|
PR PERCUTANEOUS VERTEBROPLASTY LUMBAR W/WO BNE BX
|
Professional
|
Both
|
$5,744.00
|
|
|
Service Code
|
HCPCS 22521
|
| Min. Negotiated Rate |
$2,297.60 |
| Max. Negotiated Rate |
$3,733.60 |
| Rate for Payer: Aetna Medicare |
$2,872.00
|
| Rate for Payer: BCBS Complete |
$2,297.60
|
| Rate for Payer: Cash Price |
$4,595.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,733.60
|
|
|
PR PERCUTANEOUS VERTEBROPLSTY THORACIC W/WO BONE BX
|
Professional
|
Both
|
$7,841.00
|
|
|
Service Code
|
HCPCS 22520
|
| Min. Negotiated Rate |
$3,136.40 |
| Max. Negotiated Rate |
$5,096.65 |
| Rate for Payer: Aetna Medicare |
$3,920.50
|
| Rate for Payer: BCBS Complete |
$3,136.40
|
| Rate for Payer: Cash Price |
$6,272.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,096.65
|
|
|
PR PERCUT DILATN RENAL TRACT
|
Professional
|
Both
|
$347.00
|
|
|
Service Code
|
HCPCS 50395
|
| Min. Negotiated Rate |
$138.80 |
| Max. Negotiated Rate |
$225.55 |
| Rate for Payer: Aetna Medicare |
$173.50
|
| Rate for Payer: BCBS Complete |
$138.80
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$225.55
|
|
|
PR PERCUT INSERT KIDNEY CATH/DRAIN
|
Professional
|
Both
|
$365.00
|
|
|
Service Code
|
HCPCS 50392
|
| Min. Negotiated Rate |
$146.00 |
| Max. Negotiated Rate |
$237.25 |
| Rate for Payer: Aetna Medicare |
$182.50
|
| Rate for Payer: BCBS Complete |
$146.00
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.25
|
|
|
PR PERC VERTEB AUGMENT/ KYPHOPLAST, EA ADD
|
Professional
|
Both
|
$505.00
|
|
|
Service Code
|
HCPCS 22525
|
| Min. Negotiated Rate |
$202.00 |
| Max. Negotiated Rate |
$328.25 |
| Rate for Payer: Aetna Medicare |
$252.50
|
| Rate for Payer: BCBS Complete |
$202.00
|
| Rate for Payer: Cash Price |
$404.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$328.25
|
|
|
PR PERC VERTEB AUGMENT/ KYPHOPLAST, LUMBAR
|
Professional
|
Both
|
$1,075.00
|
|
|
Service Code
|
HCPCS 22524
|
| Min. Negotiated Rate |
$430.00 |
| Max. Negotiated Rate |
$698.75 |
| Rate for Payer: Aetna Medicare |
$537.50
|
| Rate for Payer: BCBS Complete |
$430.00
|
| Rate for Payer: Cash Price |
$860.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$698.75
|
|
|
PR PERC VERTEB AUGMENT/ KYPHOPLAST, THOR
|
Professional
|
Both
|
$1,141.00
|
|
|
Service Code
|
HCPCS 22523
|
| Min. Negotiated Rate |
$456.40 |
| Max. Negotiated Rate |
$741.65 |
| Rate for Payer: Aetna Medicare |
$570.50
|
| Rate for Payer: BCBS Complete |
$456.40
|
| Rate for Payer: Cash Price |
$912.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$741.65
|
|
|
PR PEREYRA PX W/ANTERIOR COLPORRHAPHY
|
Professional
|
Both
|
$2,213.00
|
|
|
Service Code
|
HCPCS 57289
|
| Min. Negotiated Rate |
$508.22 |
| Max. Negotiated Rate |
$2,673.73 |
| Rate for Payer: Aetna Commercial |
$1,015.83
|
| Rate for Payer: Aetna Medicare |
$788.40
|
| Rate for Payer: BCBS Complete |
$533.63
|
| Rate for Payer: BCBS MAPPO |
$758.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,673.73
|
| Rate for Payer: BCN Commercial |
$1,165.98
|
| Rate for Payer: BCN Medicare Advantage |
$758.08
|
| Rate for Payer: Cash Price |
$1,770.40
|
| Rate for Payer: Cash Price |
$1,770.40
|
| Rate for Payer: Cofinity Commercial |
$1,091.64
|
| Rate for Payer: Cofinity Commercial |
$1,015.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$758.08
|
| Rate for Payer: Mclaren Medicaid |
$508.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.98
|
| Rate for Payer: Meridian Medicaid |
$533.63
|
| Rate for Payer: Nomi Health Commercial |
$909.70
|
| Rate for Payer: PACE SWMI |
$758.08
|
| Rate for Payer: PHP Medicare Advantage |
