|
PR REMOT IMAGE SUBMIT BY PT
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS G2010
|
| Min. Negotiated Rate |
$5.75 |
| Max. Negotiated Rate |
$119.40 |
| Rate for Payer: Aetna Commercial |
$11.47
|
| Rate for Payer: Aetna Medicare |
$8.90
|
| Rate for Payer: BCBS Complete |
$6.04
|
| Rate for Payer: BCBS MAPPO |
$8.56
|
| Rate for Payer: BCBS Trust/PPO |
$119.40
|
| Rate for Payer: BCN Commercial |
$17.59
|
| Rate for Payer: BCN Medicare Advantage |
$8.56
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cofinity Commercial |
$12.33
|
| Rate for Payer: Cofinity Commercial |
$11.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.56
|
| Rate for Payer: Mclaren Medicaid |
$5.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.99
|
| Rate for Payer: Meridian Medicaid |
$6.04
|
| Rate for Payer: Nomi Health Commercial |
$10.27
|
| Rate for Payer: PACE SWMI |
$8.56
|
| Rate for Payer: PHP Medicare Advantage |
$8.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.60
|
| Rate for Payer: Priority Health HMO/PPO |
$12.12
|
| Rate for Payer: Priority Health Medicare |
$8.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.56
|
| Rate for Payer: UHC Exchange |
$8.56
|
| Rate for Payer: UHC Medicare Advantage |
$8.56
|
| Rate for Payer: UHCCP Medicaid |
$5.75
|
|
|
PR REMOVAL ANAL SETON OTHER MARKER
|
Professional
|
Both
|
$241.00
|
|
|
Service Code
|
HCPCS 46030
|
| Min. Negotiated Rate |
$83.50 |
| Max. Negotiated Rate |
$1,184.45 |
| Rate for Payer: Aetna Commercial |
$111.89
|
| Rate for Payer: Aetna Medicare |
$86.84
|
| Rate for Payer: BCBS Complete |
$96.40
|
| Rate for Payer: BCBS MAPPO |
$83.50
|
| Rate for Payer: BCBS Trust/PPO |
$1,184.45
|
| Rate for Payer: BCN Commercial |
$377.75
|
| Rate for Payer: BCN Medicare Advantage |
$83.50
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cofinity Commercial |
$120.24
|
| Rate for Payer: Cofinity Commercial |
$111.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$83.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$87.68
|
| Rate for Payer: Nomi Health Commercial |
$100.20
|
| Rate for Payer: PACE SWMI |
$83.50
|
| Rate for Payer: PHP Medicare Advantage |
$83.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.65
|
| Rate for Payer: Priority Health HMO/PPO |
$154.51
|
| Rate for Payer: Priority Health Medicare |
$84.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$83.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$83.50
|
| Rate for Payer: UHC Exchange |
$83.50
|
| Rate for Payer: UHC Medicare Advantage |
$83.50
|
|
|
PR REMOVAL ANKLE IMPLANT
|
Professional
|
Both
|
$1,822.00
|
|
|
Service Code
|
HCPCS 27704
|
| Min. Negotiated Rate |
$368.28 |
| Max. Negotiated Rate |
$2,348.82 |
| Rate for Payer: Aetna Commercial |
$728.18
|
| Rate for Payer: Aetna Medicare |
$565.16
|
| Rate for Payer: BCBS Complete |
$386.69
|
| Rate for Payer: BCBS MAPPO |
$543.42
|
| Rate for Payer: BCBS Trust/PPO |
$2,348.82
|
| Rate for Payer: BCN Commercial |
$835.15
|
| Rate for Payer: BCN Medicare Advantage |
$543.42
|
| Rate for Payer: Cash Price |
$1,457.60
|
| Rate for Payer: Cash Price |
$1,457.60
|
| Rate for Payer: Cofinity Commercial |
$728.18
|
| Rate for Payer: Cofinity Commercial |
$782.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$543.42
|
| Rate for Payer: Mclaren Medicaid |
$368.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$570.59
|
| Rate for Payer: Meridian Medicaid |
$386.69
|
| Rate for Payer: Nomi Health Commercial |
$652.10
|
| Rate for Payer: PACE SWMI |
$543.42
|
| Rate for Payer: PHP Medicare Advantage |
$543.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,184.30
|
| Rate for Payer: Priority Health HMO/PPO |
$876.26
|
| Rate for Payer: Priority Health Medicare |
$548.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$876.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$543.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$543.42
|
| Rate for Payer: UHC Exchange |
$543.42
|
| Rate for Payer: UHC Medicare Advantage |
$543.42
|
| Rate for Payer: UHCCP Medicaid |
$368.28
|
|
|
PR REMOVAL ANTERIOR INSTRUMENTATION
|
Professional
|
Both
|
$4,043.00
|
|
|
Service Code
|
HCPCS 22855
|
| Min. Negotiated Rate |
$210.26 |
| Max. Negotiated Rate |
$2,627.95 |
| Rate for Payer: Aetna Commercial |
$1,451.42
|
| Rate for Payer: Aetna Medicare |
$1,126.48
|
| Rate for Payer: BCBS Complete |
$755.72
|
| Rate for Payer: BCBS MAPPO |
$1,083.15
|
| Rate for Payer: BCBS Trust/PPO |
$210.26
|
| Rate for Payer: BCN Commercial |
$1,795.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,083.15
|
| Rate for Payer: Cash Price |
