|
PR BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE
|
Professional
|
Both
|
$3,605.00
|
|
|
Service Code
|
HCPCS 35526
|
| Min. Negotiated Rate |
$1,080.34 |
| Max. Negotiated Rate |
$3,230.55 |
| Rate for Payer: Aetna Commercial |
$2,275.55
|
| Rate for Payer: Aetna Medicare |
$1,766.10
|
| Rate for Payer: BCBS Complete |
$1,134.36
|
| Rate for Payer: BCBS MAPPO |
$1,698.17
|
| Rate for Payer: BCBS Trust/PPO |
$3,230.55
|
| Rate for Payer: BCN Commercial |
$2,474.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,698.17
|
| Rate for Payer: Cash Price |
$2,884.00
|
| Rate for Payer: Cash Price |
$2,884.00
|
| Rate for Payer: Cofinity Commercial |
$2,445.36
|
| Rate for Payer: Cofinity Commercial |
$2,275.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,698.17
|
| Rate for Payer: Mclaren Medicaid |
$1,080.34
|
| Rate for Payer: Meridian Medicaid |
$1,134.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,783.08
|
| Rate for Payer: PACE SWMI |
$1,698.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,698.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,080.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,523.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,693.84
|
| Rate for Payer: Priority Health Medicare |
$1,698.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,693.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,698.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,698.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,749.12
|
|
|
PR BYPASS W/VEIN AXILLARY-BRACHIAL
|
Professional
|
Both
|
$2,363.00
|
|
|
Service Code
|
HCPCS 35522
|
| Min. Negotiated Rate |
$430.04 |
| Max. Negotiated Rate |
$1,813.97 |
| Rate for Payer: Aetna Commercial |
$1,546.23
|
| Rate for Payer: Aetna Medicare |
$1,200.06
|
| Rate for Payer: BCBS Complete |
$766.23
|
| Rate for Payer: BCBS MAPPO |
$1,153.90
|
| Rate for Payer: BCBS Trust/PPO |
$430.04
|
| Rate for Payer: BCN Commercial |
$1,666.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,153.90
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Cash Price |
$1,890.40
|
| Rate for Payer: Cofinity Commercial |
$1,661.62
|
| Rate for Payer: Cofinity Commercial |
$1,546.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,153.90
|
| Rate for Payer: Mclaren Medicaid |
$729.74
|
| Rate for Payer: Meridian Medicaid |
$766.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,211.60
|
| Rate for Payer: PACE SWMI |
$1,153.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,153.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$729.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,813.97
|
| Rate for Payer: Priority Health Medicare |
$1,153.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,813.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,153.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,153.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,188.52
|
|
|
PR BYPASS W/VEIN BRACHIAL-BRACHIAL
|
Professional
|
Both
|
$4,108.00
|
|
|
Service Code
|
HCPCS 35525
|
| Min. Negotiated Rate |
$706.73 |
| Max. Negotiated Rate |
$2,875.60 |
| Rate for Payer: Aetna Commercial |
$1,495.24
|
| Rate for Payer: Aetna Medicare |
$1,160.48
|
| Rate for Payer: BCBS Complete |
$742.07
|
| Rate for Payer: BCBS MAPPO |
$1,115.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,468.75
|
| Rate for Payer: BCN Commercial |
$1,616.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,115.85
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cofinity Commercial |
$1,495.24
|
| Rate for Payer: Cofinity Commercial |
$1,606.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,115.85
|
| Rate for Payer: Mclaren Medicaid |
$706.73
|
| Rate for Payer: Meridian Medicaid |
$742.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,171.64
|
| Rate for Payer: PACE SWMI |
$1,115.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,115.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,875.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,759.18
|
| Rate for Payer: Priority Health Medicare |
$1,115.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,759.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,115.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,115.85
|
| Rate for Payer: UHC Medicare Advantage |
$1,149.33
|
|
|
PR BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL
|
Professional
|
Both
|
$2,485.00
|
|
|
Service Code
|
HCPCS 35523
|
| Min. Negotiated Rate |
$767.87 |
| Max. Negotiated Rate |
$1,967.18 |
| Rate for Payer: Aetna Commercial |
