|
PR EXCISION CHALAZION MULTIPLE SAME LID
|
Professional
|
Both
|
$300.00
|
|
|
Service Code
|
HCPCS 67801
|
| Min. Negotiated Rate |
$70.29 |
| Max. Negotiated Rate |
$228.66 |
| Rate for Payer: Aetna Commercial |
$143.54
|
| Rate for Payer: Aetna Medicare |
$111.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.25
|
| Rate for Payer: BCBS Complete |
$73.80
|
| Rate for Payer: BCBS MAPPO |
$107.12
|
| Rate for Payer: BCN Commercial |
$195.21
|
| Rate for Payer: BCN Medicare Advantage |
$107.12
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cash Price |
$240.00
|
| Rate for Payer: Cofinity Commercial |
$143.54
|
| Rate for Payer: Cofinity Commercial |
$154.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.48
|
| Rate for Payer: Meridian Medicaid |
$73.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$117.83
|
| Rate for Payer: Nomi Health Commercial |
$128.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$225.00
|
| Rate for Payer: PACE SWMI |
$107.12
|
| Rate for Payer: PHP Commercial |
$149.97
|
| Rate for Payer: PHP Medicare Advantage |
$107.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$228.66
|
| Rate for Payer: Priority Health Medicare |
$107.12
|
| Rate for Payer: Priority Health SBD |
$228.66
|
| Rate for Payer: Priority Health Tiered Network |
$228.66
|
| Rate for Payer: Railroad Medicare Medicare |
$107.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.78
|
| Rate for Payer: UHC Core |
$225.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.12
|
| Rate for Payer: UHC Exchange |
$225.78
|
| Rate for Payer: UHC Medicaid |
$70.29
|
| Rate for Payer: UHCCP Medicaid |
$70.29
|
| Rate for Payer: UMR Bronson Commercial |
$138.00
|
|
|
PR EXCISION CHALAZION SINGLE
|
Professional
|
Both
|
$203.00
|
|
|
Service Code
|
HCPCS 67800
|
| Min. Negotiated Rate |
$55.38 |
| Max. Negotiated Rate |
$178.49 |
| Rate for Payer: Aetna Commercial |
$112.64
|
| Rate for Payer: Aetna Medicare |
$87.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.05
|
| Rate for Payer: BCBS Complete |
$58.15
|
| Rate for Payer: BCBS MAPPO |
$84.06
|
| Rate for Payer: BCN Commercial |
$120.17
|
| Rate for Payer: BCN Medicare Advantage |
$84.06
|
| Rate for Payer: Cash Price |
$162.40
|
| Rate for Payer: Cash Price |
$162.40
|
| Rate for Payer: Cofinity Commercial |
$112.64
|
| Rate for Payer: Cofinity Commercial |
$121.05
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$84.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$88.26
|
| Rate for Payer: Meridian Medicaid |
$58.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$92.47
|
| Rate for Payer: Nomi Health Commercial |
$100.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$152.25
|
| Rate for Payer: PACE SWMI |
$84.06
|
| Rate for Payer: PHP Commercial |
$117.68
|
| Rate for Payer: PHP Medicare Advantage |
$84.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$55.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$178.49
|
| Rate for Payer: Priority Health Medicare |
$84.06
|
| Rate for Payer: Priority Health SBD |
$178.49
|
| Rate for Payer: Priority Health Tiered Network |
$178.49
|
| Rate for Payer: Railroad Medicare Medicare |
$84.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$175.31
|
| Rate for Payer: UHC Core |
$175.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$84.06
|
| Rate for Payer: UHC Exchange |
$175.31
|
| Rate for Payer: UHC Medicaid |
$55.38
|
| Rate for Payer: UHCCP Medicaid |
$55.38
|
| Rate for Payer: UMR Bronson Commercial |
$93.38
|
|
|
PR EXCISION CHEST WALL TUMOR INCLUDING RIBS
|
Professional
|
Both
|
$2,512.00
|
|
|
Service Code
|
HCPCS 21601
|
| Min. Negotiated Rate |
$708.86 |
| Max. Negotiated Rate |
$2,080.14 |
| Rate for Payer: Aetna Commercial |
$1,470.38
|
| Rate for Payer: Aetna Medicare |
$1,141.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,470.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,580.11
|
| Rate for Payer: BCBS Complete |
$744.30
|
| Rate for Payer: BCBS MAPPO |
$1,097.30
|
| Rate for Payer: BCN Commercial |
$1,716.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,097.30
|
| Rate for Payer: Cash Price |
$2,009.60
|
| Rate for Payer: Cash Price |
$2,009.60
|
| Rate for Payer: Cofinity Commercial |
$1,470.38
|
| Rate for Payer: Cofinity Commercial |
$1,580.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,097.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,152.16
|
| Rate for Payer: Meridian Medicaid |
$744.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,207.03
|
| Rate for Payer: Nomi Health Commercial |
$1,316.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,884.00
|
| Rate for Payer: PACE SWMI |
$1,097.30
|
| Rate for Payer: PHP Commercial |
$1,536.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,097.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$708.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,834.93
|
| Rate for Payer: Priority Health Medicare |
$1,097.30
|
| Rate for Payer: Priority Health SBD |
$1,834.93
|
| Rate for Payer: Priority Health Tiered Network |
$1,834.93
|
| Rate for Payer: Railroad Medicare Medicare |
$1,097.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,080.14
|
| Rate for Payer: UHC Core |
$2,080.14
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,097.30
|
| Rate for Payer: UHC Exchange |
$2,080.14
|
| Rate for Payer: UHC Medicaid |
$708.86
|
| Rate for Payer: UHCCP Medicaid |
$708.86
|
| Rate for Payer: UMR Bronson Commercial |
$1,155.52
|
|
|
PR EXCISION CHOLEDOCHAL CYST
|
