|
PR EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL
|
Professional
|
Both
|
$887.00
|
|
|
Service Code
|
HCPCS 27065
|
| Min. Negotiated Rate |
$340.59 |
| Max. Negotiated Rate |
$4,717.19 |
| Rate for Payer: Aetna Commercial |
$697.15
|
| Rate for Payer: Aetna Medicare |
$541.07
|
| Rate for Payer: BCBS Complete |
$357.62
|
| Rate for Payer: BCBS MAPPO |
$520.26
|
| Rate for Payer: BCBS Trust/PPO |
$4,717.19
|
| Rate for Payer: BCN Commercial |
$780.42
|
| Rate for Payer: BCN Medicare Advantage |
$520.26
|
| Rate for Payer: Cash Price |
$709.60
|
| Rate for Payer: Cash Price |
$709.60
|
| Rate for Payer: Cofinity Commercial |
$749.17
|
| Rate for Payer: Cofinity Commercial |
$697.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$520.26
|
| Rate for Payer: Mclaren Medicaid |
$340.59
|
| Rate for Payer: Meridian Medicaid |
$357.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$546.27
|
| Rate for Payer: PACE SWMI |
$520.26
|
| Rate for Payer: PHP Medicare Advantage |
$520.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$340.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$620.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$815.51
|
| Rate for Payer: Priority Health Medicare |
$520.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$815.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$520.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$520.26
|
| Rate for Payer: UHC Medicare Advantage |
$535.87
|
|
|
PR EXCISION BONE MANDIBLE
|
Professional
|
Both
|
$1,565.00
|
|
|
Service Code
|
HCPCS 21025
|
| Min. Negotiated Rate |
$103.02 |
| Max. Negotiated Rate |
$1,154.25 |
| Rate for Payer: Aetna Commercial |
$862.77
|
| Rate for Payer: Aetna Medicare |
$669.61
|
| Rate for Payer: BCBS Complete |
$444.84
|
| Rate for Payer: BCBS MAPPO |
$643.86
|
| Rate for Payer: BCBS Trust/PPO |
$103.02
|
| Rate for Payer: BCN Commercial |
$1,154.25
|
| Rate for Payer: BCN Medicare Advantage |
$643.86
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cash Price |
$1,252.00
|
| Rate for Payer: Cofinity Commercial |
$927.16
|
| Rate for Payer: Cofinity Commercial |
$862.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$643.86
|
| Rate for Payer: Mclaren Medicaid |
$423.66
|
| Rate for Payer: Meridian Medicaid |
$444.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$676.05
|
| Rate for Payer: PACE SWMI |
$643.86
|
| Rate for Payer: PHP Medicare Advantage |
$643.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,095.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,005.47
|
| Rate for Payer: Priority Health Medicare |
$643.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,005.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$643.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$643.86
|
| Rate for Payer: UHC Medicare Advantage |
$663.18
|
|
|
PR EXCISION CHALAZION MULTIPLE SAME LID
|
Professional
|
Both
|
$285.00
|
|
|
Service Code
|
HCPCS 67801
|
| Min. Negotiated Rate |
$83.07 |
| Max. Negotiated Rate |
$552.60 |
| Rate for Payer: Aetna Commercial |
$169.91
|
| Rate for Payer: Aetna Medicare |
$131.87
|
| Rate for Payer: BCBS Complete |
$87.22
|
| Rate for Payer: BCBS MAPPO |
$126.80
|
| Rate for Payer: BCBS Trust/PPO |
$552.60
|
| Rate for Payer: BCN Commercial |
$237.49
|
| Rate for Payer: BCN Medicare Advantage |
$126.80
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$182.59
|
| Rate for Payer: Cofinity Commercial |
$169.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.80
|
| Rate for Payer: Mclaren Medicaid |
$83.07
|
| Rate for Payer: Meridian Medicaid |
$87.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$133.14
|
| Rate for Payer: PACE SWMI |
$126.80
|
| Rate for Payer: PHP Medicare Advantage |
$126.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$227.73
|
| Rate for Payer: Priority Health Medicare |
$126.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.80
|
| Rate for Payer: UHC Medicare Advantage |
$130.60
|
|
|
PR EXCISION CHALAZION SINGLE
|
Professional
|
Both
|
$193.00
|
|
|
Service Code
|
HCPCS 67800
|
| Min. Negotiated Rate |
$64.75 |
| Max. Negotiated Rate |
$552.07 |
| Rate for Payer: Aetna Commercial |
$131.04
|
| Rate for Payer: Aetna Medicare |
$101.70
|
| Rate for Payer: BCBS Complete |
