|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Facility
|
OP
|
$736.00
|
|
|
Service Code
|
CPT 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$272.32 |
| Max. Negotiated Rate |
$8,445.02 |
| Rate for Payer: Aetna American Axle |
$478.40
|
| Rate for Payer: Aetna Commercial |
$625.60
|
| Rate for Payer: Aetna Medicare |
$2,794.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,358.68
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,358.68
|
| Rate for Payer: BCBS Complete |
$1,512.21
|
| Rate for Payer: BCBS MAPPO |
$2,686.94
|
| Rate for Payer: BCBS Trust/PPO |
$1,735.18
|
| Rate for Payer: BCN Commercial |
$1,735.18
|
| Rate for Payer: BCN Medicare Advantage |
$2,686.94
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$632.96
|
| Rate for Payer: Cofinity Commercial |
$515.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$515.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,686.94
|
| Rate for Payer: Healthscope Commercial |
$662.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$515.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$552.00
|
| Rate for Payer: Mclaren Medicaid |
$1,440.20
|
| Rate for Payer: Mclaren Medicare |
$2,686.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,821.29
|
| Rate for Payer: Meridian Medicaid |
$1,512.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,089.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.60
|
| Rate for Payer: Nomi Health Commercial |
$5,642.57
|
| Rate for Payer: PACE Medicare |
$2,552.59
|
| Rate for Payer: PACE SWMI |
$2,686.94
|
| Rate for Payer: PHP Commercial |
$625.60
|
| Rate for Payer: PHP Medicare Advantage |
$2,686.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,440.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,445.02
|
| Rate for Payer: Priority Health Medicare |
$2,686.94
|
| Rate for Payer: Priority Health Narrow Network |
$6,756.02
|
| Rate for Payer: Priority Health SBD |
$463.68
|
| Rate for Payer: Railroad Medicare Medicare |
$2,686.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$466.88
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,686.94
|
| Rate for Payer: UHC Exchange |
$424.44
|
| Rate for Payer: UHC Medicare Advantage |
$2,686.94
|
| Rate for Payer: UHCCP Medicaid |
$1,440.20
|
| Rate for Payer: UMR Bronson Commercial |
$272.32
|
| Rate for Payer: VA VA |
$2,686.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$552.00
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$285.42 |
| Max. Negotiated Rate |
$2,294.94 |
| Rate for Payer: Aetna Commercial |
$564.94
|
| Rate for Payer: Aetna Medicare |
$438.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: BCBS Complete |
$299.69
|
| Rate for Payer: BCBS MAPPO |
$421.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.94
|
| Rate for Payer: BCN Commercial |
$644.08
|
| Rate for Payer: BCN Medicare Advantage |
$421.60
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$564.94
|
| Rate for Payer: Cofinity Commercial |
$607.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.68
|
| Rate for Payer: Meridian Medicaid |
$299.69
|
| Rate for Payer: Nomi Health Commercial |
$505.92
|
| Rate for Payer: PACE SWMI |
$421.60
|
| Rate for Payer: PHP Commercial |
$590.24
|
| Rate for Payer: PHP Medicare Advantage |
$421.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$285.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$794.07
|
| Rate for Payer: Priority Health Medicare |
$421.60
|
| Rate for Payer: Priority Health Narrow Network |
$794.07
|
| Rate for Payer: Priority Health SBD |
$794.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.60
|
| Rate for Payer: UHC Medicare Advantage |
$421.60
|
| Rate for Payer: UHCCP Medicaid |
$285.42
|
| Rate for Payer: UMR Bronson Commercial |
$338.56
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Professional
|
Both
|
$736.00
|
|
|
Service Code
|
HCPCS 46045
|
| Min. Negotiated Rate |
$285.42 |
| Max. Negotiated Rate |
$2,294.94 |
| Rate for Payer: Aetna Commercial |
$564.94
|
| Rate for Payer: Aetna Medicare |
$438.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$564.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: BCBS Complete |
$299.69
|
| Rate for Payer: BCBS MAPPO |
$421.60
|
| Rate for Payer: BCBS Trust/PPO |
$2,294.94
|
| Rate for Payer: BCN Commercial |
$644.08
|
| Rate for Payer: BCN Medicare Advantage |
$421.60
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$564.94
|
| Rate for Payer: Cofinity Commercial |
$607.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$421.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$442.68
|
| Rate for Payer: Meridian Medicaid |
$299.69
|
| Rate for Payer: Nomi Health Commercial |
$505.92
|
| Rate for Payer: PACE SWMI |
$421.60
|
| Rate for Payer: PHP Commercial |
$590.24
|
