|
PR CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV
|
Professional
|
Both
|
$7,844.00
|
|
|
Service Code
|
HCPCS 61458
|
| Min. Negotiated Rate |
$861.66 |
| Max. Negotiated Rate |
$5,098.60 |
| Rate for Payer: Aetna Commercial |
$2,682.32
|
| Rate for Payer: Aetna Medicare |
$2,081.80
|
| Rate for Payer: BCBS Complete |
$1,380.14
|
| Rate for Payer: BCBS MAPPO |
$2,001.73
|
| Rate for Payer: BCBS Trust/PPO |
$861.66
|
| Rate for Payer: BCN Commercial |
$4,127.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,001.73
|
| Rate for Payer: Cash Price |
$6,275.20
|
| Rate for Payer: Cash Price |
$6,275.20
|
| Rate for Payer: Cofinity Commercial |
$2,882.49
|
| Rate for Payer: Cofinity Commercial |
$2,682.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,001.73
|
| Rate for Payer: Mclaren Medicaid |
$1,314.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,101.82
|
| Rate for Payer: Meridian Medicaid |
$1,380.14
|
| Rate for Payer: Nomi Health Commercial |
$2,402.08
|
| Rate for Payer: PACE SWMI |
$2,001.73
|
| Rate for Payer: PHP Medicare Advantage |
$2,001.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,314.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,098.60
|
| Rate for Payer: Priority Health HMO/PPO |
$3,482.82
|
| Rate for Payer: Priority Health Medicare |
$2,021.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,482.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,001.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,001.73
|
| Rate for Payer: UHC Exchange |
$2,001.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,001.73
|
| Rate for Payer: UHCCP Medicaid |
$1,314.42
|
|
|
PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION
|
Professional
|
Both
|
$6,713.00
|
|
|
Service Code
|
HCPCS 61450
|
| Min. Negotiated Rate |
$732.75 |
| Max. Negotiated Rate |
$4,363.45 |
| Rate for Payer: Aetna Commercial |
$2,554.54
|
| Rate for Payer: Aetna Medicare |
$1,982.62
|
| Rate for Payer: BCBS Complete |
$1,313.05
|
| Rate for Payer: BCBS MAPPO |
$1,906.37
|
| Rate for Payer: BCBS Trust/PPO |
$732.75
|
| Rate for Payer: BCN Commercial |
$2,831.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,906.37
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cofinity Commercial |
$2,745.17
|
| Rate for Payer: Cofinity Commercial |
$2,554.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,906.37
|
| Rate for Payer: Mclaren Medicaid |
$1,250.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,001.69
|
| Rate for Payer: Meridian Medicaid |
$1,313.05
|
| Rate for Payer: Nomi Health Commercial |
$2,287.64
|
| Rate for Payer: PACE SWMI |
$1,906.37
|
| Rate for Payer: PHP Medicare Advantage |
$1,906.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,250.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,363.45
|
| Rate for Payer: Priority Health HMO/PPO |
$3,325.28
|
| Rate for Payer: Priority Health Medicare |
$1,925.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,325.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,906.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,906.37
|
| Rate for Payer: UHC Exchange |
$1,906.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,906.37
|
| Rate for Payer: UHCCP Medicaid |
$1,250.52
|
|
|
PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD
|
Professional
|
Both
|
$4,610.00
|
|
|
Service Code
|
HCPCS 61343
|
| Min. Negotiated Rate |
$230.87 |
| Max. Negotiated Rate |
$4,491.99 |
| Rate for Payer: Aetna Commercial |
$2,910.48
|
| Rate for Payer: Aetna Medicare |
$2,258.88
|
| Rate for Payer: BCBS Complete |
$1,496.67
|
| Rate for Payer: BCBS MAPPO |
$2,172.00
|
| Rate for Payer: BCBS Trust/PPO |
$230.87
|
| Rate for Payer: BCN Commercial |
$4,491.99
|
| Rate for Payer: BCN Medicare Advantage |
$2,172.00
|
| Rate for Payer: Cash Price |
$3,688.00
|
| Rate for Payer: Cash Price |
$3,688.00
|
| Rate for Payer: Cofinity Commercial |
$3,127.68
|
| Rate for Payer: Cofinity Commercial |
$2,910.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,172.00
|
| Rate for Payer: Mclaren Medicaid |
$1,425.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,280.60
|
| Rate for Payer: Meridian Medicaid |
$1,496.67
|
| Rate for Payer: Nomi Health Commercial |
$2,606.40
|
| Rate for Payer: PACE SWMI |
$2,172.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,172.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,425.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,996.50
|
| Rate for Payer: Priority Health HMO/PPO |
$3,792.76
|
| Rate for Payer: Priority Health Medicare |
$2,193.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,792.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,172.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,172.00
|
| Rate for Payer: UHC Exchange |
$2,172.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,172.00
|
| Rate for Payer: UHCCP Medicaid |
$1,425.40
|
|
|
PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM
|
