|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$803.00
|
|
|
Service Code
|
HCPCS 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
|
|
|
PR EXCISION MALIGNANT TUMOR MANDIBLE RADICAL
|
Professional
|
Both
|
$2,220.00
|
|
|
Service Code
|
HCPCS 21045
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$1,831.90 |
| Rate for Payer: Aetna Commercial |
$1,527.49
|
| Rate for Payer: Aetna Medicare |
$1,185.52
|
| Rate for Payer: BCBS Complete |
$808.50
|
| Rate for Payer: BCBS MAPPO |
$1,139.92
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$1,753.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,139.92
|
| Rate for Payer: Cash Price |
$1,776.00
|
| Rate for Payer: Cash Price |
$1,776.00
|
| Rate for Payer: Cofinity Commercial |
$1,641.48
|
| Rate for Payer: Cofinity Commercial |
$1,527.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,139.92
|
| Rate for Payer: Mclaren Medicaid |
$770.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,196.92
|
| Rate for Payer: Meridian Medicaid |
$808.50
|
| Rate for Payer: Nomi Health Commercial |
$1,367.90
|
| Rate for Payer: PACE SWMI |
$1,139.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,139.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$770.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,443.00
|
| Rate for Payer: Priority Health HMO/PPO |
$1,831.90
|
| Rate for Payer: Priority Health Medicare |
$1,151.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,831.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,139.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,139.92
|
| Rate for Payer: UHC Exchange |
$1,139.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,139.92
|
| Rate for Payer: UHCCP Medicaid |
$770.00
|
|
|
PR EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA
|
Professional
|
Both
|
$2,754.00
|
|
|
Service Code
|
HCPCS 21034
|
| Min. Negotiated Rate |
$722.28 |
| Max. Negotiated Rate |
$1,900.96 |
| Rate for Payer: Aetna Commercial |
$1,433.64
|
| Rate for Payer: Aetna Medicare |
$1,112.68
|
| Rate for Payer: BCBS Complete |
$758.39
|
| Rate for Payer: BCBS MAPPO |
$1,069.88
|
| Rate for Payer: BCN Commercial |
$1,900.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,069.88
|
| Rate for Payer: Cash Price |
$2,203.20
|
| Rate for Payer: Cash Price |
$2,203.20
|
| Rate for Payer: Cofinity Commercial |
$1,540.63
|
| Rate for Payer: Cofinity Commercial |
$1,433.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,069.88
|
| Rate for Payer: Mclaren Medicaid |
$722.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,123.37
|
| Rate for Payer: Meridian Medicaid |
$758.39
|
| Rate for Payer: Nomi Health Commercial |
$1,283.86
|
| Rate for Payer: PACE SWMI |
$1,069.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,069.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$722.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,790.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,719.43
|
| Rate for Payer: Priority Health Medicare |
$1,080.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,719.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,069.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,069.88
|
| Rate for Payer: UHC Exchange |
$1,069.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,069.88
|
| Rate for Payer: UHCCP Medicaid |
$722.28
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 11600
|
| Min. Negotiated Rate |
$78.60 |
| Max. Negotiated Rate |
$1,866.00 |
| Rate for Payer: Aetna Commercial |
$154.38
|
| Rate for Payer: Aetna Medicare |
$119.82
|
| Rate for Payer: BCBS Complete |
$82.53
|
| Rate for Payer: BCBS MAPPO |
$115.21
|
| Rate for Payer: BCBS Trust/PPO |
$1,866.00
|
| Rate for Payer: BCN Commercial |
$290.27
|
| Rate for Payer: BCN Medicare Advantage |
$115.21
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cash Price |
$254.40
|
| Rate for Payer: Cofinity Commercial |
$165.90
|
| Rate for Payer: Cofinity Commercial |
$154.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.21
|
| Rate for Payer: Mclaren Medicaid |
$78.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.97
|
| Rate for Payer: Meridian Medicaid |
$82.53
|
| Rate for Payer: Nomi Health Commercial |
$138.25
|
| Rate for Payer: PACE SWMI |
$115.21
|
| Rate for Payer: PHP Medicare Advantage |
$115.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health HMO/PPO |
$166.16
|
| Rate for Payer: Priority Health Medicare |
