|
PR SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>
|
Professional
|
Both
|
$191.00
|
|
|
Service Code
|
HCPCS 99375
|
| Min. Negotiated Rate |
$76.40 |
| Max. Negotiated Rate |
$143.25 |
| Rate for Payer: Aetna Commercial |
$87.31
|
| Rate for Payer: Aetna Medicare |
$95.50
|
| Rate for Payer: BCBS Complete |
$76.40
|
| Rate for Payer: BCN Commercial |
$125.99
|
| Rate for Payer: Cash Price |
$152.80
|
| Rate for Payer: Cash Price |
$152.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$143.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$113.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$113.34
|
|
|
PR SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY
|
Professional
|
Both
|
$3,337.00
|
|
|
Service Code
|
HCPCS 58180
|
| Min. Negotiated Rate |
$552.74 |
| Max. Negotiated Rate |
$2,502.75 |
| Rate for Payer: Aetna Commercial |
$1,147.30
|
| Rate for Payer: Aetna Medicare |
$1,668.50
|
| Rate for Payer: BCBS Complete |
$580.38
|
| Rate for Payer: BCN Commercial |
$1,442.65
|
| Rate for Payer: Cash Price |
$2,669.60
|
| Rate for Payer: Cash Price |
$2,669.60
|
| Rate for Payer: Mclaren Medicaid |
$552.74
|
| Rate for Payer: Meridian Medicaid |
$580.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,502.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,461.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,461.10
|
| Rate for Payer: UHC Medicaid |
$552.74
|
| Rate for Payer: UHCCP Medicaid |
$552.74
|
|
|
PR SUPRAHYOID LYMPHADENECTOMY
|
Professional
|
Both
|
$1,504.00
|
|
|
Service Code
|
HCPCS 38700
|
| Min. Negotiated Rate |
$452.84 |
| Max. Negotiated Rate |
$1,616.74 |
| Rate for Payer: Aetna Commercial |
$985.34
|
| Rate for Payer: Aetna Medicare |
$752.00
|
| Rate for Payer: BCBS Complete |
$475.48
|
| Rate for Payer: BCN Commercial |
$1,215.07
|
| Rate for Payer: Cash Price |
$1,203.20
|
| Rate for Payer: Cash Price |
$1,203.20
|
| Rate for Payer: Mclaren Medicaid |
$452.84
|
| Rate for Payer: Meridian Medicaid |
$475.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,128.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$452.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,616.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,616.74
|
| Rate for Payer: UHC Medicaid |
$452.84
|
| Rate for Payer: UHCCP Medicaid |
$452.84
|
|
|
PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I
|
Professional
|
Both
|
$737.00
|
|
|
Service Code
|
HCPCS 36253
|
| Min. Negotiated Rate |
$194.47 |
| Max. Negotiated Rate |
$554.26 |
| Rate for Payer: Aetna Commercial |
$473.49
|
| Rate for Payer: Aetna Medicare |
$368.50
|
| Rate for Payer: BCBS Complete |
$204.19
|
| Rate for Payer: BCN Commercial |
$515.41
|
| Rate for Payer: Cash Price |
$589.60
|
| Rate for Payer: Cash Price |
$589.60
|
| Rate for Payer: Mclaren Medicaid |
$194.47
|
| Rate for Payer: Meridian Medicaid |
$204.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$552.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$194.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$554.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$554.26
|
| Rate for Payer: UHC Medicaid |
$194.47
|
| Rate for Payer: UHCCP Medicaid |
$194.47
|
|
|
PR SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES
|
Professional
|
Both
|
$140.00
|
|
|
Service Code
|
HCPCS 99374
|
| Min. Negotiated Rate |
$55.68 |
| Max. Negotiated Rate |
$105.00 |
| Rate for Payer: Aetna Commercial |
$55.68
|
| Rate for Payer: Aetna Medicare |
$70.00
|
| Rate for Payer: BCBS Complete |
$56.00
|
| Rate for Payer: BCN Commercial |
$79.18
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Cash Price |
$112.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$105.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$71.22
|
|
|
PR SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR
|
Professional
|
Both
|
$756.00
|
|
|
Service Code
|
HCPCS 31820
|
| Min. Negotiated Rate |
$191.49 |
