|
PR LAP,W/CHOLANGIOGRAPHY,BIOPSY
|
Professional
|
Both
|
$2,159.00
|
|
|
Service Code
|
HCPCS 47561
|
| Min. Negotiated Rate |
$863.60 |
| Max. Negotiated Rate |
$1,403.35 |
| Rate for Payer: Aetna Medicare |
$1,079.50
|
| Rate for Payer: BCBS Complete |
$863.60
|
| Rate for Payer: Cash Price |
$1,727.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,403.35
|
|
|
PR LAP,W/CHOLANGIOGRAPHY,W/O BX
|
Professional
|
Both
|
$487.00
|
|
|
Service Code
|
HCPCS 47560
|
| Min. Negotiated Rate |
$194.80 |
| Max. Negotiated Rate |
$316.55 |
| Rate for Payer: Aetna Medicare |
$243.50
|
| Rate for Payer: BCBS Complete |
$194.80
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$316.55
|
|
|
PR LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$793.00
|
|
|
Service Code
|
HCPCS 31561
|
| Min. Negotiated Rate |
$317.20 |
| Max. Negotiated Rate |
$515.45 |
| Rate for Payer: Aetna Commercial |
$434.45
|
| Rate for Payer: Aetna Medicare |
$337.19
|
| Rate for Payer: BCBS Complete |
$317.20
|
| Rate for Payer: BCBS MAPPO |
$324.22
|
| Rate for Payer: BCN Medicare Advantage |
$324.22
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cash Price |
$634.40
|
| Rate for Payer: Cofinity Commercial |
$434.45
|
| Rate for Payer: Cofinity Commercial |
$466.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$324.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$340.43
|
| Rate for Payer: Nomi Health Commercial |
$389.06
|
| Rate for Payer: PACE SWMI |
$324.22
|
| Rate for Payer: PHP Medicare Advantage |
$324.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$515.45
|
| Rate for Payer: Priority Health Medicare |
$327.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$324.22
|
| Rate for Payer: UHC Exchange |
$324.22
|
| Rate for Payer: UHC Medicare Advantage |
$324.22
|
|
|
PR LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP
|
Professional
|
Both
|
$1,210.00
|
|
|
Service Code
|
HCPCS 31541
|
| Min. Negotiated Rate |
$250.14 |
| Max. Negotiated Rate |
$786.50 |
| Rate for Payer: Aetna Commercial |
$335.19
|
| Rate for Payer: Aetna Medicare |
$260.15
|
| Rate for Payer: BCBS Complete |
$484.00
|
| Rate for Payer: BCBS MAPPO |
$250.14
|
| Rate for Payer: BCN Medicare Advantage |
$250.14
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cash Price |
$968.00
|
| Rate for Payer: Cofinity Commercial |
$360.20
|
| Rate for Payer: Cofinity Commercial |
$335.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$250.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$262.65
|
| Rate for Payer: Nomi Health Commercial |
$300.17
|
| Rate for Payer: PACE SWMI |
$250.14
|
| Rate for Payer: PHP Medicare Advantage |
$250.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$786.50
|
| Rate for Payer: Priority Health Medicare |
$252.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$250.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$250.14
|
| Rate for Payer: UHC Exchange |
$250.14
|
| Rate for Payer: UHC Medicare Advantage |
$250.14
|
|
|
PR LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP
|
Professional
|
Both
|
$1,331.00
|
|
|
Service Code
|
HCPCS 31545
|
| Min. Negotiated Rate |
$343.43 |
| Max. Negotiated Rate |
$865.15 |
| Rate for Payer: Aetna Commercial |
$460.20
|
| Rate for Payer: Aetna Medicare |
$357.17
|
| Rate for Payer: BCBS Complete |
$532.40
|
| Rate for Payer: BCBS MAPPO |
$343.43
|
| Rate for Payer: BCN Medicare Advantage |
$343.43
|
| Rate for Payer: Cash Price |
$1,064.80
|
| Rate for Payer: Cash Price |
$1,064.80
|
| Rate for Payer: Cofinity Commercial |
$494.54
|
| Rate for Payer: Cofinity Commercial |
$460.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$343.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$360.60
