|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,317.00
|
|
|
Service Code
|
HCPCS 11771
|
| Min. Negotiated Rate |
$290.11 |
| Max. Negotiated Rate |
$925.56 |
| Rate for Payer: Aetna Commercial |
$592.59
|
| Rate for Payer: Aetna Medicare |
$459.92
|
| Rate for Payer: BCBS Complete |
$304.62
|
| Rate for Payer: BCBS MAPPO |
$442.23
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$925.56
|
| Rate for Payer: BCN Medicare Advantage |
$442.23
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$592.59
|
| Rate for Payer: Cofinity Commercial |
$636.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$442.23
|
| Rate for Payer: Mclaren Medicaid |
$290.11
|
| Rate for Payer: Meridian Medicaid |
$304.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$464.34
|
| Rate for Payer: PACE SWMI |
$442.23
|
| Rate for Payer: PHP Medicare Advantage |
$442.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.08
|
| Rate for Payer: Priority Health Medicare |
$442.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$554.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$442.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$442.23
|
| Rate for Payer: UHC Medicare Advantage |
$455.50
|
|
|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,317.00
|
|
|
Service Code
|
HCPCS 11771
|
| Hospital Charge Code |
11771
|
| Min. Negotiated Rate |
$290.11 |
| Max. Negotiated Rate |
$925.56 |
| Rate for Payer: Aetna Commercial |
$592.59
|
| Rate for Payer: Aetna Medicare |
$459.92
|
| Rate for Payer: BCBS Complete |
$304.62
|
| Rate for Payer: BCBS MAPPO |
$442.23
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$925.56
|
| Rate for Payer: BCN Medicare Advantage |
$442.23
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cash Price |
$1,053.60
|
| Rate for Payer: Cofinity Commercial |
$636.81
|
| Rate for Payer: Cofinity Commercial |
$592.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$442.23
|
| Rate for Payer: Mclaren Medicaid |
$290.11
|
| Rate for Payer: Meridian Medicaid |
$304.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$464.34
|
| Rate for Payer: PACE SWMI |
$442.23
|
| Rate for Payer: PHP Medicare Advantage |
$442.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$921.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$554.08
|
| Rate for Payer: Priority Health Medicare |
$442.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$554.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$442.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$442.23
|
| Rate for Payer: UHC Medicare Advantage |
$455.50
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
OP
|
$510.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$121.12 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$433.50
|
| Rate for Payer: Aetna Medicare |
$132.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$159.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$159.38
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$127.50
|
| Rate for Payer: BCBS Trust/PPO |
$396.52
|
| Rate for Payer: BCN Commercial |
$396.52
|
| Rate for Payer: BCN Medicare Advantage |
$127.50
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$438.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.50
|
| Rate for Payer: Healthscope Commercial |
$459.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.50
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$133.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$433.50
|
| Rate for Payer: PACE Senior Care Partners |
$121.12
|
| Rate for Payer: PACE SWMI |
$127.50
|
| Rate for Payer: PHP Commercial |
$433.50
|
| Rate for Payer: PHP Medicare Advantage |
$127.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$443.70
|
| Rate for Payer: Priority Health Medicare |
$127.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.05
|
| Rate for Payer: Railroad Medicare Medicare |
$127.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.80
|
| Rate for Payer: UHC Core |
$425.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.50
|
| Rate for Payer: UHC Medicare Advantage |
$131.32
|
| Rate for Payer: VA VA |
$127.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.50
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 11770
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$523.86 |
| Rate for Payer: Aetna Commercial |
$244.76
|
| Rate for Payer: Aetna Medicare |
$189.97
|
| Rate for Payer: BCBS Complete |
$125.24
|
| Rate for Payer: BCBS MAPPO |
$182.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$523.86
|
| Rate for Payer: BCN Medicare Advantage |
$182.66
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$263.03
|
| Rate for Payer: Cofinity Commercial |
