|
PR RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX
|
Professional
|
Both
|
$1,430.00
|
|
|
Service Code
|
HCPCS 26500
|
| Min. Negotiated Rate |
$438.14 |
| Max. Negotiated Rate |
$1,109.90 |
| Rate for Payer: Aetna Commercial |
$876.21
|
| Rate for Payer: Aetna Medicare |
$680.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$876.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$941.60
|
| Rate for Payer: BCBS Complete |
$460.05
|
| Rate for Payer: BCBS MAPPO |
$653.89
|
| Rate for Payer: BCN Commercial |
$1,038.29
|
| Rate for Payer: BCN Medicare Advantage |
$653.89
|
| Rate for Payer: Cash Price |
$1,144.00
|
| Rate for Payer: Cash Price |
$1,144.00
|
| Rate for Payer: Cofinity Commercial |
$876.21
|
| Rate for Payer: Cofinity Commercial |
$941.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$653.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$686.58
|
| Rate for Payer: Meridian Medicaid |
$460.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$719.28
|
| Rate for Payer: Nomi Health Commercial |
$784.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,072.50
|
| Rate for Payer: PACE SWMI |
$653.89
|
| Rate for Payer: PHP Commercial |
$915.45
|
| Rate for Payer: PHP Medicare Advantage |
$653.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$438.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,109.90
|
| Rate for Payer: Priority Health Medicare |
$653.89
|
| Rate for Payer: Priority Health SBD |
$1,109.90
|
| Rate for Payer: Priority Health Tiered Network |
$1,109.90
|
| Rate for Payer: Railroad Medicare Medicare |
$653.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,087.60
|
| Rate for Payer: UHC Core |
$1,087.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$653.89
|
| Rate for Payer: UHC Exchange |
$1,087.60
|
| Rate for Payer: UHC Medicaid |
$438.14
|
| Rate for Payer: UHCCP Medicaid |
$438.14
|
| Rate for Payer: UMR Bronson Commercial |
$657.80
|
|
|
PR RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE
|
Professional
|
Both
|
$399.00
|
|
|
Service Code
|
HCPCS 45900
|
| Min. Negotiated Rate |
$134.83 |
| Max. Negotiated Rate |
$392.57 |
| Rate for Payer: Aetna Commercial |
$277.67
|
| Rate for Payer: Aetna Medicare |
$215.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$277.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$298.40
|
| Rate for Payer: BCBS Complete |
$141.57
|
| Rate for Payer: BCBS MAPPO |
$207.22
|
| Rate for Payer: BCN Commercial |
$322.19
|
| Rate for Payer: BCN Medicare Advantage |
$207.22
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Cash Price |
$319.20
|
| Rate for Payer: Cofinity Commercial |
$277.67
|
| Rate for Payer: Cofinity Commercial |
$298.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$207.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$217.58
|
| Rate for Payer: Meridian Medicaid |
$141.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$227.94
|
| Rate for Payer: Nomi Health Commercial |
$248.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$299.25
|
| Rate for Payer: PACE SWMI |
$207.22
|
| Rate for Payer: PHP Commercial |
$290.11
|
| Rate for Payer: PHP Medicare Advantage |
$207.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$134.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$392.57
|
| Rate for Payer: Priority Health Medicare |
$207.22
|
| Rate for Payer: Priority Health SBD |
$392.57
|
| Rate for Payer: Priority Health Tiered Network |
$392.57
|
| Rate for Payer: Railroad Medicare Medicare |
$207.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$372.60
|
| Rate for Payer: UHC Core |
$372.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$207.22
|
| Rate for Payer: UHC Exchange |
$372.60
|
| Rate for Payer: UHC Medicaid |
$134.83
|
| Rate for Payer: UHCCP Medicaid |
$134.83
|
| Rate for Payer: UMR Bronson Commercial |
$183.54
|
|
|
PR RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS
|
Professional
|
Both
|
$842.00
|
|
|
Service Code
|
HCPCS 54600
|
| Min. Negotiated Rate |
$266.04 |
| Max. Negotiated Rate |
$796.35 |
| Rate for Payer: Aetna Commercial |
$548.68
|
| Rate for Payer: Aetna Medicare |
$425.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$548.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$589.62
|
| Rate for Payer: BCBS Complete |
$279.34
|
| Rate for Payer: BCBS MAPPO |
$409.46
|
| Rate for Payer: BCN Commercial |
$682.23
|
| Rate for Payer: BCN Medicare Advantage |
$409.46
|
| Rate for Payer: Cash Price |
$673.60
|
| Rate for Payer: Cash Price |
$673.60
|
| Rate for Payer: Cofinity Commercial |
$548.68
|
| Rate for Payer: Cofinity Commercial |
$589.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$409.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$429.93
|
