|
PR INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR
|
Professional
|
Both
|
$3,579.00
|
|
|
Service Code
|
HCPCS 36560
|
| Min. Negotiated Rate |
$246.02 |
| Max. Negotiated Rate |
$2,326.35 |
| Rate for Payer: Aetna Commercial |
$496.98
|
| Rate for Payer: Aetna Medicare |
$385.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$496.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.07
|
| Rate for Payer: BCBS Complete |
$258.32
|
| Rate for Payer: BCBS MAPPO |
$370.88
|
| Rate for Payer: BCBS Trust/PPO |
$2,003.31
|
| Rate for Payer: BCN Commercial |
$1,825.70
|
| Rate for Payer: BCN Medicare Advantage |
$370.88
|
| Rate for Payer: Cash Price |
$2,863.20
|
| Rate for Payer: Cash Price |
$2,863.20
|
| Rate for Payer: Cofinity Commercial |
$496.98
|
| Rate for Payer: Cofinity Commercial |
$534.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.42
|
| Rate for Payer: Meridian Medicaid |
$258.32
|
| Rate for Payer: Nomi Health Commercial |
$445.06
|
| Rate for Payer: PACE SWMI |
$370.88
|
| Rate for Payer: PHP Commercial |
$519.23
|
| Rate for Payer: PHP Medicare Advantage |
$370.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$246.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,326.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$610.01
|
| Rate for Payer: Priority Health Medicare |
$370.88
|
| Rate for Payer: Priority Health Narrow Network |
$610.01
|
| Rate for Payer: Priority Health SBD |
$610.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$370.88
|
| Rate for Payer: UHC Medicare Advantage |
$370.88
|
| Rate for Payer: UHCCP Medicaid |
$246.02
|
| Rate for Payer: UMR Bronson Commercial |
$1,646.34
|
|
|
PR INSJ TUNNELED CTR VAD W/SUBQ PUMP
|
Professional
|
Both
|
$3,589.00
|
|
|
Service Code
|
HCPCS 36563
|
| Min. Negotiated Rate |
$230.25 |
| Max. Negotiated Rate |
$2,332.85 |
| Rate for Payer: Aetna Commercial |
$464.60
|
| Rate for Payer: Aetna Medicare |
$360.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$464.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$499.28
|
| Rate for Payer: BCBS Complete |
$241.76
|
| Rate for Payer: BCBS MAPPO |
$346.72
|
| Rate for Payer: BCBS Trust/PPO |
$742.79
|
| Rate for Payer: BCN Commercial |
$1,661.01
|
| Rate for Payer: BCN Medicare Advantage |
$346.72
|
| Rate for Payer: Cash Price |
$2,871.20
|
| Rate for Payer: Cash Price |
$2,871.20
|
| Rate for Payer: Cofinity Commercial |
$464.60
|
| Rate for Payer: Cofinity Commercial |
$499.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$346.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$364.06
|
| Rate for Payer: Meridian Medicaid |
$241.76
|
| Rate for Payer: Nomi Health Commercial |
$416.06
|
| Rate for Payer: PACE SWMI |
$346.72
|
| Rate for Payer: PHP Commercial |
$485.41
|
| Rate for Payer: PHP Medicare Advantage |
$346.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$230.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,332.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$570.11
|
| Rate for Payer: Priority Health Medicare |
$346.72
|
| Rate for Payer: Priority Health Narrow Network |
$570.11
|
| Rate for Payer: Priority Health SBD |
$570.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$346.72
|
| Rate for Payer: UHC Medicare Advantage |
$346.72
|
| Rate for Payer: UHCCP Medicaid |
$230.25
|
| Rate for Payer: UMR Bronson Commercial |
$1,650.94
|
|
|
PR INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>
|
Professional
|
Both
|
$1,982.00
|
|
|
Service Code
|
HCPCS 36558
|
| Min. Negotiated Rate |
$163.58 |
| Max. Negotiated Rate |
$1,620.82 |
| Rate for Payer: Aetna Commercial |
$328.11
|
| Rate for Payer: Aetna Medicare |
$254.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$328.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$352.60
|
| Rate for Payer: BCBS Complete |
$171.76
|
| Rate for Payer: BCBS MAPPO |
$244.86
|
| Rate for Payer: BCBS Trust/PPO |
$1,620.82
|
| Rate for Payer: BCN Commercial |
$1,224.63
|
| Rate for Payer: BCN Medicare Advantage |
$244.86
|
| Rate for Payer: Cash Price |
$1,585.60
|
| Rate for Payer: Cash Price |
$1,585.60
|
| Rate for Payer: Cofinity Commercial |
$328.11
|
| Rate for Payer: Cofinity Commercial |
