|
PR BIOPSY SOFT TISSUE SHOULDER DEEP
|
Professional
|
Both
|
$848.00
|
|
|
Service Code
|
HCPCS 23066
|
| Min. Negotiated Rate |
$339.20 |
| Max. Negotiated Rate |
$551.20 |
| Rate for Payer: Aetna Commercial |
$479.33
|
| Rate for Payer: Aetna Medicare |
$372.02
|
| Rate for Payer: BCBS Complete |
$339.20
|
| Rate for Payer: BCBS MAPPO |
$357.71
|
| Rate for Payer: BCN Medicare Advantage |
$357.71
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Cofinity Commercial |
$515.10
|
| Rate for Payer: Cofinity Commercial |
$479.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.60
|
| Rate for Payer: Nomi Health Commercial |
$429.25
|
| Rate for Payer: PACE SWMI |
$357.71
|
| Rate for Payer: PHP Medicare Advantage |
$357.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$551.20
|
| Rate for Payer: Priority Health Medicare |
$361.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.71
|
| Rate for Payer: UHC Exchange |
$357.71
|
| Rate for Payer: UHC Medicare Advantage |
$357.71
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP
|
Professional
|
Both
|
$696.00
|
|
|
Service Code
|
HCPCS 27324
|
| Min. Negotiated Rate |
$278.40 |
| Max. Negotiated Rate |
$572.20 |
| Rate for Payer: Aetna Commercial |
$532.46
|
| Rate for Payer: Aetna Medicare |
$413.25
|
| Rate for Payer: BCBS Complete |
$278.40
|
| Rate for Payer: BCBS MAPPO |
$397.36
|
| Rate for Payer: BCN Medicare Advantage |
$397.36
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cofinity Commercial |
$572.20
|
| Rate for Payer: Cofinity Commercial |
$532.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.23
|
| Rate for Payer: Nomi Health Commercial |
$476.83
|
| Rate for Payer: PACE SWMI |
$397.36
|
| Rate for Payer: PHP Medicare Advantage |
$397.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$452.40
|
| Rate for Payer: Priority Health Medicare |
$401.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.36
|
| Rate for Payer: UHC Exchange |
$397.36
|
| Rate for Payer: UHC Medicare Advantage |
$397.36
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL
|
Professional
|
Both
|
$481.00
|
|
|
Service Code
|
HCPCS 27323
|
| Min. Negotiated Rate |
$166.95 |
| Max. Negotiated Rate |
$312.65 |
| Rate for Payer: Aetna Commercial |
$223.71
|
| Rate for Payer: Aetna Medicare |
$173.63
|
| Rate for Payer: BCBS Complete |
$192.40
|
| Rate for Payer: BCBS MAPPO |
$166.95
|
| Rate for Payer: BCN Medicare Advantage |
$166.95
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cofinity Commercial |
$240.41
|
| Rate for Payer: Cofinity Commercial |
$223.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.30
|
| Rate for Payer: Nomi Health Commercial |
$200.34
|
| Rate for Payer: PACE SWMI |
$166.95
|
| Rate for Payer: PHP Medicare Advantage |
$166.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.65
|
| Rate for Payer: Priority Health Medicare |
$168.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$166.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.95
|
| Rate for Payer: UHC Exchange |
$166.95
|
| Rate for Payer: UHC Medicare Advantage |
$166.95
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP
|
Professional
|
Both
|
$1,073.00
|
|
|
Service Code
|
HCPCS 24066
|
| Min. Negotiated Rate |
$411.26 |
| Max. Negotiated Rate |
$697.45 |
| Rate for Payer: Aetna Commercial |
$551.09
|
| Rate for Payer: Aetna Medicare |
$427.71
|
| Rate for Payer: BCBS Complete |
$429.20
|
| Rate for Payer: BCBS MAPPO |
$411.26
|
| Rate for Payer: BCN Medicare Advantage |
$411.26
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cofinity Commercial |
$592.21
|
| Rate for Payer: Cofinity Commercial |
$551.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$431.82
|
| Rate for Payer: Nomi Health Commercial |
$493.51
|
| Rate for Payer: PACE SWMI |
$411.26
|
| Rate for Payer: PHP Medicare Advantage |
$411.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.45
|
| Rate for Payer: Priority Health Medicare |
$415.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$411.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.26
|
| Rate for Payer: UHC Exchange |
$411.26
|
