|
PR EXCISION CHEST WALL TUMOR INCLUDING RIBS
|
Professional
|
Both
|
$2,439.00
|
|
|
Service Code
|
HCPCS 21601
|
| Min. Negotiated Rate |
$975.60 |
| Max. Negotiated Rate |
$1,589.72 |
| Rate for Payer: Aetna Commercial |
$1,479.32
|
| Rate for Payer: Aetna Medicare |
$1,148.13
|
| Rate for Payer: BCBS Complete |
$975.60
|
| Rate for Payer: BCBS MAPPO |
$1,103.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,103.97
|
| Rate for Payer: Cash Price |
$1,951.20
|
| Rate for Payer: Cash Price |
$1,951.20
|
| Rate for Payer: Cofinity Commercial |
$1,589.72
|
| Rate for Payer: Cofinity Commercial |
$1,479.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,103.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,159.17
|
| Rate for Payer: Nomi Health Commercial |
$1,324.76
|
| Rate for Payer: PACE SWMI |
$1,103.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,103.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,585.35
|
| Rate for Payer: Priority Health Medicare |
$1,115.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,103.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,103.97
|
| Rate for Payer: UHC Exchange |
$1,103.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,103.97
|
|
|
PR EXCISION CHOLEDOCHAL CYST
|
Professional
|
Both
|
$2,307.00
|
|
|
Service Code
|
HCPCS 47715
|
| Min. Negotiated Rate |
$922.80 |
| Max. Negotiated Rate |
$1,860.16 |
| Rate for Payer: Aetna Commercial |
$1,730.99
|
| Rate for Payer: Aetna Medicare |
$1,343.45
|
| Rate for Payer: BCBS Complete |
$922.80
|
| Rate for Payer: BCBS MAPPO |
$1,291.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,291.78
|
| Rate for Payer: Cash Price |
$1,845.60
|
| Rate for Payer: Cash Price |
$1,845.60
|
| Rate for Payer: Cofinity Commercial |
$1,860.16
|
| Rate for Payer: Cofinity Commercial |
$1,730.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,291.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,356.37
|
| Rate for Payer: Nomi Health Commercial |
$1,550.14
|
| Rate for Payer: PACE SWMI |
$1,291.78
|
| Rate for Payer: PHP Medicare Advantage |
$1,291.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,499.55
|
| Rate for Payer: Priority Health Medicare |
$1,304.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,291.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,291.78
|
| Rate for Payer: UHC Exchange |
$1,291.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,291.78
|
|
|
PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,746.00
|
|
|
Service Code
|
HCPCS 21603
|
| Min. Negotiated Rate |
$1,498.40 |
| Max. Negotiated Rate |
$2,434.90 |
| Rate for Payer: Aetna Commercial |
$2,156.27
|
| Rate for Payer: Aetna Medicare |
$1,673.53
|
| Rate for Payer: BCBS Complete |
$1,498.40
|
| Rate for Payer: BCBS MAPPO |
$1,609.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,609.16
|
| Rate for Payer: Cash Price |
$2,996.80
|
| Rate for Payer: Cash Price |
$2,996.80
|
| Rate for Payer: Cofinity Commercial |
$2,317.19
|
| Rate for Payer: Cofinity Commercial |
$2,156.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,609.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,689.62
|
| Rate for Payer: Nomi Health Commercial |
$1,930.99
|
| Rate for Payer: PACE SWMI |
$1,609.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,609.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,434.90
|
| Rate for Payer: Priority Health Medicare |
$1,625.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,609.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,609.16
|
| Rate for Payer: UHC Exchange |
$1,609.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,609.16
|
|
|
PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,125.00
|
|
|
Service Code
|
HCPCS 21602
|
| Min. Negotiated Rate |
$1,250.00 |
| Max. Negotiated Rate |
$2,128.74 |
| Rate for Payer: Aetna Commercial |
$1,980.91
|
| Rate for Payer: Aetna Medicare |
$1,537.42
|
| Rate for Payer: BCBS Complete |
$1,250.00
|
| Rate for Payer: BCBS MAPPO |
$1,478.29
|
| Rate for Payer: BCN Medicare Advantage |
$1,478.29
|
| Rate for Payer: Cash Price |
$2,500.00
|
| Rate for Payer: Cash Price |
$2,500.00
|
| Rate for Payer: Cofinity Commercial |
$2,128.74
|
| Rate for Payer: Cofinity Commercial |
$1,980.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,478.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,552.20
|
| Rate for Payer: Nomi Health Commercial |
$1,773.95
|
| Rate for Payer: PACE SWMI |
$1,478.29
|
| Rate for Payer: PHP Medicare Advantage |
$1,478.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,031.25
