|
PR LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE
|
Professional
|
Both
|
$1,464.00
|
|
|
Service Code
|
HCPCS 49656
|
| Min. Negotiated Rate |
$585.60 |
| Max. Negotiated Rate |
$1,024.80 |
| Rate for Payer: BCBS Complete |
$585.60
|
| Rate for Payer: Cash Price |
$1,171.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,024.80
|
|
|
PR LAPS SUPRACERVICAL HYSTERECTOMY >250
|
Professional
|
Both
|
$2,212.00
|
|
|
Service Code
|
HCPCS 58543
|
| Min. Negotiated Rate |
$362.94 |
| Max. Negotiated Rate |
$1,548.40 |
| Rate for Payer: Aetna Commercial |
$1,123.42
|
| Rate for Payer: Aetna Medicare |
$871.90
|
| Rate for Payer: BCBS Complete |
$568.29
|
| Rate for Payer: BCBS MAPPO |
$838.37
|
| Rate for Payer: BCBS Trust/PPO |
$362.94
|
| Rate for Payer: BCN Commercial |
$1,237.34
|
| Rate for Payer: BCN Medicare Advantage |
$838.37
|
| Rate for Payer: Cash Price |
$1,769.60
|
| Rate for Payer: Cash Price |
$1,769.60
|
| Rate for Payer: Cofinity Commercial |
$1,123.42
|
| Rate for Payer: Cofinity Commercial |
$1,207.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$838.37
|
| Rate for Payer: Mclaren Medicaid |
$541.23
|
| Rate for Payer: Meridian Medicaid |
$568.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$880.29
|
| Rate for Payer: PACE SWMI |
$838.37
|
| Rate for Payer: PHP Medicare Advantage |
$838.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$541.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,548.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,198.70
|
| Rate for Payer: Priority Health Medicare |
$838.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,198.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$838.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$838.37
|
| Rate for Payer: UHC Medicare Advantage |
$863.52
|
|
|
PR LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY
|
Professional
|
Both
|
$2,410.00
|
|
|
Service Code
|
HCPCS 58544
|
| Min. Negotiated Rate |
$387.24 |
| Max. Negotiated Rate |
$1,687.00 |
| Rate for Payer: Aetna Commercial |
$1,209.00
|
| Rate for Payer: Aetna Medicare |
$938.33
|
| Rate for Payer: BCBS Complete |
$610.56
|
| Rate for Payer: BCBS MAPPO |
$902.24
|
| Rate for Payer: BCBS Trust/PPO |
$387.24
|
| Rate for Payer: BCN Commercial |
$1,331.16
|
| Rate for Payer: BCN Medicare Advantage |
$902.24
|
| Rate for Payer: Cash Price |
$1,928.00
|
| Rate for Payer: Cash Price |
$1,928.00
|
| Rate for Payer: Cofinity Commercial |
$1,299.23
|
| Rate for Payer: Cofinity Commercial |
$1,209.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.24
|
| Rate for Payer: Mclaren Medicaid |
$581.49
|
| Rate for Payer: Meridian Medicaid |
$610.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$947.35
|
| Rate for Payer: PACE SWMI |
$902.24
|
| Rate for Payer: PHP Medicare Advantage |
$902.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$581.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,687.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,289.61
|
| Rate for Payer: Priority Health Medicare |
$902.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,289.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$902.24
|
| Rate for Payer: UHC Medicare Advantage |
$929.31
|
|
|
PR LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR
|
Professional
|
Both
|
$2,183.00
|
|
|
Service Code
|
HCPCS 58542
|
| Min. Negotiated Rate |
$383.55 |
| Max. Negotiated Rate |
$1,528.10 |
| Rate for Payer: Aetna Commercial |
$1,105.59
|
| Rate for Payer: Aetna Medicare |
$858.07
|
| Rate for Payer: BCBS Complete |
$559.58
|
| Rate for Payer: BCBS MAPPO |
$825.07
|
| Rate for Payer: BCBS Trust/PPO |
$383.55
|
| Rate for Payer: BCN Commercial |
$1,218.27
|
| Rate for Payer: BCN Medicare Advantage |
$825.07
|
| Rate for Payer: Cash Price |
$1,746.40
|
| Rate for Payer: Cash Price |
$1,746.40
|
| Rate for Payer: Cofinity Commercial |
$1,188.10
|
| Rate for Payer: Cofinity Commercial |
$1,105.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$825.07
|
| Rate for Payer: Mclaren Medicaid |
$532.93
|
| Rate for Payer: Meridian Medicaid |
$559.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$866.32
|
| Rate for Payer: PACE SWMI |
$825.07
|
| Rate for Payer: PHP Medicare Advantage |
$825.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$532.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,528.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,180.25
