|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
OP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$338.18 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$594.10
|
| Rate for Payer: Aetna Commercial |
$776.90
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$594.10
|
| 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 |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$639.80
|
| Rate for Payer: Cofinity Commercial |
$786.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$639.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$731.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$822.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$639.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$685.50
|
| 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 |
$776.90
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$776.90
|
| 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 |
$594.10
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$575.82
|
| 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 |
$338.18
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$685.50
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$322.06 |
| Max. Negotiated Rate |
$594.10 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$334.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$431.56
|
| Rate for Payer: BCBS Complete |
$365.60
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCN Medicare Advantage |
$322.06
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cash Price |
$731.20
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| Rate for Payer: Cofinity Commercial |
$431.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.16
|
| Rate for Payer: Nomi Health Commercial |
$386.47
|
| Rate for Payer: PACE SWMI |
$322.06
|
| Rate for Payer: PHP Commercial |
$450.88
|
| Rate for Payer: PHP Medicare Advantage |
$322.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health Medicare |
$322.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
| Rate for Payer: UMR Bronson Commercial |
$420.44
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
IP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$286.88 |
| Max. Negotiated Rate |
$586.80 |
| Rate for Payer: Aetna American Axle |
$423.80
|
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.80
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$456.40
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$456.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$456.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health SBD |
$410.76
|
| Rate for Payer: UMR Bronson Commercial |
$286.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$260.80 |
| Max. Negotiated Rate |
$469.34 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$338.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$469.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.75
|
| Rate for Payer: BCBS Complete |
$260.80
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCN Medicare Advantage |
$325.93
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$469.34
|
| Rate for Payer: Cofinity Commercial |
$436.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.23
|
| Rate for Payer: Nomi Health Commercial |
$391.12
|
| Rate for Payer: PACE SWMI |
$325.93
|
| Rate for Payer: PHP Commercial |
$456.30
|
| Rate for Payer: PHP Medicare Advantage |
$325.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health Medicare |
$325.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
| Rate for Payer: UMR Bronson Commercial |
$299.92
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Facility
|
OP
|
$652.00
|
|
|
Service Code
|
CPT 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$241.24 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$423.80
|
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$456.40
|
| Rate for Payer: Cofinity Commercial |
$560.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$456.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$521.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$586.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$456.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$489.00
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$410.76
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$241.24
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$260.80 |
| Max. Negotiated Rate |
$469.34 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$338.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$469.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.75
|
| Rate for Payer: BCBS Complete |
$260.80
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCN Medicare Advantage |
$325.93
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cash Price |
$521.60
|
| Rate for Payer: Cofinity Commercial |
$436.75
|
| Rate for Payer: Cofinity Commercial |
$469.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$325.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$342.23
|
| Rate for Payer: Nomi Health Commercial |
$391.12
|
| Rate for Payer: PACE SWMI |
$325.93
|
| Rate for Payer: PHP Commercial |
$456.30
|
| Rate for Payer: PHP Medicare Advantage |
$325.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health Medicare |
$325.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
| Rate for Payer: UMR Bronson Commercial |
$299.92
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
IP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$243.32 |
| Max. Negotiated Rate |
$497.70 |
| Rate for Payer: Aetna American Axle |
$359.45
|
| Rate for Payer: Aetna Commercial |
$470.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.45
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$387.10
|
| Rate for Payer: Cofinity Commercial |
$475.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$387.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Healthscope Commercial |
$497.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$387.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$414.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: PHP Commercial |
