|
PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS 90847
|
| Min. Negotiated Rate |
$67.52 |
| Max. Negotiated Rate |
$146.61 |
| Rate for Payer: Aetna Commercial |
$136.43
|
| Rate for Payer: Aetna Medicare |
$105.88
|
| Rate for Payer: BCBS Complete |
$70.90
|
| Rate for Payer: BCBS MAPPO |
$101.81
|
| Rate for Payer: BCBS Trust/PPO |
$109.89
|
| Rate for Payer: BCN Commercial |
$115.44
|
| Rate for Payer: BCN Medicare Advantage |
$101.81
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$136.43
|
| Rate for Payer: Cofinity Commercial |
$146.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.81
|
| Rate for Payer: Mclaren Medicaid |
$67.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.90
|
| Rate for Payer: Meridian Medicaid |
$70.90
|
| Rate for Payer: Nomi Health Commercial |
$122.17
|
| Rate for Payer: PACE SWMI |
$101.81
|
| Rate for Payer: PHP Medicare Advantage |
$101.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.60
|
| Rate for Payer: Priority Health HMO/PPO |
$127.88
|
| Rate for Payer: Priority Health Medicare |
$102.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.81
|
| Rate for Payer: UHC Exchange |
$101.81
|
| Rate for Payer: UHC Medicare Advantage |
$101.81
|
| Rate for Payer: UHCCP Medicaid |
$67.52
|
|
|
PR FASCIA LATA GRAFT INCISION & AREA EXPOSURE
|
Professional
|
Both
|
$1,077.00
|
|
|
Service Code
|
HCPCS 20922
|
| Min. Negotiated Rate |
$324.19 |
| Max. Negotiated Rate |
$55,000.50 |
| Rate for Payer: Aetna Commercial |
$645.54
|
| Rate for Payer: Aetna Medicare |
$501.02
|
| Rate for Payer: BCBS Complete |
$340.40
|
| Rate for Payer: BCBS MAPPO |
$481.75
|
| Rate for Payer: BCBS Trust/PPO |
$55,000.50
|
| Rate for Payer: BCN Commercial |
$892.81
|
| Rate for Payer: BCN Medicare Advantage |
$481.75
|
| Rate for Payer: Cash Price |
$861.60
|
| Rate for Payer: Cash Price |
$861.60
|
| Rate for Payer: Cofinity Commercial |
$693.72
|
| Rate for Payer: Cofinity Commercial |
$645.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$481.75
|
| Rate for Payer: Mclaren Medicaid |
$324.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$505.84
|
| Rate for Payer: Meridian Medicaid |
$340.40
|
| Rate for Payer: Nomi Health Commercial |
$578.10
|
| Rate for Payer: PACE SWMI |
$481.75
|
| Rate for Payer: PHP Medicare Advantage |
$481.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$324.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$700.05
|
| Rate for Payer: Priority Health HMO/PPO |
$768.88
|
| Rate for Payer: Priority Health Medicare |
$486.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$768.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$481.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$481.75
|
| Rate for Payer: UHC Exchange |
$481.75
|
| Rate for Payer: UHC Medicare Advantage |
$481.75
|
| Rate for Payer: UHCCP Medicaid |
$324.19
|
|
|
PR FASCIECTOMY PLANTAR FASCIA PARTIAL SPX
|
Professional
|
Both
|
$975.00
|
|
|
Service Code
|
HCPCS 28060
|
| Min. Negotiated Rate |
$234.09 |
| Max. Negotiated Rate |
$2,093.12 |
| Rate for Payer: Aetna Commercial |
$461.50
|
| Rate for Payer: Aetna Medicare |
$358.18
|
| Rate for Payer: BCBS Complete |
$245.79
|
| Rate for Payer: BCBS MAPPO |
$344.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,093.12
|
| Rate for Payer: BCN Commercial |
$752.07
|
| Rate for Payer: BCN Medicare Advantage |
$344.40
|
| Rate for Payer: Cash Price |
$780.00
|
| Rate for Payer: Cash Price |
$780.00
|
| Rate for Payer: Cofinity Commercial |
$495.94
|
| Rate for Payer: Cofinity Commercial |
$461.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$344.40
|
| Rate for Payer: Mclaren Medicaid |
$234.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$361.62
|
| Rate for Payer: Meridian Medicaid |
$245.79
|
| Rate for Payer: Nomi Health Commercial |
$413.28
|
| Rate for Payer: PACE SWMI |
$344.40
|
| Rate for Payer: PHP Medicare Advantage |
$344.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$234.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$633.75
|
| Rate for Payer: Priority Health HMO/PPO |
$555.68
|
| Rate for Payer: Priority Health Medicare |
$347.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$555.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$344.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$344.40
|
| Rate for Payer: UHC Exchange |
$344.40
|
| Rate for Payer: UHC Medicare Advantage |
$344.40
|
| Rate for Payer: UHCCP Medicaid |
$234.09
|
|
|
PR FASCIOTOMY FOOT&/TOE
|
Facility
|
OP
|
$719.00
|
|
|
Service Code
|
CPT 28008
|
| Hospital Charge Code |
28008
|
| Min. Negotiated Rate |
$170.76 |
| Max. Negotiated Rate |
$2,413.50 |
| Rate for Payer: Aetna Commercial |
