|
PR EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK
|
Professional
|
Both
|
$1,344.00
|
|
|
Service Code
|
HCPCS 27630
|
| Min. Negotiated Rate |
$234.94 |
| Max. Negotiated Rate |
$873.60 |
| Rate for Payer: Aetna Commercial |
$462.66
|
| Rate for Payer: Aetna Medicare |
$359.08
|
| Rate for Payer: BCBS Complete |
$246.69
|
| Rate for Payer: BCBS MAPPO |
$345.27
|
| Rate for Payer: BCBS Trust/PPO |
$600.15
|
| Rate for Payer: BCN Commercial |
$785.31
|
| Rate for Payer: BCN Medicare Advantage |
$345.27
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cash Price |
$1,075.20
|
| Rate for Payer: Cofinity Commercial |
$497.19
|
| Rate for Payer: Cofinity Commercial |
$462.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$345.27
|
| Rate for Payer: Mclaren Medicaid |
$234.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$362.53
|
| Rate for Payer: Meridian Medicaid |
$246.69
|
| Rate for Payer: Nomi Health Commercial |
$414.32
|
| Rate for Payer: PACE SWMI |
$345.27
|
| Rate for Payer: PHP Medicare Advantage |
$345.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$873.60
|
| Rate for Payer: Priority Health HMO/PPO |
$553.64
|
| Rate for Payer: Priority Health Medicare |
$348.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$553.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$345.27
|
| Rate for Payer: UHC Exchange |
$345.27
|
| Rate for Payer: UHC Medicare Advantage |
$345.27
|
| Rate for Payer: UHCCP Medicaid |
$234.94
|
|
|
PR EXCISION LESION TENDON SHEATH FOREARM&/WRIST
|
Professional
|
Both
|
$1,155.00
|
|
|
Service Code
|
HCPCS 25110
|
| Min. Negotiated Rate |
$212.38 |
| Max. Negotiated Rate |
$750.75 |
| Rate for Payer: Aetna Commercial |
$449.60
|
| Rate for Payer: Aetna Medicare |
$348.94
|
| Rate for Payer: BCBS Complete |
$240.87
|
| Rate for Payer: BCBS MAPPO |
$335.52
|
| Rate for Payer: BCBS Trust/PPO |
$212.38
|
| Rate for Payer: BCN Commercial |
$516.04
|
| Rate for Payer: BCN Medicare Advantage |
$335.52
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cash Price |
$924.00
|
| Rate for Payer: Cofinity Commercial |
$483.15
|
| Rate for Payer: Cofinity Commercial |
$449.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$335.52
|
| Rate for Payer: Mclaren Medicaid |
$229.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$352.30
|
| Rate for Payer: Meridian Medicaid |
$240.87
|
| Rate for Payer: Nomi Health Commercial |
$402.62
|
| Rate for Payer: PACE SWMI |
$335.52
|
| Rate for Payer: PHP Medicare Advantage |
$335.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$229.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$750.75
|
| Rate for Payer: Priority Health HMO/PPO |
$542.44
|
| Rate for Payer: Priority Health Medicare |
$338.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$542.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$335.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$335.52
|
| Rate for Payer: UHC Exchange |
$335.52
|
| Rate for Payer: UHC Medicare Advantage |
$335.52
|
| Rate for Payer: UHCCP Medicaid |
$229.40
|
|
|
PR EXCISION LESION TONGUE W/O CLOSURE
|
Professional
|
Both
|
$381.00
|
|
|
Service Code
|
HCPCS 41110
|
| Min. Negotiated Rate |
$83.50 |
| Max. Negotiated Rate |
$569.51 |
| Rate for Payer: Aetna Commercial |
$163.19
|
| Rate for Payer: Aetna Medicare |
$126.65
|
| Rate for Payer: BCBS Complete |
$87.68
|
| Rate for Payer: BCBS MAPPO |
$121.78
|
| Rate for Payer: BCBS Trust/PPO |
$569.51
|
| Rate for Payer: BCN Commercial |
$340.12
|
| Rate for Payer: BCN Medicare Advantage |
$121.78
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cash Price |
$304.80
|
| Rate for Payer: Cofinity Commercial |
$175.36
|
| Rate for Payer: Cofinity Commercial |
$163.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$121.78
|
| Rate for Payer: Mclaren Medicaid |
$83.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$127.87
|
| Rate for Payer: Meridian Medicaid |
$87.68
|
| Rate for Payer: Nomi Health Commercial |
$146.14
|
| Rate for Payer: PACE SWMI |
$121.78
|
| Rate for Payer: PHP Medicare Advantage |
$121.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$83.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.65
|
| Rate for Payer: Priority Health HMO/PPO |
$234.46
|
| Rate for Payer: Priority Health Medicare |
$123.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$234.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$121.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$121.78
|
| Rate for Payer: UHC Exchange |
$121.78
|
| Rate for Payer: UHC Medicare Advantage |
$121.78
|
| Rate for Payer: UHCCP Medicaid |
$83.50
|
|
|
PR EXCISION LINGUAL FRENUM FRENECTOMY
|
Professional
|
Both
|
$447.00
|
|
|
Service Code
|
HCPCS 41115
|
| Min. Negotiated Rate |
$94.15 |
| Max. Negotiated Rate |
$967.85 |
| Rate for Payer: Aetna Commercial |
$184.28
|
| Rate for Payer: Aetna Medicare |
