|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Hospital Charge Code |
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
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: BCBS Complete |
$179.37
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Mclaren Medicaid |
$170.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Meridian Medicaid |
$179.37
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO |
$402.50
|
| Rate for Payer: Priority Health Medicare |
$251.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$402.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Exchange |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UHCCP Medicaid |
$170.83
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
IP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$359.45 |
| Max. Negotiated Rate |
$497.70 |
| Rate for Payer: Aetna Commercial |
$470.05
|
| Rate for Payer: BCBS Trust/PPO |
$451.41
|
| Rate for Payer: BCN Commercial |
$427.36
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$475.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Healthscope Commercial |
$497.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$414.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: Nomi Health Commercial |
$453.46
|
| Rate for Payer: PHP Commercial |
$470.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO |
$481.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$370.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$486.64
|
| Rate for Payer: UHC Core |
$461.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$414.75
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
OP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$131.34 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$470.05
|
| Rate for Payer: Aetna Medicare |
$143.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$172.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$172.81
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$138.25
|
| Rate for Payer: BCBS Trust/PPO |
$454.62
|
| Rate for Payer: BCN Commercial |
$429.96
|
| Rate for Payer: BCN Medicare Advantage |
$138.25
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$475.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.25
|
| Rate for Payer: Healthscope Commercial |
$497.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$414.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.16
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$158.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: Nomi Health Commercial |
$453.46
|
| Rate for Payer: PACE Senior Care Partners |
$131.34
|
| Rate for Payer: PACE SWMI |
$138.25
|
| Rate for Payer: PHP Commercial |
$470.05
|
| Rate for Payer: PHP Medicare Advantage |
$138.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO |
$481.11
|
| Rate for Payer: Priority Health Medicare |
$139.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$370.51
|
| Rate for Payer: Railroad Medicare Medicare |
$138.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$486.64
|
| Rate for Payer: UHC Core |
$461.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$138.25
|
| Rate for Payer: UHC Exchange |
$138.25
|
| Rate for Payer: UHC Medicare Advantage |
$138.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$138.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$414.75
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: BCBS Complete |
$179.37
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Mclaren Medicaid |
$170.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Meridian Medicaid |
$179.37
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO |
$402.50
|
| Rate for Payer: Priority Health Medicare |
$251.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$402.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Exchange |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UHCCP Medicaid |
$170.83
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
OP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$299.01 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$1,070.15
|
| Rate for Payer: Aetna Medicare |
$327.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$393.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$393.44
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$314.75
|
| Rate for Payer: BCBS Trust/PPO |
$1,035.02
|
| Rate for Payer: BCN Commercial |
$978.87
|
| Rate for Payer: BCN Medicare Advantage |
$314.75
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,082.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$314.75
|
| Rate for Payer: Healthscope Commercial |
$1,133.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$944.25
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.49
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$361.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: Nomi Health Commercial |
$1,032.38
|
| Rate for Payer: PACE Senior Care Partners |
$299.01
|
| Rate for Payer: PACE SWMI |
$314.75
|
| Rate for Payer: PHP Commercial |
$1,070.15
|
| Rate for Payer: PHP Medicare Advantage |
$314.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,095.33
|
| Rate for Payer: Priority Health Medicare |
$317.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$843.53
|
| Rate for Payer: Railroad Medicare Medicare |
$314.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,107.92
|
| Rate for Payer: UHC Core |
$1,051.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$314.75
|
| Rate for Payer: UHC Exchange |
$314.75
|
| Rate for Payer: UHC Medicare Advantage |
$314.75
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$314.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$944.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Hospital Charge Code |
21930
|
| Min. Negotiated Rate |
