|
PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST
|
Professional
|
Both
|
$6,970.00
|
|
|
Service Code
|
HCPCS 61524
|
| Min. Negotiated Rate |
$322.26 |
| Max. Negotiated Rate |
$4,879.00 |
| Rate for Payer: Aetna Commercial |
$2,815.19
|
| Rate for Payer: Aetna Medicare |
$2,184.93
|
| Rate for Payer: BCBS Complete |
$1,419.73
|
| Rate for Payer: BCBS MAPPO |
$2,100.89
|
| Rate for Payer: BCBS Trust/PPO |
$322.26
|
| Rate for Payer: BCN Commercial |
$3,075.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,100.89
|
| Rate for Payer: Cash Price |
$5,576.00
|
| Rate for Payer: Cash Price |
$5,576.00
|
| Rate for Payer: Cofinity Commercial |
$2,815.19
|
| Rate for Payer: Cofinity Commercial |
$3,025.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,100.89
|
| Rate for Payer: Mclaren Medicaid |
$1,352.12
|
| Rate for Payer: Meridian Medicaid |
$1,419.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,205.93
|
| Rate for Payer: PACE SWMI |
$2,100.89
|
| Rate for Payer: PHP Medicare Advantage |
$2,100.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,352.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,879.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,563.81
|
| Rate for Payer: Priority Health Medicare |
$2,100.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,563.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,100.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,100.89
|
| Rate for Payer: UHC Medicare Advantage |
$2,163.92
|
|
|
PR CRNEC SOPL EXPL/DCMPRN CRNL NRV
|
Professional
|
Both
|
$7,690.00
|
|
|
Service Code
|
HCPCS 61458
|
| Min. Negotiated Rate |
$861.66 |
| Max. Negotiated Rate |
$5,383.00 |
| Rate for Payer: Aetna Commercial |
$2,722.71
|
| Rate for Payer: Aetna Medicare |
$2,113.14
|
| Rate for Payer: BCBS Complete |
$1,369.63
|
| Rate for Payer: BCBS MAPPO |
$2,031.87
|
| Rate for Payer: BCBS Trust/PPO |
$861.66
|
| Rate for Payer: BCN Commercial |
$4,127.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,031.87
|
| Rate for Payer: Cash Price |
$6,152.00
|
| Rate for Payer: Cash Price |
$6,152.00
|
| Rate for Payer: Cofinity Commercial |
$2,925.89
|
| Rate for Payer: Cofinity Commercial |
$2,722.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,031.87
|
| Rate for Payer: Mclaren Medicaid |
$1,304.41
|
| Rate for Payer: Meridian Medicaid |
$1,369.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,133.46
|
| Rate for Payer: PACE SWMI |
$2,031.87
|
| Rate for Payer: PHP Medicare Advantage |
$2,031.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,304.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,383.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,447.73
|
| Rate for Payer: Priority Health Medicare |
$2,031.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,447.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,031.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,031.87
|
| Rate for Payer: UHC Medicare Advantage |
$2,092.83
|
|
|
PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION
|
Professional
|
Both
|
$6,581.00
|
|
|
Service Code
|
HCPCS 61450
|
| Min. Negotiated Rate |
$732.75 |
| Max. Negotiated Rate |
$4,606.70 |
| Rate for Payer: Aetna Commercial |
$2,592.73
|
| Rate for Payer: Aetna Medicare |
$2,012.26
|
| Rate for Payer: BCBS Complete |
$1,307.68
|
| Rate for Payer: BCBS MAPPO |
$1,934.87
|
| Rate for Payer: BCBS Trust/PPO |
$732.75
|
| Rate for Payer: BCN Commercial |
$2,831.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,934.87
|
| Rate for Payer: Cash Price |
$5,264.80
|
| Rate for Payer: Cash Price |
$5,264.80
|
| Rate for Payer: Cofinity Commercial |
$2,786.21
|
| Rate for Payer: Cofinity Commercial |
$2,592.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,934.87
|
| Rate for Payer: Mclaren Medicaid |
$1,245.41
|
| Rate for Payer: Meridian Medicaid |
$1,307.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,031.61
|
| Rate for Payer: PACE SWMI |
$1,934.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,934.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,245.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,606.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,280.69
|
| Rate for Payer: Priority Health Medicare |
$1,934.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,280.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,934.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,934.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,992.92
|
|
|
PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD
|
Professional
|
Both
|
