|
PR EKG TRACING FOR INITIAL PREV
|
Professional
|
Both
|
$21.00
|
|
|
Service Code
|
HCPCS G0404
|
| Min. Negotiated Rate |
$5.68 |
| Max. Negotiated Rate |
$2,970.10 |
| Rate for Payer: Aetna Commercial |
$7.61
|
| Rate for Payer: Aetna Medicare |
$5.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.18
|
| Rate for Payer: BCBS Complete |
$8.40
|
| Rate for Payer: BCBS MAPPO |
$5.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,970.10
|
| Rate for Payer: BCN Commercial |
$9.29
|
| Rate for Payer: BCN Medicare Advantage |
$5.68
|
| Rate for Payer: Cash Price |
$16.80
|
| Rate for Payer: Cash Price |
$16.80
|
| Rate for Payer: Cofinity Commercial |
$8.18
|
| Rate for Payer: Cofinity Commercial |
$7.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.96
|
| Rate for Payer: Nomi Health Commercial |
$6.82
|
| Rate for Payer: PACE SWMI |
$5.68
|
| Rate for Payer: PHP Commercial |
$7.95
|
| Rate for Payer: PHP Medicare Advantage |
$5.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8.94
|
| Rate for Payer: Priority Health Medicare |
$5.68
|
| Rate for Payer: Priority Health Narrow Network |
$8.94
|
| Rate for Payer: Priority Health SBD |
$8.94
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.68
|
| Rate for Payer: UHC Medicare Advantage |
$5.68
|
| Rate for Payer: UMR Bronson Commercial |
$9.66
|
|
|
PR ELASTIC GARMENT/COVERING
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS A4466
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$11.05 |
| Rate for Payer: Aetna Medicare |
$8.50
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: UMR Bronson Commercial |
$7.82
|
|
|
PR ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 95983
|
| Min. Negotiated Rate |
$30.89 |
| Max. Negotiated Rate |
$205.51 |
| Rate for Payer: Aetna Commercial |
$61.68
|
| Rate for Payer: Aetna Medicare |
$47.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$61.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.28
|
| Rate for Payer: BCBS Complete |
$32.43
|
| Rate for Payer: BCBS MAPPO |
$46.03
|
| Rate for Payer: BCBS Trust/PPO |
$205.51
|
| Rate for Payer: BCN Commercial |
$72.82
|
| Rate for Payer: BCN Medicare Advantage |
$46.03
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$61.68
|
| Rate for Payer: Cofinity Commercial |
$66.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$48.33
|
| Rate for Payer: Meridian Medicaid |
$32.43
|
| Rate for Payer: Nomi Health Commercial |
$55.24
|
| Rate for Payer: PACE SWMI |
$46.03
|
| Rate for Payer: PHP Commercial |
$64.44
|
| Rate for Payer: PHP Medicare Advantage |
$46.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$30.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$68.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$66.04
|
| Rate for Payer: Priority Health Medicare |
$46.03
|
| Rate for Payer: Priority Health Narrow Network |
$66.04
|
| Rate for Payer: Priority Health SBD |
$66.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$46.03
|
| Rate for Payer: UHC Medicare Advantage |
$46.03
|
| Rate for Payer: UHCCP Medicaid |
$30.89
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
|
|
PR ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN
|
Professional
|
Both
|
$91.00
|
|
|
Service Code
|
HCPCS 95984
|
| Min. Negotiated Rate |
$27.26 |
| Max. Negotiated Rate |
$269.43 |
| Rate for Payer: Aetna Commercial |
$54.42
|
| Rate for Payer: Aetna Medicare |
$42.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.48
|
| Rate for Payer: BCBS Complete |
$28.62
|
| Rate for Payer: BCBS MAPPO |
$40.61
|
| Rate for Payer: BCBS Trust/PPO |
$269.43
|
| Rate for Payer: BCN Commercial |
$63.04
|
| Rate for Payer: BCN Medicare Advantage |
$40.61
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cash Price |
$72.80
|
| Rate for Payer: Cofinity Commercial |
$54.42
|
| Rate for Payer: Cofinity Commercial |
$58.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.64
|
| Rate for Payer: Meridian Medicaid |
$28.62
|
| Rate for Payer: Nomi Health Commercial |
$48.73
|
| Rate for Payer: PACE SWMI |
$40.61
|
| Rate for Payer: PHP Commercial |
$56.85
|
| Rate for Payer: PHP Medicare Advantage |
$40.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$57.90
|
| Rate for Payer: Priority Health Medicare |
$40.61
|
| Rate for Payer: Priority Health Narrow Network |
$57.90
|
| Rate for Payer: Priority Health SBD |
$57.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$40.61
|
| Rate for Payer: UHC Medicare Advantage |
$40.61
|
| Rate for Payer: UHCCP Medicaid |
