|
PR PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH
|
Professional
|
Both
|
$1,130.00
|
|
|
Service Code
|
HCPCS 57220
|
| Min. Negotiated Rate |
$198.73 |
| Max. Negotiated Rate |
$847.50 |
| Rate for Payer: Aetna Commercial |
$407.51
|
| Rate for Payer: Aetna Medicare |
$316.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$407.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$437.92
|
| Rate for Payer: BCBS Complete |
$208.67
|
| Rate for Payer: BCBS MAPPO |
$304.11
|
| Rate for Payer: BCN Commercial |
$521.88
|
| Rate for Payer: BCN Medicare Advantage |
$304.11
|
| Rate for Payer: Cash Price |
$904.00
|
| Rate for Payer: Cash Price |
$904.00
|
| Rate for Payer: Cofinity Commercial |
$407.51
|
| Rate for Payer: Cofinity Commercial |
$437.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$304.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$319.32
|
| Rate for Payer: Meridian Medicaid |
$208.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$334.52
|
| Rate for Payer: Nomi Health Commercial |
$364.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$847.50
|
| Rate for Payer: PACE SWMI |
$304.11
|
| Rate for Payer: PHP Commercial |
$425.75
|
| Rate for Payer: PHP Medicare Advantage |
$304.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$528.55
|
| Rate for Payer: Priority Health Medicare |
$304.11
|
| Rate for Payer: Priority Health SBD |
$528.55
|
| Rate for Payer: Priority Health Tiered Network |
$528.55
|
| Rate for Payer: Railroad Medicare Medicare |
$304.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$585.41
|
| Rate for Payer: UHC Core |
$585.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$304.11
|
| Rate for Payer: UHC Exchange |
$585.41
|
| Rate for Payer: UHC Medicaid |
$198.73
|
| Rate for Payer: UHCCP Medicaid |
$198.73
|
| Rate for Payer: UMR Bronson Commercial |
$519.80
|
|
|
PR PLETHYSMOGRAPHY LUNG VOLUMES & AIRWAY RESISTANCE
|
Professional
|
Both
|
$29.00
|
|
|
Service Code
|
HCPCS 94726
|
| Min. Negotiated Rate |
$13.34 |
| Max. Negotiated Rate |
$85.23 |
| Rate for Payer: Aetna Commercial |
$79.31
|
| Rate for Payer: Aetna Commercial |
$79.31
|
| Rate for Payer: Aetna Medicare |
$61.56
|
| Rate for Payer: Aetna Medicare |
$61.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.31
|
| Rate for Payer: BCBS MAPPO |
$59.19
|
| Rate for Payer: BCBS MAPPO |
$59.19
|
| Rate for Payer: BCN Commercial |
$84.65
|
| Rate for Payer: BCN Commercial |
$84.65
|
| Rate for Payer: BCN Medicare Advantage |
$59.19
|
| Rate for Payer: BCN Medicare Advantage |
$59.19
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cash Price |
$23.20
|
| Rate for Payer: Cofinity Commercial |
$85.23
|
| Rate for Payer: Cofinity Commercial |
$85.23
|
| Rate for Payer: Cofinity Commercial |
$79.31
|
| Rate for Payer: Cofinity Commercial |
$79.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.11
|
| Rate for Payer: Nomi Health Commercial |
$71.03
|
| Rate for Payer: Nomi Health Commercial |
$71.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: PACE SWMI |
$59.19
|
| Rate for Payer: PACE SWMI |
$59.19
|
| Rate for Payer: PHP Commercial |
$82.87
|
| Rate for Payer: PHP Commercial |
$82.87
|
| Rate for Payer: PHP Medicare Advantage |
$59.19
|
| Rate for Payer: PHP Medicare Advantage |
$59.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$78.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$78.07
|
| Rate for Payer: Priority Health Medicare |
$59.19
|
| Rate for Payer: Priority Health Medicare |
$59.19
|
| Rate for Payer: Priority Health SBD |
$78.07
|
| Rate for Payer: Priority Health SBD |
$78.07
|
| Rate for Payer: Priority Health Tiered Network |
$78.07
|
| Rate for Payer: Priority Health Tiered Network |
$78.07
|
| Rate for Payer: Railroad Medicare Medicare |
$59.19
|
| Rate for Payer: Railroad Medicare Medicare |
$59.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.66
|
| Rate for Payer: UHC Core |
$81.66
|
| Rate for Payer: UHC Core |
$81.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.19
|
| Rate for Payer: UHC Exchange |
$81.66
|
| Rate for Payer: UHC Exchange |
$81.66
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
| Rate for Payer: UMR Bronson Commercial |
$13.34
|
|
|
PR PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX
|
Professional
|
Both
|
$2,242.00
|
|
|
Service Code
|
HCPCS 32215
|
| Min. Negotiated Rate |
$499.70 |
| Max. Negotiated Rate |
$1,681.50 |
| Rate for Payer: Aetna Commercial |
$1,039.02
|
| Rate for Payer: Aetna Medicare |
$806.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,039.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,116.56
|
| Rate for Payer: BCBS Complete |
$524.68
|
