|
PR EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK
|
Professional
|
Both
|
$2,095.00
|
|
|
Service Code
|
HCPCS 20102
|
| Min. Negotiated Rate |
$156.34 |
| Max. Negotiated Rate |
$1,571.25 |
| Rate for Payer: Aetna Commercial |
$324.62
|
| Rate for Payer: Aetna Medicare |
$251.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$324.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$348.84
|
| Rate for Payer: BCBS Complete |
$164.16
|
| Rate for Payer: BCBS MAPPO |
$242.25
|
| Rate for Payer: BCN Commercial |
$385.44
|
| Rate for Payer: BCN Medicare Advantage |
$242.25
|
| Rate for Payer: Cash Price |
$1,676.00
|
| Rate for Payer: Cash Price |
$1,676.00
|
| Rate for Payer: Cofinity Commercial |
$324.62
|
| Rate for Payer: Cofinity Commercial |
$348.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$242.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$254.36
|
| Rate for Payer: Meridian Medicaid |
$164.16
|
| Rate for Payer: Molina Medicare/Medicaid |
$266.48
|
| Rate for Payer: Nomi Health Commercial |
$290.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,571.25
|
| Rate for Payer: PACE SWMI |
$242.25
|
| Rate for Payer: PHP Commercial |
$339.15
|
| Rate for Payer: PHP Medicare Advantage |
$242.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$156.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$412.02
|
| Rate for Payer: Priority Health Medicare |
$242.25
|
| Rate for Payer: Priority Health SBD |
$412.02
|
| Rate for Payer: Priority Health Tiered Network |
$412.02
|
| Rate for Payer: Railroad Medicare Medicare |
$242.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$452.90
|
| Rate for Payer: UHC Core |
$452.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$242.25
|
| Rate for Payer: UHC Exchange |
$452.90
|
| Rate for Payer: UHC Medicaid |
$156.34
|
| Rate for Payer: UHCCP Medicaid |
$156.34
|
| Rate for Payer: UMR Bronson Commercial |
$963.70
|
|
|
PR EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD
|
Professional
|
Both
|
$2,424.00
|
|
|
Service Code
|
HCPCS 35840
|
| Min. Negotiated Rate |
$716.32 |
| Max. Negotiated Rate |
$2,138.70 |
| Rate for Payer: Aetna Commercial |
$1,501.54
|
| Rate for Payer: Aetna Medicare |
$1,165.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,501.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,613.59
|
| Rate for Payer: BCBS Complete |
$752.14
|
| Rate for Payer: BCBS MAPPO |
$1,120.55
|
| Rate for Payer: BCN Commercial |
$1,817.63
|
| Rate for Payer: BCN Medicare Advantage |
$1,120.55
|
| Rate for Payer: Cash Price |
$1,939.20
|
| Rate for Payer: Cash Price |
$1,939.20
|
| Rate for Payer: Cofinity Commercial |
$1,501.54
|
| Rate for Payer: Cofinity Commercial |
$1,613.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,120.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,176.58
|
| Rate for Payer: Meridian Medicaid |
$752.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,232.61
|
| Rate for Payer: Nomi Health Commercial |
$1,344.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,818.00
|
| Rate for Payer: PACE SWMI |
$1,120.55
|
| Rate for Payer: PHP Commercial |
$1,568.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,120.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$716.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,954.64
|
| Rate for Payer: Priority Health Medicare |
$1,120.55
|
| Rate for Payer: Priority Health SBD |
$1,954.64
|
| Rate for Payer: Priority Health Tiered Network |
$1,954.64
|
| Rate for Payer: Railroad Medicare Medicare |
$1,120.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,138.70
|
| Rate for Payer: UHC Core |
$2,138.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,120.55
|
| Rate for Payer: UHC Exchange |
$2,138.70
|
| Rate for Payer: UHC Medicaid |
$716.32
|
| Rate for Payer: UHCCP Medicaid |
$716.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,115.04
|
|
|
PR EXPL PO HEMRRG THROMBOSIS/INFCTJ CH
|
Professional
|
Both
|
$5,759.00
|
|
|
Service Code
|
HCPCS 35820
|
| Min. Negotiated Rate |
$1,193.01 |
| Max. Negotiated Rate |
$4,319.25 |
| Rate for Payer: Aetna Commercial |
$2,514.08
|
| Rate for Payer: Aetna Medicare |
$1,951.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,514.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,701.70
|
| Rate for Payer: BCBS Complete |
$1,252.66
|
| Rate for Payer: BCBS MAPPO |
$1,876.18
|
| Rate for Payer: BCN Commercial |
$2,962.49
|
| Rate for Payer: BCN Medicare Advantage |
$1,876.18
|
| Rate for Payer: Cash Price |
$4,607.20
|
| Rate for Payer: Cash Price |
$4,607.20
|
| Rate for Payer: Cofinity Commercial |
$2,514.08
|
| Rate for Payer: Cofinity Commercial |
$2,701.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,876.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,969.99
|
| Rate for Payer: Meridian Medicaid |
$1,252.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,063.80
|
| Rate for Payer: Nomi Health Commercial |
