|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
OP
|
$440.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$104.50 |
| Max. Negotiated Rate |
$877.06 |
| Rate for Payer: Aetna Commercial |
$374.00
|
| Rate for Payer: Aetna Medicare |
$114.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$137.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$137.50
|
| Rate for Payer: BCBS Complete |
$877.06
|
| Rate for Payer: BCBS MAPPO |
$110.00
|
| Rate for Payer: BCBS Trust/PPO |
$361.72
|
| Rate for Payer: BCN Commercial |
$342.10
|
| Rate for Payer: BCN Medicare Advantage |
$110.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$378.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.00
|
| Rate for Payer: Healthscope Commercial |
$396.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$330.00
|
| Rate for Payer: Mclaren Medicaid |
$835.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.50
|
| Rate for Payer: Meridian Medicaid |
$877.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$126.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.00
|
| Rate for Payer: Nomi Health Commercial |
$360.80
|
| Rate for Payer: PACE Senior Care Partners |
$104.50
|
| Rate for Payer: PACE SWMI |
$110.00
|
| Rate for Payer: PHP Commercial |
$374.00
|
| Rate for Payer: PHP Medicare Advantage |
$110.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$835.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO |
$382.80
|
| Rate for Payer: Priority Health Medicare |
$111.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$294.80
|
| Rate for Payer: Railroad Medicare Medicare |
$110.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.20
|
| Rate for Payer: UHC Core |
$367.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$110.00
|
| Rate for Payer: UHC Exchange |
$110.00
|
| Rate for Payer: UHC Medicare Advantage |
$110.00
|
| Rate for Payer: UHCCP Medicaid |
$835.24
|
| Rate for Payer: VA VA |
$110.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$330.00
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
HCPCS 46220
|
| Hospital Charge Code |
46220
|
| Min. Negotiated Rate |
$78.81 |
| Max. Negotiated Rate |
$1,565.88 |
| Rate for Payer: Aetna Commercial |
$155.60
|
| Rate for Payer: Aetna Medicare |
$120.76
|
| Rate for Payer: BCBS Complete |
$82.75
|
| Rate for Payer: BCBS MAPPO |
$116.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.88
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$116.12
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$167.21
|
| Rate for Payer: Cofinity Commercial |
$155.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.12
|
| Rate for Payer: Mclaren Medicaid |
$78.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.93
|
| Rate for Payer: Meridian Medicaid |
$82.75
|
| Rate for Payer: Nomi Health Commercial |
$139.34
|
| Rate for Payer: PACE SWMI |
$116.12
|
| Rate for Payer: PHP Medicare Advantage |
$116.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO |
$219.55
|
| Rate for Payer: Priority Health Medicare |
$117.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$219.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$116.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.12
|
| Rate for Payer: UHC Exchange |
$116.12
|
| Rate for Payer: UHC Medicare Advantage |
$116.12
|
| Rate for Payer: UHCCP Medicaid |
$78.81
|
|
|
PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$676.00
|
|
|
Service Code
|
HCPCS 69145
|
| Min. Negotiated Rate |
$165.29 |
| Max. Negotiated Rate |
$2,204.60 |
| Rate for Payer: Aetna Commercial |
$321.26
|
| Rate for Payer: Aetna Medicare |
$249.34
|
| Rate for Payer: BCBS Complete |
$173.55
|
| Rate for Payer: BCBS MAPPO |
$239.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,204.60
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: BCN Medicare Advantage |
$239.75
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Cofinity Commercial |
$345.24
|
| Rate for Payer: Cofinity Commercial |
$321.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$239.75
|
| Rate for Payer: Mclaren Medicaid |
$165.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$251.74
|
| Rate for Payer: Meridian Medicaid |
$173.55
|
| Rate for Payer: Nomi Health Commercial |
$287.70
|
| Rate for Payer: PACE SWMI |
$239.75
|
| Rate for Payer: PHP Medicare Advantage |
$239.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$165.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$439.40
|
| Rate for Payer: Priority Health HMO/PPO |
$379.86
|
| Rate for Payer: Priority Health Medicare |
$242.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$379.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$239.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$239.75
|
| Rate for Payer: UHC Exchange |
$239.75
|
| Rate for Payer: UHC Medicare Advantage |
$239.75
|
| Rate for Payer: UHCCP Medicaid |
$165.29
|
|
|
PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY
|
Professional
|
Both
|
$598.00
|
|
|
Service Code
|
HCPCS 54840
|
| Min. Negotiated Rate |
$207.89 |
| Max. Negotiated Rate |
$2,153.88 |
| Rate for Payer: Aetna Commercial |
$412.87
|
| Rate for Payer: Aetna Medicare |
$320.43
|
| Rate for Payer: BCBS Complete |