$470.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health SBD |
$348.39
|
| Rate for Payer: UMR Bronson Commercial |
$243.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$414.75
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Facility
|
OP
|
$553.00
|
|
|
Service Code
|
CPT 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$204.61 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$359.45
|
| Rate for Payer: Aetna Commercial |
$470.05
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$387.10
|
| Rate for Payer: Cofinity Commercial |
$475.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$387.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$442.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$497.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$387.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$414.75
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$470.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$348.39
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$204.61
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$414.75
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$221.20 |
| Max. Negotiated Rate |
$359.45 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.24
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Commercial |
$349.20
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health Medicare |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UMR Bronson Commercial |
$254.38
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$221.20 |
| Max. Negotiated Rate |
$359.45 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.24
|
| Rate for Payer: BCBS Complete |
$221.20
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCN Medicare Advantage |
$249.43
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cash Price |
$442.40
|
| Rate for Payer: Cofinity Commercial |
$359.18
|
| Rate for Payer: Cofinity Commercial |
$334.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.90
|
| Rate for Payer: Nomi Health Commercial |
$299.32
|
| Rate for Payer: PACE SWMI |
$249.43
|
| Rate for Payer: PHP Commercial |
$349.20
|
| Rate for Payer: PHP Medicare Advantage |
$249.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health Medicare |
$249.43
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UMR Bronson Commercial |
$254.38
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Min. Negotiated Rate |
$351.89 |
| Max. Negotiated Rate |
$818.35 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$506.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$471.53
|
| Rate for Payer: BCBS Complete |
$503.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Commercial |
$492.65
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health Medicare |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UMR Bronson Commercial |
$579.14
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
OP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$465.83 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$818.35
|
| Rate for Payer: Aetna Commercial |
$1,070.15
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$818.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,082.74
|
| Rate for Payer: Cofinity Commercial |
$881.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$881.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$1,133.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$881.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$944.25
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$1,070.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$793.17
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$465.83
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$944.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Facility
|
IP
|
$1,259.00
|
|
|
Service Code
|
CPT 21930
|
| Hospital Charge Code |
21930
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$553.96 |
| Max. Negotiated Rate |
$1,133.10 |
| Rate for Payer: Aetna American Axle |
$818.35
|
| Rate for Payer: Aetna Commercial |
$1,070.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$818.35
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$1,082.74
|
| Rate for Payer: Cofinity Commercial |
$881.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$881.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,007.20
|
| Rate for Payer: Healthscope Commercial |
$1,133.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$881.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$944.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: PHP Commercial |
$1,070.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health SBD |
$793.17
|
| Rate for Payer: UMR Bronson Commercial |
$553.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$944.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM
|
Professional
|
Both
|
$1,259.00
|
|
|
Service Code
|
HCPCS 21930
|
| Hospital Charge Code |
21930
|
| Min. Negotiated Rate |
$351.89 |
| Max. Negotiated Rate |
$818.35 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$506.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$471.53
|
| Rate for Payer: BCBS Complete |
$503.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCN Medicare Advantage |
$351.89
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cash Price |
$1,007.20
|
| Rate for Payer: Cofinity Commercial |
$471.53
|
| Rate for Payer: Cofinity Commercial |
$506.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$351.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$369.48
|
| Rate for Payer: Nomi Health Commercial |
$422.27
|
| Rate for Payer: PACE SWMI |
$351.89
|
| Rate for Payer: PHP Commercial |
$492.65
|
| Rate for Payer: PHP Medicare Advantage |
$351.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health Medicare |
$351.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UMR Bronson Commercial |
$579.14
|
|
|
PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM
|
Professional
|
Both
