|
PR EXCISION HYDROCELE BILATERAL
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 55041
|
| Hospital Charge Code |
55041
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$1,449.66 |
| Rate for Payer: Aetna Commercial |
$669.36
|
| Rate for Payer: Aetna Medicare |
$519.50
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$499.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,449.66
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$499.52
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$669.36
|
| Rate for Payer: Cofinity Commercial |
$719.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.52
|
| Rate for Payer: Mclaren Medicaid |
$327.81
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$524.50
|
| Rate for Payer: PACE SWMI |
$499.52
|
| Rate for Payer: PHP Medicare Advantage |
$499.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$819.18
|
| Rate for Payer: Priority Health Medicare |
$499.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$819.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$499.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$499.52
|
| Rate for Payer: UHC Medicare Advantage |
$514.51
|
|
|
PR EXCISION HYDROCELE BILATERAL
|
Facility
|
IP
|
$1,807.00
|
|
|
Service Code
|
CPT 55041
|
| Hospital Charge Code |
55041
|
| Min. Negotiated Rate |
$1,102.09 |
| Max. Negotiated Rate |
$1,626.30 |
| Rate for Payer: Aetna Commercial |
$1,535.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,396.45
|
| Rate for Payer: BCN Commercial |
$1,396.45
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,554.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,445.60
|
| Rate for Payer: Healthscope Commercial |
$1,626.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,355.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,535.95
|
| Rate for Payer: PHP Commercial |
$1,535.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,572.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,102.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,590.16
|
| Rate for Payer: UHC Core |
$1,508.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,355.25
|
|
|
PR EXCISION HYDROCELE BILATERAL
|
Professional
|
Both
|
$1,807.00
|
|
|
Service Code
|
HCPCS 55041
|
| Min. Negotiated Rate |
$327.81 |
| Max. Negotiated Rate |
$1,449.66 |
| Rate for Payer: Aetna Commercial |
$669.36
|
| Rate for Payer: Aetna Medicare |
$519.50
|
| Rate for Payer: BCBS Complete |
$344.20
|
| Rate for Payer: BCBS MAPPO |
$499.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,449.66
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$499.52
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$719.31
|
| Rate for Payer: Cofinity Commercial |
$669.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$499.52
|
| Rate for Payer: Mclaren Medicaid |
$327.81
|
| Rate for Payer: Meridian Medicaid |
$344.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$524.50
|
| Rate for Payer: PACE SWMI |
$499.52
|
| Rate for Payer: PHP Medicare Advantage |
$499.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$819.18
|
| Rate for Payer: Priority Health Medicare |
$499.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$819.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$499.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$499.52
|
| Rate for Payer: UHC Medicare Advantage |
$514.51
|
|
|
PR EXCISION HYDROCELE BILATERAL
|
Facility
|
OP
|
$1,807.00
|
|
|
Service Code
|
CPT 55041
|
| Hospital Charge Code |
55041
|
| Min. Negotiated Rate |
$429.16 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$1,535.95
|
| Rate for Payer: Aetna Medicare |
$469.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$564.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$564.69
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$451.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,404.94
|
| Rate for Payer: BCN Commercial |
$1,404.94
|
| Rate for Payer: BCN Medicare Advantage |
$451.75
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cash Price |
$1,445.60
|
| Rate for Payer: Cofinity Commercial |
$1,554.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,445.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.75
|
| Rate for Payer: Healthscope Commercial |
$1,626.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,355.25
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$474.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$519.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,535.95
|
| Rate for Payer: PACE Senior Care Partners |
$429.16
|
| Rate for Payer: PACE SWMI |
$451.75
|
| Rate for Payer: PHP Commercial |
$1,535.95
|
| Rate for Payer: PHP Medicare Advantage |
