|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP
|
Professional
|
Both
|
$838.00
|
|
|
Service Code
|
HCPCS 25066
|
| Min. Negotiated Rate |
$335.20 |
| Max. Negotiated Rate |
$544.70 |
| Rate for Payer: Aetna Commercial |
$480.67
|
| Rate for Payer: Aetna Medicare |
$373.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$516.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.67
|
| Rate for Payer: BCBS Complete |
$335.20
|
| Rate for Payer: BCBS MAPPO |
$358.71
|
| Rate for Payer: BCN Medicare Advantage |
$358.71
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cofinity Commercial |
$516.54
|
| Rate for Payer: Cofinity Commercial |
$480.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$358.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$376.65
|
| Rate for Payer: Nomi Health Commercial |
$430.45
|
| Rate for Payer: PACE SWMI |
$358.71
|
| Rate for Payer: PHP Commercial |
$502.19
|
| Rate for Payer: PHP Medicare Advantage |
$358.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.70
|
| Rate for Payer: Priority Health Medicare |
$358.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$358.71
|
| Rate for Payer: UHC Medicare Advantage |
$358.71
|
| Rate for Payer: UMR Bronson Commercial |
$385.48
|
|
|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL
|
Professional
|
Both
|
$487.00
|
|
|
Service Code
|
HCPCS 25065
|
| Min. Negotiated Rate |
$149.48 |
| Max. Negotiated Rate |
$316.55 |
| Rate for Payer: Aetna Commercial |
$200.30
|
| Rate for Payer: Aetna Medicare |
$155.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.30
|
| Rate for Payer: BCBS Complete |
$194.80
|
| Rate for Payer: BCBS MAPPO |
$149.48
|
| Rate for Payer: BCN Medicare Advantage |
$149.48
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cash Price |
$389.60
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| Rate for Payer: Cofinity Commercial |
$200.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$149.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$156.95
|
| Rate for Payer: Nomi Health Commercial |
$179.38
|
| Rate for Payer: PACE SWMI |
$149.48
|
| Rate for Payer: PHP Commercial |
$209.27
|
| Rate for Payer: PHP Medicare Advantage |
$149.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$316.55
|
| Rate for Payer: Priority Health Medicare |
$149.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.48
|
| Rate for Payer: UHC Medicare Advantage |
$149.48
|
| Rate for Payer: UMR Bronson Commercial |
$224.02
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP
|
Professional
|
Both
|
$944.00
|
|
|
Service Code
|
HCPCS 27614
|
| Min. Negotiated Rate |
$377.60 |
| Max. Negotiated Rate |
$613.60 |
| Rate for Payer: Aetna Commercial |
$530.64
|
| Rate for Payer: Aetna Medicare |
$411.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$570.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$530.64
|
| Rate for Payer: BCBS Complete |
$377.60
|
| Rate for Payer: BCBS MAPPO |
$396.00
|
| Rate for Payer: BCN Medicare Advantage |
$396.00
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Cash Price |
$755.20
|
| Rate for Payer: Cofinity Commercial |
$570.24
|
| Rate for Payer: Cofinity Commercial |
$530.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$415.80
|
| Rate for Payer: Nomi Health Commercial |
$475.20
|
| Rate for Payer: PACE SWMI |
$396.00
|
| Rate for Payer: PHP Commercial |
$554.40
|
| Rate for Payer: PHP Medicare Advantage |
$396.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$613.60
|
| Rate for Payer: Priority Health Medicare |
$396.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.00
|
| Rate for Payer: UHC Medicare Advantage |
$396.00
|
| Rate for Payer: UMR Bronson Commercial |
$434.24
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 27613
|
| Min. Negotiated Rate |
$154.17 |
| Max. Negotiated Rate |
$289.90 |
| Rate for Payer: Aetna Commercial |
$206.59
|
| Rate for Payer: Aetna Medicare |
$160.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.59
|
| Rate for Payer: BCBS Complete |
$178.40
|
| Rate for Payer: BCBS MAPPO |
$154.17
|
| Rate for Payer: BCN Medicare Advantage |
$154.17
