|
PR INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL
|
Professional
|
Both
|
$1,514.00
|
|
|
Service Code
|
HCPCS 33206
|
| Min. Negotiated Rate |
$431.04 |
| Max. Negotiated Rate |
$984.10 |
| Rate for Payer: Aetna Commercial |
$577.59
|
| Rate for Payer: Aetna Medicare |
$448.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.59
|
| Rate for Payer: BCBS Complete |
$605.60
|
| Rate for Payer: BCBS MAPPO |
$431.04
|
| Rate for Payer: BCN Medicare Advantage |
$431.04
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cofinity Commercial |
$620.70
|
| Rate for Payer: Cofinity Commercial |
$577.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.04
|
| Rate for Payer: Healthscope Commercial |
$797.42
|
| Rate for Payer: Healthscope Commercial |
$689.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$984.10
|
| Rate for Payer: Nomi Health Commercial |
$517.25
|
| Rate for Payer: PACE SWMI |
$431.04
|
| Rate for Payer: PHP Medicare Advantage |
$431.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$984.10
|
| Rate for Payer: Priority Health Medicare |
$431.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.04
|
| Rate for Payer: UHC Medicare Advantage |
$431.04
|
|
|
PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 33208
|
| Min. Negotiated Rate |
$491.57 |
| Max. Negotiated Rate |
$1,082.25 |
| Rate for Payer: Aetna Commercial |
$658.70
|
| Rate for Payer: Aetna Medicare |
$511.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$707.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.70
|
| Rate for Payer: BCBS Complete |
$666.00
|
| Rate for Payer: BCBS MAPPO |
$491.57
|
| Rate for Payer: BCN Medicare Advantage |
$491.57
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$707.86
|
| Rate for Payer: Cofinity Commercial |
$658.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.57
|
| Rate for Payer: Healthscope Commercial |
$786.51
|
| Rate for Payer: Healthscope Commercial |
$909.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$516.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,082.25
|
| Rate for Payer: Nomi Health Commercial |
$589.88
|
| Rate for Payer: PACE SWMI |
$491.57
|
| Rate for Payer: PHP Medicare Advantage |
$491.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health Medicare |
$491.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$491.57
|
| Rate for Payer: UHC Medicare Advantage |
$491.57
|
|
|
PR INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR
|
Professional
|
Both
|
$1,816.00
|
|
|
Service Code
|
HCPCS 33207
|
| Min. Negotiated Rate |
$455.01 |
| Max. Negotiated Rate |
$1,180.40 |
| Rate for Payer: Aetna Commercial |
$609.71
|
| Rate for Payer: Aetna Medicare |
$473.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.71
|
| Rate for Payer: BCBS Complete |
$726.40
|
| Rate for Payer: BCBS MAPPO |
$455.01
|
| Rate for Payer: BCN Medicare Advantage |
$455.01
|
| Rate for Payer: Cash Price |
$1,452.80
|
| Rate for Payer: Cash Price |
$1,452.80
|
| Rate for Payer: Cofinity Commercial |
$655.21
|
| Rate for Payer: Cofinity Commercial |
$609.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.01
|
| Rate for Payer: Healthscope Commercial |
$841.77
|
| Rate for Payer: Healthscope Commercial |
$728.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$477.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,180.40
|
| Rate for Payer: Nomi Health Commercial |
$546.01
|
| Rate for Payer: PACE SWMI |
$455.01
|
| Rate for Payer: PHP Medicare Advantage |
$455.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,180.40
|
| Rate for Payer: Priority Health Medicare |
$455.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$455.01
|
| Rate for Payer: UHC Medicare Advantage |
$455.01
|
|
|
PR INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS
|
Professional
|
Both
|
$1,271.00
|
|
|
Service Code
|
HCPCS 33213
|
| Min. Negotiated Rate |
$320.17 |
| Max. Negotiated Rate |
$826.15 |
| Rate for Payer: Aetna Commercial |
$429.03
|
| Rate for Payer: Aetna Medicare |
$332.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$461.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.03
|
| Rate for Payer: BCBS Complete |
$508.40
|
| Rate for Payer: BCBS MAPPO |
$320.17
|
| Rate for Payer: BCN Medicare Advantage |
$320.17
|
| Rate for Payer: Cash Price |
$1,016.80
|
| Rate for Payer: Cash Price |
$1,016.80
|
| Rate for Payer: Cofinity Commercial |
$461.04
|
| Rate for Payer: Cofinity Commercial |
$429.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.17
|
| Rate for Payer: Healthscope Commercial |
$512.27
|
| Rate for Payer: Healthscope Commercial |
