|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$764.45 |
| Rate for Payer: Aetna Commercial |
$213.23
|
| Rate for Payer: Aetna Medicare |
$165.50
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$159.13
|
| Rate for Payer: BCBS Trust/PPO |
$764.45
|
| Rate for Payer: BCN Commercial |
$343.05
|
| Rate for Payer: BCN Medicare Advantage |
$159.13
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$229.15
|
| Rate for Payer: Cofinity Commercial |
$213.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.13
|
| Rate for Payer: Mclaren Medicaid |
$107.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.09
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Nomi Health Commercial |
$190.96
|
| Rate for Payer: PACE SWMI |
$159.13
|
| Rate for Payer: PHP Medicare Advantage |
$159.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health HMO/PPO |
$300.09
|
| Rate for Payer: Priority Health Medicare |
$160.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$300.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$159.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$159.13
|
| Rate for Payer: UHC Exchange |
$159.13
|
| Rate for Payer: UHC Medicare Advantage |
$159.13
|
| Rate for Payer: UHCCP Medicaid |
$107.99
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,287.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$599.09 |
| Max. Negotiated Rate |
$2,136.55 |
| Rate for Payer: Aetna Commercial |
$1,606.74
|
| Rate for Payer: Aetna Medicare |
$1,643.50
|
| Rate for Payer: BCBS Complete |
$1,314.80
|
| Rate for Payer: BCBS Trust/PPO |
$599.09
|
| Rate for Payer: BCN Commercial |
$1,742.14
|
| Rate for Payer: Cash Price |
$2,629.60
|
| Rate for Payer: Cash Price |
$2,629.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,136.55
|
|
|
PR EXCISION DISTAL ULNA PARTIAL/COMPLETE
|
Professional
|
Both
|
$1,560.00
|
|
|
Service Code
|
HCPCS 25240
|
| Min. Negotiated Rate |
$284.78 |
| Max. Negotiated Rate |
$1,623.99 |
| Rate for Payer: Aetna Commercial |
$559.77
|
| Rate for Payer: Aetna Medicare |
$434.45
|
| Rate for Payer: BCBS Complete |
$299.02
|
| Rate for Payer: BCBS MAPPO |
$417.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,623.99
|
| Rate for Payer: BCN Commercial |
$638.21
|
| Rate for Payer: BCN Medicare Advantage |
$417.74
|
| Rate for Payer: Cash Price |
$1,248.00
|
| Rate for Payer: Cash Price |
$1,248.00
|
| Rate for Payer: Cofinity Commercial |
$559.77
|
| Rate for Payer: Cofinity Commercial |
$601.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.74
|
| Rate for Payer: Mclaren Medicaid |
$284.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.63
|
| Rate for Payer: Meridian Medicaid |
$299.02
|
| Rate for Payer: Nomi Health Commercial |
$501.29
|
| Rate for Payer: PACE SWMI |
$417.74
|
| Rate for Payer: PHP Medicare Advantage |
$417.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$284.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.00
|
| Rate for Payer: Priority Health HMO/PPO |
$673.22
|
| Rate for Payer: Priority Health Medicare |
$421.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$673.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$417.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$417.74
|
| Rate for Payer: UHC Exchange |
$417.74
|
| Rate for Payer: UHC Medicare Advantage |
$417.74
|
| Rate for Payer: UHCCP Medicaid |
$284.78
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$1,959.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$650.50 |
| Max. Negotiated Rate |
$4,160.00 |
| Rate for Payer: Aetna Commercial |
$1,297.00
|
| Rate for Payer: Aetna Medicare |
$1,006.63
|
| Rate for Payer: BCBS Complete |
$683.02
|
| Rate for Payer: BCBS MAPPO |
$967.91
|
| Rate for Payer: BCBS Trust/PPO |
$4,160.00
|
| Rate for Payer: BCN Commercial |
$1,468.47
|
| Rate for Payer: BCN Medicare Advantage |
$967.91
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cofinity Commercial |
$1,393.79
|
| Rate for Payer: Cofinity Commercial |
$1,297.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.91
|
| Rate for Payer: Mclaren Medicaid |
$650.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,016.31
|
| Rate for Payer: Meridian Medicaid |
$683.02
|
| Rate for Payer: Nomi Health Commercial |
$1,161.49
|
