|
PR CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN
|
Professional
|
Both
|
$9,394.00
|
|
|
Service Code
|
HCPCS 61570
|
| Min. Negotiated Rate |
$610.19 |
| Max. Negotiated Rate |
$6,106.10 |
| Rate for Payer: Aetna Commercial |
$2,488.53
|
| Rate for Payer: Aetna Medicare |
$1,931.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,488.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,674.24
|
| Rate for Payer: BCBS Complete |
$1,281.51
|
| Rate for Payer: BCBS MAPPO |
$1,857.11
|
| Rate for Payer: BCBS Trust/PPO |
$610.19
|
| Rate for Payer: BCN Commercial |
$3,835.07
|
| Rate for Payer: BCN Medicare Advantage |
$1,857.11
|
| Rate for Payer: Cash Price |
$7,515.20
|
| Rate for Payer: Cash Price |
$7,515.20
|
| Rate for Payer: Cofinity Commercial |
$2,488.53
|
| Rate for Payer: Cofinity Commercial |
$2,674.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,857.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,949.97
|
| Rate for Payer: Meridian Medicaid |
$1,281.51
|
| Rate for Payer: Nomi Health Commercial |
$2,228.53
|
| Rate for Payer: PACE SWMI |
$1,857.11
|
| Rate for Payer: PHP Commercial |
$2,599.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,857.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,220.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,106.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,246.23
|
| Rate for Payer: Priority Health Medicare |
$1,857.11
|
| Rate for Payer: Priority Health Narrow Network |
$3,246.23
|
| Rate for Payer: Priority Health SBD |
$3,246.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,857.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,857.11
|
| Rate for Payer: UHCCP Medicaid |
$1,220.49
|
| Rate for Payer: UMR Bronson Commercial |
$4,321.24
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL
|
Professional
|
Both
|
$4,188.00
|
|
|
Service Code
|
HCPCS 61305
|
| Min. Negotiated Rate |
$1,101.51 |
| Max. Negotiated Rate |
$3,474.28 |
| Rate for Payer: Aetna Commercial |
$2,667.16
|
| Rate for Payer: Aetna Medicare |
$2,070.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,667.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,866.20
|
| Rate for Payer: BCBS Complete |
$1,372.32
|
| Rate for Payer: BCBS MAPPO |
$1,990.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,101.51
|
| Rate for Payer: BCN Commercial |
$2,959.43
|
| Rate for Payer: BCN Medicare Advantage |
$1,990.42
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cash Price |
$3,350.40
|
| Rate for Payer: Cofinity Commercial |
$2,667.16
|
| Rate for Payer: Cofinity Commercial |
$2,866.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,990.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,089.94
|
| Rate for Payer: Meridian Medicaid |
$1,372.32
|
| Rate for Payer: Nomi Health Commercial |
$2,388.50
|
| Rate for Payer: PACE SWMI |
$1,990.42
|
| Rate for Payer: PHP Commercial |
$2,786.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,990.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,306.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,722.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,474.28
|
| Rate for Payer: Priority Health Medicare |
$1,990.42
|
| Rate for Payer: Priority Health Narrow Network |
$3,474.28
|
| Rate for Payer: Priority Health SBD |
$3,474.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,990.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,990.42
|
| Rate for Payer: UHCCP Medicaid |
$1,306.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,926.48
|
|
|
PR CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL
|
Professional
|
Both
|
$5,463.00
|
|
|
Service Code
|
HCPCS 61304
|
| Min. Negotiated Rate |
$797.20 |
| Max. Negotiated Rate |
$3,550.95 |
| Rate for Payer: Aetna Commercial |
$2,180.14
|
| Rate for Payer: Aetna Medicare |
$1,692.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,180.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,342.84
|
| Rate for Payer: BCBS Complete |
$1,122.94
|
| Rate for Payer: BCBS MAPPO |
$1,626.97
|
| Rate for Payer: BCBS Trust/PPO |
$797.20
|
| Rate for Payer: BCN Commercial |
$3,350.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,626.97
|
| Rate for Payer: Cash Price |
$4,370.40
|
| Rate for Payer: Cash Price |
$4,370.40
|
| Rate for Payer: Cofinity Commercial |
$2,180.14
|
| Rate for Payer: Cofinity Commercial |
$2,342.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,626.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,708.32
|
| Rate for Payer: Meridian Medicaid |
$1,122.94
|
| Rate for Payer: Nomi Health Commercial |
$1,952.36
|
| Rate for Payer: PACE SWMI |
$1,626.97
|
| Rate for Payer: PHP Commercial |
$2,277.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,626.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,069.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,550.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,843.00
|
| Rate for Payer: Priority Health Medicare |
$1,626.97
|
| Rate for Payer: Priority Health Narrow Network |
$2,843.00
|
| Rate for Payer: Priority Health SBD |
$2,843.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,626.97
|
| Rate for Payer: UHC Medicare Advantage |
$1,626.97
|
| Rate for Payer: UHCCP Medicaid |
$1,069.47
|
| Rate for Payer: UMR Bronson Commercial |
$2,512.98
|
|
|
PR CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN
|
Professional
|
Both
|
$8,983.00
|
|
|
Service Code
|
HCPCS 61571
|
| Min. Negotiated Rate |
$723.24 |
| Max. Negotiated Rate |
$5,838.95 |
| Rate for Payer: Aetna Commercial |
$2,648.99
|
| Rate for Payer: Aetna Medicare |
$2,055.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,648.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,846.68
|
| Rate for Payer: BCBS Complete |
$1,363.15
|
| Rate for Payer: BCBS MAPPO |
$1,976.86
|
| Rate for Payer: BCBS Trust/PPO |
$723.24
|
| Rate for Payer: BCN Commercial |
$2,939.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,976.86
|
| Rate for Payer: Cash Price |
$7,186.40
|
| Rate for Payer: Cash Price |
$7,186.40
|
| Rate for Payer: Cofinity Commercial |
$2,648.99
|
| Rate for Payer: Cofinity Commercial |
$2,846.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,976.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,075.70
|
| Rate for Payer: Meridian Medicaid |
$1,363.15
|
| Rate for Payer: Nomi Health Commercial |
$2,372.23
|
| Rate for Payer: PACE SWMI |
$1,976.86
|
| Rate for Payer: PHP Commercial |
$2,767.60
|
| Rate for Payer: PHP Medicare Advantage |
$1,976.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,298.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,838.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,451.54
|
| Rate for Payer: Priority Health Medicare |
$1,976.86
|
| Rate for Payer: Priority Health Narrow Network |
$3,451.54
|
| Rate for Payer: Priority Health SBD |
$3,451.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,976.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,976.86
|
| Rate for Payer: UHCCP Medicaid |
$1,298.24
|
| Rate for Payer: UMR Bronson Commercial |
$4,132.18
|
|
|
PR CRANIECTOMY FOR OSTEOMYELITIS
|
Professional
|
Both
|
$5,360.00
|
|
|
Service Code
|
HCPCS 61501
|
| Min. Negotiated Rate |
$264.68 |
| Max. Negotiated Rate |
$3,484.00 |
| Rate for Payer: Aetna Commercial |
$1,479.19
|
| Rate for Payer: Aetna Medicare |
$1,148.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,479.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,589.57
|
| Rate for Payer: BCBS Complete |
$772.04
|
| Rate for Payer: BCBS MAPPO |
$1,103.87
|
| Rate for Payer: BCBS Trust/PPO |
$264.68
|
| Rate for Payer: BCN Commercial |
$2,316.50
|
| Rate for Payer: BCN Medicare Advantage |
$1,103.87
|
| Rate for Payer: Cash Price |
$4,288.00
|
| Rate for Payer: Cash Price |
$4,288.00
|
| Rate for Payer: Cofinity Commercial |
$1,479.19
|
| Rate for Payer: Cofinity Commercial |
$1,589.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,103.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,159.06
|
| Rate for Payer: Meridian Medicaid |
$772.04
|
| Rate for Payer: Nomi Health Commercial |
$1,324.64
|
| Rate for Payer: PACE SWMI |
$1,103.87
|
| Rate for Payer: PHP Commercial |
$1,545.42
|
| Rate for Payer: PHP Medicare Advantage |
$1,103.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$735.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,484.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,951.84
|
| Rate for Payer: Priority Health Medicare |
$1,103.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,951.84
|
| Rate for Payer: Priority Health SBD |
$1,951.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,103.87
|
| Rate for Payer: UHC Medicare Advantage |
$1,103.87
|
| Rate for Payer: UHCCP Medicaid |
$735.28
|
| Rate for Payer: UMR Bronson Commercial |
$2,465.60
|
|
|
PR CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NRV
|
Professional
|
Both
|
$6,301.00
|
|
|
Service Code
|
HCPCS 61460
|
| Min. Negotiated Rate |
$1,018.03 |
| Max. Negotiated Rate |
$4,310.97 |
| Rate for Payer: Aetna Commercial |
$2,800.76
|
| Rate for Payer: Aetna Medicare |
$2,173.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,800.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,009.77
|
| Rate for Payer: BCBS Complete |
$1,440.31
|
| Rate for Payer: BCBS MAPPO |
$2,090.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,018.03
|
| Rate for Payer: BCN Commercial |
$4,310.97
|
| Rate for Payer: BCN Medicare Advantage |
$2,090.12
|
| Rate for Payer: Cash Price |
$5,040.80
|
| Rate for Payer: Cash Price |
$5,040.80
|
| Rate for Payer: Cofinity Commercial |
$2,800.76
|
| Rate for Payer: Cofinity Commercial |
$3,009.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,090.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,194.63
|
| Rate for Payer: Meridian Medicaid |
$1,440.31
|
| Rate for Payer: Nomi Health Commercial |
$2,508.14
|
| Rate for Payer: PACE SWMI |
$2,090.12
|
| Rate for Payer: PHP Commercial |
$2,926.17
|
| Rate for Payer: PHP Medicare Advantage |
$2,090.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,371.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,095.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,647.74
|
| Rate for Payer: Priority Health Medicare |
$2,090.12
|
| Rate for Payer: Priority Health Narrow Network |
$3,647.74
|
| Rate for Payer: Priority Health SBD |
$3,647.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,090.12
|
| Rate for Payer: UHC Medicare Advantage |
$2,090.12
|
| Rate for Payer: UHCCP Medicaid |
$1,371.72
|
| Rate for Payer: UMR Bronson Commercial |
$2,898.46
|
|
|
PR CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL
|
Professional
|
Both
|
$2,739.00
|
|
|
Service Code
|
HCPCS 61500
|
