|
PR SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS
|
Professional
|
Both
|
$1,156.00
|
|
|
Service Code
|
HCPCS 31030
|
| Min. Negotiated Rate |
$331.43 |
| Max. Negotiated Rate |
$938.26 |
| Rate for Payer: Aetna Commercial |
$645.67
|
| Rate for Payer: Aetna Medicare |
$501.11
|
| Rate for Payer: BCBS Complete |
$348.00
|
| Rate for Payer: BCBS MAPPO |
$481.84
|
| Rate for Payer: BCBS Trust/PPO |
$665.66
|
| Rate for Payer: BCN Commercial |
$938.26
|
| Rate for Payer: BCN Medicare Advantage |
$481.84
|
| Rate for Payer: Cash Price |
$924.80
|
| Rate for Payer: Cash Price |
$924.80
|
| Rate for Payer: Cofinity Commercial |
$693.85
|
| Rate for Payer: Cofinity Commercial |
$645.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$481.84
|
| Rate for Payer: Mclaren Medicaid |
$331.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$505.93
|
| Rate for Payer: Meridian Medicaid |
$348.00
|
| Rate for Payer: Nomi Health Commercial |
$578.21
|
| Rate for Payer: PACE SWMI |
$481.84
|
| Rate for Payer: PHP Medicare Advantage |
$481.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$331.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$751.40
|
| Rate for Payer: Priority Health HMO/PPO |
$718.38
|
| Rate for Payer: Priority Health Medicare |
$486.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$718.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$481.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$481.84
|
| Rate for Payer: UHC Exchange |
$481.84
|
| Rate for Payer: UHC Medicare Advantage |
$481.84
|
| Rate for Payer: UHCCP Medicaid |
$331.43
|
|
|
PR SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP
|
Professional
|
Both
|
$1,867.00
|
|
|
Service Code
|
HCPCS 31051
|
| Min. Negotiated Rate |
$442.61 |
| Max. Negotiated Rate |
$1,213.55 |
| Rate for Payer: Aetna Commercial |
$860.31
|
| Rate for Payer: Aetna Medicare |
$667.70
|
| Rate for Payer: BCBS Complete |
$464.74
|
| Rate for Payer: BCBS MAPPO |
$642.02
|
| Rate for Payer: BCBS Trust/PPO |
$695.24
|
| Rate for Payer: BCN Commercial |
$1,029.65
|
| Rate for Payer: BCN Medicare Advantage |
$642.02
|
| Rate for Payer: Cash Price |
$1,493.60
|
| Rate for Payer: Cash Price |
$1,493.60
|
| Rate for Payer: Cofinity Commercial |
$924.51
|
| Rate for Payer: Cofinity Commercial |
$860.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$642.02
|
| Rate for Payer: Mclaren Medicaid |
$442.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$674.12
|
| Rate for Payer: Meridian Medicaid |
$464.74
|
| Rate for Payer: Nomi Health Commercial |
$770.42
|
| Rate for Payer: PACE SWMI |
$642.02
|
| Rate for Payer: PHP Medicare Advantage |
$642.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,213.55
|
| Rate for Payer: Priority Health HMO/PPO |
$972.35
|
| Rate for Payer: Priority Health Medicare |
$648.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$972.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$642.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$642.02
|
| Rate for Payer: UHC Exchange |
$642.02
|
| Rate for Payer: UHC Medicare Advantage |
$642.02
|
| Rate for Payer: UHCCP Medicaid |
$442.61
|
|
|
PR SKIN LESION SHAVE/EXCISION (15 MIN)
|
Professional
|
Both
|
$255.00
|
|
|
Service Code
|
HCPCS 00367
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$165.75 |
| Rate for Payer: Aetna Medicare |
$127.50
|
| Rate for Payer: BCBS Complete |
$102.00
|
| Rate for Payer: Cash Price |
$204.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$165.75
|
|
|
PR SKIN LESION SHAVE/EXCISION (30 MIN)
|
Professional
|
Both
|
$510.00
|
|
|
Service Code
|
HCPCS 00368
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$331.50 |
| Rate for Payer: Aetna Medicare |
$255.00
|
| Rate for Payer: BCBS Complete |
$204.00
|
| Rate for Payer: Cash Price |
$408.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$331.50
|
|
|
PR SKYLA, 13.5 MG
|
Professional
|
Both
|
$1,462.00
|
|
|
Service Code
|
HCPCS J7301
|
| Min. Negotiated Rate |
$731.00 |
| Max. Negotiated Rate |
$1,125.66 |
| Rate for Payer: Aetna Commercial |
$917.35
|
| Rate for Payer: Aetna Medicare |
$731.00
|
| Rate for Payer: BCBS Complete |
$1,125.66
|
| Rate for Payer: BCBS Trust/PPO |
$925.78
|
| Rate for Payer: BCN Commercial |
$925.78
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Cash Price |
$1,169.60
|
| Rate for Payer: Mclaren Medicaid |
$1,072.06
|
| Rate for Payer: Meridian Medicaid |
