|
PR RPR EPIGASTRIC HERNIA REDUCIBLE SPX
|
Professional
|
Both
|
$1,171.00
|
|
|
Service Code
|
HCPCS 49570
|
| Min. Negotiated Rate |
$468.40 |
| Max. Negotiated Rate |
$761.15 |
| Rate for Payer: Aetna Medicare |
$585.50
|
| Rate for Payer: BCBS Complete |
$468.40
|
| Rate for Payer: Cash Price |
$936.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$761.15
|
|
|
PR RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH
|
Professional
|
Both
|
$607.00
|
|
|
Service Code
|
HCPCS 27664
|
| Min. Negotiated Rate |
$233.45 |
| Max. Negotiated Rate |
$1,815.77 |
| Rate for Payer: Aetna Commercial |
$459.08
|
| Rate for Payer: Aetna Medicare |
$356.30
|
| Rate for Payer: BCBS Complete |
$245.12
|
| Rate for Payer: BCBS MAPPO |
$342.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,815.77
|
| Rate for Payer: BCN Commercial |
$535.10
|
| Rate for Payer: BCN Medicare Advantage |
$342.60
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cofinity Commercial |
$459.08
|
| Rate for Payer: Cofinity Commercial |
$493.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.60
|
| Rate for Payer: Mclaren Medicaid |
$233.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.73
|
| Rate for Payer: Meridian Medicaid |
$245.12
|
| Rate for Payer: Nomi Health Commercial |
$411.12
|
| Rate for Payer: PACE SWMI |
$342.60
|
| Rate for Payer: PHP Medicare Advantage |
$342.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$233.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$394.55
|
| Rate for Payer: Priority Health HMO/PPO |
$561.78
|
| Rate for Payer: Priority Health Medicare |
$346.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$561.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$342.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$342.60
|
| Rate for Payer: UHC Exchange |
$342.60
|
| Rate for Payer: UHC Medicare Advantage |
$342.60
|
| Rate for Payer: UHCCP Medicaid |
$233.45
|
|
|
PR RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH
|
Professional
|
Both
|
$859.00
|
|
|
Service Code
|
HCPCS 27665
|
| Min. Negotiated Rate |
$272.21 |
| Max. Negotiated Rate |
$1,815.77 |
| Rate for Payer: Aetna Commercial |
$535.79
|
| Rate for Payer: Aetna Medicare |
$415.83
|
| Rate for Payer: BCBS Complete |
$285.82
|
| Rate for Payer: BCBS MAPPO |
$399.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,815.77
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$399.84
|
| Rate for Payer: Cash Price |
$687.20
|
| Rate for Payer: Cash Price |
$687.20
|
| Rate for Payer: Cofinity Commercial |
$575.77
|
| Rate for Payer: Cofinity Commercial |
$535.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.84
|
| Rate for Payer: Mclaren Medicaid |
$272.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.83
|
| Rate for Payer: Meridian Medicaid |
$285.82
|
| Rate for Payer: Nomi Health Commercial |
$479.81
|
| Rate for Payer: PACE SWMI |
$399.84
|
| Rate for Payer: PHP Medicare Advantage |
$399.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$558.35
|
| Rate for Payer: Priority Health HMO/PPO |
$657.44
|
| Rate for Payer: Priority Health Medicare |
$403.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$657.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$399.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.84
|
| Rate for Payer: UHC Exchange |
$399.84
|
| Rate for Payer: UHC Medicare Advantage |
$399.84
|
| Rate for Payer: UHCCP Medicaid |
$272.21
|
|
|
PR RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH
|
Professional
|
Both
|
$1,088.00
|
|
|
Service Code
|
HCPCS 27659
|
| Min. Negotiated Rate |
$307.57 |
| Max. Negotiated Rate |
$1,861.44 |
| Rate for Payer: Aetna Commercial |
$608.25
|
| Rate for Payer: Aetna Medicare |
$472.08
|
| Rate for Payer: BCBS Complete |
$322.95
|
| Rate for Payer: BCBS MAPPO |
$453.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,861.44
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$453.92
|
| Rate for Payer: Cash Price |
$870.40
|
| Rate for Payer: Cash Price |
$870.40
|
| Rate for Payer: Cofinity Commercial |
$653.64
|
| Rate for Payer: Cofinity Commercial |
$608.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$453.92
|
| Rate for Payer: Mclaren Medicaid |
$307.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$476.62
|
| Rate for Payer: Meridian Medicaid |
$322.95
|
| Rate for Payer: Nomi Health Commercial |
$544.70
|
| Rate for Payer: PACE SWMI |
$453.92
|
| Rate for Payer: PHP Medicare Advantage |
$453.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$307.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.20
|
| Rate for Payer: Priority Health HMO/PPO |
$730.22
|
| Rate for Payer: Priority Health Medicare |