Professional
|
Both
|
$2,376.00
|
|
|
Service Code
|
HCPCS 47715
|
| Min. Negotiated Rate |
$799.60 |
| Max. Negotiated Rate |
$2,436.13 |
| Rate for Payer: Aetna Commercial |
$1,670.06
|
| Rate for Payer: Aetna Medicare |
$1,296.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,670.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,794.69
|
| Rate for Payer: BCBS Complete |
$839.58
|
| Rate for Payer: BCBS MAPPO |
$1,246.31
|
| Rate for Payer: BCN Commercial |
$1,999.39
|
| Rate for Payer: BCN Medicare Advantage |
$1,246.31
|
| Rate for Payer: Cash Price |
$1,900.80
|
| Rate for Payer: Cash Price |
$1,900.80
|
| Rate for Payer: Cofinity Commercial |
$1,670.06
|
| Rate for Payer: Cofinity Commercial |
$1,794.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,246.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,308.63
|
| Rate for Payer: Meridian Medicaid |
$839.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,370.94
|
| Rate for Payer: Nomi Health Commercial |
$1,495.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,782.00
|
| Rate for Payer: PACE SWMI |
$1,246.31
|
| Rate for Payer: PHP Commercial |
$1,744.83
|
| Rate for Payer: PHP Medicare Advantage |
$1,246.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$799.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,436.13
|
| Rate for Payer: Priority Health Medicare |
$1,246.31
|
| Rate for Payer: Priority Health SBD |
$2,436.13
|
| Rate for Payer: Priority Health Tiered Network |
$2,436.13
|
| Rate for Payer: Railroad Medicare Medicare |
$1,246.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,375.55
|
| Rate for Payer: UHC Core |
$2,375.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,246.31
|
| Rate for Payer: UHC Exchange |
$2,375.55
|
| Rate for Payer: UHC Medicaid |
$799.60
|
| Rate for Payer: UHCCP Medicaid |
$799.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,092.96
|
|
|
PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,858.00
|
|
|
Service Code
|
HCPCS 21603
|
| Min. Negotiated Rate |
$1,066.28 |
| Max. Negotiated Rate |
$3,079.43 |
| Rate for Payer: Aetna Commercial |
$2,200.92
|
| Rate for Payer: Aetna Medicare |
$1,708.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,200.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,365.17
|
| Rate for Payer: BCBS Complete |
$1,119.59
|
| Rate for Payer: BCBS MAPPO |
$1,642.48
|
| Rate for Payer: BCN Commercial |
$2,508.83
|
| Rate for Payer: BCN Medicare Advantage |
$1,642.48
|
| Rate for Payer: Cash Price |
$3,086.40
|
| Rate for Payer: Cash Price |
$3,086.40
|
| Rate for Payer: Cofinity Commercial |
$2,200.92
|
| Rate for Payer: Cofinity Commercial |
$2,365.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,642.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,724.60
|
| Rate for Payer: Meridian Medicaid |
$1,119.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,806.73
|
| Rate for Payer: Nomi Health Commercial |
$1,970.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,893.50
|
| Rate for Payer: PACE SWMI |
$1,642.48
|
| Rate for Payer: PHP Commercial |
$2,299.47
|
| Rate for Payer: PHP Medicare Advantage |
$1,642.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,066.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,681.87
|
| Rate for Payer: Priority Health Medicare |
$1,642.48
|
| Rate for Payer: Priority Health SBD |
$2,681.87
|
| Rate for Payer: Priority Health Tiered Network |
$2,681.87
|
| Rate for Payer: Railroad Medicare Medicare |
$1,642.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,079.43
|
| Rate for Payer: UHC Core |
$3,079.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,642.48
|
| Rate for Payer: UHC Exchange |
$3,079.43
|
| Rate for Payer: UHC Medicaid |
$1,066.28
|
| Rate for Payer: UHCCP Medicaid |
$1,066.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,774.68
|
|
|
PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC
|
Professional
|
Both
|
$3,219.00
|
|
|
Service Code
|
HCPCS 21602
|
| Min. Negotiated Rate |
$975.11 |
| Max. Negotiated Rate |
$2,778.35 |
| Rate for Payer: Aetna Commercial |
$2,006.32
|
| Rate for Payer: Aetna Medicare |
$1,557.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,006.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,156.04
|
| Rate for Payer: BCBS Complete |
$1,023.87
|
| Rate for Payer: BCBS MAPPO |
$1,497.25
|
| Rate for Payer: BCN Commercial |
$2,313.62
|
| Rate for Payer: BCN Medicare Advantage |
$1,497.25
|
| Rate for Payer: Cash Price |
$2,575.20
|
| Rate for Payer: Cash Price |
$2,575.20
|
| Rate for Payer: Cofinity Commercial |
$2,006.32
|
| Rate for Payer: Cofinity Commercial |
$2,156.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,497.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,572.11
|
| Rate for Payer: Meridian Medicaid |
$1,023.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,646.97
|
| Rate for Payer: Nomi Health Commercial |
$1,796.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,414.25
|
| Rate for Payer: PACE SWMI |
$1,497.25
|
| Rate for Payer: PHP Commercial |
$2,096.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,497.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$975.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,473.20
|
| Rate for Payer: Priority Health Medicare |
$1,497.25
|
| Rate for Payer: Priority Health SBD |
$2,473.20
|
| Rate for Payer: Priority Health Tiered Network |
$2,473.20
|
| Rate for Payer: Railroad Medicare Medicare |
$1,497.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,778.35
