|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM
|
Professional
|
Both
|
$416.00
|
|
|
Service Code
|
HCPCS 17283
|
| Min. Negotiated Rate |
$89.89 |
| Max. Negotiated Rate |
$312.00 |
| Rate for Payer: Aetna Commercial |
$182.60
|
| Rate for Payer: Aetna Medicare |
$208.00
|
| Rate for Payer: BCBS Complete |
$94.38
|
| Rate for Payer: BCN Commercial |
$201.85
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Mclaren Medicaid |
$89.89
|
| Rate for Payer: Meridian Medicaid |
$94.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$312.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$234.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$234.27
|
| Rate for Payer: UHC Medicaid |
$89.89
|
| Rate for Payer: UHCCP Medicaid |
$89.89
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM
|
Professional
|
Both
|
$442.00
|
|
|
Service Code
|
HCPCS 17284
|
| Min. Negotiated Rate |
$105.44 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Commercial |
$213.50
|
| Rate for Payer: Aetna Medicare |
$221.00
|
| Rate for Payer: BCBS Complete |
$110.71
|
| Rate for Payer: BCN Commercial |
$235.62
|
| Rate for Payer: Cash Price |
$353.60
|
| Rate for Payer: Cash Price |
$353.60
|
| Rate for Payer: Mclaren Medicaid |
$105.44
|
| Rate for Payer: Meridian Medicaid |
$110.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$273.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$273.47
|
| Rate for Payer: UHC Medicaid |
$105.44
|
| Rate for Payer: UHCCP Medicaid |
$105.44
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM
|
Professional
|
Both
|
$2,889.00
|
|
|
Service Code
|
HCPCS 17286
|
| Min. Negotiated Rate |
$143.14 |
| Max. Negotiated Rate |
$2,166.75 |
| Rate for Payer: Aetna Commercial |
$290.59
|
| Rate for Payer: Aetna Medicare |
$1,444.50
|
| Rate for Payer: BCBS Complete |
$150.30
|
| Rate for Payer: BCN Commercial |
$321.62
|
| Rate for Payer: Cash Price |
$2,311.20
|
| Rate for Payer: Cash Price |
$2,311.20
|
| Rate for Payer: Mclaren Medicaid |
$143.14
|
| Rate for Payer: Meridian Medicaid |
$150.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,166.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$373.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$373.29
|
| Rate for Payer: UHC Medicaid |
$143.14
|
| Rate for Payer: UHCCP Medicaid |
$143.14
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
|
Professional
|
Both
|
$278.00
|
|
|
Service Code
|
HCPCS 17261
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$208.50 |
| Rate for Payer: Aetna Commercial |
$92.62
|
| Rate for Payer: Aetna Medicare |
$139.00
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCN Commercial |
$104.46
|
| Rate for Payer: Cash Price |
$222.40
|
| Rate for Payer: Cash Price |
$222.40
|
| Rate for Payer: Mclaren Medicaid |
$47.50
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$208.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.24
|
| Rate for Payer: UHC Medicaid |
$47.50
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM
|
Professional
|
Both
|
$368.00
|
|
|
Service Code
|
HCPCS 17262
|
| Min. Negotiated Rate |
$59.43 |
| Max. Negotiated Rate |
$276.00 |
| Rate for Payer: Aetna Commercial |
$117.15
|
| Rate for Payer: Aetna Medicare |
$184.00
|
| Rate for Payer: BCBS Complete |
$62.40
|
| Rate for Payer: BCN Commercial |
$131.16
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Mclaren Medicaid |
$59.43
|
| Rate for Payer: Meridian Medicaid |
$62.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$152.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$152.23
|
| Rate for Payer: UHC Medicaid |
$59.43
|
| Rate for Payer: UHCCP Medicaid |
$59.43
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM
|
Professional
|
Both
|
$420.00
|
|
|
Service Code
|
HCPCS 17263
|
| Min. Negotiated Rate |
$65.39 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Aetna Commercial |
$130.16
|
| Rate for Payer: Aetna Medicare |
$210.00
|
| Rate for Payer: BCBS Complete |
$68.66
|
| Rate for Payer: BCN Commercial |
$144.91
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Mclaren Medicaid |
$65.39
|
| Rate for Payer: Meridian Medicaid |