| Max. Negotiated Rate |
$567.00 |
| Rate for Payer: Aetna Commercial |
$418.37
|
| Rate for Payer: Aetna Medicare |
$378.00
|
| Rate for Payer: BCBS Complete |
$201.06
|
| Rate for Payer: BCN Commercial |
$499.48
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Cash Price |
$604.80
|
| Rate for Payer: Mclaren Medicaid |
$191.49
|
| Rate for Payer: Meridian Medicaid |
$201.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$567.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$191.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$470.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$470.36
|
| Rate for Payer: UHC Medicaid |
$191.49
|
| Rate for Payer: UHCCP Medicaid |
$191.49
|
|
|
PR SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR
|
Professional
|
Both
|
$1,062.00
|
|
|
Service Code
|
HCPCS 31825
|
| Min. Negotiated Rate |
$274.34 |
| Max. Negotiated Rate |
$796.50 |
| Rate for Payer: Aetna Commercial |
$610.54
|
| Rate for Payer: Aetna Medicare |
$531.00
|
| Rate for Payer: BCBS Complete |
$288.06
|
| Rate for Payer: BCN Commercial |
$732.03
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Cash Price |
$849.60
|
| Rate for Payer: Mclaren Medicaid |
$274.34
|
| Rate for Payer: Meridian Medicaid |
$288.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$796.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$689.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$689.35
|
| Rate for Payer: UHC Medicaid |
$274.34
|
| Rate for Payer: UHCCP Medicaid |
$274.34
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS
|
Professional
|
Both
|
$3,066.00
|
|
|
Service Code
|
HCPCS 29828
|
| Min. Negotiated Rate |
$538.04 |
| Max. Negotiated Rate |
$2,299.50 |
| Rate for Payer: Aetna Commercial |
$1,224.94
|
| Rate for Payer: Aetna Medicare |
$1,533.00
|
| Rate for Payer: BCBS Complete |
$564.94
|
| Rate for Payer: BCN Commercial |
$1,389.36
|
| Rate for Payer: Cash Price |
$2,452.80
|
| Rate for Payer: Cash Price |
$2,452.80
|
| Rate for Payer: Mclaren Medicaid |
$538.04
|
| Rate for Payer: Meridian Medicaid |
$564.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,299.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$538.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,485.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,485.20
|
| Rate for Payer: UHC Medicaid |
$538.04
|
| Rate for Payer: UHCCP Medicaid |
$538.04
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY
|
Professional
|
Both
|
$3,333.00
|
|
|
Service Code
|
HCPCS 29806
|
| Min. Negotiated Rate |
$620.47 |
| Max. Negotiated Rate |
$2,499.75 |
| Rate for Payer: Aetna Commercial |
$1,411.69
|
| Rate for Payer: Aetna Medicare |
$1,666.50
|
| Rate for Payer: BCBS Complete |
$651.49
|
| Rate for Payer: BCN Commercial |
$1,604.50
|
| Rate for Payer: Cash Price |
$2,666.40
|
| Rate for Payer: Cash Price |
$2,666.40
|
| Rate for Payer: Mclaren Medicaid |
$620.47
|
| Rate for Payer: Meridian Medicaid |
$651.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,499.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$620.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,715.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,715.15
|
| Rate for Payer: UHC Medicaid |
$620.47
|
| Rate for Payer: UHCCP Medicaid |
$620.47
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY
|
Professional
|
Both
|
$2,335.00
|
|
|
Service Code
|
HCPCS 29821
|
| Min. Negotiated Rate |
$355.50 |
| Max. Negotiated Rate |
$1,751.25 |
| Rate for Payer: Aetna Commercial |
$793.22
|
| Rate for Payer: Aetna Medicare |
$1,167.50
|
| Rate for Payer: BCBS Complete |
$373.27
|
| Rate for Payer: BCN Commercial |
$908.32
|
| Rate for Payer: Cash Price |
$1,868.00
|
| Rate for Payer: Cash Price |
$1,868.00
|
| Rate for Payer: Mclaren Medicaid |
$355.50
|
| Rate for Payer: Meridian Medicaid |
$373.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,751.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$355.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$970.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$970.97