$352.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$244.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$257.10
|
| Rate for Payer: Meridian Medicaid |
$171.76
|
| Rate for Payer: Nomi Health Commercial |
$293.83
|
| Rate for Payer: PACE SWMI |
$244.86
|
| Rate for Payer: PHP Commercial |
$342.80
|
| Rate for Payer: PHP Medicare Advantage |
$244.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$163.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$405.78
|
| Rate for Payer: Priority Health Medicare |
$244.86
|
| Rate for Payer: Priority Health Narrow Network |
$405.78
|
| Rate for Payer: Priority Health SBD |
$405.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$244.86
|
| Rate for Payer: UHC Medicare Advantage |
$244.86
|
| Rate for Payer: UHCCP Medicaid |
$163.58
|
| Rate for Payer: UMR Bronson Commercial |
$911.72
|
|
|
PR INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$1,738.00
|
|
|
Service Code
|
HCPCS 36565
|
| Min. Negotiated Rate |
$213.64 |
| Max. Negotiated Rate |
$1,210.95 |
| Rate for Payer: Aetna Commercial |
$432.58
|
| Rate for Payer: Aetna Medicare |
$335.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$432.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$464.86
|
| Rate for Payer: BCBS Complete |
$224.32
|
| Rate for Payer: BCBS MAPPO |
$322.82
|
| Rate for Payer: BCBS Trust/PPO |
$705.81
|
| Rate for Payer: BCN Commercial |
$1,210.95
|
| Rate for Payer: BCN Medicare Advantage |
$322.82
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cash Price |
$1,390.40
|
| Rate for Payer: Cofinity Commercial |
$432.58
|
| Rate for Payer: Cofinity Commercial |
$464.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$322.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$338.96
|
| Rate for Payer: Meridian Medicaid |
$224.32
|
| Rate for Payer: Nomi Health Commercial |
$387.38
|
| Rate for Payer: PACE SWMI |
$322.82
|
| Rate for Payer: PHP Commercial |
$451.95
|
| Rate for Payer: PHP Medicare Advantage |
$322.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,129.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$530.76
|
| Rate for Payer: Priority Health Medicare |
$322.82
|
| Rate for Payer: Priority Health Narrow Network |
$530.76
|
| Rate for Payer: Priority Health SBD |
$530.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$322.82
|
| Rate for Payer: UHC Medicare Advantage |
$322.82
|
| Rate for Payer: UHCCP Medicaid |
$213.64
|
| Rate for Payer: UMR Bronson Commercial |
$799.48
|
|
|
PR INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT
|
Professional
|
Both
|
$2,907.00
|
|
|
Service Code
|
HCPCS 36566
|
| Min. Negotiated Rate |
$225.57 |
| Max. Negotiated Rate |
$6,274.62 |
| Rate for Payer: Aetna Commercial |
$455.04
|
| Rate for Payer: Aetna Medicare |
$353.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$455.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$489.00
|
| Rate for Payer: BCBS Complete |
$236.85
|
| Rate for Payer: BCBS MAPPO |
$339.58
|
| Rate for Payer: BCBS Trust/PPO |
$907.09
|
| Rate for Payer: BCN Commercial |
$6,274.62
|
| Rate for Payer: BCN Medicare Advantage |
$339.58
|
| Rate for Payer: Cash Price |
$2,325.60
|
| Rate for Payer: Cash Price |
$2,325.60
|
| Rate for Payer: Cofinity Commercial |
$455.04
|
| Rate for Payer: Cofinity Commercial |
$489.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$339.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$356.56
|
| Rate for Payer: Meridian Medicaid |
$236.85
|
| Rate for Payer: Nomi Health Commercial |
$407.50
|
| Rate for Payer: PACE SWMI |
$339.58
|
| Rate for Payer: PHP Commercial |
$475.41
|
| Rate for Payer: PHP Medicare Advantage |
$339.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,889.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$561.07
|
| Rate for Payer: Priority Health Medicare |
$339.58
|
| Rate for Payer: Priority Health Narrow Network |
$561.07
|
| Rate for Payer: Priority Health SBD |
$561.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$339.58
|
| Rate for Payer: UHC Medicare Advantage |
$339.58
|
| Rate for Payer: UHCCP Medicaid |
$225.57
|
| Rate for Payer: UMR Bronson Commercial |
$1,337.22
|
|
|
PR INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL
|
