|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL
|
Professional
|
Both
|
$6,802.00
|
|
|
Service Code
|
HCPCS 63275
|
| Min. Negotiated Rate |
$191.77 |
| Max. Negotiated Rate |
$327,314.00 |
| Rate for Payer: Aetna Commercial |
$2,383.55
|
| Rate for Payer: Aetna Medicare |
$1,849.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,383.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,561.43
|
| Rate for Payer: BCBS Complete |
$1,230.30
|
| Rate for Payer: BCBS MAPPO |
$1,778.77
|
| Rate for Payer: BCBS Trust/PPO |
$191.77
|
| Rate for Payer: BCN Commercial |
$2,936.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,778.77
|
| Rate for Payer: Cash Price |
$5,441.60
|
| Rate for Payer: Cash Price |
$5,441.60
|
| Rate for Payer: Cofinity Commercial |
$2,561.43
|
| Rate for Payer: Cofinity Commercial |
$2,383.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,778.77
|
| Rate for Payer: Healthscope Commercial |
$3,290.72
|
| Rate for Payer: Healthscope Commercial |
$2,846.03
|
| Rate for Payer: Mclaren Medicaid |
$1,171.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,867.71
|
| Rate for Payer: Meridian Medicaid |
$1,230.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327,314.00
|
| Rate for Payer: Nomi Health Commercial |
$2,134.52
|
| Rate for Payer: PACE SWMI |
$1,778.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,778.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,421.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,115.42
|
| Rate for Payer: Priority Health Medicare |
$1,778.77
|
| Rate for Payer: Priority Health Narrow Network |
$3,115.42
|
| Rate for Payer: Priority Health SBD |
$3,115.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,124.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,778.77
|
| Rate for Payer: UHC Exchange |
$2,124.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,778.77
|
| Rate for Payer: UHCCP Medicaid |
$1,171.71
|
|
|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR
|
Professional
|
Both
|
$6,212.00
|
|
|
Service Code
|
HCPCS 63277
|
| Min. Negotiated Rate |
$453.81 |
| Max. Negotiated Rate |
$282,222.00 |
| Rate for Payer: Aetna Commercial |
$2,065.30
|
| Rate for Payer: Aetna Medicare |
$1,602.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,065.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,219.43
|
| Rate for Payer: BCBS Complete |
$1,069.27
|
| Rate for Payer: BCBS MAPPO |
$1,541.27
|
| Rate for Payer: BCBS Trust/PPO |
$453.81
|
| Rate for Payer: BCN Commercial |
$2,538.09
|
| Rate for Payer: BCN Medicare Advantage |
$1,541.27
|
| Rate for Payer: Cash Price |
$4,969.60
|
| Rate for Payer: Cash Price |
$4,969.60
|
| Rate for Payer: Cofinity Commercial |
$2,219.43
|
| Rate for Payer: Cofinity Commercial |
$2,065.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,541.27
|
| Rate for Payer: Healthscope Commercial |
$2,851.35
|
| Rate for Payer: Healthscope Commercial |
$2,466.03
|
| Rate for Payer: Mclaren Medicaid |
$1,018.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,618.33
|
| Rate for Payer: Meridian Medicaid |
$1,069.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$282,222.00
|
| Rate for Payer: Nomi Health Commercial |
$1,849.52
|
| Rate for Payer: PACE SWMI |
$1,541.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,541.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,018.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,037.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,700.26
|
| Rate for Payer: Priority Health Medicare |
$1,541.27
|
| Rate for Payer: Priority Health Narrow Network |
$2,700.26
|
| Rate for Payer: Priority Health SBD |
$2,700.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,879.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,541.27
|
| Rate for Payer: UHC Exchange |
$1,879.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,541.27
|
| Rate for Payer: UHCCP Medicaid |
$1,018.35
|
|
|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL
|
Professional
|
Both
|
$5,404.00
|
|
|
Service Code
|
HCPCS 63278
|
| Min. Negotiated Rate |
$351.32 |
| Max. Negotiated Rate |
$289,244.00 |
| Rate for Payer: Aetna Commercial |
$2,122.84
|
| Rate for Payer: Aetna Medicare |
$1,647.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,122.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,281.26
|
| Rate for Payer: BCBS Complete |
$1,095.43
|
| Rate for Payer: BCBS MAPPO |
$1,584.21
|
| Rate for Payer: BCBS Trust/PPO |
$351.32
|
| Rate for Payer: BCN Commercial |
$2,597.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,584.21
|
| Rate for Payer: Cash Price |
$4,323.20
|
| Rate for Payer: Cash Price |
$4,323.20
|
| Rate for Payer: Cofinity Commercial |
$2,281.26
|
| Rate for Payer: Cofinity Commercial |
$2,122.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,584.21
|
| Rate for Payer: Healthscope Commercial |
$2,930.79
|
| Rate for Payer: Healthscope Commercial |
$2,534.74
|
| Rate for Payer: Mclaren Medicaid |
$1,043.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,663.42
|
| Rate for Payer: Meridian Medicaid |
$1,095.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$289,244.00
|
| Rate for Payer: Nomi Health Commercial |
$1,901.05
|
| Rate for Payer: PACE SWMI |
$1,584.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,584.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,043.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,512.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,771.35
|
| Rate for Payer: Priority Health Medicare |
$1,584.21
|
| Rate for Payer: Priority Health Narrow Network |
$2,771.35
|
| Rate for Payer: Priority Health SBD |
$2,771.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,858.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,584.21
|
| Rate for Payer: UHC Exchange |
$1,858.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,584.21
|
| Rate for Payer: UHCCP Medicaid |
$1,043.27
|
|
|
PR LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC