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$222.00
|
| Rate for Payer: Cofinity Commercial |
$206.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.88
|
| Rate for Payer: Nomi Health Commercial |
$185.00
|
| Rate for Payer: PACE SWMI |
$154.17
|
| Rate for Payer: PHP Commercial |
$215.84
|
| Rate for Payer: PHP Medicare Advantage |
$154.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health Medicare |
$154.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.17
|
| Rate for Payer: UHC Medicare Advantage |
$154.17
|
| Rate for Payer: UMR Bronson Commercial |
$205.16
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$154.17 |
| Max. Negotiated Rate |
$289.90 |
| Rate for Payer: Aetna Commercial |
$206.59
|
| Rate for Payer: Aetna Medicare |
$160.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.59
|
| Rate for Payer: BCBS Complete |
$178.40
|
| Rate for Payer: BCBS MAPPO |
$154.17
|
| Rate for Payer: BCN Medicare Advantage |
$154.17
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$206.59
|
| Rate for Payer: Cofinity Commercial |
$222.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.88
|
| Rate for Payer: Nomi Health Commercial |
$185.00
|
| Rate for Payer: PACE SWMI |
$154.17
|
| Rate for Payer: PHP Commercial |
$215.84
|
| Rate for Payer: PHP Medicare Advantage |
$154.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health Medicare |
$154.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.17
|
| Rate for Payer: UHC Medicare Advantage |
$154.17
|
| Rate for Payer: UMR Bronson Commercial |
$205.16
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Facility
|
OP
|
$446.00
|
|
|
Service Code
|
CPT 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$165.02 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$289.90
|
| Rate for Payer: Aetna Commercial |
$379.10
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$289.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$312.20
|
| Rate for Payer: Cofinity Commercial |
$383.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$312.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$401.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$312.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$334.50
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.10
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$379.10
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$280.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$165.02
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.50
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Facility
|
IP
|
$446.00
|
|
|
Service Code
|
CPT 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$196.24 |
| Max. Negotiated Rate |
$401.40 |
| Rate for Payer: Aetna American Axle |
$289.90
|
| Rate for Payer: Aetna Commercial |
$379.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$289.90
|
| Rate for Payer: Cash Price |
$356.80
|
| Rate for Payer: Cofinity Commercial |
$312.20
|
| Rate for Payer: Cofinity Commercial |
$383.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$312.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$356.80
|
| Rate for Payer: Healthscope Commercial |
$401.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$312.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$334.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$379.10
|
| Rate for Payer: PHP Commercial |
$379.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health SBD |
$280.98
|
| Rate for Payer: UMR Bronson Commercial |
$196.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.50
|
|
|
PR BIOPSY SOFT TISSUE NECK/THORAX
|
Professional
|
Both
|
$457.00
|
|
|
Service Code
|
HCPCS 21550
|
| Min. Negotiated Rate |
$147.41 |
| Max. Negotiated Rate |
$297.05 |
| Rate for Payer: Aetna Commercial |
$197.53
|
| Rate for Payer: Aetna Medicare |
$153.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$197.53
|
| Rate for Payer: BCBS Complete |
$182.80
|
| Rate for Payer: BCBS MAPPO |
$147.41
|
| Rate for Payer: BCN Medicare Advantage |
$147.41
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Cash Price |
$365.60
|
