|
PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES
|
Professional
|
Both
|
$237.00
|
|
|
Service Code
|
HCPCS 90839
|
| Min. Negotiated Rate |
$87.33 |
| Max. Negotiated Rate |
$212.18 |
| Rate for Payer: Aetna Commercial |
$172.78
|
| Rate for Payer: Aetna Medicare |
$134.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$185.67
|
| Rate for Payer: BCBS Complete |
$91.70
|
| Rate for Payer: BCBS MAPPO |
$128.94
|
| Rate for Payer: BCN Commercial |
$158.26
|
| Rate for Payer: BCN Medicare Advantage |
$128.94
|
| Rate for Payer: Cash Price |
$189.60
|
| Rate for Payer: Cash Price |
$189.60
|
| Rate for Payer: Cofinity Commercial |
$172.78
|
| Rate for Payer: Cofinity Commercial |
$185.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$128.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$135.39
|
| Rate for Payer: Meridian Medicaid |
$91.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$141.83
|
| Rate for Payer: Nomi Health Commercial |
$154.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$177.75
|
| Rate for Payer: PACE SWMI |
$128.94
|
| Rate for Payer: PHP Commercial |
$180.52
|
| Rate for Payer: PHP Medicare Advantage |
$128.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$87.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$172.63
|
| Rate for Payer: Priority Health Medicare |
$128.94
|
| Rate for Payer: Priority Health SBD |
$172.63
|
| Rate for Payer: Priority Health Tiered Network |
$172.63
|
| Rate for Payer: Railroad Medicare Medicare |
$128.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.18
|
| Rate for Payer: UHC Core |
$212.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$128.94
|
| Rate for Payer: UHC Exchange |
$212.18
|
| Rate for Payer: UHC Medicaid |
$87.33
|
| Rate for Payer: UHCCP Medicaid |
$87.33
|
| Rate for Payer: UMR Bronson Commercial |
$109.02
|
|
|
PR PSYCHOTHERAPY W/PATIENT 30 MINUTES
|
Professional
|
Both
|
$114.00
|
|
|
Service Code
|
HCPCS 90832
|
| Min. Negotiated Rate |
$46.83 |
| Max. Negotiated Rate |
$101.80 |
| Rate for Payer: Aetna Commercial |
$92.65
|
| Rate for Payer: Aetna Medicare |
$71.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$99.56
|
| Rate for Payer: BCBS Complete |
$49.17
|
| Rate for Payer: BCBS MAPPO |
$69.14
|
| Rate for Payer: BCN Commercial |
$83.65
|
| Rate for Payer: BCN Medicare Advantage |
$69.14
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cash Price |
$91.20
|
| Rate for Payer: Cofinity Commercial |
$92.65
|
| Rate for Payer: Cofinity Commercial |
$99.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.60
|
| Rate for Payer: Meridian Medicaid |
$49.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.05
|
| Rate for Payer: Nomi Health Commercial |
$82.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.50
|
| Rate for Payer: PACE SWMI |
$69.14
|
| Rate for Payer: PHP Commercial |
$96.80
|
| Rate for Payer: PHP Medicare Advantage |
$69.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.05
|
| Rate for Payer: Priority Health Medicare |
$69.14
|
| Rate for Payer: Priority Health SBD |
$89.05
|
| Rate for Payer: Priority Health Tiered Network |
$89.05
|
| Rate for Payer: Railroad Medicare Medicare |
$69.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$101.80
|
| Rate for Payer: UHC Core |
$101.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$69.14
|
| Rate for Payer: UHC Exchange |
$101.80
|
| Rate for Payer: UHC Medicaid |
$46.83
|
| Rate for Payer: UHCCP Medicaid |
$46.83
|
| Rate for Payer: UMR Bronson Commercial |
$52.44
|
|
|
PR PSYCHOTHERAPY W/PATIENT 45 MINUTES
|
Professional
|
Both
|
$175.00
|
|
|
Service Code
|
HCPCS 90834
|
| Min. Negotiated Rate |
$61.93 |
| Max. Negotiated Rate |
$135.74 |
| Rate for Payer: Aetna Commercial |
$122.53
|
| Rate for Payer: Aetna Medicare |
$95.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$131.67
|
| Rate for Payer: BCBS Complete |
$65.03
|
| Rate for Payer: BCBS MAPPO |
$91.44
|
| Rate for Payer: BCN Commercial |
$110.35
|
| Rate for Payer: BCN Medicare Advantage |
$91.44
|
| Rate for Payer: Cash Price |
$140.00
|
| Rate for Payer: Cash Price |
$140.00
|
| Rate for Payer: Cofinity Commercial |
$122.53
|
| Rate for Payer: Cofinity Commercial |
$131.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.01
|
| Rate for Payer: Meridian Medicaid |
$65.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.58
|
| Rate for Payer: Nomi Health Commercial |
$109.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$131.25
|
| Rate for Payer: PACE SWMI |
$91.44
|
| Rate for Payer: PHP Commercial |
$128.02
|
| Rate for Payer: PHP Medicare Advantage |
$91.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$117.40
|
| Rate for Payer: Priority Health Medicare |
$91.44
|
| Rate for Payer: Priority Health SBD |
$117.40
|
| Rate for Payer: Priority Health Tiered Network |
$117.40
|
| Rate for Payer: Railroad Medicare Medicare |
$91.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$135.74
