|
PR FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 97156
|
| Min. Negotiated Rate |
$20.79 |
| Max. Negotiated Rate |
$45.01 |
| Rate for Payer: Aetna Commercial |
$20.79
|
| Rate for Payer: Aetna Medicare |
$28.00
|
| Rate for Payer: BCBS Complete |
$22.40
|
| Rate for Payer: BCN Commercial |
$37.50
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$45.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$45.01
|
|
|
PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 90846
|
| Min. Negotiated Rate |
$66.40 |
| Max. Negotiated Rate |
$151.39 |
| Rate for Payer: Aetna Commercial |
$114.40
|
| Rate for Payer: Aetna Medicare |
$83.00
|
| Rate for Payer: BCBS Complete |
$66.40
|
| Rate for Payer: BCN Commercial |
$151.39
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$129.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$129.77
|
|
|
PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 90847
|
| Min. Negotiated Rate |
$69.34 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: Aetna Commercial |
$114.40
|
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: BCBS Complete |
$72.81
|
| Rate for Payer: BCN Commercial |
$124.49
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Mclaren Medicaid |
$69.34
|
| Rate for Payer: Meridian Medicaid |
$72.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$137.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$137.85
|
| Rate for Payer: UHC Medicaid |
$69.34
|
| Rate for Payer: UHCCP Medicaid |
$69.34
|
|
|
PR FASCIA LATA GRAFT INCISION & AREA EXPOSURE
|
Professional
|
Both
|
$1,109.00
|
|
|
Service Code
|
HCPCS 20922
|
| Min. Negotiated Rate |
$300.12 |
| Max. Negotiated Rate |
$831.75 |
| Rate for Payer: Aetna Commercial |
$646.18
|
| Rate for Payer: Aetna Medicare |
$554.50
|
| Rate for Payer: BCBS Complete |
$315.13
|
| Rate for Payer: BCN Commercial |
$757.93
|
| Rate for Payer: Cash Price |
$887.20
|
| Rate for Payer: Cash Price |
$887.20
|
| Rate for Payer: Mclaren Medicaid |
$300.12
|
| Rate for Payer: Meridian Medicaid |
$315.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$831.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$300.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$810.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$810.20
|
| Rate for Payer: UHC Medicaid |
$300.12
|
| Rate for Payer: UHCCP Medicaid |
$300.12
|
|
|
PR FASCIECTOMY PLANTAR FASCIA PARTIAL SPX
|
Professional
|
Both
|
$1,004.00
|
|
|
Service Code
|
HCPCS 28060
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$753.00 |
| Rate for Payer: Aetna Commercial |
$477.23
|
| Rate for Payer: Aetna Medicare |
$502.00
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCN Commercial |
$547.28
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Cash Price |
$803.20
|
| Rate for Payer: Mclaren Medicaid |
$219.18
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$753.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$585.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$585.03
|
| Rate for Payer: UHC Medicaid |
$219.18
|
| Rate for Payer: UHCCP Medicaid |
$219.18
|
|
|
PR FASCIOTOMY FOOT&/TOE
|
Professional
|
Both
|
$741.00
|
|
|
Service Code
|
HCPCS 28008
|
| Min. Negotiated Rate |
$176.15 |
| Max. Negotiated Rate |
$555.75 |
| Rate for Payer: Aetna Commercial |
$390.96
|
| Rate for Payer: Aetna Medicare |
$370.50
|
| Rate for Payer: BCBS Complete |
$184.96
|
| Rate for Payer: BCN Commercial |
$448.18
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Cash Price |
$592.80
|
| Rate for Payer: Mclaren Medicaid |
$176.15
|
| Rate for Payer: Meridian Medicaid |
$184.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$555.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$176.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$479.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.10
|
| Rate for Payer: UHC Medicaid |
$176.15
|
| Rate for Payer: UHCCP Medicaid |
$176.15
|
|
|
PR FASCIOTOMY HIP/THIGH ANY TYPE
|
Professional
|
Both
|
$3,590.00
|
|
|
Service Code
|
HCPCS 27025
|
| Min. Negotiated Rate |
$560.62 |
| Max. Negotiated Rate |
$2,692.50 |
| Rate for Payer: Aetna Commercial |
$1,229.24
|
| Rate for Payer: Aetna Medicare |
$1,795.00
|
| Rate for Payer: BCBS Complete |
$588.65
|
| Rate for Payer: BCN Commercial |
$1,425.22
|
| Rate for Payer: Cash Price |
$2,872.00
|
| Rate for Payer: Cash Price |
$2,872.00
|
| Rate for Payer: Mclaren Medicaid |
$560.62
|
| Rate for Payer: Meridian Medicaid |