Professional
|
Both
|
$1,514.00
|
|
|
Service Code
|
HCPCS 33206
|
| Min. Negotiated Rate |
$286.91 |
| Max. Negotiated Rate |
$1,398.41 |
| Rate for Payer: Aetna Commercial |
$577.59
|
| Rate for Payer: Aetna Medicare |
$448.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$577.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$620.70
|
| Rate for Payer: BCBS Complete |
$301.26
|
| Rate for Payer: BCBS MAPPO |
$431.04
|
| Rate for Payer: BCBS Trust/PPO |
$1,398.41
|
| Rate for Payer: BCN Commercial |
$658.25
|
| Rate for Payer: BCN Medicare Advantage |
$431.04
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cash Price |
$1,211.20
|
| Rate for Payer: Cofinity Commercial |
$577.59
|
| Rate for Payer: Cofinity Commercial |
$620.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$431.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$452.59
|
| Rate for Payer: Meridian Medicaid |
$301.26
|
| Rate for Payer: Nomi Health Commercial |
$517.25
|
| Rate for Payer: PACE SWMI |
$431.04
|
| Rate for Payer: PHP Commercial |
$603.46
|
| Rate for Payer: PHP Medicare Advantage |
$431.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$286.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$984.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$713.18
|
| Rate for Payer: Priority Health Medicare |
$431.04
|
| Rate for Payer: Priority Health Narrow Network |
$713.18
|
| Rate for Payer: Priority Health SBD |
$713.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$431.04
|
| Rate for Payer: UHC Medicare Advantage |
$431.04
|
| Rate for Payer: UHCCP Medicaid |
$286.91
|
| Rate for Payer: UMR Bronson Commercial |
$696.44
|
|
|
PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT
|
Professional
|
Both
|
$1,665.00
|
|
|
Service Code
|
HCPCS 33208
|
| Min. Negotiated Rate |
$325.89 |
| Max. Negotiated Rate |
$1,548.45 |
| Rate for Payer: Aetna Commercial |
$658.70
|
| Rate for Payer: Aetna Medicare |
$511.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$658.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$707.86
|
| Rate for Payer: BCBS Complete |
$342.18
|
| Rate for Payer: BCBS MAPPO |
$491.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,548.45
|
| Rate for Payer: BCN Commercial |
$748.66
|
| Rate for Payer: BCN Medicare Advantage |
$491.57
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cash Price |
$1,332.00
|
| Rate for Payer: Cofinity Commercial |
$658.70
|
| Rate for Payer: Cofinity Commercial |
$707.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$491.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$516.15
|
| Rate for Payer: Meridian Medicaid |
$342.18
|
| Rate for Payer: Nomi Health Commercial |
$589.88
|
| Rate for Payer: PACE SWMI |
$491.57
|
| Rate for Payer: PHP Commercial |
$688.20
|
| Rate for Payer: PHP Medicare Advantage |
$491.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$325.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,082.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$811.03
|
| Rate for Payer: Priority Health Medicare |
$491.57
|
| Rate for Payer: Priority Health Narrow Network |
$811.03
|
| Rate for Payer: Priority Health SBD |
$811.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$491.57
|
| Rate for Payer: UHC Medicare Advantage |
$491.57
|
| Rate for Payer: UHCCP Medicaid |
$325.89
|
| Rate for Payer: UMR Bronson Commercial |
$765.90
|
|
|
PR INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR
|
Professional
|
Both
|
$1,816.00
|
|
|
Service Code
|
HCPCS 33207
|
| Min. Negotiated Rate |
$301.82 |
| Max. Negotiated Rate |
$1,343.47 |
| Rate for Payer: Aetna Commercial |
$609.71
|
| Rate for Payer: Aetna Medicare |
$473.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$655.21
|
| Rate for Payer: BCBS Complete |
$316.91
|
| Rate for Payer: BCBS MAPPO |
$455.01
|
| Rate for Payer: BCBS Trust/PPO |
$1,343.47
|
| Rate for Payer: BCN Commercial |
$690.99
|
| Rate for Payer: BCN Medicare Advantage |
$455.01
|
| Rate for Payer: Cash Price |
$1,452.80
|
| Rate for Payer: Cash Price |
$1,452.80
|
| Rate for Payer: Cofinity Commercial |
$609.71
|
| Rate for Payer: Cofinity Commercial |
$655.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$455.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$477.76
