|
PR SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP
|
Professional
|
Both
|
$1,846.00
|
|
|
Service Code
|
HCPCS 13160
|
| Min. Negotiated Rate |
$472.43 |
| Max. Negotiated Rate |
$1,384.50 |
| Rate for Payer: Aetna Commercial |
$864.74
|
| Rate for Payer: Aetna Medicare |
$923.00
|
| Rate for Payer: BCBS Complete |
$496.05
|
| Rate for Payer: BCN Commercial |
$1,201.13
|
| Rate for Payer: Cash Price |
$1,476.80
|
| Rate for Payer: Cash Price |
$1,476.80
|
| Rate for Payer: Mclaren Medicaid |
$472.43
|
| Rate for Payer: Meridian Medicaid |
$496.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,384.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$472.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,099.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,099.35
|
| Rate for Payer: UHC Medicaid |
$472.43
|
| Rate for Payer: UHCCP Medicaid |
$472.43
|
|
|
PR SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ
|
Professional
|
Both
|
$4,707.00
|
|
|
Service Code
|
HCPCS 21275
|
| Min. Negotiated Rate |
$487.34 |
| Max. Negotiated Rate |
$3,530.25 |
| Rate for Payer: Aetna Commercial |
$1,121.53
|
| Rate for Payer: Aetna Medicare |
$2,353.50
|
| Rate for Payer: BCBS Complete |
$511.71
|
| Rate for Payer: BCN Commercial |
$1,272.84
|
| Rate for Payer: Cash Price |
$3,765.60
|
| Rate for Payer: Cash Price |
$3,765.60
|
| Rate for Payer: Mclaren Medicaid |
$487.34
|
| Rate for Payer: Meridian Medicaid |
$511.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,530.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$487.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,360.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,360.64
|
| Rate for Payer: UHC Medicaid |
$487.34
|
| Rate for Payer: UHCCP Medicaid |
$487.34
|
|
|
PR SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT
|
Professional
|
Both
|
$6,479.00
|
|
|
Service Code
|
HCPCS 61618
|
| Min. Negotiated Rate |
$777.02 |
| Max. Negotiated Rate |
$4,859.25 |
| Rate for Payer: Aetna Commercial |
$1,666.10
|
| Rate for Payer: Aetna Medicare |
$3,239.50
|
| Rate for Payer: BCBS Complete |
$815.87
|
| Rate for Payer: BCN Commercial |
$2,714.05
|
| Rate for Payer: Cash Price |
$5,183.20
|
| Rate for Payer: Cash Price |
$5,183.20
|
| Rate for Payer: Mclaren Medicaid |
$777.02
|
| Rate for Payer: Meridian Medicaid |
$815.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,859.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,281.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,281.77
|
| Rate for Payer: UHC Medicaid |
$777.02
|
| Rate for Payer: UHCCP Medicaid |
$777.02
|
|
|
PR SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL
|
Professional
|
Both
|
$2,644.00
|
|
|
Service Code
|
HCPCS 37186
|
| Min. Negotiated Rate |
$138.88 |
| Max. Negotiated Rate |
$1,983.00 |
| Rate for Payer: Aetna Commercial |
$328.32
|
| Rate for Payer: Aetna Medicare |
$1,322.00
|
| Rate for Payer: BCBS Complete |
$145.82
|
| Rate for Payer: BCN Commercial |
$356.55
|
| Rate for Payer: Cash Price |
$2,115.20
|
| Rate for Payer: Cash Price |
$2,115.20
|
| Rate for Payer: Mclaren Medicaid |
$138.88
|
| Rate for Payer: Meridian Medicaid |
$145.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,983.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$138.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$383.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$383.43
|
| Rate for Payer: UHC Medicaid |
$138.88
|
| Rate for Payer: UHCCP Medicaid |
$138.88
|
|
|
PR SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP
|
Professional
|
Both
|
$10,237.00
|
|
|
Service Code
|
HCPCS 61619
|
| Min. Negotiated Rate |
$998.33 |
| Max. Negotiated Rate |
$7,677.75 |
| Rate for Payer: Aetna Commercial |
$1,797.22
|
| Rate for Payer: Aetna Medicare |
$5,118.50
|
| Rate for Payer: BCBS Complete |
$1,048.25
|
| Rate for Payer: BCN Commercial |
$2,978.24
|
| Rate for Payer: Cash Price |
$8,189.60
|
| Rate for Payer: Cash Price |
$8,189.60
|
| Rate for Payer: Mclaren Medicaid |
$998.33
|
| Rate for Payer: Meridian Medicaid |
$1,048.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,677.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$998.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,503.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,503.87
|
| Rate for Payer: UHC Medicaid |
$998.33
|
| Rate for Payer: UHCCP Medicaid |
$998.33
|
|
|
PR SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 97535
