|
PR HAMMER TOE CREST FELT - XLARGE LT
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS 00046
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$4.55 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.55
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAMMER TOE CREST FELT - XLARGE RT
|
Professional
|
Both
|
$7.00
|
|
|
Service Code
|
HCPCS 00047
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$2.80 |
| Max. Negotiated Rate |
$4.55 |
| Rate for Payer: Aetna Medicare |
$3.50
|
| Rate for Payer: BCBS Complete |
$2.80
|
| Rate for Payer: Cash Price |
$5.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4.55
|
| Rate for Payer: UMR Bronson Commercial |
$3.22
|
|
|
PR HAND-HELD PEFR METER
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS A4614
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$33.15 |
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCN Commercial |
$26.19
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: UMR Bronson Commercial |
$23.46
|
|
|
PR HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB
|
Professional
|
Both
|
$16.00
|
|
|
Service Code
|
HCPCS 99000
|
| Min. Negotiated Rate |
$6.40 |
| Max. Negotiated Rate |
$595.92 |
| Rate for Payer: Aetna Commercial |
$7.00
|
| Rate for Payer: Aetna Medicare |
$8.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.00
|
| Rate for Payer: BCBS Complete |
$6.40
|
| Rate for Payer: BCBS Trust/PPO |
$595.92
|
| Rate for Payer: BCN Commercial |
$10.15
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.24
|
| Rate for Payer: Priority Health Narrow Network |
$7.24
|
| Rate for Payer: Priority Health SBD |
$7.24
|
| Rate for Payer: UMR Bronson Commercial |
$7.36
|
|
|
PR HAND MUSCLE TEST,MANUAL
|
Professional
|
Both
|
$86.00
|
|
|
Service Code
|
HCPCS 95832
|
| Min. Negotiated Rate |
$34.40 |
| Max. Negotiated Rate |
$55.90 |
| Rate for Payer: Aetna Medicare |
$43.00
|
| Rate for Payer: BCBS Complete |
$34.40
|
| Rate for Payer: Cash Price |
$68.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$55.90
|
| Rate for Payer: UMR Bronson Commercial |
$39.56
|
|
|
PR HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX
|
Professional
|
Both
|
$1,142.00
|
|
|
Service Code
|
HCPCS 35572
|
| Min. Negotiated Rate |
$213.64 |
| Max. Negotiated Rate |
$987.92 |
| Rate for Payer: Aetna Commercial |
$441.06
|
| Rate for Payer: Aetna Medicare |
$342.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$473.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$441.06
|
| Rate for Payer: BCBS Complete |
$224.32
|
| Rate for Payer: BCBS MAPPO |
$329.15
|
| Rate for Payer: BCBS Trust/PPO |
$987.92
|
| Rate for Payer: BCN Commercial |
$488.19
|
| Rate for Payer: BCN Medicare Advantage |
$329.15
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cash Price |
$913.60
|
| Rate for Payer: Cofinity Commercial |
$441.06
|
| Rate for Payer: Cofinity Commercial |
$473.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$329.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$345.61
|
| Rate for Payer: Meridian Medicaid |
$224.32
|
| Rate for Payer: Nomi Health Commercial |
$394.98
|
| Rate for Payer: PACE SWMI |
$329.15
|
| Rate for Payer: PHP Commercial |
$460.81
|
| Rate for Payer: PHP Medicare Advantage |
$329.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$742.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$532.36
|
| Rate for Payer: Priority Health Medicare |
$329.15
|
| Rate for Payer: Priority Health Narrow Network |
$532.36
|
| Rate for Payer: Priority Health SBD |
$532.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$329.15
|
