|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$326.00
|
|
|
Service Code
|
HCPCS 11640
|
| Hospital Charge Code |
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 0.6-1.0 CM
|
Facility
|
IP
|
$386.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$235.42 |
| Max. Negotiated Rate |
$347.40 |
| Rate for Payer: Aetna Commercial |
$328.10
|
| Rate for Payer: BCBS Trust/PPO |
$298.30
|
| Rate for Payer: BCN Commercial |
$298.30
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$331.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.80
|
| Rate for Payer: Healthscope Commercial |
$347.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$328.10
|
| Rate for Payer: PHP Commercial |
$328.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$335.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.68
|
| Rate for Payer: UHC Core |
$322.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
OP
|
$386.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$91.68 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$328.10
|
| Rate for Payer: Aetna Medicare |
$100.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$120.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$120.62
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$96.50
|
| Rate for Payer: BCBS Trust/PPO |
$300.12
|
| Rate for Payer: BCN Commercial |
$300.12
|
| Rate for Payer: BCN Medicare Advantage |
$96.50
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$331.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.50
|
| Rate for Payer: Healthscope Commercial |
$347.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.50
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$101.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$328.10
|
| Rate for Payer: PACE Senior Care Partners |
$91.68
|
| Rate for Payer: PACE SWMI |
$96.50
|
| Rate for Payer: PHP Commercial |
$328.10
|
| Rate for Payer: PHP Medicare Advantage |
$96.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$335.82
|
| Rate for Payer: Priority Health Medicare |
$96.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.42
|
| Rate for Payer: Railroad Medicare Medicare |
$96.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.68
|
| Rate for Payer: UHC Core |
$322.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.50
|
| Rate for Payer: UHC Medicare Advantage |
$99.40
|
| Rate for Payer: VA VA |
$96.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 11641
|
| Hospital Charge Code |
11641
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$201.91
|
| Rate for Payer: Aetna Medicare |
$156.71
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$150.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$279.57
|
| Rate for Payer: BCN Medicare Advantage |
$150.68
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$201.91
|
| Rate for Payer: Cofinity Commercial |
$216.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.68
|
| Rate for Payer: Mclaren Medicaid |
$99.26
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$158.21
|
| Rate for Payer: PACE SWMI |
$150.68
|
| Rate for Payer: PHP Medicare Advantage |
$150.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$189.90
|
| Rate for Payer: Priority Health Medicare |
$150.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$189.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.68
|
| Rate for Payer: UHC Medicare Advantage |
$155.20
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 11641
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$201.91
|
| Rate for Payer: Aetna Medicare |
$156.71
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$150.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$279.57
|
| Rate for Payer: BCN Medicare Advantage |
$150.68
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$216.98
|
| Rate for Payer: Cofinity Commercial |
$201.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.68
|
| Rate for Payer: Mclaren Medicaid |
$99.26
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$158.21
|
| Rate for Payer: PACE SWMI |
$150.68
|
| Rate for Payer: PHP Medicare Advantage |
$150.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$189.90
|
| Rate for Payer: Priority Health Medicare |
$150.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$189.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.68
|
| Rate for Payer: UHC Medicare Advantage |
$155.20
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 11642
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$235.88
|
| Rate for Payer: Aetna Medicare |
$183.07
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$176.03
|
| Rate for Payer: BCBS Trust/PPO |
$712.50
|
| Rate for Payer: BCN Commercial |
$315.30
|
| Rate for Payer: BCN Medicare Advantage |
$176.03
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$253.48
|
| Rate for Payer: Cofinity Commercial |
$235.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.03
|
| Rate for Payer: Mclaren Medicaid |
$116.09
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.83
|
| Rate for Payer: PACE SWMI |
$176.03
|
| Rate for Payer: PHP Medicare Advantage |
$176.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.55
|
| Rate for Payer: Priority Health Medicare |
$176.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$221.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.03
|
| Rate for Payer: UHC Medicare Advantage |
$181.31
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 11642
|
| Hospital Charge Code |
11642
|
| Min. Negotiated Rate |
$116.09 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$235.88
|
| Rate for Payer: Aetna Medicare |
$183.07
|
| Rate for Payer: BCBS Complete |
$121.89
|
| Rate for Payer: BCBS MAPPO |
$176.03
|
| Rate for Payer: BCBS Trust/PPO |
$712.50
|
| Rate for Payer: BCN Commercial |
$315.30
|
| Rate for Payer: BCN Medicare Advantage |
