|
PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG
|
Professional
|
Both
|
$5,986.00
|
|
|
Service Code
|
HCPCS 62145
|
| Min. Negotiated Rate |
$914.41 |
| Max. Negotiated Rate |
$3,890.90 |
| Rate for Payer: Aetna Commercial |
$1,861.25
|
| Rate for Payer: Aetna Medicare |
$1,444.55
|
| Rate for Payer: BCBS Complete |
$960.13
|
| Rate for Payer: BCBS MAPPO |
$1,388.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,092.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,388.99
|
| Rate for Payer: Cash Price |
$4,788.80
|
| Rate for Payer: Cash Price |
$4,788.80
|
| Rate for Payer: Cofinity Commercial |
$2,000.15
|
| Rate for Payer: Cofinity Commercial |
$1,861.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,388.99
|
| Rate for Payer: Mclaren Medicaid |
$914.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,458.44
|
| Rate for Payer: Meridian Medicaid |
$960.13
|
| Rate for Payer: Nomi Health Commercial |
$1,666.79
|
| Rate for Payer: PACE SWMI |
$1,388.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,388.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$914.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,890.90
|
| Rate for Payer: Priority Health HMO/PPO |
$2,465.96
|
| Rate for Payer: Priority Health Medicare |
$1,402.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,465.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,388.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,388.99
|
| Rate for Payer: UHC Exchange |
$1,388.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,388.99
|
| Rate for Payer: UHCCP Medicaid |
$914.41
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT <5 CM DIAMETER
|
Professional
|
Both
|
$6,377.00
|
|
|
Service Code
|
HCPCS 62146
|
| Min. Negotiated Rate |
$818.56 |
| Max. Negotiated Rate |
$4,145.05 |
| Rate for Payer: Aetna Commercial |
$1,664.76
|
| Rate for Payer: Aetna Medicare |
$1,292.05
|
| Rate for Payer: BCBS Complete |
$859.49
|
| Rate for Payer: BCBS MAPPO |
$1,242.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.15
|
| Rate for Payer: BCN Commercial |
$2,567.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,242.36
|
| Rate for Payer: Cash Price |
$5,101.60
|
| Rate for Payer: Cash Price |
$5,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,789.00
|
| Rate for Payer: Cofinity Commercial |
$1,664.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,242.36
|
| Rate for Payer: Mclaren Medicaid |
$818.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,304.48
|
| Rate for Payer: Meridian Medicaid |
$859.49
|
| Rate for Payer: Nomi Health Commercial |
$1,490.83
|
| Rate for Payer: PACE SWMI |
$1,242.36
|
| Rate for Payer: PHP Medicare Advantage |
$1,242.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,145.05
|
| Rate for Payer: Priority Health HMO/PPO |
$2,174.76
|
| Rate for Payer: Priority Health Medicare |
$1,254.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,174.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,242.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,242.36
|
| Rate for Payer: UHC Exchange |
$1,242.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,242.36
|
| Rate for Payer: UHCCP Medicaid |
$818.56
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER
|
Professional
|
Both
|
$7,296.00
|
|
|
Service Code
|
HCPCS 62147
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$4,742.40 |
| Rate for Payer: Aetna Commercial |
$1,895.70
|
| Rate for Payer: Aetna Medicare |
$1,471.29
|
| Rate for Payer: BCBS Complete |
$977.80
|
| Rate for Payer: BCBS MAPPO |
$1,414.70
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$2,898.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,414.70
|
| Rate for Payer: Cash Price |
$5,836.80
|
| Rate for Payer: Cash Price |
$5,836.80
|
| Rate for Payer: Cofinity Commercial |
$2,037.17
|
| Rate for Payer: Cofinity Commercial |
$1,895.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,414.70
|
| Rate for Payer: Mclaren Medicaid |
$931.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,485.44
|
| Rate for Payer: Meridian Medicaid |
$977.80
|
| Rate for Payer: Nomi Health Commercial |
$1,697.64
|
| Rate for Payer: PACE SWMI |
$1,414.70
|
| Rate for Payer: PHP Medicare Advantage |
$1,414.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$931.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,742.40
|
| Rate for Payer: Priority Health HMO/PPO |
$2,453.43
|
| Rate for Payer: Priority Health Medicare |
$1,428.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,453.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,414.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,414.70
|
| Rate for Payer: UHC Exchange |
$1,414.70
|
| Rate for Payer: UHC Medicare Advantage |
$1,414.70
|
| Rate for Payer: UHCCP Medicaid |
$931.24
|
|
|
PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG
|
Professional
|
Both
|
