|
PR RADICAL RESECTION TUMOR METATARSAL
|
Professional
|
Both
|
$1,420.00
|
|
|
Service Code
|
HCPCS 28173
|
| Min. Negotiated Rate |
$424.51 |
| Max. Negotiated Rate |
$1,302.27 |
| Rate for Payer: Aetna Commercial |
$879.68
|
| Rate for Payer: Aetna Medicare |
$682.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$879.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$945.33
|
| Rate for Payer: BCBS Complete |
$445.74
|
| Rate for Payer: BCBS MAPPO |
$656.48
|
| Rate for Payer: BCN Commercial |
$1,089.58
|
| Rate for Payer: BCN Medicare Advantage |
$656.48
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cash Price |
$1,136.00
|
| Rate for Payer: Cofinity Commercial |
$879.68
|
| Rate for Payer: Cofinity Commercial |
$945.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$656.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$689.30
|
| Rate for Payer: Meridian Medicaid |
$445.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$722.13
|
| Rate for Payer: Nomi Health Commercial |
$787.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,065.00
|
| Rate for Payer: PACE SWMI |
$656.48
|
| Rate for Payer: PHP Commercial |
$919.07
|
| Rate for Payer: PHP Medicare Advantage |
$656.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$424.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,164.73
|
| Rate for Payer: Priority Health Medicare |
$656.48
|
| Rate for Payer: Priority Health SBD |
$1,164.73
|
| Rate for Payer: Priority Health Tiered Network |
$1,164.73
|
| Rate for Payer: Railroad Medicare Medicare |
$656.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,302.27
|
| Rate for Payer: UHC Core |
$1,302.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$656.48
|
| Rate for Payer: UHC Exchange |
$1,302.27
|
| Rate for Payer: UHC Medicaid |
$424.51
|
| Rate for Payer: UHCCP Medicaid |
$424.51
|
| Rate for Payer: UMR Bronson Commercial |
$653.20
|
|
|
PR RADICAL RESECTION TUMOR RADIUS OR ULNA
|
Professional
|
Both
|
$2,673.00
|
|
|
Service Code
|
HCPCS 25170
|
| Min. Negotiated Rate |
$847.95 |
| Max. Negotiated Rate |
$2,588.91 |
| Rate for Payer: Aetna Commercial |
$1,755.64
|
| Rate for Payer: Aetna Medicare |
$1,362.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,755.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,886.66
|
| Rate for Payer: BCBS Complete |
$890.35
|
| Rate for Payer: BCBS MAPPO |
$1,310.18
|
| Rate for Payer: BCN Commercial |
$2,215.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,310.18
|
| Rate for Payer: Cash Price |
$2,138.40
|
| Rate for Payer: Cash Price |
$2,138.40
|
| Rate for Payer: Cofinity Commercial |
$1,755.64
|
| Rate for Payer: Cofinity Commercial |
$1,886.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,310.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,375.69
|
| Rate for Payer: Meridian Medicaid |
$890.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,441.20
|
| Rate for Payer: Nomi Health Commercial |
$1,572.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,004.75
|
| Rate for Payer: PACE SWMI |
$1,310.18
|
| Rate for Payer: PHP Commercial |
$1,834.25
|
| Rate for Payer: PHP Medicare Advantage |
$1,310.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,368.33
|
| Rate for Payer: Priority Health Medicare |
$1,310.18
|
| Rate for Payer: Priority Health SBD |
$2,368.33
|
| Rate for Payer: Priority Health Tiered Network |
$2,368.33
|
| Rate for Payer: Railroad Medicare Medicare |
$1,310.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,588.91
|
| Rate for Payer: UHC Core |
$2,588.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,310.18
|
| Rate for Payer: UHC Exchange |
$2,588.91
|
| Rate for Payer: UHC Medicaid |
$847.95
|
| Rate for Payer: UHCCP Medicaid |
$847.95
|
| Rate for Payer: UMR Bronson Commercial |
$1,229.58
|
|
|
PR RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS
|
Professional
|
Both
|
$2,383.00
|
|
|
Service Code
|
HCPCS 24150
|
| Min. Negotiated Rate |
$890.98 |
| Max. Negotiated Rate |
$2,724.41 |
| Rate for Payer: Aetna Commercial |
$1,845.45
|
| Rate for Payer: Aetna Medicare |
$1,432.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,845.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,983.17
|
| Rate for Payer: BCBS Complete |
$935.53
|
| Rate for Payer: BCBS MAPPO |
$1,377.20
|
| Rate for Payer: BCN Commercial |
$2,330.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,377.20
|
| Rate for Payer: Cash Price |
$1,906.40
|
| Rate for Payer: Cash Price |
$1,906.40
|
| Rate for Payer: Cofinity Commercial |
$1,845.45
|
| Rate for Payer: Cofinity Commercial |
$1,983.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,377.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,446.06
|
| Rate for Payer: Meridian Medicaid |
$935.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,514.92
|
| Rate for Payer: Nomi Health Commercial |
$1,652.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,787.25
|
| Rate for Payer: PACE SWMI |
$1,377.20
|
| Rate for Payer: PHP Commercial |
$1,928.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,377.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$890.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,490.76
|
| Rate for Payer: Priority Health Medicare |
$1,377.20
|
| Rate for Payer: Priority Health SBD |
$2,490.76
|
| Rate for Payer: Priority Health Tiered Network |
$2,490.76
|
| Rate for Payer: Railroad Medicare Medicare |
$1,377.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,724.41
|
| Rate for Payer: UHC Core |
$2,724.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,377.20
|
| Rate for Payer: UHC Exchange |
$2,724.41
|
| Rate for Payer: UHC Medicaid |
$890.98
|
| Rate for Payer: UHCCP Medicaid |
$890.98
|
| Rate for Payer: UMR Bronson Commercial |
$1,096.18
|
|
|
PR RADICAL STYLOIDECTOMY SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,585.00
|
|
|
Service Code
|
HCPCS 25230
|
| Min. Negotiated Rate |
$263.69 |
| Max. Negotiated Rate |
$1,188.75 |
| Rate for Payer: Aetna Commercial |
$536.15
|
| Rate for Payer: Aetna Medicare |