$451.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,572.09
|
| Rate for Payer: Priority Health Medicare |
$451.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,102.09
|
| Rate for Payer: Railroad Medicare Medicare |
$451.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,590.16
|
| Rate for Payer: UHC Core |
$1,508.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$451.75
|
| Rate for Payer: UHC Medicare Advantage |
$465.30
|
| Rate for Payer: VA VA |
$451.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,355.25
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Facility
|
IP
|
$1,231.00
|
|
|
Service Code
|
CPT 55040
|
| Hospital Charge Code |
55040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$750.79 |
| Max. Negotiated Rate |
$1,107.90 |
| Rate for Payer: Aetna Commercial |
$1,046.35
|
| Rate for Payer: BCBS Trust/PPO |
$951.32
|
| Rate for Payer: BCN Commercial |
$951.32
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$1,058.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$984.80
|
| Rate for Payer: Healthscope Commercial |
$1,107.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$923.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,046.35
|
| Rate for Payer: PHP Commercial |
$1,046.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,070.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$750.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,083.28
|
| Rate for Payer: UHC Core |
$1,027.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$923.25
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Facility
|
OP
|
$1,231.00
|
|
|
Service Code
|
CPT 55040
|
| Hospital Charge Code |
55040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$292.36 |
| Max. Negotiated Rate |
$2,382.99 |
| Rate for Payer: Aetna Commercial |
$1,046.35
|
| Rate for Payer: Aetna Medicare |
$320.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$384.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$384.69
|
| Rate for Payer: BCBS Complete |
$2,382.99
|
| Rate for Payer: BCBS MAPPO |
$307.75
|
| Rate for Payer: BCBS Trust/PPO |
$957.10
|
| Rate for Payer: BCN Commercial |
$957.10
|
| Rate for Payer: BCN Medicare Advantage |
$307.75
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$1,058.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$984.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.75
|
| Rate for Payer: Healthscope Commercial |
$1,107.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$923.25
|
| Rate for Payer: Mclaren Medicaid |
$2,269.51
|
| Rate for Payer: Meridian Medicaid |
$2,382.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$323.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$353.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,046.35
|
| Rate for Payer: PACE Senior Care Partners |
$292.36
|
| Rate for Payer: PACE SWMI |
$307.75
|
| Rate for Payer: PHP Commercial |
$1,046.35
|
| Rate for Payer: PHP Medicare Advantage |
$307.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,269.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,070.97
|
| Rate for Payer: Priority Health Medicare |
$307.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$750.79
|
| Rate for Payer: Railroad Medicare Medicare |
$307.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,083.28
|
| Rate for Payer: UHC Core |
$1,027.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$307.75
|
| Rate for Payer: UHC Medicare Advantage |
$316.98
|
| Rate for Payer: VA VA |
$307.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$923.25
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 55040
|
| Min. Negotiated Rate |
$217.47 |
| Max. Negotiated Rate |
$1,183.92 |
| Rate for Payer: Aetna Commercial |
$441.96
|
| Rate for Payer: Aetna Medicare |
$343.01
|
| Rate for Payer: BCBS Complete |
$228.34
|
| Rate for Payer: BCBS MAPPO |
$329.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.92
|
| Rate for Payer: BCN Commercial |
$490.14
|
| Rate for Payer: BCN Medicare Advantage |
$329.82
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$474.94
|
| Rate for Payer: Cofinity Commercial |
$441.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.82
|
| Rate for Payer: Mclaren Medicaid |
$217.47
|
| Rate for Payer: Meridian Medicaid |
$228.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$346.31
|
| Rate for Payer: PACE SWMI |
$329.82
|
| Rate for Payer: PHP Medicare Advantage |
$329.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$541.98
|
| Rate for Payer: Priority Health Medicare |
$329.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.82
|
| Rate for Payer: UHC Medicare Advantage |
$339.71
|
|
|
PR EXCISION HYDROCELE UNILATERAL
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 55040
