|
PR INSERTION EPICARDIAL ELECTRODE OPEN
|
Professional
|
Both
|
$2,372.00
|
|
|
Service Code
|
HCPCS 33202
|
| Min. Negotiated Rate |
$487.56 |
| Max. Negotiated Rate |
$136,526.00 |
| Rate for Payer: Aetna Commercial |
$990.09
|
| Rate for Payer: Aetna Medicare |
$768.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,063.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$990.09
|
| Rate for Payer: BCBS Complete |
$511.94
|
| Rate for Payer: BCBS MAPPO |
$738.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,263.69
|
| Rate for Payer: BCN Commercial |
$1,110.28
|
| Rate for Payer: BCN Medicare Advantage |
$738.87
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cash Price |
$1,897.60
|
| Rate for Payer: Cofinity Commercial |
$990.09
|
| Rate for Payer: Cofinity Commercial |
$1,063.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$738.87
|
| Rate for Payer: Healthscope Commercial |
$1,366.91
|
| Rate for Payer: Healthscope Commercial |
$1,182.19
|
| Rate for Payer: Mclaren Medicaid |
$487.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$775.81
|
| Rate for Payer: Meridian Medicaid |
$511.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136,526.00
|
| Rate for Payer: Nomi Health Commercial |
$886.64
|
| Rate for Payer: PACE SWMI |
$738.87
|
| Rate for Payer: PHP Medicare Advantage |
$738.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$487.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,541.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,213.10
|
| Rate for Payer: Priority Health Medicare |
$738.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,213.10
|
| Rate for Payer: Priority Health SBD |
$1,213.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,059.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$738.87
|
| Rate for Payer: UHC Exchange |
$1,059.85
|
| Rate for Payer: UHC Medicare Advantage |
$738.87
|
| Rate for Payer: UHCCP Medicaid |
$487.56
|
|
|
PR INSERTION FLOW DIRECTED CATHETER FOR MONITORING
|
Professional
|
Both
|
$853.00
|
|
|
Service Code
|
HCPCS 93503
|
| Min. Negotiated Rate |
$54.95 |
| Max. Negotiated Rate |
$13,004.00 |
| Rate for Payer: Aetna Commercial |
$111.51
|
| Rate for Payer: Aetna Medicare |
$86.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$111.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.84
|
| Rate for Payer: BCBS Complete |
$57.70
|
| Rate for Payer: BCBS MAPPO |
$83.22
|
| Rate for Payer: BCBS Trust/PPO |
$456.45
|
| Rate for Payer: BCN Commercial |
$126.08
|
| Rate for Payer: BCN Medicare Advantage |
$83.22
|
| Rate for Payer: Cash Price |
$682.40
|
| Rate for Payer: Cash Price |
$682.40
|
| Rate for Payer: Cofinity Commercial |
$119.84
|
| Rate for Payer: Cofinity Commercial |
$111.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.22
|
| Rate for Payer: Healthscope Commercial |
$153.96
|
| Rate for Payer: Healthscope Commercial |
$133.15
|
| Rate for Payer: Mclaren Medicaid |
$54.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.38
|
| Rate for Payer: Meridian Medicaid |
$57.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13,004.00
|
| Rate for Payer: Nomi Health Commercial |
$99.86
|
| Rate for Payer: PACE SWMI |
$83.22
|
| Rate for Payer: PHP Medicare Advantage |
$83.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$554.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$121.01
|
| Rate for Payer: Priority Health Medicare |
$83.22
|
| Rate for Payer: Priority Health Narrow Network |
$121.01
|
| Rate for Payer: Priority Health SBD |
$121.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.22
|
| Rate for Payer: UHC Exchange |
$295.03
|
| Rate for Payer: UHC Medicare Advantage |
$83.22
|
| Rate for Payer: UHCCP Medicaid |
$54.95
|
|
|
PR INSERTION INDWELLING TUNNELED PLEURAL CATHETER
|
Professional
|
Both
|
$1,950.00
|
|
|
Service Code
|
HCPCS 32550
|
| Min. Negotiated Rate |
$128.23 |
| Max. Negotiated Rate |
$36,013.00 |
| Rate for Payer: Aetna Commercial |
$258.74
|
| Rate for Payer: Aetna Medicare |
$200.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$258.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.05
|
| Rate for Payer: BCBS Complete |
$134.64
|
| Rate for Payer: BCBS MAPPO |
$193.09
|
| Rate for Payer: BCBS Trust/PPO |
$421.58
|
| Rate for Payer: BCN Commercial |
$1,161.10
|
| Rate for Payer: BCN Medicare Advantage |
$193.09
|
| Rate for Payer: Cash Price |
$1,560.00
|
| Rate for Payer: Cash Price |
$1,560.00
|
| Rate for Payer: Cofinity Commercial |
$278.05
|
| Rate for Payer: Cofinity Commercial |
$258.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.09
|
| Rate for Payer: Healthscope Commercial |