$611.15
|
| Rate for Payer: Aetna Medicare |
$186.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$224.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$224.69
|
| Rate for Payer: BCBS Complete |
$2,413.50
|
| Rate for Payer: BCBS MAPPO |
$179.75
|
| Rate for Payer: BCBS Trust/PPO |
$591.09
|
| Rate for Payer: BCN Commercial |
$559.02
|
| Rate for Payer: BCN Medicare Advantage |
$179.75
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cofinity Commercial |
$618.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$575.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.75
|
| Rate for Payer: Healthscope Commercial |
$647.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$539.25
|
| Rate for Payer: Mclaren Medicaid |
$2,298.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.74
|
| Rate for Payer: Meridian Medicaid |
$2,413.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$206.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$611.15
|
| Rate for Payer: Nomi Health Commercial |
$589.58
|
| Rate for Payer: PACE Senior Care Partners |
$170.76
|
| Rate for Payer: PACE SWMI |
$179.75
|
| Rate for Payer: PHP Commercial |
$611.15
|
| Rate for Payer: PHP Medicare Advantage |
$179.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,298.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$467.35
|
| Rate for Payer: Priority Health HMO/PPO |
$625.53
|
| Rate for Payer: Priority Health Medicare |
$181.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$481.73
|
| Rate for Payer: Railroad Medicare Medicare |
$179.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.72
|
| Rate for Payer: UHC Core |
$600.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.75
|
| Rate for Payer: UHC Exchange |
$179.75
|
| Rate for Payer: UHC Medicare Advantage |
$179.75
|
| Rate for Payer: UHCCP Medicaid |
$2,298.42
|
| Rate for Payer: VA VA |
$179.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$539.25
|
|
|
PR FASCIOTOMY FOOT&/TOE
|
Professional
|
Both
|
$719.00
|
|
|
Service Code
|
HCPCS 28008
|
| Hospital Charge Code |
28008
|
| Min. Negotiated Rate |
$191.70 |
| Max. Negotiated Rate |
$3,296.59 |
| Rate for Payer: Aetna Commercial |
$377.85
|
| Rate for Payer: Aetna Medicare |
$293.26
|
| Rate for Payer: BCBS Complete |
$201.28
|
| Rate for Payer: BCBS MAPPO |
$281.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,296.59
|
| Rate for Payer: BCN Commercial |
$623.06
|
| Rate for Payer: BCN Medicare Advantage |
$281.98
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cofinity Commercial |
$406.05
|
| Rate for Payer: Cofinity Commercial |
$377.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.98
|
| Rate for Payer: Mclaren Medicaid |
$191.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.08
|
| Rate for Payer: Meridian Medicaid |
$201.28
|
| Rate for Payer: Nomi Health Commercial |
$338.38
|
| Rate for Payer: PACE SWMI |
$281.98
|
| Rate for Payer: PHP Medicare Advantage |
$281.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$467.35
|
| Rate for Payer: Priority Health HMO/PPO |
$453.39
|
| Rate for Payer: Priority Health Medicare |
$284.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.98
|
| Rate for Payer: UHC Exchange |
$281.98
|
| Rate for Payer: UHC Medicare Advantage |
$281.98
|
| Rate for Payer: UHCCP Medicaid |
$191.70
|
|
|
PR FASCIOTOMY FOOT&/TOE
|
Facility
|
IP
|
$719.00
|
|
|
Service Code
|
CPT 28008
|
| Hospital Charge Code |
28008
|
| Min. Negotiated Rate |
$467.35 |
| Max. Negotiated Rate |
$647.10 |
| Rate for Payer: Aetna Commercial |
$611.15
|
| Rate for Payer: BCBS Trust/PPO |
$586.92
|
| Rate for Payer: BCN Commercial |
$555.64
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cofinity Commercial |
$618.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$575.20
|
| Rate for Payer: Healthscope Commercial |
$647.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$539.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$611.15
|
| Rate for Payer: Nomi Health Commercial |
$589.58
|
| Rate for Payer: PHP Commercial |
$611.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$467.35
|
| Rate for Payer: Priority Health HMO/PPO |
$625.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$481.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.72
|
| Rate for Payer: UHC Core |
$600.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$539.25
|
|
|
PR FASCIOTOMY FOOT&/TOE
|
Professional
|
Both
|
$719.00
|
|
|
Service Code
|
HCPCS 28008
|
| Min. Negotiated Rate |
$191.70 |
| Max. Negotiated Rate |
$3,296.59 |
| Rate for Payer: Aetna Commercial |
$377.85
|
| Rate for Payer: Aetna Medicare |
$293.26
|
| Rate for Payer: BCBS Complete |
$201.28
|