$1,670.52
|
| Rate for Payer: Aetna Medicare |
$1,296.53
|
| Rate for Payer: BCBS Complete |
$806.26
|
| Rate for Payer: BCBS MAPPO |
$1,246.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,439.62
|
| Rate for Payer: BCN Commercial |
$1,807.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,246.66
|
| Rate for Payer: Cash Price |
$1,988.00
|
| Rate for Payer: Cash Price |
$1,988.00
|
| Rate for Payer: Cofinity Commercial |
$1,795.19
|
| Rate for Payer: Cofinity Commercial |
$1,670.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,246.66
|
| Rate for Payer: Mclaren Medicaid |
$767.87
|
| Rate for Payer: Meridian Medicaid |
$806.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,308.99
|
| Rate for Payer: PACE SWMI |
$1,246.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,246.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,739.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,967.18
|
| Rate for Payer: Priority Health Medicare |
$1,246.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,967.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,246.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,246.66
|
| Rate for Payer: UHC Medicare Advantage |
$1,284.06
|
|
|
PR BYPASS W/VEIN CAROTID-BRACHIAL
|
Professional
|
Both
|
$2,546.00
|
|
|
Service Code
|
HCPCS 35510
|
| Min. Negotiated Rate |
$767.23 |
| Max. Negotiated Rate |
$1,907.07 |
| Rate for Payer: Aetna Commercial |
$1,625.94
|
| Rate for Payer: Aetna Medicare |
$1,261.93
|
| Rate for Payer: BCBS Complete |
$805.59
|
| Rate for Payer: BCBS MAPPO |
$1,213.39
|
| Rate for Payer: BCBS Trust/PPO |
$971.54
|
| Rate for Payer: BCN Commercial |
$1,751.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,213.39
|
| Rate for Payer: Cash Price |
$2,036.80
|
| Rate for Payer: Cash Price |
$2,036.80
|
| Rate for Payer: Cofinity Commercial |
$1,747.28
|
| Rate for Payer: Cofinity Commercial |
$1,625.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,213.39
|
| Rate for Payer: Mclaren Medicaid |
$767.23
|
| Rate for Payer: Meridian Medicaid |
$805.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,274.06
|
| Rate for Payer: PACE SWMI |
$1,213.39
|
| Rate for Payer: PHP Medicare Advantage |
$1,213.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,782.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,907.07
|
| Rate for Payer: Priority Health Medicare |
$1,213.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,907.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,213.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,213.39
|
| Rate for Payer: UHC Medicare Advantage |
$1,249.79
|
|
|
PR BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID
|
Professional
|
Both
|
$2,616.00
|
|
|
Service Code
|
HCPCS 35506
|
| Min. Negotiated Rate |
$794.49 |
| Max. Negotiated Rate |
$1,975.69 |
| Rate for Payer: Aetna Commercial |
$1,684.76
|
| Rate for Payer: Aetna Medicare |
$1,307.57
|
| Rate for Payer: BCBS Complete |
$834.21
|
| Rate for Payer: BCBS MAPPO |
$1,257.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,044.98
|
| Rate for Payer: BCN Commercial |
$1,814.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,257.28
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cash Price |
$2,092.80
|
| Rate for Payer: Cofinity Commercial |
$1,684.76
|
| Rate for Payer: Cofinity Commercial |
$1,810.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,257.28
|
| Rate for Payer: Mclaren Medicaid |
$794.49
|
| Rate for Payer: Meridian Medicaid |
$834.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,320.14
|
| Rate for Payer: PACE SWMI |
$1,257.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,257.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$794.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,831.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,975.69
|
| Rate for Payer: Priority Health Medicare |
$1,257.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,975.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,257.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,257.28
|
| Rate for Payer: UHC Medicare Advantage |
$1,295.00
|
|
|
PR BYPASS W/VEIN COMMON-IPSILATERAL CAROTID
|
Professional
|
Both
|
$3,023.00
|
|
|
Service Code
|
HCPCS 35501
|
| Min. Negotiated Rate |
$844.22 |
| Max. Negotiated Rate |
$2,262.41 |
| Rate for Payer: Aetna Commercial |
$1,929.81
|
| Rate for Payer: Aetna Medicare |
$1,497.77
|
| Rate for Payer: BCBS Complete |
$955.44
|
| Rate for Payer: BCBS MAPPO |
$1,440.16
|
| Rate for Payer: BCBS Trust/PPO |