$218.28
|
| Rate for Payer: BCBS MAPPO |
$308.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,153.88
|
| Rate for Payer: BCN Commercial |
$467.66
|
| Rate for Payer: BCN Medicare Advantage |
$308.11
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cofinity Commercial |
$443.68
|
| Rate for Payer: Cofinity Commercial |
$412.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.11
|
| Rate for Payer: Mclaren Medicaid |
$207.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.52
|
| Rate for Payer: Meridian Medicaid |
$218.28
|
| Rate for Payer: Nomi Health Commercial |
$369.73
|
| Rate for Payer: PACE SWMI |
$308.11
|
| Rate for Payer: PHP Medicare Advantage |
$308.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.70
|
| Rate for Payer: Priority Health HMO/PPO |
$516.62
|
| Rate for Payer: Priority Health Medicare |
$311.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$516.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.11
|
| Rate for Payer: UHC Exchange |
$308.11
|
| Rate for Payer: UHC Medicare Advantage |
$308.11
|
| Rate for Payer: UHCCP Medicaid |
$207.89
|
|
|
PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$269.02 |
| Max. Negotiated Rate |
$1,476.80 |
| Rate for Payer: Aetna Commercial |
$532.40
|
| Rate for Payer: Aetna Medicare |
$413.20
|
| Rate for Payer: BCBS Complete |
$282.47
|
| Rate for Payer: BCBS MAPPO |
$397.31
|
| Rate for Payer: BCBS Trust/PPO |
$437.96
|
| Rate for Payer: BCN Commercial |
$611.82
|
| Rate for Payer: BCN Medicare Advantage |
$397.31
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cofinity Commercial |
$572.13
|
| Rate for Payer: Cofinity Commercial |
$532.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.31
|
| Rate for Payer: Mclaren Medicaid |
$269.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.18
|
| Rate for Payer: Meridian Medicaid |
$282.47
|
| Rate for Payer: Nomi Health Commercial |
$476.77
|
| Rate for Payer: PACE SWMI |
$397.31
|
| Rate for Payer: PHP Medicare Advantage |
$397.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,476.80
|
| Rate for Payer: Priority Health HMO/PPO |
$752.31
|
| Rate for Payer: Priority Health Medicare |
$401.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$752.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.31
|
| Rate for Payer: UHC Exchange |
$397.31
|
| Rate for Payer: UHC Medicare Advantage |
$397.31
|
| Rate for Payer: UHCCP Medicaid |
$269.02
|
|
|
PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA
|
Professional
|
Both
|
$1,035.00
|
|
|
Service Code
|
HCPCS 30120
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$748.17 |
| Rate for Payer: Aetna Commercial |
$532.93
|
| Rate for Payer: Aetna Medicare |
$413.62
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS MAPPO |
$397.71
|
| Rate for Payer: BCBS Trust/PPO |
$589.05
|
| Rate for Payer: BCN Commercial |
$748.17
|
| Rate for Payer: BCN Medicare Advantage |
$397.71
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cofinity Commercial |
$572.70
|
| Rate for Payer: Cofinity Commercial |
$532.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.71
|
| Rate for Payer: Mclaren Medicaid |
$271.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.60
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Nomi Health Commercial |
$477.25
|
| Rate for Payer: PACE SWMI |
$397.71
|
| Rate for Payer: PHP Medicare Advantage |
$397.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.75
|
| Rate for Payer: Priority Health HMO/PPO |
$587.68
|
| Rate for Payer: Priority Health Medicare |
$401.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$587.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$397.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.71
|
| Rate for Payer: UHC Exchange |
$397.71
|
| Rate for Payer: UHC Medicare Advantage |
$397.71
|
| Rate for Payer: UHCCP Medicaid |
$271.36
|
|
|
PR EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$321.63 |
| Max. Negotiated Rate |
$1,594.41 |
| Rate for Payer: Aetna Commercial |
$633.71
|
| Rate for Payer: Aetna Medicare |
$491.84
|
| Rate for Payer: BCBS Complete |
$337.71
|
| Rate for Payer: BCBS MAPPO |
$472.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.41
|
| Rate for Payer: BCN Commercial |
$719.34
|
| Rate for Payer: BCN Medicare Advantage |
$472.92
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$681.00
|
| Rate for Payer: Cofinity Commercial |
$633.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.92
|
| Rate for Payer: Mclaren Medicaid |
$321.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.57
|
| Rate for Payer: Meridian Medicaid |
$337.71
|
| Rate for Payer: Nomi Health Commercial |
$567.50
|
| Rate for Payer: PACE SWMI |
$472.92
|
| Rate for Payer: PHP Medicare Advantage |
$472.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO |
$758.20
|
| Rate for Payer: Priority Health Medicare |
$477.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$758.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$472.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.92
|
| Rate for Payer: UHC Exchange |
$472.92
|
| Rate for Payer: UHC Medicare Advantage |
$472.92
|
| Rate for Payer: UHCCP Medicaid |
$321.63