$244.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.66
|
| Rate for Payer: Mclaren Medicaid |
$119.28
|
| Rate for Payer: Meridian Medicaid |
$125.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.79
|
| Rate for Payer: PACE SWMI |
$182.66
|
| Rate for Payer: PHP Medicare Advantage |
$182.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.12
|
| Rate for Payer: Priority Health Medicare |
$182.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.66
|
| Rate for Payer: UHC Medicare Advantage |
$188.14
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 11770
|
| Hospital Charge Code |
11770
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$523.86 |
| Rate for Payer: Aetna Commercial |
$244.76
|
| Rate for Payer: Aetna Medicare |
$189.97
|
| Rate for Payer: BCBS Complete |
$125.24
|
| Rate for Payer: BCBS MAPPO |
$182.66
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$523.86
|
| Rate for Payer: BCN Medicare Advantage |
$182.66
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$263.03
|
| Rate for Payer: Cofinity Commercial |
$244.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.66
|
| Rate for Payer: Mclaren Medicaid |
$119.28
|
| Rate for Payer: Meridian Medicaid |
$125.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.79
|
| Rate for Payer: PACE SWMI |
$182.66
|
| Rate for Payer: PHP Medicare Advantage |
$182.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$228.12
|
| Rate for Payer: Priority Health Medicare |
$182.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.66
|
| Rate for Payer: UHC Medicare Advantage |
$188.14
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
IP
|
$510.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$311.05 |
| Max. Negotiated Rate |
$459.00 |
| Rate for Payer: Aetna Commercial |
$433.50
|
| Rate for Payer: BCBS Trust/PPO |
$394.13
|
| Rate for Payer: BCN Commercial |
$394.13
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Cofinity Commercial |
$438.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.00
|
| Rate for Payer: Healthscope Commercial |
$459.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$433.50
|
| Rate for Payer: PHP Commercial |
$433.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$443.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$311.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.80
|
| Rate for Payer: UHC Core |
$425.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.50
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
OP
|
$1,275.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$302.81 |
| Max. Negotiated Rate |
$2,229.50 |
| Rate for Payer: Aetna Commercial |
$1,083.75
|
| Rate for Payer: Aetna Medicare |
$331.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$398.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$398.44
|
| Rate for Payer: BCBS Complete |
$2,229.50
|
| Rate for Payer: BCBS MAPPO |
$318.75
|
| Rate for Payer: BCBS Trust/PPO |
$991.31
|
| Rate for Payer: BCN Commercial |
$991.31
|
| Rate for Payer: BCN Medicare Advantage |
$318.75
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,096.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.75
|
| Rate for Payer: Healthscope Commercial |
$1,147.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$956.25
|
| Rate for Payer: Mclaren Medicaid |
$2,123.34
|
| Rate for Payer: Meridian Medicaid |
$2,229.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$334.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$366.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,083.75
|
| Rate for Payer: PACE Senior Care Partners |
$302.81
|
| Rate for Payer: PACE SWMI |
$318.75
|
| Rate for Payer: PHP Commercial |
$1,083.75
|
| Rate for Payer: PHP Medicare Advantage |
$318.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,123.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,109.25
|
| Rate for Payer: Priority Health Medicare |
$318.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.62
|
| Rate for Payer: Railroad Medicare Medicare |
$318.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,122.00
|
| Rate for Payer: UHC Core |
$1,064.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.75
|
| Rate for Payer: UHC Medicare Advantage |
$328.31
|
| Rate for Payer: VA VA |
$318.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$956.25
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
IP
|
$1,275.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$777.62 |
| Max. Negotiated Rate |
$1,147.50 |
| Rate for Payer: Aetna Commercial |
$1,083.75
|
| Rate for Payer: BCBS Trust/PPO |
$985.32
|
| Rate for Payer: BCN Commercial |
$985.32
