|
PR EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY
|
Professional
|
Both
|
$2,711.00
|
|
|
Service Code
|
HCPCS 60600
|
| Min. Negotiated Rate |
$529.36 |
| Max. Negotiated Rate |
$1,977.68 |
| Rate for Payer: Aetna Commercial |
$1,817.72
|
| Rate for Payer: Aetna Medicare |
$1,410.77
|
| Rate for Payer: BCBS Complete |
$909.14
|
| Rate for Payer: BCBS MAPPO |
$1,356.51
|
| Rate for Payer: BCBS Trust/PPO |
$529.36
|
| Rate for Payer: BCN Commercial |
$1,977.68
|
| Rate for Payer: BCN Medicare Advantage |
$1,356.51
|
| Rate for Payer: Cash Price |
$2,168.80
|
| Rate for Payer: Cash Price |
$2,168.80
|
| Rate for Payer: Cofinity Commercial |
$1,953.37
|
| Rate for Payer: Cofinity Commercial |
$1,817.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,356.51
|
| Rate for Payer: Mclaren Medicaid |
$865.85
|
| Rate for Payer: Meridian Medicaid |
$909.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,424.34
|
| Rate for Payer: PACE SWMI |
$1,356.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,356.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$865.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,897.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,914.80
|
| Rate for Payer: Priority Health Medicare |
$1,356.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,914.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,356.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,356.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,397.21
|
|
|
PR EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 26596
|
| Min. Negotiated Rate |
$72.17 |
| Max. Negotiated Rate |
$1,267.95 |
| Rate for Payer: Aetna Commercial |
$1,077.95
|
| Rate for Payer: Aetna Medicare |
$836.62
|
| Rate for Payer: BCBS Complete |
$556.22
|
| Rate for Payer: BCBS MAPPO |
$804.44
|
| Rate for Payer: BCBS Trust/PPO |
$72.17
|
| Rate for Payer: BCN Commercial |
$1,213.39
|
| Rate for Payer: BCN Medicare Advantage |
$804.44
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,077.95
|
| Rate for Payer: Cofinity Commercial |
$1,158.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$804.44
|
| Rate for Payer: Mclaren Medicaid |
$529.73
|
| Rate for Payer: Meridian Medicaid |
$556.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$844.66
|
| Rate for Payer: PACE SWMI |
$804.44
|
| Rate for Payer: PHP Medicare Advantage |
$804.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$529.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$910.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,267.95
|
| Rate for Payer: Priority Health Medicare |
$804.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,267.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$804.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$804.44
|
| Rate for Payer: UHC Medicare Advantage |
$828.57
|
|
|
PR EXC CRV STUMP VAG APPR W/RPR NTRCL
|
Professional
|
Both
|
$1,257.00
|
|
|
Service Code
|
HCPCS 57556
|
| Min. Negotiated Rate |
$378.50 |
| Max. Negotiated Rate |
$1,301.73 |
| Rate for Payer: Aetna Commercial |
$781.65
|
| Rate for Payer: Aetna Medicare |
$606.65
|
| Rate for Payer: BCBS Complete |
$397.42
|
| Rate for Payer: BCBS MAPPO |
$583.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,301.73
|
| Rate for Payer: BCN Commercial |
$864.96
|
| Rate for Payer: BCN Medicare Advantage |
$583.32
|
| Rate for Payer: Cash Price |
$1,005.60
|
| Rate for Payer: Cash Price |
$1,005.60
|
| Rate for Payer: Cofinity Commercial |
$781.65
|
| Rate for Payer: Cofinity Commercial |
$839.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$583.32
|
| Rate for Payer: Mclaren Medicaid |
$378.50
|
| Rate for Payer: Meridian Medicaid |
$397.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$612.49
|
| Rate for Payer: PACE SWMI |
$583.32
|
| Rate for Payer: PHP Medicare Advantage |
$583.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$378.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$879.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$837.96
|
| Rate for Payer: Priority Health Medicare |
$583.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$837.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$583.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$583.32
|
| Rate for Payer: UHC Medicare Advantage |
$600.82
|
|
|
PR EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ
|
Professional
|
Both
|
$4,123.00
|
|
|
Service Code
|
HCPCS 38555
|
| Min. Negotiated Rate |
$556.83 |
| Max. Negotiated Rate |
$2,886.10 |
| Rate for Payer: Aetna Commercial |
$1,363.68
|
| Rate for Payer: Aetna Medicare |
$1,058.38
|
| Rate for Payer: BCBS Complete |
$691.30
|
| Rate for Payer: BCBS MAPPO |
$1,017.67
|
| Rate for Payer: BCBS Trust/PPO |
$556.83
|
| Rate for Payer: BCN Commercial |
$1,501.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.67
|
| Rate for Payer: Cash Price |
$3,298.40
|
| Rate for Payer: Cash Price |
$3,298.40
|
| Rate for Payer: Cofinity Commercial |
$1,465.44
|
| Rate for Payer: Cofinity Commercial |
$1,363.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.67
|
| Rate for Payer: Mclaren Medicaid |
$658.38
|
| Rate for Payer: Meridian Medicaid |
$691.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,068.55
|
| Rate for Payer: PACE SWMI |
$1,017.67
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$658.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,886.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,225.89
|
| Rate for Payer: Priority Health Medicare |
$1,017.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,225.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,017.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.67
|
| Rate for Payer: UHC Medicare Advantage |
$1,048.20
|
|
|
PR EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ
|
Professional
|
Both
|
$1,546.00
|
|
|
Service Code
|
HCPCS 38550
|
| Min. Negotiated Rate |
$337.18 |
| Max. Negotiated Rate |
$1,135.76 |
| Rate for Payer: Aetna Commercial |
$690.64
|
| Rate for Payer: Aetna Medicare |
$536.02
|
| Rate for Payer: BCBS Complete |
$354.04
|
| Rate for Payer: BCBS MAPPO |
$515.40
|
| Rate for Payer: BCBS Trust/PPO |
$608.07
|
| Rate for Payer: BCN Commercial |
$766.24
|
| Rate for Payer: BCN Medicare Advantage |
$515.40
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cash Price |
$1,236.80
|
| Rate for Payer: Cofinity Commercial |
$742.18
|
| Rate for Payer: Cofinity Commercial |
$690.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$515.40
|
| Rate for Payer: Mclaren Medicaid |
$337.18
|
| Rate for Payer: Meridian Medicaid |
$354.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$541.17
|
| Rate for Payer: PACE SWMI |
$515.40
|
| Rate for Payer: PHP Medicare Advantage |
$515.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$337.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,135.76
|
| Rate for Payer: Priority Health Medicare |
$515.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,135.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$515.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$515.40
|
| Rate for Payer: UHC Medicare Advantage |
$530.86
|
|
|
PR EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT
|
Professional
|
Both
|
$2,315.00
|
|
|
Service Code
|
HCPCS 26205
|
| Min. Negotiated Rate |
$32.23 |
| Max. Negotiated Rate |
$1,620.50 |
| Rate for Payer: Aetna Commercial |
$801.88
|
| Rate for Payer: Aetna Medicare |
$622.36
|
| Rate for Payer: BCBS Complete |
$413.53
|
| Rate for Payer: BCBS MAPPO |
$598.42
|
| Rate for Payer: BCBS Trust/PPO |
$32.23
|
| Rate for Payer: BCN Commercial |
$895.26
|
| Rate for Payer: BCN Medicare Advantage |
$598.42
|
| Rate for Payer: Cash Price |
$1,852.00
|
| Rate for Payer: Cash Price |
$1,852.00
|
| Rate for Payer: Cofinity Commercial |
$801.88
|
| Rate for Payer: Cofinity Commercial |
$861.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.42
|
| Rate for Payer: Mclaren Medicaid |
$393.84
|
| Rate for Payer: Meridian Medicaid |
$413.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$628.34
|
| Rate for Payer: PACE SWMI |
$598.42
|
| Rate for Payer: PHP Medicare Advantage |
$598.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$393.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,620.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$935.51
|
| Rate for Payer: Priority Health Medicare |
$598.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$935.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.42
|
| Rate for Payer: UHC Medicare Advantage |
$616.37
|
|
|
PR EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT
|
Professional
|
Both
|
$1,747.00
|
|
|
Service Code
|
HCPCS 26215
|
| Min. Negotiated Rate |
$119.40 |
