|
PR BIOPSY BONE TROCAR/NEEDLE DEEP
|
Professional
|
Both
|
$1,918.00
|
|
|
Service Code
|
HCPCS 20225
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$1,246.70 |
| Rate for Payer: Aetna Commercial |
$164.31
|
| Rate for Payer: Aetna Medicare |
$127.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$164.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$176.57
|
| Rate for Payer: BCBS Complete |
$86.11
|
| Rate for Payer: BCBS MAPPO |
$122.62
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$567.36
|
| Rate for Payer: BCN Medicare Advantage |
$122.62
|
| Rate for Payer: Cash Price |
$1,534.40
|
| Rate for Payer: Cash Price |
$1,534.40
|
| Rate for Payer: Cofinity Commercial |
$164.31
|
| Rate for Payer: Cofinity Commercial |
$176.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$122.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$128.75
|
| Rate for Payer: Meridian Medicaid |
$86.11
|
| Rate for Payer: Nomi Health Commercial |
$147.14
|
| Rate for Payer: PACE SWMI |
$122.62
|
| Rate for Payer: PHP Commercial |
$171.67
|
| Rate for Payer: PHP Medicare Advantage |
$122.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,246.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.88
|
| Rate for Payer: Priority Health Medicare |
$122.62
|
| Rate for Payer: Priority Health Narrow Network |
$193.88
|
| Rate for Payer: Priority Health SBD |
$193.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$122.62
|
| Rate for Payer: UHC Medicare Advantage |
$122.62
|
| Rate for Payer: UHCCP Medicaid |
$82.01
|
| Rate for Payer: UMR Bronson Commercial |
$882.28
|
|
|
PR BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL
|
Professional
|
Both
|
$348.00
|
|
|
Service Code
|
HCPCS 20220
|
| Min. Negotiated Rate |
$55.17 |
| Max. Negotiated Rate |
$1,002.07 |
| Rate for Payer: Aetna Commercial |
$110.46
|
| Rate for Payer: Aetna Medicare |
$85.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.70
|
| Rate for Payer: BCBS Complete |
$57.93
|
| Rate for Payer: BCBS MAPPO |
$82.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,002.07
|
| Rate for Payer: BCN Commercial |
$346.47
|
| Rate for Payer: BCN Medicare Advantage |
$82.43
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cofinity Commercial |
$110.46
|
| Rate for Payer: Cofinity Commercial |
$118.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.55
|
| Rate for Payer: Meridian Medicaid |
$57.93
|
| Rate for Payer: Nomi Health Commercial |
$98.92
|
| Rate for Payer: PACE SWMI |
$82.43
|
| Rate for Payer: PHP Commercial |
$115.40
|
| Rate for Payer: PHP Medicare Advantage |
$82.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$130.78
|
| Rate for Payer: Priority Health Medicare |
$82.43
|
| Rate for Payer: Priority Health Narrow Network |
$130.78
|
| Rate for Payer: Priority Health SBD |
$130.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.43
|
| Rate for Payer: UHC Medicare Advantage |
$82.43
|
| Rate for Payer: UHCCP Medicaid |
$55.17
|
| Rate for Payer: UMR Bronson Commercial |
$160.08
|
|
|
PR BIOPSY BREAST OPEN INCISIONAL
|
Professional
|
Both
|
$570.00
|
|
|
Service Code
|
HCPCS 19101
|
| Min. Negotiated Rate |
$8.65 |
| Max. Negotiated Rate |
$485.26 |
| Rate for Payer: Aetna Commercial |
$289.65
|
| Rate for Payer: Aetna Medicare |
$224.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$289.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.27
|
| Rate for Payer: BCBS Complete |
$151.86
|
| Rate for Payer: BCBS MAPPO |
$216.16
|
| Rate for Payer: BCBS Trust/PPO |
$8.65
|
| Rate for Payer: BCN Commercial |
$485.26
|
| Rate for Payer: BCN Medicare Advantage |
$216.16
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cash Price |
$456.00
|
| Rate for Payer: Cofinity Commercial |
$289.65
|
| Rate for Payer: Cofinity Commercial |
$311.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$226.97
|
| Rate for Payer: Meridian Medicaid |
$151.86
|
| Rate for Payer: Nomi Health Commercial |
$259.39
|
| Rate for Payer: PACE SWMI |
$216.16
|
