|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Facility
|
OP
|
$922.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$218.98 |
| Max. Negotiated Rate |
$2,128.93 |
| 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 |
$2,128.93
|
| 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 |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$242.02
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| 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 |
$2,027.42
|
| 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 |
$2,027.42
|
| 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 >4.0 CM
|
Facility
|
IP
|
$922.00
|
|
|
Service Code
|
CPT 11646
|
| Hospital Charge Code |
11646
|
|
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 >4.0 CM
|
Professional
|
Both
|
$922.00
|
|
|
Service Code
|
HCPCS 11646
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$599.30 |
| Rate for Payer: Aetna Commercial |
$496.20
|
| Rate for Payer: Aetna Medicare |
$385.11
|
| Rate for Payer: BCBS Complete |
$261.00
|
| Rate for Payer: BCBS MAPPO |
$370.30
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$594.10
|
| Rate for Payer: BCN Medicare Advantage |
$370.30
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$533.23
|
| Rate for Payer: Cofinity Commercial |
$496.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.30
|
| Rate for Payer: Mclaren Medicaid |
$248.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$388.82
|
| Rate for Payer: Meridian Medicaid |
$261.00
|
| Rate for Payer: Nomi Health Commercial |
$444.36
|
| Rate for Payer: PACE SWMI |
$370.30
|
| Rate for Payer: PHP Medicare Advantage |
$370.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.30
|
| Rate for Payer: Priority Health HMO/PPO |
$524.21
|
| Rate for Payer: Priority Health Medicare |
$374.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$524.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$370.30
|
| Rate for Payer: UHC Exchange |
$370.30
|
| Rate for Payer: UHC Medicare Advantage |
$370.30
|
| Rate for Payer: UHCCP Medicaid |
$248.57
|
|
|
PR EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM
|
Professional
|
Both
|
$922.00
|
|
|
Service Code
|
HCPCS 11646
|
| Hospital Charge Code |
11646
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$599.30 |
| Rate for Payer: Aetna Commercial |
$496.20
|
| Rate for Payer: Aetna Medicare |
$385.11
|
| Rate for Payer: BCBS Complete |
$261.00
|
| Rate for Payer: BCBS MAPPO |
$370.30
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$594.10
|
| Rate for Payer: BCN Medicare Advantage |
$370.30
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cash Price |
$737.60
|
| Rate for Payer: Cofinity Commercial |
$533.23
|
| Rate for Payer: Cofinity Commercial |
$496.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.30
|
| Rate for Payer: Mclaren Medicaid |
$248.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$388.82
|
| Rate for Payer: Meridian Medicaid |
$261.00
|
| Rate for Payer: Nomi Health Commercial |
$444.36
|
| Rate for Payer: PACE SWMI |
$370.30
|
| Rate for Payer: PHP Medicare Advantage |
$370.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.30
|
| Rate for Payer: Priority Health HMO/PPO |
$524.21
|
| Rate for Payer: Priority Health Medicare |
$374.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$524.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$370.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$370.30
|
| Rate for Payer: UHC Exchange |
$370.30
|
| Rate for Payer: UHC Medicare Advantage |
$370.30
|
| Rate for Payer: UHCCP Medicaid |
$248.57
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 11620
|
| Min. Negotiated Rate |
$79.24 |
| Max. Negotiated Rate |
$578.99 |
| Rate for Payer: Aetna Commercial |
$155.72
|
| Rate for Payer: Aetna Medicare |
$120.86
|
| Rate for Payer: BCBS Complete |
$83.20
|
| Rate for Payer: BCBS MAPPO |
$116.21
|
| Rate for Payer: BCBS Trust/PPO |
$578.99
|
| Rate for Payer: BCN Commercial |
$291.75
|
| Rate for Payer: BCN Medicare Advantage |
$116.21
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cofinity Commercial |
$167.34
|
| Rate for Payer: Cofinity Commercial |
$155.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.21
|
| Rate for Payer: Mclaren Medicaid |
$79.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.02
|
| Rate for Payer: Meridian Medicaid |
$83.20
|
| Rate for Payer: Nomi Health Commercial |
$139.45
|
| Rate for Payer: PACE SWMI |
$116.21
|
| Rate for Payer: PHP Medicare Advantage |
$116.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.30
|
| Rate for Payer: Priority Health HMO/PPO |
$167.52
|
| Rate for Payer: Priority Health Medicare |
$117.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$167.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.21
|
| Rate for Payer: UHC Exchange |
$116.21
|
