|
PR LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR
|
Professional
|
Both
|
$1,783.00
|
|
|
Service Code
|
HCPCS 63035
|
| Min. Negotiated Rate |
$148.67 |
| Max. Negotiated Rate |
$1,248.10 |
| Rate for Payer: Aetna Commercial |
$312.85
|
| Rate for Payer: Aetna Medicare |
$242.81
|
| Rate for Payer: BCBS Complete |
$156.10
|
| Rate for Payer: BCBS MAPPO |
$233.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,004.30
|
| Rate for Payer: BCN Commercial |
$375.03
|
| Rate for Payer: BCN Medicare Advantage |
$233.47
|
| Rate for Payer: Cash Price |
$1,426.40
|
| Rate for Payer: Cash Price |
$1,426.40
|
| Rate for Payer: Cofinity Commercial |
$336.20
|
| Rate for Payer: Cofinity Commercial |
$312.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$233.47
|
| Rate for Payer: Mclaren Medicaid |
$148.67
|
| Rate for Payer: Meridian Medicaid |
$156.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$245.14
|
| Rate for Payer: PACE SWMI |
$233.47
|
| Rate for Payer: PHP Medicare Advantage |
$233.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,248.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$394.65
|
| Rate for Payer: Priority Health Medicare |
$233.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$394.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$233.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$233.47
|
| Rate for Payer: UHC Medicare Advantage |
$240.47
|
|
|
PR LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ
|
Professional
|
Both
|
$8,375.00
|
|
|
Service Code
|
HCPCS 63051
|
| Min. Negotiated Rate |
$405.21 |
| Max. Negotiated Rate |
$5,862.50 |
| Rate for Payer: Aetna Commercial |
$2,261.67
|
| Rate for Payer: Aetna Medicare |
$1,755.32
|
| Rate for Payer: BCBS Complete |
$1,144.20
|
| Rate for Payer: BCBS MAPPO |
$1,687.81
|
| Rate for Payer: BCBS Trust/PPO |
$405.21
|
| Rate for Payer: BCN Commercial |
$2,484.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,687.81
|
| Rate for Payer: Cash Price |
$6,700.00
|
| Rate for Payer: Cash Price |
$6,700.00
|
| Rate for Payer: Cofinity Commercial |
$2,261.67
|
| Rate for Payer: Cofinity Commercial |
$2,430.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,687.81
|
| Rate for Payer: Mclaren Medicaid |
$1,089.71
|
| Rate for Payer: Meridian Medicaid |
$1,144.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,772.20
|
| Rate for Payer: PACE SWMI |
$1,687.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,687.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,862.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,878.69
|
| Rate for Payer: Priority Health Medicare |
$1,687.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,878.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,687.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,687.81
|
| Rate for Payer: UHC Medicare Advantage |
$1,738.44
|
|
|
PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL
|
Professional
|
Both
|
$6,542.00
|
|
|
Service Code
|
HCPCS 63040
|
| Min. Negotiated Rate |
$889.06 |
| Max. Negotiated Rate |
$4,579.40 |
| Rate for Payer: Aetna Commercial |
$1,846.14
|
| Rate for Payer: Aetna Medicare |
$1,432.83
|
| Rate for Payer: BCBS Complete |
$933.51
|
| Rate for Payer: BCBS MAPPO |
$1,377.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,073.51
|
| Rate for Payer: BCN Commercial |
$2,234.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,377.72
|
| Rate for Payer: Cash Price |
$5,233.60
|
| Rate for Payer: Cash Price |
$5,233.60
|
| Rate for Payer: Cofinity Commercial |
$1,983.92
|
| Rate for Payer: Cofinity Commercial |
$1,846.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,377.72
|
| Rate for Payer: Mclaren Medicaid |
$889.06
|
| Rate for Payer: Meridian Medicaid |
$933.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,446.61
|
| Rate for Payer: PACE SWMI |
$1,377.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,377.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$889.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,579.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,351.53
|
| Rate for Payer: Priority Health Medicare |
$1,377.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,351.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,377.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,377.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,419.05
|
|
|
PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV
|
Professional
|
Both
|
$2,139.00
|
|
|
Service Code
|
HCPCS 63043
|
| Min. Negotiated Rate |
$191.17 |
| Max. Negotiated Rate |
$1,862.26 |
| Rate for Payer: Aetna Commercial |
$780.02
|
| Rate for Payer: BCBS Complete |
$200.73
|
| Rate for Payer: BCBS Trust/PPO |
$1,862.26
|
| Rate for Payer: BCN Commercial |
$374.64
|
| Rate for Payer: Cash Price |
$1,711.20
|
| Rate for Payer: Cash Price |
$1,711.20
|
| Rate for Payer: Mclaren Medicaid |
$191.17
|
| Rate for Payer: Meridian Medicaid |
$200.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,497.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,024.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,024.87
|
|
|
PR LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR
|
Professional
|
Both
|
$2,640.46
|
|
|
Service Code
|
HCPCS 63042
|
| Min. Negotiated Rate |
$836.88 |
| Max. Negotiated Rate |
$2,204.31 |
| Rate for Payer: Aetna Commercial |
$1,727.09
|
| Rate for Payer: Aetna Medicare |
$1,340.42
|
| Rate for Payer: BCBS Complete |
$878.72
|
| Rate for Payer: BCBS MAPPO |
$1,288.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,376.75
|
| Rate for Payer: BCN Commercial |
$2,094.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,288.87
|
| Rate for Payer: Cash Price |
$2,112.37
|
| Rate for Payer: Cash Price |
$2,112.37
|
| Rate for Payer: Cofinity Commercial |
$1,855.97
|
| Rate for Payer: Cofinity Commercial |
$1,727.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,288.87
|
| Rate for Payer: Mclaren Medicaid |
$836.88
|
| Rate for Payer: Meridian Medicaid |
$878.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,353.31
|
| Rate for Payer: PACE SWMI |
$1,288.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,288.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$836.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,848.32
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,204.31
|
| Rate for Payer: Priority Health Medicare |
$1,288.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,204.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,288.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,288.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,327.54
|
|
|
PR LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR
|
Professional
|
Both
|
$2,083.00
|
|
|
Service Code
|
HCPCS 63044
|
| Min. Negotiated Rate |
$179.97 |
| Max. Negotiated Rate |
$1,908.75 |
| Rate for Payer: Aetna Commercial |
$741.31
|
| Rate for Payer: BCBS Complete |
$188.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,908.75
|
| Rate for Payer: BCN Commercial |
$374.64
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Cash Price |
$1,666.40
|
| Rate for Payer: Mclaren Medicaid |
$179.97
|
| Rate for Payer: Meridian Medicaid |
$188.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,458.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$973.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$973.90
|
|
|
PR LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID
|
Professional
|
Both
|
$6,198.00
|
|
|
Service Code
|
HCPCS 63172
|
| Min. Negotiated Rate |
$919.73 |
| Max. Negotiated Rate |
$4,338.60 |
| Rate for Payer: Aetna Commercial |
$1,909.08
|
| Rate for Payer: Aetna Medicare |
$1,481.68
|
| Rate for Payer: BCBS Complete |
$965.72
|
| Rate for Payer: BCBS MAPPO |
$1,424.69
|
| Rate for Payer: BCBS Trust/PPO |
$3,470.40
|
| Rate for Payer: BCN Commercial |
$2,301.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,424.69
|
| Rate for Payer: Cash Price |
$4,958.40
|
| Rate for Payer: Cash Price |
$4,958.40
|
| Rate for Payer: Cofinity Commercial |
$1,909.08
|
| Rate for Payer: Cofinity Commercial |
$2,051.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,424.69
|
| Rate for Payer: Mclaren Medicaid |
$919.73
|
| Rate for Payer: Meridian Medicaid |
$965.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,495.92
|
| Rate for Payer: PACE SWMI |
$1,424.69
|
| Rate for Payer: PHP Medicare Advantage |
$1,424.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$919.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,338.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,421.75
|
| Rate for Payer: Priority Health Medicare |
$1,424.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,421.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,424.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,424.69
|