Professional
|
Both
|
$8,071.00
|
|
|
Service Code
|
HCPCS 61526
|
| Min. Negotiated Rate |
$811.47 |
| Max. Negotiated Rate |
$5,723.54 |
| Rate for Payer: Aetna Commercial |
$4,366.56
|
| Rate for Payer: Aetna Medicare |
$3,388.98
|
| Rate for Payer: BCBS Complete |
$2,257.52
|
| Rate for Payer: BCBS MAPPO |
$3,258.63
|
| Rate for Payer: BCBS Trust/PPO |
$811.47
|
| Rate for Payer: BCN Commercial |
$4,908.76
|
| Rate for Payer: BCN Medicare Advantage |
$3,258.63
|
| Rate for Payer: Cash Price |
$6,456.80
|
| Rate for Payer: Cash Price |
$6,456.80
|
| Rate for Payer: Cofinity Commercial |
$4,692.43
|
| Rate for Payer: Cofinity Commercial |
$4,366.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,258.63
|
| Rate for Payer: Mclaren Medicaid |
$2,150.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,421.56
|
| Rate for Payer: Meridian Medicaid |
$2,257.52
|
| Rate for Payer: Nomi Health Commercial |
$3,910.36
|
| Rate for Payer: PACE SWMI |
$3,258.63
|
| Rate for Payer: PHP Medicare Advantage |
$3,258.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,150.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,246.15
|
| Rate for Payer: Priority Health HMO/PPO |
$5,723.54
|
| Rate for Payer: Priority Health Medicare |
$3,291.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,723.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,258.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,258.63
|
| Rate for Payer: UHC Exchange |
$3,258.63
|
| Rate for Payer: UHC Medicare Advantage |
$3,258.63
|
| Rate for Payer: UHCCP Medicaid |
$2,150.02
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL
|
Professional
|
Both
|
$4,023.00
|
|
|
Service Code
|
HCPCS 61514
|
| Min. Negotiated Rate |
$137.36 |
| Max. Negotiated Rate |
$3,926.59 |
| Rate for Payer: Aetna Commercial |
$2,549.71
|
| Rate for Payer: Aetna Medicare |
$1,978.88
|
| Rate for Payer: BCBS Complete |
$1,312.60
|
| Rate for Payer: BCBS MAPPO |
$1,902.77
|
| Rate for Payer: BCBS Trust/PPO |
$137.36
|
| Rate for Payer: BCN Commercial |
$3,926.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,902.77
|
| Rate for Payer: Cash Price |
$3,218.40
|
| Rate for Payer: Cash Price |
$3,218.40
|
| Rate for Payer: Cofinity Commercial |
$2,739.99
|
| Rate for Payer: Cofinity Commercial |
$2,549.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,902.77
|
| Rate for Payer: Mclaren Medicaid |
$1,250.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,997.91
|
| Rate for Payer: Meridian Medicaid |
$1,312.60
|
| Rate for Payer: Nomi Health Commercial |
$2,283.32
|
| Rate for Payer: PACE SWMI |
$1,902.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,902.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,250.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,614.95
|
| Rate for Payer: Priority Health HMO/PPO |
$3,316.75
|
| Rate for Payer: Priority Health Medicare |
$1,921.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,316.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,902.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,902.77
|
| Rate for Payer: UHC Exchange |
$1,902.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,902.77
|
| Rate for Payer: UHCCP Medicaid |
$1,250.10
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL
|
Professional
|
Both
|
$4,604.00
|
|
|
Service Code
|
HCPCS 61510
|
| Min. Negotiated Rate |
$455.92 |
| Max. Negotiated Rate |
$4,506.22 |
| Rate for Payer: Aetna Commercial |
$2,924.44
|
| Rate for Payer: Aetna Medicare |
$2,269.72
|
| Rate for Payer: BCBS Complete |
$1,507.85
|
| Rate for Payer: BCBS MAPPO |
$2,182.42
|
| Rate for Payer: BCBS Trust/PPO |
$455.92
|
| Rate for Payer: BCN Commercial |
$4,506.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,182.42
|
| Rate for Payer: Cash Price |
$3,683.20
|
| Rate for Payer: Cash Price |
$3,683.20
|
| Rate for Payer: Cofinity Commercial |
$3,142.68
|
| Rate for Payer: Cofinity Commercial |
$2,924.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,182.42
|
| Rate for Payer: Mclaren Medicaid |
$1,436.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,291.54
|
| Rate for Payer: Meridian Medicaid |
$1,507.85
|
| Rate for Payer: Nomi Health Commercial |
$2,618.90
|
| Rate for Payer: PACE SWMI |
$2,182.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,182.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,436.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,992.60
|
| Rate for Payer: Priority Health HMO/PPO |
$3,816.64
|
| Rate for Payer: Priority Health Medicare |
$2,204.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,816.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,182.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,182.42
|
| Rate for Payer: UHC Exchange |
$2,182.42
|
| Rate for Payer: UHC Medicare Advantage |
$2,182.42
|
| Rate for Payer: UHCCP Medicaid |
$1,436.05
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL
|
Professional
|
Both
|
$7,117.00
|
|
|
