|
PR EXCISION PILONIDAL CYST/SINUS EXTENSIVE
|
Professional
|
Both
|
$1,343.00
|
|
|
Service Code
|
HCPCS 11771
|
| Hospital Charge Code |
11771
|
| Min. Negotiated Rate |
$291.81 |
| Max. Negotiated Rate |
$925.56 |
| Rate for Payer: Aetna Commercial |
$580.47
|
| Rate for Payer: Aetna Medicare |
$450.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$580.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$623.79
|
| Rate for Payer: BCBS Complete |
$306.40
|
| Rate for Payer: BCBS MAPPO |
$433.19
|
| Rate for Payer: BCBS Trust/PPO |
$570.00
|
| Rate for Payer: BCN Commercial |
$925.56
|
| Rate for Payer: BCN Medicare Advantage |
$433.19
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cash Price |
$1,074.40
|
| Rate for Payer: Cofinity Commercial |
$623.79
|
| Rate for Payer: Cofinity Commercial |
$580.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$433.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.85
|
| Rate for Payer: Meridian Medicaid |
$306.40
|
| Rate for Payer: Nomi Health Commercial |
$519.83
|
| Rate for Payer: PACE SWMI |
$433.19
|
| Rate for Payer: PHP Commercial |
$606.47
|
| Rate for Payer: PHP Medicare Advantage |
$433.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$291.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$872.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$614.97
|
| Rate for Payer: Priority Health Medicare |
$433.19
|
| Rate for Payer: Priority Health Narrow Network |
$614.97
|
| Rate for Payer: Priority Health SBD |
$614.97
|
| Rate for Payer: UHC Dual Complete DSNP |
$433.19
|
| Rate for Payer: UHC Medicare Advantage |
$433.19
|
| Rate for Payer: UHCCP Medicaid |
$291.81
|
| Rate for Payer: UMR Bronson Commercial |
$617.78
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 11770
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$523.86 |
| Rate for Payer: Aetna Commercial |
$238.20
|
| Rate for Payer: Aetna Medicare |
$184.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.97
|
| Rate for Payer: BCBS Complete |
$125.24
|
| Rate for Payer: BCBS MAPPO |
$177.76
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$523.86
|
| Rate for Payer: BCN Medicare Advantage |
$177.76
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$238.20
|
| Rate for Payer: Cofinity Commercial |
$255.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.65
|
| Rate for Payer: Meridian Medicaid |
$125.24
|
| Rate for Payer: Nomi Health Commercial |
$213.31
|
| Rate for Payer: PACE SWMI |
$177.76
|
| Rate for Payer: PHP Commercial |
$248.86
|
| Rate for Payer: PHP Medicare Advantage |
$177.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$252.85
|
| Rate for Payer: Priority Health Medicare |
$177.76
|
| Rate for Payer: Priority Health Narrow Network |
$252.85
|
| Rate for Payer: Priority Health SBD |
$252.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.76
|
| Rate for Payer: UHC Medicare Advantage |
$177.76
|
| Rate for Payer: UHCCP Medicaid |
$119.28
|
| Rate for Payer: UMR Bronson Commercial |
$239.20
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
OP
|
$520.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$179.95 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$338.00
|
| Rate for Payer: Aetna Commercial |
$442.00
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$2,928.25
|
| Rate for Payer: BCN Commercial |
$2,928.25
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$447.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$364.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$468.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$364.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.00
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.00
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$442.00
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$327.60
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$197.94
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$179.95
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$192.40
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.00
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Facility
|
IP
|
$520.00
|
|
|
Service Code
|
CPT 11770
|
| Hospital Charge Code |
11770
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$228.80 |
| Max. Negotiated Rate |
$468.00 |
| Rate for Payer: Aetna American Axle |
$338.00
|
| Rate for Payer: Aetna Commercial |
$442.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$447.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$364.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$416.00
