|
PR INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW
|
Professional
|
Both
|
$1,497.00
|
|
|
Service Code
|
HCPCS 23935
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$973.05 |
| Rate for Payer: Aetna Commercial |
$665.69
|
| Rate for Payer: Aetna Medicare |
$516.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$715.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$665.69
|
| Rate for Payer: BCBS Complete |
$354.93
|
| Rate for Payer: BCBS MAPPO |
$496.78
|
| Rate for Payer: BCBS Trust/PPO |
$67.50
|
| Rate for Payer: BCN Commercial |
$759.90
|
| Rate for Payer: BCN Medicare Advantage |
$496.78
|
| Rate for Payer: Cash Price |
$1,197.60
|
| Rate for Payer: Cash Price |
$1,197.60
|
| Rate for Payer: Cofinity Commercial |
$665.69
|
| Rate for Payer: Cofinity Commercial |
$715.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$496.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$521.62
|
| Rate for Payer: Meridian Medicaid |
$354.93
|
| Rate for Payer: Nomi Health Commercial |
$596.14
|
| Rate for Payer: PACE SWMI |
$496.78
|
| Rate for Payer: PHP Commercial |
$695.49
|
| Rate for Payer: PHP Medicare Advantage |
$496.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$338.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$973.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$800.95
|
| Rate for Payer: Priority Health Medicare |
$496.78
|
| Rate for Payer: Priority Health Narrow Network |
$800.95
|
| Rate for Payer: Priority Health SBD |
$800.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$496.78
|
| Rate for Payer: UHC Medicare Advantage |
$496.78
|
| Rate for Payer: UHCCP Medicaid |
$338.03
|
| Rate for Payer: UMR Bronson Commercial |
$688.62
|
|
|
PR INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 27303
|
| Min. Negotiated Rate |
$419.82 |
| Max. Negotiated Rate |
$2,493.05 |
| Rate for Payer: Aetna Commercial |
$831.67
|
| Rate for Payer: Aetna Medicare |
$645.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$893.74
|
| Rate for Payer: BCBS Complete |
$440.81
|
| Rate for Payer: BCBS MAPPO |
$620.65
|
| Rate for Payer: BCBS Trust/PPO |
$2,493.05
|
| Rate for Payer: BCN Commercial |
$939.73
|
| Rate for Payer: BCN Medicare Advantage |
$620.65
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cofinity Commercial |
$831.67
|
| Rate for Payer: Cofinity Commercial |
$893.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.68
|
| Rate for Payer: Meridian Medicaid |
$440.81
|
| Rate for Payer: Nomi Health Commercial |
$744.78
|
| Rate for Payer: PACE SWMI |
$620.65
|
| Rate for Payer: PHP Commercial |
$868.91
|
| Rate for Payer: PHP Medicare Advantage |
$620.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$419.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,020.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$993.80
|
| Rate for Payer: Priority Health Medicare |
$620.65
|
| Rate for Payer: Priority Health Narrow Network |
$993.80
|
| Rate for Payer: Priority Health SBD |
$993.80
|
| Rate for Payer: UHC Dual Complete DSNP |
$620.65
|
| Rate for Payer: UHC Medicare Advantage |
$620.65
|
| Rate for Payer: UHCCP Medicaid |
$419.82
|
| Rate for Payer: UMR Bronson Commercial |
$722.20
|
|
|
PR INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT
|
Professional
|
Both
|
$588.00
|
|
|
Service Code
|
HCPCS 62148
|
| Min. Negotiated Rate |
$50.72 |
| Max. Negotiated Rate |
$382.20 |
| Rate for Payer: Aetna Commercial |
$167.07
|
| Rate for Payer: Aetna Medicare |
$129.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$179.54
|
| Rate for Payer: BCBS Complete |
$84.99
|
| Rate for Payer: BCBS MAPPO |
$124.68
|
| Rate for Payer: BCBS Trust/PPO |
$50.72
|
| Rate for Payer: BCN Commercial |
$254.90
|
| Rate for Payer: BCN Medicare Advantage |
$124.68
|
| Rate for Payer: Cash Price |
$470.40
|
| Rate for Payer: Cash Price |
$470.40
|
| Rate for Payer: Cofinity Commercial |
$167.07
|
| Rate for Payer: Cofinity Commercial |
$179.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$124.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$130.91
|
| Rate for Payer: Meridian Medicaid |
$84.99
|
| Rate for Payer: Nomi Health Commercial |
$149.62
|
| Rate for Payer: PACE SWMI |
$124.68
|
| Rate for Payer: PHP Commercial |
$174.55
|
| Rate for Payer: PHP Medicare Advantage |
$124.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$80.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$382.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$214.98
|
| Rate for Payer: Priority Health Medicare |
$124.68
|
| Rate for Payer: Priority Health Narrow Network |
$214.98
|
| Rate for Payer: Priority Health SBD |
$214.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$124.68