|
Professional
|
Both
|
$6,924.00
|
|
|
Service Code
|
HCPCS 63276
|
| Min. Negotiated Rate |
$311.70 |
| Max. Negotiated Rate |
$323,384.00 |
| Rate for Payer: Aetna Commercial |
$2,368.28
|
| Rate for Payer: Aetna Medicare |
$1,838.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,368.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,545.01
|
| Rate for Payer: BCBS Complete |
$1,222.47
|
| Rate for Payer: BCBS MAPPO |
$1,767.37
|
| Rate for Payer: BCBS Trust/PPO |
$311.70
|
| Rate for Payer: BCN Commercial |
$2,902.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,767.37
|
| Rate for Payer: Cash Price |
$5,539.20
|
| Rate for Payer: Cash Price |
$5,539.20
|
| Rate for Payer: Cofinity Commercial |
$2,545.01
|
| Rate for Payer: Cofinity Commercial |
$2,368.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,767.37
|
| Rate for Payer: Healthscope Commercial |
$3,269.63
|
| Rate for Payer: Healthscope Commercial |
$2,827.79
|
| Rate for Payer: Mclaren Medicaid |
$1,164.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,855.74
|
| Rate for Payer: Meridian Medicaid |
$1,222.47
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323,384.00
|
| Rate for Payer: Nomi Health Commercial |
$2,120.84
|
| Rate for Payer: PACE SWMI |
$1,767.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,767.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,164.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,500.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,096.08
|
| Rate for Payer: Priority Health Medicare |
$1,767.37
|
| Rate for Payer: Priority Health Narrow Network |
$3,096.08
|
| Rate for Payer: Priority Health SBD |
$3,096.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,104.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,767.37
|
| Rate for Payer: UHC Exchange |
$2,104.19
|
| Rate for Payer: UHC Medicare Advantage |
$1,767.37
|
| Rate for Payer: UHCCP Medicaid |
$1,164.26
|
|
|
PR LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR
|
Professional
|
Both
|
$5,916.00
|
|
|
Service Code
|
HCPCS 63200
|
| Min. Negotiated Rate |
$291.09 |
| Max. Negotiated Rate |
$275,710.00 |
| Rate for Payer: Aetna Commercial |
$2,056.39
|
| Rate for Payer: Aetna Medicare |
$1,596.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,056.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,209.85
|
| Rate for Payer: BCBS Complete |
$1,062.12
|
| Rate for Payer: BCBS MAPPO |
$1,534.62
|
| Rate for Payer: BCBS Trust/PPO |
$291.09
|
| Rate for Payer: BCN Commercial |
$2,479.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,534.62
|
| Rate for Payer: Cash Price |
$4,732.80
|
| Rate for Payer: Cash Price |
$4,732.80
|
| Rate for Payer: Cofinity Commercial |
$2,209.85
|
| Rate for Payer: Cofinity Commercial |
$2,056.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,534.62
|
| Rate for Payer: Healthscope Commercial |
$2,839.05
|
| Rate for Payer: Healthscope Commercial |
$2,455.39
|
| Rate for Payer: Mclaren Medicaid |
$1,011.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,611.35
|
| Rate for Payer: Meridian Medicaid |
$1,062.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$275,710.00
|
| Rate for Payer: Nomi Health Commercial |
$1,841.54
|
| Rate for Payer: PACE SWMI |
$1,534.62
|
| Rate for Payer: PHP Medicare Advantage |
$1,534.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,011.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,845.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,659.89
|
| Rate for Payer: Priority Health Medicare |
$1,534.62
|
| Rate for Payer: Priority Health Narrow Network |
$2,659.89
|
| Rate for Payer: Priority Health SBD |
$2,659.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,636.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,534.62
|
| Rate for Payer: UHC Exchange |
$1,636.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,534.62
|
| Rate for Payer: UHCCP Medicaid |
$1,011.54
|
|
|
PR LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR
|
Professional
|
Both
|
$5,033.00
|
|
|
Service Code
|
HCPCS 63005
|
| Min. Negotiated Rate |
$233.48 |
| Max. Negotiated Rate |
$215,908.00 |
| Rate for Payer: Aetna Commercial |
$1,591.52
|
| Rate for Payer: Aetna Medicare |
$1,235.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,591.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,710.29
|
| Rate for Payer: BCBS Complete |
$826.61
|
| Rate for Payer: BCBS MAPPO |
$1,187.70
|
| Rate for Payer: BCBS Trust/PPO |
$233.48
|
| Rate for Payer: BCN Commercial |
$1,947.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,187.70
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cofinity Commercial |
$1,710.29
|
| Rate for Payer: Cofinity Commercial |
$1,591.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,187.70
|
| Rate for Payer: Healthscope Commercial |
$2,197.24
|
| Rate for Payer: Healthscope Commercial |
$1,900.32
|
| Rate for Payer: Mclaren Medicaid |
$787.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,247.08
|
| Rate for Payer: Meridian Medicaid |
$826.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215,908.00
|
| Rate for Payer: Nomi Health Commercial |
$1,425.24
|
| Rate for Payer: PACE SWMI |
$1,187.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,187.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$787.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,271.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,081.49
|
| Rate for Payer: Priority Health Medicare |
$1,187.70
|
| Rate for Payer: Priority Health Narrow Network |
$2,081.49
|
| Rate for Payer: Priority Health SBD |
$2,081.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,370.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,187.70
|
| Rate for Payer: UHC Exchange |
$1,370.66
|
| Rate for Payer: UHC Medicare Advantage |
$1,187.70
|
| Rate for Payer: UHCCP Medicaid |
$787.25
|
|
|
PR LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL
