|
PR CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS
|
Professional
|
Both
|
$4,602.00
|
|
|
Service Code
|
HCPCS 33534
|
| Min. Negotiated Rate |
$1,126.86 |
| Max. Negotiated Rate |
$3,440.38 |
| Rate for Payer: Aetna Commercial |
$2,826.84
|
| Rate for Payer: Aetna Medicare |
$2,193.96
|
| Rate for Payer: BCBS Complete |
$1,453.05
|
| Rate for Payer: BCBS MAPPO |
$2,109.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,126.86
|
| Rate for Payer: BCN Commercial |
$3,149.04
|
| Rate for Payer: BCN Medicare Advantage |
$2,109.58
|
| Rate for Payer: Cash Price |
$3,681.60
|
| Rate for Payer: Cash Price |
$3,681.60
|
| Rate for Payer: Cofinity Commercial |
$3,037.80
|
| Rate for Payer: Cofinity Commercial |
$2,826.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,109.58
|
| Rate for Payer: Mclaren Medicaid |
$1,383.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,215.06
|
| Rate for Payer: Meridian Medicaid |
$1,453.05
|
| Rate for Payer: Nomi Health Commercial |
$2,531.50
|
| Rate for Payer: PACE SWMI |
$2,109.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,109.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,383.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,991.30
|
| Rate for Payer: Priority Health HMO/PPO |
$3,440.38
|
| Rate for Payer: Priority Health Medicare |
$2,130.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,440.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,109.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,109.58
|
| Rate for Payer: UHC Exchange |
$2,109.58
|
| Rate for Payer: UHC Medicare Advantage |
$2,109.58
|
| Rate for Payer: UHCCP Medicaid |
$1,383.86
|
|
|
PR CALIBRATED MICROCAP TUBE
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS A4651
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$50.05 |
| Rate for Payer: Aetna Commercial |
$0.03
|
| Rate for Payer: Aetna Medicare |
$38.50
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCN Commercial |
$1.86
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.05
|
|
|
PR CALORIC VESTIBULAR TEST, EACH IRRIGATION, WITH RECORDING
|
Professional
|
Both
|
$19.00
|
|
|
Service Code
|
HCPCS 92543
|
| Min. Negotiated Rate |
$7.60 |
| Max. Negotiated Rate |
$12.35 |
| Rate for Payer: Aetna Medicare |
$9.50
|
| Rate for Payer: BCBS Complete |
$7.60
|
| Rate for Payer: Cash Price |
$15.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.35
|
|
|
PR CANALITH REPOSITIONING PROCEDURE
|
Professional
|
Both
|
$131.00
|
|
|
Service Code
|
HCPCS 95992
|
| Min. Negotiated Rate |
$33.65 |
| Max. Negotiated Rate |
$189.13 |
| Rate for Payer: Aetna Commercial |
$45.09
|
| Rate for Payer: Aetna Medicare |
$35.00
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS MAPPO |
$33.65
|
| Rate for Payer: BCBS Trust/PPO |
$189.13
|
| Rate for Payer: BCN Commercial |
$63.04
|
| Rate for Payer: BCN Medicare Advantage |
$33.65
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cash Price |
$104.80
|
| Rate for Payer: Cofinity Commercial |
$45.09
|
| Rate for Payer: Cofinity Commercial |
$48.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.33
|
| Rate for Payer: Nomi Health Commercial |
$40.38
|
| Rate for Payer: PACE SWMI |
$33.65
|
| Rate for Payer: PHP Medicare Advantage |
$33.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.15
|
| Rate for Payer: Priority Health HMO/PPO |
$47.94
|
| Rate for Payer: Priority Health Medicare |
$33.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$47.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.65
|
| Rate for Payer: UHC Exchange |
$33.65
|
| Rate for Payer: UHC Medicare Advantage |
$33.65
|
|
|
PR CANTHOPLASTY
|
Professional
|
Both
|
$1,146.00
|
|
|
Service Code
|
HCPCS 67950
|
| Min. Negotiated Rate |
$293.09 |
| Max. Negotiated Rate |
$2,419.61 |
| Rate for Payer: Aetna Commercial |
$572.35
|
| Rate for Payer: Aetna Medicare |
$444.22
|
| Rate for Payer: BCBS Complete |
$307.74
|
| Rate for Payer: BCBS MAPPO |
$427.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,419.61
|
| Rate for Payer: BCN Commercial |
$850.79
|
| Rate for Payer: BCN Medicare Advantage |
$427.13
|
| Rate for Payer: Cash Price |
$916.80
|
| Rate for Payer: Cash Price |
$916.80
|
| Rate for Payer: Cofinity Commercial |
$615.07
|
| Rate for Payer: Cofinity Commercial |
$572.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.13
|
| Rate for Payer: Mclaren Medicaid |
$293.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$448.49
|
| Rate for Payer: Meridian Medicaid |
$307.74
|
