|
PR NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH
|
Professional
|
Both
|
$564.00
|
|
|
Service Code
|
HCPCS 36005
|
| Min. Negotiated Rate |
$29.61 |
| Max. Negotiated Rate |
$1,201.88 |
| Rate for Payer: Aetna Commercial |
$63.44
|
| Rate for Payer: Aetna Medicare |
$49.23
|
| Rate for Payer: BCBS Complete |
$31.09
|
| Rate for Payer: BCBS MAPPO |
$47.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,201.88
|
| Rate for Payer: BCN Commercial |
$414.85
|
| Rate for Payer: BCN Medicare Advantage |
$47.34
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cofinity Commercial |
$63.44
|
| Rate for Payer: Cofinity Commercial |
$68.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.34
|
| Rate for Payer: Mclaren Medicaid |
$29.61
|
| Rate for Payer: Meridian Medicaid |
$31.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$49.71
|
| Rate for Payer: PACE SWMI |
$47.34
|
| Rate for Payer: PHP Medicare Advantage |
$47.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$394.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$47.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.34
|
| Rate for Payer: UHC Medicare Advantage |
$48.76
|
|
|
PR NJX RETROGRADE URETHROCSTOGRAPY
|
Professional
|
Both
|
$703.00
|
|
|
Service Code
|
HCPCS 51610
|
| Min. Negotiated Rate |
$40.68 |
| Max. Negotiated Rate |
$1,159.09 |
| Rate for Payer: Aetna Commercial |
$83.32
|
| Rate for Payer: Aetna Medicare |
$64.67
|
| Rate for Payer: BCBS Complete |
$42.71
|
| Rate for Payer: BCBS MAPPO |
$62.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,159.09
|
| Rate for Payer: BCN Commercial |
$189.12
|
| Rate for Payer: BCN Medicare Advantage |
$62.18
|
| Rate for Payer: Cash Price |
$562.40
|
| Rate for Payer: Cash Price |
$562.40
|
| Rate for Payer: Cofinity Commercial |
$83.32
|
| Rate for Payer: Cofinity Commercial |
$89.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.18
|
| Rate for Payer: Mclaren Medicaid |
$40.68
|
| Rate for Payer: Meridian Medicaid |
$42.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$65.29
|
| Rate for Payer: PACE SWMI |
$62.18
|
| Rate for Payer: PHP Medicare Advantage |
$62.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$492.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$102.13
|
| Rate for Payer: Priority Health Medicare |
$62.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$102.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$62.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.18
|
| Rate for Payer: UHC Medicare Advantage |
$64.05
|
|
|
PR NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG
|
Professional
|
Both
|
$209.00
|
|
|
Service Code
|
HCPCS 50690
|
| Min. Negotiated Rate |
$44.09 |
| Max. Negotiated Rate |
$3,404.37 |
| Rate for Payer: Aetna Commercial |
$90.80
|
| Rate for Payer: Aetna Medicare |
$70.47
|
| Rate for Payer: BCBS Complete |
$46.29
|
| Rate for Payer: BCBS MAPPO |
$67.76
|
| Rate for Payer: BCBS Trust/PPO |
$3,404.37
|
| Rate for Payer: BCN Commercial |
$174.46
|
| Rate for Payer: BCN Medicare Advantage |
$67.76
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cash Price |
$167.20
|
| Rate for Payer: Cofinity Commercial |
$97.57
|
| Rate for Payer: Cofinity Commercial |
$90.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$67.76
|
| Rate for Payer: Mclaren Medicaid |
$44.09
|
| Rate for Payer: Meridian Medicaid |
$46.29
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$71.15
|
| Rate for Payer: PACE SWMI |
$67.76
|
| Rate for Payer: PHP Medicare Advantage |
$67.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$146.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$111.32
|
| Rate for Payer: Priority Health Medicare |
$67.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$67.76
|
| Rate for Payer: UHC Medicare Advantage |
$69.79
|
|
|
PR NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 54250
|
| Min. Negotiated Rate |
$92.00 |
| Max. Negotiated Rate |
$1,901.35 |
| Rate for Payer: Aetna Commercial |
$159.81
|
| Rate for Payer: Aetna Medicare |
$124.03
|
| Rate for Payer: BCBS Complete |
$92.00
|
| Rate for Payer: BCBS MAPPO |
$119.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,901.35
|
| Rate for Payer: BCN Commercial |
$176.42
|
| Rate for Payer: BCN Medicare Advantage |
$119.26
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$171.73
|
