|
PR REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS
|
Professional
|
Both
|
$1,185.00
|
|
|
Service Code
|
HCPCS 49450
|
| Min. Negotiated Rate |
$40.68 |
| Max. Negotiated Rate |
$885.97 |
| Rate for Payer: Aetna Commercial |
$87.44
|
| Rate for Payer: Aetna Medicare |
$67.86
|
| Rate for Payer: BCBS Complete |
$42.71
|
| Rate for Payer: BCBS MAPPO |
$65.25
|
| Rate for Payer: BCBS Trust/PPO |
$631.32
|
| Rate for Payer: BCN Commercial |
$885.97
|
| Rate for Payer: BCN Medicare Advantage |
$65.25
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cash Price |
$948.00
|
| Rate for Payer: Cofinity Commercial |
$87.44
|
| Rate for Payer: Cofinity Commercial |
$93.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.25
|
| Rate for Payer: Mclaren Medicaid |
$40.68
|
| Rate for Payer: Meridian Medicaid |
$42.71
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$68.51
|
| Rate for Payer: PACE SWMI |
$65.25
|
| Rate for Payer: PHP Medicare Advantage |
$65.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$829.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$114.65
|
| Rate for Payer: Priority Health Medicare |
$65.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$114.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.25
|
| Rate for Payer: UHC Medicare Advantage |
$67.21
|
|
|
PR REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS
|
Professional
|
Both
|
$1,464.00
|
|
|
Service Code
|
HCPCS 49452
|
| Min. Negotiated Rate |
$84.56 |
| Max. Negotiated Rate |
$2,855.46 |
| Rate for Payer: Aetna Commercial |
$179.20
|
| Rate for Payer: Aetna Medicare |
$139.08
|
| Rate for Payer: BCBS Complete |
$88.79
|
| Rate for Payer: BCBS MAPPO |
$133.73
|
| Rate for Payer: BCBS Trust/PPO |
$2,855.46
|
| Rate for Payer: BCN Commercial |
$1,148.88
|
| Rate for Payer: BCN Medicare Advantage |
$133.73
|
| Rate for Payer: Cash Price |
$1,171.20
|
| Rate for Payer: Cash Price |
$1,171.20
|
| Rate for Payer: Cofinity Commercial |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$192.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.73
|
| Rate for Payer: Mclaren Medicaid |
$84.56
|
| Rate for Payer: Meridian Medicaid |
$88.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$140.42
|
| Rate for Payer: PACE SWMI |
$133.73
|
| Rate for Payer: PHP Medicare Advantage |
$133.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$84.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,024.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.19
|
| Rate for Payer: Priority Health Medicare |
$133.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$133.73
|
| Rate for Payer: UHC Medicare Advantage |
$137.74
|
|
|
PR REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP
|
Professional
|
Both
|
$5,749.32
|
|
|
Service Code
|
HCPCS 33430
|
| Min. Negotiated Rate |
$545.73 |
| Max. Negotiated Rate |
$4,366.31 |
| Rate for Payer: Aetna Commercial |
$3,689.90
|
| Rate for Payer: Aetna Medicare |
$2,863.81
|
| Rate for Payer: BCBS Complete |
$1,842.20
|
| Rate for Payer: BCBS MAPPO |
$2,753.66
|
| Rate for Payer: BCBS Trust/PPO |
$545.73
|
| Rate for Payer: BCN Commercial |
$4,011.07
|
| Rate for Payer: BCN Medicare Advantage |
$2,753.66
|
| Rate for Payer: Cash Price |
$4,599.46
|
| Rate for Payer: Cash Price |
$4,599.46
|
| Rate for Payer: Cofinity Commercial |
$3,965.27
|
| Rate for Payer: Cofinity Commercial |
$3,689.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,753.66
|
| Rate for Payer: Mclaren Medicaid |
$1,754.48
|
| Rate for Payer: Meridian Medicaid |
$1,842.20
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,891.34
|
| Rate for Payer: PACE SWMI |
$2,753.66
|
| Rate for Payer: PHP Medicare Advantage |
$2,753.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,754.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,024.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,366.31
|
| Rate for Payer: Priority Health Medicare |
$2,753.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,366.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,753.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,753.66
|
| Rate for Payer: UHC Medicare Advantage |
$2,836.27
|
|
|
PR REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT
|
Professional
|
Both
|
$1,082.00
|
|
|
Service Code
|
HCPCS 11970
|
| Min. Negotiated Rate |
$361.04 |
| Max. Negotiated Rate |