$1,125.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,072.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$950.30
|
| Rate for Payer: UHCCP Medicaid |
$1,072.06
|
|
|
PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN
|
Professional
|
Both
|
$514.00
|
|
|
Service Code
|
HCPCS 36251
|
| Min. Negotiated Rate |
$158.90 |
| Max. Negotiated Rate |
$1,894.60 |
| Rate for Payer: Aetna Commercial |
$324.47
|
| Rate for Payer: Aetna Medicare |
$251.83
|
| Rate for Payer: BCBS Complete |
$166.84
|
| Rate for Payer: BCBS MAPPO |
$242.14
|
| Rate for Payer: BCBS Trust/PPO |
$555.24
|
| Rate for Payer: BCN Commercial |
$1,894.60
|
| Rate for Payer: BCN Medicare Advantage |
$242.14
|
| Rate for Payer: Cash Price |
$411.20
|
| Rate for Payer: Cash Price |
$411.20
|
| Rate for Payer: Cofinity Commercial |
$348.68
|
| Rate for Payer: Cofinity Commercial |
$324.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.14
|
| Rate for Payer: Mclaren Medicaid |
$158.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$254.25
|
| Rate for Payer: Meridian Medicaid |
$166.84
|
| Rate for Payer: Nomi Health Commercial |
$290.57
|
| Rate for Payer: PACE SWMI |
$242.14
|
| Rate for Payer: PHP Medicare Advantage |
$242.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$158.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$334.10
|
| Rate for Payer: Priority Health HMO/PPO |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$244.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$242.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$242.14
|
| Rate for Payer: UHC Exchange |
$242.14
|
| Rate for Payer: UHC Medicare Advantage |
$242.14
|
| Rate for Payer: UHCCP Medicaid |
$158.90
|
|
|
PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL
|
Professional
|
Both
|
$669.00
|
|
|
Service Code
|
HCPCS 36252
|
| Min. Negotiated Rate |
$222.59 |
| Max. Negotiated Rate |
$2,039.26 |
| Rate for Payer: Aetna Commercial |
$455.33
|
| Rate for Payer: Aetna Medicare |
$353.39
|
| Rate for Payer: BCBS Complete |
$233.72
|
| Rate for Payer: BCBS MAPPO |
$339.80
|
| Rate for Payer: BCBS Trust/PPO |
$787.70
|
| Rate for Payer: BCN Commercial |
$2,039.26
|
| Rate for Payer: BCN Medicare Advantage |
$339.80
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cash Price |
$535.20
|
| Rate for Payer: Cofinity Commercial |
$489.31
|
| Rate for Payer: Cofinity Commercial |
$455.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.80
|
| Rate for Payer: Mclaren Medicaid |
$222.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.79
|
| Rate for Payer: Meridian Medicaid |
$233.72
|
| Rate for Payer: Nomi Health Commercial |
$407.76
|
| Rate for Payer: PACE SWMI |
$339.80
|
| Rate for Payer: PHP Medicare Advantage |
$339.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$222.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$434.85
|
| Rate for Payer: Priority Health HMO/PPO |
$554.70
|
| Rate for Payer: Priority Health Medicare |
$343.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$554.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$339.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.80
|
| Rate for Payer: UHC Exchange |
$339.80
|
| Rate for Payer: UHC Medicare Advantage |
$339.80
|
| Rate for Payer: UHCCP Medicaid |
$222.59
|
|
|
PR SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART
|
Professional
|
Both
|
$1,801.00
|
|
|
Service Code
|
HCPCS 36223
|
| Min. Negotiated Rate |
$209.38 |
| Max. Negotiated Rate |
$2,411.13 |
| Rate for Payer: Aetna Commercial |
$429.07
|
| Rate for Payer: Aetna Medicare |
$333.01
|
| Rate for Payer: BCBS Complete |
$219.85
|
| Rate for Payer: BCBS MAPPO |
$320.20
|
| Rate for Payer: BCBS Trust/PPO |
$927.17
|
| Rate for Payer: BCN Commercial |
$2,411.13
|
| Rate for Payer: BCN Medicare Advantage |
$320.20
|
| Rate for Payer: Cash Price |
$1,440.80
|
| Rate for Payer: Cash Price |
$1,440.80
|
| Rate for Payer: Cofinity Commercial |
$461.09
|
| Rate for Payer: Cofinity Commercial |
$429.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.20
|
| Rate for Payer: Mclaren Medicaid |
$209.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$336.21
|
| Rate for Payer: Meridian Medicaid |
$219.85
|
| Rate for Payer: Nomi Health Commercial |
$384.24
|
| Rate for Payer: PACE SWMI |
$320.20
|
| Rate for Payer: PHP Medicare Advantage |
$320.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,170.65
|
