|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,500.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$377.57 |
| Max. Negotiated Rate |
$3,150.00 |
| Rate for Payer: Aetna Commercial |
$1,044.70
|
| Rate for Payer: Aetna Medicare |
$810.82
|
| Rate for Payer: BCBS Complete |
$536.76
|
| Rate for Payer: BCBS MAPPO |
$779.63
|
| Rate for Payer: BCBS Trust/PPO |
$377.57
|
| Rate for Payer: BCN Commercial |
$1,166.47
|
| Rate for Payer: BCN Medicare Advantage |
$779.63
|
| Rate for Payer: Cash Price |
$3,600.00
|
| Rate for Payer: Cash Price |
$3,600.00
|
| Rate for Payer: Cofinity Commercial |
$1,122.67
|
| Rate for Payer: Cofinity Commercial |
$1,044.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$779.63
|
| Rate for Payer: Mclaren Medicaid |
$511.20
|
| Rate for Payer: Meridian Medicaid |
$536.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$818.61
|
| Rate for Payer: PACE SWMI |
$779.63
|
| Rate for Payer: PHP Medicare Advantage |
$779.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$511.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,150.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$981.15
|
| Rate for Payer: Priority Health Medicare |
$779.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$981.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$779.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$779.63
|
| Rate for Payer: UHC Medicare Advantage |
$803.02
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA
|
Professional
|
Both
|
$2,149.00
|
|
|
Service Code
|
HCPCS 15839
|
| Min. Negotiated Rate |
$206.12 |
| Max. Negotiated Rate |
$1,504.30 |
| Rate for Payer: Aetna Commercial |
$973.11
|
| Rate for Payer: Aetna Medicare |
$755.25
|
| Rate for Payer: BCBS Complete |
$497.85
|
| Rate for Payer: BCBS MAPPO |
$726.20
|
| Rate for Payer: BCBS Trust/PPO |
$206.12
|
| Rate for Payer: BCN Commercial |
$1,308.19
|
| Rate for Payer: BCN Medicare Advantage |
$726.20
|
| Rate for Payer: Cash Price |
$1,719.20
|
| Rate for Payer: Cash Price |
$1,719.20
|
| Rate for Payer: Cofinity Commercial |
$973.11
|
| Rate for Payer: Cofinity Commercial |
$1,045.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$726.20
|
| Rate for Payer: Mclaren Medicaid |
$474.14
|
| Rate for Payer: Meridian Medicaid |
$497.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$762.51
|
| Rate for Payer: PACE SWMI |
$726.20
|
| Rate for Payer: PHP Medicare Advantage |
$726.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$474.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,504.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$910.45
|
| Rate for Payer: Priority Health Medicare |
$726.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$910.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$726.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$726.20
|
| Rate for Payer: UHC Medicare Advantage |
$747.99
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,500.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$590.65 |
| Max. Negotiated Rate |
$3,150.00 |
| Rate for Payer: Aetna Commercial |
$1,211.80
|
| Rate for Payer: Aetna Medicare |
$940.50
|
| Rate for Payer: BCBS Complete |
$620.18
|
| Rate for Payer: BCBS MAPPO |
$904.33
|
| Rate for Payer: BCBS Trust/PPO |
$634.70
|
| Rate for Payer: BCN Commercial |
$1,348.75
|
| Rate for Payer: BCN Medicare Advantage |
$904.33
|
| Rate for Payer: Cash Price |
$3,600.00
|
| Rate for Payer: Cash Price |
$3,600.00
|
| Rate for Payer: Cofinity Commercial |
$1,302.24
|
| Rate for Payer: Cofinity Commercial |
$1,211.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.33
|
| Rate for Payer: Mclaren Medicaid |
$590.65
|
| Rate for Payer: Meridian Medicaid |
$620.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$949.55
|
| Rate for Payer: PACE SWMI |
$904.33
|
| Rate for Payer: PHP Medicare Advantage |
$904.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$590.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,150.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,134.47
|
| Rate for Payer: Priority Health Medicare |
$904.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,134.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$904.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$904.33
|
| Rate for Payer: UHC Medicare Advantage |
$931.46
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,550.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$579.57 |
| Max. Negotiated Rate |
$4,892.06 |
| Rate for Payer: Aetna Commercial |
$1,170.77
|
| Rate for Payer: Aetna Medicare |
$908.66
|
| Rate for Payer: BCBS Complete |
