|
PR EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26210
|
| Min. Negotiated Rate |
$433.90 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$581.43
|
| Rate for Payer: Aetna Medicare |
$451.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$581.43
|
| Rate for Payer: BCBS Complete |
$508.80
|
| Rate for Payer: BCBS MAPPO |
$433.90
|
| Rate for Payer: BCN Medicare Advantage |
$433.90
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cofinity Commercial |
$624.82
|
| Rate for Payer: Cofinity Commercial |
$581.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$433.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$455.60
|
| Rate for Payer: Nomi Health Commercial |
$520.68
|
| Rate for Payer: PACE SWMI |
$433.90
|
| Rate for Payer: PHP Commercial |
$607.46
|
| Rate for Payer: PHP Medicare Advantage |
$433.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| Rate for Payer: Priority Health Medicare |
$433.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$433.90
|
| Rate for Payer: UHC Medicare Advantage |
$433.90
|
| Rate for Payer: UMR Bronson Commercial |
$585.12
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 25120
|
| Min. Negotiated Rate |
$486.23 |
| Max. Negotiated Rate |
$1,433.90 |
| Rate for Payer: Aetna Commercial |
$651.55
|
| Rate for Payer: Aetna Medicare |
$505.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$700.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$651.55
|
| Rate for Payer: BCBS Complete |
$882.40
|
| Rate for Payer: BCBS MAPPO |
$486.23
|
| Rate for Payer: BCN Medicare Advantage |
$486.23
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cofinity Commercial |
$700.17
|
| Rate for Payer: Cofinity Commercial |
$651.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$486.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$510.54
|
| Rate for Payer: Nomi Health Commercial |
$583.48
|
| Rate for Payer: PACE SWMI |
$486.23
|
| Rate for Payer: PHP Commercial |
$680.72
|
| Rate for Payer: PHP Medicare Advantage |
$486.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,433.90
|
| Rate for Payer: Priority Health Medicare |
$486.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$486.23
|
| Rate for Payer: UHC Medicare Advantage |
$486.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,014.76
|
|
|
PR EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS
|
Professional
|
Both
|
$1,135.00
|
|
|
Service Code
|
HCPCS 28100
|
| Min. Negotiated Rate |
$401.80 |
| Max. Negotiated Rate |
$737.75 |
| Rate for Payer: Aetna Commercial |
$538.41
|
| Rate for Payer: Aetna Medicare |
$417.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$578.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$538.41
|
| Rate for Payer: BCBS Complete |
$454.00
|
| Rate for Payer: BCBS MAPPO |
$401.80
|
| Rate for Payer: BCN Medicare Advantage |
$401.80
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Cash Price |
$908.00
|
| Rate for Payer: Cofinity Commercial |
$578.59
|
| Rate for Payer: Cofinity Commercial |
$538.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$401.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$421.89
|
| Rate for Payer: Nomi Health Commercial |
$482.16
|
| Rate for Payer: PACE SWMI |
$401.80
|
| Rate for Payer: PHP Commercial |
$562.52
|
| Rate for Payer: PHP Medicare Advantage |
$401.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$737.75
|
| Rate for Payer: Priority Health Medicare |
$401.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$401.80
|
| Rate for Payer: UHC Medicare Advantage |
$401.80
|
| Rate for Payer: UMR Bronson Commercial |
$522.10
|
|
|
PR EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS
|
Professional
|
Both
|
$1,195.00
|
|
|
Service Code
|
HCPCS 24110
|
| Min. Negotiated Rate |
$478.00 |
| Max. Negotiated Rate |
$824.88 |
| Rate for Payer: Aetna Commercial |
$767.59
|
| Rate for Payer: Aetna Medicare |
$595.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$824.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$767.59
|
| Rate for Payer: BCBS Complete |
$478.00
|
| Rate for Payer: BCBS MAPPO |
$572.83
|
| Rate for Payer: BCN Medicare Advantage |
$572.83
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cash Price |
