|
PR DESTRUCTION BENIGN LESIONS 15/>
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 17111
|
| Min. Negotiated Rate |
$47.07 |
| Max. Negotiated Rate |
$168.00 |
| Rate for Payer: Aetna Commercial |
$94.78
|
| Rate for Payer: Aetna Medicare |
$73.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$101.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.78
|
| Rate for Payer: BCBS Complete |
$49.42
|
| Rate for Payer: BCBS MAPPO |
$70.73
|
| Rate for Payer: BCN Commercial |
$100.14
|
| Rate for Payer: BCN Medicare Advantage |
$70.73
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$101.85
|
| Rate for Payer: Cofinity Commercial |
$94.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.27
|
| Rate for Payer: Meridian Medicaid |
$49.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.80
|
| Rate for Payer: Nomi Health Commercial |
$84.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.00
|
| Rate for Payer: PACE SWMI |
$70.73
|
| Rate for Payer: PHP Commercial |
$99.02
|
| Rate for Payer: PHP Medicare Advantage |
$70.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$116.22
|
| Rate for Payer: Priority Health Medicare |
$70.73
|
| Rate for Payer: Priority Health SBD |
$116.22
|
| Rate for Payer: Priority Health Tiered Network |
$116.22
|
| Rate for Payer: Railroad Medicare Medicare |
$70.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.10
|
| Rate for Payer: UHC Core |
$140.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$70.73
|
| Rate for Payer: UHC Exchange |
$140.10
|
| Rate for Payer: UHC Medicaid |
$47.07
|
| Rate for Payer: UHCCP Medicaid |
$47.07
|
| Rate for Payer: UMR Bronson Commercial |
$103.04
|
|
|
PR DESTRUCTION BENIGN LESIONS UP TO 14
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 17110
|
| Hospital Charge Code |
17110
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$141.00 |
| Rate for Payer: Aetna Commercial |
$79.74
|
| Rate for Payer: Aetna Medicare |
$61.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.69
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCBS MAPPO |
$59.51
|
| Rate for Payer: BCN Commercial |
$82.07
|
| Rate for Payer: BCN Medicare Advantage |
$59.51
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Commercial |
$79.74
|
| Rate for Payer: Cofinity Commercial |
$85.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.49
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.46
|
| Rate for Payer: Nomi Health Commercial |
$71.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: PACE SWMI |
$59.51
|
| Rate for Payer: PHP Commercial |
$83.31
|
| Rate for Payer: PHP Medicare Advantage |
$59.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$95.25
|
| Rate for Payer: Priority Health Medicare |
$59.51
|
| Rate for Payer: Priority Health SBD |
$95.25
|
| Rate for Payer: Priority Health Tiered Network |
$95.25
|
| Rate for Payer: Railroad Medicare Medicare |
$59.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$113.90
|
| Rate for Payer: UHC Core |
$113.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.51
|
| Rate for Payer: UHC Exchange |
$113.90
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
| Rate for Payer: UMR Bronson Commercial |
$86.48
|
|
|
PR DESTRUCTION BENIGN LESIONS UP TO 14
|
Facility
|
OP
|
$188.00
|
|
|
Service Code
|
CPT 17110
|
| Hospital Charge Code |
17110
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$69.56 |
| Max. Negotiated Rate |
$646.50 |
| Rate for Payer: Aetna American Axle |
$122.20
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna Medicare |
$207.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$249.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$249.89
|
| Rate for Payer: BCBS Complete |
$109.79
|
| Rate for Payer: BCBS MAPPO |
$199.91
|
| Rate for Payer: BCBS Trust/PPO |
$126.14
|
| Rate for Payer: BCN Commercial |
$126.14
|
| Rate for Payer: BCN Medicare Advantage |
$199.91
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Advantage |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$199.91
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.00
|
| Rate for Payer: Mclaren Medicaid |
$199.91
|
| Rate for Payer: Mclaren Medicare |
$199.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$209.91
|
| Rate for Payer: Meridian Medicaid |
$209.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$229.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$219.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Nomi Health Commercial |
$599.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: PACE Medicare |
$189.91
|
| Rate for Payer: PACE SWMI |
$199.91
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Medicare Advantage |
$199.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$646.50
|
| Rate for Payer: Priority Health Medicare |
$199.91
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: Priority Health Tiered Network |
$517.20
|
| Rate for Payer: Railroad Medicare Medicare |
$199.91
|
| Rate for Payer: UHC Medicaid |
$104.55
|
| Rate for Payer: UHCCP Medicaid |
$104.55
|
| Rate for Payer: UMR Bronson Commercial |
$69.56
|
| Rate for Payer: VA VA |
$199.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.00
|
|
|
PR DESTRUCTION BENIGN LESIONS UP TO 14
|
Professional
|
Both