| Rate for Payer: UHC Medicare Advantage |
$411.26
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL
|
Professional
|
Both
|
$467.00
|
|
|
Service Code
|
HCPCS 24065
|
| Min. Negotiated Rate |
$154.16 |
| Max. Negotiated Rate |
$303.55 |
| Rate for Payer: Aetna Commercial |
$206.57
|
| Rate for Payer: Aetna Medicare |
$160.33
|
| Rate for Payer: BCBS Complete |
$186.80
|
| Rate for Payer: BCBS MAPPO |
$154.16
|
| Rate for Payer: BCN Medicare Advantage |
$154.16
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$221.99
|
| Rate for Payer: Cofinity Commercial |
$206.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.87
|
| Rate for Payer: Nomi Health Commercial |
$184.99
|
| Rate for Payer: PACE SWMI |
$154.16
|
| Rate for Payer: PHP Medicare Advantage |
$154.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health Medicare |
$155.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$154.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.16
|
| Rate for Payer: UHC Exchange |
$154.16
|
| Rate for Payer: UHC Medicare Advantage |
$154.16
|
|
|
PR BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$2,545.00
|
|
|
Service Code
|
HCPCS 62269
|
| Min. Negotiated Rate |
$246.78 |
| Max. Negotiated Rate |
$1,654.25 |
| Rate for Payer: Aetna Commercial |
$330.69
|
| Rate for Payer: Aetna Medicare |
$256.65
|
| Rate for Payer: BCBS Complete |
$1,018.00
|
| Rate for Payer: BCBS MAPPO |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$246.78
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cofinity Commercial |
$355.36
|
| Rate for Payer: Cofinity Commercial |
$330.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.12
|
| Rate for Payer: Nomi Health Commercial |
$296.14
|
| Rate for Payer: PACE SWMI |
$246.78
|
| Rate for Payer: PHP Medicare Advantage |
$246.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.25
|
| Rate for Payer: Priority Health Medicare |
$249.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.78
|
| Rate for Payer: UHC Exchange |
$246.78
|
| Rate for Payer: UHC Medicare Advantage |
$246.78
|
|
|
PR BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$681.00
|
|
|
Service Code
|
HCPCS 54505
|
| Min. Negotiated Rate |
$200.55 |
| Max. Negotiated Rate |
$442.65 |
| Rate for Payer: Aetna Commercial |
$268.74
|
| Rate for Payer: Aetna Medicare |
$208.57
|
| Rate for Payer: BCBS Complete |
$272.40
|
| Rate for Payer: BCBS MAPPO |
$200.55
|
| Rate for Payer: BCN Medicare Advantage |
$200.55
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cofinity Commercial |
$288.79
|
| Rate for Payer: Cofinity Commercial |
$268.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.58
|
| Rate for Payer: Nomi Health Commercial |
$240.66
|
| Rate for Payer: PACE SWMI |
$200.55
|
| Rate for Payer: PHP Medicare Advantage |
$200.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.65
|
| Rate for Payer: Priority Health Medicare |
$202.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.55
|
| Rate for Payer: UHC Exchange |
$200.55
|
| Rate for Payer: UHC Medicare Advantage |
$200.55
|
|
|
PR BIOPSY THYROID PERCUTANEOUS CORE NEEDLE
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 60100
|
| Min. Negotiated Rate |
$72.44 |
| Max. Negotiated Rate |
$140.40 |
| Rate for Payer: Aetna Commercial |
$97.07
|
| Rate for Payer: Aetna Medicare |
$75.34
|
| Rate for Payer: BCBS Complete |
$86.40
|
| Rate for Payer: BCBS MAPPO |
$72.44
|
| Rate for Payer: BCN Medicare Advantage |
$72.44
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$97.07
|
| Rate for Payer: Cofinity Commercial |
$104.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.06
|
| Rate for Payer: Nomi Health Commercial |
$86.93
|
| Rate for Payer: PACE SWMI |
$72.44
|
| Rate for Payer: PHP Medicare Advantage |
$72.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health Medicare |
$73.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.44
|
| Rate for Payer: UHC Exchange |
$72.44
|
| Rate for Payer: UHC Medicare Advantage |
$72.44
|
|
|
PR BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 41100
|
| Min. Negotiated Rate |
$101.68 |
| Max. Negotiated Rate |
$213.20 |
