|
PR LIGATION INTERNAL JUGULAR VEIN
|
Professional
|
Both
|
$1,516.00
|
|
|
Service Code
|
HCPCS 37565
|
| Min. Negotiated Rate |
$463.28 |
| Max. Negotiated Rate |
$1,155.66 |
| Rate for Payer: Aetna Commercial |
$931.89
|
| Rate for Payer: Aetna Medicare |
$723.26
|
| Rate for Payer: BCBS Complete |
$486.44
|
| Rate for Payer: BCBS MAPPO |
$695.44
|
| Rate for Payer: BCN Commercial |
$1,057.01
|
| Rate for Payer: BCN Medicare Advantage |
$695.44
|
| Rate for Payer: Cash Price |
$1,212.80
|
| Rate for Payer: Cash Price |
$1,212.80
|
| Rate for Payer: Cofinity Commercial |
$931.89
|
| Rate for Payer: Cofinity Commercial |
$1,001.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$695.44
|
| Rate for Payer: Mclaren Medicaid |
$463.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$730.21
|
| Rate for Payer: Meridian Medicaid |
$486.44
|
| Rate for Payer: Nomi Health Commercial |
$834.53
|
| Rate for Payer: PACE SWMI |
$695.44
|
| Rate for Payer: PHP Medicare Advantage |
$695.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$463.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$985.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,155.66
|
| Rate for Payer: Priority Health Medicare |
$702.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,155.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$695.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$695.44
|
| Rate for Payer: UHC Exchange |
$695.44
|
| Rate for Payer: UHC Medicare Advantage |
$695.44
|
| Rate for Payer: UHCCP Medicaid |
$463.28
|
|
|
PR LIGATION MAJOR ARTERY ABDOMEN
|
Professional
|
Both
|
$3,271.00
|
|
|
Service Code
|
HCPCS 37617
|
| Min. Negotiated Rate |
$839.01 |
| Max. Negotiated Rate |
$2,126.15 |
| Rate for Payer: Aetna Commercial |
$1,709.28
|
| Rate for Payer: Aetna Medicare |
$1,326.60
|
| Rate for Payer: BCBS Complete |
$880.96
|
| Rate for Payer: BCBS MAPPO |
$1,275.58
|
| Rate for Payer: BCBS Trust/PPO |
$999.54
|
| Rate for Payer: BCN Commercial |
$1,902.91
|
| Rate for Payer: BCN Medicare Advantage |
$1,275.58
|
| Rate for Payer: Cash Price |
$2,616.80
|
| Rate for Payer: Cash Price |
$2,616.80
|
| Rate for Payer: Cofinity Commercial |
$1,836.84
|
| Rate for Payer: Cofinity Commercial |
$1,709.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,275.58
|
| Rate for Payer: Mclaren Medicaid |
$839.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,339.36
|
| Rate for Payer: Meridian Medicaid |
$880.96
|
| Rate for Payer: Nomi Health Commercial |
$1,530.70
|
| Rate for Payer: PACE SWMI |
$1,275.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,275.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$839.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,126.15
|
| Rate for Payer: Priority Health HMO/PPO |
$2,090.60
|
| Rate for Payer: Priority Health Medicare |
$1,288.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,090.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,275.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,275.58
|
| Rate for Payer: UHC Exchange |
$1,275.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,275.58
|
| Rate for Payer: UHCCP Medicaid |
$839.01
|
|
|
PR LIGATION MAJOR ARTERY CHEST
|
Professional
|
Both
|
$3,387.00
|
|
|
Service Code
|
HCPCS 37616
|
| Min. Negotiated Rate |
$727.40 |
| Max. Negotiated Rate |
$2,201.55 |
| Rate for Payer: Aetna Commercial |
$1,474.23
|
| Rate for Payer: Aetna Medicare |
$1,144.18
|
| Rate for Payer: BCBS Complete |
$763.77
|
| Rate for Payer: BCBS MAPPO |
$1,100.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,012.22
|
| Rate for Payer: BCN Commercial |
$1,598.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,100.17
|
| Rate for Payer: Cash Price |
$2,709.60
|
| Rate for Payer: Cash Price |
$2,709.60
|
| Rate for Payer: Cofinity Commercial |
$1,584.24
|
| Rate for Payer: Cofinity Commercial |
$1,474.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,100.17
|
| Rate for Payer: Mclaren Medicaid |
$727.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,155.18
|
| Rate for Payer: Meridian Medicaid |
$763.77
|
| Rate for Payer: Nomi Health Commercial |
$1,320.20
|
| Rate for Payer: PACE SWMI |
$1,100.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,100.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$727.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,201.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,781.61
|
| Rate for Payer: Priority Health Medicare |
$1,111.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,781.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,100.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,100.17
|
| Rate for Payer: UHC Exchange |
$1,100.17
|
