|
PR LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV
|
Professional
|
Both
|
$1,643.00
|
|
|
Service Code
|
HCPCS 43652
|
| Min. Negotiated Rate |
$467.11 |
| Max. Negotiated Rate |
$1,410.72 |
| Rate for Payer: Aetna Commercial |
$1,033.64
|
| Rate for Payer: Aetna Medicare |
$821.50
|
| Rate for Payer: BCBS Complete |
$490.47
|
| Rate for Payer: BCN Commercial |
$1,157.81
|
| Rate for Payer: Cash Price |
$1,314.40
|
| Rate for Payer: Cash Price |
$1,314.40
|
| Rate for Payer: Mclaren Medicaid |
$467.11
|
| Rate for Payer: Meridian Medicaid |
$490.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,232.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$467.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,410.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,410.72
|
| Rate for Payer: UHC Medicaid |
$467.11
|
| Rate for Payer: UHCCP Medicaid |
$467.11
|
|
|
PR LAPS SURG TRNSXJ VAGUS NRV TRUNCAL
|
Professional
|
Both
|
$2,665.00
|
|
|
Service Code
|
HCPCS 43651
|
| Min. Negotiated Rate |
$404.27 |
| Max. Negotiated Rate |
$1,998.75 |
| Rate for Payer: Aetna Commercial |
$884.62
|
| Rate for Payer: Aetna Medicare |
$1,332.50
|
| Rate for Payer: BCBS Complete |
$424.48
|
| Rate for Payer: BCN Commercial |
$995.96
|
| Rate for Payer: Cash Price |
$2,132.00
|
| Rate for Payer: Cash Price |
$2,132.00
|
| Rate for Payer: Mclaren Medicaid |
$404.27
|
| Rate for Payer: Meridian Medicaid |
$424.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,998.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$404.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,213.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,213.51
|
| Rate for Payer: UHC Medicaid |
$404.27
|
| Rate for Payer: UHCCP Medicaid |
$404.27
|
|
|
PR LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE
|
Professional
|
Both
|
$1,608.00
|
|
|
Service Code
|
HCPCS 49322
|
| Min. Negotiated Rate |
$226.63 |
| Max. Negotiated Rate |
$1,206.00 |
| Rate for Payer: Aetna Commercial |
$504.97
|
| Rate for Payer: Aetna Medicare |
$804.00
|
| Rate for Payer: BCBS Complete |
$237.96
|
| Rate for Payer: BCN Commercial |
$565.21
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Cash Price |
$1,286.40
|
| Rate for Payer: Mclaren Medicaid |
$226.63
|
| Rate for Payer: Meridian Medicaid |
$237.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,206.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$688.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$688.66
|
| Rate for Payer: UHC Medicaid |
$226.63
|
| Rate for Payer: UHCCP Medicaid |
$226.63
|
|
|
PR LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY
|
Professional
|
Both
|
$2,003.00
|
|
|
Service Code
|
HCPCS 49323
|
| Min. Negotiated Rate |
$385.32 |
| Max. Negotiated Rate |
$1,502.25 |
| Rate for Payer: Aetna Commercial |
$853.34
|
| Rate for Payer: Aetna Medicare |
$1,001.50
|
| Rate for Payer: BCBS Complete |
$404.59
|
| Rate for Payer: BCN Commercial |
$966.08
|
| Rate for Payer: Cash Price |
$1,602.40
|
| Rate for Payer: Cash Price |
$1,602.40
|
| Rate for Payer: Mclaren Medicaid |
$385.32
|
| Rate for Payer: Meridian Medicaid |
$404.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,502.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,177.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,177.11
|
| Rate for Payer: UHC Medicaid |
$385.32
|
| Rate for Payer: UHCCP Medicaid |
$385.32
|
|
|
PR LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY
|
Professional
|
Both
|
$2,855.00
|
|
|
Service Code
|
HCPCS 58571
|
| Min. Negotiated Rate |
$528.45 |
| Max. Negotiated Rate |
$2,141.25 |
| Rate for Payer: Aetna Commercial |
$1,077.28
|
| Rate for Payer: Aetna Medicare |
$1,427.50
|
| Rate for Payer: BCBS Complete |
$554.87
|
| Rate for Payer: BCN Commercial |
$1,363.47
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Cash Price |
$2,284.00
|
| Rate for Payer: Mclaren Medicaid |
$528.45
|
| Rate for Payer: Meridian Medicaid |