|
| Rate for Payer: Priority Health Medicare |
$825.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,180.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$825.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$825.07
|
| Rate for Payer: UHC Medicare Advantage |
$849.82
|
|
|
PR LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY
|
Professional
|
Both
|
$1,524.00
|
|
|
Service Code
|
HCPCS 38571
|
| Min. Negotiated Rate |
$421.10 |
| Max. Negotiated Rate |
$1,418.26 |
| Rate for Payer: Aetna Commercial |
$870.01
|
| Rate for Payer: Aetna Medicare |
$675.23
|
| Rate for Payer: BCBS Complete |
$442.16
|
| Rate for Payer: BCBS MAPPO |
$649.26
|
| Rate for Payer: BCBS Trust/PPO |
$459.62
|
| Rate for Payer: BCN Commercial |
$956.83
|
| Rate for Payer: BCN Medicare Advantage |
$649.26
|
| Rate for Payer: Cash Price |
$1,219.20
|
| Rate for Payer: Cash Price |
$1,219.20
|
| Rate for Payer: Cofinity Commercial |
$934.93
|
| Rate for Payer: Cofinity Commercial |
$870.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$649.26
|
| Rate for Payer: Mclaren Medicaid |
$421.10
|
| Rate for Payer: Meridian Medicaid |
$442.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$681.72
|
| Rate for Payer: PACE SWMI |
$649.26
|
| Rate for Payer: PHP Medicare Advantage |
$649.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,418.26
|
| Rate for Payer: Priority Health Medicare |
$649.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,418.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$649.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$649.26
|
| Rate for Payer: UHC Medicare Advantage |
$668.74
|
|
|
PR LAPS SURG CHOLECSTC W/EXPL COMMON DUCT
|
Professional
|
Both
|
$3,292.00
|
|
|
Service Code
|
HCPCS 47564
|
| Min. Negotiated Rate |
$716.75 |
| Max. Negotiated Rate |
$2,304.40 |
| Rate for Payer: Aetna Commercial |
$1,488.85
|
| Rate for Payer: Aetna Medicare |
$1,155.52
|
| Rate for Payer: BCBS Complete |
$752.59
|
| Rate for Payer: BCBS MAPPO |
$1,111.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,228.90
|
| Rate for Payer: BCN Commercial |
$1,633.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,111.08
|
| Rate for Payer: Cash Price |
$2,633.60
|
| Rate for Payer: Cash Price |
$2,633.60
|
| Rate for Payer: Cofinity Commercial |
$1,599.96
|
| Rate for Payer: Cofinity Commercial |
$1,488.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,111.08
|
| Rate for Payer: Mclaren Medicaid |
$716.75
|
| Rate for Payer: Meridian Medicaid |
$752.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,166.63
|
| Rate for Payer: PACE SWMI |
$1,111.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,111.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$716.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,304.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,965.59
|
| Rate for Payer: Priority Health Medicare |
$1,111.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,965.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,111.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,111.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,144.41
|
|
|
PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
|
Professional
|
Both
|
$2,737.00
|
|
|
Service Code
|
HCPCS 47563
|
| Min. Negotiated Rate |
$461.15 |
| Max. Negotiated Rate |
$1,915.90 |
| Rate for Payer: Aetna Commercial |
$958.61
|
| Rate for Payer: Aetna Medicare |
$744.00
|
| Rate for Payer: BCBS Complete |
$484.21
|
| Rate for Payer: BCBS MAPPO |
$715.38
|
| Rate for Payer: BCBS Trust/PPO |
$584.28
|
| Rate for Payer: BCN Commercial |
$1,052.61
|
| Rate for Payer: BCN Medicare Advantage |
$715.38
|
| Rate for Payer: Cash Price |
$2,189.60
|
| Rate for Payer: Cash Price |
$2,189.60
|
| Rate for Payer: Cofinity Commercial |
$958.61
|
| Rate for Payer: Cofinity Commercial |
$1,030.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$715.38
|
| Rate for Payer: Mclaren Medicaid |
$461.15
|
| Rate for Payer: Meridian Medicaid |
$484.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$751.15
|
| Rate for Payer: PACE SWMI |
$715.38
|
| Rate for Payer: PHP Medicare Advantage |
$715.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,915.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,266.49
|
| Rate for Payer: Priority Health Medicare |
