|
PR BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC
|
Professional
|
Both
|
$2,382.00
|
|
|
Service Code
|
HCPCS 58956
|
| Min. Negotiated Rate |
$502.94 |
| Max. Negotiated Rate |
$1,986.47 |
| Rate for Payer: Aetna Commercial |
$1,802.06
|
| Rate for Payer: Aetna Medicare |
$1,398.61
|
| Rate for Payer: BCBS Complete |
$917.64
|
| Rate for Payer: BCBS MAPPO |
$1,344.82
|
| Rate for Payer: BCBS Trust/PPO |
$502.94
|
| Rate for Payer: BCN Commercial |
$1,986.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,344.82
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Cofinity Commercial |
$1,936.54
|
| Rate for Payer: Cofinity Commercial |
$1,802.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,344.82
|
| Rate for Payer: Mclaren Medicaid |
$873.94
|
| Rate for Payer: Meridian Medicaid |
$917.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,412.06
|
| Rate for Payer: PACE SWMI |
$1,344.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,344.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$873.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,667.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,924.46
|
| Rate for Payer: Priority Health Medicare |
$1,344.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,924.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,344.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,344.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,385.16
|
|
|
PR BUDESONIDE NON-COMP UNIT
|
Professional
|
Both
|
$9.00
|
|
|
Service Code
|
HCPCS J7626
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$6.30 |
| Rate for Payer: Aetna Commercial |
$1.18
|
| Rate for Payer: Aetna Medicare |
$0.91
|
| Rate for Payer: BCBS Complete |
$3.60
|
| Rate for Payer: BCBS MAPPO |
$0.88
|
| Rate for Payer: BCN Commercial |
$0.07
|
| Rate for Payer: BCN Medicare Advantage |
$0.88
|
| Rate for Payer: Cash Price |
$7.20
|
| Rate for Payer: Cash Price |
$7.20
|
| Rate for Payer: Cofinity Commercial |
$1.26
|
| Rate for Payer: Cofinity Commercial |
$1.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$0.92
|
| Rate for Payer: PACE SWMI |
$0.88
|
| Rate for Payer: PHP Medicare Advantage |
$0.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.30
|
| Rate for Payer: Priority Health Medicare |
$0.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.88
|
| Rate for Payer: UHC Medicare Advantage |
$0.90
|
|
|
PR BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE
|
Professional
|
Both
|
$2,504.00
|
|
|
Service Code
|
HCPCS 61210
|
| Min. Negotiated Rate |
$234.94 |
| Max. Negotiated Rate |
$1,752.80 |
| Rate for Payer: Aetna Commercial |
$495.80
|
| Rate for Payer: Aetna Medicare |
$384.80
|
| Rate for Payer: BCBS Complete |
$246.69
|
| Rate for Payer: BCBS MAPPO |
$370.00
|
| Rate for Payer: BCBS Trust/PPO |
$324.90
|
| Rate for Payer: BCN Commercial |
$745.05
|
| Rate for Payer: BCN Medicare Advantage |
$370.00
|
| Rate for Payer: Cash Price |
$2,003.20
|
| Rate for Payer: Cash Price |
$2,003.20
|
| Rate for Payer: Cofinity Commercial |
$532.80
|
| Rate for Payer: Cofinity Commercial |
$495.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.00
|
| Rate for Payer: Mclaren Medicaid |
$234.94
|
| Rate for Payer: Meridian Medicaid |
$246.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$388.50
|
| Rate for Payer: PACE SWMI |
$370.00
|
| Rate for Payer: PHP Medicare Advantage |
$370.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,752.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$622.28
|
| Rate for Payer: Priority Health Medicare |
$370.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$622.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$370.00
|
| Rate for Payer: UHC Medicare Advantage |
$381.10
|
|
|
PR BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG
|
Professional
|
Both
|
$2,672.00
|
|
|
Service Code
|
HCPCS 61250
|
| Min. Negotiated Rate |
$566.58 |
| Max. Negotiated Rate |
$1,870.40 |
| Rate for Payer: Aetna Commercial |
$1,171.87
|
| Rate for Payer: Aetna Medicare |
$909.51
|
| Rate for Payer: BCBS Complete |
$594.91
|
| Rate for Payer: BCBS MAPPO |
$874.53
|
| Rate for Payer: BCBS Trust/PPO |
$918.19
|
| Rate for Payer: BCN Commercial |
$1,288.16
|
