|
PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<
|
Professional
|
Both
|
$220.00
|
|
|
Service Code
|
HCPCS 11440
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$169.24 |
| Rate for Payer: Aetna Commercial |
$136.20
|
| Rate for Payer: Aetna Medicare |
$105.71
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$101.64
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$169.24
|
| Rate for Payer: BCN Medicare Advantage |
$101.64
|
| Rate for Payer: Cash Price |
$176.00
|
| Rate for Payer: Cash Price |
$176.00
|
| Rate for Payer: Cofinity Commercial |
$146.36
|
| Rate for Payer: Cofinity Commercial |
$136.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.64
|
| Rate for Payer: Mclaren Medicaid |
$69.01
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$106.72
|
| Rate for Payer: PACE SWMI |
$101.64
|
| Rate for Payer: PHP Medicare Advantage |
$101.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$154.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130.30
|
| Rate for Payer: Priority Health Medicare |
$101.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.64
|
| Rate for Payer: UHC Medicare Advantage |
$104.69
|
|
|
PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<
|
Facility
|
IP
|
$220.00
|
|
|
Service Code
|
CPT 11440
|
| Hospital Charge Code |
11440
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$134.18 |
| Max. Negotiated Rate |
$198.00 |
| Rate for Payer: Aetna Commercial |
$187.00
|
| Rate for Payer: BCBS Trust/PPO |
$170.02
|
| Rate for Payer: BCN Commercial |
$170.02
|
| Rate for Payer: Cash Price |
$176.00
|
| Rate for Payer: Cofinity Commercial |
$189.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.00
|
| Rate for Payer: Healthscope Commercial |
$198.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$187.00
|
| Rate for Payer: PHP Commercial |
$187.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$154.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$191.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$134.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.60
|
| Rate for Payer: UHC Core |
$183.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.00
|
|
|
PR EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM
|
Professional
|
Both
|
$810.00
|
|
|
Service Code
|
HCPCS 11446
|
| Min. Negotiated Rate |
$150.00 |
| Max. Negotiated Rate |
$567.00 |
| Rate for Payer: Aetna Commercial |
$413.54
|
| Rate for Payer: Aetna Medicare |
$320.95
|
| Rate for Payer: BCBS Complete |
$213.14
|
| Rate for Payer: BCBS MAPPO |
$308.61
|
| Rate for Payer: BCBS Trust/PPO |
$150.00
|
| Rate for Payer: BCN Commercial |
$449.99
|
| Rate for Payer: BCN Medicare Advantage |
$308.61
|
| Rate for Payer: Cash Price |
$648.00
|
| Rate for Payer: Cash Price |
$648.00
|
| Rate for Payer: Cofinity Commercial |
$444.40
|
| Rate for Payer: Cofinity Commercial |
$413.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.61
|
| Rate for Payer: Mclaren Medicaid |
$202.99
|
| Rate for Payer: Meridian Medicaid |
$213.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$324.04
|
| Rate for Payer: PACE SWMI |
$308.61
|
| Rate for Payer: PHP Medicare Advantage |
$308.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$567.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$386.79
|
| Rate for Payer: Priority Health Medicare |
$308.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$386.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.61
|
| Rate for Payer: UHC Medicare Advantage |
$317.87
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$199.00
|
|
|
Service Code
|
HCPCS 11420
|
| Min. Negotiated Rate |
$52.82 |
| Max. Negotiated Rate |
$150.39 |
| Rate for Payer: Aetna Commercial |
$106.34
|
| Rate for Payer: Aetna Medicare |
$82.53
|
| Rate for Payer: BCBS Complete |
$55.46
|
| Rate for Payer: BCBS MAPPO |
$79.36
|
| Rate for Payer: BCBS Trust/PPO |
$100.72
|
| Rate for Payer: BCN Commercial |
$150.39
|
| Rate for Payer: BCN Medicare Advantage |
$79.36
|
| Rate for Payer: Cash Price |
$159.20
|
| Rate for Payer: Cash Price |
$159.20
|
| Rate for Payer: Cofinity Commercial |
$106.34
|
| Rate for Payer: Cofinity Commercial |
$114.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$79.36
|
| Rate for Payer: Mclaren Medicaid |
$52.82
|
| Rate for Payer: Meridian Medicaid |
$55.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$83.33
|
| Rate for Payer: PACE SWMI |
$79.36
|
| Rate for Payer: PHP Medicare Advantage |
$79.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$139.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$100.70
|