$3,234.40
|
| Rate for Payer: Cash Price |
$3,234.40
|
| Rate for Payer: Cofinity Commercial |
$1,559.74
|
| Rate for Payer: Cofinity Commercial |
$1,451.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,083.15
|
| Rate for Payer: Mclaren Medicaid |
$719.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,137.31
|
| Rate for Payer: Meridian Medicaid |
$755.72
|
| Rate for Payer: Nomi Health Commercial |
$1,299.78
|
| Rate for Payer: PACE SWMI |
$1,083.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,083.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$719.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,627.95
|
| Rate for Payer: Priority Health HMO/PPO |
$1,710.80
|
| Rate for Payer: Priority Health Medicare |
$1,093.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,710.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,083.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,083.15
|
| Rate for Payer: UHC Exchange |
$1,083.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,083.15
|
| Rate for Payer: UHCCP Medicaid |
$719.73
|
|
|
PR REMOVAL/BIVALVING FULL ARM/FULL LEG CAST
|
Professional
|
Both
|
$117.00
|
|
|
Service Code
|
HCPCS 29705
|
| Min. Negotiated Rate |
$28.97 |
| Max. Negotiated Rate |
$1,732.82 |
| Rate for Payer: Aetna Commercial |
$58.12
|
| Rate for Payer: Aetna Medicare |
$45.10
|
| Rate for Payer: BCBS Complete |
$30.42
|
| Rate for Payer: BCBS MAPPO |
$43.37
|
| Rate for Payer: BCBS Trust/PPO |
$1,732.82
|
| Rate for Payer: BCN Commercial |
$91.87
|
| Rate for Payer: BCN Medicare Advantage |
$43.37
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cash Price |
$93.60
|
| Rate for Payer: Cofinity Commercial |
$62.45
|
| Rate for Payer: Cofinity Commercial |
$58.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.37
|
| Rate for Payer: Mclaren Medicaid |
$28.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.54
|
| Rate for Payer: Meridian Medicaid |
$30.42
|
| Rate for Payer: Nomi Health Commercial |
$52.04
|
| Rate for Payer: PACE SWMI |
$43.37
|
| Rate for Payer: PHP Medicare Advantage |
$43.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$28.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$76.05
|
| Rate for Payer: Priority Health HMO/PPO |
$67.67
|
| Rate for Payer: Priority Health Medicare |
$43.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.37
|
| Rate for Payer: UHC Exchange |
$43.37
|
| Rate for Payer: UHC Medicare Advantage |
$43.37
|
| Rate for Payer: UHCCP Medicaid |
$28.97
|
|
|
PR REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA
|
Professional
|
Both
|
$370.00
|
|
|
Service Code
|
HCPCS 59871
|
| Min. Negotiated Rate |
$85.41 |
| Max. Negotiated Rate |
$714.79 |
| Rate for Payer: Aetna Commercial |
$173.82
|
| Rate for Payer: Aetna Medicare |
$134.91
|
| Rate for Payer: BCBS Complete |
$89.68
|
| Rate for Payer: BCBS MAPPO |
$129.72
|
| Rate for Payer: BCBS Trust/PPO |
$714.79
|
| Rate for Payer: BCN Commercial |
$194.49
|
| Rate for Payer: BCN Medicare Advantage |
$129.72
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cofinity Commercial |
$186.80
|
| Rate for Payer: Cofinity Commercial |
$173.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.72
|
| Rate for Payer: Mclaren Medicaid |
$85.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$136.21
|
| Rate for Payer: Meridian Medicaid |
$89.68
|
| Rate for Payer: Nomi Health Commercial |
$155.66
|
| Rate for Payer: PACE SWMI |
$129.72
|
| Rate for Payer: PHP Medicare Advantage |
$129.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.50
|
| Rate for Payer: Priority Health HMO/PPO |
$187.24
|
| Rate for Payer: Priority Health Medicare |
$131.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$187.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$129.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.72
|
| Rate for Payer: UHC Exchange |
$129.72
|
| Rate for Payer: UHC Medicare Advantage |
$129.72
|
| Rate for Payer: UHCCP Medicaid |
$85.41
|
|
|
PR REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE
|
Professional
|
Both
|
$1,549.00
|
|
|
Service Code
|
HCPCS 21029
|
| Min. Negotiated Rate |
$406.62 |
| Max. Negotiated Rate |
$3,995.58 |
| Rate for Payer: Aetna Commercial |
$801.72
|
| Rate for Payer: Aetna Medicare |
$622.23
|
| Rate for Payer: BCBS Complete |
$426.95
|
| Rate for Payer: BCBS MAPPO |
$598.30
|
| Rate for Payer: BCBS Trust/PPO |
$3,995.58
|
| Rate for Payer: BCN Commercial |
$1,128.35
|
| Rate for Payer: BCN Medicare Advantage |
$598.30
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cash Price |
$1,239.20
|
| Rate for Payer: Cofinity Commercial |
