|
PR ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS 00866
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
|
|
PR ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC
|
Professional
|
Both
|
$8.00
|
|
|
Service Code
|
HCPCS 00864
|
| Min. Negotiated Rate |
$3.20 |
| Max. Negotiated Rate |
$5.20 |
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.20
|
|
|
PR ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS 00865
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$4.55 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.55
|
|
|
PR ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS 00870
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.25 |
| Rate for Payer: Aetna Medicare |
$2.50
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.25
|
|
|
PR ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS 00868
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$6.50 |
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
|
|
PR ANKLE CONTROL ORTHO PRE OTS
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS L4350
|
| Min. Negotiated Rate |
$38.00 |
| Max. Negotiated Rate |
$167.86 |
| Rate for Payer: Aetna Commercial |
$156.20
|
| Rate for Payer: Aetna Medicare |
$121.23
|
| Rate for Payer: BCBS Complete |
$38.00
|
| Rate for Payer: BCBS MAPPO |
$116.57
|
| Rate for Payer: BCN Medicare Advantage |
$116.57
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cofinity Commercial |
$167.86
|
| Rate for Payer: Cofinity Commercial |
$156.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.40
|
| Rate for Payer: Nomi Health Commercial |
$139.88
|
| Rate for Payer: PACE SWMI |
$116.57
|
| Rate for Payer: PHP Medicare Advantage |
$116.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.75
|
| Rate for Payer: Priority Health Medicare |
$117.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.57
|
| Rate for Payer: UHC Exchange |
$116.57
|
| Rate for Payer: UHC Medicare Advantage |
$116.57
|
|
|
PR ANKLE DISARTICULATION
|
Professional
|
Both
|
$1,336.00
|
|
|
Service Code
|
HCPCS 27889
|
| Min. Negotiated Rate |
$534.40 |
| Max. Negotiated Rate |
$890.35 |
| Rate for Payer: Aetna Commercial |
$828.52
|
| Rate for Payer: Aetna Medicare |
$643.03
|
| Rate for Payer: BCBS Complete |
$534.40
|
| Rate for Payer: BCBS MAPPO |
$618.30
|
| Rate for Payer: BCN Medicare Advantage |
$618.30
|
| Rate for Payer: Cash Price |
$1,068.80
|
| Rate for Payer: Cash Price |
$1,068.80
|
| Rate for Payer: Cofinity Commercial |
$890.35
|
| Rate for Payer: Cofinity Commercial |
$828.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$618.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$649.22
|
| Rate for Payer: Nomi Health Commercial |
$741.96
|
| Rate for Payer: PACE SWMI |
$618.30
|
| Rate for Payer: PHP Medicare Advantage |
$618.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$868.40
|
| Rate for Payer: Priority Health Medicare |
$624.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$618.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$618.30
|
| Rate for Payer: UHC Exchange |
$618.30
|
| Rate for Payer: UHC Medicare Advantage |
$618.30
|
|
|
PR ANN BREAST EXAM
|
Professional
|
Both
|
$20.00
|
|
|
Service Code
|
HCPCS S0613
|
| Min. Negotiated Rate |
$8.00 |
| Max. Negotiated Rate |
$13.00 |
| Rate for Payer: Aetna Medicare |
$10.00
|
| Rate for Payer: BCBS Complete |
$8.00
|
| Rate for Payer: Cash Price |
$16.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.00
|
|
|
PR ANNUAL GYNECOLOGICAL EXAMINA
|
Professional
|
Both
|
$81.00
|
|
|
Service Code
|
HCPCS S0612
|
| Min. Negotiated Rate |
$32.40 |
| Max. Negotiated Rate |
$52.65 |
| Rate for Payer: Aetna Medicare |
$40.50
|
| Rate for Payer: BCBS Complete |
$32.40
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
|
|
PR ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG
|
Professional
|
Both
|
$268.00
|
|
|
Service Code
|
HCPCS 99170
|
| Min. Negotiated Rate |
$80.10 |
| Max. Negotiated Rate |
$174.20 |
| Rate for Payer: Aetna Commercial |
$107.33
|
| Rate for Payer: Aetna Medicare |
$83.30
|