| Rate for Payer: PHP Medicare Advantage |
$421.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$285.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$794.07
|
| Rate for Payer: Priority Health Medicare |
$421.60
|
| Rate for Payer: Priority Health Narrow Network |
$794.07
|
| Rate for Payer: Priority Health SBD |
$794.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$421.60
|
| Rate for Payer: UHC Medicare Advantage |
$421.60
|
| Rate for Payer: UHCCP Medicaid |
$285.42
|
| Rate for Payer: UMR Bronson Commercial |
$338.56
|
|
|
PR I&D INTRAMURAL IM/ABSC TRANSANAL ANES
|
Facility
|
IP
|
$736.00
|
|
|
Service Code
|
CPT 46045
|
| Hospital Charge Code |
46045
|
| Min. Negotiated Rate |
$323.84 |
| Max. Negotiated Rate |
$662.40 |
| Rate for Payer: Aetna American Axle |
$478.40
|
| Rate for Payer: Aetna Commercial |
$625.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$478.40
|
| Rate for Payer: Cash Price |
$588.80
|
| Rate for Payer: Cofinity Commercial |
$515.20
|
| Rate for Payer: Cofinity Commercial |
$632.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$515.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$588.80
|
| Rate for Payer: Healthscope Commercial |
$662.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$515.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$552.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$625.60
|
| Rate for Payer: PHP Commercial |
$625.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$478.40
|
| Rate for Payer: Priority Health SBD |
$463.68
|
| Rate for Payer: UMR Bronson Commercial |
$323.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$552.00
|
|
|
PR I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON
|
Professional
|
Both
|
$2,127.00
|
|
|
Service Code
|
HCPCS 46060
|
| Min. Negotiated Rate |
$316.73 |
| Max. Negotiated Rate |
$1,438.03 |
| Rate for Payer: Cash Price |
$1,701.60
|
| Rate for Payer: Aetna Commercial |
$624.80
|
| Rate for Payer: Aetna Medicare |
$484.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$624.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$671.43
|
| Rate for Payer: BCBS Complete |
$332.57
|
| Rate for Payer: BCBS MAPPO |
$466.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,438.03
|
| Rate for Payer: BCN Commercial |
$715.42
|
| Rate for Payer: BCN Medicare Advantage |
$466.27
|
| Rate for Payer: Cash Price |
$1,701.60
|
| Rate for Payer: Cofinity Commercial |
$624.80
|
| Rate for Payer: Cofinity Commercial |
$671.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$466.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$489.58
|
| Rate for Payer: Meridian Medicaid |
$332.57
|
| Rate for Payer: Nomi Health Commercial |
$559.52
|
| Rate for Payer: PACE SWMI |
$466.27
|
| Rate for Payer: PHP Commercial |
$652.78
|
| Rate for Payer: PHP Medicare Advantage |
$466.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$316.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,382.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$878.18
|
| Rate for Payer: Priority Health Medicare |
$466.27
|
| Rate for Payer: Priority Health Narrow Network |
$878.18
|
| Rate for Payer: Priority Health SBD |
$878.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$466.27
|
| Rate for Payer: UHC Medicare Advantage |
$466.27
|
| Rate for Payer: UHCCP Medicaid |
$316.73
|
| Rate for Payer: UMR Bronson Commercial |
$978.42
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 46040
|
| Min. Negotiated Rate |
$278.18 |
| Max. Negotiated Rate |
$1,260.52 |
| Rate for Payer: Aetna Commercial |
$549.47
|
| Rate for Payer: Aetna Medicare |
$426.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.47
|
| Rate for Payer: BCBS Complete |
$292.09
|
| Rate for Payer: BCBS MAPPO |
$410.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,260.52
|
| Rate for Payer: BCN Commercial |
$816.58
|
| Rate for Payer: BCN Medicare Advantage |
$410.05
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$549.47
|
| Rate for Payer: Cofinity Commercial |
$590.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.55
|
| Rate for Payer: Meridian Medicaid |
$292.09
|
| Rate for Payer: Nomi Health Commercial |
$492.06
|
| Rate for Payer: PACE SWMI |
$410.05
|
| Rate for Payer: PHP Commercial |
$574.07
|
| Rate for Payer: PHP Medicare Advantage |
$410.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$278.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$769.61
|
| Rate for Payer: Priority Health Medicare |
$410.05
|
| Rate for Payer: Priority Health Narrow Network |
$769.61
|
| Rate for Payer: Priority Health SBD |
$769.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.05
|
| Rate for Payer: UHC Medicare Advantage |
$410.05
|
| Rate for Payer: UHCCP Medicaid |
$278.18
|
| Rate for Payer: UMR Bronson Commercial |
