|
PR HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX
|
Professional
|
Both
|
$584.00
|
|
|
Service Code
|
HCPCS 90937
|
| Min. Negotiated Rate |
$64.33 |
| Max. Negotiated Rate |
$408.80 |
| Rate for Payer: Aetna Commercial |
$133.53
|
| Rate for Payer: Aetna Medicare |
$103.64
|
| Rate for Payer: BCBS Complete |
$67.55
|
| Rate for Payer: BCBS MAPPO |
$99.65
|
| Rate for Payer: BCBS Trust/PPO |
$314.34
|
| Rate for Payer: BCN Commercial |
$146.60
|
| Rate for Payer: BCN Medicare Advantage |
$99.65
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cash Price |
$467.20
|
| Rate for Payer: Cofinity Commercial |
$143.50
|
| Rate for Payer: Cofinity Commercial |
$133.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.65
|
| Rate for Payer: Mclaren Medicaid |
$64.33
|
| Rate for Payer: Meridian Medicaid |
$67.55
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$104.63
|
| Rate for Payer: PACE SWMI |
$99.65
|
| Rate for Payer: PHP Medicare Advantage |
$99.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$408.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$134.74
|
| Rate for Payer: Priority Health Medicare |
$99.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$134.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.65
|
| Rate for Payer: UHC Medicare Advantage |
$102.64
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Facility
|
IP
|
$407.00
|
|
|
Service Code
|
CPT 46221
|
| Hospital Charge Code |
46221
|
| Min. Negotiated Rate |
$248.23 |
| Max. Negotiated Rate |
$366.30 |
| Rate for Payer: Aetna Commercial |
$345.95
|
| Rate for Payer: BCBS Trust/PPO |
$314.53
|
| Rate for Payer: BCN Commercial |
$314.53
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cofinity Commercial |
$350.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.60
|
| Rate for Payer: Healthscope Commercial |
$366.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$305.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$345.95
|
| Rate for Payer: PHP Commercial |
$345.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$354.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.16
|
| Rate for Payer: UHC Core |
$339.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$305.25
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Professional
|
Both
|
$407.00
|
|
|
Service Code
|
HCPCS 46221
|
| Hospital Charge Code |
46221
|
| Min. Negotiated Rate |
$123.54 |
| Max. Negotiated Rate |
$1,246.26 |
| Rate for Payer: Aetna Commercial |
$250.85
|
| Rate for Payer: Aetna Medicare |
$194.69
|
| Rate for Payer: BCBS Complete |
$129.72
|
| Rate for Payer: BCBS MAPPO |
$187.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,246.26
|
| Rate for Payer: BCN Commercial |
$335.33
|
| Rate for Payer: BCN Medicare Advantage |
$187.20
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cofinity Commercial |
$269.57
|
| Rate for Payer: Cofinity Commercial |
$250.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.20
|
| Rate for Payer: Mclaren Medicaid |
$123.54
|
| Rate for Payer: Meridian Medicaid |
$129.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$196.56
|
| Rate for Payer: PACE SWMI |
$187.20
|
| Rate for Payer: PHP Medicare Advantage |
$187.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$339.26
|
| Rate for Payer: Priority Health Medicare |
$187.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$339.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.20
|
| Rate for Payer: UHC Medicare Advantage |
$192.82
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Professional
|
Both
|
$407.00
|
|
|
Service Code
|
HCPCS 46221
|
| Min. Negotiated Rate |
$123.54 |
| Max. Negotiated Rate |
$1,246.26 |
| Rate for Payer: Aetna Commercial |
$250.85
|
| Rate for Payer: Aetna Medicare |
$194.69
|
| Rate for Payer: BCBS Complete |
$129.72
|
| Rate for Payer: BCBS MAPPO |
$187.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,246.26
|
| Rate for Payer: BCN Commercial |
$335.33
|
| Rate for Payer: BCN Medicare Advantage |
$187.20
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cofinity Commercial |
$269.57
|
| Rate for Payer: Cofinity Commercial |
$250.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.20
|
| Rate for Payer: Mclaren Medicaid |
$123.54
|
| Rate for Payer: Meridian Medicaid |
$129.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$196.56
|
| Rate for Payer: PACE SWMI |
$187.20
|
| Rate for Payer: PHP Medicare Advantage |
$187.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$339.26
|
| Rate for Payer: Priority Health Medicare |
$187.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$339.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.20
|
| Rate for Payer: UHC Medicare Advantage |
$192.82
|
|
|
PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS
|
Facility
|
OP
|
$407.00
|
|
|
Service Code
|
CPT 46221
|
| Hospital Charge Code |
46221
|
| Min. Negotiated Rate |
$96.66 |
| Max. Negotiated Rate |
$629.53 |
| Rate for Payer: Aetna Commercial |
$345.95
|
| Rate for Payer: Aetna Medicare |
$105.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$127.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$127.19
|
| Rate for Payer: BCBS Complete |
$629.53
|
| Rate for Payer: BCBS MAPPO |
$101.75
|
| Rate for Payer: BCBS Trust/PPO |
$316.44
|
| Rate for Payer: BCN Commercial |
$316.44
|
| Rate for Payer: BCN Medicare Advantage |
$101.75
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cash Price |
$325.60
|
| Rate for Payer: Cofinity Commercial |
$350.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.75
|
| Rate for Payer: Healthscope Commercial |
$366.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$305.25
|
| Rate for Payer: Mclaren Medicaid |
$599.55
|
| Rate for Payer: Meridian Medicaid |
$629.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$106.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$117.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$345.95
|
| Rate for Payer: PACE Senior Care Partners |
$96.66
|
| Rate for Payer: PACE SWMI |
$101.75
|
| Rate for Payer: PHP Commercial |
$345.95
|
| Rate for Payer: PHP Medicare Advantage |
$101.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$284.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$354.09
|
| Rate for Payer: Priority Health Medicare |
$101.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.23
|
| Rate for Payer: Railroad Medicare Medicare |
$101.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.16
|
| Rate for Payer: UHC Core |
$339.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.75
|
| Rate for Payer: UHC Medicare Advantage |
$104.80
|
| Rate for Payer: VA VA |
$101.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$305.25
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Professional
|
Both
|
$1,582.00
|
|
|
Service Code
|
HCPCS 46260
|
| Min. Negotiated Rate |
$310.13 |
| Max. Negotiated Rate |
$2,501.50 |
| Rate for Payer: Aetna Commercial |
$635.94
|
| Rate for Payer: Aetna Medicare |
$493.56
|
| Rate for Payer: BCBS Complete |
$325.64
|
| Rate for Payer: BCBS MAPPO |
$474.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,501.50
|
| Rate for Payer: BCN Commercial |
$707.61
|
| Rate for Payer: BCN Medicare Advantage |
$474.58
|
| Rate for Payer: Cash Price |
$1,265.60
|
| Rate for Payer: Cash Price |
$1,265.60
|
| Rate for Payer: Cofinity Commercial |
$683.40
|
| Rate for Payer: Cofinity Commercial |
$635.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$474.58
|
| Rate for Payer: Mclaren Medicaid |
$310.13
|
| Rate for Payer: Meridian Medicaid |
$325.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$498.31
|
| Rate for Payer: PACE SWMI |
$474.58
|
| Rate for Payer: PHP Medicare Advantage |
$474.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$310.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,107.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$851.39
|
| Rate for Payer: Priority Health Medicare |
$474.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$851.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$474.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$474.58
|
| Rate for Payer: UHC Medicare Advantage |
$488.82
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Professional
|
Both
|
$1,582.00
|
|
|
Service Code
|
HCPCS 46260
|
| Hospital Charge Code |
46260
|
| Min. Negotiated Rate |
$310.13 |
| Max. Negotiated Rate |
$2,501.50 |
| Rate for Payer: Aetna Commercial |
$635.94
|
| Rate for Payer: Aetna Medicare |
$493.56
|
| Rate for Payer: BCBS Complete |
$325.64
|
| Rate for Payer: BCBS MAPPO |
$474.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,501.50
|
| Rate for Payer: BCN Commercial |
$707.61
|
| Rate for Payer: BCN Medicare Advantage |
$474.58
|
| Rate for Payer: Cash Price |
$1,265.60
|
| Rate for Payer: Cash Price |
$1,265.60
|
| Rate for Payer: Cofinity Commercial |
$683.40
|
| Rate for Payer: Cofinity Commercial |
$635.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$474.58
|
| Rate for Payer: Mclaren Medicaid |
$310.13
|
| Rate for Payer: Meridian Medicaid |
$325.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$498.31
|
| Rate for Payer: PACE SWMI |
$474.58
|
| Rate for Payer: PHP Medicare Advantage |
$474.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$310.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,107.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$851.39
|
| Rate for Payer: Priority Health Medicare |