| Max. Negotiated Rate |
$1,222.90 |
| Rate for Payer: Aetna Commercial |
$752.41
|
| Rate for Payer: Aetna Medicare |
$583.96
|
| Rate for Payer: BCBS Complete |
$388.48
|
| Rate for Payer: BCBS MAPPO |
$561.50
|
| Rate for Payer: BCBS Trust/PPO |
$119.40
|
| Rate for Payer: BCN Commercial |
$841.01
|
| Rate for Payer: BCN Medicare Advantage |
$561.50
|
| Rate for Payer: Cash Price |
$1,397.60
|
| Rate for Payer: Cash Price |
$1,397.60
|
| Rate for Payer: Cofinity Commercial |
$752.41
|
| Rate for Payer: Cofinity Commercial |
$808.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.50
|
| Rate for Payer: Mclaren Medicaid |
$369.98
|
| Rate for Payer: Meridian Medicaid |
$388.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$589.58
|
| Rate for Payer: PACE SWMI |
$561.50
|
| Rate for Payer: PHP Medicare Advantage |
$561.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,222.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$878.83
|
| Rate for Payer: Priority Health Medicare |
$561.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$878.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.50
|
| Rate for Payer: UHC Medicare Advantage |
$578.34
|
|
|
PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT
|
Professional
|
Both
|
$2,721.00
|
|
|
Service Code
|
HCPCS 27637
|
| Min. Negotiated Rate |
$483.08 |
| Max. Negotiated Rate |
$1,904.70 |
| Rate for Payer: Aetna Commercial |
$978.28
|
| Rate for Payer: Aetna Medicare |
$759.26
|
| Rate for Payer: BCBS Complete |
$507.23
|
| Rate for Payer: BCBS MAPPO |
$730.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,170.18
|
| Rate for Payer: BCN Commercial |
$1,089.26
|
| Rate for Payer: BCN Medicare Advantage |
$730.06
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cofinity Commercial |
$978.28
|
| Rate for Payer: Cofinity Commercial |
$1,051.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$730.06
|
| Rate for Payer: Mclaren Medicaid |
$483.08
|
| Rate for Payer: Meridian Medicaid |
$507.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$766.56
|
| Rate for Payer: PACE SWMI |
$730.06
|
| Rate for Payer: PHP Medicare Advantage |
$730.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,904.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,138.25
|
| Rate for Payer: Priority Health Medicare |
$730.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,138.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$730.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$730.06
|
| Rate for Payer: UHC Medicare Advantage |
$751.96
|
|
|
PR EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT
|
Professional
|
Both
|
$2,170.00
|
|
|
Service Code
|
HCPCS 27638
|
| Min. Negotiated Rate |
$479.04 |
| Max. Negotiated Rate |
$1,612.37 |
| Rate for Payer: Aetna Commercial |
$987.04
|
| Rate for Payer: Aetna Medicare |
$766.06
|
| Rate for Payer: BCBS Complete |
$502.99
|
| Rate for Payer: BCBS MAPPO |
$736.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$1,097.08
|
| Rate for Payer: BCN Medicare Advantage |
$736.60
|
| Rate for Payer: Cash Price |
$1,736.00
|
| Rate for Payer: Cash Price |
$1,736.00
|
| Rate for Payer: Cofinity Commercial |
$1,060.70
|
| Rate for Payer: Cofinity Commercial |
$987.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$736.60
|
| Rate for Payer: Mclaren Medicaid |
$479.04
|
| Rate for Payer: Meridian Medicaid |
$502.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$773.43
|
| Rate for Payer: PACE SWMI |
$736.60
|
| Rate for Payer: PHP Medicare Advantage |
$736.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,519.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,146.41
|
| Rate for Payer: Priority Health Medicare |
$736.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,146.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$736.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$736.60
|
| Rate for Payer: UHC Medicare Advantage |
$758.70
|
|
|
PR EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 28104
|
| Min. Negotiated Rate |
$228.98 |
| Max. Negotiated Rate |
$1,143.77 |
| Rate for Payer: Aetna Commercial |
$461.70
|
| Rate for Payer: Aetna Medicare |
$358.33
|
| Rate for Payer: BCBS Complete |
$240.43
|
| Rate for Payer: BCBS MAPPO |
$344.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,143.77
|
| Rate for Payer: BCN Commercial |