$27.26
|
| Rate for Payer: UMR Bronson Commercial |
$41.86
|
|
|
PR ELEC ALYS IMPLT CPLX CN NPGT PRGRMG
|
Professional
|
Both
|
$110.00
|
|
|
Service Code
|
HCPCS 95977
|
| Min. Negotiated Rate |
$31.74 |
| Max. Negotiated Rate |
$154.26 |
| Rate for Payer: Aetna Commercial |
$63.49
|
| Rate for Payer: Aetna Medicare |
$49.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.23
|
| Rate for Payer: BCBS Complete |
$33.33
|
| Rate for Payer: BCBS MAPPO |
$47.38
|
| Rate for Payer: BCBS Trust/PPO |
$154.26
|
| Rate for Payer: BCN Commercial |
$76.23
|
| Rate for Payer: BCN Medicare Advantage |
$47.38
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cofinity Commercial |
$63.49
|
| Rate for Payer: Cofinity Commercial |
$68.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.75
|
| Rate for Payer: Meridian Medicaid |
$33.33
|
| Rate for Payer: Nomi Health Commercial |
$56.86
|
| Rate for Payer: PACE SWMI |
$47.38
|
| Rate for Payer: PHP Commercial |
$66.33
|
| Rate for Payer: PHP Medicare Advantage |
$47.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$31.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$69.20
|
| Rate for Payer: Priority Health Medicare |
$47.38
|
| Rate for Payer: Priority Health Narrow Network |
$69.20
|
| Rate for Payer: Priority Health SBD |
$69.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$47.38
|
| Rate for Payer: UHC Medicare Advantage |
$47.38
|
| Rate for Payer: UHCCP Medicaid |
$31.74
|
| Rate for Payer: UMR Bronson Commercial |
$50.60
|
|
|
PR ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 95972
|
| Min. Negotiated Rate |
$25.13 |
| Max. Negotiated Rate |
$168.53 |
| Rate for Payer: Aetna Commercial |
$50.48
|
| Rate for Payer: Aetna Commercial |
$50.48
|
| Rate for Payer: Aetna Medicare |
$39.18
|
| Rate for Payer: Aetna Medicare |
$39.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.24
|
| Rate for Payer: BCBS Complete |
$26.39
|
| Rate for Payer: BCBS Complete |
$26.39
|
| Rate for Payer: BCBS MAPPO |
$37.67
|
| Rate for Payer: BCBS MAPPO |
$37.67
|
| Rate for Payer: BCBS Trust/PPO |
$168.53
|
| Rate for Payer: BCBS Trust/PPO |
$168.53
|
| Rate for Payer: BCN Commercial |
$82.09
|
| Rate for Payer: BCN Commercial |
$82.09
|
| Rate for Payer: BCN Medicare Advantage |
$37.67
|
| Rate for Payer: BCN Medicare Advantage |
$37.67
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cash Price |
$383.20
|
| Rate for Payer: Cofinity Commercial |
$50.48
|
| Rate for Payer: Cofinity Commercial |
$54.24
|
| Rate for Payer: Cofinity Commercial |
$54.24
|
| Rate for Payer: Cofinity Commercial |
$50.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.55
|
| Rate for Payer: Meridian Medicaid |
$26.39
|
| Rate for Payer: Meridian Medicaid |
$26.39
|
| Rate for Payer: Nomi Health Commercial |
$45.20
|
| Rate for Payer: Nomi Health Commercial |
$45.20
|
| Rate for Payer: PACE SWMI |
$37.67
|
| Rate for Payer: PACE SWMI |
$37.67
|
| Rate for Payer: PHP Commercial |
$52.74
|
| Rate for Payer: PHP Commercial |
$52.74
|
| Rate for Payer: PHP Medicare Advantage |
$37.67
|
| Rate for Payer: PHP Medicare Advantage |
$37.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$311.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$53.82
|
| Rate for Payer: Priority Health Medicare |
$37.67
|
| Rate for Payer: Priority Health Medicare |
$37.67
|
| Rate for Payer: Priority Health Narrow Network |
$53.82
|
| Rate for Payer: Priority Health Narrow Network |
$53.82
|
| Rate for Payer: Priority Health SBD |
$53.82
|
| Rate for Payer: Priority Health SBD |
$53.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$37.67
|
| Rate for Payer: UHC Medicare Advantage |
$37.67
|
| Rate for Payer: UHC Medicare Advantage |
$37.67
|
| Rate for Payer: UHCCP Medicaid |
$25.13
|
| Rate for Payer: UHCCP Medicaid |
$25.13
|
| Rate for Payer: UMR Bronson Commercial |
$220.34
|
| Rate for Payer: UMR Bronson Commercial |
$77.28
|
|
|
PR ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING
|
Professional
|
Both
|
$153.00
|
|
|
Service Code
|
HCPCS 95970
|
| Min. Negotiated Rate |
$11.72 |
| Max. Negotiated Rate |
$219.77 |
| Rate for Payer: Aetna Commercial |
$23.41
|
| Rate for Payer: Aetna Medicare |
$18.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.16
|
| Rate for Payer: BCBS Complete |
$12.31
|
| Rate for Payer: BCBS MAPPO |
$17.47
|
| Rate for Payer: BCBS Trust/PPO |
$219.77
|
| Rate for Payer: BCN Commercial |
$27.36
|
| Rate for Payer: BCN Medicare Advantage |
$17.47
