|
PR BIOPSY LIVER NEEDLE PERCUTANEOUS
|
Professional
|
Both
|
$593.00
|
|
|
Service Code
|
HCPCS 47000
|
| Min. Negotiated Rate |
$55.17 |
| Max. Negotiated Rate |
$1,914.56 |
| Rate for Payer: Aetna Commercial |
$110.46
|
| Rate for Payer: Aetna Medicare |
$85.73
|
| Rate for Payer: BCBS Complete |
$57.93
|
| Rate for Payer: BCBS MAPPO |
$82.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,914.56
|
| Rate for Payer: BCN Commercial |
$489.65
|
| Rate for Payer: BCN Medicare Advantage |
$82.43
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cofinity Commercial |
$118.70
|
| Rate for Payer: Cofinity Commercial |
$110.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.43
|
| Rate for Payer: Mclaren Medicaid |
$55.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.55
|
| Rate for Payer: Meridian Medicaid |
$57.93
|
| Rate for Payer: Nomi Health Commercial |
$98.92
|
| Rate for Payer: PACE SWMI |
$82.43
|
| Rate for Payer: PHP Medicare Advantage |
$82.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$385.45
|
| Rate for Payer: Priority Health HMO/PPO |
$153.92
|
| Rate for Payer: Priority Health Medicare |
$83.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$153.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$82.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.43
|
| Rate for Payer: UHC Exchange |
$82.43
|
| Rate for Payer: UHC Medicare Advantage |
$82.43
|
| Rate for Payer: UHCCP Medicaid |
$55.17
|
|
|
PR BIOPSY LIVER WEDGE
|
Professional
|
Both
|
$1,789.00
|
|
|
Service Code
|
HCPCS 47100
|
| Min. Negotiated Rate |
$547.20 |
| Max. Negotiated Rate |
$2,085.20 |
| Rate for Payer: Aetna Commercial |
$1,099.99
|
| Rate for Payer: Aetna Medicare |
$853.73
|
| Rate for Payer: BCBS Complete |
$574.56
|
| Rate for Payer: BCBS MAPPO |
$820.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,085.20
|
| Rate for Payer: BCN Commercial |
$1,241.73
|
| Rate for Payer: BCN Medicare Advantage |
$820.89
|
| Rate for Payer: Cash Price |
$1,431.20
|
| Rate for Payer: Cash Price |
$1,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,182.08
|
| Rate for Payer: Cofinity Commercial |
$1,099.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$820.89
|
| Rate for Payer: Mclaren Medicaid |
$547.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$861.93
|
| Rate for Payer: Meridian Medicaid |
$574.56
|
| Rate for Payer: Nomi Health Commercial |
$985.07
|
| Rate for Payer: PACE SWMI |
$820.89
|
| Rate for Payer: PHP Medicare Advantage |
$820.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$547.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,162.85
|
| Rate for Payer: Priority Health HMO/PPO |
$1,526.69
|
| Rate for Payer: Priority Health Medicare |
$829.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,526.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$820.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$820.89
|
| Rate for Payer: UHC Exchange |
$820.89
|
| Rate for Payer: UHC Medicare Advantage |
$820.89
|
| Rate for Payer: UHCCP Medicaid |
$547.20
|
|
|
PR BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$762.00
|
|
|
Service Code
|
HCPCS 32405
|
| Min. Negotiated Rate |
$304.80 |
| Max. Negotiated Rate |
$495.30 |
| Rate for Payer: Aetna Medicare |
$381.00
|
| Rate for Payer: BCBS Complete |
$304.80
|
| Rate for Payer: Cash Price |
$609.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$495.30
|
|
|
PR BIOPSY MUSCLE DEEP
|
Professional
|
Both
|
$591.00
|
|
|
Service Code
|
HCPCS 20205
|
| Min. Negotiated Rate |
$99.68 |
| Max. Negotiated Rate |
$570.00 |
| Rate for Payer: Aetna Commercial |
$201.13
|
| Rate for Payer: Aetna Medicare |
$156.10
|
| Rate for Payer: BCBS Complete |
$104.66
|
| Rate for Payer: BCBS MAPPO |
$150.10
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$447.63
|
| Rate for Payer: BCN Medicare Advantage |
$150.10
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cofinity Commercial |
$216.14
|
| Rate for Payer: Cofinity Commercial |
$201.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.10
|
| Rate for Payer: Mclaren Medicaid |
$99.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.60
|