$237.71 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Mclaren Medicaid |
$237.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Meridian Medicaid |
$249.60
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$237.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO |
$564.83
|
| Rate for Payer: Priority Health Medicare |
$355.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$564.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Exchange |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UHCCP Medicaid |
$237.71
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$237.71 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$740.83
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Mclaren Medicaid |
$237.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Meridian Medicaid |
$249.60
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$237.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO |
$564.83
|
| Rate for Payer: Priority Health Medicare |
$355.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$564.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Exchange |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UHCCP Medicaid |
$237.71
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
IP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$818.35 |
| Max. Negotiated Rate |
$1,133.10 |
| Rate for Payer: Aetna Commercial |
$1,070.15
|
| Rate for Payer: BCBS Trust/PPO |
$1,027.72
|
| Rate for Payer: BCN Commercial |
$972.96
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,082.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Healthscope Commercial |
$1,133.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$944.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: Nomi Health Commercial |
$1,032.38
|
| Rate for Payer: PHP Commercial |
$1,070.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,095.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$843.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,107.92
|
| Rate for Payer: UHC Core |
$1,051.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$944.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$169.34 |
| Max. Negotiated Rate |
$558.56 |
| Rate for Payer: Aetna Commercial |
$333.62
|
| Rate for Payer: Aetna Medicare |
$258.93
|
| Rate for Payer: BCBS Complete |
$177.81
|
| Rate for Payer: BCBS MAPPO |
$248.97
|
| Rate for Payer: BCBS Trust/PPO |
$529.88
|
| Rate for Payer: BCN Commercial |
$558.56
|
| Rate for Payer: BCN Medicare Advantage |
$248.97
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$358.52
|
| Rate for Payer: Cofinity Commercial |
$333.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.97
|
| Rate for Payer: Mclaren Medicaid |
$169.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.42
|
| Rate for Payer: Meridian Medicaid |
$177.81
|
| Rate for Payer: Nomi Health Commercial |
$298.76
|
| Rate for Payer: PACE SWMI |
$248.97
|
| Rate for Payer: PHP Medicare Advantage |
$248.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health HMO/PPO |
$402.50
|
| Rate for Payer: Priority Health Medicare |
$251.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$402.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$248.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$248.97
|
| Rate for Payer: UHC Exchange |
$248.97
|
| Rate for Payer: UHC Medicare Advantage |
$248.97
|
| Rate for Payer: UHCCP Medicaid |
$169.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$266.68 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: BCBS Complete |
$280.01
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Mclaren Medicaid |
$266.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Meridian Medicaid |
$280.01
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO |
$630.48
|
| Rate for Payer: Priority Health Medicare |
$400.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$630.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Exchange |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UHCCP Medicaid |
$266.68
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$247.71 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: Aetna Medicare |
$271.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$325.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$325.94
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$260.75
|
| Rate for Payer: BCBS Trust/PPO |
$857.45
|
| Rate for Payer: BCN Commercial |
$810.93
|
| Rate for Payer: BCN Medicare Advantage |
$260.75
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.75
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$273.79
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$299.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: Nomi Health Commercial |
$855.26
|
| Rate for Payer: PACE Senior Care Partners |
$247.71
|
| Rate for Payer: PACE SWMI |
$260.75
|
| Rate for Payer: PHP Commercial |
$886.55
|
| Rate for Payer: PHP Medicare Advantage |
$260.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO |
$907.41
|
| Rate for Payer: Priority Health Medicare |
$263.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$698.81
|
| Rate for Payer: Railroad Medicare Medicare |
$260.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$917.84
|
| Rate for Payer: UHC Core |
$870.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.75
|
| Rate for Payer: UHC Exchange |
$260.75
|
| Rate for Payer: UHC Medicare Advantage |
$260.75
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$260.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$677.95 |
| Max. Negotiated Rate |
$938.70 |
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: BCBS Trust/PPO |
$851.40
|
| Rate for Payer: BCN Commercial |
$806.03
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: Nomi Health Commercial |
$855.26
|
| Rate for Payer: PHP Commercial |
