|
PR PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM
|
Professional
|
Both
|
$917.00
|
|
|
Service Code
|
HCPCS 15050
|
| Min. Negotiated Rate |
$366.80 |
| Max. Negotiated Rate |
$626.99 |
| Rate for Payer: Aetna Commercial |
$583.45
|
| Rate for Payer: Aetna Medicare |
$452.83
|
| Rate for Payer: BCBS Complete |
$366.80
|
| Rate for Payer: BCBS MAPPO |
$435.41
|
| Rate for Payer: BCN Medicare Advantage |
$435.41
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cash Price |
$733.60
|
| Rate for Payer: Cofinity Commercial |
$583.45
|
| Rate for Payer: Cofinity Commercial |
$626.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$435.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$457.18
|
| Rate for Payer: Nomi Health Commercial |
$522.49
|
| Rate for Payer: PACE SWMI |
$435.41
|
| Rate for Payer: PHP Medicare Advantage |
$435.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.05
|
| Rate for Payer: Priority Health Medicare |
$439.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$435.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$435.41
|
| Rate for Payer: UHC Exchange |
$435.41
|
| Rate for Payer: UHC Medicare Advantage |
$435.41
|
|
|
PR PLACE CATH BRACHIAL ART
|
Professional
|
Both
|
$761.00
|
|
|
Service Code
|
HCPCS 36120
|
| Min. Negotiated Rate |
$304.40 |
| Max. Negotiated Rate |
$494.65 |
| Rate for Payer: Aetna Medicare |
$380.50
|
| Rate for Payer: BCBS Complete |
$304.40
|
| Rate for Payer: Cash Price |
$608.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$494.65
|
|
|
PR PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS
|
Professional
|
Both
|
$3,283.00
|
|
|
Service Code
|
HCPCS 48000
|
| Min. Negotiated Rate |
$1,313.20 |
| Max. Negotiated Rate |
$2,634.36 |
| Rate for Payer: Aetna Commercial |
$2,451.42
|
| Rate for Payer: Aetna Medicare |
$1,902.60
|
| Rate for Payer: BCBS Complete |
$1,313.20
|
| Rate for Payer: BCBS MAPPO |
$1,829.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,829.42
|
| Rate for Payer: Cash Price |
$2,626.40
|
| Rate for Payer: Cash Price |
$2,626.40
|
| Rate for Payer: Cofinity Commercial |
$2,634.36
|
| Rate for Payer: Cofinity Commercial |
$2,451.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,829.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,920.89
|
| Rate for Payer: Nomi Health Commercial |
$2,195.30
|
| Rate for Payer: PACE SWMI |
$1,829.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,829.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,133.95
|
| Rate for Payer: Priority Health Medicare |
$1,847.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,829.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,829.42
|
| Rate for Payer: UHC Exchange |
$1,829.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,829.42
|
|
|
PR PLACEMENT CHOLEDOCHAL STENT
|
Professional
|
Both
|
$2,547.00
|
|
|
Service Code
|
HCPCS 47801
|
| Min. Negotiated Rate |
$1,018.80 |
| Max. Negotiated Rate |
$1,655.55 |
| Rate for Payer: Aetna Commercial |
$1,436.37
|
| Rate for Payer: Aetna Medicare |
$1,114.80
|
| Rate for Payer: BCBS Complete |
$1,018.80
|
| Rate for Payer: BCBS MAPPO |
$1,071.92
|
| Rate for Payer: BCN Medicare Advantage |
$1,071.92
|
| Rate for Payer: Cash Price |
$2,037.60
|
| Rate for Payer: Cash Price |
$2,037.60
|
| Rate for Payer: Cofinity Commercial |
$1,436.37
|
| Rate for Payer: Cofinity Commercial |
$1,543.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,071.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,125.52
|
| Rate for Payer: Nomi Health Commercial |
$1,286.30
|
| Rate for Payer: PACE SWMI |