$458.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$730.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$453.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$453.92
|
| Rate for Payer: UHC Exchange |
$453.92
|
| Rate for Payer: UHC Medicare Advantage |
$453.92
|
| Rate for Payer: UHCCP Medicaid |
$307.57
|
|
|
PR RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR
|
Professional
|
Both
|
$5,557.00
|
|
|
Service Code
|
HCPCS 46740
|
| Min. Negotiated Rate |
$93.51 |
| Max. Negotiated Rate |
$3,889.19 |
| Rate for Payer: Aetna Commercial |
$2,821.20
|
| Rate for Payer: Aetna Medicare |
$2,189.58
|
| Rate for Payer: BCBS Complete |
$1,468.27
|
| Rate for Payer: BCBS MAPPO |
$2,105.37
|
| Rate for Payer: BCBS Trust/PPO |
$93.51
|
| Rate for Payer: BCN Commercial |
$3,167.61
|
| Rate for Payer: BCN Medicare Advantage |
$2,105.37
|
| Rate for Payer: Cash Price |
$4,445.60
|
| Rate for Payer: Cash Price |
$4,445.60
|
| Rate for Payer: Cofinity Commercial |
$3,031.73
|
| Rate for Payer: Cofinity Commercial |
$2,821.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,105.37
|
| Rate for Payer: Mclaren Medicaid |
$1,398.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,210.64
|
| Rate for Payer: Meridian Medicaid |
$1,468.27
|
| Rate for Payer: Nomi Health Commercial |
$2,526.44
|
| Rate for Payer: PACE SWMI |
$2,105.37
|
| Rate for Payer: PHP Medicare Advantage |
$2,105.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,398.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,612.05
|
| Rate for Payer: Priority Health HMO/PPO |
$3,889.19
|
| Rate for Payer: Priority Health Medicare |
$2,126.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,889.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,105.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,105.37
|
| Rate for Payer: UHC Exchange |
$2,105.37
|
| Rate for Payer: UHC Medicare Advantage |
$2,105.37
|
| Rate for Payer: UHCCP Medicaid |
$1,398.35
|
|
|
PR RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL
|
Professional
|
Both
|
$5,147.00
|
|
|
Service Code
|
HCPCS 46742
|
| Min. Negotiated Rate |
$477.58 |
| Max. Negotiated Rate |
$4,488.18 |
| Rate for Payer: Aetna Commercial |
$3,259.15
|
| Rate for Payer: Aetna Medicare |
$2,529.49
|
| Rate for Payer: BCBS Complete |
$1,692.58
|
| Rate for Payer: BCBS MAPPO |
$2,432.20
|
| Rate for Payer: BCBS Trust/PPO |
$477.58
|
| Rate for Payer: BCN Commercial |
$3,656.28
|
| Rate for Payer: BCN Medicare Advantage |
$2,432.20
|
| Rate for Payer: Cash Price |
$4,117.60
|
| Rate for Payer: Cash Price |
$4,117.60
|
| Rate for Payer: Cofinity Commercial |
$3,502.37
|
| Rate for Payer: Cofinity Commercial |
$3,259.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,432.20
|
| Rate for Payer: Mclaren Medicaid |
$1,611.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,553.81
|
| Rate for Payer: Meridian Medicaid |
$1,692.58
|
| Rate for Payer: Nomi Health Commercial |
$2,918.64
|
| Rate for Payer: PACE SWMI |
$2,432.20
|
| Rate for Payer: PHP Medicare Advantage |
$2,432.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,611.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,345.55
|
| Rate for Payer: Priority Health HMO/PPO |
$4,488.18
|
| Rate for Payer: Priority Health Medicare |
$2,456.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4,488.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,432.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,432.20
|
| Rate for Payer: UHC Exchange |
$2,432.20
|
| Rate for Payer: UHC Medicare Advantage |
$2,432.20
|
| Rate for Payer: UHCCP Medicaid |
$1,611.98
|
|
|
PR RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR
|
Professional
|
Both
|
$3,879.00
|
|
|
Service Code
|
HCPCS 46730
|
| Min. Negotiated Rate |
$105.13 |
| Max. Negotiated Rate |
$3,566.44 |
| Rate for Payer: Aetna Commercial |
$2,584.70
|
| Rate for Payer: Aetna Medicare |
$2,006.04
|
| Rate for Payer: BCBS Complete |
$1,346.82
|
| Rate for Payer: BCBS MAPPO |
$1,928.88
|
| Rate for Payer: BCBS Trust/PPO |
$105.13
|
| Rate for Payer: BCN Commercial |
$2,905.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,928.88
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Cofinity Commercial |
$2,777.59
|
| Rate for Payer: Cofinity Commercial |
$2,584.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,928.88
|
| Rate for Payer: Mclaren Medicaid |
$1,282.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,025.32
|
| Rate for Payer: Meridian Medicaid |
$1,346.82
|
| Rate for Payer: Nomi Health Commercial |
$2,314.66
|
| Rate for Payer: PACE SWMI |
$1,928.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,928.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,282.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,521.35
|
| Rate for Payer: Priority Health HMO/PPO |
$3,566.44
|
| Rate for Payer: Priority Health Medicare |
