|
PR INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN
|
Professional
|
Both
|
$365.00
|
|
|
Service Code
|
HCPCS 67810
|
| Min. Negotiated Rate |
$43.45 |
| Max. Negotiated Rate |
$562.64 |
| Rate for Payer: Aetna Commercial |
$86.47
|
| Rate for Payer: Aetna Medicare |
$67.11
|
| Rate for Payer: BCBS Complete |
$45.62
|
| Rate for Payer: BCBS MAPPO |
$64.53
|
| Rate for Payer: BCBS Trust/PPO |
$562.64
|
| Rate for Payer: BCN Commercial |
$271.22
|
| Rate for Payer: BCN Medicare Advantage |
$64.53
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cofinity Commercial |
$92.92
|
| Rate for Payer: Cofinity Commercial |
$86.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.53
|
| Rate for Payer: Mclaren Medicaid |
$43.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67.76
|
| Rate for Payer: Meridian Medicaid |
$45.62
|
| Rate for Payer: Nomi Health Commercial |
$77.44
|
| Rate for Payer: PACE SWMI |
$64.53
|
| Rate for Payer: PHP Medicare Advantage |
$64.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.25
|
| Rate for Payer: Priority Health HMO/PPO |
$117.57
|
| Rate for Payer: Priority Health Medicare |
$65.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$117.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.53
|
| Rate for Payer: UHC Exchange |
$64.53
|
| Rate for Payer: UHC Medicare Advantage |
$64.53
|
| Rate for Payer: UHCCP Medicaid |
$43.45
|
|
|
PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
|
Professional
|
Both
|
$142.00
|
|
|
Service Code
|
HCPCS 11107
|
| Min. Negotiated Rate |
$11.47 |
| Max. Negotiated Rate |
$92.30 |
| Rate for Payer: Aetna Commercial |
$38.70
|
| Rate for Payer: Aetna Medicare |
$30.04
|
| Rate for Payer: BCBS Complete |
$20.35
|
| Rate for Payer: BCBS MAPPO |
$28.88
|
| Rate for Payer: BCBS Trust/PPO |
$11.47
|
| Rate for Payer: BCN Commercial |
$84.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.88
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cofinity Commercial |
$41.59
|
| Rate for Payer: Cofinity Commercial |
$38.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.88
|
| Rate for Payer: Mclaren Medicaid |
$19.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.32
|
| Rate for Payer: Meridian Medicaid |
$20.35
|
| Rate for Payer: Nomi Health Commercial |
$34.66
|
| Rate for Payer: PACE SWMI |
$28.88
|
| Rate for Payer: PHP Medicare Advantage |
$28.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.30
|
| Rate for Payer: Priority Health HMO/PPO |
$41.09
|
| Rate for Payer: Priority Health Medicare |
$29.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.88
|
| Rate for Payer: UHC Exchange |
$28.88
|
| Rate for Payer: UHC Medicare Advantage |
$28.88
|
| Rate for Payer: UHCCP Medicaid |
$19.38
|
|
|
PR INCISIONAL BIOPSY SKIN SINGLE LESION
|
Professional
|
Both
|
$295.00
|
|
|
Service Code
|
HCPCS 11106
|
| Min. Negotiated Rate |
$13.57 |
| Max. Negotiated Rate |
$191.75 |
| Rate for Payer: Aetna Commercial |
$72.11
|
| Rate for Payer: Aetna Medicare |
$55.96
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$53.81
|
| Rate for Payer: BCBS Trust/PPO |
$13.57
|
| Rate for Payer: BCN Commercial |
$183.77
|
| Rate for Payer: BCN Medicare Advantage |
$53.81
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cofinity Commercial |
$77.49
|
| Rate for Payer: Cofinity Commercial |
$72.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.81
|
| Rate for Payer: Mclaren Medicaid |
$36.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.50
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Nomi Health Commercial |
$64.57
|
| Rate for Payer: PACE SWMI |
$53.81
|
| Rate for Payer: PHP Medicare Advantage |
$53.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.75
|
| Rate for Payer: Priority Health HMO/PPO |
$75.85
|
| Rate for Payer: Priority Health Medicare |
$54.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$75.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.81
|
| Rate for Payer: UHC Exchange |
$53.81
|
| Rate for Payer: UHC Medicare Advantage |
$53.81
|
| Rate for Payer: UHCCP Medicaid |
$36.00
|
|
|
PR INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN
|
Professional
|
Both
|
$1,386.00
|
|
|
Service Code
|
HCPCS 44900
|
| Min. Negotiated Rate |