| Rate for Payer: BCBS MAPPO |
$281.98
|
| Rate for Payer: BCBS Trust/PPO |
$3,296.59
|
| Rate for Payer: BCN Commercial |
$623.06
|
| Rate for Payer: BCN Medicare Advantage |
$281.98
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cash Price |
$575.20
|
| Rate for Payer: Cofinity Commercial |
$406.05
|
| Rate for Payer: Cofinity Commercial |
$377.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$281.98
|
| Rate for Payer: Mclaren Medicaid |
$191.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.08
|
| Rate for Payer: Meridian Medicaid |
$201.28
|
| Rate for Payer: Nomi Health Commercial |
$338.38
|
| Rate for Payer: PACE SWMI |
$281.98
|
| Rate for Payer: PHP Medicare Advantage |
$281.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$467.35
|
| Rate for Payer: Priority Health HMO/PPO |
$453.39
|
| Rate for Payer: Priority Health Medicare |
$284.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$453.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$281.98
|
| Rate for Payer: UHC Exchange |
$281.98
|
| Rate for Payer: UHC Medicare Advantage |
$281.98
|
| Rate for Payer: UHCCP Medicaid |
$191.70
|
|
|
PR FASCIOTOMY HIP/THIGH ANY TYPE
|
Professional
|
Both
|
$3,485.00
|
|
|
Service Code
|
HCPCS 27025
|
| Min. Negotiated Rate |
$191.38 |
| Max. Negotiated Rate |
$2,265.25 |
| Rate for Payer: Aetna Commercial |
$1,209.47
|
| Rate for Payer: Aetna Medicare |
$938.69
|
| Rate for Payer: BCBS Complete |
$640.09
|
| Rate for Payer: BCBS MAPPO |
$902.59
|
| Rate for Payer: BCBS Trust/PPO |
$191.38
|
| Rate for Payer: BCN Commercial |
$1,352.66
|
| Rate for Payer: BCN Medicare Advantage |
$902.59
|
| Rate for Payer: Cash Price |
$2,788.00
|
| Rate for Payer: Cash Price |
$2,788.00
|
| Rate for Payer: Cofinity Commercial |
$1,299.73
|
| Rate for Payer: Cofinity Commercial |
$1,209.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$902.59
|
| Rate for Payer: Mclaren Medicaid |
$609.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$947.72
|
| Rate for Payer: Meridian Medicaid |
$640.09
|
| Rate for Payer: Nomi Health Commercial |
$1,083.11
|
| Rate for Payer: PACE SWMI |
$902.59
|
| Rate for Payer: PHP Medicare Advantage |
$902.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,265.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,430.91
|
| Rate for Payer: Priority Health Medicare |
$911.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,430.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$902.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$902.59
|
| Rate for Payer: UHC Exchange |
$902.59
|
| Rate for Payer: UHC Medicare Advantage |
$902.59
|
| Rate for Payer: UHCCP Medicaid |
$609.61
|
|
|
PR FASCIOTOMY ILIOTIBIAL OPEN
|
Professional
|
Both
|
$1,323.00
|
|
|
Service Code
|
HCPCS 27305
|
| Min. Negotiated Rate |
$318.01 |
| Max. Negotiated Rate |
$1,940.97 |
| Rate for Payer: Aetna Commercial |
$627.58
|
| Rate for Payer: Aetna Medicare |
$487.07
|
| Rate for Payer: BCBS Complete |
$333.91
|
| Rate for Payer: BCBS MAPPO |
$468.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,940.97
|
| Rate for Payer: BCN Commercial |
$715.91
|
| Rate for Payer: BCN Medicare Advantage |
$468.34
|
| Rate for Payer: Cash Price |
$1,058.40
|
| Rate for Payer: Cash Price |
$1,058.40
|
| Rate for Payer: Cofinity Commercial |
$674.41
|
| Rate for Payer: Cofinity Commercial |
$627.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$468.34
|
| Rate for Payer: Mclaren Medicaid |
$318.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$491.76
|
| Rate for Payer: Meridian Medicaid |
$333.91
|
| Rate for Payer: Nomi Health Commercial |
$562.01
|
| Rate for Payer: PACE SWMI |
$468.34
|
| Rate for Payer: PHP Medicare Advantage |
$468.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$318.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$859.95
|
| Rate for Payer: Priority Health HMO/PPO |
$752.10
|
| Rate for Payer: Priority Health Medicare |
$473.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$752.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$468.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$468.34
|
| Rate for Payer: UHC Exchange |
$468.34
|
| Rate for Payer: UHC Medicare Advantage |
$468.34
|
| Rate for Payer: UHCCP Medicaid |
$318.01
|
|
|
PR FASCIOTOMY PALMAR OPEN PARTIAL
|
Professional
|
Both
|
$1,368.00
|
|
|
Service Code
|
HCPCS 26045
|
| Min. Negotiated Rate |
$153.67 |
| Max. Negotiated Rate |
$889.20 |
| Rate for Payer: Aetna Commercial |
$613.97
|
| Rate for Payer: Aetna Medicare |
$476.52
|
| Rate for Payer: BCBS Complete |
$328.09
|
| Rate for Payer: BCBS MAPPO |
$458.19
|
| Rate for Payer: BCBS Trust/PPO |
$153.67
|
| Rate for Payer: BCN Commercial |
$701.25