| Rate for Payer: Cofinity Commercial |
$212.27
|
| Rate for Payer: Cofinity Commercial |
$197.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.78
|
| Rate for Payer: Nomi Health Commercial |
$176.89
|
| Rate for Payer: PACE SWMI |
$147.41
|
| Rate for Payer: PHP Commercial |
$206.37
|
| Rate for Payer: PHP Medicare Advantage |
$147.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$297.05
|
| Rate for Payer: Priority Health Medicare |
$147.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.41
|
| Rate for Payer: UHC Medicare Advantage |
$147.41
|
| Rate for Payer: UMR Bronson Commercial |
$210.22
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL
|
Professional
|
Both
|
$597.00
|
|
|
Service Code
|
HCPCS 27040
|
| Min. Negotiated Rate |
$191.05 |
| Max. Negotiated Rate |
$388.05 |
| Rate for Payer: Aetna Commercial |
$256.01
|
| Rate for Payer: Aetna Medicare |
$198.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.01
|
| Rate for Payer: BCBS Complete |
$238.80
|
| Rate for Payer: BCBS MAPPO |
$191.05
|
| Rate for Payer: BCN Medicare Advantage |
$191.05
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Cofinity Commercial |
$275.11
|
| Rate for Payer: Cofinity Commercial |
$256.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$200.60
|
| Rate for Payer: Nomi Health Commercial |
$229.26
|
| Rate for Payer: PACE SWMI |
$191.05
|
| Rate for Payer: PHP Commercial |
$267.47
|
| Rate for Payer: PHP Medicare Advantage |
$191.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.05
|
| Rate for Payer: Priority Health Medicare |
$191.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$191.05
|
| Rate for Payer: UHC Medicare Advantage |
$191.05
|
| Rate for Payer: UMR Bronson Commercial |
$274.62
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM
|
Professional
|
Both
|
$1,424.00
|
|
|
Service Code
|
HCPCS 27041
|
| Min. Negotiated Rate |
$569.60 |
| Max. Negotiated Rate |
$981.84 |
| Rate for Payer: Aetna Commercial |
$913.65
|
| Rate for Payer: Aetna Medicare |
$709.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$981.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$913.65
|
| Rate for Payer: BCBS Complete |
$569.60
|
| Rate for Payer: BCBS MAPPO |
$681.83
|
| Rate for Payer: BCN Medicare Advantage |
$681.83
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cash Price |
$1,139.20
|
| Rate for Payer: Cofinity Commercial |
$981.84
|
| Rate for Payer: Cofinity Commercial |
$913.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$681.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$715.92
|
| Rate for Payer: Nomi Health Commercial |
$818.20
|
| Rate for Payer: PACE SWMI |
$681.83
|
| Rate for Payer: PHP Commercial |
$954.56
|
| Rate for Payer: PHP Medicare Advantage |
$681.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health Medicare |
$681.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$681.83
|
| Rate for Payer: UHC Medicare Advantage |
$681.83
|
| Rate for Payer: UMR Bronson Commercial |
$655.04
|
|
|
PR BIOPSY SOFT TISSUE SHOULDER DEEP
|
Professional
|
Both
|
$848.00
|
|
|
Service Code
|
HCPCS 23066
|
| Min. Negotiated Rate |
$339.20 |
| Max. Negotiated Rate |
$551.20 |
| Rate for Payer: Aetna Commercial |
$479.33
|
| Rate for Payer: Aetna Medicare |
$372.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$515.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$479.33
|
| Rate for Payer: BCBS Complete |
$339.20
|
| Rate for Payer: BCBS MAPPO |
$357.71
|
| Rate for Payer: BCN Medicare Advantage |
$357.71
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Cash Price |
$678.40
|
| Rate for Payer: Cofinity Commercial |
$515.10
|
| Rate for Payer: Cofinity Commercial |
$479.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$357.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$375.60
|
| Rate for Payer: Nomi Health Commercial |
$429.25
|
| Rate for Payer: PACE SWMI |
$357.71
|
| Rate for Payer: PHP Commercial |
$500.79
|
| Rate for Payer: PHP Medicare Advantage |
$357.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$551.20
|
| Rate for Payer: Priority Health Medicare |
$357.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.71
