|
PR CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR
|
Professional
|
Both
|
$7,040.00
|
|
|
Service Code
|
HCPCS 61315
|
| Min. Negotiated Rate |
$1,127.39 |
| Max. Negotiated Rate |
$4,576.00 |
| Rate for Payer: Aetna Commercial |
$2,747.91
|
| Rate for Payer: Aetna Medicare |
$2,132.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,747.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,952.98
|
| Rate for Payer: BCBS Complete |
$1,413.47
|
| Rate for Payer: BCBS MAPPO |
$2,050.68
|
| Rate for Payer: BCBS Trust/PPO |
$1,127.39
|
| Rate for Payer: BCN Commercial |
$4,232.33
|
| Rate for Payer: BCN Medicare Advantage |
$2,050.68
|
| Rate for Payer: Cash Price |
$5,632.00
|
| Rate for Payer: Cash Price |
$5,632.00
|
| Rate for Payer: Cofinity Commercial |
$2,747.91
|
| Rate for Payer: Cofinity Commercial |
$2,952.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,050.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,153.21
|
| Rate for Payer: Meridian Medicaid |
$1,413.47
|
| Rate for Payer: Nomi Health Commercial |
$2,460.82
|
| Rate for Payer: PACE SWMI |
$2,050.68
|
| Rate for Payer: PHP Commercial |
$2,870.95
|
| Rate for Payer: PHP Medicare Advantage |
$2,050.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,346.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,576.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,584.61
|
| Rate for Payer: Priority Health Medicare |
$2,050.68
|
| Rate for Payer: Priority Health Narrow Network |
$3,584.61
|
| Rate for Payer: Priority Health SBD |
$3,584.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,050.68
|
| Rate for Payer: UHC Medicare Advantage |
$2,050.68
|
| Rate for Payer: UHCCP Medicaid |
$1,346.16
|
| Rate for Payer: UMR Bronson Commercial |
$3,238.40
|
|
|
PR CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL
|
Professional
|
Both
|
$5,612.00
|
|
|
Service Code
|
HCPCS 61314
|
| Min. Negotiated Rate |
$1,064.00 |
| Max. Negotiated Rate |
$3,730.66 |
| Rate for Payer: Aetna Commercial |
$2,426.46
|
| Rate for Payer: Aetna Medicare |
$1,883.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,426.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,607.54
|
| Rate for Payer: BCBS Complete |
$1,250.20
|
| Rate for Payer: BCBS MAPPO |
$1,810.79
|
| Rate for Payer: BCBS Trust/PPO |
$1,064.00
|
| Rate for Payer: BCN Commercial |
$3,730.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,810.79
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cash Price |
$4,489.60
|
| Rate for Payer: Cofinity Commercial |
$2,426.46
|
| Rate for Payer: Cofinity Commercial |
$2,607.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,810.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,901.33
|
| Rate for Payer: Meridian Medicaid |
$1,250.20
|
| Rate for Payer: Nomi Health Commercial |
$2,172.95
|
| Rate for Payer: PACE SWMI |
$1,810.79
|
| Rate for Payer: PHP Commercial |
$2,535.11
|
| Rate for Payer: PHP Medicare Advantage |
$1,810.79
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,190.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,647.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,163.76
|
| Rate for Payer: Priority Health Medicare |
$1,810.79
|
| Rate for Payer: Priority Health Narrow Network |
$3,163.76
|
| Rate for Payer: Priority Health SBD |
$3,163.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,810.79
|
| Rate for Payer: UHC Medicare Advantage |
$1,810.79
|
| Rate for Payer: UHCCP Medicaid |
$1,190.67
|
| Rate for Payer: UMR Bronson Commercial |
$2,581.52
|
|
|
PR CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL
|
Professional
|
Both
|
$4,171.00
|
|
|
Service Code
|
HCPCS 61313
|
| Min. Negotiated Rate |
$1,065.58 |
| Max. Negotiated Rate |
$4,059.46 |
| Rate for Payer: Aetna Commercial |
$2,638.45
|
| Rate for Payer: Aetna Medicare |
$2,047.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,638.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,835.35
|
| Rate for Payer: BCBS Complete |
$1,359.12
|
| Rate for Payer: BCBS MAPPO |
$1,968.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,065.58
|
| Rate for Payer: BCN Commercial |
$4,059.46
|
| Rate for Payer: BCN Medicare Advantage |
$1,968.99
|
| Rate for Payer: Cash Price |
$3,336.80
|
| Rate for Payer: Cash Price |
$3,336.80
|
| Rate for Payer: Cofinity Commercial |
$2,638.45
|
| Rate for Payer: Cofinity Commercial |
$2,835.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,968.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,067.44
|
| Rate for Payer: Meridian Medicaid |
$1,359.12
|
| Rate for Payer: Nomi Health Commercial |
$2,362.79
|
| Rate for Payer: PACE SWMI |
$1,968.99
|
| Rate for Payer: PHP Commercial |
$2,756.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,968.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,294.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,711.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,441.87
|
| Rate for Payer: Priority Health Medicare |
$1,968.99
|
| Rate for Payer: Priority Health Narrow Network |
$3,441.87
|
| Rate for Payer: Priority Health SBD |
$3,441.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,968.99
|
| Rate for Payer: UHC Medicare Advantage |
$1,968.99
|
| Rate for Payer: UHCCP Medicaid |
$1,294.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,918.66
|
|
|
PR CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL
|
Professional
|
Both
|
$7,129.00
|
|
|
Service Code
|
HCPCS 61312