$143.02
|
| Rate for Payer: BCBS Complete |
$98.86
|
| Rate for Payer: BCBS MAPPO |
$137.52
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$387.03
|
| Rate for Payer: BCN Medicare Advantage |
$137.52
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cofinity Commercial |
$198.03
|
| Rate for Payer: Cofinity Commercial |
$184.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.52
|
| Rate for Payer: Mclaren Medicaid |
$94.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.40
|
| Rate for Payer: Meridian Medicaid |
$98.86
|
| Rate for Payer: Nomi Health Commercial |
$165.02
|
| Rate for Payer: PACE SWMI |
$137.52
|
| Rate for Payer: PHP Medicare Advantage |
$137.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$290.55
|
| Rate for Payer: Priority Health HMO/PPO |
$263.69
|
| Rate for Payer: Priority Health Medicare |
$138.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$263.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$137.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.52
|
| Rate for Payer: UHC Exchange |
$137.52
|
| Rate for Payer: UHC Medicare Advantage |
$137.52
|
| Rate for Payer: UHCCP Medicaid |
$94.15
|
|
|
PR EXCISION LOCAL LESION EPIDIDYMIS
|
Professional
|
Both
|
$617.00
|
|
|
Service Code
|
HCPCS 54830
|
| Min. Negotiated Rate |
$240.69 |
| Max. Negotiated Rate |
$1,910.86 |
| Rate for Payer: Aetna Commercial |
$477.67
|
| Rate for Payer: Aetna Medicare |
$370.73
|
| Rate for Payer: BCBS Complete |
$252.72
|
| Rate for Payer: BCBS MAPPO |
$356.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,910.86
|
| Rate for Payer: BCN Commercial |
$539.99
|
| Rate for Payer: BCN Medicare Advantage |
$356.47
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cash Price |
$493.60
|
| Rate for Payer: Cofinity Commercial |
$513.32
|
| Rate for Payer: Cofinity Commercial |
$477.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.47
|
| Rate for Payer: Mclaren Medicaid |
$240.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.29
|
| Rate for Payer: Meridian Medicaid |
$252.72
|
| Rate for Payer: Nomi Health Commercial |
$427.76
|
| Rate for Payer: PACE SWMI |
$356.47
|
| Rate for Payer: PHP Medicare Advantage |
$356.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$401.05
|
| Rate for Payer: Priority Health HMO/PPO |
$598.11
|
| Rate for Payer: Priority Health Medicare |
$360.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$598.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$356.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$356.47
|
| Rate for Payer: UHC Exchange |
$356.47
|
| Rate for Payer: UHC Medicare Advantage |
$356.47
|
| Rate for Payer: UHCCP Medicaid |
$240.69
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
IP
|
$333.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$216.45 |
| Max. Negotiated Rate |
$299.70 |
| Rate for Payer: Aetna Commercial |
$283.05
|
| Rate for Payer: BCBS Trust/PPO |
$271.83
|
| Rate for Payer: BCN Commercial |
$257.34
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$286.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.40
|
| Rate for Payer: Healthscope Commercial |
$299.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.05
|
| Rate for Payer: Nomi Health Commercial |
$273.06
|
| Rate for Payer: PHP Commercial |
$283.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health HMO/PPO |
$289.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$223.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.04
|
| Rate for Payer: UHC Core |
$278.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.75
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$333.00
|
|
|
Service Code
|
HCPCS 11640
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$977.96 |
| Rate for Payer: Aetna Commercial |
$160.06
|
| Rate for Payer: Aetna Medicare |
$124.23
|
| Rate for Payer: BCBS Complete |
$85.66
|
| Rate for Payer: BCBS MAPPO |
$119.45
|
| Rate for Payer: BCBS Trust/PPO |
$977.96
|
| Rate for Payer: BCN Commercial |
$239.53
|
| Rate for Payer: BCN Medicare Advantage |
$119.45
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$172.01
|
| Rate for Payer: Cofinity Commercial |
$160.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.45
|
| Rate for Payer: Mclaren Medicaid |
$81.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$125.42
|
| Rate for Payer: Meridian Medicaid |
$85.66
|
| Rate for Payer: Nomi Health Commercial |
$143.34
|
| Rate for Payer: PACE SWMI |
$119.45
|
| Rate for Payer: PHP Medicare Advantage |
$119.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health HMO/PPO |
$172.03
|
| Rate for Payer: Priority Health Medicare |
$120.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$172.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.45
|
| Rate for Payer: UHC Exchange |
$119.45
|
| Rate for Payer: UHC Medicare Advantage |
$119.45
|
| Rate for Payer: UHCCP Medicaid |
