|
PR BILATERAL OTOPLASTY
|
Professional
|
Both
|
$3,100.00
|
|
|
Service Code
|
HCPCS 00533
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,240.00 |
| Max. Negotiated Rate |
$2,170.00 |
| Rate for Payer: BCBS Complete |
$1,240.00
|
| Rate for Payer: Cash Price |
$2,480.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,170.00
|
|
|
PR BILATERAL REDUCTION MAMMOPLASTY
|
Professional
|
Both
|
$3,800.00
|
|
|
Service Code
|
HCPCS 00526
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,520.00 |
| Max. Negotiated Rate |
$2,660.00 |
| Rate for Payer: BCBS Complete |
$1,520.00
|
| Rate for Payer: Cash Price |
$3,040.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,660.00
|
|
|
PR BILATERAL THORACIC ROLL EXCISION
|
Professional
|
Both
|
$2,700.00
|
|
|
Service Code
|
HCPCS 00543
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,080.00 |
| Max. Negotiated Rate |
$1,890.00 |
| Rate for Payer: BCBS Complete |
$1,080.00
|
| Rate for Payer: Cash Price |
$2,160.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,890.00
|
|
|
PR BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS
|
Professional
|
Both
|
$898.00
|
|
|
Service Code
|
HCPCS 47554
|
| Min. Negotiated Rate |
$279.88 |
| Max. Negotiated Rate |
$7,499.75 |
| Rate for Payer: Aetna Commercial |
$589.55
|
| Rate for Payer: Aetna Medicare |
$457.56
|
| Rate for Payer: BCBS Complete |
$293.87
|
| Rate for Payer: BCBS MAPPO |
$439.96
|
| Rate for Payer: BCBS Trust/PPO |
$7,499.75
|
| Rate for Payer: BCN Commercial |
$642.61
|
| Rate for Payer: BCN Medicare Advantage |
$439.96
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Cofinity Commercial |
$633.54
|
| Rate for Payer: Cofinity Commercial |
$589.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$439.96
|
| Rate for Payer: Mclaren Medicaid |
$279.88
|
| Rate for Payer: Meridian Medicaid |
$293.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$461.96
|
| Rate for Payer: PACE SWMI |
$439.96
|
| Rate for Payer: PHP Medicare Advantage |
$439.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$628.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$773.19
|
| Rate for Payer: Priority Health Medicare |
$439.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$773.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$439.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$439.96
|
| Rate for Payer: UHC Medicare Advantage |
$453.16
|
|
|
PR BILIARY NDSC INTRAOPERATIVE
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 47550
|
| Min. Negotiated Rate |
$103.31 |
| Max. Negotiated Rate |
$5,071.68 |
| Rate for Payer: Aetna Commercial |
$218.65
|
| Rate for Payer: Aetna Medicare |
$169.70
|
| Rate for Payer: BCBS Complete |
$108.48
|
| Rate for Payer: BCBS MAPPO |
$163.17
|
| Rate for Payer: BCBS Trust/PPO |
$5,071.68
|
| Rate for Payer: BCN Commercial |
$237.49
|
| Rate for Payer: BCN Medicare Advantage |
$163.17
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$218.65
|
| Rate for Payer: Cofinity Commercial |
$234.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.17
|
| Rate for Payer: Mclaren Medicaid |
$103.31
|
| Rate for Payer: Meridian Medicaid |
$108.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.33
|
| Rate for Payer: PACE SWMI |
$163.17
|
| Rate for Payer: PHP Medicare Advantage |
$163.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$364.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$285.75
|
| Rate for Payer: Priority Health Medicare |
$163.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$285.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.17
|
| Rate for Payer: UHC Medicare Advantage |
$168.07
|
|
|
PR BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE
|
Professional
|
Both
|
$100.00
|
|
|
Service Code
|
HCPCS 92504
|
| Min. Negotiated Rate |
$9.24 |
| Max. Negotiated Rate |
$2,190.33 |
| Rate for Payer: Aetna Commercial |
$12.38
|
| Rate for Payer: Aetna Medicare |
$9.61
|
| Rate for Payer: BCBS Complete |
$40.00
|
| Rate for Payer: BCBS MAPPO |