Service Code
|
HCPCS 61516
|
| Min. Negotiated Rate |
$108.83 |
| Max. Negotiated Rate |
$4,626.05 |
| Rate for Payer: Aetna Commercial |
$2,484.90
|
| Rate for Payer: Aetna Medicare |
$1,928.58
|
| Rate for Payer: BCBS Complete |
$1,279.95
|
| Rate for Payer: BCBS MAPPO |
$1,854.40
|
| Rate for Payer: BCBS Trust/PPO |
$108.83
|
| Rate for Payer: BCN Commercial |
$3,832.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,854.40
|
| Rate for Payer: Cash Price |
$5,693.60
|
| Rate for Payer: Cash Price |
$5,693.60
|
| Rate for Payer: Cofinity Commercial |
$2,670.34
|
| Rate for Payer: Cofinity Commercial |
$2,484.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,854.40
|
| Rate for Payer: Mclaren Medicaid |
$1,219.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,947.12
|
| Rate for Payer: Meridian Medicaid |
$1,279.95
|
| Rate for Payer: Nomi Health Commercial |
$2,225.28
|
| Rate for Payer: PACE SWMI |
$1,854.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,854.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,219.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,626.05
|
| Rate for Payer: Priority Health HMO/PPO |
$3,249.64
|
| Rate for Payer: Priority Health Medicare |
$1,872.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,249.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,854.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,854.40
|
| Rate for Payer: UHC Exchange |
$1,854.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,854.40
|
| Rate for Payer: UHCCP Medicaid |
$1,219.00
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL
|
Professional
|
Both
|
$5,385.00
|
|
|
Service Code
|
HCPCS 61512
|
| Min. Negotiated Rate |
$223.47 |
| Max. Negotiated Rate |
$5,220.76 |
| Rate for Payer: Aetna Commercial |
$3,392.46
|
| Rate for Payer: Aetna Medicare |
$2,632.96
|
| Rate for Payer: BCBS Complete |
$1,742.68
|
| Rate for Payer: BCBS MAPPO |
$2,531.69
|
| Rate for Payer: BCBS Trust/PPO |
$223.47
|
| Rate for Payer: BCN Commercial |
$5,220.76
|
| Rate for Payer: BCN Medicare Advantage |
$2,531.69
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Cofinity Commercial |
$3,645.63
|
| Rate for Payer: Cofinity Commercial |
$3,392.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,531.69
|
| Rate for Payer: Mclaren Medicaid |
$1,659.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,658.27
|
| Rate for Payer: Meridian Medicaid |
$1,742.68
|
| Rate for Payer: Nomi Health Commercial |
$3,038.03
|
| Rate for Payer: PACE SWMI |
$2,531.69
|
| Rate for Payer: PHP Medicare Advantage |
$2,531.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,659.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,500.25
|
| Rate for Payer: Priority Health HMO/PPO |
$4,413.23
|
| Rate for Payer: Priority Health Medicare |
$2,557.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,413.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,531.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,531.69
|
| Rate for Payer: UHC Exchange |
$2,531.69
|
| Rate for Payer: UHC Medicare Advantage |
$2,531.69
|
| Rate for Payer: UHCCP Medicaid |
$1,659.70
|
|
|
PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL
|
Professional
|
Both
|
$10,436.00
|
|
|
Service Code
|
HCPCS 61521
|
| Min. Negotiated Rate |
$1,168.07 |
| Max. Negotiated Rate |
$6,783.40 |
| Rate for Payer: Aetna Commercial |
$4,203.83
|
| Rate for Payer: Aetna Medicare |
$3,262.68
|
| Rate for Payer: BCBS Complete |
$2,156.66
|
| Rate for Payer: BCBS MAPPO |
$3,137.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$6,470.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,137.19
|
| Rate for Payer: Cash Price |
$8,348.80
|
| Rate for Payer: Cash Price |
$8,348.80
|
| Rate for Payer: Cofinity Commercial |
$4,517.55
|
| Rate for Payer: Cofinity Commercial |
$4,203.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,137.19
|
| Rate for Payer: Mclaren Medicaid |
$2,053.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,294.05
|
| Rate for Payer: Meridian Medicaid |
$2,156.66
|
| Rate for Payer: Nomi Health Commercial |
$3,764.63
|
| Rate for Payer: PACE SWMI |
$3,137.19
|
| Rate for Payer: PHP Medicare Advantage |
$3,137.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,053.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,783.40
|
| Rate for Payer: Priority Health HMO/PPO |
$5,486.41
|
| Rate for Payer: Priority Health Medicare |
$3,168.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,486.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,137.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,137.19
|
| Rate for Payer: UHC Exchange |
$3,137.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,137.19
|
| Rate for Payer: UHCCP Medicaid |
$2,053.96
|
|
|
PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM
|
Professional
|
Both
|
$8,727.00
|
|
|
Service Code
|
HCPCS 61520
|
| Min. Negotiated Rate |
$1,140.60 |
| Max. Negotiated Rate |
$7,615.22 |
