|
PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
|
Professional
|
Both
|
$1,546.00
|
|
|
Service Code
|
HCPCS 38510
|
| Min. Negotiated Rate |
$267.95 |
| Max. Negotiated Rate |
$1,082.20 |
| Rate for Payer: Aetna Commercial |
$555.58
|
| Rate for Payer: Aetna Medicare |
$431.19
|
| Rate for Payer: BCBS Complete |
$281.35
|
| Rate for Payer: BCBS MAPPO |
$414.61
|
| Rate for Payer: BCBS Trust/PPO |
$559.47
|
| Rate for Payer: BCN Commercial |
$777.00
|
| Rate for Payer: BCN Medicare Advantage |
$414.61
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cofinity Commercial |
$555.58
|
| Rate for Payer: Cofinity Commercial |
$597.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.61
|
| Rate for Payer: Mclaren Medicaid |
$267.95
|
| Rate for Payer: Meridian Medicaid |
$281.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.34
|
| Rate for Payer: PACE SWMI |
$414.61
|
| Rate for Payer: PHP Medicare Advantage |
$414.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$908.33
|
| Rate for Payer: Priority Health Medicare |
$414.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$908.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$414.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$414.61
|
| Rate for Payer: UHC Medicare Advantage |
$427.05
|
|
|
PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE
|
Facility
|
IP
|
$1,546.00
|
|
|
Service Code
|
CPT 38510
|
| Hospital Charge Code |
38510
|
|
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 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
|
|
|
PR BX/EXC LYMPH NODE OPEN INT MAMMARY NODE
|
Professional
|
Both
|
$1,668.00
|
|
|
Service Code
|
HCPCS 38530
|
| Min. Negotiated Rate |
$363.59 |
| Max. Negotiated Rate |
$1,223.40 |
| Rate for Payer: Aetna Commercial |
$745.07
|
| Rate for Payer: Aetna Medicare |
$578.26
|
| Rate for Payer: BCBS Complete |
$381.77
|
| Rate for Payer: BCBS MAPPO |
$556.02
|
| Rate for Payer: BCBS Trust/PPO |
$427.39
|
| Rate for Payer: BCN Commercial |
$825.38
|
| Rate for Payer: BCN Medicare Advantage |
$556.02
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cash Price |
$1,334.40
|
| Rate for Payer: Cofinity Commercial |
$800.67
|
| Rate for Payer: Cofinity Commercial |
$745.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$556.02
|
| Rate for Payer: Mclaren Medicaid |
$363.59
|
| Rate for Payer: Meridian Medicaid |
$381.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$583.82
|
| Rate for Payer: PACE SWMI |
$556.02
|
| Rate for Payer: PHP Medicare Advantage |
$556.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$363.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,167.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,223.40
|
| Rate for Payer: Priority Health Medicare |
$556.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,223.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$556.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$556.02
|
| Rate for Payer: UHC Medicare Advantage |
$572.70
|
|
|
PR BX/EXC LYMPH NODE OPEN SUPERFICIAL
|
Facility
|
IP
|
$928.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
38500
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$565.99 |
| Max. Negotiated Rate |
$835.20 |
| Rate for Payer: Aetna Commercial |
$788.80
|
| Rate for Payer: BCBS Trust/PPO |
$717.16
|
| Rate for Payer: BCN Commercial |
$717.16
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cofinity Commercial |
$798.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$742.40
|
| Rate for Payer: Healthscope Commercial |
$835.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$696.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$788.80
|
| Rate for Payer: PHP Commercial |
$788.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$649.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$807.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$816.64
|
| Rate for Payer: UHC Core |
$774.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$696.00
|
|
|
PR BX/EXC LYMPH NODE OPEN SUPERFICIAL
|
Facility
|
OP
|
$928.00
|
|
|
Service Code
|
CPT 38500
|
| Hospital Charge Code |
38500
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$220.40 |
| Max. Negotiated Rate |
$2,625.49 |
| Rate for Payer: Aetna Commercial |
$788.80
|
| Rate for Payer: Aetna Medicare |
$241.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$290.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$290.00
|
| Rate for Payer: BCBS Complete |
$2,625.49
|
| Rate for Payer: BCBS MAPPO |
$232.00
|