$588.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,692.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$560.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,523.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,523.53
|
| Rate for Payer: UHC Medicaid |
$560.62
|
| Rate for Payer: UHCCP Medicaid |
$560.62
|
|
|
PR FASCIOTOMY ILIOTIBIAL OPEN
|
Professional
|
Both
|
$1,363.00
|
|
|
Service Code
|
HCPCS 27305
|
| Min. Negotiated Rate |
$296.07 |
| Max. Negotiated Rate |
$1,022.25 |
| Rate for Payer: Aetna Commercial |
$642.16
|
| Rate for Payer: Aetna Medicare |
$681.50
|
| Rate for Payer: BCBS Complete |
$310.87
|
| Rate for Payer: BCN Commercial |
$743.48
|
| Rate for Payer: Cash Price |
$1,090.40
|
| Rate for Payer: Cash Price |
$1,090.40
|
| Rate for Payer: Mclaren Medicaid |
$296.07
|
| Rate for Payer: Meridian Medicaid |
$310.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,022.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$794.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$794.76
|
| Rate for Payer: UHC Medicaid |
$296.07
|
| Rate for Payer: UHCCP Medicaid |
$296.07
|
|
|
PR FASCIOTOMY PALMAR OPEN PARTIAL
|
Professional
|
Both
|
$1,409.00
|
|
|
Service Code
|
HCPCS 26045
|
| Min. Negotiated Rate |
$289.04 |
| Max. Negotiated Rate |
$1,056.75 |
| Rate for Payer: Aetna Commercial |
$627.38
|
| Rate for Payer: Aetna Medicare |
$704.50
|
| Rate for Payer: BCBS Complete |
$303.49
|
| Rate for Payer: BCN Commercial |
$730.53
|
| Rate for Payer: Cash Price |
$1,127.20
|
| Rate for Payer: Cash Price |
$1,127.20
|
| Rate for Payer: Mclaren Medicaid |
$289.04
|
| Rate for Payer: Meridian Medicaid |
$303.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,056.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$289.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$780.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$780.92
|
| Rate for Payer: UHC Medicaid |
$289.04
|
| Rate for Payer: UHCCP Medicaid |
$289.04
|
|
|
PR FASCIOTOMY PALMAR PERCUTANEOUS
|
Professional
|
Both
|
$958.00
|
|
|
Service Code
|
HCPCS 26040
|
| Min. Negotiated Rate |
$196.81 |
| Max. Negotiated Rate |
$718.50 |
| Rate for Payer: Aetna Commercial |
$417.73
|
| Rate for Payer: Aetna Medicare |
$479.00
|
| Rate for Payer: BCBS Complete |
$206.65
|
| Rate for Payer: BCN Commercial |
$491.51
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Cash Price |
$766.40
|
| Rate for Payer: Mclaren Medicaid |
$196.81
|
| Rate for Payer: Meridian Medicaid |
$206.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$718.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$525.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$525.41
|
| Rate for Payer: UHC Medicaid |
$196.81
|
| Rate for Payer: UHCCP Medicaid |
$196.81
|
|
|
PR FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT
|
Professional
|
Both
|
$2,432.00
|
|
|
Service Code
|
HCPCS 26121
|
| Min. Negotiated Rate |
$358.27 |
| Max. Negotiated Rate |
$1,824.00 |
| Rate for Payer: Aetna Commercial |
$797.78
|
| Rate for Payer: Aetna Medicare |
$1,216.00
|
| Rate for Payer: BCBS Complete |
$376.18
|
| Rate for Payer: BCN Commercial |
$922.27
|
| Rate for Payer: Cash Price |
$1,945.60
|
| Rate for Payer: Cash Price |
$1,945.60
|
| Rate for Payer: Mclaren Medicaid |
$358.27
|
| Rate for Payer: Meridian Medicaid |
$376.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,824.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$358.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$985.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$985.88
|
| Rate for Payer: UHC Medicaid |
$358.27
|
| Rate for Payer: UHCCP Medicaid |
$358.27
|
|
|
PR FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR
|
Professional
|
Both
|
$3,041.00
|
|
|
Service Code
|
HCPCS 26123
|
| Min. Negotiated Rate |
$498.21 |
| Max. Negotiated Rate |
$2,280.75 |
| Rate for Payer: Aetna Commercial |
$1,109.61
|
| Rate for Payer: Aetna Medicare |
$1,520.50
|
| Rate for Payer: BCBS Complete |
$523.12
|
| Rate for Payer: BCN Commercial |
$1,285.29
|
| Rate for Payer: Cash Price |
$2,432.80
|
| Rate for Payer: Cash Price |
$2,432.80
|
| Rate for Payer: Mclaren Medicaid |
$498.21
|
| Rate for Payer: Meridian Medicaid |
$523.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,280.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$498.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,373.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,373.93
|
| Rate for Payer: UHC Medicaid |
$498.21
|
| Rate for Payer: UHCCP Medicaid |
$498.21
|
|
|