| Rate for Payer: UHC Medicare Advantage |
$116.21
|
| Rate for Payer: UHCCP Medicaid |
$79.24
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM
|
Professional
|
Both
|
$380.00
|
|
|
Service Code
|
HCPCS 11621
|
| Min. Negotiated Rate |
$26.32 |
| Max. Negotiated Rate |
$337.19 |
| Rate for Payer: Aetna Commercial |
$189.57
|
| Rate for Payer: Aetna Medicare |
$147.13
|
| Rate for Payer: BCBS Complete |
$101.09
|
| Rate for Payer: BCBS MAPPO |
$141.47
|
| Rate for Payer: BCBS Trust/PPO |
$26.32
|
| Rate for Payer: BCN Commercial |
$337.19
|
| Rate for Payer: BCN Medicare Advantage |
$141.47
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cofinity Commercial |
$203.72
|
| Rate for Payer: Cofinity Commercial |
$189.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$141.47
|
| Rate for Payer: Mclaren Medicaid |
$96.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$148.54
|
| Rate for Payer: Meridian Medicaid |
$101.09
|
| Rate for Payer: Nomi Health Commercial |
$169.76
|
| Rate for Payer: PACE SWMI |
$141.47
|
| Rate for Payer: PHP Medicare Advantage |
$141.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.00
|
| Rate for Payer: Priority Health HMO/PPO |
$201.83
|
| Rate for Payer: Priority Health Medicare |
$142.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$201.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$141.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$141.47
|
| Rate for Payer: UHC Exchange |
$141.47
|
| Rate for Payer: UHC Medicare Advantage |
$141.47
|
| Rate for Payer: UHCCP Medicaid |
$96.28
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
IP
|
$424.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$275.60 |
| Max. Negotiated Rate |
$381.60 |
| Rate for Payer: Aetna Commercial |
$360.40
|
| Rate for Payer: BCBS Trust/PPO |
$346.11
|
| Rate for Payer: BCN Commercial |
$327.67
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cofinity Commercial |
$364.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$339.20
|
| Rate for Payer: Healthscope Commercial |
$381.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$318.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.40
|
| Rate for Payer: Nomi Health Commercial |
$347.68
|
| Rate for Payer: PHP Commercial |
$360.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.60
|
| Rate for Payer: Priority Health HMO/PPO |
$368.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$284.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$373.12
|
| Rate for Payer: UHC Core |
$354.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$318.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 11622
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$156,313.01 |
| Rate for Payer: Aetna Commercial |
$213.86
|
| Rate for Payer: Aetna Medicare |
$165.98
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$159.60
|
| Rate for Payer: BCBS Trust/PPO |
$156,313.01
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$159.60
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cofinity Commercial |
$229.82
|
| Rate for Payer: Cofinity Commercial |
$213.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.60
|
| Rate for Payer: Mclaren Medicaid |
$108.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.58
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Nomi Health Commercial |
$191.52
|
| Rate for Payer: PACE SWMI |
$159.60
|
| Rate for Payer: PHP Medicare Advantage |
$159.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.60
|
| Rate for Payer: Priority Health HMO/PPO |
$228.92
|
| Rate for Payer: Priority Health Medicare |
$161.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$159.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$159.60
|
| Rate for Payer: UHC Exchange |
$159.60
|
| Rate for Payer: UHC Medicare Advantage |
$159.60
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Facility
|
OP
|
$424.00
|
|
|
Service Code
|
CPT 11622
|
| Hospital Charge Code |
11622
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$100.70 |
| Max. Negotiated Rate |
$523.36 |
| Rate for Payer: Aetna Commercial |
$360.40
|
| Rate for Payer: Aetna Medicare |
$110.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$132.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$132.50
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$106.00
|
| Rate for Payer: BCBS Trust/PPO |
$348.57
|
| Rate for Payer: BCN Commercial |
$329.66
|
| Rate for Payer: BCN Medicare Advantage |
$106.00
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cofinity Commercial |
$364.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$339.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.00
|
| Rate for Payer: Healthscope Commercial |
$381.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$318.00
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.30