|
| Rate for Payer: Healthscope Commercial |
$468.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$364.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$390.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$442.00
|
| Rate for Payer: PHP Commercial |
$442.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health SBD |
$327.60
|
| Rate for Payer: UMR Bronson Commercial |
$228.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$390.00
|
|
|
PR EXCISION PILONIDAL CYST/SINUS SIMPLE
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 11770
|
| Hospital Charge Code |
11770
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$523.86 |
| Rate for Payer: Aetna Commercial |
$238.20
|
| Rate for Payer: Aetna Medicare |
$184.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.97
|
| Rate for Payer: BCBS Complete |
$125.24
|
| Rate for Payer: BCBS MAPPO |
$177.76
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$523.86
|
| Rate for Payer: BCN Medicare Advantage |
$177.76
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$255.97
|
| Rate for Payer: Cofinity Commercial |
$238.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$177.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$186.65
|
| Rate for Payer: Meridian Medicaid |
$125.24
|
| Rate for Payer: Nomi Health Commercial |
$213.31
|
| Rate for Payer: PACE SWMI |
$177.76
|
| Rate for Payer: PHP Commercial |
$248.86
|
| Rate for Payer: PHP Medicare Advantage |
$177.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$119.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$252.85
|
| Rate for Payer: Priority Health Medicare |
$177.76
|
| Rate for Payer: Priority Health Narrow Network |
$252.85
|
| Rate for Payer: Priority Health SBD |
$252.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$177.76
|
| Rate for Payer: UHC Medicare Advantage |
$177.76
|
| Rate for Payer: UHCCP Medicaid |
$119.28
|
| Rate for Payer: UMR Bronson Commercial |
$239.20
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27340
|
| Min. Negotiated Rate |
$248.15 |
| Max. Negotiated Rate |
$2,642.03 |
| Rate for Payer: Aetna Commercial |
$486.45
|
| Rate for Payer: Aetna Medicare |
$377.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$486.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$522.75
|
| Rate for Payer: BCBS Complete |
$260.56
|
| Rate for Payer: BCBS MAPPO |
$363.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.03
|
| Rate for Payer: BCN Commercial |
$556.12
|
| Rate for Payer: BCN Medicare Advantage |
$363.02
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$486.45
|
| Rate for Payer: Cofinity Commercial |
$522.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.17
|
| Rate for Payer: Meridian Medicaid |
$260.56
|
| Rate for Payer: Nomi Health Commercial |
$435.62
|
| Rate for Payer: PACE SWMI |
$363.02
|
| Rate for Payer: PHP Commercial |
$508.23
|
| Rate for Payer: PHP Medicare Advantage |
$363.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$587.73
|
| Rate for Payer: Priority Health Medicare |
$363.02
|
| Rate for Payer: Priority Health Narrow Network |
$587.73
|
| Rate for Payer: Priority Health SBD |
$587.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.02
|
| Rate for Payer: UHC Medicare Advantage |
$363.02
|
| Rate for Payer: UHCCP Medicaid |
$248.15
|
| Rate for Payer: UMR Bronson Commercial |
$598.46
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
IP
|
$1,301.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$572.44 |
| Max. Negotiated Rate |
$1,170.90 |
| Rate for Payer: Aetna American Axle |
$845.65
|
| Rate for Payer: Aetna Commercial |
$1,105.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.65
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,118.86
|
| Rate for Payer: Cofinity Commercial |
$910.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$910.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,040.80
|
| Rate for Payer: Healthscope Commercial |
$1,170.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$910.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$975.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,105.85
|
| Rate for Payer: PHP Commercial |
$1,105.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health SBD |
$819.63
|
| Rate for Payer: UMR Bronson Commercial |
$572.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$975.75
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$248.15 |
| Max. Negotiated Rate |
$2,642.03 |
| Rate for Payer: Aetna Commercial |
$486.45
|
| Rate for Payer: Aetna Medicare |