$9.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,190.33
|
| Rate for Payer: BCN Commercial |
$34.16
|
| Rate for Payer: BCN Medicare Advantage |
$9.24
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cofinity Commercial |
$12.38
|
| Rate for Payer: Cofinity Commercial |
$13.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.70
|
| Rate for Payer: PACE SWMI |
$9.24
|
| Rate for Payer: PHP Medicare Advantage |
$9.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.58
|
| Rate for Payer: Priority Health Medicare |
$9.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.24
|
| Rate for Payer: UHC Medicare Advantage |
$9.52
|
|
|
PR BIOFEEDBACK PERI/URO/RECTAL
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 90911
|
| Min. Negotiated Rate |
$73.60 |
| Max. Negotiated Rate |
$128.80 |
| Rate for Payer: BCBS Complete |
$73.60
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$128.80
|
|
|
PR BIOFEEDBACK TRAINING ANY MODALITY
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 90901
|
| Min. Negotiated Rate |
$18.58 |
| Max. Negotiated Rate |
$724.83 |
| Rate for Payer: Aetna Commercial |
$24.90
|
| Rate for Payer: Aetna Medicare |
$19.32
|
| Rate for Payer: BCBS Complete |
$50.00
|
| Rate for Payer: BCBS MAPPO |
$18.58
|
| Rate for Payer: BCBS Trust/PPO |
$724.83
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Medicare Advantage |
$18.58
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cofinity Commercial |
$26.76
|
| Rate for Payer: Cofinity Commercial |
$24.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$19.51
|
| Rate for Payer: PACE SWMI |
$18.58
|
| Rate for Payer: PHP Medicare Advantage |
$18.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.18
|
| Rate for Payer: Priority Health Medicare |
$18.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.58
|
| Rate for Payer: UHC Medicare Advantage |
$19.14
|
|
|
PR BIOPSY BONE OPEN DEEP
|
Professional
|
Both
|
$1,239.00
|
|
|
Service Code
|
HCPCS 20245
|
| Min. Negotiated Rate |
$106.88 |
| Max. Negotiated Rate |
$867.30 |
| Rate for Payer: Aetna Commercial |
$455.16
|
| Rate for Payer: Aetna Medicare |
$353.26
|
| Rate for Payer: BCBS Complete |
$229.25
|
| Rate for Payer: BCBS MAPPO |
$339.67
|
| Rate for Payer: BCBS Trust/PPO |
$106.88
|
| Rate for Payer: BCN Commercial |
$499.92
|
| Rate for Payer: BCN Medicare Advantage |
$339.67
|
| Rate for Payer: Cash Price |
$991.20
|
| Rate for Payer: Cash Price |
$991.20
|
| Rate for Payer: Cofinity Commercial |
$489.12
|
| Rate for Payer: Cofinity Commercial |
$455.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.67
|
| Rate for Payer: Mclaren Medicaid |
$218.33
|
| Rate for Payer: Meridian Medicaid |
$229.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$356.65
|
| Rate for Payer: PACE SWMI |
$339.67
|
| Rate for Payer: PHP Medicare Advantage |
$339.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$867.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$522.40
|
| Rate for Payer: Priority Health Medicare |
$339.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$522.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.67
|
| Rate for Payer: UHC Medicare Advantage |
$349.86
|
|
|
PR BIOPSY BONE OPEN SUPERFICIAL
|
Professional
|
Both
|
$535.00
|
|
|
Service Code
|
HCPCS 20240
|
| Min. Negotiated Rate |
$89.03 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$183.98
|
| Rate for Payer: Aetna Medicare |
$142.79
|
| Rate for Payer: BCBS Complete |
$93.48
|
| Rate for Payer: BCBS MAPPO |
$137.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$202.32
|
| Rate for Payer: BCN Medicare Advantage |
$137.30
|
| Rate for Payer: Cash Price |
$428.00
|
| Rate for Payer: Cash Price |
$428.00
|
| Rate for Payer: Cofinity Commercial |
$183.98
|
| Rate for Payer: Cofinity Commercial |
$197.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.30
|
| Rate for Payer: Mclaren Medicaid |
$89.03
|
| Rate for Payer: Meridian Medicaid |
$93.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$144.16
