|
PR ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA
|
Professional
|
Both
|
$2,864.00
|
|
|
Service Code
|
HCPCS 27335
|
| Min. Negotiated Rate |
$458.59 |
| Max. Negotiated Rate |
$2,148.00 |
| Rate for Payer: Aetna Commercial |
$1,022.94
|
| Rate for Payer: Aetna Medicare |
$1,432.00
|
| Rate for Payer: BCBS Complete |
$481.52
|
| Rate for Payer: BCN Commercial |
$1,169.76
|
| Rate for Payer: Cash Price |
$2,291.20
|
| Rate for Payer: Cash Price |
$2,291.20
|
| Rate for Payer: Mclaren Medicaid |
$458.59
|
| Rate for Payer: Meridian Medicaid |
$481.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,148.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$458.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,250.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,250.44
|
| Rate for Payer: UHC Medicaid |
$458.59
|
| Rate for Payer: UHCCP Medicaid |
$458.59
|
|
|
PR ARTIFICIAL INSEMINATION INTRA-CERVICAL
|
Professional
|
Both
|
$138.00
|
|
|
Service Code
|
HCPCS 58321
|
| Min. Negotiated Rate |
$55.20 |
| Max. Negotiated Rate |
$103.50 |
| Rate for Payer: Aetna Commercial |
$58.02
|
| Rate for Payer: Aetna Medicare |
$69.00
|
| Rate for Payer: BCBS Complete |
$55.20
|
| Rate for Payer: BCN Commercial |
$71.71
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Cash Price |
$110.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$72.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.63
|
|
|
PR ARTIFICIAL INSEMINATION INTRA-UTERINE
|
Professional
|
Both
|
$252.00
|
|
|
Service Code
|
HCPCS 58322
|
| Min. Negotiated Rate |
$69.05 |
| Max. Negotiated Rate |
$189.00 |
| Rate for Payer: Aetna Commercial |
$69.05
|
| Rate for Payer: Aetna Medicare |
$126.00
|
| Rate for Payer: BCBS Complete |
$100.80
|
| Rate for Payer: BCN Commercial |
$85.15
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$189.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$86.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$86.24
|
|
|
PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN
|
Professional
|
Both
|
$330.00
|
|
|
Service Code
|
HCPCS 36625
|
| Min. Negotiated Rate |
$60.92 |
| Max. Negotiated Rate |
$247.50 |
| Rate for Payer: Aetna Commercial |
$142.11
|
| Rate for Payer: Aetna Medicare |
$165.00
|
| Rate for Payer: BCBS Complete |
$63.97
|
| Rate for Payer: BCN Commercial |
$154.38
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Cash Price |
$264.00
|
| Rate for Payer: Mclaren Medicaid |
$60.92
|
| Rate for Payer: Meridian Medicaid |
$63.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$247.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$60.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$166.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.00
|
| Rate for Payer: UHC Medicaid |
$60.92
|
| Rate for Payer: UHCCP Medicaid |
$60.92
|
|
|
PR ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ
|
Professional
|
Both
|
$325.00
|
|
|
Service Code
|
HCPCS 36620
|
| Min. Negotiated Rate |
$25.99 |
| Max. Negotiated Rate |
$243.75 |
| Rate for Payer: Aetna Commercial |
$59.84
|
| Rate for Payer: Aetna Medicare |
$162.50
|
| Rate for Payer: BCBS Complete |
$27.29
|
| Rate for Payer: BCN Commercial |
$64.24
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Cash Price |
$260.00
|
| Rate for Payer: Mclaren Medicaid |
$25.99
|
| Rate for Payer: Meridian Medicaid |
$27.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$243.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$69.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.09
|
| Rate for Payer: UHC Medicaid |
$25.99
|
| Rate for Payer: UHCCP Medicaid |
$25.99
|
|
|
PR ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN
|
Professional
|
Both
|
$575.00
|
|
|
Service Code
|
HCPCS 36640
|
| Min. Negotiated Rate |
$64.33 |
| Max. Negotiated Rate |
$431.25 |
| Rate for Payer: Aetna Commercial |
$154.82
|
| Rate for Payer: Aetna Medicare |
$287.50
|
| Rate for Payer: BCBS Complete |
$67.55
|
| Rate for Payer: BCN Commercial |
$173.80
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Cash Price |
$460.00
|
| Rate for Payer: Mclaren Medicaid |
$64.33
|
| Rate for Payer: Meridian Medicaid |
$67.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$431.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$186.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$186.90
|
| Rate for Payer: UHC Medicaid |
$64.33
|
| Rate for Payer: UHCCP Medicaid |
$64.33
|
|
|
PR ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 93050
