|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,234.00
|
|
|
Service Code
|
HCPCS 21930
|
| Hospital Charge Code |
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 FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$168.48 |
| Max. Negotiated Rate |
$558.56 |
| Rate for Payer: Aetna Commercial |
$340.20
|
| Rate for Payer: Aetna Medicare |
$264.04
|
| Rate for Payer: BCBS Complete |
$176.90
|
| Rate for Payer: BCBS MAPPO |
$253.88
|
| Rate for Payer: BCBS Trust/PPO |
$529.88
|
| Rate for Payer: BCN Commercial |
$558.56
|
| Rate for Payer: BCN Medicare Advantage |
$253.88
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$340.20
|
| Rate for Payer: Cofinity Commercial |
$365.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.88
|
| Rate for Payer: Mclaren Medicaid |
$168.48
|
| Rate for Payer: Meridian Medicaid |
$176.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$266.57
|
| Rate for Payer: PACE SWMI |
$253.88
|
| Rate for Payer: PHP Medicare Advantage |
$253.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$396.77
|
| Rate for Payer: Priority Health Medicare |
$253.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$253.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$253.88
|
| Rate for Payer: UHC Medicare Advantage |
$261.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,023.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$623.93 |
| Max. Negotiated Rate |
$920.70 |
| Rate for Payer: Aetna Commercial |
$869.55
|
| Rate for Payer: BCBS Trust/PPO |
$790.57
|
| Rate for Payer: BCN Commercial |
$790.57
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$879.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$818.40
|
| Rate for Payer: Healthscope Commercial |
$920.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$767.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$869.55
|
| Rate for Payer: PHP Commercial |
$869.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$890.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$623.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$900.24
|
| Rate for Payer: UHC Core |
$854.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$767.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,023.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$242.96 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$869.55
|
| Rate for Payer: Aetna Medicare |
$265.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$319.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$319.69
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$255.75
|
| Rate for Payer: BCBS Trust/PPO |
$795.38
|
| Rate for Payer: BCN Commercial |
$795.38
|
| Rate for Payer: BCN Medicare Advantage |
$255.75
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$879.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$818.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$255.75
|
| Rate for Payer: Healthscope Commercial |
$920.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$767.25
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$268.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$294.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$869.55
|
| Rate for Payer: PACE Senior Care Partners |
$242.96
|
| Rate for Payer: PACE SWMI |
$255.75
|
| Rate for Payer: PHP Commercial |
$869.55
|
| Rate for Payer: PHP Medicare Advantage |
$255.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$890.01
|
| Rate for Payer: Priority Health Medicare |
$255.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$623.93
|
| Rate for Payer: Railroad Medicare Medicare |
$255.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$900.24
|
| Rate for Payer: UHC Core |
$854.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$255.75
|
| Rate for Payer: UHC Medicare Advantage |
$263.42
|
| Rate for Payer: VA VA |
$255.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$767.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,023.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$263.91 |
| Max. Negotiated Rate |
$716.10 |
| Rate for Payer: Aetna Commercial |
$543.24
|
| Rate for Payer: Aetna Medicare |
$421.62
|
| Rate for Payer: BCBS Complete |
$277.11
|
| Rate for Payer: BCBS MAPPO |
$405.40
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$405.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$583.78
|
| Rate for Payer: Cofinity Commercial |
$543.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.40
|
| Rate for Payer: Mclaren Medicaid |
$263.91
|
| Rate for Payer: Meridian Medicaid |
$277.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$425.67
|
| Rate for Payer: PACE SWMI |
$405.40
|
| Rate for Payer: PHP Medicare Advantage |
$405.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.63
|
| Rate for Payer: Priority Health Medicare |