$116.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$166.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.21
|
| Rate for Payer: UHC Exchange |
$115.21
|
| Rate for Payer: UHC Medicare Advantage |
$115.21
|
| Rate for Payer: UHCCP Medicaid |
$78.60
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
|
Professional
|
Both
|
$377.00
|
|
|
Service Code
|
HCPCS 11601
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$269.37 |
| Rate for Payer: Aetna Commercial |
$187.72
|
| Rate for Payer: Aetna Medicare |
$145.69
|
| Rate for Payer: BCBS Complete |
$100.19
|
| Rate for Payer: BCBS MAPPO |
$140.09
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$269.37
|
| Rate for Payer: BCN Medicare Advantage |
$140.09
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cofinity Commercial |
$201.73
|
| Rate for Payer: Cofinity Commercial |
$187.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.09
|
| Rate for Payer: Mclaren Medicaid |
$95.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.09
|
| Rate for Payer: Meridian Medicaid |
$100.19
|
| Rate for Payer: Nomi Health Commercial |
$168.11
|
| Rate for Payer: PACE SWMI |
$140.09
|
| Rate for Payer: PHP Medicare Advantage |
$140.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$245.05
|
| Rate for Payer: Priority Health HMO/PPO |
$200.93
|
| Rate for Payer: Priority Health Medicare |
$141.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$200.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.09
|
| Rate for Payer: UHC Exchange |
$140.09
|
| Rate for Payer: UHC Medicare Advantage |
$140.09
|
| Rate for Payer: UHCCP Medicaid |
$95.42
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Facility
|
IP
|
$410.00
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
11602
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$266.50 |
| Max. Negotiated Rate |
$369.00 |
| Rate for Payer: Aetna Commercial |
$348.50
|
| Rate for Payer: BCBS Trust/PPO |
$334.68
|
| Rate for Payer: BCN Commercial |
$316.85
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cofinity Commercial |
$352.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$328.00
|
| Rate for Payer: Healthscope Commercial |
$369.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$307.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$348.50
|
| Rate for Payer: Nomi Health Commercial |
$336.20
|
| Rate for Payer: PHP Commercial |
$348.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$266.50
|
| Rate for Payer: Priority Health HMO/PPO |
$356.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$274.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$360.80
|
| Rate for Payer: UHC Core |
$342.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$307.50
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Professional
|
Both
|
$410.00
|
|
|
Service Code
|
HCPCS 11602
|
| Hospital Charge Code |
11602
|
| Min. Negotiated Rate |
$46.61 |
| Max. Negotiated Rate |
$288.21 |
| Rate for Payer: Aetna Commercial |
$203.89
|
| Rate for Payer: Aetna Medicare |
$158.25
|
| Rate for Payer: BCBS Complete |
$108.92
|
| Rate for Payer: BCBS MAPPO |
$152.16
|
| Rate for Payer: BCBS Trust/PPO |
$46.61
|
| Rate for Payer: BCN Commercial |
$288.21
|
| Rate for Payer: BCN Medicare Advantage |
$152.16
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cofinity Commercial |
$219.11
|
| Rate for Payer: Cofinity Commercial |
$203.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.16
|
| Rate for Payer: Mclaren Medicaid |
$103.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.77
|
| Rate for Payer: Meridian Medicaid |
$108.92
|
| Rate for Payer: Nomi Health Commercial |
$182.59
|
| Rate for Payer: PACE SWMI |
$152.16
|
| Rate for Payer: PHP Medicare Advantage |
$152.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$266.50
|
| Rate for Payer: Priority Health HMO/PPO |
$218.08
|
| Rate for Payer: Priority Health Medicare |
$153.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.16
|
| Rate for Payer: UHC Exchange |
$152.16
|
| Rate for Payer: UHC Medicare Advantage |
$152.16
|
| Rate for Payer: UHCCP Medicaid |
$103.73
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Professional
|
Both
|
$410.00
|
|
|
Service Code
|
HCPCS 11602
|
| Min. Negotiated Rate |
$46.61 |
| Max. Negotiated Rate |
$288.21 |
| Rate for Payer: Aetna Commercial |
$203.89
|
| Rate for Payer: Aetna Medicare |
$158.25
|
| Rate for Payer: BCBS Complete |
$108.92
|
| Rate for Payer: BCBS MAPPO |
$152.16
|
| Rate for Payer: BCBS Trust/PPO |