$608.55
|
| Rate for Payer: BCBS MAPPO |
$873.71
|
| Rate for Payer: BCBS Trust/PPO |
$4,892.06
|
| Rate for Payer: BCN Commercial |
$1,334.09
|
| Rate for Payer: BCN Medicare Advantage |
$873.71
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cash Price |
$1,240.00
|
| Rate for Payer: Cofinity Commercial |
$1,170.77
|
| Rate for Payer: Cofinity Commercial |
$1,258.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$873.71
|
| Rate for Payer: Mclaren Medicaid |
$579.57
|
| Rate for Payer: Meridian Medicaid |
$608.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$917.40
|
| Rate for Payer: PACE SWMI |
$873.71
|
| Rate for Payer: PHP Medicare Advantage |
$873.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$579.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,085.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,287.08
|
| Rate for Payer: Priority Health Medicare |
$873.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,287.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$873.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$873.71
|
| Rate for Payer: UHC Medicare Advantage |
$899.92
|
|
|
PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION
|
Professional
|
Both
|
$710.00
|
|
|
Service Code
|
HCPCS 69120
|
| Min. Negotiated Rate |
$249.42 |
| Max. Negotiated Rate |
$4,565.04 |
| Rate for Payer: Aetna Commercial |
$506.80
|
| Rate for Payer: Aetna Medicare |
$393.34
|
| Rate for Payer: BCBS Complete |
$261.89
|
| Rate for Payer: BCBS MAPPO |
$378.21
|
| Rate for Payer: BCBS Trust/PPO |
$4,565.04
|
| Rate for Payer: BCN Commercial |
$573.70
|
| Rate for Payer: BCN Medicare Advantage |
$378.21
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cofinity Commercial |
$544.62
|
| Rate for Payer: Cofinity Commercial |
$506.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.21
|
| Rate for Payer: Mclaren Medicaid |
$249.42
|
| Rate for Payer: Meridian Medicaid |
$261.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$397.12
|
| Rate for Payer: PACE SWMI |
$378.21
|
| Rate for Payer: PHP Medicare Advantage |
$378.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$249.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$553.50
|
| Rate for Payer: Priority Health Medicare |
$378.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$553.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$378.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.21
|
| Rate for Payer: UHC Medicare Advantage |
$389.56
|
|
|
PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Professional
|
Both
|
$612.00
|
|
|
Service Code
|
HCPCS 69110
|
| Min. Negotiated Rate |
$211.08 |
| Max. Negotiated Rate |
$2,466.10 |
| Rate for Payer: Aetna Commercial |
$426.80
|
| Rate for Payer: Aetna Medicare |
$331.25
|
| Rate for Payer: BCBS Complete |
$221.63
|
| Rate for Payer: BCBS MAPPO |
$318.51
|
| Rate for Payer: BCBS Trust/PPO |
$2,466.10
|
| Rate for Payer: BCN Commercial |
$694.90
|
| Rate for Payer: BCN Medicare Advantage |
$318.51
|
| Rate for Payer: Cash Price |
$489.60
|
| Rate for Payer: Cash Price |
$489.60
|
| Rate for Payer: Cofinity Commercial |
$458.65
|
| Rate for Payer: Cofinity Commercial |
$426.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.51
|
| Rate for Payer: Mclaren Medicaid |
$211.08
|
| Rate for Payer: Meridian Medicaid |
$221.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$334.44
|
| Rate for Payer: PACE SWMI |
$318.51
|
| Rate for Payer: PHP Medicare Advantage |
$318.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$428.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$465.81
|
| Rate for Payer: Priority Health Medicare |
$318.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$465.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.51
|
| Rate for Payer: UHC Medicare Advantage |
$328.07
|
|
|
PR EXCISION FACIAL BONE
|
Professional
|
Both
|
$978.00
|
|
|
Service Code
|
HCPCS 21026
|
| Min. Negotiated Rate |
$146.87 |
| Max. Negotiated Rate |
$780.90 |
| Rate for Payer: Aetna Commercial |
$555.23
|
| Rate for Payer: Aetna Medicare |
$430.92
|
| Rate for Payer: BCBS Complete |
$288.73
|
| Rate for Payer: BCBS MAPPO |
$414.35
|
| Rate for Payer: BCBS Trust/PPO |
$146.87
|
| Rate for Payer: BCN Commercial |
$780.90
|
| Rate for Payer: BCN Medicare Advantage |
$414.35
|
| Rate for Payer: Cash Price |
$782.40
|
| Rate for Payer: Cash Price |
$782.40
|
| Rate for Payer: Cofinity Commercial |
$596.66
|
| Rate for Payer: Cofinity Commercial |
$555.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.35
|
| Rate for Payer: Mclaren Medicaid |
$274.98
|
| Rate for Payer: Meridian Medicaid |