$425.04
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Facility
|
OP
|
$924.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
46040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$341.88 |
| Max. Negotiated Rate |
$3,630.90 |
| Rate for Payer: Aetna American Axle |
$600.60
|
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Aetna Medicare |
$1,201.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,444.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,444.05
|
| Rate for Payer: BCBS Complete |
$650.17
|
| Rate for Payer: BCBS MAPPO |
$1,155.24
|
| Rate for Payer: BCBS Trust/PPO |
$2,084.96
|
| Rate for Payer: BCN Commercial |
$2,084.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,155.24
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$646.80
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$646.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,155.24
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$646.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$693.00
|
| Rate for Payer: Mclaren Medicaid |
$619.21
|
| Rate for Payer: Mclaren Medicare |
$1,155.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,213.00
|
| Rate for Payer: Meridian Medicaid |
$650.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,328.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: Nomi Health Commercial |
$2,426.00
|
| Rate for Payer: PACE Medicare |
$1,097.48
|
| Rate for Payer: PACE SWMI |
$1,155.24
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,155.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$619.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,630.90
|
| Rate for Payer: Priority Health Medicare |
$1,155.24
|
| Rate for Payer: Priority Health Narrow Network |
$2,904.72
|
| Rate for Payer: Priority Health SBD |
$582.12
|
| Rate for Payer: Railroad Medicare Medicare |
$1,155.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$451.54
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,155.24
|
| Rate for Payer: UHC Exchange |
$410.49
|
| Rate for Payer: UHC Medicare Advantage |
$1,155.24
|
| Rate for Payer: UHCCP Medicaid |
$619.21
|
| Rate for Payer: UMR Bronson Commercial |
$341.88
|
| Rate for Payer: VA VA |
$1,155.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$693.00
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Facility
|
IP
|
$924.00
|
|
|
Service Code
|
CPT 46040
|
| Hospital Charge Code |
46040
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$406.56 |
| Max. Negotiated Rate |
$831.60 |
| Rate for Payer: Aetna American Axle |
$600.60
|
| Rate for Payer: Aetna Commercial |
$785.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$600.60
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$646.80
|
| Rate for Payer: Cofinity Commercial |
$794.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$646.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$739.20
|
| Rate for Payer: Healthscope Commercial |
$831.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$646.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$693.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$785.40
|
| Rate for Payer: PHP Commercial |
$785.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health SBD |
$582.12
|
| Rate for Payer: UMR Bronson Commercial |
$406.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$693.00
|
|
|
PR I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX
|
Professional
|
Both
|
$924.00
|
|
|
Service Code
|
HCPCS 46040
|
| Hospital Charge Code |
46040
|
| Min. Negotiated Rate |
$278.18 |
| Max. Negotiated Rate |
$1,260.52 |
| Rate for Payer: Aetna Commercial |
$549.47
|
| Rate for Payer: Aetna Medicare |
$426.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.47
|
| Rate for Payer: BCBS Complete |
$292.09
|
| Rate for Payer: BCBS MAPPO |
$410.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,260.52
|
| Rate for Payer: BCN Commercial |
$816.58
|
| Rate for Payer: BCN Medicare Advantage |
$410.05
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cash Price |
$739.20
|
| Rate for Payer: Cofinity Commercial |
$590.47
|
| Rate for Payer: Cofinity Commercial |
$549.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$410.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$430.55
|
| Rate for Payer: Meridian Medicaid |
$292.09
|
| Rate for Payer: Nomi Health Commercial |
$492.06
|
| Rate for Payer: PACE SWMI |
$410.05
|
| Rate for Payer: PHP Commercial |
$574.07
|
| Rate for Payer: PHP Medicare Advantage |
$410.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$278.18
|
| Rate for Payer: Priority Health Cigna Priority Health |
$600.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$769.61
|
| Rate for Payer: Priority Health Medicare |
$410.05
|
