|
PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE
|
Professional
|
Both
|
$977.00
|
|
|
Service Code
|
HCPCS 53502
|
| Min. Negotiated Rate |
$313.32 |
| Max. Negotiated Rate |
$778.13 |
| Rate for Payer: Aetna Commercial |
$624.19
|
| Rate for Payer: Aetna Medicare |
$484.44
|
| Rate for Payer: BCBS Complete |
$328.99
|
| Rate for Payer: BCBS MAPPO |
$465.81
|
| Rate for Payer: BCBS Trust/PPO |
$701.05
|
| Rate for Payer: BCN Commercial |
$702.72
|
| Rate for Payer: BCN Medicare Advantage |
$465.81
|
| Rate for Payer: Cash Price |
$781.60
|
| Rate for Payer: Cash Price |
$781.60
|
| Rate for Payer: Cofinity Commercial |
$670.77
|
| Rate for Payer: Cofinity Commercial |
$624.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.81
|
| Rate for Payer: Mclaren Medicaid |
$313.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.10
|
| Rate for Payer: Meridian Medicaid |
$328.99
|
| Rate for Payer: Nomi Health Commercial |
$558.97
|
| Rate for Payer: PACE SWMI |
$465.81
|
| Rate for Payer: PHP Medicare Advantage |
$465.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$635.05
|
| Rate for Payer: Priority Health HMO/PPO |
$778.13
|
| Rate for Payer: Priority Health Medicare |
$470.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$778.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$465.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$465.81
|
| Rate for Payer: UHC Exchange |
$465.81
|
| Rate for Payer: UHC Medicare Advantage |
$465.81
|
| Rate for Payer: UHCCP Medicaid |
$313.32
|
|
|
PR URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE
|
Professional
|
Both
|
$923.00
|
|
|
Service Code
|
HCPCS 53505
|
| Min. Negotiated Rate |
$288.98 |
| Max. Negotiated Rate |
$777.60 |
| Rate for Payer: Aetna Commercial |
$623.78
|
| Rate for Payer: Aetna Medicare |
$484.13
|
| Rate for Payer: BCBS Complete |
$328.77
|
| Rate for Payer: BCBS MAPPO |
$465.51
|
| Rate for Payer: BCBS Trust/PPO |
$288.98
|
| Rate for Payer: BCN Commercial |
$702.23
|
| Rate for Payer: BCN Medicare Advantage |
$465.51
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cofinity Commercial |
$670.33
|
| Rate for Payer: Cofinity Commercial |
$623.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$465.51
|
| Rate for Payer: Mclaren Medicaid |
$313.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$488.79
|
| Rate for Payer: Meridian Medicaid |
$328.77
|
| Rate for Payer: Nomi Health Commercial |
$558.61
|
| Rate for Payer: PACE SWMI |
$465.51
|
| Rate for Payer: PHP Medicare Advantage |
$465.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$313.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$599.95
|
| Rate for Payer: Priority Health HMO/PPO |
$777.60
|
| Rate for Payer: Priority Health Medicare |
$470.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$777.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$465.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$465.51
|
| Rate for Payer: UHC Exchange |
$465.51
|
| Rate for Payer: UHC Medicare Advantage |
$465.51
|
| Rate for Payer: UHCCP Medicaid |
$313.11
|
|
|
PR URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 53010
|
| Min. Negotiated Rate |
$192.98 |
| Max. Negotiated Rate |
$478.27 |
| Rate for Payer: Aetna Commercial |
$381.16
|
| Rate for Payer: Aetna Medicare |
$295.83
|
| Rate for Payer: BCBS Complete |
$202.63
|
| Rate for Payer: BCBS MAPPO |
$284.45
|
| Rate for Payer: BCBS Trust/PPO |
$359.24
|
| Rate for Payer: BCN Commercial |
$430.52
|
| Rate for Payer: BCN Medicare Advantage |
$284.45
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$409.61
|
| Rate for Payer: Cofinity Commercial |
$381.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$284.45
|
| Rate for Payer: Mclaren Medicaid |
$192.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$298.67
|
| Rate for Payer: Meridian Medicaid |
$202.63
|
| Rate for Payer: Nomi Health Commercial |
$341.34
|
| Rate for Payer: PACE SWMI |
$284.45
|
| Rate for Payer: PHP Medicare Advantage |
$284.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$192.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO |
$478.27
|
| Rate for Payer: Priority Health Medicare |
$287.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$478.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$284.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$284.45
|
| Rate for Payer: UHC Exchange |
