|
PR STANDARDIZED COGNITIVE PERFORMANCE TESTING
|
Professional
|
Both
|
$193.00
|
|
|
Service Code
|
HCPCS 96125
|
| Min. Negotiated Rate |
$77.20 |
| Max. Negotiated Rate |
$153.38 |
| Rate for Payer: Aetna Commercial |
$115.45
|
| Rate for Payer: Aetna Medicare |
$96.50
|
| Rate for Payer: BCBS Complete |
$77.20
|
| Rate for Payer: BCN Commercial |
$153.38
|
| Rate for Payer: Cash Price |
$154.40
|
| Rate for Payer: Cash Price |
$154.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$144.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$141.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$141.45
|
|
|
PR STAPEDECTOMY/STAPEDOTOMY
|
Professional
|
Both
|
$1,752.00
|
|
|
Service Code
|
HCPCS 69660
|
| Min. Negotiated Rate |
$522.28 |
| Max. Negotiated Rate |
$1,380.41 |
| Rate for Payer: Aetna Commercial |
$1,052.44
|
| Rate for Payer: Aetna Medicare |
$876.00
|
| Rate for Payer: BCBS Complete |
$548.39
|
| Rate for Payer: BCN Commercial |
$1,380.41
|
| Rate for Payer: Cash Price |
$1,401.60
|
| Rate for Payer: Cash Price |
$1,401.60
|
| Rate for Payer: Mclaren Medicaid |
$522.28
|
| Rate for Payer: Meridian Medicaid |
$548.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,314.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$522.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,363.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,363.97
|
| Rate for Payer: UHC Medicaid |
$522.28
|
| Rate for Payer: UHCCP Medicaid |
$522.28
|
|
|
PR STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT
|
Professional
|
Both
|
$2,506.00
|
|
|
Service Code
|
HCPCS 69661
|
| Min. Negotiated Rate |
$678.83 |
| Max. Negotiated Rate |
$1,879.50 |
| Rate for Payer: Aetna Commercial |
$1,372.29
|
| Rate for Payer: Aetna Medicare |
$1,253.00
|
| Rate for Payer: BCBS Complete |
$712.77
|
| Rate for Payer: BCN Commercial |
$1,797.72
|
| Rate for Payer: Cash Price |
$2,004.80
|
| Rate for Payer: Cash Price |
$2,004.80
|
| Rate for Payer: Mclaren Medicaid |
$678.83
|
| Rate for Payer: Meridian Medicaid |
$712.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,879.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$678.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,776.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,776.32
|
| Rate for Payer: UHC Medicaid |
$678.83
|
| Rate for Payer: UHCCP Medicaid |
$678.83
|
|
|
PR STAPES MOBILIZATION
|
Professional
|
Both
|
$1,498.00
|
|
|
Service Code
|
HCPCS 69650
|
| Min. Negotiated Rate |
$457.52 |
| Max. Negotiated Rate |
$1,199.14 |
| Rate for Payer: Aetna Commercial |
$913.46
|
| Rate for Payer: Aetna Medicare |
$749.00
|
| Rate for Payer: BCBS Complete |
$480.40
|
| Rate for Payer: BCN Commercial |
$1,199.14
|
| Rate for Payer: Cash Price |
$1,198.40
|
| Rate for Payer: Cash Price |
$1,198.40
|
| Rate for Payer: Mclaren Medicaid |
$457.52
|
| Rate for Payer: Meridian Medicaid |
$480.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,123.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,184.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,184.86
|
| Rate for Payer: UHC Medicaid |
$457.52
|
| Rate for Payer: UHCCP Medicaid |
$457.52
|
|
|
PR STENGER TEST PURE TONE
|
Professional
|
Both
|
$33.00
|
|
|
Service Code
|
HCPCS 92565
|
| Min. Negotiated Rate |
$16.50 |
| Max. Negotiated Rate |
$32.87 |
| Rate for Payer: Aetna Commercial |
$18.18
|
| Rate for Payer: Aetna Medicare |
$16.50
|
| Rate for Payer: BCN Commercial |
$32.87
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Cash Price |
$26.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.31
