|
PR RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC
|
Professional
|
Both
|
$3,986.00
|
|
|
Service Code
|
HCPCS 23420
|
| Hospital Charge Code |
23420
|
| Min. Negotiated Rate |
$120.13 |
| Max. Negotiated Rate |
$2,590.90 |
| Rate for Payer: Aetna Commercial |
$1,260.56
|
| Rate for Payer: Aetna Medicare |
$978.35
|
| Rate for Payer: BCBS Complete |
$666.70
|
| Rate for Payer: BCBS MAPPO |
$940.72
|
| Rate for Payer: BCBS Trust/PPO |
$120.13
|
| Rate for Payer: BCN Commercial |
$1,576.02
|
| Rate for Payer: BCN Medicare Advantage |
$940.72
|
| Rate for Payer: Cash Price |
$3,188.80
|
| Rate for Payer: Cash Price |
$3,188.80
|
| Rate for Payer: Cofinity Commercial |
$1,354.64
|
| Rate for Payer: Cofinity Commercial |
$1,260.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$940.72
|
| Rate for Payer: Mclaren Medicaid |
$634.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$987.76
|
| Rate for Payer: Meridian Medicaid |
$666.70
|
| Rate for Payer: Nomi Health Commercial |
$1,128.86
|
| Rate for Payer: PACE SWMI |
$940.72
|
| Rate for Payer: PHP Medicare Advantage |
$940.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$634.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,590.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,502.67
|
| Rate for Payer: Priority Health Medicare |
$950.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,502.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$940.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$940.72
|
| Rate for Payer: UHC Exchange |
$940.72
|
| Rate for Payer: UHC Medicare Advantage |
$940.72
|
| Rate for Payer: UHCCP Medicaid |
$634.95
|
|
|
PR RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC
|
Facility
|
OP
|
$3,986.00
|
|
|
Service Code
|
CPT 23420
|
| Hospital Charge Code |
23420
|
| Min. Negotiated Rate |
$946.68 |
| Max. Negotiated Rate |
$5,313.85 |
| Rate for Payer: Aetna Commercial |
$3,388.10
|
| Rate for Payer: Aetna Medicare |
$1,036.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,245.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,245.62
|
| Rate for Payer: BCBS Complete |
$5,313.85
|
| Rate for Payer: BCBS MAPPO |
$996.50
|
| Rate for Payer: BCBS Trust/PPO |
$3,276.89
|
| Rate for Payer: BCN Commercial |
$3,099.12
|
| Rate for Payer: BCN Medicare Advantage |
$996.50
|
| Rate for Payer: Cash Price |
$3,188.80
|
| Rate for Payer: Cash Price |
$3,188.80
|
| Rate for Payer: Cofinity Commercial |
$3,427.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,188.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$996.50
|
| Rate for Payer: Healthscope Commercial |
$3,587.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,989.50
|
| Rate for Payer: Mclaren Medicaid |
$5,060.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,046.32
|
| Rate for Payer: Meridian Medicaid |
$5,313.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,145.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,388.10
|
| Rate for Payer: Nomi Health Commercial |
$3,268.52
|
| Rate for Payer: PACE Senior Care Partners |
$946.68
|
| Rate for Payer: PACE SWMI |
$996.50
|
| Rate for Payer: PHP Commercial |
$3,388.10
|
| Rate for Payer: PHP Medicare Advantage |
$996.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,060.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,590.90
|
| Rate for Payer: Priority Health HMO/PPO |
$3,467.82
|
| Rate for Payer: Priority Health Medicare |
$1,006.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,670.62
|
| Rate for Payer: Railroad Medicare Medicare |
$996.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,507.68
|
| Rate for Payer: UHC Core |
$3,328.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$996.50
|
| Rate for Payer: UHC Exchange |
$996.50
|
| Rate for Payer: UHC Medicare Advantage |
$996.50
|
| Rate for Payer: UHCCP Medicaid |
$5,060.48
|
| Rate for Payer: VA VA |
$996.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,989.50
|
|
|
PR RECONSTRUCTION TOE POLYDACTYLY
|
Professional
|
Both
|
$825.00
|
|
|
Service Code
|
HCPCS 28344
|
| Min. Negotiated Rate |
$181.69 |
| Max. Negotiated Rate |
$2,741.35 |
| Rate for Payer: Aetna Commercial |
$357.77
|
| Rate for Payer: Aetna Medicare |
$277.67
|
| Rate for Payer: BCBS Complete |
$190.77
|
| Rate for Payer: BCBS MAPPO |
$266.99
|
| Rate for Payer: BCBS Trust/PPO |
$2,741.35
|