| Rate for Payer: Nomi Health Commercial |
$512.56
|
| Rate for Payer: PACE SWMI |
$427.13
|
| Rate for Payer: PHP Medicare Advantage |
$427.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$744.90
|
| Rate for Payer: Priority Health HMO/PPO |
$803.66
|
| Rate for Payer: Priority Health Medicare |
$431.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$803.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$427.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$427.13
|
| Rate for Payer: UHC Exchange |
$427.13
|
| Rate for Payer: UHC Medicare Advantage |
$427.13
|
| Rate for Payer: UHCCP Medicaid |
$293.09
|
|
|
PR CANTHOTOMY SEPARATE PROCEDURE
|
Professional
|
Both
|
$374.00
|
|
|
Service Code
|
HCPCS 67715
|
| Min. Negotiated Rate |
$69.01 |
| Max. Negotiated Rate |
$523.55 |
| Rate for Payer: Aetna Commercial |
$134.76
|
| Rate for Payer: Aetna Medicare |
$104.59
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$100.57
|
| Rate for Payer: BCBS Trust/PPO |
$523.55
|
| Rate for Payer: BCN Commercial |
$388.50
|
| Rate for Payer: BCN Medicare Advantage |
$100.57
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cash Price |
$299.20
|
| Rate for Payer: Cofinity Commercial |
$144.82
|
| Rate for Payer: Cofinity Commercial |
$134.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.57
|
| Rate for Payer: Mclaren Medicaid |
$69.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.60
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Nomi Health Commercial |
$120.68
|
| Rate for Payer: PACE SWMI |
$100.57
|
| Rate for Payer: PHP Medicare Advantage |
$100.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$243.10
|
| Rate for Payer: Priority Health HMO/PPO |
$187.75
|
| Rate for Payer: Priority Health Medicare |
$101.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.57
|
| Rate for Payer: UHC Exchange |
$100.57
|
| Rate for Payer: UHC Medicare Advantage |
$100.57
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
|
|
PR CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC
|
Professional
|
Both
|
$4,799.00
|
|
|
Service Code
|
HCPCS 27036
|
| Min. Negotiated Rate |
$197.75 |
| Max. Negotiated Rate |
$3,119.35 |
| Rate for Payer: Aetna Commercial |
$1,315.25
|
| Rate for Payer: Aetna Medicare |
$1,020.79
|
| Rate for Payer: BCBS Complete |
$694.88
|
| Rate for Payer: BCBS MAPPO |
$981.53
|
| Rate for Payer: BCBS Trust/PPO |
$197.75
|
| Rate for Payer: BCN Commercial |
$1,492.42
|
| Rate for Payer: BCN Medicare Advantage |
$981.53
|
| Rate for Payer: Cash Price |
$3,839.20
|
| Rate for Payer: Cash Price |
$3,839.20
|
| Rate for Payer: Cofinity Commercial |
$1,413.40
|
| Rate for Payer: Cofinity Commercial |
$1,315.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$981.53
|
| Rate for Payer: Mclaren Medicaid |
$661.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,030.61
|
| Rate for Payer: Meridian Medicaid |
$694.88
|
| Rate for Payer: Nomi Health Commercial |
$1,177.84
|
| Rate for Payer: PACE SWMI |
$981.53
|
| Rate for Payer: PHP Medicare Advantage |
$981.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$661.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,119.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,568.31
|
| Rate for Payer: Priority Health Medicare |
$991.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,568.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$981.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$981.53
|
| Rate for Payer: UHC Exchange |
$981.53
|
| Rate for Payer: UHC Medicare Advantage |
$981.53
|
| Rate for Payer: UHCCP Medicaid |
$661.79
|
|
|
PR CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS
|
Professional
|
Both
|
$1,755.00
|
|
|
Service Code
|
HCPCS 25320
|
| Min. Negotiated Rate |
$400.98 |
| Max. Negotiated Rate |
$1,533.19 |
| Rate for Payer: Aetna Commercial |
$1,279.08
|
| Rate for Payer: Aetna Medicare |
$992.72
|
| Rate for Payer: BCBS Complete |
$681.24
|
| Rate for Payer: BCBS MAPPO |
$954.54
|
| Rate for Payer: BCBS Trust/PPO |
$400.98
|
| Rate for Payer: BCN Commercial |
$1,454.79
|
| Rate for Payer: BCN Medicare Advantage |
$954.54
|
| Rate for Payer: Cash Price |
$1,404.00
|
| Rate for Payer: Cash Price |
$1,404.00
|
| Rate for Payer: Cofinity Commercial |
$1,374.54
|
| Rate for Payer: Cofinity Commercial |
$1,279.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$954.54
|
| Rate for Payer: Mclaren Medicaid |
$648.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,002.27
|
| Rate for Payer: Meridian Medicaid |
$681.24
|