|
| Rate for Payer: UHC Core |
$2,778.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,497.25
|
| Rate for Payer: UHC Exchange |
$2,778.35
|
| Rate for Payer: UHC Medicaid |
$975.11
|
| Rate for Payer: UHCCP Medicaid |
$975.11
|
| Rate for Payer: UMR Bronson Commercial |
$1,480.74
|
|
|
PR EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA
|
Professional
|
Both
|
$2,144.00
|
|
|
Service Code
|
HCPCS 27635
|
| Min. Negotiated Rate |
$348.04 |
| Max. Negotiated Rate |
$1,608.00 |
| Rate for Payer: Aetna Commercial |
$711.63
|
| Rate for Payer: Aetna Medicare |
$552.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$711.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$764.74
|
| Rate for Payer: BCBS Complete |
$365.44
|
| Rate for Payer: BCBS MAPPO |
$531.07
|
| Rate for Payer: BCN Commercial |
$879.93
|
| Rate for Payer: BCN Medicare Advantage |
$531.07
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cash Price |
$1,715.20
|
| Rate for Payer: Cofinity Commercial |
$711.63
|
| Rate for Payer: Cofinity Commercial |
$764.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$557.62
|
| Rate for Payer: Meridian Medicaid |
$365.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$584.18
|
| Rate for Payer: Nomi Health Commercial |
$637.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,608.00
|
| Rate for Payer: PACE SWMI |
$531.07
|
| Rate for Payer: PHP Commercial |
$743.50
|
| Rate for Payer: PHP Medicare Advantage |
$531.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$348.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$940.62
|
| Rate for Payer: Priority Health Medicare |
$531.07
|
| Rate for Payer: Priority Health SBD |
$940.62
|
| Rate for Payer: Priority Health Tiered Network |
$940.62
|
| Rate for Payer: Railroad Medicare Medicare |
$531.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,013.72
|
| Rate for Payer: UHC Core |
$1,013.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$531.07
|
| Rate for Payer: UHC Exchange |
$1,013.72
|
| Rate for Payer: UHC Medicaid |
$348.04
|
| Rate for Payer: UHCCP Medicaid |
$348.04
|
| Rate for Payer: UMR Bronson Commercial |
$986.24
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES
|
Professional
|
Both
|
$1,670.00
|
|
|
Service Code
|
HCPCS 25130
|
| Min. Negotiated Rate |
$274.77 |
| Max. Negotiated Rate |
$1,252.50 |
| Rate for Payer: Aetna Commercial |
$557.49
|
| Rate for Payer: Aetna Medicare |
$432.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$557.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$599.10
|
| Rate for Payer: BCBS Complete |
$288.51
|
| Rate for Payer: BCBS MAPPO |
$416.04
|
| Rate for Payer: BCN Commercial |
$699.66
|
| Rate for Payer: BCN Medicare Advantage |
$416.04
|
| Rate for Payer: Cash Price |
$1,336.00
|
| Rate for Payer: Cash Price |
$1,336.00
|
| Rate for Payer: Cofinity Commercial |
$557.49
|
| Rate for Payer: Cofinity Commercial |
$599.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$416.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$436.84
|
| Rate for Payer: Meridian Medicaid |
$288.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$457.64
|
| Rate for Payer: Nomi Health Commercial |
$499.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,252.50
|
| Rate for Payer: PACE SWMI |
$416.04
|
| Rate for Payer: PHP Commercial |
$582.46
|
| Rate for Payer: PHP Medicare Advantage |
$416.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$747.92
|
| Rate for Payer: Priority Health Medicare |
$416.04
|
| Rate for Payer: Priority Health SBD |
$747.92
|
| Rate for Payer: Priority Health Tiered Network |
$747.92
|
| Rate for Payer: Railroad Medicare Medicare |
$416.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$775.78
|
| Rate for Payer: UHC Core |
$775.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$416.04
|
| Rate for Payer: UHC Exchange |
$775.78
|
| Rate for Payer: UHC Medicaid |
$274.77
|
| Rate for Payer: UHCCP Medicaid |
$274.77
|
| Rate for Payer: UMR Bronson Commercial |
$768.20
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR
|
Professional
|
Both
|
$2,356.00
|
|
|
Service Code
|
HCPCS 27355
|
| Min. Negotiated Rate |
$368.28 |
| Max. Negotiated Rate |
$1,767.00 |
| Rate for Payer: Aetna Commercial |
$752.76
|
| Rate for Payer: Aetna Medicare |
$584.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$752.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$808.93
|
| Rate for Payer: BCBS Complete |
$386.69
|
| Rate for Payer: BCBS MAPPO |
$561.76
|
| Rate for Payer: BCN Commercial |
$935.21
|
| Rate for Payer: BCN Medicare Advantage |
$561.76
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cash Price |
$1,884.80
|
| Rate for Payer: Cofinity Commercial |
$752.76
|
| Rate for Payer: Cofinity Commercial |
$808.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$561.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$589.85
|
| Rate for Payer: Meridian Medicaid |
$386.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$617.94
|
| Rate for Payer: Nomi Health Commercial |
$674.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,767.00
|
| Rate for Payer: PACE SWMI |
$561.76
|
| Rate for Payer: PHP Commercial |
$786.46
|
| Rate for Payer: PHP Medicare Advantage |
$561.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$999.72
|
| Rate for Payer: Priority Health Medicare |
$561.76
|
| Rate for Payer: Priority Health SBD |
$999.72
|
| Rate for Payer: Priority Health Tiered Network |
$999.72
|
| Rate for Payer: Railroad Medicare Medicare |