| Rate for Payer: BCBS Complete |
$107.20
|
| Rate for Payer: BCBS MAPPO |
$80.10
|
| Rate for Payer: BCN Medicare Advantage |
$80.10
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cofinity Commercial |
$107.33
|
| Rate for Payer: Cofinity Commercial |
$115.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.11
|
| Rate for Payer: Nomi Health Commercial |
$96.12
|
| Rate for Payer: PACE SWMI |
$80.10
|
| Rate for Payer: PHP Medicare Advantage |
$80.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.20
|
| Rate for Payer: Priority Health Medicare |
$80.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$80.10
|
| Rate for Payer: UHC Exchange |
$80.10
|
| Rate for Payer: UHC Medicare Advantage |
$80.10
|
|
|
PR ANOPLASTY PLASTIC OPERATION STRICTURE ADULT
|
Professional
|
Both
|
$1,349.00
|
|
|
Service Code
|
HCPCS 46700
|
| Min. Negotiated Rate |
$539.60 |
| Max. Negotiated Rate |
$902.85 |
| Rate for Payer: Aetna Commercial |
$840.15
|
| Rate for Payer: Aetna Medicare |
$652.06
|
| Rate for Payer: BCBS Complete |
$539.60
|
| Rate for Payer: BCBS MAPPO |
$626.98
|
| Rate for Payer: BCN Medicare Advantage |
$626.98
|
| Rate for Payer: Cash Price |
$1,079.20
|
| Rate for Payer: Cash Price |
$1,079.20
|
| Rate for Payer: Cofinity Commercial |
$902.85
|
| Rate for Payer: Cofinity Commercial |
$840.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$626.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$658.33
|
| Rate for Payer: Nomi Health Commercial |
$752.38
|
| Rate for Payer: PACE SWMI |
$626.98
|
| Rate for Payer: PHP Medicare Advantage |
$626.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$876.85
|
| Rate for Payer: Priority Health Medicare |
$633.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$626.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$626.98
|
| Rate for Payer: UHC Exchange |
$626.98
|
| Rate for Payer: UHC Medicare Advantage |
$626.98
|
|
|
PR ANOPLASTY PLASTIC OPERATION STRICTURE INFANT
|
Professional
|
Both
|
$1,425.00
|
|
|
Service Code
|
HCPCS 46705
|
| Min. Negotiated Rate |
$552.88 |
| Max. Negotiated Rate |
$926.25 |
| Rate for Payer: Aetna Commercial |
$740.86
|
| Rate for Payer: Aetna Medicare |
$575.00
|
| Rate for Payer: BCBS Complete |
$570.00
|
| Rate for Payer: BCBS MAPPO |
$552.88
|
| Rate for Payer: BCN Medicare Advantage |
$552.88
|
| Rate for Payer: Cash Price |
$1,140.00
|
| Rate for Payer: Cash Price |
$1,140.00
|
| Rate for Payer: Cofinity Commercial |
$796.15
|
| Rate for Payer: Cofinity Commercial |
$740.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$552.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$580.52
|
| Rate for Payer: Nomi Health Commercial |
$663.46
|
| Rate for Payer: PACE SWMI |
$552.88
|
| Rate for Payer: PHP Medicare Advantage |
$552.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$926.25
|
| Rate for Payer: Priority Health Medicare |
$558.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$552.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$552.88
|
| Rate for Payer: UHC Exchange |
$552.88
|
| Rate for Payer: UHC Medicare Advantage |
$552.88
|
|
|
PR ANORECTAL MANOMETRY
|
Professional
|
Both
|
$393.00
|
|
|
Service Code
|
HCPCS 91122
|
| Min. Negotiated Rate |
$157.20 |
| Max. Negotiated Rate |
$355.36 |
| Rate for Payer: Aetna Commercial |
$330.69
|
| Rate for Payer: Aetna Medicare |
$256.65
|
| Rate for Payer: BCBS Complete |
$157.20
|
| Rate for Payer: BCBS MAPPO |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$246.78
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cash Price |
$314.40
|
| Rate for Payer: Cofinity Commercial |
$355.36
|
| Rate for Payer: Cofinity Commercial |
$330.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.12
|
| Rate for Payer: Nomi Health Commercial |
$296.14
|
| Rate for Payer: PACE SWMI |
$246.78
|
| Rate for Payer: PHP Medicare Advantage |
$246.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.45
|
| Rate for Payer: Priority Health Medicare |
$249.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.78
|
| Rate for Payer: UHC Exchange |