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$121.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.40
|
| Rate for Payer: Nomi Health Commercial |
$347.68
|
| Rate for Payer: PACE Senior Care Partners |
$100.70
|
| Rate for Payer: PACE SWMI |
$106.00
|
| Rate for Payer: PHP Commercial |
$360.40
|
| Rate for Payer: PHP Medicare Advantage |
$106.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.60
|
| Rate for Payer: Priority Health HMO/PPO |
$368.88
|
| Rate for Payer: Priority Health Medicare |
$107.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$284.08
|
| Rate for Payer: Railroad Medicare Medicare |
$106.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$373.12
|
| Rate for Payer: UHC Core |
$354.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.00
|
| Rate for Payer: UHC Exchange |
$106.00
|
| Rate for Payer: UHC Medicare Advantage |
$106.00
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$106.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$318.00
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 11622
|
| Hospital Charge Code |
11622
|
| Min. Negotiated Rate |
$108.63 |
| Max. Negotiated Rate |
$156,313.01 |
| Rate for Payer: Aetna Commercial |
$213.86
|
| Rate for Payer: Aetna Medicare |
$165.98
|
| Rate for Payer: BCBS Complete |
$114.06
|
| Rate for Payer: BCBS MAPPO |
$159.60
|
| Rate for Payer: BCBS Trust/PPO |
$156,313.01
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$159.60
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cofinity Commercial |
$229.82
|
| Rate for Payer: Cofinity Commercial |
$213.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.60
|
| Rate for Payer: Mclaren Medicaid |
$108.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.58
|
| Rate for Payer: Meridian Medicaid |
$114.06
|
| Rate for Payer: Nomi Health Commercial |
$191.52
|
| Rate for Payer: PACE SWMI |
$159.60
|
| Rate for Payer: PHP Medicare Advantage |
$159.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$108.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.60
|
| Rate for Payer: Priority Health HMO/PPO |
$228.92
|
| Rate for Payer: Priority Health Medicare |
$161.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$228.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$159.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$159.60
|
| Rate for Payer: UHC Exchange |
$159.60
|
| Rate for Payer: UHC Medicare Advantage |
$159.60
|
| Rate for Payer: UHCCP Medicaid |
$108.63
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$527.00
|
|
|
Service Code
|
HCPCS 11623
|
| Min. Negotiated Rate |
$134.19 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$265.31
|
| Rate for Payer: Aetna Medicare |
$205.91
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS MAPPO |
$197.99
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$433.95
|
| Rate for Payer: BCN Medicare Advantage |
$197.99
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cofinity Commercial |
$285.11
|
| Rate for Payer: Cofinity Commercial |
$265.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.99
|
| Rate for Payer: Mclaren Medicaid |
$134.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.89
|
| Rate for Payer: Meridian Medicaid |
$140.90
|
| Rate for Payer: Nomi Health Commercial |
$237.59
|
| Rate for Payer: PACE SWMI |
$197.99
|
| Rate for Payer: PHP Medicare Advantage |
$197.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$342.55
|
| Rate for Payer: Priority Health HMO/PPO |
$282.20
|
| Rate for Payer: Priority Health Medicare |
$199.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.99
|
| Rate for Payer: UHC Exchange |
$197.99
|
| Rate for Payer: UHC Medicare Advantage |
$197.99
|
| Rate for Payer: UHCCP Medicaid |
$134.19
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
OP
|
$527.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$125.16 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$447.95
|
| Rate for Payer: Aetna Medicare |
$137.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$164.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$164.69
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$131.75
|
| Rate for Payer: BCBS Trust/PPO |
$433.25
|
| Rate for Payer: BCN Commercial |
$409.74
|
| Rate for Payer: BCN Medicare Advantage |
$131.75
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cofinity Commercial |
$453.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$421.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.75
|
| Rate for Payer: Healthscope Commercial |
$474.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$395.25
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$138.34
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$151.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$447.95
|
| Rate for Payer: Nomi Health Commercial |
$432.14
|
| Rate for Payer: PACE Senior Care Partners |