$561.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,053.62
|
| Rate for Payer: UHC Core |
$1,053.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$561.76
|
| Rate for Payer: UHC Exchange |
$1,053.62
|
| Rate for Payer: UHC Medicaid |
$368.28
|
| Rate for Payer: UHCCP Medicaid |
$368.28
|
| Rate for Payer: UMR Bronson Commercial |
$1,083.76
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION
|
Professional
|
Both
|
$1,102.00
|
|
|
Service Code
|
HCPCS 27358
|
| Min. Negotiated Rate |
$150.80 |
| Max. Negotiated Rate |
$826.50 |
| Rate for Payer: Aetna Commercial |
$316.94
|
| Rate for Payer: Aetna Medicare |
$245.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$316.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$340.59
|
| Rate for Payer: BCBS Complete |
$158.34
|
| Rate for Payer: BCBS MAPPO |
$236.52
|
| Rate for Payer: BCN Commercial |
$408.34
|
| Rate for Payer: BCN Medicare Advantage |
$236.52
|
| Rate for Payer: Cash Price |
$881.60
|
| Rate for Payer: Cash Price |
$881.60
|
| Rate for Payer: Cofinity Commercial |
$316.94
|
| Rate for Payer: Cofinity Commercial |
$340.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$236.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.35
|
| Rate for Payer: Meridian Medicaid |
$158.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$260.17
|
| Rate for Payer: Nomi Health Commercial |
$283.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$826.50
|
| Rate for Payer: PACE SWMI |
$236.52
|
| Rate for Payer: PHP Commercial |
$331.13
|
| Rate for Payer: PHP Medicare Advantage |
$236.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$150.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$436.51
|
| Rate for Payer: Priority Health Medicare |
$236.52
|
| Rate for Payer: Priority Health SBD |
$436.51
|
| Rate for Payer: Priority Health Tiered Network |
$436.51
|
| Rate for Payer: Railroad Medicare Medicare |
$236.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$491.55
|
| Rate for Payer: UHC Core |
$491.55
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$236.52
|
| Rate for Payer: UHC Exchange |
$491.55
|
| Rate for Payer: UHC Medicaid |
$150.80
|
| Rate for Payer: UHCCP Medicaid |
$150.80
|
| Rate for Payer: UMR Bronson Commercial |
$506.92
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT
|
Professional
|
Both
|
$2,281.00
|
|
|
Service Code
|
HCPCS 27356
|
| Min. Negotiated Rate |
$444.32 |
| Max. Negotiated Rate |
$1,710.75 |
| Rate for Payer: Aetna Commercial |
$910.93
|
| Rate for Payer: Aetna Medicare |
$706.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$910.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$978.91
|
| Rate for Payer: BCBS Complete |
$466.54
|
| Rate for Payer: BCBS MAPPO |
$679.80
|
| Rate for Payer: BCN Commercial |
$1,131.91
|
| Rate for Payer: BCN Medicare Advantage |
$679.80
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Cash Price |
$1,824.80
|
| Rate for Payer: Cofinity Commercial |
$910.93
|
| Rate for Payer: Cofinity Commercial |
$978.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$679.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$713.79
|
| Rate for Payer: Meridian Medicaid |
$466.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$747.78
|
| Rate for Payer: Nomi Health Commercial |
$815.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,710.75
|
| Rate for Payer: PACE SWMI |
$679.80
|
| Rate for Payer: PHP Commercial |
$951.72
|
| Rate for Payer: PHP Medicare Advantage |
$679.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,209.99
|
| Rate for Payer: Priority Health Medicare |
$679.80
|
| Rate for Payer: Priority Health SBD |
$1,209.99
|
| Rate for Payer: Priority Health Tiered Network |
$1,209.99
|
| Rate for Payer: Railroad Medicare Medicare |
$679.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,289.88
|
| Rate for Payer: UHC Core |
$1,289.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$679.80
|
| Rate for Payer: UHC Exchange |
$1,289.88
|
| Rate for Payer: UHC Medicaid |
$444.32
|
| Rate for Payer: UHCCP Medicaid |
$444.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,049.26
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT
|
Professional
|
Both
|
$2,079.00
|
|
|
Service Code
|
HCPCS 27357
|
| Min. Negotiated Rate |
$488.84 |
| Max. Negotiated Rate |
$1,559.25 |
| Rate for Payer: Aetna Commercial |
$1,002.51
|
| Rate for Payer: Aetna Medicare |
$778.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,002.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,077.32
|
| Rate for Payer: BCBS Complete |
$513.28
|
| Rate for Payer: BCBS MAPPO |
$748.14
|
| Rate for Payer: BCN Commercial |
$1,244.46
|
| Rate for Payer: BCN Medicare Advantage |
$748.14
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Cash Price |
$1,663.20
|
| Rate for Payer: Cofinity Commercial |
$1,002.51
|
| Rate for Payer: Cofinity Commercial |
$1,077.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$748.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$785.55
|
| Rate for Payer: Meridian Medicaid |
$513.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$822.95
|
| Rate for Payer: Nomi Health Commercial |
$897.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,559.25
|
| Rate for Payer: PACE SWMI |
$748.14
|
| Rate for Payer: PHP Commercial |
$1,047.40
|
| Rate for Payer: PHP Medicare Advantage |
$748.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$488.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,330.29
|
