|
PR LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST
|
Professional
|
Both
|
$4,801.00
|
|
|
Service Code
|
HCPCS 44208
|
| Min. Negotiated Rate |
$1,149.14 |
| Max. Negotiated Rate |
$3,600.75 |
| Rate for Payer: Aetna Commercial |
$2,648.24
|
| Rate for Payer: Aetna Medicare |
$2,400.50
|
| Rate for Payer: BCBS Complete |
$1,206.60
|
| Rate for Payer: BCN Commercial |
$2,924.64
|
| Rate for Payer: Cash Price |
$3,840.80
|
| Rate for Payer: Cash Price |
$3,840.80
|
| Rate for Payer: Mclaren Medicaid |
$1,149.14
|
| Rate for Payer: Meridian Medicaid |
$1,206.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,600.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,149.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,563.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,563.49
|
| Rate for Payer: UHC Medicaid |
$1,149.14
|
| Rate for Payer: UHCCP Medicaid |
$1,149.14
|
|
|
PR LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY
|
Professional
|
Both
|
$6,450.00
|
|
|
Service Code
|
HCPCS 44212
|
| Min. Negotiated Rate |
$1,187.48 |
| Max. Negotiated Rate |
$4,837.50 |
| Rate for Payer: Aetna Commercial |
$2,718.21
|
| Rate for Payer: Aetna Medicare |
$3,225.00
|
| Rate for Payer: BCBS Complete |
$1,246.85
|
| Rate for Payer: BCN Commercial |
$3,013.79
|
| Rate for Payer: Cash Price |
$5,160.00
|
| Rate for Payer: Cash Price |
$5,160.00
|
| Rate for Payer: Mclaren Medicaid |
$1,187.48
|
| Rate for Payer: Meridian Medicaid |
$1,246.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,837.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,187.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,672.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,672.10
|
| Rate for Payer: UHC Medicaid |
$1,187.48
|
| Rate for Payer: UHCCP Medicaid |
$1,187.48
|
|
|
PR LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST
|
Professional
|
Both
|
$4,730.00
|
|
|
Service Code
|
HCPCS 44207
|
| Min. Negotiated Rate |
$1,051.79 |
| Max. Negotiated Rate |
$3,547.50 |
| Rate for Payer: Aetna Commercial |
$2,434.39
|
| Rate for Payer: Aetna Medicare |
$2,365.00
|
| Rate for Payer: BCBS Complete |
$1,104.38
|
| Rate for Payer: BCN Commercial |
$2,690.59
|
| Rate for Payer: Cash Price |
$3,784.00
|
| Rate for Payer: Cash Price |
$3,784.00
|
| Rate for Payer: Mclaren Medicaid |
$1,051.79
|
| Rate for Payer: Meridian Medicaid |
$1,104.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,547.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,051.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,278.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,278.31
|
| Rate for Payer: UHC Medicaid |
$1,051.79
|
| Rate for Payer: UHCCP Medicaid |
$1,051.79
|
|
|
PR LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM
|
Professional
|
Both
|
$4,878.00
|
|
|
Service Code
|
HCPCS 44206
|
| Min. Negotiated Rate |
$1,020.70 |
| Max. Negotiated Rate |
$3,658.50 |
| Rate for Payer: Aetna Commercial |
$2,349.86
|
| Rate for Payer: Aetna Medicare |
$2,439.00
|
| Rate for Payer: BCBS Complete |
$1,071.73
|
| Rate for Payer: BCN Commercial |
$2,589.01
|
| Rate for Payer: Cash Price |
$3,902.40
|
| Rate for Payer: Cash Price |
$3,902.40
|
| Rate for Payer: Mclaren Medicaid |
$1,020.70
|
| Rate for Payer: Meridian Medicaid |
$1,071.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,658.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,020.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,154.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,154.52
|
| Rate for Payer: UHC Medicaid |
$1,020.70
|
| Rate for Payer: UHCCP Medicaid |
$1,020.70
|
|
|
PR LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM
|
Professional
|
Both
|
$4,325.00
|
|
|
Service Code
|
HCPCS 44205
|
| Min. Negotiated Rate |
$781.92 |
| Max. Negotiated Rate |
$3,243.75 |
| Rate for Payer: Aetna Commercial |
$1,793.71
|
| Rate for Payer: Aetna Medicare |
$2,162.50
|
| Rate for Payer: BCBS Complete |
$821.02
|
| Rate for Payer: BCN Commercial |
$1,989.44
|
| Rate for Payer: Cash Price |
$3,460.00
|
| Rate for Payer: Cash Price |
$3,460.00
|
| Rate for Payer: Mclaren Medicaid |
$781.92
|