$378.79 |
| Max. Negotiated Rate |
$1,408.56 |
| Rate for Payer: Aetna Commercial |
$1,022.25
|
| Rate for Payer: Aetna Medicare |
$793.38
|
| Rate for Payer: BCBS Complete |
$530.94
|
| Rate for Payer: BCBS MAPPO |
$762.87
|
| Rate for Payer: BCBS Trust/PPO |
$378.79
|
| Rate for Payer: BCN Commercial |
$1,148.88
|
| Rate for Payer: BCN Medicare Advantage |
$762.87
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cofinity Commercial |
$1,098.53
|
| Rate for Payer: Cofinity Commercial |
$1,022.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$762.87
|
| Rate for Payer: Mclaren Medicaid |
$505.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$801.01
|
| Rate for Payer: Meridian Medicaid |
$530.94
|
| Rate for Payer: Nomi Health Commercial |
$915.44
|
| Rate for Payer: PACE SWMI |
$762.87
|
| Rate for Payer: PHP Medicare Advantage |
$762.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$505.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,408.56
|
| Rate for Payer: Priority Health Medicare |
$770.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,408.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$762.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$762.87
|
| Rate for Payer: UHC Exchange |
$762.87
|
| Rate for Payer: UHC Medicare Advantage |
$762.87
|
| Rate for Payer: UHCCP Medicaid |
$505.66
|
|
|
PR INCISION BONE CORTEX FOOT
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 28005
|
| Min. Negotiated Rate |
$369.77 |
| Max. Negotiated Rate |
$3,691.76 |
| Rate for Payer: Aetna Commercial |
$732.24
|
| Rate for Payer: Aetna Medicare |
$568.31
|
| Rate for Payer: BCBS Complete |
$388.26
|
| Rate for Payer: BCBS MAPPO |
$546.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,691.76
|
| Rate for Payer: BCN Commercial |
$831.24
|
| Rate for Payer: BCN Medicare Advantage |
$546.45
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$786.89
|
| Rate for Payer: Cofinity Commercial |
$732.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.45
|
| Rate for Payer: Mclaren Medicaid |
$369.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.77
|
| Rate for Payer: Meridian Medicaid |
$388.26
|
| Rate for Payer: Nomi Health Commercial |
$655.74
|
| Rate for Payer: PACE SWMI |
$546.45
|
| Rate for Payer: PHP Medicare Advantage |
$546.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$748.80
|
| Rate for Payer: Priority Health HMO/PPO |
$876.76
|
| Rate for Payer: Priority Health Medicare |
$551.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$876.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$546.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$546.45
|
| Rate for Payer: UHC Exchange |
$546.45
|
| Rate for Payer: UHC Medicare Advantage |
$546.45
|
| Rate for Payer: UHCCP Medicaid |
$369.77
|
|
|
PR INCISION BONE CORTEX HAND/FINGER
|
Professional
|
Both
|
$952.00
|
|
|
Service Code
|
HCPCS 26034
|
| Min. Negotiated Rate |
$58.64 |
| Max. Negotiated Rate |
$858.95 |
| Rate for Payer: Aetna Commercial |
$714.31
|
| Rate for Payer: Aetna Medicare |
$554.39
|
| Rate for Payer: BCBS Complete |
$381.99
|
| Rate for Payer: BCBS MAPPO |
$533.07
|
| Rate for Payer: BCBS Trust/PPO |
$58.64
|
| Rate for Payer: BCN Commercial |
$816.09
|
| Rate for Payer: BCN Medicare Advantage |
$533.07
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cofinity Commercial |
$767.62
|
| Rate for Payer: Cofinity Commercial |
$714.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$533.07
|
| Rate for Payer: Mclaren Medicaid |
$363.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.72
|
| Rate for Payer: Meridian Medicaid |
$381.99
|
| Rate for Payer: Nomi Health Commercial |
$639.68
|
| Rate for Payer: PACE SWMI |
$533.07
|
| Rate for Payer: PHP Medicare Advantage |
$533.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$363.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO |
$858.95
|
| Rate for Payer: Priority Health Medicare |
$538.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$858.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$533.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$533.07
|
| Rate for Payer: UHC Exchange |
$533.07
|
| Rate for Payer: UHC Medicare Advantage |
$533.07
