|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,161.00
|
|
|
Service Code
|
HCPCS 22900
|
| Min. Negotiated Rate |
$232.20 |
| Max. Negotiated Rate |
$872.70 |
| Rate for Payer: Aetna Commercial |
$736.91
|
| Rate for Payer: Aetna Medicare |
$571.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$736.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$791.90
|
| Rate for Payer: BCBS Complete |
$386.91
|
| Rate for Payer: BCBS MAPPO |
$549.93
|
| Rate for Payer: BCBS Trust/PPO |
$232.20
|
| Rate for Payer: BCN Commercial |
$830.26
|
| Rate for Payer: BCN Medicare Advantage |
$549.93
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$736.91
|
| Rate for Payer: Cofinity Commercial |
$791.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$549.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$577.43
|
| Rate for Payer: Meridian Medicaid |
$386.91
|
| Rate for Payer: Nomi Health Commercial |
$659.92
|
| Rate for Payer: PACE SWMI |
$549.93
|
| Rate for Payer: PHP Commercial |
$769.90
|
| Rate for Payer: PHP Medicare Advantage |
$549.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$368.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$872.70
|
| Rate for Payer: Priority Health Medicare |
$549.93
|
| Rate for Payer: Priority Health Narrow Network |
$872.70
|
| Rate for Payer: Priority Health SBD |
$872.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$549.93
|
| Rate for Payer: UHC Medicare Advantage |
$549.93
|
| Rate for Payer: UHCCP Medicaid |
$368.49
|
| Rate for Payer: UMR Bronson Commercial |
$534.06
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Facility
|
IP
|
$1,161.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
22900
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$510.84 |
| Max. Negotiated Rate |
$1,044.90 |
| Rate for Payer: Aetna American Axle |
$754.65
|
| Rate for Payer: Aetna Commercial |
$986.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$754.65
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$812.70
|
| Rate for Payer: Cofinity Commercial |
$998.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$812.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$928.80
|
| Rate for Payer: Healthscope Commercial |
$1,044.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$812.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$870.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$986.85
|
| Rate for Payer: PHP Commercial |
$986.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$754.65
|
| Rate for Payer: Priority Health SBD |
$731.43
|
| Rate for Payer: UMR Bronson Commercial |
$510.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$870.75
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM
|
Facility
|
OP
|
$1,161.00
|
|
|
Service Code
|
CPT 22900
|
| Hospital Charge Code |
22900
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$429.57 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$754.65
|
| Rate for Payer: Aetna Commercial |
$986.85
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$754.65
|
| 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 |
$1,606.51
|
| Rate for Payer: BCN Commercial |
$1,606.51
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cash Price |
$928.80
|
| Rate for Payer: Cofinity Commercial |
$812.70
|
| Rate for Payer: Cofinity Commercial |
$998.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$812.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$928.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$1,044.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$812.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$870.75
|
| 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 |
$986.85
|
| 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 |
$986.85
|
| 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 |
$754.65
|
| 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 |
$731.43
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$607.82
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$552.56
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$429.57
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$870.75
|
|
|
PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>
|
Professional
|
Both
|
$1,203.00
|
|
|
Service Code
|
HCPCS 22901
|
| Min. Negotiated Rate |
$132.44 |
| Max. Negotiated Rate |
$1,025.35 |
| Rate for Payer: Aetna Commercial |
$868.23
|
| Rate for Payer: Aetna Medicare |
$673.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$868.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$933.02
|
| Rate for Payer: BCBS Complete |
$454.23
|
| Rate for Payer: BCBS MAPPO |
$647.93
|
| Rate for Payer: BCBS Trust/PPO |
$132.44
|
| Rate for Payer: BCN Commercial |
$976.37
|
| Rate for Payer: BCN Medicare Advantage |
$647.93
|
| Rate for Payer: Cash Price |
$962.40
|
| Rate for Payer: Cash Price |
$962.40
|
| Rate for Payer: Cofinity Commercial |
$868.23
|
| Rate for Payer: Cofinity Commercial |