$46.61
|
| Rate for Payer: BCN Commercial |
$288.21
|
| Rate for Payer: BCN Medicare Advantage |
$152.16
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cofinity Commercial |
$219.11
|
| Rate for Payer: Cofinity Commercial |
$203.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.16
|
| Rate for Payer: Mclaren Medicaid |
$103.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.77
|
| Rate for Payer: Meridian Medicaid |
$108.92
|
| Rate for Payer: Nomi Health Commercial |
$182.59
|
| Rate for Payer: PACE SWMI |
$152.16
|
| Rate for Payer: PHP Medicare Advantage |
$152.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$266.50
|
| Rate for Payer: Priority Health HMO/PPO |
$218.08
|
| Rate for Payer: Priority Health Medicare |
$153.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$218.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.16
|
| Rate for Payer: UHC Exchange |
$152.16
|
| Rate for Payer: UHC Medicare Advantage |
$152.16
|
| Rate for Payer: UHCCP Medicaid |
$103.73
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM
|
Facility
|
OP
|
$410.00
|
|
|
Service Code
|
CPT 11602
|
| Hospital Charge Code |
11602
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$97.38 |
| Max. Negotiated Rate |
$369.00 |
| Rate for Payer: Aetna Commercial |
$348.50
|
| Rate for Payer: Aetna Medicare |
$106.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$128.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$128.12
|
| Rate for Payer: BCBS Complete |
$297.19
|
| Rate for Payer: BCBS MAPPO |
$102.50
|
| Rate for Payer: BCBS Trust/PPO |
$337.06
|
| Rate for Payer: BCN Commercial |
$318.78
|
| Rate for Payer: BCN Medicare Advantage |
$102.50
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cash Price |
$328.00
|
| Rate for Payer: Cofinity Commercial |
$352.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$328.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.50
|
| Rate for Payer: Healthscope Commercial |
$369.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$307.50
|
| Rate for Payer: Mclaren Medicaid |
$283.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.62
|
| Rate for Payer: Meridian Medicaid |
$297.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$117.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$348.50
|
| Rate for Payer: Nomi Health Commercial |
$336.20
|
| Rate for Payer: PACE Senior Care Partners |
$97.38
|
| Rate for Payer: PACE SWMI |
$102.50
|
| Rate for Payer: PHP Commercial |
$348.50
|
| Rate for Payer: PHP Medicare Advantage |
$102.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$266.50
|
| Rate for Payer: Priority Health HMO/PPO |
$356.70
|
| Rate for Payer: Priority Health Medicare |
$103.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$274.70
|
| Rate for Payer: Railroad Medicare Medicare |
$102.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$360.80
|
| Rate for Payer: UHC Core |
$342.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.50
|
| Rate for Payer: UHC Exchange |
$102.50
|
| Rate for Payer: UHC Medicare Advantage |
$102.50
|
| Rate for Payer: UHCCP Medicaid |
$283.02
|
| Rate for Payer: VA VA |
$102.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$307.50
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Professional
|
Both
|
$467.00
|
|
|
Service Code
|
HCPCS 11603
|
| Hospital Charge Code |
11603
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$409.03 |
| Rate for Payer: Aetna Commercial |
$244.55
|
| Rate for Payer: Aetna Medicare |
$189.80
|
| Rate for Payer: BCBS Complete |
$130.17
|
| Rate for Payer: BCBS MAPPO |
$182.50
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$409.03
|
| Rate for Payer: BCN Medicare Advantage |
$182.50
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$262.80
|
| Rate for Payer: Cofinity Commercial |
$244.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.50
|
| Rate for Payer: Mclaren Medicaid |
$123.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$191.62
|
| Rate for Payer: Meridian Medicaid |
$130.17
|
| Rate for Payer: Nomi Health Commercial |
$219.00
|
| Rate for Payer: PACE SWMI |
$182.50
|
| Rate for Payer: PHP Medicare Advantage |
$182.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health HMO/PPO |
$260.53
|
| Rate for Payer: Priority Health Medicare |
$184.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$260.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.50
|
| Rate for Payer: UHC Exchange |
$182.50
|