$2,251.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,319.25
|
| Rate for Payer: PACE SWMI |
$1,876.18
|
| Rate for Payer: PHP Commercial |
$2,626.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,876.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,193.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,185.78
|
| Rate for Payer: Priority Health Medicare |
$1,876.18
|
| Rate for Payer: Priority Health SBD |
$3,185.78
|
| Rate for Payer: Priority Health Tiered Network |
$3,185.78
|
| Rate for Payer: Railroad Medicare Medicare |
$1,876.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,589.52
|
| Rate for Payer: UHC Core |
$3,589.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,876.18
|
| Rate for Payer: UHC Exchange |
$3,589.52
|
| Rate for Payer: UHC Medicaid |
$1,193.01
|
| Rate for Payer: UHCCP Medicaid |
$1,193.01
|
| Rate for Payer: UMR Bronson Commercial |
$2,649.14
|
|
|
PR EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK
|
Professional
|
Both
|
$1,558.00
|
|
|
Service Code
|
HCPCS 35800
|
| Min. Negotiated Rate |
$421.74 |
| Max. Negotiated Rate |
$1,272.83 |
| Rate for Payer: Aetna Commercial |
$877.27
|
| Rate for Payer: Aetna Medicare |
$680.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$942.74
|
| Rate for Payer: BCBS Complete |
$442.83
|
| Rate for Payer: BCBS MAPPO |
$654.68
|
| Rate for Payer: BCN Commercial |
$1,097.05
|
| Rate for Payer: BCN Medicare Advantage |
$654.68
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cash Price |
$1,246.40
|
| Rate for Payer: Cofinity Commercial |
$877.27
|
| Rate for Payer: Cofinity Commercial |
$942.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$654.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$687.41
|
| Rate for Payer: Meridian Medicaid |
$442.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$720.15
|
| Rate for Payer: Nomi Health Commercial |
$785.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,168.50
|
| Rate for Payer: PACE SWMI |
$654.68
|
| Rate for Payer: PHP Commercial |
$916.55
|
| Rate for Payer: PHP Medicare Advantage |
$654.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$421.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,179.74
|
| Rate for Payer: Priority Health Medicare |
$654.68
|
| Rate for Payer: Priority Health SBD |
$1,179.74
|
| Rate for Payer: Priority Health Tiered Network |
$1,179.74
|
| Rate for Payer: Railroad Medicare Medicare |
$654.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,272.83
|
| Rate for Payer: UHC Core |
$1,272.83
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$654.68
|
| Rate for Payer: UHC Exchange |
$1,272.83
|
| Rate for Payer: UHC Medicaid |
$421.74
|
| Rate for Payer: UHCCP Medicaid |
$421.74
|
| Rate for Payer: UMR Bronson Commercial |
$716.68
|
|
|
PR EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 35860
|
| Min. Negotiated Rate |
$494.59 |
| Max. Negotiated Rate |
$1,497.15 |
| Rate for Payer: Aetna Commercial |
$1,042.43
|
| Rate for Payer: Aetna Medicare |
$809.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,042.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,120.22
|
| Rate for Payer: BCBS Complete |
$519.32
|
| Rate for Payer: BCBS MAPPO |
$777.93
|
| Rate for Payer: BCN Commercial |
$1,242.47
|
| Rate for Payer: BCN Medicare Advantage |
$777.93
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cofinity Commercial |
$1,042.43
|
| Rate for Payer: Cofinity Commercial |
$1,120.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$777.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$816.83
|
| Rate for Payer: Meridian Medicaid |
$519.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$855.72
|
| Rate for Payer: Nomi Health Commercial |
$933.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,177.50
|
| Rate for Payer: PACE SWMI |
$777.93
|
| Rate for Payer: PHP Commercial |
$1,089.10
|
| Rate for Payer: PHP Medicare Advantage |
$777.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$494.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,336.12
|
| Rate for Payer: Priority Health Medicare |
$777.93
|
| Rate for Payer: Priority Health SBD |
$1,336.12
|
| Rate for Payer: Priority Health Tiered Network |
$1,336.12
|
| Rate for Payer: Railroad Medicare Medicare |
$777.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,497.15
|
| Rate for Payer: UHC Core |
$1,497.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$777.93
|
| Rate for Payer: UHC Exchange |
$1,497.15
|
| Rate for Payer: UHC Medicaid |
$494.59
|
| Rate for Payer: UHCCP Medicaid |
$494.59
|
| Rate for Payer: UMR Bronson Commercial |
$722.20
|
|
|
PR EXPL RETROPERITONEUM W/WO BX SPX
|
Professional
|
Both
|
$2,093.00
|
|
|
Service Code
|
HCPCS 49010
|
| Min. Negotiated Rate |
$551.24 |
| Max. Negotiated Rate |
$1,690.42 |
| Rate for Payer: Aetna Commercial |
$1,156.03
|
| Rate for Payer: Aetna Medicare |
