PR ELECTROACOUS EVAL HEARING AID MONAURAL
|
Professional
|
Both
|
$26.00
|
|
Service Code
|
HCPCS 92594
|
Min. Negotiated Rate |
$10.40 |
Max. Negotiated Rate |
$231.15 |
Rate for Payer: Aetna Commercial |
$22.43
|
Rate for Payer: BCBS Complete |
$10.40
|
Rate for Payer: BCBS Trust/PPO |
$231.15
|
Rate for Payer: BCN Commercial |
$64.31
|
Rate for Payer: Cash Price |
$20.80
|
Rate for Payer: Cash Price |
$20.80
|
Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.75
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$28.75
|
|
PR ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY
|
Professional
|
Both
|
$197.00
|
|
Service Code
|
HCPCS 95824
|
Min. Negotiated Rate |
$78.80 |
Max. Negotiated Rate |
$502.89 |
Rate for Payer: Aetna Commercial |
$106.88
|
Rate for Payer: BCBS Complete |
$78.80
|
Rate for Payer: BCBS Trust/PPO |
$262.57
|
Rate for Payer: BCN Commercial |
$502.89
|
Rate for Payer: Cash Price |
$157.60
|
Rate for Payer: Cash Price |
$157.60
|
Rate for Payer: Priority Health Cigna Priority Health |
$137.90
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$131.15
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$131.15
|
|
PR ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN
|
Professional
|
Both
|
$738.00
|
|
Service Code
|
HCPCS 95812
|
Min. Negotiated Rate |
$295.20 |
Max. Negotiated Rate |
$1,286.41 |
Rate for Payer: Aetna Commercial |
$431.88
|
Rate for Payer: Aetna Medicare |
$335.19
|
Rate for Payer: BCBS Complete |
$295.20
|
Rate for Payer: BCBS MAPPO |
$322.30
|
Rate for Payer: BCBS Trust/PPO |
$1,286.41
|
Rate for Payer: BCN Commercial |
$504.32
|
Rate for Payer: BCN Medicare Advantage |
$322.30
|
Rate for Payer: Cash Price |
$590.40
|
Rate for Payer: Cash Price |
$590.40
|
Rate for Payer: Cofinity Commercial |
$464.11
|
Rate for Payer: Cofinity Commercial |
$431.88
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.30
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$338.42
|
Rate for Payer: PACE SWMI |
$322.30
|
Rate for Payer: PHP Medicare Advantage |
$322.30
|
Rate for Payer: Priority Health Cigna Priority Health |
$516.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$463.52
|
Rate for Payer: Priority Health Medicare |
$322.30
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$463.52
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$322.30
|
Rate for Payer: UHC Dual Complete DSNP |
$322.30
|
Rate for Payer: UHC Medicare Advantage |
$331.97
|
|
PR ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY
|
Professional
|
Both
|
$360.00
|
|
Service Code
|
HCPCS 95822
|
Min. Negotiated Rate |
$144.00 |
Max. Negotiated Rate |
$614.41 |
Rate for Payer: Aetna Commercial |
$519.16
|
Rate for Payer: Aetna Medicare |
$402.93
|
Rate for Payer: BCBS Complete |
$144.00
|
Rate for Payer: BCBS MAPPO |
$387.43
|
Rate for Payer: BCBS Trust/PPO |
$614.41
|
Rate for Payer: BCN Commercial |
$607.43
|
Rate for Payer: BCN Medicare Advantage |
$387.43
|
Rate for Payer: Cash Price |
$288.00
|
Rate for Payer: Cash Price |
$288.00
|
Rate for Payer: Cofinity Commercial |
$557.90
|
Rate for Payer: Cofinity Commercial |
$519.16
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.43
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$406.80
|
Rate for Payer: PACE SWMI |
$387.43
|
Rate for Payer: PHP Medicare Advantage |
$387.43
|
Rate for Payer: Priority Health Cigna Priority Health |
$252.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$558.29
|
Rate for Payer: Priority Health Medicare |
$387.43
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$558.29
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$387.43
|
Rate for Payer: UHC Dual Complete DSNP |
$387.43
|
Rate for Payer: UHC Medicare Advantage |
$399.05
|
|
PR ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP
|
Professional
|
Both
|
$778.00
|
|
Service Code
|
HCPCS 95819
|
Min. Negotiated Rate |
$150.04 |
Max. Negotiated Rate |
$648.47 |
Rate for Payer: Aetna Commercial |
$553.92
|
Rate for Payer: Aetna Commercial |
$553.92
|
Rate for Payer: Aetna Medicare |
$429.90
|
Rate for Payer: Aetna Medicare |
$429.90
|
Rate for Payer: BCBS Complete |
$311.20
|
Rate for Payer: BCBS Complete |
$80.80
|
Rate for Payer: BCBS MAPPO |
$413.37
|
Rate for Payer: BCBS MAPPO |
$413.37
|
Rate for Payer: BCBS Trust/PPO |