| Rate for Payer: UHC Medicare Advantage |
$1,100.17
|
| Rate for Payer: UHCCP Medicaid |
$727.40
|
|
|
PR LIGATION MAJOR ARTERY EXTREMITY
|
Professional
|
Both
|
$1,076.00
|
|
|
Service Code
|
HCPCS 37618
|
| Min. Negotiated Rate |
$249.64 |
| Max. Negotiated Rate |
$848.45 |
| Rate for Payer: Aetna Commercial |
$502.06
|
| Rate for Payer: Aetna Medicare |
$389.66
|
| Rate for Payer: BCBS Complete |
$262.12
|
| Rate for Payer: BCBS MAPPO |
$374.67
|
| Rate for Payer: BCBS Trust/PPO |
$848.45
|
| Rate for Payer: BCN Commercial |
$565.40
|
| Rate for Payer: BCN Medicare Advantage |
$374.67
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cash Price |
$860.80
|
| Rate for Payer: Cofinity Commercial |
$539.52
|
| Rate for Payer: Cofinity Commercial |
$502.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$374.67
|
| Rate for Payer: Mclaren Medicaid |
$249.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$393.40
|
| Rate for Payer: Meridian Medicaid |
$262.12
|
| Rate for Payer: Nomi Health Commercial |
$449.60
|
| Rate for Payer: PACE SWMI |
$374.67
|
| Rate for Payer: PHP Medicare Advantage |
$374.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$249.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$699.40
|
| Rate for Payer: Priority Health HMO/PPO |
$623.83
|
| Rate for Payer: Priority Health Medicare |
$378.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$623.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$374.67
|
| Rate for Payer: UHC Exchange |
$374.67
|
| Rate for Payer: UHC Medicare Advantage |
$374.67
|
| Rate for Payer: UHCCP Medicaid |
$249.64
|
|
|
PR LIGATION MAJOR ARTERY NECK
|
Professional
|
Both
|
$1,213.00
|
|
|
Service Code
|
HCPCS 37615
|
| Min. Negotiated Rate |
$331.00 |
| Max. Negotiated Rate |
$1,021.20 |
| Rate for Payer: Aetna Commercial |
$660.74
|
| Rate for Payer: Aetna Medicare |
$512.81
|
| Rate for Payer: BCBS Complete |
$347.55
|
| Rate for Payer: BCBS MAPPO |
$493.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,021.20
|
| Rate for Payer: BCN Commercial |
$750.61
|
| Rate for Payer: BCN Medicare Advantage |
$493.09
|
| Rate for Payer: Cash Price |
$970.40
|
| Rate for Payer: Cash Price |
$970.40
|
| Rate for Payer: Cofinity Commercial |
$710.05
|
| Rate for Payer: Cofinity Commercial |
$660.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$493.09
|
| Rate for Payer: Mclaren Medicaid |
$331.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$517.74
|
| Rate for Payer: Meridian Medicaid |
$347.55
|
| Rate for Payer: Nomi Health Commercial |
$591.71
|
| Rate for Payer: PACE SWMI |
$493.09
|
| Rate for Payer: PHP Medicare Advantage |
$493.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$788.45
|
| Rate for Payer: Priority Health HMO/PPO |
$821.67
|
| Rate for Payer: Priority Health Medicare |
$498.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$821.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$493.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$493.09
|
| Rate for Payer: UHC Exchange |
$493.09
|
| Rate for Payer: UHC Medicare Advantage |
$493.09
|
| Rate for Payer: UHCCP Medicaid |
$331.00
|
|
|
PR LIGATION OF FEMORAL VEIN
|
Professional
|
Both
|
$1,679.00
|
|
|
Service Code
|
HCPCS 37650
|
| Min. Negotiated Rate |
$290.32 |
| Max. Negotiated Rate |
$1,285.88 |
| Rate for Payer: Aetna Commercial |
$594.92
|
| Rate for Payer: Aetna Medicare |
$461.73
|
| Rate for Payer: BCBS Complete |
$304.84
|
| Rate for Payer: BCBS MAPPO |
$443.97
|
| Rate for Payer: BCBS Trust/PPO |
$1,285.88
|
| Rate for Payer: BCN Commercial |
$658.74
|
| Rate for Payer: BCN Medicare Advantage |
$443.97
|
| Rate for Payer: Cash Price |
$1,343.20
|
| Rate for Payer: Cash Price |
$1,343.20
|
| Rate for Payer: Cofinity Commercial |
$639.32
|
| Rate for Payer: Cofinity Commercial |
$594.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.97
|
| Rate for Payer: Mclaren Medicaid |
$290.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.17
|
| Rate for Payer: Meridian Medicaid |
$304.84
|
| Rate for Payer: Nomi Health Commercial |
$532.76
|
| Rate for Payer: PACE SWMI |
$443.97
|
| Rate for Payer: PHP Medicare Advantage |
$443.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$290.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,091.35
|
| Rate for Payer: Priority Health HMO/PPO |
$721.16
|
| Rate for Payer: Priority Health Medicare |
$448.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$721.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$443.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$443.97
|
| Rate for Payer: UHC Exchange |
$443.97
|
| Rate for Payer: UHC Medicare Advantage |
$443.97
|
| Rate for Payer: UHCCP Medicaid |