$897.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,156.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,242.30
|
| Rate for Payer: BCBS Complete |
$578.80
|
| Rate for Payer: BCBS MAPPO |
$862.71
|
| Rate for Payer: BCN Commercial |
$1,387.37
|
| Rate for Payer: BCN Medicare Advantage |
$862.71
|
| Rate for Payer: Cash Price |
$1,674.40
|
| Rate for Payer: Cash Price |
$1,674.40
|
| Rate for Payer: Cofinity Commercial |
$1,156.03
|
| Rate for Payer: Cofinity Commercial |
$1,242.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$862.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$905.85
|
| Rate for Payer: Meridian Medicaid |
$578.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$948.98
|
| Rate for Payer: Nomi Health Commercial |
$1,035.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,569.75
|
| Rate for Payer: PACE SWMI |
$862.71
|
| Rate for Payer: PHP Commercial |
$1,207.79
|
| Rate for Payer: PHP Medicare Advantage |
$862.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$551.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,690.42
|
| Rate for Payer: Priority Health Medicare |
$862.71
|
| Rate for Payer: Priority Health SBD |
$1,690.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,690.42
|
| Rate for Payer: Railroad Medicare Medicare |
$862.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,649.03
|
| Rate for Payer: UHC Core |
$1,649.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$862.71
|
| Rate for Payer: UHC Exchange |
$1,649.03
|
| Rate for Payer: UHC Medicaid |
$551.24
|
| Rate for Payer: UHCCP Medicaid |
$551.24
|
| Rate for Payer: UMR Bronson Commercial |
$962.78
|
|
|
PR EXPL RPR & PRESACRAL DRG RECTAL INJURY
|
Professional
|
Both
|
$3,170.00
|
|
|
Service Code
|
HCPCS 45562
|
| Min. Negotiated Rate |
$716.32 |
| Max. Negotiated Rate |
$2,377.50 |
| Rate for Payer: Aetna Commercial |
$1,487.83
|
| Rate for Payer: Aetna Medicare |
$1,154.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,487.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,598.86
|
| Rate for Payer: BCBS Complete |
$752.14
|
| Rate for Payer: BCBS MAPPO |
$1,110.32
|
| Rate for Payer: BCN Commercial |
$1,761.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,110.32
|
| Rate for Payer: Cash Price |
$2,536.00
|
| Rate for Payer: Cash Price |
$2,536.00
|
| Rate for Payer: Cofinity Commercial |
$1,487.83
|
| Rate for Payer: Cofinity Commercial |
$1,598.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,110.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,165.84
|
| Rate for Payer: Meridian Medicaid |
$752.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,221.35
|
| Rate for Payer: Nomi Health Commercial |
$1,332.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,377.50
|
| Rate for Payer: PACE SWMI |
$1,110.32
|
| Rate for Payer: PHP Commercial |
$1,554.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,110.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$716.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,146.71
|
| Rate for Payer: Priority Health Medicare |
$1,110.32
|
| Rate for Payer: Priority Health SBD |
$2,146.71
|
| Rate for Payer: Priority Health Tiered Network |
$2,146.71
|
| Rate for Payer: Railroad Medicare Medicare |
$1,110.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,995.41
|
| Rate for Payer: UHC Core |
$1,995.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,110.32
|
| Rate for Payer: UHC Exchange |
$1,995.41
|
| Rate for Payer: UHC Medicaid |
$716.32
|
| Rate for Payer: UHCCP Medicaid |
$716.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,458.20
|
|
|
PR EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL
|
Professional
|
Both
|
$1,338.00
|
|
|
Service Code
|
HCPCS 54560
|
| Min. Negotiated Rate |
$397.46 |
| Max. Negotiated Rate |
$1,211.84 |
| Rate for Payer: Aetna Commercial |
$822.96
|
| Rate for Payer: Aetna Medicare |
$638.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$822.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$884.38
|
| Rate for Payer: BCBS Complete |
$417.33
|
| Rate for Payer: BCBS MAPPO |
$614.15
|
| Rate for Payer: BCN Commercial |
$1,030.82
|
| Rate for Payer: BCN Medicare Advantage |
$614.15
|
| Rate for Payer: Cash Price |
$1,070.40
|
| Rate for Payer: Cash Price |
$1,070.40
|
| Rate for Payer: Cofinity Commercial |
$822.96
|
| Rate for Payer: Cofinity Commercial |
$884.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$614.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$644.86
|
| Rate for Payer: Meridian Medicaid |
$417.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$675.57
|
| Rate for Payer: Nomi Health Commercial |
$736.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,003.50
|
| Rate for Payer: PACE SWMI |
$614.15
|
| Rate for Payer: PHP Commercial |
$859.81
|
| Rate for Payer: PHP Medicare Advantage |
$614.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$397.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,122.89
|