| Rate for Payer: BCN Medicare Advantage |
$874.53
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cash Price |
$2,137.60
|
| Rate for Payer: Cofinity Commercial |
$1,259.32
|
| Rate for Payer: Cofinity Commercial |
$1,171.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$874.53
|
| Rate for Payer: Mclaren Medicaid |
$566.58
|
| Rate for Payer: Meridian Medicaid |
$594.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$918.26
|
| Rate for Payer: PACE SWMI |
$874.53
|
| Rate for Payer: PHP Medicare Advantage |
$874.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$566.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,870.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,492.57
|
| Rate for Payer: Priority Health Medicare |
$874.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,492.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$874.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$874.53
|
| Rate for Payer: UHC Medicare Advantage |
$900.77
|
|
|
PR BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION
|
Professional
|
Both
|
$4,523.00
|
|
|
Service Code
|
HCPCS 61140
|
| Min. Negotiated Rate |
$829.00 |
| Max. Negotiated Rate |
$3,166.10 |
| Rate for Payer: Aetna Commercial |
$1,710.82
|
| Rate for Payer: Aetna Medicare |
$1,327.80
|
| Rate for Payer: BCBS Complete |
$870.45
|
| Rate for Payer: BCBS MAPPO |
$1,276.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,274.79
|
| Rate for Payer: BCN Commercial |
$2,604.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,276.73
|
| Rate for Payer: Cash Price |
$3,618.40
|
| Rate for Payer: Cash Price |
$3,618.40
|
| Rate for Payer: Cofinity Commercial |
$1,838.49
|
| Rate for Payer: Cofinity Commercial |
$1,710.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,276.73
|
| Rate for Payer: Mclaren Medicaid |
$829.00
|
| Rate for Payer: Meridian Medicaid |
$870.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,340.57
|
| Rate for Payer: PACE SWMI |
$1,276.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,276.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,166.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,175.44
|
| Rate for Payer: Priority Health Medicare |
$1,276.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,175.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,276.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,276.73
|
| Rate for Payer: UHC Medicare Advantage |
$1,315.03
|
|
|
PR BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST
|
Professional
|
Both
|
$4,040.00
|
|
|
Service Code
|
HCPCS 61150
|
| Min. Negotiated Rate |
$614.94 |
| Max. Negotiated Rate |
$2,828.00 |
| Rate for Payer: Aetna Commercial |
$1,823.15
|
| Rate for Payer: Aetna Medicare |
$1,414.98
|
| Rate for Payer: BCBS Complete |
$922.11
|
| Rate for Payer: BCBS MAPPO |
$1,360.56
|
| Rate for Payer: BCBS Trust/PPO |
$614.94
|
| Rate for Payer: BCN Commercial |
$2,768.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,360.56
|
| Rate for Payer: Cash Price |
$3,232.00
|
| Rate for Payer: Cash Price |
$3,232.00
|
| Rate for Payer: Cofinity Commercial |
$1,959.21
|
| Rate for Payer: Cofinity Commercial |
$1,823.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,360.56
|
| Rate for Payer: Mclaren Medicaid |
$878.20
|
| Rate for Payer: Meridian Medicaid |
$922.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,428.59
|
| Rate for Payer: PACE SWMI |
$1,360.56
|
| Rate for Payer: PHP Medicare Advantage |
$1,360.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$878.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,828.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,312.45
|
| Rate for Payer: Priority Health Medicare |
$1,360.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,312.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,360.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,360.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,401.38
|
|
|
PR BURR HOLE VENTRICULAR PUNCTURE
|
Professional
|
Both
|
$1,834.00
|
|
|
Service Code
|
HCPCS 61120
|
| Min. Negotiated Rate |
$490.54 |
| Max. Negotiated Rate |
$1,670.48 |
| Rate for Payer: Aetna Commercial |
$1,009.40
|
| Rate for Payer: Aetna Medicare |
$783.41
|
| Rate for Payer: BCBS Complete |