|
| Rate for Payer: UHCCP Medicaid |
$363.80
|
|
|
PR INCISION BONE CORTEX PELVIS&/HIP JOINT
|
Professional
|
Both
|
$2,070.00
|
|
|
Service Code
|
HCPCS 26992
|
| Min. Negotiated Rate |
$650.50 |
| Max. Negotiated Rate |
$1,556.60 |
| Rate for Payer: Aetna Commercial |
$1,288.93
|
| Rate for Payer: Aetna Medicare |
$1,000.37
|
| Rate for Payer: BCBS Complete |
$683.02
|
| Rate for Payer: BCBS MAPPO |
$961.89
|
| Rate for Payer: BCBS Trust/PPO |
$764.98
|
| Rate for Payer: BCN Commercial |
$1,480.69
|
| Rate for Payer: BCN Medicare Advantage |
$961.89
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cofinity Commercial |
$1,385.12
|
| Rate for Payer: Cofinity Commercial |
$1,288.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$961.89
|
| Rate for Payer: Mclaren Medicaid |
$650.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,009.98
|
| Rate for Payer: Meridian Medicaid |
$683.02
|
| Rate for Payer: Nomi Health Commercial |
$1,154.27
|
| Rate for Payer: PACE SWMI |
$961.89
|
| Rate for Payer: PHP Medicare Advantage |
$961.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,345.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,556.60
|
| Rate for Payer: Priority Health Medicare |
$971.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,556.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$961.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$961.89
|
| Rate for Payer: UHC Exchange |
$961.89
|
| Rate for Payer: UHC Medicare Advantage |
$961.89
|
| Rate for Payer: UHCCP Medicaid |
$650.50
|
|
|
PR INCISION BONE CORTEX SHOULDER AREA
|
Professional
|
Both
|
$1,359.00
|
|
|
Service Code
|
HCPCS 23035
|
| Min. Negotiated Rate |
$444.74 |
| Max. Negotiated Rate |
$1,048.77 |
| Rate for Payer: Aetna Commercial |
$881.28
|
| Rate for Payer: Aetna Medicare |
$683.98
|
| Rate for Payer: BCBS Complete |
$466.98
|
| Rate for Payer: BCBS MAPPO |
$657.67
|
| Rate for Payer: BCBS Trust/PPO |
$887.54
|
| Rate for Payer: BCN Commercial |
$1,005.70
|
| Rate for Payer: BCN Medicare Advantage |
$657.67
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Cofinity Commercial |
$947.04
|
| Rate for Payer: Cofinity Commercial |
$881.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$657.67
|
| Rate for Payer: Mclaren Medicaid |
$444.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$690.55
|
| Rate for Payer: Meridian Medicaid |
$466.98
|
| Rate for Payer: Nomi Health Commercial |
$789.20
|
| Rate for Payer: PACE SWMI |
$657.67
|
| Rate for Payer: PHP Medicare Advantage |
$657.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,048.77
|
| Rate for Payer: Priority Health Medicare |
$664.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,048.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$657.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$657.67
|
| Rate for Payer: UHC Exchange |
$657.67
|
| Rate for Payer: UHC Medicare Advantage |
$657.67
|
| Rate for Payer: UHCCP Medicaid |
$444.74
|
|
|
PR INCISION DEEP BONE CORTEX FOREARM&/WRIST
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 25035
|
| Min. Negotiated Rate |
$140.53 |
| Max. Negotiated Rate |
$1,060.80 |
| Rate for Payer: Aetna Commercial |
$765.49
|
| Rate for Payer: Aetna Medicare |
$594.11
|
| Rate for Payer: BCBS Complete |
$406.82
|
| Rate for Payer: BCBS MAPPO |
$571.26
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$866.91
|
| Rate for Payer: BCN Medicare Advantage |
$571.26
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$822.61
|
| Rate for Payer: Cofinity Commercial |
$765.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.26
|
| Rate for Payer: Mclaren Medicaid |
$387.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$599.82
|
| Rate for Payer: Meridian Medicaid |
$406.82
|
| Rate for Payer: Nomi Health Commercial |
$685.51
|
| Rate for Payer: PACE SWMI |
$571.26
|
| Rate for Payer: PHP Medicare Advantage |
$571.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.80
|
| Rate for Payer: Priority Health HMO/PPO |
$917.47
|
| Rate for Payer: Priority Health Medicare |
$576.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$917.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$571.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.26