$7,866.00
|
|
|
Service Code
|
HCPCS 61540
|
| Min. Negotiated Rate |
$611.24 |
| Max. Negotiated Rate |
$5,112.90 |
| Rate for Payer: Aetna Commercial |
$2,893.84
|
| Rate for Payer: Aetna Medicare |
$2,245.96
|
| Rate for Payer: BCBS Complete |
$1,487.27
|
| Rate for Payer: BCBS MAPPO |
$2,159.58
|
| Rate for Payer: BCBS Trust/PPO |
$611.24
|
| Rate for Payer: BCN Commercial |
$3,209.63
|
| Rate for Payer: BCN Medicare Advantage |
$2,159.58
|
| Rate for Payer: Cash Price |
$6,292.80
|
| Rate for Payer: Cash Price |
$6,292.80
|
| Rate for Payer: Cofinity Commercial |
$3,109.80
|
| Rate for Payer: Cofinity Commercial |
$2,893.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,159.58
|
| Rate for Payer: Mclaren Medicaid |
$1,416.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,267.56
|
| Rate for Payer: Meridian Medicaid |
$1,487.27
|
| Rate for Payer: Nomi Health Commercial |
$2,591.50
|
| Rate for Payer: PACE SWMI |
$2,159.58
|
| Rate for Payer: PHP Medicare Advantage |
$2,159.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,416.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,112.90
|
| Rate for Payer: Priority Health HMO/PPO |
$3,767.74
|
| Rate for Payer: Priority Health Medicare |
$2,181.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,767.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,159.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,159.58
|
| Rate for Payer: UHC Exchange |
$2,159.58
|
| Rate for Payer: UHC Medicare Advantage |
$2,159.58
|
| Rate for Payer: UHCCP Medicaid |
$1,416.45
|
|
|
PR CRANIOTOMY EXCISION CRANIOPHARYNGIOMA
|
Professional
|
Both
|
$6,696.00
|
|
|
Service Code
|
HCPCS 61545
|
| Min. Negotiated Rate |
$2,070.57 |
| Max. Negotiated Rate |
$6,510.19 |
| Rate for Payer: Aetna Commercial |
$4,234.51
|
| Rate for Payer: Aetna Medicare |
$3,286.48
|
| Rate for Payer: BCBS Complete |
$2,174.10
|
| Rate for Payer: BCBS MAPPO |
$3,160.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.35
|
| Rate for Payer: BCN Commercial |
$6,510.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,160.08
|
| Rate for Payer: Cash Price |
$5,356.80
|
| Rate for Payer: Cash Price |
$5,356.80
|
| Rate for Payer: Cofinity Commercial |
$4,550.52
|
| Rate for Payer: Cofinity Commercial |
$4,234.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,160.08
|
| Rate for Payer: Mclaren Medicaid |
$2,070.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,318.08
|
| Rate for Payer: Meridian Medicaid |
$2,174.10
|
| Rate for Payer: Nomi Health Commercial |
$3,792.10
|
| Rate for Payer: PACE SWMI |
$3,160.08
|
| Rate for Payer: PHP Medicare Advantage |
$3,160.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,070.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,352.40
|
| Rate for Payer: Priority Health HMO/PPO |
$5,505.73
|
| Rate for Payer: Priority Health Medicare |
$3,191.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,505.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,160.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,160.08
|
| Rate for Payer: UHC Exchange |
$3,160.08
|
| Rate for Payer: UHC Medicare Advantage |
$3,160.08
|
| Rate for Payer: UHCCP Medicaid |
$2,070.57
|
|
|
PR CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE
|
Professional
|
Both
|
$5,612.00
|
|
|
Service Code
|
HCPCS 62121
|
| Min. Negotiated Rate |
$998.12 |
| Max. Negotiated Rate |
$3,647.80 |
| Rate for Payer: Aetna Commercial |
$2,003.46
|
| Rate for Payer: Aetna Medicare |
$1,554.92
|
| Rate for Payer: BCBS Complete |
$1,048.03
|
| Rate for Payer: BCBS MAPPO |
$1,495.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,394.18
|
| Rate for Payer: BCN Commercial |
$2,295.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,495.12
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cofinity Commercial |
$2,152.97
|
| Rate for Payer: Cofinity Commercial |
$2,003.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,495.12
|
| Rate for Payer: Mclaren Medicaid |
$998.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,569.88
|
| Rate for Payer: Meridian Medicaid |
$1,048.03
|
| Rate for Payer: Nomi Health Commercial |
$1,794.14
|
| Rate for Payer: PACE SWMI |
$1,495.12
|
| Rate for Payer: PHP Medicare Advantage |
$1,495.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$998.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,647.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,678.65
|
| Rate for Payer: Priority Health Medicare |
$1,510.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,678.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,495.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,495.12
|
| Rate for Payer: UHC Exchange |
$1,495.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,495.12
|
| Rate for Payer: UHCCP Medicaid |
$998.12
|
|
|
PR CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY
|
Professional
|