| Rate for Payer: PHP Commercial |
$302.62
|
| Rate for Payer: PHP Medicare Advantage |
$216.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$144.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$370.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$304.33
|
| Rate for Payer: Priority Health Medicare |
$216.16
|
| Rate for Payer: Priority Health Narrow Network |
$304.33
|
| Rate for Payer: Priority Health SBD |
$304.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.16
|
| Rate for Payer: UHC Medicare Advantage |
$216.16
|
| Rate for Payer: UHCCP Medicaid |
$144.63
|
| Rate for Payer: UMR Bronson Commercial |
$262.20
|
|
|
PR BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX
|
Professional
|
Both
|
$258.00
|
|
|
Service Code
|
HCPCS 57500
|
| Min. Negotiated Rate |
$48.35 |
| Max. Negotiated Rate |
$225.58 |
| Rate for Payer: Aetna Commercial |
$96.53
|
| Rate for Payer: Aetna Medicare |
$74.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.53
|
| Rate for Payer: BCBS Complete |
$50.77
|
| Rate for Payer: BCBS MAPPO |
$72.04
|
| Rate for Payer: BCBS Trust/PPO |
$225.58
|
| Rate for Payer: BCN Commercial |
$182.59
|
| Rate for Payer: BCN Medicare Advantage |
$72.04
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cofinity Commercial |
$103.74
|
| Rate for Payer: Cofinity Commercial |
$96.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.64
|
| Rate for Payer: Meridian Medicaid |
$50.77
|
| Rate for Payer: Nomi Health Commercial |
$86.45
|
| Rate for Payer: PACE SWMI |
$72.04
|
| Rate for Payer: PHP Commercial |
$100.86
|
| Rate for Payer: PHP Medicare Advantage |
$72.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$112.11
|
| Rate for Payer: Priority Health Medicare |
$72.04
|
| Rate for Payer: Priority Health Narrow Network |
$112.11
|
| Rate for Payer: Priority Health SBD |
$112.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.04
|
| Rate for Payer: UHC Medicare Advantage |
$72.04
|
| Rate for Payer: UHCCP Medicaid |
$48.35
|
| Rate for Payer: UMR Bronson Commercial |
$118.68
|
|
|
PR BIOPSY, EACH ADDED LESION
|
Professional
|
Both
|
$68.00
|
|
|
Service Code
|
HCPCS 11101
|
| Min. Negotiated Rate |
$27.20 |
| Max. Negotiated Rate |
$44.20 |
| Rate for Payer: Aetna Medicare |
$34.00
|
| Rate for Payer: BCBS Complete |
$27.20
|
| Rate for Payer: Cash Price |
$54.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.20
|
| Rate for Payer: UMR Bronson Commercial |
$31.28
|
|
|
PR BIOPSY EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$239.00
|
|
|
Service Code
|
HCPCS 69105
|
| Min. Negotiated Rate |
$41.75 |
| Max. Negotiated Rate |
$2,308.67 |
| Rate for Payer: Aetna Commercial |
$82.16
|
| Rate for Payer: Aetna Medicare |
$63.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.29
|
| Rate for Payer: BCBS Complete |
$43.84
|
| Rate for Payer: BCBS MAPPO |
$61.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,308.67
|
| Rate for Payer: BCN Commercial |
$214.53
|
| Rate for Payer: BCN Medicare Advantage |
$61.31
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Cofinity Commercial |
$82.16
|
| Rate for Payer: Cofinity Commercial |
$88.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.38
|
| Rate for Payer: Meridian Medicaid |
$43.84
|
| Rate for Payer: Nomi Health Commercial |
$73.57
|
| Rate for Payer: PACE SWMI |
$61.31
|
| Rate for Payer: PHP Commercial |
$85.83
|
| Rate for Payer: PHP Medicare Advantage |
$61.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$155.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$93.38
|
| Rate for Payer: Priority Health Medicare |
$61.31
|
| Rate for Payer: Priority Health Narrow Network |
$93.38
|
| Rate for Payer: Priority Health SBD |
$93.38
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.31
|
| Rate for Payer: UHC Medicare Advantage |
$61.31
|
| Rate for Payer: UHCCP Medicaid |
$41.75
|
| Rate for Payer: UMR Bronson Commercial |
$109.94
|
|
|
PR BIOPSY EXTERNAL EAR
|
Professional
|
Both
|
$174.00
|
|
|
Service Code
|
HCPCS 69100
|
| Min. Negotiated Rate |
