|
PR ANORECTAL MYOMECTOMY
|
Professional
|
Both
|
$1,715.00
|
|
|
Service Code
|
HCPCS 45108
|
| Min. Negotiated Rate |
$237.71 |
| Max. Negotiated Rate |
$1,286.25 |
| Rate for Payer: Aetna Commercial |
$488.32
|
| Rate for Payer: Aetna Medicare |
$379.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$488.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.76
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$364.42
|
| Rate for Payer: BCN Commercial |
$570.19
|
| Rate for Payer: BCN Medicare Advantage |
$364.42
|
| Rate for Payer: Cash Price |
$1,372.00
|
| Rate for Payer: Cash Price |
$1,372.00
|
| Rate for Payer: Cofinity Commercial |
$524.76
|
| Rate for Payer: Cofinity Commercial |
$488.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.64
|
| Rate for Payer: Meridian Medicaid |
$249.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$400.86
|
| Rate for Payer: Nomi Health Commercial |
$437.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,286.25
|
| Rate for Payer: PACE SWMI |
$364.42
|
| Rate for Payer: PHP Commercial |
$510.19
|
| Rate for Payer: PHP Medicare Advantage |
$364.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$237.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$694.74
|
| Rate for Payer: Priority Health Medicare |
$364.42
|
| Rate for Payer: Priority Health SBD |
$694.74
|
| Rate for Payer: Priority Health Tiered Network |
$694.74
|
| Rate for Payer: Railroad Medicare Medicare |
$364.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$652.74
|
| Rate for Payer: UHC Core |
$652.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$364.42
|
| Rate for Payer: UHC Exchange |
$652.74
|
| Rate for Payer: UHC Medicaid |
$237.71
|
| Rate for Payer: UHCCP Medicaid |
$237.71
|
| Rate for Payer: UMR Bronson Commercial |
$788.90
|
|
|
PR ANOSCOPY ABLATION LESION
|
Professional
|
Both
|
$690.00
|
|
|
Service Code
|
HCPCS 46615
|
| Min. Negotiated Rate |
$53.46 |
| Max. Negotiated Rate |
$517.50 |
| Rate for Payer: Aetna Commercial |
$110.28
|
| Rate for Payer: Aetna Medicare |
$85.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.51
|
| Rate for Payer: BCBS Complete |
$56.13
|
| Rate for Payer: BCBS MAPPO |
$82.30
|
| Rate for Payer: BCN Commercial |
$135.45
|
| Rate for Payer: BCN Medicare Advantage |
$82.30
|
| Rate for Payer: Cash Price |
$552.00
|
| Rate for Payer: Cash Price |
$552.00
|
| Rate for Payer: Cofinity Commercial |
$110.28
|
| Rate for Payer: Cofinity Commercial |
$118.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.42
|
| Rate for Payer: Meridian Medicaid |
$56.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$90.53
|
| Rate for Payer: Nomi Health Commercial |
$98.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.50
|
| Rate for Payer: PACE SWMI |
$82.30
|
| Rate for Payer: PHP Commercial |
$115.22
|
| Rate for Payer: PHP Medicare Advantage |
$82.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$165.03
|
| Rate for Payer: Priority Health Medicare |
$82.30
|
| Rate for Payer: Priority Health SBD |
$165.03
|
| Rate for Payer: Priority Health Tiered Network |
$165.03
|
| Rate for Payer: Railroad Medicare Medicare |
$82.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$160.81
|
| Rate for Payer: UHC Core |
$160.81
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$82.30
|
| Rate for Payer: UHC Exchange |
$160.81
|
| Rate for Payer: UHC Medicaid |
$53.46
|
| Rate for Payer: UHCCP Medicaid |
$53.46
|
| Rate for Payer: UMR Bronson Commercial |
$317.40
|
|
|
PR ANOSCOPY CONTROL BLEEDING
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
HCPCS 46614
|
| Min. Negotiated Rate |
$39.19 |
| Max. Negotiated Rate |
$493.50 |
| Rate for Payer: Aetna Commercial |
$80.55
|
| Rate for Payer: Aetna Medicare |
$62.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.56
|
| Rate for Payer: BCBS Complete |
$41.15
|
| Rate for Payer: BCBS MAPPO |
$60.11
|
| Rate for Payer: BCN Commercial |
$97.11
|
| Rate for Payer: BCN Medicare Advantage |
$60.11
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cash Price |
$526.40
|
| Rate for Payer: Cofinity Commercial |
$80.55
|
| Rate for Payer: Cofinity Commercial |
$86.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63.12
|
| Rate for Payer: Meridian Medicaid |
$41.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$66.12
|
| Rate for Payer: Nomi Health Commercial |
$72.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$493.50
|
| Rate for Payer: PACE SWMI |
$60.11
|
| Rate for Payer: PHP Commercial |
$84.15
|
| Rate for Payer: PHP Medicare Advantage |
$60.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$118.33
|
| Rate for Payer: Priority Health Medicare |
$60.11
|
| Rate for Payer: Priority Health SBD |
$118.33
|
| Rate for Payer: Priority Health Tiered Network |
$118.33
|
| Rate for Payer: Railroad Medicare Medicare |
$60.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.42
|
| Rate for Payer: UHC Core |
$112.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$60.11
|
| Rate for Payer: UHC Exchange |
$112.42
|
| Rate for Payer: UHC Medicaid |
$39.19
|
| Rate for Payer: UHCCP Medicaid |
$39.19
|