| Rate for Payer: Aetna Commercial |
$136.25
|
| Rate for Payer: Aetna Medicare |
$105.75
|
| Rate for Payer: BCBS Complete |
$131.20
|
| Rate for Payer: BCBS MAPPO |
$101.68
|
| Rate for Payer: BCN Medicare Advantage |
$101.68
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$146.42
|
| Rate for Payer: Cofinity Commercial |
$136.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.76
|
| Rate for Payer: Nomi Health Commercial |
$122.02
|
| Rate for Payer: PACE SWMI |
$101.68
|
| Rate for Payer: PHP Medicare Advantage |
$101.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.20
|
| Rate for Payer: Priority Health Medicare |
$102.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.68
|
| Rate for Payer: UHC Exchange |
$101.68
|
| Rate for Payer: UHC Medicare Advantage |
$101.68
|
|
|
PR BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 41105
|
| Min. Negotiated Rate |
$104.47 |
| Max. Negotiated Rate |
$197.60 |
| Rate for Payer: Aetna Commercial |
$139.99
|
| Rate for Payer: Aetna Medicare |
$108.65
|
| Rate for Payer: BCBS Complete |
$121.60
|
| Rate for Payer: BCBS MAPPO |
$104.47
|
| Rate for Payer: BCN Medicare Advantage |
$104.47
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$150.44
|
| Rate for Payer: Cofinity Commercial |
$139.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.69
|
| Rate for Payer: Nomi Health Commercial |
$125.36
|
| Rate for Payer: PACE SWMI |
$104.47
|
| Rate for Payer: PHP Medicare Advantage |
$104.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$197.60
|
| Rate for Payer: Priority Health Medicare |
$105.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.47
|
| Rate for Payer: UHC Exchange |
$104.47
|
| Rate for Payer: UHC Medicare Advantage |
$104.47
|
|
|
PR BIOPSY URETHRA
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 53200
|
| Min. Negotiated Rate |
$135.95 |
| Max. Negotiated Rate |
$250.90 |
| Rate for Payer: Aetna Commercial |
$182.17
|
| Rate for Payer: Aetna Medicare |
$141.39
|
| Rate for Payer: BCBS Complete |
$154.40
|
| Rate for Payer: BCBS MAPPO |
$135.95
|
| Rate for Payer: BCN Medicare Advantage |
$135.95
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$195.77
|
| Rate for Payer: Cofinity Commercial |
$182.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.75
|
| Rate for Payer: Nomi Health Commercial |
$163.14
|
| Rate for Payer: PACE SWMI |
$135.95
|
| Rate for Payer: PHP Medicare Advantage |
$135.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.90
|
| Rate for Payer: Priority Health Medicare |
$137.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$135.95
|
| Rate for Payer: UHC Exchange |
$135.95
|
| Rate for Payer: UHC Medicare Advantage |
$135.95
|
|
|
PR BIOPSY VAGINAL MUCOSA EXTENSIVE
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 57105
|
| Min. Negotiated Rate |
$126.40 |
| Max. Negotiated Rate |
$205.40 |
| Rate for Payer: Aetna Commercial |
$184.42
|
| Rate for Payer: Aetna Medicare |
$143.14
|
| Rate for Payer: BCBS Complete |
$126.40
|
| Rate for Payer: BCBS MAPPO |
$137.63
|
| Rate for Payer: BCN Medicare Advantage |
$137.63
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$198.19
|
| Rate for Payer: Cofinity Commercial |
$184.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.51
|
| Rate for Payer: Nomi Health Commercial |
$165.16
|
| Rate for Payer: PACE SWMI |
$137.63
|
| Rate for Payer: PHP Medicare Advantage |
$137.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health Medicare |
$139.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.63
|
| Rate for Payer: UHC Exchange |
$137.63
|
| Rate for Payer: UHC Medicare Advantage |
$137.63
|
|
|
PR BIOPSY VAGINAL MUCOSA SIMPLE
|
Professional
|
Both
|
$169.00
|
|
|
Service Code
|
HCPCS 57100
|
| Min. Negotiated Rate |
$63.20 |
| Max. Negotiated Rate |
$109.85 |
| Rate for Payer: Aetna Commercial |
$84.69
|
| Rate for Payer: Aetna Medicare |
$65.73
|
| Rate for Payer: BCBS Complete |
$67.60
|
| Rate for Payer: BCBS MAPPO |
$63.20
|
| Rate for Payer: BCN Medicare Advantage |
$63.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cofinity Commercial |
$91.01
|
| Rate for Payer: Cofinity Commercial |