| Rate for Payer: Cofinity Commercial |
$159.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$125.22
|
| Rate for Payer: PACE SWMI |
$119.26
|
| Rate for Payer: PHP Medicare Advantage |
$119.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$161.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$195.06
|
| Rate for Payer: Priority Health Medicare |
$119.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.26
|
| Rate for Payer: UHC Medicare Advantage |
$122.84
|
|
|
PR NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 94761
|
| Min. Negotiated Rate |
$3.45 |
| Max. Negotiated Rate |
$498.19 |
| Rate for Payer: Aetna Commercial |
$4.62
|
| Rate for Payer: Aetna Medicare |
$3.59
|
| Rate for Payer: BCBS Complete |
$18.80
|
| Rate for Payer: BCBS MAPPO |
$3.45
|
| Rate for Payer: BCBS Trust/PPO |
$498.19
|
| Rate for Payer: BCN Commercial |
$5.37
|
| Rate for Payer: BCN Medicare Advantage |
$3.45
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$4.62
|
| Rate for Payer: Cofinity Commercial |
$4.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3.62
|
| Rate for Payer: PACE SWMI |
$3.45
|
| Rate for Payer: PHP Medicare Advantage |
$3.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$32.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4.94
|
| Rate for Payer: Priority Health Medicare |
$3.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.45
|
| Rate for Payer: UHC Medicare Advantage |
$3.55
|
|
|
PR NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 94762
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$235.09 |
| Rate for Payer: Aetna Commercial |
$31.52
|
| Rate for Payer: Aetna Medicare |
$24.46
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: BCBS MAPPO |
$23.52
|
| Rate for Payer: BCBS Trust/PPO |
$235.09
|
| Rate for Payer: BCN Commercial |
$37.14
|
| Rate for Payer: BCN Medicare Advantage |
$23.52
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Cofinity Commercial |
$33.87
|
| Rate for Payer: Cofinity Commercial |
$31.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.52
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$24.70
|
| Rate for Payer: PACE SWMI |
$23.52
|
| Rate for Payer: PHP Medicare Advantage |
$23.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.13
|
| Rate for Payer: Priority Health Medicare |
$23.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.52
|
| Rate for Payer: UHC Medicare Advantage |
$24.23
|
|
|
PR NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 94760
|
| Min. Negotiated Rate |
$2.22 |
| Max. Negotiated Rate |
$407.32 |
| Rate for Payer: Aetna Commercial |
$2.97
|
| Rate for Payer: Aetna Medicare |
$2.31
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS MAPPO |
$2.22
|
| Rate for Payer: BCBS Trust/PPO |
$407.32
|
| Rate for Payer: BCN Commercial |
$3.42
|
| Rate for Payer: BCN Medicare Advantage |
$2.22
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$3.20
|
| Rate for Payer: Cofinity Commercial |
$2.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.33
|
| Rate for Payer: PACE SWMI |
$2.22
|
| Rate for Payer: PHP Medicare Advantage |
$2.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.14
|
| Rate for Payer: Priority Health Medicare |
$2.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.22
|
| Rate for Payer: UHC Medicare Advantage |
$2.29
|
|
|
PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS
|
Professional
|
Both
|
$44.00
|
|
|
Service Code
|
HCPCS 93923
|
| Min. Negotiated Rate |
$17.60 |
| Max. Negotiated Rate |
$415.24 |
| Rate for Payer: Aetna Commercial |
$161.27
|
| Rate for Payer: Aetna Commercial |
$161.27
|
| Rate for Payer: Aetna Medicare |
$125.16
|
| Rate for Payer: Aetna Medicare |
$125.16
|
| Rate for Payer: BCBS Complete |
$17.60
|
| Rate for Payer: BCBS Complete |
$123.60
|
| Rate for Payer: BCBS MAPPO |
$120.35
|
| Rate for Payer: BCBS MAPPO |
$120.35
|
| Rate for Payer: BCBS Trust/PPO |
$415.24
|
| Rate for Payer: BCBS Trust/PPO |
$415.24
|
| Rate for Payer: BCN Commercial |
$187.65
|
| Rate for Payer: BCN Commercial |
$187.65
|
| Rate for Payer: BCN Medicare Advantage |
$120.35
|
| Rate for Payer: BCN Medicare Advantage |
$120.35
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cash Price |
$247.20
|
| Rate for Payer: Cash Price |
$35.20
|
| Rate for Payer: Cofinity Commercial |
$173.30
|
| Rate for Payer: Cofinity Commercial |