$405.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$629.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$405.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$405.40
|
| Rate for Payer: UHC Medicare Advantage |
$417.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,023.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$263.91 |
| Max. Negotiated Rate |
$716.10 |
| Rate for Payer: Aetna Commercial |
$543.24
|
| Rate for Payer: Aetna Medicare |
$421.62
|
| Rate for Payer: BCBS Complete |
$277.11
|
| Rate for Payer: BCBS MAPPO |
$405.40
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$405.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cash Price |
$818.40
|
| Rate for Payer: Cofinity Commercial |
$543.24
|
| Rate for Payer: Cofinity Commercial |
$583.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.40
|
| Rate for Payer: Mclaren Medicaid |
$263.91
|
| Rate for Payer: Meridian Medicaid |
$277.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$425.67
|
| Rate for Payer: PACE SWMI |
$405.40
|
| Rate for Payer: PHP Medicare Advantage |
$405.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$716.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$629.63
|
| Rate for Payer: Priority Health Medicare |
$405.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$629.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$405.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$405.40
|
| Rate for Payer: UHC Medicare Advantage |
$417.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$720.53 |
| Rate for Payer: Aetna Commercial |
$623.49
|
| Rate for Payer: Aetna Medicare |
$483.90
|
| Rate for Payer: BCBS Complete |
$318.26
|
| Rate for Payer: BCBS MAPPO |
$465.29
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$465.29
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| 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 |
$303.10
|
| Rate for Payer: Meridian Medicaid |
$318.26
|
| 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 |
$303.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| 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 TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$967.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$589.77 |
| Max. Negotiated Rate |
$870.30 |
| Rate for Payer: Aetna Commercial |
$821.95
|
| Rate for Payer: BCBS Trust/PPO |
$747.30
|
| Rate for Payer: BCN Commercial |
$747.30
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$831.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Healthscope Commercial |
$870.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$725.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: PHP Commercial |
$821.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$841.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$589.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$850.96
|
| Rate for Payer: UHC Core |
$807.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$725.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
OP
|
$967.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$229.66 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$821.95
|
| Rate for Payer: Aetna Medicare |
$251.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$302.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$302.19
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$241.75
|
| Rate for Payer: BCBS Trust/PPO |
$751.84
|
| Rate for Payer: BCN Commercial |
$751.84
|
| Rate for Payer: BCN Medicare Advantage |
$241.75
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cofinity Commercial |
$831.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$773.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$241.75
|
| Rate for Payer: Healthscope Commercial |
$870.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$725.25
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$253.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$821.95
|
| Rate for Payer: PACE Senior Care Partners |
$229.66
|
| Rate for Payer: PACE SWMI |
$241.75
|
| Rate for Payer: PHP Commercial |
$821.95
|
| Rate for Payer: PHP Medicare Advantage |
$241.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$841.29
|
| Rate for Payer: Priority Health Medicare |
$241.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$589.77
|
| Rate for Payer: Railroad Medicare Medicare |
$241.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$850.96
|
| Rate for Payer: UHC Core |
$807.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$241.75
|
| Rate for Payer: UHC Medicare Advantage |
$249.00
|
| Rate for Payer: VA VA |
$241.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$725.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$967.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$720.53 |
| Rate for Payer: Aetna Commercial |
$623.49
|