$515.07
|
| Rate for Payer: BCBS MAPPO |
$753.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,670.48
|
| Rate for Payer: BCN Commercial |
$1,112.23
|
| Rate for Payer: BCN Medicare Advantage |
$753.28
|
| Rate for Payer: Cash Price |
$1,467.20
|
| Rate for Payer: Cash Price |
$1,467.20
|
| Rate for Payer: Cofinity Commercial |
$1,084.72
|
| Rate for Payer: Cofinity Commercial |
$1,009.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$753.28
|
| Rate for Payer: Mclaren Medicaid |
$490.54
|
| Rate for Payer: Meridian Medicaid |
$515.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$790.94
|
| Rate for Payer: PACE SWMI |
$753.28
|
| Rate for Payer: PHP Medicare Advantage |
$753.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,283.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,288.72
|
| Rate for Payer: Priority Health Medicare |
$753.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,288.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$753.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$753.28
|
| Rate for Payer: UHC Medicare Advantage |
$775.88
|
|
|
PR BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL
|
Professional
|
Both
|
$3,613.00
|
|
|
Service Code
|
HCPCS 61156
|
| Min. Negotiated Rate |
$284.75 |
| Max. Negotiated Rate |
$2,529.10 |
| Rate for Payer: Aetna Commercial |
$1,663.01
|
| Rate for Payer: Aetna Medicare |
$1,290.69
|
| Rate for Payer: BCBS Complete |
$846.52
|
| Rate for Payer: BCBS MAPPO |
$1,241.05
|
| Rate for Payer: BCBS Trust/PPO |
$284.75
|
| Rate for Payer: BCN Commercial |
$2,525.30
|
| Rate for Payer: BCN Medicare Advantage |
$1,241.05
|
| Rate for Payer: Cash Price |
$2,890.40
|
| Rate for Payer: Cash Price |
$2,890.40
|
| Rate for Payer: Cofinity Commercial |
$1,787.11
|
| Rate for Payer: Cofinity Commercial |
$1,663.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,241.05
|
| Rate for Payer: Mclaren Medicaid |
$806.21
|
| Rate for Payer: Meridian Medicaid |
$846.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,303.10
|
| Rate for Payer: PACE SWMI |
$1,241.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,241.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$806.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,529.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,109.19
|
| Rate for Payer: Priority Health Medicare |
$1,241.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,109.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,241.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,241.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,278.28
|
|
|
PR BURR HOLE W/EVAC&/DRG HEMATOMA XDRL/SDRL
|
Professional
|
Both
|
$4,106.00
|
|
|
Service Code
|
HCPCS 61154
|
| Min. Negotiated Rate |
$757.05 |
| Max. Negotiated Rate |
$2,874.20 |
| Rate for Payer: Aetna Commercial |
$1,720.14
|
| Rate for Payer: Aetna Medicare |
$1,335.04
|
| Rate for Payer: BCBS Complete |
$874.69
|
| Rate for Payer: BCBS MAPPO |
$1,283.69
|
| Rate for Payer: BCBS Trust/PPO |
$757.05
|
| Rate for Payer: BCN Commercial |
$2,621.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,283.69
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cofinity Commercial |
$1,720.14
|
| Rate for Payer: Cofinity Commercial |
$1,848.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,283.69
|
| Rate for Payer: Mclaren Medicaid |
$833.04
|
| Rate for Payer: Meridian Medicaid |
$874.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,347.87
|
| Rate for Payer: PACE SWMI |
$1,283.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,283.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$833.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,874.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,189.59
|
| Rate for Payer: Priority Health Medicare |
$1,283.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,189.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,283.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,283.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,322.20
|
|
|
PR BUTORPHANOL TARTRATE 1 MG
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS J0595
|
| Min. Negotiated Rate |
$0.72 |
| Max. Negotiated Rate |
$7.27 |
| Rate for Payer: Aetna Commercial |
