|
PR EXCISION CHOLEDOCHAL CYST
|
Professional
|
Both
|
$2,376.00
|
|
|
Service Code
|
HCPCS 47715
|
| Min. Negotiated Rate |
$799.60 |
| Max. Negotiated Rate |
$2,436.13 |
| Rate for Payer: Aetna Commercial |
$1,802.67
|
| Rate for Payer: Aetna Medicare |
$1,188.00
|
| Rate for Payer: BCBS Complete |
$839.58
|
| Rate for Payer: BCN Commercial |
$1,999.39
|
| Rate for Payer: Cash Price |
$1,900.80
|
| Rate for Payer: Cash Price |
$1,900.80
|
| Rate for Payer: Mclaren Medicaid |
$799.60
|
| Rate for Payer: Meridian Medicaid |
$839.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,782.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$799.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,436.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,436.13
|
| Rate for Payer: UHC Medicaid |
$799.60
|
| Rate for Payer: UHCCP Medicaid |
$799.60
|
|
|
PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,858.00
|
|
|
Service Code
|
HCPCS 21603
|
| Min. Negotiated Rate |
$1,066.28 |
| Max. Negotiated Rate |
$2,893.50 |
| Rate for Payer: Aetna Commercial |
$2,301.46
|
| Rate for Payer: Aetna Medicare |
$1,929.00
|
| Rate for Payer: BCBS Complete |
$1,119.59
|
| Rate for Payer: BCN Commercial |
$2,508.83
|
| Rate for Payer: Cash Price |
$3,086.40
|
| Rate for Payer: Cash Price |
$3,086.40
|
| Rate for Payer: Mclaren Medicaid |
$1,066.28
|
| Rate for Payer: Meridian Medicaid |
$1,119.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,893.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,066.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,681.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,681.87
|
| Rate for Payer: UHC Medicaid |
$1,066.28
|
| Rate for Payer: UHCCP Medicaid |
$1,066.28
|
|
|
PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,219.00
|
|
|
Service Code
|
HCPCS 21602
|
| Min. Negotiated Rate |
$975.11 |
| Max. Negotiated Rate |
$2,473.20 |
| Rate for Payer: Aetna Commercial |
$2,106.91
|
| Rate for Payer: Aetna Medicare |
$1,609.50
|
| Rate for Payer: BCBS Complete |
$1,023.87
|
| Rate for Payer: BCN Commercial |
$2,313.62
|
| Rate for Payer: Cash Price |
$2,575.20
|
| Rate for Payer: Cash Price |
$2,575.20
|
| Rate for Payer: Mclaren Medicaid |
$975.11
|
| Rate for Payer: Meridian Medicaid |
$1,023.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,414.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$975.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,473.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,473.20
|
| Rate for Payer: UHC Medicaid |
$975.11
|
| Rate for Payer: UHCCP Medicaid |
$975.11
|
|
|
PR EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA
|
Professional
|
Both
|
$2,144.00
|
|
|
Service Code
|
HCPCS 27635
|
| Min. Negotiated Rate |
$348.04 |
| Max. Negotiated Rate |
$1,608.00 |
| Rate for Payer: Aetna Commercial |
$776.29
|
| Rate for Payer: Aetna Medicare |
$1,072.00
|
| Rate for Payer: BCBS Complete |
$365.44
|
| Rate for Payer: BCN Commercial |
$879.93
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Mclaren Medicaid |
$348.04
|
| Rate for Payer: Meridian Medicaid |
$365.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,608.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$940.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$940.62
|
| Rate for Payer: UHC Medicaid |
$348.04
|
| Rate for Payer: UHCCP Medicaid |
$348.04
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES
|
Professional
|
Both
|
$1,670.00
|
|
|
Service Code
|
HCPCS 25130
|
| Min. Negotiated Rate |
$274.77 |
| Max. Negotiated Rate |
$1,252.50 |
| Rate for Payer: Aetna Commercial |
$598.30
|
| Rate for Payer: Aetna Medicare |
$835.00
|
| Rate for Payer: BCBS Complete |
$288.51
|
| Rate for Payer: BCN Commercial |
$699.66
|
| Rate for Payer: Cash Price |
$1,336.00
|
| Rate for Payer: Cash Price |
$1,336.00
|
| Rate for Payer: Mclaren Medicaid |
$274.77
|
| Rate for Payer: Meridian Medicaid |
$288.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,252.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$747.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$747.92
|
| Rate for Payer: UHC Medicaid |
$274.77
|
| Rate for Payer: UHCCP Medicaid |
$274.77
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR
|
Professional
|
Both
|
$2,356.00
|
|
|
Service Code
|
HCPCS 27355
|
| Min. Negotiated Rate |
$368.28 |
| Max. Negotiated Rate |
$1,767.00 |
| Rate for Payer: Aetna Commercial |
$808.43
|
| Rate for Payer: Aetna Medicare |
$1,178.00
|
| Rate for Payer: BCBS Complete |
$386.69
|
| Rate for Payer: BCN Commercial |
$935.21
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Mclaren Medicaid |
$368.28
|
| Rate for Payer: Meridian Medicaid |