| Min. Negotiated Rate |
$534.64 |
| Max. Negotiated Rate |
$2,658.85 |
| Rate for Payer: Aetna Commercial |
$1,695.96
|
| Rate for Payer: Aetna Medicare |
$1,316.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,695.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,822.52
|
| Rate for Payer: BCBS Complete |
$882.52
|
| Rate for Payer: BCBS MAPPO |
$1,265.64
|
| Rate for Payer: BCBS Trust/PPO |
$534.64
|
| Rate for Payer: BCN Commercial |
$2,658.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,265.64
|
| Rate for Payer: Cash Price |
$2,191.20
|
| Rate for Payer: Cash Price |
$2,191.20
|
| Rate for Payer: Cofinity Commercial |
$1,695.96
|
| Rate for Payer: Cofinity Commercial |
$1,822.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,265.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,328.92
|
| Rate for Payer: Meridian Medicaid |
$882.52
|
| Rate for Payer: Nomi Health Commercial |
$1,518.77
|
| Rate for Payer: PACE SWMI |
$1,265.64
|
| Rate for Payer: PHP Commercial |
$1,771.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,265.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$840.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,780.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,243.02
|
| Rate for Payer: Priority Health Medicare |
$1,265.64
|
| Rate for Payer: Priority Health Narrow Network |
$2,243.02
|
| Rate for Payer: Priority Health SBD |
$2,243.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,265.64
|
| Rate for Payer: UHC Medicare Advantage |
$1,265.64
|
| Rate for Payer: UHCCP Medicaid |
$840.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,259.94
|
|
|
PR CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ
|
Professional
|
Both
|
$5,312.00
|
|
|
Service Code
|
HCPCS 61580
|
| Min. Negotiated Rate |
$901.81 |
| Max. Negotiated Rate |
$4,254.56 |
| Rate for Payer: Aetna Commercial |
$3,174.67
|
| Rate for Payer: Aetna Medicare |
$2,463.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,174.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,411.59
|
| Rate for Payer: BCBS Complete |
$1,674.03
|
| Rate for Payer: BCBS MAPPO |
$2,369.16
|
| Rate for Payer: BCBS Trust/PPO |
$901.81
|
| Rate for Payer: BCN Commercial |
$3,653.84
|
| Rate for Payer: BCN Medicare Advantage |
$2,369.16
|
| Rate for Payer: Cash Price |
$4,249.60
|
| Rate for Payer: Cash Price |
$4,249.60
|
| Rate for Payer: Cofinity Commercial |
$3,174.67
|
| Rate for Payer: Cofinity Commercial |
$3,411.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,369.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,487.62
|
| Rate for Payer: Meridian Medicaid |
$1,674.03
|
| Rate for Payer: Nomi Health Commercial |
$2,842.99
|
| Rate for Payer: PACE SWMI |
$2,369.16
|
| Rate for Payer: PHP Commercial |
$3,316.82
|
| Rate for Payer: PHP Medicare Advantage |
$2,369.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,594.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,452.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,254.56
|
| Rate for Payer: Priority Health Medicare |
$2,369.16
|
| Rate for Payer: Priority Health Narrow Network |
$4,254.56
|
| Rate for Payer: Priority Health SBD |
$4,254.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,369.16
|
| Rate for Payer: UHC Medicare Advantage |
$2,369.16
|
| Rate for Payer: UHCCP Medicaid |
$1,594.31
|
| Rate for Payer: UMR Bronson Commercial |
$2,443.52
|
|
|
PR CRANIOPLASTY SKULL DEFECT <5 CM DIAMETER
|
Professional
|
Both
|
$5,342.00
|
|
|
Service Code
|
HCPCS 62140
|
| Min. Negotiated Rate |
$330.72 |
| Max. Negotiated Rate |
$3,472.30 |
| Rate for Payer: Aetna Commercial |
$1,349.23
|
| Rate for Payer: Aetna Medicare |
$1,047.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,349.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,449.92
|
| Rate for Payer: BCBS Complete |
$700.24
|
| Rate for Payer: BCBS MAPPO |
$1,006.89
|
| Rate for Payer: BCBS Trust/PPO |
$330.72
|
| Rate for Payer: BCN Commercial |
$2,092.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,006.89
|
| Rate for Payer: Cash Price |
$4,273.60
|
| Rate for Payer: Cash Price |
$4,273.60
|
| Rate for Payer: Cofinity Commercial |
$1,349.23
|
| Rate for Payer: Cofinity Commercial |
$1,449.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,006.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,057.23
|
| Rate for Payer: Meridian Medicaid |
$700.24
|
| Rate for Payer: Nomi Health Commercial |
$1,208.27
|
| Rate for Payer: PACE SWMI |
$1,006.89
|
| Rate for Payer: PHP Commercial |
$1,409.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,006.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$666.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,472.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,771.56
|
| Rate for Payer: Priority Health Medicare |
$1,006.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,771.56
|
| Rate for Payer: Priority Health SBD |
$1,771.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,006.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,006.89
|
| Rate for Payer: UHCCP Medicaid |
$666.90
|
| Rate for Payer: UMR Bronson Commercial |
$2,457.32
|
|
|
PR CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER
|
Professional
|
Both
|
$6,362.00
|
|
|
Service Code
|
HCPCS 62141
|
| Min. Negotiated Rate |
$415.77 |
| Max. Negotiated Rate |
$4,135.30 |
| Rate for Payer: Aetna Commercial |