$29.39 |
| Max. Negotiated Rate |
$1,733.35 |
| Rate for Payer: Aetna Commercial |
$58.53
|
| Rate for Payer: Aetna Medicare |
$45.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.90
|
| Rate for Payer: BCBS Complete |
$30.86
|
| Rate for Payer: BCBS MAPPO |
$43.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,733.35
|
| Rate for Payer: BCN Commercial |
$141.72
|
| Rate for Payer: BCN Medicare Advantage |
$43.68
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cash Price |
$139.20
|
| Rate for Payer: Cofinity Commercial |
$58.53
|
| Rate for Payer: Cofinity Commercial |
$62.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$43.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$45.86
|
| Rate for Payer: Meridian Medicaid |
$30.86
|
| Rate for Payer: Nomi Health Commercial |
$52.42
|
| Rate for Payer: PACE SWMI |
$43.68
|
| Rate for Payer: PHP Commercial |
$61.15
|
| Rate for Payer: PHP Medicare Advantage |
$43.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$29.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$67.12
|
| Rate for Payer: Priority Health Medicare |
$43.68
|
| Rate for Payer: Priority Health Narrow Network |
$67.12
|
| Rate for Payer: Priority Health SBD |
$67.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$43.68
|
| Rate for Payer: UHC Medicare Advantage |
$43.68
|
| Rate for Payer: UHCCP Medicaid |
$29.39
|
| Rate for Payer: UMR Bronson Commercial |
$80.04
|
|
|
PR BIOPSY FLOOR MOUTH
|
Professional
|
Both
|
$240.00
|
|
|
Service Code
|
HCPCS 41108
|
| Min. Negotiated Rate |
$59.43 |
| Max. Negotiated Rate |
$1,421.66 |
| Rate for Payer: Aetna Commercial |
$116.23
|
| Rate for Payer: Aetna Medicare |
$90.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.91
|
| Rate for Payer: BCBS Complete |
$62.40
|
| Rate for Payer: BCBS MAPPO |
$86.74
|
| Rate for Payer: BCBS Trust/PPO |
$1,421.66
|
| Rate for Payer: BCN Commercial |
$249.22
|
| Rate for Payer: BCN Medicare Advantage |
$86.74
|
| Rate for Payer: Cash Price |
$192.00
|
| Rate for Payer: Cash Price |
$192.00
|
| Rate for Payer: Cofinity Commercial |
$116.23
|
| Rate for Payer: Cofinity Commercial |
$124.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.08
|
| Rate for Payer: Meridian Medicaid |
$62.40
|
| Rate for Payer: Nomi Health Commercial |
$104.09
|
| Rate for Payer: PACE SWMI |
$86.74
|
| Rate for Payer: PHP Commercial |
$121.44
|
| Rate for Payer: PHP Medicare Advantage |
$86.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$156.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$164.65
|
| Rate for Payer: Priority Health Medicare |
$86.74
|
| Rate for Payer: Priority Health Narrow Network |
$164.65
|
| Rate for Payer: Priority Health SBD |
$164.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.74
|
| Rate for Payer: UHC Medicare Advantage |
$86.74
|
| Rate for Payer: UHCCP Medicaid |
$59.43
|
| Rate for Payer: UMR Bronson Commercial |
$110.40
|
|
|
PR BIOPSY HYPOPHARYNX
|
Professional
|
Both
|
$441.00
|
|
|
Service Code
|
HCPCS 42802
|
| Min. Negotiated Rate |
$176.40 |
| Max. Negotiated Rate |
$286.65 |
| Rate for Payer: Aetna Medicare |
$220.50
|
| Rate for Payer: BCBS Complete |
$176.40
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.65
|
| Rate for Payer: UMR Bronson Commercial |
$202.86
|
|
|
PR BIOPSY INTRANASAL
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 30100
|
| Min. Negotiated Rate |
$44.30 |
| Max. Negotiated Rate |
$591.70 |
| Rate for Payer: Aetna Commercial |
$87.23
|
| Rate for Payer: Aetna Medicare |
$67.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.74
|
| Rate for Payer: BCBS Complete |
$46.52
|
| Rate for Payer: BCBS MAPPO |
$65.10
|
| Rate for Payer: BCBS Trust/PPO |
$591.70
|
| Rate for Payer: BCN Commercial |
$208.66
|
| Rate for Payer: BCN Medicare Advantage |
$65.10
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$87.23
|
| Rate for Payer: Cofinity Commercial |
$93.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.36
|
| Rate for Payer: Meridian Medicaid |