$288.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.07
|
| Rate for Payer: PACE SWMI |
$414.35
|
| Rate for Payer: PHP Medicare Advantage |
$414.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$684.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$651.59
|
| Rate for Payer: Priority Health Medicare |
$414.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$651.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$414.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$414.35
|
| Rate for Payer: UHC Medicare Advantage |
$426.78
|
|
|
PR EXCISION/FULGURATION URETHRAL PROLAPSE
|
Professional
|
Both
|
$847.00
|
|
|
Service Code
|
HCPCS 53275
|
| Min. Negotiated Rate |
$167.63 |
| Max. Negotiated Rate |
$1,384.67 |
| Rate for Payer: Aetna Commercial |
$345.14
|
| Rate for Payer: Aetna Medicare |
$267.87
|
| Rate for Payer: BCBS Complete |
$176.01
|
| Rate for Payer: BCBS MAPPO |
$257.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
| Rate for Payer: BCN Commercial |
$380.68
|
| Rate for Payer: BCN Medicare Advantage |
$257.57
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cash Price |
$677.60
|
| Rate for Payer: Cofinity Commercial |
$370.90
|
| Rate for Payer: Cofinity Commercial |
$345.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$257.57
|
| Rate for Payer: Mclaren Medicaid |
$167.63
|
| Rate for Payer: Meridian Medicaid |
$176.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$270.45
|
| Rate for Payer: PACE SWMI |
$257.57
|
| Rate for Payer: PHP Medicare Advantage |
$257.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$592.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$420.94
|
| Rate for Payer: Priority Health Medicare |
$257.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$420.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$257.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$257.57
|
| Rate for Payer: UHC Medicare Advantage |
$265.30
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 25111
|
| Min. Negotiated Rate |
$130.49 |
| Max. Negotiated Rate |
$758.80 |
| Rate for Payer: Aetna Commercial |
$428.33
|
| Rate for Payer: Aetna Medicare |
$332.44
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$319.65
|
| Rate for Payer: BCBS Trust/PPO |
$130.49
|
| Rate for Payer: BCN Commercial |
$483.30
|
| Rate for Payer: BCN Medicare Advantage |
$319.65
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$460.30
|
| Rate for Payer: Cofinity Commercial |
$428.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.65
|
| Rate for Payer: Mclaren Medicaid |
$213.85
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$335.63
|
| Rate for Payer: PACE SWMI |
$319.65
|
| Rate for Payer: PHP Medicare Advantage |
$319.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$758.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$505.03
|
| Rate for Payer: Priority Health Medicare |
$319.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$505.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$319.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.65
|
| Rate for Payer: UHC Medicare Advantage |
$329.24
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 25112
|
| Min. Negotiated Rate |
$25.89 |
| Max. Negotiated Rate |
$788.90 |
| Rate for Payer: Aetna Commercial |
$516.50
|
| Rate for Payer: Aetna Medicare |
$400.87
|
| Rate for Payer: BCBS Complete |
$269.27
|
| Rate for Payer: BCBS MAPPO |
$385.45
|
| Rate for Payer: BCBS Trust/PPO |
$25.89
|
| Rate for Payer: BCN Commercial |
$580.06
|
| Rate for Payer: BCN Medicare Advantage |
$385.45
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$555.05
|
| Rate for Payer: Cofinity Commercial |
$516.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$385.45
|
| Rate for Payer: Mclaren Medicaid |
$256.45
|
| Rate for Payer: Meridian Medicaid |
$269.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$404.72
|
| Rate for Payer: PACE SWMI |
$385.45
|
| Rate for Payer: PHP Medicare Advantage |
$385.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$788.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$606.14
|
| Rate for Payer: Priority Health Medicare |
$385.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$606.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$385.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$385.45
|
| Rate for Payer: UHC Medicare Advantage |
$397.01
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$821.00
|
|
|
Service Code
|
HCPCS 11451
|
| Min. Negotiated Rate |
$213.43 |
| Max. Negotiated Rate |
$2,369.57 |
| Rate for Payer: Aetna Commercial |