|
Professional
|
Both
|
$2,241.00
|
|
|
Service Code
|
HCPCS 63011
|
| Min. Negotiated Rate |
$449.06 |
| Max. Negotiated Rate |
$195,552.00 |
| Rate for Payer: Aetna Commercial |
$1,418.39
|
| Rate for Payer: Aetna Medicare |
$1,100.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,418.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,524.24
|
| Rate for Payer: BCBS Complete |
$742.30
|
| Rate for Payer: BCBS MAPPO |
$1,058.50
|
| Rate for Payer: BCBS Trust/PPO |
$449.06
|
| Rate for Payer: BCN Commercial |
$1,606.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,058.50
|
| Rate for Payer: Cash Price |
$1,792.80
|
| Rate for Payer: Cash Price |
$1,792.80
|
| Rate for Payer: Cofinity Commercial |
$1,524.24
|
| Rate for Payer: Cofinity Commercial |
$1,418.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,058.50
|
| Rate for Payer: Healthscope Commercial |
$1,958.22
|
| Rate for Payer: Healthscope Commercial |
$1,693.60
|
| Rate for Payer: Mclaren Medicaid |
$706.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,111.42
|
| Rate for Payer: Meridian Medicaid |
$742.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$195,552.00
|
| Rate for Payer: Nomi Health Commercial |
$1,270.20
|
| Rate for Payer: PACE SWMI |
$1,058.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,058.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,456.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,877.33
|
| Rate for Payer: Priority Health Medicare |
$1,058.50
|
| Rate for Payer: Priority Health Narrow Network |
$1,877.33
|
| Rate for Payer: Priority Health SBD |
$1,877.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,185.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,058.50
|
| Rate for Payer: UHC Exchange |
$1,185.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,058.50
|
| Rate for Payer: UHCCP Medicaid |
$706.95
|
|
|
PR LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC
|
Professional
|
Both
|
$6,183.00
|
|
|
Service Code
|
HCPCS 63003
|
| Min. Negotiated Rate |
$194.94 |
| Max. Negotiated Rate |
$222,676.00 |
| Rate for Payer: Aetna Commercial |
$1,638.57
|
| Rate for Payer: Aetna Medicare |
$1,271.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,638.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,760.85
|
| Rate for Payer: BCBS Complete |
$848.08
|
| Rate for Payer: BCBS MAPPO |
$1,222.81
|
| Rate for Payer: BCBS Trust/PPO |
$194.94
|
| Rate for Payer: BCN Commercial |
$2,002.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,222.81
|
| Rate for Payer: Cash Price |
$4,946.40
|
| Rate for Payer: Cash Price |
$4,946.40
|
| Rate for Payer: Cofinity Commercial |
$1,760.85
|
| Rate for Payer: Cofinity Commercial |
$1,638.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,222.81
|
| Rate for Payer: Healthscope Commercial |
$2,262.20
|
| Rate for Payer: Healthscope Commercial |
$1,956.50
|
| Rate for Payer: Mclaren Medicaid |
$807.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,283.95
|
| Rate for Payer: Meridian Medicaid |
$848.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222,676.00
|
| Rate for Payer: Nomi Health Commercial |
$1,467.37
|
| Rate for Payer: PACE SWMI |
$1,222.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,222.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$807.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,018.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,137.23
|
| Rate for Payer: Priority Health Medicare |
$1,222.81
|
| Rate for Payer: Priority Health Narrow Network |
$2,137.23
|
| Rate for Payer: Priority Health SBD |
$2,137.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,445.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,222.81
|
| Rate for Payer: UHC Exchange |
$1,445.47
|
| Rate for Payer: UHC Medicare Advantage |
$1,222.81
|
| Rate for Payer: UHCCP Medicaid |
$807.70
|
|
|
PR LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL
|
Professional
|
Both
|
$6,256.00
|
|
|
Service Code
|
HCPCS 63015
|
| Min. Negotiated Rate |
$422.11 |
| Max. Negotiated Rate |
$267,296.00 |
| Rate for Payer: Aetna Commercial |
$1,964.02
|
| Rate for Payer: Aetna Medicare |
$1,524.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,964.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,110.59
|
| Rate for Payer: BCBS Complete |
$1,016.49
|
| Rate for Payer: BCBS MAPPO |
$1,465.69
|
| Rate for Payer: BCBS Trust/PPO |
$422.11
|
| Rate for Payer: BCN Commercial |
$2,404.11
|
| Rate for Payer: BCN Medicare Advantage |
$1,465.69
|
| Rate for Payer: Cash Price |
$5,004.80
|
| Rate for Payer: Cash Price |
$5,004.80
|
| Rate for Payer: Cofinity Commercial |
$2,110.59
|
| Rate for Payer: Cofinity Commercial |
$1,964.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,465.69
|
| Rate for Payer: Healthscope Commercial |
$2,711.53
|
| Rate for Payer: Healthscope Commercial |
$2,345.10
|
| Rate for Payer: Mclaren Medicaid |
$968.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,538.97
|
| Rate for Payer: Meridian Medicaid |
$1,016.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$267,296.00
|
| Rate for Payer: Nomi Health Commercial |
$1,758.83
|
| Rate for Payer: PACE SWMI |
$1,465.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,465.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$968.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,066.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,566.60
|
| Rate for Payer: Priority Health Medicare |
$1,465.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,566.60
|
| Rate for Payer: Priority Health SBD |
$2,566.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,037.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,465.69
|
| Rate for Payer: UHC Exchange |
$2,037.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,465.69
|
| Rate for Payer: UHCCP Medicaid |
$968.09
|
|
|
PR LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR
|
Professional
|
Both
|
$6,258.00
|
|
|