$822.45 |
| Rate for Payer: Aetna Commercial |
$736.52
|
| Rate for Payer: Aetna Medicare |
$571.63
|
| Rate for Payer: BCBS Complete |
$379.09
|
| Rate for Payer: BCBS MAPPO |
$549.64
|
| Rate for Payer: BCBS Trust/PPO |
$381.90
|
| Rate for Payer: BCN Commercial |
$822.45
|
| Rate for Payer: BCN Medicare Advantage |
$549.64
|
| Rate for Payer: Cash Price |
$865.60
|
| Rate for Payer: Cash Price |
$865.60
|
| Rate for Payer: Cofinity Commercial |
$791.48
|
| Rate for Payer: Cofinity Commercial |
$736.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.64
|
| Rate for Payer: Mclaren Medicaid |
$361.04
|
| Rate for Payer: Meridian Medicaid |
$379.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$577.12
|
| Rate for Payer: PACE SWMI |
$549.64
|
| Rate for Payer: PHP Medicare Advantage |
$549.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$691.78
|
| Rate for Payer: Priority Health Medicare |
$549.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$691.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$549.64
|
| Rate for Payer: UHC Medicare Advantage |
$566.13
|
|
|
PR REPLACEMENT TRICUSPID VALVE W/CARD BYPASS
|
Professional
|
Both
|
$8,637.00
|
|
|
Service Code
|
HCPCS 33465
|
| Min. Negotiated Rate |
$447.47 |
| Max. Negotiated Rate |
$6,045.90 |
| Rate for Payer: Aetna Commercial |
$3,627.84
|
| Rate for Payer: Aetna Medicare |
$2,815.63
|
| Rate for Payer: BCBS Complete |
$1,809.11
|
| Rate for Payer: BCBS MAPPO |
$2,707.34
|
| Rate for Payer: BCBS Trust/PPO |
$447.47
|
| Rate for Payer: BCN Commercial |
$3,939.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,707.34
|
| Rate for Payer: Cash Price |
$6,909.60
|
| Rate for Payer: Cash Price |
$6,909.60
|
| Rate for Payer: Cofinity Commercial |
$3,627.84
|
| Rate for Payer: Cofinity Commercial |
$3,898.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,707.34
|
| Rate for Payer: Mclaren Medicaid |
$1,722.96
|
| Rate for Payer: Meridian Medicaid |
$1,809.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,842.71
|
| Rate for Payer: PACE SWMI |
$2,707.34
|
| Rate for Payer: PHP Medicare Advantage |
$2,707.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,722.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,045.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,288.65
|
| Rate for Payer: Priority Health Medicare |
$2,707.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,288.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,707.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,707.34
|
| Rate for Payer: UHC Medicare Advantage |
$2,788.56
|
|
|
PR REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ
|
Professional
|
Both
|
$484.00
|
|
|
Service Code
|
HCPCS 33993
|
| Min. Negotiated Rate |
$103.52 |
| Max. Negotiated Rate |
$1,384.15 |
| Rate for Payer: Aetna Commercial |
$218.03
|
| Rate for Payer: Aetna Medicare |
$169.22
|
| Rate for Payer: BCBS Complete |
$108.70
|
| Rate for Payer: BCBS MAPPO |
$162.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,384.15
|
| Rate for Payer: BCN Commercial |
$237.01
|
| Rate for Payer: BCN Medicare Advantage |
$162.71
|
| Rate for Payer: Cash Price |
$387.20
|
| Rate for Payer: Cash Price |
$387.20
|
| Rate for Payer: Cofinity Commercial |
$234.30
|
| Rate for Payer: Cofinity Commercial |
$218.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.71
|
| Rate for Payer: Mclaren Medicaid |
$103.52
|
| Rate for Payer: Meridian Medicaid |
$108.70
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$170.85
|
| Rate for Payer: PACE SWMI |
$162.71
|
| Rate for Payer: PHP Medicare Advantage |
$162.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$257.99
|
| Rate for Payer: Priority Health Medicare |
$162.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$257.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$162.71
|
| Rate for Payer: UHC Medicare Advantage |
$167.59
|
|
|
PR REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO
|
Professional
|
Both
|
$369.00
|
|
|
Service Code
|
HCPCS 43761
|
| Min. Negotiated Rate |
$65.82 |
| Max. Negotiated Rate |
$258.30 |
| Rate for Payer: Aetna Commercial |
$138.57
|
| Rate for Payer: Aetna Medicare |
$107.55
|
| Rate for Payer: BCBS Complete |
$69.11
|
| Rate for Payer: BCBS MAPPO |
$103.41
|
| Rate for Payer: BCBS Trust/PPO |
$106.72
|
| Rate for Payer: BCN Commercial |
