|
PR RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED
|
Professional
|
Both
|
$1,142.00
|
|
|
Service Code
|
HCPCS 49614
|
| Min. Negotiated Rate |
$364.23 |
| Max. Negotiated Rate |
$2,425.95 |
| Rate for Payer: Aetna Commercial |
$765.31
|
| Rate for Payer: Aetna Medicare |
$593.98
|
| Rate for Payer: BCBS Complete |
$382.44
|
| Rate for Payer: BCBS MAPPO |
$571.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,425.95
|
| Rate for Payer: BCN Commercial |
$833.19
|
| Rate for Payer: BCN Medicare Advantage |
$571.13
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cofinity Commercial |
$822.43
|
| Rate for Payer: Cofinity Commercial |
$765.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.13
|
| Rate for Payer: Mclaren Medicaid |
$364.23
|
| Rate for Payer: Meridian Medicaid |
$382.44
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$599.69
|
| Rate for Payer: PACE SWMI |
$571.13
|
| Rate for Payer: PHP Medicare Advantage |
$571.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$364.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$799.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,002.50
|
| Rate for Payer: Priority Health Medicare |
$571.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,002.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$571.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.13
|
| Rate for Payer: UHC Medicare Advantage |
$588.26
|
|
|
PR RPR AA HERNIA RECR < 3 CM REDUCIBLE
|
Professional
|
Both
|
$840.00
|
|
|
Service Code
|
HCPCS 49613
|
| Min. Negotiated Rate |
$269.02 |
| Max. Negotiated Rate |
$2,199.84 |
| Rate for Payer: Aetna Commercial |
$563.24
|
| Rate for Payer: Aetna Medicare |
$437.14
|
| Rate for Payer: BCBS Complete |
$282.47
|
| Rate for Payer: BCBS MAPPO |
$420.33
|
| Rate for Payer: BCBS Trust/PPO |
$2,199.84
|
| Rate for Payer: BCN Commercial |
$614.26
|
| Rate for Payer: BCN Medicare Advantage |
$420.33
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Cash Price |
$672.00
|
| Rate for Payer: Cofinity Commercial |
$605.28
|
| Rate for Payer: Cofinity Commercial |
$563.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.33
|
| Rate for Payer: Mclaren Medicaid |
$269.02
|
| Rate for Payer: Meridian Medicaid |
$282.47
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$441.35
|
| Rate for Payer: PACE SWMI |
$420.33
|
| Rate for Payer: PHP Medicare Advantage |
$420.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$588.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$739.08
|
| Rate for Payer: Priority Health Medicare |
$420.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$739.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$420.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.33
|
| Rate for Payer: UHC Medicare Advantage |
$432.94
|
|
|
PR RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 26350
|
| Min. Negotiated Rate |
$329.13 |
| Max. Negotiated Rate |
$1,360.80 |
| Rate for Payer: Aetna Commercial |
$974.41
|
| Rate for Payer: Aetna Medicare |
$756.26
|
| Rate for Payer: BCBS Complete |
$508.14
|
| Rate for Payer: BCBS MAPPO |
$727.17
|
| Rate for Payer: BCBS Trust/PPO |
$329.13
|
| Rate for Payer: BCN Commercial |
$1,111.25
|
| Rate for Payer: BCN Medicare Advantage |
$727.17
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$974.41
|
| Rate for Payer: Cofinity Commercial |
$1,047.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.17
|
| Rate for Payer: Mclaren Medicaid |
$483.94
|
| Rate for Payer: Meridian Medicaid |
$508.14
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$763.53
|
| Rate for Payer: PACE SWMI |
$727.17
|
| Rate for Payer: PHP Medicare Advantage |
$727.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$483.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,360.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,161.21
|
| Rate for Payer: Priority Health Medicare |
$727.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,161.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$727.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$727.17
|
| Rate for Payer: UHC Medicare Advantage |
$748.99
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON
|
Professional
|
Both
|
$2,656.00
|
|
|
Service Code
|
HCPCS 26358
|
| Min. Negotiated Rate |
$637.08 |
| Max. Negotiated Rate |
$1,859.20 |
| Rate for Payer: Aetna Commercial |
$1,296.84
|
| Rate for Payer: Aetna Medicare |
$1,006.50
|
| Rate for Payer: BCBS Complete |
$668.93
|
| Rate for Payer: BCBS MAPPO |