$1,948.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3,566.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,928.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,928.88
|
| Rate for Payer: UHC Exchange |
$1,928.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,928.88
|
| Rate for Payer: UHCCP Medicaid |
$1,282.69
|
|
|
PR RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE
|
Professional
|
Both
|
$1,985.00
|
|
|
Service Code
|
HCPCS 54340
|
| Min. Negotiated Rate |
$365.93 |
| Max. Negotiated Rate |
$2,917.27 |
| Rate for Payer: Aetna Commercial |
$729.01
|
| Rate for Payer: Aetna Medicare |
$565.80
|
| Rate for Payer: BCBS Complete |
$384.23
|
| Rate for Payer: BCBS MAPPO |
$544.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,917.27
|
| Rate for Payer: BCN Commercial |
$822.94
|
| Rate for Payer: BCN Medicare Advantage |
$544.04
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cofinity Commercial |
$783.42
|
| Rate for Payer: Cofinity Commercial |
$729.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$544.04
|
| Rate for Payer: Mclaren Medicaid |
$365.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$571.24
|
| Rate for Payer: Meridian Medicaid |
$384.23
|
| Rate for Payer: Nomi Health Commercial |
$652.85
|
| Rate for Payer: PACE SWMI |
$544.04
|
| Rate for Payer: PHP Medicare Advantage |
$544.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,290.25
|
| Rate for Payer: Priority Health HMO/PPO |
$910.21
|
| Rate for Payer: Priority Health Medicare |
$549.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$910.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$544.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$544.04
|
| Rate for Payer: UHC Exchange |
$544.04
|
| Rate for Payer: UHC Medicare Advantage |
$544.04
|
| Rate for Payer: UHCCP Medicaid |
$365.93
|
|
|
PR RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR
|
Professional
|
Both
|
$7,548.00
|
|
|
Service Code
|
HCPCS 33660
|
| Min. Negotiated Rate |
$1,104.62 |
| Max. Negotiated Rate |
$4,906.20 |
| Rate for Payer: Aetna Commercial |
$2,259.03
|
| Rate for Payer: Aetna Medicare |
$1,753.27
|
| Rate for Payer: BCBS Complete |
$1,159.85
|
| Rate for Payer: BCBS MAPPO |
$1,685.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,131.09
|
| Rate for Payer: BCN Commercial |
$2,516.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,685.84
|
| Rate for Payer: Cash Price |
$6,038.40
|
| Rate for Payer: Cash Price |
$6,038.40
|
| Rate for Payer: Cofinity Commercial |
$2,427.61
|
| Rate for Payer: Cofinity Commercial |
$2,259.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,685.84
|
| Rate for Payer: Mclaren Medicaid |
$1,104.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,770.13
|
| Rate for Payer: Meridian Medicaid |
$1,159.85
|
| Rate for Payer: Nomi Health Commercial |
$2,023.01
|
| Rate for Payer: PACE SWMI |
$1,685.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,685.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,104.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,906.20
|
| Rate for Payer: Priority Health HMO/PPO |
$2,750.07
|
| Rate for Payer: Priority Health Medicare |
$1,702.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,750.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,685.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,685.84
|
| Rate for Payer: UHC Exchange |
$1,685.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,685.84
|
| Rate for Payer: UHCCP Medicaid |
$1,104.62
|
|
|
PR RPR INGUN HERNIA SLIDING ANY AGE
|
Facility
|
IP
|
$1,636.00
|
|
|
Service Code
|
CPT 49525
|
| Hospital Charge Code |
49525
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,063.40 |
| Max. Negotiated Rate |
$1,472.40 |
| Rate for Payer: Aetna Commercial |
$1,390.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,335.47
|
| Rate for Payer: BCN Commercial |
$1,264.30
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cofinity Commercial |
$1,406.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,308.80
|
| Rate for Payer: Healthscope Commercial |
$1,472.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,227.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,390.60
|
| Rate for Payer: Nomi Health Commercial |
$1,341.52
|
| Rate for Payer: PHP Commercial |
$1,390.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,063.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,423.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,096.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,439.68
|
| Rate for Payer: UHC Core |
$1,366.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,227.00
|
|
|
PR RPR INGUN HERNIA SLIDING ANY AGE
|
Professional
|
Both
|
$1,636.00
|
|
|
Service Code
|
HCPCS 49525
|