$715.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,266.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$715.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$715.38
|
| Rate for Payer: UHC Medicare Advantage |
$736.84
|
|
|
PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
|
Professional
|
Both
|
$2,737.00
|
|
|
Service Code
|
HCPCS 47563
|
| Hospital Charge Code |
47563
|
| Min. Negotiated Rate |
$461.15 |
| Max. Negotiated Rate |
$1,915.90 |
| Rate for Payer: Aetna Commercial |
$958.61
|
| Rate for Payer: Aetna Medicare |
$744.00
|
| Rate for Payer: BCBS Complete |
$484.21
|
| Rate for Payer: BCBS MAPPO |
$715.38
|
| Rate for Payer: BCBS Trust/PPO |
$584.28
|
| Rate for Payer: BCN Commercial |
$1,052.61
|
| Rate for Payer: BCN Medicare Advantage |
$715.38
|
| Rate for Payer: Cash Price |
$2,189.60
|
| Rate for Payer: Cash Price |
$2,189.60
|
| Rate for Payer: Cofinity Commercial |
$1,030.15
|
| Rate for Payer: Cofinity Commercial |
$958.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$715.38
|
| Rate for Payer: Mclaren Medicaid |
$461.15
|
| Rate for Payer: Meridian Medicaid |
$484.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$751.15
|
| Rate for Payer: PACE SWMI |
$715.38
|
| Rate for Payer: PHP Medicare Advantage |
$715.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$461.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,915.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,266.49
|
| Rate for Payer: Priority Health Medicare |
$715.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,266.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$715.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$715.38
|
| Rate for Payer: UHC Medicare Advantage |
$736.84
|
|
|
PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
|
Facility
|
OP
|
$2,737.00
|
|
|
Service Code
|
CPT 47563
|
| Hospital Charge Code |
47563
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$650.04 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$2,326.45
|
| Rate for Payer: Aetna Medicare |
$711.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$855.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$855.31
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$684.25
|
| Rate for Payer: BCBS Trust/PPO |
$2,128.02
|
| Rate for Payer: BCN Commercial |
$2,128.02
|
| Rate for Payer: BCN Medicare Advantage |
$684.25
|
| Rate for Payer: Cash Price |
$2,189.60
|
| Rate for Payer: Cash Price |
$2,189.60
|
| Rate for Payer: Cofinity Commercial |
$2,353.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$684.25
|
| Rate for Payer: Healthscope Commercial |
$2,463.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,052.75
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$718.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$786.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,326.45
|
| Rate for Payer: PACE Senior Care Partners |
$650.04
|
| Rate for Payer: PACE SWMI |
$684.25
|
| Rate for Payer: PHP Commercial |
$2,326.45
|
| Rate for Payer: PHP Medicare Advantage |
$684.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,915.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,381.19
|
| Rate for Payer: Priority Health Medicare |
$684.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,669.30
|
| Rate for Payer: Railroad Medicare Medicare |
$684.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,408.56
|
| Rate for Payer: UHC Core |
$2,285.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$684.25
|
| Rate for Payer: UHC Medicare Advantage |
$704.78
|
| Rate for Payer: VA VA |
$684.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,052.75
|
|
|
PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY
|
Facility
|
IP
|
$2,737.00
|
|
|
Service Code
|
CPT 47563
|
| Hospital Charge Code |
47563
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,669.30 |
| Max. Negotiated Rate |
$2,463.30 |
| Rate for Payer: Aetna Commercial |
$2,326.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,115.15
|
| Rate for Payer: BCN Commercial |
$2,115.15
|
| Rate for Payer: Cash Price |
$2,189.60
|
| Rate for Payer: Cofinity Commercial |
$2,353.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,189.60
|
| Rate for Payer: Healthscope Commercial |
$2,463.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,052.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$2,326.45
|
| Rate for Payer: PHP Commercial |