| Rate for Payer: BCN Commercial |
$607.43
|
| Rate for Payer: BCN Medicare Advantage |
$266.99
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cash Price |
$660.00
|
| Rate for Payer: Cofinity Commercial |
$384.47
|
| Rate for Payer: Cofinity Commercial |
$357.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$266.99
|
| Rate for Payer: Mclaren Medicaid |
$181.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$280.34
|
| Rate for Payer: Meridian Medicaid |
$190.77
|
| Rate for Payer: Nomi Health Commercial |
$320.39
|
| Rate for Payer: PACE SWMI |
$266.99
|
| Rate for Payer: PHP Medicare Advantage |
$266.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$536.25
|
| Rate for Payer: Priority Health HMO/PPO |
$430.49
|
| Rate for Payer: Priority Health Medicare |
$269.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$430.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$266.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$266.99
|
| Rate for Payer: UHC Exchange |
$266.99
|
| Rate for Payer: UHC Medicare Advantage |
$266.99
|
| Rate for Payer: UHCCP Medicaid |
$181.69
|
|
|
PR RECONSTRUCTION VENA CAVA ANY METHOD
|
Professional
|
Both
|
$2,399.00
|
|
|
Service Code
|
HCPCS 34502
|
| Min. Negotiated Rate |
$972.77 |
| Max. Negotiated Rate |
$2,424.05 |
| Rate for Payer: Aetna Commercial |
$1,982.96
|
| Rate for Payer: Aetna Medicare |
$1,539.01
|
| Rate for Payer: BCBS Complete |
$1,021.41
|
| Rate for Payer: BCBS MAPPO |
$1,479.82
|
| Rate for Payer: BCBS Trust/PPO |
$2,399.01
|
| Rate for Payer: BCN Commercial |
$2,200.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,479.82
|
| Rate for Payer: Cash Price |
$1,919.20
|
| Rate for Payer: Cash Price |
$1,919.20
|
| Rate for Payer: Cofinity Commercial |
$2,130.94
|
| Rate for Payer: Cofinity Commercial |
$1,982.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,479.82
|
| Rate for Payer: Mclaren Medicaid |
$972.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,553.81
|
| Rate for Payer: Meridian Medicaid |
$1,021.41
|
| Rate for Payer: Nomi Health Commercial |
$1,775.78
|
| Rate for Payer: PACE SWMI |
$1,479.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,479.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$972.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,559.35
|
| Rate for Payer: Priority Health HMO/PPO |
$2,424.05
|
| Rate for Payer: Priority Health Medicare |
$1,494.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,424.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,479.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,479.82
|
| Rate for Payer: UHC Exchange |
$1,479.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,479.82
|
| Rate for Payer: UHCCP Medicaid |
$972.77
|
|
|
PR RECTAL SESATION TONE & COMPLIANCE TEST
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 91120
|
| Min. Negotiated Rate |
$30.25 |
| Max. Negotiated Rate |
$1,003.77 |
| Rate for Payer: Aetna Commercial |
$569.75
|
| Rate for Payer: Aetna Commercial |
$569.75
|
| Rate for Payer: Aetna Medicare |
$442.20
|
| Rate for Payer: Aetna Medicare |
$442.20
|
| Rate for Payer: BCBS Complete |
$31.76
|
| Rate for Payer: BCBS Complete |
$31.76
|
| Rate for Payer: BCBS MAPPO |
$425.19
|
| Rate for Payer: BCBS MAPPO |
$425.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,003.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,003.77
|
| Rate for Payer: BCN Commercial |
$748.66
|
| Rate for Payer: BCN Commercial |
$748.66
|
| Rate for Payer: BCN Medicare Advantage |
$425.19
|
| Rate for Payer: BCN Medicare Advantage |
$425.19
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$568.00
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cofinity Commercial |
$569.75
|
| Rate for Payer: Cofinity Commercial |
$612.27
|
| Rate for Payer: Cofinity Commercial |
$569.75
|
| Rate for Payer: Cofinity Commercial |
$612.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$425.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$425.19
|
| Rate for Payer: Mclaren Medicaid |
$30.25
|
| Rate for Payer: Mclaren Medicaid |
$30.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$446.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$446.45
|
| Rate for Payer: Meridian Medicaid |
$31.76
|
| Rate for Payer: Meridian Medicaid |
$31.76
|
| Rate for Payer: Nomi Health Commercial |
$510.23
|
| Rate for Payer: Nomi Health Commercial |
