|
PR BIOPSY OVARY UNI/BI SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,617.00
|
|
|
Service Code
|
HCPCS 58900
|
| Min. Negotiated Rate |
$170.11 |
| Max. Negotiated Rate |
$1,051.05 |
| Rate for Payer: Aetna Commercial |
$558.46
|
| Rate for Payer: Aetna Medicare |
$433.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$558.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.13
|
| Rate for Payer: BCBS Complete |
$294.77
|
| Rate for Payer: BCBS MAPPO |
$416.76
|
| Rate for Payer: BCBS Trust/PPO |
$170.11
|
| Rate for Payer: BCN Commercial |
$644.57
|
| Rate for Payer: BCN Medicare Advantage |
$416.76
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cash Price |
$1,293.60
|
| Rate for Payer: Cofinity Commercial |
$558.46
|
| Rate for Payer: Cofinity Commercial |
$600.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$437.60
|
| Rate for Payer: Meridian Medicaid |
$294.77
|
| Rate for Payer: Nomi Health Commercial |
$500.11
|
| Rate for Payer: PACE SWMI |
$416.76
|
| Rate for Payer: PHP Commercial |
$583.46
|
| Rate for Payer: PHP Medicare Advantage |
$416.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$280.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,051.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.26
|
| Rate for Payer: Priority Health Medicare |
$416.76
|
| Rate for Payer: Priority Health Narrow Network |
$657.26
|
| Rate for Payer: Priority Health SBD |
$657.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$416.76
|
| Rate for Payer: UHC Medicare Advantage |
$416.76
|
| Rate for Payer: UHCCP Medicaid |
$280.73
|
| Rate for Payer: UMR Bronson Commercial |
$743.82
|
|
|
PR BIOPSY PALATE UVULA
|
Professional
|
Both
|
$268.00
|
|
|
Service Code
|
HCPCS 42100
|
| Min. Negotiated Rate |
$71.36 |
| Max. Negotiated Rate |
$796.68 |
| Rate for Payer: Aetna Commercial |
$139.35
|
| Rate for Payer: Aetna Medicare |
$108.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.75
|
| Rate for Payer: BCBS Complete |
$74.93
|
| Rate for Payer: BCBS MAPPO |
$103.99
|
| Rate for Payer: BCBS Trust/PPO |
$796.68
|
| Rate for Payer: BCN Commercial |
$216.00
|
| Rate for Payer: BCN Medicare Advantage |
$103.99
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cash Price |
$214.40
|
| Rate for Payer: Cofinity Commercial |
$139.35
|
| Rate for Payer: Cofinity Commercial |
$149.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$103.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.19
|
| Rate for Payer: Meridian Medicaid |
$74.93
|
| Rate for Payer: Nomi Health Commercial |
$124.79
|
| Rate for Payer: PACE SWMI |
$103.99
|
| Rate for Payer: PHP Commercial |
$145.59
|
| Rate for Payer: PHP Medicare Advantage |
$103.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$174.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$198.67
|
| Rate for Payer: Priority Health Medicare |
$103.99
|
| Rate for Payer: Priority Health Narrow Network |
$198.67
|
| Rate for Payer: Priority Health SBD |
$198.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$103.99
|
| Rate for Payer: UHC Medicare Advantage |
$103.99
|
| Rate for Payer: UHCCP Medicaid |
$71.36
|
| Rate for Payer: UMR Bronson Commercial |
$123.28
|
|
|
PR BIOPSY PANCREAS OPEN
|
Professional
|
Both
|
$1,588.00
|
|
|
Service Code
|
HCPCS 48100
|
| Min. Negotiated Rate |
$571.69 |
| Max. Negotiated Rate |
$2,117.43 |
| Rate for Payer: Aetna Commercial |
$1,155.35
|
| Rate for Payer: Aetna Medicare |
$896.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,155.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,241.57
|
| Rate for Payer: BCBS Complete |
$600.27
|
| Rate for Payer: BCBS MAPPO |
$862.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,117.43
|
| Rate for Payer: BCN Commercial |
$1,296.95
|
| Rate for Payer: BCN Medicare Advantage |
$862.20
|
| Rate for Payer: Cash Price |
$1,270.40
|
| Rate for Payer: Cash Price |
$1,270.40
|
| Rate for Payer: Cofinity Commercial |
$1,155.35
|
| Rate for Payer: Cofinity Commercial |
$1,241.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$862.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$905.31
|
| Rate for Payer: Meridian Medicaid |
$600.27
|
| Rate for Payer: Nomi Health Commercial |
$1,034.64
|
| Rate for Payer: PACE SWMI |
$862.20
|
| Rate for Payer: PHP Commercial |
$1,207.08
|
| Rate for Payer: PHP Medicare Advantage |
$862.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$571.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,032.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,600.66
|
