|
PR RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR
|
Professional
|
Both
|
$1,678.00
|
|
|
Service Code
|
HCPCS 33234
|
| Min. Negotiated Rate |
$305.44 |
| Max. Negotiated Rate |
$1,090.70 |
| Rate for Payer: Aetna Commercial |
$615.44
|
| Rate for Payer: Aetna Medicare |
$477.65
|
| Rate for Payer: BCBS Complete |
$320.71
|
| Rate for Payer: BCBS MAPPO |
$459.28
|
| Rate for Payer: BCN Commercial |
$700.27
|
| Rate for Payer: BCN Medicare Advantage |
$459.28
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cofinity Commercial |
$661.36
|
| Rate for Payer: Cofinity Commercial |
$615.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$459.28
|
| Rate for Payer: Mclaren Medicaid |
$305.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$482.24
|
| Rate for Payer: Meridian Medicaid |
$320.71
|
| Rate for Payer: Nomi Health Commercial |
$551.14
|
| Rate for Payer: PACE SWMI |
$459.28
|
| Rate for Payer: PHP Medicare Advantage |
$459.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$305.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.70
|
| Rate for Payer: Priority Health HMO/PPO |
$759.45
|
| Rate for Payer: Priority Health Medicare |
$463.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$759.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$459.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$459.28
|
| Rate for Payer: UHC Exchange |
$459.28
|
| Rate for Payer: UHC Medicare Advantage |
$459.28
|
| Rate for Payer: UHCCP Medicaid |
$305.44
|
|
|
PR RMVL TRANSVNS PM ELTRD DUAL LEAD SYS
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 33235
|
| Min. Negotiated Rate |
$401.29 |
| Max. Negotiated Rate |
$1,206.11 |
| Rate for Payer: Aetna Commercial |
$807.55
|
| Rate for Payer: Aetna Medicare |
$626.76
|
| Rate for Payer: BCBS Complete |
$421.35
|
| Rate for Payer: BCBS MAPPO |
$602.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,206.11
|
| Rate for Payer: BCN Commercial |
$921.64
|
| Rate for Payer: BCN Medicare Advantage |
$602.65
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cofinity Commercial |
$867.82
|
| Rate for Payer: Cofinity Commercial |
$807.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$602.65
|
| Rate for Payer: Mclaren Medicaid |
$401.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$632.78
|
| Rate for Payer: Meridian Medicaid |
$421.35
|
| Rate for Payer: Nomi Health Commercial |
$723.18
|
| Rate for Payer: PACE SWMI |
$602.65
|
| Rate for Payer: PHP Medicare Advantage |
$602.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$401.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.55
|
| Rate for Payer: Priority Health HMO/PPO |
$998.24
|
| Rate for Payer: Priority Health Medicare |
$608.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$998.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$602.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$602.65
|
| Rate for Payer: UHC Exchange |
$602.65
|
| Rate for Payer: UHC Medicare Advantage |
$602.65
|
| Rate for Payer: UHCCP Medicaid |
$401.29
|
|
|
PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ
|
Facility
|
OP
|
$716.00
|
|
|
Service Code
|
CPT 36590
|
| Hospital Charge Code |
36590
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$170.05 |
| Max. Negotiated Rate |
$1,155.53 |
| Rate for Payer: Aetna Commercial |
$608.60
|
| Rate for Payer: Aetna Medicare |
$186.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$223.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$223.75
|
| Rate for Payer: BCBS Complete |
$1,155.53
|
| Rate for Payer: BCBS MAPPO |
$179.00
|
| Rate for Payer: BCBS Trust/PPO |
$588.62
|
| Rate for Payer: BCN Commercial |
$556.69
|
| Rate for Payer: BCN Medicare Advantage |
$179.00
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cofinity Commercial |
$615.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$572.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.00
|
| Rate for Payer: Healthscope Commercial |
$644.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$537.00
|
| Rate for Payer: Mclaren Medicaid |
$1,100.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$187.95
|
| Rate for Payer: Meridian Medicaid |
$1,155.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$205.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$608.60
|
| Rate for Payer: Nomi Health Commercial |
$587.12
|
| Rate for Payer: PACE Senior Care Partners |
$170.05
|
| Rate for Payer: PACE SWMI |
$179.00
|
| Rate for Payer: PHP Commercial |
$608.60
|