| Rate for Payer: PACE SWMI |
$967.91
|
| Rate for Payer: PHP Medicare Advantage |
$967.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,273.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,540.84
|
| Rate for Payer: Priority Health Medicare |
$977.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,540.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$967.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.91
|
| Rate for Payer: UHC Exchange |
$967.91
|
| Rate for Payer: UHC Medicare Advantage |
$967.91
|
| Rate for Payer: UHCCP Medicaid |
$650.50
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$196.94 |
| Max. Negotiated Rate |
$10,615.31 |
| Rate for Payer: Aetna Commercial |
$531.57
|
| Rate for Payer: Aetna Medicare |
$434.50
|
| Rate for Payer: BCBS Complete |
$206.79
|
| Rate for Payer: BCBS Trust/PPO |
$10,615.31
|
| Rate for Payer: BCN Commercial |
$536.46
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Mclaren Medicaid |
$196.94
|
| Rate for Payer: Meridian Medicaid |
$206.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: Priority Health HMO/PPO |
$666.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$666.43
|
| Rate for Payer: UHCCP Medicaid |
$196.94
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$377.57 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,020.24
|
| Rate for Payer: Aetna Medicare |
$791.82
|
| Rate for Payer: BCBS Complete |
$542.13
|
| Rate for Payer: BCBS MAPPO |
$761.37
|
| Rate for Payer: BCBS Trust/PPO |
$377.57
|
| Rate for Payer: BCN Commercial |
$1,166.47
|
| Rate for Payer: BCN Medicare Advantage |
$761.37
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,096.37
|
| Rate for Payer: Cofinity Commercial |
$1,020.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$761.37
|
| Rate for Payer: Mclaren Medicaid |
$516.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$799.44
|
| Rate for Payer: Meridian Medicaid |
$542.13
|
| Rate for Payer: Nomi Health Commercial |
$913.64
|
| Rate for Payer: PACE SWMI |
$761.37
|
| Rate for Payer: PHP Medicare Advantage |
$761.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,083.64
|
| Rate for Payer: Priority Health Medicare |
$768.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,083.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$761.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$761.37
|
| Rate for Payer: UHC Exchange |
$761.37
|
| Rate for Payer: UHC Medicare Advantage |
$761.37
|
| Rate for Payer: UHCCP Medicaid |
$516.31
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA
|
Professional
|
Both
|
$2,192.00
|
|
|
Service Code
|
HCPCS 15839
|
| Min. Negotiated Rate |
$206.12 |
| Max. Negotiated Rate |
$1,424.80 |
| Rate for Payer: Aetna Commercial |
$948.28
|
| Rate for Payer: Aetna Medicare |
$735.98
|
| Rate for Payer: BCBS Complete |
$501.87
|
| Rate for Payer: BCBS MAPPO |
$707.67
|
| Rate for Payer: BCBS Trust/PPO |
$206.12
|
| Rate for Payer: BCN Commercial |
$1,308.19
|
| Rate for Payer: BCN Medicare Advantage |
$707.67
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Cofinity Commercial |
$948.28
|
| Rate for Payer: Cofinity Commercial |
$1,019.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$707.67
|
| Rate for Payer: Mclaren Medicaid |
$477.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$743.05
|
| Rate for Payer: Meridian Medicaid |
$501.87
|
| Rate for Payer: Nomi Health Commercial |
$849.20
|
| Rate for Payer: PACE SWMI |
$707.67
|
| Rate for Payer: PHP Medicare Advantage |
$707.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$477.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,424.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,005.08
|
| Rate for Payer: Priority Health Medicare |
$714.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,005.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$707.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$707.67
|
| Rate for Payer: UHC Exchange |
$707.67
|
| Rate for Payer: UHC Medicare Advantage |
$707.67
|
| Rate for Payer: UHCCP Medicaid |
$477.97
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$600.23 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,189.91
|
| Rate for Payer: Aetna Medicare |
$923.51
|
| Rate for Payer: BCBS Complete |