$474.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$851.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$474.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$474.58
|
| Rate for Payer: UHC Medicare Advantage |
$488.82
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Facility
|
IP
|
$1,582.00
|
|
|
Service Code
|
CPT 46260
|
| Hospital Charge Code |
46260
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$964.86 |
| Max. Negotiated Rate |
$1,423.80 |
| Rate for Payer: Aetna Commercial |
$1,344.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,222.57
|
| Rate for Payer: BCN Commercial |
$1,222.57
|
| Rate for Payer: Cash Price |
$1,265.60
|
| Rate for Payer: Cofinity Commercial |
$1,360.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,265.60
|
| Rate for Payer: Healthscope Commercial |
$1,423.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,186.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,344.70
|
| Rate for Payer: PHP Commercial |
$1,344.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,107.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,376.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$964.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,392.16
|
| Rate for Payer: UHC Core |
$1,320.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,186.50
|
|
|
PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO
|
Facility
|
OP
|
$1,582.00
|
|
|
Service Code
|
CPT 46260
|
| Hospital Charge Code |
46260
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$375.72 |
| Max. Negotiated Rate |
$1,933.98 |
| Rate for Payer: Aetna Commercial |
$1,344.70
|
| Rate for Payer: Aetna Medicare |
$411.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$494.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$494.38
|
| Rate for Payer: BCBS Complete |
$1,933.98
|
| Rate for Payer: BCBS MAPPO |
$395.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,230.00
|
| Rate for Payer: BCN Commercial |
$1,230.00
|
| Rate for Payer: BCN Medicare Advantage |
$395.50
|
| Rate for Payer: Cash Price |
$1,265.60
|
| Rate for Payer: Cash Price |
$1,265.60
|
| Rate for Payer: Cofinity Commercial |
$1,360.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,265.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.50
|
| Rate for Payer: Healthscope Commercial |
$1,423.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,186.50
|
| Rate for Payer: Mclaren Medicaid |
$1,841.89
|
| Rate for Payer: Meridian Medicaid |
$1,933.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$415.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$454.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,344.70
|
| Rate for Payer: PACE Senior Care Partners |
$375.72
|
| Rate for Payer: PACE SWMI |
$395.50
|
| Rate for Payer: PHP Commercial |
$1,344.70
|
| Rate for Payer: PHP Medicare Advantage |
$395.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,841.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,107.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,376.34
|
| Rate for Payer: Priority Health Medicare |
$395.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$964.86
|
| Rate for Payer: Railroad Medicare Medicare |
$395.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,392.16
|
| Rate for Payer: UHC Core |
$1,320.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$395.50
|
| Rate for Payer: UHC Medicare Advantage |
$407.36
|
| Rate for Payer: VA VA |
$395.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,186.50
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Facility
|
OP
|
$1,076.00
|
|
|
Service Code
|
CPT 46255
|
| Hospital Charge Code |
46255
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$255.55 |
| Max. Negotiated Rate |
$1,933.98 |
| Rate for Payer: Aetna Commercial |
$914.60
|
| Rate for Payer: Aetna Medicare |
$279.76
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$336.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$336.25
|
| Rate for Payer: BCBS Complete |
$1,933.98
|
| Rate for Payer: BCBS MAPPO |
$269.00
|
| Rate for Payer: BCBS Trust/PPO |
$836.59
|
| Rate for Payer: BCN Commercial |
$836.59
|
| Rate for Payer: BCN Medicare Advantage |
$269.00
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cofinity Commercial |
$925.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$269.00
|
| Rate for Payer: Healthscope Commercial |
$968.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$807.00
|
| Rate for Payer: Mclaren Medicaid |
$1,841.89
|
| Rate for Payer: Meridian Medicaid |
$1,933.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$282.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$309.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.60
|
| Rate for Payer: PACE Senior Care Partners |
$255.55
|