$844.22
|
| Rate for Payer: BCN Commercial |
$2,078.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,440.16
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cash Price |
$2,418.40
|
| Rate for Payer: Cofinity Commercial |
$2,073.83
|
| Rate for Payer: Cofinity Commercial |
$1,929.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,440.16
|
| Rate for Payer: Mclaren Medicaid |
$909.94
|
| Rate for Payer: Meridian Medicaid |
$955.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,512.17
|
| Rate for Payer: PACE SWMI |
$1,440.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,440.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$909.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,116.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,262.41
|
| Rate for Payer: Priority Health Medicare |
$1,440.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,262.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,440.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,440.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,483.36
|
|
|
PR BYPASS W/VEIN FEMORAL-FEMORAL
|
Professional
|
Both
|
$2,366.00
|
|
|
Service Code
|
HCPCS 35558
|
| Min. Negotiated Rate |
$721.66 |
| Max. Negotiated Rate |
$1,915.05 |
| Rate for Payer: Aetna Commercial |
$1,624.88
|
| Rate for Payer: Aetna Medicare |
$1,261.10
|
| Rate for Payer: BCBS Complete |
$811.85
|
| Rate for Payer: BCBS MAPPO |
$1,212.60
|
| Rate for Payer: BCBS Trust/PPO |
$721.66
|
| Rate for Payer: BCN Commercial |
$1,759.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,212.60
|
| Rate for Payer: Cash Price |
$1,892.80
|
| Rate for Payer: Cash Price |
$1,892.80
|
| Rate for Payer: Cofinity Commercial |
$1,746.14
|
| Rate for Payer: Cofinity Commercial |
$1,624.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,212.60
|
| Rate for Payer: Mclaren Medicaid |
$773.19
|
| Rate for Payer: Meridian Medicaid |
$811.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,273.23
|
| Rate for Payer: PACE SWMI |
$1,212.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,212.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$773.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,656.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,915.05
|
| Rate for Payer: Priority Health Medicare |
$1,212.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,915.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,212.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,212.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,248.98
|
|
|
PR BYPASS W/VEIN FEMORAL-POPLITEAL
|
Professional
|
Both
|
$2,696.00
|
|
|
Service Code
|
HCPCS 35556
|
| Min. Negotiated Rate |
$868.19 |
| Max. Negotiated Rate |
$2,162.93 |
| Rate for Payer: Aetna Commercial |
$1,838.44
|
| Rate for Payer: Aetna Medicare |
$1,426.85
|
| Rate for Payer: BCBS Complete |
$911.60
|
| Rate for Payer: BCBS MAPPO |
$1,371.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,363.54
|
| Rate for Payer: BCN Commercial |
$1,986.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,371.97
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Cofinity Commercial |
$1,975.64
|
| Rate for Payer: Cofinity Commercial |
$1,838.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,371.97
|
| Rate for Payer: Mclaren Medicaid |
$868.19
|
| Rate for Payer: Meridian Medicaid |
$911.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,440.57
|
| Rate for Payer: PACE SWMI |
$1,371.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,371.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$868.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,887.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,162.93
|
| Rate for Payer: Priority Health Medicare |
$1,371.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,162.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,371.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,371.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,413.13
|
|
|
PR BYPASS W/VEIN ILIOFEMORAL
|
Professional
|
Both
|
$2,550.00
|
|
|
Service Code
|
HCPCS 35565
|
| Min. Negotiated Rate |
$818.35 |
| Max. Negotiated Rate |
$2,032.61 |
| Rate for Payer: Aetna Commercial |
$1,727.46
|
| Rate for Payer: Aetna Medicare |
$1,340.72
|
| Rate for Payer: BCBS Complete |
$859.27
|
| Rate for Payer: BCBS MAPPO |
$1,289.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,137.43
|
| Rate for Payer: BCN Commercial |
$1,867.23
|
| Rate for Payer: BCN Medicare Advantage |
$1,289.15
