|
PR LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS
|
Professional
|
Both
|
$3,016.00
|
|
|
Service Code
|
HCPCS 58553
|
| Min. Negotiated Rate |
$543.62 |
| Max. Negotiated Rate |
$200,709.00 |
| Rate for Payer: Aetna Commercial |
$1,444.27
|
| Rate for Payer: Aetna Medicare |
$1,120.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,444.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,552.05
|
| Rate for Payer: BCBS Complete |
$752.59
|
| Rate for Payer: BCBS MAPPO |
$1,077.81
|
| Rate for Payer: BCBS Trust/PPO |
$543.62
|
| Rate for Payer: BCN Commercial |
$1,640.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,077.81
|
| Rate for Payer: Cash Price |
$2,412.80
|
| Rate for Payer: Cash Price |
$2,412.80
|
| Rate for Payer: Cofinity Commercial |
$1,552.05
|
| Rate for Payer: Cofinity Commercial |
$1,444.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,077.81
|
| Rate for Payer: Healthscope Commercial |
$1,993.95
|
| Rate for Payer: Healthscope Commercial |
$1,724.50
|
| Rate for Payer: Mclaren Medicaid |
$716.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,131.70
|
| Rate for Payer: Meridian Medicaid |
$752.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$200,709.00
|
| Rate for Payer: Nomi Health Commercial |
$1,293.37
|
| Rate for Payer: PACE SWMI |
$1,077.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,077.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$716.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,960.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,671.19
|
| Rate for Payer: Priority Health Medicare |
$1,077.81
|
| Rate for Payer: Priority Health Narrow Network |
$1,671.19
|
| Rate for Payer: Priority Health SBD |
$1,671.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,262.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,077.81
|
| Rate for Payer: UHC Exchange |
$1,262.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,077.81
|
| Rate for Payer: UHCCP Medicaid |
$716.75
|
|
|
PR LAPT RPR PARAESOPH HIATAL HERNIA W/MESH
|
Professional
|
Both
|
$2,625.00
|
|
|
Service Code
|
HCPCS 43333
|
| Min. Negotiated Rate |
$806.84 |
| Max. Negotiated Rate |
$224,703.00 |
| Rate for Payer: Aetna Commercial |
$1,638.62
|
| Rate for Payer: Aetna Medicare |
$1,271.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,638.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,760.90
|
| Rate for Payer: BCBS Complete |
$847.18
|
| Rate for Payer: BCBS MAPPO |
$1,222.85
|
| Rate for Payer: BCBS Trust/PPO |
$856.37
|
| Rate for Payer: BCN Commercial |
$1,827.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,222.85
|
| Rate for Payer: Cash Price |
$2,100.00
|
| Rate for Payer: Cash Price |
$2,100.00
|
| Rate for Payer: Cofinity Commercial |
$1,760.90
|
| Rate for Payer: Cofinity Commercial |
$1,638.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,222.85
|
| Rate for Payer: Healthscope Commercial |
$1,956.56
|
| Rate for Payer: Healthscope Commercial |
$2,262.27
|
| Rate for Payer: Mclaren Medicaid |
$806.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,283.99
|
| Rate for Payer: Meridian Medicaid |
$847.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$224,703.00
|
| Rate for Payer: Nomi Health Commercial |
$1,467.42
|
| Rate for Payer: PACE SWMI |
$1,222.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,222.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$806.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,706.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,246.17
|
| Rate for Payer: Priority Health Medicare |
$1,222.85
|
| Rate for Payer: Priority Health Narrow Network |
$2,246.17
|
| Rate for Payer: Priority Health SBD |
$2,246.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,222.85
|
| Rate for Payer: UHC Medicare Advantage |
$1,222.85
|
| Rate for Payer: UHCCP Medicaid |
$806.84
|
|
|
PR LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK
|
Professional
|
Both
|
$2,150.00
|
|
|
Service Code
|
HCPCS 58960
|
| Min. Negotiated Rate |
$603.32 |
| Max. Negotiated Rate |
$176,801.00 |
| Rate for Payer: Aetna Commercial |
$1,281.54
|
| Rate for Payer: Aetna Medicare |
$994.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,281.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,377.17
|
| Rate for Payer: BCBS Complete |
$674.31
|
| Rate for Payer: BCBS MAPPO |
$956.37
|
| Rate for Payer: BCBS Trust/PPO |
$603.32
|
| Rate for Payer: BCN Commercial |
$1,456.26
|
| Rate for Payer: BCN Medicare Advantage |
$956.37
|
| Rate for Payer: Cash Price |
$1,720.00
|
| Rate for Payer: Cash Price |
$1,720.00
|
| Rate for Payer: Cofinity Commercial |
$1,377.17
|
| Rate for Payer: Cofinity Commercial |
$1,281.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$956.37
|
| Rate for Payer: Healthscope Commercial |
$1,769.28
|
| Rate for Payer: Healthscope Commercial |
$1,530.19
|
| Rate for Payer: Mclaren Medicaid |
$642.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,004.19
|
| Rate for Payer: Meridian Medicaid |
$674.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$176,801.00