| Rate for Payer: PHP Medicare Advantage |
$179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,100.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.40
|
| Rate for Payer: Priority Health HMO/PPO |
$622.92
|
| Rate for Payer: Priority Health Medicare |
$180.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.72
|
| Rate for Payer: Railroad Medicare Medicare |
$179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$630.08
|
| Rate for Payer: UHC Core |
$597.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.00
|
| Rate for Payer: UHC Exchange |
$179.00
|
| Rate for Payer: UHC Medicare Advantage |
$179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,100.43
|
| Rate for Payer: VA VA |
$179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$537.00
|
|
|
PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ
|
Facility
|
IP
|
$716.00
|
|
|
Service Code
|
CPT 36590
|
| Hospital Charge Code |
36590
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$465.40 |
| Max. Negotiated Rate |
$644.40 |
| Rate for Payer: Aetna Commercial |
$608.60
|
| Rate for Payer: BCBS Trust/PPO |
$584.47
|
| Rate for Payer: BCN Commercial |
$553.32
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cofinity Commercial |
$615.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$572.80
|
| Rate for Payer: Healthscope Commercial |
$644.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$537.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$608.60
|
| Rate for Payer: Nomi Health Commercial |
$587.12
|
| Rate for Payer: PHP Commercial |
$608.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.40
|
| Rate for Payer: Priority Health HMO/PPO |
$622.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$479.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$630.08
|
| Rate for Payer: UHC Core |
$597.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$537.00
|
|
|
PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ
|
Professional
|
Both
|
$716.00
|
|
|
Service Code
|
HCPCS 36590
|
| Hospital Charge Code |
36590
|
| Min. Negotiated Rate |
$120.35 |
| Max. Negotiated Rate |
$1,132.68 |
| Rate for Payer: Aetna Commercial |
$241.08
|
| Rate for Payer: Aetna Medicare |
$187.11
|
| Rate for Payer: BCBS Complete |
$126.37
|
| Rate for Payer: BCBS MAPPO |
$179.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,132.68
|
| Rate for Payer: BCN Commercial |
$325.95
|
| Rate for Payer: BCN Medicare Advantage |
$179.91
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cofinity Commercial |
$259.07
|
| Rate for Payer: Cofinity Commercial |
$241.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.91
|
| Rate for Payer: Mclaren Medicaid |
$120.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.91
|
| Rate for Payer: Meridian Medicaid |
$126.37
|
| Rate for Payer: Nomi Health Commercial |
$215.89
|
| Rate for Payer: PACE SWMI |
$179.91
|
| Rate for Payer: PHP Medicare Advantage |
$179.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.40
|
| Rate for Payer: Priority Health HMO/PPO |
$298.89
|
| Rate for Payer: Priority Health Medicare |
$181.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$298.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.91
|
| Rate for Payer: UHC Exchange |
$179.91
|
| Rate for Payer: UHC Medicare Advantage |
$179.91
|
| Rate for Payer: UHCCP Medicaid |
$120.35
|
|
|
PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ
|
Professional
|
Both
|
$716.00
|
|
|
Service Code
|
HCPCS 36590
|
| Min. Negotiated Rate |
$120.35 |
| Max. Negotiated Rate |
$1,132.68 |
| Rate for Payer: Aetna Commercial |
$241.08
|
| Rate for Payer: Aetna Medicare |
$187.11
|
| Rate for Payer: BCBS Complete |
$126.37
|
| Rate for Payer: BCBS MAPPO |
$179.91
|
| Rate for Payer: BCBS Trust/PPO |
$1,132.68
|
| Rate for Payer: BCN Commercial |
$325.95
|
| Rate for Payer: BCN Medicare Advantage |
$179.91
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cofinity Commercial |
$259.07
|
| Rate for Payer: Cofinity Commercial |
$241.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.91
|
| Rate for Payer: Mclaren Medicaid |
$120.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.91
|
| Rate for Payer: Meridian Medicaid |
$126.37
|
| Rate for Payer: Nomi Health Commercial |
$215.89
|
| Rate for Payer: PACE SWMI |
$179.91
|
| Rate for Payer: PHP Medicare Advantage |
$179.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$120.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.40
|
| Rate for Payer: Priority Health HMO/PPO |
$298.89
|