| Rate for Payer: BCBS MAPPO |
$775.39
|
| Rate for Payer: BCN Commercial |
$1,195.65
|
| Rate for Payer: BCN Medicare Advantage |
$775.39
|
| Rate for Payer: Cash Price |
$1,793.60
|
| Rate for Payer: Cash Price |
$1,793.60
|
| Rate for Payer: Cofinity Commercial |
$1,039.02
|
| Rate for Payer: Cofinity Commercial |
$1,116.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$775.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$814.16
|
| Rate for Payer: Meridian Medicaid |
$524.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$852.93
|
| Rate for Payer: Nomi Health Commercial |
$930.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,681.50
|
| Rate for Payer: PACE SWMI |
$775.39
|
| Rate for Payer: PHP Commercial |
$1,085.55
|
| Rate for Payer: PHP Medicare Advantage |
$775.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$499.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,125.95
|
| Rate for Payer: Priority Health Medicare |
$775.39
|
| Rate for Payer: Priority Health SBD |
$1,125.95
|
| Rate for Payer: Priority Health Tiered Network |
$1,125.95
|
| Rate for Payer: Railroad Medicare Medicare |
$775.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,407.80
|
| Rate for Payer: UHC Core |
$1,407.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$775.39
|
| Rate for Payer: UHC Exchange |
$1,407.80
|
| Rate for Payer: UHC Medicaid |
$499.70
|
| Rate for Payer: UHCCP Medicaid |
$499.70
|
| Rate for Payer: UMR Bronson Commercial |
$1,031.32
|
|
|
PR PLEURECTOMY PARIETAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$3,037.00
|
|
|
Service Code
|
HCPCS 32310
|
| Min. Negotiated Rate |
$567.22 |
| Max. Negotiated Rate |
$2,277.75 |
| Rate for Payer: Aetna Commercial |
$1,182.46
|
| Rate for Payer: Aetna Medicare |
$917.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,182.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,270.70
|
| Rate for Payer: BCBS Complete |
$595.58
|
| Rate for Payer: BCBS MAPPO |
$882.43
|
| Rate for Payer: BCN Commercial |
$1,365.96
|
| Rate for Payer: BCN Medicare Advantage |
$882.43
|
| Rate for Payer: Cash Price |
$2,429.60
|
| Rate for Payer: Cash Price |
$2,429.60
|
| Rate for Payer: Cofinity Commercial |
$1,182.46
|
| Rate for Payer: Cofinity Commercial |
$1,270.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$882.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$926.55
|
| Rate for Payer: Meridian Medicaid |
$595.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$970.67
|
| Rate for Payer: Nomi Health Commercial |
$1,058.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,277.75
|
| Rate for Payer: PACE SWMI |
$882.43
|
| Rate for Payer: PHP Commercial |
$1,235.40
|
| Rate for Payer: PHP Medicare Advantage |
$882.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$567.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,286.32
|
| Rate for Payer: Priority Health Medicare |
$882.43
|
| Rate for Payer: Priority Health SBD |
$1,286.32
|
| Rate for Payer: Priority Health Tiered Network |
$1,286.32
|
| Rate for Payer: Railroad Medicare Medicare |
$882.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,613.21
|
| Rate for Payer: UHC Core |
$1,613.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$882.43
|
| Rate for Payer: UHC Exchange |
$1,613.21
|
| Rate for Payer: UHC Medicaid |
$567.22
|
| Rate for Payer: UHCCP Medicaid |
$567.22
|
| Rate for Payer: UMR Bronson Commercial |
$1,397.02
|
|
|
PR PL GLYCOLIC 35/70
|
Professional
|
Both
|
$63.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$47.25 |
| Rate for Payer: Aetna Medicare |
$31.50
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: UMR Bronson Commercial |
$28.98
|
|
|
PR PL ILLUMINIZE
|
Professional
|
Both
|
$84.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$33.60 |
| Max. Negotiated Rate |
$63.00 |
| Rate for Payer: Aetna Medicare |
$42.00
|
| Rate for Payer: BCBS Complete |
$33.60
|
| Rate for Payer: Cash Price |
$67.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.00
|
| Rate for Payer: UMR Bronson Commercial |
$38.64
|
|
|
PR PL JESSNERS
|
Professional
|
Both
|
$63.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$25.20 |
| Max. Negotiated Rate |
$47.25 |
| Rate for Payer: Aetna Medicare |
$31.50
|
| Rate for Payer: BCBS Complete |
$25.20
|
| Rate for Payer: Cash Price |
$50.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.25
|
| Rate for Payer: UMR Bronson Commercial |
$28.98
|
|
|
PR PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW
|
Professional
|
Both
|
$2,206.00
|
|
|
Service Code
|
HCPCS 47541
|
| Min. Negotiated Rate |
$187.23 |
| Max. Negotiated Rate |
$1,654.50 |
| Rate for Payer: Aetna Commercial |
$393.02