|
| Rate for Payer: Meridian Medicaid |
$316.91
|
| Rate for Payer: Nomi Health Commercial |
$546.01
|
| Rate for Payer: PACE SWMI |
$455.01
|
| Rate for Payer: PHP Commercial |
$637.01
|
| Rate for Payer: PHP Medicare Advantage |
$455.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$301.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,180.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$749.34
|
| Rate for Payer: Priority Health Medicare |
$455.01
|
| Rate for Payer: Priority Health Narrow Network |
$749.34
|
| Rate for Payer: Priority Health SBD |
$749.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$455.01
|
| Rate for Payer: UHC Medicare Advantage |
$455.01
|
| Rate for Payer: UHCCP Medicaid |
$301.82
|
| Rate for Payer: UMR Bronson Commercial |
$835.36
|
|
|
PR INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS
|
Professional
|
Both
|
$1,271.00
|
|
|
Service Code
|
HCPCS 33213
|
| Min. Negotiated Rate |
$213.21 |
| Max. Negotiated Rate |
$1,352.98 |
| Rate for Payer: Aetna Commercial |
$429.03
|
| Rate for Payer: Aetna Medicare |
$332.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$461.04
|
| Rate for Payer: BCBS Complete |
$223.87
|
| Rate for Payer: BCBS MAPPO |
$320.17
|
| Rate for Payer: BCBS Trust/PPO |
$1,352.98
|
| Rate for Payer: BCN Commercial |
$486.24
|
| Rate for Payer: BCN Medicare Advantage |
$320.17
|
| Rate for Payer: Cash Price |
$1,016.80
|
| Rate for Payer: Cash Price |
$1,016.80
|
| Rate for Payer: Cofinity Commercial |
$429.03
|
| Rate for Payer: Cofinity Commercial |
$461.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$320.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$336.18
|
| Rate for Payer: Meridian Medicaid |
$223.87
|
| Rate for Payer: Nomi Health Commercial |
$384.20
|
| Rate for Payer: PACE SWMI |
$320.17
|
| Rate for Payer: PHP Commercial |
$448.24
|
| Rate for Payer: PHP Medicare Advantage |
$320.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$213.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$826.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$531.83
|
| Rate for Payer: Priority Health Medicare |
$320.17
|
| Rate for Payer: Priority Health Narrow Network |
$531.83
|
| Rate for Payer: Priority Health SBD |
$531.83
|
| Rate for Payer: UHC Dual Complete DSNP |
$320.17
|
| Rate for Payer: UHC Medicare Advantage |
$320.17
|
| Rate for Payer: UHCCP Medicaid |
$213.21
|
| Rate for Payer: UMR Bronson Commercial |
$584.66
|
|
|
PR INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS
|
Professional
|
Both
|
$744.00
|
|
|
Service Code
|
HCPCS 33221
|
| Min. Negotiated Rate |
$225.35 |
| Max. Negotiated Rate |
$1,089.35 |
| Rate for Payer: Aetna Commercial |
$453.48
|
| Rate for Payer: Aetna Medicare |
$351.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$453.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$487.32
|
| Rate for Payer: BCBS Complete |
$236.62
|
| Rate for Payer: BCBS MAPPO |
$338.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,089.35
|
| Rate for Payer: BCN Commercial |
$519.95
|
| Rate for Payer: BCN Medicare Advantage |
$338.42
|
| Rate for Payer: Cash Price |
$595.20
|
| Rate for Payer: Cash Price |
$595.20
|
| Rate for Payer: Cofinity Commercial |
$453.48
|
| Rate for Payer: Cofinity Commercial |
$487.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$338.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$355.34
|
| Rate for Payer: Meridian Medicaid |
$236.62
|
| Rate for Payer: Nomi Health Commercial |
$406.10
|
| Rate for Payer: PACE SWMI |
$338.42
|
| Rate for Payer: PHP Commercial |
$473.79
|
| Rate for Payer: PHP Medicare Advantage |
$338.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$225.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$483.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$561.61
|
| Rate for Payer: Priority Health Medicare |
$338.42
|
| Rate for Payer: Priority Health Narrow Network |
$561.61
|
| Rate for Payer: Priority Health SBD |
$561.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$338.42
|
| Rate for Payer: UHC Medicare Advantage |
$338.42
|
| Rate for Payer: UHCCP Medicaid |
$225.35
|
| Rate for Payer: UMR Bronson Commercial |