| Rate for Payer: Priority Health Medicare |
$748.14
|
| Rate for Payer: Priority Health SBD |
$1,330.29
|
| Rate for Payer: Priority Health Tiered Network |
$1,330.29
|
| Rate for Payer: Railroad Medicare Medicare |
$748.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,424.31
|
| Rate for Payer: UHC Core |
$1,424.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$748.14
|
| Rate for Payer: UHC Exchange |
$1,424.31
|
| Rate for Payer: UHC Medicaid |
$488.84
|
| Rate for Payer: UHCCP Medicaid |
$488.84
|
| Rate for Payer: UMR Bronson Commercial |
$956.34
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR METACARPAL
|
Professional
|
Both
|
$1,333.00
|
|
|
Service Code
|
HCPCS 26200
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$999.75 |
| Rate for Payer: Aetna Commercial |
$556.98
|
| Rate for Payer: Aetna Medicare |
$432.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$556.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$598.55
|
| Rate for Payer: BCBS Complete |
$287.40
|
| Rate for Payer: BCBS MAPPO |
$415.66
|
| Rate for Payer: BCN Commercial |
$695.68
|
| Rate for Payer: BCN Medicare Advantage |
$415.66
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cash Price |
$1,066.40
|
| Rate for Payer: Cofinity Commercial |
$556.98
|
| Rate for Payer: Cofinity Commercial |
$598.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$415.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$436.44
|
| Rate for Payer: Meridian Medicaid |
$287.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$457.23
|
| Rate for Payer: Nomi Health Commercial |
$498.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$999.75
|
| Rate for Payer: PACE SWMI |
$415.66
|
| Rate for Payer: PHP Commercial |
$581.92
|
| Rate for Payer: PHP Medicare Advantage |
$415.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$743.66
|
| Rate for Payer: Priority Health Medicare |
$415.66
|
| Rate for Payer: Priority Health SBD |
$743.66
|
| Rate for Payer: Priority Health Tiered Network |
$743.66
|
| Rate for Payer: Railroad Medicare Medicare |
$415.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$783.17
|
| Rate for Payer: UHC Core |
$783.17
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$415.66
|
| Rate for Payer: UHC Exchange |
$783.17
|
| Rate for Payer: UHC Medicaid |
$273.71
|
| Rate for Payer: UHCCP Medicaid |
$273.71
|
| Rate for Payer: UMR Bronson Commercial |
$613.18
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER
|
Professional
|
Both
|
$1,310.00
|
|
|
Service Code
|
HCPCS 26210
|
| Min. Negotiated Rate |
$273.28 |
| Max. Negotiated Rate |
$982.50 |
| Rate for Payer: Aetna Commercial |
$554.16
|
| Rate for Payer: Aetna Medicare |
$430.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.51
|
| Rate for Payer: BCBS Complete |
$286.94
|
| Rate for Payer: BCBS MAPPO |
$413.55
|
| Rate for Payer: BCN Commercial |
$693.19
|
| Rate for Payer: BCN Medicare Advantage |
$413.55
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Cash Price |
$1,048.00
|
| Rate for Payer: Cofinity Commercial |
$554.16
|
| Rate for Payer: Cofinity Commercial |
$595.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.23
|
| Rate for Payer: Meridian Medicaid |
$286.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$454.90
|
| Rate for Payer: Nomi Health Commercial |
$496.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$982.50
|
| Rate for Payer: PACE SWMI |
$413.55
|
| Rate for Payer: PHP Commercial |
$578.97
|
| Rate for Payer: PHP Medicare Advantage |
$413.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$273.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$740.99
|
| Rate for Payer: Priority Health Medicare |
$413.55
|
| Rate for Payer: Priority Health SBD |
$740.99
|
| Rate for Payer: Priority Health Tiered Network |
$740.99
|
| Rate for Payer: Railroad Medicare Medicare |
$413.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$767.62
|
| Rate for Payer: UHC Core |
$767.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$413.55
|
| Rate for Payer: UHC Exchange |
$767.62
|
| Rate for Payer: UHC Medicaid |
$273.28
|
| Rate for Payer: UHCCP Medicaid |
$273.28
|
| Rate for Payer: UMR Bronson Commercial |
$602.60
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 25120
|
| Min. Negotiated Rate |
$303.10 |
| Max. Negotiated Rate |
$1,704.00 |
| Rate for Payer: Aetna Commercial |
$616.88
|
| Rate for Payer: Aetna Medicare |
$478.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$662.92
|
| Rate for Payer: BCBS Complete |
$318.25
|
| Rate for Payer: BCBS MAPPO |
$460.36
|
| Rate for Payer: BCN Commercial |
$773.86
|
| Rate for Payer: BCN Medicare Advantage |
$460.36
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cofinity Commercial |
$616.88
|
| Rate for Payer: Cofinity Commercial |
$662.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$460.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$483.38
|
| Rate for Payer: Meridian Medicaid |
$318.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$506.40
|
| Rate for Payer: Nomi Health Commercial |
$552.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,704.00
|
| Rate for Payer: PACE SWMI |
$460.36
|
| Rate for Payer: PHP Commercial |
$644.50
|
| Rate for Payer: PHP Medicare Advantage |
$460.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$827.23
|
| Rate for Payer: Priority Health Medicare |
$460.36
|
| Rate for Payer: Priority Health SBD |
$827.23
|
| Rate for Payer: Priority Health Tiered Network |
$827.23
|