$554.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,141.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$528.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,380.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,380.91
|
| Rate for Payer: UHC Medicaid |
$528.45
|
| Rate for Payer: UHCCP Medicaid |
$528.45
|
|
|
PR LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY
|
Professional
|
Both
|
$1,519.00
|
|
|
Service Code
|
HCPCS 59150
|
| Min. Negotiated Rate |
$454.76 |
| Max. Negotiated Rate |
$1,192.67 |
| Rate for Payer: Aetna Commercial |
$865.98
|
| Rate for Payer: Aetna Medicare |
$759.50
|
| Rate for Payer: BCBS Complete |
$477.50
|
| Rate for Payer: BCN Commercial |
$1,192.67
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Cash Price |
$1,215.20
|
| Rate for Payer: Mclaren Medicaid |
$454.76
|
| Rate for Payer: Meridian Medicaid |
$477.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,139.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$454.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,125.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,125.88
|
| Rate for Payer: UHC Medicaid |
$454.76
|
| Rate for Payer: UHCCP Medicaid |
$454.76
|
|
|
PR LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY
|
Professional
|
Both
|
$1,432.00
|
|
|
Service Code
|
HCPCS 59151
|
| Min. Negotiated Rate |
$442.83 |
| Max. Negotiated Rate |
$1,165.78 |
| Rate for Payer: Aetna Commercial |
$844.79
|
| Rate for Payer: Aetna Medicare |
$716.00
|
| Rate for Payer: BCBS Complete |
$464.97
|
| Rate for Payer: BCN Commercial |
$1,165.78
|
| Rate for Payer: Cash Price |
$1,145.60
|
| Rate for Payer: Cash Price |
$1,145.60
|
| Rate for Payer: Mclaren Medicaid |
$442.83
|
| Rate for Payer: Meridian Medicaid |
$464.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,074.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,100.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,100.49
|
| Rate for Payer: UHC Medicaid |
$442.83
|
| Rate for Payer: UHCCP Medicaid |
$442.83
|
|
|
PR LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT
|
Professional
|
Both
|
$2,977.00
|
|
|
Service Code
|
HCPCS 50947
|
| Min. Negotiated Rate |
$786.82 |
| Max. Negotiated Rate |
$2,239.28 |
| Rate for Payer: Aetna Commercial |
$1,780.49
|
| Rate for Payer: Aetna Medicare |
$1,488.50
|
| Rate for Payer: BCBS Complete |
$826.16
|
| Rate for Payer: BCN Commercial |
$2,055.66
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Cash Price |
$2,381.60
|
| Rate for Payer: Mclaren Medicaid |
$786.82
|
| Rate for Payer: Meridian Medicaid |
$826.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,232.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$786.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,239.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,239.28
|
| Rate for Payer: UHC Medicaid |
$786.82
|
| Rate for Payer: UHCCP Medicaid |
$786.82
|
|
|
PR LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT
|
Professional
|
Both
|
$2,696.00
|
|
|
Service Code
|
HCPCS 50948
|
| Min. Negotiated Rate |
$721.43 |
| Max. Negotiated Rate |
$2,069.50 |
| Rate for Payer: Aetna Commercial |
$1,642.77
|
| Rate for Payer: Aetna Medicare |
$1,348.00
|
| Rate for Payer: BCBS Complete |
$757.50
|
| Rate for Payer: BCN Commercial |
$1,899.80
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Cash Price |
$2,156.80
|
| Rate for Payer: Mclaren Medicaid |
$721.43
|
| Rate for Payer: Meridian Medicaid |
$757.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,022.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$721.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,069.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,069.50
|
| Rate for Payer: UHC Medicaid |
$721.43
|
| Rate for Payer: UHCCP Medicaid |
$721.43
|
|
|
PR LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR
|
Professional
|
Both
|
$3,327.00
|
|
|
Service Code
|
HCPCS 58554
|
| Min. Negotiated Rate |
$740.81 |
| Max. Negotiated Rate |
$2,495.25 |
| Rate for Payer: Aetna Commercial |
$1,567.07
|