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cofinity Commercial |
$23.41
|
| Rate for Payer: Cofinity Commercial |
$25.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.34
|
| Rate for Payer: Meridian Medicaid |
$12.31
|
| Rate for Payer: Nomi Health Commercial |
$20.96
|
| Rate for Payer: PACE SWMI |
$17.47
|
| Rate for Payer: PHP Commercial |
$24.46
|
| Rate for Payer: PHP Medicare Advantage |
$17.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$99.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$24.43
|
| Rate for Payer: Priority Health Medicare |
$17.47
|
| Rate for Payer: Priority Health Narrow Network |
$24.43
|
| Rate for Payer: Priority Health SBD |
$24.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$17.47
|
| Rate for Payer: UHC Medicare Advantage |
$17.47
|
| Rate for Payer: UHCCP Medicaid |
$11.72
|
| Rate for Payer: UMR Bronson Commercial |
$70.38
|
|
|
PR ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 95971
|
| Min. Negotiated Rate |
$24.50 |
| Max. Negotiated Rate |
$475.47 |
| Rate for Payer: Aetna Commercial |
$49.10
|
| Rate for Payer: Aetna Medicare |
$38.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.76
|
| Rate for Payer: BCBS Complete |
$25.72
|
| Rate for Payer: BCBS MAPPO |
$36.64
|
| Rate for Payer: BCBS Trust/PPO |
$475.47
|
| Rate for Payer: BCN Commercial |
$69.39
|
| Rate for Payer: BCN Medicare Advantage |
$36.64
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Cofinity Commercial |
$52.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$38.47
|
| Rate for Payer: Meridian Medicaid |
$25.72
|
| Rate for Payer: Nomi Health Commercial |
$43.97
|
| Rate for Payer: PACE SWMI |
$36.64
|
| Rate for Payer: PHP Commercial |
$51.30
|
| Rate for Payer: PHP Medicare Advantage |
$36.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.02
|
| Rate for Payer: Priority Health Medicare |
$36.64
|
| Rate for Payer: Priority Health Narrow Network |
$52.02
|
| Rate for Payer: Priority Health SBD |
$52.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$36.64
|
| Rate for Payer: UHC Medicare Advantage |
$36.64
|
| Rate for Payer: UHCCP Medicaid |
$24.50
|
| Rate for Payer: UMR Bronson Commercial |
$77.28
|
|
|
PR ELEC ALYS IMPLT SMPL CN NPGT PRGRMG
|
Professional
|
Both
|
$84.00
|
|
|
Service Code
|
HCPCS 95976
|
| Min. Negotiated Rate |
$23.64 |
| Max. Negotiated Rate |
$140.93 |
| Rate for Payer: Aetna Commercial |
$47.21
|
| Rate for Payer: Aetna Medicare |
$36.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.73
|
| Rate for Payer: BCBS Complete |
$24.82
|
| Rate for Payer: BCBS MAPPO |
$35.23
|
| Rate for Payer: BCBS Trust/PPO |
$140.93
|
| Rate for Payer: BCN Commercial |
$57.66
|
| Rate for Payer: BCN Medicare Advantage |
$35.23
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Cofinity Commercial |
$47.21
|
| Rate for Payer: Cofinity Commercial |
$50.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.99
|
| Rate for Payer: Meridian Medicaid |
$24.82
|
| Rate for Payer: Nomi Health Commercial |
$42.28
|
| Rate for Payer: PACE SWMI |
$35.23
|
| Rate for Payer: PHP Commercial |
$49.32
|
| Rate for Payer: PHP Medicare Advantage |
$35.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$54.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$52.02
|
| Rate for Payer: Priority Health Medicare |
$35.23
|
| Rate for Payer: Priority Health Narrow Network |
$52.02
|
| Rate for Payer: Priority Health SBD |
$52.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$35.23
|
| Rate for Payer: UHC Medicare Advantage |
$35.23
|
| Rate for Payer: UHCCP Medicaid |
$23.64
|
| Rate for Payer: UMR Bronson Commercial |
$38.64
|
|
|
PR ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR
|
Professional
|
Both
|
$959.00
|
|
|
Service Code
|
HCPCS 95974
|
| Min. Negotiated Rate |
$383.60 |
| Max. Negotiated Rate |
$623.35 |
| Rate for Payer: Aetna Medicare |
$479.50
|
| Rate for Payer: BCBS Complete |
$383.60
|
| Rate for Payer: Cash Price |
$767.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$623.35
|
| Rate for Payer: UMR Bronson Commercial |
$441.14
|
|
|
PR ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH EA 30 MIN
|
Professional
|
Both
|
$168.00
|
|
|
Service Code
|
HCPCS 95973
|
| Min. Negotiated Rate |
$67.20 |
| Max. Negotiated Rate |
$109.20 |
| Rate for Payer: Aetna Medicare |
$84.00
|
| Rate for Payer: BCBS Complete |
$67.20
|
| Rate for Payer: Cash Price |
$134.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$109.20
|
| Rate for Payer: UMR Bronson Commercial |
$77.28
|
|