|
| Rate for Payer: UHC Medicare Advantage |
$357.71
|
| Rate for Payer: UMR Bronson Commercial |
$390.08
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP
|
Professional
|
Both
|
$696.00
|
|
|
Service Code
|
HCPCS 27324
|
| Min. Negotiated Rate |
$278.40 |
| Max. Negotiated Rate |
$572.20 |
| Rate for Payer: Aetna Commercial |
$532.46
|
| Rate for Payer: Aetna Medicare |
$413.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.46
|
| Rate for Payer: BCBS Complete |
$278.40
|
| Rate for Payer: BCBS MAPPO |
$397.36
|
| Rate for Payer: BCN Medicare Advantage |
$397.36
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cash Price |
$556.80
|
| Rate for Payer: Cofinity Commercial |
$572.20
|
| Rate for Payer: Cofinity Commercial |
$532.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.23
|
| Rate for Payer: Nomi Health Commercial |
$476.83
|
| Rate for Payer: PACE SWMI |
$397.36
|
| Rate for Payer: PHP Commercial |
$556.30
|
| Rate for Payer: PHP Medicare Advantage |
$397.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$452.40
|
| Rate for Payer: Priority Health Medicare |
$397.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.36
|
| Rate for Payer: UHC Medicare Advantage |
$397.36
|
| Rate for Payer: UMR Bronson Commercial |
$320.16
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL
|
Professional
|
Both
|
$481.00
|
|
|
Service Code
|
HCPCS 27323
|
| Min. Negotiated Rate |
$166.95 |
| Max. Negotiated Rate |
$312.65 |
| Rate for Payer: Aetna Commercial |
$223.71
|
| Rate for Payer: Aetna Medicare |
$173.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.71
|
| Rate for Payer: BCBS Complete |
$192.40
|
| Rate for Payer: BCBS MAPPO |
$166.95
|
| Rate for Payer: BCN Medicare Advantage |
$166.95
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cash Price |
$384.80
|
| Rate for Payer: Cofinity Commercial |
$240.41
|
| Rate for Payer: Cofinity Commercial |
$223.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$166.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$175.30
|
| Rate for Payer: Nomi Health Commercial |
$200.34
|
| Rate for Payer: PACE SWMI |
$166.95
|
| Rate for Payer: PHP Commercial |
$233.73
|
| Rate for Payer: PHP Medicare Advantage |
$166.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.65
|
| Rate for Payer: Priority Health Medicare |
$166.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.95
|
| Rate for Payer: UHC Medicare Advantage |
$166.95
|
| Rate for Payer: UMR Bronson Commercial |
$221.26
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP
|
Professional
|
Both
|
$1,073.00
|
|
|
Service Code
|
HCPCS 24066
|
| Min. Negotiated Rate |
$411.26 |
| Max. Negotiated Rate |
$697.45 |
| Rate for Payer: Aetna Commercial |
$551.09
|
| Rate for Payer: Aetna Medicare |
$427.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$592.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$551.09
|
| Rate for Payer: BCBS Complete |
$429.20
|
| Rate for Payer: BCBS MAPPO |
$411.26
|
| Rate for Payer: BCN Medicare Advantage |
$411.26
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cash Price |
$858.40
|
| Rate for Payer: Cofinity Commercial |
$592.21
|
| Rate for Payer: Cofinity Commercial |
$551.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$411.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$431.82
|
| Rate for Payer: Nomi Health Commercial |
$493.51
|
| Rate for Payer: PACE SWMI |
$411.26
|
| Rate for Payer: PHP Commercial |
$575.76
|
| Rate for Payer: PHP Medicare Advantage |
$411.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.45
|
| Rate for Payer: Priority Health Medicare |
$411.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.26
|
| Rate for Payer: UHC Medicare Advantage |
$411.26
|
| Rate for Payer: UMR Bronson Commercial |
$493.58
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL
|
Professional
|
Both
|
$467.00
|
|
|
Service Code
|
HCPCS 24065
|
| Min. Negotiated Rate |
$154.16 |
| Max. Negotiated Rate |
$303.55 |
| Rate for Payer: Aetna Commercial |
$206.57
|
| Rate for Payer: Aetna Medicare |
$160.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.57