| Rate for Payer: Priority Health Narrow Network |
$769.61
|
| Rate for Payer: Priority Health SBD |
$769.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$410.05
|
| Rate for Payer: UHC Medicare Advantage |
$410.05
|
| Rate for Payer: UHCCP Medicaid |
$278.18
|
| Rate for Payer: UMR Bronson Commercial |
$425.04
|
|
|
PR I&D OF BARTHOLINS GLAND ABSCESS
|
Professional
|
Both
|
$386.00
|
|
|
Service Code
|
HCPCS 56420
|
| Min. Negotiated Rate |
$70.72 |
| Max. Negotiated Rate |
$275.12 |
| Rate for Payer: Aetna Commercial |
$139.37
|
| Rate for Payer: Aetna Medicare |
$108.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$149.77
|
| Rate for Payer: BCBS Complete |
$74.26
|
| Rate for Payer: BCBS MAPPO |
$104.01
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$275.12
|
| Rate for Payer: BCN Medicare Advantage |
$104.01
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cash Price |
$308.80
|
| Rate for Payer: Cofinity Commercial |
$139.37
|
| Rate for Payer: Cofinity Commercial |
$149.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$104.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$109.21
|
| Rate for Payer: Meridian Medicaid |
$74.26
|
| Rate for Payer: Nomi Health Commercial |
$124.81
|
| Rate for Payer: PACE SWMI |
$104.01
|
| Rate for Payer: PHP Commercial |
$145.61
|
| Rate for Payer: PHP Medicare Advantage |
$104.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$70.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$166.17
|
| Rate for Payer: Priority Health Medicare |
$104.01
|
| Rate for Payer: Priority Health Narrow Network |
$166.17
|
| Rate for Payer: Priority Health SBD |
$166.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$104.01
|
| Rate for Payer: UHC Medicare Advantage |
$104.01
|
| Rate for Payer: UHCCP Medicaid |
$70.72
|
| Rate for Payer: UMR Bronson Commercial |
$177.56
|
|
|
PR I&D PELVIS/HIP JOINT AREA INFECTED BURSA
|
Professional
|
Both
|
$1,244.00
|
|
|
Service Code
|
HCPCS 26991
|
| Min. Negotiated Rate |
$341.87 |
| Max. Negotiated Rate |
$1,049.19 |
| Rate for Payer: Aetna Commercial |
$677.12
|
| Rate for Payer: Aetna Medicare |
$525.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$677.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$727.65
|
| Rate for Payer: BCBS Complete |
$358.96
|
| Rate for Payer: BCBS MAPPO |
$505.31
|
| Rate for Payer: BCBS Trust/PPO |
$758.11
|
| Rate for Payer: BCN Commercial |
$1,049.19
|
| Rate for Payer: BCN Medicare Advantage |
$505.31
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cofinity Commercial |
$677.12
|
| Rate for Payer: Cofinity Commercial |
$727.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$505.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$530.58
|
| Rate for Payer: Meridian Medicaid |
$358.96
|
| Rate for Payer: Nomi Health Commercial |
$606.37
|
| Rate for Payer: PACE SWMI |
$505.31
|
| Rate for Payer: PHP Commercial |
$707.43
|
| Rate for Payer: PHP Medicare Advantage |
$505.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$341.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$808.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$817.23
|
| Rate for Payer: Priority Health Medicare |
$505.31
|
| Rate for Payer: Priority Health Narrow Network |
$817.23
|
| Rate for Payer: Priority Health SBD |
$817.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$505.31
|
| Rate for Payer: UHC Medicare Advantage |
$505.31
|
| Rate for Payer: UHCCP Medicaid |
$341.87
|
| Rate for Payer: UMR Bronson Commercial |
$572.24
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Facility
|
IP
|
$1,513.00
|
|
|
Service Code
|
CPT 26990
|
| Hospital Charge Code |
26990
|
| Min. Negotiated Rate |
$665.72 |
| Max. Negotiated Rate |
$1,361.70 |
| Rate for Payer: Aetna American Axle |
$983.45
|
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$983.45
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,059.10
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,059.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,059.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health SBD |
$953.19
|
| Rate for Payer: UMR Bronson Commercial |
$665.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 26990
|
| Hospital Charge Code |
26990
|
| Min. Negotiated Rate |
$433.21 |
| Max. Negotiated Rate |
$1,052.33 |
| Rate for Payer: Aetna Commercial |
$867.40
|
| Rate for Payer: Aetna Medicare |
$673.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.13
|
| Rate for Payer: BCBS Complete |
$463.18
|
| Rate for Payer: BCBS MAPPO |
$647.31
|
| Rate for Payer: BCBS Trust/PPO |
$433.21
|
| Rate for Payer: BCN Commercial |
$1,004.72
|
| Rate for Payer: BCN Medicare Advantage |
$647.31
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$932.13
|
| Rate for Payer: Cofinity Commercial |