$284.45
|
| Rate for Payer: UHC Medicare Advantage |
$284.45
|
| Rate for Payer: UHCCP Medicaid |
$192.98
|
|
|
PR URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE
|
Professional
|
Both
|
$3,350.00
|
|
|
Service Code
|
HCPCS 50650
|
| Min. Negotiated Rate |
$662.43 |
| Max. Negotiated Rate |
$2,177.50 |
| Rate for Payer: Aetna Commercial |
$1,327.22
|
| Rate for Payer: Aetna Medicare |
$1,030.08
|
| Rate for Payer: BCBS Complete |
$695.55
|
| Rate for Payer: BCBS MAPPO |
$990.46
|
| Rate for Payer: BCBS Trust/PPO |
$809.36
|
| Rate for Payer: BCN Commercial |
$1,491.44
|
| Rate for Payer: BCN Medicare Advantage |
$990.46
|
| Rate for Payer: Cash Price |
$2,680.00
|
| Rate for Payer: Cash Price |
$2,680.00
|
| Rate for Payer: Cofinity Commercial |
$1,426.26
|
| Rate for Payer: Cofinity Commercial |
$1,327.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$990.46
|
| Rate for Payer: Mclaren Medicaid |
$662.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,039.98
|
| Rate for Payer: Meridian Medicaid |
$695.55
|
| Rate for Payer: Nomi Health Commercial |
$1,188.55
|
| Rate for Payer: PACE SWMI |
$990.46
|
| Rate for Payer: PHP Medicare Advantage |
$990.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$662.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,177.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,648.40
|
| Rate for Payer: Priority Health Medicare |
$1,000.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,648.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$990.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$990.46
|
| Rate for Payer: UHC Exchange |
$990.46
|
| Rate for Payer: UHC Medicare Advantage |
$990.46
|
| Rate for Payer: UHCCP Medicaid |
$662.43
|
|
|
PR URINARY LEG OR ABDOMEN BAG
|
Professional
|
Both
|
$8.00
|
|
|
Service Code
|
HCPCS A4358
|
| Min. Negotiated Rate |
$3.20 |
| Max. Negotiated Rate |
$6.46 |
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCN Commercial |
$6.46
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Cash Price |
$6.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.20
|
|
|
PR URINARY SUSPENSORY
|
Professional
|
Both
|
$66.00
|
|
|
Service Code
|
HCPCS A5105
|
| Min. Negotiated Rate |
$26.40 |
| Max. Negotiated Rate |
$44.89 |
| Rate for Payer: BCBS Complete |
$26.40
|
| Rate for Payer: BCN Commercial |
$44.89
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Cash Price |
$52.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.90
|
|
|
PR URTP W/TUBULARIZATION POST URT&/LWR BLDR
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 53431
|
| Min. Negotiated Rate |
$734.64 |
| Max. Negotiated Rate |
$2,997.57 |
| Rate for Payer: Aetna Commercial |
$1,472.67
|
| Rate for Payer: Aetna Medicare |
$1,142.97
|
| Rate for Payer: BCBS Complete |
$771.37
|
| Rate for Payer: BCBS MAPPO |
$1,099.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,997.57
|
| Rate for Payer: BCN Commercial |
$1,656.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,099.01
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cofinity Commercial |
$1,582.57
|
| Rate for Payer: Cofinity Commercial |
$1,472.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,099.01
|
| Rate for Payer: Mclaren Medicaid |
$734.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,153.96
|
| Rate for Payer: Meridian Medicaid |
$771.37
|
| Rate for Payer: Nomi Health Commercial |
$1,318.81
|
| Rate for Payer: PACE SWMI |
$1,099.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,099.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$734.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,825.76
|
| Rate for Payer: Priority Health Medicare |
$1,110.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,825.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,099.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,099.01
|
| Rate for Payer: UHC Exchange |
$1,099.01
|
| Rate for Payer: UHC Medicare Advantage |
$1,099.01
|
| Rate for Payer: UHCCP Medicaid |
$734.64
|
|
|
PR URTROLITHOTOMY MIDDLE ONE-THIRD URETER
|
Professional
|
Both
|
$1,626.00
|
|
|
Service Code
|
HCPCS 50620
|
| Min. Negotiated Rate |
$576.59 |
| Max. Negotiated Rate |
$1,432.69 |
| Rate for Payer: Aetna Commercial |
$1,154.77
|
| Rate for Payer: Aetna Medicare |
$896.24
|
| Rate for Payer: BCBS Complete |
$605.42
|
| Rate for Payer: BCBS MAPPO |
$861.77
|
| Rate for Payer: BCBS Trust/PPO |
