|
PR EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT
|
Professional
|
Both
|
$2,197.00
|
|
|
Service Code
|
HCPCS 60281
|
| Min. Negotiated Rate |
$385.10 |
| Max. Negotiated Rate |
$3,474.63 |
| Rate for Payer: Aetna Commercial |
$762.47
|
| Rate for Payer: Aetna Medicare |
$591.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$762.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$819.37
|
| Rate for Payer: BCBS Complete |
$404.36
|
| Rate for Payer: BCBS MAPPO |
$569.01
|
| Rate for Payer: BCBS Trust/PPO |
$3,474.63
|
| Rate for Payer: BCN Commercial |
$876.69
|
| Rate for Payer: BCN Medicare Advantage |
$569.01
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cash Price |
$1,757.60
|
| Rate for Payer: Cofinity Commercial |
$762.47
|
| Rate for Payer: Cofinity Commercial |
$819.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$569.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$597.46
|
| Rate for Payer: Meridian Medicaid |
$404.36
|
| Rate for Payer: Nomi Health Commercial |
$682.81
|
| Rate for Payer: PACE SWMI |
$569.01
|
| Rate for Payer: PHP Commercial |
$796.61
|
| Rate for Payer: PHP Medicare Advantage |
$569.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$385.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,428.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$970.91
|
| Rate for Payer: Priority Health Medicare |
$569.01
|
| Rate for Payer: Priority Health Narrow Network |
$970.91
|
| Rate for Payer: Priority Health SBD |
$970.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$569.01
|
| Rate for Payer: UHC Medicare Advantage |
$569.01
|
| Rate for Payer: UHCCP Medicaid |
$385.10
|
| Rate for Payer: UMR Bronson Commercial |
$1,010.62
|
|
|
PR EXCISION TONSIL TAGS
|
Professional
|
Both
|
$380.00
|
|
|
Service Code
|
HCPCS 42860
|
| Min. Negotiated Rate |
$126.95 |
| Max. Negotiated Rate |
$890.19 |
| Rate for Payer: Aetna Commercial |
$248.07
|
| Rate for Payer: Aetna Medicare |
$192.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$266.59
|
| Rate for Payer: BCBS Complete |
$133.30
|
| Rate for Payer: BCBS MAPPO |
$185.13
|
| Rate for Payer: BCBS Trust/PPO |
$890.19
|
| Rate for Payer: BCN Commercial |
$286.36
|
| Rate for Payer: BCN Medicare Advantage |
$185.13
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cash Price |
$304.00
|
| Rate for Payer: Cofinity Commercial |
$248.07
|
| Rate for Payer: Cofinity Commercial |
$266.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$185.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$194.39
|
| Rate for Payer: Meridian Medicaid |
$133.30
|
| Rate for Payer: Nomi Health Commercial |
$222.16
|
| Rate for Payer: PACE SWMI |
$185.13
|
| Rate for Payer: PHP Commercial |
$259.18
|
| Rate for Payer: PHP Medicare Advantage |
$185.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$353.77
|
| Rate for Payer: Priority Health Medicare |
$185.13
|
| Rate for Payer: Priority Health Narrow Network |
$353.77
|
| Rate for Payer: Priority Health SBD |
$353.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$185.13
|
| Rate for Payer: UHC Medicare Advantage |
$185.13
|
| Rate for Payer: UHCCP Medicaid |
$126.95
|
| Rate for Payer: UMR Bronson Commercial |
$174.80
|
|
|
PR EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL
|
Professional
|
Both
|
$3,948.00
|
|
|
Service Code
|
HCPCS 31785
|
| Min. Negotiated Rate |
$687.99 |
| Max. Negotiated Rate |
$2,566.20 |
| Rate for Payer: Aetna Commercial |
$1,376.30
|
| Rate for Payer: Aetna Medicare |
$1,068.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,376.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,479.01
|
| Rate for Payer: BCBS Complete |
$722.39
|
| Rate for Payer: BCBS MAPPO |
$1,027.09
|
| Rate for Payer: BCBS Trust/PPO |
$1,040.22
|
| Rate for Payer: BCN Commercial |
$1,570.12
|
| Rate for Payer: BCN Medicare Advantage |
$1,027.09
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cash Price |
$3,158.40
|
| Rate for Payer: Cofinity Commercial |
$1,376.30
|
| Rate for Payer: Cofinity Commercial |
$1,479.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,027.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,078.44
|
| Rate for Payer: Meridian Medicaid |
$722.39
|
| Rate for Payer: Nomi Health Commercial |
$1,232.51
|
| Rate for Payer: PACE SWMI |
$1,027.09
|
| Rate for Payer: PHP Commercial |
$1,437.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,027.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$687.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,566.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,493.28
|
| Rate for Payer: Priority Health Medicare |
$1,027.09
|
| Rate for Payer: Priority Health Narrow Network |
$1,493.28
|
| Rate for Payer: Priority Health SBD |
$1,493.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,027.09
|
| Rate for Payer: UHC Medicare Advantage |
$1,027.09
|
| Rate for Payer: UHCCP Medicaid |
$687.99
|
| Rate for Payer: UMR Bronson Commercial |
$1,816.08
|
|
|
PR EXCISION TROCHANTERIC BURSA/CALCIFICATION
|
Professional
|
Both
|
$1,678.00
|
|
|
Service Code
|
HCPCS 27062
|
| Min. Negotiated Rate |
$297.77 |
| Max. Negotiated Rate |