| Rate for Payer: Priority Health HMO/PPO |
$517.47
|
| Rate for Payer: Priority Health Medicare |
$323.40
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$517.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$320.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.20
|
| Rate for Payer: UHC Exchange |
$320.20
|
| Rate for Payer: UHC Medicare Advantage |
$320.20
|
| Rate for Payer: UHCCP Medicaid |
$209.38
|
|
|
PR SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART
|
Professional
|
Both
|
$1,655.00
|
|
|
Service Code
|
HCPCS 36222
|
| Min. Negotiated Rate |
$179.99 |
| Max. Negotiated Rate |
$1,787.58 |
| Rate for Payer: Aetna Commercial |
$368.79
|
| Rate for Payer: Aetna Medicare |
$286.23
|
| Rate for Payer: BCBS Complete |
$188.99
|
| Rate for Payer: BCBS MAPPO |
$275.22
|
| Rate for Payer: BCBS Trust/PPO |
$470.19
|
| Rate for Payer: BCN Commercial |
$1,787.58
|
| Rate for Payer: BCN Medicare Advantage |
$275.22
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cash Price |
$1,324.00
|
| Rate for Payer: Cofinity Commercial |
$396.32
|
| Rate for Payer: Cofinity Commercial |
$368.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$275.22
|
| Rate for Payer: Mclaren Medicaid |
$179.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$288.98
|
| Rate for Payer: Meridian Medicaid |
$188.99
|
| Rate for Payer: Nomi Health Commercial |
$330.26
|
| Rate for Payer: PACE SWMI |
$275.22
|
| Rate for Payer: PHP Medicare Advantage |
$275.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$179.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,075.75
|
| Rate for Payer: Priority Health HMO/PPO |
$447.80
|
| Rate for Payer: Priority Health Medicare |
$277.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$447.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$275.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$275.22
|
| Rate for Payer: UHC Exchange |
$275.22
|
| Rate for Payer: UHC Medicare Advantage |
$275.22
|
| Rate for Payer: UHCCP Medicaid |
$179.99
|
|
|
PR SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY
|
Professional
|
Both
|
$1,009.00
|
|
|
Service Code
|
HCPCS 36014
|
| Min. Negotiated Rate |
$95.00 |
| Max. Negotiated Rate |
$1,156.70 |
| Rate for Payer: Aetna Commercial |
$193.44
|
| Rate for Payer: Aetna Medicare |
$150.13
|
| Rate for Payer: BCBS Complete |
$99.75
|
| Rate for Payer: BCBS MAPPO |
$144.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,081.43
|
| Rate for Payer: BCN Commercial |
$1,156.70
|
| Rate for Payer: BCN Medicare Advantage |
$144.36
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cash Price |
$807.20
|
| Rate for Payer: Cofinity Commercial |
$207.88
|
| Rate for Payer: Cofinity Commercial |
$193.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.36
|
| Rate for Payer: Mclaren Medicaid |
$95.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.58
|
| Rate for Payer: Meridian Medicaid |
$99.75
|
| Rate for Payer: Nomi Health Commercial |
$173.23
|
| Rate for Payer: PACE SWMI |
$144.36
|
| Rate for Payer: PHP Medicare Advantage |
$144.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$655.85
|
| Rate for Payer: Priority Health HMO/PPO |
$234.54
|
| Rate for Payer: Priority Health Medicare |
$145.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$234.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$144.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$144.36
|
| Rate for Payer: UHC Exchange |
$144.36
|
| Rate for Payer: UHC Medicare Advantage |
$144.36
|
| Rate for Payer: UHCCP Medicaid |
$95.00
|
|
|
PR SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT
|
Professional
|
Both
|
$1,360.00
|
|
|
Service Code
|
HCPCS 36228
|
| Min. Negotiated Rate |
$159.32 |
| Max. Negotiated Rate |
$1,848.67 |
| Rate for Payer: Aetna Commercial |
$327.54
|
| Rate for Payer: Aetna Medicare |
$254.21
|
| Rate for Payer: BCBS Complete |
$167.29
|
| Rate for Payer: BCBS MAPPO |
$244.43
|
| Rate for Payer: BCBS Trust/PPO |
$761.81
|
| Rate for Payer: BCN Commercial |
$1,848.67
|
| Rate for Payer: BCN Medicare Advantage |
$244.43
|
| Rate for Payer: Cash Price |
$1,088.00
|
| Rate for Payer: Cash Price |
$1,088.00
|
| Rate for Payer: Cofinity Commercial |
$351.98
|
| Rate for Payer: Cofinity Commercial |
$327.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$244.43
|
| Rate for Payer: Mclaren Medicaid |
$159.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$256.65