| Rate for Payer: Aetna Commercial |
$4,923.56
|
| Rate for Payer: Aetna Medicare |
$3,821.27
|
| Rate for Payer: BCBS Complete |
$2,531.05
|
| Rate for Payer: BCBS MAPPO |
$3,674.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.60
|
| Rate for Payer: BCN Commercial |
$7,615.22
|
| Rate for Payer: BCN Medicare Advantage |
$3,674.30
|
| Rate for Payer: Cash Price |
$6,981.60
|
| Rate for Payer: Cash Price |
$6,981.60
|
| Rate for Payer: Cofinity Commercial |
$5,290.99
|
| Rate for Payer: Cofinity Commercial |
$4,923.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,674.30
|
| Rate for Payer: Mclaren Medicaid |
$2,410.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,858.02
|
| Rate for Payer: Meridian Medicaid |
$2,531.05
|
| Rate for Payer: Nomi Health Commercial |
$4,409.16
|
| Rate for Payer: PACE SWMI |
$3,674.30
|
| Rate for Payer: PHP Medicare Advantage |
$3,674.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,410.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,672.55
|
| Rate for Payer: Priority Health HMO/PPO |
$6,398.04
|
| Rate for Payer: Priority Health Medicare |
$3,711.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,398.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,674.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,674.30
|
| Rate for Payer: UHC Exchange |
$3,674.30
|
| Rate for Payer: UHC Medicare Advantage |
$3,674.30
|
| Rate for Payer: UHCCP Medicaid |
$2,410.52
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF
|
Professional
|
Both
|
$2,767.00
|
|
|
Service Code
|
HCPCS 36825
|
| Min. Negotiated Rate |
$496.50 |
| Max. Negotiated Rate |
$1,798.55 |
| Rate for Payer: Aetna Commercial |
$1,014.73
|
| Rate for Payer: Aetna Medicare |
$787.55
|
| Rate for Payer: BCBS Complete |
$521.32
|
| Rate for Payer: BCBS MAPPO |
$757.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCN Commercial |
$1,135.69
|
| Rate for Payer: BCN Medicare Advantage |
$757.26
|
| Rate for Payer: Cash Price |
$2,213.60
|
| Rate for Payer: Cash Price |
$2,213.60
|
| Rate for Payer: Cofinity Commercial |
$1,090.45
|
| Rate for Payer: Cofinity Commercial |
$1,014.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$757.26
|
| Rate for Payer: Mclaren Medicaid |
$496.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.12
|
| Rate for Payer: Meridian Medicaid |
$521.32
|
| Rate for Payer: Nomi Health Commercial |
$908.71
|
| Rate for Payer: PACE SWMI |
$757.26
|
| Rate for Payer: PHP Medicare Advantage |
$757.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,798.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,240.21
|
| Rate for Payer: Priority Health Medicare |
$764.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,240.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$757.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$757.26
|
| Rate for Payer: UHC Exchange |
$757.26
|
| Rate for Payer: UHC Medicare Advantage |
$757.26
|
| Rate for Payer: UHCCP Medicaid |
$496.50
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF
|
Professional
|
Both
|
$1,380.00
|
|
|
Service Code
|
HCPCS 36830
|
| Min. Negotiated Rate |
$418.12 |
| Max. Negotiated Rate |
$1,041.31 |
| Rate for Payer: Aetna Commercial |
$855.26
|
| Rate for Payer: Aetna Medicare |
$663.78
|
| Rate for Payer: BCBS Complete |
$439.03
|
| Rate for Payer: BCBS MAPPO |
$638.25
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$953.41
|
| Rate for Payer: BCN Medicare Advantage |
$638.25
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cofinity Commercial |
$919.08
|
| Rate for Payer: Cofinity Commercial |
$855.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.25
|
| Rate for Payer: Mclaren Medicaid |
$418.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$670.16
|
| Rate for Payer: Meridian Medicaid |
$439.03
|
| Rate for Payer: Nomi Health Commercial |
$765.90
|
| Rate for Payer: PACE SWMI |
$638.25
|
| Rate for Payer: PHP Medicare Advantage |
$638.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$897.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,041.31
|
| Rate for Payer: Priority Health Medicare |
$644.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,041.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$638.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$638.25
|
| Rate for Payer: UHC Exchange |
$638.25
|
| Rate for Payer: UHC Medicare Advantage |
$638.25
|
| Rate for Payer: UHCCP Medicaid |
$418.12
|
|
|
PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO
|
Professional
|
Both
|
$342.00
|
|
|
Service Code
|
HCPCS 35686
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$1,316.52 |
| Rate for Payer: Aetna Commercial |
$207.78
|
| Rate for Payer: Aetna Medicare |
$161.26
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$155.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.52
|
| Rate for Payer: BCN Commercial |
$228.22
|
| Rate for Payer: BCN Medicare Advantage |
$155.06