| Rate for Payer: Meridian Medicaid |
$821.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,243.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,423.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,423.99
|
| Rate for Payer: UHC Medicaid |
$781.92
|
| Rate for Payer: UHCCP Medicaid |
$781.92
|
|
|
PR LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$5,440.00
|
|
|
Service Code
|
HCPCS 44210
|
| Min. Negotiated Rate |
$1,037.95 |
| Max. Negotiated Rate |
$4,080.00 |
| Rate for Payer: Aetna Commercial |
$2,365.94
|
| Rate for Payer: Aetna Medicare |
$2,720.00
|
| Rate for Payer: BCBS Complete |
$1,089.85
|
| Rate for Payer: BCN Commercial |
$2,628.85
|
| Rate for Payer: Cash Price |
$4,352.00
|
| Rate for Payer: Cash Price |
$4,352.00
|
| Rate for Payer: Mclaren Medicaid |
$1,037.95
|
| Rate for Payer: Meridian Medicaid |
$1,089.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,080.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,037.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,203.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,203.07
|
| Rate for Payer: UHC Medicaid |
$1,037.95
|
| Rate for Payer: UHCCP Medicaid |
$1,037.95
|
|
|
PR LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA
|
Professional
|
Both
|
$4,792.00
|
|
|
Service Code
|
HCPCS 44202
|
| Min. Negotiated Rate |
$821.97 |
| Max. Negotiated Rate |
$3,594.00 |
| Rate for Payer: Aetna Commercial |
$1,868.47
|
| Rate for Payer: Aetna Medicare |
$2,396.00
|
| Rate for Payer: BCBS Complete |
$863.07
|
| Rate for Payer: BCN Commercial |
$2,077.07
|
| Rate for Payer: Cash Price |
$3,833.60
|
| Rate for Payer: Cash Price |
$3,833.60
|
| Rate for Payer: Mclaren Medicaid |
$821.97
|
| Rate for Payer: Meridian Medicaid |
$863.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,594.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$821.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,530.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,530.78
|
| Rate for Payer: UHC Medicaid |
$821.97
|
| Rate for Payer: UHCCP Medicaid |
$821.97
|
|
|
PR LAPS ESOPHAGEAL LENGTHENING ADDL
|
Professional
|
Both
|
$303.00
|
|
|
Service Code
|
HCPCS 43283
|
| Min. Negotiated Rate |
$90.53 |
| Max. Negotiated Rate |
$283.36 |
| Rate for Payer: Aetna Commercial |
$214.16
|
| Rate for Payer: Aetna Medicare |
$151.50
|
| Rate for Payer: BCBS Complete |
$95.06
|
| Rate for Payer: BCN Commercial |
$232.55
|
| Rate for Payer: Cash Price |
$242.40
|
| Rate for Payer: Cash Price |
$242.40
|
| Rate for Payer: Mclaren Medicaid |
$90.53
|
| Rate for Payer: Meridian Medicaid |
$95.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$227.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$283.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$283.36
|
| Rate for Payer: UHC Medicaid |
$90.53
|
| Rate for Payer: UHCCP Medicaid |
$90.53
|
|
|
PR LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED
|
Professional
|
Both
|
$2,475.00
|
|
|
Service Code
|
HCPCS 43279
|
| Min. Negotiated Rate |
$765.10 |
| Max. Negotiated Rate |
$2,338.44 |
| Rate for Payer: Aetna Commercial |
$1,737.87
|
| Rate for Payer: Aetna Medicare |
$1,237.50
|
| Rate for Payer: BCBS Complete |
$803.36
|
| Rate for Payer: BCN Commercial |
$1,919.22
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Cash Price |
$1,980.00
|
| Rate for Payer: Mclaren Medicaid |
$765.10
|
| Rate for Payer: Meridian Medicaid |
$803.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,856.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$765.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,338.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,338.44
|
| Rate for Payer: UHC Medicaid |
$765.10
|
| Rate for Payer: UHCCP Medicaid |
$765.10
|
|
|
PR LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE
|
Professional
|
Both
|
$2,295.00
|
|
|
Service Code
|
HCPCS 58662
|
| Min. Negotiated Rate |
$412.37 |
| Max. Negotiated Rate |
$1,721.25 |
| Rate for Payer: Aetna Commercial |
$851.14
|
| Rate for Payer: Aetna Medicare |
$1,147.50
|
| Rate for Payer: BCBS Complete |
$432.99
|
| Rate for Payer: BCN Commercial |
$1,070.66
|
| Rate for Payer: Cash Price |