|
| Rate for Payer: UHC Medicare Advantage |
$124.68
|
| Rate for Payer: UHCCP Medicaid |
$80.94
|
| Rate for Payer: UMR Bronson Commercial |
$270.48
|
|
|
PR INCIS HEART SAC TUBE
|
Professional
|
Both
|
$1,683.00
|
|
|
Service Code
|
HCPCS 33015
|
| Min. Negotiated Rate |
$673.20 |
| Max. Negotiated Rate |
$1,093.95 |
| Rate for Payer: Aetna Medicare |
$841.50
|
| Rate for Payer: BCBS Complete |
$673.20
|
| Rate for Payer: Cash Price |
$1,346.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,093.95
|
| Rate for Payer: UMR Bronson Commercial |
$774.18
|
|
|
PR INCISIONAL BIOPSY EYELID SKIN W/LID MARGIN
|
Professional
|
Both
|
$365.00
|
|
|
Service Code
|
HCPCS 67810
|
| Min. Negotiated Rate |
$43.45 |
| Max. Negotiated Rate |
$562.64 |
| Rate for Payer: Aetna Commercial |
$86.47
|
| Rate for Payer: Aetna Medicare |
$67.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$86.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.92
|
| Rate for Payer: BCBS Complete |
$45.62
|
| Rate for Payer: BCBS MAPPO |
$64.53
|
| Rate for Payer: BCBS Trust/PPO |
$562.64
|
| Rate for Payer: BCN Commercial |
$271.22
|
| Rate for Payer: BCN Medicare Advantage |
$64.53
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cash Price |
$292.00
|
| Rate for Payer: Cofinity Commercial |
$92.92
|
| Rate for Payer: Cofinity Commercial |
$86.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67.76
|
| Rate for Payer: Meridian Medicaid |
$45.62
|
| Rate for Payer: Nomi Health Commercial |
$77.44
|
| Rate for Payer: PACE SWMI |
$64.53
|
| Rate for Payer: PHP Commercial |
$90.34
|
| Rate for Payer: PHP Medicare Advantage |
$64.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$43.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$237.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$117.57
|
| Rate for Payer: Priority Health Medicare |
$64.53
|
| Rate for Payer: Priority Health Narrow Network |
$117.57
|
| Rate for Payer: Priority Health SBD |
$117.57
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.53
|
| Rate for Payer: UHC Medicare Advantage |
$64.53
|
| Rate for Payer: UHCCP Medicaid |
$43.45
|
| Rate for Payer: UMR Bronson Commercial |
$167.90
|
|
|
PR INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION
|
Professional
|
Both
|
$142.00
|
|
|
Service Code
|
HCPCS 11107
|
| Min. Negotiated Rate |
$11.47 |
| Max. Negotiated Rate |
$92.30 |
| Rate for Payer: Aetna Commercial |
$38.70
|
| Rate for Payer: Aetna Medicare |
$30.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.59
|
| Rate for Payer: BCBS Complete |
$20.35
|
| Rate for Payer: BCBS MAPPO |
$28.88
|
| Rate for Payer: BCBS Trust/PPO |
$11.47
|
| Rate for Payer: BCN Commercial |
$84.42
|
| Rate for Payer: BCN Medicare Advantage |
$28.88
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cash Price |
$113.60
|
| Rate for Payer: Cofinity Commercial |
$38.70
|
| Rate for Payer: Cofinity Commercial |
$41.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$28.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$30.32
|
| Rate for Payer: Meridian Medicaid |
$20.35
|
| Rate for Payer: Nomi Health Commercial |
$34.66
|
| Rate for Payer: PACE SWMI |
$28.88
|
| Rate for Payer: PHP Commercial |
$40.43
|
| Rate for Payer: PHP Medicare Advantage |
$28.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$19.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$92.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.09
|
| Rate for Payer: Priority Health Medicare |
$28.88
|
| Rate for Payer: Priority Health Narrow Network |
$41.09
|
| Rate for Payer: Priority Health SBD |
$41.09
|
| Rate for Payer: UHC Dual Complete DSNP |
$28.88
|
| Rate for Payer: UHC Medicare Advantage |
$28.88
|
| Rate for Payer: UHCCP Medicaid |
$19.38
|
| Rate for Payer: UMR Bronson Commercial |
$65.32
|
|
|
PR INCISIONAL BIOPSY SKIN SINGLE LESION
|
Professional
|
Both
|
$295.00
|
|
|
Service Code
|
HCPCS 11106
|
| Min. Negotiated Rate |
$13.57 |
| Max. Negotiated Rate |
$191.75 |
| Rate for Payer: Aetna Commercial |
$72.11
|
| Rate for Payer: Aetna Medicare |
$55.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$72.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.49
|
| Rate for Payer: BCBS Complete |
$37.80
|
| Rate for Payer: BCBS MAPPO |
$53.81
|
| Rate for Payer: BCBS Trust/PPO |
$13.57
|
| Rate for Payer: BCN Commercial |
$183.77
|
| Rate for Payer: BCN Medicare Advantage |
$53.81
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cash Price |
$236.00
|
| Rate for Payer: Cofinity Commercial |
$72.11
|
| Rate for Payer: Cofinity Commercial |
$77.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$53.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$56.50
|