| Rate for Payer: Aetna Medicare |
$1,663.50
|
| Rate for Payer: BCBS Complete |
$777.85
|
| Rate for Payer: BCN Commercial |
$1,951.59
|
| Rate for Payer: Cash Price |
$2,661.60
|
| Rate for Payer: Cash Price |
$2,661.60
|
| Rate for Payer: Mclaren Medicaid |
$740.81
|
| Rate for Payer: Meridian Medicaid |
$777.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,495.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$740.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,976.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,976.54
|
| Rate for Payer: UHC Medicaid |
$740.81
|
| Rate for Payer: UHCCP Medicaid |
$740.81
|
|
|
PR LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<
|
Professional
|
Both
|
$2,593.00
|
|
|
Service Code
|
HCPCS 58550
|
| Min. Negotiated Rate |
$501.62 |
| Max. Negotiated Rate |
$1,944.75 |
| Rate for Payer: Aetna Commercial |
$1,055.17
|
| Rate for Payer: Aetna Medicare |
$1,296.50
|
| Rate for Payer: BCBS Complete |
$526.70
|
| Rate for Payer: BCN Commercial |
$1,324.63
|
| Rate for Payer: Cash Price |
$2,074.40
|
| Rate for Payer: Cash Price |
$2,074.40
|
| Rate for Payer: Mclaren Medicaid |
$501.62
|
| Rate for Payer: Meridian Medicaid |
$526.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,944.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,341.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,341.57
|
| Rate for Payer: UHC Medicaid |
$501.62
|
| Rate for Payer: UHCCP Medicaid |
$501.62
|
|
|
PR LAPS W/REVISION INTRAPERITONEAL CATHETER
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 49325
|
| Min. Negotiated Rate |
$247.93 |
| Max. Negotiated Rate |
$755.41 |
| Rate for Payer: Aetna Commercial |
$560.36
|
| Rate for Payer: Aetna Medicare |
$493.00
|
| Rate for Payer: BCBS Complete |
$260.33
|
| Rate for Payer: BCN Commercial |
$619.99
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Mclaren Medicaid |
$247.93
|
| Rate for Payer: Meridian Medicaid |
$260.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$739.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$755.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$755.41
|
| Rate for Payer: UHC Medicaid |
$247.93
|
| Rate for Payer: UHCCP Medicaid |
$247.93
|
|
|
PR LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES
|
Professional
|
Both
|
$2,584.00
|
|
|
Service Code
|
HCPCS 58552
|
| Min. Negotiated Rate |
$559.55 |
| Max. Negotiated Rate |
$1,938.00 |
| Rate for Payer: Aetna Commercial |
$1,174.13
|
| Rate for Payer: Aetna Medicare |
$1,292.00
|
| Rate for Payer: BCBS Complete |
$587.53
|
| Rate for Payer: BCN Commercial |
$1,472.53
|
| Rate for Payer: Cash Price |
$2,067.20
|
| Rate for Payer: Cash Price |
$2,067.20
|
| Rate for Payer: Mclaren Medicaid |
$559.55
|
| Rate for Payer: Meridian Medicaid |
$587.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,938.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$559.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,491.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,491.36
|
| Rate for Payer: UHC Medicaid |
$559.55
|
| Rate for Payer: UHCCP Medicaid |
$559.55
|
|
|
PR LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS
|
Professional
|
Both
|
$3,106.00
|
|
|
Service Code
|
HCPCS 58553
|
| Min. Negotiated Rate |
$628.56 |
| Max. Negotiated Rate |
$2,329.50 |
| Rate for Payer: Aetna Commercial |
$1,347.18
|
| Rate for Payer: Aetna Medicare |
$1,553.00
|
| Rate for Payer: BCBS Complete |
$659.99
|
| Rate for Payer: BCN Commercial |
$1,675.71
|
| Rate for Payer: Cash Price |
$2,484.80
|
| Rate for Payer: Cash Price |
$2,484.80
|
| Rate for Payer: Mclaren Medicaid |
$628.56
|
| Rate for Payer: Meridian Medicaid |
$659.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,329.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,697.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,697.13
|
| Rate for Payer: UHC Medicaid |
$628.56
|
| Rate for Payer: UHCCP Medicaid |
$628.56
|
|
|
PR LAPT RPR PARAESOPH HIATAL HERNIA W/MESH
|
Professional
|
Both
|