$6.77
|
| Rate for Payer: Aetna Medicare |
$5.25
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: BCBS MAPPO |
$5.05
|
| Rate for Payer: BCBS Trust/PPO |
$0.72
|
| Rate for Payer: BCN Commercial |
$0.95
|
| Rate for Payer: BCN Medicare Advantage |
$5.05
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Cofinity Commercial |
$6.77
|
| Rate for Payer: Cofinity Commercial |
$7.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$5.30
|
| Rate for Payer: PACE SWMI |
$5.05
|
| Rate for Payer: PHP Medicare Advantage |
$5.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.90
|
| Rate for Payer: Priority Health Medicare |
$5.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.05
|
| Rate for Payer: UHC Medicare Advantage |
$5.20
|
|
|
PR BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE
|
Professional
|
Both
|
$333.00
|
|
|
Service Code
|
HCPCS 49180
|
| Min. Negotiated Rate |
$51.55 |
| Max. Negotiated Rate |
$553.66 |
| Rate for Payer: Aetna Commercial |
$109.69
|
| Rate for Payer: Aetna Medicare |
$85.13
|
| Rate for Payer: BCBS Complete |
$54.13
|
| Rate for Payer: BCBS MAPPO |
$81.86
|
| Rate for Payer: BCBS Trust/PPO |
$553.66
|
| Rate for Payer: BCN Commercial |
$256.56
|
| Rate for Payer: BCN Medicare Advantage |
$81.86
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$117.88
|
| Rate for Payer: Cofinity Commercial |
$109.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.86
|
| Rate for Payer: Mclaren Medicaid |
$51.55
|
| Rate for Payer: Meridian Medicaid |
$54.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$85.95
|
| Rate for Payer: PACE SWMI |
$81.86
|
| Rate for Payer: PHP Medicare Advantage |
$81.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$144.05
|
| Rate for Payer: Priority Health Medicare |
$81.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$144.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.86
|
| Rate for Payer: UHC Medicare Advantage |
$84.32
|
|
|
PR BX ANORECTAL WALL ANAL APPROACH
|
Professional
|
Both
|
$754.00
|
|
|
Service Code
|
HCPCS 45100
|
| Min. Negotiated Rate |
$195.53 |
| Max. Negotiated Rate |
$534.64 |
| Rate for Payer: Aetna Commercial |
$397.48
|
| Rate for Payer: Aetna Medicare |
$308.50
|
| Rate for Payer: BCBS Complete |
$205.31
|
| Rate for Payer: BCBS MAPPO |
$296.63
|
| Rate for Payer: BCBS Trust/PPO |
$534.64
|
| Rate for Payer: BCN Commercial |
$443.72
|
| Rate for Payer: BCN Medicare Advantage |
$296.63
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cofinity Commercial |
$397.48
|
| Rate for Payer: Cofinity Commercial |
$427.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.63
|
| Rate for Payer: Mclaren Medicaid |
$195.53
|
| Rate for Payer: Meridian Medicaid |
$205.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$311.46
|
| Rate for Payer: PACE SWMI |
$296.63
|
| Rate for Payer: PHP Medicare Advantage |
$296.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$533.89
|
| Rate for Payer: Priority Health Medicare |
$296.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$533.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$296.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$296.63
|
| Rate for Payer: UHC Medicare Advantage |
$305.53
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Professional
|
Both
|
$293.00
|
|
|
Service Code
|
HCPCS 19100
|
| Min. Negotiated Rate |
$43.88 |
| Max. Negotiated Rate |
$456.13 |
| Rate for Payer: Aetna Commercial |
$92.18
|
| Rate for Payer: Aetna Medicare |
$71.54
|
| Rate for Payer: BCBS Complete |
$46.07
|
| Rate for Payer: BCBS MAPPO |
$68.79
|
| Rate for Payer: BCBS Trust/PPO |
$456.13
|
| Rate for Payer: BCN Commercial |
$221.86
|
| Rate for Payer: BCN Medicare Advantage |
$68.79
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cofinity Commercial |
$99.06
|
| Rate for Payer: Cofinity Commercial |
$92.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$68.79
|
| Rate for Payer: Mclaren Medicaid |
$43.88
|
| Rate for Payer: Meridian Medicaid |
$46.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$72.23
|
| Rate for Payer: PACE SWMI |
$68.79
|
| Rate for Payer: PHP Medicare Advantage |
$68.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.26
|