$592.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$336.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$826.15
|
| Rate for Payer: Nomi Health Commercial |
$384.20
|
| Rate for Payer: PACE SWMI |
$320.17
|
| Rate for Payer: PHP Medicare Advantage |
$320.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.15
|
| Rate for Payer: Priority Health Medicare |
$320.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.17
|
| Rate for Payer: UHC Medicare Advantage |
$320.17
|
|
|
PR INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS
|
Professional
|
Both
|
$744.00
|
|
|
Service Code
|
HCPCS 33221
|
| Min. Negotiated Rate |
$297.60 |
| Max. Negotiated Rate |
$626.08 |
| Rate for Payer: Aetna Commercial |
$453.48
|
| Rate for Payer: Aetna Medicare |
$351.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.48
|
| Rate for Payer: BCBS Complete |
$297.60
|
| Rate for Payer: BCBS MAPPO |
$338.42
|
| Rate for Payer: BCN Medicare Advantage |
$338.42
|
| Rate for Payer: Cash Price |
$595.20
|
| Rate for Payer: Cash Price |
$595.20
|
| Rate for Payer: Cofinity Commercial |
$487.32
|
| Rate for Payer: Cofinity Commercial |
$453.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$338.42
|
| Rate for Payer: Healthscope Commercial |
$626.08
|
| Rate for Payer: Healthscope Commercial |
$541.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$355.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$483.60
|
| Rate for Payer: Nomi Health Commercial |
$406.10
|
| Rate for Payer: PACE SWMI |
$338.42
|
| Rate for Payer: PHP Medicare Advantage |
$338.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$483.60
|
| Rate for Payer: Priority Health Medicare |
$338.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$338.42
|
| Rate for Payer: UHC Medicare Advantage |
$338.42
|
|
|
PR INS PM PLS GEN W/EXIST SINGLE LEAD
|
Professional
|
Both
|
$1,120.00
|
|
|
Service Code
|
HCPCS 33212
|
| Min. Negotiated Rate |
$307.65 |
| Max. Negotiated Rate |
$728.00 |
| Rate for Payer: Aetna Commercial |
$412.25
|
| Rate for Payer: Aetna Medicare |
$319.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$443.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$412.25
|
| Rate for Payer: BCBS Complete |
$448.00
|
| Rate for Payer: BCBS MAPPO |
$307.65
|
| Rate for Payer: BCN Medicare Advantage |
$307.65
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cofinity Commercial |
$443.02
|
| Rate for Payer: Cofinity Commercial |
$412.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.65
|
| Rate for Payer: Healthscope Commercial |
$492.24
|
| Rate for Payer: Healthscope Commercial |
$569.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$728.00
|
| Rate for Payer: Nomi Health Commercial |
$369.18
|
| Rate for Payer: PACE SWMI |
$307.65
|
| Rate for Payer: PHP Medicare Advantage |
$307.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$728.00
|
| Rate for Payer: Priority Health Medicare |
$307.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$307.65
|
| Rate for Payer: UHC Medicare Advantage |
$307.65
|
|
|
PR INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
|
Professional
|
Both
|
$1,176.00
|
|
|
Service Code
|
HCPCS 33270
|
| Min. Negotiated Rate |
$470.40 |
| Max. Negotiated Rate |
$983.39 |
| Rate for Payer: Aetna Commercial |
$712.29
|
| Rate for Payer: Aetna Medicare |
$552.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.29
|
| Rate for Payer: BCBS Complete |
$470.40
|
| Rate for Payer: BCBS MAPPO |
$531.56
|
| Rate for Payer: BCN Medicare Advantage |
$531.56
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cofinity Commercial |
$765.45
|
| Rate for Payer: Cofinity Commercial |
$712.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.56
|
| Rate for Payer: Healthscope Commercial |
$983.39
|
| Rate for Payer: Healthscope Commercial |
$850.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$764.40
|
| Rate for Payer: Nomi Health Commercial |
$637.87
|
| Rate for Payer: PACE SWMI |
$531.56
|
| Rate for Payer: PHP Medicare Advantage |
$531.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$764.40
|
| Rate for Payer: Priority Health Medicare |
$531.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.56
|
| Rate for Payer: UHC Medicare Advantage |
$531.56
|
|
|
PR INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ&CONN
|
Professional
|
Both
|
$995.00
|
|
|
Service Code
|
HCPCS 64590
|
| Min. Negotiated Rate |
$282.08 |
| Max. Negotiated Rate |
$646.75 |
| Rate for Payer: Aetna Commercial |
$377.99
|
| Rate for Payer: Aetna Medicare |
$293.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.99
|
| Rate for Payer: BCBS Complete |
$398.00
|
| Rate for Payer: BCBS MAPPO |