|
| Rate for Payer: Meridian Medicaid |
$167.29
|
| Rate for Payer: Nomi Health Commercial |
$293.32
|
| Rate for Payer: PACE SWMI |
$244.43
|
| Rate for Payer: PHP Medicare Advantage |
$244.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$884.00
|
| Rate for Payer: Priority Health HMO/PPO |
$392.48
|
| Rate for Payer: Priority Health Medicare |
$246.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$392.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$244.43
|
| Rate for Payer: UHC Exchange |
$244.43
|
| Rate for Payer: UHC Medicare Advantage |
$244.43
|
| Rate for Payer: UHCCP Medicaid |
$159.32
|
|
|
PR SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART
|
Professional
|
Both
|
$1,258.00
|
|
|
Service Code
|
HCPCS 36224
|
| Min. Negotiated Rate |
$235.15 |
| Max. Negotiated Rate |
$2,995.59 |
| Rate for Payer: Aetna Commercial |
$481.96
|
| Rate for Payer: Aetna Medicare |
$374.06
|
| Rate for Payer: BCBS Complete |
$246.91
|
| Rate for Payer: BCBS MAPPO |
$359.67
|
| Rate for Payer: BCBS Trust/PPO |
$1,419.54
|
| Rate for Payer: BCN Commercial |
$2,995.59
|
| Rate for Payer: BCN Medicare Advantage |
$359.67
|
| Rate for Payer: Cash Price |
$1,006.40
|
| Rate for Payer: Cash Price |
$1,006.40
|
| Rate for Payer: Cofinity Commercial |
$517.92
|
| Rate for Payer: Cofinity Commercial |
$481.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$359.67
|
| Rate for Payer: Mclaren Medicaid |
$235.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$377.65
|
| Rate for Payer: Meridian Medicaid |
$246.91
|
| Rate for Payer: Nomi Health Commercial |
$431.60
|
| Rate for Payer: PACE SWMI |
$359.67
|
| Rate for Payer: PHP Medicare Advantage |
$359.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$235.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$817.70
|
| Rate for Payer: Priority Health HMO/PPO |
$581.28
|
| Rate for Payer: Priority Health Medicare |
$363.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$581.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$359.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$359.67
|
| Rate for Payer: UHC Exchange |
$359.67
|
| Rate for Payer: UHC Medicare Advantage |
$359.67
|
| Rate for Payer: UHCCP Medicaid |
$235.15
|
|
|
PR SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$2,344.00
|
|
|
Service Code
|
HCPCS 36216
|
| Min. Negotiated Rate |
$170.83 |
| Max. Negotiated Rate |
$1,562.31 |
| Rate for Payer: Aetna Commercial |
$349.27
|
| Rate for Payer: Aetna Medicare |
$271.08
|
| Rate for Payer: BCBS Complete |
$179.37
|
| Rate for Payer: BCBS MAPPO |
$260.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,102.56
|
| Rate for Payer: BCN Commercial |
$1,562.31
|
| Rate for Payer: BCN Medicare Advantage |
$260.65
|
| Rate for Payer: Cash Price |
$1,875.20
|
| Rate for Payer: Cash Price |
$1,875.20
|
| Rate for Payer: Cofinity Commercial |
$375.34
|
| Rate for Payer: Cofinity Commercial |
$349.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.65
|
| Rate for Payer: Mclaren Medicaid |
$170.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$273.68
|
| Rate for Payer: Meridian Medicaid |
$179.37
|
| Rate for Payer: Nomi Health Commercial |
$312.78
|
| Rate for Payer: PACE SWMI |
$260.65
|
| Rate for Payer: PHP Medicare Advantage |
$260.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$170.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,523.60
|
| Rate for Payer: Priority Health HMO/PPO |
$423.86
|
| Rate for Payer: Priority Health Medicare |
$263.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$423.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.65
|
| Rate for Payer: UHC Exchange |
$260.65
|
| Rate for Payer: UHC Medicare Advantage |
$260.65
|
| Rate for Payer: UHCCP Medicaid |
$170.83
|
|
|
PR SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$1,042.00
|
|
|
Service Code
|
HCPCS 36246
|
| Min. Negotiated Rate |
$157.19 |
| Max. Negotiated Rate |
$1,388.37 |
| Rate for Payer: Aetna Commercial |
$322.36
|
| Rate for Payer: Aetna Medicare |
$250.19
|
| Rate for Payer: BCBS Complete |
$165.05
|
| Rate for Payer: BCBS MAPPO |
$240.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,388.37
|
| Rate for Payer: BCN Commercial |
$1,224.14
|
| Rate for Payer: BCN Medicare Advantage |
$240.57
|
| Rate for Payer: Cash Price |
$833.60
|
| Rate for Payer: Cash Price |
$833.60
|
| Rate for Payer: Cofinity Commercial |
$346.42
|