$176.03
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$253.48
|
| Rate for Payer: Cofinity Commercial |
$235.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.03
|
| Rate for Payer: Mclaren Medicaid |
$116.09
|
| Rate for Payer: Meridian Medicaid |
$121.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$184.83
|
| Rate for Payer: PACE SWMI |
$176.03
|
| Rate for Payer: PHP Medicare Advantage |
$176.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$221.55
|
| Rate for Payer: Priority Health Medicare |
$176.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$221.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$176.03
|
| Rate for Payer: UHC Medicare Advantage |
$181.31
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
OP
|
$584.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$138.70 |
| Max. Negotiated Rate |
$525.60 |
| Rate for Payer: Aetna Commercial |
$496.40
|
| Rate for Payer: Aetna Medicare |
$151.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$182.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$182.50
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$146.00
|
| Rate for Payer: BCBS Trust/PPO |
$454.06
|
| Rate for Payer: BCN Commercial |
$454.06
|
| Rate for Payer: BCN Medicare Advantage |
$146.00
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$502.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$467.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.00
|
| Rate for Payer: Healthscope Commercial |
$525.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$438.00
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$153.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$167.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$496.40
|
| Rate for Payer: PACE Senior Care Partners |
$138.70
|
| Rate for Payer: PACE SWMI |
$146.00
|
| Rate for Payer: PHP Commercial |
$496.40
|
| Rate for Payer: PHP Medicare Advantage |
$146.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.08
|
| Rate for Payer: Priority Health Medicare |
$146.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$356.18
|
| Rate for Payer: Railroad Medicare Medicare |
$146.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$513.92
|
| Rate for Payer: UHC Core |
$487.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$146.00
|
| Rate for Payer: UHC Medicare Advantage |
$150.38
|
| Rate for Payer: VA VA |
$146.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$438.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
IP
|
$584.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$356.18 |
| Max. Negotiated Rate |
$525.60 |
| Rate for Payer: Aetna Commercial |
$496.40
|
| Rate for Payer: BCBS Trust/PPO |
$451.32
|
| Rate for Payer: BCN Commercial |
$451.32
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$502.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$467.20
|
| Rate for Payer: Healthscope Commercial |
$525.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$438.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$496.40
|
| Rate for Payer: PHP Commercial |
$496.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$508.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$356.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$513.92
|
| Rate for Payer: UHC Core |
$487.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$438.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 11643
|
| Hospital Charge Code |
11643
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$511.00 |
| Rate for Payer: Aetna Commercial |
$295.94
|
| Rate for Payer: Aetna Medicare |
$229.68
|
| Rate for Payer: BCBS Complete |
$151.86
|
| Rate for Payer: BCBS MAPPO |
$220.85
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$370.68
|
| Rate for Payer: BCN Medicare Advantage |
$220.85
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$318.02
|
| Rate for Payer: Cofinity Commercial |
$295.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$220.85
|
| Rate for Payer: Mclaren Medicaid |
$144.63
|
| Rate for Payer: Meridian Medicaid |
$151.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$231.89
|
| Rate for Payer: PACE SWMI |
$220.85
|
| Rate for Payer: PHP Medicare Advantage |
$220.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.04
|
| Rate for Payer: Priority Health Medicare |
$220.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$277.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$220.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$220.85
|
| Rate for Payer: UHC Medicare Advantage |
$227.48
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
IP
|
$730.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$445.23 |
| Max. Negotiated Rate |
$657.00 |
| Rate for Payer: Aetna Commercial |
$620.50
|
| Rate for Payer: BCBS Trust/PPO |
$564.14
|
| Rate for Payer: BCN Commercial |
$564.14
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$627.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.00
|
| Rate for Payer: Healthscope Commercial |
$657.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$547.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$620.50
|
| Rate for Payer: PHP Commercial |
$620.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$635.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$445.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$642.40
|
| Rate for Payer: UHC Core |
$609.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$547.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
OP
|
$730.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$173.38 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$620.50
|
| Rate for Payer: Aetna Medicare |
$189.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$228.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$228.12
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$182.50
