|
PR PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX
|
Professional
|
Both
|
$943.00
|
|
|
Service Code
|
HCPCS 56810
|
| Min. Negotiated Rate |
$153.79 |
| Max. Negotiated Rate |
$707.25 |
| Rate for Payer: Aetna Commercial |
$320.71
|
| Rate for Payer: Aetna Medicare |
$471.50
|
| Rate for Payer: BCBS Complete |
$161.48
|
| Rate for Payer: BCN Commercial |
$407.85
|
| Rate for Payer: Cash Price |
$754.40
|
| Rate for Payer: Cash Price |
$754.40
|
| Rate for Payer: Mclaren Medicaid |
$153.79
|
| Rate for Payer: Meridian Medicaid |
$161.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$707.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$153.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$413.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$413.06
|
| Rate for Payer: UHC Medicaid |
$153.79
|
| Rate for Payer: UHCCP Medicaid |
$153.79
|
|
|
PR PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y
|
Professional
|
Both
|
$159.00
|
|
|
Service Code
|
HCPCS 99391
|
| Min. Negotiated Rate |
$61.21 |
| Max. Negotiated Rate |
$146.80 |
| Rate for Payer: Aetna Commercial |
$71.14
|
| Rate for Payer: Aetna Medicare |
$79.50
|
| Rate for Payer: BCBS Complete |
$64.27
|
| Rate for Payer: BCN Commercial |
$146.40
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Cash Price |
$127.20
|
| Rate for Payer: Mclaren Medicaid |
$61.21
|
| Rate for Payer: Meridian Medicaid |
$64.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$146.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.80
|
| Rate for Payer: UHC Medicaid |
$61.21
|
| Rate for Payer: UHCCP Medicaid |
$61.21
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 99394
|
| Min. Negotiated Rate |
$75.52 |
| Max. Negotiated Rate |
$128.25 |
| Rate for Payer: Aetna Commercial |
$88.48
|
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: BCBS Complete |
$79.30
|
| Rate for Payer: BCN Commercial |
$124.23
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Mclaren Medicaid |
$75.52
|
| Rate for Payer: Meridian Medicaid |
$79.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$107.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.58
|
| Rate for Payer: UHC Medicaid |
$75.52
|
| Rate for Payer: UHCCP Medicaid |
$75.52
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS
|
Professional
|
Both
|
$170.00
|
|
|
Service Code
|
HCPCS 99392
|
| Min. Negotiated Rate |
$66.69 |
| Max. Negotiated Rate |
$156.69 |
| Rate for Payer: Aetna Commercial |
$78.23
|
| Rate for Payer: Aetna Medicare |
$85.00
|
| Rate for Payer: BCBS Complete |
$70.02
|
| Rate for Payer: BCN Commercial |
$155.86
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Cash Price |
$136.00
|
| Rate for Payer: Mclaren Medicaid |
$66.69
|
| Rate for Payer: Meridian Medicaid |
$70.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$127.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$156.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.69
|
| Rate for Payer: UHC Medicaid |
$66.69
|
| Rate for Payer: UHCCP Medicaid |
$66.69
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS
|
Professional
|
Both
|
$174.00
|
|
|
Service Code
|
HCPCS 99395
|
| Min. Negotiated Rate |
$77.66 |
| Max. Negotiated Rate |
$130.50 |
| Rate for Payer: Aetna Commercial |
$90.96
|
| Rate for Payer: Aetna Medicare |
$87.00
|
| Rate for Payer: BCBS Complete |
$81.54
|
| Rate for Payer: BCN Commercial |
$127.86
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Mclaren Medicaid |
$77.66
|
| Rate for Payer: Meridian Medicaid |
$81.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$111.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.50
|
| Rate for Payer: UHC Medicaid |
$77.66
|
| Rate for Payer: UHCCP Medicaid |
$77.66
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS
|
Professional
|
Both
|
$187.00
|
|
|
Service Code
|
HCPCS 99396
|
| Min. Negotiated Rate |
$85.27 |
| Max. Negotiated Rate |
$140.25 |
| Rate for Payer: Aetna Commercial |
$98.74
|
| Rate for Payer: Aetna Medicare |
$93.50
|
| Rate for Payer: BCBS Complete |
$89.53
|
| Rate for Payer: BCN Commercial |
$135.86
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Mclaren Medicaid |
$85.27
|
| Rate for Payer: Meridian Medicaid |
$89.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$121.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.08
|
| Rate for Payer: UHC Medicaid |
$85.27
|
| Rate for Payer: UHCCP Medicaid |
$85.27
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS
|
Professional
|
Both
|
$157.00
|
|
|
Service Code
|
HCPCS 99393
|