|
| Rate for Payer: Nomi Health Commercial |
$412.12
|
| Rate for Payer: PACE SWMI |
$343.43
|
| Rate for Payer: PHP Medicare Advantage |
$343.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$865.15
|
| Rate for Payer: Priority Health Medicare |
$346.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$343.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$343.43
|
| Rate for Payer: UHC Exchange |
$343.43
|
| Rate for Payer: UHC Medicare Advantage |
$343.43
|
|
|
PR LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE
|
Professional
|
Both
|
$1,108.00
|
|
|
Service Code
|
HCPCS 31571
|
| Min. Negotiated Rate |
$237.14 |
| Max. Negotiated Rate |
$720.20 |
| Rate for Payer: Aetna Commercial |
$317.77
|
| Rate for Payer: Aetna Medicare |
$246.63
|
| Rate for Payer: BCBS Complete |
$443.20
|
| Rate for Payer: BCBS MAPPO |
$237.14
|
| Rate for Payer: BCN Medicare Advantage |
$237.14
|
| Rate for Payer: Cash Price |
$886.40
|
| Rate for Payer: Cash Price |
$886.40
|
| Rate for Payer: Cofinity Commercial |
$341.48
|
| Rate for Payer: Cofinity Commercial |
$317.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$249.00
|
| Rate for Payer: Nomi Health Commercial |
$284.57
|
| Rate for Payer: PACE SWMI |
$237.14
|
| Rate for Payer: PHP Medicare Advantage |
$237.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$720.20
|
| Rate for Payer: Priority Health Medicare |
$239.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$237.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.14
|
| Rate for Payer: UHC Exchange |
$237.14
|
| Rate for Payer: UHC Medicare Advantage |
$237.14
|
|
|
PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 31591
|
| Min. Negotiated Rate |
$882.40 |
| Max. Negotiated Rate |
$1,492.86 |
| Rate for Payer: Aetna Commercial |
$1,389.19
|
| Rate for Payer: Aetna Medicare |
$1,078.18
|
| Rate for Payer: BCBS Complete |
$882.40
|
| Rate for Payer: BCBS MAPPO |
$1,036.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,036.71
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cofinity Commercial |
$1,492.86
|
| Rate for Payer: Cofinity Commercial |
$1,389.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,036.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,088.55
|
| Rate for Payer: Nomi Health Commercial |
$1,244.05
|
| Rate for Payer: PACE SWMI |
$1,036.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,036.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.90
|
| Rate for Payer: Priority Health Medicare |
$1,047.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,036.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,036.71
|
| Rate for Payer: UHC Exchange |
$1,036.71
|
| Rate for Payer: UHC Medicare Advantage |
$1,036.71
|
|
|
PR LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC
|
Professional
|
Both
|
$592.00
|
|
|
Service Code
|
HCPCS 31570
|
| Min. Negotiated Rate |
$218.72 |
| Max. Negotiated Rate |
$384.80 |
| Rate for Payer: Aetna Commercial |
$293.08
|
| Rate for Payer: Aetna Medicare |
$227.47
|
| Rate for Payer: BCBS Complete |
$236.80
|
| Rate for Payer: BCBS MAPPO |
$218.72
|
| Rate for Payer: BCN Medicare Advantage |
$218.72
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cash Price |
$473.60
|
| Rate for Payer: Cofinity Commercial |
$314.96
|
| Rate for Payer: Cofinity Commercial |
$293.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.66
|
| Rate for Payer: Nomi Health Commercial |
$262.46
|
| Rate for Payer: PACE SWMI |
$218.72
|
| Rate for Payer: PHP Medicare Advantage |
$218.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.80
|
| Rate for Payer: Priority Health Medicare |