$1,516.73
|
| Rate for Payer: Aetna Medicare |
$1,177.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,516.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,629.92
|
| Rate for Payer: BCBS Complete |
$785.23
|
| Rate for Payer: BCBS MAPPO |
$1,131.89
|
| Rate for Payer: BCBS Trust/PPO |
$415.77
|
| Rate for Payer: BCN Commercial |
$2,339.55
|
| Rate for Payer: BCN Medicare Advantage |
$1,131.89
|
| Rate for Payer: Cash Price |
$5,089.60
|
| Rate for Payer: Cash Price |
$5,089.60
|
| Rate for Payer: Cofinity Commercial |
$1,516.73
|
| Rate for Payer: Cofinity Commercial |
$1,629.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,131.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,188.48
|
| Rate for Payer: Meridian Medicaid |
$785.23
|
| Rate for Payer: Nomi Health Commercial |
$1,358.27
|
| Rate for Payer: PACE SWMI |
$1,131.89
|
| Rate for Payer: PHP Commercial |
$1,584.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,131.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$747.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,135.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,983.68
|
| Rate for Payer: Priority Health Medicare |
$1,131.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,983.68
|
| Rate for Payer: Priority Health SBD |
$1,983.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,131.89
|
| Rate for Payer: UHC Medicare Advantage |
$1,131.89
|
| Rate for Payer: UHCCP Medicaid |
$747.84
|
| Rate for Payer: UMR Bronson Commercial |
$2,926.52
|
|
|
PR CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG
|
Professional
|
Both
|
$5,986.00
|
|
|
Service Code
|
HCPCS 62145
|
| Min. Negotiated Rate |
$914.41 |
| Max. Negotiated Rate |
$3,890.90 |
| Rate for Payer: Aetna Commercial |
$1,861.25
|
| Rate for Payer: Aetna Medicare |
$1,444.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,861.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,000.15
|
| Rate for Payer: BCBS Complete |
$960.13
|
| Rate for Payer: BCBS MAPPO |
$1,388.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,261.58
|
| Rate for Payer: BCN Commercial |
$2,092.03
|
| Rate for Payer: BCN Medicare Advantage |
$1,388.99
|
| Rate for Payer: Cash Price |
$4,788.80
|
| Rate for Payer: Cash Price |
$4,788.80
|
| Rate for Payer: Cofinity Commercial |
$1,861.25
|
| Rate for Payer: Cofinity Commercial |
$2,000.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,388.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,458.44
|
| Rate for Payer: Meridian Medicaid |
$960.13
|
| Rate for Payer: Nomi Health Commercial |
$1,666.79
|
| Rate for Payer: PACE SWMI |
$1,388.99
|
| Rate for Payer: PHP Commercial |
$1,944.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,388.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$914.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,890.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,465.96
|
| Rate for Payer: Priority Health Medicare |
$1,388.99
|
| Rate for Payer: Priority Health Narrow Network |
$2,465.96
|
| Rate for Payer: Priority Health SBD |
$2,465.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,388.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,388.99
|
| Rate for Payer: UHCCP Medicaid |
$914.41
|
| Rate for Payer: UMR Bronson Commercial |
$2,753.56
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT <5 CM DIAMETER
|
Professional
|
Both
|
$6,377.00
|
|
|
Service Code
|
HCPCS 62146
|
| Min. Negotiated Rate |
$818.56 |
| Max. Negotiated Rate |
$4,145.05 |
| Rate for Payer: Aetna Commercial |
$1,664.76
|
| Rate for Payer: Aetna Medicare |
$1,292.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,664.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,789.00
|
| Rate for Payer: BCBS Complete |
$859.49
|
| Rate for Payer: BCBS MAPPO |
$1,242.36
|
| Rate for Payer: BCBS Trust/PPO |
$1,636.15
|
| Rate for Payer: BCN Commercial |
$2,567.33
|
| Rate for Payer: BCN Medicare Advantage |
$1,242.36
|
| Rate for Payer: Cash Price |
$5,101.60
|
| Rate for Payer: Cash Price |
$5,101.60
|
| Rate for Payer: Cofinity Commercial |
$1,664.76
|
| Rate for Payer: Cofinity Commercial |
$1,789.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,242.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,304.48
|
| Rate for Payer: Meridian Medicaid |
$859.49
|
| Rate for Payer: Nomi Health Commercial |
$1,490.83
|
| Rate for Payer: PACE SWMI |
$1,242.36
|
| Rate for Payer: PHP Commercial |
$1,739.30
|
| Rate for Payer: PHP Medicare Advantage |
$1,242.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$818.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,145.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,174.76
|
| Rate for Payer: Priority Health Medicare |
$1,242.36
|
| Rate for Payer: Priority Health Narrow Network |
$2,174.76
|
| Rate for Payer: Priority Health SBD |
$2,174.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,242.36
|
| Rate for Payer: UHC Medicare Advantage |
$1,242.36
|
| Rate for Payer: UHCCP Medicaid |
$818.56
|
| Rate for Payer: UMR Bronson Commercial |
$2,933.42
|
|
|
PR CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER
|
Professional
|
Both
|
$7,296.00
|
|
|
Service Code
|
HCPCS 62147
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$4,742.40 |
| Rate for Payer: Aetna Commercial |
$1,895.70
|
| Rate for Payer: Aetna Medicare |