|
PR ELEC STIM OTHER THAN WOUND
|
Professional
|
Both
|
$26.00
|
|
|
Service Code
|
HCPCS G0283
|
| Min. Negotiated Rate |
$10.40 |
| Max. Negotiated Rate |
$367.70 |
| Rate for Payer: Aetna Commercial |
$15.81
|
| Rate for Payer: Aetna Medicare |
$12.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.99
|
| Rate for Payer: BCBS Complete |
$10.40
|
| Rate for Payer: BCBS MAPPO |
$11.80
|
| Rate for Payer: BCBS Trust/PPO |
$367.70
|
| Rate for Payer: BCN Commercial |
$11.75
|
| Rate for Payer: BCN Medicare Advantage |
$11.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cash Price |
$20.80
|
| Rate for Payer: Cofinity Commercial |
$15.81
|
| Rate for Payer: Cofinity Commercial |
$16.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.39
|
| Rate for Payer: Nomi Health Commercial |
$14.16
|
| Rate for Payer: PACE SWMI |
$11.80
|
| Rate for Payer: PHP Commercial |
$16.52
|
| Rate for Payer: PHP Medicare Advantage |
$11.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$11.99
|
| Rate for Payer: Priority Health Medicare |
$11.80
|
| Rate for Payer: Priority Health Narrow Network |
$11.99
|
| Rate for Payer: Priority Health SBD |
$11.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.80
|
| Rate for Payer: UHC Medicare Advantage |
$11.80
|
| Rate for Payer: UMR Bronson Commercial |
$11.96
|
|
|
PR ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 62368
|
| Min. Negotiated Rate |
$21.73 |
| Max. Negotiated Rate |
$136.50 |
| Rate for Payer: Aetna Commercial |
$43.66
|
| Rate for Payer: Aetna Medicare |
$33.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.92
|
| Rate for Payer: BCBS Complete |
$22.82
|
| Rate for Payer: BCBS MAPPO |
$32.58
|
| Rate for Payer: BCBS Trust/PPO |
$45.43
|
| Rate for Payer: BCN Commercial |
$64.02
|
| Rate for Payer: BCN Medicare Advantage |
$32.58
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cofinity Commercial |
$43.66
|
| Rate for Payer: Cofinity Commercial |
$46.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.21
|
| Rate for Payer: Meridian Medicaid |
$22.82
|
| Rate for Payer: Nomi Health Commercial |
$39.10
|
| Rate for Payer: PACE SWMI |
$32.58
|
| Rate for Payer: PHP Commercial |
$45.61
|
| Rate for Payer: PHP Medicare Advantage |
$32.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$136.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$58.00
|
| Rate for Payer: Priority Health Medicare |
$32.58
|
| Rate for Payer: Priority Health Narrow Network |
$58.00
|
| Rate for Payer: Priority Health SBD |
$58.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$32.58
|
| Rate for Payer: UHC Medicare Advantage |
$32.58
|
| Rate for Payer: UHCCP Medicaid |
$21.73
|
| Rate for Payer: UMR Bronson Commercial |
$96.60
|
|
|
PR ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL
|
Professional
|
Both
|
$383.00
|
|
|
Service Code
|
HCPCS 62367
|
| Min. Negotiated Rate |
$15.55 |
| Max. Negotiated Rate |
$310.64 |
| Rate for Payer: Aetna Commercial |
$31.25
|
| Rate for Payer: Aetna Medicare |
$24.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$33.58
|
| Rate for Payer: BCBS Complete |
$16.33
|
| Rate for Payer: BCBS MAPPO |
$23.32
|
| Rate for Payer: BCBS Trust/PPO |
$310.64
|
| Rate for Payer: BCN Commercial |
$46.43
|
| Rate for Payer: BCN Medicare Advantage |
$23.32
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cash Price |
$306.40
|
| Rate for Payer: Cofinity Commercial |
$31.25
|
| Rate for Payer: Cofinity Commercial |
$33.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$23.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$24.49
|
| Rate for Payer: Meridian Medicaid |
$16.33
|
| Rate for Payer: Nomi Health Commercial |
$27.98
|
| Rate for Payer: PACE SWMI |
$23.32
|
| Rate for Payer: PHP Commercial |
$32.65
|
| Rate for Payer: PHP Medicare Advantage |
$23.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$42.08
|
| Rate for Payer: Priority Health Medicare |
$23.32
|
| Rate for Payer: Priority Health Narrow Network |
$42.08
|
| Rate for Payer: Priority Health SBD |
$42.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$23.32
|
| Rate for Payer: UHC Medicare Advantage |
$23.32
|
| Rate for Payer: UHCCP Medicaid |
$15.55
|
| Rate for Payer: UMR Bronson Commercial |
$176.18
|
|
|
PR ELECTROACOUS EVAL HEARING AID BINAURAL
|
Professional
|
Both
|
$79.00
|
|
|
Service Code
|
HCPCS 92595
|
| Min. Negotiated Rate |
$31.60 |
| Max. Negotiated Rate |
$338.64 |
| Rate for Payer: Aetna Commercial |
$49.30
|
| Rate for Payer: Aetna Medicare |