$150.04
|
Rate for Payer: BCBS Trust/PPO |
$150.04
|
Rate for Payer: BCN Commercial |
$648.47
|
Rate for Payer: BCN Commercial |
$648.47
|
Rate for Payer: BCN Medicare Advantage |
$413.37
|
Rate for Payer: BCN Medicare Advantage |
$413.37
|
Rate for Payer: Cash Price |
$622.40
|
Rate for Payer: Cash Price |
$161.60
|
Rate for Payer: Cash Price |
$161.60
|
Rate for Payer: Cash Price |
$622.40
|
Rate for Payer: Cofinity Commercial |
$595.25
|
Rate for Payer: Cofinity Commercial |
$553.92
|
Rate for Payer: Cofinity Commercial |
$553.92
|
Rate for Payer: Cofinity Commercial |
$595.25
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.37
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.37
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$434.04
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$434.04
|
Rate for Payer: PACE SWMI |
$413.37
|
Rate for Payer: PACE SWMI |
$413.37
|
Rate for Payer: PHP Medicare Advantage |
$413.37
|
Rate for Payer: PHP Medicare Advantage |
$413.37
|
Rate for Payer: Priority Health Cigna Priority Health |
$141.40
|
Rate for Payer: Priority Health Cigna Priority Health |
$544.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$596.01
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$596.01
|
Rate for Payer: Priority Health Medicare |
$413.37
|
Rate for Payer: Priority Health Medicare |
$413.37
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$596.01
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$596.01
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$413.37
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$413.37
|
Rate for Payer: UHC Dual Complete DSNP |
$413.37
|
Rate for Payer: UHC Dual Complete DSNP |
$413.37
|
Rate for Payer: UHC Medicare Advantage |
$425.77
|
Rate for Payer: UHC Medicare Advantage |
$425.77
|
|
PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY
|
Professional
|
Both
|
$678.00
|
|
Service Code
|
HCPCS 95816
|
Min. Negotiated Rate |
$231.92 |
Max. Negotiated Rate |
$559.05 |
Rate for Payer: Aetna Commercial |
$478.21
|
Rate for Payer: Aetna Commercial |
$478.21
|
Rate for Payer: Aetna Medicare |
$371.14
|
Rate for Payer: Aetna Medicare |
$371.14
|
Rate for Payer: BCBS Complete |
$110.40
|
Rate for Payer: BCBS Complete |
$271.20
|
Rate for Payer: BCBS MAPPO |
$356.87
|
Rate for Payer: BCBS MAPPO |
$356.87
|
Rate for Payer: BCBS Trust/PPO |
$231.92
|
Rate for Payer: BCBS Trust/PPO |
$231.92
|
Rate for Payer: BCN Commercial |
$559.05
|
Rate for Payer: BCN Commercial |
$559.05
|
Rate for Payer: BCN Medicare Advantage |
$356.87
|
Rate for Payer: BCN Medicare Advantage |
$356.87
|
Rate for Payer: Cash Price |
$542.40
|
Rate for Payer: Cash Price |
$220.80
|
Rate for Payer: Cash Price |
$220.80
|
Rate for Payer: Cash Price |
$542.40
|
Rate for Payer: Cofinity Commercial |
$513.89
|
Rate for Payer: Cofinity Commercial |
$513.89
|
Rate for Payer: Cofinity Commercial |
$478.21
|
Rate for Payer: Cofinity Commercial |
$478.21
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.87
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.87
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$374.71
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$374.71
|
Rate for Payer: PACE SWMI |
$356.87
|
Rate for Payer: PACE SWMI |
$356.87
|
Rate for Payer: PHP Medicare Advantage |
$356.87
|
Rate for Payer: PHP Medicare Advantage |
$356.87
|
Rate for Payer: Priority Health Cigna Priority Health |
$193.20
|
Rate for Payer: Priority Health Cigna Priority Health |
$474.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$513.82
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$513.82
|
Rate for Payer: Priority Health Medicare |
$356.87
|
Rate for Payer: Priority Health Medicare |
$356.87
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$513.82
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$513.82
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$356.87
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$356.87
|
Rate for Payer: UHC Dual Complete DSNP |
$356.87
|
Rate for Payer: UHC Dual Complete DSNP |
$356.87
|
Rate for Payer: UHC Medicare Advantage |
$367.58
|
Rate for Payer: UHC Medicare Advantage |
$367.58
|
|
PR ELECTROGASTROGRAPHY DX TRANSCUTANEOUS
|
Professional
|
Both
|
$276.00
|
|
Service Code