$125.16
|
| Rate for Payer: PACE SWMI |
$131.75
|
| Rate for Payer: PHP Commercial |
$447.95
|
| Rate for Payer: PHP Medicare Advantage |
$131.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$342.55
|
| Rate for Payer: Priority Health HMO/PPO |
$458.49
|
| Rate for Payer: Priority Health Medicare |
$133.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$353.09
|
| Rate for Payer: Railroad Medicare Medicare |
$131.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$463.76
|
| Rate for Payer: UHC Core |
$440.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$131.75
|
| Rate for Payer: UHC Exchange |
$131.75
|
| Rate for Payer: UHC Medicare Advantage |
$131.75
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$131.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$395.25
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Professional
|
Both
|
$527.00
|
|
|
Service Code
|
HCPCS 11623
|
| Hospital Charge Code |
11623
|
| Min. Negotiated Rate |
$134.19 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$265.31
|
| Rate for Payer: Aetna Medicare |
$205.91
|
| Rate for Payer: BCBS Complete |
$140.90
|
| Rate for Payer: BCBS MAPPO |
$197.99
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$433.95
|
| Rate for Payer: BCN Medicare Advantage |
$197.99
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cofinity Commercial |
$285.11
|
| Rate for Payer: Cofinity Commercial |
$265.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$197.99
|
| Rate for Payer: Mclaren Medicaid |
$134.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.89
|
| Rate for Payer: Meridian Medicaid |
$140.90
|
| Rate for Payer: Nomi Health Commercial |
$237.59
|
| Rate for Payer: PACE SWMI |
$197.99
|
| Rate for Payer: PHP Medicare Advantage |
$197.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$342.55
|
| Rate for Payer: Priority Health HMO/PPO |
$282.20
|
| Rate for Payer: Priority Health Medicare |
$199.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$282.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$197.99
|
| Rate for Payer: UHC Exchange |
$197.99
|
| Rate for Payer: UHC Medicare Advantage |
$197.99
|
| Rate for Payer: UHCCP Medicaid |
$134.19
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM
|
Facility
|
IP
|
$527.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$342.55 |
| Max. Negotiated Rate |
$474.30 |
| Rate for Payer: Aetna Commercial |
$447.95
|
| Rate for Payer: BCBS Trust/PPO |
$430.19
|
| Rate for Payer: BCN Commercial |
$407.27
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cofinity Commercial |
$453.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$421.60
|
| Rate for Payer: Healthscope Commercial |
$474.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$395.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$447.95
|
| Rate for Payer: Nomi Health Commercial |
$432.14
|
| Rate for Payer: PHP Commercial |
$447.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$342.55
|
| Rate for Payer: Priority Health HMO/PPO |
$458.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$353.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$463.76
|
| Rate for Payer: UHC Core |
$440.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$395.25
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
IP
|
$595.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$386.75 |
| Max. Negotiated Rate |
$535.50 |
| Rate for Payer: Aetna Commercial |
$505.75
|
| Rate for Payer: BCBS Trust/PPO |
$485.70
|
| Rate for Payer: BCN Commercial |
$459.82
|
| Rate for Payer: Cash Price |
$476.00
|
| Rate for Payer: Cofinity Commercial |
$511.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.00
|
| Rate for Payer: Healthscope Commercial |
$535.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$446.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$505.75
|
| Rate for Payer: Nomi Health Commercial |
$487.90
|
| Rate for Payer: PHP Commercial |
$505.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$386.75
|
| Rate for Payer: Priority Health HMO/PPO |
$517.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$398.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$523.60
|
| Rate for Payer: UHC Core |
$496.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$446.25
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$595.00
|
|
|
Service Code
|
HCPCS 11624
|
| Hospital Charge Code |
11624
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$302.09
|
| Rate for Payer: Aetna Medicare |
$234.46
|
| Rate for Payer: BCBS Complete |
$159.92
|
| Rate for Payer: BCBS MAPPO |
$225.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$225.44
|
| Rate for Payer: Cash Price |
$476.00
|
| Rate for Payer: Cash Price |
$476.00
|
| Rate for Payer: Cofinity Commercial |
$324.63
|
| Rate for Payer: Cofinity Commercial |
