|
PR DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX
|
Professional
|
Both
|
$370.00
|
|
|
Service Code
|
HCPCS 69222
|
| Min. Negotiated Rate |
$87.97 |
| Max. Negotiated Rate |
$1,975.31 |
| Rate for Payer: Aetna Commercial |
$171.06
|
| Rate for Payer: Aetna Medicare |
$132.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$171.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$183.83
|
| Rate for Payer: BCBS Complete |
$92.37
|
| Rate for Payer: BCBS MAPPO |
$127.66
|
| Rate for Payer: BCBS Trust/PPO |
$1,975.31
|
| Rate for Payer: BCN Commercial |
$319.60
|
| Rate for Payer: BCN Medicare Advantage |
$127.66
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cash Price |
$296.00
|
| Rate for Payer: Cofinity Commercial |
$171.06
|
| Rate for Payer: Cofinity Commercial |
$183.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.04
|
| Rate for Payer: Meridian Medicaid |
$92.37
|
| Rate for Payer: Nomi Health Commercial |
$153.19
|
| Rate for Payer: PACE SWMI |
$127.66
|
| Rate for Payer: PHP Commercial |
$178.72
|
| Rate for Payer: PHP Medicare Advantage |
$127.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$240.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$201.36
|
| Rate for Payer: Priority Health Medicare |
$127.66
|
| Rate for Payer: Priority Health Narrow Network |
$201.36
|
| Rate for Payer: Priority Health SBD |
$201.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$127.66
|
| Rate for Payer: UHC Medicare Advantage |
$127.66
|
| Rate for Payer: UHCCP Medicaid |
$87.97
|
| Rate for Payer: UMR Bronson Commercial |
$170.20
|
|
|
PR DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE
|
Professional
|
Both
|
$224.00
|
|
|
Service Code
|
HCPCS 69220
|
| Min. Negotiated Rate |
$33.23 |
| Max. Negotiated Rate |
$1,803.09 |
| Rate for Payer: Aetna Commercial |
$66.28
|
| Rate for Payer: Aetna Medicare |
$51.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.22
|
| Rate for Payer: BCBS Complete |
$34.89
|
| Rate for Payer: BCBS MAPPO |
$49.46
|
| Rate for Payer: BCBS Trust/PPO |
$1,803.09
|
| Rate for Payer: BCN Commercial |
$114.84
|
| Rate for Payer: BCN Medicare Advantage |
$49.46
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cash Price |
$179.20
|
| Rate for Payer: Cofinity Commercial |
$66.28
|
| Rate for Payer: Cofinity Commercial |
$71.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.93
|
| Rate for Payer: Meridian Medicaid |
$34.89
|
| Rate for Payer: Nomi Health Commercial |
$59.35
|
| Rate for Payer: PACE SWMI |
$49.46
|
| Rate for Payer: PHP Commercial |
$69.24
|
| Rate for Payer: PHP Medicare Advantage |
$49.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$145.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$74.90
|
| Rate for Payer: Priority Health Medicare |
$49.46
|
| Rate for Payer: Priority Health Narrow Network |
$74.90
|
| Rate for Payer: Priority Health SBD |
$74.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.46
|
| Rate for Payer: UHC Medicare Advantage |
$49.46
|
| Rate for Payer: UHCCP Medicaid |
$33.23
|
| Rate for Payer: UMR Bronson Commercial |
$103.04
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<
|
Professional
|
Both
|
$479.00
|
|
|
Service Code
|
HCPCS 11043
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$1,522.50 |
| Rate for Payer: Aetna Commercial |
$197.61
|
| Rate for Payer: Aetna Medicare |
$153.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$197.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.36
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCBS MAPPO |
$147.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,522.50
|
| Rate for Payer: BCN Commercial |
$338.65
|
| Rate for Payer: BCN Medicare Advantage |
$147.47
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$197.61
|
| Rate for Payer: Cofinity Commercial |
$212.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.84
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Nomi Health Commercial |
$176.96
|
| Rate for Payer: PACE SWMI |
$147.47
|
| Rate for Payer: PHP Commercial |
$206.46
|
| Rate for Payer: PHP Medicare Advantage |
$147.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$311.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.80
|
| Rate for Payer: Priority Health Medicare |
$147.47
|
| Rate for Payer: Priority Health Narrow Network |
$206.80
|
| Rate for Payer: Priority Health SBD |