$84.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.36
|
| Rate for Payer: Nomi Health Commercial |
$75.84
|
| Rate for Payer: PACE SWMI |
$63.20
|
| Rate for Payer: PHP Medicare Advantage |
$63.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.85
|
| Rate for Payer: Priority Health Medicare |
$63.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.20
|
| Rate for Payer: UHC Exchange |
$63.20
|
| Rate for Payer: UHC Medicare Advantage |
$63.20
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 20251
|
| Min. Negotiated Rate |
$417.82 |
| Max. Negotiated Rate |
$862.55 |
| Rate for Payer: Aetna Commercial |
$559.88
|
| Rate for Payer: Aetna Medicare |
$434.53
|
| Rate for Payer: BCBS Complete |
$530.80
|
| Rate for Payer: BCBS MAPPO |
$417.82
|
| Rate for Payer: BCN Medicare Advantage |
$417.82
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cofinity Commercial |
$601.66
|
| Rate for Payer: Cofinity Commercial |
$559.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.71
|
| Rate for Payer: Nomi Health Commercial |
$501.38
|
| Rate for Payer: PACE SWMI |
$417.82
|
| Rate for Payer: PHP Medicare Advantage |
$417.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.55
|
| Rate for Payer: Priority Health Medicare |
$422.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$417.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$417.82
|
| Rate for Payer: UHC Exchange |
$417.82
|
| Rate for Payer: UHC Medicare Advantage |
$417.82
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN THORACIC
|
Professional
|
Both
|
$803.00
|
|
|
Service Code
|
HCPCS 20250
|
| Min. Negotiated Rate |
$321.20 |
| Max. Negotiated Rate |
$546.29 |
| Rate for Payer: Aetna Commercial |
$508.36
|
| Rate for Payer: Aetna Medicare |
$394.54
|
| Rate for Payer: BCBS Complete |
$321.20
|
| Rate for Payer: BCBS MAPPO |
$379.37
|
| Rate for Payer: BCN Medicare Advantage |
$379.37
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cofinity Commercial |
$546.29
|
| Rate for Payer: Cofinity Commercial |
$508.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.34
|
| Rate for Payer: Nomi Health Commercial |
$455.24
|
| Rate for Payer: PACE SWMI |
$379.37
|
| Rate for Payer: PHP Medicare Advantage |
$379.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health Medicare |
$383.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.37
|
| Rate for Payer: UHC Exchange |
$379.37
|
| Rate for Payer: UHC Medicare Advantage |
$379.37
|
|
|
PR BIOPSY VESTIBULE MOUTH
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 40808
|
| Min. Negotiated Rate |
$84.57 |
| Max. Negotiated Rate |
$198.25 |
| Rate for Payer: Aetna Commercial |
$113.32
|
| Rate for Payer: Aetna Medicare |
$87.95
|
| Rate for Payer: BCBS Complete |
$122.00
|
| Rate for Payer: BCBS MAPPO |
$84.57
|
| Rate for Payer: BCN Medicare Advantage |
$84.57
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$121.78
|
| Rate for Payer: Cofinity Commercial |
$113.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.80
|
| Rate for Payer: Nomi Health Commercial |
$101.48
|
| Rate for Payer: PACE SWMI |
$84.57
|
| Rate for Payer: PHP Medicare Advantage |
$84.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health Medicare |
$85.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$84.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$84.57
|
| Rate for Payer: UHC Exchange |
$84.57
|
| Rate for Payer: UHC Medicare Advantage |
$84.57
|
|
|
PR BIOPSY VULVA/PERINEUM 1 LESION SPX
|
Professional
|
Both
|
$305.00
|
|
|
Service Code
|
HCPCS 56605
|
| Min. Negotiated Rate |
$56.77 |
| Max. Negotiated Rate |
$198.25 |
| Rate for Payer: Aetna Commercial |
$76.07
|
| Rate for Payer: Aetna Medicare |
$59.04
|
| Rate for Payer: BCBS Complete |
$122.00
|
| Rate for Payer: BCBS MAPPO |
$56.77
|
| Rate for Payer: BCN Medicare Advantage |
$56.77
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cash Price |
$244.00
|
| Rate for Payer: Cofinity Commercial |
$81.75
|
| Rate for Payer: Cofinity Commercial |
$76.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.61
|
| Rate for Payer: Nomi Health Commercial |