|
$671.00
|
|
|
Service Code
|
HCPCS 28043
|
| Min. Negotiated Rate |
$248.97 |
| Max. Negotiated Rate |
$436.15 |
| Rate for Payer: Aetna Commercial |
$333.62
|
| Rate for Payer: Aetna Medicare |
$258.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$333.62
|
| Rate for Payer: BCBS Complete |
$268.40
|
| Rate for Payer: BCBS MAPPO |
$248.97
|
| Rate for Payer: BCN Medicare Advantage |
$248.97
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cash Price |
$536.80
|
| Rate for Payer: Cofinity Commercial |
$358.52
|
| Rate for Payer: Cofinity Commercial |
$333.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$248.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.42
|
| Rate for Payer: Nomi Health Commercial |
$298.76
|
| Rate for Payer: PACE SWMI |
$248.97
|
| Rate for Payer: PHP Commercial |
$348.56
|
| Rate for Payer: PHP Medicare Advantage |
$248.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health Medicare |
$248.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$248.97
|
| Rate for Payer: UHC Medicare Advantage |
$248.97
|
| Rate for Payer: UMR Bronson Commercial |
$308.66
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Min. Negotiated Rate |
$396.37 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$570.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.14
|
| Rate for Payer: BCBS Complete |
$417.20
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Commercial |
$554.92
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health Medicare |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UMR Bronson Commercial |
$479.78
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
IP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$458.92 |
| Max. Negotiated Rate |
$938.70 |
| Rate for Payer: Aetna American Axle |
$677.95
|
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.95
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$730.10
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$730.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$886.55
|
| Rate for Payer: PHP Commercial |
$886.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health SBD |
$657.09
|
| Rate for Payer: UMR Bronson Commercial |
$458.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Professional
|
Both
|
$1,043.00
|
|
|
Service Code
|
HCPCS 27632
|
| Hospital Charge Code |
27632
|
| Min. Negotiated Rate |
$396.37 |
| Max. Negotiated Rate |
$677.95 |
| Rate for Payer: Aetna Commercial |
$531.14
|
| Rate for Payer: Aetna Medicare |
$412.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$531.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$570.77
|
| Rate for Payer: BCBS Complete |
$417.20
|
| Rate for Payer: BCBS MAPPO |
$396.37
|
| Rate for Payer: BCN Medicare Advantage |
$396.37
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$570.77
|
| Rate for Payer: Cofinity Commercial |
$531.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$396.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$416.19
|
| Rate for Payer: Nomi Health Commercial |
$475.64
|
| Rate for Payer: PACE SWMI |
$396.37
|
| Rate for Payer: PHP Commercial |
$554.92
|
| Rate for Payer: PHP Medicare Advantage |
$396.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$677.95
|
| Rate for Payer: Priority Health Medicare |
$396.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$396.37
|
| Rate for Payer: UHC Medicare Advantage |
$396.37
|
| Rate for Payer: UMR Bronson Commercial |
$479.78
|
|
|
PR EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>
|
Facility
|
OP
|
$1,043.00
|
|
|
Service Code
|
CPT 27632
|
| Hospital Charge Code |
27632
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$385.91 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$677.95
|
| Rate for Payer: Aetna Commercial |
$886.55
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.95
|
| 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 |
$834.40
|
| Rate for Payer: Cash Price |
$834.40
|
| Rate for Payer: Cofinity Commercial |
$896.98
|
| Rate for Payer: Cofinity Commercial |
$730.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$730.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$834.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$938.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$730.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$782.25
|
| 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 |
$886.55
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$886.55
|
| 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 |
$677.95
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$657.09
|
| 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 |
$385.91
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$782.25
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Min. Negotiated Rate |
$394.40 |
| Max. Negotiated Rate |
$657.03 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$657.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.40
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Commercial |
$638.78
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UMR Bronson Commercial |
$453.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
OP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$364.82 |
| Max. Negotiated Rate |
$7,857.23 |
| Rate for Payer: Aetna American Axle |
$640.90
|
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: Aetna Medicare |
$2,902.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.90
|
| 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 |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$690.20
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$690.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,791.30
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$690.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| 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 |
$838.10
|
| Rate for Payer: PACE Medicare |
$2,651.74
|
| Rate for Payer: PACE SWMI |
$2,791.30
|
| Rate for Payer: PHP Commercial |
$838.10
|