|
| Rate for Payer: UHC Exchange |
$571.26
|
| Rate for Payer: UHC Medicare Advantage |
$571.26
|
| Rate for Payer: UHCCP Medicaid |
$387.45
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
IP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$238.55 |
| Max. Negotiated Rate |
$330.30 |
| Rate for Payer: Aetna Commercial |
$311.95
|
| Rate for Payer: BCBS Trust/PPO |
$299.58
|
| Rate for Payer: BCN Commercial |
$283.62
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$315.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Healthscope Commercial |
$330.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$275.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: Nomi Health Commercial |
$300.94
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO |
$319.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.96
|
| Rate for Payer: UHC Core |
$306.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$275.25
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$307.43 |
| Rate for Payer: Aetna Commercial |
$232.41
|
| Rate for Payer: Aetna Medicare |
$180.38
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS MAPPO |
$173.44
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: BCN Medicare Advantage |
$173.44
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$249.75
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.44
|
| Rate for Payer: Mclaren Medicaid |
$118.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.11
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Nomi Health Commercial |
$208.13
|
| Rate for Payer: PACE SWMI |
$173.44
|
| Rate for Payer: PHP Medicare Advantage |
$173.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO |
$251.05
|
| Rate for Payer: Priority Health Medicare |
$175.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.44
|
| Rate for Payer: UHC Exchange |
$173.44
|
| Rate for Payer: UHC Medicare Advantage |
$173.44
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
OP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$87.16 |
| Max. Negotiated Rate |
$330.30 |
| Rate for Payer: Aetna Commercial |
$311.95
|
| Rate for Payer: Aetna Medicare |
$95.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$114.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$114.69
|
| Rate for Payer: BCBS Complete |
$297.19
|
| Rate for Payer: BCBS MAPPO |
$91.75
|
| Rate for Payer: BCBS Trust/PPO |
$301.71
|
| Rate for Payer: BCN Commercial |
$285.34
|
| Rate for Payer: BCN Medicare Advantage |
$91.75
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$315.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.75
|
| Rate for Payer: Healthscope Commercial |
$330.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$275.25
|
| Rate for Payer: Mclaren Medicaid |
$283.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.34
|
| Rate for Payer: Meridian Medicaid |
$297.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$105.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: Nomi Health Commercial |
$300.94
|
| Rate for Payer: PACE Senior Care Partners |
$87.16
|
| Rate for Payer: PACE SWMI |
$91.75
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: PHP Medicare Advantage |
$91.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$283.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO |
$319.29
|
| Rate for Payer: Priority Health Medicare |
$92.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.89
|
| Rate for Payer: Railroad Medicare Medicare |
$91.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.96
|
| Rate for Payer: UHC Core |
$306.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.75
|
| Rate for Payer: UHC Exchange |
$91.75
|
| Rate for Payer: UHC Medicare Advantage |
$91.75
|
| Rate for Payer: UHCCP Medicaid |
$283.02
|
| Rate for Payer: VA VA |
$91.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$275.25
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$307.43 |
| Rate for Payer: Aetna Commercial |
$232.41
|
| Rate for Payer: Aetna Medicare |
$180.38
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS MAPPO |
$173.44
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: BCN Medicare Advantage |
$173.44
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$249.75