|
| Rate for Payer: PACE SWMI |
$137.30
|
| Rate for Payer: PHP Medicare Advantage |
$137.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.40
|
| Rate for Payer: Priority Health Medicare |
$137.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$211.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.30
|
| Rate for Payer: UHC Medicare Advantage |
$141.42
|
|
|
PR BIOPSY BONE TROCAR/NEEDLE DEEP
|
Professional
|
Both
|
$1,880.00
|
|
|
Service Code
|
HCPCS 20225
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$1,316.00 |
| Rate for Payer: Aetna Commercial |
$169.39
|
| Rate for Payer: Aetna Medicare |
$131.47
|
| Rate for Payer: BCBS Complete |
$85.21
|
| Rate for Payer: BCBS MAPPO |
$126.41
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$567.36
|
| Rate for Payer: BCN Medicare Advantage |
$126.41
|
| Rate for Payer: Cash Price |
$1,504.00
|
| Rate for Payer: Cash Price |
$1,504.00
|
| Rate for Payer: Cofinity Commercial |
$182.03
|
| Rate for Payer: Cofinity Commercial |
$169.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.41
|
| Rate for Payer: Mclaren Medicaid |
$81.15
|
| Rate for Payer: Meridian Medicaid |
$85.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$132.73
|
| Rate for Payer: PACE SWMI |
$126.41
|
| Rate for Payer: PHP Medicare Advantage |
$126.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,316.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$194.56
|
| Rate for Payer: Priority Health Medicare |
$126.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.41
|
| Rate for Payer: UHC Medicare Advantage |
$130.20
|
|
|
PR BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL
|
Professional
|
Both
|
$341.00
|
|
|
Service Code
|
HCPCS 20220
|
| Min. Negotiated Rate |
$54.74 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$115.08
|
| Rate for Payer: Aetna Medicare |
$89.32
|
| Rate for Payer: BCBS Complete |
$57.48
|
| Rate for Payer: BCBS MAPPO |
$85.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$346.47
|
| Rate for Payer: BCN Medicare Advantage |
$85.88
|
| Rate for Payer: Cash Price |
$272.80
|
| Rate for Payer: Cash Price |
$272.80
|
| Rate for Payer: Cofinity Commercial |
$123.67
|
| Rate for Payer: Cofinity Commercial |
$115.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.88
|
| Rate for Payer: Mclaren Medicaid |
$54.74
|
| Rate for Payer: Meridian Medicaid |
$57.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.17
|
| Rate for Payer: PACE SWMI |
$85.88
|
| Rate for Payer: PHP Medicare Advantage |
$85.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$132.26
|
| Rate for Payer: Priority Health Medicare |
$85.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$132.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.88
|
| Rate for Payer: UHC Medicare Advantage |
$88.46
|
|
|
PR BIOPSY BREAST OPEN INCISIONAL
|
Professional
|
Both
|
$559.00
|
|
|
Service Code
|
HCPCS 19101
|
| Min. Negotiated Rate |
$8.65 |
| Max. Negotiated Rate |
$485.26 |
| Rate for Payer: Aetna Commercial |
$296.39
|
| Rate for Payer: Aetna Medicare |
$230.04
|
| Rate for Payer: BCBS Complete |
$150.74
|
| Rate for Payer: BCBS MAPPO |
$221.19
|
| Rate for Payer: BCBS Trust/PPO |
$8.65
|
| Rate for Payer: BCN Commercial |
$485.26
|
| Rate for Payer: BCN Medicare Advantage |
$221.19
|
| Rate for Payer: Cash Price |
$447.20
|
| Rate for Payer: Cash Price |
$447.20
|
| Rate for Payer: Cofinity Commercial |
$318.51
|
| Rate for Payer: Cofinity Commercial |
$296.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$221.19
|
| Rate for Payer: Mclaren Medicaid |
$143.56
|
| Rate for Payer: Meridian Medicaid |
$150.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$232.25
|
| Rate for Payer: PACE SWMI |
$221.19
|
| Rate for Payer: PHP Medicare Advantage |
$221.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$391.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.80
|
| Rate for Payer: Priority Health Medicare |
