|
PR CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$4,088.98
|
|
|
Service Code
|
HCPCS 61313
|
| Min. Negotiated Rate |
$1,065.58 |
| Max. Negotiated Rate |
$4,059.46 |
| Rate for Payer: Aetna Commercial |
$2,675.19
|
| Rate for Payer: Aetna Medicare |
$2,076.27
|
| Rate for Payer: BCBS Complete |
$1,353.53
|
| Rate for Payer: BCBS MAPPO |
$1,996.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.58
|
| Rate for Payer: BCN Commercial |
$4,059.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,996.41
|
| Rate for Payer: Cash Price |
$3,271.18
|
| Rate for Payer: Cash Price |
$3,271.18
|
| Rate for Payer: Cofinity Commercial |
$2,874.83
|
| Rate for Payer: Cofinity Commercial |
$2,675.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,996.41
|
| Rate for Payer: Mclaren Medicaid |
$1,289.08
|
| Rate for Payer: Meridian Medicaid |
$1,353.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,096.23
|
| Rate for Payer: PACE SWMI |
$1,996.41
|
| Rate for Payer: PHP Medicare Advantage |
$1,996.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,289.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,862.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,390.55
|
| Rate for Payer: Priority Health Medicare |
$1,996.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,390.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,996.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,996.41
|
| Rate for Payer: UHC Medicare Advantage |
$2,056.30
|
|
|
PR CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$6,902.00
|
|
|
Service Code
|
HCPCS 61315
|
| Min. Negotiated Rate |
$1,127.39 |
| Max. Negotiated Rate |
$4,831.40 |
| Rate for Payer: Aetna Commercial |
$2,792.08
|
| Rate for Payer: Aetna Medicare |
$2,166.99
|
| Rate for Payer: BCBS Complete |
$1,409.67
|
| Rate for Payer: BCBS MAPPO |
$2,083.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.39
|
| Rate for Payer: BCN Commercial |
$4,232.33
|
| Rate for Payer: BCN Medicare Advantage |
$2,083.64
|
| Rate for Payer: Cash Price |
$5,521.60
|
| Rate for Payer: Cash Price |
$5,521.60
|
| Rate for Payer: Cofinity Commercial |
$3,000.44
|
| Rate for Payer: Cofinity Commercial |
$2,792.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,083.64
|
| Rate for Payer: Mclaren Medicaid |
$1,342.54
|
| Rate for Payer: Meridian Medicaid |
$1,409.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,187.82
|
| Rate for Payer: PACE SWMI |
$2,083.64
|
| Rate for Payer: PHP Medicare Advantage |
$2,083.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,342.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,831.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,534.94
|
| Rate for Payer: Priority Health Medicare |
$2,083.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,534.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,083.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,083.64
|
| Rate for Payer: UHC Medicare Advantage |
$2,146.15
|
|
|
PR CRANIECTOMY OSTEOMYELITIS
|
Professional
|
Both
|
$5,255.00
|
|
|
Service Code
|
HCPCS 61501
|
| Min. Negotiated Rate |
$264.68 |
| Max. Negotiated Rate |
$3,678.50 |
| Rate for Payer: Aetna Commercial |
$1,515.11
|
| Rate for Payer: Aetna Medicare |
$1,175.91
|
| Rate for Payer: BCBS Complete |
$767.57
|
| Rate for Payer: BCBS MAPPO |
$1,130.68
|
| Rate for Payer: BCBS Trust/PPO |
$264.68
|
| Rate for Payer: BCN Commercial |
$2,316.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,130.68
|
| Rate for Payer: Cash Price |
$4,204.00
|
| Rate for Payer: Cash Price |
$4,204.00
|
| Rate for Payer: Cofinity Commercial |
$1,628.18
|
| Rate for Payer: Cofinity Commercial |
$1,515.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,130.68
|
| Rate for Payer: Mclaren Medicaid |
$731.02
|
| Rate for Payer: Meridian Medicaid |
$767.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,187.21
|
| Rate for Payer: PACE SWMI |
$1,130.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,130.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$731.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,678.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,934.79
|
| Rate for Payer: Priority Health Medicare |
$1,130.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,934.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,130.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,130.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,164.60
|
|
|
PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR
|
Professional
|
Both
|
$6,177.00
|
|
|
Service Code
|
HCPCS 61460
|
| Min. Negotiated Rate |
$1,018.03 |
| Max. Negotiated Rate |
$4,323.90 |
| Rate for Payer: Aetna Commercial |
$2,844.47
|
| Rate for Payer: Aetna Medicare |
$2,207.65
|
| Rate for Payer: BCBS Complete |
$1,434.49
|
| Rate for Payer: BCBS MAPPO |
$2,122.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.03
|
| Rate for Payer: BCN Commercial |
$4,310.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,122.74
|
| Rate for Payer: Cash Price |
$4,941.60
|
| Rate for Payer: Cash Price |
$4,941.60
|
| Rate for Payer: Cofinity Commercial |
$2,844.47
|
| Rate for Payer: Cofinity Commercial |
$3,056.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,122.74
|
| Rate for Payer: Mclaren Medicaid |
$1,366.18
|
| Rate for Payer: Meridian Medicaid |
$1,434.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,228.88
|
| Rate for Payer: PACE SWMI |
$2,122.74
|
| Rate for Payer: PHP Medicare Advantage |
$2,122.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,366.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,323.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,600.62
|
| Rate for Payer: Priority Health Medicare |
$2,122.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,600.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,122.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,122.74
|
| Rate for Payer: UHC Medicare Advantage |
$2,186.42
|
|
|
PR CRANIECTOMY W/EXCISION TUMOR/LESION SKULL
|
Professional
|
Both
|
$2,685.32
|
|
|
Service Code
|
HCPCS 61500
|
| Min. Negotiated Rate |
$534.64 |
| Max. Negotiated Rate |
$2,658.85 |
| Rate for Payer: Aetna Commercial |
$1,742.51
|
| Rate for Payer: Aetna Medicare |
$1,352.40
|
| Rate for Payer: BCBS Complete |
$882.07
|
| Rate for Payer: BCBS MAPPO |
$1,300.38
|
| Rate for Payer: BCBS Trust/PPO |
$534.64
|
| Rate for Payer: BCN Commercial |
$2,658.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,300.38
|
| Rate for Payer: Cash Price |
$2,148.26
|
| Rate for Payer: Cash Price |
$2,148.26
|
| Rate for Payer: Cofinity Commercial |
$1,742.51
|
| Rate for Payer: Cofinity Commercial |
$1,872.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,300.38
|
| Rate for Payer: Mclaren Medicaid |
$840.07
|
| Rate for Payer: Meridian Medicaid |
$882.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,365.40
|
| Rate for Payer: PACE SWMI |
$1,300.38
|
| Rate for Payer: PHP Medicare Advantage |
$1,300.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,879.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,220.74
|
| Rate for Payer: Priority Health Medicare |
$1,300.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,220.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,300.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,300.38
|
| Rate for Payer: UHC Medicare Advantage |
$1,339.39
|
|
|
PR CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR
|
Professional
|
Both
|
$4,513.72
|
|
|
Service Code
|
HCPCS 61510
|
| Min. Negotiated Rate |
$455.92 |
| Max. Negotiated Rate |
$4,506.22 |
| Rate for Payer: Aetna Commercial |
$2,967.42
|
| Rate for Payer: Aetna Medicare |
$2,303.07
|
| Rate for Payer: BCBS Complete |
$1,500.91
|
| Rate for Payer: BCBS MAPPO |
$2,214.49
|
| Rate for Payer: BCBS Trust/PPO |
$455.92
|
| Rate for Payer: BCN Commercial |
$4,506.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,214.49
|
| Rate for Payer: Cash Price |
$3,610.98
|
| Rate for Payer: Cash Price |
$3,610.98
|
| Rate for Payer: Cofinity Commercial |
$2,967.42
|
| Rate for Payer: Cofinity Commercial |
$3,188.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,214.49
|
| Rate for Payer: Mclaren Medicaid |
$1,429.44
|
| Rate for Payer: Meridian Medicaid |
$1,500.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,325.21
|
| Rate for Payer: PACE SWMI |
$2,214.49
|
| Rate for Payer: PHP Medicare Advantage |
$2,214.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,429.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,159.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,763.68
|
| Rate for Payer: Priority Health Medicare |
$2,214.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,763.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,214.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,214.49
|
| Rate for Payer: UHC Medicare Advantage |
$2,280.92
|
|
|
PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ
|
Professional
|
Both
|
$5,208.00
|
|
|
Service Code
|