$758.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$508.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,438.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,189.02
|
| Rate for Payer: Priority Health Medicare |
$765.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,189.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$758.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$758.08
|
| Rate for Payer: UHC Exchange |
$758.08
|
| Rate for Payer: UHC Medicare Advantage |
$758.08
|
| Rate for Payer: UHCCP Medicaid |
$508.22
|
|
|
PR PERICARDIOCENTESIS INITIAL
|
Professional
|
Both
|
$451.00
|
|
|
Service Code
|
HCPCS 33010
|
| Min. Negotiated Rate |
$180.40 |
| Max. Negotiated Rate |
$293.15 |
| Rate for Payer: Aetna Medicare |
$225.50
|
| Rate for Payer: BCBS Complete |
$180.40
|
| Rate for Payer: Cash Price |
$360.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$293.15
|
|
|
PR PERICARDIOCENTESIS SUBSEQUENT
|
Professional
|
Both
|
$450.00
|
|
|
Service Code
|
HCPCS 33011
|
| Min. Negotiated Rate |
$180.00 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Aetna Medicare |
$225.00
|
| Rate for Payer: BCBS Complete |
$180.00
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$292.50
|
|
|
PR PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED
|
Professional
|
Both
|
$495.00
|
|
|
Service Code
|
HCPCS 33016
|
| Min. Negotiated Rate |
$146.76 |
| Max. Negotiated Rate |
$1,116.83 |
| Rate for Payer: Aetna Commercial |
$300.05
|
| Rate for Payer: Aetna Medicare |
$232.88
|
| Rate for Payer: BCBS Complete |
$154.10
|
| Rate for Payer: BCBS MAPPO |
$223.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,116.83
|
| Rate for Payer: BCN Commercial |
$335.23
|
| Rate for Payer: BCN Medicare Advantage |
$223.92
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cash Price |
$396.00
|
| Rate for Payer: Cofinity Commercial |
$322.44
|
| Rate for Payer: Cofinity Commercial |
$300.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$223.92
|
| Rate for Payer: Mclaren Medicaid |
$146.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.12
|
| Rate for Payer: Meridian Medicaid |
$154.10
|
| Rate for Payer: Nomi Health Commercial |
$268.70
|
| Rate for Payer: PACE SWMI |
$223.92
|
| Rate for Payer: PHP Medicare Advantage |
$223.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$321.75
|
| Rate for Payer: Priority Health HMO/PPO |
$365.37
|
| Rate for Payer: Priority Health Medicare |
$226.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$223.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$223.92
|
| Rate for Payer: UHC Exchange |
$223.92
|
| Rate for Payer: UHC Medicare Advantage |
$223.92
|
| Rate for Payer: UHCCP Medicaid |
$146.76
|
|
|
PR PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY
|
Professional
|
Both
|
$2,657.00
|
|
|
Service Code
|
HCPCS 33020
|
| Min. Negotiated Rate |
$524.62 |
| Max. Negotiated Rate |
$1,727.05 |
| Rate for Payer: Aetna Commercial |
$1,066.25
|
| Rate for Payer: Aetna Medicare |
$827.54
|
| Rate for Payer: BCBS Complete |
$550.85
|
| Rate for Payer: BCBS MAPPO |
$795.71
|
| Rate for Payer: BCBS Trust/PPO |
$745.96
|
| Rate for Payer: BCN Commercial |
$1,188.47
|
| Rate for Payer: BCN Medicare Advantage |
$795.71
|
| Rate for Payer: Cash Price |
$2,125.60
|
| Rate for Payer: Cash Price |
$2,125.60
|
| Rate for Payer: Cofinity Commercial |
$1,145.82
|
| Rate for Payer: Cofinity Commercial |
$1,066.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$795.71
|
| Rate for Payer: Mclaren Medicaid |
$524.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$835.50
|
| Rate for Payer: Meridian Medicaid |
$550.85
|
| Rate for Payer: Nomi Health Commercial |
$954.85
|
| Rate for Payer: PACE SWMI |