$861.55
|
| Rate for Payer: Cofinity Commercial |
$801.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$598.30
|
| Rate for Payer: Mclaren Medicaid |
$406.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$628.22
|
| Rate for Payer: Meridian Medicaid |
$426.95
|
| Rate for Payer: Nomi Health Commercial |
$717.96
|
| Rate for Payer: PACE SWMI |
$598.30
|
| Rate for Payer: PHP Medicare Advantage |
$598.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$406.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,006.85
|
| Rate for Payer: Priority Health HMO/PPO |
$960.23
|
| Rate for Payer: Priority Health Medicare |
$604.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$960.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$598.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$598.30
|
| Rate for Payer: UHC Exchange |
$598.30
|
| Rate for Payer: UHC Medicare Advantage |
$598.30
|
| Rate for Payer: UHCCP Medicaid |
$406.62
|
|
|
PR REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO
|
Professional
|
Both
|
$1,541.00
|
|
|
Service Code
|
HCPCS 64570
|
| Min. Negotiated Rate |
$427.92 |
| Max. Negotiated Rate |
$1,285.30 |
| Rate for Payer: Aetna Commercial |
$976.69
|
| Rate for Payer: Aetna Medicare |
$758.02
|
| Rate for Payer: BCBS Complete |
$509.25
|
| Rate for Payer: BCBS MAPPO |
$728.87
|
| Rate for Payer: BCBS Trust/PPO |
$427.92
|
| Rate for Payer: BCN Commercial |
$1,091.21
|
| Rate for Payer: BCN Medicare Advantage |
$728.87
|
| Rate for Payer: Cash Price |
$1,232.80
|
| Rate for Payer: Cash Price |
$1,232.80
|
| Rate for Payer: Cofinity Commercial |
$976.69
|
| Rate for Payer: Cofinity Commercial |
$1,049.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$728.87
|
| Rate for Payer: Mclaren Medicaid |
$485.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$765.31
|
| Rate for Payer: Meridian Medicaid |
$509.25
|
| Rate for Payer: Nomi Health Commercial |
$874.64
|
| Rate for Payer: PACE SWMI |
$728.87
|
| Rate for Payer: PHP Medicare Advantage |
$728.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$485.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,001.65
|
| Rate for Payer: Priority Health HMO/PPO |
$1,285.30
|
| Rate for Payer: Priority Health Medicare |
$736.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,285.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$728.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$728.87
|
| Rate for Payer: UHC Exchange |
$728.87
|
| Rate for Payer: UHC Medicare Advantage |
$728.87
|
| Rate for Payer: UHCCP Medicaid |
$485.00
|
|
|
PR REMOVAL EMBEDDED FOREIGN BODY EYELID
|
Professional
|
Both
|
$480.00
|
|
|
Service Code
|
HCPCS 67938
|
| Min. Negotiated Rate |
$73.06 |
| Max. Negotiated Rate |
$1,699.01 |
| Rate for Payer: Aetna Commercial |
$141.56
|
| Rate for Payer: Aetna Medicare |
$109.87
|
| Rate for Payer: BCBS Complete |
$76.71
|
| Rate for Payer: BCBS MAPPO |
$105.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,699.01
|
| Rate for Payer: BCN Commercial |
$399.74
|
| Rate for Payer: BCN Medicare Advantage |
$105.64
|
| Rate for Payer: Cash Price |
$384.00
|
| Rate for Payer: Cash Price |
$384.00
|
| Rate for Payer: Cofinity Commercial |
$152.12
|
| Rate for Payer: Cofinity Commercial |
$141.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$105.64
|
| Rate for Payer: Mclaren Medicaid |
$73.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$110.92
|
| Rate for Payer: Meridian Medicaid |
$76.71
|
| Rate for Payer: Nomi Health Commercial |
$126.77
|
| Rate for Payer: PACE SWMI |
$105.64
|
| Rate for Payer: PHP Medicare Advantage |
$105.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$73.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.00
|
| Rate for Payer: Priority Health HMO/PPO |
$205.30
|
| Rate for Payer: Priority Health Medicare |
$106.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$105.64
|
| Rate for Payer: UHC Exchange |
$105.64
|
| Rate for Payer: UHC Medicare Advantage |
$105.64
|
| Rate for Payer: UHCCP Medicaid |
$73.06
|
|
|
PR REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES
|
Professional
|
Both
|
$954.00
|
|
|
Service Code
|
HCPCS 20694
|
| Min. Negotiated Rate |
$224.72 |
| Max. Negotiated Rate |
$22,818.32 |
| Rate for Payer: Aetna Commercial |
$442.07
|
| Rate for Payer: Aetna Medicare |
$343.10
|
| Rate for Payer: BCBS Complete |
$235.96
|
| Rate for Payer: BCBS MAPPO |
$329.90
|
| Rate for Payer: BCBS Trust/PPO |
$22,818.32
|
| Rate for Payer: BCN Commercial |
$634.30
|
| Rate for Payer: BCN Medicare Advantage |
$329.90
|
| Rate for Payer: Cash Price |