|
| Hospital Charge Code |
55040
|
| Min. Negotiated Rate |
$217.47 |
| Max. Negotiated Rate |
$1,183.92 |
| Rate for Payer: Aetna Commercial |
$441.96
|
| Rate for Payer: Aetna Medicare |
$343.01
|
| Rate for Payer: BCBS Complete |
$228.34
|
| Rate for Payer: BCBS MAPPO |
$329.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,183.92
|
| Rate for Payer: BCN Commercial |
$490.14
|
| Rate for Payer: BCN Medicare Advantage |
$329.82
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$441.96
|
| Rate for Payer: Cofinity Commercial |
$474.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.82
|
| Rate for Payer: Mclaren Medicaid |
$217.47
|
| Rate for Payer: Meridian Medicaid |
$228.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$346.31
|
| Rate for Payer: PACE SWMI |
$329.82
|
| Rate for Payer: PHP Medicare Advantage |
$329.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$541.98
|
| Rate for Payer: Priority Health Medicare |
$329.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.82
|
| Rate for Payer: UHC Medicare Advantage |
$339.71
|
|
|
PR EXCISION INFECTED GRAFT ABDOMEN
|
Professional
|
Both
|
$3,964.00
|
|
|
Service Code
|
HCPCS 35907
|
| Min. Negotiated Rate |
$1,120.00 |
| Max. Negotiated Rate |
$2,949.71 |
| Rate for Payer: Aetna Commercial |
$2,512.18
|
| Rate for Payer: Aetna Medicare |
$1,949.75
|
| Rate for Payer: BCBS Complete |
$1,249.75
|
| Rate for Payer: BCBS MAPPO |
$1,874.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,120.00
|
| Rate for Payer: BCN Commercial |
$2,709.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,874.76
|
| Rate for Payer: Cash Price |
$3,171.20
|
| Rate for Payer: Cash Price |
$3,171.20
|
| Rate for Payer: Cofinity Commercial |
$2,699.65
|
| Rate for Payer: Cofinity Commercial |
$2,512.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,874.76
|
| Rate for Payer: Mclaren Medicaid |
$1,190.24
|
| Rate for Payer: Meridian Medicaid |
$1,249.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,968.50
|
| Rate for Payer: PACE SWMI |
$1,874.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,874.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,190.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,774.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,949.71
|
| Rate for Payer: Priority Health Medicare |
$1,874.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,949.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,874.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,874.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,931.00
|
|
|
PR EXCISION INFECTED GRAFT EXTREMITY
|
Professional
|
Both
|
$1,966.00
|
|
|
Service Code
|
HCPCS 35903
|
| Min. Negotiated Rate |
$354.43 |
| Max. Negotiated Rate |
$1,376.20 |
| Rate for Payer: Aetna Commercial |
$742.04
|
| Rate for Payer: Aetna Medicare |
$575.91
|
| Rate for Payer: BCBS Complete |
$372.15
|
| Rate for Payer: BCBS MAPPO |
$553.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,048.68
|
| Rate for Payer: BCN Commercial |
$810.72
|
| Rate for Payer: BCN Medicare Advantage |
$553.76
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cofinity Commercial |
$742.04
|
| Rate for Payer: Cofinity Commercial |
$797.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$553.76
|
| Rate for Payer: Mclaren Medicaid |
$354.43
|
| Rate for Payer: Meridian Medicaid |
$372.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$581.45
|
| Rate for Payer: PACE SWMI |
$553.76
|
| Rate for Payer: PHP Medicare Advantage |
$553.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,376.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$882.52
|
| Rate for Payer: Priority Health Medicare |
$553.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$882.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$553.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$553.76
|
| Rate for Payer: UHC Medicare Advantage |
$570.37
|
|
|
PR EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE
|
Professional
|
Both
|
$789.00
|
|
|
Service Code
|
HCPCS 30130
|
| Min. Negotiated Rate |
$268.38 |
| Max. Negotiated Rate |
$674.64 |
| Rate for Payer: Aetna Commercial |
$541.82
|
| Rate for Payer: Aetna Medicare |
$420.51
|
| Rate for Payer: BCBS Complete |
$281.80
|
| Rate for Payer: BCBS MAPPO |
$404.34
|
| Rate for Payer: BCBS Trust/PPO |
$674.64
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$404.34
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cash Price |
$631.20
|
| Rate for Payer: Cofinity Commercial |
$541.82
|
| Rate for Payer: Cofinity Commercial |
$582.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$404.34
|
| Rate for Payer: Mclaren Medicaid |
$268.38
|
| Rate for Payer: Meridian Medicaid |