$246.78
|
| Rate for Payer: UHC Medicare Advantage |
$246.78
|
|
|
PR ANORECTAL MYOMECTOMY
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 45108
|
| Min. Negotiated Rate |
$363.16 |
| Max. Negotiated Rate |
$1,082.25 |
| Rate for Payer: Aetna Commercial |
$486.63
|
| Rate for Payer: Aetna Medicare |
$377.69
|
| Rate for Payer: BCBS Complete |
$666.00
|
| Rate for Payer: BCBS MAPPO |
$363.16
|
| Rate for Payer: BCN Medicare Advantage |
$363.16
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$522.95
|
| Rate for Payer: Cofinity Commercial |
$486.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.32
|
| Rate for Payer: Nomi Health Commercial |
$435.79
|
| Rate for Payer: PACE SWMI |
$363.16
|
| Rate for Payer: PHP Medicare Advantage |
$363.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health Medicare |
$366.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.16
|
| Rate for Payer: UHC Exchange |
$363.16
|
| Rate for Payer: UHC Medicare Advantage |
$363.16
|
|
|
PR ANOSCOPY ABLATION LESION
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 46615
|
| Min. Negotiated Rate |
$86.25 |
| Max. Negotiated Rate |
$435.50 |
| Rate for Payer: Aetna Commercial |
$115.58
|
| Rate for Payer: Aetna Medicare |
$89.70
|
| Rate for Payer: BCBS Complete |
$268.00
|
| Rate for Payer: BCBS MAPPO |
$86.25
|
| Rate for Payer: BCN Medicare Advantage |
$86.25
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$124.20
|
| Rate for Payer: Cofinity Commercial |
$115.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.56
|
| Rate for Payer: Nomi Health Commercial |
$103.50
|
| Rate for Payer: PACE SWMI |
$86.25
|
| Rate for Payer: PHP Medicare Advantage |
$86.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$435.50
|
| Rate for Payer: Priority Health Medicare |
$87.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.25
|
| Rate for Payer: UHC Exchange |
$86.25
|
| Rate for Payer: UHC Medicare Advantage |
$86.25
|
|
|
PR ANOSCOPY CONTROL BLEEDING
|
Professional
|
Both
|
$639.00
|
|
|
Service Code
|
HCPCS 46614
|
| Min. Negotiated Rate |
$61.70 |
| Max. Negotiated Rate |
$415.35 |
| Rate for Payer: Aetna Commercial |
$82.68
|
| Rate for Payer: Aetna Medicare |
$64.17
|
| Rate for Payer: BCBS Complete |
$255.60
|
| Rate for Payer: BCBS MAPPO |
$61.70
|
| Rate for Payer: BCN Medicare Advantage |
$61.70
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cash Price |
$511.20
|
| Rate for Payer: Cofinity Commercial |
$88.85
|
| Rate for Payer: Cofinity Commercial |
$82.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.78
|
| Rate for Payer: Nomi Health Commercial |
$74.04
|
| Rate for Payer: PACE SWMI |
$61.70
|
| Rate for Payer: PHP Medicare Advantage |
$61.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$415.35
|
| Rate for Payer: Priority Health Medicare |
$62.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$61.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.70
|
| Rate for Payer: UHC Exchange |
$61.70
|
| Rate for Payer: UHC Medicare Advantage |
$61.70
|
|
|
PR ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD
|
Professional
|
Both
|
$245.00
|
|
|
Service Code
|
HCPCS 46600
|
| Min. Negotiated Rate |
$39.10 |
| Max. Negotiated Rate |
$159.25 |
| Rate for Payer: Aetna Commercial |
$52.39
|
| Rate for Payer: Aetna Medicare |
$40.66
|
| Rate for Payer: BCBS Complete |
$98.00
|
| Rate for Payer: BCBS MAPPO |
$39.10
|
| Rate for Payer: BCN Medicare Advantage |
$39.10
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cofinity Commercial |
$56.30
|
| Rate for Payer: Cofinity Commercial |
$52.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.05
|
| Rate for Payer: Nomi Health Commercial |
$46.92
|
| Rate for Payer: PACE SWMI |
$39.10
|
| Rate for Payer: PHP Medicare Advantage |
$39.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$159.25
|
| Rate for Payer: Priority Health Medicare |
$39.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.10
|
| Rate for Payer: UHC Exchange |
$39.10
|
| Rate for Payer: UHC Medicare Advantage |
$39.10
|
|
|
PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 46601
|
| Min. Negotiated Rate |
$89.19 |
| Max. Negotiated Rate |
$176.80 |
| Rate for Payer: Aetna Commercial |
$119.51
|
| Rate for Payer: Aetna Medicare |
$92.76
|
| Rate for Payer: BCBS Complete |
$108.80
|
| Rate for Payer: BCBS MAPPO |
$89.19
|
| Rate for Payer: BCN Medicare Advantage |
$89.19
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cofinity Commercial |
$128.43
|
| Rate for Payer: Cofinity Commercial |
$119.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.65
|
| Rate for Payer: Nomi Health Commercial |
$107.03
|
| Rate for Payer: PACE SWMI |
$89.19
|
| Rate for Payer: PHP Medicare Advantage |
$89.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health Medicare |
$90.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.19
|
| Rate for Payer: UHC Exchange |
$89.19
|
| Rate for Payer: UHC Medicare Advantage |
$89.19
|
|
|
PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX
|
Professional
|
Both
|
$288.00
|
|
|
Service Code
|
HCPCS 46607
|
| Min. Negotiated Rate |
$115.20 |
| Max. Negotiated Rate |
$187.20 |
| Rate for Payer: Aetna Commercial |
$158.28
|
| Rate for Payer: Aetna Medicare |
$122.84
|
| Rate for Payer: BCBS Complete |
$115.20
|
| Rate for Payer: BCBS MAPPO |
$118.12
|
| Rate for Payer: BCN Medicare Advantage |
$118.12
|
| Rate for Payer: Cash Price |
$230.40
|
| Rate for Payer: Cash Price |
$230.40
|
| Rate for Payer: Cofinity Commercial |
$170.09
|
| Rate for Payer: Cofinity Commercial |
$158.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$118.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$124.03
|
| Rate for Payer: Nomi Health Commercial |
$141.74
|
| Rate for Payer: PACE SWMI |
$118.12
|
| Rate for Payer: PHP Medicare Advantage |
$118.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.20
|
| Rate for Payer: Priority Health Medicare |
$119.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$118.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$118.12
|
| Rate for Payer: UHC Exchange |
$118.12
|
| Rate for Payer: UHC Medicare Advantage |
$118.12
|
|
|
PR ANOSCOPY W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 46606
|
| Min. Negotiated Rate |
$72.42 |
| Max. Negotiated Rate |
$238.55 |
| Rate for Payer: Aetna Commercial |
$97.04
|
| Rate for Payer: Aetna Medicare |
$75.32
|
| Rate for Payer: BCBS Complete |
$146.80
|
| Rate for Payer: BCBS MAPPO |
$72.42
|
| Rate for Payer: BCN Medicare Advantage |
$72.42
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$97.04
|
| Rate for Payer: Cofinity Commercial |
$104.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.04
|
| Rate for Payer: Nomi Health Commercial |
$86.90
|
| Rate for Payer: PACE SWMI |
$72.42
|
| Rate for Payer: PHP Medicare Advantage |
$72.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health Medicare |
$73.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.42
|
| Rate for Payer: UHC Exchange |
$72.42
|
| Rate for Payer: UHC Medicare Advantage |
$72.42
|
|
|
PR ANOSCOPY W/DILATION
|
Professional
|
Both
|
$1,006.00
|
|
|
Service Code
|
HCPCS 46604
|
| Min. Negotiated Rate |
$62.67 |
| Max. Negotiated Rate |
$653.90 |
| Rate for Payer: Aetna Commercial |
$83.98
|
| Rate for Payer: Aetna Medicare |
$65.18
|
| Rate for Payer: BCBS Complete |
$402.40
|
| Rate for Payer: BCBS MAPPO |
$62.67
|
| Rate for Payer: BCN Medicare Advantage |
$62.67
|
| Rate for Payer: Cash Price |
$804.80
|
| Rate for Payer: Cash Price |
$804.80
|
| Rate for Payer: Cofinity Commercial |
$90.24
|
| Rate for Payer: Cofinity Commercial |
$83.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.80
|
| Rate for Payer: Nomi Health Commercial |
$75.20
|
| Rate for Payer: PACE SWMI |
$62.67
|
| Rate for Payer: PHP Medicare Advantage |
$62.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$653.90
|
| Rate for Payer: Priority Health Medicare |
$63.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.67
|
| Rate for Payer: UHC Exchange |
$62.67
|
| Rate for Payer: UHC Medicare Advantage |
$62.67
|
|
|
PR ANOSCOPY W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$356.00