|
| Rate for Payer: Priority Health Medicare |
$1,493.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,478.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,478.29
|
| Rate for Payer: UHC Exchange |
$1,478.29
|
| Rate for Payer: UHC Medicare Advantage |
$1,478.29
|
|
|
PR EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA
|
Professional
|
Both
|
$2,082.00
|
|
|
Service Code
|
HCPCS 27635
|
| Min. Negotiated Rate |
$555.51 |
| Max. Negotiated Rate |
$1,353.30 |
| Rate for Payer: Aetna Commercial |
$744.38
|
| Rate for Payer: Aetna Medicare |
$577.73
|
| Rate for Payer: BCBS Complete |
$832.80
|
| Rate for Payer: BCBS MAPPO |
$555.51
|
| Rate for Payer: BCN Medicare Advantage |
$555.51
|
| Rate for Payer: Cash Price |
$1,665.60
|
| Rate for Payer: Cash Price |
$1,665.60
|
| Rate for Payer: Cofinity Commercial |
$799.93
|
| Rate for Payer: Cofinity Commercial |
$744.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$555.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$583.29
|
| Rate for Payer: Nomi Health Commercial |
$666.61
|
| Rate for Payer: PACE SWMI |
$555.51
|
| Rate for Payer: PHP Medicare Advantage |
$555.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,353.30
|
| Rate for Payer: Priority Health Medicare |
$561.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$555.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$555.51
|
| Rate for Payer: UHC Exchange |
$555.51
|
| Rate for Payer: UHC Medicare Advantage |
$555.51
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES
|
Professional
|
Both
|
$1,621.00
|
|
|
Service Code
|
HCPCS 25130
|
| Min. Negotiated Rate |
$438.21 |
| Max. Negotiated Rate |
$1,053.65 |
| Rate for Payer: Aetna Commercial |
$587.20
|
| Rate for Payer: Aetna Medicare |
$455.74
|
| Rate for Payer: BCBS Complete |
$648.40
|
| Rate for Payer: BCBS MAPPO |
$438.21
|
| Rate for Payer: BCN Medicare Advantage |
$438.21
|
| Rate for Payer: Cash Price |
$1,296.80
|
| Rate for Payer: Cash Price |
$1,296.80
|
| Rate for Payer: Cofinity Commercial |
$631.02
|
| Rate for Payer: Cofinity Commercial |
$587.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$438.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$460.12
|
| Rate for Payer: Nomi Health Commercial |
$525.85
|
| Rate for Payer: PACE SWMI |
$438.21
|
| Rate for Payer: PHP Medicare Advantage |
$438.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,053.65
|
| Rate for Payer: Priority Health Medicare |
$442.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$438.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$438.21
|
| Rate for Payer: UHC Exchange |
$438.21
|
| Rate for Payer: UHC Medicare Advantage |
$438.21
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR
|
Professional
|
Both
|
$2,287.00
|
|
|
Service Code
|
HCPCS 27355
|
| Min. Negotiated Rate |
$590.33 |
| Max. Negotiated Rate |
$1,486.55 |
| Rate for Payer: Aetna Commercial |
$791.04
|
| Rate for Payer: Aetna Medicare |
$613.94
|
| Rate for Payer: BCBS Complete |
$914.80
|
| Rate for Payer: BCBS MAPPO |
$590.33
|
| Rate for Payer: BCN Medicare Advantage |
$590.33
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cofinity Commercial |
$850.08
|
| Rate for Payer: Cofinity Commercial |
$791.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$590.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$619.85
|
| Rate for Payer: Nomi Health Commercial |
$708.40
|
| Rate for Payer: PACE SWMI |
$590.33
|
| Rate for Payer: PHP Medicare Advantage |
$590.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,486.55
|
| Rate for Payer: Priority Health Medicare |
$596.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$590.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$590.33
|
| Rate for Payer: UHC Exchange |
$590.33
|
| Rate for Payer: UHC Medicare Advantage |
$590.33
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION
|
Professional
|
Both
|
$1,070.00
|
|
|
Service Code
|
HCPCS 27358
|
| Min. Negotiated Rate |
$263.47 |
| Max. Negotiated Rate |
$695.50 |
| Rate for Payer: Aetna Commercial |
$353.05
|
| Rate for Payer: Aetna Medicare |
$274.01
|
| Rate for Payer: BCBS Complete |
$428.00
|
| Rate for Payer: BCBS MAPPO |
$263.47
|
| Rate for Payer: BCN Medicare Advantage |
$263.47
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Cash Price |
$856.00
|
| Rate for Payer: Cofinity Commercial |
$379.40
|
| Rate for Payer: Cofinity Commercial |
$353.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$263.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$276.64