|
HCPCS 91132
|
Min. Negotiated Rate |
$110.40 |
Max. Negotiated Rate |
$652.87 |
Rate for Payer: Aetna Commercial |
$555.00
|
Rate for Payer: Aetna Medicare |
$430.75
|
Rate for Payer: BCBS Complete |
$110.40
|
Rate for Payer: BCBS MAPPO |
$414.18
|
Rate for Payer: BCBS Trust/PPO |
$538.87
|
Rate for Payer: BCN Commercial |
$652.87
|
Rate for Payer: BCN Medicare Advantage |
$414.18
|
Rate for Payer: Cash Price |
$220.80
|
Rate for Payer: Cash Price |
$220.80
|
Rate for Payer: Cofinity Commercial |
$596.42
|
Rate for Payer: Cofinity Commercial |
$555.00
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.18
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$434.89
|
Rate for Payer: PACE SWMI |
$414.18
|
Rate for Payer: PHP Medicare Advantage |
$414.18
|
Rate for Payer: Priority Health Cigna Priority Health |
$193.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$600.05
|
Rate for Payer: Priority Health Medicare |
$414.18
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$600.05
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$414.18
|
Rate for Payer: UHC Dual Complete DSNP |
$414.18
|
Rate for Payer: UHC Medicare Advantage |
$426.61
|
|
PR ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM
|
Professional
|
Both
|
$560.00
|
|
Service Code
|
HCPCS 93724
|
Min. Negotiated Rate |
$99.85 |
Max. Negotiated Rate |
$409.52 |
Rate for Payer: Aetna Commercial |
$367.74
|
Rate for Payer: Aetna Medicare |
$285.41
|
Rate for Payer: BCBS Complete |
$224.00
|
Rate for Payer: BCBS MAPPO |
$274.43
|
Rate for Payer: BCBS Trust/PPO |
$99.85
|
Rate for Payer: BCN Commercial |
$409.52
|
Rate for Payer: BCN Medicare Advantage |
$274.43
|
Rate for Payer: Cash Price |
$448.00
|
Rate for Payer: Cash Price |
$448.00
|
Rate for Payer: Cofinity Commercial |
$367.74
|
Rate for Payer: Cofinity Commercial |
$395.18
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.43
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.15
|
Rate for Payer: PACE SWMI |
$274.43
|
Rate for Payer: PHP Medicare Advantage |
$274.43
|
Rate for Payer: Priority Health Cigna Priority Health |
$392.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.26
|
Rate for Payer: Priority Health Medicare |
$274.43
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$396.26
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$274.43
|
Rate for Payer: UHC Dual Complete DSNP |
$274.43
|
Rate for Payer: UHC Medicare Advantage |
$282.66
|
|
PR ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL
|
Professional
|
Both
|
$4,063.00
|
|
Service Code
|
HCPCS 62000
|
Min. Negotiated Rate |
$675.00 |
Max. Negotiated Rate |
$2,844.10 |
Rate for Payer: Aetna Commercial |
$1,396.67
|
Rate for Payer: Aetna Medicare |
$1,083.98
|
Rate for Payer: BCBS Complete |
$708.75
|
Rate for Payer: BCBS MAPPO |
$1,042.29
|
Rate for Payer: BCBS Trust/PPO |
$1,847.99
|
Rate for Payer: BCN Commercial |
$1,533.47
|
Rate for Payer: BCN Medicare Advantage |
$1,042.29
|
Rate for Payer: Cash Price |
$3,250.40
|
Rate for Payer: Cash Price |
$3,250.40
|
Rate for Payer: Cofinity Commercial |
$1,500.90
|
Rate for Payer: Cofinity Commercial |
$1,396.67
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,042.29
|
Rate for Payer: Mclaren Medicaid |
$675.00
|
Rate for Payer: Meridian Medicaid |
$708.75
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,094.40
|
Rate for Payer: PACE SWMI |
$1,042.29
|
Rate for Payer: PHP Medicare Advantage |
$1,042.29
|
Rate for Payer: Priority Health Choice Medicaid |
$675.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$2,844.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,776.81
|
Rate for Payer: Priority Health Medicare |
$1,042.29
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,776.81
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,042.29
|
Rate for Payer: UHC Dual Complete DSNP |
$1,042.29
|
Rate for Payer: UHC Medicare Advantage |
$1,073.56
|
|
PR ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL
|
Professional
|
Both
|
$5,136.00
|
|
Service Code
|
HCPCS 62005
|
Min. Negotiated Rate |
$829.00 |
Max. Negotiated Rate |
$3,595.20 |
Rate for Payer: Aetna Commercial |
$1,719.05
|
Rate for Payer: Aetna Medicare |
$1,334.18
|
Rate for Payer: BCBS Complete |
$870.45
|
Rate for Payer: BCBS MAPPO |
$1,282.87
|