|
$188.00
|
|
|
Service Code
|
HCPCS 17110
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$141.00 |
| Rate for Payer: Aetna Commercial |
$79.74
|
| Rate for Payer: Aetna Medicare |
$61.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.69
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCBS MAPPO |
$59.51
|
| Rate for Payer: BCN Commercial |
$82.07
|
| Rate for Payer: BCN Medicare Advantage |
$59.51
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Commercial |
$79.74
|
| Rate for Payer: Cofinity Commercial |
$85.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.49
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.46
|
| Rate for Payer: Nomi Health Commercial |
$71.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: PACE SWMI |
$59.51
|
| Rate for Payer: PHP Commercial |
$83.31
|
| Rate for Payer: PHP Medicare Advantage |
$59.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$95.25
|
| Rate for Payer: Priority Health Medicare |
$59.51
|
| Rate for Payer: Priority Health SBD |
$95.25
|
| Rate for Payer: Priority Health Tiered Network |
$95.25
|
| Rate for Payer: Railroad Medicare Medicare |
$59.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$113.90
|
| Rate for Payer: UHC Core |
$113.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.51
|
| Rate for Payer: UHC Exchange |
$113.90
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
| Rate for Payer: UMR Bronson Commercial |
$86.48
|
|
|
PR DESTRUCTION BENIGN LESIONS UP TO 14
|
Facility
|
IP
|
$188.00
|
|
|
Service Code
|
CPT 17110
|
| Hospital Charge Code |
17110
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$82.72 |
| Max. Negotiated Rate |
$169.20 |
| Rate for Payer: Aetna American Axle |
$122.20
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cofinity Advantage |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.40
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: UMR Bronson Commercial |
$82.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.00
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Professional
|
Both
|
$649.00
|
|
|
Service Code
|
HCPCS 17106
|
| Hospital Charge Code |
17106
|
| Min. Negotiated Rate |
$152.72 |
| Max. Negotiated Rate |
$486.75 |
| Rate for Payer: Aetna Commercial |
$311.07
|
| Rate for Payer: Aetna Medicare |
$241.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.28
|
| Rate for Payer: BCBS Complete |
$160.36
|
| Rate for Payer: BCBS MAPPO |
$232.14
|
| Rate for Payer: BCN Commercial |
$329.48
|
| Rate for Payer: BCN Medicare Advantage |
$232.14
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Commercial |
$311.07
|
| Rate for Payer: Cofinity Commercial |
$334.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.75
|
| Rate for Payer: Meridian Medicaid |
$160.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$255.35
|
| Rate for Payer: Nomi Health Commercial |
$278.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
| Rate for Payer: PACE SWMI |
$232.14
|
| Rate for Payer: PHP Commercial |
$325.00
|
| Rate for Payer: PHP Medicare Advantage |
$232.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$382.40
|
| Rate for Payer: Priority Health Medicare |
$232.14
|
| Rate for Payer: Priority Health SBD |
$382.40
|
| Rate for Payer: Priority Health Tiered Network |
$382.40
|
| Rate for Payer: Railroad Medicare Medicare |
$232.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$472.27
|
| Rate for Payer: UHC Core |
$472.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$232.14
|
| Rate for Payer: UHC Exchange |
$472.27
|
| Rate for Payer: UHC Medicaid |
$152.72
|
| Rate for Payer: UHCCP Medicaid |
$152.72
|
| Rate for Payer: UMR Bronson Commercial |
$298.54
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Facility
|
IP
|
$649.00
|
|
|
Service Code
|
CPT 17106
|
| Hospital Charge Code |
17106
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$285.56 |
| Max. Negotiated Rate |
$584.10 |
| Rate for Payer: Aetna American Axle |
$421.85
|
| Rate for Payer: Aetna Commercial |
$551.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$421.85
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Advantage |
$454.30
|
| Rate for Payer: Cofinity Commercial |
$558.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$519.20
|
| Rate for Payer: Healthscope Commercial |
$584.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$454.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$486.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$551.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
| Rate for Payer: PHP Commercial |
$551.65
|
| Rate for Payer: Priority Health SBD |
$408.87
|
| Rate for Payer: UMR Bronson Commercial |
$285.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$486.75
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Professional
|
Both
|
$649.00
|
|
|
Service Code
|
HCPCS 17106
|
| Min. Negotiated Rate |
$152.72 |
| Max. Negotiated Rate |
$486.75 |
| Rate for Payer: Aetna Commercial |
$311.07
|
| Rate for Payer: Aetna Medicare |
$241.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.28
|
| Rate for Payer: BCBS Complete |
$160.36
|
| Rate for Payer: BCBS MAPPO |
$232.14
|
| Rate for Payer: BCN Commercial |
$329.48
|
| Rate for Payer: BCN Medicare Advantage |