$933.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$680.33
|
| Rate for Payer: Meridian Medicaid |
$454.23
|
| Rate for Payer: Nomi Health Commercial |
$777.52
|
| Rate for Payer: PACE SWMI |
$647.93
|
| Rate for Payer: PHP Commercial |
$907.10
|
| Rate for Payer: PHP Medicare Advantage |
$647.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$432.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$781.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,025.35
|
| Rate for Payer: Priority Health Medicare |
$647.93
|
| Rate for Payer: Priority Health Narrow Network |
$1,025.35
|
| Rate for Payer: Priority Health SBD |
$1,025.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.93
|
| Rate for Payer: UHC Medicare Advantage |
$647.93
|
| Rate for Payer: UHCCP Medicaid |
$432.60
|
| Rate for Payer: UMR Bronson Commercial |
$553.38
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Facility
|
OP
|
$714.00
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
22903
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$264.18 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$464.10
|
| Rate for Payer: Aetna Commercial |
$606.90
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$464.10
|
| 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 |
$2,648.39
|
| Rate for Payer: BCN Commercial |
$2,648.39
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$499.80
|
| Rate for Payer: Cofinity Commercial |
$614.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$499.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$571.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$642.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$499.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$535.50
|
| 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 |
$606.90
|
| 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 |
$606.90
|
| 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 |
$464.10
|
| 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 |
$449.82
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$473.26
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$430.24
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$264.18
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$535.50
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 22903
|
| Min. Negotiated Rate |
$165.89 |
| Max. Negotiated Rate |
$679.33 |
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna Medicare |
$445.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$573.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.56
|
| Rate for Payer: BCBS Complete |
$301.04
|
| Rate for Payer: BCBS MAPPO |
$428.17
|
| Rate for Payer: BCBS Trust/PPO |
$165.89
|
| Rate for Payer: BCN Commercial |
$647.01
|
| Rate for Payer: BCN Medicare Advantage |
$428.17
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$573.75
|
| Rate for Payer: Cofinity Commercial |
$616.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$428.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.58
|
| Rate for Payer: Meridian Medicaid |
$301.04
|
| Rate for Payer: Nomi Health Commercial |
$513.80
|
| Rate for Payer: PACE SWMI |
$428.17
|
| Rate for Payer: PHP Commercial |
$599.44
|
| Rate for Payer: PHP Medicare Advantage |
$428.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$679.33
|
| Rate for Payer: Priority Health Medicare |
$428.17
|
| Rate for Payer: Priority Health Narrow Network |
$679.33
|
| Rate for Payer: Priority Health SBD |
$679.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$428.17
|
| Rate for Payer: UHC Medicare Advantage |
$428.17
|
| Rate for Payer: UHCCP Medicaid |
$286.70
|
| Rate for Payer: UMR Bronson Commercial |
$328.44
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Facility
|
IP
|
$714.00
|
|
|
Service Code
|
CPT 22903
|
| Hospital Charge Code |
22903
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$314.16 |
| Max. Negotiated Rate |
$642.60 |
| Rate for Payer: Aetna American Axle |
$464.10
|
| Rate for Payer: Aetna Commercial |
$606.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$464.10
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$499.80
|
| Rate for Payer: Cofinity Commercial |
$614.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$499.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$571.20
|
| Rate for Payer: Healthscope Commercial |
$642.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$499.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$535.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$606.90
|
| Rate for Payer: PHP Commercial |
$606.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health SBD |
$449.82
|
| Rate for Payer: UMR Bronson Commercial |
$314.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$535.50
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>
|
Professional
|
Both
|
$714.00
|
|
|
Service Code
|
HCPCS 22903
|
| Hospital Charge Code |
22903
|
| Min. Negotiated Rate |
$165.89 |
| Max. Negotiated Rate |