| Rate for Payer: UHC Medicare Advantage |
$1,467.43
|
|
|
PR LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL
|
Professional
|
Both
|
$6,724.00
|
|
|
Service Code
|
HCPCS 63173
|
| Min. Negotiated Rate |
$1,122.72 |
| Max. Negotiated Rate |
$4,706.80 |
| Rate for Payer: Aetna Commercial |
$2,330.45
|
| Rate for Payer: Aetna Medicare |
$1,808.71
|
| Rate for Payer: BCBS Complete |
$1,178.86
|
| Rate for Payer: BCBS MAPPO |
$1,739.14
|
| Rate for Payer: BCBS Trust/PPO |
$3,763.08
|
| Rate for Payer: BCN Commercial |
$2,549.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,739.14
|
| Rate for Payer: Cash Price |
$5,379.20
|
| Rate for Payer: Cash Price |
$5,379.20
|
| Rate for Payer: Cofinity Commercial |
$2,504.36
|
| Rate for Payer: Cofinity Commercial |
$2,330.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,739.14
|
| Rate for Payer: Mclaren Medicaid |
$1,122.72
|
| Rate for Payer: Meridian Medicaid |
$1,178.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,826.10
|
| Rate for Payer: PACE SWMI |
$1,739.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,739.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,122.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,706.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,954.55
|
| Rate for Payer: Priority Health Medicare |
$1,739.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,954.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,739.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,739.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,791.31
|
|
|
PR LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV
|
Professional
|
Both
|
$4,992.00
|
|
|
Service Code
|
HCPCS 63001
|
| Min. Negotiated Rate |
$140.00 |
| Max. Negotiated Rate |
$3,494.40 |
| Rate for Payer: Aetna Commercial |
$1,657.87
|
| Rate for Payer: Aetna Medicare |
$1,286.71
|
| Rate for Payer: BCBS Complete |
$837.34
|
| Rate for Payer: BCBS MAPPO |
$1,237.22
|
| Rate for Payer: BCBS Trust/PPO |
$140.00
|
| Rate for Payer: BCN Commercial |
$2,002.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,237.22
|
| Rate for Payer: Cash Price |
$3,993.60
|
| Rate for Payer: Cash Price |
$3,993.60
|
| Rate for Payer: Cofinity Commercial |
$1,781.60
|
| Rate for Payer: Cofinity Commercial |
$1,657.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,237.22
|
| Rate for Payer: Mclaren Medicaid |
$797.47
|
| Rate for Payer: Meridian Medicaid |
$837.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,299.08
|
| Rate for Payer: PACE SWMI |
$1,237.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$797.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,494.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,106.91
|
| Rate for Payer: Priority Health Medicare |
$1,237.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,106.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,237.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,237.22
|
| Rate for Payer: UHC Medicare Advantage |
$1,274.34
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Professional
|
Both
|
$1,975.00
|
|
|
Service Code
|
HCPCS 44970
|
| Hospital Charge Code |
44970
|
| Min. Negotiated Rate |
$387.23 |
| Max. Negotiated Rate |
$2,450.78 |
| Rate for Payer: Aetna Commercial |
$802.45
|
| Rate for Payer: Aetna Medicare |
$622.79
|
| Rate for Payer: BCBS Complete |
$406.59
|
| Rate for Payer: BCBS MAPPO |
$598.84
|
| Rate for Payer: BCBS Trust/PPO |
$2,450.78
|
| Rate for Payer: BCN Commercial |
$882.55
|
| Rate for Payer: BCN Medicare Advantage |
$598.84
|
| Rate for Payer: Cash Price |
$1,580.00
|
| Rate for Payer: Cash Price |
$1,580.00
|
| Rate for Payer: Cofinity Commercial |
$802.45
|
| Rate for Payer: Cofinity Commercial |
$862.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.84
|
| Rate for Payer: Mclaren Medicaid |
$387.23
|
| Rate for Payer: Meridian Medicaid |
$406.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$628.78
|
| Rate for Payer: PACE SWMI |
$598.84
|
| Rate for Payer: PHP Medicare Advantage |
$598.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,382.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,061.87
|
| Rate for Payer: Priority Health Medicare |
$598.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,061.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.84
|
| Rate for Payer: UHC Medicare Advantage |
$616.81
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Facility