| Rate for Payer: Priority Health Medicare |
$68.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$68.79
|
| Rate for Payer: UHC Medicare Advantage |
$70.85
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Facility
|
IP
|
$293.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
19100
|
| Min. Negotiated Rate |
$178.70 |
| Max. Negotiated Rate |
$263.70 |
| Rate for Payer: Aetna Commercial |
$249.05
|
| Rate for Payer: BCBS Trust/PPO |
$226.43
|
| Rate for Payer: BCN Commercial |
$226.43
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cofinity Commercial |
$251.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.40
|
| Rate for Payer: Healthscope Commercial |
$263.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$219.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$249.05
|
| Rate for Payer: PHP Commercial |
$249.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$178.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$257.84
|
| Rate for Payer: UHC Core |
$244.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$219.75
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Professional
|
Both
|
$293.00
|
|
|
Service Code
|
HCPCS 19100
|
| Hospital Charge Code |
19100
|
| Min. Negotiated Rate |
$43.88 |
| Max. Negotiated Rate |
$456.13 |
| Rate for Payer: Aetna Commercial |
$92.18
|
| Rate for Payer: Aetna Medicare |
$71.54
|
| Rate for Payer: BCBS Complete |
$46.07
|
| Rate for Payer: BCBS MAPPO |
$68.79
|
| Rate for Payer: BCBS Trust/PPO |
$456.13
|
| Rate for Payer: BCN Commercial |
$221.86
|
| Rate for Payer: BCN Medicare Advantage |
$68.79
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cofinity Commercial |
$99.06
|
| Rate for Payer: Cofinity Commercial |
$92.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$68.79
|
| Rate for Payer: Mclaren Medicaid |
$43.88
|
| Rate for Payer: Meridian Medicaid |
$46.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$72.23
|
| Rate for Payer: PACE SWMI |
$68.79
|
| Rate for Payer: PHP Medicare Advantage |
$68.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.26
|
| Rate for Payer: Priority Health Medicare |
$68.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$84.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$68.79
|
| Rate for Payer: UHC Medicare Advantage |
$70.85
|
|
|
PR BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX
|
Facility
|
OP
|
$293.00
|
|
|
Service Code
|
CPT 19100
|
| Hospital Charge Code |
19100
|
| Min. Negotiated Rate |
$69.59 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$249.05
|
| Rate for Payer: Aetna Medicare |
$76.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$91.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$91.56
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$73.25
|
| Rate for Payer: BCBS Trust/PPO |
$227.81
|
| Rate for Payer: BCCCP Commercial |
$159.85
|
| Rate for Payer: BCN Commercial |
$227.81
|
| Rate for Payer: BCN Medicare Advantage |
$73.25
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cash Price |
$234.40
|
| Rate for Payer: Cofinity Commercial |
$251.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.25
|
| Rate for Payer: Healthscope Commercial |
$263.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$219.75
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$76.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$249.05
|
| Rate for Payer: PACE Senior Care Partners |
$69.59
|
| Rate for Payer: PACE SWMI |
$73.25
|
| Rate for Payer: PHP Commercial |
$249.05
|
| Rate for Payer: PHP Medicare Advantage |
$73.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$254.91
|
| Rate for Payer: Priority Health Medicare |
$73.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$178.70
|
| Rate for Payer: Railroad Medicare Medicare |
$73.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$257.84
|
| Rate for Payer: UHC Core |
$244.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$73.25
|
| Rate for Payer: UHC Medicare Advantage |
$75.45
|
| Rate for Payer: VA VA |
$73.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$219.75
|
|
|
PR BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID
|
Professional
|
Both
|
$758.00
|
|
|
Service Code
|
HCPCS 19081
|
| Min. Negotiated Rate |
$102.03 |