|
| Min. Negotiated Rate |
$831.54 |
| Max. Negotiated Rate |
$4,633.85 |
| Rate for Payer: Aetna Commercial |
$2,751.62
|
| Rate for Payer: Aetna Medicare |
$2,135.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,751.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,956.97
|
| Rate for Payer: BCBS Complete |
$1,413.47
|
| Rate for Payer: BCBS MAPPO |
$2,053.45
|
| Rate for Payer: BCBS Trust/PPO |
$831.54
|
| Rate for Payer: BCN Commercial |
$4,233.69
|
| Rate for Payer: BCN Medicare Advantage |
$2,053.45
|
| Rate for Payer: Cash Price |
$5,703.20
|
| Rate for Payer: Cash Price |
$5,703.20
|
| Rate for Payer: Cofinity Commercial |
$2,751.62
|
| Rate for Payer: Cofinity Commercial |
$2,956.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,053.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,156.12
|
| Rate for Payer: Meridian Medicaid |
$1,413.47
|
| Rate for Payer: Nomi Health Commercial |
$2,464.14
|
| Rate for Payer: PACE SWMI |
$2,053.45
|
| Rate for Payer: PHP Commercial |
$2,874.83
|
| Rate for Payer: PHP Medicare Advantage |
$2,053.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,346.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,633.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,582.34
|
| Rate for Payer: Priority Health Medicare |
$2,053.45
|
| Rate for Payer: Priority Health Narrow Network |
$3,582.34
|
| Rate for Payer: Priority Health SBD |
$3,582.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,053.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,053.45
|
| Rate for Payer: UHCCP Medicaid |
$1,346.16
|
| Rate for Payer: UMR Bronson Commercial |
$3,279.34
|
|
|
PR CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY
|
Professional
|
Both
|
$8,807.00
|
|
|
Service Code
|
HCPCS 61323
|
| Min. Negotiated Rate |
$679.39 |
| Max. Negotiated Rate |
$5,724.55 |
| Rate for Payer: Aetna Commercial |
$3,153.19
|
| Rate for Payer: Aetna Medicare |
$2,447.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,153.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,388.51
|
| Rate for Payer: BCBS Complete |
$1,618.77
|
| Rate for Payer: BCBS MAPPO |
$2,353.13
|
| Rate for Payer: BCBS Trust/PPO |
$679.39
|
| Rate for Payer: BCN Commercial |
$4,887.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,353.13
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cash Price |
$7,045.60
|
| Rate for Payer: Cofinity Commercial |
$3,153.19
|
| Rate for Payer: Cofinity Commercial |
$3,388.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,353.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,470.79
|
| Rate for Payer: Meridian Medicaid |
$1,618.77
|
| Rate for Payer: Nomi Health Commercial |
$2,823.76
|
| Rate for Payer: PACE SWMI |
$2,353.13
|
| Rate for Payer: PHP Commercial |
$3,294.38
|
| Rate for Payer: PHP Medicare Advantage |
$2,353.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,541.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,724.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,134.56
|
| Rate for Payer: Priority Health Medicare |
$2,353.13
|
| Rate for Payer: Priority Health Narrow Network |
$4,134.56
|
| Rate for Payer: Priority Health SBD |
$4,134.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,353.13
|
| Rate for Payer: UHC Medicare Advantage |
$2,353.13
|
| Rate for Payer: UHCCP Medicaid |
$1,541.69
|
| Rate for Payer: UMR Bronson Commercial |
$4,051.22
|
|
|
PR CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA
|
Professional
|
Both
|
$8,419.00
|
|
|
Service Code
|
HCPCS 61518
|
| Min. Negotiated Rate |
$1,142.71 |
| Max. Negotiated Rate |
$5,660.06 |
| Rate for Payer: Aetna Commercial |
$3,677.47
|
| Rate for Payer: Aetna Medicare |
$2,854.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,677.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,951.91
|
| Rate for Payer: BCBS Complete |
$1,890.97
|
| Rate for Payer: BCBS MAPPO |
$2,744.38
|
| Rate for Payer: BCBS Trust/PPO |
$1,142.71
|
| Rate for Payer: BCN Commercial |
$5,660.06
|
| Rate for Payer: BCN Medicare Advantage |
$2,744.38
|
| Rate for Payer: Cash Price |
$6,735.20
|
| Rate for Payer: Cash Price |
$6,735.20
|
| Rate for Payer: Cofinity Commercial |
$3,677.47
|
| Rate for Payer: Cofinity Commercial |
$3,951.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,744.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,881.60
|
| Rate for Payer: Meridian Medicaid |
$1,890.97
|
| Rate for Payer: Nomi Health Commercial |
$3,293.26
|
| Rate for Payer: PACE SWMI |
$2,744.38
|
| Rate for Payer: PHP Commercial |
$3,842.13
|
| Rate for Payer: PHP Medicare Advantage |
$2,744.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,800.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,472.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,792.57
|
| Rate for Payer: Priority Health Medicare |
$2,744.38
|
| Rate for Payer: Priority Health Narrow Network |
$4,792.57
|
| Rate for Payer: Priority Health SBD |
$4,792.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,744.38
|
| Rate for Payer: UHC Medicare Advantage |
$2,744.38
|
| Rate for Payer: UHCCP Medicaid |
$1,800.92
|
| Rate for Payer: UMR Bronson Commercial |
$3,872.74
|
|
|
PR CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA
|
Professional
|
Both
|
$7,858.00
|
|
|
Service Code
|
HCPCS 61530
|
| Min. Negotiated Rate |
$1,728.07 |
| Max. Negotiated Rate |
$6,271.56 |
| Rate for Payer: Aetna Commercial |
$4,082.04
|
| Rate for Payer: Aetna Medicare |