|
| Rate for Payer: BCBS Complete |
$186.80
|
| Rate for Payer: BCBS MAPPO |
$154.16
|
| Rate for Payer: BCN Medicare Advantage |
$154.16
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cash Price |
$373.60
|
| Rate for Payer: Cofinity Commercial |
$221.99
|
| Rate for Payer: Cofinity Commercial |
$206.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$154.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$161.87
|
| Rate for Payer: Nomi Health Commercial |
$184.99
|
| Rate for Payer: PACE SWMI |
$154.16
|
| Rate for Payer: PHP Commercial |
$215.82
|
| Rate for Payer: PHP Medicare Advantage |
$154.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health Medicare |
$154.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.16
|
| Rate for Payer: UHC Medicare Advantage |
$154.16
|
| Rate for Payer: UMR Bronson Commercial |
$214.82
|
|
|
PR BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$2,545.00
|
|
|
Service Code
|
HCPCS 62269
|
| Min. Negotiated Rate |
$246.78 |
| Max. Negotiated Rate |
$1,654.25 |
| Rate for Payer: Aetna Commercial |
$330.69
|
| Rate for Payer: Aetna Medicare |
$256.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$355.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$330.69
|
| Rate for Payer: BCBS Complete |
$1,018.00
|
| Rate for Payer: BCBS MAPPO |
$246.78
|
| Rate for Payer: BCN Medicare Advantage |
$246.78
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cash Price |
$2,036.00
|
| Rate for Payer: Cofinity Commercial |
$355.36
|
| Rate for Payer: Cofinity Commercial |
$330.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$246.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$259.12
|
| Rate for Payer: Nomi Health Commercial |
$296.14
|
| Rate for Payer: PACE SWMI |
$246.78
|
| Rate for Payer: PHP Commercial |
$345.49
|
| Rate for Payer: PHP Medicare Advantage |
$246.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.25
|
| Rate for Payer: Priority Health Medicare |
$246.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.78
|
| Rate for Payer: UHC Medicare Advantage |
$246.78
|
| Rate for Payer: UMR Bronson Commercial |
$1,170.70
|
|
|
PR BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$681.00
|
|
|
Service Code
|
HCPCS 54505
|
| Min. Negotiated Rate |
$200.55 |
| Max. Negotiated Rate |
$442.65 |
| Rate for Payer: Aetna Commercial |
$268.74
|
| Rate for Payer: Aetna Medicare |
$208.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.74
|
| Rate for Payer: BCBS Complete |
$272.40
|
| Rate for Payer: BCBS MAPPO |
$200.55
|
| Rate for Payer: BCN Medicare Advantage |
$200.55
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cash Price |
$544.80
|
| Rate for Payer: Cofinity Commercial |
$288.79
|
| Rate for Payer: Cofinity Commercial |
$268.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$200.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$210.58
|
| Rate for Payer: Nomi Health Commercial |
$240.66
|
| Rate for Payer: PACE SWMI |
$200.55
|
| Rate for Payer: PHP Commercial |
$280.77
|
| Rate for Payer: PHP Medicare Advantage |
$200.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$442.65
|
| Rate for Payer: Priority Health Medicare |
$200.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$200.55
|
| Rate for Payer: UHC Medicare Advantage |
$200.55
|
| Rate for Payer: UMR Bronson Commercial |
$313.26
|
|
|
PR BIOPSY THYROID PERCUTANEOUS CORE NEEDLE
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 60100
|
| Min. Negotiated Rate |
$72.44 |
| Max. Negotiated Rate |
$140.40 |
| Rate for Payer: Aetna Commercial |
$97.07
|
| Rate for Payer: Aetna Medicare |
$75.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.31
|
| Rate for Payer: BCBS Complete |
$86.40
|
| Rate for Payer: BCBS MAPPO |
$72.44
|
| Rate for Payer: BCN Medicare Advantage |
$72.44
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$97.07
|
| Rate for Payer: Cofinity Commercial |
$104.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.06
|
| Rate for Payer: Nomi Health Commercial |
$86.93
|
| Rate for Payer: PACE SWMI |
$72.44
|
| Rate for Payer: PHP Commercial |
$101.42
|
| Rate for Payer: PHP Medicare Advantage |