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cofinity Commercial |
$1,856.38
|
| Rate for Payer: Cofinity Commercial |
$1,727.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,289.15
|
| Rate for Payer: Mclaren Medicaid |
$818.35
|
| Rate for Payer: Meridian Medicaid |
$859.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,353.61
|
| Rate for Payer: PACE SWMI |
$1,289.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,289.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,785.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,032.61
|
| Rate for Payer: Priority Health Medicare |
$1,289.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,032.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,289.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,289.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,327.82
|
|
|
PR BYPASS W/VEIN ILIOILIAC
|
Professional
|
Both
|
$2,760.00
|
|
|
Service Code
|
HCPCS 35563
|
| Min. Negotiated Rate |
$826.44 |
| Max. Negotiated Rate |
$2,053.88 |
| Rate for Payer: Aetna Commercial |
$1,750.19
|
| Rate for Payer: Aetna Medicare |
$1,358.35
|
| Rate for Payer: BCBS Complete |
$867.76
|
| Rate for Payer: BCBS MAPPO |
$1,306.11
|
| Rate for Payer: BCBS Trust/PPO |
$927.69
|
| Rate for Payer: BCN Commercial |
$1,886.79
|
| Rate for Payer: BCN Medicare Advantage |
$1,306.11
|
| Rate for Payer: Cash Price |
$2,208.00
|
| Rate for Payer: Cash Price |
$2,208.00
|
| Rate for Payer: Cofinity Commercial |
$1,880.80
|
| Rate for Payer: Cofinity Commercial |
$1,750.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,306.11
|
| Rate for Payer: Mclaren Medicaid |
$826.44
|
| Rate for Payer: Meridian Medicaid |
$867.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,371.42
|
| Rate for Payer: PACE SWMI |
$1,306.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,306.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$826.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,932.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,053.88
|
| Rate for Payer: Priority Health Medicare |
$1,306.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,053.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,306.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,306.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,345.29
|
|
|
PR BYPASS W/VEIN SPLENORENAL
|
Professional
|
Both
|
$4,809.00
|
|
|
Service Code
|
HCPCS 35536
|
| Min. Negotiated Rate |
$997.96 |
| Max. Negotiated Rate |
$3,366.30 |
| Rate for Payer: Aetna Commercial |
$2,236.27
|
| Rate for Payer: Aetna Medicare |
$1,735.61
|
| Rate for Payer: BCBS Complete |
$1,106.40
|
| Rate for Payer: BCBS MAPPO |
$1,668.86
|
| Rate for Payer: BCBS Trust/PPO |
$997.96
|
| Rate for Payer: BCN Commercial |
$2,408.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,668.86
|
| Rate for Payer: Cash Price |
$3,847.20
|
| Rate for Payer: Cash Price |
$3,847.20
|
| Rate for Payer: Cofinity Commercial |
$2,403.16
|
| Rate for Payer: Cofinity Commercial |
$2,236.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,668.86
|
| Rate for Payer: Mclaren Medicaid |
$1,053.71
|
| Rate for Payer: Meridian Medicaid |
$1,106.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,752.30
|
| Rate for Payer: PACE SWMI |
$1,668.86
|
| Rate for Payer: PHP Medicare Advantage |
$1,668.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,053.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,366.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,621.49
|
| Rate for Payer: Priority Health Medicare |
$1,668.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,621.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,668.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,668.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,718.93
|
|
|
PR BYPASS W/VEIN SUBCLAVIAN-BRACHIAL
|
Professional
|
Both
|
$2,494.00
|
|
|
Service Code
|
HCPCS 35512
|
| Min. Negotiated Rate |
$752.32 |
| Max. Negotiated Rate |
$1,868.77 |
| Rate for Payer: Aetna Commercial |
$1,593.10
|
| Rate for Payer: Aetna Medicare |
$1,236.44
|
| Rate for Payer: BCBS Complete |
$789.94
|
| Rate for Payer: BCBS MAPPO |
$1,188.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,303.84
|
| Rate for Payer: BCN Commercial |
$1,716.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,188.88
|
| Rate for Payer: Cash Price |
$1,995.20
|
| Rate for Payer: Cash Price |
$1,995.20
|
| Rate for Payer: Cofinity Commercial |
$1,593.10
|
| Rate for Payer: Cofinity Commercial |
$1,711.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,188.88