$302.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.44
|
| Rate for Payer: Mclaren Medicaid |
$152.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$236.71
|
| Rate for Payer: Meridian Medicaid |
$159.92
|
| Rate for Payer: Nomi Health Commercial |
$270.53
|
| Rate for Payer: PACE SWMI |
$225.44
|
| Rate for Payer: PHP Medicare Advantage |
$225.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$386.75
|
| Rate for Payer: Priority Health HMO/PPO |
$321.02
|
| Rate for Payer: Priority Health Medicare |
$227.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$321.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$225.44
|
| Rate for Payer: UHC Exchange |
$225.44
|
| Rate for Payer: UHC Medicare Advantage |
$225.44
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Facility
|
OP
|
$595.00
|
|
|
Service Code
|
CPT 11624
|
| Hospital Charge Code |
11624
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$141.31 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$505.75
|
| Rate for Payer: Aetna Medicare |
$154.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$185.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$185.94
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$148.75
|
| Rate for Payer: BCBS Trust/PPO |
$489.15
|
| Rate for Payer: BCN Commercial |
$462.61
|
| Rate for Payer: BCN Medicare Advantage |
$148.75
|
| Rate for Payer: Cash Price |
$476.00
|
| Rate for Payer: Cash Price |
$476.00
|
| Rate for Payer: Cofinity Commercial |
$511.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$476.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.75
|
| Rate for Payer: Healthscope Commercial |
$535.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$446.25
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.19
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$171.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$505.75
|
| Rate for Payer: Nomi Health Commercial |
$487.90
|
| Rate for Payer: PACE Senior Care Partners |
$141.31
|
| Rate for Payer: PACE SWMI |
$148.75
|
| Rate for Payer: PHP Commercial |
$505.75
|
| Rate for Payer: PHP Medicare Advantage |
$148.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$386.75
|
| Rate for Payer: Priority Health HMO/PPO |
$517.65
|
| Rate for Payer: Priority Health Medicare |
$150.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$398.65
|
| Rate for Payer: Railroad Medicare Medicare |
$148.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$523.60
|
| Rate for Payer: UHC Core |
$496.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.75
|
| Rate for Payer: UHC Exchange |
$148.75
|
| Rate for Payer: UHC Medicare Advantage |
$148.75
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$148.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$446.25
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM
|
Professional
|
Both
|
$595.00
|
|
|
Service Code
|
HCPCS 11624
|
| Min. Negotiated Rate |
$152.30 |
| Max. Negotiated Rate |
$1,307.96 |
| Rate for Payer: Aetna Commercial |
$302.09
|
| Rate for Payer: Aetna Medicare |
$234.46
|
| Rate for Payer: BCBS Complete |
$159.92
|
| Rate for Payer: BCBS MAPPO |
$225.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,307.96
|
| Rate for Payer: BCN Commercial |
$494.05
|
| Rate for Payer: BCN Medicare Advantage |
$225.44
|
| Rate for Payer: Cash Price |
$476.00
|
| Rate for Payer: Cash Price |
$476.00
|
| Rate for Payer: Cofinity Commercial |
$324.63
|
| Rate for Payer: Cofinity Commercial |
$302.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$225.44
|
| Rate for Payer: Mclaren Medicaid |
$152.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$236.71
|
| Rate for Payer: Meridian Medicaid |
$159.92
|
| Rate for Payer: Nomi Health Commercial |
$270.53
|
| Rate for Payer: PACE SWMI |
$225.44
|
| Rate for Payer: PHP Medicare Advantage |
$225.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$386.75
|
| Rate for Payer: Priority Health HMO/PPO |
$321.02
|
| Rate for Payer: Priority Health Medicare |
$227.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$321.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$225.44
|
| Rate for Payer: UHC Exchange |
$225.44
|
| Rate for Payer: UHC Medicare Advantage |
$225.44
|
| Rate for Payer: UHCCP Medicaid |
$152.30
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
OP
|
$930.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$220.88 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$790.50
|
| Rate for Payer: Aetna Medicare |
$241.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$290.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$290.62
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$232.50
|
| Rate for Payer: BCBS Trust/PPO |
$764.55
|
| Rate for Payer: BCN Commercial |
$723.08
|
| Rate for Payer: BCN Medicare Advantage |
$232.50
