|
PR OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA
|
Professional
|
Both
|
$1,120.00
|
|
|
Service Code
|
HCPCS 28308
|
| Min. Negotiated Rate |
$237.07 |
| Max. Negotiated Rate |
$840.00 |
| Rate for Payer: Aetna Commercial |
$506.51
|
| Rate for Payer: Aetna Medicare |
$560.00
|
| Rate for Payer: BCBS Complete |
$248.92
|
| Rate for Payer: BCN Commercial |
$591.11
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Mclaren Medicaid |
$237.07
|
| Rate for Payer: Meridian Medicaid |
$248.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$840.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$237.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$631.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$631.87
|
| Rate for Payer: UHC Medicaid |
$237.07
|
| Rate for Payer: UHCCP Medicaid |
$237.07
|
|
|
PR OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX
|
Professional
|
Both
|
$1,308.00
|
|
|
Service Code
|
HCPCS 63295
|
| Min. Negotiated Rate |
$192.98 |
| Max. Negotiated Rate |
$981.00 |
| Rate for Payer: Aetna Commercial |
$425.26
|
| Rate for Payer: Aetna Medicare |
$654.00
|
| Rate for Payer: BCBS Complete |
$202.63
|
| Rate for Payer: BCN Commercial |
$496.98
|
| Rate for Payer: Cash Price |
$1,046.40
|
| Rate for Payer: Cash Price |
$1,046.40
|
| Rate for Payer: Mclaren Medicaid |
$192.98
|
| Rate for Payer: Meridian Medicaid |
$202.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$981.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$577.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$577.24
|
| Rate for Payer: UHC Medicaid |
$192.98
|
| Rate for Payer: UHCCP Medicaid |
$192.98
|
|
|
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$135.40
|
|
|
Service Code
|
HCPCS J2720
|
| Hospital Charge Code |
6677
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$94.24 |
| Max. Negotiated Rate |
$121.86 |
| Rate for Payer: Aetna Commercial |
$115.09
|
| Rate for Payer: Aetna Commercial |
$38.32
|
| Rate for Payer: BCBS Trust/PPO |
$111.83
|
| Rate for Payer: BCBS Trust/PPO |
$37.23
|
| Rate for Payer: BCN Commercial |
$111.83
|
| Rate for Payer: BCN Commercial |
$37.23
|
| Rate for Payer: Cash Price |
$108.32
|
| Rate for Payer: Cash Price |
$36.06
|
| Rate for Payer: Cofinity Commercial |
$38.77
|
| Rate for Payer: Cofinity Commercial |
$116.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.32
|
| Rate for Payer: Healthscope Commercial |
$121.86
|
| Rate for Payer: Healthscope Commercial |
$40.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.32
|
| Rate for Payer: Nomi Health Commercial |
$111.03
|
| Rate for Payer: Nomi Health Commercial |
$36.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$101.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.81
|
| Rate for Payer: PHP Commercial |
$38.32
|
| Rate for Payer: PHP Commercial |
$115.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$117.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$94.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.67
|
| Rate for Payer: UHC Core |
$113.06
|
| Rate for Payer: UHC Core |
$37.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.81
|
|
|
PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$135.40
|
|
|
Service Code
|
HCPCS J2720
|
| Hospital Charge Code |
6677
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$23.87 |
| Max. Negotiated Rate |
$121.86 |
| Rate for Payer: Aetna Commercial |
$115.09
|
| Rate for Payer: Aetna Commercial |
$38.32
|
| Rate for Payer: Aetna Medicare |
$11.72
|
| Rate for Payer: Aetna Medicare |
$35.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$42.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$42.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.09
|
| Rate for Payer: BCBS Complete |
$25.06
|
| Rate for Payer: BCBS Complete |
$8.34
|
| Rate for Payer: BCBS MAPPO |
$33.85
|
| Rate for Payer: BCBS MAPPO |
$11.27
|
| Rate for Payer: BCBS Trust/PPO |
$111.31
|
| Rate for Payer: BCBS Trust/PPO |
$37.06
|
| Rate for Payer: BCN Commercial |
$37.06
|
| Rate for Payer: BCN Commercial |