| Min. Negotiated Rate |
$66.69 |
| Max. Negotiated Rate |
$117.75 |
| Rate for Payer: Aetna Commercial |
$78.23
|
| Rate for Payer: Aetna Medicare |
$78.50
|
| Rate for Payer: BCBS Complete |
$70.02
|
| Rate for Payer: BCN Commercial |
$113.70
|
| Rate for Payer: Cash Price |
$125.60
|
| Rate for Payer: Cash Price |
$125.60
|
| Rate for Payer: Mclaren Medicaid |
$66.69
|
| Rate for Payer: Meridian Medicaid |
$70.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$117.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$94.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$94.51
|
| Rate for Payer: UHC Medicaid |
$66.69
|
| Rate for Payer: UHCCP Medicaid |
$66.69
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER
|
Professional
|
Both
|
$202.00
|
|
|
Service Code
|
HCPCS 99397
|
| Min. Negotiated Rate |
$89.84 |
| Max. Negotiated Rate |
$151.50 |
| Rate for Payer: Aetna Commercial |
$103.72
|
| Rate for Payer: Aetna Medicare |
$101.00
|
| Rate for Payer: BCBS Complete |
$94.33
|
| Rate for Payer: BCN Commercial |
$146.39
|
| Rate for Payer: Cash Price |
$161.60
|
| Rate for Payer: Cash Price |
$161.60
|
| Rate for Payer: Mclaren Medicaid |
$89.84
|
| Rate for Payer: Meridian Medicaid |
$94.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$151.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$127.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.18
|
| Rate for Payer: UHC Medicaid |
$89.84
|
| Rate for Payer: UHCCP Medicaid |
$89.84
|
|
|
PR PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS 93286
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$66.24 |
| Rate for Payer: Aetna Commercial |
$57.97
|
| Rate for Payer: Aetna Medicare |
$35.00
|
| Rate for Payer: BCN Commercial |
$66.24
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$62.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$62.95
|
|
|
PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 93287
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$76.69 |
| Rate for Payer: Aetna Commercial |
$68.07
|
| Rate for Payer: Aetna Medicare |
$24.00
|
| Rate for Payer: BCN Commercial |
$76.69
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$72.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.88
|
|
|
PR PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 45520
|
| Min. Negotiated Rate |
$24.07 |
| Max. Negotiated Rate |
$224.25 |
| Rate for Payer: Aetna Commercial |
$51.85
|
| Rate for Payer: Aetna Medicare |
$149.50
|
| Rate for Payer: BCBS Complete |
$25.27
|
| Rate for Payer: BCN Commercial |
$60.76
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Mclaren Medicaid |
$24.07
|
| Rate for Payer: Meridian Medicaid |
$25.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$224.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$74.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$74.02
|
| Rate for Payer: UHC Medicaid |
$24.07
|
| Rate for Payer: UHCCP Medicaid |
$24.07
|
|
|
PR PERITONEAL LAVAGE W/WO IMAGING GUIDANCE
|
Professional
|
Both
|
$141.00
|
|
|
Service Code
|
HCPCS 49084
|
| Min. Negotiated Rate |
$61.13 |
| Max. Negotiated Rate |
$195.38 |
| Rate for Payer: Aetna Commercial |
$145.77
|
| Rate for Payer: Aetna Medicare |
$70.50
|
| Rate for Payer: BCBS Complete |
$64.19
|
| Rate for Payer: BCN Commercial |
$160.35
|
| Rate for Payer: Cash Price |
$112.80
|
| Rate for Payer: Cash Price |
$112.80
|
| Rate for Payer: Mclaren Medicaid |
$61.13
|
| Rate for Payer: Meridian Medicaid |
$64.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$195.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.38
|
| Rate for Payer: UHC Medicaid |
$61.13
|
| Rate for Payer: UHCCP Medicaid |
$61.13
|
|
|
PR PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT
|
Professional
|
Both
|
$275.00
|
|
|
Service Code
|
HCPCS 34713
|
| Min. Negotiated Rate |
$70.29 |
| Max. Negotiated Rate |
$206.25 |
| Rate for Payer: Aetna Commercial |
$167.72
|
| Rate for Payer: Aetna Medicare |
$137.50
|
| Rate for Payer: BCBS Complete |
$73.80
|
| Rate for Payer: BCN Commercial |
$179.28
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Cash Price |
$220.00
|
| Rate for Payer: Mclaren Medicaid |
$70.29
|
| Rate for Payer: Meridian Medicaid |
$73.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$206.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$192.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$192.79
|
| Rate for Payer: UHC Medicaid |
$70.29
|
| Rate for Payer: UHCCP Medicaid |
$70.29
|
|
|
PR PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL
|