|
| Rate for Payer: UHC Core |
$135.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$91.44
|
| Rate for Payer: UHC Exchange |
$135.74
|
| Rate for Payer: UHC Medicaid |
$61.93
|
| Rate for Payer: UHCCP Medicaid |
$61.93
|
| Rate for Payer: UMR Bronson Commercial |
$80.50
|
|
|
PR PSYCHOTHERAPY W/PATIENT 60 MINUTES
|
Professional
|
Both
|
$245.00
|
|
|
Service Code
|
HCPCS 90837
|
| Min. Negotiated Rate |
$91.18 |
| Max. Negotiated Rate |
$203.02 |
| Rate for Payer: Aetna Commercial |
$180.40
|
| Rate for Payer: Aetna Medicare |
$140.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$180.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.87
|
| Rate for Payer: BCBS Complete |
$95.74
|
| Rate for Payer: BCBS MAPPO |
$134.63
|
| Rate for Payer: BCN Commercial |
$163.36
|
| Rate for Payer: BCN Medicare Advantage |
$134.63
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cash Price |
$196.00
|
| Rate for Payer: Cofinity Commercial |
$180.40
|
| Rate for Payer: Cofinity Commercial |
$193.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$134.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$141.36
|
| Rate for Payer: Meridian Medicaid |
$95.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$148.09
|
| Rate for Payer: Nomi Health Commercial |
$161.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.75
|
| Rate for Payer: PACE SWMI |
$134.63
|
| Rate for Payer: PHP Commercial |
$188.48
|
| Rate for Payer: PHP Medicare Advantage |
$134.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$91.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$173.99
|
| Rate for Payer: Priority Health Medicare |
$134.63
|
| Rate for Payer: Priority Health SBD |
$173.99
|
| Rate for Payer: Priority Health Tiered Network |
$173.99
|
| Rate for Payer: Railroad Medicare Medicare |
$134.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$203.02
|
| Rate for Payer: UHC Core |
$203.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$134.63
|
| Rate for Payer: UHC Exchange |
$203.02
|
| Rate for Payer: UHC Medicaid |
$91.18
|
| Rate for Payer: UHCCP Medicaid |
$91.18
|
| Rate for Payer: UMR Bronson Commercial |
$112.70
|
|
|
PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 90833
|
| Min. Negotiated Rate |
$36.15 |
| Max. Negotiated Rate |
$110.25 |
| Rate for Payer: Aetna Commercial |
$87.84
|
| Rate for Payer: Aetna Medicare |
$68.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$94.39
|
| Rate for Payer: BCBS Complete |
$46.62
|
| Rate for Payer: BCBS MAPPO |
$65.55
|
| Rate for Payer: BCN Commercial |
$36.15
|
| Rate for Payer: BCN Medicare Advantage |
$65.55
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$87.84
|
| Rate for Payer: Cofinity Commercial |
$94.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.83
|
| Rate for Payer: Meridian Medicaid |
$46.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$72.11
|
| Rate for Payer: Nomi Health Commercial |
$78.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$110.25
|
| Rate for Payer: PACE SWMI |
$65.55
|
| Rate for Payer: PHP Commercial |
$91.77
|
| Rate for Payer: PHP Medicare Advantage |
$65.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$44.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$83.82
|
| Rate for Payer: Priority Health Medicare |
$65.55
|
| Rate for Payer: Priority Health SBD |
$83.82
|
| Rate for Payer: Priority Health Tiered Network |
$83.82
|
| Rate for Payer: Railroad Medicare Medicare |
$65.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$105.52
|
| Rate for Payer: UHC Core |
$105.52
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$65.55
|
| Rate for Payer: UHC Exchange |
$105.52
|
| Rate for Payer: UHC Medicaid |
$44.40
|
| Rate for Payer: UHCCP Medicaid |
$44.40
|
| Rate for Payer: UMR Bronson Commercial |
$67.62
|
|
|
PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN
|
Professional
|
Both
|
$177.00
|
|
|
Service Code
|
HCPCS 90836
|
| Min. Negotiated Rate |
$45.96 |
| Max. Negotiated Rate |
$133.65 |
| Rate for Payer: Aetna Commercial |
$110.98
|
| Rate for Payer: Aetna Medicare |
$86.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.26
|
| Rate for Payer: BCBS Complete |
$58.89
|
| Rate for Payer: BCBS MAPPO |
$82.82
|
| Rate for Payer: BCN Commercial |
$45.96
|
| Rate for Payer: BCN Medicare Advantage |
$82.82
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Cofinity Commercial |
$110.98
|
| Rate for Payer: Cofinity Commercial |
$119.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$82.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$86.96
|
| Rate for Payer: Meridian Medicaid |
$58.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$91.10
|
| Rate for Payer: Nomi Health Commercial |
$99.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.75
|
| Rate for Payer: PACE SWMI |
$82.82
|
| Rate for Payer: PHP Commercial |
$115.95
|
| Rate for Payer: PHP Medicare Advantage |