$220.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$218.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$218.72
|
| Rate for Payer: UHC Exchange |
$218.72
|
| Rate for Payer: UHC Medicare Advantage |
$218.72
|
|
|
PR LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY
|
Professional
|
Both
|
$389.00
|
|
|
Service Code
|
HCPCS 31535
|
| Min. Negotiated Rate |
$155.60 |
| Max. Negotiated Rate |
$260.41 |
| Rate for Payer: Aetna Commercial |
$242.33
|
| Rate for Payer: Aetna Medicare |
$188.07
|
| Rate for Payer: BCBS Complete |
$155.60
|
| Rate for Payer: BCBS MAPPO |
$180.84
|
| Rate for Payer: BCN Medicare Advantage |
$180.84
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cash Price |
$311.20
|
| Rate for Payer: Cofinity Commercial |
$260.41
|
| Rate for Payer: Cofinity Commercial |
$242.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$180.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$189.88
|
| Rate for Payer: Nomi Health Commercial |
$217.01
|
| Rate for Payer: PACE SWMI |
$180.84
|
| Rate for Payer: PHP Medicare Advantage |
$180.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$252.85
|
| Rate for Payer: Priority Health Medicare |
$182.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$180.84
|
| Rate for Payer: UHC Exchange |
$180.84
|
| Rate for Payer: UHC Medicare Advantage |
$180.84
|
|
|
PR LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 31540
|
| Min. Negotiated Rate |
$178.40 |
| Max. Negotiated Rate |
$330.77 |
| Rate for Payer: Aetna Commercial |
$307.80
|
| Rate for Payer: Aetna Medicare |
$238.89
|
| Rate for Payer: BCBS Complete |
$178.40
|
| Rate for Payer: BCBS MAPPO |
$229.70
|
| Rate for Payer: BCN Medicare Advantage |
$229.70
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$330.77
|
| Rate for Payer: Cofinity Commercial |
$307.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$229.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$241.19
|
| Rate for Payer: Nomi Health Commercial |
$275.64
|
| Rate for Payer: PACE SWMI |
$229.70
|
| Rate for Payer: PHP Medicare Advantage |
$229.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health Medicare |
$232.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$229.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$229.70
|
| Rate for Payer: UHC Exchange |
$229.70
|
| Rate for Payer: UHC Medicare Advantage |
$229.70
|
|
|
PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI
|
Professional
|
Both
|
$755.00
|
|
|
Service Code
|
HCPCS 31572
|
| Min. Negotiated Rate |
$172.40 |
| Max. Negotiated Rate |
$490.75 |
| Rate for Payer: Aetna Commercial |
$231.02
|
| Rate for Payer: Aetna Medicare |
$179.30
|
| Rate for Payer: BCBS Complete |
$302.00
|
| Rate for Payer: BCBS MAPPO |
$172.40
|
| Rate for Payer: BCN Medicare Advantage |
$172.40
|
| Rate for Payer: Cash Price |
$604.00
|
| Rate for Payer: Cash Price |
$604.00
|
| Rate for Payer: Cofinity Commercial |
$248.26
|
| Rate for Payer: Cofinity Commercial |
$231.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.02
|
| Rate for Payer: Nomi Health Commercial |
$206.88
|
| Rate for Payer: PACE SWMI |
$172.40
|
| Rate for Payer: PHP Medicare Advantage |
$172.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$490.75
|
| Rate for Payer: Priority Health Medicare |
$174.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$172.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.40
|
| Rate for Payer: UHC Exchange |
$172.40
|
| Rate for Payer: UHC Medicare Advantage |
$172.40
|
|
|
PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC
|
Professional
|
Both
|
$295.00
|
|
|
Service Code
|
HCPCS 31575
|
| Min. Negotiated Rate |
$65.56 |
| Max. Negotiated Rate |
$191.75 |
| Rate for Payer: Aetna Commercial |