| Hospital Charge Code |
49525
|
| Min. Negotiated Rate |
$372.54 |
| Max. Negotiated Rate |
$1,063.40 |
| Rate for Payer: Aetna Commercial |
$750.51
|
| Rate for Payer: Aetna Medicare |
$582.48
|
| Rate for Payer: BCBS Complete |
$391.17
|
| Rate for Payer: BCBS MAPPO |
$560.08
|
| Rate for Payer: BCBS Trust/PPO |
$515.62
|
| Rate for Payer: BCN Commercial |
$842.48
|
| Rate for Payer: BCN Medicare Advantage |
$560.08
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cofinity Commercial |
$806.52
|
| Rate for Payer: Cofinity Commercial |
$750.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$560.08
|
| Rate for Payer: Mclaren Medicaid |
$372.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$588.08
|
| Rate for Payer: Meridian Medicaid |
$391.17
|
| Rate for Payer: Nomi Health Commercial |
$672.10
|
| Rate for Payer: PACE SWMI |
$560.08
|
| Rate for Payer: PHP Medicare Advantage |
$560.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,063.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,034.50
|
| Rate for Payer: Priority Health Medicare |
$565.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,034.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$560.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$560.08
|
| Rate for Payer: UHC Exchange |
$560.08
|
| Rate for Payer: UHC Medicare Advantage |
$560.08
|
| Rate for Payer: UHCCP Medicaid |
$372.54
|
|
|
PR RPR INGUN HERNIA SLIDING ANY AGE
|
Facility
|
OP
|
$1,636.00
|
|
|
Service Code
|
CPT 49525
|
| Hospital Charge Code |
49525
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$388.55 |
| Max. Negotiated Rate |
$2,625.09 |
| Rate for Payer: Aetna Commercial |
$1,390.60
|
| Rate for Payer: Aetna Medicare |
$425.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$511.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$511.25
|
| Rate for Payer: BCBS Complete |
$2,625.09
|
| Rate for Payer: BCBS MAPPO |
$409.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,344.96
|
| Rate for Payer: BCN Commercial |
$1,271.99
|
| Rate for Payer: BCN Medicare Advantage |
$409.00
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cofinity Commercial |
$1,406.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,308.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$409.00
|
| Rate for Payer: Healthscope Commercial |
$1,472.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,227.00
|
| Rate for Payer: Mclaren Medicaid |
$2,499.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$429.45
|
| Rate for Payer: Meridian Medicaid |
$2,625.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$470.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,390.60
|
| Rate for Payer: Nomi Health Commercial |
$1,341.52
|
| Rate for Payer: PACE Senior Care Partners |
$388.55
|
| Rate for Payer: PACE SWMI |
$409.00
|
| Rate for Payer: PHP Commercial |
$1,390.60
|
| Rate for Payer: PHP Medicare Advantage |
$409.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,499.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,063.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,423.32
|
| Rate for Payer: Priority Health Medicare |
$413.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,096.12
|
| Rate for Payer: Railroad Medicare Medicare |
$409.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,439.68
|
| Rate for Payer: UHC Core |
$1,366.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$409.00
|
| Rate for Payer: UHC Exchange |
$409.00
|
| Rate for Payer: UHC Medicare Advantage |
$409.00
|
| Rate for Payer: UHCCP Medicaid |
$2,499.92
|
| Rate for Payer: VA VA |
$409.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,227.00
|
|
|
PR RPR INGUN HERNIA SLIDING ANY AGE
|
Professional
|
Both
|
$1,636.00
|
|
|
Service Code
|
HCPCS 49525
|
| Min. Negotiated Rate |
$372.54 |
| Max. Negotiated Rate |
$1,063.40 |
| Rate for Payer: Aetna Commercial |
$750.51
|
| Rate for Payer: Aetna Medicare |
$582.48
|
| Rate for Payer: BCBS Complete |
$391.17
|
| Rate for Payer: BCBS MAPPO |
$560.08
|
| Rate for Payer: BCBS Trust/PPO |
$515.62
|
| Rate for Payer: BCN Commercial |
$842.48
|
| Rate for Payer: BCN Medicare Advantage |
$560.08
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cofinity Commercial |
$806.52
|
| Rate for Payer: Cofinity Commercial |
$750.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$560.08
|
| Rate for Payer: Mclaren Medicaid |
$372.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$588.08
|
| Rate for Payer: Meridian Medicaid |
$391.17
|
| Rate for Payer: Nomi Health Commercial |
$672.10
|
| Rate for Payer: PACE SWMI |
$560.08
|
| Rate for Payer: PHP Medicare Advantage |
$560.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,063.40
|
| Rate for Payer: Priority Health HMO/PPO |
$1,034.50
|