$416.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$536.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$576.16
|
| Rate for Payer: BCBS Complete |
$276.87
|
| Rate for Payer: BCBS MAPPO |
$400.11
|
| Rate for Payer: BCN Commercial |
$670.78
|
| Rate for Payer: BCN Medicare Advantage |
$400.11
|
| Rate for Payer: Cash Price |
$1,268.00
|
| Rate for Payer: Cash Price |
$1,268.00
|
| Rate for Payer: Cofinity Commercial |
$536.15
|
| Rate for Payer: Cofinity Commercial |
$576.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$400.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$420.12
|
| Rate for Payer: Meridian Medicaid |
$276.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$440.12
|
| Rate for Payer: Nomi Health Commercial |
$480.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,188.75
|
| Rate for Payer: PACE SWMI |
$400.11
|
| Rate for Payer: PHP Commercial |
$560.15
|
| Rate for Payer: PHP Medicare Advantage |
$400.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$263.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$717.05
|
| Rate for Payer: Priority Health Medicare |
$400.11
|
| Rate for Payer: Priority Health SBD |
$717.05
|
| Rate for Payer: Priority Health Tiered Network |
$717.05
|
| Rate for Payer: Railroad Medicare Medicare |
$400.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$748.51
|
| Rate for Payer: UHC Core |
$748.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$400.11
|
| Rate for Payer: UHC Exchange |
$748.51
|
| Rate for Payer: UHC Medicaid |
$263.69
|
| Rate for Payer: UHCCP Medicaid |
$263.69
|
| Rate for Payer: UMR Bronson Commercial |
$729.10
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Professional
|
Both
|
$962.00
|
|
|
Service Code
|
HCPCS 64625
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$721.50 |
| Rate for Payer: Aetna Commercial |
$232.25
|
| Rate for Payer: Aetna Medicare |
$180.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.58
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCBS MAPPO |
$173.32
|
| Rate for Payer: BCN Commercial |
$293.81
|
| Rate for Payer: BCN Medicare Advantage |
$173.32
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cash Price |
$769.60
|
| Rate for Payer: Cofinity Commercial |
$232.25
|
| Rate for Payer: Cofinity Commercial |
$249.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.99
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$190.65
|
| Rate for Payer: Nomi Health Commercial |
$207.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$721.50
|
| Rate for Payer: PACE SWMI |
$173.32
|
| Rate for Payer: PHP Commercial |
$242.65
|
| Rate for Payer: PHP Medicare Advantage |
$173.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$341.25
|
| Rate for Payer: Priority Health Medicare |
$173.32
|
| Rate for Payer: Priority Health SBD |
$341.25
|
| Rate for Payer: Priority Health Tiered Network |
$341.25
|
| Rate for Payer: Railroad Medicare Medicare |
$173.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$340.97
|
| Rate for Payer: UHC Core |
$340.97
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$173.32
|
| Rate for Payer: UHC Exchange |
$340.97
|
| Rate for Payer: UHC Medicaid |
$112.68
|
| Rate for Payer: UHCCP Medicaid |
$112.68
|
| Rate for Payer: UMR Bronson Commercial |
$442.52
|
|
|
PR RAD RESCJ CAPSL TISS&HTRTPC B1 ELBW CONTRCT RLS
|
Professional
|
Both
|
$2,748.00
|
|
|
Service Code
|
HCPCS 24149
|
| Min. Negotiated Rate |
$695.23 |
| Max. Negotiated Rate |
$2,061.00 |
| Rate for Payer: Aetna Commercial |
$1,426.08
|
| Rate for Payer: Aetna Medicare |
$1,106.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,426.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,532.51
|
| Rate for Payer: BCBS Complete |
$729.99
|
| Rate for Payer: BCBS MAPPO |
$1,064.24
|
| Rate for Payer: BCN Commercial |
$1,796.22
|
| Rate for Payer: BCN Medicare Advantage |
$1,064.24
|
| Rate for Payer: Cash Price |
$2,198.40
|
| Rate for Payer: Cash Price |
$2,198.40
|
| Rate for Payer: Cofinity Commercial |
$1,426.08
|
| Rate for Payer: Cofinity Commercial |
$1,532.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,064.24
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,117.45
|
| Rate for Payer: Meridian Medicaid |
$729.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,170.66
|
| Rate for Payer: Nomi Health Commercial |
$1,277.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,061.00
|
| Rate for Payer: PACE SWMI |
$1,064.24
|
| Rate for Payer: PHP Commercial |
$1,489.94
|
| Rate for Payer: PHP Medicare Advantage |
$1,064.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$695.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,920.11
|
| Rate for Payer: Priority Health Medicare |
$1,064.24
|
| Rate for Payer: Priority Health SBD |
$1,920.11
|
| Rate for Payer: Priority Health Tiered Network |
$1,920.11
|
| Rate for Payer: Railroad Medicare Medicare |
$1,064.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,049.09
|
| Rate for Payer: UHC Core |
$2,049.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,064.24
|
| Rate for Payer: UHC Exchange |
$2,049.09
|
| Rate for Payer: UHC Medicaid |
$695.23
|
| Rate for Payer: UHCCP Medicaid |
$695.23
|
| Rate for Payer: UMR Bronson Commercial |
$1,264.08
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW <5CM
|
Professional
|
Both
|
$1,902.00
|
|
|
Service Code
|
HCPCS 24077
|
| Min. Negotiated Rate |
$610.88 |
| Max. Negotiated Rate |
$1,831.12 |
| Rate for Payer: Aetna Commercial |
$1,265.78
|
| Rate for Payer: Aetna Medicare |
$982.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,265.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,360.24
|
| Rate for Payer: BCBS Complete |
$641.42
|
| Rate for Payer: BCBS MAPPO |
$944.61
|
| Rate for Payer: BCN Commercial |
$1,549.72
|
| Rate for Payer: BCN Medicare Advantage |
$944.61
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cash Price |
$1,521.60
|
| Rate for Payer: Cofinity Commercial |
$1,265.78
|
| Rate for Payer: Cofinity Commercial |