$510.23
|
| Rate for Payer: PACE SWMI |
$425.19
|
| Rate for Payer: PACE SWMI |
$425.19
|
| Rate for Payer: PHP Medicare Advantage |
$425.19
|
| Rate for Payer: PHP Medicare Advantage |
$425.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$461.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.80
|
| Rate for Payer: Priority Health HMO/PPO |
$64.23
|
| Rate for Payer: Priority Health HMO/PPO |
$64.23
|
| Rate for Payer: Priority Health Medicare |
$429.44
|
| Rate for Payer: Priority Health Medicare |
$429.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$64.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$425.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$425.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$425.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$425.19
|
| Rate for Payer: UHC Exchange |
$425.19
|
| Rate for Payer: UHC Exchange |
$425.19
|
| Rate for Payer: UHC Medicare Advantage |
$425.19
|
| Rate for Payer: UHC Medicare Advantage |
$425.19
|
| Rate for Payer: UHCCP Medicaid |
$30.25
|
| Rate for Payer: UHCCP Medicaid |
$30.25
|
|
|
PR RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
|
Professional
|
Both
|
$1,793.00
|
|
|
Service Code
|
HCPCS 0184T
|
| Min. Negotiated Rate |
$25.64 |
| Max. Negotiated Rate |
$4,847.67 |
| Rate for Payer: Aetna Commercial |
$771.30
|
| Rate for Payer: Aetna Medicare |
$896.50
|
| Rate for Payer: BCBS Complete |
$717.20
|
| Rate for Payer: BCBS Trust/PPO |
$25.64
|
| Rate for Payer: BCN Commercial |
$4,847.67
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,238.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,238.26
|
|
|
PR REGION IV LOCAL ANESTH,UPPER/LOWER EXT
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS 01995
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.25 |
| Rate for Payer: Aetna Medicare |
$2.50
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.25
|
|
|
PR REIMPLANTATION ANOMALOUS PULMONARY ARTERY
|
Professional
|
Both
|
$6,703.00
|
|
|
Service Code
|
HCPCS 33788
|
| Min. Negotiated Rate |
$965.96 |
| Max. Negotiated Rate |
$4,356.95 |
| Rate for Payer: Aetna Commercial |
$1,972.69
|
| Rate for Payer: Aetna Medicare |
$1,531.05
|
| Rate for Payer: BCBS Complete |
$1,014.26
|
| Rate for Payer: BCBS MAPPO |
$1,472.16
|
| Rate for Payer: BCBS Trust/PPO |
$1,462.33
|
| Rate for Payer: BCN Commercial |
$2,201.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,472.16
|
| Rate for Payer: Cash Price |
$5,362.40
|
| Rate for Payer: Cash Price |
$5,362.40
|
| Rate for Payer: Cofinity Commercial |
$2,119.91
|
| Rate for Payer: Cofinity Commercial |
$1,972.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,472.16
|
| Rate for Payer: Mclaren Medicaid |
$965.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,545.77
|
| Rate for Payer: Meridian Medicaid |
$1,014.26
|
| Rate for Payer: Nomi Health Commercial |
$1,766.59
|
| Rate for Payer: PACE SWMI |
$1,472.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,472.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$965.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,356.95
|
| Rate for Payer: Priority Health HMO/PPO |
$2,404.91
|
| Rate for Payer: Priority Health Medicare |
$1,486.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,404.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,472.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,472.16
|
| Rate for Payer: UHC Exchange |
$1,472.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,472.16
|
| Rate for Payer: UHCCP Medicaid |
$965.96
|
|
|
PR REINSERTION SPINAL FIXATION DEVICE
|
Professional
|
Both
|
$5,000.00
|
|
|
Service Code
|
HCPCS 22849
|
| Min. Negotiated Rate |
$136.69 |
| Max. Negotiated Rate |
$3,250.00 |
| Rate for Payer: Aetna Commercial |
$1,709.80
|
| Rate for Payer: Aetna Medicare |
$1,327.01
|
| Rate for Payer: BCBS Complete |
$889.68
|
| Rate for Payer: BCBS MAPPO |
$1,275.97
|
| Rate for Payer: BCBS Trust/PPO |
$136.69
|
| Rate for Payer: BCN Commercial |
$2,110.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,275.97
|
| Rate for Payer: Cash Price |
$4,000.00
|
| Rate for Payer: Cash Price |
$4,000.00
|
| Rate for Payer: Cofinity Commercial |
$1,837.40
|
| Rate for Payer: Cofinity Commercial |
$1,709.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,275.97
|
| Rate for Payer: Mclaren Medicaid |