| Rate for Payer: Priority Health Medicare |
$565.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,034.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$560.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$560.08
|
| Rate for Payer: UHC Exchange |
$560.08
|
| Rate for Payer: UHC Medicare Advantage |
$560.08
|
| Rate for Payer: UHCCP Medicaid |
$372.54
|
|
|
PR RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM
|
Professional
|
Both
|
$928.00
|
|
|
Service Code
|
HCPCS 12046
|
| Min. Negotiated Rate |
$205.33 |
| Max. Negotiated Rate |
$1,305.00 |
| Rate for Payer: Aetna Commercial |
$409.73
|
| Rate for Payer: Aetna Medicare |
$318.00
|
| Rate for Payer: BCBS Complete |
$215.60
|
| Rate for Payer: BCBS MAPPO |
$305.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,305.00
|
| Rate for Payer: BCN Commercial |
$734.48
|
| Rate for Payer: BCN Medicare Advantage |
$305.77
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cash Price |
$742.40
|
| Rate for Payer: Cofinity Commercial |
$440.31
|
| Rate for Payer: Cofinity Commercial |
$409.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.77
|
| Rate for Payer: Mclaren Medicaid |
$205.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.06
|
| Rate for Payer: Meridian Medicaid |
$215.60
|
| Rate for Payer: Nomi Health Commercial |
$366.92
|
| Rate for Payer: PACE SWMI |
$305.77
|
| Rate for Payer: PHP Medicare Advantage |
$305.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$603.20
|
| Rate for Payer: Priority Health HMO/PPO |
$432.55
|
| Rate for Payer: Priority Health Medicare |
$308.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$432.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$305.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.77
|
| Rate for Payer: UHC Exchange |
$305.77
|
| Rate for Payer: UHC Medicare Advantage |
$305.77
|
| Rate for Payer: UHCCP Medicaid |
$205.33
|
|
|
PR RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 41250
|
| Min. Negotiated Rate |
$99.68 |
| Max. Negotiated Rate |
$1,744.97 |
| Rate for Payer: Aetna Commercial |
$196.79
|
| Rate for Payer: Aetna Medicare |
$152.73
|
| Rate for Payer: BCBS Complete |
$104.66
|
| Rate for Payer: BCBS MAPPO |
$146.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,744.97
|
| Rate for Payer: BCN Commercial |
$420.26
|
| Rate for Payer: BCN Medicare Advantage |
$146.86
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$211.48
|
| Rate for Payer: Cofinity Commercial |
$196.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$146.86
|
| Rate for Payer: Mclaren Medicaid |
$99.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.20
|
| Rate for Payer: Meridian Medicaid |
$104.66
|
| Rate for Payer: Nomi Health Commercial |
$176.23
|
| Rate for Payer: PACE SWMI |
$146.86
|
| Rate for Payer: PHP Medicare Advantage |
$146.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health HMO/PPO |
$276.81
|
| Rate for Payer: Priority Health Medicare |
$148.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$276.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$146.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$146.86
|
| Rate for Payer: UHC Exchange |
$146.86
|
| Rate for Payer: UHC Medicare Advantage |
$146.86
|
| Rate for Payer: UHCCP Medicaid |
$99.68
|
|
|
PR RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 41252
|
| Min. Negotiated Rate |
$134.83 |
| Max. Negotiated Rate |
$704.60 |
| Rate for Payer: Aetna Commercial |
$267.40
|
| Rate for Payer: Aetna Medicare |
$207.53
|
| Rate for Payer: BCBS Complete |
$141.57
|
| Rate for Payer: BCBS MAPPO |
$199.55
|
| Rate for Payer: BCBS Trust/PPO |
$370.34
|
| Rate for Payer: BCN Commercial |
$484.76
|
| Rate for Payer: BCN Medicare Advantage |
$199.55
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$287.35
|
| Rate for Payer: Cofinity Commercial |
$267.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.55
|
| Rate for Payer: Mclaren Medicaid |
$134.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.53
|
| Rate for Payer: Meridian Medicaid |
$141.57
|
| Rate for Payer: Nomi Health Commercial |
$239.46
|
| Rate for Payer: PACE SWMI |
$199.55
|
| Rate for Payer: PHP Medicare Advantage |
$199.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO |
$375.26
|
| Rate for Payer: Priority Health Medicare |
$201.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$375.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$199.55
|
| Rate for Payer: UHC Exchange |
$199.55
|
| Rate for Payer: UHC Medicare Advantage |
$199.55
|
| Rate for Payer: UHCCP Medicaid |
$134.83
|
|
|
PR RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH
|
Professional
|
Both
|
$3,409.00
|
|
|
Service Code
|
HCPCS 49606
|
| Min. Negotiated Rate |
$731.02 |
| Max. Negotiated Rate |