|
|
|
PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$146.34 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$585.08
|
| Rate for Payer: Aetna Medicare |
$454.10
|
| Rate for Payer: BCBS Complete |
$313.33
|
| Rate for Payer: BCBS MAPPO |
$436.63
|
| Rate for Payer: BCBS Trust/PPO |
$146.34
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$436.63
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cofinity Commercial |
$628.75
|
| Rate for Payer: Cofinity Commercial |
$585.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.63
|
| Rate for Payer: Mclaren Medicaid |
$298.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.46
|
| Rate for Payer: Meridian Medicaid |
$313.33
|
| Rate for Payer: Nomi Health Commercial |
$523.96
|
| Rate for Payer: PACE SWMI |
$436.63
|
| Rate for Payer: PHP Medicare Advantage |
$436.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| Rate for Payer: Priority Health HMO/PPO |
$704.26
|
| Rate for Payer: Priority Health Medicare |
$441.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$704.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$436.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.63
|
| Rate for Payer: UHC Exchange |
$436.63
|
| Rate for Payer: UHC Medicare Advantage |
$436.63
|
| Rate for Payer: UHCCP Medicaid |
$298.41
|
|
|
PR EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 26170
|
| Min. Negotiated Rate |
$77.66 |
| Max. Negotiated Rate |
$724.10 |
| Rate for Payer: Aetna Commercial |
$528.95
|
| Rate for Payer: Aetna Medicare |
$410.53
|
| Rate for Payer: BCBS Complete |
$283.14
|
| Rate for Payer: BCBS MAPPO |
$394.74
|
| Rate for Payer: BCBS Trust/PPO |
$77.66
|
| Rate for Payer: BCN Commercial |
$606.94
|
| Rate for Payer: BCN Medicare Advantage |
$394.74
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$568.43
|
| Rate for Payer: Cofinity Commercial |
$528.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$394.74
|
| Rate for Payer: Mclaren Medicaid |
$269.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$414.48
|
| Rate for Payer: Meridian Medicaid |
$283.14
|
| Rate for Payer: Nomi Health Commercial |
$473.69
|
| Rate for Payer: PACE SWMI |
$394.74
|
| Rate for Payer: PHP Medicare Advantage |
$394.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO |
$639.13
|
| Rate for Payer: Priority Health Medicare |
$398.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$639.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$394.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$394.74
|
| Rate for Payer: UHC Exchange |
$394.74
|
| Rate for Payer: UHC Medicare Advantage |
$394.74
|
| Rate for Payer: UHCCP Medicaid |
$269.66
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$2,074.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$294.37 |
| Max. Negotiated Rate |
$3,383.23 |
| Rate for Payer: Aetna Commercial |
$580.14
|
| Rate for Payer: Aetna Medicare |
$450.26
|
| Rate for Payer: BCBS Complete |
$309.09
|
| Rate for Payer: BCBS MAPPO |
$432.94
|
| Rate for Payer: BCBS Trust/PPO |
$3,383.23
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$432.94
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cofinity Commercial |
$623.43
|
| Rate for Payer: Cofinity Commercial |
$580.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.94
|
| Rate for Payer: Mclaren Medicaid |
$294.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.59
|
| Rate for Payer: Meridian Medicaid |
$309.09
|
| Rate for Payer: Nomi Health Commercial |
$519.53
|
| Rate for Payer: PACE SWMI |
$432.94
|
| Rate for Payer: PHP Medicare Advantage |
$432.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$294.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,348.10
|
| Rate for Payer: Priority Health HMO/PPO |
$742.05
|
| Rate for Payer: Priority Health Medicare |
$437.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$742.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$432.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$432.94
|
| Rate for Payer: UHC Exchange |
$432.94
|
| Rate for Payer: UHC Medicare Advantage |
$432.94
|
| Rate for Payer: UHCCP Medicaid |
$294.37
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT
|
Professional
|
Both
|
$2,197.00
|
|
|
Service Code
|
HCPCS 60281
|
| Min. Negotiated Rate |
$385.10 |
| Max. Negotiated Rate |
$3,474.63 |
| Rate for Payer: Aetna Commercial |
$762.47
|
| Rate for Payer: Aetna Medicare |
$591.77
|
| Rate for Payer: BCBS Complete |
$404.36
|
| Rate for Payer: BCBS MAPPO |
$569.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,474.63
|
| Rate for Payer: BCN Commercial |
$876.69
|
| Rate for Payer: BCN Medicare Advantage |
$569.01
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cofinity Commercial |
$819.37
|
| Rate for Payer: Cofinity Commercial |
$762.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.01
|
| Rate for Payer: Mclaren Medicaid |
$385.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.46
|
| Rate for Payer: Meridian Medicaid |
$404.36
|
| Rate for Payer: Nomi Health Commercial |
$682.81
|
| Rate for Payer: PACE SWMI |
$569.01
|
| Rate for Payer: PHP Medicare Advantage |
$569.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,428.05