$4,466.25 |
| Rate for Payer: Aetna Commercial |
$587.04
|
| Rate for Payer: Aetna Medicare |
$455.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$587.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$630.85
|
| Rate for Payer: BCBS Complete |
$312.66
|
| Rate for Payer: BCBS MAPPO |
$438.09
|
| Rate for Payer: BCBS Trust/PPO |
$4,466.25
|
| Rate for Payer: BCN Commercial |
$672.91
|
| Rate for Payer: BCN Medicare Advantage |
$438.09
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cash Price |
$1,342.40
|
| Rate for Payer: Cofinity Commercial |
$587.04
|
| Rate for Payer: Cofinity Commercial |
$630.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$438.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$459.99
|
| Rate for Payer: Meridian Medicaid |
$312.66
|
| Rate for Payer: Nomi Health Commercial |
$525.71
|
| Rate for Payer: PACE SWMI |
$438.09
|
| Rate for Payer: PHP Commercial |
$613.33
|
| Rate for Payer: PHP Medicare Advantage |
$438.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$297.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$707.32
|
| Rate for Payer: Priority Health Medicare |
$438.09
|
| Rate for Payer: Priority Health Narrow Network |
$707.32
|
| Rate for Payer: Priority Health SBD |
$707.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$438.09
|
| Rate for Payer: UHC Medicare Advantage |
$438.09
|
| Rate for Payer: UHCCP Medicaid |
$297.77
|
| Rate for Payer: UMR Bronson Commercial |
$771.88
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
OP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$275.65 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna American Axle |
$484.25
|
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$484.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,463.00
|
| Rate for Payer: BCN Commercial |
$2,463.00
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$521.50
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$521.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$521.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Mclaren Medicaid |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$469.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$504.79
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$458.90
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$275.65
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Hospital Charge Code |
21931
|
| Min. Negotiated Rate |
$306.08 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$475.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$612.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.31
|
| Rate for Payer: BCBS Complete |
$321.38
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Meridian Medicaid |
$321.38
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Commercial |
$640.02
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$306.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$724.61
|
| Rate for Payer: Priority Health Medicare |
$457.16
|
| Rate for Payer: Priority Health Narrow Network |
$724.61
|
| Rate for Payer: Priority Health SBD |
$724.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
| Rate for Payer: UHCCP Medicaid |
$306.08
|
| Rate for Payer: UMR Bronson Commercial |
$342.70
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Professional
|
Both
|
$745.00
|
|
|
Service Code
|
HCPCS 21931
|
| Min. Negotiated Rate |
$306.08 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$612.59
|
| Rate for Payer: Aetna Medicare |
$475.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$612.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.31
|
| Rate for Payer: BCBS Complete |
$321.38
|
| Rate for Payer: BCBS MAPPO |
$457.16
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$457.16
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$612.59
|
| Rate for Payer: Cofinity Commercial |
$658.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$457.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$480.02
|
| Rate for Payer: Meridian Medicaid |
$321.38
|
| Rate for Payer: Nomi Health Commercial |
$548.59
|
| Rate for Payer: PACE SWMI |
$457.16
|
| Rate for Payer: PHP Commercial |
$640.02
|
| Rate for Payer: PHP Medicare Advantage |
$457.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$306.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$724.61
|
| Rate for Payer: Priority Health Medicare |
$457.16
|
| Rate for Payer: Priority Health Narrow Network |
$724.61
|
| Rate for Payer: Priority Health SBD |
$724.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$457.16
|
| Rate for Payer: UHC Medicare Advantage |
$457.16
|
| Rate for Payer: UHCCP Medicaid |
$306.08
|
| Rate for Payer: UMR Bronson Commercial |
$342.70
|
|
|
PR EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>
|
Facility
|
IP
|
$745.00
|
|
|
Service Code
|
CPT 21931
|
| Hospital Charge Code |
21931
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$327.80 |
| Max. Negotiated Rate |
$670.50 |
| Rate for Payer: Aetna American Axle |
$484.25
|
| Rate for Payer: Aetna Commercial |
$633.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$484.25
|
| Rate for Payer: Cash Price |
$596.00
|
