|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$416.00
|
|
|
Service Code
|
HCPCS 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 |
$219.42
|
| Rate for Payer: Cofinity Commercial |
$235.80
|
| 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
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
IP
|
$416.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$253.72 |
| Max. Negotiated Rate |
$374.40 |
| Rate for Payer: Aetna Commercial |
$353.60
|
| Rate for Payer: BCBS Trust/PPO |
$321.48
|
| Rate for Payer: BCN Commercial |
$321.48
|
| 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: Healthscope Commercial |
$374.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$312.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$353.60
|
| Rate for Payer: PHP Commercial |
$353.60
|
| 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 Narrow/Tiered Network |
$253.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$366.08
|
| Rate for Payer: UHC Core |
$347.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$312.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$517.00
|
|
|
Service Code
|
HCPCS 11623
|
| Min. Negotiated Rate |
$133.13 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$272.88
|
| Rate for Payer: Aetna Medicare |
$211.79
|
| Rate for Payer: BCBS Complete |
$139.79
|
| Rate for Payer: BCBS MAPPO |
$203.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$433.95
|
| Rate for Payer: BCN Medicare Advantage |
$203.64
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$293.24
|
| Rate for Payer: Cofinity Commercial |
$272.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.64
|
| Rate for Payer: Mclaren Medicaid |
$133.13
|
| Rate for Payer: Meridian Medicaid |
$139.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$213.82
|
| Rate for Payer: PACE SWMI |
$203.64
|
| Rate for Payer: PHP Medicare Advantage |
$203.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$255.67
|
| Rate for Payer: Priority Health Medicare |
$203.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$255.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$203.64
|
| Rate for Payer: UHC Medicare Advantage |
$209.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$517.00
|
|
|
Service Code
|
HCPCS 11623
|
| Hospital Charge Code |
11623
|
| Min. Negotiated Rate |
$133.13 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$272.88
|
| Rate for Payer: Aetna Medicare |
$211.79
|
| Rate for Payer: BCBS Complete |
$139.79
|
| Rate for Payer: BCBS MAPPO |
$203.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$433.95
|
| Rate for Payer: BCN Medicare Advantage |
$203.64
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$272.88
|
| Rate for Payer: Cofinity Commercial |
$293.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.64
|
| Rate for Payer: Mclaren Medicaid |
$133.13
|
| Rate for Payer: Meridian Medicaid |
$139.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$213.82
|
| Rate for Payer: PACE SWMI |
$203.64
|
| Rate for Payer: PHP Medicare Advantage |
$203.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$255.67
|
| Rate for Payer: Priority Health Medicare |
$203.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$255.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$203.64
|
| Rate for Payer: UHC Medicare Advantage |
$209.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
IP
|
$517.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$315.32 |
| Max. Negotiated Rate |
$465.30 |
| Rate for Payer: Aetna Commercial |
$439.45
|
| Rate for Payer: BCBS Trust/PPO |
$399.54
|
| Rate for Payer: BCN Commercial |
$399.54
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$444.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.60
|
| Rate for Payer: Healthscope Commercial |
$465.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$387.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$439.45
|
| Rate for Payer: PHP Commercial |
$439.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$449.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$315.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$454.96
|
| Rate for Payer: UHC Core |
$431.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$387.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
OP
|
$517.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$122.79 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$439.45
|
| Rate for Payer: Aetna Medicare |
$134.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$161.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$161.56
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$129.25
|
| Rate for Payer: BCBS Trust/PPO |
$401.97
|
| Rate for Payer: BCN Commercial |
$401.97
|
| Rate for Payer: BCN Medicare Advantage |
$129.25
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cash Price |
$413.60
|
| Rate for Payer: Cofinity Commercial |
$444.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.25
|
| Rate for Payer: Healthscope Commercial |
$465.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$387.75
