|
PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL
|
Professional
|
Both
|
$1,648.00
|
|
|
Service Code
|
HCPCS 34710
|
| Min. Negotiated Rate |
$496.29 |
| Max. Negotiated Rate |
$1,852.75 |
| Rate for Payer: Aetna Commercial |
$1,046.23
|
| Rate for Payer: Aetna Medicare |
$812.00
|
| Rate for Payer: BCBS Complete |
$521.10
|
| Rate for Payer: BCBS MAPPO |
$780.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,852.75
|
| Rate for Payer: BCN Commercial |
$1,133.25
|
| Rate for Payer: BCN Medicare Advantage |
$780.77
|
| Rate for Payer: Cash Price |
$1,318.40
|
| Rate for Payer: Cash Price |
$1,318.40
|
| Rate for Payer: Cofinity Commercial |
$1,124.31
|
| Rate for Payer: Cofinity Commercial |
$1,046.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$780.77
|
| Rate for Payer: Mclaren Medicaid |
$496.29
|
| Rate for Payer: Meridian Medicaid |
$521.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$819.81
|
| Rate for Payer: PACE SWMI |
$780.77
|
| Rate for Payer: PHP Medicare Advantage |
$780.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,153.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,233.60
|
| Rate for Payer: Priority Health Medicare |
$780.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,233.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$780.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$780.77
|
| Rate for Payer: UHC Medicare Advantage |
$804.19
|
|
|
PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL
|
Professional
|
Both
|
$617.00
|
|
|
Service Code
|
HCPCS 34711
|
| Min. Negotiated Rate |
$182.75 |
| Max. Negotiated Rate |
$1,060.83 |
| Rate for Payer: Aetna Commercial |
$388.84
|
| Rate for Payer: Aetna Medicare |
$301.79
|
| Rate for Payer: BCBS Complete |
$191.89
|
| Rate for Payer: BCBS MAPPO |
$290.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,060.83
|
| Rate for Payer: BCN Commercial |
$418.30
|
| Rate for Payer: BCN Medicare Advantage |
$290.18
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cofinity Commercial |
$388.84
|
| Rate for Payer: Cofinity Commercial |
$417.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.18
|
| Rate for Payer: Mclaren Medicaid |
$182.75
|
| Rate for Payer: Meridian Medicaid |
$191.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$304.69
|
| Rate for Payer: PACE SWMI |
$290.18
|
| Rate for Payer: PHP Medicare Advantage |
$290.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$455.35
|
| Rate for Payer: Priority Health Medicare |
$290.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$455.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$290.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$290.18
|
| Rate for Payer: UHC Medicare Advantage |
$298.89
|
|
|
PR DOG EAR REVISION
|
Professional
|
Both
|
$1,809.00
|
|
|
Service Code
|
HCPCS 00565
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$723.60 |
| Max. Negotiated Rate |
$1,266.30 |
| Rate for Payer: BCBS Complete |
$723.60
|
| Rate for Payer: Cash Price |
$1,447.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,266.30
|
|
|
PR DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN
|
Professional
|
Both
|
$90.00
|
|
|
Service Code
|
HCPCS 99324
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: BCBS Complete |
$36.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
|
|
PR DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES
|
Professional
|
Both
|
$140.00
|
|
|
Service Code
|
HCPCS 99335
|
| Min. Negotiated Rate |
$56.00 |
| Max. Negotiated Rate |
$98.00 |
| Rate for Payer: BCBS Complete |
$56.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.00
|
|
|
PR DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES
|
Professional
|
Both
|
$198.00
|
|
|
Service Code
|
HCPCS 99336
|
| Min. Negotiated Rate |
$79.20 |
| Max. Negotiated Rate |
$138.60 |
| Rate for Payer: BCBS Complete |
$79.20
|
| Rate for Payer: Cash Price |
$158.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.60
|
|
|
PR DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 99334
|
| Min. Negotiated Rate |
$35.60 |
| Max. Negotiated Rate |
$62.30 |
| Rate for Payer: BCBS Complete |
$35.60
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.30
|
|
|
PR DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES
|
Professional
|
Both
|
$283.00
|
|
|
Service Code
|
HCPCS 99337
|
| Min. Negotiated Rate |
$113.20 |
| Max. Negotiated Rate |
$198.10 |
| Rate for Payer: BCBS Complete |
$113.20
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.10