$630.24
|
| Rate for Payer: BCBS MAPPO |
$887.99
|
| Rate for Payer: BCBS Trust/PPO |
$634.70
|
| Rate for Payer: BCN Commercial |
$1,348.75
|
| Rate for Payer: BCN Medicare Advantage |
$887.99
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,278.71
|
| Rate for Payer: Cofinity Commercial |
$1,189.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$887.99
|
| Rate for Payer: Mclaren Medicaid |
$600.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.39
|
| Rate for Payer: Meridian Medicaid |
$630.24
|
| Rate for Payer: Nomi Health Commercial |
$1,065.59
|
| Rate for Payer: PACE SWMI |
$887.99
|
| Rate for Payer: PHP Medicare Advantage |
$887.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$600.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,252.05
|
| Rate for Payer: Priority Health Medicare |
$896.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,252.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$887.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$887.99
|
| Rate for Payer: UHC Exchange |
$887.99
|
| Rate for Payer: UHC Medicare Advantage |
$887.99
|
| Rate for Payer: UHCCP Medicaid |
$600.23
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,581.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$576.38 |
| Max. Negotiated Rate |
$4,892.06 |
| Rate for Payer: Aetna Commercial |
$1,113.19
|
| Rate for Payer: Aetna Medicare |
$863.97
|
| Rate for Payer: BCBS Complete |
$605.20
|
| Rate for Payer: BCBS MAPPO |
$830.74
|
| Rate for Payer: BCBS Trust/PPO |
$4,892.06
|
| Rate for Payer: BCN Commercial |
$1,334.09
|
| Rate for Payer: BCN Medicare Advantage |
$830.74
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cofinity Commercial |
$1,196.27
|
| Rate for Payer: Cofinity Commercial |
$1,113.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$830.74
|
| Rate for Payer: Mclaren Medicaid |
$576.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$872.28
|
| Rate for Payer: Meridian Medicaid |
$605.20
|
| Rate for Payer: Nomi Health Commercial |
$996.89
|
| Rate for Payer: PACE SWMI |
$830.74
|
| Rate for Payer: PHP Medicare Advantage |
$830.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$576.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,027.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,323.42
|
| Rate for Payer: Priority Health Medicare |
$839.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,323.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$830.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$830.74
|
| Rate for Payer: UHC Exchange |
$830.74
|
| Rate for Payer: UHC Medicare Advantage |
$830.74
|
| Rate for Payer: UHCCP Medicaid |
$576.38
|
|
|
PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 69120
|
| Min. Negotiated Rate |
$248.36 |
| Max. Negotiated Rate |
$4,565.04 |
| Rate for Payer: Aetna Commercial |
$483.20
|
| Rate for Payer: Aetna Medicare |
$375.02
|
| Rate for Payer: BCBS Complete |
$260.78
|
| Rate for Payer: BCBS MAPPO |
$360.60
|
| Rate for Payer: BCBS Trust/PPO |
$4,565.04
|
| Rate for Payer: BCN Commercial |
$573.70
|
| Rate for Payer: BCN Medicare Advantage |
$360.60
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cofinity Commercial |
$519.26
|
| Rate for Payer: Cofinity Commercial |
$483.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$360.60
|
| Rate for Payer: Mclaren Medicaid |
$248.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$378.63
|
| Rate for Payer: Meridian Medicaid |
$260.78
|
| Rate for Payer: Nomi Health Commercial |
$432.72
|
| Rate for Payer: PACE SWMI |
$360.60
|
| Rate for Payer: PHP Medicare Advantage |
$360.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.60
|
| Rate for Payer: Priority Health HMO/PPO |
$569.55
|
| Rate for Payer: Priority Health Medicare |
$364.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$569.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$360.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$360.60
|
| Rate for Payer: UHC Exchange |
$360.60
|
| Rate for Payer: UHC Medicare Advantage |
$360.60
|
| Rate for Payer: UHCCP Medicaid |
$248.36
|
|
|
PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 69110
|
| Min. Negotiated Rate |
$210.66 |
| Max. Negotiated Rate |
$2,466.10 |
| Rate for Payer: Aetna Commercial |