$46.52
|
| Rate for Payer: Nomi Health Commercial |
$78.12
|
| Rate for Payer: PACE SWMI |
$65.10
|
| Rate for Payer: PHP Commercial |
$91.14
|
| Rate for Payer: PHP Medicare Advantage |
$65.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$95.47
|
| Rate for Payer: Priority Health Medicare |
$65.10
|
| Rate for Payer: Priority Health Narrow Network |
$95.47
|
| Rate for Payer: Priority Health SBD |
$95.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.10
|
| Rate for Payer: UHC Medicare Advantage |
$65.10
|
| Rate for Payer: UHCCP Medicaid |
$44.30
|
| Rate for Payer: UMR Bronson Commercial |
$104.88
|
|
|
PR BIOPSY LIVER NEEDLE PERCUTANEOUS
|
Professional
|
Both
|
$593.00
|
|
|
Service Code
|
HCPCS 47000
|
| Min. Negotiated Rate |
$55.17 |
| Max. Negotiated Rate |
$1,914.56 |
| Rate for Payer: Aetna Commercial |
$110.46
|
| Rate for Payer: Aetna Medicare |
$85.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.70
|
| Rate for Payer: BCBS Complete |
$57.93
|
| Rate for Payer: BCBS MAPPO |
$82.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,914.56
|
| Rate for Payer: BCN Commercial |
$489.65
|
| Rate for Payer: BCN Medicare Advantage |
$82.43
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cash Price |
$474.40
|
| Rate for Payer: Cofinity Commercial |
$110.46
|
| Rate for Payer: Cofinity Commercial |
$118.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.55
|
| Rate for Payer: Meridian Medicaid |
$57.93
|
| Rate for Payer: Nomi Health Commercial |
$98.92
|
| Rate for Payer: PACE SWMI |
$82.43
|
| Rate for Payer: PHP Commercial |
$115.40
|
| Rate for Payer: PHP Medicare Advantage |
$82.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$385.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$153.92
|
| Rate for Payer: Priority Health Medicare |
$82.43
|
| Rate for Payer: Priority Health Narrow Network |
$153.92
|
| Rate for Payer: Priority Health SBD |
$153.92
|
| Rate for Payer: UHC Dual Complete DSNP |
$82.43
|
| Rate for Payer: UHC Medicare Advantage |
$82.43
|
| Rate for Payer: UHCCP Medicaid |
$55.17
|
| Rate for Payer: UMR Bronson Commercial |
$272.78
|
|
|
PR BIOPSY LIVER WEDGE
|
Professional
|
Both
|
$1,789.00
|
|
|
Service Code
|
HCPCS 47100
|
| Min. Negotiated Rate |
$547.20 |
| Max. Negotiated Rate |
$2,085.20 |
| Rate for Payer: Aetna Commercial |
$1,099.99
|
| Rate for Payer: Aetna Medicare |
$853.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,099.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,182.08
|
| Rate for Payer: BCBS Complete |
$574.56
|
| Rate for Payer: BCBS MAPPO |
$820.89
|
| Rate for Payer: BCBS Trust/PPO |
$2,085.20
|
| Rate for Payer: BCN Commercial |
$1,241.73
|
| Rate for Payer: BCN Medicare Advantage |
$820.89
|
| Rate for Payer: Cash Price |
$1,431.20
|
| Rate for Payer: Cash Price |
$1,431.20
|
| Rate for Payer: Cofinity Commercial |
$1,099.99
|
| Rate for Payer: Cofinity Commercial |
$1,182.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$820.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$861.93
|
| Rate for Payer: Meridian Medicaid |
$574.56
|
| Rate for Payer: Nomi Health Commercial |
$985.07
|
| Rate for Payer: PACE SWMI |
$820.89
|
| Rate for Payer: PHP Commercial |
$1,149.25
|
| Rate for Payer: PHP Medicare Advantage |
$820.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$547.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,162.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,526.69
|
| Rate for Payer: Priority Health Medicare |
$820.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,526.69
|
| Rate for Payer: Priority Health SBD |
$1,526.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$820.89
|
| Rate for Payer: UHC Medicare Advantage |
$820.89
|
| Rate for Payer: UHCCP Medicaid |
$547.20
|
| Rate for Payer: UMR Bronson Commercial |
$822.94
|
|
|
PR BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$762.00
|
|
|
Service Code
|
HCPCS 32405
|
| Min. Negotiated Rate |
$304.80 |
| Max. Negotiated Rate |
$495.30 |
| Rate for Payer: Aetna Medicare |
