|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Facility
|
OP
|
$458.00
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
11603
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$108.78 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$389.30
|
| Rate for Payer: Aetna Medicare |
$119.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$143.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$143.12
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$114.50
|
| Rate for Payer: BCBS Trust/PPO |
$356.10
|
| Rate for Payer: BCN Commercial |
$356.10
|
| Rate for Payer: BCN Medicare Advantage |
$114.50
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$393.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$366.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.50
|
| Rate for Payer: Healthscope Commercial |
$412.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$343.50
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$120.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$131.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$389.30
|
| Rate for Payer: PACE Senior Care Partners |
$108.78
|
| Rate for Payer: PACE SWMI |
$114.50
|
| Rate for Payer: PHP Commercial |
$389.30
|
| Rate for Payer: PHP Medicare Advantage |
$114.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.46
|
| Rate for Payer: Priority Health Medicare |
$114.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$279.33
|
| Rate for Payer: Railroad Medicare Medicare |
$114.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$403.04
|
| Rate for Payer: UHC Core |
$382.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$114.50
|
| Rate for Payer: UHC Medicare Advantage |
$117.94
|
| Rate for Payer: VA VA |
$114.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$343.50
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Facility
|
IP
|
$458.00
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
11603
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$279.33 |
| Max. Negotiated Rate |
$412.20 |
| Rate for Payer: Aetna Commercial |
$389.30
|
| Rate for Payer: BCBS Trust/PPO |
$353.94
|
| Rate for Payer: BCN Commercial |
$353.94
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$393.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$366.40
|
| Rate for Payer: Healthscope Commercial |
$412.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$343.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$389.30
|
| Rate for Payer: PHP Commercial |
$389.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$279.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$403.04
|
| Rate for Payer: UHC Core |
$382.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$343.50
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Professional
|
Both
|
$458.00
|
|
|
Service Code
|
HCPCS 11603
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$409.03 |
| Rate for Payer: Aetna Commercial |
$251.46
|
| Rate for Payer: Aetna Medicare |
$195.17
|
| Rate for Payer: BCBS Complete |
$129.04
|
| Rate for Payer: BCBS MAPPO |
$187.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$409.03
|
| Rate for Payer: BCN Medicare Advantage |
$187.66
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$251.46
|
| Rate for Payer: Cofinity Commercial |
$270.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.66
|
| Rate for Payer: Mclaren Medicaid |
$122.90
|
| Rate for Payer: Meridian Medicaid |
$129.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$197.04
|
| Rate for Payer: PACE SWMI |
$187.66
|
| Rate for Payer: PHP Medicare Advantage |
$187.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$122.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.93
|
| Rate for Payer: Priority Health Medicare |
$187.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.66
|
| Rate for Payer: UHC Medicare Advantage |
$193.29
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Professional
|
Both
|
$458.00
|
|
|
Service Code
|
HCPCS 11603
|
| Hospital Charge Code |
11603
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$409.03 |
| Rate for Payer: Aetna Commercial |
$251.46
|
| Rate for Payer: Aetna Medicare |
$195.17
|
| Rate for Payer: BCBS Complete |
$129.04
|
| Rate for Payer: BCBS MAPPO |
$187.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$409.03
|
| Rate for Payer: BCN Medicare Advantage |
$187.66
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$270.23
|
| Rate for Payer: Cofinity Commercial |
$251.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.66
|
| Rate for Payer: Mclaren Medicaid |
$122.90
|
| Rate for Payer: Meridian Medicaid |
$129.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$197.04