$436.56
|
| Rate for Payer: Aetna Medicare |
$338.82
|
| Rate for Payer: BCBS Complete |
$224.10
|
| Rate for Payer: BCBS MAPPO |
$325.79
|
| Rate for Payer: BCBS Trust/PPO |
$2,369.57
|
| Rate for Payer: BCN Commercial |
$777.00
|
| Rate for Payer: BCN Medicare Advantage |
$325.79
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cash Price |
$656.80
|
| Rate for Payer: Cofinity Commercial |
$469.14
|
| Rate for Payer: Cofinity Commercial |
$436.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.79
|
| Rate for Payer: Mclaren Medicaid |
$213.43
|
| Rate for Payer: Meridian Medicaid |
$224.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$342.08
|
| Rate for Payer: PACE SWMI |
$325.79
|
| Rate for Payer: PHP Medicare Advantage |
$325.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$574.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$408.99
|
| Rate for Payer: Priority Health Medicare |
$325.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$408.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.79
|
| Rate for Payer: UHC Medicare Advantage |
$335.56
|
|
|
PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
|
Professional
|
Both
|
$719.00
|
|
|
Service Code
|
HCPCS 11450
|
| Min. Negotiated Rate |
$169.12 |
| Max. Negotiated Rate |
$2,369.57 |
| Rate for Payer: Aetna Commercial |
$343.29
|
| Rate for Payer: Aetna Medicare |
$266.44
|
| Rate for Payer: BCBS Complete |
$177.58
|
| Rate for Payer: BCBS MAPPO |
$256.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,369.57
|
| Rate for Payer: BCN Commercial |
$636.26
|
| Rate for Payer: BCN Medicare Advantage |
$256.19
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cofinity Commercial |
$343.29
|
| Rate for Payer: Cofinity Commercial |
$368.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.19
|
| Rate for Payer: Mclaren Medicaid |
$169.12
|
| Rate for Payer: Meridian Medicaid |
$177.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$269.00
|
| Rate for Payer: PACE SWMI |
$256.19
|
| Rate for Payer: PHP Medicare Advantage |
$256.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$503.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.66
|
| Rate for Payer: Priority Health Medicare |
$256.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$322.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$256.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$256.19
|
| Rate for Payer: UHC Medicare Advantage |
$263.88
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
OP
|
$623.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$147.96 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$529.55
|
| Rate for Payer: Aetna Medicare |
$161.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$194.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$194.69
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$155.75
|
| Rate for Payer: BCBS Trust/PPO |
$484.38
|
| Rate for Payer: BCN Commercial |
$484.38
|
| Rate for Payer: BCN Medicare Advantage |
$155.75
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$535.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$498.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.75
|
| Rate for Payer: Healthscope Commercial |
$560.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$467.25
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$163.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$179.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$529.55
|
| Rate for Payer: PACE Senior Care Partners |
$147.96
|
| Rate for Payer: PACE SWMI |
$155.75
|
| Rate for Payer: PHP Commercial |
$529.55
|
| Rate for Payer: PHP Medicare Advantage |
$155.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$542.01
|
| Rate for Payer: Priority Health Medicare |
$155.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$379.97
|
| Rate for Payer: Railroad Medicare Medicare |
$155.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$548.24
|
| Rate for Payer: UHC Core |
$520.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.75
|
| Rate for Payer: UHC Medicare Advantage |
$160.42
|
| Rate for Payer: VA VA |
$155.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$467.25
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
IP
|
$623.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$379.97 |
| Max. Negotiated Rate |
$560.70 |
| Rate for Payer: Aetna Commercial |
$529.55
|
| Rate for Payer: BCBS Trust/PPO |
$481.45
|
| Rate for Payer: BCN Commercial |
$481.45
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$535.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$498.40
|