|
|
|
Service Code
|
HCPCS 46608
|
| Min. Negotiated Rate |
$82.06 |
| Max. Negotiated Rate |
$231.40 |
| Rate for Payer: Aetna Commercial |
$109.96
|
| Rate for Payer: Aetna Medicare |
$85.34
|
| Rate for Payer: BCBS Complete |
$142.40
|
| Rate for Payer: BCBS MAPPO |
$82.06
|
| Rate for Payer: BCN Medicare Advantage |
$82.06
|
| Rate for Payer: Cash Price |
$284.80
|
| Rate for Payer: Cash Price |
$284.80
|
| Rate for Payer: Cofinity Commercial |
$118.17
|
| Rate for Payer: Cofinity Commercial |
$109.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.16
|
| Rate for Payer: Nomi Health Commercial |
$98.47
|
| Rate for Payer: PACE SWMI |
$82.06
|
| Rate for Payer: PHP Medicare Advantage |
$82.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$231.40
|
| Rate for Payer: Priority Health Medicare |
$82.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$82.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.06
|
| Rate for Payer: UHC Exchange |
$82.06
|
| Rate for Payer: UHC Medicare Advantage |
$82.06
|
|
|
PR ANOSCOPY W/RMVL LESION CAUTERY
|
Professional
|
Both
|
$574.00
|
|
|
Service Code
|
HCPCS 46610
|
| Min. Negotiated Rate |
$76.95 |
| Max. Negotiated Rate |
$373.10 |
| Rate for Payer: Aetna Commercial |
$103.11
|
| Rate for Payer: Aetna Medicare |
$80.03
|
| Rate for Payer: BCBS Complete |
$229.60
|
| Rate for Payer: BCBS MAPPO |
$76.95
|
| Rate for Payer: BCN Medicare Advantage |
$76.95
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cofinity Commercial |
$110.81
|
| Rate for Payer: Cofinity Commercial |
$103.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.80
|
| Rate for Payer: Nomi Health Commercial |
$92.34
|
| Rate for Payer: PACE SWMI |
$76.95
|
| Rate for Payer: PHP Medicare Advantage |
$76.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.10
|
| Rate for Payer: Priority Health Medicare |
$77.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.95
|
| Rate for Payer: UHC Exchange |
$76.95
|
| Rate for Payer: UHC Medicare Advantage |
$76.95
|
|
|
PR ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ
|
Professional
|
Both
|
$574.00
|
|
|
Service Code
|
HCPCS 46611
|
| Min. Negotiated Rate |
$76.83 |
| Max. Negotiated Rate |
$373.10 |
| Rate for Payer: Aetna Commercial |
$102.95
|
| Rate for Payer: Aetna Medicare |
$79.90
|
| Rate for Payer: BCBS Complete |
$229.60
|
| Rate for Payer: BCBS MAPPO |
$76.83
|
| Rate for Payer: BCN Medicare Advantage |
$76.83
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cash Price |
$459.20
|
| Rate for Payer: Cofinity Commercial |
$110.64
|
| Rate for Payer: Cofinity Commercial |
$102.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.67
|
| Rate for Payer: Nomi Health Commercial |
$92.20
|
| Rate for Payer: PACE SWMI |
$76.83
|
| Rate for Payer: PHP Medicare Advantage |
$76.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$373.10
|
| Rate for Payer: Priority Health Medicare |
$77.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$76.83
|
| Rate for Payer: UHC Exchange |
$76.83
|
| Rate for Payer: UHC Medicare Advantage |
$76.83
|
|
|
PR ANOSC RMVL MULT TUMORS CAUTERY/SNARE
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 46612
|
| Min. Negotiated Rate |
$92.78 |
| Max. Negotiated Rate |
$435.50 |
| Rate for Payer: Aetna Commercial |
$124.33
|
| Rate for Payer: Aetna Medicare |
$96.49
|
| Rate for Payer: BCBS Complete |
$268.00
|
| Rate for Payer: BCBS MAPPO |
$92.78
|
| Rate for Payer: BCN Medicare Advantage |
$92.78
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$133.60
|
| Rate for Payer: Cofinity Commercial |
$124.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.42
|
| Rate for Payer: Nomi Health Commercial |
$111.34
|
| Rate for Payer: PACE SWMI |
$92.78
|
| Rate for Payer: PHP Medicare Advantage |
$92.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$435.50
|
| Rate for Payer: Priority Health Medicare |
$93.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.78
|
| Rate for Payer: UHC Exchange |
$92.78
|
| Rate for Payer: UHC Medicare Advantage |
$92.78
|
|