$232.14
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Commercial |
$311.07
|
| Rate for Payer: Cofinity Commercial |
$334.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.75
|
| Rate for Payer: Meridian Medicaid |
$160.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$255.35
|
| Rate for Payer: Nomi Health Commercial |
$278.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
| Rate for Payer: PACE SWMI |
$232.14
|
| Rate for Payer: PHP Commercial |
$325.00
|
| Rate for Payer: PHP Medicare Advantage |
$232.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$152.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$382.40
|
| Rate for Payer: Priority Health Medicare |
$232.14
|
| Rate for Payer: Priority Health SBD |
$382.40
|
| Rate for Payer: Priority Health Tiered Network |
$382.40
|
| Rate for Payer: Railroad Medicare Medicare |
$232.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$472.27
|
| Rate for Payer: UHC Core |
$472.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$232.14
|
| Rate for Payer: UHC Exchange |
$472.27
|
| Rate for Payer: UHC Medicaid |
$152.72
|
| Rate for Payer: UHCCP Medicaid |
$152.72
|
| Rate for Payer: UMR Bronson Commercial |
$298.54
|
|
|
PR DESTRUCTION CUTAN VASC PROLIFERATIVE LES<10SQCM
|
Facility
|
OP
|
$649.00
|
|
|
Service Code
|
CPT 17106
|
| Hospital Charge Code |
17106
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$211.84 |
| Max. Negotiated Rate |
$1,309.90 |
| Rate for Payer: Aetna American Axle |
$421.85
|
| Rate for Payer: Aetna Commercial |
$551.65
|
| Rate for Payer: Aetna Medicare |
$421.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$421.85
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$546.92
|
| Rate for Payer: BCN Commercial |
$546.92
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cash Price |
$519.20
|
| Rate for Payer: Cofinity Advantage |
$454.30
|
| Rate for Payer: Cofinity Commercial |
$558.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$519.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$584.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$454.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$486.75
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$425.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$551.65
|
| Rate for Payer: Nomi Health Commercial |
$1,215.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$486.75
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$551.65
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,309.90
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health SBD |
$408.87
|
| Rate for Payer: Priority Health Tiered Network |
$1,047.92
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: UMR Bronson Commercial |
$240.13
|
| Rate for Payer: VA VA |
$405.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$486.75
|
|
|
PR DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY
|
Professional
|
Both
|
$348.00
|
|
|
Service Code
|
HCPCS 46930
|
| Min. Negotiated Rate |
$100.54 |
| Max. Negotiated Rate |
$283.36 |
| Rate for Payer: Aetna Commercial |
$201.12
|
| Rate for Payer: Aetna Medicare |
$156.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$201.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$216.13
|
| Rate for Payer: BCBS Complete |
$105.57
|
| Rate for Payer: BCBS MAPPO |
$150.09
|
| Rate for Payer: BCN Commercial |
$183.39
|
| Rate for Payer: BCN Medicare Advantage |
$150.09
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cofinity Commercial |
$201.12
|
| Rate for Payer: Cofinity Commercial |
$216.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$150.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$157.59
|
| Rate for Payer: Meridian Medicaid |
$105.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$165.10
|
| Rate for Payer: Nomi Health Commercial |
$180.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.00
|
| Rate for Payer: PACE SWMI |
$150.09
|
| Rate for Payer: PHP Commercial |
$210.13
|
| Rate for Payer: PHP Medicare Advantage |
$150.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$283.36
|
| Rate for Payer: Priority Health Medicare |
$150.09
|
| Rate for Payer: Priority Health SBD |
$283.36
|
| Rate for Payer: Priority Health Tiered Network |
$283.36
|
| Rate for Payer: Railroad Medicare Medicare |
$150.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$258.55
|
| Rate for Payer: UHC Core |
$258.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$150.09
|
| Rate for Payer: UHC Exchange |
$258.55
|
| Rate for Payer: UHC Medicaid |
$100.54
|
| Rate for Payer: UHCCP Medicaid |
$100.54
|
| Rate for Payer: UMR Bronson Commercial |
$160.08
|
|
|
PR DESTRUCTION LESION LID MARGIN < 1 CM
|
Professional
|
Both
|
$502.00
|
|
|
Service Code
|
HCPCS 67850
|
| Min. Negotiated Rate |
$71.78 |
| Max. Negotiated Rate |
$376.50 |
| Rate for Payer: Aetna Commercial |
$145.78
|
| Rate for Payer: Aetna Medicare |
$113.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.66
|
| Rate for Payer: BCBS Complete |
$75.37
|
| Rate for Payer: BCBS MAPPO |
$108.79
|
| Rate for Payer: BCN Commercial |
$196.20
|
| Rate for Payer: BCN Medicare Advantage |
$108.79
|
| Rate for Payer: Cash Price |
$401.60
|
| Rate for Payer: Cash Price |
$401.60