$81.58
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Facility
|
OP
|
$333.00
|
|
|
Service Code
|
CPT 11640
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$79.09 |
| Max. Negotiated Rate |
$523.36 |
| Rate for Payer: Aetna Commercial |
$283.05
|
| Rate for Payer: Aetna Medicare |
$86.58
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$104.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$104.06
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$83.25
|
| Rate for Payer: BCBS Trust/PPO |
$273.76
|
| Rate for Payer: BCN Commercial |
$258.91
|
| Rate for Payer: BCN Medicare Advantage |
$83.25
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$286.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$266.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.25
|
| Rate for Payer: Healthscope Commercial |
$299.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$249.75
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.41
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$95.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$283.05
|
| Rate for Payer: Nomi Health Commercial |
$273.06
|
| Rate for Payer: PACE Senior Care Partners |
$79.09
|
| Rate for Payer: PACE SWMI |
$83.25
|
| Rate for Payer: PHP Commercial |
$283.05
|
| Rate for Payer: PHP Medicare Advantage |
$83.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health HMO/PPO |
$289.71
|
| Rate for Payer: Priority Health Medicare |
$84.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$223.11
|
| Rate for Payer: Railroad Medicare Medicare |
$83.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$293.04
|
| Rate for Payer: UHC Core |
$278.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.25
|
| Rate for Payer: UHC Exchange |
$83.25
|
| Rate for Payer: UHC Medicare Advantage |
$83.25
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$83.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$249.75
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<
|
Professional
|
Both
|
$333.00
|
|
|
Service Code
|
HCPCS 11640
|
| Hospital Charge Code |
11640
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$977.96 |
| Rate for Payer: Aetna Commercial |
$160.06
|
| Rate for Payer: Aetna Medicare |
$124.23
|
| Rate for Payer: BCBS Complete |
$85.66
|
| Rate for Payer: BCBS MAPPO |
$119.45
|
| Rate for Payer: BCBS Trust/PPO |
$977.96
|
| Rate for Payer: BCN Commercial |
$239.53
|
| Rate for Payer: BCN Medicare Advantage |
$119.45
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$172.01
|
| Rate for Payer: Cofinity Commercial |
$160.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$119.45
|
| Rate for Payer: Mclaren Medicaid |
$81.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$125.42
|
| Rate for Payer: Meridian Medicaid |
$85.66
|
| Rate for Payer: Nomi Health Commercial |
$143.34
|
| Rate for Payer: PACE SWMI |
$119.45
|
| Rate for Payer: PHP Medicare Advantage |
$119.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$81.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health HMO/PPO |
$172.03
|
| Rate for Payer: Priority Health Medicare |
$120.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$172.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$119.45
|
| Rate for Payer: UHC Exchange |
$119.45
|
| Rate for Payer: UHC Medicare Advantage |
$119.45
|
| Rate for Payer: UHCCP Medicaid |
$81.58
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 11641
|
| Hospital Charge Code |
11641
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$197.14
|
| Rate for Payer: Aetna Medicare |
$153.00
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$147.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$279.57
|
| Rate for Payer: BCN Medicare Advantage |
$147.12
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$211.85
|
| Rate for Payer: Cofinity Commercial |
$197.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.12
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.48
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Nomi Health Commercial |
$176.54
|
| Rate for Payer: PACE SWMI |
$147.12
|
| Rate for Payer: PHP Medicare Advantage |
$147.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health HMO/PPO |
$210.41
|
| Rate for Payer: Priority Health Medicare |
$148.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$147.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.12
|
| Rate for Payer: UHC Exchange |
$147.12
|
| Rate for Payer: UHC Medicare Advantage |
$147.12
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Professional
|
Both
|
$394.00
|
|
|
Service Code
|
HCPCS 11641
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$197.14
|
| Rate for Payer: Aetna Medicare |
$153.00
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$147.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$279.57
|
| Rate for Payer: BCN Medicare Advantage |