| Rate for Payer: Meridian Medicaid |
$104.66
|
| Rate for Payer: Nomi Health Commercial |
$180.12
|
| Rate for Payer: PACE SWMI |
$150.10
|
| Rate for Payer: PHP Medicare Advantage |
$150.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.15
|
| Rate for Payer: Priority Health HMO/PPO |
$237.13
|
| Rate for Payer: Priority Health Medicare |
$151.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$237.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$150.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.10
|
| Rate for Payer: UHC Exchange |
$150.10
|
| Rate for Payer: UHC Medicare Advantage |
$150.10
|
| Rate for Payer: UHCCP Medicaid |
$99.68
|
|
|
PR BIOPSY MUSCLE PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$414.00
|
|
|
Service Code
|
HCPCS 20206
|
| Min. Negotiated Rate |
$36.42 |
| Max. Negotiated Rate |
$2,284.30 |
| Rate for Payer: Aetna Commercial |
$72.48
|
| Rate for Payer: Aetna Medicare |
$56.25
|
| Rate for Payer: BCBS Complete |
$38.24
|
| Rate for Payer: BCBS MAPPO |
$54.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.30
|
| Rate for Payer: BCN Commercial |
$329.36
|
| Rate for Payer: BCN Medicare Advantage |
$54.09
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cofinity Commercial |
$77.89
|
| Rate for Payer: Cofinity Commercial |
$72.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.09
|
| Rate for Payer: Mclaren Medicaid |
$36.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.79
|
| Rate for Payer: Meridian Medicaid |
$38.24
|
| Rate for Payer: Nomi Health Commercial |
$64.91
|
| Rate for Payer: PACE SWMI |
$54.09
|
| Rate for Payer: PHP Medicare Advantage |
$54.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.10
|
| Rate for Payer: Priority Health HMO/PPO |
$86.00
|
| Rate for Payer: Priority Health Medicare |
$54.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$86.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.09
|
| Rate for Payer: UHC Exchange |
$54.09
|
| Rate for Payer: UHC Medicare Advantage |
$54.09
|
| Rate for Payer: UHCCP Medicaid |
$36.42
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Facility
|
IP
|
$359.00
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
20200
|
| Min. Negotiated Rate |
$233.35 |
| Max. Negotiated Rate |
$323.10 |
| Rate for Payer: Aetna Commercial |
$305.15
|
| Rate for Payer: BCBS Trust/PPO |
$293.05
|
| Rate for Payer: BCN Commercial |
$277.44
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$308.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.20
|
| Rate for Payer: Healthscope Commercial |
$323.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$269.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.15
|
| Rate for Payer: Nomi Health Commercial |
$294.38
|
| Rate for Payer: PHP Commercial |
$305.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health HMO/PPO |
$312.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$240.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.92
|
| Rate for Payer: UHC Core |
$299.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$269.25
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Facility
|
OP
|
$359.00
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
20200
|
| Min. Negotiated Rate |
$85.26 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$305.15
|
| Rate for Payer: Aetna Medicare |
$93.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$112.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$112.19
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$89.75
|
| Rate for Payer: BCBS Trust/PPO |
$295.13
|
| Rate for Payer: BCN Commercial |
$279.12
|
| Rate for Payer: BCN Medicare Advantage |
$89.75
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$308.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.75
|
| Rate for Payer: Healthscope Commercial |
$323.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$269.25
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.24
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.15
|
| Rate for Payer: Nomi Health Commercial |
$294.38
|
| Rate for Payer: PACE Senior Care Partners |
$85.26
|
| Rate for Payer: PACE SWMI |
$89.75
|
| Rate for Payer: PHP Commercial |