$206.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.47
|
| Rate for Payer: UHC Medicare Advantage |
$147.47
|
| Rate for Payer: UHCCP Medicaid |
$98.41
|
| Rate for Payer: UMR Bronson Commercial |
$220.34
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<
|
Facility
|
OP
|
$479.00
|
|
|
Service Code
|
CPT 11043
|
| Hospital Charge Code |
11043
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$147.92 |
| Max. Negotiated Rate |
$1,885.01 |
| Rate for Payer: Aetna American Axle |
$311.35
|
| Rate for Payer: Aetna Commercial |
$407.15
|
| Rate for Payer: Aetna Medicare |
$623.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$749.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$749.69
|
| Rate for Payer: BCBS Complete |
$337.54
|
| Rate for Payer: BCBS MAPPO |
$599.75
|
| Rate for Payer: BCBS Trust/PPO |
$749.60
|
| Rate for Payer: BCN Commercial |
$749.60
|
| Rate for Payer: BCN Medicare Advantage |
$599.75
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$335.30
|
| Rate for Payer: Cofinity Commercial |
$411.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$335.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$383.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$599.75
|
| Rate for Payer: Healthscope Commercial |
$431.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$335.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$359.25
|
| Rate for Payer: Mclaren Medicaid |
$321.47
|
| Rate for Payer: Mclaren Medicare |
$599.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$629.74
|
| Rate for Payer: Meridian Medicaid |
$337.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$689.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$407.15
|
| Rate for Payer: Nomi Health Commercial |
$1,259.48
|
| Rate for Payer: PACE Medicare |
$569.76
|
| Rate for Payer: PACE SWMI |
$599.75
|
| Rate for Payer: PHP Commercial |
$407.15
|
| Rate for Payer: PHP Medicare Advantage |
$599.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$311.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,885.01
|
| Rate for Payer: Priority Health Medicare |
$599.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,508.01
|
| Rate for Payer: Priority Health SBD |
$301.77
|
| Rate for Payer: Railroad Medicare Medicare |
$599.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$162.71
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$599.75
|
| Rate for Payer: UHC Exchange |
$147.92
|
| Rate for Payer: UHC Medicare Advantage |
$599.75
|
| Rate for Payer: UHCCP Medicaid |
$321.47
|
| Rate for Payer: UMR Bronson Commercial |
$177.23
|
| Rate for Payer: VA VA |
$599.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$359.25
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<
|
Facility
|
IP
|
$479.00
|
|
|
Service Code
|
CPT 11043
|
| Hospital Charge Code |
11043
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$210.76 |
| Max. Negotiated Rate |
$431.10 |
| Rate for Payer: Aetna American Axle |
$311.35
|
| Rate for Payer: Aetna Commercial |
$407.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.35
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$335.30
|
| Rate for Payer: Cofinity Commercial |
$411.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$335.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$383.20
|
| Rate for Payer: Healthscope Commercial |
$431.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$335.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$359.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$407.15
|
| Rate for Payer: PHP Commercial |
$407.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$311.35
|
| Rate for Payer: Priority Health SBD |
$301.77
|
| Rate for Payer: UMR Bronson Commercial |
$210.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$359.25
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<
|
Professional
|
Both
|
$479.00
|
|
|
Service Code
|
HCPCS 11043
|
| Hospital Charge Code |
11043
|
| Min. Negotiated Rate |
$98.41 |
| Max. Negotiated Rate |
$1,522.50 |
| Rate for Payer: Aetna Commercial |
$197.61
|
| Rate for Payer: Aetna Medicare |
$153.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$197.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$212.36
|
| Rate for Payer: BCBS Complete |
$103.33
|
| Rate for Payer: BCBS MAPPO |
$147.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,522.50
|
| Rate for Payer: BCN Commercial |
$338.65
