|
PR NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER
|
Professional
|
Both
|
$334.00
|
|
|
Service Code
|
HCPCS 95872
|
| Min. Negotiated Rate |
$167.00 |
| Max. Negotiated Rate |
$272.89 |
| Rate for Payer: Aetna Commercial |
$224.41
|
| Rate for Payer: Aetna Medicare |
$167.00
|
| Rate for Payer: BCN Commercial |
$272.89
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Cash Price |
$267.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$250.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$251.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.67
|
|
|
PR NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 20560
|
| Min. Negotiated Rate |
$21.60 |
| Max. Negotiated Rate |
$40.50 |
| Rate for Payer: Aetna Commercial |
$22.07
|
| Rate for Payer: Aetna Medicare |
$27.00
|
| Rate for Payer: BCBS Complete |
$21.60
|
| Rate for Payer: BCN Commercial |
$22.41
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.96
|
|
|
PR NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 20561
|
| Min. Negotiated Rate |
$30.80 |
| Max. Negotiated Rate |
$57.75 |
| Rate for Payer: Aetna Commercial |
$32.61
|
| Rate for Payer: Aetna Medicare |
$38.50
|
| Rate for Payer: BCBS Complete |
$30.80
|
| Rate for Payer: BCN Commercial |
$33.87
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$36.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$36.21
|
|
|
PR NEGATIVE PRESSURE WOUND THERAPY DME <= 50 SQ CM
|
Professional
|
Both
|
$101.00
|
|
|
Service Code
|
HCPCS 97605
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$75.75 |
| Rate for Payer: Aetna Commercial |
$27.96
|
| Rate for Payer: Aetna Medicare |
$50.50
|
| Rate for Payer: BCBS Complete |
$14.09
|
| Rate for Payer: BCN Commercial |
$36.35
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Mclaren Medicaid |
$13.42
|
| Rate for Payer: Meridian Medicaid |
$14.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$75.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$34.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.51
|
| Rate for Payer: UHC Medicaid |
$13.42
|
| Rate for Payer: UHCCP Medicaid |
$13.42
|
|
|
PR NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 97606
|
| Min. Negotiated Rate |
$14.70 |
| Max. Negotiated Rate |
$110.25 |
| Rate for Payer: Aetna Commercial |
$30.62
|
| Rate for Payer: Aetna Medicare |
$73.50
|
| Rate for Payer: BCBS Complete |
$15.44
|
| Rate for Payer: BCN Commercial |
$39.34
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Mclaren Medicaid |
$14.70
|
| Rate for Payer: Meridian Medicaid |
$15.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.30
|
| Rate for Payer: UHC Medicaid |
$14.70
|
| Rate for Payer: UHCCP Medicaid |
$14.70
|
|
|
PR NEG PRESSURE WOUND THERAPY NON DME <= 50 SQ CM
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
HCPCS 97607
|
| Min. Negotiated Rate |
$11.93 |
| Max. Negotiated Rate |
$118.50 |
| Rate for Payer: Aetna Commercial |
$25.52
|
| Rate for Payer: Aetna Medicare |
$79.00
|
| Rate for Payer: BCBS Complete |
$12.53
|
| Rate for Payer: BCN Commercial |
$31.37
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Mclaren Medicaid |
$11.93
|
| Rate for Payer: Meridian Medicaid |
$12.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$35.82
|
| Rate for Payer: UHC Medicaid |
$11.93
|
| Rate for Payer: UHCCP Medicaid |
$11.93
|
|
|
PR NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM
|
Professional
|
Both
|
$158.00
|
|
|
Service Code
|
HCPCS 97608
|
| Min. Negotiated Rate |
$13.85 |
| Max. Negotiated Rate |
$118.50 |
| Rate for Payer: Aetna Commercial |
$28.18
|
| Rate for Payer: Aetna Medicare |
$79.00
|
| Rate for Payer: BCBS Complete |
$14.54
|
| Rate for Payer: BCN Commercial |
$36.35
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Mclaren Medicaid |
$13.85
|
| Rate for Payer: Meridian Medicaid |
$14.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.48