| Rate for Payer: BCBS Trust/PPO |
$721.52
|
| Rate for Payer: BCN Commercial |
$721.52
|
| Rate for Payer: BCN Medicare Advantage |
$232.00
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cofinity Commercial |
$798.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$742.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.00
|
| Rate for Payer: Healthscope Commercial |
$835.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$696.00
|
| Rate for Payer: Mclaren Medicaid |
$2,500.47
|
| Rate for Payer: Meridian Medicaid |
$2,625.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$266.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$788.80
|
| Rate for Payer: PACE Senior Care Partners |
$220.40
|
| Rate for Payer: PACE SWMI |
$232.00
|
| Rate for Payer: PHP Commercial |
$788.80
|
| Rate for Payer: PHP Medicare Advantage |
$232.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,500.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$649.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$807.36
|
| Rate for Payer: Priority Health Medicare |
$232.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.99
|
| Rate for Payer: Railroad Medicare Medicare |
$232.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$816.64
|
| Rate for Payer: UHC Core |
$774.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.00
|
| Rate for Payer: UHC Medicare Advantage |
$238.96
|
| Rate for Payer: VA VA |
$232.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$696.00
|
|
|
PR BX/EXC LYMPH NODE OPEN SUPERFICIAL
|
Professional
|
Both
|
$928.00
|
|
|
Service Code
|
HCPCS 38500
|
| Min. Negotiated Rate |
$164.01 |
| Max. Negotiated Rate |
$649.60 |
| Rate for Payer: Aetna Commercial |
$338.44
|
| Rate for Payer: Aetna Medicare |
$262.67
|
| Rate for Payer: BCBS Complete |
$172.21
|
| Rate for Payer: BCBS MAPPO |
$252.57
|
| Rate for Payer: BCBS Trust/PPO |
$512.45
|
| Rate for Payer: BCN Commercial |
$495.52
|
| Rate for Payer: BCN Medicare Advantage |
$252.57
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cofinity Commercial |
$363.70
|
| Rate for Payer: Cofinity Commercial |
$338.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.57
|
| Rate for Payer: Mclaren Medicaid |
$164.01
|
| Rate for Payer: Meridian Medicaid |
$172.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$265.20
|
| Rate for Payer: PACE SWMI |
$252.57
|
| Rate for Payer: PHP Medicare Advantage |
$252.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$649.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.13
|
| Rate for Payer: Priority Health Medicare |
$252.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$554.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$252.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$252.57
|
| Rate for Payer: UHC Medicare Advantage |
$260.15
|
|
|
PR BX/EXC LYMPH NODE OPEN SUPERFICIAL
|
Professional
|
Both
|
$928.00
|
|
|
Service Code
|
HCPCS 38500
|
| Hospital Charge Code |
38500
|
| Min. Negotiated Rate |
$164.01 |
| Max. Negotiated Rate |
$649.60 |
| Rate for Payer: Aetna Commercial |
$338.44
|
| Rate for Payer: Aetna Medicare |
$262.67
|
| Rate for Payer: BCBS Complete |
$172.21
|
| Rate for Payer: BCBS MAPPO |
$252.57
|
| Rate for Payer: BCBS Trust/PPO |
$512.45
|
| Rate for Payer: BCN Commercial |
$495.52
|
| Rate for Payer: BCN Medicare Advantage |
$252.57
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cofinity Commercial |
$363.70
|
| Rate for Payer: Cofinity Commercial |
$338.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.57
|
| Rate for Payer: Mclaren Medicaid |
$164.01
|
| Rate for Payer: Meridian Medicaid |
$172.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$265.20
|
| Rate for Payer: PACE SWMI |
$252.57
|
| Rate for Payer: PHP Medicare Advantage |
$252.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$164.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$649.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.13
|
| Rate for Payer: Priority Health Medicare |
$252.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$554.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$252.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$252.57
|
| Rate for Payer: UHC Medicare Advantage |
$260.15
|
|
|
PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD
|
Professional
|
Both
|
$1,811.00
|
|
|
Service Code
|
HCPCS 38520
|
| Min. Negotiated Rate |
$300.54 |
| Max. Negotiated Rate |
$1,267.70 |
| Rate for Payer: Aetna Commercial |
$619.66
|
| Rate for Payer: Aetna Medicare |
$480.93