$2,326.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,915.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,381.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,669.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,408.56
|
| Rate for Payer: UHC Core |
$2,285.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,052.75
|
|
|
PR LAPS SURG ESOPG/GSTR FUNDOPLASTY
|
Professional
|
Both
|
$4,068.00
|
|
|
Service Code
|
HCPCS 43280
|
| Min. Negotiated Rate |
$688.42 |
| Max. Negotiated Rate |
$2,847.60 |
| Rate for Payer: Aetna Commercial |
$1,436.72
|
| Rate for Payer: Aetna Medicare |
$1,115.07
|
| Rate for Payer: BCBS Complete |
$722.84
|
| Rate for Payer: BCBS MAPPO |
$1,072.18
|
| Rate for Payer: BCBS Trust/PPO |
$798.79
|
| Rate for Payer: BCN Commercial |
$1,571.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,072.18
|
| Rate for Payer: Cash Price |
$3,254.40
|
| Rate for Payer: Cash Price |
$3,254.40
|
| Rate for Payer: Cofinity Commercial |
$1,543.94
|
| Rate for Payer: Cofinity Commercial |
$1,436.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,072.18
|
| Rate for Payer: Mclaren Medicaid |
$688.42
|
| Rate for Payer: Meridian Medicaid |
$722.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,125.79
|
| Rate for Payer: PACE SWMI |
$1,072.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,072.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$688.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,847.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,890.92
|
| Rate for Payer: Priority Health Medicare |
$1,072.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,890.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,072.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,072.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,104.35
|
|
|
PR LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX
|
Professional
|
Both
|
$2,249.00
|
|
|
Service Code
|
HCPCS 43653
|
| Min. Negotiated Rate |
$372.32 |
| Max. Negotiated Rate |
$1,574.30 |
| Rate for Payer: Aetna Commercial |
$767.58
|
| Rate for Payer: Aetna Medicare |
$595.73
|
| Rate for Payer: BCBS Complete |
$390.94
|
| Rate for Payer: BCBS MAPPO |
$572.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,393.13
|
| Rate for Payer: BCN Commercial |
$847.86
|
| Rate for Payer: BCN Medicare Advantage |
$572.82
|
| Rate for Payer: Cash Price |
$1,799.20
|
| Rate for Payer: Cash Price |
$1,799.20
|
| Rate for Payer: Cofinity Commercial |
$824.86
|
| Rate for Payer: Cofinity Commercial |
$767.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.82
|
| Rate for Payer: Mclaren Medicaid |
$372.32
|
| Rate for Payer: Meridian Medicaid |
$390.94
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$601.46
|
| Rate for Payer: PACE SWMI |
$572.82
|
| Rate for Payer: PHP Medicare Advantage |
$572.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,574.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,020.13
|
| Rate for Payer: Priority Health Medicare |
$572.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,020.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$572.82
|
| Rate for Payer: UHC Medicare Advantage |
$590.00
|
|
|
PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT
|
Professional
|
Both
|
$3,274.00
|
|
|
Service Code
|
HCPCS 55866
|
| Min. Negotiated Rate |
$756.79 |
| Max. Negotiated Rate |
$2,291.80 |
| Rate for Payer: Aetna Commercial |
$1,566.15
|
| Rate for Payer: Aetna Medicare |
$1,215.52
|
| Rate for Payer: BCBS Complete |
$794.63
|
| Rate for Payer: BCBS MAPPO |
$1,168.77
|
| Rate for Payer: BCBS Trust/PPO |
$2,132.22
|
| Rate for Payer: BCN Commercial |
$1,719.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,168.77
|
| Rate for Payer: Cash Price |
$2,619.20
|
| Rate for Payer: Cash Price |
$2,619.20
|
| Rate for Payer: Cofinity Commercial |
$1,683.03
|
| Rate for Payer: Cofinity Commercial |
$1,566.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,168.77
|
| Rate for Payer: Mclaren Medicaid |
$756.79
|
| Rate for Payer: Meridian Medicaid |
$794.63
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,227.21
|
| Rate for Payer: PACE SWMI |
$1,168.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,168.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$756.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,291.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,900.98
|
| Rate for Payer: Priority Health Medicare |