$3,168.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,082.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,386.67
|
| Rate for Payer: BCBS Complete |
$2,092.02
|
| Rate for Payer: BCBS MAPPO |
$3,046.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,728.07
|
| Rate for Payer: BCN Commercial |
$6,271.56
|
| Rate for Payer: BCN Medicare Advantage |
$3,046.30
|
| Rate for Payer: Cash Price |
$6,286.40
|
| Rate for Payer: Cash Price |
$6,286.40
|
| Rate for Payer: Cofinity Commercial |
$4,082.04
|
| Rate for Payer: Cofinity Commercial |
$4,386.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,046.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,198.62
|
| Rate for Payer: Meridian Medicaid |
$2,092.02
|
| Rate for Payer: Nomi Health Commercial |
$3,655.56
|
| Rate for Payer: PACE SWMI |
$3,046.30
|
| Rate for Payer: PHP Commercial |
$4,264.82
|
| Rate for Payer: PHP Medicare Advantage |
$3,046.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,992.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,107.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,300.44
|
| Rate for Payer: Priority Health Medicare |
$3,046.30
|
| Rate for Payer: Priority Health Narrow Network |
$5,300.44
|
| Rate for Payer: Priority Health SBD |
$5,300.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,046.30
|
| Rate for Payer: UHC Medicare Advantage |
$3,046.30
|
| Rate for Payer: UHCCP Medicaid |
$1,992.40
|
| Rate for Payer: UMR Bronson Commercial |
$3,614.68
|
|
|
PR CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA
|
Professional
|
Both
|
$8,718.00
|
|
|
Service Code
|
HCPCS 61519
|
| Min. Negotiated Rate |
$1,169.66 |
| Max. Negotiated Rate |
$6,020.71 |
| Rate for Payer: Aetna Commercial |
$3,914.96
|
| Rate for Payer: Aetna Medicare |
$3,038.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,914.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,207.12
|
| Rate for Payer: BCBS Complete |
$2,008.60
|
| Rate for Payer: BCBS MAPPO |
$2,921.61
|
| Rate for Payer: BCBS Trust/PPO |
$1,169.66
|
| Rate for Payer: BCN Commercial |
$6,020.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,921.61
|
| Rate for Payer: Cash Price |
$6,974.40
|
| Rate for Payer: Cash Price |
$6,974.40
|
| Rate for Payer: Cofinity Commercial |
$3,914.96
|
| Rate for Payer: Cofinity Commercial |
$4,207.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,921.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,067.69
|
| Rate for Payer: Meridian Medicaid |
$2,008.60
|
| Rate for Payer: Nomi Health Commercial |
$3,505.93
|
| Rate for Payer: PACE SWMI |
$2,921.61
|
| Rate for Payer: PHP Commercial |
$4,090.25
|
| Rate for Payer: PHP Medicare Advantage |
$2,921.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,912.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,666.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,079.20
|
| Rate for Payer: Priority Health Medicare |
$2,921.61
|
| Rate for Payer: Priority Health Narrow Network |
$5,079.20
|
| Rate for Payer: Priority Health SBD |
$5,079.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,921.61
|
| Rate for Payer: UHC Medicare Advantage |
$2,921.61
|
| Rate for Payer: UHCCP Medicaid |
$1,912.95
|
| Rate for Payer: UMR Bronson Commercial |
$4,010.28
|
|
|
PR CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS
|
Professional
|
Both
|
$6,227.00
|
|
|
Service Code
|
HCPCS 61522
|
| Min. Negotiated Rate |
$581.66 |
| Max. Negotiated Rate |
$4,475.71 |
| Rate for Payer: Aetna Commercial |
$2,909.82
|
| Rate for Payer: Aetna Medicare |
$2,258.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,909.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,126.97
|
| Rate for Payer: BCBS Complete |
$1,495.77
|
| Rate for Payer: BCBS MAPPO |
$2,171.51
|
| Rate for Payer: BCBS Trust/PPO |
$581.66
|
| Rate for Payer: BCN Commercial |
$4,475.71
|
| Rate for Payer: BCN Medicare Advantage |
$2,171.51
|
| Rate for Payer: Cash Price |
$4,981.60
|
| Rate for Payer: Cash Price |
$4,981.60
|
| Rate for Payer: Cofinity Commercial |
$2,909.82
|
| Rate for Payer: Cofinity Commercial |
$3,126.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,171.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,280.09
|
| Rate for Payer: Meridian Medicaid |
$1,495.77
|
| Rate for Payer: Nomi Health Commercial |
$2,605.81
|
| Rate for Payer: PACE SWMI |
$2,171.51
|
| Rate for Payer: PHP Commercial |
$3,040.11
|
| Rate for Payer: PHP Medicare Advantage |
$2,171.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,424.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,047.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,787.65
|
| Rate for Payer: Priority Health Medicare |
$2,171.51
|
| Rate for Payer: Priority Health Narrow Network |
$3,787.65
|
| Rate for Payer: Priority Health SBD |
$3,787.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,171.51
|
| Rate for Payer: UHC Medicare Advantage |
$2,171.51
|
| Rate for Payer: UHCCP Medicaid |
$1,424.54
|
| Rate for Payer: UMR Bronson Commercial |
$2,864.42
|
|
|
PR CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST
|
Professional
|
Both
|
$7,109.00
|
|
|
Service Code
|
HCPCS 61524
|
| Min. Negotiated Rate |
$322.26 |
| Max. Negotiated Rate |
$4,620.85 |
| Rate for Payer: Aetna Commercial |
$2,771.75
|
| Rate for Payer: Aetna Medicare |
$2,151.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,771.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,978.60