| Rate for Payer: Priority Health Medicare |
$181.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$298.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$179.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$179.91
|
| Rate for Payer: UHC Exchange |
$179.91
|
| Rate for Payer: UHC Medicare Advantage |
$179.91
|
| Rate for Payer: UHCCP Medicaid |
$120.35
|
|
|
PR RMVL TUN CVC W/O SUBQ PORT/PMP
|
Facility
|
IP
|
$429.00
|
|
|
Service Code
|
CPT 36589
|
| Hospital Charge Code |
36589
|
| Min. Negotiated Rate |
$278.85 |
| Max. Negotiated Rate |
$386.10 |
| Rate for Payer: Aetna Commercial |
$364.65
|
| Rate for Payer: BCBS Trust/PPO |
$350.19
|
| Rate for Payer: BCN Commercial |
$331.53
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cofinity Commercial |
$368.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.20
|
| Rate for Payer: Healthscope Commercial |
$386.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$364.65
|
| Rate for Payer: Nomi Health Commercial |
$351.78
|
| Rate for Payer: PHP Commercial |
$364.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.85
|
| Rate for Payer: Priority Health HMO/PPO |
$373.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$287.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$377.52
|
| Rate for Payer: UHC Core |
$358.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.75
|
|
|
PR RMVL TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$429.00
|
|
|
Service Code
|
HCPCS 36589
|
| Hospital Charge Code |
36589
|
| Min. Negotiated Rate |
$86.48 |
| Max. Negotiated Rate |
$1,048.15 |
| Rate for Payer: Aetna Commercial |
$172.97
|
| Rate for Payer: Aetna Medicare |
$134.24
|
| Rate for Payer: BCBS Complete |
$90.80
|
| Rate for Payer: BCBS MAPPO |
$129.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,048.15
|
| Rate for Payer: BCN Commercial |
$240.92
|
| Rate for Payer: BCN Medicare Advantage |
$129.08
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cofinity Commercial |
$185.88
|
| Rate for Payer: Cofinity Commercial |
$172.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.08
|
| Rate for Payer: Mclaren Medicaid |
$86.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.53
|
| Rate for Payer: Meridian Medicaid |
$90.80
|
| Rate for Payer: Nomi Health Commercial |
$154.90
|
| Rate for Payer: PACE SWMI |
$129.08
|
| Rate for Payer: PHP Medicare Advantage |
$129.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.85
|
| Rate for Payer: Priority Health HMO/PPO |
$214.33
|
| Rate for Payer: Priority Health Medicare |
$130.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$214.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$129.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.08
|
| Rate for Payer: UHC Exchange |
$129.08
|
| Rate for Payer: UHC Medicare Advantage |
$129.08
|
| Rate for Payer: UHCCP Medicaid |
$86.48
|
|
|
PR RMVL TUN CVC W/O SUBQ PORT/PMP
|
Facility
|
OP
|
$429.00
|
|
|
Service Code
|
CPT 36589
|
| Hospital Charge Code |
36589
|
| Min. Negotiated Rate |
$101.89 |
| Max. Negotiated Rate |
$459.89 |
| Rate for Payer: Aetna Commercial |
$364.65
|
| Rate for Payer: Aetna Medicare |
$111.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$134.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$134.06
|
| Rate for Payer: BCBS Complete |
$459.89
|
| Rate for Payer: BCBS MAPPO |
$107.25
|
| Rate for Payer: BCBS Trust/PPO |
$352.68
|
| Rate for Payer: BCN Commercial |
$333.55
|
| Rate for Payer: BCN Medicare Advantage |
$107.25
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cofinity Commercial |
$368.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$343.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.25
|
| Rate for Payer: Healthscope Commercial |
$386.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$321.75
|
| Rate for Payer: Mclaren Medicaid |
$437.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.61
|
| Rate for Payer: Meridian Medicaid |
$459.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$123.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$364.65
|
| Rate for Payer: Nomi Health Commercial |
$351.78
|
| Rate for Payer: PACE Senior Care Partners |
$101.89
|
| Rate for Payer: PACE SWMI |
$107.25
|
| Rate for Payer: PHP Commercial |
$364.65
|
| Rate for Payer: PHP Medicare Advantage |
$107.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$437.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.85
|
| Rate for Payer: Priority Health HMO/PPO |
$373.23
|
| Rate for Payer: Priority Health Medicare |