|
| Rate for Payer: Nomi Health Commercial |
$1,147.64
|
| Rate for Payer: PACE SWMI |
$956.37
|
| Rate for Payer: PHP Medicare Advantage |
$956.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$642.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,397.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,494.09
|
| Rate for Payer: Priority Health Medicare |
$956.37
|
| Rate for Payer: Priority Health Narrow Network |
$1,494.09
|
| Rate for Payer: Priority Health SBD |
$1,494.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,353.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$956.37
|
| Rate for Payer: UHC Exchange |
$1,353.63
|
| Rate for Payer: UHC Medicare Advantage |
$956.37
|
| Rate for Payer: UHCCP Medicaid |
$642.20
|
|
|
PR LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS
|
Professional
|
Both
|
$2,415.00
|
|
|
Service Code
|
HCPCS 47015
|
| Min. Negotiated Rate |
$241.96 |
| Max. Negotiated Rate |
$208,359.00 |
| Rate for Payer: Aetna Commercial |
$1,515.12
|
| Rate for Payer: Aetna Medicare |
$1,175.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,515.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,628.19
|
| Rate for Payer: BCBS Complete |
$787.25
|
| Rate for Payer: BCBS MAPPO |
$1,130.69
|
| Rate for Payer: BCBS Trust/PPO |
$241.96
|
| Rate for Payer: BCN Commercial |
$1,703.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,130.69
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cash Price |
$1,932.00
|
| Rate for Payer: Cofinity Commercial |
$1,628.19
|
| Rate for Payer: Cofinity Commercial |
$1,515.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,130.69
|
| Rate for Payer: Healthscope Commercial |
$2,091.78
|
| Rate for Payer: Healthscope Commercial |
$1,809.10
|
| Rate for Payer: Mclaren Medicaid |
$749.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,187.22
|
| Rate for Payer: Meridian Medicaid |
$787.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208,359.00
|
| Rate for Payer: Nomi Health Commercial |
$1,356.83
|
| Rate for Payer: PACE SWMI |
$1,130.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,130.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$749.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,569.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,087.48
|
| Rate for Payer: Priority Health Medicare |
$1,130.69
|
| Rate for Payer: Priority Health Narrow Network |
$2,087.48
|
| Rate for Payer: Priority Health SBD |
$2,087.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$937.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,130.69
|
| Rate for Payer: UHC Exchange |
$937.59
|
| Rate for Payer: UHC Medicare Advantage |
$1,130.69
|
| Rate for Payer: UHCCP Medicaid |
$749.76
|
|
|
PR LAP,W/CHOLANGIOGRAPHY,BIOPSY
|
Professional
|
Both
|
$2,159.00
|
|
|
Service Code
|
HCPCS 47561
|
| Min. Negotiated Rate |
$863.60 |
| Max. Negotiated Rate |
$1,403.35 |
| Rate for Payer: Aetna Medicare |
$1,079.50
|
| Rate for Payer: BCBS Complete |
$863.60
|
| Rate for Payer: Cash Price |
$1,727.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,403.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,403.35
|
|
|
PR LAP,W/CHOLANGIOGRAPHY,W/O BX
|
Professional
|
Both
|
$487.00
|
|
|
Service Code
|
HCPCS 47560
|
| Min. Negotiated Rate |
$194.80 |
| Max. Negotiated Rate |
$316.55 |
| Rate for Payer: Aetna Medicare |
$243.50
|
| Rate for Payer: BCBS Complete |
$194.80
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$316.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$316.55
|
|
|
PR LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$793.00
|
|
|
Service Code
|
HCPCS 31561
|
| Min. Negotiated Rate |
$216.62 |
| Max. Negotiated Rate |
$60,343.00 |
| Rate for Payer: Aetna Commercial |
$434.45
|
| Rate for Payer: Aetna Medicare |
$337.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$434.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$466.88
|
| Rate for Payer: BCBS Complete |
$227.45
|
| Rate for Payer: BCBS MAPPO |
$324.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,441.20
|
| Rate for Payer: BCN Commercial |
$494.54
|
| Rate for Payer: BCN Medicare Advantage |
$324.22
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cofinity Commercial |
$434.45
|
| Rate for Payer: Cofinity Commercial |
$466.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$324.22
|
| Rate for Payer: Healthscope Commercial |
$518.75
|
| Rate for Payer: Healthscope Commercial |
$599.81
|
| Rate for Payer: Mclaren Medicaid |
$216.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$340.43
|
| Rate for Payer: Meridian Medicaid |
$227.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60,343.00
|
| Rate for Payer: Nomi Health Commercial |
$389.06
|
| Rate for Payer: PACE SWMI |
$324.22
|
| Rate for Payer: PHP Medicare Advantage |
$324.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$470.42
|
| Rate for Payer: Priority Health Medicare |
$324.22
|
| Rate for Payer: Priority Health Narrow Network |
$470.42
|
| Rate for Payer: Priority Health SBD |