|
| Rate for Payer: UHC Medicaid |
$13.85
|
| Rate for Payer: UHCCP Medicaid |
$13.85
|
|
|
PR NEPHRECTOMY PARTIAL
|
Professional
|
Both
|
$2,606.00
|
|
|
Service Code
|
HCPCS 50240
|
| Min. Negotiated Rate |
$759.35 |
| Max. Negotiated Rate |
$2,156.84 |
| Rate for Payer: Aetna Commercial |
$1,700.84
|
| Rate for Payer: Aetna Medicare |
$1,303.00
|
| Rate for Payer: BCBS Complete |
$797.32
|
| Rate for Payer: BCN Commercial |
$1,979.97
|
| Rate for Payer: Cash Price |
$2,084.80
|
| Rate for Payer: Cash Price |
$2,084.80
|
| Rate for Payer: Mclaren Medicaid |
$759.35
|
| Rate for Payer: Meridian Medicaid |
$797.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,954.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$759.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,156.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,156.84
|
| Rate for Payer: UHC Medicaid |
$759.35
|
| Rate for Payer: UHCCP Medicaid |
$759.35
|
|
|
PR NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN
|
Professional
|
Both
|
$2,892.00
|
|
|
Service Code
|
HCPCS 50236
|
| Min. Negotiated Rate |
$833.68 |
| Max. Negotiated Rate |
$2,371.11 |
| Rate for Payer: Aetna Commercial |
$1,881.80
|
| Rate for Payer: Aetna Medicare |
$1,446.00
|
| Rate for Payer: BCBS Complete |
$875.36
|
| Rate for Payer: BCN Commercial |
$2,176.67
|
| Rate for Payer: Cash Price |
$2,313.60
|
| Rate for Payer: Cash Price |
$2,313.60
|
| Rate for Payer: Mclaren Medicaid |
$833.68
|
| Rate for Payer: Meridian Medicaid |
$875.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,169.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$833.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,371.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,371.11
|
| Rate for Payer: UHC Medicaid |
$833.68
|
| Rate for Payer: UHCCP Medicaid |
$833.68
|
|
|
PR NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ
|
Professional
|
Both
|
$3,816.00
|
|
|
Service Code
|
HCPCS 50220
|
| Min. Negotiated Rate |
$614.29 |
| Max. Negotiated Rate |
$2,862.00 |
| Rate for Payer: Aetna Commercial |
$1,352.45
|
| Rate for Payer: Aetna Medicare |
$1,908.00
|
| Rate for Payer: BCBS Complete |
$645.00
|
| Rate for Payer: BCN Commercial |
$1,581.09
|
| Rate for Payer: Cash Price |
$3,052.80
|
| Rate for Payer: Cash Price |
$3,052.80
|
| Rate for Payer: Mclaren Medicaid |
$614.29
|
| Rate for Payer: Meridian Medicaid |
$645.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,862.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$614.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,722.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,722.32
|
| Rate for Payer: UHC Medicaid |
$614.29
|
| Rate for Payer: UHCCP Medicaid |
$614.29
|
|
|
PR NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD
|
Professional
|
Both
|
$4,516.00
|
|
|
Service Code
|
HCPCS 50230
|
| Min. Negotiated Rate |
$728.67 |
| Max. Negotiated Rate |
$3,387.00 |
| Rate for Payer: Aetna Commercial |
$1,645.84
|
| Rate for Payer: Aetna Medicare |
$2,258.00
|
| Rate for Payer: BCBS Complete |
$765.10
|
| Rate for Payer: BCN Commercial |
$1,904.28
|
| Rate for Payer: Cash Price |
$3,612.80
|
| Rate for Payer: Cash Price |
$3,612.80
|
| Rate for Payer: Mclaren Medicaid |
$728.67
|
| Rate for Payer: Meridian Medicaid |
$765.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,387.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$728.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,074.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,074.38
|
| Rate for Payer: UHC Medicaid |
$728.67
|
| Rate for Payer: UHCCP Medicaid |
$728.67
|
|
|
PR NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL
|
Professional
|
Both
|
$3,558.00
|
|
|
Service Code
|
HCPCS 50225
|
| Min. Negotiated Rate |
$675.64 |
| Max. Negotiated Rate |
$2,668.50 |
| Rate for Payer: Aetna Commercial |
$1,542.79
|