$1,471.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,895.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,037.17
|
| Rate for Payer: BCBS Complete |
$977.80
|
| Rate for Payer: BCBS MAPPO |
$1,414.70
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$2,898.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,414.70
|
| Rate for Payer: Cash Price |
$5,836.80
|
| Rate for Payer: Cash Price |
$5,836.80
|
| Rate for Payer: Cofinity Commercial |
$1,895.70
|
| Rate for Payer: Cofinity Commercial |
$2,037.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,414.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,485.44
|
| Rate for Payer: Meridian Medicaid |
$977.80
|
| Rate for Payer: Nomi Health Commercial |
$1,697.64
|
| Rate for Payer: PACE SWMI |
$1,414.70
|
| Rate for Payer: PHP Commercial |
$1,980.58
|
| Rate for Payer: PHP Medicare Advantage |
$1,414.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$931.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,742.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,453.43
|
| Rate for Payer: Priority Health Medicare |
$1,414.70
|
| Rate for Payer: Priority Health Narrow Network |
$2,453.43
|
| Rate for Payer: Priority Health SBD |
$2,453.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,414.70
|
| Rate for Payer: UHC Medicare Advantage |
$1,414.70
|
| Rate for Payer: UHCCP Medicaid |
$931.24
|
| Rate for Payer: UMR Bronson Commercial |
$3,356.16
|
|
|
PR CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG
|
Professional
|
Both
|
$7,866.00
|
|
|
Service Code
|
HCPCS 61540
|
| Min. Negotiated Rate |
$611.24 |
| Max. Negotiated Rate |
$5,112.90 |
| Rate for Payer: Aetna Commercial |
$2,893.84
|
| Rate for Payer: Aetna Medicare |
$2,245.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,893.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,109.80
|
| Rate for Payer: BCBS Complete |
$1,487.27
|
| Rate for Payer: BCBS MAPPO |
$2,159.58
|
| Rate for Payer: BCBS Trust/PPO |
$611.24
|
| Rate for Payer: BCN Commercial |
$3,209.63
|
| Rate for Payer: BCN Medicare Advantage |
$2,159.58
|
| Rate for Payer: Cash Price |
$6,292.80
|
| Rate for Payer: Cash Price |
$6,292.80
|
| Rate for Payer: Cofinity Commercial |
$2,893.84
|
| Rate for Payer: Cofinity Commercial |
$3,109.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,159.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,267.56
|
| Rate for Payer: Meridian Medicaid |
$1,487.27
|
| Rate for Payer: Nomi Health Commercial |
$2,591.50
|
| Rate for Payer: PACE SWMI |
$2,159.58
|
| Rate for Payer: PHP Commercial |
$3,023.41
|
| Rate for Payer: PHP Medicare Advantage |
$2,159.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,416.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,112.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,767.74
|
| Rate for Payer: Priority Health Medicare |
$2,159.58
|
| Rate for Payer: Priority Health Narrow Network |
$3,767.74
|
| Rate for Payer: Priority Health SBD |
$3,767.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,159.58
|
| Rate for Payer: UHC Medicare Advantage |
$2,159.58
|
| Rate for Payer: UHCCP Medicaid |
$1,416.45
|
| Rate for Payer: UMR Bronson Commercial |
$3,618.36
|
|
|
PR CRANIOTOMY EXCISION CRANIOPHARYNGIOMA
|
Professional
|
Both
|
$6,696.00
|
|
|
Service Code
|
HCPCS 61545
|
| Min. Negotiated Rate |
$2,070.57 |
| Max. Negotiated Rate |
$6,510.19 |
| Rate for Payer: Aetna Commercial |
$4,234.51
|
| Rate for Payer: Aetna Medicare |
$3,286.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,234.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,550.52
|
| Rate for Payer: BCBS Complete |
$2,174.10
|
| Rate for Payer: BCBS MAPPO |
$3,160.08
|
| Rate for Payer: BCBS Trust/PPO |
$2,713.35
|
| Rate for Payer: BCN Commercial |
$6,510.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,160.08
|
| Rate for Payer: Cash Price |
$5,356.80
|
| Rate for Payer: Cash Price |
$5,356.80
|
| Rate for Payer: Cofinity Commercial |
$4,234.51
|
| Rate for Payer: Cofinity Commercial |
$4,550.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,160.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,318.08
|
| Rate for Payer: Meridian Medicaid |
$2,174.10
|
| Rate for Payer: Nomi Health Commercial |
$3,792.10
|
| Rate for Payer: PACE SWMI |
$3,160.08
|
| Rate for Payer: PHP Commercial |
$4,424.11
|
| Rate for Payer: PHP Medicare Advantage |
$3,160.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,070.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,352.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,505.73
|
| Rate for Payer: Priority Health Medicare |
$3,160.08
|
| Rate for Payer: Priority Health Narrow Network |
$5,505.73
|
| Rate for Payer: Priority Health SBD |
$5,505.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,160.08
|
| Rate for Payer: UHC Medicare Advantage |
$3,160.08
|
| Rate for Payer: UHCCP Medicaid |
$2,070.57
|
| Rate for Payer: UMR Bronson Commercial |
$3,080.16
|
|
|
PR CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE
|
Professional
|
Both
|
$5,612.00
|
|
|
Service Code
|
HCPCS 62121
|
| Min. Negotiated Rate |
$998.12 |
| Max. Negotiated Rate |
$3,647.80 |
| Rate for Payer: Aetna Commercial |
$2,003.46
|
| Rate for Payer: Aetna Medicare |
$1,554.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,003.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,152.97
|