$342.24
|
|
|
PR INS PM PLS GEN W/EXIST SINGLE LEAD
|
Professional
|
Both
|
$1,120.00
|
|
|
Service Code
|
HCPCS 33212
|
| Min. Negotiated Rate |
$204.91 |
| Max. Negotiated Rate |
$1,488.75 |
| Rate for Payer: Aetna Commercial |
$412.25
|
| Rate for Payer: Aetna Medicare |
$319.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$412.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$443.02
|
| Rate for Payer: BCBS Complete |
$215.16
|
| Rate for Payer: BCBS MAPPO |
$307.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,488.75
|
| Rate for Payer: BCN Commercial |
$464.73
|
| Rate for Payer: BCN Medicare Advantage |
$307.65
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cash Price |
$896.00
|
| Rate for Payer: Cofinity Commercial |
$412.25
|
| Rate for Payer: Cofinity Commercial |
$443.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$307.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$323.03
|
| Rate for Payer: Meridian Medicaid |
$215.16
|
| Rate for Payer: Nomi Health Commercial |
$369.18
|
| Rate for Payer: PACE SWMI |
$307.65
|
| Rate for Payer: PHP Commercial |
$430.71
|
| Rate for Payer: PHP Medicare Advantage |
$307.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$204.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$728.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$507.90
|
| Rate for Payer: Priority Health Medicare |
$307.65
|
| Rate for Payer: Priority Health Narrow Network |
$507.90
|
| Rate for Payer: Priority Health SBD |
$507.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$307.65
|
| Rate for Payer: UHC Medicare Advantage |
$307.65
|
| Rate for Payer: UHCCP Medicaid |
$204.91
|
| Rate for Payer: UMR Bronson Commercial |
$515.20
|
|
|
PR INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD
|
Professional
|
Both
|
$1,176.00
|
|
|
Service Code
|
HCPCS 33270
|
| Min. Negotiated Rate |
$352.73 |
| Max. Negotiated Rate |
$1,575.39 |
| Rate for Payer: Aetna Commercial |
$712.29
|
| Rate for Payer: Aetna Medicare |
$552.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$712.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$765.45
|
| Rate for Payer: BCBS Complete |
$370.37
|
| Rate for Payer: BCBS MAPPO |
$531.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,575.39
|
| Rate for Payer: BCN Commercial |
$812.18
|
| Rate for Payer: BCN Medicare Advantage |
$531.56
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cash Price |
$940.80
|
| Rate for Payer: Cofinity Commercial |
$712.29
|
| Rate for Payer: Cofinity Commercial |
$765.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$531.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.14
|
| Rate for Payer: Meridian Medicaid |
$370.37
|
| Rate for Payer: Nomi Health Commercial |
$637.87
|
| Rate for Payer: PACE SWMI |
$531.56
|
| Rate for Payer: PHP Commercial |
$744.18
|
| Rate for Payer: PHP Medicare Advantage |
$531.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$352.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$764.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$877.50
|
| Rate for Payer: Priority Health Medicare |
$531.56
|
| Rate for Payer: Priority Health Narrow Network |
$877.50
|
| Rate for Payer: Priority Health SBD |
$877.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$531.56
|
| Rate for Payer: UHC Medicare Advantage |
$531.56
|
| Rate for Payer: UHCCP Medicaid |
$352.73
|
| Rate for Payer: UMR Bronson Commercial |
$540.96
|
|
|
PR INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ&CONN
|
Professional
|
Both
|
$995.00
|
|
|
Service Code
|
HCPCS 64590
|
| Min. Negotiated Rate |
$188.93 |
| Max. Negotiated Rate |
$1,604.98 |
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Aetna Commercial |
$377.99
|
| Rate for Payer: Aetna Medicare |
$293.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$377.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.20
|
| Rate for Payer: BCBS Complete |
$198.38
|
| Rate for Payer: BCBS MAPPO |
$282.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,604.98
|
| Rate for Payer: BCN Commercial |
$384.59
|
| Rate for Payer: BCN Medicare Advantage |
$282.08
|
| Rate for Payer: Cash Price |
$796.00
|
| Rate for Payer: Cofinity Commercial |