$4,519.40
|
|
|
Service Code
|
HCPCS 61343
|
| Min. Negotiated Rate |
$230.87 |
| Max. Negotiated Rate |
$4,491.99 |
| Rate for Payer: Aetna Commercial |
$2,964.70
|
| Rate for Payer: Aetna Medicare |
$2,300.96
|
| Rate for Payer: BCBS Complete |
$1,491.52
|
| Rate for Payer: BCBS MAPPO |
$2,212.46
|
| Rate for Payer: BCBS Trust/PPO |
$230.87
|
| Rate for Payer: BCN Commercial |
$4,491.99
|
| Rate for Payer: BCN Medicare Advantage |
$2,212.46
|
| Rate for Payer: Cash Price |
$3,615.52
|
| Rate for Payer: Cash Price |
$3,615.52
|
| Rate for Payer: Cofinity Commercial |
$3,185.94
|
| Rate for Payer: Cofinity Commercial |
$2,964.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,212.46
|
| Rate for Payer: Mclaren Medicaid |
$1,420.50
|
| Rate for Payer: Meridian Medicaid |
$1,491.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,323.08
|
| Rate for Payer: PACE SWMI |
$2,212.46
|
| Rate for Payer: PHP Medicare Advantage |
$2,212.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,420.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,163.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,751.80
|
| Rate for Payer: Priority Health Medicare |
$2,212.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,751.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,212.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,212.46
|
| Rate for Payer: UHC Medicare Advantage |
$2,278.83
|
|
|
PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM
|
Professional
|
Both
|
$7,913.00
|
|
|
Service Code
|
HCPCS 61526
|
| Min. Negotiated Rate |
$811.47 |
| Max. Negotiated Rate |
$5,687.72 |
| Rate for Payer: Aetna Commercial |
$4,487.87
|
| Rate for Payer: Aetna Medicare |
$3,483.13
|
| Rate for Payer: BCBS Complete |
$2,250.81
|
| Rate for Payer: BCBS MAPPO |
$3,349.16
|
| Rate for Payer: BCBS Trust/PPO |
$811.47
|
| Rate for Payer: BCN Commercial |
$4,908.76
|
| Rate for Payer: BCN Medicare Advantage |
$3,349.16
|
| Rate for Payer: Cash Price |
$6,330.40
|
| Rate for Payer: Cash Price |
$6,330.40
|
| Rate for Payer: Cofinity Commercial |
$4,822.79
|
| Rate for Payer: Cofinity Commercial |
$4,487.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,349.16
|
| Rate for Payer: Mclaren Medicaid |
$2,143.63
|
| Rate for Payer: Meridian Medicaid |
$2,250.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,516.62
|
| Rate for Payer: PACE SWMI |
$3,349.16
|
| Rate for Payer: PHP Medicare Advantage |
$3,349.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,143.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,539.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,687.72
|
| Rate for Payer: Priority Health Medicare |
$3,349.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,687.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,349.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,349.16
|
| Rate for Payer: UHC Medicare Advantage |
$3,449.63
|
|
|
PR CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR
|
Professional
|
Both
|
$3,944.12
|
|
|
Service Code
|
HCPCS 61514
|
| Min. Negotiated Rate |
$137.36 |
| Max. Negotiated Rate |
$3,926.59 |
| Rate for Payer: Aetna Commercial |
$2,588.61
|
| Rate for Payer: Aetna Medicare |
$2,009.07
|
| Rate for Payer: BCBS Complete |
$1,304.33
|
| Rate for Payer: BCBS MAPPO |
$1,931.80
|
| Rate for Payer: BCBS Trust/PPO |
$137.36
|
| Rate for Payer: BCN Commercial |
$3,926.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,931.80
|
| Rate for Payer: Cash Price |
$3,155.30
|
| Rate for Payer: Cash Price |
$3,155.30
|
| Rate for Payer: Cofinity Commercial |
$2,588.61
|
| Rate for Payer: Cofinity Commercial |
$2,781.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,931.80
|
| Rate for Payer: Mclaren Medicaid |
$1,242.22
|
| Rate for Payer: Meridian Medicaid |
$1,304.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,028.39
|
| Rate for Payer: PACE SWMI |
$1,931.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,931.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,242.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,760.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,279.57
|
| Rate for Payer: Priority Health Medicare |
$1,931.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,279.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,931.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,931.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,989.75
|
|
|
PR CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR
|
Professional
|
Both
|
$6,977.00
|
|
|
Service Code
|
HCPCS 61516
|
| Min. Negotiated Rate |
