|
PR BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I
|
Professional
|
Both
|
$1,921.00
|
|
|
Service Code
|
HCPCS 50706
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$4,073.19 |
| Rate for Payer: Aetna Commercial |
$227.97
|
| Rate for Payer: Aetna Medicare |
$176.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$227.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$244.99
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCBS MAPPO |
$170.13
|
| Rate for Payer: BCBS Trust/PPO |
$4,073.19
|
| Rate for Payer: BCN Commercial |
$1,238.31
|
| Rate for Payer: BCN Medicare Advantage |
$170.13
|
| Rate for Payer: Cash Price |
$1,536.80
|
| Rate for Payer: Cash Price |
$1,536.80
|
| Rate for Payer: Cofinity Commercial |
$227.97
|
| Rate for Payer: Cofinity Commercial |
$244.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$178.64
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Nomi Health Commercial |
$204.16
|
| Rate for Payer: PACE SWMI |
$170.13
|
| Rate for Payer: PHP Commercial |
$238.18
|
| Rate for Payer: PHP Medicare Advantage |
$170.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,248.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$279.62
|
| Rate for Payer: Priority Health Medicare |
$170.13
|
| Rate for Payer: Priority Health Narrow Network |
$279.62
|
| Rate for Payer: Priority Health SBD |
$279.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$170.13
|
| Rate for Payer: UHC Medicare Advantage |
$170.13
|
| Rate for Payer: UHCCP Medicaid |
$112.68
|
| Rate for Payer: UMR Bronson Commercial |
$883.66
|
|
|
PR BCG LIVE INTRAVESICAL VAC
|
Professional
|
Both
|
$180.00
|
|
|
Service Code
|
HCPCS J9031
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$117.00 |
| Rate for Payer: Aetna Medicare |
$90.00
|
| Rate for Payer: BCBS Complete |
$72.00
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.00
|
| Rate for Payer: UMR Bronson Commercial |
$82.80
|
|
|
PR BCN APNEALINK PLUS
|
Professional
|
Both
|
$753.00
|
|
|
Service Code
|
HCPCS 00119
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$301.20 |
| Max. Negotiated Rate |
$489.45 |
| Rate for Payer: Aetna Medicare |
$376.50
|
| Rate for Payer: BCBS Complete |
$301.20
|
| Rate for Payer: Cash Price |
$602.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$489.45
|
| Rate for Payer: UMR Bronson Commercial |
$346.38
|
|
|
PR BCN WATCHPAT
|
Professional
|
Both
|
$559.00
|
|
|
Service Code
|
HCPCS 00120
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$223.60 |
| Max. Negotiated Rate |
$363.35 |
| Rate for Payer: Aetna Medicare |
$279.50
|
| Rate for Payer: BCBS Complete |
$223.60
|
| Rate for Payer: Cash Price |
$447.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$363.35
|
| Rate for Payer: UMR Bronson Commercial |
$257.14
|
|
|
PR BEDSIDE DRAINAGE BAG
|
Professional
|
Both
|
$15.00
|
|
|
Service Code
|
HCPCS A4357
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$10.69 |
| Rate for Payer: BCBS Complete |
$6.00
|
| Rate for Payer: BCN Commercial |
$10.69
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Cash Price |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.75
|
| Rate for Payer: UMR Bronson Commercial |
$6.90
|
|
|
PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 96127
|
| Min. Negotiated Rate |
$4.21 |
| Max. Negotiated Rate |
$986.86 |
| Rate for Payer: Aetna Commercial |
$5.64
|
| Rate for Payer: Aetna Medicare |
$4.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.06
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS MAPPO |
$4.21
|
| Rate for Payer: BCBS Trust/PPO |
$986.86
|
| Rate for Payer: BCN Commercial |
$6.85
|
| Rate for Payer: BCN Medicare Advantage |
$4.21
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$6.06
|
| Rate for Payer: Cofinity Commercial |