$381.00
|
| Rate for Payer: BCBS Complete |
$304.80
|
| Rate for Payer: Cash Price |
$609.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$495.30
|
| Rate for Payer: UMR Bronson Commercial |
$350.52
|
|
|
PR BIOPSY MUSCLE DEEP
|
Professional
|
Both
|
$591.00
|
|
|
Service Code
|
HCPCS 20205
|
| Min. Negotiated Rate |
$99.68 |
| Max. Negotiated Rate |
$570.00 |
| Rate for Payer: Aetna Commercial |
$201.13
|
| Rate for Payer: Aetna Medicare |
$156.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.14
|
| Rate for Payer: BCBS Complete |
$104.66
|
| Rate for Payer: BCBS MAPPO |
$150.10
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$447.63
|
| Rate for Payer: BCN Medicare Advantage |
$150.10
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cash Price |
$472.80
|
| Rate for Payer: Cofinity Commercial |
$201.13
|
| Rate for Payer: Cofinity Commercial |
$216.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.60
|
| Rate for Payer: Meridian Medicaid |
$104.66
|
| Rate for Payer: Nomi Health Commercial |
$180.12
|
| Rate for Payer: PACE SWMI |
$150.10
|
| Rate for Payer: PHP Commercial |
$210.14
|
| Rate for Payer: PHP Medicare Advantage |
$150.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$384.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$237.13
|
| Rate for Payer: Priority Health Medicare |
$150.10
|
| Rate for Payer: Priority Health Narrow Network |
$237.13
|
| Rate for Payer: Priority Health SBD |
$237.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$150.10
|
| Rate for Payer: UHC Medicare Advantage |
$150.10
|
| Rate for Payer: UHCCP Medicaid |
$99.68
|
| Rate for Payer: UMR Bronson Commercial |
$271.86
|
|
|
PR BIOPSY MUSCLE PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$414.00
|
|
|
Service Code
|
HCPCS 20206
|
| Min. Negotiated Rate |
$36.42 |
| Max. Negotiated Rate |
$2,284.30 |
| Rate for Payer: Aetna Commercial |
$72.48
|
| Rate for Payer: Aetna Medicare |
$56.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.89
|
| Rate for Payer: BCBS Complete |
$38.24
|
| Rate for Payer: BCBS MAPPO |
$54.09
|
| Rate for Payer: BCBS Trust/PPO |
$2,284.30
|
| Rate for Payer: BCN Commercial |
$329.36
|
| Rate for Payer: BCN Medicare Advantage |
$54.09
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cash Price |
$331.20
|
| Rate for Payer: Cofinity Commercial |
$72.48
|
| Rate for Payer: Cofinity Commercial |
$77.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$54.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.79
|
| Rate for Payer: Meridian Medicaid |
$38.24
|
| Rate for Payer: Nomi Health Commercial |
$64.91
|
| Rate for Payer: PACE SWMI |
$54.09
|
| Rate for Payer: PHP Commercial |
$75.73
|
| Rate for Payer: PHP Medicare Advantage |
$54.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$269.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$86.00
|
| Rate for Payer: Priority Health Medicare |
$54.09
|
| Rate for Payer: Priority Health Narrow Network |
$86.00
|
| Rate for Payer: Priority Health SBD |
$86.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$54.09
|
| Rate for Payer: UHC Medicare Advantage |
$54.09
|
| Rate for Payer: UHCCP Medicaid |
$36.42
|
| Rate for Payer: UMR Bronson Commercial |
$190.44
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Facility
|
IP
|
$359.00
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
20200
|
| Min. Negotiated Rate |
$157.96 |
| Max. Negotiated Rate |
$323.10 |
| Rate for Payer: Aetna American Axle |
$233.35
|
| Rate for Payer: Aetna Commercial |
$305.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.35
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$251.30
|
| Rate for Payer: Cofinity Commercial |
$308.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$251.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.20
|
| Rate for Payer: Healthscope Commercial |
$323.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$251.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$269.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.15