HCPCS 61580
|
| Min. Negotiated Rate |
$901.81 |
| Max. Negotiated Rate |
$4,233.66 |
| Rate for Payer: Aetna Commercial |
$3,286.31
|
| Rate for Payer: Aetna Medicare |
$2,550.57
|
| Rate for Payer: BCBS Complete |
$1,673.12
|
| Rate for Payer: BCBS MAPPO |
$2,452.47
|
| Rate for Payer: BCBS Trust/PPO |
$901.81
|
| Rate for Payer: BCN Commercial |
$3,653.84
|
| Rate for Payer: BCN Medicare Advantage |
$2,452.47
|
| Rate for Payer: Cash Price |
$4,166.40
|
| Rate for Payer: Cash Price |
$4,166.40
|
| Rate for Payer: Cofinity Commercial |
$3,286.31
|
| Rate for Payer: Cofinity Commercial |
$3,531.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,452.47
|
| Rate for Payer: Mclaren Medicaid |
$1,593.45
|
| Rate for Payer: Meridian Medicaid |
$1,673.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,575.09
|
| Rate for Payer: PACE SWMI |
$2,452.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,452.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,593.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,645.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,233.66
|
| Rate for Payer: Priority Health Medicare |
$2,452.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,233.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,452.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,452.47
|
| Rate for Payer: UHC Medicare Advantage |
$2,526.04
|
|
|
PR CRANIOPLASTY SKULL DEFECT </5 CM DIAMETER
|
Professional
|
Both
|
$5,237.00
|
|
|
Service Code
|
HCPCS 62140
|
| Min. Negotiated Rate |
$330.72 |
| Max. Negotiated Rate |
$3,665.90 |
| Rate for Payer: Aetna Commercial |
$1,372.19
|
| Rate for Payer: Aetna Medicare |
$1,064.98
|
| Rate for Payer: BCBS Complete |
$696.68
|
| Rate for Payer: BCBS MAPPO |
$1,024.02
|
| Rate for Payer: BCBS Trust/PPO |
$330.72
|
| Rate for Payer: BCN Commercial |
$2,092.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,024.02
|
| Rate for Payer: Cash Price |
$4,189.60
|
| Rate for Payer: Cash Price |
$4,189.60
|
| Rate for Payer: Cofinity Commercial |
$1,474.59
|
| Rate for Payer: Cofinity Commercial |
$1,372.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,024.02
|
| Rate for Payer: Mclaren Medicaid |
$663.50
|
| Rate for Payer: Meridian Medicaid |
$696.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,075.22
|
| Rate for Payer: PACE SWMI |
$1,024.02
|
| Rate for Payer: PHP Medicare Advantage |
$1,024.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$663.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,665.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,747.37
|
| Rate for Payer: Priority Health Medicare |
$1,024.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,747.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,024.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,024.02
|
| Rate for Payer: UHC Medicare Advantage |
$1,054.74
|
|
|
PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER
|
Professional
|
Both
|
$6,237.00
|
|
|
Service Code
|
HCPCS 62141
|
| Min. Negotiated Rate |
$415.77 |
| Max. Negotiated Rate |
$4,365.90 |
| Rate for Payer: Aetna Commercial |
$1,536.22
|
| Rate for Payer: Aetna Medicare |
$1,192.29
|
| Rate for Payer: BCBS Complete |
$780.09
|
| Rate for Payer: BCBS MAPPO |
$1,146.43
|
| Rate for Payer: BCBS Trust/PPO |
$415.77
|
| Rate for Payer: BCN Commercial |
$2,339.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,146.43
|
| Rate for Payer: Cash Price |
$4,989.60
|
| Rate for Payer: Cash Price |
$4,989.60
|
| Rate for Payer: Cofinity Commercial |
$1,650.86
|
| Rate for Payer: Cofinity Commercial |
$1,536.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,146.43
|
| Rate for Payer: Mclaren Medicaid |
$742.94
|
| Rate for Payer: Meridian Medicaid |
$780.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,203.75
|
| Rate for Payer: PACE SWMI |
$1,146.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,146.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$742.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,365.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,954.04
|
| Rate for Payer: Priority Health Medicare |
$1,146.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,954.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,146.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,146.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,180.82
|
|
|
PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG
|
Professional
|
Both
|
$5,869.00
|
|
|
Service Code
|
HCPCS 62145
|