| Rate for Payer: Meridian Medicaid |
$37.80
|
| Rate for Payer: Nomi Health Commercial |
$64.57
|
| Rate for Payer: PACE SWMI |
$53.81
|
| Rate for Payer: PHP Commercial |
$75.33
|
| Rate for Payer: PHP Medicare Advantage |
$53.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.85
|
| Rate for Payer: Priority Health Medicare |
$53.81
|
| Rate for Payer: Priority Health Narrow Network |
$75.85
|
| Rate for Payer: Priority Health SBD |
$75.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$53.81
|
| Rate for Payer: UHC Medicare Advantage |
$53.81
|
| Rate for Payer: UHCCP Medicaid |
$36.00
|
| Rate for Payer: UMR Bronson Commercial |
$135.70
|
|
|
PR INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN
|
Professional
|
Both
|
$1,386.00
|
|
|
Service Code
|
HCPCS 44900
|
| Min. Negotiated Rate |
$378.79 |
| Max. Negotiated Rate |
$1,408.56 |
| Rate for Payer: Aetna Commercial |
$1,022.25
|
| Rate for Payer: Aetna Medicare |
$793.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,022.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,098.53
|
| Rate for Payer: BCBS Complete |
$530.94
|
| Rate for Payer: BCBS MAPPO |
$762.87
|
| Rate for Payer: BCBS Trust/PPO |
$378.79
|
| Rate for Payer: BCN Commercial |
$1,148.88
|
| Rate for Payer: BCN Medicare Advantage |
$762.87
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cofinity Commercial |
$1,022.25
|
| Rate for Payer: Cofinity Commercial |
$1,098.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$762.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$801.01
|
| Rate for Payer: Meridian Medicaid |
$530.94
|
| Rate for Payer: Nomi Health Commercial |
$915.44
|
| Rate for Payer: PACE SWMI |
$762.87
|
| Rate for Payer: PHP Commercial |
$1,068.02
|
| Rate for Payer: PHP Medicare Advantage |
$762.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$505.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,408.56
|
| Rate for Payer: Priority Health Medicare |
$762.87
|
| Rate for Payer: Priority Health Narrow Network |
$1,408.56
|
| Rate for Payer: Priority Health SBD |
$1,408.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$762.87
|
| Rate for Payer: UHC Medicare Advantage |
$762.87
|
| Rate for Payer: UHCCP Medicaid |
$505.66
|
| Rate for Payer: UMR Bronson Commercial |
$637.56
|
|
|
PR INCISION BONE CORTEX FOOT
|
Professional
|
Both
|
$1,152.00
|
|
|
Service Code
|
HCPCS 28005
|
| Min. Negotiated Rate |
$369.77 |
| Max. Negotiated Rate |
$3,691.76 |
| Rate for Payer: Aetna Commercial |
$732.24
|
| Rate for Payer: Aetna Medicare |
$568.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$732.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$786.89
|
| Rate for Payer: BCBS Complete |
$388.26
|
| Rate for Payer: BCBS MAPPO |
$546.45
|
| Rate for Payer: BCBS Trust/PPO |
$3,691.76
|
| Rate for Payer: BCN Commercial |
$831.24
|
| Rate for Payer: BCN Medicare Advantage |
$546.45
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cash Price |
$921.60
|
| Rate for Payer: Cofinity Commercial |
$732.24
|
| Rate for Payer: Cofinity Commercial |
$786.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$546.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$573.77
|
| Rate for Payer: Meridian Medicaid |
$388.26
|
| Rate for Payer: Nomi Health Commercial |
$655.74
|
| Rate for Payer: PACE SWMI |
$546.45
|
| Rate for Payer: PHP Commercial |
$765.03
|
| Rate for Payer: PHP Medicare Advantage |
$546.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$369.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$748.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$876.76
|
| Rate for Payer: Priority Health Medicare |
$546.45
|
| Rate for Payer: Priority Health Narrow Network |
$876.76
|
| Rate for Payer: Priority Health SBD |
$876.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$546.45
|
| Rate for Payer: UHC Medicare Advantage |
$546.45
|
| Rate for Payer: UHCCP Medicaid |
$369.77
|
| Rate for Payer: UMR Bronson Commercial |
$529.92
|
|
|
PR INCISION BONE CORTEX HAND/FINGER
|
Professional
|
Both
|
$952.00
|
|
|
Service Code
|
HCPCS 26034
|
| Min. Negotiated Rate |
$58.64 |
| Max. Negotiated Rate |
$858.95 |
| Rate for Payer: Aetna Commercial |
$714.31
|
| Rate for Payer: Aetna Medicare |
$554.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$714.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$767.62
|
| Rate for Payer: BCBS Complete |
$381.99
|
| Rate for Payer: BCBS MAPPO |
$533.07
|
| Rate for Payer: BCBS Trust/PPO |
$58.64
|
| Rate for Payer: BCN Commercial |
$816.09
|
| Rate for Payer: BCN Medicare Advantage |
$533.07
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cash Price |
$761.60
|
| Rate for Payer: Cofinity Commercial |
$714.31
|
