|
PR HAIR REDUC FL LEGS
|
Professional
|
Both
|
$420.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$168.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Aetna Medicare |
$210.00
|
| Rate for Payer: BCBS Complete |
$168.00
|
| Rate for Payer: Cash Price |
$336.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.00
|
| Rate for Payer: UMR Bronson Commercial |
$193.20
|
|
|
PR HAIR REDUC HLF ARMS/CHEST/ABD/SHLDR
|
Professional
|
Both
|
$105.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Aetna Medicare |
$52.50
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
|
|
PR HAIR REDUC LIP
|
Professional
|
Both
|
$37.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$14.80 |
| Max. Negotiated Rate |
$27.75 |
| Rate for Payer: Aetna Medicare |
$18.50
|
| Rate for Payer: BCBS Complete |
$14.80
|
| Rate for Payer: Cash Price |
$29.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.75
|
| Rate for Payer: UMR Bronson Commercial |
$17.02
|
|
|
PR HAIR REDUC LIP & CHIN
|
Professional
|
Both
|
$84.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$33.60 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Aetna Medicare |
$42.00
|
| Rate for Payer: BCBS Complete |
$33.60
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.00
|
| Rate for Payer: UMR Bronson Commercial |
$38.64
|
|
|
PR HAIR REDUC UDR ARMS OR BUTTOCKS
|
Professional
|
Both
|
$53.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$21.20 |
| Max. Negotiated Rate |
$39.75 |
| Rate for Payer: Aetna Medicare |
$26.50
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: UMR Bronson Commercial |
$24.38
|
|
|
PR HAIR REDUC UP/LOW LEGS
|
Professional
|
Both
|
$210.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$84.00 |
| Max. Negotiated Rate |
$157.50 |
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: BCBS Complete |
$84.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.50
|
| Rate for Payer: UMR Bronson Commercial |
$96.60
|
|
|
PR HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT
|
Professional
|
Both
|
$1,514.00
|
|
|
Service Code
|
HCPCS 28291
|
| Min. Negotiated Rate |
$282.44 |
| Max. Negotiated Rate |
$1,135.50 |
| Rate for Payer: Aetna Commercial |
$579.22
|
| Rate for Payer: Aetna Medicare |
$449.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$579.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$622.44
|
| Rate for Payer: BCBS Complete |
$296.56
|
| Rate for Payer: BCBS MAPPO |
$432.25
|
| Rate for Payer: BCN Commercial |
$722.57
|
| Rate for Payer: BCN Medicare Advantage |
$432.25
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cofinity Commercial |
$579.22
|
| Rate for Payer: Cofinity Commercial |
$622.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$453.86
|
| Rate for Payer: Meridian Medicaid |
$296.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$475.48
|
| Rate for Payer: Nomi Health Commercial |
$518.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,135.50
|
| Rate for Payer: PACE SWMI |
$432.25
|
| Rate for Payer: PHP Commercial |
$605.15
|
| Rate for Payer: PHP Medicare Advantage |
$432.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$282.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$772.41
|
| Rate for Payer: Priority Health Medicare |
$432.25
|
| Rate for Payer: Priority Health SBD |
$772.41
|
| Rate for Payer: Priority Health Tiered Network |
$772.41
|
| Rate for Payer: Railroad Medicare Medicare |
$432.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$857.51
|
| Rate for Payer: UHC Core |
$857.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$432.25
|
| Rate for Payer: UHC Exchange |
$857.51
|
| Rate for Payer: UHC Medicaid |
$282.44
|
| Rate for Payer: UHCCP Medicaid |
$282.44
|
| Rate for Payer: UMR Bronson Commercial |
$696.44
|
|
|
PR HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT
|
Professional
|
Both
|
$1,273.00
|
|
|
Service Code
|
HCPCS 28289
|
| Min. Negotiated Rate |
$279.88 |
| Max. Negotiated Rate |
$954.75 |
| Rate for Payer: Aetna Commercial |
$571.27
|
| Rate for Payer: Aetna Medicare |
