|
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 |
$534.17 |
| 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 |
$534.17
|
| 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 |
$508.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.30
|
| Rate for Payer: Meridian Medicaid |
$534.17
|
| 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 |
$508.70
|
| 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 |
$508.70
|
| 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 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 |
$440.05
|
| 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
|
Facility
|
OP
|
$527.00
|
|
|
Service Code
|
CPT 11623
|
| Hospital Charge Code |
11623
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$125.16 |
| Max. Negotiated Rate |
$1,230.09 |
| 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 |
$1,230.09
|
| 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 |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$138.34
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| 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 |
$1,171.43
|
| 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 |
$440.05
|
| 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 |
$1,171.43
|
| 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 |
$197.99 |
| Max. Negotiated Rate |
$342.55 |
| Rate for Payer: Aetna Commercial |
$265.31
|
| Rate for Payer: Aetna Medicare |
$205.91
|
| Rate for Payer: BCBS Complete |
$210.80
|
| Rate for Payer: BCBS MAPPO |
$197.99
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.89
|
| 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 Cigna Priority Health |
$342.55
|
| Rate for Payer: Priority Health Medicare |
$199.97
|
| 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
|
|
|
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 |
$197.99 |
| Max. Negotiated Rate |
$342.55 |
| Rate for Payer: Aetna Commercial |
$265.31
|
| Rate for Payer: Aetna Medicare |
$205.91
|
| Rate for Payer: BCBS Complete |
$210.80
|
| Rate for Payer: BCBS MAPPO |
$197.99
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$207.89
|
| 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 Cigna Priority Health |
$342.55
|
| Rate for Payer: Priority Health Medicare |
$199.97
|
| 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
|
|
|
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 |
$225.44 |
| Max. Negotiated Rate |
$386.75 |
| Rate for Payer: Aetna Commercial |
$302.09
|
| Rate for Payer: Aetna Medicare |
$234.46
|
| Rate for Payer: BCBS Complete |
$238.00
|
| Rate for Payer: BCBS MAPPO |
$225.44
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$236.71
|
| 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 Cigna Priority Health |
$386.75
|
| Rate for Payer: Priority Health Medicare |
$227.69
|
| 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
|
|
|
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 |
$1,230.09 |
| 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 |
$1,230.09
|
| 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 |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.19
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| 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 |
$1,171.43
|
| 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 |
$1,171.43
|
| 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
|
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
|
| Min. Negotiated Rate |
$225.44 |
| Max. Negotiated Rate |
$386.75 |
| Rate for Payer: Aetna Commercial |
$302.09
|
| Rate for Payer: Aetna Medicare |
$234.46
|
| Rate for Payer: BCBS Complete |
$238.00
|
| Rate for Payer: BCBS MAPPO |
$225.44
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$236.71
|
| 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 Cigna Priority Health |
$386.75
|
| Rate for Payer: Priority Health Medicare |
$227.69
|
| 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
|
|
|
PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM
|
Professional
|
Both
|
$930.00
|
|
|
Service Code
|
HCPCS 11626
|
| Min. Negotiated Rate |
$277.64 |
| Max. Negotiated Rate |
$604.50 |
| Rate for Payer: Aetna Commercial |
$372.04
|
| Rate for Payer: Aetna Medicare |
$288.75
|
| Rate for Payer: BCBS Complete |
$372.00
|
| Rate for Payer: BCBS MAPPO |
$277.64
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$291.52
|
| 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 Cigna Priority Health |
$604.50
|
| Rate for Payer: Priority Health Medicare |
$280.42
|
| 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
|
|
|
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 |
$2,172.87 |
| 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 |
$2,172.87
|
| 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 |
$2,069.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$244.12
|
| Rate for Payer: Meridian Medicaid |
$2,172.87
|
| 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 |
$2,069.26
|
| 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 |
$2,069.26
|
| 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 |
$277.64 |
| Max. Negotiated Rate |
$604.50 |
| Rate for Payer: Aetna Commercial |
$372.04
|
| Rate for Payer: Aetna Medicare |
$288.75
|
| Rate for Payer: BCBS Complete |
$372.00
|
| Rate for Payer: BCBS MAPPO |
$277.64
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$291.52
|
| 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 Cigna Priority Health |
$604.50
|
| Rate for Payer: Priority Health Medicare |
$280.42
|
| 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
|
|
|
PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM
|
Professional
|
Both
|
$803.00
|
|
|
Service Code
|
HCPCS 11606
|
| Min. Negotiated Rate |
$301.60 |
| Max. Negotiated Rate |
$521.95 |