$108.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$287.43
|
| Rate for Payer: Railroad Medicare Medicare |
$107.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$377.52
|
| Rate for Payer: UHC Core |
$358.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$107.25
|
| Rate for Payer: UHC Exchange |
$107.25
|
| Rate for Payer: UHC Medicare Advantage |
$107.25
|
| Rate for Payer: UHCCP Medicaid |
$437.96
|
| Rate for Payer: VA VA |
$107.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$321.75
|
|
|
PR RMVL TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$429.00
|
|
|
Service Code
|
HCPCS 36589
|
| Min. Negotiated Rate |
$86.48 |
| Max. Negotiated Rate |
$1,048.15 |
| Rate for Payer: Aetna Commercial |
$172.97
|
| Rate for Payer: Aetna Medicare |
$134.24
|
| Rate for Payer: BCBS Complete |
$90.80
|
| Rate for Payer: BCBS MAPPO |
$129.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,048.15
|
| Rate for Payer: BCN Commercial |
$240.92
|
| Rate for Payer: BCN Medicare Advantage |
$129.08
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cash Price |
$343.20
|
| Rate for Payer: Cofinity Commercial |
$185.88
|
| Rate for Payer: Cofinity Commercial |
$172.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$129.08
|
| Rate for Payer: Mclaren Medicaid |
$86.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.53
|
| Rate for Payer: Meridian Medicaid |
$90.80
|
| Rate for Payer: Nomi Health Commercial |
$154.90
|
| Rate for Payer: PACE SWMI |
$129.08
|
| Rate for Payer: PHP Medicare Advantage |
$129.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.85
|
| Rate for Payer: Priority Health HMO/PPO |
$214.33
|
| Rate for Payer: Priority Health Medicare |
$130.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$214.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$129.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$129.08
|
| Rate for Payer: UHC Exchange |
$129.08
|
| Rate for Payer: UHC Medicare Advantage |
$129.08
|
| Rate for Payer: UHCCP Medicaid |
$86.48
|
|
|
PR RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT
|
Professional
|
Both
|
$402.00
|
|
|
Service Code
|
HCPCS 11983
|
| Min. Negotiated Rate |
$66.03 |
| Max. Negotiated Rate |
$532.50 |
| Rate for Payer: Aetna Commercial |
$133.64
|
| Rate for Payer: Aetna Medicare |
$103.72
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS MAPPO |
$99.73
|
| Rate for Payer: BCBS Trust/PPO |
$532.50
|
| Rate for Payer: BCN Commercial |
$208.18
|
| Rate for Payer: BCN Medicare Advantage |
$99.73
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cash Price |
$321.60
|
| Rate for Payer: Cofinity Commercial |
$143.61
|
| Rate for Payer: Cofinity Commercial |
$133.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.73
|
| Rate for Payer: Mclaren Medicaid |
$66.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.72
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Nomi Health Commercial |
$119.68
|
| Rate for Payer: PACE SWMI |
$99.73
|
| Rate for Payer: PHP Medicare Advantage |
$99.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$261.30
|
| Rate for Payer: Priority Health HMO/PPO |
$139.07
|
| Rate for Payer: Priority Health Medicare |
$100.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$139.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.73
|
| Rate for Payer: UHC Exchange |
$99.73
|
| Rate for Payer: UHC Medicare Advantage |
$99.73
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
|
|
PR RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY
|
Professional
|
Both
|
$1,386.00
|
|
|
Service Code
|
HCPCS 50575
|
| Min. Negotiated Rate |
$449.64 |
| Max. Negotiated Rate |
$1,116.86 |
| Rate for Payer: Aetna Commercial |
$906.72
|
| Rate for Payer: Aetna Medicare |
$703.73
|
| Rate for Payer: BCBS Complete |
$472.12
|
| Rate for Payer: BCBS MAPPO |
$676.66
|
| Rate for Payer: BCBS Trust/PPO |
$838.41
|
| Rate for Payer: BCN Commercial |
$1,016.45
|
| Rate for Payer: BCN Medicare Advantage |
$676.66
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cofinity Commercial |
$974.39
|
| Rate for Payer: Cofinity Commercial |
$906.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$676.66
|
| Rate for Payer: Mclaren Medicaid |
$449.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$710.49
|
| Rate for Payer: Meridian Medicaid |
$472.12
|
| Rate for Payer: Nomi Health Commercial |
$811.99
|
| Rate for Payer: PACE SWMI |
$676.66
|
| Rate for Payer: PHP Medicare Advantage |