$82.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$106.67
|
| Rate for Payer: Priority Health Medicare |
$82.82
|
| Rate for Payer: Priority Health SBD |
$106.67
|
| Rate for Payer: Priority Health Tiered Network |
$106.67
|
| Rate for Payer: Railroad Medicare Medicare |
$82.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$133.65
|
| Rate for Payer: UHC Core |
$133.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$82.82
|
| Rate for Payer: UHC Exchange |
$133.65
|
| Rate for Payer: UHC Medicaid |
$56.09
|
| Rate for Payer: UHCCP Medicaid |
$56.09
|
| Rate for Payer: UMR Bronson Commercial |
$81.42
|
|
|
PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 90838
|
| Min. Negotiated Rate |
$61.39 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$147.15
|
| Rate for Payer: Aetna Medicare |
$114.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$158.13
|
| Rate for Payer: BCBS Complete |
$78.09
|
| Rate for Payer: BCBS MAPPO |
$109.81
|
| Rate for Payer: BCN Commercial |
$61.39
|
| Rate for Payer: BCN Medicare Advantage |
$109.81
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$147.15
|
| Rate for Payer: Cofinity Commercial |
$158.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.30
|
| Rate for Payer: Meridian Medicaid |
$78.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$120.79
|
| Rate for Payer: Nomi Health Commercial |
$131.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.00
|
| Rate for Payer: PACE SWMI |
$109.81
|
| Rate for Payer: PHP Commercial |
$153.73
|
| Rate for Payer: PHP Medicare Advantage |
$109.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$74.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$147.89
|
| Rate for Payer: Priority Health Medicare |
$109.81
|
| Rate for Payer: Priority Health SBD |
$147.89
|
| Rate for Payer: Priority Health Tiered Network |
$147.89
|
| Rate for Payer: Railroad Medicare Medicare |
$109.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$175.47
|
| Rate for Payer: UHC Core |
$175.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$109.81
|
| Rate for Payer: UHC Exchange |
$175.47
|
| Rate for Payer: UHC Medicaid |
$74.37
|
| Rate for Payer: UHCCP Medicaid |
$74.37
|
| Rate for Payer: UMR Bronson Commercial |
$112.24
|
|
|
PR PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT
|
Professional
|
Both
|
$4.00
|
|
|
Service Code
|
HCPCS 96146
|
| Min. Negotiated Rate |
$1.84 |
| Max. Negotiated Rate |
$3.49 |
| Rate for Payer: Aetna Commercial |
$2.96
|
| Rate for Payer: Aetna Medicare |
$2.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.18
|
| Rate for Payer: BCBS MAPPO |
$2.21
|
| Rate for Payer: BCN Commercial |
$3.49
|
| Rate for Payer: BCN Medicare Advantage |
$2.21
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cash Price |
$3.20
|
| Rate for Payer: Cofinity Commercial |
$2.96
|
| Rate for Payer: Cofinity Commercial |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.43
|
| Rate for Payer: Nomi Health Commercial |
$2.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.00
|
| Rate for Payer: PACE SWMI |
$2.21
|
| Rate for Payer: PHP Commercial |
$3.09
|
| Rate for Payer: PHP Medicare Advantage |
$2.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3.21
|
| Rate for Payer: Priority Health Medicare |
$2.21
|
| Rate for Payer: Priority Health SBD |
$3.21
|
| Rate for Payer: Priority Health Tiered Network |
$3.21
|
| Rate for Payer: Railroad Medicare Medicare |
$2.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.24
|
| Rate for Payer: UHC Core |
$3.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.21
|
| Rate for Payer: UHC Exchange |
$3.24
|
| Rate for Payer: UMR Bronson Commercial |
$1.84
|
|
|
PR PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN
|
Professional
|
Both
|
$89.00
|
|
|
Service Code
|
HCPCS 96137
|
| Min. Negotiated Rate |
$10.44 |
| Max. Negotiated Rate |
$66.75 |
| Rate for Payer: Aetna Commercial |
$21.82
|
| Rate for Payer: Aetna Medicare |
$16.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.44
|
| Rate for Payer: BCBS Complete |
$10.96
|
| Rate for Payer: BCBS MAPPO |
$16.28
|
| Rate for Payer: BCN Commercial |
$55.28
|
| Rate for Payer: BCN Medicare Advantage |
$16.28
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cash Price |
$71.20
|
| Rate for Payer: Cofinity Commercial |
$23.44
|
| Rate for Payer: Cofinity Commercial |
$21.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$16.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$17.09
|
| Rate for Payer: Meridian Medicaid |
$10.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.91
|
| Rate for Payer: Nomi Health Commercial |
$19.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.75
|
| Rate for Payer: PACE SWMI |
$16.28
|
| Rate for Payer: PHP Commercial |
$22.79
|
| Rate for Payer: PHP Medicare Advantage |
$16.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24.33
|
| Rate for Payer: Priority Health Medicare |