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.44
|
| Rate for Payer: Mclaren Medicaid |
$118.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.11
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Nomi Health Commercial |
$208.13
|
| Rate for Payer: PACE SWMI |
$173.44
|
| Rate for Payer: PHP Medicare Advantage |
$173.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO |
$251.05
|
| Rate for Payer: Priority Health Medicare |
$175.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.44
|
| Rate for Payer: UHC Exchange |
$173.44
|
| Rate for Payer: UHC Medicare Advantage |
$173.44
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
IP
|
$184.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$119.60 |
| Max. Negotiated Rate |
$165.60 |
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: BCBS Trust/PPO |
$150.20
|
| Rate for Payer: BCN Commercial |
$142.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: Nomi Health Commercial |
$150.88
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO |
$160.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$123.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.92
|
| Rate for Payer: UHC Core |
$153.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.00
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 10060
|
| Hospital Charge Code |
10060
|
| Min. Negotiated Rate |
$10.31 |
| Max. Negotiated Rate |
$147.64 |
| Rate for Payer: Aetna Commercial |
$134.12
|
| Rate for Payer: Aetna Medicare |
$104.09
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$100.09
|
| Rate for Payer: BCBS Trust/PPO |
$10.31
|
| Rate for Payer: BCN Commercial |
$147.64
|
| Rate for Payer: BCN Medicare Advantage |
$100.09
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$144.13
|
| Rate for Payer: Cofinity Commercial |
$134.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.09
|
| Rate for Payer: Mclaren Medicaid |
$69.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.09
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Nomi Health Commercial |
$120.11
|
| Rate for Payer: PACE SWMI |
$100.09
|
| Rate for Payer: PHP Medicare Advantage |
$100.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO |
$145.39
|
| Rate for Payer: Priority Health Medicare |
$101.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$145.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.09
|
| Rate for Payer: UHC Exchange |
$100.09
|
| Rate for Payer: UHC Medicare Advantage |
$100.09
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
OP
|
$184.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$43.70 |
| Max. Negotiated Rate |
$165.60 |
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: Aetna Medicare |
$47.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$57.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$57.50
|
| Rate for Payer: BCBS Complete |
$147.80
|
| Rate for Payer: BCBS MAPPO |
$46.00
|
| Rate for Payer: BCBS Trust/PPO |
$151.27
|
| Rate for Payer: BCN Commercial |
$143.06
|
| Rate for Payer: BCN Medicare Advantage |
$46.00
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.00
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.00
|
| Rate for Payer: Mclaren Medicaid |
$140.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.30
|
| Rate for Payer: Meridian Medicaid |
$147.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: Nomi Health Commercial |
$150.88
|
| Rate for Payer: PACE Senior Care Partners |
$43.70
|
| Rate for Payer: PACE SWMI |
$46.00
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: PHP Medicare Advantage |
$46.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO |
$160.08
|
| Rate for Payer: Priority Health Medicare |
$46.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$123.28
|
| Rate for Payer: Railroad Medicare Medicare |
$46.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$161.92
|
| Rate for Payer: UHC Core |
$153.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.00
|
| Rate for Payer: UHC Exchange |
$46.00
|
| Rate for Payer: UHC Medicare Advantage |
$46.00
|
| Rate for Payer: UHCCP Medicaid |
$140.75
|
| Rate for Payer: VA VA |
$46.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.00