$377.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$486.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$522.75
|
| Rate for Payer: BCBS Complete |
$260.56
|
| Rate for Payer: BCBS MAPPO |
$363.02
|
| Rate for Payer: BCBS Trust/PPO |
$2,642.03
|
| Rate for Payer: BCN Commercial |
$556.12
|
| Rate for Payer: BCN Medicare Advantage |
$363.02
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$486.45
|
| Rate for Payer: Cofinity Commercial |
$522.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$363.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$381.17
|
| Rate for Payer: Meridian Medicaid |
$260.56
|
| Rate for Payer: Nomi Health Commercial |
$435.62
|
| Rate for Payer: PACE SWMI |
$363.02
|
| Rate for Payer: PHP Commercial |
$508.23
|
| Rate for Payer: PHP Medicare Advantage |
$363.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$248.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$587.73
|
| Rate for Payer: Priority Health Medicare |
$363.02
|
| Rate for Payer: Priority Health Narrow Network |
$587.73
|
| Rate for Payer: Priority Health SBD |
$587.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$363.02
|
| Rate for Payer: UHC Medicare Advantage |
$363.02
|
| Rate for Payer: UHCCP Medicaid |
$248.15
|
| Rate for Payer: UMR Bronson Commercial |
$598.46
|
|
|
PR EXCISION PREPATELLAR BURSA
|
Facility
|
OP
|
$1,301.00
|
|
|
Service Code
|
CPT 27340
|
| Hospital Charge Code |
27340
|
| Min. Negotiated Rate |
$364.68 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$845.65
|
| Rate for Payer: Aetna Commercial |
$1,105.85
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$1,898.39
|
| Rate for Payer: BCN Commercial |
$1,898.39
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$1,118.86
|
| Rate for Payer: Cofinity Commercial |
$910.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$910.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,040.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,170.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$910.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$975.75
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,105.85
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,105.85
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$819.63
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$401.15
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$364.68
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$481.37
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$975.75
|
|
|
PR EXCISION RADIAL HEAD
|
Professional
|
Both
|
$1,256.00
|
|
|
Service Code
|
HCPCS 24130
|
| Min. Negotiated Rate |
$160.60 |
| Max. Negotiated Rate |
$816.40 |
| Rate for Payer: Aetna Commercial |
$666.13
|
| Rate for Payer: Aetna Medicare |
$516.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$666.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$715.84
|
| Rate for Payer: BCBS Complete |
$355.15
|
| Rate for Payer: BCBS MAPPO |
$497.11
|
| Rate for Payer: BCBS Trust/PPO |
$160.60
|
| Rate for Payer: BCN Commercial |
$760.38
|
| Rate for Payer: BCN Medicare Advantage |
$497.11
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Cofinity Commercial |
$666.13
|
| Rate for Payer: Cofinity Commercial |
$715.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$497.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$521.97
|
| Rate for Payer: Meridian Medicaid |
$355.15
|
| Rate for Payer: Nomi Health Commercial |
$596.53
|
| Rate for Payer: PACE SWMI |
$497.11
|
| Rate for Payer: PHP Commercial |
$695.95
|
| Rate for Payer: PHP Medicare Advantage |
$497.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$816.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$796.37
|
| Rate for Payer: Priority Health Medicare |
$497.11
|
| Rate for Payer: Priority Health Narrow Network |
$796.37
|
| Rate for Payer: Priority Health SBD |
$796.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$497.11
|
| Rate for Payer: UHC Medicare Advantage |
$497.11
|
| Rate for Payer: UHCCP Medicaid |
$338.24
|
| Rate for Payer: UMR Bronson Commercial |
$577.76
|
|
|
PR EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 67961
|
| Min. Negotiated Rate |
$288.40 |
| Max. Negotiated Rate |
$2,721.27 |
| Rate for Payer: Aetna Commercial |
$562.93
|
| Rate for Payer: Aetna Medicare |
$436.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$604.94
|
| Rate for Payer: BCBS Complete |
$302.82
|
| Rate for Payer: BCBS MAPPO |
$420.10
|
| Rate for Payer: BCBS Trust/PPO |
$2,721.27
|
| Rate for Payer: BCN Commercial |