|
| Rate for Payer: Aetna Medicare |
$305.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$393.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.35
|
| Rate for Payer: BCBS Complete |
$196.59
|
| Rate for Payer: BCBS MAPPO |
$293.30
|
| Rate for Payer: BCN Commercial |
$489.01
|
| Rate for Payer: BCN Medicare Advantage |
$293.30
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cash Price |
$1,764.80
|
| Rate for Payer: Cofinity Commercial |
$393.02
|
| Rate for Payer: Cofinity Commercial |
$422.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$293.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$307.96
|
| Rate for Payer: Meridian Medicaid |
$196.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$322.63
|
| Rate for Payer: Nomi Health Commercial |
$351.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,654.50
|
| Rate for Payer: PACE SWMI |
$293.30
|
| Rate for Payer: PHP Commercial |
$410.62
|
| Rate for Payer: PHP Medicare Advantage |
$293.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$595.83
|
| Rate for Payer: Priority Health Medicare |
$293.30
|
| Rate for Payer: Priority Health SBD |
$595.83
|
| Rate for Payer: Priority Health Tiered Network |
$595.83
|
| Rate for Payer: Railroad Medicare Medicare |
$293.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$593.10
|
| Rate for Payer: UHC Core |
$593.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$293.30
|
| Rate for Payer: UHC Exchange |
$593.10
|
| Rate for Payer: UHC Medicaid |
$187.23
|
| Rate for Payer: UHCCP Medicaid |
$187.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,014.76
|
|
|
PR PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST
|
Professional
|
Both
|
$10,492.00
|
|
|
Service Code
|
HCPCS 19296
|
| Min. Negotiated Rate |
$123.54 |
| Max. Negotiated Rate |
$7,869.00 |
| Rate for Payer: Aetna Commercial |
$259.49
|
| Rate for Payer: Aetna Medicare |
$201.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$259.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.86
|
| Rate for Payer: BCBS Complete |
$129.72
|
| Rate for Payer: BCBS MAPPO |
$193.65
|
| Rate for Payer: BCN Commercial |
$314.72
|
| Rate for Payer: BCN Medicare Advantage |
$193.65
|
| Rate for Payer: Cash Price |
$8,393.60
|
| Rate for Payer: Cash Price |
$8,393.60
|
| Rate for Payer: Cofinity Commercial |
$259.49
|
| Rate for Payer: Cofinity Commercial |
$278.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.33
|
| Rate for Payer: Meridian Medicaid |
$129.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$213.01
|
| Rate for Payer: Nomi Health Commercial |
$232.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,869.00
|
| Rate for Payer: PACE SWMI |
$193.65
|
| Rate for Payer: PHP Commercial |
$271.11
|
| Rate for Payer: PHP Medicare Advantage |
$193.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$123.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$288.05
|
| Rate for Payer: Priority Health Medicare |
$193.65
|
| Rate for Payer: Priority Health SBD |
$288.05
|
| Rate for Payer: Priority Health Tiered Network |
$288.05
|
| Rate for Payer: Railroad Medicare Medicare |
$193.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$374.88
|
| Rate for Payer: UHC Core |
$374.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$193.65
|
| Rate for Payer: UHC Exchange |
$374.88
|
| Rate for Payer: UHC Medicaid |
$123.54
|
| Rate for Payer: UHCCP Medicaid |
$123.54
|
| Rate for Payer: UMR Bronson Commercial |
$4,826.32
|
|
|
PR PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR
|
Professional
|
Both
|
$1,256.00
|
|
|
Service Code
|
HCPCS 34813
|
| Min. Negotiated Rate |
$135.04 |
| Max. Negotiated Rate |
$942.00 |
| Rate for Payer: Aetna Commercial |
$288.96
|
| Rate for Payer: Aetna Medicare |
$224.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$310.52
|
| Rate for Payer: BCBS Complete |
$141.79
|
| Rate for Payer: BCBS MAPPO |
$215.64
|
| Rate for Payer: BCN Commercial |
$341.12
|
| Rate for Payer: BCN Medicare Advantage |
$215.64
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Cash Price |
$1,004.80
|
| Rate for Payer: Cofinity Commercial |
$288.96
|
| Rate for Payer: Cofinity Commercial |
$310.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$215.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$226.42
|
| Rate for Payer: Meridian Medicaid |
$141.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$237.20
|
| Rate for Payer: Nomi Health Commercial |
$258.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$942.00
|
| Rate for Payer: PACE SWMI |
$215.64
|
| Rate for Payer: PHP Commercial |
$301.90
|
| Rate for Payer: PHP Medicare Advantage |