$68.12
|
| Rate for Payer: PACE SWMI |
$56.77
|
| Rate for Payer: PHP Medicare Advantage |
$56.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.25
|
| Rate for Payer: Priority Health Medicare |
$57.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.77
|
| Rate for Payer: UHC Exchange |
$56.77
|
| Rate for Payer: UHC Medicare Advantage |
$56.77
|
|
|
PR BIOPSY VULVA/PERINEUM EACH ADDL LESION
|
Professional
|
Both
|
$192.00
|
|
|
Service Code
|
HCPCS 56606
|
| Min. Negotiated Rate |
$27.60 |
| Max. Negotiated Rate |
$124.80 |
| Rate for Payer: Aetna Commercial |
$36.98
|
| Rate for Payer: Aetna Medicare |
$28.70
|
| Rate for Payer: BCBS Complete |
$76.80
|
| Rate for Payer: BCBS MAPPO |
$27.60
|
| Rate for Payer: BCN Medicare Advantage |
$27.60
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cofinity Commercial |
$39.74
|
| Rate for Payer: Cofinity Commercial |
$36.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.98
|
| Rate for Payer: Nomi Health Commercial |
$33.12
|
| Rate for Payer: PACE SWMI |
$27.60
|
| Rate for Payer: PHP Medicare Advantage |
$27.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$124.80
|
| Rate for Payer: Priority Health Medicare |
$27.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.60
|
| Rate for Payer: UHC Exchange |
$27.60
|
| Rate for Payer: UHC Medicare Advantage |
$27.60
|
|
|
PR BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT
|
Professional
|
Both
|
$674.00
|
|
|
Service Code
|
HCPCS 33933
|
| Min. Negotiated Rate |
$269.60 |
| Max. Negotiated Rate |
$438.10 |
| Rate for Payer: Aetna Medicare |
$337.00
|
| Rate for Payer: BCBS Complete |
$269.60
|
| Rate for Payer: Cash Price |
$539.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$438.10
|
|
|
PR BLADDER INSTILLATION ANTICARCINOGENIC AGENT
|
Professional
|
Both
|
$272.00
|
|
|
Service Code
|
HCPCS 51720
|
| Min. Negotiated Rate |
$42.12 |
| Max. Negotiated Rate |
$176.80 |
| Rate for Payer: Aetna Commercial |
$56.44
|
| Rate for Payer: Aetna Medicare |
$43.80
|
| Rate for Payer: BCBS Complete |
$108.80
|
| Rate for Payer: BCBS MAPPO |
$42.12
|
| Rate for Payer: BCN Medicare Advantage |
$42.12
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cash Price |
$217.60
|
| Rate for Payer: Cofinity Commercial |
$60.65
|
| Rate for Payer: Cofinity Commercial |
$56.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$42.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$44.23
|
| Rate for Payer: Nomi Health Commercial |
$50.54
|
| Rate for Payer: PACE SWMI |
$42.12
|
| Rate for Payer: PHP Medicare Advantage |
$42.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$176.80
|
| Rate for Payer: Priority Health Medicare |
$42.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$42.12
|
| Rate for Payer: UHC Exchange |
$42.12
|
| Rate for Payer: UHC Medicare Advantage |
$42.12
|
|
|
PR BLADDER PRESSURE MEASUREMENT DURING FILLING
|
Professional
|
Both
|
$700.00
|
|
|
Service Code
|
HCPCS 51726
|
| Min. Negotiated Rate |
$251.62 |
| Max. Negotiated Rate |
$455.00 |
| Rate for Payer: Aetna Commercial |
$337.17
|
| Rate for Payer: Aetna Medicare |
$261.68
|
| Rate for Payer: BCBS Complete |
$280.00
|
| Rate for Payer: BCBS MAPPO |
$251.62
|
| Rate for Payer: BCN Medicare Advantage |
$251.62
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cash Price |
$560.00
|
| Rate for Payer: Cofinity Commercial |
$362.33
|
| Rate for Payer: Cofinity Commercial |
$337.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$264.20
|
| Rate for Payer: Nomi Health Commercial |
$301.94
|
| Rate for Payer: PACE SWMI |
$251.62
|
| Rate for Payer: PHP Medicare Advantage |
$251.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$455.00
|
| Rate for Payer: Priority Health Medicare |
$254.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.62
|
| Rate for Payer: UHC Exchange |
$251.62
|
| Rate for Payer: UHC Medicare Advantage |
$251.62
|
|
|
PR BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL
|
Professional
|
Both
|
$461.00
|
|
|
Service Code
|
HCPCS 38206
|
| Min. Negotiated Rate |
$77.07 |
| Max. Negotiated Rate |
$299.65 |
| Rate for Payer: Aetna Commercial |