$68.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$168.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$168.19
|
| Rate for Payer: UHC Medicaid |
$65.39
|
| Rate for Payer: UHCCP Medicaid |
$65.39
|
|
|
PR DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM
|
Professional
|
Both
|
$350.00
|
|
|
Service Code
|
HCPCS 17264
|
| Min. Negotiated Rate |
$69.65 |
| Max. Negotiated Rate |
$262.50 |
| Rate for Payer: Aetna Commercial |
$139.47
|
| Rate for Payer: Aetna Medicare |
$175.00
|
| Rate for Payer: BCBS Complete |
$73.13
|
| Rate for Payer: BCN Commercial |
$155.51
|
| Rate for Payer: Cash Price |
$280.00
|
| Rate for Payer: Cash Price |
$280.00
|
| Rate for Payer: Mclaren Medicaid |
$69.65
|
| Rate for Payer: Meridian Medicaid |
$73.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$262.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$180.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$180.49
|
| Rate for Payer: UHC Medicaid |
$69.65
|
| Rate for Payer: UHCCP Medicaid |
$69.65
|
|
|
PR DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG
|
Professional
|
Both
|
$818.00
|
|
|
Service Code
|
HCPCS 64624
|
| Min. Negotiated Rate |
$84.99 |
| Max. Negotiated Rate |
$613.50 |
| Rate for Payer: Aetna Commercial |
$188.14
|
| Rate for Payer: Aetna Medicare |
$409.00
|
| Rate for Payer: BCBS Complete |
$89.24
|
| Rate for Payer: BCN Commercial |
$219.61
|
| Rate for Payer: Cash Price |
$654.40
|
| Rate for Payer: Cash Price |
$654.40
|
| Rate for Payer: Mclaren Medicaid |
$84.99
|
| Rate for Payer: Meridian Medicaid |
$89.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$613.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$255.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$255.08
|
| Rate for Payer: UHC Medicaid |
$84.99
|
| Rate for Payer: UHCCP Medicaid |
$84.99
|
|
|
PR DESTRUCTION PREMALIGNANT LESION 15/>
|
Professional
|
Both
|
$320.00
|
|
|
Service Code
|
HCPCS 17004
|
| Min. Negotiated Rate |
$52.82 |
| Max. Negotiated Rate |
$240.00 |
| Rate for Payer: Aetna Commercial |
$104.32
|
| Rate for Payer: Aetna Medicare |
$160.00
|
| Rate for Payer: BCBS Complete |
$55.46
|
| Rate for Payer: BCN Commercial |
$117.02
|
| Rate for Payer: Cash Price |
$256.00
|
| Rate for Payer: Cash Price |
$256.00
|
| Rate for Payer: Mclaren Medicaid |
$52.82
|
| Rate for Payer: Meridian Medicaid |
$55.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$240.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$135.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.82
|
| Rate for Payer: UHC Medicaid |
$52.82
|
| Rate for Payer: UHCCP Medicaid |
$52.82
|
|
|
PR DESTRUCTION PREMALIGNANT LESION 1ST
|
Professional
|
Both
|
$139.00
|
|
|
Service Code
|
HCPCS 17000
|
| Min. Negotiated Rate |
$30.46 |
| Max. Negotiated Rate |
$104.25 |
| Rate for Payer: Aetna Commercial |
$56.76
|
| Rate for Payer: Aetna Medicare |
$69.50
|
| Rate for Payer: BCBS Complete |
$31.98
|
| Rate for Payer: BCN Commercial |
$65.19
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Mclaren Medicaid |
$30.46
|
| Rate for Payer: Meridian Medicaid |
$31.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$104.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$75.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.67
|
| Rate for Payer: UHC Medicaid |
$30.46
|
| Rate for Payer: UHCCP Medicaid |
$30.46
|
|
|
PR DESTRUCTION PREMALIGNANT LESION 2-14 EA
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 17003
|
| Min. Negotiated Rate |
$1.07 |
| Max. Negotiated Rate |
$22.50 |
| Rate for Payer: Aetna Commercial |
$2.23
|
| Rate for Payer: Aetna Medicare |
$15.00
|
| Rate for Payer: BCBS Complete |
$1.12
|
| Rate for Payer: BCN Commercial |
$2.36
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Mclaren Medicaid |
$1.07
|
| Rate for Payer: Meridian Medicaid |
$1.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.73
|
| Rate for Payer: UHC Medicaid |
$1.07
|
| Rate for Payer: UHCCP Medicaid |
$1.07
|
|
|
PR DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH
|
Professional
|
Both
|
$1,612.00
|
|
|
Service Code
|
HCPCS 45190
|
| Min. Negotiated Rate |