| Rate for Payer: Nomi Health Commercial |
$1,145.45
|
| Rate for Payer: PACE SWMI |
$954.54
|
| Rate for Payer: PHP Medicare Advantage |
$954.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$648.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,140.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,533.19
|
| Rate for Payer: Priority Health Medicare |
$964.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,533.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$954.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$954.54
|
| Rate for Payer: UHC Exchange |
$954.54
|
| Rate for Payer: UHC Medicare Advantage |
$954.54
|
| Rate for Payer: UHCCP Medicaid |
$648.80
|
|
|
PR CAPSULAR CONTRACTURE RELEASE
|
Professional
|
Both
|
$2,010.00
|
|
|
Service Code
|
HCPCS 23020
|
| Min. Negotiated Rate |
$282.11 |
| Max. Negotiated Rate |
$1,306.50 |
| Rate for Payer: Aetna Commercial |
$895.48
|
| Rate for Payer: Aetna Medicare |
$695.00
|
| Rate for Payer: BCBS Complete |
$474.59
|
| Rate for Payer: BCBS MAPPO |
$668.27
|
| Rate for Payer: BCBS Trust/PPO |
$282.11
|
| Rate for Payer: BCN Commercial |
$1,017.92
|
| Rate for Payer: BCN Medicare Advantage |
$668.27
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Cash Price |
$1,608.00
|
| Rate for Payer: Cofinity Commercial |
$962.31
|
| Rate for Payer: Cofinity Commercial |
$895.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$668.27
|
| Rate for Payer: Mclaren Medicaid |
$451.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$701.68
|
| Rate for Payer: Meridian Medicaid |
$474.59
|
| Rate for Payer: Nomi Health Commercial |
$801.92
|
| Rate for Payer: PACE SWMI |
$668.27
|
| Rate for Payer: PHP Medicare Advantage |
$668.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$451.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,306.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,068.61
|
| Rate for Payer: Priority Health Medicare |
$674.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,068.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$668.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$668.27
|
| Rate for Payer: UHC Exchange |
$668.27
|
| Rate for Payer: UHC Medicare Advantage |
$668.27
|
| Rate for Payer: UHCCP Medicaid |
$451.99
|
|
|
PR CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 26525
|
| Min. Negotiated Rate |
$440.70 |
| Max. Negotiated Rate |
$1,128.45 |
| Rate for Payer: Aetna Commercial |
$849.90
|
| Rate for Payer: Aetna Medicare |
$659.62
|
| Rate for Payer: BCBS Complete |
$462.74
|
| Rate for Payer: BCBS MAPPO |
$634.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,128.45
|
| Rate for Payer: BCN Commercial |
$1,021.83
|
| Rate for Payer: BCN Medicare Advantage |
$634.25
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$913.32
|
| Rate for Payer: Cofinity Commercial |
$849.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$634.25
|
| Rate for Payer: Mclaren Medicaid |
$440.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$665.96
|
| Rate for Payer: Meridian Medicaid |
$462.74
|
| Rate for Payer: Nomi Health Commercial |
$761.10
|
| Rate for Payer: PACE SWMI |
$634.25
|
| Rate for Payer: PHP Medicare Advantage |
$634.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,030.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,060.97
|
| Rate for Payer: Priority Health Medicare |
$640.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,060.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$634.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$634.25
|
| Rate for Payer: UHC Exchange |
$634.25
|
| Rate for Payer: UHC Medicare Advantage |
$634.25
|
| Rate for Payer: UHCCP Medicaid |
$440.70
|
|
|
PR CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 26520
|
| Min. Negotiated Rate |
$437.50 |
| Max. Negotiated Rate |
$1,062.94 |
| Rate for Payer: Aetna Commercial |
$843.74
|
| Rate for Payer: Aetna Medicare |
$654.85
|
| Rate for Payer: BCBS Complete |
$459.38
|
| Rate for Payer: BCBS MAPPO |
$629.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,062.94
|
| Rate for Payer: BCN Commercial |
$1,017.43
|
| Rate for Payer: BCN Medicare Advantage |
$629.66
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$906.71
|
| Rate for Payer: Cofinity Commercial |
$843.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$629.66
|
| Rate for Payer: Mclaren Medicaid |
$437.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$661.14
|
| Rate for Payer: Meridian Medicaid |
$459.38
|
| Rate for Payer: Nomi Health Commercial |