$2,215.85 |
| Rate for Payer: Aetna Commercial |
$1,483.55
|
| Rate for Payer: Aetna Medicare |
$1,151.42
|
| Rate for Payer: BCBS Complete |
$767.57
|
| Rate for Payer: BCBS MAPPO |
$1,107.13
|
| Rate for Payer: BCBS Trust/PPO |
$2,106.86
|
| Rate for Payer: BCN Commercial |
$1,659.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,107.13
|
| Rate for Payer: Cash Price |
$2,727.20
|
| Rate for Payer: Cash Price |
$2,727.20
|
| Rate for Payer: Cofinity Commercial |
$1,594.27
|
| Rate for Payer: Cofinity Commercial |
$1,483.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,107.13
|
| Rate for Payer: Mclaren Medicaid |
$731.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,162.49
|
| Rate for Payer: Meridian Medicaid |
$767.57
|
| Rate for Payer: Nomi Health Commercial |
$1,328.56
|
| Rate for Payer: PACE SWMI |
$1,107.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,107.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$731.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,215.85
|
| Rate for Payer: Priority Health HMO/PPO |
$2,034.38
|
| Rate for Payer: Priority Health Medicare |
$1,118.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,034.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,107.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,107.13
|
| Rate for Payer: UHC Exchange |
$1,107.13
|
| Rate for Payer: UHC Medicare Advantage |
$1,107.13
|
| Rate for Payer: UHCCP Medicaid |
$731.02
|
|
|
PR RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH
|
Professional
|
Both
|
$9,119.00
|
|
|
Service Code
|
HCPCS 49605
|
| Min. Negotiated Rate |
$2,106.86 |
| Max. Negotiated Rate |
$8,749.64 |
| Rate for Payer: Aetna Commercial |
$6,405.13
|
| Rate for Payer: Aetna Medicare |
$4,971.15
|
| Rate for Payer: BCBS Complete |
$3,294.82
|
| Rate for Payer: BCBS MAPPO |
$4,779.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,106.86
|
| Rate for Payer: BCN Commercial |
$7,143.98
|
| Rate for Payer: BCN Medicare Advantage |
$4,779.95
|
| Rate for Payer: Cash Price |
$7,295.20
|
| Rate for Payer: Cash Price |
$7,295.20
|
| Rate for Payer: Cofinity Commercial |
$6,883.13
|
| Rate for Payer: Cofinity Commercial |
$6,405.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4,779.95
|
| Rate for Payer: Mclaren Medicaid |
$3,137.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,018.95
|
| Rate for Payer: Meridian Medicaid |
$3,294.82
|
| Rate for Payer: Nomi Health Commercial |
$5,735.94
|
| Rate for Payer: PACE SWMI |
$4,779.95
|
| Rate for Payer: PHP Medicare Advantage |
$4,779.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,137.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,927.35
|
| Rate for Payer: Priority Health HMO/PPO |
$8,749.64
|
| Rate for Payer: Priority Health Medicare |
$4,827.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8,749.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,779.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$4,779.95
|
| Rate for Payer: UHC Exchange |
$4,779.95
|
| Rate for Payer: UHC Medicare Advantage |
$4,779.95
|
| Rate for Payer: UHCCP Medicaid |
$3,137.92
|
|
|
PR RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX
|
Professional
|
Both
|
$758.00
|
|
|
Service Code
|
HCPCS 40654
|
| Min. Negotiated Rate |
$277.54 |
| Max. Negotiated Rate |
$861.54 |
| Rate for Payer: Aetna Commercial |
$545.30
|
| Rate for Payer: Aetna Medicare |
$423.22
|
| Rate for Payer: BCBS Complete |
$291.42
|
| Rate for Payer: BCBS MAPPO |
$406.94
|
| Rate for Payer: BCBS Trust/PPO |
$842.64
|
| Rate for Payer: BCN Commercial |
$861.54
|
| Rate for Payer: BCN Medicare Advantage |
$406.94
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Cash Price |
$606.40
|
| Rate for Payer: Cofinity Commercial |
$585.99
|
| Rate for Payer: Cofinity Commercial |
$545.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$406.94
|
| Rate for Payer: Mclaren Medicaid |
$277.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$427.29
|
| Rate for Payer: Meridian Medicaid |
$291.42
|
| Rate for Payer: Nomi Health Commercial |
$488.33
|
| Rate for Payer: PACE SWMI |
$406.94
|
| Rate for Payer: PHP Medicare Advantage |
$406.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$277.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$492.70
|
| Rate for Payer: Priority Health HMO/PPO |
$770.79
|
| Rate for Payer: Priority Health Medicare |
$411.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$770.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$406.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$406.94
|
| Rate for Payer: UHC Exchange |
$406.94
|
| Rate for Payer: UHC Medicare Advantage |
$406.94
|
| Rate for Payer: UHCCP Medicaid |
$277.54
|
|
|
PR RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK
|