$763.20
|
| Rate for Payer: Cash Price |
$763.20
|
| Rate for Payer: Cofinity Commercial |
$475.06
|
| Rate for Payer: Cofinity Commercial |
$442.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.90
|
| Rate for Payer: Mclaren Medicaid |
$224.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$346.40
|
| Rate for Payer: Meridian Medicaid |
$235.96
|
| Rate for Payer: Nomi Health Commercial |
$395.88
|
| Rate for Payer: PACE SWMI |
$329.90
|
| Rate for Payer: PHP Medicare Advantage |
$329.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$224.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$620.10
|
| Rate for Payer: Priority Health HMO/PPO |
$530.24
|
| Rate for Payer: Priority Health Medicare |
$333.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$530.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$329.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.90
|
| Rate for Payer: UHC Exchange |
$329.90
|
| Rate for Payer: UHC Medicare Advantage |
$329.90
|
| Rate for Payer: UHCCP Medicaid |
$224.72
|
|
|
PR REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 65205
|
| Min. Negotiated Rate |
$18.32 |
| Max. Negotiated Rate |
$238.26 |
| Rate for Payer: Aetna Commercial |
$36.19
|
| Rate for Payer: Aetna Medicare |
$28.09
|
| Rate for Payer: BCBS Complete |
$19.24
|
| Rate for Payer: BCBS MAPPO |
$27.01
|
| Rate for Payer: BCBS Trust/PPO |
$238.26
|
| Rate for Payer: BCN Commercial |
$42.02
|
| Rate for Payer: BCN Medicare Advantage |
$27.01
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$38.89
|
| Rate for Payer: Cofinity Commercial |
$36.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.01
|
| Rate for Payer: Mclaren Medicaid |
$18.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.36
|
| Rate for Payer: Meridian Medicaid |
$19.24
|
| Rate for Payer: Nomi Health Commercial |
$32.41
|
| Rate for Payer: PACE SWMI |
$27.01
|
| Rate for Payer: PHP Medicare Advantage |
$27.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$126.10
|
| Rate for Payer: Priority Health HMO/PPO |
$50.31
|
| Rate for Payer: Priority Health Medicare |
$27.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$27.01
|
| Rate for Payer: UHC Exchange |
$27.01
|
| Rate for Payer: UHC Medicare Advantage |
$27.01
|
| Rate for Payer: UHCCP Medicaid |
$18.32
|
|
|
PR REMOVAL FOREIGN BODY DEEP PENILE TISSUE
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 54115
|
| Min. Negotiated Rate |
$275.62 |
| Max. Negotiated Rate |
$2,119.54 |
| Rate for Payer: Aetna Commercial |
$547.19
|
| Rate for Payer: Aetna Medicare |
$424.68
|
| Rate for Payer: BCBS Complete |
$289.40
|
| Rate for Payer: BCBS MAPPO |
$408.35
|
| Rate for Payer: BCBS Trust/PPO |
$2,119.54
|
| Rate for Payer: BCN Commercial |
$663.13
|
| Rate for Payer: BCN Medicare Advantage |
$408.35
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cofinity Commercial |
$588.02
|
| Rate for Payer: Cofinity Commercial |
$547.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.35
|
| Rate for Payer: Mclaren Medicaid |
$275.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.77
|
| Rate for Payer: Meridian Medicaid |
$289.40
|
| Rate for Payer: Nomi Health Commercial |
$490.02
|
| Rate for Payer: PACE SWMI |
$408.35
|
| Rate for Payer: PHP Medicare Advantage |
$408.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$275.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$552.50
|
| Rate for Payer: Priority Health HMO/PPO |
$684.38
|
| Rate for Payer: Priority Health Medicare |
$412.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$684.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$408.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.35
|
| Rate for Payer: UHC Exchange |
$408.35
|
| Rate for Payer: UHC Medicare Advantage |
$408.35
|
| Rate for Payer: UHCCP Medicaid |
$275.62
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Facility
|
IP
|
$1,114.00
|
|
|
Service Code
|
CPT 27372
|
| Hospital Charge Code |
27372
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$724.10 |
| Max. Negotiated Rate |
$1,002.60 |
| Rate for Payer: Aetna Commercial |
$946.90
|
| Rate for Payer: BCBS Trust/PPO |
$909.36
|
| Rate for Payer: BCN Commercial |
$860.90
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$958.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.20
|
| Rate for Payer: Healthscope Commercial |
$1,002.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$835.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$946.90
|
| Rate for Payer: Nomi Health Commercial |
$913.48
|
| Rate for Payer: PHP Commercial |
$946.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO |
$969.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$746.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$980.32
|
| Rate for Payer: UHC Core |
$930.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$835.50
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Facility
|
OP
|
$1,114.00
|
|
|
Service Code
|
CPT 27372
|
| Hospital Charge Code |
27372
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$264.58 |
| Max. Negotiated Rate |
$2,128.93 |
| Rate for Payer: Aetna Commercial |
$946.90
|
| Rate for Payer: Aetna Medicare |
$289.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$348.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$348.12
|
| Rate for Payer: BCBS Complete |
$2,128.93
|
| Rate for Payer: BCBS MAPPO |
$278.50
|
| Rate for Payer: BCBS Trust/PPO |
$915.82
|
| Rate for Payer: BCN Commercial |
$866.14
|
| Rate for Payer: BCN Medicare Advantage |
$278.50
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$958.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$891.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$278.50
|
| Rate for Payer: Healthscope Commercial |
$1,002.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$835.50
|
| Rate for Payer: Mclaren Medicaid |
$2,027.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$292.42
|
| Rate for Payer: Meridian Medicaid |
$2,128.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$320.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$946.90
|
| Rate for Payer: Nomi Health Commercial |
$913.48
|
| Rate for Payer: PACE Senior Care Partners |
$264.58
|
| Rate for Payer: PACE SWMI |
$278.50
|
| Rate for Payer: PHP Commercial |
$946.90
|
| Rate for Payer: PHP Medicare Advantage |
$278.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,027.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO |
$969.18
|
| Rate for Payer: Priority Health Medicare |
$281.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$746.38
|
| Rate for Payer: Railroad Medicare Medicare |
$278.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$980.32
|
| Rate for Payer: UHC Core |
$930.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$278.50
|
| Rate for Payer: UHC Exchange |
$278.50
|
| Rate for Payer: UHC Medicare Advantage |
$278.50
|
| Rate for Payer: UHCCP Medicaid |
$2,027.42
|
| Rate for Payer: VA VA |
$278.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$835.50
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 27372
|
| Min. Negotiated Rate |
$262.84 |
| Max. Negotiated Rate |
$3,545.42 |
| Rate for Payer: Aetna Commercial |
$519.52
|
| Rate for Payer: Aetna Medicare |
$403.21
|
| Rate for Payer: BCBS Complete |
$275.98
|
| Rate for Payer: BCBS MAPPO |
$387.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,545.42
|
| Rate for Payer: BCN Commercial |
$869.36
|
| Rate for Payer: BCN Medicare Advantage |
$387.70
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$558.29
|
| Rate for Payer: Cofinity Commercial |
$519.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.70
|
| Rate for Payer: Mclaren Medicaid |
$262.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$407.08
|
| Rate for Payer: Meridian Medicaid |
$275.98
|
| Rate for Payer: Nomi Health Commercial |
$465.24
|
| Rate for Payer: PACE SWMI |
$387.70
|
| Rate for Payer: PHP Medicare Advantage |
$387.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO |
$620.29
|
| Rate for Payer: Priority Health Medicare |
$391.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$620.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.70
|
| Rate for Payer: UHC Exchange |
$387.70
|
| Rate for Payer: UHC Medicare Advantage |
$387.70
|
| Rate for Payer: UHCCP Medicaid |
$262.84
|
|
|
PR REMOVAL FOREIGN BODY DEEP THIGH/KNEE
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 27372
|
| Hospital Charge Code |
27372
|
| Min. Negotiated Rate |
$262.84 |
| Max. Negotiated Rate |
$3,545.42 |
| Rate for Payer: Aetna Commercial |
$519.52
|
| Rate for Payer: Aetna Medicare |
$403.21
|
| Rate for Payer: BCBS Complete |
$275.98
|
| Rate for Payer: BCBS MAPPO |
$387.70
|
| Rate for Payer: BCBS Trust/PPO |
$3,545.42
|
| Rate for Payer: BCN Commercial |
$869.36
|
| Rate for Payer: BCN Medicare Advantage |
$387.70
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$558.29
|
| Rate for Payer: Cofinity Commercial |
$519.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$387.70
|
| Rate for Payer: Mclaren Medicaid |
$262.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$407.08
|
| Rate for Payer: Meridian Medicaid |
$275.98
|
| Rate for Payer: Nomi Health Commercial |