|
| Min. Negotiated Rate |
$23.20 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$24.21
|
| Rate for Payer: Aetna Medicare |
$29.00
|
| Rate for Payer: BCBS Complete |
$23.20
|
| Rate for Payer: BCN Commercial |
$33.04
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$89.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$89.48
|
|
|
PR SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 92060
|
| Min. Negotiated Rate |
$52.50 |
| Max. Negotiated Rate |
$95.12 |
| Rate for Payer: Aetna Commercial |
$66.75
|
| Rate for Payer: Aetna Medicare |
$52.50
|
| Rate for Payer: BCN Commercial |
$95.12
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$81.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.38
|
|
|
PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF
|
Professional
|
Both
|
$3,257.00
|
|
|
Service Code
|
HCPCS 30520
|
| Min. Negotiated Rate |
$391.07 |
| Max. Negotiated Rate |
$2,442.75 |
| Rate for Payer: Aetna Commercial |
$848.68
|
| Rate for Payer: Aetna Commercial |
$848.68
|
| Rate for Payer: Aetna Medicare |
$1,628.50
|
| Rate for Payer: Aetna Medicare |
$937.50
|
| Rate for Payer: BCBS Complete |
$410.62
|
| Rate for Payer: BCBS Complete |
$410.62
|
| Rate for Payer: BCN Commercial |
$1,006.42
|
| Rate for Payer: BCN Commercial |
$1,006.42
|
| Rate for Payer: Cash Price |
$2,605.60
|
| Rate for Payer: Cash Price |
$1,500.00
|
| Rate for Payer: Cash Price |
$1,500.00
|
| Rate for Payer: Cash Price |
$2,605.60
|
| Rate for Payer: Mclaren Medicaid |
$391.07
|
| Rate for Payer: Mclaren Medicaid |
$391.07
|
| Rate for Payer: Meridian Medicaid |
$410.62
|
| Rate for Payer: Meridian Medicaid |
$410.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,406.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,442.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$947.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$947.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$947.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$947.74
|
| Rate for Payer: UHC Medicaid |
$391.07
|
| Rate for Payer: UHC Medicaid |
$391.07
|
| Rate for Payer: UHCCP Medicaid |
$391.07
|
| Rate for Payer: UHCCP Medicaid |
$391.07
|
|
|
PR SEQUESTRECTOMY FOREARM &/WRIST
|
Professional
|
Both
|
$2,325.00
|
|
|
Service Code
|
HCPCS 25145
|
| Min. Negotiated Rate |
$320.35 |
| Max. Negotiated Rate |
$1,743.75 |
| Rate for Payer: Aetna Commercial |
$694.20
|
| Rate for Payer: Aetna Medicare |
$1,162.50
|
| Rate for Payer: BCBS Complete |
$336.37
|
| Rate for Payer: BCN Commercial |
$803.74
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Mclaren Medicaid |
$320.35
|
| Rate for Payer: Meridian Medicaid |
$336.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,743.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$859.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$859.17
|
| Rate for Payer: UHC Medicaid |
$320.35
|
| Rate for Payer: UHCCP Medicaid |
$320.35
|
|
|
PR SEQUESTRECTOMY SHAFT/DISTAL HUMERUS
|
Professional
|
Both
|
$2,287.00
|
|
|
Service Code
|
HCPCS 24134
|
| Min. Negotiated Rate |
$448.37 |
| Max. Negotiated Rate |
$1,715.25 |
| Rate for Payer: Aetna Commercial |
$998.19
|
| Rate for Payer: Aetna Medicare |
$1,143.50
|
| Rate for Payer: BCBS Complete |
$470.79
|
| Rate for Payer: BCN Commercial |
$1,143.86
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Mclaren Medicaid |
$448.37
|
| Rate for Payer: Meridian Medicaid |
$470.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,715.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$448.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,222.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,222.76
|
| Rate for Payer: UHC Medicaid |
$448.37
|
| Rate for Payer: UHCCP Medicaid |
$448.37
|
|
|
PR SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 99050
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Commercial |
$23.50
|
| Rate for Payer: Aetna Medicare |
$20.00
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCN Commercial |
$20.37
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.80
|
|
|
PR SESAMOIDECTOMY FIRST TOE SPX
|
Professional
|
Both
|
$916.00
|
|
|
Service Code
|
HCPCS 28315
|
| Min. Negotiated Rate |
$198.30 |
| Max. Negotiated Rate |
$687.00 |
| Rate for Payer: Aetna Commercial |
$432.42
|
| Rate for Payer: Aetna Medicare |
$458.00
|
| Rate for Payer: BCBS Complete |
$208.22
|
| Rate for Payer: BCN Commercial |
$496.98