$67.99
|
| Rate for Payer: BCBS MAPPO |
$97.79
|
| Rate for Payer: BCBS Trust/PPO |
$552.07
|
| Rate for Payer: BCN Commercial |
$150.39
|
| Rate for Payer: BCN Medicare Advantage |
$97.79
|
| Rate for Payer: Cash Price |
$154.40
|
| Rate for Payer: Cash Price |
$154.40
|
| Rate for Payer: Cofinity Commercial |
$140.82
|
| Rate for Payer: Cofinity Commercial |
$131.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.79
|
| Rate for Payer: Mclaren Medicaid |
$64.75
|
| Rate for Payer: Meridian Medicaid |
$67.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.68
|
| Rate for Payer: PACE SWMI |
$97.79
|
| Rate for Payer: PHP Medicare Advantage |
$97.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$135.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$176.21
|
| Rate for Payer: Priority Health Medicare |
$97.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$176.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.79
|
| Rate for Payer: UHC Medicare Advantage |
$100.72
|
|
|
PR EXCISION CHEST WALL TUMOR INCLUDING RIBS
|
Professional
|
Both
|
$2,391.00
|
|
|
Service Code
|
HCPCS 21601
|
| Min. Negotiated Rate |
$267.70 |
| Max. Negotiated Rate |
$1,739.79 |
| Rate for Payer: Aetna Commercial |
$1,513.46
|
| Rate for Payer: Aetna Medicare |
$1,174.63
|
| Rate for Payer: BCBS Complete |
$770.70
|
| Rate for Payer: BCBS MAPPO |
$1,129.45
|
| Rate for Payer: BCBS Trust/PPO |
$267.70
|
| Rate for Payer: BCN Commercial |
$1,664.93
|
| Rate for Payer: BCN Medicare Advantage |
$1,129.45
|
| Rate for Payer: Cash Price |
$1,912.80
|
| Rate for Payer: Cash Price |
$1,912.80
|
| Rate for Payer: Cofinity Commercial |
$1,513.46
|
| Rate for Payer: Cofinity Commercial |
$1,626.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,129.45
|
| Rate for Payer: Mclaren Medicaid |
$734.00
|
| Rate for Payer: Meridian Medicaid |
$770.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,185.92
|
| Rate for Payer: PACE SWMI |
$1,129.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,129.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$734.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,673.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,739.79
|
| Rate for Payer: Priority Health Medicare |
$1,129.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,739.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,129.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,129.45
|
| Rate for Payer: UHC Medicare Advantage |
$1,163.33
|
|
|
PR EXCISION CHOLEDOCHAL CYST
|
Professional
|
Both
|
$2,262.00
|
|
|
Service Code
|
HCPCS 47715
|
| Min. Negotiated Rate |
$380.38 |
| Max. Negotiated Rate |
$2,339.54 |
| Rate for Payer: Aetna Commercial |
$1,773.49
|
| Rate for Payer: Aetna Medicare |
$1,376.44
|
| Rate for Payer: BCBS Complete |
$893.71
|
| Rate for Payer: BCBS MAPPO |
$1,323.50
|
| Rate for Payer: BCBS Trust/PPO |
$380.38
|
| Rate for Payer: BCN Commercial |
$1,944.45
|
| Rate for Payer: BCN Medicare Advantage |
$1,323.50
|
| Rate for Payer: Cash Price |
$1,809.60
|
| Rate for Payer: Cash Price |
$1,809.60
|
| Rate for Payer: Cofinity Commercial |
$1,905.84
|
| Rate for Payer: Cofinity Commercial |
$1,773.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,323.50
|
| Rate for Payer: Mclaren Medicaid |
$851.15
|
| Rate for Payer: Meridian Medicaid |
$893.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,389.68
|
| Rate for Payer: PACE SWMI |
$1,323.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,323.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$851.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,583.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,339.54
|
| Rate for Payer: Priority Health Medicare |
$1,323.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,339.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,323.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,323.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,363.20
|
|
|
PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,673.00
|
|
|
Service Code
|
HCPCS 21603
|
| Min. Negotiated Rate |
$1,071.39 |
| Max. Negotiated Rate |
$8,162.77 |
| Rate for Payer: Aetna Commercial |
$2,217.98
|
| Rate for Payer: Aetna Medicare |
$1,721.42
|
| Rate for Payer: BCBS Complete |