$1,273.73
|
| Rate for Payer: BCN Commercial |
$1,299.39
|
| Rate for Payer: BCN Medicare Advantage |
$861.77
|
| Rate for Payer: Cash Price |
$1,300.80
|
| Rate for Payer: Cash Price |
$1,300.80
|
| Rate for Payer: Cofinity Commercial |
$1,240.95
|
| Rate for Payer: Cofinity Commercial |
$1,154.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$861.77
|
| Rate for Payer: Mclaren Medicaid |
$576.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$904.86
|
| Rate for Payer: Meridian Medicaid |
$605.42
|
| Rate for Payer: Nomi Health Commercial |
$1,034.12
|
| Rate for Payer: PACE SWMI |
$861.77
|
| Rate for Payer: PHP Medicare Advantage |
$861.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$576.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,056.90
|
| Rate for Payer: Priority Health HMO/PPO |
$1,432.69
|
| Rate for Payer: Priority Health Medicare |
$870.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,432.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$861.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$861.77
|
| Rate for Payer: UHC Exchange |
$861.77
|
| Rate for Payer: UHC Medicare Advantage |
$861.77
|
| Rate for Payer: UHCCP Medicaid |
$576.59
|
|
|
PR URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP
|
Professional
|
Both
|
$4,652.00
|
|
|
Service Code
|
HCPCS 50785
|
| Min. Negotiated Rate |
$775.11 |
| Max. Negotiated Rate |
$3,101.12 |
| Rate for Payer: Aetna Commercial |
$1,556.52
|
| Rate for Payer: Aetna Medicare |
$1,208.04
|
| Rate for Payer: BCBS Complete |
$813.87
|
| Rate for Payer: BCBS MAPPO |
$1,161.58
|
| Rate for Payer: BCBS Trust/PPO |
$3,101.12
|
| Rate for Payer: BCN Commercial |
$1,747.51
|
| Rate for Payer: BCN Medicare Advantage |
$1,161.58
|
| Rate for Payer: Cash Price |
$3,721.60
|
| Rate for Payer: Cash Price |
$3,721.60
|
| Rate for Payer: Cofinity Commercial |
$1,672.68
|
| Rate for Payer: Cofinity Commercial |
$1,556.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,161.58
|
| Rate for Payer: Mclaren Medicaid |
$775.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,219.66
|
| Rate for Payer: Meridian Medicaid |
$813.87
|
| Rate for Payer: Nomi Health Commercial |
$1,393.90
|
| Rate for Payer: PACE SWMI |
$1,161.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,161.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$775.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,023.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,920.56
|
| Rate for Payer: Priority Health Medicare |
$1,173.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,920.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,161.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,161.58
|
| Rate for Payer: UHC Exchange |
$1,161.58
|
| Rate for Payer: UHC Medicare Advantage |
$1,161.58
|
| Rate for Payer: UHCCP Medicaid |
$775.11
|
|
|
PR URTT/URTS XTRNL SPX PENDULOUS URETHRA
|
Professional
|
Both
|
$281.00
|
|
|
Service Code
|
HCPCS 53000
|
| Min. Negotiated Rate |
$95.64 |
| Max. Negotiated Rate |
$283.70 |
| Rate for Payer: Aetna Commercial |
$189.46
|
| Rate for Payer: Aetna Medicare |
$147.05
|
| Rate for Payer: BCBS Complete |
$100.42
|
| Rate for Payer: BCBS MAPPO |
$141.39
|
| Rate for Payer: BCBS Trust/PPO |
$283.70
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Medicare Advantage |
$141.39
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Cash Price |
$224.80
|
| Rate for Payer: Cofinity Commercial |
$189.46
|
| Rate for Payer: Cofinity Commercial |
$203.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$141.39
|
| Rate for Payer: Mclaren Medicaid |
$95.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$148.46
|
| Rate for Payer: Meridian Medicaid |
$100.42
|
| Rate for Payer: Nomi Health Commercial |
$169.67
|
| Rate for Payer: PACE SWMI |
$141.39
|
| Rate for Payer: PHP Medicare Advantage |
$141.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$182.65
|
| Rate for Payer: Priority Health HMO/PPO |
$238.08
|
| Rate for Payer: Priority Health Medicare |
$142.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$238.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$141.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$141.39
|
| Rate for Payer: UHC Exchange |
$141.39
|
| Rate for Payer: UHC Medicare Advantage |
$141.39
|
| Rate for Payer: UHCCP Medicaid |
$95.64
|
|
|
PR USE OF ECHO CONTRAST AGENT DURING STRESS ECHO