| Rate for Payer: UMR Bronson Commercial |
$302.68
|
|
|
PR ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD
|
Professional
|
Both
|
$252.00
|
|
|
Service Code
|
HCPCS 46600
|
| Min. Negotiated Rate |
$25.77 |
| Max. Negotiated Rate |
$189.00 |
| Rate for Payer: Aetna Commercial |
$52.33
|
| Rate for Payer: Aetna Medicare |
$40.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.23
|
| Rate for Payer: BCBS Complete |
$27.06
|
| Rate for Payer: BCBS MAPPO |
$39.05
|
| Rate for Payer: BCN Commercial |
$49.09
|
| Rate for Payer: BCN Medicare Advantage |
$39.05
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cash Price |
$201.60
|
| Rate for Payer: Cofinity Commercial |
$52.33
|
| Rate for Payer: Cofinity Commercial |
$56.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.00
|
| Rate for Payer: Meridian Medicaid |
$27.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$42.95
|
| Rate for Payer: Nomi Health Commercial |
$46.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$189.00
|
| Rate for Payer: PACE SWMI |
$39.05
|
| Rate for Payer: PHP Commercial |
$54.67
|
| Rate for Payer: PHP Medicare Advantage |
$39.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$75.84
|
| Rate for Payer: Priority Health Medicare |
$39.05
|
| Rate for Payer: Priority Health SBD |
$75.84
|
| Rate for Payer: Priority Health Tiered Network |
$75.84
|
| Rate for Payer: Railroad Medicare Medicare |
$39.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$70.64
|
| Rate for Payer: UHC Core |
$70.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$39.05
|
| Rate for Payer: UHC Exchange |
$70.64
|
| Rate for Payer: UHC Medicaid |
$25.77
|
| Rate for Payer: UHCCP Medicaid |
$25.77
|
| Rate for Payer: UMR Bronson Commercial |
$115.92
|
|
|
PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT
|
Professional
|
Both
|
$280.00
|
|
|
Service Code
|
HCPCS 46601
|
| Min. Negotiated Rate |
$54.53 |
| Max. Negotiated Rate |
$210.00 |
| Rate for Payer: Aetna Commercial |
$112.72
|
| Rate for Payer: Aetna Medicare |
$87.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.13
|
| Rate for Payer: BCBS Complete |
$57.26
|
| Rate for Payer: BCBS MAPPO |
$84.12
|
| Rate for Payer: BCN Commercial |
$139.93
|
| Rate for Payer: BCN Medicare Advantage |
$84.12
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cash Price |
$224.00
|
| Rate for Payer: Cofinity Commercial |
$112.72
|
| Rate for Payer: Cofinity Commercial |
$121.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.33
|
| Rate for Payer: Meridian Medicaid |
$57.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$92.53
|
| Rate for Payer: Nomi Health Commercial |
$100.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.00
|
| Rate for Payer: PACE SWMI |
$84.12
|
| Rate for Payer: PHP Commercial |
$117.77
|
| Rate for Payer: PHP Medicare Advantage |
$84.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$170.49
|
| Rate for Payer: Priority Health Medicare |
$84.12
|
| Rate for Payer: Priority Health SBD |
$170.49
|
| Rate for Payer: Priority Health Tiered Network |
$170.49
|
| Rate for Payer: Railroad Medicare Medicare |
$84.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.25
|
| Rate for Payer: UHC Core |
$165.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$84.12
|
| Rate for Payer: UHC Exchange |
$165.25
|
| Rate for Payer: UHC Medicaid |
$54.53
|
| Rate for Payer: UHCCP Medicaid |
$54.53
|
| Rate for Payer: UMR Bronson Commercial |
$128.80
|
|
|
PR ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX
|
Professional
|
Both
|
$297.00
|
|
|
Service Code
|
HCPCS 46607
|
| Min. Negotiated Rate |
$72.21 |
| Max. Negotiated Rate |
$225.12 |
| Rate for Payer: Aetna Commercial |
$149.80
|
| Rate for Payer: Aetna Medicare |
$116.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.98
|
| Rate for Payer: BCBS Complete |
$75.82
|
| Rate for Payer: BCBS MAPPO |
$111.79
|
| Rate for Payer: BCN Commercial |
$184.75
|
| Rate for Payer: BCN Medicare Advantage |
$111.79
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$149.80
|
| Rate for Payer: Cofinity Commercial |
$160.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.38
|
| Rate for Payer: Meridian Medicaid |
$75.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.97
|
| Rate for Payer: Nomi Health Commercial |
$134.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.75
|
| Rate for Payer: PACE SWMI |
$111.79
|
| Rate for Payer: PHP Commercial |
$156.51
|
| Rate for Payer: PHP Medicare Advantage |
$111.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$225.12
|
| Rate for Payer: Priority Health Medicare |
$111.79
|
| Rate for Payer: Priority Health SBD |
$225.12
|
| Rate for Payer: Priority Health Tiered Network |
$225.12
|
| Rate for Payer: Railroad Medicare Medicare |
$111.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.95
|
| Rate for Payer: UHC Core |
$222.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$111.79
|
| Rate for Payer: UHC Exchange |
$222.95
|
| Rate for Payer: UHC Medicaid |
$72.21
|
| Rate for Payer: UHCCP Medicaid |
$72.21
|
| Rate for Payer: UMR Bronson Commercial |
$136.62
|
|
|
PR ANOSCOPY W/BX SINGLE/MULTIPLE
|
Professional