Professional
|
Both
|
$1,663.00
|
|
|
Service Code
|
HCPCS 61645
|
| Min. Negotiated Rate |
$482.02 |
| Max. Negotiated Rate |
$1,469.12 |
| Rate for Payer: Aetna Commercial |
$1,083.12
|
| Rate for Payer: Aetna Medicare |
$831.50
|
| Rate for Payer: BCBS Complete |
$506.12
|
| Rate for Payer: BCN Commercial |
$1,264.87
|
| Rate for Payer: Cash Price |
$1,330.40
|
| Rate for Payer: Cash Price |
$1,330.40
|
| Rate for Payer: Mclaren Medicaid |
$482.02
|
| Rate for Payer: Meridian Medicaid |
$506.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,247.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$482.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,469.12
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,469.12
|
| Rate for Payer: UHC Medicaid |
$482.02
|
| Rate for Payer: UHCCP Medicaid |
$482.02
|
|
|
PR PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 61642
|
| Min. Negotiated Rate |
$285.60 |
| Max. Negotiated Rate |
$569.14 |
| Rate for Payer: Aetna Commercial |
$445.23
|
| Rate for Payer: Aetna Medicare |
$357.00
|
| Rate for Payer: BCBS Complete |
$285.60
|
| Rate for Payer: BCN Commercial |
$490.01
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$535.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$569.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$569.14
|
|
|
PR PERQ BALO DILA IC VSPSM EA VSL SM VASC TER
|
Professional
|
Both
|
$357.00
|
|
|
Service Code
|
HCPCS 61641
|
| Min. Negotiated Rate |
$142.80 |
| Max. Negotiated Rate |
$284.56 |
| Rate for Payer: Aetna Commercial |
$222.61
|
| Rate for Payer: Aetna Medicare |
$178.50
|
| Rate for Payer: BCBS Complete |
$142.80
|
| Rate for Payer: BCN Commercial |
$245.01
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Cash Price |
$285.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$284.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$284.56
|
|
|
PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG
|
Professional
|
Both
|
$231.00
|
|
|
Service Code
|
HCPCS 19285
|
| Min. Negotiated Rate |
$45.80 |
| Max. Negotiated Rate |
$173.25 |
| Rate for Payer: Aetna Commercial |
$92.57
|
| Rate for Payer: Aetna Medicare |
$115.50
|
| Rate for Payer: BCBS Complete |
$48.09
|
| Rate for Payer: BCN Commercial |
$123.49
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Cash Price |
$184.80
|
| Rate for Payer: Mclaren Medicaid |
$45.80
|
| Rate for Payer: Meridian Medicaid |
$48.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$173.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$113.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$113.03
|
| Rate for Payer: UHC Medicaid |
$45.80
|
| Rate for Payer: UHCCP Medicaid |
$45.80
|
|
|
PR PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS 19286
|
| Min. Negotiated Rate |
$23.00 |
| Max. Negotiated Rate |
$61.75 |
| Rate for Payer: Aetna Commercial |
$46.85
|
| Rate for Payer: Aetna Medicare |
$35.00
|
| Rate for Payer: BCBS Complete |
$24.15
|
| Rate for Payer: BCN Commercial |
$61.75
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Mclaren Medicaid |
$23.00
|
| Rate for Payer: Meridian Medicaid |
$24.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$52.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$56.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$56.52
|
| Rate for Payer: UHC Medicaid |
$23.00
|
| Rate for Payer: UHCCP Medicaid |
$23.00
|
|
|
PR PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT
|
Professional
|
Both
|
$1,713.00
|
|
|
Service Code
|
HCPCS 33340
|
| Min. Negotiated Rate |
$394.48 |
| Max. Negotiated Rate |
$1,284.75 |
| Rate for Payer: Aetna Commercial |
$1,058.20
|
| Rate for Payer: Aetna Medicare |
$856.50
|
| Rate for Payer: BCBS Complete |
$414.20
|
| Rate for Payer: BCN Commercial |
$1,138.89
|
| Rate for Payer: Cash Price |
$1,370.40
|
| Rate for Payer: Cash Price |
$1,370.40
|
| Rate for Payer: Mclaren Medicaid |
$394.48
|
| Rate for Payer: Meridian Medicaid |
$414.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,284.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$394.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,224.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,224.72
|
| Rate for Payer: UHC Medicaid |
$394.48
|
| Rate for Payer: UHCCP Medicaid |
$394.48
|
|
|
PR PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE
|
Professional
|
Both
|
$377.00
|
|
|
Service Code
|
HCPCS 19281
|
| Min. Negotiated Rate |
$53.04 |
| Max. Negotiated Rate |
$282.75 |
| Rate for Payer: Aetna Commercial |
$107.95
|
| Rate for Payer: Aetna Medicare |