|
| Rate for Payer: UHC Medicaid |
$355.50
|
| Rate for Payer: UHCCP Medicaid |
$355.50
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC
|
Professional
|
Both
|
$2,166.00
|
|
|
Service Code
|
HCPCS 29824
|
| Min. Negotiated Rate |
$407.47 |
| Max. Negotiated Rate |
$1,624.50 |
| Rate for Payer: Aetna Commercial |
$901.45
|
| Rate for Payer: Aetna Medicare |
$1,083.00
|
| Rate for Payer: BCBS Complete |
$427.84
|
| Rate for Payer: BCN Commercial |
$1,136.26
|
| Rate for Payer: Cash Price |
$1,732.80
|
| Rate for Payer: Cash Price |
$1,732.80
|
| Rate for Payer: Mclaren Medicaid |
$407.47
|
| Rate for Payer: Meridian Medicaid |
$427.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,624.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,105.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,105.65
|
| Rate for Payer: UHC Medicaid |
$407.47
|
| Rate for Payer: UHCCP Medicaid |
$407.47
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2
|
Professional
|
Both
|
$2,267.00
|
|
|
Service Code
|
HCPCS 29822
|
| Min. Negotiated Rate |
$329.09 |
| Max. Negotiated Rate |
$1,700.25 |
| Rate for Payer: Aetna Commercial |
$721.82
|
| Rate for Payer: Aetna Medicare |
$1,133.50
|
| Rate for Payer: BCBS Complete |
$345.54
|
| Rate for Payer: BCN Commercial |
$911.42
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Cash Price |
$1,813.60
|
| Rate for Payer: Mclaren Medicaid |
$329.09
|
| Rate for Payer: Meridian Medicaid |
$345.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,700.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$886.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$886.85
|
| Rate for Payer: UHC Medicaid |
$329.09
|
| Rate for Payer: UHCCP Medicaid |
$329.09
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY
|
Professional
|
Both
|
$1,998.00
|
|
|
Service Code
|
HCPCS 29820
|
| Min. Negotiated Rate |
$319.93 |
| Max. Negotiated Rate |
$1,498.50 |
| Rate for Payer: Aetna Commercial |
$718.35
|
| Rate for Payer: Aetna Medicare |
$999.00
|
| Rate for Payer: BCBS Complete |
$335.93
|
| Rate for Payer: BCN Commercial |
$818.18
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Mclaren Medicaid |
$319.93
|
| Rate for Payer: Meridian Medicaid |
$335.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,498.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$319.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$874.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$874.61
|
| Rate for Payer: UHC Medicaid |
$319.93
|
| Rate for Payer: UHCCP Medicaid |
$319.93
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB
|
Professional
|
Both
|
$2,066.00
|
|
|
Service Code
|
HCPCS 29819
|
| Min. Negotiated Rate |
$350.81 |
| Max. Negotiated Rate |
$1,549.50 |
| Rate for Payer: Aetna Commercial |
$784.19
|
| Rate for Payer: Aetna Medicare |
$1,033.00
|
| Rate for Payer: BCBS Complete |
$368.35
|
| Rate for Payer: BCN Commercial |
$896.37
|
| Rate for Payer: Cash Price |
$1,652.80
|
| Rate for Payer: Cash Price |
$1,652.80
|
| Rate for Payer: Mclaren Medicaid |
$350.81
|
| Rate for Payer: Meridian Medicaid |
$368.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,549.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$350.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$958.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$958.19
|
| Rate for Payer: UHC Medicaid |
$350.81
|
| Rate for Payer: UHCCP Medicaid |
$350.81
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION
|
Professional
|
Both
|
$3,166.00
|
|
|
Service Code
|
HCPCS 29807
|
| Min. Negotiated Rate |
$607.05 |
| Max. Negotiated Rate |
$2,374.50 |
| Rate for Payer: Aetna Commercial |
$1,378.96
|
| Rate for Payer: Aetna Medicare |
$1,583.00
|
| Rate for Payer: BCBS Complete |
$637.40
|
| Rate for Payer: BCN Commercial |
$1,567.14
|