$428.77 |
| Max. Negotiated Rate |
$1,278.44 |
| Rate for Payer: Aetna Commercial |
$942.76
|
| Rate for Payer: Aetna Medicare |
$806.00
|
| Rate for Payer: BCBS Complete |
$450.21
|
| Rate for Payer: BCN Commercial |
$1,049.25
|
| Rate for Payer: Cash Price |
$1,289.60
|
| Rate for Payer: Cash Price |
$1,289.60
|
| Rate for Payer: Mclaren Medicaid |
$428.77
|
| Rate for Payer: Meridian Medicaid |
$450.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,209.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,278.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,278.44
|
| Rate for Payer: UHC Medicaid |
$428.77
|
| Rate for Payer: UHCCP Medicaid |
$428.77
|
|
|
PR DESTRUCTION VAGINAL LESIONS EXTENSIVE
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 57065
|
| Min. Negotiated Rate |
$105.86 |
| Max. Negotiated Rate |
$562.50 |
| Rate for Payer: Aetna Commercial |
$218.65
|
| Rate for Payer: Aetna Medicare |
$375.00
|
| Rate for Payer: BCBS Complete |
$111.15
|
| Rate for Payer: BCN Commercial |
$279.37
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Mclaren Medicaid |
$105.86
|
| Rate for Payer: Meridian Medicaid |
$111.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$562.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$282.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.93
|
| Rate for Payer: UHC Medicaid |
$105.86
|
| Rate for Payer: UHCCP Medicaid |
$105.86
|
|
|
PR DESTRUCTION VAGINAL LESIONS SIMPLE
|
Professional
|
Both
|
$373.00
|
|
|
Service Code
|
HCPCS 57061
|
| Min. Negotiated Rate |
$67.31 |
| Max. Negotiated Rate |
$279.75 |
| Rate for Payer: Aetna Commercial |
$131.70
|
| Rate for Payer: Aetna Medicare |
$186.50
|
| Rate for Payer: BCBS Complete |
$70.68
|
| Rate for Payer: BCN Commercial |
$137.05
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Cash Price |
$298.40
|
| Rate for Payer: Mclaren Medicaid |
$67.31
|
| Rate for Payer: Meridian Medicaid |
$70.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$279.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$176.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$176.02
|
| Rate for Payer: UHC Medicaid |
$67.31
|
| Rate for Payer: UHCCP Medicaid |
$67.31
|
|
|
PR DETERMINATION REFRACTIVE STATE
|
Professional
|
Both
|
$99.00
|
|
|
Service Code
|
HCPCS 92015
|
| Min. Negotiated Rate |
$10.01 |
| Max. Negotiated Rate |
$74.25 |
| Rate for Payer: Aetna Commercial |
$21.33
|
| Rate for Payer: Aetna Medicare |
$49.50
|
| Rate for Payer: BCBS Complete |
$10.51
|
| Rate for Payer: BCN Commercial |
$19.98
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Mclaren Medicaid |
$10.01
|
| Rate for Payer: Meridian Medicaid |
$10.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.43
|
| Rate for Payer: UHC Medicaid |
$10.01
|
| Rate for Payer: UHCCP Medicaid |
$10.01
|
|
|
PR DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM
|
Professional
|
Both
|
$28.00
|
|
|
Service Code
|
HCPCS 96110
|
| Min. Negotiated Rate |
$10.35 |
| Max. Negotiated Rate |
$21.00 |
| Rate for Payer: Aetna Commercial |
$10.35
|
| Rate for Payer: Aetna Medicare |
$14.00
|
| Rate for Payer: BCN Commercial |
$17.43
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.07
|
|
|
PR DEVELOPMENTAL TESTING W/INTERP & REPORT
|
Professional
|
Both
|
$249.00
|
|
|
Service Code
|
HCPCS 96111
|
| Min. Negotiated Rate |
$99.60 |
| Max. Negotiated Rate |
$186.75 |
| Rate for Payer: Aetna Medicare |
$124.50
|
| Rate for Payer: BCBS Complete |
$99.60
|
| Rate for Payer: Cash Price |
$199.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.75
|
|
|
PR DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR
|
Professional
|
Both
|
$266.00
|
|
|
Service Code
|
HCPCS 96112
|
| Min. Negotiated Rate |
$68.16 |
| Max. Negotiated Rate |
$199.50 |
| Rate for Payer: Aetna Commercial |
$141.36
|
| Rate for Payer: Aetna Medicare |
$133.00
|
| Rate for Payer: BCBS Complete |
$71.57
|
| Rate for Payer: BCN Commercial |
$180.27
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Mclaren Medicaid |
$68.16
|
| Rate for Payer: Meridian Medicaid |
$71.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$166.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.24