$967.79
|
| Rate for Payer: BCBS Trust/PPO |
$662.49
|
| Rate for Payer: BCN Commercial |
$1,449.42
|
| Rate for Payer: BCN Medicare Advantage |
$967.79
|
| Rate for Payer: Cash Price |
$2,124.80
|
| Rate for Payer: Cash Price |
$2,124.80
|
| Rate for Payer: Cofinity Commercial |
$1,393.62
|
| Rate for Payer: Cofinity Commercial |
$1,296.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.79
|
| Rate for Payer: Mclaren Medicaid |
$637.08
|
| Rate for Payer: Meridian Medicaid |
$668.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,016.18
|
| Rate for Payer: PACE SWMI |
$967.79
|
| Rate for Payer: PHP Medicare Advantage |
$967.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,859.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,514.58
|
| Rate for Payer: Priority Health Medicare |
$967.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,514.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$967.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.79
|
| Rate for Payer: UHC Medicare Advantage |
$996.82
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON
|
Professional
|
Both
|
$2,605.00
|
|
|
Service Code
|
HCPCS 26356
|
| Min. Negotiated Rate |
$516.53 |
| Max. Negotiated Rate |
$1,823.50 |
| Rate for Payer: Aetna Commercial |
$1,047.46
|
| Rate for Payer: Aetna Medicare |
$812.96
|
| Rate for Payer: BCBS Complete |
$542.36
|
| Rate for Payer: BCBS MAPPO |
$781.69
|
| Rate for Payer: BCBS Trust/PPO |
$559.47
|
| Rate for Payer: BCN Commercial |
$1,176.25
|
| Rate for Payer: BCN Medicare Advantage |
$781.69
|
| Rate for Payer: Cash Price |
$2,084.00
|
| Rate for Payer: Cash Price |
$2,084.00
|
| Rate for Payer: Cofinity Commercial |
$1,125.63
|
| Rate for Payer: Cofinity Commercial |
$1,047.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.69
|
| Rate for Payer: Mclaren Medicaid |
$516.53
|
| Rate for Payer: Meridian Medicaid |
$542.36
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$820.77
|
| Rate for Payer: PACE SWMI |
$781.69
|
| Rate for Payer: PHP Medicare Advantage |
$781.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$516.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,823.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,229.13
|
| Rate for Payer: Priority Health Medicare |
$781.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,229.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.69
|
| Rate for Payer: UHC Medicare Advantage |
$805.14
|
|
|
PR RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON
|
Professional
|
Both
|
$2,721.00
|
|
|
Service Code
|
HCPCS 26357
|
| Min. Negotiated Rate |
$511.92 |
| Max. Negotiated Rate |
$1,904.70 |
| Rate for Payer: Aetna Commercial |
$1,175.61
|
| Rate for Payer: Aetna Medicare |
$912.41
|
| Rate for Payer: BCBS Complete |
$607.22
|
| Rate for Payer: BCBS MAPPO |
$877.32
|
| Rate for Payer: BCBS Trust/PPO |
$511.92
|
| Rate for Payer: BCN Commercial |
$1,316.50
|
| Rate for Payer: BCN Medicare Advantage |
$877.32
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cash Price |
$2,176.80
|
| Rate for Payer: Cofinity Commercial |
$1,263.34
|
| Rate for Payer: Cofinity Commercial |
$1,175.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$877.32
|
| Rate for Payer: Mclaren Medicaid |
$578.30
|
| Rate for Payer: Meridian Medicaid |
$607.22
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$921.19
|
| Rate for Payer: PACE SWMI |
$877.32
|
| Rate for Payer: PHP Medicare Advantage |
$877.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,904.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,375.69
|
| Rate for Payer: Priority Health Medicare |
$877.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,375.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$877.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$877.32
|
| Rate for Payer: UHC Medicare Advantage |
$903.64
|
|
|
PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN
|
Professional
|
Both
|
$2,294.00
|
|
|
Service Code
|
HCPCS 26370
|
| Min. Negotiated Rate |
$506.73 |
| Max. Negotiated Rate |
$1,605.80 |
| Rate for Payer: Aetna Commercial |
$1,027.24
|
| Rate for Payer: Aetna Medicare |
$797.26
|
| Rate for Payer: BCBS Complete |
$532.07
|
| Rate for Payer: BCBS MAPPO |
$766.60
|
| Rate for Payer: BCBS Trust/PPO |
$732.75
|
| Rate for Payer: BCN Commercial |
$1,166.96
|
| Rate for Payer: BCN Medicare Advantage |
$766.60
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cash Price |
$1,835.20
|
| Rate for Payer: Cofinity Commercial |