$39.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.30
|
| Rate for Payer: BCBS Complete |
$31.60
|
| Rate for Payer: BCBS Trust/PPO |
$338.64
|
| Rate for Payer: BCN Commercial |
$64.31
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Cash Price |
$63.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$51.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.87
|
| Rate for Payer: Priority Health Narrow Network |
$62.87
|
| Rate for Payer: Priority Health SBD |
$62.87
|
| Rate for Payer: UMR Bronson Commercial |
$36.34
|
|
|
PR ELECTROACOUS EVAL HEARING AID MONAURAL
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS 92594
|
| Min. Negotiated Rate |
$10.80 |
| Max. Negotiated Rate |
$231.15 |
| Rate for Payer: Aetna Commercial |
$22.43
|
| Rate for Payer: Aetna Medicare |
$13.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.43
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Trust/PPO |
$231.15
|
| Rate for Payer: BCN Commercial |
$64.31
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$28.94
|
| Rate for Payer: Priority Health Narrow Network |
$28.94
|
| Rate for Payer: Priority Health SBD |
$28.94
|
| Rate for Payer: UMR Bronson Commercial |
$12.42
|
|
|
PR ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY
|
Professional
|
Both
|
$201.00
|
|
|
Service Code
|
HCPCS 95824
|
| Min. Negotiated Rate |
$24.07 |
| Max. Negotiated Rate |
$502.89 |
| Rate for Payer: Aetna Commercial |
$106.88
|
| Rate for Payer: Aetna Medicare |
$100.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.88
|
| Rate for Payer: BCBS Complete |
$25.27
|
| Rate for Payer: BCBS Trust/PPO |
$262.57
|
| Rate for Payer: BCN Commercial |
$502.89
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Cash Price |
$160.80
|
| Rate for Payer: Meridian Medicaid |
$25.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$130.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$132.08
|
| Rate for Payer: Priority Health Narrow Network |
$132.08
|
| Rate for Payer: Priority Health SBD |
$51.57
|
| Rate for Payer: UHCCP Medicaid |
$24.07
|
| Rate for Payer: UMR Bronson Commercial |
$92.46
|
|
|
PR ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN
|
Professional
|
Both
|
$753.00
|
|
|
Service Code
|
HCPCS 95812
|
| Min. Negotiated Rate |
$35.36 |
| Max. Negotiated Rate |
$1,286.41 |
| Rate for Payer: Aetna Commercial |
$416.53
|
| Rate for Payer: Aetna Medicare |
$323.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$416.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.61
|
| Rate for Payer: BCBS Complete |
$37.13
|
| Rate for Payer: BCBS MAPPO |
$310.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,286.41
|
| Rate for Payer: BCN Commercial |
$504.32
|
| Rate for Payer: BCN Medicare Advantage |
$310.84
|
| Rate for Payer: Cash Price |
$602.40
|
| Rate for Payer: Cash Price |
$602.40
|
| Rate for Payer: Cofinity Commercial |
$416.53
|
| Rate for Payer: Cofinity Commercial |
$447.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$310.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$326.38
|
| Rate for Payer: Meridian Medicaid |
$37.13
|
| Rate for Payer: Nomi Health Commercial |
$373.01
|
| Rate for Payer: PACE SWMI |
$310.84
|
| Rate for Payer: PHP Commercial |
$435.18
|
| Rate for Payer: PHP Medicare Advantage |
$310.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$489.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.83
|
| Rate for Payer: Priority Health Medicare |
$310.84
|
| Rate for Payer: Priority Health Narrow Network |
$475.83
|
| Rate for Payer: Priority Health SBD |
$75.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$310.84
|
| Rate for Payer: UHC Medicare Advantage |
$310.84
|
| Rate for Payer: UHCCP Medicaid |
$35.36
|
| Rate for Payer: UMR Bronson Commercial |
$346.38
|
|
|
PR ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 95822
|
| Min. Negotiated Rate |
$35.36 |
| Max. Negotiated Rate |
$614.41 |
| Rate for Payer: Aetna Commercial |
$499.06
|
| Rate for Payer: Aetna Medicare |
$387.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$499.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.30
|
| Rate for Payer: BCBS Complete |
$37.13
|
| Rate for Payer: BCBS MAPPO |
$372.43
|
| Rate for Payer: BCBS Trust/PPO |
$614.41
|
| Rate for Payer: BCN Commercial |
$607.43
|
| Rate for Payer: BCN Medicare Advantage |
$372.43
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$499.06
|
| Rate for Payer: Cofinity Commercial |