|
| Rate for Payer: Mclaren Medicaid |
$752.32
|
| Rate for Payer: Meridian Medicaid |
$789.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,248.32
|
| Rate for Payer: PACE SWMI |
$1,188.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,188.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$752.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,745.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,868.77
|
| Rate for Payer: Priority Health Medicare |
$1,188.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,868.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,188.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,188.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,224.55
|
|
|
PR BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN
|
Professional
|
Both
|
$4,103.00
|
|
|
Service Code
|
HCPCS 35511
|
| Min. Negotiated Rate |
$699.07 |
| Max. Negotiated Rate |
$2,872.10 |
| Rate for Payer: Aetna Commercial |
$1,481.09
|
| Rate for Payer: Aetna Medicare |
$1,149.50
|
| Rate for Payer: BCBS Complete |
$734.02
|
| Rate for Payer: BCBS MAPPO |
$1,105.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,179.69
|
| Rate for Payer: BCN Commercial |
$1,596.02
|
| Rate for Payer: BCN Medicare Advantage |
$1,105.29
|
| Rate for Payer: Cash Price |
$3,282.40
|
| Rate for Payer: Cash Price |
$3,282.40
|
| Rate for Payer: Cofinity Commercial |
$1,481.09
|
| Rate for Payer: Cofinity Commercial |
$1,591.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,105.29
|
| Rate for Payer: Mclaren Medicaid |
$699.07
|
| Rate for Payer: Meridian Medicaid |
$734.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,160.55
|
| Rate for Payer: PACE SWMI |
$1,105.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,105.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$699.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,872.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,737.38
|
| Rate for Payer: Priority Health Medicare |
$1,105.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,737.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,105.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,105.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,138.45
|
|
|
PR BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS
|
Professional
|
Both
|
$692.00
|
|
|
Service Code
|
HCPCS 35682
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$1,982.71 |
| Rate for Payer: Aetna Commercial |
$465.62
|
| Rate for Payer: Aetna Medicare |
$361.38
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$347.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,982.71
|
| Rate for Payer: BCN Commercial |
$500.41
|
| Rate for Payer: BCN Medicare Advantage |
$347.48
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cofinity Commercial |
$500.37
|
| Rate for Payer: Cofinity Commercial |
$465.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.48
|
| Rate for Payer: Mclaren Medicaid |
$219.18
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$364.85
|
| Rate for Payer: PACE SWMI |
$347.48
|
| Rate for Payer: PHP Medicare Advantage |
$347.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$544.72
|
| Rate for Payer: Priority Health Medicare |
$347.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$544.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$347.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$347.48
|
| Rate for Payer: UHC Medicare Advantage |
$357.90
|
|
|
PR BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION
|
Professional
|
Both
|
$849.00
|
|
|
Service Code
|
HCPCS 35683
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$1,813.65 |
| Rate for Payer: Aetna Commercial |
$542.10
|
| Rate for Payer: Aetna Medicare |
$420.73
|
| Rate for Payer: BCBS Complete |
$266.60
|
| Rate for Payer: BCBS MAPPO |
$404.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,813.65
|
| Rate for Payer: BCN Commercial |
$581.53
|
| Rate for Payer: BCN Medicare Advantage |
$404.55
|
| Rate for Payer: Cash Price |
$679.20
|
| Rate for Payer: Cash Price |
$679.20
|
| Rate for Payer: Cofinity Commercial |
$582.55
|
| Rate for Payer: Cofinity Commercial |
$542.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.55
|
| Rate for Payer: Mclaren Medicaid |
$253.90
|
| Rate for Payer: Meridian Medicaid |
$266.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$424.78
|
| Rate for Payer: PACE SWMI |
$404.55
|
| Rate for Payer: PHP Medicare Advantage |
$404.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$633.03