| Rate for Payer: Priority Health Medicare |
$614.15
|
| Rate for Payer: Priority Health SBD |
$1,122.89
|
| Rate for Payer: Priority Health Tiered Network |
$1,122.89
|
| Rate for Payer: Railroad Medicare Medicare |
$614.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,211.84
|
| Rate for Payer: UHC Core |
$1,211.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$614.15
|
| Rate for Payer: UHC Exchange |
$1,211.84
|
| Rate for Payer: UHC Medicaid |
$397.46
|
| Rate for Payer: UHCCP Medicaid |
$397.46
|
| Rate for Payer: UMR Bronson Commercial |
$615.48
|
|
|
PR EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA
|
Professional
|
Both
|
$956.00
|
|
|
Service Code
|
HCPCS 54550
|
| Min. Negotiated Rate |
$287.98 |
| Max. Negotiated Rate |
$865.86 |
| Rate for Payer: Aetna Commercial |
$594.75
|
| Rate for Payer: Aetna Medicare |
$461.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$594.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$639.13
|
| Rate for Payer: BCBS Complete |
$302.38
|
| Rate for Payer: BCBS MAPPO |
$443.84
|
| Rate for Payer: BCN Commercial |
$740.00
|
| Rate for Payer: BCN Medicare Advantage |
$443.84
|
| Rate for Payer: Cash Price |
$764.80
|
| Rate for Payer: Cash Price |
$764.80
|
| Rate for Payer: Cofinity Commercial |
$594.75
|
| Rate for Payer: Cofinity Commercial |
$639.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$443.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$466.03
|
| Rate for Payer: Meridian Medicaid |
$302.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$488.22
|
| Rate for Payer: Nomi Health Commercial |
$532.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$717.00
|
| Rate for Payer: PACE SWMI |
$443.84
|
| Rate for Payer: PHP Commercial |
$621.38
|
| Rate for Payer: PHP Medicare Advantage |
$443.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$287.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$806.10
|
| Rate for Payer: Priority Health Medicare |
$443.84
|
| Rate for Payer: Priority Health SBD |
$806.10
|
| Rate for Payer: Priority Health Tiered Network |
$806.10
|
| Rate for Payer: Railroad Medicare Medicare |
$443.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$865.86
|
| Rate for Payer: UHC Core |
$865.86
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$443.84
|
| Rate for Payer: UHC Exchange |
$865.86
|
| Rate for Payer: UHC Medicaid |
$287.98
|
| Rate for Payer: UHCCP Medicaid |
$287.98
|
| Rate for Payer: UMR Bronson Commercial |
$439.76
|
|
|
PR EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST
|
Professional
|
Both
|
$845.00
|
|
|
Service Code
|
HCPCS 25248
|
| Min. Negotiated Rate |
$260.29 |
| Max. Negotiated Rate |
$721.67 |
| Rate for Payer: Aetna Commercial |
$530.35
|
| Rate for Payer: Aetna Medicare |
$411.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$530.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$569.92
|
| Rate for Payer: BCBS Complete |
$273.30
|
| Rate for Payer: BCBS MAPPO |
$395.78
|
| Rate for Payer: BCN Commercial |
$642.39
|
| Rate for Payer: BCN Medicare Advantage |
$395.78
|
| Rate for Payer: Cash Price |
$676.00
|
| Rate for Payer: Cash Price |
$676.00
|
| Rate for Payer: Cofinity Commercial |
$530.35
|
| Rate for Payer: Cofinity Commercial |
$569.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$395.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$415.57
|
| Rate for Payer: Meridian Medicaid |
$273.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$435.36
|
| Rate for Payer: Nomi Health Commercial |
$474.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$633.75
|
| Rate for Payer: PACE SWMI |
$395.78
|
| Rate for Payer: PHP Commercial |
$554.09
|
| Rate for Payer: PHP Medicare Advantage |
$395.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$260.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$686.70
|
| Rate for Payer: Priority Health Medicare |
$395.78
|
| Rate for Payer: Priority Health SBD |
$686.70
|
| Rate for Payer: Priority Health Tiered Network |
$686.70
|
| Rate for Payer: Railroad Medicare Medicare |
$395.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$721.67
|
| Rate for Payer: UHC Core |
$721.67
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$395.78
|
| Rate for Payer: UHC Exchange |
$721.67
|
| Rate for Payer: UHC Medicaid |
$260.29
|
| Rate for Payer: UHCCP Medicaid |
$260.29
|
| Rate for Payer: UMR Bronson Commercial |
$388.70
|
|
|
PR EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST
|
Professional
|
Both
|
$1,723.00
|
|
|
Service Code
|
HCPCS 55860
|
| Min. Negotiated Rate |
$501.19 |
| Max. Negotiated Rate |
$1,546.63 |
| Rate for Payer: Aetna Commercial |
$1,040.78
|
| Rate for Payer: Aetna Medicare |
$807.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,040.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,118.45
|
| Rate for Payer: BCBS Complete |
$526.25
|
| Rate for Payer: BCBS MAPPO |
$776.70
|
| Rate for Payer: BCN Commercial |
$1,306.70
|