|
Professional
|
Both
|
$65.00
|
|
|
Service Code
|
HCPCS 93352
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$1,312.83 |
| Rate for Payer: Aetna Commercial |
$42.42
|
| Rate for Payer: Aetna Medicare |
$32.93
|
| Rate for Payer: BCBS Complete |
$26.00
|
| Rate for Payer: BCBS MAPPO |
$31.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,312.83
|
| Rate for Payer: BCN Commercial |
$49.36
|
| Rate for Payer: BCN Medicare Advantage |
$31.66
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$42.42
|
| Rate for Payer: Cofinity Commercial |
$45.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.24
|
| Rate for Payer: Nomi Health Commercial |
$37.99
|
| Rate for Payer: PACE SWMI |
$31.66
|
| Rate for Payer: PHP Medicare Advantage |
$31.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$42.25
|
| Rate for Payer: Priority Health HMO/PPO |
$48.97
|
| Rate for Payer: Priority Health Medicare |
$31.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$48.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$31.66
|
| Rate for Payer: UHC Exchange |
$31.66
|
| Rate for Payer: UHC Medicare Advantage |
$31.66
|
|
|
PR USE VERTICAL ELECTRODES
|
Professional
|
Both
|
$22.00
|
|
|
Service Code
|
HCPCS 92547
|
| Min. Negotiated Rate |
$2.72 |
| Max. Negotiated Rate |
$1,085.66 |
| Rate for Payer: Aetna Commercial |
$12.23
|
| Rate for Payer: Aetna Medicare |
$9.50
|
| Rate for Payer: BCBS Complete |
$8.80
|
| Rate for Payer: BCBS MAPPO |
$9.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,085.66
|
| Rate for Payer: BCN Commercial |
$15.64
|
| Rate for Payer: BCN Medicare Advantage |
$9.13
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cash Price |
$17.60
|
| Rate for Payer: Cofinity Commercial |
$13.15
|
| Rate for Payer: Cofinity Commercial |
$12.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.59
|
| Rate for Payer: Nomi Health Commercial |
$10.96
|
| Rate for Payer: PACE SWMI |
$9.13
|
| Rate for Payer: PHP Medicare Advantage |
$9.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.30
|
| Rate for Payer: Priority Health HMO/PPO |
$2.72
|
| Rate for Payer: Priority Health Medicare |
$9.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$9.13
|
| Rate for Payer: UHC Exchange |
$9.13
|
| Rate for Payer: UHC Medicare Advantage |
$9.13
|
|
|
PR UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE
|
Professional
|
Both
|
$785.00
|
|
|
Service Code
|
HCPCS 59870
|
| Min. Negotiated Rate |
$344.85 |
| Max. Negotiated Rate |
$794.10 |
| Rate for Payer: Aetna Commercial |
$687.23
|
| Rate for Payer: Aetna Medicare |
$533.37
|
| Rate for Payer: BCBS Complete |
$362.09
|
| Rate for Payer: BCBS MAPPO |
$512.86
|
| Rate for Payer: BCBS Trust/PPO |
$547.32
|
| Rate for Payer: BCN Commercial |
$794.10
|
| Rate for Payer: BCN Medicare Advantage |
$512.86
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cofinity Commercial |
$687.23
|
| Rate for Payer: Cofinity Commercial |
$738.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$512.86
|
| Rate for Payer: Mclaren Medicaid |
$344.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$538.50
|
| Rate for Payer: Meridian Medicaid |
$362.09
|
| Rate for Payer: Nomi Health Commercial |
$615.43
|
| Rate for Payer: PACE SWMI |
$512.86
|
| Rate for Payer: PHP Medicare Advantage |
$512.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$344.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$510.25
|
| Rate for Payer: Priority Health HMO/PPO |
$760.12
|
| Rate for Payer: Priority Health Medicare |
$517.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$760.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$512.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$512.86
|
| Rate for Payer: UHC Exchange |
$512.86
|
| Rate for Payer: UHC Medicare Advantage |
$512.86
|
| Rate for Payer: UHCCP Medicaid |
$344.85
|
|
|
PR UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 58400
|
| Min. Negotiated Rate |
$296.50 |
| Max. Negotiated Rate |
$695.95 |
| Rate for Payer: Aetna Commercial |
$589.12
|
| Rate for Payer: Aetna Medicare |
$457.23
|
| Rate for Payer: BCBS Complete |
$311.32
|
| Rate for Payer: BCBS MAPPO |
$439.64
|
| Rate for Payer: BCBS Trust/PPO |
$568.45
|
| Rate for Payer: BCN Commercial |
$680.73
|
| Rate for Payer: BCN Medicare Advantage |
$439.64
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$589.12
|