| Max. Negotiated Rate |
$1,836.42 |
| Rate for Payer: Aetna Commercial |
$215.23
|
| Rate for Payer: Aetna Medicare |
$167.04
|
| Rate for Payer: BCBS Complete |
$107.13
|
| Rate for Payer: BCBS MAPPO |
$160.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,836.42
|
| Rate for Payer: BCN Commercial |
$741.81
|
| Rate for Payer: BCN Medicare Advantage |
$160.62
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Cofinity Commercial |
$231.29
|
| Rate for Payer: Cofinity Commercial |
$215.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$160.62
|
| Rate for Payer: Mclaren Medicaid |
$102.03
|
| Rate for Payer: Meridian Medicaid |
$107.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$168.65
|
| Rate for Payer: PACE SWMI |
$160.62
|
| Rate for Payer: PHP Medicare Advantage |
$160.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$530.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.13
|
| Rate for Payer: Priority Health Medicare |
$160.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$160.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$160.62
|
| Rate for Payer: UHC Medicare Advantage |
$165.44
|
|
|
PR BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID
|
Professional
|
Both
|
$432.00
|
|
|
Service Code
|
HCPCS 19083
|
| Min. Negotiated Rate |
$96.49 |
| Max. Negotiated Rate |
$741.81 |
| Rate for Payer: Aetna Commercial |
$202.25
|
| Rate for Payer: Aetna Medicare |
$156.97
|
| Rate for Payer: BCBS Complete |
$101.31
|
| Rate for Payer: BCBS MAPPO |
$150.93
|
| Rate for Payer: BCBS Trust/PPO |
$456.13
|
| Rate for Payer: BCN Commercial |
$741.81
|
| Rate for Payer: BCN Medicare Advantage |
$150.93
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Cash Price |
$345.60
|
| Rate for Payer: Cofinity Commercial |
$217.34
|
| Rate for Payer: Cofinity Commercial |
$202.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.93
|
| Rate for Payer: Mclaren Medicaid |
$96.49
|
| Rate for Payer: Meridian Medicaid |
$101.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$158.48
|
| Rate for Payer: PACE SWMI |
$150.93
|
| Rate for Payer: PHP Medicare Advantage |
$150.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$302.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$186.20
|
| Rate for Payer: Priority Health Medicare |
$150.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$186.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.93
|
| Rate for Payer: UHC Medicare Advantage |
$155.46
|
|
|
PR BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID
|
Professional
|
Both
|
$777.00
|
|
|
Service Code
|
HCPCS 19084
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$566.87 |
| Rate for Payer: Aetna Commercial |
$102.27
|
| Rate for Payer: Aetna Medicare |
$79.37
|
| Rate for Payer: BCBS Complete |
$50.55
|
| Rate for Payer: BCBS MAPPO |
$76.32
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$566.87
|
| Rate for Payer: BCN Medicare Advantage |
$76.32
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cofinity Commercial |
$109.90
|
| Rate for Payer: Cofinity Commercial |
$102.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.32
|
| Rate for Payer: Mclaren Medicaid |
$48.14
|
| Rate for Payer: Meridian Medicaid |
$50.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.14
|
| Rate for Payer: PACE SWMI |
$76.32
|
| Rate for Payer: PHP Medicare Advantage |
$76.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$543.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$94.13
|
| Rate for Payer: Priority Health Medicare |
$76.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$94.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.32
|
| Rate for Payer: UHC Medicare Advantage |
$78.61
|
|
|
PR BX/EXC LYMPH NODE NEEDLE SUPERFICIAL
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 38505
|
| Min. Negotiated Rate |
$53.89 |
| Max. Negotiated Rate |
$656.16 |
| Rate for Payer: Aetna Commercial |
$112.77
|
| Rate for Payer: Aetna Medicare |
$87.53
|
| Rate for Payer: BCBS Complete |
$56.58
|
| Rate for Payer: BCBS MAPPO |
$84.16
|
| Rate for Payer: BCBS Trust/PPO |
$656.16
|
| Rate for Payer: BCN Commercial |
$259.00
|
| Rate for Payer: BCN Medicare Advantage |
$84.16
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$121.19