| Rate for Payer: Cofinity Commercial |
$767.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$533.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$559.72
|
| Rate for Payer: Meridian Medicaid |
$381.99
|
| Rate for Payer: Nomi Health Commercial |
$639.68
|
| Rate for Payer: PACE SWMI |
$533.07
|
| Rate for Payer: PHP Commercial |
$746.30
|
| Rate for Payer: PHP Medicare Advantage |
$533.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$363.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$618.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$858.95
|
| Rate for Payer: Priority Health Medicare |
$533.07
|
| Rate for Payer: Priority Health Narrow Network |
$858.95
|
| Rate for Payer: Priority Health SBD |
$858.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$533.07
|
| Rate for Payer: UHC Medicare Advantage |
$533.07
|
| Rate for Payer: UHCCP Medicaid |
$363.80
|
| Rate for Payer: UMR Bronson Commercial |
$437.92
|
|
|
PR INCISION BONE CORTEX PELVIS&/HIP JOINT
|
Professional
|
Both
|
$2,070.00
|
|
|
Service Code
|
HCPCS 26992
|
| Min. Negotiated Rate |
$650.50 |
| Max. Negotiated Rate |
$1,556.60 |
| Rate for Payer: Aetna Commercial |
$1,288.93
|
| Rate for Payer: Aetna Medicare |
$1,000.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,288.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,385.12
|
| Rate for Payer: BCBS Complete |
$683.02
|
| Rate for Payer: BCBS MAPPO |
$961.89
|
| Rate for Payer: BCBS Trust/PPO |
$764.98
|
| Rate for Payer: BCN Commercial |
$1,480.69
|
| Rate for Payer: BCN Medicare Advantage |
$961.89
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cash Price |
$1,656.00
|
| Rate for Payer: Cofinity Commercial |
$1,288.93
|
| Rate for Payer: Cofinity Commercial |
$1,385.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$961.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,009.98
|
| Rate for Payer: Meridian Medicaid |
$683.02
|
| Rate for Payer: Nomi Health Commercial |
$1,154.27
|
| Rate for Payer: PACE SWMI |
$961.89
|
| Rate for Payer: PHP Commercial |
$1,346.65
|
| Rate for Payer: PHP Medicare Advantage |
$961.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$650.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,345.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,556.60
|
| Rate for Payer: Priority Health Medicare |
$961.89
|
| Rate for Payer: Priority Health Narrow Network |
$1,556.60
|
| Rate for Payer: Priority Health SBD |
$1,556.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$961.89
|
| Rate for Payer: UHC Medicare Advantage |
$961.89
|
| Rate for Payer: UHCCP Medicaid |
$650.50
|
| Rate for Payer: UMR Bronson Commercial |
$952.20
|
|
|
PR INCISION BONE CORTEX SHOULDER AREA
|
Professional
|
Both
|
$1,359.00
|
|
|
Service Code
|
HCPCS 23035
|
| Min. Negotiated Rate |
$444.74 |
| Max. Negotiated Rate |
$1,048.77 |
| Rate for Payer: Aetna Commercial |
$881.28
|
| Rate for Payer: Aetna Medicare |
$683.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$881.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$947.04
|
| Rate for Payer: BCBS Complete |
$466.98
|
| Rate for Payer: BCBS MAPPO |
$657.67
|
| Rate for Payer: BCBS Trust/PPO |
$887.54
|
| Rate for Payer: BCN Commercial |
$1,005.70
|
| Rate for Payer: BCN Medicare Advantage |
$657.67
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Cash Price |
$1,087.20
|
| Rate for Payer: Cofinity Commercial |
$881.28
|
| Rate for Payer: Cofinity Commercial |
$947.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$657.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$690.55
|
| Rate for Payer: Meridian Medicaid |
$466.98
|
| Rate for Payer: Nomi Health Commercial |
$789.20
|
| Rate for Payer: PACE SWMI |
$657.67
|
| Rate for Payer: PHP Commercial |
$920.74
|
| Rate for Payer: PHP Medicare Advantage |
$657.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$883.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,048.77
|
| Rate for Payer: Priority Health Medicare |
$657.67
|
| Rate for Payer: Priority Health Narrow Network |
$1,048.77
|
| Rate for Payer: Priority Health SBD |
$1,048.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$657.67
|
| Rate for Payer: UHC Medicare Advantage |
$657.67
|
| Rate for Payer: UHCCP Medicaid |
$444.74
|
| Rate for Payer: UMR Bronson Commercial |
$625.14
|
|
|
PR INCISION DEEP BONE CORTEX FOREARM&/WRIST
|
Professional
|
Both
|
$1,632.00
|
|
|
Service Code
|
HCPCS 25035
|
| Min. Negotiated Rate |
$140.53 |
| Max. Negotiated Rate |
$1,060.80 |
| Rate for Payer: Aetna Commercial |
$765.49
|
| Rate for Payer: Aetna Medicare |
$594.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$822.61
|
| Rate for Payer: BCBS Complete |
$406.82
|