$147.12
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$211.85
|
| Rate for Payer: Cofinity Commercial |
$197.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.12
|
| Rate for Payer: Mclaren Medicaid |
$100.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.48
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Nomi Health Commercial |
$176.54
|
| Rate for Payer: PACE SWMI |
$147.12
|
| Rate for Payer: PHP Medicare Advantage |
$147.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health HMO/PPO |
$210.41
|
| Rate for Payer: Priority Health Medicare |
$148.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$210.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$147.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.12
|
| Rate for Payer: UHC Exchange |
$147.12
|
| Rate for Payer: UHC Medicare Advantage |
$147.12
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
IP
|
$394.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$256.10 |
| Max. Negotiated Rate |
$354.60 |
| Rate for Payer: Aetna Commercial |
$334.90
|
| Rate for Payer: BCBS Trust/PPO |
$321.62
|
| Rate for Payer: BCN Commercial |
$304.48
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$338.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.20
|
| Rate for Payer: Healthscope Commercial |
$354.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$295.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$334.90
|
| Rate for Payer: Nomi Health Commercial |
$323.08
|
| Rate for Payer: PHP Commercial |
$334.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health HMO/PPO |
$342.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$263.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.72
|
| Rate for Payer: UHC Core |
$328.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$295.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM
|
Facility
|
OP
|
$394.00
|
|
|
Service Code
|
CPT 11641
|
| Hospital Charge Code |
11641
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$93.58 |
| Max. Negotiated Rate |
$523.36 |
| Rate for Payer: Aetna Commercial |
$334.90
|
| Rate for Payer: Aetna Medicare |
$102.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123.12
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$98.50
|
| Rate for Payer: BCBS Trust/PPO |
$323.91
|
| Rate for Payer: BCN Commercial |
$306.34
|
| Rate for Payer: BCN Medicare Advantage |
$98.50
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cash Price |
$315.20
|
| Rate for Payer: Cofinity Commercial |
$338.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.50
|
| Rate for Payer: Healthscope Commercial |
$354.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$295.50
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.42
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$334.90
|
| Rate for Payer: Nomi Health Commercial |
$323.08
|
| Rate for Payer: PACE Senior Care Partners |
$93.58
|
| Rate for Payer: PACE SWMI |
$98.50
|
| Rate for Payer: PHP Commercial |
$334.90
|
| Rate for Payer: PHP Medicare Advantage |
$98.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$256.10
|
| Rate for Payer: Priority Health HMO/PPO |
$342.78
|
| Rate for Payer: Priority Health Medicare |
$99.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$263.98
|
| Rate for Payer: Railroad Medicare Medicare |
$98.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$346.72
|
| Rate for Payer: UHC Core |
$328.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$98.50
|
| Rate for Payer: UHC Exchange |
$98.50
|
| Rate for Payer: UHC Medicare Advantage |
$98.50
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$98.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$295.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
IP
|
$596.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$387.40 |
| Max. Negotiated Rate |
$536.40 |
| Rate for Payer: Aetna Commercial |
$506.60
|
| Rate for Payer: BCBS Trust/PPO |
$486.51
|
| Rate for Payer: BCN Commercial |
$460.59
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$512.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.80
|
| Rate for Payer: Healthscope Commercial |
$536.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$447.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$506.60
|
| Rate for Payer: Nomi Health Commercial |
$488.72
|
| Rate for Payer: PHP Commercial |
$506.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health HMO/PPO |
$518.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$399.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$524.48
|
| Rate for Payer: UHC Core |
$497.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$447.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$596.00
|
|
|
Service Code
|
HCPCS 11642
|
| Min. Negotiated Rate |
$116.72 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$230.24
|
| Rate for Payer: Aetna Medicare |
