|
PR INCISION BONE CORTEX HAND/FINGER
|
Professional
|
Both
|
$981.00
|
|
|
Service Code
|
HCPCS 26034
|
| Min. Negotiated Rate |
$335.48 |
| Max. Negotiated Rate |
$909.22 |
| Rate for Payer: Aetna Commercial |
$729.44
|
| Rate for Payer: Aetna Medicare |
$490.50
|
| Rate for Payer: BCBS Complete |
$352.25
|
| Rate for Payer: BCN Commercial |
$850.55
|
| Rate for Payer: Cash Price |
$784.80
|
| Rate for Payer: Cash Price |
$784.80
|
| Rate for Payer: Mclaren Medicaid |
$335.48
|
| Rate for Payer: Meridian Medicaid |
$352.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$735.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$335.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$909.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$909.22
|
| Rate for Payer: UHC Medicaid |
$335.48
|
| Rate for Payer: UHCCP Medicaid |
$335.48
|
|
|
PR INCISION BONE CORTEX PELVIS&/HIP JOINT
|
Professional
|
Both
|
$2,132.00
|
|
|
Service Code
|
HCPCS 26992
|
| Min. Negotiated Rate |
$602.58 |
| Max. Negotiated Rate |
$1,625.73 |
| Rate for Payer: Aetna Commercial |
$1,339.72
|
| Rate for Payer: Aetna Medicare |
$1,066.00
|
| Rate for Payer: BCBS Complete |
$632.71
|
| Rate for Payer: BCN Commercial |
$1,520.83
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Cash Price |
$1,705.60
|
| Rate for Payer: Mclaren Medicaid |
$602.58
|
| Rate for Payer: Meridian Medicaid |
$632.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,599.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$602.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,625.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,625.73
|
| Rate for Payer: UHC Medicaid |
$602.58
|
| Rate for Payer: UHCCP Medicaid |
$602.58
|
|
|
PR INCISION BONE CORTEX SHOULDER AREA
|
Professional
|
Both
|
$1,400.00
|
|
|
Service Code
|
HCPCS 23035
|
| Min. Negotiated Rate |
$404.70 |
| Max. Negotiated Rate |
$1,111.49 |
| Rate for Payer: Aetna Commercial |
$909.79
|
| Rate for Payer: Aetna Medicare |
$700.00
|
| Rate for Payer: BCBS Complete |
$424.94
|
| Rate for Payer: BCN Commercial |
$1,039.79
|
| Rate for Payer: Cash Price |
$1,120.00
|
| Rate for Payer: Cash Price |
$1,120.00
|
| Rate for Payer: Mclaren Medicaid |
$404.70
|
| Rate for Payer: Meridian Medicaid |
$424.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,050.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,111.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,111.49
|
| Rate for Payer: UHC Medicaid |
$404.70
|
| Rate for Payer: UHCCP Medicaid |
$404.70
|
|
|
PR INCISION DEEP BONE CORTEX FOREARM&/WRIST
|
Professional
|
Both
|
$1,681.00
|
|
|
Service Code
|
HCPCS 25035
|
| Min. Negotiated Rate |
$359.33 |
| Max. Negotiated Rate |
$1,260.75 |
| Rate for Payer: Aetna Commercial |
$779.94
|
| Rate for Payer: Aetna Medicare |
$840.50
|
| Rate for Payer: BCBS Complete |
$377.30
|
| Rate for Payer: BCN Commercial |
$905.83
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Cash Price |
$1,344.80
|
| Rate for Payer: Mclaren Medicaid |
$359.33
|
| Rate for Payer: Meridian Medicaid |
$377.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,260.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$359.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$968.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$968.30
|
| Rate for Payer: UHC Medicaid |
$359.33
|
| Rate for Payer: UHCCP Medicaid |
$359.33
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$378.00
|
|
|
Service Code
|
HCPCS 10061
|
| Min. Negotiated Rate |
$110.55 |
| Max. Negotiated Rate |
$283.50 |
| Rate for Payer: Aetna Commercial |
$195.55
|
| Rate for Payer: Aetna Medicare |
$189.00
|
| Rate for Payer: BCBS Complete |
$116.08
|
| Rate for Payer: BCN Commercial |
$218.34
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Mclaren Medicaid |
$110.55
|
| Rate for Payer: Meridian Medicaid |
$116.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$253.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.42
|
| Rate for Payer: UHC Medicaid |
$110.55
|
| Rate for Payer: UHCCP Medicaid |
$110.55
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
OP
|
$378.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$66.64 |