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cofinity Commercial |
$799.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$744.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.50
|
| Rate for Payer: Healthscope Commercial |
$837.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$697.50
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$244.12
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$267.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$790.50
|
| Rate for Payer: Nomi Health Commercial |
$762.60
|
| Rate for Payer: PACE Senior Care Partners |
$220.88
|
| Rate for Payer: PACE SWMI |
$232.50
|
| Rate for Payer: PHP Commercial |
$790.50
|
| Rate for Payer: PHP Medicare Advantage |
$232.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.50
|
| Rate for Payer: Priority Health HMO/PPO |
$809.10
|
| Rate for Payer: Priority Health Medicare |
$234.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$623.10
|
| Rate for Payer: Railroad Medicare Medicare |
$232.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$818.40
|
| Rate for Payer: UHC Core |
$776.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.50
|
| Rate for Payer: UHC Exchange |
$232.50
|
| Rate for Payer: UHC Medicare Advantage |
$232.50
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$232.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$697.50
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Facility
|
IP
|
$930.00
|
|
|
Service Code
|
CPT 11626
|
| Hospital Charge Code |
11626
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$604.50 |
| Max. Negotiated Rate |
$837.00 |
| Rate for Payer: Aetna Commercial |
$790.50
|
| Rate for Payer: BCBS Trust/PPO |
$759.16
|
| Rate for Payer: BCN Commercial |
$718.70
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cofinity Commercial |
$799.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$744.00
|
| Rate for Payer: Healthscope Commercial |
$837.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$697.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$790.50
|
| Rate for Payer: Nomi Health Commercial |
$762.60
|
| Rate for Payer: PHP Commercial |
$790.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.50
|
| Rate for Payer: Priority Health HMO/PPO |
$809.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$623.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$818.40
|
| Rate for Payer: UHC Core |
$776.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$697.50
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$930.00
|
|
|
Service Code
|
HCPCS 11626
|
| Hospital Charge Code |
11626
|
| Min. Negotiated Rate |
$186.38 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$372.04
|
| Rate for Payer: Aetna Medicare |
$288.75
|
| Rate for Payer: BCBS Complete |
$195.70
|
| Rate for Payer: BCBS MAPPO |
$277.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$478.66
|
| Rate for Payer: BCN Medicare Advantage |
$277.64
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cofinity Commercial |
$399.80
|
| Rate for Payer: Cofinity Commercial |
$372.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$277.64
|
| Rate for Payer: Mclaren Medicaid |
$186.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$291.52
|
| Rate for Payer: Meridian Medicaid |
$195.70
|
| Rate for Payer: Nomi Health Commercial |
$333.17
|
| Rate for Payer: PACE SWMI |
$277.64
|
| Rate for Payer: PHP Medicare Advantage |
$277.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.50
|
| Rate for Payer: Priority Health HMO/PPO |
$392.37
|
| Rate for Payer: Priority Health Medicare |
$280.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$392.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$277.64
|
| Rate for Payer: UHC Exchange |
$277.64
|
| Rate for Payer: UHC Medicare Advantage |
$277.64
|
| Rate for Payer: UHCCP Medicaid |
$186.38
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$930.00
|
|
|
Service Code
|
HCPCS 11626
|
| Min. Negotiated Rate |
$186.38 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$372.04
|
| Rate for Payer: Aetna Medicare |
$288.75
|
| Rate for Payer: BCBS Complete |
$195.70
|
| Rate for Payer: BCBS MAPPO |
$277.64
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$478.66
|
| Rate for Payer: BCN Medicare Advantage |
$277.64
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cofinity Commercial |
$399.80
|
| Rate for Payer: Cofinity Commercial |
$372.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$277.64
|
| Rate for Payer: Mclaren Medicaid |
$186.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$291.52
|
| Rate for Payer: Meridian Medicaid |
$195.70
|
| Rate for Payer: Nomi Health Commercial |
$333.17
|
| Rate for Payer: PACE SWMI |
$277.64
|
| Rate for Payer: PHP Medicare Advantage |
$277.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$186.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.50