| Rate for Payer: Cash Price |
$2,532.80
|
| Rate for Payer: Cash Price |
$2,532.80
|
| Rate for Payer: Mclaren Medicaid |
$607.05
|
| Rate for Payer: Meridian Medicaid |
$637.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,374.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$607.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,675.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,675.23
|
| Rate for Payer: UHC Medicaid |
$607.05
|
| Rate for Payer: UHCCP Medicaid |
$607.05
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS
|
Professional
|
Both
|
$2,234.00
|
|
|
Service Code
|
HCPCS 29825
|
| Min. Negotiated Rate |
$352.94 |
| Max. Negotiated Rate |
$1,675.50 |
| Rate for Payer: Aetna Commercial |
$783.73
|
| Rate for Payer: Aetna Medicare |
$1,117.00
|
| Rate for Payer: BCBS Complete |
$370.59
|
| Rate for Payer: BCN Commercial |
$896.86
|
| Rate for Payer: Cash Price |
$1,787.20
|
| Rate for Payer: Cash Price |
$1,787.20
|
| Rate for Payer: Mclaren Medicaid |
$352.94
|
| Rate for Payer: Meridian Medicaid |
$370.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,675.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$958.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$958.72
|
| Rate for Payer: UHC Medicaid |
$352.94
|
| Rate for Payer: UHCCP Medicaid |
$352.94
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
|
Professional
|
Both
|
$3,501.00
|
|
|
Service Code
|
HCPCS 29827
|
| Min. Negotiated Rate |
$622.60 |
| Max. Negotiated Rate |
$2,625.75 |
| Rate for Payer: Aetna Commercial |
$1,428.39
|
| Rate for Payer: Aetna Medicare |
$1,750.50
|
| Rate for Payer: BCBS Complete |
$653.73
|
| Rate for Payer: BCN Commercial |
$1,616.94
|
| Rate for Payer: Cash Price |
$2,800.80
|
| Rate for Payer: Cash Price |
$2,800.80
|
| Rate for Payer: Mclaren Medicaid |
$622.60
|
| Rate for Payer: Meridian Medicaid |
$653.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,625.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$622.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,728.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,728.47
|
| Rate for Payer: UHC Medicaid |
$622.60
|
| Rate for Payer: UHCCP Medicaid |
$622.60
|
|
|
PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+
|
Professional
|
Both
|
$2,601.00
|
|
|
Service Code
|
HCPCS 29823
|
| Min. Negotiated Rate |
$356.35 |
| Max. Negotiated Rate |
$1,950.75 |
| Rate for Payer: Aetna Commercial |
$790.59
|
| Rate for Payer: Aetna Medicare |
$1,300.50
|
| Rate for Payer: BCBS Complete |
$374.17
|
| Rate for Payer: BCN Commercial |
$994.03
|
| Rate for Payer: Cash Price |
$2,080.80
|
| Rate for Payer: Cash Price |
$2,080.80
|
| Rate for Payer: Mclaren Medicaid |
$356.35
|
| Rate for Payer: Meridian Medicaid |
$374.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,950.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$356.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$967.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$967.25
|
| Rate for Payer: UHC Medicaid |
$356.35
|
| Rate for Payer: UHCCP Medicaid |
$356.35
|
|
|
PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS
|
Professional
|
Both
|
$2,601.00
|
|
|
Service Code
|
HCPCS 29826
|
| Min. Negotiated Rate |
$94.15 |
| Max. Negotiated Rate |
$1,950.75 |
| Rate for Payer: Aetna Commercial |
$233.75
|
| Rate for Payer: Aetna Medicare |
$1,300.50
|
| Rate for Payer: BCBS Complete |
$98.86
|
| Rate for Payer: BCN Commercial |
$202.24
|
| Rate for Payer: Cash Price |
$2,080.80
|
| Rate for Payer: Cash Price |
$2,080.80
|
| Rate for Payer: Mclaren Medicaid |
$94.15
|
| Rate for Payer: Meridian Medicaid |
$98.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,950.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$274.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$274.14
|
| Rate for Payer: UHC Medicaid |
$94.15
|
| Rate for Payer: UHCCP Medicaid |
$94.15
|
|
|
PR SURGICAL TRAYS
|
Professional
|
Both
|