|
|
|
PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING
|
Professional
|
Both
|
$197.00
|
|
|
Service Code
|
HCPCS 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$21.82 |
| Max. Negotiated Rate |
$2,792.59 |
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Medicare |
$22.69
|
| Rate for Payer: Aetna Medicare |
$22.69
|
| Rate for Payer: BCBS Complete |
$129.60
|
| Rate for Payer: BCBS Complete |
$78.80
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.82
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
|
|
PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING
|
Professional
|
Both
|
$324.00
|
|
|
Service Code
|
HCPCS 93325
|
| Min. Negotiated Rate |
$21.82 |
| Max. Negotiated Rate |
$2,792.59 |
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Commercial |
$29.24
|
| Rate for Payer: Aetna Medicare |
$22.69
|
| Rate for Payer: Aetna Medicare |
$22.69
|
| Rate for Payer: BCBS Complete |
$129.60
|
| Rate for Payer: BCBS Complete |
$78.80
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS MAPPO |
$21.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCBS Trust/PPO |
$2,792.59
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Commercial |
$34.21
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: BCN Medicare Advantage |
$21.82
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Cofinity Commercial |
$31.42
|
| Rate for Payer: Cofinity Commercial |
$29.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.91
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PACE SWMI |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Medicare |
$21.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.82
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
| Rate for Payer: UHC Medicare Advantage |
$22.47
|
|
|
PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING
|
Facility
|
IP
|
$324.00
|
|
|
Service Code
|
CPT 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$197.61 |
| Max. Negotiated Rate |
$291.60 |
| Rate for Payer: Aetna Commercial |
$275.40
|
| Rate for Payer: Aetna Commercial |
$167.45
|
| Rate for Payer: BCBS Trust/PPO |
$152.24
|
| Rate for Payer: BCBS Trust/PPO |
$250.39
|
| Rate for Payer: BCN Commercial |
$152.24
|
| Rate for Payer: BCN Commercial |
$250.39
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cofinity Commercial |
$169.42
|
| Rate for Payer: Cofinity Commercial |
$278.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$259.20
|
| Rate for Payer: Healthscope Commercial |
$177.30
|
| Rate for Payer: Healthscope Commercial |
$291.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$243.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$167.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$275.40
|
| Rate for Payer: PHP Commercial |
$275.40
|
| Rate for Payer: PHP Commercial |
$167.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$281.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.12
|
| Rate for Payer: UHC Core |
$164.50
|
| Rate for Payer: UHC Core |
$270.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$147.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$243.00
|
|
|
PR DOP ECHOCARD COLOR FLOW VELOCITY MAPPING
|
Facility
|
OP
|
$324.00
|
|
|
Service Code
|
CPT 93325
|
| Hospital Charge Code |
93325
|
| Min. Negotiated Rate |
$76.95 |
| Max. Negotiated Rate |
$291.60 |
| Rate for Payer: Aetna Commercial |
$275.40
|
| Rate for Payer: Aetna Commercial |
$167.45
|
| Rate for Payer: Aetna Medicare |
$84.24
|
| Rate for Payer: Aetna Medicare |
$51.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$101.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$101.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61.56
|
| Rate for Payer: BCBS Complete |
$78.80
|
| Rate for Payer: BCBS Complete |
$129.60
|
| Rate for Payer: BCBS MAPPO |
$49.25
|
| Rate for Payer: BCBS MAPPO |
$81.00
|
| Rate for Payer: BCBS Trust/PPO |
$153.17
|
| Rate for Payer: BCBS Trust/PPO |
$251.91
|
| Rate for Payer: BCN Commercial |
$153.17
|
| Rate for Payer: BCN Commercial |
$251.91
|
| Rate for Payer: BCN Medicare Advantage |
$81.00
|
| Rate for Payer: BCN Medicare Advantage |
$49.25
|
| Rate for Payer: Cash Price |
$157.60
|
| Rate for Payer: Cash Price |
$259.20
|
| Rate for Payer: Cofinity Commercial |
$278.64
|
| Rate for Payer: Cofinity Commercial |
$169.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$259.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.25
|
| Rate for Payer: Healthscope Commercial |
$177.30
|