| Rate for Payer: UHC Medicare Advantage |
$182.50
|
| Rate for Payer: UHCCP Medicaid |
$123.97
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Facility
|
OP
|
$467.00
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
11603
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$110.91 |
| Max. Negotiated Rate |
$523.36 |
| Rate for Payer: Aetna Commercial |
$396.95
|
| Rate for Payer: Aetna Medicare |
$121.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$145.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$145.94
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$116.75
|
| Rate for Payer: BCBS Trust/PPO |
$383.92
|
| Rate for Payer: BCN Commercial |
$363.09
|
| Rate for Payer: BCN Medicare Advantage |
$116.75
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$401.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$373.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.75
|
| Rate for Payer: Healthscope Commercial |
$420.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$350.25
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$122.59
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$134.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$396.95
|
| Rate for Payer: Nomi Health Commercial |
$382.94
|
| Rate for Payer: PACE Senior Care Partners |
$110.91
|
| Rate for Payer: PACE SWMI |
$116.75
|
| Rate for Payer: PHP Commercial |
$396.95
|
| Rate for Payer: PHP Medicare Advantage |
$116.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health HMO/PPO |
$406.29
|
| Rate for Payer: Priority Health Medicare |
$117.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$312.89
|
| Rate for Payer: Railroad Medicare Medicare |
$116.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$410.96
|
| Rate for Payer: UHC Core |
$389.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.75
|
| Rate for Payer: UHC Exchange |
$116.75
|
| Rate for Payer: UHC Medicare Advantage |
$116.75
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$116.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$350.25
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Professional
|
Both
|
$467.00
|
|
|
Service Code
|
HCPCS 11603
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$409.03 |
| Rate for Payer: Aetna Commercial |
$244.55
|
| Rate for Payer: Aetna Medicare |
$189.80
|
| Rate for Payer: BCBS Complete |
$130.17
|
| Rate for Payer: BCBS MAPPO |
$182.50
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$409.03
|
| Rate for Payer: BCN Medicare Advantage |
$182.50
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$262.80
|
| Rate for Payer: Cofinity Commercial |
$244.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$182.50
|
| Rate for Payer: Mclaren Medicaid |
$123.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$191.62
|
| Rate for Payer: Meridian Medicaid |
$130.17
|
| Rate for Payer: Nomi Health Commercial |
$219.00
|
| Rate for Payer: PACE SWMI |
$182.50
|
| Rate for Payer: PHP Medicare Advantage |
$182.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health HMO/PPO |
$260.53
|
| Rate for Payer: Priority Health Medicare |
$184.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$260.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$182.50
|
| Rate for Payer: UHC Exchange |
$182.50
|
| Rate for Payer: UHC Medicare Advantage |
$182.50
|
| Rate for Payer: UHCCP Medicaid |
$123.97
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM
|
Facility
|
IP
|
$467.00
|
|
|
Service Code
|
CPT 11603
|
| Hospital Charge Code |
11603
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$303.55 |
| Max. Negotiated Rate |
$420.30 |
| Rate for Payer: Aetna Commercial |
$396.95
|
| Rate for Payer: BCBS Trust/PPO |
$381.21
|
| Rate for Payer: BCN Commercial |
$360.90
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$401.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$373.60
|
| Rate for Payer: Healthscope Commercial |
$420.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$350.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$396.95
|
| Rate for Payer: Nomi Health Commercial |
$382.94
|
| Rate for Payer: PHP Commercial |
$396.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health HMO/PPO |
$406.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$312.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$410.96
|
| Rate for Payer: UHC Core |
$389.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$350.25
