|
PR RADICAL RESECTION TONSIL W/O CLOSURE
|
Professional
|
Both
|
$1,856.00
|
|
|
Service Code
|
HCPCS 42842
|
| Min. Negotiated Rate |
$580.85 |
| Max. Negotiated Rate |
$1,838.48 |
| Rate for Payer: Aetna Commercial |
$1,341.57
|
| Rate for Payer: Aetna Medicare |
$928.00
|
| Rate for Payer: BCBS Complete |
$609.89
|
| Rate for Payer: BCN Commercial |
$1,508.88
|
| Rate for Payer: Cash Price |
$1,484.80
|
| Rate for Payer: Cash Price |
$1,484.80
|
| Rate for Payer: Mclaren Medicaid |
$580.85
|
| Rate for Payer: Meridian Medicaid |
$609.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,392.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$580.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,838.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,838.48
|
| Rate for Payer: UHC Medicaid |
$580.85
|
| Rate for Payer: UHCCP Medicaid |
$580.85
|
|
|
PR RADICAL RESECTION TUMOR CLAVICLE
|
Professional
|
Both
|
$2,709.00
|
|
|
Service Code
|
HCPCS 23200
|
| Min. Negotiated Rate |
$870.74 |
| Max. Negotiated Rate |
$2,429.01 |
| Rate for Payer: Aetna Commercial |
$2,014.21
|
| Rate for Payer: Aetna Medicare |
$1,354.50
|
| Rate for Payer: BCBS Complete |
$914.28
|
| Rate for Payer: BCN Commercial |
$2,272.28
|
| Rate for Payer: Cash Price |
$2,167.20
|
| Rate for Payer: Cash Price |
$2,167.20
|
| Rate for Payer: Mclaren Medicaid |
$870.74
|
| Rate for Payer: Meridian Medicaid |
$914.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,031.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$870.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,429.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,429.01
|
| Rate for Payer: UHC Medicaid |
$870.74
|
| Rate for Payer: UHCCP Medicaid |
$870.74
|
|
|
PR RADICAL RESECTION TUMOR FEMOR OR KNEE
|
Professional
|
Both
|
$5,676.00
|
|
|
Service Code
|
HCPCS 27365
|
| Min. Negotiated Rate |
$1,171.50 |
| Max. Negotiated Rate |
$4,257.00 |
| Rate for Payer: Aetna Commercial |
$2,752.84
|
| Rate for Payer: Aetna Medicare |
$2,838.00
|
| Rate for Payer: BCBS Complete |
$1,230.08
|
| Rate for Payer: BCN Commercial |
$3,088.48
|
| Rate for Payer: Cash Price |
$4,540.80
|
| Rate for Payer: Cash Price |
$4,540.80
|
| Rate for Payer: Mclaren Medicaid |
$1,171.50
|
| Rate for Payer: Meridian Medicaid |
$1,230.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,257.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,171.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,301.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,301.50
|
| Rate for Payer: UHC Medicaid |
$1,171.50
|
| Rate for Payer: UHCCP Medicaid |
$1,171.50
|
|
|
PR RADICAL RESECTION TUMOR METACARPAL
|
Professional
|
Both
|
$3,120.00
|
|
|
Service Code
|
HCPCS 26250
|
| Min. Negotiated Rate |
$628.78 |
| Max. Negotiated Rate |
$2,340.00 |
| Rate for Payer: Aetna Commercial |
$1,422.27
|
| Rate for Payer: Aetna Medicare |
$1,560.00
|
| Rate for Payer: BCBS Complete |
$660.22
|
| Rate for Payer: BCN Commercial |
$1,618.44
|
| Rate for Payer: Cash Price |
$2,496.00
|
| Rate for Payer: Cash Price |
$2,496.00
|
| Rate for Payer: Mclaren Medicaid |
$628.78
|
| Rate for Payer: Meridian Medicaid |
$660.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,340.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,730.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,730.06
|
| Rate for Payer: UHC Medicaid |
$628.78
|
| Rate for Payer: UHCCP Medicaid |
$628.78
|
|
|
PR RADICAL RESECTION TUMOR METATARSAL
|
Professional
|
Both
|
$1,420.00
|
|
|
Service Code
|
HCPCS 28173
|
| Min. Negotiated Rate |
$424.51 |
| Max. Negotiated Rate |
$1,164.73 |
| Rate for Payer: Aetna Commercial |
$974.37
|
| Rate for Payer: Aetna Medicare |
$710.00
|
| Rate for Payer: BCBS Complete |
$445.74
|
| Rate for Payer: BCN Commercial |
$1,089.58
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Mclaren Medicaid |
$424.51
|
| Rate for Payer: Meridian Medicaid |
$445.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,065.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,164.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,164.73
|
| Rate for Payer: UHC Medicaid |
$424.51
|
| Rate for Payer: UHCCP Medicaid |
$424.51