PR FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR
|
Professional
|
Both
|
$912.00
|
|
|
Service Code
|
HCPCS 26125
|
| Min. Negotiated Rate |
$145.48 |
| Max. Negotiated Rate |
$684.00 |
| Rate for Payer: Aetna Commercial |
$361.78
|
| Rate for Payer: Aetna Medicare |
$456.00
|
| Rate for Payer: BCBS Complete |
$152.75
|
| Rate for Payer: BCN Commercial |
$401.38
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Cash Price |
$729.60
|
| Rate for Payer: Mclaren Medicaid |
$145.48
|
| Rate for Payer: Meridian Medicaid |
$152.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$684.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$429.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$429.05
|
| Rate for Payer: UHC Medicaid |
$145.48
|
| Rate for Payer: UHCCP Medicaid |
$145.48
|
|
|
PR FECAL BLOOD SCRN IMMUNOASSAY
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS G0328
|
| Min. Negotiated Rate |
$17.15 |
| Max. Negotiated Rate |
$29.25 |
| Rate for Payer: Aetna Commercial |
$17.15
|
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: BCN Commercial |
$18.05
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$29.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.82
|
|
|
PR FECAL MICROBIOTA PREP INSTIL
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS G0455
|
| Min. Negotiated Rate |
$39.19 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: Aetna Commercial |
$71.32
|
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: BCBS Complete |
$41.15
|
| Rate for Payer: BCN Commercial |
$104.58
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Mclaren Medicaid |
$39.19
|
| Rate for Payer: Meridian Medicaid |
$41.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$127.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.42
|
| Rate for Payer: UHC Medicaid |
$39.19
|
| Rate for Payer: UHCCP Medicaid |
$39.19
|
|
|
PR FERN TEST
|
Professional
|
Both
|
$6.00
|
|
|
Service Code
|
HCPCS Q0114
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$9.25 |
| Rate for Payer: Aetna Commercial |
$9.25
|
| Rate for Payer: Aetna Medicare |
$3.00
|
| Rate for Payer: BCN Commercial |
$6.83
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.50
|
|
|
PR FETAL CONTRACTION STRESS TEST
|
Professional
|
Both
|
$169.00
|
|
|
Service Code
|
HCPCS 59020
|
| Min. Negotiated Rate |
$74.73 |
| Max. Negotiated Rate |
$126.75 |
| Rate for Payer: Aetna Commercial |
$74.73
|
| Rate for Payer: Aetna Medicare |
$84.50
|
| Rate for Payer: BCN Commercial |
$106.07
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$126.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$100.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$100.13
|
|
|
PR FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE
|
Professional
|
Both
|
$867.00
|
|
|
Service Code
|
HCPCS 59074
|
| Min. Negotiated Rate |
$175.73 |
| Max. Negotiated Rate |
$650.25 |
| Rate for Payer: Aetna Commercial |
$338.16
|
| Rate for Payer: Aetna Medicare |
$433.50
|
| Rate for Payer: BCBS Complete |
$184.52
|
| Rate for Payer: BCN Commercial |
$461.63
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Cash Price |
$693.60
|
| Rate for Payer: Mclaren Medicaid |
$175.73
|
| Rate for Payer: Meridian Medicaid |
$184.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$650.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$175.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$435.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$435.78
|
| Rate for Payer: UHC Medicaid |
$175.73
|
| Rate for Payer: UHCCP Medicaid |
$175.73
|
|
|
PR FETAL NONSTRESS TEST
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 59025
|
| Min. Negotiated Rate |
$52.50 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Aetna Commercial |
$52.53
|
| Rate for Payer: Aetna Medicare |
$52.50
|
| Rate for Payer: BCN Commercial |
$73.70
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$69.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.57
|
|
|
PR FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE
|
Professional
|
Both
|
$1,098.00
|
|
|
Service Code
|
HCPCS 59076
|
| Min. Negotiated Rate |
$295.22 |
| Max. Negotiated Rate |
$823.50 |
| Rate for Payer: Aetna Commercial |
$572.27
|
| Rate for Payer: Aetna Medicare |
$549.00
|
| Rate for Payer: BCBS Complete |
$309.98
|
| Rate for Payer: BCN Commercial |
$777.85
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Mclaren Medicaid |
$295.22
|
| Rate for Payer: Meridian Medicaid |