$679.33 |
| Rate for Payer: UMR Bronson Commercial |
$328.44
|
| Rate for Payer: Aetna Commercial |
$573.75
|
| Rate for Payer: Aetna Medicare |
$445.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$573.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$616.56
|
| Rate for Payer: BCBS Complete |
$301.04
|
| Rate for Payer: BCBS MAPPO |
$428.17
|
| Rate for Payer: BCBS Trust/PPO |
$165.89
|
| Rate for Payer: BCN Commercial |
$647.01
|
| Rate for Payer: BCN Medicare Advantage |
$428.17
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cash Price |
$571.20
|
| Rate for Payer: Cofinity Commercial |
$616.56
|
| Rate for Payer: Cofinity Commercial |
$573.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$428.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$449.58
|
| Rate for Payer: Meridian Medicaid |
$301.04
|
| Rate for Payer: Nomi Health Commercial |
$513.80
|
| Rate for Payer: PACE SWMI |
$428.17
|
| Rate for Payer: PHP Commercial |
$599.44
|
| Rate for Payer: PHP Medicare Advantage |
$428.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$464.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$679.33
|
| Rate for Payer: Priority Health Medicare |
$428.17
|
| Rate for Payer: Priority Health Narrow Network |
$679.33
|
| Rate for Payer: Priority Health SBD |
$679.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$428.17
|
| Rate for Payer: UHC Medicare Advantage |
$428.17
|
| Rate for Payer: UHCCP Medicaid |
$286.70
|
|
|
PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM
|
Professional
|
Both
|
$791.00
|
|
|
Service Code
|
HCPCS 22902
|
| Min. Negotiated Rate |
$216.50 |
| Max. Negotiated Rate |
$694.90 |
| Rate for Payer: Aetna Commercial |
$433.09
|
| Rate for Payer: Aetna Medicare |
$336.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$433.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$465.41
|
| Rate for Payer: BCBS Complete |
$229.02
|
| Rate for Payer: BCBS MAPPO |
$323.20
|
| Rate for Payer: BCBS Trust/PPO |
$216.50
|
| Rate for Payer: BCN Commercial |
$694.90
|
| Rate for Payer: BCN Medicare Advantage |
$323.20
|
| Rate for Payer: Cash Price |
$632.80
|
| Rate for Payer: Cash Price |
$632.80
|
| Rate for Payer: Cofinity Commercial |
$433.09
|
| Rate for Payer: Cofinity Commercial |
$465.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$323.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$339.36
|
| Rate for Payer: Meridian Medicaid |
$229.02
|
| Rate for Payer: Nomi Health Commercial |
$387.84
|
| Rate for Payer: PACE SWMI |
$323.20
|
| Rate for Payer: PHP Commercial |
$452.48
|
| Rate for Payer: PHP Medicare Advantage |
$323.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$218.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$514.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$517.00
|
| Rate for Payer: Priority Health Medicare |
$323.20
|
| Rate for Payer: Priority Health Narrow Network |
$517.00
|
| Rate for Payer: Priority Health SBD |
$517.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$323.20
|
| Rate for Payer: UHC Medicare Advantage |
$323.20
|
| Rate for Payer: UHCCP Medicaid |
$218.11
|
| Rate for Payer: UMR Bronson Commercial |
$363.86
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Professional
|
Both
|
$1,206.00
|
|
|
Service Code
|
HCPCS 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$291.81 |
| Max. Negotiated Rate |
$1,055.54 |
| Rate for Payer: Aetna Commercial |
$577.78
|
| Rate for Payer: Aetna Medicare |
$448.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.90
|
| Rate for Payer: BCBS Complete |
$306.40
|
| Rate for Payer: BCBS MAPPO |
$431.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.54
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$431.18
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$577.78
|
| Rate for Payer: Cofinity Commercial |
$620.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.74
|
| Rate for Payer: Meridian Medicaid |
$306.40
|
| Rate for Payer: Nomi Health Commercial |
$517.42
|
| Rate for Payer: PACE SWMI |
$431.18
|
| Rate for Payer: PHP Commercial |
$603.65
|
| Rate for Payer: PHP Medicare Advantage |
$431.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$291.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$693.58
|
| Rate for Payer: Priority Health Medicare |
$431.18
|
| Rate for Payer: Priority Health Narrow Network |
$693.58
|
| Rate for Payer: Priority Health SBD |
$693.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.18
|
| Rate for Payer: UHC Medicare Advantage |
$431.18
|
| Rate for Payer: UHCCP Medicaid |
$291.81
|
| Rate for Payer: UMR Bronson Commercial |
$554.76
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
IP
|
$1,206.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$530.64 |
| Max. Negotiated Rate |
$1,085.40 |
| Rate for Payer: Aetna American Axle |
$783.90
|
| Rate for Payer: Aetna Commercial |
$1,025.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.90