|
|
|
PR STENGER TEST SPEECH
|
Professional
|
Both
|
$81.00
|
|
|
Service Code
|
HCPCS 92577
|
| Min. Negotiated Rate |
$15.69 |
| Max. Negotiated Rate |
$60.75 |
| Rate for Payer: Aetna Commercial |
$15.69
|
| Rate for Payer: Aetna Medicare |
$40.50
|
| Rate for Payer: BCN Commercial |
$34.36
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.69
|
|
|
PR STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR
|
Professional
|
Both
|
$593.00
|
|
|
Service Code
|
HCPCS 36908
|
| Min. Negotiated Rate |
$115.87 |
| Max. Negotiated Rate |
$444.75 |
| Rate for Payer: Aetna Commercial |
$278.21
|
| Rate for Payer: Aetna Medicare |
$296.50
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCN Commercial |
$302.28
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Mclaren Medicaid |
$115.87
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$444.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$325.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$325.05
|
| Rate for Payer: UHC Medicaid |
$115.87
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
|
|
PR STEREOSCOPIC X-RAY GUIDANCE
|
Professional
|
Both
|
$52.00
|
|
|
Service Code
|
HCPCS G6002
|
| Min. Negotiated Rate |
$20.80 |
| Max. Negotiated Rate |
$113.04 |
| Rate for Payer: Aetna Commercial |
$85.81
|
| Rate for Payer: Aetna Commercial |
$85.81
|
| Rate for Payer: Aetna Medicare |
$74.50
|
| Rate for Payer: Aetna Medicare |
$26.00
|
| Rate for Payer: BCBS Complete |
$20.80
|
| Rate for Payer: BCBS Complete |
$59.60
|
| Rate for Payer: BCN Commercial |
$113.04
|
| Rate for Payer: BCN Commercial |
$113.04
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$41.60
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Cash Price |
$119.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$111.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.00
|
|
|
PR STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES
|
Professional
|
Both
|
$3,065.00
|
|
|
Service Code
|
HCPCS 61750
|
| Min. Negotiated Rate |
$883.52 |
| Max. Negotiated Rate |
$2,974.80 |
| Rate for Payer: Aetna Commercial |
$1,819.17
|
| Rate for Payer: Aetna Medicare |
$1,532.50
|
| Rate for Payer: BCBS Complete |
$927.70
|
| Rate for Payer: BCN Commercial |
$2,974.80
|
| Rate for Payer: Cash Price |
$2,452.00
|
| Rate for Payer: Cash Price |
$2,452.00
|
| Rate for Payer: Mclaren Medicaid |
$883.52
|
| Rate for Payer: Meridian Medicaid |
$927.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,298.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$883.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,500.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,500.98
|
| Rate for Payer: UHC Medicaid |
$883.52
|
| Rate for Payer: UHCCP Medicaid |
$883.52
|
|
|
PR STEREOTACTIC COMPUTER ASSISTED PX SPINAL
|
Professional
|
Both
|
$765.00
|
|
|
Service Code
|
HCPCS 61783
|
| Min. Negotiated Rate |
$132.27 |
| Max. Negotiated Rate |
$573.75 |
| Rate for Payer: Aetna Commercial |
$300.82
|
| Rate for Payer: Aetna Medicare |
$382.50
|
| Rate for Payer: BCBS Complete |
$138.88
|
| Rate for Payer: BCN Commercial |
$347.09
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Mclaren Medicaid |
$132.27
|
| Rate for Payer: Meridian Medicaid |
$138.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$573.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$132.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$403.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$403.15
|
| Rate for Payer: UHC Medicaid |
$132.27
|
| Rate for Payer: UHCCP Medicaid |
$132.27
|
|
|