$111.31
|
| Rate for Payer: BCN Medicare Advantage |
$11.27
|
| Rate for Payer: BCN Medicare Advantage |
$33.85
|
| Rate for Payer: Cash Price |
$108.32
|
| Rate for Payer: Cash Price |
$36.06
|
| Rate for Payer: Cofinity Commercial |
$116.44
|
| Rate for Payer: Cofinity Commercial |
$38.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.85
|
| Rate for Payer: Healthscope Commercial |
$121.86
|
| Rate for Payer: Healthscope Commercial |
$40.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$101.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$33.81
|
| Rate for Payer: Mclaren Medicaid |
$7.95
|
| Rate for Payer: Mclaren Medicaid |
$23.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.54
|
| Rate for Payer: Meridian Medicaid |
$25.06
|
| Rate for Payer: Meridian Medicaid |
$8.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.09
|
| Rate for Payer: Nomi Health Commercial |
$36.97
|
| Rate for Payer: Nomi Health Commercial |
$111.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$101.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.81
|
| Rate for Payer: PACE Senior Care Partners |
$10.71
|
| Rate for Payer: PACE Senior Care Partners |
$32.16
|
| Rate for Payer: PACE SWMI |
$11.27
|
| Rate for Payer: PACE SWMI |
$33.85
|
| Rate for Payer: PHP Commercial |
$115.09
|
| Rate for Payer: PHP Commercial |
$38.32
|
| Rate for Payer: PHP Medicare Advantage |
$33.85
|
| Rate for Payer: PHP Medicare Advantage |
$11.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$39.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$117.80
|
| Rate for Payer: Priority Health Medicare |
$11.38
|
| Rate for Payer: Priority Health Medicare |
$34.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$94.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.38
|
| Rate for Payer: Railroad Medicare Medicare |
$33.85
|
| Rate for Payer: Railroad Medicare Medicare |
$11.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$119.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.67
|
| Rate for Payer: UHC Core |
$37.64
|
| Rate for Payer: UHC Core |
$113.06
|
| Rate for Payer: UHC Exchange |
$11.27
|
| Rate for Payer: UHC Exchange |
$33.85
|
| Rate for Payer: UHC Medicaid |
$7.95
|
| Rate for Payer: UHC Medicaid |
$23.87
|
| Rate for Payer: UHC Medicare Advantage |
$33.85
|
| Rate for Payer: UHC Medicare Advantage |
$11.27
|
| Rate for Payer: UHCCP Medicaid |
$23.87
|
| Rate for Payer: UHCCP Medicaid |
$7.95
|
| Rate for Payer: VA VA |
$33.85
|
| Rate for Payer: VA VA |
$11.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$33.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$101.55
|
|
|
PROTEIN SUPPLEMENT ORAL
|
Facility
|
OP
|
$3.52
|
|
|
Service Code
|
NDC 43900028430
|
| Hospital Charge Code |
150950
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.62 |
| Max. Negotiated Rate |
$3.17 |
| Rate for Payer: Aetna Commercial |
$2.99
|
| Rate for Payer: Aetna Medicare |
$0.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.10
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.10
|
| Rate for Payer: BCBS Complete |
$0.65
|
| Rate for Payer: BCBS MAPPO |
$0.88
|
| Rate for Payer: BCBS Trust/PPO |
$2.89
|
| Rate for Payer: BCN Commercial |
$2.89
|
| Rate for Payer: BCN Medicare Advantage |
$0.88
|
| Rate for Payer: Cash Price |
$2.82
|
| Rate for Payer: Cofinity Commercial |
$3.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.88
|
| Rate for Payer: Healthscope Commercial |
$3.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.64
|
| Rate for Payer: Mclaren Medicaid |
$0.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.92
|
| Rate for Payer: Meridian Medicaid |
$0.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.99
|
| Rate for Payer: Nomi Health Commercial |
$2.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.64
|
| Rate for Payer: PACE Senior Care Partners |
$0.84
|
| Rate for Payer: PACE SWMI |
$0.88
|
| Rate for Payer: PHP Commercial |
$2.99
|
| Rate for Payer: PHP Medicare Advantage |
$0.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.06