|
| Rate for Payer: PACE SWMI |
$187.66
|
| Rate for Payer: PHP Medicare Advantage |
$187.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$122.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.93
|
| Rate for Payer: Priority Health Medicare |
$187.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.66
|
| Rate for Payer: UHC Medicare Advantage |
$193.29
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Professional
|
Both
|
$511.00
|
|
|
Service Code
|
HCPCS 11604
|
| Min. Negotiated Rate |
$135.26 |
| Max. Negotiated Rate |
$5,686.65 |
| Rate for Payer: Aetna Commercial |
$277.41
|
| Rate for Payer: Aetna Medicare |
$215.30
|
| Rate for Payer: BCBS Complete |
$142.02
|
| Rate for Payer: BCBS MAPPO |
$207.02
|
| Rate for Payer: BCBS Trust/PPO |
$5,686.65
|
| Rate for Payer: BCN Commercial |
$455.45
|
| Rate for Payer: BCN Medicare Advantage |
$207.02
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$298.11
|
| Rate for Payer: Cofinity Commercial |
$277.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.02
|
| Rate for Payer: Mclaren Medicaid |
$135.26
|
| Rate for Payer: Meridian Medicaid |
$142.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$217.37
|
| Rate for Payer: PACE SWMI |
$207.02
|
| Rate for Payer: PHP Medicare Advantage |
$207.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.78
|
| Rate for Payer: Priority Health Medicare |
$207.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$259.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$207.02
|
| Rate for Payer: UHC Medicare Advantage |
$213.23
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Professional
|
Both
|
$511.00
|
|
|
Service Code
|
HCPCS 11604
|
| Hospital Charge Code |
11604
|
| Min. Negotiated Rate |
$135.26 |
| Max. Negotiated Rate |
$5,686.65 |
| Rate for Payer: Aetna Commercial |
$277.41
|
| Rate for Payer: Aetna Medicare |
$215.30
|
| Rate for Payer: BCBS Complete |
$142.02
|
| Rate for Payer: BCBS MAPPO |
$207.02
|
| Rate for Payer: BCBS Trust/PPO |
$5,686.65
|
| Rate for Payer: BCN Commercial |
$455.45
|
| Rate for Payer: BCN Medicare Advantage |
$207.02
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$298.11
|
| Rate for Payer: Cofinity Commercial |
$277.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.02
|
| Rate for Payer: Mclaren Medicaid |
$135.26
|
| Rate for Payer: Meridian Medicaid |
$142.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$217.37
|
| Rate for Payer: PACE SWMI |
$207.02
|
| Rate for Payer: PHP Medicare Advantage |
$207.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.78
|
| Rate for Payer: Priority Health Medicare |
$207.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$259.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$207.02
|
| Rate for Payer: UHC Medicare Advantage |
$213.23
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Facility
|
IP
|
$511.00
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
11604
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$311.66 |
| Max. Negotiated Rate |
$459.90 |
| Rate for Payer: Aetna Commercial |
$434.35
|
| Rate for Payer: BCBS Trust/PPO |
$394.90
|
| Rate for Payer: BCN Commercial |
$394.90
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$439.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.80
|
| Rate for Payer: Healthscope Commercial |
$459.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$434.35
|
| Rate for Payer: PHP Commercial |
$434.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$444.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$449.68
|
| Rate for Payer: UHC Core |
$426.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.25
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Facility
|
OP
|
$511.00
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
11604
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$121.36 |
| Max. Negotiated Rate |
$484.61 |
| Rate for Payer: Aetna Commercial |
$434.35
|
| Rate for Payer: Aetna Medicare |
$132.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$159.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$159.69
|
| Rate for Payer: BCBS Complete |
$484.61
|
| Rate for Payer: BCBS MAPPO |
$127.75
|
| Rate for Payer: BCBS Trust/PPO |
$397.30
|
| Rate for Payer: BCN Commercial |
$397.30
|
| Rate for Payer: BCN Medicare Advantage |
$127.75
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$439.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.75
|
| Rate for Payer: Healthscope Commercial |
$459.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.25
|
| Rate for Payer: Mclaren Medicaid |
$461.54
|
| Rate for Payer: Meridian Medicaid |