|
|
|
PR RADICAL RESECTION TUMOR RADIUS OR ULNA
|
Professional
|
Both
|
$2,673.00
|
|
|
Service Code
|
HCPCS 25170
|
| Min. Negotiated Rate |
$847.95 |
| Max. Negotiated Rate |
$2,368.33 |
| Rate for Payer: Aetna Commercial |
$1,965.45
|
| Rate for Payer: Aetna Medicare |
$1,336.50
|
| Rate for Payer: BCBS Complete |
$890.35
|
| Rate for Payer: BCN Commercial |
$2,215.52
|
| Rate for Payer: Cash Price |
$2,138.40
|
| Rate for Payer: Cash Price |
$2,138.40
|
| Rate for Payer: Mclaren Medicaid |
$847.95
|
| Rate for Payer: Meridian Medicaid |
$890.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,004.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,368.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,368.33
|
| Rate for Payer: UHC Medicaid |
$847.95
|
| Rate for Payer: UHCCP Medicaid |
$847.95
|
|
|
PR RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS
|
Professional
|
Both
|
$2,383.00
|
|
|
Service Code
|
HCPCS 24150
|
| Min. Negotiated Rate |
$890.98 |
| Max. Negotiated Rate |
$2,490.76 |
| Rate for Payer: Aetna Commercial |
$2,068.51
|
| Rate for Payer: Aetna Medicare |
$1,191.50
|
| Rate for Payer: BCBS Complete |
$935.53
|
| Rate for Payer: BCN Commercial |
$2,330.06
|
| Rate for Payer: Cash Price |
$1,906.40
|
| Rate for Payer: Cash Price |
$1,906.40
|
| Rate for Payer: Mclaren Medicaid |
$890.98
|
| Rate for Payer: Meridian Medicaid |
$935.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,787.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$890.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,490.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,490.76
|
| Rate for Payer: UHC Medicaid |
$890.98
|
| Rate for Payer: UHCCP Medicaid |
$890.98
|
|
|
PR RADICAL STYLOIDECTOMY SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,585.00
|
|
|
Service Code
|
HCPCS 25230
|
| Min. Negotiated Rate |
$263.69 |
| Max. Negotiated Rate |
$1,188.75 |
| Rate for Payer: Aetna Commercial |
$574.91
|
| Rate for Payer: Aetna Medicare |
$792.50
|
| Rate for Payer: BCBS Complete |
$276.87
|
| Rate for Payer: BCN Commercial |
$670.78
|
| Rate for Payer: Cash Price |
$1,268.00
|
| Rate for Payer: Cash Price |
$1,268.00
|
| Rate for Payer: Mclaren Medicaid |
$263.69
|
| Rate for Payer: Meridian Medicaid |
$276.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,188.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$717.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$717.05
|
| Rate for Payer: UHC Medicaid |
$263.69
|
| Rate for Payer: UHCCP Medicaid |
$263.69
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Professional
|
Both
|
$962.00
|
|
|
Service Code
|
HCPCS 64625
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$721.50 |
| Rate for Payer: Aetna Commercial |
$248.15
|
| Rate for Payer: Aetna Medicare |
$481.00
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCN Commercial |
$293.81
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Mclaren Medicaid |
$112.68
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$341.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$341.25
|
| Rate for Payer: UHC Medicaid |
$112.68
|
| Rate for Payer: UHCCP Medicaid |
$112.68
|
|
|
PR RAD RESCJ CAPSL TISS&HTRTPC B1 ELBW CONTRCT RLS
|
Professional
|
Both
|
$2,748.00
|
|
|
Service Code
|
HCPCS 24149
|
| Min. Negotiated Rate |
$695.23 |
| Max. Negotiated Rate |
$2,061.00 |
| Rate for Payer: Aetna Commercial |
$1,566.80
|
| Rate for Payer: Aetna Medicare |
$1,374.00
|
| Rate for Payer: BCBS Complete |
$729.99
|
| Rate for Payer: BCN Commercial |
$1,796.22
|
| Rate for Payer: Cash Price |
$2,198.40
|
| Rate for Payer: Cash Price |
$2,198.40
|
| Rate for Payer: Mclaren Medicaid |
$695.23
|
| Rate for Payer: Meridian Medicaid |
$729.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,061.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$695.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,920.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,920.11
|
| Rate for Payer: UHC Medicaid |
$695.23
|
| Rate for Payer: UHCCP Medicaid |
$695.23
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW <5CM
|
Professional
|
Both
|
$1,902.00
|
|
|
Service Code
|
HCPCS 24077
|