$309.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$823.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$295.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$734.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$734.29
|
| Rate for Payer: UHC Medicaid |
$295.22
|
| Rate for Payer: UHCCP Medicaid |
$295.22
|
|
|
PR FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE
|
Professional
|
Both
|
$1,332.00
|
|
|
Service Code
|
HCPCS 14350
|
| Min. Negotiated Rate |
$392.13 |
| Max. Negotiated Rate |
$1,001.94 |
| Rate for Payer: Aetna Commercial |
$734.78
|
| Rate for Payer: Aetna Medicare |
$666.00
|
| Rate for Payer: BCBS Complete |
$411.74
|
| Rate for Payer: BCN Commercial |
$1,001.94
|
| Rate for Payer: Cash Price |
$1,065.60
|
| Rate for Payer: Cash Price |
$1,065.60
|
| Rate for Payer: Mclaren Medicaid |
$392.13
|
| Rate for Payer: Meridian Medicaid |
$411.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$999.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$917.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$917.03
|
| Rate for Payer: UHC Medicaid |
$392.13
|
| Rate for Payer: UHCCP Medicaid |
$392.13
|
|
|
PR FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
|
Professional
|
Both
|
$273.00
|
|
|
Service Code
|
HCPCS 10009
|
| Min. Negotiated Rate |
$59.43 |
| Max. Negotiated Rate |
$204.75 |
| Rate for Payer: Aetna Commercial |
$121.91
|
| Rate for Payer: Aetna Commercial |
$121.91
|
| Rate for Payer: Aetna Medicare |
$136.50
|
| Rate for Payer: Aetna Medicare |
$379.00
|
| Rate for Payer: BCBS Complete |
$62.40
|
| Rate for Payer: BCBS Complete |
$62.40
|
| Rate for Payer: BCN Commercial |
$126.06
|
| Rate for Payer: BCN Commercial |
$126.06
|
| Rate for Payer: Cash Price |
$218.40
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Cash Price |
$218.40
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Mclaren Medicaid |
$59.43
|
| Rate for Payer: Mclaren Medicaid |
$59.43
|
| Rate for Payer: Meridian Medicaid |
$62.40
|
| Rate for Payer: Meridian Medicaid |
$62.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$204.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$568.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$146.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$146.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.30
|
| Rate for Payer: UHC Medicaid |
$59.43
|
| Rate for Payer: UHC Medicaid |
$59.43
|
| Rate for Payer: UHCCP Medicaid |
$59.43
|
| Rate for Payer: UHCCP Medicaid |
$59.43
|
|
|
PR FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION
|
Professional
|
Both
|
$245.00
|
|
|
Service Code
|
HCPCS 10021
|
| Min. Negotiated Rate |
$29.39 |
| Max. Negotiated Rate |
$183.75 |
| Rate for Payer: Aetna Commercial |
$60.18
|
| Rate for Payer: Aetna Medicare |
$122.50
|
| Rate for Payer: BCBS Complete |
$30.86
|
| Rate for Payer: BCN Commercial |
$64.80
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Mclaren Medicaid |
$29.39
|
| Rate for Payer: Meridian Medicaid |
$30.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$75.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.20
|
| Rate for Payer: UHC Medicaid |
$29.39
|
| Rate for Payer: UHCCP Medicaid |
$29.39
|
|
|
PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
|
Professional
|
Both
|
$260.00
|
|
|
Service Code
|
HCPCS 10005
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$195.00 |
| Rate for Payer: Aetna Commercial |
$79.16
|
| Rate for Payer: Aetna Medicare |
$130.00
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCN Commercial |
$85.22
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Cash Price |
$208.00
|
| Rate for Payer: Mclaren Medicaid |
$39.83
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$195.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$98.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$98.90
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
|
|
PR FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
|
Professional
|
Both
|
$126.00
|
|
|
Service Code
|
HCPCS 10006
|
| Min. Negotiated Rate |
$27.48 |
| Max. Negotiated Rate |
$94.50 |
| Rate for Payer: Aetna Commercial |
$55.08
|
| Rate for Payer: Aetna Medicare |
$63.00
|
| Rate for Payer: BCBS Complete |
$28.85
|
| Rate for Payer: BCN Commercial |
$58.12
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Mclaren Medicaid |
$27.48
|
| Rate for Payer: Meridian Medicaid |
$28.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$67.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.45
|
| Rate for Payer: UHC Medicaid |
$27.48
|
| Rate for Payer: UHCCP Medicaid |
$27.48
|
|