Rate for Payer: BCBS Trust/PPO |
$1,278.49
|
Rate for Payer: BCN Commercial |
$2,612.76
|
Rate for Payer: BCN Medicare Advantage |
$1,282.87
|
Rate for Payer: Cash Price |
$4,108.80
|
Rate for Payer: Cash Price |
$4,108.80
|
Rate for Payer: Cofinity Commercial |
$1,847.33
|
Rate for Payer: Cofinity Commercial |
$1,719.05
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,282.87
|
Rate for Payer: Mclaren Medicaid |
$829.00
|
Rate for Payer: Meridian Medicaid |
$870.45
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,347.01
|
Rate for Payer: PACE SWMI |
$1,282.87
|
Rate for Payer: PHP Medicare Advantage |
$1,282.87
|
Rate for Payer: Priority Health Choice Medicaid |
$829.00
|
Rate for Payer: Priority Health Cigna Priority Health |
$3,595.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,182.22
|
Rate for Payer: Priority Health Medicare |
$1,282.87
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,182.22
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,282.87
|
Rate for Payer: UHC Dual Complete DSNP |
$1,282.87
|
Rate for Payer: UHC Medicare Advantage |
$1,321.36
|
|
PR ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN
|
Professional
|
Both
|
$6,743.00
|
|
Service Code
|
HCPCS 62010
|
Min. Negotiated Rate |
$1,000.46 |
Max. Negotiated Rate |
$4,720.10 |
Rate for Payer: Aetna Commercial |
$2,076.40
|
Rate for Payer: Aetna Medicare |
$1,611.53
|
Rate for Payer: BCBS Complete |
$1,050.48
|
Rate for Payer: BCBS MAPPO |
$1,549.55
|
Rate for Payer: BCBS Trust/PPO |
$2,117.43
|
Rate for Payer: BCN Commercial |
$3,154.42
|
Rate for Payer: BCN Medicare Advantage |
$1,549.55
|
Rate for Payer: Cash Price |
$5,394.40
|
Rate for Payer: Cash Price |
$5,394.40
|
Rate for Payer: Cofinity Commercial |
$2,231.35
|
Rate for Payer: Cofinity Commercial |
$2,076.40
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,549.55
|
Rate for Payer: Mclaren Medicaid |
$1,000.46
|
Rate for Payer: Meridian Medicaid |
$1,050.48
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,627.03
|
Rate for Payer: PACE SWMI |
$1,549.55
|
Rate for Payer: PHP Medicare Advantage |
$1,549.55
|
Rate for Payer: Priority Health Choice Medicaid |
$1,000.46
|
Rate for Payer: Priority Health Cigna Priority Health |
$4,720.10
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,634.64
|
Rate for Payer: Priority Health Medicare |
$1,549.55
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,634.64
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,549.55
|
Rate for Payer: UHC Dual Complete DSNP |
$1,549.55
|
Rate for Payer: UHC Medicare Advantage |
$1,596.04
|
|
PR E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN
|
Professional
|
Both
|
$142.00
|
|
Service Code
|
HCPCS 99318
|
Min. Negotiated Rate |
$56.80 |
Max. Negotiated Rate |
$99.40 |
Rate for Payer: BCBS Complete |
$56.80
|
Rate for Payer: Cash Price |
$113.60
|
Rate for Payer: Priority Health Cigna Priority Health |
$99.40
|
|
PR EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART
|
Professional
|
Both
|
$2,291.00
|
|
Service Code
|
HCPCS 34101
|
Min. Negotiated Rate |
$372.75 |
Max. Negotiated Rate |
$1,746.03 |
Rate for Payer: Aetna Commercial |
$787.54
|
Rate for Payer: Aetna Medicare |
$611.23
|
Rate for Payer: BCBS Complete |
$391.39
|
Rate for Payer: BCBS MAPPO |
$587.72
|
Rate for Payer: BCBS Trust/PPO |
$1,746.03
|
Rate for Payer: BCN Commercial |
$854.70
|
Rate for Payer: BCN Medicare Advantage |
$587.72
|
Rate for Payer: Cash Price |
$1,832.80
|
Rate for Payer: Cash Price |
$1,832.80
|
Rate for Payer: Cofinity Commercial |
$846.32
|
Rate for Payer: Cofinity Commercial |
$787.54
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$587.72
|
Rate for Payer: Mclaren Medicaid |
$372.75
|
Rate for Payer: Meridian Medicaid |
$391.39
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$617.11
|
Rate for Payer: PACE SWMI |
$587.72
|
Rate for Payer: PHP Medicare Advantage |
$587.72
|
Rate for Payer: Priority Health Choice Medicaid |
$372.75
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,603.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$930.40
|
Rate for Payer: Priority Health Medicare |
$587.72
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$930.40
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$587.72
|