|
Both
|
$378.00
|
|
|
Service Code
|
HCPCS 46606
|
| Min. Negotiated Rate |
$45.37 |
| Max. Negotiated Rate |
$283.50 |
| Rate for Payer: Aetna Commercial |
$93.53
|
| Rate for Payer: Aetna Medicare |
$72.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.53
|
| Rate for Payer: BCBS Complete |
$47.64
|
| Rate for Payer: BCBS MAPPO |
$69.80
|
| Rate for Payer: BCN Commercial |
$113.54
|
| Rate for Payer: BCN Medicare Advantage |
$69.80
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cash Price |
$302.40
|
| Rate for Payer: Cofinity Commercial |
$100.51
|
| Rate for Payer: Cofinity Commercial |
$93.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.29
|
| Rate for Payer: Meridian Medicaid |
$47.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.78
|
| Rate for Payer: Nomi Health Commercial |
$83.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$283.50
|
| Rate for Payer: PACE SWMI |
$69.80
|
| Rate for Payer: PHP Commercial |
$97.72
|
| Rate for Payer: PHP Medicare Advantage |
$69.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$138.34
|
| Rate for Payer: Priority Health Medicare |
$69.80
|
| Rate for Payer: Priority Health SBD |
$138.34
|
| Rate for Payer: Priority Health Tiered Network |
$138.34
|
| Rate for Payer: Railroad Medicare Medicare |
$69.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$132.08
|
| Rate for Payer: UHC Core |
$132.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$69.80
|
| Rate for Payer: UHC Exchange |
$132.08
|
| Rate for Payer: UHC Medicaid |
$45.37
|
| Rate for Payer: UHCCP Medicaid |
$45.37
|
| Rate for Payer: UMR Bronson Commercial |
$173.88
|
|
|
PR ANOSCOPY W/DILATION
|
Professional
|
Both
|
$1,036.00
|
|
|
Service Code
|
HCPCS 46604
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$777.00 |
| Rate for Payer: Aetna Commercial |
$82.05
|
| Rate for Payer: Aetna Medicare |
$63.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.17
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCBS MAPPO |
$61.23
|
| Rate for Payer: BCN Commercial |
$98.60
|
| Rate for Payer: BCN Medicare Advantage |
$61.23
|
| Rate for Payer: Cash Price |
$828.80
|
| Rate for Payer: Cash Price |
$828.80
|
| Rate for Payer: Cofinity Commercial |
$82.05
|
| Rate for Payer: Cofinity Commercial |
$88.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.29
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$67.35
|
| Rate for Payer: Nomi Health Commercial |
$73.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$777.00
|
| Rate for Payer: PACE SWMI |
$61.23
|
| Rate for Payer: PHP Commercial |
$85.72
|
| Rate for Payer: PHP Medicare Advantage |
$61.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.15
|
| Rate for Payer: Priority Health Medicare |
$61.23
|
| Rate for Payer: Priority Health SBD |
$120.15
|
| Rate for Payer: Priority Health Tiered Network |
$120.15
|
| Rate for Payer: Railroad Medicare Medicare |
$61.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.89
|
| Rate for Payer: UHC Core |
$114.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$61.23
|
| Rate for Payer: UHC Exchange |
$114.89
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
| Rate for Payer: UMR Bronson Commercial |
$476.56
|
|
|
PR ANOSCOPY W/RMVL FOREIGN BODY
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 46608
|
| Min. Negotiated Rate |
$51.97 |
| Max. Negotiated Rate |
$275.25 |
| Rate for Payer: Aetna Commercial |
$108.03
|
| Rate for Payer: Aetna Medicare |
$83.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.09
|
| Rate for Payer: BCBS Complete |
$54.57
|
| Rate for Payer: BCBS MAPPO |
$80.62
|
| Rate for Payer: BCN Commercial |
$127.49
|
| Rate for Payer: BCN Medicare Advantage |
$80.62
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$108.03
|
| Rate for Payer: Cofinity Commercial |
$116.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.65
|
| Rate for Payer: Meridian Medicaid |
$54.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$88.68
|
| Rate for Payer: Nomi Health Commercial |
$96.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$275.25
|
| Rate for Payer: PACE SWMI |
$80.62
|
| Rate for Payer: PHP Commercial |
$112.87
|
| Rate for Payer: PHP Medicare Advantage |
$80.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$155.34
|
| Rate for Payer: Priority Health Medicare |
$80.62
|
| Rate for Payer: Priority Health SBD |
$155.34
|
| Rate for Payer: Priority Health Tiered Network |
$155.34
|
| Rate for Payer: Railroad Medicare Medicare |
$80.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$148.82
|
| Rate for Payer: UHC Core |
$148.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$80.62
|
| Rate for Payer: UHC Exchange |
$148.82
|
| Rate for Payer: UHC Medicaid |
$51.97
|
| Rate for Payer: UHCCP Medicaid |
$51.97
|
| Rate for Payer: UMR Bronson Commercial |
$168.82
|
|
|
PR ANOSCOPY W/RMVL LESION CAUTERY
|
Professional
|
Both
|
$591.00
|
|
|
Service Code
|
HCPCS 46610
|
| Min. Negotiated Rate |
$48.56 |
| Max. Negotiated Rate |
$443.25 |
| Rate for Payer: Aetna Commercial |
$100.26
|
| Rate for Payer: Aetna Medicare |
$77.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$107.74