$87.85
|
| Rate for Payer: Aetna Medicare |
$68.18
|
| Rate for Payer: BCBS Complete |
$118.00
|
| Rate for Payer: BCBS MAPPO |
$65.56
|
| Rate for Payer: BCN Medicare Advantage |
$65.56
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cofinity Commercial |
$94.41
|
| Rate for Payer: Cofinity Commercial |
$87.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.84
|
| Rate for Payer: Nomi Health Commercial |
$78.67
|
| Rate for Payer: PACE SWMI |
$65.56
|
| Rate for Payer: PHP Medicare Advantage |
$65.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.75
|
| Rate for Payer: Priority Health Medicare |
$66.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.56
|
| Rate for Payer: UHC Exchange |
$65.56
|
| Rate for Payer: UHC Medicare Advantage |
$65.56
|
|
|
PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI
|
Professional
|
Both
|
$565.00
|
|
|
Service Code
|
HCPCS 31573
|
| Min. Negotiated Rate |
$141.68 |
| Max. Negotiated Rate |
$367.25 |
| Rate for Payer: Aetna Commercial |
$189.85
|
| Rate for Payer: Aetna Medicare |
$147.35
|
| Rate for Payer: BCBS Complete |
$226.00
|
| Rate for Payer: BCBS MAPPO |
$141.68
|
| Rate for Payer: BCN Medicare Advantage |
$141.68
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cofinity Commercial |
$204.02
|
| Rate for Payer: Cofinity Commercial |
$189.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$141.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$148.76
|
| Rate for Payer: Nomi Health Commercial |
$170.02
|
| Rate for Payer: PACE SWMI |
$141.68
|
| Rate for Payer: PHP Medicare Advantage |
$141.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.25
|
| Rate for Payer: Priority Health Medicare |
$143.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$141.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$141.68
|
| Rate for Payer: UHC Exchange |
$141.68
|
| Rate for Payer: UHC Medicare Advantage |
$141.68
|
|
|
PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)
|
Professional
|
Both
|
$403.00
|
|
|
Service Code
|
HCPCS 31576
|
| Min. Negotiated Rate |
$114.19 |
| Max. Negotiated Rate |
$261.95 |
| Rate for Payer: Aetna Commercial |
$153.01
|
| Rate for Payer: Aetna Medicare |
$118.76
|
| Rate for Payer: BCBS Complete |
$161.20
|
| Rate for Payer: BCBS MAPPO |
$114.19
|
| Rate for Payer: BCN Medicare Advantage |
$114.19
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Cash Price |
$322.40
|
| Rate for Payer: Cofinity Commercial |
$164.43
|
| Rate for Payer: Cofinity Commercial |
$153.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$119.90
|
| Rate for Payer: Nomi Health Commercial |
$137.03
|
| Rate for Payer: PACE SWMI |
$114.19
|
| Rate for Payer: PHP Medicare Advantage |
$114.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.95
|
| Rate for Payer: Priority Health Medicare |
$115.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$114.19
|
| Rate for Payer: UHC Exchange |
$114.19
|
| Rate for Payer: UHC Medicare Advantage |
$114.19
|
|
|
PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY
|
Professional
|
Both
|
$384.00
|
|
|
Service Code
|
HCPCS 31579
|
| Min. Negotiated Rate |
$113.91 |
| Max. Negotiated Rate |
$249.60 |
| Rate for Payer: Aetna Commercial |
$152.64
|
| Rate for Payer: Aetna Medicare |
$118.47
|
| Rate for Payer: BCBS Complete |
$153.60
|
| Rate for Payer: BCBS MAPPO |
$113.91
|
| Rate for Payer: BCN Medicare Advantage |
$113.91
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cash Price |
$307.20
|
| Rate for Payer: Cofinity Commercial |
$164.03
|
| Rate for Payer: Cofinity Commercial |
$152.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$113.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$119.61