$956.00
|
| Rate for Payer: Cofinity Commercial |
$824.88
|
| Rate for Payer: Cofinity Commercial |
$767.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$572.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$601.47
|
| Rate for Payer: Nomi Health Commercial |
$687.40
|
| Rate for Payer: PACE SWMI |
$572.83
|
| Rate for Payer: PHP Commercial |
$801.96
|
| Rate for Payer: PHP Medicare Advantage |
$572.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$776.75
|
| Rate for Payer: Priority Health Medicare |
$572.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$572.83
|
| Rate for Payer: UHC Medicare Advantage |
$572.83
|
| Rate for Payer: UMR Bronson Commercial |
$549.70
|
|
|
PR EXCISION/DESTRUCTION INTRANASAL LESION INT APPR
|
Professional
|
Both
|
$1,689.00
|
|
|
Service Code
|
HCPCS 30117
|
| Min. Negotiated Rate |
$380.22 |
| Max. Negotiated Rate |
$1,097.85 |
| Rate for Payer: Aetna Commercial |
$509.49
|
| Rate for Payer: Aetna Medicare |
$395.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$547.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$509.49
|
| Rate for Payer: BCBS Complete |
$675.60
|
| Rate for Payer: BCBS MAPPO |
$380.22
|
| Rate for Payer: BCN Medicare Advantage |
$380.22
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cash Price |
$1,351.20
|
| Rate for Payer: Cofinity Commercial |
$547.52
|
| Rate for Payer: Cofinity Commercial |
$509.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$380.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$399.23
|
| Rate for Payer: Nomi Health Commercial |
$456.26
|
| Rate for Payer: PACE SWMI |
$380.22
|
| Rate for Payer: PHP Commercial |
$532.31
|
| Rate for Payer: PHP Medicare Advantage |
$380.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,097.85
|
| Rate for Payer: Priority Health Medicare |
$380.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$380.22
|
| Rate for Payer: UHC Medicare Advantage |
$380.22
|
| Rate for Payer: UMR Bronson Commercial |
$776.94
|
|
|
PR EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD
|
Professional
|
Both
|
$412.00
|
|
|
Service Code
|
HCPCS 42808
|
| Min. Negotiated Rate |
$159.13 |
| Max. Negotiated Rate |
$267.80 |
| Rate for Payer: Aetna Commercial |
$213.23
|
| Rate for Payer: Aetna Medicare |
$165.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.23
|
| Rate for Payer: BCBS Complete |
$164.80
|
| Rate for Payer: BCBS MAPPO |
$159.13
|
| Rate for Payer: BCN Medicare Advantage |
$159.13
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cash Price |
$329.60
|
| Rate for Payer: Cofinity Commercial |
$229.15
|
| Rate for Payer: Cofinity Commercial |
$213.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.09
|
| Rate for Payer: Nomi Health Commercial |
$190.96
|
| Rate for Payer: PACE SWMI |
$159.13
|
| Rate for Payer: PHP Commercial |
$222.78
|
| Rate for Payer: PHP Medicare Advantage |
$159.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$267.80
|
| Rate for Payer: Priority Health Medicare |
$159.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$159.13
|
| Rate for Payer: UHC Medicare Advantage |
$159.13
|
| Rate for Payer: UMR Bronson Commercial |
$189.52
|
|
|
PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<
|
Professional
|
Both
|
$3,287.00
|
|
|
Service Code
|
HCPCS 49203
|
| Min. Negotiated Rate |
$1,314.80 |
| Max. Negotiated Rate |
$2,136.55 |
| Rate for Payer: Aetna Medicare |
$1,643.50
|
| Rate for Payer: BCBS Complete |
$1,314.80
|
| Rate for Payer: Cash Price |
$2,629.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,136.55
|
| Rate for Payer: UMR Bronson Commercial |
$1,512.02
|
|
|
PR EXCISION DISTAL ULNA PARTIAL/COMPLETE
|
Professional
|
Both
|
$1,560.00
|
|
|
Service Code
|
HCPCS 25240
|
| Min. Negotiated Rate |
$417.74 |
| Max. Negotiated Rate |
$1,014.00 |
| Rate for Payer: Aetna Commercial |
$559.77
|
| Rate for Payer: Aetna Medicare |
$434.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$559.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$601.55
|
| Rate for Payer: BCBS Complete |
$624.00
|
| Rate for Payer: BCBS MAPPO |
$417.74
|
| Rate for Payer: BCN Medicare Advantage |
$417.74
|
| Rate for Payer: Cash Price |
$1,248.00
|