|
| Rate for Payer: Cofinity Commercial |
$145.78
|
| Rate for Payer: Cofinity Commercial |
$156.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$108.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.23
|
| Rate for Payer: Meridian Medicaid |
$75.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$119.67
|
| Rate for Payer: Nomi Health Commercial |
$130.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$376.50
|
| Rate for Payer: PACE SWMI |
$108.79
|
| Rate for Payer: PHP Commercial |
$152.31
|
| Rate for Payer: PHP Medicare Advantage |
$108.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$71.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$229.83
|
| Rate for Payer: Priority Health Medicare |
$108.79
|
| Rate for Payer: Priority Health SBD |
$229.83
|
| Rate for Payer: Priority Health Tiered Network |
$229.83
|
| Rate for Payer: Railroad Medicare Medicare |
$108.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.43
|
| Rate for Payer: UHC Core |
$225.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$108.79
|
| Rate for Payer: UHC Exchange |
$225.43
|
| Rate for Payer: UHC Medicaid |
$71.78
|
| Rate for Payer: UHCCP Medicaid |
$71.78
|
| Rate for Payer: UMR Bronson Commercial |
$230.92
|
|
|
PR DESTRUCTION LESIONS VULVA EXTENSIVE
|
Professional
|
Both
|
$597.00
|
|
|
Service Code
|
HCPCS 56515
|
| Min. Negotiated Rate |
$121.20 |
| Max. Negotiated Rate |
$447.75 |
| Rate for Payer: Aetna Commercial |
$249.12
|
| Rate for Payer: Aetna Medicare |
$193.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$267.71
|
| Rate for Payer: BCBS Complete |
$127.26
|
| Rate for Payer: BCBS MAPPO |
$185.91
|
| Rate for Payer: BCN Commercial |
$319.70
|
| Rate for Payer: BCN Medicare Advantage |
$185.91
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Cash Price |
$477.60
|
| Rate for Payer: Cofinity Commercial |
$249.12
|
| Rate for Payer: Cofinity Commercial |
$267.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.21
|
| Rate for Payer: Meridian Medicaid |
$127.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$204.50
|
| Rate for Payer: Nomi Health Commercial |
$223.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$447.75
|
| Rate for Payer: PACE SWMI |
$185.91
|
| Rate for Payer: PHP Commercial |
$260.27
|
| Rate for Payer: PHP Medicare Advantage |
$185.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$121.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$323.78
|
| Rate for Payer: Priority Health Medicare |
$185.91
|
| Rate for Payer: Priority Health SBD |
$323.78
|
| Rate for Payer: Priority Health Tiered Network |
$323.78
|
| Rate for Payer: Railroad Medicare Medicare |
$185.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$361.99
|
| Rate for Payer: UHC Core |
$361.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$185.91
|
| Rate for Payer: UHC Exchange |
$361.99
|
| Rate for Payer: UHC Medicaid |
$121.20
|
| Rate for Payer: UHCCP Medicaid |
$121.20
|
| Rate for Payer: UMR Bronson Commercial |
$274.62
|
|
|
PR DESTRUCTION LESIONS VULVA SIMPLE
|
Professional
|
Both
|
$396.00
|
|
|
Service Code
|
HCPCS 56501
|
| Min. Negotiated Rate |
$76.47 |
| Max. Negotiated Rate |
$297.00 |
| Rate for Payer: Aetna Commercial |
$155.12
|
| Rate for Payer: Aetna Medicare |
$120.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$166.69
|
| Rate for Payer: BCBS Complete |
$80.29
|
| Rate for Payer: BCBS MAPPO |
$115.76
|
| Rate for Payer: BCN Commercial |
$158.65
|
| Rate for Payer: BCN Medicare Advantage |
$115.76
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cash Price |
$316.80
|
| Rate for Payer: Cofinity Commercial |
$155.12
|
| Rate for Payer: Cofinity Commercial |
$166.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$115.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.55
|
| Rate for Payer: Meridian Medicaid |
$80.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$127.34
|
| Rate for Payer: Nomi Health Commercial |
$138.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.00
|
| Rate for Payer: PACE SWMI |
$115.76
|
| Rate for Payer: PHP Commercial |
$162.06
|
| Rate for Payer: PHP Medicare Advantage |
$115.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$76.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$203.76
|
| Rate for Payer: Priority Health Medicare |
$115.76
|
| Rate for Payer: Priority Health SBD |
$203.76
|
| Rate for Payer: Priority Health Tiered Network |
$203.76
|
| Rate for Payer: Railroad Medicare Medicare |
$115.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$216.54
|
| Rate for Payer: UHC Core |
$216.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$115.76
|
| Rate for Payer: UHC Exchange |
$216.54
|
| Rate for Payer: UHC Medicaid |
$76.47
|
| Rate for Payer: UHCCP Medicaid |
$76.47
|
| Rate for Payer: UMR Bronson Commercial |
$182.16
|
|
|
PR DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<
|
Professional
|
Both
|
$241.00
|
|
|
Service Code
|
HCPCS 17280
|
| Min. Negotiated Rate |
$47.50 |
| Max. Negotiated Rate |
$180.75 |
| Rate for Payer: Aetna Commercial |
$96.92
|
| Rate for Payer: Aetna Medicare |
$75.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.92
|
| Rate for Payer: BCBS Complete |
$49.88
|
| Rate for Payer: BCBS MAPPO |