| Max. Negotiated Rate |
$340.20 |
| Rate for Payer: Aetna Commercial |
$321.30
|
| Rate for Payer: Aetna Medicare |
$98.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$118.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$118.12
|
| Rate for Payer: BCBS Complete |
$69.97
|
| Rate for Payer: BCBS MAPPO |
$94.50
|
| Rate for Payer: BCBS Trust/PPO |
$310.75
|
| Rate for Payer: BCN Commercial |
$310.75
|
| Rate for Payer: BCN Medicare Advantage |
$94.50
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cofinity Commercial |
$325.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.50
|
| Rate for Payer: Healthscope Commercial |
$340.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.50
|
| Rate for Payer: Mclaren Medicaid |
$66.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.22
|
| Rate for Payer: Meridian Medicaid |
$69.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$103.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.30
|
| Rate for Payer: Nomi Health Commercial |
$309.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: PACE Senior Care Partners |
$89.78
|
| Rate for Payer: PACE SWMI |
$94.50
|
| Rate for Payer: PHP Commercial |
$321.30
|
| Rate for Payer: PHP Medicare Advantage |
$94.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$328.86
|
| Rate for Payer: Priority Health Medicare |
$95.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$263.09
|
| Rate for Payer: Railroad Medicare Medicare |
$94.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.64
|
| Rate for Payer: UHC Core |
$315.63
|
| Rate for Payer: UHC Exchange |
$94.50
|
| Rate for Payer: UHC Medicaid |
$66.64
|
| Rate for Payer: UHC Medicare Advantage |
$94.50
|
| Rate for Payer: UHCCP Medicaid |
$66.64
|
| Rate for Payer: VA VA |
$94.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.50
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
IP
|
$378.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$263.09 |
| Max. Negotiated Rate |
$340.20 |
| Rate for Payer: Aetna Commercial |
$321.30
|
| Rate for Payer: BCBS Trust/PPO |
$312.19
|
| Rate for Payer: BCN Commercial |
$312.19
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cofinity Commercial |
$325.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$302.40
|
| Rate for Payer: Healthscope Commercial |
$340.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$283.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$321.30
|
| Rate for Payer: Nomi Health Commercial |
$309.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: PHP Commercial |
$321.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$328.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$263.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.64
|
| Rate for Payer: UHC Core |
$315.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$283.50
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$378.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
10061
|
| Min. Negotiated Rate |
$110.55 |
| Max. Negotiated Rate |
$283.50 |
| Rate for Payer: Aetna Commercial |
$195.55
|
| Rate for Payer: Aetna Medicare |
$189.00
|
| Rate for Payer: BCBS Complete |
$116.08
|
| Rate for Payer: BCN Commercial |
$218.34
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Mclaren Medicaid |
$110.55
|
| Rate for Payer: Meridian Medicaid |
$116.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$253.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.42
|
| Rate for Payer: UHC Medicaid |
$110.55
|
| Rate for Payer: UHCCP Medicaid |
$110.55
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
OP
|
$190.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$33.50 |
| Max. Negotiated Rate |
$171.00 |
| Rate for Payer: Aetna Commercial |
$161.50
|
| Rate for Payer: Aetna Medicare |
$49.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59.38
|
| Rate for Payer: BCBS Complete |
$35.17
|
| Rate for Payer: BCBS MAPPO |
$47.50
|
| Rate for Payer: BCBS Trust/PPO |
$156.20
|
| Rate for Payer: BCN Commercial |
$156.20
|
| Rate for Payer: BCN Medicare Advantage |
$47.50
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cofinity Commercial |