| Rate for Payer: BCN Medicare Advantage |
$776.70
|
| Rate for Payer: Cash Price |
$1,378.40
|
| Rate for Payer: Cash Price |
$1,378.40
|
| Rate for Payer: Cofinity Commercial |
$1,040.78
|
| Rate for Payer: Cofinity Commercial |
$1,118.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$776.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$815.53
|
| Rate for Payer: Meridian Medicaid |
$526.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$854.37
|
| Rate for Payer: Nomi Health Commercial |
$932.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,292.25
|
| Rate for Payer: PACE SWMI |
$776.70
|
| Rate for Payer: PHP Commercial |
$1,087.38
|
| Rate for Payer: PHP Medicare Advantage |
$776.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$501.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,423.42
|
| Rate for Payer: Priority Health Medicare |
$776.70
|
| Rate for Payer: Priority Health SBD |
$1,423.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,423.42
|
| Rate for Payer: Railroad Medicare Medicare |
$776.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,546.63
|
| Rate for Payer: UHC Core |
$1,546.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$776.70
|
| Rate for Payer: UHC Exchange |
$1,546.63
|
| Rate for Payer: UHC Medicaid |
$501.19
|
| Rate for Payer: UHCCP Medicaid |
$501.19
|
| Rate for Payer: UMR Bronson Commercial |
$792.58
|
|
|
PR EXPRESS FACIAL REFINEMENT OR RELAXATION
|
Professional
|
Both
|
$158.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$63.20 |
| Max. Negotiated Rate |
$118.50 |
| Rate for Payer: Aetna Medicare |
$79.00
|
| Rate for Payer: BCBS Complete |
$63.20
|
| Rate for Payer: Cash Price |
$126.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.50
|
| Rate for Payer: UMR Bronson Commercial |
$72.68
|
|
|
PR EXT ECG > 48HR TO 21 DAY RCRD W/CONECT INTL RCRD
|
Professional
|
Both
|
$195.00
|
|
|
Service Code
|
HCPCS 0296T
|
| Min. Negotiated Rate |
$78.00 |
| Max. Negotiated Rate |
$146.25 |
| Rate for Payer: Aetna Medicare |
$97.50
|
| Rate for Payer: BCBS Complete |
$78.00
|
| Rate for Payer: Cash Price |
$156.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$146.25
|
| Rate for Payer: UMR Bronson Commercial |
$89.70
|
|
|
PR EXT ECG > 48HR TO 21 DAY REVIEW AND INTERPRETATN
|
Professional
|
Both
|
$63.00
|
|
|
Service Code
|
HCPCS 0298T
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$47.25 |
| Rate for Payer: Aetna Medicare |
$31.50
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: UMR Bronson Commercial |
$28.98
|
|
|
PR EXTENDED ABDOMINOPLASTY
|
Professional
|
Both
|
$7,210.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2,884.00 |
| Max. Negotiated Rate |
$5,407.50 |
| Rate for Payer: Aetna Medicare |
$3,605.00
|
| Rate for Payer: BCBS Complete |
$2,884.00
|
| Rate for Payer: Cash Price |
$5,768.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,407.50
|
| Rate for Payer: UMR Bronson Commercial |
$3,316.60
|
|
|
PR EXTENDED VISUAL FIELD XM UNI/BI I&R
|
Professional
|
Both
|
$121.00
|
|
|
Service Code
|
HCPCS 92083
|
| Min. Negotiated Rate |
$55.66 |
| Max. Negotiated Rate |
$94.12 |
| Rate for Payer: Aetna Commercial |
$80.15
|
| Rate for Payer: Aetna Medicare |
$62.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.13
|
| Rate for Payer: BCBS MAPPO |
$59.81
|
| Rate for Payer: BCN Commercial |
$94.12
|
| Rate for Payer: BCN Medicare Advantage |
$59.81
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cash Price |
$96.80
|
| Rate for Payer: Cofinity Commercial |
$86.13
|
| Rate for Payer: Cofinity Commercial |
$80.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.79
|
| Rate for Payer: Nomi Health Commercial |
$71.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$90.75
|
| Rate for Payer: PACE SWMI |
$59.81
|
| Rate for Payer: PHP Commercial |
$83.73
|
| Rate for Payer: PHP Medicare Advantage |
$59.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$91.34
|
| Rate for Payer: Priority Health Medicare |
$59.81
|
| Rate for Payer: Priority Health SBD |
$91.34
|
| Rate for Payer: Priority Health Tiered Network |
$91.34
|
| Rate for Payer: Railroad Medicare Medicare |
$59.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.40
|
| Rate for Payer: UHC Core |
$76.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.81
|
| Rate for Payer: UHC Exchange |
$76.40
|
| Rate for Payer: UMR Bronson Commercial |
$55.66
|
|
|
PR EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS
|
Professional
|
Both
|
$299.00
|
|
|
Service Code
|
HCPCS 59412
|
| Min. Negotiated Rate |
$90.12 |
| Max. Negotiated Rate |
$224.25 |
| Rate for Payer: Aetna Commercial |
$127.11
|
| Rate for Payer: Aetna Medicare |
$98.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$136.60
|
| Rate for Payer: BCBS Complete |
$94.63
|
| Rate for Payer: BCBS MAPPO |
$94.86
|
| Rate for Payer: BCN Commercial |
$153.87
|
| Rate for Payer: BCN Medicare Advantage |
$94.86