$281.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$424.56
|
| Rate for Payer: PACE SWMI |
$404.34
|
| Rate for Payer: PHP Medicare Advantage |
$404.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$268.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$552.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$586.68
|
| Rate for Payer: Priority Health Medicare |
$404.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$586.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$404.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$404.34
|
| Rate for Payer: UHC Medicare Advantage |
$416.47
|
|
|
PR EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 28080
|
| Min. Negotiated Rate |
$244.74 |
| Max. Negotiated Rate |
$1,100.45 |
| Rate for Payer: Aetna Commercial |
$490.09
|
| Rate for Payer: Aetna Medicare |
$380.37
|
| Rate for Payer: BCBS Complete |
$256.98
|
| Rate for Payer: BCBS MAPPO |
$365.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,100.45
|
| Rate for Payer: BCN Commercial |
$853.39
|
| Rate for Payer: BCN Medicare Advantage |
$365.74
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cofinity Commercial |
$526.67
|
| Rate for Payer: Cofinity Commercial |
$490.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$365.74
|
| Rate for Payer: Mclaren Medicaid |
$244.74
|
| Rate for Payer: Meridian Medicaid |
$256.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$384.03
|
| Rate for Payer: PACE SWMI |
$365.74
|
| Rate for Payer: PHP Medicare Advantage |
$365.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$608.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$576.02
|
| Rate for Payer: Priority Health Medicare |
$365.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$576.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$365.74
|
| Rate for Payer: UHC Medicare Advantage |
$376.71
|
|
|
PR EXCISION LACTIFEROUS DUCT FISTULA
|
Professional
|
Both
|
$778.00
|
|
|
Service Code
|
HCPCS 19112
|
| Min. Negotiated Rate |
$12.95 |
| Max. Negotiated Rate |
$678.77 |
| Rate for Payer: Aetna Commercial |
$423.36
|
| Rate for Payer: Aetna Medicare |
$328.58
|
| Rate for Payer: BCBS Complete |
$219.63
|
| Rate for Payer: BCBS MAPPO |
$315.94
|
| Rate for Payer: BCBS Trust/PPO |
$12.95
|
| Rate for Payer: BCN Commercial |
$678.77
|
| Rate for Payer: BCN Medicare Advantage |
$315.94
|
| Rate for Payer: Cash Price |
$622.40
|
| Rate for Payer: Cash Price |
$622.40
|
| Rate for Payer: Cofinity Commercial |
$454.95
|
| Rate for Payer: Cofinity Commercial |
$423.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.94
|
| Rate for Payer: Mclaren Medicaid |
$209.17
|
| Rate for Payer: Meridian Medicaid |
$219.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$331.74
|
| Rate for Payer: PACE SWMI |
$315.94
|
| Rate for Payer: PHP Medicare Advantage |
$315.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.30
|
| Rate for Payer: Priority Health Medicare |
$315.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$398.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.94
|
| Rate for Payer: UHC Medicare Advantage |
$325.42
|
|
|
PR EXCISION LESION FLOOR MOUTH
|
Professional
|
Both
|
$576.00
|
|
|
Service Code
|
HCPCS 41116
|
| Min. Negotiated Rate |
$139.30 |
| Max. Negotiated Rate |
$916.07 |
| Rate for Payer: Aetna Commercial |
$280.80
|
| Rate for Payer: Aetna Medicare |
$217.93
|
| Rate for Payer: BCBS Complete |
$146.26
|
| Rate for Payer: BCBS MAPPO |
$209.55
|
| Rate for Payer: BCBS Trust/PPO |
$916.07
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$209.55
|
| Rate for Payer: Cash Price |
$460.80
|
| Rate for Payer: Cash Price |
$460.80
|
| Rate for Payer: Cofinity Commercial |
$301.75
|
| Rate for Payer: Cofinity Commercial |
$280.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.55
|
| Rate for Payer: Mclaren Medicaid |
$139.30
|
| Rate for Payer: Meridian Medicaid |
$146.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$220.03
|
| Rate for Payer: PACE SWMI |
$209.55
|
| Rate for Payer: PHP Medicare Advantage |
$209.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$139.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$403.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$381.01
|
| Rate for Payer: Priority Health Medicare |
$209.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$381.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$209.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$209.55
|
| Rate for Payer: UHC Medicare Advantage |
$215.84
|
|
|
PR EXCISION LESION MENISCUS/CAPSULE KNEE
|
Professional
|
Both
|
$2,294.00
|
|
|
Service Code
|
HCPCS 27347
|
| Min. Negotiated Rate |
$343.78 |
| Max. Negotiated Rate |
$1,605.80 |