| Rate for Payer: Railroad Medicare Medicare |
$460.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$868.09
|
| Rate for Payer: UHC Core |
$868.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$460.36
|
| Rate for Payer: UHC Exchange |
$868.09
|
| Rate for Payer: UHC Medicaid |
$303.10
|
| Rate for Payer: UHCCP Medicaid |
$303.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,045.12
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS
|
Professional
|
Both
|
$1,169.00
|
|
|
Service Code
|
HCPCS 28100
|
| Min. Negotiated Rate |
$257.30 |
| Max. Negotiated Rate |
$876.75 |
| Rate for Payer: Aetna Commercial |
$524.36
|
| Rate for Payer: Aetna Medicare |
$406.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$563.49
|
| Rate for Payer: BCBS Complete |
$270.17
|
| Rate for Payer: BCBS MAPPO |
$391.31
|
| Rate for Payer: BCN Commercial |
$638.91
|
| Rate for Payer: BCN Medicare Advantage |
$391.31
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cash Price |
$935.20
|
| Rate for Payer: Cofinity Commercial |
$524.36
|
| Rate for Payer: Cofinity Commercial |
$563.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$410.88
|
| Rate for Payer: Meridian Medicaid |
$270.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$430.44
|
| Rate for Payer: Nomi Health Commercial |
$469.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$876.75
|
| Rate for Payer: PACE SWMI |
$391.31
|
| Rate for Payer: PHP Commercial |
$547.83
|
| Rate for Payer: PHP Medicare Advantage |
$391.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$257.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$682.98
|
| Rate for Payer: Priority Health Medicare |
$391.31
|
| Rate for Payer: Priority Health SBD |
$682.98
|
| Rate for Payer: Priority Health Tiered Network |
$682.98
|
| Rate for Payer: Railroad Medicare Medicare |
$391.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$723.63
|
| Rate for Payer: UHC Core |
$723.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$391.31
|
| Rate for Payer: UHC Exchange |
$723.63
|
| Rate for Payer: UHC Medicaid |
$257.30
|
| Rate for Payer: UHCCP Medicaid |
$257.30
|
| Rate for Payer: UMR Bronson Commercial |
$537.74
|
|
|
PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS
|
Professional
|
Both
|
$1,231.00
|
|
|
Service Code
|
HCPCS 24110
|
| Min. Negotiated Rate |
$361.04 |
| Max. Negotiated Rate |
$1,020.98 |
| Rate for Payer: Aetna Commercial |
$736.58
|
| Rate for Payer: Aetna Medicare |
$571.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$736.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$791.55
|
| Rate for Payer: BCBS Complete |
$379.09
|
| Rate for Payer: BCBS MAPPO |
$549.69
|
| Rate for Payer: BCN Commercial |
$908.82
|
| Rate for Payer: BCN Medicare Advantage |
$549.69
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cash Price |
$984.80
|
| Rate for Payer: Cofinity Commercial |
$736.58
|
| Rate for Payer: Cofinity Commercial |
$791.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.17
|
| Rate for Payer: Meridian Medicaid |
$379.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$604.66
|
| Rate for Payer: Nomi Health Commercial |
$659.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$923.25
|
| Rate for Payer: PACE SWMI |
$549.69
|
| Rate for Payer: PHP Commercial |
$769.57
|
| Rate for Payer: PHP Medicare Advantage |
$549.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$361.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$971.49
|
| Rate for Payer: Priority Health Medicare |
$549.69
|
| Rate for Payer: Priority Health SBD |
$971.49
|
| Rate for Payer: Priority Health Tiered Network |
$971.49
|
| Rate for Payer: Railroad Medicare Medicare |
$549.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,020.98
|
| Rate for Payer: UHC Core |
$1,020.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$549.69
|
| Rate for Payer: UHC Exchange |
$1,020.98
|
| Rate for Payer: UHC Medicaid |
$361.04
|
| Rate for Payer: UHCCP Medicaid |
$361.04
|
| Rate for Payer: UMR Bronson Commercial |
$566.26
|
|
|
PR EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS
|
Professional
|
Both
|
$731.00
|
|
|
Service Code
|
HCPCS 30124
|
| Min. Negotiated Rate |
$178.28 |
| Max. Negotiated Rate |
$548.25 |
| Rate for Payer: Aetna Commercial |
$358.53
|
| Rate for Payer: Aetna Medicare |
$278.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$385.29
|
| Rate for Payer: BCBS Complete |
$187.19
|
| Rate for Payer: BCBS MAPPO |
$267.56
|
| Rate for Payer: BCN Commercial |
$458.64
|
| Rate for Payer: BCN Medicare Advantage |
$267.56
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cofinity Commercial |
$358.53
|
| Rate for Payer: Cofinity Commercial |
$385.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$267.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$280.94
|
| Rate for Payer: Meridian Medicaid |
$187.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$294.32
|
| Rate for Payer: Nomi Health Commercial |
$321.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$548.25
|
| Rate for Payer: PACE SWMI |
$267.56
|
| Rate for Payer: PHP Commercial |
$374.58
|
| Rate for Payer: PHP Medicare Advantage |
$267.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$178.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$431.90
|
| Rate for Payer: Priority Health Medicare |
$267.56
|
| Rate for Payer: Priority Health SBD |
$431.90
|
| Rate for Payer: Priority Health Tiered Network |
$431.90
|
| Rate for Payer: Railroad Medicare Medicare |