$103.27
|
| Rate for Payer: Aetna Medicare |
$80.15
|
| Rate for Payer: BCBS Complete |
$184.40
|
| Rate for Payer: BCBS MAPPO |
$77.07
|
| Rate for Payer: BCN Medicare Advantage |
$77.07
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cash Price |
$368.80
|
| Rate for Payer: Cofinity Commercial |
$110.98
|
| Rate for Payer: Cofinity Commercial |
$103.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.92
|
| Rate for Payer: Nomi Health Commercial |
$92.48
|
| Rate for Payer: PACE SWMI |
$77.07
|
| Rate for Payer: PHP Medicare Advantage |
$77.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$299.65
|
| Rate for Payer: Priority Health Medicare |
$77.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.07
|
| Rate for Payer: UHC Exchange |
$77.07
|
| Rate for Payer: UHC Medicare Advantage |
$77.07
|
|
|
PR BLDR IRRIGATION SMPL LAVAGE &/INSTLJ
|
Professional
|
Both
|
$176.00
|
|
|
Service Code
|
HCPCS 51700
|
| Min. Negotiated Rate |
$28.55 |
| Max. Negotiated Rate |
$114.40 |
| Rate for Payer: Aetna Commercial |
$38.26
|
| Rate for Payer: Aetna Medicare |
$29.69
|
| Rate for Payer: BCBS Complete |
$70.40
|
| Rate for Payer: BCBS MAPPO |
$28.55
|
| Rate for Payer: BCN Medicare Advantage |
$28.55
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cash Price |
$140.80
|
| Rate for Payer: Cofinity Commercial |
$41.11
|
| Rate for Payer: Cofinity Commercial |
$38.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.98
|
| Rate for Payer: Nomi Health Commercial |
$34.26
|
| Rate for Payer: PACE SWMI |
$28.55
|
| Rate for Payer: PHP Medicare Advantage |
$28.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.40
|
| Rate for Payer: Priority Health Medicare |
$28.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.55
|
| Rate for Payer: UHC Exchange |
$28.55
|
| Rate for Payer: UHC Medicare Advantage |
$28.55
|
|
|
PR BLEPHAROPLASTY LOWER EYELID W/HERNIATED FAT PAD
|
Professional
|
Both
|
$918.00
|
|
|
Service Code
|
HCPCS 15821
|
| Min. Negotiated Rate |
$367.20 |
| Max. Negotiated Rate |
$735.35 |
| Rate for Payer: Aetna Commercial |
$684.28
|
| Rate for Payer: Aetna Medicare |
$531.09
|
| Rate for Payer: BCBS Complete |
$367.20
|
| Rate for Payer: BCBS MAPPO |
$510.66
|
| Rate for Payer: BCN Medicare Advantage |
$510.66
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cofinity Commercial |
$735.35
|
| Rate for Payer: Cofinity Commercial |
$684.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$510.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$536.19
|
| Rate for Payer: Nomi Health Commercial |
$612.79
|
| Rate for Payer: PACE SWMI |
$510.66
|
| Rate for Payer: PHP Medicare Advantage |
$510.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.70
|
| Rate for Payer: Priority Health Medicare |
$515.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$510.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$510.66
|
| Rate for Payer: UHC Exchange |
$510.66
|
| Rate for Payer: UHC Medicare Advantage |
$510.66
|
|
|
PR BLEPHAROPLASTY UPPER EYELID
|
Professional
|
Both
|
$944.00
|
|
|
Service Code
|
HCPCS 15822
|
| Min. Negotiated Rate |
$369.76 |
| Max. Negotiated Rate |
$613.60 |
| Rate for Payer: Aetna Commercial |
$495.48
|
| Rate for Payer: Aetna Medicare |
$384.55
|
| Rate for Payer: BCBS Complete |
$377.60
|
| Rate for Payer: BCBS MAPPO |
$369.76
|
| Rate for Payer: BCN Medicare Advantage |
$369.76
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Cofinity Commercial |
$532.45
|
| Rate for Payer: Cofinity Commercial |
$495.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$369.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$388.25
|
| Rate for Payer: Nomi Health Commercial |
$443.71
|
| Rate for Payer: PACE SWMI |
$369.76
|
| Rate for Payer: PHP Medicare Advantage |
$369.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$613.60
|
| Rate for Payer: Priority Health Medicare |
$373.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$369.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$369.76
|
| Rate for Payer: UHC Exchange |
$369.76
|
| Rate for Payer: UHC Medicare Advantage |
$369.76
|
|