$1,168.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,900.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,168.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,168.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,203.83
|
|
|
PR LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT
|
Professional
|
Both
|
$962.00
|
|
|
Service Code
|
HCPCS 38570
|
| Hospital Charge Code |
38570
|
| Min. Negotiated Rate |
$330.79 |
| Max. Negotiated Rate |
$1,111.87 |
| Rate for Payer: Aetna Commercial |
$680.17
|
| Rate for Payer: Aetna Medicare |
$527.89
|
| Rate for Payer: BCBS Complete |
$347.33
|
| Rate for Payer: BCBS MAPPO |
$507.59
|
| Rate for Payer: BCBS Trust/PPO |
$453.28
|
| Rate for Payer: BCN Commercial |
$750.12
|
| Rate for Payer: BCN Medicare Advantage |
$507.59
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cofinity Commercial |
$730.93
|
| Rate for Payer: Cofinity Commercial |
$680.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$507.59
|
| Rate for Payer: Mclaren Medicaid |
$330.79
|
| Rate for Payer: Meridian Medicaid |
$347.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$532.97
|
| Rate for Payer: PACE SWMI |
$507.59
|
| Rate for Payer: PHP Medicare Advantage |
$507.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$330.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$673.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,111.87
|
| Rate for Payer: Priority Health Medicare |
$507.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,111.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$507.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$507.59
|
| Rate for Payer: UHC Medicare Advantage |
$522.82
|
|
|
PR LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT
|
Professional
|
Both
|
$962.00
|
|
|
Service Code
|
HCPCS 38570
|
| Min. Negotiated Rate |
$330.79 |
| Max. Negotiated Rate |
$1,111.87 |
| Rate for Payer: Aetna Commercial |
$680.17
|
| Rate for Payer: Aetna Medicare |
$527.89
|
| Rate for Payer: BCBS Complete |
$347.33
|
| Rate for Payer: BCBS MAPPO |
$507.59
|
| Rate for Payer: BCBS Trust/PPO |
$453.28
|
| Rate for Payer: BCN Commercial |
$750.12
|
| Rate for Payer: BCN Medicare Advantage |
$507.59
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cofinity Commercial |
$680.17
|
| Rate for Payer: Cofinity Commercial |
$730.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$507.59
|
| Rate for Payer: Mclaren Medicaid |
$330.79
|
| Rate for Payer: Meridian Medicaid |
$347.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$532.97
|
| Rate for Payer: PACE SWMI |
$507.59
|
| Rate for Payer: PHP Medicare Advantage |
$507.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$330.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$673.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,111.87
|
| Rate for Payer: Priority Health Medicare |
$507.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,111.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$507.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$507.59
|
| Rate for Payer: UHC Medicare Advantage |
$522.82
|
|
|
PR LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT
|
Facility
|
IP
|
$962.00
|
|
|
Service Code
|
CPT 38570
|
| Hospital Charge Code |
38570
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$586.72 |
| Max. Negotiated Rate |
$865.80 |
| Rate for Payer: Aetna Commercial |
$817.70
|
| Rate for Payer: BCBS Trust/PPO |
$743.43
|
| Rate for Payer: BCN Commercial |
$743.43
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cofinity Commercial |
$827.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.60
|
| Rate for Payer: Healthscope Commercial |
$865.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$721.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$817.70
|
| Rate for Payer: PHP Commercial |
$817.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$673.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$836.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$586.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$846.56
|
| Rate for Payer: UHC Core |
$803.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$721.50
|
|
|
PR LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT
|
Facility
|
OP
|
$962.00
|
|
|
Service Code
|
CPT 38570
|
| Hospital Charge Code |
38570
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$228.48 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$817.70