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$135.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$439.45
|
| Rate for Payer: PACE Senior Care Partners |
$122.79
|
| Rate for Payer: PACE SWMI |
$129.25
|
| Rate for Payer: PHP Commercial |
$439.45
|
| Rate for Payer: PHP Medicare Advantage |
$129.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$361.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$449.79
|
| Rate for Payer: Priority Health Medicare |
$129.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$315.32
|
| Rate for Payer: Railroad Medicare Medicare |
$129.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$454.96
|
| Rate for Payer: UHC Core |
$431.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.25
|
| Rate for Payer: UHC Medicare Advantage |
$133.13
|
| Rate for Payer: VA VA |
$129.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$387.75
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
OP
|
$583.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$138.46 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$495.55
|
| Rate for Payer: Aetna Medicare |
$151.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$182.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$182.19
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$145.75
|
| Rate for Payer: BCBS Trust/PPO |
$453.28
|
| Rate for Payer: BCN Commercial |
$453.28
|
| Rate for Payer: BCN Medicare Advantage |
$145.75
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cofinity Commercial |
$501.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$466.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.75
|
| Rate for Payer: Healthscope Commercial |
$524.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$437.25
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$153.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$167.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$495.55
|
| Rate for Payer: PACE Senior Care Partners |
$138.46
|
| Rate for Payer: PACE SWMI |
$145.75
|
| Rate for Payer: PHP Commercial |
$495.55
|
| Rate for Payer: PHP Medicare Advantage |
$145.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$507.21
|
| Rate for Payer: Priority Health Medicare |
$145.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$355.57
|
| Rate for Payer: Railroad Medicare Medicare |
$145.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$513.04
|
| Rate for Payer: UHC Core |
$486.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.75
|
| Rate for Payer: UHC Medicare Advantage |
$150.12
|
| Rate for Payer: VA VA |
$145.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$437.25
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
IP
|
$583.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$355.57 |
| Max. Negotiated Rate |
$524.70 |
| Rate for Payer: Aetna Commercial |
$495.55
|
| Rate for Payer: BCBS Trust/PPO |
$450.54
|
| Rate for Payer: BCN Commercial |
$450.54
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cofinity Commercial |
$501.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$466.40
|
| Rate for Payer: Healthscope Commercial |
$524.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$437.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$495.55
|
| Rate for Payer: PHP Commercial |
$495.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$507.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$355.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$513.04
|
| Rate for Payer: UHC Core |
$486.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$437.25
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$583.00
|
|
|
Service Code
|
HCPCS 11624
|
| Min. Negotiated Rate |
$151.44 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$310.50
|
| Rate for Payer: Aetna Medicare |
$240.99
|
| Rate for Payer: BCBS Complete |
$159.01
|
| Rate for Payer: BCBS MAPPO |
$231.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$231.72
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cofinity Commercial |
$333.68
|
| Rate for Payer: Cofinity Commercial |
$310.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.72
|
| Rate for Payer: Mclaren Medicaid |
$151.44
|
| Rate for Payer: Meridian Medicaid |
$159.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.31
|
| Rate for Payer: PACE SWMI |
$231.72
|
| Rate for Payer: PHP Medicare Advantage |
$231.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.19
|
| Rate for Payer: Priority Health Medicare |
$231.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$290.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.72
|
| Rate for Payer: UHC Medicare Advantage |
$238.67
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$583.00
|
|
|
Service Code
|
HCPCS 11624
|
| Hospital Charge Code |
11624
|
| Min. Negotiated Rate |
$151.44 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$310.50
|
| Rate for Payer: Aetna Medicare |
$240.99
|
| Rate for Payer: BCBS Complete |
$159.01
|
| Rate for Payer: BCBS MAPPO |