$847.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,339.77
|
| Rate for Payer: Meridian Medicaid |
$889.68
|
| Rate for Payer: Nomi Health Commercial |
$1,531.16
|
| Rate for Payer: PACE SWMI |
$1,275.97
|
| Rate for Payer: PHP Medicare Advantage |
$1,275.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,250.00
|
| Rate for Payer: Priority Health HMO/PPO |
$2,011.52
|
| Rate for Payer: Priority Health Medicare |
$1,288.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,011.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,275.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,275.97
|
| Rate for Payer: UHC Exchange |
$1,275.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,275.97
|
| Rate for Payer: UHCCP Medicaid |
$847.31
|
|
|
PR RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 26593
|
| Min. Negotiated Rate |
$390.41 |
| Max. Negotiated Rate |
$998.89 |
| Rate for Payer: Aetna Commercial |
$804.88
|
| Rate for Payer: Aetna Medicare |
$624.69
|
| Rate for Payer: BCBS Complete |
$437.24
|
| Rate for Payer: BCBS MAPPO |
$600.66
|
| Rate for Payer: BCBS Trust/PPO |
$390.41
|
| Rate for Payer: BCN Commercial |
$960.74
|
| Rate for Payer: BCN Medicare Advantage |
$600.66
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$864.95
|
| Rate for Payer: Cofinity Commercial |
$804.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$600.66
|
| Rate for Payer: Mclaren Medicaid |
$416.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$630.69
|
| Rate for Payer: Meridian Medicaid |
$437.24
|
| Rate for Payer: Nomi Health Commercial |
$720.79
|
| Rate for Payer: PACE SWMI |
$600.66
|
| Rate for Payer: PHP Medicare Advantage |
$600.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$416.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health HMO/PPO |
$998.89
|
| Rate for Payer: Priority Health Medicare |
$606.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$998.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$600.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$600.66
|
| Rate for Payer: UHC Exchange |
$600.66
|
| Rate for Payer: UHC Medicare Advantage |
$600.66
|
| Rate for Payer: UHCCP Medicaid |
$416.42
|
|
|
PR RELEASE/RECESSION HAMSTRING PROXIMAL
|
Professional
|
Both
|
$2,326.00
|
|
|
Service Code
|
HCPCS 27097
|
| Min. Negotiated Rate |
$447.30 |
| Max. Negotiated Rate |
$1,511.90 |
| Rate for Payer: Aetna Commercial |
$886.56
|
| Rate for Payer: Aetna Medicare |
$688.07
|
| Rate for Payer: BCBS Complete |
$469.66
|
| Rate for Payer: BCBS MAPPO |
$661.61
|
| Rate for Payer: BCBS Trust/PPO |
$828.90
|
| Rate for Payer: BCN Commercial |
$1,008.63
|
| Rate for Payer: BCN Medicare Advantage |
$661.61
|
| Rate for Payer: Cash Price |
$1,860.80
|
| Rate for Payer: Cash Price |
$1,860.80
|
| Rate for Payer: Cofinity Commercial |
$952.72
|
| Rate for Payer: Cofinity Commercial |
$886.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$661.61
|
| Rate for Payer: Mclaren Medicaid |
$447.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$694.69
|
| Rate for Payer: Meridian Medicaid |
$469.66
|
| Rate for Payer: Nomi Health Commercial |
$793.93
|
| Rate for Payer: PACE SWMI |
$661.61
|
| Rate for Payer: PHP Medicare Advantage |
$661.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$447.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,511.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,058.43
|
| Rate for Payer: Priority Health Medicare |
$668.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,058.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$661.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$661.61
|
| Rate for Payer: UHC Exchange |
$661.61
|
| Rate for Payer: UHC Medicare Advantage |
$661.61
|
| Rate for Payer: UHCCP Medicaid |
$447.30
|
|
|
PR RELEASE TARSAL TUNNEL
|
Professional
|
Both
|
$1,384.00
|
|
|
Service Code
|
HCPCS 28035
|
| Min. Negotiated Rate |
$184.38 |
| Max. Negotiated Rate |
$899.60 |
| Rate for Payer: Aetna Commercial |
$465.18
|
| Rate for Payer: Aetna Medicare |
$361.04
|
| Rate for Payer: BCBS Complete |
$247.80
|
| Rate for Payer: BCBS MAPPO |
$347.15
|
| Rate for Payer: BCBS Trust/PPO |
$184.38
|
| Rate for Payer: BCN Commercial |
$771.63
|
| Rate for Payer: BCN Medicare Advantage |
$347.15
|
| Rate for Payer: Cash Price |
$1,107.20
|
| Rate for Payer: Cash Price |
$1,107.20
|
| Rate for Payer: Cofinity Commercial |