$1,071.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,071.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,655.55
|
| Rate for Payer: Priority Health Medicare |
$1,082.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,071.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,071.92
|
| Rate for Payer: UHC Exchange |
$1,071.92
|
| Rate for Payer: UHC Medicare Advantage |
$1,071.92
|
|
|
PR PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN
|
Professional
|
Both
|
$1,971.00
|
|
|
Service Code
|
HCPCS 44300
|
| Min. Negotiated Rate |
$788.40 |
| Max. Negotiated Rate |
$1,281.15 |
| Rate for Payer: Aetna Commercial |
$1,094.95
|
| Rate for Payer: Aetna Medicare |
$849.82
|
| Rate for Payer: BCBS Complete |
$788.40
|
| Rate for Payer: BCBS MAPPO |
$817.13
|
| Rate for Payer: BCN Medicare Advantage |
$817.13
|
| Rate for Payer: Cash Price |
$1,576.80
|
| Rate for Payer: Cash Price |
$1,576.80
|
| Rate for Payer: Cofinity Commercial |
$1,176.67
|
| Rate for Payer: Cofinity Commercial |
$1,094.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$817.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$857.99
|
| Rate for Payer: Nomi Health Commercial |
$980.56
|
| Rate for Payer: PACE SWMI |
$817.13
|
| Rate for Payer: PHP Medicare Advantage |
$817.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,281.15
|
| Rate for Payer: Priority Health Medicare |
$825.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$817.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$817.13
|
| Rate for Payer: UHC Exchange |
$817.13
|
| Rate for Payer: UHC Medicare Advantage |
$817.13
|
|
|
PR PLACEMENT NEEDLE INTRAOSSEOUS INFUSION
|
Professional
|
Both
|
$565.00
|
|
|
Service Code
|
HCPCS 36680
|
| Min. Negotiated Rate |
$57.69 |
| Max. Negotiated Rate |
$367.25 |
| Rate for Payer: Aetna Commercial |
$77.30
|
| Rate for Payer: Aetna Medicare |
$60.00
|
| Rate for Payer: BCBS Complete |
$226.00
|
| Rate for Payer: BCBS MAPPO |
$57.69
|
| Rate for Payer: BCN Medicare Advantage |
$57.69
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cash Price |
$452.00
|
| Rate for Payer: Cofinity Commercial |
$83.07
|
| Rate for Payer: Cofinity Commercial |
$77.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.57
|
| Rate for Payer: Nomi Health Commercial |
$69.23
|
| Rate for Payer: PACE SWMI |
$57.69
|
| Rate for Payer: PHP Medicare Advantage |
$57.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$367.25
|
| Rate for Payer: Priority Health Medicare |
$58.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$57.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.69
|
| Rate for Payer: UHC Exchange |
$57.69
|
| Rate for Payer: UHC Medicare Advantage |
$57.69
|
|
|
PR PLACEMENT SETON
|
Professional
|
Both
|
$390.00
|
|
|
Service Code
|
HCPCS 46020
|
| Min. Negotiated Rate |
$112.34 |
| Max. Negotiated Rate |
$253.50 |
| Rate for Payer: Aetna Commercial |
$150.54
|
| Rate for Payer: Aetna Medicare |
$116.83
|
| Rate for Payer: BCBS Complete |
$156.00
|
| Rate for Payer: BCBS MAPPO |
$112.34
|
| Rate for Payer: BCN Medicare Advantage |
$112.34
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cash Price |
$312.00
|
| Rate for Payer: Cofinity Commercial |
$161.77
|
| Rate for Payer: Cofinity Commercial |
$150.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.96
|
| Rate for Payer: Nomi Health Commercial |
$134.81
|
| Rate for Payer: PACE SWMI |
$112.34
|
| Rate for Payer: PHP Medicare Advantage |
$112.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.50
|
| Rate for Payer: Priority Health Medicare |
$113.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.34
|
| Rate for Payer: UHC Exchange |
$112.34
|