| Rate for Payer: BCBS Complete |
$1,048.03
|
| Rate for Payer: BCBS MAPPO |
$1,495.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,394.18
|
| Rate for Payer: BCN Commercial |
$2,295.32
|
| Rate for Payer: BCN Medicare Advantage |
$1,495.12
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cofinity Commercial |
$2,003.46
|
| Rate for Payer: Cofinity Commercial |
$2,152.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,495.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,569.88
|
| Rate for Payer: Meridian Medicaid |
$1,048.03
|
| Rate for Payer: Nomi Health Commercial |
$1,794.14
|
| Rate for Payer: PACE SWMI |
$1,495.12
|
| Rate for Payer: PHP Commercial |
$2,093.17
|
| Rate for Payer: PHP Medicare Advantage |
$1,495.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$998.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,647.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,678.65
|
| Rate for Payer: Priority Health Medicare |
$1,495.12
|
| Rate for Payer: Priority Health Narrow Network |
$2,678.65
|
| Rate for Payer: Priority Health SBD |
$2,678.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,495.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,495.12
|
| Rate for Payer: UHCCP Medicaid |
$998.12
|
| Rate for Payer: UMR Bronson Commercial |
$2,581.52
|
|
|
PR CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY
|
Professional
|
Both
|
$7,067.00
|
|
|
Service Code
|
HCPCS 61537
|
| Min. Negotiated Rate |
$1,595.37 |
| Max. Negotiated Rate |
$4,593.55 |
| Rate for Payer: Aetna Commercial |
$3,268.50
|
| Rate for Payer: Aetna Medicare |
$2,536.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,268.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,512.42
|
| Rate for Payer: BCBS Complete |
$1,675.14
|
| Rate for Payer: BCBS MAPPO |
$2,439.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,057.20
|
| Rate for Payer: BCN Commercial |
$3,618.66
|
| Rate for Payer: BCN Medicare Advantage |
$2,439.18
|
| Rate for Payer: Cash Price |
$5,653.60
|
| Rate for Payer: Cash Price |
$5,653.60
|
| Rate for Payer: Cofinity Commercial |
$3,268.50
|
| Rate for Payer: Cofinity Commercial |
$3,512.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,439.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,561.14
|
| Rate for Payer: Meridian Medicaid |
$1,675.14
|
| Rate for Payer: Nomi Health Commercial |
$2,927.02
|
| Rate for Payer: PACE SWMI |
$2,439.18
|
| Rate for Payer: PHP Commercial |
$3,414.85
|
| Rate for Payer: PHP Medicare Advantage |
$2,439.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,595.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,593.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,242.62
|
| Rate for Payer: Priority Health Medicare |
$2,439.18
|
| Rate for Payer: Priority Health Narrow Network |
$4,242.62
|
| Rate for Payer: Priority Health SBD |
$4,242.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,439.18
|
| Rate for Payer: UHC Medicare Advantage |
$2,439.18
|
| Rate for Payer: UHCCP Medicaid |
$1,595.37
|
| Rate for Payer: UMR Bronson Commercial |
$3,250.82
|
|
|
PR CRICOPHARYNGEAL MYOTOMY
|
Professional
|
Both
|
$2,284.00
|
|
|
Service Code
|
HCPCS 43030
|
| Min. Negotiated Rate |
$226.11 |
| Max. Negotiated Rate |
$1,484.60 |
| Rate for Payer: Aetna Commercial |
$673.14
|
| Rate for Payer: Aetna Medicare |
$522.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$673.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$723.37
|
| Rate for Payer: BCBS Complete |
$355.82
|
| Rate for Payer: BCBS MAPPO |
$502.34
|
| Rate for Payer: BCBS Trust/PPO |
$226.11
|
| Rate for Payer: BCN Commercial |
$768.69
|
| Rate for Payer: BCN Medicare Advantage |
$502.34
|
| Rate for Payer: Cash Price |
$1,827.20
|
| Rate for Payer: Cash Price |
$1,827.20
|
| Rate for Payer: Cofinity Commercial |
$673.14
|
| Rate for Payer: Cofinity Commercial |
$723.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.46
|
| Rate for Payer: Meridian Medicaid |
$355.82
|
| Rate for Payer: Nomi Health Commercial |
$602.81
|
| Rate for Payer: PACE SWMI |
$502.34
|
| Rate for Payer: PHP Commercial |
$703.28
|
| Rate for Payer: PHP Medicare Advantage |
$502.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,484.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$945.61
|
| Rate for Payer: Priority Health Medicare |
$502.34
|
| Rate for Payer: Priority Health Narrow Network |
$945.61
|
| Rate for Payer: Priority Health SBD |
$945.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.34
|
| Rate for Payer: UHC Medicare Advantage |
$502.34
|
| Rate for Payer: UHCCP Medicaid |
$338.88
|
| Rate for Payer: UMR Bronson Commercial |
$1,050.64
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN
|
Professional
|
Both
|
$216.00
|
|
|
Service Code
|
HCPCS 99292
|
| Min. Negotiated Rate |
$67.73 |
| Max. Negotiated Rate |
$1,875.47 |
| Rate for Payer: Aetna Commercial |
$136.63
|
| Rate for Payer: Aetna Medicare |
$106.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.82
|
| Rate for Payer: BCBS Complete |
$71.12
|
| Rate for Payer: BCBS MAPPO |
$101.96
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$173.48
|
| Rate for Payer: BCN Medicare Advantage |
$101.96
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cash Price |
$172.80
|
| Rate for Payer: Cofinity Commercial |
$136.63
|
| Rate for Payer: Cofinity Commercial |