$676.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$449.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,116.86
|
| Rate for Payer: Priority Health Medicare |
$683.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,116.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$676.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$676.66
|
| Rate for Payer: UHC Exchange |
$676.66
|
| Rate for Payer: UHC Medicare Advantage |
$676.66
|
| Rate for Payer: UHCCP Medicaid |
$449.64
|
|
|
PR ROBOTIC SURGICAL SYSTEM
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS S2900
|
| Min. Negotiated Rate |
$24.40 |
| Max. Negotiated Rate |
$486.56 |
| Rate for Payer: Aetna Commercial |
$318.14
|
| Rate for Payer: Aetna Medicare |
$30.50
|
| Rate for Payer: BCBS Complete |
$24.40
|
| Rate for Payer: BCBS Trust/PPO |
$486.56
|
| Rate for Payer: BCN Commercial |
$50.51
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
|
|
PR ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 95852
|
| Min. Negotiated Rate |
$3.62 |
| Max. Negotiated Rate |
$1,012.22 |
| Rate for Payer: Aetna Commercial |
$7.25
|
| Rate for Payer: Aetna Medicare |
$5.63
|
| Rate for Payer: BCBS Complete |
$3.80
|
| Rate for Payer: BCBS MAPPO |
$5.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,012.22
|
| Rate for Payer: BCN Commercial |
$25.41
|
| Rate for Payer: BCN Medicare Advantage |
$5.41
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$7.25
|
| Rate for Payer: Cofinity Commercial |
$7.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.41
|
| Rate for Payer: Mclaren Medicaid |
$3.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.68
|
| Rate for Payer: Meridian Medicaid |
$3.80
|
| Rate for Payer: Nomi Health Commercial |
$6.49
|
| Rate for Payer: PACE SWMI |
$5.41
|
| Rate for Payer: PHP Medicare Advantage |
$5.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.00
|
| Rate for Payer: Priority Health HMO/PPO |
$7.24
|
| Rate for Payer: Priority Health Medicare |
$5.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.41
|
| Rate for Payer: UHC Exchange |
$5.41
|
| Rate for Payer: UHC Medicare Advantage |
$5.41
|
| Rate for Payer: UHCCP Medicaid |
$3.62
|
|
|
PR ROPRTJ > 1 MO AFTER ORIGINAL OPRATION
|
Professional
|
Both
|
$578.00
|
|
|
Service Code
|
HCPCS 35700
|
| Min. Negotiated Rate |
$94.36 |
| Max. Negotiated Rate |
$1,875.47 |
| Rate for Payer: Aetna Commercial |
$195.44
|
| Rate for Payer: Aetna Medicare |
$151.68
|
| Rate for Payer: BCBS Complete |
$99.08
|
| Rate for Payer: BCBS MAPPO |
$145.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$215.51
|
| Rate for Payer: BCN Medicare Advantage |
$145.85
|
| Rate for Payer: Cash Price |
$462.40
|
| Rate for Payer: Cash Price |
$462.40
|
| Rate for Payer: Cofinity Commercial |
$210.02
|
| Rate for Payer: Cofinity Commercial |
$195.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.85
|
| Rate for Payer: Mclaren Medicaid |
$94.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$153.14
|
| Rate for Payer: Meridian Medicaid |
$99.08
|
| Rate for Payer: Nomi Health Commercial |
$175.02
|
| Rate for Payer: PACE SWMI |
$145.85
|
| Rate for Payer: PHP Medicare Advantage |
$145.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$375.70
|
| Rate for Payer: Priority Health HMO/PPO |
$235.07
|
| Rate for Payer: Priority Health Medicare |
$147.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$235.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.85
|
| Rate for Payer: UHC Exchange |
$145.85
|
| Rate for Payer: UHC Medicare Advantage |
$145.85
|
| Rate for Payer: UHCCP Medicaid |
$94.36
|
|
|
PR ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ
|
Professional
|
Both
|
$1,703.00
|
|
|
Service Code
|
HCPCS 33530
|
| Min. Negotiated Rate |
$327.17 |
| Max. Negotiated Rate |
$1,106.95 |
| Rate for Payer: Aetna Commercial |
$672.73
|
| Rate for Payer: Aetna Medicare |
$522.12
|
| Rate for Payer: BCBS Complete |
$343.53
|
| Rate for Payer: BCBS MAPPO |
$502.04
|
| Rate for Payer: BCBS Trust/PPO |
$357.13
|
| Rate for Payer: BCN Commercial |
$748.66
|
| Rate for Payer: BCN Medicare Advantage |
$502.04
|
| Rate for Payer: Cash Price |
$1,362.40
|
| Rate for Payer: Cash Price |
$1,362.40
|
| Rate for Payer: Cofinity Commercial |
$722.94
|
| Rate for Payer: Cofinity Commercial |
$672.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.04
|
| Rate for Payer: Mclaren Medicaid |
$327.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.14
|
| Rate for Payer: Meridian Medicaid |
$343.53
|
| Rate for Payer: Nomi Health Commercial |
$602.45
|