$443.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$571.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$613.90
|
| Rate for Payer: BCBS Complete |
$293.87
|
| Rate for Payer: BCBS MAPPO |
$426.32
|
| Rate for Payer: BCN Commercial |
$703.15
|
| Rate for Payer: BCN Medicare Advantage |
$426.32
|
| Rate for Payer: Cash Price |
$1,018.40
|
| Rate for Payer: Cash Price |
$1,018.40
|
| Rate for Payer: Cofinity Commercial |
$571.27
|
| Rate for Payer: Cofinity Commercial |
$613.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$426.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$447.64
|
| Rate for Payer: Meridian Medicaid |
$293.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$468.95
|
| Rate for Payer: Nomi Health Commercial |
$511.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$954.75
|
| Rate for Payer: PACE SWMI |
$426.32
|
| Rate for Payer: PHP Commercial |
$596.85
|
| Rate for Payer: PHP Medicare Advantage |
$426.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$279.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$751.64
|
| Rate for Payer: Priority Health Medicare |
$426.32
|
| Rate for Payer: Priority Health SBD |
$751.64
|
| Rate for Payer: Priority Health Tiered Network |
$751.64
|
| Rate for Payer: Railroad Medicare Medicare |
$426.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$800.54
|
| Rate for Payer: UHC Core |
$800.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$426.32
|
| Rate for Payer: UHC Exchange |
$800.54
|
| Rate for Payer: UHC Medicaid |
$279.88
|
| Rate for Payer: UHCCP Medicaid |
$279.88
|
| Rate for Payer: UMR Bronson Commercial |
$585.58
|
|
|
PR HAMMER TOE CREST FELT - LARGE LT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - LARGE RT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - MEDIUM LT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - MEDIUM RT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - SMALL LT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - SMALL RT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - XLARGE LT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - XLARGE RT
|
Professional
|
Both
|
$7.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$5.25 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.25
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAND-HELD PEFR METER
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS A4614
|
| Min. Negotiated Rate |
$11.05 |
| Max. Negotiated Rate |
$48.80 |
| Rate for Payer: Aetna Commercial |
$45.41
|
| Rate for Payer: Aetna Medicare |
$35.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.80
|
| Rate for Payer: BCBS Complete |
$21.20
|
| Rate for Payer: BCBS MAPPO |
$33.89
|
| Rate for Payer: BCN Commercial |
$32.45
|
| Rate for Payer: BCN Medicare Advantage |
$33.89
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$48.80
|
| Rate for Payer: Cofinity Commercial |
$45.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.28
|
| Rate for Payer: Nomi Health Commercial |
$40.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$33.89
|
| Rate for Payer: PHP Commercial |
$47.45
|
| Rate for Payer: PHP Medicare Advantage |
$33.89
|
| Rate for Payer: Priority Health Medicare |
$33.89
|
| Rate for Payer: Railroad Medicare Medicare |
$33.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.05
|
| Rate for Payer: UHC Core |
$11.05
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.89
|
| Rate for Payer: UHC Exchange |
$11.05
|
| Rate for Payer: UMR Bronson Commercial |
$24.38
|
|
|
PR HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB
|
Professional
|
Both
|
$16.00
|
|
|
Service Code
|
HCPCS 99000
|
| Min. Negotiated Rate |
$2.30 |
| Max. Negotiated Rate |
$12.00 |
| Rate for Payer: Aetna Commercial |
$7.00
|
| Rate for Payer: Aetna Medicare |
$8.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.00
|
| Rate for Payer: BCBS Complete |
$6.40
|
| Rate for Payer: BCN Commercial |
$10.15
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$7.35
|
| Rate for Payer: Priority Health SBD |
$7.35
|
