|
PR PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX
|
Professional
|
Both
|
$1,413.00
|
|
|
Service Code
|
HCPCS 42950
|
| Min. Negotiated Rate |
$510.35 |
| Max. Negotiated Rate |
$1,414.67 |
| Rate for Payer: Aetna Commercial |
$1,037.71
|
| Rate for Payer: Aetna Medicare |
$805.39
|
| Rate for Payer: BCBS Complete |
$535.87
|
| Rate for Payer: BCBS MAPPO |
$774.41
|
| Rate for Payer: BCBS Trust/PPO |
$665.13
|
| Rate for Payer: BCN Commercial |
$1,175.76
|
| Rate for Payer: BCN Medicare Advantage |
$774.41
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cash Price |
$1,130.40
|
| Rate for Payer: Cofinity Commercial |
$1,115.15
|
| Rate for Payer: Cofinity Commercial |
$1,037.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$774.41
|
| Rate for Payer: Mclaren Medicaid |
$510.35
|
| Rate for Payer: Meridian Medicaid |
$535.87
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$813.13
|
| Rate for Payer: PACE SWMI |
$774.41
|
| Rate for Payer: PHP Medicare Advantage |
$774.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$510.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$989.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,414.67
|
| Rate for Payer: Priority Health Medicare |
$774.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,414.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$774.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$774.41
|
| Rate for Payer: UHC Medicare Advantage |
$797.64
|
|
|
PR PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE
|
Professional
|
Both
|
$192.00
|
|
|
Service Code
|
HCPCS 99195
|
| Min. Negotiated Rate |
$76.80 |
| Max. Negotiated Rate |
$587.47 |
| Rate for Payer: Aetna Commercial |
$120.41
|
| Rate for Payer: Aetna Medicare |
$93.45
|
| Rate for Payer: BCBS Complete |
$76.80
|
| Rate for Payer: BCBS MAPPO |
$89.86
|
| Rate for Payer: BCBS Trust/PPO |
$587.47
|
| Rate for Payer: BCN Commercial |
$141.72
|
| Rate for Payer: BCN Medicare Advantage |
$89.86
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cash Price |
$153.60
|
| Rate for Payer: Cofinity Commercial |
$120.41
|
| Rate for Payer: Cofinity Commercial |
$129.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$94.35
|
| Rate for Payer: PACE SWMI |
$89.86
|
| Rate for Payer: PHP Medicare Advantage |
$89.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$134.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130.25
|
| Rate for Payer: Priority Health Medicare |
$89.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$89.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$89.86
|
| Rate for Payer: UHC Medicare Advantage |
$92.56
|
|
|
PR PHTFAC ARMS
|
Professional
|
Both
|
$250.00
|
|
|
Service Code
|
HCPCS 00079
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$100.00 |
| Max. Negotiated Rate |
$175.00 |
| Rate for Payer: BCBS Complete |
$100.00
|
| Rate for Payer: Cash Price |
$200.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$175.00
|
|
|
PR PHTFAC CHEST/SHLD
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 00077
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$87.50 |
| Rate for Payer: BCBS Complete |
$50.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$87.50
|
|
|
PR PHTFAC FACE & NECK/ FL ARMS
|
Professional
|
Both
|
$250.00
|
|
|
Service Code
|
HCPCS 00076
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$100.00 |
| Max. Negotiated Rate |
$175.00 |
| Rate for Payer: BCBS Complete |
$100.00
|
| Rate for Payer: Cash Price |
$200.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$175.00
|
|
|
PR PHTFAC FL LEGS
|
Professional
|
Both
|
$350.00
|
|
|
Service Code
|
HCPCS 00080
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$140.00 |
| Max. Negotiated Rate |
$245.00 |
| Rate for Payer: BCBS Complete |
$140.00
|
| Rate for Payer: Cash Price |
$280.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.00
|
|
|
PR PHTFAC HANDS
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 00078
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$35.00 |
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
|
|
PR PHTFAC HEMANGIOMAS/WARTS
|
Professional
|
Both
|
$35.00
|
|
|
Service Code
|
HCPCS 00083
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$24.50 |
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
|
|
PR PHTFAC NASAL VEIN
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 00082
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$31.50 |
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.50
|
|
|
PR PHTFAC SNGL PIGMENT
|
Professional
|
Both
|
$35.00
|
|
|
Service Code
|
HCPCS 00081