|
| Rate for Payer: BCBS Complete |
$50.99
|
| Rate for Payer: BCBS MAPPO |
$74.82
|
| Rate for Payer: BCN Commercial |
$120.51
|
| Rate for Payer: BCN Medicare Advantage |
$74.82
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cofinity Commercial |
$100.26
|
| Rate for Payer: Cofinity Commercial |
$107.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.56
|
| Rate for Payer: Meridian Medicaid |
$50.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$82.30
|
| Rate for Payer: Nomi Health Commercial |
$89.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$443.25
|
| Rate for Payer: PACE SWMI |
$74.82
|
| Rate for Payer: PHP Commercial |
$104.75
|
| Rate for Payer: PHP Medicare Advantage |
$74.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$146.84
|
| Rate for Payer: Priority Health Medicare |
$74.82
|
| Rate for Payer: Priority Health SBD |
$146.84
|
| Rate for Payer: Priority Health Tiered Network |
$146.84
|
| Rate for Payer: Railroad Medicare Medicare |
$74.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$142.61
|
| Rate for Payer: UHC Core |
$142.61
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$74.82
|
| Rate for Payer: UHC Exchange |
$142.61
|
| Rate for Payer: UHC Medicaid |
$48.56
|
| Rate for Payer: UHCCP Medicaid |
$48.56
|
| Rate for Payer: UMR Bronson Commercial |
$271.86
|
|
|
PR ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ
|
Professional
|
Both
|
$591.00
|
|
|
Service Code
|
HCPCS 46611
|
| Min. Negotiated Rate |
$47.71 |
| Max. Negotiated Rate |
$443.25 |
| Rate for Payer: Aetna Commercial |
$98.41
|
| Rate for Payer: Aetna Medicare |
$76.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.41
|
| Rate for Payer: BCBS Complete |
$50.10
|
| Rate for Payer: BCBS MAPPO |
$73.44
|
| Rate for Payer: BCN Commercial |
$120.51
|
| Rate for Payer: BCN Medicare Advantage |
$73.44
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cofinity Commercial |
$105.75
|
| Rate for Payer: Cofinity Commercial |
$98.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.11
|
| Rate for Payer: Meridian Medicaid |
$50.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$80.78
|
| Rate for Payer: Nomi Health Commercial |
$88.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$443.25
|
| Rate for Payer: PACE SWMI |
$73.44
|
| Rate for Payer: PHP Commercial |
$102.82
|
| Rate for Payer: PHP Medicare Advantage |
$73.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$146.84
|
| Rate for Payer: Priority Health Medicare |
$73.44
|
| Rate for Payer: Priority Health SBD |
$146.84
|
| Rate for Payer: Priority Health Tiered Network |
$146.84
|
| Rate for Payer: Railroad Medicare Medicare |
$73.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.66
|
| Rate for Payer: UHC Core |
$140.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$73.44
|
| Rate for Payer: UHC Exchange |
$140.66
|
| Rate for Payer: UHC Medicaid |
$47.71
|
| Rate for Payer: UHCCP Medicaid |
$47.71
|
| Rate for Payer: UMR Bronson Commercial |
$271.86
|
|
|
PR ANOSC RMVL MULT TUMORS CAUTERY/SNARE
|
Professional
|
Both
|
$690.00
|
|
|
Service Code
|
HCPCS 46612
|
| Min. Negotiated Rate |
$57.72 |
| Max. Negotiated Rate |
$517.50 |
| Rate for Payer: Aetna Commercial |
$120.20
|
| Rate for Payer: Aetna Medicare |
$93.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.17
|
| Rate for Payer: BCBS Complete |
$60.61
|
| Rate for Payer: BCBS MAPPO |
$89.70
|
| Rate for Payer: BCN Commercial |
$143.92
|
| Rate for Payer: BCN Medicare Advantage |
$89.70
|
| Rate for Payer: Cash Price |
$552.00
|
| Rate for Payer: Cash Price |
$552.00
|
| Rate for Payer: Cofinity Commercial |
$120.20
|
| Rate for Payer: Cofinity Commercial |
$129.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.19
|
| Rate for Payer: Meridian Medicaid |
$60.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$98.67
|
| Rate for Payer: Nomi Health Commercial |
$107.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$517.50
|
| Rate for Payer: PACE SWMI |
$89.70
|
| Rate for Payer: PHP Commercial |
$125.58
|
| Rate for Payer: PHP Medicare Advantage |
$89.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$175.35
|
| Rate for Payer: Priority Health Medicare |
$89.70
|
| Rate for Payer: Priority Health SBD |
$175.35
|
| Rate for Payer: Priority Health Tiered Network |
$175.35
|
| Rate for Payer: Railroad Medicare Medicare |
$89.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$168.54
|
| Rate for Payer: UHC Core |
$168.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$89.70
|
| Rate for Payer: UHC Exchange |
$168.54
|
| Rate for Payer: UHC Medicaid |
$57.72
|
| Rate for Payer: UHCCP Medicaid |
$57.72
|
| Rate for Payer: UMR Bronson Commercial |
$317.40
|
|
|
PR ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX
|
Professional
|
Both
|
$332.00
|
|
|
Service Code
|
HCPCS 45990
|
| Min. Negotiated Rate |
$63.47 |
| Max. Negotiated Rate |
$249.00 |
| Rate for Payer: Aetna Commercial |
$132.00
|
| Rate for Payer: Aetna Medicare |
$102.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$141.85
|
| Rate for Payer: BCBS Complete |
$66.64
|
| Rate for Payer: BCBS MAPPO |