|
| Rate for Payer: Nomi Health Commercial |
$316.16
|
| Rate for Payer: PACE SWMI |
$263.47
|
| Rate for Payer: PHP Medicare Advantage |
$263.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$695.50
|
| Rate for Payer: Priority Health Medicare |
$266.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$263.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$263.47
|
| Rate for Payer: UHC Exchange |
$263.47
|
| Rate for Payer: UHC Medicare Advantage |
$263.47
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT
|
Professional
|
Both
|
$2,215.00
|
|
|
Service Code
|
HCPCS 27356
|
| Min. Negotiated Rate |
$716.39 |
| Max. Negotiated Rate |
$1,439.75 |
| Rate for Payer: Aetna Commercial |
$959.96
|
| Rate for Payer: Aetna Medicare |
$745.05
|
| Rate for Payer: BCBS Complete |
$886.00
|
| Rate for Payer: BCBS MAPPO |
$716.39
|
| Rate for Payer: BCN Medicare Advantage |
$716.39
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cofinity Commercial |
$959.96
|
| Rate for Payer: Cofinity Commercial |
$1,031.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$716.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$752.21
|
| Rate for Payer: Nomi Health Commercial |
$859.67
|
| Rate for Payer: PACE SWMI |
$716.39
|
| Rate for Payer: PHP Medicare Advantage |
$716.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,439.75
|
| Rate for Payer: Priority Health Medicare |
$723.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$716.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$716.39
|
| Rate for Payer: UHC Exchange |
$716.39
|
| Rate for Payer: UHC Medicare Advantage |
$716.39
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT
|
Professional
|
Both
|
$2,018.00
|
|
|
Service Code
|
HCPCS 27357
|
| Min. Negotiated Rate |
$787.59 |
| Max. Negotiated Rate |
$1,311.70 |
| Rate for Payer: Aetna Commercial |
$1,055.37
|
| Rate for Payer: Aetna Medicare |
$819.09
|
| Rate for Payer: BCBS Complete |
$807.20
|
| Rate for Payer: BCBS MAPPO |
$787.59
|
| Rate for Payer: BCN Medicare Advantage |
$787.59
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cofinity Commercial |
$1,134.13
|
| Rate for Payer: Cofinity Commercial |
$1,055.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$787.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$826.97
|
| Rate for Payer: Nomi Health Commercial |
$945.11
|
| Rate for Payer: PACE SWMI |
$787.59
|
| Rate for Payer: PHP Medicare Advantage |
$787.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,311.70
|
| Rate for Payer: Priority Health Medicare |
$795.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$787.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$787.59
|
| Rate for Payer: UHC Exchange |
$787.59
|
| Rate for Payer: UHC Medicare Advantage |
$787.59
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL
|
Professional
|
Both
|
$1,294.00
|
|
|
Service Code
|
HCPCS 26200
|
| Min. Negotiated Rate |
$436.83 |
| Max. Negotiated Rate |
$841.10 |
| Rate for Payer: Aetna Commercial |
$585.35
|
| Rate for Payer: Aetna Medicare |
$454.30
|
| Rate for Payer: BCBS Complete |
$517.60
|
| Rate for Payer: BCBS MAPPO |
$436.83
|
| Rate for Payer: BCN Medicare Advantage |
$436.83
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cofinity Commercial |
$629.04
|
| Rate for Payer: Cofinity Commercial |
$585.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.67
|
| Rate for Payer: Nomi Health Commercial |
$524.20
|
| Rate for Payer: PACE SWMI |
$436.83
|
| Rate for Payer: PHP Medicare Advantage |
$436.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$841.10
|
| Rate for Payer: Priority Health Medicare |
$441.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$436.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.83
|
| Rate for Payer: UHC Exchange |
$436.83
|
| Rate for Payer: UHC Medicare Advantage |
$436.83
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26210
|
| Min. Negotiated Rate |
$433.90 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$581.43
|
| Rate for Payer: Aetna Medicare |
$451.26
|
| Rate for Payer: BCBS Complete |
$508.80
|
| Rate for Payer: BCBS MAPPO |
$433.90
|
| Rate for Payer: BCN Medicare Advantage |
$433.90
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cofinity Commercial |
$624.82
|
| Rate for Payer: Cofinity Commercial |
$581.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$433.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$455.60
|
| Rate for Payer: Nomi Health Commercial |
$520.68
|
| Rate for Payer: PACE SWMI |