$215.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$135.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$366.82
|
| Rate for Payer: Priority Health Medicare |
$215.64
|
| Rate for Payer: Priority Health SBD |
$366.82
|
| Rate for Payer: Priority Health Tiered Network |
$366.82
|
| Rate for Payer: Railroad Medicare Medicare |
$215.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$428.04
|
| Rate for Payer: UHC Core |
$428.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$215.64
|
| Rate for Payer: UHC Exchange |
$428.04
|
| Rate for Payer: UHC Medicaid |
$135.04
|
| Rate for Payer: UHCCP Medicaid |
$135.04
|
| Rate for Payer: UMR Bronson Commercial |
$577.76
|
|
|
PR PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT
|
Professional
|
Both
|
$285.00
|
|
|
Service Code
|
HCPCS 55876
|
| Min. Negotiated Rate |
$57.94 |
| Max. Negotiated Rate |
$213.75 |
| Rate for Payer: Aetna Commercial |
$119.57
|
| Rate for Payer: Aetna Medicare |
$92.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$128.49
|
| Rate for Payer: BCBS Complete |
$60.84
|
| Rate for Payer: BCBS MAPPO |
$89.23
|
| Rate for Payer: BCN Commercial |
$152.88
|
| Rate for Payer: BCN Medicare Advantage |
$89.23
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cash Price |
$228.00
|
| Rate for Payer: Cofinity Commercial |
$119.57
|
| Rate for Payer: Cofinity Commercial |
$128.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$89.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$93.69
|
| Rate for Payer: Meridian Medicaid |
$60.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$98.15
|
| Rate for Payer: Nomi Health Commercial |
$107.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$213.75
|
| Rate for Payer: PACE SWMI |
$89.23
|
| Rate for Payer: PHP Commercial |
$124.92
|
| Rate for Payer: PHP Medicare Advantage |
$89.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$57.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$166.53
|
| Rate for Payer: Priority Health Medicare |
$89.23
|
| Rate for Payer: Priority Health SBD |
$166.53
|
| Rate for Payer: Priority Health Tiered Network |
$166.53
|
| Rate for Payer: Railroad Medicare Medicare |
$89.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$177.39
|
| Rate for Payer: UHC Core |
$177.39
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$89.23
|
| Rate for Payer: UHC Exchange |
$177.39
|
| Rate for Payer: UHC Medicaid |
$57.94
|
| Rate for Payer: UHCCP Medicaid |
$57.94
|
| Rate for Payer: UMR Bronson Commercial |
$131.10
|
|
|
PR PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I
|
Professional
|
Both
|
$1,664.00
|
|
|
Service Code
|
HCPCS 50432
|
| Min. Negotiated Rate |
$113.32 |
| Max. Negotiated Rate |
$1,248.00 |
| Rate for Payer: Aetna Commercial |
$236.74
|
| Rate for Payer: Aetna Medicare |
$183.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$236.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$254.40
|
| Rate for Payer: BCBS Complete |
$118.99
|
| Rate for Payer: BCBS MAPPO |
$176.67
|
| Rate for Payer: BCN Commercial |
$299.28
|
| Rate for Payer: BCN Medicare Advantage |
$176.67
|
| Rate for Payer: Cash Price |
$1,331.20
|
| Rate for Payer: Cash Price |
$1,331.20
|
| Rate for Payer: Cofinity Commercial |
$236.74
|
| Rate for Payer: Cofinity Commercial |
$254.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$176.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$185.50
|
| Rate for Payer: Meridian Medicaid |
$118.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$194.34
|
| Rate for Payer: Nomi Health Commercial |
$212.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,248.00
|
| Rate for Payer: PACE SWMI |
$176.67
|
| Rate for Payer: PHP Commercial |
$247.34
|
| Rate for Payer: PHP Medicare Advantage |
$176.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$326.02
|
| Rate for Payer: Priority Health Medicare |
$176.67
|
| Rate for Payer: Priority Health SBD |
$326.02
|
| Rate for Payer: Priority Health Tiered Network |
$326.02
|
| Rate for Payer: Railroad Medicare Medicare |
$176.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.64
|
| Rate for Payer: UHC Core |
$365.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$176.67
|
| Rate for Payer: UHC Exchange |
$365.64
|
| Rate for Payer: UHC Medicaid |
$113.32
|
| Rate for Payer: UHCCP Medicaid |
$113.32
|
| Rate for Payer: UMR Bronson Commercial |
$765.44
|
|
|
PR PLMT PROX XTN PROSTH EVASC RPR DTA EA PROX XTN
|
Professional
|
Both
|
$903.00
|
|
|
Service Code
|
HCPCS 33884
|
| Min. Negotiated Rate |
$361.20 |
| Max. Negotiated Rate |
$677.25 |
| Rate for Payer: Aetna Commercial |
$532.47
|
| Rate for Payer: Aetna Medicare |