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$1,037.16
|
| Rate for Payer: Cofinity Commercial |
$844.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$844.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.80
|
| Rate for Payer: Healthscope Commercial |
$1,085.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$844.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,025.10
|
| Rate for Payer: PHP Commercial |
$1,025.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health SBD |
$759.78
|
| Rate for Payer: UMR Bronson Commercial |
$530.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Facility
|
OP
|
$1,206.00
|
|
|
Service Code
|
CPT 28041
|
| Hospital Charge Code |
28041
|
| Min. Negotiated Rate |
$434.65 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$783.90
|
| Rate for Payer: Aetna Commercial |
$1,025.10
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.90
|
| 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 |
$1,606.51
|
| Rate for Payer: BCN Commercial |
$1,606.51
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$1,037.16
|
| Rate for Payer: Cofinity Commercial |
$844.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$844.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$964.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$1,085.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$844.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$904.50
|
| 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 |
$1,025.10
|
| 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 |
$1,025.10
|
| 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 |
$783.90
|
| 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 |
$759.78
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$478.12
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$434.65
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$446.22
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$904.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>
|
Professional
|
Both
|
$1,206.00
|
|
|
Service Code
|
HCPCS 28041
|
| Min. Negotiated Rate |
$291.81 |
| Max. Negotiated Rate |
$1,055.54 |
| Rate for Payer: Aetna Commercial |
$577.78
|
| Rate for Payer: Aetna Medicare |
$448.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.90
|
| Rate for Payer: BCBS Complete |
$306.40
|
| Rate for Payer: BCBS MAPPO |
$431.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.54
|
| Rate for Payer: BCN Commercial |
$656.79
|
| Rate for Payer: BCN Medicare Advantage |
$431.18
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cash Price |
$964.80
|
| Rate for Payer: Cofinity Commercial |
$577.78
|
| Rate for Payer: Cofinity Commercial |
$620.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.74
|
| Rate for Payer: Meridian Medicaid |
$306.40
|
| Rate for Payer: Nomi Health Commercial |
$517.42
|
| Rate for Payer: PACE SWMI |
$431.18
|
| Rate for Payer: PHP Commercial |
$603.65
|
| Rate for Payer: PHP Medicare Advantage |
$431.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$291.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$783.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$693.58
|
| Rate for Payer: Priority Health Medicare |
$431.18
|
| Rate for Payer: Priority Health Narrow Network |
$693.58
|
| Rate for Payer: Priority Health SBD |
$693.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.18
|
| Rate for Payer: UHC Medicare Advantage |
$431.18
|
| Rate for Payer: UHCCP Medicaid |
$291.81
|
| Rate for Payer: UMR Bronson Commercial |
$554.76
|
|
|
PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM
|
Professional
|
Both
|
$881.00
|
|
|
Service Code
|
HCPCS 28045
|
| Min. Negotiated Rate |
$226.85 |
| Max. Negotiated Rate |
$700.27 |
| Rate for Payer: Aetna Commercial |
$447.57
|
| Rate for Payer: Aetna Medicare |
$347.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.97
|
| Rate for Payer: BCBS Complete |
$238.19
|
| Rate for Payer: BCBS MAPPO |
$334.01
|
| Rate for Payer: BCBS Trust/PPO |
$699.47
|
| Rate for Payer: BCN Commercial |
$700.27
|
| Rate for Payer: BCN Medicare Advantage |
$334.01
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cash Price |
$704.80
|
| Rate for Payer: Cofinity Commercial |
$447.57
|
| Rate for Payer: Cofinity Commercial |
$480.97
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.71
|
| Rate for Payer: Meridian Medicaid |
$238.19
|
| Rate for Payer: Nomi Health Commercial |
$400.81
|
| Rate for Payer: PACE SWMI |
$334.01
|
| Rate for Payer: PHP Commercial |
$467.61
|
| Rate for Payer: PHP Medicare Advantage |
$334.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$226.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$572.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$534.31
|
| Rate for Payer: Priority Health Medicare |
$334.01
|
| Rate for Payer: Priority Health Narrow Network |
$534.31
|
| Rate for Payer: Priority Health SBD |
$534.31
|
| Rate for Payer: UHC Dual Complete DSNP |
$334.01
|