|
| Rate for Payer: Nomi Health Commercial |
$136.69
|
| Rate for Payer: PACE SWMI |
$113.91
|
| Rate for Payer: PHP Medicare Advantage |
$113.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$249.60
|
| Rate for Payer: Priority Health Medicare |
$115.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$113.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$113.91
|
| Rate for Payer: UHC Exchange |
$113.91
|
| Rate for Payer: UHC Medicare Advantage |
$113.91
|
|
|
PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)
|
Professional
|
Both
|
$411.00
|
|
|
Service Code
|
HCPCS 31577
|
| Min. Negotiated Rate |
$127.56 |
| Max. Negotiated Rate |
$267.15 |
| Rate for Payer: Aetna Commercial |
$170.93
|
| Rate for Payer: Aetna Medicare |
$132.66
|
| Rate for Payer: BCBS Complete |
$164.40
|
| Rate for Payer: BCBS MAPPO |
$127.56
|
| Rate for Payer: BCN Medicare Advantage |
$127.56
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cash Price |
$328.80
|
| Rate for Payer: Cofinity Commercial |
$183.69
|
| Rate for Payer: Cofinity Commercial |
$170.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.94
|
| Rate for Payer: Nomi Health Commercial |
$153.07
|
| Rate for Payer: PACE SWMI |
$127.56
|
| Rate for Payer: PHP Medicare Advantage |
$127.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.15
|
| Rate for Payer: Priority Health Medicare |
$128.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.56
|
| Rate for Payer: UHC Exchange |
$127.56
|
| Rate for Payer: UHC Medicare Advantage |
$127.56
|
|
|
PR LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE
|
Professional
|
Both
|
$464.00
|
|
|
Service Code
|
HCPCS 31531
|
| Min. Negotiated Rate |
$185.60 |
| Max. Negotiated Rate |
$301.60 |
| Rate for Payer: Aetna Commercial |
$268.87
|
| Rate for Payer: Aetna Medicare |
$208.68
|
| Rate for Payer: BCBS Complete |
$185.60
|
| Rate for Payer: BCBS MAPPO |
$200.65
|
| Rate for Payer: BCN Medicare Advantage |
$200.65
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cash Price |
$371.20
|
| Rate for Payer: Cofinity Commercial |
$288.94
|
| Rate for Payer: Cofinity Commercial |
$268.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.68
|
| Rate for Payer: Nomi Health Commercial |
$240.78
|
| Rate for Payer: PACE SWMI |
$200.65
|
| Rate for Payer: PHP Medicare Advantage |
$200.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$301.60
|
| Rate for Payer: Priority Health Medicare |
$202.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.65
|
| Rate for Payer: UHC Exchange |
$200.65
|
| Rate for Payer: UHC Medicare Advantage |
$200.65
|
|
|
PR LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX
|
Professional
|
Both
|
$211.00
|
|
|
Service Code
|
HCPCS 31505
|
| Min. Negotiated Rate |
$46.55 |
| Max. Negotiated Rate |
$137.15 |
| Rate for Payer: Aetna Commercial |
$62.38
|
| Rate for Payer: Aetna Medicare |
$48.41
|
| Rate for Payer: BCBS Complete |
$84.40
|
| Rate for Payer: BCBS MAPPO |
$46.55
|
| Rate for Payer: BCN Medicare Advantage |
$46.55
|
| Rate for Payer: Cash Price |
$168.80
|
| Rate for Payer: Cash Price |
$168.80
|
| Rate for Payer: Cofinity Commercial |
$67.03
|
| Rate for Payer: Cofinity Commercial |
$62.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.88
|
| Rate for Payer: Nomi Health Commercial |
$55.86
|
| Rate for Payer: PACE SWMI |
$46.55
|
| Rate for Payer: PHP Medicare Advantage |
$46.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$137.15
|
| Rate for Payer: Priority Health Medicare |
$47.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.55
|
| Rate for Payer: UHC Exchange |
$46.55
|
| Rate for Payer: UHC Medicare Advantage |
$46.55
|
|
|
PR LARYNGOSCOPY INDIRECT W/BIOPSY