| Rate for Payer: Aetna Medicare |
$1,779.00
|
| Rate for Payer: BCBS Complete |
$709.42
|
| Rate for Payer: BCN Commercial |
$1,766.83
|
| Rate for Payer: Cash Price |
$2,846.40
|
| Rate for Payer: Cash Price |
$2,846.40
|
| Rate for Payer: Mclaren Medicaid |
$675.64
|
| Rate for Payer: Meridian Medicaid |
$709.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,668.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$675.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,924.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,924.65
|
| Rate for Payer: UHC Medicaid |
$675.64
|
| Rate for Payer: UHCCP Medicaid |
$675.64
|
|
|
PR NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC
|
Professional
|
Both
|
$2,563.00
|
|
|
Service Code
|
HCPCS 50234
|
| Min. Negotiated Rate |
$740.18 |
| Max. Negotiated Rate |
$2,110.72 |
| Rate for Payer: Aetna Commercial |
$1,674.08
|
| Rate for Payer: Aetna Medicare |
$1,281.50
|
| Rate for Payer: BCBS Complete |
$777.19
|
| Rate for Payer: BCN Commercial |
$1,937.65
|
| Rate for Payer: Cash Price |
$2,050.40
|
| Rate for Payer: Cash Price |
$2,050.40
|
| Rate for Payer: Mclaren Medicaid |
$740.18
|
| Rate for Payer: Meridian Medicaid |
$777.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,922.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$740.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,110.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,110.72
|
| Rate for Payer: UHC Medicaid |
$740.18
|
| Rate for Payer: UHCCP Medicaid |
$740.18
|
|
|
PR NEPHROLITHOTOMY REMOVAL CALCULUS
|
Professional
|
Both
|
$2,126.00
|
|
|
Service Code
|
HCPCS 50060
|
| Min. Negotiated Rate |
$649.86 |
| Max. Negotiated Rate |
$1,848.18 |
| Rate for Payer: Aetna Commercial |
$1,462.76
|
| Rate for Payer: Aetna Medicare |
$1,063.00
|
| Rate for Payer: BCBS Complete |
$682.35
|
| Rate for Payer: BCN Commercial |
$1,696.62
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Cash Price |
$1,700.80
|
| Rate for Payer: Mclaren Medicaid |
$649.86
|
| Rate for Payer: Meridian Medicaid |
$682.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,594.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$649.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,848.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,848.18
|
| Rate for Payer: UHC Medicaid |
$649.86
|
| Rate for Payer: UHCCP Medicaid |
$649.86
|
|
|
PR NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS
|
Professional
|
Both
|
$3,516.00
|
|
|
Service Code
|
HCPCS 50075
|
| Min. Negotiated Rate |
$826.87 |
| Max. Negotiated Rate |
$2,637.00 |
| Rate for Payer: Aetna Commercial |
$1,870.27
|
| Rate for Payer: Aetna Medicare |
$1,758.00
|
| Rate for Payer: BCBS Complete |
$868.21
|
| Rate for Payer: BCN Commercial |
$2,166.22
|
| Rate for Payer: Cash Price |
$2,812.80
|
| Rate for Payer: Cash Price |
$2,812.80
|
| Rate for Payer: Mclaren Medicaid |
$826.87
|
| Rate for Payer: Meridian Medicaid |
$868.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,637.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$826.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,359.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,359.71
|
| Rate for Payer: UHC Medicaid |
$826.87
|
| Rate for Payer: UHCCP Medicaid |
$826.87
|
|
|
PR NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY
|
Professional
|
Both
|
$2,374.00
|
|
|
Service Code
|
HCPCS 50500
|
| Min. Negotiated Rate |
$771.91 |
| Max. Negotiated Rate |
$2,110.18 |
| Rate for Payer: Aetna Commercial |
$1,602.20
|
| Rate for Payer: Aetna Medicare |
$1,187.00
|
| Rate for Payer: BCBS Complete |
$810.51
|
| Rate for Payer: BCN Commercial |
$1,937.14
|
| Rate for Payer: Cash Price |
$1,899.20
|
| Rate for Payer: Cash Price |
$1,899.20
|
| Rate for Payer: Mclaren Medicaid |
$771.91
|
| Rate for Payer: Meridian Medicaid |