$410.16
|
| Rate for Payer: Aetna Medicare |
$318.33
|
| Rate for Payer: BCBS Complete |
$221.19
|
| Rate for Payer: BCBS MAPPO |
$306.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,466.10
|
| Rate for Payer: BCN Commercial |
$694.90
|
| Rate for Payer: BCN Medicare Advantage |
$306.09
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cofinity Commercial |
$440.77
|
| Rate for Payer: Cofinity Commercial |
$410.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.09
|
| Rate for Payer: Mclaren Medicaid |
$210.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.39
|
| Rate for Payer: Meridian Medicaid |
$221.19
|
| Rate for Payer: Nomi Health Commercial |
$367.31
|
| Rate for Payer: PACE SWMI |
$306.09
|
| Rate for Payer: PHP Medicare Advantage |
$306.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.60
|
| Rate for Payer: Priority Health HMO/PPO |
$482.00
|
| Rate for Payer: Priority Health Medicare |
$309.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$482.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.09
|
| Rate for Payer: UHC Exchange |
$306.09
|
| Rate for Payer: UHC Medicare Advantage |
$306.09
|
| Rate for Payer: UHCCP Medicaid |
$210.66
|
|
|
PR EXCISION FACIAL BONE
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 21026
|
| Min. Negotiated Rate |
$146.87 |
| Max. Negotiated Rate |
$780.90 |
| Rate for Payer: Aetna Commercial |
$554.48
|
| Rate for Payer: Aetna Medicare |
$430.34
|
| Rate for Payer: BCBS Complete |
$297.68
|
| Rate for Payer: BCBS MAPPO |
$413.79
|
| Rate for Payer: BCBS Trust/PPO |
$146.87
|
| Rate for Payer: BCN Commercial |
$780.90
|
| Rate for Payer: BCN Medicare Advantage |
$413.79
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cofinity Commercial |
$595.86
|
| Rate for Payer: Cofinity Commercial |
$554.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.79
|
| Rate for Payer: Mclaren Medicaid |
$283.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.48
|
| Rate for Payer: Meridian Medicaid |
$297.68
|
| Rate for Payer: Nomi Health Commercial |
$496.55
|
| Rate for Payer: PACE SWMI |
$413.79
|
| Rate for Payer: PHP Medicare Advantage |
$413.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$648.70
|
| Rate for Payer: Priority Health HMO/PPO |
$656.94
|
| Rate for Payer: Priority Health Medicare |
$417.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$656.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$413.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.79
|
| Rate for Payer: UHC Exchange |
$413.79
|
| Rate for Payer: UHC Medicare Advantage |
$413.79
|
| Rate for Payer: UHCCP Medicaid |
$283.50
|
|
|
PR EXCISION/FULGURATION URETHRAL PROLAPSE
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 53275
|
| Min. Negotiated Rate |
$168.27 |
| Max. Negotiated Rate |
$1,384.67 |
| Rate for Payer: Aetna Commercial |
$336.39
|
| Rate for Payer: Aetna Medicare |
$261.08
|
| Rate for Payer: BCBS Complete |
$176.68
|
| Rate for Payer: BCBS MAPPO |
$251.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.67
|
| Rate for Payer: BCN Commercial |
$380.68
|
| Rate for Payer: BCN Medicare Advantage |
$251.04
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$361.50
|
| Rate for Payer: Cofinity Commercial |
$336.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.04
|
| Rate for Payer: Mclaren Medicaid |
$168.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.59
|
| Rate for Payer: Meridian Medicaid |
$176.68
|
| Rate for Payer: Nomi Health Commercial |
$301.25
|
| Rate for Payer: PACE SWMI |
$251.04
|
| Rate for Payer: PHP Medicare Advantage |
$251.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health HMO/PPO |
$419.15
|
| Rate for Payer: Priority Health Medicare |
$253.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$419.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.04
|
| Rate for Payer: UHC Exchange |
$251.04
|
| Rate for Payer: UHC Medicare Advantage |
$251.04
|
| Rate for Payer: UHCCP Medicaid |
$168.27
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
|
Professional
|
Both
|
$1,106.00
|
|
|
Service Code
|
HCPCS 25111
|
| Min. Negotiated Rate |
$130.49 |
| Max. Negotiated Rate |
$718.90 |
| Rate for Payer: Aetna Commercial |
$422.30
|
| Rate for Payer: Aetna Medicare |