| Rate for Payer: Priority Health Medicare |
$862.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,600.66
|
| Rate for Payer: Priority Health SBD |
$1,600.66
|
| Rate for Payer: UHC Dual Complete DSNP |
$862.20
|
| Rate for Payer: UHC Medicare Advantage |
$862.20
|
| Rate for Payer: UHCCP Medicaid |
$571.69
|
| Rate for Payer: UMR Bronson Commercial |
$730.48
|
|
|
PR BIOPSY PENIS DEEP STRUCTURES
|
Professional
|
Both
|
$563.00
|
|
|
Service Code
|
HCPCS 54105
|
| Min. Negotiated Rate |
$136.96 |
| Max. Negotiated Rate |
$1,906.11 |
| Rate for Payer: Aetna Commercial |
$272.56
|
| Rate for Payer: Aetna Medicare |
$211.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$272.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$292.90
|
| Rate for Payer: BCBS Complete |
$143.81
|
| Rate for Payer: BCBS MAPPO |
$203.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,906.11
|
| Rate for Payer: BCN Commercial |
$401.69
|
| Rate for Payer: BCN Medicare Advantage |
$203.40
|
| Rate for Payer: Cash Price |
$450.40
|
| Rate for Payer: Cash Price |
$450.40
|
| Rate for Payer: Cofinity Commercial |
$272.56
|
| Rate for Payer: Cofinity Commercial |
$292.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$213.57
|
| Rate for Payer: Meridian Medicaid |
$143.81
|
| Rate for Payer: Nomi Health Commercial |
$244.08
|
| Rate for Payer: PACE SWMI |
$203.40
|
| Rate for Payer: PHP Commercial |
$284.76
|
| Rate for Payer: PHP Medicare Advantage |
$203.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$365.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$340.34
|
| Rate for Payer: Priority Health Medicare |
$203.40
|
| Rate for Payer: Priority Health Narrow Network |
$340.34
|
| Rate for Payer: Priority Health SBD |
$340.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$203.40
|
| Rate for Payer: UHC Medicare Advantage |
$203.40
|
| Rate for Payer: UHCCP Medicaid |
$136.96
|
| Rate for Payer: UMR Bronson Commercial |
$258.98
|
|
|
PR BIOPSY PENIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$307.00
|
|
|
Service Code
|
HCPCS 54100
|
| Min. Negotiated Rate |
$78.17 |
| Max. Negotiated Rate |
$1,453.88 |
| Rate for Payer: Aetna Commercial |
$154.64
|
| Rate for Payer: Aetna Medicare |
$120.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.18
|
| Rate for Payer: BCBS Complete |
$82.08
|
| Rate for Payer: BCBS MAPPO |
$115.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.88
|
| Rate for Payer: BCN Commercial |
$296.14
|
| Rate for Payer: BCN Medicare Advantage |
$115.40
|
| Rate for Payer: Cash Price |
$245.60
|
| Rate for Payer: Cash Price |
$245.60
|
| Rate for Payer: Cofinity Commercial |
$154.64
|
| Rate for Payer: Cofinity Commercial |
$166.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.17
|
| Rate for Payer: Meridian Medicaid |
$82.08
|
| Rate for Payer: Nomi Health Commercial |
$138.48
|
| Rate for Payer: PACE SWMI |
$115.40
|
| Rate for Payer: PHP Commercial |
$161.56
|
| Rate for Payer: PHP Medicare Advantage |
$115.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$199.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.33
|
| Rate for Payer: Priority Health Medicare |
$115.40
|
| Rate for Payer: Priority Health Narrow Network |
$193.33
|
| Rate for Payer: Priority Health SBD |
$193.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$115.40
|
| Rate for Payer: UHC Medicare Advantage |
$115.40
|
| Rate for Payer: UHCCP Medicaid |
$78.17
|
| Rate for Payer: UMR Bronson Commercial |
$141.22
|
|
|
PR BIOPSY PROSTATE INCISIONAL ANY APPROACH
|
Professional
|
Both
|
$477.00
|
|
|
Service Code
|
HCPCS 55705
|
| Min. Negotiated Rate |
$169.97 |
| Max. Negotiated Rate |
$1,436.98 |
| Rate for Payer: Aetna Commercial |
$339.25
|
| Rate for Payer: Aetna Medicare |
$263.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$339.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.56
|
| Rate for Payer: BCBS Complete |
$178.47
|
| Rate for Payer: BCBS MAPPO |
$253.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,436.98
|
| Rate for Payer: BCN Commercial |
$382.64
|
| Rate for Payer: BCN Medicare Advantage |
$253.17
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cofinity Commercial |
$339.25
|
| Rate for Payer: Cofinity Commercial |
$364.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$253.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$265.83
|
| Rate for Payer: Meridian Medicaid |
$178.47
|
| Rate for Payer: Nomi Health Commercial |
$303.80
|
| Rate for Payer: PACE SWMI |
$253.17
|
| Rate for Payer: PHP Commercial |