$484.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$134.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$434.35
|
| Rate for Payer: PACE Senior Care Partners |
$121.36
|
| Rate for Payer: PACE SWMI |
$127.75
|
| Rate for Payer: PHP Commercial |
$434.35
|
| Rate for Payer: PHP Medicare Advantage |
$127.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$444.57
|
| Rate for Payer: Priority Health Medicare |
$127.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.66
|
| Rate for Payer: Railroad Medicare Medicare |
$127.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$449.68
|
| Rate for Payer: UHC Core |
$426.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.75
|
| Rate for Payer: UHC Medicare Advantage |
$131.58
|
| Rate for Payer: VA VA |
$127.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.25
|
|
|
PR EXCISION MAXILLARY TORUS PALATINUS
|
Professional
|
Both
|
$777.00
|
|
|
Service Code
|
HCPCS 21032
|
| Min. Negotiated Rate |
$145.43 |
| Max. Negotiated Rate |
$543.90 |
| Rate for Payer: Aetna Commercial |
$337.06
|
| Rate for Payer: Aetna Medicare |
$261.60
|
| Rate for Payer: BCBS Complete |
$175.57
|
| Rate for Payer: BCBS MAPPO |
$251.54
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$542.92
|
| Rate for Payer: BCN Medicare Advantage |
$251.54
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cash Price |
$621.60
|
| Rate for Payer: Cofinity Commercial |
$362.22
|
| Rate for Payer: Cofinity Commercial |
$337.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.54
|
| Rate for Payer: Mclaren Medicaid |
$167.21
|
| Rate for Payer: Meridian Medicaid |
$175.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$264.12
|
| Rate for Payer: PACE SWMI |
$251.54
|
| Rate for Payer: PHP Medicare Advantage |
$251.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$167.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$543.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.26
|
| Rate for Payer: Priority Health Medicare |
$251.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.54
|
| Rate for Payer: UHC Medicare Advantage |
$259.09
|
|
|
PR EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 46230
|
| Min. Negotiated Rate |
$111.61 |
| Max. Negotiated Rate |
$1,777.73 |
| Rate for Payer: Aetna Commercial |
$228.18
|
| Rate for Payer: Aetna Medicare |
$177.09
|
| Rate for Payer: BCBS Complete |
$117.19
|
| Rate for Payer: BCBS MAPPO |
$170.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,777.73
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: BCN Medicare Advantage |
$170.28
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cofinity Commercial |
$245.20
|
| Rate for Payer: Cofinity Commercial |
$228.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.28
|
| Rate for Payer: Mclaren Medicaid |
$111.61
|
| Rate for Payer: Meridian Medicaid |
$117.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$178.79
|
| Rate for Payer: PACE SWMI |
$170.28
|
| Rate for Payer: PHP Medicare Advantage |
$170.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$466.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$304.58
|
| Rate for Payer: Priority Health Medicare |
$170.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$304.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.28
|
| Rate for Payer: UHC Medicare Advantage |
$175.39
|
|
|
PR EXCISION NAIL MATRIX PERMANENT REMOVAL
|
Professional
|
Both
|
$474.00
|
|
|
Service Code
|
HCPCS 11750
|
| Min. Negotiated Rate |
$20.33 |
| Max. Negotiated Rate |
$331.80 |
| Rate for Payer: Aetna Commercial |
$130.97
|
| Rate for Payer: Aetna Medicare |
$101.65
|
| Rate for Payer: BCBS Complete |
$68.44
|
| Rate for Payer: BCBS MAPPO |
$97.74
|
| Rate for Payer: BCBS Trust/PPO |
$20.33
|
| Rate for Payer: BCN Commercial |
$187.30
|
| Rate for Payer: BCN Medicare Advantage |
$97.74
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cofinity Commercial |
$140.75
|
| Rate for Payer: Cofinity Commercial |
$130.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.74
|
| Rate for Payer: Mclaren Medicaid |
$65.18
|
| Rate for Payer: Meridian Medicaid |
$68.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$102.63
|
| Rate for Payer: PACE SWMI |
$97.74
|
| Rate for Payer: PHP Medicare Advantage |
$97.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$122.90
|
| Rate for Payer: Priority Health Medicare |
$97.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$122.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$97.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$97.74
|
| Rate for Payer: UHC Medicare Advantage |
$100.67
|
|
|
PR EXCISION NASAL POLYP EXTENSIVE
|
Professional
|
Both
|
$797.00
|
|
|
Service Code
|