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 10060
|
| Min. Negotiated Rate |
$10.31 |
| Max. Negotiated Rate |
$147.64 |
| Rate for Payer: Aetna Commercial |
$134.12
|
| Rate for Payer: Aetna Medicare |
$104.09
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$100.09
|
| Rate for Payer: BCBS Trust/PPO |
$10.31
|
| Rate for Payer: BCN Commercial |
$147.64
|
| Rate for Payer: BCN Medicare Advantage |
$100.09
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$144.13
|
| Rate for Payer: Cofinity Commercial |
$134.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.09
|
| Rate for Payer: Mclaren Medicaid |
$69.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.09
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Nomi Health Commercial |
$120.11
|
| Rate for Payer: PACE SWMI |
$100.09
|
| Rate for Payer: PHP Medicare Advantage |
$100.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO |
$145.39
|
| Rate for Payer: Priority Health Medicare |
$101.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$145.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$100.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.09
|
| Rate for Payer: UHC Exchange |
$100.09
|
| Rate for Payer: UHC Medicare Advantage |
$100.09
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
|
|
PR INCISION&DRAINAGE BURSA FOOT
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 28001
|
| Min. Negotiated Rate |
$61.34 |
| Max. Negotiated Rate |
$795.62 |
| Rate for Payer: Aetna Commercial |
$123.25
|
| Rate for Payer: Aetna Medicare |
$95.66
|
| Rate for Payer: BCBS Complete |
$64.41
|
| Rate for Payer: BCBS MAPPO |
$91.98
|
| Rate for Payer: BCBS Trust/PPO |
$795.62
|
| Rate for Payer: BCN Commercial |
$249.71
|
| Rate for Payer: BCN Medicare Advantage |
$91.98
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cofinity Commercial |
$132.45
|
| Rate for Payer: Cofinity Commercial |
$123.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.98
|
| Rate for Payer: Mclaren Medicaid |
$61.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.58
|
| Rate for Payer: Meridian Medicaid |
$64.41
|
| Rate for Payer: Nomi Health Commercial |
$110.38
|
| Rate for Payer: PACE SWMI |
$91.98
|
| Rate for Payer: PHP Medicare Advantage |
$91.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$288.60
|
| Rate for Payer: Priority Health HMO/PPO |
$145.53
|
| Rate for Payer: Priority Health Medicare |
$92.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$145.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.98
|
| Rate for Payer: UHC Exchange |
$91.98
|
| Rate for Payer: UHC Medicare Advantage |
$91.98
|
| Rate for Payer: UHCCP Medicaid |
$61.34
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 10180
|
| Hospital Charge Code |
10180
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$437.45 |
| Rate for Payer: Aetna Commercial |
$229.58
|
| Rate for Payer: Aetna Medicare |
$178.18
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$171.33
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$386.55
|
| Rate for Payer: BCN Medicare Advantage |
$171.33
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$246.72
|
| Rate for Payer: Cofinity Commercial |
$229.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.33
|
| Rate for Payer: Mclaren Medicaid |
$115.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.90
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Nomi Health Commercial |
$205.60
|
| Rate for Payer: PACE SWMI |
$171.33
|
| Rate for Payer: PHP Medicare Advantage |
$171.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO |
$243.37
|
| Rate for Payer: Priority Health Medicare |
$173.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$243.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.33
|
| Rate for Payer: UHC Exchange |
$171.33
|
| Rate for Payer: UHC Medicare Advantage |
$171.33
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 10180
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$437.45 |
| Rate for Payer: Aetna Commercial |
$229.58
|
| Rate for Payer: Aetna Medicare |
$178.18
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$171.33
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$386.55
|
| Rate for Payer: BCN Medicare Advantage |
$171.33