$181.30
|
| Rate for Payer: BCN Medicare Advantage |
$103.41
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cofinity Commercial |
$138.57
|
| Rate for Payer: Cofinity Commercial |
$148.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.41
|
| Rate for Payer: Mclaren Medicaid |
$65.82
|
| Rate for Payer: Meridian Medicaid |
$69.11
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$108.58
|
| Rate for Payer: PACE SWMI |
$103.41
|
| Rate for Payer: PHP Medicare Advantage |
$103.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$65.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$258.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$181.68
|
| Rate for Payer: Priority Health Medicare |
$103.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$181.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$103.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.41
|
| Rate for Payer: UHC Medicare Advantage |
$106.51
|
|
|
PR REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB
|
Professional
|
Both
|
$825.00
|
|
|
Service Code
|
HCPCS 33273
|
| Min. Negotiated Rate |
$253.26 |
| Max. Negotiated Rate |
$1,148.52 |
| Rate for Payer: Aetna Commercial |
$525.08
|
| Rate for Payer: Aetna Medicare |
$407.52
|
| Rate for Payer: BCBS Complete |
$265.92
|
| Rate for Payer: BCBS MAPPO |
$391.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,148.52
|
| Rate for Payer: BCN Commercial |
$576.15
|
| Rate for Payer: BCN Medicare Advantage |
$391.85
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$564.26
|
| Rate for Payer: Cofinity Commercial |
$525.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.85
|
| Rate for Payer: Mclaren Medicaid |
$253.26
|
| Rate for Payer: Meridian Medicaid |
$265.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$411.44
|
| Rate for Payer: PACE SWMI |
$391.85
|
| Rate for Payer: PHP Medicare Advantage |
$391.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$577.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$627.18
|
| Rate for Payer: Priority Health Medicare |
$391.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$627.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$391.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.85
|
| Rate for Payer: UHC Medicare Advantage |
$403.61
|
|
|
PR REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT
|
Professional
|
Both
|
$300.00
|
|
|
Service Code
|
HCPCS 62252
|
| Min. Negotiated Rate |
$81.59 |
| Max. Negotiated Rate |
$1,964.75 |
| Rate for Payer: Aetna Commercial |
$109.33
|
| Rate for Payer: Aetna Medicare |
$84.85
|
| Rate for Payer: BCBS Complete |
$120.00
|
| Rate for Payer: BCBS MAPPO |
$81.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,964.75
|
| Rate for Payer: BCN Commercial |
$170.84
|
| Rate for Payer: BCN Medicare Advantage |
$81.59
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cofinity Commercial |
$109.33
|
| Rate for Payer: Cofinity Commercial |
$117.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$81.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$85.67
|
| Rate for Payer: PACE SWMI |
$81.59
|
| Rate for Payer: PHP Medicare Advantage |
$81.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$210.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$142.70
|
| Rate for Payer: Priority Health Medicare |
$81.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$81.59
|
| Rate for Payer: UHC Medicare Advantage |
$84.04
|
|
|
PR RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ
|
Professional
|
Both
|
$4,834.00
|
|
|
Service Code
|
HCPCS 32504
|
| Min. Negotiated Rate |
$839.47 |
| Max. Negotiated Rate |
$3,383.80 |
| Rate for Payer: Aetna Commercial |
$2,698.06
|
| Rate for Payer: Aetna Medicare |
$2,094.02
|
| Rate for Payer: BCBS Complete |
$1,349.73
|
| Rate for Payer: BCBS MAPPO |
$2,013.48
|
| Rate for Payer: BCBS Trust/PPO |
$839.47
|
| Rate for Payer: BCN Commercial |
$2,935.00
|
| Rate for Payer: BCN Medicare Advantage |
$2,013.48
|
| Rate for Payer: Cash Price |
$3,867.20
|
| Rate for Payer: Cash Price |
$3,867.20
|
| Rate for Payer: Cofinity Commercial |
$2,698.06
|
| Rate for Payer: Cofinity Commercial |
$2,899.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,013.48
|
| Rate for Payer: Mclaren Medicaid |
$1,285.46
|
| Rate for Payer: Meridian Medicaid |
$1,349.73
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,114.15