$72.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health Medicare |
$72.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.44
|
| Rate for Payer: UHC Medicare Advantage |
$72.44
|
| Rate for Payer: UMR Bronson Commercial |
$99.36
|
|
|
PR BIOPSY TONGUE ANTERIOR TWO-THIRDS
|
Professional
|
Both
|
$328.00
|
|
|
Service Code
|
HCPCS 41100
|
| Min. Negotiated Rate |
$101.68 |
| Max. Negotiated Rate |
$213.20 |
| Rate for Payer: Aetna Commercial |
$136.25
|
| Rate for Payer: Aetna Medicare |
$105.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.25
|
| Rate for Payer: BCBS Complete |
$131.20
|
| Rate for Payer: BCBS MAPPO |
$101.68
|
| Rate for Payer: BCN Medicare Advantage |
$101.68
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cash Price |
$262.40
|
| Rate for Payer: Cofinity Commercial |
$146.42
|
| Rate for Payer: Cofinity Commercial |
$136.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$106.76
|
| Rate for Payer: Nomi Health Commercial |
$122.02
|
| Rate for Payer: PACE SWMI |
$101.68
|
| Rate for Payer: PHP Commercial |
$142.35
|
| Rate for Payer: PHP Medicare Advantage |
$101.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$213.20
|
| Rate for Payer: Priority Health Medicare |
$101.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.68
|
| Rate for Payer: UHC Medicare Advantage |
$101.68
|
| Rate for Payer: UMR Bronson Commercial |
$150.88
|
|
|
PR BIOPSY TONGUE POSTERIOR ONE-THIRD
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 41105
|
| Min. Negotiated Rate |
$104.47 |
| Max. Negotiated Rate |
$197.60 |
| Rate for Payer: Aetna Commercial |
$139.99
|
| Rate for Payer: Aetna Medicare |
$108.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.99
|
| Rate for Payer: BCBS Complete |
$121.60
|
| Rate for Payer: BCBS MAPPO |
$104.47
|
| Rate for Payer: BCN Medicare Advantage |
$104.47
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$150.44
|
| Rate for Payer: Cofinity Commercial |
$139.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.69
|
| Rate for Payer: Nomi Health Commercial |
$125.36
|
| Rate for Payer: PACE SWMI |
$104.47
|
| Rate for Payer: PHP Commercial |
$146.26
|
| Rate for Payer: PHP Medicare Advantage |
$104.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$197.60
|
| Rate for Payer: Priority Health Medicare |
$104.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.47
|
| Rate for Payer: UHC Medicare Advantage |
$104.47
|
| Rate for Payer: UMR Bronson Commercial |
$139.84
|
|
|
PR BIOPSY URETHRA
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 53200
|
| Min. Negotiated Rate |
$135.95 |
| Max. Negotiated Rate |
$250.90 |
| Rate for Payer: Aetna Commercial |
$182.17
|
| Rate for Payer: Aetna Medicare |
$141.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.17
|
| Rate for Payer: BCBS Complete |
$154.40
|
| Rate for Payer: BCBS MAPPO |
$135.95
|
| Rate for Payer: BCN Medicare Advantage |
$135.95
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$195.77
|
| Rate for Payer: Cofinity Commercial |
$182.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.75
|
| Rate for Payer: Nomi Health Commercial |
$163.14
|
| Rate for Payer: PACE SWMI |
$135.95
|
| Rate for Payer: PHP Commercial |
$190.33
|
| Rate for Payer: PHP Medicare Advantage |
$135.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.90
|
| Rate for Payer: Priority Health Medicare |
$135.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$135.95
|
| Rate for Payer: UHC Medicare Advantage |
$135.95
|
| Rate for Payer: UMR Bronson Commercial |
$177.56
|
|
|
PR BIOPSY VAGINAL MUCOSA EXTENSIVE
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 57105
|
| Min. Negotiated Rate |
$126.40 |
| Max. Negotiated Rate |
$205.40 |
| Rate for Payer: Aetna Commercial |
$184.42
|
| Rate for Payer: Aetna Medicare |
$143.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.42
|
| Rate for Payer: BCBS Complete |
$126.40
|
| Rate for Payer: BCBS MAPPO |
$137.63
|
| Rate for Payer: BCN Medicare Advantage |
$137.63
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$198.19
|
| Rate for Payer: Cofinity Commercial |