$499.90
|
| Rate for Payer: Cofinity Commercial |
$465.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$347.15
|
| Rate for Payer: Mclaren Medicaid |
$236.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$364.51
|
| Rate for Payer: Meridian Medicaid |
$247.80
|
| Rate for Payer: Nomi Health Commercial |
$416.58
|
| Rate for Payer: PACE SWMI |
$347.15
|
| Rate for Payer: PHP Medicare Advantage |
$347.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$899.60
|
| Rate for Payer: Priority Health HMO/PPO |
$553.14
|
| Rate for Payer: Priority Health Medicare |
$350.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$553.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$347.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$347.15
|
| Rate for Payer: UHC Exchange |
$347.15
|
| Rate for Payer: UHC Medicare Advantage |
$347.15
|
| Rate for Payer: UHCCP Medicaid |
$236.00
|
|
|
PR RELEASE THENAR MUSCLE
|
Professional
|
Both
|
$1,586.00
|
|
|
Service Code
|
HCPCS 26508
|
| Min. Negotiated Rate |
$435.80 |
| Max. Negotiated Rate |
$3,420.21 |
| Rate for Payer: Aetna Commercial |
$843.54
|
| Rate for Payer: Aetna Medicare |
$654.69
|
| Rate for Payer: BCBS Complete |
$457.59
|
| Rate for Payer: BCBS MAPPO |
$629.51
|
| Rate for Payer: BCBS Trust/PPO |
$3,420.21
|
| Rate for Payer: BCN Commercial |
$1,007.65
|
| Rate for Payer: BCN Medicare Advantage |
$629.51
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cash Price |
$1,268.80
|
| Rate for Payer: Cofinity Commercial |
$906.49
|
| Rate for Payer: Cofinity Commercial |
$843.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$629.51
|
| Rate for Payer: Mclaren Medicaid |
$435.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$660.99
|
| Rate for Payer: Meridian Medicaid |
$457.59
|
| Rate for Payer: Nomi Health Commercial |
$755.41
|
| Rate for Payer: PACE SWMI |
$629.51
|
| Rate for Payer: PHP Medicare Advantage |
$629.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$435.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,030.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,049.27
|
| Rate for Payer: Priority Health Medicare |
$635.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,049.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$629.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$629.51
|
| Rate for Payer: UHC Exchange |
$629.51
|
| Rate for Payer: UHC Medicare Advantage |
$629.51
|
| Rate for Payer: UHCCP Medicaid |
$435.80
|
|
|
PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR
|
Professional
|
Both
|
$1,357.00
|
|
|
Service Code
|
HCPCS 33223
|
| Min. Negotiated Rate |
$258.16 |
| Max. Negotiated Rate |
$1,195.54 |
| Rate for Payer: Aetna Commercial |
$519.12
|
| Rate for Payer: Aetna Medicare |
$402.90
|
| Rate for Payer: BCBS Complete |
$271.07
|
| Rate for Payer: BCBS MAPPO |
$387.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,195.54
|
| Rate for Payer: BCN Commercial |
$592.77
|
| Rate for Payer: BCN Medicare Advantage |
$387.40
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cash Price |
$1,085.60
|
| Rate for Payer: Cofinity Commercial |
$557.86
|
| Rate for Payer: Cofinity Commercial |
$519.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.40
|
| Rate for Payer: Mclaren Medicaid |
$258.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$406.77
|
| Rate for Payer: Meridian Medicaid |
$271.07
|
| Rate for Payer: Nomi Health Commercial |
$464.88
|
| Rate for Payer: PACE SWMI |
$387.40
|
| Rate for Payer: PHP Medicare Advantage |
$387.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$258.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$882.05
|
| Rate for Payer: Priority Health HMO/PPO |
$642.98
|
| Rate for Payer: Priority Health Medicare |
$391.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$642.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.40
|
| Rate for Payer: UHC Exchange |
$387.40
|
| Rate for Payer: UHC Medicare Advantage |
$387.40
|
| Rate for Payer: UHCCP Medicaid |
$258.16
|
|
|
PR RELOCATION OF SKIN POCKET FOR PACEMAKER
|
Professional
|
Both
|
$1,151.00
|
|
|
Service Code
|
HCPCS 33222
|
| Min. Negotiated Rate |
$217.69 |
| Max. Negotiated Rate |
$1,036.00 |
| Rate for Payer: Aetna Commercial |
$434.87
|
| Rate for Payer: Aetna Medicare |
$337.51
|
| Rate for Payer: BCBS Complete |
$228.57
|
| Rate for Payer: BCBS MAPPO |