$761.85
|
| Rate for Payer: BCN Medicare Advantage |
$344.55
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$496.15
|
| Rate for Payer: Cofinity Commercial |
$461.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.55
|
| Rate for Payer: Mclaren Medicaid |
$228.98
|
| Rate for Payer: Meridian Medicaid |
$240.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$361.78
|
| Rate for Payer: PACE SWMI |
$344.55
|
| Rate for Payer: PHP Medicare Advantage |
$344.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$538.22
|
| Rate for Payer: Priority Health Medicare |
$344.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$538.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$344.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$344.55
|
| Rate for Payer: UHC Medicare Advantage |
$354.89
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT
|
Professional
|
Both
|
$1,700.00
|
|
|
Service Code
|
HCPCS 24116
|
| Min. Negotiated Rate |
$82.41 |
| Max. Negotiated Rate |
$1,321.56 |
| Rate for Payer: Aetna Commercial |
$1,138.45
|
| Rate for Payer: Aetna Medicare |
$883.57
|
| Rate for Payer: BCBS Complete |
$583.51
|
| Rate for Payer: BCBS MAPPO |
$849.59
|
| Rate for Payer: BCBS Trust/PPO |
$82.41
|
| Rate for Payer: BCN Commercial |
$1,264.70
|
| Rate for Payer: BCN Medicare Advantage |
$849.59
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cash Price |
$1,360.00
|
| Rate for Payer: Cofinity Commercial |
$1,138.45
|
| Rate for Payer: Cofinity Commercial |
$1,223.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$849.59
|
| Rate for Payer: Mclaren Medicaid |
$555.72
|
| Rate for Payer: Meridian Medicaid |
$583.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$892.07
|
| Rate for Payer: PACE SWMI |
$849.59
|
| Rate for Payer: PHP Medicare Advantage |
$849.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$555.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,190.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,321.56
|
| Rate for Payer: Priority Health Medicare |
$849.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,321.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$849.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$849.59
|
| Rate for Payer: UHC Medicare Advantage |
$875.08
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA
|
Professional
|
Both
|
$923.00
|
|
|
Service Code
|
HCPCS 23140
|
| Min. Negotiated Rate |
$27.17 |
| Max. Negotiated Rate |
$858.91 |
| Rate for Payer: Aetna Commercial |
$735.37
|
| Rate for Payer: Aetna Medicare |
$570.73
|
| Rate for Payer: BCBS Complete |
$380.20
|
| Rate for Payer: BCBS MAPPO |
$548.78
|
| Rate for Payer: BCBS Trust/PPO |
$27.17
|
| Rate for Payer: BCN Commercial |
$821.96
|
| Rate for Payer: BCN Medicare Advantage |
$548.78
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cofinity Commercial |
$790.24
|
| Rate for Payer: Cofinity Commercial |
$735.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$548.78
|
| Rate for Payer: Mclaren Medicaid |
$362.10
|
| Rate for Payer: Meridian Medicaid |
$380.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$576.22
|
| Rate for Payer: PACE SWMI |
$548.78
|
| Rate for Payer: PHP Medicare Advantage |
$548.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$362.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$858.91
|
| Rate for Payer: Priority Health Medicare |
$548.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$858.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$548.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$548.78
|
| Rate for Payer: UHC Medicare Advantage |
$565.24
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Facility
|
IP
|
$1,228.00
|
|
|
Service Code
|
CPT 24120
|
| Hospital Charge Code |
24120
|
| Min. Negotiated Rate |
$748.96 |
| Max. Negotiated Rate |
$1,105.20 |
| Rate for Payer: Aetna Commercial |
$1,043.80
|
| Rate for Payer: BCBS Trust/PPO |
$949.00
|
| Rate for Payer: BCN Commercial |
$949.00
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Commercial |
$1,056.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$982.40
|
| Rate for Payer: Healthscope Commercial |
$1,105.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,043.80
|
| Rate for Payer: PHP Commercial |