| Rate for Payer: PACE SWMI |
$269.00
|
| Rate for Payer: PHP Commercial |
$914.60
|
| Rate for Payer: PHP Medicare Advantage |
$269.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,841.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$936.12
|
| Rate for Payer: Priority Health Medicare |
$269.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.25
|
| Rate for Payer: Railroad Medicare Medicare |
$269.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$946.88
|
| Rate for Payer: UHC Core |
$898.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$269.00
|
| Rate for Payer: UHC Medicare Advantage |
$277.07
|
| Rate for Payer: VA VA |
$269.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$807.00
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Facility
|
IP
|
$1,076.00
|
|
|
Service Code
|
CPT 46255
|
| Hospital Charge Code |
46255
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$656.25 |
| Max. Negotiated Rate |
$968.40 |
| Rate for Payer: Aetna Commercial |
$914.60
|
| Rate for Payer: BCBS Trust/PPO |
$831.53
|
| Rate for Payer: BCN Commercial |
$831.53
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cofinity Commercial |
$925.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$860.80
|
| Rate for Payer: Healthscope Commercial |
$968.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$807.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$914.60
|
| Rate for Payer: PHP Commercial |
$914.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$936.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$946.88
|
| Rate for Payer: UHC Core |
$898.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$807.00
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Professional
|
Both
|
$1,076.00
|
|
|
Service Code
|
HCPCS 46255
|
| Hospital Charge Code |
46255
|
| Min. Negotiated Rate |
$228.34 |
| Max. Negotiated Rate |
$2,489.35 |
| Rate for Payer: Aetna Commercial |
$468.25
|
| Rate for Payer: Aetna Medicare |
$363.42
|
| Rate for Payer: BCBS Complete |
$239.76
|
| Rate for Payer: BCBS MAPPO |
$349.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,489.35
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$349.44
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cofinity Commercial |
$503.19
|
| Rate for Payer: Cofinity Commercial |
$468.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.44
|
| Rate for Payer: Mclaren Medicaid |
$228.34
|
| Rate for Payer: Meridian Medicaid |
$239.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$366.91
|
| Rate for Payer: PACE SWMI |
$349.44
|
| Rate for Payer: PHP Medicare Advantage |
$349.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$627.37
|
| Rate for Payer: Priority Health Medicare |
$349.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$627.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$349.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.44
|
| Rate for Payer: UHC Medicare Advantage |
$359.92
|
|
|
PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP
|
Professional
|
Both
|
$1,076.00
|
|
|
Service Code
|
HCPCS 46255
|
| Min. Negotiated Rate |
$228.34 |
| Max. Negotiated Rate |
$2,489.35 |
| Rate for Payer: Aetna Commercial |
$468.25
|
| Rate for Payer: Aetna Medicare |
$363.42
|
| Rate for Payer: BCBS Complete |
$239.76
|
| Rate for Payer: BCBS MAPPO |
$349.44
|
| Rate for Payer: BCBS Trust/PPO |
$2,489.35
|
| Rate for Payer: BCN Commercial |
$766.73
|
| Rate for Payer: BCN Medicare Advantage |
$349.44
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cofinity Commercial |
$503.19
|
| Rate for Payer: Cofinity Commercial |
$468.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$349.44
|
| Rate for Payer: Mclaren Medicaid |
$228.34
|
| Rate for Payer: Meridian Medicaid |
$239.76
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$366.91
|
| Rate for Payer: PACE SWMI |
$349.44
|
| Rate for Payer: PHP Medicare Advantage |
$349.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$228.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$753.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$627.37
|
| Rate for Payer: Priority Health Medicare |
$349.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$627.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$349.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$349.44
|
| Rate for Payer: UHC Medicare Advantage |
$359.92
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Facility
|
OP
|
$1,107.00
|
|
|
Service Code
|
CPT 46250
|
| Hospital Charge Code |
46250
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$262.91 |
| Max. Negotiated Rate |
$1,933.98 |
| Rate for Payer: Aetna Commercial |
$940.95
|
| Rate for Payer: Aetna Medicare |
$287.82
