|
PR EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH
|
Professional
|
Both
|
$1,092.00
|
|
|
Service Code
|
HCPCS 26170
|
| Min. Negotiated Rate |
$77.66 |
| Max. Negotiated Rate |
$764.40 |
| Rate for Payer: Aetna Commercial |
$540.37
|
| Rate for Payer: Aetna Medicare |
$419.39
|
| Rate for Payer: BCBS Complete |
$280.91
|
| Rate for Payer: BCBS MAPPO |
$403.26
|
| Rate for Payer: BCBS Trust/PPO |
$77.66
|
| Rate for Payer: BCN Commercial |
$606.94
|
| Rate for Payer: BCN Medicare Advantage |
$403.26
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cash Price |
$873.60
|
| Rate for Payer: Cofinity Commercial |
$580.69
|
| Rate for Payer: Cofinity Commercial |
$540.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$403.26
|
| Rate for Payer: Mclaren Medicaid |
$267.53
|
| Rate for Payer: Meridian Medicaid |
$280.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$423.42
|
| Rate for Payer: PACE SWMI |
$403.26
|
| Rate for Payer: PHP Medicare Advantage |
$403.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$764.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$634.23
|
| Rate for Payer: Priority Health Medicare |
$403.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$634.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$403.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$403.26
|
| Rate for Payer: UHC Medicare Advantage |
$415.36
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$2,033.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$293.51 |
| Max. Negotiated Rate |
$3,383.23 |
| Rate for Payer: Aetna Commercial |
$597.28
|
| Rate for Payer: Aetna Medicare |
$463.56
|
| Rate for Payer: BCBS Complete |
$308.19
|
| Rate for Payer: BCBS MAPPO |
$445.73
|
| Rate for Payer: BCBS Trust/PPO |
$3,383.23
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$445.73
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cash Price |
$1,626.40
|
| Rate for Payer: Cofinity Commercial |
$641.85
|
| Rate for Payer: Cofinity Commercial |
$597.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$445.73
|
| Rate for Payer: Mclaren Medicaid |
$293.51
|
| Rate for Payer: Meridian Medicaid |
$308.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$468.02
|
| Rate for Payer: PACE SWMI |
$445.73
|
| Rate for Payer: PHP Medicare Advantage |
$445.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,423.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$646.79
|
| Rate for Payer: Priority Health Medicare |
$445.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$646.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$445.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$445.73
|
| Rate for Payer: UHC Medicare Advantage |
$459.10
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT
|
Professional
|
Both
|
$2,154.00
|
|
|
Service Code
|
HCPCS 60281
|
| Min. Negotiated Rate |
$384.04 |
| Max. Negotiated Rate |
$3,474.63 |
| Rate for Payer: Aetna Commercial |
$787.22
|
| Rate for Payer: Aetna Medicare |
$610.98
|
| Rate for Payer: BCBS Complete |
$403.24
|
| Rate for Payer: BCBS MAPPO |
$587.48
|
| Rate for Payer: BCBS Trust/PPO |
$3,474.63
|
| Rate for Payer: BCN Commercial |
$876.69
|
| Rate for Payer: BCN Medicare Advantage |
$587.48
|
| Rate for Payer: Cash Price |
$1,723.20
|
| Rate for Payer: Cash Price |
$1,723.20
|
| Rate for Payer: Cofinity Commercial |
$787.22
|
| Rate for Payer: Cofinity Commercial |
$845.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$587.48
|
| Rate for Payer: Mclaren Medicaid |
$384.04
|
| Rate for Payer: Meridian Medicaid |
$403.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$616.85
|
| Rate for Payer: PACE SWMI |
$587.48
|
| Rate for Payer: PHP Medicare Advantage |
$587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$384.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,507.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$848.82
|
| Rate for Payer: Priority Health Medicare |
$587.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$848.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$587.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$587.48
|
| Rate for Payer: UHC Medicare Advantage |
$605.10
|
|
|
PR EXCISION TONSIL TAGS
|
Professional
|
Both
|
$373.00
|
|
|
Service Code
|
HCPCS 42860
|
| Min. Negotiated Rate |
$126.31 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$254.25
|
| Rate for Payer: Aetna Medicare |
$197.33
|
| Rate for Payer: BCBS Complete |
$132.63
|
| Rate for Payer: BCBS MAPPO |
$189.74
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$286.36
|
| Rate for Payer: BCN Medicare Advantage |
$189.74
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cofinity Commercial |
$254.25
|
| Rate for Payer: Cofinity Commercial |
$273.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.74
|
| Rate for Payer: Mclaren Medicaid |
$126.31
|
| Rate for Payer: Meridian Medicaid |
$132.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$199.23
|
| Rate for Payer: PACE SWMI |
$189.74
|
| Rate for Payer: PHP Medicare Advantage |
$189.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$344.55
|
| Rate for Payer: Priority Health Medicare |