HCPCS 30115
|
| Min. Negotiated Rate |
$300.54 |
| Max. Negotiated Rate |
$893.36 |
| Rate for Payer: Aetna Commercial |
$610.24
|
| Rate for Payer: Aetna Medicare |
$473.62
|
| Rate for Payer: BCBS Complete |
$315.57
|
| Rate for Payer: BCBS MAPPO |
$455.40
|
| Rate for Payer: BCBS Trust/PPO |
$893.36
|
| Rate for Payer: BCN Commercial |
$693.93
|
| Rate for Payer: BCN Medicare Advantage |
$455.40
|
| Rate for Payer: Cash Price |
$637.60
|
| Rate for Payer: Cash Price |
$637.60
|
| Rate for Payer: Cofinity Commercial |
$610.24
|
| Rate for Payer: Cofinity Commercial |
$655.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.40
|
| Rate for Payer: Mclaren Medicaid |
$300.54
|
| Rate for Payer: Meridian Medicaid |
$315.57
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$478.17
|
| Rate for Payer: PACE SWMI |
$455.40
|
| Rate for Payer: PHP Medicare Advantage |
$455.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$557.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.53
|
| Rate for Payer: Priority Health Medicare |
$455.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$657.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$455.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$455.40
|
| Rate for Payer: UHC Medicare Advantage |
$469.06
|
|
|
PR EXCISION NASAL POLYP SIMPLE
|
Professional
|
Both
|
$487.00
|
|
|
Service Code
|
HCPCS 30110
|
| Min. Negotiated Rate |
$85.84 |
| Max. Negotiated Rate |
$937.20 |
| Rate for Payer: Aetna Commercial |
$173.15
|
| Rate for Payer: Aetna Medicare |
$134.39
|
| Rate for Payer: BCBS Complete |
$90.13
|
| Rate for Payer: BCBS MAPPO |
$129.22
|
| Rate for Payer: BCBS Trust/PPO |
$937.20
|
| Rate for Payer: BCN Commercial |
$367.97
|
| Rate for Payer: BCN Medicare Advantage |
$129.22
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cofinity Commercial |
$186.08
|
| Rate for Payer: Cofinity Commercial |
$173.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.22
|
| Rate for Payer: Mclaren Medicaid |
$85.84
|
| Rate for Payer: Meridian Medicaid |
$90.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$135.68
|
| Rate for Payer: PACE SWMI |
$129.22
|
| Rate for Payer: PHP Medicare Advantage |
$129.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$340.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$184.29
|
| Rate for Payer: Priority Health Medicare |
$129.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$184.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$129.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.22
|
| Rate for Payer: UHC Medicare Advantage |
$133.10
|
|
|
PR EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT
|
Professional
|
Both
|
$326.00
|
|
|
Service Code
|
HCPCS 64778
|
| Min. Negotiated Rate |
$113.96 |
| Max. Negotiated Rate |
$303.50 |
| Rate for Payer: Aetna Commercial |
$239.10
|
| Rate for Payer: Aetna Medicare |
$185.57
|
| Rate for Payer: BCBS Complete |
$119.66
|
| Rate for Payer: BCBS MAPPO |
$178.43
|
| Rate for Payer: BCBS Trust/PPO |
$291.09
|
| Rate for Payer: BCN Commercial |
$261.93
|
| Rate for Payer: BCN Medicare Advantage |
$178.43
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cash Price |
$260.80
|
| Rate for Payer: Cofinity Commercial |
$256.94
|
| Rate for Payer: Cofinity Commercial |
$239.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$178.43
|
| Rate for Payer: Mclaren Medicaid |
$113.96
|
| Rate for Payer: Meridian Medicaid |
$119.66
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$187.35
|
| Rate for Payer: PACE SWMI |
$178.43
|
| Rate for Payer: PHP Medicare Advantage |
$178.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$228.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$303.50
|
| Rate for Payer: Priority Health Medicare |
$178.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$303.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$178.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$178.43
|
| Rate for Payer: UHC Medicare Advantage |
$183.78
|
|
|
PR EXCISION NEUROMA SCIATIC NERVE
|
Professional
|
Both
|
$3,478.00
|
|
|
Service Code
|
HCPCS 64786
|
| Min. Negotiated Rate |
$154.26 |
| Max. Negotiated Rate |
$2,434.60 |
| Rate for Payer: Aetna Commercial |
$1,340.91
|
| Rate for Payer: Aetna Medicare |
$1,040.71
|
| Rate for Payer: BCBS Complete |
$676.55
|
| Rate for Payer: BCBS MAPPO |
$1,000.68
|
| Rate for Payer: BCBS Trust/PPO |
$154.26
|
| Rate for Payer: BCN Commercial |
$1,470.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,000.68
|
| Rate for Payer: Cash Price |
$2,782.40
|
| Rate for Payer: Cash Price |
$2,782.40
|
| Rate for Payer: Cofinity Commercial |
$1,440.98
|
| Rate for Payer: Cofinity Commercial |