| Rate for Payer: UHC Medicare Advantage |
$329.15
|
| Rate for Payer: UHCCP Medicaid |
$213.64
|
| Rate for Payer: UMR Bronson Commercial |
$525.32
|
|
|
PR HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<
|
Professional
|
Both
|
$555.00
|
|
|
Service Code
|
HCPCS 15040
|
| Min. Negotiated Rate |
$80.94 |
| Max. Negotiated Rate |
$386.55 |
| Rate for Payer: Aetna Commercial |
$162.09
|
| Rate for Payer: Aetna Medicare |
$125.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$162.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$174.18
|
| Rate for Payer: BCBS Complete |
$84.99
|
| Rate for Payer: BCBS MAPPO |
$120.96
|
| Rate for Payer: BCBS Trust/PPO |
$206.12
|
| Rate for Payer: BCN Commercial |
$386.55
|
| Rate for Payer: BCN Medicare Advantage |
$120.96
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cash Price |
$444.00
|
| Rate for Payer: Cofinity Commercial |
$162.09
|
| Rate for Payer: Cofinity Commercial |
$174.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$127.01
|
| Rate for Payer: Meridian Medicaid |
$84.99
|
| Rate for Payer: Nomi Health Commercial |
$145.15
|
| Rate for Payer: PACE SWMI |
$120.96
|
| Rate for Payer: PHP Commercial |
$169.34
|
| Rate for Payer: PHP Medicare Advantage |
$120.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$360.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$168.87
|
| Rate for Payer: Priority Health Medicare |
$120.96
|
| Rate for Payer: Priority Health Narrow Network |
$168.87
|
| Rate for Payer: Priority Health SBD |
$168.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.96
|
| Rate for Payer: UHC Medicare Advantage |
$120.96
|
| Rate for Payer: UHCCP Medicaid |
$80.94
|
| Rate for Payer: UMR Bronson Commercial |
$255.30
|
|
|
PR HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX
|
Professional
|
Both
|
$1,127.00
|
|
|
Service Code
|
HCPCS 35500
|
| Min. Negotiated Rate |
$197.88 |
| Max. Negotiated Rate |
$777.66 |
| Rate for Payer: Aetna Commercial |
$409.50
|
| Rate for Payer: Aetna Medicare |
$317.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$440.06
|
| Rate for Payer: BCBS Complete |
$207.77
|
| Rate for Payer: BCBS MAPPO |
$305.60
|
| Rate for Payer: BCBS Trust/PPO |
$777.66
|
| Rate for Payer: BCN Commercial |
$451.54
|
| Rate for Payer: BCN Medicare Advantage |
$305.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cash Price |
$901.60
|
| Rate for Payer: Cofinity Commercial |
$409.50
|
| Rate for Payer: Cofinity Commercial |
$440.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.88
|
| Rate for Payer: Meridian Medicaid |
$207.77
|
| Rate for Payer: Nomi Health Commercial |
$366.72
|
| Rate for Payer: PACE SWMI |
$305.60
|
| Rate for Payer: PHP Commercial |
$427.84
|
| Rate for Payer: PHP Medicare Advantage |
$305.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$732.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$493.54
|
| Rate for Payer: Priority Health Medicare |
$305.60
|
| Rate for Payer: Priority Health Narrow Network |
$493.54
|
| Rate for Payer: Priority Health SBD |
$493.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$305.60
|
| Rate for Payer: UHC Medicare Advantage |
$305.60
|
| Rate for Payer: UHCCP Medicaid |
$197.88
|
| Rate for Payer: UMR Bronson Commercial |
$518.42
|
|
|
PR HBOT, FULL BODY CHAMBER, 30M
|
Professional
|
Both
|
$161.00
|
|
|
Service Code
|
HCPCS G0277
|
| Min. Negotiated Rate |
$64.40 |
| Max. Negotiated Rate |
$784.00 |
| Rate for Payer: Aetna Commercial |
$208.16
|
| Rate for Payer: Aetna Medicare |
$161.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$208.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$223.69