Rate for Payer: UHC Dual Complete DSNP |
$587.72
|
Rate for Payer: UHC Medicare Advantage |
$605.35
|
|
PR EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART
|
Professional
|
Both
|
$1,994.00
|
|
Service Code
|
HCPCS 34001
|
Min. Negotiated Rate |
$571.48 |
Max. Negotiated Rate |
$1,434.86 |
Rate for Payer: Aetna Commercial |
$1,209.63
|
Rate for Payer: Aetna Medicare |
$938.82
|
Rate for Payer: BCBS Complete |
$600.05
|
Rate for Payer: BCBS MAPPO |
$902.71
|
Rate for Payer: BCBS Trust/PPO |
$1,434.86
|
Rate for Payer: BCN Commercial |
$1,305.26
|
Rate for Payer: BCN Medicare Advantage |
$902.71
|
Rate for Payer: Cash Price |
$1,595.20
|
Rate for Payer: Cash Price |
$1,595.20
|
Rate for Payer: Cofinity Commercial |
$1,299.90
|
Rate for Payer: Cofinity Commercial |
$1,209.63
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.71
|
Rate for Payer: Mclaren Medicaid |
$571.48
|
Rate for Payer: Meridian Medicaid |
$600.05
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$947.85
|
Rate for Payer: PACE SWMI |
$902.71
|
Rate for Payer: PHP Medicare Advantage |
$902.71
|
Rate for Payer: Priority Health Choice Medicaid |
$571.48
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,395.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,420.86
|
Rate for Payer: Priority Health Medicare |
$902.71
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,420.86
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$902.71
|
Rate for Payer: UHC Dual Complete DSNP |
$902.71
|
Rate for Payer: UHC Medicare Advantage |
$929.79
|
|
PR EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART
|
Professional
|
Both
|
$1,956.00
|
|
Service Code
|
HCPCS 34201
|
Min. Negotiated Rate |
$637.51 |
Max. Negotiated Rate |
$2,634.63 |
Rate for Payer: Aetna Commercial |
$1,348.01
|
Rate for Payer: Aetna Medicare |
$1,046.22
|
Rate for Payer: BCBS Complete |
$669.39
|
Rate for Payer: BCBS MAPPO |
$1,005.98
|
Rate for Payer: BCBS Trust/PPO |
$2,634.63
|
Rate for Payer: BCN Commercial |
$1,457.73
|
Rate for Payer: BCN Medicare Advantage |
$1,005.98
|
Rate for Payer: Cash Price |
$1,564.80
|
Rate for Payer: Cash Price |
$1,564.80
|
Rate for Payer: Cofinity Commercial |
$1,448.61
|
Rate for Payer: Cofinity Commercial |
$1,348.01
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,005.98
|
Rate for Payer: Mclaren Medicaid |
$637.51
|
Rate for Payer: Meridian Medicaid |
$669.39
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,056.28
|
Rate for Payer: PACE SWMI |
$1,005.98
|
Rate for Payer: PHP Medicare Advantage |
$1,005.98
|
Rate for Payer: Priority Health Choice Medicaid |
$637.51
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,369.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,586.84
|
Rate for Payer: Priority Health Medicare |
$1,005.98
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,586.84
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,005.98
|
Rate for Payer: UHC Dual Complete DSNP |
$1,005.98
|
Rate for Payer: UHC Medicare Advantage |
$1,036.16
|
|
PR EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY
|
Professional
|
Both
|
$1,971.00
|
|
Service Code
|
HCPCS 34051
|
Min. Negotiated Rate |
$624.09 |
Max. Negotiated Rate |
$2,053.50 |
Rate for Payer: Aetna Commercial |
$1,305.55
|
Rate for Payer: Aetna Medicare |
$1,013.26
|
Rate for Payer: BCBS Complete |
$655.29
|
Rate for Payer: BCBS MAPPO |
$974.29
|
Rate for Payer: BCBS Trust/PPO |
$2,053.50
|
Rate for Payer: BCN Commercial |
$1,427.42
|
Rate for Payer: BCN Medicare Advantage |
$974.29
|
Rate for Payer: Cash Price |
$1,576.80
|
Rate for Payer: Cash Price |
$1,576.80
|
Rate for Payer: Cofinity Commercial |
$1,305.55
|
Rate for Payer: Cofinity Commercial |
$1,402.98
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$974.29
|
Rate for Payer: Mclaren Medicaid |
$624.09
|
Rate for Payer: Meridian Medicaid |
$655.29
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,023.00
|
Rate for Payer: PACE SWMI |
$974.29
|
Rate for Payer: PHP Medicare Advantage |
$974.29
|
Rate for Payer: Priority Health Choice Medicaid |
$624.09
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,379.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,553.86
|
Rate for Payer: Priority Health Medicare |
$974.29
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,553.86