| Rate for Payer: Healthscope Commercial |
$560.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$467.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$529.55
|
| Rate for Payer: PHP Commercial |
$529.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$542.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$379.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$548.24
|
| Rate for Payer: UHC Core |
$520.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$467.25
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$623.00
|
|
|
Service Code
|
HCPCS 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$214.49 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$438.89
|
| Rate for Payer: Aetna Medicare |
$340.63
|
| Rate for Payer: BCBS Complete |
$225.21
|
| Rate for Payer: BCBS MAPPO |
$327.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.25
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$327.53
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$471.64
|
| Rate for Payer: Cofinity Commercial |
$438.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.53
|
| Rate for Payer: Mclaren Medicaid |
$214.49
|
| Rate for Payer: Meridian Medicaid |
$225.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$343.91
|
| Rate for Payer: PACE SWMI |
$327.53
|
| Rate for Payer: PHP Medicare Advantage |
$327.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.45
|
| Rate for Payer: Priority Health Medicare |
$327.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$411.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$327.53
|
| Rate for Payer: UHC Medicare Advantage |
$337.36
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$623.00
|
|
|
Service Code
|
HCPCS 11463
|
| Min. Negotiated Rate |
$214.49 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$438.89
|
| Rate for Payer: Aetna Medicare |
$340.63
|
| Rate for Payer: BCBS Complete |
$225.21
|
| Rate for Payer: BCBS MAPPO |
$327.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.25
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$327.53
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cash Price |
$498.40
|
| Rate for Payer: Cofinity Commercial |
$471.64
|
| Rate for Payer: Cofinity Commercial |
$438.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$327.53
|
| Rate for Payer: Mclaren Medicaid |
$214.49
|
| Rate for Payer: Meridian Medicaid |
$225.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$343.91
|
| Rate for Payer: PACE SWMI |
$327.53
|
| Rate for Payer: PHP Medicare Advantage |
$327.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$411.45
|
| Rate for Payer: Priority Health Medicare |
$327.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$411.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$327.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$327.53
|
| Rate for Payer: UHC Medicare Advantage |
$337.36
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Facility
|
OP
|
$464.00
|
|
|
Service Code
|
CPT 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$110.20 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$120.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$145.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$145.00
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$116.00
|
| Rate for Payer: BCBS Trust/PPO |
$360.76
|
| Rate for Payer: BCN Commercial |
$360.76
|
| Rate for Payer: BCN Medicare Advantage |
$116.00
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$399.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.00
|
| Rate for Payer: Healthscope Commercial |
$417.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$348.00
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$121.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$133.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$394.40
|
| Rate for Payer: PACE Senior Care Partners |
$110.20
|
| Rate for Payer: PACE SWMI |
$116.00
|
| Rate for Payer: PHP Commercial |
$394.40
|
| Rate for Payer: PHP Medicare Advantage |
$116.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$403.68
|
| Rate for Payer: Priority Health Medicare |
$116.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.99
|
| Rate for Payer: Railroad Medicare Medicare |
$116.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$408.32
|
| Rate for Payer: UHC Core |
$387.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.00
|
| Rate for Payer: UHC Medicare Advantage |
$119.48
|
| Rate for Payer: VA VA |
$116.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$348.00
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Facility
|
IP
|
$464.00