$98.51
|
| Rate for Payer: BCN Commercial |
$159.35
|
| Rate for Payer: BCN Medicare Advantage |
$98.51
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cash Price |
$265.60
|
| Rate for Payer: Cofinity Commercial |
$132.00
|
| Rate for Payer: Cofinity Commercial |
$141.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.44
|
| Rate for Payer: Meridian Medicaid |
$66.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$108.36
|
| Rate for Payer: Nomi Health Commercial |
$118.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$249.00
|
| Rate for Payer: PACE SWMI |
$98.51
|
| Rate for Payer: PHP Commercial |
$137.91
|
| Rate for Payer: PHP Medicare Advantage |
$98.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$194.16
|
| Rate for Payer: Priority Health Medicare |
$98.51
|
| Rate for Payer: Priority Health SBD |
$194.16
|
| Rate for Payer: Priority Health Tiered Network |
$194.16
|
| Rate for Payer: Railroad Medicare Medicare |
$98.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$187.64
|
| Rate for Payer: UHC Core |
$187.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$98.51
|
| Rate for Payer: UHC Exchange |
$187.64
|
| Rate for Payer: UHC Medicaid |
$63.47
|
| Rate for Payer: UHCCP Medicaid |
$63.47
|
| Rate for Payer: UMR Bronson Commercial |
$152.72
|
|
|
PR ANTEPARTUM CARE ONLY 4-6 VISITS
|
Professional
|
Both
|
$1,191.00
|
|
|
Service Code
|
HCPCS 59425
|
| Min. Negotiated Rate |
$376.64 |
| Max. Negotiated Rate |
$893.25 |
| Rate for Payer: Aetna Commercial |
$531.26
|
| Rate for Payer: Aetna Medicare |
$412.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$570.90
|
| Rate for Payer: BCBS Complete |
$395.47
|
| Rate for Payer: BCBS MAPPO |
$396.46
|
| Rate for Payer: BCN Commercial |
$637.82
|
| Rate for Payer: BCN Medicare Advantage |
$396.46
|
| Rate for Payer: Cash Price |
$952.80
|
| Rate for Payer: Cash Price |
$952.80
|
| Rate for Payer: Cofinity Commercial |
$531.26
|
| Rate for Payer: Cofinity Commercial |
$570.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.28
|
| Rate for Payer: Meridian Medicaid |
$395.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$436.11
|
| Rate for Payer: Nomi Health Commercial |
$475.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$893.25
|
| Rate for Payer: PACE SWMI |
$396.46
|
| Rate for Payer: PHP Commercial |
$555.04
|
| Rate for Payer: PHP Medicare Advantage |
$396.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$376.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$612.06
|
| Rate for Payer: Priority Health Medicare |
$396.46
|
| Rate for Payer: Priority Health SBD |
$612.06
|
| Rate for Payer: Priority Health Tiered Network |
$612.06
|
| Rate for Payer: Railroad Medicare Medicare |
$396.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$635.60
|
| Rate for Payer: UHC Core |
$635.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$396.46
|
| Rate for Payer: UHC Exchange |
$635.60
|
| Rate for Payer: UHC Medicaid |
$376.64
|
| Rate for Payer: UHCCP Medicaid |
$376.64
|
| Rate for Payer: UMR Bronson Commercial |
$547.86
|
|
|
PR ANTEPARTUM CARE ONLY 7/> VISITS
|
Professional
|
Both
|
$1,637.00
|
|
|
Service Code
|
HCPCS 59426
|
| Min. Negotiated Rate |
$690.73 |
| Max. Negotiated Rate |
$1,227.75 |
| Rate for Payer: Aetna Commercial |
$974.29
|
| Rate for Payer: Aetna Medicare |
$756.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,047.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$974.29
|
| Rate for Payer: BCBS Complete |
$725.27
|
| Rate for Payer: BCBS MAPPO |
$727.08
|
| Rate for Payer: BCN Commercial |
$1,138.94
|
| Rate for Payer: BCN Medicare Advantage |
$727.08
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cofinity Commercial |
$1,047.00
|
| Rate for Payer: Cofinity Commercial |
$974.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$727.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$763.43
|
| Rate for Payer: Meridian Medicaid |
$725.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$799.79
|
| Rate for Payer: Nomi Health Commercial |
$872.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,227.75
|
| Rate for Payer: PACE SWMI |
$727.08
|
| Rate for Payer: PHP Commercial |
$1,017.91
|
| Rate for Payer: PHP Medicare Advantage |
$727.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$690.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,123.99
|
| Rate for Payer: Priority Health Medicare |
$727.08
|
| Rate for Payer: Priority Health SBD |
$1,123.99
|
| Rate for Payer: Priority Health Tiered Network |
$1,123.99
|
| Rate for Payer: Railroad Medicare Medicare |
$727.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,120.33
|
| Rate for Payer: UHC Core |
$1,120.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$727.08
|
| Rate for Payer: UHC Exchange |
$1,120.33
|
| Rate for Payer: UHC Medicaid |
$690.73
|
| Rate for Payer: UHCCP Medicaid |
$690.73
|
| Rate for Payer: UMR Bronson Commercial |
$753.02
|
|
|
PR ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO
|
Professional
|
Both
|
$1,600.00
|
|
|
Service Code
|
HCPCS 57240
|
| Min. Negotiated Rate |
$347.62 |
| Max. Negotiated Rate |