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$24.50 |
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.50
|
|
|
PR PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 97750
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$708.45 |
| Rate for Payer: Aetna Commercial |
$43.67
|
| Rate for Payer: Aetna Medicare |
$33.89
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$32.59
|
| Rate for Payer: BCBS Trust/PPO |
$708.45
|
| Rate for Payer: BCN Commercial |
$32.95
|
| Rate for Payer: BCN Medicare Advantage |
$32.59
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$46.93
|
| Rate for Payer: Cofinity Commercial |
$43.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$34.22
|
| Rate for Payer: PACE SWMI |
$32.59
|
| Rate for Payer: PHP Medicare Advantage |
$32.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.00
|
| Rate for Payer: Priority Health Medicare |
$32.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$32.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.59
|
| Rate for Payer: UHC Medicare Advantage |
$33.57
|
|
|
PR PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU
|
Professional
|
Both
|
$179.00
|
|
|
Service Code
|
HCPCS 93464
|
| Min. Negotiated Rate |
$71.60 |
| Max. Negotiated Rate |
$740.15 |
| Rate for Payer: Aetna Commercial |
$278.72
|
| Rate for Payer: Aetna Medicare |
$216.32
|
| Rate for Payer: BCBS Complete |
$71.60
|
| Rate for Payer: BCBS MAPPO |
$208.00
|
| Rate for Payer: BCBS Trust/PPO |
$740.15
|
| Rate for Payer: BCN Commercial |
$319.60
|
| Rate for Payer: BCN Medicare Advantage |
$208.00
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Cofinity Commercial |
$299.52
|
| Rate for Payer: Cofinity Commercial |
$278.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$208.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$218.40
|
| Rate for Payer: PACE SWMI |
$208.00
|
| Rate for Payer: PHP Medicare Advantage |
$208.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$125.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$309.25
|
| Rate for Payer: Priority Health Medicare |
$208.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$309.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$208.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$208.00
|
| Rate for Payer: UHC Medicare Advantage |
$214.24
|
|
|
PR PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS 01990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$4.90 |
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.90
|
|
|
PR PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX/SESSION
|
Professional
|
Both
|
$366.00
|
|
|
Service Code
|
HCPCS 99183
|
| Min. Negotiated Rate |
$66.88 |
| Max. Negotiated Rate |
$256.20 |
| Rate for Payer: Aetna Commercial |
$140.36
|
| Rate for Payer: Aetna Medicare |
$108.94
|
| Rate for Payer: BCBS Complete |
$70.22
|
| Rate for Payer: BCBS MAPPO |
$104.75
|
| Rate for Payer: BCBS Trust/PPO |
$201.28
|
| Rate for Payer: BCN Commercial |
$153.45
|
| Rate for Payer: BCN Medicare Advantage |
$104.75
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cofinity Commercial |
$150.84
|
| Rate for Payer: Cofinity Commercial |
$140.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.75
|
| Rate for Payer: Mclaren Medicaid |
$66.88
|
| Rate for Payer: Meridian Medicaid |
$70.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$109.99
|
| Rate for Payer: PACE SWMI |
$104.75
|
| Rate for Payer: PHP Medicare Advantage |
$104.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$141.04
|
| Rate for Payer: Priority Health Medicare |
$104.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$141.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.75
|
| Rate for Payer: UHC Medicare Advantage |
$107.89
|
|
|
PR PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS
|
Professional
|
Both
|
$245.00
|
|
|
Service Code
|
HCPCS 99288
|
| Min. Negotiated Rate |
$47.74 |
| Max. Negotiated Rate |
$1,059.24 |
| Rate for Payer: Aetna Commercial |
$48.75
|
| Rate for Payer: BCBS Complete |
$98.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,059.24
|
| Rate for Payer: BCN Commercial |
$47.74
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$171.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$72.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.00
|
|
|
PR PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING
|
Professional
|
Both
|
$30.00
|
|
|
Service Code
|
HCPCS 99078
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$434.79 |
| Rate for Payer: Aetna Commercial |
$25.00
|
| Rate for Payer: BCBS Complete |
$12.00
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$34.16