|
| Rate for Payer: Priority Health Medicare |
$0.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.45
|
| Rate for Payer: Railroad Medicare Medicare |
$0.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.10
|
| Rate for Payer: UHC Core |
$2.94
|
| Rate for Payer: UHC Exchange |
$0.88
|
| Rate for Payer: UHC Medicaid |
$0.62
|
| Rate for Payer: UHC Medicare Advantage |
$0.88
|
| Rate for Payer: UHCCP Medicaid |
$0.62
|
| Rate for Payer: VA VA |
$0.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.64
|
|
|
PROTEIN SUPPLEMENT ORAL
|
Facility
|
IP
|
$3.52
|
|
|
Service Code
|
NDC 43900028430
|
| Hospital Charge Code |
150950
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.45 |
| Max. Negotiated Rate |
$3.17 |
| Rate for Payer: Aetna Commercial |
$2.99
|
| Rate for Payer: BCBS Trust/PPO |
$2.91
|
| Rate for Payer: BCN Commercial |
$2.91
|
| Rate for Payer: Cash Price |
$2.82
|
| Rate for Payer: Cofinity Commercial |
$3.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.82
|
| Rate for Payer: Healthscope Commercial |
$3.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.99
|
| Rate for Payer: Nomi Health Commercial |
$2.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.64
|
| Rate for Payer: PHP Commercial |
$2.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.10
|
| Rate for Payer: UHC Core |
$2.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.64
|
|
|
PR OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA
|
Professional
|
Both
|
$4,616.00
|
|
|
Service Code
|
HCPCS 61345
|
| Min. Negotiated Rate |
$1,268.84 |
| Max. Negotiated Rate |
$4,299.83 |
| Rate for Payer: Aetna Commercial |
$2,639.58
|
| Rate for Payer: Aetna Medicare |
$2,308.00
|
| Rate for Payer: BCBS Complete |
$1,332.28
|
| Rate for Payer: BCN Commercial |
$4,299.83
|
| Rate for Payer: Cash Price |
$3,692.80
|
| Rate for Payer: Cash Price |
$3,692.80
|
| Rate for Payer: Mclaren Medicaid |
$1,268.84
|
| Rate for Payer: Meridian Medicaid |
$1,332.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,462.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,268.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,614.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,614.98
|
| Rate for Payer: UHC Medicaid |
$1,268.84
|
| Rate for Payer: UHCCP Medicaid |
$1,268.84
|
|
|
PR OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA
|
Professional
|
Both
|
$343.00
|
|
|
Service Code
|
HCPCS 92502
|
| Min. Negotiated Rate |
$55.17 |
| Max. Negotiated Rate |
$257.25 |
| Rate for Payer: Aetna Commercial |
$102.71
|
| Rate for Payer: Aetna Medicare |
$171.50
|
| Rate for Payer: BCBS Complete |
$57.93
|
| Rate for Payer: BCN Commercial |
$142.42
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Mclaren Medicaid |
$55.17
|
| Rate for Payer: Meridian Medicaid |
$57.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$257.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$131.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$131.34
|
| Rate for Payer: UHC Medicaid |
$55.17
|
| Rate for Payer: UHCCP Medicaid |
$55.17
|
|
|
PR OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ
|
Professional
|
Both
|
$1,628.00
|
|
|
Service Code
|
HCPCS 69300
|
| Min. Negotiated Rate |
$272.43 |
| Max. Negotiated Rate |
$1,221.00 |
| Rate for Payer: Aetna Commercial |
$518.23
|
| Rate for Payer: Aetna Medicare |
$814.00
|
| Rate for Payer: BCBS Complete |
$286.05
|
| Rate for Payer: BCN Commercial |
$711.11
|
| Rate for Payer: Cash Price |
$1,302.40
|
| Rate for Payer: Cash Price |
$1,302.40
|
| Rate for Payer: Mclaren Medicaid |
$272.43
|
| Rate for Payer: Meridian Medicaid |
$286.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,221.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$702.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$702.66
|
| Rate for Payer: UHC Medicaid |
$272.43
|
| Rate for Payer: UHCCP Medicaid |
$272.43
|
|
|
PR OVARIAN CYSTECTOMY UNI/BI
|
Professional
|
Both
|
$2,457.00
|
|
|
Service Code
|
HCPCS 58925
|
| Min. Negotiated Rate |
$445.17 |
| Max. Negotiated Rate |