$1,360.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$944.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$991.84
|
| Rate for Payer: Meridian Medicaid |
$641.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,039.07
|
| Rate for Payer: Nomi Health Commercial |
$1,133.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,426.50
|
| Rate for Payer: PACE SWMI |
$944.61
|
| Rate for Payer: PHP Commercial |
$1,322.45
|
| Rate for Payer: PHP Medicare Advantage |
$944.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$610.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,656.60
|
| Rate for Payer: Priority Health Medicare |
$944.61
|
| Rate for Payer: Priority Health SBD |
$1,656.60
|
| Rate for Payer: Priority Health Tiered Network |
$1,656.60
|
| Rate for Payer: Railroad Medicare Medicare |
$944.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,831.12
|
| Rate for Payer: UHC Core |
$1,831.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$944.61
|
| Rate for Payer: UHC Exchange |
$1,831.12
|
| Rate for Payer: UHC Medicaid |
$610.88
|
| Rate for Payer: UHCCP Medicaid |
$610.88
|
| Rate for Payer: UMR Bronson Commercial |
$874.92
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM+
|
Professional
|
Both
|
$3,211.00
|
|
|
Service Code
|
HCPCS 24079
|
| Min. Negotiated Rate |
$781.92 |
| Max. Negotiated Rate |
$2,408.25 |
| Rate for Payer: Aetna Commercial |
$1,622.98
|
| Rate for Payer: Aetna Medicare |
$1,259.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,622.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,744.10
|
| Rate for Payer: BCBS Complete |
$821.02
|
| Rate for Payer: BCBS MAPPO |
$1,211.18
|
| Rate for Payer: BCN Commercial |
$2,002.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,211.18
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cash Price |
$2,568.80
|
| Rate for Payer: Cofinity Commercial |
$1,622.98
|
| Rate for Payer: Cofinity Commercial |
$1,744.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,211.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,271.74
|
| Rate for Payer: Meridian Medicaid |
$821.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,332.30
|
| Rate for Payer: Nomi Health Commercial |
$1,453.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,408.25
|
| Rate for Payer: PACE SWMI |
$1,211.18
|
| Rate for Payer: PHP Commercial |
$1,695.65
|
| Rate for Payer: PHP Medicare Advantage |
$1,211.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$781.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,140.49
|
| Rate for Payer: Priority Health Medicare |
$1,211.18
|
| Rate for Payer: Priority Health SBD |
$2,140.49
|
| Rate for Payer: Priority Health Tiered Network |
$2,140.49
|
| Rate for Payer: Railroad Medicare Medicare |
$1,211.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,337.90
|
| Rate for Payer: UHC Core |
$2,337.90
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,211.18
|
| Rate for Payer: UHC Exchange |
$2,337.90
|
| Rate for Payer: UHC Medicaid |
$781.92
|
| Rate for Payer: UHCCP Medicaid |
$781.92
|
| Rate for Payer: UMR Bronson Commercial |
$1,477.06
|
|
|
PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>
|
Professional
|
Both
|
$4,058.00
|
|
|
Service Code
|
HCPCS 25078
|
| Min. Negotiated Rate |
$690.12 |
| Max. Negotiated Rate |
$3,043.50 |
| Rate for Payer: Aetna Commercial |
$1,428.75
|
| Rate for Payer: Aetna Medicare |
$1,108.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,428.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,535.37
|
| Rate for Payer: BCBS Complete |
$724.63
|
| Rate for Payer: BCBS MAPPO |
$1,066.23
|
| Rate for Payer: BCN Commercial |
$1,764.84
|
| Rate for Payer: BCN Medicare Advantage |
$1,066.23
|
| Rate for Payer: Cash Price |
$3,246.40
|
| Rate for Payer: Cash Price |
$3,246.40
|
| Rate for Payer: Cofinity Commercial |
$1,428.75
|
| Rate for Payer: Cofinity Commercial |
$1,535.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,066.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,119.54
|
| Rate for Payer: Meridian Medicaid |
$724.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,172.85
|
| Rate for Payer: Nomi Health Commercial |
$1,279.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,043.50
|
| Rate for Payer: PACE SWMI |
$1,066.23
|
| Rate for Payer: PHP Commercial |
$1,492.72
|
| Rate for Payer: PHP Medicare Advantage |
$1,066.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$690.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,886.57
|
| Rate for Payer: Priority Health Medicare |
$1,066.23
|
| Rate for Payer: Priority Health SBD |
$1,886.57
|
| Rate for Payer: Priority Health Tiered Network |
$1,886.57
|
| Rate for Payer: Railroad Medicare Medicare |
$1,066.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,046.88
|
| Rate for Payer: UHC Core |
$2,046.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,066.23
|
| Rate for Payer: UHC Exchange |
$2,046.88
|
| Rate for Payer: UHC Medicaid |
$690.12
|
| Rate for Payer: UHCCP Medicaid |
$690.12
|
| Rate for Payer: UMR Bronson Commercial |
$1,866.68
|
|
|
PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>
|
Professional
|
Both
|
$3,614.00
|
|
|
Service Code
|
HCPCS 26118
|
| Min. Negotiated Rate |
$621.11 |
| Max. Negotiated Rate |
$2,710.50 |
| Rate for Payer: Aetna Commercial |
$1,275.93
|
| Rate for Payer: Aetna Medicare |
$990.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,275.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,371.15
|
| Rate for Payer: BCBS Complete |
$652.17
|
| Rate for Payer: BCBS MAPPO |
$952.19
|
| Rate for Payer: BCN Commercial |
$1,602.51
|
| Rate for Payer: BCN Medicare Advantage |
$952.19
|
| Rate for Payer: Cash Price |
$2,891.20
|
| Rate for Payer: Cash Price |
$2,891.20
|
| Rate for Payer: Cofinity Commercial |
$1,275.93
|
| Rate for Payer: Cofinity Commercial |
$1,371.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$952.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$999.80
|
| Rate for Payer: Meridian Medicaid |
$652.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,047.41