| Rate for Payer: Cash Price |
$1,248.00
|
| Rate for Payer: Cofinity Commercial |
$559.77
|
| Rate for Payer: Cofinity Commercial |
$601.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$417.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$438.63
|
| Rate for Payer: Nomi Health Commercial |
$501.29
|
| Rate for Payer: PACE SWMI |
$417.74
|
| Rate for Payer: PHP Commercial |
$584.84
|
| Rate for Payer: PHP Medicare Advantage |
$417.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,014.00
|
| Rate for Payer: Priority Health Medicare |
$417.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$417.74
|
| Rate for Payer: UHC Medicare Advantage |
$417.74
|
| Rate for Payer: UMR Bronson Commercial |
$717.60
|
|
|
PR EXCISION EPIPHYSEAL BAR
|
Professional
|
Both
|
$1,959.00
|
|
|
Service Code
|
HCPCS 20150
|
| Min. Negotiated Rate |
$783.60 |
| Max. Negotiated Rate |
$1,393.79 |
| Rate for Payer: Aetna Commercial |
$1,297.00
|
| Rate for Payer: Aetna Medicare |
$1,006.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,393.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,297.00
|
| Rate for Payer: BCBS Complete |
$783.60
|
| Rate for Payer: BCBS MAPPO |
$967.91
|
| Rate for Payer: BCN Medicare Advantage |
$967.91
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cash Price |
$1,567.20
|
| Rate for Payer: Cofinity Commercial |
$1,393.79
|
| Rate for Payer: Cofinity Commercial |
$1,297.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$967.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,016.31
|
| Rate for Payer: Nomi Health Commercial |
$1,161.49
|
| Rate for Payer: PACE SWMI |
$967.91
|
| Rate for Payer: PHP Commercial |
$1,355.07
|
| Rate for Payer: PHP Medicare Advantage |
$967.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,273.35
|
| Rate for Payer: Priority Health Medicare |
$967.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$967.91
|
| Rate for Payer: UHC Medicare Advantage |
$967.91
|
| Rate for Payer: UMR Bronson Commercial |
$901.14
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN
|
Professional
|
Both
|
$869.00
|
|
|
Service Code
|
HCPCS 15847
|
| Min. Negotiated Rate |
$347.60 |
| Max. Negotiated Rate |
$564.85 |
| Rate for Payer: Aetna Medicare |
$434.50
|
| Rate for Payer: BCBS Complete |
$347.60
|
| Rate for Payer: Cash Price |
$695.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$564.85
|
| Rate for Payer: UMR Bronson Commercial |
$399.74
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15836
|
| Min. Negotiated Rate |
$761.37 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,020.24
|
| Rate for Payer: Aetna Medicare |
$791.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,020.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,096.37
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$761.37
|
| Rate for Payer: BCN Medicare Advantage |
$761.37
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,020.24
|
| Rate for Payer: Cofinity Commercial |
$1,096.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$761.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$799.44
|
| Rate for Payer: Nomi Health Commercial |
$913.64
|
| Rate for Payer: PACE SWMI |
$761.37
|
| Rate for Payer: PHP Commercial |
$1,065.92
|
| Rate for Payer: PHP Medicare Advantage |
$761.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health Medicare |
$761.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$761.37
|
| Rate for Payer: UHC Medicare Advantage |
$761.37
|
| Rate for Payer: UMR Bronson Commercial |
$2,111.40
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA
|
Professional
|
Both
|
$2,192.00
|
|
|
Service Code
|
HCPCS 15839
|
| Min. Negotiated Rate |
$707.67 |
| Max. Negotiated Rate |
$1,424.80 |
| Rate for Payer: Aetna Commercial |
$948.28
|
| Rate for Payer: Aetna Medicare |
$735.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$948.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,019.04
|
| Rate for Payer: BCBS Complete |
$876.80
|
| Rate for Payer: BCBS MAPPO |
$707.67
|
| Rate for Payer: BCN Medicare Advantage |
$707.67
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Cash Price |
$1,753.60
|
| Rate for Payer: Cofinity Commercial |
$948.28
|
| Rate for Payer: Cofinity Commercial |