PR STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES
|
Professional
|
Both
|
$8,565.00
|
|
|
Service Code
|
HCPCS 61798
|
| Min. Negotiated Rate |
$853.49 |
| Max. Negotiated Rate |
$6,423.75 |
| Rate for Payer: Aetna Commercial |
$1,782.51
|
| Rate for Payer: Aetna Medicare |
$4,282.50
|
| Rate for Payer: BCBS Complete |
$896.16
|
| Rate for Payer: BCN Commercial |
$2,105.97
|
| Rate for Payer: Cash Price |
$6,852.00
|
| Rate for Payer: Cash Price |
$6,852.00
|
| Rate for Payer: Mclaren Medicaid |
$853.49
|
| Rate for Payer: Meridian Medicaid |
$896.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,423.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$853.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,446.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,446.03
|
| Rate for Payer: UHC Medicaid |
$853.49
|
| Rate for Payer: UHCCP Medicaid |
$853.49
|
|
|
PR STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES
|
Professional
|
Both
|
$8,565.00
|
|
|
Service Code
|
HCPCS 61796
|
| Min. Negotiated Rate |
$645.82 |
| Max. Negotiated Rate |
$6,423.75 |
| Rate for Payer: Aetna Commercial |
$1,312.22
|
| Rate for Payer: Aetna Medicare |
$4,282.50
|
| Rate for Payer: BCBS Complete |
$678.11
|
| Rate for Payer: BCN Commercial |
$1,561.67
|
| Rate for Payer: Cash Price |
$6,852.00
|
| Rate for Payer: Cash Price |
$6,852.00
|
| Rate for Payer: Mclaren Medicaid |
$645.82
|
| Rate for Payer: Meridian Medicaid |
$678.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,423.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$645.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,813.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,813.86
|
| Rate for Payer: UHC Medicaid |
$645.82
|
| Rate for Payer: UHCCP Medicaid |
$645.82
|
|
|
PR STEREOTACTIC RADIOSURGERY 1 SPINAL LESION
|
Professional
|
Both
|
$2,406.00
|
|
|
Service Code
|
HCPCS 63620
|
| Min. Negotiated Rate |
$709.93 |
| Max. Negotiated Rate |
$2,002.41 |
| Rate for Payer: Aetna Commercial |
$1,450.25
|
| Rate for Payer: Aetna Medicare |
$1,203.00
|
| Rate for Payer: BCBS Complete |
$745.43
|
| Rate for Payer: BCN Commercial |
$1,724.01
|
| Rate for Payer: Cash Price |
$1,924.80
|
| Rate for Payer: Cash Price |
$1,924.80
|
| Rate for Payer: Mclaren Medicaid |
$709.93
|
| Rate for Payer: Meridian Medicaid |
$745.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,804.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$709.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,002.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,002.41
|
| Rate for Payer: UHC Medicaid |
$709.93
|
| Rate for Payer: UHCCP Medicaid |
$709.93
|
|
|
PR STERILE SALINE OR WATER
|
Professional
|
Both
|
$2.00
|
|
|
Service Code
|
HCPCS A4218
|
| Min. Negotiated Rate |
$0.80 |
| Max. Negotiated Rate |
$1.75 |
| Rate for Payer: Aetna Commercial |
$1.75
|
| Rate for Payer: Aetna Medicare |
$1.00
|
| Rate for Payer: BCBS Complete |
$0.80
|
| Rate for Payer: BCN Commercial |
$1.04
|
| Rate for Payer: Cash Price |
$1.60
|
| Rate for Payer: Cash Price |
$1.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.50
|
|
|
PR STERNAL DEBRIDEMENT
|
Professional
|
Both
|
$4,272.00
|
|
|
Service Code
|
HCPCS 21627
|
| Min. Negotiated Rate |
$354.22 |
| Max. Negotiated Rate |
$3,204.00 |
| Rate for Payer: Aetna Commercial |
$720.59
|
| Rate for Payer: Aetna Medicare |
$2,136.00
|
| Rate for Payer: BCBS Complete |
$371.93
|
| Rate for Payer: BCN Commercial |
$830.13
|
| Rate for Payer: Cash Price |
$3,417.60
|
| Rate for Payer: Cash Price |
$3,417.60
|
| Rate for Payer: Mclaren Medicaid |