$354.44
|
| Rate for Payer: PHP Medicare Advantage |
$253.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$169.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$310.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.82
|
| Rate for Payer: Priority Health Medicare |
$253.17
|
| Rate for Payer: Priority Health Narrow Network |
$421.82
|
| Rate for Payer: Priority Health SBD |
$421.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$253.17
|
| Rate for Payer: UHC Medicare Advantage |
$253.17
|
| Rate for Payer: UHCCP Medicaid |
$169.97
|
| Rate for Payer: UMR Bronson Commercial |
$219.42
|
|
|
PR BIOPSY SALIVARY GLAND INCISIONAL
|
Professional
|
Both
|
$533.00
|
|
|
Service Code
|
HCPCS 42405
|
| Min. Negotiated Rate |
$146.76 |
| Max. Negotiated Rate |
$448.61 |
| Rate for Payer: Aetna Commercial |
$290.51
|
| Rate for Payer: Aetna Medicare |
$225.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$290.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$312.19
|
| Rate for Payer: BCBS Complete |
$154.10
|
| Rate for Payer: BCBS MAPPO |
$216.80
|
| Rate for Payer: BCBS Trust/PPO |
$192.83
|
| Rate for Payer: BCN Commercial |
$448.61
|
| Rate for Payer: BCN Medicare Advantage |
$216.80
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Cash Price |
$426.40
|
| Rate for Payer: Cofinity Commercial |
$290.51
|
| Rate for Payer: Cofinity Commercial |
$312.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$216.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$227.64
|
| Rate for Payer: Meridian Medicaid |
$154.10
|
| Rate for Payer: Nomi Health Commercial |
$260.16
|
| Rate for Payer: PACE SWMI |
$216.80
|
| Rate for Payer: PHP Commercial |
$303.52
|
| Rate for Payer: PHP Medicare Advantage |
$216.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$346.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$409.26
|
| Rate for Payer: Priority Health Medicare |
$216.80
|
| Rate for Payer: Priority Health Narrow Network |
$409.26
|
| Rate for Payer: Priority Health SBD |
$409.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$216.80
|
| Rate for Payer: UHC Medicare Advantage |
$216.80
|
| Rate for Payer: UHCCP Medicaid |
$146.76
|
| Rate for Payer: UMR Bronson Commercial |
$245.18
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK DEEP
|
Professional
|
Both
|
$920.00
|
|
|
Service Code
|
HCPCS 21925
|
| Min. Negotiated Rate |
$247.29 |
| Max. Negotiated Rate |
$727.15 |
| Rate for Payer: Aetna Commercial |
$487.65
|
| Rate for Payer: Aetna Medicare |
$378.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.04
|
| Rate for Payer: BCBS Complete |
$259.65
|
| Rate for Payer: BCBS MAPPO |
$363.92
|
| Rate for Payer: BCBS Trust/PPO |
$280.06
|
| Rate for Payer: BCN Commercial |
$727.15
|
| Rate for Payer: BCN Medicare Advantage |
$363.92
|
| Rate for Payer: Cash Price |
$736.00
|
| Rate for Payer: Cash Price |
$736.00
|
| Rate for Payer: Cofinity Commercial |
$487.65
|
| Rate for Payer: Cofinity Commercial |
$524.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.12
|
| Rate for Payer: Meridian Medicaid |
$259.65
|
| Rate for Payer: Nomi Health Commercial |
$436.70
|
| Rate for Payer: PACE SWMI |
$363.92
|
| Rate for Payer: PHP Commercial |
$509.49
|
| Rate for Payer: PHP Medicare Advantage |
$363.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$247.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$598.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$586.71
|
| Rate for Payer: Priority Health Medicare |
$363.92
|
| Rate for Payer: Priority Health Narrow Network |
$586.71
|
| Rate for Payer: Priority Health SBD |
$586.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.92
|
| Rate for Payer: UHC Medicare Advantage |
$363.92
|
| Rate for Payer: UHCCP Medicaid |
$247.29
|
| Rate for Payer: UMR Bronson Commercial |
$423.20
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL
|
Professional
|
Both
|
$508.00
|
|
|
Service Code
|
HCPCS 21920
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$625.34 |
| Rate for Payer: Aetna Commercial |
$197.58
|
| Rate for Payer: Aetna Medicare |
$153.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$197.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.33
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$147.45
|
| Rate for Payer: BCBS Trust/PPO |
$625.34
|
| Rate for Payer: BCN Commercial |
$377.26
|
| Rate for Payer: BCN Medicare Advantage |
$147.45
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cash Price |
$406.40
|
| Rate for Payer: Cofinity Commercial |
