|
PR RELEASE THENAR MUSCLE
|
Professional
|
Both
|
$1,555.00
|
|
|
Service Code
|
HCPCS 26508
|
| Min. Negotiated Rate |
$439.21 |
| Max. Negotiated Rate |
$3,420.21 |
| Rate for Payer: Aetna Commercial |
$886.37
|
| Rate for Payer: Aetna Medicare |
$687.93
|
| Rate for Payer: BCBS Complete |
$461.17
|
| Rate for Payer: BCBS MAPPO |
$661.47
|
| Rate for Payer: BCBS Trust/PPO |
$3,420.21
|
| Rate for Payer: BCN Commercial |
$1,007.65
|
| Rate for Payer: BCN Medicare Advantage |
$661.47
|
| Rate for Payer: Cash Price |
$1,244.00
|
| Rate for Payer: Cash Price |
$1,244.00
|
| Rate for Payer: Cofinity Commercial |
$952.52
|
| Rate for Payer: Cofinity Commercial |
$886.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.47
|
| Rate for Payer: Mclaren Medicaid |
$439.21
|
| Rate for Payer: Meridian Medicaid |
$461.17
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$694.54
|
| Rate for Payer: PACE SWMI |
$661.47
|
| Rate for Payer: PHP Medicare Advantage |
$661.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$439.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,088.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,052.95
|
| Rate for Payer: Priority Health Medicare |
$661.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,052.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$661.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$661.47
|
| Rate for Payer: UHC Medicare Advantage |
$681.31
|
|
|
PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR
|
Professional
|
Both
|
$1,330.00
|
|
|
Service Code
|
HCPCS 33223
|
| Min. Negotiated Rate |
$257.52 |
| Max. Negotiated Rate |
$1,195.54 |
| Rate for Payer: Aetna Commercial |
$537.66
|
| Rate for Payer: Aetna Medicare |
$417.29
|
| Rate for Payer: BCBS Complete |
$270.40
|
| Rate for Payer: BCBS MAPPO |
$401.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,195.54
|
| Rate for Payer: BCN Commercial |
$592.77
|
| Rate for Payer: BCN Medicare Advantage |
$401.24
|
| Rate for Payer: Cash Price |
$1,064.00
|
| Rate for Payer: Cash Price |
$1,064.00
|
| Rate for Payer: Cofinity Commercial |
$537.66
|
| Rate for Payer: Cofinity Commercial |
$577.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$401.24
|
| Rate for Payer: Mclaren Medicaid |
$257.52
|
| Rate for Payer: Meridian Medicaid |
$270.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$421.30
|
| Rate for Payer: PACE SWMI |
$401.24
|
| Rate for Payer: PHP Medicare Advantage |
$401.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$257.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$931.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$645.26
|
| Rate for Payer: Priority Health Medicare |
$401.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$645.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$401.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$401.24
|
| Rate for Payer: UHC Medicare Advantage |
$413.28
|
|
|
PR RELOCATION OF SKIN POCKET FOR PACEMAKER
|
Professional
|
Both
|
$1,128.00
|
|
|
Service Code
|
HCPCS 33222
|
| Min. Negotiated Rate |
$216.83 |
| Max. Negotiated Rate |
$1,036.00 |
| Rate for Payer: Aetna Commercial |
$448.82
|
| Rate for Payer: Aetna Medicare |
$348.34
|
| Rate for Payer: BCBS Complete |
$227.67
|
| Rate for Payer: BCBS MAPPO |
$334.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,036.00
|
| Rate for Payer: BCN Commercial |
$497.47
|
| Rate for Payer: BCN Medicare Advantage |
$334.94
|
| Rate for Payer: Cash Price |
$902.40
|
| Rate for Payer: Cash Price |
$902.40
|
| Rate for Payer: Cofinity Commercial |
$448.82
|
| Rate for Payer: Cofinity Commercial |
$482.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.94
|
| Rate for Payer: Mclaren Medicaid |
$216.83
|
| Rate for Payer: Meridian Medicaid |
$227.67
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$351.69
|
| Rate for Payer: PACE SWMI |
$334.94
|
| Rate for Payer: PHP Medicare Advantage |
$334.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$789.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$541.53
|