|
| Rate for Payer: PHP Commercial |
$305.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health SBD |
$226.17
|
| Rate for Payer: UMR Bronson Commercial |
$157.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$269.25
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Professional
|
Both
|
$359.00
|
|
|
Service Code
|
HCPCS 20200
|
| Hospital Charge Code |
20200
|
| Min. Negotiated Rate |
$61.77 |
| Max. Negotiated Rate |
$672.75 |
| Rate for Payer: Aetna Commercial |
$124.46
|
| Rate for Payer: Aetna Medicare |
$96.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.75
|
| Rate for Payer: BCBS Complete |
$64.86
|
| Rate for Payer: BCBS MAPPO |
$92.88
|
| Rate for Payer: BCBS Trust/PPO |
$672.75
|
| Rate for Payer: BCN Commercial |
$321.06
|
| Rate for Payer: BCN Medicare Advantage |
$92.88
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$124.46
|
| Rate for Payer: Cofinity Commercial |
$133.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.52
|
| Rate for Payer: Meridian Medicaid |
$64.86
|
| Rate for Payer: Nomi Health Commercial |
$111.46
|
| Rate for Payer: PACE SWMI |
$92.88
|
| Rate for Payer: PHP Commercial |
$130.03
|
| Rate for Payer: PHP Medicare Advantage |
$92.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.53
|
| Rate for Payer: Priority Health Medicare |
$92.88
|
| Rate for Payer: Priority Health Narrow Network |
$145.53
|
| Rate for Payer: Priority Health SBD |
$145.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.88
|
| Rate for Payer: UHC Medicare Advantage |
$92.88
|
| Rate for Payer: UHCCP Medicaid |
$61.77
|
| Rate for Payer: UMR Bronson Commercial |
$165.14
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Professional
|
Both
|
$359.00
|
|
|
Service Code
|
HCPCS 20200
|
| Min. Negotiated Rate |
$61.77 |
| Max. Negotiated Rate |
$672.75 |
| Rate for Payer: Aetna Commercial |
$124.46
|
| Rate for Payer: Aetna Medicare |
$96.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.75
|
| Rate for Payer: BCBS Complete |
$64.86
|
| Rate for Payer: BCBS MAPPO |
$92.88
|
| Rate for Payer: BCBS Trust/PPO |
$672.75
|
| Rate for Payer: BCN Commercial |
$321.06
|
| Rate for Payer: BCN Medicare Advantage |
$92.88
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$124.46
|
| Rate for Payer: Cofinity Commercial |
$133.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$92.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.52
|
| Rate for Payer: Meridian Medicaid |
$64.86
|
| Rate for Payer: Nomi Health Commercial |
$111.46
|
| Rate for Payer: PACE SWMI |
$92.88
|
| Rate for Payer: PHP Commercial |
$130.03
|
| Rate for Payer: PHP Medicare Advantage |
$92.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.53
|
| Rate for Payer: Priority Health Medicare |
$92.88
|
| Rate for Payer: Priority Health Narrow Network |
$145.53
|
| Rate for Payer: Priority Health SBD |
$145.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$92.88
|
| Rate for Payer: UHC Medicare Advantage |
$92.88
|
| Rate for Payer: UHCCP Medicaid |
$61.77
|
| Rate for Payer: UMR Bronson Commercial |
$165.14
|
|
|
PR BIOPSY MUSCLE SUPERFICIAL
|
Facility
|
OP
|
$359.00
|
|
|
Service Code
|
CPT 20200
|
| Hospital Charge Code |
20200
|
| Min. Negotiated Rate |
$92.74 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna American Axle |
$233.35
|
| Rate for Payer: Aetna Commercial |
$305.15
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,107.96
|
| Rate for Payer: BCN Commercial |
$1,107.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cash Price |
$287.20
|
| Rate for Payer: Cofinity Commercial |
$308.74
|
| Rate for Payer: Cofinity Commercial |
$251.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$251.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$287.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$323.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$251.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$269.25
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$305.15