$290.32
|
|
|
PR LIGATION OF INFERIOR VENA CAVA
|
Professional
|
Both
|
$3,441.00
|
|
|
Service Code
|
HCPCS 37619
|
| Min. Negotiated Rate |
$980.00 |
| Max. Negotiated Rate |
$2,739.43 |
| Rate for Payer: Aetna Commercial |
$2,246.43
|
| Rate for Payer: Aetna Medicare |
$1,743.50
|
| Rate for Payer: BCBS Complete |
$1,157.61
|
| Rate for Payer: BCBS MAPPO |
$1,676.44
|
| Rate for Payer: BCBS Trust/PPO |
$980.00
|
| Rate for Payer: BCN Commercial |
$2,509.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,676.44
|
| Rate for Payer: Cash Price |
$2,752.80
|
| Rate for Payer: Cash Price |
$2,752.80
|
| Rate for Payer: Cofinity Commercial |
$2,414.07
|
| Rate for Payer: Cofinity Commercial |
$2,246.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,676.44
|
| Rate for Payer: Mclaren Medicaid |
$1,102.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,760.26
|
| Rate for Payer: Meridian Medicaid |
$1,157.61
|
| Rate for Payer: Nomi Health Commercial |
$2,011.73
|
| Rate for Payer: PACE SWMI |
$1,676.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,676.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,102.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,236.65
|
| Rate for Payer: Priority Health HMO/PPO |
$2,739.43
|
| Rate for Payer: Priority Health Medicare |
$1,693.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,739.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,676.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,676.44
|
| Rate for Payer: UHC Exchange |
$1,676.44
|
| Rate for Payer: UHC Medicare Advantage |
$1,676.44
|
| Rate for Payer: UHCCP Medicaid |
$1,102.49
|
|
|
PR LIGATION OF SPERM DUCT
|
Professional
|
Both
|
$651.00
|
|
|
Service Code
|
HCPCS 55450
|
| Min. Negotiated Rate |
$260.40 |
| Max. Negotiated Rate |
$423.15 |
| Rate for Payer: Aetna Medicare |
$325.50
|
| Rate for Payer: BCBS Complete |
$260.40
|
| Rate for Payer: Cash Price |
$520.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.15
|
|
|
PR LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA
|
Professional
|
Both
|
$1,098.00
|
|
|
Service Code
|
HCPCS 37607
|
| Min. Negotiated Rate |
$236.43 |
| Max. Negotiated Rate |
$929.28 |
| Rate for Payer: Aetna Commercial |
$479.10
|
| Rate for Payer: Aetna Medicare |
$371.84
|
| Rate for Payer: BCBS Complete |
$248.25
|
| Rate for Payer: BCBS MAPPO |
$357.54
|
| Rate for Payer: BCBS Trust/PPO |
$929.28
|
| Rate for Payer: BCN Commercial |
$538.04
|
| Rate for Payer: BCN Medicare Advantage |
$357.54
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cash Price |
$878.40
|
| Rate for Payer: Cofinity Commercial |
$514.86
|
| Rate for Payer: Cofinity Commercial |
$479.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.54
|
| Rate for Payer: Mclaren Medicaid |
$236.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.42
|
| Rate for Payer: Meridian Medicaid |
$248.25
|
| Rate for Payer: Nomi Health Commercial |
$429.05
|
| Rate for Payer: PACE SWMI |
$357.54
|
| Rate for Payer: PHP Medicare Advantage |
$357.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$713.70
|
| Rate for Payer: Priority Health HMO/PPO |
$588.73
|
| Rate for Payer: Priority Health Medicare |
$361.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$588.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.54
|
| Rate for Payer: UHC Exchange |
$357.54
|
| Rate for Payer: UHC Medicare Advantage |
$357.54
|
| Rate for Payer: UHCCP Medicaid |
$236.43
|
|
|
PR LIG&DIV&COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC
|
Facility
|
IP
|
$856.00
|
|
|
Service Code
|
CPT 37735
|
| Hospital Charge Code |
37735
|
| Min. Negotiated Rate |
$556.40 |
| Max. Negotiated Rate |
$770.40 |
| Rate for Payer: Aetna Commercial |
$727.60
|
| Rate for Payer: BCBS Trust/PPO |
$698.75
|
| Rate for Payer: BCN Commercial |
$661.52
|
| Rate for Payer: Cash Price |
$684.80
|
| Rate for Payer: Cofinity Commercial |
$736.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$684.80
|
| Rate for Payer: Healthscope Commercial |
$770.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$642.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$727.60
|
| Rate for Payer: Nomi Health Commercial |
$701.92
|
| Rate for Payer: PHP Commercial |
$727.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$556.40
|
| Rate for Payer: Priority Health HMO/PPO |
$744.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$573.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$753.28
|
| Rate for Payer: UHC Core |
$714.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$642.00
|
|
|
PR LIG&DIV&COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC
|
Professional
|
Both
|
$855.78
|
|
|
Service Code
|