|
| Rate for Payer: Priority Health Medicare |
$404.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$633.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$404.55
|
| Rate for Payer: UHC Medicare Advantage |
$416.69
|
|
|
PR BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL
|
Professional
|
Both
|
$4,735.00
|
|
|
Service Code
|
HCPCS 35566
|
| Min. Negotiated Rate |
$803.02 |
| Max. Negotiated Rate |
$3,314.50 |
| Rate for Payer: Aetna Commercial |
$2,194.33
|
| Rate for Payer: Aetna Medicare |
$1,703.06
|
| Rate for Payer: BCBS Complete |
$1,086.94
|
| Rate for Payer: BCBS MAPPO |
$1,637.56
|
| Rate for Payer: BCBS Trust/PPO |
$803.02
|
| Rate for Payer: BCN Commercial |
$2,368.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,637.56
|
| Rate for Payer: Cash Price |
$3,788.00
|
| Rate for Payer: Cash Price |
$3,788.00
|
| Rate for Payer: Cofinity Commercial |
$2,194.33
|
| Rate for Payer: Cofinity Commercial |
$2,358.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,637.56
|
| Rate for Payer: Mclaren Medicaid |
$1,035.18
|
| Rate for Payer: Meridian Medicaid |
$1,086.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,719.44
|
| Rate for Payer: PACE SWMI |
$1,637.56
|
| Rate for Payer: PHP Medicare Advantage |
$1,637.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,035.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,314.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,578.39
|
| Rate for Payer: Priority Health Medicare |
$1,637.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,578.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,637.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,637.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,686.69
|
|
|
PR BYP GRF W/DESCENDING THORACIC AORTA RPR NECK INC
|
Professional
|
Both
|
$1,925.00
|
|
|
Service Code
|
HCPCS 33891
|
| Min. Negotiated Rate |
$598.10 |
| Max. Negotiated Rate |
$1,489.48 |
| Rate for Payer: Aetna Commercial |
$1,275.45
|
| Rate for Payer: Aetna Medicare |
$989.90
|
| Rate for Payer: BCBS Complete |
$628.00
|
| Rate for Payer: BCBS MAPPO |
$951.83
|
| Rate for Payer: BCBS Trust/PPO |
$745.96
|
| Rate for Payer: BCN Commercial |
$1,368.30
|
| Rate for Payer: BCN Medicare Advantage |
$951.83
|
| Rate for Payer: Cash Price |
$1,540.00
|
| Rate for Payer: Cash Price |
$1,540.00
|
| Rate for Payer: Cofinity Commercial |
$1,370.64
|
| Rate for Payer: Cofinity Commercial |
$1,275.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$951.83
|
| Rate for Payer: Mclaren Medicaid |
$598.10
|
| Rate for Payer: Meridian Medicaid |
$628.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$999.42
|
| Rate for Payer: PACE SWMI |
$951.83
|
| Rate for Payer: PHP Medicare Advantage |
$951.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$598.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,347.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,489.48
|
| Rate for Payer: Priority Health Medicare |
$951.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,489.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$951.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$951.83
|
| Rate for Payer: UHC Medicare Advantage |
$980.38
|
|
|
PR BYP OTH/THN VEIN AORTOBIFEMORAL
|
Professional
|
Both
|
$5,669.00
|
|
|
Service Code
|
HCPCS 35646
|
| Min. Negotiated Rate |
$1,062.44 |
| Max. Negotiated Rate |
$3,968.30 |
| Rate for Payer: Aetna Commercial |
$2,250.54
|
| Rate for Payer: Aetna Medicare |
$1,746.69
|
| Rate for Payer: BCBS Complete |
$1,115.56
|
| Rate for Payer: BCBS MAPPO |
$1,679.51
|
| Rate for Payer: BCBS Trust/PPO |
$1,771.92
|
| Rate for Payer: BCN Commercial |
$2,430.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,679.51
|
| Rate for Payer: Cash Price |
$4,535.20
|
| Rate for Payer: Cash Price |
$4,535.20
|
| Rate for Payer: Cofinity Commercial |
$2,418.49
|
| Rate for Payer: Cofinity Commercial |
$2,250.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,679.51
|
| Rate for Payer: Mclaren Medicaid |
$1,062.44
|
| Rate for Payer: Meridian Medicaid |
$1,115.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,763.49
|
| Rate for Payer: PACE SWMI |
$1,679.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,679.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,062.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,968.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,645.96
|
| Rate for Payer: Priority Health Medicare |