$1,124.96
|
| Rate for Payer: BCBS MAPPO |
$1,655.21
|
| Rate for Payer: BCBS Trust/PPO |
$8,162.77
|
| Rate for Payer: BCN Commercial |
$2,446.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,655.21
|
| Rate for Payer: Cash Price |
$2,938.40
|
| Rate for Payer: Cash Price |
$2,938.40
|
| Rate for Payer: Cofinity Commercial |
$2,383.50
|
| Rate for Payer: Cofinity Commercial |
$2,217.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,655.21
|
| Rate for Payer: Mclaren Medicaid |
$1,071.39
|
| Rate for Payer: Meridian Medicaid |
$1,124.96
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,737.97
|
| Rate for Payer: PACE SWMI |
$1,655.21
|
| Rate for Payer: PHP Medicare Advantage |
$1,655.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,071.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,571.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,556.31
|
| Rate for Payer: Priority Health Medicare |
$1,655.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,556.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,655.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,655.21
|
| Rate for Payer: UHC Medicare Advantage |
$1,704.87
|
|
|
PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,064.00
|
|
|
Service Code
|
HCPCS 21602
|
| Min. Negotiated Rate |
$977.46 |
| Max. Negotiated Rate |
$32,076.33 |
| Rate for Payer: Aetna Commercial |
$2,028.91
|
| Rate for Payer: Aetna Medicare |
$1,574.67
|
| Rate for Payer: BCBS Complete |
$1,026.33
|
| Rate for Payer: BCBS MAPPO |
$1,514.11
|
| Rate for Payer: BCBS Trust/PPO |
$32,076.33
|
| Rate for Payer: BCN Commercial |
$2,244.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,514.11
|
| Rate for Payer: Cash Price |
$2,451.20
|
| Rate for Payer: Cash Price |
$2,451.20
|
| Rate for Payer: Cofinity Commercial |
$2,180.32
|
| Rate for Payer: Cofinity Commercial |
$2,028.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,514.11
|
| Rate for Payer: Mclaren Medicaid |
$977.46
|
| Rate for Payer: Meridian Medicaid |
$1,026.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,589.82
|
| Rate for Payer: PACE SWMI |
$1,514.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,514.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$977.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,144.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,344.90
|
| Rate for Payer: Priority Health Medicare |
$1,514.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,344.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,514.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,514.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,559.53
|
|
|
PR EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA
|
Professional
|
Both
|
$2,041.00
|
|
|
Service Code
|
HCPCS 27635
|
| Min. Negotiated Rate |
$375.09 |
| Max. Negotiated Rate |
$1,428.70 |
| Rate for Payer: Aetna Commercial |
$764.16
|
| Rate for Payer: Aetna Medicare |
$593.08
|
| Rate for Payer: BCBS Complete |
$393.84
|
| Rate for Payer: BCBS MAPPO |
$570.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.54
|
| Rate for Payer: BCN Commercial |
$852.26
|
| Rate for Payer: BCN Medicare Advantage |
$570.27
|
| Rate for Payer: Cash Price |
$1,632.80
|
| Rate for Payer: Cash Price |
$1,632.80
|
| Rate for Payer: Cofinity Commercial |
$821.19
|
| Rate for Payer: Cofinity Commercial |
$764.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$570.27
|
| Rate for Payer: Mclaren Medicaid |
$375.09
|
| Rate for Payer: Meridian Medicaid |
$393.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$598.78
|
| Rate for Payer: PACE SWMI |
$570.27
|
| Rate for Payer: PHP Medicare Advantage |
$570.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$375.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,428.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$890.57
|
| Rate for Payer: Priority Health Medicare |
$570.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$890.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$570.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$570.27
|
| Rate for Payer: UHC Medicare Advantage |
$587.38
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES
|
Professional
|
Both
|
$1,589.00
|
|
|
Service Code
|
HCPCS 25130
|