$163.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.50
|
| Rate for Payer: Healthscope Commercial |
$171.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.50
|
| Rate for Payer: Mclaren Medicaid |
$33.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.88
|
| Rate for Payer: Meridian Medicaid |
$35.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161.50
|
| Rate for Payer: Nomi Health Commercial |
$155.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.50
|
| Rate for Payer: PACE Senior Care Partners |
$45.12
|
| Rate for Payer: PACE SWMI |
$47.50
|
| Rate for Payer: PHP Commercial |
$161.50
|
| Rate for Payer: PHP Medicare Advantage |
$47.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$165.30
|
| Rate for Payer: Priority Health Medicare |
$47.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$132.24
|
| Rate for Payer: Railroad Medicare Medicare |
$47.50
|
| Rate for Payer: UHC Core |
$158.65
|
| Rate for Payer: UHC Exchange |
$47.50
|
| Rate for Payer: UHC Medicaid |
$33.50
|
| Rate for Payer: UHC Medicare Advantage |
$47.50
|
| Rate for Payer: UHCCP Medicaid |
$33.50
|
| Rate for Payer: VA VA |
$47.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.50
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$190.00
|
|
|
Service Code
|
HCPCS 10060
|
| Min. Negotiated Rate |
$64.11 |
| Max. Negotiated Rate |
$147.67 |
| Rate for Payer: Aetna Commercial |
$109.76
|
| Rate for Payer: Aetna Medicare |
$95.00
|
| Rate for Payer: BCBS Complete |
$67.32
|
| Rate for Payer: BCN Commercial |
$127.23
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Mclaren Medicaid |
$64.11
|
| Rate for Payer: Meridian Medicaid |
$67.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$147.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.67
|
| Rate for Payer: UHC Medicaid |
$64.11
|
| Rate for Payer: UHCCP Medicaid |
$64.11
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$190.00
|
|
|
Service Code
|
HCPCS 10060
|
| Hospital Charge Code |
10060
|
| Min. Negotiated Rate |
$64.11 |
| Max. Negotiated Rate |
$147.67 |
| Rate for Payer: Aetna Commercial |
$109.76
|
| Rate for Payer: Aetna Medicare |
$95.00
|
| Rate for Payer: BCBS Complete |
$67.32
|
| Rate for Payer: BCN Commercial |
$127.23
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Mclaren Medicaid |
$64.11
|
| Rate for Payer: Meridian Medicaid |
$67.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$147.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$147.67
|
| Rate for Payer: UHC Medicaid |
$64.11
|
| Rate for Payer: UHCCP Medicaid |
$64.11
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
IP
|
$190.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$132.24 |
| Max. Negotiated Rate |
$171.00 |
| Rate for Payer: Aetna Commercial |
$161.50
|
| Rate for Payer: BCBS Trust/PPO |
$156.92
|
| Rate for Payer: BCN Commercial |
$156.92
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cofinity Commercial |
$163.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.00
|
| Rate for Payer: Healthscope Commercial |
$171.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161.50
|
| Rate for Payer: Nomi Health Commercial |
$155.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.50
|
| Rate for Payer: PHP Commercial |
$161.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$165.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$132.24
|
| Rate for Payer: UHC Core |
$158.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.50
|
|
|
PR INCISION&DRAINAGE BURSA FOOT
|
Professional
|
Both
|
$457.00
|
|
|
Service Code
|
HCPCS 28001
|
| Min. Negotiated Rate |
$55.38 |
| Max. Negotiated Rate |
$342.75 |
| Rate for Payer: Aetna Commercial |
$222.73
|
| Rate for Payer: Aetna Medicare |
$228.50
|
| Rate for Payer: BCBS Complete |
$58.15
|
| Rate for Payer: BCN Commercial |
$143.42
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Mclaren Medicaid |
$55.38
|
| Rate for Payer: Meridian Medicaid |
$58.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$342.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$153.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$153.31
|
| Rate for Payer: UHC Medicaid |
$55.38