|
| Rate for Payer: BCBS Complete |
$64.40
|
| Rate for Payer: BCBS MAPPO |
$155.34
|
| Rate for Payer: BCBS Trust/PPO |
$784.00
|
| Rate for Payer: BCN Commercial |
$248.25
|
| Rate for Payer: BCN Medicare Advantage |
$155.34
|
| Rate for Payer: Cash Price |
$128.80
|
| Rate for Payer: Cash Price |
$128.80
|
| Rate for Payer: Cofinity Commercial |
$223.69
|
| Rate for Payer: Cofinity Commercial |
$208.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$155.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$163.11
|
| Rate for Payer: Nomi Health Commercial |
$186.41
|
| Rate for Payer: PACE SWMI |
$155.34
|
| Rate for Payer: PHP Commercial |
$217.48
|
| Rate for Payer: PHP Medicare Advantage |
$155.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$104.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$247.41
|
| Rate for Payer: Priority Health Medicare |
$155.34
|
| Rate for Payer: Priority Health Narrow Network |
$247.41
|
| Rate for Payer: Priority Health SBD |
$247.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$155.34
|
| Rate for Payer: UHC Medicare Advantage |
$155.34
|
| Rate for Payer: UMR Bronson Commercial |
$74.06
|
|
|
PR HEAL & BEHAV ASSESS,EA 15 MIN,INIT
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS 96150
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$27.30 |
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.30
|
| Rate for Payer: UMR Bronson Commercial |
$19.32
|
|
|
PR HEAL & BEHAV ASSESS,EA 15 MIN,RE-ASSESS
|
Professional
|
Both
|
$41.00
|
|
|
Service Code
|
HCPCS 96151
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$26.65 |
| Rate for Payer: Aetna Medicare |
$20.50
|
| Rate for Payer: BCBS Complete |
$16.40
|
| Rate for Payer: Cash Price |
$32.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.65
|
| Rate for Payer: UMR Bronson Commercial |
$18.86
|
|
|
PR HEAL & BEHAV INTERV,EA 15 MIN,FAM W/O PT
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 96155
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$25.35 |
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
PR HEAL & BEHAV INTERV,EA 15 MIN,FAM W/PT
|
Professional
|
Both
|
$38.00
|
|
|
Service Code
|
HCPCS 96154
|
| Min. Negotiated Rate |
$15.20 |
| Max. Negotiated Rate |
$24.70 |
| Rate for Payer: Aetna Medicare |
$19.00
|
| Rate for Payer: BCBS Complete |
$15.20
|
| Rate for Payer: Cash Price |
$30.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$24.70
|
| Rate for Payer: UMR Bronson Commercial |
$17.48
|
|
|
PR HEAL & BEHAV INTERVENT,EA 15 MIN,INDIV
|
Professional
|
Both
|
$39.00
|
|
|
Service Code
|
HCPCS 96152
|
| Min. Negotiated Rate |
$15.60 |
| Max. Negotiated Rate |
$25.35 |
| Rate for Payer: Aetna Medicare |
$19.50
|
| Rate for Payer: BCBS Complete |
$15.60
|
| Rate for Payer: Cash Price |
$31.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.35
|
| Rate for Payer: UMR Bronson Commercial |
$17.94
|
|
|
PR HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT
|
Professional
|
Both
|
$198.00
|
|
|
Service Code
|
HCPCS 96156
|
| Min. Negotiated Rate |
$57.08 |
| Max. Negotiated Rate |
$137.32 |
| Rate for Payer: Aetna Commercial |
$115.37
|
| Rate for Payer: Aetna Medicare |
$89.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.98
|
| Rate for Payer: BCBS Complete |
$59.93
|
| Rate for Payer: BCBS MAPPO |
$86.10
|
| Rate for Payer: BCBS Trust/PPO |
$135.77
|
| Rate for Payer: BCN Commercial |
$137.32
|
| Rate for Payer: BCN Medicare Advantage |
$86.10
|
| Rate for Payer: Cash Price |
$158.40
|
| Rate for Payer: Cash Price |
$158.40
|
| Rate for Payer: Cofinity Commercial |
$123.98
|