$108.83 |
| Max. Negotiated Rate |
$4,883.90 |
| Rate for Payer: Aetna Commercial |
$2,525.87
|
| Rate for Payer: Aetna Medicare |
$1,960.38
|
| Rate for Payer: BCBS Complete |
$1,277.93
|
| Rate for Payer: BCBS MAPPO |
$1,884.98
|
| Rate for Payer: BCBS Trust/PPO |
$108.83
|
| Rate for Payer: BCN Commercial |
$3,832.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,884.98
|
| Rate for Payer: Cash Price |
$5,581.60
|
| Rate for Payer: Cash Price |
$5,581.60
|
| Rate for Payer: Cofinity Commercial |
$2,714.37
|
| Rate for Payer: Cofinity Commercial |
$2,525.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,884.98
|
| Rate for Payer: Mclaren Medicaid |
$1,217.08
|
| Rate for Payer: Meridian Medicaid |
$1,277.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,979.23
|
| Rate for Payer: PACE SWMI |
$1,884.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,884.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,217.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,883.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,200.86
|
| Rate for Payer: Priority Health Medicare |
$1,884.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,200.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,884.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,884.98
|
| Rate for Payer: UHC Medicare Advantage |
$1,941.53
|
|
|
PR CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR
|
Professional
|
Both
|
$5,279.00
|
|
|
Service Code
|
HCPCS 61512
|
| Min. Negotiated Rate |
$223.47 |
| Max. Negotiated Rate |
$5,220.76 |
| Rate for Payer: Aetna Commercial |
$3,447.89
|
| Rate for Payer: Aetna Medicare |
$2,675.97
|
| Rate for Payer: BCBS Complete |
$1,735.52
|
| Rate for Payer: BCBS MAPPO |
$2,573.05
|
| Rate for Payer: BCBS Trust/PPO |
$223.47
|
| Rate for Payer: BCN Commercial |
$5,220.76
|
| Rate for Payer: BCN Medicare Advantage |
$2,573.05
|
| Rate for Payer: Cash Price |
$4,223.20
|
| Rate for Payer: Cash Price |
$4,223.20
|
| Rate for Payer: Cofinity Commercial |
$3,447.89
|
| Rate for Payer: Cofinity Commercial |
$3,705.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,573.05
|
| Rate for Payer: Mclaren Medicaid |
$1,652.88
|
| Rate for Payer: Meridian Medicaid |
$1,735.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,701.70
|
| Rate for Payer: PACE SWMI |
$2,573.05
|
| Rate for Payer: PHP Medicare Advantage |
$2,573.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,652.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,695.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,360.48
|
| Rate for Payer: Priority Health Medicare |
$2,573.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,360.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,573.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,573.05
|
| Rate for Payer: UHC Medicare Advantage |
$2,650.24
|
|
|
PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL
|
Professional
|
Both
|
$10,231.00
|
|
|
Service Code
|
HCPCS 61521
|
| Min. Negotiated Rate |
$1,168.07 |
| Max. Negotiated Rate |
$7,161.70 |
| Rate for Payer: Aetna Commercial |
$4,279.02
|
| Rate for Payer: Aetna Medicare |
$3,321.03
|
| Rate for Payer: BCBS Complete |
$2,157.55
|
| Rate for Payer: BCBS MAPPO |
$3,193.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$6,470.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,193.30
|
| Rate for Payer: Cash Price |
$8,184.80
|
| Rate for Payer: Cash Price |
$8,184.80
|
| Rate for Payer: Cofinity Commercial |
$4,598.35
|
| Rate for Payer: Cofinity Commercial |
$4,279.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,193.30
|
| Rate for Payer: Mclaren Medicaid |
$2,054.81
|
| Rate for Payer: Meridian Medicaid |
$2,157.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,352.96
|
| Rate for Payer: PACE SWMI |
$3,193.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,193.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,054.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,161.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,404.03
|
| Rate for Payer: Priority Health Medicare |
$3,193.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,404.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,193.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,193.30
|
| Rate for Payer: UHC Medicare Advantage |
$3,289.10
|
|
|
PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM
|
Professional
|
Both
|
$8,556.00
|
|
|
Service Code
|
HCPCS 61520
|
| Min. Negotiated Rate |
$1,140.60 |
| Max. Negotiated Rate |
$7,615.22 |
| Rate for Payer: Aetna Commercial |