|
Professional
|
Both
|
$443.00
|
|
|
Service Code
|
HCPCS 31510
|
| Min. Negotiated Rate |
$115.75 |
| Max. Negotiated Rate |
$287.95 |
| Rate for Payer: Aetna Commercial |
$155.10
|
| Rate for Payer: Aetna Medicare |
$120.38
|
| Rate for Payer: BCBS Complete |
$177.20
|
| Rate for Payer: BCBS MAPPO |
$115.75
|
| Rate for Payer: BCN Medicare Advantage |
$115.75
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cash Price |
$354.40
|
| Rate for Payer: Cofinity Commercial |
$166.68
|
| Rate for Payer: Cofinity Commercial |
$155.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.54
|
| Rate for Payer: Nomi Health Commercial |
$138.90
|
| Rate for Payer: PACE SWMI |
$115.75
|
| Rate for Payer: PHP Medicare Advantage |
$115.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.95
|
| Rate for Payer: Priority Health Medicare |
$116.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.75
|
| Rate for Payer: UHC Exchange |
$115.75
|
| Rate for Payer: UHC Medicare Advantage |
$115.75
|
|
|
PR LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY
|
Professional
|
Both
|
$570.00
|
|
|
Service Code
|
HCPCS 31511
|
| Min. Negotiated Rate |
$127.52 |
| Max. Negotiated Rate |
$370.50 |
| Rate for Payer: Aetna Commercial |
$170.88
|
| Rate for Payer: Aetna Medicare |
$132.62
|
| Rate for Payer: BCBS Complete |
$228.00
|
| Rate for Payer: BCBS MAPPO |
$127.52
|
| Rate for Payer: BCN Medicare Advantage |
$127.52
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cofinity Commercial |
$183.63
|
| Rate for Payer: Cofinity Commercial |
$170.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$133.90
|
| Rate for Payer: Nomi Health Commercial |
$153.02
|
| Rate for Payer: PACE SWMI |
$127.52
|
| Rate for Payer: PHP Medicare Advantage |
$127.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$370.50
|
| Rate for Payer: Priority Health Medicare |
$128.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$127.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.52
|
| Rate for Payer: UHC Exchange |
$127.52
|
| Rate for Payer: UHC Medicare Advantage |
$127.52
|
|
|
PR LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE
|
Professional
|
Both
|
$950.00
|
|
|
Service Code
|
HCPCS 31536
|
| Min. Negotiated Rate |
$199.89 |
| Max. Negotiated Rate |
$617.50 |
| Rate for Payer: Aetna Commercial |
$267.85
|
| Rate for Payer: Aetna Medicare |
$207.89
|
| Rate for Payer: BCBS Complete |
$380.00
|
| Rate for Payer: BCBS MAPPO |
$199.89
|
| Rate for Payer: BCN Medicare Advantage |
$199.89
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cash Price |
$760.00
|
| Rate for Payer: Cofinity Commercial |
$287.84
|
| Rate for Payer: Cofinity Commercial |
$267.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.88
|
| Rate for Payer: Nomi Health Commercial |
$239.87
|
| Rate for Payer: PACE SWMI |
$199.89
|
| Rate for Payer: PHP Medicare Advantage |
$199.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$617.50
|
| Rate for Payer: Priority Health Medicare |
$201.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$199.89
|
| Rate for Payer: UHC Exchange |
$199.89
|
| Rate for Payer: UHC Medicare Advantage |
$199.89
|
|
|
PR LARYNGOSCOPY W/FOREIGN BODY REMOVAL
|
Professional
|
Both
|
$364.00
|
|
|
Service Code
|
HCPCS 31530
|
| Min. Negotiated Rate |
$145.60 |
| Max. Negotiated Rate |
$273.25 |
| Rate for Payer: Aetna Commercial |
$254.28
|
| Rate for Payer: Aetna Medicare |
$197.35
|
| Rate for Payer: BCBS Complete |
$145.60
|
| Rate for Payer: BCBS MAPPO |
$189.76
|
| Rate for Payer: BCN Medicare Advantage |
$189.76
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cash Price |
$291.20
|
| Rate for Payer: Cofinity Commercial |
$273.25
|