|
| Rate for Payer: UHC Medicaid |
$68.16
|
| Rate for Payer: UHCCP Medicaid |
$68.16
|
|
|
PR DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN
|
Professional
|
Both
|
$129.00
|
|
|
Service Code
|
HCPCS 96113
|
| Min. Negotiated Rate |
$28.76 |
| Max. Negotiated Rate |
$96.75 |
| Rate for Payer: Aetna Commercial |
$59.71
|
| Rate for Payer: Aetna Medicare |
$64.50
|
| Rate for Payer: BCBS Complete |
$30.20
|
| Rate for Payer: BCN Commercial |
$74.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Cash Price |
$103.20
|
| Rate for Payer: Mclaren Medicaid |
$28.76
|
| Rate for Payer: Meridian Medicaid |
$30.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$96.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$68.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$68.43
|
| Rate for Payer: UHC Medicaid |
$28.76
|
| Rate for Payer: UHCCP Medicaid |
$28.76
|
|
|
PR DEXAMETHASONE SODIUM PHOS
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS J1100
|
| Min. Negotiated Rate |
$0.01 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Aetna Commercial |
$0.12
|
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.01
|
| Rate for Payer: BCN Commercial |
$0.01
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.50
|
|
|
PR DIABETES PREVENTION PROGRAM
|
Professional
|
Both
|
$137.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$54.80 |
| Max. Negotiated Rate |
$102.75 |
| Rate for Payer: Aetna Medicare |
$68.50
|
| Rate for Payer: BCBS Complete |
$54.80
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.75
|
|
|
PR DIABETES PREVENTION PROG STANDARDIZED CURRICULUM
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS 0403T
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$59.32 |
| Rate for Payer: Aetna Commercial |
$32.06
|
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: BCBS Complete |
$13.60
|
| Rate for Payer: BCN Commercial |
$59.32
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
|
|
PR DIAGNOSTIC ARTHROSCOPY SHOULDER +- SYNOVIAL BX
|
Professional
|
Both
|
$1,333.00
|
|
|
Service Code
|
HCPCS 29805
|
| Min. Negotiated Rate |
$286.27 |
| Max. Negotiated Rate |
$999.75 |
| Rate for Payer: Aetna Commercial |
$626.78
|
| Rate for Payer: Aetna Medicare |
$666.50
|
| Rate for Payer: BCBS Complete |
$300.58
|
| Rate for Payer: BCN Commercial |
$721.58
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Mclaren Medicaid |
$286.27
|
| Rate for Payer: Meridian Medicaid |
$300.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$999.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$771.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$771.34
|
| Rate for Payer: UHC Medicaid |
$286.27
|
| Rate for Payer: UHCCP Medicaid |
$286.27
|
|
|
PR DIAGNOSTIC BONE MARROW ASPIRATIONS
|
Professional
|
Both
|
$368.00
|
|
|
Service Code
|
HCPCS 38220
|
| Min. Negotiated Rate |
$35.36 |
| Max. Negotiated Rate |
$276.00 |
| Rate for Payer: Aetna Commercial |
$85.82
|
| Rate for Payer: Aetna Medicare |
$184.00
|
| Rate for Payer: BCBS Complete |
$37.13
|
| Rate for Payer: BCN Commercial |
$100.09
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Mclaren Medicaid |
$35.36
|
| Rate for Payer: Meridian Medicaid |
$37.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$133.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$133.19
|
| Rate for Payer: UHC Medicaid |
$35.36
|
| Rate for Payer: UHCCP Medicaid |
$35.36
|
|
|
PR DIAGNOSTIC BONE MARROW BIOPSIES
|
Professional
|
Both
|
$378.00
|
|
|
Service Code
|
HCPCS 38221
|
| Min. Negotiated Rate |
$36.85 |
| Max. Negotiated Rate |
$283.50 |
| Rate for Payer: Aetna Commercial |
$85.90
|
| Rate for Payer: Aetna Medicare |
$189.00
|
| Rate for Payer: BCBS Complete |
$38.69
|
| Rate for Payer: BCN Commercial |
$103.08
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Mclaren Medicaid |
$36.85
|
| Rate for Payer: Meridian Medicaid |
$38.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$137.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.16
|
| Rate for Payer: UHC Medicaid |
$36.85
|
| Rate for Payer: UHCCP Medicaid |
$36.85
|
|