| Rate for Payer: Healthscope Commercial |
$291.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$243.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$51.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$85.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$93.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$275.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$167.45
|
| Rate for Payer: PACE Senior Care Partners |
$76.95
|
| Rate for Payer: PACE Senior Care Partners |
$46.79
|
| Rate for Payer: PACE SWMI |
$81.00
|
| Rate for Payer: PACE SWMI |
$49.25
|
| Rate for Payer: PHP Commercial |
$167.45
|
| Rate for Payer: PHP Commercial |
$275.40
|
| Rate for Payer: PHP Medicare Advantage |
$81.00
|
| Rate for Payer: PHP Medicare Advantage |
$49.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$281.88
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$171.39
|
| Rate for Payer: Priority Health Medicare |
$81.00
|
| Rate for Payer: Priority Health Medicare |
$49.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$120.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.61
|
| Rate for Payer: Railroad Medicare Medicare |
$81.00
|
| Rate for Payer: Railroad Medicare Medicare |
$49.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.36
|
| Rate for Payer: UHC Core |
$164.50
|
| Rate for Payer: UHC Core |
$270.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.25
|
| Rate for Payer: UHC Medicare Advantage |
$50.73
|
| Rate for Payer: UHC Medicare Advantage |
$83.43
|
| Rate for Payer: VA VA |
$81.00
|
| Rate for Payer: VA VA |
$49.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$243.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$147.75
|
|
|
PR DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 93321
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$2,553.80 |
| Rate for Payer: Aetna Commercial |
$31.70
|
| Rate for Payer: Aetna Medicare |
$24.61
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$23.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,553.80
|
| Rate for Payer: BCN Commercial |
$36.65
|
| Rate for Payer: BCN Medicare Advantage |
$23.66
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$34.07
|
| Rate for Payer: Cofinity Commercial |
$31.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24.84
|
| Rate for Payer: PACE SWMI |
$23.66
|
| Rate for Payer: PHP Medicare Advantage |
$23.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.47
|
| Rate for Payer: Priority Health Medicare |
$23.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.66
|
| Rate for Payer: UHC Medicare Advantage |
$24.37
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Professional
|
Both
|
$173.00
|
|
|
Service Code
|
HCPCS 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$47.87 |
| Max. Negotiated Rate |
$1,902.94 |
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Medicare |
$49.78
|
| Rate for Payer: Aetna Medicare |
$49.78
|
| Rate for Payer: BCBS Complete |
$101.60
|
| Rate for Payer: BCBS Complete |
$69.20
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.87
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Facility
|
OP
|
$254.00
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$60.32 |
| Max. Negotiated Rate |
$228.60 |
| Rate for Payer: Aetna Commercial |
$215.90
|
| Rate for Payer: Aetna Commercial |
$147.05
|
| Rate for Payer: Aetna Medicare |
$66.04
|
| Rate for Payer: Aetna Medicare |
$44.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$54.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$79.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$54.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$79.38
|
| Rate for Payer: BCBS Complete |
$69.20
|
| Rate for Payer: BCBS Complete |
$101.60
|
| Rate for Payer: BCBS MAPPO |
$43.25
|
| Rate for Payer: BCBS MAPPO |
$63.50
|
| Rate for Payer: BCBS Trust/PPO |
$197.48
|
| Rate for Payer: BCBS Trust/PPO |
$134.51
|
| Rate for Payer: BCN Commercial |
$197.48
|
| Rate for Payer: BCN Commercial |
$134.51
|
| Rate for Payer: BCN Medicare Advantage |
$43.25
|
| Rate for Payer: BCN Medicare Advantage |
$63.50
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cofinity Commercial |
$218.44
|
| Rate for Payer: Cofinity Commercial |
$148.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.50
|
| Rate for Payer: Healthscope Commercial |
$228.60
|
| Rate for Payer: Healthscope Commercial |