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$974.29
|
Rate for Payer: UHC Dual Complete DSNP |
$974.29
|
Rate for Payer: UHC Medicare Advantage |
$1,003.52
|
|
PR EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC
|
Professional
|
Both
|
$1,938.00
|
|
Service Code
|
HCPCS 34203
|
Min. Negotiated Rate |
$592.35 |
Max. Negotiated Rate |
$3,301.73 |
Rate for Payer: Aetna Commercial |
$1,250.01
|
Rate for Payer: Aetna Medicare |
$970.15
|
Rate for Payer: BCBS Complete |
$621.97
|
Rate for Payer: BCBS MAPPO |
$932.84
|
Rate for Payer: BCBS Trust/PPO |
$3,301.73
|
Rate for Payer: BCN Commercial |
$1,353.15
|
Rate for Payer: BCN Medicare Advantage |
$932.84
|
Rate for Payer: Cash Price |
$1,550.40
|
Rate for Payer: Cash Price |
$1,550.40
|
Rate for Payer: Cofinity Commercial |
$1,250.01
|
Rate for Payer: Cofinity Commercial |
$1,343.29
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$932.84
|
Rate for Payer: Mclaren Medicaid |
$592.35
|
Rate for Payer: Meridian Medicaid |
$621.97
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$979.48
|
Rate for Payer: PACE SWMI |
$932.84
|
Rate for Payer: PHP Medicare Advantage |
$932.84
|
Rate for Payer: Priority Health Choice Medicaid |
$592.35
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,356.60
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,473.00
|
Rate for Payer: Priority Health Medicare |
$932.84
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$1,473.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$932.84
|
Rate for Payer: UHC Dual Complete DSNP |
$932.84
|
Rate for Payer: UHC Medicare Advantage |
$960.83
|
|
PR EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART
|
Professional
|
Both
|
$2,676.00
|
|
Service Code
|
HCPCS 34151
|
Min. Negotiated Rate |
$868.40 |
Max. Negotiated Rate |
$2,233.15 |
Rate for Payer: Aetna Commercial |
$1,837.43
|
Rate for Payer: Aetna Medicare |
$1,426.07
|
Rate for Payer: BCBS Complete |
$911.82
|
Rate for Payer: BCBS MAPPO |
$1,371.22
|
Rate for Payer: BCBS Trust/PPO |
$2,233.15
|
Rate for Payer: BCN Commercial |
$1,987.94
|
Rate for Payer: BCN Medicare Advantage |
$1,371.22
|
Rate for Payer: Cash Price |
$2,140.80
|
Rate for Payer: Cash Price |
$2,140.80
|
Rate for Payer: Cofinity Commercial |
$1,974.56
|
Rate for Payer: Cofinity Commercial |
$1,837.43
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,371.22
|
Rate for Payer: Mclaren Medicaid |
$868.40
|
Rate for Payer: Meridian Medicaid |
$911.82
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,439.78
|
Rate for Payer: PACE SWMI |
$1,371.22
|
Rate for Payer: PHP Medicare Advantage |
$1,371.22
|
Rate for Payer: Priority Health Choice Medicaid |
$868.40
|
Rate for Payer: Priority Health Cigna Priority Health |
$1,873.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,164.00
|
Rate for Payer: Priority Health Medicare |
$1,371.22
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$2,164.00
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$1,371.22
|
Rate for Payer: UHC Dual Complete DSNP |
$1,371.22
|
Rate for Payer: UHC Medicare Advantage |
$1,412.36
|
|
PR EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC
|
Professional
|
Both
|
$1,233.34
|
|
Service Code
|
HCPCS 34111
|
Min. Negotiated Rate |
$372.32 |
Max. Negotiated Rate |
$1,789.88 |
Rate for Payer: Aetna Commercial |
$789.88
|
Rate for Payer: Aetna Medicare |
$613.04
|
Rate for Payer: BCBS Complete |
$390.94
|
Rate for Payer: BCBS MAPPO |
$589.46
|
Rate for Payer: BCBS Trust/PPO |
$1,789.88
|
Rate for Payer: BCN Commercial |
$857.63
|
Rate for Payer: BCN Medicare Advantage |
$589.46
|
Rate for Payer: Cash Price |
$986.67
|
Rate for Payer: Cash Price |
$986.67
|
Rate for Payer: Cofinity Commercial |
$848.82
|
Rate for Payer: Cofinity Commercial |
$789.88
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$589.46
|
Rate for Payer: Mclaren Medicaid |
$372.32
|
Rate for Payer: Meridian Medicaid |
$390.94
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$618.93
|
Rate for Payer: PACE SWMI |
$589.46
|
Rate for Payer: PHP Medicare Advantage |
$589.46
|
Rate for Payer: Priority Health Choice Medicaid |
$372.32
|
Rate for Payer: Priority Health Cigna Priority Health |
$863.34
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$933.58
|