$308.94
|
| Rate for Payer: Healthscope Commercial |
$357.22
|
| Rate for Payer: Mclaren Medicaid |
$128.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202.74
|
| Rate for Payer: Meridian Medicaid |
$134.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36,013.00
|
| Rate for Payer: Nomi Health Commercial |
$231.71
|
| Rate for Payer: PACE SWMI |
$193.09
|
| Rate for Payer: PHP Medicare Advantage |
$193.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$128.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$278.09
|
| Rate for Payer: Priority Health Medicare |
$193.09
|
| Rate for Payer: Priority Health Narrow Network |
$278.09
|
| Rate for Payer: Priority Health SBD |
$278.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$193.09
|
| Rate for Payer: UHC Medicare Advantage |
$193.09
|
| Rate for Payer: UHCCP Medicaid |
$128.23
|
|
|
PR INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
HCPCS 33967
|
| Min. Negotiated Rate |
$161.67 |
| Max. Negotiated Rate |
$45,536.00 |
| Rate for Payer: Aetna Commercial |
$330.87
|
| Rate for Payer: Aetna Medicare |
$256.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$355.56
|
| Rate for Payer: BCBS Complete |
$169.75
|
| Rate for Payer: BCBS MAPPO |
$246.92
|
| Rate for Payer: BCBS Trust/PPO |
$815.17
|
| Rate for Payer: BCN Commercial |
$367.97
|
| Rate for Payer: BCN Medicare Advantage |
$246.92
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cofinity Commercial |
$355.56
|
| Rate for Payer: Cofinity Commercial |
$330.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.92
|
| Rate for Payer: Healthscope Commercial |
$456.80
|
| Rate for Payer: Healthscope Commercial |
$395.07
|
| Rate for Payer: Mclaren Medicaid |
$161.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.27
|
| Rate for Payer: Meridian Medicaid |
$169.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45,536.00
|
| Rate for Payer: Nomi Health Commercial |
$296.30
|
| Rate for Payer: PACE SWMI |
$246.92
|
| Rate for Payer: PHP Medicare Advantage |
$246.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$161.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$488.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$402.60
|
| Rate for Payer: Priority Health Medicare |
$246.92
|
| Rate for Payer: Priority Health Narrow Network |
$402.60
|
| Rate for Payer: Priority Health SBD |
$402.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.92
|
| Rate for Payer: UHC Exchange |
$297.44
|
| Rate for Payer: UHC Medicare Advantage |
$246.92
|
| Rate for Payer: UHCCP Medicaid |
$161.67
|
|
|
PR INSERTION INTRAUTERINE DEVICE IUD
|
Facility
|
OP
|
$296.00
|
|
|
Service Code
|
CPT 58300
|
| Hospital Charge Code |
58300
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$117.08 |
| Max. Negotiated Rate |
$878.00 |
| Rate for Payer: Aetna Commercial |
$251.60
|
| Rate for Payer: Aetna Medicare |
$148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.40
|
| Rate for Payer: BCBS Complete |
$118.40
|
| Rate for Payer: BCBS Trust/PPO |
$435.08
|
| Rate for Payer: BCN Commercial |
$435.08
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cofinity Commercial |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$254.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$207.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.80
|
| Rate for Payer: Healthscope Commercial |
$266.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.60
|
| Rate for Payer: PHP Commercial |
$251.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$146.35
|
| Rate for Payer: Priority Health Narrow Network |
$117.08
|
| Rate for Payer: Priority Health SBD |
$186.48
|
| Rate for Payer: UHC Core |
$878.00
|
|
|
PR INSERTION INTRAUTERINE DEVICE IUD
|
Professional
|
Both
|
$296.00
|
|
|
Service Code
|
HCPCS 58300
|
| Min. Negotiated Rate |
$32.16 |
| Max. Negotiated Rate |
$8,984.00 |
| Rate for Payer: Aetna Commercial |
$60.86
|
| Rate for Payer: Aetna Medicare |
$148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.86
|
| Rate for Payer: BCBS Complete |
$33.77
|
| Rate for Payer: BCBS Trust/PPO |
$417.36
|
| Rate for Payer: BCN Commercial |
$130.36
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Mclaren Medicaid |
$32.16
|
| Rate for Payer: Meridian Medicaid |
$33.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,984.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74.41
|
| Rate for Payer: Priority Health Narrow Network |
$74.41
|
| Rate for Payer: Priority Health SBD |
$74.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.96
|
| Rate for Payer: UHC Exchange |
$111.96
|
| Rate for Payer: UHCCP Medicaid |
$32.16
|
|
|