$1,836.00
|
| Rate for Payer: Cash Price |
$1,836.00
|
| Rate for Payer: Mclaren Medicaid |
$412.37
|
| Rate for Payer: Meridian Medicaid |
$432.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,721.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$412.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,084.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,084.35
|
| Rate for Payer: UHC Medicaid |
$412.37
|
| Rate for Payer: UHCCP Medicaid |
$412.37
|
|
|
PR LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT
|
Professional
|
Both
|
$1,778.00
|
|
|
Service Code
|
HCPCS 43774
|
| Min. Negotiated Rate |
$578.72 |
| Max. Negotiated Rate |
$1,765.66 |
| Rate for Payer: Aetna Commercial |
$1,298.33
|
| Rate for Payer: Aetna Medicare |
$889.00
|
| Rate for Payer: BCBS Complete |
$607.66
|
| Rate for Payer: BCN Commercial |
$1,591.97
|
| Rate for Payer: Cash Price |
$1,422.40
|
| Rate for Payer: Cash Price |
$1,422.40
|
| Rate for Payer: Mclaren Medicaid |
$578.72
|
| Rate for Payer: Meridian Medicaid |
$607.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,333.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,765.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,765.66
|
| Rate for Payer: UHC Medicaid |
$578.72
|
| Rate for Payer: UHCCP Medicaid |
$578.72
|
|
|
PR LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY
|
Professional
|
Both
|
$4,807.00
|
|
|
Service Code
|
HCPCS 43775
|
| Min. Negotiated Rate |
$637.72 |
| Max. Negotiated Rate |
$3,605.25 |
| Rate for Payer: Aetna Commercial |
$1,509.61
|
| Rate for Payer: Aetna Medicare |
$2,403.50
|
| Rate for Payer: BCBS Complete |
$669.61
|
| Rate for Payer: BCN Commercial |
$2,540.48
|
| Rate for Payer: Cash Price |
$3,845.60
|
| Rate for Payer: Cash Price |
$3,845.60
|
| Rate for Payer: Mclaren Medicaid |
$637.72
|
| Rate for Payer: Meridian Medicaid |
$669.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,605.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,012.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,012.61
|
| Rate for Payer: UHC Medicaid |
$637.72
|
| Rate for Payer: UHCCP Medicaid |
$637.72
|
|
|
PR LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM
|
Professional
|
Both
|
$3,183.00
|
|
|
Service Code
|
HCPCS 43644
|
| Min. Negotiated Rate |
$1,031.99 |
| Max. Negotiated Rate |
$3,176.38 |
| Rate for Payer: Aetna Commercial |
$2,348.37
|
| Rate for Payer: Aetna Medicare |
$1,591.50
|
| Rate for Payer: BCBS Complete |
$1,083.59
|
| Rate for Payer: BCN Commercial |
$2,606.93
|
| Rate for Payer: Cash Price |
$2,546.40
|
| Rate for Payer: Cash Price |
$2,546.40
|
| Rate for Payer: Mclaren Medicaid |
$1,031.99
|
| Rate for Payer: Meridian Medicaid |
$1,083.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,387.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,031.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,176.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,176.38
|
| Rate for Payer: UHC Medicaid |
$1,031.99
|
| Rate for Payer: UHCCP Medicaid |
$1,031.99
|
|
|
PR LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ
|
Professional
|
Both
|
$3,436.00
|
|
|
Service Code
|
HCPCS 43645
|
| Min. Negotiated Rate |
$1,095.67 |
| Max. Negotiated Rate |
$3,386.32 |
| Rate for Payer: Aetna Commercial |
$2,485.52
|
| Rate for Payer: Aetna Medicare |
$1,718.00
|
| Rate for Payer: BCBS Complete |
$1,150.45
|
| Rate for Payer: BCN Commercial |
$2,779.23
|
| Rate for Payer: Cash Price |
$2,748.80
|
| Rate for Payer: Cash Price |
$2,748.80
|
| Rate for Payer: Mclaren Medicaid |
$1,095.67
|
| Rate for Payer: Meridian Medicaid |
$1,150.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,577.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,095.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,386.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,386.32
|
| Rate for Payer: UHC Medicaid |
$1,095.67
|
| Rate for Payer: UHCCP Medicaid |
$1,095.67
|
|
|
PR LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER
|
Professional
|
Both
|
$764.00
|
|
|
Service Code
|
HCPCS 49324
|
| Min. Negotiated Rate |
$233.45 |
| Max. Negotiated Rate |
$707.48 |