|
| Rate for Payer: Priority Health HMO/PPO |
$970.91
|
| Rate for Payer: Priority Health Medicare |
$574.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$970.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$569.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$569.01
|
| Rate for Payer: UHC Exchange |
$569.01
|
| Rate for Payer: UHC Medicare Advantage |
$569.01
|
| Rate for Payer: UHCCP Medicaid |
$385.10
|
|
|
PR EXCISION TONSIL TAGS
|
Professional
|
Both
|
$380.00
|
|
|
Service Code
|
HCPCS 42860
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$248.07
|
| Rate for Payer: Aetna Medicare |
$192.54
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS MAPPO |
$185.13
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$286.36
|
| Rate for Payer: BCN Medicare Advantage |
$185.13
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cofinity Commercial |
$266.59
|
| Rate for Payer: Cofinity Commercial |
$248.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.13
|
| Rate for Payer: Mclaren Medicaid |
$126.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.39
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Nomi Health Commercial |
$222.16
|
| Rate for Payer: PACE SWMI |
$185.13
|
| Rate for Payer: PHP Medicare Advantage |
$185.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.00
|
| Rate for Payer: Priority Health HMO/PPO |
$353.77
|
| Rate for Payer: Priority Health Medicare |
$186.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$353.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$185.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.13
|
| Rate for Payer: UHC Exchange |
$185.13
|
| Rate for Payer: UHC Medicare Advantage |
$185.13
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
|
|
PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL
|
Professional
|
Both
|
$3,948.00
|
|
|
Service Code
|
HCPCS 31785
|
| Min. Negotiated Rate |
$687.99 |
| Max. Negotiated Rate |
$2,566.20 |
| Rate for Payer: Aetna Commercial |
$1,376.30
|
| Rate for Payer: Aetna Medicare |
$1,068.17
|
| Rate for Payer: BCBS Complete |
$722.39
|
| Rate for Payer: BCBS MAPPO |
$1,027.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,040.22
|
| Rate for Payer: BCN Commercial |
$1,570.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.09
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,479.01
|
| Rate for Payer: Cofinity Commercial |
$1,376.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.09
|
| Rate for Payer: Mclaren Medicaid |
$687.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.44
|
| Rate for Payer: Meridian Medicaid |
$722.39
|
| Rate for Payer: Nomi Health Commercial |
$1,232.51
|
| Rate for Payer: PACE SWMI |
$1,027.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$687.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,566.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,493.28
|
| Rate for Payer: Priority Health Medicare |
$1,037.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,493.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,027.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.09
|
| Rate for Payer: UHC Exchange |
$1,027.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.09
|
| Rate for Payer: UHCCP Medicaid |
$687.99
|
|
|
PR EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$1,678.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$297.77 |
| Max. Negotiated Rate |
$4,466.25 |
| Rate for Payer: Aetna Commercial |
$587.04
|
| Rate for Payer: Aetna Medicare |
$455.61
|
| Rate for Payer: BCBS Complete |
$312.66
|
| Rate for Payer: BCBS MAPPO |
$438.09
|
| Rate for Payer: BCBS Trust/PPO |
$4,466.25
|
| Rate for Payer: BCN Commercial |
$672.91
|
| Rate for Payer: BCN Medicare Advantage |
$438.09
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cofinity Commercial |
$630.85
|
| Rate for Payer: Cofinity Commercial |
$587.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$438.09
|
| Rate for Payer: Mclaren Medicaid |
$297.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$459.99
|
| Rate for Payer: Meridian Medicaid |
$312.66
|
| Rate for Payer: Nomi Health Commercial |
$525.71
|
| Rate for Payer: PACE SWMI |
$438.09
|
| Rate for Payer: PHP Medicare Advantage |
$438.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.70
|
| Rate for Payer: Priority Health HMO/PPO |
$707.32
|
| Rate for Payer: Priority Health Medicare |
$442.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$707.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$438.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$438.09
|
| Rate for Payer: UHC Exchange |
$438.09
|
| Rate for Payer: UHC Medicare Advantage |
$438.09
|
| Rate for Payer: UHCCP Medicaid |
$297.77
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$306.08 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$475.45
|
| Rate for Payer: BCBS Complete |
$321.38
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Mclaren Medicaid |
$306.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Meridian Medicaid |
$321.38
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$306.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$724.61
|
| Rate for Payer: Priority Health Medicare |