$221.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$221.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$221.19
|
| Rate for Payer: UHC Medicare Advantage |
$227.83
|
|
|
PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX
|
Professional
|
Both
|
$253.00
|
|
|
Service Code
|
HCPCS 57500
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$225.58 |
| Rate for Payer: Aetna Commercial |
$98.52
|
| Rate for Payer: Aetna Medicare |
$76.46
|
| Rate for Payer: BCBS Complete |
$50.55
|
| Rate for Payer: BCBS MAPPO |
$73.52
|
| Rate for Payer: BCBS Trust/PPO |
$225.58
|
| Rate for Payer: BCN Commercial |
$182.59
|
| Rate for Payer: BCN Medicare Advantage |
$73.52
|
| Rate for Payer: Cash Price |
$202.40
|
| Rate for Payer: Cash Price |
$202.40
|
| Rate for Payer: Cofinity Commercial |
$98.52
|
| Rate for Payer: Cofinity Commercial |
$105.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.52
|
| Rate for Payer: Mclaren Medicaid |
$48.14
|
| Rate for Payer: Meridian Medicaid |
$50.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$77.20
|
| Rate for Payer: PACE SWMI |
$73.52
|
| Rate for Payer: PHP Medicare Advantage |
$73.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.58
|
| Rate for Payer: Priority Health Medicare |
$73.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$73.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.52
|
| Rate for Payer: UHC Medicare Advantage |
$75.73
|
|
|
PR BIOPSY, EACH ADDED LESION
|
Professional
|
Both
|
$67.00
|
|
|
Service Code
|
HCPCS 11101
|
| Min. Negotiated Rate |
$26.80 |
| Max. Negotiated Rate |
$46.90 |
| Rate for Payer: BCBS Complete |
$26.80
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.90
|
|
|
PR BIOPSY EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$234.00
|
|
|
Service Code
|
HCPCS 69105
|
| Min. Negotiated Rate |
$40.90 |
| Max. Negotiated Rate |
$2,308.67 |
| Rate for Payer: Aetna Commercial |
$82.93
|
| Rate for Payer: Aetna Medicare |
$64.37
|
| Rate for Payer: BCBS Complete |
$42.94
|
| Rate for Payer: BCBS MAPPO |
$61.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,308.67
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Medicare Advantage |
$61.89
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Cash Price |
$187.20
|
| Rate for Payer: Cofinity Commercial |
$82.93
|
| Rate for Payer: Cofinity Commercial |
$89.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.89
|
| Rate for Payer: Mclaren Medicaid |
$40.90
|
| Rate for Payer: Meridian Medicaid |
$42.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$64.98
|
| Rate for Payer: PACE SWMI |
$61.89
|
| Rate for Payer: PHP Medicare Advantage |
$61.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$163.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$89.58
|
| Rate for Payer: Priority Health Medicare |
$61.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.89
|
| Rate for Payer: UHC Medicare Advantage |
$63.75
|
|
|
PR BIOPSY EXTERNAL EAR
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 69100
|
| Min. Negotiated Rate |
$29.39 |
| Max. Negotiated Rate |
$1,733.35 |
| Rate for Payer: Aetna Commercial |
$61.52
|
| Rate for Payer: Aetna Medicare |
$47.75
|
| Rate for Payer: BCBS Complete |
$30.86
|
| Rate for Payer: BCBS MAPPO |
$45.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,733.35
|
| Rate for Payer: BCN Commercial |
$141.72
|
| Rate for Payer: BCN Medicare Advantage |
$45.91
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cofinity Commercial |
$66.11
|
| Rate for Payer: Cofinity Commercial |
$61.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.91
|
| Rate for Payer: Mclaren Medicaid |
$29.39
|
| Rate for Payer: Meridian Medicaid |
$30.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$48.21
|
| Rate for Payer: PACE SWMI |
$45.91
|
| Rate for Payer: PHP Medicare Advantage |
$45.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.53
|
| Rate for Payer: Priority Health Medicare |
$45.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$65.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.91