$155.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$129.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$66.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$45.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$147.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$215.90
|
| Rate for Payer: PACE Senior Care Partners |
$60.32
|
| Rate for Payer: PACE Senior Care Partners |
$41.09
|
| Rate for Payer: PACE SWMI |
$43.25
|
| Rate for Payer: PACE SWMI |
$63.50
|
| Rate for Payer: PHP Commercial |
$147.05
|
| Rate for Payer: PHP Commercial |
$215.90
|
| Rate for Payer: PHP Medicare Advantage |
$43.25
|
| Rate for Payer: PHP Medicare Advantage |
$63.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$220.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$150.51
|
| Rate for Payer: Priority Health Medicare |
$43.25
|
| Rate for Payer: Priority Health Medicare |
$63.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.91
|
| Rate for Payer: Railroad Medicare Medicare |
$43.25
|
| Rate for Payer: Railroad Medicare Medicare |
$63.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.24
|
| Rate for Payer: UHC Core |
$144.46
|
| Rate for Payer: UHC Core |
$212.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.50
|
| Rate for Payer: UHC Medicare Advantage |
$44.55
|
| Rate for Payer: UHC Medicare Advantage |
$65.40
|
| Rate for Payer: VA VA |
$63.50
|
| Rate for Payer: VA VA |
$43.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$129.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.50
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Professional
|
Both
|
$173.00
|
|
|
Service Code
|
HCPCS 93320
|
| Min. Negotiated Rate |
$47.87 |
| Max. Negotiated Rate |
$1,902.94 |
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Commercial |
$64.15
|
| Rate for Payer: Aetna Medicare |
$49.78
|
| Rate for Payer: Aetna Medicare |
$49.78
|
| Rate for Payer: BCBS Complete |
$69.20
|
| Rate for Payer: BCBS Complete |
$101.60
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS MAPPO |
$47.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,902.94
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Commercial |
$73.79
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: BCN Medicare Advantage |
$47.87
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$68.93
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Cofinity Commercial |
$64.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$50.26
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PACE SWMI |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: PHP Medicare Advantage |
$47.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Medicare |
$47.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.87
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
| Rate for Payer: UHC Medicare Advantage |
$49.31
|
|
|
PR DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY
|
Facility
|
IP
|
$173.00
|
|
|
Service Code
|
CPT 93320
|
| Hospital Charge Code |
93320
|
| Min. Negotiated Rate |
$105.51 |
| Max. Negotiated Rate |
$155.70 |
| Rate for Payer: Aetna Commercial |
$147.05
|
| Rate for Payer: Aetna Commercial |
$215.90
|
| Rate for Payer: BCBS Trust/PPO |
$196.29
|
| Rate for Payer: BCBS Trust/PPO |
$133.69
|
| Rate for Payer: BCN Commercial |
$133.69
|
| Rate for Payer: BCN Commercial |
$196.29
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cofinity Commercial |
$148.78
|
| Rate for Payer: Cofinity Commercial |
$218.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$203.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.40
|
| Rate for Payer: Healthscope Commercial |
$155.70
|
| Rate for Payer: Healthscope Commercial |
$228.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$129.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$190.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$147.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$215.90
|
| Rate for Payer: PHP Commercial |
$147.05
|
| Rate for Payer: PHP Commercial |
$215.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$121.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$220.98
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$150.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$105.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.24
|
| Rate for Payer: UHC Core |
$144.46
|
| Rate for Payer: UHC Core |
$212.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$129.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$190.50
|
|
|
PR DRAIN ABD ABSCESS PERCUTANEOUS
|
Professional
|
Both
|
$607.00
|
|
|
Service Code
|
HCPCS 49021