$1,103.90
|
| Rate for Payer: Cofinity Commercial |
$1,027.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$766.60
|
| Rate for Payer: Mclaren Medicaid |
$506.73
|
| Rate for Payer: Meridian Medicaid |
$532.07
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$804.93
|
| Rate for Payer: PACE SWMI |
$766.60
|
| Rate for Payer: PHP Medicare Advantage |
$766.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,605.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,219.44
|
| Rate for Payer: Priority Health Medicare |
$766.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,219.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$766.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$766.60
|
| Rate for Payer: UHC Medicare Advantage |
$789.60
|
|
|
PR RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA
|
Professional
|
Both
|
$2,798.00
|
|
|
Service Code
|
HCPCS 26373
|
| Min. Negotiated Rate |
$250.94 |
| Max. Negotiated Rate |
$1,958.60 |
| Rate for Payer: Aetna Commercial |
$1,155.29
|
| Rate for Payer: Aetna Medicare |
$896.65
|
| Rate for Payer: BCBS Complete |
$597.82
|
| Rate for Payer: BCBS MAPPO |
$862.16
|
| Rate for Payer: BCBS Trust/PPO |
$250.94
|
| Rate for Payer: BCN Commercial |
$1,309.65
|
| Rate for Payer: BCN Medicare Advantage |
$862.16
|
| Rate for Payer: Cash Price |
$2,238.40
|
| Rate for Payer: Cash Price |
$2,238.40
|
| Rate for Payer: Cofinity Commercial |
$1,241.51
|
| Rate for Payer: Cofinity Commercial |
$1,155.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$862.16
|
| Rate for Payer: Mclaren Medicaid |
$569.35
|
| Rate for Payer: Meridian Medicaid |
$597.82
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$905.27
|
| Rate for Payer: PACE SWMI |
$862.16
|
| Rate for Payer: PHP Medicare Advantage |
$862.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$569.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,958.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,368.55
|
| Rate for Payer: Priority Health Medicare |
$862.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,368.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$862.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$862.16
|
| Rate for Payer: UHC Medicare Advantage |
$888.02
|
|
|
PR RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ
|
Professional
|
Both
|
$3,531.00
|
|
|
Service Code
|
HCPCS 33507
|
| Min. Negotiated Rate |
$724.30 |
| Max. Negotiated Rate |
$2,685.33 |
| Rate for Payer: Aetna Commercial |
$2,271.77
|
| Rate for Payer: Aetna Medicare |
$1,763.16
|
| Rate for Payer: BCBS Complete |
$1,133.01
|
| Rate for Payer: BCBS MAPPO |
$1,695.35
|
| Rate for Payer: BCBS Trust/PPO |
$724.30
|
| Rate for Payer: BCN Commercial |
$2,466.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,695.35
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cash Price |
$2,824.80
|
| Rate for Payer: Cofinity Commercial |
$2,441.30
|
| Rate for Payer: Cofinity Commercial |
$2,271.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,695.35
|
| Rate for Payer: Mclaren Medicaid |
$1,079.06
|
| Rate for Payer: Meridian Medicaid |
$1,133.01
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,780.12
|
| Rate for Payer: PACE SWMI |
$1,695.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,695.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,079.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,471.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,685.33
|
| Rate for Payer: Priority Health Medicare |
$1,695.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,685.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,695.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,695.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,746.21
|
|
|
PR RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP
|
Professional
|
Both
|
$4,942.00
|
|
|
Service Code
|
HCPCS 33504
|
| Min. Negotiated Rate |
$576.38 |
| Max. Negotiated Rate |
$3,459.40 |
| Rate for Payer: Aetna Commercial |
$1,934.58
|
| Rate for Payer: Aetna Medicare |
$1,501.47
|
| Rate for Payer: BCBS Complete |
$971.09
|
| Rate for Payer: BCBS MAPPO |
$1,443.72
|
| Rate for Payer: BCBS Trust/PPO |
$576.38
|
| Rate for Payer: BCN Commercial |
$2,109.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,443.72
|
| Rate for Payer: Cash Price |
$3,953.60
|
| Rate for Payer: Cash Price |
$3,953.60
|
| Rate for Payer: Cofinity Commercial |
$1,934.58
|
| Rate for Payer: Cofinity Commercial |
$2,078.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,443.72