Service Code
|
HCPCS 63017
|
| Min. Negotiated Rate |
$263.09 |
| Max. Negotiated Rate |
$228,271.00 |
| Rate for Payer: Aetna Commercial |
$1,675.96
|
| Rate for Payer: Aetna Medicare |
$1,300.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,675.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,801.04
|
| Rate for Payer: BCBS Complete |
$869.33
|
| Rate for Payer: BCBS MAPPO |
$1,250.72
|
| Rate for Payer: BCBS Trust/PPO |
$263.09
|
| Rate for Payer: BCN Commercial |
$2,056.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,250.72
|
| Rate for Payer: Cash Price |
$5,006.40
|
| Rate for Payer: Cash Price |
$5,006.40
|
| Rate for Payer: Cofinity Commercial |
$1,801.04
|
| Rate for Payer: Cofinity Commercial |
$1,675.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,250.72
|
| Rate for Payer: Healthscope Commercial |
$2,313.83
|
| Rate for Payer: Healthscope Commercial |
$2,001.15
|
| Rate for Payer: Mclaren Medicaid |
$827.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,313.26
|
| Rate for Payer: Meridian Medicaid |
$869.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$228,271.00
|
| Rate for Payer: Nomi Health Commercial |
$1,500.86
|
| Rate for Payer: PACE SWMI |
$1,250.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,250.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$827.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,067.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,194.66
|
| Rate for Payer: Priority Health Medicare |
$1,250.72
|
| Rate for Payer: Priority Health Narrow Network |
$2,194.66
|
| Rate for Payer: Priority Health SBD |
$2,194.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,686.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,250.72
|
| Rate for Payer: UHC Exchange |
$1,686.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,250.72
|
| Rate for Payer: UHCCP Medicaid |
$827.93
|
|
|
PR LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC
|
Professional
|
Both
|
$6,773.00
|
|
|
Service Code
|
HCPCS 63016
|
| Min. Negotiated Rate |
$313.28 |
| Max. Negotiated Rate |
$276,030.00 |
| Rate for Payer: Aetna Commercial |
$2,015.79
|
| Rate for Payer: Aetna Medicare |
$1,564.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,015.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,166.22
|
| Rate for Payer: BCBS Complete |
$1,042.66
|
| Rate for Payer: BCBS MAPPO |
$1,504.32
|
| Rate for Payer: BCBS Trust/PPO |
$313.28
|
| Rate for Payer: BCN Commercial |
$2,480.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,504.32
|
| Rate for Payer: Cash Price |
$5,418.40
|
| Rate for Payer: Cash Price |
$5,418.40
|
| Rate for Payer: Cofinity Commercial |
$2,166.22
|
| Rate for Payer: Cofinity Commercial |
$2,015.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,504.32
|
| Rate for Payer: Healthscope Commercial |
$2,782.99
|
| Rate for Payer: Healthscope Commercial |
$2,406.91
|
| Rate for Payer: Mclaren Medicaid |
$993.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,579.54
|
| Rate for Payer: Meridian Medicaid |
$1,042.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$276,030.00
|
| Rate for Payer: Nomi Health Commercial |
$1,805.18
|
| Rate for Payer: PACE SWMI |
$1,504.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,504.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$993.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,402.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,638.84
|
| Rate for Payer: Priority Health Medicare |
$1,504.32
|
| Rate for Payer: Priority Health Narrow Network |
$2,638.84
|
| Rate for Payer: Priority Health SBD |
$2,638.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,002.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,504.32
|
| Rate for Payer: UHC Exchange |
$2,002.52
|
| Rate for Payer: UHC Medicare Advantage |
$1,504.32
|
| Rate for Payer: UHCCP Medicaid |
$993.01
|
|
|
PR LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS
|
Professional
|
Both
|
$5,784.00
|
|
|
Service Code
|
HCPCS 63185
|
| Min. Negotiated Rate |
$806.84 |
| Max. Negotiated Rate |
$204,615.00 |
| Rate for Payer: Aetna Commercial |
$1,636.37
|
| Rate for Payer: Aetna Medicare |
$1,270.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,636.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,758.48
|
| Rate for Payer: BCBS Complete |
$847.18
|
| Rate for Payer: BCBS MAPPO |
$1,221.17
|
| Rate for Payer: BCBS Trust/PPO |
$4,716.13
|
| Rate for Payer: BCN Commercial |
$1,680.08
|
| Rate for Payer: BCN Medicare Advantage |
$1,221.17
|
| Rate for Payer: Cash Price |
$4,627.20
|
| Rate for Payer: Cash Price |
$4,627.20
|
| Rate for Payer: Cofinity Commercial |
$1,758.48
|
| Rate for Payer: Cofinity Commercial |
$1,636.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,221.17
|
| Rate for Payer: Healthscope Commercial |
$2,259.16
|
| Rate for Payer: Healthscope Commercial |
$1,953.87
|
| Rate for Payer: Mclaren Medicaid |
$806.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,282.23
|
| Rate for Payer: Meridian Medicaid |
$847.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$204,615.00
|
| Rate for Payer: Nomi Health Commercial |
$1,465.40
|
| Rate for Payer: PACE SWMI |
$1,221.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,221.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$806.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,759.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,141.21
|
| Rate for Payer: Priority Health Medicare |
$1,221.17
|
| Rate for Payer: Priority Health Narrow Network |
$2,141.21
|
| Rate for Payer: Priority Health SBD |
$2,141.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,313.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,221.17
|
| Rate for Payer: UHC Exchange |
$1,313.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,221.17
|
| Rate for Payer: UHCCP Medicaid |
$806.84
|
|
|
PR LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR
|
Professional
|