|
| Rate for Payer: PACE SWMI |
$2,013.48
|
| Rate for Payer: PHP Medicare Advantage |
$2,013.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,285.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,383.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,781.05
|
| Rate for Payer: Priority Health Medicare |
$2,013.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,781.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,013.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,013.48
|
| Rate for Payer: UHC Medicare Advantage |
$2,073.88
|
|
|
PR RESCJ DIAPHRAGM W/COMPLEX REPAIR
|
Professional
|
Both
|
$2,217.00
|
|
|
Service Code
|
HCPCS 39561
|
| Min. Negotiated Rate |
$573.73 |
| Max. Negotiated Rate |
$1,978.34 |
| Rate for Payer: Aetna Commercial |
$1,654.91
|
| Rate for Payer: Aetna Medicare |
$1,284.41
|
| Rate for Payer: BCBS Complete |
$839.36
|
| Rate for Payer: BCBS MAPPO |
$1,235.01
|
| Rate for Payer: BCBS Trust/PPO |
$573.73
|
| Rate for Payer: BCN Commercial |
$1,817.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.01
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cash Price |
$1,773.60
|
| Rate for Payer: Cofinity Commercial |
$1,778.41
|
| Rate for Payer: Cofinity Commercial |
$1,654.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.01
|
| Rate for Payer: Mclaren Medicaid |
$799.39
|
| Rate for Payer: Meridian Medicaid |
$839.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,296.76
|
| Rate for Payer: PACE SWMI |
$1,235.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$799.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,551.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,978.34
|
| Rate for Payer: Priority Health Medicare |
$1,235.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,978.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,235.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,235.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,272.06
|
|
|
PR RESCJ DIAPHRAGM W/SIMPLE REPAIR
|
Professional
|
Both
|
$3,604.00
|
|
|
Service Code
|
HCPCS 39560
|
| Min. Negotiated Rate |
$479.70 |
| Max. Negotiated Rate |
$2,522.80 |
| Rate for Payer: Aetna Commercial |
$1,061.72
|
| Rate for Payer: Aetna Medicare |
$824.02
|
| Rate for Payer: BCBS Complete |
$537.88
|
| Rate for Payer: BCBS MAPPO |
$792.33
|
| Rate for Payer: BCBS Trust/PPO |
$479.70
|
| Rate for Payer: BCN Commercial |
$1,166.47
|
| Rate for Payer: BCN Medicare Advantage |
$792.33
|
| Rate for Payer: Cash Price |
$2,883.20
|
| Rate for Payer: Cash Price |
$2,883.20
|
| Rate for Payer: Cofinity Commercial |
$1,140.96
|
| Rate for Payer: Cofinity Commercial |
$1,061.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$792.33
|
| Rate for Payer: Mclaren Medicaid |
$512.27
|
| Rate for Payer: Meridian Medicaid |
$537.88
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$831.95
|
| Rate for Payer: PACE SWMI |
$792.33
|
| Rate for Payer: PHP Medicare Advantage |
$792.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$512.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,522.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,269.79
|
| Rate for Payer: Priority Health Medicare |
$792.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,269.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$792.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$792.33
|
| Rate for Payer: UHC Medicare Advantage |
$816.10
|
|
|
PR RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL
|
Professional
|
Both
|
$5,311.00
|
|
|
Service Code
|
HCPCS 61600
|
| Min. Negotiated Rate |
$410.49 |
| Max. Negotiated Rate |
$3,717.70 |
| Rate for Payer: Aetna Commercial |
$2,820.47
|
| Rate for Payer: Aetna Medicare |
$2,189.02
|
| Rate for Payer: BCBS Complete |
$1,429.34
|
| Rate for Payer: BCBS MAPPO |
$2,104.83
|
| Rate for Payer: BCBS Trust/PPO |
$410.49
|
| Rate for Payer: BCN Commercial |
$3,131.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,104.83
|
| Rate for Payer: Cash Price |
$4,248.80
|
| Rate for Payer: Cash Price |
$4,248.80
|
| Rate for Payer: Cofinity Commercial |
$3,030.96
|
| Rate for Payer: Cofinity Commercial |
$2,820.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,104.83
|
| Rate for Payer: Mclaren Medicaid |
$1,361.28
|
| Rate for Payer: Meridian Medicaid |
$1,429.34