$197.58
|
| Rate for Payer: Cofinity Commercial |
$212.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.82
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Nomi Health Commercial |
$176.94
|
| Rate for Payer: PACE SWMI |
$147.45
|
| Rate for Payer: PHP Commercial |
$206.43
|
| Rate for Payer: PHP Medicare Advantage |
$147.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$237.63
|
| Rate for Payer: Priority Health Medicare |
$147.45
|
| Rate for Payer: Priority Health Narrow Network |
$237.63
|
| Rate for Payer: Priority Health SBD |
$237.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.45
|
| Rate for Payer: UHC Medicare Advantage |
$147.45
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
| Rate for Payer: UMR Bronson Commercial |
$233.68
|
|
|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP
|
Professional
|
Both
|
$838.00
|
|
|
Service Code
|
HCPCS 25066
|
| Min. Negotiated Rate |
$245.38 |
| Max. Negotiated Rate |
$1,010.64 |
| Rate for Payer: Aetna Commercial |
$480.67
|
| Rate for Payer: Aetna Medicare |
$373.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$516.54
|
| Rate for Payer: BCBS Complete |
$257.65
|
| Rate for Payer: BCBS MAPPO |
$358.71
|
| Rate for Payer: BCBS Trust/PPO |
$1,010.64
|
| Rate for Payer: BCN Commercial |
$544.87
|
| 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 |
$480.67
|
| Rate for Payer: Cofinity Commercial |
$516.54
|
| 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: Meridian Medicaid |
$257.65
|
| 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 Choice Medicaid |
$245.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$573.99
|
| Rate for Payer: Priority Health Medicare |
$358.71
|
| Rate for Payer: Priority Health Narrow Network |
$573.99
|
| Rate for Payer: Priority Health SBD |
$573.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$358.71
|
| Rate for Payer: UHC Medicare Advantage |
$358.71
|
| Rate for Payer: UHCCP Medicaid |
$245.38
|
| 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 |
$102.03 |
| Max. Negotiated Rate |
$376.28 |
| Rate for Payer: Aetna Commercial |
$200.30
|
| Rate for Payer: Aetna Medicare |
$155.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.25
|
| Rate for Payer: BCBS Complete |
$107.13
|
| Rate for Payer: BCBS MAPPO |
$149.48
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$376.28
|
| 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 |
$200.30
|
| Rate for Payer: Cofinity Commercial |
$215.25
|
| 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: Meridian Medicaid |
$107.13
|
| 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 Choice Medicaid |
$102.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$316.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.23
|
| Rate for Payer: Priority Health Medicare |
$149.48
|
| Rate for Payer: Priority Health Narrow Network |
$243.23
|
| Rate for Payer: Priority Health SBD |
$243.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$149.48
|
| Rate for Payer: UHC Medicare Advantage |
$149.48
|
| Rate for Payer: UHCCP Medicaid |
$102.03
|
| 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 |
$268.59 |
| Max. Negotiated Rate |
$1,061.35 |
| Rate for Payer: Aetna Commercial |
$530.64
|
| Rate for Payer: Aetna Medicare |
$411.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$530.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$570.24
|
| Rate for Payer: BCBS Complete |
$282.02
|
| Rate for Payer: BCBS MAPPO |
$396.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.35
|
| Rate for Payer: BCN Commercial |
$865.94
|
| 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 |
$530.64
|
| Rate for Payer: Cofinity Commercial |
$570.24
|
| 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: Meridian Medicaid |
$282.02
|
| 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 Choice Medicaid |
$268.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$613.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$642.69
|
| Rate for Payer: Priority Health Medicare |
$396.00
|
| Rate for Payer: Priority Health Narrow Network |
$642.69
|
| Rate for Payer: Priority Health SBD |
$642.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.00
|
| Rate for Payer: UHC Medicare Advantage |
$396.00
|
| Rate for Payer: UHCCP Medicaid |
$268.59
|
| Rate for Payer: UMR Bronson Commercial |
$434.24
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$104.80 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$206.59
|
| Rate for Payer: Aetna Medicare |