$377.99
|
| Rate for Payer: Cofinity Commercial |
$406.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$282.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$296.18
|
| Rate for Payer: Meridian Medicaid |
$198.38
|
| Rate for Payer: Nomi Health Commercial |
$338.50
|
| Rate for Payer: PACE SWMI |
$282.08
|
| Rate for Payer: PHP Commercial |
$394.91
|
| Rate for Payer: PHP Medicare Advantage |
$282.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$188.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$646.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$502.18
|
| Rate for Payer: Priority Health Medicare |
$282.08
|
| Rate for Payer: Priority Health Narrow Network |
$502.18
|
| Rate for Payer: Priority Health SBD |
$502.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$282.08
|
| Rate for Payer: UHC Medicare Advantage |
$282.08
|
| Rate for Payer: UHCCP Medicaid |
$188.93
|
| Rate for Payer: UMR Bronson Commercial |
$457.70
|
|
|
PR INSRT CH WALL RESPIR ELTRD/RA & CONJ PULSE GEN
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS 0466T
|
| Min. Negotiated Rate |
$194.00 |
| Max. Negotiated Rate |
$315.25 |
| Rate for Payer: Aetna Medicare |
$242.50
|
| Rate for Payer: BCBS Complete |
$194.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.25
|
| Rate for Payer: UMR Bronson Commercial |
$223.10
|
|
|
PR INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY
|
Professional
|
Both
|
$213.00
|
|
|
Service Code
|
HCPCS 32562
|
| Min. Negotiated Rate |
$37.70 |
| Max. Negotiated Rate |
$724.30 |
| Rate for Payer: Aetna Commercial |
$76.15
|
| Rate for Payer: Aetna Medicare |
$59.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.84
|
| Rate for Payer: BCBS Complete |
$39.58
|
| Rate for Payer: BCBS MAPPO |
$56.83
|
| Rate for Payer: BCBS Trust/PPO |
$724.30
|
| Rate for Payer: BCN Commercial |
$122.17
|
| Rate for Payer: BCN Medicare Advantage |
$56.83
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cofinity Commercial |
$81.84
|
| Rate for Payer: Cofinity Commercial |
$76.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.67
|
| Rate for Payer: Meridian Medicaid |
$39.58
|
| Rate for Payer: Nomi Health Commercial |
$68.20
|
| Rate for Payer: PACE SWMI |
$56.83
|
| Rate for Payer: PHP Commercial |
$79.56
|
| Rate for Payer: PHP Medicare Advantage |
$56.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$37.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$138.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$82.04
|
| Rate for Payer: Priority Health Medicare |
$56.83
|
| Rate for Payer: Priority Health Narrow Network |
$82.04
|
| Rate for Payer: Priority Health SBD |
$82.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.83
|
| Rate for Payer: UHC Medicare Advantage |
$56.83
|
| Rate for Payer: UHCCP Medicaid |
$37.70
|
| Rate for Payer: UMR Bronson Commercial |
$97.98
|
|
|
PR INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS
|
Professional
|
Both
|
$455.00
|
|
|
Service Code
|
HCPCS 32560
|
| Min. Negotiated Rate |
$47.71 |
| Max. Negotiated Rate |
$722.19 |
| Rate for Payer: Aetna Commercial |
$97.00
|
| Rate for Payer: Aetna Medicare |
$75.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.00
|
| Rate for Payer: BCBS Complete |
$50.10
|
| Rate for Payer: BCBS MAPPO |
$72.39
|
| Rate for Payer: BCBS Trust/PPO |
$722.19
|
| Rate for Payer: BCN Commercial |
$373.84
|
| Rate for Payer: BCN Medicare Advantage |
$72.39
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cash Price |
$364.00
|
| Rate for Payer: Cofinity Commercial |
$104.24
|
| Rate for Payer: Cofinity Commercial |
$97.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$72.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$76.01
|
| Rate for Payer: Meridian Medicaid |
$50.10
|
| Rate for Payer: Nomi Health Commercial |
$86.87
|
| Rate for Payer: PACE SWMI |
$72.39
|
| Rate for Payer: PHP Commercial |
$101.35
|
| Rate for Payer: PHP Medicare Advantage |
$72.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$47.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$295.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$103.81
|
| Rate for Payer: Priority Health Medicare |
$72.39
|
| Rate for Payer: Priority Health Narrow Network |