| Rate for Payer: Aetna Medicare |
$483.90
|
| Rate for Payer: BCBS Complete |
$318.26
|
| Rate for Payer: BCBS MAPPO |
$465.29
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$465.29
|
| Rate for Payer: Cash Price |
$773.60
|
| Rate for Payer: Cash Price |
$773.60
|
| 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 |
$303.10
|
| Rate for Payer: Meridian Medicaid |
$318.26
|
| 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 |
$303.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$676.90
|
| 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 TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$735.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$271.79 |
| Max. Negotiated Rate |
$644.96 |
| Rate for Payer: Aetna Commercial |
$556.31
|
| Rate for Payer: Aetna Medicare |
$431.77
|
| Rate for Payer: BCBS Complete |
$285.38
|
| Rate for Payer: BCBS MAPPO |
$415.16
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$415.16
|
| Rate for Payer: Cash Price |
$588.00
|
| Rate for Payer: Cash Price |
$588.00
|
| Rate for Payer: Cofinity Commercial |
$556.31
|
| Rate for Payer: Cofinity Commercial |
$597.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.16
|
| Rate for Payer: Mclaren Medicaid |
$271.79
|
| Rate for Payer: Meridian Medicaid |
$285.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.92
|
| Rate for Payer: PACE SWMI |
$415.16
|
| Rate for Payer: PHP Medicare Advantage |
$415.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$514.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$644.96
|
| Rate for Payer: Priority Health Medicare |
$415.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$644.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$415.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$415.16
|
| Rate for Payer: UHC Medicare Advantage |
$427.61
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$213.85 |
| Max. Negotiated Rate |
$760.38 |
| Rate for Payer: Aetna Commercial |
$432.73
|
| Rate for Payer: Aetna Medicare |
$335.85
|
| Rate for Payer: BCBS Complete |
$224.54
|
| Rate for Payer: BCBS MAPPO |
$322.93
|
| Rate for Payer: BCBS Trust/PPO |
$652.45
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: BCN Medicare Advantage |
$322.93
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cofinity Commercial |
$465.02
|
| Rate for Payer: Cofinity Commercial |
$432.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.93
|
| Rate for Payer: Mclaren Medicaid |
$213.85
|
| Rate for Payer: Meridian Medicaid |
$224.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$339.08
|
| Rate for Payer: PACE SWMI |
$322.93
|
| Rate for Payer: PHP Medicare Advantage |
$322.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$505.03
|
| Rate for Payer: Priority Health Medicare |
$322.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$505.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.93
|
| Rate for Payer: UHC Medicare Advantage |
$332.62
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,279.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$414.80
|
| Rate for Payer: Aetna Medicare |
$321.93
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$309.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$309.55
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$445.75
|
| Rate for Payer: Cofinity Commercial |
$414.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.55
|
| Rate for Payer: Mclaren Medicaid |
$204.91
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.03
|
| Rate for Payer: PACE SWMI |
$309.55
|
| Rate for Payer: PHP Medicare Advantage |
$309.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.61
|
| Rate for Payer: Priority Health Medicare |
$309.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$484.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.55
|
| Rate for Payer: UHC Medicare Advantage |
$318.84
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,279.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$303.76 |
| Max. Negotiated Rate |
$1,151.10 |
| Rate for Payer: Aetna Commercial |
$1,087.15
|
| Rate for Payer: Aetna Medicare |
$332.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$399.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$399.69
|
| Rate for Payer: BCBS Complete |
$1,116.73
|
| Rate for Payer: BCBS MAPPO |
$319.75
|
| Rate for Payer: BCBS Trust/PPO |
$994.42
|
| Rate for Payer: BCN Commercial |
$994.42
|
| Rate for Payer: BCN Medicare Advantage |
$319.75
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$1,099.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,023.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.75
|
| Rate for Payer: Healthscope Commercial |
$1,151.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$959.25
|
| Rate for Payer: Mclaren Medicaid |
$1,063.55
|