$160.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.00
|
| Rate for Payer: BCBS Complete |
$110.04
|
| Rate for Payer: BCBS MAPPO |
$154.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$369.44
|
| 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: Meridian Medicaid |
$110.04
|
| 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 Choice Medicaid |
$104.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.84
|
| Rate for Payer: Priority Health Medicare |
$154.17
|
| Rate for Payer: Priority Health Narrow Network |
$248.84
|
| Rate for Payer: Priority Health SBD |
$248.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.17
|
| Rate for Payer: UHC Medicare Advantage |
$154.17
|
| Rate for Payer: UHCCP Medicaid |
$104.80
|
| Rate for Payer: UMR Bronson Commercial |
$205.16
|
|
|
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 LEG/ANKLE AREA SUPERFICIAL
|
Facility
|
OP
|
$446.00
|
|
|
Service Code
|
CPT 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$155.08 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| 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: 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 |
$222.73
|
| Rate for Payer: BCN Commercial |
$222.73
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$356.80
|
| 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 |
$1,587.48
|
| 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 |
$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 |
$379.10
|
| 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 |
$379.10
|
| 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 |
$289.90
|
| 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 |
$280.98
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.59
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$155.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$165.02
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$334.50
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$446.00
|
|
|
Service Code
|
HCPCS 27613
|
| Min. Negotiated Rate |
$104.80 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$206.59
|
| Rate for Payer: Aetna Medicare |
$160.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.00
|
| Rate for Payer: BCBS Complete |
$110.04
|
| Rate for Payer: BCBS MAPPO |
$154.17
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: BCN Commercial |
$369.44
|
| 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: Meridian Medicaid |
$110.04
|
| 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 Choice Medicaid |
$104.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$289.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.84
|
| Rate for Payer: Priority Health Medicare |
$154.17
|
| Rate for Payer: Priority Health Narrow Network |
$248.84
|
| Rate for Payer: Priority Health SBD |
$248.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.17
|
| Rate for Payer: UHC Medicare Advantage |
$154.17
|
| Rate for Payer: UHCCP Medicaid |
$104.80
|
| Rate for Payer: UMR Bronson Commercial |
$205.16
|
|
|
PR BIOPSY SOFT TISSUE NECK/THORAX
|
Professional
|
Both
|
$457.00
|
|
|
Service Code
|
HCPCS 21550
|
| Min. Negotiated Rate |
$62.73 |
| Max. Negotiated Rate |
$392.89 |
| Rate for Payer: Aetna Commercial |
$197.53
|
| Rate for Payer: Aetna Medicare |
$153.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$197.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.27
|
| Rate for Payer: BCBS Complete |
$105.34
|
| Rate for Payer: BCBS MAPPO |
$147.41
|
| Rate for Payer: BCBS Trust/PPO |
$62.73
|
| Rate for Payer: BCN Commercial |
$392.89
|
| 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 |
$197.53
|
| Rate for Payer: Cofinity Commercial |
$212.27
|
| 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: Meridian Medicaid |
$105.34
|
| 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 Choice Medicaid |
$100.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$297.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$239.16
|
| Rate for Payer: Priority Health Medicare |
$147.41
|
| Rate for Payer: Priority Health Narrow Network |
$239.16
|
| Rate for Payer: Priority Health SBD |
$239.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.41
|
| Rate for Payer: UHC Medicare Advantage |
$147.41
|
| Rate for Payer: UHCCP Medicaid |
$100.32
|
| 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 |
$129.08 |
| Max. Negotiated Rate |
$498.94 |
| Rate for Payer: Aetna Commercial |
$256.01
|
| Rate for Payer: Aetna Medicare |
$198.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.11
|
| Rate for Payer: BCBS Complete |