$1,679.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,645.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,679.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,679.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,729.90
|
|
|
PR BYP OTH/THN VEIN AORTOBI-ILIAC
|
Professional
|
Both
|
$4,846.00
|
|
|
Service Code
|
HCPCS 35638
|
| Min. Negotiated Rate |
$1,080.98 |
| Max. Negotiated Rate |
$3,392.20 |
| Rate for Payer: Aetna Commercial |
$2,290.31
|
| Rate for Payer: Aetna Medicare |
$1,777.56
|
| Rate for Payer: BCBS Complete |
$1,135.03
|
| Rate for Payer: BCBS MAPPO |
$1,709.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,131.09
|
| Rate for Payer: BCN Commercial |
$2,473.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,709.19
|
| Rate for Payer: Cash Price |
$3,876.80
|
| Rate for Payer: Cash Price |
$3,876.80
|
| Rate for Payer: Cofinity Commercial |
$2,290.31
|
| Rate for Payer: Cofinity Commercial |
$2,461.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,709.19
|
| Rate for Payer: Mclaren Medicaid |
$1,080.98
|
| Rate for Payer: Meridian Medicaid |
$1,135.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,794.65
|
| Rate for Payer: PACE SWMI |
$1,709.19
|
| Rate for Payer: PHP Medicare Advantage |
$1,709.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,080.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,392.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,692.24
|
| Rate for Payer: Priority Health Medicare |
$1,709.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,692.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,709.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,709.19
|
| Rate for Payer: UHC Medicare Advantage |
$1,760.47
|
|
|
PR BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL
|
Professional
|
Both
|
$4,967.00
|
|
|
Service Code
|
HCPCS 35631
|
| Min. Negotiated Rate |
$1,154.89 |
| Max. Negotiated Rate |
$3,476.90 |
| Rate for Payer: Aetna Commercial |
$2,440.02
|
| Rate for Payer: Aetna Medicare |
$1,893.75
|
| Rate for Payer: BCBS Complete |
$1,212.63
|
| Rate for Payer: BCBS MAPPO |
$1,820.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,452.50
|
| Rate for Payer: BCN Commercial |
$2,633.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,820.91
|
| Rate for Payer: Cash Price |
$3,973.60
|
| Rate for Payer: Cash Price |
$3,973.60
|
| Rate for Payer: Cofinity Commercial |
$2,622.11
|
| Rate for Payer: Cofinity Commercial |
$2,440.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,820.91
|
| Rate for Payer: Mclaren Medicaid |
$1,154.89
|
| Rate for Payer: Meridian Medicaid |
$1,212.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,911.96
|
| Rate for Payer: PACE SWMI |
$1,820.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,820.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,154.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,476.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,866.72
|
| Rate for Payer: Priority Health Medicare |
$1,820.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,866.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,820.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,820.91
|
| Rate for Payer: UHC Medicare Advantage |
$1,875.54
|
|
|
PR BYP OTH/THN VEIN AORTOFEMORAL
|
Professional
|
Both
|
$3,007.00
|
|
|
Service Code
|
HCPCS 35647
|
| Min. Negotiated Rate |
$966.38 |
| Max. Negotiated Rate |
$2,407.63 |
| Rate for Payer: Aetna Commercial |
$2,046.31
|
| Rate for Payer: Aetna Medicare |
$1,588.18
|
| Rate for Payer: BCBS Complete |
$1,014.70
|
| Rate for Payer: BCBS MAPPO |
$1,527.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,996.45
|
| Rate for Payer: BCN Commercial |
$2,211.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,527.10
|
| Rate for Payer: Cash Price |
$2,405.60
|
| Rate for Payer: Cash Price |
$2,405.60
|
| Rate for Payer: Cofinity Commercial |
$2,199.02
|
| Rate for Payer: Cofinity Commercial |
$2,046.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,527.10
|
| Rate for Payer: Mclaren Medicaid |
$966.38
|
| Rate for Payer: Meridian Medicaid |
$1,014.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,603.46
|
| Rate for Payer: PACE SWMI |
$1,527.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,527.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$966.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,104.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,407.63
|
| Rate for Payer: Priority Health Medicare |
$1,527.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,407.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,527.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,527.10