$1,019.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$707.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$743.05
|
| Rate for Payer: Nomi Health Commercial |
$849.20
|
| Rate for Payer: PACE SWMI |
$707.67
|
| Rate for Payer: PHP Commercial |
$990.74
|
| Rate for Payer: PHP Medicare Advantage |
$707.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,424.80
|
| Rate for Payer: Priority Health Medicare |
$707.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$707.67
|
| Rate for Payer: UHC Medicare Advantage |
$707.67
|
| Rate for Payer: UMR Bronson Commercial |
$1,008.32
|
|
|
PR EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH
|
Professional
|
Both
|
$4,590.00
|
|
|
Service Code
|
HCPCS 15832
|
| Min. Negotiated Rate |
$887.99 |
| Max. Negotiated Rate |
$2,983.50 |
| Rate for Payer: Aetna Commercial |
$1,189.91
|
| Rate for Payer: Aetna Medicare |
$923.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,278.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,189.91
|
| Rate for Payer: BCBS Complete |
$1,836.00
|
| Rate for Payer: BCBS MAPPO |
$887.99
|
| Rate for Payer: BCN Medicare Advantage |
$887.99
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cash Price |
$3,672.00
|
| Rate for Payer: Cofinity Commercial |
$1,278.71
|
| Rate for Payer: Cofinity Commercial |
$1,189.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$887.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$932.39
|
| Rate for Payer: Nomi Health Commercial |
$1,065.59
|
| Rate for Payer: PACE SWMI |
$887.99
|
| Rate for Payer: PHP Commercial |
$1,243.19
|
| Rate for Payer: PHP Medicare Advantage |
$887.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,983.50
|
| Rate for Payer: Priority Health Medicare |
$887.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$887.99
|
| Rate for Payer: UHC Medicare Advantage |
$887.99
|
| Rate for Payer: UMR Bronson Commercial |
$2,111.40
|
|
|
PR EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$1,581.00
|
|
|
Service Code
|
HCPCS 69140
|
| Min. Negotiated Rate |
$632.40 |
| Max. Negotiated Rate |
$1,196.27 |
| Rate for Payer: Aetna Commercial |
$1,113.19
|
| Rate for Payer: Aetna Medicare |
$863.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,196.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,113.19
|
| Rate for Payer: BCBS Complete |
$632.40
|
| Rate for Payer: BCBS MAPPO |
$830.74
|
| Rate for Payer: BCN Medicare Advantage |
$830.74
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cofinity Commercial |
$1,196.27
|
| Rate for Payer: Cofinity Commercial |
$1,113.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$830.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$872.28
|
| Rate for Payer: Nomi Health Commercial |
$996.89
|
| Rate for Payer: PACE SWMI |
$830.74
|
| Rate for Payer: PHP Commercial |
$1,163.04
|
| Rate for Payer: PHP Medicare Advantage |
$830.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,027.65
|
| Rate for Payer: Priority Health Medicare |
$830.74
|
| Rate for Payer: UHC Dual Complete DSNP |
$830.74
|
| Rate for Payer: UHC Medicare Advantage |
$830.74
|
| Rate for Payer: UMR Bronson Commercial |
$727.26
|
|
|
PR EXCISION EXTERNAL EAR COMPLETE AMPUTATION
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 69120
|
| Min. Negotiated Rate |
$289.60 |
| Max. Negotiated Rate |
$519.26 |
| Rate for Payer: Aetna Commercial |
$483.20
|
| Rate for Payer: Aetna Medicare |
$375.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.20
|
| Rate for Payer: BCBS Complete |
$289.60
|
| Rate for Payer: BCBS MAPPO |
$360.60
|
| Rate for Payer: BCN Medicare Advantage |
$360.60
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cofinity Commercial |
$519.26
|
| Rate for Payer: Cofinity Commercial |
$483.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$360.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$378.63
|
| Rate for Payer: Nomi Health Commercial |
$432.72
|
| Rate for Payer: PACE SWMI |
$360.60
|
| Rate for Payer: PHP Commercial |
$504.84
|
| Rate for Payer: PHP Medicare Advantage |
$360.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.60
|
| Rate for Payer: Priority Health Medicare |
$360.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$360.60