$35.00
|
|
|
Service Code
|
HCPCS A4550
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$26.25 |
| Rate for Payer: Aetna Commercial |
$15.00
|
| Rate for Payer: Aetna Medicare |
$17.50
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.25
|
|
|
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI
|
Professional
|
Both
|
$5,843.00
|
|
|
Service Code
|
HCPCS 69706
|
| Min. Negotiated Rate |
$131.00 |
| Max. Negotiated Rate |
$4,382.25 |
| Rate for Payer: Aetna Commercial |
$274.21
|
| Rate for Payer: Aetna Medicare |
$2,921.50
|
| Rate for Payer: BCBS Complete |
$137.55
|
| Rate for Payer: BCN Commercial |
$363.03
|
| Rate for Payer: Cash Price |
$4,674.40
|
| Rate for Payer: Cash Price |
$4,674.40
|
| Rate for Payer: Mclaren Medicaid |
$131.00
|
| Rate for Payer: Meridian Medicaid |
$137.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,382.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$131.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$358.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$358.71
|
| Rate for Payer: UHC Medicaid |
$131.00
|
| Rate for Payer: UHCCP Medicaid |
$131.00
|
|
|
PR SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI
|
Professional
|
Both
|
$5,653.00
|
|
|
Service Code
|
HCPCS 69705
|
| Min. Negotiated Rate |
$94.57 |
| Max. Negotiated Rate |
$4,239.75 |
| Rate for Payer: Aetna Commercial |
$196.86
|
| Rate for Payer: Aetna Medicare |
$2,826.50
|
| Rate for Payer: BCBS Complete |
$99.30
|
| Rate for Payer: BCN Commercial |
$259.95
|
| Rate for Payer: Cash Price |
$4,522.40
|
| Rate for Payer: Cash Price |
$4,522.40
|
| Rate for Payer: Mclaren Medicaid |
$94.57
|
| Rate for Payer: Meridian Medicaid |
$99.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,239.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$256.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$256.85
|
| Rate for Payer: UHC Medicaid |
$94.57
|
| Rate for Payer: UHCCP Medicaid |
$94.57
|
|
|
PR SURG OPENING,ESOPHAGUS,ABD APPRCH
|
Professional
|
Both
|
$2,871.00
|
|
|
Service Code
|
HCPCS 43350
|
| Min. Negotiated Rate |
$1,148.40 |
| Max. Negotiated Rate |
$2,153.25 |
| Rate for Payer: Aetna Medicare |
$1,435.50
|
| Rate for Payer: BCBS Complete |
$1,148.40
|
| Rate for Payer: Cash Price |
$2,296.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,153.25
|
|
|
PR SURG TX ANAL FISTULA 2ND STAGE
|
Professional
|
Both
|
$999.00
|
|
|
Service Code
|
HCPCS 46285
|
| Min. Negotiated Rate |
$272.21 |
| Max. Negotiated Rate |
$788.18 |
| Rate for Payer: Aetna Commercial |
$558.65
|
| Rate for Payer: Aetna Medicare |
$499.50
|
| Rate for Payer: BCBS Complete |
$285.82
|
| Rate for Payer: BCN Commercial |
$646.88
|
| Rate for Payer: Cash Price |
$799.20
|
| Rate for Payer: Cash Price |
$799.20
|
| Rate for Payer: Mclaren Medicaid |
$272.21
|
| Rate for Payer: Meridian Medicaid |
$285.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$749.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$788.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$788.18
|
| Rate for Payer: UHC Medicaid |
$272.21
|
| Rate for Payer: UHCCP Medicaid |
$272.21
|
|
|
PR SURG TX ANAL FISTULA INTERSPHINCTERIC
|
Professional
|
Both
|
$1,354.00
|
|
|
Service Code
|
HCPCS 46275
|
| Min. Negotiated Rate |
$271.15 |
| Max. Negotiated Rate |
$1,015.50 |
| Rate for Payer: Aetna Commercial |
$558.68
|
| Rate for Payer: Aetna Medicare |
$677.00
|
| Rate for Payer: BCBS Complete |
$284.71
|
| Rate for Payer: BCN Commercial |
$642.90
|
| Rate for Payer: Cash Price |
$1,083.20
|
| Rate for Payer: Cash Price |
$1,083.20
|
| Rate for Payer: Mclaren Medicaid |
$271.15
|
| Rate for Payer: Meridian Medicaid |
$284.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,015.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$783.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$783.32
|
| Rate for Payer: UHC Medicaid |
$271.15
|
| Rate for Payer: UHCCP Medicaid |
$271.15
|
|