|
| Rate for Payer: Mclaren Medicaid |
$924.85
|
| Rate for Payer: Meridian Medicaid |
$971.09
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,515.91
|
| Rate for Payer: PACE SWMI |
$1,443.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,443.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$924.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,459.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,296.46
|
| Rate for Payer: Priority Health Medicare |
$1,443.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,296.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,443.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,443.72
|
| Rate for Payer: UHC Medicare Advantage |
$1,487.03
|
|
|
PR RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH
|
Professional
|
Both
|
$4,972.00
|
|
|
Service Code
|
HCPCS 33641
|
| Min. Negotiated Rate |
$957.28 |
| Max. Negotiated Rate |
$3,480.40 |
| Rate for Payer: Aetna Commercial |
$2,161.35
|
| Rate for Payer: Aetna Medicare |
$1,677.47
|
| Rate for Payer: BCBS Complete |
$1,080.23
|
| Rate for Payer: BCBS MAPPO |
$1,612.95
|
| Rate for Payer: BCBS Trust/PPO |
$957.28
|
| Rate for Payer: BCN Commercial |
$2,349.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,612.95
|
| Rate for Payer: Cash Price |
$3,977.60
|
| Rate for Payer: Cash Price |
$3,977.60
|
| Rate for Payer: Cofinity Commercial |
$2,322.65
|
| Rate for Payer: Cofinity Commercial |
$2,161.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,612.95
|
| Rate for Payer: Mclaren Medicaid |
$1,028.79
|
| Rate for Payer: Meridian Medicaid |
$1,080.23
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,693.60
|
| Rate for Payer: PACE SWMI |
$1,612.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,612.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,028.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,480.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,557.12
|
| Rate for Payer: Priority Health Medicare |
$1,612.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,557.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,612.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,612.95
|
| Rate for Payer: UHC Medicare Advantage |
$1,661.34
|
|
|
PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL
|
Professional
|
Both
|
$1,117.00
|
|
|
Service Code
|
HCPCS 67903
|
| Min. Negotiated Rate |
$303.74 |
| Max. Negotiated Rate |
$875.71 |
| Rate for Payer: Aetna Commercial |
$613.83
|
| Rate for Payer: Aetna Medicare |
$476.40
|
| Rate for Payer: BCBS Complete |
$318.93
|
| Rate for Payer: BCBS MAPPO |
$458.08
|
| Rate for Payer: BCBS Trust/PPO |
$714.79
|
| Rate for Payer: BCN Commercial |
$875.71
|
| Rate for Payer: BCN Medicare Advantage |
$458.08
|
| Rate for Payer: Cash Price |
$893.60
|
| Rate for Payer: Cash Price |
$893.60
|
| Rate for Payer: Cofinity Commercial |
$659.64
|
| Rate for Payer: Cofinity Commercial |
$613.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$458.08
|
| Rate for Payer: Mclaren Medicaid |
$303.74
|
| Rate for Payer: Meridian Medicaid |
$318.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$480.98
|
| Rate for Payer: PACE SWMI |
$458.08
|
| Rate for Payer: PHP Medicare Advantage |
$458.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$781.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$826.03
|
| Rate for Payer: Priority Health Medicare |
$458.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$826.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$458.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$458.08
|
| Rate for Payer: UHC Medicare Advantage |
$471.82
|
|
|
PR RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 67904
|
| Min. Negotiated Rate |
$376.80 |
| Max. Negotiated Rate |
$1,075.09 |
| Rate for Payer: Aetna Commercial |
$761.08
|
| Rate for Payer: Aetna Medicare |
$590.69
|
| Rate for Payer: BCBS Complete |
$395.64
|
| Rate for Payer: BCBS MAPPO |
$567.97
|
| Rate for Payer: BCBS Trust/PPO |
$581.13
|
| Rate for Payer: BCN Commercial |
$1,075.09
|
| Rate for Payer: BCN Medicare Advantage |
$567.97
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$761.08
|
| Rate for Payer: Cofinity Commercial |
$817.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.97
|
| Rate for Payer: Mclaren Medicaid |
$376.80
|
| Rate for Payer: Meridian Medicaid |
$395.64
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$596.37
|
| Rate for Payer: PACE SWMI |
$567.97
|
| Rate for Payer: PHP Medicare Advantage |