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$1,096.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,020.00
|
| Rate for Payer: Healthscope Commercial |
$1,147.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$956.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,083.75
|
| Rate for Payer: PHP Commercial |
$1,083.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,109.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,122.00
|
| Rate for Payer: UHC Core |
$1,064.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$956.25
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,275.00
|
|
|
Service Code
|
HCPCS 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$246.02 |
| Max. Negotiated Rate |
$2,642.03 |
| Rate for Payer: Aetna Commercial |
$494.59
|
| Rate for Payer: Aetna Medicare |
$383.86
|
| Rate for Payer: BCBS Complete |
$258.32
|
| Rate for Payer: BCBS MAPPO |
$369.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.03
|
| Rate for Payer: BCN Commercial |
$556.12
|
| Rate for Payer: BCN Medicare Advantage |
$369.10
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$494.59
|
| Rate for Payer: Cofinity Commercial |
$531.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$369.10
|
| Rate for Payer: Mclaren Medicaid |
$246.02
|
| Rate for Payer: Meridian Medicaid |
$258.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$387.56
|
| Rate for Payer: PACE SWMI |
$369.10
|
| Rate for Payer: PHP Medicare Advantage |
$369.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$581.13
|
| Rate for Payer: Priority Health Medicare |
$369.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$581.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$369.10
|
| Rate for Payer: UHC Medicare Advantage |
$380.17
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,275.00
|
|
|
Service Code
|
HCPCS 27340
|
| Min. Negotiated Rate |
$246.02 |
| Max. Negotiated Rate |
$2,642.03 |
| Rate for Payer: Aetna Commercial |
$494.59
|
| Rate for Payer: Aetna Medicare |
$383.86
|
| Rate for Payer: BCBS Complete |
$258.32
|
| Rate for Payer: BCBS MAPPO |
$369.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.03
|
| Rate for Payer: BCN Commercial |
$556.12
|
| Rate for Payer: BCN Medicare Advantage |
$369.10
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cash Price |
$1,020.00
|
| Rate for Payer: Cofinity Commercial |
$531.50
|
| Rate for Payer: Cofinity Commercial |
$494.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$369.10
|
| Rate for Payer: Mclaren Medicaid |
$246.02
|
| Rate for Payer: Meridian Medicaid |
$258.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$387.56
|
| Rate for Payer: PACE SWMI |
$369.10
|
| Rate for Payer: PHP Medicare Advantage |
$369.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$892.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$581.13
|
| Rate for Payer: Priority Health Medicare |
$369.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$581.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$369.10
|
| Rate for Payer: UHC Medicare Advantage |
$380.17
|
|
|
PR EXCISION RADIAL HEAD
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 24130
|
| Min. Negotiated Rate |
$160.60 |
| Max. Negotiated Rate |
$861.70 |
| Rate for Payer: Aetna Commercial |
$678.91
|
| Rate for Payer: Aetna Medicare |
$526.92
|
| Rate for Payer: BCBS Complete |
$350.02
|
| Rate for Payer: BCBS MAPPO |
$506.65
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: BCN Medicare Advantage |
$506.65
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$729.58
|
| Rate for Payer: Cofinity Commercial |
$678.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$506.65
|
| Rate for Payer: Mclaren Medicaid |
$333.35
|
| Rate for Payer: Meridian Medicaid |
$350.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$531.98
|
| Rate for Payer: PACE SWMI |
$506.65
|
| Rate for Payer: PHP Medicare Advantage |
$506.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$333.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$861.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$794.56
|
| Rate for Payer: Priority Health Medicare |
$506.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$794.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$506.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$506.65
|
| Rate for Payer: UHC Medicare Advantage |
$521.85
|
|
|
PR EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN
|
Professional
|
Both
|
$1,129.00
|
|
|
Service Code
|
HCPCS 67961
|
| Min. Negotiated Rate |
$287.55 |
| Max. Negotiated Rate |
$2,721.27 |
| Rate for Payer: Aetna Commercial |
$578.97
|
| Rate for Payer: Aetna Medicare |
$449.35
|
| Rate for Payer: BCBS Complete |
$301.93
|
| Rate for Payer: BCBS MAPPO |