$5,031.65
|
| Rate for Payer: Aetna Medicare |
$3,905.16
|
| Rate for Payer: BCBS Complete |
$2,516.06
|
| Rate for Payer: BCBS MAPPO |
$3,754.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.60
|
| Rate for Payer: BCN Commercial |
$7,615.22
|
| Rate for Payer: BCN Medicare Advantage |
$3,754.96
|
| Rate for Payer: Cash Price |
$6,844.80
|
| Rate for Payer: Cash Price |
$6,844.80
|
| Rate for Payer: Cofinity Commercial |
$5,407.14
|
| Rate for Payer: Cofinity Commercial |
$5,031.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,754.96
|
| Rate for Payer: Mclaren Medicaid |
$2,396.25
|
| Rate for Payer: Meridian Medicaid |
$2,516.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,942.71
|
| Rate for Payer: PACE SWMI |
$3,754.96
|
| Rate for Payer: PHP Medicare Advantage |
$3,754.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,396.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,989.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,360.39
|
| Rate for Payer: Priority Health Medicare |
$3,754.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,360.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,754.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,754.96
|
| Rate for Payer: UHC Medicare Advantage |
$3,867.61
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF
|
Professional
|
Both
|
$2,713.00
|
|
|
Service Code
|
HCPCS 36825
|
| Min. Negotiated Rate |
$496.72 |
| Max. Negotiated Rate |
$1,899.10 |
| Rate for Payer: Aetna Commercial |
$1,044.42
|
| Rate for Payer: Aetna Medicare |
$810.60
|
| Rate for Payer: BCBS Complete |
$521.56
|
| Rate for Payer: BCBS MAPPO |
$779.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCN Commercial |
$1,135.69
|
| Rate for Payer: BCN Medicare Advantage |
$779.42
|
| Rate for Payer: Cash Price |
$2,170.40
|
| Rate for Payer: Cash Price |
$2,170.40
|
| Rate for Payer: Cofinity Commercial |
$1,122.36
|
| Rate for Payer: Cofinity Commercial |
$1,044.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$779.42
|
| Rate for Payer: Mclaren Medicaid |
$496.72
|
| Rate for Payer: Meridian Medicaid |
$521.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$818.39
|
| Rate for Payer: PACE SWMI |
$779.42
|
| Rate for Payer: PHP Medicare Advantage |
$779.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,899.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,236.27
|
| Rate for Payer: Priority Health Medicare |
$779.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,236.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$779.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$779.42
|
| Rate for Payer: UHC Medicare Advantage |
$802.80
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF
|
Professional
|
Both
|
$1,353.00
|
|
|
Service Code
|
HCPCS 36830
|
| Min. Negotiated Rate |
$417.05 |
| Max. Negotiated Rate |
$1,037.85 |
| Rate for Payer: Aetna Commercial |
$877.35
|
| Rate for Payer: Aetna Medicare |
$680.93
|
| Rate for Payer: BCBS Complete |
$437.90
|
| Rate for Payer: BCBS MAPPO |
$654.74
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$953.41
|
| Rate for Payer: BCN Medicare Advantage |
$654.74
|
| Rate for Payer: Cash Price |
$1,082.40
|
| Rate for Payer: Cash Price |
$1,082.40
|
| Rate for Payer: Cofinity Commercial |
$877.35
|
| Rate for Payer: Cofinity Commercial |
$942.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$654.74
|
| Rate for Payer: Mclaren Medicaid |
$417.05
|
| Rate for Payer: Meridian Medicaid |
$437.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$687.48
|
| Rate for Payer: PACE SWMI |
$654.74
|
| Rate for Payer: PHP Medicare Advantage |
$654.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$947.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,037.85
|
| Rate for Payer: Priority Health Medicare |
$654.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,037.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$654.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$654.74
|
| Rate for Payer: UHC Medicare Advantage |
$674.38
|
|
|
PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO
|
Professional
|
Both
|
$335.00
|
|
|
Service Code
|
HCPCS 35686
|
| Min. Negotiated Rate |
$99.68 |
| Max. Negotiated Rate |
$1,316.52 |
| Rate for Payer: Aetna Commercial |
$212.68
|
| Rate for Payer: Aetna Medicare |
$165.07
|
| Rate for Payer: BCBS Complete |
$104.66
|
| Rate for Payer: BCBS MAPPO |
$158.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.52
|
| Rate for Payer: BCN Commercial |
$228.22
|
| Rate for Payer: BCN Medicare Advantage |
$158.72
|