$327.76
|
| Rate for Payer: BCBS Complete |
$227.23
|
| Rate for Payer: BCBS MAPPO |
$315.15
|
| Rate for Payer: BCBS Trust/PPO |
$130.49
|
| Rate for Payer: BCN Commercial |
$483.30
|
| Rate for Payer: BCN Medicare Advantage |
$315.15
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Cofinity Commercial |
$453.82
|
| Rate for Payer: Cofinity Commercial |
$422.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.15
|
| Rate for Payer: Mclaren Medicaid |
$216.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.91
|
| Rate for Payer: Meridian Medicaid |
$227.23
|
| Rate for Payer: Nomi Health Commercial |
$378.18
|
| Rate for Payer: PACE SWMI |
$315.15
|
| Rate for Payer: PHP Medicare Advantage |
$315.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$718.90
|
| Rate for Payer: Priority Health HMO/PPO |
$510.90
|
| Rate for Payer: Priority Health Medicare |
$318.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$510.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.15
|
| Rate for Payer: UHC Exchange |
$315.15
|
| Rate for Payer: UHC Medicare Advantage |
$315.15
|
| Rate for Payer: UHCCP Medicaid |
$216.41
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT
|
Professional
|
Both
|
$1,150.00
|
|
|
Service Code
|
HCPCS 25112
|
| Min. Negotiated Rate |
$25.89 |
| Max. Negotiated Rate |
$747.50 |
| Rate for Payer: Aetna Commercial |
$508.56
|
| Rate for Payer: Aetna Medicare |
$394.70
|
| Rate for Payer: BCBS Complete |
$272.18
|
| Rate for Payer: BCBS MAPPO |
$379.52
|
| Rate for Payer: BCBS Trust/PPO |
$25.89
|
| Rate for Payer: BCN Commercial |
$580.06
|
| Rate for Payer: BCN Medicare Advantage |
$379.52
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Cofinity Commercial |
$546.51
|
| Rate for Payer: Cofinity Commercial |
$508.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.52
|
| Rate for Payer: Mclaren Medicaid |
$259.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.50
|
| Rate for Payer: Meridian Medicaid |
$272.18
|
| Rate for Payer: Nomi Health Commercial |
$455.42
|
| Rate for Payer: PACE SWMI |
$379.52
|
| Rate for Payer: PHP Medicare Advantage |
$379.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$259.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$747.50
|
| Rate for Payer: Priority Health HMO/PPO |
$612.67
|
| Rate for Payer: Priority Health Medicare |
$383.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$612.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.52
|
| Rate for Payer: UHC Exchange |
$379.52
|
| Rate for Payer: UHC Medicare Advantage |
$379.52
|
| Rate for Payer: UHCCP Medicaid |
$259.22
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$837.00
|
|
|
Service Code
|
HCPCS 11451
|
| Min. Negotiated Rate |
$215.98 |
| Max. Negotiated Rate |
$2,369.57 |
| Rate for Payer: Aetna Commercial |
$428.28
|
| Rate for Payer: Aetna Medicare |
$332.39
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS MAPPO |
$319.61
|
| Rate for Payer: BCBS Trust/PPO |
$2,369.57
|
| Rate for Payer: BCN Commercial |
$777.00
|
| Rate for Payer: BCN Medicare Advantage |
$319.61
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$460.24
|
| Rate for Payer: Cofinity Commercial |
$428.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.61
|
| Rate for Payer: Mclaren Medicaid |
$215.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.59
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Nomi Health Commercial |
$383.53
|
| Rate for Payer: PACE SWMI |
$319.61
|
| Rate for Payer: PHP Medicare Advantage |
$319.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health HMO/PPO |
$452.42
|
| Rate for Payer: Priority Health Medicare |
$322.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$452.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$319.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.61
|
| Rate for Payer: UHC Exchange |
$319.61
|
| Rate for Payer: UHC Medicare Advantage |
$319.61
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Facility
|
IP
|
$837.00
|
|
|
Service Code
|
CPT 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$544.05 |
| Max. Negotiated Rate |
$753.30 |
| Rate for Payer: Aetna Commercial |
$711.45
|
| Rate for Payer: BCBS Trust/PPO |
$683.24
|
| Rate for Payer: BCN Commercial |
$646.83