$161.27
|
| Rate for Payer: Cofinity Commercial |
$173.30
|
| Rate for Payer: Cofinity Commercial |
$161.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.37
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$126.37
|
| Rate for Payer: PACE SWMI |
$120.35
|
| Rate for Payer: PACE SWMI |
$120.35
|
| Rate for Payer: PHP Medicare Advantage |
$120.35
|
| Rate for Payer: PHP Medicare Advantage |
$120.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.47
|
| Rate for Payer: Priority Health Medicare |
$120.35
|
| Rate for Payer: Priority Health Medicare |
$120.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$172.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$172.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.35
|
| Rate for Payer: UHC Medicare Advantage |
$123.96
|
| Rate for Payer: UHC Medicare Advantage |
$123.96
|
|
|
PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL
|
Professional
|
Both
|
$201.00
|
|
|
Service Code
|
HCPCS 93922
|
| Min. Negotiated Rate |
$77.03 |
| Max. Negotiated Rate |
$140.70 |
| Rate for Payer: Aetna Commercial |
$103.22
|
| Rate for Payer: Aetna Commercial |
$103.22
|
| Rate for Payer: Aetna Medicare |
$80.11
|
| Rate for Payer: Aetna Medicare |
$80.11
|
| Rate for Payer: BCBS Complete |
$80.40
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$77.03
|
| Rate for Payer: BCBS MAPPO |
$77.03
|
| Rate for Payer: BCBS Trust/PPO |
$131.55
|
| Rate for Payer: BCBS Trust/PPO |
$131.55
|
| Rate for Payer: BCN Commercial |
$120.21
|
| Rate for Payer: BCN Commercial |
$120.21
|
| Rate for Payer: BCN Medicare Advantage |
$77.03
|
| Rate for Payer: BCN Medicare Advantage |
$77.03
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cofinity Commercial |
$110.92
|
| Rate for Payer: Cofinity Commercial |
$103.22
|
| Rate for Payer: Cofinity Commercial |
$110.92
|
| Rate for Payer: Cofinity Commercial |
$103.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$80.88
|
| Rate for Payer: PACE SWMI |
$77.03
|
| Rate for Payer: PACE SWMI |
$77.03
|
| Rate for Payer: PHP Medicare Advantage |
$77.03
|
| Rate for Payer: PHP Medicare Advantage |
$77.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.49
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$110.49
|
| Rate for Payer: Priority Health Medicare |
$77.03
|
| Rate for Payer: Priority Health Medicare |
$77.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$77.03
|
| Rate for Payer: UHC Medicare Advantage |
$79.34
|
| Rate for Payer: UHC Medicare Advantage |
$79.34
|
|
|
PR NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 98967
|
| Min. Negotiated Rate |
$21.69 |
| Max. Negotiated Rate |
$1,248.37 |
| Rate for Payer: Aetna Commercial |
$29.06
|
| Rate for Payer: Aetna Medicare |
$22.56
|
| Rate for Payer: BCBS Complete |
$22.00
|
| Rate for Payer: BCBS MAPPO |
$21.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,248.37
|
| Rate for Payer: BCN Commercial |
$28.04
|
| Rate for Payer: BCN Medicare Advantage |
$21.69
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$31.23
|
| Rate for Payer: Cofinity Commercial |
$29.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.69
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$22.77
|
| Rate for Payer: PACE SWMI |
$21.69
|
| Rate for Payer: PHP Medicare Advantage |
$21.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$38.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.20
|
| Rate for Payer: Priority Health Medicare |
$21.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.69
|
| Rate for Payer: UHC Medicare Advantage |
$22.34
|
|
|
PR NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 98968
|
| Min. Negotiated Rate |
$30.78 |
| Max. Negotiated Rate |
$1,647.77 |
| Rate for Payer: Aetna Commercial |
$41.25
|
| Rate for Payer: Aetna Medicare |
$32.01
|
| Rate for Payer: BCBS Complete |
$32.00
|
| Rate for Payer: BCBS MAPPO |
$30.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,647.77
|
| Rate for Payer: BCN Commercial |
$41.49
|
| Rate for Payer: BCN Medicare Advantage |
$30.78
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$44.32
|
| Rate for Payer: Cofinity Commercial |
$41.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$32.32
|
| Rate for Payer: PACE SWMI |
$30.78
|
| Rate for Payer: PHP Medicare Advantage |
$30.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.33
|