| Rate for Payer: Priority Health Medicare |
$334.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.94
|
| Rate for Payer: UHC Medicare Advantage |
$344.99
|
|
|
PR REM INTERROG ICPMS <30 D PHYS/QHP
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 93297
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$1,891.84 |
| Rate for Payer: Aetna Commercial |
$33.84
|
| Rate for Payer: Aetna Medicare |
$26.26
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$25.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,891.84
|
| Rate for Payer: BCN Commercial |
$37.14
|
| Rate for Payer: BCN Medicare Advantage |
$25.25
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$36.36
|
| Rate for Payer: Cofinity Commercial |
$33.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.25
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.51
|
| Rate for Payer: PACE SWMI |
$25.25
|
| Rate for Payer: PHP Medicare Advantage |
$25.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.93
|
| Rate for Payer: Priority Health Medicare |
$25.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.25
|
| Rate for Payer: UHC Medicare Advantage |
$26.01
|
|
|
PR REM INTERROG ICPMS/SCRMS <30 D TECH REVIEW
|
Professional
|
Both
|
$227.00
|
|
|
Service Code
|
HCPCS 93299
|
| Min. Negotiated Rate |
$90.80 |
| Max. Negotiated Rate |
$158.90 |
| Rate for Payer: BCBS Complete |
$90.80
|
| Rate for Payer: Cash Price |
$181.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$158.90
|
|
|
PR REM INTERROG PM/LDLS PM <90 D PHYS/QHP
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 93294
|
| Min. Negotiated Rate |
$18.53 |
| Max. Negotiated Rate |
$1,440.67 |
| Rate for Payer: Aetna Commercial |
$39.13
|
| Rate for Payer: Aetna Medicare |
$30.37
|
| Rate for Payer: BCBS Complete |
$19.46
|
| Rate for Payer: BCBS MAPPO |
$29.20
|
| Rate for Payer: BCBS Trust/PPO |
$1,440.67
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$29.20
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cofinity Commercial |
$39.13
|
| Rate for Payer: Cofinity Commercial |
$42.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.20
|
| Rate for Payer: Mclaren Medicaid |
$18.53
|
| Rate for Payer: Meridian Medicaid |
$19.46
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$30.66
|
| Rate for Payer: PACE SWMI |
$29.20
|
| Rate for Payer: PHP Medicare Advantage |
$29.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.61
|
| Rate for Payer: Priority Health Medicare |
$29.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.20
|
| Rate for Payer: UHC Medicare Advantage |
$30.08
|
|
|
PR REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 93296
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$277.89 |
| Rate for Payer: Aetna Commercial |
$27.79
|
| Rate for Payer: Aetna Medicare |
$21.57
|
| Rate for Payer: BCBS Complete |
$20.00
|
| Rate for Payer: BCBS MAPPO |
$20.74
|
| Rate for Payer: BCBS Trust/PPO |
$277.89
|
| Rate for Payer: BCN Commercial |
$32.75
|
| Rate for Payer: BCN Medicare Advantage |
$20.74
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$29.87
|
| Rate for Payer: Cofinity Commercial |
$27.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$21.78
|
| Rate for Payer: PACE SWMI |
$20.74
|
| Rate for Payer: PHP Medicare Advantage |
$20.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.68
|
| Rate for Payer: Priority Health Medicare |
$20.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.74
|
| Rate for Payer: UHC Medicare Advantage |
$21.36
|
|
|
PR REM INTERROG SCRMS <30 D PHYS/QHP
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 93298
|
| Min. Negotiated Rate |
$21.60 |
| Max. Negotiated Rate |
$1,610.26 |
| Rate for Payer: Aetna Commercial |
$34.25
|
| Rate for Payer: Aetna Medicare |
$26.58
|
| Rate for Payer: BCBS Complete |
$21.60
|
| Rate for Payer: BCBS MAPPO |
$25.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,610.26
|
| Rate for Payer: BCN Commercial |
$37.63
|
| Rate for Payer: BCN Medicare Advantage |
$25.56
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$34.25