|
| Rate for Payer: BCBS Trust/PPO |
$567.58
|
| Rate for Payer: BCN Commercial |
$567.58
|
| Rate for Payer: BCN Medicare Advantage |
$182.50
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$627.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.50
|
| Rate for Payer: Healthscope Commercial |
$657.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$547.50
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$209.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$620.50
|
| Rate for Payer: PACE Senior Care Partners |
$173.38
|
| Rate for Payer: PACE SWMI |
$182.50
|
| Rate for Payer: PHP Commercial |
$620.50
|
| Rate for Payer: PHP Medicare Advantage |
$182.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$635.10
|
| Rate for Payer: Priority Health Medicare |
$182.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$445.23
|
| Rate for Payer: Railroad Medicare Medicare |
$182.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$642.40
|
| Rate for Payer: UHC Core |
$609.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.50
|
| Rate for Payer: UHC Medicare Advantage |
$187.98
|
| Rate for Payer: VA VA |
$182.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$547.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 11643
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$511.00 |
| Rate for Payer: Aetna Commercial |
$295.94
|
| Rate for Payer: Aetna Medicare |
$229.68
|
| Rate for Payer: BCBS Complete |
$151.86
|
| Rate for Payer: BCBS MAPPO |
$220.85
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$370.68
|
| Rate for Payer: BCN Medicare Advantage |
$220.85
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$318.02
|
| Rate for Payer: Cofinity Commercial |
$295.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$220.85
|
| Rate for Payer: Mclaren Medicaid |
$144.63
|
| Rate for Payer: Meridian Medicaid |
$151.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$231.89
|
| Rate for Payer: PACE SWMI |
$220.85
|
| Rate for Payer: PHP Medicare Advantage |
$220.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$277.04
|
| Rate for Payer: Priority Health Medicare |
$220.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$277.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$220.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$220.85
|
| Rate for Payer: UHC Medicare Advantage |
$227.48
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11644
|
| Min. Negotiated Rate |
$179.13 |
| Max. Negotiated Rate |
$655.87 |
| Rate for Payer: Aetna Commercial |
$367.87
|
| Rate for Payer: Aetna Medicare |
$285.51
|
| Rate for Payer: BCBS Complete |
$188.09
|
| Rate for Payer: BCBS MAPPO |
$274.53
|
| Rate for Payer: BCBS Trust/PPO |
$655.87
|
| Rate for Payer: BCN Commercial |
$457.06
|
| Rate for Payer: BCN Medicare Advantage |
$274.53
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$395.32
|
| Rate for Payer: Cofinity Commercial |
$367.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.53
|
| Rate for Payer: Mclaren Medicaid |
$179.13
|
| Rate for Payer: Meridian Medicaid |
$188.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.26
|
| Rate for Payer: PACE SWMI |
$274.53
|
| Rate for Payer: PHP Medicare Advantage |
$274.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$343.63
|
| Rate for Payer: Priority Health Medicare |
$274.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$343.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$274.53
|
| Rate for Payer: UHC Medicare Advantage |
$282.77
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
OP
|
$904.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$214.70 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$768.40
|
| Rate for Payer: Aetna Medicare |
$235.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$282.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$282.50
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$226.00
|
| Rate for Payer: BCBS Trust/PPO |
$702.86
|
| Rate for Payer: BCN Commercial |
$702.86
|
| Rate for Payer: BCN Medicare Advantage |
$226.00
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$777.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.00
|
| Rate for Payer: Healthscope Commercial |
$813.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$678.00
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$237.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$259.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$768.40
|
| Rate for Payer: PACE Senior Care Partners |
$214.70
|
| Rate for Payer: PACE SWMI |
$226.00
|
| Rate for Payer: PHP Commercial |
$768.40
|
| Rate for Payer: PHP Medicare Advantage |
$226.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$786.48
|
| Rate for Payer: Priority Health Medicare |
$226.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$551.35
|
| Rate for Payer: Railroad Medicare Medicare |
$226.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$795.52
|
| Rate for Payer: UHC Core |
$754.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.00
|
| Rate for Payer: UHC Medicare Advantage |
$232.78
|
| Rate for Payer: VA VA |
$226.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$678.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
IP
|
$904.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$551.35 |
| Max. Negotiated Rate |
$813.60 |
| Rate for Payer: Aetna Commercial |
$768.40
|
| Rate for Payer: BCBS Trust/PPO |
$698.61
|
| Rate for Payer: BCN Commercial |
$698.61
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$777.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Healthscope Commercial |
$813.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$678.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$768.40
|
| Rate for Payer: PHP Commercial |