| Rate for Payer: UHC Medicare Advantage |
$112.34
|
|
|
PR PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR
|
Professional
|
Both
|
$681.00
|
|
|
Service Code
|
HCPCS 34709
|
| Min. Negotiated Rate |
$272.40 |
| Max. Negotiated Rate |
$444.86 |
| Rate for Payer: Aetna Commercial |
$413.97
|
| Rate for Payer: Aetna Medicare |
$321.29
|
| Rate for Payer: BCBS Complete |
$272.40
|
| Rate for Payer: BCBS MAPPO |
$308.93
|
| Rate for Payer: BCN Medicare Advantage |
$308.93
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cofinity Commercial |
$444.86
|
| Rate for Payer: Cofinity Commercial |
$413.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$324.38
|
| Rate for Payer: Nomi Health Commercial |
$370.72
|
| Rate for Payer: PACE SWMI |
$308.93
|
| Rate for Payer: PHP Medicare Advantage |
$308.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.65
|
| Rate for Payer: Priority Health Medicare |
$312.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$308.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.93
|
| Rate for Payer: UHC Exchange |
$308.93
|
| Rate for Payer: UHC Medicare Advantage |
$308.93
|
|
|
PR PLACE NEEDLE/CATH A-V DIALYSIS SHUNT,1ST ACCESS W/ RAD EVAL
|
Professional
|
Both
|
$1,510.00
|
|
|
Service Code
|
HCPCS 36147
|
| Min. Negotiated Rate |
$604.00 |
| Max. Negotiated Rate |
$981.50 |
| Rate for Payer: Aetna Medicare |
$755.00
|
| Rate for Payer: BCBS Complete |
$604.00
|
| Rate for Payer: Cash Price |
$1,208.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$981.50
|
|
|
PR PLACE NEEDLE/CATH A-V DIALYSIS SHUNT,ADDL ACCESS FOR THERAPY
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 36148
|
| Min. Negotiated Rate |
$269.20 |
| Max. Negotiated Rate |
$437.45 |
| Rate for Payer: Aetna Medicare |
$336.50
|
| Rate for Payer: BCBS Complete |
$269.20
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
|
|
PR PLASTIC OPERATION PENIS INJURY
|
Professional
|
Both
|
$1,983.00
|
|
|
Service Code
|
HCPCS 54440
|
| Min. Negotiated Rate |
$793.20 |
| Max. Negotiated Rate |
$1,288.95 |
| Rate for Payer: Aetna Medicare |
$991.50
|
| Rate for Payer: BCBS Complete |
$793.20
|
| Rate for Payer: Cash Price |
$1,586.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.95
|
|
|
PR PLASTIC REPAIR INTROITUS
|
Professional
|
Both
|
$899.00
|
|
|
Service Code
|
HCPCS 56800
|
| Min. Negotiated Rate |
$242.46 |
| Max. Negotiated Rate |
$584.35 |
| Rate for Payer: Aetna Commercial |
$324.90
|
| Rate for Payer: Aetna Medicare |
$252.16
|
| Rate for Payer: BCBS Complete |
$359.60
|
| Rate for Payer: BCBS MAPPO |
$242.46
|
| Rate for Payer: BCN Medicare Advantage |
$242.46
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Cash Price |
$719.20
|
| Rate for Payer: Cofinity Commercial |
$324.90
|
| Rate for Payer: Cofinity Commercial |
$349.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$254.58
|
| Rate for Payer: Nomi Health Commercial |
$290.95
|
| Rate for Payer: PACE SWMI |
$242.46
|
| Rate for Payer: PHP Medicare Advantage |
$242.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$584.35
|
| Rate for Payer: Priority Health Medicare |
$244.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$242.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$242.46
|
| Rate for Payer: UHC Exchange |
$242.46
|
| Rate for Payer: UHC Medicare Advantage |
$242.46
|
|
|
PR PLASTIC REPAIR URETHROCELE
|
Professional
|
Both
|
$809.00
|
|
|
Service Code
|
HCPCS 57230
|
| Min. Negotiated Rate |
$323.60 |
| Max. Negotiated Rate |
$573.90 |
| Rate for Payer: Aetna Commercial |
$534.04
|
| Rate for Payer: Aetna Medicare |
$414.48
|
| Rate for Payer: BCBS Complete |
$323.60
|