$386.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,767.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$999.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$999.72
|
| Rate for Payer: UHC Medicaid |
$368.28
|
| Rate for Payer: UHCCP Medicaid |
$368.28
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION
|
Professional
|
Both
|
$1,102.00
|
|
|
Service Code
|
HCPCS 27358
|
| Min. Negotiated Rate |
$150.80 |
| Max. Negotiated Rate |
$826.50 |
| Rate for Payer: Aetna Commercial |
$370.47
|
| Rate for Payer: Aetna Medicare |
$551.00
|
| Rate for Payer: BCBS Complete |
$158.34
|
| Rate for Payer: BCN Commercial |
$408.34
|
| Rate for Payer: Cash Price |
$881.60
|
| Rate for Payer: Cash Price |
$881.60
|
| Rate for Payer: Mclaren Medicaid |
$150.80
|
| Rate for Payer: Meridian Medicaid |
$158.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$826.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$436.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.51
|
| Rate for Payer: UHC Medicaid |
$150.80
|
| Rate for Payer: UHCCP Medicaid |
$150.80
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT
|
Professional
|
Both
|
$2,281.00
|
|
|
Service Code
|
HCPCS 27356
|
| Min. Negotiated Rate |
$444.32 |
| Max. Negotiated Rate |
$1,710.75 |
| Rate for Payer: Aetna Commercial |
$987.19
|
| Rate for Payer: Aetna Medicare |
$1,140.50
|
| Rate for Payer: BCBS Complete |
$466.54
|
| Rate for Payer: BCN Commercial |
$1,131.91
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Mclaren Medicaid |
$444.32
|
| Rate for Payer: Meridian Medicaid |
$466.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,710.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,209.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,209.99
|
| Rate for Payer: UHC Medicaid |
$444.32
|
| Rate for Payer: UHCCP Medicaid |
$444.32
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT
|
Professional
|
Both
|
$2,079.00
|
|
|
Service Code
|
HCPCS 27357
|
| Min. Negotiated Rate |
$488.84 |
| Max. Negotiated Rate |
$1,559.25 |
| Rate for Payer: Aetna Commercial |
$1,090.68
|
| Rate for Payer: Aetna Medicare |
$1,039.50
|
| Rate for Payer: BCBS Complete |
$513.28
|
| Rate for Payer: BCN Commercial |
$1,244.46
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Mclaren Medicaid |
$488.84
|
| Rate for Payer: Meridian Medicaid |
$513.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,559.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,330.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,330.29
|
| Rate for Payer: UHC Medicaid |
$488.84
|
| Rate for Payer: UHCCP Medicaid |
$488.84
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL
|
Professional
|
Both
|
$1,333.00
|
|
|
Service Code
|
HCPCS 26200
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$999.75 |
| Rate for Payer: Aetna Commercial |
$599.88
|
| Rate for Payer: Aetna Medicare |
$666.50
|
| Rate for Payer: BCBS Complete |
$287.40
|
| Rate for Payer: BCN Commercial |
$695.68
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Mclaren Medicaid |
$273.71
|
| Rate for Payer: Meridian Medicaid |
$287.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$999.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$743.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$743.66
|
| Rate for Payer: UHC Medicaid |
$273.71
|
| Rate for Payer: UHCCP Medicaid |
$273.71
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER
|
Professional
|
Both
|
$1,310.00
|
|
|
Service Code
|
HCPCS 26210
|
| Min. Negotiated Rate |
$273.28 |
| Max. Negotiated Rate |
$982.50 |
| Rate for Payer: Aetna Commercial |
$592.63
|
| Rate for Payer: Aetna Medicare |
$655.00
|
| Rate for Payer: BCBS Complete |
$286.94
|
| Rate for Payer: BCN Commercial |
$693.19
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Mclaren Medicaid |
$273.28
|
| Rate for Payer: Meridian Medicaid |
$286.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$982.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$740.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$740.99
|
| Rate for Payer: UHC Medicaid |
$273.28
|
| Rate for Payer: UHCCP Medicaid |
$273.28
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 25120
|
| Min. Negotiated Rate |
$303.10 |
| Max. Negotiated Rate |
$1,704.00 |
| Rate for Payer: Aetna Commercial |
$666.80
|
| Rate for Payer: Aetna Medicare |
$1,136.00
|
| Rate for Payer: BCBS Complete |
$318.25
|
| Rate for Payer: BCN Commercial |
$773.86
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Mclaren Medicaid |
$303.10
|
| Rate for Payer: Meridian Medicaid |
$318.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,704.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$827.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$827.23