$146.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$101.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$107.06
|
| Rate for Payer: Meridian Medicaid |
$71.12
|
| Rate for Payer: Nomi Health Commercial |
$122.35
|
| Rate for Payer: PACE SWMI |
$101.96
|
| Rate for Payer: PHP Commercial |
$142.74
|
| Rate for Payer: PHP Medicare Advantage |
$101.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$140.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$142.68
|
| Rate for Payer: Priority Health Medicare |
$101.96
|
| Rate for Payer: Priority Health Narrow Network |
$142.68
|
| Rate for Payer: Priority Health SBD |
$142.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$101.96
|
| Rate for Payer: UHC Medicare Advantage |
$101.96
|
| Rate for Payer: UHCCP Medicaid |
$67.73
|
| Rate for Payer: UMR Bronson Commercial |
$99.36
|
|
|
PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
|
Professional
|
Both
|
$476.00
|
|
|
Service Code
|
HCPCS 99291
|
| Min. Negotiated Rate |
$135.47 |
| Max. Negotiated Rate |
$1,522.56 |
| Rate for Payer: Aetna Commercial |
$273.49
|
| Rate for Payer: Aetna Medicare |
$212.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$293.90
|
| Rate for Payer: BCBS Complete |
$142.24
|
| Rate for Payer: BCBS MAPPO |
$204.10
|
| Rate for Payer: BCBS Trust/PPO |
$1,522.56
|
| Rate for Payer: BCN Commercial |
$397.30
|
| Rate for Payer: BCN Medicare Advantage |
$204.10
|
| Rate for Payer: Cash Price |
$380.80
|
| Rate for Payer: Cash Price |
$380.80
|
| Rate for Payer: Cofinity Commercial |
$293.90
|
| Rate for Payer: Cofinity Commercial |
$273.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.30
|
| Rate for Payer: Meridian Medicaid |
$142.24
|
| Rate for Payer: Nomi Health Commercial |
$244.92
|
| Rate for Payer: PACE SWMI |
$204.10
|
| Rate for Payer: PHP Commercial |
$285.74
|
| Rate for Payer: PHP Medicare Advantage |
$204.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$309.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$414.84
|
| Rate for Payer: Priority Health Medicare |
$204.10
|
| Rate for Payer: Priority Health Narrow Network |
$414.84
|
| Rate for Payer: Priority Health SBD |
$414.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$204.10
|
| Rate for Payer: UHC Medicare Advantage |
$204.10
|
| Rate for Payer: UHCCP Medicaid |
$135.47
|
| Rate for Payer: UMR Bronson Commercial |
$218.96
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN
|
Professional
|
Both
|
$582.00
|
|
|
Service Code
|
HCPCS 99466
|
| Min. Negotiated Rate |
$168.10 |
| Max. Negotiated Rate |
$378.30 |
| Rate for Payer: Aetna Commercial |
$292.32
|
| Rate for Payer: Aetna Medicare |
$226.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$292.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.14
|
| Rate for Payer: BCBS Complete |
$232.80
|
| Rate for Payer: BCBS MAPPO |
$218.15
|
| Rate for Payer: BCBS Trust/PPO |
$168.10
|
| Rate for Payer: BCN Commercial |
$334.26
|
| Rate for Payer: BCN Medicare Advantage |
$218.15
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cash Price |
$465.60
|
| Rate for Payer: Cofinity Commercial |
$314.14
|
| Rate for Payer: Cofinity Commercial |
$292.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$218.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$229.06
|
| Rate for Payer: Nomi Health Commercial |
$261.78
|
| Rate for Payer: PACE SWMI |
$218.15
|
| Rate for Payer: PHP Commercial |
$305.41
|
| Rate for Payer: PHP Medicare Advantage |
$218.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$378.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$308.27
|
| Rate for Payer: Priority Health Medicare |
$218.15
|
| Rate for Payer: Priority Health Narrow Network |
$308.27
|
| Rate for Payer: Priority Health SBD |
$308.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$218.15
|
| Rate for Payer: UHC Medicare Advantage |
$218.15
|
| Rate for Payer: UMR Bronson Commercial |
$267.72
|
|
|
PR CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN
|
Professional
|
Both
|
$243.00
|
|
|
Service Code
|
HCPCS 99467
|
| Min. Negotiated Rate |
$97.20 |
| Max. Negotiated Rate |
$169.08 |
| Rate for Payer: Aetna Commercial |
$146.52
|
| Rate for Payer: Aetna Medicare |
$113.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$146.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$157.45
|
| Rate for Payer: BCBS Complete |
$97.20
|
| Rate for Payer: BCBS MAPPO |
$109.34
|
| Rate for Payer: BCBS Trust/PPO |
$137.11
|
| Rate for Payer: BCN Commercial |
$169.08
|
| Rate for Payer: BCN Medicare Advantage |
$109.34
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cash Price |
$194.40
|
| Rate for Payer: Cofinity Commercial |
$157.45
|
| Rate for Payer: Cofinity Commercial |
$146.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$114.81
|
| Rate for Payer: Nomi Health Commercial |
$131.21
|
| Rate for Payer: PACE SWMI |
$109.34
|
| Rate for Payer: PHP Commercial |
$153.08
|
| Rate for Payer: PHP Medicare Advantage |
$109.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$157.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$154.80
|
| Rate for Payer: Priority Health Medicare |
$109.34
|
| Rate for Payer: Priority Health Narrow Network |
$154.80
|
| Rate for Payer: Priority Health SBD |
$154.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$109.34
|
| Rate for Payer: UHC Medicare Advantage |