$854.21
|
| Rate for Payer: BCN Medicare Advantage |
$420.10
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$562.93
|
| Rate for Payer: Cofinity Commercial |
$604.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$420.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$441.10
|
| Rate for Payer: Meridian Medicaid |
$302.82
|
| Rate for Payer: Nomi Health Commercial |
$504.12
|
| Rate for Payer: PACE SWMI |
$420.10
|
| Rate for Payer: PHP Commercial |
$588.14
|
| Rate for Payer: PHP Medicare Advantage |
$420.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$288.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$748.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$789.62
|
| Rate for Payer: Priority Health Medicare |
$420.10
|
| Rate for Payer: Priority Health Narrow Network |
$789.62
|
| Rate for Payer: Priority Health SBD |
$789.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$420.10
|
| Rate for Payer: UHC Medicare Advantage |
$420.10
|
| Rate for Payer: UHCCP Medicaid |
$288.40
|
| Rate for Payer: UMR Bronson Commercial |
$529.92
|
|
|
PR EXCISION RIB PARTIAL
|
Professional
|
Both
|
$1,625.00
|
|
|
Service Code
|
HCPCS 21600
|
| Min. Negotiated Rate |
$57.05 |
| Max. Negotiated Rate |
$1,056.25 |
| Rate for Payer: Aetna Commercial |
$737.94
|
| Rate for Payer: Aetna Medicare |
$572.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$737.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$793.01
|
| Rate for Payer: BCBS Complete |
$391.17
|
| Rate for Payer: BCBS MAPPO |
$550.70
|
| Rate for Payer: BCBS Trust/PPO |
$57.05
|
| Rate for Payer: BCN Commercial |
$829.77
|
| Rate for Payer: BCN Medicare Advantage |
$550.70
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cofinity Commercial |
$737.94
|
| Rate for Payer: Cofinity Commercial |
$793.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$550.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$578.24
|
| Rate for Payer: Meridian Medicaid |
$391.17
|
| Rate for Payer: Nomi Health Commercial |
$660.84
|
| Rate for Payer: PACE SWMI |
$550.70
|
| Rate for Payer: PHP Commercial |
$770.98
|
| Rate for Payer: PHP Medicare Advantage |
$550.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,056.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$874.22
|
| Rate for Payer: Priority Health Medicare |
$550.70
|
| Rate for Payer: Priority Health Narrow Network |
$874.22
|
| Rate for Payer: Priority Health SBD |
$874.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$550.70
|
| Rate for Payer: UHC Medicare Advantage |
$550.70
|
| Rate for Payer: UHCCP Medicaid |
$372.54
|
| Rate for Payer: UMR Bronson Commercial |
$747.50
|
|
|
PR EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE
|
Professional
|
Both
|
$1,174.00
|
|
|
Service Code
|
HCPCS 15931
|
| Min. Negotiated Rate |
$48.31 |
| Max. Negotiated Rate |
$1,034.04 |
| Rate for Payer: Aetna Commercial |
$911.68
|
| Rate for Payer: Aetna Medicare |
$707.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$911.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$979.72
|
| Rate for Payer: BCBS Complete |
$479.06
|
| Rate for Payer: BCBS MAPPO |
$680.36
|
| Rate for Payer: BCBS Trust/PPO |
$48.31
|
| Rate for Payer: BCN Commercial |
$1,034.04
|
| Rate for Payer: BCN Medicare Advantage |
$680.36
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Cash Price |
$939.20
|
| Rate for Payer: Cofinity Commercial |
$911.68
|
| Rate for Payer: Cofinity Commercial |
$979.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$680.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$714.38
|
| Rate for Payer: Meridian Medicaid |
$479.06
|
| Rate for Payer: Nomi Health Commercial |
$816.43
|
| Rate for Payer: PACE SWMI |
$680.36
|
| Rate for Payer: PHP Commercial |
$952.50
|
| Rate for Payer: PHP Medicare Advantage |
$680.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$456.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$959.47
|
| Rate for Payer: Priority Health Medicare |
$680.36
|
| Rate for Payer: Priority Health Narrow Network |
$959.47
|
| Rate for Payer: Priority Health SBD |
$959.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$680.36
|
| Rate for Payer: UHC Medicare Advantage |
$680.36
|
| Rate for Payer: UHCCP Medicaid |
$456.25
|
| Rate for Payer: UMR Bronson Commercial |
$540.04
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
IP
|
$440.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$193.60 |
| Max. Negotiated Rate |
$396.00 |
| Rate for Payer: Aetna American Axle |
$286.00
|
| Rate for Payer: Aetna Commercial |