|
| Rate for Payer: Nomi Health Commercial |
$1,142.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,710.50
|
| Rate for Payer: PACE SWMI |
$952.19
|
| Rate for Payer: PHP Commercial |
$1,333.07
|
| Rate for Payer: PHP Medicare Advantage |
$952.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$621.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,713.03
|
| Rate for Payer: Priority Health Medicare |
$952.19
|
| Rate for Payer: Priority Health SBD |
$1,713.03
|
| Rate for Payer: Priority Health Tiered Network |
$1,713.03
|
| Rate for Payer: Railroad Medicare Medicare |
$952.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,839.98
|
| Rate for Payer: UHC Core |
$1,839.98
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$952.19
|
| Rate for Payer: UHC Exchange |
$1,839.98
|
| Rate for Payer: UHC Medicaid |
$621.11
|
| Rate for Payer: UHCCP Medicaid |
$621.11
|
| Rate for Payer: UMR Bronson Commercial |
$1,662.44
|
|
|
PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL
|
Professional
|
Both
|
$4,399.00
|
|
|
Service Code
|
HCPCS 27075
|
| Min. Negotiated Rate |
$1,185.13 |
| Max. Negotiated Rate |
$3,687.93 |
| Rate for Payer: Aetna Commercial |
$2,463.46
|
| Rate for Payer: Aetna Medicare |
$1,911.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,463.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,647.30
|
| Rate for Payer: BCBS Complete |
$1,244.39
|
| Rate for Payer: BCBS MAPPO |
$1,838.40
|
| Rate for Payer: BCN Commercial |
$3,129.81
|
| Rate for Payer: BCN Medicare Advantage |
$1,838.40
|
| Rate for Payer: Cash Price |
$3,519.20
|
| Rate for Payer: Cash Price |
$3,519.20
|
| Rate for Payer: Cofinity Commercial |
$2,463.46
|
| Rate for Payer: Cofinity Commercial |
$2,647.30
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,838.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,930.32
|
| Rate for Payer: Meridian Medicaid |
$1,244.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$2,022.24
|
| Rate for Payer: Nomi Health Commercial |
$2,206.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,299.25
|
| Rate for Payer: PACE SWMI |
$1,838.40
|
| Rate for Payer: PHP Commercial |
$2,573.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,838.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,185.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$3,345.68
|
| Rate for Payer: Priority Health Medicare |
$1,838.40
|
| Rate for Payer: Priority Health SBD |
$3,345.68
|
| Rate for Payer: Priority Health Tiered Network |
$3,345.68
|
| Rate for Payer: Railroad Medicare Medicare |
$1,838.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3,687.93
|
| Rate for Payer: UHC Core |
$3,687.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,838.40
|
| Rate for Payer: UHC Exchange |
$3,687.93
|
| Rate for Payer: UHC Medicaid |
$1,185.13
|
| Rate for Payer: UHCCP Medicaid |
$1,185.13
|
| Rate for Payer: UMR Bronson Commercial |
$2,023.54
|
|
|
PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER
|
Professional
|
Both
|
$1,695.00
|
|
|
Service Code
|
HCPCS 26260
|
| Min. Negotiated Rate |
$475.63 |
| Max. Negotiated Rate |
$1,396.73 |
| Rate for Payer: Aetna Commercial |
$977.37
|
| Rate for Payer: Aetna Medicare |
$758.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,050.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$977.37
|
| Rate for Payer: BCBS Complete |
$499.41
|
| Rate for Payer: BCBS MAPPO |
$729.38
|
| Rate for Payer: BCN Commercial |
$1,215.57
|
| Rate for Payer: BCN Medicare Advantage |
$729.38
|
| Rate for Payer: Cash Price |
$1,356.00
|
| Rate for Payer: Cash Price |
$1,356.00
|
| Rate for Payer: Cofinity Commercial |
$1,050.31
|
| Rate for Payer: Cofinity Commercial |
$977.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$729.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$765.85
|
| Rate for Payer: Meridian Medicaid |
$499.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$802.32
|
| Rate for Payer: Nomi Health Commercial |
$875.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,271.25
|
| Rate for Payer: PACE SWMI |
$729.38
|
| Rate for Payer: PHP Commercial |
$1,021.13
|
| Rate for Payer: PHP Medicare Advantage |
$729.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$475.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,299.42
|
| Rate for Payer: Priority Health Medicare |
$729.38
|
| Rate for Payer: Priority Health SBD |
$1,299.42
|
| Rate for Payer: Priority Health Tiered Network |
$1,299.42
|
| Rate for Payer: Railroad Medicare Medicare |
$729.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,396.73
|
| Rate for Payer: UHC Core |
$1,396.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$729.38
|
| Rate for Payer: UHC Exchange |
$1,396.73
|
| Rate for Payer: UHC Medicaid |
$475.63
|
| Rate for Payer: UHCCP Medicaid |
$475.63
|
| Rate for Payer: UMR Bronson Commercial |
$779.70
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>
|
Professional
|
Both
|
$1,810.00
|
|
|
Service Code
|
HCPCS 21016
|
| Min. Negotiated Rate |
$574.89 |
| Max. Negotiated Rate |
$1,767.27 |
| Rate for Payer: Aetna Commercial |
$1,187.43
|
| Rate for Payer: Aetna Medicare |
$921.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,187.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,276.04
|
| Rate for Payer: BCBS Complete |
$603.63
|
| Rate for Payer: BCBS MAPPO |
$886.14
|
| Rate for Payer: BCN Commercial |
$1,514.36
|
| Rate for Payer: BCN Medicare Advantage |
$886.14
|
| Rate for Payer: Cash Price |
$1,448.00
|
| Rate for Payer: Cash Price |
$1,448.00
|
| Rate for Payer: Cofinity Commercial |
$1,187.43
|
| Rate for Payer: Cofinity Commercial |
$1,276.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$886.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$930.45
|
| Rate for Payer: Meridian Medicaid |
$603.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$974.75
|
| Rate for Payer: Nomi Health Commercial |
$1,063.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,357.50
|
| Rate for Payer: PACE SWMI |
$886.14