| Rate for Payer: BCBS MAPPO |
$571.26
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: BCN Commercial |
$866.91
|
| Rate for Payer: BCN Medicare Advantage |
$571.26
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cash Price |
$1,305.60
|
| Rate for Payer: Cofinity Commercial |
$765.49
|
| Rate for Payer: Cofinity Commercial |
$822.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$571.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$599.82
|
| Rate for Payer: Meridian Medicaid |
$406.82
|
| Rate for Payer: Nomi Health Commercial |
$685.51
|
| Rate for Payer: PACE SWMI |
$571.26
|
| Rate for Payer: PHP Commercial |
$799.76
|
| Rate for Payer: PHP Medicare Advantage |
$571.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$387.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,060.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$917.47
|
| Rate for Payer: Priority Health Medicare |
$571.26
|
| Rate for Payer: Priority Health Narrow Network |
$917.47
|
| Rate for Payer: Priority Health SBD |
$917.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$571.26
|
| Rate for Payer: UHC Medicare Advantage |
$571.26
|
| Rate for Payer: UHCCP Medicaid |
$387.45
|
| Rate for Payer: UMR Bronson Commercial |
$750.72
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$307.43 |
| Rate for Payer: Aetna Commercial |
$232.41
|
| Rate for Payer: Aetna Medicare |
$180.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.75
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS MAPPO |
$173.44
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: BCN Medicare Advantage |
$173.44
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Cofinity Commercial |
$249.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.11
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Nomi Health Commercial |
$208.13
|
| Rate for Payer: PACE SWMI |
$173.44
|
| Rate for Payer: PHP Commercial |
$242.82
|
| Rate for Payer: PHP Medicare Advantage |
$173.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.05
|
| Rate for Payer: Priority Health Medicare |
$173.44
|
| Rate for Payer: Priority Health Narrow Network |
$251.05
|
| Rate for Payer: Priority Health SBD |
$251.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.44
|
| Rate for Payer: UHC Medicare Advantage |
$173.44
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
| Rate for Payer: UMR Bronson Commercial |
$168.82
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
IP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$161.48 |
| Max. Negotiated Rate |
$330.30 |
| Rate for Payer: Aetna American Axle |
$238.55
|
| Rate for Payer: Aetna Commercial |
$311.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.55
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$256.90
|
| Rate for Payer: Cofinity Commercial |
$315.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Healthscope Commercial |
$330.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$275.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health SBD |
$231.21
|
| Rate for Payer: UMR Bronson Commercial |
$161.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$275.25
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Facility
|
OP
|
$367.00
|
|
|
Service Code
|
CPT 10061
|
| Hospital Charge Code |
10061
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$135.79 |
| Max. Negotiated Rate |
$1,230.33 |
| Rate for Payer: Aetna American Axle |
$238.55
|
| Rate for Payer: Aetna Commercial |
$311.95
|
| Rate for Payer: Aetna Medicare |
$407.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.55
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$489.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$489.31
|
| Rate for Payer: BCBS Complete |
$220.31
|
| Rate for Payer: BCBS MAPPO |
$391.45
|
| Rate for Payer: BCBS Trust/PPO |
$418.44
|
| Rate for Payer: BCN Commercial |
$418.44
|
| Rate for Payer: BCN Medicare Advantage |
$391.45
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$256.90
|
| Rate for Payer: Cofinity Commercial |
$315.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$391.45
|
| Rate for Payer: Healthscope Commercial |
$330.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$275.25
|
| Rate for Payer: Mclaren Medicaid |
$209.82
|
| Rate for Payer: Mclaren Medicare |
$391.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$411.02
|
| Rate for Payer: Meridian Medicaid |
$220.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$450.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.95
|
| Rate for Payer: Nomi Health Commercial |
$822.04
|
| Rate for Payer: PACE Medicare |
$371.88
|
| Rate for Payer: PACE SWMI |
$391.45
|
| Rate for Payer: PHP Commercial |
$311.95
|