| Rate for Payer: UHC Medicare Advantage |
$334.01
|
| Rate for Payer: UHCCP Medicaid |
$226.85
|
| Rate for Payer: UMR Bronson Commercial |
$405.26
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Min. Negotiated Rate |
$207.68 |
| Max. Negotiated Rate |
$1,151.69 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.91
|
| Rate for Payer: BCBS Complete |
$218.06
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.69
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Meridian Medicaid |
$218.06
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Commercial |
$427.69
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$491.04
|
| Rate for Payer: Priority Health Medicare |
$305.49
|
| Rate for Payer: Priority Health Narrow Network |
$491.04
|
| Rate for Payer: Priority Health SBD |
$491.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
| Rate for Payer: UHCCP Medicaid |
$207.68
|
| Rate for Payer: UMR Bronson Commercial |
$540.50
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
OP
|
$1,175.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$306.18 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Aetna American Axle |
$763.75
|
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.75
|
| 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 |
$2,012.86
|
| Rate for Payer: BCN Commercial |
$2,012.86
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$822.50
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$822.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$822.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$881.25
|
| 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 |
$998.75
|
| 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 |
$998.75
|
| 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 |
$763.75
|
| 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 |
$740.25
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.80
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$306.18
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$434.75
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$881.25
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Facility
|
IP
|
$1,175.00
|
|
|
Service Code
|
CPT 25075
|
| Hospital Charge Code |
25075
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$517.00 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna American Axle |
$763.75
|
| Rate for Payer: Aetna Commercial |
$998.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.75
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$1,010.50
|
| Rate for Payer: Cofinity Commercial |
$822.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$822.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$940.00
|
| Rate for Payer: Healthscope Commercial |
$1,057.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$822.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$881.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$998.75
|
| Rate for Payer: PHP Commercial |
$998.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health SBD |
$740.25
|
| Rate for Payer: UMR Bronson Commercial |
$517.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$881.25
|
|
|
PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM
|
Professional
|
Both
|
$1,175.00
|
|
|
Service Code
|
HCPCS 25075
|
| Hospital Charge Code |
25075
|
| Min. Negotiated Rate |
$207.68 |
| Max. Negotiated Rate |
$1,151.69 |
| Rate for Payer: Aetna Commercial |
$409.36
|
| Rate for Payer: Aetna Medicare |
$317.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.91
|
| Rate for Payer: BCBS Complete |
$218.06
|
| Rate for Payer: BCBS MAPPO |
$305.49
|
| Rate for Payer: BCBS Trust/PPO |
$1,151.69
|
| Rate for Payer: BCN Commercial |
$767.71
|
| Rate for Payer: BCN Medicare Advantage |
$305.49
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cash Price |
$940.00
|
| Rate for Payer: Cofinity Commercial |
$409.36
|
| Rate for Payer: Cofinity Commercial |
$439.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.76
|
| Rate for Payer: Meridian Medicaid |
$218.06
|
| Rate for Payer: Nomi Health Commercial |
$366.59
|
| Rate for Payer: PACE SWMI |
$305.49
|
| Rate for Payer: PHP Commercial |
$427.69
|
| Rate for Payer: PHP Medicare Advantage |
$305.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$763.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$491.04
|
| Rate for Payer: Priority Health Medicare |
$305.49
|
| Rate for Payer: Priority Health Narrow Network |
$491.04
|
| Rate for Payer: Priority Health SBD |
$491.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.49
|
| Rate for Payer: UHC Medicare Advantage |
$305.49
|
| Rate for Payer: UHCCP Medicaid |
$207.68
|
| Rate for Payer: UMR Bronson Commercial |
$540.50
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>
|
Professional
|
Both
|
$2,385.00
|
|
|
Service Code
|
HCPCS 27634
|
| Min. Negotiated Rate |
$434.73 |
| Max. Negotiated Rate |
$1,550.25 |
| Rate for Payer: Aetna Commercial |
$867.14
|