| Rate for Payer: Aetna Commercial |
$698.14
|
| Rate for Payer: Aetna Medicare |
$541.84
|
| Rate for Payer: BCBS Complete |
$360.97
|
| Rate for Payer: BCBS MAPPO |
$521.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,496.67
|
| Rate for Payer: BCN Commercial |
$780.90
|
| Rate for Payer: BCN Medicare Advantage |
$521.00
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cofinity Commercial |
$750.24
|
| Rate for Payer: Cofinity Commercial |
$698.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$521.00
|
| Rate for Payer: Mclaren Medicaid |
$343.78
|
| Rate for Payer: Meridian Medicaid |
$360.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$547.05
|
| Rate for Payer: PACE SWMI |
$521.00
|
| Rate for Payer: PHP Medicare Advantage |
$521.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$343.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,605.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$816.02
|
| Rate for Payer: Priority Health Medicare |
$521.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$816.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$521.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$521.00
|
| Rate for Payer: UHC Medicare Advantage |
$536.63
|
|
|
PR EXCISION LESION MESENTERY SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,478.00
|
|
|
Service Code
|
HCPCS 44820
|
| Min. Negotiated Rate |
$295.85 |
| Max. Negotiated Rate |
$1,498.16 |
| Rate for Payer: Aetna Commercial |
$1,135.30
|
| Rate for Payer: Aetna Medicare |
$881.13
|
| Rate for Payer: BCBS Complete |
$573.44
|
| Rate for Payer: BCBS MAPPO |
$847.24
|
| Rate for Payer: BCBS Trust/PPO |
$295.85
|
| Rate for Payer: BCN Commercial |
$1,245.15
|
| Rate for Payer: BCN Medicare Advantage |
$847.24
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cash Price |
$1,182.40
|
| Rate for Payer: Cofinity Commercial |
$1,220.03
|
| Rate for Payer: Cofinity Commercial |
$1,135.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$847.24
|
| Rate for Payer: Mclaren Medicaid |
$546.13
|
| Rate for Payer: Meridian Medicaid |
$573.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$889.60
|
| Rate for Payer: PACE SWMI |
$847.24
|
| Rate for Payer: PHP Medicare Advantage |
$847.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,034.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,498.16
|
| Rate for Payer: Priority Health Medicare |
$847.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,498.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$847.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$847.24
|
| Rate for Payer: UHC Medicare Advantage |
$872.66
|
|
|
PR EXCISION LESION PANCREAS
|
Professional
|
Both
|
$2,230.00
|
|
|
Service Code
|
HCPCS 48120
|
| Min. Negotiated Rate |
$203.40 |
| Max. Negotiated Rate |
$1,959.12 |
| Rate for Payer: Aetna Commercial |
$1,487.31
|
| Rate for Payer: Aetna Medicare |
$1,154.33
|
| Rate for Payer: BCBS Complete |
$748.11
|
| Rate for Payer: BCBS MAPPO |
$1,109.93
|
| Rate for Payer: BCBS Trust/PPO |
$203.40
|
| Rate for Payer: BCN Commercial |
$1,628.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,109.93
|
| Rate for Payer: Cash Price |
$1,784.00
|
| Rate for Payer: Cash Price |
$1,784.00
|
| Rate for Payer: Cofinity Commercial |
$1,598.30
|
| Rate for Payer: Cofinity Commercial |
$1,487.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,109.93
|
| Rate for Payer: Mclaren Medicaid |
$712.49
|
| Rate for Payer: Meridian Medicaid |
$748.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,165.43
|
| Rate for Payer: PACE SWMI |
$1,109.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,109.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$712.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,959.12
|
| Rate for Payer: Priority Health Medicare |
$1,109.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,959.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,109.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,109.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,143.23
|
|
|
PR EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK
|
Professional
|
Both
|
$1,318.00
|
|
|
Service Code
|
HCPCS 27630
|
| Min. Negotiated Rate |
$231.74 |
| Max. Negotiated Rate |
$922.60 |
| Rate for Payer: Aetna Commercial |
$466.37
|
| Rate for Payer: Aetna Medicare |
$361.96
|
| Rate for Payer: BCBS Complete |
$243.33
|
| Rate for Payer: BCBS MAPPO |
$348.04
|
| Rate for Payer: BCBS Trust/PPO |
$600.15
|
| Rate for Payer: BCN Commercial |
$785.31
|
| Rate for Payer: BCN Medicare Advantage |
$348.04
|
| Rate for Payer: Cash Price |
$1,054.40
|
| Rate for Payer: Cash Price |
$1,054.40
|
| Rate for Payer: Cofinity Commercial |
$466.37
|