| Rate for Payer: Priority Health Tiered Network |
$7.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.30
|
| Rate for Payer: UHC Core |
$2.30
|
| Rate for Payer: UHC Exchange |
$2.30
|
| Rate for Payer: UMR Bronson Commercial |
$7.36
|
|
|
PR HAND MUSCLE TEST,MANUAL
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 95832
|
| Min. Negotiated Rate |
$35.60 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Aetna Medicare |
$44.50
|
| Rate for Payer: BCBS Complete |
$35.60
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.75
|
| Rate for Payer: UMR Bronson Commercial |
$40.94
|
|
|
PR HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX
|
Professional
|
Both
|
$1,176.00
|
|
|
Service Code
|
HCPCS 35572
|
| Min. Negotiated Rate |
$195.75 |
| Max. Negotiated Rate |
$882.00 |
| Rate for Payer: Aetna Commercial |
$417.62
|
| Rate for Payer: Aetna Medicare |
$324.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$417.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$448.79
|
| Rate for Payer: BCBS Complete |
$205.54
|
| Rate for Payer: BCBS MAPPO |
$311.66
|
| Rate for Payer: BCN Commercial |
$499.48
|
| Rate for Payer: BCN Medicare Advantage |
$311.66
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cofinity Commercial |
$448.79
|
| Rate for Payer: Cofinity Commercial |
$417.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$311.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$327.24
|
| Rate for Payer: Meridian Medicaid |
$205.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$342.83
|
| Rate for Payer: Nomi Health Commercial |
$373.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$882.00
|
| Rate for Payer: PACE SWMI |
$311.66
|
| Rate for Payer: PHP Commercial |
$436.32
|
| Rate for Payer: PHP Medicare Advantage |
$311.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$537.13
|
| Rate for Payer: Priority Health Medicare |
$311.66
|
| Rate for Payer: Priority Health SBD |
$537.13
|
| Rate for Payer: Priority Health Tiered Network |
$537.13
|
| Rate for Payer: Railroad Medicare Medicare |
$311.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$621.56
|
| Rate for Payer: UHC Core |
$621.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$311.66
|
| Rate for Payer: UHC Exchange |
$621.56
|
| Rate for Payer: UHC Medicaid |
$195.75
|
| Rate for Payer: UHCCP Medicaid |
$195.75
|
| Rate for Payer: UMR Bronson Commercial |
$540.96
|
|
|
PR HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<
|
Professional
|
Both
|
$572.00
|
|
|
Service Code
|
HCPCS 15040
|
| Min. Negotiated Rate |
$72.63 |
| Max. Negotiated Rate |
$429.00 |
| Rate for Payer: Aetna Commercial |
$150.62
|
| Rate for Payer: Aetna Medicare |
$116.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$150.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$161.86
|
| Rate for Payer: BCBS Complete |
$76.26
|
| Rate for Payer: BCBS MAPPO |
$112.40
|
| Rate for Payer: BCN Commercial |
$189.23
|
| Rate for Payer: BCN Medicare Advantage |
$112.40
|
| Rate for Payer: Cash Price |
$457.60
|
| Rate for Payer: Cash Price |
$457.60
|
| Rate for Payer: Cofinity Commercial |
$150.62
|
| Rate for Payer: Cofinity Commercial |
$161.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.02
|
| Rate for Payer: Meridian Medicaid |
$76.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.64
|
| Rate for Payer: Nomi Health Commercial |
$134.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$429.00
|
| Rate for Payer: PACE SWMI |
$112.40
|
| Rate for Payer: PHP Commercial |
$157.36
|
| Rate for Payer: PHP Medicare Advantage |
$112.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$72.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$173.20
|
| Rate for Payer: Priority Health Medicare |
$112.40
|
| Rate for Payer: Priority Health SBD |
$173.20
|
| Rate for Payer: Priority Health Tiered Network |
$173.20
|
| Rate for Payer: Railroad Medicare Medicare |
$112.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$219.64
|
| Rate for Payer: UHC Core |
$219.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$112.40