| Rate for Payer: Cofinity Commercial |
$633.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$439.64
|
| Rate for Payer: Mclaren Medicaid |
$296.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$461.62
|
| Rate for Payer: Meridian Medicaid |
$311.32
|
| Rate for Payer: Nomi Health Commercial |
$527.57
|
| Rate for Payer: PACE SWMI |
$439.64
|
| Rate for Payer: PHP Medicare Advantage |
$439.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$296.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health HMO/PPO |
$695.95
|
| Rate for Payer: Priority Health Medicare |
$444.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$695.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$439.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$439.64
|
| Rate for Payer: UHC Exchange |
$439.64
|
| Rate for Payer: UHC Medicare Advantage |
$439.64
|
| Rate for Payer: UHCCP Medicaid |
$296.50
|
|
|
PR U-TUBE HEPATICOENTEROSTOMY
|
Professional
|
Both
|
$2,734.00
|
|
|
Service Code
|
HCPCS 47802
|
| Min. Negotiated Rate |
$1,093.60 |
| Max. Negotiated Rate |
$3,097.42 |
| Rate for Payer: Aetna Commercial |
$2,068.89
|
| Rate for Payer: Aetna Medicare |
$1,367.00
|
| Rate for Payer: BCBS Complete |
$1,093.60
|
| Rate for Payer: BCBS Trust/PPO |
$3,097.42
|
| Rate for Payer: BCN Commercial |
$2,226.41
|
| Rate for Payer: Cash Price |
$2,187.20
|
| Rate for Payer: Cash Price |
$2,187.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,777.10
|
|
|
PR UVULECTOMY EXCISION UVULA
|
Professional
|
Both
|
$573.00
|
|
|
Service Code
|
HCPCS 42140
|
| Min. Negotiated Rate |
$106.07 |
| Max. Negotiated Rate |
$596.98 |
| Rate for Payer: Aetna Commercial |
$205.93
|
| Rate for Payer: Aetna Medicare |
$159.83
|
| Rate for Payer: BCBS Complete |
$111.37
|
| Rate for Payer: BCBS MAPPO |
$153.68
|
| Rate for Payer: BCBS Trust/PPO |
$596.98
|
| Rate for Payer: BCN Commercial |
$461.32
|
| Rate for Payer: BCN Medicare Advantage |
$153.68
|
| Rate for Payer: Cash Price |
$458.40
|
| Rate for Payer: Cash Price |
$458.40
|
| Rate for Payer: Cofinity Commercial |
$221.30
|
| Rate for Payer: Cofinity Commercial |
$205.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.68
|
| Rate for Payer: Mclaren Medicaid |
$106.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.36
|
| Rate for Payer: Meridian Medicaid |
$111.37
|
| Rate for Payer: Nomi Health Commercial |
$184.42
|
| Rate for Payer: PACE SWMI |
$153.68
|
| Rate for Payer: PHP Medicare Advantage |
$153.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$106.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$372.45
|
| Rate for Payer: Priority Health HMO/PPO |
$295.31
|
| Rate for Payer: Priority Health Medicare |
$155.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$295.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$153.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.68
|
| Rate for Payer: UHC Exchange |
$153.68
|
| Rate for Payer: UHC Medicare Advantage |
$153.68
|
| Rate for Payer: UHCCP Medicaid |
$106.07
|
|
|
PR VAG HYST > 250 GM RMVL TUBE&/OVARY
|
Professional
|
Both
|
$3,124.00
|
|
|
Service Code
|
HCPCS 58291
|
| Min. Negotiated Rate |
$190.19 |
| Max. Negotiated Rate |
$2,030.60 |
| Rate for Payer: Aetna Commercial |
$1,601.43
|
| Rate for Payer: Aetna Medicare |
$1,242.90
|
| Rate for Payer: BCBS Complete |
$835.11
|
| Rate for Payer: BCBS MAPPO |
$1,195.10
|
| Rate for Payer: BCBS Trust/PPO |
$190.19
|
| Rate for Payer: BCN Commercial |
$1,823.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,195.10
|
| Rate for Payer: Cash Price |
$2,499.20
|
| Rate for Payer: Cash Price |
$2,499.20
|
| Rate for Payer: Cofinity Commercial |
$1,720.94
|
| Rate for Payer: Cofinity Commercial |
$1,601.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,195.10
|
| Rate for Payer: Mclaren Medicaid |
$795.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,254.86
|
| Rate for Payer: Meridian Medicaid |
$835.11
|
| Rate for Payer: Nomi Health Commercial |
$1,434.12
|
| Rate for Payer: PACE SWMI |
$1,195.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,195.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$795.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,030.60
|
| Rate for Payer: Priority Health HMO/PPO |
$1,855.72
|
| Rate for Payer: Priority Health Medicare |
$1,207.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,855.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,195.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,195.10