$16.28
|
| Rate for Payer: Priority Health SBD |
$24.33
|
| Rate for Payer: Priority Health Tiered Network |
$24.33
|
| Rate for Payer: Railroad Medicare Medicare |
$16.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.60
|
| Rate for Payer: UHC Core |
$31.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$16.28
|
| Rate for Payer: UHC Exchange |
$31.60
|
| Rate for Payer: UHC Medicaid |
$10.44
|
| Rate for Payer: UHCCP Medicaid |
$10.44
|
| Rate for Payer: UMR Bronson Commercial |
$40.94
|
|
|
PR PSYCL/NRPSYCL TST TECH 2+ TST 1ST 30 MIN
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 96138
|
| Min. Negotiated Rate |
$34.50 |
| Max. Negotiated Rate |
$56.93 |
| Rate for Payer: Aetna Commercial |
$46.27
|
| Rate for Payer: Aetna Medicare |
$35.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.72
|
| Rate for Payer: BCBS MAPPO |
$34.53
|
| Rate for Payer: BCN Commercial |
$51.79
|
| Rate for Payer: BCN Medicare Advantage |
$34.53
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$46.27
|
| Rate for Payer: Cofinity Commercial |
$49.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$34.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$37.98
|
| Rate for Payer: Nomi Health Commercial |
$41.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.25
|
| Rate for Payer: PACE SWMI |
$34.53
|
| Rate for Payer: PHP Commercial |
$48.34
|
| Rate for Payer: PHP Medicare Advantage |
$34.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$47.76
|
| Rate for Payer: Priority Health Medicare |
$34.53
|
| Rate for Payer: Priority Health SBD |
$47.76
|
| Rate for Payer: Priority Health Tiered Network |
$47.76
|
| Rate for Payer: Railroad Medicare Medicare |
$34.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.93
|
| Rate for Payer: UHC Core |
$56.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$34.53
|
| Rate for Payer: UHC Exchange |
$56.93
|
| Rate for Payer: UMR Bronson Commercial |
$34.50
|
|
|
PR PSYCL/NRPSYCL TST TECH 2+ TST EA ADDL 30 MIN
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 96139
|
| Min. Negotiated Rate |
$32.32 |
| Max. Negotiated Rate |
$56.93 |
| Rate for Payer: Aetna Commercial |
$43.31
|
| Rate for Payer: Aetna Medicare |
$33.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.54
|
| Rate for Payer: BCBS MAPPO |
$32.32
|
| Rate for Payer: BCN Commercial |
$51.79
|
| Rate for Payer: BCN Medicare Advantage |
$32.32
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cash Price |
$60.00
|
| Rate for Payer: Cofinity Commercial |
$46.54
|
| Rate for Payer: Cofinity Commercial |
$43.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$33.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$35.55
|
| Rate for Payer: Nomi Health Commercial |
$38.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$56.25
|
| Rate for Payer: PACE SWMI |
$32.32
|
| Rate for Payer: PHP Commercial |
$45.25
|
| Rate for Payer: PHP Medicare Advantage |
$32.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$47.76
|
| Rate for Payer: Priority Health Medicare |
$32.32
|
| Rate for Payer: Priority Health SBD |
$47.76
|
| Rate for Payer: Priority Health Tiered Network |
$47.76
|
| Rate for Payer: Railroad Medicare Medicare |
$32.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$56.93
|
| Rate for Payer: UHC Core |
$56.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$32.32
|
| Rate for Payer: UHC Exchange |
$56.93
|
| Rate for Payer: UMR Bronson Commercial |
$34.50
|
|
|
PR PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN
|
Professional
|
Both
|
$97.00
|
|
|
Service Code
|
HCPCS 96136
|
| Min. Negotiated Rate |
$13.63 |
| Max. Negotiated Rate |
$72.75 |
| Rate for Payer: Aetna Commercial |
$28.49
|
| Rate for Payer: Aetna Medicare |
$22.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.61
|
| Rate for Payer: BCBS Complete |
$14.31
|
| Rate for Payer: BCBS MAPPO |
$21.26
|
| Rate for Payer: BCN Commercial |
$62.75
|
| Rate for Payer: BCN Medicare Advantage |
$21.26
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cash Price |
$77.60
|
| Rate for Payer: Cofinity Commercial |
$28.49
|
| Rate for Payer: Cofinity Commercial |
$30.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.32
|
| Rate for Payer: Meridian Medicaid |
$14.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.39
|
| Rate for Payer: Nomi Health Commercial |
$25.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.75
|
| Rate for Payer: PACE SWMI |
$21.26
|
| Rate for Payer: PHP Commercial |
$29.76
|
| Rate for Payer: PHP Medicare Advantage |
$21.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$32.14
|
| Rate for Payer: Priority Health Medicare |
$21.26
|
| Rate for Payer: Priority Health SBD |
$32.14
|
| Rate for Payer: Priority Health Tiered Network |
$32.14
|
| Rate for Payer: Railroad Medicare Medicare |
$21.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$40.07
|
| Rate for Payer: UHC Core |