Both
|
$7,067.00
|
|
|
Service Code
|
HCPCS 61537
|
| Min. Negotiated Rate |
$1,595.37 |
| Max. Negotiated Rate |
$4,593.55 |
| Rate for Payer: Aetna Commercial |
$3,268.50
|
| Rate for Payer: Aetna Medicare |
$2,536.75
|
| Rate for Payer: BCBS Complete |
$1,675.14
|
| Rate for Payer: BCBS MAPPO |
$2,439.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,057.20
|
| Rate for Payer: BCN Commercial |
$3,618.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,439.18
|
| Rate for Payer: Cash Price |
$5,653.60
|
| Rate for Payer: Cash Price |
$5,653.60
|
| Rate for Payer: Cofinity Commercial |
$3,512.42
|
| Rate for Payer: Cofinity Commercial |
$3,268.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,439.18
|
| Rate for Payer: Mclaren Medicaid |
$1,595.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,561.14
|
| Rate for Payer: Meridian Medicaid |
$1,675.14
|
| Rate for Payer: Nomi Health Commercial |
$2,927.02
|
| Rate for Payer: PACE SWMI |
$2,439.18
|
| Rate for Payer: PHP Medicare Advantage |
$2,439.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,595.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,593.55
|
| Rate for Payer: Priority Health HMO/PPO |
$4,242.62
|
| Rate for Payer: Priority Health Medicare |
$2,463.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,242.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,439.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,439.18
|
| Rate for Payer: UHC Exchange |
$2,439.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,439.18
|
| Rate for Payer: UHCCP Medicaid |
$1,595.37
|
|
|
PR CRICOPHARYNGEAL MYOTOMY
|
Professional
|
Both
|
$2,284.00
|
|
|
Service Code
|
HCPCS 43030
|
| Min. Negotiated Rate |
$226.11 |
| Max. Negotiated Rate |
$1,484.60 |
| Rate for Payer: Aetna Commercial |
$673.14
|
| Rate for Payer: Aetna Medicare |
$522.43
|
| Rate for Payer: BCBS Complete |
$355.82
|
| Rate for Payer: BCBS MAPPO |
$502.34
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$768.69
|
| Rate for Payer: BCN Medicare Advantage |
$502.34
|
| Rate for Payer: Cash Price |
$1,827.20
|
| Rate for Payer: Cash Price |
$1,827.20
|
| Rate for Payer: Cofinity Commercial |
$723.37
|
| Rate for Payer: Cofinity Commercial |
$673.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.34
|
| Rate for Payer: Mclaren Medicaid |
$338.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.46
|
| Rate for Payer: Meridian Medicaid |
$355.82
|
| Rate for Payer: Nomi Health Commercial |
$602.81
|
| Rate for Payer: PACE SWMI |
$502.34
|
| Rate for Payer: PHP Medicare Advantage |
$502.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,484.60
|
| Rate for Payer: Priority Health HMO/PPO |
$945.61
|
| Rate for Payer: Priority Health Medicare |
$507.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$945.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$502.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.34
|
| Rate for Payer: UHC Exchange |
$502.34
|
| Rate for Payer: UHC Medicare Advantage |
$502.34
|
| Rate for Payer: UHCCP Medicaid |
$338.88
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 99292
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$1,875.47 |
| Rate for Payer: Aetna Commercial |
$136.63
|
| Rate for Payer: Aetna Medicare |
$106.04
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCBS MAPPO |
$101.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$173.48
|
| Rate for Payer: BCN Medicare Advantage |
$101.96
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$146.82
|
| Rate for Payer: Cofinity Commercial |
$136.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.96
|
| Rate for Payer: Mclaren Medicaid |
$67.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.06
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Nomi Health Commercial |
$122.35
|
| Rate for Payer: PACE SWMI |
$101.96
|
| Rate for Payer: PHP Medicare Advantage |
$101.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health HMO/PPO |
$142.68
|
| Rate for Payer: Priority Health Medicare |
$102.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.96
|
| Rate for Payer: UHC Exchange |
$101.96
|
| Rate for Payer: UHC Medicare Advantage |
$101.96
|
| Rate for Payer: UHCCP Medicaid |
$67.73
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
|
Professional
|
Both
|
$476.00
|
|
|
Service Code
|
HCPCS 99291
|
| Min. Negotiated Rate |
$135.47 |
| Max. Negotiated Rate |
$1,522.56 |
| Rate for Payer: Aetna Commercial |
$273.49
|
| Rate for Payer: Aetna Medicare |
$212.26
|
| Rate for Payer: BCBS Complete |
$142.24
|
| Rate for Payer: BCBS MAPPO |
$204.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,522.56
|
| Rate for Payer: BCN Commercial |
$397.30
|
| Rate for Payer: BCN Medicare Advantage |
$204.10
|
| Rate for Payer: Cash Price |
$380.80
|
| Rate for Payer: Cash Price |
$380.80
|
| Rate for Payer: Cofinity Commercial |
$273.49