|
| Rate for Payer: BCBS Complete |
$315.57
|
| Rate for Payer: BCBS MAPPO |
$462.43
|
| Rate for Payer: BCBS Trust/PPO |
$460.15
|
| Rate for Payer: BCN Commercial |
$685.61
|
| Rate for Payer: BCN Medicare Advantage |
$462.43
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cofinity Commercial |
$665.90
|
| Rate for Payer: Cofinity Commercial |
$619.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.43
|
| Rate for Payer: Mclaren Medicaid |
$300.54
|
| Rate for Payer: Meridian Medicaid |
$315.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$485.55
|
| Rate for Payer: PACE SWMI |
$462.43
|
| Rate for Payer: PHP Medicare Advantage |
$462.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,016.26
|
| Rate for Payer: Priority Health Medicare |
$462.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,016.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$462.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$462.43
|
| Rate for Payer: UHC Medicare Advantage |
$476.30
|
|
|
PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD
|
Facility
|
OP
|
$1,811.00
|
|
|
Service Code
|
CPT 38520
|
| Hospital Charge Code |
38520
|
| Min. Negotiated Rate |
$430.11 |
| Max. Negotiated Rate |
$2,625.49 |
| Rate for Payer: Aetna Commercial |
$1,539.35
|
| Rate for Payer: Aetna Medicare |
$470.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$565.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$565.94
|
| Rate for Payer: BCBS Complete |
$2,625.49
|
| Rate for Payer: BCBS MAPPO |
$452.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,408.05
|
| Rate for Payer: BCN Commercial |
$1,408.05
|
| Rate for Payer: BCN Medicare Advantage |
$452.75
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cofinity Commercial |
$1,557.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,448.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$452.75
|
| Rate for Payer: Healthscope Commercial |
$1,629.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,358.25
|
| Rate for Payer: Mclaren Medicaid |
$2,500.47
|
| Rate for Payer: Meridian Medicaid |
$2,625.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$475.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$520.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,539.35
|
| Rate for Payer: PACE Senior Care Partners |
$430.11
|
| Rate for Payer: PACE SWMI |
$452.75
|
| Rate for Payer: PHP Commercial |
$1,539.35
|
| Rate for Payer: PHP Medicare Advantage |
$452.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,500.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,575.57
|
| Rate for Payer: Priority Health Medicare |
$452.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,104.53
|
| Rate for Payer: Railroad Medicare Medicare |
$452.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,593.68
|
| Rate for Payer: UHC Core |
$1,512.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$452.75
|
| Rate for Payer: UHC Medicare Advantage |
$466.33
|
| Rate for Payer: VA VA |
$452.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,358.25
|
|
|
PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD
|
Facility
|
IP
|
$1,811.00
|
|
|
Service Code
|
CPT 38520
|
| Hospital Charge Code |
38520
|
| Min. Negotiated Rate |
$1,104.53 |
| Max. Negotiated Rate |
$1,629.90 |
| Rate for Payer: Aetna Commercial |
$1,539.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,399.54
|
| Rate for Payer: BCN Commercial |
$1,399.54
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cofinity Commercial |
$1,557.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,448.80
|
| Rate for Payer: Healthscope Commercial |
$1,629.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,358.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,539.35
|
| Rate for Payer: PHP Commercial |
$1,539.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,575.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,104.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,593.68
|
| Rate for Payer: UHC Core |
$1,512.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,358.25
|
|
|
PR BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD
|
Professional
|
Both
|
$1,811.00
|
|
|
Service Code
|
HCPCS 38520
|
| Hospital Charge Code |
38520
|
| Min. Negotiated Rate |
$300.54 |
| Max. Negotiated Rate |
$1,267.70 |
| Rate for Payer: Aetna Commercial |
$619.66
|
| Rate for Payer: Aetna Medicare |
$480.93
|
| Rate for Payer: BCBS Complete |
$315.57
|
| Rate for Payer: BCBS MAPPO |
$462.43
|
| Rate for Payer: BCBS Trust/PPO |