| Rate for Payer: PACE SWMI |
$502.04
|
| Rate for Payer: PHP Medicare Advantage |
$502.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,106.95
|
| Rate for Payer: Priority Health HMO/PPO |
$814.75
|
| Rate for Payer: Priority Health Medicare |
$507.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$814.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$502.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.04
|
| Rate for Payer: UHC Exchange |
$502.04
|
| Rate for Payer: UHC Medicare Advantage |
$502.04
|
| Rate for Payer: UHCCP Medicaid |
$327.17
|
|
|
PR ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 35390
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$601.21 |
| Rate for Payer: Aetna Commercial |
$205.29
|
| Rate for Payer: Aetna Medicare |
$159.33
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$153.20
|
| Rate for Payer: BCBS Trust/PPO |
$601.21
|
| Rate for Payer: BCN Commercial |
$225.76
|
| Rate for Payer: BCN Medicare Advantage |
$153.20
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$220.61
|
| Rate for Payer: Cofinity Commercial |
$205.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.20
|
| Rate for Payer: Mclaren Medicaid |
$99.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.86
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Nomi Health Commercial |
$183.84
|
| Rate for Payer: PACE SWMI |
$153.20
|
| Rate for Payer: PHP Medicare Advantage |
$153.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health HMO/PPO |
$246.23
|
| Rate for Payer: Priority Health Medicare |
$154.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$246.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.20
|
| Rate for Payer: UHC Exchange |
$153.20
|
| Rate for Payer: UHC Medicare Advantage |
$153.20
|
| Rate for Payer: UHCCP Medicaid |
$99.26
|
|
|
PR ROUT FOOT CARE PER VISIT
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS S0390
|
| Min. Negotiated Rate |
$10.80 |
| Max. Negotiated Rate |
$31.70 |
| Rate for Payer: Aetna Commercial |
$25.38
|
| Rate for Payer: Aetna Medicare |
$13.50
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Trust/PPO |
$31.70
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
|
|
PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB
|
Professional
|
Both
|
$4,028.00
|
|
|
Service Code
|
HCPCS 59610
|
| Min. Negotiated Rate |
$92.98 |
| Max. Negotiated Rate |
$3,564.47 |
| Rate for Payer: Aetna Commercial |
$3,294.70
|
| Rate for Payer: Aetna Medicare |
$2,557.08
|
| Rate for Payer: BCBS Complete |
$2,452.58
|
| Rate for Payer: BCBS MAPPO |
$2,458.73
|
| Rate for Payer: BCBS Trust/PPO |
$92.98
|
| Rate for Payer: BCN Commercial |
$3,361.90
|
| Rate for Payer: BCN Medicare Advantage |
$2,458.73
|
| Rate for Payer: Cash Price |
$3,222.40
|
| Rate for Payer: Cash Price |
$3,222.40
|
| Rate for Payer: Cofinity Commercial |
$3,540.57
|
| Rate for Payer: Cofinity Commercial |
$3,294.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,458.73
|
| Rate for Payer: Mclaren Medicaid |
$2,335.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,581.67
|
| Rate for Payer: Meridian Medicaid |
$2,452.58
|
| Rate for Payer: Nomi Health Commercial |
$2,950.48
|
| Rate for Payer: PACE SWMI |
$2,458.73
|
| Rate for Payer: PHP Medicare Advantage |
$2,458.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,335.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.20
|
| Rate for Payer: Priority Health HMO/PPO |
$3,564.47
|
| Rate for Payer: Priority Health Medicare |
$2,483.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,564.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,458.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,458.73
|
| Rate for Payer: UHC Exchange |
$2,458.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,458.73
|
| Rate for Payer: UHCCP Medicaid |
$2,335.79
|
|
|
PR ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC
|
Professional
|
Both
|
$4,323.00
|
|
|
Service Code
|
HCPCS 59618
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,821.11 |
| Rate for Payer: Aetna Commercial |
$3,531.37
|
| Rate for Payer: Aetna Medicare |
$2,740.76
|
| Rate for Payer: BCBS Complete |
$2,628.76
|
| Rate for Payer: BCBS MAPPO |
$2,635.35
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$3,361.90
|
| Rate for Payer: BCN Medicare Advantage |
$2,635.35
|
| Rate for Payer: Cash Price |
$3,458.40
|
| Rate for Payer: Cash Price |
$3,458.40
|
| Rate for Payer: Cofinity Commercial |
$3,794.90
|
| Rate for Payer: Cofinity Commercial |