|
| Rate for Payer: BCN Medicare Advantage |
$458.19
|
| Rate for Payer: Cash Price |
$1,094.40
|
| Rate for Payer: Cash Price |
$1,094.40
|
| Rate for Payer: Cofinity Commercial |
$659.79
|
| Rate for Payer: Cofinity Commercial |
$613.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$458.19
|
| Rate for Payer: Mclaren Medicaid |
$312.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$481.10
|
| Rate for Payer: Meridian Medicaid |
$328.09
|
| Rate for Payer: Nomi Health Commercial |
$549.83
|
| Rate for Payer: PACE SWMI |
$458.19
|
| Rate for Payer: PHP Medicare Advantage |
$458.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$312.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$889.20
|
| Rate for Payer: Priority Health HMO/PPO |
$738.35
|
| Rate for Payer: Priority Health Medicare |
$462.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$738.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$458.19
|
| Rate for Payer: UHC Exchange |
$458.19
|
| Rate for Payer: UHC Medicare Advantage |
$458.19
|
| Rate for Payer: UHCCP Medicaid |
$312.47
|
|
|
PR FASCIOTOMY PALMAR PERCUTANEOUS
|
Professional
|
Both
|
$930.00
|
|
|
Service Code
|
HCPCS 26040
|
| Min. Negotiated Rate |
$139.24 |
| Max. Negotiated Rate |
$604.50 |
| Rate for Payer: Aetna Commercial |
$410.24
|
| Rate for Payer: Aetna Medicare |
$318.40
|
| Rate for Payer: BCBS Complete |
$220.74
|
| Rate for Payer: BCBS MAPPO |
$306.15
|
| Rate for Payer: BCBS Trust/PPO |
$139.24
|
| Rate for Payer: BCN Commercial |
$471.08
|
| Rate for Payer: BCN Medicare Advantage |
$306.15
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cash Price |
$744.00
|
| Rate for Payer: Cofinity Commercial |
$440.86
|
| Rate for Payer: Cofinity Commercial |
$410.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.15
|
| Rate for Payer: Mclaren Medicaid |
$210.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.46
|
| Rate for Payer: Meridian Medicaid |
$220.74
|
| Rate for Payer: Nomi Health Commercial |
$367.38
|
| Rate for Payer: PACE SWMI |
$306.15
|
| Rate for Payer: PHP Medicare Advantage |
$306.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$210.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$604.50
|
| Rate for Payer: Priority Health HMO/PPO |
$496.65
|
| Rate for Payer: Priority Health Medicare |
$309.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$496.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$306.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.15
|
| Rate for Payer: UHC Exchange |
$306.15
|
| Rate for Payer: UHC Medicare Advantage |
$306.15
|
| Rate for Payer: UHCCP Medicaid |
$210.23
|
|
|
PR FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT
|
Professional
|
Both
|
$2,361.00
|
|
|
Service Code
|
HCPCS 26121
|
| Min. Negotiated Rate |
$250.03 |
| Max. Negotiated Rate |
$1,534.65 |
| Rate for Payer: Aetna Commercial |
$777.70
|
| Rate for Payer: Aetna Medicare |
$603.58
|
| Rate for Payer: BCBS Complete |
$414.20
|
| Rate for Payer: BCBS MAPPO |
$580.37
|
| Rate for Payer: BCBS Trust/PPO |
$250.03
|
| Rate for Payer: BCN Commercial |
$887.44
|
| Rate for Payer: BCN Medicare Advantage |
$580.37
|
| Rate for Payer: Cash Price |
$1,888.80
|
| Rate for Payer: Cash Price |
$1,888.80
|
| Rate for Payer: Cofinity Commercial |
$835.73
|
| Rate for Payer: Cofinity Commercial |
$777.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$580.37
|
| Rate for Payer: Mclaren Medicaid |
$394.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$609.39
|
| Rate for Payer: Meridian Medicaid |
$414.20
|
| Rate for Payer: Nomi Health Commercial |
$696.44
|
| Rate for Payer: PACE SWMI |
$580.37
|
| Rate for Payer: PHP Medicare Advantage |
$580.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$394.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,534.65
|
| Rate for Payer: Priority Health HMO/PPO |
$932.74
|
| Rate for Payer: Priority Health Medicare |
$586.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$932.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$580.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$580.37
|
| Rate for Payer: UHC Exchange |
$580.37
|
| Rate for Payer: UHC Medicare Advantage |
$580.37
|
| Rate for Payer: UHCCP Medicaid |
$394.48
|
|
|
PR FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR
|
Professional
|
Both
|
$2,952.00
|
|
|
Service Code
|
HCPCS 26123
|
| Min. Negotiated Rate |
$337.48 |
| Max. Negotiated Rate |
$1,918.80 |
| Rate for Payer: Aetna Commercial |
$1,084.06
|
| Rate for Payer: Aetna Medicare |
$841.36
|
| Rate for Payer: BCBS Complete |
$577.24
|
| Rate for Payer: BCBS MAPPO |
$809.00
|
| Rate for Payer: BCBS Trust/PPO |
$337.48
|
| Rate for Payer: BCN Commercial |