$432.07
|
| Rate for Payer: BCBS Trust/PPO |
$2,721.27
|
| Rate for Payer: BCN Commercial |
$854.21
|
| Rate for Payer: BCN Medicare Advantage |
$432.07
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cash Price |
$903.20
|
| Rate for Payer: Cofinity Commercial |
$622.18
|
| Rate for Payer: Cofinity Commercial |
$578.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.07
|
| Rate for Payer: Mclaren Medicaid |
$287.55
|
| Rate for Payer: Meridian Medicaid |
$301.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$453.67
|
| Rate for Payer: PACE SWMI |
$432.07
|
| Rate for Payer: PHP Medicare Advantage |
$432.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$287.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$790.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$780.96
|
| Rate for Payer: Priority Health Medicare |
$432.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$780.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$432.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$432.07
|
| Rate for Payer: UHC Medicare Advantage |
$445.03
|
|
|
PR EXCISION RIB PARTIAL
|
Professional
|
Both
|
$1,593.00
|
|
|
Service Code
|
HCPCS 21600
|
| Min. Negotiated Rate |
$57.05 |
| Max. Negotiated Rate |
$1,115.10 |
| Rate for Payer: Aetna Commercial |
$743.82
|
| Rate for Payer: Aetna Medicare |
$577.29
|
| Rate for Payer: BCBS Complete |
$384.23
|
| Rate for Payer: BCBS MAPPO |
$555.09
|
| Rate for Payer: BCBS Trust/PPO |
$57.05
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$555.09
|
| Rate for Payer: Cash Price |
$1,274.40
|
| Rate for Payer: Cash Price |
$1,274.40
|
| Rate for Payer: Cofinity Commercial |
$799.33
|
| Rate for Payer: Cofinity Commercial |
$743.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$555.09
|
| Rate for Payer: Mclaren Medicaid |
$365.93
|
| Rate for Payer: Meridian Medicaid |
$384.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$582.84
|
| Rate for Payer: PACE SWMI |
$555.09
|
| Rate for Payer: PHP Medicare Advantage |
$555.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,115.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$867.08
|
| Rate for Payer: Priority Health Medicare |
$555.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$867.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$555.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$555.09
|
| Rate for Payer: UHC Medicare Advantage |
$571.74
|
|
|
PR EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE
|
Professional
|
Both
|
$1,151.00
|
|
|
Service Code
|
HCPCS 15931
|
| Min. Negotiated Rate |
$48.31 |
| Max. Negotiated Rate |
$1,034.04 |
| Rate for Payer: Aetna Commercial |
$933.64
|
| Rate for Payer: Aetna Medicare |
$724.62
|
| Rate for Payer: BCBS Complete |
$475.26
|
| Rate for Payer: BCBS MAPPO |
$696.75
|
| Rate for Payer: BCBS Trust/PPO |
$48.31
|
| Rate for Payer: BCN Commercial |
$1,034.04
|
| Rate for Payer: BCN Medicare Advantage |
$696.75
|
| Rate for Payer: Cash Price |
$920.80
|
| Rate for Payer: Cash Price |
$920.80
|
| Rate for Payer: Cofinity Commercial |
$933.64
|
| Rate for Payer: Cofinity Commercial |
$1,003.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$696.75
|
| Rate for Payer: Mclaren Medicaid |
$452.63
|
| Rate for Payer: Meridian Medicaid |
$475.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$731.59
|
| Rate for Payer: PACE SWMI |
$696.75
|
| Rate for Payer: PHP Medicare Advantage |
$696.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$452.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$805.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$869.75
|
| Rate for Payer: Priority Health Medicare |
$696.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$869.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$696.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$696.75
|
| Rate for Payer: UHC Medicare Advantage |
$717.65
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$431.00
|
|
|
Service Code
|
HCPCS 46220
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$1,565.88 |
| Rate for Payer: Aetna Commercial |
$159.26
|
| Rate for Payer: Aetna Medicare |
$123.60
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS MAPPO |
$118.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.88
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$118.85
|
| Rate for Payer: Cash Price |
$344.80
|
| Rate for Payer: Cash Price |
$344.80
|
| Rate for Payer: Cofinity Commercial |
$171.14
|
| Rate for Payer: Cofinity Commercial |
$159.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.85
|
| Rate for Payer: Mclaren Medicaid |
$78.38
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$124.79
|
| Rate for Payer: PACE SWMI |