| Min. Negotiated Rate |
$923.57 |
| Max. Negotiated Rate |
$4,108.30 |
| Rate for Payer: Aetna Commercial |
$1,911.62
|
| Rate for Payer: Aetna Medicare |
$1,483.64
|
| Rate for Payer: BCBS Complete |
$969.75
|
| Rate for Payer: BCBS MAPPO |
$1,426.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,092.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,426.58
|
| Rate for Payer: Cash Price |
$4,695.20
|
| Rate for Payer: Cash Price |
$4,695.20
|
| Rate for Payer: Cofinity Commercial |
$2,054.28
|
| Rate for Payer: Cofinity Commercial |
$1,911.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,426.58
|
| Rate for Payer: Mclaren Medicaid |
$923.57
|
| Rate for Payer: Meridian Medicaid |
$969.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,497.91
|
| Rate for Payer: PACE SWMI |
$1,426.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,426.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$923.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,108.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,424.00
|
| Rate for Payer: Priority Health Medicare |
$1,426.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,426.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,426.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,469.38
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT </ 5 CM DIAMETER
|
Professional
|
Both
|
$6,252.00
|
|
|
Service Code
|
HCPCS 62146
|
| Min. Negotiated Rate |
$814.51 |
| Max. Negotiated Rate |
$4,376.40 |
| Rate for Payer: Aetna Commercial |
$1,688.79
|
| Rate for Payer: Aetna Medicare |
$1,310.70
|
| Rate for Payer: BCBS Complete |
$855.24
|
| Rate for Payer: BCBS MAPPO |
$1,260.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.15
|
| Rate for Payer: BCN Commercial |
$2,567.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,260.29
|
| Rate for Payer: Cash Price |
$5,001.60
|
| Rate for Payer: Cash Price |
$5,001.60
|
| Rate for Payer: Cofinity Commercial |
$1,814.82
|
| Rate for Payer: Cofinity Commercial |
$1,688.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,260.29
|
| Rate for Payer: Mclaren Medicaid |
$814.51
|
| Rate for Payer: Meridian Medicaid |
$855.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,323.30
|
| Rate for Payer: PACE SWMI |
$1,260.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,260.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$814.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,376.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,144.29
|
| Rate for Payer: Priority Health Medicare |
$1,260.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,144.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,260.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,260.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,298.10
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER
|
Professional
|
Both
|
$7,153.00
|
|
|
Service Code
|
HCPCS 62147
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$5,007.10 |
| Rate for Payer: Aetna Commercial |
$1,907.62
|
| Rate for Payer: Aetna Medicare |
$1,480.54
|
| Rate for Payer: BCBS Complete |
$964.82
|
| Rate for Payer: BCBS MAPPO |
$1,423.60
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$2,898.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,423.60
|
| Rate for Payer: Cash Price |
$5,722.40
|
| Rate for Payer: Cash Price |
$5,722.40
|
| Rate for Payer: Cofinity Commercial |
$2,049.98
|
| Rate for Payer: Cofinity Commercial |
$1,907.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,423.60
|
| Rate for Payer: Mclaren Medicaid |
$918.88
|
| Rate for Payer: Meridian Medicaid |
$964.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,494.78
|
| Rate for Payer: PACE SWMI |
$1,423.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,423.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$918.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,007.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,421.18
|
| Rate for Payer: Priority Health Medicare |
$1,423.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,421.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,423.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,423.60
|
| Rate for Payer: UHC Medicare Advantage |
$1,466.31
|
|
|
PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG
|
Professional
|
Both
|
$7,712.00
|
|
|
Service Code
|
HCPCS 61540
|
| Min. Negotiated Rate |
$611.24 |
| Max. Negotiated Rate |
$5,398.40 |
| Rate for Payer: Aetna Commercial |
$2,939.34
|