$460.15
|
| Rate for Payer: BCN Commercial |
$685.61
|
| Rate for Payer: BCN Medicare Advantage |
$462.43
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cash Price |
$1,448.80
|
| Rate for Payer: Cofinity Commercial |
$665.90
|
| Rate for Payer: Cofinity Commercial |
$619.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$462.43
|
| Rate for Payer: Mclaren Medicaid |
$300.54
|
| Rate for Payer: Meridian Medicaid |
$315.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$485.55
|
| Rate for Payer: PACE SWMI |
$462.43
|
| Rate for Payer: PHP Medicare Advantage |
$462.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,267.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,016.26
|
| Rate for Payer: Priority Health Medicare |
$462.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,016.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$462.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$462.43
|
| Rate for Payer: UHC Medicare Advantage |
$476.30
|
|
|
PR BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS
|
Professional
|
Both
|
$358.00
|
|
|
Service Code
|
HCPCS 44100
|
| Min. Negotiated Rate |
$67.10 |
| Max. Negotiated Rate |
$2,539.54 |
| Rate for Payer: Aetna Commercial |
$139.33
|
| Rate for Payer: Aetna Medicare |
$108.14
|
| Rate for Payer: BCBS Complete |
$70.46
|
| Rate for Payer: BCBS MAPPO |
$103.98
|
| Rate for Payer: BCBS Trust/PPO |
$2,539.54
|
| Rate for Payer: BCN Commercial |
$152.96
|
| Rate for Payer: BCN Medicare Advantage |
$103.98
|
| Rate for Payer: Cash Price |
$286.40
|
| Rate for Payer: Cash Price |
$286.40
|
| Rate for Payer: Cofinity Commercial |
$149.73
|
| Rate for Payer: Cofinity Commercial |
$139.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.98
|
| Rate for Payer: Mclaren Medicaid |
$67.10
|
| Rate for Payer: Meridian Medicaid |
$70.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$109.18
|
| Rate for Payer: PACE SWMI |
$103.98
|
| Rate for Payer: PHP Medicare Advantage |
$103.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.04
|
| Rate for Payer: Priority Health Medicare |
$103.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.98
|
| Rate for Payer: UHC Medicare Advantage |
$107.10
|
|
|
PR BX LVR NDL DONE PURPOSE TM OTH MAJOR PX
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 47001
|
| Min. Negotiated Rate |
$65.39 |
| Max. Negotiated Rate |
$1,355.62 |
| Rate for Payer: Aetna Commercial |
$138.13
|
| Rate for Payer: Aetna Medicare |
$107.20
|
| Rate for Payer: BCBS Complete |
$68.66
|
| Rate for Payer: BCBS MAPPO |
$103.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,355.62
|
| Rate for Payer: BCN Commercial |
$150.03
|
| Rate for Payer: BCN Medicare Advantage |
$103.08
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$148.44
|
| Rate for Payer: Cofinity Commercial |
$138.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.08
|
| Rate for Payer: Mclaren Medicaid |
$65.39
|
| Rate for Payer: Meridian Medicaid |
$68.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$108.23
|
| Rate for Payer: PACE SWMI |
$103.08
|
| Rate for Payer: PHP Medicare Advantage |
$103.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$180.50
|
| Rate for Payer: Priority Health Medicare |
$103.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.08
|
| Rate for Payer: UHC Medicare Advantage |
$106.17
|
|
|
PR BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION
|
Professional
|
Both
|
$396.00
|
|
|
Service Code
|
HCPCS 42806
|
| Min. Negotiated Rate |
$91.59 |
| Max. Negotiated Rate |
$355.76 |
| Rate for Payer: Aetna Commercial |
$184.12
|
| Rate for Payer: Aetna Medicare |
$142.90
|
| Rate for Payer: BCBS Complete |
$96.17
|
| Rate for Payer: BCBS MAPPO |
$137.40
|
| Rate for Payer: BCBS Trust/PPO |
$314.34
|
| Rate for Payer: BCN Commercial |
$355.76
|
| Rate for Payer: BCN Medicare Advantage |
$137.40
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cofinity Commercial |
$197.86
|
| Rate for Payer: Cofinity Commercial |
$184.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.40
|
| Rate for Payer: Mclaren Medicaid |
$91.59
|
| Rate for Payer: Meridian Medicaid |
$96.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$144.27
|
| Rate for Payer: PACE SWMI |
$137.40
|
| Rate for Payer: PHP Medicare Advantage |
$137.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$277.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$249.89
|
| Rate for Payer: Priority Health Medicare |