| Rate for Payer: Cash Price |
$268.00
|
| Rate for Payer: Cash Price |
$268.00
|
| Rate for Payer: Cofinity Commercial |
$212.68
|
| Rate for Payer: Cofinity Commercial |
$228.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.72
|
| Rate for Payer: Mclaren Medicaid |
$99.68
|
| Rate for Payer: Meridian Medicaid |
$104.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$166.66
|
| Rate for Payer: PACE SWMI |
$158.72
|
| Rate for Payer: PHP Medicare Advantage |
$158.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$234.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.42
|
| Rate for Payer: Priority Health Medicare |
$158.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$158.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.72
|
| Rate for Payer: UHC Medicare Advantage |
$163.48
|
|
|
PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX
|
Professional
|
Both
|
$2,500.00
|
|
|
Service Code
|
HCPCS 33025
|
| Min. Negotiated Rate |
$485.85 |
| Max. Negotiated Rate |
$1,750.00 |
| Rate for Payer: Aetna Commercial |
$1,014.72
|
| Rate for Payer: Aetna Medicare |
$787.54
|
| Rate for Payer: BCBS Complete |
$510.14
|
| Rate for Payer: BCBS MAPPO |
$757.25
|
| Rate for Payer: BCBS Trust/PPO |
$724.83
|
| Rate for Payer: BCN Commercial |
$1,108.32
|
| Rate for Payer: BCN Medicare Advantage |
$757.25
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cofinity Commercial |
$1,090.44
|
| Rate for Payer: Cofinity Commercial |
$1,014.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$757.25
|
| Rate for Payer: Mclaren Medicaid |
$485.85
|
| Rate for Payer: Meridian Medicaid |
$510.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$795.11
|
| Rate for Payer: PACE SWMI |
$757.25
|
| Rate for Payer: PHP Medicare Advantage |
$757.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$485.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,750.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,206.48
|
| Rate for Payer: Priority Health Medicare |
$757.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,206.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$757.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$757.25
|
| Rate for Payer: UHC Medicare Advantage |
$779.97
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM
|
Professional
|
Both
|
$4,279.00
|
|
|
Service Code
|
HCPCS 63740
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$2,995.30 |
| Rate for Payer: Aetna Commercial |
$1,328.36
|
| Rate for Payer: Aetna Medicare |
$1,030.96
|
| Rate for Payer: BCBS Complete |
$676.77
|
| Rate for Payer: BCBS MAPPO |
$991.31
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$1,611.53
|
| Rate for Payer: BCN Medicare Advantage |
$991.31
|
| Rate for Payer: Cash Price |
$3,423.20
|
| Rate for Payer: Cash Price |
$3,423.20
|
| Rate for Payer: Cofinity Commercial |
$1,328.36
|
| Rate for Payer: Cofinity Commercial |
$1,427.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$991.31
|
| Rate for Payer: Mclaren Medicaid |
$644.54
|
| Rate for Payer: Meridian Medicaid |
$676.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,040.88
|
| Rate for Payer: PACE SWMI |
$991.31
|
| Rate for Payer: PHP Medicare Advantage |
$991.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$644.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,995.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,695.84
|
| Rate for Payer: Priority Health Medicare |
$991.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,695.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$991.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$991.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,021.05
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM
|
Professional
|
Both
|
$2,356.00
|
|
|
Service Code
|
HCPCS 63741
|
| Min. Negotiated Rate |
$248.83 |
| Max. Negotiated Rate |
$1,649.20 |
| Rate for Payer: Aetna Commercial |
$923.05
|
| Rate for Payer: Aetna Medicare |
$716.39
|
| Rate for Payer: BCBS Complete |
$466.98
|
| Rate for Payer: BCBS MAPPO |
$688.84
|
| Rate for Payer: BCBS Trust/PPO |
$248.83
|
| Rate for Payer: BCN Commercial |
$1,017.92
|
| Rate for Payer: BCN Medicare Advantage |
$688.84
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cofinity Commercial |
$923.05
|
| Rate for Payer: Cofinity Commercial |
$991.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$688.84
|
| Rate for Payer: Mclaren Medicaid |
$444.74
|
| Rate for Payer: Meridian Medicaid |
$466.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$723.28
|
| Rate for Payer: PACE SWMI |