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$29.25 |
| Rate for Payer: Aetna Commercial |
$20.95
|
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCN Commercial |
$24.40
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.19
|
|
|
PR ARVEN ANAST OPN F/ARM VEIN TRPOS
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 36820
|
| Min. Negotiated Rate |
$423.23 |
| Max. Negotiated Rate |
$1,177.50 |
| Rate for Payer: Aetna Commercial |
$967.99
|
| Rate for Payer: Aetna Medicare |
$785.00
|
| Rate for Payer: BCBS Complete |
$444.39
|
| Rate for Payer: BCN Commercial |
$1,069.16
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Mclaren Medicaid |
$423.23
|
| Rate for Payer: Meridian Medicaid |
$444.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,177.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,149.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,149.75
|
| Rate for Payer: UHC Medicaid |
$423.23
|
| Rate for Payer: UHCCP Medicaid |
$423.23
|
|
|
PR ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS
|
Professional
|
Both
|
$2,508.00
|
|
|
Service Code
|
HCPCS 36819
|
| Min. Negotiated Rate |
$423.23 |
| Max. Negotiated Rate |
$1,881.00 |
| Rate for Payer: Aetna Commercial |
$981.67
|
| Rate for Payer: Aetna Medicare |
$1,254.00
|
| Rate for Payer: BCBS Complete |
$444.39
|
| Rate for Payer: BCN Commercial |
$1,067.17
|
| Rate for Payer: Cash Price |
$2,006.40
|
| Rate for Payer: Cash Price |
$2,006.40
|
| Rate for Payer: Mclaren Medicaid |
$423.23
|
| Rate for Payer: Meridian Medicaid |
$444.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,881.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,147.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,147.62
|
| Rate for Payer: UHC Medicaid |
$423.23
|
| Rate for Payer: UHCCP Medicaid |
$423.23
|
|
|
PR ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS
|
Professional
|
Both
|
$2,069.00
|
|
|
Service Code
|
HCPCS 36818
|
| Min. Negotiated Rate |
$400.87 |
| Max. Negotiated Rate |
$1,551.75 |
| Rate for Payer: Aetna Commercial |
$926.10
|
| Rate for Payer: Aetna Medicare |
$1,034.50
|
| Rate for Payer: BCBS Complete |
$420.91
|
| Rate for Payer: BCN Commercial |
$1,009.41
|
| Rate for Payer: Cash Price |
$1,655.20
|
| Rate for Payer: Cash Price |
$1,655.20
|
| Rate for Payer: Mclaren Medicaid |
$400.87
|
| Rate for Payer: Meridian Medicaid |
$420.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,551.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$400.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,085.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,085.48
|
| Rate for Payer: UHC Medicaid |
$400.87
|
| Rate for Payer: UHCCP Medicaid |
$400.87
|
|
|
PR ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART
|
Professional
|
Both
|
$8,680.00
|
|
|
Service Code
|
HCPCS 61705
|
| Min. Negotiated Rate |
$1,595.16 |
| Max. Negotiated Rate |
$6,510.00 |
| Rate for Payer: Aetna Commercial |
$3,364.49
|
| Rate for Payer: Aetna Medicare |
$4,340.00
|
| Rate for Payer: BCBS Complete |
$1,674.92
|
| Rate for Payer: BCN Commercial |
$3,952.97
|
| Rate for Payer: Cash Price |
$6,944.00
|
| Rate for Payer: Cash Price |
$6,944.00
|
| Rate for Payer: Mclaren Medicaid |
$1,595.16
|
| Rate for Payer: Meridian Medicaid |
$1,674.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,510.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,595.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,591.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,591.31
|
| Rate for Payer: UHC Medicaid |
$1,595.16
|
| Rate for Payer: UHCCP Medicaid |
$1,595.16
|
|
|
PR ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH
|
Professional
|
Both
|
$2,150.00
|
|
|
Service Code
|
HCPCS 31400
|
| Min. Negotiated Rate |
$595.55 |
| Max. Negotiated Rate |
$1,612.50 |
| Rate for Payer: Aetna Commercial |
$1,275.34
|
| Rate for Payer: Aetna Medicare |
$1,075.00
|
| Rate for Payer: BCBS Complete |
$625.33
|
| Rate for Payer: BCN Commercial |
$1,524.82
|
| Rate for Payer: Cash Price |
$1,720.00
|
| Rate for Payer: Cash Price |
$1,720.00
|
| Rate for Payer: Mclaren Medicaid |
$595.55
|
| Rate for Payer: Meridian Medicaid |
$625.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,612.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$595.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,435.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,435.93
|
| Rate for Payer: UHC Medicaid |
$595.55
|
| Rate for Payer: UHCCP Medicaid |
$595.55