$72.33
|
| Rate for Payer: BCN Commercial |
$104.07
|
| Rate for Payer: BCN Medicare Advantage |
$72.33
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cash Price |
$192.80
|
| Rate for Payer: Cofinity Commercial |
$104.16
|
| Rate for Payer: Cofinity Commercial |
$96.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$75.95
|
| Rate for Payer: Meridian Medicaid |
$49.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$79.56
|
| Rate for Payer: Nomi Health Commercial |
$86.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.75
|
| Rate for Payer: PACE SWMI |
$72.33
|
| Rate for Payer: PHP Commercial |
$101.26
|
| Rate for Payer: PHP Medicare Advantage |
$72.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$120.78
|
| Rate for Payer: Priority Health Medicare |
$72.33
|
| Rate for Payer: Priority Health SBD |
$120.78
|
| Rate for Payer: Priority Health Tiered Network |
$120.78
|
| Rate for Payer: Railroad Medicare Medicare |
$72.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$149.59
|
| Rate for Payer: UHC Core |
$149.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$72.33
|
| Rate for Payer: UHC Exchange |
$149.59
|
| Rate for Payer: UHC Medicaid |
$47.50
|
| Rate for Payer: UHCCP Medicaid |
$47.50
|
| Rate for Payer: UMR Bronson Commercial |
$110.86
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/<
|
Professional
|
Both
|
$258.00
|
|
|
Service Code
|
HCPCS 17270
|
| Min. Negotiated Rate |
$51.76 |
| Max. Negotiated Rate |
$193.50 |
| Rate for Payer: Aetna Commercial |
$105.77
|
| Rate for Payer: Aetna Medicare |
$82.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$105.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.66
|
| Rate for Payer: BCBS Complete |
$54.35
|
| Rate for Payer: BCBS MAPPO |
$78.93
|
| Rate for Payer: BCN Commercial |
$114.67
|
| Rate for Payer: BCN Medicare Advantage |
$78.93
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cash Price |
$206.40
|
| Rate for Payer: Cofinity Commercial |
$105.77
|
| Rate for Payer: Cofinity Commercial |
$113.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$78.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$82.88
|
| Rate for Payer: Meridian Medicaid |
$54.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$86.82
|
| Rate for Payer: Nomi Health Commercial |
$94.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.50
|
| Rate for Payer: PACE SWMI |
$78.93
|
| Rate for Payer: PHP Commercial |
$110.50
|
| Rate for Payer: PHP Medicare Advantage |
$78.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$51.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$133.09
|
| Rate for Payer: Priority Health Medicare |
$78.93
|
| Rate for Payer: Priority Health SBD |
$133.09
|
| Rate for Payer: Priority Health Tiered Network |
$133.09
|
| Rate for Payer: Railroad Medicare Medicare |
$78.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$165.44
|
| Rate for Payer: UHC Core |
$165.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$78.93
|
| Rate for Payer: UHC Exchange |
$165.44
|
| Rate for Payer: UHC Medicaid |
$51.76
|
| Rate for Payer: UHCCP Medicaid |
$51.76
|
| Rate for Payer: UMR Bronson Commercial |
$118.68
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM
|
Professional
|
Both
|
$279.00
|
|
|
Service Code
|
HCPCS 17271
|
| Min. Negotiated Rate |
$56.87 |
| Max. Negotiated Rate |
$209.25 |
| Rate for Payer: Aetna Commercial |
$116.39
|
| Rate for Payer: Aetna Medicare |
$90.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$125.08
|
| Rate for Payer: BCBS Complete |
$59.71
|
| Rate for Payer: BCBS MAPPO |
$86.86
|
| Rate for Payer: BCN Commercial |
$125.27
|
| Rate for Payer: BCN Medicare Advantage |
$86.86
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cash Price |
$223.20
|
| Rate for Payer: Cofinity Commercial |
$116.39
|
| Rate for Payer: Cofinity Commercial |
$125.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$91.20
|
| Rate for Payer: Meridian Medicaid |
$59.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.55
|
| Rate for Payer: Nomi Health Commercial |
$104.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$209.25
|
| Rate for Payer: PACE SWMI |
$86.86
|
| Rate for Payer: PHP Commercial |
$121.60
|
| Rate for Payer: PHP Medicare Advantage |
$86.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$145.40
|
| Rate for Payer: Priority Health Medicare |
$86.86
|
| Rate for Payer: Priority Health SBD |
$145.40
|
| Rate for Payer: Priority Health Tiered Network |
$145.40
|
| Rate for Payer: Railroad Medicare Medicare |
$86.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.42
|
| Rate for Payer: UHC Core |
$182.42
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$86.86
|
| Rate for Payer: UHC Exchange |
$182.42
|
| Rate for Payer: UHC Medicaid |
$56.87
|
| Rate for Payer: UHCCP Medicaid |
$56.87
|
| Rate for Payer: UMR Bronson Commercial |
$128.34
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM
|
Professional
|
Both
|
$317.00
|
|
|
Service Code
|
HCPCS 17272
|
| Min. Negotiated Rate |
$64.75 |
| Max. Negotiated Rate |
$237.75 |
| Rate for Payer: Aetna Commercial |
$132.86
|
| Rate for Payer: Aetna Medicare |
$103.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.78
|