$189.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$344.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.74
|
| Rate for Payer: UHC Medicare Advantage |
$195.43
|
|
|
PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL
|
Professional
|
Both
|
$3,871.00
|
|
|
Service Code
|
HCPCS 31785
|
| Min. Negotiated Rate |
$686.29 |
| Max. Negotiated Rate |
$2,709.70 |
| Rate for Payer: Aetna Commercial |
$1,422.93
|
| Rate for Payer: Aetna Medicare |
$1,104.37
|
| Rate for Payer: BCBS Complete |
$720.60
|
| Rate for Payer: BCBS MAPPO |
$1,061.89
|
| Rate for Payer: BCBS Trust/PPO |
$1,040.22
|
| Rate for Payer: BCN Commercial |
$1,570.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,061.89
|
| Rate for Payer: Cash Price |
$3,096.80
|
| Rate for Payer: Cash Price |
$3,096.80
|
| Rate for Payer: Cofinity Commercial |
$1,422.93
|
| Rate for Payer: Cofinity Commercial |
$1,529.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,061.89
|
| Rate for Payer: Mclaren Medicaid |
$686.29
|
| Rate for Payer: Meridian Medicaid |
$720.60
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,114.98
|
| Rate for Payer: PACE SWMI |
$1,061.89
|
| Rate for Payer: PHP Medicare Advantage |
$1,061.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$686.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,709.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,487.77
|
| Rate for Payer: Priority Health Medicare |
$1,061.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,487.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,061.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,061.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,093.75
|
|
|
PR EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$1,645.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$296.07 |
| Max. Negotiated Rate |
$4,466.25 |
| Rate for Payer: Aetna Commercial |
$601.34
|
| Rate for Payer: Aetna Medicare |
$466.71
|
| Rate for Payer: BCBS Complete |
$310.87
|
| Rate for Payer: BCBS MAPPO |
$448.76
|
| Rate for Payer: BCBS Trust/PPO |
$4,466.25
|
| Rate for Payer: BCN Commercial |
$672.91
|
| Rate for Payer: BCN Medicare Advantage |
$448.76
|
| Rate for Payer: Cash Price |
$1,316.00
|
| Rate for Payer: Cash Price |
$1,316.00
|
| Rate for Payer: Cofinity Commercial |
$646.21
|
| Rate for Payer: Cofinity Commercial |
$601.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$448.76
|
| Rate for Payer: Mclaren Medicaid |
$296.07
|
| Rate for Payer: Meridian Medicaid |
$310.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$471.20
|
| Rate for Payer: PACE SWMI |
$448.76
|
| Rate for Payer: PHP Medicare Advantage |
$448.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,151.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$703.17
|
| Rate for Payer: Priority Health Medicare |
$448.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$703.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$448.76
|
| Rate for Payer: UHC Medicare Advantage |
$462.22
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$303.31 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$623.49
|
| Rate for Payer: Aetna Medicare |
$483.90
|
| Rate for Payer: BCBS Complete |
$318.48
|
| Rate for Payer: BCBS MAPPO |
$465.29
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$465.29
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$670.02
|
| Rate for Payer: Cofinity Commercial |
$623.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.29
|
| Rate for Payer: Mclaren Medicaid |
$303.31
|
| Rate for Payer: Meridian Medicaid |
$318.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$488.55
|
| Rate for Payer: PACE SWMI |
$465.29
|
| Rate for Payer: PHP Medicare Advantage |
$465.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$720.53
|
| Rate for Payer: Priority Health Medicare |
$465.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$720.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$465.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$465.29
|
| Rate for Payer: UHC Medicare Advantage |
$479.25
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
OP
|
$730.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$173.38 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$620.50
|
| Rate for Payer: Aetna Medicare |
$189.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$228.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$228.12
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$182.50
|
| Rate for Payer: BCBS Trust/PPO |
$567.58
|
| Rate for Payer: BCN Commercial |
$567.58
|
| Rate for Payer: BCN Medicare Advantage |
$182.50
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$627.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.50
|
| Rate for Payer: Healthscope Commercial |
$657.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$547.50
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$191.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$209.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$620.50
|
| Rate for Payer: PACE Senior Care Partners |
$173.38
|
| Rate for Payer: PACE SWMI |
$182.50
|
| Rate for Payer: PHP Commercial |