$433.90
|
| Rate for Payer: PHP Medicare Advantage |
$433.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| Rate for Payer: Priority Health Medicare |
$438.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$433.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$433.90
|
| Rate for Payer: UHC Exchange |
$433.90
|
| Rate for Payer: UHC Medicare Advantage |
$433.90
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 25120
|
| Min. Negotiated Rate |
$486.23 |
| Max. Negotiated Rate |
$1,433.90 |
| Rate for Payer: Aetna Commercial |
$651.55
|
| Rate for Payer: Aetna Medicare |
$505.68
|
| Rate for Payer: BCBS Complete |
$882.40
|
| Rate for Payer: BCBS MAPPO |
$486.23
|
| Rate for Payer: BCN Medicare Advantage |
$486.23
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cofinity Commercial |
$700.17
|
| Rate for Payer: Cofinity Commercial |
$651.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$486.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$510.54
|
| Rate for Payer: Nomi Health Commercial |
$583.48
|
| Rate for Payer: PACE SWMI |
$486.23
|
| Rate for Payer: PHP Medicare Advantage |
$486.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.90
|
| Rate for Payer: Priority Health Medicare |
$491.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$486.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$486.23
|
| Rate for Payer: UHC Exchange |
$486.23
|
| Rate for Payer: UHC Medicare Advantage |
$486.23
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS
|
Professional
|
Both
|
$1,135.00
|
|
|
Service Code
|
HCPCS 28100
|
| Min. Negotiated Rate |
$401.80 |
| Max. Negotiated Rate |
$737.75 |
| Rate for Payer: Aetna Commercial |
$538.41
|
| Rate for Payer: Aetna Medicare |
$417.87
|
| Rate for Payer: BCBS Complete |
$454.00
|
| Rate for Payer: BCBS MAPPO |
$401.80
|
| Rate for Payer: BCN Medicare Advantage |
$401.80
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Cofinity Commercial |
$578.59
|
| Rate for Payer: Cofinity Commercial |
$538.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$401.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$421.89
|
| Rate for Payer: Nomi Health Commercial |
$482.16
|
| Rate for Payer: PACE SWMI |
$401.80
|
| Rate for Payer: PHP Medicare Advantage |
$401.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$737.75
|
| Rate for Payer: Priority Health Medicare |
$405.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$401.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$401.80
|
| Rate for Payer: UHC Exchange |
$401.80
|
| Rate for Payer: UHC Medicare Advantage |
$401.80
|
|
|
PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS
|
Professional
|
Both
|
$1,195.00
|
|
|
Service Code
|
HCPCS 24110
|
| Min. Negotiated Rate |
$478.00 |
| Max. Negotiated Rate |
$824.88 |
| Rate for Payer: Aetna Commercial |
$767.59
|
| Rate for Payer: Aetna Medicare |
$595.74
|
| Rate for Payer: BCBS Complete |
$478.00
|
| Rate for Payer: BCBS MAPPO |
$572.83
|
| Rate for Payer: BCN Medicare Advantage |
$572.83
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cofinity Commercial |
$824.88
|
| Rate for Payer: Cofinity Commercial |
$767.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$601.47
|
| Rate for Payer: Nomi Health Commercial |
$687.40
|
| Rate for Payer: PACE SWMI |
$572.83
|
| Rate for Payer: PHP Medicare Advantage |
$572.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$776.75
|
| Rate for Payer: Priority Health Medicare |
$578.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$572.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$572.83
|
| Rate for Payer: UHC Exchange |
$572.83
|
| Rate for Payer: UHC Medicare Advantage |
$572.83
|
|
|
PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR
|
Professional
|
Both
|
$1,689.00
|
|
|
Service Code
|
HCPCS 30117
|
| Min. Negotiated Rate |
$380.22 |
| Max. Negotiated Rate |
$1,097.85 |
| Rate for Payer: Aetna Commercial |
$509.49
|
| Rate for Payer: Aetna Medicare |
$395.43
|
| Rate for Payer: BCBS Complete |
$675.60
|
| Rate for Payer: BCBS MAPPO |
$380.22
|
| Rate for Payer: BCN Medicare Advantage |
$380.22
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cofinity Commercial |
$547.52
|
| Rate for Payer: Cofinity Commercial |
$509.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$380.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$399.23
|
| Rate for Payer: Nomi Health Commercial |
$456.26
|
| Rate for Payer: PACE SWMI |
$380.22
|
| Rate for Payer: PHP Medicare Advantage |