$1,235.86
|
| Rate for Payer: BCN Medicare Advantage |
$809.00
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cash Price |
$2,361.60
|
| Rate for Payer: Cofinity Commercial |
$1,164.96
|
| Rate for Payer: Cofinity Commercial |
$1,084.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$809.00
|
| Rate for Payer: Mclaren Medicaid |
$549.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$849.45
|
| Rate for Payer: Meridian Medicaid |
$577.24
|
| Rate for Payer: Nomi Health Commercial |
$970.80
|
| Rate for Payer: PACE SWMI |
$809.00
|
| Rate for Payer: PHP Medicare Advantage |
$809.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$549.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,918.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,299.63
|
| Rate for Payer: Priority Health Medicare |
$817.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,299.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$809.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$809.00
|
| Rate for Payer: UHC Exchange |
$809.00
|
| Rate for Payer: UHC Medicare Advantage |
$809.00
|
| Rate for Payer: UHCCP Medicaid |
$549.75
|
|
|
PR FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR
|
Professional
|
Both
|
$885.00
|
|
|
Service Code
|
HCPCS 26125
|
| Min. Negotiated Rate |
$171.68 |
| Max. Negotiated Rate |
$575.25 |
| Rate for Payer: Aetna Commercial |
$345.67
|
| Rate for Payer: Aetna Medicare |
$268.28
|
| Rate for Payer: BCBS Complete |
$180.26
|
| Rate for Payer: BCBS MAPPO |
$257.96
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$389.96
|
| Rate for Payer: BCN Medicare Advantage |
$257.96
|
| Rate for Payer: Cash Price |
$708.00
|
| Rate for Payer: Cash Price |
$708.00
|
| Rate for Payer: Cofinity Commercial |
$371.46
|
| Rate for Payer: Cofinity Commercial |
$345.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$257.96
|
| Rate for Payer: Mclaren Medicaid |
$171.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$270.86
|
| Rate for Payer: Meridian Medicaid |
$180.26
|
| Rate for Payer: Nomi Health Commercial |
$309.55
|
| Rate for Payer: PACE SWMI |
$257.96
|
| Rate for Payer: PHP Medicare Advantage |
$257.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$171.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$575.25
|
| Rate for Payer: Priority Health HMO/PPO |
$407.09
|
| Rate for Payer: Priority Health Medicare |
$260.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$407.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$257.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$257.96
|
| Rate for Payer: UHC Exchange |
$257.96
|
| Rate for Payer: UHC Medicare Advantage |
$257.96
|
| Rate for Payer: UHCCP Medicaid |
$171.68
|
|
|
PR FECAL BLOOD SCRN IMMUNOASSAY
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS G0328
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$1,270.03 |
| Rate for Payer: Aetna Commercial |
$24.19
|
| Rate for Payer: Aetna Medicare |
$18.77
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$18.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,270.03
|
| Rate for Payer: BCN Commercial |
$18.05
|
| Rate for Payer: BCN Medicare Advantage |
$18.05
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Cofinity Commercial |
$25.99
|
| Rate for Payer: Cofinity Commercial |
$24.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.95
|
| Rate for Payer: Nomi Health Commercial |
$21.66
|
| Rate for Payer: PACE SWMI |
$18.05
|
| Rate for Payer: PHP Medicare Advantage |
$18.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: Priority Health HMO/PPO |
$17.98
|
| Rate for Payer: Priority Health Medicare |
$18.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.05
|
| Rate for Payer: UHC Exchange |
$18.05
|
| Rate for Payer: UHC Medicare Advantage |
$18.05
|
|
|
PR FECAL MICROBIOTA PREP INSTIL
|
Professional
|
Both
|
$204.00
|
|
|
Service Code
|
HCPCS G0455
|
| Min. Negotiated Rate |
$44.73 |
| Max. Negotiated Rate |
$1,923.54 |
| Rate for Payer: Aetna Commercial |
$89.91
|
| Rate for Payer: Aetna Medicare |
$69.78
|
| Rate for Payer: BCBS Complete |
$46.97
|
| Rate for Payer: BCBS MAPPO |
$67.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,923.54
|
| Rate for Payer: BCN Commercial |
$190.10
|
| Rate for Payer: BCN Medicare Advantage |
$67.10
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cash Price |
$163.20
|
| Rate for Payer: Cofinity Commercial |
$89.91
|
| Rate for Payer: Cofinity Commercial |
$96.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$67.10
|
| Rate for Payer: Mclaren Medicaid |
$44.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$70.46
|
| Rate for Payer: Meridian Medicaid |
$46.97