| Rate for Payer: Meridian Medicaid |
$1,116.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$335.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$367.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,087.15
|
| Rate for Payer: PACE Senior Care Partners |
$303.76
|
| Rate for Payer: PACE SWMI |
$319.75
|
| Rate for Payer: PHP Commercial |
$1,087.15
|
| Rate for Payer: PHP Medicare Advantage |
$319.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,063.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,112.73
|
| Rate for Payer: Priority Health Medicare |
$319.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$780.06
|
| Rate for Payer: Railroad Medicare Medicare |
$319.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,125.52
|
| Rate for Payer: UHC Core |
$1,067.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.75
|
| Rate for Payer: UHC Medicare Advantage |
$329.34
|
| Rate for Payer: VA VA |
$319.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$959.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,279.00
|
|
|
Service Code
|
HCPCS 27327
|
| Hospital Charge Code |
27327
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$414.80
|
| Rate for Payer: Aetna Medicare |
$321.93
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$309.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$309.55
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$445.75
|
| Rate for Payer: Cofinity Commercial |
$414.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$309.55
|
| Rate for Payer: Mclaren Medicaid |
$204.91
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$325.03
|
| Rate for Payer: PACE SWMI |
$309.55
|
| Rate for Payer: PHP Medicare Advantage |
$309.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$484.61
|
| Rate for Payer: Priority Health Medicare |
$309.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$484.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$309.55
|
| Rate for Payer: UHC Medicare Advantage |
$318.84
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
IP
|
$1,279.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$780.06 |
| Max. Negotiated Rate |
$1,151.10 |
| Rate for Payer: Aetna Commercial |
$1,087.15
|
| Rate for Payer: BCBS Trust/PPO |
$988.41
|
| Rate for Payer: BCN Commercial |
$988.41
|
| Rate for Payer: Cash Price |
$1,023.20
|
| Rate for Payer: Cofinity Commercial |
$1,099.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,023.20
|
| Rate for Payer: Healthscope Commercial |
$1,151.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$959.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,087.15
|
| Rate for Payer: PHP Commercial |
$1,087.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,112.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$780.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,125.52
|
| Rate for Payer: UHC Core |
$1,067.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$959.25
|
|
|
PR EXCISION/UNROOFING CYST KIDNEY
|
Professional
|
Both
|
$2,867.00
|
|
|
Service Code
|
HCPCS 50280
|
| Min. Negotiated Rate |
$600.45 |
| Max. Negotiated Rate |
$3,769.95 |
| Rate for Payer: Aetna Commercial |
$1,260.91
|
| Rate for Payer: Aetna Medicare |
$978.62
|
| Rate for Payer: BCBS Complete |
$630.47
|
| Rate for Payer: BCBS MAPPO |
$940.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,769.95
|
| Rate for Payer: BCN Commercial |
$1,386.87
|
| Rate for Payer: BCN Medicare Advantage |
$940.98
|
| Rate for Payer: Cash Price |
$2,293.60
|
| Rate for Payer: Cash Price |
$2,293.60
|
| Rate for Payer: Cofinity Commercial |
$1,355.01
|
| Rate for Payer: Cofinity Commercial |
$1,260.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$940.98
|
| Rate for Payer: Mclaren Medicaid |
$600.45
|
| Rate for Payer: Meridian Medicaid |
$630.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$988.03
|
| Rate for Payer: PACE SWMI |
$940.98
|
| Rate for Payer: PHP Medicare Advantage |
$940.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$600.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,006.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,533.54
|
| Rate for Payer: Priority Health Medicare |
$940.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,533.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$940.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$940.98
|
| Rate for Payer: UHC Medicare Advantage |
$969.21
|
|
|
PR EXCISION VAGINAL CYST/TUMOR
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 57135
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$2,039.77 |
| Rate for Payer: Aetna Commercial |
$248.34
|
| Rate for Payer: Aetna Medicare |
$192.74
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS MAPPO |
$185.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,039.77
|
| Rate for Payer: BCN Commercial |