|
| Rate for Payer: UHC Exchange |
$219.64
|
| Rate for Payer: UHC Medicaid |
$72.63
|
| Rate for Payer: UHCCP Medicaid |
$72.63
|
| Rate for Payer: UMR Bronson Commercial |
$263.12
|
|
|
PR HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 35500
|
| Min. Negotiated Rate |
$182.97 |
| Max. Negotiated Rate |
$870.75 |
| Rate for Payer: Aetna Commercial |
$390.74
|
| Rate for Payer: Aetna Medicare |
$303.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$390.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$419.90
|
| Rate for Payer: BCBS Complete |
$192.12
|
| Rate for Payer: BCBS MAPPO |
$291.60
|
| Rate for Payer: BCN Commercial |
$462.63
|
| Rate for Payer: BCN Medicare Advantage |
$291.60
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$390.74
|
| Rate for Payer: Cofinity Commercial |
$419.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$291.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$306.18
|
| Rate for Payer: Meridian Medicaid |
$192.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$320.76
|
| Rate for Payer: Nomi Health Commercial |
$349.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$870.75
|
| Rate for Payer: PACE SWMI |
$291.60
|
| Rate for Payer: PHP Commercial |
$408.24
|
| Rate for Payer: PHP Medicare Advantage |
$291.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$497.50
|
| Rate for Payer: Priority Health Medicare |
$291.60
|
| Rate for Payer: Priority Health SBD |
$497.50
|
| Rate for Payer: Priority Health Tiered Network |
$497.50
|
| Rate for Payer: Railroad Medicare Medicare |
$291.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$576.18
|
| Rate for Payer: UHC Core |
$576.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$291.60
|
| Rate for Payer: UHC Exchange |
$576.18
|
| Rate for Payer: UHC Medicaid |
$182.97
|
| Rate for Payer: UHCCP Medicaid |
$182.97
|
| Rate for Payer: UMR Bronson Commercial |
$534.06
|
|
|
PR HBOT, FULL BODY CHAMBER, 30M
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS G0277
|
| Min. Negotiated Rate |
$76.36 |
| Max. Negotiated Rate |
$261.94 |
| Rate for Payer: Aetna Commercial |
$237.39
|
| Rate for Payer: Aetna Medicare |
$184.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$237.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.11
|
| Rate for Payer: BCBS MAPPO |
$177.16
|
| Rate for Payer: BCN Commercial |
$261.94
|
| Rate for Payer: BCN Medicare Advantage |
$177.16
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$255.11
|
| Rate for Payer: Cofinity Commercial |
$237.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.88
|
| Rate for Payer: Nomi Health Commercial |
$212.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: PACE SWMI |
$177.16
|
| Rate for Payer: PHP Commercial |
$248.02
|
| Rate for Payer: PHP Medicare Advantage |
$177.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$241.56
|
| Rate for Payer: Priority Health Medicare |
$177.16
|
| Rate for Payer: Priority Health SBD |
$241.56
|
| Rate for Payer: Priority Health Tiered Network |
$241.56
|
| Rate for Payer: Railroad Medicare Medicare |
$177.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.71
|
| Rate for Payer: UHC Core |
$203.71
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$177.16
|
| Rate for Payer: UHC Exchange |
$203.71
|
| Rate for Payer: UMR Bronson Commercial |
$76.36
|
|
|
PR HEAL & BEHAV ASSESS,EA 15 MIN,INIT
|
Professional
|
Both
|
$43.00
|
|
|
Service Code
|
HCPCS 96150
|
| Min. Negotiated Rate |
$17.20 |
| Max. Negotiated Rate |
$32.25 |
| Rate for Payer: Aetna Medicare |
$21.50
|
| Rate for Payer: BCBS Complete |
$17.20
|
| Rate for Payer: Cash Price |
$34.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.25
|
| Rate for Payer: UMR Bronson Commercial |
$19.78
|
|
|
PR HEAL & BEHAV ASSESS,EA 15 MIN,RE-ASSESS
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 96151
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$31.50 |
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.50
|
| Rate for Payer: UMR Bronson Commercial |
$19.32
|
|