Professional
|
Both
|
$1,188.00
|
|
|
Service Code
|
HCPCS 46715
|
| Min. Negotiated Rate |
$231.40 |
| Max. Negotiated Rate |
$1,001.08 |
| Rate for Payer: Aetna Commercial |
$720.84
|
| Rate for Payer: Aetna Medicare |
$559.46
|
| Rate for Payer: BCBS Complete |
$379.09
|
| Rate for Payer: BCBS MAPPO |
$537.94
|
| Rate for Payer: BCBS Trust/PPO |
$231.40
|
| Rate for Payer: BCN Commercial |
$816.58
|
| Rate for Payer: BCN Medicare Advantage |
$537.94
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cash Price |
$950.40
|
| Rate for Payer: Cofinity Commercial |
$774.63
|
| Rate for Payer: Cofinity Commercial |
$720.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.94
|
| Rate for Payer: Mclaren Medicaid |
$361.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.84
|
| Rate for Payer: Meridian Medicaid |
$379.09
|
| Rate for Payer: Nomi Health Commercial |
$645.53
|
| Rate for Payer: PACE SWMI |
$537.94
|
| Rate for Payer: PHP Medicare Advantage |
$537.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$772.20
|
| Rate for Payer: Priority Health HMO/PPO |
$1,001.08
|
| Rate for Payer: Priority Health Medicare |
$543.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,001.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$537.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$537.94
|
| Rate for Payer: UHC Exchange |
$537.94
|
| Rate for Payer: UHC Medicare Advantage |
$537.94
|
| Rate for Payer: UHCCP Medicaid |
$361.04
|
|
|
PR RPR LW IMPERFORATE ANUS W/TRPOS FISTULA
|
Professional
|
Both
|
$2,992.00
|
|
|
Service Code
|
HCPCS 46716
|
| Min. Negotiated Rate |
$117.81 |
| Max. Negotiated Rate |
$2,222.91 |
| Rate for Payer: Aetna Commercial |
$1,604.03
|
| Rate for Payer: Aetna Medicare |
$1,244.92
|
| Rate for Payer: BCBS Complete |
$841.38
|
| Rate for Payer: BCBS MAPPO |
$1,197.04
|
| Rate for Payer: BCBS Trust/PPO |
$117.81
|
| Rate for Payer: BCN Commercial |
$1,807.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,197.04
|
| Rate for Payer: Cash Price |
$2,393.60
|
| Rate for Payer: Cash Price |
$2,393.60
|
| Rate for Payer: Cofinity Commercial |
$1,723.74
|
| Rate for Payer: Cofinity Commercial |
$1,604.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,197.04
|
| Rate for Payer: Mclaren Medicaid |
$801.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,256.89
|
| Rate for Payer: Meridian Medicaid |
$841.38
|
| Rate for Payer: Nomi Health Commercial |
$1,436.45
|
| Rate for Payer: PACE SWMI |
$1,197.04
|
| Rate for Payer: PHP Medicare Advantage |
$1,197.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$801.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,944.80
|
| Rate for Payer: Priority Health HMO/PPO |
$2,222.91
|
| Rate for Payer: Priority Health Medicare |
$1,209.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2,222.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,197.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,197.04
|
| Rate for Payer: UHC Exchange |
$1,197.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,197.04
|
| Rate for Payer: UHCCP Medicaid |
$801.31
|
|
|
PR RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ
|
Professional
|
Both
|
$10,278.00
|
|
|
Service Code
|
HCPCS 39503
|
| Min. Negotiated Rate |
$516.15 |
| Max. Negotiated Rate |
$9,094.20 |
| Rate for Payer: Aetna Commercial |
$7,485.83
|
| Rate for Payer: Aetna Medicare |
$5,809.90
|
| Rate for Payer: BCBS Complete |
$3,830.67
|
| Rate for Payer: BCBS MAPPO |
$5,586.44
|
| Rate for Payer: BCBS Trust/PPO |
$516.15
|
| Rate for Payer: BCN Commercial |
$8,336.35
|
| Rate for Payer: BCN Medicare Advantage |
$5,586.44
|
| Rate for Payer: Cash Price |
$8,222.40
|
| Rate for Payer: Cash Price |
$8,222.40
|
| Rate for Payer: Cofinity Commercial |
$8,044.47
|
| Rate for Payer: Cofinity Commercial |
$7,485.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5,586.44
|
| Rate for Payer: Mclaren Medicaid |
$3,648.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5,865.76
|
| Rate for Payer: Meridian Medicaid |
$3,830.67
|
| Rate for Payer: Nomi Health Commercial |
$6,703.73
|
| Rate for Payer: PACE SWMI |
$5,586.44
|
| Rate for Payer: PHP Medicare Advantage |
$5,586.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,648.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,680.70
|
| Rate for Payer: Priority Health HMO/PPO |
$9,094.20
|
| Rate for Payer: Priority Health Medicare |
$5,642.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9,094.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,586.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$5,586.44
|
| Rate for Payer: UHC Exchange |
$5,586.44
|
| Rate for Payer: UHC Medicare Advantage |
$5,586.44
|
| Rate for Payer: UHCCP Medicaid |
$3,648.26
|
|
|