|
| Rate for Payer: Aetna Medicare |
$250.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$300.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$300.62
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$240.50
|
| Rate for Payer: BCBS Trust/PPO |
$747.96
|
| Rate for Payer: BCN Commercial |
$747.96
|
| Rate for Payer: BCN Medicare Advantage |
$240.50
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cofinity Commercial |
$827.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$769.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.50
|
| Rate for Payer: Healthscope Commercial |
$865.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$721.50
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$252.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$276.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$817.70
|
| Rate for Payer: PACE Senior Care Partners |
$228.48
|
| Rate for Payer: PACE SWMI |
$240.50
|
| Rate for Payer: PHP Commercial |
$817.70
|
| Rate for Payer: PHP Medicare Advantage |
$240.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$673.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$836.94
|
| Rate for Payer: Priority Health Medicare |
$240.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$586.72
|
| Rate for Payer: Railroad Medicare Medicare |
$240.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$846.56
|
| Rate for Payer: UHC Core |
$803.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.50
|
| Rate for Payer: UHC Medicare Advantage |
$247.72
|
| Rate for Payer: VA VA |
$240.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$721.50
|
|
|
PR LAPS SURG RPR RECURRENT INGUINAL HERNIA
|
Facility
|
IP
|
$2,030.00
|
|
|
Service Code
|
CPT 49651
|
| Hospital Charge Code |
49651
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,238.10 |
| Max. Negotiated Rate |
$1,827.00 |
| Rate for Payer: Aetna Commercial |
$1,725.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,568.78
|
| Rate for Payer: BCN Commercial |
$1,568.78
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cofinity Commercial |
$1,745.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,624.00
|
| Rate for Payer: Healthscope Commercial |
$1,827.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,522.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,725.50
|
| Rate for Payer: PHP Commercial |
$1,725.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,421.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,766.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,238.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,786.40
|
| Rate for Payer: UHC Core |
$1,695.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,522.50
|
|
|
PR LAPS SURG RPR RECURRENT INGUINAL HERNIA
|
Professional
|
Both
|
$2,030.00
|
|
|
Service Code
|
HCPCS 49651
|
| Min. Negotiated Rate |
$364.66 |
| Max. Negotiated Rate |
$3,934.25 |
| Rate for Payer: Aetna Commercial |
$751.87
|
| Rate for Payer: Aetna Medicare |
$583.54
|
| Rate for Payer: BCBS Complete |
$382.89
|
| Rate for Payer: BCBS MAPPO |
$561.10
|
| Rate for Payer: BCBS Trust/PPO |
$3,934.25
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$561.10
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cofinity Commercial |
$807.98
|
| Rate for Payer: Cofinity Commercial |
$751.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.10
|
| Rate for Payer: Mclaren Medicaid |
$364.66
|
| Rate for Payer: Meridian Medicaid |
$382.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$589.16
|
| Rate for Payer: PACE SWMI |
$561.10
|
| Rate for Payer: PHP Medicare Advantage |
$561.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$364.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,421.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$998.37
|
| Rate for Payer: Priority Health Medicare |
$561.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$998.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.10
|
| Rate for Payer: UHC Medicare Advantage |
$577.93
|
|
|
PR LAPS SURG RPR RECURRENT INGUINAL HERNIA
|
Facility
|
OP
|
$2,030.00
|
|
|
Service Code
|
CPT 49651
|
| Hospital Charge Code |
49651
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$482.12 |
| Max. Negotiated Rate |
$3,974.31 |
| Rate for Payer: Aetna Commercial |
$1,725.50
|
| Rate for Payer: Aetna Medicare |