PR INSERTION INTRAUTERINE DEVICE IUD
|
Professional
|
Both
|
$296.00
|
|
|
Service Code
|
HCPCS 58300
|
| Hospital Charge Code |
58300
|
| Min. Negotiated Rate |
$32.16 |
| Max. Negotiated Rate |
$8,984.00 |
| Rate for Payer: Aetna Commercial |
$60.86
|
| Rate for Payer: Aetna Medicare |
$148.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.86
|
| Rate for Payer: BCBS Complete |
$33.77
|
| Rate for Payer: BCBS Trust/PPO |
$417.36
|
| Rate for Payer: BCN Commercial |
$130.36
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Mclaren Medicaid |
$32.16
|
| Rate for Payer: Meridian Medicaid |
$33.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,984.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74.41
|
| Rate for Payer: Priority Health Narrow Network |
$74.41
|
| Rate for Payer: Priority Health SBD |
$74.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.96
|
| Rate for Payer: UHC Exchange |
$111.96
|
| Rate for Payer: UHCCP Medicaid |
$32.16
|
|
|
PR INSERTION INTRAUTERINE DEVICE IUD
|
Facility
|
IP
|
$296.00
|
|
|
Service Code
|
CPT 58300
|
| Hospital Charge Code |
58300
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$186.48 |
| Max. Negotiated Rate |
$266.40 |
| Rate for Payer: Aetna Commercial |
$251.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.40
|
| Rate for Payer: Cash Price |
$236.80
|
| Rate for Payer: Cofinity Commercial |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$254.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$207.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.80
|
| Rate for Payer: Healthscope Commercial |
$266.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.60
|
| Rate for Payer: PHP Commercial |
$251.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.40
|
| Rate for Payer: Priority Health SBD |
$186.48
|
|
|
PR INSERTION PICC W/O IMG GDN < 5 YR
|
Professional
|
Both
|
$174.00
|
|
|
Service Code
|
HCPCS 36568
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$16,456.00 |
| Rate for Payer: Aetna Commercial |
$119.17
|
| Rate for Payer: Aetna Medicare |
$92.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.06
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$88.93
|
| Rate for Payer: BCBS Trust/PPO |
$967.32
|
| Rate for Payer: BCN Commercial |
$132.43
|
| Rate for Payer: BCN Medicare Advantage |
$88.93
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cofinity Commercial |
$128.06
|
| Rate for Payer: Cofinity Commercial |
$119.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.93
|
| Rate for Payer: Healthscope Commercial |
$164.52
|
| Rate for Payer: Healthscope Commercial |
$142.29
|
| Rate for Payer: Mclaren Medicaid |
$58.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.38
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,456.00
|
| Rate for Payer: Nomi Health Commercial |
$106.72
|
| Rate for Payer: PACE SWMI |
$88.93
|
| Rate for Payer: PHP Medicare Advantage |
$88.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$143.60
|
| Rate for Payer: Priority Health Medicare |
$88.93
|
| Rate for Payer: Priority Health Narrow Network |
$143.60
|
| Rate for Payer: Priority Health SBD |
$143.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$426.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$88.93
|
| Rate for Payer: UHC Exchange |
$426.24
|
| Rate for Payer: UHC Medicare Advantage |
$88.93
|
| Rate for Payer: UHCCP Medicaid |
$58.36
|
|
|
PR INSERTION PICC W/O IMG GDN 5 YR/>
|
Professional
|
Both
|
$490.00
|
|
|
Service Code
|
HCPCS 36569
|
| Min. Negotiated Rate |
$59.85 |
| Max. Negotiated Rate |
$16,574.00 |
| Rate for Payer: Aetna Commercial |
$121.58
|
| Rate for Payer: Aetna Medicare |
$94.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.65
|
| Rate for Payer: BCBS Complete |
$62.84
|
| Rate for Payer: BCBS MAPPO |
$90.73
|
| Rate for Payer: BCBS Trust/PPO |
$563.70
|
| Rate for Payer: BCN Commercial |
$134.38
|
| Rate for Payer: BCN Medicare Advantage |
$90.73
|
| Rate for Payer: Cash Price |
$392.00
|
| Rate for Payer: Cash Price |
$392.00
|
| Rate for Payer: Cofinity Commercial |
$130.65
|
| Rate for Payer: Cofinity Commercial |
$121.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.73
|
| Rate for Payer: Healthscope Commercial |
$167.85
|
| Rate for Payer: Healthscope Commercial |
$145.17
|
| Rate for Payer: Mclaren Medicaid |
$59.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.27
|
| Rate for Payer: Meridian Medicaid |
$62.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16,574.00
|
| Rate for Payer: Nomi Health Commercial |
$108.88
|
| Rate for Payer: PACE SWMI |
$90.73
|
| Rate for Payer: PHP Medicare Advantage |