$5.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.42
|
| Rate for Payer: Nomi Health Commercial |
$5.05
|
| Rate for Payer: PACE SWMI |
$4.21
|
| Rate for Payer: PHP Commercial |
$5.89
|
| Rate for Payer: PHP Medicare Advantage |
$4.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8.89
|
| Rate for Payer: Priority Health Medicare |
$4.21
|
| Rate for Payer: Priority Health Narrow Network |
$8.89
|
| Rate for Payer: Priority Health SBD |
$8.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.21
|
| Rate for Payer: UHC Medicare Advantage |
$4.21
|
| Rate for Payer: UMR Bronson Commercial |
$5.06
|
|
|
PR BEHAV HLTH DAY TREAT, PER HR
|
Professional
|
Both
|
$550.00
|
|
|
Service Code
|
HCPCS H2012
|
| Min. Negotiated Rate |
$39.28 |
| Max. Negotiated Rate |
$357.50 |
| Rate for Payer: Aetna Commercial |
$39.28
|
| Rate for Payer: Aetna Medicare |
$275.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.28
|
| Rate for Payer: BCBS Complete |
$220.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Cash Price |
$440.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$357.50
|
| Rate for Payer: UMR Bronson Commercial |
$253.00
|
|
|
PR BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE
|
Professional
|
Both
|
$180.00
|
|
|
Service Code
|
HCPCS 92524
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$1,450.71 |
| Rate for Payer: Aetna Commercial |
$138.27
|
| Rate for Payer: Aetna Medicare |
$107.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$138.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.59
|
| Rate for Payer: BCBS Complete |
$72.00
|
| Rate for Payer: BCBS MAPPO |
$103.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,450.71
|
| Rate for Payer: BCN Commercial |
$159.79
|
| Rate for Payer: BCN Medicare Advantage |
$103.19
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cash Price |
$144.00
|
| Rate for Payer: Cofinity Commercial |
$138.27
|
| Rate for Payer: Cofinity Commercial |
$148.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$108.35
|
| Rate for Payer: Nomi Health Commercial |
$123.83
|
| Rate for Payer: PACE SWMI |
$103.19
|
| Rate for Payer: PHP Commercial |
$144.47
|
| Rate for Payer: PHP Medicare Advantage |
$103.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$117.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$148.82
|
| Rate for Payer: Priority Health Medicare |
$103.19
|
| Rate for Payer: Priority Health Narrow Network |
$148.82
|
| Rate for Payer: Priority Health SBD |
$148.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.19
|
| Rate for Payer: UHC Medicare Advantage |
$103.19
|
| Rate for Payer: UMR Bronson Commercial |
$82.80
|
|
|
PR BEHAVIOR COUNSEL OBESITY 15M
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS G0447
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$1,436.98 |
| Rate for Payer: Aetna Commercial |
$38.31
|
| Rate for Payer: Aetna Medicare |
$29.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.17
|
| Rate for Payer: BCBS Complete |
$18.00
|
| Rate for Payer: BCBS MAPPO |
$28.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,436.98
|
| Rate for Payer: BCN Commercial |
$37.14
|
| Rate for Payer: BCN Medicare Advantage |
$28.59
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$41.17
|
| Rate for Payer: Cofinity Commercial |
$38.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.02
|
| Rate for Payer: Nomi Health Commercial |
$34.31
|
| Rate for Payer: PACE SWMI |
$28.59
|
| Rate for Payer: PHP Commercial |
$40.03
|
| Rate for Payer: PHP Medicare Advantage |
$28.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27.23
|
| Rate for Payer: Priority Health Medicare |
$28.59
|
| Rate for Payer: Priority Health Narrow Network |
$27.23
|
| Rate for Payer: Priority Health SBD |
$27.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.59
|
