|
PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY
|
Professional
|
Both
|
$451.00
|
|
|
Service Code
|
HCPCS 33241
|
| Min. Negotiated Rate |
$126.10 |
| Max. Negotiated Rate |
$342.73 |
| Rate for Payer: Aetna Commercial |
$287.03
|
| Rate for Payer: Aetna Medicare |
$225.50
|
| Rate for Payer: BCBS Complete |
$132.41
|
| Rate for Payer: BCN Commercial |
$318.70
|
| Rate for Payer: Cash Price |
$360.80
|
| Rate for Payer: Cash Price |
$360.80
|
| Rate for Payer: Mclaren Medicaid |
$126.10
|
| Rate for Payer: Meridian Medicaid |
$132.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$338.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$342.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$342.73
|
| Rate for Payer: UHC Medicaid |
$126.10
|
| Rate for Payer: UHCCP Medicaid |
$126.10
|
|
|
PR REMOVAL IMPLANT DEEP
|
Professional
|
Both
|
$1,118.00
|
|
|
Service Code
|
HCPCS 20680
|
| Min. Negotiated Rate |
$251.55 |
| Max. Negotiated Rate |
$838.50 |
| Rate for Payer: Aetna Commercial |
$557.80
|
| Rate for Payer: Aetna Medicare |
$559.00
|
| Rate for Payer: BCBS Complete |
$264.13
|
| Rate for Payer: BCN Commercial |
$637.42
|
| Rate for Payer: Cash Price |
$894.40
|
| Rate for Payer: Cash Price |
$894.40
|
| Rate for Payer: Mclaren Medicaid |
$251.55
|
| Rate for Payer: Meridian Medicaid |
$264.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$838.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$251.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$681.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$681.39
|
| Rate for Payer: UHC Medicaid |
$251.55
|
| Rate for Payer: UHCCP Medicaid |
$251.55
|
|
|
PR REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP
|
Professional
|
Both
|
$858.00
|
|
|
Service Code
|
HCPCS 36262
|
| Min. Negotiated Rate |
$201.71 |
| Max. Negotiated Rate |
$643.50 |
| Rate for Payer: Aetna Commercial |
$417.45
|
| Rate for Payer: Aetna Medicare |
$429.00
|
| Rate for Payer: BCBS Complete |
$211.80
|
| Rate for Payer: BCN Commercial |
$478.07
|
| Rate for Payer: Cash Price |
$686.40
|
| Rate for Payer: Cash Price |
$686.40
|
| Rate for Payer: Mclaren Medicaid |
$201.71
|
| Rate for Payer: Meridian Medicaid |
$211.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$643.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$201.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$514.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$514.10
|
| Rate for Payer: UHC Medicaid |
$201.71
|
| Rate for Payer: UHCCP Medicaid |
$201.71
|
|
|
PR REMOVAL IMPLANT FROM FINGER/HAND
|
Professional
|
Both
|
$1,075.00
|
|
|
Service Code
|
HCPCS 26320
|
| Min. Negotiated Rate |
$215.34 |
| Max. Negotiated Rate |
$806.25 |
| Rate for Payer: Aetna Commercial |
$463.71
|
| Rate for Payer: Aetna Medicare |
$537.50
|
| Rate for Payer: BCBS Complete |
$226.11
|
| Rate for Payer: BCN Commercial |
$541.31
|
| Rate for Payer: Cash Price |
$860.00
|
| Rate for Payer: Cash Price |
$860.00
|
| Rate for Payer: Mclaren Medicaid |
$215.34
|
| Rate for Payer: Meridian Medicaid |
$226.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$806.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$578.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$578.65
|
| Rate for Payer: UHC Medicaid |
$215.34
|
| Rate for Payer: UHCCP Medicaid |
$215.34
|
|
|
PR REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$947.00
|
|
|
Service Code
|
HCPCS 20670
|
| Min. Negotiated Rate |
$89.25 |
| Max. Negotiated Rate |
$710.25 |
| Rate for Payer: Aetna Commercial |
$190.75
|
| Rate for Payer: Aetna Medicare |
$473.50
|
| Rate for Payer: BCBS Complete |
$93.71
|
| Rate for Payer: BCN Commercial |
$173.57
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Cash Price |