$2,704.00
|
|
|
Service Code
|
HCPCS 43333
|
| Min. Negotiated Rate |
$749.76 |
| Max. Negotiated Rate |
$2,298.41 |
| Rate for Payer: Aetna Commercial |
$1,704.43
|
| Rate for Payer: Aetna Medicare |
$1,352.00
|
| Rate for Payer: BCBS Complete |
$787.25
|
| Rate for Payer: BCN Commercial |
$1,886.35
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Cash Price |
$2,163.20
|
| Rate for Payer: Mclaren Medicaid |
$749.76
|
| Rate for Payer: Meridian Medicaid |
$787.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,028.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$749.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,298.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,298.41
|
| Rate for Payer: UHC Medicaid |
$749.76
|
| Rate for Payer: UHCCP Medicaid |
$749.76
|
|
|
PR LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK
|
Professional
|
Both
|
$2,215.00
|
|
|
Service Code
|
HCPCS 58960
|
| Min. Negotiated Rate |
$601.73 |
| Max. Negotiated Rate |
$1,661.25 |
| Rate for Payer: Aetna Commercial |
$1,162.17
|
| Rate for Payer: Aetna Medicare |
$1,107.50
|
| Rate for Payer: BCBS Complete |
$631.82
|
| Rate for Payer: BCN Commercial |
$1,501.41
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Cash Price |
$1,772.00
|
| Rate for Payer: Mclaren Medicaid |
$601.73
|
| Rate for Payer: Meridian Medicaid |
$631.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,661.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$601.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,520.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,520.61
|
| Rate for Payer: UHC Medicaid |
$601.73
|
| Rate for Payer: UHCCP Medicaid |
$601.73
|
|
|
PR LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS
|
Professional
|
Both
|
$2,487.00
|
|
|
Service Code
|
HCPCS 47015
|
| Min. Negotiated Rate |
$704.18 |
| Max. Negotiated Rate |
$2,135.79 |
| Rate for Payer: Aetna Commercial |
$1,577.30
|
| Rate for Payer: Aetna Medicare |
$1,243.50
|
| Rate for Payer: BCBS Complete |
$739.39
|
| Rate for Payer: BCN Commercial |
$1,752.89
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Cash Price |
$1,989.60
|
| Rate for Payer: Mclaren Medicaid |
$704.18
|
| Rate for Payer: Meridian Medicaid |
$739.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,865.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$704.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,135.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,135.79
|
| Rate for Payer: UHC Medicaid |
$704.18
|
| Rate for Payer: UHCCP Medicaid |
$704.18
|
|
|
PR LAP,W/CHOLANGIOGRAPHY,BIOPSY
|
Professional
|
Both
|
$2,224.00
|
|
|
Service Code
|
HCPCS 47561
|
| Min. Negotiated Rate |
$889.60 |
| Max. Negotiated Rate |
$1,668.00 |
| Rate for Payer: Aetna Medicare |
$1,112.00
|
| Rate for Payer: BCBS Complete |
$889.60
|
| Rate for Payer: Cash Price |
$1,779.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,668.00
|
|
|
PR LAP,W/CHOLANGIOGRAPHY,W/O BX
|
Professional
|
Both
|
$502.00
|
|
|
Service Code
|
HCPCS 47560
|
| Min. Negotiated Rate |
$200.80 |
| Max. Negotiated Rate |
$376.50 |
| Rate for Payer: Aetna Medicare |
$251.00
|
| Rate for Payer: BCBS Complete |
$200.80
|
| Rate for Payer: Cash Price |
$401.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$376.50
|
|
|
PR LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$817.00
|
|
|
Service Code
|
HCPCS 31561
|
| Min. Negotiated Rate |
$183.61 |
| Max. Negotiated Rate |
$612.75 |
| Rate for Payer: Aetna Commercial |
$432.48
|
| Rate for Payer: Aetna Medicare |
$408.50
|
| Rate for Payer: BCBS Complete |
$192.79
|
| Rate for Payer: BCN Commercial |
$506.44
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Mclaren Medicaid |
$183.61
|
| Rate for Payer: Meridian Medicaid |
$192.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$612.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$183.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$476.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$476.92
|