| Rate for Payer: BCBS MAPPO |
$398.54
|
| Rate for Payer: BCN Medicare Advantage |
$398.54
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cash Price |
$647.20
|
| Rate for Payer: Cofinity Commercial |
$573.90
|
| Rate for Payer: Cofinity Commercial |
$534.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.47
|
| Rate for Payer: Nomi Health Commercial |
$478.25
|
| Rate for Payer: PACE SWMI |
$398.54
|
| Rate for Payer: PHP Medicare Advantage |
$398.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$525.85
|
| Rate for Payer: Priority Health Medicare |
$402.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$398.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$398.54
|
| Rate for Payer: UHC Exchange |
$398.54
|
| Rate for Payer: UHC Medicare Advantage |
$398.54
|
|
|
PR PLASTIC RPR PENIS CORRECT ANGULATION
|
Professional
|
Both
|
$3,801.00
|
|
|
Service Code
|
HCPCS 54360
|
| Min. Negotiated Rate |
$689.38 |
| Max. Negotiated Rate |
$2,470.65 |
| Rate for Payer: Aetna Commercial |
$923.77
|
| Rate for Payer: Aetna Medicare |
$716.96
|
| Rate for Payer: BCBS Complete |
$1,520.40
|
| Rate for Payer: BCBS MAPPO |
$689.38
|
| Rate for Payer: BCN Medicare Advantage |
$689.38
|
| Rate for Payer: Cash Price |
$3,040.80
|
| Rate for Payer: Cash Price |
$3,040.80
|
| Rate for Payer: Cofinity Commercial |
$992.71
|
| Rate for Payer: Cofinity Commercial |
$923.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$689.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$723.85
|
| Rate for Payer: Nomi Health Commercial |
$827.26
|
| Rate for Payer: PACE SWMI |
$689.38
|
| Rate for Payer: PHP Medicare Advantage |
$689.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,470.65
|
| Rate for Payer: Priority Health Medicare |
$696.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$689.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$689.38
|
| Rate for Payer: UHC Exchange |
$689.38
|
| Rate for Payer: UHC Medicare Advantage |
$689.38
|
|
|
PR PLASTICS COSMETIC CONSULT OFFICE VISIT
|
Professional
|
Both
|
$72.00
|
|
|
Service Code
|
HCPCS 00690
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$28.80 |
| Max. Negotiated Rate |
$46.80 |
| Rate for Payer: Aetna Medicare |
$36.00
|
| Rate for Payer: BCBS Complete |
$28.80
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.80
|
|
|
PR PLASTICS COSMETIC FAT GRAFTING
|
Professional
|
Both
|
$2,500.00
|
|
|
Service Code
|
HCPCS 00691
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,000.00 |
| Max. Negotiated Rate |
$1,625.00 |
| Rate for Payer: Aetna Medicare |
$1,250.00
|
| Rate for Payer: BCBS Complete |
$1,000.00
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,625.00
|
|
|
PR PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH
|
Professional
|
Both
|
$1,097.00
|
|
|
Service Code
|
HCPCS 57220
|
| Min. Negotiated Rate |
$329.56 |
| Max. Negotiated Rate |
$713.05 |
| Rate for Payer: Aetna Commercial |
$441.61
|
| Rate for Payer: Aetna Medicare |
$342.74
|
| Rate for Payer: BCBS Complete |
$438.80
|
| Rate for Payer: BCBS MAPPO |
$329.56
|
| Rate for Payer: BCN Medicare Advantage |
$329.56
|
| Rate for Payer: Cash Price |
$877.60
|
| Rate for Payer: Cash Price |
$877.60
|
| Rate for Payer: Cofinity Commercial |
$474.57
|
| Rate for Payer: Cofinity Commercial |
$441.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.04
|
| Rate for Payer: Nomi Health Commercial |
$395.47
|
| Rate for Payer: PACE SWMI |
$329.56
|
| Rate for Payer: PHP Medicare Advantage |
$329.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$713.05
|
| Rate for Payer: Priority Health Medicare |
$332.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.56