$461.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$724.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$457.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Exchange |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
| Rate for Payer: UHCCP Medicaid |
$306.08
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
IP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$484.25 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: BCBS Trust/PPO |
$608.14
|
| Rate for Payer: BCN Commercial |
$575.74
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$648.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Hospital Charge Code |
21931
|
| Min. Negotiated Rate |
$306.08 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$475.45
|
| Rate for Payer: BCBS Complete |
$321.38
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Mclaren Medicaid |
$306.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Meridian Medicaid |
$321.38
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$306.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$724.61
|
| Rate for Payer: Priority Health Medicare |
$461.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$724.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$457.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Exchange |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
| Rate for Payer: UHCCP Medicaid |
$306.08
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
OP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$176.94 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: Aetna Medicare |
$193.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$232.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$232.81
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$186.25
|
| Rate for Payer: BCBS Trust/PPO |
$612.46
|
| Rate for Payer: BCN Commercial |
$579.24
|
| Rate for Payer: BCN Medicare Advantage |
$186.25
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.25
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.56
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$214.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$610.90
|
| Rate for Payer: PACE Senior Care Partners |
$176.94
|
| Rate for Payer: PACE SWMI |
$186.25
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: PHP Medicare Advantage |
$186.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO |
$648.15
|
| Rate for Payer: Priority Health Medicare |
$188.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.15
|
| Rate for Payer: Railroad Medicare Medicare |
$186.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$655.60
|
| Rate for Payer: UHC Core |
$622.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.25
|
| Rate for Payer: UHC Exchange |
$186.25
|
| Rate for Payer: UHC Medicare Advantage |
$186.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$186.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$334.94
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| Rate for Payer: BCN Medicare Advantage |
$322.06
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| Rate for Payer: Cofinity Commercial |
$431.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.06
|
| Rate for Payer: Mclaren Medicaid |
$217.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.16
|
| Rate for Payer: Meridian Medicaid |
$228.80
|
| Rate for Payer: Nomi Health Commercial |
$386.47
|
| Rate for Payer: PACE SWMI |
$322.06
|
| Rate for Payer: PHP Medicare Advantage |
$322.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO |
$520.56
|
| Rate for Payer: Priority Health Medicare |
$325.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Exchange |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
| Rate for Payer: UHCCP Medicaid |
$217.90
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
IP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$594.10 |
| Max. Negotiated Rate |
$822.60 |
| Rate for Payer: Aetna Commercial |
$776.90
|
| Rate for Payer: BCBS Trust/PPO |
$746.10
|
| Rate for Payer: BCN Commercial |
$706.34
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$786.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$731.20
|
| Rate for Payer: Healthscope Commercial |
$822.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$685.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$776.90
|
| Rate for Payer: Nomi Health Commercial |
$749.48
|
| Rate for Payer: PHP Commercial |
$776.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO |
$795.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$612.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$804.32
|
| Rate for Payer: UHC Core |
$763.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$685.50
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
OP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$217.08 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$776.90
|
| Rate for Payer: Aetna Medicare |
$237.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$285.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$285.62
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$228.50
|
| Rate for Payer: BCBS Trust/PPO |
$751.40
|
| Rate for Payer: BCN Commercial |