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cofinity Commercial |
$223.29
|
| Rate for Payer: Cofinity Commercial |
$207.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.06
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$162.81
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Nomi Health Commercial |
$186.07
|
| Rate for Payer: PACE SWMI |
$155.06
|
| Rate for Payer: PHP Medicare Advantage |
$155.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.30
|
| Rate for Payer: Priority Health HMO/PPO |
$248.90
|
| Rate for Payer: Priority Health Medicare |
$156.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$248.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$155.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.06
|
| Rate for Payer: UHC Exchange |
$155.06
|
| Rate for Payer: UHC Medicare Advantage |
$155.06
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX
|
Professional
|
Both
|
$2,550.00
|
|
|
Service Code
|
HCPCS 33025
|
| Min. Negotiated Rate |
$488.41 |
| Max. Negotiated Rate |
$1,657.50 |
| Rate for Payer: Aetna Commercial |
$992.00
|
| Rate for Payer: Aetna Medicare |
$769.91
|
| Rate for Payer: BCBS Complete |
$512.83
|
| Rate for Payer: BCBS MAPPO |
$740.30
|
| Rate for Payer: BCBS Trust/PPO |
$724.83
|
| Rate for Payer: BCN Commercial |
$1,108.32
|
| Rate for Payer: BCN Medicare Advantage |
$740.30
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cofinity Commercial |
$992.00
|
| Rate for Payer: Cofinity Commercial |
$1,066.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.30
|
| Rate for Payer: Mclaren Medicaid |
$488.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.32
|
| Rate for Payer: Meridian Medicaid |
$512.83
|
| Rate for Payer: Nomi Health Commercial |
$888.36
|
| Rate for Payer: PACE SWMI |
$740.30
|
| Rate for Payer: PHP Medicare Advantage |
$740.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,657.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,213.10
|
| Rate for Payer: Priority Health Medicare |
$747.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,213.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$740.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$740.30
|
| Rate for Payer: UHC Exchange |
$740.30
|
| Rate for Payer: UHC Medicare Advantage |
$740.30
|
| Rate for Payer: UHCCP Medicaid |
$488.41
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM
|
Professional
|
Both
|
$4,365.00
|
|
|
Service Code
|
HCPCS 63740
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$2,837.25 |
| Rate for Payer: Aetna Commercial |
$1,310.02
|
| Rate for Payer: Aetna Medicare |
$1,016.74
|
| Rate for Payer: BCBS Complete |
$681.02
|
| Rate for Payer: BCBS MAPPO |
$977.63
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$1,611.53
|
| Rate for Payer: BCN Medicare Advantage |
$977.63
|
| Rate for Payer: Cash Price |
$3,492.00
|
| Rate for Payer: Cash Price |
$3,492.00
|
| Rate for Payer: Cofinity Commercial |
$1,407.79
|
| Rate for Payer: Cofinity Commercial |
$1,310.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.63
|
| Rate for Payer: Mclaren Medicaid |
$648.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,026.51
|
| Rate for Payer: Meridian Medicaid |
$681.02
|
| Rate for Payer: Nomi Health Commercial |
$1,173.16
|
| Rate for Payer: PACE SWMI |
$977.63
|
| Rate for Payer: PHP Medicare Advantage |
$977.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$648.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,837.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,720.93
|
| Rate for Payer: Priority Health Medicare |
$987.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,720.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$977.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.63
|
| Rate for Payer: UHC Exchange |
$977.63
|
| Rate for Payer: UHC Medicare Advantage |
$977.63
|
| Rate for Payer: UHCCP Medicaid |
$648.59
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM
|
Professional
|
Both
|
$2,403.00
|
|
|
Service Code
|
HCPCS 63741
|
| Min. Negotiated Rate |
$248.83 |
| Max. Negotiated Rate |
$1,561.95 |
| Rate for Payer: Aetna Commercial |
$886.46
|
| Rate for Payer: Aetna Medicare |
$688.00
|
| Rate for Payer: BCBS Complete |
$462.28
|
| Rate for Payer: BCBS MAPPO |
$661.54
|
| Rate for Payer: BCBS Trust/PPO |
$248.83
|
| Rate for Payer: BCN Commercial |
$1,017.92
|
| Rate for Payer: BCN Medicare Advantage |
$661.54
|
| Rate for Payer: Cash Price |
$1,922.40
|
| Rate for Payer: Cash Price |
$1,922.40
|
| Rate for Payer: Cofinity Commercial |
$952.62
|
| Rate for Payer: Cofinity Commercial |
$886.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.54
|
| Rate for Payer: Mclaren Medicaid |
$440.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.62
|
| Rate for Payer: Meridian Medicaid |
$462.28
|
| Rate for Payer: Nomi Health Commercial |
$793.85
|
| Rate for Payer: PACE SWMI |
$661.54
|
| Rate for Payer: PHP Medicare Advantage |