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$719.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.60
|
| Rate for Payer: Healthscope Commercial |
$753.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$627.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$711.45
|
| Rate for Payer: Nomi Health Commercial |
$686.34
|
| Rate for Payer: PHP Commercial |
$711.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health HMO/PPO |
$728.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$560.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$736.56
|
| Rate for Payer: UHC Core |
$698.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$627.75
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$837.00
|
|
|
Service Code
|
HCPCS 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$215.98 |
| Max. Negotiated Rate |
$2,369.57 |
| Rate for Payer: Aetna Commercial |
$428.28
|
| Rate for Payer: Aetna Medicare |
$332.39
|
| Rate for Payer: BCBS Complete |
$226.78
|
| Rate for Payer: BCBS MAPPO |
$319.61
|
| Rate for Payer: BCBS Trust/PPO |
$2,369.57
|
| Rate for Payer: BCN Commercial |
$777.00
|
| Rate for Payer: BCN Medicare Advantage |
$319.61
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$460.24
|
| Rate for Payer: Cofinity Commercial |
$428.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.61
|
| Rate for Payer: Mclaren Medicaid |
$215.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.59
|
| Rate for Payer: Meridian Medicaid |
$226.78
|
| Rate for Payer: Nomi Health Commercial |
$383.53
|
| Rate for Payer: PACE SWMI |
$319.61
|
| Rate for Payer: PHP Medicare Advantage |
$319.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health HMO/PPO |
$452.42
|
| Rate for Payer: Priority Health Medicare |
$322.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$452.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$319.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.61
|
| Rate for Payer: UHC Exchange |
$319.61
|
| Rate for Payer: UHC Medicare Advantage |
$319.61
|
| Rate for Payer: UHCCP Medicaid |
$215.98
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Facility
|
OP
|
$837.00
|
|
|
Service Code
|
CPT 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$198.79 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$711.45
|
| Rate for Payer: Aetna Medicare |
$217.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$261.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$261.56
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$209.25
|
| Rate for Payer: BCBS Trust/PPO |
$688.10
|
| Rate for Payer: BCN Commercial |
$650.77
|
| Rate for Payer: BCN Medicare Advantage |
$209.25
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$719.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$209.25
|
| Rate for Payer: Healthscope Commercial |
$753.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$627.75
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$219.71
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$240.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$711.45
|
| Rate for Payer: Nomi Health Commercial |
$686.34
|
| Rate for Payer: PACE Senior Care Partners |
$198.79
|
| Rate for Payer: PACE SWMI |
$209.25
|
| Rate for Payer: PHP Commercial |
$711.45
|
| Rate for Payer: PHP Medicare Advantage |
$209.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health HMO/PPO |
$728.19
|
| Rate for Payer: Priority Health Medicare |
$211.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$560.79
|
| Rate for Payer: Railroad Medicare Medicare |
$209.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$736.56
|
| Rate for Payer: UHC Core |
$698.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$209.25
|
| Rate for Payer: UHC Exchange |
$209.25
|
| Rate for Payer: UHC Medicare Advantage |
$209.25
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$209.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$627.75
|
|
|
PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
|
Professional
|
Both
|
$733.00
|
|
|
Service Code
|
HCPCS 11450
|
| Min. Negotiated Rate |
$170.83 |
| Max. Negotiated Rate |
$2,369.57 |
| Rate for Payer: Aetna Commercial |
$337.40
|
| Rate for Payer: Aetna Medicare |
$261.86
|
| Rate for Payer: BCBS Complete |