| Rate for Payer: UHC Medicare Advantage |
$28.59
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
|
|
PR BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN
|
Professional
|
Both
|
$62.00
|
|
|
Service Code
|
HCPCS 97151
|
| Min. Negotiated Rate |
$20.79 |
| Max. Negotiated Rate |
$1,118.41 |
| Rate for Payer: Aetna Commercial |
$20.79
|
| Rate for Payer: Aetna Medicare |
$31.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.79
|
| Rate for Payer: BCBS Complete |
$24.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,118.41
|
| Rate for Payer: BCN Commercial |
$42.82
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.59
|
| Rate for Payer: Priority Health Narrow Network |
$65.59
|
| Rate for Payer: Priority Health SBD |
$65.59
|
| Rate for Payer: UMR Bronson Commercial |
$28.52
|
|
|
PR BETAMETHASONE ACET&SOD PHOSP
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS J0702
|
| Min. Negotiated Rate |
$3.84 |
| Max. Negotiated Rate |
$9.92 |
| Rate for Payer: Aetna Commercial |
$9.23
|
| Rate for Payer: Aetna Medicare |
$7.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.92
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS MAPPO |
$6.89
|
| Rate for Payer: BCBS Trust/PPO |
$3.84
|
| Rate for Payer: BCN Commercial |
$4.80
|
| Rate for Payer: BCN Medicare Advantage |
$6.89
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$9.23
|
| Rate for Payer: Cofinity Commercial |
$9.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.23
|
| Rate for Payer: Nomi Health Commercial |
$8.27
|
| Rate for Payer: PACE SWMI |
$6.89
|
| Rate for Payer: PHP Commercial |
$9.64
|
| Rate for Payer: PHP Medicare Advantage |
$6.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
| Rate for Payer: Priority Health Medicare |
$6.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.89
|
| Rate for Payer: UHC Medicare Advantage |
$6.89
|
| Rate for Payer: UMR Bronson Commercial |
$4.60
|
|
|
PR BFB TRAING W/EMG &/MANOMETRY 1ST 15 MIN CNTCT
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 90912
|
| Min. Negotiated Rate |
$40.06 |
| Max. Negotiated Rate |
$184.91 |
| Rate for Payer: Aetna Commercial |
$53.68
|
| Rate for Payer: Aetna Medicare |
$41.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.68
|
| Rate for Payer: BCBS Complete |
$67.20
|
| Rate for Payer: BCBS MAPPO |
$40.06
|
| Rate for Payer: BCBS Trust/PPO |
$184.91
|
| Rate for Payer: BCN Commercial |
$117.28
|
| Rate for Payer: BCN Medicare Advantage |
$40.06
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cofinity Commercial |
$57.69
|
| Rate for Payer: Cofinity Commercial |
$53.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.06
|
| Rate for Payer: Nomi Health Commercial |
$48.07
|
| Rate for Payer: PACE SWMI |
$40.06
|
| Rate for Payer: PHP Commercial |
$56.08
|
| Rate for Payer: PHP Medicare Advantage |
$40.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$65.04
|
| Rate for Payer: Priority Health Medicare |
$40.06
|
| Rate for Payer: Priority Health Narrow Network |
$65.04
|
| Rate for Payer: Priority Health SBD |
$65.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.06
|
| Rate for Payer: UHC Medicare Advantage |
$40.06
|
| Rate for Payer: UMR Bronson Commercial |
$77.28
|
|
|
PR BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 0358T
|
| Min. Negotiated Rate |
$12.80 |
| Max. Negotiated Rate |
$29.66 |
| Rate for Payer: Aetna Commercial |
$29.66
|
| Rate for Payer: Aetna Medicare |
$16.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.66
|
| Rate for Payer: BCBS Complete |
$12.80
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$23.09
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.80
|
| Rate for Payer: UMR Bronson Commercial |
$14.72
|
|
|
PR BILATERAL GYNECOMASTIA
|
Professional
|
Both
|
$3,264.00
|
|
|
Service Code
|
HCPCS 00524