$90.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$318.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.38
|
| Rate for Payer: Priority Health Medicare |
$90.73
|
| Rate for Payer: Priority Health Narrow Network |
$148.38
|
| Rate for Payer: Priority Health SBD |
$148.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.73
|
| Rate for Payer: UHC Exchange |
$376.32
|
| Rate for Payer: UHC Medicare Advantage |
$90.73
|
| Rate for Payer: UHCCP Medicaid |
$59.85
|
|
|
PR INSERTION PICC W/RS&I < 5 YR
|
Professional
|
Both
|
$844.00
|
|
|
Service Code
|
HCPCS 36572
|
| Min. Negotiated Rate |
$51.12 |
| Max. Negotiated Rate |
$14,434.00 |
| Rate for Payer: Aetna Commercial |
$104.29
|
| Rate for Payer: Aetna Medicare |
$80.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.08
|
| Rate for Payer: BCBS Complete |
$53.68
|
| Rate for Payer: BCBS MAPPO |
$77.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,072.45
|
| Rate for Payer: BCN Commercial |
$552.21
|
| Rate for Payer: BCN Medicare Advantage |
$77.83
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cash Price |
$675.20
|
| Rate for Payer: Cofinity Commercial |
$112.08
|
| Rate for Payer: Cofinity Commercial |
$104.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.83
|
| Rate for Payer: Healthscope Commercial |
$124.53
|
| Rate for Payer: Healthscope Commercial |
$143.99
|
| Rate for Payer: Mclaren Medicaid |
$51.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.72
|
| Rate for Payer: Meridian Medicaid |
$53.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,434.00
|
| Rate for Payer: Nomi Health Commercial |
$93.40
|
| Rate for Payer: PACE SWMI |
$77.83
|
| Rate for Payer: PHP Medicare Advantage |
$77.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$548.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$126.57
|
| Rate for Payer: Priority Health Medicare |
$77.83
|
| Rate for Payer: Priority Health Narrow Network |
$126.57
|
| Rate for Payer: Priority Health SBD |
$126.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.83
|
| Rate for Payer: UHC Medicare Advantage |
$77.83
|
| Rate for Payer: UHCCP Medicaid |
$51.12
|
|
|
PR INSERTION PICC W/RS&I 5 YR/>
|
Professional
|
Both
|
$776.00
|
|
|
Service Code
|
HCPCS 36573
|
| Min. Negotiated Rate |
$52.40 |
| Max. Negotiated Rate |
$14,830.00 |
| Rate for Payer: Aetna Commercial |
$105.63
|
| Rate for Payer: Aetna Medicare |
$81.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.52
|
| Rate for Payer: BCBS Complete |
$55.02
|
| Rate for Payer: BCBS MAPPO |
$78.83
|
| Rate for Payer: BCBS Trust/PPO |
$921.36
|
| Rate for Payer: BCN Commercial |
$565.89
|
| Rate for Payer: BCN Medicare Advantage |
$78.83
|
| Rate for Payer: Cash Price |
$620.80
|
| Rate for Payer: Cash Price |
$620.80
|
| Rate for Payer: Cofinity Commercial |
$113.52
|
| Rate for Payer: Cofinity Commercial |
$105.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.83
|
| Rate for Payer: Healthscope Commercial |
$126.13
|
| Rate for Payer: Healthscope Commercial |
$145.84
|
| Rate for Payer: Mclaren Medicaid |
$52.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.77
|
| Rate for Payer: Meridian Medicaid |
$55.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,830.00
|
| Rate for Payer: Nomi Health Commercial |
$94.60
|
| Rate for Payer: PACE SWMI |
$78.83
|
| Rate for Payer: PHP Medicare Advantage |
$78.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$504.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$129.76
|
| Rate for Payer: Priority Health Medicare |
$78.83
|
| Rate for Payer: Priority Health Narrow Network |
$129.76
|
| Rate for Payer: Priority Health SBD |
$129.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.83
|
| Rate for Payer: UHC Medicare Advantage |
$78.83
|
| Rate for Payer: UHCCP Medicaid |
$52.40
|
|
|
PR INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG
|
Professional
|
Both
|
$268.00
|
|
|
Service Code
|
HCPCS 33285
|
| Min. Negotiated Rate |
$54.95 |
| Max. Negotiated Rate |
$15,575.00 |
| Rate for Payer: Aetna Commercial |
$111.76
|
| Rate for Payer: Aetna Medicare |
$86.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$111.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.10
|
| Rate for Payer: BCBS Complete |
$57.70
|
| Rate for Payer: BCBS MAPPO |
$83.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,495.09
|
| Rate for Payer: BCN Commercial |
$6,374.79
|
| Rate for Payer: BCN Medicare Advantage |
$83.40
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cofinity Commercial |
$120.10
|
| Rate for Payer: Cofinity Commercial |
$111.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.40
|