|
| Rate for Payer: PHP Commercial |
$1,240.60
|
| Rate for Payer: PHP Medicare Advantage |
$886.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$574.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,618.81
|
| Rate for Payer: Priority Health Medicare |
$886.14
|
| Rate for Payer: Priority Health SBD |
$1,618.81
|
| Rate for Payer: Priority Health Tiered Network |
$1,618.81
|
| Rate for Payer: Railroad Medicare Medicare |
$886.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,767.27
|
| Rate for Payer: UHC Core |
$1,767.27
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$886.14
|
| Rate for Payer: UHC Exchange |
$1,767.27
|
| Rate for Payer: UHC Medicaid |
$574.89
|
| Rate for Payer: UHCCP Medicaid |
$574.89
|
| Rate for Payer: UMR Bronson Commercial |
$832.60
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM
|
Professional
|
Both
|
$923.00
|
|
|
Service Code
|
HCPCS 21015
|
| Min. Negotiated Rate |
$407.90 |
| Max. Negotiated Rate |
$1,226.91 |
| Rate for Payer: Aetna Commercial |
$836.40
|
| Rate for Payer: Aetna Medicare |
$649.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$836.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$898.82
|
| Rate for Payer: BCBS Complete |
$428.30
|
| Rate for Payer: BCBS MAPPO |
$624.18
|
| Rate for Payer: BCN Commercial |
$1,059.21
|
| Rate for Payer: BCN Medicare Advantage |
$624.18
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cash Price |
$738.40
|
| Rate for Payer: Cofinity Commercial |
$836.40
|
| Rate for Payer: Cofinity Commercial |
$898.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$624.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$655.39
|
| Rate for Payer: Meridian Medicaid |
$428.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$686.60
|
| Rate for Payer: Nomi Health Commercial |
$749.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$692.25
|
| Rate for Payer: PACE SWMI |
$624.18
|
| Rate for Payer: PHP Commercial |
$873.85
|
| Rate for Payer: PHP Medicare Advantage |
$624.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$407.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,132.26
|
| Rate for Payer: Priority Health Medicare |
$624.18
|
| Rate for Payer: Priority Health SBD |
$1,132.26
|
| Rate for Payer: Priority Health Tiered Network |
$1,132.26
|
| Rate for Payer: Railroad Medicare Medicare |
$624.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,226.91
|
| Rate for Payer: UHC Core |
$1,226.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$624.18
|
| Rate for Payer: UHC Exchange |
$1,226.91
|
| Rate for Payer: UHC Medicaid |
$407.90
|
| Rate for Payer: UHCCP Medicaid |
$407.90
|
| Rate for Payer: UMR Bronson Commercial |
$424.58
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>
|
Professional
|
Both
|
$2,493.00
|
|
|
Service Code
|
HCPCS 22905
|
| Min. Negotiated Rate |
$789.17 |
| Max. Negotiated Rate |
$2,356.93 |
| Rate for Payer: Aetna Commercial |
$1,642.61
|
| Rate for Payer: Aetna Medicare |
$1,274.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,642.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,765.20
|
| Rate for Payer: BCBS Complete |
$828.63
|
| Rate for Payer: BCBS MAPPO |
$1,225.83
|
| Rate for Payer: BCN Commercial |
$2,007.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,225.83
|
| Rate for Payer: Cash Price |
$1,994.40
|
| Rate for Payer: Cash Price |
$1,994.40
|
| Rate for Payer: Cofinity Commercial |
$1,642.61
|
| Rate for Payer: Cofinity Commercial |
$1,765.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,225.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,287.12
|
| Rate for Payer: Meridian Medicaid |
$828.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,348.41
|
| Rate for Payer: Nomi Health Commercial |
$1,471.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,869.75
|
| Rate for Payer: PACE SWMI |
$1,225.83
|
| Rate for Payer: PHP Commercial |
$1,716.16
|
| Rate for Payer: PHP Medicare Advantage |
$1,225.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$789.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,145.82
|
| Rate for Payer: Priority Health Medicare |
$1,225.83
|
| Rate for Payer: Priority Health SBD |
$2,145.82
|
| Rate for Payer: Priority Health Tiered Network |
$2,145.82
|
| Rate for Payer: Railroad Medicare Medicare |
$1,225.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,356.93
|
| Rate for Payer: UHC Core |
$2,356.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,225.83
|
| Rate for Payer: UHC Exchange |
$2,356.93
|
| Rate for Payer: UHC Medicaid |
$789.17
|
| Rate for Payer: UHCCP Medicaid |
$789.17
|
| Rate for Payer: UMR Bronson Commercial |
$1,146.78
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM
|
Professional
|
Both
|
$2,198.00
|
|
|
Service Code
|
HCPCS 22904
|
| Min. Negotiated Rate |
$628.35 |
| Max. Negotiated Rate |
$1,862.60 |
| Rate for Payer: Aetna Commercial |
$1,305.36
|
| Rate for Payer: Aetna Medicare |
$1,013.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,305.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,402.78
|
| Rate for Payer: BCBS Complete |
$659.77
|
| Rate for Payer: BCBS MAPPO |
$974.15
|
| Rate for Payer: BCN Commercial |
$1,573.12
|
| Rate for Payer: BCN Medicare Advantage |
$974.15
|
| Rate for Payer: Cash Price |
$1,758.40
|
| Rate for Payer: Cash Price |
$1,758.40
|
| Rate for Payer: Cofinity Commercial |
$1,305.36
|
| Rate for Payer: Cofinity Commercial |
$1,402.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$974.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,022.86
|
| Rate for Payer: Meridian Medicaid |
$659.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,071.57
|
| Rate for Payer: Nomi Health Commercial |
$1,168.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,648.50
|
| Rate for Payer: PACE SWMI |
$974.15
|
| Rate for Payer: PHP Commercial |
$1,363.81
|
| Rate for Payer: PHP Medicare Advantage |
$974.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$628.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,681.63
|