$231.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$231.72
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cash Price |
$466.40
|
| Rate for Payer: Cofinity Commercial |
$333.68
|
| Rate for Payer: Cofinity Commercial |
$310.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$231.72
|
| Rate for Payer: Mclaren Medicaid |
$151.44
|
| Rate for Payer: Meridian Medicaid |
$159.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$243.31
|
| Rate for Payer: PACE SWMI |
$231.72
|
| Rate for Payer: PHP Medicare Advantage |
$231.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$151.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$290.19
|
| Rate for Payer: Priority Health Medicare |
$231.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$290.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$231.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$231.72
|
| Rate for Payer: UHC Medicare Advantage |
$238.67
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
OP
|
$912.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$216.60 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$775.20
|
| Rate for Payer: Aetna Medicare |
$237.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$285.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$285.00
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$228.00
|
| Rate for Payer: BCBS Trust/PPO |
$709.08
|
| Rate for Payer: BCN Commercial |
$709.08
|
| Rate for Payer: BCN Medicare Advantage |
$228.00
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$784.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$729.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$228.00
|
| Rate for Payer: Healthscope Commercial |
$820.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$684.00
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$239.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$262.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$775.20
|
| Rate for Payer: PACE Senior Care Partners |
$216.60
|
| Rate for Payer: PACE SWMI |
$228.00
|
| Rate for Payer: PHP Commercial |
$775.20
|
| Rate for Payer: PHP Medicare Advantage |
$228.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$793.44
|
| Rate for Payer: Priority Health Medicare |
$228.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$556.23
|
| Rate for Payer: Railroad Medicare Medicare |
$228.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$802.56
|
| Rate for Payer: UHC Core |
$761.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$228.00
|
| Rate for Payer: UHC Medicare Advantage |
$234.84
|
| Rate for Payer: VA VA |
$228.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$684.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
IP
|
$912.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$556.23 |
| Max. Negotiated Rate |
$820.80 |
| Rate for Payer: Aetna Commercial |
$775.20
|
| Rate for Payer: BCBS Trust/PPO |
$704.79
|
| Rate for Payer: BCN Commercial |
$704.79
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$784.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$729.60
|
| Rate for Payer: Healthscope Commercial |
$820.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$684.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$775.20
|
| Rate for Payer: PHP Commercial |
$775.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$793.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$556.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$802.56
|
| Rate for Payer: UHC Core |
$761.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$684.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$912.00
|
|
|
Service Code
|
HCPCS 11626
|
| Hospital Charge Code |
11626
|
| Min. Negotiated Rate |
$185.10 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$382.49
|
| Rate for Payer: Aetna Medicare |
$296.86
|
| Rate for Payer: BCBS Complete |
$194.36
|
| Rate for Payer: BCBS MAPPO |
$285.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$478.66
|
| Rate for Payer: BCN Medicare Advantage |
$285.44
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$382.49
|
| Rate for Payer: Cofinity Commercial |
$411.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.44
|
| Rate for Payer: Mclaren Medicaid |
$185.10
|
| Rate for Payer: Meridian Medicaid |
$194.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$299.71
|
| Rate for Payer: PACE SWMI |
$285.44
|
| Rate for Payer: PHP Medicare Advantage |
$285.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$355.96
|
| Rate for Payer: Priority Health Medicare |
$285.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$355.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.44
|
| Rate for Payer: UHC Medicare Advantage |
$294.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$912.00
|
|
|
Service Code
|
HCPCS 11626
|
| Min. Negotiated Rate |
$185.10 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$382.49
|
| Rate for Payer: Aetna Medicare |
$296.86
|
| Rate for Payer: BCBS Complete |
$194.36
|
| Rate for Payer: BCBS MAPPO |