|
| Rate for Payer: BCBS Complete |
$1,425.54
|
| Rate for Payer: BCBS MAPPO |
$2,068.47
|
| Rate for Payer: BCBS Trust/PPO |
$322.26
|
| Rate for Payer: BCN Commercial |
$3,075.74
|
| Rate for Payer: BCN Medicare Advantage |
$2,068.47
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Cash Price |
$5,687.20
|
| Rate for Payer: Cofinity Commercial |
$2,771.75
|
| Rate for Payer: Cofinity Commercial |
$2,978.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,068.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,171.89
|
| Rate for Payer: Meridian Medicaid |
$1,425.54
|
| Rate for Payer: Nomi Health Commercial |
$2,482.16
|
| Rate for Payer: PACE SWMI |
$2,068.47
|
| Rate for Payer: PHP Commercial |
$2,895.86
|
| Rate for Payer: PHP Medicare Advantage |
$2,068.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,357.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,620.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,610.20
|
| Rate for Payer: Priority Health Medicare |
$2,068.47
|
| Rate for Payer: Priority Health Narrow Network |
$3,610.20
|
| Rate for Payer: Priority Health SBD |
$3,610.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,068.47
|
| Rate for Payer: UHC Medicare Advantage |
$2,068.47
|
| Rate for Payer: UHCCP Medicaid |
$1,357.66
|
| Rate for Payer: UMR Bronson Commercial |
$3,270.14
|
|
|
PR CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV
|
Professional
|
Both
|
$7,844.00
|
|
|
Service Code
|
HCPCS 61458
|
| Min. Negotiated Rate |
$861.66 |
| Max. Negotiated Rate |
$5,098.60 |
| Rate for Payer: Aetna Commercial |
$2,682.32
|
| Rate for Payer: Aetna Medicare |
$2,081.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,682.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,882.49
|
| Rate for Payer: BCBS Complete |
$1,380.14
|
| Rate for Payer: BCBS MAPPO |
$2,001.73
|
| Rate for Payer: BCBS Trust/PPO |
$861.66
|
| Rate for Payer: BCN Commercial |
$4,127.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,001.73
|
| Rate for Payer: Cash Price |
$6,275.20
|
| Rate for Payer: Cash Price |
$6,275.20
|
| Rate for Payer: Cofinity Commercial |
$2,682.32
|
| Rate for Payer: Cofinity Commercial |
$2,882.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,001.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,101.82
|
| Rate for Payer: Meridian Medicaid |
$1,380.14
|
| Rate for Payer: Nomi Health Commercial |
$2,402.08
|
| Rate for Payer: PACE SWMI |
$2,001.73
|
| Rate for Payer: PHP Commercial |
$2,802.42
|
| Rate for Payer: PHP Medicare Advantage |
$2,001.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,314.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,098.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,482.82
|
| Rate for Payer: Priority Health Medicare |
$2,001.73
|
| Rate for Payer: Priority Health Narrow Network |
$3,482.82
|
| Rate for Payer: Priority Health SBD |
$3,482.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,001.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,001.73
|
| Rate for Payer: UHCCP Medicaid |
$1,314.42
|
| Rate for Payer: UMR Bronson Commercial |
$3,608.24
|
|
|
PR CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION
|
Professional
|
Both
|
$6,713.00
|
|
|
Service Code
|
HCPCS 61450
|
| Min. Negotiated Rate |
$732.75 |
| Max. Negotiated Rate |
$4,363.45 |
| Rate for Payer: Aetna Commercial |
$2,554.54
|
| Rate for Payer: Aetna Medicare |
$1,982.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,554.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,745.17
|
| Rate for Payer: BCBS Complete |
$1,313.05
|
| Rate for Payer: BCBS MAPPO |
$1,906.37
|
| Rate for Payer: BCBS Trust/PPO |
$732.75
|
| Rate for Payer: BCN Commercial |
$2,831.40
|
| Rate for Payer: BCN Medicare Advantage |
$1,906.37
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cash Price |
$5,370.40
|
| Rate for Payer: Cofinity Commercial |
$2,554.54
|
| Rate for Payer: Cofinity Commercial |
$2,745.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,906.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,001.69
|
| Rate for Payer: Meridian Medicaid |
$1,313.05
|
| Rate for Payer: Nomi Health Commercial |
$2,287.64
|
| Rate for Payer: PACE SWMI |
$1,906.37
|
| Rate for Payer: PHP Commercial |
$2,668.92
|
| Rate for Payer: PHP Medicare Advantage |
$1,906.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,250.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,363.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,325.28
|
| Rate for Payer: Priority Health Medicare |
$1,906.37
|
| Rate for Payer: Priority Health Narrow Network |
$3,325.28
|
| Rate for Payer: Priority Health SBD |
$3,325.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,906.37
|
| Rate for Payer: UHC Medicare Advantage |
$1,906.37
|
| Rate for Payer: UHCCP Medicaid |
$1,250.52
|
| Rate for Payer: UMR Bronson Commercial |
$3,087.98
|
|
|
PR CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD
|
Professional
|
Both
|
$4,610.00
|
|
|
Service Code
|
HCPCS 61343
|
| Min. Negotiated Rate |
$230.87 |
| Max. Negotiated Rate |
$4,491.99 |
| Rate for Payer: Aetna Commercial |
$2,910.48
|
| Rate for Payer: Aetna Medicare |
$2,258.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,910.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,127.68
|
| Rate for Payer: BCBS Complete |
$1,496.67
|
| Rate for Payer: BCBS MAPPO |
$2,172.00
|
| Rate for Payer: BCBS Trust/PPO |
$230.87
|
| Rate for Payer: BCN Commercial |