$620.50
|
| Rate for Payer: PHP Medicare Advantage |
$182.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$635.10
|
| Rate for Payer: Priority Health Medicare |
$182.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$445.23
|
| Rate for Payer: Railroad Medicare Medicare |
$182.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$642.40
|
| Rate for Payer: UHC Core |
$609.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.50
|
| Rate for Payer: UHC Medicare Advantage |
$187.98
|
| Rate for Payer: VA VA |
$182.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$547.50
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
IP
|
$730.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$445.23 |
| Max. Negotiated Rate |
$657.00 |
| Rate for Payer: Aetna Commercial |
$620.50
|
| Rate for Payer: BCBS Trust/PPO |
$564.14
|
| Rate for Payer: BCN Commercial |
$564.14
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$627.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$584.00
|
| Rate for Payer: Healthscope Commercial |
$657.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$547.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$620.50
|
| Rate for Payer: PHP Commercial |
$620.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$635.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$445.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$642.40
|
| Rate for Payer: UHC Core |
$609.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$547.50
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$730.00
|
|
|
Service Code
|
HCPCS 21931
|
| Hospital Charge Code |
21931
|
| Min. Negotiated Rate |
$303.31 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$623.49
|
| Rate for Payer: Aetna Medicare |
$483.90
|
| Rate for Payer: BCBS Complete |
$318.48
|
| Rate for Payer: BCBS MAPPO |
$465.29
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$465.29
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cash Price |
$584.00
|
| Rate for Payer: Cofinity Commercial |
$623.49
|
| Rate for Payer: Cofinity Commercial |
$670.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.29
|
| Rate for Payer: Mclaren Medicaid |
$303.31
|
| Rate for Payer: Meridian Medicaid |
$318.48
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$488.55
|
| Rate for Payer: PACE SWMI |
$465.29
|
| Rate for Payer: PHP Medicare Advantage |
$465.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$511.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$720.53
|
| Rate for Payer: Priority Health Medicare |
$465.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$720.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$465.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$465.29
|
| Rate for Payer: UHC Medicare Advantage |
$479.25
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$448.31
|
| Rate for Payer: Aetna Medicare |
$347.94
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$334.56
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| Rate for Payer: BCN Medicare Advantage |
$334.56
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$481.77
|
| Rate for Payer: Cofinity Commercial |
$448.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.56
|
| Rate for Payer: Mclaren Medicaid |
$217.90
|
| Rate for Payer: Meridian Medicaid |
$228.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$351.29
|
| Rate for Payer: PACE SWMI |
$334.56
|
| Rate for Payer: PHP Medicare Advantage |
$334.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.35
|
| Rate for Payer: Priority Health Medicare |
$334.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.56
|
| Rate for Payer: UHC Medicare Advantage |
$344.60
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
IP
|
$896.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$546.47 |
| Max. Negotiated Rate |
$806.40 |
| Rate for Payer: Aetna Commercial |
$761.60
|
| Rate for Payer: BCBS Trust/PPO |
$692.43
|
| Rate for Payer: BCN Commercial |
$692.43
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$770.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$716.80
|
| Rate for Payer: Healthscope Commercial |
$806.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$672.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$761.60
|
| Rate for Payer: PHP Commercial |
$761.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$779.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$546.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$788.48
|
| Rate for Payer: UHC Core |
$748.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$672.00
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$448.31
|
| Rate for Payer: Aetna Medicare |
$347.94
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$334.56
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| Rate for Payer: BCN Medicare Advantage |
$334.56
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$448.31
|
| Rate for Payer: Cofinity Commercial |
$481.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.56
|
| Rate for Payer: Mclaren Medicaid |
$217.90
|
| Rate for Payer: Meridian Medicaid |
$228.80
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$351.29