| Min. Negotiated Rate |
$295.43 |
| Max. Negotiated Rate |
$1,161.73 |
| Rate for Payer: Aetna Commercial |
$596.43
|
| Rate for Payer: Aetna Medicare |
$462.90
|
| Rate for Payer: BCBS Complete |
$310.20
|
| Rate for Payer: BCBS MAPPO |
$445.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,161.73
|
| Rate for Payer: BCN Commercial |
$669.98
|
| Rate for Payer: BCN Medicare Advantage |
$445.10
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cash Price |
$1,271.20
|
| Rate for Payer: Cofinity Commercial |
$596.43
|
| Rate for Payer: Cofinity Commercial |
$640.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.10
|
| Rate for Payer: Mclaren Medicaid |
$295.43
|
| Rate for Payer: Meridian Medicaid |
$310.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$467.36
|
| Rate for Payer: PACE SWMI |
$445.10
|
| Rate for Payer: PHP Medicare Advantage |
$445.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$295.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,112.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$700.10
|
| Rate for Payer: Priority Health Medicare |
$445.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$700.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$445.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$445.10
|
| Rate for Payer: UHC Medicare Advantage |
$458.45
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR
|
Professional
|
Both
|
$2,242.00
|
|
|
Service Code
|
HCPCS 27355
|
| Min. Negotiated Rate |
$395.12 |
| Max. Negotiated Rate |
$2,489.35 |
| Rate for Payer: Aetna Commercial |
$805.07
|
| Rate for Payer: Aetna Medicare |
$624.83
|
| Rate for Payer: BCBS Complete |
$414.88
|
| Rate for Payer: BCBS MAPPO |
$600.80
|
| Rate for Payer: BCBS Trust/PPO |
$2,489.35
|
| Rate for Payer: BCN Commercial |
$898.67
|
| Rate for Payer: BCN Medicare Advantage |
$600.80
|
| Rate for Payer: Cash Price |
$1,793.60
|
| Rate for Payer: Cash Price |
$1,793.60
|
| Rate for Payer: Cofinity Commercial |
$865.15
|
| Rate for Payer: Cofinity Commercial |
$805.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.80
|
| Rate for Payer: Mclaren Medicaid |
$395.12
|
| Rate for Payer: Meridian Medicaid |
$414.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$630.84
|
| Rate for Payer: PACE SWMI |
$600.80
|
| Rate for Payer: PHP Medicare Advantage |
$600.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$395.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,569.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$939.09
|
| Rate for Payer: Priority Health Medicare |
$600.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$939.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$600.80
|
| Rate for Payer: UHC Medicare Advantage |
$618.82
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION
|
Professional
|
Both
|
$1,049.00
|
|
|
Service Code
|
HCPCS 27358
|
| Min. Negotiated Rate |
$173.60 |
| Max. Negotiated Rate |
$2,110.56 |
| Rate for Payer: Aetna Commercial |
$362.97
|
| Rate for Payer: Aetna Medicare |
$281.70
|
| Rate for Payer: BCBS Complete |
$182.28
|
| Rate for Payer: BCBS MAPPO |
$270.87
|
| Rate for Payer: BCBS Trust/PPO |
$2,110.56
|
| Rate for Payer: BCN Commercial |
$397.79
|
| Rate for Payer: BCN Medicare Advantage |
$270.87
|
| Rate for Payer: Cash Price |
$839.20
|
| Rate for Payer: Cash Price |
$839.20
|
| Rate for Payer: Cofinity Commercial |
$362.97
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$270.87
|
| Rate for Payer: Mclaren Medicaid |
$173.60
|
| Rate for Payer: Meridian Medicaid |
$182.28
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$284.41
|
| Rate for Payer: PACE SWMI |
$270.87
|
| Rate for Payer: PHP Medicare Advantage |
$270.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$173.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$734.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$415.67
|
| Rate for Payer: Priority Health Medicare |
$270.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$415.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$270.87
|
| Rate for Payer: UHC Medicare Advantage |
$279.00
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT
|
Professional
|
Both
|
$2,172.00
|
|
|
Service Code
|
HCPCS 27356
|
| Min. Negotiated Rate |
$479.89 |