$451.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$532.47
|
| Rate for Payer: BCBS Complete |
$361.20
|
| Rate for Payer: BCN Commercial |
$574.67
|
| Rate for Payer: Cash Price |
$722.40
|
| Rate for Payer: Cash Price |
$722.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$677.25
|
| Rate for Payer: UMR Bronson Commercial |
$415.38
|
|
|
PR PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 10035
|
| Min. Negotiated Rate |
$45.37 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$95.14
|
| Rate for Payer: Aetna Medicare |
$73.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$95.14
|
| Rate for Payer: BCBS Complete |
$47.64
|
| Rate for Payer: BCBS MAPPO |
$71.00
|
| Rate for Payer: BCN Commercial |
$123.49
|
| Rate for Payer: BCN Medicare Advantage |
$71.00
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$95.14
|
| Rate for Payer: Cofinity Commercial |
$102.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$71.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.55
|
| Rate for Payer: Meridian Medicaid |
$47.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$78.10
|
| Rate for Payer: Nomi Health Commercial |
$85.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.00
|
| Rate for Payer: PACE SWMI |
$71.00
|
| Rate for Payer: PHP Commercial |
$99.40
|
| Rate for Payer: PHP Medicare Advantage |
$71.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$45.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$113.03
|
| Rate for Payer: Priority Health Medicare |
$71.00
|
| Rate for Payer: Priority Health SBD |
$113.03
|
| Rate for Payer: Priority Health Tiered Network |
$113.03
|
| Rate for Payer: Railroad Medicare Medicare |
$71.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$151.10
|
| Rate for Payer: UHC Core |
$151.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$71.00
|
| Rate for Payer: UHC Exchange |
$151.10
|
| Rate for Payer: UHC Medicaid |
$45.37
|
| Rate for Payer: UHCCP Medicaid |
$45.37
|
| Rate for Payer: UMR Bronson Commercial |
$112.24
|
|
|
PR PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT
|
Professional
|
Both
|
$580.00
|
|
|
Service Code
|
HCPCS 50693
|
| Min. Negotiated Rate |
$112.46 |
| Max. Negotiated Rate |
$435.00 |
| Rate for Payer: Aetna Commercial |
$234.85
|
| Rate for Payer: Aetna Medicare |
$182.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$234.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$252.37
|
| Rate for Payer: BCBS Complete |
$118.08
|
| Rate for Payer: BCBS MAPPO |
$175.26
|
| Rate for Payer: BCN Commercial |
$297.79
|
| Rate for Payer: BCN Medicare Advantage |
$175.26
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cash Price |
$464.00
|
| Rate for Payer: Cofinity Commercial |
$234.85
|
| Rate for Payer: Cofinity Commercial |
$252.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$175.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$184.02
|
| Rate for Payer: Meridian Medicaid |
$118.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$192.79
|
| Rate for Payer: Nomi Health Commercial |
$210.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$435.00
|
| Rate for Payer: PACE SWMI |
$175.26
|
| Rate for Payer: PHP Commercial |
$245.36
|
| Rate for Payer: PHP Medicare Advantage |
$175.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$324.39
|
| Rate for Payer: Priority Health Medicare |
$175.26
|
| Rate for Payer: Priority Health SBD |
$324.39
|
| Rate for Payer: Priority Health Tiered Network |
$324.39
|
| Rate for Payer: Railroad Medicare Medicare |
$175.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$363.09
|
| Rate for Payer: UHC Core |
$363.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$175.26
|
| Rate for Payer: UHC Exchange |
$363.09
|
| Rate for Payer: UHC Medicaid |
$112.46
|
| Rate for Payer: UHCCP Medicaid |
$112.46
|
| Rate for Payer: UMR Bronson Commercial |
$266.80
|
|
|
PR PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT
|
Professional
|
Both
|
$456.00
|
|
|
Service Code
|
HCPCS 35685
|
| Min. Negotiated Rate |
$113.96 |
| Max. Negotiated Rate |
$358.74 |
| Rate for Payer: Aetna Commercial |
$243.83
|
| Rate for Payer: Aetna Medicare |
$189.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$262.02
|
| Rate for Payer: BCBS Complete |
$119.66
|
| Rate for Payer: BCBS MAPPO |
$181.96
|
| Rate for Payer: BCN Commercial |
$288.34
|
| Rate for Payer: BCN Medicare Advantage |
$181.96
|
| Rate for Payer: Cash Price |
$364.80
|
| Rate for Payer: Cash Price |
$364.80
|
| Rate for Payer: Cofinity Commercial |
$243.83
|
| Rate for Payer: Cofinity Commercial |
$262.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$181.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$191.06