$688.84
|
| Rate for Payer: PHP Medicare Advantage |
$688.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,649.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,179.44
|
| Rate for Payer: Priority Health Medicare |
$688.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,179.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$688.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$688.84
|
| Rate for Payer: UHC Medicare Advantage |
$709.51
|
|
|
PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH
|
Professional
|
Both
|
$5,740.00
|
|
|
Service Code
|
HCPCS 62192
|
| Min. Negotiated Rate |
$478.64 |
| Max. Negotiated Rate |
$4,018.00 |
| Rate for Payer: Aetna Commercial |
$1,313.94
|
| Rate for Payer: Aetna Medicare |
$1,019.77
|
| Rate for Payer: BCBS Complete |
$681.02
|
| Rate for Payer: BCBS MAPPO |
$980.55
|
| Rate for Payer: BCBS Trust/PPO |
$478.64
|
| Rate for Payer: BCN Commercial |
$2,002.62
|
| Rate for Payer: BCN Medicare Advantage |
$980.55
|
| Rate for Payer: Cash Price |
$4,592.00
|
| Rate for Payer: Cash Price |
$4,592.00
|
| Rate for Payer: Cofinity Commercial |
$1,313.94
|
| Rate for Payer: Cofinity Commercial |
$1,411.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$980.55
|
| Rate for Payer: Mclaren Medicaid |
$648.59
|
| Rate for Payer: Meridian Medicaid |
$681.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,029.58
|
| Rate for Payer: PACE SWMI |
$980.55
|
| Rate for Payer: PHP Medicare Advantage |
$980.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$648.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,018.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,672.63
|
| Rate for Payer: Priority Health Medicare |
$980.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,672.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$980.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$980.55
|
| Rate for Payer: UHC Medicare Advantage |
$1,009.97
|
|
|
PR CRTJ SHUNT VENTRICULO-ATR-JUG-AUR
|
Professional
|
Both
|
$4,966.00
|
|
|
Service Code
|
HCPCS 62220
|
| Min. Negotiated Rate |
$633.46 |
| Max. Negotiated Rate |
$3,476.20 |
| Rate for Payer: Aetna Commercial |
$1,306.16
|
| Rate for Payer: Aetna Medicare |
$1,013.74
|
| Rate for Payer: BCBS Complete |
$665.13
|
| Rate for Payer: BCBS MAPPO |
$974.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,359.32
|
| Rate for Payer: BCN Commercial |
$1,984.31
|
| Rate for Payer: BCN Medicare Advantage |
$974.75
|
| Rate for Payer: Cash Price |
$3,972.80
|
| Rate for Payer: Cash Price |
$3,972.80
|
| Rate for Payer: Cofinity Commercial |
$1,403.64
|
| Rate for Payer: Cofinity Commercial |
$1,306.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$974.75
|
| Rate for Payer: Mclaren Medicaid |
$633.46
|
| Rate for Payer: Meridian Medicaid |
$665.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,023.49
|
| Rate for Payer: PACE SWMI |
$974.75
|
| Rate for Payer: PHP Medicare Advantage |
$974.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$633.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,476.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,657.34
|
| Rate for Payer: Priority Health Medicare |
$974.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,657.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$974.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$974.75
|
| Rate for Payer: UHC Medicare Advantage |
$1,003.99
|
|
|
PR CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS
|
Professional
|
Both
|
$4,952.00
|
|
|
Service Code
|
HCPCS 62223
|
| Min. Negotiated Rate |
$672.23 |
| Max. Negotiated Rate |
$3,466.40 |
| Rate for Payer: Aetna Commercial |
$1,392.42
|
| Rate for Payer: Aetna Medicare |
$1,080.68
|
| Rate for Payer: BCBS Complete |
$705.84
|
| Rate for Payer: BCBS MAPPO |
$1,039.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,466.56
|
| Rate for Payer: BCN Commercial |
$2,125.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,039.12
|
| Rate for Payer: Cash Price |
$3,961.60
|
| Rate for Payer: Cash Price |
$3,961.60
|
| Rate for Payer: Cofinity Commercial |
$1,496.33
|
| Rate for Payer: Cofinity Commercial |
$1,392.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,039.12
|
| Rate for Payer: Mclaren Medicaid |
$672.23
|
| Rate for Payer: Meridian Medicaid |
$705.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,091.08
|
| Rate for Payer: PACE SWMI |
$1,039.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,039.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$672.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,466.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,775.67