| Rate for Payer: Healthscope Commercial |
$133.44
|
| Rate for Payer: Healthscope Commercial |
$154.29
|
| Rate for Payer: Mclaren Medicaid |
$54.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.57
|
| Rate for Payer: Meridian Medicaid |
$57.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15,575.00
|
| Rate for Payer: Nomi Health Commercial |
$100.08
|
| Rate for Payer: PACE SWMI |
$83.40
|
| Rate for Payer: PHP Medicare Advantage |
$83.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$136.68
|
| Rate for Payer: Priority Health Medicare |
$83.40
|
| Rate for Payer: Priority Health Narrow Network |
$136.68
|
| Rate for Payer: Priority Health SBD |
$136.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.40
|
| Rate for Payer: UHC Medicare Advantage |
$83.40
|
| Rate for Payer: UHCCP Medicaid |
$54.95
|
|
|
PR INSERTION TANDEM CUFF
|
Professional
|
Both
|
$1,517.00
|
|
|
Service Code
|
HCPCS 53444
|
| Min. Negotiated Rate |
$508.22 |
| Max. Negotiated Rate |
$139,358.00 |
| Rate for Payer: Aetna Commercial |
$1,016.43
|
| Rate for Payer: Aetna Medicare |
$788.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,016.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,092.28
|
| Rate for Payer: BCBS Complete |
$533.63
|
| Rate for Payer: BCBS MAPPO |
$758.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,999.16
|
| Rate for Payer: BCN Commercial |
$1,143.01
|
| Rate for Payer: BCN Medicare Advantage |
$758.53
|
| Rate for Payer: Cash Price |
$1,213.60
|
| Rate for Payer: Cash Price |
$1,213.60
|
| Rate for Payer: Cofinity Commercial |
$1,092.28
|
| Rate for Payer: Cofinity Commercial |
$1,016.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$758.53
|
| Rate for Payer: Healthscope Commercial |
$1,403.28
|
| Rate for Payer: Healthscope Commercial |
$1,213.65
|
| Rate for Payer: Mclaren Medicaid |
$508.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$796.46
|
| Rate for Payer: Meridian Medicaid |
$533.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139,358.00
|
| Rate for Payer: Nomi Health Commercial |
$910.24
|
| Rate for Payer: PACE SWMI |
$758.53
|
| Rate for Payer: PHP Medicare Advantage |
$758.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$986.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,261.73
|
| Rate for Payer: Priority Health Medicare |
$758.53
|
| Rate for Payer: Priority Health Narrow Network |
$1,261.73
|
| Rate for Payer: Priority Health SBD |
$1,261.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$867.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$758.53
|
| Rate for Payer: UHC Exchange |
$867.88
|
| Rate for Payer: UHC Medicare Advantage |
$758.53
|
| Rate for Payer: UHCCP Medicaid |
$508.22
|
|
|
PR INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN
|
Professional
|
Both
|
$1,308.00
|
|
|
Service Code
|
HCPCS 49421
|
| Min. Negotiated Rate |
$143.99 |
| Max. Negotiated Rate |
$40,502.00 |
| Rate for Payer: Aetna Commercial |
$294.53
|
| Rate for Payer: Aetna Medicare |
$228.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.51
|
| Rate for Payer: BCBS Complete |
$151.19
|
| Rate for Payer: BCBS MAPPO |
$219.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,980.67
|
| Rate for Payer: BCN Commercial |
$327.41
|
| Rate for Payer: BCN Medicare Advantage |
$219.80
|
| Rate for Payer: Cash Price |
$1,046.40
|
| Rate for Payer: Cash Price |
$1,046.40
|
| Rate for Payer: Cofinity Commercial |
$316.51
|
| Rate for Payer: Cofinity Commercial |
$294.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$219.80
|
| Rate for Payer: Healthscope Commercial |
$406.63
|
| Rate for Payer: Healthscope Commercial |
$351.68
|
| Rate for Payer: Mclaren Medicaid |
$143.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$230.79
|
| Rate for Payer: Meridian Medicaid |
$151.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,502.00
|
| Rate for Payer: Nomi Health Commercial |
$263.76
|
| Rate for Payer: PACE SWMI |
$219.80
|
| Rate for Payer: PHP Medicare Advantage |
$219.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$850.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$401.50
|
| Rate for Payer: Priority Health Medicare |
$219.80
|
| Rate for Payer: Priority Health Narrow Network |
$401.50
|
| Rate for Payer: Priority Health SBD |
$401.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$219.80
|
| Rate for Payer: UHC Exchange |
$477.45
|
| Rate for Payer: UHC Medicare Advantage |
$219.80
|
| Rate for Payer: UHCCP Medicaid |
$143.99
|
|
|
PR INSERTION VAGINAL RADIATION DEVICE
|
Professional
|
Both
|
$391.00
|
|
|
Service Code
|
HCPCS 57156
|
| Min. Negotiated Rate |
$97.77 |