$755.59
|
| Rate for Payer: PACE SWMI |
$629.66
|
| Rate for Payer: PHP Medicare Advantage |
$629.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$437.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,030.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,054.87
|
| Rate for Payer: Priority Health Medicare |
$635.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,054.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$629.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$629.66
|
| Rate for Payer: UHC Exchange |
$629.66
|
| Rate for Payer: UHC Medicare Advantage |
$629.66
|
| Rate for Payer: UHCCP Medicaid |
$437.50
|
|
|
PR CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX
|
Professional
|
Both
|
$802.00
|
|
|
Service Code
|
HCPCS 28270
|
| Min. Negotiated Rate |
$218.11 |
| Max. Negotiated Rate |
$706.63 |
| Rate for Payer: Aetna Commercial |
$429.04
|
| Rate for Payer: Aetna Medicare |
$332.99
|
| Rate for Payer: BCBS Complete |
$229.02
|
| Rate for Payer: BCBS MAPPO |
$320.18
|
| Rate for Payer: BCBS Trust/PPO |
$265.73
|
| Rate for Payer: BCN Commercial |
$706.63
|
| Rate for Payer: BCN Medicare Advantage |
$320.18
|
| Rate for Payer: Cash Price |
$641.60
|
| Rate for Payer: Cash Price |
$641.60
|
| Rate for Payer: Cofinity Commercial |
$461.06
|
| Rate for Payer: Cofinity Commercial |
$429.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.18
|
| Rate for Payer: Mclaren Medicaid |
$218.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$336.19
|
| Rate for Payer: Meridian Medicaid |
$229.02
|
| Rate for Payer: Nomi Health Commercial |
$384.22
|
| Rate for Payer: PACE SWMI |
$320.18
|
| Rate for Payer: PHP Medicare Advantage |
$320.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.30
|
| Rate for Payer: Priority Health HMO/PPO |
$515.47
|
| Rate for Payer: Priority Health Medicare |
$323.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$515.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$320.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.18
|
| Rate for Payer: UHC Exchange |
$320.18
|
| Rate for Payer: UHC Medicare Advantage |
$320.18
|
| Rate for Payer: UHCCP Medicaid |
$218.11
|
|
|
PR CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT
|
Professional
|
Both
|
$2,003.00
|
|
|
Service Code
|
HCPCS 26516
|
| Min. Negotiated Rate |
$480.95 |
| Max. Negotiated Rate |
$3,178.25 |
| Rate for Payer: Aetna Commercial |
$935.52
|
| Rate for Payer: Aetna Medicare |
$726.08
|
| Rate for Payer: BCBS Complete |
$505.00
|
| Rate for Payer: BCBS MAPPO |
$698.15
|
| Rate for Payer: BCBS Trust/PPO |
$3,178.25
|
| Rate for Payer: BCN Commercial |
$1,105.87
|
| Rate for Payer: BCN Medicare Advantage |
$698.15
|
| Rate for Payer: Cash Price |
$1,602.40
|
| Rate for Payer: Cash Price |
$1,602.40
|
| Rate for Payer: Cofinity Commercial |
$935.52
|
| Rate for Payer: Cofinity Commercial |
$1,005.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$698.15
|
| Rate for Payer: Mclaren Medicaid |
$480.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$733.06
|
| Rate for Payer: Meridian Medicaid |
$505.00
|
| Rate for Payer: Nomi Health Commercial |
$837.78
|
| Rate for Payer: PACE SWMI |
$698.15
|
| Rate for Payer: PHP Medicare Advantage |
$698.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,301.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,150.53
|
| Rate for Payer: Priority Health Medicare |
$705.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,150.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$698.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$698.15
|
| Rate for Payer: UHC Exchange |
$698.15
|
| Rate for Payer: UHC Medicare Advantage |
$698.15
|
| Rate for Payer: UHCCP Medicaid |
$480.95
|
|
|
PR CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON
|
Professional
|
Both
|
$2,867.00
|
|
|
Service Code
|
HCPCS 23450
|
| Min. Negotiated Rate |
$146.45 |
| Max. Negotiated Rate |
$1,863.55 |
| Rate for Payer: Aetna Commercial |
$1,223.33
|
| Rate for Payer: Aetna Medicare |
$949.45
|
| Rate for Payer: BCBS Complete |
$645.00
|
| Rate for Payer: BCBS MAPPO |
$912.93
|
| Rate for Payer: BCBS Trust/PPO |
$146.45
|
| Rate for Payer: BCN Commercial |
$1,388.33
|
| Rate for Payer: BCN Medicare Advantage |
$912.93
|
| Rate for Payer: Cash Price |
$2,293.60
|
| Rate for Payer: Cash Price |
$2,293.60
|
| Rate for Payer: Cofinity Commercial |
$1,314.62
|
| Rate for Payer: Cofinity Commercial |
$1,223.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$912.93