| Rate for Payer: Cofinity Commercial |
$501.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.04
|
| Rate for Payer: Mclaren Medicaid |
$231.74
|
| Rate for Payer: Meridian Medicaid |
$243.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$365.44
|
| Rate for Payer: PACE SWMI |
$348.04
|
| Rate for Payer: PHP Medicare Advantage |
$348.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$231.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$922.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$544.87
|
| Rate for Payer: Priority Health Medicare |
$348.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$544.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.04
|
| Rate for Payer: UHC Medicare Advantage |
$358.48
|
|
|
PR EXCISION LESION TENDON SHEATH FOREARM&/WRIST
|
Professional
|
Both
|
$1,132.00
|
|
|
Service Code
|
HCPCS 25110
|
| Min. Negotiated Rate |
$212.38 |
| Max. Negotiated Rate |
$792.40 |
| Rate for Payer: Aetna Commercial |
$458.79
|
| Rate for Payer: Aetna Medicare |
$356.08
|
| Rate for Payer: BCBS Complete |
$238.41
|
| Rate for Payer: BCBS MAPPO |
$342.38
|
| Rate for Payer: BCBS Trust/PPO |
$212.38
|
| Rate for Payer: BCN Commercial |
$516.04
|
| Rate for Payer: BCN Medicare Advantage |
$342.38
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cofinity Commercial |
$493.03
|
| Rate for Payer: Cofinity Commercial |
$458.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.38
|
| Rate for Payer: Mclaren Medicaid |
$227.06
|
| Rate for Payer: Meridian Medicaid |
$238.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$359.50
|
| Rate for Payer: PACE SWMI |
$342.38
|
| Rate for Payer: PHP Medicare Advantage |
$342.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$227.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$792.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$539.25
|
| Rate for Payer: Priority Health Medicare |
$342.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$539.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$342.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$342.38
|
| Rate for Payer: UHC Medicare Advantage |
$352.65
|
|
|
PR EXCISION LESION TONGUE W/O CLOSURE
|
Professional
|
Both
|
$374.00
|
|
|
Service Code
|
HCPCS 41110
|
| Min. Negotiated Rate |
$83.71 |
| Max. Negotiated Rate |
$569.51 |
| Rate for Payer: Aetna Commercial |
$169.70
|
| Rate for Payer: Aetna Medicare |
$131.71
|
| Rate for Payer: BCBS Complete |
$87.90
|
| Rate for Payer: BCBS MAPPO |
$126.64
|
| Rate for Payer: BCBS Trust/PPO |
$569.51
|
| Rate for Payer: BCN Commercial |
$340.12
|
| Rate for Payer: BCN Medicare Advantage |
$126.64
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cofinity Commercial |
$182.36
|
| Rate for Payer: Cofinity Commercial |
$169.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.64
|
| Rate for Payer: Mclaren Medicaid |
$83.71
|
| Rate for Payer: Meridian Medicaid |
$87.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$132.97
|
| Rate for Payer: PACE SWMI |
$126.64
|
| Rate for Payer: PHP Medicare Advantage |
$126.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$229.90
|
| Rate for Payer: Priority Health Medicare |
$126.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$229.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.64
|
| Rate for Payer: UHC Medicare Advantage |
$130.44
|
|
|
PR EXCISION LINGUAL FRENUM FRENECTOMY
|
Professional
|
Both
|
$438.00
|
|
|
Service Code
|
HCPCS 41115
|
| Min. Negotiated Rate |
$94.15 |
| Max. Negotiated Rate |
$967.85 |
| Rate for Payer: Aetna Commercial |
$191.12
|
| Rate for Payer: Aetna Medicare |
$148.34
|
| Rate for Payer: BCBS Complete |
$98.86
|
| Rate for Payer: BCBS MAPPO |
$142.63
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$387.03
|
| Rate for Payer: BCN Medicare Advantage |
$142.63
|
| Rate for Payer: Cash Price |
$350.40
|
| Rate for Payer: Cash Price |
$350.40
|
| Rate for Payer: Cofinity Commercial |
$205.39
|
| Rate for Payer: Cofinity Commercial |
$191.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.63
|
| Rate for Payer: Mclaren Medicaid |
$94.15
|
| Rate for Payer: Meridian Medicaid |
$98.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$149.76
|
| Rate for Payer: PACE SWMI |
$142.63
|
| Rate for Payer: PHP Medicare Advantage |
$142.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$306.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$258.70
|
| Rate for Payer: Priority Health Medicare |
$142.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$258.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.63
|
| Rate for Payer: UHC Medicare Advantage |
$146.91
|
|
|
PR EXCISION LOCAL LESION EPIDIDYMIS
|
Professional
|
Both
|
$605.00
|
|
|
Service Code
|
HCPCS 54830