| Max. Negotiated Rate |
$1,520.40 |
| Rate for Payer: Aetna Commercial |
$979.73
|
| Rate for Payer: Aetna Medicare |
$760.39
|
| Rate for Payer: BCBS Complete |
$503.88
|
| Rate for Payer: BCBS MAPPO |
$731.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,244.15
|
| Rate for Payer: BCN Commercial |
$1,091.21
|
| Rate for Payer: BCN Medicare Advantage |
$731.14
|
| Rate for Payer: Cash Price |
$1,737.60
|
| Rate for Payer: Cash Price |
$1,737.60
|
| Rate for Payer: Cofinity Commercial |
$1,052.84
|
| Rate for Payer: Cofinity Commercial |
$979.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.14
|
| Rate for Payer: Mclaren Medicaid |
$479.89
|
| Rate for Payer: Meridian Medicaid |
$503.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$767.70
|
| Rate for Payer: PACE SWMI |
$731.14
|
| Rate for Payer: PHP Medicare Advantage |
$731.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$479.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,520.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,140.28
|
| Rate for Payer: Priority Health Medicare |
$731.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,140.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$731.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.14
|
| Rate for Payer: UHC Medicare Advantage |
$753.07
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT
|
Professional
|
Both
|
$1,978.00
|
|
|
Service Code
|
HCPCS 27357
|
| Min. Negotiated Rate |
$529.52 |
| Max. Negotiated Rate |
$1,740.22 |
| Rate for Payer: Aetna Commercial |
$1,082.91
|
| Rate for Payer: Aetna Medicare |
$840.47
|
| Rate for Payer: BCBS Complete |
$556.00
|
| Rate for Payer: BCBS MAPPO |
$808.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,740.22
|
| Rate for Payer: BCN Commercial |
$1,206.05
|
| Rate for Payer: BCN Medicare Advantage |
$808.14
|
| Rate for Payer: Cash Price |
$1,582.40
|
| Rate for Payer: Cash Price |
$1,582.40
|
| Rate for Payer: Cofinity Commercial |
$1,163.72
|
| Rate for Payer: Cofinity Commercial |
$1,082.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$808.14
|
| Rate for Payer: Mclaren Medicaid |
$529.52
|
| Rate for Payer: Meridian Medicaid |
$556.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$848.55
|
| Rate for Payer: PACE SWMI |
$808.14
|
| Rate for Payer: PHP Medicare Advantage |
$808.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$529.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,384.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,260.29
|
| Rate for Payer: Priority Health Medicare |
$808.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,260.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$808.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$808.14
|
| Rate for Payer: UHC Medicare Advantage |
$832.38
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL
|
Professional
|
Both
|
$1,269.00
|
|
|
Service Code
|
HCPCS 26200
|
| Min. Negotiated Rate |
$66.57 |
| Max. Negotiated Rate |
$888.30 |
| Rate for Payer: Aetna Commercial |
$597.92
|
| Rate for Payer: Aetna Medicare |
$464.06
|
| Rate for Payer: BCBS Complete |
$309.53
|
| Rate for Payer: BCBS MAPPO |
$446.21
|
| Rate for Payer: BCBS Trust/PPO |
$66.57
|
| Rate for Payer: BCN Commercial |
$669.98
|
| Rate for Payer: BCN Medicare Advantage |
$446.21
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cash Price |
$1,015.20
|
| Rate for Payer: Cofinity Commercial |
$642.54
|
| Rate for Payer: Cofinity Commercial |
$597.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$446.21
|
| Rate for Payer: Mclaren Medicaid |
$294.79
|
| Rate for Payer: Meridian Medicaid |
$309.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$468.52
|
| Rate for Payer: PACE SWMI |
$446.21
|
| Rate for Payer: PHP Medicare Advantage |
$446.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$294.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$888.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$700.10
|
| Rate for Payer: Priority Health Medicare |
$446.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$700.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$446.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$446.21
|
| Rate for Payer: UHC Medicare Advantage |
$459.60
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 26210