$1,200.00 |
| Rate for Payer: Aetna Commercial |
$720.73
|
| Rate for Payer: Aetna Medicare |
$559.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$720.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$774.52
|
| Rate for Payer: BCBS Complete |
$365.00
|
| Rate for Payer: BCBS MAPPO |
$537.86
|
| Rate for Payer: BCN Commercial |
$921.26
|
| Rate for Payer: BCN Medicare Advantage |
$537.86
|
| Rate for Payer: Cash Price |
$1,280.00
|
| Rate for Payer: Cash Price |
$1,280.00
|
| Rate for Payer: Cofinity Commercial |
$720.73
|
| Rate for Payer: Cofinity Commercial |
$774.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$537.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$564.75
|
| Rate for Payer: Meridian Medicaid |
$365.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$591.65
|
| Rate for Payer: Nomi Health Commercial |
$645.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,200.00
|
| Rate for Payer: PACE SWMI |
$537.86
|
| Rate for Payer: PHP Commercial |
$753.00
|
| Rate for Payer: PHP Medicare Advantage |
$537.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$347.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$933.04
|
| Rate for Payer: Priority Health Medicare |
$537.86
|
| Rate for Payer: Priority Health SBD |
$933.04
|
| Rate for Payer: Priority Health Tiered Network |
$933.04
|
| Rate for Payer: Railroad Medicare Medicare |
$537.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,066.39
|
| Rate for Payer: UHC Core |
$1,066.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$537.86
|
| Rate for Payer: UHC Exchange |
$1,066.39
|
| Rate for Payer: UHC Medicaid |
$347.62
|
| Rate for Payer: UHCCP Medicaid |
$347.62
|
| Rate for Payer: UMR Bronson Commercial |
$736.00
|
|
|
PR ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS
|
Professional
|
Both
|
$3,997.00
|
|
|
Service Code
|
HCPCS 22845
|
| Min. Negotiated Rate |
$413.01 |
| Max. Negotiated Rate |
$2,997.75 |
| Rate for Payer: Aetna Commercial |
$874.89
|
| Rate for Payer: Aetna Medicare |
$679.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$874.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$940.18
|
| Rate for Payer: BCBS Complete |
$433.66
|
| Rate for Payer: BCBS MAPPO |
$652.90
|
| Rate for Payer: BCN Commercial |
$1,192.61
|
| Rate for Payer: BCN Medicare Advantage |
$652.90
|
| Rate for Payer: Cash Price |
$3,197.60
|
| Rate for Payer: Cash Price |
$3,197.60
|
| Rate for Payer: Cofinity Commercial |
$874.89
|
| Rate for Payer: Cofinity Commercial |
$940.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.54
|
| Rate for Payer: Meridian Medicaid |
$433.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$718.19
|
| Rate for Payer: Nomi Health Commercial |
$783.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,997.75
|
| Rate for Payer: PACE SWMI |
$652.90
|
| Rate for Payer: PHP Commercial |
$914.06
|
| Rate for Payer: PHP Medicare Advantage |
$652.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$413.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,160.47
|
| Rate for Payer: Priority Health Medicare |
$652.90
|
| Rate for Payer: Priority Health SBD |
$1,160.47
|
| Rate for Payer: Priority Health Tiered Network |
$1,160.47
|
| Rate for Payer: Railroad Medicare Medicare |
$652.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,298.89
|
| Rate for Payer: UHC Core |
$1,298.89
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$652.90
|
| Rate for Payer: UHC Exchange |
$1,298.89
|
| Rate for Payer: UHC Medicaid |
$413.01
|
| Rate for Payer: UHCCP Medicaid |
$413.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,838.62
|
|
|
PR ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS
|
Professional
|
Both
|
$4,398.00
|
|
|
Service Code
|
HCPCS 22846
|
| Min. Negotiated Rate |
$429.41 |
| Max. Negotiated Rate |
$3,298.50 |
| Rate for Payer: Aetna Commercial |
$909.65
|
| Rate for Payer: Aetna Medicare |
$705.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$909.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$977.53
|
| Rate for Payer: BCBS Complete |
$450.88
|
| Rate for Payer: BCBS MAPPO |
$678.84
|
| Rate for Payer: BCN Commercial |
$1,242.39
|
| Rate for Payer: BCN Medicare Advantage |
$678.84
|
| Rate for Payer: Cash Price |
$3,518.40
|
| Rate for Payer: Cash Price |
$3,518.40
|
| Rate for Payer: Cofinity Commercial |
$909.65
|
| Rate for Payer: Cofinity Commercial |
$977.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$678.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$712.78
|
| Rate for Payer: Meridian Medicaid |
$450.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$746.72
|
| Rate for Payer: Nomi Health Commercial |
$814.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,298.50
|
| Rate for Payer: PACE SWMI |
$678.84
|
| Rate for Payer: PHP Commercial |
$950.38
|
| Rate for Payer: PHP Medicare Advantage |
$678.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$429.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,208.92
|
| Rate for Payer: Priority Health Medicare |
$678.84
|
| Rate for Payer: Priority Health SBD |
$1,208.92
|
| Rate for Payer: Priority Health Tiered Network |