$4,491.99
|
| Rate for Payer: BCN Medicare Advantage |
$2,172.00
|
| Rate for Payer: Cash Price |
$3,688.00
|
| Rate for Payer: Cash Price |
$3,688.00
|
| Rate for Payer: Cofinity Commercial |
$2,910.48
|
| Rate for Payer: Cofinity Commercial |
$3,127.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,172.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,280.60
|
| Rate for Payer: Meridian Medicaid |
$1,496.67
|
| Rate for Payer: Nomi Health Commercial |
$2,606.40
|
| Rate for Payer: PACE SWMI |
$2,172.00
|
| Rate for Payer: PHP Commercial |
$3,040.80
|
| Rate for Payer: PHP Medicare Advantage |
$2,172.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,425.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,996.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,792.76
|
| Rate for Payer: Priority Health Medicare |
$2,172.00
|
| Rate for Payer: Priority Health Narrow Network |
$3,792.76
|
| Rate for Payer: Priority Health SBD |
$3,792.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,172.00
|
| Rate for Payer: UHC Medicare Advantage |
$2,172.00
|
| Rate for Payer: UHCCP Medicaid |
$1,425.40
|
| Rate for Payer: UMR Bronson Commercial |
$2,120.60
|
|
|
PR CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM
|
Professional
|
Both
|
$8,071.00
|
|
|
Service Code
|
HCPCS 61526
|
| Min. Negotiated Rate |
$811.47 |
| Max. Negotiated Rate |
$5,723.54 |
| Rate for Payer: Aetna Commercial |
$4,366.56
|
| Rate for Payer: Aetna Medicare |
$3,388.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,366.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,692.43
|
| Rate for Payer: BCBS Complete |
$2,257.52
|
| Rate for Payer: BCBS MAPPO |
$3,258.63
|
| Rate for Payer: BCBS Trust/PPO |
$811.47
|
| Rate for Payer: BCN Commercial |
$4,908.76
|
| Rate for Payer: BCN Medicare Advantage |
$3,258.63
|
| Rate for Payer: Cash Price |
$6,456.80
|
| Rate for Payer: Cash Price |
$6,456.80
|
| Rate for Payer: Cofinity Commercial |
$4,366.56
|
| Rate for Payer: Cofinity Commercial |
$4,692.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,258.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,421.56
|
| Rate for Payer: Meridian Medicaid |
$2,257.52
|
| Rate for Payer: Nomi Health Commercial |
$3,910.36
|
| Rate for Payer: PACE SWMI |
$3,258.63
|
| Rate for Payer: PHP Commercial |
$4,562.08
|
| Rate for Payer: PHP Medicare Advantage |
$3,258.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,150.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,246.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,723.54
|
| Rate for Payer: Priority Health Medicare |
$3,258.63
|
| Rate for Payer: Priority Health Narrow Network |
$5,723.54
|
| Rate for Payer: Priority Health SBD |
$5,723.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,258.63
|
| Rate for Payer: UHC Medicare Advantage |
$3,258.63
|
| Rate for Payer: UHCCP Medicaid |
$2,150.02
|
| Rate for Payer: UMR Bronson Commercial |
$3,712.66
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL
|
Professional
|
Both
|
$4,023.00
|
|
|
Service Code
|
HCPCS 61514
|
| Min. Negotiated Rate |
$137.36 |
| Max. Negotiated Rate |
$3,926.59 |
| Rate for Payer: Aetna Commercial |
$2,549.71
|
| Rate for Payer: Aetna Medicare |
$1,978.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,549.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,739.99
|
| Rate for Payer: BCBS Complete |
$1,312.60
|
| Rate for Payer: BCBS MAPPO |
$1,902.77
|
| Rate for Payer: BCBS Trust/PPO |
$137.36
|
| Rate for Payer: BCN Commercial |
$3,926.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,902.77
|
| Rate for Payer: Cash Price |
$3,218.40
|
| Rate for Payer: Cash Price |
$3,218.40
|
| Rate for Payer: Cofinity Commercial |
$2,549.71
|
| Rate for Payer: Cofinity Commercial |
$2,739.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,902.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,997.91
|
| Rate for Payer: Meridian Medicaid |
$1,312.60
|
| Rate for Payer: Nomi Health Commercial |
$2,283.32
|
| Rate for Payer: PACE SWMI |
$1,902.77
|
| Rate for Payer: PHP Commercial |
$2,663.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,902.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,250.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,614.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,316.75
|
| Rate for Payer: Priority Health Medicare |
$1,902.77
|
| Rate for Payer: Priority Health Narrow Network |
$3,316.75
|
| Rate for Payer: Priority Health SBD |
$3,316.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,902.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,902.77
|
| Rate for Payer: UHCCP Medicaid |
$1,250.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,850.58
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL
|
Professional
|
Both
|
$4,604.00
|
|
|
Service Code
|
HCPCS 61510
|
| Min. Negotiated Rate |
$455.92 |
| Max. Negotiated Rate |
$4,506.22 |
| Rate for Payer: Aetna Commercial |
$2,924.44
|
| Rate for Payer: Aetna Medicare |
$2,269.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,924.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,142.68
|
| Rate for Payer: BCBS Complete |
$1,507.85
|
| Rate for Payer: BCBS MAPPO |
$2,182.42
|
| Rate for Payer: BCBS Trust/PPO |
$455.92
|
| Rate for Payer: BCN Commercial |
$4,506.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,182.42
|
| Rate for Payer: Cash Price |
$3,683.20
|
| Rate for Payer: Cash Price |
$3,683.20
|