$710.64
|
| Rate for Payer: BCN Medicare Advantage |
$228.50
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$786.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$731.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$228.50
|
| Rate for Payer: Healthscope Commercial |
$822.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$685.50
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$239.92
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$262.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$776.90
|
| Rate for Payer: Nomi Health Commercial |
$749.48
|
| Rate for Payer: PACE Senior Care Partners |
$217.08
|
| Rate for Payer: PACE SWMI |
$228.50
|
| Rate for Payer: PHP Commercial |
$776.90
|
| Rate for Payer: PHP Medicare Advantage |
$228.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO |
$795.18
|
| Rate for Payer: Priority Health Medicare |
$230.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$612.38
|
| Rate for Payer: Railroad Medicare Medicare |
$228.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$804.32
|
| Rate for Payer: UHC Core |
$763.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$228.50
|
| Rate for Payer: UHC Exchange |
$228.50
|
| Rate for Payer: UHC Medicare Advantage |
$228.50
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$228.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$685.50
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$334.94
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| Rate for Payer: BCN Medicare Advantage |
$322.06
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| Rate for Payer: Cofinity Commercial |
$431.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.06
|
| Rate for Payer: Mclaren Medicaid |
$217.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.16
|
| Rate for Payer: Meridian Medicaid |
$228.80
|
| Rate for Payer: Nomi Health Commercial |
$386.47
|
| Rate for Payer: PACE SWMI |
$322.06
|
| Rate for Payer: PHP Medicare Advantage |
$322.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO |
$520.56
|
| Rate for Payer: Priority Health Medicare |
$325.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Exchange |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
| Rate for Payer: UHCCP Medicaid |
$217.90
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
IP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$423.80 |
| Max. Negotiated Rate |
$586.80 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: BCBS Trust/PPO |
$532.23
|
| Rate for Payer: BCN Commercial |
$503.87
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
OP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$154.85 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: Aetna Medicare |
$169.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$203.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$203.75
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$163.00
|
| Rate for Payer: BCBS Trust/PPO |
$536.01
|
| Rate for Payer: BCN Commercial |
$506.93
|
| Rate for Payer: BCN Medicare Advantage |
$163.00
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.00
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.15
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$187.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$534.64
|
| Rate for Payer: PACE Senior Care Partners |
$154.85
|
| Rate for Payer: PACE SWMI |
$163.00
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: PHP Medicare Advantage |
$163.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO |
$567.24
|
| Rate for Payer: Priority Health Medicare |
$164.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$436.84
|
| Rate for Payer: Railroad Medicare Medicare |
$163.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$573.76
|
| Rate for Payer: UHC Core |
$544.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.00
|
| Rate for Payer: UHC Exchange |
$163.00
|
| Rate for Payer: UHC Medicare Advantage |
$163.00
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$163.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$220.88 |
| Max. Negotiated Rate |
$934.38 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$338.97
|
| Rate for Payer: BCBS Complete |
$231.92
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCBS Trust/PPO |
$934.38
|
| Rate for Payer: BCN Commercial |
$498.45
|
| Rate for Payer: BCN Medicare Advantage |
$325.93
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$469.34
|
| Rate for Payer: Cofinity Commercial |
$436.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.93
|
| Rate for Payer: Mclaren Medicaid |
$220.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.23
|
| Rate for Payer: Meridian Medicaid |
$231.92
|
| Rate for Payer: Nomi Health Commercial |
$391.12
|
| Rate for Payer: PACE SWMI |
$325.93
|
| Rate for Payer: PHP Medicare Advantage |
$325.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$220.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$329.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$523.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Exchange |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
| Rate for Payer: UHCCP Medicaid |
$220.88
|
|