$188.50
|
| Rate for Payer: BCBS Complete |
$55.69
|
| Rate for Payer: BCN Commercial |
$144.41
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Cash Price |
$301.60
|
| Rate for Payer: Mclaren Medicaid |
$53.04
|
| Rate for Payer: Meridian Medicaid |
$55.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$132.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$132.17
|
| Rate for Payer: UHC Medicaid |
$53.04
|
| Rate for Payer: UHCCP Medicaid |
$53.04
|
|
|
PR PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE
|
Professional
|
Both
|
$263.00
|
|
|
Service Code
|
HCPCS 19282
|
| Min. Negotiated Rate |
$26.41 |
| Max. Negotiated Rate |
$197.25 |
| Rate for Payer: Aetna Commercial |
$54.35
|
| Rate for Payer: Aetna Medicare |
$131.50
|
| Rate for Payer: BCBS Complete |
$27.73
|
| Rate for Payer: BCN Commercial |
$72.21
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Cash Price |
$210.40
|
| Rate for Payer: Mclaren Medicaid |
$26.41
|
| Rate for Payer: Meridian Medicaid |
$27.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$197.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$26.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.08
|
| Rate for Payer: UHC Medicaid |
$26.41
|
| Rate for Payer: UHCCP Medicaid |
$26.41
|
|
|
PR PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG
|
Professional
|
Both
|
$314.00
|
|
|
Service Code
|
HCPCS 50436
|
| Min. Negotiated Rate |
$86.90 |
| Max. Negotiated Rate |
$243.57 |
| Rate for Payer: Aetna Commercial |
$192.23
|
| Rate for Payer: Aetna Medicare |
$157.00
|
| Rate for Payer: BCBS Complete |
$91.25
|
| Rate for Payer: BCN Commercial |
$223.60
|
| Rate for Payer: Cash Price |
$251.20
|
| Rate for Payer: Cash Price |
$251.20
|
| Rate for Payer: Mclaren Medicaid |
$86.90
|
| Rate for Payer: Meridian Medicaid |
$91.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$235.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$243.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$243.57
|
| Rate for Payer: UHC Medicaid |
$86.90
|
| Rate for Payer: UHCCP Medicaid |
$86.90
|
|
|
PR PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS
|
Professional
|
Both
|
$877.00
|
|
|
Service Code
|
HCPCS 50437
|
| Min. Negotiated Rate |
$142.92 |
| Max. Negotiated Rate |
$657.75 |
| Rate for Payer: Aetna Commercial |
$319.74
|
| Rate for Payer: Aetna Medicare |
$438.50
|
| Rate for Payer: BCBS Complete |
$150.07
|
| Rate for Payer: BCN Commercial |
$371.49
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Cash Price |
$701.60
|
| Rate for Payer: Mclaren Medicaid |
$142.92
|
| Rate for Payer: Meridian Medicaid |
$150.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$657.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$404.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$404.67
|
| Rate for Payer: UHC Medicaid |
$142.92
|
| Rate for Payer: UHCCP Medicaid |
$142.92
|
|
|
PR PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING
|
Professional
|
Both
|
$1,014.00
|
|
|
Service Code
|
HCPCS 32557
|
| Min. Negotiated Rate |
$82.43 |
| Max. Negotiated Rate |
$760.50 |
| Rate for Payer: Aetna Commercial |
$193.57
|
| Rate for Payer: Aetna Medicare |
$507.00
|
| Rate for Payer: BCBS Complete |
$86.55
|
| Rate for Payer: BCN Commercial |
$218.12
|
| Rate for Payer: Cash Price |
$811.20
|
| Rate for Payer: Cash Price |
$811.20
|
| Rate for Payer: Mclaren Medicaid |
$82.43
|
| Rate for Payer: Meridian Medicaid |
$86.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$760.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$205.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.40
|
| Rate for Payer: UHC Medicaid |
$82.43
|
| Rate for Payer: UHCCP Medicaid |
$82.43
|
|
|
PR PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING
|
Professional
|
Both
|
$911.00
|
|
|
Service Code
|
HCPCS 32556
|
| Min. Negotiated Rate |
$71.36 |
| Max. Negotiated Rate |
$683.25 |
| Rate for Payer: Aetna Commercial |
$159.78
|
| Rate for Payer: Aetna Medicare |
$455.50
|
| Rate for Payer: BCBS Complete |
$74.93
|
| Rate for Payer: BCN Commercial |
$183.76
|
| Rate for Payer: Cash Price |
$728.80
|
| Rate for Payer: Cash Price |
$728.80
|
| Rate for Payer: Mclaren Medicaid |
$71.36
|
| Rate for Payer: Meridian Medicaid |
$74.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$683.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$173.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$173.04
|
| Rate for Payer: UHC Medicaid |
$71.36
|
| Rate for Payer: UHCCP Medicaid |
$71.36
|
|