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,305.60 |
| Max. Negotiated Rate |
$2,121.60 |
| Rate for Payer: Aetna Medicare |
$1,632.00
|
| Rate for Payer: BCBS Complete |
$1,305.60
|
| Rate for Payer: Cash Price |
$2,611.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,121.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,501.44
|
|
|
PR BILATERAL MASTOPEXY
|
Professional
|
Both
|
$3,876.00
|
|
|
Service Code
|
HCPCS 00525
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,550.40 |
| Max. Negotiated Rate |
$2,519.40 |
| Rate for Payer: Aetna Medicare |
$1,938.00
|
| Rate for Payer: BCBS Complete |
$1,550.40
|
| Rate for Payer: Cash Price |
$3,100.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,519.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,782.96
|
|
|
PR BILATERAL OTOPLASTY
|
Professional
|
Both
|
$3,162.00
|
|
|
Service Code
|
HCPCS 00533
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,264.80 |
| Max. Negotiated Rate |
$2,055.30 |
| Rate for Payer: Aetna Medicare |
$1,581.00
|
| Rate for Payer: BCBS Complete |
$1,264.80
|
| Rate for Payer: Cash Price |
$2,529.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,055.30
|
| Rate for Payer: UMR Bronson Commercial |
$1,454.52
|
|
|
PR BILATERAL REDUCTION MAMMOPLASTY
|
Professional
|
Both
|
$3,876.00
|
|
|
Service Code
|
HCPCS 00526
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,550.40 |
| Max. Negotiated Rate |
$2,519.40 |
| Rate for Payer: Aetna Medicare |
$1,938.00
|
| Rate for Payer: BCBS Complete |
$1,550.40
|
| Rate for Payer: Cash Price |
$3,100.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,519.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,782.96
|
|
|
PR BILATERAL THORACIC ROLL EXCISION
|
Professional
|
Both
|
$2,754.00
|
|
|
Service Code
|
HCPCS 00543
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$1,101.60 |
| Max. Negotiated Rate |
$1,790.10 |
| Rate for Payer: Aetna Medicare |
$1,377.00
|
| Rate for Payer: BCBS Complete |
$1,101.60
|
| Rate for Payer: Cash Price |
$2,203.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,790.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,266.84
|
|
|
PR BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS
|
Professional
|
Both
|
$916.00
|
|
|
Service Code
|
HCPCS 47554
|
| Min. Negotiated Rate |
$282.23 |
| Max. Negotiated Rate |
$7,499.75 |
| Rate for Payer: Aetna Commercial |
$572.19
|
| Rate for Payer: Aetna Medicare |
$444.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$614.89
|
| Rate for Payer: BCBS Complete |
$296.34
|
| Rate for Payer: BCBS MAPPO |
$427.01
|
| Rate for Payer: BCBS Trust/PPO |
$7,499.75
|
| Rate for Payer: BCN Commercial |
$642.61
|
| Rate for Payer: BCN Medicare Advantage |
$427.01
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cofinity Commercial |
$572.19
|
| Rate for Payer: Cofinity Commercial |
$614.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$427.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$448.36
|
| Rate for Payer: Meridian Medicaid |
$296.34
|
| Rate for Payer: Nomi Health Commercial |
$512.41
|
| Rate for Payer: PACE SWMI |
$427.01
|
| Rate for Payer: PHP Commercial |
$597.81
|
| Rate for Payer: PHP Medicare Advantage |
$427.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$595.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$783.93
|
| Rate for Payer: Priority Health Medicare |
$427.01
|
| Rate for Payer: Priority Health Narrow Network |
$783.93
|
| Rate for Payer: Priority Health SBD |
$783.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$427.01
|
| Rate for Payer: UHC Medicare Advantage |
$427.01
|
| Rate for Payer: UHCCP Medicaid |
$282.23
|
| Rate for Payer: UMR Bronson Commercial |
$421.36
|
|
|
PR BILIARY NDSC INTRAOPERATIVE
|
Professional
|
Both
|
$530.00
|
|
|
Service Code
|
HCPCS 47550