$380.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.85
|
| Rate for Payer: Priority Health Medicare |
$384.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$380.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$380.22
|
| Rate for Payer: UHC Exchange |
$380.22
|
| Rate for Payer: UHC Medicare Advantage |
$380.22
|
|
|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$159.13 |
| Max. Negotiated Rate |
$267.80 |
| Rate for Payer: Aetna Commercial |
$213.23
|
| Rate for Payer: Aetna Medicare |
$165.50
|
| Rate for Payer: BCBS Complete |
$164.80
|
| Rate for Payer: BCBS MAPPO |
$159.13
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.09
|
| 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 Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health Medicare |
$160.72
|
| 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
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,287.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$1,314.80 |
| Max. Negotiated Rate |
$2,136.55 |
| Rate for Payer: Aetna Medicare |
$1,643.50
|
| Rate for Payer: BCBS Complete |
$1,314.80
|
| 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 |
$417.74 |
| Max. Negotiated Rate |
$1,014.00 |
| Rate for Payer: Aetna Commercial |
$559.77
|
| Rate for Payer: Aetna Medicare |
$434.45
|
| Rate for Payer: BCBS Complete |
$624.00
|
| Rate for Payer: BCBS MAPPO |
$417.74
|
| 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 |
$601.55
|
| Rate for Payer: Cofinity Commercial |
$559.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.63
|
| 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 Cigna Priority Health |
$1,014.00
|
| Rate for Payer: Priority Health Medicare |
$421.92
|
| 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
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$1,959.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$783.60 |
| Max. Negotiated Rate |
$1,393.79 |
| Rate for Payer: Aetna Commercial |
$1,297.00
|
| Rate for Payer: Aetna Medicare |
$1,006.63
|
| Rate for Payer: BCBS Complete |
$783.60
|
| Rate for Payer: BCBS MAPPO |
$967.91
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,016.31
|
| 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 Cigna Priority Health |
$1,273.35
|
| Rate for Payer: Priority Health Medicare |
$977.59
|
| 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
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$347.60 |
| Max. Negotiated Rate |
$564.85 |
| Rate for Payer: Aetna Medicare |
$434.50
|
| Rate for Payer: BCBS Complete |
$347.60
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$761.37 |
| 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 |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$761.37
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$799.44
|
| 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 Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health Medicare |
$768.98
|
| 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
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA
|
Professional
|
Both
|
$2,192.00
|
|
|
Service Code
|
HCPCS 15839
|
| Min. Negotiated Rate |
$707.67 |
| 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 |
$876.80
|
| Rate for Payer: BCBS MAPPO |
$707.67
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$743.05
|
| 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 Cigna Priority Health |
$1,424.80
|
| Rate for Payer: Priority Health Medicare |
$714.75
|
| 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
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$887.99 |
| 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 |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$887.99
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.39
|
| 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 Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health Medicare |
$896.87
|
| 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
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,581.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$632.40 |
| Max. Negotiated Rate |
$1,196.27 |
| Rate for Payer: Aetna Commercial |
$1,113.19
|
| Rate for Payer: Aetna Medicare |
$863.97
|
| Rate for Payer: BCBS Complete |
$632.40
|
| Rate for Payer: BCBS MAPPO |
$830.74
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$872.28
|
| 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 Cigna Priority Health |
$1,027.65
|
| Rate for Payer: Priority Health Medicare |
$839.05
|
| 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
|
|