$768.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$786.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$551.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$795.52
|
| Rate for Payer: UHC Core |
$754.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$678.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11644
|
| Hospital Charge Code |
11644
|
| Min. Negotiated Rate |
$179.13 |
| Max. Negotiated Rate |
$655.87 |
| Rate for Payer: Aetna Commercial |
$367.87
|
| Rate for Payer: Aetna Medicare |
$285.51
|
| Rate for Payer: BCBS Complete |
$188.09
|
| Rate for Payer: BCBS MAPPO |
$274.53
|
| Rate for Payer: BCBS Trust/PPO |
$655.87
|
| Rate for Payer: BCN Commercial |
$457.06
|
| Rate for Payer: BCN Medicare Advantage |
$274.53
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$395.32
|
| Rate for Payer: Cofinity Commercial |
$367.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$274.53
|
| Rate for Payer: Mclaren Medicaid |
$179.13
|
| Rate for Payer: Meridian Medicaid |
$188.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$288.26
|
| Rate for Payer: PACE SWMI |
$274.53
|
| Rate for Payer: PHP Medicare Advantage |
$274.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$343.63
|
| Rate for Payer: Priority Health Medicare |
$274.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$343.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$274.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$274.53
|
| Rate for Payer: UHC Medicare Advantage |
$282.77
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
IP
|
$904.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$551.35 |
| Max. Negotiated Rate |
$813.60 |
| Rate for Payer: Aetna Commercial |
$768.40
|
| Rate for Payer: BCBS Trust/PPO |
$698.61
|
| Rate for Payer: BCN Commercial |
$698.61
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$777.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Healthscope Commercial |
$813.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$678.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$768.40
|
| Rate for Payer: PHP Commercial |
$768.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$786.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$551.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$795.52
|
| Rate for Payer: UHC Core |
$754.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$678.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
OP
|
$904.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$214.70 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$768.40
|
| Rate for Payer: Aetna Medicare |
$235.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$282.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$282.50
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$226.00
|
| Rate for Payer: BCBS Trust/PPO |
$702.86
|
| Rate for Payer: BCN Commercial |
$702.86
|
| Rate for Payer: BCN Medicare Advantage |
$226.00
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$777.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$723.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.00
|
| Rate for Payer: Healthscope Commercial |
$813.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$678.00
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$237.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$259.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$768.40
|
| Rate for Payer: PACE Senior Care Partners |
$214.70
|
| Rate for Payer: PACE SWMI |
$226.00
|
| Rate for Payer: PHP Commercial |
$768.40
|
| Rate for Payer: PHP Medicare Advantage |
$226.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$786.48
|
| Rate for Payer: Priority Health Medicare |
$226.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$551.35
|
| Rate for Payer: Railroad Medicare Medicare |
$226.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$795.52
|
| Rate for Payer: UHC Core |
$754.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.00
|
| Rate for Payer: UHC Medicare Advantage |
$232.78
|
| Rate for Payer: VA VA |
$226.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$678.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11646
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$632.80 |
| Rate for Payer: Aetna Commercial |
$511.12
|
| Rate for Payer: Aetna Medicare |
$396.69
|
| Rate for Payer: BCBS Complete |
$259.65
|
| Rate for Payer: BCBS MAPPO |
$381.43
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$594.10
|
| Rate for Payer: BCN Medicare Advantage |
$381.43
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$549.26
|
| Rate for Payer: Cofinity Commercial |
$511.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.43
|
| Rate for Payer: Mclaren Medicaid |
$247.29
|
| Rate for Payer: Meridian Medicaid |
$259.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$400.50
|
| Rate for Payer: PACE SWMI |
$381.43
|
| Rate for Payer: PHP Medicare Advantage |
$381.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.57
|
| Rate for Payer: Priority Health Medicare |
$381.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$381.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$381.43
|
| Rate for Payer: UHC Medicare Advantage |
$392.87
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$904.00
|
|
|
Service Code
|
HCPCS 11646
|
| Hospital Charge Code |
11646
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$632.80 |
| Rate for Payer: Aetna Commercial |
$511.12
|
| Rate for Payer: Aetna Medicare |
$396.69
|
| Rate for Payer: BCBS Complete |
$259.65
|
| Rate for Payer: BCBS MAPPO |
$381.43
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$594.10
|
| Rate for Payer: BCN Medicare Advantage |
$381.43
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cash Price |
$723.20
|
| Rate for Payer: Cofinity Commercial |
$549.26
|
| Rate for Payer: Cofinity Commercial |