| Rate for Payer: Aetna Medicare |
$673.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$931.85
|
| Rate for Payer: BCBS Complete |
$456.47
|
| Rate for Payer: BCBS MAPPO |
$647.12
|
| Rate for Payer: BCBS Trust/PPO |
$745.43
|
| Rate for Payer: BCN Commercial |
$992.02
|
| Rate for Payer: BCN Medicare Advantage |
$647.12
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cofinity Commercial |
$867.14
|
| Rate for Payer: Cofinity Commercial |
$931.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.48
|
| Rate for Payer: Meridian Medicaid |
$456.47
|
| Rate for Payer: Nomi Health Commercial |
$776.54
|
| Rate for Payer: PACE SWMI |
$647.12
|
| Rate for Payer: PHP Commercial |
$905.97
|
| Rate for Payer: PHP Medicare Advantage |
$647.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$434.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,550.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,035.03
|
| Rate for Payer: Priority Health Medicare |
$647.12
|
| Rate for Payer: Priority Health Narrow Network |
$1,035.03
|
| Rate for Payer: Priority Health SBD |
$1,035.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.12
|
| Rate for Payer: UHC Medicare Advantage |
$647.12
|
| Rate for Payer: UHCCP Medicaid |
$434.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,097.10
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM
|
Professional
|
Both
|
$1,247.00
|
|
|
Service Code
|
HCPCS 27619
|
| Min. Negotiated Rate |
$303.53 |
| Max. Negotiated Rate |
$1,538.94 |
| Rate for Payer: Aetna Commercial |
$602.52
|
| Rate for Payer: Aetna Medicare |
$467.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$602.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$647.48
|
| Rate for Payer: BCBS Complete |
$318.71
|
| Rate for Payer: BCBS MAPPO |
$449.64
|
| Rate for Payer: BCBS Trust/PPO |
$1,538.94
|
| Rate for Payer: BCN Commercial |
$687.08
|
| Rate for Payer: BCN Medicare Advantage |
$449.64
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cash Price |
$997.60
|
| Rate for Payer: Cofinity Commercial |
$602.52
|
| Rate for Payer: Cofinity Commercial |
$647.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$449.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$472.12
|
| Rate for Payer: Meridian Medicaid |
$318.71
|
| Rate for Payer: Nomi Health Commercial |
$539.57
|
| Rate for Payer: PACE SWMI |
$449.64
|
| Rate for Payer: PHP Commercial |
$629.50
|
| Rate for Payer: PHP Medicare Advantage |
$449.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$303.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$810.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$727.16
|
| Rate for Payer: Priority Health Medicare |
$449.64
|
| Rate for Payer: Priority Health Narrow Network |
$727.16
|
| Rate for Payer: Priority Health SBD |
$727.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$449.64
|
| Rate for Payer: UHC Medicare Advantage |
$449.64
|
| Rate for Payer: UHCCP Medicaid |
$303.53
|
| Rate for Payer: UMR Bronson Commercial |
$573.62
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Min. Negotiated Rate |
$199.79 |
| Max. Negotiated Rate |
$1,125.81 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$394.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.84
|
| Rate for Payer: BCBS Complete |
$209.78
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,125.81
|
| Rate for Payer: BCN Commercial |
$718.36
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Meridian Medicaid |
$209.78
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Commercial |
$412.06
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$199.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$474.26
|
| Rate for Payer: Priority Health Medicare |
$294.33
|
| Rate for Payer: Priority Health Narrow Network |
$474.26
|
| Rate for Payer: Priority Health SBD |
$474.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
| Rate for Payer: UHCCP Medicaid |
$199.79
|
| Rate for Payer: UMR Bronson Commercial |
$498.64
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Professional
|
Both
|
$1,084.00
|
|
|
Service Code
|
HCPCS 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$199.79 |
| Max. Negotiated Rate |
$1,125.81 |
| Rate for Payer: Aetna Commercial |
$394.40
|
| Rate for Payer: Aetna Medicare |
$306.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$394.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$423.84
|
| Rate for Payer: BCBS Complete |
$209.78
|
| Rate for Payer: BCBS MAPPO |
$294.33
|
| Rate for Payer: BCBS Trust/PPO |
$1,125.81
|
| Rate for Payer: BCN Commercial |
$718.36
|
| Rate for Payer: BCN Medicare Advantage |
$294.33
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$423.84
|
| Rate for Payer: Cofinity Commercial |
$394.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$294.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$309.05
|
| Rate for Payer: Meridian Medicaid |
$209.78
|
| Rate for Payer: Nomi Health Commercial |
$353.20