Rate for Payer: Priority Health Medicare |
$589.46
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$933.58
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$589.46
|
Rate for Payer: UHC Dual Complete DSNP |
$589.46
|
Rate for Payer: UHC Medicare Advantage |
$607.14
|
|
PR EMERGENCY DEPARTMENT VISIT HIGH MDM
|
Professional
|
Both
|
$364.00
|
|
Service Code
|
HCPCS 99285
|
Min. Negotiated Rate |
$110.76 |
Max. Negotiated Rate |
$932.45 |
Rate for Payer: Aetna Commercial |
$234.84
|
Rate for Payer: Aetna Medicare |
$182.26
|
Rate for Payer: BCBS Complete |
$116.30
|
Rate for Payer: BCBS MAPPO |
$175.25
|
Rate for Payer: BCBS Trust/PPO |
$932.45
|
Rate for Payer: BCN Commercial |
$254.60
|
Rate for Payer: BCN Medicare Advantage |
$175.25
|
Rate for Payer: Cash Price |
$291.20
|
Rate for Payer: Cash Price |
$291.20
|
Rate for Payer: Cofinity Commercial |
$234.84
|
Rate for Payer: Cofinity Commercial |
$252.36
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.25
|
Rate for Payer: Mclaren Medicaid |
$110.76
|
Rate for Payer: Meridian Medicaid |
$116.30
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.01
|
Rate for Payer: PACE SWMI |
$175.25
|
Rate for Payer: PHP Medicare Advantage |
$175.25
|
Rate for Payer: Priority Health Choice Medicaid |
$110.76
|
Rate for Payer: Priority Health Cigna Priority Health |
$254.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$284.90
|
Rate for Payer: Priority Health Medicare |
$175.25
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$284.90
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$175.25
|
Rate for Payer: UHC Dual Complete DSNP |
$175.25
|
Rate for Payer: UHC Medicare Advantage |
$180.51
|
|
PR EMERGENCY DEPARTMENT VISIT LOW MDM
|
Professional
|
Both
|
$170.00
|
|
Service Code
|
HCPCS 99283
|
Min. Negotiated Rate |
$44.94 |
Max. Negotiated Rate |
$119.00 |
Rate for Payer: Aetna Commercial |
$95.93
|
Rate for Payer: Aetna Medicare |
$74.45
|
Rate for Payer: BCBS Complete |
$47.19
|
Rate for Payer: BCBS MAPPO |
$71.59
|
Rate for Payer: BCBS Trust/PPO |
$75.14
|
Rate for Payer: BCN Commercial |
$104.09
|
Rate for Payer: BCN Medicare Advantage |
$71.59
|
Rate for Payer: Cash Price |
$136.00
|
Rate for Payer: Cash Price |
$136.00
|
Rate for Payer: Cofinity Commercial |
$95.93
|
Rate for Payer: Cofinity Commercial |
$103.09
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.59
|
Rate for Payer: Mclaren Medicaid |
$44.94
|
Rate for Payer: Meridian Medicaid |
$47.19
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$75.17
|
Rate for Payer: PACE SWMI |
$71.59
|
Rate for Payer: PHP Medicare Advantage |
$71.59
|
Rate for Payer: Priority Health Choice Medicaid |
$44.94
|
Rate for Payer: Priority Health Cigna Priority Health |
$119.00
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$108.57
|
Rate for Payer: Priority Health Medicare |
$71.59
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$108.57
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$71.59
|
Rate for Payer: UHC Dual Complete DSNP |
$71.59
|
Rate for Payer: UHC Medicare Advantage |
$73.74
|
|
PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
|
Professional
|
Both
|
$91.00
|
|
Service Code
|
HCPCS 99281
|
Min. Negotiated Rate |
$7.24 |
Max. Negotiated Rate |
$171.07 |
Rate for Payer: Aetna Commercial |
$15.79
|
Rate for Payer: Aetna Medicare |
$12.25
|
Rate for Payer: BCBS Complete |
$7.60
|
Rate for Payer: BCBS MAPPO |
$11.78
|
Rate for Payer: BCBS Trust/PPO |
$171.07
|
Rate for Payer: BCN Commercial |
$17.10
|
Rate for Payer: BCN Medicare Advantage |
$11.78
|
Rate for Payer: Cash Price |
$72.80
|
Rate for Payer: Cash Price |
$72.80
|
Rate for Payer: Cofinity Commercial |
$16.96
|
Rate for Payer: Cofinity Commercial |
$15.79
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.78
|
Rate for Payer: Mclaren Medicaid |
$7.24
|
Rate for Payer: Meridian Medicaid |
$7.60
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$12.37
|
Rate for Payer: PACE SWMI |
$11.78
|
Rate for Payer: PHP Medicare Advantage |
$11.78
|
Rate for Payer: Priority Health Choice Medicaid |
$7.24
|
Rate for Payer: Priority Health Cigna Priority Health |
$63.70
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.13
|
Rate for Payer: Priority Health Medicare |
$11.78
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$35.13