$354.22
|
| Rate for Payer: Meridian Medicaid |
$371.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,204.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$887.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$887.40
|
| Rate for Payer: UHC Medicaid |
$354.22
|
| Rate for Payer: UHCCP Medicaid |
$354.22
|
|
|
PR STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY
|
Professional
|
Both
|
$1,176.00
|
|
|
Service Code
|
HCPCS 59525
|
| Min. Negotiated Rate |
$271.79 |
| Max. Negotiated Rate |
$882.00 |
| Rate for Payer: Aetna Commercial |
$530.07
|
| Rate for Payer: Aetna Medicare |
$588.00
|
| Rate for Payer: BCBS Complete |
$285.38
|
| Rate for Payer: BCN Commercial |
$717.59
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Mclaren Medicaid |
$271.79
|
| Rate for Payer: Meridian Medicaid |
$285.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$882.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$677.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$677.40
|
| Rate for Payer: UHC Medicaid |
$271.79
|
| Rate for Payer: UHCCP Medicaid |
$271.79
|
|
|
PR STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC
|
Professional
|
Both
|
$1,488.00
|
|
|
Service Code
|
HCPCS 67311
|
| Min. Negotiated Rate |
$249.42 |
| Max. Negotiated Rate |
$1,116.00 |
| Rate for Payer: Aetna Commercial |
$775.15
|
| Rate for Payer: Aetna Medicare |
$744.00
|
| Rate for Payer: BCBS Complete |
$261.89
|
| Rate for Payer: BCN Commercial |
$676.26
|
| Rate for Payer: Cash Price |
$1,190.40
|
| Rate for Payer: Cash Price |
$1,190.40
|
| Rate for Payer: Mclaren Medicaid |
$249.42
|
| Rate for Payer: Meridian Medicaid |
$261.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,116.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$249.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$792.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$792.14
|
| Rate for Payer: UHC Medicaid |
$249.42
|
| Rate for Payer: UHCCP Medicaid |
$249.42
|
|
|
PR STRAIGHT TIP URINE CATHETER
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS A4351
|
| Min. Negotiated Rate |
$1.69 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Aetna Commercial |
$1.69
|
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCN Commercial |
$2.47
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.50
|
|
|
PR STRAPPING ANKLE &/FOOT
|
Professional
|
Both
|
$72.00
|
|
|
Service Code
|
HCPCS 29540
|
| Min. Negotiated Rate |
$9.80 |
| Max. Negotiated Rate |
$54.00 |
| Rate for Payer: Aetna Commercial |
$24.08
|
| Rate for Payer: Aetna Medicare |
$36.00
|
| Rate for Payer: BCBS Complete |
$10.29
|
| Rate for Payer: BCN Commercial |
$20.42
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Cash Price |
$57.60
|
| Rate for Payer: Mclaren Medicaid |
$9.80
|
| Rate for Payer: Meridian Medicaid |
$10.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$27.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$27.68
|
| Rate for Payer: UHC Medicaid |
$9.80
|
| Rate for Payer: UHCCP Medicaid |
$9.80
|
|
|
PR STRAPPING ELBOW/WRIST
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 29260
|
| Min. Negotiated Rate |
$10.01 |
| Max. Negotiated Rate |
$45.75 |
| Rate for Payer: Aetna Commercial |
$26.22
|
| Rate for Payer: Aetna Medicare |
$30.50
|
| Rate for Payer: BCBS Complete |
$10.51
|
| Rate for Payer: BCN Commercial |
$27.89
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Mclaren Medicaid |
$10.01
|
| Rate for Payer: Meridian Medicaid |
$10.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.80
|