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cash Price |
$239.20
|
| Rate for Payer: Cofinity Commercial |
$127.11
|
| Rate for Payer: Cofinity Commercial |
$136.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$94.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$99.60
|
| Rate for Payer: Meridian Medicaid |
$94.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$104.35
|
| Rate for Payer: Nomi Health Commercial |
$113.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$224.25
|
| Rate for Payer: PACE SWMI |
$94.86
|
| Rate for Payer: PHP Commercial |
$132.80
|
| Rate for Payer: PHP Medicare Advantage |
$94.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$145.26
|
| Rate for Payer: Priority Health Medicare |
$94.86
|
| Rate for Payer: Priority Health SBD |
$145.26
|
| Rate for Payer: Priority Health Tiered Network |
$145.26
|
| Rate for Payer: Railroad Medicare Medicare |
$94.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$184.04
|
| Rate for Payer: UHC Core |
$184.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$94.86
|
| Rate for Payer: UHC Exchange |
$184.04
|
| Rate for Payer: UHC Medicaid |
$90.12
|
| Rate for Payer: UHCCP Medicaid |
$90.12
|
| Rate for Payer: UMR Bronson Commercial |
$137.54
|
|
|
PR EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN
|
Professional
|
Both
|
$3,173.00
|
|
|
Service Code
|
HCPCS 48510
|
| Min. Negotiated Rate |
$665.63 |
| Max. Negotiated Rate |
$2,379.75 |
| Rate for Payer: Aetna Commercial |
$1,385.55
|
| Rate for Payer: Aetna Medicare |
$1,075.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,385.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,488.95
|
| Rate for Payer: BCBS Complete |
$698.91
|
| Rate for Payer: BCBS MAPPO |
$1,033.99
|
| Rate for Payer: BCN Commercial |
$1,650.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,033.99
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cash Price |
$2,538.40
|
| Rate for Payer: Cofinity Commercial |
$1,385.55
|
| Rate for Payer: Cofinity Commercial |
$1,488.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,033.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,085.69
|
| Rate for Payer: Meridian Medicaid |
$698.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,137.39
|
| Rate for Payer: Nomi Health Commercial |
$1,240.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,379.75
|
| Rate for Payer: PACE SWMI |
$1,033.99
|
| Rate for Payer: PHP Commercial |
$1,447.59
|
| Rate for Payer: PHP Medicare Advantage |
$1,033.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$665.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,011.41
|
| Rate for Payer: Priority Health Medicare |
$1,033.99
|
| Rate for Payer: Priority Health SBD |
$2,011.41
|
| Rate for Payer: Priority Health Tiered Network |
$2,011.41
|
| Rate for Payer: Railroad Medicare Medicare |
$1,033.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,952.99
|
| Rate for Payer: UHC Core |
$1,952.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,033.99
|
| Rate for Payer: UHC Exchange |
$1,952.99
|
| Rate for Payer: UHC Medicaid |
$665.63
|
| Rate for Payer: UHCCP Medicaid |
$665.63
|
| Rate for Payer: UMR Bronson Commercial |
$1,459.58
|
|
|
PR EXTERNAL ECG REC>48HR<7D RECORDING
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 93242
|
| Min. Negotiated Rate |
$10.75 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Commercial |
$14.40
|
| Rate for Payer: Aetna Medicare |
$11.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.48
|
| Rate for Payer: BCBS MAPPO |
$10.75
|
| Rate for Payer: BCN Commercial |
$13.74
|
| Rate for Payer: BCN Medicare Advantage |
$10.75
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$15.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.82
|
| Rate for Payer: Nomi Health Commercial |
$12.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: PACE SWMI |
$10.75
|
| Rate for Payer: PHP Commercial |
$15.05
|
| Rate for Payer: PHP Medicare Advantage |
$10.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.56
|
| Rate for Payer: Priority Health Medicare |
$10.75
|
| Rate for Payer: Priority Health SBD |
$16.56
|
| Rate for Payer: Priority Health Tiered Network |
$16.56
|
| Rate for Payer: Railroad Medicare Medicare |
$10.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.97
|
| Rate for Payer: UHC Core |
$23.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.75
|
| Rate for Payer: UHC Exchange |
$23.97
|
| Rate for Payer: UMR Bronson Commercial |
$14.72
|
|
|
PR EXTERNAL ECG REC>48HR<7D REVIEW & INTERPRETATION
|
Professional
|
Both
|
$50.00
|
|
|
Service Code
|
HCPCS 93244
|
| Min. Negotiated Rate |
$14.48 |
| Max. Negotiated Rate |
$40.85 |
| Rate for Payer: Aetna Commercial |
$29.88
|
| Rate for Payer: Aetna Medicare |
$23.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.11
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: BCBS MAPPO |
$22.30
|
| Rate for Payer: BCN Commercial |
$26.70
|