| Rate for Payer: Priority Health Medicare |
$30.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.78
|
| Rate for Payer: UHC Medicare Advantage |
$31.70
|
|
|
PR NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 98966
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$564.75 |
| Rate for Payer: Aetna Commercial |
$14.74
|
| Rate for Payer: Aetna Medicare |
$11.44
|
| Rate for Payer: BCBS Complete |
$11.20
|
| Rate for Payer: BCBS MAPPO |
$11.00
|
| Rate for Payer: BCBS Trust/PPO |
$564.75
|
| Rate for Payer: BCN Commercial |
$14.56
|
| Rate for Payer: BCN Medicare Advantage |
$11.00
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$15.84
|
| Rate for Payer: Cofinity Commercial |
$14.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$11.55
|
| Rate for Payer: PACE SWMI |
$11.00
|
| Rate for Payer: PHP Medicare Advantage |
$11.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.82
|
| Rate for Payer: Priority Health Medicare |
$11.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.00
|
| Rate for Payer: UHC Medicare Advantage |
$11.33
|
|
|
PR NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART
|
Professional
|
Both
|
$1,118.00
|
|
|
Service Code
|
HCPCS 36221
|
| Min. Negotiated Rate |
$124.61 |
| Max. Negotiated Rate |
$1,452.84 |
| Rate for Payer: Aetna Commercial |
$262.89
|
| Rate for Payer: Aetna Medicare |
$204.04
|
| Rate for Payer: BCBS Complete |
$130.84
|
| Rate for Payer: BCBS MAPPO |
$196.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,320.46
|
| Rate for Payer: BCN Commercial |
$1,452.84
|
| Rate for Payer: BCN Medicare Advantage |
$196.19
|
| Rate for Payer: Cash Price |
$894.40
|
| Rate for Payer: Cash Price |
$894.40
|
| Rate for Payer: Cofinity Commercial |
$262.89
|
| Rate for Payer: Cofinity Commercial |
$282.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$196.19
|
| Rate for Payer: Mclaren Medicaid |
$124.61
|
| Rate for Payer: Meridian Medicaid |
$130.84
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$206.00
|
| Rate for Payer: PACE SWMI |
$196.19
|
| Rate for Payer: PHP Medicare Advantage |
$196.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$124.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$782.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$309.59
|
| Rate for Payer: Priority Health Medicare |
$196.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$309.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$196.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$196.19
|
| Rate for Payer: UHC Medicare Advantage |
$202.08
|
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS J7050
|
| Min. Negotiated Rate |
$0.38 |
| Max. Negotiated Rate |
$3.50 |
| Rate for Payer: Aetna Commercial |
$0.85
|
| Rate for Payer: Aetna Medicare |
$0.66
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: BCBS MAPPO |
$0.64
|
| Rate for Payer: BCBS Trust/PPO |
$0.39
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Medicare Advantage |
$0.64
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Cofinity Commercial |
$0.85
|
| Rate for Payer: Cofinity Commercial |
$0.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$0.67
|
| Rate for Payer: PACE SWMI |
$0.64
|
| Rate for Payer: PHP Medicare Advantage |
$0.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.50
|
| Rate for Payer: Priority Health Medicare |
$0.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.64
|
| Rate for Payer: UHC Medicare Advantage |
$0.65
|
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS J7030
|
| Min. Negotiated Rate |
$0.52 |
| Max. Negotiated Rate |
$7.00 |
| Rate for Payer: Aetna Commercial |
$3.40
|
| Rate for Payer: Aetna Medicare |
$2.64
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS MAPPO |
$2.54
|
| Rate for Payer: BCBS Trust/PPO |
$0.64
|
| Rate for Payer: BCN Commercial |
$0.52
|
| Rate for Payer: BCN Medicare Advantage |
$2.54
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$3.66
|
| Rate for Payer: Cofinity Commercial |
$3.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.54
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2.67
|
| Rate for Payer: PACE SWMI |
$2.54
|
| Rate for Payer: PHP Medicare Advantage |
$2.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.00
|
| Rate for Payer: Priority Health Medicare |
$2.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.54
|