Both
|
$6,155.00
|
|
|
Service Code
|
HCPCS 63012
|
| Min. Negotiated Rate |
$479.17 |
| Max. Negotiated Rate |
$215,222.00 |
| Rate for Payer: Aetna Commercial |
$1,570.83
|
| Rate for Payer: Aetna Medicare |
$1,219.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,570.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,688.05
|
| Rate for Payer: BCBS Complete |
$816.54
|
| Rate for Payer: BCBS MAPPO |
$1,172.26
|
| Rate for Payer: BCBS Trust/PPO |
$479.17
|
| Rate for Payer: BCN Commercial |
$1,940.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,172.26
|
| Rate for Payer: Cash Price |
$4,924.00
|
| Rate for Payer: Cash Price |
$4,924.00
|
| Rate for Payer: Cofinity Commercial |
$1,688.05
|
| Rate for Payer: Cofinity Commercial |
$1,570.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,172.26
|
| Rate for Payer: Healthscope Commercial |
$2,168.68
|
| Rate for Payer: Healthscope Commercial |
$1,875.62
|
| Rate for Payer: Mclaren Medicaid |
$777.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,230.87
|
| Rate for Payer: Meridian Medicaid |
$816.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$215,222.00
|
| Rate for Payer: Nomi Health Commercial |
$1,406.71
|
| Rate for Payer: PACE SWMI |
$1,172.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,172.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,000.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,065.01
|
| Rate for Payer: Priority Health Medicare |
$1,172.26
|
| Rate for Payer: Priority Health Narrow Network |
$2,065.01
|
| Rate for Payer: Priority Health SBD |
$2,065.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,893.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,172.26
|
| Rate for Payer: UHC Exchange |
$1,893.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,172.26
|
| Rate for Payer: UHCCP Medicaid |
$777.66
|
|
|
PR LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE
|
Professional
|
Both
|
$2,232.00
|
|
|
Service Code
|
HCPCS 63191
|
| Min. Negotiated Rate |
$243.55 |
| Max. Negotiated Rate |
$250,524.00 |
| Rate for Payer: Aetna Commercial |
$1,840.03
|
| Rate for Payer: Aetna Medicare |
$1,428.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,840.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,977.35
|
| Rate for Payer: BCBS Complete |
$950.73
|
| Rate for Payer: BCBS MAPPO |
$1,373.16
|
| Rate for Payer: BCBS Trust/PPO |
$243.55
|
| Rate for Payer: BCN Commercial |
$2,045.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,373.16
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cash Price |
$1,785.60
|
| Rate for Payer: Cofinity Commercial |
$1,977.35
|
| Rate for Payer: Cofinity Commercial |
$1,840.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,373.16
|
| Rate for Payer: Healthscope Commercial |
$2,540.35
|
| Rate for Payer: Healthscope Commercial |
$2,197.06
|
| Rate for Payer: Mclaren Medicaid |
$905.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,441.82
|
| Rate for Payer: Meridian Medicaid |
$950.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$250,524.00
|
| Rate for Payer: Nomi Health Commercial |
$1,647.79
|
| Rate for Payer: PACE SWMI |
$1,373.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,373.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$905.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,450.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,403.96
|
| Rate for Payer: Priority Health Medicare |
$1,373.16
|
| Rate for Payer: Priority Health Narrow Network |
$2,403.96
|
| Rate for Payer: Priority Health SBD |
$2,403.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,651.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,373.16
|
| Rate for Payer: UHC Exchange |
$1,651.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,373.16
|
| Rate for Payer: UHCCP Medicaid |
$905.46
|
|
|
PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC
|
Professional
|
Both
|
$5,746.00
|
|
|
Service Code
|
HCPCS 63020
|
| Min. Negotiated Rate |
$230.34 |
| Max. Negotiated Rate |
$196,519.00 |
| Rate for Payer: Aetna Commercial |
$1,445.55
|
| Rate for Payer: Aetna Medicare |
$1,121.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,445.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,553.43
|
| Rate for Payer: BCBS Complete |
$754.59
|
| Rate for Payer: BCBS MAPPO |
$1,078.77
|
| Rate for Payer: BCBS Trust/PPO |
$230.34
|
| Rate for Payer: BCN Commercial |
$1,778.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,078.77
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cash Price |
$4,596.80
|
| Rate for Payer: Cofinity Commercial |
$1,553.43
|
| Rate for Payer: Cofinity Commercial |
$1,445.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,078.77
|
| Rate for Payer: Healthscope Commercial |
$1,995.72
|
| Rate for Payer: Healthscope Commercial |
$1,726.03
|
| Rate for Payer: Mclaren Medicaid |
$718.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,132.71
|
| Rate for Payer: Meridian Medicaid |
$754.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$196,519.00
|
| Rate for Payer: Nomi Health Commercial |
$1,294.52
|
| Rate for Payer: PACE SWMI |
$1,078.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,078.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$718.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,734.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,899.51
|
| Rate for Payer: Priority Health Medicare |
$1,078.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,899.51
|
| Rate for Payer: Priority Health SBD |
$1,899.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,586.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,078.77
|
| Rate for Payer: UHC Exchange |
$1,586.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,078.77
|
| Rate for Payer: UHCCP Medicaid |
$718.66
|
|
|
PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR
|
Professional
|
Both
|
$5,564.00
|
|
|
Service Code
|
HCPCS 63030
|
| Min. Negotiated Rate |