|
| Rate for Payer: Meridian Medicaid |
$119.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$200.16
|
| Rate for Payer: Nomi Health Commercial |
$218.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$342.00
|
| Rate for Payer: PACE SWMI |
$181.96
|
| Rate for Payer: PHP Commercial |
$254.74
|
| Rate for Payer: PHP Medicare Advantage |
$181.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$113.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$310.07
|
| Rate for Payer: Priority Health Medicare |
$181.96
|
| Rate for Payer: Priority Health SBD |
$310.07
|
| Rate for Payer: Priority Health Tiered Network |
$310.07
|
| Rate for Payer: Railroad Medicare Medicare |
$181.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$358.74
|
| Rate for Payer: UHC Core |
$358.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$181.96
|
| Rate for Payer: UHC Exchange |
$358.74
|
| Rate for Payer: UHC Medicaid |
$113.96
|
| Rate for Payer: UHCCP Medicaid |
$113.96
|
| Rate for Payer: UMR Bronson Commercial |
$209.76
|
|
|
PR PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT
|
Professional
|
Both
|
$210.00
|
|
|
Service Code
|
HCPCS 34839
|
| Min. Negotiated Rate |
$84.00 |
| Max. Negotiated Rate |
$440.92 |
| Rate for Payer: Aetna Commercial |
$240.00
|
| Rate for Payer: Aetna Medicare |
$105.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$240.00
|
| Rate for Payer: BCBS Complete |
$84.00
|
| Rate for Payer: BCN Commercial |
$146.64
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$157.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$440.92
|
| Rate for Payer: UHC Core |
$440.92
|
| Rate for Payer: UHC Exchange |
$440.92
|
| Rate for Payer: UMR Bronson Commercial |
$96.60
|
|
|
PR PL REJUV/PERFECT
|
Professional
|
Both
|
$126.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$50.40 |
| Max. Negotiated Rate |
$94.50 |
| Rate for Payer: Aetna Medicare |
$63.00
|
| Rate for Payer: BCBS Complete |
$50.40
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.50
|
| Rate for Payer: UMR Bronson Commercial |
$57.96
|
|
|
PR PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL
|
Professional
|
Both
|
$1,939.00
|
|
|
Service Code
|
HCPCS 40720
|
| Min. Negotiated Rate |
$588.31 |
| Max. Negotiated Rate |
$1,887.02 |
| Rate for Payer: Aetna Commercial |
$1,210.33
|
| Rate for Payer: Aetna Medicare |
$939.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,210.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,300.65
|
| Rate for Payer: BCBS Complete |
$617.73
|
| Rate for Payer: BCBS MAPPO |
$903.23
|
| Rate for Payer: BCN Commercial |
$1,548.72
|
| Rate for Payer: BCN Medicare Advantage |
$903.23
|
| Rate for Payer: Cash Price |
$1,551.20
|
| Rate for Payer: Cash Price |
$1,551.20
|
| Rate for Payer: Cofinity Commercial |
$1,300.65
|
| Rate for Payer: Cofinity Commercial |
$1,210.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$903.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$948.39
|
| Rate for Payer: Meridian Medicaid |
$617.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$993.55
|
| Rate for Payer: Nomi Health Commercial |
$1,083.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,454.25
|
| Rate for Payer: PACE SWMI |
$903.23
|
| Rate for Payer: PHP Commercial |
$1,264.52
|
| Rate for Payer: PHP Medicare Advantage |
$903.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$588.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,887.02
|
| Rate for Payer: Priority Health Medicare |
$903.23
|
| Rate for Payer: Priority Health SBD |
$1,887.02
|
| Rate for Payer: Priority Health Tiered Network |
$1,887.02
|
| Rate for Payer: Railroad Medicare Medicare |
$903.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,806.21
|
| Rate for Payer: UHC Core |
$1,806.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$903.23
|
| Rate for Payer: UHC Exchange |
$1,806.21
|
| Rate for Payer: UHC Medicaid |
$588.31
|
| Rate for Payer: UHCCP Medicaid |
$588.31
|
| Rate for Payer: UMR Bronson Commercial |
$891.94
|
|
|
PR PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM
|
Professional
|
Both
|
$898.00
|
|
|
Service Code
|
HCPCS 42500
|
| Min. Negotiated Rate |
$199.79 |
| Max. Negotiated Rate |
$673.50 |
| Rate for Payer: Aetna Commercial |
$406.07
|
| Rate for Payer: Aetna Medicare |
$315.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$406.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$436.38
|
| Rate for Payer: BCBS Complete |
$209.78
|
| Rate for Payer: BCBS MAPPO |
$303.04
|
| Rate for Payer: BCN Commercial |
$523.38
|
| Rate for Payer: BCN Medicare Advantage |
$303.04
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Cash Price |