$3,531.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,635.35
|
| Rate for Payer: Mclaren Medicaid |
$2,503.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,767.12
|
| Rate for Payer: Meridian Medicaid |
$2,628.76
|
| Rate for Payer: Nomi Health Commercial |
$3,162.42
|
| Rate for Payer: PACE SWMI |
$2,635.35
|
| Rate for Payer: PHP Medicare Advantage |
$2,635.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,503.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,809.95
|
| Rate for Payer: Priority Health HMO/PPO |
$3,821.11
|
| Rate for Payer: Priority Health Medicare |
$2,661.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,821.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,635.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,635.35
|
| Rate for Payer: UHC Exchange |
$2,635.35
|
| Rate for Payer: UHC Medicare Advantage |
$2,635.35
|
| Rate for Payer: UHCCP Medicaid |
$2,503.58
|
|
|
PR RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST
|
Professional
|
Both
|
$2,539.00
|
|
|
Service Code
|
HCPCS 50840
|
| Min. Negotiated Rate |
$785.76 |
| Max. Negotiated Rate |
$4,261.27 |
| Rate for Payer: Aetna Commercial |
$1,573.92
|
| Rate for Payer: Aetna Medicare |
$1,221.55
|
| Rate for Payer: BCBS Complete |
$825.05
|
| Rate for Payer: BCBS MAPPO |
$1,174.57
|
| Rate for Payer: BCBS Trust/PPO |
$4,261.27
|
| Rate for Payer: BCN Commercial |
$1,769.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,174.57
|
| Rate for Payer: Cash Price |
$2,031.20
|
| Rate for Payer: Cash Price |
$2,031.20
|
| Rate for Payer: Cofinity Commercial |
$1,691.38
|
| Rate for Payer: Cofinity Commercial |
$1,573.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,174.57
|
| Rate for Payer: Mclaren Medicaid |
$785.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,233.30
|
| Rate for Payer: Meridian Medicaid |
$825.05
|
| Rate for Payer: Nomi Health Commercial |
$1,409.48
|
| Rate for Payer: PACE SWMI |
$1,174.57
|
| Rate for Payer: PHP Medicare Advantage |
$1,174.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$785.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,650.35
|
| Rate for Payer: Priority Health HMO/PPO |
$1,950.91
|
| Rate for Payer: Priority Health Medicare |
$1,186.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,950.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,174.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,174.57
|
| Rate for Payer: UHC Exchange |
$1,174.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,174.57
|
| Rate for Payer: UHCCP Medicaid |
$785.76
|
|
|
PR RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS
|
Professional
|
Both
|
$9,690.00
|
|
|
Service Code
|
HCPCS 33411
|
| Min. Negotiated Rate |
$995.85 |
| Max. Negotiated Rate |
$6,298.50 |
| Rate for Payer: Aetna Commercial |
$4,304.28
|
| Rate for Payer: Aetna Medicare |
$3,340.64
|
| Rate for Payer: BCBS Complete |
$2,207.88
|
| Rate for Payer: BCBS MAPPO |
$3,212.15
|
| Rate for Payer: BCBS Trust/PPO |
$995.85
|
| Rate for Payer: BCN Commercial |
$4,794.41
|
| Rate for Payer: BCN Medicare Advantage |
$3,212.15
|
| Rate for Payer: Cash Price |
$7,752.00
|
| Rate for Payer: Cash Price |
$7,752.00
|
| Rate for Payer: Cofinity Commercial |
$4,625.50
|
| Rate for Payer: Cofinity Commercial |
$4,304.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,212.15
|
| Rate for Payer: Mclaren Medicaid |
$2,102.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,372.76
|
| Rate for Payer: Meridian Medicaid |
$2,207.88
|
| Rate for Payer: Nomi Health Commercial |
$3,854.58
|
| Rate for Payer: PACE SWMI |
$3,212.15
|
| Rate for Payer: PHP Medicare Advantage |
$3,212.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,102.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,298.50
|
| Rate for Payer: Priority Health HMO/PPO |
$5,233.15
|
| Rate for Payer: Priority Health Medicare |
$3,244.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5,233.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,212.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,212.15
|
| Rate for Payer: UHC Exchange |
$3,212.15
|
| Rate for Payer: UHC Medicare Advantage |
$3,212.15
|
| Rate for Payer: UHCCP Medicaid |
$2,102.74
|
|
|
PR RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND
|
Professional
|
Both
|
$6,847.00
|
|
|
Service Code
|
HCPCS 33406
|
| Min. Negotiated Rate |
$820.45 |
| Max. Negotiated Rate |
$4,510.40 |
| Rate for Payer: Aetna Commercial |
$3,707.27
|
| Rate for Payer: Aetna Medicare |
$2,877.28
|