|
| Rate for Payer: UHC Medicaid |
$303.10
|
| Rate for Payer: UHCCP Medicaid |
$303.10
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS
|
Professional
|
Both
|
$1,169.00
|
|
|
Service Code
|
HCPCS 28100
|
| Min. Negotiated Rate |
$257.30 |
| Max. Negotiated Rate |
$876.75 |
| Rate for Payer: Aetna Commercial |
$551.67
|
| Rate for Payer: Aetna Medicare |
$584.50
|
| Rate for Payer: BCBS Complete |
$270.17
|
| Rate for Payer: BCN Commercial |
$638.91
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Mclaren Medicaid |
$257.30
|
| Rate for Payer: Meridian Medicaid |
$270.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$876.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$257.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$682.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$682.98
|
| Rate for Payer: UHC Medicaid |
$257.30
|
| Rate for Payer: UHCCP Medicaid |
$257.30
|
|
|
PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 24110
|
| Min. Negotiated Rate |
$361.04 |
| Max. Negotiated Rate |
$971.49 |
| Rate for Payer: Aetna Commercial |
$774.56
|
| Rate for Payer: Aetna Medicare |
$615.50
|
| Rate for Payer: BCBS Complete |
$379.09
|
| Rate for Payer: BCN Commercial |
$908.82
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Mclaren Medicaid |
$361.04
|
| Rate for Payer: Meridian Medicaid |
$379.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$923.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$971.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$971.49
|
| Rate for Payer: UHC Medicaid |
$361.04
|
| Rate for Payer: UHCCP Medicaid |
$361.04
|
|
|
PR EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS
|
Professional
|
Both
|
$731.00
|
|
|
Service Code
|
HCPCS 30124
|
| Min. Negotiated Rate |
$178.28 |
| Max. Negotiated Rate |
$548.25 |
| Rate for Payer: Aetna Commercial |
$380.44
|
| Rate for Payer: Aetna Medicare |
$365.50
|
| Rate for Payer: BCBS Complete |
$187.19
|
| Rate for Payer: BCN Commercial |
$458.64
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Mclaren Medicaid |
$178.28
|
| Rate for Payer: Meridian Medicaid |
$187.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$548.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$431.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$431.90
|
| Rate for Payer: UHC Medicaid |
$178.28
|
| Rate for Payer: UHCCP Medicaid |
$178.28
|
|
|
PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR
|
Professional
|
Both
|
$1,740.00
|
|
|
Service Code
|
HCPCS 30117
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$1,305.00 |
| Rate for Payer: Aetna Commercial |
$419.52
|
| Rate for Payer: Aetna Medicare |
$870.00
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCN Commercial |
$615.50
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Mclaren Medicaid |
$238.77
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,305.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$579.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$579.62
|
| Rate for Payer: UHC Medicaid |
$238.77
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
|
|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$94.57 |
| Max. Negotiated Rate |
$318.00 |
| Rate for Payer: Aetna Commercial |
$215.57
|
| Rate for Payer: Aetna Medicare |
$212.00
|
| Rate for Payer: BCBS Complete |
$99.30
|
| Rate for Payer: BCN Commercial |
$252.48
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Mclaren Medicaid |
$94.57
|
| Rate for Payer: Meridian Medicaid |
$99.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$307.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$307.63
|
| Rate for Payer: UHC Medicaid |
$94.57
|
| Rate for Payer: UHCCP Medicaid |
$94.57
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,386.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$1,354.40 |
| Max. Negotiated Rate |
$2,539.50 |
| Rate for Payer: Aetna Commercial |
$1,606.74
|
| Rate for Payer: Aetna Medicare |
$1,693.00
|
| Rate for Payer: BCBS Complete |
$1,354.40
|
| Rate for Payer: BCN Commercial |
$1,766.17
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,539.50
|
|
|
PR EXCISION DISTAL ULNA PARTIAL/COMPLETE
|
Professional
|
Both
|
$1,607.00
|
|
|
Service Code
|
HCPCS 25240
|
| Min. Negotiated Rate |
$261.78 |
| Max. Negotiated Rate |
$1,205.25 |
| Rate for Payer: Aetna Commercial |
$571.19
|
| Rate for Payer: Aetna Medicare |
$803.50
|
| Rate for Payer: BCBS Complete |
$274.87
|
| Rate for Payer: BCN Commercial |
$665.80
|
| Rate for Payer: Cash Price |
$1,285.60
|
| Rate for Payer: Cash Price |
$1,285.60
|
| Rate for Payer: Mclaren Medicaid |