| Rate for Payer: UHC Medicare Advantage |
$2.62
|
|
|
PR NORMAL SALINE SOLUTION INFUS
|
Professional
|
Both
|
$8.00
|
|
|
Service Code
|
HCPCS J7040
|
| Min. Negotiated Rate |
$0.39 |
| Max. Negotiated Rate |
$5.60 |
| Rate for Payer: Aetna Commercial |
$1.70
|
| Rate for Payer: Aetna Medicare |
$1.32
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCBS MAPPO |
$1.27
|
| Rate for Payer: BCBS Trust/PPO |
$0.40
|
| Rate for Payer: BCN Commercial |
$0.39
|
| Rate for Payer: BCN Medicare Advantage |
$1.27
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Cofinity Commercial |
$1.70
|
| Rate for Payer: Cofinity Commercial |
$1.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1.33
|
| Rate for Payer: PACE SWMI |
$1.27
|
| Rate for Payer: PHP Medicare Advantage |
$1.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.60
|
| Rate for Payer: Priority Health Medicare |
$1.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$1.27
|
| Rate for Payer: UHC Medicare Advantage |
$1.31
|
|
|
PR NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS
|
Professional
|
Both
|
$793.00
|
|
|
Service Code
|
HCPCS 31267
|
| Min. Negotiated Rate |
$168.70 |
| Max. Negotiated Rate |
$1,047.62 |
| Rate for Payer: Aetna Commercial |
$350.25
|
| Rate for Payer: Aetna Medicare |
$271.84
|
| Rate for Payer: BCBS Complete |
$177.14
|
| Rate for Payer: BCBS MAPPO |
$261.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,047.62
|
| Rate for Payer: BCN Commercial |
$385.57
|
| Rate for Payer: BCN Medicare Advantage |
$261.38
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cofinity Commercial |
$376.39
|
| Rate for Payer: Cofinity Commercial |
$350.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$261.38
|
| Rate for Payer: Mclaren Medicaid |
$168.70
|
| Rate for Payer: Meridian Medicaid |
$177.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$274.45
|
| Rate for Payer: PACE SWMI |
$261.38
|
| Rate for Payer: PHP Medicare Advantage |
$261.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$555.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$365.34
|
| Rate for Payer: Priority Health Medicare |
$261.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$261.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$261.38
|
| Rate for Payer: UHC Medicare Advantage |
$269.22
|
|
|
PR NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS
|
Professional
|
Both
|
$754.00
|
|
|
Service Code
|
HCPCS 31288
|
| Min. Negotiated Rate |
$148.67 |
| Max. Negotiated Rate |
$1,515.16 |
| Rate for Payer: Aetna Commercial |
$309.33
|
| Rate for Payer: Aetna Medicare |
$240.07
|
| Rate for Payer: BCBS Complete |
$156.10
|
| Rate for Payer: BCBS MAPPO |
$230.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,515.16
|
| Rate for Payer: BCN Commercial |
$340.61
|
| Rate for Payer: BCN Medicare Advantage |
$230.84
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cash Price |
$603.20
|
| Rate for Payer: Cofinity Commercial |
$309.33
|
| Rate for Payer: Cofinity Commercial |
$332.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.84
|
| Rate for Payer: Mclaren Medicaid |
$148.67
|
| Rate for Payer: Meridian Medicaid |
$156.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$242.38
|
| Rate for Payer: PACE SWMI |
$230.84
|
| Rate for Payer: PHP Medicare Advantage |
$230.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$148.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$527.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$322.74
|
| Rate for Payer: Priority Health Medicare |
$230.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$322.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$230.84
|
| Rate for Payer: UHC Medicare Advantage |
$237.77
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN
|
Professional
|
Both
|
$73.00
|
|
|
Service Code
|
HCPCS 99447
|
| Min. Negotiated Rate |
$23.00 |
| Max. Negotiated Rate |
$873.81 |
| Rate for Payer: Aetna Commercial |
$46.71
|
| Rate for Payer: Aetna Medicare |
$36.25
|
| Rate for Payer: BCBS Complete |
$24.15
|
| Rate for Payer: BCBS MAPPO |
$34.86
|
| Rate for Payer: BCBS Trust/PPO |
$873.81
|
| Rate for Payer: BCN Commercial |
$51.31
|
| Rate for Payer: BCN Medicare Advantage |
$34.86
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cash Price |
$58.40
|
| Rate for Payer: Cofinity Commercial |
$50.20
|
| Rate for Payer: Cofinity Commercial |