| Max. Negotiated Rate |
$26,743.00 |
| Rate for Payer: Aetna Commercial |
$194.01
|
| Rate for Payer: Aetna Medicare |
$150.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$194.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.48
|
| Rate for Payer: BCBS Complete |
$102.66
|
| Rate for Payer: BCBS MAPPO |
$144.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,560.67
|
| Rate for Payer: BCN Commercial |
$335.23
|
| Rate for Payer: BCN Medicare Advantage |
$144.78
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cash Price |
$312.80
|
| Rate for Payer: Cofinity Commercial |
$208.48
|
| Rate for Payer: Cofinity Commercial |
$194.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.78
|
| Rate for Payer: Healthscope Commercial |
$231.65
|
| Rate for Payer: Healthscope Commercial |
$267.84
|
| Rate for Payer: Mclaren Medicaid |
$97.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$152.02
|
| Rate for Payer: Meridian Medicaid |
$102.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26,743.00
|
| Rate for Payer: Nomi Health Commercial |
$173.74
|
| Rate for Payer: PACE SWMI |
$144.78
|
| Rate for Payer: PHP Medicare Advantage |
$144.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$224.21
|
| Rate for Payer: Priority Health Medicare |
$144.78
|
| Rate for Payer: Priority Health Narrow Network |
$224.21
|
| Rate for Payer: Priority Health SBD |
$224.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.78
|
| Rate for Payer: UHC Medicare Advantage |
$144.78
|
| Rate for Payer: UHCCP Medicaid |
$97.77
|
|
|
PR INSERTION VASCULAR PEDICLE CARPAL BONE
|
Professional
|
Both
|
$1,235.00
|
|
|
Service Code
|
HCPCS 25430
|
| Min. Negotiated Rate |
$264.89 |
| Max. Negotiated Rate |
$130,050.00 |
| Rate for Payer: Aetna Commercial |
$949.58
|
| Rate for Payer: Aetna Medicare |
$736.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,020.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$949.58
|
| Rate for Payer: BCBS Complete |
$503.88
|
| Rate for Payer: BCBS MAPPO |
$708.64
|
| Rate for Payer: BCBS Trust/PPO |
$264.89
|
| Rate for Payer: BCN Commercial |
$1,079.97
|
| Rate for Payer: BCN Medicare Advantage |
$708.64
|
| Rate for Payer: Cash Price |
$988.00
|
| Rate for Payer: Cash Price |
$988.00
|
| Rate for Payer: Cofinity Commercial |
$949.58
|
| Rate for Payer: Cofinity Commercial |
$1,020.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$708.64
|
| Rate for Payer: Healthscope Commercial |
$1,310.98
|
| Rate for Payer: Healthscope Commercial |
$1,133.82
|
| Rate for Payer: Mclaren Medicaid |
$479.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$744.07
|
| Rate for Payer: Meridian Medicaid |
$503.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$130,050.00
|
| Rate for Payer: Nomi Health Commercial |
$850.37
|
| Rate for Payer: PACE SWMI |
$708.64
|
| Rate for Payer: PHP Medicare Advantage |
$708.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$802.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,135.78
|
| Rate for Payer: Priority Health Medicare |
$708.64
|
| Rate for Payer: Priority Health Narrow Network |
$1,135.78
|
| Rate for Payer: Priority Health SBD |
$1,135.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$733.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$708.64
|
| Rate for Payer: UHC Exchange |
$733.15
|
| Rate for Payer: UHC Medicare Advantage |
$708.64
|
| Rate for Payer: UHCCP Medicaid |
$479.89
|
|
|
PR INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX
|
Professional
|
Both
|
$330.00
|
|
|
Service Code
|
HCPCS 20650
|
| Min. Negotiated Rate |
$63.44 |
| Max. Negotiated Rate |
$28,818.00 |
| Rate for Payer: Aetna Commercial |
$216.08
|
| Rate for Payer: Aetna Medicare |
$167.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.20
|
| Rate for Payer: BCBS Complete |
$114.95
|
| Rate for Payer: BCBS MAPPO |
$161.25
|
| Rate for Payer: BCBS Trust/PPO |
$63.44
|
| Rate for Payer: BCN Commercial |
$332.30
|
| Rate for Payer: BCN Medicare Advantage |
$161.25
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cofinity Commercial |
$232.20
|
| Rate for Payer: Cofinity Commercial |
$216.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.25
|
| Rate for Payer: Healthscope Commercial |
$298.31
|
| Rate for Payer: Healthscope Commercial |
$258.00
|
| Rate for Payer: Mclaren Medicaid |
$109.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$169.31
|
| Rate for Payer: Meridian Medicaid |
$114.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28,818.00
|
| Rate for Payer: Nomi Health Commercial |
$193.50
|
| Rate for Payer: PACE SWMI |
$161.25
|
| Rate for Payer: PHP Medicare Advantage |