$40.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.26
|
| Rate for Payer: UHC Exchange |
$40.07
|
| Rate for Payer: UHC Medicaid |
$13.63
|
| Rate for Payer: UHCCP Medicaid |
$13.63
|
| Rate for Payer: UMR Bronson Commercial |
$44.62
|
|
|
PR PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH
|
Professional
|
Both
|
$2,286.00
|
|
|
Service Code
|
HCPCS 31040
|
| Min. Negotiated Rate |
$460.29 |
| Max. Negotiated Rate |
$1,714.50 |
| Rate for Payer: Aetna Commercial |
$933.99
|
| Rate for Payer: Aetna Medicare |
$724.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,003.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$933.99
|
| Rate for Payer: BCBS Complete |
$483.30
|
| Rate for Payer: BCBS MAPPO |
$697.01
|
| Rate for Payer: BCN Commercial |
$1,203.12
|
| Rate for Payer: BCN Medicare Advantage |
$697.01
|
| Rate for Payer: Cash Price |
$1,828.80
|
| Rate for Payer: Cash Price |
$1,828.80
|
| Rate for Payer: Cofinity Commercial |
$1,003.69
|
| Rate for Payer: Cofinity Commercial |
$933.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$697.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$731.86
|
| Rate for Payer: Meridian Medicaid |
$483.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$766.71
|
| Rate for Payer: Nomi Health Commercial |
$836.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,714.50
|
| Rate for Payer: PACE SWMI |
$697.01
|
| Rate for Payer: PHP Commercial |
$975.81
|
| Rate for Payer: PHP Medicare Advantage |
$697.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,132.98
|
| Rate for Payer: Priority Health Medicare |
$697.01
|
| Rate for Payer: Priority Health SBD |
$1,132.98
|
| Rate for Payer: Priority Health Tiered Network |
$1,132.98
|
| Rate for Payer: Railroad Medicare Medicare |
$697.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,349.94
|
| Rate for Payer: UHC Core |
$1,349.94
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$697.01
|
| Rate for Payer: UHC Exchange |
$1,349.94
|
| Rate for Payer: UHC Medicaid |
$460.29
|
| Rate for Payer: UHCCP Medicaid |
$460.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,051.56
|
|
|
PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM
|
Professional
|
Both
|
$53.00
|
|
|
Service Code
|
HCPCS 96160
|
| Min. Negotiated Rate |
$2.74 |
| Max. Negotiated Rate |
$39.75 |
| Rate for Payer: Aetna Commercial |
$3.67
|
| Rate for Payer: Aetna Medicare |
$2.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.95
|
| Rate for Payer: BCBS MAPPO |
$2.74
|
| Rate for Payer: BCN Commercial |
$4.48
|
| Rate for Payer: BCN Medicare Advantage |
$2.74
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cash Price |
$42.40
|
| Rate for Payer: Cofinity Commercial |
$3.67
|
| Rate for Payer: Cofinity Commercial |
$3.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.88
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.01
|
| Rate for Payer: Nomi Health Commercial |
$3.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$39.75
|
| Rate for Payer: PACE SWMI |
$2.74
|
| Rate for Payer: PHP Commercial |
$3.84
|
| Rate for Payer: PHP Medicare Advantage |
$2.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$5.43
|
| Rate for Payer: Priority Health Medicare |
$2.74
|
| Rate for Payer: Priority Health SBD |
$5.43
|
| Rate for Payer: Priority Health Tiered Network |
$5.43
|
| Rate for Payer: Railroad Medicare Medicare |
$2.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.72
|
| Rate for Payer: UHC Core |
$3.72
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.74
|
| Rate for Payer: UHC Exchange |
$3.72
|
| Rate for Payer: UMR Bronson Commercial |
$24.38
|
|
|
PR PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS
|
Professional
|
Both
|
$5,741.00
|
|
|
Service Code
|
HCPCS 33910
|
| Min. Negotiated Rate |
$1,565.34 |
| Max. Negotiated Rate |
$4,751.24 |
| Rate for Payer: Aetna Commercial |
$3,295.21
|
| Rate for Payer: Aetna Medicare |
$2,557.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,295.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,541.12
|
| Rate for Payer: BCBS Complete |
$1,643.61
|
| Rate for Payer: BCBS MAPPO |
$2,459.11
|
| Rate for Payer: BCN Commercial |
$3,826.49
|
| Rate for Payer: BCN Medicare Advantage |
$2,459.11
|
| Rate for Payer: Cash Price |
$4,592.80
|
| Rate for Payer: Cash Price |
$4,592.80
|
| Rate for Payer: Cofinity Commercial |
$3,541.12
|
| Rate for Payer: Cofinity Commercial |
$3,295.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,459.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,582.07
|
| Rate for Payer: Meridian Medicaid |
$1,643.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,705.02
|
| Rate for Payer: Nomi Health Commercial |
$2,950.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,305.75
|
| Rate for Payer: PACE SWMI |
$2,459.11
|
| Rate for Payer: PHP Commercial |
$3,442.75
|
| Rate for Payer: PHP Medicare Advantage |