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,210.07
|
| Rate for Payer: PACE SWMI |
$2,104.83
|
| Rate for Payer: PHP Medicare Advantage |
$2,104.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,361.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,717.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,628.93
|
| Rate for Payer: Priority Health Medicare |
$2,104.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,628.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,104.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,104.83
|
| Rate for Payer: UHC Medicare Advantage |
$2,167.97
|
|
|
PR RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF
|
Professional
|
Both
|
$7,318.00
|
|
|
Service Code
|
HCPCS 61601
|
| Min. Negotiated Rate |
$1,571.73 |
| Max. Negotiated Rate |
$5,122.60 |
| Rate for Payer: Aetna Commercial |
$3,254.28
|
| Rate for Payer: Aetna Medicare |
$2,525.71
|
| Rate for Payer: BCBS Complete |
$1,650.32
|
| Rate for Payer: BCBS MAPPO |
$2,428.57
|
| Rate for Payer: BCBS Trust/PPO |
$2,035.01
|
| Rate for Payer: BCN Commercial |
$4,982.12
|
| Rate for Payer: BCN Medicare Advantage |
$2,428.57
|
| Rate for Payer: Cash Price |
$5,854.40
|
| Rate for Payer: Cash Price |
$5,854.40
|
| Rate for Payer: Cofinity Commercial |
$3,497.14
|
| Rate for Payer: Cofinity Commercial |
$3,254.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,428.57
|
| Rate for Payer: Mclaren Medicaid |
$1,571.73
|
| Rate for Payer: Meridian Medicaid |
$1,650.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,550.00
|
| Rate for Payer: PACE SWMI |
$2,428.57
|
| Rate for Payer: PHP Medicare Advantage |
$2,428.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,571.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,122.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,161.18
|
| Rate for Payer: Priority Health Medicare |
$2,428.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,161.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,428.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,428.57
|
| Rate for Payer: UHC Medicare Advantage |
$2,501.43
|
|
|
PR RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL
|
Professional
|
Both
|
$6,837.40
|
|
|
Service Code
|
HCPCS 61616
|
| Min. Negotiated Rate |
$70.26 |
| Max. Negotiated Rate |
$6,824.07 |
| Rate for Payer: Aetna Commercial |
$4,477.25
|
| Rate for Payer: Aetna Medicare |
$3,474.88
|
| Rate for Payer: BCBS Complete |
$2,262.22
|
| Rate for Payer: BCBS MAPPO |
$3,341.23
|
| Rate for Payer: BCBS Trust/PPO |
$70.26
|
| Rate for Payer: BCN Commercial |
$6,824.07
|
| Rate for Payer: BCN Medicare Advantage |
$3,341.23
|
| Rate for Payer: Cash Price |
$5,469.92
|
| Rate for Payer: Cash Price |
$5,469.92
|
| Rate for Payer: Cofinity Commercial |
$4,811.37
|
| Rate for Payer: Cofinity Commercial |
$4,477.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,341.23
|
| Rate for Payer: Mclaren Medicaid |
$2,154.50
|
| Rate for Payer: Meridian Medicaid |
$2,262.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,508.29
|
| Rate for Payer: PACE SWMI |
$3,341.23
|
| Rate for Payer: PHP Medicare Advantage |
$3,341.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,154.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,786.18
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,699.61
|
| Rate for Payer: Priority Health Medicare |
$3,341.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,699.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,341.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,341.23
|
| Rate for Payer: UHC Medicare Advantage |
$3,441.47
|
|
|
PR RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL
|
Professional
|
Both
|
$7,083.00
|
|
|
Service Code
|
HCPCS 61615
|
| Min. Negotiated Rate |
$129.96 |
| Max. Negotiated Rate |
$4,958.10 |
| Rate for Payer: Aetna Commercial |
$3,775.97
|
| Rate for Payer: Aetna Medicare |
$2,930.61
|
| Rate for Payer: BCBS Complete |
$1,910.19
|
| Rate for Payer: BCBS MAPPO |
$2,817.89
|
| Rate for Payer: BCBS Trust/PPO |
$129.96
|
| Rate for Payer: BCN Commercial |
$4,161.58
|
| Rate for Payer: BCN Medicare Advantage |
$2,817.89
|
| Rate for Payer: Cash Price |
$5,666.40
|
| Rate for Payer: Cash Price |
$5,666.40
|
| Rate for Payer: Cofinity Commercial |
$4,057.76
|
| Rate for Payer: Cofinity Commercial |
$3,775.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,817.89