$567.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,024.49
|
| Rate for Payer: Priority Health Medicare |
$567.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,024.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$567.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$567.97
|
| Rate for Payer: UHC Medicare Advantage |
$585.01
|
|
|
PR RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL
|
Professional
|
Both
|
$4,953.00
|
|
|
Service Code
|
HCPCS 35221
|
| Min. Negotiated Rate |
$926.76 |
| Max. Negotiated Rate |
$3,467.10 |
| Rate for Payer: Aetna Commercial |
$1,950.05
|
| Rate for Payer: Aetna Medicare |
$1,513.47
|
| Rate for Payer: BCBS Complete |
$973.10
|
| Rate for Payer: BCBS MAPPO |
$1,455.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,367.77
|
| Rate for Payer: BCN Commercial |
$2,119.89
|
| Rate for Payer: BCN Medicare Advantage |
$1,455.26
|
| Rate for Payer: Cash Price |
$3,962.40
|
| Rate for Payer: Cash Price |
$3,962.40
|
| Rate for Payer: Cofinity Commercial |
$2,095.57
|
| Rate for Payer: Cofinity Commercial |
$1,950.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,455.26
|
| Rate for Payer: Mclaren Medicaid |
$926.76
|
| Rate for Payer: Meridian Medicaid |
$973.10
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,528.02
|
| Rate for Payer: PACE SWMI |
$1,455.26
|
| Rate for Payer: PHP Medicare Advantage |
$1,455.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$926.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,467.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,307.64
|
| Rate for Payer: Priority Health Medicare |
$1,455.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,307.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,455.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,455.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,498.92
|
|
|
PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS
|
Professional
|
Both
|
$2,836.00
|
|
|
Service Code
|
HCPCS 35211
|
| Min. Negotiated Rate |
$875.22 |
| Max. Negotiated Rate |
$2,168.79 |
| Rate for Payer: Aetna Commercial |
$1,828.82
|
| Rate for Payer: Aetna Medicare |
$1,419.38
|
| Rate for Payer: BCBS Complete |
$918.98
|
| Rate for Payer: BCBS MAPPO |
$1,364.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,289.05
|
| Rate for Payer: BCN Commercial |
$1,992.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,364.79
|
| Rate for Payer: Cash Price |
$2,268.80
|
| Rate for Payer: Cash Price |
$2,268.80
|
| Rate for Payer: Cofinity Commercial |
$1,965.30
|
| Rate for Payer: Cofinity Commercial |
$1,828.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,364.79
|
| Rate for Payer: Mclaren Medicaid |
$875.22
|
| Rate for Payer: Meridian Medicaid |
$918.98
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,433.03
|
| Rate for Payer: PACE SWMI |
$1,364.79
|
| Rate for Payer: PHP Medicare Advantage |
$1,364.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$875.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,985.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,168.79
|
| Rate for Payer: Priority Health Medicare |
$1,364.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,168.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,364.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,364.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,405.73
|
|
|
PR RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS
|
Professional
|
Both
|
$5,222.00
|
|
|
Service Code
|
HCPCS 35216
|
| Min. Negotiated Rate |
$1,323.80 |
| Max. Negotiated Rate |
$3,655.40 |
| Rate for Payer: Aetna Commercial |
$2,767.82
|
| Rate for Payer: Aetna Medicare |
$2,148.16
|
| Rate for Payer: BCBS Complete |
$1,389.99
|
| Rate for Payer: BCBS MAPPO |
$2,065.54
|
| Rate for Payer: BCBS Trust/PPO |
$2,159.69
|
| Rate for Payer: BCN Commercial |
$3,021.49
|
| Rate for Payer: BCN Medicare Advantage |
$2,065.54
|
| Rate for Payer: Cash Price |
$4,177.60
|
| Rate for Payer: Cash Price |
$4,177.60
|
| Rate for Payer: Cofinity Commercial |
$2,974.38
|
| Rate for Payer: Cofinity Commercial |
$2,767.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,065.54
|
| Rate for Payer: Mclaren Medicaid |
$1,323.80
|
| Rate for Payer: Meridian Medicaid |
$1,389.99
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,168.82
|
| Rate for Payer: PACE SWMI |
$2,065.54
|
| Rate for Payer: PHP Medicare Advantage |