$2,459.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,565.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$4,114.91
|
| Rate for Payer: Priority Health Medicare |
$2,459.11
|
| Rate for Payer: Priority Health SBD |
$4,114.91
|
| Rate for Payer: Priority Health Tiered Network |
$4,114.91
|
| Rate for Payer: Railroad Medicare Medicare |
$2,459.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4,751.24
|
| Rate for Payer: UHC Core |
$4,751.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2,459.11
|
| Rate for Payer: UHC Exchange |
$4,751.24
|
| Rate for Payer: UHC Medicaid |
$1,565.34
|
| Rate for Payer: UHCCP Medicaid |
$1,565.34
|
| Rate for Payer: UMR Bronson Commercial |
$2,640.86
|
|
|
PR PULMONARY COMPLIANCE STUDY
|
Professional
|
Both
|
$177.00
|
|
|
Service Code
|
HCPCS 94750
|
| Min. Negotiated Rate |
$70.80 |
| Max. Negotiated Rate |
$132.75 |
| Rate for Payer: Aetna Medicare |
$88.50
|
| Rate for Payer: BCBS Complete |
$70.80
|
| Rate for Payer: Cash Price |
$141.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.75
|
| Rate for Payer: UMR Bronson Commercial |
$81.42
|
|
|
PR PULMONARY STRESS TESTING
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 94618
|
| Min. Negotiated Rate |
$22.08 |
| Max. Negotiated Rate |
$53.02 |
| Rate for Payer: Aetna Commercial |
$47.48
|
| Rate for Payer: Aetna Medicare |
$36.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.02
|
| Rate for Payer: BCBS MAPPO |
$35.43
|
| Rate for Payer: BCN Commercial |
$51.29
|
| Rate for Payer: BCN Medicare Advantage |
$35.43
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cofinity Commercial |
$51.02
|
| Rate for Payer: Cofinity Commercial |
$47.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.97
|
| Rate for Payer: Nomi Health Commercial |
$42.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.00
|
| Rate for Payer: PACE SWMI |
$35.43
|
| Rate for Payer: PHP Commercial |
$49.60
|
| Rate for Payer: PHP Medicare Advantage |
$35.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$47.31
|
| Rate for Payer: Priority Health Medicare |
$35.43
|
| Rate for Payer: Priority Health SBD |
$47.31
|
| Rate for Payer: Priority Health Tiered Network |
$47.31
|
| Rate for Payer: Railroad Medicare Medicare |
$35.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.02
|
| Rate for Payer: UHC Core |
$53.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.43
|
| Rate for Payer: UHC Exchange |
$53.02
|
| Rate for Payer: UMR Bronson Commercial |
$22.08
|
|
|
PR PULMONARY STRESS TESTING,SIMPLE
|
Professional
|
Both
|
$369.00
|
|
|
Service Code
|
HCPCS 94620
|
| Min. Negotiated Rate |
$147.60 |
| Max. Negotiated Rate |
$276.75 |
| Rate for Payer: Aetna Medicare |
$184.50
|
| Rate for Payer: BCBS Complete |
$147.60
|
| Rate for Payer: Cash Price |
$295.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.75
|
| Rate for Payer: UMR Bronson Commercial |
$169.74
|
|
|
PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION
|
Professional
|
Both
|
$187.00
|
|
|
Service Code
|
HCPCS 11105
|
| Min. Negotiated Rate |
$13.63 |
| Max. Negotiated Rate |
$140.25 |
| Rate for Payer: Aetna Commercial |
$28.54
|
| Rate for Payer: Aetna Medicare |
$22.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.67
|
| Rate for Payer: BCBS Complete |
$14.31
|
| Rate for Payer: BCBS MAPPO |
$21.30
|
| Rate for Payer: BCN Commercial |
$29.85
|
| Rate for Payer: BCN Medicare Advantage |
$21.30
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cash Price |
$149.60
|
| Rate for Payer: Cofinity Commercial |
$30.67
|
| Rate for Payer: Cofinity Commercial |
$28.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.36
|
| Rate for Payer: Meridian Medicaid |
$14.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.43
|
| Rate for Payer: Nomi Health Commercial |
$25.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.25
|
| Rate for Payer: PACE SWMI |
$21.30
|
| Rate for Payer: PHP Commercial |
$29.82
|
| Rate for Payer: PHP Medicare Advantage |
$21.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$34.63
|
| Rate for Payer: Priority Health Medicare |
$21.30
|
| Rate for Payer: Priority Health SBD |
$34.63
|
| Rate for Payer: Priority Health Tiered Network |
$34.63
|
| Rate for Payer: Railroad Medicare Medicare |
$21.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.34
|
| Rate for Payer: UHC Core |
$46.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$21.30
|
| Rate for Payer: UHC Exchange |
$46.34
|
| Rate for Payer: UHC Medicaid |
$13.63
|
| Rate for Payer: UHCCP Medicaid |
$13.63
|
| Rate for Payer: UMR Bronson Commercial |
$86.02
|
|
|
PR PUNCH BIOPSY SKIN SINGLE LESION
|
Professional
|
Both
|
$251.00
|
|
|
Service Code
|
HCPCS 11104
|
| Min. Negotiated Rate |
$24.28 |
| Max. Negotiated Rate |
$188.25 |
| Rate for Payer: Aetna Commercial |
$50.61
|
| Rate for Payer: Aetna Medicare |
$39.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.39
|
| Rate for Payer: BCBS Complete |
$25.49
|