|
| Min. Negotiated Rate |
$103.31 |
| Max. Negotiated Rate |
$5,071.68 |
| Rate for Payer: Aetna Commercial |
$211.22
|
| Rate for Payer: Aetna Medicare |
$163.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$211.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.99
|
| Rate for Payer: BCBS Complete |
$108.48
|
| Rate for Payer: BCBS MAPPO |
$157.63
|
| Rate for Payer: BCBS Trust/PPO |
$5,071.68
|
| Rate for Payer: BCN Commercial |
$237.49
|
| Rate for Payer: BCN Medicare Advantage |
$157.63
|
| Rate for Payer: Cash Price |
$424.00
|
| Rate for Payer: Cash Price |
$424.00
|
| Rate for Payer: Cofinity Commercial |
$211.22
|
| Rate for Payer: Cofinity Commercial |
$226.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$165.51
|
| Rate for Payer: Meridian Medicaid |
$108.48
|
| Rate for Payer: Nomi Health Commercial |
$189.16
|
| Rate for Payer: PACE SWMI |
$157.63
|
| Rate for Payer: PHP Commercial |
$220.68
|
| Rate for Payer: PHP Medicare Advantage |
$157.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$103.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$344.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$289.34
|
| Rate for Payer: Priority Health Medicare |
$157.63
|
| Rate for Payer: Priority Health Narrow Network |
$289.34
|
| Rate for Payer: Priority Health SBD |
$289.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$157.63
|
| Rate for Payer: UHC Medicare Advantage |
$157.63
|
| Rate for Payer: UHCCP Medicaid |
$103.31
|
| Rate for Payer: UMR Bronson Commercial |
$243.80
|
|
|
PR BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE
|
Professional
|
Both
|
$102.00
|
|
|
Service Code
|
HCPCS 92504
|
| Min. Negotiated Rate |
$8.85 |
| Max. Negotiated Rate |
$2,190.33 |
| Rate for Payer: Aetna Commercial |
$11.86
|
| Rate for Payer: Aetna Medicare |
$9.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.74
|
| Rate for Payer: BCBS Complete |
$40.80
|
| Rate for Payer: BCBS MAPPO |
$8.85
|
| Rate for Payer: BCBS Trust/PPO |
$2,190.33
|
| Rate for Payer: BCN Commercial |
$34.16
|
| Rate for Payer: BCN Medicare Advantage |
$8.85
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cash Price |
$81.60
|
| Rate for Payer: Cofinity Commercial |
$12.74
|
| Rate for Payer: Cofinity Commercial |
$11.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.29
|
| Rate for Payer: Nomi Health Commercial |
$10.62
|
| Rate for Payer: PACE SWMI |
$8.85
|
| Rate for Payer: PHP Commercial |
$12.39
|
| Rate for Payer: PHP Medicare Advantage |
$8.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.22
|
| Rate for Payer: Priority Health Medicare |
$8.85
|
| Rate for Payer: Priority Health Narrow Network |
$12.22
|
| Rate for Payer: Priority Health SBD |
$12.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$8.85
|
| Rate for Payer: UHC Medicare Advantage |
$8.85
|
| Rate for Payer: UMR Bronson Commercial |
$46.92
|
|
|
PR BIOFEEDBACK PERI/URO/RECTAL
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 90911
|
| Min. Negotiated Rate |
$75.20 |
| Max. Negotiated Rate |
$122.20 |
| Rate for Payer: Aetna Medicare |
$94.00
|
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: UMR Bronson Commercial |
$86.48
|
|
|
PR BIOFEEDBACK TRAINING ANY MODALITY
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 90901
|
| Min. Negotiated Rate |
$18.15 |
| Max. Negotiated Rate |
$724.83 |
| Rate for Payer: Aetna Commercial |
$24.32
|
| Rate for Payer: Aetna Medicare |
$18.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.14
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: BCBS MAPPO |
$18.15
|
| Rate for Payer: BCBS Trust/PPO |
$724.83
|
| Rate for Payer: BCN Commercial |
$59.62
|
| Rate for Payer: BCN Medicare Advantage |
$18.15
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cofinity Commercial |
$26.14
|