$305.15
|
| Rate for Payer: PHP Medicare Advantage |
$89.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health HMO/PPO |
$312.33
|
| Rate for Payer: Priority Health Medicare |
$90.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$240.53
|
| Rate for Payer: Railroad Medicare Medicare |
$89.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.92
|
| Rate for Payer: UHC Core |
$299.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.75
|
| Rate for Payer: UHC Exchange |
$89.75
|
| Rate for Payer: UHC Medicare Advantage |
$89.75
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$89.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$269.25
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Professional
|
Both
|
$359.00
|
|
|
Service Code
|
HCPCS 20200
|
| Hospital Charge Code |
20200
|
| Min. Negotiated Rate |
$61.77 |
| Max. Negotiated Rate |
$672.75 |
| Rate for Payer: Aetna Commercial |
$124.46
|
| Rate for Payer: Aetna Medicare |
$96.60
|
| Rate for Payer: BCBS Complete |
$64.86
|
| Rate for Payer: BCBS MAPPO |
$92.88
|
| Rate for Payer: BCBS Trust/PPO |
$672.75
|
| Rate for Payer: BCN Commercial |
$321.06
|
| Rate for Payer: BCN Medicare Advantage |
$92.88
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$133.75
|
| Rate for Payer: Cofinity Commercial |
$124.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.88
|
| Rate for Payer: Mclaren Medicaid |
$61.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.52
|
| Rate for Payer: Meridian Medicaid |
$64.86
|
| Rate for Payer: Nomi Health Commercial |
$111.46
|
| Rate for Payer: PACE SWMI |
$92.88
|
| Rate for Payer: PHP Medicare Advantage |
$92.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health HMO/PPO |
$145.53
|
| Rate for Payer: Priority Health Medicare |
$93.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$145.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.88
|
| Rate for Payer: UHC Exchange |
$92.88
|
| Rate for Payer: UHC Medicare Advantage |
$92.88
|
| Rate for Payer: UHCCP Medicaid |
$61.77
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Professional
|
Both
|
$359.00
|
|
|
Service Code
|
HCPCS 20200
|
| Min. Negotiated Rate |
$61.77 |
| Max. Negotiated Rate |
$672.75 |
| Rate for Payer: Aetna Commercial |
$124.46
|
| Rate for Payer: Aetna Medicare |
$96.60
|
| Rate for Payer: BCBS Complete |
$64.86
|
| Rate for Payer: BCBS MAPPO |
$92.88
|
| Rate for Payer: BCBS Trust/PPO |
$672.75
|
| Rate for Payer: BCN Commercial |
$321.06
|
| Rate for Payer: BCN Medicare Advantage |
$92.88
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$133.75
|
| Rate for Payer: Cofinity Commercial |
$124.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.88
|
| Rate for Payer: Mclaren Medicaid |
$61.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.52
|
| Rate for Payer: Meridian Medicaid |
$64.86
|
| Rate for Payer: Nomi Health Commercial |
$111.46
|
| Rate for Payer: PACE SWMI |
$92.88
|
| Rate for Payer: PHP Medicare Advantage |
$92.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health HMO/PPO |
$145.53
|
| Rate for Payer: Priority Health Medicare |
$93.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$145.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.88
|
| Rate for Payer: UHC Exchange |
$92.88
|
| Rate for Payer: UHC Medicare Advantage |
$92.88
|
| Rate for Payer: UHCCP Medicaid |
$61.77
|
|
|
PR BIOPSY NAIL UNIT SEPARATE PROCEDURE
|
Professional
|
Both
|
$221.00
|
|
|
Service Code
|
HCPCS 11755
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$144.11 |
| Rate for Payer: Aetna Commercial |
$77.43
|
| Rate for Payer: Aetna Medicare |
$60.09
|
| Rate for Payer: BCBS Complete |
$40.48
|
| Rate for Payer: BCBS MAPPO |
$57.78
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$144.11
|
| Rate for Payer: BCN Medicare Advantage |
$57.78
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cofinity Commercial |
$83.20
|
| Rate for Payer: Cofinity Commercial |
$77.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.78
|
| Rate for Payer: Mclaren Medicaid |
$38.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.67
|
| Rate for Payer: Meridian Medicaid |
$40.48
|