$757.60
|
| Rate for Payer: Mclaren Medicaid |
$89.25
|
| Rate for Payer: Meridian Medicaid |
$93.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$710.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$235.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.29
|
| Rate for Payer: UHC Medicaid |
$89.25
|
| Rate for Payer: UHCCP Medicaid |
$89.25
|
|
|
PR REMOVAL INDWELLING URETERAL STENT PRQ
|
Professional
|
Both
|
$1,746.00
|
|
|
Service Code
|
HCPCS 50384
|
| Min. Negotiated Rate |
$125.24 |
| Max. Negotiated Rate |
$1,309.50 |
| Rate for Payer: Aetna Commercial |
$294.10
|
| Rate for Payer: Aetna Medicare |
$873.00
|
| Rate for Payer: BCBS Complete |
$131.50
|
| Rate for Payer: BCN Commercial |
$332.15
|
| Rate for Payer: Cash Price |
$1,396.80
|
| Rate for Payer: Cash Price |
$1,396.80
|
| Rate for Payer: Mclaren Medicaid |
$125.24
|
| Rate for Payer: Meridian Medicaid |
$131.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,309.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$361.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$361.82
|
| Rate for Payer: UHC Medicaid |
$125.24
|
| Rate for Payer: UHCCP Medicaid |
$125.24
|
|
|
PR REMOVAL INTACT BREAST IMPLANT
|
Professional
|
Both
|
$1,576.00
|
|
|
Service Code
|
HCPCS 19328
|
| Min. Negotiated Rate |
$327.38 |
| Max. Negotiated Rate |
$1,182.00 |
| Rate for Payer: Aetna Commercial |
$597.87
|
| Rate for Payer: Aetna Medicare |
$788.00
|
| Rate for Payer: BCBS Complete |
$343.75
|
| Rate for Payer: BCN Commercial |
$841.58
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Cash Price |
$1,260.80
|
| Rate for Payer: Mclaren Medicaid |
$327.38
|
| Rate for Payer: Meridian Medicaid |
$343.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,182.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$770.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.28
|
| Rate for Payer: UHC Medicaid |
$327.38
|
| Rate for Payer: UHCCP Medicaid |
$327.38
|
|
|
PR REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ
|
Professional
|
Both
|
$99.00
|
|
|
Service Code
|
HCPCS 33968
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$74.25 |
| Rate for Payer: Aetna Commercial |
$45.62
|
| Rate for Payer: Aetna Medicare |
$49.50
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCN Commercial |
$49.80
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Cash Price |
$79.20
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$74.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$53.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$53.56
|
| Rate for Payer: UHC Medicaid |
$18.96
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
|
PR REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE
|
Professional
|
Both
|
$264.00
|
|
|
Service Code
|
HCPCS 20705
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$198.03 |
| Rate for Payer: Aetna Commercial |
$161.32
|
| Rate for Payer: Aetna Medicare |
$132.00
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCN Commercial |
$185.25
|
| Rate for Payer: Cash Price |
$211.20
|
| Rate for Payer: Cash Price |
$211.20
|
| Rate for Payer: Mclaren Medicaid |
$67.73
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$198.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.03
|
| Rate for Payer: UHC Medicaid |
$67.73
|
| Rate for Payer: UHCCP Medicaid |
$67.73
|
|
|
PR REMOVAL INTRAUTERINE DEVICE IUD
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 58301
|
| Min. Negotiated Rate |
$36.85 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: Aetna Commercial |
$80.07
|
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: BCBS Complete |
$38.69
|
| Rate for Payer: BCN Commercial |
$77.75
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Mclaren Medicaid |