| Rate for Payer: Cofinity Commercial |
$322.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$240.57
|
| Rate for Payer: Mclaren Medicaid |
$157.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$252.60
|
| Rate for Payer: Meridian Medicaid |
$165.05
|
| Rate for Payer: Nomi Health Commercial |
$288.68
|
| Rate for Payer: PACE SWMI |
$240.57
|
| Rate for Payer: PHP Medicare Advantage |
$240.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.30
|
| Rate for Payer: Priority Health HMO/PPO |
$392.48
|
| Rate for Payer: Priority Health Medicare |
$242.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$392.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$240.57
|
| Rate for Payer: UHC Exchange |
$240.57
|
| Rate for Payer: UHC Medicare Advantage |
$240.57
|
| Rate for Payer: UHCCP Medicaid |
$157.19
|
|
|
PR SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH
|
Professional
|
Both
|
$1,304.00
|
|
|
Service Code
|
HCPCS 36247
|
| Min. Negotiated Rate |
$185.52 |
| Max. Negotiated Rate |
$2,090.07 |
| Rate for Payer: Aetna Commercial |
$378.47
|
| Rate for Payer: Aetna Medicare |
$293.74
|
| Rate for Payer: BCBS Complete |
$194.80
|
| Rate for Payer: BCBS MAPPO |
$282.44
|
| Rate for Payer: BCBS Trust/PPO |
$1,650.94
|
| Rate for Payer: BCN Commercial |
$2,090.07
|
| Rate for Payer: BCN Medicare Advantage |
$282.44
|
| Rate for Payer: Cash Price |
$1,043.20
|
| Rate for Payer: Cash Price |
$1,043.20
|
| Rate for Payer: Cofinity Commercial |
$406.71
|
| Rate for Payer: Cofinity Commercial |
$378.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.44
|
| Rate for Payer: Mclaren Medicaid |
$185.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.56
|
| Rate for Payer: Meridian Medicaid |
$194.80
|
| Rate for Payer: Nomi Health Commercial |
$338.93
|
| Rate for Payer: PACE SWMI |
$282.44
|
| Rate for Payer: PHP Medicare Advantage |
$282.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$185.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$847.60
|
| Rate for Payer: Priority Health HMO/PPO |
$462.16
|
| Rate for Payer: Priority Health Medicare |
$285.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$462.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$282.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.44
|
| Rate for Payer: UHC Exchange |
$282.44
|
| Rate for Payer: UHC Medicare Advantage |
$282.44
|
| Rate for Payer: UHCCP Medicaid |
$185.52
|
|
|
PR SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$1,377.00
|
|
|
Service Code
|
HCPCS 36217
|
| Min. Negotiated Rate |
$212.36 |
| Max. Negotiated Rate |
$2,617.35 |
| Rate for Payer: Aetna Commercial |
$434.98
|
| Rate for Payer: Aetna Medicare |
$337.59
|
| Rate for Payer: BCBS Complete |
$222.98
|
| Rate for Payer: BCBS MAPPO |
$324.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,410.56
|
| Rate for Payer: BCN Commercial |
$2,617.35
|
| Rate for Payer: BCN Medicare Advantage |
$324.61
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cash Price |
$1,101.60
|
| Rate for Payer: Cofinity Commercial |
$467.44
|
| Rate for Payer: Cofinity Commercial |
$434.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$324.61
|
| Rate for Payer: Mclaren Medicaid |
$212.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$340.84
|
| Rate for Payer: Meridian Medicaid |
$222.98
|
| Rate for Payer: Nomi Health Commercial |
$389.53
|
| Rate for Payer: PACE SWMI |
$324.61
|
| Rate for Payer: PHP Medicare Advantage |
$324.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$212.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$895.05
|
| Rate for Payer: Priority Health HMO/PPO |
$520.12
|
| Rate for Payer: Priority Health Medicare |
$327.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$520.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$324.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$324.61
|
| Rate for Payer: UHC Exchange |
$324.61
|
| Rate for Payer: UHC Medicare Advantage |
$324.61
|
| Rate for Payer: UHCCP Medicaid |
$212.36
|
|
|
PR SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$835.00
|
|
|
Service Code
|
HCPCS 36245
|
| Min. Negotiated Rate |
$147.61 |
| Max. Negotiated Rate |
$1,828.14 |
| Rate for Payer: Aetna Commercial |
$301.00
|
| Rate for Payer: Aetna Medicare |
$233.62
|
| Rate for Payer: BCBS Complete |
$154.99
|
| Rate for Payer: BCBS MAPPO |
$224.63
|
| Rate for Payer: BCBS Trust/PPO |
$1,012.22
|