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Professional
|
Both
|
$521.00
|
|
|
Service Code
|
HCPCS 11604
|
| Hospital Charge Code |
11604
|
| Min. Negotiated Rate |
$136.53 |
| Max. Negotiated Rate |
$5,686.65 |
| Rate for Payer: Aetna Commercial |
$270.22
|
| Rate for Payer: Aetna Medicare |
$209.73
|
| Rate for Payer: BCBS Complete |
$143.36
|
| Rate for Payer: BCBS MAPPO |
$201.66
|
| Rate for Payer: BCBS Trust/PPO |
$5,686.65
|
| Rate for Payer: BCN Commercial |
$455.45
|
| Rate for Payer: BCN Medicare Advantage |
$201.66
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cofinity Commercial |
$290.39
|
| Rate for Payer: Cofinity Commercial |
$270.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.66
|
| Rate for Payer: Mclaren Medicaid |
$136.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.74
|
| Rate for Payer: Meridian Medicaid |
$143.36
|
| Rate for Payer: Nomi Health Commercial |
$241.99
|
| Rate for Payer: PACE SWMI |
$201.66
|
| Rate for Payer: PHP Medicare Advantage |
$201.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.65
|
| Rate for Payer: Priority Health HMO/PPO |
$286.72
|
| Rate for Payer: Priority Health Medicare |
$203.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$201.66
|
| Rate for Payer: UHC Exchange |
$201.66
|
| Rate for Payer: UHC Medicare Advantage |
$201.66
|
| Rate for Payer: UHCCP Medicaid |
$136.53
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Facility
|
OP
|
$521.00
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
11604
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$123.74 |
| Max. Negotiated Rate |
$523.36 |
| Rate for Payer: Aetna Commercial |
$442.85
|
| Rate for Payer: Aetna Medicare |
$135.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$162.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$162.81
|
| Rate for Payer: BCBS Complete |
$523.36
|
| Rate for Payer: BCBS MAPPO |
$130.25
|
| Rate for Payer: BCBS Trust/PPO |
$428.31
|
| Rate for Payer: BCN Commercial |
$405.08
|
| Rate for Payer: BCN Medicare Advantage |
$130.25
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cofinity Commercial |
$448.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$130.25
|
| Rate for Payer: Healthscope Commercial |
$468.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.75
|
| Rate for Payer: Mclaren Medicaid |
$498.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.76
|
| Rate for Payer: Meridian Medicaid |
$523.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$149.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.85
|
| Rate for Payer: Nomi Health Commercial |
$427.22
|
| Rate for Payer: PACE Senior Care Partners |
$123.74
|
| Rate for Payer: PACE SWMI |
$130.25
|
| Rate for Payer: PHP Commercial |
$442.85
|
| Rate for Payer: PHP Medicare Advantage |
$130.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.65
|
| Rate for Payer: Priority Health HMO/PPO |
$453.27
|
| Rate for Payer: Priority Health Medicare |
$131.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$349.07
|
| Rate for Payer: Railroad Medicare Medicare |
$130.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.48
|
| Rate for Payer: UHC Core |
$435.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$130.25
|
| Rate for Payer: UHC Exchange |
$130.25
|
| Rate for Payer: UHC Medicare Advantage |
$130.25
|
| Rate for Payer: UHCCP Medicaid |
$498.41
|
| Rate for Payer: VA VA |
$130.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.75
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Facility
|
IP
|
$521.00
|
|
|
Service Code
|
CPT 11604
|
| Hospital Charge Code |
11604
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$338.65 |
| Max. Negotiated Rate |
$468.90 |
| Rate for Payer: Aetna Commercial |
$442.85
|
| Rate for Payer: BCBS Trust/PPO |
$425.29
|
| Rate for Payer: BCN Commercial |
$402.63
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cofinity Commercial |
$448.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.80
|
| Rate for Payer: Healthscope Commercial |
$468.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.85
|
| Rate for Payer: Nomi Health Commercial |
$427.22
|
| Rate for Payer: PHP Commercial |
$442.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.65
|
| Rate for Payer: Priority Health HMO/PPO |
$453.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$349.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.48
|
| Rate for Payer: UHC Core |
$435.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.75