$36.85
|
| Rate for Payer: Meridian Medicaid |
$38.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$99.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.87
|
| Rate for Payer: UHC Medicaid |
$36.85
|
| Rate for Payer: UHCCP Medicaid |
$36.85
|
|
|
PR REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA
|
Professional
|
Both
|
$6,285.00
|
|
|
Service Code
|
HCPCS 32442
|
| Min. Negotiated Rate |
$1,802.41 |
| Max. Negotiated Rate |
$4,713.75 |
| Rate for Payer: Aetna Commercial |
$3,956.55
|
| Rate for Payer: Aetna Medicare |
$3,142.50
|
| Rate for Payer: BCBS Complete |
$1,892.53
|
| Rate for Payer: BCN Commercial |
$4,482.83
|
| Rate for Payer: Cash Price |
$5,028.00
|
| Rate for Payer: Cash Price |
$5,028.00
|
| Rate for Payer: Mclaren Medicaid |
$1,802.41
|
| Rate for Payer: Meridian Medicaid |
$1,892.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,713.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,802.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4,221.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,221.49
|
| Rate for Payer: UHC Medicaid |
$1,802.41
|
| Rate for Payer: UHCCP Medicaid |
$1,802.41
|
|
|
PR REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
|
Professional
|
Both
|
$262.00
|
|
|
Service Code
|
HCPCS 11982
|
| Min. Negotiated Rate |
$40.26 |
| Max. Negotiated Rate |
$196.50 |
| Rate for Payer: Aetna Commercial |
$82.16
|
| Rate for Payer: Aetna Medicare |
$131.00
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: BCN Commercial |
$108.56
|
| Rate for Payer: Cash Price |
$209.60
|
| Rate for Payer: Cash Price |
$209.60
|
| Rate for Payer: Mclaren Medicaid |
$40.26
|
| Rate for Payer: Meridian Medicaid |
$42.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$196.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$99.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.37
|
| Rate for Payer: UHC Medicaid |
$40.26
|
| Rate for Payer: UHCCP Medicaid |
$40.26
|
|
|
PR REMOVAL OF LUNG PNEUMONECTOMY
|
Professional
|
Both
|
$5,668.00
|
|
|
Service Code
|
HCPCS 32440
|
| Min. Negotiated Rate |
$949.98 |
| Max. Negotiated Rate |
$4,251.00 |
| Rate for Payer: Aetna Commercial |
$2,027.10
|
| Rate for Payer: Aetna Medicare |
$2,834.00
|
| Rate for Payer: BCBS Complete |
$997.48
|
| Rate for Payer: BCN Commercial |
$2,320.60
|
| Rate for Payer: Cash Price |
$4,534.40
|
| Rate for Payer: Cash Price |
$4,534.40
|
| Rate for Payer: Mclaren Medicaid |
$949.98
|
| Rate for Payer: Meridian Medicaid |
$997.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,251.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$949.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,185.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,185.31
|
| Rate for Payer: UHC Medicaid |
$949.98
|
| Rate for Payer: UHCCP Medicaid |
$949.98
|
|
|
PR REMOVAL OF SUTURES
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS S0630
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$38.34 |
| Rate for Payer: Aetna Commercial |
$27.32
|
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCN Commercial |
$38.34
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
|
|
PR REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY
|
Professional
|
Both
|
$2,325.00
|
|
|
Service Code
|
HCPCS 49402
|
| Min. Negotiated Rate |
$509.92 |
| Max. Negotiated Rate |
$1,743.75 |
| Rate for Payer: Aetna Commercial |
$1,153.44
|
| Rate for Payer: Aetna Medicare |
$1,162.50
|
| Rate for Payer: BCBS Complete |
$535.42
|
| Rate for Payer: BCN Commercial |
$1,289.27
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Mclaren Medicaid |
$509.92
|
| Rate for Payer: Meridian Medicaid |