|
| Rate for Payer: Priority Health HMO/PPO |
$392.37
|
| Rate for Payer: Priority Health Medicare |
$280.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$392.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$277.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$277.64
|
| Rate for Payer: UHC Exchange |
$277.64
|
| Rate for Payer: UHC Medicare Advantage |
$277.64
|
| Rate for Payer: UHCCP Medicaid |
$186.38
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
OP
|
$803.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$190.71 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$682.55
|
| Rate for Payer: Aetna Medicare |
$208.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$250.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$250.94
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$200.75
|
| Rate for Payer: BCBS Trust/PPO |
$660.15
|
| Rate for Payer: BCN Commercial |
$624.33
|
| Rate for Payer: BCN Medicare Advantage |
$200.75
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cofinity Commercial |
$690.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$642.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.75
|
| Rate for Payer: Healthscope Commercial |
$722.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$602.25
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.79
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$230.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$682.55
|
| Rate for Payer: Nomi Health Commercial |
$658.46
|
| Rate for Payer: PACE Senior Care Partners |
$190.71
|
| Rate for Payer: PACE SWMI |
$200.75
|
| Rate for Payer: PHP Commercial |
$682.55
|
| Rate for Payer: PHP Medicare Advantage |
$200.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health HMO/PPO |
$698.61
|
| Rate for Payer: Priority Health Medicare |
$202.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$538.01
|
| Rate for Payer: Railroad Medicare Medicare |
$200.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$706.64
|
| Rate for Payer: UHC Core |
$670.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.75
|
| Rate for Payer: UHC Exchange |
$200.75
|
| Rate for Payer: UHC Medicare Advantage |
$200.75
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$200.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$602.25
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Facility
|
IP
|
$803.00
|
|
|
Service Code
|
CPT 11606
|
| Hospital Charge Code |
11606
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$521.95 |
| Max. Negotiated Rate |
$722.70 |
| Rate for Payer: Aetna Commercial |
$682.55
|
| Rate for Payer: BCBS Trust/PPO |
$655.49
|
| Rate for Payer: BCN Commercial |
$620.56
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cofinity Commercial |
$690.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$642.40
|
| Rate for Payer: Healthscope Commercial |
$722.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$602.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$682.55
|
| Rate for Payer: Nomi Health Commercial |
$658.46
|
| Rate for Payer: PHP Commercial |
$682.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health HMO/PPO |
$698.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$538.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$706.64
|
| Rate for Payer: UHC Core |
$670.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$602.25
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$803.00
|
|
|
Service Code
|
HCPCS 11606
|
| Hospital Charge Code |
11606
|
| Min. Negotiated Rate |
$202.35 |
| Max. Negotiated Rate |
$654.83 |
| Rate for Payer: Aetna Commercial |
$404.14
|
| Rate for Payer: Aetna Medicare |
$313.66
|
| Rate for Payer: BCBS Complete |
$212.47
|
| Rate for Payer: BCBS MAPPO |
$301.60
|
| Rate for Payer: BCBS Trust/PPO |
$592.45
|
| Rate for Payer: BCN Commercial |
$654.83
|
| Rate for Payer: BCN Medicare Advantage |
$301.60
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cofinity Commercial |
$434.30
|
| Rate for Payer: Cofinity Commercial |
$404.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.60
|
| Rate for Payer: Mclaren Medicaid |
$202.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.68
|
| Rate for Payer: Meridian Medicaid |
$212.47
|
| Rate for Payer: Nomi Health Commercial |
$361.92
|
| Rate for Payer: PACE SWMI |
$301.60
|
| Rate for Payer: PHP Medicare Advantage |
$301.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health HMO/PPO |
$427.14
|
| Rate for Payer: Priority Health Medicare |
$304.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$427.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$301.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$301.60
|
| Rate for Payer: UHC Exchange |
$301.60
|
| Rate for Payer: UHC Medicare Advantage |
$301.60
|
| Rate for Payer: UHCCP Medicaid |
$202.35
|
|