| Rate for Payer: Aetna Commercial |
$404.14
|
| Rate for Payer: Aetna Medicare |
$313.66
|
| Rate for Payer: BCBS Complete |
$321.20
|
| Rate for Payer: BCBS MAPPO |
$301.60
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.68
|
| 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 Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health Medicare |
$304.62
|
| 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
|
|
|
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 |
$301.60 |
| Max. Negotiated Rate |
$521.95 |
| Rate for Payer: Aetna Commercial |
$404.14
|
| Rate for Payer: Aetna Medicare |
$313.66
|
| Rate for Payer: BCBS Complete |
$321.20
|
| Rate for Payer: BCBS MAPPO |
$301.60
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.68
|
| 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 Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health Medicare |
$304.62
|
| 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
|
|
|
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 |
$1,230.09 |
| 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 |
$1,230.09
|
| 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 |
$1,171.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.79
|
| Rate for Payer: Meridian Medicaid |
$1,230.09
|
| 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 |
$1,171.43
|
| 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 |
$1,171.43
|
| 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 TUMOR MANDIBLE RADICAL
|
Professional
|
Both
|
$2,220.00
|
|
|
Service Code
|
HCPCS 21045
|
| Min. Negotiated Rate |
$888.00 |
| Max. Negotiated Rate |
$1,641.48 |
| Rate for Payer: Aetna Commercial |
$1,527.49
|
| Rate for Payer: Aetna Medicare |
$1,185.52
|
| Rate for Payer: BCBS Complete |
$888.00
|
| Rate for Payer: BCBS MAPPO |
$1,139.92
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,196.92
|
| 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 Cigna Priority Health |
$1,443.00
|
| Rate for Payer: Priority Health Medicare |
$1,151.32
|
| 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
|
|
|
PR EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA
|
Professional
|
Both
|
$2,754.00
|
|
|
Service Code
|
HCPCS 21034
|
| Min. Negotiated Rate |
$1,069.88 |
| Max. Negotiated Rate |
$1,790.10 |
| Rate for Payer: Aetna Commercial |
$1,433.64
|
| Rate for Payer: Aetna Medicare |
$1,112.68
|
| Rate for Payer: BCBS Complete |
$1,101.60
|
| Rate for Payer: BCBS MAPPO |
$1,069.88
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,123.37
|
| 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 Cigna Priority Health |
$1,790.10
|
| Rate for Payer: Priority Health Medicare |
$1,080.58
|
| 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
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<
|
Professional
|
Both
|
$318.00
|
|
|
Service Code
|
HCPCS 11600
|
| Min. Negotiated Rate |
$115.21 |
| Max. Negotiated Rate |
$206.70 |
| Rate for Payer: Aetna Commercial |
$154.38
|
| Rate for Payer: Aetna Medicare |
$119.82
|
| Rate for Payer: BCBS Complete |
$127.20
|
| Rate for Payer: BCBS MAPPO |
$115.21
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.97
|
| 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 Cigna Priority Health |
$206.70
|
| Rate for Payer: Priority Health Medicare |
$116.36
|
| 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
|
|
|
PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM
|
Professional
|
Both
|
$377.00
|
|
|
Service Code
|
HCPCS 11601
|
| Min. Negotiated Rate |
$140.09 |
| Max. Negotiated Rate |
$245.05 |
| Rate for Payer: Aetna Commercial |
$187.72
|
| Rate for Payer: Aetna Medicare |
$145.69
|
| Rate for Payer: BCBS Complete |
$150.80
|
| Rate for Payer: BCBS MAPPO |
$140.09
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.09
|
| 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 Cigna Priority Health |
$245.05
|
| Rate for Payer: Priority Health Medicare |
$141.49
|
| 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
|
|
|
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 |
$152.16 |
| Max. Negotiated Rate |
$266.50 |
| Rate for Payer: Aetna Commercial |
$203.89
|
| Rate for Payer: Aetna Medicare |
$158.25
|
| Rate for Payer: BCBS Complete |
$164.00
|
| Rate for Payer: BCBS MAPPO |
$152.16
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.77
|
| 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 Cigna Priority Health |
$266.50
|
| Rate for Payer: Priority Health Medicare |
$153.68
|
| 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
|
|
|
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
|
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 |
$303.32
|
| Rate for Payer: BCBS MAPPO |
$102.50
|
| Rate for Payer: BCBS Trust/PPO |
$337.06
|
| Rate for Payer: BCN Commercial |
$318.77
|
| 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 |
$288.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.62
|
| Rate for Payer: Meridian Medicaid |
$303.32
|
| 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 |
$288.86
|
| 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 |
$103.53
|
| 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 |
$288.86
|
| 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 1.1-2.0 CM
|
Professional
|
Both
|
$410.00
|
|
|
Service Code
|
HCPCS 11602
|
| Min. Negotiated Rate |
$152.16 |
| Max. Negotiated Rate |
$266.50 |
| Rate for Payer: Aetna Commercial |
$203.89
|
| Rate for Payer: Aetna Medicare |
$158.25
|
| Rate for Payer: BCBS Complete |
$164.00
|
| Rate for Payer: BCBS MAPPO |
$152.16
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$159.77
|
| 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 Cigna Priority Health |
$266.50
|
| Rate for Payer: Priority Health Medicare |
$153.68
|
| 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
|
|