$1,340.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,000.68
|
| Rate for Payer: Mclaren Medicaid |
$644.33
|
| Rate for Payer: Meridian Medicaid |
$676.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,050.71
|
| Rate for Payer: PACE SWMI |
$1,000.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,000.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$644.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,434.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,703.77
|
| Rate for Payer: Priority Health Medicare |
$1,000.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,703.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,000.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,000.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,030.70
|
|
|
PR EXCISION OF BULBOURETHRAL GLAND
|
Professional
|
Both
|
$1,115.00
|
|
|
Service Code
|
HCPCS 53250
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$780.50 |
| Rate for Payer: Aetna Commercial |
$518.26
|
| Rate for Payer: Aetna Medicare |
$402.23
|
| Rate for Payer: BCBS Complete |
$266.60
|
| Rate for Payer: BCBS MAPPO |
$386.76
|
| Rate for Payer: BCBS Trust/PPO |
$419.47
|
| Rate for Payer: BCN Commercial |
$574.19
|
| Rate for Payer: BCN Medicare Advantage |
$386.76
|
| Rate for Payer: Cash Price |
$892.00
|
| Rate for Payer: Cash Price |
$892.00
|
| Rate for Payer: Cofinity Commercial |
$518.26
|
| Rate for Payer: Cofinity Commercial |
$556.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$386.76
|
| Rate for Payer: Mclaren Medicaid |
$253.90
|
| Rate for Payer: Meridian Medicaid |
$266.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$406.10
|
| Rate for Payer: PACE SWMI |
$386.76
|
| Rate for Payer: PHP Medicare Advantage |
$386.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$780.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$634.91
|
| Rate for Payer: Priority Health Medicare |
$386.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$634.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$386.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$386.76
|
| Rate for Payer: UHC Medicare Advantage |
$398.36
|
|
|
PR EXCISION OF PENILE PLAQUE
|
Professional
|
Both
|
$1,163.00
|
|
|
Service Code
|
HCPCS 54110
|
| Min. Negotiated Rate |
$398.31 |
| Max. Negotiated Rate |
$2,843.84 |
| Rate for Payer: Aetna Commercial |
$816.61
|
| Rate for Payer: Aetna Medicare |
$633.79
|
| Rate for Payer: BCBS Complete |
$418.23
|
| Rate for Payer: BCBS MAPPO |
$609.41
|
| Rate for Payer: BCBS Trust/PPO |
$2,843.84
|
| Rate for Payer: BCN Commercial |
$901.13
|
| Rate for Payer: BCN Medicare Advantage |
$609.41
|
| Rate for Payer: Cash Price |
$930.40
|
| Rate for Payer: Cash Price |
$930.40
|
| Rate for Payer: Cofinity Commercial |
$816.61
|
| Rate for Payer: Cofinity Commercial |
$877.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$609.41
|
| Rate for Payer: Mclaren Medicaid |
$398.31
|
| Rate for Payer: Meridian Medicaid |
$418.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$639.88
|
| Rate for Payer: PACE SWMI |
$609.41
|
| Rate for Payer: PHP Medicare Advantage |
$609.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$398.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$814.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$996.42
|
| Rate for Payer: Priority Health Medicare |
$609.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$996.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$609.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$609.41
|
| Rate for Payer: UHC Medicare Advantage |
$627.69
|
|
|
PR EXCISION OLECRANON BURSA
|
Professional
|
Both
|
$600.00
|
|
|
Service Code
|
HCPCS 24105
|
| Hospital Charge Code |
24105
|
| Min. Negotiated Rate |
$206.04 |
| Max. Negotiated Rate |
$559.67 |
| Rate for Payer: Aetna Commercial |
$474.21
|
| Rate for Payer: Aetna Medicare |
$368.05
|
| Rate for Payer: BCBS Complete |
$248.70
|
| Rate for Payer: BCBS MAPPO |
$353.89
|
| Rate for Payer: BCBS Trust/PPO |
$206.04
|
| Rate for Payer: BCN Commercial |
$535.59
|
| Rate for Payer: BCN Medicare Advantage |
$353.89
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$509.60
|
| Rate for Payer: Cofinity Commercial |
$474.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$353.89
|
| Rate for Payer: Mclaren Medicaid |
$236.86
|
| Rate for Payer: Meridian Medicaid |
$248.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$371.58
|
| Rate for Payer: PACE SWMI |
$353.89
|
| Rate for Payer: PHP Medicare Advantage |
$353.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.67
|
| Rate for Payer: Priority Health Medicare |