|
|
|
Service Code
|
CPT 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$282.99 |
| Max. Negotiated Rate |
$417.60 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: BCBS Trust/PPO |
$358.58
|
| Rate for Payer: BCN Commercial |
$358.58
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$399.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$371.20
|
| Rate for Payer: Healthscope Commercial |
$417.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$348.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$394.40
|
| Rate for Payer: PHP Commercial |
$394.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$403.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$408.32
|
| Rate for Payer: UHC Core |
$387.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$348.00
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Professional
|
Both
|
$464.00
|
|
|
Service Code
|
HCPCS 11462
|
| Min. Negotiated Rate |
$161.03 |
| Max. Negotiated Rate |
$615.25 |
| Rate for Payer: Aetna Commercial |
$324.76
|
| Rate for Payer: Aetna Medicare |
$252.05
|
| Rate for Payer: BCBS Complete |
$169.08
|
| Rate for Payer: BCBS MAPPO |
$242.36
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$242.36
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$349.00
|
| Rate for Payer: Cofinity Commercial |
$324.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.36
|
| Rate for Payer: Mclaren Medicaid |
$161.03
|
| Rate for Payer: Meridian Medicaid |
$169.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$254.48
|
| Rate for Payer: PACE SWMI |
$242.36
|
| Rate for Payer: PHP Medicare Advantage |
$242.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$161.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$305.81
|
| Rate for Payer: Priority Health Medicare |
$242.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$242.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$242.36
|
| Rate for Payer: UHC Medicare Advantage |
$249.63
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Professional
|
Both
|
$464.00
|
|
|
Service Code
|
HCPCS 11462
|
| Hospital Charge Code |
11462
|
| Min. Negotiated Rate |
$161.03 |
| Max. Negotiated Rate |
$615.25 |
| Rate for Payer: Aetna Commercial |
$324.76
|
| Rate for Payer: Aetna Medicare |
$252.05
|
| Rate for Payer: BCBS Complete |
$169.08
|
| Rate for Payer: BCBS MAPPO |
$242.36
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$242.36
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$349.00
|
| Rate for Payer: Cofinity Commercial |
$324.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.36
|
| Rate for Payer: Mclaren Medicaid |
$161.03
|
| Rate for Payer: Meridian Medicaid |
$169.08
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$254.48
|
| Rate for Payer: PACE SWMI |
$242.36
|
| Rate for Payer: PHP Medicare Advantage |
$242.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$161.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$324.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$305.81
|
| Rate for Payer: Priority Health Medicare |
$242.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$242.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$242.36
|
| Rate for Payer: UHC Medicare Advantage |
$249.63
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Facility
|
IP
|
$967.00
|
|
|
Service Code
|
CPT 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$589.77 |
| Max. Negotiated Rate |
$870.30 |
| Rate for Payer: Aetna Commercial |
$821.95
|
| Rate for Payer: BCBS Trust/PPO |
$747.30
|
| Rate for Payer: BCN Commercial |
$747.30
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$831.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Healthscope Commercial |
$870.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$725.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: PHP Commercial |
$821.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$841.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$589.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$850.96
|
| Rate for Payer: UHC Core |
$807.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$725.25
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 11471
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$796.55 |
| Rate for Payer: Aetna Commercial |
$460.12
|
| Rate for Payer: Aetna Medicare |
$357.10
|
| Rate for Payer: BCBS Complete |
$237.52
|
| Rate for Payer: BCBS MAPPO |
$343.37
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$796.55
|
| Rate for Payer: BCN Medicare Advantage |
$343.37
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$494.45
|