|
| Rate for Payer: Cofinity Commercial |
$36.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$26.84
|
| Rate for Payer: PACE SWMI |
$25.56
|
| Rate for Payer: PHP Medicare Advantage |
$25.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.41
|
| Rate for Payer: Priority Health Medicare |
$25.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.56
|
| Rate for Payer: UHC Medicare Advantage |
$26.33
|
|
|
PR REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D
|
Professional
|
Both
|
$109.00
|
|
|
Service Code
|
HCPCS 99454
|
| Min. Negotiated Rate |
$43.60 |
| Max. Negotiated Rate |
$203.92 |
| Rate for Payer: Aetna Commercial |
$61.30
|
| Rate for Payer: Aetna Medicare |
$47.58
|
| Rate for Payer: BCBS Complete |
$43.60
|
| Rate for Payer: BCBS MAPPO |
$45.75
|
| Rate for Payer: BCBS Trust/PPO |
$203.92
|
| Rate for Payer: BCN Commercial |
$72.33
|
| Rate for Payer: BCN Medicare Advantage |
$45.75
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cash Price |
$87.20
|
| Rate for Payer: Cofinity Commercial |
$61.30
|
| Rate for Payer: Cofinity Commercial |
$65.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$48.04
|
| Rate for Payer: PACE SWMI |
$45.75
|
| Rate for Payer: PHP Medicare Advantage |
$45.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.39
|
| Rate for Payer: Priority Health Medicare |
$45.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.75
|
| Rate for Payer: UHC Medicare Advantage |
$47.12
|
|
|
PR REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 99453
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$1,867.54 |
| Rate for Payer: Aetna Commercial |
$23.73
|
| Rate for Payer: Aetna Medicare |
$18.42
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$17.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,867.54
|
| Rate for Payer: BCN Commercial |
$27.85
|
| Rate for Payer: BCN Medicare Advantage |
$17.71
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$25.50
|
| Rate for Payer: Cofinity Commercial |
$23.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$18.60
|
| Rate for Payer: PACE SWMI |
$17.71
|
| Rate for Payer: PHP Medicare Advantage |
$17.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24.42
|
| Rate for Payer: Priority Health Medicare |
$17.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.71
|
| Rate for Payer: UHC Medicare Advantage |
$18.24
|
|
|
PR REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D
|
Professional
|
Both
|
$99.00
|
|
|
Service Code
|
HCPCS 93264
|
| Min. Negotiated Rate |
$22.37 |
| Max. Negotiated Rate |
$817.28 |
| Rate for Payer: Aetna Commercial |
$46.38
|
| Rate for Payer: Aetna Medicare |
$35.99
|
| Rate for Payer: BCBS Complete |
$23.49
|
| Rate for Payer: BCBS MAPPO |
$34.61
|
| Rate for Payer: BCBS Trust/PPO |
$817.28
|
| Rate for Payer: BCN Commercial |
$73.31
|
| Rate for Payer: BCN Medicare Advantage |
$34.61
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cofinity Commercial |
$46.38
|
| Rate for Payer: Cofinity Commercial |
$49.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.61
|
| Rate for Payer: Mclaren Medicaid |
$22.37
|
| Rate for Payer: Meridian Medicaid |
$23.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.34
|
| Rate for Payer: PACE SWMI |
$34.61
|
| Rate for Payer: PHP Medicare Advantage |
$34.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$69.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$49.17
|
| Rate for Payer: Priority Health Medicare |
$34.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$34.61
|
| Rate for Payer: UHC Medicare Advantage |
$35.65
|
|
|
PR REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH
|
Professional
|
Both
|
$98.00
|
|
|
Service Code
|
HCPCS 99457
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$278.41 |
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS Trust/PPO |
$278.41
|
| Rate for Payer: BCN Commercial |
$70.37
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.12
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$30.43
|
|
|