| Rate for Payer: Cofinity Commercial |
$115.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.40
|
| Rate for Payer: Meridian Medicaid |
$59.93
|
| Rate for Payer: Nomi Health Commercial |
$103.32
|
| Rate for Payer: PACE SWMI |
$86.10
|
| Rate for Payer: PHP Commercial |
$120.54
|
| Rate for Payer: PHP Medicare Advantage |
$86.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$128.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$118.96
|
| Rate for Payer: Priority Health Medicare |
$86.10
|
| Rate for Payer: Priority Health Narrow Network |
$118.96
|
| Rate for Payer: Priority Health SBD |
$118.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$86.10
|
| Rate for Payer: UHC Medicare Advantage |
$86.10
|
| Rate for Payer: UHCCP Medicaid |
$57.08
|
| Rate for Payer: UMR Bronson Commercial |
$91.08
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN
|
Professional
|
Both
|
$128.00
|
|
|
Service Code
|
HCPCS 96170
|
| Min. Negotiated Rate |
$51.20 |
| Max. Negotiated Rate |
$113.38 |
| Rate for Payer: Aetna Commercial |
$84.24
|
| Rate for Payer: Aetna Medicare |
$64.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.24
|
| Rate for Payer: BCBS Complete |
$51.20
|
| Rate for Payer: BCBS Trust/PPO |
$66.04
|
| Rate for Payer: BCN Commercial |
$113.38
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Cash Price |
$102.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$83.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.15
|
| Rate for Payer: Priority Health Narrow Network |
$98.15
|
| Rate for Payer: Priority Health SBD |
$98.15
|
| Rate for Payer: UMR Bronson Commercial |
$58.88
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 96171
|
| Min. Negotiated Rate |
$22.80 |
| Max. Negotiated Rate |
$102.49 |
| Rate for Payer: Aetna Commercial |
$30.11
|
| Rate for Payer: Aetna Medicare |
$28.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.11
|
| Rate for Payer: BCBS Complete |
$22.80
|
| Rate for Payer: BCBS Trust/PPO |
$102.49
|
| Rate for Payer: BCN Commercial |
$41.05
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.27
|
| Rate for Payer: Priority Health Narrow Network |
$35.27
|
| Rate for Payer: Priority Health SBD |
$35.27
|
| Rate for Payer: UMR Bronson Commercial |
$26.22
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN
|
Professional
|
Both
|
$145.00
|
|
|
Service Code
|
HCPCS 96167
|
| Min. Negotiated Rate |
$41.54 |
| Max. Negotiated Rate |
$115.70 |
| Rate for Payer: Aetna Commercial |
$84.00
|
| Rate for Payer: Aetna Medicare |
$65.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.27
|
| Rate for Payer: BCBS Complete |
$43.62
|
| Rate for Payer: BCBS MAPPO |
$62.69
|
| Rate for Payer: BCBS Trust/PPO |
$115.70
|
| Rate for Payer: BCN Commercial |
$99.69
|
| Rate for Payer: BCN Medicare Advantage |
$62.69
|
| Rate for Payer: Cash Price |
$116.00
|
| Rate for Payer: Cash Price |
$116.00
|
| Rate for Payer: Cofinity Commercial |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$90.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$62.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$65.82
|
| Rate for Payer: Meridian Medicaid |
$43.62
|
| Rate for Payer: Nomi Health Commercial |
$75.23
|
| Rate for Payer: PACE SWMI |
$62.69
|
| Rate for Payer: PHP Commercial |
$87.77
|
| Rate for Payer: PHP Medicare Advantage |
$62.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$41.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$94.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$84.12
|
| Rate for Payer: Priority Health Medicare |
$62.69
|
| Rate for Payer: Priority Health Narrow Network |
$84.12