$267.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$498.02
|
| Rate for Payer: UHC Core |
$498.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$267.56
|
| Rate for Payer: UHC Exchange |
$498.02
|
| Rate for Payer: UHC Medicaid |
$178.28
|
| Rate for Payer: UHCCP Medicaid |
$178.28
|
| Rate for Payer: UMR Bronson Commercial |
$336.26
|
|
|
PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR
|
Professional
|
Both
|
$1,740.00
|
|
|
Service Code
|
HCPCS 30117
|
| Min. Negotiated Rate |
$238.77 |
| Max. Negotiated Rate |
$1,305.00 |
| Rate for Payer: Aetna Commercial |
$478.23
|
| Rate for Payer: Aetna Medicare |
$371.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$513.92
|
| Rate for Payer: BCBS Complete |
$250.71
|
| Rate for Payer: BCBS MAPPO |
$356.89
|
| Rate for Payer: BCN Commercial |
$615.50
|
| Rate for Payer: BCN Medicare Advantage |
$356.89
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cash Price |
$1,392.00
|
| Rate for Payer: Cofinity Commercial |
$478.23
|
| Rate for Payer: Cofinity Commercial |
$513.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$356.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$374.73
|
| Rate for Payer: Meridian Medicaid |
$250.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$392.58
|
| Rate for Payer: Nomi Health Commercial |
$428.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,305.00
|
| Rate for Payer: PACE SWMI |
$356.89
|
| Rate for Payer: PHP Commercial |
$499.65
|
| Rate for Payer: PHP Medicare Advantage |
$356.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$238.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$579.62
|
| Rate for Payer: Priority Health Medicare |
$356.89
|
| Rate for Payer: Priority Health SBD |
$579.62
|
| Rate for Payer: Priority Health Tiered Network |
$579.62
|
| Rate for Payer: Railroad Medicare Medicare |
$356.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$563.85
|
| Rate for Payer: UHC Core |
$563.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$356.89
|
| Rate for Payer: UHC Exchange |
$563.85
|
| Rate for Payer: UHC Medicaid |
$238.77
|
| Rate for Payer: UHCCP Medicaid |
$238.77
|
| Rate for Payer: UMR Bronson Commercial |
$800.40
|
|
|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$424.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$94.57 |
| Max. Negotiated Rate |
$318.00 |
| Rate for Payer: Aetna Commercial |
$193.74
|
| Rate for Payer: Aetna Medicare |
$150.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.20
|
| Rate for Payer: BCBS Complete |
$99.30
|
| Rate for Payer: BCBS MAPPO |
$144.58
|
| Rate for Payer: BCN Commercial |
$252.48
|
| Rate for Payer: BCN Medicare Advantage |
$144.58
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cash Price |
$339.20
|
| Rate for Payer: Cofinity Commercial |
$193.74
|
| Rate for Payer: Cofinity Commercial |
$208.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$144.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$151.81
|
| Rate for Payer: Meridian Medicaid |
$99.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$159.04
|
| Rate for Payer: Nomi Health Commercial |
$173.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$318.00
|
| Rate for Payer: PACE SWMI |
$144.58
|
| Rate for Payer: PHP Commercial |
$202.41
|
| Rate for Payer: PHP Medicare Advantage |
$144.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$307.63
|
| Rate for Payer: Priority Health Medicare |
$144.58
|
| Rate for Payer: Priority Health SBD |
$307.63
|
| Rate for Payer: Priority Health Tiered Network |
$307.63
|
| Rate for Payer: Railroad Medicare Medicare |
$144.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.98
|
| Rate for Payer: UHC Core |
$281.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$144.58
|
| Rate for Payer: UHC Exchange |
$281.98
|
| Rate for Payer: UHC Medicaid |
$94.57
|
| Rate for Payer: UHCCP Medicaid |
$94.57
|
| Rate for Payer: UMR Bronson Commercial |
$195.04
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,386.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$1,354.40 |
| Max. Negotiated Rate |
$2,539.50 |
| Rate for Payer: Aetna Commercial |
$1,606.74
|
| Rate for Payer: Aetna Medicare |
$1,693.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,606.74
|
| Rate for Payer: BCBS Complete |
$1,354.40
|
| Rate for Payer: BCN Commercial |
$1,766.17
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Cash Price |
$2,708.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,539.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,557.56
|
|
|
PR EXCISION DISTAL ULNA PARTIAL/COMPLETE
|
Professional
|
Both
|
$1,607.00
|
|
|
Service Code
|
HCPCS 25240
|
| Min. Negotiated Rate |
$261.78 |
| Max. Negotiated Rate |
$1,205.25 |
| Rate for Payer: Aetna Commercial |
$532.14
|
| Rate for Payer: Aetna Medicare |
$413.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$571.85
|
| Rate for Payer: BCBS Complete |
$274.87
|
| Rate for Payer: BCBS MAPPO |
$397.12
|
| Rate for Payer: BCN Commercial |
$665.80
|
| Rate for Payer: BCN Medicare Advantage |
$397.12
|
| Rate for Payer: Cash Price |
$1,285.60
|
| Rate for Payer: Cash Price |
$1,285.60
|
| Rate for Payer: Cofinity Commercial |
$571.85
|
| Rate for Payer: Cofinity Commercial |
$532.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.98
|
| Rate for Payer: Meridian Medicaid |
$274.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$436.83
|
| Rate for Payer: Nomi Health Commercial |
$476.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,205.25
|