$353.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$559.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$353.89
|
| Rate for Payer: UHC Medicare Advantage |
$364.51
|
|
|
PR EXCISION OLECRANON BURSA
|
Facility
|
IP
|
$600.00
|
|
|
Service Code
|
CPT 24105
|
| Hospital Charge Code |
24105
|
| Min. Negotiated Rate |
$365.94 |
| Max. Negotiated Rate |
$540.00 |
| Rate for Payer: Aetna Commercial |
$510.00
|
| Rate for Payer: BCBS Trust/PPO |
$463.68
|
| Rate for Payer: BCN Commercial |
$463.68
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$516.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.00
|
| Rate for Payer: Healthscope Commercial |
$540.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$510.00
|
| Rate for Payer: PHP Commercial |
$510.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$522.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.00
|
| Rate for Payer: UHC Core |
$501.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.00
|
|
|
PR EXCISION OLECRANON BURSA
|
Professional
|
Both
|
$600.00
|
|
|
Service Code
|
HCPCS 24105
|
| Min. Negotiated Rate |
$206.04 |
| Max. Negotiated Rate |
$559.67 |
| Rate for Payer: Aetna Commercial |
$474.21
|
| Rate for Payer: Aetna Medicare |
$368.05
|
| Rate for Payer: BCBS Complete |
$248.70
|
| Rate for Payer: BCBS MAPPO |
$353.89
|
| Rate for Payer: BCBS Trust/PPO |
$206.04
|
| Rate for Payer: BCN Commercial |
$535.59
|
| Rate for Payer: BCN Medicare Advantage |
$353.89
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$509.60
|
| Rate for Payer: Cofinity Commercial |
$474.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$353.89
|
| Rate for Payer: Mclaren Medicaid |
$236.86
|
| Rate for Payer: Meridian Medicaid |
$248.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$371.58
|
| Rate for Payer: PACE SWMI |
$353.89
|
| Rate for Payer: PHP Medicare Advantage |
$353.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.67
|
| Rate for Payer: Priority Health Medicare |
$353.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$559.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$353.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$353.89
|
| Rate for Payer: UHC Medicare Advantage |
$364.51
|
|
|
PR EXCISION OLECRANON BURSA
|
Facility
|
OP
|
$600.00
|
|
|
Service Code
|
CPT 24105
|
| Hospital Charge Code |
24105
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$510.00
|
| Rate for Payer: Aetna Medicare |
$156.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$187.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$187.50
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$150.00
|
| Rate for Payer: BCBS Trust/PPO |
$466.50
|
| Rate for Payer: BCN Commercial |
$466.50
|
| Rate for Payer: BCN Medicare Advantage |
$150.00
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cash Price |
$480.00
|
| Rate for Payer: Cofinity Commercial |
$516.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$480.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.00
|
| Rate for Payer: Healthscope Commercial |
$540.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$450.00
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$157.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$172.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$510.00
|
| Rate for Payer: PACE Senior Care Partners |
$142.50
|
| Rate for Payer: PACE SWMI |
$150.00
|
| Rate for Payer: PHP Commercial |
$510.00
|
| Rate for Payer: PHP Medicare Advantage |
$150.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$420.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$522.00
|
| Rate for Payer: Priority Health Medicare |
$150.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.94
|
| Rate for Payer: Railroad Medicare Medicare |
$150.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$528.00
|
| Rate for Payer: UHC Core |
$501.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.00
|
| Rate for Payer: UHC Medicare Advantage |
$154.50
|
| Rate for Payer: VA VA |
$150.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$450.00
|
|
|
PR EXCISION OR FULGURATION SKENES GLANDS
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 53270
|
| Min. Negotiated Rate |
$118.22 |
| Max. Negotiated Rate |
$772.90 |
| Rate for Payer: Aetna Commercial |
$241.74
|
| Rate for Payer: Aetna Medicare |
$187.62
|
| Rate for Payer: BCBS Complete |
$124.13
|
| Rate for Payer: BCBS MAPPO |
$180.40
|
| Rate for Payer: BCBS Trust/PPO |
$772.90
|
| Rate for Payer: BCN Commercial |
$307.38
|
| Rate for Payer: BCN Medicare Advantage |
$180.40
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$241.74
|
| Rate for Payer: Cofinity Commercial |
$259.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.40