$661.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$440.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,561.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,187.47
|
| Rate for Payer: Priority Health Medicare |
$668.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,187.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$661.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$661.54
|
| Rate for Payer: UHC Exchange |
$661.54
|
| Rate for Payer: UHC Medicare Advantage |
$661.54
|
| Rate for Payer: UHCCP Medicaid |
$440.27
|
|
|
PR CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH
|
Professional
|
Both
|
$5,855.00
|
|
|
Service Code
|
HCPCS 62192
|
| Min. Negotiated Rate |
$478.64 |
| Max. Negotiated Rate |
$3,805.75 |
| Rate for Payer: Aetna Commercial |
$1,317.45
|
| Rate for Payer: Aetna Medicare |
$1,022.50
|
| Rate for Payer: BCBS Complete |
$682.80
|
| Rate for Payer: BCBS MAPPO |
$983.17
|
| Rate for Payer: BCBS Trust/PPO |
$478.64
|
| Rate for Payer: BCN Commercial |
$2,002.62
|
| Rate for Payer: BCN Medicare Advantage |
$983.17
|
| Rate for Payer: Cash Price |
$4,684.00
|
| Rate for Payer: Cash Price |
$4,684.00
|
| Rate for Payer: Cofinity Commercial |
$1,415.76
|
| Rate for Payer: Cofinity Commercial |
$1,317.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$983.17
|
| Rate for Payer: Mclaren Medicaid |
$650.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,032.33
|
| Rate for Payer: Meridian Medicaid |
$682.80
|
| Rate for Payer: Nomi Health Commercial |
$1,179.80
|
| Rate for Payer: PACE SWMI |
$983.17
|
| Rate for Payer: PHP Medicare Advantage |
$983.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,805.75
|
| Rate for Payer: Priority Health HMO/PPO |
$1,731.73
|
| Rate for Payer: Priority Health Medicare |
$993.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,731.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$983.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$983.17
|
| Rate for Payer: UHC Exchange |
$983.17
|
| Rate for Payer: UHC Medicare Advantage |
$983.17
|
| Rate for Payer: UHCCP Medicaid |
$650.29
|
|
|
PR CRTJ SHUNT VENTRICULO-ATR-JUG-AUR
|
Professional
|
Both
|
$5,065.00
|
|
|
Service Code
|
HCPCS 62220
|
| Min. Negotiated Rate |
$635.38 |
| Max. Negotiated Rate |
$3,292.25 |
| Rate for Payer: Aetna Commercial |
$1,291.89
|
| Rate for Payer: Aetna Medicare |
$1,002.66
|
| Rate for Payer: BCBS Complete |
$667.15
|
| Rate for Payer: BCBS MAPPO |
$964.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,359.32
|
| Rate for Payer: BCN Commercial |
$1,984.31
|
| Rate for Payer: BCN Medicare Advantage |
$964.10
|
| Rate for Payer: Cash Price |
$4,052.00
|
| Rate for Payer: Cash Price |
$4,052.00
|
| Rate for Payer: Cofinity Commercial |
$1,388.30
|
| Rate for Payer: Cofinity Commercial |
$1,291.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$964.10
|
| Rate for Payer: Mclaren Medicaid |
$635.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,012.30
|
| Rate for Payer: Meridian Medicaid |
$667.15
|
| Rate for Payer: Nomi Health Commercial |
$1,156.92
|
| Rate for Payer: PACE SWMI |
$964.10
|
| Rate for Payer: PHP Medicare Advantage |
$964.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$635.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,292.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,691.36
|
| Rate for Payer: Priority Health Medicare |
$973.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,691.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$964.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$964.10
|
| Rate for Payer: UHC Exchange |
$964.10
|
| Rate for Payer: UHC Medicare Advantage |
$964.10
|
| Rate for Payer: UHCCP Medicaid |
$635.38
|
|
|
PR CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS
|
Professional
|
Both
|
$5,051.00
|
|
|
Service Code
|
HCPCS 62223
|
| Min. Negotiated Rate |
$672.87 |
| Max. Negotiated Rate |
$3,283.15 |
| Rate for Payer: Aetna Commercial |
$1,359.62
|
| Rate for Payer: Aetna Medicare |
$1,055.23
|
| Rate for Payer: BCBS Complete |
$706.51
|
| Rate for Payer: BCBS MAPPO |
$1,014.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,466.56
|
| Rate for Payer: BCN Commercial |
$2,125.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,014.64
|
| Rate for Payer: Cash Price |
$4,040.80
|
| Rate for Payer: Cash Price |
$4,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,461.08
|
| Rate for Payer: Cofinity Commercial |
$1,359.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,014.64
|
| Rate for Payer: Mclaren Medicaid |
$672.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,065.37
|
| Rate for Payer: Meridian Medicaid |
$706.51
|
| Rate for Payer: Nomi Health Commercial |
$1,217.57
|
| Rate for Payer: PACE SWMI |
$1,014.64
|
| Rate for Payer: PHP Medicare Advantage |
$1,014.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$672.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,283.15
|
| Rate for Payer: Priority Health HMO/PPO |