|
| Rate for Payer: UHC Medicare Advantage |
$47.29
|
|
|
PR BIOPSY FLOOR MOUTH
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 41108
|
| Min. Negotiated Rate |
$58.79 |
| Max. Negotiated Rate |
$1,421.66 |
| Rate for Payer: Aetna Commercial |
$119.47
|
| Rate for Payer: Aetna Medicare |
$92.73
|
| Rate for Payer: BCBS Complete |
$61.73
|
| Rate for Payer: BCBS MAPPO |
$89.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,421.66
|
| Rate for Payer: BCN Commercial |
$249.22
|
| Rate for Payer: BCN Medicare Advantage |
$89.16
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cofinity Commercial |
$128.39
|
| Rate for Payer: Cofinity Commercial |
$119.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.16
|
| Rate for Payer: Mclaren Medicaid |
$58.79
|
| Rate for Payer: Meridian Medicaid |
$61.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$93.62
|
| Rate for Payer: PACE SWMI |
$89.16
|
| Rate for Payer: PHP Medicare Advantage |
$89.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$164.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$161.69
|
| Rate for Payer: Priority Health Medicare |
$89.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$161.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.16
|
| Rate for Payer: UHC Medicare Advantage |
$91.83
|
|
|
PR BIOPSY HYPOPHARYNX
|
Professional
|
Both
|
$432.00
|
|
|
Service Code
|
HCPCS 42802
|
| Min. Negotiated Rate |
$172.80 |
| Max. Negotiated Rate |
$302.40 |
| Rate for Payer: BCBS Complete |
$172.80
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$302.40
|
|
|
PR BIOPSY INTRANASAL
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 30100
|
| Min. Negotiated Rate |
$43.88 |
| Max. Negotiated Rate |
$591.70 |
| Rate for Payer: Aetna Commercial |
$88.27
|
| Rate for Payer: Aetna Medicare |
$68.50
|
| Rate for Payer: BCBS Complete |
$46.07
|
| Rate for Payer: BCBS MAPPO |
$65.87
|
| Rate for Payer: BCBS Trust/PPO |
$591.70
|
| Rate for Payer: BCN Commercial |
$208.66
|
| Rate for Payer: BCN Medicare Advantage |
$65.87
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$94.85
|
| Rate for Payer: Cofinity Commercial |
$88.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.87
|
| Rate for Payer: Mclaren Medicaid |
$43.88
|
| Rate for Payer: Meridian Medicaid |
$46.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$69.16
|
| Rate for Payer: PACE SWMI |
$65.87
|
| Rate for Payer: PHP Medicare Advantage |
$65.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93.53
|
| Rate for Payer: Priority Health Medicare |
$65.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$93.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.87
|
| Rate for Payer: UHC Medicare Advantage |
$67.85
|
|
|
PR BIOPSY LIVER NEEDLE PERCUTANEOUS
|
Professional
|
Both
|
$581.00
|
|
|
Service Code
|
HCPCS 47000
|
| Min. Negotiated Rate |
$54.95 |
| Max. Negotiated Rate |
$1,914.56 |
| Rate for Payer: Aetna Commercial |
$115.08
|
| Rate for Payer: Aetna Medicare |
$89.32
|
| Rate for Payer: BCBS Complete |
$57.70
|
| Rate for Payer: BCBS MAPPO |
$85.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,914.56
|
| Rate for Payer: BCN Commercial |
$489.65
|
| Rate for Payer: BCN Medicare Advantage |
$85.88
|
| Rate for Payer: Cash Price |
$464.80
|
| Rate for Payer: Cash Price |
$464.80
|
| Rate for Payer: Cofinity Commercial |
$123.67
|
| Rate for Payer: Cofinity Commercial |
$115.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.88
|
| Rate for Payer: Mclaren Medicaid |
$54.95
|
| Rate for Payer: Meridian Medicaid |
$57.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.17
|
| Rate for Payer: PACE SWMI |
$85.88
|
| Rate for Payer: PHP Medicare Advantage |
$85.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$406.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.29
|
| Rate for Payer: Priority Health Medicare |
$85.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$152.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.88