$1,043.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$859.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,068.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$748.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,080.64
|
| Rate for Payer: UHC Core |
$1,025.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.00
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Facility
|
OP
|
$1,228.00
|
|
|
Service Code
|
CPT 24120
|
| Hospital Charge Code |
24120
|
| Min. Negotiated Rate |
$291.65 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$1,043.80
|
| Rate for Payer: Aetna Medicare |
$319.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$383.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$383.75
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$307.00
|
| Rate for Payer: BCBS Trust/PPO |
$954.77
|
| Rate for Payer: BCN Commercial |
$954.77
|
| Rate for Payer: BCN Medicare Advantage |
$307.00
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Commercial |
$1,056.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$982.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.00
|
| Rate for Payer: Healthscope Commercial |
$1,105.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$921.00
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$322.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$353.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,043.80
|
| Rate for Payer: PACE Senior Care Partners |
$291.65
|
| Rate for Payer: PACE SWMI |
$307.00
|
| Rate for Payer: PHP Commercial |
$1,043.80
|
| Rate for Payer: PHP Medicare Advantage |
$307.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$859.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,068.36
|
| Rate for Payer: Priority Health Medicare |
$307.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$748.96
|
| Rate for Payer: Railroad Medicare Medicare |
$307.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,080.64
|
| Rate for Payer: UHC Core |
$1,025.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$307.00
|
| Rate for Payer: UHC Medicare Advantage |
$316.21
|
| Rate for Payer: VA VA |
$307.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$921.00
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Professional
|
Both
|
$1,228.00
|
|
|
Service Code
|
HCPCS 24120
|
| Hospital Charge Code |
24120
|
| Min. Negotiated Rate |
$114.64 |
| Max. Negotiated Rate |
$859.60 |
| Rate for Payer: Aetna Commercial |
$704.97
|
| Rate for Payer: Aetna Medicare |
$547.14
|
| Rate for Payer: BCBS Complete |
$364.77
|
| Rate for Payer: BCBS MAPPO |
$526.10
|
| Rate for Payer: BCBS Trust/PPO |
$114.64
|
| Rate for Payer: BCN Commercial |
$788.73
|
| Rate for Payer: BCN Medicare Advantage |
$526.10
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Commercial |
$704.97
|
| Rate for Payer: Cofinity Commercial |
$757.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.10
|
| Rate for Payer: Mclaren Medicaid |
$347.40
|
| Rate for Payer: Meridian Medicaid |
$364.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.40
|
| Rate for Payer: PACE SWMI |
$526.10
|
| Rate for Payer: PHP Medicare Advantage |
$526.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$347.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$859.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$824.19
|
| Rate for Payer: Priority Health Medicare |
$526.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$824.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$526.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.10
|
| Rate for Payer: UHC Medicare Advantage |
$541.88
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN
|
Professional
|
Both
|
$1,228.00
|
|
|
Service Code
|
HCPCS 24120
|
| Min. Negotiated Rate |
$114.64 |
| Max. Negotiated Rate |
$859.60 |
| Rate for Payer: Aetna Commercial |
$704.97
|
| Rate for Payer: Aetna Medicare |
$547.14
|
| Rate for Payer: BCBS Complete |
$364.77
|
| Rate for Payer: BCBS MAPPO |
$526.10
|
| Rate for Payer: BCBS Trust/PPO |
$114.64
|
| Rate for Payer: BCN Commercial |
$788.73
|
| Rate for Payer: BCN Medicare Advantage |
$526.10
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cash Price |
$982.40
|
| Rate for Payer: Cofinity Commercial |
$704.97
|
| Rate for Payer: Cofinity Commercial |
$757.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$526.10
|
| Rate for Payer: Mclaren Medicaid |
$347.40
|
| Rate for Payer: Meridian Medicaid |