$511.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.43
|
| Rate for Payer: Mclaren Medicaid |
$247.29
|
| Rate for Payer: Meridian Medicaid |
$259.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$400.50
|
| Rate for Payer: PACE SWMI |
$381.43
|
| Rate for Payer: PHP Medicare Advantage |
$381.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$632.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.57
|
| Rate for Payer: Priority Health Medicare |
$381.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$475.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$381.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$381.43
|
| Rate for Payer: UHC Medicare Advantage |
$392.87
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 11620
|
| Min. Negotiated Rate |
$79.02 |
| Max. Negotiated Rate |
$578.99 |
| Rate for Payer: Aetna Commercial |
$159.69
|
| Rate for Payer: Aetna Medicare |
$123.94
|
| Rate for Payer: BCBS Complete |
$82.97
|
| Rate for Payer: BCBS MAPPO |
$119.17
|
| Rate for Payer: BCBS Trust/PPO |
$578.99
|
| Rate for Payer: BCN Commercial |
$291.75
|
| Rate for Payer: BCN Medicare Advantage |
$119.17
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$171.60
|
| Rate for Payer: Cofinity Commercial |
$159.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.17
|
| Rate for Payer: Mclaren Medicaid |
$79.02
|
| Rate for Payer: Meridian Medicaid |
$82.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$125.13
|
| Rate for Payer: PACE SWMI |
$119.17
|
| Rate for Payer: PHP Medicare Advantage |
$119.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$221.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$150.44
|
| Rate for Payer: Priority Health Medicare |
$119.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$150.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.17
|
| Rate for Payer: UHC Medicare Advantage |
$122.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM
|
Professional
|
Both
|
$373.00
|
|
|
Service Code
|
HCPCS 11621
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$337.19 |
| Rate for Payer: Aetna Commercial |
$194.03
|
| Rate for Payer: Aetna Medicare |
$150.59
|
| Rate for Payer: BCBS Complete |
$99.97
|
| Rate for Payer: BCBS MAPPO |
$144.80
|
| Rate for Payer: BCBS Trust/PPO |
$26.32
|
| Rate for Payer: BCN Commercial |
$337.19
|
| Rate for Payer: BCN Medicare Advantage |
$144.80
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cofinity Commercial |
$208.51
|
| Rate for Payer: Cofinity Commercial |
$194.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.80
|
| Rate for Payer: Mclaren Medicaid |
$95.21
|
| Rate for Payer: Meridian Medicaid |
$99.97
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$152.04
|
| Rate for Payer: PACE SWMI |
$144.80
|
| Rate for Payer: PHP Medicare Advantage |
$144.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$182.50
|
| Rate for Payer: Priority Health Medicare |
$144.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$144.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.80
|
| Rate for Payer: UHC Medicare Advantage |
$149.14
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
OP
|
$416.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$98.80 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$353.60
|
| Rate for Payer: Aetna Medicare |
$108.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$130.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$130.00
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$104.00
|
| Rate for Payer: BCBS Trust/PPO |
$323.44
|
| Rate for Payer: BCN Commercial |
$323.44
|
| Rate for Payer: BCN Medicare Advantage |
$104.00
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$357.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$332.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.00
|
| Rate for Payer: Healthscope Commercial |
$374.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.00
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$109.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$353.60
|
| Rate for Payer: PACE Senior Care Partners |
$98.80
|
| Rate for Payer: PACE SWMI |
$104.00
|
| Rate for Payer: PHP Commercial |
$353.60
|
| Rate for Payer: PHP Medicare Advantage |
$104.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$361.92
|
| Rate for Payer: Priority Health Medicare |
$104.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.72
|
| Rate for Payer: Railroad Medicare Medicare |
$104.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.08
|
| Rate for Payer: UHC Core |
$347.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.00
|
| Rate for Payer: UHC Medicare Advantage |
$107.12
|
| Rate for Payer: VA VA |
$104.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$416.00
|
|
|
Service Code
|
HCPCS 11622
|
| Hospital Charge Code |
11622
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$156,313.01 |
| Rate for Payer: Aetna Commercial |
$219.42
|
| Rate for Payer: Aetna Medicare |
$170.30
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$163.75
|
| Rate for Payer: BCBS Trust/PPO |
$156,313.01
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$163.75
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$235.80
|
| Rate for Payer: Cofinity Commercial |
$219.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.75
|
| Rate for Payer: Mclaren Medicaid |
$107.99
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$171.94
|
| Rate for Payer: PACE SWMI |
$163.75
|
| Rate for Payer: PHP Medicare Advantage |
$163.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$291.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.34
|
| Rate for Payer: Priority Health Medicare |
$163.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$206.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.75
|
| Rate for Payer: UHC Medicare Advantage |
$168.66
|
|