|
| Min. Negotiated Rate |
$242.80 |
| Max. Negotiated Rate |
$424.90 |
| Rate for Payer: BCBS Complete |
$242.80
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$424.90
|
|
|
PR DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 30000
|
| Min. Negotiated Rate |
$78.17 |
| Max. Negotiated Rate |
$1,942.56 |
| Rate for Payer: Aetna Commercial |
$158.62
|
| Rate for Payer: Aetna Medicare |
$123.10
|
| Rate for Payer: BCBS Complete |
$82.08
|
| Rate for Payer: BCBS MAPPO |
$118.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,942.56
|
| Rate for Payer: BCN Commercial |
$396.81
|
| Rate for Payer: BCN Medicare Advantage |
$118.37
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$170.45
|
| Rate for Payer: Cofinity Commercial |
$158.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.37
|
| Rate for Payer: Mclaren Medicaid |
$78.17
|
| Rate for Payer: Meridian Medicaid |
$82.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$124.29
|
| Rate for Payer: PACE SWMI |
$118.37
|
| Rate for Payer: PHP Medicare Advantage |
$118.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$169.01
|
| Rate for Payer: Priority Health Medicare |
$118.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$169.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.37
|
| Rate for Payer: UHC Medicare Advantage |
$121.92
|
|
|
PR DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM
|
Professional
|
Both
|
$298.00
|
|
|
Service Code
|
HCPCS 30020
|
| Min. Negotiated Rate |
$79.24 |
| Max. Negotiated Rate |
$1,109.43 |
| Rate for Payer: Aetna Commercial |
$159.86
|
| Rate for Payer: Aetna Medicare |
$124.07
|
| Rate for Payer: BCBS Complete |
$83.20
|
| Rate for Payer: BCBS MAPPO |
$119.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,109.43
|
| Rate for Payer: BCN Commercial |
$401.20
|
| Rate for Payer: BCN Medicare Advantage |
$119.30
|
| Rate for Payer: Cash Price |
$238.40
|
| Rate for Payer: Cash Price |
$238.40
|
| Rate for Payer: Cofinity Commercial |
$171.79
|
| Rate for Payer: Cofinity Commercial |
$159.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.30
|
| Rate for Payer: Mclaren Medicaid |
$79.24
|
| Rate for Payer: Meridian Medicaid |
$83.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$125.26
|
| Rate for Payer: PACE SWMI |
$119.30
|
| Rate for Payer: PHP Medicare Advantage |
$119.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$208.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$170.39
|
| Rate for Payer: Priority Health Medicare |
$119.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$170.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.30
|
| Rate for Payer: UHC Medicare Advantage |
$122.88
|
|
|
PR DRAINAGE ABSCESS PAROTID COMPLICATED
|
Professional
|
Both
|
$768.00
|
|
|
Service Code
|
HCPCS 42305
|
| Min. Negotiated Rate |
$200.75 |
| Max. Negotiated Rate |
$747.91 |
| Rate for Payer: Aetna Commercial |
$558.07
|
| Rate for Payer: Aetna Medicare |
$433.13
|
| Rate for Payer: BCBS Complete |
$293.65
|
| Rate for Payer: BCBS MAPPO |
$416.47
|
| Rate for Payer: BCBS Trust/PPO |
$200.75
|
| Rate for Payer: BCN Commercial |
$621.60
|
| Rate for Payer: BCN Medicare Advantage |
$416.47
|
| Rate for Payer: Cash Price |
$614.40
|
| Rate for Payer: Cash Price |
$614.40
|
| Rate for Payer: Cofinity Commercial |
$599.72
|
| Rate for Payer: Cofinity Commercial |
$558.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.47
|
| Rate for Payer: Mclaren Medicaid |
$279.67
|
| Rate for Payer: Meridian Medicaid |
$293.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$437.29
|
| Rate for Payer: PACE SWMI |
$416.47
|
| Rate for Payer: PHP Medicare Advantage |
$416.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$537.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$747.91
|
| Rate for Payer: Priority Health Medicare |
$416.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$747.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.47
|
| Rate for Payer: UHC Medicare Advantage |
$428.96
|
|
|
PR DRAINAGE ABSCESS PAROTID SIMPLE
|
Professional
|
Both
|
$342.00
|
|
|
Service Code
|
HCPCS 42300
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$891.77 |
| Rate for Payer: Aetna Commercial |
$205.02
|
| Rate for Payer: Aetna Medicare |
$159.12
|
| Rate for Payer: BCBS Complete |
$106.01
|
| Rate for Payer: BCBS MAPPO |
$153.00
|
| Rate for Payer: BCBS Trust/PPO |
$891.77
|
| Rate for Payer: BCN Commercial |
$319.11
|
| Rate for Payer: BCN Medicare Advantage |
$153.00