| Rate for Payer: Priority Health Medicare |
$79.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$79.36
|
| Rate for Payer: UHC Medicare Advantage |
$81.74
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM
|
Professional
|
Both
|
$256.00
|
|
|
Service Code
|
HCPCS 11421
|
| Min. Negotiated Rate |
$70.08 |
| Max. Negotiated Rate |
$338.18 |
| Rate for Payer: Aetna Commercial |
$142.56
|
| Rate for Payer: Aetna Medicare |
$110.65
|
| Rate for Payer: BCBS Complete |
$73.58
|
| Rate for Payer: BCBS MAPPO |
$106.39
|
| Rate for Payer: BCBS Trust/PPO |
$338.18
|
| Rate for Payer: BCN Commercial |
$188.87
|
| Rate for Payer: BCN Medicare Advantage |
$106.39
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$153.20
|
| Rate for Payer: Cofinity Commercial |
$142.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.39
|
| Rate for Payer: Mclaren Medicaid |
$70.08
|
| Rate for Payer: Meridian Medicaid |
$73.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$111.71
|
| Rate for Payer: PACE SWMI |
$106.39
|
| Rate for Payer: PHP Medicare Advantage |
$106.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$134.41
|
| Rate for Payer: Priority Health Medicare |
$106.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$134.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.39
|
| Rate for Payer: UHC Medicare Advantage |
$109.58
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM
|
Facility
|
OP
|
$256.00
|
|
|
Service Code
|
CPT 11421
|
| Hospital Charge Code |
11421
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$60.80 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$217.60
|
| Rate for Payer: Aetna Medicare |
$66.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$80.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$80.00
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$64.00
|
| Rate for Payer: BCBS Trust/PPO |
$199.04
|
| Rate for Payer: BCN Commercial |
$199.04
|
| Rate for Payer: BCN Medicare Advantage |
$64.00
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$220.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.00
|
| Rate for Payer: Healthscope Commercial |
$230.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$192.00
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$67.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$73.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$217.60
|
| Rate for Payer: PACE Senior Care Partners |
$60.80
|
| Rate for Payer: PACE SWMI |
$64.00
|
| Rate for Payer: PHP Commercial |
$217.60
|
| Rate for Payer: PHP Medicare Advantage |
$64.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$222.72
|
| Rate for Payer: Priority Health Medicare |
$64.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.13
|
| Rate for Payer: Railroad Medicare Medicare |
$64.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.28
|
| Rate for Payer: UHC Core |
$213.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.00
|
| Rate for Payer: UHC Medicare Advantage |
$65.92
|
| Rate for Payer: VA VA |
$64.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$192.00
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM
|
Facility
|
IP
|
$256.00
|
|
|
Service Code
|
CPT 11421
|
| Hospital Charge Code |
11421
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$156.13 |
| Max. Negotiated Rate |
$230.40 |
| Rate for Payer: Aetna Commercial |
$217.60
|
| Rate for Payer: BCBS Trust/PPO |
$197.84
|
| Rate for Payer: BCN Commercial |
$197.84
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$220.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.80
|
| Rate for Payer: Healthscope Commercial |
$230.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$192.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$217.60
|
| Rate for Payer: PHP Commercial |
$217.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$222.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.28
|
| Rate for Payer: UHC Core |
$213.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$192.00
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM
|
Professional
|
Both
|
$256.00
|
|
|
Service Code
|
HCPCS 11421
|
| Hospital Charge Code |
11421
|
| Min. Negotiated Rate |
$70.08 |
| Max. Negotiated Rate |
$338.18 |
| Rate for Payer: Aetna Commercial |
$142.56
|
| Rate for Payer: Aetna Medicare |
$110.65
|
| Rate for Payer: BCBS Complete |
$73.58
|
| Rate for Payer: BCBS MAPPO |
$106.39
|
| Rate for Payer: BCBS Trust/PPO |
$338.18
|
| Rate for Payer: BCN Commercial |
$188.87
|
| Rate for Payer: BCN Medicare Advantage |
$106.39
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$153.20
|