$324.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,036.00
|
| Rate for Payer: BCN Commercial |
$497.47
|
| Rate for Payer: BCN Medicare Advantage |
$324.53
|
| Rate for Payer: Cash Price |
$920.80
|
| Rate for Payer: Cash Price |
$920.80
|
| Rate for Payer: Cofinity Commercial |
$467.32
|
| Rate for Payer: Cofinity Commercial |
$434.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$324.53
|
| Rate for Payer: Mclaren Medicaid |
$217.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$340.76
|
| Rate for Payer: Meridian Medicaid |
$228.57
|
| Rate for Payer: Nomi Health Commercial |
$389.44
|
| Rate for Payer: PACE SWMI |
$324.53
|
| Rate for Payer: PHP Medicare Advantage |
$324.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$217.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$748.15
|
| Rate for Payer: Priority Health HMO/PPO |
$541.40
|
| Rate for Payer: Priority Health Medicare |
$327.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$324.53
|
| Rate for Payer: UHC Exchange |
$324.53
|
| Rate for Payer: UHC Medicare Advantage |
$324.53
|
| Rate for Payer: UHCCP Medicaid |
$217.69
|
|
|
PR REM INTERROG ICPMS <30 D PHYS/QHP
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 93297
|
| Min. Negotiated Rate |
$15.55 |
| Max. Negotiated Rate |
$1,891.84 |
| Rate for Payer: Aetna Commercial |
$73.42
|
| Rate for Payer: Aetna Medicare |
$56.98
|
| Rate for Payer: BCBS Complete |
$16.33
|
| Rate for Payer: BCBS MAPPO |
$54.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,891.84
|
| Rate for Payer: BCN Commercial |
$37.14
|
| Rate for Payer: BCN Medicare Advantage |
$54.79
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cofinity Commercial |
$78.90
|
| Rate for Payer: Cofinity Commercial |
$73.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.79
|
| Rate for Payer: Mclaren Medicaid |
$15.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$57.53
|
| Rate for Payer: Meridian Medicaid |
$16.33
|
| Rate for Payer: Nomi Health Commercial |
$65.75
|
| Rate for Payer: PACE SWMI |
$54.79
|
| Rate for Payer: PHP Medicare Advantage |
$54.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.10
|
| Rate for Payer: Priority Health HMO/PPO |
$34.37
|
| Rate for Payer: Priority Health Medicare |
$55.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$54.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.79
|
| Rate for Payer: UHC Exchange |
$54.79
|
| Rate for Payer: UHC Medicare Advantage |
$54.79
|
| Rate for Payer: UHCCP Medicaid |
$15.55
|
|
|
PR REM INTERROG ICPMS/SCRMS <30 D TECH REVIEW
|
Professional
|
Both
|
$232.00
|
|
|
Service Code
|
HCPCS 93299
|
| Min. Negotiated Rate |
$92.80 |
| Max. Negotiated Rate |
$150.80 |
| Rate for Payer: Aetna Medicare |
$116.00
|
| Rate for Payer: BCBS Complete |
$92.80
|
| Rate for Payer: Cash Price |
$185.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$150.80
|
|
|
PR REM INTERROG PM/LDLS PM <90 D PHYS/QHP
|
Professional
|
Both
|
$62.00
|
|
|
Service Code
|
HCPCS 93294
|
| Min. Negotiated Rate |
$18.53 |
| Max. Negotiated Rate |
$1,440.67 |
| Rate for Payer: Aetna Commercial |
$37.12
|
| Rate for Payer: Aetna Medicare |
$28.81
|
| Rate for Payer: BCBS Complete |
$19.46
|
| Rate for Payer: BCBS MAPPO |
$27.70
|
| Rate for Payer: BCBS Trust/PPO |
$1,440.67
|
| Rate for Payer: BCN Commercial |
$43.00
|
| Rate for Payer: BCN Medicare Advantage |
$27.70
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cofinity Commercial |
$39.89
|
| Rate for Payer: Cofinity Commercial |
$37.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.70
|
| Rate for Payer: Mclaren Medicaid |
$18.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.08
|
| Rate for Payer: Meridian Medicaid |
$19.46
|
| Rate for Payer: Nomi Health Commercial |
$33.24
|
| Rate for Payer: PACE SWMI |
$27.70
|
| Rate for Payer: PHP Medicare Advantage |
$27.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.30
|
| Rate for Payer: Priority Health HMO/PPO |
$40.96
|
| Rate for Payer: Priority Health Medicare |
$27.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.70
|
| Rate for Payer: UHC Exchange |
$27.70
|
| Rate for Payer: UHC Medicare Advantage |
$27.70
|
| Rate for Payer: UHCCP Medicaid |
$18.53
|
|
|
PR REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 93296
|
| Min. Negotiated Rate |
$17.77 |
| Max. Negotiated Rate |
$277.89 |