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM
|
Professional
|
Both
|
$521.00
|
|
|
Service Code
|
HCPCS 11604
|
| Min. Negotiated Rate |
$136.53 |
| Max. Negotiated Rate |
$5,686.65 |
| Rate for Payer: Aetna Commercial |
$270.22
|
| Rate for Payer: Aetna Medicare |
$209.73
|
| Rate for Payer: BCBS Complete |
$143.36
|
| Rate for Payer: BCBS MAPPO |
$201.66
|
| Rate for Payer: BCBS Trust/PPO |
$5,686.65
|
| Rate for Payer: BCN Commercial |
$455.45
|
| Rate for Payer: BCN Medicare Advantage |
$201.66
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cash Price |
$416.80
|
| Rate for Payer: Cofinity Commercial |
$290.39
|
| Rate for Payer: Cofinity Commercial |
$270.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.66
|
| Rate for Payer: Mclaren Medicaid |
$136.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.74
|
| Rate for Payer: Meridian Medicaid |
$143.36
|
| Rate for Payer: Nomi Health Commercial |
$241.99
|
| Rate for Payer: PACE SWMI |
$201.66
|
| Rate for Payer: PHP Medicare Advantage |
$201.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.65
|
| Rate for Payer: Priority Health HMO/PPO |
$286.72
|
| Rate for Payer: Priority Health Medicare |
$203.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$201.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$201.66
|
| Rate for Payer: UHC Exchange |
$201.66
|
| Rate for Payer: UHC Medicare Advantage |
$201.66
|
| Rate for Payer: UHCCP Medicaid |
$136.53
|
|
|
PR EXCISION MAXILLARY TORUS PALATINUS
|
Professional
|
Both
|
$793.00
|
|
|
Service Code
|
HCPCS 21032
|
| Min. Negotiated Rate |
$145.43 |
| Max. Negotiated Rate |
$542.92 |
| Rate for Payer: Aetna Commercial |
$332.08
|
| Rate for Payer: Aetna Medicare |
$257.73
|
| Rate for Payer: BCBS Complete |
$178.47
|
| Rate for Payer: BCBS MAPPO |
$247.82
|
| Rate for Payer: BCBS Trust/PPO |
$145.43
|
| Rate for Payer: BCN Commercial |
$542.92
|
| Rate for Payer: BCN Medicare Advantage |
$247.82
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cofinity Commercial |
$356.86
|
| Rate for Payer: Cofinity Commercial |
$332.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$247.82
|
| Rate for Payer: Mclaren Medicaid |
$169.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$260.21
|
| Rate for Payer: Meridian Medicaid |
$178.47
|
| Rate for Payer: Nomi Health Commercial |
$297.38
|
| Rate for Payer: PACE SWMI |
$247.82
|
| Rate for Payer: PHP Medicare Advantage |
$247.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.45
|
| Rate for Payer: Priority Health HMO/PPO |
$399.46
|
| Rate for Payer: Priority Health Medicare |
$250.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$399.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$247.82
|
| Rate for Payer: UHC Exchange |
$247.82
|
| Rate for Payer: UHC Medicare Advantage |
$247.82
|
| Rate for Payer: UHCCP Medicaid |
$169.97
|
|
|
PR EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS
|
Professional
|
Both
|
$679.00
|
|
|
Service Code
|
HCPCS 46230
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$1,777.73 |
| Rate for Payer: Aetna Commercial |
$224.56
|
| Rate for Payer: Aetna Medicare |
$174.28
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCBS MAPPO |
$167.58
|
| Rate for Payer: BCBS Trust/PPO |
$1,777.73
|
| Rate for Payer: BCN Commercial |
$459.85
|
| Rate for Payer: BCN Medicare Advantage |
$167.58
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Cash Price |
$543.20
|
| Rate for Payer: Cofinity Commercial |
$241.32
|
| Rate for Payer: Cofinity Commercial |
$224.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$167.58
|
| Rate for Payer: Mclaren Medicaid |
$112.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.96
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Nomi Health Commercial |
$201.10
|
| Rate for Payer: PACE SWMI |
$167.58
|
| Rate for Payer: PHP Medicare Advantage |
$167.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$441.35
|
| Rate for Payer: Priority Health HMO/PPO |
$312.62
|
| Rate for Payer: Priority Health Medicare |
$169.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$312.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$167.58
|
| Rate for Payer: UHC Exchange |
$167.58
|
| Rate for Payer: UHC Medicare Advantage |
$167.58
|
| Rate for Payer: UHCCP Medicaid |
$112.68
|
|
|
PR EXCISION NAIL MATRIX PERMANENT REMOVAL
|
Professional
|
Both
|
$483.00
|
|
|
Service Code
|
HCPCS 11750
|
| Min. Negotiated Rate |
$20.33 |
| Max. Negotiated Rate |