|
| Rate for Payer: UHC Medicare Advantage |
$360.60
|
| Rate for Payer: UMR Bronson Commercial |
$333.04
|
|
|
PR EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 69110
|
| Min. Negotiated Rate |
$249.60 |
| Max. Negotiated Rate |
$440.77 |
| Rate for Payer: Aetna Commercial |
$410.16
|
| Rate for Payer: Aetna Medicare |
$318.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$410.16
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$306.09
|
| Rate for Payer: BCN Medicare Advantage |
$306.09
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cofinity Commercial |
$440.77
|
| Rate for Payer: Cofinity Commercial |
$410.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.39
|
| Rate for Payer: Nomi Health Commercial |
$367.31
|
| Rate for Payer: PACE SWMI |
$306.09
|
| Rate for Payer: PHP Commercial |
$428.53
|
| Rate for Payer: PHP Medicare Advantage |
$306.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$405.60
|
| Rate for Payer: Priority Health Medicare |
$306.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.09
|
| Rate for Payer: UHC Medicare Advantage |
$306.09
|
| Rate for Payer: UMR Bronson Commercial |
$287.04
|
|
|
PR EXCISION FACIAL BONE
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 21026
|
| Min. Negotiated Rate |
$399.20 |
| Max. Negotiated Rate |
$648.70 |
| Rate for Payer: Aetna Commercial |
$554.48
|
| Rate for Payer: Aetna Medicare |
$430.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$595.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$554.48
|
| Rate for Payer: BCBS Complete |
$399.20
|
| Rate for Payer: BCBS MAPPO |
$413.79
|
| Rate for Payer: BCN Medicare Advantage |
$413.79
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cofinity Commercial |
$595.86
|
| Rate for Payer: Cofinity Commercial |
$554.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$413.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$434.48
|
| Rate for Payer: Nomi Health Commercial |
$496.55
|
| Rate for Payer: PACE SWMI |
$413.79
|
| Rate for Payer: PHP Commercial |
$579.31
|
| Rate for Payer: PHP Medicare Advantage |
$413.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$648.70
|
| Rate for Payer: Priority Health Medicare |
$413.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$413.79
|
| Rate for Payer: UHC Medicare Advantage |
$413.79
|
| Rate for Payer: UMR Bronson Commercial |
$459.08
|
|
|
PR EXCISION/FULGURATION URETHRAL PROLAPSE
|
Professional
|
Both
|
$864.00
|
|
|
Service Code
|
HCPCS 53275
|
| Min. Negotiated Rate |
$251.04 |
| Max. Negotiated Rate |
$561.60 |
| Rate for Payer: Aetna Commercial |
$336.39
|
| Rate for Payer: Aetna Medicare |
$261.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$361.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$336.39
|
| Rate for Payer: BCBS Complete |
$345.60
|
| Rate for Payer: BCBS MAPPO |
$251.04
|
| Rate for Payer: BCN Medicare Advantage |
$251.04
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cash Price |
$691.20
|
| Rate for Payer: Cofinity Commercial |
$361.50
|
| Rate for Payer: Cofinity Commercial |
$336.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$263.59
|
| Rate for Payer: Nomi Health Commercial |
$301.25
|
| Rate for Payer: PACE SWMI |
$251.04
|
| Rate for Payer: PHP Commercial |
$351.46
|
| Rate for Payer: PHP Medicare Advantage |
$251.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$561.60
|
| Rate for Payer: Priority Health Medicare |
$251.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.04
|
| Rate for Payer: UHC Medicare Advantage |
$251.04
|
| Rate for Payer: UMR Bronson Commercial |
$397.44
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY
|
Professional
|
Both
|
$1,106.00
|
|
|
Service Code
|
HCPCS 25111
|
| Min. Negotiated Rate |
$315.15 |
| Max. Negotiated Rate |
$718.90 |
| Rate for Payer: Aetna Commercial |
$422.30
|
| Rate for Payer: Aetna Medicare |
$327.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.30
|
| Rate for Payer: BCBS Complete |
$442.40
|
| Rate for Payer: BCBS MAPPO |
$315.15
|
| Rate for Payer: BCN Medicare Advantage |
$315.15
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Cash Price |
$884.80
|
| Rate for Payer: Cofinity Commercial |