|
| Rate for Payer: UHCCP Medicaid |
$55.38
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$693.00
|
|
|
Service Code
|
HCPCS 10180
|
| Min. Negotiated Rate |
$112.04 |
| Max. Negotiated Rate |
$519.75 |
| Rate for Payer: Aetna Commercial |
$191.63
|
| Rate for Payer: Aetna Medicare |
$346.50
|
| Rate for Payer: BCBS Complete |
$117.64
|
| Rate for Payer: BCN Commercial |
$270.90
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Mclaren Medicaid |
$112.04
|
| Rate for Payer: Meridian Medicaid |
$117.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$519.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$247.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.94
|
| Rate for Payer: UHC Medicaid |
$112.04
|
| Rate for Payer: UHCCP Medicaid |
$112.04
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Facility
|
IP
|
$693.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
10180
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$482.33 |
| Max. Negotiated Rate |
$623.70 |
| Rate for Payer: Aetna Commercial |
$589.05
|
| Rate for Payer: BCBS Trust/PPO |
$572.35
|
| Rate for Payer: BCN Commercial |
$572.35
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Cofinity Commercial |
$595.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$554.40
|
| Rate for Payer: Healthscope Commercial |
$623.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$519.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.05
|
| Rate for Payer: Nomi Health Commercial |
$568.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$519.75
|
| Rate for Payer: PHP Commercial |
$589.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$602.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$482.33
|
| Rate for Payer: UHC Core |
$578.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$519.75
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$693.00
|
|
|
Service Code
|
HCPCS 10180
|
| Hospital Charge Code |
10180
|
| Min. Negotiated Rate |
$112.04 |
| Max. Negotiated Rate |
$519.75 |
| Rate for Payer: Aetna Commercial |
$191.63
|
| Rate for Payer: Aetna Medicare |
$346.50
|
| Rate for Payer: BCBS Complete |
$117.64
|
| Rate for Payer: BCN Commercial |
$270.90
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Mclaren Medicaid |
$112.04
|
| Rate for Payer: Meridian Medicaid |
$117.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$519.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$247.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$247.94
|
| Rate for Payer: UHC Medicaid |
$112.04
|
| Rate for Payer: UHCCP Medicaid |
$112.04
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Facility
|
OP
|
$693.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
10180
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$122.18 |
| Max. Negotiated Rate |
$623.70 |
| Rate for Payer: Aetna Commercial |
$589.05
|
| Rate for Payer: Aetna Medicare |
$180.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$216.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$216.56
|
| Rate for Payer: BCBS Complete |
$128.27
|
| Rate for Payer: BCBS MAPPO |
$173.25
|
| Rate for Payer: BCBS Trust/PPO |
$569.72
|
| Rate for Payer: BCN Commercial |
$569.72
|
| Rate for Payer: BCN Medicare Advantage |
$173.25
|
| Rate for Payer: Cash Price |
$554.40
|
| Rate for Payer: Cofinity Commercial |
$595.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$554.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.25
|
| Rate for Payer: Healthscope Commercial |
$623.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$519.75
|
| Rate for Payer: Mclaren Medicaid |
$122.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.91
|
| Rate for Payer: Meridian Medicaid |
$128.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$199.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$190.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$589.05
|
| Rate for Payer: Nomi Health Commercial |
$568.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$519.75
|
| Rate for Payer: PACE Senior Care Partners |
$164.59
|
| Rate for Payer: PACE SWMI |
$173.25
|
| Rate for Payer: PHP Commercial |
$589.05
|
| Rate for Payer: PHP Medicare Advantage |