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cofinity Commercial |
$205.02
|
| Rate for Payer: Cofinity Commercial |
$220.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.00
|
| Rate for Payer: Mclaren Medicaid |
$100.96
|
| Rate for Payer: Meridian Medicaid |
$106.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$160.65
|
| Rate for Payer: PACE SWMI |
$153.00
|
| Rate for Payer: PHP Medicare Advantage |
$153.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$276.94
|
| Rate for Payer: Priority Health Medicare |
$153.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$276.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.00
|
| Rate for Payer: UHC Medicare Advantage |
$157.59
|
|
|
PR DRAINAGE DEEP PERIURETHRAL ABSCESS
|
Professional
|
Both
|
$799.00
|
|
|
Service Code
|
HCPCS 53040
|
| Min. Negotiated Rate |
$251.13 |
| Max. Negotiated Rate |
$758.64 |
| Rate for Payer: Aetna Commercial |
$513.42
|
| Rate for Payer: Aetna Medicare |
$398.48
|
| Rate for Payer: BCBS Complete |
$263.69
|
| Rate for Payer: BCBS MAPPO |
$383.15
|
| Rate for Payer: BCBS Trust/PPO |
$758.64
|
| Rate for Payer: BCN Commercial |
$568.33
|
| Rate for Payer: BCN Medicare Advantage |
$383.15
|
| Rate for Payer: Cash Price |
$639.20
|
| Rate for Payer: Cash Price |
$639.20
|
| Rate for Payer: Cofinity Commercial |
$513.42
|
| Rate for Payer: Cofinity Commercial |
$551.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.15
|
| Rate for Payer: Mclaren Medicaid |
$251.13
|
| Rate for Payer: Meridian Medicaid |
$263.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$402.31
|
| Rate for Payer: PACE SWMI |
$383.15
|
| Rate for Payer: PHP Medicare Advantage |
$383.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$559.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$628.44
|
| Rate for Payer: Priority Health Medicare |
$383.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$628.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$383.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$383.15
|
| Rate for Payer: UHC Medicare Advantage |
$394.64
|
|
|
PR DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS
|
Professional
|
Both
|
$373.00
|
|
|
Service Code
|
HCPCS 69020
|
| Min. Negotiated Rate |
$92.87 |
| Max. Negotiated Rate |
$346.96 |
| Rate for Payer: Aetna Commercial |
$187.77
|
| Rate for Payer: Aetna Medicare |
$145.74
|
| Rate for Payer: BCBS Complete |
$97.51
|
| Rate for Payer: BCBS MAPPO |
$140.13
|
| Rate for Payer: BCBS Trust/PPO |
$282.64
|
| Rate for Payer: BCN Commercial |
$346.96
|
| Rate for Payer: BCN Medicare Advantage |
$140.13
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cofinity Commercial |
$201.79
|
| Rate for Payer: Cofinity Commercial |
$187.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.13
|
| Rate for Payer: Mclaren Medicaid |
$92.87
|
| Rate for Payer: Meridian Medicaid |
$97.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$147.14
|
| Rate for Payer: PACE SWMI |
$140.13
|
| Rate for Payer: PHP Medicare Advantage |
$140.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$205.09
|
| Rate for Payer: Priority Health Medicare |
$140.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.13
|
| Rate for Payer: UHC Medicare Advantage |
$144.33
|
|
|
PR DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX
|
Professional
|
Both
|
$377.00
|
|
|
Service Code
|
HCPCS 69005
|
| Min. Negotiated Rate |
$104.16 |
| Max. Negotiated Rate |
$5,834.02 |
| Rate for Payer: Aetna Commercial |
$209.95
|
| Rate for Payer: Aetna Medicare |
$162.95
|
| Rate for Payer: BCBS Complete |
$109.37
|
| Rate for Payer: BCBS MAPPO |
$156.68
|
| Rate for Payer: BCBS Trust/PPO |
$5,834.02
|
| Rate for Payer: BCN Commercial |
$323.02
|
| Rate for Payer: BCN Medicare Advantage |
$156.68
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cofinity Commercial |
$225.62
|
| Rate for Payer: Cofinity Commercial |
$209.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.68
|
| Rate for Payer: Mclaren Medicaid |
$104.16
|
| Rate for Payer: Meridian Medicaid |
$109.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$164.51
|
| Rate for Payer: PACE SWMI |
$156.68
|
| Rate for Payer: PHP Medicare Advantage |
$156.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$226.78
|
| Rate for Payer: Priority Health Medicare |
$156.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$226.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.68
|
| Rate for Payer: UHC Medicare Advantage |
$161.38
|
|