$318.04 |
| Max. Negotiated Rate |
$163,298.00 |
| Rate for Payer: Aetna Commercial |
$1,198.01
|
| Rate for Payer: Aetna Medicare |
$929.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,198.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,287.42
|
| Rate for Payer: BCBS Complete |
$627.56
|
| Rate for Payer: BCBS MAPPO |
$894.04
|
| Rate for Payer: BCBS Trust/PPO |
$318.04
|
| Rate for Payer: BCN Commercial |
$1,146.75
|
| Rate for Payer: BCN Medicare Advantage |
$894.04
|
| Rate for Payer: Cash Price |
$4,451.20
|
| Rate for Payer: Cash Price |
$4,451.20
|
| Rate for Payer: Cofinity Commercial |
$1,287.42
|
| Rate for Payer: Cofinity Commercial |
$1,198.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$894.04
|
| Rate for Payer: Healthscope Commercial |
$1,653.97
|
| Rate for Payer: Healthscope Commercial |
$1,430.46
|
| Rate for Payer: Mclaren Medicaid |
$597.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$938.74
|
| Rate for Payer: Meridian Medicaid |
$627.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$163,298.00
|
| Rate for Payer: Nomi Health Commercial |
$1,072.85
|
| Rate for Payer: PACE SWMI |
$894.04
|
| Rate for Payer: PHP Medicare Advantage |
$894.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$597.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,616.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,583.88
|
| Rate for Payer: Priority Health Medicare |
$894.04
|
| Rate for Payer: Priority Health Narrow Network |
$1,583.88
|
| Rate for Payer: Priority Health SBD |
$1,583.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,892.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$894.04
|
| Rate for Payer: UHC Exchange |
$1,892.55
|
| Rate for Payer: UHC Medicare Advantage |
$894.04
|
| Rate for Payer: UHCCP Medicaid |
$597.68
|
|
|
PR LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR
|
Professional
|
Both
|
$1,819.00
|
|
|
Service Code
|
HCPCS 63035
|
| Min. Negotiated Rate |
$148.67 |
| Max. Negotiated Rate |
$42,025.00 |
| Rate for Payer: Aetna Commercial |
$303.79
|
| Rate for Payer: Aetna Medicare |
$235.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$303.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$326.46
|
| Rate for Payer: BCBS Complete |
$156.10
|
| Rate for Payer: BCBS MAPPO |
$226.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,004.30
|
| Rate for Payer: BCN Commercial |
$375.03
|
| Rate for Payer: BCN Medicare Advantage |
$226.71
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cash Price |
$1,455.20
|
| Rate for Payer: Cofinity Commercial |
$326.46
|
| Rate for Payer: Cofinity Commercial |
$303.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.71
|
| Rate for Payer: Healthscope Commercial |
$419.41
|
| Rate for Payer: Healthscope Commercial |
$362.74
|
| Rate for Payer: Mclaren Medicaid |
$148.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.05
|
| Rate for Payer: Meridian Medicaid |
$156.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42,025.00
|
| Rate for Payer: Nomi Health Commercial |
$272.05
|
| Rate for Payer: PACE SWMI |
$226.71
|
| Rate for Payer: PHP Medicare Advantage |
$226.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,182.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.97
|
| Rate for Payer: Priority Health Medicare |
$226.71
|
| Rate for Payer: Priority Health Narrow Network |
$396.97
|
| Rate for Payer: Priority Health SBD |
$396.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$446.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.71
|
| Rate for Payer: UHC Exchange |
$446.03
|
| Rate for Payer: UHC Medicare Advantage |
$226.71
|
| Rate for Payer: UHCCP Medicaid |
$148.67
|
|
|
PR LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ
|
Professional
|
Both
|
$8,543.00
|
|
|
Service Code
|
HCPCS 63051
|
| Min. Negotiated Rate |
$405.21 |
| Max. Negotiated Rate |
$303,806.00 |
| Rate for Payer: Aetna Commercial |
$2,212.90
|
| Rate for Payer: Aetna Medicare |
$1,717.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,212.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,378.04
|
| Rate for Payer: BCBS Complete |
$1,149.78
|
| Rate for Payer: BCBS MAPPO |
$1,651.42
|
| Rate for Payer: BCBS Trust/PPO |
$405.21
|
| Rate for Payer: BCN Commercial |
$2,484.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,651.42
|
| Rate for Payer: Cash Price |
$6,834.40
|
| Rate for Payer: Cash Price |
$6,834.40
|
| Rate for Payer: Cofinity Commercial |
$2,378.04
|
| Rate for Payer: Cofinity Commercial |
$2,212.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,651.42
|
| Rate for Payer: Healthscope Commercial |
$3,055.13
|
| Rate for Payer: Healthscope Commercial |
$2,642.27
|
| Rate for Payer: Mclaren Medicaid |
$1,095.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,733.99
|
| Rate for Payer: Meridian Medicaid |
$1,149.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303,806.00
|
| Rate for Payer: Nomi Health Commercial |
$1,981.70
|
| Rate for Payer: PACE SWMI |
$1,651.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,651.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,095.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,552.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,909.55
|
| Rate for Payer: Priority Health Medicare |
$1,651.42
|
| Rate for Payer: Priority Health Narrow Network |
$2,909.55
|
| Rate for Payer: Priority Health SBD |
$2,909.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,490.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,651.42
|
| Rate for Payer: UHC Exchange |
$2,490.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,651.42
|
| Rate for Payer: UHCCP Medicaid |
$1,095.03
|
|
|
PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL
|
Professional
|
Both
|
$6,673.00
|
|
|
Service Code
|
HCPCS 63040
|
| Min. Negotiated Rate |
$893.75 |
| Max. Negotiated Rate |
$247,990.00 |
| Rate for Payer: Aetna Commercial |
$1,803.91
|