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Cash Price |
$24.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.89
|
|
|
PR PHYS/QHP ONLINE EVALUATION & MANAGEMENT SERVICE
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 99444
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$49.00 |
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCN Commercial |
$49.00
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$34.30
|
|
|
PR PHYS/QHP TELEPHONE EVALUATION 11-20 MIN
|
Professional
|
Both
|
$146.00
|
|
|
Service Code
|
HCPCS 99442
|
| Min. Negotiated Rate |
$39.42 |
| Max. Negotiated Rate |
$1,711.16 |
| Rate for Payer: Aetna Commercial |
$86.67
|
| Rate for Payer: Aetna Medicare |
$67.27
|
| Rate for Payer: BCBS Complete |
$59.00
|
| Rate for Payer: BCBS MAPPO |
$64.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,711.16
|
| Rate for Payer: BCN Commercial |
$39.42
|
| Rate for Payer: BCN Medicare Advantage |
$64.68
|
| Rate for Payer: Cash Price |
$116.80
|
| Rate for Payer: Cash Price |
$116.80
|
| Rate for Payer: Cofinity Commercial |
$86.67
|
| Rate for Payer: Cofinity Commercial |
$93.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.68
|
| Rate for Payer: Mclaren Medicaid |
$56.19
|
| Rate for Payer: Meridian Medicaid |
$59.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$67.91
|
| Rate for Payer: PACE SWMI |
$64.68
|
| Rate for Payer: PHP Medicare Advantage |
$64.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67.86
|
| Rate for Payer: Priority Health Medicare |
$64.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.68
|
| Rate for Payer: UHC Medicare Advantage |
$66.62
|
|
|
PR PHYS/QHP TELEPHONE EVALUATION 21-30 MIN
|
Professional
|
Both
|
$212.00
|
|
|
Service Code
|
HCPCS 99443
|
| Min. Negotiated Rate |
$57.62 |
| Max. Negotiated Rate |
$1,049.20 |
| Rate for Payer: Aetna Commercial |
$126.96
|
| Rate for Payer: Aetna Medicare |
$98.54
|
| Rate for Payer: BCBS Complete |
$87.44
|
| Rate for Payer: BCBS MAPPO |
$94.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,049.20
|
| Rate for Payer: BCN Commercial |
$57.62
|
| Rate for Payer: BCN Medicare Advantage |
$94.75
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cofinity Commercial |
$136.44
|
| Rate for Payer: Cofinity Commercial |
$126.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.75
|
| Rate for Payer: Mclaren Medicaid |
$83.28
|
| Rate for Payer: Meridian Medicaid |
$87.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$99.49
|
| Rate for Payer: PACE SWMI |
$94.75
|
| Rate for Payer: PHP Medicare Advantage |
$94.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$99.53
|
| Rate for Payer: Priority Health Medicare |
$94.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$94.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$94.75
|
| Rate for Payer: UHC Medicare Advantage |
$97.59
|
|
|
PR PHYS/QHP TELEPHONE EVALUATION 5-10 MIN
|
Professional
|
Both
|
$88.00
|
|
|
Service Code
|
HCPCS 99441
|
| Min. Negotiated Rate |
$20.21 |
| Max. Negotiated Rate |
$1,561.13 |
| Rate for Payer: Aetna Commercial |
$45.73
|
| Rate for Payer: Aetna Medicare |
$35.50
|
| Rate for Payer: BCBS Complete |
$31.47
|
| Rate for Payer: BCBS MAPPO |
$34.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,561.13
|
| Rate for Payer: BCN Commercial |
$20.21
|
| Rate for Payer: BCN Medicare Advantage |
$34.13
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cash Price |
$70.40
|
| Rate for Payer: Cofinity Commercial |
$49.15
|
| Rate for Payer: Cofinity Commercial |
$45.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.13
|
| Rate for Payer: Mclaren Medicaid |
$29.97
|
| Rate for Payer: Meridian Medicaid |
$31.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$35.84
|
| Rate for Payer: PACE SWMI |
$34.13
|
| Rate for Payer: PHP Medicare Advantage |
$34.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$61.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.84
|
| Rate for Payer: Priority Health Medicare |
$34.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.13
|
| Rate for Payer: UHC Medicare Advantage |
$35.15
|
|
|
PR PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES
|
Professional
|
Both
|
$256.00
|
|
|
Service Code
|
HCPCS 99360
|
| Min. Negotiated Rate |
$60.51 |
| Max. Negotiated Rate |
$179.20 |
| Rate for Payer: Aetna Commercial |
$60.51
|
| Rate for Payer: BCBS Complete |
$102.40
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$84.55
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$179.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$74.09
|
|