|
| Min. Negotiated Rate |
$293.51 |
| Max. Negotiated Rate |
$872.90 |
| Rate for Payer: Aetna Commercial |
$592.19
|
| Rate for Payer: Aetna Medicare |
$459.61
|
| Rate for Payer: BCBS Complete |
$308.19
|
| Rate for Payer: BCBS MAPPO |
$441.93
|
| Rate for Payer: BCBS Trust/PPO |
$497.66
|
| Rate for Payer: BCN Commercial |
$665.57
|
| Rate for Payer: BCN Medicare Advantage |
$441.93
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$636.38
|
| Rate for Payer: Cofinity Commercial |
$592.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$441.93
|
| Rate for Payer: Mclaren Medicaid |
$293.51
|
| Rate for Payer: Meridian Medicaid |
$308.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$464.03
|
| Rate for Payer: PACE SWMI |
$441.93
|
| Rate for Payer: PHP Medicare Advantage |
$441.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$695.50
|
| Rate for Payer: Priority Health Medicare |
$441.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$695.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$441.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$441.93
|
| Rate for Payer: UHC Medicare Advantage |
$455.19
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA
|
Professional
|
Both
|
$2,163.00
|
|
|
Service Code
|
HCPCS 25120
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$1,514.10 |
| Rate for Payer: Aetna Commercial |
$664.21
|
| Rate for Payer: Aetna Medicare |
$515.51
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$495.68
|
| Rate for Payer: BCBS Trust/PPO |
$351.32
|
| Rate for Payer: BCN Commercial |
$744.26
|
| Rate for Payer: BCN Medicare Advantage |
$495.68
|
| Rate for Payer: Cash Price |
$1,730.40
|
| Rate for Payer: Cash Price |
$1,730.40
|
| Rate for Payer: Cofinity Commercial |
$713.78
|
| Rate for Payer: Cofinity Commercial |
$664.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$495.68
|
| Rate for Payer: Mclaren Medicaid |
$327.81
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$520.46
|
| Rate for Payer: PACE SWMI |
$495.68
|
| Rate for Payer: PHP Medicare Advantage |
$495.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,514.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$777.72
|
| Rate for Payer: Priority Health Medicare |
$495.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$495.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$495.68
|
| Rate for Payer: UHC Medicare Advantage |
$510.55
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS
|
Professional
|
Both
|
$1,113.00
|
|
|
Service Code
|
HCPCS 28100
|
| Min. Negotiated Rate |
$269.87 |
| Max. Negotiated Rate |
$1,087.24 |
| Rate for Payer: Aetna Commercial |
$548.68
|
| Rate for Payer: Aetna Medicare |
$425.84
|
| Rate for Payer: BCBS Complete |
$283.36
|
| Rate for Payer: BCBS MAPPO |
$409.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,087.24
|
| Rate for Payer: BCN Commercial |
$895.74
|
| Rate for Payer: BCN Medicare Advantage |
$409.46
|
| Rate for Payer: Cash Price |
$890.40
|
| Rate for Payer: Cash Price |
$890.40
|
| Rate for Payer: Cofinity Commercial |
$548.68
|
| Rate for Payer: Cofinity Commercial |
$589.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$409.46
|
| Rate for Payer: Mclaren Medicaid |
$269.87
|
| Rate for Payer: Meridian Medicaid |
$283.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$429.93
|
| Rate for Payer: PACE SWMI |
$409.46
|
| Rate for Payer: PHP Medicare Advantage |
$409.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$779.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$640.36
|
| Rate for Payer: Priority Health Medicare |
$409.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$640.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$409.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$409.46
|
| Rate for Payer: UHC Medicare Advantage |
$421.74
|
|
|
PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS
|
Professional
|
Both
|
$1,172.00
|
|
|
Service Code
|
HCPCS 24110
|
| Min. Negotiated Rate |
$45.96 |
| Max. Negotiated Rate |
$913.55 |
| Rate for Payer: Aetna Commercial |
$782.24
|
| Rate for Payer: Aetna Medicare |
$607.11
|
| Rate for Payer: BCBS Complete |
$404.13
|
| Rate for Payer: BCBS MAPPO |
$583.76
|
| Rate for Payer: BCBS Trust/PPO |