$118.85
|
| Rate for Payer: PHP Medicare Advantage |
$118.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$214.02
|
| Rate for Payer: Priority Health Medicare |
$118.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$214.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.85
|
| Rate for Payer: UHC Medicare Advantage |
$122.42
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
OP
|
$431.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$102.36 |
| Max. Negotiated Rate |
$812.82 |
| Rate for Payer: Aetna Commercial |
$366.35
|
| Rate for Payer: Aetna Medicare |
$112.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$134.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$134.69
|
| Rate for Payer: BCBS Complete |
$812.82
|
| Rate for Payer: BCBS MAPPO |
$107.75
|
| Rate for Payer: BCBS Trust/PPO |
$335.10
|
| Rate for Payer: BCN Commercial |
$335.10
|
| Rate for Payer: BCN Medicare Advantage |
$107.75
|
| Rate for Payer: Cash Price |
$344.80
|
| Rate for Payer: Cash Price |
$344.80
|
| Rate for Payer: Cofinity Commercial |
$370.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.75
|
| Rate for Payer: Healthscope Commercial |
$387.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.25
|
| Rate for Payer: Mclaren Medicaid |
$774.12
|
| Rate for Payer: Meridian Medicaid |
$812.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$113.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$366.35
|
| Rate for Payer: PACE Senior Care Partners |
$102.36
|
| Rate for Payer: PACE SWMI |
$107.75
|
| Rate for Payer: PHP Commercial |
$366.35
|
| Rate for Payer: PHP Medicare Advantage |
$107.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$774.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$374.97
|
| Rate for Payer: Priority Health Medicare |
$107.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$262.87
|
| Rate for Payer: Railroad Medicare Medicare |
$107.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.28
|
| Rate for Payer: UHC Core |
$359.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.75
|
| Rate for Payer: UHC Medicare Advantage |
$110.98
|
| Rate for Payer: VA VA |
$107.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.25
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$431.00
|
|
|
Service Code
|
HCPCS 46220
|
| Hospital Charge Code |
46220
|
| Min. Negotiated Rate |
$78.38 |
| Max. Negotiated Rate |
$1,565.88 |
| Rate for Payer: Aetna Commercial |
$159.26
|
| Rate for Payer: Aetna Medicare |
$123.60
|
| Rate for Payer: BCBS Complete |
$82.30
|
| Rate for Payer: BCBS MAPPO |
$118.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.88
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$118.85
|
| Rate for Payer: Cash Price |
$344.80
|
| Rate for Payer: Cash Price |
$344.80
|
| Rate for Payer: Cofinity Commercial |
$171.14
|
| Rate for Payer: Cofinity Commercial |
$159.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.85
|
| Rate for Payer: Mclaren Medicaid |
$78.38
|
| Rate for Payer: Meridian Medicaid |
$82.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$124.79
|
| Rate for Payer: PACE SWMI |
$118.85
|
| Rate for Payer: PHP Medicare Advantage |
$118.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$214.02
|
| Rate for Payer: Priority Health Medicare |
$118.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$214.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.85
|
| Rate for Payer: UHC Medicare Advantage |
$122.42
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
IP
|
$431.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$262.87 |
| Max. Negotiated Rate |
$387.90 |
| Rate for Payer: Aetna Commercial |
$366.35
|
| Rate for Payer: BCBS Trust/PPO |
$333.08
|
| Rate for Payer: BCN Commercial |
$333.08
|
| Rate for Payer: Cash Price |
$344.80
|
| Rate for Payer: Cofinity Commercial |
$370.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$344.80
|
| Rate for Payer: Healthscope Commercial |
$387.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$323.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$366.35
|
| Rate for Payer: PHP Commercial |
$366.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$374.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$262.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.28
|
| Rate for Payer: UHC Core |
$359.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$323.25
|
|
|
PR EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY
|
Professional
|
Both
|
$2,600.00
|
|
|
Service Code
|
HCPCS 15830
|
| Min. Negotiated Rate |
$226.01 |
| Max. Negotiated Rate |
$1,820.00 |
| Rate for Payer: Aetna Commercial |
$1,543.05
|
| Rate for Payer: Aetna Medicare |
$1,197.59