$1,842.75 |
| Rate for Payer: Aetna Commercial |
$912.21
|
| Rate for Payer: Aetna Medicare |
$1,228.50
|
| Rate for Payer: BCBS Complete |
$467.43
|
| Rate for Payer: BCN Commercial |
$1,156.31
|
| Rate for Payer: Cash Price |
$1,965.60
|
| Rate for Payer: Cash Price |
$1,965.60
|
| Rate for Payer: Mclaren Medicaid |
$445.17
|
| Rate for Payer: Meridian Medicaid |
$467.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,842.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$445.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,171.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,171.10
|
| Rate for Payer: UHC Medicaid |
$445.17
|
| Rate for Payer: UHCCP Medicaid |
$445.17
|
|
|
PR OVINE, UP TO 999 USP UNITS
|
Professional
|
Both
|
$2.00
|
|
|
Service Code
|
HCPCS J3471
|
| Min. Negotiated Rate |
$0.50 |
| Max. Negotiated Rate |
$1.50 |
| Rate for Payer: Aetna Commercial |
$0.51
|
| Rate for Payer: Aetna Medicare |
$1.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.50
|
| Rate for Payer: BCN Commercial |
$0.50
|
| Rate for Payer: Cash Price |
$1.60
|
| Rate for Payer: Cash Price |
$1.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.50
|
|
|
PR PACKING STRIPS, NON-IMPREG
|
Professional
|
Both
|
$6.00
|
|
|
Service Code
|
HCPCS A6407
|
| Min. Negotiated Rate |
$1.74 |
| Max. Negotiated Rate |
$4.50 |
| Rate for Payer: Aetna Commercial |
$1.74
|
| Rate for Payer: Aetna Medicare |
$3.00
|
| Rate for Payer: BCBS Complete |
$2.40
|
| Rate for Payer: BCN Commercial |
$2.55
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.50
|
|
|
PR PALATOPHARYNGOPLASTY
|
Professional
|
Both
|
$2,546.00
|
|
|
Service Code
|
HCPCS 42145
|
| Min. Negotiated Rate |
$388.09 |
| Max. Negotiated Rate |
$1,909.50 |
| Rate for Payer: Aetna Commercial |
$914.29
|
| Rate for Payer: Aetna Medicare |
$1,273.00
|
| Rate for Payer: BCBS Complete |
$407.49
|
| Rate for Payer: BCN Commercial |
$1,035.31
|
| Rate for Payer: Cash Price |
$2,036.80
|
| Rate for Payer: Cash Price |
$2,036.80
|
| Rate for Payer: Mclaren Medicaid |
$388.09
|
| Rate for Payer: Meridian Medicaid |
$407.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,909.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$388.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,261.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,261.44
|
| Rate for Payer: UHC Medicaid |
$388.09
|
| Rate for Payer: UHCCP Medicaid |
$388.09
|
|
|
PR PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS
|
Professional
|
Both
|
$7,826.00
|
|
|
Service Code
|
HCPCS 48160
|
| Min. Negotiated Rate |
$2,507.69 |
| Max. Negotiated Rate |
$5,869.50 |
| Rate for Payer: Aetna Commercial |
$4,176.69
|
| Rate for Payer: Aetna Medicare |
$3,913.00
|
| Rate for Payer: BCN Commercial |
$2,507.69
|
| Rate for Payer: Cash Price |
$6,260.80
|
| Rate for Payer: Cash Price |
$6,260.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,869.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5,682.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,682.28
|
|
|
PR PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST
|
Professional
|
Both
|
$3,550.00
|
|
|
Service Code
|
HCPCS 48548
|
| Min. Negotiated Rate |
$993.01 |
| Max. Negotiated Rate |
$3,053.21 |
| Rate for Payer: Aetna Commercial |
$2,265.27
|
| Rate for Payer: Aetna Medicare |
$1,775.00
|
| Rate for Payer: BCBS Complete |
$1,042.66
|
| Rate for Payer: BCN Commercial |
$2,505.84
|
| Rate for Payer: Cash Price |
$2,840.00
|
| Rate for Payer: Cash Price |
$2,840.00
|
| Rate for Payer: Mclaren Medicaid |
$993.01
|
| Rate for Payer: Meridian Medicaid |
$1,042.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,662.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$993.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,053.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,053.21
|
| Rate for Payer: UHC Medicaid |
$993.01
|
| Rate for Payer: UHCCP Medicaid |
$993.01
|
|
|
PR PANCREATORRHAPHY INJURY
|
Professional
|
Both
|
$3,370.00
|
|
|
Service Code
|
HCPCS 48545
|
| Min. Negotiated Rate |