|
| Rate for Payer: Priority Health Medicare |
$1,039.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,775.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,039.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,039.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,070.29
|
|
|
PR CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA
|
Professional
|
Both
|
$7,105.00
|
|
|
Service Code
|
HCPCS 62100
|
| Min. Negotiated Rate |
$1,018.35 |
| Max. Negotiated Rate |
$4,973.50 |
| Rate for Payer: Aetna Commercial |
$2,110.94
|
| Rate for Payer: Aetna Medicare |
$1,638.34
|
| Rate for Payer: BCBS Complete |
$1,069.27
|
| Rate for Payer: BCBS MAPPO |
$1,575.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.41
|
| Rate for Payer: BCN Commercial |
$3,210.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,575.33
|
| Rate for Payer: Cash Price |
$5,684.00
|
| Rate for Payer: Cash Price |
$5,684.00
|
| Rate for Payer: Cofinity Commercial |
$2,268.48
|
| Rate for Payer: Cofinity Commercial |
$2,110.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,575.33
|
| Rate for Payer: Mclaren Medicaid |
$1,018.35
|
| Rate for Payer: Meridian Medicaid |
$1,069.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,654.10
|
| Rate for Payer: PACE SWMI |
$1,575.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,575.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,018.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,973.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,681.07
|
| Rate for Payer: Priority Health Medicare |
$1,575.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,681.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,575.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,575.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,622.59
|
|
|
PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI
|
Professional
|
Both
|
$2,027.00
|
|
|
Service Code
|
HCPCS 55873
|
| Min. Negotiated Rate |
$486.49 |
| Max. Negotiated Rate |
$8,449.24 |
| Rate for Payer: Aetna Commercial |
$1,000.27
|
| Rate for Payer: Aetna Medicare |
$776.33
|
| Rate for Payer: BCBS Complete |
$510.81
|
| Rate for Payer: BCBS MAPPO |
$746.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,980.07
|
| Rate for Payer: BCN Commercial |
$8,449.24
|
| Rate for Payer: BCN Medicare Advantage |
$746.47
|
| Rate for Payer: Cash Price |
$1,621.60
|
| Rate for Payer: Cash Price |
$1,621.60
|
| Rate for Payer: Cofinity Commercial |
$1,000.27
|
| Rate for Payer: Cofinity Commercial |
$1,074.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$746.47
|
| Rate for Payer: Mclaren Medicaid |
$486.49
|
| Rate for Payer: Meridian Medicaid |
$510.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$783.79
|
| Rate for Payer: PACE SWMI |
$746.47
|
| Rate for Payer: PHP Medicare Advantage |
$746.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$486.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,418.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,219.05
|
| Rate for Payer: Priority Health Medicare |
$746.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,219.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$746.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$746.47
|
| Rate for Payer: UHC Medicare Advantage |
$768.86
|
|
|
PR CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE
|
Professional
|
Both
|
$101.00
|
|
|
Service Code
|
HCPCS 17340
|
| Min. Negotiated Rate |
$31.31 |
| Max. Negotiated Rate |
$145.43 |
| Rate for Payer: Aetna Commercial |
$64.67
|
| Rate for Payer: Aetna Medicare |
$50.19
|
| Rate for Payer: BCBS Complete |
$32.88
|
| Rate for Payer: BCBS MAPPO |
$48.26
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$76.72
|
| Rate for Payer: BCN Medicare Advantage |
$48.26
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cofinity Commercial |
$69.49
|
| Rate for Payer: Cofinity Commercial |
$64.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$48.26
|
| Rate for Payer: Mclaren Medicaid |
$31.31
|
| Rate for Payer: Meridian Medicaid |
$32.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.67
|
| Rate for Payer: PACE SWMI |
$48.26
|
| Rate for Payer: PHP Medicare Advantage |
$48.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$70.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$60.42
|
| Rate for Payer: Priority Health Medicare |
$48.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$60.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$48.26
|