$886.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO |
$907.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$698.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$917.84
|
| Rate for Payer: UHC Core |
$870.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$266.68 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: BCBS Complete |
$280.01
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCBS Trust/PPO |
$579.02
|
| Rate for Payer: BCN Commercial |
$602.54
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Mclaren Medicaid |
$266.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Meridian Medicaid |
$280.01
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO |
$630.48
|
| Rate for Payer: Priority Health Medicare |
$400.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$630.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Exchange |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UHCCP Medicaid |
$266.68
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$724.11 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO |
$724.11
|
| Rate for Payer: Priority Health Medicare |
$460.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$724.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Exchange |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$110.41 |
| Max. Negotiated Rate |
$724.11 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCBS Trust/PPO |
$110.41
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO |
$724.11
|
| Rate for Payer: Priority Health Medicare |
$460.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$724.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Exchange |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$640.90 |
| Max. Negotiated Rate |
$887.40 |
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: BCBS Trust/PPO |
$804.87
|
| Rate for Payer: BCN Commercial |
$761.98
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: PHP Commercial |
$838.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO |
$857.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$867.68
|
| Rate for Payer: UHC Core |
$823.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
OP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$234.18 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: Aetna Medicare |
$256.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$308.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$308.12
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$246.50
|
| Rate for Payer: BCBS Trust/PPO |
$810.59
|
| Rate for Payer: BCN Commercial |
$766.62
|
| Rate for Payer: BCN Medicare Advantage |
$246.50
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.50
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$258.82
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$283.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: Nomi Health Commercial |
$808.52
|
| Rate for Payer: PACE Senior Care Partners |
$234.18
|
| Rate for Payer: PACE SWMI |
$246.50
|
| Rate for Payer: PHP Commercial |
$838.10
|
| Rate for Payer: PHP Medicare Advantage |
$246.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health HMO/PPO |
$857.82
|
| Rate for Payer: Priority Health Medicare |
$248.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$660.62
|
| Rate for Payer: Railroad Medicare Medicare |
$246.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$867.68
|
| Rate for Payer: UHC Core |
$823.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.50
|
| Rate for Payer: UHC Exchange |
$246.50
|
| Rate for Payer: UHC Medicare Advantage |
$246.50
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$246.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
IP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$487.50 |
| Max. Negotiated Rate |
$675.00 |
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: BCBS Trust/PPO |
$612.22
|
| Rate for Payer: BCN Commercial |
$579.60
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: PHP Commercial |
$637.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO |
$652.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$502.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.00
|
| Rate for Payer: UHC Core |
$626.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$178.12 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: Aetna Medicare |
$195.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$234.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$234.38
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$187.50
|
| Rate for Payer: BCBS Trust/PPO |
$616.58
|
| Rate for Payer: BCN Commercial |
$583.12
|
| Rate for Payer: BCN Medicare Advantage |
$187.50
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$187.50
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.50
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$196.88
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$215.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: Nomi Health Commercial |
$615.00
|
| Rate for Payer: PACE Senior Care Partners |
$178.12
|
| Rate for Payer: PACE SWMI |
$187.50
|
| Rate for Payer: PHP Commercial |
$637.50
|
| Rate for Payer: PHP Medicare Advantage |
$187.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO |
$652.50
|
| Rate for Payer: Priority Health Medicare |
$189.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$502.50
|
| Rate for Payer: Railroad Medicare Medicare |
$187.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$660.00
|
| Rate for Payer: UHC Core |
$626.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$187.50
|
| Rate for Payer: UHC Exchange |
$187.50
|
| Rate for Payer: UHC Medicare Advantage |
$187.50
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$187.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$649.31 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Mclaren Medicaid |