|
| Rate for Payer: Priority Health SBD |
$84.12
|
| Rate for Payer: UHC Dual Complete DSNP |
$62.69
|
| Rate for Payer: UHC Medicare Advantage |
$62.69
|
| Rate for Payer: UHCCP Medicaid |
$41.54
|
| Rate for Payer: UMR Bronson Commercial |
$66.70
|
|
|
PR HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 96168
|
| Min. Negotiated Rate |
$14.91 |
| Max. Negotiated Rate |
$168.53 |
| Rate for Payer: Aetna Commercial |
$30.18
|
| Rate for Payer: Aetna Medicare |
$23.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$32.43
|
| Rate for Payer: BCBS Complete |
$15.66
|
| Rate for Payer: BCBS MAPPO |
$22.52
|
| Rate for Payer: BCBS Trust/PPO |
$168.53
|
| Rate for Payer: BCN Commercial |
$35.19
|
| Rate for Payer: BCN Medicare Advantage |
$22.52
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Cofinity Commercial |
$30.18
|
| Rate for Payer: Cofinity Commercial |
$32.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$22.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$23.65
|
| Rate for Payer: Meridian Medicaid |
$15.66
|
| Rate for Payer: Nomi Health Commercial |
$27.02
|
| Rate for Payer: PACE SWMI |
$22.52
|
| Rate for Payer: PHP Commercial |
$31.53
|
| Rate for Payer: PHP Medicare Advantage |
$22.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.85
|
| Rate for Payer: Priority Health Medicare |
$22.52
|
| Rate for Payer: Priority Health Narrow Network |
$29.85
|
| Rate for Payer: Priority Health SBD |
$29.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$22.52
|
| Rate for Payer: UHC Medicare Advantage |
$22.52
|
| Rate for Payer: UHCCP Medicaid |
$14.91
|
| Rate for Payer: UMR Bronson Commercial |
$23.46
|
|
|
PR HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN
|
Professional
|
Both
|
$136.00
|
|
|
Service Code
|
HCPCS 96158
|
| Min. Negotiated Rate |
$39.19 |
| Max. Negotiated Rate |
$831.54 |
| Rate for Payer: Aetna Commercial |
$79.25
|
| Rate for Payer: Aetna Medicare |
$61.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.16
|
| Rate for Payer: BCBS Complete |
$41.15
|
| Rate for Payer: BCBS MAPPO |
$59.14
|
| Rate for Payer: BCBS Trust/PPO |
$831.54
|
| Rate for Payer: BCN Commercial |
$93.82
|
| Rate for Payer: BCN Medicare Advantage |
$59.14
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cash Price |
$108.80
|
| Rate for Payer: Cofinity Commercial |
$79.25
|
| Rate for Payer: Cofinity Commercial |
$85.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.10
|
| Rate for Payer: Meridian Medicaid |
$41.15
|
| Rate for Payer: Nomi Health Commercial |
$70.97
|
| Rate for Payer: PACE SWMI |
$59.14
|
| Rate for Payer: PHP Commercial |
$82.80
|
| Rate for Payer: PHP Medicare Advantage |
$59.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$88.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$79.61
|
| Rate for Payer: Priority Health Medicare |
$59.14
|
| Rate for Payer: Priority Health Narrow Network |
$79.61
|
| Rate for Payer: Priority Health SBD |
$79.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$59.14
|
| Rate for Payer: UHC Medicare Advantage |
$59.14
|
| Rate for Payer: UHCCP Medicaid |
$39.19
|
| Rate for Payer: UMR Bronson Commercial |
$62.56
|
|
|
PR HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN
|
Professional
|
Both
|
$47.00
|
|
|
Service Code
|
HCPCS 96159
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$208.15 |
| Rate for Payer: Aetna Commercial |
$27.11
|
| Rate for Payer: Aetna Medicare |
$21.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$29.13
|
| Rate for Payer: BCBS Complete |
$14.09
|
| Rate for Payer: BCBS MAPPO |
$20.23
|
| Rate for Payer: BCBS Trust/PPO |