| Rate for Payer: Aetna Medicare |
$2,281.28
|
| Rate for Payer: BCBS Complete |
$1,481.69
|
| Rate for Payer: BCBS MAPPO |
$2,193.54
|
| Rate for Payer: BCBS Trust/PPO |
$611.24
|
| Rate for Payer: BCN Commercial |
$3,209.63
|
| Rate for Payer: BCN Medicare Advantage |
$2,193.54
|
| Rate for Payer: Cash Price |
$6,169.60
|
| Rate for Payer: Cash Price |
$6,169.60
|
| Rate for Payer: Cofinity Commercial |
$3,158.70
|
| Rate for Payer: Cofinity Commercial |
$2,939.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,193.54
|
| Rate for Payer: Mclaren Medicaid |
$1,411.13
|
| Rate for Payer: Meridian Medicaid |
$1,481.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,303.22
|
| Rate for Payer: PACE SWMI |
$2,193.54
|
| Rate for Payer: PHP Medicare Advantage |
$2,193.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,411.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,398.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,718.95
|
| Rate for Payer: Priority Health Medicare |
$2,193.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,718.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,193.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,193.54
|
| Rate for Payer: UHC Medicare Advantage |
$2,259.35
|
|
|
PR CRANIOTOMY EXCISION CRANIOPHARYNGIOMA
|
Professional
|
Both
|
$6,564.86
|
|
|
Service Code
|
HCPCS 61545
|
| Min. Negotiated Rate |
$2,062.05 |
| Max. Negotiated Rate |
$6,510.19 |
| Rate for Payer: Aetna Commercial |
$4,301.01
|
| Rate for Payer: Aetna Medicare |
$3,338.10
|
| Rate for Payer: BCBS Complete |
$2,165.15
|
| Rate for Payer: BCBS MAPPO |
$3,209.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.35
|
| Rate for Payer: BCN Commercial |
$6,510.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,209.71
|
| Rate for Payer: Cash Price |
$5,251.89
|
| Rate for Payer: Cash Price |
$5,251.89
|
| Rate for Payer: Cofinity Commercial |
$4,621.98
|
| Rate for Payer: Cofinity Commercial |
$4,301.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,209.71
|
| Rate for Payer: Mclaren Medicaid |
$2,062.05
|
| Rate for Payer: Meridian Medicaid |
$2,165.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,370.20
|
| Rate for Payer: PACE SWMI |
$3,209.71
|
| Rate for Payer: PHP Medicare Advantage |
$3,209.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,062.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,595.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,437.45
|
| Rate for Payer: Priority Health Medicare |
$3,209.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,437.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,209.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,209.71
|
| Rate for Payer: UHC Medicare Advantage |
$3,306.00
|
|
|
PR CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE
|
Professional
|
Both
|
$5,502.00
|
|
|
Service Code
|
HCPCS 62121
|
| Min. Negotiated Rate |
$1,003.23 |
| Max. Negotiated Rate |
$3,851.40 |
| Rate for Payer: Aetna Commercial |
$2,078.73
|
| Rate for Payer: Aetna Medicare |
$1,613.34
|
| Rate for Payer: BCBS Complete |
$1,053.39
|
| Rate for Payer: BCBS MAPPO |
$1,551.29
|
| Rate for Payer: BCBS Trust/PPO |
$1,394.18
|
| Rate for Payer: BCN Commercial |
$2,295.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,551.29
|
| Rate for Payer: Cash Price |
$4,401.60
|
| Rate for Payer: Cash Price |
$4,401.60
|
| Rate for Payer: Cofinity Commercial |
$2,078.73
|
| Rate for Payer: Cofinity Commercial |
$2,233.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,551.29
|
| Rate for Payer: Mclaren Medicaid |
$1,003.23
|
| Rate for Payer: Meridian Medicaid |
$1,053.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,628.85
|
| Rate for Payer: PACE SWMI |
$1,551.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,551.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,003.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,851.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,659.55
|
| Rate for Payer: Priority Health Medicare |
$1,551.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,659.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,551.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,551.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,597.83
|
|
|
PR CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY
|
Professional
|
Both
|
$6,928.00
|
|
|
Service Code
|
HCPCS 61537
|
| Min. Negotiated Rate |
$1,588.98 |
| Max. Negotiated Rate |
$4,849.60 |
| Rate for Payer: Aetna Commercial |
$3,321.23