$366.51
|
| Rate for Payer: BCN Medicare Advantage |
$185.33
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$266.88
|
| Rate for Payer: Cofinity Commercial |
$248.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.33
|
| Rate for Payer: Mclaren Medicaid |
$121.20
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$194.60
|
| Rate for Payer: PACE SWMI |
$185.33
|
| Rate for Payer: PHP Medicare Advantage |
$185.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$460.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.96
|
| Rate for Payer: Priority Health Medicare |
$185.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$267.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.33
|
| Rate for Payer: UHC Medicare Advantage |
$190.89
|
|
|
PR EXCISION VAGINAL SEPTUM
|
Professional
|
Both
|
$1,132.00
|
|
|
Service Code
|
HCPCS 57130
|
| Min. Negotiated Rate |
$111.61 |
| Max. Negotiated Rate |
$2,624.59 |
| Rate for Payer: Aetna Commercial |
$228.95
|
| Rate for Payer: Aetna Medicare |
$177.69
|
| Rate for Payer: BCBS Complete |
$117.19
|
| Rate for Payer: BCBS MAPPO |
$170.86
|
| Rate for Payer: BCBS Trust/PPO |
$2,624.59
|
| Rate for Payer: BCN Commercial |
$342.07
|
| Rate for Payer: BCN Medicare Advantage |
$170.86
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cash Price |
$905.60
|
| Rate for Payer: Cofinity Commercial |
$228.95
|
| Rate for Payer: Cofinity Commercial |
$246.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.86
|
| Rate for Payer: Mclaren Medicaid |
$111.61
|
| Rate for Payer: Meridian Medicaid |
$117.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$179.40
|
| Rate for Payer: PACE SWMI |
$170.86
|
| Rate for Payer: PHP Medicare Advantage |
$170.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$792.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$247.13
|
| Rate for Payer: Priority Health Medicare |
$170.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.86
|
| Rate for Payer: UHC Medicare Advantage |
$175.99
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,454.00
|
|
|
Service Code
|
HCPCS 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$555.50
|
| Rate for Payer: Aetna Medicare |
$431.13
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS MAPPO |
$414.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$414.55
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$596.95
|
| Rate for Payer: Cofinity Commercial |
$555.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.55
|
| Rate for Payer: Mclaren Medicaid |
$271.36
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.28
|
| Rate for Payer: PACE SWMI |
$414.55
|
| Rate for Payer: PHP Medicare Advantage |
$414.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$643.93
|
| Rate for Payer: Priority Health Medicare |
$414.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$414.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$414.55
|
| Rate for Payer: UHC Medicare Advantage |
$426.99
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,454.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$886.79 |
| Max. Negotiated Rate |
$1,308.60 |
| Rate for Payer: Aetna Commercial |
$1,235.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,123.65
|
| Rate for Payer: BCN Commercial |
$1,123.65
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,250.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,163.20
|
| Rate for Payer: Healthscope Commercial |
$1,308.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,090.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,235.90
|
| Rate for Payer: PHP Commercial |
$1,235.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,264.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$886.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,279.52
|
| Rate for Payer: UHC Core |
$1,214.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,090.50
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,454.00
|
|
|
Service Code
|
CPT 27337
|
| Hospital Charge Code |
27337
|
| Min. Negotiated Rate |
$345.32 |
| Max. Negotiated Rate |
$1,957.20 |
| Rate for Payer: Aetna Commercial |
$1,235.90
|
| Rate for Payer: Aetna Medicare |
$378.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$454.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$454.38
|
| Rate for Payer: BCBS Complete |
$1,957.20
|
| Rate for Payer: BCBS MAPPO |
$363.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,130.48
|
| Rate for Payer: BCN Commercial |
$1,130.48
|
| Rate for Payer: BCN Medicare Advantage |
$363.50
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$1,250.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,163.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.50
|
| Rate for Payer: Healthscope Commercial |
$1,308.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,090.50