|
| Rate for Payer: Mclaren Medicaid |
$614.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$958.58
|
| Rate for Payer: Meridian Medicaid |
$645.00
|
| Rate for Payer: Nomi Health Commercial |
$1,095.52
|
| Rate for Payer: PACE SWMI |
$912.93
|
| Rate for Payer: PHP Medicare Advantage |
$912.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$614.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,863.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,455.86
|
| Rate for Payer: Priority Health Medicare |
$922.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,455.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$912.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$912.93
|
| Rate for Payer: UHC Exchange |
$912.93
|
| Rate for Payer: UHC Medicare Advantage |
$912.93
|
| Rate for Payer: UHCCP Medicaid |
$614.29
|
|
|
PR CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR
|
Professional
|
Both
|
$3,414.00
|
|
|
Service Code
|
HCPCS 23462
|
| Min. Negotiated Rate |
$313.71 |
| Max. Negotiated Rate |
$2,219.10 |
| Rate for Payer: Aetna Commercial |
$1,379.50
|
| Rate for Payer: Aetna Medicare |
$1,070.66
|
| Rate for Payer: BCBS Complete |
$726.41
|
| Rate for Payer: BCBS MAPPO |
$1,029.48
|
| Rate for Payer: BCBS Trust/PPO |
$313.71
|
| Rate for Payer: BCN Commercial |
$1,564.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,029.48
|
| Rate for Payer: Cash Price |
$2,731.20
|
| Rate for Payer: Cash Price |
$2,731.20
|
| Rate for Payer: Cofinity Commercial |
$1,482.45
|
| Rate for Payer: Cofinity Commercial |
$1,379.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,029.48
|
| Rate for Payer: Mclaren Medicaid |
$691.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,080.95
|
| Rate for Payer: Meridian Medicaid |
$726.41
|
| Rate for Payer: Nomi Health Commercial |
$1,235.38
|
| Rate for Payer: PACE SWMI |
$1,029.48
|
| Rate for Payer: PHP Medicare Advantage |
$1,029.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$691.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,219.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,640.57
|
| Rate for Payer: Priority Health Medicare |
$1,039.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,640.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,029.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,029.48
|
| Rate for Payer: UHC Exchange |
$1,029.48
|
| Rate for Payer: UHC Medicare Advantage |
$1,029.48
|
| Rate for Payer: UHCCP Medicaid |
$691.82
|
|
|
PR CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK
|
Professional
|
Both
|
$2,793.00
|
|
|
Service Code
|
HCPCS 23460
|
| Min. Negotiated Rate |
$208.43 |
| Max. Negotiated Rate |
$1,815.45 |
| Rate for Payer: Aetna Commercial |
$1,408.66
|
| Rate for Payer: Aetna Medicare |
$1,093.29
|
| Rate for Payer: BCBS Complete |
$742.52
|
| Rate for Payer: BCBS MAPPO |
$1,051.24
|
| Rate for Payer: BCBS Trust/PPO |
$208.43
|
| Rate for Payer: BCN Commercial |
$1,598.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,051.24
|
| Rate for Payer: Cash Price |
$2,234.40
|
| Rate for Payer: Cash Price |
$2,234.40
|
| Rate for Payer: Cofinity Commercial |
$1,513.79
|
| Rate for Payer: Cofinity Commercial |
$1,408.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,051.24
|
| Rate for Payer: Mclaren Medicaid |
$707.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,103.80
|
| Rate for Payer: Meridian Medicaid |
$742.52
|
| Rate for Payer: Nomi Health Commercial |
$1,261.49
|
| Rate for Payer: PACE SWMI |
$1,051.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,051.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$707.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,815.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,676.69
|
| Rate for Payer: Priority Health Medicare |
$1,061.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,676.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,051.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,051.24
|
| Rate for Payer: UHC Exchange |
$1,051.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,051.24
|
| Rate for Payer: UHCCP Medicaid |
$707.16
|
|
|
PR CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR
|
Professional
|
Both
|
$3,203.00
|
|
|
Service Code
|
HCPCS 23455
|
| Min. Negotiated Rate |
$188.90 |
| Max. Negotiated Rate |
$2,081.95 |
| Rate for Payer: Aetna Commercial |
$1,255.83
|
| Rate for Payer: Aetna Medicare |
$974.68
|
| Rate for Payer: BCBS Complete |
$661.55
|
| Rate for Payer: BCBS MAPPO |