HCPCS 37735
|
| Hospital Charge Code |
37735
|
| Min. Negotiated Rate |
$366.57 |
| Max. Negotiated Rate |
$913.15 |
| Rate for Payer: Aetna Commercial |
$751.94
|
| Rate for Payer: Aetna Medicare |
$583.60
|
| Rate for Payer: BCBS Complete |
$384.90
|
| Rate for Payer: BCBS MAPPO |
$561.15
|
| Rate for Payer: BCN Commercial |
$834.17
|
| Rate for Payer: BCN Medicare Advantage |
$561.15
|
| Rate for Payer: Cash Price |
$684.62
|
| Rate for Payer: Cash Price |
$684.62
|
| Rate for Payer: Cofinity Commercial |
$808.06
|
| Rate for Payer: Cofinity Commercial |
$751.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.15
|
| Rate for Payer: Mclaren Medicaid |
$366.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.21
|
| Rate for Payer: Meridian Medicaid |
$384.90
|
| Rate for Payer: Nomi Health Commercial |
$673.38
|
| Rate for Payer: PACE SWMI |
$561.15
|
| Rate for Payer: PHP Medicare Advantage |
$561.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$556.26
|
| Rate for Payer: Priority Health HMO/PPO |
$913.15
|
| Rate for Payer: Priority Health Medicare |
$566.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$913.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.15
|
| Rate for Payer: UHC Exchange |
$561.15
|
| Rate for Payer: UHC Medicare Advantage |
$561.15
|
| Rate for Payer: UHCCP Medicaid |
$366.57
|
|
|
PR LIG&DIV&COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC
|
Facility
|
OP
|
$856.00
|
|
|
Service Code
|
CPT 37735
|
| Hospital Charge Code |
37735
|
| Min. Negotiated Rate |
$203.30 |
| Max. Negotiated Rate |
$2,341.27 |
| Rate for Payer: Aetna Commercial |
$727.60
|
| Rate for Payer: Aetna Medicare |
$222.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$267.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$267.50
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$214.00
|
| Rate for Payer: BCBS Trust/PPO |
$703.72
|
| Rate for Payer: BCN Commercial |
$665.54
|
| Rate for Payer: BCN Medicare Advantage |
$214.00
|
| Rate for Payer: Cash Price |
$684.80
|
| Rate for Payer: Cash Price |
$684.80
|
| Rate for Payer: Cofinity Commercial |
$736.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$684.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$214.00
|
| Rate for Payer: Healthscope Commercial |
$770.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$642.00
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$224.70
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$246.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$727.60
|
| Rate for Payer: Nomi Health Commercial |
$701.92
|
| Rate for Payer: PACE Senior Care Partners |
$203.30
|
| Rate for Payer: PACE SWMI |
$214.00
|
| Rate for Payer: PHP Commercial |
$727.60
|
| Rate for Payer: PHP Medicare Advantage |
$214.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$556.40
|
| Rate for Payer: Priority Health HMO/PPO |
$744.72
|
| Rate for Payer: Priority Health Medicare |
$216.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$573.52
|
| Rate for Payer: Railroad Medicare Medicare |
$214.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$753.28
|
| Rate for Payer: UHC Core |
$714.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$214.00
|
| Rate for Payer: UHC Exchange |
$214.00
|
| Rate for Payer: UHC Medicare Advantage |
$214.00
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$214.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$642.00
|
|
|
PR LIG&DIV&COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC
|
Professional
|
Both
|
$855.78
|
|
|
Service Code
|
HCPCS 37735
|
| Min. Negotiated Rate |
$366.57 |
| Max. Negotiated Rate |
$913.15 |
| Rate for Payer: Aetna Commercial |
$751.94
|
| Rate for Payer: Aetna Medicare |
$583.60
|
| Rate for Payer: BCBS Complete |
$384.90
|
| Rate for Payer: BCBS MAPPO |
$561.15
|
| Rate for Payer: BCN Commercial |
$834.17
|
| Rate for Payer: BCN Medicare Advantage |
$561.15
|
| Rate for Payer: Cash Price |
$684.62
|
| Rate for Payer: Cash Price |
$684.62
|
| Rate for Payer: Cofinity Commercial |
$808.06
|
| Rate for Payer: Cofinity Commercial |
$751.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.15
|
| Rate for Payer: Mclaren Medicaid |
$366.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.21
|
| Rate for Payer: Meridian Medicaid |
$384.90
|
| Rate for Payer: Nomi Health Commercial |
$673.38
|
| Rate for Payer: PACE SWMI |
$561.15
|
| Rate for Payer: PHP Medicare Advantage |
$561.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$556.26
|
| Rate for Payer: Priority Health HMO/PPO |
$913.15
|
| Rate for Payer: Priority Health Medicare |
$566.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$913.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$561.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$561.15