| Rate for Payer: Priority Health Medicare |
$974.15
|
| Rate for Payer: Priority Health SBD |
$1,681.63
|
| Rate for Payer: Priority Health Tiered Network |
$1,681.63
|
| Rate for Payer: Railroad Medicare Medicare |
$974.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,862.60
|
| Rate for Payer: UHC Core |
$1,862.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$974.15
|
| Rate for Payer: UHC Exchange |
$1,862.60
|
| Rate for Payer: UHC Medicaid |
$628.35
|
| Rate for Payer: UHCCP Medicaid |
$628.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,011.08
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM
|
Professional
|
Both
|
$3,028.00
|
|
|
Service Code
|
HCPCS 21935
|
| Min. Negotiated Rate |
$609.61 |
| Max. Negotiated Rate |
$2,271.00 |
| Rate for Payer: Aetna Commercial |
$1,264.10
|
| Rate for Payer: Aetna Medicare |
$981.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,264.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,358.44
|
| Rate for Payer: BCBS Complete |
$640.09
|
| Rate for Payer: BCBS MAPPO |
$943.36
|
| Rate for Payer: BCN Commercial |
$1,535.28
|
| Rate for Payer: BCN Medicare Advantage |
$943.36
|
| Rate for Payer: Cash Price |
$2,422.40
|
| Rate for Payer: Cash Price |
$2,422.40
|
| Rate for Payer: Cofinity Commercial |
$1,264.10
|
| Rate for Payer: Cofinity Commercial |
$1,358.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$943.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$990.53
|
| Rate for Payer: Meridian Medicaid |
$640.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,037.70
|
| Rate for Payer: Nomi Health Commercial |
$1,132.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,271.00
|
| Rate for Payer: PACE SWMI |
$943.36
|
| Rate for Payer: PHP Commercial |
$1,320.70
|
| Rate for Payer: PHP Medicare Advantage |
$943.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$609.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,641.16
|
| Rate for Payer: Priority Health Medicare |
$943.36
|
| Rate for Payer: Priority Health SBD |
$1,641.16
|
| Rate for Payer: Priority Health Tiered Network |
$1,641.16
|
| Rate for Payer: Railroad Medicare Medicare |
$943.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,810.02
|
| Rate for Payer: UHC Core |
$1,810.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$943.36
|
| Rate for Payer: UHC Exchange |
$1,810.02
|
| Rate for Payer: UHC Medicaid |
$609.61
|
| Rate for Payer: UHCCP Medicaid |
$609.61
|
| Rate for Payer: UMR Bronson Commercial |
$1,392.88
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>
|
Professional
|
Both
|
$2,676.00
|
|
|
Service Code
|
HCPCS 21936
|
| Min. Negotiated Rate |
$834.11 |
| Max. Negotiated Rate |
$2,502.62 |
| Rate for Payer: Aetna Commercial |
$1,736.40
|
| Rate for Payer: Aetna Medicare |
$1,347.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,736.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,865.98
|
| Rate for Payer: BCBS Complete |
$875.82
|
| Rate for Payer: BCBS MAPPO |
$1,295.82
|
| Rate for Payer: BCN Commercial |
$2,124.88
|
| Rate for Payer: BCN Medicare Advantage |
$1,295.82
|
| Rate for Payer: Cash Price |
$2,140.80
|
| Rate for Payer: Cash Price |
$2,140.80
|
| Rate for Payer: Cofinity Commercial |
$1,736.40
|
| Rate for Payer: Cofinity Commercial |
$1,865.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,295.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,360.61
|
| Rate for Payer: Meridian Medicaid |
$875.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,425.40
|
| Rate for Payer: Nomi Health Commercial |
$1,554.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,007.00
|
| Rate for Payer: PACE SWMI |
$1,295.82
|
| Rate for Payer: PHP Commercial |
$1,814.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,295.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$834.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,271.45
|
| Rate for Payer: Priority Health Medicare |
$1,295.82
|
| Rate for Payer: Priority Health SBD |
$2,271.45
|
| Rate for Payer: Priority Health Tiered Network |
$2,271.45
|
| Rate for Payer: Railroad Medicare Medicare |
$1,295.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,502.62
|
| Rate for Payer: UHC Core |
$2,502.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,295.82
|
| Rate for Payer: UHC Exchange |
$2,502.62
|
| Rate for Payer: UHC Medicaid |
$834.11
|
| Rate for Payer: UHCCP Medicaid |
$834.11
|
| Rate for Payer: UMR Bronson Commercial |
$1,230.96
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>
|
Professional
|
Both
|
$2,515.00
|
|
|
Service Code
|
HCPCS 28047
|
| Min. Negotiated Rate |
$610.46 |
| Max. Negotiated Rate |
$1,886.25 |
| Rate for Payer: Aetna Commercial |
$1,263.58
|
| Rate for Payer: Aetna Medicare |
$980.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,263.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,357.88
|
| Rate for Payer: BCBS Complete |
$640.98
|
| Rate for Payer: BCBS MAPPO |
$942.97
|
| Rate for Payer: BCN Commercial |
$1,567.64
|
| Rate for Payer: BCN Medicare Advantage |
$942.97
|
| Rate for Payer: Cash Price |
$2,012.00
|
| Rate for Payer: Cash Price |
$2,012.00
|
| Rate for Payer: Cofinity Commercial |
$1,263.58
|
| Rate for Payer: Cofinity Commercial |
$1,357.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$942.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$990.12
|
| Rate for Payer: Meridian Medicaid |
$640.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,037.27
|
| Rate for Payer: Nomi Health Commercial |
$1,131.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,886.25
|
| Rate for Payer: PACE SWMI |
$942.97
|
| Rate for Payer: PHP Commercial |
$1,320.16
|
| Rate for Payer: PHP Medicare Advantage |
$942.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$610.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,675.77
|
| Rate for Payer: Priority Health Medicare |
$942.97
|
| Rate for Payer: Priority Health SBD |
$1,675.77
|
| Rate for Payer: Priority Health Tiered Network |
$1,675.77
|
| Rate for Payer: Railroad Medicare Medicare |