$470.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$535.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$324.22
|
| Rate for Payer: UHC Exchange |
$535.22
|
| Rate for Payer: UHC Medicare Advantage |
$324.22
|
| Rate for Payer: UHCCP Medicaid |
$216.62
|
|
|
PR LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP
|
Professional
|
Both
|
$1,210.00
|
|
|
Service Code
|
HCPCS 31541
|
| Min. Negotiated Rate |
$167.42 |
| Max. Negotiated Rate |
$46,562.00 |
| Rate for Payer: Aetna Commercial |
$335.19
|
| Rate for Payer: Aetna Medicare |
$260.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$335.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$360.20
|
| Rate for Payer: BCBS Complete |
$175.79
|
| Rate for Payer: BCBS MAPPO |
$250.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,146.94
|
| Rate for Payer: BCN Commercial |
$382.15
|
| Rate for Payer: BCN Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cofinity Commercial |
$360.20
|
| Rate for Payer: Cofinity Commercial |
$335.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.14
|
| Rate for Payer: Healthscope Commercial |
$462.76
|
| Rate for Payer: Healthscope Commercial |
$400.22
|
| Rate for Payer: Mclaren Medicaid |
$167.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$262.65
|
| Rate for Payer: Meridian Medicaid |
$175.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46,562.00
|
| Rate for Payer: Nomi Health Commercial |
$300.17
|
| Rate for Payer: PACE SWMI |
$250.14
|
| Rate for Payer: PHP Medicare Advantage |
$250.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$786.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$362.89
|
| Rate for Payer: Priority Health Medicare |
$250.14
|
| Rate for Payer: Priority Health Narrow Network |
$362.89
|
| Rate for Payer: Priority Health SBD |
$362.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$496.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$250.14
|
| Rate for Payer: UHC Exchange |
$496.30
|
| Rate for Payer: UHC Medicare Advantage |
$250.14
|
| Rate for Payer: UHCCP Medicaid |
$167.42
|
|
|
PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP
|
Professional
|
Both
|
$1,331.00
|
|
|
Service Code
|
HCPCS 31545
|
| Min. Negotiated Rate |
$229.61 |
| Max. Negotiated Rate |
$63,895.00 |
| Rate for Payer: Aetna Commercial |
$460.20
|
| Rate for Payer: Aetna Medicare |
$357.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$494.54
|
| Rate for Payer: BCBS Complete |
$241.09
|
| Rate for Payer: BCBS MAPPO |
$343.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,178.11
|
| Rate for Payer: BCN Commercial |
$523.86
|
| Rate for Payer: BCN Medicare Advantage |
$343.43
|
| Rate for Payer: Cash Price |
$1,064.80
|
| Rate for Payer: Cash Price |
$1,064.80
|
| Rate for Payer: Cofinity Commercial |
$494.54
|
| Rate for Payer: Cofinity Commercial |
$460.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.43
|
| Rate for Payer: Healthscope Commercial |
$635.35
|
| Rate for Payer: Healthscope Commercial |
$549.49
|
| Rate for Payer: Mclaren Medicaid |
$229.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$360.60
|
| Rate for Payer: Meridian Medicaid |
$241.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63,895.00
|
| Rate for Payer: Nomi Health Commercial |
$412.12
|
| Rate for Payer: PACE SWMI |
$343.43
|
| Rate for Payer: PHP Medicare Advantage |
$343.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$865.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$498.68
|
| Rate for Payer: Priority Health Medicare |
$343.43
|
| Rate for Payer: Priority Health Narrow Network |
$498.68
|
| Rate for Payer: Priority Health SBD |
$498.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$343.43
|
| Rate for Payer: UHC Exchange |
$477.76
|
| Rate for Payer: UHC Medicare Advantage |
$343.43
|
| Rate for Payer: UHCCP Medicaid |
$229.61
|
|
|
PR LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE
|
Professional
|
Both
|
$1,108.00
|
|
|
Service Code
|
HCPCS 31571
|
| Min. Negotiated Rate |
$158.69 |
| Max. Negotiated Rate |
$43,861.00 |
| Rate for Payer: Aetna Commercial |
$317.77
|
| Rate for Payer: Aetna Medicare |
$246.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.48
|
| Rate for Payer: BCBS Complete |
$166.62
|
| Rate for Payer: BCBS MAPPO |
$237.14
|
| Rate for Payer: BCBS Trust/PPO |
$745.43
|
| Rate for Payer: BCN Commercial |
$360.16
|
| Rate for Payer: BCN Medicare Advantage |
$237.14
|
| Rate for Payer: Cash Price |
$886.40
|
| Rate for Payer: Cash Price |
$886.40
|
| Rate for Payer: Cofinity Commercial |
$341.48
|
| Rate for Payer: Cofinity Commercial |
$317.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.14
|
| Rate for Payer: Healthscope Commercial |
$438.71
|
| Rate for Payer: Healthscope Commercial |
$379.42
|
| Rate for Payer: Mclaren Medicaid |
$158.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.00
|
| Rate for Payer: Meridian Medicaid |
$166.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$43,861.00
|
| Rate for Payer: Nomi Health Commercial |
$284.57
|
| Rate for Payer: PACE SWMI |
$237.14
|
| Rate for Payer: PHP Medicare Advantage |