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$11.78
|
Rate for Payer: UHC Dual Complete DSNP |
$11.78
|
Rate for Payer: UHC Medicare Advantage |
$12.13
|
|
PR EMERGENCY DEPARTMENT VISIT MODERATE MDM
|
Professional
|
Both
|
$244.00
|
|
Service Code
|
HCPCS 99284
|
Min. Negotiated Rate |
$46.49 |
Max. Negotiated Rate |
$193.43 |
Rate for Payer: Aetna Commercial |
$161.19
|
Rate for Payer: Aetna Medicare |
$125.10
|
Rate for Payer: BCBS Complete |
$80.29
|
Rate for Payer: BCBS MAPPO |
$120.29
|
Rate for Payer: BCBS Trust/PPO |
$46.49
|
Rate for Payer: BCN Commercial |
$174.95
|
Rate for Payer: BCN Medicare Advantage |
$120.29
|
Rate for Payer: Cash Price |
$195.20
|
Rate for Payer: Cash Price |
$195.20
|
Rate for Payer: Cofinity Commercial |
$161.19
|
Rate for Payer: Cofinity Commercial |
$173.22
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.29
|
Rate for Payer: Mclaren Medicaid |
$76.47
|
Rate for Payer: Meridian Medicaid |
$80.29
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.30
|
Rate for Payer: PACE SWMI |
$120.29
|
Rate for Payer: PHP Medicare Advantage |
$120.29
|
Rate for Payer: Priority Health Choice Medicaid |
$76.47
|
Rate for Payer: Priority Health Cigna Priority Health |
$170.80
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.43
|
Rate for Payer: Priority Health Medicare |
$120.29
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$193.43
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$120.29
|
Rate for Payer: UHC Dual Complete DSNP |
$120.29
|
Rate for Payer: UHC Medicare Advantage |
$123.90
|
|
PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM
|
Professional
|
Both
|
$116.00
|
|
Service Code
|
HCPCS 99282
|
Min. Negotiated Rate |
$26.41 |
Max. Negotiated Rate |
$338.11 |
Rate for Payer: Aetna Commercial |
$55.80
|
Rate for Payer: Aetna Medicare |
$43.31
|
Rate for Payer: BCBS Complete |
$27.73
|
Rate for Payer: BCBS MAPPO |
$41.64
|
Rate for Payer: BCBS Trust/PPO |
$338.11
|
Rate for Payer: BCN Commercial |
$60.60
|
Rate for Payer: BCN Medicare Advantage |
$41.64
|
Rate for Payer: Cash Price |
$92.80
|
Rate for Payer: Cash Price |
$92.80
|
Rate for Payer: Cofinity Commercial |
$59.96
|
Rate for Payer: Cofinity Commercial |
$55.80
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.64
|
Rate for Payer: Mclaren Medicaid |
$26.41
|
Rate for Payer: Meridian Medicaid |
$27.73
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$43.72
|
Rate for Payer: PACE SWMI |
$41.64
|
Rate for Payer: PHP Medicare Advantage |
$41.64
|
Rate for Payer: Priority Health Choice Medicaid |
$26.41
|
Rate for Payer: Priority Health Cigna Priority Health |
$81.20
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$68.39
|
Rate for Payer: Priority Health Medicare |
$41.64
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$68.39
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$41.64
|
Rate for Payer: UHC Dual Complete DSNP |
$41.64
|
Rate for Payer: UHC Medicare Advantage |
$42.89
|
|
PR EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL
|
Professional
|
Both
|
$385.00
|
|
Service Code
|
HCPCS 51784
|
Min. Negotiated Rate |
$61.67 |
Max. Negotiated Rate |
$3,642.10 |
Rate for Payer: Aetna Commercial |
$82.64
|
Rate for Payer: Aetna Medicare |
$64.14
|
Rate for Payer: BCBS Complete |
$154.00
|
Rate for Payer: BCBS MAPPO |
$61.67
|
Rate for Payer: BCBS Trust/PPO |
$3,642.10
|
Rate for Payer: BCN Commercial |
$93.34
|
Rate for Payer: BCN Medicare Advantage |
$61.67
|
Rate for Payer: Cash Price |
$308.00
|
Rate for Payer: Cash Price |
$308.00
|
Rate for Payer: Cofinity Commercial |
$82.64
|
Rate for Payer: Cofinity Commercial |
$88.80
|
Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.67
|
Rate for Payer: Meridian Wellcare - Medicare Advantage |
$64.75
|
Rate for Payer: PACE SWMI |
$61.67
|
Rate for Payer: PHP Medicare Advantage |
$61.67
|
Rate for Payer: Priority Health Cigna Priority Health |
$269.50
|
Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.20
|
Rate for Payer: Priority Health Medicare |
$61.67
|
Rate for Payer: Priority Health Narrow/Tiered Network |
$103.20
|
Rate for Payer: UHC All Payor (Choice/PPO) |
$61.67
|
Rate for Payer: UHC Dual Complete DSNP |
$61.67
|
Rate for Payer: UHC Medicare Advantage |
$63.52
|
|