|
OP
|
$1,975.00
|
|
|
Service Code
|
CPT 44970
|
| Hospital Charge Code |
44970
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$469.06 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$1,678.75
|
| Rate for Payer: Aetna Medicare |
$513.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$617.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$617.19
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$493.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,535.56
|
| Rate for Payer: BCN Commercial |
$1,535.56
|
| Rate for Payer: BCN Medicare Advantage |
$493.75
|
| Rate for Payer: Cash Price |
$1,580.00
|
| Rate for Payer: Cash Price |
$1,580.00
|
| Rate for Payer: Cofinity Commercial |
$1,698.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,580.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$493.75
|
| Rate for Payer: Healthscope Commercial |
$1,777.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,481.25
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$518.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$567.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,678.75
|
| Rate for Payer: PACE Senior Care Partners |
$469.06
|
| Rate for Payer: PACE SWMI |
$493.75
|
| Rate for Payer: PHP Commercial |
$1,678.75
|
| Rate for Payer: PHP Medicare Advantage |
$493.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,382.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,718.25
|
| Rate for Payer: Priority Health Medicare |
$493.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,204.55
|
| Rate for Payer: Railroad Medicare Medicare |
$493.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,738.00
|
| Rate for Payer: UHC Core |
$1,649.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$493.75
|
| Rate for Payer: UHC Medicare Advantage |
$508.56
|
| Rate for Payer: VA VA |
$493.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,481.25
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Facility
|
IP
|
$1,975.00
|
|
|
Service Code
|
CPT 44970
|
| Hospital Charge Code |
44970
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,204.55 |
| Max. Negotiated Rate |
$1,777.50 |
| Rate for Payer: Aetna Commercial |
$1,678.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,526.28
|
| Rate for Payer: BCN Commercial |
$1,526.28
|
| Rate for Payer: Cash Price |
$1,580.00
|
| Rate for Payer: Cofinity Commercial |
$1,698.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,580.00
|
| Rate for Payer: Healthscope Commercial |
$1,777.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,481.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,678.75
|
| Rate for Payer: PHP Commercial |
$1,678.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,382.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,718.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,204.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,738.00
|
| Rate for Payer: UHC Core |
$1,649.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,481.25
|
|
|
PR LAPAROSCOPIC APPENDECTOMY
|
Professional
|
Both
|
$1,975.00
|
|
|
Service Code
|
HCPCS 44970
|
| Min. Negotiated Rate |
$387.23 |
| Max. Negotiated Rate |
$2,450.78 |
| Rate for Payer: Aetna Commercial |
$802.45
|
| Rate for Payer: Aetna Medicare |
$622.79
|
| Rate for Payer: BCBS Complete |
$406.59
|
| Rate for Payer: BCBS MAPPO |
$598.84
|
| Rate for Payer: BCBS Trust/PPO |
$2,450.78
|
| Rate for Payer: BCN Commercial |
$882.55
|
| Rate for Payer: BCN Medicare Advantage |
$598.84
|
| Rate for Payer: Cash Price |
$1,580.00
|
| Rate for Payer: Cash Price |
$1,580.00
|
| Rate for Payer: Cofinity Commercial |
$862.33
|
| Rate for Payer: Cofinity Commercial |
$802.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.84
|
| Rate for Payer: Mclaren Medicaid |
$387.23
|
| Rate for Payer: Meridian Medicaid |
$406.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$628.78
|
| Rate for Payer: PACE SWMI |
$598.84
|
| Rate for Payer: PHP Medicare Advantage |
$598.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,382.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,061.87
|
| Rate for Payer: Priority Health Medicare |
$598.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,061.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.84
|
| Rate for Payer: UHC Medicare Advantage |
$616.81
|
|
|
PR LAPAROSCOPIC SURGICAL SPLENECTOMY
|
Professional
|