$178.69
|
| Rate for Payer: BCBS Complete |
$122.56
|
| Rate for Payer: BCBS MAPPO |
$171.82
|
| Rate for Payer: BCBS Trust/PPO |
$712.50
|
| Rate for Payer: BCN Commercial |
$315.30
|
| Rate for Payer: BCN Medicare Advantage |
$171.82
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$247.42
|
| Rate for Payer: Cofinity Commercial |
$230.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.82
|
| Rate for Payer: Mclaren Medicaid |
$116.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.41
|
| Rate for Payer: Meridian Medicaid |
$122.56
|
| Rate for Payer: Nomi Health Commercial |
$206.18
|
| Rate for Payer: PACE SWMI |
$171.82
|
| Rate for Payer: PHP Medicare Advantage |
$171.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health HMO/PPO |
$246.08
|
| Rate for Payer: Priority Health Medicare |
$173.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.82
|
| Rate for Payer: UHC Exchange |
$171.82
|
| Rate for Payer: UHC Medicare Advantage |
$171.82
|
| Rate for Payer: UHCCP Medicaid |
$116.72
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Professional
|
Both
|
$596.00
|
|
|
Service Code
|
HCPCS 11642
|
| Hospital Charge Code |
11642
|
| Min. Negotiated Rate |
$116.72 |
| Max. Negotiated Rate |
$712.50 |
| Rate for Payer: Aetna Commercial |
$230.24
|
| Rate for Payer: Aetna Medicare |
$178.69
|
| Rate for Payer: BCBS Complete |
$122.56
|
| Rate for Payer: BCBS MAPPO |
$171.82
|
| Rate for Payer: BCBS Trust/PPO |
$712.50
|
| Rate for Payer: BCN Commercial |
$315.30
|
| Rate for Payer: BCN Medicare Advantage |
$171.82
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$247.42
|
| Rate for Payer: Cofinity Commercial |
$230.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.82
|
| Rate for Payer: Mclaren Medicaid |
$116.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$180.41
|
| Rate for Payer: Meridian Medicaid |
$122.56
|
| Rate for Payer: Nomi Health Commercial |
$206.18
|
| Rate for Payer: PACE SWMI |
$171.82
|
| Rate for Payer: PHP Medicare Advantage |
$171.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health HMO/PPO |
$246.08
|
| Rate for Payer: Priority Health Medicare |
$173.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.82
|
| Rate for Payer: UHC Exchange |
$171.82
|
| Rate for Payer: UHC Medicare Advantage |
$171.82
|
| Rate for Payer: UHCCP Medicaid |
$116.72
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM
|
Facility
|
OP
|
$596.00
|
|
|
Service Code
|
CPT 11642
|
| Hospital Charge Code |
11642
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$141.55 |
| Max. Negotiated Rate |
$536.40 |
| Rate for Payer: Aetna Commercial |
$506.60
|
| Rate for Payer: Aetna Medicare |
$154.96
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$186.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$186.25
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$149.00
|
| Rate for Payer: BCBS Trust/PPO |
$489.97
|
| Rate for Payer: BCN Commercial |
$463.39
|
| Rate for Payer: BCN Medicare Advantage |
$149.00
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cash Price |
$476.80
|
| Rate for Payer: Cofinity Commercial |
$512.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.00
|
| Rate for Payer: Healthscope Commercial |
$536.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$447.00
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.45
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$171.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$506.60
|
| Rate for Payer: Nomi Health Commercial |
$488.72
|
| Rate for Payer: PACE Senior Care Partners |
$141.55
|
| Rate for Payer: PACE SWMI |
$149.00
|
| Rate for Payer: PHP Commercial |
$506.60
|
| Rate for Payer: PHP Medicare Advantage |
$149.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$387.40
|
| Rate for Payer: Priority Health HMO/PPO |
$518.52
|
| Rate for Payer: Priority Health Medicare |
$150.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$399.32
|
| Rate for Payer: Railroad Medicare Medicare |
$149.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$524.48
|
| Rate for Payer: UHC Core |
$497.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.00
|
| Rate for Payer: UHC Exchange |
$149.00
|
| Rate for Payer: UHC Medicare Advantage |
$149.00
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$149.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$447.00
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 11643
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$484.25 |
| Rate for Payer: Aetna Commercial |
$289.52
|
| Rate for Payer: Aetna Medicare |
$224.70
|
| Rate for Payer: BCBS Complete |
$153.43
|
| Rate for Payer: BCBS MAPPO |
$216.06
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$370.68
|
| Rate for Payer: BCN Medicare Advantage |
$216.06
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$311.13
|
| Rate for Payer: Cofinity Commercial |