$1,794.86
|
| Rate for Payer: Priority Health Medicare |
$1,024.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,794.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,014.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,014.64
|
| Rate for Payer: UHC Exchange |
$1,014.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,014.64
|
| Rate for Payer: UHCCP Medicaid |
$672.87
|
|
|
PR CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA
|
Professional
|
Both
|
$7,247.00
|
|
|
Service Code
|
HCPCS 62100
|
| Min. Negotiated Rate |
$1,019.84 |
| Max. Negotiated Rate |
$4,710.55 |
| Rate for Payer: Aetna Commercial |
$2,069.63
|
| Rate for Payer: Aetna Medicare |
$1,606.28
|
| Rate for Payer: BCBS Complete |
$1,070.83
|
| Rate for Payer: BCBS MAPPO |
$1,544.50
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.41
|
| Rate for Payer: BCN Commercial |
$3,210.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,544.50
|
| Rate for Payer: Cash Price |
$5,797.60
|
| Rate for Payer: Cash Price |
$5,797.60
|
| Rate for Payer: Cofinity Commercial |
$2,224.08
|
| Rate for Payer: Cofinity Commercial |
$2,069.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,544.50
|
| Rate for Payer: Mclaren Medicaid |
$1,019.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,621.72
|
| Rate for Payer: Meridian Medicaid |
$1,070.83
|
| Rate for Payer: Nomi Health Commercial |
$1,853.40
|
| Rate for Payer: PACE SWMI |
$1,544.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,544.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,019.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,710.55
|
| Rate for Payer: Priority Health HMO/PPO |
$2,719.04
|
| Rate for Payer: Priority Health Medicare |
$1,559.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,719.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,544.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,544.50
|
| Rate for Payer: UHC Exchange |
$1,544.50
|
| Rate for Payer: UHC Medicare Advantage |
$1,544.50
|
| Rate for Payer: UHCCP Medicaid |
$1,019.84
|
|
|
PR CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI
|
Professional
|
Both
|
$2,068.00
|
|
|
Service Code
|
HCPCS 55873
|
| Min. Negotiated Rate |
$490.11 |
| Max. Negotiated Rate |
$8,449.24 |
| Rate for Payer: Aetna Commercial |
$979.67
|
| Rate for Payer: Aetna Medicare |
$760.34
|
| Rate for Payer: BCBS Complete |
$514.62
|
| Rate for Payer: BCBS MAPPO |
$731.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,980.07
|
| Rate for Payer: BCN Commercial |
$8,449.24
|
| Rate for Payer: BCN Medicare Advantage |
$731.10
|
| Rate for Payer: Cash Price |
$1,654.40
|
| Rate for Payer: Cash Price |
$1,654.40
|
| Rate for Payer: Cofinity Commercial |
$979.67
|
| Rate for Payer: Cofinity Commercial |
$1,052.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$731.10
|
| Rate for Payer: Mclaren Medicaid |
$490.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$767.66
|
| Rate for Payer: Meridian Medicaid |
$514.62
|
| Rate for Payer: Nomi Health Commercial |
$877.32
|
| Rate for Payer: PACE SWMI |
$731.10
|
| Rate for Payer: PHP Medicare Advantage |
$731.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$490.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,344.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,216.46
|
| Rate for Payer: Priority Health Medicare |
$738.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,216.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$731.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$731.10
|
| Rate for Payer: UHC Exchange |
$731.10
|
| Rate for Payer: UHC Medicare Advantage |
$731.10
|
| Rate for Payer: UHCCP Medicaid |
$490.11
|
|
|
PR CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE
|
Professional
|
Both
|
$103.00
|
|
|
Service Code
|
HCPCS 17340
|
| Min. Negotiated Rate |
$31.52 |
| Max. Negotiated Rate |
$145.43 |
| Rate for Payer: Aetna Commercial |
$62.32
|
| Rate for Payer: Aetna Medicare |
$48.37
|
| Rate for Payer: BCBS Complete |
$33.10
|
| Rate for Payer: BCBS MAPPO |
$46.51
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$76.72
|
| Rate for Payer: BCN Medicare Advantage |
$46.51
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$66.97
|
| Rate for Payer: Cofinity Commercial |
$62.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.51
|
| Rate for Payer: Mclaren Medicaid |
$31.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.84
|
| Rate for Payer: Meridian Medicaid |
$33.10
|
| Rate for Payer: Nomi Health Commercial |
$55.81
|
| Rate for Payer: PACE SWMI |
$46.51
|
| Rate for Payer: PHP Medicare Advantage |
$46.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.95
|
| Rate for Payer: Priority Health HMO/PPO |
$66.37
|
| Rate for Payer: Priority Health Medicare |
$46.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.51
|
| Rate for Payer: UHC Exchange |
$46.51
|
| Rate for Payer: UHC Medicare Advantage |
$46.51
|
| Rate for Payer: UHCCP Medicaid |