$173.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$122.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$602.91
|
| Rate for Payer: Priority Health Medicare |
$174.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$482.33
|
| Rate for Payer: Railroad Medicare Medicare |
$173.25
|
| Rate for Payer: UHC Core |
$578.65
|
| Rate for Payer: UHC Exchange |
$173.25
|
| Rate for Payer: UHC Medicaid |
$122.18
|
| Rate for Payer: UHC Medicare Advantage |
$173.25
|
| Rate for Payer: UHCCP Medicaid |
$122.18
|
| Rate for Payer: VA VA |
$173.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$519.75
|
|
|
PR INCISION & DRAINAGE FOREARM&/WRIST BURSA
|
Professional
|
Both
|
$751.00
|
|
|
Service Code
|
HCPCS 25031
|
| Min. Negotiated Rate |
$232.17 |
| Max. Negotiated Rate |
$610.57 |
| Rate for Payer: Aetna Commercial |
$487.91
|
| Rate for Payer: Aetna Medicare |
$375.50
|
| Rate for Payer: BCBS Complete |
$243.78
|
| Rate for Payer: BCN Commercial |
$571.18
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Cash Price |
$600.80
|
| Rate for Payer: Mclaren Medicaid |
$232.17
|
| Rate for Payer: Meridian Medicaid |
$243.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$563.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$610.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$610.57
|
| Rate for Payer: UHC Medicaid |
$232.17
|
| Rate for Payer: UHCCP Medicaid |
$232.17
|
|
|
PR INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA
|
Professional
|
Both
|
$1,174.00
|
|
|
Service Code
|
HCPCS 27603
|
| Min. Negotiated Rate |
$236.86 |
| Max. Negotiated Rate |
$880.50 |
| Rate for Payer: Aetna Commercial |
$521.21
|
| Rate for Payer: Aetna Medicare |
$587.00
|
| Rate for Payer: BCBS Complete |
$248.70
|
| Rate for Payer: BCN Commercial |
$589.61
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Mclaren Medicaid |
$236.86
|
| Rate for Payer: Meridian Medicaid |
$248.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$880.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$630.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$630.27
|
| Rate for Payer: UHC Medicaid |
$236.86
|
| Rate for Payer: UHCCP Medicaid |
$236.86
|
|
|
PR INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA
|
Professional
|
Both
|
$915.00
|
|
|
Service Code
|
HCPCS 27604
|
| Min. Negotiated Rate |
$201.92 |
| Max. Negotiated Rate |
$686.25 |
| Rate for Payer: Aetna Commercial |
$437.25
|
| Rate for Payer: Aetna Medicare |
$457.50
|
| Rate for Payer: BCBS Complete |
$212.02
|
| Rate for Payer: BCN Commercial |
$505.95
|
| Rate for Payer: Cash Price |
$732.00
|
| Rate for Payer: Cash Price |
$732.00
|
| Rate for Payer: Mclaren Medicaid |
$201.92
|
| Rate for Payer: Meridian Medicaid |
$212.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$686.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$540.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$540.84
|
| Rate for Payer: UHC Medicaid |
$201.92
|
| Rate for Payer: UHCCP Medicaid |
$201.92
|
|
|
PR INCISION & DRAINAGE PILONIDAL CYST COMPLICATED
|
Professional
|
Both
|
$468.00
|
|
|
Service Code
|
HCPCS 10081
|
| Min. Negotiated Rate |
$107.57 |
| Max. Negotiated Rate |
$351.00 |
| Rate for Payer: Aetna Commercial |
$186.54
|
| Rate for Payer: Aetna Medicare |
$234.00
|
| Rate for Payer: BCBS Complete |
$112.95
|
| Rate for Payer: BCN Commercial |
$203.42
|
| Rate for Payer: Cash Price |
$374.40
|
| Rate for Payer: Cash Price |
$374.40
|
| Rate for Payer: Mclaren Medicaid |
$107.57
|
| Rate for Payer: Meridian Medicaid |
$112.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$351.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$236.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$236.09
|
| Rate for Payer: UHC Medicaid |
$107.57
|
| Rate for Payer: UHCCP Medicaid |
$107.57
|
|
|
PR INCISION & DRAINAGE PILONIDAL CYST SIMPLE
|
Professional
|
Both
|
$322.00
|
|
|
Service Code
|
HCPCS 10080
|
| Min. Negotiated Rate |
$67.10 |
| Max. Negotiated Rate |
$241.50 |
| Rate for Payer: Aetna Commercial |
$111.66
|
| Rate for Payer: Aetna Medicare |
$161.00
|
| Rate for Payer: BCBS Complete |
$70.45
|