| Rate for Payer: Nomi Health Commercial |
$69.34
|
| Rate for Payer: PACE SWMI |
$57.78
|
| Rate for Payer: PHP Medicare Advantage |
$57.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.65
|
| Rate for Payer: Priority Health HMO/PPO |
$81.28
|
| Rate for Payer: Priority Health Medicare |
$58.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.78
|
| Rate for Payer: UHC Exchange |
$57.78
|
| Rate for Payer: UHC Medicare Advantage |
$57.78
|
| Rate for Payer: UHCCP Medicaid |
$38.55
|
|
|
PR BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE
|
Professional
|
Both
|
$838.00
|
|
|
Service Code
|
HCPCS 42804
|
| Min. Negotiated Rate |
$79.45 |
| Max. Negotiated Rate |
$544.70 |
| Rate for Payer: Aetna Commercial |
$154.30
|
| Rate for Payer: Aetna Medicare |
$119.76
|
| Rate for Payer: BCBS Complete |
$83.42
|
| Rate for Payer: BCBS MAPPO |
$115.15
|
| Rate for Payer: BCBS Trust/PPO |
$212.38
|
| Rate for Payer: BCN Commercial |
$319.11
|
| Rate for Payer: BCN Medicare Advantage |
$115.15
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cofinity Commercial |
$165.82
|
| Rate for Payer: Cofinity Commercial |
$154.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.15
|
| Rate for Payer: Mclaren Medicaid |
$79.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.91
|
| Rate for Payer: Meridian Medicaid |
$83.42
|
| Rate for Payer: Nomi Health Commercial |
$138.18
|
| Rate for Payer: PACE SWMI |
$115.15
|
| Rate for Payer: PHP Medicare Advantage |
$115.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.70
|
| Rate for Payer: Priority Health HMO/PPO |
$223.13
|
| Rate for Payer: Priority Health Medicare |
$116.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$223.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.15
|
| Rate for Payer: UHC Exchange |
$115.15
|
| Rate for Payer: UHC Medicare Advantage |
$115.15
|
| Rate for Payer: UHCCP Medicaid |
$79.45
|
|
|
PR BIOPSY NERVE
|
Professional
|
Both
|
$722.00
|
|
|
Service Code
|
HCPCS 64795
|
| Min. Negotiated Rate |
$127.37 |
| Max. Negotiated Rate |
$469.30 |
| Rate for Payer: Aetna Commercial |
$257.62
|
| Rate for Payer: Aetna Medicare |
$199.94
|
| Rate for Payer: BCBS Complete |
$133.74
|
| Rate for Payer: BCBS MAPPO |
$192.25
|
| Rate for Payer: BCBS Trust/PPO |
$218.19
|
| Rate for Payer: BCN Commercial |
$282.46
|
| Rate for Payer: BCN Medicare Advantage |
$192.25
|
| Rate for Payer: Cash Price |
$577.60
|
| Rate for Payer: Cash Price |
$577.60
|
| Rate for Payer: Cofinity Commercial |
$276.84
|
| Rate for Payer: Cofinity Commercial |
$257.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192.25
|
| Rate for Payer: Mclaren Medicaid |
$127.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$201.86
|
| Rate for Payer: Meridian Medicaid |
$133.74
|
| Rate for Payer: Nomi Health Commercial |
$230.70
|
| Rate for Payer: PACE SWMI |
$192.25
|
| Rate for Payer: PHP Medicare Advantage |
$192.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$469.30
|
| Rate for Payer: Priority Health HMO/PPO |
$333.26
|
| Rate for Payer: Priority Health Medicare |
$194.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$333.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$192.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$192.25
|
| Rate for Payer: UHC Exchange |
$192.25
|
| Rate for Payer: UHC Medicare Advantage |
$192.25
|
| Rate for Payer: UHCCP Medicaid |
$127.37
|
|
|
PR BIOPSY OF LIP
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 40490
|
| Min. Negotiated Rate |
$44.30 |
| Max. Negotiated Rate |
$637.13 |
| Rate for Payer: Aetna Commercial |
$88.32
|
| Rate for Payer: Aetna Medicare |
$68.55
|
| Rate for Payer: BCBS Complete |
$46.52
|
| Rate for Payer: BCBS MAPPO |
$65.91
|
| Rate for Payer: BCBS Trust/PPO |
$637.13
|
| Rate for Payer: BCN Commercial |
$144.50
|
| Rate for Payer: BCN Medicare Advantage |
$65.91
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$94.91
|
| Rate for Payer: Cofinity Commercial |
$88.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.91
|
| Rate for Payer: Mclaren Medicaid |
$44.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.21
|
| Rate for Payer: Meridian Medicaid |