|
| Rate for Payer: UHC Exchange |
$1,195.10
|
| Rate for Payer: UHC Medicare Advantage |
$1,195.10
|
| Rate for Payer: UHCCP Medicaid |
$795.34
|
|
|
PR VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE
|
Professional
|
Both
|
$3,457.00
|
|
|
Service Code
|
HCPCS 58292
|
| Min. Negotiated Rate |
$213.96 |
| Max. Negotiated Rate |
$2,247.05 |
| Rate for Payer: Aetna Commercial |
$1,687.26
|
| Rate for Payer: Aetna Medicare |
$1,309.52
|
| Rate for Payer: BCBS Complete |
$879.62
|
| Rate for Payer: BCBS MAPPO |
$1,259.15
|
| Rate for Payer: BCBS Trust/PPO |
$213.96
|
| Rate for Payer: BCN Commercial |
$1,921.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,259.15
|
| Rate for Payer: Cash Price |
$2,765.60
|
| Rate for Payer: Cash Price |
$2,765.60
|
| Rate for Payer: Cofinity Commercial |
$1,813.18
|
| Rate for Payer: Cofinity Commercial |
$1,687.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,259.15
|
| Rate for Payer: Mclaren Medicaid |
$837.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,322.11
|
| Rate for Payer: Meridian Medicaid |
$879.62
|
| Rate for Payer: Nomi Health Commercial |
$1,510.98
|
| Rate for Payer: PACE SWMI |
$1,259.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,259.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$837.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,247.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,955.41
|
| Rate for Payer: Priority Health Medicare |
$1,271.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,955.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,259.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,259.15
|
| Rate for Payer: UHC Exchange |
$1,259.15
|
| Rate for Payer: UHC Medicare Advantage |
$1,259.15
|
| Rate for Payer: UHCCP Medicaid |
$837.73
|
|
|
PR VAG HYST 250 GM/< W/RMVL TUBE&/OVARY
|
Professional
|
Both
|
$2,973.00
|
|
|
Service Code
|
HCPCS 58262
|
| Min. Negotiated Rate |
$266.26 |
| Max. Negotiated Rate |
$1,932.45 |
| Rate for Payer: Aetna Commercial |
$1,193.71
|
| Rate for Payer: Aetna Medicare |
$926.46
|
| Rate for Payer: BCBS Complete |
$624.44
|
| Rate for Payer: BCBS MAPPO |
$890.83
|
| Rate for Payer: BCBS Trust/PPO |
$266.26
|
| Rate for Payer: BCN Commercial |
$1,359.01
|
| Rate for Payer: BCN Medicare Advantage |
$890.83
|
| Rate for Payer: Cash Price |
$2,378.40
|
| Rate for Payer: Cash Price |
$2,378.40
|
| Rate for Payer: Cofinity Commercial |
$1,282.80
|
| Rate for Payer: Cofinity Commercial |
$1,193.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$890.83
|
| Rate for Payer: Mclaren Medicaid |
$594.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$935.37
|
| Rate for Payer: Meridian Medicaid |
$624.44
|
| Rate for Payer: Nomi Health Commercial |
$1,069.00
|
| Rate for Payer: PACE SWMI |
$890.83
|
| Rate for Payer: PHP Medicare Advantage |
$890.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$594.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,932.45
|
| Rate for Payer: Priority Health HMO/PPO |
$1,386.95
|
| Rate for Payer: Priority Health Medicare |
$899.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,386.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$890.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$890.83
|
| Rate for Payer: UHC Exchange |
$890.83
|
| Rate for Payer: UHC Medicare Advantage |
$890.83
|
| Rate for Payer: UHCCP Medicaid |
$594.70
|
|
|
PR VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL
|
Professional
|
Both
|
$3,245.00
|
|
|
Service Code
|
HCPCS 58263
|
| Min. Negotiated Rate |
$192.83 |
| Max. Negotiated Rate |
$2,109.25 |
| Rate for Payer: Aetna Commercial |
$1,281.68
|
| Rate for Payer: Aetna Medicare |
$994.74
|
| Rate for Payer: BCBS Complete |
$669.84
|
| Rate for Payer: BCBS MAPPO |
$956.48
|
| Rate for Payer: BCBS Trust/PPO |
$192.83
|
| Rate for Payer: BCN Commercial |
$1,457.73
|
| Rate for Payer: BCN Medicare Advantage |
$956.48
|
| Rate for Payer: Cash Price |
$2,596.00
|
| Rate for Payer: Cash Price |
$2,596.00
|
| Rate for Payer: Cofinity Commercial |
$1,377.33
|
| Rate for Payer: Cofinity Commercial |
$1,281.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$956.48
|
| Rate for Payer: Mclaren Medicaid |
$637.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,004.30
|
| Rate for Payer: Meridian Medicaid |