|
| Rate for Payer: UHC Medicare Advantage |
$1,572.91
|
|
|
PR BYP OTH/THN VEIN AORTOILIAC
|
Professional
|
Both
|
$3,564.00
|
|
|
Service Code
|
HCPCS 35637
|
| Min. Negotiated Rate |
$801.58 |
| Max. Negotiated Rate |
$2,571.49 |
| Rate for Payer: Aetna Commercial |
$2,193.29
|
| Rate for Payer: Aetna Medicare |
$1,702.25
|
| Rate for Payer: BCBS Complete |
$1,085.83
|
| Rate for Payer: BCBS MAPPO |
$1,636.78
|
| Rate for Payer: BCBS Trust/PPO |
$801.58
|
| Rate for Payer: BCN Commercial |
$2,362.27
|
| Rate for Payer: BCN Medicare Advantage |
$1,636.78
|
| Rate for Payer: Cash Price |
$2,851.20
|
| Rate for Payer: Cash Price |
$2,851.20
|
| Rate for Payer: Cofinity Commercial |
$2,193.29
|
| Rate for Payer: Cofinity Commercial |
$2,356.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,636.78
|
| Rate for Payer: Mclaren Medicaid |
$1,034.12
|
| Rate for Payer: Meridian Medicaid |
$1,085.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,718.62
|
| Rate for Payer: PACE SWMI |
$1,636.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,636.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,034.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,494.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,571.49
|
| Rate for Payer: Priority Health Medicare |
$1,636.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,571.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,636.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,636.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,685.88
|
|
|
PR BYP OTH/THN VEIN AXILLARY-AXILLARY
|
Professional
|
Both
|
$2,172.00
|
|
|
Service Code
|
HCPCS 35650
|
| Min. Negotiated Rate |
$637.72 |
| Max. Negotiated Rate |
$1,585.77 |
| Rate for Payer: Aetna Commercial |
$1,351.28
|
| Rate for Payer: Aetna Medicare |
$1,048.76
|
| Rate for Payer: BCBS Complete |
$669.61
|
| Rate for Payer: BCBS MAPPO |
$1,008.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,182.34
|
| Rate for Payer: BCN Commercial |
$1,456.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,008.42
|
| Rate for Payer: Cash Price |
$1,737.60
|
| Rate for Payer: Cash Price |
$1,737.60
|
| Rate for Payer: Cofinity Commercial |
$1,452.12
|
| Rate for Payer: Cofinity Commercial |
$1,351.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,008.42
|
| Rate for Payer: Mclaren Medicaid |
$637.72
|
| Rate for Payer: Meridian Medicaid |
$669.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,058.84
|
| Rate for Payer: PACE SWMI |
$1,008.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,008.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,520.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,585.77
|
| Rate for Payer: Priority Health Medicare |
$1,008.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,585.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,008.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,008.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,038.67
|
|
|
PR BYP OTH/THN VEIN AXILLARY-FEMORAL
|
Professional
|
Both
|
$4,108.00
|
|
|
Service Code
|
HCPCS 35621
|
| Min. Negotiated Rate |
$683.73 |
| Max. Negotiated Rate |
$2,875.60 |
| Rate for Payer: Aetna Commercial |
$1,448.12
|
| Rate for Payer: Aetna Medicare |
$1,123.92
|
| Rate for Payer: BCBS Complete |
$717.92
|
| Rate for Payer: BCBS MAPPO |
$1,080.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,170.78
|
| Rate for Payer: BCN Commercial |
$1,565.23
|
| Rate for Payer: BCN Medicare Advantage |
$1,080.69
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cash Price |
$3,286.40
|
| Rate for Payer: Cofinity Commercial |
$1,556.19
|
| Rate for Payer: Cofinity Commercial |
$1,448.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,080.69
|
| Rate for Payer: Mclaren Medicaid |
$683.73
|
| Rate for Payer: Meridian Medicaid |
$717.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,134.72
|
| Rate for Payer: PACE SWMI |
$1,080.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,080.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$683.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,875.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,703.86
|
| Rate for Payer: Priority Health Medicare |
$1,080.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,703.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,080.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,080.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,113.11
|
|