$285.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$478.66
|
| Rate for Payer: BCN Medicare Advantage |
$285.44
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cofinity Commercial |
$411.03
|
| Rate for Payer: Cofinity Commercial |
$382.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$285.44
|
| Rate for Payer: Mclaren Medicaid |
$185.10
|
| Rate for Payer: Meridian Medicaid |
$194.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$299.71
|
| Rate for Payer: PACE SWMI |
$285.44
|
| Rate for Payer: PHP Medicare Advantage |
$285.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$638.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$355.96
|
| Rate for Payer: Priority Health Medicare |
$285.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$355.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$285.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$285.44
|
| Rate for Payer: UHC Medicare Advantage |
$294.00
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
OP
|
$787.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$186.91 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$668.95
|
| Rate for Payer: Aetna Medicare |
$204.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$245.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$245.94
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$196.75
|
| Rate for Payer: BCBS Trust/PPO |
$611.89
|
| Rate for Payer: BCN Commercial |
$611.89
|
| Rate for Payer: BCN Medicare Advantage |
$196.75
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$676.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$629.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.75
|
| Rate for Payer: Healthscope Commercial |
$708.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$590.25
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$206.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$226.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$668.95
|
| Rate for Payer: PACE Senior Care Partners |
$186.91
|
| Rate for Payer: PACE SWMI |
$196.75
|
| Rate for Payer: PHP Commercial |
$668.95
|
| Rate for Payer: PHP Medicare Advantage |
$196.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$684.69
|
| Rate for Payer: Priority Health Medicare |
$196.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.99
|
| Rate for Payer: Railroad Medicare Medicare |
$196.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$692.56
|
| Rate for Payer: UHC Core |
$657.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$196.75
|
| Rate for Payer: UHC Medicare Advantage |
$202.65
|
| Rate for Payer: VA VA |
$196.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$590.25
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
IP
|
$787.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$479.99 |
| Max. Negotiated Rate |
$708.30 |
| Rate for Payer: Aetna Commercial |
$668.95
|
| Rate for Payer: BCBS Trust/PPO |
$608.19
|
| Rate for Payer: BCN Commercial |
$608.19
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$676.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$629.60
|
| Rate for Payer: Healthscope Commercial |
$708.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$590.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$668.95
|
| Rate for Payer: PHP Commercial |
$668.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$684.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$692.56
|
| Rate for Payer: UHC Core |
$657.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$590.25
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$787.00
|
|
|
Service Code
|
HCPCS 11606
|
| Min. Negotiated Rate |
$201.50 |
| Max. Negotiated Rate |
$654.83 |
| Rate for Payer: Aetna Commercial |
$414.94
|
| Rate for Payer: Aetna Medicare |
$322.05
|
| Rate for Payer: BCBS Complete |
$211.58
|
| Rate for Payer: BCBS MAPPO |
$309.66
|
| Rate for Payer: BCBS Trust/PPO |
$592.45
|
| Rate for Payer: BCN Commercial |
$654.83
|
| Rate for Payer: BCN Medicare Advantage |
$309.66
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$414.94
|
| Rate for Payer: Cofinity Commercial |
$445.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.66
|
| Rate for Payer: Mclaren Medicaid |
$201.50
|
| Rate for Payer: Meridian Medicaid |
$211.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.14
|
| Rate for Payer: PACE SWMI |
$309.66
|
| Rate for Payer: PHP Medicare Advantage |
$309.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$385.96
|
| Rate for Payer: Priority Health Medicare |
$309.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$385.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.66
|
| Rate for Payer: UHC Medicare Advantage |
$318.95
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$787.00
|
|
|
Service Code
|
HCPCS 11606
|
| Hospital Charge Code |
11606
|
| Min. Negotiated Rate |
$201.50 |
| Max. Negotiated Rate |
$654.83 |
| Rate for Payer: Aetna Commercial |
$414.94
|
| Rate for Payer: Aetna Medicare |
$322.05
|
| Rate for Payer: BCBS Complete |
$211.58
|
| Rate for Payer: BCBS MAPPO |