| Rate for Payer: PHP Medicare Advantage |
$391.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$209.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,230.33
|
| Rate for Payer: Priority Health Medicare |
$391.45
|
| Rate for Payer: Priority Health Narrow Network |
$984.26
|
| Rate for Payer: Priority Health SBD |
$231.21
|
| Rate for Payer: Railroad Medicare Medicare |
$391.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$193.31
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$391.45
|
| Rate for Payer: UHC Exchange |
$175.74
|
| Rate for Payer: UHC Medicare Advantage |
$391.45
|
| Rate for Payer: UHCCP Medicaid |
$209.82
|
| Rate for Payer: UMR Bronson Commercial |
$135.79
|
| Rate for Payer: VA VA |
$391.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$275.25
|
|
|
PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
HCPCS 10061
|
| Hospital Charge Code |
10061
|
| Min. Negotiated Rate |
$118.43 |
| Max. Negotiated Rate |
$307.43 |
| Rate for Payer: Aetna Commercial |
$232.41
|
| Rate for Payer: Aetna Medicare |
$180.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.75
|
| Rate for Payer: BCBS Complete |
$124.35
|
| Rate for Payer: BCBS MAPPO |
$173.44
|
| Rate for Payer: BCBS Trust/PPO |
$307.43
|
| Rate for Payer: BCN Commercial |
$250.13
|
| Rate for Payer: BCN Medicare Advantage |
$173.44
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cash Price |
$293.60
|
| Rate for Payer: Cofinity Commercial |
$249.75
|
| Rate for Payer: Cofinity Commercial |
$232.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.11
|
| Rate for Payer: Meridian Medicaid |
$124.35
|
| Rate for Payer: Nomi Health Commercial |
$208.13
|
| Rate for Payer: PACE SWMI |
$173.44
|
| Rate for Payer: PHP Commercial |
$242.82
|
| Rate for Payer: PHP Medicare Advantage |
$173.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$118.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$251.05
|
| Rate for Payer: Priority Health Medicare |
$173.44
|
| Rate for Payer: Priority Health Narrow Network |
$251.05
|
| Rate for Payer: Priority Health SBD |
$251.05
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.44
|
| Rate for Payer: UHC Medicare Advantage |
$173.44
|
| Rate for Payer: UHCCP Medicaid |
$118.43
|
| Rate for Payer: UMR Bronson Commercial |
$168.82
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
OP
|
$184.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$68.08 |
| Max. Negotiated Rate |
$700.00 |
| Rate for Payer: Aetna American Axle |
$119.60
|
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: Aetna Medicare |
$202.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$243.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$243.35
|
| Rate for Payer: BCBS Complete |
$109.57
|
| Rate for Payer: BCBS MAPPO |
$194.68
|
| Rate for Payer: BCBS Trust/PPO |
$262.58
|
| Rate for Payer: BCN Commercial |
$262.58
|
| Rate for Payer: BCN Medicare Advantage |
$194.68
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$128.80
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$128.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$194.68
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$128.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.00
|
| Rate for Payer: Mclaren Medicaid |
$104.35
|
| Rate for Payer: Mclaren Medicare |
$194.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$204.41
|
| Rate for Payer: Meridian Medicaid |
$109.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$223.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: Nomi Health Commercial |
$408.83
|
| Rate for Payer: PACE Medicare |
$184.95
|
| Rate for Payer: PACE SWMI |
$194.68
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: PHP Medicare Advantage |
$194.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$611.90
|
| Rate for Payer: Priority Health Medicare |
$194.68
|
| Rate for Payer: Priority Health Narrow Network |
$489.52
|
| Rate for Payer: Priority Health SBD |
$115.92
|
| Rate for Payer: Railroad Medicare Medicare |
$194.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$110.79
|
| Rate for Payer: UHC Core |
$700.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$194.68
|
| Rate for Payer: UHC Exchange |
$100.72
|
| Rate for Payer: UHC Medicare Advantage |
$194.68
|
| Rate for Payer: UHCCP Medicaid |
$104.35
|
| Rate for Payer: UMR Bronson Commercial |
$68.08
|
| Rate for Payer: VA VA |
$194.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.00
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 10060
|
| Min. Negotiated Rate |
$10.31 |
| Max. Negotiated Rate |
$147.64 |
| Rate for Payer: Aetna Commercial |
$134.12
|
| Rate for Payer: Aetna Medicare |
$104.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.13