|
| Rate for Payer: UHC Exchange |
$561.15
|
| Rate for Payer: UHC Medicare Advantage |
$561.15
|
| Rate for Payer: UHCCP Medicaid |
$366.57
|
|
|
PR LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ
|
Professional
|
Both
|
$474.00
|
|
|
Service Code
|
HCPCS 37700
|
| Min. Negotiated Rate |
$150.57 |
| Max. Negotiated Rate |
$386.11 |
| Rate for Payer: Aetna Commercial |
$313.67
|
| Rate for Payer: Aetna Medicare |
$243.44
|
| Rate for Payer: BCBS Complete |
$163.26
|
| Rate for Payer: BCBS MAPPO |
$234.08
|
| Rate for Payer: BCBS Trust/PPO |
$150.57
|
| Rate for Payer: BCN Commercial |
$353.80
|
| Rate for Payer: BCN Medicare Advantage |
$234.08
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cash Price |
$379.20
|
| Rate for Payer: Cofinity Commercial |
$337.08
|
| Rate for Payer: Cofinity Commercial |
$313.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.08
|
| Rate for Payer: Mclaren Medicaid |
$155.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$245.78
|
| Rate for Payer: Meridian Medicaid |
$163.26
|
| Rate for Payer: Nomi Health Commercial |
$280.90
|
| Rate for Payer: PACE SWMI |
$234.08
|
| Rate for Payer: PHP Medicare Advantage |
$234.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$155.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$308.10
|
| Rate for Payer: Priority Health HMO/PPO |
$386.11
|
| Rate for Payer: Priority Health Medicare |
$236.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$386.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$234.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$234.08
|
| Rate for Payer: UHC Exchange |
$234.08
|
| Rate for Payer: UHC Medicare Advantage |
$234.08
|
| Rate for Payer: UHCCP Medicaid |
$155.49
|
|
|
PR LIG DIV & STRIPPING SHORT SAPHENOUS VEIN
|
Professional
|
Both
|
$822.00
|
|
|
Service Code
|
HCPCS 37718
|
| Min. Negotiated Rate |
$219.24 |
| Max. Negotiated Rate |
$617.45 |
| Rate for Payer: Aetna Commercial |
$508.81
|
| Rate for Payer: Aetna Medicare |
$394.90
|
| Rate for Payer: BCBS Complete |
$261.22
|
| Rate for Payer: BCBS MAPPO |
$379.71
|
| Rate for Payer: BCBS Trust/PPO |
$219.24
|
| Rate for Payer: BCN Commercial |
$564.43
|
| Rate for Payer: BCN Medicare Advantage |
$379.71
|
| Rate for Payer: Cash Price |
$657.60
|
| Rate for Payer: Cash Price |
$657.60
|
| Rate for Payer: Cofinity Commercial |
$546.78
|
| Rate for Payer: Cofinity Commercial |
$508.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.71
|
| Rate for Payer: Mclaren Medicaid |
$248.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.70
|
| Rate for Payer: Meridian Medicaid |
$261.22
|
| Rate for Payer: Nomi Health Commercial |
$455.65
|
| Rate for Payer: PACE SWMI |
$379.71
|
| Rate for Payer: PHP Medicare Advantage |
$379.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$534.30
|
| Rate for Payer: Priority Health HMO/PPO |
$617.45
|
| Rate for Payer: Priority Health Medicare |
$383.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$617.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$379.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.71
|
| Rate for Payer: UHC Exchange |
$379.71
|
| Rate for Payer: UHC Medicare Advantage |
$379.71
|
| Rate for Payer: UHCCP Medicaid |
$248.78
|
|
|
PR LIG DIV&STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW
|
Professional
|
Both
|
$948.00
|
|
|
Service Code
|
HCPCS 37722
|
| Min. Negotiated Rate |
$289.25 |
| Max. Negotiated Rate |
$724.88 |
| Rate for Payer: Aetna Commercial |
$590.42
|
| Rate for Payer: Aetna Medicare |
$458.23
|
| Rate for Payer: BCBS Complete |
$303.71
|
| Rate for Payer: BCBS MAPPO |
$440.61
|
| Rate for Payer: BCBS Trust/PPO |
$407.85
|
| Rate for Payer: BCN Commercial |
$669.00
|
| Rate for Payer: BCN Medicare Advantage |
$440.61
|
| Rate for Payer: Cash Price |
$758.40
|
| Rate for Payer: Cash Price |
$758.40
|
| Rate for Payer: Cofinity Commercial |
$634.48
|
| Rate for Payer: Cofinity Commercial |
$590.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$440.61
|
| Rate for Payer: Mclaren Medicaid |
$289.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$462.64
|
| Rate for Payer: Meridian Medicaid |
$303.71
|
| Rate for Payer: Nomi Health Commercial |
$528.73
|
| Rate for Payer: PACE SWMI |
$440.61
|
| Rate for Payer: PHP Medicare Advantage |
$440.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$289.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$616.20
|
| Rate for Payer: Priority Health HMO/PPO |
$724.88
|
| Rate for Payer: Priority Health Medicare |