$867.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.68
|
| Rate for Payer: Meridian Medicaid |
$463.18
|
| Rate for Payer: Nomi Health Commercial |
$776.77
|
| Rate for Payer: PACE SWMI |
$647.31
|
| Rate for Payer: PHP Commercial |
$906.23
|
| Rate for Payer: PHP Medicare Advantage |
$647.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,052.33
|
| Rate for Payer: Priority Health Medicare |
$647.31
|
| Rate for Payer: Priority Health Narrow Network |
$1,052.33
|
| Rate for Payer: Priority Health SBD |
$1,052.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.31
|
| Rate for Payer: UHC Medicare Advantage |
$647.31
|
| Rate for Payer: UHCCP Medicaid |
$441.12
|
| Rate for Payer: UMR Bronson Commercial |
$695.98
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Facility
|
OP
|
$1,513.00
|
|
|
Service Code
|
CPT 26990
|
| Hospital Charge Code |
26990
|
| Min. Negotiated Rate |
$559.81 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Aetna American Axle |
$983.45
|
| Rate for Payer: Aetna Commercial |
$1,286.05
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$983.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,214.78
|
| Rate for Payer: BCN Commercial |
$2,214.78
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$1,301.18
|
| Rate for Payer: Cofinity Commercial |
$1,059.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,059.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,210.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,361.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,059.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,134.75
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,286.05
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,286.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$953.19
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$720.00
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$654.55
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$559.81
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,134.75
|
|
|
PR I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$1,513.00
|
|
|
Service Code
|
HCPCS 26990
|
| Min. Negotiated Rate |
$433.21 |
| Max. Negotiated Rate |
$1,052.33 |
| Rate for Payer: Aetna Commercial |
$867.40
|
| Rate for Payer: Aetna Medicare |
$673.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$867.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$932.13
|
| Rate for Payer: BCBS Complete |
$463.18
|
| Rate for Payer: BCBS MAPPO |
$647.31
|
| Rate for Payer: BCBS Trust/PPO |
$433.21
|
| Rate for Payer: BCN Commercial |
$1,004.72
|
| Rate for Payer: BCN Medicare Advantage |
$647.31
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cash Price |
$1,210.40
|
| Rate for Payer: Cofinity Commercial |
$867.40
|
| Rate for Payer: Cofinity Commercial |
$932.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$647.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$679.68
|
| Rate for Payer: Meridian Medicaid |
$463.18
|
| Rate for Payer: Nomi Health Commercial |
$776.77
|
| Rate for Payer: PACE SWMI |
$647.31
|
| Rate for Payer: PHP Commercial |
$906.23
|
| Rate for Payer: PHP Medicare Advantage |
$647.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$441.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$983.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,052.33
|
| Rate for Payer: Priority Health Medicare |
$647.31
|
| Rate for Payer: Priority Health Narrow Network |
$1,052.33
|
| Rate for Payer: Priority Health SBD |
$1,052.33
|
| Rate for Payer: UHC Dual Complete DSNP |
$647.31
|
| Rate for Payer: UHC Medicare Advantage |
$647.31
|
| Rate for Payer: UHCCP Medicaid |
$441.12
|
| Rate for Payer: UMR Bronson Commercial |
$695.98
|
|
|
PR I&D PENIS DEEP
|
Professional
|
Both
|
$766.00
|
|
|
Service Code
|
HCPCS 54015
|
| Min. Negotiated Rate |
$195.11 |
| Max. Negotiated Rate |
$2,212.52 |
| Rate for Payer: Aetna Commercial |
$389.65
|
| Rate for Payer: Aetna Medicare |
$302.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$389.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$418.72
|
| Rate for Payer: BCBS Complete |
$204.87
|
| Rate for Payer: BCBS MAPPO |
$290.78
|
| Rate for Payer: BCBS Trust/PPO |
$2,212.52
|
| Rate for Payer: BCN Commercial |
$439.81
|
| Rate for Payer: BCN Medicare Advantage |
$290.78
|
| Rate for Payer: Cash Price |
$612.80
|
| Rate for Payer: Cash Price |
$612.80
|
| Rate for Payer: Cofinity Commercial |
$389.65
|
| Rate for Payer: Cofinity Commercial |
$418.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$290.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$305.32
|
| Rate for Payer: Meridian Medicaid |
$204.87
|
| Rate for Payer: Nomi Health Commercial |
$348.94
|
| Rate for Payer: PACE SWMI |
$290.78
|
| Rate for Payer: PHP Commercial |