$453.82
|
| Rate for Payer: Cofinity Commercial |
$422.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$315.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$330.91
|
| Rate for Payer: Nomi Health Commercial |
$378.18
|
| Rate for Payer: PACE SWMI |
$315.15
|
| Rate for Payer: PHP Commercial |
$441.21
|
| Rate for Payer: PHP Medicare Advantage |
$315.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$718.90
|
| Rate for Payer: Priority Health Medicare |
$315.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$315.15
|
| Rate for Payer: UHC Medicare Advantage |
$315.15
|
| Rate for Payer: UMR Bronson Commercial |
$508.76
|
|
|
PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT
|
Professional
|
Both
|
$1,150.00
|
|
|
Service Code
|
HCPCS 25112
|
| Min. Negotiated Rate |
$379.52 |
| Max. Negotiated Rate |
$747.50 |
| Rate for Payer: Aetna Commercial |
$508.56
|
| Rate for Payer: Aetna Medicare |
$394.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$508.56
|
| Rate for Payer: BCBS Complete |
$460.00
|
| Rate for Payer: BCBS MAPPO |
$379.52
|
| Rate for Payer: BCN Medicare Advantage |
$379.52
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Cash Price |
$920.00
|
| Rate for Payer: Cofinity Commercial |
$546.51
|
| Rate for Payer: Cofinity Commercial |
$508.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$379.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$398.50
|
| Rate for Payer: Nomi Health Commercial |
$455.42
|
| Rate for Payer: PACE SWMI |
$379.52
|
| Rate for Payer: PHP Commercial |
$531.33
|
| Rate for Payer: PHP Medicare Advantage |
$379.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$747.50
|
| Rate for Payer: Priority Health Medicare |
$379.52
|
| Rate for Payer: UHC Dual Complete DSNP |
$379.52
|
| Rate for Payer: UHC Medicare Advantage |
$379.52
|
| Rate for Payer: UMR Bronson Commercial |
$529.00
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$837.00
|
|
|
Service Code
|
HCPCS 11451
|
| Min. Negotiated Rate |
$319.61 |
| Max. Negotiated Rate |
$544.05 |
| Rate for Payer: Aetna Commercial |
$428.28
|
| Rate for Payer: Aetna Medicare |
$332.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$428.28
|
| Rate for Payer: BCBS Complete |
$334.80
|
| Rate for Payer: BCBS MAPPO |
$319.61
|
| Rate for Payer: BCN Medicare Advantage |
$319.61
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$460.24
|
| Rate for Payer: Cofinity Commercial |
$428.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.59
|
| Rate for Payer: Nomi Health Commercial |
$383.53
|
| Rate for Payer: PACE SWMI |
$319.61
|
| Rate for Payer: PHP Commercial |
$447.45
|
| Rate for Payer: PHP Medicare Advantage |
$319.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health Medicare |
$319.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.61
|
| Rate for Payer: UHC Medicare Advantage |
$319.61
|
| Rate for Payer: UMR Bronson Commercial |
$385.02
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Facility
|
OP
|
$837.00
|
|
|
Service Code
|
CPT 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$309.69 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$544.05
|
| Rate for Payer: Aetna Commercial |
$711.45
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,489.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,489.12
|
| Rate for Payer: BCBS Complete |
$1,570.94
|
| Rate for Payer: BCBS MAPPO |
$2,791.30
|
| Rate for Payer: BCN Medicare Advantage |
$2,791.30
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$719.82
|
| Rate for Payer: Cofinity Commercial |
$585.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$585.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$753.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$585.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$627.75
|
| Rate for Payer: Mclaren Medicaid |
$1,496.14
|
| Rate for Payer: Mclaren Medicare |
$2,791.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,930.86
|
| Rate for Payer: Meridian Medicaid |
$1,570.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,209.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$711.45
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$711.45
|
| Rate for Payer: PHP Medicare Advantage |