|
| Rate for Payer: Mclaren Medicaid |
$1,819.23
|
| Rate for Payer: Meridian Medicaid |
$1,910.19
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,958.78
|
| Rate for Payer: PACE SWMI |
$2,817.89
|
| Rate for Payer: PHP Medicare Advantage |
$2,817.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,819.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,958.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,821.95
|
| Rate for Payer: Priority Health Medicare |
$2,817.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,821.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,817.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,817.89
|
| Rate for Payer: UHC Medicare Advantage |
$2,902.43
|
|
|
PR RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL
|
Professional
|
Both
|
$4,631.00
|
|
|
Service Code
|
HCPCS 61605
|
| Min. Negotiated Rate |
$1,385.78 |
| Max. Negotiated Rate |
$3,694.04 |
| Rate for Payer: Aetna Commercial |
$2,870.23
|
| Rate for Payer: Aetna Medicare |
$2,227.64
|
| Rate for Payer: BCBS Complete |
$1,455.07
|
| Rate for Payer: BCBS MAPPO |
$2,141.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,670.48
|
| Rate for Payer: BCN Commercial |
$3,188.13
|
| Rate for Payer: BCN Medicare Advantage |
$2,141.96
|
| Rate for Payer: Cash Price |
$3,704.80
|
| Rate for Payer: Cash Price |
$3,704.80
|
| Rate for Payer: Cofinity Commercial |
$3,084.42
|
| Rate for Payer: Cofinity Commercial |
$2,870.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,141.96
|
| Rate for Payer: Mclaren Medicaid |
$1,385.78
|
| Rate for Payer: Meridian Medicaid |
$1,455.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,249.06
|
| Rate for Payer: PACE SWMI |
$2,141.96
|
| Rate for Payer: PHP Medicare Advantage |
$2,141.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,385.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,241.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,694.04
|
| Rate for Payer: Priority Health Medicare |
$2,141.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,694.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,141.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,141.96
|
| Rate for Payer: UHC Medicare Advantage |
$2,206.22
|
|
|
PR RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR
|
Professional
|
Both
|
$10,019.00
|
|
|
Service Code
|
HCPCS 61606
|
| Min. Negotiated Rate |
$202.34 |
| Max. Negotiated Rate |
$7,013.30 |
| Rate for Payer: Aetna Commercial |
$3,915.59
|
| Rate for Payer: Aetna Medicare |
$3,038.96
|
| Rate for Payer: BCBS Complete |
$1,964.32
|
| Rate for Payer: BCBS MAPPO |
$2,922.08
|
| Rate for Payer: BCBS Trust/PPO |
$202.34
|
| Rate for Payer: BCN Commercial |
$5,966.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,922.08
|
| Rate for Payer: Cash Price |
$8,015.20
|
| Rate for Payer: Cash Price |
$8,015.20
|
| Rate for Payer: Cofinity Commercial |
$3,915.59
|
| Rate for Payer: Cofinity Commercial |
$4,207.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,922.08
|
| Rate for Payer: Mclaren Medicaid |
$1,870.78
|
| Rate for Payer: Meridian Medicaid |
$1,964.32
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,068.18
|
| Rate for Payer: PACE SWMI |
$2,922.08
|
| Rate for Payer: PHP Medicare Advantage |
$2,922.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,870.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,013.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,983.33
|
| Rate for Payer: Priority Health Medicare |
$2,922.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,983.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,922.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,922.08
|
| Rate for Payer: UHC Medicare Advantage |
$3,009.74
|
|
|
PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL
|
Professional
|
Both
|
$10,444.00
|
|
|
Service Code
|
HCPCS 61608
|
| Min. Negotiated Rate |
$131.02 |
| Max. Negotiated Rate |
$7,310.80 |
| Rate for Payer: Aetna Commercial |
$4,413.42
|
| Rate for Payer: Aetna Medicare |
$3,425.34
|
| Rate for Payer: BCBS Complete |
$2,223.30
|
| Rate for Payer: BCBS MAPPO |
$3,293.60
|
| Rate for Payer: BCBS Trust/PPO |
$131.02
|
| Rate for Payer: BCN Commercial |
$6,712.21
|
| Rate for Payer: BCN Medicare Advantage |
$3,293.60
|
| Rate for Payer: Cash Price |
$8,355.20
|