| Rate for Payer: Cofinity Commercial |
$142.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.39
|
| Rate for Payer: Mclaren Medicaid |
$70.08
|
| Rate for Payer: Meridian Medicaid |
$73.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$111.71
|
| Rate for Payer: PACE SWMI |
$106.39
|
| Rate for Payer: PHP Medicare Advantage |
$106.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$134.41
|
| Rate for Payer: Priority Health Medicare |
$106.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$134.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.39
|
| Rate for Payer: UHC Medicare Advantage |
$109.58
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM
|
Facility
|
OP
|
$285.00
|
|
|
Service Code
|
CPT 11422
|
| Hospital Charge Code |
11422
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$67.69 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$242.25
|
| Rate for Payer: Aetna Medicare |
$74.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$89.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$89.06
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$71.25
|
| Rate for Payer: BCBS Trust/PPO |
$221.59
|
| Rate for Payer: BCN Commercial |
$221.59
|
| Rate for Payer: BCN Medicare Advantage |
$71.25
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$245.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.25
|
| Rate for Payer: Healthscope Commercial |
$256.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.75
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$74.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$242.25
|
| Rate for Payer: PACE Senior Care Partners |
$67.69
|
| Rate for Payer: PACE SWMI |
$71.25
|
| Rate for Payer: PHP Commercial |
$242.25
|
| Rate for Payer: PHP Medicare Advantage |
$71.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$247.95
|
| Rate for Payer: Priority Health Medicare |
$71.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.82
|
| Rate for Payer: Railroad Medicare Medicare |
$71.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.80
|
| Rate for Payer: UHC Core |
$237.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$71.25
|
| Rate for Payer: UHC Medicare Advantage |
$73.39
|
| Rate for Payer: VA VA |
$71.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.75
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM
|
Professional
|
Both
|
$285.00
|
|
|
Service Code
|
HCPCS 11422
|
| Hospital Charge Code |
11422
|
| Min. Negotiated Rate |
$32.57 |
| Max. Negotiated Rate |
$211.65 |
| Rate for Payer: Aetna Commercial |
$175.98
|
| Rate for Payer: Aetna Medicare |
$136.58
|
| Rate for Payer: BCBS Complete |
$91.70
|
| Rate for Payer: BCBS MAPPO |
$131.33
|
| Rate for Payer: BCBS Trust/PPO |
$32.57
|
| Rate for Payer: BCN Commercial |
$211.65
|
| Rate for Payer: BCN Medicare Advantage |
$131.33
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$189.12
|
| Rate for Payer: Cofinity Commercial |
$175.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.33
|
| Rate for Payer: Mclaren Medicaid |
$87.33
|
| Rate for Payer: Meridian Medicaid |
$91.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$137.90
|
| Rate for Payer: PACE SWMI |
$131.33
|
| Rate for Payer: PHP Medicare Advantage |
$131.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.47
|
| Rate for Payer: Priority Health Medicare |
$131.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$131.33
|
| Rate for Payer: UHC Medicare Advantage |
$135.27
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM
|
Facility
|
IP
|
$285.00
|
|
|
Service Code
|
CPT 11422
|
| Hospital Charge Code |
11422
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$173.82 |
| Max. Negotiated Rate |
$256.50 |
| Rate for Payer: Aetna Commercial |
$242.25
|
| Rate for Payer: BCBS Trust/PPO |
$220.25
|
| Rate for Payer: BCN Commercial |
$220.25
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$245.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$228.00
|
| Rate for Payer: Healthscope Commercial |
$256.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$213.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$242.25
|
| Rate for Payer: PHP Commercial |
$242.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$247.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.80
|
| Rate for Payer: UHC Core |
$237.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$213.75
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM
|
Professional
|
Both
|
$285.00
|
|
|
Service Code
|
HCPCS 11422
|
| Min. Negotiated Rate |
$32.57 |
| Max. Negotiated Rate |
$211.65 |
| Rate for Payer: Aetna Commercial |