|
| Rate for Payer: Cofinity Commercial |
$293.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.10
|
| Rate for Payer: Mclaren Medicaid |
$135.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.30
|
| Rate for Payer: Meridian Medicaid |
$142.24
|
| Rate for Payer: Nomi Health Commercial |
$244.92
|
| Rate for Payer: PACE SWMI |
$204.10
|
| Rate for Payer: PHP Medicare Advantage |
$204.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$309.40
|
| Rate for Payer: Priority Health HMO/PPO |
$414.84
|
| Rate for Payer: Priority Health Medicare |
$206.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$414.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.10
|
| Rate for Payer: UHC Exchange |
$204.10
|
| Rate for Payer: UHC Medicare Advantage |
$204.10
|
| Rate for Payer: UHCCP Medicaid |
$135.47
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN
|
Professional
|
Both
|
$582.00
|
|
|
Service Code
|
HCPCS 99466
|
| Min. Negotiated Rate |
$168.10 |
| Max. Negotiated Rate |
$378.30 |
| Rate for Payer: Aetna Commercial |
$292.32
|
| Rate for Payer: Aetna Medicare |
$226.88
|
| Rate for Payer: BCBS Complete |
$232.80
|
| Rate for Payer: BCBS MAPPO |
$218.15
|
| Rate for Payer: BCBS Trust/PPO |
$168.10
|
| Rate for Payer: BCN Commercial |
$334.26
|
| Rate for Payer: BCN Medicare Advantage |
$218.15
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cofinity Commercial |
$292.32
|
| Rate for Payer: Cofinity Commercial |
$314.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.06
|
| Rate for Payer: Nomi Health Commercial |
$261.78
|
| Rate for Payer: PACE SWMI |
$218.15
|
| Rate for Payer: PHP Medicare Advantage |
$218.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$378.30
|
| Rate for Payer: Priority Health HMO/PPO |
$308.27
|
| Rate for Payer: Priority Health Medicare |
$220.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$308.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$218.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$218.15
|
| Rate for Payer: UHC Exchange |
$218.15
|
| Rate for Payer: UHC Medicare Advantage |
$218.15
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN
|
Professional
|
Both
|
$243.00
|
|
|
Service Code
|
HCPCS 99467
|
| Min. Negotiated Rate |
$97.20 |
| Max. Negotiated Rate |
$169.08 |
| Rate for Payer: Aetna Commercial |
$146.52
|
| Rate for Payer: Aetna Medicare |
$113.71
|
| Rate for Payer: BCBS Complete |
$97.20
|
| Rate for Payer: BCBS MAPPO |
$109.34
|
| Rate for Payer: BCBS Trust/PPO |
$137.11
|
| Rate for Payer: BCN Commercial |
$169.08
|
| Rate for Payer: BCN Medicare Advantage |
$109.34
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cofinity Commercial |
$157.45
|
| Rate for Payer: Cofinity Commercial |
$146.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.81
|
| Rate for Payer: Nomi Health Commercial |
$131.21
|
| Rate for Payer: PACE SWMI |
$109.34
|
| Rate for Payer: PHP Medicare Advantage |
$109.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.95
|
| Rate for Payer: Priority Health HMO/PPO |
$154.80
|
| Rate for Payer: Priority Health Medicare |
$110.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$109.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.34
|
| Rate for Payer: UHC Exchange |
$109.34
|
| Rate for Payer: UHC Medicare Advantage |
$109.34
|
|
|
PR CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY
|
Professional
|
Both
|
$5,018.00
|
|
|
Service Code
|
HCPCS 61322
|
| Min. Negotiated Rate |
$569.51 |
| Max. Negotiated Rate |
$4,124.89 |
| Rate for Payer: Aetna Commercial |
$3,163.40
|
| Rate for Payer: Aetna Medicare |
$2,455.18
|
| Rate for Payer: BCBS Complete |
$1,626.83
|
| Rate for Payer: BCBS MAPPO |
$2,360.75
|
| Rate for Payer: BCBS Trust/PPO |
$569.51
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,360.75
|
| Rate for Payer: Cash Price |
$4,014.40
|
| Rate for Payer: Cash Price |
$4,014.40
|
| Rate for Payer: Cofinity Commercial |
$3,163.40
|
| Rate for Payer: Cofinity Commercial |
$3,399.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,360.75
|
| Rate for Payer: Mclaren Medicaid |
$1,549.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,478.79
|
| Rate for Payer: Meridian Medicaid |
$1,626.83
|
| Rate for Payer: Nomi Health Commercial |
$2,832.90
|
| Rate for Payer: PACE SWMI |
$2,360.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,360.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,261.70
|
| Rate for Payer: Priority Health HMO/PPO |
$4,124.89
|
| Rate for Payer: Priority Health Medicare |
$2,384.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,124.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,360.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,360.75
|
| Rate for Payer: UHC Exchange |
$2,360.75
|
| Rate for Payer: UHC Medicare Advantage |
$2,360.75
|
| Rate for Payer: UHCCP Medicaid |
$1,549.36
|
|
|