$407.09
|
| Rate for Payer: PHP Medicare Advantage |
$290.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$497.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$485.73
|
| Rate for Payer: Priority Health Medicare |
$290.78
|
| Rate for Payer: Priority Health Narrow Network |
$485.73
|
| Rate for Payer: Priority Health SBD |
$485.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$290.78
|
| Rate for Payer: UHC Medicare Advantage |
$290.78
|
| Rate for Payer: UHCCP Medicaid |
$195.11
|
| Rate for Payer: UMR Bronson Commercial |
$352.36
|
|
|
PR I&D PERIANAL ABSCESS SUPERFICIAL
|
Professional
|
Both
|
$450.00
|
|
|
Service Code
|
HCPCS 46050
|
| Min. Negotiated Rate |
$66.03 |
| Max. Negotiated Rate |
$1,360.90 |
| Rate for Payer: Aetna Commercial |
$129.91
|
| Rate for Payer: Aetna Medicare |
$100.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$129.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.61
|
| Rate for Payer: BCBS Complete |
$69.33
|
| Rate for Payer: BCBS MAPPO |
$96.95
|
| Rate for Payer: BCBS Trust/PPO |
$1,360.90
|
| Rate for Payer: BCN Commercial |
$349.40
|
| Rate for Payer: BCN Medicare Advantage |
$96.95
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cash Price |
$360.00
|
| Rate for Payer: Cofinity Commercial |
$129.91
|
| Rate for Payer: Cofinity Commercial |
$139.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$96.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$101.80
|
| Rate for Payer: Meridian Medicaid |
$69.33
|
| Rate for Payer: Nomi Health Commercial |
$116.34
|
| Rate for Payer: PACE SWMI |
$96.95
|
| Rate for Payer: PHP Commercial |
$135.73
|
| Rate for Payer: PHP Medicare Advantage |
$96.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$66.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$292.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$183.15
|
| Rate for Payer: Priority Health Medicare |
$96.95
|
| Rate for Payer: Priority Health Narrow Network |
$183.15
|
| Rate for Payer: Priority Health SBD |
$183.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$96.95
|
| Rate for Payer: UHC Medicare Advantage |
$96.95
|
| Rate for Payer: UHCCP Medicaid |
$66.03
|
| Rate for Payer: UMR Bronson Commercial |
$207.00
|
|
|
PR I&D SHOULDER DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$716.00
|
|
|
Service Code
|
HCPCS 23030
|
| Min. Negotiated Rate |
$33.96 |
| Max. Negotiated Rate |
$648.96 |
| Rate for Payer: Aetna Commercial |
$329.21
|
| Rate for Payer: Aetna Medicare |
$255.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$329.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$353.78
|
| Rate for Payer: BCBS Complete |
$174.45
|
| Rate for Payer: BCBS MAPPO |
$245.68
|
| Rate for Payer: BCBS Trust/PPO |
$33.96
|
| Rate for Payer: BCN Commercial |
$648.96
|
| Rate for Payer: BCN Medicare Advantage |
$245.68
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cash Price |
$572.80
|
| Rate for Payer: Cofinity Commercial |
$329.21
|
| Rate for Payer: Cofinity Commercial |
$353.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$245.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$257.96
|
| Rate for Payer: Meridian Medicaid |
$174.45
|
| Rate for Payer: Nomi Health Commercial |
$294.82
|
| Rate for Payer: PACE SWMI |
$245.68
|
| Rate for Payer: PHP Commercial |
$343.95
|
| Rate for Payer: PHP Medicare Advantage |
$245.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$166.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$465.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$393.35
|
| Rate for Payer: Priority Health Medicare |
$245.68
|
| Rate for Payer: Priority Health Narrow Network |
$393.35
|
| Rate for Payer: Priority Health SBD |
$393.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$245.68
|
| Rate for Payer: UHC Medicare Advantage |
$245.68
|
| Rate for Payer: UHCCP Medicaid |
$166.14
|
| Rate for Payer: UMR Bronson Commercial |
$329.36
|
|
|
PR I&D SHOULDER INFECTED BURSA
|
Professional
|
Both
|
$720.00
|
|
|
Service Code
|
HCPCS 23031
|
| Min. Negotiated Rate |
$18.68 |
| Max. Negotiated Rate |
$639.67 |
| Rate for Payer: Aetna Commercial |
$287.83
|
| Rate for Payer: Aetna Medicare |
$223.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$309.31
|
| Rate for Payer: BCBS Complete |
$153.21
|
| Rate for Payer: BCBS MAPPO |
$214.80
|
| Rate for Payer: BCBS Trust/PPO |
$18.68
|
| Rate for Payer: BCN Commercial |
$639.67
|
| Rate for Payer: BCN Medicare Advantage |
$214.80
|
| Rate for Payer: Cash Price |
$576.00
|
| Rate for Payer: Cash Price |
$576.00
|
| Rate for Payer: Cofinity Commercial |
$287.83
|
| Rate for Payer: Cofinity Commercial |
$309.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$214.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$225.54