|
| Rate for Payer: PACE SWMI |
$334.56
|
| Rate for Payer: PHP Medicare Advantage |
$334.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.35
|
| Rate for Payer: Priority Health Medicare |
$334.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.56
|
| Rate for Payer: UHC Medicare Advantage |
$344.60
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
OP
|
$896.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$212.80 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$761.60
|
| Rate for Payer: Aetna Medicare |
$232.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$280.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$280.00
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$224.00
|
| Rate for Payer: BCBS Trust/PPO |
$696.64
|
| Rate for Payer: BCN Commercial |
$696.64
|
| Rate for Payer: BCN Medicare Advantage |
$224.00
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$770.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$716.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.00
|
| Rate for Payer: Healthscope Commercial |
$806.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$672.00
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$235.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$257.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$761.60
|
| Rate for Payer: PACE Senior Care Partners |
$212.80
|
| Rate for Payer: PACE SWMI |
$224.00
|
| Rate for Payer: PHP Commercial |
$761.60
|
| Rate for Payer: PHP Medicare Advantage |
$224.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$627.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$779.52
|
| Rate for Payer: Priority Health Medicare |
$224.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$546.47
|
| Rate for Payer: Railroad Medicare Medicare |
$224.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$788.48
|
| Rate for Payer: UHC Core |
$748.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.00
|
| Rate for Payer: UHC Medicare Advantage |
$230.72
|
| Rate for Payer: VA VA |
$224.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$672.00
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
IP
|
$639.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$389.73 |
| Max. Negotiated Rate |
$575.10 |
| Rate for Payer: Aetna Commercial |
$543.15
|
| Rate for Payer: BCBS Trust/PPO |
$493.82
|
| Rate for Payer: BCN Commercial |
$493.82
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$549.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.20
|
| Rate for Payer: Healthscope Commercial |
$575.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$543.15
|
| Rate for Payer: PHP Commercial |
$543.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$555.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$389.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.32
|
| Rate for Payer: UHC Core |
$533.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.25
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$639.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$934.38 |
| Rate for Payer: Aetna Commercial |
$446.68
|
| Rate for Payer: Aetna Medicare |
$346.67
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$333.34
|
| Rate for Payer: BCBS Trust/PPO |
$934.38
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$333.34
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$480.01
|
| Rate for Payer: Cofinity Commercial |
$446.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.34
|
| Rate for Payer: Mclaren Medicaid |
$219.18
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$350.01
|
| Rate for Payer: PACE SWMI |
$333.34
|
| Rate for Payer: PHP Medicare Advantage |
$333.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.86
|
| Rate for Payer: Priority Health Medicare |
$333.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$333.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.34
|
| Rate for Payer: UHC Medicare Advantage |
$343.34
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$639.00
|
|
|
Service Code
|
HCPCS 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$934.38 |
| Rate for Payer: Aetna Commercial |
$446.68
|
| Rate for Payer: Aetna Medicare |
$346.67
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$333.34
|
| Rate for Payer: BCBS Trust/PPO |
$934.38
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$333.34
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$480.01
|
| Rate for Payer: Cofinity Commercial |
$446.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.34
|
| Rate for Payer: Mclaren Medicaid |
$219.18
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$350.01
|
| Rate for Payer: PACE SWMI |
$333.34
|
| Rate for Payer: PHP Medicare Advantage |
$333.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.86
|
| Rate for Payer: Priority Health Medicare |
$333.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$333.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$333.34
|
| Rate for Payer: UHC Medicare Advantage |
$343.34
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
OP
|
$639.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$151.76 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$543.15