| Rate for Payer: Cofinity Commercial |
$2,924.44
|
| Rate for Payer: Cofinity Commercial |
$3,142.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,182.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,291.54
|
| Rate for Payer: Meridian Medicaid |
$1,507.85
|
| Rate for Payer: Nomi Health Commercial |
$2,618.90
|
| Rate for Payer: PACE SWMI |
$2,182.42
|
| Rate for Payer: PHP Commercial |
$3,055.39
|
| Rate for Payer: PHP Medicare Advantage |
$2,182.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,436.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,992.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,816.64
|
| Rate for Payer: Priority Health Medicare |
$2,182.42
|
| Rate for Payer: Priority Health Narrow Network |
$3,816.64
|
| Rate for Payer: Priority Health SBD |
$3,816.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,182.42
|
| Rate for Payer: UHC Medicare Advantage |
$2,182.42
|
| Rate for Payer: UHCCP Medicaid |
$1,436.05
|
| Rate for Payer: UMR Bronson Commercial |
$2,117.84
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL
|
Professional
|
Both
|
$7,117.00
|
|
|
Service Code
|
HCPCS 61516
|
| Min. Negotiated Rate |
$108.83 |
| Max. Negotiated Rate |
$4,626.05 |
| Rate for Payer: Aetna Commercial |
$2,484.90
|
| Rate for Payer: Aetna Medicare |
$1,928.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,484.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,670.34
|
| Rate for Payer: BCBS Complete |
$1,279.95
|
| Rate for Payer: BCBS MAPPO |
$1,854.40
|
| Rate for Payer: BCBS Trust/PPO |
$108.83
|
| Rate for Payer: BCN Commercial |
$3,832.35
|
| Rate for Payer: BCN Medicare Advantage |
$1,854.40
|
| Rate for Payer: Cash Price |
$5,693.60
|
| Rate for Payer: Cash Price |
$5,693.60
|
| Rate for Payer: Cofinity Commercial |
$2,484.90
|
| Rate for Payer: Cofinity Commercial |
$2,670.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,854.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,947.12
|
| Rate for Payer: Meridian Medicaid |
$1,279.95
|
| Rate for Payer: Nomi Health Commercial |
$2,225.28
|
| Rate for Payer: PACE SWMI |
$1,854.40
|
| Rate for Payer: PHP Commercial |
$2,596.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,854.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,219.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,626.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,249.64
|
| Rate for Payer: Priority Health Medicare |
$1,854.40
|
| Rate for Payer: Priority Health Narrow Network |
$3,249.64
|
| Rate for Payer: Priority Health SBD |
$3,249.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,854.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,854.40
|
| Rate for Payer: UHCCP Medicaid |
$1,219.00
|
| Rate for Payer: UMR Bronson Commercial |
$3,273.82
|
|
|
PR CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL
|
Professional
|
Both
|
$5,385.00
|
|
|
Service Code
|
HCPCS 61512
|
| Min. Negotiated Rate |
$223.47 |
| Max. Negotiated Rate |
$5,220.76 |
| Rate for Payer: Aetna Commercial |
$3,392.46
|
| Rate for Payer: Aetna Medicare |
$2,632.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,392.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,645.63
|
| Rate for Payer: BCBS Complete |
$1,742.68
|
| Rate for Payer: BCBS MAPPO |
$2,531.69
|
| Rate for Payer: BCBS Trust/PPO |
$223.47
|
| Rate for Payer: BCN Commercial |
$5,220.76
|
| Rate for Payer: BCN Medicare Advantage |
$2,531.69
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Cash Price |
$4,308.00
|
| Rate for Payer: Cofinity Commercial |
$3,392.46
|
| Rate for Payer: Cofinity Commercial |
$3,645.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,531.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,658.27
|
| Rate for Payer: Meridian Medicaid |
$1,742.68
|
| Rate for Payer: Nomi Health Commercial |
$3,038.03
|
| Rate for Payer: PACE SWMI |
$2,531.69
|
| Rate for Payer: PHP Commercial |
$3,544.37
|
| Rate for Payer: PHP Medicare Advantage |
$2,531.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,659.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,500.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,413.23
|
| Rate for Payer: Priority Health Medicare |
$2,531.69
|
| Rate for Payer: Priority Health Narrow Network |
$4,413.23
|
| Rate for Payer: Priority Health SBD |
$4,413.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,531.69
|
| Rate for Payer: UHC Medicare Advantage |
$2,531.69
|
| Rate for Payer: UHCCP Medicaid |
$1,659.70
|
| Rate for Payer: UMR Bronson Commercial |
$2,477.10
|
|
|
PR CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL
|
Professional
|
Both
|
$10,436.00
|
|
|
Service Code
|
HCPCS 61521
|
| Min. Negotiated Rate |
$1,168.07 |
| Max. Negotiated Rate |
$6,783.40 |
| Rate for Payer: Aetna Commercial |
$4,203.83
|
| Rate for Payer: Aetna Medicare |
$3,262.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,203.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,517.55
|
| Rate for Payer: BCBS Complete |
$2,156.66
|
| Rate for Payer: BCBS MAPPO |
$3,137.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,168.07
|
| Rate for Payer: BCN Commercial |
$6,470.19
|
| Rate for Payer: BCN Medicare Advantage |
$3,137.19
|
| Rate for Payer: Cash Price |
$8,348.80
|
| Rate for Payer: Cash Price |
$8,348.80
|
| Rate for Payer: Cofinity Commercial |
$4,203.83
|
| Rate for Payer: Cofinity Commercial |