$46.52
|
| Rate for Payer: Nomi Health Commercial |
$79.09
|
| Rate for Payer: PACE SWMI |
$65.91
|
| Rate for Payer: PHP Medicare Advantage |
$65.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health HMO/PPO |
$122.89
|
| Rate for Payer: Priority Health Medicare |
$66.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$122.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.91
|
| Rate for Payer: UHC Exchange |
$65.91
|
| Rate for Payer: UHC Medicare Advantage |
$65.91
|
| Rate for Payer: UHCCP Medicaid |
$44.30
|
|
|
PR BIOPSY OF SKIN LESION
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 11100
|
| Min. Negotiated Rate |
$68.40 |
| Max. Negotiated Rate |
$111.15 |
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: BCBS Complete |
$68.40
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.15
|
|
|
PR BIOPSY OROPHARYNX
|
Professional
|
Both
|
$258.00
|
|
|
Service Code
|
HCPCS 42800
|
| Min. Negotiated Rate |
$76.25 |
| Max. Negotiated Rate |
$233.59 |
| Rate for Payer: Aetna Commercial |
$149.30
|
| Rate for Payer: Aetna Medicare |
$115.88
|
| Rate for Payer: BCBS Complete |
$80.06
|
| Rate for Payer: BCBS MAPPO |
$111.42
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$233.59
|
| Rate for Payer: BCN Medicare Advantage |
$111.42
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cofinity Commercial |
$160.44
|
| Rate for Payer: Cofinity Commercial |
$149.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.42
|
| Rate for Payer: Mclaren Medicaid |
$76.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.99
|
| Rate for Payer: Meridian Medicaid |
$80.06
|
| Rate for Payer: Nomi Health Commercial |
$133.70
|
| Rate for Payer: PACE SWMI |
$111.42
|
| Rate for Payer: PHP Medicare Advantage |
$111.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.70
|
| Rate for Payer: Priority Health HMO/PPO |
$211.79
|
| Rate for Payer: Priority Health Medicare |
$112.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$211.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$111.42
|
| Rate for Payer: UHC Exchange |
$111.42
|
| Rate for Payer: UHC Medicare Advantage |
$111.42
|
| Rate for Payer: UHCCP Medicaid |
$76.25
|
|
|
PR BIOPSY OVARY UNI/BI SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,617.00
|
|
|
Service Code
|
HCPCS 58900
|
| Min. Negotiated Rate |
$170.11 |
| Max. Negotiated Rate |
$1,051.05 |
| Rate for Payer: Aetna Commercial |
$558.46
|
| Rate for Payer: Aetna Medicare |
$433.43
|
| Rate for Payer: BCBS Complete |
$294.77
|
| Rate for Payer: BCBS MAPPO |
$416.76
|
| Rate for Payer: BCBS Trust/PPO |
$170.11
|
| Rate for Payer: BCN Commercial |
$644.57
|
| Rate for Payer: BCN Medicare Advantage |
$416.76
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cofinity Commercial |
$600.13
|
| Rate for Payer: Cofinity Commercial |
$558.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.76
|
| Rate for Payer: Mclaren Medicaid |
$280.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.60
|
| Rate for Payer: Meridian Medicaid |
$294.77
|
| Rate for Payer: Nomi Health Commercial |
$500.11
|
| Rate for Payer: PACE SWMI |
$416.76
|
| Rate for Payer: PHP Medicare Advantage |
$416.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$280.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,051.05
|
| Rate for Payer: Priority Health HMO/PPO |
$657.26
|
| Rate for Payer: Priority Health Medicare |
$420.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$657.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$416.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.76
|
| Rate for Payer: UHC Exchange |
$416.76
|
| Rate for Payer: UHC Medicare Advantage |
$416.76
|
| Rate for Payer: UHCCP Medicaid |
$280.73
|
|
|
PR BIOPSY PALATE UVULA
|
Professional
|
Both
|
$268.00
|
|
|
Service Code
|
HCPCS 42100
|
| Min. Negotiated Rate |
$71.36 |
| Max. Negotiated Rate |
$796.68 |
| Rate for Payer: Aetna Commercial |
$139.35
|
| Rate for Payer: Aetna Medicare |
$108.15
|
| Rate for Payer: BCBS Complete |
$74.93
|
| Rate for Payer: BCBS MAPPO |
$103.99
|
| Rate for Payer: BCBS Trust/PPO |
$796.68
|
| Rate for Payer: BCN Commercial |
$216.00
|