| Rate for Payer: Aetna Commercial |
$23.81
|
| Rate for Payer: Aetna Medicare |
$18.48
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS MAPPO |
$17.77
|
| Rate for Payer: BCBS Trust/PPO |
$277.89
|
| Rate for Payer: BCN Commercial |
$32.75
|
| Rate for Payer: BCN Medicare Advantage |
$17.77
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$25.59
|
| Rate for Payer: Cofinity Commercial |
$23.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.66
|
| Rate for Payer: Nomi Health Commercial |
$21.32
|
| Rate for Payer: PACE SWMI |
$17.77
|
| Rate for Payer: PHP Medicare Advantage |
$17.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health HMO/PPO |
$30.13
|
| Rate for Payer: Priority Health Medicare |
$17.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.77
|
| Rate for Payer: UHC Exchange |
$17.77
|
| Rate for Payer: UHC Medicare Advantage |
$17.77
|
|
|
PR REM INTERROG SCRMS <30 D PHYS/QHP
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 93298
|
| Min. Negotiated Rate |
$15.55 |
| Max. Negotiated Rate |
$1,610.26 |
| Rate for Payer: Aetna Commercial |
$121.71
|
| Rate for Payer: Aetna Medicare |
$94.46
|
| Rate for Payer: BCBS Complete |
$16.33
|
| Rate for Payer: BCBS MAPPO |
$90.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,610.26
|
| Rate for Payer: BCN Commercial |
$37.63
|
| Rate for Payer: BCN Medicare Advantage |
$90.83
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$121.71
|
| Rate for Payer: Cofinity Commercial |
$130.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.83
|
| Rate for Payer: Mclaren Medicaid |
$15.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$95.37
|
| Rate for Payer: Meridian Medicaid |
$16.33
|
| Rate for Payer: Nomi Health Commercial |
$109.00
|
| Rate for Payer: PACE SWMI |
$90.83
|
| Rate for Payer: PHP Medicare Advantage |
$90.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health HMO/PPO |
$34.37
|
| Rate for Payer: Priority Health Medicare |
$91.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$34.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$90.83
|
| Rate for Payer: UHC Exchange |
$90.83
|
| Rate for Payer: UHC Medicare Advantage |
$90.83
|
| Rate for Payer: UHCCP Medicaid |
$15.55
|
|
|
PR REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D
|
Professional
|
Both
|
$111.00
|
|
|
Service Code
|
HCPCS 99454
|
| Min. Negotiated Rate |
$39.28 |
| Max. Negotiated Rate |
$203.92 |
| Rate for Payer: Aetna Commercial |
$52.64
|
| Rate for Payer: Aetna Medicare |
$40.85
|
| Rate for Payer: BCBS Complete |
$44.40
|
| Rate for Payer: BCBS MAPPO |
$39.28
|
| Rate for Payer: BCBS Trust/PPO |
$203.92
|
| Rate for Payer: BCN Commercial |
$72.33
|
| Rate for Payer: BCN Medicare Advantage |
$39.28
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cash Price |
$88.80
|
| Rate for Payer: Cofinity Commercial |
$56.56
|
| Rate for Payer: Cofinity Commercial |
$52.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.24
|
| Rate for Payer: Nomi Health Commercial |
$47.14
|
| Rate for Payer: PACE SWMI |
$39.28
|
| Rate for Payer: PHP Medicare Advantage |
$39.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.15
|
| Rate for Payer: Priority Health HMO/PPO |
$63.72
|
| Rate for Payer: Priority Health Medicare |
$39.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$63.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$39.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$39.28
|
| Rate for Payer: UHC Exchange |
$39.28
|
| Rate for Payer: UHC Medicare Advantage |
$39.28
|
|
|
PR REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 99453
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$1,867.54 |
| Rate for Payer: Aetna Commercial |
$24.31
|
| Rate for Payer: Aetna Medicare |
$18.87
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: BCBS MAPPO |
$18.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,867.54
|
| Rate for Payer: BCN Commercial |
$27.85
|
| Rate for Payer: BCN Medicare Advantage |
$18.14
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Cofinity Commercial |
$26.12
|
| Rate for Payer: Cofinity Commercial |
$24.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.05
|
| Rate for Payer: Nomi Health Commercial |
$21.77
|
| Rate for Payer: PACE SWMI |
$18.14
|
| Rate for Payer: PHP Medicare Advantage |
$18.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: Priority Health HMO/PPO |