$309.66
|
| Rate for Payer: BCBS Trust/PPO |
$592.45
|
| Rate for Payer: BCN Commercial |
$654.83
|
| Rate for Payer: BCN Medicare Advantage |
$309.66
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cash Price |
$629.60
|
| Rate for Payer: Cofinity Commercial |
$414.94
|
| Rate for Payer: Cofinity Commercial |
$445.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.66
|
| Rate for Payer: Mclaren Medicaid |
$201.50
|
| Rate for Payer: Meridian Medicaid |
$211.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.14
|
| Rate for Payer: PACE SWMI |
$309.66
|
| Rate for Payer: PHP Medicare Advantage |
$309.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$550.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$385.96
|
| Rate for Payer: Priority Health Medicare |
$309.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$385.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.66
|
| Rate for Payer: UHC Medicare Advantage |
$318.95
|
|
|
PR EXCISION MALIGNANT TUMOR MANDIBLE RADICAL
|
Professional
|
Both
|
$2,176.00
|
|
|
Service Code
|
HCPCS 21045
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$1,832.72 |
| Rate for Payer: Aetna Commercial |
$1,577.65
|
| Rate for Payer: Aetna Medicare |
$1,224.44
|
| Rate for Payer: BCBS Complete |
$805.14
|
| Rate for Payer: BCBS MAPPO |
$1,177.35
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$1,753.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,177.35
|
| Rate for Payer: Cash Price |
$1,740.80
|
| Rate for Payer: Cash Price |
$1,740.80
|
| Rate for Payer: Cofinity Commercial |
$1,577.65
|
| Rate for Payer: Cofinity Commercial |
$1,695.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,177.35
|
| Rate for Payer: Mclaren Medicaid |
$766.80
|
| Rate for Payer: Meridian Medicaid |
$805.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,236.22
|
| Rate for Payer: PACE SWMI |
$1,177.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,177.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$766.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,523.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,832.72
|
| Rate for Payer: Priority Health Medicare |
$1,177.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,832.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,177.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,177.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,212.67
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<
|
Professional
|
Both
|
$312.00
|
|
|
Service Code
|
HCPCS 11600
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$1,866.00 |
| Rate for Payer: Aetna Commercial |
$158.82
|
| Rate for Payer: Aetna Medicare |
$123.26
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS MAPPO |
$118.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,866.00
|
| Rate for Payer: BCN Commercial |
$290.27
|
| Rate for Payer: BCN Medicare Advantage |
$118.52
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cash Price |
$249.60
|
| Rate for Payer: Cofinity Commercial |
$170.67
|
| Rate for Payer: Cofinity Commercial |
$158.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.52
|
| Rate for Payer: Mclaren Medicaid |
$78.38
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$124.45
|
| Rate for Payer: PACE SWMI |
$118.52
|
| Rate for Payer: PHP Medicare Advantage |
$118.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$218.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$149.62
|
| Rate for Payer: Priority Health Medicare |
$118.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$149.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.52
|
| Rate for Payer: UHC Medicare Advantage |
$122.08
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
|
Professional
|
Both
|
$370.00
|
|
|
Service Code
|
HCPCS 11601
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$269.37 |
| Rate for Payer: Aetna Commercial |
$192.67
|
| Rate for Payer: Aetna Medicare |
$149.53
|
| Rate for Payer: BCBS Complete |
$99.53
|
| Rate for Payer: BCBS MAPPO |
$143.78
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$269.37
|
| Rate for Payer: BCN Medicare Advantage |
$143.78
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cofinity Commercial |
$207.04
|
| Rate for Payer: Cofinity Commercial |
$192.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$143.78
|
| Rate for Payer: Mclaren Medicaid |
$94.79
|
| Rate for Payer: Meridian Medicaid |
$99.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$150.97
|
| Rate for Payer: PACE SWMI |
$143.78
|
| Rate for Payer: PHP Medicare Advantage |
$143.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$259.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.27
|
| Rate for Payer: Priority Health Medicare |
$143.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$143.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$143.78
|
| Rate for Payer: UHC Medicare Advantage |
$148.09
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 11602
|
| Min. Negotiated Rate |
$46.61 |
| Max. Negotiated Rate |