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$305.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$233.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$226.17
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$102.01
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$92.74
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$132.83
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$269.25
|
|
|
PR BIOPSY NAIL UNIT SEPARATE PROCEDURE
|
Professional
|
Both
|
$221.00
|
|
|
Service Code
|
HCPCS 11755
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$144.11 |
| Rate for Payer: Aetna Commercial |
$77.43
|
| Rate for Payer: Aetna Medicare |
$60.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.20
|
| Rate for Payer: BCBS Complete |
$40.48
|
| Rate for Payer: BCBS MAPPO |
$57.78
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$144.11
|
| Rate for Payer: BCN Medicare Advantage |
$57.78
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cofinity Commercial |
$77.43
|
| Rate for Payer: Cofinity Commercial |
$83.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.67
|
| Rate for Payer: Meridian Medicaid |
$40.48
|
| Rate for Payer: Nomi Health Commercial |
$69.34
|
| Rate for Payer: PACE SWMI |
$57.78
|
| Rate for Payer: PHP Commercial |
$80.89
|
| Rate for Payer: PHP Medicare Advantage |
$57.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.28
|
| Rate for Payer: Priority Health Medicare |
$57.78
|
| Rate for Payer: Priority Health Narrow Network |
$81.28
|
| Rate for Payer: Priority Health SBD |
$81.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.78
|
| Rate for Payer: UHC Medicare Advantage |
$57.78
|
| Rate for Payer: UHCCP Medicaid |
$38.55
|
| Rate for Payer: UMR Bronson Commercial |
$101.66
|
|
|
PR BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE
|
Professional
|
Both
|
$838.00
|
|
|
Service Code
|
HCPCS 42804
|
| Min. Negotiated Rate |
$79.45 |
| Max. Negotiated Rate |
$544.70 |
| Rate for Payer: Aetna Commercial |
$154.30
|
| Rate for Payer: Aetna Medicare |
$119.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.82
|
| Rate for Payer: BCBS Complete |
$83.42
|
| Rate for Payer: BCBS MAPPO |
$115.15
|
| Rate for Payer: BCBS Trust/PPO |
$212.38
|
| Rate for Payer: BCN Commercial |
$319.11
|
| Rate for Payer: BCN Medicare Advantage |
$115.15
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cash Price |
$670.40
|
| Rate for Payer: Cofinity Commercial |
$154.30
|
| Rate for Payer: Cofinity Commercial |
$165.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.91
|
| Rate for Payer: Meridian Medicaid |
$83.42
|
| Rate for Payer: Nomi Health Commercial |
$138.18
|
| Rate for Payer: PACE SWMI |
$115.15
|
| Rate for Payer: PHP Commercial |
$161.21
|
| Rate for Payer: PHP Medicare Advantage |
$115.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$223.13
|
| Rate for Payer: Priority Health Medicare |
$115.15
|
| Rate for Payer: Priority Health Narrow Network |
$223.13
|
| Rate for Payer: Priority Health SBD |
$223.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.15
|
| Rate for Payer: UHC Medicare Advantage |
$115.15
|
| Rate for Payer: UHCCP Medicaid |
$79.45
|
| Rate for Payer: UMR Bronson Commercial |
$385.48
|
|
|
PR BIOPSY NERVE
|
Professional
|
Both
|
$722.00
|
|
|
Service Code
|
HCPCS 64795
|
| Min. Negotiated Rate |
$127.37 |
| Max. Negotiated Rate |
$469.30 |
| Rate for Payer: Aetna Commercial |
$257.62
|
| Rate for Payer: Aetna Medicare |
$199.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$257.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.84
|
| Rate for Payer: BCBS Complete |
$133.74
|
| Rate for Payer: BCBS MAPPO |
$192.25
|
| Rate for Payer: BCBS Trust/PPO |
$218.19
|
| Rate for Payer: BCN Commercial |
$282.46
|
| Rate for Payer: BCN Medicare Advantage |
$192.25
|
| Rate for Payer: Cash Price |
$577.60
|
| Rate for Payer: Cash Price |
$577.60
|
| Rate for Payer: Cofinity Commercial |
$257.62
|
| Rate for Payer: Cofinity Commercial |