| Rate for Payer: BCN Commercial |
$1,828.14
|
| Rate for Payer: BCN Medicare Advantage |
$224.63
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cash Price |
$668.00
|
| Rate for Payer: Cofinity Commercial |
$323.47
|
| Rate for Payer: Cofinity Commercial |
$301.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$224.63
|
| Rate for Payer: Mclaren Medicaid |
$147.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$235.86
|
| Rate for Payer: Meridian Medicaid |
$154.99
|
| Rate for Payer: Nomi Health Commercial |
$269.56
|
| Rate for Payer: PACE SWMI |
$224.63
|
| Rate for Payer: PHP Medicare Advantage |
$224.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$147.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.75
|
| Rate for Payer: Priority Health HMO/PPO |
$365.90
|
| Rate for Payer: Priority Health Medicare |
$226.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$224.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$224.63
|
| Rate for Payer: UHC Exchange |
$224.63
|
| Rate for Payer: UHC Medicare Advantage |
$224.63
|
| Rate for Payer: UHCCP Medicaid |
$147.61
|
|
|
PR SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$918.00
|
|
|
Service Code
|
HCPCS 36215
|
| Min. Negotiated Rate |
$133.76 |
| Max. Negotiated Rate |
$1,519.78 |
| Rate for Payer: Aetna Commercial |
$271.22
|
| Rate for Payer: Aetna Medicare |
$210.50
|
| Rate for Payer: BCBS Complete |
$140.45
|
| Rate for Payer: BCBS MAPPO |
$202.40
|
| Rate for Payer: BCBS Trust/PPO |
$781.36
|
| Rate for Payer: BCN Commercial |
$1,519.78
|
| Rate for Payer: BCN Medicare Advantage |
$202.40
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cash Price |
$734.40
|
| Rate for Payer: Cofinity Commercial |
$291.46
|
| Rate for Payer: Cofinity Commercial |
$271.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$202.40
|
| Rate for Payer: Mclaren Medicaid |
$133.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$212.52
|
| Rate for Payer: Meridian Medicaid |
$140.45
|
| Rate for Payer: Nomi Health Commercial |
$242.88
|
| Rate for Payer: PACE SWMI |
$202.40
|
| Rate for Payer: PHP Medicare Advantage |
$202.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$596.70
|
| Rate for Payer: Priority Health HMO/PPO |
$330.27
|
| Rate for Payer: Priority Health Medicare |
$204.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$330.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$202.40
|
| Rate for Payer: UHC Exchange |
$202.40
|
| Rate for Payer: UHC Medicare Advantage |
$202.40
|
| Rate for Payer: UHCCP Medicaid |
$133.76
|
|
|
PR SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH
|
Professional
|
Both
|
$243.00
|
|
|
Service Code
|
HCPCS 36248
|
| Min. Negotiated Rate |
$30.25 |
| Max. Negotiated Rate |
$1,877.58 |
| Rate for Payer: Aetna Commercial |
$61.44
|
| Rate for Payer: Aetna Medicare |
$47.68
|
| Rate for Payer: BCBS Complete |
$31.76
|
| Rate for Payer: BCBS MAPPO |
$45.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,877.58
|
| Rate for Payer: BCN Commercial |
$171.52
|
| Rate for Payer: BCN Medicare Advantage |
$45.85
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cofinity Commercial |
$66.02
|
| Rate for Payer: Cofinity Commercial |
$61.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$45.85
|
| Rate for Payer: Mclaren Medicaid |
$30.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.14
|
| Rate for Payer: Meridian Medicaid |
$31.76
|
| Rate for Payer: Nomi Health Commercial |
$55.02
|
| Rate for Payer: PACE SWMI |
$45.85
|
| Rate for Payer: PHP Medicare Advantage |
$45.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.95
|
| Rate for Payer: Priority Health HMO/PPO |
$74.45
|
| Rate for Payer: Priority Health Medicare |
$46.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$74.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$45.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$45.85
|
| Rate for Payer: UHC Exchange |
$45.85
|
| Rate for Payer: UHC Medicare Advantage |
$45.85
|
| Rate for Payer: UHCCP Medicaid |
$30.25
|
|
|
PR SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 36218
|
| Min. Negotiated Rate |
$33.02 |
| Max. Negotiated Rate |
$489.73 |
| Rate for Payer: Aetna Commercial |
$67.48
|
| Rate for Payer: Aetna Medicare |
$52.37
|
| Rate for Payer: BCBS Complete |
$34.67
|
| Rate for Payer: BCBS MAPPO |
$50.36
|
| Rate for Payer: BCBS Trust/PPO |
$489.73
|
| Rate for Payer: BCN Commercial |