$937.19
|
| Rate for Payer: BCBS Trust/PPO |
$188.90
|
| Rate for Payer: BCN Commercial |
$1,449.42
|
| Rate for Payer: BCN Medicare Advantage |
$937.19
|
| Rate for Payer: Cash Price |
$2,562.40
|
| Rate for Payer: Cash Price |
$2,562.40
|
| Rate for Payer: Cofinity Commercial |
$1,349.55
|
| Rate for Payer: Cofinity Commercial |
$1,255.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$937.19
|
| Rate for Payer: Mclaren Medicaid |
$630.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$984.05
|
| Rate for Payer: Meridian Medicaid |
$661.55
|
| Rate for Payer: Nomi Health Commercial |
$1,124.63
|
| Rate for Payer: PACE SWMI |
$937.19
|
| Rate for Payer: PHP Medicare Advantage |
$937.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$630.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,081.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,516.41
|
| Rate for Payer: Priority Health Medicare |
$946.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,516.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$937.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$937.19
|
| Rate for Payer: UHC Exchange |
$937.19
|
| Rate for Payer: UHC Medicare Advantage |
$937.19
|
| Rate for Payer: UHCCP Medicaid |
$630.05
|
|
|
PR CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK
|
Professional
|
Both
|
$3,500.00
|
|
|
Service Code
|
HCPCS 23465
|
| Min. Negotiated Rate |
$104.00 |
| Max. Negotiated Rate |
$2,275.00 |
| Rate for Payer: Aetna Commercial |
$1,444.32
|
| Rate for Payer: Aetna Medicare |
$1,120.96
|
| Rate for Payer: BCBS Complete |
$761.08
|
| Rate for Payer: BCBS MAPPO |
$1,077.85
|
| Rate for Payer: BCBS Trust/PPO |
$104.00
|
| Rate for Payer: BCN Commercial |
$1,639.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,077.85
|
| Rate for Payer: Cash Price |
$2,800.00
|
| Rate for Payer: Cash Price |
$2,800.00
|
| Rate for Payer: Cofinity Commercial |
$1,552.10
|
| Rate for Payer: Cofinity Commercial |
$1,444.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,077.85
|
| Rate for Payer: Mclaren Medicaid |
$724.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,131.74
|
| Rate for Payer: Meridian Medicaid |
$761.08
|
| Rate for Payer: Nomi Health Commercial |
$1,293.42
|
| Rate for Payer: PACE SWMI |
$1,077.85
|
| Rate for Payer: PHP Medicare Advantage |
$1,077.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$724.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,275.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,718.93
|
| Rate for Payer: Priority Health Medicare |
$1,088.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,718.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,077.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,077.85
|
| Rate for Payer: UHC Exchange |
$1,077.85
|
| Rate for Payer: UHC Medicare Advantage |
$1,077.85
|
| Rate for Payer: UHCCP Medicaid |
$724.84
|
|
|
PR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS
|
Professional
|
Both
|
$2,008.00
|
|
|
Service Code
|
HCPCS 23466
|
| Min. Negotiated Rate |
$138.81 |
| Max. Negotiated Rate |
$1,728.61 |
| Rate for Payer: Aetna Commercial |
$1,443.50
|
| Rate for Payer: Aetna Medicare |
$1,120.33
|
| Rate for Payer: BCBS Complete |
$762.87
|
| Rate for Payer: BCBS MAPPO |
$1,077.24
|
| Rate for Payer: BCBS Trust/PPO |
$138.81
|
| Rate for Payer: BCN Commercial |
$1,644.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,077.24
|
| Rate for Payer: Cash Price |
$1,606.40
|
| Rate for Payer: Cash Price |
$1,606.40
|
| Rate for Payer: Cofinity Commercial |
$1,443.50
|
| Rate for Payer: Cofinity Commercial |
$1,551.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,077.24
|
| Rate for Payer: Mclaren Medicaid |
$726.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,131.10
|
| Rate for Payer: Meridian Medicaid |
$762.87
|
| Rate for Payer: Nomi Health Commercial |
$1,292.69
|
| Rate for Payer: PACE SWMI |
$1,077.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,077.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$726.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,305.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,728.61
|
| Rate for Payer: Priority Health Medicare |
$1,088.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,728.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,077.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,077.24
|
| Rate for Payer: UHC Exchange |
$1,077.24
|
| Rate for Payer: UHC Medicare Advantage |
$1,077.24
|
| Rate for Payer: UHCCP Medicaid |