$103.81
|
| Rate for Payer: Priority Health SBD |
$103.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$72.39
|
| Rate for Payer: UHC Medicare Advantage |
$72.39
|
| Rate for Payer: UHCCP Medicaid |
$47.71
|
| Rate for Payer: UMR Bronson Commercial |
$209.30
|
|
|
PR INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 32561
|
| Min. Negotiated Rate |
$42.39 |
| Max. Negotiated Rate |
$892.83 |
| Rate for Payer: Aetna Commercial |
$85.76
|
| Rate for Payer: Aetna Medicare |
$66.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.16
|
| Rate for Payer: BCBS Complete |
$44.51
|
| Rate for Payer: BCBS MAPPO |
$64.00
|
| Rate for Payer: BCBS Trust/PPO |
$892.83
|
| Rate for Payer: BCN Commercial |
$136.83
|
| Rate for Payer: BCN Medicare Advantage |
$64.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$85.76
|
| Rate for Payer: Cofinity Commercial |
$92.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$64.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$67.20
|
| Rate for Payer: Meridian Medicaid |
$44.51
|
| Rate for Payer: Nomi Health Commercial |
$76.80
|
| Rate for Payer: PACE SWMI |
$64.00
|
| Rate for Payer: PHP Commercial |
$89.60
|
| Rate for Payer: PHP Medicare Advantage |
$64.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$42.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$91.77
|
| Rate for Payer: Priority Health Medicare |
$64.00
|
| Rate for Payer: Priority Health Narrow Network |
$91.77
|
| Rate for Payer: Priority Health SBD |
$91.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$64.00
|
| Rate for Payer: UHC Medicare Advantage |
$64.00
|
| Rate for Payer: UHCCP Medicaid |
$42.39
|
| Rate for Payer: UMR Bronson Commercial |
$105.80
|
|
|
PR INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 99177
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$7.15 |
| Rate for Payer: Aetna Commercial |
$4.57
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.57
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCN Commercial |
$6.85
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.78
|
| Rate for Payer: Priority Health Narrow Network |
$6.78
|
| Rate for Payer: Priority Health SBD |
$6.78
|
| Rate for Payer: UMR Bronson Commercial |
$5.06
|
|
|
PR INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT
|
Professional
|
Both
|
$51.00
|
|
|
Service Code
|
HCPCS 99174
|
| Min. Negotiated Rate |
$5.72 |
| Max. Negotiated Rate |
$544.15 |
| Rate for Payer: Aetna Commercial |
$5.72
|
| Rate for Payer: Aetna Medicare |
$25.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.72
|
| Rate for Payer: BCBS Complete |
$20.40
|
| Rate for Payer: BCBS Trust/PPO |
$544.15
|
| Rate for Payer: BCN Commercial |
$8.80
|
| 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: Priority Health HMO/PPO/Tiered Network |
$8.59
|
| Rate for Payer: Priority Health Narrow Network |
$8.59
|
| Rate for Payer: Priority Health SBD |
$8.59
|
| Rate for Payer: UMR Bronson Commercial |
$23.46
|
|
|
PR INSULIN INJECTION
|
Professional
|
Both
|
$31.00
|
|
|
Service Code
|
HCPCS J1815
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$20.15 |
| Rate for Payer: Aetna Commercial |
$0.30
|
| Rate for Payer: Aetna Medicare |
$15.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.30
|
| Rate for Payer: BCBS Complete |
$12.40
|
| Rate for Payer: BCBS Trust/PPO |
$0.05
|
| Rate for Payer: BCN Commercial |
$0.05
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Cash Price |
$24.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.15
|
| Rate for Payer: UMR Bronson Commercial |
$14.26
|
|
|
PR INT ANAST PANCREATIC CYST GI TRACT DIRECT
|
Professional
|
Both
|
$1,966.00
|
|
|
Service Code
|
HCPCS 48520
|
| Min. Negotiated Rate |
$260.45 |
| Max. Negotiated Rate |
$1,970.56 |
| Rate for Payer: Aetna Commercial |
$1,432.93
|
| Rate for Payer: Aetna Medicare |
$1,112.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,432.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,539.86
|
| Rate for Payer: BCBS Complete |
$742.30
|
| Rate for Payer: BCBS MAPPO |
$1,069.35
|
| Rate for Payer: BCBS Trust/PPO |
$260.45
|
| Rate for Payer: BCN Commercial |
$1,608.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,069.35