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$246.72
|
| Rate for Payer: Cofinity Commercial |
$229.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.33
|
| Rate for Payer: Mclaren Medicaid |
$115.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.90
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Nomi Health Commercial |
$205.60
|
| Rate for Payer: PACE SWMI |
$171.33
|
| Rate for Payer: PHP Medicare Advantage |
$171.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO |
$243.37
|
| Rate for Payer: Priority Health Medicare |
$173.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$243.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.33
|
| Rate for Payer: UHC Exchange |
$171.33
|
| Rate for Payer: UHC Medicare Advantage |
$171.33
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Facility
|
IP
|
$673.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
10180
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$437.45 |
| Max. Negotiated Rate |
$605.70 |
| Rate for Payer: Aetna Commercial |
$572.05
|
| Rate for Payer: BCBS Trust/PPO |
$549.37
|
| Rate for Payer: BCN Commercial |
$520.09
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$578.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$538.40
|
| Rate for Payer: Healthscope Commercial |
$605.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$504.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$572.05
|
| Rate for Payer: Nomi Health Commercial |
$551.86
|
| Rate for Payer: PHP Commercial |
$572.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO |
$585.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$450.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$592.24
|
| Rate for Payer: UHC Core |
$561.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$504.75
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Facility
|
OP
|
$673.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
10180
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$159.84 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$572.05
|
| Rate for Payer: Aetna Medicare |
$174.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$210.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$210.31
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$168.25
|
| Rate for Payer: BCBS Trust/PPO |
$553.27
|
| Rate for Payer: BCN Commercial |
$523.26
|
| Rate for Payer: BCN Medicare Advantage |
$168.25
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$578.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$538.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.25
|
| Rate for Payer: Healthscope Commercial |
$605.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$504.75
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$176.66
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$193.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$572.05
|
| Rate for Payer: Nomi Health Commercial |
$551.86
|
| Rate for Payer: PACE Senior Care Partners |
$159.84
|
| Rate for Payer: PACE SWMI |
$168.25
|
| Rate for Payer: PHP Commercial |
$572.05
|
| Rate for Payer: PHP Medicare Advantage |
$168.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO |
$585.51
|
| Rate for Payer: Priority Health Medicare |
$169.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$450.91
|
| Rate for Payer: Railroad Medicare Medicare |
$168.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$592.24
|
| Rate for Payer: UHC Core |
$561.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$168.25
|
| Rate for Payer: UHC Exchange |
$168.25
|
| Rate for Payer: UHC Medicare Advantage |
$168.25
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$168.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$504.75
|
|
|
PR INCISION & DRAINAGE FOREARM&/WRIST BURSA
|
Professional
|
Both
|
$729.00
|
|
|
Service Code
|
HCPCS 25031
|
| Min. Negotiated Rate |
$244.31 |
| Max. Negotiated Rate |
$942.49 |
| Rate for Payer: Aetna Commercial |
$479.22
|
| Rate for Payer: Aetna Medicare |
$371.94
|
| Rate for Payer: BCBS Complete |
$256.53
|
| Rate for Payer: BCBS MAPPO |
$357.63
|
| Rate for Payer: BCBS Trust/PPO |
$942.49
|
| Rate for Payer: BCN Commercial |
$547.32
|
| Rate for Payer: BCN Medicare Advantage |