$46.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.86
|
| Rate for Payer: Mclaren Medicaid |
$23.00
|
| Rate for Payer: Meridian Medicaid |
$24.15
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.60
|
| Rate for Payer: PACE SWMI |
$34.86
|
| Rate for Payer: PHP Medicare Advantage |
$34.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.54
|
| Rate for Payer: Priority Health Medicare |
$34.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.86
|
| Rate for Payer: UHC Medicare Advantage |
$35.91
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN
|
Professional
|
Both
|
$90.00
|
|
|
Service Code
|
HCPCS 99448
|
| Min. Negotiated Rate |
$34.08 |
| Max. Negotiated Rate |
$899.17 |
| Rate for Payer: Aetna Commercial |
$71.18
|
| Rate for Payer: Aetna Medicare |
$55.24
|
| Rate for Payer: BCBS Complete |
$35.78
|
| Rate for Payer: BCBS MAPPO |
$53.12
|
| Rate for Payer: BCBS Trust/PPO |
$899.17
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$53.12
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cash Price |
$72.00
|
| Rate for Payer: Cofinity Commercial |
$76.49
|
| Rate for Payer: Cofinity Commercial |
$71.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.12
|
| Rate for Payer: Mclaren Medicaid |
$34.08
|
| Rate for Payer: Meridian Medicaid |
$35.78
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55.78
|
| Rate for Payer: PACE SWMI |
$53.12
|
| Rate for Payer: PHP Medicare Advantage |
$53.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.68
|
| Rate for Payer: Priority Health Medicare |
$53.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$55.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.12
|
| Rate for Payer: UHC Medicare Advantage |
$54.71
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN
|
Professional
|
Both
|
$145.00
|
|
|
Service Code
|
HCPCS 99449
|
| Min. Negotiated Rate |
$45.37 |
| Max. Negotiated Rate |
$1,202.41 |
| Rate for Payer: Aetna Commercial |
$94.18
|
| Rate for Payer: Aetna Medicare |
$73.09
|
| Rate for Payer: BCBS Complete |
$47.64
|
| Rate for Payer: BCBS MAPPO |
$70.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,202.41
|
| Rate for Payer: BCN Commercial |
$103.60
|
| Rate for Payer: BCN Medicare Advantage |
$70.28
|
| Rate for Payer: Cash Price |
$116.00
|
| Rate for Payer: Cash Price |
$116.00
|
| Rate for Payer: Cofinity Commercial |
$94.18
|
| Rate for Payer: Cofinity Commercial |
$101.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.28
|
| Rate for Payer: Mclaren Medicaid |
$45.37
|
| Rate for Payer: Meridian Medicaid |
$47.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$73.79
|
| Rate for Payer: PACE SWMI |
$70.28
|
| Rate for Payer: PHP Medicare Advantage |
$70.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$101.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73.78
|
| Rate for Payer: Priority Health Medicare |
$70.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$70.28
|
| Rate for Payer: UHC Medicare Advantage |
$72.39
|
|
|
PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN
|
Professional
|
Both
|
$36.00
|
|
|
Service Code
|
HCPCS 99446
|
| Min. Negotiated Rate |
$11.29 |
| Max. Negotiated Rate |
$776.07 |
| Rate for Payer: Aetna Commercial |
$23.64
|
| Rate for Payer: Aetna Medicare |
$18.35
|
| Rate for Payer: BCBS Complete |
$11.85
|
| Rate for Payer: BCBS MAPPO |
$17.64
|
| Rate for Payer: BCBS Trust/PPO |
$776.07
|
| Rate for Payer: BCN Commercial |
$25.90
|
| Rate for Payer: BCN Medicare Advantage |
$17.64
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cash Price |
$28.80
|
| Rate for Payer: Cofinity Commercial |
$23.64
|
| Rate for Payer: Cofinity Commercial |
$25.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.64
|
| Rate for Payer: Mclaren Medicaid |
$11.29
|
| Rate for Payer: Meridian Medicaid |
$11.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.52
|
| Rate for Payer: PACE SWMI |
$17.64
|
| Rate for Payer: PHP Medicare Advantage |
$17.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18.44
|
| Rate for Payer: Priority Health Medicare |
$17.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.64
|
| Rate for Payer: UHC Medicare Advantage |
$18.17
|
|
|
PR NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS
|
Professional
|
Both
|
$6,970.00
|
|
|
Service Code
|
HCPCS 62161
|
| Min. Negotiated Rate |