$527.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$634.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$634.38
|
| Rate for Payer: BCBS Complete |
$3,974.31
|
| Rate for Payer: BCBS MAPPO |
$507.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,578.32
|
| Rate for Payer: BCN Commercial |
$1,578.32
|
| Rate for Payer: BCN Medicare Advantage |
$507.50
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cofinity Commercial |
$1,745.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,624.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$507.50
|
| Rate for Payer: Healthscope Commercial |
$1,827.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,522.50
|
| Rate for Payer: Mclaren Medicaid |
$3,785.06
|
| Rate for Payer: Meridian Medicaid |
$3,974.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$532.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$583.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$1,725.50
|
| Rate for Payer: PACE Senior Care Partners |
$482.12
|
| Rate for Payer: PACE SWMI |
$507.50
|
| Rate for Payer: PHP Commercial |
$1,725.50
|
| Rate for Payer: PHP Medicare Advantage |
$507.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,785.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,421.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,766.10
|
| Rate for Payer: Priority Health Medicare |
$507.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,238.10
|
| Rate for Payer: Railroad Medicare Medicare |
$507.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,786.40
|
| Rate for Payer: UHC Core |
$1,695.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$507.50
|
| Rate for Payer: UHC Medicare Advantage |
$522.72
|
| Rate for Payer: VA VA |
$507.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,522.50
|
|
|
PR LAPS SURG RPR RECURRENT INGUINAL HERNIA
|
Professional
|
Both
|
$2,030.00
|
|
|
Service Code
|
HCPCS 49651
|
| Hospital Charge Code |
49651
|
| Min. Negotiated Rate |
$364.66 |
| Max. Negotiated Rate |
$3,934.25 |
| Rate for Payer: Aetna Commercial |
$751.87
|
| Rate for Payer: Aetna Medicare |
$583.54
|
| Rate for Payer: BCBS Complete |
$382.89
|
| Rate for Payer: BCBS MAPPO |
$561.10
|
| Rate for Payer: BCBS Trust/PPO |
$3,934.25
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$561.10
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cash Price |
$1,624.00
|
| Rate for Payer: Cofinity Commercial |
$807.98
|
| Rate for Payer: Cofinity Commercial |
$751.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.10
|
| Rate for Payer: Mclaren Medicaid |
$364.66
|
| Rate for Payer: Meridian Medicaid |
$382.89
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$589.16
|
| Rate for Payer: PACE SWMI |
$561.10
|
| Rate for Payer: PHP Medicare Advantage |
$561.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$364.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,421.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$998.37
|
| Rate for Payer: Priority Health Medicare |
$561.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$998.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.10
|
| Rate for Payer: UHC Medicare Advantage |
$577.93
|
|
|
PR LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV
|
Professional
|
Both
|
$1,564.00
|
|
|
Service Code
|
HCPCS 43652
|
| Min. Negotiated Rate |
$492.24 |
| Max. Negotiated Rate |
$1,349.40 |
| Rate for Payer: Aetna Commercial |
$1,021.19
|
| Rate for Payer: Aetna Medicare |
$792.56
|
| Rate for Payer: BCBS Complete |
$516.85
|
| Rate for Payer: BCBS MAPPO |
$762.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.56
|
| Rate for Payer: BCN Commercial |
$1,121.52
|
| Rate for Payer: BCN Medicare Advantage |
$762.08
|
| Rate for Payer: Cash Price |
$1,251.20
|
| Rate for Payer: Cash Price |
$1,251.20
|
| Rate for Payer: Cofinity Commercial |
$1,021.19
|
| Rate for Payer: Cofinity Commercial |
$1,097.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$762.08
|
| Rate for Payer: Mclaren Medicaid |
$492.24
|
| Rate for Payer: Meridian Medicaid |
$516.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$800.18
|
| Rate for Payer: PACE SWMI |
$762.08
|
| Rate for Payer: PHP Medicare Advantage |
$762.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$492.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,094.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,349.40
|
| Rate for Payer: Priority Health Medicare |