$282.08
|
| Rate for Payer: BCN Medicare Advantage |
$282.08
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cofinity Commercial |
$406.20
|
| Rate for Payer: Cofinity Commercial |
$377.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.08
|
| Rate for Payer: Healthscope Commercial |
$451.33
|
| Rate for Payer: Healthscope Commercial |
$521.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$646.75
|
| Rate for Payer: Nomi Health Commercial |
$338.50
|
| Rate for Payer: PACE SWMI |
$282.08
|
| Rate for Payer: PHP Medicare Advantage |
$282.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.75
|
| Rate for Payer: Priority Health Medicare |
$282.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.08
|
| Rate for Payer: UHC Medicare Advantage |
$282.08
|
|
|
PR INSRT CH WALL RESPIR ELTRD/RA & CONJ PULSE GEN
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS 0466T
|
| Min. Negotiated Rate |
$194.00 |
| Max. Negotiated Rate |
$315.25 |
| Rate for Payer: Aetna Medicare |
$242.50
|
| Rate for Payer: BCBS Complete |
$194.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$315.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.25
|
|
|
PR INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY
|
Professional
|
Both
|
$213.00
|
|
|
Service Code
|
HCPCS 32562
|
| Min. Negotiated Rate |
$56.83 |
| Max. Negotiated Rate |
$138.45 |
| Rate for Payer: Aetna Commercial |
$76.15
|
| Rate for Payer: Aetna Medicare |
$59.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.84
|
| Rate for Payer: BCBS Complete |
$85.20
|
| Rate for Payer: BCBS MAPPO |
$56.83
|
| Rate for Payer: BCN Medicare Advantage |
$56.83
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cofinity Commercial |
$81.84
|
| Rate for Payer: Cofinity Commercial |
$76.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.83
|
| Rate for Payer: Healthscope Commercial |
$90.93
|
| Rate for Payer: Healthscope Commercial |
$105.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$138.45
|
| Rate for Payer: Nomi Health Commercial |
$68.20
|
| Rate for Payer: PACE SWMI |
$56.83
|
| Rate for Payer: PHP Medicare Advantage |
$56.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.45
|
| Rate for Payer: Priority Health Medicare |
$56.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.83
|
| Rate for Payer: UHC Medicare Advantage |
$56.83
|
|
|
PR INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 32560
|
| Min. Negotiated Rate |
$72.39 |
| Max. Negotiated Rate |
$295.75 |
| Rate for Payer: Aetna Commercial |
$97.00
|
| Rate for Payer: Aetna Medicare |
$75.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.00
|
| Rate for Payer: BCBS Complete |
$182.00
|
| Rate for Payer: BCBS MAPPO |
$72.39
|
| Rate for Payer: BCN Medicare Advantage |
$72.39
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$104.24
|
| Rate for Payer: Cofinity Commercial |
$97.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.39
|
| Rate for Payer: Healthscope Commercial |
$115.82
|
| Rate for Payer: Healthscope Commercial |
$133.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.75
|
| Rate for Payer: Nomi Health Commercial |
$86.87
|
| Rate for Payer: PACE SWMI |
$72.39
|
| Rate for Payer: PHP Medicare Advantage |
$72.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.75
|
| Rate for Payer: Priority Health Medicare |
$72.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.39
|
| Rate for Payer: UHC Medicare Advantage |
$72.39
|
|
|
PR INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 32561
|
| Min. Negotiated Rate |
$64.00 |
| Max. Negotiated Rate |
$149.50 |
| Rate for Payer: Aetna Commercial |
$85.76
|
| Rate for Payer: Aetna Medicare |
$66.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.76
|
| Rate for Payer: BCBS Complete |
$92.00
|
| Rate for Payer: BCBS MAPPO |
$64.00
|
| Rate for Payer: BCN Medicare Advantage |
$64.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$92.16
|
| Rate for Payer: Cofinity Commercial |
$85.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.00
|
| Rate for Payer: Healthscope Commercial |
$102.40
|
| Rate for Payer: Healthscope Commercial |
$118.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.50
|
| Rate for Payer: Nomi Health Commercial |
$76.80
|
| Rate for Payer: PACE SWMI |
$64.00
|
| Rate for Payer: PHP Medicare Advantage |
$64.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: Priority Health Medicare |
$64.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.00
|
| Rate for Payer: UHC Medicare Advantage |
$64.00
|
|
|
PR INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 99177
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$7.15 |