$374.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$308.00
|
| Rate for Payer: Cofinity Commercial |
$378.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$308.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.00
|
| Rate for Payer: Healthscope Commercial |
$396.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$308.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$330.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.00
|
| Rate for Payer: PHP Commercial |
$374.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health SBD |
$277.20
|
| Rate for Payer: UMR Bronson Commercial |
$193.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$330.00
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
HCPCS 46220
|
| Min. Negotiated Rate |
$78.81 |
| Max. Negotiated Rate |
$1,565.88 |
| Rate for Payer: Aetna Commercial |
$155.60
|
| Rate for Payer: Aetna Medicare |
$120.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.21
|
| Rate for Payer: BCBS Complete |
$82.75
|
| Rate for Payer: BCBS MAPPO |
$116.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.88
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$116.12
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$155.60
|
| Rate for Payer: Cofinity Commercial |
$167.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.93
|
| Rate for Payer: Meridian Medicaid |
$82.75
|
| Rate for Payer: Nomi Health Commercial |
$139.34
|
| Rate for Payer: PACE SWMI |
$116.12
|
| Rate for Payer: PHP Commercial |
$162.57
|
| Rate for Payer: PHP Medicare Advantage |
$116.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$219.55
|
| Rate for Payer: Priority Health Medicare |
$116.12
|
| Rate for Payer: Priority Health Narrow Network |
$219.55
|
| Rate for Payer: Priority Health SBD |
$219.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.12
|
| Rate for Payer: UHC Medicare Advantage |
$116.12
|
| Rate for Payer: UHCCP Medicaid |
$78.81
|
| Rate for Payer: UMR Bronson Commercial |
$202.40
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Professional
|
Both
|
$440.00
|
|
|
Service Code
|
HCPCS 46220
|
| Hospital Charge Code |
46220
|
| Min. Negotiated Rate |
$78.81 |
| Max. Negotiated Rate |
$1,565.88 |
| Rate for Payer: Aetna Commercial |
$155.60
|
| Rate for Payer: Aetna Medicare |
$120.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$155.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.21
|
| Rate for Payer: BCBS Complete |
$82.75
|
| Rate for Payer: BCBS MAPPO |
$116.12
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.88
|
| Rate for Payer: BCN Commercial |
$370.42
|
| Rate for Payer: BCN Medicare Advantage |
$116.12
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$155.60
|
| Rate for Payer: Cofinity Commercial |
$167.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$116.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$121.93
|
| Rate for Payer: Meridian Medicaid |
$82.75
|
| Rate for Payer: Nomi Health Commercial |
$139.34
|
| Rate for Payer: PACE SWMI |
$116.12
|
| Rate for Payer: PHP Commercial |
$162.57
|
| Rate for Payer: PHP Medicare Advantage |
$116.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$78.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$219.55
|
| Rate for Payer: Priority Health Medicare |
$116.12
|
| Rate for Payer: Priority Health Narrow Network |
$219.55
|
| Rate for Payer: Priority Health SBD |
$219.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$116.12
|
| Rate for Payer: UHC Medicare Advantage |
$116.12
|
| Rate for Payer: UHCCP Medicaid |
$78.81
|
| Rate for Payer: UMR Bronson Commercial |
$202.40
|
|
|
PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS
|
Facility
|
OP
|
$440.00
|
|
|
Service Code
|
CPT 46220
|
| Hospital Charge Code |
46220
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$117.04 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$286.00
|
| Rate for Payer: Aetna Commercial |
$374.00
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$286.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$1,193.16
|
| Rate for Payer: BCN Commercial |
$1,193.16
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cash Price |
$352.00
|
| Rate for Payer: Cofinity Commercial |
$378.40
|
| Rate for Payer: Cofinity Commercial |
$308.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$308.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$352.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$396.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$308.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$330.00