| Rate for Payer: BCN Medicare Advantage |
$103.99
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cofinity Commercial |
$149.75
|
| Rate for Payer: Cofinity Commercial |
$139.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.99
|
| Rate for Payer: Mclaren Medicaid |
$71.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.19
|
| Rate for Payer: Meridian Medicaid |
$74.93
|
| Rate for Payer: Nomi Health Commercial |
$124.79
|
| Rate for Payer: PACE SWMI |
$103.99
|
| Rate for Payer: PHP Medicare Advantage |
$103.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.20
|
| Rate for Payer: Priority Health HMO/PPO |
$198.67
|
| Rate for Payer: Priority Health Medicare |
$105.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.99
|
| Rate for Payer: UHC Exchange |
$103.99
|
| Rate for Payer: UHC Medicare Advantage |
$103.99
|
| Rate for Payer: UHCCP Medicaid |
$71.36
|
|
|
PR BIOPSY PANCREAS OPEN
|
Professional
|
Both
|
$1,588.00
|
|
|
Service Code
|
HCPCS 48100
|
| Min. Negotiated Rate |
$571.69 |
| Max. Negotiated Rate |
$2,117.43 |
| Rate for Payer: Aetna Commercial |
$1,155.35
|
| Rate for Payer: Aetna Medicare |
$896.69
|
| Rate for Payer: BCBS Complete |
$600.27
|
| Rate for Payer: BCBS MAPPO |
$862.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,117.43
|
| Rate for Payer: BCN Commercial |
$1,296.95
|
| Rate for Payer: BCN Medicare Advantage |
$862.20
|
| Rate for Payer: Cash Price |
$1,270.40
|
| Rate for Payer: Cash Price |
$1,270.40
|
| Rate for Payer: Cofinity Commercial |
$1,241.57
|
| Rate for Payer: Cofinity Commercial |
$1,155.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$862.20
|
| Rate for Payer: Mclaren Medicaid |
$571.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$905.31
|
| Rate for Payer: Meridian Medicaid |
$600.27
|
| Rate for Payer: Nomi Health Commercial |
$1,034.64
|
| Rate for Payer: PACE SWMI |
$862.20
|
| Rate for Payer: PHP Medicare Advantage |
$862.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$571.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,600.66
|
| Rate for Payer: Priority Health Medicare |
$870.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,600.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$862.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$862.20
|
| Rate for Payer: UHC Exchange |
$862.20
|
| Rate for Payer: UHC Medicare Advantage |
$862.20
|
| Rate for Payer: UHCCP Medicaid |
$571.69
|
|
|
PR BIOPSY PENIS DEEP STRUCTURES
|
Professional
|
Both
|
$563.00
|
|
|
Service Code
|
HCPCS 54105
|
| Min. Negotiated Rate |
$136.96 |
| Max. Negotiated Rate |
$1,906.11 |
| Rate for Payer: Aetna Commercial |
$272.56
|
| Rate for Payer: Aetna Medicare |
$211.54
|
| Rate for Payer: BCBS Complete |
$143.81
|
| Rate for Payer: BCBS MAPPO |
$203.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,906.11
|
| Rate for Payer: BCN Commercial |
$401.69
|
| Rate for Payer: BCN Medicare Advantage |
$203.40
|
| Rate for Payer: Cash Price |
$450.40
|
| Rate for Payer: Cash Price |
$450.40
|
| Rate for Payer: Cofinity Commercial |
$292.90
|
| Rate for Payer: Cofinity Commercial |
$272.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.40
|
| Rate for Payer: Mclaren Medicaid |
$136.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$213.57
|
| Rate for Payer: Meridian Medicaid |
$143.81
|
| Rate for Payer: Nomi Health Commercial |
$244.08
|
| Rate for Payer: PACE SWMI |
$203.40
|
| Rate for Payer: PHP Medicare Advantage |
$203.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.95
|
| Rate for Payer: Priority Health HMO/PPO |
$340.34
|
| Rate for Payer: Priority Health Medicare |
$205.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$340.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$203.40
|
| Rate for Payer: UHC Exchange |
$203.40
|
| Rate for Payer: UHC Medicare Advantage |
$203.40
|
| Rate for Payer: UHCCP Medicaid |
$136.96
|
|
|
PR BIOPSY PENIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$307.00
|
|
|
Service Code
|
HCPCS 54100
|
| Min. Negotiated Rate |
$78.17 |
| Max. Negotiated Rate |
$1,453.88 |
| Rate for Payer: Aetna Commercial |
$154.64
|
| Rate for Payer: Aetna Medicare |
$120.02
|