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$100.09
|
| Rate for Payer: BCBS Trust/PPO |
$10.31
|
| Rate for Payer: BCN Commercial |
$147.64
|
| Rate for Payer: BCN Medicare Advantage |
$100.09
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$134.12
|
| Rate for Payer: Cofinity Commercial |
$144.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.09
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Nomi Health Commercial |
$120.11
|
| Rate for Payer: PACE SWMI |
$100.09
|
| Rate for Payer: PHP Commercial |
$140.13
|
| Rate for Payer: PHP Medicare Advantage |
$100.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.39
|
| Rate for Payer: Priority Health Medicare |
$100.09
|
| Rate for Payer: Priority Health Narrow Network |
$145.39
|
| Rate for Payer: Priority Health SBD |
$145.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.09
|
| Rate for Payer: UHC Medicare Advantage |
$100.09
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
| Rate for Payer: UMR Bronson Commercial |
$84.64
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Facility
|
IP
|
$184.00
|
|
|
Service Code
|
CPT 10060
|
| Hospital Charge Code |
10060
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$80.96 |
| Max. Negotiated Rate |
$165.60 |
| Rate for Payer: Aetna American Axle |
$119.60
|
| Rate for Payer: Aetna Commercial |
$156.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.60
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$128.80
|
| Rate for Payer: Cofinity Commercial |
$158.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$128.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$147.20
|
| Rate for Payer: Healthscope Commercial |
$165.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$128.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$138.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$156.40
|
| Rate for Payer: PHP Commercial |
$156.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health SBD |
$115.92
|
| Rate for Payer: UMR Bronson Commercial |
$80.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$138.00
|
|
|
PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE
|
Professional
|
Both
|
$184.00
|
|
|
Service Code
|
HCPCS 10060
|
| Hospital Charge Code |
10060
|
| Min. Negotiated Rate |
$10.31 |
| Max. Negotiated Rate |
$147.64 |
| Rate for Payer: Aetna Commercial |
$134.12
|
| Rate for Payer: Aetna Medicare |
$104.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$134.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$144.13
|
| Rate for Payer: BCBS Complete |
$72.46
|
| Rate for Payer: BCBS MAPPO |
$100.09
|
| Rate for Payer: BCBS Trust/PPO |
$10.31
|
| Rate for Payer: BCN Commercial |
$147.64
|
| Rate for Payer: BCN Medicare Advantage |
$100.09
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cash Price |
$147.20
|
| Rate for Payer: Cofinity Commercial |
$144.13
|
| Rate for Payer: Cofinity Commercial |
$134.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$100.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$105.09
|
| Rate for Payer: Meridian Medicaid |
$72.46
|
| Rate for Payer: Nomi Health Commercial |
$120.11
|
| Rate for Payer: PACE SWMI |
$100.09
|
| Rate for Payer: PHP Commercial |
$140.13
|
| Rate for Payer: PHP Medicare Advantage |
$100.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.39
|
| Rate for Payer: Priority Health Medicare |
$100.09
|
| Rate for Payer: Priority Health Narrow Network |
$145.39
|
| Rate for Payer: Priority Health SBD |
$145.39
|
| Rate for Payer: UHC Dual Complete DSNP |
$100.09
|
| Rate for Payer: UHC Medicare Advantage |
$100.09
|
| Rate for Payer: UHCCP Medicaid |
$69.01
|
| Rate for Payer: UMR Bronson Commercial |
$84.64
|
|
|
PR INCISION&DRAINAGE BURSA FOOT
|
Professional
|
Both
|
$444.00
|
|
|
Service Code
|
HCPCS 28001
|
| Min. Negotiated Rate |
$61.34 |
| Max. Negotiated Rate |
$795.62 |
| Rate for Payer: Aetna Commercial |
$123.25
|
| Rate for Payer: Aetna Medicare |
$95.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.45
|
| Rate for Payer: BCBS Complete |
$64.41
|
| Rate for Payer: BCBS MAPPO |
$91.98
|
| Rate for Payer: BCBS Trust/PPO |
$795.62
|
| Rate for Payer: BCN Commercial |
$249.71
|
| Rate for Payer: BCN Medicare Advantage |
$91.98
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cofinity Commercial |
$123.25
|
| Rate for Payer: Cofinity Commercial |
$132.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.58
|
| Rate for Payer: Meridian Medicaid |
$64.41
|
| Rate for Payer: Nomi Health Commercial |
$110.38
|
| Rate for Payer: PACE SWMI |
$91.98
|
| Rate for Payer: PHP Commercial |
$128.77
|
| Rate for Payer: PHP Medicare Advantage |