$364.77
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$552.40
|
| Rate for Payer: PACE SWMI |
$526.10
|
| Rate for Payer: PHP Medicare Advantage |
$526.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$347.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$859.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$824.19
|
| Rate for Payer: Priority Health Medicare |
$526.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$824.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$526.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$526.10
|
| Rate for Payer: UHC Medicare Advantage |
$541.88
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT
|
Professional
|
Both
|
$1,383.00
|
|
|
Service Code
|
HCPCS 23155
|
| Min. Negotiated Rate |
$59.01 |
| Max. Negotiated Rate |
$1,228.63 |
| Rate for Payer: Aetna Commercial |
$1,055.60
|
| Rate for Payer: Aetna Medicare |
$819.27
|
| Rate for Payer: BCBS Complete |
$542.36
|
| Rate for Payer: BCBS MAPPO |
$787.76
|
| Rate for Payer: BCBS Trust/PPO |
$59.01
|
| Rate for Payer: BCN Commercial |
$1,175.76
|
| Rate for Payer: BCN Medicare Advantage |
$787.76
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cash Price |
$1,106.40
|
| Rate for Payer: Cofinity Commercial |
$1,055.60
|
| Rate for Payer: Cofinity Commercial |
$1,134.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$787.76
|
| Rate for Payer: Mclaren Medicaid |
$516.53
|
| Rate for Payer: Meridian Medicaid |
$542.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$827.15
|
| Rate for Payer: PACE SWMI |
$787.76
|
| Rate for Payer: PHP Medicare Advantage |
$787.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$968.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,228.63
|
| Rate for Payer: Priority Health Medicare |
$787.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,228.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$787.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$787.76
|
| Rate for Payer: UHC Medicare Advantage |
$811.39
|
|
|
PR EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT
|
Professional
|
Both
|
$1,274.00
|
|
|
Service Code
|
HCPCS 23156
|
| Min. Negotiated Rate |
$32.26 |
| Max. Negotiated Rate |
$1,047.86 |
| Rate for Payer: Aetna Commercial |
$899.46
|
| Rate for Payer: Aetna Medicare |
$698.09
|
| Rate for Payer: BCBS Complete |
$462.96
|
| Rate for Payer: BCBS MAPPO |
$671.24
|
| Rate for Payer: BCBS Trust/PPO |
$32.26
|
| Rate for Payer: BCN Commercial |
$1,002.76
|
| Rate for Payer: BCN Medicare Advantage |
$671.24
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Cash Price |
$1,019.20
|
| Rate for Payer: Cofinity Commercial |
$966.59
|
| Rate for Payer: Cofinity Commercial |
$899.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$671.24
|
| Rate for Payer: Mclaren Medicaid |
$440.91
|
| Rate for Payer: Meridian Medicaid |
$462.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$704.80
|
| Rate for Payer: PACE SWMI |
$671.24
|
| Rate for Payer: PHP Medicare Advantage |
$671.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$891.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,047.86
|
| Rate for Payer: Priority Health Medicare |
$671.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,047.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$671.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$671.24
|
| Rate for Payer: UHC Medicare Advantage |
$691.38
|
|
|
PR EXC/CURTG CST/B9 TUM PHALANGES FOOT
|
Professional
|
Both
|
$522.00
|
|
|
Service Code
|
HCPCS 28108
|
| Min. Negotiated Rate |
$186.38 |
| Max. Negotiated Rate |
$630.40 |
| Rate for Payer: Aetna Commercial |
$375.16
|
| Rate for Payer: Aetna Medicare |
$291.17
|
| Rate for Payer: BCBS Complete |
$195.70
|
| Rate for Payer: BCBS MAPPO |
$279.97
|
| Rate for Payer: BCBS Trust/PPO |
$252.00
|
| Rate for Payer: BCN Commercial |
$630.40
|
| Rate for Payer: BCN Medicare Advantage |
$279.97
|
| Rate for Payer: Cash Price |
$417.60
|
| Rate for Payer: Cash Price |
$417.60
|
| Rate for Payer: Cofinity Commercial |
$403.16
|
| Rate for Payer: Cofinity Commercial |
$375.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$279.97
|
| Rate for Payer: Mclaren Medicaid |
$186.38
|
| Rate for Payer: Meridian Medicaid |
$195.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$293.97
|
| Rate for Payer: PACE SWMI |