|
| Rate for Payer: UHC Medicare Advantage |
$88.46
|
|
|
PR BIOPSY LIVER WEDGE
|
Professional
|
Both
|
$1,754.00
|
|
|
Service Code
|
HCPCS 47100
|
| Min. Negotiated Rate |
$545.07 |
| Max. Negotiated Rate |
$2,085.20 |
| Rate for Payer: Aetna Commercial |
$1,126.62
|
| Rate for Payer: Aetna Medicare |
$874.39
|
| Rate for Payer: BCBS Complete |
$572.32
|
| Rate for Payer: BCBS MAPPO |
$840.76
|
| Rate for Payer: BCBS Trust/PPO |
$2,085.20
|
| Rate for Payer: BCN Commercial |
$1,241.73
|
| Rate for Payer: BCN Medicare Advantage |
$840.76
|
| Rate for Payer: Cash Price |
$1,403.20
|
| Rate for Payer: Cash Price |
$1,403.20
|
| Rate for Payer: Cofinity Commercial |
$1,210.69
|
| Rate for Payer: Cofinity Commercial |
$1,126.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$840.76
|
| Rate for Payer: Mclaren Medicaid |
$545.07
|
| Rate for Payer: Meridian Medicaid |
$572.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$882.80
|
| Rate for Payer: PACE SWMI |
$840.76
|
| Rate for Payer: PHP Medicare Advantage |
$840.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$545.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,227.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,494.03
|
| Rate for Payer: Priority Health Medicare |
$840.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,494.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$840.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$840.76
|
| Rate for Payer: UHC Medicare Advantage |
$865.98
|
|
|
PR BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$747.00
|
|
|
Service Code
|
HCPCS 32405
|
| Min. Negotiated Rate |
$298.80 |
| Max. Negotiated Rate |
$522.90 |
| Rate for Payer: BCBS Complete |
$298.80
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$522.90
|
|
|
PR BIOPSY MUSCLE DEEP
|
Professional
|
Both
|
$579.00
|
|
|
Service Code
|
HCPCS 20205
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$570.00 |
| Rate for Payer: Aetna Commercial |
$205.07
|
| Rate for Payer: Aetna Medicare |
$159.16
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$153.04
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$447.63
|
| Rate for Payer: BCN Medicare Advantage |
$153.04
|
| Rate for Payer: Cash Price |
$463.20
|
| Rate for Payer: Cash Price |
$463.20
|
| Rate for Payer: Cofinity Commercial |
$220.38
|
| Rate for Payer: Cofinity Commercial |
$205.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.04
|
| Rate for Payer: Mclaren Medicaid |
$99.26
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.69
|
| Rate for Payer: PACE SWMI |
$153.04
|
| Rate for Payer: PHP Medicare Advantage |
$153.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.41
|
| Rate for Payer: Priority Health Medicare |
$153.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.04
|
| Rate for Payer: UHC Medicare Advantage |
$157.63
|
|
|
PR BIOPSY MUSCLE PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$406.00
|
|
|
Service Code
|
HCPCS 20206
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$2,284.30 |
| Rate for Payer: Aetna Commercial |
$74.66
|
| Rate for Payer: Aetna Medicare |
$57.95
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$55.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.30
|
| Rate for Payer: BCN Commercial |
$329.36
|
| Rate for Payer: BCN Medicare Advantage |
$55.72
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$80.24
|
| Rate for Payer: Cofinity Commercial |
$74.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.72
|
| Rate for Payer: Mclaren Medicaid |
$36.00
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$58.51
|
| Rate for Payer: PACE SWMI |
$55.72
|
| Rate for Payer: PHP Medicare Advantage |
$55.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$86.30
|
| Rate for Payer: Priority Health Medicare |
$55.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$86.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$55.72
|
| Rate for Payer: UHC Medicare Advantage |
$57.39
|
|