PR CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL
|
Professional
|
Both
|
$4,357.00
|
|
|
Service Code
|
HCPCS 61321
|
| Min. Negotiated Rate |
$431.09 |
| Max. Negotiated Rate |
$3,678.46 |
| Rate for Payer: Aetna Commercial |
$2,825.07
|
| Rate for Payer: Aetna Medicare |
$2,192.59
|
| Rate for Payer: BCBS Complete |
$1,452.61
|
| Rate for Payer: BCBS MAPPO |
$2,108.26
|
| Rate for Payer: BCBS Trust/PPO |
$431.09
|
| Rate for Payer: BCN Commercial |
$3,133.89
|
| Rate for Payer: BCN Medicare Advantage |
$2,108.26
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cofinity Commercial |
$3,035.89
|
| Rate for Payer: Cofinity Commercial |
$2,825.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,108.26
|
| Rate for Payer: Mclaren Medicaid |
$1,383.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,213.67
|
| Rate for Payer: Meridian Medicaid |
$1,452.61
|
| Rate for Payer: Nomi Health Commercial |
$2,529.91
|
| Rate for Payer: PACE SWMI |
$2,108.26
|
| Rate for Payer: PHP Medicare Advantage |
$2,108.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,383.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,832.05
|
| Rate for Payer: Priority Health HMO/PPO |
$3,678.46
|
| Rate for Payer: Priority Health Medicare |
$2,129.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,678.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,108.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,108.26
|
| Rate for Payer: UHC Exchange |
$2,108.26
|
| Rate for Payer: UHC Medicare Advantage |
$2,108.26
|
| Rate for Payer: UHCCP Medicaid |
$1,383.44
|
|
|
PR CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL
|
Professional
|
Both
|
$6,842.00
|
|
|
Service Code
|
HCPCS 61320
|
| Min. Negotiated Rate |
$495.02 |
| Max. Negotiated Rate |
$4,447.30 |
| Rate for Payer: Aetna Commercial |
$2,522.23
|
| Rate for Payer: Aetna Medicare |
$1,957.55
|
| Rate for Payer: BCBS Complete |
$1,296.95
|
| Rate for Payer: BCBS MAPPO |
$1,882.26
|
| Rate for Payer: BCBS Trust/PPO |
$495.02
|
| Rate for Payer: BCN Commercial |
$3,871.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,882.26
|
| Rate for Payer: Cash Price |
$5,473.60
|
| Rate for Payer: Cash Price |
$5,473.60
|
| Rate for Payer: Cofinity Commercial |
$2,710.45
|
| Rate for Payer: Cofinity Commercial |
$2,522.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,882.26
|
| Rate for Payer: Mclaren Medicaid |
$1,235.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,976.37
|
| Rate for Payer: Meridian Medicaid |
$1,296.95
|
| Rate for Payer: Nomi Health Commercial |
$2,258.71
|
| Rate for Payer: PACE SWMI |
$1,882.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,882.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,447.30
|
| Rate for Payer: Priority Health HMO/PPO |
$3,278.07
|
| Rate for Payer: Priority Health Medicare |
$1,901.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,278.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,882.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,882.26
|
| Rate for Payer: UHC Exchange |
$1,882.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,882.26
|
| Rate for Payer: UHCCP Medicaid |
$1,235.19
|
|
|
PR CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR
|
Professional
|
Both
|
$7,040.00
|
|
|
Service Code
|
HCPCS 61315
|
| Min. Negotiated Rate |
$1,127.39 |
| Max. Negotiated Rate |
$4,576.00 |
| Rate for Payer: Aetna Commercial |
$2,747.91
|
| Rate for Payer: Aetna Medicare |
$2,132.71
|
| Rate for Payer: BCBS Complete |
$1,413.47
|
| Rate for Payer: BCBS MAPPO |
$2,050.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.39
|
| Rate for Payer: BCN Commercial |
$4,232.33
|
| Rate for Payer: BCN Medicare Advantage |
$2,050.68
|
| Rate for Payer: Cash Price |
$5,632.00
|
| Rate for Payer: Cash Price |
$5,632.00
|
| Rate for Payer: Cofinity Commercial |
$2,952.98
|
| Rate for Payer: Cofinity Commercial |
$2,747.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,050.68
|
| Rate for Payer: Mclaren Medicaid |
$1,346.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,153.21
|
| Rate for Payer: Meridian Medicaid |
$1,413.47
|
| Rate for Payer: Nomi Health Commercial |
$2,460.82
|
| Rate for Payer: PACE SWMI |
$2,050.68
|
| Rate for Payer: PHP Medicare Advantage |
$2,050.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,346.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,576.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,584.61
|
| Rate for Payer: Priority Health Medicare |
$2,071.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,584.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,050.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,050.68
|
| Rate for Payer: UHC Exchange |
$2,050.68
|
| Rate for Payer: UHC Medicare Advantage |
$2,050.68
|
| Rate for Payer: UHCCP Medicaid |
$1,346.16
|
|
|
PR CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL
|
Professional
|
Both
|
$5,612.00
|
|
|
Service Code
|
HCPCS 61314
|
| Min. Negotiated Rate |
$1,064.00 |
| Max. Negotiated Rate |
$3,730.66 |
| Rate for Payer: Aetna Commercial |
$2,426.46
|
| Rate for Payer: Aetna Medicare |
$1,883.22
|
| Rate for Payer: BCBS Complete |
$1,250.20
|
| Rate for Payer: BCBS MAPPO |
$1,810.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,064.00
|
| Rate for Payer: BCN Commercial |
$3,730.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,810.79
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cofinity Commercial |
$2,607.54
|
| Rate for Payer: Cofinity Commercial |
$2,426.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,810.79
|
| Rate for Payer: Mclaren Medicaid |
$1,190.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,901.33
|
| Rate for Payer: Meridian Medicaid |
$1,250.20
|
| Rate for Payer: Nomi Health Commercial |
$2,172.95
|
| Rate for Payer: PACE SWMI |
$1,810.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,810.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,190.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,647.80
|
| Rate for Payer: Priority Health HMO/PPO |
$3,163.76
|
| Rate for Payer: Priority Health Medicare |
$1,828.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,163.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,810.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,810.79
|
| Rate for Payer: UHC Exchange |
$1,810.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,810.79
|
| Rate for Payer: UHCCP Medicaid |
$1,190.67
|
|
|
PR CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$4,171.00
|
|
|
Service Code
|
HCPCS 61313
|
| Min. Negotiated Rate |
$1,065.58 |
| Max. Negotiated Rate |
$4,059.46 |
| Rate for Payer: Aetna Commercial |
$2,638.45
|
| Rate for Payer: Aetna Medicare |
$2,047.75
|
| Rate for Payer: BCBS Complete |
$1,359.12
|
| Rate for Payer: BCBS MAPPO |
$1,968.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.58
|
| Rate for Payer: BCN Commercial |
$4,059.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,968.99
|
| Rate for Payer: Cash Price |
$3,336.80
|
| Rate for Payer: Cash Price |
$3,336.80
|
| Rate for Payer: Cofinity Commercial |
$2,835.35
|
| Rate for Payer: Cofinity Commercial |
$2,638.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,968.99
|
| Rate for Payer: Mclaren Medicaid |
$1,294.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,067.44
|
| Rate for Payer: Meridian Medicaid |
$1,359.12
|
| Rate for Payer: Nomi Health Commercial |
$2,362.79
|
| Rate for Payer: PACE SWMI |
$1,968.99
|
| Rate for Payer: PHP Medicare Advantage |
$1,968.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,294.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,711.15
|
| Rate for Payer: Priority Health HMO/PPO |
$3,441.87
|
| Rate for Payer: Priority Health Medicare |
$1,988.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,441.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,968.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,968.99
|
| Rate for Payer: UHC Exchange |
$1,968.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,968.99
|
| Rate for Payer: UHCCP Medicaid |
$1,294.40
|
|
|
PR CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL
|
Professional
|
Both
|
$7,129.00
|
|
|
Service Code
|
HCPCS 61312
|
| Min. Negotiated Rate |
$831.54 |
| Max. Negotiated Rate |
$4,633.85 |
| Rate for Payer: Aetna Commercial |
$2,751.62
|
| Rate for Payer: Aetna Medicare |
$2,135.59
|
| Rate for Payer: BCBS Complete |
$1,413.47
|
| Rate for Payer: BCBS MAPPO |
$2,053.45
|
| Rate for Payer: BCBS Trust/PPO |
$831.54
|
| Rate for Payer: BCN Commercial |
$4,233.69
|
| Rate for Payer: BCN Medicare Advantage |
$2,053.45
|
| Rate for Payer: Cash Price |
$5,703.20
|
| Rate for Payer: Cash Price |
$5,703.20
|
| Rate for Payer: Cofinity Commercial |
$2,956.97
|
| Rate for Payer: Cofinity Commercial |
$2,751.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,053.45
|
| Rate for Payer: Mclaren Medicaid |
$1,346.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,156.12
|
| Rate for Payer: Meridian Medicaid |
$1,413.47
|
| Rate for Payer: Nomi Health Commercial |
$2,464.14
|
| Rate for Payer: PACE SWMI |
$2,053.45
|
| Rate for Payer: PHP Medicare Advantage |
$2,053.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,346.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,633.85
|
| Rate for Payer: Priority Health HMO/PPO |
$3,582.34
|
| Rate for Payer: Priority Health Medicare |
$2,073.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,582.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,053.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,053.45
|
| Rate for Payer: UHC Exchange |
$2,053.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,053.45
|
| Rate for Payer: UHCCP Medicaid |
$1,346.16
|
|
|
PR CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY
|
Professional
|
Both
|
$8,807.00
|
|
|
Service Code
|
HCPCS 61323
|
| Min. Negotiated Rate |
$679.39 |
| Max. Negotiated Rate |
$5,724.55 |
| Rate for Payer: Aetna Commercial |
$3,153.19
|
| Rate for Payer: Aetna Medicare |
$2,447.26
|
| Rate for Payer: BCBS Complete |
$1,618.77
|
| Rate for Payer: BCBS MAPPO |
$2,353.13
|
| Rate for Payer: BCBS Trust/PPO |
$679.39
|
| Rate for Payer: BCN Commercial |
$4,887.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,353.13
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cofinity Commercial |
$3,388.51
|
| Rate for Payer: Cofinity Commercial |
$3,153.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,353.13
|
| Rate for Payer: Mclaren Medicaid |
$1,541.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,470.79
|
| Rate for Payer: Meridian Medicaid |
$1,618.77
|
| Rate for Payer: Nomi Health Commercial |
$2,823.76
|
| Rate for Payer: PACE SWMI |
$2,353.13
|
| Rate for Payer: PHP Medicare Advantage |
$2,353.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,541.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,724.55
|
| Rate for Payer: Priority Health HMO/PPO |
$4,134.56
|
| Rate for Payer: Priority Health Medicare |
$2,376.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,134.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,353.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,353.13
|
| Rate for Payer: UHC Exchange |
$2,353.13
|
| Rate for Payer: UHC Medicare Advantage |
$2,353.13
|
| Rate for Payer: UHCCP Medicaid |
$1,541.69
|
|
|
PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA
|
Professional
|
Both
|
$8,419.00
|
|
|
Service Code
|
HCPCS 61518
|
| Min. Negotiated Rate |
$1,142.71 |
| Max. Negotiated Rate |
$5,660.06 |
| Rate for Payer: Aetna Commercial |
$3,677.47
|
| Rate for Payer: Aetna Medicare |
$2,854.16
|
| Rate for Payer: BCBS Complete |
$1,890.97
|
| Rate for Payer: BCBS MAPPO |
$2,744.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,142.71
|
| Rate for Payer: BCN Commercial |
$5,660.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,744.38
|
| Rate for Payer: Cash Price |
$6,735.20
|
| Rate for Payer: Cash Price |
$6,735.20
|
| Rate for Payer: Cofinity Commercial |
$3,951.91
|
| Rate for Payer: Cofinity Commercial |
$3,677.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,744.38
|
| Rate for Payer: Mclaren Medicaid |
$1,800.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,881.60
|
| Rate for Payer: Meridian Medicaid |
$1,890.97
|
| Rate for Payer: Nomi Health Commercial |
$3,293.26
|
| Rate for Payer: PACE SWMI |
$2,744.38
|
| Rate for Payer: PHP Medicare Advantage |
$2,744.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,800.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,472.35
|
| Rate for Payer: Priority Health HMO/PPO |
$4,792.57
|
| Rate for Payer: Priority Health Medicare |
$2,771.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,792.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,744.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,744.38
|
| Rate for Payer: UHC Exchange |
$2,744.38
|
| Rate for Payer: UHC Medicare Advantage |
$2,744.38
|
| Rate for Payer: UHCCP Medicaid |
$1,800.92
|
|
|
PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA
|
Professional
|
Both
|
$7,858.00
|
|
|
Service Code
|
HCPCS 61530
|
| Min. Negotiated Rate |
$1,728.07 |
| Max. Negotiated Rate |
$6,271.56 |
| Rate for Payer: Aetna Commercial |
$4,082.04
|
| Rate for Payer: Aetna Medicare |
$3,168.15
|
| Rate for Payer: BCBS Complete |
$2,092.02
|
| Rate for Payer: BCBS MAPPO |
$3,046.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,728.07
|
| Rate for Payer: BCN Commercial |
$6,271.56
|
| Rate for Payer: BCN Medicare Advantage |
$3,046.30
|
| Rate for Payer: Cash Price |
$6,286.40
|
| Rate for Payer: Cash Price |
$6,286.40
|
| Rate for Payer: Cofinity Commercial |
$4,386.67
|
| Rate for Payer: Cofinity Commercial |
$4,082.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,046.30
|
| Rate for Payer: Mclaren Medicaid |
$1,992.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,198.62
|
| Rate for Payer: Meridian Medicaid |
$2,092.02
|
| Rate for Payer: Nomi Health Commercial |
$3,655.56
|
| Rate for Payer: PACE SWMI |
$3,046.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,046.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,992.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,107.70
|
| Rate for Payer: Priority Health HMO/PPO |
$5,300.44
|
| Rate for Payer: Priority Health Medicare |
$3,076.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,300.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,046.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,046.30
|
| Rate for Payer: UHC Exchange |
$3,046.30
|
| Rate for Payer: UHC Medicare Advantage |
$3,046.30
|
| Rate for Payer: UHCCP Medicaid |
$1,992.40
|
|
|
PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA
|
Professional
|
Both
|
$8,718.00
|
|
|
Service Code
|
HCPCS 61519
|
| Min. Negotiated Rate |
$1,169.66 |
| Max. Negotiated Rate |
$6,020.71 |
| Rate for Payer: Aetna Commercial |
$3,914.96
|
| Rate for Payer: Aetna Medicare |
$3,038.47
|
| Rate for Payer: BCBS Complete |
$2,008.60
|
| Rate for Payer: BCBS MAPPO |
$2,921.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,169.66
|
| Rate for Payer: BCN Commercial |
$6,020.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,921.61
|
| Rate for Payer: Cash Price |
$6,974.40
|
| Rate for Payer: Cash Price |
$6,974.40
|
| Rate for Payer: Cofinity Commercial |
$4,207.12
|
| Rate for Payer: Cofinity Commercial |
$3,914.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,921.61
|
| Rate for Payer: Mclaren Medicaid |
$1,912.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,067.69
|
| Rate for Payer: Meridian Medicaid |
$2,008.60
|
| Rate for Payer: Nomi Health Commercial |
$3,505.93
|
| Rate for Payer: PACE SWMI |
$2,921.61
|
| Rate for Payer: PHP Medicare Advantage |
$2,921.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,912.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,666.70
|
| Rate for Payer: Priority Health HMO/PPO |
$5,079.20
|
| Rate for Payer: Priority Health Medicare |
$2,950.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,079.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,921.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,921.61
|
| Rate for Payer: UHC Exchange |
$2,921.61
|
| Rate for Payer: UHC Medicare Advantage |
$2,921.61
|
| Rate for Payer: UHCCP Medicaid |
$1,912.95
|
|
|
PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS
|
Professional
|
Both
|
$6,227.00
|
|
|
Service Code
|
HCPCS 61522
|
| Min. Negotiated Rate |
$581.66 |
| Max. Negotiated Rate |
$4,475.71 |
| Rate for Payer: Aetna Commercial |
$2,909.82
|
| Rate for Payer: Aetna Medicare |
$2,258.37
|
| Rate for Payer: BCBS Complete |
$1,495.77
|
| Rate for Payer: BCBS MAPPO |
$2,171.51
|
| Rate for Payer: BCBS Trust/PPO |
$581.66
|
| Rate for Payer: BCN Commercial |
$4,475.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,171.51
|
| Rate for Payer: Cash Price |
$4,981.60
|
| Rate for Payer: Cash Price |
$4,981.60
|
| Rate for Payer: Cofinity Commercial |
$3,126.97
|
| Rate for Payer: Cofinity Commercial |
$2,909.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,171.51
|
| Rate for Payer: Mclaren Medicaid |
$1,424.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,280.09
|
| Rate for Payer: Meridian Medicaid |
$1,495.77
|
| Rate for Payer: Nomi Health Commercial |
$2,605.81
|
| Rate for Payer: PACE SWMI |
$2,171.51
|
| Rate for Payer: PHP Medicare Advantage |
$2,171.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,424.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,047.55
|
| Rate for Payer: Priority Health HMO/PPO |
$3,787.65
|
| Rate for Payer: Priority Health Medicare |
$2,193.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,787.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,171.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,171.51
|
| Rate for Payer: UHC Exchange |
$2,171.51
|
| Rate for Payer: UHC Medicare Advantage |
$2,171.51
|
| Rate for Payer: UHCCP Medicaid |
$1,424.54
|
|
|
PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST
|
Professional
|
Both
|
$7,109.00
|
|
|
Service Code
|
HCPCS 61524
|
| Min. Negotiated Rate |
$322.26 |
| Max. Negotiated Rate |
$4,620.85 |
| Rate for Payer: Aetna Commercial |
$2,771.75
|
| Rate for Payer: Aetna Medicare |
$2,151.21
|
| Rate for Payer: BCBS Complete |
$1,425.54
|
| Rate for Payer: BCBS MAPPO |
$2,068.47
|
| Rate for Payer: BCBS Trust/PPO |
$322.26
|
| Rate for Payer: BCN Commercial |
$3,075.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,068.47
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Cofinity Commercial |
$2,978.60
|
| Rate for Payer: Cofinity Commercial |
$2,771.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,068.47
|
| Rate for Payer: Mclaren Medicaid |
$1,357.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,171.89
|
| Rate for Payer: Meridian Medicaid |
$1,425.54
|
| Rate for Payer: Nomi Health Commercial |
$2,482.16
|
| Rate for Payer: PACE SWMI |
$2,068.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,068.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,357.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,620.85
|
| Rate for Payer: Priority Health HMO/PPO |
$3,610.20
|
| Rate for Payer: Priority Health Medicare |
$2,089.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,610.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,068.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,068.47
|
| Rate for Payer: UHC Exchange |
$2,068.47
|
| Rate for Payer: UHC Medicare Advantage |
$2,068.47
|
| Rate for Payer: UHCCP Medicaid |
$1,357.66
|
|