|
| Rate for Payer: Mclaren Medicaid |
$1,864.00
|
| Rate for Payer: Meridian Medicaid |
$1,957.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$381.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$418.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,235.90
|
| Rate for Payer: PACE Senior Care Partners |
$345.32
|
| Rate for Payer: PACE SWMI |
$363.50
|
| Rate for Payer: PHP Commercial |
$1,235.90
|
| Rate for Payer: PHP Medicare Advantage |
$363.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,864.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,264.98
|
| Rate for Payer: Priority Health Medicare |
$363.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$886.79
|
| Rate for Payer: Railroad Medicare Medicare |
$363.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,279.52
|
| Rate for Payer: UHC Core |
$1,214.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.50
|
| Rate for Payer: UHC Medicare Advantage |
$374.40
|
| Rate for Payer: VA VA |
$363.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,090.50
|
|
|
PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,454.00
|
|
|
Service Code
|
HCPCS 27337
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$1,659.39 |
| Rate for Payer: Aetna Commercial |
$555.50
|
| Rate for Payer: Aetna Medicare |
$431.13
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS MAPPO |
$414.55
|
| Rate for Payer: BCBS Trust/PPO |
$1,659.39
|
| Rate for Payer: BCN Commercial |
$616.23
|
| Rate for Payer: BCN Medicare Advantage |
$414.55
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$596.95
|
| Rate for Payer: Cofinity Commercial |
$555.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$414.55
|
| Rate for Payer: Mclaren Medicaid |
$271.36
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$435.28
|
| Rate for Payer: PACE SWMI |
$414.55
|
| Rate for Payer: PHP Medicare Advantage |
$414.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,017.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$643.93
|
| Rate for Payer: Priority Health Medicare |
$414.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$643.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$414.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$414.55
|
| Rate for Payer: UHC Medicare Advantage |
$426.99
|
|
|
PR EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR
|
Professional
|
Both
|
$1,833.00
|
|
|
Service Code
|
HCPCS 43101
|
| Min. Negotiated Rate |
$263.62 |
| Max. Negotiated Rate |
$1,750.39 |
| Rate for Payer: Aetna Commercial |
$1,331.37
|
| Rate for Payer: Aetna Medicare |
$1,033.30
|
| Rate for Payer: BCBS Complete |
$669.16
|
| Rate for Payer: BCBS MAPPO |
$993.56
|
| Rate for Payer: BCBS Trust/PPO |
$263.62
|
| Rate for Payer: BCN Commercial |
$1,454.79
|
| Rate for Payer: BCN Medicare Advantage |
$993.56
|
| Rate for Payer: Cash Price |
$1,466.40
|
| Rate for Payer: Cash Price |
$1,466.40
|
| Rate for Payer: Cofinity Commercial |
$1,331.37
|
| Rate for Payer: Cofinity Commercial |
$1,430.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$993.56
|
| Rate for Payer: Mclaren Medicaid |
$637.30
|
| Rate for Payer: Meridian Medicaid |
$669.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,043.24
|
| Rate for Payer: PACE SWMI |
$993.56
|
| Rate for Payer: PHP Medicare Advantage |
$993.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,283.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,750.39
|
| Rate for Payer: Priority Health Medicare |
$993.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,750.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$993.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$993.56
|
| Rate for Payer: UHC Medicare Advantage |
$1,023.37
|
|
|
PR EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 67840
|
| Min. Negotiated Rate |
$99.47 |
| Max. Negotiated Rate |
$410.49 |
| Rate for Payer: Aetna Commercial |
$201.74
|
| Rate for Payer: Aetna Medicare |
$156.57
|
| Rate for Payer: BCBS Complete |
$104.44
|
| Rate for Payer: BCBS MAPPO |
$150.55
|
| Rate for Payer: BCBS Trust/PPO |
$337.06
|
| Rate for Payer: BCN Commercial |
$410.49
|
| Rate for Payer: BCN Medicare Advantage |
$150.55
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$201.74
|
| Rate for Payer: Cofinity Commercial |
$216.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.55
|
| Rate for Payer: Mclaren Medicaid |
$99.47
|
| Rate for Payer: Meridian Medicaid |
$104.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$158.08
|
| Rate for Payer: PACE SWMI |
$150.55
|
| Rate for Payer: PHP Medicare Advantage |
$150.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$271.64
|
| Rate for Payer: Priority Health Medicare |
$150.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.55
|
| Rate for Payer: UHC Medicare Advantage |
$155.07
|
|