$26.92
|
| Rate for Payer: Priority Health Medicare |
$18.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$26.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.14
|
| Rate for Payer: UHC Exchange |
$18.14
|
| Rate for Payer: UHC Medicare Advantage |
$18.14
|
|
|
PR REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D
|
Professional
|
Both
|
$101.00
|
|
|
Service Code
|
HCPCS 93264
|
| Min. Negotiated Rate |
$22.37 |
| Max. Negotiated Rate |
$817.28 |
| Rate for Payer: Aetna Commercial |
$44.96
|
| Rate for Payer: Aetna Medicare |
$34.89
|
| Rate for Payer: BCBS Complete |
$23.49
|
| Rate for Payer: BCBS MAPPO |
$33.55
|
| Rate for Payer: BCBS Trust/PPO |
$817.28
|
| Rate for Payer: BCN Commercial |
$73.31
|
| Rate for Payer: BCN Medicare Advantage |
$33.55
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cofinity Commercial |
$48.31
|
| Rate for Payer: Cofinity Commercial |
$44.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.55
|
| Rate for Payer: Mclaren Medicaid |
$22.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.23
|
| Rate for Payer: Meridian Medicaid |
$23.49
|
| Rate for Payer: Nomi Health Commercial |
$40.26
|
| Rate for Payer: PACE SWMI |
$33.55
|
| Rate for Payer: PHP Medicare Advantage |
$33.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health HMO/PPO |
$49.44
|
| Rate for Payer: Priority Health Medicare |
$33.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$49.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.55
|
| Rate for Payer: UHC Exchange |
$33.55
|
| Rate for Payer: UHC Medicare Advantage |
$33.55
|
| Rate for Payer: UHCCP Medicaid |
$22.37
|
|
|
PR REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH
|
Professional
|
Both
|
$100.00
|
|
|
Service Code
|
HCPCS 99457
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$278.41 |
| Rate for Payer: Aetna Commercial |
$37.95
|
| Rate for Payer: Aetna Medicare |
$29.45
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$28.32
|
| Rate for Payer: BCBS Trust/PPO |
$278.41
|
| Rate for Payer: BCN Commercial |
$70.37
|
| Rate for Payer: BCN Medicare Advantage |
$28.32
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cash Price |
$80.00
|
| Rate for Payer: Cofinity Commercial |
$40.78
|
| Rate for Payer: Cofinity Commercial |
$37.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.32
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.74
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Nomi Health Commercial |
$33.98
|
| Rate for Payer: PACE SWMI |
$28.32
|
| Rate for Payer: PHP Medicare Advantage |
$28.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.00
|
| Rate for Payer: Priority Health HMO/PPO |
$39.94
|
| Rate for Payer: Priority Health Medicare |
$28.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.32
|
| Rate for Payer: UHC Exchange |
$28.32
|
| Rate for Payer: UHC Medicare Advantage |
$28.32
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
|
PR REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO
|
Professional
|
Both
|
$82.00
|
|
|
Service Code
|
HCPCS 99458
|
| Min. Negotiated Rate |
$18.96 |
| Max. Negotiated Rate |
$140.53 |
| Rate for Payer: Aetna Commercial |
$37.95
|
| Rate for Payer: Aetna Medicare |
$29.45
|
| Rate for Payer: BCBS Complete |
$19.91
|
| Rate for Payer: BCBS MAPPO |
$28.32
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$57.17
|
| Rate for Payer: BCN Medicare Advantage |
$28.32
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cash Price |
$65.60
|
| Rate for Payer: Cofinity Commercial |
$40.78
|
| Rate for Payer: Cofinity Commercial |
$37.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.32
|
| Rate for Payer: Mclaren Medicaid |
$18.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.74
|
| Rate for Payer: Meridian Medicaid |
$19.91
|
| Rate for Payer: Nomi Health Commercial |
$33.98
|
| Rate for Payer: PACE SWMI |
$28.32
|
| Rate for Payer: PHP Medicare Advantage |
$28.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.30
|
| Rate for Payer: Priority Health HMO/PPO |
$39.94
|
| Rate for Payer: Priority Health Medicare |
$28.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$39.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.32
|
| Rate for Payer: UHC Exchange |
$28.32
|
| Rate for Payer: UHC Medicare Advantage |
$28.32
|
| Rate for Payer: UHCCP Medicaid |
$18.96
|
|