$288.21 |
| Rate for Payer: Aetna Commercial |
$209.20
|
| Rate for Payer: Aetna Medicare |
$162.36
|
| Rate for Payer: BCBS Complete |
$108.02
|
| Rate for Payer: BCBS MAPPO |
$156.12
|
| Rate for Payer: BCBS Trust/PPO |
$46.61
|
| Rate for Payer: BCN Commercial |
$288.21
|
| Rate for Payer: BCN Medicare Advantage |
$156.12
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$224.81
|
| Rate for Payer: Cofinity Commercial |
$209.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.12
|
| Rate for Payer: Mclaren Medicaid |
$102.88
|
| Rate for Payer: Meridian Medicaid |
$108.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$163.93
|
| Rate for Payer: PACE SWMI |
$156.12
|
| Rate for Payer: PHP Medicare Advantage |
$156.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$196.89
|
| Rate for Payer: Priority Health Medicare |
$156.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.12
|
| Rate for Payer: UHC Medicare Advantage |
$160.80
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Facility
|
OP
|
$402.00
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
11602
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$95.48 |
| Max. Negotiated Rate |
$361.80 |
| Rate for Payer: Aetna Commercial |
$341.70
|
| Rate for Payer: Aetna Medicare |
$104.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$125.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$125.62
|
| Rate for Payer: BCBS Complete |
$274.65
|
| Rate for Payer: BCBS MAPPO |
$100.50
|
| Rate for Payer: BCBS Trust/PPO |
$312.56
|
| Rate for Payer: BCN Commercial |
$312.56
|
| Rate for Payer: BCN Medicare Advantage |
$100.50
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$345.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$321.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.50
|
| Rate for Payer: Healthscope Commercial |
$361.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$301.50
|
| Rate for Payer: Mclaren Medicaid |
$261.57
|
| Rate for Payer: Meridian Medicaid |
$274.65
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$105.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$115.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$341.70
|
| Rate for Payer: PACE Senior Care Partners |
$95.48
|
| Rate for Payer: PACE SWMI |
$100.50
|
| Rate for Payer: PHP Commercial |
$341.70
|
| Rate for Payer: PHP Medicare Advantage |
$100.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$349.74
|
| Rate for Payer: Priority Health Medicare |
$100.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.18
|
| Rate for Payer: Railroad Medicare Medicare |
$100.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.76
|
| Rate for Payer: UHC Core |
$335.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.50
|
| Rate for Payer: UHC Medicare Advantage |
$103.52
|
| Rate for Payer: VA VA |
$100.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$301.50
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Facility
|
IP
|
$402.00
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
11602
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$245.18 |
| Max. Negotiated Rate |
$361.80 |
| Rate for Payer: Aetna Commercial |
$341.70
|
| Rate for Payer: BCBS Trust/PPO |
$310.67
|
| Rate for Payer: BCN Commercial |
$310.67
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$345.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$321.60
|
| Rate for Payer: Healthscope Commercial |
$361.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$301.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$341.70
|
| Rate for Payer: PHP Commercial |
$341.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$349.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.76
|
| Rate for Payer: UHC Core |
$335.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$301.50
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 11602
|
| Hospital Charge Code |
11602
|
| Min. Negotiated Rate |
$46.61 |
| Max. Negotiated Rate |
$288.21 |
| Rate for Payer: Aetna Commercial |
$209.20
|
| Rate for Payer: Aetna Medicare |
$162.36
|
| Rate for Payer: BCBS Complete |
$108.02
|
| Rate for Payer: BCBS MAPPO |
$156.12
|
| Rate for Payer: BCBS Trust/PPO |
$46.61
|
| Rate for Payer: BCN Commercial |
$288.21
|
| Rate for Payer: BCN Medicare Advantage |
$156.12
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$209.20
|
| Rate for Payer: Cofinity Commercial |
$224.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$156.12
|
| Rate for Payer: Mclaren Medicaid |
$102.88
|
| Rate for Payer: Meridian Medicaid |
$108.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$163.93
|
| Rate for Payer: PACE SWMI |
$156.12
|
| Rate for Payer: PHP Medicare Advantage |
$156.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$102.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$281.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$196.89
|
| Rate for Payer: Priority Health Medicare |
$156.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$156.12
|
| Rate for Payer: UHC Medicare Advantage |
$160.80
|
|