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$345.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$345.94
|
| Rate for Payer: BCBS Complete |
$1,933.98
|
| Rate for Payer: BCBS MAPPO |
$276.75
|
| Rate for Payer: BCBS Trust/PPO |
$860.69
|
| Rate for Payer: BCN Commercial |
$860.69
|
| Rate for Payer: BCN Medicare Advantage |
$276.75
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$952.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$276.75
|
| Rate for Payer: Healthscope Commercial |
$996.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$830.25
|
| Rate for Payer: Mclaren Medicaid |
$1,841.89
|
| Rate for Payer: Meridian Medicaid |
$1,933.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$290.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$318.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$940.95
|
| Rate for Payer: PACE Senior Care Partners |
$262.91
|
| Rate for Payer: PACE SWMI |
$276.75
|
| Rate for Payer: PHP Commercial |
$940.95
|
| Rate for Payer: PHP Medicare Advantage |
$276.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,841.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$963.09
|
| Rate for Payer: Priority Health Medicare |
$276.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$675.16
|
| Rate for Payer: Railroad Medicare Medicare |
$276.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$974.16
|
| Rate for Payer: UHC Core |
$924.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$276.75
|
| Rate for Payer: UHC Medicare Advantage |
$285.05
|
| Rate for Payer: VA VA |
$276.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$830.25
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Professional
|
Both
|
$1,107.00
|
|
|
Service Code
|
HCPCS 46250
|
| Hospital Charge Code |
46250
|
| Min. Negotiated Rate |
$205.12 |
| Max. Negotiated Rate |
$1,253.13 |
| Rate for Payer: Aetna Commercial |
$419.39
|
| Rate for Payer: Aetna Medicare |
$325.50
|
| Rate for Payer: BCBS Complete |
$215.38
|
| Rate for Payer: BCBS MAPPO |
$312.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.13
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$312.98
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$450.69
|
| Rate for Payer: Cofinity Commercial |
$419.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.98
|
| Rate for Payer: Mclaren Medicaid |
$205.12
|
| Rate for Payer: Meridian Medicaid |
$215.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$328.63
|
| Rate for Payer: PACE SWMI |
$312.98
|
| Rate for Payer: PHP Medicare Advantage |
$312.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$563.28
|
| Rate for Payer: Priority Health Medicare |
$312.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$563.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$312.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$312.98
|
| Rate for Payer: UHC Medicare Advantage |
$322.37
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Facility
|
IP
|
$1,107.00
|
|
|
Service Code
|
CPT 46250
|
| Hospital Charge Code |
46250
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$675.16 |
| Max. Negotiated Rate |
$996.30 |
| Rate for Payer: Aetna Commercial |
$940.95
|
| Rate for Payer: BCBS Trust/PPO |
$855.49
|
| Rate for Payer: BCN Commercial |
$855.49
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$952.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$885.60
|
| Rate for Payer: Healthscope Commercial |
$996.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$830.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$940.95
|
| Rate for Payer: PHP Commercial |
$940.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$963.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$675.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$974.16
|
| Rate for Payer: UHC Core |
$924.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$830.25
|
|
|
PR HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP
|
Professional
|
Both
|
$1,107.00
|
|
|
Service Code
|
HCPCS 46250
|
| Min. Negotiated Rate |
$205.12 |
| Max. Negotiated Rate |
$1,253.13 |
| Rate for Payer: Aetna Commercial |
$419.39
|
| Rate for Payer: Aetna Medicare |
$325.50
|
| Rate for Payer: BCBS Complete |
$215.38
|
| Rate for Payer: BCBS MAPPO |
$312.98
|
| Rate for Payer: BCBS Trust/PPO |
$1,253.13
|
| Rate for Payer: BCN Commercial |
$704.18
|
| Rate for Payer: BCN Medicare Advantage |
$312.98
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cash Price |
$885.60
|
| Rate for Payer: Cofinity Commercial |
$450.69
|
| Rate for Payer: Cofinity Commercial |
$419.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$312.98
|
| Rate for Payer: Mclaren Medicaid |
$205.12
|
| Rate for Payer: Meridian Medicaid |
$215.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$328.63
|