$4,517.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,137.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,294.05
|
| Rate for Payer: Meridian Medicaid |
$2,156.66
|
| Rate for Payer: Nomi Health Commercial |
$3,764.63
|
| Rate for Payer: PACE SWMI |
$3,137.19
|
| Rate for Payer: PHP Commercial |
$4,392.07
|
| Rate for Payer: PHP Medicare Advantage |
$3,137.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,053.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,783.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,486.41
|
| Rate for Payer: Priority Health Medicare |
$3,137.19
|
| Rate for Payer: Priority Health Narrow Network |
$5,486.41
|
| Rate for Payer: Priority Health SBD |
$5,486.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,137.19
|
| Rate for Payer: UHC Medicare Advantage |
$3,137.19
|
| Rate for Payer: UHCCP Medicaid |
$2,053.96
|
| Rate for Payer: UMR Bronson Commercial |
$4,800.56
|
|
|
PR CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM
|
Professional
|
Both
|
$8,727.00
|
|
|
Service Code
|
HCPCS 61520
|
| Min. Negotiated Rate |
$1,140.60 |
| Max. Negotiated Rate |
$7,615.22 |
| Rate for Payer: Aetna Commercial |
$4,923.56
|
| Rate for Payer: Aetna Medicare |
$3,821.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,923.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5,290.99
|
| Rate for Payer: BCBS Complete |
$2,531.05
|
| Rate for Payer: BCBS MAPPO |
$3,674.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,140.60
|
| Rate for Payer: BCN Commercial |
$7,615.22
|
| Rate for Payer: BCN Medicare Advantage |
$3,674.30
|
| Rate for Payer: Cash Price |
$6,981.60
|
| Rate for Payer: Cash Price |
$6,981.60
|
| Rate for Payer: Cofinity Commercial |
$4,923.56
|
| Rate for Payer: Cofinity Commercial |
$5,290.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,674.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,858.02
|
| Rate for Payer: Meridian Medicaid |
$2,531.05
|
| Rate for Payer: Nomi Health Commercial |
$4,409.16
|
| Rate for Payer: PACE SWMI |
$3,674.30
|
| Rate for Payer: PHP Commercial |
$5,144.02
|
| Rate for Payer: PHP Medicare Advantage |
$3,674.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,410.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,672.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,398.04
|
| Rate for Payer: Priority Health Medicare |
$3,674.30
|
| Rate for Payer: Priority Health Narrow Network |
$6,398.04
|
| Rate for Payer: Priority Health SBD |
$6,398.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,674.30
|
| Rate for Payer: UHC Medicare Advantage |
$3,674.30
|
| Rate for Payer: UHCCP Medicaid |
$2,410.52
|
| Rate for Payer: UMR Bronson Commercial |
$4,014.42
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF
|
Professional
|
Both
|
$2,767.00
|
|
|
Service Code
|
HCPCS 36825
|
| Min. Negotiated Rate |
$496.50 |
| Max. Negotiated Rate |
$1,798.55 |
| Rate for Payer: Aetna Commercial |
$1,014.73
|
| Rate for Payer: Aetna Medicare |
$787.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,014.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,090.45
|
| Rate for Payer: BCBS Complete |
$521.32
|
| Rate for Payer: BCBS MAPPO |
$757.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,014.86
|
| Rate for Payer: BCN Commercial |
$1,135.69
|
| Rate for Payer: BCN Medicare Advantage |
$757.26
|
| Rate for Payer: Cash Price |
$2,213.60
|
| Rate for Payer: Cash Price |
$2,213.60
|
| Rate for Payer: Cofinity Commercial |
$1,014.73
|
| Rate for Payer: Cofinity Commercial |
$1,090.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$757.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$795.12
|
| Rate for Payer: Meridian Medicaid |
$521.32
|
| Rate for Payer: Nomi Health Commercial |
$908.71
|
| Rate for Payer: PACE SWMI |
$757.26
|
| Rate for Payer: PHP Commercial |
$1,060.16
|
| Rate for Payer: PHP Medicare Advantage |
$757.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$496.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,798.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,240.21
|
| Rate for Payer: Priority Health Medicare |
$757.26
|
| Rate for Payer: Priority Health Narrow Network |
$1,240.21
|
| Rate for Payer: Priority Health SBD |
$1,240.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$757.26
|
| Rate for Payer: UHC Medicare Advantage |
$757.26
|
| Rate for Payer: UHCCP Medicaid |
$496.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,272.82
|
|
|
PR CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF
|
Professional
|
Both
|
$1,380.00
|
|
|
Service Code
|
HCPCS 36830
|
| Min. Negotiated Rate |
$418.12 |
| Max. Negotiated Rate |
$1,041.31 |
| Rate for Payer: Aetna Commercial |
$855.26
|
| Rate for Payer: Aetna Medicare |
$663.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$855.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$919.08
|
| Rate for Payer: BCBS Complete |
$439.03
|
| Rate for Payer: BCBS MAPPO |
$638.25
|
| Rate for Payer: BCBS Trust/PPO |
$967.85
|
| Rate for Payer: BCN Commercial |
$953.41
|
| Rate for Payer: BCN Medicare Advantage |
$638.25
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cash Price |
$1,104.00
|
| Rate for Payer: Cofinity Commercial |
$855.26
|
| Rate for Payer: Cofinity Commercial |
$919.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$638.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$670.16
|
| Rate for Payer: Meridian Medicaid |
$439.03
|
| Rate for Payer: Nomi Health Commercial |
$765.90
|