$175.98
|
| Rate for Payer: Aetna Medicare |
$136.58
|
| Rate for Payer: BCBS Complete |
$91.70
|
| Rate for Payer: BCBS MAPPO |
$131.33
|
| Rate for Payer: BCBS Trust/PPO |
$32.57
|
| Rate for Payer: BCN Commercial |
$211.65
|
| Rate for Payer: BCN Medicare Advantage |
$131.33
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$189.12
|
| Rate for Payer: Cofinity Commercial |
$175.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.33
|
| Rate for Payer: Mclaren Medicaid |
$87.33
|
| Rate for Payer: Meridian Medicaid |
$91.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$137.90
|
| Rate for Payer: PACE SWMI |
$131.33
|
| Rate for Payer: PHP Medicare Advantage |
$131.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.47
|
| Rate for Payer: Priority Health Medicare |
$131.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$131.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$131.33
|
| Rate for Payer: UHC Medicare Advantage |
$135.27
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM
|
Facility
|
OP
|
$393.00
|
|
|
Service Code
|
CPT 11423
|
| Hospital Charge Code |
11423
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$93.34 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$334.05
|
| Rate for Payer: Aetna Medicare |
$102.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.81
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$98.25
|
| Rate for Payer: BCBS Trust/PPO |
$305.56
|
| Rate for Payer: BCN Commercial |
$305.56
|
| Rate for Payer: BCN Medicare Advantage |
$98.25
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cofinity Commercial |
$337.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$314.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.25
|
| Rate for Payer: Healthscope Commercial |
$353.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$294.75
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$103.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$334.05
|
| Rate for Payer: PACE Senior Care Partners |
$93.34
|
| Rate for Payer: PACE SWMI |
$98.25
|
| Rate for Payer: PHP Commercial |
$334.05
|
| Rate for Payer: PHP Medicare Advantage |
$98.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$341.91
|
| Rate for Payer: Priority Health Medicare |
$98.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$239.69
|
| Rate for Payer: Railroad Medicare Medicare |
$98.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.84
|
| Rate for Payer: UHC Core |
$328.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$98.25
|
| Rate for Payer: UHC Medicare Advantage |
$101.20
|
| Rate for Payer: VA VA |
$98.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.75
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM
|
Professional
|
Both
|
$393.00
|
|
|
Service Code
|
HCPCS 11423
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$338.18 |
| Rate for Payer: Aetna Commercial |
$203.12
|
| Rate for Payer: Aetna Medicare |
$157.64
|
| Rate for Payer: BCBS Complete |
$106.01
|
| Rate for Payer: BCBS MAPPO |
$151.58
|
| Rate for Payer: BCBS Trust/PPO |
$338.18
|
| Rate for Payer: BCN Commercial |
$241.09
|
| Rate for Payer: BCN Medicare Advantage |
$151.58
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cofinity Commercial |
$218.28
|
| Rate for Payer: Cofinity Commercial |
$203.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.58
|
| Rate for Payer: Mclaren Medicaid |
$100.96
|
| Rate for Payer: Meridian Medicaid |
$106.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$159.16
|
| Rate for Payer: PACE SWMI |
$151.58
|
| Rate for Payer: PHP Medicare Advantage |
$151.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$191.54
|
| Rate for Payer: Priority Health Medicare |
$151.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$191.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$151.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$151.58
|
| Rate for Payer: UHC Medicare Advantage |
$156.13
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM
|
Facility
|
IP
|
$393.00
|
|
|
Service Code
|
CPT 11423
|
| Hospital Charge Code |
11423
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$239.69 |
| Max. Negotiated Rate |
$353.70 |
| Rate for Payer: Aetna Commercial |
$334.05
|
| Rate for Payer: BCBS Trust/PPO |
$303.71
|
| Rate for Payer: BCN Commercial |
$303.71
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cofinity Commercial |
$337.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$314.40
|
| Rate for Payer: Healthscope Commercial |
$353.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$294.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$334.05