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$374.00
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$374.00
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$286.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$277.20
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.74
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$117.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$162.80
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$330.00
|
|
|
PR EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL
|
Professional
|
Both
|
$676.00
|
|
|
Service Code
|
HCPCS 69145
|
| Min. Negotiated Rate |
$165.29 |
| Max. Negotiated Rate |
$2,204.60 |
| Rate for Payer: Aetna Commercial |
$321.26
|
| Rate for Payer: Aetna Medicare |
$249.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$321.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$345.24
|
| Rate for Payer: BCBS Complete |
$173.55
|
| Rate for Payer: BCBS MAPPO |
$239.75
|
| Rate for Payer: BCBS Trust/PPO |
$2,204.60
|
| Rate for Payer: BCN Commercial |
$609.38
|
| Rate for Payer: BCN Medicare Advantage |
$239.75
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Cash Price |
$540.80
|
| Rate for Payer: Cofinity Commercial |
$321.26
|
| Rate for Payer: Cofinity Commercial |
$345.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$239.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$251.74
|
| Rate for Payer: Meridian Medicaid |
$173.55
|
| Rate for Payer: Nomi Health Commercial |
$287.70
|
| Rate for Payer: PACE SWMI |
$239.75
|
| Rate for Payer: PHP Commercial |
$335.65
|
| Rate for Payer: PHP Medicare Advantage |
$239.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$165.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$439.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$379.86
|
| Rate for Payer: Priority Health Medicare |
$239.75
|
| Rate for Payer: Priority Health Narrow Network |
$379.86
|
| Rate for Payer: Priority Health SBD |
$379.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$239.75
|
| Rate for Payer: UHC Medicare Advantage |
$239.75
|
| Rate for Payer: UHCCP Medicaid |
$165.29
|
| Rate for Payer: UMR Bronson Commercial |
$310.96
|
|
|
PR EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY
|
Professional
|
Both
|
$598.00
|
|
|
Service Code
|
HCPCS 54840
|
| Min. Negotiated Rate |
$207.89 |
| Max. Negotiated Rate |
$2,153.88 |
| Rate for Payer: Aetna Commercial |
$412.87
|
| Rate for Payer: Aetna Medicare |
$320.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$412.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$443.68
|
| Rate for Payer: BCBS Complete |
$218.28
|
| Rate for Payer: BCBS MAPPO |
$308.11
|
| Rate for Payer: BCBS Trust/PPO |
$2,153.88
|
| Rate for Payer: BCN Commercial |
$467.66
|
| Rate for Payer: BCN Medicare Advantage |
$308.11
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cash Price |
$478.40
|
| Rate for Payer: Cofinity Commercial |
$412.87
|
| Rate for Payer: Cofinity Commercial |
$443.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$308.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.52
|
| Rate for Payer: Meridian Medicaid |
$218.28
|
| Rate for Payer: Nomi Health Commercial |
$369.73
|
| Rate for Payer: PACE SWMI |
$308.11
|
| Rate for Payer: PHP Commercial |
$431.35
|
| Rate for Payer: PHP Medicare Advantage |
$308.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$388.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$516.62
|
| Rate for Payer: Priority Health Medicare |
$308.11
|
| Rate for Payer: Priority Health Narrow Network |
$516.62
|
| Rate for Payer: Priority Health SBD |
$516.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$308.11
|
| Rate for Payer: UHC Medicare Advantage |
$308.11
|
| Rate for Payer: UHCCP Medicaid |
$207.89
|
| Rate for Payer: UMR Bronson Commercial |
$275.08
|
|
|
PR EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND
|
Professional
|
Both
|
$2,272.00
|
|
|
Service Code
|
HCPCS 42440
|
| Min. Negotiated Rate |
$269.02 |
| Max. Negotiated Rate |
$1,476.80 |
| Rate for Payer: Aetna Commercial |
$532.40
|
| Rate for Payer: Aetna Medicare |
$413.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.13
|
| Rate for Payer: BCBS Complete |
$282.47
|
| Rate for Payer: BCBS MAPPO |
$397.31
|
| Rate for Payer: BCBS Trust/PPO |
$437.96
|
| Rate for Payer: BCN Commercial |
$611.82
|
| Rate for Payer: BCN Medicare Advantage |
$397.31
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cash Price |
$1,817.60
|
| Rate for Payer: Cofinity Commercial |
$532.40
|