| Rate for Payer: UHC Medicare Advantage |
$49.71
|
|
|
PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC
|
Professional
|
Both
|
$4,470.58
|
|
|
Service Code
|
HCPCS 51595
|
| Min. Negotiated Rate |
$1,378.75 |
| Max. Negotiated Rate |
$3,462.61 |
| Rate for Payer: Aetna Commercial |
$2,855.20
|
| Rate for Payer: Aetna Medicare |
$2,215.98
|
| Rate for Payer: BCBS Complete |
$1,447.69
|
| Rate for Payer: BCBS MAPPO |
$2,130.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,019.16
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,130.75
|
| Rate for Payer: Cash Price |
$3,576.46
|
| Rate for Payer: Cash Price |
$3,576.46
|
| Rate for Payer: Cofinity Commercial |
$2,855.20
|
| Rate for Payer: Cofinity Commercial |
$3,068.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,130.75
|
| Rate for Payer: Mclaren Medicaid |
$1,378.75
|
| Rate for Payer: Meridian Medicaid |
$1,447.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,237.29
|
| Rate for Payer: PACE SWMI |
$2,130.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,130.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,378.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,129.41
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,462.61
|
| Rate for Payer: Priority Health Medicare |
$2,130.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,462.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,130.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,130.75
|
| Rate for Payer: UHC Medicare Advantage |
$2,194.67
|
|
|
PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR
|
Professional
|
Both
|
$4,810.00
|
|
|
Service Code
|
HCPCS 51596
|
| Min. Negotiated Rate |
$1,485.89 |
| Max. Negotiated Rate |
$3,738.20 |
| Rate for Payer: Aetna Commercial |
$3,081.58
|
| Rate for Payer: Aetna Medicare |
$2,391.68
|
| Rate for Payer: BCBS Complete |
$1,560.18
|
| Rate for Payer: BCBS MAPPO |
$2,299.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,189.80
|
| Rate for Payer: BCN Commercial |
$3,380.67
|
| Rate for Payer: BCN Medicare Advantage |
$2,299.69
|
| Rate for Payer: Cash Price |
$3,848.00
|
| Rate for Payer: Cash Price |
$3,848.00
|
| Rate for Payer: Cofinity Commercial |
$3,311.55
|
| Rate for Payer: Cofinity Commercial |
$3,081.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,299.69
|
| Rate for Payer: Mclaren Medicaid |
$1,485.89
|
| Rate for Payer: Meridian Medicaid |
$1,560.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,414.67
|
| Rate for Payer: PACE SWMI |
$2,299.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,299.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,485.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,367.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,738.20
|
| Rate for Payer: Priority Health Medicare |
$2,299.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,738.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,299.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,299.69
|
| Rate for Payer: UHC Medicare Advantage |
$2,368.68
|
|
|
PR CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST
|
Professional
|
Both
|
$4,815.00
|
|
|
Service Code
|
HCPCS 51590
|
| Min. Negotiated Rate |
$1,217.93 |
| Max. Negotiated Rate |
$3,370.50 |
| Rate for Payer: Aetna Commercial |
$2,522.66
|
| Rate for Payer: Aetna Medicare |
$1,957.88
|
| Rate for Payer: BCBS Complete |
$1,278.83
|
| Rate for Payer: BCBS MAPPO |
$1,882.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,561.73
|
| Rate for Payer: BCN Commercial |
$2,767.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,882.58
|
| Rate for Payer: Cash Price |
$3,852.00
|
| Rate for Payer: Cash Price |
$3,852.00
|
| Rate for Payer: Cofinity Commercial |
$2,710.92
|
| Rate for Payer: Cofinity Commercial |
$2,522.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,882.58
|
| Rate for Payer: Mclaren Medicaid |
$1,217.93
|
| Rate for Payer: Meridian Medicaid |
$1,278.83
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,976.71
|
| Rate for Payer: PACE SWMI |
$1,882.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,882.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,217.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,370.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,060.04
|
| Rate for Payer: Priority Health Medicare |
$1,882.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,060.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,882.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,882.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,939.06
|
|