|
| Rate for Payer: BCBS Complete |
$787.03
|
| Rate for Payer: BCBS MAPPO |
$1,151.53
|
| Rate for Payer: BCBS Trust/PPO |
$226.01
|
| Rate for Payer: BCN Commercial |
$1,711.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,151.53
|
| Rate for Payer: Cash Price |
$2,080.00
|
| Rate for Payer: Cash Price |
$2,080.00
|
| Rate for Payer: Cofinity Commercial |
$1,658.20
|
| Rate for Payer: Cofinity Commercial |
$1,543.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,151.53
|
| Rate for Payer: Mclaren Medicaid |
$749.55
|
| Rate for Payer: Meridian Medicaid |
$787.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,209.11
|
| Rate for Payer: PACE SWMI |
$1,151.53
|
| Rate for Payer: PHP Medicare Advantage |
$1,151.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$749.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,820.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,439.87
|
| Rate for Payer: Priority Health Medicare |
$1,151.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,439.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,151.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,151.53
|
| Rate for Payer: UHC Medicare Advantage |
$1,186.08
|
|
|
PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$663.00
|
|
|
Service Code
|
HCPCS 69145
|
| Min. Negotiated Rate |
$166.35 |
| Max. Negotiated Rate |
$2,204.60 |
| Rate for Payer: Aetna Commercial |
$335.60
|
| Rate for Payer: Aetna Medicare |
$260.47
|
| Rate for Payer: BCBS Complete |
$174.67
|
| Rate for Payer: BCBS MAPPO |
$250.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,204.60
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: BCN Medicare Advantage |
$250.45
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cash Price |
$530.40
|
| Rate for Payer: Cofinity Commercial |
$360.65
|
| Rate for Payer: Cofinity Commercial |
$335.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.45
|
| Rate for Payer: Mclaren Medicaid |
$166.35
|
| Rate for Payer: Meridian Medicaid |
$174.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$262.97
|
| Rate for Payer: PACE SWMI |
$250.45
|
| Rate for Payer: PHP Medicare Advantage |
$250.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$366.79
|
| Rate for Payer: Priority Health Medicare |
$250.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$366.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$250.45
|
| Rate for Payer: UHC Medicare Advantage |
$257.96
|
|
|
PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY
|
Professional
|
Both
|
$586.00
|
|
|
Service Code
|
HCPCS 54840
|
| Min. Negotiated Rate |
$206.61 |
| Max. Negotiated Rate |
$2,153.88 |
| Rate for Payer: Aetna Commercial |
$422.06
|
| Rate for Payer: Aetna Medicare |
$327.57
|
| Rate for Payer: BCBS Complete |
$216.94
|
| Rate for Payer: BCBS MAPPO |
$314.97
|
| Rate for Payer: BCBS Trust/PPO |
$2,153.88
|
| Rate for Payer: BCN Commercial |
$467.66
|
| Rate for Payer: BCN Medicare Advantage |
$314.97
|
| Rate for Payer: Cash Price |
$468.80
|
| Rate for Payer: Cash Price |
$468.80
|
| Rate for Payer: Cofinity Commercial |
$422.06
|
| Rate for Payer: Cofinity Commercial |
$453.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.97
|
| Rate for Payer: Mclaren Medicaid |
$206.61
|
| Rate for Payer: Meridian Medicaid |
$216.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$330.72
|
| Rate for Payer: PACE SWMI |
$314.97
|
| Rate for Payer: PHP Medicare Advantage |
$314.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$206.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$410.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$517.12
|
| Rate for Payer: Priority Health Medicare |
$314.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$517.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$314.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$314.97
|
| Rate for Payer: UHC Medicare Advantage |
$324.42
|
|
|
PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$2,227.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$268.59 |
| Max. Negotiated Rate |
$1,558.90 |
| Rate for Payer: Aetna Commercial |
$549.48
|
| Rate for Payer: Aetna Medicare |
$426.46
|
| Rate for Payer: BCBS Complete |
$282.02
|
| Rate for Payer: BCBS MAPPO |
$410.06
|
| Rate for Payer: BCBS Trust/PPO |
$437.96
|
| Rate for Payer: BCN Commercial |
$611.82
|
| Rate for Payer: BCN Medicare Advantage |
$410.06
|
| Rate for Payer: Cash Price |
$1,781.60
|
| Rate for Payer: Cash Price |
$1,781.60
|
| Rate for Payer: Cofinity Commercial |
$590.49
|
| Rate for Payer: Cofinity Commercial |
$549.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.06
|
| Rate for Payer: Mclaren Medicaid |
$268.59
|