| Rate for Payer: Cofinity Commercial |
$572.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.18
|
| Rate for Payer: Meridian Medicaid |
$282.47
|
| Rate for Payer: Nomi Health Commercial |
$476.77
|
| Rate for Payer: PACE SWMI |
$397.31
|
| Rate for Payer: PHP Commercial |
$556.23
|
| Rate for Payer: PHP Medicare Advantage |
$397.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,476.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$752.31
|
| Rate for Payer: Priority Health Medicare |
$397.31
|
| Rate for Payer: Priority Health Narrow Network |
$752.31
|
| Rate for Payer: Priority Health SBD |
$752.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.31
|
| Rate for Payer: UHC Medicare Advantage |
$397.31
|
| Rate for Payer: UHCCP Medicaid |
$269.02
|
| Rate for Payer: UMR Bronson Commercial |
$1,045.12
|
|
|
PR EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA
|
Professional
|
Both
|
$1,035.00
|
|
|
Service Code
|
HCPCS 30120
|
| Min. Negotiated Rate |
$271.36 |
| Max. Negotiated Rate |
$748.17 |
| Rate for Payer: Aetna Commercial |
$532.93
|
| Rate for Payer: Aetna Medicare |
$413.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$572.70
|
| Rate for Payer: BCBS Complete |
$284.93
|
| Rate for Payer: BCBS MAPPO |
$397.71
|
| Rate for Payer: BCBS Trust/PPO |
$589.05
|
| Rate for Payer: BCN Commercial |
$748.17
|
| Rate for Payer: BCN Medicare Advantage |
$397.71
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cash Price |
$828.00
|
| Rate for Payer: Cofinity Commercial |
$532.93
|
| Rate for Payer: Cofinity Commercial |
$572.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$397.71
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$417.60
|
| Rate for Payer: Meridian Medicaid |
$284.93
|
| Rate for Payer: Nomi Health Commercial |
$477.25
|
| Rate for Payer: PACE SWMI |
$397.71
|
| Rate for Payer: PHP Commercial |
$556.79
|
| Rate for Payer: PHP Medicare Advantage |
$397.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$271.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$672.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$587.68
|
| Rate for Payer: Priority Health Medicare |
$397.71
|
| Rate for Payer: Priority Health Narrow Network |
$587.68
|
| Rate for Payer: Priority Health SBD |
$587.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$397.71
|
| Rate for Payer: UHC Medicare Advantage |
$397.71
|
| Rate for Payer: UHCCP Medicaid |
$271.36
|
| Rate for Payer: UMR Bronson Commercial |
$476.10
|
|
|
PR EXCISION SYNOVIAL CYST POPLITEAL SPACE
|
Professional
|
Both
|
$1,640.00
|
|
|
Service Code
|
HCPCS 27345
|
| Min. Negotiated Rate |
$321.63 |
| Max. Negotiated Rate |
$1,594.41 |
| Rate for Payer: Aetna Commercial |
$633.71
|
| Rate for Payer: Aetna Medicare |
$491.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$633.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$681.00
|
| Rate for Payer: BCBS Complete |
$337.71
|
| Rate for Payer: BCBS MAPPO |
$472.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,594.41
|
| Rate for Payer: BCN Commercial |
$719.34
|
| Rate for Payer: BCN Medicare Advantage |
$472.92
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cash Price |
$1,312.00
|
| Rate for Payer: Cofinity Commercial |
$633.71
|
| Rate for Payer: Cofinity Commercial |
$681.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$472.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$496.57
|
| Rate for Payer: Meridian Medicaid |
$337.71
|
| Rate for Payer: Nomi Health Commercial |
$567.50
|
| Rate for Payer: PACE SWMI |
$472.92
|
| Rate for Payer: PHP Commercial |
$662.09
|
| Rate for Payer: PHP Medicare Advantage |
$472.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$321.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,066.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$758.20
|
| Rate for Payer: Priority Health Medicare |
$472.92
|
| Rate for Payer: Priority Health Narrow Network |
$758.20
|
| Rate for Payer: Priority Health SBD |
$758.20
|
| Rate for Payer: UHC Dual Complete DSNP |
$472.92
|
| Rate for Payer: UHC Medicare Advantage |
$472.92
|
| Rate for Payer: UHCCP Medicaid |
$321.63
|
| Rate for Payer: UMR Bronson Commercial |
$754.40
|
|
|
PR EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH
|
Professional
|
Both
|
$1,272.00
|
|
|
Service Code
|
HCPCS 26180
|
| Min. Negotiated Rate |
$146.34 |
| Max. Negotiated Rate |
$826.80 |
| Rate for Payer: Aetna Commercial |
$585.08
|
| Rate for Payer: Aetna Medicare |
$454.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$585.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$628.75