$214.49 |
| Max. Negotiated Rate |
$4,879.00 |
| Rate for Payer: Aetna Commercial |
$2,052.53
|
| Rate for Payer: Aetna Medicare |
$1,593.01
|
| Rate for Payer: BCBS Complete |
$1,041.99
|
| Rate for Payer: BCBS MAPPO |
$1,531.74
|
| Rate for Payer: BCBS Trust/PPO |
$214.49
|
| Rate for Payer: BCN Commercial |
$3,118.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,531.74
|
| Rate for Payer: Cash Price |
$5,576.00
|
| Rate for Payer: Cash Price |
$5,576.00
|
| Rate for Payer: Cofinity Commercial |
$2,205.71
|
| Rate for Payer: Cofinity Commercial |
$2,052.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,531.74
|
| Rate for Payer: Mclaren Medicaid |
$992.37
|
| Rate for Payer: Meridian Medicaid |
$1,041.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,608.33
|
| Rate for Payer: PACE SWMI |
$1,531.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,531.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$992.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,879.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,604.63
|
| Rate for Payer: Priority Health Medicare |
$1,531.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,604.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,531.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,531.74
|
| Rate for Payer: UHC Medicare Advantage |
$1,577.69
|
|
|
PR NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID
|
Professional
|
Both
|
$2,769.00
|
|
|
Service Code
|
HCPCS 62165
|
| Min. Negotiated Rate |
$978.74 |
| Max. Negotiated Rate |
$2,589.34 |
| Rate for Payer: Aetna Commercial |
$2,035.29
|
| Rate for Payer: Aetna Medicare |
$1,579.62
|
| Rate for Payer: BCBS Complete |
$1,027.68
|
| Rate for Payer: BCBS MAPPO |
$1,518.87
|
| Rate for Payer: BCBS Trust/PPO |
$1,355.62
|
| Rate for Payer: BCN Commercial |
$2,234.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,518.87
|
| Rate for Payer: Cash Price |
$2,215.20
|
| Rate for Payer: Cash Price |
$2,215.20
|
| Rate for Payer: Cofinity Commercial |
$2,187.17
|
| Rate for Payer: Cofinity Commercial |
$2,035.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,518.87
|
| Rate for Payer: Mclaren Medicaid |
$978.74
|
| Rate for Payer: Meridian Medicaid |
$1,027.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,594.81
|
| Rate for Payer: PACE SWMI |
$1,518.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,518.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$978.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,938.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,589.34
|
| Rate for Payer: Priority Health Medicare |
$1,518.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,589.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,518.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,518.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,564.44
|
|
|
PR NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG
|
Professional
|
Both
|
$7,680.00
|
|
|
Service Code
|
HCPCS 62162
|
| Min. Negotiated Rate |
$757.05 |
| Max. Negotiated Rate |
$5,376.00 |
| Rate for Payer: Aetna Commercial |
$2,551.27
|
| Rate for Payer: Aetna Medicare |
$1,980.09
|
| Rate for Payer: BCBS Complete |
$1,288.68
|
| Rate for Payer: BCBS MAPPO |
$1,903.93
|
| Rate for Payer: BCBS Trust/PPO |
$757.05
|
| Rate for Payer: BCN Commercial |
$2,789.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,903.93
|
| Rate for Payer: Cash Price |
$6,144.00
|
| Rate for Payer: Cash Price |
$6,144.00
|
| Rate for Payer: Cofinity Commercial |
$2,741.66
|
| Rate for Payer: Cofinity Commercial |
$2,551.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,903.93
|
| Rate for Payer: Mclaren Medicaid |
$1,227.31
|
| Rate for Payer: Meridian Medicaid |
$1,288.68
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,999.13
|
| Rate for Payer: PACE SWMI |
$1,903.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,903.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,227.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,376.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,232.57
|
| Rate for Payer: Priority Health Medicare |
$1,903.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,232.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,903.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,903.93
|
| Rate for Payer: UHC Medicare Advantage |
$1,961.05
|
|