$137.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$249.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.40
|
| Rate for Payer: UHC Medicare Advantage |
$141.52
|
|
|
PR BX OF BREAST, NEEDLE CORE, IMAGE GUIDE
|
Professional
|
Both
|
$406.00
|
|
|
Service Code
|
HCPCS 19102
|
| Min. Negotiated Rate |
$162.40 |
| Max. Negotiated Rate |
$284.20 |
| Rate for Payer: BCBS Complete |
$162.40
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.20
|
|
|
PR BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID
|
Professional
|
Both
|
$701.00
|
|
|
Service Code
|
HCPCS 55706
|
| Min. Negotiated Rate |
$239.84 |
| Max. Negotiated Rate |
$1,743.92 |
| Rate for Payer: Aetna Commercial |
$490.86
|
| Rate for Payer: Aetna Medicare |
$380.96
|
| Rate for Payer: BCBS Complete |
$251.83
|
| Rate for Payer: BCBS MAPPO |
$366.31
|
| Rate for Payer: BCBS Trust/PPO |
$1,743.92
|
| Rate for Payer: BCN Commercial |
$543.41
|
| Rate for Payer: BCN Medicare Advantage |
$366.31
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cash Price |
$560.80
|
| Rate for Payer: Cofinity Commercial |
$490.86
|
| Rate for Payer: Cofinity Commercial |
$527.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$366.31
|
| Rate for Payer: Mclaren Medicaid |
$239.84
|
| Rate for Payer: Meridian Medicaid |
$251.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$384.63
|
| Rate for Payer: PACE SWMI |
$366.31
|
| Rate for Payer: PHP Medicare Advantage |
$366.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$600.88
|
| Rate for Payer: Priority Health Medicare |
$366.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$600.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$366.31
|
| Rate for Payer: UHC Medicare Advantage |
$377.30
|
|
|
PR BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN
|
Professional
|
Both
|
$311.00
|
|
|
Service Code
|
HCPCS 35681
|
| Min. Negotiated Rate |
$49.63 |
| Max. Negotiated Rate |
$1,298.03 |
| Rate for Payer: Aetna Commercial |
$105.28
|
| Rate for Payer: Aetna Medicare |
$81.71
|
| Rate for Payer: BCBS Complete |
$52.11
|
| Rate for Payer: BCBS MAPPO |
$78.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,298.03
|
| Rate for Payer: BCN Commercial |
$113.38
|
| Rate for Payer: BCN Medicare Advantage |
$78.57
|
| Rate for Payer: Cash Price |
$248.80
|
| Rate for Payer: Cash Price |
$248.80
|
| Rate for Payer: Cofinity Commercial |
$113.14
|
| Rate for Payer: Cofinity Commercial |
$105.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.57
|
| Rate for Payer: Mclaren Medicaid |
$49.63
|
| Rate for Payer: Meridian Medicaid |
$52.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$82.50
|
| Rate for Payer: PACE SWMI |
$78.57
|
| Rate for Payer: PHP Medicare Advantage |
$78.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$217.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$123.42
|
| Rate for Payer: Priority Health Medicare |
$78.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$123.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$78.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$78.57
|
| Rate for Payer: UHC Medicare Advantage |
$80.93
|
|
|
PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC
|
Professional
|
Both
|
$3,240.00
|
|
|
Service Code
|
HCPCS 35632
|
| Min. Negotiated Rate |
$1,126.34 |
| Max. Negotiated Rate |
$2,799.69 |
| Rate for Payer: Aetna Commercial |
$2,388.74
|
| Rate for Payer: Aetna Medicare |
$1,853.95
|
| Rate for Payer: BCBS Complete |
$1,182.66
|
| Rate for Payer: BCBS MAPPO |
$1,782.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,188.68
|
| Rate for Payer: BCN Commercial |
$2,571.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,782.64
|
| Rate for Payer: Cash Price |
$2,592.00
|
| Rate for Payer: Cash Price |
$2,592.00
|
| Rate for Payer: Cofinity Commercial |
$2,567.00
|
| Rate for Payer: Cofinity Commercial |
$2,388.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,782.64
|
| Rate for Payer: Mclaren Medicaid |
$1,126.34
|
| Rate for Payer: Meridian Medicaid |
$1,182.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,871.77
|
| Rate for Payer: PACE SWMI |
$1,782.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,782.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,126.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,268.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,799.69
|
| Rate for Payer: Priority Health Medicare |
$1,782.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,799.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,782.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,782.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,836.12