PR REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 99458
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$140.53 |
| Rate for Payer: Aetna Commercial |
$39.58
|
| Rate for Payer: Aetna Medicare |
$30.72
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$29.54
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$57.17
|
| Rate for Payer: BCN Medicare Advantage |
$29.54
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$42.54
|
| Rate for Payer: Cofinity Commercial |
$39.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$29.54
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$31.02
|
| Rate for Payer: PACE SWMI |
$29.54
|
| Rate for Payer: PHP Medicare Advantage |
$29.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.12
|
| Rate for Payer: Priority Health Medicare |
$29.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$29.54
|
| Rate for Payer: UHC Medicare Advantage |
$30.43
|
|
|
PR REMOT IMAGE SUBMIT BY PT
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS G2010
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$119.40 |
| Rate for Payer: Aetna Commercial |
$11.97
|
| Rate for Payer: Aetna Medicare |
$9.29
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS MAPPO |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$119.40
|
| Rate for Payer: BCN Commercial |
$17.59
|
| Rate for Payer: BCN Medicare Advantage |
$8.93
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$12.86
|
| Rate for Payer: Cofinity Commercial |
$11.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.93
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$9.38
|
| Rate for Payer: PACE SWMI |
$8.93
|
| Rate for Payer: PHP Medicare Advantage |
$8.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.57
|
| Rate for Payer: Priority Health Medicare |
$8.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.93
|
| Rate for Payer: UHC Medicare Advantage |
$9.20
|
|
|
PR REMOVAL ANAL SETON OTHER MARKER
|
Professional
|
Both
|
$236.00
|
|
|
Service Code
|
HCPCS 46030
|
| Min. Negotiated Rate |
$85.82 |
| Max. Negotiated Rate |
$1,184.45 |
| Rate for Payer: Aetna Commercial |
$115.00
|
| Rate for Payer: Aetna Medicare |
$89.25
|
| Rate for Payer: BCBS Complete |
$94.40
|
| Rate for Payer: BCBS MAPPO |
$85.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$377.75
|
| Rate for Payer: BCN Medicare Advantage |
$85.82
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cash Price |
$188.80
|
| Rate for Payer: Cofinity Commercial |
$123.58
|
| Rate for Payer: Cofinity Commercial |
$115.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$90.11
|
| Rate for Payer: PACE SWMI |
$85.82
|
| Rate for Payer: PHP Medicare Advantage |
$85.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.29
|
| Rate for Payer: Priority Health Medicare |
$85.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$152.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$85.82
|
| Rate for Payer: UHC Medicare Advantage |
$88.39
|
|
|
PR REMOVAL ANKLE IMPLANT
|
Professional
|
Both
|
$1,786.00
|
|
|
Service Code
|
HCPCS 27704
|
| Min. Negotiated Rate |
$366.79 |
| Max. Negotiated Rate |
$2,348.82 |
| Rate for Payer: Aetna Commercial |
$748.58
|
| Rate for Payer: Aetna Medicare |
$580.99
|
| Rate for Payer: BCBS Complete |
$385.13
|
| Rate for Payer: BCBS MAPPO |
$558.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,348.82
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$558.64
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cash Price |
$1,428.80
|
| Rate for Payer: Cofinity Commercial |
$804.44
|
| Rate for Payer: Cofinity Commercial |
$748.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$558.64
|
| Rate for Payer: Mclaren Medicaid |
$366.79
|
| Rate for Payer: Meridian Medicaid |
$385.13
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$586.57
|
| Rate for Payer: PACE SWMI |
$558.64
|
| Rate for Payer: PHP Medicare Advantage |
$558.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,250.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$872.70
|
| Rate for Payer: Priority Health Medicare |