$31.52
|
|
|
PR CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC
|
Professional
|
Both
|
$4,560.00
|
|
|
Service Code
|
HCPCS 51595
|
| Min. Negotiated Rate |
$1,387.06 |
| Max. Negotiated Rate |
$3,447.52 |
| Rate for Payer: Aetna Commercial |
$2,788.79
|
| Rate for Payer: Aetna Medicare |
$2,164.44
|
| Rate for Payer: BCBS Complete |
$1,456.41
|
| Rate for Payer: BCBS MAPPO |
$2,081.19
|
| Rate for Payer: BCBS Trust/PPO |
$2,019.16
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,081.19
|
| Rate for Payer: Cash Price |
$3,648.00
|
| Rate for Payer: Cash Price |
$3,648.00
|
| Rate for Payer: Cofinity Commercial |
$2,996.91
|
| Rate for Payer: Cofinity Commercial |
$2,788.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,081.19
|
| Rate for Payer: Mclaren Medicaid |
$1,387.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,185.25
|
| Rate for Payer: Meridian Medicaid |
$1,456.41
|
| Rate for Payer: Nomi Health Commercial |
$2,497.43
|
| Rate for Payer: PACE SWMI |
$2,081.19
|
| Rate for Payer: PHP Medicare Advantage |
$2,081.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,387.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,964.00
|
| Rate for Payer: Priority Health HMO/PPO |
$3,447.52
|
| Rate for Payer: Priority Health Medicare |
$2,102.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,447.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,081.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,081.19
|
| Rate for Payer: UHC Exchange |
$2,081.19
|
| Rate for Payer: UHC Medicare Advantage |
$2,081.19
|
| Rate for Payer: UHCCP Medicaid |
$1,387.06
|
|
|
PR CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR
|
Professional
|
Both
|
$4,906.00
|
|
|
Service Code
|
HCPCS 51596
|
| Min. Negotiated Rate |
$1,498.46 |
| Max. Negotiated Rate |
$3,715.42 |
| Rate for Payer: Aetna Commercial |
$3,012.56
|
| Rate for Payer: Aetna Medicare |
$2,338.11
|
| Rate for Payer: BCBS Complete |
$1,573.38
|
| Rate for Payer: BCBS MAPPO |
$2,248.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,189.80
|
| Rate for Payer: BCN Commercial |
$3,380.67
|
| Rate for Payer: BCN Medicare Advantage |
$2,248.18
|
| Rate for Payer: Cash Price |
$3,924.80
|
| Rate for Payer: Cash Price |
$3,924.80
|
| Rate for Payer: Cofinity Commercial |
$3,237.38
|
| Rate for Payer: Cofinity Commercial |
$3,012.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,248.18
|
| Rate for Payer: Mclaren Medicaid |
$1,498.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,360.59
|
| Rate for Payer: Meridian Medicaid |
$1,573.38
|
| Rate for Payer: Nomi Health Commercial |
$2,697.82
|
| Rate for Payer: PACE SWMI |
$2,248.18
|
| Rate for Payer: PHP Medicare Advantage |
$2,248.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,498.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,188.90
|
| Rate for Payer: Priority Health HMO/PPO |
$3,715.42
|
| Rate for Payer: Priority Health Medicare |
$2,270.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,715.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,248.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,248.18
|
| Rate for Payer: UHC Exchange |
$2,248.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,248.18
|
| Rate for Payer: UHCCP Medicaid |
$1,498.46
|
|
|
PR CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST
|
Professional
|
Both
|
$4,911.00
|
|
|
Service Code
|
HCPCS 51590
|
| Min. Negotiated Rate |
$1,226.24 |
| Max. Negotiated Rate |
$3,192.15 |
| Rate for Payer: Aetna Commercial |
$2,464.84
|
| Rate for Payer: Aetna Medicare |
$1,913.01
|
| Rate for Payer: BCBS Complete |
$1,287.55
|
| Rate for Payer: BCBS MAPPO |
$1,839.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,561.73
|
| Rate for Payer: BCN Commercial |
$2,767.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,839.43
|
| Rate for Payer: Cash Price |
$3,928.80
|
| Rate for Payer: Cash Price |
$3,928.80
|
| Rate for Payer: Cofinity Commercial |
$2,464.84
|
| Rate for Payer: Cofinity Commercial |
$2,648.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,839.43
|
| Rate for Payer: Mclaren Medicaid |
$1,226.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,931.40
|
| Rate for Payer: Meridian Medicaid |
$1,287.55
|
| Rate for Payer: Nomi Health Commercial |
$2,207.32
|
| Rate for Payer: PACE SWMI |
$1,839.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,839.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,226.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,192.15
|
| Rate for Payer: Priority Health HMO/PPO |
$3,045.41
|
| Rate for Payer: Priority Health Medicare |
$1,857.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,045.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,839.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,839.43
|
| Rate for Payer: UHC Exchange |
$1,839.43
|
| Rate for Payer: UHC Medicare Advantage |
$1,839.43
|
| Rate for Payer: UHCCP Medicaid |
$1,226.24
|
|