$289.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.06
|
| Rate for Payer: Mclaren Medicaid |
$146.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$226.86
|
| Rate for Payer: Meridian Medicaid |
$153.43
|
| Rate for Payer: Nomi Health Commercial |
$259.27
|
| Rate for Payer: PACE SWMI |
$216.06
|
| Rate for Payer: PHP Medicare Advantage |
$216.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$306.58
|
| Rate for Payer: Priority Health Medicare |
$218.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$306.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.06
|
| Rate for Payer: UHC Exchange |
$216.06
|
| Rate for Payer: UHC Medicare Advantage |
$216.06
|
| Rate for Payer: UHCCP Medicaid |
$146.12
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
OP
|
$745.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$176.94 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: Aetna Medicare |
$193.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$232.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$232.81
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$186.25
|
| Rate for Payer: BCBS Trust/PPO |
$612.46
|
| Rate for Payer: BCN Commercial |
$579.24
|
| Rate for Payer: BCN Medicare Advantage |
$186.25
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.25
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.56
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$214.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: PACE Senior Care Partners |
$176.94
|
| Rate for Payer: PACE SWMI |
$186.25
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: PHP Medicare Advantage |
$186.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$648.15
|
| Rate for Payer: Priority Health Medicare |
$188.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.15
|
| Rate for Payer: Railroad Medicare Medicare |
$186.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.25
|
| Rate for Payer: UHC Exchange |
$186.25
|
| Rate for Payer: UHC Medicare Advantage |
$186.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$186.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Facility
|
IP
|
$745.00
|
|
|
Service Code
|
CPT 11643
|
| Hospital Charge Code |
11643
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$484.25 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: BCBS Trust/PPO |
$608.14
|
| Rate for Payer: BCN Commercial |
$575.74
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$648.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 11643
|
| Hospital Charge Code |
11643
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$484.25 |
| Rate for Payer: Aetna Commercial |
$289.52
|
| Rate for Payer: Aetna Medicare |
$224.70
|
| Rate for Payer: BCBS Complete |
$153.43
|
| Rate for Payer: BCBS MAPPO |
$216.06
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$370.68
|
| Rate for Payer: BCN Medicare Advantage |
$216.06
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$311.13
|
| Rate for Payer: Cofinity Commercial |
$289.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.06
|
| Rate for Payer: Mclaren Medicaid |
$146.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$226.86
|
| Rate for Payer: Meridian Medicaid |
$153.43
|
| Rate for Payer: Nomi Health Commercial |
$259.27
|
| Rate for Payer: PACE SWMI |
$216.06
|
| Rate for Payer: PHP Medicare Advantage |
$216.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$306.58
|
| Rate for Payer: Priority Health Medicare |
$218.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$306.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.06
|
| Rate for Payer: UHC Exchange |
$216.06
|
| Rate for Payer: UHC Medicare Advantage |
$216.06
|
| Rate for Payer: UHCCP Medicaid |
$146.12
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$922.00
|
|
|
Service Code
|
HCPCS 11644
|
| Hospital Charge Code |
11644
|
| Min. Negotiated Rate |
$180.41 |
| Max. Negotiated Rate |
$655.87 |
| Rate for Payer: Aetna Commercial |
$358.34
|
| Rate for Payer: Aetna Medicare |
$278.12
|
| Rate for Payer: BCBS Complete |
$189.43
|
| Rate for Payer: BCBS MAPPO |
$267.42
|
| Rate for Payer: BCBS Trust/PPO |
$655.87
|
| Rate for Payer: BCN Commercial |
$457.06
|
| Rate for Payer: BCN Medicare Advantage |
$267.42
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$385.08
|
| Rate for Payer: Cofinity Commercial |
$358.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.42
|
| Rate for Payer: Mclaren Medicaid |
$180.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$280.79
|
| Rate for Payer: Meridian Medicaid |
$189.43
|
| Rate for Payer: Nomi Health Commercial |
$320.90
|
| Rate for Payer: PACE SWMI |
$267.42
|
| Rate for Payer: PHP Medicare Advantage |
$267.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$180.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.30
|
| Rate for Payer: Priority Health HMO/PPO |
$379.73