$304.94
|
| Rate for Payer: BCN Medicare Advantage |
$50.36
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$72.52
|
| Rate for Payer: Cofinity Commercial |
$67.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$50.36
|
| Rate for Payer: Mclaren Medicaid |
$33.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$52.88
|
| Rate for Payer: Meridian Medicaid |
$34.67
|
| Rate for Payer: Nomi Health Commercial |
$60.43
|
| Rate for Payer: PACE SWMI |
$50.36
|
| Rate for Payer: PHP Medicare Advantage |
$50.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.20
|
| Rate for Payer: Priority Health HMO/PPO |
$81.90
|
| Rate for Payer: Priority Health Medicare |
$50.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$81.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$50.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$50.36
|
| Rate for Payer: UHC Exchange |
$50.36
|
| Rate for Payer: UHC Medicare Advantage |
$50.36
|
| Rate for Payer: UHCCP Medicaid |
$33.02
|
|
|
PR SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART
|
Professional
|
Both
|
$956.00
|
|
|
Service Code
|
HCPCS 36015
|
| Min. Negotiated Rate |
$107.99 |
| Max. Negotiated Rate |
$1,252.48 |
| Rate for Payer: Aetna Commercial |
$219.18
|
| Rate for Payer: Aetna Medicare |
$170.11
|
| Rate for Payer: BCBS Complete |
$113.39
|
| Rate for Payer: BCBS MAPPO |
$163.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,087.24
|
| Rate for Payer: BCN Commercial |
$1,252.48
|
| Rate for Payer: BCN Medicare Advantage |
$163.57
|
| Rate for Payer: Cash Price |
$764.80
|
| Rate for Payer: Cash Price |
$764.80
|
| Rate for Payer: Cofinity Commercial |
$235.54
|
| Rate for Payer: Cofinity Commercial |
$219.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$163.57
|
| Rate for Payer: Mclaren Medicaid |
$107.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$171.75
|
| Rate for Payer: Meridian Medicaid |
$113.39
|
| Rate for Payer: Nomi Health Commercial |
$196.28
|
| Rate for Payer: PACE SWMI |
$163.57
|
| Rate for Payer: PHP Medicare Advantage |
$163.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$107.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$621.40
|
| Rate for Payer: Priority Health HMO/PPO |
$265.37
|
| Rate for Payer: Priority Health Medicare |
$165.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$265.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$163.57
|
| Rate for Payer: UHC Exchange |
$163.57
|
| Rate for Payer: UHC Medicare Advantage |
$163.57
|
| Rate for Payer: UHCCP Medicaid |
$107.99
|
|
|
PR SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH
|
Professional
|
Both
|
$747.00
|
|
|
Service Code
|
HCPCS 36011
|
| Min. Negotiated Rate |
$97.55 |
| Max. Negotiated Rate |
$2,329.71 |
| Rate for Payer: Aetna Commercial |
$198.87
|
| Rate for Payer: Aetna Medicare |
$154.35
|
| Rate for Payer: BCBS Complete |
$102.43
|
| Rate for Payer: BCBS MAPPO |
$148.41
|
| Rate for Payer: BCBS Trust/PPO |
$2,329.71
|
| Rate for Payer: BCN Commercial |
$1,185.05
|
| Rate for Payer: BCN Medicare Advantage |
$148.41
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cash Price |
$597.60
|
| Rate for Payer: Cofinity Commercial |
$213.71
|
| Rate for Payer: Cofinity Commercial |
$198.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.41
|
| Rate for Payer: Mclaren Medicaid |
$97.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.83
|
| Rate for Payer: Meridian Medicaid |
$102.43
|
| Rate for Payer: Nomi Health Commercial |
$178.09
|
| Rate for Payer: PACE SWMI |
$148.41
|
| Rate for Payer: PHP Medicare Advantage |
$148.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$97.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$485.55
|
| Rate for Payer: Priority Health HMO/PPO |
$241.98
|
| Rate for Payer: Priority Health Medicare |
$149.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$241.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$148.41
|
| Rate for Payer: UHC Exchange |
$148.41
|
| Rate for Payer: UHC Medicare Advantage |
$148.41
|
| Rate for Payer: UHCCP Medicaid |
$97.55
|
|
|
PR SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC
|
Professional
|
Both
|
$980.00
|
|
|
Service Code
|
HCPCS 36012
|
| Min. Negotiated Rate |
$109.48 |
| Max. Negotiated Rate |
$1,531.54 |
| Rate for Payer: Aetna Commercial |
$223.31
|
| Rate for Payer: Aetna Medicare |
$173.32
|
| Rate for Payer: BCBS Complete |
$114.95
|