|
| Rate for Payer: Nomi Health Commercial |
$80.52
|
| Rate for Payer: PACE SWMI |
$67.10
|
| Rate for Payer: PHP Medicare Advantage |
$67.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$132.60
|
| Rate for Payer: Priority Health HMO/PPO |
$124.69
|
| Rate for Payer: Priority Health Medicare |
$67.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$124.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$67.10
|
| Rate for Payer: UHC Exchange |
$67.10
|
| Rate for Payer: UHC Medicare Advantage |
$67.10
|
| Rate for Payer: UHCCP Medicaid |
$44.73
|
|
|
PR FERN TEST
|
Professional
|
Both
|
$6.00
|
|
|
Service Code
|
HCPCS Q0114
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$126.79 |
| Rate for Payer: Aetna Commercial |
$13.05
|
| Rate for Payer: Aetna Medicare |
$10.13
|
| Rate for Payer: BCBS Complete |
$2.40
|
| Rate for Payer: BCBS MAPPO |
$9.74
|
| Rate for Payer: BCBS Trust/PPO |
$126.79
|
| Rate for Payer: BCN Commercial |
$6.80
|
| Rate for Payer: BCN Medicare Advantage |
$9.74
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Cofinity Commercial |
$14.03
|
| Rate for Payer: Cofinity Commercial |
$13.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.23
|
| Rate for Payer: Nomi Health Commercial |
$11.69
|
| Rate for Payer: PACE SWMI |
$9.74
|
| Rate for Payer: PHP Medicare Advantage |
$9.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.90
|
| Rate for Payer: Priority Health Medicare |
$9.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.74
|
| Rate for Payer: UHC Exchange |
$9.74
|
| Rate for Payer: UHC Medicare Advantage |
$9.74
|
|
|
PR FETAL CONTRACTION STRESS TEST
|
Professional
|
Both
|
$164.00
|
|
|
Service Code
|
HCPCS 59020
|
| Min. Negotiated Rate |
$23.22 |
| Max. Negotiated Rate |
$145.28 |
| Rate for Payer: Aetna Commercial |
$88.69
|
| Rate for Payer: Aetna Medicare |
$68.84
|
| Rate for Payer: BCBS Complete |
$24.38
|
| Rate for Payer: BCBS MAPPO |
$66.19
|
| Rate for Payer: BCBS Trust/PPO |
$145.28
|
| Rate for Payer: BCN Commercial |
$103.11
|
| Rate for Payer: BCN Medicare Advantage |
$66.19
|
| Rate for Payer: Cash Price |
$131.20
|
| Rate for Payer: Cash Price |
$131.20
|
| Rate for Payer: Cofinity Commercial |
$95.31
|
| Rate for Payer: Cofinity Commercial |
$88.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$66.19
|
| Rate for Payer: Mclaren Medicaid |
$23.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.50
|
| Rate for Payer: Meridian Medicaid |
$24.38
|
| Rate for Payer: Nomi Health Commercial |
$79.43
|
| Rate for Payer: PACE SWMI |
$66.19
|
| Rate for Payer: PHP Medicare Advantage |
$66.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.60
|
| Rate for Payer: Priority Health HMO/PPO |
$51.24
|
| Rate for Payer: Priority Health Medicare |
$66.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$66.19
|
| Rate for Payer: UHC Exchange |
$66.19
|
| Rate for Payer: UHC Medicare Advantage |
$66.19
|
| Rate for Payer: UHCCP Medicaid |
$23.22
|
|
|
PR FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE
|
Professional
|
Both
|
$842.00
|
|
|
Service Code
|
HCPCS 59074
|
| Min. Negotiated Rate |
$197.45 |
| Max. Negotiated Rate |
$561.98 |
| Rate for Payer: Aetna Commercial |
$404.32
|
| Rate for Payer: Aetna Medicare |
$313.80
|
| Rate for Payer: BCBS Complete |
$207.32
|
| Rate for Payer: BCBS MAPPO |
$301.73
|
| Rate for Payer: BCBS Trust/PPO |
$488.15
|
| Rate for Payer: BCN Commercial |
$561.98
|
| Rate for Payer: BCN Medicare Advantage |
$301.73
|
| Rate for Payer: Cash Price |
$673.60
|
| Rate for Payer: Cash Price |
$673.60
|
| Rate for Payer: Cofinity Commercial |
$434.49
|
| Rate for Payer: Cofinity Commercial |
$404.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.73
|
| Rate for Payer: Mclaren Medicaid |
$197.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$316.82
|
| Rate for Payer: Meridian Medicaid |
$207.32
|
| Rate for Payer: Nomi Health Commercial |
$362.08
|
| Rate for Payer: PACE SWMI |
$301.73
|
| Rate for Payer: PHP Medicare Advantage |
$301.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$547.30
|
| Rate for Payer: Priority Health HMO/PPO |
$431.29
|
| Rate for Payer: Priority Health Medicare |
$304.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$431.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$301.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$301.73
|
| Rate for Payer: UHC Exchange |
$301.73
|
| Rate for Payer: UHC Medicare Advantage |
$301.73
|
| Rate for Payer: UHCCP Medicaid |
$197.45
|
|
|
PR FETAL NONSTRESS TEST
|
Professional
|
Both
|
$102.00
|
|
|
Service Code
|
HCPCS 59025
|
| Min. Negotiated Rate |
$18.53 |
| Max. Negotiated Rate |
$522.49 |
| Rate for Payer: Aetna Commercial |