|
| Rate for Payer: Aetna Medicare |
$166.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$199.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$199.69
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$159.75
|
| Rate for Payer: BCBS Trust/PPO |
$496.82
|
| Rate for Payer: BCN Commercial |
$496.82
|
| Rate for Payer: BCN Medicare Advantage |
$159.75
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$549.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.75
|
| Rate for Payer: Healthscope Commercial |
$575.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.25
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$167.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$183.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$543.15
|
| Rate for Payer: PACE Senior Care Partners |
$151.76
|
| Rate for Payer: PACE SWMI |
$159.75
|
| Rate for Payer: PHP Commercial |
$543.15
|
| Rate for Payer: PHP Medicare Advantage |
$159.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$555.93
|
| Rate for Payer: Priority Health Medicare |
$159.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$389.73
|
| Rate for Payer: Railroad Medicare Medicare |
$159.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.32
|
| Rate for Payer: UHC Core |
$533.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$159.75
|
| Rate for Payer: UHC Medicare Advantage |
$164.54
|
| Rate for Payer: VA VA |
$159.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.25
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
OP
|
$542.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$128.72 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$460.70
|
| Rate for Payer: Aetna Medicare |
$140.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$169.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$169.38
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$135.50
|
| Rate for Payer: BCBS Trust/PPO |
$421.40
|
| Rate for Payer: BCN Commercial |
$421.40
|
| Rate for Payer: BCN Medicare Advantage |
$135.50
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$466.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.50
|
| Rate for Payer: Healthscope Commercial |
$487.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.50
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$142.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$155.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$460.70
|
| Rate for Payer: PACE Senior Care Partners |
$128.72
|
| Rate for Payer: PACE SWMI |
$135.50
|
| Rate for Payer: PHP Commercial |
$460.70
|
| Rate for Payer: PHP Medicare Advantage |
$135.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$471.54
|
| Rate for Payer: Priority Health Medicare |
$135.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$330.57
|
| Rate for Payer: Railroad Medicare Medicare |
$135.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$476.96
|
| Rate for Payer: UHC Core |
$452.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$135.50
|
| Rate for Payer: UHC Medicare Advantage |
$139.56
|
| Rate for Payer: VA VA |
$135.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.50
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$542.00
|
|
|
Service Code
|
HCPCS 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$338.98
|
| Rate for Payer: Aetna Medicare |
$263.09
|
| Rate for Payer: BCBS Complete |
$176.90
|
| Rate for Payer: BCBS MAPPO |
$252.97
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$252.97
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$338.98
|
| Rate for Payer: Cofinity Commercial |
$364.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.97
|
| Rate for Payer: Mclaren Medicaid |
$168.48
|
| Rate for Payer: Meridian Medicaid |
$176.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$265.62
|
| Rate for Payer: PACE SWMI |
$252.97
|
| Rate for Payer: PHP Medicare Advantage |
$252.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.82
|
| Rate for Payer: Priority Health Medicare |
$252.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$398.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$252.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$252.97
|
| Rate for Payer: UHC Medicare Advantage |
$260.56
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$542.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$338.98
|
| Rate for Payer: Aetna Medicare |
$263.09
|
| Rate for Payer: BCBS Complete |
$176.90
|
| Rate for Payer: BCBS MAPPO |
$252.97
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$252.97
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$364.28
|
| Rate for Payer: Cofinity Commercial |
$338.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$252.97
|
| Rate for Payer: Mclaren Medicaid |
$168.48
|
| Rate for Payer: Meridian Medicaid |
$176.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$265.62
|
| Rate for Payer: PACE SWMI |
$252.97
|
| Rate for Payer: PHP Medicare Advantage |
$252.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$398.82
|
| Rate for Payer: Priority Health Medicare |