$795.71
|
| Rate for Payer: PHP Medicare Advantage |
$795.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$524.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,727.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,296.06
|
| Rate for Payer: Priority Health Medicare |
$803.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,296.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$795.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$795.71
|
| Rate for Payer: UHC Exchange |
$795.71
|
| Rate for Payer: UHC Medicare Advantage |
$795.71
|
| Rate for Payer: UHCCP Medicaid |
$524.62
|
|
|
PR PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE
|
Professional
|
Both
|
$2,152.00
|
|
|
Service Code
|
HCPCS 19371
|
| Min. Negotiated Rate |
$462.00 |
| Max. Negotiated Rate |
$6,614.63 |
| Rate for Payer: Aetna Commercial |
$916.32
|
| Rate for Payer: Aetna Medicare |
$711.17
|
| Rate for Payer: BCBS Complete |
$485.10
|
| Rate for Payer: BCBS MAPPO |
$683.82
|
| Rate for Payer: BCBS Trust/PPO |
$6,614.63
|
| Rate for Payer: BCN Commercial |
$1,043.82
|
| Rate for Payer: BCN Medicare Advantage |
$683.82
|
| Rate for Payer: Cash Price |
$1,721.60
|
| Rate for Payer: Cash Price |
$1,721.60
|
| Rate for Payer: Cofinity Commercial |
$984.70
|
| Rate for Payer: Cofinity Commercial |
$916.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$683.82
|
| Rate for Payer: Mclaren Medicaid |
$462.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$718.01
|
| Rate for Payer: Meridian Medicaid |
$485.10
|
| Rate for Payer: Nomi Health Commercial |
$820.58
|
| Rate for Payer: PACE SWMI |
$683.82
|
| Rate for Payer: PHP Medicare Advantage |
$683.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$462.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,398.80
|
| Rate for Payer: Priority Health HMO/PPO |
$967.60
|
| Rate for Payer: Priority Health Medicare |
$690.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$967.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$683.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$683.82
|
| Rate for Payer: UHC Exchange |
$683.82
|
| Rate for Payer: UHC Medicare Advantage |
$683.82
|
| Rate for Payer: UHCCP Medicaid |
$462.00
|
|
|
PR PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX
|
Professional
|
Both
|
$916.00
|
|
|
Service Code
|
HCPCS 56810
|
| Min. Negotiated Rate |
$174.45 |
| Max. Negotiated Rate |
$1,892.90 |
| Rate for Payer: Aetna Commercial |
$347.78
|
| Rate for Payer: Aetna Medicare |
$269.92
|
| Rate for Payer: BCBS Complete |
$183.17
|
| Rate for Payer: BCBS MAPPO |
$259.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,892.90
|
| Rate for Payer: BCN Commercial |
$399.25
|
| Rate for Payer: BCN Medicare Advantage |
$259.54
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cofinity Commercial |
$373.74
|
| Rate for Payer: Cofinity Commercial |
$347.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$259.54
|
| Rate for Payer: Mclaren Medicaid |
$174.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$272.52
|
| Rate for Payer: Meridian Medicaid |
$183.17
|
| Rate for Payer: Nomi Health Commercial |
$311.45
|
| Rate for Payer: PACE SWMI |
$259.54
|
| Rate for Payer: PHP Medicare Advantage |
$259.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$174.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.40
|
| Rate for Payer: Priority Health HMO/PPO |
$409.73
|
| Rate for Payer: Priority Health Medicare |
$262.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$409.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$259.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$259.54
|