|
| Rate for Payer: PACE SWMI |
$294.33
|
| Rate for Payer: PHP Commercial |
$412.06
|
| Rate for Payer: PHP Medicare Advantage |
$294.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$199.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$474.26
|
| Rate for Payer: Priority Health Medicare |
$294.33
|
| Rate for Payer: Priority Health Narrow Network |
$474.26
|
| Rate for Payer: Priority Health SBD |
$474.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$294.33
|
| Rate for Payer: UHC Medicare Advantage |
$294.33
|
| Rate for Payer: UHCCP Medicaid |
$199.79
|
| Rate for Payer: UMR Bronson Commercial |
$498.64
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
IP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$476.96 |
| Max. Negotiated Rate |
$975.60 |
| Rate for Payer: Aetna American Axle |
$704.60
|
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$704.60
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$758.80
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$758.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$758.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$921.40
|
| Rate for Payer: PHP Commercial |
$921.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$704.60
|
| Rate for Payer: Priority Health SBD |
$682.92
|
| Rate for Payer: UMR Bronson Commercial |
$476.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM
|
Facility
|
OP
|
$1,084.00
|
|
|
Service Code
|
CPT 27618
|
| Hospital Charge Code |
27618
|
| Min. Negotiated Rate |
$296.08 |
| Max. Negotiated Rate |
$4,989.41 |
| Rate for Payer: Priority Health SBD |
$682.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,587.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$325.69
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,587.48
|
| Rate for Payer: UHC Exchange |
$296.08
|
| Rate for Payer: UHC Medicare Advantage |
$1,587.48
|
| Rate for Payer: UHCCP Medicaid |
$850.89
|
| Rate for Payer: UMR Bronson Commercial |
$401.08
|
| Rate for Payer: VA VA |
$1,587.48
|
| Rate for Payer: Aetna American Axle |
$704.60
|
| Rate for Payer: Aetna Commercial |
$921.40
|
| Rate for Payer: Aetna Medicare |
$1,650.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$704.60
|
| 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 |
$1,338.80
|
| Rate for Payer: BCN Commercial |
$1,338.80
|
| Rate for Payer: BCN Medicare Advantage |
$1,587.48
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cash Price |
$867.20
|
| Rate for Payer: Cofinity Commercial |
$758.80
|
| Rate for Payer: Cofinity Commercial |
$932.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$758.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$867.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,587.48
|
| Rate for Payer: Healthscope Commercial |
$975.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$758.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$813.00
|
| 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 |
$921.40
|
| 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 |
$921.40
|
| 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 |
$704.60
|
| 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: Van Buren County Sheriff Dept. Commercial |
$813.00
|
|
|
PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM
|
Professional
|
Both
|
$806.00
|
|
|
Service Code
|
HCPCS 21555
|
| Hospital Charge Code |
21555
|
| Min. Negotiated Rate |
$84.68 |
| Max. Negotiated Rate |
$640.16 |
| Rate for Payer: Aetna Commercial |
$396.44
|
| Rate for Payer: Aetna Medicare |
$307.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$396.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$426.02
|
| Rate for Payer: BCBS Complete |
$210.68
|
| Rate for Payer: BCBS MAPPO |
$295.85
|
| Rate for Payer: BCBS Trust/PPO |
$84.68
|
| Rate for Payer: BCN Commercial |
$640.16
|
| Rate for Payer: BCN Medicare Advantage |
$295.85
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cash Price |
$644.80
|
| Rate for Payer: Cofinity Commercial |
$426.02
|
| Rate for Payer: Cofinity Commercial |
$396.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$295.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$310.64
|
| Rate for Payer: Meridian Medicaid |
$210.68
|
| Rate for Payer: Nomi Health Commercial |
$355.02
|
| Rate for Payer: PACE SWMI |
$295.85
|
| Rate for Payer: PHP Commercial |
$414.19
|
| Rate for Payer: PHP Medicare Advantage |
$295.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$200.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$523.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$475.28
|
| Rate for Payer: Priority Health Medicare |
$295.85
|
| Rate for Payer: Priority Health Narrow Network |
$475.28
|
| Rate for Payer: Priority Health SBD |
$475.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$295.85
|
| Rate for Payer: UHC Medicare Advantage |
$295.85
|
| Rate for Payer: UHCCP Medicaid |
$200.65
|
| Rate for Payer: UMR Bronson Commercial |
$370.76
|
|