$184.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$137.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$144.51
|
| Rate for Payer: Nomi Health Commercial |
$165.16
|
| Rate for Payer: PACE SWMI |
$137.63
|
| Rate for Payer: PHP Commercial |
$192.68
|
| Rate for Payer: PHP Medicare Advantage |
$137.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health Medicare |
$137.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$137.63
|
| Rate for Payer: UHC Medicare Advantage |
$137.63
|
| Rate for Payer: UMR Bronson Commercial |
$145.36
|
|
|
PR BIOPSY VAGINAL MUCOSA SIMPLE
|
Professional
|
Both
|
$169.00
|
|
|
Service Code
|
HCPCS 57100
|
| Min. Negotiated Rate |
$63.20 |
| Max. Negotiated Rate |
$109.85 |
| Rate for Payer: Aetna Commercial |
$84.69
|
| Rate for Payer: Aetna Medicare |
$65.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.69
|
| Rate for Payer: BCBS Complete |
$67.60
|
| Rate for Payer: BCBS MAPPO |
$63.20
|
| Rate for Payer: BCN Medicare Advantage |
$63.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cash Price |
$135.20
|
| Rate for Payer: Cofinity Commercial |
$91.01
|
| Rate for Payer: Cofinity Commercial |
$84.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$63.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$66.36
|
| Rate for Payer: Nomi Health Commercial |
$75.84
|
| Rate for Payer: PACE SWMI |
$63.20
|
| Rate for Payer: PHP Commercial |
$88.48
|
| Rate for Payer: PHP Medicare Advantage |
$63.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.85
|
| Rate for Payer: Priority Health Medicare |
$63.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$63.20
|
| Rate for Payer: UHC Medicare Advantage |
$63.20
|
| Rate for Payer: UMR Bronson Commercial |
$77.74
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL
|
Professional
|
Both
|
$1,327.00
|
|
|
Service Code
|
HCPCS 20251
|
| Min. Negotiated Rate |
$417.82 |
| Max. Negotiated Rate |
$862.55 |
| Rate for Payer: Aetna Commercial |
$559.88
|
| Rate for Payer: Aetna Medicare |
$434.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$601.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$559.88
|
| Rate for Payer: BCBS Complete |
$530.80
|
| Rate for Payer: BCBS MAPPO |
$417.82
|
| Rate for Payer: BCN Medicare Advantage |
$417.82
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cash Price |
$1,061.60
|
| Rate for Payer: Cofinity Commercial |
$601.66
|
| Rate for Payer: Cofinity Commercial |
$559.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.71
|
| Rate for Payer: Nomi Health Commercial |
$501.38
|
| Rate for Payer: PACE SWMI |
$417.82
|
| Rate for Payer: PHP Commercial |
$584.95
|
| Rate for Payer: PHP Medicare Advantage |
$417.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$862.55
|
| Rate for Payer: Priority Health Medicare |
$417.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$417.82
|
| Rate for Payer: UHC Medicare Advantage |
$417.82
|
| Rate for Payer: UMR Bronson Commercial |
$610.42
|
|
|
PR BIOPSY VERTEBRAL BODY OPEN THORACIC
|
Professional
|
Both
|
$803.00
|
|
|
Service Code
|
HCPCS 20250
|
| Min. Negotiated Rate |
$321.20 |
| Max. Negotiated Rate |
$546.29 |
| Rate for Payer: Aetna Commercial |
$508.36
|
| Rate for Payer: Aetna Medicare |
$394.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$508.36
|
| Rate for Payer: BCBS Complete |
$321.20
|
| Rate for Payer: BCBS MAPPO |
$379.37
|
| Rate for Payer: BCN Medicare Advantage |
$379.37
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cash Price |
$642.40
|
| Rate for Payer: Cofinity Commercial |
$546.29
|
| Rate for Payer: Cofinity Commercial |
$508.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.34
|
| Rate for Payer: Nomi Health Commercial |
$455.24
|
| Rate for Payer: PACE SWMI |
$379.37
|
| Rate for Payer: PHP Commercial |
$531.12
|
| Rate for Payer: PHP Medicare Advantage |
$379.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$521.95
|
| Rate for Payer: Priority Health Medicare |
$379.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.37
|
| Rate for Payer: UHC Medicare Advantage |
$379.37
|
| Rate for Payer: UMR Bronson Commercial |
$369.38
|
|