$252.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$398.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$252.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$252.97
|
| Rate for Payer: UHC Medicare Advantage |
$260.56
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
IP
|
$542.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$330.57 |
| Max. Negotiated Rate |
$487.80 |
| Rate for Payer: Aetna Commercial |
$460.70
|
| Rate for Payer: BCBS Trust/PPO |
$418.86
|
| Rate for Payer: BCN Commercial |
$418.86
|
| Rate for Payer: Cash Price |
$433.60
|
| Rate for Payer: Cofinity Commercial |
$466.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$433.60
|
| Rate for Payer: Healthscope Commercial |
$487.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$460.70
|
| Rate for Payer: PHP Commercial |
$460.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$379.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$471.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$330.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$476.96
|
| Rate for Payer: UHC Core |
$452.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,234.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$236.43 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$481.29
|
| Rate for Payer: Aetna Medicare |
$373.54
|
| Rate for Payer: BCBS Complete |
$248.25
|
| Rate for Payer: BCBS MAPPO |
$359.17
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$359.17
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cofinity Commercial |
$517.20
|
| Rate for Payer: Cofinity Commercial |
$481.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$359.17
|
| Rate for Payer: Mclaren Medicaid |
$236.43
|
| Rate for Payer: Meridian Medicaid |
$248.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$377.13
|
| Rate for Payer: PACE SWMI |
$359.17
|
| Rate for Payer: PHP Medicare Advantage |
$359.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$863.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$559.67
|
| Rate for Payer: Priority Health Medicare |
$359.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$559.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$359.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$359.17
|
| Rate for Payer: UHC Medicare Advantage |
$369.95
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
OP
|
$1,234.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$293.08 |
| Max. Negotiated Rate |
$1,116.73 |
| Rate for Payer: Aetna Commercial |
$1,048.90
|
| Rate for Payer: Aetna Medicare |
$320.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$385.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$385.62
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$308.50
|
| Rate for Payer: BCBS Trust/PPO |
$959.44
|
| Rate for Payer: BCN Commercial |
$959.44
|
| Rate for Payer: BCN Medicare Advantage |
$308.50
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cofinity Commercial |
$1,061.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$987.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.50
|
| Rate for Payer: Healthscope Commercial |
$1,110.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$925.50
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$323.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$354.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,048.90
|
| Rate for Payer: PACE Senior Care Partners |
$293.08
|
| Rate for Payer: PACE SWMI |
$308.50
|
| Rate for Payer: PHP Commercial |
$1,048.90
|
| Rate for Payer: PHP Medicare Advantage |
$308.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$863.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,073.58
|
| Rate for Payer: Priority Health Medicare |
$308.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$752.62
|
| Rate for Payer: Railroad Medicare Medicare |
$308.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,085.92
|
| Rate for Payer: UHC Core |
$1,030.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.50
|
| Rate for Payer: UHC Medicare Advantage |
$317.76
|
| Rate for Payer: VA VA |
$308.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$925.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
IP
|
$1,234.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$752.62 |
| Max. Negotiated Rate |
$1,110.60 |
| Rate for Payer: Aetna Commercial |
$1,048.90
|
| Rate for Payer: BCBS Trust/PPO |
$953.64
|
| Rate for Payer: BCN Commercial |
$953.64
|
| Rate for Payer: Cash Price |
$987.20
|
| Rate for Payer: Cofinity Commercial |
$1,061.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$987.20
|
| Rate for Payer: Healthscope Commercial |
$1,110.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$925.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,048.90
|
| Rate for Payer: PHP Commercial |
$1,048.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$863.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,073.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$752.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,085.92
|
| Rate for Payer: UHC Core |
$1,030.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$925.50
|
|