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
|
|
PR INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 99174
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$33.15 |
| Rate for Payer: Aetna Medicare |
$25.50
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
|
|
PR INSULIN INJECTION
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS J1815
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$20.15 |
| Rate for Payer: Aetna Medicare |
$15.50
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
|
|
PR INT ANAST PANCREATIC CYST GI TRACT DIRECT
|
Professional
|
Both
|
$1,966.00
|
|
|
Service Code
|
HCPCS 48520
|
| Min. Negotiated Rate |
$786.40 |
| Max. Negotiated Rate |
$1,978.30 |
| Rate for Payer: Aetna Commercial |
$1,432.93
|
| Rate for Payer: Aetna Medicare |
$1,112.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,432.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,539.86
|
| Rate for Payer: BCBS Complete |
$786.40
|
| Rate for Payer: BCBS MAPPO |
$1,069.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,069.35
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cofinity Commercial |
$1,539.86
|
| Rate for Payer: Cofinity Commercial |
$1,432.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,069.35
|
| Rate for Payer: Healthscope Commercial |
$1,978.30
|
| Rate for Payer: Healthscope Commercial |
$1,710.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,122.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,277.90
|
| Rate for Payer: Nomi Health Commercial |
$1,283.22
|
| Rate for Payer: PACE SWMI |
$1,069.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,069.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,277.90
|
| Rate for Payer: Priority Health Medicare |
$1,069.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,069.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,069.35
|
|
|
PR INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y
|
Professional
|
Both
|
$2,887.00
|
|
|
Service Code
|
HCPCS 48540
|
| Min. Negotiated Rate |
$1,154.80 |
| Max. Negotiated Rate |
$2,353.26 |
| Rate for Payer: Aetna Commercial |
$1,704.52
|
| Rate for Payer: Aetna Medicare |
$1,322.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,704.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,831.72
|
| Rate for Payer: BCBS Complete |
$1,154.80
|
| Rate for Payer: BCBS MAPPO |
$1,272.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,272.03
|
| Rate for Payer: Cash Price |
$2,309.60
|
| Rate for Payer: Cash Price |
$2,309.60
|
| Rate for Payer: Cofinity Commercial |
$1,704.52
|
| Rate for Payer: Cofinity Commercial |
$1,831.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,272.03
|
| Rate for Payer: Healthscope Commercial |
$2,035.25
|
| Rate for Payer: Healthscope Commercial |
$2,353.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,335.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,876.55
|
| Rate for Payer: Nomi Health Commercial |
$1,526.44
|
| Rate for Payer: PACE SWMI |
$1,272.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,272.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,876.55
|
| Rate for Payer: Priority Health Medicare |
$1,272.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,272.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,272.03
|
|
|
PR INTENSIVE OUTPATIENT PSYCHIA
|
Professional
|
Both
|
$130.00
|
|
|
Service Code
|
HCPCS S9480
|
| Min. Negotiated Rate |
$52.00 |
| Max. Negotiated Rate |
$84.50 |
| Rate for Payer: Aetna Medicare |
$65.00
|
| Rate for Payer: BCBS Complete |
$52.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.50
|
|
|
PR INTER DEVC REMOTE 30D
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS G2066
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$27.30 |
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
|
|
PR INTERMITTENT URINARY CATH
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS A4353
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$18.11 |
| Rate for Payer: Aetna Commercial |
$13.12
|
| Rate for Payer: Aetna Medicare |
$10.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.12
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$9.79
|
| Rate for Payer: BCN Medicare Advantage |
$9.79
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$13.12
|
| Rate for Payer: Cofinity Commercial |
$14.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.79
|
| Rate for Payer: Healthscope Commercial |
$18.11
|
| Rate for Payer: Healthscope Commercial |
$15.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.15
|
| Rate for Payer: Nomi Health Commercial |
$11.75
|