$445.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$724.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$440.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$440.61
|
| Rate for Payer: UHC Exchange |
$440.61
|
| Rate for Payer: UHC Medicare Advantage |
$440.61
|
| Rate for Payer: UHCCP Medicaid |
$289.25
|
|
|
PR LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG
|
Facility
|
IP
|
$969.00
|
|
|
Service Code
|
CPT 37785
|
| Hospital Charge Code |
37785
|
| Min. Negotiated Rate |
$629.85 |
| Max. Negotiated Rate |
$872.10 |
| Rate for Payer: Aetna Commercial |
$823.65
|
| Rate for Payer: BCBS Trust/PPO |
$790.99
|
| Rate for Payer: BCN Commercial |
$748.84
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$833.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$775.20
|
| Rate for Payer: Healthscope Commercial |
$872.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$726.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$823.65
|
| Rate for Payer: Nomi Health Commercial |
$794.58
|
| Rate for Payer: PHP Commercial |
$823.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.85
|
| Rate for Payer: Priority Health HMO/PPO |
$843.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$649.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$852.72
|
| Rate for Payer: UHC Core |
$809.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$726.75
|
|
|
PR LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG
|
Facility
|
OP
|
$969.00
|
|
|
Service Code
|
CPT 37785
|
| Hospital Charge Code |
37785
|
| Min. Negotiated Rate |
$230.14 |
| Max. Negotiated Rate |
$2,341.27 |
| Rate for Payer: Aetna Commercial |
$823.65
|
| Rate for Payer: Aetna Medicare |
$251.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$302.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$302.81
|
| Rate for Payer: BCBS Complete |
$2,341.27
|
| Rate for Payer: BCBS MAPPO |
$242.25
|
| Rate for Payer: BCBS Trust/PPO |
$796.61
|
| Rate for Payer: BCN Commercial |
$753.40
|
| Rate for Payer: BCN Medicare Advantage |
$242.25
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$833.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$775.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.25
|
| Rate for Payer: Healthscope Commercial |
$872.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$726.75
|
| Rate for Payer: Mclaren Medicaid |
$2,229.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$254.36
|
| Rate for Payer: Meridian Medicaid |
$2,341.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$278.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$823.65
|
| Rate for Payer: Nomi Health Commercial |
$794.58
|
| Rate for Payer: PACE Senior Care Partners |
$230.14
|
| Rate for Payer: PACE SWMI |
$242.25
|
| Rate for Payer: PHP Commercial |
$823.65
|
| Rate for Payer: PHP Medicare Advantage |
$242.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,229.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.85
|
| Rate for Payer: Priority Health HMO/PPO |
$843.03
|
| Rate for Payer: Priority Health Medicare |
$244.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$649.23
|
| Rate for Payer: Railroad Medicare Medicare |
$242.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$852.72
|
| Rate for Payer: UHC Core |
$809.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$242.25
|
| Rate for Payer: UHC Exchange |
$242.25
|
| Rate for Payer: UHC Medicare Advantage |
$242.25
|
| Rate for Payer: UHCCP Medicaid |
$2,229.63
|
| Rate for Payer: VA VA |
$242.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$726.75
|
|
|
PR LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG
|
Professional
|
Both
|
$969.00
|
|
|
Service Code
|
HCPCS 37785
|
| Min. Negotiated Rate |
$159.75 |
| Max. Negotiated Rate |
$629.85 |
| Rate for Payer: Aetna Commercial |
$322.10
|
| Rate for Payer: Aetna Medicare |
$249.98
|
| Rate for Payer: BCBS Complete |
$167.74
|
| Rate for Payer: BCBS MAPPO |
$240.37
|
| Rate for Payer: BCBS Trust/PPO |
$583.24
|
| Rate for Payer: BCN Commercial |
$510.66
|
| Rate for Payer: BCN Medicare Advantage |
$240.37
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$346.13
|
| Rate for Payer: Cofinity Commercial |
$322.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.37
|
| Rate for Payer: Mclaren Medicaid |
$159.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.39
|
| Rate for Payer: Meridian Medicaid |
$167.74
|
| Rate for Payer: Nomi Health Commercial |
$288.44
|
| Rate for Payer: PACE SWMI |
$240.37
|
| Rate for Payer: PHP Medicare Advantage |
$240.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.85
|
| Rate for Payer: Priority Health HMO/PPO |
$403.12
|
| Rate for Payer: Priority Health Medicare |