$726.54
|
|
|
PR CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX
|
Professional
|
Both
|
$1,556.00
|
|
|
Service Code
|
HCPCS 28260
|
| Min. Negotiated Rate |
$348.68 |
| Max. Negotiated Rate |
$1,049.19 |
| Rate for Payer: Aetna Commercial |
$691.05
|
| Rate for Payer: Aetna Medicare |
$536.34
|
| Rate for Payer: BCBS Complete |
$366.11
|
| Rate for Payer: BCBS MAPPO |
$515.71
|
| Rate for Payer: BCN Commercial |
$1,049.19
|
| Rate for Payer: BCN Medicare Advantage |
$515.71
|
| Rate for Payer: Cash Price |
$1,244.80
|
| Rate for Payer: Cash Price |
$1,244.80
|
| Rate for Payer: Cofinity Commercial |
$742.62
|
| Rate for Payer: Cofinity Commercial |
$691.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$515.71
|
| Rate for Payer: Mclaren Medicaid |
$348.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$541.50
|
| Rate for Payer: Meridian Medicaid |
$366.11
|
| Rate for Payer: Nomi Health Commercial |
$618.85
|
| Rate for Payer: PACE SWMI |
$515.71
|
| Rate for Payer: PHP Medicare Advantage |
$515.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,011.40
|
| Rate for Payer: Priority Health HMO/PPO |
$833.01
|
| Rate for Payer: Priority Health Medicare |
$520.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$833.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$515.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$515.71
|
| Rate for Payer: UHC Exchange |
$515.71
|
| Rate for Payer: UHC Medicare Advantage |
$515.71
|
| Rate for Payer: UHCCP Medicaid |
$348.68
|
|
|
PR CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE
|
Professional
|
Both
|
$2,715.00
|
|
|
Service Code
|
HCPCS 27435
|
| Min. Negotiated Rate |
$527.18 |
| Max. Negotiated Rate |
$1,764.75 |
| Rate for Payer: Aetna Commercial |
$1,044.02
|
| Rate for Payer: Aetna Medicare |
$810.28
|
| Rate for Payer: BCBS Complete |
$553.54
|
| Rate for Payer: BCBS MAPPO |
$779.12
|
| Rate for Payer: BCN Commercial |
$1,193.35
|
| Rate for Payer: BCN Medicare Advantage |
$779.12
|
| Rate for Payer: Cash Price |
$2,172.00
|
| Rate for Payer: Cash Price |
$2,172.00
|
| Rate for Payer: Cofinity Commercial |
$1,121.93
|
| Rate for Payer: Cofinity Commercial |
$1,044.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$779.12
|
| Rate for Payer: Mclaren Medicaid |
$527.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$818.08
|
| Rate for Payer: Meridian Medicaid |
$553.54
|
| Rate for Payer: Nomi Health Commercial |
$934.94
|
| Rate for Payer: PACE SWMI |
$779.12
|
| Rate for Payer: PHP Medicare Advantage |
$779.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$527.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,764.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,248.75
|
| Rate for Payer: Priority Health Medicare |
$786.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,248.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$779.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$779.12
|
| Rate for Payer: UHC Exchange |
$779.12
|
| Rate for Payer: UHC Medicare Advantage |
$779.12
|
| Rate for Payer: UHCCP Medicaid |
$527.18
|
|
|
PR CAPSULOTOMY WRIST
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 25085
|
| Min. Negotiated Rate |
$119.92 |
| Max. Negotiated Rate |
$1,066.00 |
| Rate for Payer: Aetna Commercial |
$582.94
|
| Rate for Payer: Aetna Medicare |
$452.43
|
| Rate for Payer: BCBS Complete |
$311.09
|
| Rate for Payer: BCBS MAPPO |
$435.03
|
| Rate for Payer: BCBS Trust/PPO |
$119.92
|
| Rate for Payer: BCN Commercial |
$664.60
|
| Rate for Payer: BCN Medicare Advantage |
$435.03
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$626.44
|
| Rate for Payer: Cofinity Commercial |
$582.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$435.03
|
| Rate for Payer: Mclaren Medicaid |
$296.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$456.78
|
| Rate for Payer: Meridian Medicaid |
$311.09
|
| Rate for Payer: Nomi Health Commercial |
$522.04
|
| Rate for Payer: PACE SWMI |
$435.03
|
| Rate for Payer: PHP Medicare Advantage |
$435.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO |
$701.21
|
| Rate for Payer: Priority Health Medicare |
$439.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$701.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$435.03
|
| Rate for Payer: UHC Exchange |
$435.03
|
| Rate for Payer: UHC Medicare Advantage |
$435.03
|
| Rate for Payer: UHCCP Medicaid |
$296.28
|
|
|
PR CARDIOPULMONARY EXERCISE TESTING
|
Professional
|
Both
|
$283.00
|
|
|
Service Code
|
HCPCS 94621
|