|
|
|
PR BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC
|
Professional
|
Both
|
$3,629.00
|
|
|
Service Code
|
HCPCS 35633
|
| Min. Negotiated Rate |
$1,181.81 |
| Max. Negotiated Rate |
$3,074.18 |
| Rate for Payer: Aetna Commercial |
$2,620.01
|
| Rate for Payer: Aetna Medicare |
$2,033.44
|
| Rate for Payer: BCBS Complete |
$1,297.17
|
| Rate for Payer: BCBS MAPPO |
$1,955.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.81
|
| Rate for Payer: BCN Commercial |
$2,824.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,955.23
|
| Rate for Payer: Cash Price |
$2,903.20
|
| Rate for Payer: Cash Price |
$2,903.20
|
| Rate for Payer: Cofinity Commercial |
$2,815.53
|
| Rate for Payer: Cofinity Commercial |
$2,620.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,955.23
|
| Rate for Payer: Mclaren Medicaid |
$1,235.40
|
| Rate for Payer: Meridian Medicaid |
$1,297.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,052.99
|
| Rate for Payer: PACE SWMI |
$1,955.23
|
| Rate for Payer: PHP Medicare Advantage |
$1,955.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,540.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,074.18
|
| Rate for Payer: Priority Health Medicare |
$1,955.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,074.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,955.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,955.23
|
| Rate for Payer: UHC Medicare Advantage |
$2,013.89
|
|
|
PR BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL
|
Professional
|
Both
|
$3,169.00
|
|
|
Service Code
|
HCPCS 35634
|
| Min. Negotiated Rate |
$1,102.28 |
| Max. Negotiated Rate |
$2,740.65 |
| Rate for Payer: Aetna Commercial |
$2,338.17
|
| Rate for Payer: Aetna Medicare |
$1,814.70
|
| Rate for Payer: BCBS Complete |
$1,157.39
|
| Rate for Payer: BCBS MAPPO |
$1,744.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,193.43
|
| Rate for Payer: BCN Commercial |
$2,517.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,744.90
|
| Rate for Payer: Cash Price |
$2,535.20
|
| Rate for Payer: Cash Price |
$2,535.20
|
| Rate for Payer: Cofinity Commercial |
$2,338.17
|
| Rate for Payer: Cofinity Commercial |
$2,512.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,744.90
|
| Rate for Payer: Mclaren Medicaid |
$1,102.28
|
| Rate for Payer: Meridian Medicaid |
$1,157.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,832.14
|
| Rate for Payer: PACE SWMI |
$1,744.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,744.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,102.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,218.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,740.65
|
| Rate for Payer: Priority Health Medicare |
$1,744.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,740.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,744.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,744.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,797.25
|
|
|
PR BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE
|
Professional
|
Both
|
$4,667.00
|
|
|
Service Code
|
HCPCS 35626
|
| Min. Negotiated Rate |
$991.09 |
| Max. Negotiated Rate |
$3,266.90 |
| Rate for Payer: Aetna Commercial |
$2,094.89
|
| Rate for Payer: Aetna Medicare |
$1,625.88
|
| Rate for Payer: BCBS Complete |
$1,040.64
|
| Rate for Payer: BCBS MAPPO |
$1,563.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,555.32
|
| Rate for Payer: BCN Commercial |
$2,274.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,563.35
|
| Rate for Payer: Cash Price |
$3,733.60
|
| Rate for Payer: Cash Price |
$3,733.60
|
| Rate for Payer: Cofinity Commercial |
$2,094.89
|
| Rate for Payer: Cofinity Commercial |
$2,251.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,563.35
|
| Rate for Payer: Mclaren Medicaid |
$991.09
|
| Rate for Payer: Meridian Medicaid |
$1,040.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,641.52
|
| Rate for Payer: PACE SWMI |
$1,563.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,563.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$991.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,266.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,476.26
|
| Rate for Payer: Priority Health Medicare |
$1,563.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,476.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,563.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,563.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,610.25