$45.96
|
| Rate for Payer: BCN Commercial |
$874.25
|
| Rate for Payer: BCN Medicare Advantage |
$583.76
|
| Rate for Payer: Cash Price |
$937.60
|
| Rate for Payer: Cash Price |
$937.60
|
| Rate for Payer: Cofinity Commercial |
$782.24
|
| Rate for Payer: Cofinity Commercial |
$840.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$583.76
|
| Rate for Payer: Mclaren Medicaid |
$384.89
|
| Rate for Payer: Meridian Medicaid |
$404.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$612.95
|
| Rate for Payer: PACE SWMI |
$583.76
|
| Rate for Payer: PHP Medicare Advantage |
$583.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$820.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$913.55
|
| Rate for Payer: Priority Health Medicare |
$583.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$913.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$583.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$583.76
|
| Rate for Payer: UHC Medicare Advantage |
$601.27
|
|
|
PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR
|
Professional
|
Both
|
$1,656.00
|
|
|
Service Code
|
HCPCS 30117
|
| Min. Negotiated Rate |
$249.89 |
| Max. Negotiated Rate |
$1,436.22 |
| Rate for Payer: Aetna Commercial |
$432.36
|
| Rate for Payer: Aetna Medicare |
$335.57
|
| Rate for Payer: BCBS Complete |
$279.56
|
| Rate for Payer: BCBS MAPPO |
$322.66
|
| Rate for Payer: BCBS Trust/PPO |
$249.89
|
| Rate for Payer: BCN Commercial |
$1,436.22
|
| Rate for Payer: BCN Medicare Advantage |
$322.66
|
| Rate for Payer: Cash Price |
$1,324.80
|
| Rate for Payer: Cash Price |
$1,324.80
|
| Rate for Payer: Cofinity Commercial |
$464.63
|
| Rate for Payer: Cofinity Commercial |
$432.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.66
|
| Rate for Payer: Mclaren Medicaid |
$266.25
|
| Rate for Payer: Meridian Medicaid |
$279.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$338.79
|
| Rate for Payer: PACE SWMI |
$322.66
|
| Rate for Payer: PHP Medicare Advantage |
$322.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,159.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$465.37
|
| Rate for Payer: Priority Health Medicare |
$322.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$465.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.66
|
| Rate for Payer: UHC Medicare Advantage |
$332.34
|
|
|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$404.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$107.14 |
| Max. Negotiated Rate |
$764.45 |
| Rate for Payer: Aetna Commercial |
$218.88
|
| Rate for Payer: Aetna Medicare |
$169.87
|
| Rate for Payer: BCBS Complete |
$112.50
|
| Rate for Payer: BCBS MAPPO |
$163.34
|
| Rate for Payer: BCBS Trust/PPO |
$764.45
|
| Rate for Payer: BCN Commercial |
$343.05
|
| Rate for Payer: BCN Medicare Advantage |
$163.34
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cash Price |
$323.20
|
| Rate for Payer: Cofinity Commercial |
$218.88
|
| Rate for Payer: Cofinity Commercial |
$235.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.34
|
| Rate for Payer: Mclaren Medicaid |
$107.14
|
| Rate for Payer: Meridian Medicaid |
$112.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.51
|
| Rate for Payer: PACE SWMI |
$163.34
|
| Rate for Payer: PHP Medicare Advantage |
$163.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$282.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$293.99
|
| Rate for Payer: Priority Health Medicare |
$163.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$293.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.34
|
| Rate for Payer: UHC Medicare Advantage |
$168.24
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,223.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$599.09 |
| Max. Negotiated Rate |
$2,256.10 |
| Rate for Payer: Aetna Commercial |
$1,588.85
|
| Rate for Payer: Aetna Medicare |
$1,233.14
|
| Rate for Payer: BCBS Complete |
$801.79
|
| Rate for Payer: BCBS MAPPO |
$1,185.71
|
| Rate for Payer: BCBS Trust/PPO |
$599.09
|
| Rate for Payer: BCN Commercial |
$1,742.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,185.71
|
| Rate for Payer: Cash Price |
$2,578.40
|
| Rate for Payer: Cash Price |
$2,578.40
|
| Rate for Payer: Cofinity Commercial |
$1,588.85
|