$237.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$720.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$343.43
|
| Rate for Payer: Priority Health Medicare |
$237.14
|
| Rate for Payer: Priority Health Narrow Network |
$343.43
|
| Rate for Payer: Priority Health SBD |
$343.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.14
|
| Rate for Payer: UHC Exchange |
$336.02
|
| Rate for Payer: UHC Medicare Advantage |
$237.14
|
| Rate for Payer: UHCCP Medicaid |
$158.69
|
|
|
PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 31591
|
| Min. Negotiated Rate |
$709.08 |
| Max. Negotiated Rate |
$193,745.00 |
| Rate for Payer: Aetna Commercial |
$1,389.19
|
| Rate for Payer: Aetna Medicare |
$1,078.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,389.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,492.86
|
| Rate for Payer: BCBS Complete |
$744.53
|
| Rate for Payer: BCBS MAPPO |
$1,036.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,000.07
|
| Rate for Payer: BCN Commercial |
$1,621.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,036.71
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cofinity Commercial |
$1,492.86
|
| Rate for Payer: Cofinity Commercial |
$1,389.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,036.71
|
| Rate for Payer: Healthscope Commercial |
$1,658.74
|
| Rate for Payer: Healthscope Commercial |
$1,917.91
|
| Rate for Payer: Mclaren Medicaid |
$709.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,088.55
|
| Rate for Payer: Meridian Medicaid |
$744.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193,745.00
|
| Rate for Payer: Nomi Health Commercial |
$1,244.05
|
| Rate for Payer: PACE SWMI |
$1,036.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,036.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$709.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,538.24
|
| Rate for Payer: Priority Health Medicare |
$1,036.71
|
| Rate for Payer: Priority Health Narrow Network |
$1,538.24
|
| Rate for Payer: Priority Health SBD |
$1,538.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,036.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,036.71
|
| Rate for Payer: UHCCP Medicaid |
$709.08
|
|
|
PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 31570
|
| Min. Negotiated Rate |
$146.33 |
| Max. Negotiated Rate |
$40,475.00 |
| Rate for Payer: Aetna Commercial |
$293.08
|
| Rate for Payer: Aetna Medicare |
$227.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$293.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.96
|
| Rate for Payer: BCBS Complete |
$153.65
|
| Rate for Payer: BCBS MAPPO |
$218.72
|
| Rate for Payer: BCBS Trust/PPO |
$419.47
|
| Rate for Payer: BCN Commercial |
$503.83
|
| Rate for Payer: BCN Medicare Advantage |
$218.72
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cofinity Commercial |
$314.96
|
| Rate for Payer: Cofinity Commercial |
$293.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.72
|
| Rate for Payer: Healthscope Commercial |
$404.63
|
| Rate for Payer: Healthscope Commercial |
$349.95
|
| Rate for Payer: Mclaren Medicaid |
$146.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.66
|
| Rate for Payer: Meridian Medicaid |
$153.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40,475.00
|
| Rate for Payer: Nomi Health Commercial |
$262.46
|
| Rate for Payer: PACE SWMI |
$218.72
|
| Rate for Payer: PHP Medicare Advantage |
$218.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$316.54
|
| Rate for Payer: Priority Health Medicare |
$218.72
|
| Rate for Payer: Priority Health Narrow Network |
$316.54
|
| Rate for Payer: Priority Health SBD |
$316.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$391.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$218.72
|
| Rate for Payer: UHC Exchange |
$391.43
|
| Rate for Payer: UHC Medicare Advantage |
$218.72
|
| Rate for Payer: UHCCP Medicaid |
$146.33
|
|
|
PR LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY
|
Professional
|
Both
|
$389.00
|
|
|
Service Code
|
HCPCS 31535
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$33,277.00 |
| Rate for Payer: Aetna Commercial |
$242.33
|
| Rate for Payer: Aetna Medicare |
$188.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$260.41
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS MAPPO |
$180.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,639.31
|
| Rate for Payer: BCN Commercial |
$273.66
|
| Rate for Payer: BCN Medicare Advantage |
$180.84
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cofinity Commercial |
$260.41
|
| Rate for Payer: Cofinity Commercial |
$242.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.84
|
| Rate for Payer: Healthscope Commercial |
$334.55
|
| Rate for Payer: Healthscope Commercial |
$289.34
|
| Rate for Payer: Mclaren Medicaid |
$121.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.88
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33,277.00
|
| Rate for Payer: Nomi Health Commercial |
$217.01
|
| Rate for Payer: PACE SWMI |
$180.84
|
| Rate for Payer: PHP Medicare Advantage |