$276.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$201.86
|
| Rate for Payer: Meridian Medicaid |
$133.74
|
| Rate for Payer: Nomi Health Commercial |
$230.70
|
| Rate for Payer: PACE SWMI |
$192.25
|
| Rate for Payer: PHP Commercial |
$269.15
|
| Rate for Payer: PHP Medicare Advantage |
$192.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$469.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$333.26
|
| Rate for Payer: Priority Health Medicare |
$192.25
|
| Rate for Payer: Priority Health Narrow Network |
$333.26
|
| Rate for Payer: Priority Health SBD |
$333.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$192.25
|
| Rate for Payer: UHC Medicare Advantage |
$192.25
|
| Rate for Payer: UHCCP Medicaid |
$127.37
|
| Rate for Payer: UMR Bronson Commercial |
$332.12
|
|
|
PR BIOPSY OF LIP
|
Professional
|
Both
|
$228.00
|
|
|
Service Code
|
HCPCS 40490
|
| Min. Negotiated Rate |
$44.30 |
| Max. Negotiated Rate |
$637.13 |
| Rate for Payer: Aetna Commercial |
$88.32
|
| Rate for Payer: Aetna Medicare |
$68.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.91
|
| Rate for Payer: BCBS Complete |
$46.52
|
| Rate for Payer: BCBS MAPPO |
$65.91
|
| Rate for Payer: BCBS Trust/PPO |
$637.13
|
| Rate for Payer: BCN Commercial |
$144.50
|
| Rate for Payer: BCN Medicare Advantage |
$65.91
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cash Price |
$182.40
|
| Rate for Payer: Cofinity Commercial |
$88.32
|
| Rate for Payer: Cofinity Commercial |
$94.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$69.21
|
| Rate for Payer: Meridian Medicaid |
$46.52
|
| Rate for Payer: Nomi Health Commercial |
$79.09
|
| Rate for Payer: PACE SWMI |
$65.91
|
| Rate for Payer: PHP Commercial |
$92.27
|
| Rate for Payer: PHP Medicare Advantage |
$65.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$122.89
|
| Rate for Payer: Priority Health Medicare |
$65.91
|
| Rate for Payer: Priority Health Narrow Network |
$122.89
|
| Rate for Payer: Priority Health SBD |
$122.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$65.91
|
| Rate for Payer: UHC Medicare Advantage |
$65.91
|
| Rate for Payer: UHCCP Medicaid |
$44.30
|
| Rate for Payer: UMR Bronson Commercial |
$104.88
|
|
|
PR BIOPSY OF SKIN LESION
|
Professional
|
Both
|
$171.00
|
|
|
Service Code
|
HCPCS 11100
|
| Min. Negotiated Rate |
$68.40 |
| Max. Negotiated Rate |
$111.15 |
| Rate for Payer: Aetna Medicare |
$85.50
|
| Rate for Payer: BCBS Complete |
$68.40
|
| Rate for Payer: Cash Price |
$136.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$111.15
|
| Rate for Payer: UMR Bronson Commercial |
$78.66
|
|
|
PR BIOPSY OROPHARYNX
|
Professional
|
Both
|
$258.00
|
|
|
Service Code
|
HCPCS 42800
|
| Min. Negotiated Rate |
$76.25 |
| Max. Negotiated Rate |
$233.59 |
| Rate for Payer: Aetna Commercial |
$149.30
|
| Rate for Payer: Aetna Medicare |
$115.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.44
|
| Rate for Payer: BCBS Complete |
$80.06
|
| Rate for Payer: BCBS MAPPO |
$111.42
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$233.59
|
| Rate for Payer: BCN Medicare Advantage |
$111.42
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cofinity Commercial |
$149.30
|
| Rate for Payer: Cofinity Commercial |
$160.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.99
|
| Rate for Payer: Meridian Medicaid |
$80.06
|
| Rate for Payer: Nomi Health Commercial |
$133.70
|
| Rate for Payer: PACE SWMI |
$111.42
|
| Rate for Payer: PHP Commercial |
$155.99
|
| Rate for Payer: PHP Medicare Advantage |
$111.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$167.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$211.79
|
| Rate for Payer: Priority Health Medicare |
$111.42
|
| Rate for Payer: Priority Health Narrow Network |
$211.79
|
| Rate for Payer: Priority Health SBD |
$211.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$111.42
|
| Rate for Payer: UHC Medicare Advantage |
$111.42
|
| Rate for Payer: UHCCP Medicaid |
$76.25
|
| Rate for Payer: UMR Bronson Commercial |
$118.68
|
|