$805.78 |
| Max. Negotiated Rate |
$2,527.50 |
| Rate for Payer: Aetna Commercial |
$1,824.64
|
| Rate for Payer: Aetna Medicare |
$1,685.00
|
| Rate for Payer: BCBS Complete |
$846.07
|
| Rate for Payer: BCN Commercial |
$2,024.29
|
| Rate for Payer: Cash Price |
$2,696.00
|
| Rate for Payer: Cash Price |
$2,696.00
|
| Rate for Payer: Mclaren Medicaid |
$805.78
|
| Rate for Payer: Meridian Medicaid |
$846.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,527.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$805.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,466.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,466.48
|
| Rate for Payer: UHC Medicaid |
$805.78
|
| Rate for Payer: UHCCP Medicaid |
$805.78
|
|
|
PR PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC
|
Professional
|
Both
|
$2,611.00
|
|
|
Service Code
|
HCPCS 60505
|
| Min. Negotiated Rate |
$765.31 |
| Max. Negotiated Rate |
$2,269.53 |
| Rate for Payer: Aetna Commercial |
$1,795.96
|
| Rate for Payer: Aetna Medicare |
$1,305.50
|
| Rate for Payer: BCBS Complete |
$803.58
|
| Rate for Payer: BCN Commercial |
$2,093.02
|
| Rate for Payer: Cash Price |
$2,088.80
|
| Rate for Payer: Cash Price |
$2,088.80
|
| Rate for Payer: Mclaren Medicaid |
$765.31
|
| Rate for Payer: Meridian Medicaid |
$803.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,958.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$765.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,269.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,269.53
|
| Rate for Payer: UHC Medicaid |
$765.31
|
| Rate for Payer: UHCCP Medicaid |
$765.31
|
|
|
PR PARATHYROID AUTOTRANSPLANTATION ADD-ON
|
Professional
|
Both
|
$500.00
|
|
|
Service Code
|
HCPCS 60512
|
| Min. Negotiated Rate |
$134.62 |
| Max. Negotiated Rate |
$388.24 |
| Rate for Payer: Aetna Commercial |
$313.69
|
| Rate for Payer: Aetna Medicare |
$250.00
|
| Rate for Payer: BCBS Complete |
$141.35
|
| Rate for Payer: BCN Commercial |
$358.05
|
| Rate for Payer: Cash Price |
$400.00
|
| Rate for Payer: Cash Price |
$400.00
|
| Rate for Payer: Mclaren Medicaid |
$134.62
|
| Rate for Payer: Meridian Medicaid |
$141.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$375.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$388.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$388.24
|
| Rate for Payer: UHC Medicaid |
$134.62
|
| Rate for Payer: UHCCP Medicaid |
$134.62
|
|
|
PR PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS
|
Professional
|
Both
|
$3,612.00
|
|
|
Service Code
|
HCPCS 60500
|
| Min. Negotiated Rate |
$568.50 |
| Max. Negotiated Rate |
$2,709.00 |
| Rate for Payer: Aetna Commercial |
$1,250.32
|
| Rate for Payer: Aetna Medicare |
$1,806.00
|
| Rate for Payer: BCBS Complete |
$596.92
|
| Rate for Payer: BCN Commercial |
$1,460.58
|
| Rate for Payer: Cash Price |
$2,889.60
|
| Rate for Payer: Cash Price |
$2,889.60
|
| Rate for Payer: Mclaren Medicaid |
$568.50
|
| Rate for Payer: Meridian Medicaid |
$596.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,709.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$568.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,583.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,583.76
|
| Rate for Payer: UHC Medicaid |
$568.50
|
| Rate for Payer: UHCCP Medicaid |
$568.50
|
|
|
PR PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR
|
Professional
|
Both
|
$3,995.00
|
|
|
Service Code
|
HCPCS 60502
|
| Min. Negotiated Rate |
$767.01 |
| Max. Negotiated Rate |
$2,996.25 |
| Rate for Payer: Aetna Commercial |
$1,675.74
|
| Rate for Payer: Aetna Medicare |
$1,997.50
|
| Rate for Payer: BCBS Complete |
$805.36
|
| Rate for Payer: BCN Commercial |
$1,961.55
|
| Rate for Payer: Cash Price |
$3,196.00
|
| Rate for Payer: Cash Price |
$3,196.00
|
| Rate for Payer: Mclaren Medicaid |
$767.01
|
| Rate for Payer: Meridian Medicaid |
$805.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,996.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$767.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,126.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,126.99