|
| Rate for Payer: UHC Exchange |
$329.56
|
| Rate for Payer: UHC Medicare Advantage |
$329.56
|
|
|
PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST
|
Professional
|
Both
|
$102.00
|
|
|
Service Code
|
HCPCS 94726
|
| Min. Negotiated Rate |
$40.80 |
| Max. Negotiated Rate |
$73.58 |
| Rate for Payer: Aetna Commercial |
$68.47
|
| Rate for Payer: Aetna Commercial |
$68.47
|
| Rate for Payer: Aetna Medicare |
$53.14
|
| Rate for Payer: Aetna Medicare |
$53.14
|
| Rate for Payer: BCBS Complete |
$11.20
|
| Rate for Payer: BCBS Complete |
$40.80
|
| Rate for Payer: BCBS MAPPO |
$51.10
|
| Rate for Payer: BCBS MAPPO |
$51.10
|
| Rate for Payer: BCN Medicare Advantage |
$51.10
|
| Rate for Payer: BCN Medicare Advantage |
$51.10
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$22.40
|
| Rate for Payer: Cofinity Commercial |
$68.47
|
| Rate for Payer: Cofinity Commercial |
$68.47
|
| Rate for Payer: Cofinity Commercial |
$73.58
|
| Rate for Payer: Cofinity Commercial |
$73.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.66
|
| Rate for Payer: Nomi Health Commercial |
$61.32
|
| Rate for Payer: Nomi Health Commercial |
$61.32
|
| Rate for Payer: PACE SWMI |
$51.10
|
| Rate for Payer: PACE SWMI |
$51.10
|
| Rate for Payer: PHP Medicare Advantage |
$51.10
|
| Rate for Payer: PHP Medicare Advantage |
$51.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health Medicare |
$51.61
|
| Rate for Payer: Priority Health Medicare |
$51.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$51.10
|
| Rate for Payer: UHC Exchange |
$51.10
|
| Rate for Payer: UHC Exchange |
$51.10
|
| Rate for Payer: UHC Medicare Advantage |
$51.10
|
| Rate for Payer: UHC Medicare Advantage |
$51.10
|
|
|
PR PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX
|
Professional
|
Both
|
$2,177.00
|
|
|
Service Code
|
HCPCS 32215
|
| Min. Negotiated Rate |
$772.04 |
| Max. Negotiated Rate |
$1,415.05 |
| Rate for Payer: Aetna Commercial |
$1,034.53
|
| Rate for Payer: Aetna Medicare |
$802.92
|
| Rate for Payer: BCBS Complete |
$870.80
|
| Rate for Payer: BCBS MAPPO |
$772.04
|
| Rate for Payer: BCN Medicare Advantage |
$772.04
|
| Rate for Payer: Cash Price |
$1,741.60
|
| Rate for Payer: Cash Price |
$1,741.60
|
| Rate for Payer: Cofinity Commercial |
$1,111.74
|
| Rate for Payer: Cofinity Commercial |
$1,034.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$772.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$810.64
|
| Rate for Payer: Nomi Health Commercial |
$926.45
|
| Rate for Payer: PACE SWMI |
$772.04
|
| Rate for Payer: PHP Medicare Advantage |
$772.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,415.05
|
| Rate for Payer: Priority Health Medicare |
$779.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$772.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$772.04
|
| Rate for Payer: UHC Exchange |
$772.04
|
| Rate for Payer: UHC Medicare Advantage |
$772.04
|
|
|
PR PLEURECTOMY PARIETAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$2,949.00
|
|
|
Service Code
|
HCPCS 32310
|
| Min. Negotiated Rate |
$883.98 |
| Max. Negotiated Rate |
$1,916.85 |
| Rate for Payer: Aetna Commercial |
$1,184.53
|
| Rate for Payer: Aetna Medicare |
$919.34
|
| Rate for Payer: BCBS Complete |
$1,179.60
|
| Rate for Payer: BCBS MAPPO |
$883.98
|
| Rate for Payer: BCN Medicare Advantage |
$883.98
|
| Rate for Payer: Cash Price |
$2,359.20
|
| Rate for Payer: Cash Price |
$2,359.20
|
| Rate for Payer: Cofinity Commercial |
$1,272.93
|
| Rate for Payer: Cofinity Commercial |
$1,184.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$883.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$928.18