$180.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$252.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$261.39
|
| Rate for Payer: Priority Health Medicare |
$180.84
|
| Rate for Payer: Priority Health Narrow Network |
$261.39
|
| Rate for Payer: Priority Health SBD |
$261.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$344.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.84
|
| Rate for Payer: UHC Exchange |
$344.54
|
| Rate for Payer: UHC Medicare Advantage |
$180.84
|
| Rate for Payer: UHCCP Medicaid |
$121.20
|
|
|
PR LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 31540
|
| Min. Negotiated Rate |
$153.79 |
| Max. Negotiated Rate |
$42,673.00 |
| Rate for Payer: Aetna Commercial |
$307.80
|
| Rate for Payer: Aetna Medicare |
$238.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.77
|
| Rate for Payer: BCBS Complete |
$161.48
|
| Rate for Payer: BCBS MAPPO |
$229.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,165.96
|
| Rate for Payer: BCN Commercial |
$350.38
|
| Rate for Payer: BCN Medicare Advantage |
$229.70
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$330.77
|
| Rate for Payer: Cofinity Commercial |
$307.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$229.70
|
| Rate for Payer: Healthscope Commercial |
$424.94
|
| Rate for Payer: Healthscope Commercial |
$367.52
|
| Rate for Payer: Mclaren Medicaid |
$153.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$241.18
|
| Rate for Payer: Meridian Medicaid |
$161.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$42,673.00
|
| Rate for Payer: Nomi Health Commercial |
$275.64
|
| Rate for Payer: PACE SWMI |
$229.70
|
| Rate for Payer: PHP Medicare Advantage |
$229.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$153.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$332.76
|
| Rate for Payer: Priority Health Medicare |
$229.70
|
| Rate for Payer: Priority Health Narrow Network |
$332.76
|
| Rate for Payer: Priority Health SBD |
$332.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$451.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$229.70
|
| Rate for Payer: UHC Exchange |
$451.87
|
| Rate for Payer: UHC Medicare Advantage |
$229.70
|
| Rate for Payer: UHCCP Medicaid |
$153.79
|
|
|
PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI
|
Professional
|
Both
|
$755.00
|
|
|
Service Code
|
HCPCS 31572
|
| Min. Negotiated Rate |
$115.66 |
| Max. Negotiated Rate |
$31,907.00 |
| Rate for Payer: Aetna Commercial |
$231.02
|
| Rate for Payer: Aetna Medicare |
$179.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.26
|
| Rate for Payer: BCBS Complete |
$121.44
|
| Rate for Payer: BCBS MAPPO |
$172.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,069.81
|
| Rate for Payer: BCN Commercial |
$777.97
|
| Rate for Payer: BCN Medicare Advantage |
$172.40
|
| Rate for Payer: Cash Price |
$604.00
|
| Rate for Payer: Cash Price |
$604.00
|
| Rate for Payer: Cofinity Commercial |
$248.26
|
| Rate for Payer: Cofinity Commercial |
$231.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.40
|
| Rate for Payer: Healthscope Commercial |
$275.84
|
| Rate for Payer: Healthscope Commercial |
$318.94
|
| Rate for Payer: Mclaren Medicaid |
$115.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.02
|
| Rate for Payer: Meridian Medicaid |
$121.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31,907.00
|
| Rate for Payer: Nomi Health Commercial |
$206.88
|
| Rate for Payer: PACE SWMI |
$172.40
|
| Rate for Payer: PHP Medicare Advantage |
$172.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$249.81
|
| Rate for Payer: Priority Health Medicare |
$172.40
|
| Rate for Payer: Priority Health Narrow Network |
$249.81
|
| Rate for Payer: Priority Health SBD |
$249.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.40
|
| Rate for Payer: UHC Medicare Advantage |
$172.40
|
| Rate for Payer: UHCCP Medicaid |
$115.66
|
|
|
PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC
|
Professional
|
Both
|
$295.00
|
|
|
Service Code
|
HCPCS 31575
|
| Min. Negotiated Rate |
$44.52 |
| Max. Negotiated Rate |
$11,932.00 |
| Rate for Payer: Aetna Commercial |
$87.85
|
| Rate for Payer: Aetna Medicare |
$68.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.41
|
| Rate for Payer: BCBS Complete |
$46.75
|
| Rate for Payer: BCBS MAPPO |
$65.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.05
|
| Rate for Payer: BCN Commercial |
$153.14
|
| Rate for Payer: BCN Medicare Advantage |
$65.56
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cofinity Commercial |
$94.41
|
| Rate for Payer: Cofinity Commercial |
$87.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.56
|
| Rate for Payer: Healthscope Commercial |
$121.29
|
| Rate for Payer: Healthscope Commercial |
$104.90
|
| Rate for Payer: Mclaren Medicaid |
$44.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.84
|
| Rate for Payer: Meridian Medicaid |
$46.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11,932.00
|
| Rate for Payer: Nomi Health Commercial |
$78.67
|
| Rate for Payer: PACE SWMI |