| Rate for Payer: PACE SWMI |
$638.25
|
| Rate for Payer: PHP Commercial |
$893.55
|
| Rate for Payer: PHP Medicare Advantage |
$638.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$897.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,041.31
|
| Rate for Payer: Priority Health Medicare |
$638.25
|
| Rate for Payer: Priority Health Narrow Network |
$1,041.31
|
| Rate for Payer: Priority Health SBD |
$1,041.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$638.25
|
| Rate for Payer: UHC Medicare Advantage |
$638.25
|
| Rate for Payer: UHCCP Medicaid |
$418.12
|
| Rate for Payer: UMR Bronson Commercial |
$634.80
|
|
|
PR CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO
|
Professional
|
Both
|
$342.00
|
|
|
Service Code
|
HCPCS 35686
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$1,316.52 |
| Rate for Payer: Aetna Commercial |
$207.78
|
| Rate for Payer: Aetna Medicare |
$161.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$207.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.29
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS MAPPO |
$155.06
|
| Rate for Payer: BCBS Trust/PPO |
$1,316.52
|
| Rate for Payer: BCN Commercial |
$228.22
|
| Rate for Payer: BCN Medicare Advantage |
$155.06
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cofinity Commercial |
$207.78
|
| Rate for Payer: Cofinity Commercial |
$223.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$162.81
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Nomi Health Commercial |
$186.07
|
| Rate for Payer: PACE SWMI |
$155.06
|
| Rate for Payer: PHP Commercial |
$217.08
|
| Rate for Payer: PHP Medicare Advantage |
$155.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.90
|
| Rate for Payer: Priority Health Medicare |
$155.06
|
| Rate for Payer: Priority Health Narrow Network |
$248.90
|
| Rate for Payer: Priority Health SBD |
$248.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.06
|
| Rate for Payer: UHC Medicare Advantage |
$155.06
|
| Rate for Payer: UHCCP Medicaid |
$100.11
|
| Rate for Payer: UMR Bronson Commercial |
$157.32
|
|
|
PR CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX
|
Professional
|
Both
|
$2,550.00
|
|
|
Service Code
|
HCPCS 33025
|
| Min. Negotiated Rate |
$488.41 |
| Max. Negotiated Rate |
$1,657.50 |
| Rate for Payer: Aetna Commercial |
$992.00
|
| Rate for Payer: Aetna Medicare |
$769.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,066.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$992.00
|
| Rate for Payer: BCBS Complete |
$512.83
|
| Rate for Payer: BCBS MAPPO |
$740.30
|
| Rate for Payer: BCBS Trust/PPO |
$724.83
|
| Rate for Payer: BCN Commercial |
$1,108.32
|
| Rate for Payer: BCN Medicare Advantage |
$740.30
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cash Price |
$2,040.00
|
| Rate for Payer: Cofinity Commercial |
$1,066.03
|
| Rate for Payer: Cofinity Commercial |
$992.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$740.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$777.32
|
| Rate for Payer: Meridian Medicaid |
$512.83
|
| Rate for Payer: Nomi Health Commercial |
$888.36
|
| Rate for Payer: PACE SWMI |
$740.30
|
| Rate for Payer: PHP Commercial |
$1,036.42
|
| Rate for Payer: PHP Medicare Advantage |
$740.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,657.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,213.10
|
| Rate for Payer: Priority Health Medicare |
$740.30
|
| Rate for Payer: Priority Health Narrow Network |
$1,213.10
|
| Rate for Payer: Priority Health SBD |
$1,213.10
|
| Rate for Payer: UHC Dual Complete DSNP |
$740.30
|
| Rate for Payer: UHC Medicare Advantage |
$740.30
|
| Rate for Payer: UHCCP Medicaid |
$488.41
|
| Rate for Payer: UMR Bronson Commercial |
$1,173.00
|
|
|
PR CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM
|
Professional
|
Both
|
$4,365.00
|
|
|
Service Code
|
HCPCS 63740
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$2,837.25 |
| Rate for Payer: Aetna Commercial |
$1,310.02
|
| Rate for Payer: Aetna Medicare |
$1,016.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,310.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,407.79
|
| Rate for Payer: BCBS Complete |
$681.02
|
| Rate for Payer: BCBS MAPPO |
$977.63
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$1,611.53
|
| Rate for Payer: BCN Medicare Advantage |
$977.63
|
| Rate for Payer: Cash Price |
$3,492.00
|
| Rate for Payer: Cash Price |
$3,492.00
|
| Rate for Payer: Cofinity Commercial |
$1,310.02
|
| Rate for Payer: Cofinity Commercial |
$1,407.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$977.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,026.51
|
| Rate for Payer: Meridian Medicaid |
$681.02
|
| Rate for Payer: Nomi Health Commercial |
$1,173.16
|
| Rate for Payer: PACE SWMI |
$977.63
|
| Rate for Payer: PHP Commercial |
$1,368.68
|
| Rate for Payer: PHP Medicare Advantage |
$977.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$648.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,837.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,720.93
|
| Rate for Payer: Priority Health Medicare |
$977.63
|
| Rate for Payer: Priority Health Narrow Network |
$1,720.93
|
| Rate for Payer: Priority Health SBD |
$1,720.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$977.63
|
| Rate for Payer: UHC Medicare Advantage |
$977.63
|
| Rate for Payer: UHCCP Medicaid |
$648.59
|
| Rate for Payer: UMR Bronson Commercial |
$2,007.90
|
|