$535.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,743.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$509.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,570.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,570.89
|
| Rate for Payer: UHC Medicaid |
$509.92
|
| Rate for Payer: UHCCP Medicaid |
$509.92
|
|
|
PR REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY
|
Professional
|
Both
|
$654.00
|
|
|
Service Code
|
HCPCS 33233
|
| Min. Negotiated Rate |
$135.47 |
| Max. Negotiated Rate |
$490.50 |
| Rate for Payer: Aetna Commercial |
$309.82
|
| Rate for Payer: Aetna Medicare |
$327.00
|
| Rate for Payer: BCBS Complete |
$142.24
|
| Rate for Payer: BCN Commercial |
$345.59
|
| Rate for Payer: Cash Price |
$523.20
|
| Rate for Payer: Cash Price |
$523.20
|
| Rate for Payer: Mclaren Medicaid |
$135.47
|
| Rate for Payer: Meridian Medicaid |
$142.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$490.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$371.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$371.64
|
| Rate for Payer: UHC Medicaid |
$135.47
|
| Rate for Payer: UHCCP Medicaid |
$135.47
|
|
|
PR REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ
|
Professional
|
Both
|
$580.00
|
|
|
Service Code
|
HCPCS 33992
|
| Min. Negotiated Rate |
$105.22 |
| Max. Negotiated Rate |
$435.00 |
| Rate for Payer: Aetna Commercial |
$252.98
|
| Rate for Payer: Aetna Medicare |
$290.00
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCN Commercial |
$274.39
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Mclaren Medicaid |
$105.22
|
| Rate for Payer: Meridian Medicaid |
$110.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$435.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$295.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.07
|
| Rate for Payer: UHC Medicaid |
$105.22
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
|
|
PR REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ
|
Professional
|
Both
|
$315.00
|
|
|
Service Code
|
HCPCS 33997
|
| Min. Negotiated Rate |
$89.03 |
| Max. Negotiated Rate |
$253.30 |
| Rate for Payer: Aetna Commercial |
$217.15
|
| Rate for Payer: Aetna Medicare |
$157.50
|
| Rate for Payer: BCBS Complete |
$93.48
|
| Rate for Payer: BCN Commercial |
$235.55
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Cash Price |
$252.00
|
| Rate for Payer: Mclaren Medicaid |
$89.03
|
| Rate for Payer: Meridian Medicaid |
$93.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$236.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$253.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$253.30
|
| Rate for Payer: UHC Medicaid |
$89.03
|
| Rate for Payer: UHCCP Medicaid |
$89.03
|
|
|
PR REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION
|
Professional
|
Both
|
$2,165.00
|
|
|
Service Code
|
HCPCS 22850
|
| Min. Negotiated Rate |
$457.10 |
| Max. Negotiated Rate |
$1,623.75 |
| Rate for Payer: Aetna Commercial |
$979.88
|
| Rate for Payer: Aetna Medicare |
$1,082.50
|
| Rate for Payer: BCBS Complete |
$479.95
|
| Rate for Payer: BCN Commercial |
$1,125.44
|
| Rate for Payer: Cash Price |
$1,732.00
|
| Rate for Payer: Cash Price |
$1,732.00
|
| Rate for Payer: Mclaren Medicaid |
$457.10
|
| Rate for Payer: Meridian Medicaid |
$479.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,623.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,203.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,203.06
|
| Rate for Payer: UHC Medicaid |
$457.10
|
| Rate for Payer: UHCCP Medicaid |
$457.10
|
|
|
PR REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION
|
Professional
|
Both
|
$2,299.00
|
|
|
Service Code
|
HCPCS 22852
|
| Min. Negotiated Rate |
$441.34 |
| Max. Negotiated Rate |
$1,724.25 |
| Rate for Payer: Aetna Commercial |