$718.40
|
| Rate for Payer: Cofinity Commercial |
$406.07
|
| Rate for Payer: Cofinity Commercial |
$436.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$303.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$318.19
|
| Rate for Payer: Meridian Medicaid |
$209.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$333.34
|
| Rate for Payer: Nomi Health Commercial |
$363.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$673.50
|
| Rate for Payer: PACE SWMI |
$303.04
|
| Rate for Payer: PHP Commercial |
$424.26
|
| Rate for Payer: PHP Medicare Advantage |
$303.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$199.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$637.70
|
| Rate for Payer: Priority Health Medicare |
$303.04
|
| Rate for Payer: Priority Health SBD |
$637.70
|
| Rate for Payer: Priority Health Tiered Network |
$637.70
|
| Rate for Payer: Railroad Medicare Medicare |
$303.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$584.52
|
| Rate for Payer: UHC Core |
$584.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$303.04
|
| Rate for Payer: UHC Exchange |
$584.52
|
| Rate for Payer: UHC Medicaid |
$199.79
|
| Rate for Payer: UHCCP Medicaid |
$199.79
|
| Rate for Payer: UMR Bronson Commercial |
$413.08
|
|
|
PR PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP
|
Professional
|
Both
|
$1,145.00
|
|
|
Service Code
|
HCPCS 42505
|
| Min. Negotiated Rate |
$261.56 |
| Max. Negotiated Rate |
$858.75 |
| Rate for Payer: Aetna Commercial |
$534.49
|
| Rate for Payer: Aetna Medicare |
$414.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$534.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$574.37
|
| Rate for Payer: BCBS Complete |
$274.64
|
| Rate for Payer: BCBS MAPPO |
$398.87
|
| Rate for Payer: BCN Commercial |
$692.19
|
| Rate for Payer: BCN Medicare Advantage |
$398.87
|
| Rate for Payer: Cash Price |
$916.00
|
| Rate for Payer: Cash Price |
$916.00
|
| Rate for Payer: Cofinity Commercial |
$534.49
|
| Rate for Payer: Cofinity Commercial |
$574.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$398.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$418.81
|
| Rate for Payer: Meridian Medicaid |
$274.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$438.76
|
| Rate for Payer: Nomi Health Commercial |
$478.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$858.75
|
| Rate for Payer: PACE SWMI |
$398.87
|
| Rate for Payer: PHP Commercial |
$558.42
|
| Rate for Payer: PHP Medicare Advantage |
$398.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$261.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$843.40
|
| Rate for Payer: Priority Health Medicare |
$398.87
|
| Rate for Payer: Priority Health SBD |
$843.40
|
| Rate for Payer: Priority Health Tiered Network |
$843.40
|
| Rate for Payer: Railroad Medicare Medicare |
$398.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$780.58
|
| Rate for Payer: UHC Core |
$780.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$398.87
|
| Rate for Payer: UHC Exchange |
$780.58
|
| Rate for Payer: UHC Medicaid |
$261.56
|
| Rate for Payer: UHCCP Medicaid |
$261.56
|
| Rate for Payer: UMR Bronson Commercial |
$526.70
|
|
|
PR PL VITALIZE
|
Professional
|
Both
|
$105.00
|
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$78.75 |
| Rate for Payer: Aetna Medicare |
$52.50
|
| Rate for Payer: BCBS Complete |
$42.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
|
|
PR PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY
|
Professional
|
Both
|
$3,774.00
|
|
|
Service Code
|
HCPCS 48140
|
| Min. Negotiated Rate |
$928.89 |
| Max. Negotiated Rate |
$2,864.51 |
| Rate for Payer: Aetna Commercial |
$1,944.22
|
| Rate for Payer: Aetna Medicare |
$1,508.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,944.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,089.31
|
| Rate for Payer: BCBS Complete |
$975.33
|
| Rate for Payer: BCBS MAPPO |
$1,450.91
|
| Rate for Payer: BCN Commercial |
$2,350.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,450.91
|
| Rate for Payer: Cash Price |
$3,019.20
|
| Rate for Payer: Cash Price |
$3,019.20
|
| Rate for Payer: Cofinity Commercial |
$2,089.31
|
| Rate for Payer: Cofinity Commercial |
$1,944.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,450.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,523.46
|
| Rate for Payer: Meridian Medicaid |
$975.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,596.00
|
| Rate for Payer: Nomi Health Commercial |
$1,741.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,830.50
|
| Rate for Payer: PACE SWMI |
$1,450.91
|
| Rate for Payer: PHP Commercial |