Both
|
$3,947.00
|
|
|
Service Code
|
HCPCS 38120
|
| Min. Negotiated Rate |
$410.49 |
| Max. Negotiated Rate |
$2,762.90 |
| Rate for Payer: Aetna Commercial |
$1,408.27
|
| Rate for Payer: Aetna Medicare |
$1,092.99
|
| Rate for Payer: BCBS Complete |
$712.10
|
| Rate for Payer: BCBS MAPPO |
$1,050.95
|
| Rate for Payer: BCBS Trust/PPO |
$410.49
|
| Rate for Payer: BCN Commercial |
$1,545.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,050.95
|
| Rate for Payer: Cash Price |
$3,157.60
|
| Rate for Payer: Cash Price |
$3,157.60
|
| Rate for Payer: Cofinity Commercial |
$1,513.37
|
| Rate for Payer: Cofinity Commercial |
$1,408.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,050.95
|
| Rate for Payer: Mclaren Medicaid |
$678.19
|
| Rate for Payer: Meridian Medicaid |
$712.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,103.50
|
| Rate for Payer: PACE SWMI |
$1,050.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,050.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$678.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,762.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,290.36
|
| Rate for Payer: Priority Health Medicare |
$1,050.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,290.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,050.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,050.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,082.48
|
|
|
PR LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL
|
Professional
|
Both
|
$2,172.00
|
|
|
Service Code
|
HCPCS 60650
|
| Min. Negotiated Rate |
$533.05 |
| Max. Negotiated Rate |
$1,729.43 |
| Rate for Payer: Aetna Commercial |
$1,580.06
|
| Rate for Payer: Aetna Medicare |
$1,226.32
|
| Rate for Payer: BCBS Complete |
$797.98
|
| Rate for Payer: BCBS MAPPO |
$1,179.15
|
| Rate for Payer: BCBS Trust/PPO |
$533.05
|
| Rate for Payer: BCN Commercial |
$1,729.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,179.15
|
| Rate for Payer: Cash Price |
$1,737.60
|
| Rate for Payer: Cash Price |
$1,737.60
|
| Rate for Payer: Cofinity Commercial |
$1,580.06
|
| Rate for Payer: Cofinity Commercial |
$1,697.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,179.15
|
| Rate for Payer: Mclaren Medicaid |
$759.98
|
| Rate for Payer: Meridian Medicaid |
$797.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,238.11
|
| Rate for Payer: PACE SWMI |
$1,179.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,179.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$759.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,520.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,674.45
|
| Rate for Payer: Priority Health Medicare |
$1,179.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,674.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,179.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,179.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,214.52
|
|
|
PR LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,555.00
|
|
|
Service Code
|
HCPCS 44204
|
| Min. Negotiated Rate |
$975.54 |
| Max. Negotiated Rate |
$2,682.33 |
| Rate for Payer: Aetna Commercial |
$2,036.00
|
| Rate for Payer: Aetna Medicare |
$1,580.18
|
| Rate for Payer: BCBS Complete |
$1,024.32
|
| Rate for Payer: BCBS MAPPO |
$1,519.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,744.45
|
| Rate for Payer: BCN Commercial |
$2,229.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,519.40
|
| Rate for Payer: Cash Price |
$2,844.00
|
| Rate for Payer: Cash Price |
$2,844.00
|
| Rate for Payer: Cofinity Commercial |
$2,187.94
|
| Rate for Payer: Cofinity Commercial |
$2,036.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,519.40
|
| Rate for Payer: Mclaren Medicaid |
$975.54
|
| Rate for Payer: Meridian Medicaid |
$1,024.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,595.37
|
| Rate for Payer: PACE SWMI |
$1,519.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,519.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$975.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,488.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,682.33
|
| Rate for Payer: Priority Health Medicare |
$1,519.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,682.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,519.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,519.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,564.98
|