$161.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$214.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$257.48
|
| Rate for Payer: Priority Health Medicare |
$161.25
|
| Rate for Payer: Priority Health Narrow Network |
$257.48
|
| Rate for Payer: Priority Health SBD |
$257.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$289.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$161.25
|
| Rate for Payer: UHC Exchange |
$289.65
|
| Rate for Payer: UHC Medicare Advantage |
$161.25
|
| Rate for Payer: UHCCP Medicaid |
$109.48
|
|
|
PR INSERT POST SPINOUS PROCESS DISTRACTION DEVICE, LUMBAR, EA ADD
|
Professional
|
Both
|
$529.00
|
|
|
Service Code
|
HCPCS 0172T
|
| Min. Negotiated Rate |
$211.60 |
| Max. Negotiated Rate |
$343.85 |
| Rate for Payer: Aetna Medicare |
$264.50
|
| Rate for Payer: BCBS Complete |
$211.60
|
| Rate for Payer: Cash Price |
$423.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$343.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$343.85
|
|
|
PR INSERT POST SPINOUS PROCESS DISTRACTION DEVICE, LUMBAR, SINGLE
|
Professional
|
Both
|
$2,734.00
|
|
|
Service Code
|
HCPCS 0171T
|
| Min. Negotiated Rate |
$1,093.60 |
| Max. Negotiated Rate |
$1,777.10 |
| Rate for Payer: Aetna Medicare |
$1,367.00
|
| Rate for Payer: BCBS Complete |
$1,093.60
|
| Rate for Payer: Cash Price |
$2,187.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,777.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,777.10
|
|
|
PR INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT
|
Professional
|
Both
|
$1,168.00
|
|
|
Service Code
|
HCPCS 53855
|
| Min. Negotiated Rate |
$51.76 |
| Max. Negotiated Rate |
$14,418.00 |
| Rate for Payer: Aetna Commercial |
$104.55
|
| Rate for Payer: Aetna Medicare |
$81.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.35
|
| Rate for Payer: BCBS Complete |
$54.35
|
| Rate for Payer: BCBS MAPPO |
$78.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,298.11
|
| Rate for Payer: BCN Commercial |
$963.67
|
| Rate for Payer: BCN Medicare Advantage |
$78.02
|
| Rate for Payer: Cash Price |
$934.40
|
| Rate for Payer: Cash Price |
$934.40
|
| Rate for Payer: Cofinity Commercial |
$112.35
|
| Rate for Payer: Cofinity Commercial |
$104.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.02
|
| Rate for Payer: Healthscope Commercial |
$144.34
|
| Rate for Payer: Healthscope Commercial |
$124.83
|
| Rate for Payer: Mclaren Medicaid |
$51.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.92
|
| Rate for Payer: Meridian Medicaid |
$54.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14,418.00
|
| Rate for Payer: Nomi Health Commercial |
$93.62
|
| Rate for Payer: PACE SWMI |
$78.02
|
| Rate for Payer: PHP Medicare Advantage |
$78.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$759.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$128.90
|
| Rate for Payer: Priority Health Medicare |
$78.02
|
| Rate for Payer: Priority Health Narrow Network |
$128.90
|
| Rate for Payer: Priority Health SBD |
$128.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.02
|
| Rate for Payer: UHC Medicare Advantage |
$78.02
|
| Rate for Payer: UHCCP Medicaid |
$51.76
|
|
|
PR INSERT TRAY W/O BAG/CATH
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS A4310
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$1,027.00 |
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCN Commercial |
$8.51
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,027.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
|
|
PR INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR
|
Professional
|
Both
|
$2,147.00
|
|
|
Service Code
|
HCPCS 36557
|
| Min. Negotiated Rate |
$206.18 |
| Max. Negotiated Rate |
$56,774.00 |
| Rate for Payer: Aetna Commercial |
$415.40
|
| Rate for Payer: Aetna Medicare |
$322.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$415.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$446.40
|
| Rate for Payer: BCBS Complete |
$216.49
|
| Rate for Payer: BCBS MAPPO |
$310.00
|
| Rate for Payer: BCBS Trust/PPO |
$660.90
|
| Rate for Payer: BCN Commercial |
$1,711.35
|
| Rate for Payer: BCN Medicare Advantage |
$310.00
|
| Rate for Payer: Cash Price |
$1,717.60
|
| Rate for Payer: Cash Price |
$1,717.60
|
| Rate for Payer: Cofinity Commercial |
$415.40
|
| Rate for Payer: Cofinity Commercial |
$446.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$310.00
|
| Rate for Payer: Healthscope Commercial |
$573.50
|
| Rate for Payer: Healthscope Commercial |
$496.00
|
| Rate for Payer: Mclaren Medicaid |
$206.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$325.50
|
| Rate for Payer: Meridian Medicaid |