$279.97
|
| Rate for Payer: PHP Medicare Advantage |
$279.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$438.13
|
| Rate for Payer: Priority Health Medicare |
$279.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$438.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$279.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$279.97
|
| Rate for Payer: UHC Medicare Advantage |
$288.37
|
|
|
PR EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT
|
Professional
|
Both
|
$942.00
|
|
|
Service Code
|
HCPCS 28106
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$907.62 |
| Rate for Payer: Aetna Commercial |
$556.37
|
| Rate for Payer: Aetna Medicare |
$431.81
|
| Rate for Payer: BCBS Complete |
$287.40
|
| Rate for Payer: BCBS MAPPO |
$415.20
|
| Rate for Payer: BCBS Trust/PPO |
$907.62
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$415.20
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cofinity Commercial |
$597.89
|
| Rate for Payer: Cofinity Commercial |
$556.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.20
|
| Rate for Payer: Mclaren Medicaid |
$273.71
|
| Rate for Payer: Meridian Medicaid |
$287.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.96
|
| Rate for Payer: PACE SWMI |
$415.20
|
| Rate for Payer: PHP Medicare Advantage |
$415.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$659.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$644.96
|
| Rate for Payer: Priority Health Medicare |
$415.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$415.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$415.20
|
| Rate for Payer: UHC Medicare Advantage |
$427.66
|
|
|
PR EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT
|
Professional
|
Both
|
$983.00
|
|
|
Service Code
|
HCPCS 25136
|
| Min. Negotiated Rate |
$325.46 |
| Max. Negotiated Rate |
$1,019.62 |
| Rate for Payer: Aetna Commercial |
$659.57
|
| Rate for Payer: Aetna Medicare |
$511.91
|
| Rate for Payer: BCBS Complete |
$341.73
|
| Rate for Payer: BCBS MAPPO |
$492.22
|
| Rate for Payer: BCBS Trust/PPO |
$1,019.62
|
| Rate for Payer: BCN Commercial |
$738.88
|
| Rate for Payer: BCN Medicare Advantage |
$492.22
|
| Rate for Payer: Cash Price |
$786.40
|
| Rate for Payer: Cash Price |
$786.40
|
| Rate for Payer: Cofinity Commercial |
$659.57
|
| Rate for Payer: Cofinity Commercial |
$708.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$492.22
|
| Rate for Payer: Mclaren Medicaid |
$325.46
|
| Rate for Payer: Meridian Medicaid |
$341.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$516.83
|
| Rate for Payer: PACE SWMI |
$492.22
|
| Rate for Payer: PHP Medicare Advantage |
$492.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$688.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$772.10
|
| Rate for Payer: Priority Health Medicare |
$492.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$772.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$492.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$492.22
|
| Rate for Payer: UHC Medicare Advantage |
$506.99
|
|
|
PR EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT
|
Professional
|
Both
|
$991.00
|
|
|
Service Code
|
HCPCS 25135
|
| Min. Negotiated Rate |
$366.57 |
| Max. Negotiated Rate |
$1,158.03 |
| Rate for Payer: Aetna Commercial |
$741.52
|
| Rate for Payer: Aetna Medicare |
$575.50
|
| Rate for Payer: BCBS Complete |
$384.90
|
| Rate for Payer: BCBS MAPPO |
$553.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,158.03
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$553.37
|
| Rate for Payer: Cash Price |
$792.80
|
| Rate for Payer: Cash Price |
$792.80
|
| Rate for Payer: Cofinity Commercial |
$741.52
|
| Rate for Payer: Cofinity Commercial |
$796.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$553.37
|
| Rate for Payer: Mclaren Medicaid |
$366.57
|
| Rate for Payer: Meridian Medicaid |
$384.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$581.04
|
| Rate for Payer: PACE SWMI |
$553.37
|
| Rate for Payer: PHP Medicare Advantage |
$553.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$693.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$867.08
|
| Rate for Payer: Priority Health Medicare |
$553.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$867.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$553.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$553.37