$135.53
|
| Rate for Payer: BCBS MAPPO |
$191.05
|
| Rate for Payer: BCBS Trust/PPO |
$289.10
|
| Rate for Payer: BCN Commercial |
$498.94
|
| 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 |
$256.01
|
| Rate for Payer: Cofinity Commercial |
$275.11
|
| 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: Meridian Medicaid |
$135.53
|
| 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 Choice Medicaid |
$129.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$304.80
|
| Rate for Payer: Priority Health Medicare |
$191.05
|
| Rate for Payer: Priority Health Narrow Network |
$304.80
|
| Rate for Payer: Priority Health SBD |
$304.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$191.05
|
| Rate for Payer: UHC Medicare Advantage |
$191.05
|
| Rate for Payer: UHCCP Medicaid |
$129.08
|
| 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 |
$316.44 |
| Max. Negotiated Rate |
$1,092.02 |
| Rate for Payer: Aetna Commercial |
$913.65
|
| Rate for Payer: Aetna Medicare |
$709.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$913.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$981.84
|
| Rate for Payer: BCBS Complete |
$482.63
|
| Rate for Payer: BCBS MAPPO |
$681.83
|
| Rate for Payer: BCBS Trust/PPO |
$316.44
|
| Rate for Payer: BCN Commercial |
$1,043.82
|
| 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 |
$913.65
|
| Rate for Payer: Cofinity Commercial |
$981.84
|
| 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: Meridian Medicaid |
$482.63
|
| 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 Choice Medicaid |
$459.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$925.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,092.02
|
| Rate for Payer: Priority Health Medicare |
$681.83
|
| Rate for Payer: Priority Health Narrow Network |
$1,092.02
|
| Rate for Payer: Priority Health SBD |
$1,092.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$681.83
|
| Rate for Payer: UHC Medicare Advantage |
$681.83
|
| Rate for Payer: UHCCP Medicaid |
$459.65
|
| 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 |
$244.10 |
| Max. Negotiated Rate |
$833.19 |
| Rate for Payer: Aetna Commercial |
$479.33
|
| Rate for Payer: Aetna Medicare |
$372.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$479.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$515.10
|
| Rate for Payer: BCBS Complete |
$256.30
|
| Rate for Payer: BCBS MAPPO |
$357.71
|
| Rate for Payer: BCBS Trust/PPO |
$426.87
|
| Rate for Payer: BCN Commercial |
$833.19
|
| 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 |
$479.33
|
| Rate for Payer: Cofinity Commercial |
$515.10
|
| 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: Meridian Medicaid |
$256.30
|
| 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 Choice Medicaid |
$244.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$551.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$573.99
|
| Rate for Payer: Priority Health Medicare |
$357.71
|
| Rate for Payer: Priority Health Narrow Network |
$573.99
|
| Rate for Payer: Priority Health SBD |
$573.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$357.71
|
| Rate for Payer: UHC Medicare Advantage |
$357.71
|
| Rate for Payer: UHCCP Medicaid |
$244.10
|
| 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 |
$269.87 |
| Max. Negotiated Rate |
$1,614.48 |
| Rate for Payer: Aetna Commercial |
$532.46
|
| Rate for Payer: Aetna Medicare |
$413.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.20
|
| Rate for Payer: BCBS Complete |
$283.36
|
| Rate for Payer: BCBS MAPPO |
$397.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: BCN Commercial |
$606.45
|
| 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 |
$532.46
|
| Rate for Payer: Cofinity Commercial |
$572.20
|
| 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: Meridian Medicaid |
$283.36
|
| 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 Choice Medicaid |
$269.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$452.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.62
|
| Rate for Payer: Priority Health Medicare |
$397.36
|
| Rate for Payer: Priority Health Narrow Network |
$638.62
|
| Rate for Payer: Priority Health SBD |
$638.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.36
|
| Rate for Payer: UHC Medicare Advantage |
$397.36
|
| Rate for Payer: UHCCP Medicaid |
$269.87
|
| 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 |
$113.74 |
| Max. Negotiated Rate |
$2,259.54 |
| Rate for Payer: Aetna Commercial |
$223.71