| Rate for Payer: Cofinity Commercial |
$521.50
|
| Rate for Payer: Cofinity Commercial |
$640.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$521.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$596.00
|
| Rate for Payer: Healthscope Commercial |
$670.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$521.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$558.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$633.25
|
| Rate for Payer: PHP Commercial |
$633.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$484.25
|
| Rate for Payer: Priority Health SBD |
$469.35
|
| Rate for Payer: UMR Bronson Commercial |
$327.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$558.75
|
|
|
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 |
$326.19 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: UHC Exchange |
$326.19
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$338.18
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Aetna American Axle |
$594.10
|
| Rate for Payer: Aetna Commercial |
$776.90
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$594.10
|
| 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 |
$2,454.60
|
| Rate for Payer: BCN Commercial |
$2,454.60
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$731.20
|
| 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 |
$2,804.18
|
| 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 |
$1,503.04
|
| 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 |
$776.90
|
| 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 |
$776.90
|
| 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 |
$594.10
|
| 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 |
$575.82
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.81
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| 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
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$334.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$431.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.77
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| 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: Meridian Medicaid |
$228.80
|
| 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 Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.56
|
| Rate for Payer: Priority Health Medicare |
$322.06
|
| Rate for Payer: Priority Health Narrow Network |
$520.56
|
| Rate for Payer: Priority Health SBD |
$520.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
| Rate for Payer: UHCCP Medicaid |
$217.90
|
| Rate for Payer: UMR Bronson Commercial |
$420.44
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Professional
|
Both
|
$914.00
|
|
|
Service Code
|
HCPCS 28039
|
| Min. Negotiated Rate |
$217.90 |
| Max. Negotiated Rate |
$897.58 |
| Rate for Payer: Aetna Commercial |
$431.56
|
| Rate for Payer: Aetna Medicare |
$334.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$431.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$463.77
|
| Rate for Payer: BCBS Complete |
$228.80
|
| Rate for Payer: BCBS MAPPO |
$322.06
|
| Rate for Payer: BCBS Trust/PPO |
$897.58
|
| Rate for Payer: BCN Commercial |
$701.74
|
| 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 |
$431.56
|
| Rate for Payer: Cofinity Commercial |
$463.77
|
| 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: Meridian Medicaid |
$228.80
|
| 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 Choice Medicaid |
$217.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$520.56
|
| Rate for Payer: Priority Health Medicare |
$322.06
|
| Rate for Payer: Priority Health Narrow Network |
$520.56
|
| Rate for Payer: Priority Health SBD |
$520.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.06
|
| Rate for Payer: UHC Medicare Advantage |
$322.06
|
| Rate for Payer: UHCCP Medicaid |
$217.90
|
| Rate for Payer: UMR Bronson Commercial |
$420.44
|
|
|
PR EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>
|
Facility
|
IP
|
$914.00
|
|
|
Service Code
|
CPT 28039
|
| Hospital Charge Code |
28039
|
| Min. Negotiated Rate |
$402.16 |
| Max. Negotiated Rate |
$822.60 |
| Rate for Payer: Aetna American Axle |
$594.10
|
| Rate for Payer: Aetna Commercial |
$776.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$594.10
|
| 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: 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: Multiplan/Beech St/PHCS Commercial |
$776.90
|
| Rate for Payer: PHP Commercial |
$776.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$594.10
|
| Rate for Payer: Priority Health SBD |
$575.82
|
| Rate for Payer: UMR Bronson Commercial |
$402.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$685.50
|
|
|
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 |
$4,989.41 |
| Rate for Payer: Aetna American Axle |
$423.80
|
| Rate for Payer: Aetna Commercial |
$554.20
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,681.90
|
| Rate for Payer: BCN Commercial |
$1,681.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$521.60
|
| 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 |
$1,587.48
|
| 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 |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$554.20