| Rate for Payer: PACE SWMI |
$397.12
|
| Rate for Payer: PHP Commercial |
$555.97
|
| Rate for Payer: PHP Medicare Advantage |
$397.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$711.72
|
| Rate for Payer: Priority Health Medicare |
$397.12
|
| Rate for Payer: Priority Health SBD |
$711.72
|
| Rate for Payer: Priority Health Tiered Network |
$711.72
|
| Rate for Payer: Railroad Medicare Medicare |
$397.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$742.96
|
| Rate for Payer: UHC Core |
$742.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$397.12
|
| Rate for Payer: UHC Exchange |
$742.96
|
| Rate for Payer: UHC Medicaid |
$261.78
|
| Rate for Payer: UHCCP Medicaid |
$261.78
|
| Rate for Payer: UMR Bronson Commercial |
$739.22
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$2,018.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$587.24 |
| Max. Negotiated Rate |
$1,763.93 |
| Rate for Payer: Aetna Commercial |
$1,212.08
|
| Rate for Payer: Aetna Medicare |
$940.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,212.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,302.54
|
| Rate for Payer: BCBS Complete |
$616.60
|
| Rate for Payer: BCBS MAPPO |
$904.54
|
| Rate for Payer: BCN Commercial |
$1,520.83
|
| Rate for Payer: BCN Medicare Advantage |
$904.54
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cash Price |
$1,614.40
|
| Rate for Payer: Cofinity Commercial |
$1,212.08
|
| Rate for Payer: Cofinity Commercial |
$1,302.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$904.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$949.77
|
| Rate for Payer: Meridian Medicaid |
$616.60
|
| Rate for Payer: Molina Medicare/Medicaid |
$994.99
|
| Rate for Payer: Nomi Health Commercial |
$1,085.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,513.50
|
| Rate for Payer: PACE SWMI |
$904.54
|
| Rate for Payer: PHP Commercial |
$1,266.36
|
| Rate for Payer: PHP Medicare Advantage |
$904.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$587.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,625.73
|
| Rate for Payer: Priority Health Medicare |
$904.54
|
| Rate for Payer: Priority Health SBD |
$1,625.73
|
| Rate for Payer: Priority Health Tiered Network |
$1,625.73
|
| Rate for Payer: Railroad Medicare Medicare |
$904.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,763.93
|
| Rate for Payer: UHC Core |
$1,763.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$904.54
|
| Rate for Payer: UHC Exchange |
$1,763.93
|
| Rate for Payer: UHC Medicaid |
$587.24
|
| Rate for Payer: UHCCP Medicaid |
$587.24
|
| Rate for Payer: UMR Bronson Commercial |
$928.28
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$196.94 |
| Max. Negotiated Rate |
$675.01 |
| Rate for Payer: Aetna Commercial |
$531.57
|
| Rate for Payer: Aetna Medicare |
$447.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.57
|
| Rate for Payer: BCBS Complete |
$206.79
|
| Rate for Payer: BCN Commercial |
$542.26
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Meridian Medicaid |
$206.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$671.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$196.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$675.01
|
| Rate for Payer: Priority Health SBD |
$675.01
|
| Rate for Payer: Priority Health Tiered Network |
$675.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$557.15
|
| Rate for Payer: UHC Core |
$557.15
|
| Rate for Payer: UHC Exchange |
$557.15
|
| Rate for Payer: UHC Medicaid |
$196.94
|
| Rate for Payer: UHCCP Medicaid |
$196.94
|
| Rate for Payer: UMR Bronson Commercial |
$411.70
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,728.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$464.77 |
| Max. Negotiated Rate |
$3,546.00 |
| Rate for Payer: Aetna Commercial |
$950.46
|
| Rate for Payer: Aetna Medicare |
$737.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,021.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$950.46
|
| Rate for Payer: BCBS Complete |
$488.01
|
| Rate for Payer: BCBS MAPPO |
$709.30
|
| Rate for Payer: BCN Commercial |
$1,207.10
|
| Rate for Payer: BCN Medicare Advantage |
$709.30
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cash Price |
$3,782.40
|
| Rate for Payer: Cofinity Commercial |
$950.46
|
| Rate for Payer: Cofinity Commercial |
$1,021.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$709.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$744.76
|
| Rate for Payer: Meridian Medicaid |
$488.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$780.23
|
| Rate for Payer: Nomi Health Commercial |
$851.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,546.00
|
| Rate for Payer: PACE SWMI |
$709.30
|
| Rate for Payer: PHP Commercial |
$993.02
|
| Rate for Payer: PHP Medicare Advantage |
$709.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$464.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,104.82
|
| Rate for Payer: Priority Health Medicare |
$709.30
|
| Rate for Payer: Priority Health SBD |
$1,104.82
|
| Rate for Payer: Priority Health Tiered Network |
$1,104.82
|
| Rate for Payer: Railroad Medicare Medicare |
$709.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,312.62
|
| Rate for Payer: UHC Core |
$1,312.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$709.30
|
| Rate for Payer: UHC Exchange |
$1,312.62
|
| Rate for Payer: UHC Medicaid |
$464.77
|
| Rate for Payer: UHCCP Medicaid |
$464.77
|
| Rate for Payer: UMR Bronson Commercial |
$2,174.88
|
|