|
| Rate for Payer: Meridian Medicaid |
$153.21
|
| Rate for Payer: Nomi Health Commercial |
$257.76
|
| Rate for Payer: PACE SWMI |
$214.80
|
| Rate for Payer: PHP Commercial |
$300.72
|
| Rate for Payer: PHP Medicare Advantage |
$214.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$145.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$468.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$344.50
|
| Rate for Payer: Priority Health Medicare |
$214.80
|
| Rate for Payer: Priority Health Narrow Network |
$344.50
|
| Rate for Payer: Priority Health SBD |
$344.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$214.80
|
| Rate for Payer: UHC Medicare Advantage |
$214.80
|
| Rate for Payer: UHCCP Medicaid |
$145.91
|
| Rate for Payer: UMR Bronson Commercial |
$331.20
|
|
|
PR I&D SOFT TISSUE ABSCESS SUBFASCIAL
|
Professional
|
Both
|
$515.00
|
|
|
Service Code
|
HCPCS 20005
|
| Min. Negotiated Rate |
$206.00 |
| Max. Negotiated Rate |
$334.75 |
| Rate for Payer: Aetna Medicare |
$257.50
|
| Rate for Payer: BCBS Complete |
$206.00
|
| Rate for Payer: Cash Price |
$412.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$334.75
|
| Rate for Payer: UMR Bronson Commercial |
$236.90
|
|
|
PR I&D SUBMUCOSAL ABSCESS RECTUM
|
Professional
|
Both
|
$527.00
|
|
|
Service Code
|
HCPCS 45005
|
| Min. Negotiated Rate |
$109.06 |
| Max. Negotiated Rate |
$2,676.37 |
| Rate for Payer: Aetna Commercial |
$215.75
|
| Rate for Payer: Aetna Medicare |
$167.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$215.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.85
|
| Rate for Payer: BCBS Complete |
$114.51
|
| Rate for Payer: BCBS MAPPO |
$161.01
|
| Rate for Payer: BCBS Trust/PPO |
$2,676.37
|
| Rate for Payer: BCN Commercial |
$468.15
|
| Rate for Payer: BCN Medicare Advantage |
$161.01
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cash Price |
$421.60
|
| Rate for Payer: Cofinity Commercial |
$215.75
|
| Rate for Payer: Cofinity Commercial |
$231.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$161.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$169.06
|
| Rate for Payer: Meridian Medicaid |
$114.51
|
| Rate for Payer: Nomi Health Commercial |
$193.21
|
| Rate for Payer: PACE SWMI |
$161.01
|
| Rate for Payer: PHP Commercial |
$225.41
|
| Rate for Payer: PHP Medicare Advantage |
$161.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$109.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$342.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$298.30
|
| Rate for Payer: Priority Health Medicare |
$161.01
|
| Rate for Payer: Priority Health Narrow Network |
$298.30
|
| Rate for Payer: Priority Health SBD |
$298.30
|
| Rate for Payer: UHC Dual Complete DSNP |
$161.01
|
| Rate for Payer: UHC Medicare Advantage |
$161.01
|
| Rate for Payer: UHCCP Medicaid |
$109.06
|
| Rate for Payer: UMR Bronson Commercial |
$242.42
|
|
|
PR I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA
|
Professional
|
Both
|
$620.00
|
|
|
Service Code
|
HCPCS 23930
|
| Min. Negotiated Rate |
$18.25 |
| Max. Negotiated Rate |
$531.68 |
| Rate for Payer: Aetna Commercial |
$279.70
|
| Rate for Payer: Aetna Medicare |
$217.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$279.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.57
|
| Rate for Payer: BCBS Complete |
$147.83
|
| Rate for Payer: BCBS MAPPO |
$208.73
|
| Rate for Payer: BCBS Trust/PPO |
$18.25
|
| Rate for Payer: BCN Commercial |
$531.68
|
| Rate for Payer: BCN Medicare Advantage |
$208.73
|
| Rate for Payer: Cash Price |
$496.00
|
| Rate for Payer: Cash Price |
$496.00
|
| Rate for Payer: Cofinity Commercial |
$279.70
|
| Rate for Payer: Cofinity Commercial |
$300.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$208.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$219.17
|
| Rate for Payer: Meridian Medicaid |
$147.83
|
| Rate for Payer: Nomi Health Commercial |
$250.48
|
| Rate for Payer: PACE SWMI |
$208.73
|
| Rate for Payer: PHP Commercial |
$292.22
|
| Rate for Payer: PHP Medicare Advantage |
$208.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$140.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$403.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$332.29
|
| Rate for Payer: Priority Health Medicare |
$208.73
|
| Rate for Payer: Priority Health Narrow Network |
$332.29
|
| Rate for Payer: Priority Health SBD |
$332.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$208.73
|
| Rate for Payer: UHC Medicare Advantage |
$208.73
|
| Rate for Payer: UHCCP Medicaid |
$140.79
|
| Rate for Payer: UMR Bronson Commercial |
$285.20
|
|
|
PR I&D VAGINAL HEMATOMA NON-OBSTETRICAL
|
Professional
|
Both
|
$526.00
|
|
|
Service Code
|
HCPCS 57023
|
| Min. Negotiated Rate |
$205.33 |
| Max. Negotiated Rate |