| Rate for Payer: BCBS Complete |
$82.08
|
| Rate for Payer: BCBS MAPPO |
$115.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.88
|
| Rate for Payer: BCN Commercial |
$296.14
|
| Rate for Payer: BCN Medicare Advantage |
$115.40
|
| Rate for Payer: Cash Price |
$245.60
|
| Rate for Payer: Cash Price |
$245.60
|
| Rate for Payer: Cofinity Commercial |
$166.18
|
| Rate for Payer: Cofinity Commercial |
$154.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.40
|
| Rate for Payer: Mclaren Medicaid |
$78.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.17
|
| Rate for Payer: Meridian Medicaid |
$82.08
|
| Rate for Payer: Nomi Health Commercial |
$138.48
|
| Rate for Payer: PACE SWMI |
$115.40
|
| Rate for Payer: PHP Medicare Advantage |
$115.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.55
|
| Rate for Payer: Priority Health HMO/PPO |
$193.33
|
| Rate for Payer: Priority Health Medicare |
$116.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$193.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.40
|
| Rate for Payer: UHC Exchange |
$115.40
|
| Rate for Payer: UHC Medicare Advantage |
$115.40
|
| Rate for Payer: UHCCP Medicaid |
$78.17
|
|
|
PR BIOPSY PROSTATE INCISIONAL ANY APPROACH
|
Professional
|
Both
|
$477.00
|
|
|
Service Code
|
HCPCS 55705
|
| Min. Negotiated Rate |
$169.97 |
| Max. Negotiated Rate |
$1,436.98 |
| Rate for Payer: Aetna Commercial |
$339.25
|
| Rate for Payer: Aetna Medicare |
$263.30
|
| Rate for Payer: BCBS Complete |
$178.47
|
| Rate for Payer: BCBS MAPPO |
$253.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,436.98
|
| Rate for Payer: BCN Commercial |
$382.64
|
| Rate for Payer: BCN Medicare Advantage |
$253.17
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cofinity Commercial |
$364.56
|
| Rate for Payer: Cofinity Commercial |
$339.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.17
|
| Rate for Payer: Mclaren Medicaid |
$169.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$265.83
|
| Rate for Payer: Meridian Medicaid |
$178.47
|
| Rate for Payer: Nomi Health Commercial |
$303.80
|
| Rate for Payer: PACE SWMI |
$253.17
|
| Rate for Payer: PHP Medicare Advantage |
$253.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.05
|
| Rate for Payer: Priority Health HMO/PPO |
$421.82
|
| Rate for Payer: Priority Health Medicare |
$255.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$421.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$253.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$253.17
|
| Rate for Payer: UHC Exchange |
$253.17
|
| Rate for Payer: UHC Medicare Advantage |
$253.17
|
| Rate for Payer: UHCCP Medicaid |
$169.97
|
|
|
PR BIOPSY SALIVARY GLAND INCISIONAL
|
Professional
|
Both
|
$533.00
|
|
|
Service Code
|
HCPCS 42405
|
| Min. Negotiated Rate |
$146.76 |
| Max. Negotiated Rate |
$448.61 |
| Rate for Payer: Aetna Commercial |
$290.51
|
| Rate for Payer: Aetna Medicare |
$225.47
|
| Rate for Payer: BCBS Complete |
$154.10
|
| Rate for Payer: BCBS MAPPO |
$216.80
|
| Rate for Payer: BCBS Trust/PPO |
$192.83
|
| Rate for Payer: BCN Commercial |
$448.61
|
| Rate for Payer: BCN Medicare Advantage |
$216.80
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Cofinity Commercial |
$312.19
|
| Rate for Payer: Cofinity Commercial |
$290.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.80
|
| Rate for Payer: Mclaren Medicaid |
$146.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.64
|
| Rate for Payer: Meridian Medicaid |
$154.10
|
| Rate for Payer: Nomi Health Commercial |
$260.16
|
| Rate for Payer: PACE SWMI |
$216.80
|
| Rate for Payer: PHP Medicare Advantage |
$216.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$346.45
|
| Rate for Payer: Priority Health HMO/PPO |
$409.26
|
| Rate for Payer: Priority Health Medicare |
$218.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$409.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.80
|
| Rate for Payer: UHC Exchange |
$216.80
|
| Rate for Payer: UHC Medicare Advantage |
$216.80
|
| Rate for Payer: UHCCP Medicaid |
$146.76
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK DEEP
|
Professional
|
Both
|
$920.00
|
|
|
Service Code
|
HCPCS 21925