$91.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$288.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$145.53
|
| Rate for Payer: Priority Health Medicare |
$91.98
|
| Rate for Payer: Priority Health Narrow Network |
$145.53
|
| Rate for Payer: Priority Health SBD |
$145.53
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.98
|
| Rate for Payer: UHC Medicare Advantage |
$91.98
|
| Rate for Payer: UHCCP Medicaid |
$61.34
|
| Rate for Payer: UMR Bronson Commercial |
$204.24
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Facility
|
OP
|
$673.00
|
|
|
Service Code
|
CPT 10180
|
| Hospital Charge Code |
10180
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$171.86 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$437.45
|
| Rate for Payer: Aetna Commercial |
$572.05
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.45
|
| 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 |
$2,657.14
|
| Rate for Payer: BCN Commercial |
$2,657.14
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$471.10
|
| Rate for Payer: Cofinity Commercial |
$578.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$471.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$538.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$605.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$471.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$504.75
|
| 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 |
$572.05
|
| 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 |
$572.05
|
| 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 |
$437.45
|
| 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 |
$423.99
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.05
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$171.86
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$249.01
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$504.75
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 10180
|
| Hospital Charge Code |
10180
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$437.45 |
| Rate for Payer: Aetna Commercial |
$229.58
|
| Rate for Payer: Aetna Medicare |
$178.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.72
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$171.33
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$386.55
|
| Rate for Payer: BCN Medicare Advantage |
$171.33
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$246.72
|
| Rate for Payer: Cofinity Commercial |
$229.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.90
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Nomi Health Commercial |
$205.60
|
| Rate for Payer: PACE SWMI |
$171.33
|
| Rate for Payer: PHP Commercial |
$239.86
|
| Rate for Payer: PHP Medicare Advantage |
$171.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.37
|
| Rate for Payer: Priority Health Medicare |
$171.33
|
| Rate for Payer: Priority Health Narrow Network |
$243.37
|
| Rate for Payer: Priority Health SBD |
$243.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.33
|
| Rate for Payer: UHC Medicare Advantage |
$171.33
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
| Rate for Payer: UMR Bronson Commercial |
$309.58
|
|
|
PR INCISION & DRAINAGE COMPLEX PO WOUND INFECTION
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
HCPCS 10180
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$437.45 |
| Rate for Payer: Aetna Commercial |
$229.58
|
| Rate for Payer: Aetna Medicare |
$178.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$246.72
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$171.33
|
| Rate for Payer: BCBS Trust/PPO |
$28.95
|
| Rate for Payer: BCN Commercial |
$386.55
|
| Rate for Payer: BCN Medicare Advantage |
$171.33
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cash Price |
$538.40
|
| Rate for Payer: Cofinity Commercial |
$229.58
|
| Rate for Payer: Cofinity Commercial |
$246.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$171.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.90
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Nomi Health Commercial |
$205.60
|
| Rate for Payer: PACE SWMI |
$171.33
|
| Rate for Payer: PHP Commercial |
$239.86
|
| Rate for Payer: PHP Medicare Advantage |
$171.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$437.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$243.37
|
| Rate for Payer: Priority Health Medicare |
$171.33
|
| Rate for Payer: Priority Health Narrow Network |
$243.37
|
| Rate for Payer: Priority Health SBD |
$243.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$171.33
|
| Rate for Payer: UHC Medicare Advantage |
$171.33
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
| Rate for Payer: UMR Bronson Commercial |
$309.58
|
|