$313.95 |
| Rate for Payer: Aetna Commercial |
$128.80
|
| Rate for Payer: Aetna Medicare |
$99.96
|
| Rate for Payer: BCBS Complete |
$68.66
|
| Rate for Payer: BCBS MAPPO |
$96.12
|
| Rate for Payer: BCBS Trust/PPO |
$20.33
|
| Rate for Payer: BCN Commercial |
$187.30
|
| Rate for Payer: BCN Medicare Advantage |
$96.12
|
| Rate for Payer: Cash Price |
$386.40
|
| Rate for Payer: Cash Price |
$386.40
|
| Rate for Payer: Cofinity Commercial |
$138.41
|
| Rate for Payer: Cofinity Commercial |
$128.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.12
|
| Rate for Payer: Mclaren Medicaid |
$65.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.93
|
| Rate for Payer: Meridian Medicaid |
$68.66
|
| Rate for Payer: Nomi Health Commercial |
$115.34
|
| Rate for Payer: PACE SWMI |
$96.12
|
| Rate for Payer: PHP Medicare Advantage |
$96.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$313.95
|
| Rate for Payer: Priority Health HMO/PPO |
$138.16
|
| Rate for Payer: Priority Health Medicare |
$97.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$138.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$96.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.12
|
| Rate for Payer: UHC Exchange |
$96.12
|
| Rate for Payer: UHC Medicare Advantage |
$96.12
|
| Rate for Payer: UHCCP Medicaid |
$65.39
|
|
|
PR EXCISION NASAL POLYP EXTENSIVE
|
Professional
|
Both
|
$813.00
|
|
|
Service Code
|
HCPCS 30115
|
| Min. Negotiated Rate |
$298.41 |
| Max. Negotiated Rate |
$893.36 |
| Rate for Payer: Aetna Commercial |
$577.49
|
| Rate for Payer: Aetna Medicare |
$448.20
|
| Rate for Payer: BCBS Complete |
$313.33
|
| Rate for Payer: BCBS MAPPO |
$430.96
|
| Rate for Payer: BCBS Trust/PPO |
$893.36
|
| Rate for Payer: BCN Commercial |
$693.93
|
| Rate for Payer: BCN Medicare Advantage |
$430.96
|
| Rate for Payer: Cash Price |
$650.40
|
| Rate for Payer: Cash Price |
$650.40
|
| Rate for Payer: Cofinity Commercial |
$620.58
|
| Rate for Payer: Cofinity Commercial |
$577.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$430.96
|
| Rate for Payer: Mclaren Medicaid |
$298.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.51
|
| Rate for Payer: Meridian Medicaid |
$313.33
|
| Rate for Payer: Nomi Health Commercial |
$517.15
|
| Rate for Payer: PACE SWMI |
$430.96
|
| Rate for Payer: PHP Medicare Advantage |
$430.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$528.45
|
| Rate for Payer: Priority Health HMO/PPO |
$653.96
|
| Rate for Payer: Priority Health Medicare |
$435.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$653.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$430.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$430.96
|
| Rate for Payer: UHC Exchange |
$430.96
|
| Rate for Payer: UHC Medicare Advantage |
$430.96
|
| Rate for Payer: UHCCP Medicaid |
$298.41
|
|
|
PR EXCISION NASAL POLYP SIMPLE
|
Professional
|
Both
|
$497.00
|
|
|
Service Code
|
HCPCS 30110
|
| Min. Negotiated Rate |
$86.27 |
| Max. Negotiated Rate |
$937.20 |
| Rate for Payer: Aetna Commercial |
$169.12
|
| Rate for Payer: Aetna Medicare |
$131.26
|
| Rate for Payer: BCBS Complete |
$90.58
|
| Rate for Payer: BCBS MAPPO |
$126.21
|
| Rate for Payer: BCBS Trust/PPO |
$937.20
|
| Rate for Payer: BCN Commercial |
$367.97
|
| Rate for Payer: BCN Medicare Advantage |
$126.21
|
| Rate for Payer: Cash Price |
$397.60
|
| Rate for Payer: Cash Price |
$397.60
|
| Rate for Payer: Cofinity Commercial |
$181.74
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.21
|
| Rate for Payer: Mclaren Medicaid |
$86.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.52
|
| Rate for Payer: Meridian Medicaid |
$90.58
|
| Rate for Payer: Nomi Health Commercial |
$151.45
|
| Rate for Payer: PACE SWMI |
$126.21
|
| Rate for Payer: PHP Medicare Advantage |
$126.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$323.05
|
| Rate for Payer: Priority Health HMO/PPO |
$186.78
|
| Rate for Payer: Priority Health Medicare |
$127.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$186.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$126.21
|
| Rate for Payer: UHC Exchange |
$126.21
|
| Rate for Payer: UHC Medicare Advantage |
$126.21
|
| Rate for Payer: UHCCP Medicaid |
$86.27
|
|
|
PR EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT
|
Professional
|
Both
|
$333.00
|
|
|
Service Code
|
HCPCS 64778
|
| Min. Negotiated Rate |
$114.59 |
| Max. Negotiated Rate |
$304.27 |
| Rate for Payer: Aetna Commercial |