|
| Rate for Payer: Nomi Health Commercial |
$1,060.78
|
| Rate for Payer: PACE SWMI |
$883.98
|
| Rate for Payer: PHP Medicare Advantage |
$883.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,916.85
|
| Rate for Payer: Priority Health Medicare |
$892.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$883.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$883.98
|
| Rate for Payer: UHC Exchange |
$883.98
|
| Rate for Payer: UHC Medicare Advantage |
$883.98
|
|
|
PR PL GLYCOLIC 35/70
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 00067
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$24.40 |
| Max. Negotiated Rate |
$39.65 |
| Rate for Payer: Aetna Medicare |
$30.50
|
| Rate for Payer: BCBS Complete |
$24.40
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
|
|
PR PL ILLUMINIZE
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 00069
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$32.80 |
| Max. Negotiated Rate |
$53.30 |
| Rate for Payer: Aetna Medicare |
$41.00
|
| Rate for Payer: BCBS Complete |
$32.80
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.30
|
|
|
PR PL JESSNERS
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 00068
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$24.40 |
| Max. Negotiated Rate |
$39.65 |
| Rate for Payer: Aetna Medicare |
$30.50
|
| Rate for Payer: BCBS Complete |
$24.40
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
|
|
PR PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW
|
Professional
|
Both
|
$2,142.00
|
|
|
Service Code
|
HCPCS 47541
|
| Min. Negotiated Rate |
$315.08 |
| Max. Negotiated Rate |
$1,392.30 |
| Rate for Payer: Aetna Commercial |
$422.21
|
| Rate for Payer: Aetna Medicare |
$327.68
|
| Rate for Payer: BCBS Complete |
$856.80
|
| Rate for Payer: BCBS MAPPO |
$315.08
|
| Rate for Payer: BCN Medicare Advantage |
$315.08
|
| Rate for Payer: Cash Price |
$1,713.60
|
| Rate for Payer: Cash Price |
$1,713.60
|
| Rate for Payer: Cofinity Commercial |
$422.21
|
| Rate for Payer: Cofinity Commercial |
$453.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.83
|
| Rate for Payer: Nomi Health Commercial |
$378.10
|
| Rate for Payer: PACE SWMI |
$315.08
|
| Rate for Payer: PHP Medicare Advantage |
$315.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.30
|
| Rate for Payer: Priority Health Medicare |
$318.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.08
|
| Rate for Payer: UHC Exchange |
$315.08
|
| Rate for Payer: UHC Medicare Advantage |
$315.08
|
|
|
PR PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST
|
Professional
|
Both
|
$10,186.00
|
|
|
Service Code
|
HCPCS 19296
|
| Min. Negotiated Rate |
$204.23 |
| Max. Negotiated Rate |
$6,620.90 |
| Rate for Payer: Aetna Commercial |
$273.67
|
| Rate for Payer: Aetna Medicare |
$212.40
|
| Rate for Payer: BCBS Complete |
$4,074.40
|
| Rate for Payer: BCBS MAPPO |
$204.23
|
| Rate for Payer: BCN Medicare Advantage |
$204.23
|
| Rate for Payer: Cash Price |
$8,148.80
|
| Rate for Payer: Cash Price |
$8,148.80
|
| Rate for Payer: Cofinity Commercial |
$294.09
|
| Rate for Payer: Cofinity Commercial |
$273.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.44
|
| Rate for Payer: Nomi Health Commercial |
$245.08
|
| Rate for Payer: PACE SWMI |
$204.23
|
| Rate for Payer: PHP Medicare Advantage |
$204.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,620.90
|
| Rate for Payer: Priority Health Medicare |
$206.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.23
|
| Rate for Payer: UHC Exchange |
$204.23
|
| Rate for Payer: UHC Medicare Advantage |
$204.23
|
|