$208.15
|
| Rate for Payer: BCN Commercial |
$32.25
|
| Rate for Payer: BCN Medicare Advantage |
$20.23
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cash Price |
$37.60
|
| Rate for Payer: Cofinity Commercial |
$27.11
|
| Rate for Payer: Cofinity Commercial |
$29.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.24
|
| Rate for Payer: Meridian Medicaid |
$14.09
|
| Rate for Payer: Nomi Health Commercial |
$24.28
|
| Rate for Payer: PACE SWMI |
$20.23
|
| Rate for Payer: PHP Commercial |
$28.32
|
| Rate for Payer: PHP Medicare Advantage |
$20.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$26.69
|
| Rate for Payer: Priority Health Medicare |
$20.23
|
| Rate for Payer: Priority Health Narrow Network |
$26.69
|
| Rate for Payer: Priority Health SBD |
$26.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$20.23
|
| Rate for Payer: UHC Medicare Advantage |
$20.23
|
| Rate for Payer: UHCCP Medicaid |
$13.42
|
| Rate for Payer: UMR Bronson Commercial |
$21.62
|
|
|
PR HEALTH RISK ASSESSMENT TEST
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 99420
|
| Min. Negotiated Rate |
$20.40 |
| Max. Negotiated Rate |
$33.15 |
| Rate for Payer: Aetna Medicare |
$25.50
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: Cash Price |
$40.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$33.15
|
| Rate for Payer: UMR Bronson Commercial |
$23.46
|
|
|
PR HEARING AID CHECK BINAURAL
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS 92593
|
| Min. Negotiated Rate |
$24.40 |
| Max. Negotiated Rate |
$392.83 |
| Rate for Payer: Aetna Commercial |
$39.35
|
| Rate for Payer: Aetna Medicare |
$30.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.35
|
| Rate for Payer: BCBS Complete |
$24.40
|
| Rate for Payer: BCBS Trust/PPO |
$392.83
|
| Rate for Payer: BCN Commercial |
$47.99
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$50.21
|
| Rate for Payer: Priority Health Narrow Network |
$50.21
|
| Rate for Payer: Priority Health SBD |
$50.21
|
| Rate for Payer: UMR Bronson Commercial |
$28.06
|
|
|
PR HEARING AID CHECK MONAURAL
|
Professional
|
Both
|
$54.00
|
|
|
Service Code
|
HCPCS 92592
|
| Min. Negotiated Rate |
$21.60 |
| Max. Negotiated Rate |
$2,403.24 |
| Rate for Payer: Aetna Commercial |
$23.53
|
| Rate for Payer: Aetna Medicare |
$27.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.53
|
| Rate for Payer: BCBS Complete |
$21.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,403.24
|
| Rate for Payer: BCN Commercial |
$47.99
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Cash Price |
$43.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$35.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$30.30
|
| Rate for Payer: Priority Health Narrow Network |
$30.30
|
| Rate for Payer: Priority Health SBD |
$30.30
|
| Rate for Payer: UMR Bronson Commercial |
$24.84
|
|
|
PR HEARING AID EXAMINATION & SELECTION BINAURAL
|
Professional
|
Both
|
$143.00
|
|
|
Service Code
|
HCPCS 92591
|
| Min. Negotiated Rate |
$57.20 |
| Max. Negotiated Rate |
$864.19 |
| Rate for Payer: Aetna Commercial |
$76.88
|
| Rate for Payer: Aetna Medicare |
$71.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.88
|
| Rate for Payer: BCBS Complete |
$57.20
|
| Rate for Payer: BCBS Trust/PPO |
$864.19
|
| Rate for Payer: BCN Commercial |
$98.85
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Cash Price |
$114.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$97.70
|
| Rate for Payer: Priority Health Narrow Network |
$97.70
|
| Rate for Payer: Priority Health SBD |
$97.70
|
| Rate for Payer: UMR Bronson Commercial |
$65.78
|
|