$357.63
|
| Rate for Payer: Cash Price |
$583.20
|
| Rate for Payer: Cash Price |
$583.20
|
| Rate for Payer: Cofinity Commercial |
$514.99
|
| Rate for Payer: Cofinity Commercial |
$479.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.63
|
| Rate for Payer: Mclaren Medicaid |
$244.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.51
|
| Rate for Payer: Meridian Medicaid |
$256.53
|
| Rate for Payer: Nomi Health Commercial |
$429.16
|
| Rate for Payer: PACE SWMI |
$357.63
|
| Rate for Payer: PHP Medicare Advantage |
$357.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$244.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$473.85
|
| Rate for Payer: Priority Health HMO/PPO |
$577.55
|
| Rate for Payer: Priority Health Medicare |
$361.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$577.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.63
|
| Rate for Payer: UHC Exchange |
$357.63
|
| Rate for Payer: UHC Medicare Advantage |
$357.63
|
| Rate for Payer: UHCCP Medicaid |
$244.31
|
|
|
PR INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA
|
Professional
|
Both
|
$1,140.00
|
|
|
Service Code
|
HCPCS 27603
|
| Min. Negotiated Rate |
$252.19 |
| Max. Negotiated Rate |
$1,557.43 |
| Rate for Payer: Aetna Commercial |
$497.81
|
| Rate for Payer: Aetna Medicare |
$386.36
|
| Rate for Payer: BCBS Complete |
$264.80
|
| Rate for Payer: BCBS MAPPO |
$371.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,557.43
|
| Rate for Payer: BCN Commercial |
$777.97
|
| Rate for Payer: BCN Medicare Advantage |
$371.50
|
| Rate for Payer: Cash Price |
$912.00
|
| Rate for Payer: Cash Price |
$912.00
|
| Rate for Payer: Cofinity Commercial |
$534.96
|
| Rate for Payer: Cofinity Commercial |
$497.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$371.50
|
| Rate for Payer: Mclaren Medicaid |
$252.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$390.08
|
| Rate for Payer: Meridian Medicaid |
$264.80
|
| Rate for Payer: Nomi Health Commercial |
$445.80
|
| Rate for Payer: PACE SWMI |
$371.50
|
| Rate for Payer: PHP Medicare Advantage |
$371.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$252.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.00
|
| Rate for Payer: Priority Health HMO/PPO |
$601.48
|
| Rate for Payer: Priority Health Medicare |
$375.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$601.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$371.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$371.50
|
| Rate for Payer: UHC Exchange |
$371.50
|
| Rate for Payer: UHC Medicare Advantage |
$371.50
|
| Rate for Payer: UHCCP Medicaid |
$252.19
|
|
|
PR INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA
|
Professional
|
Both
|
$888.00
|
|
|
Service Code
|
HCPCS 27604
|
| Min. Negotiated Rate |
$216.41 |
| Max. Negotiated Rate |
$661.18 |
| Rate for Payer: Aetna Commercial |
$428.09
|
| Rate for Payer: Aetna Medicare |
$332.25
|
| Rate for Payer: BCBS Complete |
$227.23
|
| Rate for Payer: BCBS MAPPO |
$319.47
|
| Rate for Payer: BCBS Trust/PPO |
$557.88
|
| Rate for Payer: BCN Commercial |
$661.18
|
| Rate for Payer: BCN Medicare Advantage |
$319.47
|
| Rate for Payer: Cash Price |
$710.40
|
| Rate for Payer: Cash Price |
$710.40
|
| Rate for Payer: Cofinity Commercial |
$460.04
|
| Rate for Payer: Cofinity Commercial |
$428.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.47
|
| Rate for Payer: Mclaren Medicaid |
$216.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.44
|
| Rate for Payer: Meridian Medicaid |
$227.23
|
| Rate for Payer: Nomi Health Commercial |
$383.36
|
| Rate for Payer: PACE SWMI |
$319.47
|
| Rate for Payer: PHP Medicare Advantage |
$319.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$216.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$577.20
|
| Rate for Payer: Priority Health HMO/PPO |
$498.69
|
| Rate for Payer: Priority Health Medicare |
$322.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$498.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$319.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.47
|
| Rate for Payer: UHC Exchange |
$319.47
|
| Rate for Payer: UHC Medicare Advantage |
$319.47
|
| Rate for Payer: UHCCP Medicaid |
$216.41
|
|