| Rate for Payer: PACE SWMI |
$9.79
|
| Rate for Payer: PHP Medicare Advantage |
$9.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health Medicare |
$9.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.79
|
| Rate for Payer: UHC Medicare Advantage |
$9.79
|
|
|
PR INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 64727
|
| Min. Negotiated Rate |
$168.44 |
| Max. Negotiated Rate |
$487.50 |
| Rate for Payer: Aetna Commercial |
$225.71
|
| Rate for Payer: Aetna Medicare |
$175.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.71
|
| Rate for Payer: BCBS Complete |
$300.00
|
| Rate for Payer: BCBS MAPPO |
$168.44
|
| Rate for Payer: BCN Medicare Advantage |
$168.44
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$242.55
|
| Rate for Payer: Cofinity Commercial |
$225.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.44
|
| Rate for Payer: Healthscope Commercial |
$269.50
|
| Rate for Payer: Healthscope Commercial |
$311.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$487.50
|
| Rate for Payer: Nomi Health Commercial |
$202.13
|
| Rate for Payer: PACE SWMI |
$168.44
|
| Rate for Payer: PHP Medicare Advantage |
$168.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health Medicare |
$168.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.44
|
| Rate for Payer: UHC Medicare Advantage |
$168.44
|
|
|
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS
|
Professional
|
Both
|
$1,218.00
|
|
|
Service Code
|
HCPCS 22841
|
| Min. Negotiated Rate |
$487.20 |
| Max. Negotiated Rate |
$791.70 |
| Rate for Payer: Aetna Medicare |
$609.00
|
| Rate for Payer: BCBS Complete |
$487.20
|
| Rate for Payer: Cash Price |
$974.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$791.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.70
|
|
|
PR INTERPELVIABDOMINAL AMPUTATION
|
Professional
|
Both
|
$5,330.00
|
|
|
Service Code
|
HCPCS 27290
|
| Min. Negotiated Rate |
$1,562.82 |
| Max. Negotiated Rate |
$3,464.50 |
| Rate for Payer: Aetna Commercial |
$2,094.18
|
| Rate for Payer: Aetna Medicare |
$1,625.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,094.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,250.46
|
| Rate for Payer: BCBS Complete |
$2,132.00
|
| Rate for Payer: BCBS MAPPO |
$1,562.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,562.82
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Cash Price |
$4,264.00
|
| Rate for Payer: Cofinity Commercial |
$2,094.18
|
| Rate for Payer: Cofinity Commercial |
$2,250.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,562.82
|
| Rate for Payer: Healthscope Commercial |
$2,500.51
|
| Rate for Payer: Healthscope Commercial |
$2,891.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,640.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,464.50
|
| Rate for Payer: Nomi Health Commercial |
$1,875.38
|
| Rate for Payer: PACE SWMI |
$1,562.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,562.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,464.50
|
| Rate for Payer: Priority Health Medicare |
$1,562.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,562.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,562.82
|
|
|
PR INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY
|
Professional
|
Both
|
$152.00
|
|
|
Service Code
|
HCPCS 90887
|
| Min. Negotiated Rate |
$60.80 |
| Max. Negotiated Rate |
$98.80 |
| Rate for Payer: Aetna Medicare |
$76.00
|
| Rate for Payer: BCBS Complete |
$60.80
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.80
|
|
|
PR INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 93261
|
| Min. Negotiated Rate |
$54.40 |
| Max. Negotiated Rate |
$117.81 |
| Rate for Payer: Aetna Commercial |
$85.33
|
| Rate for Payer: Aetna Medicare |
$66.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.70
|
| Rate for Payer: BCBS Complete |
$54.40
|
| Rate for Payer: BCBS MAPPO |
$63.68
|
| Rate for Payer: BCN Medicare Advantage |
$63.68
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cofinity Commercial |
$91.70
|
| Rate for Payer: Cofinity Commercial |
$85.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.68
|
| Rate for Payer: Healthscope Commercial |
$117.81
|
| Rate for Payer: Healthscope Commercial |
$101.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$88.40
|
| Rate for Payer: Nomi Health Commercial |
$76.42
|
| Rate for Payer: PACE SWMI |
$63.68
|
| Rate for Payer: PHP Medicare Advantage |
$63.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.40
|
| Rate for Payer: Priority Health Medicare |
$63.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.68
|
| Rate for Payer: UHC Medicare Advantage |
$63.68
|
|