$242.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$403.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.37
|
| Rate for Payer: UHC Exchange |
$240.37
|
| Rate for Payer: UHC Medicare Advantage |
$240.37
|
| Rate for Payer: UHCCP Medicaid |
$159.75
|
|
|
PR LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG
|
Professional
|
Both
|
$969.00
|
|
|
Service Code
|
HCPCS 37785
|
| Hospital Charge Code |
37785
|
| Min. Negotiated Rate |
$159.75 |
| Max. Negotiated Rate |
$629.85 |
| Rate for Payer: Aetna Commercial |
$322.10
|
| Rate for Payer: Aetna Medicare |
$249.98
|
| Rate for Payer: BCBS Complete |
$167.74
|
| Rate for Payer: BCBS MAPPO |
$240.37
|
| Rate for Payer: BCBS Trust/PPO |
$583.24
|
| Rate for Payer: BCN Commercial |
$510.66
|
| Rate for Payer: BCN Medicare Advantage |
$240.37
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cash Price |
$775.20
|
| Rate for Payer: Cofinity Commercial |
$346.13
|
| Rate for Payer: Cofinity Commercial |
$322.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.37
|
| Rate for Payer: Mclaren Medicaid |
$159.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.39
|
| Rate for Payer: Meridian Medicaid |
$167.74
|
| Rate for Payer: Nomi Health Commercial |
$288.44
|
| Rate for Payer: PACE SWMI |
$240.37
|
| Rate for Payer: PHP Medicare Advantage |
$240.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$629.85
|
| Rate for Payer: Priority Health HMO/PPO |
$403.12
|
| Rate for Payer: Priority Health Medicare |
$242.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$403.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.37
|
| Rate for Payer: UHC Exchange |
$240.37
|
| Rate for Payer: UHC Medicare Advantage |
$240.37
|
| Rate for Payer: UHCCP Medicaid |
$159.75
|
|
|
PR LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX
|
Professional
|
Both
|
$483.00
|
|
|
Service Code
|
HCPCS 37780
|
| Min. Negotiated Rate |
$149.95 |
| Max. Negotiated Rate |
$438.49 |
| Rate for Payer: Aetna Commercial |
$304.17
|
| Rate for Payer: Aetna Medicare |
$236.07
|
| Rate for Payer: BCBS Complete |
$157.45
|
| Rate for Payer: BCBS MAPPO |
$226.99
|
| Rate for Payer: BCBS Trust/PPO |
$438.49
|
| Rate for Payer: BCN Commercial |
$339.14
|
| Rate for Payer: BCN Medicare Advantage |
$226.99
|
| Rate for Payer: Cash Price |
$386.40
|
| Rate for Payer: Cash Price |
$386.40
|
| Rate for Payer: Cofinity Commercial |
$326.87
|
| Rate for Payer: Cofinity Commercial |
$304.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$226.99
|
| Rate for Payer: Mclaren Medicaid |
$149.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$238.34
|
| Rate for Payer: Meridian Medicaid |
$157.45
|
| Rate for Payer: Nomi Health Commercial |
$272.39
|
| Rate for Payer: PACE SWMI |
$226.99
|
| Rate for Payer: PHP Medicare Advantage |
$226.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$149.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$313.95
|
| Rate for Payer: Priority Health HMO/PPO |
$372.82
|
| Rate for Payer: Priority Health Medicare |
$229.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$372.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$226.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$226.99
|
| Rate for Payer: UHC Exchange |
$226.99
|
| Rate for Payer: UHC Medicare Advantage |
$226.99
|
| Rate for Payer: UHCCP Medicaid |
$149.95
|
|
|
PR LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR
|
Professional
|
Both
|
$2,234.00
|
|
|
Service Code
|
HCPCS 27429
|
| Min. Negotiated Rate |
$819.84 |
| Max. Negotiated Rate |
$2,210.41 |
| Rate for Payer: Aetna Commercial |
$1,628.27
|
| Rate for Payer: Aetna Medicare |
$1,263.74
|
| Rate for Payer: BCBS Complete |
$860.83
|
| Rate for Payer: BCBS MAPPO |
$1,215.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,210.41
|
| Rate for Payer: BCN Commercial |
$1,846.72
|
| Rate for Payer: BCN Medicare Advantage |
$1,215.13
|
| Rate for Payer: Cash Price |
$1,787.20
|
| Rate for Payer: Cash Price |
$1,787.20
|
| Rate for Payer: Cofinity Commercial |
$1,749.79
|
| Rate for Payer: Cofinity Commercial |
$1,628.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,215.13
|
| Rate for Payer: Mclaren Medicaid |
$819.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,275.89
|
| Rate for Payer: Meridian Medicaid |
$860.83
|
| Rate for Payer: Nomi Health Commercial |
$1,458.16
|
| Rate for Payer: PACE SWMI |
$1,215.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,215.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$819.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,452.10
|
| Rate for Payer: Priority Health HMO/PPO |
$1,940.80
|
| Rate for Payer: Priority Health Medicare |