$2,065.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,323.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,655.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,289.10
|
| Rate for Payer: Priority Health Medicare |
$2,065.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,289.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,065.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,065.54
|
| Rate for Payer: UHC Medicare Advantage |
$2,127.51
|
|
|
PR RPR BLOOD VESSEL DIRECT LOWER EXTREMITY
|
Professional
|
Both
|
$2,608.00
|
|
|
Service Code
|
HCPCS 35226
|
| Min. Negotiated Rate |
$518.66 |
| Max. Negotiated Rate |
$2,526.86 |
| Rate for Payer: Aetna Commercial |
$1,097.30
|
| Rate for Payer: Aetna Medicare |
$851.64
|
| Rate for Payer: BCBS Complete |
$544.59
|
| Rate for Payer: BCBS MAPPO |
$818.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,526.86
|
| Rate for Payer: BCN Commercial |
$1,190.91
|
| Rate for Payer: BCN Medicare Advantage |
$818.88
|
| Rate for Payer: Cash Price |
$2,086.40
|
| Rate for Payer: Cash Price |
$2,086.40
|
| Rate for Payer: Cofinity Commercial |
$1,097.30
|
| Rate for Payer: Cofinity Commercial |
$1,179.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$818.88
|
| Rate for Payer: Mclaren Medicaid |
$518.66
|
| Rate for Payer: Meridian Medicaid |
$544.59
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$859.82
|
| Rate for Payer: PACE SWMI |
$818.88
|
| Rate for Payer: PHP Medicare Advantage |
$818.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$518.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,825.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,296.38
|
| Rate for Payer: Priority Health Medicare |
$818.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,296.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$818.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$818.88
|
| Rate for Payer: UHC Medicare Advantage |
$843.45
|
|
|
PR RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP
|
Professional
|
Both
|
$6,391.00
|
|
|
Service Code
|
HCPCS 35241
|
| Min. Negotiated Rate |
$898.65 |
| Max. Negotiated Rate |
$4,473.70 |
| Rate for Payer: Aetna Commercial |
$1,888.52
|
| Rate for Payer: Aetna Medicare |
$1,465.71
|
| Rate for Payer: BCBS Complete |
$943.58
|
| Rate for Payer: BCBS MAPPO |
$1,409.34
|
| Rate for Payer: BCBS Trust/PPO |
$1,986.94
|
| Rate for Payer: BCN Commercial |
$2,057.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,409.34
|
| Rate for Payer: Cash Price |
$5,112.80
|
| Rate for Payer: Cash Price |
$5,112.80
|
| Rate for Payer: Cofinity Commercial |
$2,029.45
|
| Rate for Payer: Cofinity Commercial |
$1,888.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,409.34
|
| Rate for Payer: Mclaren Medicaid |
$898.65
|
| Rate for Payer: Meridian Medicaid |
$943.58
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,479.81
|
| Rate for Payer: PACE SWMI |
$1,409.34
|
| Rate for Payer: PHP Medicare Advantage |
$1,409.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$898.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,473.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,240.07
|
| Rate for Payer: Priority Health Medicare |
$1,409.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,240.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,409.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,409.34
|
| Rate for Payer: UHC Medicare Advantage |
$1,451.62
|
|
|
PR RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP
|
Professional
|
Both
|
$6,612.00
|
|
|
Service Code
|
HCPCS 35271
|
| Min. Negotiated Rate |
$650.87 |
| Max. Negotiated Rate |
$4,628.40 |
| Rate for Payer: Aetna Commercial |
$1,825.32
|
| Rate for Payer: Aetna Medicare |
$1,416.67
|
| Rate for Payer: BCBS Complete |
$914.06
|
| Rate for Payer: BCBS MAPPO |
$1,362.18
|
| Rate for Payer: BCBS Trust/PPO |
$650.87
|
| Rate for Payer: BCN Commercial |
$1,987.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,362.18
|
| Rate for Payer: Cash Price |
$5,289.60
|
| Rate for Payer: Cash Price |
$5,289.60
|
| Rate for Payer: Cofinity Commercial |
$1,961.54
|
| Rate for Payer: Cofinity Commercial |
$1,825.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,362.18
|
| Rate for Payer: Mclaren Medicaid |
$870.53
|
| Rate for Payer: Meridian Medicaid |
$914.06
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,430.29
|
| Rate for Payer: PACE SWMI |
$1,362.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,362.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$870.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,628.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,164.00