| Rate for Payer: Aetna Medicare |
$1,400.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,803.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,938.53
|
| Rate for Payer: BCBS Complete |
$938.44
|
| Rate for Payer: BCBS MAPPO |
$1,346.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,073.51
|
| Rate for Payer: BCN Commercial |
$2,234.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,346.20
|
| Rate for Payer: Cash Price |
$5,338.40
|
| Rate for Payer: Cash Price |
$5,338.40
|
| Rate for Payer: Cofinity Commercial |
$1,938.53
|
| Rate for Payer: Cofinity Commercial |
$1,803.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,346.20
|
| Rate for Payer: Healthscope Commercial |
$2,490.47
|
| Rate for Payer: Healthscope Commercial |
$2,153.92
|
| Rate for Payer: Mclaren Medicaid |
$893.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,413.51
|
| Rate for Payer: Meridian Medicaid |
$938.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247,990.00
|
| Rate for Payer: Nomi Health Commercial |
$1,615.44
|
| Rate for Payer: PACE SWMI |
$1,346.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,346.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$893.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,337.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,373.82
|
| Rate for Payer: Priority Health Medicare |
$1,346.20
|
| Rate for Payer: Priority Health Narrow Network |
$2,373.82
|
| Rate for Payer: Priority Health SBD |
$2,373.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,942.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,346.20
|
| Rate for Payer: UHC Exchange |
$1,942.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,346.20
|
| Rate for Payer: UHCCP Medicaid |
$893.75
|
|
|
PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV
|
Professional
|
Both
|
$2,182.00
|
|
|
Service Code
|
HCPCS 63043
|
| Min. Negotiated Rate |
$191.17 |
| Max. Negotiated Rate |
$106,929.00 |
| Rate for Payer: Aetna Commercial |
$780.02
|
| Rate for Payer: Aetna Medicare |
$1,091.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.02
|
| Rate for Payer: BCBS Complete |
$200.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,862.26
|
| Rate for Payer: BCN Commercial |
$374.64
|
| Rate for Payer: Cash Price |
$1,745.60
|
| Rate for Payer: Cash Price |
$1,745.60
|
| Rate for Payer: Mclaren Medicaid |
$191.17
|
| Rate for Payer: Meridian Medicaid |
$200.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106,929.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,418.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,037.91
|
| Rate for Payer: Priority Health Narrow Network |
$1,037.91
|
| Rate for Payer: Priority Health SBD |
$1,037.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$367.81
|
| Rate for Payer: UHC Exchange |
$367.81
|
| Rate for Payer: UHCCP Medicaid |
$191.17
|
|
|
PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR
|
Professional
|
Both
|
$2,693.00
|
|
|
Service Code
|
HCPCS 63042
|
| Min. Negotiated Rate |
$840.50 |
| Max. Negotiated Rate |
$231,997.00 |
| Rate for Payer: Aetna Commercial |
$1,692.74
|
| Rate for Payer: Aetna Medicare |
$1,313.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,692.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,819.07
|
| Rate for Payer: BCBS Complete |
$882.52
|
| Rate for Payer: BCBS MAPPO |
$1,263.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,376.75
|
| Rate for Payer: BCN Commercial |
$2,094.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,263.24
|
| Rate for Payer: Cash Price |
$2,154.40
|
| Rate for Payer: Cash Price |
$2,154.40
|
| Rate for Payer: Cofinity Commercial |
$1,819.07
|
| Rate for Payer: Cofinity Commercial |
$1,692.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,263.24
|
| Rate for Payer: Healthscope Commercial |
$2,336.99
|
| Rate for Payer: Healthscope Commercial |
$2,021.18
|
| Rate for Payer: Mclaren Medicaid |
$840.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,326.40
|
| Rate for Payer: Meridian Medicaid |
$882.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$231,997.00
|
| Rate for Payer: Nomi Health Commercial |
$1,515.89
|
| Rate for Payer: PACE SWMI |
$1,263.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,263.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,750.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,234.49
|
| Rate for Payer: Priority Health Medicare |
$1,263.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,234.49
|
| Rate for Payer: Priority Health SBD |
$2,234.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,668.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,263.24
|
| Rate for Payer: UHC Exchange |
$2,668.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,263.24
|
| Rate for Payer: UHCCP Medicaid |
$840.50
|
|
|
PR LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR
|
Professional
|
Both
|
$2,125.00
|
|
|
Service Code
|
HCPCS 63044
|
| Min. Negotiated Rate |
$179.97 |
| Max. Negotiated Rate |
$101,610.00 |
| Rate for Payer: Aetna Commercial |
$741.31
|
| Rate for Payer: Aetna Medicare |
$1,062.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$741.31
|
| Rate for Payer: BCBS Complete |
$188.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,908.75
|
| Rate for Payer: BCN Commercial |
$374.64
|
| Rate for Payer: Cash Price |
$1,700.00
|
| Rate for Payer: Cash Price |
$1,700.00
|
| Rate for Payer: Mclaren Medicaid |
$179.97
|
| Rate for Payer: Meridian Medicaid |
$188.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101,610.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,381.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$985.58
|
| Rate for Payer: Priority Health Narrow Network |
$985.58
|
| Rate for Payer: Priority Health SBD |
$985.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.01
|
| Rate for Payer: UHC Exchange |
$346.01
|
| Rate for Payer: UHCCP Medicaid |
$179.97
|
|
|
PR LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID
|
Professional
|
Both
|
$6,322.00
|
|
|
Service Code
|
HCPCS 63172
|
| Min. Negotiated Rate |
$925.27 |
| Max. Negotiated Rate |
$256,444.00 |
| Rate for Payer: Aetna Commercial |
$1,883.85
|
| Rate for Payer: Aetna Medicare |
$1,462.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,883.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,024.44
|
| Rate for Payer: BCBS Complete |
$971.53
|
| Rate for Payer: BCBS MAPPO |
$1,405.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,470.40
|
| Rate for Payer: BCN Commercial |
$2,301.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,405.86
|
| Rate for Payer: Cash Price |
$5,057.60
|
| Rate for Payer: Cash Price |
$5,057.60
|
| Rate for Payer: Cofinity Commercial |
$2,024.44
|
| Rate for Payer: Cofinity Commercial |
$1,883.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,405.86
|
| Rate for Payer: Healthscope Commercial |
$2,600.84
|
| Rate for Payer: Healthscope Commercial |
$2,249.38
|
| Rate for Payer: Mclaren Medicaid |
$925.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,476.15
|
| Rate for Payer: Meridian Medicaid |
$971.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$256,444.00
|
| Rate for Payer: Nomi Health Commercial |
$1,687.03
|
| Rate for Payer: PACE SWMI |
$1,405.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,405.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$925.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,109.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,455.71
|
| Rate for Payer: Priority Health Medicare |
$1,405.86
|
| Rate for Payer: Priority Health Narrow Network |
$2,455.71
|
| Rate for Payer: Priority Health SBD |
$2,455.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,694.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,405.86
|
| Rate for Payer: UHC Exchange |
$1,694.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,405.86
|
| Rate for Payer: UHCCP Medicaid |
$925.27
|
|
|
PR LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL
|
Professional
|
Both
|
$6,858.00
|
|
|
Service Code
|
HCPCS 63173
|
| Min. Negotiated Rate |
$1,127.41 |
| Max. Negotiated Rate |
$313,045.00 |
| Rate for Payer: Aetna Commercial |
$2,297.26
|
| Rate for Payer: Aetna Medicare |
$1,782.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,297.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,468.69
|
| Rate for Payer: BCBS Complete |
$1,183.78
|
| Rate for Payer: BCBS MAPPO |
$1,714.37
|
| Rate for Payer: BCBS Trust/PPO |
$3,763.08
|
| Rate for Payer: BCN Commercial |
$2,549.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,714.37
|
| Rate for Payer: Cash Price |
$5,486.40
|
| Rate for Payer: Cash Price |
$5,486.40
|
| Rate for Payer: Cofinity Commercial |
$2,468.69
|
| Rate for Payer: Cofinity Commercial |
$2,297.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,714.37
|
| Rate for Payer: Healthscope Commercial |
$3,171.58
|
| Rate for Payer: Healthscope Commercial |
$2,742.99
|
| Rate for Payer: Mclaren Medicaid |
$1,127.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,800.09
|
| Rate for Payer: Meridian Medicaid |
$1,183.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$313,045.00
|
| Rate for Payer: Nomi Health Commercial |
$2,057.24
|
| Rate for Payer: PACE SWMI |
$1,714.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,714.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,127.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,457.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,997.69
|
| Rate for Payer: Priority Health Medicare |
$1,714.37
|
| Rate for Payer: Priority Health Narrow Network |
$2,997.69
|
| Rate for Payer: Priority Health SBD |
$2,997.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,885.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,714.37
|
| Rate for Payer: UHC Exchange |
$1,885.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,714.37
|
| Rate for Payer: UHCCP Medicaid |
$1,127.41
|
|
|
PR LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV
|
Professional
|
Both
|
$5,092.00
|
|
|
Service Code
|
HCPCS 63001
|
| Min. Negotiated Rate |
$140.00 |
| Max. Negotiated Rate |
$222,700.00 |
| Rate for Payer: Aetna Commercial |
$1,631.57
|
| Rate for Payer: Aetna Medicare |
$1,266.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,631.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,753.33
|
| Rate for Payer: BCBS Complete |
$844.28
|
| Rate for Payer: BCBS MAPPO |
$1,217.59
|
| Rate for Payer: BCBS Trust/PPO |
$140.00
|
| Rate for Payer: BCN Commercial |
$2,002.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,217.59
|
| Rate for Payer: Cash Price |
$4,073.60
|
| Rate for Payer: Cash Price |
$4,073.60
|
| Rate for Payer: Cofinity Commercial |
$1,753.33
|
| Rate for Payer: Cofinity Commercial |
$1,631.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,217.59
|
| Rate for Payer: Healthscope Commercial |
$2,252.54
|
| Rate for Payer: Healthscope Commercial |
$1,948.14
|
| Rate for Payer: Mclaren Medicaid |
$804.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,278.47
|
| Rate for Payer: Meridian Medicaid |
$844.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222,700.00
|
| Rate for Payer: Nomi Health Commercial |
$1,461.11
|
| Rate for Payer: PACE SWMI |
$1,217.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,217.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$804.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,309.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,129.26
|
| Rate for Payer: Priority Health Medicare |
$1,217.59
|
| Rate for Payer: Priority Health Narrow Network |
$2,129.26
|
| Rate for Payer: Priority Health SBD |
$2,129.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,427.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,217.59
|
| Rate for Payer: UHC Exchange |
$1,427.32
|
| Rate for Payer: UHC Medicare Advantage |
$1,217.59
|
| Rate for Payer: UHCCP Medicaid |
$804.08
|
|