|
|
PR LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX
|
Professional
|
Both
|
$1,985.00
|
|
|
Service Code
|
HCPCS 57425
|
| Min. Negotiated Rate |
$540.98 |
| Max. Negotiated Rate |
$1,422.05 |
| Rate for Payer: Aetna Commercial |
$1,292.18
|
| Rate for Payer: Aetna Medicare |
$1,002.88
|
| Rate for Payer: BCBS Complete |
$654.40
|
| Rate for Payer: BCBS MAPPO |
$964.31
|
| Rate for Payer: BCBS Trust/PPO |
$540.98
|
| Rate for Payer: BCN Commercial |
$1,422.05
|
| Rate for Payer: BCN Medicare Advantage |
$964.31
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cofinity Commercial |
$1,388.61
|
| Rate for Payer: Cofinity Commercial |
$1,292.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$964.31
|
| Rate for Payer: Mclaren Medicaid |
$623.24
|
| Rate for Payer: Meridian Medicaid |
$654.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,012.53
|
| Rate for Payer: PACE SWMI |
$964.31
|
| Rate for Payer: PHP Medicare Advantage |
$964.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$623.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,389.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,377.67
|
| Rate for Payer: Priority Health Medicare |
$964.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,377.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$964.31
|
| Rate for Payer: UHC Medicare Advantage |
$993.24
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,279.00
|
|
|
Service Code
|
HCPCS 44180
|
| Hospital Charge Code |
44180
|
| Min. Negotiated Rate |
$588.31 |
| Max. Negotiated Rate |
$1,614.57 |
| Rate for Payer: Aetna Commercial |
$1,225.01
|
| Rate for Payer: Aetna Medicare |
$950.76
|
| Rate for Payer: BCBS Complete |
$617.73
|
| Rate for Payer: BCBS MAPPO |
$914.19
|
| Rate for Payer: BCBS Trust/PPO |
$952.00
|
| Rate for Payer: BCN Commercial |
$1,341.91
|
| Rate for Payer: BCN Medicare Advantage |
$914.19
|
| Rate for Payer: Cash Price |
$1,823.20
|
| Rate for Payer: Cash Price |
$1,823.20
|
| Rate for Payer: Cofinity Commercial |
$1,225.01
|
| Rate for Payer: Cofinity Commercial |
$1,316.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.19
|
| Rate for Payer: Mclaren Medicaid |
$588.31
|
| Rate for Payer: Meridian Medicaid |
$617.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$959.90
|
| Rate for Payer: PACE SWMI |
$914.19
|
| Rate for Payer: PHP Medicare Advantage |
$914.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$588.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,595.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,614.57
|
| Rate for Payer: Priority Health Medicare |
$914.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,614.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$914.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$914.19
|
| Rate for Payer: UHC Medicare Advantage |
$941.62
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,279.00
|
|
|
Service Code
|
HCPCS 44180
|
| Min. Negotiated Rate |
$588.31 |
| Max. Negotiated Rate |
$1,614.57 |
| Rate for Payer: Aetna Commercial |
$1,225.01
|
| Rate for Payer: Aetna Medicare |
$950.76
|
| Rate for Payer: BCBS Complete |
$617.73
|
| Rate for Payer: BCBS MAPPO |
$914.19
|
| Rate for Payer: BCBS Trust/PPO |
$952.00
|
| Rate for Payer: BCN Commercial |
$1,341.91
|
| Rate for Payer: BCN Medicare Advantage |
$914.19
|
| Rate for Payer: Cash Price |
$1,823.20
|
| Rate for Payer: Cash Price |
$1,823.20
|
| Rate for Payer: Cofinity Commercial |
$1,316.43
|
| Rate for Payer: Cofinity Commercial |
$1,225.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.19
|
| Rate for Payer: Mclaren Medicaid |
$588.31
|
| Rate for Payer: Meridian Medicaid |
$617.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$959.90
|
| Rate for Payer: PACE SWMI |
$914.19
|
| Rate for Payer: PHP Medicare Advantage |
$914.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$588.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,595.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,614.57
|
| Rate for Payer: Priority Health Medicare |
$914.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,614.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$914.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$914.19
|
| Rate for Payer: UHC Medicare Advantage |
$941.62
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Facility
|
OP
|
$2,279.00
|
|
|
Service Code
|
CPT 44180
|
| Hospital Charge Code |