|
| Rate for Payer: BCBS Complete |
$313.33
|
| Rate for Payer: BCBS MAPPO |
$436.63
|
| Rate for Payer: BCBS Trust/PPO |
$146.34
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$436.63
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cash Price |
$1,017.60
|
| Rate for Payer: Cofinity Commercial |
$585.08
|
| Rate for Payer: Cofinity Commercial |
$628.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$436.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$458.46
|
| Rate for Payer: Meridian Medicaid |
$313.33
|
| Rate for Payer: Nomi Health Commercial |
$523.96
|
| Rate for Payer: PACE SWMI |
$436.63
|
| Rate for Payer: PHP Commercial |
$611.28
|
| Rate for Payer: PHP Medicare Advantage |
$436.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$298.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$704.26
|
| Rate for Payer: Priority Health Medicare |
$436.63
|
| Rate for Payer: Priority Health Narrow Network |
$704.26
|
| Rate for Payer: Priority Health SBD |
$704.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$436.63
|
| Rate for Payer: UHC Medicare Advantage |
$436.63
|
| Rate for Payer: UHCCP Medicaid |
$298.41
|
| Rate for Payer: UMR Bronson Commercial |
$585.12
|
|
|
PR EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH
|
Professional
|
Both
|
$1,114.00
|
|
|
Service Code
|
HCPCS 26170
|
| Min. Negotiated Rate |
$77.66 |
| Max. Negotiated Rate |
$724.10 |
| Rate for Payer: Aetna Commercial |
$528.95
|
| Rate for Payer: Aetna Medicare |
$410.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$568.43
|
| Rate for Payer: BCBS Complete |
$283.14
|
| Rate for Payer: BCBS MAPPO |
$394.74
|
| Rate for Payer: BCBS Trust/PPO |
$77.66
|
| Rate for Payer: BCN Commercial |
$606.94
|
| Rate for Payer: BCN Medicare Advantage |
$394.74
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cash Price |
$891.20
|
| Rate for Payer: Cofinity Commercial |
$528.95
|
| Rate for Payer: Cofinity Commercial |
$568.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$394.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$414.48
|
| Rate for Payer: Meridian Medicaid |
$283.14
|
| Rate for Payer: Nomi Health Commercial |
$473.69
|
| Rate for Payer: PACE SWMI |
$394.74
|
| Rate for Payer: PHP Commercial |
$552.64
|
| Rate for Payer: PHP Medicare Advantage |
$394.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$724.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$639.13
|
| Rate for Payer: Priority Health Medicare |
$394.74
|
| Rate for Payer: Priority Health Narrow Network |
$639.13
|
| Rate for Payer: Priority Health SBD |
$639.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$394.74
|
| Rate for Payer: UHC Medicare Advantage |
$394.74
|
| Rate for Payer: UHCCP Medicaid |
$269.66
|
| Rate for Payer: UMR Bronson Commercial |
$512.44
|
|
|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS
|
Professional
|
Both
|
$2,074.00
|
|
|
Service Code
|
HCPCS 60280
|
| Min. Negotiated Rate |
$294.37 |
| Max. Negotiated Rate |
$3,383.23 |
| Rate for Payer: Aetna Commercial |
$580.14
|
| Rate for Payer: Aetna Medicare |
$450.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$580.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$623.43
|
| Rate for Payer: BCBS Complete |
$309.09
|
| Rate for Payer: BCBS MAPPO |
$432.94
|
| Rate for Payer: BCBS Trust/PPO |
$3,383.23
|
| Rate for Payer: BCN Commercial |
$668.03
|
| Rate for Payer: BCN Medicare Advantage |
$432.94
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cash Price |
$1,659.20
|
| Rate for Payer: Cofinity Commercial |
$580.14
|
| Rate for Payer: Cofinity Commercial |
$623.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$432.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$454.59
|
| Rate for Payer: Meridian Medicaid |
$309.09
|
| Rate for Payer: Nomi Health Commercial |
$519.53
|
| Rate for Payer: PACE SWMI |
$432.94
|
| Rate for Payer: PHP Commercial |
$606.12
|
| Rate for Payer: PHP Medicare Advantage |
$432.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$294.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,348.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$742.05
|
| Rate for Payer: Priority Health Medicare |
$432.94
|
| Rate for Payer: Priority Health Narrow Network |
$742.05
|
| Rate for Payer: Priority Health SBD |
$742.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$432.94
|
| Rate for Payer: UHC Medicare Advantage |
$432.94
|
| Rate for Payer: UHCCP Medicaid |
$294.37
|
| Rate for Payer: UMR Bronson Commercial |
$954.04
|
|