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Mclaren Medicaid |
$198.30
|
| Rate for Payer: Meridian Medicaid |
$208.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$687.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$531.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$531.27
|
| Rate for Payer: UHC Medicaid |
$198.30
|
| Rate for Payer: UHCCP Medicaid |
$198.30
|
|
|
PR SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,730.00
|
|
|
Service Code
|
HCPCS 26185
|
| Min. Negotiated Rate |
$349.11 |
| Max. Negotiated Rate |
$1,297.50 |
| Rate for Payer: Aetna Commercial |
$737.45
|
| Rate for Payer: Aetna Medicare |
$865.00
|
| Rate for Payer: BCBS Complete |
$366.57
|
| Rate for Payer: BCN Commercial |
$863.01
|
| Rate for Payer: Cash Price |
$1,384.00
|
| Rate for Payer: Cash Price |
$1,384.00
|
| Rate for Payer: Mclaren Medicaid |
$349.11
|
| Rate for Payer: Meridian Medicaid |
$366.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,297.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$922.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$922.52
|
| Rate for Payer: UHC Medicaid |
$349.11
|
| Rate for Payer: UHCCP Medicaid |
$349.11
|
|
|
PR SGMDSC FLX DIRED SBMCSL NJX ANY SBST
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 45335
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$502.50 |
| Rate for Payer: Aetna Commercial |
$88.06
|
| Rate for Payer: Aetna Medicare |
$335.00
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCN Commercial |
$100.60
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Mclaren Medicaid |
$39.83
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$502.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$122.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$122.57
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
|
|
PR SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ
|
Professional
|
Both
|
$774.00
|
|
|
Service Code
|
HCPCS 45338
|
| Min. Negotiated Rate |
$69.44 |
| Max. Negotiated Rate |
$580.50 |
| Rate for Payer: Aetna Commercial |
$159.59
|
| Rate for Payer: Aetna Medicare |
$387.00
|
| Rate for Payer: BCBS Complete |
$72.91
|
| Rate for Payer: BCN Commercial |
$178.28
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Mclaren Medicaid |
$69.44
|
| Rate for Payer: Meridian Medicaid |
$72.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$580.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$217.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$217.22
|
| Rate for Payer: UHC Medicaid |
$69.44
|
| Rate for Payer: UHCCP Medicaid |
$69.44
|
|
|
PR SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 45337
|
| Min. Negotiated Rate |
$63.69 |
| Max. Negotiated Rate |
$468.00 |
| Rate for Payer: Aetna Commercial |
$153.40
|
| Rate for Payer: Aetna Medicare |
$312.00
|
| Rate for Payer: BCBS Complete |
$66.87
|
| Rate for Payer: BCN Commercial |
$168.81
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Mclaren Medicaid |
$63.69
|
| Rate for Payer: Meridian Medicaid |
$66.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$468.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$205.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.68
|
| Rate for Payer: UHC Medicaid |
$63.69
|
| Rate for Payer: UHCCP Medicaid |
$63.69
|
|
|
PR SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$376.00
|
|
|
Service Code
|
HCPCS 45349
|
| Min. Negotiated Rate |
$111.83 |
| Max. Negotiated Rate |
$355.56 |
| Rate for Payer: Aetna Commercial |
$263.62
|
| Rate for Payer: Aetna Medicare |
$188.00
|
| Rate for Payer: BCBS Complete |
$117.42
|
| Rate for Payer: BCN Commercial |
$291.81
|
| Rate for Payer: Cash Price |
$300.80
|
| Rate for Payer: Cash Price |
$300.80
|
| Rate for Payer: Mclaren Medicaid |
$111.83
|
| Rate for Payer: Meridian Medicaid |
$117.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$355.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$355.56
|
| Rate for Payer: UHC Medicaid |
$111.83
|
| Rate for Payer: UHCCP Medicaid |
$111.83
|
|
|
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 11310
|
| Min. Negotiated Rate |
$23.22 |
| Max. Negotiated Rate |
$145.50 |
| Rate for Payer: Aetna Commercial |
$49.47
|
| Rate for Payer: Aetna Medicare |
$97.00
|
| Rate for Payer: BCBS Complete |
$24.38
|
| Rate for Payer: BCN Commercial |
$53.01
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Mclaren Medicaid |
$23.22
|
| Rate for Payer: Meridian Medicaid |