| Rate for Payer: Aetna Commercial |
$524.84
|
| Rate for Payer: Aetna Medicare |
$382.00
|
| Rate for Payer: BCBS Complete |
$245.12
|
| Rate for Payer: BCN Commercial |
$580.64
|
| Rate for Payer: Cash Price |
$611.20
|
| Rate for Payer: Cash Price |
$611.20
|
| Rate for Payer: Mclaren Medicaid |
$233.45
|
| Rate for Payer: Meridian Medicaid |
$245.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$573.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$233.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$707.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$707.48
|
| Rate for Payer: UHC Medicaid |
$233.45
|
| Rate for Payer: UHCCP Medicaid |
$233.45
|
|
|
PR LAPS LIGATION SPERMATIC VEINS VARICOCELE
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 55550
|
| Min. Negotiated Rate |
$253.04 |
| Max. Negotiated Rate |
$705.75 |
| Rate for Payer: Aetna Commercial |
$549.39
|
| Rate for Payer: Aetna Medicare |
$457.00
|
| Rate for Payer: BCBS Complete |
$265.69
|
| Rate for Payer: BCN Commercial |
$647.87
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Mclaren Medicaid |
$253.04
|
| Rate for Payer: Meridian Medicaid |
$265.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$685.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$253.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$705.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$705.75
|
| Rate for Payer: UHC Medicaid |
$253.04
|
| Rate for Payer: UHCCP Medicaid |
$253.04
|
|
|
PR LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY
|
Professional
|
Both
|
$534.00
|
|
|
Service Code
|
HCPCS 44213
|
| Min. Negotiated Rate |
$105.22 |
| Max. Negotiated Rate |
$400.50 |
| Rate for Payer: Aetna Commercial |
$252.05
|
| Rate for Payer: Aetna Medicare |
$267.00
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCN Commercial |
$275.88
|
| Rate for Payer: Cash Price |
$427.20
|
| Rate for Payer: Cash Price |
$427.20
|
| Rate for Payer: Mclaren Medicaid |
$105.22
|
| Rate for Payer: Meridian Medicaid |
$110.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$400.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$336.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$336.14
|
| Rate for Payer: UHC Medicaid |
$105.22
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
|
|
PR LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<
|
Professional
|
Both
|
$1,965.00
|
|
|
Service Code
|
HCPCS 58545
|
| Min. Negotiated Rate |
$515.25 |
| Max. Negotiated Rate |
$1,473.75 |
| Rate for Payer: Aetna Commercial |
$1,078.67
|
| Rate for Payer: Aetna Medicare |
$982.50
|
| Rate for Payer: BCBS Complete |
$541.01
|
| Rate for Payer: BCN Commercial |
$1,352.02
|
| Rate for Payer: Cash Price |
$1,572.00
|
| Rate for Payer: Cash Price |
$1,572.00
|
| Rate for Payer: Mclaren Medicaid |
$515.25
|
| Rate for Payer: Meridian Medicaid |
$541.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,473.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$515.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,369.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,369.31
|
| Rate for Payer: UHC Medicaid |
$515.25
|
| Rate for Payer: UHCCP Medicaid |
$515.25
|
|
|
PR LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS
|
Professional
|
Both
|
$2,474.00
|
|
|
Service Code
|
HCPCS 58546
|
| Min. Negotiated Rate |
$624.73 |
| Max. Negotiated Rate |
$1,855.50 |
| Rate for Payer: Aetna Commercial |
$1,338.60
|
| Rate for Payer: Aetna Medicare |
$1,237.00
|
| Rate for Payer: BCBS Complete |
$655.97
|
| Rate for Payer: BCN Commercial |
$1,666.24
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Cash Price |
$1,979.20
|
| Rate for Payer: Mclaren Medicaid |
$624.73
|
| Rate for Payer: Meridian Medicaid |
$655.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,855.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$624.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,687.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,687.54
|
| Rate for Payer: UHC Medicaid |
$624.73
|
| Rate for Payer: UHCCP Medicaid |
$624.73
|
|
|
PR LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY
|
Professional
|
Both