|
| Rate for Payer: Cofinity Commercial |
$112.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.16
|
| Rate for Payer: Mclaren Medicaid |
$53.89
|
| Rate for Payer: Meridian Medicaid |
$56.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$88.37
|
| Rate for Payer: PACE SWMI |
$84.16
|
| Rate for Payer: PHP Medicare Advantage |
$84.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$183.98
|
| Rate for Payer: Priority Health Medicare |
$84.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$183.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$84.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$84.16
|
| Rate for Payer: UHC Medicare Advantage |
$86.68
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Facility
|
OP
|
$1,546.00
|
|
|
Service Code
|
CPT 38525
|
| Hospital Charge Code |
38525
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$367.18 |
| Max. Negotiated Rate |
$2,625.49 |
| Rate for Payer: Aetna Commercial |
$1,314.10
|
| Rate for Payer: Aetna Medicare |
$401.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$483.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$483.12
|
| Rate for Payer: BCBS Complete |
$2,625.49
|
| Rate for Payer: BCBS MAPPO |
$386.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.02
|
| Rate for Payer: BCN Commercial |
$1,202.02
|
| Rate for Payer: BCN Medicare Advantage |
$386.50
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cofinity Commercial |
$1,329.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,236.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.50
|
| Rate for Payer: Healthscope Commercial |
$1,391.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,159.50
|
| Rate for Payer: Mclaren Medicaid |
$2,500.47
|
| Rate for Payer: Meridian Medicaid |
$2,625.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$405.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$444.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,314.10
|
| Rate for Payer: PACE Senior Care Partners |
$367.18
|
| Rate for Payer: PACE SWMI |
$386.50
|
| Rate for Payer: PHP Commercial |
$1,314.10
|
| Rate for Payer: PHP Medicare Advantage |
$386.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,500.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,345.02
|
| Rate for Payer: Priority Health Medicare |
$386.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$942.91
|
| Rate for Payer: Railroad Medicare Medicare |
$386.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,360.48
|
| Rate for Payer: UHC Core |
$1,290.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$386.50
|
| Rate for Payer: UHC Medicare Advantage |
$398.10
|
| Rate for Payer: VA VA |
$386.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,159.50
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Facility
|
IP
|
$1,546.00
|
|
|
Service Code
|
CPT 38525
|
| Hospital Charge Code |
38525
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$942.91 |
| Max. Negotiated Rate |
$1,391.40 |
| Rate for Payer: Aetna Commercial |
$1,314.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,194.75
|
| Rate for Payer: BCN Commercial |
$1,194.75
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cofinity Commercial |
$1,329.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,236.80
|
| Rate for Payer: Healthscope Commercial |
$1,391.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,159.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,314.10
|
| Rate for Payer: PHP Commercial |
$1,314.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,345.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$942.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,360.48
|
| Rate for Payer: UHC Core |
$1,290.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,159.50
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Professional
|
Both
|
$1,546.00
|
|
|
Service Code
|
HCPCS 38525
|
| Hospital Charge Code |
38525
|
| Min. Negotiated Rate |
$284.14 |
| Max. Negotiated Rate |
$1,082.20 |
| Rate for Payer: Aetna Commercial |
$584.63
|
| Rate for Payer: Aetna Medicare |
$453.74
|
| Rate for Payer: BCBS Complete |
$298.35
|
| Rate for Payer: BCBS MAPPO |
$436.29
|
| Rate for Payer: BCBS Trust/PPO |