$465.24
|
| Rate for Payer: PACE SWMI |
$387.70
|
| Rate for Payer: PHP Medicare Advantage |
$387.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$262.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO |
$620.29
|
| Rate for Payer: Priority Health Medicare |
$391.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$620.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$387.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$387.70
|
| Rate for Payer: UHC Exchange |
$387.70
|
| Rate for Payer: UHC Medicare Advantage |
$387.70
|
| Rate for Payer: UHCCP Medicaid |
$262.84
|
|
|
PR REMOVAL FOREIGN BODY FOOT COMPLICATED
|
Professional
|
Both
|
$942.00
|
|
|
Service Code
|
HCPCS 28193
|
| Min. Negotiated Rate |
$236.43 |
| Max. Negotiated Rate |
$1,271.09 |
| Rate for Payer: Aetna Commercial |
$466.86
|
| Rate for Payer: Aetna Medicare |
$362.34
|
| Rate for Payer: BCBS Complete |
$248.25
|
| Rate for Payer: BCBS MAPPO |
$348.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,271.09
|
| Rate for Payer: BCN Commercial |
$756.96
|
| Rate for Payer: BCN Medicare Advantage |
$348.40
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cash Price |
$753.60
|
| Rate for Payer: Cofinity Commercial |
$501.70
|
| Rate for Payer: Cofinity Commercial |
$466.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$348.40
|
| Rate for Payer: Mclaren Medicaid |
$236.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$365.82
|
| Rate for Payer: Meridian Medicaid |
$248.25
|
| Rate for Payer: Nomi Health Commercial |
$418.08
|
| Rate for Payer: PACE SWMI |
$348.40
|
| Rate for Payer: PHP Medicare Advantage |
$348.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$236.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$612.30
|
| Rate for Payer: Priority Health HMO/PPO |
$561.78
|
| Rate for Payer: Priority Health Medicare |
$351.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$561.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$348.40
|
| Rate for Payer: UHC Exchange |
$348.40
|
| Rate for Payer: UHC Medicare Advantage |
$348.40
|
| Rate for Payer: UHCCP Medicaid |
$236.43
|
|
|
PR REMOVAL FOREIGN BODY FOOT DEEP
|
Professional
|
Both
|
$765.00
|
|
|
Service Code
|
HCPCS 28192
|
| Min. Negotiated Rate |
$202.35 |
| Max. Negotiated Rate |
$1,065.05 |
| Rate for Payer: Aetna Commercial |
$399.01
|
| Rate for Payer: Aetna Medicare |
$309.68
|
| Rate for Payer: BCBS Complete |
$212.47
|
| Rate for Payer: BCBS MAPPO |
$297.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.05
|
| Rate for Payer: BCN Commercial |
$666.06
|
| Rate for Payer: BCN Medicare Advantage |
$297.77
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cofinity Commercial |
$428.79
|
| Rate for Payer: Cofinity Commercial |
$399.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$297.77
|
| Rate for Payer: Mclaren Medicaid |
$202.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$312.66
|
| Rate for Payer: Meridian Medicaid |
$212.47
|
| Rate for Payer: Nomi Health Commercial |
$357.32
|
| Rate for Payer: PACE SWMI |
$297.77
|
| Rate for Payer: PHP Medicare Advantage |
$297.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$202.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.25
|
| Rate for Payer: Priority Health HMO/PPO |
$477.32
|
| Rate for Payer: Priority Health Medicare |
$300.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$477.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$297.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$297.77
|
| Rate for Payer: UHC Exchange |
$297.77
|
| Rate for Payer: UHC Medicare Advantage |
$297.77
|
| Rate for Payer: UHCCP Medicaid |
$202.35
|
|
|
PR REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS
|
Professional
|
Both
|
$598.00
|
|
|
Service Code
|
HCPCS 28190
|
| Min. Negotiated Rate |
$85.63 |
| Max. Negotiated Rate |
$996.37 |
| Rate for Payer: Aetna Commercial |
$168.76
|
| Rate for Payer: Aetna Medicare |
$130.98
|
| Rate for Payer: BCBS Complete |
$89.91
|
| Rate for Payer: BCBS MAPPO |
$125.94
|
| Rate for Payer: BCBS Trust/PPO |
$996.37
|
| Rate for Payer: BCN Commercial |
$351.36
|
| Rate for Payer: BCN Medicare Advantage |
$125.94
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cofinity Commercial |
$181.35
|
| Rate for Payer: Cofinity Commercial |
$168.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$125.94
|
| Rate for Payer: Mclaren Medicaid |
$85.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.24
|
| Rate for Payer: Meridian Medicaid |
$89.91
|
| Rate for Payer: Nomi Health Commercial |
$151.13
|
| Rate for Payer: PACE SWMI |
$125.94