| Rate for Payer: Cofinity Commercial |
$460.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.37
|
| Rate for Payer: Mclaren Medicaid |
$226.21
|
| Rate for Payer: Meridian Medicaid |
$237.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$360.54
|
| Rate for Payer: PACE SWMI |
$343.37
|
| Rate for Payer: PHP Medicare Advantage |
$343.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$430.77
|
| Rate for Payer: Priority Health Medicare |
$343.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$430.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$343.37
|
| Rate for Payer: UHC Medicare Advantage |
$353.67
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$796.55 |
| Rate for Payer: Aetna Commercial |
$460.12
|
| Rate for Payer: Aetna Medicare |
$357.10
|
| Rate for Payer: BCBS Complete |
$237.52
|
| Rate for Payer: BCBS MAPPO |
$343.37
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$796.55
|
| Rate for Payer: BCN Medicare Advantage |
$343.37
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$494.45
|
| Rate for Payer: Cofinity Commercial |
$460.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.37
|
| Rate for Payer: Mclaren Medicaid |
$226.21
|
| Rate for Payer: Meridian Medicaid |
$237.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$360.54
|
| Rate for Payer: PACE SWMI |
$343.37
|
| Rate for Payer: PHP Medicare Advantage |
$343.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$430.77
|
| Rate for Payer: Priority Health Medicare |
$343.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$430.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$343.37
|
| Rate for Payer: UHC Medicare Advantage |
$353.67
|
|
|
PR EXCISION H/P/P/U COMPLEX REPAIR
|
Facility
|
OP
|
$967.00
|
|
|
Service Code
|
CPT 11471
|
| Hospital Charge Code |
11471
|
| Min. Negotiated Rate |
$229.66 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$821.95
|
| Rate for Payer: Aetna Medicare |
$251.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$302.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$302.19
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$241.75
|
| Rate for Payer: BCBS Trust/PPO |
$751.84
|
| Rate for Payer: BCN Commercial |
$751.84
|
| Rate for Payer: BCN Medicare Advantage |
$241.75
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$831.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$241.75
|
| Rate for Payer: Healthscope Commercial |
$870.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$725.25
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$253.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: PACE Senior Care Partners |
$229.66
|
| Rate for Payer: PACE SWMI |
$241.75
|
| Rate for Payer: PHP Commercial |
$821.95
|
| Rate for Payer: PHP Medicare Advantage |
$241.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$841.29
|
| Rate for Payer: Priority Health Medicare |
$241.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$589.77
|
| Rate for Payer: Railroad Medicare Medicare |
$241.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$850.96
|
| Rate for Payer: UHC Core |
$807.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$241.75
|
| Rate for Payer: UHC Medicare Advantage |
$249.00
|
| Rate for Payer: VA VA |
$241.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$725.25
|
|
|
PR EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR
|
Professional
|
Both
|
$892.00
|
|
|
Service Code
|
HCPCS 11470
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$673.89 |
| Rate for Payer: Aetna Commercial |
$377.32
|
| Rate for Payer: Aetna Medicare |
$292.84
|
| Rate for Payer: BCBS Complete |
$194.12
|
| Rate for Payer: BCBS MAPPO |
$281.58
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$673.89
|
| Rate for Payer: BCN Medicare Advantage |
$281.58
|
| Rate for Payer: Cash Price |
$713.60
|
| Rate for Payer: Cash Price |
$713.60
|
| Rate for Payer: Cofinity Commercial |
$377.32
|
| Rate for Payer: Cofinity Commercial |
$405.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.58
|
| Rate for Payer: Mclaren Medicaid |
$184.88
|
| Rate for Payer: Meridian Medicaid |
$194.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$295.66
|
| Rate for Payer: PACE SWMI |
$281.58
|
| Rate for Payer: PHP Medicare Advantage |
$281.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$624.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$354.32
|
| Rate for Payer: Priority Health Medicare |
$281.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$354.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.58
|
| Rate for Payer: UHC Medicare Advantage |
$290.03
|
|