|
| Rate for Payer: BCN Medicare Advantage |
$147.47
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$212.36
|
| Rate for Payer: Cofinity Commercial |
$197.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$147.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$154.84
|
| Rate for Payer: Meridian Medicaid |
$103.33
|
| Rate for Payer: Nomi Health Commercial |
$176.96
|
| Rate for Payer: PACE SWMI |
$147.47
|
| Rate for Payer: PHP Commercial |
$206.46
|
| Rate for Payer: PHP Medicare Advantage |
$147.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$98.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$311.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$206.80
|
| Rate for Payer: Priority Health Medicare |
$147.47
|
| Rate for Payer: Priority Health Narrow Network |
$206.80
|
| Rate for Payer: Priority Health SBD |
$206.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$147.47
|
| Rate for Payer: UHC Medicare Advantage |
$147.47
|
| Rate for Payer: UHCCP Medicaid |
$98.41
|
| Rate for Payer: UMR Bronson Commercial |
$220.34
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM
|
Professional
|
Both
|
$101.00
|
|
|
Service Code
|
HCPCS 11046
|
| Min. Negotiated Rate |
$34.51 |
| Max. Negotiated Rate |
$2,430.00 |
| Rate for Payer: Aetna Commercial |
$69.99
|
| Rate for Payer: Aetna Medicare |
$54.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.21
|
| Rate for Payer: BCBS Complete |
$36.24
|
| Rate for Payer: BCBS MAPPO |
$52.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,430.00
|
| Rate for Payer: BCN Commercial |
$106.04
|
| Rate for Payer: BCN Medicare Advantage |
$52.23
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cofinity Commercial |
$69.99
|
| Rate for Payer: Cofinity Commercial |
$75.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.84
|
| Rate for Payer: Meridian Medicaid |
$36.24
|
| Rate for Payer: Nomi Health Commercial |
$62.68
|
| Rate for Payer: PACE SWMI |
$52.23
|
| Rate for Payer: PHP Commercial |
$73.12
|
| Rate for Payer: PHP Medicare Advantage |
$52.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73.60
|
| Rate for Payer: Priority Health Medicare |
$52.23
|
| Rate for Payer: Priority Health Narrow Network |
$73.60
|
| Rate for Payer: Priority Health SBD |
$73.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.23
|
| Rate for Payer: UHC Medicare Advantage |
$52.23
|
| Rate for Payer: UHCCP Medicaid |
$34.51
|
| Rate for Payer: UMR Bronson Commercial |
$46.46
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM
|
Facility
|
OP
|
$101.00
|
|
|
Service Code
|
CPT 11046
|
| Hospital Charge Code |
11046
|
| Min. Negotiated Rate |
$37.37 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$65.65
|
| Rate for Payer: Aetna Commercial |
$85.85
|
| Rate for Payer: Aetna Medicare |
$50.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.65
|
| Rate for Payer: BCBS Complete |
$40.40
|
| Rate for Payer: BCBS Trust/PPO |
$264.07
|
| Rate for Payer: BCN Commercial |
$264.07
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cofinity Commercial |
$86.86
|
| Rate for Payer: Cofinity Commercial |
$70.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$70.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.80
|
| Rate for Payer: Healthscope Commercial |
$90.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.85
|
| Rate for Payer: PHP Commercial |
$85.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health SBD |
$63.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.58
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$53.25
|
| Rate for Payer: UMR Bronson Commercial |
$37.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.75
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM
|
Professional
|
Both
|
$101.00
|
|
|
Service Code
|
HCPCS 11046
|
| Hospital Charge Code |
11046
|
| Min. Negotiated Rate |
$34.51 |
| Max. Negotiated Rate |
$2,430.00 |
| Rate for Payer: Aetna Commercial |
$69.99
|
| Rate for Payer: Aetna Medicare |
$54.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$69.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.21
|
| Rate for Payer: BCBS Complete |
$36.24
|
| Rate for Payer: BCBS MAPPO |
$52.23
|
| Rate for Payer: BCBS Trust/PPO |
$2,430.00
|
| Rate for Payer: BCN Commercial |
$106.04
|
| Rate for Payer: BCN Medicare Advantage |
$52.23
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cofinity Commercial |