$2,031.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,450.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$928.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,864.51
|
| Rate for Payer: Priority Health Medicare |
$1,450.91
|
| Rate for Payer: Priority Health SBD |
$2,864.51
|
| Rate for Payer: Priority Health Tiered Network |
$2,864.51
|
| Rate for Payer: Railroad Medicare Medicare |
$1,450.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,791.99
|
| Rate for Payer: UHC Core |
$2,791.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,450.91
|
| Rate for Payer: UHC Exchange |
$2,791.99
|
| Rate for Payer: UHC Medicaid |
$928.89
|
| Rate for Payer: UHCCP Medicaid |
$928.89
|
| Rate for Payer: UMR Bronson Commercial |
$1,736.04
|
|
|
PR PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY
|
Professional
|
Both
|
$5,729.00
|
|
|
Service Code
|
HCPCS 48150
|
| Min. Negotiated Rate |
$1,830.95 |
| Max. Negotiated Rate |
$5,677.43 |
| Rate for Payer: Aetna Commercial |
$3,838.14
|
| Rate for Payer: Aetna Medicare |
$2,978.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,838.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,124.56
|
| Rate for Payer: BCBS Complete |
$1,922.50
|
| Rate for Payer: BCBS MAPPO |
$2,864.28
|
| Rate for Payer: BCN Commercial |
$4,659.61
|
| Rate for Payer: BCN Medicare Advantage |
$2,864.28
|
| Rate for Payer: Cash Price |
$4,583.20
|
| Rate for Payer: Cash Price |
$4,583.20
|
| Rate for Payer: Cofinity Commercial |
$3,838.14
|
| Rate for Payer: Cofinity Commercial |
$4,124.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,864.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,007.49
|
| Rate for Payer: Meridian Medicaid |
$1,922.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,150.71
|
| Rate for Payer: Nomi Health Commercial |
$3,437.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,296.75
|
| Rate for Payer: PACE SWMI |
$2,864.28
|
| Rate for Payer: PHP Commercial |
$4,009.99
|
| Rate for Payer: PHP Medicare Advantage |
$2,864.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,830.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,677.43
|
| Rate for Payer: Priority Health Medicare |
$2,864.28
|
| Rate for Payer: Priority Health SBD |
$5,677.43
|
| Rate for Payer: Priority Health Tiered Network |
$5,677.43
|
| Rate for Payer: Railroad Medicare Medicare |
$2,864.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,570.94
|
| Rate for Payer: UHC Core |
$5,570.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,864.28
|
| Rate for Payer: UHC Exchange |
$5,570.94
|
| Rate for Payer: UHC Medicaid |
$1,830.95
|
| Rate for Payer: UHCCP Medicaid |
$1,830.95
|
| Rate for Payer: UMR Bronson Commercial |
$2,635.34
|
|
|
PR PNCRTECT W/PANCREATOJEJUNOSTOMY
|
Professional
|
Both
|
$8,552.00
|
|
|
Service Code
|
HCPCS 48153
|
| Min. Negotiated Rate |
$1,825.62 |
| Max. Negotiated Rate |
$6,414.00 |
| Rate for Payer: Aetna Commercial |
$3,831.78
|
| Rate for Payer: Aetna Medicare |
$2,973.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,831.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,117.74
|
| Rate for Payer: BCBS Complete |
$1,916.90
|
| Rate for Payer: BCBS MAPPO |
$2,859.54
|
| Rate for Payer: BCN Commercial |
$4,632.22
|
| Rate for Payer: BCN Medicare Advantage |
$2,859.54
|
| Rate for Payer: Cash Price |
$6,841.60
|
| Rate for Payer: Cash Price |
$6,841.60
|
| Rate for Payer: Cofinity Commercial |
$3,831.78
|
| Rate for Payer: Cofinity Commercial |
$4,117.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,859.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,002.52
|
| Rate for Payer: Meridian Medicaid |
$1,916.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$3,145.49
|
| Rate for Payer: Nomi Health Commercial |
$3,431.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,414.00
|
| Rate for Payer: PACE SWMI |
$2,859.54
|
| Rate for Payer: PHP Commercial |
$4,003.36
|
| Rate for Payer: PHP Medicare Advantage |
$2,859.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,825.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5,644.05
|
| Rate for Payer: Priority Health Medicare |
$2,859.54
|
| Rate for Payer: Priority Health SBD |
$5,644.05
|
| Rate for Payer: Priority Health Tiered Network |
$5,644.05
|
| Rate for Payer: Railroad Medicare Medicare |
$2,859.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5,549.68
|
| Rate for Payer: UHC Core |
$5,549.68
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,859.54
|
| Rate for Payer: UHC Exchange |
$5,549.68
|
| Rate for Payer: UHC Medicaid |
$1,825.62
|
| Rate for Payer: UHCCP Medicaid |
$1,825.62
|
| Rate for Payer: UMR Bronson Commercial |
$3,933.92
|
|