|
PR PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM
|
Professional
|
Both
|
$899.00
|
|
|
Service Code
|
HCPCS 15050
|
| Min. Negotiated Rate |
$206.12 |
| Max. Negotiated Rate |
$870.82 |
| Rate for Payer: Aetna Commercial |
$601.55
|
| Rate for Payer: Aetna Medicare |
$466.88
|
| Rate for Payer: BCBS Complete |
$308.19
|
| Rate for Payer: BCBS MAPPO |
$448.92
|
| Rate for Payer: BCBS Trust/PPO |
$206.12
|
| Rate for Payer: BCN Commercial |
$870.82
|
| Rate for Payer: BCN Medicare Advantage |
$448.92
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Cofinity Commercial |
$601.55
|
| Rate for Payer: Cofinity Commercial |
$646.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$448.92
|
| Rate for Payer: Mclaren Medicaid |
$293.51
|
| Rate for Payer: Meridian Medicaid |
$308.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$471.37
|
| Rate for Payer: PACE SWMI |
$448.92
|
| Rate for Payer: PHP Medicare Advantage |
$448.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$568.05
|
| Rate for Payer: Priority Health Medicare |
$448.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$568.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$448.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$448.92
|
| Rate for Payer: UHC Medicare Advantage |
$462.39
|
|
|
PR PLACE CATH BRACHIAL ART
|
Professional
|
Both
|
$746.00
|
|
|
Service Code
|
HCPCS 36120
|
| Min. Negotiated Rate |
$298.40 |
| Max. Negotiated Rate |
$522.20 |
| Rate for Payer: BCBS Complete |
$298.40
|
| Rate for Payer: Cash Price |
$596.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$522.20
|
|
|
PR PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS
|
Professional
|
Both
|
$3,219.00
|
|
|
Service Code
|
HCPCS 48000
|
| Min. Negotiated Rate |
$1,200.26 |
| Max. Negotiated Rate |
$3,300.29 |
| Rate for Payer: Aetna Commercial |
$2,511.09
|
| Rate for Payer: Aetna Medicare |
$1,948.91
|
| Rate for Payer: BCBS Complete |
$1,260.27
|
| Rate for Payer: BCBS MAPPO |
$1,873.95
|
| Rate for Payer: BCBS Trust/PPO |
$3,234.25
|
| Rate for Payer: BCN Commercial |
$2,742.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,873.95
|
| Rate for Payer: Cash Price |
$2,575.20
|
| Rate for Payer: Cash Price |
$2,575.20
|
| Rate for Payer: Cofinity Commercial |
$2,698.49
|
| Rate for Payer: Cofinity Commercial |
$2,511.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,873.95
|
| Rate for Payer: Mclaren Medicaid |
$1,200.26
|
| Rate for Payer: Meridian Medicaid |
$1,260.27
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,967.65
|
| Rate for Payer: PACE SWMI |
$1,873.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,873.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,200.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,253.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,300.29
|
| Rate for Payer: Priority Health Medicare |
$1,873.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,300.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,873.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,873.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,930.17
|
|
|
PR PLACEMENT CHOLEDOCHAL STENT
|
Professional
|
Both
|
$2,497.00
|
|
|
Service Code
|
HCPCS 47801
|
| Min. Negotiated Rate |
$714.40 |
| Max. Negotiated Rate |
$1,963.83 |
| Rate for Payer: Aetna Commercial |
$1,485.85
|
| Rate for Payer: Aetna Medicare |
$1,153.19
|
| Rate for Payer: BCBS Complete |
$750.12
|
| Rate for Payer: BCBS MAPPO |
$1,108.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,198.18
|
| Rate for Payer: BCN Commercial |
$1,632.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,108.84
|
| Rate for Payer: Cash Price |
$1,997.60
|
| Rate for Payer: Cash Price |
$1,997.60
|
| Rate for Payer: Cofinity Commercial |
$1,596.73
|
| Rate for Payer: Cofinity Commercial |
$1,485.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,108.84
|
| Rate for Payer: Mclaren Medicaid |
$714.40
|
| Rate for Payer: Meridian Medicaid |
$750.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,164.28
|
| Rate for Payer: PACE SWMI |
$1,108.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,108.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$714.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,747.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,963.83
|
| Rate for Payer: Priority Health Medicare |
$1,108.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,963.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,108.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,108.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,142.11
|
|