|
$5,800.00
|
|
|
Service Code
|
HCPCS 45395
|
| Min. Negotiated Rate |
$1,147.43 |
| Max. Negotiated Rate |
$4,350.00 |
| Rate for Payer: Aetna Commercial |
$2,624.03
|
| Rate for Payer: Aetna Medicare |
$2,900.00
|
| Rate for Payer: BCBS Complete |
$1,204.80
|
| Rate for Payer: BCN Commercial |
$2,903.23
|
| Rate for Payer: Cash Price |
$4,640.00
|
| Rate for Payer: Cash Price |
$4,640.00
|
| Rate for Payer: Mclaren Medicaid |
$1,147.43
|
| Rate for Payer: Meridian Medicaid |
$1,204.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,350.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,537.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,537.39
|
| Rate for Payer: UHC Medicaid |
$1,147.43
|
| Rate for Payer: UHCCP Medicaid |
$1,147.43
|
|
|
PR LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR
|
Professional
|
Both
|
$6,285.00
|
|
|
Service Code
|
HCPCS 45397
|
| Min. Negotiated Rate |
$1,238.38 |
| Max. Negotiated Rate |
$4,713.75 |
| Rate for Payer: Aetna Commercial |
$2,842.98
|
| Rate for Payer: Aetna Medicare |
$3,142.50
|
| Rate for Payer: BCBS Complete |
$1,300.30
|
| Rate for Payer: BCN Commercial |
$3,147.24
|
| Rate for Payer: Cash Price |
$5,028.00
|
| Rate for Payer: Cash Price |
$5,028.00
|
| Rate for Payer: Mclaren Medicaid |
$1,238.38
|
| Rate for Payer: Meridian Medicaid |
$1,300.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,713.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,238.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,834.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,834.71
|
| Rate for Payer: UHC Medicaid |
$1,238.38
|
| Rate for Payer: UHCCP Medicaid |
$1,238.38
|
|
|
PR LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 49652
|
| Min. Negotiated Rate |
$498.80 |
| Max. Negotiated Rate |
$935.25 |
| Rate for Payer: Aetna Medicare |
$623.50
|
| Rate for Payer: BCBS Complete |
$498.80
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$935.25
|
|
|
PR LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED
|
Professional
|
Both
|
$3,547.00
|
|
|
Service Code
|
HCPCS 49655
|
| Min. Negotiated Rate |
$1,418.80 |
| Max. Negotiated Rate |
$2,660.25 |
| Rate for Payer: Aetna Medicare |
$1,773.50
|
| Rate for Payer: BCBS Complete |
$1,418.80
|
| Rate for Payer: Cash Price |
$2,837.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,660.25
|
|
|
PR LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH
|
Professional
|
Both
|
$5,119.00
|
|
|
Service Code
|
HCPCS 43282
|
| Min. Negotiated Rate |
$1,021.55 |
| Max. Negotiated Rate |
$3,839.25 |
| Rate for Payer: Aetna Commercial |
$2,344.33
|
| Rate for Payer: Aetna Medicare |
$2,559.50
|
| Rate for Payer: BCBS Complete |
$1,072.63
|
| Rate for Payer: BCN Commercial |
$2,587.51
|
| Rate for Payer: Cash Price |
$4,095.20
|
| Rate for Payer: Cash Price |
$4,095.20
|
| Rate for Payer: Mclaren Medicaid |
$1,021.55
|
| Rate for Payer: Meridian Medicaid |
$1,072.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,839.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,021.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,152.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,152.70
|
| Rate for Payer: UHC Medicaid |
$1,021.55
|
| Rate for Payer: UHCCP Medicaid |
$1,021.55
|
|
|
PR LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH
|
Professional
|
Both
|
$3,261.00
|
|
|
Service Code
|
HCPCS 43281
|
| Min. Negotiated Rate |
$908.66 |
| Max. Negotiated Rate |
$2,797.14 |
| Rate for Payer: Aetna Commercial |
$2,084.94
|
| Rate for Payer: Aetna Medicare |
$1,630.50
|
| Rate for Payer: BCBS Complete |
$954.09
|
| Rate for Payer: BCN Commercial |
$2,295.70
|
| Rate for Payer: Cash Price |
$2,608.80
|
| Rate for Payer: Cash Price |
$2,608.80
|
| Rate for Payer: Mclaren Medicaid |
$908.66
|
| Rate for Payer: Meridian Medicaid |
$954.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,445.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$908.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,797.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,797.14
|
| Rate for Payer: UHC Medicaid |
$908.66
|
| Rate for Payer: UHCCP Medicaid |
$908.66
|
|