|
| Rate for Payer: Mclaren Medicaid |
$118.22
|
| Rate for Payer: Meridian Medicaid |
$124.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$189.42
|
| Rate for Payer: PACE SWMI |
$180.40
|
| Rate for Payer: PHP Medicare Advantage |
$180.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$295.57
|
| Rate for Payer: Priority Health Medicare |
$180.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.40
|
| Rate for Payer: UHC Medicare Advantage |
$185.81
|
|
|
PR EXCISION PILONIDAL CYST/SINUS COMPLICATED
|
Professional
|
Both
|
$1,131.00
|
|
|
Service Code
|
HCPCS 11772
|
| Min. Negotiated Rate |
$372.96 |
| Max. Negotiated Rate |
$1,453.51 |
| Rate for Payer: Aetna Commercial |
$760.73
|
| Rate for Payer: Aetna Medicare |
$590.42
|
| Rate for Payer: BCBS Complete |
$391.61
|
| Rate for Payer: BCBS MAPPO |
$567.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.51
|
| Rate for Payer: BCN Commercial |
$1,137.15
|
| Rate for Payer: BCN Medicare Advantage |
$567.71
|
| Rate for Payer: Cash Price |
$904.80
|
| Rate for Payer: Cash Price |
$904.80
|
| Rate for Payer: Cofinity Commercial |
$817.50
|
| Rate for Payer: Cofinity Commercial |
$760.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.71
|
| Rate for Payer: Mclaren Medicaid |
$372.96
|
| Rate for Payer: Meridian Medicaid |
$391.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$596.10
|
| Rate for Payer: PACE SWMI |
$567.71
|
| Rate for Payer: PHP Medicare Advantage |
$567.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$791.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$714.39
|
| Rate for Payer: Priority Health Medicare |
$567.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$714.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$567.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$567.71
|
| Rate for Payer: UHC Medicare Advantage |
$584.74
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Facility
|
IP
|
$1,317.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
11771
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$803.24 |
| Max. Negotiated Rate |
$1,185.30 |
| Rate for Payer: Aetna Commercial |
$1,119.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,017.78
|
| Rate for Payer: BCN Commercial |
$1,017.78
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$1,132.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,053.60
|
| Rate for Payer: Healthscope Commercial |
$1,185.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$987.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,119.45
|
| Rate for Payer: PHP Commercial |
$1,119.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$803.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,158.96
|
| Rate for Payer: UHC Core |
$1,099.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$987.75
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Facility
|
OP
|
$1,317.00
|
|
|
Service Code
|
CPT 11771
|
| Hospital Charge Code |
11771
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$312.79 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$1,119.45
|
| Rate for Payer: Aetna Medicare |
$342.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$411.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$411.56
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$329.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,023.97
|
| Rate for Payer: BCN Commercial |
$1,023.97
|
| Rate for Payer: BCN Medicare Advantage |
$329.25
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$1,132.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,053.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.25
|
| Rate for Payer: Healthscope Commercial |
$1,185.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$987.75
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$345.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$378.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,119.45
|
| Rate for Payer: PACE Senior Care Partners |
$312.79
|
| Rate for Payer: PACE SWMI |
$329.25
|
| Rate for Payer: PHP Commercial |
$1,119.45
|
| Rate for Payer: PHP Medicare Advantage |
$329.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,145.79
|
| Rate for Payer: Priority Health Medicare |
$329.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$803.24
|
| Rate for Payer: Railroad Medicare Medicare |
$329.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,158.96
|
| Rate for Payer: UHC Core |
$1,099.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.25
|
| Rate for Payer: UHC Medicare Advantage |
$339.13
|
| Rate for Payer: VA VA |
$329.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$987.75
|
|