$69.99
|
| Rate for Payer: Cofinity Commercial |
$75.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$54.84
|
| Rate for Payer: Meridian Medicaid |
$36.24
|
| Rate for Payer: Nomi Health Commercial |
$62.68
|
| Rate for Payer: PACE SWMI |
$52.23
|
| Rate for Payer: PHP Commercial |
$73.12
|
| Rate for Payer: PHP Medicare Advantage |
$52.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$73.60
|
| Rate for Payer: Priority Health Medicare |
$52.23
|
| Rate for Payer: Priority Health Narrow Network |
$73.60
|
| Rate for Payer: Priority Health SBD |
$73.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$52.23
|
| Rate for Payer: UHC Medicare Advantage |
$52.23
|
| Rate for Payer: UHCCP Medicaid |
$34.51
|
| Rate for Payer: UMR Bronson Commercial |
$46.46
|
|
|
PR DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM
|
Facility
|
IP
|
$101.00
|
|
|
Service Code
|
CPT 11046
|
| Hospital Charge Code |
11046
|
| Min. Negotiated Rate |
$44.44 |
| Max. Negotiated Rate |
$90.90 |
| Rate for Payer: Aetna American Axle |
$65.65
|
| Rate for Payer: Aetna Commercial |
$85.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$65.65
|
| Rate for Payer: Cash Price |
$80.80
|
| Rate for Payer: Cofinity Commercial |
$70.70
|
| Rate for Payer: Cofinity Commercial |
$86.86
|
| Rate for Payer: Cofinity Medicare Advantage |
$70.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$80.80
|
| Rate for Payer: Healthscope Commercial |
$90.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$70.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$75.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$85.85
|
| Rate for Payer: PHP Commercial |
$85.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$65.65
|
| Rate for Payer: Priority Health SBD |
$63.63
|
| Rate for Payer: UMR Bronson Commercial |
$44.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$75.75
|
|
|
PR DEBRIDEMENT NAIL ANY METHOD 1-5
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 11720
|
| Min. Negotiated Rate |
$9.16 |
| Max. Negotiated Rate |
$57.48 |
| Rate for Payer: Aetna Commercial |
$18.56
|
| Rate for Payer: Aetna Medicare |
$14.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.94
|
| Rate for Payer: BCBS Complete |
$9.62
|
| Rate for Payer: BCBS MAPPO |
$13.85
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$38.48
|
| Rate for Payer: BCN Medicare Advantage |
$13.85
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$18.56
|
| Rate for Payer: Cofinity Commercial |
$19.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.54
|
| Rate for Payer: Meridian Medicaid |
$9.62
|
| Rate for Payer: Nomi Health Commercial |
$16.62
|
| Rate for Payer: PACE SWMI |
$13.85
|
| Rate for Payer: PHP Commercial |
$19.39
|
| Rate for Payer: PHP Medicare Advantage |
$13.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$18.96
|
| Rate for Payer: Priority Health Medicare |
$13.85
|
| Rate for Payer: Priority Health Narrow Network |
$18.96
|
| Rate for Payer: Priority Health SBD |
$18.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$13.85
|
| Rate for Payer: UHC Medicare Advantage |
$13.85
|
| Rate for Payer: UHCCP Medicaid |
$9.16
|
| Rate for Payer: UMR Bronson Commercial |
$25.30
|
|
|
PR DEBRIDEMENT NAIL ANY METHOD 6/>
|
Professional
|
Both
|
$78.00
|
|
|
Service Code
|
HCPCS 11721
|
| Min. Negotiated Rate |
$15.12 |
| Max. Negotiated Rate |
$3,712.50 |
| Rate for Payer: Aetna Commercial |
$30.58
|
| Rate for Payer: Aetna Medicare |
$23.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.86
|
| Rate for Payer: BCBS Complete |
$15.88
|
| Rate for Payer: BCBS MAPPO |
$22.82
|
| Rate for Payer: BCBS Trust/PPO |
$3,712.50
|
| Rate for Payer: BCN Commercial |
$51.83
|
| Rate for Payer: BCN Medicare Advantage |
$22.82
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Cofinity Commercial |
$30.58
|
| Rate for Payer: Cofinity Commercial |
$32.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.96
|
| Rate for Payer: Meridian Medicaid |
$15.88
|
| Rate for Payer: Nomi Health Commercial |
$27.38
|
| Rate for Payer: PACE SWMI |
$22.82
|
| Rate for Payer: PHP Commercial |
$31.95
|
| Rate for Payer: PHP Medicare Advantage |
$22.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$31.60
|
| Rate for Payer: Priority Health Medicare |
$22.82
|
| Rate for Payer: Priority Health Narrow Network |
$31.60
|
| Rate for Payer: Priority Health SBD |