$942.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,834.20
|
| Rate for Payer: UHC Core |
$1,834.20
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$942.97
|
| Rate for Payer: UHC Exchange |
$1,834.20
|
| Rate for Payer: UHC Medicaid |
$610.46
|
| Rate for Payer: UHCCP Medicaid |
$610.46
|
| Rate for Payer: UMR Bronson Commercial |
$1,156.90
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>
|
Professional
|
Both
|
$2,382.00
|
|
|
Service Code
|
HCPCS 27616
|
| Min. Negotiated Rate |
$738.90 |
| Max. Negotiated Rate |
$2,242.65 |
| Rate for Payer: Aetna Commercial |
$1,532.40
|
| Rate for Payer: Aetna Medicare |
$1,189.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,532.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,646.76
|
| Rate for Payer: BCBS Complete |
$775.85
|
| Rate for Payer: BCBS MAPPO |
$1,143.58
|
| Rate for Payer: BCN Commercial |
$1,881.37
|
| Rate for Payer: BCN Medicare Advantage |
$1,143.58
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Cash Price |
$1,905.60
|
| Rate for Payer: Cofinity Commercial |
$1,532.40
|
| Rate for Payer: Cofinity Commercial |
$1,646.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,143.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,200.76
|
| Rate for Payer: Meridian Medicaid |
$775.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,257.94
|
| Rate for Payer: Nomi Health Commercial |
$1,372.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,786.50
|
| Rate for Payer: PACE SWMI |
$1,143.58
|
| Rate for Payer: PHP Commercial |
$1,601.01
|
| Rate for Payer: PHP Medicare Advantage |
$1,143.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$738.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,011.13
|
| Rate for Payer: Priority Health Medicare |
$1,143.58
|
| Rate for Payer: Priority Health SBD |
$2,011.13
|
| Rate for Payer: Priority Health Tiered Network |
$2,011.13
|
| Rate for Payer: Railroad Medicare Medicare |
$1,143.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,242.65
|
| Rate for Payer: UHC Core |
$2,242.65
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,143.58
|
| Rate for Payer: UHC Exchange |
$2,242.65
|
| Rate for Payer: UHC Medicaid |
$738.90
|
| Rate for Payer: UHCCP Medicaid |
$738.90
|
| Rate for Payer: UMR Bronson Commercial |
$1,095.72
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM
|
Professional
|
Both
|
$2,113.00
|
|
|
Service Code
|
HCPCS 23077
|
| Min. Negotiated Rate |
$670.52 |
| Max. Negotiated Rate |
$1,996.96 |
| Rate for Payer: Aetna Commercial |
$1,391.43
|
| Rate for Payer: Aetna Medicare |
$1,079.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,391.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,495.27
|
| Rate for Payer: BCBS Complete |
$704.05
|
| Rate for Payer: BCBS MAPPO |
$1,038.38
|
| Rate for Payer: BCN Commercial |
$1,707.58
|
| Rate for Payer: BCN Medicare Advantage |
$1,038.38
|
| Rate for Payer: Cash Price |
$1,690.40
|
| Rate for Payer: Cash Price |
$1,690.40
|
| Rate for Payer: Cofinity Commercial |
$1,391.43
|
| Rate for Payer: Cofinity Commercial |
$1,495.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,038.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,090.30
|
| Rate for Payer: Meridian Medicaid |
$704.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,142.22
|
| Rate for Payer: Nomi Health Commercial |
$1,246.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,584.75
|
| Rate for Payer: PACE SWMI |
$1,038.38
|
| Rate for Payer: PHP Commercial |
$1,453.73
|
| Rate for Payer: PHP Medicare Advantage |
$1,038.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$670.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,825.35
|
| Rate for Payer: Priority Health Medicare |
$1,038.38
|
| Rate for Payer: Priority Health SBD |
$1,825.35
|
| Rate for Payer: Priority Health Tiered Network |
$1,825.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,038.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,996.96
|
| Rate for Payer: UHC Core |
$1,996.96
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,038.38
|
| Rate for Payer: UHC Exchange |
$1,996.96
|
| Rate for Payer: UHC Medicaid |
$670.52
|
| Rate for Payer: UHCCP Medicaid |
$670.52
|
| Rate for Payer: UMR Bronson Commercial |
$971.98
|
|
|
PR RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>
|
Professional
|
Both
|
$6,857.00
|
|
|
Service Code
|
HCPCS 27364
|
| Min. Negotiated Rate |
$912.28 |
| Max. Negotiated Rate |
$5,142.75 |
| Rate for Payer: Aetna Commercial |
$1,894.79
|
| Rate for Payer: Aetna Medicare |
$1,470.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,894.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,036.19
|
| Rate for Payer: BCBS Complete |
$957.89
|
| Rate for Payer: BCBS MAPPO |
$1,414.02
|
| Rate for Payer: BCN Commercial |
$2,358.94
|
| Rate for Payer: BCN Medicare Advantage |
$1,414.02
|
| Rate for Payer: Cash Price |
$5,485.60
|
| Rate for Payer: Cash Price |
$5,485.60
|
| Rate for Payer: Cofinity Commercial |
$1,894.79
|
| Rate for Payer: Cofinity Commercial |
$2,036.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,414.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,484.72
|
| Rate for Payer: Meridian Medicaid |
$957.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,555.42
|
| Rate for Payer: Nomi Health Commercial |
$1,696.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,142.75
|
| Rate for Payer: PACE SWMI |
$1,414.02
|
| Rate for Payer: PHP Commercial |
$1,979.63
|
| Rate for Payer: PHP Medicare Advantage |
$1,414.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$912.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,521.63
|
| Rate for Payer: Priority Health Medicare |
$1,414.02
|
| Rate for Payer: Priority Health SBD |
$2,521.63
|
| Rate for Payer: Priority Health Tiered Network |
$2,521.63
|
| Rate for Payer: Railroad Medicare Medicare |
$1,414.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,755.88
|
| Rate for Payer: UHC Core |
$2,755.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,414.02