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$554.20
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$410.76
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$360.50
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$327.73
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$241.24
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$489.00
|
|
|
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
|
| Hospital Charge Code |
21012
|
| Min. Negotiated Rate |
$220.88 |
| Max. Negotiated Rate |
$934.38 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$338.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$469.34
|
| Rate for Payer: BCBS Complete |
$231.92
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCBS Trust/PPO |
$934.38
|
| Rate for Payer: BCN Commercial |
$498.45
|
| 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: Meridian Medicaid |
$231.92
|
| 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 Choice Medicaid |
$220.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$325.93
|
| Rate for Payer: Priority Health Narrow Network |
$523.62
|
| Rate for Payer: Priority Health SBD |
$523.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
| Rate for Payer: UHCCP Medicaid |
$220.88
|
| Rate for Payer: UMR Bronson Commercial |
$299.92
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>
|
Professional
|
Both
|
$652.00
|
|
|
Service Code
|
HCPCS 21012
|
| Min. Negotiated Rate |
$220.88 |
| Max. Negotiated Rate |
$934.38 |
| Rate for Payer: Aetna Commercial |
$436.75
|
| Rate for Payer: Aetna Medicare |
$338.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$469.34
|
| Rate for Payer: BCBS Complete |
$231.92
|
| Rate for Payer: BCBS MAPPO |
$325.93
|
| Rate for Payer: BCBS Trust/PPO |
$934.38
|
| Rate for Payer: BCN Commercial |
$498.45
|
| 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: Meridian Medicaid |
$231.92
|
| 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 Choice Medicaid |
$220.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$423.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$523.62
|
| Rate for Payer: Priority Health Medicare |
$325.93
|
| Rate for Payer: Priority Health Narrow Network |
$523.62
|
| Rate for Payer: Priority Health SBD |
$523.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$325.93
|
| Rate for Payer: UHC Medicare Advantage |
$325.93
|
| Rate for Payer: UHCCP Medicaid |
$220.88
|
| Rate for Payer: UMR Bronson Commercial |
$299.92
|
|
|
PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.18
|
| Rate for Payer: BCBS Complete |
$179.37
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| 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: Meridian Medicaid |
$179.37
|
| 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 Choice Medicaid |
$170.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$402.50
|
| Rate for Payer: Priority Health Medicare |
$249.43
|
| Rate for Payer: Priority Health Narrow Network |
$402.50
|
| Rate for Payer: Priority Health SBD |
$402.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UHCCP Medicaid |
$170.83
|
| Rate for Payer: UMR Bronson Commercial |
$254.38
|
|
|
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
|
Professional
|
Both
|
$553.00
|
|
|
Service Code
|
HCPCS 21011
|
| Hospital Charge Code |
21011
|
| Min. Negotiated Rate |
$99.81 |
| Max. Negotiated Rate |
$549.76 |
| Rate for Payer: Aetna Commercial |
$334.24
|
| Rate for Payer: Aetna Medicare |
$259.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.18
|
| Rate for Payer: BCBS Complete |
$179.37
|
| Rate for Payer: BCBS MAPPO |
$249.43
|
| Rate for Payer: BCBS Trust/PPO |
$99.81
|
| Rate for Payer: BCN Commercial |
$549.76
|
| 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: Meridian Medicaid |
$179.37
|
| 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 Choice Medicaid |
$170.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$402.50
|
| Rate for Payer: Priority Health Medicare |
$249.43
|
| Rate for Payer: Priority Health Narrow Network |
$402.50
|
| Rate for Payer: Priority Health SBD |
$402.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$249.43
|
| Rate for Payer: UHC Medicare Advantage |
$249.43
|
| Rate for Payer: UHCCP Medicaid |
$170.83
|
| Rate for Payer: UMR Bronson Commercial |
$254.38
|
|
|
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 |
$4,989.41 |
| Rate for Payer: UHC All Payor (Choice/PPO) |
$273.94
|
| Rate for Payer: UHC Core |
$981.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$249.04
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$204.61
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Aetna American Axle |
$359.45
|
| Rate for Payer: Aetna Commercial |
$470.05
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$359.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$1,681.90
|
| Rate for Payer: BCN Commercial |
$1,681.90
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$442.40
|
| 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 |
$1,587.48
|
| 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 |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$470.05