|
| Rate for Payer: PHP Commercial |
$334.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$341.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$239.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.84
|
| Rate for Payer: UHC Core |
$328.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.75
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM
|
Professional
|
Both
|
$393.00
|
|
|
Service Code
|
HCPCS 11423
|
| Hospital Charge Code |
11423
|
| Min. Negotiated Rate |
$100.96 |
| Max. Negotiated Rate |
$338.18 |
| Rate for Payer: Aetna Commercial |
$203.12
|
| Rate for Payer: Aetna Medicare |
$157.64
|
| Rate for Payer: BCBS Complete |
$106.01
|
| Rate for Payer: BCBS MAPPO |
$151.58
|
| Rate for Payer: BCBS Trust/PPO |
$338.18
|
| Rate for Payer: BCN Commercial |
$241.09
|
| Rate for Payer: BCN Medicare Advantage |
$151.58
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cofinity Commercial |
$203.12
|
| Rate for Payer: Cofinity Commercial |
$218.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$151.58
|
| Rate for Payer: Mclaren Medicaid |
$100.96
|
| Rate for Payer: Meridian Medicaid |
$106.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$159.16
|
| Rate for Payer: PACE SWMI |
$151.58
|
| Rate for Payer: PHP Medicare Advantage |
$151.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$191.54
|
| Rate for Payer: Priority Health Medicare |
$151.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$191.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$151.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$151.58
|
| Rate for Payer: UHC Medicare Advantage |
$156.13
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
|
Facility
|
IP
|
$503.00
|
|
|
Service Code
|
CPT 11424
|
| Hospital Charge Code |
11424
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$306.78 |
| Max. Negotiated Rate |
$452.70 |
| Rate for Payer: Aetna Commercial |
$427.55
|
| Rate for Payer: BCBS Trust/PPO |
$388.72
|
| Rate for Payer: BCN Commercial |
$388.72
|
| Rate for Payer: Cash Price |
$402.40
|
| Rate for Payer: Cofinity Commercial |
$432.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.40
|
| Rate for Payer: Healthscope Commercial |
$452.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$427.55
|
| Rate for Payer: PHP Commercial |
$427.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$352.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$437.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$306.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$442.64
|
| Rate for Payer: UHC Core |
$420.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.25
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
|
Professional
|
Both
|
$503.00
|
|
|
Service Code
|
HCPCS 11424
|
| Min. Negotiated Rate |
$116.30 |
| Max. Negotiated Rate |
$2,640.00 |
| Rate for Payer: Aetna Commercial |
$232.72
|
| Rate for Payer: Aetna Medicare |
$180.62
|
| Rate for Payer: BCBS Complete |
$122.12
|
| Rate for Payer: BCBS MAPPO |
$173.67
|
| Rate for Payer: BCBS Trust/PPO |
$2,640.00
|
| Rate for Payer: BCN Commercial |
$277.61
|
| Rate for Payer: BCN Medicare Advantage |
$173.67
|
| Rate for Payer: Cash Price |
$402.40
|
| Rate for Payer: Cash Price |
$402.40
|
| Rate for Payer: Cofinity Commercial |
$250.08
|
| Rate for Payer: Cofinity Commercial |
$232.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.67
|
| Rate for Payer: Mclaren Medicaid |
$116.30
|
| Rate for Payer: Meridian Medicaid |
$122.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$182.35
|
| Rate for Payer: PACE SWMI |
$173.67
|
| Rate for Payer: PHP Medicare Advantage |
$173.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$352.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$218.67
|
| Rate for Payer: Priority Health Medicare |
$173.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.67
|
| Rate for Payer: UHC Medicare Advantage |
$178.88
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
|
Facility
|
OP
|
$503.00
|
|
|
Service Code
|
CPT 11424
|
| Hospital Charge Code |
11424
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$119.46 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$427.55
|
| Rate for Payer: Aetna Medicare |
$130.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$157.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$157.19
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$125.75
|
| Rate for Payer: BCBS Trust/PPO |
$391.08
|
| Rate for Payer: BCN Commercial |
$391.08
|
| Rate for Payer: BCN Medicare Advantage |
$125.75
|
| Rate for Payer: Cash Price |
$402.40
|