$62.07
|
| Rate for Payer: Aetna Medicare |
$48.17
|
| Rate for Payer: BCBS Complete |
$19.46
|
| Rate for Payer: BCBS MAPPO |
$46.32
|
| Rate for Payer: BCBS Trust/PPO |
$522.49
|
| Rate for Payer: BCN Commercial |
$71.35
|
| Rate for Payer: BCN Medicare Advantage |
$46.32
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cofinity Commercial |
$66.70
|
| Rate for Payer: Cofinity Commercial |
$62.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.32
|
| Rate for Payer: Mclaren Medicaid |
$18.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.64
|
| Rate for Payer: Meridian Medicaid |
$19.46
|
| Rate for Payer: Nomi Health Commercial |
$55.58
|
| Rate for Payer: PACE SWMI |
$46.32
|
| Rate for Payer: PHP Medicare Advantage |
$46.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health HMO/PPO |
$40.52
|
| Rate for Payer: Priority Health Medicare |
$46.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.32
|
| Rate for Payer: UHC Exchange |
$46.32
|
| Rate for Payer: UHC Medicare Advantage |
$46.32
|
| Rate for Payer: UHCCP Medicaid |
$18.53
|
|
|
PR FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE
|
Professional
|
Both
|
$1,066.00
|
|
|
Service Code
|
HCPCS 59076
|
| Min. Negotiated Rate |
$125.74 |
| Max. Negotiated Rate |
$759.41 |
| Rate for Payer: Aetna Commercial |
$682.58
|
| Rate for Payer: Aetna Medicare |
$529.77
|
| Rate for Payer: BCBS Complete |
$349.35
|
| Rate for Payer: BCBS MAPPO |
$509.39
|
| Rate for Payer: BCBS Trust/PPO |
$125.74
|
| Rate for Payer: BCN Commercial |
$759.41
|
| Rate for Payer: BCN Medicare Advantage |
$509.39
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cash Price |
$852.80
|
| Rate for Payer: Cofinity Commercial |
$733.52
|
| Rate for Payer: Cofinity Commercial |
$682.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$509.39
|
| Rate for Payer: Mclaren Medicaid |
$332.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$534.86
|
| Rate for Payer: Meridian Medicaid |
$349.35
|
| Rate for Payer: Nomi Health Commercial |
$611.27
|
| Rate for Payer: PACE SWMI |
$509.39
|
| Rate for Payer: PHP Medicare Advantage |
$509.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$332.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$692.90
|
| Rate for Payer: Priority Health HMO/PPO |
$727.06
|
| Rate for Payer: Priority Health Medicare |
$514.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$727.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$509.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$509.39
|
| Rate for Payer: UHC Exchange |
$509.39
|
| Rate for Payer: UHC Medicare Advantage |
$509.39
|
| Rate for Payer: UHCCP Medicaid |
$332.71
|
|
|
PR FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE
|
Professional
|
Both
|
$1,293.00
|
|
|
Service Code
|
HCPCS 14350
|
| Min. Negotiated Rate |
$428.56 |
| Max. Negotiated Rate |
$5,240.72 |
| Rate for Payer: Aetna Commercial |
$848.90
|
| Rate for Payer: Aetna Medicare |
$658.85
|
| Rate for Payer: BCBS Complete |
$449.99
|
| Rate for Payer: BCBS MAPPO |
$633.51
|
| Rate for Payer: BCBS Trust/PPO |
$5,240.72
|
| Rate for Payer: BCN Commercial |
$982.24
|
| Rate for Payer: BCN Medicare Advantage |
$633.51
|
| Rate for Payer: Cash Price |
$1,034.40
|
| Rate for Payer: Cash Price |
$1,034.40
|
| Rate for Payer: Cofinity Commercial |
$912.25
|
| Rate for Payer: Cofinity Commercial |
$848.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$633.51
|
| Rate for Payer: Mclaren Medicaid |
$428.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$665.19
|
| Rate for Payer: Meridian Medicaid |
$449.99
|
| Rate for Payer: Nomi Health Commercial |
$760.21
|
| Rate for Payer: PACE SWMI |
$633.51
|
| Rate for Payer: PHP Medicare Advantage |
$633.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$428.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$840.45
|
| Rate for Payer: Priority Health HMO/PPO |
$916.12
|
| Rate for Payer: Priority Health Medicare |
$639.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$916.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$633.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$633.51
|
| Rate for Payer: UHC Exchange |
$633.51
|
| Rate for Payer: UHC Medicare Advantage |
$633.51
|
| Rate for Payer: UHCCP Medicaid |
$428.56
|
|
|
PR FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 10009
|
| Min. Negotiated Rate |
$68.37 |
| Max. Negotiated Rate |
$513.21 |
| Rate for Payer: Aetna Commercial |
$137.97
|
| Rate for Payer: Aetna Commercial |
$137.97
|
| Rate for Payer: Aetna Medicare |
$107.08
|
| Rate for Payer: Aetna Medicare |
$107.08
|
| Rate for Payer: BCBS Complete |
$71.79
|
| Rate for Payer: BCBS Complete |
$71.79