$558.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$872.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$558.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$558.64
|
| Rate for Payer: UHC Medicare Advantage |
$575.40
|
|
|
PR REMOVAL ANTERIOR INSTRUMENTATION
|
Professional
|
Both
|
$3,964.00
|
|
|
Service Code
|
HCPCS 22855
|
| Min. Negotiated Rate |
$210.26 |
| Max. Negotiated Rate |
$2,774.80 |
| Rate for Payer: Aetna Commercial |
$1,480.23
|
| Rate for Payer: Aetna Medicare |
$1,148.84
|
| Rate for Payer: BCBS Complete |
$751.92
|
| Rate for Payer: BCBS MAPPO |
$1,104.65
|
| Rate for Payer: BCBS Trust/PPO |
$210.26
|
| Rate for Payer: BCN Commercial |
$1,795.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,104.65
|
| Rate for Payer: Cash Price |
$3,171.20
|
| Rate for Payer: Cash Price |
$3,171.20
|
| Rate for Payer: Cofinity Commercial |
$1,480.23
|
| Rate for Payer: Cofinity Commercial |
$1,590.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,104.65
|
| Rate for Payer: Mclaren Medicaid |
$716.11
|
| Rate for Payer: Meridian Medicaid |
$751.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,159.88
|
| Rate for Payer: PACE SWMI |
$1,104.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,104.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$716.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,774.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,703.53
|
| Rate for Payer: Priority Health Medicare |
$1,104.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,703.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,104.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,104.65
|
| Rate for Payer: UHC Medicare Advantage |
$1,137.79
|
|
|
PR REMOVAL/BIVALVING FULL ARM/FULL LEG CAST
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 29705
|
| Min. Negotiated Rate |
$28.33 |
| Max. Negotiated Rate |
$1,732.82 |
| Rate for Payer: Aetna Commercial |
$58.99
|
| Rate for Payer: Aetna Medicare |
$45.78
|
| Rate for Payer: BCBS Complete |
$29.75
|
| Rate for Payer: BCBS MAPPO |
$44.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,732.82
|
| Rate for Payer: BCN Commercial |
$91.87
|
| Rate for Payer: BCN Medicare Advantage |
$44.02
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$63.39
|
| Rate for Payer: Cofinity Commercial |
$58.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$44.02
|
| Rate for Payer: Mclaren Medicaid |
$28.33
|
| Rate for Payer: Meridian Medicaid |
$29.75
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$46.22
|
| Rate for Payer: PACE SWMI |
$44.02
|
| Rate for Payer: PHP Medicare Advantage |
$44.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67.92
|
| Rate for Payer: Priority Health Medicare |
$44.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$44.02
|
| Rate for Payer: UHC Medicare Advantage |
$45.34
|
|
|
PR REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA
|
Professional
|
Both
|
$363.00
|
|
|
Service Code
|
HCPCS 59871
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$714.79 |
| Rate for Payer: Aetna Commercial |
$178.13
|
| Rate for Payer: Aetna Medicare |
$138.25
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS MAPPO |
$132.93
|
| Rate for Payer: BCBS Trust/PPO |
$714.79
|
| Rate for Payer: BCN Commercial |
$194.49
|
| Rate for Payer: BCN Medicare Advantage |
$132.93
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cash Price |
$290.40
|
| Rate for Payer: Cofinity Commercial |
$191.42
|
| Rate for Payer: Cofinity Commercial |
$178.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$132.93
|
| Rate for Payer: Mclaren Medicaid |
$85.63
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$139.58
|
| Rate for Payer: PACE SWMI |
$132.93
|
| Rate for Payer: PHP Medicare Advantage |
$132.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$187.92
|
| Rate for Payer: Priority Health Medicare |
$132.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$132.93
|
| Rate for Payer: UHC Medicare Advantage |
$136.92
|
|
|