$486.04
|
| Rate for Payer: BCN Commercial |
$646.03
|
| Rate for Payer: BCN Medicare Advantage |
$436.29
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cofinity Commercial |
$584.63
|
| Rate for Payer: Cofinity Commercial |
$628.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.29
|
| Rate for Payer: Mclaren Medicaid |
$284.14
|
| Rate for Payer: Meridian Medicaid |
$298.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$458.10
|
| Rate for Payer: PACE SWMI |
$436.29
|
| Rate for Payer: PHP Medicare Advantage |
$436.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$957.58
|
| Rate for Payer: Priority Health Medicare |
$436.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$957.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$436.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.29
|
| Rate for Payer: UHC Medicare Advantage |
$449.38
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE
|
Professional
|
Both
|
$1,546.00
|
|
|
Service Code
|
HCPCS 38525
|
| Min. Negotiated Rate |
$284.14 |
| Max. Negotiated Rate |
$1,082.20 |
| Rate for Payer: Aetna Commercial |
$584.63
|
| Rate for Payer: Aetna Medicare |
$453.74
|
| Rate for Payer: BCBS Complete |
$298.35
|
| Rate for Payer: BCBS MAPPO |
$436.29
|
| Rate for Payer: BCBS Trust/PPO |
$486.04
|
| Rate for Payer: BCN Commercial |
$646.03
|
| Rate for Payer: BCN Medicare Advantage |
$436.29
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cofinity Commercial |
$628.26
|
| Rate for Payer: Cofinity Commercial |
$584.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.29
|
| Rate for Payer: Mclaren Medicaid |
$284.14
|
| Rate for Payer: Meridian Medicaid |
$298.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$458.10
|
| Rate for Payer: PACE SWMI |
$436.29
|
| Rate for Payer: PHP Medicare Advantage |
$436.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$957.58
|
| Rate for Payer: Priority Health Medicare |
$436.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$957.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$436.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.29
|
| Rate for Payer: UHC Medicare Advantage |
$449.38
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
|
Facility
|
OP
|
$1,546.00
|
|
|
Service Code
|
CPT 38510
|
| Hospital Charge Code |
38510
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$367.18 |
| Max. Negotiated Rate |
$2,625.49 |
| Rate for Payer: Aetna Commercial |
$1,314.10
|
| Rate for Payer: Aetna Medicare |
$401.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$483.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$483.12
|
| Rate for Payer: BCBS Complete |
$2,625.49
|
| Rate for Payer: BCBS MAPPO |
$386.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.02
|
| Rate for Payer: BCN Commercial |
$1,202.02
|
| Rate for Payer: BCN Medicare Advantage |
$386.50
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cofinity Commercial |
$1,329.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,236.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.50
|
| Rate for Payer: Healthscope Commercial |
$1,391.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,159.50
|
| Rate for Payer: Mclaren Medicaid |
$2,500.47
|
| Rate for Payer: Meridian Medicaid |
$2,625.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$405.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$444.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,314.10
|
| Rate for Payer: PACE Senior Care Partners |
$367.18
|
| Rate for Payer: PACE SWMI |
$386.50
|
| Rate for Payer: PHP Commercial |
$1,314.10
|
| Rate for Payer: PHP Medicare Advantage |
$386.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,500.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,345.02
|
| Rate for Payer: Priority Health Medicare |
$386.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$942.91
|
| Rate for Payer: Railroad Medicare Medicare |
$386.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,360.48
|
| Rate for Payer: UHC Core |
$1,290.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$386.50
|
| Rate for Payer: UHC Medicare Advantage |
$398.10
|
| Rate for Payer: VA VA |
$386.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,159.50
|
|