|
| Rate for Payer: BCBS MAPPO |
$102.96
|
| Rate for Payer: BCBS MAPPO |
$102.96
|
| Rate for Payer: BCBS Trust/PPO |
$405.74
|
| Rate for Payer: BCBS Trust/PPO |
$405.74
|
| Rate for Payer: BCN Commercial |
$513.21
|
| Rate for Payer: BCN Commercial |
$513.21
|
| Rate for Payer: BCN Medicare Advantage |
$102.96
|
| Rate for Payer: BCN Medicare Advantage |
$102.96
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cash Price |
$212.00
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$137.97
|
| Rate for Payer: Cofinity Commercial |
$148.26
|
| Rate for Payer: Cofinity Commercial |
$137.97
|
| Rate for Payer: Cofinity Commercial |
$148.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$102.96
|
| Rate for Payer: Mclaren Medicaid |
$68.37
|
| Rate for Payer: Mclaren Medicaid |
$68.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.11
|
| Rate for Payer: Meridian Medicaid |
$71.79
|
| Rate for Payer: Meridian Medicaid |
$71.79
|
| Rate for Payer: Nomi Health Commercial |
$123.55
|
| Rate for Payer: Nomi Health Commercial |
$123.55
|
| Rate for Payer: PACE SWMI |
$102.96
|
| Rate for Payer: PACE SWMI |
$102.96
|
| Rate for Payer: PHP Medicare Advantage |
$102.96
|
| Rate for Payer: PHP Medicare Advantage |
$102.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO |
$144.49
|
| Rate for Payer: Priority Health HMO/PPO |
$144.49
|
| Rate for Payer: Priority Health Medicare |
$103.99
|
| Rate for Payer: Priority Health Medicare |
$103.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$144.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$144.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$102.96
|
| Rate for Payer: UHC Exchange |
$102.96
|
| Rate for Payer: UHC Exchange |
$102.96
|
| Rate for Payer: UHC Medicare Advantage |
$102.96
|
| Rate for Payer: UHC Medicare Advantage |
$102.96
|
| Rate for Payer: UHCCP Medicaid |
$68.37
|
| Rate for Payer: UHCCP Medicaid |
$68.37
|
|
|
PR FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION
|
Professional
|
Both
|
$238.00
|
|
|
Service Code
|
HCPCS 10021
|
| Min. Negotiated Rate |
$35.15 |
| Max. Negotiated Rate |
$3,585.00 |
| Rate for Payer: Aetna Commercial |
$70.83
|
| Rate for Payer: Aetna Medicare |
$54.97
|
| Rate for Payer: BCBS Complete |
$36.91
|
| Rate for Payer: BCBS MAPPO |
$52.86
|
| Rate for Payer: BCBS Trust/PPO |
$3,585.00
|
| Rate for Payer: BCN Commercial |
$119.76
|
| Rate for Payer: BCN Medicare Advantage |
$52.86
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cash Price |
$190.40
|
| Rate for Payer: Cofinity Commercial |
$76.12
|
| Rate for Payer: Cofinity Commercial |
$70.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.86
|
| Rate for Payer: Mclaren Medicaid |
$35.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$55.50
|
| Rate for Payer: Meridian Medicaid |
$36.91
|
| Rate for Payer: Nomi Health Commercial |
$63.43
|
| Rate for Payer: PACE SWMI |
$52.86
|
| Rate for Payer: PHP Medicare Advantage |
$52.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$154.70
|
| Rate for Payer: Priority Health HMO/PPO |
$73.60
|
| Rate for Payer: Priority Health Medicare |
$53.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.86
|
| Rate for Payer: UHC Exchange |
$52.86
|
| Rate for Payer: UHC Medicare Advantage |
$52.86
|
| Rate for Payer: UHCCP Medicaid |
$35.15
|
|
|
PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
|
Professional
|
Both
|
$252.00
|
|
|
Service Code
|
HCPCS 10005
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$163.80 |
| Rate for Payer: Aetna Commercial |
$93.13
|
| Rate for Payer: Aetna Medicare |
$72.28
|
| Rate for Payer: BCBS Complete |
$48.53
|
| Rate for Payer: BCBS MAPPO |
$69.50
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$159.81
|
| Rate for Payer: BCN Medicare Advantage |
$69.50
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cofinity Commercial |
$93.13
|
| Rate for Payer: Cofinity Commercial |
$100.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.50
|
| Rate for Payer: Mclaren Medicaid |
$46.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.98
|
| Rate for Payer: Meridian Medicaid |
$48.53
|
| Rate for Payer: Nomi Health Commercial |
$83.40
|
| Rate for Payer: PACE SWMI |
$69.50
|
| Rate for Payer: PHP Medicare Advantage |
$69.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$163.80
|
| Rate for Payer: Priority Health HMO/PPO |
$97.53
|
| Rate for Payer: Priority Health Medicare |
$70.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$97.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$69.50
|
| Rate for Payer: UHC Exchange |
$69.50
|
| Rate for Payer: UHC Medicare Advantage |
$69.50
|
| Rate for Payer: UHCCP Medicaid |
$46.22
|
|