| Rate for Payer: BCBS MAPPO |
$37.77
|
| Rate for Payer: BCN Commercial |
$54.98
|
| Rate for Payer: BCN Medicare Advantage |
$37.77
|
| Rate for Payer: Cash Price |
$200.80
|
| Rate for Payer: Cash Price |
$200.80
|
| Rate for Payer: Cofinity Commercial |
$50.61
|
| Rate for Payer: Cofinity Commercial |
$54.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$37.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$39.66
|
| Rate for Payer: Meridian Medicaid |
$25.49
|
| Rate for Payer: Molina Medicare/Medicaid |
$41.55
|
| Rate for Payer: Nomi Health Commercial |
$45.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$188.25
|
| Rate for Payer: PACE SWMI |
$37.77
|
| Rate for Payer: PHP Commercial |
$52.88
|
| Rate for Payer: PHP Medicare Advantage |
$37.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$63.82
|
| Rate for Payer: Priority Health Medicare |
$37.77
|
| Rate for Payer: Priority Health SBD |
$63.82
|
| Rate for Payer: Priority Health Tiered Network |
$63.82
|
| Rate for Payer: Railroad Medicare Medicare |
$37.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.35
|
| Rate for Payer: UHC Core |
$85.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$37.77
|
| Rate for Payer: UHC Exchange |
$85.35
|
| Rate for Payer: UHC Medicaid |
$24.28
|
| Rate for Payer: UHCCP Medicaid |
$24.28
|
| Rate for Payer: UMR Bronson Commercial |
$115.46
|
|
|
PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
|
Professional
|
Both
|
$221.00
|
|
|
Service Code
|
HCPCS 10160
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$165.75 |
| Rate for Payer: Aetna Commercial |
$118.27
|
| Rate for Payer: Aetna Medicare |
$91.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.09
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$88.26
|
| Rate for Payer: BCN Commercial |
$115.06
|
| Rate for Payer: BCN Medicare Advantage |
$88.26
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cofinity Commercial |
$118.27
|
| Rate for Payer: Cofinity Commercial |
$127.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.67
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$97.09
|
| Rate for Payer: Nomi Health Commercial |
$105.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.75
|
| Rate for Payer: PACE SWMI |
$88.26
|
| Rate for Payer: PHP Commercial |
$123.56
|
| Rate for Payer: PHP Medicare Advantage |
$88.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$133.55
|
| Rate for Payer: Priority Health Medicare |
$88.26
|
| Rate for Payer: Priority Health SBD |
$133.55
|
| Rate for Payer: Priority Health Tiered Network |
$133.55
|
| Rate for Payer: Railroad Medicare Medicare |
$88.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.18
|
| Rate for Payer: UHC Core |
$163.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$88.26
|
| Rate for Payer: UHC Exchange |
$163.18
|
| Rate for Payer: UHC Medicaid |
$58.36
|
| Rate for Payer: UHCCP Medicaid |
$58.36
|
| Rate for Payer: UMR Bronson Commercial |
$101.66
|
|
|
PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
|
Facility
|
IP
|
$221.00
|
|
|
Service Code
|
CPT 10160
|
| Hospital Charge Code |
10160
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$97.24 |
| Max. Negotiated Rate |
$198.90 |
| Rate for Payer: Aetna American Axle |
$143.65
|
| Rate for Payer: Aetna Commercial |
$187.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.65
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cofinity Advantage |
$154.70
|
| Rate for Payer: Cofinity Commercial |
$190.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.80
|
| Rate for Payer: Healthscope Commercial |
$198.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$154.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.75
|
| Rate for Payer: PHP Commercial |
$187.85
|
| Rate for Payer: Priority Health SBD |
$139.23
|
| Rate for Payer: UMR Bronson Commercial |
$97.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.75
|
|
|
PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
|
Facility
|
OP
|
$221.00
|
|
|
Service Code
|
CPT 10160
|
| Hospital Charge Code |
10160
|
|
Hospital Revenue Code
|
521
|
| Min. Negotiated Rate |
$81.77 |
| Max. Negotiated Rate |
$1,309.90 |
| Rate for Payer: Aetna American Axle |
$143.65
|
| Rate for Payer: Aetna Commercial |
$187.85
|
| Rate for Payer: Aetna Medicare |
$421.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$506.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$506.31
|
| Rate for Payer: BCBS Complete |
$222.45
|
| Rate for Payer: BCBS MAPPO |
$405.05
|
| Rate for Payer: BCBS Trust/PPO |
$351.77
|
| Rate for Payer: BCN Commercial |
$351.77
|
| Rate for Payer: BCN Medicare Advantage |
$405.05
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cofinity Advantage |
$154.70
|
| Rate for Payer: Cofinity Commercial |
$190.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$405.05
|
| Rate for Payer: Healthscope Commercial |