$24.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$145.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$61.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.53
|
| Rate for Payer: UHC Medicaid |
$23.22
|
| Rate for Payer: UHCCP Medicaid |
$23.22
|
|
|
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 11313
|
| Min. Negotiated Rate |
$49.20 |
| Max. Negotiated Rate |
$237.00 |
| Rate for Payer: Aetna Commercial |
$103.74
|
| Rate for Payer: Aetna Medicare |
$158.00
|
| Rate for Payer: BCBS Complete |
$51.66
|
| Rate for Payer: BCN Commercial |
$112.31
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Mclaren Medicaid |
$49.20
|
| Rate for Payer: Meridian Medicaid |
$51.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$130.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$130.35
|
| Rate for Payer: UHC Medicaid |
$49.20
|
| Rate for Payer: UHCCP Medicaid |
$49.20
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 11305
|
| Min. Negotiated Rate |
$20.87 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Aetna Commercial |
$41.35
|
| Rate for Payer: Aetna Medicare |
$83.00
|
| Rate for Payer: BCBS Complete |
$21.91
|
| Rate for Payer: BCN Commercial |
$43.59
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Mclaren Medicaid |
$20.87
|
| Rate for Payer: Meridian Medicaid |
$21.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$50.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.59
|
| Rate for Payer: UHC Medicaid |
$20.87
|
| Rate for Payer: UHCCP Medicaid |
$20.87
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$206.00
|
|
|
Service Code
|
HCPCS 11306
|
| Min. Negotiated Rate |
$25.99 |
| Max. Negotiated Rate |
$154.50 |
| Rate for Payer: Aetna Commercial |
$53.87
|
| Rate for Payer: Aetna Medicare |
$103.00
|
| Rate for Payer: BCBS Complete |
$27.29
|
| Rate for Payer: BCN Commercial |
$56.94
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Mclaren Medicaid |
$25.99
|
| Rate for Payer: Meridian Medicaid |
$27.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$66.08
|
| Rate for Payer: UHC Medicaid |
$25.99
|
| Rate for Payer: UHCCP Medicaid |
$25.99
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 11307
|
| Min. Negotiated Rate |
$32.80 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$69.07
|
| Rate for Payer: Aetna Medicare |
$122.00
|
| Rate for Payer: BCBS Complete |
$34.44
|
| Rate for Payer: BCN Commercial |
$72.26
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Mclaren Medicaid |
$32.80
|
| Rate for Payer: Meridian Medicaid |
$34.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$83.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$83.87
|
| Rate for Payer: UHC Medicaid |
$32.80
|
| Rate for Payer: UHCCP Medicaid |
$32.80
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 11308
|
| Min. Negotiated Rate |
$38.13 |
| Max. Negotiated Rate |
$194.25 |
| Rate for Payer: Aetna Commercial |
$78.76
|
| Rate for Payer: Aetna Medicare |
$129.50
|
| Rate for Payer: BCBS Complete |
$40.04
|
| Rate for Payer: BCN Commercial |
$80.90
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Mclaren Medicaid |
$38.13
|
| Rate for Payer: Meridian Medicaid |
$40.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$93.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$93.89
|
| Rate for Payer: UHC Medicaid |
$38.13
|
| Rate for Payer: UHCCP Medicaid |
$38.13
|
|
|
PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 11300
|
| Min. Negotiated Rate |
$17.68 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Aetna Commercial |
$36.45
|
| Rate for Payer: Aetna Medicare |
$83.00
|
| Rate for Payer: BCBS Complete |
$18.56
|
| Rate for Payer: BCN Commercial |
$39.66
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Mclaren Medicaid |
$17.68
|
| Rate for Payer: Meridian Medicaid |
$18.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$46.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$46.03
|
| Rate for Payer: UHC Medicaid |
$17.68
|
| Rate for Payer: UHCCP Medicaid |
$17.68
|
|
|
PR SHOE LIFTS ELEVATION HEEL /I
|
Professional
|
Both
|
$67.00
|
|
|
Service Code
|
HCPCS L3334
|
| Min. Negotiated Rate |
$22.97 |
| Max. Negotiated Rate |
$50.25 |
| Rate for Payer: Aetna Commercial |
$22.97
|
| Rate for Payer: Aetna Medicare |
$33.50
|
| Rate for Payer: BCBS Complete |
$26.80
|
| Rate for Payer: BCN Commercial |
$44.87
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.25
|
|