PR REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE
|
Professional
|
Both
|
$1,519.00
|
|
|
Service Code
|
HCPCS 21029
|
| Min. Negotiated Rate |
$401.93 |
| Max. Negotiated Rate |
$3,995.58 |
| Rate for Payer: Aetna Commercial |
$813.88
|
| Rate for Payer: Aetna Medicare |
$631.66
|
| Rate for Payer: BCBS Complete |
$422.03
|
| Rate for Payer: BCBS MAPPO |
$607.37
|
| Rate for Payer: BCBS Trust/PPO |
$3,995.58
|
| Rate for Payer: BCN Commercial |
$1,128.35
|
| Rate for Payer: BCN Medicare Advantage |
$607.37
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cofinity Commercial |
$874.61
|
| Rate for Payer: Cofinity Commercial |
$813.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$607.37
|
| Rate for Payer: Mclaren Medicaid |
$401.93
|
| Rate for Payer: Meridian Medicaid |
$422.03
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$637.74
|
| Rate for Payer: PACE SWMI |
$607.37
|
| Rate for Payer: PHP Medicare Advantage |
$607.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,063.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$951.34
|
| Rate for Payer: Priority Health Medicare |
$607.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$951.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$607.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$607.37
|
| Rate for Payer: UHC Medicare Advantage |
$625.59
|
|
|
PR REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO
|
Professional
|
Both
|
$1,511.00
|
|
|
Service Code
|
HCPCS 64570
|
| Min. Negotiated Rate |
$427.92 |
| Max. Negotiated Rate |
$1,264.38 |
| Rate for Payer: Aetna Commercial |
$988.16
|
| Rate for Payer: Aetna Medicare |
$766.93
|
| Rate for Payer: BCBS Complete |
$505.45
|
| Rate for Payer: BCBS MAPPO |
$737.43
|
| Rate for Payer: BCBS Trust/PPO |
$427.92
|
| Rate for Payer: BCN Commercial |
$1,091.21
|
| Rate for Payer: BCN Medicare Advantage |
$737.43
|
| Rate for Payer: Cash Price |
$1,208.80
|
| Rate for Payer: Cash Price |
$1,208.80
|
| Rate for Payer: Cofinity Commercial |
$1,061.90
|
| Rate for Payer: Cofinity Commercial |
$988.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$737.43
|
| Rate for Payer: Mclaren Medicaid |
$481.38
|
| Rate for Payer: Meridian Medicaid |
$505.45
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$774.30
|
| Rate for Payer: PACE SWMI |
$737.43
|
| Rate for Payer: PHP Medicare Advantage |
$737.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$481.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,057.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,264.38
|
| Rate for Payer: Priority Health Medicare |
$737.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,264.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$737.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$737.43
|
| Rate for Payer: UHC Medicare Advantage |
$759.55
|
|
|
PR REMOVAL EMBEDDED FOREIGN BODY EYELID
|
Professional
|
Both
|
$471.00
|
|
|
Service Code
|
HCPCS 67938
|
| Min. Negotiated Rate |
$74.76 |
| Max. Negotiated Rate |
$1,699.01 |
| Rate for Payer: Aetna Commercial |
$150.70
|
| Rate for Payer: Aetna Medicare |
$116.96
|
| Rate for Payer: BCBS Complete |
$78.50
|
| Rate for Payer: BCBS MAPPO |
$112.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,699.01
|
| Rate for Payer: BCN Commercial |
$399.74
|
| Rate for Payer: BCN Medicare Advantage |
$112.46
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Cash Price |
$376.80
|
| Rate for Payer: Cofinity Commercial |
$161.94
|
| Rate for Payer: Cofinity Commercial |
$150.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.46
|
| Rate for Payer: Mclaren Medicaid |
$74.76
|
| Rate for Payer: Meridian Medicaid |
$78.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$118.08
|
| Rate for Payer: PACE SWMI |
$112.46
|
| Rate for Payer: PHP Medicare Advantage |
$112.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$329.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$204.32
|
| Rate for Payer: Priority Health Medicare |
$112.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$204.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.46