| Rate for Payer: PACE SWMI |
$312.98
|
| Rate for Payer: PHP Medicare Advantage |
$312.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$774.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$563.28
|
| Rate for Payer: Priority Health Medicare |
$312.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$563.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$312.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$312.98
|
| Rate for Payer: UHC Medicare Advantage |
$322.37
|
|
|
PR HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO
|
Professional
|
Both
|
$728.00
|
|
|
Service Code
|
HCPCS 46257
|
| Min. Negotiated Rate |
$267.95 |
| Max. Negotiated Rate |
$1,554.26 |
| Rate for Payer: Aetna Commercial |
$545.58
|
| Rate for Payer: Aetna Medicare |
$423.44
|
| Rate for Payer: BCBS Complete |
$281.35
|
| Rate for Payer: BCBS MAPPO |
$407.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,554.26
|
| Rate for Payer: BCN Commercial |
$610.36
|
| Rate for Payer: BCN Medicare Advantage |
$407.15
|
| Rate for Payer: Cash Price |
$582.40
|
| Rate for Payer: Cash Price |
$582.40
|
| Rate for Payer: Cofinity Commercial |
$586.30
|
| Rate for Payer: Cofinity Commercial |
$545.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$407.15
|
| Rate for Payer: Mclaren Medicaid |
$267.95
|
| Rate for Payer: Meridian Medicaid |
$281.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$427.51
|
| Rate for Payer: PACE SWMI |
$407.15
|
| Rate for Payer: PHP Medicare Advantage |
$407.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$509.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$734.38
|
| Rate for Payer: Priority Health Medicare |
$407.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$734.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$407.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$407.15
|
| Rate for Payer: UHC Medicare Advantage |
$419.36
|
|
|
PR HEMORRHOIDOPEXY STAPLING
|
Professional
|
Both
|
$633.00
|
|
|
Service Code
|
HCPCS 46947
|
| Min. Negotiated Rate |
$250.91 |
| Max. Negotiated Rate |
$2,172.37 |
| Rate for Payer: Aetna Commercial |
$514.18
|
| Rate for Payer: Aetna Medicare |
$399.07
|
| Rate for Payer: BCBS Complete |
$263.46
|
| Rate for Payer: BCBS MAPPO |
$383.72
|
| Rate for Payer: BCBS Trust/PPO |
$2,172.37
|
| Rate for Payer: BCN Commercial |
$570.29
|
| Rate for Payer: BCN Medicare Advantage |
$383.72
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cash Price |
$506.40
|
| Rate for Payer: Cofinity Commercial |
$552.56
|
| Rate for Payer: Cofinity Commercial |
$514.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$383.72
|
| Rate for Payer: Mclaren Medicaid |
$250.91
|
| Rate for Payer: Meridian Medicaid |
$263.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$402.91
|
| Rate for Payer: PACE SWMI |
$383.72
|
| Rate for Payer: PHP Medicare Advantage |
$383.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$443.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$686.16
|
| Rate for Payer: Priority Health Medicare |
$383.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$686.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$383.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$383.72
|
| Rate for Payer: UHC Medicare Advantage |
$395.23
|
|
|
PR HEPATECTOMY RESCJ PARTIAL LOBECTOMY
|
Professional
|
Both
|
$4,542.00
|
|
|
Service Code
|
HCPCS 47120
|
| Min. Negotiated Rate |
$1,489.08 |
| Max. Negotiated Rate |
$4,093.47 |
| Rate for Payer: Aetna Commercial |
$3,108.38
|
| Rate for Payer: Aetna Medicare |
$2,412.48
|
| Rate for Payer: BCBS Complete |
$1,563.53
|
| Rate for Payer: BCBS MAPPO |
$2,319.69
|
| Rate for Payer: BCBS Trust/PPO |
$2,491.46
|
| Rate for Payer: BCN Commercial |
$3,402.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,319.69
|
| Rate for Payer: Cash Price |
$3,633.60
|
| Rate for Payer: Cash Price |
$3,633.60
|
| Rate for Payer: Cofinity Commercial |
$3,340.35
|
| Rate for Payer: Cofinity Commercial |
$3,108.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,319.69
|
| Rate for Payer: Mclaren Medicaid |
$1,489.08
|
| Rate for Payer: Meridian Medicaid |
$1,563.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,435.67
|
| Rate for Payer: PACE SWMI |
$2,319.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,319.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,489.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,179.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,093.47
|
| Rate for Payer: Priority Health Medicare |
$2,319.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,093.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,319.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,319.69
|
| Rate for Payer: UHC Medicare Advantage |