$179.37
|
| Rate for Payer: BCBS MAPPO |
$251.79
|
| Rate for Payer: BCBS Trust/PPO |
$2,369.57
|
| Rate for Payer: BCN Commercial |
$636.26
|
| Rate for Payer: BCN Medicare Advantage |
$251.79
|
| Rate for Payer: Cash Price |
$586.40
|
| Rate for Payer: Cash Price |
$586.40
|
| Rate for Payer: Cofinity Commercial |
$362.58
|
| Rate for Payer: Cofinity Commercial |
$337.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.79
|
| Rate for Payer: Mclaren Medicaid |
$170.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$264.38
|
| Rate for Payer: Meridian Medicaid |
$179.37
|
| Rate for Payer: Nomi Health Commercial |
$302.15
|
| Rate for Payer: PACE SWMI |
$251.79
|
| Rate for Payer: PHP Medicare Advantage |
$251.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$476.45
|
| Rate for Payer: Priority Health HMO/PPO |
$358.50
|
| Rate for Payer: Priority Health Medicare |
$254.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$358.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$251.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.79
|
| Rate for Payer: UHC Exchange |
$251.79
|
| Rate for Payer: UHC Medicare Advantage |
$251.79
|
| Rate for Payer: UHCCP Medicaid |
$170.83
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$635.00
|
|
|
Service Code
|
HCPCS 11463
|
| Min. Negotiated Rate |
$214.70 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$425.12
|
| Rate for Payer: Aetna Medicare |
$329.94
|
| Rate for Payer: BCBS Complete |
$225.44
|
| Rate for Payer: BCBS MAPPO |
$317.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.25
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$317.25
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$456.84
|
| Rate for Payer: Cofinity Commercial |
$425.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.25
|
| Rate for Payer: Mclaren Medicaid |
$214.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.11
|
| Rate for Payer: Meridian Medicaid |
$225.44
|
| Rate for Payer: Nomi Health Commercial |
$380.70
|
| Rate for Payer: PACE SWMI |
$317.25
|
| Rate for Payer: PHP Medicare Advantage |
$317.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: Priority Health HMO/PPO |
$454.68
|
| Rate for Payer: Priority Health Medicare |
$320.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$454.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$317.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.25
|
| Rate for Payer: UHC Exchange |
$317.25
|
| Rate for Payer: UHC Medicare Advantage |
$317.25
|
| Rate for Payer: UHCCP Medicaid |
$214.70
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
IP
|
$635.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$412.75 |
| Max. Negotiated Rate |
$571.50 |
| Rate for Payer: Aetna Commercial |
$539.75
|
| Rate for Payer: BCBS Trust/PPO |
$518.35
|
| Rate for Payer: BCN Commercial |
$490.73
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$546.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.00
|
| Rate for Payer: Healthscope Commercial |
$571.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$476.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$539.75
|
| Rate for Payer: Nomi Health Commercial |
$520.70
|
| Rate for Payer: PHP Commercial |
$539.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: Priority Health HMO/PPO |
$552.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$425.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$558.80
|
| Rate for Payer: UHC Core |
$530.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$476.25
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Facility
|
OP
|
$635.00
|
|
|
Service Code
|
CPT 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$150.81 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$539.75
|
| Rate for Payer: Aetna Medicare |
$165.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$198.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$198.44
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$158.75
|
| Rate for Payer: BCBS Trust/PPO |
$522.03
|
| Rate for Payer: BCN Commercial |
$493.71
|
| Rate for Payer: BCN Medicare Advantage |
$158.75
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$546.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$508.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$158.75