$231.59
|
| Rate for Payer: Aetna Medicare |
$179.74
|
| Rate for Payer: BCBS Complete |
$120.32
|
| Rate for Payer: BCBS MAPPO |
$172.83
|
| Rate for Payer: BCBS Trust/PPO |
$291.09
|
| Rate for Payer: BCN Commercial |
$261.93
|
| Rate for Payer: BCN Medicare Advantage |
$172.83
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cash Price |
$266.40
|
| Rate for Payer: Cofinity Commercial |
$248.88
|
| Rate for Payer: Cofinity Commercial |
$231.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.83
|
| Rate for Payer: Mclaren Medicaid |
$114.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.47
|
| Rate for Payer: Meridian Medicaid |
$120.32
|
| Rate for Payer: Nomi Health Commercial |
$207.40
|
| Rate for Payer: PACE SWMI |
$172.83
|
| Rate for Payer: PHP Medicare Advantage |
$172.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$114.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$216.45
|
| Rate for Payer: Priority Health HMO/PPO |
$304.27
|
| Rate for Payer: Priority Health Medicare |
$174.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$304.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.83
|
| Rate for Payer: UHC Exchange |
$172.83
|
| Rate for Payer: UHC Medicare Advantage |
$172.83
|
| Rate for Payer: UHCCP Medicaid |
$114.59
|
|
|
PR EXCISION NEUROMA SCIATIC NERVE
|
Professional
|
Both
|
$3,548.00
|
|
|
Service Code
|
HCPCS 64786
|
| Min. Negotiated Rate |
$154.26 |
| Max. Negotiated Rate |
$2,306.20 |
| Rate for Payer: Aetna Commercial |
$1,310.88
|
| Rate for Payer: Aetna Medicare |
$1,017.40
|
| Rate for Payer: BCBS Complete |
$680.35
|
| Rate for Payer: BCBS MAPPO |
$978.27
|
| Rate for Payer: BCBS Trust/PPO |
$154.26
|
| Rate for Payer: BCN Commercial |
$1,470.43
|
| Rate for Payer: BCN Medicare Advantage |
$978.27
|
| Rate for Payer: Cash Price |
$2,838.40
|
| Rate for Payer: Cash Price |
$2,838.40
|
| Rate for Payer: Cofinity Commercial |
$1,408.71
|
| Rate for Payer: Cofinity Commercial |
$1,310.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$978.27
|
| Rate for Payer: Mclaren Medicaid |
$647.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,027.18
|
| Rate for Payer: Meridian Medicaid |
$680.35
|
| Rate for Payer: Nomi Health Commercial |
$1,173.92
|
| Rate for Payer: PACE SWMI |
$978.27
|
| Rate for Payer: PHP Medicare Advantage |
$978.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$647.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,306.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,720.37
|
| Rate for Payer: Priority Health Medicare |
$988.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,720.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$978.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$978.27
|
| Rate for Payer: UHC Exchange |
$978.27
|
| Rate for Payer: UHC Medicare Advantage |
$978.27
|
| Rate for Payer: UHCCP Medicaid |
$647.95
|
|
|
PR EXCISION OF BULBOURETHRAL GLAND
|
Professional
|
Both
|
$1,137.00
|
|
|
Service Code
|
HCPCS 53250
|
| Min. Negotiated Rate |
$256.24 |
| Max. Negotiated Rate |
$739.05 |
| Rate for Payer: Aetna Commercial |
$509.27
|
| Rate for Payer: Aetna Medicare |
$395.25
|
| Rate for Payer: BCBS Complete |
$269.05
|
| Rate for Payer: BCBS MAPPO |
$380.05
|
| Rate for Payer: BCBS Trust/PPO |
$419.47
|
| Rate for Payer: BCN Commercial |
$574.19
|
| Rate for Payer: BCN Medicare Advantage |
$380.05
|
| Rate for Payer: Cash Price |
$909.60
|
| Rate for Payer: Cash Price |
$909.60
|
| Rate for Payer: Cofinity Commercial |
$547.27
|
| Rate for Payer: Cofinity Commercial |
$509.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$380.05
|
| Rate for Payer: Mclaren Medicaid |
$256.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$399.05
|
| Rate for Payer: Meridian Medicaid |
$269.05
|
| Rate for Payer: Nomi Health Commercial |
$456.06
|
| Rate for Payer: PACE SWMI |
$380.05
|
| Rate for Payer: PHP Medicare Advantage |
$380.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$256.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$739.05
|
| Rate for Payer: Priority Health HMO/PPO |
$634.86
|
| Rate for Payer: Priority Health Medicare |
$383.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$634.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$380.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$380.05
|
| Rate for Payer: UHC Exchange |
$380.05
|
| Rate for Payer: UHC Medicare Advantage |
$380.05
|
| Rate for Payer: UHCCP Medicaid |
$256.24
|
|