| Rate for Payer: BCBS Complete |
$1,901.70
|
| Rate for Payer: BCBS MAPPO |
$2,766.62
|
| Rate for Payer: BCBS Trust/PPO |
$820.45
|
| Rate for Payer: BCN Commercial |
$4,128.35
|
| Rate for Payer: BCN Medicare Advantage |
$2,766.62
|
| Rate for Payer: Cash Price |
$5,477.60
|
| Rate for Payer: Cash Price |
$5,477.60
|
| Rate for Payer: Cofinity Commercial |
$3,983.93
|
| Rate for Payer: Cofinity Commercial |
$3,707.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,766.62
|
| Rate for Payer: Mclaren Medicaid |
$1,811.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,904.95
|
| Rate for Payer: Meridian Medicaid |
$1,901.70
|
| Rate for Payer: Nomi Health Commercial |
$3,319.94
|
| Rate for Payer: PACE SWMI |
$2,766.62
|
| Rate for Payer: PHP Medicare Advantage |
$2,766.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,450.55
|
| Rate for Payer: Priority Health HMO/PPO |
$4,510.40
|
| Rate for Payer: Priority Health Medicare |
$2,794.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,510.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,766.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,766.62
|
| Rate for Payer: UHC Exchange |
$2,766.62
|
| Rate for Payer: UHC Medicare Advantage |
$2,766.62
|
| Rate for Payer: UHCCP Medicaid |
$1,811.14
|
|
|
PR RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE
|
Professional
|
Both
|
$8,127.00
|
|
|
Service Code
|
HCPCS 33410
|
| Min. Negotiated Rate |
$920.83 |
| Max. Negotiated Rate |
$5,282.55 |
| Rate for Payer: Aetna Commercial |
$3,270.77
|
| Rate for Payer: Aetna Medicare |
$2,538.50
|
| Rate for Payer: BCBS Complete |
$1,679.61
|
| Rate for Payer: BCBS MAPPO |
$2,440.87
|
| Rate for Payer: BCBS Trust/PPO |
$920.83
|
| Rate for Payer: BCN Commercial |
$3,639.18
|
| Rate for Payer: BCN Medicare Advantage |
$2,440.87
|
| Rate for Payer: Cash Price |
$6,501.60
|
| Rate for Payer: Cash Price |
$6,501.60
|
| Rate for Payer: Cofinity Commercial |
$3,514.85
|
| Rate for Payer: Cofinity Commercial |
$3,270.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,440.87
|
| Rate for Payer: Mclaren Medicaid |
$1,599.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,562.91
|
| Rate for Payer: Meridian Medicaid |
$1,679.61
|
| Rate for Payer: Nomi Health Commercial |
$2,929.04
|
| Rate for Payer: PACE SWMI |
$2,440.87
|
| Rate for Payer: PHP Medicare Advantage |
$2,440.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,599.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,282.55
|
| Rate for Payer: Priority Health HMO/PPO |
$3,971.67
|
| Rate for Payer: Priority Health Medicare |
$2,465.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,971.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,440.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,440.87
|
| Rate for Payer: UHC Exchange |
$2,440.87
|
| Rate for Payer: UHC Medicare Advantage |
$2,440.87
|
| Rate for Payer: UHCCP Medicaid |
$1,599.63
|
|
|
PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL
|
Professional
|
Both
|
$5,033.00
|
|
|
Service Code
|
HCPCS 62143
|
| Min. Negotiated Rate |
$685.22 |
| Max. Negotiated Rate |
$3,271.45 |
| Rate for Payer: Aetna Commercial |
$1,389.15
|
| Rate for Payer: Aetna Medicare |
$1,078.15
|
| Rate for Payer: BCBS Complete |
$719.48
|
| Rate for Payer: BCBS MAPPO |
$1,036.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,064.60
|
| Rate for Payer: BCN Commercial |
$2,147.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,036.68
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cofinity Commercial |
$1,492.82
|
| Rate for Payer: Cofinity Commercial |
$1,389.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,036.68
|
| Rate for Payer: Mclaren Medicaid |
$685.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,088.51
|
| Rate for Payer: Meridian Medicaid |
$719.48
|
| Rate for Payer: Nomi Health Commercial |
$1,244.02
|
| Rate for Payer: PACE SWMI |
$1,036.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,036.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$685.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,271.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,815.34
|
| Rate for Payer: Priority Health Medicare |
$1,047.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,815.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,036.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,036.68
|
| Rate for Payer: UHC Exchange |
$1,036.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,036.68
|
| Rate for Payer: UHCCP Medicaid |
$685.22
|
|