| Rate for Payer: BCBS Complete |
$67.99
|
| Rate for Payer: BCBS MAPPO |
$99.15
|
| Rate for Payer: BCN Commercial |
$143.73
|
| Rate for Payer: BCN Medicare Advantage |
$99.15
|
| Rate for Payer: Cash Price |
$253.60
|
| Rate for Payer: Cash Price |
$253.60
|
| Rate for Payer: Cofinity Commercial |
$132.86
|
| Rate for Payer: Cofinity Commercial |
$142.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.11
|
| Rate for Payer: Meridian Medicaid |
$67.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$109.06
|
| Rate for Payer: Nomi Health Commercial |
$118.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.75
|
| Rate for Payer: PACE SWMI |
$99.15
|
| Rate for Payer: PHP Commercial |
$138.81
|
| Rate for Payer: PHP Medicare Advantage |
$99.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$166.82
|
| Rate for Payer: Priority Health Medicare |
$99.15
|
| Rate for Payer: Priority Health SBD |
$166.82
|
| Rate for Payer: Priority Health Tiered Network |
$166.82
|
| Rate for Payer: Railroad Medicare Medicare |
$99.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.92
|
| Rate for Payer: UHC Core |
$212.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$99.15
|
| Rate for Payer: UHC Exchange |
$212.92
|
| Rate for Payer: UHC Medicaid |
$64.75
|
| Rate for Payer: UHCCP Medicaid |
$64.75
|
| Rate for Payer: UMR Bronson Commercial |
$145.82
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM
|
Professional
|
Both
|
$354.00
|
|
|
Service Code
|
HCPCS 17273
|
| Min. Negotiated Rate |
$73.06 |
| Max. Negotiated Rate |
$265.50 |
| Rate for Payer: Aetna Commercial |
$150.08
|
| Rate for Payer: Aetna Medicare |
$116.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.28
|
| Rate for Payer: BCBS Complete |
$76.71
|
| Rate for Payer: BCBS MAPPO |
$112.00
|
| Rate for Payer: BCN Commercial |
$162.58
|
| Rate for Payer: BCN Medicare Advantage |
$112.00
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cash Price |
$283.20
|
| Rate for Payer: Cofinity Commercial |
$150.08
|
| Rate for Payer: Cofinity Commercial |
$161.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$117.60
|
| Rate for Payer: Meridian Medicaid |
$76.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.20
|
| Rate for Payer: Nomi Health Commercial |
$134.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$265.50
|
| Rate for Payer: PACE SWMI |
$112.00
|
| Rate for Payer: PHP Commercial |
$156.80
|
| Rate for Payer: PHP Medicare Advantage |
$112.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$73.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$188.69
|
| Rate for Payer: Priority Health Medicare |
$112.00
|
| Rate for Payer: Priority Health SBD |
$188.69
|
| Rate for Payer: Priority Health Tiered Network |
$188.69
|
| Rate for Payer: Railroad Medicare Medicare |
$112.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$241.58
|
| Rate for Payer: UHC Core |
$241.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.00
|
| Rate for Payer: UHC Exchange |
$241.58
|
| Rate for Payer: UHC Medicaid |
$73.06
|
| Rate for Payer: UHCCP Medicaid |
$73.06
|
| Rate for Payer: UMR Bronson Commercial |
$162.84
|
|
|
PR DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM
|
Professional
|
Both
|
$447.00
|
|
|
Service Code
|
HCPCS 17274
|
| Min. Negotiated Rate |
$88.61 |
| Max. Negotiated Rate |
$335.25 |
| Rate for Payer: Aetna Commercial |
$182.41
|
| Rate for Payer: Aetna Medicare |
$141.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.03
|
| Rate for Payer: BCBS Complete |
$93.04
|
| Rate for Payer: BCBS MAPPO |
$136.13
|
| Rate for Payer: BCN Commercial |
$199.10
|
| Rate for Payer: BCN Medicare Advantage |
$136.13
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cash Price |
$357.60
|
| Rate for Payer: Cofinity Commercial |
$182.41
|
| Rate for Payer: Cofinity Commercial |
$196.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.94
|
| Rate for Payer: Meridian Medicaid |
$93.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$149.74
|
| Rate for Payer: Nomi Health Commercial |
$163.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$335.25
|
| Rate for Payer: PACE SWMI |
$136.13
|
| Rate for Payer: PHP Commercial |
$190.58
|
| Rate for Payer: PHP Medicare Advantage |
$136.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$88.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$231.09
|
| Rate for Payer: Priority Health Medicare |
$136.13
|
| Rate for Payer: Priority Health SBD |
$231.09
|
| Rate for Payer: Priority Health Tiered Network |
$231.09
|
| Rate for Payer: Railroad Medicare Medicare |
$136.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$295.85
|
| Rate for Payer: UHC Core |
$295.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$136.13
|
| Rate for Payer: UHC Exchange |
$295.85
|
| Rate for Payer: UHC Medicaid |
$88.61
|
| Rate for Payer: UHCCP Medicaid |
$88.61
|
| Rate for Payer: UMR Bronson Commercial |
$205.62
|
|
|
PR DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<
|
Professional
|
Both
|
$173.00
|
|
|
Service Code
|
HCPCS 17260
|
| Min. Negotiated Rate |
$37.70 |
| Max. Negotiated Rate |
$129.75 |
| Rate for Payer: Aetna Commercial |
$76.76
|
| Rate for Payer: Aetna Medicare |
$59.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.48