|
|
|
PR AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT
|
Professional
|
Both
|
$6,821.00
|
|
|
Service Code
|
HCPCS 33863
|
| Min. Negotiated Rate |
$1,853.10 |
| Max. Negotiated Rate |
$5,115.75 |
| Rate for Payer: Aetna Commercial |
$4,233.55
|
| Rate for Payer: Aetna Medicare |
$3,410.50
|
| Rate for Payer: BCBS Complete |
$1,945.76
|
| Rate for Payer: BCN Commercial |
$4,604.83
|
| Rate for Payer: Cash Price |
$5,456.80
|
| Rate for Payer: Cash Price |
$5,456.80
|
| Rate for Payer: Mclaren Medicaid |
$1,853.10
|
| Rate for Payer: Meridian Medicaid |
$1,945.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,115.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,853.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,951.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,951.91
|
| Rate for Payer: UHC Medicaid |
$1,853.10
|
| Rate for Payer: UHCCP Medicaid |
$1,853.10
|
|
|
PR AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION
|
Professional
|
Both
|
$7,339.00
|
|
|
Service Code
|
HCPCS 33858
|
| Min. Negotiated Rate |
$1,998.37 |
| Max. Negotiated Rate |
$5,504.25 |
| Rate for Payer: Aetna Commercial |
$4,563.31
|
| Rate for Payer: Aetna Medicare |
$3,669.50
|
| Rate for Payer: BCBS Complete |
$2,098.29
|
| Rate for Payer: BCN Commercial |
$4,969.36
|
| Rate for Payer: Cash Price |
$5,871.20
|
| Rate for Payer: Cash Price |
$5,871.20
|
| Rate for Payer: Mclaren Medicaid |
$1,998.37
|
| Rate for Payer: Meridian Medicaid |
$2,098.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,504.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,998.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,343.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,343.91
|
| Rate for Payer: UHC Medicaid |
$1,998.37
|
| Rate for Payer: UHCCP Medicaid |
$1,998.37
|
|
|
PR AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ
|
Professional
|
Both
|
$5,264.00
|
|
|
Service Code
|
HCPCS 33859
|
| Min. Negotiated Rate |
$1,442.44 |
| Max. Negotiated Rate |
$3,948.00 |
| Rate for Payer: Aetna Commercial |
$3,277.53
|
| Rate for Payer: Aetna Medicare |
$2,632.00
|
| Rate for Payer: BCBS Complete |
$1,514.56
|
| Rate for Payer: BCN Commercial |
$3,573.02
|
| Rate for Payer: Cash Price |
$4,211.20
|
| Rate for Payer: Cash Price |
$4,211.20
|
| Rate for Payer: Mclaren Medicaid |
$1,442.44
|
| Rate for Payer: Meridian Medicaid |
$1,514.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,948.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,442.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,842.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,842.32
|
| Rate for Payer: UHC Medicaid |
$1,442.44
|
| Rate for Payer: UHCCP Medicaid |
$1,442.44
|
|
|
PR ASCEND AORTA GRAFT INCL VAVLE SUSPENSION
|
Professional
|
Both
|
$10,357.00
|
|
|
Service Code
|
HCPCS 33860
|
| Min. Negotiated Rate |
$4,142.80 |
| Max. Negotiated Rate |
$7,767.75 |
| Rate for Payer: Aetna Medicare |
$5,178.50
|
| Rate for Payer: BCBS Complete |
$4,142.80
|
| Rate for Payer: Cash Price |
$8,285.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,767.75
|
|
|
PR ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL
|
Professional
|
Both
|
$5,385.00
|
|
|
Service Code
|
HCPCS 33864
|
| Min. Negotiated Rate |
$1,891.65 |
| Max. Negotiated Rate |
$5,061.69 |
| Rate for Payer: Aetna Commercial |
$4,324.43
|
| Rate for Payer: Aetna Medicare |
$2,692.50
|
| Rate for Payer: BCBS Complete |
$1,986.23
|
| Rate for Payer: BCN Commercial |
$4,706.92
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Mclaren Medicaid |
$1,891.65
|
| Rate for Payer: Meridian Medicaid |
$1,986.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,038.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,891.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,061.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,061.69
|
| Rate for Payer: UHC Medicaid |
$1,891.65
|
| Rate for Payer: UHCCP Medicaid |
$1,891.65
|
|
|
PR ASPIRATION AND/OR INJECTION THYROID CYST
|
Professional
|
Both
|
$167.00
|
|
|
Service Code
|
HCPCS 60300
|
| Min. Negotiated Rate |
$26.63 |
| Max. Negotiated Rate |
$125.25 |
| Rate for Payer: Aetna Commercial |
$63.32
|
| Rate for Payer: Aetna Medicare |
$83.50
|
| Rate for Payer: BCBS Complete |
$27.96
|
| Rate for Payer: BCN Commercial |
$71.71
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Mclaren Medicaid |
$26.63
|
| Rate for Payer: Meridian Medicaid |