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cash Price |
$1,572.80
|
| Rate for Payer: Cofinity Commercial |
$1,432.93
|
| Rate for Payer: Cofinity Commercial |
$1,539.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,069.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,122.82
|
| Rate for Payer: Meridian Medicaid |
$742.30
|
| Rate for Payer: Nomi Health Commercial |
$1,283.22
|
| Rate for Payer: PACE SWMI |
$1,069.35
|
| Rate for Payer: PHP Commercial |
$1,497.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,069.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$706.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,277.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,970.56
|
| Rate for Payer: Priority Health Medicare |
$1,069.35
|
| Rate for Payer: Priority Health Narrow Network |
$1,970.56
|
| Rate for Payer: Priority Health SBD |
$1,970.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,069.35
|
| Rate for Payer: UHC Medicare Advantage |
$1,069.35
|
| Rate for Payer: UHCCP Medicaid |
$706.95
|
| Rate for Payer: UMR Bronson Commercial |
$904.36
|
|
|
PR INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y
|
Professional
|
Both
|
$2,887.00
|
|
|
Service Code
|
HCPCS 48540
|
| Min. Negotiated Rate |
$502.41 |
| Max. Negotiated Rate |
$2,338.65 |
| Rate for Payer: Aetna Commercial |
$1,704.52
|
| Rate for Payer: Aetna Medicare |
$1,322.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,704.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,831.72
|
| Rate for Payer: BCBS Complete |
$881.40
|
| Rate for Payer: BCBS MAPPO |
$1,272.03
|
| Rate for Payer: BCBS Trust/PPO |
$502.41
|
| Rate for Payer: BCN Commercial |
$1,908.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,272.03
|
| Rate for Payer: Cash Price |
$2,309.60
|
| Rate for Payer: Cash Price |
$2,309.60
|
| Rate for Payer: Cofinity Commercial |
$1,704.52
|
| Rate for Payer: Cofinity Commercial |
$1,831.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,272.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,335.63
|
| Rate for Payer: Meridian Medicaid |
$881.40
|
| Rate for Payer: Nomi Health Commercial |
$1,526.44
|
| Rate for Payer: PACE SWMI |
$1,272.03
|
| Rate for Payer: PHP Commercial |
$1,780.84
|
| Rate for Payer: PHP Medicare Advantage |
$1,272.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$839.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,876.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,338.65
|
| Rate for Payer: Priority Health Medicare |
$1,272.03
|
| Rate for Payer: Priority Health Narrow Network |
$2,338.65
|
| Rate for Payer: Priority Health SBD |
$2,338.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,272.03
|
| Rate for Payer: UHC Medicare Advantage |
$1,272.03
|
| Rate for Payer: UHCCP Medicaid |
$839.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,328.02
|
|
|
PR INTENSIVE OUTPATIENT PSYCHIA
|
Professional
|
Both
|
$130.00
|
|
|
Service Code
|
HCPCS S9480
|
| Min. Negotiated Rate |
$52.00 |
| Max. Negotiated Rate |
$820.98 |
| Rate for Payer: Aetna Commercial |
$63.28
|
| Rate for Payer: Aetna Medicare |
$65.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.28
|
| Rate for Payer: BCBS Complete |
$52.00
|
| Rate for Payer: BCBS Trust/PPO |
$820.98
|
| Rate for Payer: BCN Commercial |
$256.38
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Cash Price |
$104.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.50
|
| Rate for Payer: UMR Bronson Commercial |
$59.80
|
|
|
PR INTER DEVC REMOTE 30D
|
Professional
|
Both
|
$42.00
|
|
|
Service Code
|
HCPCS G2066
|
| Min. Negotiated Rate |
$16.80 |
| Max. Negotiated Rate |
$1,033.35 |
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: BCBS Trust/PPO |
$1,033.35
|
| Rate for Payer: BCN Commercial |
$32.38
|
| Rate for Payer: Cash Price |
$33.60
|
| 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 INTERMITTENT URINARY CATH
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS A4353
|
| Min. Negotiated Rate |
$4.40 |
| Max. Negotiated Rate |
$7.71 |
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCN Commercial |
$7.71
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: UMR Bronson Commercial |
$5.06
|
|