44180
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$541.26 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$1,937.15
|
| Rate for Payer: Aetna Medicare |
$592.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$712.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$712.19
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$569.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,771.92
|
| Rate for Payer: BCN Commercial |
$1,771.92
|
| Rate for Payer: BCN Medicare Advantage |
$569.75
|
| Rate for Payer: Cash Price |
$1,823.20
|
| Rate for Payer: Cash Price |
$1,823.20
|
| Rate for Payer: Cofinity Commercial |
$1,959.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,823.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.75
|
| Rate for Payer: Healthscope Commercial |
$2,051.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,709.25
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$598.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$655.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,937.15
|
| Rate for Payer: PACE Senior Care Partners |
$541.26
|
| Rate for Payer: PACE SWMI |
$569.75
|
| Rate for Payer: PHP Commercial |
$1,937.15
|
| Rate for Payer: PHP Medicare Advantage |
$569.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,595.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,982.73
|
| Rate for Payer: Priority Health Medicare |
$569.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,389.96
|
| Rate for Payer: Railroad Medicare Medicare |
$569.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,005.52
|
| Rate for Payer: UHC Core |
$1,902.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$569.75
|
| Rate for Payer: UHC Medicare Advantage |
$586.84
|
| Rate for Payer: VA VA |
$569.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,709.25
|
|
|
PR LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE
|
Facility
|
IP
|
$2,279.00
|
|
|
Service Code
|
CPT 44180
|
| Hospital Charge Code |
44180
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,389.96 |
| Max. Negotiated Rate |
$2,051.10 |
| Rate for Payer: Aetna Commercial |
$1,937.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,761.21
|
| Rate for Payer: BCN Commercial |
$1,761.21
|
| Rate for Payer: Cash Price |
$1,823.20
|
| Rate for Payer: Cofinity Commercial |
$1,959.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,823.20
|
| Rate for Payer: Healthscope Commercial |
$2,051.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,709.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,937.15
|
| Rate for Payer: PHP Commercial |
$1,937.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,595.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,982.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,389.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,005.52
|
| Rate for Payer: UHC Core |
$1,902.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,709.25
|
|
|
PR LAPAROSCOPY FULGURATION OVIDUCTS
|
Professional
|
Both
|
$1,451.00
|
|
|
Service Code
|
HCPCS 58670
|
| Min. Negotiated Rate |
$239.63 |
| Max. Negotiated Rate |
$1,015.70 |
| Rate for Payer: Aetna Commercial |
$493.64
|
| Rate for Payer: Aetna Medicare |
$383.13
|
| Rate for Payer: BCBS Complete |
$251.61
|
| Rate for Payer: BCBS MAPPO |
$368.39
|
| Rate for Payer: BCBS Trust/PPO |
$373.07
|
| Rate for Payer: BCN Commercial |
$546.34
|
| Rate for Payer: BCN Medicare Advantage |
$368.39
|
| Rate for Payer: Cash Price |
$1,160.80
|
| Rate for Payer: Cash Price |
$1,160.80
|
| Rate for Payer: Cofinity Commercial |
$493.64
|
| Rate for Payer: Cofinity Commercial |
$530.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$368.39
|
| Rate for Payer: Mclaren Medicaid |
$239.63
|
| Rate for Payer: Meridian Medicaid |
$251.61
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$386.81
|
| Rate for Payer: PACE SWMI |
$368.39
|
| Rate for Payer: PHP Medicare Advantage |
$368.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,015.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$529.29
|
| Rate for Payer: Priority Health Medicare |
$368.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$529.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$368.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$368.39
|
| Rate for Payer: UHC Medicare Advantage |
$379.44
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT
|
Professional
|