| Rate for Payer: UHC Medicaid |
$183.61
|
| Rate for Payer: UHCCP Medicaid |
$183.61
|
|
|
PR LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP
|
Professional
|
Both
|
$1,246.00
|
|
|
Service Code
|
HCPCS 31541
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$934.50 |
| Rate for Payer: Aetna Commercial |
$333.84
|
| Rate for Payer: Aetna Medicare |
$623.00
|
| Rate for Payer: BCBS Complete |
$149.62
|
| Rate for Payer: BCN Commercial |
$391.41
|
| Rate for Payer: Cash Price |
$996.80
|
| Rate for Payer: Cash Price |
$996.80
|
| Rate for Payer: Mclaren Medicaid |
$142.50
|
| Rate for Payer: Meridian Medicaid |
$149.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$934.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$368.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$368.59
|
| Rate for Payer: UHC Medicaid |
$142.50
|
| Rate for Payer: UHCCP Medicaid |
$142.50
|
|
|
PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP
|
Professional
|
Both
|
$1,371.00
|
|
|
Service Code
|
HCPCS 31545
|
| Min. Negotiated Rate |
$194.90 |
| Max. Negotiated Rate |
$1,028.25 |
| Rate for Payer: Aetna Commercial |
$459.09
|
| Rate for Payer: Aetna Medicare |
$685.50
|
| Rate for Payer: BCBS Complete |
$204.65
|
| Rate for Payer: BCN Commercial |
$536.82
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Cash Price |
$1,096.80
|
| Rate for Payer: Mclaren Medicaid |
$194.90
|
| Rate for Payer: Meridian Medicaid |
$204.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,028.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$505.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$505.54
|
| Rate for Payer: UHC Medicaid |
$194.90
|
| Rate for Payer: UHCCP Medicaid |
$194.90
|
|
|
PR LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE
|
Professional
|
Both
|
$1,141.00
|
|
|
Service Code
|
HCPCS 31571
|
| Min. Negotiated Rate |
$134.83 |
| Max. Negotiated Rate |
$855.75 |
| Rate for Payer: Aetna Commercial |
$315.31
|
| Rate for Payer: Aetna Medicare |
$570.50
|
| Rate for Payer: BCBS Complete |
$141.57
|
| Rate for Payer: BCN Commercial |
$371.00
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Mclaren Medicaid |
$134.83
|
| Rate for Payer: Meridian Medicaid |
$141.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$855.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$349.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$349.37
|
| Rate for Payer: UHC Medicaid |
$134.83
|
| Rate for Payer: UHCCP Medicaid |
$134.83
|
|
|
PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 31591
|
| Min. Negotiated Rate |
$637.51 |
| Max. Negotiated Rate |
$1,704.00 |
| Rate for Payer: Aetna Commercial |
$1,386.63
|
| Rate for Payer: Aetna Medicare |
$1,136.00
|
| Rate for Payer: BCBS Complete |
$669.39
|
| Rate for Payer: BCN Commercial |
$1,657.78
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Mclaren Medicaid |
$637.51
|
| Rate for Payer: Meridian Medicaid |
$669.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,704.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,561.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,561.13
|
| Rate for Payer: UHC Medicaid |
$637.51
|
| Rate for Payer: UHCCP Medicaid |
$637.51
|
|
|
PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC
|
Professional
|
Both
|
$610.00
|
|
|
Service Code
|
HCPCS 31570
|
| Min. Negotiated Rate |
$125.24 |
| Max. Negotiated Rate |
$457.50 |
| Rate for Payer: Aetna Commercial |
$290.94
|
| Rate for Payer: Aetna Medicare |
$305.00
|
| Rate for Payer: BCBS Complete |
$131.50
|
| Rate for Payer: BCN Commercial |
$342.12
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Cash Price |
$488.00
|
| Rate for Payer: Mclaren Medicaid |
$125.24
|
| Rate for Payer: Meridian Medicaid |
$131.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$457.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$322.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$322.17
|
| Rate for Payer: UHC Medicaid |
$125.24
|
| Rate for Payer: UHCCP Medicaid |
$125.24
|
|
