rate for Payer: UHC Exchange |
$2,686.66
|
| Rate for Payer: UHC Medicaid |
$888.21
|
| Rate for Payer: UHCCP Medicaid |
$888.21
|
|
|
PR LAPAROSCOPY RADICAL NEPHRECTOMY
|
Professional
|
Both
|
$4,212.00
|
|
|
Service Code
|
HCPCS 50545
|
| Min. Negotiated Rate |
$756.58 |
| Max. Negotiated Rate |
$3,159.00 |
| Rate for Payer: PHP Medicare Advantage |
$1,177.12
|
| Rate for Payer: Aetna Commercial |
$1,577.34
|
| Rate for Payer: Aetna Medicare |
$1,224.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,577.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,695.05
|
| Rate for Payer: BCBS Complete |
$794.41
|
| Rate for Payer: BCBS MAPPO |
$1,177.12
|
| Rate for Payer: BCN Commercial |
$1,984.45
|
| Rate for Payer: BCN Medicare Advantage |
$1,177.12
|
| Rate for Payer: Cash Price |
$3,369.60
|
| Rate for Payer: Cash Price |
$3,369.60
|
| Rate for Payer: Cofinity Commercial |
$1,695.05
|
| Rate for Payer: Cofinity Commercial |
$1,577.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,177.12
|
| Rate for Payer: Healthscope Commercial |
$2,177.67
|
| Rate for Payer: Healthscope Commercial |
$1,883.39
|
| Rate for Payer: Mclaren Medicaid |
$756.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,235.98
|
| Rate for Payer: Meridian Medicaid |
$794.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,294.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,344.27
|
| Rate for Payer: Nomi Health Commercial |
$1,412.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,159.00
|
| Rate for Payer: PACE SWMI |
$1,177.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$756.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,161.72
|
| Rate for Payer: Priority Health Medicare |
$1,177.12
|
| Rate for Payer: Priority Health SBD |
$2,161.72
|
| Rate for Payer: Priority Health Tiered Network |
$2,161.72
|
| Rate for Payer: Railroad Medicare Medicare |
$1,177.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,370.56
|
| Rate for Payer: UHC Core |
$2,370.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,177.12
|
| Rate for Payer: UHC Exchange |
$2,370.56
|
| Rate for Payer: UHC Medicaid |
$756.58
|
| Rate for Payer: UHCCP Medicaid |
$756.58
|
|
|
PR LAPAROSCOPY SALPINGOSTOMY
|
Professional
|
Both
|
$3,211.00
|
|
|
Service Code
|
HCPCS 58673
|
| Min. Negotiated Rate |
$446.24 |
| Max. Negotiated Rate |
$2,408.25 |
| Rate for Payer: Aetna Commercial |
$932.60
|
| Rate for Payer: Aetna Medicare |
$723.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,002.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.60
|
| Rate for Payer: BCBS Complete |
$468.55
|
| Rate for Payer: BCBS MAPPO |
$695.97
|
| Rate for Payer: BCN Commercial |
$1,186.69
|
| Rate for Payer: BCN Medicare Advantage |
$695.97
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cofinity Commercial |
$932.60
|
| Rate for Payer: Cofinity Commercial |
$1,002.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.97
|
| Rate for Payer: Healthscope Commercial |
$1,287.54
|
| Rate for Payer: Healthscope Commercial |
$1,113.55
|
| Rate for Payer: Mclaren Medicaid |
$446.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$730.77
|
| Rate for Payer: Meridian Medicaid |
$468.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$765.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,421.53
|
| Rate for Payer: Nomi Health Commercial |
$835.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,408.25
|
| Rate for Payer: PACE SWMI |
$695.97
|
| Rate for Payer: PHP Medicare Advantage |
$695.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$446.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,201.86
|
| Rate for Payer: Priority Health Medicare |
$695.97
|
| Rate for Payer: Priority Health SBD |
$1,201.86
|
| Rate for Payer: Priority Health Tiered Network |
$1,201.86
|
| Rate for Payer: Railroad Medicare Medicare |
$695.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,416.71
|
| Rate for Payer: UHC Core |
$1,416.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$695.97
|
| Rate for Payer: UHC Exchange |
$1,416.71
|
| Rate for Payer: UHC Medicaid |
$446.24
|
| Rate for Payer: UHCCP Medicaid |
$446.24
|
|
|
PR LAPAROSCOPY SLING OPERATION STRESS INCONT
|
Professional
|
Both
|
$1,776.00
|
|
|
Service Code
|
HCPCS 51992
|
| Min. Negotiated Rate |
$476.06 |
| Max. Negotiated Rate |
$1,486.80 |
| Rate for Payer: Aetna Commercial |
$992.77
|
| Rate for Payer: Aetna Medicare |
$770.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,066.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.77
|
| Rate for Payer: BCBS Complete |
$499.86
|
| Rate for Payer: BCBS MAPPO |
$740.87
|
| Rate for Payer: BCN Commercial |
$1,249.43
|
| Rate for Payer: BCN Medicare Advantage |
$740.87
|
| Rate for Payer: Cash Price |
$1,420.80
|
| Rate for Payer: Cash Price |
$1,420.80
|
| Rate for Payer: Cofinity Commercial |
$992.77
|
| Rate for Payer: Cofinity Commercial |
$1,066.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.87
|
| Rate for Payer: Healthscope Commercial |
$1,370.61
|
| Rate for Payer: Healthscope Commercial |
$1,185.39
|
| Rate for Payer: Mclaren Medicaid |
$476.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.91
|
| Rate for Payer: Meridian Medicaid |
$499.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$814.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,480.16
|
| Rate for Payer: Nomi Health Commercial |
$889.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,332.00
|
| Rate for Payer: PACE SWMI |
$740.87
|
| Rate for Payer: PHP Medicare Advantage |
$740.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$476.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,361.03
|
| Rate for Payer: Priority Health Medicare |
$740.87
|
| Rate for Payer: Priority Health SBD |
$1,361.03
|
| Rate for Payer: Priority Health Tiered Network |
$1,361.03
|
| Rate for Payer: Railroad Medicare Medicare |
$740.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,486.80
|
| Rate for Payer: UHC Core |
$1,486.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$740.87
|
| Rate for Payer: UHC Exchange |
$1,486.80
|
| Rate for Payer: UHC Medicaid |
$476.06
|
| Rate for Payer: UHCCP Medicaid |
$476.06
|
|