|
| Rate for Payer: Aetna Medicare |
$2,577.67
|
| Rate for Payer: BCBS Complete |
$1,668.43
|
| Rate for Payer: BCBS MAPPO |
$2,478.53
|
| Rate for Payer: BCBS Trust/PPO |
$2,057.20
|
| Rate for Payer: BCN Commercial |
$3,618.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,478.53
|
| Rate for Payer: Cash Price |
$5,542.40
|
| Rate for Payer: Cash Price |
$5,542.40
|
| Rate for Payer: Cofinity Commercial |
$3,569.08
|
| Rate for Payer: Cofinity Commercial |
$3,321.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,478.53
|
| Rate for Payer: Mclaren Medicaid |
$1,588.98
|
| Rate for Payer: Meridian Medicaid |
$1,668.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,602.46
|
| Rate for Payer: PACE SWMI |
$2,478.53
|
| Rate for Payer: PHP Medicare Advantage |
$2,478.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,588.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,849.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,192.89
|
| Rate for Payer: Priority Health Medicare |
$2,478.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,192.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,478.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,478.53
|
| Rate for Payer: UHC Medicare Advantage |
$2,552.89
|
|
|
PR CRICOPHARYNGEAL MYOTOMY
|
Professional
|
Both
|
$2,239.00
|
|
|
Service Code
|
HCPCS 43030
|
| Min. Negotiated Rate |
$226.11 |
| Max. Negotiated Rate |
$1,567.30 |
| Rate for Payer: Aetna Commercial |
$691.99
|
| Rate for Payer: Aetna Medicare |
$537.07
|
| Rate for Payer: BCBS Complete |
$354.49
|
| Rate for Payer: BCBS MAPPO |
$516.41
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$768.69
|
| Rate for Payer: BCN Medicare Advantage |
$516.41
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cash Price |
$1,791.20
|
| Rate for Payer: Cofinity Commercial |
$743.63
|
| Rate for Payer: Cofinity Commercial |
$691.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$516.41
|
| Rate for Payer: Mclaren Medicaid |
$337.61
|
| Rate for Payer: Meridian Medicaid |
$354.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$542.23
|
| Rate for Payer: PACE SWMI |
$516.41
|
| Rate for Payer: PHP Medicare Advantage |
$516.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$337.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,567.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$924.89
|
| Rate for Payer: Priority Health Medicare |
$516.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$924.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$516.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$516.41
|
| Rate for Payer: UHC Medicare Advantage |
$531.90
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN
|
Professional
|
Both
|
$212.00
|
|
|
Service Code
|
HCPCS 99292
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$1,875.47 |
| Rate for Payer: Aetna Commercial |
$141.88
|
| Rate for Payer: Aetna Medicare |
$110.12
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCBS MAPPO |
$105.88
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$173.48
|
| Rate for Payer: BCN Medicare Advantage |
$105.88
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$152.47
|
| Rate for Payer: Cofinity Commercial |
$141.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.88
|
| Rate for Payer: Mclaren Medicaid |
$67.73
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$111.17
|
| Rate for Payer: PACE SWMI |
$105.88
|
| Rate for Payer: PHP Medicare Advantage |
$105.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$135.77
|
| Rate for Payer: Priority Health Medicare |
$105.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.88
|
| Rate for Payer: UHC Medicare Advantage |
$109.06
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
|
Professional
|
Both
|
$467.00
|
|
|
Service Code
|
HCPCS 99291
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$1,522.56 |
| Rate for Payer: Aetna Commercial |
$282.36
|
| Rate for Payer: Aetna Medicare |
$219.15
|
| Rate for Payer: BCBS Complete |
$141.12
|
| Rate for Payer: BCBS MAPPO |
$210.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,522.56
|
| Rate for Payer: BCN Commercial |
$397.30
|
| Rate for Payer: BCN Medicare Advantage |
$210.72
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$303.44
|
| Rate for Payer: Cofinity Commercial |
$282.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$210.72
|
| Rate for Payer: Mclaren Medicaid |
$134.40
|
| Rate for Payer: Meridian Medicaid |