| 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 |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$2,791.30
|
| Rate for Payer: Priority Health SBD |
$621.18
|
| 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 |
$364.82
|
| Rate for Payer: VA VA |
$2,791.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Professional
|
Both
|
$986.00
|
|
|
Service Code
|
HCPCS 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$394.40 |
| Max. Negotiated Rate |
$657.03 |
| Rate for Payer: Aetna Commercial |
$611.40
|
| Rate for Payer: Aetna Medicare |
$474.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$657.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$611.40
|
| Rate for Payer: BCBS Complete |
$394.40
|
| Rate for Payer: BCBS MAPPO |
$456.27
|
| Rate for Payer: BCN Medicare Advantage |
$456.27
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$611.40
|
| Rate for Payer: Cofinity Commercial |
$657.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$456.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$479.08
|
| Rate for Payer: Nomi Health Commercial |
$547.52
|
| Rate for Payer: PACE SWMI |
$456.27
|
| Rate for Payer: PHP Commercial |
$638.78
|
| Rate for Payer: PHP Medicare Advantage |
$456.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health Medicare |
$456.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$456.27
|
| Rate for Payer: UHC Medicare Advantage |
$456.27
|
| Rate for Payer: UMR Bronson Commercial |
$453.56
|
|
|
PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>
|
Facility
|
IP
|
$986.00
|
|
|
Service Code
|
CPT 27043
|
| Hospital Charge Code |
27043
|
| Min. Negotiated Rate |
$433.84 |
| Max. Negotiated Rate |
$887.40 |
| Rate for Payer: Aetna American Axle |
$640.90
|
| Rate for Payer: Aetna Commercial |
$838.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.90
|
| Rate for Payer: Cash Price |
$788.80
|
| Rate for Payer: Cofinity Commercial |
$690.20
|
| Rate for Payer: Cofinity Commercial |
$847.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$690.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$788.80
|
| Rate for Payer: Healthscope Commercial |
$887.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$690.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$739.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$838.10
|
| Rate for Payer: PHP Commercial |
$838.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$640.90
|
| Rate for Payer: Priority Health SBD |
$621.18
|
| Rate for Payer: UMR Bronson Commercial |
$433.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$739.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Facility
|
OP
|
$750.00
|
|
|
Service Code
|
CPT 23071
|
| Hospital Charge Code |
23071
|
| Min. Negotiated Rate |
$277.50 |
| Max. Negotiated Rate |
$4,448.08 |
| Rate for Payer: Aetna American Axle |
$487.50
|
| Rate for Payer: Aetna Commercial |
$637.50
|
| Rate for Payer: Aetna Medicare |
$1,643.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,975.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,975.24
|
| Rate for Payer: BCBS Complete |
$889.33
|
| Rate for Payer: BCBS MAPPO |
$1,580.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,580.19
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$645.00
|
| Rate for Payer: Cofinity Commercial |
$525.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$525.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$600.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,580.19
|
| Rate for Payer: Healthscope Commercial |
$675.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$525.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$562.50
|
| Rate for Payer: Mclaren Medicaid |
$846.98
|
| Rate for Payer: Mclaren Medicare |
$1,580.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,659.20
|
| Rate for Payer: Meridian Medicaid |
$889.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,817.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$637.50
|
| Rate for Payer: PACE Medicare |
$1,501.18
|
| Rate for Payer: PACE SWMI |
$1,580.19
|
| Rate for Payer: PHP Commercial |
$637.50
|
| Rate for Payer: PHP Medicare Advantage |
$1,580.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$846.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health Medicare |
$1,580.19
|
| Rate for Payer: Priority Health SBD |
$472.50
|
| Rate for Payer: Railroad Medicare Medicare |
$1,580.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,448.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,580.19
|
| Rate for Payer: UHC Exchange |
$3,019.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,580.19
|
| Rate for Payer: UHCCP Medicaid |
$846.98
|
| Rate for Payer: UMR Bronson Commercial |
$277.50
|
| Rate for Payer: VA VA |
$1,580.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$562.50
|
|
|
PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>
|
Professional
|
Both
|
$750.00
|
|
|
Service Code
|
HCPCS 23071
|
| Min. Negotiated Rate |
$300.00 |
| Max. Negotiated Rate |
$587.76 |
| Rate for Payer: Aetna Commercial |
$546.95
|
| Rate for Payer: Aetna Medicare |
$424.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$546.95
|
| Rate for Payer: BCBS Complete |
$300.00
|
| Rate for Payer: BCBS MAPPO |
$408.17
|
| Rate for Payer: BCN Medicare Advantage |
$408.17
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cash Price |
$600.00
|
| Rate for Payer: Cofinity Commercial |
$587.76
|
| Rate for Payer: Cofinity Commercial |
$546.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$408.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$428.58
|
| Rate for Payer: Nomi Health Commercial |
$489.80
|
| Rate for Payer: PACE SWMI |
$408.17
|
| Rate for Payer: PHP Commercial |
$571.44
|
| Rate for Payer: PHP Medicare Advantage |
$408.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$487.50
|
| Rate for Payer: Priority Health Medicare |
$408.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$408.17
|
| Rate for Payer: UHC Medicare Advantage |
$408.17
|
| Rate for Payer: UMR Bronson Commercial |
$345.00
|
|