|
| Rate for Payer: Priority Health Medicare |
$270.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$379.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$267.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$267.42
|
| Rate for Payer: UHC Exchange |
$267.42
|
| Rate for Payer: UHC Medicare Advantage |
$267.42
|
| Rate for Payer: UHCCP Medicaid |
$180.41
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
IP
|
$922.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$599.30 |
| Max. Negotiated Rate |
$829.80 |
| Rate for Payer: Aetna Commercial |
$783.70
|
| Rate for Payer: BCBS Trust/PPO |
$752.63
|
| Rate for Payer: BCN Commercial |
$712.52
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$792.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$737.60
|
| Rate for Payer: Healthscope Commercial |
$829.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$691.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$783.70
|
| Rate for Payer: Nomi Health Commercial |
$756.04
|
| Rate for Payer: PHP Commercial |
$783.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.30
|
| Rate for Payer: Priority Health HMO/PPO |
$802.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$617.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$811.36
|
| Rate for Payer: UHC Core |
$769.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$691.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Facility
|
OP
|
$922.00
|
|
|
Service Code
|
CPT 11644
|
| Hospital Charge Code |
11644
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$218.98 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$783.70
|
| Rate for Payer: Aetna Medicare |
$239.72
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$288.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$288.12
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$230.50
|
| Rate for Payer: BCBS Trust/PPO |
$757.98
|
| Rate for Payer: BCN Commercial |
$716.86
|
| Rate for Payer: BCN Medicare Advantage |
$230.50
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$792.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$737.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$230.50
|
| Rate for Payer: Healthscope Commercial |
$829.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$691.50
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$242.02
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$265.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$783.70
|
| Rate for Payer: Nomi Health Commercial |
$756.04
|
| Rate for Payer: PACE Senior Care Partners |
$218.98
|
| Rate for Payer: PACE SWMI |
$230.50
|
| Rate for Payer: PHP Commercial |
$783.70
|
| Rate for Payer: PHP Medicare Advantage |
$230.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.30
|
| Rate for Payer: Priority Health HMO/PPO |
$802.14
|
| Rate for Payer: Priority Health Medicare |
$232.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$617.74
|
| Rate for Payer: Railroad Medicare Medicare |
$230.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$811.36
|
| Rate for Payer: UHC Core |
$769.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$230.50
|
| Rate for Payer: UHC Exchange |
$230.50
|
| Rate for Payer: UHC Medicare Advantage |
$230.50
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$230.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$691.50
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM
|
Professional
|
Both
|
$922.00
|
|
|
Service Code
|
HCPCS 11644
|
| Min. Negotiated Rate |
$180.41 |
| Max. Negotiated Rate |
$655.87 |
| Rate for Payer: Aetna Commercial |
$358.34
|
| Rate for Payer: Aetna Medicare |
$278.12
|
| Rate for Payer: BCBS Complete |
$189.43
|
| Rate for Payer: BCBS MAPPO |
$267.42
|
| Rate for Payer: BCBS Trust/PPO |
$655.87
|
| Rate for Payer: BCN Commercial |
$457.06
|
| Rate for Payer: BCN Medicare Advantage |
$267.42
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$385.08
|
| Rate for Payer: Cofinity Commercial |
$358.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.42
|
| Rate for Payer: Mclaren Medicaid |
$180.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$280.79
|
| Rate for Payer: Meridian Medicaid |
$189.43
|
| Rate for Payer: Nomi Health Commercial |
$320.90
|
| Rate for Payer: PACE SWMI |
$267.42
|
| Rate for Payer: PHP Medicare Advantage |
$267.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$180.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.30
|
| Rate for Payer: Priority Health HMO/PPO |
$379.73
|
| Rate for Payer: Priority Health Medicare |
$270.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$379.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$267.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$267.42
|
| Rate for Payer: UHC Exchange |
$267.42
|
| Rate for Payer: UHC Medicare Advantage |
$267.42
|
| Rate for Payer: UHCCP Medicaid |
$180.41
|
|