| Rate for Payer: UHC Exchange |
$259.54
|
| Rate for Payer: UHC Medicare Advantage |
$259.54
|
| Rate for Payer: UHCCP Medicaid |
$174.45
|
|
|
PR PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y
|
Professional
|
Both
|
$154.00
|
|
|
Service Code
|
HCPCS 99391
|
| Min. Negotiated Rate |
$45.89 |
| Max. Negotiated Rate |
$193.36 |
| Rate for Payer: Aetna Commercial |
$71.14
|
| Rate for Payer: Aetna Medicare |
$77.00
|
| Rate for Payer: BCBS Complete |
$48.18
|
| Rate for Payer: BCBS Trust/PPO |
$193.36
|
| Rate for Payer: BCN Commercial |
$141.72
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Cash Price |
$123.20
|
| Rate for Payer: Mclaren Medicaid |
$45.89
|
| Rate for Payer: Meridian Medicaid |
$48.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$100.10
|
| Rate for Payer: Priority Health HMO/PPO |
$146.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$146.80
|
| Rate for Payer: UHCCP Medicaid |
$45.89
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 99394
|
| Min. Negotiated Rate |
$61.08 |
| Max. Negotiated Rate |
$550.49 |
| Rate for Payer: Aetna Commercial |
$88.48
|
| Rate for Payer: Aetna Medicare |
$83.00
|
| Rate for Payer: BCBS Complete |
$64.13
|
| Rate for Payer: BCBS Trust/PPO |
$550.49
|
| Rate for Payer: BCN Commercial |
$120.73
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Mclaren Medicaid |
$61.08
|
| Rate for Payer: Meridian Medicaid |
$64.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.90
|
| Rate for Payer: Priority Health HMO/PPO |
$107.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$107.90
|
| Rate for Payer: UHCCP Medicaid |
$61.08
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS
|
Professional
|
Both
|
$165.00
|
|
|
Service Code
|
HCPCS 99392
|
| Min. Negotiated Rate |
$53.49 |
| Max. Negotiated Rate |
$527.24 |
| Rate for Payer: Aetna Commercial |
$78.23
|
| Rate for Payer: Aetna Medicare |
$82.50
|
| Rate for Payer: BCBS Complete |
$56.16
|
| Rate for Payer: BCBS Trust/PPO |
$527.24
|
| Rate for Payer: BCN Commercial |
$151.49
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Mclaren Medicaid |
$53.49
|
| Rate for Payer: Meridian Medicaid |
$56.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.25
|
| Rate for Payer: Priority Health HMO/PPO |
$156.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$156.69
|
| Rate for Payer: UHCCP Medicaid |
$53.49
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS
|
Professional
|
Both
|
$169.00
|
|
|
Service Code
|
HCPCS 99395
|
| Min. Negotiated Rate |
$61.08 |
| Max. Negotiated Rate |
$668.30 |
| Rate for Payer: Aetna Commercial |
$90.96
|
| Rate for Payer: Aetna Medicare |
$84.50
|
| Rate for Payer: BCBS Complete |
$64.13
|
| Rate for Payer: BCBS Trust/PPO |
$668.30
|
| Rate for Payer: BCN Commercial |
$123.60
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Mclaren Medicaid |
$61.08
|
| Rate for Payer: Meridian Medicaid |
$64.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.85
|
| Rate for Payer: Priority Health HMO/PPO |
$111.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$111.39
|
| Rate for Payer: UHCCP Medicaid |
$61.08
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS
|
Professional
|
Both
|
$182.00
|
|
|
Service Code
|
HCPCS 99396
|
| Min. Negotiated Rate |
$69.00 |
| Max. Negotiated Rate |
$972.60 |
| Rate for Payer: Aetna Commercial |
$98.74
|
| Rate for Payer: Aetna Medicare |
$91.00
|
| Rate for Payer: BCBS Complete |
$72.45
|
| Rate for Payer: BCBS Trust/PPO |
$972.60
|
| Rate for Payer: BCN Commercial |
$131.12
|
| Rate for Payer: Cash Price |
$145.60
|
| Rate for Payer: Cash Price |
$145.60
|
| Rate for Payer: Mclaren Medicaid |
$69.00
|