| Min. Negotiated Rate |
$42.60 |
| Max. Negotiated Rate |
$256.23 |
| Rate for Payer: Aetna Commercial |
$190.74
|
| Rate for Payer: Aetna Medicare |
$148.03
|
| Rate for Payer: BCBS Complete |
$44.73
|
| Rate for Payer: BCBS MAPPO |
$142.34
|
| Rate for Payer: BCBS Trust/PPO |
$256.23
|
| Rate for Payer: BCN Commercial |
$222.83
|
| Rate for Payer: BCN Medicare Advantage |
$142.34
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cash Price |
$226.40
|
| Rate for Payer: Cofinity Commercial |
$204.97
|
| Rate for Payer: Cofinity Commercial |
$190.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$142.34
|
| Rate for Payer: Mclaren Medicaid |
$42.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$149.46
|
| Rate for Payer: Meridian Medicaid |
$44.73
|
| Rate for Payer: Nomi Health Commercial |
$170.81
|
| Rate for Payer: PACE SWMI |
$142.34
|
| Rate for Payer: PHP Medicare Advantage |
$142.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.95
|
| Rate for Payer: Priority Health HMO/PPO |
$90.01
|
| Rate for Payer: Priority Health Medicare |
$143.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$90.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$142.34
|
| Rate for Payer: UHC Exchange |
$142.34
|
| Rate for Payer: UHC Medicare Advantage |
$142.34
|
| Rate for Payer: UHCCP Medicaid |
$42.60
|
|
|
PR CARDIOPULMONARY RESUSCITATION
|
Professional
|
Both
|
$559.00
|
|
|
Service Code
|
HCPCS 92950
|
| Min. Negotiated Rate |
$115.66 |
| Max. Negotiated Rate |
$2,166.03 |
| Rate for Payer: Aetna Commercial |
$234.38
|
| Rate for Payer: Aetna Medicare |
$181.91
|
| Rate for Payer: BCBS Complete |
$121.44
|
| Rate for Payer: BCBS MAPPO |
$174.91
|
| Rate for Payer: BCBS Trust/PPO |
$2,166.03
|
| Rate for Payer: BCN Commercial |
$475.97
|
| Rate for Payer: BCN Medicare Advantage |
$174.91
|
| Rate for Payer: Cash Price |
$447.20
|
| Rate for Payer: Cash Price |
$447.20
|
| Rate for Payer: Cofinity Commercial |
$251.87
|
| Rate for Payer: Cofinity Commercial |
$234.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$174.91
|
| Rate for Payer: Mclaren Medicaid |
$115.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$183.66
|
| Rate for Payer: Meridian Medicaid |
$121.44
|
| Rate for Payer: Nomi Health Commercial |
$209.89
|
| Rate for Payer: PACE SWMI |
$174.91
|
| Rate for Payer: PHP Medicare Advantage |
$174.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$363.35
|
| Rate for Payer: Priority Health HMO/PPO |
$254.73
|
| Rate for Payer: Priority Health Medicare |
$176.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$254.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$174.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$174.91
|
| Rate for Payer: UHC Exchange |
$174.91
|
| Rate for Payer: UHC Medicare Advantage |
$174.91
|
| Rate for Payer: UHCCP Medicaid |
$115.66
|
|
|
PR CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP
|
Professional
|
Both
|
$6,846.00
|
|
|
Service Code
|
HCPCS 33315
|
| Min. Negotiated Rate |
$1,200.89 |
| Max. Negotiated Rate |
$4,449.90 |
| Rate for Payer: Aetna Commercial |
$2,454.50
|
| Rate for Payer: Aetna Medicare |
$1,904.99
|
| Rate for Payer: BCBS Complete |
$1,260.93
|
| Rate for Payer: BCBS MAPPO |
$1,831.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,311.77
|
| Rate for Payer: BCN Commercial |
$2,745.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,831.72
|
| Rate for Payer: Cash Price |
$5,476.80
|
| Rate for Payer: Cash Price |
$5,476.80
|
| Rate for Payer: Cofinity Commercial |
$2,637.68
|
| Rate for Payer: Cofinity Commercial |
$2,454.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,831.72
|
| Rate for Payer: Mclaren Medicaid |
$1,200.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,923.31
|
| Rate for Payer: Meridian Medicaid |
$1,260.93
|
| Rate for Payer: Nomi Health Commercial |
$2,198.06
|
| Rate for Payer: PACE SWMI |
$1,831.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,831.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,200.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,449.90
|
| Rate for Payer: Priority Health HMO/PPO |
$2,999.50
|
| Rate for Payer: Priority Health Medicare |
$1,850.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,999.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,831.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,831.72
|
| Rate for Payer: UHC Exchange |
$1,831.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,831.72
|
| Rate for Payer: UHCCP Medicaid |
$1,200.89
|
|