$810.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,780.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$771.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,110.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,110.18
|
| Rate for Payer: UHC Medicaid |
$771.91
|
| Rate for Payer: UHCCP Medicaid |
$771.91
|
|
|
PR NEPHROSTOMY NEPHROTOMY W/DRAINAGE
|
Professional
|
Both
|
$1,818.00
|
|
|
Service Code
|
HCPCS 50040
|
| Min. Negotiated Rate |
$531.22 |
| Max. Negotiated Rate |
$1,506.97 |
| Rate for Payer: Aetna Commercial |
$1,185.26
|
| Rate for Payer: Aetna Medicare |
$909.00
|
| Rate for Payer: BCBS Complete |
$557.78
|
| Rate for Payer: BCN Commercial |
$1,383.39
|
| Rate for Payer: Cash Price |
$1,454.40
|
| Rate for Payer: Cash Price |
$1,454.40
|
| Rate for Payer: Mclaren Medicaid |
$531.22
|
| Rate for Payer: Meridian Medicaid |
$557.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,363.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$531.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,506.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,506.97
|
| Rate for Payer: UHC Medicaid |
$531.22
|
| Rate for Payer: UHCCP Medicaid |
$531.22
|
|
|
PR NERVE CONDUCTION STUDIES 11-12 STUDIES
|
Professional
|
Both
|
$329.00
|
|
|
Service Code
|
HCPCS 95912
|
| Min. Negotiated Rate |
$164.50 |
| Max. Negotiated Rate |
$361.54 |
| Rate for Payer: Aetna Commercial |
$283.19
|
| Rate for Payer: Aetna Commercial |
$283.19
|
| Rate for Payer: Aetna Medicare |
$274.00
|
| Rate for Payer: Aetna Medicare |
$164.50
|
| Rate for Payer: BCN Commercial |
$361.54
|
| Rate for Payer: BCN Commercial |
$361.54
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Cash Price |
$263.20
|
| Rate for Payer: Cash Price |
$263.20
|
| Rate for Payer: Cash Price |
$438.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$411.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$333.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$333.42
|
|
|
PR NERVE CONDUCTION STUDIES 1-2 STUDIES
|
Professional
|
Both
|
$94.00
|
|
|
Service Code
|
HCPCS 95907
|
| Min. Negotiated Rate |
$47.00 |
| Max. Negotiated Rate |
$131.97 |
| Rate for Payer: Aetna Commercial |
$102.58
|
| Rate for Payer: Aetna Commercial |
$102.58
|
| Rate for Payer: Aetna Medicare |
$87.50
|
| Rate for Payer: Aetna Medicare |
$47.00
|
| Rate for Payer: BCN Commercial |
$131.97
|
| Rate for Payer: BCN Commercial |
$131.97
|
| Rate for Payer: Cash Price |
$140.00
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Cash Price |
$140.00
|
| Rate for Payer: Cash Price |
$75.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$70.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$131.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.70
|
|
|
PR NERVE CONDUCTION STUDIES 13/> STUDIES
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS 95913
|
| Min. Negotiated Rate |
$275.00 |
| Max. Negotiated Rate |
$423.28 |
| Rate for Payer: Aetna Commercial |
$328.98
|
| Rate for Payer: Aetna Commercial |
$328.98
|
| Rate for Payer: Aetna Medicare |
$275.00
|
| Rate for Payer: Aetna Medicare |
$451.50
|
| Rate for Payer: BCN Commercial |
$423.28
|
| Rate for Payer: BCN Commercial |
$423.28
|
| Rate for Payer: Cash Price |
$722.40
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$722.40
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$412.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$677.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$390.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$390.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$390.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$390.36
|
|
|
PR NERVE CONDUCTION STUDIES 3-4 STUDIES
|
Professional
|
Both
|
$225.00
|
|
|
Service Code
|
HCPCS 95908
|
| Min. Negotiated Rate |
$112.50 |
| Max. Negotiated Rate |
$168.75 |
| Rate for Payer: Aetna Commercial |
$129.47
|
| Rate for Payer: Aetna Commercial |
$129.47
|