$941.89
|
| Rate for Payer: Aetna Medicare |
$1,149.50
|
| Rate for Payer: BCBS Complete |
$463.41
|
| Rate for Payer: BCN Commercial |
$1,083.11
|
| Rate for Payer: Cash Price |
$1,839.20
|
| Rate for Payer: Cash Price |
$1,839.20
|
| Rate for Payer: Mclaren Medicaid |
$441.34
|
| Rate for Payer: Meridian Medicaid |
$463.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,724.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,157.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,157.82
|
| Rate for Payer: UHC Medicaid |
$441.34
|
| Rate for Payer: UHCCP Medicaid |
$441.34
|
|
|
PR REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM
|
Professional
|
Both
|
$976.00
|
|
|
Service Code
|
HCPCS 23333
|
| Min. Negotiated Rate |
$293.09 |
| Max. Negotiated Rate |
$780.92 |
| Rate for Payer: Aetna Commercial |
$630.21
|
| Rate for Payer: Aetna Medicare |
$488.00
|
| Rate for Payer: BCBS Complete |
$307.74
|
| Rate for Payer: BCN Commercial |
$730.53
|
| Rate for Payer: Cash Price |
$780.80
|
| Rate for Payer: Cash Price |
$780.80
|
| Rate for Payer: Mclaren Medicaid |
$293.09
|
| Rate for Payer: Meridian Medicaid |
$307.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$732.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$293.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$780.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$780.92
|
| Rate for Payer: UHC Medicaid |
$293.09
|
| Rate for Payer: UHCCP Medicaid |
$293.09
|
|
|
PR REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR
|
Professional
|
Both
|
$276.00
|
|
|
Service Code
|
HCPCS 33286
|
| Min. Negotiated Rate |
$47.71 |
| Max. Negotiated Rate |
$207.00 |
| Rate for Payer: Aetna Commercial |
$116.81
|
| Rate for Payer: Aetna Medicare |
$138.00
|
| Rate for Payer: BCBS Complete |
$50.10
|
| Rate for Payer: BCN Commercial |
$125.99
|
| Rate for Payer: Cash Price |
$220.80
|
| Rate for Payer: Cash Price |
$220.80
|
| Rate for Payer: Mclaren Medicaid |
$47.71
|
| Rate for Payer: Meridian Medicaid |
$50.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$207.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$135.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$135.49
|
| Rate for Payer: UHC Medicaid |
$47.71
|
| Rate for Payer: UHCCP Medicaid |
$47.71
|
|
|
PR REMOVAL SUTURES&STAPLES NOT REQUIRING ANESTHESIA
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
HCPCS 15854
|
| Min. Negotiated Rate |
$16.42 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Aetna Commercial |
$16.42
|
| Rate for Payer: Aetna Medicare |
$23.00
|
| Rate for Payer: BCN Commercial |
$21.41
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.60
|
|
|
PR REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 15853
|
| Min. Negotiated Rate |
$11.61 |
| Max. Negotiated Rate |
$24.75 |
| Rate for Payer: Aetna Commercial |
$11.61
|
| Rate for Payer: Aetna Medicare |
$16.50
|
| Rate for Payer: BCN Commercial |
$16.93
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.50
|
|
|
PR REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA
|
Professional
|
Both
|
$165.00
|
|
|
Service Code
|
HCPCS 15851
|
| Min. Negotiated Rate |
$37.28 |
| Max. Negotiated Rate |
$123.75 |
| Rate for Payer: Aetna Commercial |
$49.70
|
| Rate for Payer: Aetna Medicare |
$82.50
|
| Rate for Payer: BCBS Complete |
$39.14
|
| Rate for Payer: BCN Commercial |
$98.10
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Cash Price |
$132.00
|
| Rate for Payer: Mclaren Medicaid |
$37.28
|
| Rate for Payer: Meridian Medicaid |
$39.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$89.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.79
|
| Rate for Payer: UHC Medicaid |
$37.28
|
| Rate for Payer: UHCCP Medicaid |
$37.28
|
|