| Rate for Payer: Cofinity Commercial |
$24.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.06
|
| Rate for Payer: Nomi Health Commercial |
$21.78
|
| Rate for Payer: PACE SWMI |
$18.15
|
| Rate for Payer: PHP Commercial |
$25.41
|
| Rate for Payer: PHP Medicare Advantage |
$18.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$61.18
|
| Rate for Payer: Priority Health Medicare |
$18.15
|
| Rate for Payer: Priority Health Narrow Network |
$61.18
|
| Rate for Payer: Priority Health SBD |
$61.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$18.15
|
| Rate for Payer: UHC Medicare Advantage |
$18.15
|
| Rate for Payer: UMR Bronson Commercial |
$58.88
|
|
|
PR BIOPSY BONE OPEN DEEP
|
Professional
|
Both
|
$1,264.00
|
|
|
Service Code
|
HCPCS 20245
|
| Min. Negotiated Rate |
$106.88 |
| Max. Negotiated Rate |
$821.60 |
| Rate for Payer: Aetna Commercial |
$440.43
|
| Rate for Payer: Aetna Medicare |
$341.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$473.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.43
|
| Rate for Payer: BCBS Complete |
$229.91
|
| Rate for Payer: BCBS MAPPO |
$328.68
|
| Rate for Payer: BCBS Trust/PPO |
$106.88
|
| Rate for Payer: BCN Commercial |
$499.92
|
| Rate for Payer: BCN Medicare Advantage |
$328.68
|
| Rate for Payer: Cash Price |
$1,011.20
|
| Rate for Payer: Cash Price |
$1,011.20
|
| Rate for Payer: Cofinity Commercial |
$473.30
|
| Rate for Payer: Cofinity Commercial |
$440.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$328.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.11
|
| Rate for Payer: Meridian Medicaid |
$229.91
|
| Rate for Payer: Nomi Health Commercial |
$394.42
|
| Rate for Payer: PACE SWMI |
$328.68
|
| Rate for Payer: PHP Commercial |
$460.15
|
| Rate for Payer: PHP Medicare Advantage |
$328.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$821.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$521.59
|
| Rate for Payer: Priority Health Medicare |
$328.68
|
| Rate for Payer: Priority Health Narrow Network |
$521.59
|
| Rate for Payer: Priority Health SBD |
$521.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$328.68
|
| Rate for Payer: UHC Medicare Advantage |
$328.68
|
| Rate for Payer: UHCCP Medicaid |
$218.96
|
| Rate for Payer: UMR Bronson Commercial |
$581.44
|
|
|
PR BIOPSY BONE OPEN SUPERFICIAL
|
Professional
|
Both
|
$546.00
|
|
|
Service Code
|
HCPCS 20240
|
| Min. Negotiated Rate |
$89.46 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$179.21
|
| Rate for Payer: Aetna Medicare |
$139.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.59
|
| Rate for Payer: BCBS Complete |
$93.93
|
| Rate for Payer: BCBS MAPPO |
$133.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$202.32
|
| Rate for Payer: BCN Medicare Advantage |
$133.74
|
| Rate for Payer: Cash Price |
$436.80
|
| Rate for Payer: Cash Price |
$436.80
|
| Rate for Payer: Cofinity Commercial |
$179.21
|
| Rate for Payer: Cofinity Commercial |
$192.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$133.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$140.43
|
| Rate for Payer: Meridian Medicaid |
$93.93
|
| Rate for Payer: Nomi Health Commercial |
$160.49
|
| Rate for Payer: PACE SWMI |
$133.74
|
| Rate for Payer: PHP Commercial |
$187.24
|
| Rate for Payer: PHP Medicare Advantage |
$133.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$354.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$212.70
|
| Rate for Payer: Priority Health Medicare |
$133.74
|
| Rate for Payer: Priority Health Narrow Network |
$212.70
|
| Rate for Payer: Priority Health SBD |
$212.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$133.74
|
| Rate for Payer: UHC Medicare Advantage |
$133.74
|
| Rate for Payer: UHCCP Medicaid |
$89.46
|
| Rate for Payer: UMR Bronson Commercial |
$251.16
|
|