| Rate for Payer: Cofinity Commercial |
$1,707.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,185.71
|
| Rate for Payer: Mclaren Medicaid |
$763.61
|
| Rate for Payer: Meridian Medicaid |
$801.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,245.00
|
| Rate for Payer: PACE SWMI |
$1,185.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,185.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$763.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,256.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,096.13
|
| Rate for Payer: Priority Health Medicare |
$1,185.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,096.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,185.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,185.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,221.28
|
|
|
PR EXCISION DISTAL ULNA PARTIAL/COMPLETE
|
Professional
|
Both
|
$1,529.00
|
|
|
Service Code
|
HCPCS 25240
|
| Min. Negotiated Rate |
$281.80 |
| Max. Negotiated Rate |
$1,623.99 |
| Rate for Payer: Aetna Commercial |
$569.06
|
| Rate for Payer: Aetna Medicare |
$441.66
|
| Rate for Payer: BCBS Complete |
$295.89
|
| Rate for Payer: BCBS MAPPO |
$424.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,623.99
|
| Rate for Payer: BCN Commercial |
$638.21
|
| Rate for Payer: BCN Medicare Advantage |
$424.67
|
| Rate for Payer: Cash Price |
$1,223.20
|
| Rate for Payer: Cash Price |
$1,223.20
|
| Rate for Payer: Cofinity Commercial |
$611.52
|
| Rate for Payer: Cofinity Commercial |
$569.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$424.67
|
| Rate for Payer: Mclaren Medicaid |
$281.80
|
| Rate for Payer: Meridian Medicaid |
$295.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$445.90
|
| Rate for Payer: PACE SWMI |
$424.67
|
| Rate for Payer: PHP Medicare Advantage |
$424.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$281.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,070.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$666.91
|
| Rate for Payer: Priority Health Medicare |
$424.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$666.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$424.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$424.67
|
| Rate for Payer: UHC Medicare Advantage |
$437.41
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$1,921.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$644.96 |
| Max. Negotiated Rate |
$4,160.00 |
| Rate for Payer: Aetna Commercial |
$1,324.88
|
| Rate for Payer: Aetna Medicare |
$1,028.27
|
| Rate for Payer: BCBS Complete |
$677.21
|
| Rate for Payer: BCBS MAPPO |
$988.72
|
| Rate for Payer: BCBS Trust/PPO |
$4,160.00
|
| Rate for Payer: BCN Commercial |
$1,468.47
|
| Rate for Payer: BCN Medicare Advantage |
$988.72
|
| Rate for Payer: Cash Price |
$1,536.80
|
| Rate for Payer: Cash Price |
$1,536.80
|
| Rate for Payer: Cofinity Commercial |
$1,423.76
|
| Rate for Payer: Cofinity Commercial |
$1,324.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$988.72
|
| Rate for Payer: Mclaren Medicaid |
$644.96
|
| Rate for Payer: Meridian Medicaid |
$677.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,038.16
|
| Rate for Payer: PACE SWMI |
$988.72
|
| Rate for Payer: PHP Medicare Advantage |
$988.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$644.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,344.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,534.50
|
| Rate for Payer: Priority Health Medicare |
$988.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,534.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$988.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$988.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,018.38
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$196.94 |
| Max. Negotiated Rate |
$10,615.31 |
| Rate for Payer: Aetna Commercial |
$531.57
|
| Rate for Payer: BCBS Complete |
$206.79
|
| Rate for Payer: BCBS Trust/PPO |
$10,615.31
|
| Rate for Payer: BCN Commercial |
$536.46
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Mclaren Medicaid |
$196.94
|
| Rate for Payer: Meridian Medicaid |
$206.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$603.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$603.40
|
|