|
| Rate for Payer: UHC Medicare Advantage |
$569.97
|
|
|
PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT
|
Professional
|
Both
|
$1,192.00
|
|
|
Service Code
|
HCPCS 25126
|
| Min. Negotiated Rate |
$391.07 |
| Max. Negotiated Rate |
$1,153.28 |
| Rate for Payer: Aetna Commercial |
$794.20
|
| Rate for Payer: Aetna Medicare |
$616.40
|
| Rate for Payer: BCBS Complete |
$410.62
|
| Rate for Payer: BCBS MAPPO |
$592.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,153.28
|
| Rate for Payer: BCN Commercial |
$887.44
|
| Rate for Payer: BCN Medicare Advantage |
$592.69
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cash Price |
$953.60
|
| Rate for Payer: Cofinity Commercial |
$794.20
|
| Rate for Payer: Cofinity Commercial |
$853.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$592.69
|
| Rate for Payer: Mclaren Medicaid |
$391.07
|
| Rate for Payer: Meridian Medicaid |
$410.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$622.32
|
| Rate for Payer: PACE SWMI |
$592.69
|
| Rate for Payer: PHP Medicare Advantage |
$592.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$834.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$927.34
|
| Rate for Payer: Priority Health Medicare |
$592.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$927.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$592.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$592.69
|
| Rate for Payer: UHC Medicare Advantage |
$610.47
|
|
|
PR EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT
|
Professional
|
Both
|
$2,274.00
|
|
|
Service Code
|
HCPCS 25125
|
| Min. Negotiated Rate |
$87.17 |
| Max. Negotiated Rate |
$1,591.80 |
| Rate for Payer: Aetna Commercial |
$788.88
|
| Rate for Payer: Aetna Medicare |
$612.27
|
| Rate for Payer: BCBS Complete |
$407.72
|
| Rate for Payer: BCBS MAPPO |
$588.72
|
| Rate for Payer: BCBS Trust/PPO |
$87.17
|
| Rate for Payer: BCN Commercial |
$881.57
|
| Rate for Payer: BCN Medicare Advantage |
$588.72
|
| Rate for Payer: Cash Price |
$1,819.20
|
| Rate for Payer: Cash Price |
$1,819.20
|
| Rate for Payer: Cofinity Commercial |
$847.76
|
| Rate for Payer: Cofinity Commercial |
$788.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$588.72
|
| Rate for Payer: Mclaren Medicaid |
$388.30
|
| Rate for Payer: Meridian Medicaid |
$407.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$618.16
|
| Rate for Payer: PACE SWMI |
$588.72
|
| Rate for Payer: PHP Medicare Advantage |
$588.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,591.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$921.22
|
| Rate for Payer: Priority Health Medicare |
$588.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$921.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$588.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$588.72
|
| Rate for Payer: UHC Medicare Advantage |
$606.38
|
|
|
PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION
|
Professional
|
Both
|
$1,031.00
|
|
|
Service Code
|
HCPCS 19120
|
| Hospital Charge Code |
19120
|
| Min. Negotiated Rate |
$269.66 |
| Max. Negotiated Rate |
$762.83 |
| Rate for Payer: Aetna Commercial |
$553.46
|
| Rate for Payer: Aetna Medicare |
$429.55
|
| Rate for Payer: BCBS Complete |
$283.14
|
| Rate for Payer: BCBS MAPPO |
$413.03
|
| Rate for Payer: BCBS Trust/PPO |
$540.00
|
| Rate for Payer: BCN Commercial |
$762.83
|
| Rate for Payer: BCN Medicare Advantage |
$413.03
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cash Price |
$824.80
|
| Rate for Payer: Cofinity Commercial |
$594.76
|
| Rate for Payer: Cofinity Commercial |
$553.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.03
|
| Rate for Payer: Mclaren Medicaid |
$269.66
|
| Rate for Payer: Meridian Medicaid |
$283.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$433.68
|
| Rate for Payer: PACE SWMI |
$413.03
|
| Rate for Payer: PHP Medicare Advantage |
$413.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$721.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$515.45
|
| Rate for Payer: Priority Health Medicare |
$413.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$515.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$413.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.03
|
| Rate for Payer: UHC Medicare Advantage |
$425.42
|
|