| Min. Negotiated Rate |
$610.88 |
| Max. Negotiated Rate |
$1,656.60 |
| Rate for Payer: Aetna Commercial |
$1,376.78
|
| Rate for Payer: Aetna Medicare |
$951.00
|
| Rate for Payer: BCBS Complete |
$641.42
|
| Rate for Payer: BCN Commercial |
$1,549.72
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Mclaren Medicaid |
$610.88
|
| Rate for Payer: Meridian Medicaid |
$641.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,426.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$610.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,656.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,656.60
|
| Rate for Payer: UHC Medicaid |
$610.88
|
| Rate for Payer: UHCCP Medicaid |
$610.88
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM+
|
Professional
|
Both
|
$3,211.00
|
|
|
Service Code
|
HCPCS 24079
|
| Min. Negotiated Rate |
$781.92 |
| Max. Negotiated Rate |
$2,408.25 |
| Rate for Payer: Aetna Commercial |
$1,771.40
|
| Rate for Payer: Aetna Medicare |
$1,605.50
|
| Rate for Payer: BCBS Complete |
$821.02
|
| Rate for Payer: BCN Commercial |
$2,002.38
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Mclaren Medicaid |
$781.92
|
| Rate for Payer: Meridian Medicaid |
$821.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,408.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,140.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,140.49
|
| Rate for Payer: UHC Medicaid |
$781.92
|
| Rate for Payer: UHCCP Medicaid |
$781.92
|
|
|
PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>
|
Professional
|
Both
|
$4,058.00
|
|
|
Service Code
|
HCPCS 25078
|
| Min. Negotiated Rate |
$690.12 |
| Max. Negotiated Rate |
$3,043.50 |
| Rate for Payer: Aetna Commercial |
$1,555.32
|
| Rate for Payer: Aetna Medicare |
$2,029.00
|
| Rate for Payer: BCBS Complete |
$724.63
|
| Rate for Payer: BCN Commercial |
$1,764.84
|
| Rate for Payer: Cash Price |
$3,246.40
|
| Rate for Payer: Cash Price |
$3,246.40
|
| Rate for Payer: Mclaren Medicaid |
$690.12
|
| Rate for Payer: Meridian Medicaid |
$724.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,043.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$690.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,886.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,886.57
|
| Rate for Payer: UHC Medicaid |
$690.12
|
| Rate for Payer: UHCCP Medicaid |
$690.12
|
|
|
PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>
|
Professional
|
Both
|
$3,614.00
|
|
|
Service Code
|
HCPCS 26118
|
| Min. Negotiated Rate |
$621.11 |
| Max. Negotiated Rate |
$2,710.50 |
| Rate for Payer: Aetna Commercial |
$1,403.39
|
| Rate for Payer: Aetna Medicare |
$1,807.00
|
| Rate for Payer: BCBS Complete |
$652.17
|
| Rate for Payer: BCN Commercial |
$1,602.51
|
| Rate for Payer: Cash Price |
$2,891.20
|
| Rate for Payer: Cash Price |
$2,891.20
|
| Rate for Payer: Mclaren Medicaid |
$621.11
|
| Rate for Payer: Meridian Medicaid |
$652.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,710.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$621.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,713.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,713.03
|
| Rate for Payer: UHC Medicaid |
$621.11
|
| Rate for Payer: UHCCP Medicaid |
$621.11
|
|
|
PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL
|
Professional
|
Both
|
$4,399.00
|
|
|
Service Code
|
HCPCS 27075
|
| Min. Negotiated Rate |
$1,185.13 |
| Max. Negotiated Rate |
$3,345.68 |
| Rate for Payer: Aetna Commercial |
$2,792.00
|
| Rate for Payer: Aetna Medicare |
$2,199.50
|
| Rate for Payer: BCBS Complete |
$1,244.39
|
| Rate for Payer: BCN Commercial |
$3,129.81
|
| Rate for Payer: Cash Price |
$3,519.20
|
| Rate for Payer: Cash Price |
$3,519.20
|
| Rate for Payer: Mclaren Medicaid |
$1,185.13
|
| Rate for Payer: Meridian Medicaid |
$1,244.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,299.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,185.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3,345.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,345.68
|
| Rate for Payer: UHC Medicaid |
$1,185.13
|
| Rate for Payer: UHCCP Medicaid |
$1,185.13
|
|
|
PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER
|
Professional
|
Both
|
$1,695.00
|
|
|
Service Code
|
HCPCS 26260
|
| Min. Negotiated Rate |
$475.63 |
| Max. Negotiated Rate |
$1,299.42 |
| Rate for Payer: Aetna Commercial |
$1,064.51
|
| Rate for Payer: Aetna Medicare |
$847.50
|
| Rate for Payer: BCBS Complete |
$499.41
|
| Rate for Payer: BCN Commercial |
$1,215.57
|
| Rate for Payer: Cash Price |
$1,356.00
|
| Rate for Payer: Cash Price |
$1,356.00
|
| Rate for Payer: Mclaren Medicaid |
$475.63
|
| Rate for Payer: Meridian Medicaid |
$499.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,271.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,299.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,299.42
|
| Rate for Payer: UHC Medicaid |
$475.63
|
| Rate for Payer: UHCCP Medicaid |
$475.63
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>
|
Professional
|
Both
|
$1,810.00
|
|
|
Service Code
|
HCPCS 21016
|
| Min. Negotiated Rate |
$574.89 |
| Max. Negotiated Rate |
$1,618.81 |
| Rate for Payer: Aetna Commercial |
$1,337.87
|
| Rate for Payer: Aetna Medicare |
$905.00
|
| Rate for Payer: BCBS Complete |
$603.63
|
| Rate for Payer: BCN Commercial |
$1,514.36
|
| Rate for Payer: Cash Price |
$1,448.00
|
| Rate for Payer: Cash Price |
$1,448.00
|
| Rate for Payer: Mclaren Medicaid |
$574.89
|
| Rate for Payer: Meridian Medicaid |
$603.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,357.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$574.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,618.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,618.81
|
| Rate for Payer: UHC Medicaid |
$574.89
|
| Rate for Payer: UHCCP Medicaid |
$574.89
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM
|
Professional
|
Both
|
$923.00
|
|
|
Service Code
|
HCPCS 21015
|
| Min. Negotiated Rate |
$407.90 |
| Max. Negotiated Rate |
$1,132.26 |
| Rate for Payer: Aetna Commercial |
$930.36
|
| Rate for Payer: Aetna Medicare |
$461.50
|
| Rate for Payer: BCBS Complete |
$428.30
|
| Rate for Payer: BCN Commercial |
$1,059.21
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Mclaren Medicaid |
$407.90
|
| Rate for Payer: Meridian Medicaid |
$428.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$692.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,132.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,132.26
|
| Rate for Payer: UHC Medicaid |
$407.90
|
| Rate for Payer: UHCCP Medicaid |
$407.90
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>
|
Professional
|
Both
|
$2,493.00
|
|
|
Service Code
|
HCPCS 22905
|
| Min. Negotiated Rate |
$789.17 |
| Max. Negotiated Rate |
$2,145.82 |
| Rate for Payer: Aetna Commercial |
$1,775.84
|
| Rate for Payer: Aetna Medicare |
$1,246.50
|
| Rate for Payer: BCBS Complete |
$828.63
|
| Rate for Payer: BCN Commercial |
$2,007.36
|
| Rate for Payer: Cash Price |
$1,994.40
|
| Rate for Payer: Cash Price |
$1,994.40
|
| Rate for Payer: Mclaren Medicaid |
$789.17
|
| Rate for Payer: Meridian Medicaid |
$828.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,869.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$789.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,145.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,145.82
|
| Rate for Payer: UHC Medicaid |
$789.17
|
| Rate for Payer: UHCCP Medicaid |
$789.17
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM
|
Professional
|
Both
|
$2,198.00
|
|
|
Service Code
|
HCPCS 22904
|
| Min. Negotiated Rate |
$628.35 |
| Max. Negotiated Rate |
$1,681.63 |
| Rate for Payer: Aetna Commercial |
$1,401.18
|
| Rate for Payer: Aetna Medicare |
$1,099.00
|
| Rate for Payer: BCBS Complete |
$659.77
|
| Rate for Payer: BCN Commercial |
$1,573.12
|
| Rate for Payer: Cash Price |
$1,758.40
|
| Rate for Payer: Cash Price |
$1,758.40
|
| Rate for Payer: Mclaren Medicaid |
$628.35
|
| Rate for Payer: Meridian Medicaid |
$659.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,648.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,681.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,681.63
|
| Rate for Payer: UHC Medicaid |
$628.35
|
| Rate for Payer: UHCCP Medicaid |
$628.35
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM
|
Professional
|
Both
|
$3,028.00
|
|
|
Service Code
|
HCPCS 21935
|
| Min. Negotiated Rate |
$609.61 |
| Max. Negotiated Rate |
$2,271.00 |
| Rate for Payer: Aetna Commercial |
$1,374.99
|
| Rate for Payer: Aetna Medicare |
$1,514.00
|
| Rate for Payer: BCBS Complete |
$640.09
|
| Rate for Payer: BCN Commercial |
$1,535.28
|
| Rate for Payer: Cash Price |
$2,422.40
|
| Rate for Payer: Cash Price |
$2,422.40
|
| Rate for Payer: Mclaren Medicaid |
$609.61
|
| Rate for Payer: Meridian Medicaid |
$640.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,271.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,641.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,641.16
|
| Rate for Payer: UHC Medicaid |
$609.61
|
| Rate for Payer: UHCCP Medicaid |
$609.61
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>
|
Professional
|
Both
|
$2,676.00
|
|
|
Service Code
|
HCPCS 21936
|
| Min. Negotiated Rate |
$834.11 |
| Max. Negotiated Rate |
$2,271.45 |
| Rate for Payer: Aetna Commercial |
$1,897.26
|
| Rate for Payer: Aetna Medicare |
$1,338.00
|
| Rate for Payer: BCBS Complete |
$875.82
|
| Rate for Payer: BCN Commercial |
$2,124.88
|
| Rate for Payer: Cash Price |
$2,140.80
|
| Rate for Payer: Cash Price |
$2,140.80
|
| Rate for Payer: Mclaren Medicaid |
$834.11
|
| Rate for Payer: Meridian Medicaid |
$875.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,007.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$834.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,271.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,271.45
|
| Rate for Payer: UHC Medicaid |
$834.11
|
| Rate for Payer: UHCCP Medicaid |
$834.11
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>
|
Professional
|
Both
|
$2,515.00
|
|
|
Service Code
|
HCPCS 28047
|
| Min. Negotiated Rate |
$610.46 |
| Max. Negotiated Rate |
$1,886.25 |
| Rate for Payer: Aetna Commercial |
$1,380.01
|
| Rate for Payer: Aetna Medicare |
$1,257.50
|
| Rate for Payer: BCBS Complete |
$640.98
|
| Rate for Payer: BCN Commercial |
$1,567.64
|
| Rate for Payer: Cash Price |
$2,012.00
|
| Rate for Payer: Cash Price |
$2,012.00
|
| Rate for Payer: Mclaren Medicaid |
$610.46
|
| Rate for Payer: Meridian Medicaid |
$640.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,886.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$610.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,675.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,675.77
|
| Rate for Payer: UHC Medicaid |
$610.46
|
| Rate for Payer: UHCCP Medicaid |
$610.46
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>
|
Professional
|
Both
|
$2,382.00
|
|
|
Service Code
|
HCPCS 27616
|
| Min. Negotiated Rate |
$738.90 |
| Max. Negotiated Rate |
$2,011.13 |
| Rate for Payer: Aetna Commercial |
$1,701.80
|
| Rate for Payer: Aetna Medicare |
$1,191.00
|
| Rate for Payer: BCBS Complete |
$775.85
|
| Rate for Payer: BCN Commercial |
$1,881.37
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Mclaren Medicaid |
$738.90
|
| Rate for Payer: Meridian Medicaid |
$775.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,786.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$738.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,011.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,011.13
|
| Rate for Payer: UHC Medicaid |
$738.90
|
| Rate for Payer: UHCCP Medicaid |
$738.90
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM
|
Professional
|
Both
|
$2,113.00
|
|
|
Service Code
|
HCPCS 23077
|
| Min. Negotiated Rate |
$670.52 |
| Max. Negotiated Rate |
$1,825.35 |
| Rate for Payer: Aetna Commercial |
$1,518.73
|
| Rate for Payer: Aetna Medicare |
$1,056.50
|
| Rate for Payer: BCBS Complete |
$704.05
|
| Rate for Payer: BCN Commercial |
$1,707.58
|
| Rate for Payer: Cash Price |
$1,690.40
|
| Rate for Payer: Cash Price |
$1,690.40
|
| Rate for Payer: Mclaren Medicaid |
$670.52
|
| Rate for Payer: Meridian Medicaid |
$704.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,584.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,825.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,825.35
|
| Rate for Payer: UHC Medicaid |
$670.52
|
| Rate for Payer: UHCCP Medicaid |
$670.52
|
|