|
| Min. Negotiated Rate |
$239.20 |
| Max. Negotiated Rate |
$1,910.86 |
| Rate for Payer: Aetna Commercial |
$486.80
|
| Rate for Payer: Aetna Medicare |
$377.81
|
| Rate for Payer: BCBS Complete |
$251.16
|
| Rate for Payer: BCBS MAPPO |
$363.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,910.86
|
| Rate for Payer: BCN Commercial |
$539.99
|
| Rate for Payer: BCN Medicare Advantage |
$363.28
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cash Price |
$484.00
|
| Rate for Payer: Cofinity Commercial |
$523.12
|
| Rate for Payer: Cofinity Commercial |
$486.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.28
|
| Rate for Payer: Mclaren Medicaid |
$239.20
|
| Rate for Payer: Meridian Medicaid |
$251.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$381.44
|
| Rate for Payer: PACE SWMI |
$363.28
|
| Rate for Payer: PHP Medicare Advantage |
$363.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$597.09
|
| Rate for Payer: Priority Health Medicare |
$363.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$597.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.28
|
| Rate for Payer: UHC Medicare Advantage |
$374.18
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
IP
|
$326.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$198.83 |
| Max. Negotiated Rate |
$293.40 |
| Rate for Payer: Aetna Commercial |
$277.10
|
| Rate for Payer: BCBS Trust/PPO |
$251.93
|
| Rate for Payer: BCN Commercial |
$251.93
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$280.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.80
|
| Rate for Payer: Healthscope Commercial |
$293.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$244.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$277.10
|
| Rate for Payer: PHP Commercial |
$277.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$286.88
|
| Rate for Payer: UHC Core |
$272.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$244.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$326.00
|
|
|
Service Code
|
HCPCS 11640
|
| Min. Negotiated Rate |
$81.15 |
| Max. Negotiated Rate |
$977.96 |
| Rate for Payer: Aetna Commercial |
$163.79
|
| Rate for Payer: Aetna Medicare |
$127.12
|
| Rate for Payer: BCBS Complete |
$85.21
|
| Rate for Payer: BCBS MAPPO |
$122.23
|
| Rate for Payer: BCBS Trust/PPO |
$977.96
|
| Rate for Payer: BCN Commercial |
$239.53
|
| Rate for Payer: BCN Medicare Advantage |
$122.23
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$176.01
|
| Rate for Payer: Cofinity Commercial |
$163.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.23
|
| Rate for Payer: Mclaren Medicaid |
$81.15
|
| Rate for Payer: Meridian Medicaid |
$85.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$128.34
|
| Rate for Payer: PACE SWMI |
$122.23
|
| Rate for Payer: PHP Medicare Advantage |
$122.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$154.56
|
| Rate for Payer: Priority Health Medicare |
$122.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$122.23
|
| Rate for Payer: UHC Medicare Advantage |
$125.90
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
OP
|
$326.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$77.42 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$277.10
|
| Rate for Payer: Aetna Medicare |
$84.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$101.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$101.88
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$81.50
|
| Rate for Payer: BCBS Trust/PPO |
$253.46
|
| Rate for Payer: BCN Commercial |
$253.46
|
| Rate for Payer: BCN Medicare Advantage |
$81.50
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$280.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.50
|
| Rate for Payer: Healthscope Commercial |
$293.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$244.50
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$85.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$93.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$277.10
|
| Rate for Payer: PACE Senior Care Partners |
$77.42
|
| Rate for Payer: PACE SWMI |
$81.50
|
| Rate for Payer: PHP Commercial |
$277.10
|
| Rate for Payer: PHP Medicare Advantage |
$81.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$283.62
|
| Rate for Payer: Priority Health Medicare |
$81.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.83
|
| Rate for Payer: Railroad Medicare Medicare |
$81.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$286.88
|
| Rate for Payer: UHC Core |
$272.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.50
|
| Rate for Payer: UHC Medicare Advantage |
$83.94
|
| Rate for Payer: VA VA |
$81.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$244.50
|
|