|
|
|
PR BYPASS W/VEIN AORTOBI-ILIAC
|
Professional
|
Both
|
$6,277.00
|
|
|
Service Code
|
HCPCS 35538
|
| Min. Negotiated Rate |
$971.54 |
| Max. Negotiated Rate |
$4,393.90 |
| Rate for Payer: Aetna Commercial |
$3,089.70
|
| Rate for Payer: Aetna Medicare |
$2,397.98
|
| Rate for Payer: BCBS Complete |
$1,527.75
|
| Rate for Payer: BCBS MAPPO |
$2,305.75
|
| Rate for Payer: BCBS Trust/PPO |
$971.54
|
| Rate for Payer: BCN Commercial |
$3,324.47
|
| Rate for Payer: BCN Medicare Advantage |
$2,305.75
|
| Rate for Payer: Cash Price |
$5,021.60
|
| Rate for Payer: Cash Price |
$5,021.60
|
| Rate for Payer: Cofinity Commercial |
$3,320.28
|
| Rate for Payer: Cofinity Commercial |
$3,089.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,305.75
|
| Rate for Payer: Mclaren Medicaid |
$1,455.00
|
| Rate for Payer: Meridian Medicaid |
$1,527.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,421.04
|
| Rate for Payer: PACE SWMI |
$2,305.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,305.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,455.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,393.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,618.91
|
| Rate for Payer: Priority Health Medicare |
$2,305.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,618.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,305.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,305.75
|
| Rate for Payer: UHC Medicare Advantage |
$2,374.92
|
|
|
PR BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC
|
Professional
|
Both
|
$4,193.00
|
|
|
Service Code
|
HCPCS 35531
|
| Min. Negotiated Rate |
$63.40 |
| Max. Negotiated Rate |
$3,022.58 |
| Rate for Payer: Aetna Commercial |
$2,579.74
|
| Rate for Payer: Aetna Medicare |
$2,002.19
|
| Rate for Payer: BCBS Complete |
$1,276.37
|
| Rate for Payer: BCBS MAPPO |
$1,925.18
|
| Rate for Payer: BCBS Trust/PPO |
$63.40
|
| Rate for Payer: BCN Commercial |
$2,776.67
|
| Rate for Payer: BCN Medicare Advantage |
$1,925.18
|
| Rate for Payer: Cash Price |
$3,354.40
|
| Rate for Payer: Cash Price |
$3,354.40
|
| Rate for Payer: Cofinity Commercial |
$2,772.26
|
| Rate for Payer: Cofinity Commercial |
$2,579.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,925.18
|
| Rate for Payer: Mclaren Medicaid |
$1,215.59
|
| Rate for Payer: Meridian Medicaid |
$1,276.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,021.44
|
| Rate for Payer: PACE SWMI |
$1,925.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,925.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,215.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,935.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,022.58
|
| Rate for Payer: Priority Health Medicare |
$1,925.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,022.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,925.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,925.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,982.94
|
|
|
PR BYPASS W/VEIN AORTOILIAC
|
Professional
|
Both
|
$4,317.00
|
|
|
Service Code
|
HCPCS 35537
|
| Min. Negotiated Rate |
$1,299.30 |
| Max. Negotiated Rate |
$3,228.98 |
| Rate for Payer: Aetna Commercial |
$2,756.31
|
| Rate for Payer: Aetna Medicare |
$2,139.23
|
| Rate for Payer: BCBS Complete |
$1,364.26
|
| Rate for Payer: BCBS MAPPO |
$2,056.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,308.07
|
| Rate for Payer: BCN Commercial |
$2,966.27
|
| Rate for Payer: BCN Medicare Advantage |
$2,056.95
|
| Rate for Payer: Cash Price |
$3,453.60
|
| Rate for Payer: Cash Price |
$3,453.60
|
| Rate for Payer: Cofinity Commercial |
$2,756.31
|
| Rate for Payer: Cofinity Commercial |
$2,962.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,056.95
|
| Rate for Payer: Mclaren Medicaid |
$1,299.30
|
| Rate for Payer: Meridian Medicaid |
$1,364.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,159.80
|
| Rate for Payer: PACE SWMI |
$2,056.95
|
| Rate for Payer: PHP Medicare Advantage |
$2,056.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,299.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,021.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,228.98
|
| Rate for Payer: Priority Health Medicare |
$2,056.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,228.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,056.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,056.95
|
| Rate for Payer: UHC Medicare Advantage |
$2,118.66
|
|