$31.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.82
|
| Rate for Payer: UHC Medicare Advantage |
$22.82
|
| Rate for Payer: UHCCP Medicaid |
$15.12
|
| Rate for Payer: UMR Bronson Commercial |
$35.88
|
|
|
PR DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM/<
|
Professional
|
Both
|
$120.00
|
|
|
Service Code
|
HCPCS 97597
|
| Min. Negotiated Rate |
$22.37 |
| Max. Negotiated Rate |
$839.47 |
| Rate for Payer: Aetna Commercial |
$45.00
|
| Rate for Payer: Aetna Medicare |
$34.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.36
|
| Rate for Payer: BCBS Complete |
$23.49
|
| Rate for Payer: BCBS MAPPO |
$33.58
|
| Rate for Payer: BCBS Trust/PPO |
$839.47
|
| Rate for Payer: BCN Commercial |
$147.09
|
| Rate for Payer: BCN Medicare Advantage |
$33.58
|
| Rate for Payer: Cash Price |
$96.00
|
| Rate for Payer: Cash Price |
$96.00
|
| Rate for Payer: Cofinity Commercial |
$45.00
|
| Rate for Payer: Cofinity Commercial |
$48.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.26
|
| Rate for Payer: Meridian Medicaid |
$23.49
|
| Rate for Payer: Nomi Health Commercial |
$40.30
|
| Rate for Payer: PACE SWMI |
$33.58
|
| Rate for Payer: PHP Commercial |
$47.01
|
| Rate for Payer: PHP Medicare Advantage |
$33.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$48.95
|
| Rate for Payer: Priority Health Medicare |
$33.58
|
| Rate for Payer: Priority Health Narrow Network |
$48.95
|
| Rate for Payer: Priority Health SBD |
$48.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$33.58
|
| Rate for Payer: UHC Medicare Advantage |
$33.58
|
| Rate for Payer: UHCCP Medicaid |
$22.37
|
| Rate for Payer: UMR Bronson Commercial |
$55.20
|
|
|
PR DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF
|
Professional
|
Both
|
$139.00
|
|
|
Service Code
|
HCPCS 97598
|
| Min. Negotiated Rate |
$15.34 |
| Max. Negotiated Rate |
$514.04 |
| Rate for Payer: Aetna Commercial |
$30.93
|
| Rate for Payer: Aetna Medicare |
$24.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.24
|
| Rate for Payer: BCBS Complete |
$16.11
|
| Rate for Payer: BCBS MAPPO |
$23.08
|
| Rate for Payer: BCBS Trust/PPO |
$514.04
|
| Rate for Payer: BCN Commercial |
$65.48
|
| Rate for Payer: BCN Medicare Advantage |
$23.08
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Cash Price |
$111.20
|
| Rate for Payer: Cofinity Commercial |
$30.93
|
| Rate for Payer: Cofinity Commercial |
$33.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.23
|
| Rate for Payer: Meridian Medicaid |
$16.11
|
| Rate for Payer: Nomi Health Commercial |
$27.70
|
| Rate for Payer: PACE SWMI |
$23.08
|
| Rate for Payer: PHP Commercial |
$32.31
|
| Rate for Payer: PHP Medicare Advantage |
$23.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$90.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$34.51
|
| Rate for Payer: Priority Health Medicare |
$23.08
|
| Rate for Payer: Priority Health Narrow Network |
$34.51
|
| Rate for Payer: Priority Health SBD |
$34.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.08
|
| Rate for Payer: UHC Medicare Advantage |
$23.08
|
| Rate for Payer: UHCCP Medicaid |
$15.34
|
| Rate for Payer: UMR Bronson Commercial |
$63.94
|
|
|
PR DEBRIDEMENT, SKIN, PARTIAL THICKNESS
|
Professional
|
Both
|
$78.00
|
|
|
Service Code
|
HCPCS 11040
|
| Min. Negotiated Rate |
$31.20 |
| Max. Negotiated Rate |
$50.70 |
| Rate for Payer: Aetna Medicare |
$39.00
|
| Rate for Payer: BCBS Complete |
$31.20
|
| Rate for Payer: Cash Price |
$62.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$50.70
|
| Rate for Payer: UMR Bronson Commercial |
$35.88
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<
|
Facility
|
OP
|
$337.00
|
|
|
Service Code
|
CPT 11042
|
| Hospital Charge Code |
11042
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$58.05 |
| Max. Negotiated Rate |
$1,230.33 |
| Rate for Payer: Aetna American Axle |
$219.05
|
| Rate for Payer: Aetna Commercial |
$286.45
|
| Rate for Payer: Aetna Medicare |
$407.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$489.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$489.31
|
| Rate for Payer: BCBS Complete |
$220.31
|
| Rate for Payer: BCBS MAPPO |
$391.45
|
| Rate for Payer: BCBS Trust/PPO |
$321.35
|
| Rate for Payer: BCN Commercial |
$321.35
|
| Rate for Payer: BCN Medicare Advantage |
$391.45
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cofinity Commercial |
$289.82
|