| Rate for Payer: Cash Price |
$402.40
|
| Rate for Payer: Cofinity Commercial |
$432.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$402.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.75
|
| Rate for Payer: Healthscope Commercial |
$452.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$377.25
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$132.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$144.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$427.55
|
| Rate for Payer: PACE Senior Care Partners |
$119.46
|
| Rate for Payer: PACE SWMI |
$125.75
|
| Rate for Payer: PHP Commercial |
$427.55
|
| Rate for Payer: PHP Medicare Advantage |
$125.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$352.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$437.61
|
| Rate for Payer: Priority Health Medicare |
$125.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$306.78
|
| Rate for Payer: Railroad Medicare Medicare |
$125.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$442.64
|
| Rate for Payer: UHC Core |
$420.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.75
|
| Rate for Payer: UHC Medicare Advantage |
$129.52
|
| Rate for Payer: VA VA |
$125.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$377.25
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM
|
Professional
|
Both
|
$503.00
|
|
|
Service Code
|
HCPCS 11424
|
| Hospital Charge Code |
11424
|
| Min. Negotiated Rate |
$116.30 |
| Max. Negotiated Rate |
$2,640.00 |
| Rate for Payer: Aetna Commercial |
$232.72
|
| Rate for Payer: Aetna Medicare |
$180.62
|
| Rate for Payer: BCBS Complete |
$122.12
|
| Rate for Payer: BCBS MAPPO |
$173.67
|
| Rate for Payer: BCBS Trust/PPO |
$2,640.00
|
| Rate for Payer: BCN Commercial |
$277.61
|
| Rate for Payer: BCN Medicare Advantage |
$173.67
|
| Rate for Payer: Cash Price |
$402.40
|
| Rate for Payer: Cash Price |
$402.40
|
| Rate for Payer: Cofinity Commercial |
$232.72
|
| Rate for Payer: Cofinity Commercial |
$250.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.67
|
| Rate for Payer: Mclaren Medicaid |
$116.30
|
| Rate for Payer: Meridian Medicaid |
$122.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$182.35
|
| Rate for Payer: PACE SWMI |
$173.67
|
| Rate for Payer: PHP Medicare Advantage |
$173.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$352.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$218.67
|
| Rate for Payer: Priority Health Medicare |
$173.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.67
|
| Rate for Payer: UHC Medicare Advantage |
$178.88
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM
|
Professional
|
Both
|
$692.00
|
|
|
Service Code
|
HCPCS 11426
|
| Hospital Charge Code |
11426
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$484.40 |
| Rate for Payer: Aetna Commercial |
$353.99
|
| Rate for Payer: Aetna Medicare |
$274.74
|
| Rate for Payer: BCBS Complete |
$180.26
|
| Rate for Payer: BCBS MAPPO |
$264.17
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$388.74
|
| Rate for Payer: BCN Medicare Advantage |
$264.17
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cofinity Commercial |
$353.99
|
| Rate for Payer: Cofinity Commercial |
$380.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$264.17
|
| Rate for Payer: Mclaren Medicaid |
$171.68
|
| Rate for Payer: Meridian Medicaid |
$180.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$277.38
|
| Rate for Payer: PACE SWMI |
$264.17
|
| Rate for Payer: PHP Medicare Advantage |
$264.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$330.47
|
| Rate for Payer: Priority Health Medicare |
$264.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$330.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$264.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$264.17
|
| Rate for Payer: UHC Medicare Advantage |
$272.10
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM
|
Facility
|
IP
|
$692.00
|
|
|
Service Code
|
CPT 11426
|
| Hospital Charge Code |
11426
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$422.05 |
| Max. Negotiated Rate |
$622.80 |
| Rate for Payer: Aetna Commercial |
$588.20
|
| Rate for Payer: BCBS Trust/PPO |
$534.78
|
| Rate for Payer: BCN Commercial |
$534.78
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cofinity Commercial |
$595.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$553.60
|
| Rate for Payer: Healthscope Commercial |
$622.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$519.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$588.20
|
| Rate for Payer: PHP Commercial |