$1,208.92
|
| Rate for Payer: Railroad Medicare Medicare |
$678.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,350.41
|
| Rate for Payer: UHC Core |
$1,350.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$678.84
|
| Rate for Payer: UHC Exchange |
$1,350.41
|
| Rate for Payer: UHC Medicaid |
$429.41
|
| Rate for Payer: UHCCP Medicaid |
$429.41
|
| Rate for Payer: UMR Bronson Commercial |
$2,023.08
|
|
|
PR ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS
|
Professional
|
Both
|
$3,892.00
|
|
|
Service Code
|
HCPCS 22847
|
| Min. Negotiated Rate |
$438.35 |
| Max. Negotiated Rate |
$2,919.00 |
| Rate for Payer: Aetna Commercial |
$920.96
|
| Rate for Payer: Aetna Medicare |
$714.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$920.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$989.68
|
| Rate for Payer: BCBS Complete |
$460.27
|
| Rate for Payer: BCBS MAPPO |
$687.28
|
| Rate for Payer: BCN Commercial |
$1,188.68
|
| Rate for Payer: BCN Medicare Advantage |
$687.28
|
| Rate for Payer: Cash Price |
$3,113.60
|
| Rate for Payer: Cash Price |
$3,113.60
|
| Rate for Payer: Cofinity Commercial |
$920.96
|
| Rate for Payer: Cofinity Commercial |
$989.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$687.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$721.64
|
| Rate for Payer: Meridian Medicaid |
$460.27
|
| Rate for Payer: Molina Medicare/Medicaid |
$756.01
|
| Rate for Payer: Nomi Health Commercial |
$824.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,919.00
|
| Rate for Payer: PACE SWMI |
$687.28
|
| Rate for Payer: PHP Commercial |
$962.19
|
| Rate for Payer: PHP Medicare Advantage |
$687.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,270.66
|
| Rate for Payer: Priority Health Medicare |
$687.28
|
| Rate for Payer: Priority Health SBD |
$1,270.66
|
| Rate for Payer: Priority Health Tiered Network |
$1,270.66
|
| Rate for Payer: Railroad Medicare Medicare |
$687.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,434.25
|
| Rate for Payer: UHC Core |
$1,434.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$687.28
|
| Rate for Payer: UHC Exchange |
$1,434.25
|
| Rate for Payer: UHC Medicaid |
$438.35
|
| Rate for Payer: UHCCP Medicaid |
$438.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,790.32
|
|
|
PR ANTERIOR TIBIAL TUBERCLEPLASTY
|
Professional
|
Both
|
$2,654.00
|
|
|
Service Code
|
HCPCS 27418
|
| Min. Negotiated Rate |
$486.71 |
| Max. Negotiated Rate |
$1,990.50 |
| Rate for Payer: Aetna Commercial |
$999.61
|
| Rate for Payer: Aetna Medicare |
$775.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,074.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$999.61
|
| Rate for Payer: BCBS Complete |
$511.05
|
| Rate for Payer: BCBS MAPPO |
$745.98
|
| Rate for Payer: BCN Commercial |
$1,366.58
|
| Rate for Payer: BCN Medicare Advantage |
$745.98
|
| Rate for Payer: Cash Price |
$2,123.20
|
| Rate for Payer: Cash Price |
$2,123.20
|
| Rate for Payer: Cofinity Commercial |
$1,074.21
|
| Rate for Payer: Cofinity Commercial |
$999.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$745.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$783.28
|
| Rate for Payer: Meridian Medicaid |
$511.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$820.58
|
| Rate for Payer: Nomi Health Commercial |
$895.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,990.50
|
| Rate for Payer: PACE SWMI |
$745.98
|
| Rate for Payer: PHP Commercial |
$1,044.37
|
| Rate for Payer: PHP Medicare Advantage |
$745.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$486.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,329.76
|
| Rate for Payer: Priority Health Medicare |
$745.98
|
| Rate for Payer: Priority Health SBD |
$1,329.76
|
| Rate for Payer: Priority Health Tiered Network |
$1,329.76
|
| Rate for Payer: Railroad Medicare Medicare |
$745.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,447.87
|
| Rate for Payer: UHC Core |
$1,447.87
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$745.98
|
| Rate for Payer: UHC Exchange |
$1,447.87
|
| Rate for Payer: UHC Medicaid |
$486.71
|
| Rate for Payer: UHCCP Medicaid |
$486.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,220.84
|
|
|
PR ANTICOAG MGMT, EACH SUBSEQ 90 DAYS
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 99364
|
| Min. Negotiated Rate |
$38.80 |
| Max. Negotiated Rate |
$72.75 |
| Rate for Payer: Aetna Medicare |
$48.50
|
| Rate for Payer: BCBS Complete |
$38.80
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.75
|
| Rate for Payer: UMR Bronson Commercial |
$44.62
|
|
|
PR ANTICOAG MGMT, INITIAL 90 DAYS
|
Professional
|
Both
|
$213.00
|
|
|
Service Code
|
HCPCS 99363
|
| Min. Negotiated Rate |
$85.20 |
| Max. Negotiated Rate |
$159.75 |
| Rate for Payer: Aetna Medicare |
$106.50
|
| Rate for Payer: BCBS Complete |
$85.20
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.75
|
| Rate for Payer: UMR Bronson Commercial |
$97.98
|
|
|
PR ANTICOAGULANT MGMT FOR PT TAKING WARFARIN
|
Professional
|
Both
|
$25.00
|
|
|
Service Code
|
HCPCS 93793
|
| Min. Negotiated Rate |