| Rate for Payer: Cofinity Commercial |
$254.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$189.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$199.25
|
| Rate for Payer: Nomi Health Commercial |
$227.71
|
| Rate for Payer: PACE SWMI |
$189.76
|
| Rate for Payer: PHP Medicare Advantage |
$189.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$236.60
|
| Rate for Payer: Priority Health Medicare |
$191.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$189.76
|
| Rate for Payer: UHC Exchange |
$189.76
|
| Rate for Payer: UHC Medicare Advantage |
$189.76
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION
|
Professional
|
Both
|
$372.00
|
|
|
Service Code
|
HCPCS 31515
|
| Min. Negotiated Rate |
$106.19 |
| Max. Negotiated Rate |
$241.80 |
| Rate for Payer: Aetna Commercial |
$142.29
|
| Rate for Payer: Aetna Medicare |
$110.44
|
| Rate for Payer: BCBS Complete |
$148.80
|
| Rate for Payer: BCBS MAPPO |
$106.19
|
| Rate for Payer: BCN Medicare Advantage |
$106.19
|
| Rate for Payer: Cash Price |
$297.60
|
| Rate for Payer: Cash Price |
$297.60
|
| Rate for Payer: Cofinity Commercial |
$152.91
|
| Rate for Payer: Cofinity Commercial |
$142.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$111.50
|
| Rate for Payer: Nomi Health Commercial |
$127.43
|
| Rate for Payer: PACE SWMI |
$106.19
|
| Rate for Payer: PHP Medicare Advantage |
$106.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$241.80
|
| Rate for Payer: Priority Health Medicare |
$107.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$106.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$106.19
|
| Rate for Payer: UHC Exchange |
$106.19
|
| Rate for Payer: UHC Medicare Advantage |
$106.19
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 31529
|
| Min. Negotiated Rate |
$131.20 |
| Max. Negotiated Rate |
$220.82 |
| Rate for Payer: Aetna Commercial |
$205.49
|
| Rate for Payer: Aetna Medicare |
$159.48
|
| Rate for Payer: BCBS Complete |
$131.20
|
| Rate for Payer: BCBS MAPPO |
$153.35
|
| Rate for Payer: BCN Medicare Advantage |
$153.35
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$220.82
|
| Rate for Payer: Cofinity Commercial |
$205.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.02
|
| Rate for Payer: Nomi Health Commercial |
$184.02
|
| Rate for Payer: PACE SWMI |
$153.35
|
| Rate for Payer: PHP Medicare Advantage |
$153.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.20
|
| Rate for Payer: Priority Health Medicare |
$154.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.35
|
| Rate for Payer: UHC Exchange |
$153.35
|
| Rate for Payer: UHC Medicare Advantage |
$153.35
|
|
|
PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 31525
|
| Min. Negotiated Rate |
$152.62 |
| Max. Negotiated Rate |
$405.60 |
| Rate for Payer: Aetna Commercial |
$204.51
|
| Rate for Payer: Aetna Medicare |
$158.72
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$152.62
|
| Rate for Payer: BCN Medicare Advantage |
$152.62
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cofinity Commercial |
$219.77
|
| Rate for Payer: Cofinity Commercial |
$204.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$152.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.25
|
| Rate for Payer: Nomi Health Commercial |
$183.14
|
| Rate for Payer: PACE SWMI |
$152.62
|
| Rate for Payer: PHP Medicare Advantage |
$152.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.60
|
| Rate for Payer: Priority Health Medicare |
$154.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$152.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$152.62
|
| Rate for Payer: UHC Exchange |
$152.62
|
| Rate for Payer: UHC Medicare Advantage |
$152.62
|
|