| Rate for Payer: Meridian Medicaid |
$282.02
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$430.56
|
| Rate for Payer: PACE SWMI |
$410.06
|
| Rate for Payer: PHP Medicare Advantage |
$410.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$268.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,558.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$736.15
|
| Rate for Payer: Priority Health Medicare |
$410.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$736.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$410.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.06
|
| Rate for Payer: UHC Medicare Advantage |
$422.36
|
|
|
PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA
|
Professional
|
Both
|
$1,015.00
|
|
|
Service Code
|
HCPCS 30120
|
| Min. Negotiated Rate |
$270.08 |
| Max. Negotiated Rate |
$748.17 |
| Rate for Payer: Aetna Commercial |
$548.45
|
| Rate for Payer: Aetna Medicare |
$425.66
|
| Rate for Payer: BCBS Complete |
$283.58
|
| Rate for Payer: BCBS MAPPO |
$409.29
|
| Rate for Payer: BCBS Trust/PPO |
$589.05
|
| Rate for Payer: BCN Commercial |
$748.17
|
| Rate for Payer: BCN Medicare Advantage |
$409.29
|
| Rate for Payer: Cash Price |
$812.00
|
| Rate for Payer: Cash Price |
$812.00
|
| Rate for Payer: Cofinity Commercial |
$589.38
|
| Rate for Payer: Cofinity Commercial |
$548.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$409.29
|
| Rate for Payer: Mclaren Medicaid |
$270.08
|
| Rate for Payer: Meridian Medicaid |
$283.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$429.75
|
| Rate for Payer: PACE SWMI |
$409.29
|
| Rate for Payer: PHP Medicare Advantage |
$409.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$270.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$710.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$582.97
|
| Rate for Payer: Priority Health Medicare |
$409.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$582.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$409.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$409.29
|
| Rate for Payer: UHC Medicare Advantage |
$421.57
|
|
|
PR EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$1,608.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$317.37 |
| Max. Negotiated Rate |
$1,594.41 |
| Rate for Payer: Aetna Commercial |
$642.53
|
| Rate for Payer: Aetna Medicare |
$498.68
|
| Rate for Payer: BCBS Complete |
$333.24
|
| Rate for Payer: BCBS MAPPO |
$479.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.41
|
| Rate for Payer: BCN Commercial |
$719.34
|
| Rate for Payer: BCN Medicare Advantage |
$479.50
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Cofinity Commercial |
$690.48
|
| Rate for Payer: Cofinity Commercial |
$642.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$479.50
|
| Rate for Payer: Mclaren Medicaid |
$317.37
|
| Rate for Payer: Meridian Medicaid |
$333.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$503.48
|
| Rate for Payer: PACE SWMI |
$479.50
|
| Rate for Payer: PHP Medicare Advantage |
$479.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$317.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,125.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$751.68
|
| Rate for Payer: Priority Health Medicare |
$479.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$751.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$479.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$479.50
|
| Rate for Payer: UHC Medicare Advantage |
$493.88
|
|
|
PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$146.34 |
| Max. Negotiated Rate |
$872.90 |
| Rate for Payer: Aetna Commercial |
$594.38
|
| Rate for Payer: Aetna Medicare |
$461.31
|
| Rate for Payer: BCBS Complete |
$309.53
|
| Rate for Payer: BCBS MAPPO |
$443.57
|
| Rate for Payer: BCBS Trust/PPO |
$146.34
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$443.57
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$638.74
|
| Rate for Payer: Cofinity Commercial |
$594.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.57
|
| Rate for Payer: Mclaren Medicaid |
$294.79
|
| Rate for Payer: Meridian Medicaid |
$309.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$465.75
|
| Rate for Payer: PACE SWMI |
$443.57
|
| Rate for Payer: PHP Medicare Advantage |
$443.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$294.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$698.06
|
| Rate for Payer: Priority Health Medicare |
$443.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$698.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$443.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$443.57
|
| Rate for Payer: UHC Medicare Advantage |
$456.88
|
|