|
| Rate for Payer: PHP Medicare Advantage |
$125.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$85.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.70
|
| Rate for Payer: Priority Health HMO/PPO |
$203.54
|
| Rate for Payer: Priority Health Medicare |
$127.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$203.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$125.94
|
| Rate for Payer: UHC Exchange |
$125.94
|
| Rate for Payer: UHC Medicare Advantage |
$125.94
|
| Rate for Payer: UHCCP Medicaid |
$85.63
|
|
|
PR REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES
|
Professional
|
Both
|
$369.00
|
|
|
Service Code
|
HCPCS 30310
|
| Min. Negotiated Rate |
$132.49 |
| Max. Negotiated Rate |
$1,405.81 |
| Rate for Payer: Aetna Commercial |
$256.65
|
| Rate for Payer: Aetna Medicare |
$199.19
|
| Rate for Payer: BCBS Complete |
$139.11
|
| Rate for Payer: BCBS MAPPO |
$191.53
|
| Rate for Payer: BCBS Trust/PPO |
$1,405.81
|
| Rate for Payer: BCN Commercial |
$307.87
|
| Rate for Payer: BCN Medicare Advantage |
$191.53
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Cofinity Commercial |
$275.80
|
| Rate for Payer: Cofinity Commercial |
$256.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.53
|
| Rate for Payer: Mclaren Medicaid |
$132.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$201.11
|
| Rate for Payer: Meridian Medicaid |
$139.11
|
| Rate for Payer: Nomi Health Commercial |
$229.84
|
| Rate for Payer: PACE SWMI |
$191.53
|
| Rate for Payer: PHP Medicare Advantage |
$191.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$239.85
|
| Rate for Payer: Priority Health HMO/PPO |
$291.98
|
| Rate for Payer: Priority Health Medicare |
$193.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$291.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$191.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$191.53
|
| Rate for Payer: UHC Exchange |
$191.53
|
| Rate for Payer: UHC Medicare Advantage |
$191.53
|
| Rate for Payer: UHCCP Medicaid |
$132.49
|
|
|
PR REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE
|
Professional
|
Both
|
$392.00
|
|
|
Service Code
|
HCPCS 30300
|
| Min. Negotiated Rate |
$77.96 |
| Max. Negotiated Rate |
$829.43 |
| Rate for Payer: Aetna Commercial |
$150.55
|
| Rate for Payer: Aetna Medicare |
$116.84
|
| Rate for Payer: BCBS Complete |
$81.86
|
| Rate for Payer: BCBS MAPPO |
$112.35
|
| Rate for Payer: BCBS Trust/PPO |
$829.43
|
| Rate for Payer: BCN Commercial |
$311.29
|
| Rate for Payer: BCN Medicare Advantage |
$112.35
|
| Rate for Payer: Cash Price |
$313.60
|
| Rate for Payer: Cash Price |
$313.60
|
| Rate for Payer: Cofinity Commercial |
$161.78
|
| Rate for Payer: Cofinity Commercial |
$150.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.35
|
| Rate for Payer: Mclaren Medicaid |
$77.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.97
|
| Rate for Payer: Meridian Medicaid |
$81.86
|
| Rate for Payer: Nomi Health Commercial |
$134.82
|
| Rate for Payer: PACE SWMI |
$112.35
|
| Rate for Payer: PHP Medicare Advantage |
$112.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$254.80
|
| Rate for Payer: Priority Health HMO/PPO |
$172.41
|
| Rate for Payer: Priority Health Medicare |
$113.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$172.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$112.35
|
| Rate for Payer: UHC Exchange |
$112.35
|
| Rate for Payer: UHC Medicare Advantage |
$112.35
|
| Rate for Payer: UHCCP Medicaid |
$77.96
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Professional
|
Both
|
$405.00
|
|
|
Service Code
|
HCPCS 20520
|
| Min. Negotiated Rate |
$96.06 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$188.71
|
| Rate for Payer: Aetna Medicare |
$146.46
|
| Rate for Payer: BCBS Complete |
$100.86
|
| Rate for Payer: BCBS MAPPO |
$140.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: BCN Medicare Advantage |
$140.83
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$202.80
|
| Rate for Payer: Cofinity Commercial |
$188.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.83
|
| Rate for Payer: Mclaren Medicaid |
$96.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.87
|
| Rate for Payer: Meridian Medicaid |
$100.86
|
| Rate for Payer: Nomi Health Commercial |
$169.00
|
| Rate for Payer: PACE SWMI |
$140.83
|
| Rate for Payer: PHP Medicare Advantage |
$140.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO |
$227.47
|
| Rate for Payer: Priority Health Medicare |
$142.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.83
|
| Rate for Payer: UHC Exchange |
$140.83
|