$11.27 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Aetna Commercial |
$15.10
|
| Rate for Payer: Aetna Medicare |
$11.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.23
|
| Rate for Payer: BCBS MAPPO |
$11.27
|
| Rate for Payer: BCN Commercial |
$16.93
|
| Rate for Payer: BCN Medicare Advantage |
$11.27
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cash Price |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$16.23
|
| Rate for Payer: Cofinity Commercial |
$15.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.40
|
| Rate for Payer: Nomi Health Commercial |
$13.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.75
|
| Rate for Payer: PACE SWMI |
$11.27
|
| Rate for Payer: PHP Commercial |
$15.78
|
| Rate for Payer: PHP Medicare Advantage |
$11.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.10
|
| Rate for Payer: Priority Health Medicare |
$11.27
|
| Rate for Payer: Priority Health SBD |
$16.10
|
| Rate for Payer: Priority Health Tiered Network |
$16.10
|
| Rate for Payer: Railroad Medicare Medicare |
$11.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.48
|
| Rate for Payer: UHC Core |
$18.48
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11.27
|
| Rate for Payer: UHC Exchange |
$18.48
|
| Rate for Payer: UMR Bronson Commercial |
$11.50
|
|
|
PR ANT VESICOURETHROPEXY/URETHROPEXY SMPL
|
Professional
|
Both
|
$2,533.00
|
|
|
Service Code
|
HCPCS 51840
|
| Min. Negotiated Rate |
$396.82 |
| Max. Negotiated Rate |
$1,899.75 |
| Rate for Payer: Aetna Commercial |
$820.19
|
| Rate for Payer: Aetna Medicare |
$636.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$820.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$881.40
|
| Rate for Payer: BCBS Complete |
$416.66
|
| Rate for Payer: BCBS MAPPO |
$612.08
|
| Rate for Payer: BCN Commercial |
$1,040.78
|
| Rate for Payer: BCN Medicare Advantage |
$612.08
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Cash Price |
$2,026.40
|
| Rate for Payer: Cofinity Commercial |
$820.19
|
| Rate for Payer: Cofinity Commercial |
$881.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$612.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$642.68
|
| Rate for Payer: Meridian Medicaid |
$416.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$673.29
|
| Rate for Payer: Nomi Health Commercial |
$734.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,899.75
|
| Rate for Payer: PACE SWMI |
$612.08
|
| Rate for Payer: PHP Commercial |
$856.91
|
| Rate for Payer: PHP Medicare Advantage |
$612.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$396.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,133.75
|
| Rate for Payer: Priority Health Medicare |
$612.08
|
| Rate for Payer: Priority Health SBD |
$1,133.75
|
| Rate for Payer: Priority Health Tiered Network |
$1,133.75
|
| Rate for Payer: Railroad Medicare Medicare |
$612.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,200.32
|
| Rate for Payer: UHC Core |
$1,200.32
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$612.08
|
| Rate for Payer: UHC Exchange |
$1,200.32
|
| Rate for Payer: UHC Medicaid |
$396.82
|
| Rate for Payer: UHCCP Medicaid |
$396.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,165.18
|
|
|
PR AORTIC HEMIARCH GRAFT W/ISOL & CTRL ARCH VESSELS
|
Professional
|
Both
|
$1,998.00
|
|
|
Service Code
|
HCPCS 33866
|
| Min. Negotiated Rate |
$533.57 |
| Max. Negotiated Rate |
$1,654.83 |
| Rate for Payer: Aetna Commercial |
$1,132.31
|
| Rate for Payer: Aetna Medicare |
$878.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,132.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,216.81
|
| Rate for Payer: BCBS Complete |
$560.25
|
| Rate for Payer: BCBS MAPPO |
$845.01
|
| Rate for Payer: BCN Commercial |
$1,343.55
|
| Rate for Payer: BCN Medicare Advantage |
$845.01
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cash Price |
$1,598.40
|
| Rate for Payer: Cofinity Commercial |
$1,132.31
|
| Rate for Payer: Cofinity Commercial |
$1,216.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$845.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$887.26
|
| Rate for Payer: Meridian Medicaid |
$560.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$929.51
|
| Rate for Payer: Nomi Health Commercial |
$1,014.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,498.50
|
| Rate for Payer: PACE SWMI |
$845.01
|
| Rate for Payer: PHP Commercial |
$1,183.01
|
| Rate for Payer: PHP Medicare Advantage |
$845.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$533.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,444.82
|
| Rate for Payer: Priority Health Medicare |
$845.01
|
| Rate for Payer: Priority Health SBD |
$1,444.82
|
| Rate for Payer: Priority Health Tiered Network |
$1,444.82
|
| Rate for Payer: Railroad Medicare Medicare |
$845.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,654.83
|
| Rate for Payer: UHC Core |
$1,654.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$845.01
|
| Rate for Payer: UHC Exchange |
$1,654.83
|
| Rate for Payer: UHC Medicaid |
$533.57
|
| Rate for Payer: UHCCP Medicaid |
$533.57
|
| Rate for Payer: UMR Bronson Commercial |
$919.08
|
|