$1,227.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,940.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,215.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,215.13
|
| Rate for Payer: UHC Exchange |
$1,215.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,215.13
|
| Rate for Payer: UHCCP Medicaid |
$819.84
|
|
|
PR LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG
|
Professional
|
Both
|
$1,126.00
|
|
|
Service Code
|
HCPCS 37761
|
| Min. Negotiated Rate |
$336.11 |
| Max. Negotiated Rate |
$898.64 |
| Rate for Payer: Aetna Commercial |
$683.53
|
| Rate for Payer: Aetna Medicare |
$530.50
|
| Rate for Payer: BCBS Complete |
$352.92
|
| Rate for Payer: BCBS MAPPO |
$510.10
|
| Rate for Payer: BCBS Trust/PPO |
$898.64
|
| Rate for Payer: BCN Commercial |
$778.46
|
| Rate for Payer: BCN Medicare Advantage |
$510.10
|
| Rate for Payer: Cash Price |
$900.80
|
| Rate for Payer: Cash Price |
$900.80
|
| Rate for Payer: Cofinity Commercial |
$734.54
|
| Rate for Payer: Cofinity Commercial |
$683.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$510.10
|
| Rate for Payer: Mclaren Medicaid |
$336.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$535.60
|
| Rate for Payer: Meridian Medicaid |
$352.92
|
| Rate for Payer: Nomi Health Commercial |
$612.12
|
| Rate for Payer: PACE SWMI |
$510.10
|
| Rate for Payer: PHP Medicare Advantage |
$510.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$731.90
|
| Rate for Payer: Priority Health HMO/PPO |
$845.60
|
| Rate for Payer: Priority Health Medicare |
$515.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$845.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$510.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$510.10
|
| Rate for Payer: UHC Exchange |
$510.10
|
| Rate for Payer: UHC Medicare Advantage |
$510.10
|
| Rate for Payer: UHCCP Medicaid |
$336.11
|
|
|
PR LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG
|
Professional
|
Both
|
$337.00
|
|
|
Service Code
|
HCPCS 58611
|
| Min. Negotiated Rate |
$47.93 |
| Max. Negotiated Rate |
$219.05 |
| Rate for Payer: Aetna Commercial |
$97.16
|
| Rate for Payer: Aetna Medicare |
$75.41
|
| Rate for Payer: BCBS Complete |
$50.33
|
| Rate for Payer: BCBS MAPPO |
$72.51
|
| Rate for Payer: BCBS Trust/PPO |
$194.94
|
| Rate for Payer: BCN Commercial |
$110.45
|
| Rate for Payer: BCN Medicare Advantage |
$72.51
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cofinity Commercial |
$97.16
|
| Rate for Payer: Cofinity Commercial |
$104.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.51
|
| Rate for Payer: Mclaren Medicaid |
$47.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.14
|
| Rate for Payer: Meridian Medicaid |
$50.33
|
| Rate for Payer: Nomi Health Commercial |
$87.01
|
| Rate for Payer: PACE SWMI |
$72.51
|
| Rate for Payer: PHP Medicare Advantage |
$72.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.05
|
| Rate for Payer: Priority Health HMO/PPO |
$111.62
|
| Rate for Payer: Priority Health Medicare |
$73.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.51
|
| Rate for Payer: UHC Exchange |
$72.51
|
| Rate for Payer: UHC Medicare Advantage |
$72.51
|
| Rate for Payer: UHCCP Medicaid |
$47.93
|
|
|
PR LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI
|
Professional
|
Both
|
$1,285.00
|
|
|
Service Code
|
HCPCS 58600
|
| Min. Negotiated Rate |
$78.19 |
| Max. Negotiated Rate |
$835.25 |
| Rate for Payer: Aetna Commercial |
$476.41
|
| Rate for Payer: Aetna Medicare |
$369.75
|
| Rate for Payer: BCBS Complete |
$250.49
|
| Rate for Payer: BCBS MAPPO |
$355.53
|
| Rate for Payer: BCBS Trust/PPO |
$78.19
|
| Rate for Payer: BCN Commercial |
$545.36
|
| Rate for Payer: BCN Medicare Advantage |
$355.53
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cash Price |
$1,028.00
|
| Rate for Payer: Cofinity Commercial |
$511.96
|
| Rate for Payer: Cofinity Commercial |
$476.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$355.53
|
| Rate for Payer: Mclaren Medicaid |
$238.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$373.31
|
| Rate for Payer: Meridian Medicaid |
$250.49
|
| Rate for Payer: Nomi Health Commercial |
$426.64
|
| Rate for Payer: PACE SWMI |
$355.53
|
| Rate for Payer: PHP Medicare Advantage |
$355.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$835.25
|
| Rate for Payer: Priority Health HMO/PPO |
$557.06
|
| Rate for Payer: Priority Health Medicare |
$359.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$557.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$355.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$355.53
|
| Rate for Payer: UHC Exchange |
$355.53
|
| Rate for Payer: UHC Medicare Advantage |
$355.53
|
| Rate for Payer: UHCCP Medicaid |
$238.56
|
|