$2,791.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,496.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$527.31
|
| Rate for Payer: Railroad Medicare Medicare |
$2,791.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7,857.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,791.30
|
| Rate for Payer: UHC Exchange |
$5,334.45
|
| Rate for Payer: UHC Medicare Advantage |
$2,791.30
|
| Rate for Payer: UHCCP Medicaid |
$1,496.14
|
| Rate for Payer: UMR Bronson Commercial |
$309.69
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$627.75
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Professional
|
Both
|
$837.00
|
|
|
Service Code
|
HCPCS 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$319.61 |
| Max. Negotiated Rate |
$544.05 |
| Rate for Payer: Aetna Commercial |
$428.28
|
| Rate for Payer: Aetna Medicare |
$332.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$460.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$428.28
|
| Rate for Payer: BCBS Complete |
$334.80
|
| Rate for Payer: BCBS MAPPO |
$319.61
|
| Rate for Payer: BCN Medicare Advantage |
$319.61
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$428.28
|
| Rate for Payer: Cofinity Commercial |
$460.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$319.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$335.59
|
| Rate for Payer: Nomi Health Commercial |
$383.53
|
| Rate for Payer: PACE SWMI |
$319.61
|
| Rate for Payer: PHP Commercial |
$447.45
|
| Rate for Payer: PHP Medicare Advantage |
$319.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health Medicare |
$319.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$319.61
|
| Rate for Payer: UHC Medicare Advantage |
$319.61
|
| Rate for Payer: UMR Bronson Commercial |
$385.02
|
|
|
PR EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR
|
Facility
|
IP
|
$837.00
|
|
|
Service Code
|
CPT 11451
|
| Hospital Charge Code |
11451
|
| Min. Negotiated Rate |
$368.28 |
| Max. Negotiated Rate |
$753.30 |
| Rate for Payer: Aetna American Axle |
$544.05
|
| Rate for Payer: Aetna Commercial |
$711.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.05
|
| Rate for Payer: Cash Price |
$669.60
|
| Rate for Payer: Cofinity Commercial |
$585.90
|
| Rate for Payer: Cofinity Commercial |
$719.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$585.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$669.60
|
| Rate for Payer: Healthscope Commercial |
$753.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$585.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$627.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$711.45
|
| Rate for Payer: PHP Commercial |
$711.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$544.05
|
| Rate for Payer: Priority Health SBD |
$527.31
|
| Rate for Payer: UMR Bronson Commercial |
$368.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$627.75
|
|
|
PR EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR
|
Professional
|
Both
|
$733.00
|
|
|
Service Code
|
HCPCS 11450
|
| Min. Negotiated Rate |
$251.79 |
| Max. Negotiated Rate |
$476.45 |
| Rate for Payer: Aetna Commercial |
$337.40
|
| Rate for Payer: Aetna Medicare |
$261.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$362.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$337.40
|
| Rate for Payer: BCBS Complete |
$293.20
|
| Rate for Payer: BCBS MAPPO |
$251.79
|
| Rate for Payer: BCN Medicare Advantage |
$251.79
|
| Rate for Payer: Cash Price |
$586.40
|
| Rate for Payer: Cash Price |
$586.40
|
| Rate for Payer: Cofinity Commercial |
$362.58
|
| Rate for Payer: Cofinity Commercial |
$337.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$251.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$264.38
|
| Rate for Payer: Nomi Health Commercial |
$302.15
|
| Rate for Payer: PACE SWMI |
$251.79
|
| Rate for Payer: PHP Commercial |
$352.51
|
| Rate for Payer: PHP Medicare Advantage |
$251.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$476.45
|
| Rate for Payer: Priority Health Medicare |
$251.79
|
| Rate for Payer: UHC Dual Complete DSNP |
$251.79
|
| Rate for Payer: UHC Medicare Advantage |
$251.79
|
| Rate for Payer: UMR Bronson Commercial |
$337.18
|
|