$762.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,349.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$762.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$762.08
|
| Rate for Payer: UHC Medicare Advantage |
$784.94
|
|
|
PR LAPS SURG TRNSXJ VAGUS NRV TRUNCAL
|
Professional
|
Both
|
$2,536.00
|
|
|
Service Code
|
HCPCS 43651
|
| Min. Negotiated Rate |
$423.02 |
| Max. Negotiated Rate |
$1,775.20 |
| Rate for Payer: Aetna Commercial |
$874.42
|
| Rate for Payer: Aetna Medicare |
$678.65
|
| Rate for Payer: BCBS Complete |
$444.17
|
| Rate for Payer: BCBS MAPPO |
$652.55
|
| Rate for Payer: BCBS Trust/PPO |
$806.71
|
| Rate for Payer: BCN Commercial |
$962.20
|
| Rate for Payer: BCN Medicare Advantage |
$652.55
|
| Rate for Payer: Cash Price |
$2,028.80
|
| Rate for Payer: Cash Price |
$2,028.80
|
| Rate for Payer: Cofinity Commercial |
$874.42
|
| Rate for Payer: Cofinity Commercial |
$939.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.55
|
| Rate for Payer: Mclaren Medicaid |
$423.02
|
| Rate for Payer: Meridian Medicaid |
$444.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$685.18
|
| Rate for Payer: PACE SWMI |
$652.55
|
| Rate for Payer: PHP Medicare Advantage |
$652.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$423.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,775.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,157.72
|
| Rate for Payer: Priority Health Medicare |
$652.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,157.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$652.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.55
|
| Rate for Payer: UHC Medicare Advantage |
$672.13
|
|
|
PR LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,530.00
|
|
|
Service Code
|
HCPCS 49322
|
| Min. Negotiated Rate |
$240.69 |
| Max. Negotiated Rate |
$1,071.00 |
| Rate for Payer: Aetna Commercial |
$499.03
|
| Rate for Payer: Aetna Medicare |
$387.31
|
| Rate for Payer: BCBS Complete |
$252.72
|
| Rate for Payer: BCBS MAPPO |
$372.41
|
| Rate for Payer: BCBS Trust/PPO |
$572.15
|
| Rate for Payer: BCN Commercial |
$548.78
|
| Rate for Payer: BCN Medicare Advantage |
$372.41
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cash Price |
$1,224.00
|
| Rate for Payer: Cofinity Commercial |
$499.03
|
| Rate for Payer: Cofinity Commercial |
$536.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$372.41
|
| Rate for Payer: Mclaren Medicaid |
$240.69
|
| Rate for Payer: Meridian Medicaid |
$252.72
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$391.03
|
| Rate for Payer: PACE SWMI |
$372.41
|
| Rate for Payer: PHP Medicare Advantage |
$372.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,071.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$660.29
|
| Rate for Payer: Priority Health Medicare |
$372.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$372.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$372.41
|
| Rate for Payer: UHC Medicare Advantage |
$383.58
|
|
|
PR LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY
|
Professional
|
Both
|
$1,907.00
|
|
|
Service Code
|
HCPCS 49323
|
| Min. Negotiated Rate |
$336.53 |
| Max. Negotiated Rate |
$1,334.90 |
| Rate for Payer: Aetna Commercial |
$846.48
|
| Rate for Payer: Aetna Medicare |
$656.97
|
| Rate for Payer: BCBS Complete |
$430.53
|
| Rate for Payer: BCBS MAPPO |
$631.70
|
| Rate for Payer: BCBS Trust/PPO |
$336.53
|
| Rate for Payer: BCN Commercial |
$930.93
|
| Rate for Payer: BCN Medicare Advantage |
$631.70
|
| Rate for Payer: Cash Price |
$1,525.60
|
| Rate for Payer: Cash Price |
$1,525.60
|
| Rate for Payer: Cofinity Commercial |
$909.65
|
| Rate for Payer: Cofinity Commercial |
$846.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$631.70
|
| Rate for Payer: Mclaren Medicaid |
$410.03
|
| Rate for Payer: Meridian Medicaid |
$430.53
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$663.28
|
| Rate for Payer: PACE SWMI |
$631.70
|
| Rate for Payer: PHP Medicare Advantage |
$631.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,334.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,120.09
|
| Rate for Payer: Priority Health Medicare |
$631.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,120.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$631.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$631.70
|
| Rate for Payer: UHC Medicare Advantage |
$650.65
|
|