Both
|
$2,949.00
|
|
|
Service Code
|
HCPCS 50546
|
| Min. Negotiated Rate |
$267.32 |
| Max. Negotiated Rate |
$2,064.30 |
| Rate for Payer: Aetna Commercial |
$1,575.88
|
| Rate for Payer: Aetna Medicare |
$1,223.07
|
| Rate for Payer: BCBS Complete |
$800.89
|
| Rate for Payer: BCBS MAPPO |
$1,176.03
|
| Rate for Payer: BCBS Trust/PPO |
$267.32
|
| Rate for Payer: BCN Commercial |
$1,731.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,176.03
|
| Rate for Payer: Cash Price |
$2,359.20
|
| Rate for Payer: Cash Price |
$2,359.20
|
| Rate for Payer: Cofinity Commercial |
$1,693.48
|
| Rate for Payer: Cofinity Commercial |
$1,575.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,176.03
|
| Rate for Payer: Mclaren Medicaid |
$762.75
|
| Rate for Payer: Meridian Medicaid |
$800.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,234.83
|
| Rate for Payer: PACE SWMI |
$1,176.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,176.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$762.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,064.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,915.02
|
| Rate for Payer: Priority Health Medicare |
$1,176.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,915.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,176.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,176.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,211.31
|
|
|
PR LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY
|
Professional
|
Both
|
$2,541.00
|
|
|
Service Code
|
HCPCS 50548
|
| Min. Negotiated Rate |
$848.17 |
| Max. Negotiated Rate |
$2,995.46 |
| Rate for Payer: Aetna Commercial |
$1,755.29
|
| Rate for Payer: Aetna Medicare |
$1,362.32
|
| Rate for Payer: BCBS Complete |
$890.58
|
| Rate for Payer: BCBS MAPPO |
$1,309.92
|
| Rate for Payer: BCBS Trust/PPO |
$2,995.46
|
| Rate for Payer: BCN Commercial |
$1,925.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,309.92
|
| Rate for Payer: Cash Price |
$2,032.80
|
| Rate for Payer: Cash Price |
$2,032.80
|
| Rate for Payer: Cofinity Commercial |
$1,755.29
|
| Rate for Payer: Cofinity Commercial |
$1,886.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,309.92
|
| Rate for Payer: Mclaren Medicaid |
$848.17
|
| Rate for Payer: Meridian Medicaid |
$890.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,375.42
|
| Rate for Payer: PACE SWMI |
$1,309.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,309.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$848.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,778.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,129.02
|
| Rate for Payer: Priority Health Medicare |
$1,309.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,129.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,309.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,309.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,349.22
|
|
|
PR LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS
|
Professional
|
Both
|
$2,249.00
|
|
|
Service Code
|
HCPCS 54692
|
| Min. Negotiated Rate |
$480.10 |
| Max. Negotiated Rate |
$1,686.86 |
| Rate for Payer: Aetna Commercial |
$989.40
|
| Rate for Payer: Aetna Medicare |
$767.89
|
| Rate for Payer: BCBS Complete |
$504.10
|
| Rate for Payer: BCBS MAPPO |
$738.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,686.86
|
| Rate for Payer: BCN Commercial |
$1,088.77
|
| Rate for Payer: BCN Medicare Advantage |
$738.36
|
| Rate for Payer: Cash Price |
$1,799.20
|
| Rate for Payer: Cash Price |
$1,799.20
|
| Rate for Payer: Cofinity Commercial |
$1,063.24
|
| Rate for Payer: Cofinity Commercial |
$989.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$738.36
|
| Rate for Payer: Mclaren Medicaid |
$480.10
|
| Rate for Payer: Meridian Medicaid |
$504.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$775.28
|
| Rate for Payer: PACE SWMI |
$738.36
|
| Rate for Payer: PHP Medicare Advantage |
$738.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$480.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,574.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,203.92
|
| Rate for Payer: Priority Health Medicare |
$738.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,203.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$738.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$738.36
|
| Rate for Payer: UHC Medicare Advantage |
$760.51
|
|