| Rate for Payer: Cash Price |
$8,355.20
|
| Rate for Payer: Cofinity Commercial |
$4,413.42
|
| Rate for Payer: Cofinity Commercial |
$4,742.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,293.60
|
| Rate for Payer: Mclaren Medicaid |
$2,117.43
|
| Rate for Payer: Meridian Medicaid |
$2,223.30
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,458.28
|
| Rate for Payer: PACE SWMI |
$3,293.60
|
| Rate for Payer: PHP Medicare Advantage |
$3,293.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,117.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7,310.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,606.18
|
| Rate for Payer: Priority Health Medicare |
$3,293.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,606.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,293.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,293.60
|
| Rate for Payer: UHC Medicare Advantage |
$3,392.41
|
|
|
PR RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL
|
Professional
|
Both
|
$5,903.00
|
|
|
Service Code
|
HCPCS 61607
|
| Min. Negotiated Rate |
$156.91 |
| Max. Negotiated Rate |
$4,524.70 |
| Rate for Payer: Aetna Commercial |
$3,545.12
|
| Rate for Payer: Aetna Medicare |
$2,751.43
|
| Rate for Payer: BCBS Complete |
$2,060.49
|
| Rate for Payer: BCBS MAPPO |
$2,645.61
|
| Rate for Payer: BCBS Trust/PPO |
$156.91
|
| Rate for Payer: BCN Commercial |
$3,905.03
|
| Rate for Payer: BCN Medicare Advantage |
$2,645.61
|
| Rate for Payer: Cash Price |
$4,722.40
|
| Rate for Payer: Cash Price |
$4,722.40
|
| Rate for Payer: Cofinity Commercial |
$3,809.68
|
| Rate for Payer: Cofinity Commercial |
$3,545.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,645.61
|
| Rate for Payer: Mclaren Medicaid |
$1,962.37
|
| Rate for Payer: Meridian Medicaid |
$2,060.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,777.89
|
| Rate for Payer: PACE SWMI |
$2,645.61
|
| Rate for Payer: PHP Medicare Advantage |
$2,645.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,962.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,132.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,524.70
|
| Rate for Payer: Priority Health Medicare |
$2,645.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,524.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,645.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,645.61
|
| Rate for Payer: UHC Medicare Advantage |
$2,724.98
|
|
|
PR RESCJ PALATE/EXTENSIVE RESCJ LESION
|
Professional
|
Both
|
$2,012.00
|
|
|
Service Code
|
HCPCS 42120
|
| Min. Negotiated Rate |
$418.41 |
| Max. Negotiated Rate |
$1,773.92 |
| Rate for Payer: Aetna Commercial |
$1,308.50
|
| Rate for Payer: Aetna Medicare |
$1,015.55
|
| Rate for Payer: BCBS Complete |
$672.51
|
| Rate for Payer: BCBS MAPPO |
$976.49
|
| Rate for Payer: BCBS Trust/PPO |
$418.41
|
| Rate for Payer: BCN Commercial |
$1,474.34
|
| Rate for Payer: BCN Medicare Advantage |
$976.49
|
| Rate for Payer: Cash Price |
$1,609.60
|
| Rate for Payer: Cash Price |
$1,609.60
|
| Rate for Payer: Cofinity Commercial |
$1,406.15
|
| Rate for Payer: Cofinity Commercial |
$1,308.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$976.49
|
| Rate for Payer: Mclaren Medicaid |
$640.49
|
| Rate for Payer: Meridian Medicaid |
$672.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,025.31
|
| Rate for Payer: PACE SWMI |
$976.49
|
| Rate for Payer: PHP Medicare Advantage |
$976.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$640.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,408.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,773.92
|
| Rate for Payer: Priority Health Medicare |
$976.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,773.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$976.49
|
| Rate for Payer: UHC Dual Complete DSNP |
$976.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,005.78
|
|
|
PR RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD
|
Professional
|
Both
|
$4,839.00
|
|
|
Service Code
|
HCPCS 58951
|
| Min. Negotiated Rate |
$149.51 |
| Max. Negotiated Rate |
$3,387.30 |
| Rate for Payer: Aetna Commercial |
$1,912.01
|
| Rate for Payer: Aetna Medicare |
$1,483.94
|
| Rate for Payer: BCBS Complete |
$972.21
|
| Rate for Payer: BCBS MAPPO |
$1,426.87
|
| Rate for Payer: BCBS Trust/PPO |
$149.51
|
| Rate for Payer: BCN Commercial |