$274.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO |
$649.31
|
| Rate for Payer: Priority Health Medicare |
$412.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$649.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$408.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Exchange |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$649.31 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCBS Trust/PPO |
$434.79
|
| Rate for Payer: BCN Commercial |
$617.20
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Mclaren Medicaid |
$274.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health HMO/PPO |
$649.31
|
| Rate for Payer: Priority Health Medicare |
$412.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$649.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$408.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Exchange |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 23075
|
| Min. Negotiated Rate |
$215.34 |
| Max. Negotiated Rate |
$760.38 |
| Rate for Payer: Aetna Commercial |
$425.56
|
| Rate for Payer: Aetna Medicare |
$330.28
|
| Rate for Payer: BCBS Complete |
$226.11
|
| Rate for Payer: BCBS MAPPO |
$317.58
|
| Rate for Payer: BCBS Trust/PPO |
$652.45
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: BCN Medicare Advantage |
$317.58
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cofinity Commercial |
$457.32
|
| Rate for Payer: Cofinity Commercial |
$425.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.58
|
| Rate for Payer: Mclaren Medicaid |
$215.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.46
|
| Rate for Payer: Meridian Medicaid |
$226.11
|
| Rate for Payer: Nomi Health Commercial |
$381.10
|
| Rate for Payer: PACE SWMI |
$317.58
|
| Rate for Payer: PHP Medicare Advantage |
$317.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$563.55
|
| Rate for Payer: Priority Health HMO/PPO |
$510.90
|
| Rate for Payer: Priority Health Medicare |
$320.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$510.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$317.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.58
|
| Rate for Payer: UHC Exchange |
$317.58
|
| Rate for Payer: UHC Medicare Advantage |
$317.58
|
| Rate for Payer: UHCCP Medicaid |
$215.34
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Professional
|
Both
|
$1,305.00
|
|
|
Service Code
|
HCPCS 27327
|
| Min. Negotiated Rate |
$205.97 |
| Max. Negotiated Rate |
$1,601.28 |
| Rate for Payer: Aetna Commercial |
$406.77
|
| Rate for Payer: Aetna Medicare |
$315.70
|
| Rate for Payer: BCBS Complete |
$216.27
|
| Rate for Payer: BCBS MAPPO |
$303.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,601.28
|
| Rate for Payer: BCN Commercial |
$740.34
|
| Rate for Payer: BCN Medicare Advantage |
$303.56
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$437.13
|
| Rate for Payer: Cofinity Commercial |
$406.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.56
|
| Rate for Payer: Mclaren Medicaid |
$205.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.74
|
| Rate for Payer: Meridian Medicaid |
$216.27
|
| Rate for Payer: Nomi Health Commercial |
$364.27
|
| Rate for Payer: PACE SWMI |
$303.56
|
| Rate for Payer: PHP Medicare Advantage |
$303.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO |
$489.53
|
| Rate for Payer: Priority Health Medicare |
$306.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$489.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$303.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$303.56
|
| Rate for Payer: UHC Exchange |
$303.56
|
| Rate for Payer: UHC Medicare Advantage |
$303.56
|
| Rate for Payer: UHCCP Medicaid |
$205.97
|
|
|
PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM
|
Facility
|
OP
|
$1,305.00
|
|
|
Service Code
|
CPT 27327
|
| Hospital Charge Code |
27327
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$309.94 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$1,109.25
|
| Rate for Payer: Aetna Medicare |
$339.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$407.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$407.81
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$326.25
|
| Rate for Payer: BCBS Trust/PPO |
$1,072.84
|
| Rate for Payer: BCN Commercial |
$1,014.64
|
| Rate for Payer: BCN Medicare Advantage |
$326.25
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cash Price |
$1,044.00
|
| Rate for Payer: Cofinity Commercial |
$1,122.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,044.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$326.25
|
| Rate for Payer: Healthscope Commercial |
$1,174.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$978.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.56
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$375.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,109.25
|
| Rate for Payer: Nomi Health Commercial |
$1,070.10
|
| Rate for Payer: PACE Senior Care Partners |
$309.94
|
| Rate for Payer: PACE SWMI |
$326.25
|
| Rate for Payer: PHP Commercial |
$1,109.25
|
| Rate for Payer: PHP Medicare Advantage |
$326.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$848.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,135.35
|
| Rate for Payer: Priority Health Medicare |
$329.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$874.35
|
| Rate for Payer: Railroad Medicare Medicare |
$326.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,148.40
|
| Rate for Payer: UHC Core |
$1,089.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$326.25
|
| Rate for Payer: UHC Exchange |
$326.25
|
| Rate for Payer: UHC Medicare Advantage |
$326.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$326.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$978.75
|
|