$669.84
|
| Rate for Payer: Nomi Health Commercial |
$1,147.78
|
| Rate for Payer: PACE SWMI |
$956.48
|
| Rate for Payer: PHP Medicare Advantage |
$956.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$637.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,109.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,486.15
|
| Rate for Payer: Priority Health Medicare |
$966.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,486.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$956.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$956.48
|
| Rate for Payer: UHC Exchange |
$956.48
|
| Rate for Payer: UHC Medicare Advantage |
$956.48
|
| Rate for Payer: UHCCP Medicaid |
$637.94
|
|
|
PR VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE
|
Professional
|
Both
|
$3,732.00
|
|
|
Service Code
|
HCPCS 58280
|
| Min. Negotiated Rate |
$237.74 |
| Max. Negotiated Rate |
$2,425.80 |
| Rate for Payer: Aetna Commercial |
$1,362.99
|
| Rate for Payer: Aetna Medicare |
$1,057.85
|
| Rate for Payer: BCBS Complete |
$712.33
|
| Rate for Payer: BCBS MAPPO |
$1,017.16
|
| Rate for Payer: BCBS Trust/PPO |
$237.74
|
| Rate for Payer: BCN Commercial |
$1,554.97
|
| Rate for Payer: BCN Medicare Advantage |
$1,017.16
|
| Rate for Payer: Cash Price |
$2,985.60
|
| Rate for Payer: Cash Price |
$2,985.60
|
| Rate for Payer: Cofinity Commercial |
$1,464.71
|
| Rate for Payer: Cofinity Commercial |
$1,362.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,017.16
|
| Rate for Payer: Mclaren Medicaid |
$678.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,068.02
|
| Rate for Payer: Meridian Medicaid |
$712.33
|
| Rate for Payer: Nomi Health Commercial |
$1,220.59
|
| Rate for Payer: PACE SWMI |
$1,017.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,017.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$678.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,425.80
|
| Rate for Payer: Priority Health HMO/PPO |
$1,584.37
|
| Rate for Payer: Priority Health Medicare |
$1,027.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,584.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,017.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,017.16
|
| Rate for Payer: UHC Exchange |
$1,017.16
|
| Rate for Payer: UHC Medicare Advantage |
$1,017.16
|
| Rate for Payer: UHCCP Medicaid |
$678.41
|
|
|
PR VAGINAL DELIVERY AFTER CESAREAN DELIVERY
|
Professional
|
Both
|
$2,145.00
|
|
|
Service Code
|
HCPCS 59612
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$1,636.60 |
| Rate for Payer: Aetna Commercial |
$1,191.25
|
| Rate for Payer: Aetna Medicare |
$924.55
|
| Rate for Payer: BCBS Complete |
$886.77
|
| Rate for Payer: BCBS MAPPO |
$888.99
|
| Rate for Payer: BCBS Trust/PPO |
$187.55
|
| Rate for Payer: BCN Commercial |
$1,636.60
|
| Rate for Payer: BCN Medicare Advantage |
$888.99
|
| Rate for Payer: Cash Price |
$1,716.00
|
| Rate for Payer: Cash Price |
$1,716.00
|
| Rate for Payer: Cofinity Commercial |
$1,280.15
|
| Rate for Payer: Cofinity Commercial |
$1,191.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$888.99
|
| Rate for Payer: Mclaren Medicaid |
$844.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$933.44
|
| Rate for Payer: Meridian Medicaid |
$886.77
|
| Rate for Payer: Nomi Health Commercial |
$1,066.79
|
| Rate for Payer: PACE SWMI |
$888.99
|
| Rate for Payer: PHP Medicare Advantage |
$888.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$844.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,394.25
|
| Rate for Payer: Priority Health HMO/PPO |
$1,267.33
|
| Rate for Payer: Priority Health Medicare |
$897.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,267.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$888.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$888.99
|
| Rate for Payer: UHC Exchange |
$888.99
|
| Rate for Payer: UHC Medicare Advantage |
$888.99
|
| Rate for Payer: UHCCP Medicaid |
$844.54
|
|
|
PR VAGINAL DELIVERY ONLY
|
Professional
|
Both
|
$1,970.00
|
|
|
Service Code
|
HCPCS 59409
|
| Min. Negotiated Rate |
$45.96 |
| Max. Negotiated Rate |
$1,558.66 |
| Rate for Payer: Aetna Commercial |
$1,046.55
|
| Rate for Payer: Aetna Medicare |
$812.25
|
| Rate for Payer: BCBS Complete |
$779.06
|
| Rate for Payer: BCBS MAPPO |
$781.01
|
| Rate for Payer: BCBS Trust/PPO |
$45.96
|
| Rate for Payer: BCN Commercial |
$1,558.66
|