|
| Rate for Payer: BCBS Complete |
$39.59
|
| Rate for Payer: BCBS MAPPO |
$57.28
|
| Rate for Payer: BCN Commercial |
$84.04
|
| Rate for Payer: BCN Medicare Advantage |
$57.28
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cash Price |
$138.40
|
| Rate for Payer: Cofinity Commercial |
$76.76
|
| Rate for Payer: Cofinity Commercial |
$82.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.14
|
| Rate for Payer: Meridian Medicaid |
$39.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$63.01
|
| Rate for Payer: Nomi Health Commercial |
$68.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$129.75
|
| Rate for Payer: PACE SWMI |
$57.28
|
| Rate for Payer: PHP Commercial |
$80.19
|
| Rate for Payer: PHP Medicare Advantage |
$57.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$97.54
|
| Rate for Payer: Priority Health Medicare |
$57.28
|
| Rate for Payer: Priority Health SBD |
$97.54
|
| Rate for Payer: Priority Health Tiered Network |
$97.54
|
| Rate for Payer: Railroad Medicare Medicare |
$57.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$120.51
|
| Rate for Payer: UHC Core |
$120.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.28
|
| Rate for Payer: UHC Exchange |
$120.51
|
| Rate for Payer: UHC Medicaid |
$37.70
|
| Rate for Payer: UHCCP Medicaid |
$37.70
|
| Rate for Payer: UMR Bronson Commercial |
$79.58
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
HCPCS 17281
|
| Min. Negotiated Rate |
$63.47 |
| Max. Negotiated Rate |
$228.00 |
| Rate for Payer: Aetna Commercial |
$130.15
|
| Rate for Payer: Aetna Medicare |
$101.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$130.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.87
|
| Rate for Payer: BCBS Complete |
$66.64
|
| Rate for Payer: BCBS MAPPO |
$97.13
|
| Rate for Payer: BCN Commercial |
$140.59
|
| Rate for Payer: BCN Medicare Advantage |
$97.13
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cash Price |
$243.20
|
| Rate for Payer: Cofinity Commercial |
$130.15
|
| Rate for Payer: Cofinity Commercial |
$139.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$97.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.99
|
| Rate for Payer: Meridian Medicaid |
$66.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$106.84
|
| Rate for Payer: Nomi Health Commercial |
$116.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$228.00
|
| Rate for Payer: PACE SWMI |
$97.13
|
| Rate for Payer: PHP Commercial |
$135.98
|
| Rate for Payer: PHP Medicare Advantage |
$97.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$163.17
|
| Rate for Payer: Priority Health Medicare |
$97.13
|
| Rate for Payer: Priority Health SBD |
$163.17
|
| Rate for Payer: Priority Health Tiered Network |
$163.17
|
| Rate for Payer: Railroad Medicare Medicare |
$97.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$206.22
|
| Rate for Payer: UHC Core |
$206.22
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$97.13
|
| Rate for Payer: UHC Exchange |
$206.22
|
| Rate for Payer: UHC Medicaid |
$63.47
|
| Rate for Payer: UHCCP Medicaid |
$63.47
|
| Rate for Payer: UMR Bronson Commercial |
$139.84
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM
|
Professional
|
Both
|
$348.00
|
|
|
Service Code
|
HCPCS 17282
|
| Min. Negotiated Rate |
$72.63 |
| Max. Negotiated Rate |
$261.00 |
| Rate for Payer: Aetna Commercial |
$149.22
|
| Rate for Payer: Aetna Medicare |
$115.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.36
|
| Rate for Payer: BCBS Complete |
$76.26
|
| Rate for Payer: BCBS MAPPO |
$111.36
|
| Rate for Payer: BCN Commercial |
$161.79
|
| Rate for Payer: BCN Medicare Advantage |
$111.36
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cash Price |
$278.40
|
| Rate for Payer: Cofinity Commercial |
$149.22
|
| Rate for Payer: Cofinity Commercial |
$160.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$111.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$116.93
|
| Rate for Payer: Meridian Medicaid |
$76.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$122.50
|
| Rate for Payer: Nomi Health Commercial |
$133.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$261.00
|
| Rate for Payer: PACE SWMI |
$111.36
|
| Rate for Payer: PHP Commercial |
$155.90
|
| Rate for Payer: PHP Medicare Advantage |
$111.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$187.79
|
| Rate for Payer: Priority Health Medicare |
$111.36
|
| Rate for Payer: Priority Health SBD |
$187.79
|
| Rate for Payer: Priority Health Tiered Network |
$187.79
|
| Rate for Payer: Railroad Medicare Medicare |
$111.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$240.38
|
| Rate for Payer: UHC Core |
$240.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$111.36
|
| Rate for Payer: UHC Exchange |
$240.38
|
| Rate for Payer: UHC Medicaid |
$72.63
|
| Rate for Payer: UHCCP Medicaid |
$72.63
|
| Rate for Payer: UMR Bronson Commercial |
$160.08
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM
|
Professional
|
Both
|
$416.00
|
|
|
Service Code
|
HCPCS 17283
|
| Min. Negotiated Rate |
$89.89 |
| Max. Negotiated Rate |
$312.00 |
| Rate for Payer: Aetna Commercial |
$185.07
|
| Rate for Payer: Aetna Medicare |
$143.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.88