| Rate for Payer: Aetna Medicare |
$112.50
|
| Rate for Payer: Aetna Medicare |
$174.50
|
| Rate for Payer: BCN Commercial |
$164.34
|
| Rate for Payer: BCN Commercial |
$164.34
|
| Rate for Payer: Cash Price |
$279.20
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Cash Price |
$279.20
|
| Rate for Payer: Cash Price |
$180.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$151.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$151.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$151.55
|
|
|
PR NERVE CONDUCTION STUDIES 5-6 STUDIES
|
Professional
|
Both
|
$277.00
|
|
|
Service Code
|
HCPCS 95909
|
| Min. Negotiated Rate |
$138.50 |
| Max. Negotiated Rate |
$207.75 |
| Rate for Payer: Aetna Commercial |
$154.55
|
| Rate for Payer: Aetna Commercial |
$154.55
|
| Rate for Payer: Aetna Medicare |
$138.50
|
| Rate for Payer: Aetna Medicare |
$209.00
|
| Rate for Payer: BCN Commercial |
$197.70
|
| Rate for Payer: BCN Commercial |
$197.70
|
| Rate for Payer: Cash Price |
$334.40
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Cash Price |
$334.40
|
| Rate for Payer: Cash Price |
$221.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$313.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$182.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$182.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.33
|
|
|
PR NERVE CONDUCTION STUDIES 7-8 STUDIES
|
Professional
|
Both
|
$392.00
|
|
|
Service Code
|
HCPCS 95910
|
| Min. Negotiated Rate |
$196.00 |
| Max. Negotiated Rate |
$294.00 |
| Rate for Payer: Aetna Commercial |
$203.39
|
| Rate for Payer: Aetna Commercial |
$203.39
|
| Rate for Payer: Aetna Medicare |
$196.00
|
| Rate for Payer: Aetna Medicare |
$275.00
|
| Rate for Payer: BCN Commercial |
$258.45
|
| Rate for Payer: BCN Commercial |
$258.45
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$313.60
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$313.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$294.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$412.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$238.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$238.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$238.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$238.35
|
|
|
PR NERVE CONDUCTION STUDIES 9-10 STUDIES
|
Professional
|
Both
|
$666.00
|
|
|
Service Code
|
HCPCS 95911
|
| Min. Negotiated Rate |
$244.32 |
| Max. Negotiated Rate |
$499.50 |
| Rate for Payer: Aetna Commercial |
$244.32
|
| Rate for Payer: Aetna Commercial |
$244.32
|
| Rate for Payer: Aetna Medicare |
$233.50
|
| Rate for Payer: Aetna Medicare |
$333.00
|
| Rate for Payer: BCN Commercial |
$310.24
|
| Rate for Payer: BCN Commercial |
$310.24
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$532.80
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$499.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$350.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$286.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$286.11
|
|
|
PR NERVE GRAFT 1 STRAND ARM/LEG <4 CM
|
Professional
|
Both
|
$2,211.00
|
|
|
Service Code
|
HCPCS 64892
|
| Min. Negotiated Rate |
$608.97 |
| Max. Negotiated Rate |
$1,841.03 |
| Rate for Payer: Aetna Commercial |
$1,351.70
|
| Rate for Payer: Aetna Medicare |
$1,105.50
|
| Rate for Payer: BCBS Complete |
$639.42
|
| Rate for Payer: BCN Commercial |
$1,585.08
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Cash Price |
$1,768.80
|
| Rate for Payer: Mclaren Medicaid |
$608.97
|
| Rate for Payer: Meridian Medicaid |
$639.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,658.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$608.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,841.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,841.03
|
| Rate for Payer: UHC Medicaid |
$608.97
|
| Rate for Payer: UHCCP Medicaid |
$608.97
|
|