$198.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$154.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.75
|
| Rate for Payer: Mclaren Medicaid |
$405.05
|
| Rate for Payer: Mclaren Medicare |
$405.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$425.30
|
| Rate for Payer: Meridian Medicaid |
$425.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$465.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$445.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.85
|
| Rate for Payer: Nomi Health Commercial |
$1,215.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.75
|
| Rate for Payer: PACE Medicare |
$384.80
|
| Rate for Payer: PACE SWMI |
$405.05
|
| Rate for Payer: PHP Commercial |
$187.85
|
| Rate for Payer: PHP Medicare Advantage |
$405.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,309.90
|
| Rate for Payer: Priority Health Medicare |
$405.05
|
| Rate for Payer: Priority Health SBD |
$139.23
|
| Rate for Payer: Priority Health Tiered Network |
$1,047.92
|
| Rate for Payer: Railroad Medicare Medicare |
$405.05
|
| Rate for Payer: UHC Medicaid |
$211.84
|
| Rate for Payer: UHCCP Medicaid |
$211.84
|
| Rate for Payer: UMR Bronson Commercial |
$81.77
|
| Rate for Payer: VA VA |
$405.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.75
|
|
|
PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST
|
Professional
|
Both
|
$221.00
|
|
|
Service Code
|
HCPCS 10160
|
| Hospital Charge Code |
10160
|
| Min. Negotiated Rate |
$58.36 |
| Max. Negotiated Rate |
$165.75 |
| Rate for Payer: Aetna Commercial |
$118.27
|
| Rate for Payer: Aetna Medicare |
$91.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$118.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.09
|
| Rate for Payer: BCBS Complete |
$61.28
|
| Rate for Payer: BCBS MAPPO |
$88.26
|
| Rate for Payer: BCN Commercial |
$115.06
|
| Rate for Payer: BCN Medicare Advantage |
$88.26
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cash Price |
$176.80
|
| Rate for Payer: Cofinity Commercial |
$118.27
|
| Rate for Payer: Cofinity Commercial |
$127.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$88.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$92.67
|
| Rate for Payer: Meridian Medicaid |
$61.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$97.09
|
| Rate for Payer: Nomi Health Commercial |
$105.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.75
|
| Rate for Payer: PACE SWMI |
$88.26
|
| Rate for Payer: PHP Commercial |
$123.56
|
| Rate for Payer: PHP Medicare Advantage |
$88.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$58.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$133.55
|
| Rate for Payer: Priority Health Medicare |
$88.26
|
| Rate for Payer: Priority Health SBD |
$133.55
|
| Rate for Payer: Priority Health Tiered Network |
$133.55
|
| Rate for Payer: Railroad Medicare Medicare |
$88.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$163.18
|
| Rate for Payer: UHC Core |
$163.18
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$88.26
|
| Rate for Payer: UHC Exchange |
$163.18
|
| Rate for Payer: UHC Medicaid |
$58.36
|
| Rate for Payer: UHCCP Medicaid |
$58.36
|
| Rate for Payer: UMR Bronson Commercial |
$101.66
|
|
|
PR PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST
|
Professional
|
Both
|
$77.00
|
|
|
Service Code
|
HCPCS 19001
|
| Min. Negotiated Rate |
$11.50 |
| Max. Negotiated Rate |
$57.75 |
| Rate for Payer: Aetna Commercial |
$24.15
|
| Rate for Payer: Aetna Medicare |
$18.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$24.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.95
|
| Rate for Payer: BCBS Complete |
$12.07
|
| Rate for Payer: BCBS MAPPO |
$18.02
|
| Rate for Payer: BCN Commercial |
$30.38
|
| Rate for Payer: BCN Medicare Advantage |
$18.02
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cash Price |
$61.60
|
| Rate for Payer: Cofinity Commercial |
$24.15
|
| Rate for Payer: Cofinity Commercial |
$25.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.92
|
| Rate for Payer: Meridian Medicaid |
$12.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.82
|
| Rate for Payer: Nomi Health Commercial |
$21.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.75
|
| Rate for Payer: PACE SWMI |
$18.02
|
| Rate for Payer: PHP Commercial |
$25.23
|
| Rate for Payer: PHP Medicare Advantage |
$18.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$27.80
|
| Rate for Payer: Priority Health Medicare |
$18.02
|
| Rate for Payer: Priority Health SBD |
$27.80
|
| Rate for Payer: Priority Health Tiered Network |
$27.80
|
| Rate for Payer: Railroad Medicare Medicare |
$18.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.70
|
| Rate for Payer: UHC Core |
$38.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18.02
|
| Rate for Payer: UHC Exchange |
$38.70
|
| Rate for Payer: UHC Medicaid |
$11.50
|
| Rate for Payer: UHCCP Medicaid |
$11.50
|
| Rate for Payer: UMR Bronson Commercial |
$35.42
|
|