| Rate for Payer: UHC Medicare Advantage |
$140.83
|
| Rate for Payer: UHCCP Medicaid |
$96.06
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Facility
|
OP
|
$405.00
|
|
|
Service Code
|
CPT 20520
|
| Hospital Charge Code |
20520
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$96.19 |
| Max. Negotiated Rate |
$1,205.21 |
| Rate for Payer: Aetna Commercial |
$344.25
|
| Rate for Payer: Aetna Medicare |
$105.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$126.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$126.56
|
| Rate for Payer: BCBS Complete |
$1,205.21
|
| Rate for Payer: BCBS MAPPO |
$101.25
|
| Rate for Payer: BCBS Trust/PPO |
$332.95
|
| Rate for Payer: BCN Commercial |
$314.89
|
| Rate for Payer: BCN Medicare Advantage |
$101.25
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$348.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.25
|
| Rate for Payer: Healthscope Commercial |
$364.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.75
|
| Rate for Payer: Mclaren Medicaid |
$1,147.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.31
|
| Rate for Payer: Meridian Medicaid |
$1,205.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$116.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.25
|
| Rate for Payer: Nomi Health Commercial |
$332.10
|
| Rate for Payer: PACE Senior Care Partners |
$96.19
|
| Rate for Payer: PACE SWMI |
$101.25
|
| Rate for Payer: PHP Commercial |
$344.25
|
| Rate for Payer: PHP Medicare Advantage |
$101.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,147.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO |
$352.35
|
| Rate for Payer: Priority Health Medicare |
$102.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.35
|
| Rate for Payer: Railroad Medicare Medicare |
$101.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$356.40
|
| Rate for Payer: UHC Core |
$338.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.25
|
| Rate for Payer: UHC Exchange |
$101.25
|
| Rate for Payer: UHC Medicare Advantage |
$101.25
|
| Rate for Payer: UHCCP Medicaid |
$1,147.75
|
| Rate for Payer: VA VA |
$101.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.75
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Professional
|
Both
|
$405.00
|
|
|
Service Code
|
HCPCS 20520
|
| Hospital Charge Code |
20520
|
| Min. Negotiated Rate |
$96.06 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$188.71
|
| Rate for Payer: Aetna Medicare |
$146.46
|
| Rate for Payer: BCBS Complete |
$100.86
|
| Rate for Payer: BCBS MAPPO |
$140.83
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$318.13
|
| Rate for Payer: BCN Medicare Advantage |
$140.83
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$202.80
|
| Rate for Payer: Cofinity Commercial |
$188.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.83
|
| Rate for Payer: Mclaren Medicaid |
$96.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.87
|
| Rate for Payer: Meridian Medicaid |
$100.86
|
| Rate for Payer: Nomi Health Commercial |
$169.00
|
| Rate for Payer: PACE SWMI |
$140.83
|
| Rate for Payer: PHP Medicare Advantage |
$140.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO |
$227.47
|
| Rate for Payer: Priority Health Medicare |
$142.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$227.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$140.83
|
| Rate for Payer: UHC Exchange |
$140.83
|
| Rate for Payer: UHC Medicare Advantage |
$140.83
|
| Rate for Payer: UHCCP Medicaid |
$96.06
|
|
|
PR REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE
|
Facility
|
IP
|
$405.00
|
|
|
Service Code
|
CPT 20520
|
| Hospital Charge Code |
20520
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$263.25 |
| Max. Negotiated Rate |
$364.50 |
| Rate for Payer: Aetna Commercial |
$344.25
|
| Rate for Payer: BCBS Trust/PPO |
$330.60
|
| Rate for Payer: BCN Commercial |
$312.98
|
| Rate for Payer: Cash Price |
$324.00
|
| Rate for Payer: Cofinity Commercial |
$348.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$324.00
|
| Rate for Payer: Healthscope Commercial |
$364.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$303.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$344.25
|
| Rate for Payer: Nomi Health Commercial |
$332.10
|
| Rate for Payer: PHP Commercial |
$344.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$263.25
|
| Rate for Payer: Priority Health HMO/PPO |
$352.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$271.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$356.40
|
| Rate for Payer: UHC Core |
$338.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$303.75
|
|