$588.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$602.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$422.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$608.96
|
| Rate for Payer: UHC Core |
$577.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$519.00
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM
|
Professional
|
Both
|
$692.00
|
|
|
Service Code
|
HCPCS 11426
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$484.40 |
| Rate for Payer: Aetna Commercial |
$353.99
|
| Rate for Payer: Aetna Medicare |
$274.74
|
| Rate for Payer: BCBS Complete |
$180.26
|
| Rate for Payer: BCBS MAPPO |
$264.17
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$388.74
|
| Rate for Payer: BCN Medicare Advantage |
$264.17
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cofinity Commercial |
$353.99
|
| Rate for Payer: Cofinity Commercial |
$380.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$264.17
|
| Rate for Payer: Mclaren Medicaid |
$171.68
|
| Rate for Payer: Meridian Medicaid |
$180.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$277.38
|
| Rate for Payer: PACE SWMI |
$264.17
|
| Rate for Payer: PHP Medicare Advantage |
$264.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$330.47
|
| Rate for Payer: Priority Health Medicare |
$264.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$330.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$264.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$264.17
|
| Rate for Payer: UHC Medicare Advantage |
$272.10
|
|
|
PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM
|
Facility
|
OP
|
$692.00
|
|
|
Service Code
|
CPT 11426
|
| Hospital Charge Code |
11426
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$164.35 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$588.20
|
| Rate for Payer: Aetna Medicare |
$179.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$216.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$216.25
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$173.00
|
| Rate for Payer: BCBS Trust/PPO |
$538.03
|
| Rate for Payer: BCN Commercial |
$538.03
|
| Rate for Payer: BCN Medicare Advantage |
$173.00
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cofinity Commercial |
$595.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$553.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.00
|
| Rate for Payer: Healthscope Commercial |
$622.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$519.00
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$181.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$198.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$588.20
|
| Rate for Payer: PACE Senior Care Partners |
$164.35
|
| Rate for Payer: PACE SWMI |
$173.00
|
| Rate for Payer: PHP Commercial |
$588.20
|
| Rate for Payer: PHP Medicare Advantage |
$173.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$602.04
|
| Rate for Payer: Priority Health Medicare |
$173.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$422.05
|
| Rate for Payer: Railroad Medicare Medicare |
$173.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$608.96
|
| Rate for Payer: UHC Core |
$577.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.00
|
| Rate for Payer: UHC Medicare Advantage |
$178.19
|
| Rate for Payer: VA VA |
$173.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$519.00
|
|
|
PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<
|
Professional
|
Both
|
$200.00
|
|
|
Service Code
|
HCPCS 11400
|
| Hospital Charge Code |
11400
|
| Min. Negotiated Rate |
$54.32 |
| Max. Negotiated Rate |
$6,962.48 |
| Rate for Payer: Aetna Commercial |
$108.37
|
| Rate for Payer: Aetna Medicare |
$84.10
|
| Rate for Payer: BCBS Complete |
$57.04
|
| Rate for Payer: BCBS MAPPO |
$80.87
|
| Rate for Payer: BCBS Trust/PPO |
$6,962.48
|
| Rate for Payer: BCN Commercial |
$151.17
|
| Rate for Payer: BCN Medicare Advantage |
$80.87
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Cofinity Commercial |
$108.37
|
| Rate for Payer: Cofinity Commercial |
$116.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.87
|
| Rate for Payer: Mclaren Medicaid |
$54.32
|
| Rate for Payer: Meridian Medicaid |
$57.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$84.91
|
| Rate for Payer: PACE SWMI |
$80.87
|
| Rate for Payer: PHP Medicare Advantage |
$80.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.17
|
| Rate for Payer: Priority Health Medicare |
$80.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$103.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.87
|
| Rate for Payer: UHC Medicare Advantage |
$83.30
|
|