$536.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$372.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$391.05
|
| Rate for Payer: Meridian Medicaid |
$37.13
|
| Rate for Payer: Nomi Health Commercial |
$446.92
|
| Rate for Payer: PACE SWMI |
$372.43
|
| Rate for Payer: PHP Commercial |
$521.40
|
| Rate for Payer: PHP Medicare Advantage |
$372.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$560.88
|
| Rate for Payer: Priority Health Medicare |
$372.43
|
| Rate for Payer: Priority Health Narrow Network |
$560.88
|
| Rate for Payer: Priority Health SBD |
$75.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$372.43
|
| Rate for Payer: UHC Medicare Advantage |
$372.43
|
| Rate for Payer: UHCCP Medicaid |
$35.36
|
| Rate for Payer: UMR Bronson Commercial |
$168.82
|
|
|
PR ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP
|
Professional
|
Both
|
$794.00
|
|
|
Service Code
|
HCPCS 95819
|
| Min. Negotiated Rate |
$35.36 |
| Max. Negotiated Rate |
$648.47 |
| Rate for Payer: Aetna Commercial |
$539.44
|
| Rate for Payer: Aetna Commercial |
$539.44
|
| Rate for Payer: Aetna Medicare |
$418.67
|
| Rate for Payer: Aetna Medicare |
$418.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$539.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$579.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$579.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$539.44
|
| Rate for Payer: BCBS Complete |
$37.13
|
| Rate for Payer: BCBS Complete |
$37.13
|
| Rate for Payer: BCBS MAPPO |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$402.57
|
| Rate for Payer: BCBS Trust/PPO |
$150.04
|
| Rate for Payer: BCBS Trust/PPO |
$150.04
|
| Rate for Payer: BCN Commercial |
$648.47
|
| Rate for Payer: BCN Commercial |
$648.47
|
| Rate for Payer: BCN Medicare Advantage |
$402.57
|
| Rate for Payer: BCN Medicare Advantage |
$402.57
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cash Price |
$635.20
|
| Rate for Payer: Cofinity Commercial |
$539.44
|
| Rate for Payer: Cofinity Commercial |
$579.70
|
| Rate for Payer: Cofinity Commercial |
$579.70
|
| Rate for Payer: Cofinity Commercial |
$539.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$402.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$422.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$422.70
|
| Rate for Payer: Meridian Medicaid |
$37.13
|
| Rate for Payer: Meridian Medicaid |
$37.13
|
| Rate for Payer: Nomi Health Commercial |
$483.08
|
| Rate for Payer: Nomi Health Commercial |
$483.08
|
| Rate for Payer: PACE SWMI |
$402.57
|
| Rate for Payer: PACE SWMI |
$402.57
|
| Rate for Payer: PHP Commercial |
$563.60
|
| Rate for Payer: PHP Commercial |
$563.60
|
| Rate for Payer: PHP Medicare Advantage |
$402.57
|
| Rate for Payer: PHP Medicare Advantage |
$402.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$133.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$516.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$617.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$617.40
|
| Rate for Payer: Priority Health Medicare |
$402.57
|
| Rate for Payer: Priority Health Medicare |
$402.57
|
| Rate for Payer: Priority Health Narrow Network |
$617.40
|
| Rate for Payer: Priority Health Narrow Network |
$617.40
|
| Rate for Payer: Priority Health SBD |
$75.54
|
| Rate for Payer: Priority Health SBD |
$75.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$402.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$402.57
|
| Rate for Payer: UHC Medicare Advantage |
$402.57
|
| Rate for Payer: UHC Medicare Advantage |
$402.57
|
| Rate for Payer: UHCCP Medicaid |
$35.36
|
| Rate for Payer: UHCCP Medicaid |
$35.36
|
| Rate for Payer: UMR Bronson Commercial |
$94.76
|
| Rate for Payer: UMR Bronson Commercial |
$365.24
|
|
|
PR ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY
|
Professional
|
Both
|
$692.00
|
|
|
Service Code
|
HCPCS 95816
|
| Min. Negotiated Rate |
$35.36 |
| Max. Negotiated Rate |
$559.05 |
| Rate for Payer: Aetna Commercial |
$463.91
|
| Rate for Payer: Aetna Commercial |
$463.91
|
| Rate for Payer: Aetna Medicare |
$360.05
|
| Rate for Payer: Aetna Medicare |
$360.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$498.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$498.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.91
|
| Rate for Payer: BCBS Complete |
$37.13
|
| Rate for Payer: BCBS Complete |
$37.13
|
| Rate for Payer: BCBS MAPPO |
$346.20
|
| Rate for Payer: BCBS MAPPO |
$346.20
|
| Rate for Payer: BCBS Trust/PPO |
$231.92
|
| Rate for Payer: BCBS Trust/PPO |