$2,389.28
|
|
|
PR HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY
|
Professional
|
Both
|
$6,038.00
|
|
|
Service Code
|
HCPCS 47130
|
| Min. Negotiated Rate |
$2,100.18 |
| Max. Negotiated Rate |
$5,780.36 |
| Rate for Payer: Aetna Commercial |
$4,402.85
|
| Rate for Payer: Aetna Medicare |
$3,417.14
|
| Rate for Payer: BCBS Complete |
$2,205.19
|
| Rate for Payer: BCBS MAPPO |
$3,285.71
|
| Rate for Payer: BCBS Trust/PPO |
$2,750.86
|
| Rate for Payer: BCN Commercial |
$4,804.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,285.71
|
| Rate for Payer: Cash Price |
$4,830.40
|
| Rate for Payer: Cash Price |
$4,830.40
|
| Rate for Payer: Cofinity Commercial |
$4,402.85
|
| Rate for Payer: Cofinity Commercial |
$4,731.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,285.71
|
| Rate for Payer: Mclaren Medicaid |
$2,100.18
|
| Rate for Payer: Meridian Medicaid |
$2,205.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,450.00
|
| Rate for Payer: PACE SWMI |
$3,285.71
|
| Rate for Payer: PHP Medicare Advantage |
$3,285.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,100.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,226.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,780.36
|
| Rate for Payer: Priority Health Medicare |
$3,285.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,780.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,285.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,285.71
|
| Rate for Payer: UHC Medicare Advantage |
$3,384.28
|
|
|
PR HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 90636
|
| Min. Negotiated Rate |
$60.00 |
| Max. Negotiated Rate |
$134.53 |
| Rate for Payer: Aetna Commercial |
$123.57
|
| Rate for Payer: BCBS Complete |
$60.00
|
| Rate for Payer: BCBS Trust/PPO |
$134.53
|
| Rate for Payer: BCN Commercial |
$134.53
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$105.00
|
|
|
PR HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES
|
Professional
|
Both
|
$2,199.00
|
|
|
Service Code
|
HCPCS 47010
|
| Min. Negotiated Rate |
$241.96 |
| Max. Negotiated Rate |
$2,131.40 |
| Rate for Payer: Aetna Commercial |
$1,613.19
|
| Rate for Payer: Aetna Medicare |
$1,252.02
|
| Rate for Payer: BCBS Complete |
$814.54
|
| Rate for Payer: BCBS MAPPO |
$1,203.87
|
| Rate for Payer: BCBS Trust/PPO |
$241.96
|
| Rate for Payer: BCN Commercial |
$1,771.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,203.87
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cash Price |
$1,759.20
|
| Rate for Payer: Cofinity Commercial |
$1,733.57
|
| Rate for Payer: Cofinity Commercial |
$1,613.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,203.87
|
| Rate for Payer: Mclaren Medicaid |
$775.75
|
| Rate for Payer: Meridian Medicaid |
$814.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,264.06
|
| Rate for Payer: PACE SWMI |
$1,203.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,203.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$775.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,539.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,131.40
|
| Rate for Payer: Priority Health Medicare |
$1,203.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,131.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,203.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,203.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,239.99
|
|
|
PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 90633
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$38.42 |
| Rate for Payer: Aetna Commercial |
$38.42
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: BCBS Trust/PPO |
$31.32
|
| Rate for Payer: BCN Commercial |
$31.32
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
|
|
PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE
|
Professional
|
Both
|
$88.00
|
|
|
Service Code
|
HCPCS 90632
|
| Min. Negotiated Rate |
$35.20 |
| Max. Negotiated Rate |
$103.47 |
| Rate for Payer: Aetna Commercial |
$96.28
|
| Rate for Payer: Aetna Medicare |
$74.73
|
| Rate for Payer: BCBS Complete |
$35.20
|
| Rate for Payer: BCBS MAPPO |
$71.85
|
| Rate for Payer: BCBS Trust/PPO |
$72.34
|
| Rate for Payer: BCN Commercial |
$73.37
|
| Rate for Payer: BCN Medicare Advantage |
$71.85
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cofinity Commercial |
$103.47
|
| Rate for Payer: Cofinity Commercial |
$96.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$75.45
|
| Rate for Payer: PACE SWMI |
$71.85
|
| Rate for Payer: PHP Medicare Advantage |
$71.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.60
|
| Rate for Payer: Priority Health Medicare |
$71.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$71.85
|
| Rate for Payer: UHC Medicare Advantage |
$74.01
|
|