| Rate for Payer: Cofinity Commercial |
$235.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$235.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.45
|
| Rate for Payer: Healthscope Commercial |
$303.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$235.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.75
|
| Rate for Payer: Mclaren Medicaid |
$209.82
|
| Rate for Payer: Mclaren Medicare |
$391.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.02
|
| Rate for Payer: Meridian Medicaid |
$220.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$450.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$286.45
|
| Rate for Payer: Nomi Health Commercial |
$822.04
|
| Rate for Payer: PACE Medicare |
$371.88
|
| Rate for Payer: PACE SWMI |
$391.45
|
| Rate for Payer: PHP Commercial |
$286.45
|
| Rate for Payer: PHP Medicare Advantage |
$391.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,230.33
|
| Rate for Payer: Priority Health Medicare |
$391.45
|
| Rate for Payer: Priority Health Narrow Network |
$984.26
|
| Rate for Payer: Priority Health SBD |
$212.31
|
| Rate for Payer: Railroad Medicare Medicare |
$391.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.86
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.45
|
| Rate for Payer: UHC Exchange |
$58.05
|
| Rate for Payer: UHC Medicare Advantage |
$391.45
|
| Rate for Payer: UHCCP Medicaid |
$209.82
|
| Rate for Payer: UMR Bronson Commercial |
$124.69
|
| Rate for Payer: VA VA |
$391.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.75
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<
|
Professional
|
Both
|
$337.00
|
|
|
Service Code
|
HCPCS 11042
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$219.05 |
| Rate for Payer: Aetna Commercial |
$77.24
|
| Rate for Payer: Aetna Medicare |
$59.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.00
|
| Rate for Payer: BCBS Complete |
$40.71
|
| Rate for Payer: BCBS MAPPO |
$57.64
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$188.63
|
| Rate for Payer: BCN Medicare Advantage |
$57.64
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cofinity Commercial |
$83.00
|
| Rate for Payer: Cofinity Commercial |
$77.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.52
|
| Rate for Payer: Meridian Medicaid |
$40.71
|
| Rate for Payer: Nomi Health Commercial |
$69.17
|
| Rate for Payer: PACE SWMI |
$57.64
|
| Rate for Payer: PHP Commercial |
$80.70
|
| Rate for Payer: PHP Medicare Advantage |
$57.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.72
|
| Rate for Payer: Priority Health Medicare |
$57.64
|
| Rate for Payer: Priority Health Narrow Network |
$81.72
|
| Rate for Payer: Priority Health SBD |
$81.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.64
|
| Rate for Payer: UHC Medicare Advantage |
$57.64
|
| Rate for Payer: UHCCP Medicaid |
$38.77
|
| Rate for Payer: UMR Bronson Commercial |
$155.02
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<
|
Professional
|
Both
|
$337.00
|
|
|
Service Code
|
HCPCS 11042
|
| Hospital Charge Code |
11042
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$219.05 |
| Rate for Payer: Aetna Commercial |
$77.24
|
| Rate for Payer: Aetna Medicare |
$59.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$83.00
|
| Rate for Payer: BCBS Complete |
$40.71
|
| Rate for Payer: BCBS MAPPO |
$57.64
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$188.63
|
| Rate for Payer: BCN Medicare Advantage |
$57.64
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cofinity Commercial |
$83.00
|
| Rate for Payer: Cofinity Commercial |
$77.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.52
|
| Rate for Payer: Meridian Medicaid |
$40.71
|
| Rate for Payer: Nomi Health Commercial |
$69.17
|
| Rate for Payer: PACE SWMI |
$57.64
|
| Rate for Payer: PHP Commercial |
$80.70
|
| Rate for Payer: PHP Medicare Advantage |
$57.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.72
|
| Rate for Payer: Priority Health Medicare |
$57.64
|
| Rate for Payer: Priority Health Narrow Network |
$81.72
|
| Rate for Payer: Priority Health SBD |
$81.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$57.64
|
| Rate for Payer: UHC Medicare Advantage |
$57.64
|
| Rate for Payer: UHCCP Medicaid |
$38.77
|
| Rate for Payer: UMR Bronson Commercial |
$155.02
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<
|
Facility
|
IP
|
$337.00
|
|
|
Service Code