| Rate for Payer: Meridian Medicaid |
$72.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$118.30
|
| Rate for Payer: Priority Health HMO/PPO |
$121.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$121.04
|
| Rate for Payer: UHCCP Medicaid |
$69.00
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS
|
Professional
|
Both
|
$152.00
|
|
|
Service Code
|
HCPCS 99393
|
| Min. Negotiated Rate |
$53.49 |
| Max. Negotiated Rate |
$624.98 |
| Rate for Payer: Aetna Commercial |
$78.23
|
| Rate for Payer: Aetna Medicare |
$76.00
|
| Rate for Payer: BCBS Complete |
$56.16
|
| Rate for Payer: BCBS Trust/PPO |
$624.98
|
| Rate for Payer: BCN Commercial |
$106.47
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Cash Price |
$121.60
|
| Rate for Payer: Mclaren Medicaid |
$53.49
|
| Rate for Payer: Meridian Medicaid |
$56.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$98.80
|
| Rate for Payer: Priority Health HMO/PPO |
$95.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$95.16
|
| Rate for Payer: UHCCP Medicaid |
$53.49
|
|
|
PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER
|
Professional
|
Both
|
$196.00
|
|
|
Service Code
|
HCPCS 99397
|
| Min. Negotiated Rate |
$76.91 |
| Max. Negotiated Rate |
$977.36 |
| Rate for Payer: Aetna Commercial |
$103.72
|
| Rate for Payer: Aetna Medicare |
$98.00
|
| Rate for Payer: BCBS Complete |
$80.76
|
| Rate for Payer: BCBS Trust/PPO |
$977.36
|
| Rate for Payer: BCN Commercial |
$141.51
|
| Rate for Payer: Cash Price |
$156.80
|
| Rate for Payer: Cash Price |
$156.80
|
| Rate for Payer: Mclaren Medicaid |
$76.91
|
| Rate for Payer: Meridian Medicaid |
$80.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.40
|
| Rate for Payer: Priority Health HMO/PPO |
$127.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$127.19
|
| Rate for Payer: UHCCP Medicaid |
$76.91
|
|
|
PR PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 93286
|
| Min. Negotiated Rate |
$9.16 |
| Max. Negotiated Rate |
$1,612.37 |
| Rate for Payer: Aetna Commercial |
$53.91
|
| Rate for Payer: Aetna Medicare |
$41.84
|
| Rate for Payer: BCBS Complete |
$9.62
|
| Rate for Payer: BCBS MAPPO |
$40.23
|
| Rate for Payer: BCBS Trust/PPO |
$1,612.37
|
| Rate for Payer: BCN Commercial |
$67.44
|
| Rate for Payer: BCN Medicare Advantage |
$40.23
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Cofinity Commercial |
$57.93
|
| Rate for Payer: Cofinity Commercial |
$53.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.23
|
| Rate for Payer: Mclaren Medicaid |
$9.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.24
|
| Rate for Payer: Meridian Medicaid |
$9.62
|
| Rate for Payer: Nomi Health Commercial |
$48.28
|
| Rate for Payer: PACE SWMI |
$40.23
|
| Rate for Payer: PHP Medicare Advantage |
$40.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.20
|
| Rate for Payer: Priority Health HMO/PPO |
$20.24
|
| Rate for Payer: Priority Health Medicare |
$40.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.23
|
| Rate for Payer: UHC Exchange |
$40.23
|
| Rate for Payer: UHC Medicare Advantage |
$40.23
|
| Rate for Payer: UHCCP Medicaid |
$9.16
|
|
|
PR PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 93287
|
| Min. Negotiated Rate |
$13.63 |
| Max. Negotiated Rate |
$1,774.03 |
| Rate for Payer: Aetna Commercial |
$62.78
|
| Rate for Payer: Aetna Medicare |
$48.72
|
| Rate for Payer: BCBS Complete |
$14.31
|
| Rate for Payer: BCBS MAPPO |
$46.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,774.03
|
| Rate for Payer: BCN Commercial |
$78.19
|
| Rate for Payer: BCN Medicare Advantage |
$46.85
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$67.46
|