| Rate for Payer: BCN Medicare Advantage |
$22.30
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cash Price |
$40.00
|
| Rate for Payer: Cofinity Commercial |
$32.11
|
| Rate for Payer: Cofinity Commercial |
$29.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.41
|
| Rate for Payer: Meridian Medicaid |
$15.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$24.53
|
| Rate for Payer: Nomi Health Commercial |
$26.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$37.50
|
| Rate for Payer: PACE SWMI |
$22.30
|
| Rate for Payer: PHP Commercial |
$31.22
|
| Rate for Payer: PHP Medicare Advantage |
$22.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$32.19
|
| Rate for Payer: Priority Health Medicare |
$22.30
|
| Rate for Payer: Priority Health SBD |
$32.19
|
| Rate for Payer: Priority Health Tiered Network |
$32.19
|
| Rate for Payer: Railroad Medicare Medicare |
$22.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.85
|
| Rate for Payer: UHC Core |
$40.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$22.30
|
| Rate for Payer: UHC Exchange |
$40.85
|
| Rate for Payer: UHC Medicaid |
$14.48
|
| Rate for Payer: UHCCP Medicaid |
$14.48
|
| Rate for Payer: UMR Bronson Commercial |
$23.00
|
|
|
PR EXTERNAL ECG REC>7D<15D RECORDING
|
Professional
|
Both
|
$32.00
|
|
|
Service Code
|
HCPCS 93246
|
| Min. Negotiated Rate |
$10.75 |
| Max. Negotiated Rate |
$24.00 |
| Rate for Payer: Aetna Commercial |
$14.40
|
| Rate for Payer: Aetna Medicare |
$11.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.48
|
| Rate for Payer: BCBS MAPPO |
$10.75
|
| Rate for Payer: BCN Commercial |
$13.74
|
| Rate for Payer: BCN Medicare Advantage |
$10.75
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cash Price |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$14.40
|
| Rate for Payer: Cofinity Commercial |
$15.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.82
|
| Rate for Payer: Nomi Health Commercial |
$12.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.00
|
| Rate for Payer: PACE SWMI |
$10.75
|
| Rate for Payer: PHP Commercial |
$15.05
|
| Rate for Payer: PHP Medicare Advantage |
$10.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$16.56
|
| Rate for Payer: Priority Health Medicare |
$10.75
|
| Rate for Payer: Priority Health SBD |
$16.56
|
| Rate for Payer: Priority Health Tiered Network |
$16.56
|
| Rate for Payer: Railroad Medicare Medicare |
$10.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.97
|
| Rate for Payer: UHC Core |
$23.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10.75
|
| Rate for Payer: UHC Exchange |
$23.97
|
| Rate for Payer: UMR Bronson Commercial |
$14.72
|
|
|
PR EXTERNAL ECG REC>7D<15D REVIEW & INTERPRETATION
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 93248
|
| Min. Negotiated Rate |
$15.76 |
| Max. Negotiated Rate |
$44.82 |
| Rate for Payer: Aetna Commercial |
$32.54
|
| Rate for Payer: Aetna Medicare |
$25.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$34.96
|
| Rate for Payer: BCBS Complete |
$16.55
|
| Rate for Payer: BCBS MAPPO |
$24.28
|
| Rate for Payer: BCN Commercial |
$29.45
|
| Rate for Payer: BCN Medicare Advantage |
$24.28
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$34.96
|
| Rate for Payer: Cofinity Commercial |
$32.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.49
|
| Rate for Payer: Meridian Medicaid |
$16.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.71
|
| Rate for Payer: Nomi Health Commercial |
$29.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: PACE SWMI |
$24.28
|
| Rate for Payer: PHP Commercial |
$33.99
|
| Rate for Payer: PHP Medicare Advantage |
$24.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$35.50
|
| Rate for Payer: Priority Health Medicare |
$24.28
|
| Rate for Payer: Priority Health SBD |
$35.50
|
| Rate for Payer: Priority Health Tiered Network |
$35.50
|
| Rate for Payer: Railroad Medicare Medicare |
$24.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$44.82
|
| Rate for Payer: UHC Core |
$44.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$24.28
|
| Rate for Payer: UHC Exchange |
$44.82
|
| Rate for Payer: UHC Medicaid |
$15.76
|
| Rate for Payer: UHCCP Medicaid |
$15.76
|
| Rate for Payer: UMR Bronson Commercial |
$25.76
|
|
|
PR EXTRACTION
|
Professional
|
Both
|
$186.00
|
|
|
Service Code
|
HCPCS 10040
|
| Min. Negotiated Rate |
$27.05 |
| Max. Negotiated Rate |
$139.50 |
| Rate for Payer: Aetna Commercial |
$56.13
|
| Rate for Payer: Aetna Medicare |
$43.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$60.32
|
| Rate for Payer: BCBS Complete |
$28.40
|
| Rate for Payer: BCBS MAPPO |
$41.89
|
| Rate for Payer: BCN Commercial |
$61.26
|
| Rate for Payer: BCN Medicare Advantage |
$41.89
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cash Price |
$148.80
|
| Rate for Payer: Cofinity Commercial |
$56.13
|
| Rate for Payer: Cofinity Commercial |