$27.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$125.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$77.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$77.76
|
| Rate for Payer: UHC Medicaid |
$26.63
|
| Rate for Payer: UHCCP Medicaid |
$26.63
|
|
|
PR ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER
|
Professional
|
Both
|
$254.00
|
|
|
Service Code
|
HCPCS 51102
|
| Min. Negotiated Rate |
$80.30 |
| Max. Negotiated Rate |
$228.38 |
| Rate for Payer: Aetna Commercial |
$185.74
|
| Rate for Payer: Aetna Medicare |
$127.00
|
| Rate for Payer: BCBS Complete |
$84.31
|
| Rate for Payer: BCN Commercial |
$209.65
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Cash Price |
$203.20
|
| Rate for Payer: Mclaren Medicaid |
$80.30
|
| Rate for Payer: Meridian Medicaid |
$84.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$190.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$228.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.38
|
| Rate for Payer: UHC Medicaid |
$80.30
|
| Rate for Payer: UHCCP Medicaid |
$80.30
|
|
|
PR ASPIRATION BLADDER NEEDLE
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 51100
|
| Min. Negotiated Rate |
$21.51 |
| Max. Negotiated Rate |
$96.00 |
| Rate for Payer: Aetna Commercial |
$49.74
|
| Rate for Payer: Aetna Medicare |
$64.00
|
| Rate for Payer: BCBS Complete |
$22.59
|
| Rate for Payer: BCN Commercial |
$57.76
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Mclaren Medicaid |
$21.51
|
| Rate for Payer: Meridian Medicaid |
$22.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.92
|
| Rate for Payer: UHC Medicaid |
$21.51
|
| Rate for Payer: UHCCP Medicaid |
$21.51
|
|
|
PR ASPIRATION BLADDER TROCAR/INTRACATHETER
|
Professional
|
Both
|
$399.00
|
|
|
Service Code
|
HCPCS 51101
|
| Min. Negotiated Rate |
$28.33 |
| Max. Negotiated Rate |
$299.25 |
| Rate for Payer: Aetna Commercial |
$66.50
|
| Rate for Payer: Aetna Medicare |
$199.50
|
| Rate for Payer: BCBS Complete |
$29.75
|
| Rate for Payer: BCN Commercial |
$75.70
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Mclaren Medicaid |
$28.33
|
| Rate for Payer: Meridian Medicaid |
$29.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$299.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$82.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$82.46
|
| Rate for Payer: UHC Medicaid |
$28.33
|
| Rate for Payer: UHCCP Medicaid |
$28.33
|
|
|
PR ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ
|
Professional
|
Both
|
$139.00
|
|
|
Service Code
|
HCPCS 20612
|
| Min. Negotiated Rate |
$23.43 |
| Max. Negotiated Rate |
$104.25 |
| Rate for Payer: Aetna Commercial |
$55.18
|
| Rate for Payer: Aetna Medicare |
$69.50
|
| Rate for Payer: BCBS Complete |
$24.60
|
| Rate for Payer: BCN Commercial |
$61.75
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Mclaren Medicaid |
$23.43
|
| Rate for Payer: Meridian Medicaid |
$24.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.01
|
| Rate for Payer: UHC Medicaid |
$23.43
|
| Rate for Payer: UHCCP Medicaid |
$23.43
|
|
|
PR ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR
|
Professional
|
Both
|
$209.00
|
|
|
Service Code
|
HCPCS 96105
|
| Min. Negotiated Rate |
$83.60 |
| Max. Negotiated Rate |
$156.75 |
| Rate for Payer: Aetna Commercial |
$109.95
|
| Rate for Payer: Aetna Medicare |
$104.50
|
| Rate for Payer: BCBS Complete |
$83.60
|
| Rate for Payer: BCN Commercial |
$144.41
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$133.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$133.17
|
|
|
PR ASSESSMENT FOR HEARING AID
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS V5010
|
| Min. Negotiated Rate |
$47.05 |
| Max. Negotiated Rate |
$110.25 |
| Rate for Payer: Aetna Commercial |
$47.05
|
| Rate for Payer: Aetna Medicare |
$73.50
|
| Rate for Payer: BCBS Complete |
$58.80
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.25
|
|
|
PR ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT
|
Professional
|
Both
|
$368.00
|
|
|
Service Code
|
HCPCS 99483
|
| Min. Negotiated Rate |
$108.20 |
| Max. Negotiated Rate |
$276.00 |
| Rate for Payer: Aetna Commercial |
$195.52
|
| Rate for Payer: Aetna Medicare |
$184.00
|
| Rate for Payer: BCBS Complete |
$113.61
|
| Rate for Payer: BCN Commercial |
$208.87
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Mclaren Medicaid |
$108.20
|
| Rate for Payer: Meridian Medicaid |
$113.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$257.55
|
| Rate for Payer: UHC Medicaid |
$108.20
|
| Rate for Payer: UHCCP Medicaid |
$108.20
|
|