| Rate for Payer: Cofinity Commercial |
$62.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.85
|
| Rate for Payer: Mclaren Medicaid |
$13.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.19
|
| Rate for Payer: Meridian Medicaid |
$14.31
|
| Rate for Payer: Nomi Health Commercial |
$56.22
|
| Rate for Payer: PACE SWMI |
$46.85
|
| Rate for Payer: PHP Medicare Advantage |
$46.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO |
$29.66
|
| Rate for Payer: Priority Health Medicare |
$47.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.85
|
| Rate for Payer: UHC Exchange |
$46.85
|
| Rate for Payer: UHC Medicare Advantage |
$46.85
|
| Rate for Payer: UHCCP Medicaid |
$13.63
|
|
|
PR PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE
|
Professional
|
Both
|
$290.00
|
|
|
Service Code
|
HCPCS 45520
|
| Min. Negotiated Rate |
$25.99 |
| Max. Negotiated Rate |
$2,174.48 |
| Rate for Payer: Aetna Commercial |
$50.97
|
| Rate for Payer: Aetna Medicare |
$39.56
|
| Rate for Payer: BCBS Complete |
$27.29
|
| Rate for Payer: BCBS MAPPO |
$38.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,174.48
|
| Rate for Payer: BCN Commercial |
$240.43
|
| Rate for Payer: BCN Medicare Advantage |
$38.04
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cash Price |
$232.00
|
| Rate for Payer: Cofinity Commercial |
$54.78
|
| Rate for Payer: Cofinity Commercial |
$50.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$38.04
|
| Rate for Payer: Mclaren Medicaid |
$25.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.94
|
| Rate for Payer: Meridian Medicaid |
$27.29
|
| Rate for Payer: Nomi Health Commercial |
$45.65
|
| Rate for Payer: PACE SWMI |
$38.04
|
| Rate for Payer: PHP Medicare Advantage |
$38.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$188.50
|
| Rate for Payer: Priority Health HMO/PPO |
$72.78
|
| Rate for Payer: Priority Health Medicare |
$38.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$72.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$38.04
|
| Rate for Payer: UHC Exchange |
$38.04
|
| Rate for Payer: UHC Medicare Advantage |
$38.04
|
| Rate for Payer: UHCCP Medicaid |
$25.99
|
|
|
PR PERITONEAL LAVAGE W/WO IMAGING GUIDANCE
|
Professional
|
Both
|
$137.00
|
|
|
Service Code
|
HCPCS 49084
|
| Min. Negotiated Rate |
$68.59 |
| Max. Negotiated Rate |
$530.41 |
| Rate for Payer: Aetna Commercial |
$140.31
|
| Rate for Payer: Aetna Medicare |
$108.90
|
| Rate for Payer: BCBS Complete |
$72.02
|
| Rate for Payer: BCBS MAPPO |
$104.71
|
| Rate for Payer: BCBS Trust/PPO |
$530.41
|
| Rate for Payer: BCN Commercial |
$155.40
|
| Rate for Payer: BCN Medicare Advantage |
$104.71
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cash Price |
$109.60
|
| Rate for Payer: Cofinity Commercial |
$150.78
|
| Rate for Payer: Cofinity Commercial |
$140.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.71
|
| Rate for Payer: Mclaren Medicaid |
$68.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.95
|
| Rate for Payer: Meridian Medicaid |
$72.02
|
| Rate for Payer: Nomi Health Commercial |
$125.65
|
| Rate for Payer: PACE SWMI |
$104.71
|
| Rate for Payer: PHP Medicare Advantage |
$104.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$68.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$89.05
|
| Rate for Payer: Priority Health HMO/PPO |
$189.12
|
| Rate for Payer: Priority Health Medicare |
$105.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$189.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.71
|
| Rate for Payer: UHC Exchange |
$104.71
|
| Rate for Payer: UHC Medicare Advantage |
$104.71
|
| Rate for Payer: UHCCP Medicaid |
$68.59
|
|