|
| Rate for Payer: UHC Medicare Advantage |
$115.83
|
|
|
PR REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES
|
Professional
|
Both
|
$935.00
|
|
|
Service Code
|
HCPCS 20694
|
| Min. Negotiated Rate |
$221.95 |
| Max. Negotiated Rate |
$22,818.32 |
| Rate for Payer: Aetna Commercial |
$447.91
|
| Rate for Payer: Aetna Medicare |
$347.63
|
| Rate for Payer: BCBS Complete |
$233.05
|
| Rate for Payer: BCBS MAPPO |
$334.26
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$634.30
|
| Rate for Payer: BCN Medicare Advantage |
$334.26
|
| Rate for Payer: Cash Price |
$748.00
|
| Rate for Payer: Cash Price |
$748.00
|
| Rate for Payer: Cofinity Commercial |
$481.33
|
| Rate for Payer: Cofinity Commercial |
$447.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.26
|
| Rate for Payer: Mclaren Medicaid |
$221.95
|
| Rate for Payer: Meridian Medicaid |
$233.05
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$350.97
|
| Rate for Payer: PACE SWMI |
$334.26
|
| Rate for Payer: PHP Medicare Advantage |
$334.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$221.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$654.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$524.44
|
| Rate for Payer: Priority Health Medicare |
$334.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$524.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$334.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.26
|
| Rate for Payer: UHC Medicare Advantage |
$344.29
|
|
|
PR REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL
|
Professional
|
Both
|
$190.00
|
|
|
Service Code
|
HCPCS 65205
|
| Min. Negotiated Rate |
$18.32 |
| Max. Negotiated Rate |
$238.26 |
| Rate for Payer: Aetna Commercial |
$37.86
|
| Rate for Payer: Aetna Medicare |
$29.38
|
| Rate for Payer: BCBS Complete |
$19.24
|
| Rate for Payer: BCBS MAPPO |
$28.25
|
| Rate for Payer: BCBS Trust/PPO |
$238.26
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Medicare Advantage |
$28.25
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cofinity Commercial |
$40.68
|
| Rate for Payer: Cofinity Commercial |
$37.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.25
|
| Rate for Payer: Mclaren Medicaid |
$18.32
|
| Rate for Payer: Meridian Medicaid |
$19.24
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$29.66
|
| Rate for Payer: PACE SWMI |
$28.25
|
| Rate for Payer: PHP Medicare Advantage |
$28.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.34
|
| Rate for Payer: Priority Health Medicare |
$28.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.25
|
| Rate for Payer: UHC Medicare Advantage |
$29.10
|
|
|
PR REMOVAL FOREIGN BODY DEEP PENILE TISSUE
|
Professional
|
Both
|
$833.00
|
|
|
Service Code
|
HCPCS 54115
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$2,119.54 |
| Rate for Payer: Aetna Commercial |
$556.70
|
| Rate for Payer: Aetna Medicare |
$432.07
|
| Rate for Payer: BCBS Complete |
$287.40
|
| Rate for Payer: BCBS MAPPO |
$415.45
|
| Rate for Payer: BCBS Trust/PPO |
$2,119.54
|
| Rate for Payer: BCN Commercial |
$663.13
|
| Rate for Payer: BCN Medicare Advantage |
$415.45
|
| Rate for Payer: Cash Price |
$666.40
|
| Rate for Payer: Cash Price |
$666.40
|
| Rate for Payer: Cofinity Commercial |
$598.25
|
| Rate for Payer: Cofinity Commercial |
$556.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.45
|
| Rate for Payer: Mclaren Medicaid |
$273.71
|
| Rate for Payer: Meridian Medicaid |
$287.40
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$436.22
|
| Rate for Payer: PACE SWMI |
$415.45
|
| Rate for Payer: PHP Medicare Advantage |
$415.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$583.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$682.48
|
| Rate for Payer: Priority Health Medicare |
$415.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$682.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$415.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$415.45
|
| Rate for Payer: UHC Medicare Advantage |
$427.91
|
|