|
CPT 11042
|
| Hospital Charge Code |
11042
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$148.28 |
| Max. Negotiated Rate |
$303.30 |
| Rate for Payer: Aetna American Axle |
$219.05
|
| Rate for Payer: Aetna Commercial |
$286.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.05
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cofinity Commercial |
$235.90
|
| Rate for Payer: Cofinity Commercial |
$289.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$235.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$269.60
|
| Rate for Payer: Healthscope Commercial |
$303.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$235.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$252.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$286.45
|
| Rate for Payer: PHP Commercial |
$286.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.05
|
| Rate for Payer: Priority Health SBD |
$212.31
|
| Rate for Payer: UMR Bronson Commercial |
$148.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$252.75
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS 11045
|
| Hospital Charge Code |
11045
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$111.72 |
| Rate for Payer: Aetna Commercial |
$31.95
|
| Rate for Payer: Aetna Medicare |
$24.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.33
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$23.84
|
| Rate for Payer: BCBS Trust/PPO |
$111.72
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Medicare Advantage |
$23.84
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$34.33
|
| Rate for Payer: Cofinity Commercial |
$31.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.03
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Nomi Health Commercial |
$28.61
|
| Rate for Payer: PACE SWMI |
$23.84
|
| Rate for Payer: PHP Commercial |
$33.38
|
| Rate for Payer: PHP Medicare Advantage |
$23.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.87
|
| Rate for Payer: Priority Health Medicare |
$23.84
|
| Rate for Payer: Priority Health Narrow Network |
$33.87
|
| Rate for Payer: Priority Health SBD |
$33.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.84
|
| Rate for Payer: UHC Medicare Advantage |
$23.84
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
| Rate for Payer: UMR Bronson Commercial |
$32.20
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Facility
|
IP
|
$70.00
|
|
|
Service Code
|
CPT 11045
|
| Hospital Charge Code |
11045
|
| Min. Negotiated Rate |
$30.80 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Aetna American Axle |
$45.50
|
| Rate for Payer: Aetna Commercial |
$59.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.50
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$49.00
|
| Rate for Payer: Cofinity Commercial |
$60.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.00
|
| Rate for Payer: Healthscope Commercial |
$63.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.50
|
| Rate for Payer: PHP Commercial |
$59.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health SBD |
$44.10
|
| Rate for Payer: UMR Bronson Commercial |
$30.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.50
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Professional
|
Both
|
$70.00
|
|
|
Service Code
|
HCPCS 11045
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$111.72 |
| Rate for Payer: Aetna Commercial |
$31.95
|
| Rate for Payer: Aetna Medicare |
$24.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.33
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$23.84
|
| Rate for Payer: BCBS Trust/PPO |
$111.72
|
| Rate for Payer: BCN Commercial |
$58.15
|
| Rate for Payer: BCN Medicare Advantage |
$23.84
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$34.33
|
| Rate for Payer: Cofinity Commercial |
$31.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.03
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Nomi Health Commercial |
$28.61
|
| Rate for Payer: PACE SWMI |
$23.84
|
| Rate for Payer: PHP Commercial |
$33.38
|
| Rate for Payer: PHP Medicare Advantage |
$23.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$33.87
|
| Rate for Payer: Priority Health Medicare |
$23.84
|
| Rate for Payer: Priority Health Narrow Network |
$33.87
|
| Rate for Payer: Priority Health SBD |
$33.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.84
|
| Rate for Payer: UHC Medicare Advantage |
$23.84