$65.56
|
| Rate for Payer: PHP Medicare Advantage |
$65.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.47
|
| Rate for Payer: Priority Health Medicare |
$65.56
|
| Rate for Payer: Priority Health Narrow Network |
$95.47
|
| Rate for Payer: Priority Health SBD |
$95.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$151.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.56
|
| Rate for Payer: UHC Exchange |
$151.31
|
| Rate for Payer: UHC Medicare Advantage |
$65.56
|
| Rate for Payer: UHCCP Medicaid |
$44.52
|
|
|
PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI
|
Professional
|
Both
|
$565.00
|
|
|
Service Code
|
HCPCS 31573
|
| Min. Negotiated Rate |
$95.21 |
| Max. Negotiated Rate |
$26,289.00 |
| Rate for Payer: Aetna Commercial |
$189.85
|
| Rate for Payer: Aetna Medicare |
$147.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$189.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$204.02
|
| Rate for Payer: BCBS Complete |
$99.97
|
| Rate for Payer: BCBS MAPPO |
$141.68
|
| Rate for Payer: BCBS Trust/PPO |
$877.51
|
| Rate for Payer: BCN Commercial |
$423.69
|
| Rate for Payer: BCN Medicare Advantage |
$141.68
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cofinity Commercial |
$204.02
|
| Rate for Payer: Cofinity Commercial |
$189.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$141.68
|
| Rate for Payer: Healthscope Commercial |
$226.69
|
| Rate for Payer: Healthscope Commercial |
$262.11
|
| Rate for Payer: Mclaren Medicaid |
$95.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$148.76
|
| Rate for Payer: Meridian Medicaid |
$99.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26,289.00
|
| Rate for Payer: Nomi Health Commercial |
$170.02
|
| Rate for Payer: PACE SWMI |
$141.68
|
| Rate for Payer: PHP Medicare Advantage |
$141.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.24
|
| Rate for Payer: Priority Health Medicare |
$141.68
|
| Rate for Payer: Priority Health Narrow Network |
$206.24
|
| Rate for Payer: Priority Health SBD |
$206.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$141.68
|
| Rate for Payer: UHC Medicare Advantage |
$141.68
|
| Rate for Payer: UHCCP Medicaid |
$95.21
|
|
|
PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)
|
Professional
|
Both
|
$403.00
|
|
|
Service Code
|
HCPCS 31576
|
| Min. Negotiated Rate |
$76.89 |
| Max. Negotiated Rate |
$20,959.00 |
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna Medicare |
$118.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$153.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.43
|
| Rate for Payer: BCBS Complete |
$80.73
|
| Rate for Payer: BCBS MAPPO |
$114.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,520.98
|
| Rate for Payer: BCN Commercial |
$396.81
|
| Rate for Payer: BCN Medicare Advantage |
$114.19
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Cofinity Commercial |
$164.43
|
| Rate for Payer: Cofinity Commercial |
$153.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.19
|
| Rate for Payer: Healthscope Commercial |
$211.25
|
| Rate for Payer: Healthscope Commercial |
$182.70
|
| Rate for Payer: Mclaren Medicaid |
$76.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$119.90
|
| Rate for Payer: Meridian Medicaid |
$80.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,959.00
|
| Rate for Payer: Nomi Health Commercial |
$137.03
|
| Rate for Payer: PACE SWMI |
$114.19
|
| Rate for Payer: PHP Medicare Advantage |
$114.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.92
|
| Rate for Payer: Priority Health Medicare |
$114.19
|
| Rate for Payer: Priority Health Narrow Network |
$165.92
|
| Rate for Payer: Priority Health SBD |
$165.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$114.19
|
| Rate for Payer: UHC Exchange |
$227.57
|
| Rate for Payer: UHC Medicare Advantage |
$114.19
|
| Rate for Payer: UHCCP Medicaid |
$76.89
|
|
|
PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY
|
Professional
|
Both
|
$384.00
|
|
|
Service Code
|
HCPCS 31579
|
| Min. Negotiated Rate |
$94.58 |
| Max. Negotiated Rate |
$21,055.00 |
| Rate for Payer: Aetna Commercial |
$152.64
|
| Rate for Payer: Aetna Medicare |
$118.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.03
|
| Rate for Payer: BCBS Complete |
$99.31
|
| Rate for Payer: BCBS MAPPO |
$113.91
|
| Rate for Payer: BCBS Trust/PPO |
$739.09
|
| Rate for Payer: BCN Commercial |
$291.75
|
| Rate for Payer: BCN Medicare Advantage |
$113.91
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cofinity Commercial |
$164.03
|
| Rate for Payer: Cofinity Commercial |
$152.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$113.91
|
| Rate for Payer: Healthscope Commercial |
$210.73
|
| Rate for Payer: Healthscope Commercial |
$182.26
|
| Rate for Payer: Mclaren Medicaid |
$94.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$119.61
|
| Rate for Payer: Meridian Medicaid |
$99.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,055.00
|
| Rate for Payer: Nomi Health Commercial |
$136.69
|
| Rate for Payer: PACE SWMI |
$113.91
|