|
| Rate for Payer: UHC Exchange |
$2,755.88
|
| Rate for Payer: UHC Medicaid |
$912.28
|
| Rate for Payer: UHCCP Medicaid |
$912.28
|
| Rate for Payer: UMR Bronson Commercial |
$3,154.22
|
|
|
PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM
|
Professional
|
Both
|
$2,962.00
|
|
|
Service Code
|
HCPCS 25077
|
| Min. Negotiated Rate |
$529.73 |
| Max. Negotiated Rate |
$2,221.50 |
| Rate for Payer: Aetna Commercial |
$1,097.86
|
| Rate for Payer: Aetna Medicare |
$852.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,097.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,179.79
|
| Rate for Payer: BCBS Complete |
$556.22
|
| Rate for Payer: BCBS MAPPO |
$819.30
|
| Rate for Payer: BCN Commercial |
$1,301.73
|
| Rate for Payer: BCN Medicare Advantage |
$819.30
|
| Rate for Payer: Cash Price |
$2,369.60
|
| Rate for Payer: Cash Price |
$2,369.60
|
| Rate for Payer: Cofinity Commercial |
$1,097.86
|
| Rate for Payer: Cofinity Commercial |
$1,179.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$819.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$860.26
|
| Rate for Payer: Meridian Medicaid |
$556.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$901.23
|
| Rate for Payer: Nomi Health Commercial |
$983.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,221.50
|
| Rate for Payer: PACE SWMI |
$819.30
|
| Rate for Payer: PHP Commercial |
$1,147.02
|
| Rate for Payer: PHP Medicare Advantage |
$819.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$529.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,391.51
|
| Rate for Payer: Priority Health Medicare |
$819.30
|
| Rate for Payer: Priority Health SBD |
$1,391.51
|
| Rate for Payer: Priority Health Tiered Network |
$1,391.51
|
| Rate for Payer: Railroad Medicare Medicare |
$819.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,556.59
|
| Rate for Payer: UHC Core |
$1,556.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$819.30
|
| Rate for Payer: UHC Exchange |
$1,556.59
|
| Rate for Payer: UHC Medicaid |
$529.73
|
| Rate for Payer: UHCCP Medicaid |
$529.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,362.52
|
|
|
PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM
|
Professional
|
Both
|
$1,727.00
|
|
|
Service Code
|
HCPCS 21557
|
| Min. Negotiated Rate |
$562.75 |
| Max. Negotiated Rate |
$1,678.09 |
| Rate for Payer: Aetna Commercial |
$1,165.76
|
| Rate for Payer: Aetna Medicare |
$904.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,165.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,252.76
|
| Rate for Payer: BCBS Complete |
$590.89
|
| Rate for Payer: BCBS MAPPO |
$869.97
|
| Rate for Payer: BCN Commercial |
$1,437.17
|
| Rate for Payer: BCN Medicare Advantage |
$869.97
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cash Price |
$1,381.60
|
| Rate for Payer: Cofinity Commercial |
$1,165.76
|
| Rate for Payer: Cofinity Commercial |
$1,252.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$869.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$913.47
|
| Rate for Payer: Meridian Medicaid |
$590.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$956.97
|
| Rate for Payer: Nomi Health Commercial |
$1,043.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,295.25
|
| Rate for Payer: PACE SWMI |
$869.97
|
| Rate for Payer: PHP Commercial |
$1,217.96
|
| Rate for Payer: PHP Medicare Advantage |
$869.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$562.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,536.30
|
| Rate for Payer: Priority Health Medicare |
$869.97
|
| Rate for Payer: Priority Health SBD |
$1,536.30
|
| Rate for Payer: Priority Health Tiered Network |
$1,536.30
|
| Rate for Payer: Railroad Medicare Medicare |
$869.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,678.09
|
| Rate for Payer: UHC Core |
$1,678.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$869.97
|
| Rate for Payer: UHC Exchange |
$1,678.09
|
| Rate for Payer: UHC Medicaid |
$562.75
|
| Rate for Payer: UHCCP Medicaid |
$562.75
|
| Rate for Payer: UMR Bronson Commercial |
$794.42
|
|
|
PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>
|
Professional
|
Both
|
$3,521.00
|
|
|
Service Code
|
HCPCS 21558
|
| Min. Negotiated Rate |
$778.94 |
| Max. Negotiated Rate |
$2,640.75 |
| Rate for Payer: Aetna Commercial |
$1,619.81
|
| Rate for Payer: Aetna Medicare |
$1,257.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,619.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,740.69
|
| Rate for Payer: BCBS Complete |
$817.89
|
| Rate for Payer: BCBS MAPPO |
$1,208.81
|
| Rate for Payer: BCN Commercial |
$2,014.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,208.81
|
| Rate for Payer: Cash Price |
$2,816.80
|
| Rate for Payer: Cash Price |
$2,816.80
|
| Rate for Payer: Cofinity Commercial |
$1,619.81
|
| Rate for Payer: Cofinity Commercial |
$1,740.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,208.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,269.25
|
| Rate for Payer: Meridian Medicaid |
$817.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,329.69
|
| Rate for Payer: Nomi Health Commercial |
$1,450.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,640.75
|
| Rate for Payer: PACE SWMI |
$1,208.81
|
| Rate for Payer: PHP Commercial |
$1,692.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,208.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$778.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,153.27
|
| Rate for Payer: Priority Health Medicare |
$1,208.81
|
| Rate for Payer: Priority Health SBD |
$2,153.27
|
| Rate for Payer: Priority Health Tiered Network |
$2,153.27
|
| Rate for Payer: Railroad Medicare Medicare |
$1,208.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,371.12
|
| Rate for Payer: UHC Core |
$2,371.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,208.81
|
| Rate for Payer: UHC Exchange |
$2,371.12
|
| Rate for Payer: UHC Medicaid |
$778.94
|
| Rate for Payer: UHCCP Medicaid |
$778.94
|
| Rate for Payer: UMR Bronson Commercial |
$1,619.66
|
|