$216.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56,774.00
|
| Rate for Payer: Nomi Health Commercial |
$372.00
|
| Rate for Payer: PACE SWMI |
$310.00
|
| Rate for Payer: PHP Medicare Advantage |
$310.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$206.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,395.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$510.55
|
| Rate for Payer: Priority Health Medicare |
$310.00
|
| Rate for Payer: Priority Health Narrow Network |
$510.55
|
| Rate for Payer: Priority Health SBD |
$510.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$803.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$310.00
|
| Rate for Payer: UHC Exchange |
$803.84
|
| Rate for Payer: UHC Medicare Advantage |
$310.00
|
| Rate for Payer: UHCCP Medicaid |
$206.18
|
|
|
PR INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I
|
Professional
|
Both
|
$2,774.00
|
|
|
Service Code
|
HCPCS 37191
|
| Min. Negotiated Rate |
$137.60 |
| Max. Negotiated Rate |
$38,963.00 |
| Rate for Payer: Aetna Commercial |
$279.44
|
| Rate for Payer: Aetna Medicare |
$216.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$279.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.30
|
| Rate for Payer: BCBS Complete |
$144.48
|
| Rate for Payer: BCBS MAPPO |
$208.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,200.83
|
| Rate for Payer: BCN Commercial |
$2,999.02
|
| Rate for Payer: BCN Medicare Advantage |
$208.54
|
| Rate for Payer: Cash Price |
$2,219.20
|
| Rate for Payer: Cash Price |
$2,219.20
|
| Rate for Payer: Cofinity Commercial |
$300.30
|
| Rate for Payer: Cofinity Commercial |
$279.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$208.54
|
| Rate for Payer: Healthscope Commercial |
$333.66
|
| Rate for Payer: Healthscope Commercial |
$385.80
|
| Rate for Payer: Mclaren Medicaid |
$137.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$218.97
|
| Rate for Payer: Meridian Medicaid |
$144.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38,963.00
|
| Rate for Payer: Nomi Health Commercial |
$250.25
|
| Rate for Payer: PACE SWMI |
$208.54
|
| Rate for Payer: PHP Medicare Advantage |
$208.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,803.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$341.44
|
| Rate for Payer: Priority Health Medicare |
$208.54
|
| Rate for Payer: Priority Health Narrow Network |
$341.44
|
| Rate for Payer: Priority Health SBD |
$341.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$208.54
|
| Rate for Payer: UHC Medicare Advantage |
$208.54
|
| Rate for Payer: UHCCP Medicaid |
$137.60
|
|
|
PR IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART
|
Professional
|
Both
|
$3,309.00
|
|
|
Service Code
|
HCPCS 35585
|
| Min. Negotiated Rate |
$1,041.36 |
| Max. Negotiated Rate |
$295,893.00 |
| Rate for Payer: Aetna Commercial |
$2,145.92
|
| Rate for Payer: Aetna Medicare |
$1,665.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,145.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,306.06
|
| Rate for Payer: BCBS Complete |
$1,093.43
|
| Rate for Payer: BCBS MAPPO |
$1,601.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,109.96
|
| Rate for Payer: BCN Commercial |
$2,378.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,601.43
|
| Rate for Payer: Cash Price |
$2,647.20
|
| Rate for Payer: Cash Price |
$2,647.20
|
| Rate for Payer: Cofinity Commercial |
$2,306.06
|
| Rate for Payer: Cofinity Commercial |
$2,145.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,601.43
|
| Rate for Payer: Healthscope Commercial |
$2,962.65
|
| Rate for Payer: Healthscope Commercial |
$2,562.29
|
| Rate for Payer: Mclaren Medicaid |
$1,041.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,681.50
|
| Rate for Payer: Meridian Medicaid |
$1,093.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295,893.00
|
| Rate for Payer: Nomi Health Commercial |
$1,921.72
|
| Rate for Payer: PACE SWMI |
$1,601.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,601.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,041.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,150.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,597.43
|
| Rate for Payer: Priority Health Medicare |
$1,601.43
|
| Rate for Payer: Priority Health Narrow Network |
$2,597.43
|
| Rate for Payer: Priority Health SBD |
$2,597.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,597.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,601.43
|
| Rate for Payer: UHC Exchange |
$2,597.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,601.43
|
| Rate for Payer: UHCCP Medicaid |
$1,041.36
|
|