$141.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$221.26
|
| Rate for Payer: PACE SWMI |
$210.72
|
| Rate for Payer: PHP Medicare Advantage |
$210.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$326.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$395.09
|
| Rate for Payer: Priority Health Medicare |
$210.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$395.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$210.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$210.72
|
| Rate for Payer: UHC Medicare Advantage |
$217.04
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN
|
Professional
|
Both
|
$571.00
|
|
|
Service Code
|
HCPCS 99466
|
| Min. Negotiated Rate |
$168.10 |
| Max. Negotiated Rate |
$399.70 |
| Rate for Payer: Aetna Commercial |
$304.64
|
| Rate for Payer: Aetna Medicare |
$236.43
|
| Rate for Payer: BCBS Complete |
$228.40
|
| Rate for Payer: BCBS MAPPO |
$227.34
|
| Rate for Payer: BCBS Trust/PPO |
$168.10
|
| Rate for Payer: BCN Commercial |
$334.26
|
| Rate for Payer: BCN Medicare Advantage |
$227.34
|
| Rate for Payer: Cash Price |
$456.80
|
| Rate for Payer: Cash Price |
$456.80
|
| Rate for Payer: Cofinity Commercial |
$327.37
|
| Rate for Payer: Cofinity Commercial |
$304.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$227.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$238.71
|
| Rate for Payer: PACE SWMI |
$227.34
|
| Rate for Payer: PHP Medicare Advantage |
$227.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$399.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$292.97
|
| Rate for Payer: Priority Health Medicare |
$227.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$292.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$227.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$227.34
|
| Rate for Payer: UHC Medicare Advantage |
$234.16
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN
|
Professional
|
Both
|
$238.00
|
|
|
Service Code
|
HCPCS 99467
|
| Min. Negotiated Rate |
$95.20 |
| Max. Negotiated Rate |
$169.08 |
| Rate for Payer: Aetna Commercial |
$154.18
|
| Rate for Payer: Aetna Medicare |
$119.66
|
| Rate for Payer: BCBS Complete |
$95.20
|
| Rate for Payer: BCBS MAPPO |
$115.06
|
| Rate for Payer: BCBS Trust/PPO |
$137.11
|
| Rate for Payer: BCN Commercial |
$169.08
|
| Rate for Payer: BCN Medicare Advantage |
$115.06
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cofinity Commercial |
$165.69
|
| Rate for Payer: Cofinity Commercial |
$154.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$120.81
|
| Rate for Payer: PACE SWMI |
$115.06
|
| Rate for Payer: PHP Medicare Advantage |
$115.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$166.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.20
|
| Rate for Payer: Priority Health Medicare |
$115.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$148.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.06
|
| Rate for Payer: UHC Medicare Advantage |
$118.51
|
|
|
PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA
|
Professional
|
Both
|
$8,254.00
|
|
|
Service Code
|
HCPCS 61518
|
| Min. Negotiated Rate |
$1,142.71 |
| Max. Negotiated Rate |
$5,777.80 |
| Rate for Payer: Aetna Commercial |
$3,735.16
|
| Rate for Payer: Aetna Medicare |
$2,898.93
|
| Rate for Payer: BCBS Complete |
$1,884.70
|
| Rate for Payer: BCBS MAPPO |
$2,787.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,142.71
|
| Rate for Payer: BCN Commercial |
$5,660.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,787.43
|
| Rate for Payer: Cash Price |
$6,603.20
|
| Rate for Payer: Cash Price |
$6,603.20
|
| Rate for Payer: Cofinity Commercial |
$4,013.90
|
| Rate for Payer: Cofinity Commercial |
$3,735.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,787.43
|
| Rate for Payer: Mclaren Medicaid |
$1,794.95
|
| Rate for Payer: Meridian Medicaid |
$1,884.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,926.80
|
| Rate for Payer: PACE SWMI |
$2,787.43
|
| Rate for Payer: PHP Medicare Advantage |
$2,787.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,794.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,777.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,727.40
|
| Rate for Payer: Priority Health Medicare |
$2,787.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,727.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,787.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,787.43
|
| Rate for Payer: UHC Medicare Advantage |
$2,871.05
|
|
|
PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA
|
Professional
|
Both
|
$7,704.00
|
|
|
Service Code
|
HCPCS 61530
|
| Min. Negotiated Rate |
$1,728.07 |
| Max. Negotiated Rate |
$6,271.56 |
| Rate for Payer: Aetna Commercial |
$4,149.34
|
| Rate for Payer: Aetna Medicare |
$3,220.38
|
| Rate for Payer: BCBS Complete |
$2,084.42
|
| Rate for Payer: BCBS MAPPO |
$3,096.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,728.07
|
| Rate for Payer: BCN Commercial |
$6,271.56
|
| Rate for Payer: BCN Medicare Advantage |
$3,096.52
|
| Rate for Payer: Cash Price |
$6,163.20
|
| Rate for Payer: Cash Price |
$6,163.20
|
| Rate for Payer: Cofinity Commercial |
$4,458.99
|
| Rate for Payer: Cofinity Commercial |
$4,149.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,096.52
|
| Rate for Payer: Mclaren Medicaid |
$1,985.16
|
| Rate for Payer: Meridian Medicaid |
$2,084.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,251.35
|
| Rate for Payer: PACE SWMI |
$3,096.52
|
| Rate for Payer: PHP Medicare Advantage |
$3,096.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,985.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,392.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,238.13
|
| Rate for Payer: Priority Health Medicare |
$3,096.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,238.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,096.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,096.52
|
| Rate for Payer: UHC Medicare Advantage |
$3,189.42
|
|
|
PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA
|
Professional
|
Both
|
$8,547.00
|
|
|
Service Code
|
HCPCS 61519
|
| Min. Negotiated Rate |
$1,169.66 |
| Max. Negotiated Rate |
$6,020.71 |
| Rate for Payer: Aetna Commercial |
$3,980.18
|
| Rate for Payer: Aetna Medicare |
$3,089.09
|
| Rate for Payer: BCBS Complete |
$1,997.42
|
| Rate for Payer: BCBS MAPPO |
$2,970.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,169.66
|
| Rate for Payer: BCN Commercial |
$6,020.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,970.28
|
| Rate for Payer: Cash Price |
$6,837.60
|
| Rate for Payer: Cash Price |
$6,837.60
|
| Rate for Payer: Cofinity Commercial |
$4,277.20
|
| Rate for Payer: Cofinity Commercial |
$3,980.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,970.28
|
| Rate for Payer: Mclaren Medicaid |
$1,902.30
|
| Rate for Payer: Meridian Medicaid |
$1,997.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,118.79
|
| Rate for Payer: PACE SWMI |
$2,970.28
|
| Rate for Payer: PHP Medicare Advantage |
$2,970.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,902.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,982.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,028.63
|
| Rate for Payer: Priority Health Medicare |
$2,970.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,028.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,970.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,970.28
|
| Rate for Payer: UHC Medicare Advantage |
$3,059.39
|
|
|
PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS
|
Professional
|
Both
|
$6,105.00
|
|
|
Service Code
|
HCPCS 61522
|
| Min. Negotiated Rate |
$581.66 |
| Max. Negotiated Rate |
$4,475.71 |
| Rate for Payer: Aetna Commercial |
$2,954.07
|
| Rate for Payer: Aetna Medicare |
$2,292.71
|
| Rate for Payer: BCBS Complete |
$1,489.51
|
| Rate for Payer: BCBS MAPPO |
$2,204.53
|
| Rate for Payer: BCBS Trust/PPO |
$581.66
|
| Rate for Payer: BCN Commercial |
$4,475.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,204.53
|
| Rate for Payer: Cash Price |
$4,884.00
|
| Rate for Payer: Cash Price |
$4,884.00
|
| Rate for Payer: Cofinity Commercial |
$3,174.52
|
| Rate for Payer: Cofinity Commercial |
$2,954.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,204.53
|
| Rate for Payer: Mclaren Medicaid |
$1,418.58
|
| Rate for Payer: Meridian Medicaid |
$1,489.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,314.76
|
| Rate for Payer: PACE SWMI |
$2,204.53
|
| Rate for Payer: PHP Medicare Advantage |
$2,204.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,418.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,273.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,738.20
|
| Rate for Payer: Priority Health Medicare |
$2,204.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,738.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,204.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,204.53
|
| Rate for Payer: UHC Medicare Advantage |
$2,270.67
|
|