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$470.05
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$359.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$348.39
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$414.75
|
|
|
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
|
| Min. Negotiated Rate |
$237.71 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$471.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$506.72
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$740.83
|
| 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: Meridian Medicaid |
$249.60
|
| 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 Choice Medicaid |
$237.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$564.83
|
| Rate for Payer: Priority Health Medicare |
$351.89
|
| Rate for Payer: Priority Health Narrow Network |
$564.83
|
| Rate for Payer: Priority Health SBD |
$564.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UHCCP Medicaid |
$237.71
|
| 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 |
$354.77 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna American Axle |
$818.35
|
| Rate for Payer: Aetna Commercial |
$1,070.15
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$818.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,984.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,984.35
|
| Rate for Payer: BCBS Complete |
$893.43
|
| Rate for Payer: BCBS MAPPO |
$1,587.48
|
| Rate for Payer: BCBS Trust/PPO |
$2,562.77
|
| Rate for Payer: BCN Commercial |
$2,562.77
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$1,007.20
|
| 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 |
$1,587.48
|
| 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 |
$850.89
|
| Rate for Payer: Mclaren Medicare |
$1,587.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,666.85
|
| Rate for Payer: Meridian Medicaid |
$893.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,825.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,070.15
|
| Rate for Payer: Nomi Health Commercial |
$3,333.71
|
| Rate for Payer: PACE Medicare |
$1,508.11
|
| Rate for Payer: PACE SWMI |
$1,587.48
|
| Rate for Payer: PHP Commercial |
$1,070.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,587.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$850.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,989.41
|
| Rate for Payer: Priority Health Medicare |
$1,587.48
|
| Rate for Payer: Priority Health Narrow Network |
$3,991.53
|
| Rate for Payer: Priority Health SBD |
$793.17
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$390.25
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$354.77
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$465.83
|
| Rate for Payer: VA VA |
$1,587.48
|
| 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 |
$237.71 |
| Max. Negotiated Rate |
$9,087.30 |
| Rate for Payer: Aetna Commercial |
$471.53
|
| Rate for Payer: Aetna Medicare |
$365.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$471.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$506.72
|
| Rate for Payer: BCBS Complete |
$249.60
|
| Rate for Payer: BCBS MAPPO |
$351.89
|
| Rate for Payer: BCBS Trust/PPO |
$9,087.30
|
| Rate for Payer: BCN Commercial |
$740.83
|
| 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: Meridian Medicaid |
$249.60
|
| 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 Choice Medicaid |
$237.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$818.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$564.83
|
| Rate for Payer: Priority Health Medicare |
$351.89
|
| Rate for Payer: Priority Health Narrow Network |
$564.83
|
| Rate for Payer: Priority Health SBD |
$564.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$351.89
|
| Rate for Payer: UHC Medicare Advantage |
$351.89
|
| Rate for Payer: UHCCP Medicaid |
$237.71
|
| 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 |
$169.34 |
| Max. Negotiated Rate |
$558.56 |
| Rate for Payer: Aetna Commercial |
$333.62
|
| Rate for Payer: Aetna Medicare |
$258.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$333.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.52
|
| Rate for Payer: BCBS Complete |
$177.81
|
| Rate for Payer: BCBS MAPPO |
$248.97
|
| Rate for Payer: BCBS Trust/PPO |
$529.88
|
| Rate for Payer: BCN Commercial |
$558.56
|
| 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 |
$333.62
|
| Rate for Payer: Cofinity Commercial |
$358.52
|
| 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: Meridian Medicaid |
$177.81
|
| 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 Choice Medicaid |
$169.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$436.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$402.50
|
| Rate for Payer: Priority Health Medicare |
$248.97
|
| Rate for Payer: Priority Health Narrow Network |
$402.50
|
| Rate for Payer: Priority Health SBD |
$402.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$248.97
|
| Rate for Payer: UHC Medicare Advantage |
$248.97
|
| Rate for Payer: UHCCP Medicaid |
$169.34
|
| Rate for Payer: UMR Bronson Commercial |
$308.66
|
|