|
| Min. Negotiated Rate |
$247.29 |
| Max. Negotiated Rate |
$727.15 |
| Rate for Payer: Aetna Commercial |
$487.65
|
| Rate for Payer: Aetna Medicare |
$378.48
|
| Rate for Payer: BCBS Complete |
$259.65
|
| Rate for Payer: BCBS MAPPO |
$363.92
|
| Rate for Payer: BCBS Trust/PPO |
$280.06
|
| Rate for Payer: BCN Commercial |
$727.15
|
| Rate for Payer: BCN Medicare Advantage |
$363.92
|
| Rate for Payer: Cash Price |
$736.00
|
| Rate for Payer: Cash Price |
$736.00
|
| Rate for Payer: Cofinity Commercial |
$524.04
|
| Rate for Payer: Cofinity Commercial |
$487.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.92
|
| Rate for Payer: Mclaren Medicaid |
$247.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.12
|
| Rate for Payer: Meridian Medicaid |
$259.65
|
| Rate for Payer: Nomi Health Commercial |
$436.70
|
| Rate for Payer: PACE SWMI |
$363.92
|
| Rate for Payer: PHP Medicare Advantage |
$363.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.00
|
| Rate for Payer: Priority Health HMO/PPO |
$586.71
|
| Rate for Payer: Priority Health Medicare |
$367.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$586.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.92
|
| Rate for Payer: UHC Exchange |
$363.92
|
| Rate for Payer: UHC Medicare Advantage |
$363.92
|
| Rate for Payer: UHCCP Medicaid |
$247.29
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL
|
Professional
|
Both
|
$508.00
|
|
|
Service Code
|
HCPCS 21920
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$625.34 |
| Rate for Payer: Aetna Commercial |
$197.58
|
| Rate for Payer: Aetna Medicare |
$153.35
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$147.45
|
| Rate for Payer: BCBS Trust/PPO |
$625.34
|
| Rate for Payer: BCN Commercial |
$377.26
|
| Rate for Payer: BCN Medicare Advantage |
$147.45
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cofinity Commercial |
$212.33
|
| Rate for Payer: Cofinity Commercial |
$197.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.45
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.82
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Nomi Health Commercial |
$176.94
|
| Rate for Payer: PACE SWMI |
$147.45
|
| Rate for Payer: PHP Medicare Advantage |
$147.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.20
|
| Rate for Payer: Priority Health HMO/PPO |
$237.63
|
| Rate for Payer: Priority Health Medicare |
$148.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$237.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$147.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.45
|
| Rate for Payer: UHC Exchange |
$147.45
|
| Rate for Payer: UHC Medicare Advantage |
$147.45
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP
|
Professional
|
Both
|
$838.00
|
|
|
Service Code
|
HCPCS 25066
|
| Min. Negotiated Rate |
$245.38 |
| Max. Negotiated Rate |
$1,010.64 |
| Rate for Payer: Aetna Commercial |
$480.67
|
| Rate for Payer: Aetna Medicare |
$373.06
|
| Rate for Payer: BCBS Complete |
$257.65
|
| Rate for Payer: BCBS MAPPO |
$358.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,010.64
|
| Rate for Payer: BCN Commercial |
$544.87
|
| Rate for Payer: BCN Medicare Advantage |
$358.71
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cofinity Commercial |
$516.54
|
| Rate for Payer: Cofinity Commercial |
$480.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$358.71
|
| Rate for Payer: Mclaren Medicaid |
$245.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$376.65
|
| Rate for Payer: Meridian Medicaid |
$257.65
|
| Rate for Payer: Nomi Health Commercial |
$430.45
|
| Rate for Payer: PACE SWMI |
$358.71
|
| Rate for Payer: PHP Medicare Advantage |
$358.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$245.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.70
|
| Rate for Payer: Priority Health HMO/PPO |
$573.99
|
| Rate for Payer: Priority Health Medicare |
$362.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$573.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$358.71
|
| Rate for Payer: UHC Exchange |
$358.71
|
| Rate for Payer: UHC Medicare Advantage |
$358.71
|
| Rate for Payer: UHCCP Medicaid |
$245.38
|
|