| Rate for Payer: BCBS MAPPO |
$166.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,531.54
|
| Rate for Payer: BCN Commercial |
$1,227.56
|
| Rate for Payer: BCN Medicare Advantage |
$166.65
|
| Rate for Payer: Cash Price |
$784.00
|
| Rate for Payer: Cash Price |
$784.00
|
| Rate for Payer: Cofinity Commercial |
$239.98
|
| Rate for Payer: Cofinity Commercial |
$223.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.65
|
| Rate for Payer: Mclaren Medicaid |
$109.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$174.98
|
| Rate for Payer: Meridian Medicaid |
$114.95
|
| Rate for Payer: Nomi Health Commercial |
$199.98
|
| Rate for Payer: PACE SWMI |
$166.65
|
| Rate for Payer: PHP Medicare Advantage |
$166.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$637.00
|
| Rate for Payer: Priority Health HMO/PPO |
$269.64
|
| Rate for Payer: Priority Health Medicare |
$168.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$269.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$166.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.65
|
| Rate for Payer: UHC Exchange |
$166.65
|
| Rate for Payer: UHC Medicare Advantage |
$166.65
|
| Rate for Payer: UHCCP Medicaid |
$109.48
|
|
|
PR SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY
|
Professional
|
Both
|
$1,788.00
|
|
|
Service Code
|
HCPCS 36225
|
| Min. Negotiated Rate |
$208.10 |
| Max. Negotiated Rate |
$2,276.75 |
| Rate for Payer: Aetna Commercial |
$426.94
|
| Rate for Payer: Aetna Medicare |
$331.35
|
| Rate for Payer: BCBS Complete |
$218.50
|
| Rate for Payer: BCBS MAPPO |
$318.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,878.11
|
| Rate for Payer: BCN Commercial |
$2,276.75
|
| Rate for Payer: BCN Medicare Advantage |
$318.61
|
| Rate for Payer: Cash Price |
$1,430.40
|
| Rate for Payer: Cash Price |
$1,430.40
|
| Rate for Payer: Cofinity Commercial |
$458.80
|
| Rate for Payer: Cofinity Commercial |
$426.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$318.61
|
| Rate for Payer: Mclaren Medicaid |
$208.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$334.54
|
| Rate for Payer: Meridian Medicaid |
$218.50
|
| Rate for Payer: Nomi Health Commercial |
$382.33
|
| Rate for Payer: PACE SWMI |
$318.61
|
| Rate for Payer: PHP Medicare Advantage |
$318.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$208.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,162.20
|
| Rate for Payer: Priority Health HMO/PPO |
$513.20
|
| Rate for Payer: Priority Health Medicare |
$321.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$513.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$318.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$318.61
|
| Rate for Payer: UHC Exchange |
$318.61
|
| Rate for Payer: UHC Medicare Advantage |
$318.61
|
| Rate for Payer: UHCCP Medicaid |
$208.10
|
|
|
PR SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY
|
Professional
|
Both
|
$1,260.00
|
|
|
Service Code
|
HCPCS 36226
|
| Min. Negotiated Rate |
$233.45 |
| Max. Negotiated Rate |
$2,912.03 |
| Rate for Payer: Aetna Commercial |
$478.46
|
| Rate for Payer: Aetna Medicare |
$371.34
|
| Rate for Payer: BCBS Complete |
$245.12
|
| Rate for Payer: BCBS MAPPO |
$357.06
|
| Rate for Payer: BCBS Trust/PPO |
$726.41
|
| Rate for Payer: BCN Commercial |
$2,912.03
|
| Rate for Payer: BCN Medicare Advantage |
$357.06
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cash Price |
$1,008.00
|
| Rate for Payer: Cofinity Commercial |
$514.17
|
| Rate for Payer: Cofinity Commercial |
$478.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.06
|
| Rate for Payer: Mclaren Medicaid |
$233.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.91
|
| Rate for Payer: Meridian Medicaid |
$245.12
|
| Rate for Payer: Nomi Health Commercial |
$428.47
|
| Rate for Payer: PACE SWMI |
$357.06
|
| Rate for Payer: PHP Medicare Advantage |
$357.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$233.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$819.00
|
| Rate for Payer: Priority Health HMO/PPO |
$577.56
|
| Rate for Payer: Priority Health Medicare |
$360.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$577.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$357.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.06
|
| Rate for Payer: UHC Exchange |
$357.06
|
| Rate for Payer: UHC Medicare Advantage |
$357.06
|
| Rate for Payer: UHCCP Medicaid |
$233.45
|
|