| Rate for Payer: PHP Medicare Advantage |
$113.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$165.92
|
| Rate for Payer: Priority Health Medicare |
$113.91
|
| Rate for Payer: Priority Health Narrow Network |
$165.92
|
| Rate for Payer: Priority Health SBD |
$165.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$113.91
|
| Rate for Payer: UHC Exchange |
$251.65
|
| Rate for Payer: UHC Medicare Advantage |
$113.91
|
| Rate for Payer: UHCCP Medicaid |
$94.58
|
|
|
PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)
|
Professional
|
Both
|
$411.00
|
|
|
Service Code
|
HCPCS 31577
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$23,702.00 |
| Rate for Payer: Aetna Commercial |
$170.93
|
| Rate for Payer: Aetna Medicare |
$132.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.69
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS MAPPO |
$127.56
|
| Rate for Payer: BCBS Trust/PPO |
$395.70
|
| Rate for Payer: BCN Commercial |
$408.05
|
| Rate for Payer: BCN Medicare Advantage |
$127.56
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cofinity Commercial |
$183.69
|
| Rate for Payer: Cofinity Commercial |
$170.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.56
|
| Rate for Payer: Healthscope Commercial |
$235.99
|
| Rate for Payer: Healthscope Commercial |
$204.10
|
| Rate for Payer: Mclaren Medicaid |
$85.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.94
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,702.00
|
| Rate for Payer: Nomi Health Commercial |
$153.07
|
| Rate for Payer: PACE SWMI |
$127.56
|
| Rate for Payer: PHP Medicare Advantage |
$127.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.93
|
| Rate for Payer: Priority Health Medicare |
$127.56
|
| Rate for Payer: Priority Health Narrow Network |
$184.93
|
| Rate for Payer: Priority Health SBD |
$184.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$261.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.56
|
| Rate for Payer: UHC Exchange |
$261.96
|
| Rate for Payer: UHC Medicare Advantage |
$127.56
|
| Rate for Payer: UHCCP Medicaid |
$85.63
|
|
|
PR LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE
|
Professional
|
Both
|
$464.00
|
|
|
Service Code
|
HCPCS 31531
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$37,409.00 |
| Rate for Payer: Aetna Commercial |
$268.87
|
| Rate for Payer: Aetna Medicare |
$208.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.94
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS MAPPO |
$200.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,325.50
|
| Rate for Payer: BCN Commercial |
$307.38
|
| Rate for Payer: BCN Medicare Advantage |
$200.65
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$288.94
|
| Rate for Payer: Cofinity Commercial |
$268.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.65
|
| Rate for Payer: Healthscope Commercial |
$371.20
|
| Rate for Payer: Healthscope Commercial |
$321.04
|
| Rate for Payer: Mclaren Medicaid |
$134.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.68
|
| Rate for Payer: Meridian Medicaid |
$141.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,409.00
|
| Rate for Payer: Nomi Health Commercial |
$240.78
|
| Rate for Payer: PACE SWMI |
$200.65
|
| Rate for Payer: PHP Medicare Advantage |
$200.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$291.52
|
| Rate for Payer: Priority Health Medicare |
$200.65
|
| Rate for Payer: Priority Health Narrow Network |
$291.52
|
| Rate for Payer: Priority Health SBD |
$291.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$328.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.65
|
| Rate for Payer: UHC Exchange |
$328.89
|
| Rate for Payer: UHC Medicare Advantage |
$200.65
|
| Rate for Payer: UHCCP Medicaid |
$134.40
|
|
|
PR LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Professional
|
Both
|
$211.00
|
|
|
Service Code
|
HCPCS 31505
|
| Min. Negotiated Rate |
$31.95 |
| Max. Negotiated Rate |
$8,581.00 |
| Rate for Payer: Aetna Commercial |
$62.38
|
| Rate for Payer: Aetna Medicare |
$48.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.03
|
| Rate for Payer: BCBS Complete |
$33.55
|
| Rate for Payer: BCBS MAPPO |
$46.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.54
|
| Rate for Payer: BCN Commercial |
$133.41
|
| Rate for Payer: BCN Medicare Advantage |
$46.55
|
| Rate for Payer: Cash Price |
$168.80
|
| Rate for Payer: Cash Price |
$168.80
|
| Rate for Payer: Cofinity Commercial |
$67.03
|
| Rate for Payer: Cofinity Commercial |
$62.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.55
|
| Rate for Payer: Healthscope Commercial |
$86.12
|
| Rate for Payer: Healthscope Commercial |
$74.48
|
| Rate for Payer: Mclaren Medicaid |
$31.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.88
|
| Rate for Payer: Meridian Medicaid |
$33.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8,581.00
|
| Rate for Payer: Nomi Health Commercial |
$55.86
|
| Rate for Payer: PACE SWMI |
$46.55
|
| Rate for Payer: PHP Medicare Advantage |
$46.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.06
|