| Rate for Payer: BCN Commercial |
$125.27
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Cash Price |
$257.60
|
| Rate for Payer: Mclaren Medicaid |
$67.10
|
| Rate for Payer: Meridian Medicaid |
$70.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$145.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$145.40
|
| Rate for Payer: UHC Medicaid |
$67.10
|
| Rate for Payer: UHCCP Medicaid |
$67.10
|
|
|
PR INCISION&DRAINAGE UPPER ARM/ELBOW BURSA
|
Professional
|
Both
|
$764.00
|
|
|
Service Code
|
HCPCS 23931
|
| Min. Negotiated Rate |
$101.18 |
| Max. Negotiated Rate |
$573.00 |
| Rate for Payer: Aetna Commercial |
$210.92
|
| Rate for Payer: Aetna Medicare |
$382.00
|
| Rate for Payer: BCBS Complete |
$106.24
|
| Rate for Payer: BCN Commercial |
$246.00
|
| Rate for Payer: Cash Price |
$611.20
|
| Rate for Payer: Cash Price |
$611.20
|
| Rate for Payer: Mclaren Medicaid |
$101.18
|
| Rate for Payer: Meridian Medicaid |
$106.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$573.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$262.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$262.97
|
| Rate for Payer: UHC Medicaid |
$101.18
|
| Rate for Payer: UHCCP Medicaid |
$101.18
|
|
|
PR INCISION EXTENSOR TENDON SHEATH WRIST
|
Professional
|
Both
|
$1,210.00
|
|
|
Service Code
|
HCPCS 25000
|
| Hospital Charge Code |
25000
|
| Min. Negotiated Rate |
$217.05 |
| Max. Negotiated Rate |
$907.50 |
| Rate for Payer: Aetna Commercial |
$452.93
|
| Rate for Payer: Aetna Medicare |
$605.00
|
| Rate for Payer: BCBS Complete |
$227.90
|
| Rate for Payer: BCN Commercial |
$537.33
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Mclaren Medicaid |
$217.05
|
| Rate for Payer: Meridian Medicaid |
$227.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$907.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$574.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$574.38
|
| Rate for Payer: UHC Medicaid |
$217.05
|
| Rate for Payer: UHCCP Medicaid |
$217.05
|
|
|
PR INCISION EXTENSOR TENDON SHEATH WRIST
|
Facility
|
OP
|
$1,210.00
|
|
|
Service Code
|
CPT 25000
|
| Hospital Charge Code |
25000
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$213.32 |
| Max. Negotiated Rate |
$1,089.00 |
| Rate for Payer: Aetna Commercial |
$1,028.50
|
| Rate for Payer: Aetna Medicare |
$314.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$378.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$378.12
|
| Rate for Payer: BCBS Complete |
$223.97
|
| Rate for Payer: BCBS MAPPO |
$302.50
|
| Rate for Payer: BCBS Trust/PPO |
$994.74
|
| Rate for Payer: BCN Commercial |
$994.74
|
| Rate for Payer: BCN Medicare Advantage |
$302.50
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cofinity Commercial |
$1,040.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$968.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$302.50
|
| Rate for Payer: Healthscope Commercial |
$1,089.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$907.50
|
| Rate for Payer: Mclaren Medicaid |
$213.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$317.62
|
| Rate for Payer: Meridian Medicaid |
$223.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$347.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$332.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,028.50
|
| Rate for Payer: Nomi Health Commercial |
$992.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$907.50
|
| Rate for Payer: PACE Senior Care Partners |
$287.38
|
| Rate for Payer: PACE SWMI |
$302.50
|
| Rate for Payer: PHP Commercial |
$1,028.50
|
| Rate for Payer: PHP Medicare Advantage |
$302.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,052.70
|
| Rate for Payer: Priority Health Medicare |
$305.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$842.16
|
| Rate for Payer: Railroad Medicare Medicare |
$302.50
|
| Rate for Payer: UHC Core |
$1,010.35
|
| Rate for Payer: UHC Exchange |
$302.50
|
| Rate for Payer: UHC Medicaid |
$213.32
|
| Rate for Payer: UHC Medicare Advantage |
$302.50
|
| Rate for Payer: UHCCP Medicaid |
$213.32
|
| Rate for Payer: VA VA |
$302.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$907.50
|
|