| Rate for Payer: BCN Medicare Advantage |
$781.01
|
| Rate for Payer: Cash Price |
$1,576.00
|
| Rate for Payer: Cash Price |
$1,576.00
|
| Rate for Payer: Cofinity Commercial |
$1,124.65
|
| Rate for Payer: Cofinity Commercial |
$1,046.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$781.01
|
| Rate for Payer: Mclaren Medicaid |
$741.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$820.06
|
| Rate for Payer: Meridian Medicaid |
$779.06
|
| Rate for Payer: Nomi Health Commercial |
$937.21
|
| Rate for Payer: PACE SWMI |
$781.01
|
| Rate for Payer: PHP Medicare Advantage |
$781.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$741.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,280.50
|
| Rate for Payer: Priority Health HMO/PPO |
$1,118.29
|
| Rate for Payer: Priority Health Medicare |
$788.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,118.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$781.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$781.01
|
| Rate for Payer: UHC Exchange |
$781.01
|
| Rate for Payer: UHC Medicare Advantage |
$781.01
|
| Rate for Payer: UHCCP Medicaid |
$741.96
|
|
|
PR VAGINAL DELIVERY ONLY W/POSTPARTUM CARE
|
Professional
|
Both
|
$2,242.00
|
|
|
Service Code
|
HCPCS 59410
|
| Min. Negotiated Rate |
$52.30 |
| Max. Negotiated Rate |
$1,809.19 |
| Rate for Payer: Aetna Commercial |
$1,413.43
|
| Rate for Payer: Aetna Medicare |
$1,096.99
|
| Rate for Payer: BCBS Complete |
$1,052.16
|
| Rate for Payer: BCBS MAPPO |
$1,054.80
|
| Rate for Payer: BCBS Trust/PPO |
$52.30
|
| Rate for Payer: BCN Commercial |
$1,809.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,054.80
|
| Rate for Payer: Cash Price |
$1,793.60
|
| Rate for Payer: Cash Price |
$1,793.60
|
| Rate for Payer: Cofinity Commercial |
$1,518.91
|
| Rate for Payer: Cofinity Commercial |
$1,413.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,054.80
|
| Rate for Payer: Mclaren Medicaid |
$1,002.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,107.54
|
| Rate for Payer: Meridian Medicaid |
$1,052.16
|
| Rate for Payer: Nomi Health Commercial |
$1,265.76
|
| Rate for Payer: PACE SWMI |
$1,054.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,054.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,002.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,457.30
|
| Rate for Payer: Priority Health HMO/PPO |
$1,514.19
|
| Rate for Payer: Priority Health Medicare |
$1,065.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,514.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,054.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,054.80
|
| Rate for Payer: UHC Exchange |
$1,054.80
|
| Rate for Payer: UHC Medicare Advantage |
$1,054.80
|
| Rate for Payer: UHCCP Medicaid |
$1,002.06
|
|
|
PR VAGINAL DELIVERY & POSTPARTUM CARE VBAC
|
Professional
|
Both
|
$2,417.00
|
|
|
Service Code
|
HCPCS 59614
|
| Min. Negotiated Rate |
$325.96 |
| Max. Negotiated Rate |
$1,899.65 |
| Rate for Payer: Aetna Commercial |
$1,537.32
|
| Rate for Payer: Aetna Medicare |
$1,193.14
|
| Rate for Payer: BCBS Complete |
$1,144.38
|
| Rate for Payer: BCBS MAPPO |
$1,147.25
|
| Rate for Payer: BCBS Trust/PPO |
$325.96
|
| Rate for Payer: BCN Commercial |
$1,899.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,147.25
|
| Rate for Payer: Cash Price |
$1,933.60
|
| Rate for Payer: Cash Price |
$1,933.60
|
| Rate for Payer: Cofinity Commercial |
$1,652.04
|
| Rate for Payer: Cofinity Commercial |
$1,537.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,147.25
|
| Rate for Payer: Mclaren Medicaid |
$1,089.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,204.61
|
| Rate for Payer: Meridian Medicaid |
$1,144.38
|
| Rate for Payer: Nomi Health Commercial |
$1,376.70
|
| Rate for Payer: PACE SWMI |
$1,147.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,147.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,089.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,571.05
|
| Rate for Payer: Priority Health HMO/PPO |
$1,637.16
|
| Rate for Payer: Priority Health Medicare |
$1,158.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,637.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,147.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,147.25
|
| Rate for Payer: UHC Exchange |
$1,147.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,147.25
|
| Rate for Payer: UHCCP Medicaid |
$1,089.89
|
|