| Rate for Payer: UHC Medicaid |
$10.01
|
| Rate for Payer: UHCCP Medicaid |
$10.01
|
|
|
PR STRAPPING HAND/FINGER
|
Professional
|
Both
|
$106.00
|
|
|
Service Code
|
HCPCS 29280
|
| Min. Negotiated Rate |
$10.86 |
| Max. Negotiated Rate |
$79.50 |
| Rate for Payer: Aetna Commercial |
$26.22
|
| Rate for Payer: Aetna Medicare |
$53.00
|
| Rate for Payer: BCBS Complete |
$11.40
|
| Rate for Payer: BCN Commercial |
$29.38
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Cash Price |
$84.80
|
| Rate for Payer: Mclaren Medicaid |
$10.86
|
| Rate for Payer: Meridian Medicaid |
$11.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.40
|
| Rate for Payer: UHC Medicaid |
$10.86
|
| Rate for Payer: UHCCP Medicaid |
$10.86
|
|
|
PR STRAPPING TOES
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 29550
|
| Min. Negotiated Rate |
$6.18 |
| Max. Negotiated Rate |
$45.75 |
| Rate for Payer: Aetna Commercial |
$15.27
|
| Rate for Payer: Aetna Medicare |
$30.50
|
| Rate for Payer: BCBS Complete |
$6.49
|
| Rate for Payer: BCN Commercial |
$12.96
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Mclaren Medicaid |
$6.18
|
| Rate for Payer: Meridian Medicaid |
$6.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.56
|
| Rate for Payer: UHC Medicaid |
$6.18
|
| Rate for Payer: UHCCP Medicaid |
$6.18
|
|
|
PR STRAPPING UNNA BOOT
|
Professional
|
Both
|
$98.00
|
|
|
Service Code
|
HCPCS 29580
|
| Min. Negotiated Rate |
$14.91 |
| Max. Negotiated Rate |
$73.50 |
| Rate for Payer: Aetna Commercial |
$35.54
|
| Rate for Payer: Aetna Medicare |
$49.00
|
| Rate for Payer: BCBS Complete |
$15.66
|
| Rate for Payer: BCN Commercial |
$30.63
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Mclaren Medicaid |
$14.91
|
| Rate for Payer: Meridian Medicaid |
$15.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.52
|
| Rate for Payer: UHC Medicaid |
$14.91
|
| Rate for Payer: UHCCP Medicaid |
$14.91
|
|
|
PR STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR
|
Professional
|
Both
|
$7,245.00
|
|
|
Service Code
|
HCPCS 61751
|
| Min. Negotiated Rate |
$884.16 |
| Max. Negotiated Rate |
$5,433.75 |
| Rate for Payer: Aetna Commercial |
$1,786.62
|
| Rate for Payer: Aetna Medicare |
$3,622.50
|
| Rate for Payer: BCBS Complete |
$928.37
|
| Rate for Payer: BCN Commercial |
$2,934.21
|
| Rate for Payer: Cash Price |
$5,796.00
|
| Rate for Payer: Cash Price |
$5,796.00
|
| Rate for Payer: Mclaren Medicaid |
$884.16
|
| Rate for Payer: Meridian Medicaid |
$928.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,433.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$884.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2,466.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,466.86
|
| Rate for Payer: UHC Medicaid |
$884.16
|
| Rate for Payer: UHCCP Medicaid |
$884.16
|
|
|
PR STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL
|
Professional
|
Both
|
$765.00
|
|
|
Service Code
|
HCPCS 61781
|
| Min. Negotiated Rate |
$137.17 |
| Max. Negotiated Rate |
$573.75 |
| Rate for Payer: Aetna Commercial |
$305.80
|
| Rate for Payer: Aetna Medicare |
$382.50
|
| Rate for Payer: BCBS Complete |
$144.03
|
| Rate for Payer: BCN Commercial |
$354.07
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Mclaren Medicaid |
$137.17
|
| Rate for Payer: Meridian Medicaid |
$144.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$573.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$411.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$411.23
|
| Rate for Payer: UHC Medicaid |
$137.17
|
| Rate for Payer: UHCCP Medicaid |
$137.17
|
|