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
| Rate for Payer: UMR Bronson Commercial |
$32.20
|
|
|
PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM
|
Facility
|
OP
|
$70.00
|
|
|
Service Code
|
CPT 11045
|
| Hospital Charge Code |
11045
|
| Min. Negotiated Rate |
$24.52 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$45.50
|
| Rate for Payer: Aetna Commercial |
$59.50
|
| Rate for Payer: Aetna Medicare |
$35.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.50
|
| Rate for Payer: BCBS Complete |
$28.00
|
| Rate for Payer: BCBS Trust/PPO |
$146.57
|
| Rate for Payer: BCN Commercial |
$146.57
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cash Price |
$56.00
|
| Rate for Payer: Cofinity Commercial |
$60.20
|
| Rate for Payer: Cofinity Commercial |
$49.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.00
|
| Rate for Payer: Healthscope Commercial |
$63.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.50
|
| Rate for Payer: PHP Commercial |
$59.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health SBD |
$44.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.97
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Exchange |
$24.52
|
| Rate for Payer: UMR Bronson Commercial |
$25.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.50
|
|
|
PR DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH
|
Professional
|
Both
|
$60.00
|
|
|
Service Code
|
HCPCS 36593
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$549.96 |
| Rate for Payer: Aetna Commercial |
$41.30
|
| Rate for Payer: Aetna Medicare |
$32.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.38
|
| Rate for Payer: BCBS Complete |
$24.00
|
| Rate for Payer: BCBS MAPPO |
$30.82
|
| Rate for Payer: BCBS Trust/PPO |
$549.96
|
| Rate for Payer: BCN Commercial |
$48.38
|
| Rate for Payer: BCN Medicare Advantage |
$30.82
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cash Price |
$48.00
|
| Rate for Payer: Cofinity Commercial |
$44.38
|
| Rate for Payer: Cofinity Commercial |
$41.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.36
|
| Rate for Payer: Nomi Health Commercial |
$36.98
|
| Rate for Payer: PACE SWMI |
$30.82
|
| Rate for Payer: PHP Commercial |
$43.15
|
| Rate for Payer: PHP Medicare Advantage |
$30.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.31
|
| Rate for Payer: Priority Health Medicare |
$30.82
|
| Rate for Payer: Priority Health Narrow Network |
$55.31
|
| Rate for Payer: Priority Health SBD |
$55.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$30.82
|
| Rate for Payer: UHC Medicare Advantage |
$30.82
|
| Rate for Payer: UMR Bronson Commercial |
$27.60
|
|
|
PR DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI
|
Professional
|
Both
|
$1,834.00
|
|
|
Service Code
|
HCPCS 27027
|
| Min. Negotiated Rate |
$573.40 |
| Max. Negotiated Rate |
$1,362.73 |
| Rate for Payer: Aetna Commercial |
$1,143.49
|
| Rate for Payer: Aetna Medicare |
$887.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,143.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,228.82
|
| Rate for Payer: BCBS Complete |
$602.07
|
| Rate for Payer: BCBS MAPPO |
$853.35
|
| Rate for Payer: BCBS Trust/PPO |
$1,182.34
|
| Rate for Payer: BCN Commercial |
$1,310.63
|
| Rate for Payer: BCN Medicare Advantage |
$853.35
|
| Rate for Payer: Cash Price |
$1,467.20
|
| Rate for Payer: Cash Price |
$1,467.20
|
| Rate for Payer: Cofinity Commercial |
$1,143.49
|
| Rate for Payer: Cofinity Commercial |
$1,228.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$853.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$896.02
|
| Rate for Payer: Meridian Medicaid |
$602.07
|
| Rate for Payer: Nomi Health Commercial |
$1,024.02
|
| Rate for Payer: PACE SWMI |
$853.35
|
| Rate for Payer: PHP Commercial |
$1,194.69
|
| Rate for Payer: PHP Medicare Advantage |
$853.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$573.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,192.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,362.73
|
| Rate for Payer: Priority Health Medicare |
$853.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,362.73
|
| Rate for Payer: Priority Health SBD |
$1,362.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$853.35
|
| Rate for Payer: UHC Medicare Advantage |
$853.35
|
| Rate for Payer: UHCCP Medicaid |
$573.40
|
| Rate for Payer: UMR Bronson Commercial |
$843.64
|
|