|
| Rate for Payer: Healthscope Commercial |
$571.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$476.25
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$166.69
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$182.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$539.75
|
| Rate for Payer: Nomi Health Commercial |
$520.70
|
| Rate for Payer: PACE Senior Care Partners |
$150.81
|
| Rate for Payer: PACE SWMI |
$158.75
|
| Rate for Payer: PHP Commercial |
$539.75
|
| Rate for Payer: PHP Medicare Advantage |
$158.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: Priority Health HMO/PPO |
$552.45
|
| Rate for Payer: Priority Health Medicare |
$160.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$425.45
|
| Rate for Payer: Railroad Medicare Medicare |
$158.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$558.80
|
| Rate for Payer: UHC Core |
$530.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$158.75
|
| Rate for Payer: UHC Exchange |
$158.75
|
| Rate for Payer: UHC Medicare Advantage |
$158.75
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$158.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$476.25
|
|
|
PR EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR
|
Professional
|
Both
|
$635.00
|
|
|
Service Code
|
HCPCS 11463
|
| Hospital Charge Code |
11463
|
| Min. Negotiated Rate |
$214.70 |
| Max. Negotiated Rate |
$1,316.25 |
| Rate for Payer: Aetna Commercial |
$425.12
|
| Rate for Payer: Aetna Medicare |
$329.94
|
| Rate for Payer: BCBS Complete |
$225.44
|
| Rate for Payer: BCBS MAPPO |
$317.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.25
|
| Rate for Payer: BCN Commercial |
$787.75
|
| Rate for Payer: BCN Medicare Advantage |
$317.25
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cash Price |
$508.00
|
| Rate for Payer: Cofinity Commercial |
$456.84
|
| Rate for Payer: Cofinity Commercial |
$425.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.25
|
| Rate for Payer: Mclaren Medicaid |
$214.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.11
|
| Rate for Payer: Meridian Medicaid |
$225.44
|
| Rate for Payer: Nomi Health Commercial |
$380.70
|
| Rate for Payer: PACE SWMI |
$317.25
|
| Rate for Payer: PHP Medicare Advantage |
$317.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$214.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$412.75
|
| Rate for Payer: Priority Health HMO/PPO |
$454.68
|
| Rate for Payer: Priority Health Medicare |
$320.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$454.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$317.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.25
|
| Rate for Payer: UHC Exchange |
$317.25
|
| Rate for Payer: UHC Medicare Advantage |
$317.25
|
| Rate for Payer: UHCCP Medicaid |
$214.70
|
|
|
PR EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR
|
Professional
|
Both
|
$473.00
|
|
|
Service Code
|
HCPCS 11462
|
| Min. Negotiated Rate |
$163.80 |
| Max. Negotiated Rate |
$615.25 |
| Rate for Payer: Aetna Commercial |
$322.73
|
| Rate for Payer: Aetna Medicare |
$250.47
|
| Rate for Payer: BCBS Complete |
$171.99
|
| Rate for Payer: BCBS MAPPO |
$240.84
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$615.25
|
| Rate for Payer: BCN Medicare Advantage |
$240.84
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cash Price |
$378.40
|
| Rate for Payer: Cofinity Commercial |
$346.81
|
| Rate for Payer: Cofinity Commercial |
$322.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.84
|
| Rate for Payer: Mclaren Medicaid |
$163.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.88
|
| Rate for Payer: Meridian Medicaid |
$171.99
|
| Rate for Payer: Nomi Health Commercial |
$289.01
|
| Rate for Payer: PACE SWMI |
$240.84
|
| Rate for Payer: PHP Medicare Advantage |
$240.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$307.45
|
| Rate for Payer: Priority Health HMO/PPO |
$341.34
|
| Rate for Payer: Priority Health Medicare |
$243.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$341.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.84
|
| Rate for Payer: UHC Exchange |
$240.84
|
| Rate for Payer: UHC Medicare Advantage |
$240.84
|
| Rate for Payer: UHCCP Medicaid |
$163.80
|
|