|
| Rate for Payer: Aetna Medicare |
$173.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.41
|
| Rate for Payer: BCBS Complete |
$119.43
|
| Rate for Payer: BCBS MAPPO |
$166.95
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.54
|
| Rate for Payer: BCN Commercial |
$402.67
|
| 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 |
$223.71
|
| Rate for Payer: Cofinity Commercial |
$240.41
|
| 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: Meridian Medicaid |
$119.43
|
| 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 Choice Medicaid |
$113.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$312.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$269.19
|
| Rate for Payer: Priority Health Medicare |
$166.95
|
| Rate for Payer: Priority Health Narrow Network |
$269.19
|
| Rate for Payer: Priority Health SBD |
$269.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$166.95
|
| Rate for Payer: UHC Medicare Advantage |
$166.95
|
| Rate for Payer: UHCCP Medicaid |
$113.74
|
| 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 |
$75.99 |
| Max. Negotiated Rate |
$920.67 |
| Rate for Payer: Aetna Commercial |
$551.09
|
| Rate for Payer: Aetna Medicare |
$427.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$551.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$592.21
|
| Rate for Payer: BCBS Complete |
$292.98
|
| Rate for Payer: BCBS MAPPO |
$411.26
|
| Rate for Payer: BCBS Trust/PPO |
$75.99
|
| Rate for Payer: BCN Commercial |
$920.67
|
| 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 |
$551.09
|
| Rate for Payer: Cofinity Commercial |
$592.21
|
| 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: Meridian Medicaid |
$292.98
|
| 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 Choice Medicaid |
$279.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$697.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$656.94
|
| Rate for Payer: Priority Health Medicare |
$411.26
|
| Rate for Payer: Priority Health Narrow Network |
$656.94
|
| Rate for Payer: Priority Health SBD |
$656.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$411.26
|
| Rate for Payer: UHC Medicare Advantage |
$411.26
|
| Rate for Payer: UHCCP Medicaid |
$279.03
|
| 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 |
$105.22 |
| Max. Negotiated Rate |
$380.19 |
| Rate for Payer: Aetna Commercial |
$206.57
|
| Rate for Payer: Aetna Medicare |
$160.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$221.99
|
| Rate for Payer: BCBS Complete |
$110.48
|
| Rate for Payer: BCBS MAPPO |
$154.16
|
| Rate for Payer: BCBS Trust/PPO |
$126.93
|
| Rate for Payer: BCN Commercial |
$380.19
|
| 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 |
$206.57
|
| Rate for Payer: Cofinity Commercial |
$221.99
|
| 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: Meridian Medicaid |
$110.48
|
| 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 Choice Medicaid |
$105.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$303.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$250.87
|
| Rate for Payer: Priority Health Medicare |
$154.16
|
| Rate for Payer: Priority Health Narrow Network |
$250.87
|
| Rate for Payer: Priority Health SBD |
$250.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$154.16
|
| Rate for Payer: UHC Medicare Advantage |
$154.16
|
| Rate for Payer: UHCCP Medicaid |
$105.22
|
| 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 |
$165.08 |
| 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) |
$330.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$355.36
|
| Rate for Payer: BCBS Complete |
$173.33
|
| Rate for Payer: BCBS MAPPO |
$246.78
|
| Rate for Payer: BCBS Trust/PPO |
$567.92
|
| Rate for Payer: BCN Commercial |
$375.79
|
| 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 |
$330.69
|
| Rate for Payer: Cofinity Commercial |
$355.36
|
| 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: Meridian Medicaid |
$173.33
|
| 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 Choice Medicaid |
$165.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,654.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$435.07
|
| Rate for Payer: Priority Health Medicare |
$246.78
|
| Rate for Payer: Priority Health Narrow Network |
$435.07
|
| Rate for Payer: Priority Health SBD |
$435.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$246.78
|
| Rate for Payer: UHC Medicare Advantage |
$246.78
|
| Rate for Payer: UHCCP Medicaid |
$165.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,170.70
|
|