|
| Rate for Payer: UHC Medicaid |
$767.01
|
| Rate for Payer: UHCCP Medicaid |
$767.01
|
|
|
PR PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH
|
Professional
|
Both
|
$1,988.00
|
|
|
Service Code
|
HCPCS 57285
|
| Min. Negotiated Rate |
$392.13 |
| Max. Negotiated Rate |
$1,491.00 |
| Rate for Payer: Aetna Commercial |
$826.70
|
| Rate for Payer: Aetna Medicare |
$994.00
|
| Rate for Payer: BCBS Complete |
$411.74
|
| Rate for Payer: BCN Commercial |
$1,038.79
|
| Rate for Payer: Cash Price |
$1,590.40
|
| Rate for Payer: Cash Price |
$1,590.40
|
| Rate for Payer: Mclaren Medicaid |
$392.13
|
| Rate for Payer: Meridian Medicaid |
$411.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,491.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$392.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,052.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,052.07
|
| Rate for Payer: UHC Medicaid |
$392.13
|
| Rate for Payer: UHCCP Medicaid |
$392.13
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1
|
Professional
|
Both
|
$118.00
|
|
|
Service Code
|
HCPCS 11055
|
| Min. Negotiated Rate |
$8.73 |
| Max. Negotiated Rate |
$88.50 |
| Rate for Payer: Aetna Commercial |
$17.73
|
| Rate for Payer: Aetna Medicare |
$59.00
|
| Rate for Payer: BCBS Complete |
$9.17
|
| Rate for Payer: BCN Commercial |
$22.91
|
| Rate for Payer: Cash Price |
$94.40
|
| Rate for Payer: Cash Price |
$94.40
|
| Rate for Payer: Mclaren Medicaid |
$8.73
|
| Rate for Payer: Meridian Medicaid |
$9.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.97
|
| Rate for Payer: UHC Medicaid |
$8.73
|
| Rate for Payer: UHCCP Medicaid |
$8.73
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4
|
Professional
|
Both
|
$126.00
|
|
|
Service Code
|
HCPCS 11056
|
| Min. Negotiated Rate |
$12.57 |
| Max. Negotiated Rate |
$94.50 |
| Rate for Payer: Aetna Commercial |
$24.54
|
| Rate for Payer: Aetna Medicare |
$63.00
|
| Rate for Payer: BCBS Complete |
$13.20
|
| Rate for Payer: BCN Commercial |
$32.87
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Mclaren Medicaid |
$12.57
|
| Rate for Payer: Meridian Medicaid |
$13.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$12.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.08
|
| Rate for Payer: UHC Medicaid |
$12.57
|
| Rate for Payer: UHCCP Medicaid |
$12.57
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
|
Professional
|
Both
|
$151.00
|
|
|
Service Code
|
HCPCS 11057
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$113.25 |
| Rate for Payer: Aetna Commercial |
$31.72
|
| Rate for Payer: Aetna Medicare |
$75.50
|
| Rate for Payer: BCBS Complete |
$17.00
|
| Rate for Payer: BCN Commercial |
$41.83
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Cash Price |
$120.80
|
| Rate for Payer: Mclaren Medicaid |
$16.19
|
| Rate for Payer: Meridian Medicaid |
$17.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$16.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$38.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.28
|
| Rate for Payer: UHC Medicaid |
$16.19
|
| Rate for Payer: UHCCP Medicaid |
$16.19
|
|
|
PR PARTIAL EXCISION BONE CLAVICLE
|
Professional
|
Both
|
$1,464.00
|
|
|
Service Code
|
HCPCS 23180
|
| Min. Negotiated Rate |
$417.69 |
| Max. Negotiated Rate |
$1,130.14 |
| Rate for Payer: Aetna Commercial |
$884.68
|
| Rate for Payer: Aetna Medicare |
$732.00
|
| Rate for Payer: BCBS Complete |
$438.57
|
| Rate for Payer: BCN Commercial |
$1,057.21
|
| Rate for Payer: Cash Price |
$1,171.20
|
| Rate for Payer: Cash Price |
$1,171.20
|
| Rate for Payer: Mclaren Medicaid |
$417.69
|
| Rate for Payer: Meridian Medicaid |
$438.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,098.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$417.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,130.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,130.14
|
| Rate for Payer: UHC Medicaid |
$417.69
|
| Rate for Payer: UHCCP Medicaid |
$417.69
|
|