$231.92
|
| Rate for Payer: BCN Commercial |
$559.05
|
| Rate for Payer: BCN Commercial |
$559.05
|
| Rate for Payer: BCN Medicare Advantage |
$346.20
|
| Rate for Payer: BCN Medicare Advantage |
$346.20
|
| Rate for Payer: Cash Price |
$225.60
|
| Rate for Payer: Cash Price |
$225.60
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cash Price |
$553.60
|
| Rate for Payer: Cofinity Commercial |
$463.91
|
| Rate for Payer: Cofinity Commercial |
$498.53
|
| Rate for Payer: Cofinity Commercial |
$498.53
|
| Rate for Payer: Cofinity Commercial |
$463.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$346.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$346.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$363.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$363.51
|
| Rate for Payer: Meridian Medicaid |
$37.13
|
| Rate for Payer: Meridian Medicaid |
$37.13
|
| Rate for Payer: Nomi Health Commercial |
$415.44
|
| Rate for Payer: Nomi Health Commercial |
$415.44
|
| Rate for Payer: PACE SWMI |
$346.20
|
| Rate for Payer: PACE SWMI |
$346.20
|
| Rate for Payer: PHP Commercial |
$484.68
|
| Rate for Payer: PHP Commercial |
$484.68
|
| Rate for Payer: PHP Medicare Advantage |
$346.20
|
| Rate for Payer: PHP Medicare Advantage |
$346.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$35.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$449.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$536.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$536.00
|
| Rate for Payer: Priority Health Medicare |
$346.20
|
| Rate for Payer: Priority Health Medicare |
$346.20
|
| Rate for Payer: Priority Health Narrow Network |
$536.00
|
| Rate for Payer: Priority Health Narrow Network |
$536.00
|
| Rate for Payer: Priority Health SBD |
$75.54
|
| Rate for Payer: Priority Health SBD |
$75.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$346.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$346.20
|
| Rate for Payer: UHC Medicare Advantage |
$346.20
|
| Rate for Payer: UHC Medicare Advantage |
$346.20
|
| Rate for Payer: UHCCP Medicaid |
$35.36
|
| Rate for Payer: UHCCP Medicaid |
$35.36
|
| Rate for Payer: UMR Bronson Commercial |
$129.72
|
| Rate for Payer: UMR Bronson Commercial |
$318.32
|
|
|
PR ELECTROGASTROGRAPHY DX TRANSCUTANEOUS
|
Professional
|
Both
|
$282.00
|
|
|
Service Code
|
HCPCS 91132
|
| Min. Negotiated Rate |
$34.83 |
| Max. Negotiated Rate |
$652.87 |
| Rate for Payer: Aetna Commercial |
$496.32
|
| Rate for Payer: Aetna Medicare |
$385.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$496.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.36
|
| Rate for Payer: BCBS Complete |
$112.80
|
| Rate for Payer: BCBS MAPPO |
$370.39
|
| Rate for Payer: BCBS Trust/PPO |
$538.87
|
| Rate for Payer: BCN Commercial |
$652.87
|
| Rate for Payer: BCN Medicare Advantage |
$370.39
|
| Rate for Payer: Cash Price |
$225.60
|
| Rate for Payer: Cash Price |
$225.60
|
| Rate for Payer: Cofinity Commercial |
$533.36
|
| Rate for Payer: Cofinity Commercial |
$496.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$388.91
|
| Rate for Payer: Nomi Health Commercial |
$444.47
|
| Rate for Payer: PACE SWMI |
$370.39
|
| Rate for Payer: PHP Commercial |
$518.55
|
| Rate for Payer: PHP Medicare Advantage |
$370.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$183.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$593.43
|
| Rate for Payer: Priority Health Medicare |
$370.39
|
| Rate for Payer: Priority Health Narrow Network |
$593.43
|
| Rate for Payer: Priority Health SBD |
$34.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$370.39
|
| Rate for Payer: UHC Medicare Advantage |
$370.39
|
| Rate for Payer: UMR Bronson Commercial |
$129.72
|
|
|
PR ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS
|
Professional
|
Both
|
$571.00
|
|
|
Service Code
|
HCPCS 93724
|
| Min. Negotiated Rate |
$99.85 |
| Max. Negotiated Rate |
$409.52 |
| Rate for Payer: Aetna Commercial |
$348.90
|
| Rate for Payer: Aetna Medicare |
$270.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$374.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.90
|
| Rate for Payer: BCBS Complete |
$154.77
|
| Rate for Payer: BCBS MAPPO |
$260.37
|
| Rate for Payer: BCBS Trust/PPO |
$99.85
|
| Rate for Payer: BCN Commercial |
$409.52
|
| Rate for Payer: BCN Medicare Advantage |
$260.37
|
| Rate for Payer: Cash Price |
$456.80
|
| Rate for Payer: Cash Price |
$456.80
|
| Rate for Payer: Cofinity Commercial |
$374.93
|