$261.78
|
| Rate for Payer: Meridian Medicaid |
$274.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,205.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$711.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$711.72
|
| Rate for Payer: UHC Medicaid |
$261.78
|
| Rate for Payer: UHCCP Medicaid |
$261.78
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$2,018.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$587.24 |
| Max. Negotiated Rate |
$1,625.73 |
| Rate for Payer: Aetna Commercial |
$1,340.57
|
| Rate for Payer: Aetna Medicare |
$1,009.00
|
| Rate for Payer: BCBS Complete |
$616.60
|
| Rate for Payer: BCN Commercial |
$1,520.83
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Mclaren Medicaid |
$587.24
|
| Rate for Payer: Meridian Medicaid |
$616.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,513.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,625.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,625.73
|
| Rate for Payer: UHC Medicaid |
$587.24
|
| Rate for Payer: UHCCP Medicaid |
$587.24
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$196.94 |
| Max. Negotiated Rate |
$675.01 |
| Rate for Payer: Aetna Commercial |
$531.57
|
| Rate for Payer: Aetna Medicare |
$447.50
|
| Rate for Payer: BCBS Complete |
$206.79
|
| Rate for Payer: BCN Commercial |
$542.26
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Mclaren Medicaid |
$196.94
|
| Rate for Payer: Meridian Medicaid |
$206.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$671.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$675.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$675.01
|
| Rate for Payer: UHC Medicaid |
$196.94
|
| Rate for Payer: UHCCP Medicaid |
$196.94
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$464.77 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$818.68
|
| Rate for Payer: Aetna Medicare |
$2,364.00
|
| Rate for Payer: BCBS Complete |
$488.01
|
| Rate for Payer: BCN Commercial |
$1,207.10
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Mclaren Medicaid |
$464.77
|
| Rate for Payer: Meridian Medicaid |
$488.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,104.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,104.82
|
| Rate for Payer: UHC Medicaid |
$464.77
|
| Rate for Payer: UHCCP Medicaid |
$464.77
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA
|
Professional
|
Both
|
$2,258.00
|
|
|
Service Code
|
HCPCS 15839
|
| Min. Negotiated Rate |
$434.95 |
| Max. Negotiated Rate |
$1,693.50 |
| Rate for Payer: Aetna Commercial |
$798.50
|
| Rate for Payer: Aetna Medicare |
$1,129.00
|
| Rate for Payer: BCBS Complete |
$456.70
|
| Rate for Payer: BCN Commercial |
$1,117.47
|
| Rate for Payer: Cash Price |
$1,806.40
|
| Rate for Payer: Cash Price |
$1,806.40
|
| Rate for Payer: Mclaren Medicaid |
$434.95
|
| Rate for Payer: Meridian Medicaid |
$456.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,693.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$434.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,022.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,022.78
|
| Rate for Payer: UHC Medicaid |
$434.95
|
| Rate for Payer: UHCCP Medicaid |
$434.95
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$537.19 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$990.90
|
| Rate for Payer: Aetna Medicare |
$2,364.00
|
| Rate for Payer: BCBS Complete |
$564.05
|
| Rate for Payer: BCN Commercial |
$1,403.31
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Mclaren Medicaid |
$537.19
|
| Rate for Payer: Meridian Medicaid |
$564.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$537.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,284.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,284.39
|
| Rate for Payer: UHC Medicaid |
$537.19
|
| Rate for Payer: UHCCP Medicaid |
$537.19
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,628.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$537.40 |
| Max. Negotiated Rate |
$1,347.54 |
| Rate for Payer: Aetna Commercial |
$1,013.31
|
| Rate for Payer: Aetna Medicare |
$814.00
|
| Rate for Payer: BCBS Complete |
$564.27
|
| Rate for Payer: BCN Commercial |
$1,347.54
|
| Rate for Payer: Cash Price |
$1,302.40
|
| Rate for Payer: Cash Price |
$1,302.40
|
| Rate for Payer: Mclaren Medicaid |
$537.40
|
| Rate for Payer: Meridian Medicaid |
$564.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,221.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$537.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,331.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,331.50
|
| Rate for Payer: UHC Medicaid |
$537.40
|
| Rate for Payer: UHCCP Medicaid |
$537.40
|
|