| Rate for Payer: Priority Health Medicare |
$46.55
|
| Rate for Payer: Priority Health Narrow Network |
$69.06
|
| Rate for Payer: Priority Health SBD |
$69.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.55
|
| Rate for Payer: UHC Exchange |
$88.26
|
| Rate for Payer: UHC Medicare Advantage |
$46.55
|
| Rate for Payer: UHCCP Medicaid |
$31.95
|
|
|
PR LARYNGOSCOPY INDIRECT W/BIOPSY
|
Professional
|
Both
|
$443.00
|
|
|
Service Code
|
HCPCS 31510
|
| Min. Negotiated Rate |
$115.75 |
| Max. Negotiated Rate |
$21,375.00 |
| Rate for Payer: Aetna Commercial |
$155.10
|
| Rate for Payer: Aetna Medicare |
$120.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.68
|
| Rate for Payer: BCBS Complete |
$177.20
|
| Rate for Payer: BCBS MAPPO |
$115.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,254.71
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: BCN Medicare Advantage |
$115.75
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cofinity Commercial |
$166.68
|
| Rate for Payer: Cofinity Commercial |
$155.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.75
|
| Rate for Payer: Healthscope Commercial |
$185.20
|
| Rate for Payer: Healthscope Commercial |
$214.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21,375.00
|
| Rate for Payer: Nomi Health Commercial |
$138.90
|
| Rate for Payer: PACE SWMI |
$115.75
|
| Rate for Payer: PHP Medicare Advantage |
$115.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$168.23
|
| Rate for Payer: Priority Health Medicare |
$115.75
|
| Rate for Payer: Priority Health Narrow Network |
$168.23
|
| Rate for Payer: Priority Health SBD |
$168.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$218.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.75
|
| Rate for Payer: UHC Exchange |
$218.47
|
| Rate for Payer: UHC Medicare Advantage |
$115.75
|
|
|
PR LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$570.00
|
|
|
Service Code
|
HCPCS 31511
|
| Min. Negotiated Rate |
$127.52 |
| Max. Negotiated Rate |
$23,647.00 |
| Rate for Payer: Aetna Commercial |
$170.88
|
| Rate for Payer: Aetna Medicare |
$132.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.63
|
| Rate for Payer: BCBS Complete |
$228.00
|
| Rate for Payer: BCBS MAPPO |
$127.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,223.54
|
| Rate for Payer: BCN Commercial |
$309.82
|
| Rate for Payer: BCN Medicare Advantage |
$127.52
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cofinity Commercial |
$183.63
|
| Rate for Payer: Cofinity Commercial |
$170.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.52
|
| Rate for Payer: Healthscope Commercial |
$204.03
|
| Rate for Payer: Healthscope Commercial |
$235.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23,647.00
|
| Rate for Payer: Nomi Health Commercial |
$153.02
|
| Rate for Payer: PACE SWMI |
$127.52
|
| Rate for Payer: PHP Medicare Advantage |
$127.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$370.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$186.78
|
| Rate for Payer: Priority Health Medicare |
$127.52
|
| Rate for Payer: Priority Health Narrow Network |
$186.78
|
| Rate for Payer: Priority Health SBD |
$186.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$221.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.52
|
| Rate for Payer: UHC Exchange |
$221.64
|
| Rate for Payer: UHC Medicare Advantage |
$127.52
|
|
|
PR LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 31536
|
| Min. Negotiated Rate |
$133.98 |
| Max. Negotiated Rate |
$37,170.00 |
| Rate for Payer: Aetna Commercial |
$267.85
|
| Rate for Payer: Aetna Medicare |
$207.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.84
|
| Rate for Payer: BCBS Complete |
$140.68
|
| Rate for Payer: BCBS MAPPO |
$199.89
|
| Rate for Payer: BCBS Trust/PPO |
$987.92
|
| Rate for Payer: BCN Commercial |
$305.43
|
| Rate for Payer: BCN Medicare Advantage |
$199.89
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$287.84
|
| Rate for Payer: Cofinity Commercial |
$267.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.89
|
| Rate for Payer: Healthscope Commercial |
$369.80
|
| Rate for Payer: Healthscope Commercial |
$319.82
|
| Rate for Payer: Mclaren Medicaid |
$133.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.88
|
| Rate for Payer: Meridian Medicaid |
$140.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37,170.00
|
| Rate for Payer: Nomi Health Commercial |
$239.87
|
| Rate for Payer: PACE SWMI |
$199.89
|
| Rate for Payer: PHP Medicare Advantage |
$199.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$617.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.13
|
| Rate for Payer: Priority Health Medicare |
$199.89
|
| Rate for Payer: Priority Health Narrow Network |
$290.13
|
| Rate for Payer: Priority Health SBD |
$290.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$390.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$199.89
|
| Rate for Payer: UHC Exchange |
$390.83
|
| Rate for Payer: UHC Medicare Advantage |
$199.89
|
| Rate for Payer: UHCCP Medicaid |
$133.98
|
|