|
| Rate for Payer: Priority Health Medicare |
$1,362.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,164.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,362.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,362.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,403.05
|
|
|
PR RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY
|
Professional
|
Both
|
$1,758.00
|
|
|
Service Code
|
HCPCS 35266
|
| Min. Negotiated Rate |
$534.11 |
| Max. Negotiated Rate |
$1,341.60 |
| Rate for Payer: Aetna Commercial |
$1,135.58
|
| Rate for Payer: Aetna Medicare |
$881.35
|
| Rate for Payer: BCBS Complete |
$569.42
|
| Rate for Payer: BCBS MAPPO |
$847.45
|
| Rate for Payer: BCBS Trust/PPO |
$534.11
|
| Rate for Payer: BCN Commercial |
$1,232.44
|
| Rate for Payer: BCN Medicare Advantage |
$847.45
|
| Rate for Payer: Cash Price |
$1,406.40
|
| Rate for Payer: Cash Price |
$1,406.40
|
| Rate for Payer: Cofinity Commercial |
$1,220.33
|
| Rate for Payer: Cofinity Commercial |
$1,135.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$847.45
|
| Rate for Payer: Mclaren Medicaid |
$542.30
|
| Rate for Payer: Meridian Medicaid |
$569.42
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$889.82
|
| Rate for Payer: PACE SWMI |
$847.45
|
| Rate for Payer: PHP Medicare Advantage |
$847.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$542.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,230.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,341.60
|
| Rate for Payer: Priority Health Medicare |
$847.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,341.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$847.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$847.45
|
| Rate for Payer: UHC Medicare Advantage |
$872.87
|
|
|
PR RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY
|
Professional
|
Both
|
$3,718.00
|
|
|
Service Code
|
HCPCS 35286
|
| Min. Negotiated Rate |
$579.36 |
| Max. Negotiated Rate |
$2,602.60 |
| Rate for Payer: Aetna Commercial |
$1,225.60
|
| Rate for Payer: Aetna Medicare |
$951.22
|
| Rate for Payer: BCBS Complete |
$608.33
|
| Rate for Payer: BCBS MAPPO |
$914.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
| Rate for Payer: BCN Commercial |
$1,329.21
|
| Rate for Payer: BCN Medicare Advantage |
$914.63
|
| Rate for Payer: Cash Price |
$2,974.40
|
| Rate for Payer: Cash Price |
$2,974.40
|
| Rate for Payer: Cofinity Commercial |
$1,317.07
|
| Rate for Payer: Cofinity Commercial |
$1,225.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$914.63
|
| Rate for Payer: Mclaren Medicaid |
$579.36
|
| Rate for Payer: Meridian Medicaid |
$608.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$960.36
|
| Rate for Payer: PACE SWMI |
$914.63
|
| Rate for Payer: PHP Medicare Advantage |
$914.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$579.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,602.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,446.92
|
| Rate for Payer: Priority Health Medicare |
$914.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,446.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$914.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$914.63
|
| Rate for Payer: UHC Medicare Advantage |
$942.07
|
|
|
PR RPR CLOACAL ANOMALY SACROPERINEAL
|
Professional
|
Both
|
$6,454.00
|
|
|
Service Code
|
HCPCS 46744
|
| Min. Negotiated Rate |
$741.73 |
| Max. Negotiated Rate |
$6,197.23 |
| Rate for Payer: Aetna Commercial |
$4,709.15
|
| Rate for Payer: Aetna Medicare |
$3,654.86
|
| Rate for Payer: BCBS Complete |
$2,367.56
|
| Rate for Payer: BCBS MAPPO |
$3,514.29
|
| Rate for Payer: BCBS Trust/PPO |
$741.73
|
| Rate for Payer: BCN Commercial |
$5,150.66
|
| Rate for Payer: BCN Medicare Advantage |
$3,514.29
|
| Rate for Payer: Cash Price |
$5,163.20
|
| Rate for Payer: Cash Price |
$5,163.20
|
| Rate for Payer: Cofinity Commercial |
$5,060.58
|
| Rate for Payer: Cofinity Commercial |
$4,709.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,514.29
|
| Rate for Payer: Mclaren Medicaid |
$2,254.82
|
| Rate for Payer: Meridian Medicaid |
$2,367.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$3,690.00
|
| Rate for Payer: PACE SWMI |
$3,514.29
|
| Rate for Payer: PHP Medicare Advantage |
$3,514.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,254.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,517.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,197.23