|
| Rate for Payer: BCBS Complete |
$94.38
|
| Rate for Payer: BCBS MAPPO |
$138.11
|
| Rate for Payer: BCN Commercial |
$201.85
|
| Rate for Payer: BCN Medicare Advantage |
$138.11
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cash Price |
$332.80
|
| Rate for Payer: Cofinity Commercial |
$185.07
|
| Rate for Payer: Cofinity Commercial |
$198.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$138.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$145.02
|
| Rate for Payer: Meridian Medicaid |
$94.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$151.92
|
| Rate for Payer: Nomi Health Commercial |
$165.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$312.00
|
| Rate for Payer: PACE SWMI |
$138.11
|
| Rate for Payer: PHP Commercial |
$193.35
|
| Rate for Payer: PHP Medicare Advantage |
$138.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$89.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$234.27
|
| Rate for Payer: Priority Health Medicare |
$138.11
|
| Rate for Payer: Priority Health SBD |
$234.27
|
| Rate for Payer: Priority Health Tiered Network |
$234.27
|
| Rate for Payer: Railroad Medicare Medicare |
$138.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$301.35
|
| Rate for Payer: UHC Core |
$301.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$138.11
|
| Rate for Payer: UHC Exchange |
$301.35
|
| Rate for Payer: UHC Medicaid |
$89.89
|
| Rate for Payer: UHCCP Medicaid |
$89.89
|
| Rate for Payer: UMR Bronson Commercial |
$191.36
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM
|
Professional
|
Both
|
$442.00
|
|
|
Service Code
|
HCPCS 17284
|
| Min. Negotiated Rate |
$105.44 |
| Max. Negotiated Rate |
$351.97 |
| Rate for Payer: Aetna Commercial |
$217.62
|
| Rate for Payer: Aetna Medicare |
$168.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$217.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$233.86
|
| Rate for Payer: BCBS Complete |
$110.71
|
| Rate for Payer: BCBS MAPPO |
$162.40
|
| Rate for Payer: BCN Commercial |
$235.62
|
| Rate for Payer: BCN Medicare Advantage |
$162.40
|
| Rate for Payer: Cash Price |
$353.60
|
| Rate for Payer: Cash Price |
$353.60
|
| Rate for Payer: Cofinity Commercial |
$217.62
|
| Rate for Payer: Cofinity Commercial |
$233.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$162.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$170.52
|
| Rate for Payer: Meridian Medicaid |
$110.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$178.64
|
| Rate for Payer: Nomi Health Commercial |
$194.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.50
|
| Rate for Payer: PACE SWMI |
$162.40
|
| Rate for Payer: PHP Commercial |
$227.36
|
| Rate for Payer: PHP Medicare Advantage |
$162.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$273.47
|
| Rate for Payer: Priority Health Medicare |
$162.40
|
| Rate for Payer: Priority Health SBD |
$273.47
|
| Rate for Payer: Priority Health Tiered Network |
$273.47
|
| Rate for Payer: Railroad Medicare Medicare |
$162.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$351.97
|
| Rate for Payer: UHC Core |
$351.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$162.40
|
| Rate for Payer: UHC Exchange |
$351.97
|
| Rate for Payer: UHC Medicaid |
$105.44
|
| Rate for Payer: UHCCP Medicaid |
$105.44
|
| Rate for Payer: UMR Bronson Commercial |
$203.32
|
|
|
PR DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM
|
Professional
|
Both
|
$2,889.00
|
|
|
Service Code
|
HCPCS 17286
|
| Min. Negotiated Rate |
$143.14 |
| Max. Negotiated Rate |
$2,166.75 |
| Rate for Payer: Aetna Commercial |
$296.06
|
| Rate for Payer: Aetna Medicare |
$229.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$296.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.15
|
| Rate for Payer: BCBS Complete |
$150.30
|
| Rate for Payer: BCBS MAPPO |
$220.94
|
| Rate for Payer: BCN Commercial |
$321.62
|
| Rate for Payer: BCN Medicare Advantage |
$220.94
|
| Rate for Payer: Cash Price |
$2,311.20
|
| Rate for Payer: Cash Price |
$2,311.20
|
| Rate for Payer: Cofinity Commercial |
$296.06
|
| Rate for Payer: Cofinity Commercial |
$318.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$220.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$231.99
|
| Rate for Payer: Meridian Medicaid |
$150.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$243.03
|
| Rate for Payer: Nomi Health Commercial |
$265.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,166.75
|
| Rate for Payer: PACE SWMI |
$220.94
|
| Rate for Payer: PHP Commercial |
$309.32
|
| Rate for Payer: PHP Medicare Advantage |
$220.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$373.29
|
| Rate for Payer: Priority Health Medicare |
$220.94
|
| Rate for Payer: Priority Health SBD |
$373.29
|
| Rate for Payer: Priority Health Tiered Network |
$373.29
|
| Rate for Payer: Railroad Medicare Medicare |
$220.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$478.01
|
| Rate for Payer: UHC Core |
$478.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$220.94
|
| Rate for Payer: UHC Exchange |
$478.01
|
| Rate for Payer: UHC Medicaid |
$143.14
|
| Rate for Payer: UHCCP Medicaid |
$143.14
|
| Rate for Payer: UMR Bronson Commercial |
$1,328.94
|
|