$2,321.35 |
| Rate for Payer: Aetna Commercial |
$410.40
|
| Rate for Payer: Aetna Medicare |
$318.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$410.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$441.03
|
| Rate for Payer: BCBS Complete |
$215.60
|
| Rate for Payer: BCBS MAPPO |
$306.27
|
| Rate for Payer: BCBS Trust/PPO |
$2,321.35
|
| Rate for Payer: BCN Commercial |
$469.62
|
| Rate for Payer: BCN Medicare Advantage |
$306.27
|
| Rate for Payer: Cash Price |
$420.80
|
| Rate for Payer: Cash Price |
$420.80
|
| Rate for Payer: Cofinity Commercial |
$410.40
|
| Rate for Payer: Cofinity Commercial |
$441.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$306.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$321.58
|
| Rate for Payer: Meridian Medicaid |
$215.60
|
| Rate for Payer: Nomi Health Commercial |
$367.52
|
| Rate for Payer: PACE SWMI |
$306.27
|
| Rate for Payer: PHP Commercial |
$428.78
|
| Rate for Payer: PHP Medicare Advantage |
$306.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$205.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$341.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$479.68
|
| Rate for Payer: Priority Health Medicare |
$306.27
|
| Rate for Payer: Priority Health Narrow Network |
$479.68
|
| Rate for Payer: Priority Health SBD |
$479.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$306.27
|
| Rate for Payer: UHC Medicare Advantage |
$306.27
|
| Rate for Payer: UHCCP Medicaid |
$205.33
|
| Rate for Payer: UMR Bronson Commercial |
$241.96
|
|
|
PR I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM
|
Professional
|
Both
|
$458.00
|
|
|
Service Code
|
HCPCS 57022
|
| Min. Negotiated Rate |
$116.72 |
| Max. Negotiated Rate |
$3,001.80 |
| Rate for Payer: Aetna Commercial |
$232.37
|
| Rate for Payer: Aetna Medicare |
$180.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.71
|
| Rate for Payer: BCBS Complete |
$122.56
|
| Rate for Payer: BCBS MAPPO |
$173.41
|
| Rate for Payer: BCBS Trust/PPO |
$3,001.80
|
| Rate for Payer: BCN Commercial |
$266.82
|
| Rate for Payer: BCN Medicare Advantage |
$173.41
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cofinity Commercial |
$232.37
|
| Rate for Payer: Cofinity Commercial |
$249.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.08
|
| Rate for Payer: Meridian Medicaid |
$122.56
|
| Rate for Payer: Nomi Health Commercial |
$208.09
|
| Rate for Payer: PACE SWMI |
$173.41
|
| Rate for Payer: PHP Commercial |
$242.77
|
| Rate for Payer: PHP Medicare Advantage |
$173.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$116.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$297.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$271.84
|
| Rate for Payer: Priority Health Medicare |
$173.41
|
| Rate for Payer: Priority Health Narrow Network |
$271.84
|
| Rate for Payer: Priority Health SBD |
$271.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.41
|
| Rate for Payer: UHC Medicare Advantage |
$173.41
|
| Rate for Payer: UHCCP Medicaid |
$116.72
|
| Rate for Payer: UMR Bronson Commercial |
$210.68
|
|
|
PR I&D VULVA/PERINEAL ABSCESS
|
Professional
|
Both
|
$278.00
|
|
|
Service Code
|
HCPCS 56405
|
| Min. Negotiated Rate |
$82.01 |
| Max. Negotiated Rate |
$1,505.13 |
| Rate for Payer: Aetna Commercial |
$160.84
|
| Rate for Payer: Aetna Medicare |
$124.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$160.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.84
|
| Rate for Payer: BCBS Complete |
$86.11
|
| Rate for Payer: BCBS MAPPO |
$120.03
|
| Rate for Payer: BCBS Trust/PPO |
$1,505.13
|
| Rate for Payer: BCN Commercial |
$217.95
|
| Rate for Payer: BCN Medicare Advantage |
$120.03
|
| Rate for Payer: Cash Price |
$222.40
|
| Rate for Payer: Cash Price |
$222.40
|
| Rate for Payer: Cofinity Commercial |
$172.84
|
| Rate for Payer: Cofinity Commercial |
$160.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$120.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$126.03
|
| Rate for Payer: Meridian Medicaid |
$86.11
|
| Rate for Payer: Nomi Health Commercial |
$144.04
|
| Rate for Payer: PACE SWMI |
$120.03
|
| Rate for Payer: PHP Commercial |
$168.04
|
| Rate for Payer: PHP Medicare Advantage |
$120.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$82.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$180.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$190.98
|
| Rate for Payer: Priority Health Medicare |
$120.03
|
| Rate for Payer: Priority Health Narrow Network |
$190.98
|
| Rate for Payer: Priority Health SBD |
$190.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$120.03
|
| Rate for Payer: UHC Medicare Advantage |
$120.03
|
| Rate for Payer: UHCCP Medicaid |
$82.01
|
| Rate for Payer: UMR Bronson Commercial |
$127.88
|
|