|
| Rate for Payer: Priority Health Medicare |
$3,514.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6,197.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,514.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,514.29
|
| Rate for Payer: UHC Medicare Advantage |
$3,619.72
|
|
|
PR RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT
|
Professional
|
Both
|
$1,944.00
|
|
|
Service Code
|
HCPCS 26540
|
| Min. Negotiated Rate |
$400.45 |
| Max. Negotiated Rate |
$1,360.80 |
| Rate for Payer: Aetna Commercial |
$917.70
|
| Rate for Payer: Aetna Medicare |
$712.24
|
| Rate for Payer: BCBS Complete |
$475.92
|
| Rate for Payer: BCBS MAPPO |
$684.85
|
| Rate for Payer: BCBS Trust/PPO |
$400.45
|
| Rate for Payer: BCN Commercial |
$1,041.86
|
| Rate for Payer: BCN Medicare Advantage |
$684.85
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cash Price |
$1,555.20
|
| Rate for Payer: Cofinity Commercial |
$986.18
|
| Rate for Payer: Cofinity Commercial |
$917.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$684.85
|
| Rate for Payer: Mclaren Medicaid |
$453.26
|
| Rate for Payer: Meridian Medicaid |
$475.92
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$719.09
|
| Rate for Payer: PACE SWMI |
$684.85
|
| Rate for Payer: PHP Medicare Advantage |
$684.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,360.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.71
|
| Rate for Payer: Priority Health Medicare |
$684.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,088.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$684.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$684.85
|
| Rate for Payer: UHC Medicare Advantage |
$705.40
|
|
|
PR RPR COMPONENT INFLATABLE PENILE PROSTHESIS
|
Professional
|
Both
|
$1,475.00
|
|
|
Service Code
|
HCPCS 54408
|
| Min. Negotiated Rate |
$503.96 |
| Max. Negotiated Rate |
$2,176.77 |
| Rate for Payer: Aetna Commercial |
$1,034.51
|
| Rate for Payer: Aetna Medicare |
$802.90
|
| Rate for Payer: BCBS Complete |
$529.16
|
| Rate for Payer: BCBS MAPPO |
$772.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,176.77
|
| Rate for Payer: BCN Commercial |
$1,141.06
|
| Rate for Payer: BCN Medicare Advantage |
$772.02
|
| Rate for Payer: Cash Price |
$1,180.00
|
| Rate for Payer: Cash Price |
$1,180.00
|
| Rate for Payer: Cofinity Commercial |
$1,034.51
|
| Rate for Payer: Cofinity Commercial |
$1,111.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.02
|
| Rate for Payer: Mclaren Medicaid |
$503.96
|
| Rate for Payer: Meridian Medicaid |
$529.16
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$810.62
|
| Rate for Payer: PACE SWMI |
$772.02
|
| Rate for Payer: PHP Medicare Advantage |
$772.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$503.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,261.74
|
| Rate for Payer: Priority Health Medicare |
$772.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$772.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.02
|
| Rate for Payer: UHC Medicare Advantage |
$795.18
|
|
|
PR RPR CONGENITAL AV FISTULA EXTREMITIES
|
Professional
|
Both
|
$4,140.00
|
|
|
Service Code
|
HCPCS 35184
|
| Min. Negotiated Rate |
$602.79 |
| Max. Negotiated Rate |
$2,898.00 |
| Rate for Payer: Aetna Commercial |
$1,275.55
|
| Rate for Payer: Aetna Medicare |
$989.98
|
| Rate for Payer: BCBS Complete |
$632.93
|
| Rate for Payer: BCBS MAPPO |
$951.90
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$1,376.60
|
| Rate for Payer: BCN Medicare Advantage |
$951.90
|
| Rate for Payer: Cash Price |
$3,312.00
|
| Rate for Payer: Cash Price |
$3,312.00
|
| Rate for Payer: Cofinity Commercial |
$1,275.55
|
| Rate for Payer: Cofinity Commercial |
$1,370.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$951.90
|
| Rate for Payer: Mclaren Medicaid |
$602.79
|
| Rate for Payer: Meridian Medicaid |
$632.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$999.50
|
| Rate for Payer: PACE SWMI |
$951.90
|
| Rate for Payer: PHP Medicare Advantage |
$951.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$602.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,898.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,498.52
|
| Rate for Payer: Priority Health Medicare |
$951.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,498.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$951.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$951.90
|
| Rate for Payer: UHC Medicare Advantage |
$980.46
|
|