PR RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER
|
Professional
|
Both
|
$1,165.00
|
|
|
Service Code
|
HCPCS 53449
|
| Min. Negotiated Rate |
$319.62 |
| Max. Negotiated Rate |
$977.86 |
| Rate for Payer: Aetna Commercial |
$785.78
|
| Rate for Payer: Aetna Medicare |
$609.86
|
| Rate for Payer: BCBS Complete |
$413.75
|
| Rate for Payer: BCBS MAPPO |
$586.40
|
| Rate for Payer: BCBS Trust/PPO |
$319.62
|
| Rate for Payer: BCN Commercial |
$887.44
|
| Rate for Payer: BCN Medicare Advantage |
$586.40
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cash Price |
$932.00
|
| Rate for Payer: Cofinity Commercial |
$844.42
|
| Rate for Payer: Cofinity Commercial |
$785.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$586.40
|
| Rate for Payer: Mclaren Medicaid |
$394.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$615.72
|
| Rate for Payer: Meridian Medicaid |
$413.75
|
| Rate for Payer: Nomi Health Commercial |
$703.68
|
| Rate for Payer: PACE SWMI |
$586.40
|
| Rate for Payer: PHP Medicare Advantage |
$586.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$394.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$757.25
|
| Rate for Payer: Priority Health HMO/PPO |
$977.86
|
| Rate for Payer: Priority Health Medicare |
$592.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$977.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$586.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$586.40
|
| Rate for Payer: UHC Exchange |
$586.40
|
| Rate for Payer: UHC Medicare Advantage |
$586.40
|
| Rate for Payer: UHCCP Medicaid |
$394.05
|
|
|
PR RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE
|
Professional
|
Both
|
$3,865.00
|
|
|
Service Code
|
HCPCS 27472
|
| Min. Negotiated Rate |
$522.49 |
| Max. Negotiated Rate |
$2,512.25 |
| Rate for Payer: Aetna Commercial |
$1,632.56
|
| Rate for Payer: Aetna Medicare |
$1,267.06
|
| Rate for Payer: BCBS Complete |
$859.27
|
| Rate for Payer: BCBS MAPPO |
$1,218.33
|
| Rate for Payer: BCBS Trust/PPO |
$522.49
|
| Rate for Payer: BCN Commercial |
$1,850.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,218.33
|
| Rate for Payer: Cash Price |
$3,092.00
|
| Rate for Payer: Cash Price |
$3,092.00
|
| Rate for Payer: Cofinity Commercial |
$1,754.40
|
| Rate for Payer: Cofinity Commercial |
$1,632.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,218.33
|
| Rate for Payer: Mclaren Medicaid |
$818.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,279.25
|
| Rate for Payer: Meridian Medicaid |
$859.27
|
| Rate for Payer: Nomi Health Commercial |
$1,462.00
|
| Rate for Payer: PACE SWMI |
$1,218.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,218.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,512.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,940.28
|
| Rate for Payer: Priority Health Medicare |
$1,230.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,940.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,218.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,218.33
|
| Rate for Payer: UHC Exchange |
$1,218.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,218.33
|
| Rate for Payer: UHCCP Medicaid |
$818.35
|
|
|
PR RPR NON/MAL FEMUR DSTL H/N W/O GRF
|
Professional
|
Both
|
$2,927.00
|
|
|
Service Code
|
HCPCS 27470
|
| Min. Negotiated Rate |
$266.79 |
| Max. Negotiated Rate |
$1,902.55 |
| Rate for Payer: Aetna Commercial |
$1,522.92
|
| Rate for Payer: Aetna Medicare |
$1,181.97
|
| Rate for Payer: BCBS Complete |
$802.68
|
| Rate for Payer: BCBS MAPPO |
$1,136.51
|
| Rate for Payer: BCBS Trust/PPO |
$266.79
|
| Rate for Payer: BCN Commercial |
$1,728.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,136.51
|
| Rate for Payer: Cash Price |
$2,341.60
|
| Rate for Payer: Cash Price |
$2,341.60
|
| Rate for Payer: Cofinity Commercial |
$1,636.57
|
| Rate for Payer: Cofinity Commercial |
$1,522.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,136.51
|
| Rate for Payer: Mclaren Medicaid |
$764.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,193.34
|
| Rate for Payer: Meridian Medicaid |
$802.68
|
| Rate for Payer: Nomi Health Commercial |
$1,363.81
|
| Rate for Payer: PACE SWMI |
$1,136.51
|
| Rate for Payer: PHP Medicare Advantage |
$1,136.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$764.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,902.55
|
| Rate for Payer: Priority Health HMO/PPO |
$1,814.59
|
| Rate for Payer: Priority Health Medicare |
$1,147.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,814.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,136.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,136.51
|
| Rate for Payer: UHC Exchange |
$1,136.51
|
| Rate for Payer: UHC Medicare Advantage |
$1,136.51
|
| Rate for Payer: UHCCP Medicaid |
$764.46
|
|