$2,107.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,426.87
|
| Rate for Payer: Cash Price |
$3,871.20
|
| Rate for Payer: Cash Price |
$3,871.20
|
| Rate for Payer: Cofinity Commercial |
$1,912.01
|
| Rate for Payer: Cofinity Commercial |
$2,054.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,426.87
|
| Rate for Payer: Mclaren Medicaid |
$925.91
|
| Rate for Payer: Meridian Medicaid |
$972.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,498.21
|
| Rate for Payer: PACE SWMI |
$1,426.87
|
| Rate for Payer: PHP Medicare Advantage |
$1,426.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$925.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,387.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,041.41
|
| Rate for Payer: Priority Health Medicare |
$1,426.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,041.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,426.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,426.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,469.68
|
|
|
PR RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS
|
Professional
|
Both
|
$6,506.00
|
|
|
Service Code
|
HCPCS 48105
|
| Min. Negotiated Rate |
$1,791.76 |
| Max. Negotiated Rate |
$4,941.91 |
| Rate for Payer: Aetna Commercial |
$3,756.56
|
| Rate for Payer: Aetna Medicare |
$2,915.54
|
| Rate for Payer: BCBS Complete |
$1,881.35
|
| Rate for Payer: BCBS MAPPO |
$2,803.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,408.52
|
| Rate for Payer: BCN Commercial |
$4,107.33
|
| Rate for Payer: BCN Medicare Advantage |
$2,803.40
|
| Rate for Payer: Cash Price |
$5,204.80
|
| Rate for Payer: Cash Price |
$5,204.80
|
| Rate for Payer: Cofinity Commercial |
$4,036.90
|
| Rate for Payer: Cofinity Commercial |
$3,756.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,803.40
|
| Rate for Payer: Mclaren Medicaid |
$1,791.76
|
| Rate for Payer: Meridian Medicaid |
$1,881.35
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,943.57
|
| Rate for Payer: PACE SWMI |
$2,803.40
|
| Rate for Payer: PHP Medicare Advantage |
$2,803.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,791.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,554.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,941.91
|
| Rate for Payer: Priority Health Medicare |
$2,803.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,941.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,803.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,803.40
|
| Rate for Payer: UHC Medicare Advantage |
$2,887.50
|
|
|
PR RESECJ RECUR OVARIAN/TUBAL/PERITONEAL MALIGNANCY
|
Professional
|
Both
|
$3,260.00
|
|
|
Service Code
|
HCPCS 58957
|
| Min. Negotiated Rate |
$404.15 |
| Max. Negotiated Rate |
$2,319.75 |
| Rate for Payer: Aetna Commercial |
$2,102.71
|
| Rate for Payer: Aetna Medicare |
$1,631.96
|
| Rate for Payer: BCBS Complete |
$1,072.41
|
| Rate for Payer: BCBS MAPPO |
$1,569.19
|
| Rate for Payer: BCBS Trust/PPO |
$404.15
|
| Rate for Payer: BCN Commercial |
$2,319.75
|
| Rate for Payer: BCN Medicare Advantage |
$1,569.19
|
| Rate for Payer: Cash Price |
$2,608.00
|
| Rate for Payer: Cash Price |
$2,608.00
|
| Rate for Payer: Cofinity Commercial |
$2,259.63
|
| Rate for Payer: Cofinity Commercial |
$2,102.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,569.19
|
| Rate for Payer: Mclaren Medicaid |
$1,021.34
|
| Rate for Payer: Meridian Medicaid |
$1,072.41
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,647.65
|
| Rate for Payer: PACE SWMI |
$1,569.19
|
| Rate for Payer: PHP Medicare Advantage |
$1,569.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,021.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,282.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,247.35
|
| Rate for Payer: Priority Health Medicare |
$1,569.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,247.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,569.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,569.19
|
| Rate for Payer: UHC Medicare Advantage |
$1,616.27
|
|
|
PR RESEC RECURRENT LARYNX NERVE
|
Professional
|
Both
|
$1,350.00
|
|
|
Service Code
|
HCPCS 31595
|
| Min. Negotiated Rate |
$540.00 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: BCBS Complete |
$540.00
|
| Rate for Payer: Cash Price |
$1,080.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.00
|
|