$109.34
|
| Rate for Payer: UMR Bronson Commercial |
$111.78
|
|
|
PR CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY
|
Professional
|
Both
|
$5,018.00
|
|
|
Service Code
|
HCPCS 61322
|
| Min. Negotiated Rate |
$569.51 |
| Max. Negotiated Rate |
$4,124.89 |
| Rate for Payer: Aetna Commercial |
$3,163.40
|
| Rate for Payer: Aetna Medicare |
$2,455.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,399.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,163.40
|
| Rate for Payer: BCBS Complete |
$1,626.83
|
| Rate for Payer: BCBS MAPPO |
$2,360.75
|
| Rate for Payer: BCBS Trust/PPO |
$569.51
|
| Rate for Payer: BCN Commercial |
$3,510.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,360.75
|
| Rate for Payer: Cash Price |
$4,014.40
|
| Rate for Payer: Cash Price |
$4,014.40
|
| Rate for Payer: Cofinity Commercial |
$3,399.48
|
| Rate for Payer: Cofinity Commercial |
$3,163.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,360.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,478.79
|
| Rate for Payer: Meridian Medicaid |
$1,626.83
|
| Rate for Payer: Nomi Health Commercial |
$2,832.90
|
| Rate for Payer: PACE SWMI |
$2,360.75
|
| Rate for Payer: PHP Commercial |
$3,305.05
|
| Rate for Payer: PHP Medicare Advantage |
$2,360.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,549.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,261.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,124.89
|
| Rate for Payer: Priority Health Medicare |
$2,360.75
|
| Rate for Payer: Priority Health Narrow Network |
$4,124.89
|
| Rate for Payer: Priority Health SBD |
$4,124.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,360.75
|
| Rate for Payer: UHC Medicare Advantage |
$2,360.75
|
| Rate for Payer: UHCCP Medicaid |
$1,549.36
|
| Rate for Payer: UMR Bronson Commercial |
$2,308.28
|
|
|
PR CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL
|
Professional
|
Both
|
$4,357.00
|
|
|
Service Code
|
HCPCS 61321
|
| Min. Negotiated Rate |
$431.09 |
| Max. Negotiated Rate |
$3,678.46 |
| Rate for Payer: Aetna Commercial |
$2,825.07
|
| Rate for Payer: Aetna Medicare |
$2,192.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,825.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,035.89
|
| Rate for Payer: BCBS Complete |
$1,452.61
|
| Rate for Payer: BCBS MAPPO |
$2,108.26
|
| Rate for Payer: BCBS Trust/PPO |
$431.09
|
| Rate for Payer: BCN Commercial |
$3,133.89
|
| Rate for Payer: BCN Medicare Advantage |
$2,108.26
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cash Price |
$3,485.60
|
| Rate for Payer: Cofinity Commercial |
$2,825.07
|
| Rate for Payer: Cofinity Commercial |
$3,035.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,108.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,213.67
|
| Rate for Payer: Meridian Medicaid |
$1,452.61
|
| Rate for Payer: Nomi Health Commercial |
$2,529.91
|
| Rate for Payer: PACE SWMI |
$2,108.26
|
| Rate for Payer: PHP Commercial |
$2,951.56
|
| Rate for Payer: PHP Medicare Advantage |
$2,108.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,383.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,832.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,678.46
|
| Rate for Payer: Priority Health Medicare |
$2,108.26
|
| Rate for Payer: Priority Health Narrow Network |
$3,678.46
|
| Rate for Payer: Priority Health SBD |
$3,678.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,108.26
|
| Rate for Payer: UHC Medicare Advantage |
$2,108.26
|
| Rate for Payer: UHCCP Medicaid |
$1,383.44
|
| Rate for Payer: UMR Bronson Commercial |
$2,004.22
|
|
|
PR CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL
|
Professional
|
Both
|
$6,842.00
|
|
|
Service Code
|
HCPCS 61320
|
| Min. Negotiated Rate |
$495.02 |
| Max. Negotiated Rate |
$4,447.30 |
| Rate for Payer: Aetna Commercial |
$2,522.23
|
| Rate for Payer: Aetna Medicare |
$1,957.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,522.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,710.45
|
| Rate for Payer: BCBS Complete |
$1,296.95
|
| Rate for Payer: BCBS MAPPO |
$1,882.26
|
| Rate for Payer: BCBS Trust/PPO |
$495.02
|
| Rate for Payer: BCN Commercial |
$3,871.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,882.26
|
| Rate for Payer: Cash Price |
$5,473.60
|
| Rate for Payer: Cash Price |
$5,473.60
|
| Rate for Payer: Cofinity Commercial |
$2,522.23
|
| Rate for Payer: Cofinity Commercial |
$2,710.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,882.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,976.37
|
| Rate for Payer: Meridian Medicaid |
$1,296.95
|
| Rate for Payer: Nomi Health Commercial |
$2,258.71
|
| Rate for Payer: PACE SWMI |
$1,882.26
|
| Rate for Payer: PHP Commercial |
$2,635.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,882.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,235.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,447.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,278.07
|
| Rate for Payer: Priority Health Medicare |
$1,882.26
|
| Rate for Payer: Priority Health Narrow Network |
$3,278.07
|
| Rate for Payer: Priority Health SBD |
$3,278.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,882.26
|
| Rate for Payer: UHC Medicare Advantage |
$1,882.26
|
| Rate for Payer: UHCCP Medicaid |
$1,235.19
|
| Rate for Payer: UMR Bronson Commercial |
$3,147.32
|
|