$60.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$41.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$43.98
|
| Rate for Payer: Meridian Medicaid |
$28.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$46.08
|
| Rate for Payer: Nomi Health Commercial |
$50.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.50
|
| Rate for Payer: PACE SWMI |
$41.89
|
| Rate for Payer: PHP Commercial |
$58.65
|
| Rate for Payer: PHP Medicare Advantage |
$41.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$71.10
|
| Rate for Payer: Priority Health Medicare |
$41.89
|
| Rate for Payer: Priority Health SBD |
$71.10
|
| Rate for Payer: Priority Health Tiered Network |
$71.10
|
| Rate for Payer: Railroad Medicare Medicare |
$41.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.25
|
| Rate for Payer: UHC Core |
$93.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$41.89
|
| Rate for Payer: UHC Exchange |
$93.25
|
| Rate for Payer: UHC Medicaid |
$27.05
|
| Rate for Payer: UHCCP Medicaid |
$27.05
|
| Rate for Payer: UMR Bronson Commercial |
$85.56
|
|
|
PR EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY
|
Professional
|
Both
|
$3,312.00
|
|
|
Service Code
|
HCPCS 32540
|
| Min. Negotiated Rate |
$1,041.78 |
| Max. Negotiated Rate |
$3,077.00 |
| Rate for Payer: Aetna Commercial |
$2,185.88
|
| Rate for Payer: Aetna Medicare |
$1,696.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,185.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,349.00
|
| Rate for Payer: BCBS Complete |
$1,093.87
|
| Rate for Payer: BCBS MAPPO |
$1,631.25
|
| Rate for Payer: BCN Commercial |
$2,550.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,631.25
|
| Rate for Payer: Cash Price |
$2,649.60
|
| Rate for Payer: Cash Price |
$2,649.60
|
| Rate for Payer: Cofinity Commercial |
$2,185.88
|
| Rate for Payer: Cofinity Commercial |
$2,349.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,631.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,712.81
|
| Rate for Payer: Meridian Medicaid |
$1,093.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,794.38
|
| Rate for Payer: Nomi Health Commercial |
$1,957.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,484.00
|
| Rate for Payer: PACE SWMI |
$1,631.25
|
| Rate for Payer: PHP Commercial |
$2,283.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,631.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,041.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,401.49
|
| Rate for Payer: Priority Health Medicare |
$1,631.25
|
| Rate for Payer: Priority Health SBD |
$2,401.49
|
| Rate for Payer: Priority Health Tiered Network |
$2,401.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,631.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,077.00
|
| Rate for Payer: UHC Core |
$3,077.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,631.25
|
| Rate for Payer: UHC Exchange |
$3,077.00
|
| Rate for Payer: UHC Medicaid |
$1,041.78
|
| Rate for Payer: UHCCP Medicaid |
$1,041.78
|
| Rate for Payer: UMR Bronson Commercial |
$1,523.52
|
|
|
PR EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>
|
Professional
|
Both
|
$1,240.00
|
|
|
Service Code
|
HCPCS 26111
|
| Min. Negotiated Rate |
$250.70 |
| Max. Negotiated Rate |
$930.00 |
| Rate for Payer: Aetna Commercial |
$511.57
|
| Rate for Payer: Aetna Medicare |
$397.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$511.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.75
|
| Rate for Payer: BCBS Complete |
$263.24
|
| Rate for Payer: BCBS MAPPO |
$381.77
|
| Rate for Payer: BCN Commercial |
$639.90
|
| Rate for Payer: BCN Medicare Advantage |
$381.77
|
| Rate for Payer: Cash Price |
$992.00
|
| Rate for Payer: Cash Price |
$992.00
|
| Rate for Payer: Cofinity Commercial |
$511.57
|
| Rate for Payer: Cofinity Commercial |
$549.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$381.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$400.86
|
| Rate for Payer: Meridian Medicaid |
$263.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$419.95
|
| Rate for Payer: Nomi Health Commercial |
$458.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$930.00
|
| Rate for Payer: PACE SWMI |
$381.77
|
| Rate for Payer: PHP Commercial |
$534.48
|
| Rate for Payer: PHP Medicare Advantage |
$381.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$250.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$684.04
|
| Rate for Payer: Priority Health Medicare |
$381.77
|
| Rate for Payer: Priority Health SBD |
$684.04
|
| Rate for Payer: Priority Health Tiered Network |
$684.04
|
| Rate for Payer: Railroad Medicare Medicare |
$381.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$723.13
|
| Rate for Payer: UHC Core |
$723.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$381.77
|
| Rate for Payer: UHC Exchange |
$723.13
|
| Rate for Payer: UHC Medicaid |
$250.70
|
| Rate for Payer: UHCCP Medicaid |
$250.70
|
| Rate for Payer: UMR Bronson Commercial |
$570.40
|
|