| Rate for Payer: Cofinity Commercial |
$348.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$260.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$273.39
|
| Rate for Payer: Meridian Medicaid |
$154.77
|
| Rate for Payer: Nomi Health Commercial |
$312.44
|
| Rate for Payer: PACE SWMI |
$260.37
|
| Rate for Payer: PHP Commercial |
$364.52
|
| Rate for Payer: PHP Medicare Advantage |
$260.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$147.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$371.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$389.85
|
| Rate for Payer: Priority Health Medicare |
$260.37
|
| Rate for Payer: Priority Health Narrow Network |
$389.85
|
| Rate for Payer: Priority Health SBD |
$324.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$260.37
|
| Rate for Payer: UHC Medicare Advantage |
$260.37
|
| Rate for Payer: UHCCP Medicaid |
$147.40
|
| Rate for Payer: UMR Bronson Commercial |
$262.66
|
|
|
PR ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL
|
Professional
|
Both
|
$4,144.00
|
|
|
Service Code
|
HCPCS 62000
|
| Min. Negotiated Rate |
$679.04 |
| Max. Negotiated Rate |
$2,693.60 |
| Rate for Payer: Aetna Commercial |
$1,377.64
|
| Rate for Payer: Aetna Medicare |
$1,069.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,377.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,480.45
|
| Rate for Payer: BCBS Complete |
$712.99
|
| Rate for Payer: BCBS MAPPO |
$1,028.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,847.99
|
| Rate for Payer: BCN Commercial |
$1,533.47
|
| Rate for Payer: BCN Medicare Advantage |
$1,028.09
|
| Rate for Payer: Cash Price |
$3,315.20
|
| Rate for Payer: Cash Price |
$3,315.20
|
| Rate for Payer: Cofinity Commercial |
$1,377.64
|
| Rate for Payer: Cofinity Commercial |
$1,480.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,028.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,079.49
|
| Rate for Payer: Meridian Medicaid |
$712.99
|
| Rate for Payer: Nomi Health Commercial |
$1,233.71
|
| Rate for Payer: PACE SWMI |
$1,028.09
|
| Rate for Payer: PHP Commercial |
$1,439.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,028.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$679.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,693.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,802.26
|
| Rate for Payer: Priority Health Medicare |
$1,028.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,802.26
|
| Rate for Payer: Priority Health SBD |
$1,802.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,028.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,028.09
|
| Rate for Payer: UHCCP Medicaid |
$679.04
|
| Rate for Payer: UMR Bronson Commercial |
$1,906.24
|
|
|
PR ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL
|
Professional
|
Both
|
$5,239.00
|
|
|
Service Code
|
HCPCS 62005
|
| Min. Negotiated Rate |
$833.04 |
| Max. Negotiated Rate |
$3,405.35 |
| Rate for Payer: Aetna Commercial |
$1,694.78
|
| Rate for Payer: Aetna Medicare |
$1,315.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,694.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,821.25
|
| Rate for Payer: BCBS Complete |
$874.69
|
| Rate for Payer: BCBS MAPPO |
$1,264.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,278.49
|
| Rate for Payer: BCN Commercial |
$2,612.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,264.76
|
| Rate for Payer: Cash Price |
$4,191.20
|
| Rate for Payer: Cash Price |
$4,191.20
|
| Rate for Payer: Cofinity Commercial |
$1,694.78
|
| Rate for Payer: Cofinity Commercial |
$1,821.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,264.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,328.00
|
| Rate for Payer: Meridian Medicaid |
$874.69
|
| Rate for Payer: Nomi Health Commercial |
$1,517.71
|
| Rate for Payer: PACE SWMI |
$1,264.76
|
| Rate for Payer: PHP Commercial |
$1,770.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,264.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$833.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,405.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,213.44
|
| Rate for Payer: Priority Health Medicare |
$1,264.76
|
| Rate for Payer: Priority Health Narrow Network |
$2,213.44
|
| Rate for Payer: Priority Health SBD |
$2,213.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,264.76
|
| Rate for Payer: UHC Medicare Advantage |
$1,264.76
|
| Rate for Payer: UHCCP Medicaid |
$833.04
|
| Rate for Payer: UMR Bronson Commercial |
$2,409.94
|
|