| Rate for Payer: Meridian Medicaid |
$279.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$450.41
|
| Rate for Payer: Nomi Health Commercial |
$491.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$631.50
|
| Rate for Payer: PACE SWMI |
$409.46
|
| Rate for Payer: PHP Commercial |
$573.24
|
| Rate for Payer: PHP Medicare Advantage |
$409.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$266.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$743.18
|
| Rate for Payer: Priority Health Medicare |
$409.46
|
| Rate for Payer: Priority Health SBD |
$743.18
|
| Rate for Payer: Priority Health Tiered Network |
$743.18
|
| Rate for Payer: Railroad Medicare Medicare |
$409.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$796.35
|
| Rate for Payer: UHC Core |
$796.35
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$409.46
|
| Rate for Payer: UHC Exchange |
$796.35
|
| Rate for Payer: UHC Medicaid |
$266.04
|
| Rate for Payer: UHCCP Medicaid |
$266.04
|
| Rate for Payer: UMR Bronson Commercial |
$387.32
|
|
|
PR RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT
|
Professional
|
Both
|
$2,447.00
|
|
|
Service Code
|
HCPCS 44050
|
| Min. Negotiated Rate |
$562.11 |
| Max. Negotiated Rate |
$1,835.25 |
| Rate for Payer: Aetna Commercial |
$1,174.71
|
| Rate for Payer: Aetna Medicare |
$911.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,174.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,262.38
|
| Rate for Payer: BCBS Complete |
$590.22
|
| Rate for Payer: BCBS MAPPO |
$876.65
|
| Rate for Payer: BCN Commercial |
$1,408.29
|
| Rate for Payer: BCN Medicare Advantage |
$876.65
|
| Rate for Payer: Cash Price |
$1,957.60
|
| Rate for Payer: Cash Price |
$1,957.60
|
| Rate for Payer: Cofinity Commercial |
$1,174.71
|
| Rate for Payer: Cofinity Commercial |
$1,262.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$876.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$920.48
|
| Rate for Payer: Meridian Medicaid |
$590.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$964.32
|
| Rate for Payer: Nomi Health Commercial |
$1,051.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,835.25
|
| Rate for Payer: PACE SWMI |
$876.65
|
| Rate for Payer: PHP Commercial |
$1,227.31
|
| Rate for Payer: PHP Medicare Advantage |
$876.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$562.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,715.91
|
| Rate for Payer: Priority Health Medicare |
$876.65
|
| Rate for Payer: Priority Health SBD |
$1,715.91
|
| Rate for Payer: Priority Health Tiered Network |
$1,715.91
|
| Rate for Payer: Railroad Medicare Medicare |
$876.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,667.62
|
| Rate for Payer: UHC Core |
$1,667.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$876.65
|
| Rate for Payer: UHC Exchange |
$1,667.62
|
| Rate for Payer: UHC Medicaid |
$562.11
|
| Rate for Payer: UHCCP Medicaid |
$562.11
|
| Rate for Payer: UMR Bronson Commercial |
$1,125.62
|
|
|
PR REALIGNMENT EXTENSOR TENDON HAND EACH TENDON
|
Professional
|
Both
|
$1,634.00
|
|
|
Service Code
|
HCPCS 26437
|
| Min. Negotiated Rate |
$414.29 |
| Max. Negotiated Rate |
$1,225.50 |
| Rate for Payer: Aetna Commercial |
$828.36
|
| Rate for Payer: Aetna Medicare |
$642.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$828.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$890.18
|
| Rate for Payer: BCBS Complete |
$435.00
|
| Rate for Payer: BCBS MAPPO |
$618.18
|
| Rate for Payer: BCN Commercial |
$1,007.42
|
| Rate for Payer: BCN Medicare Advantage |
$618.18
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cofinity Commercial |
$828.36
|
| Rate for Payer: Cofinity Commercial |
$890.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$618.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$649.09
|
| Rate for Payer: Meridian Medicaid |
$435.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$680.00
|
| Rate for Payer: Nomi Health Commercial |
$741.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,225.50
|
| Rate for Payer: PACE SWMI |
$618.18
|
| Rate for Payer: PHP Commercial |
$865.45
|
| Rate for Payer: PHP Medicare Advantage |
$618.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$414.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,076.90
|
| Rate for Payer: Priority Health Medicare |
$618.18
|
| Rate for Payer: Priority Health SBD |
$1,076.90
|
| Rate for Payer: Priority Health Tiered Network |
$1,076.90
|
| Rate for Payer: Railroad Medicare Medicare |
$618.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,089.10
|
| Rate for Payer: UHC Core |
$1,089.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$618.18
|
| Rate for Payer: UHC Exchange |
$1,089.10
|
| Rate for Payer: UHC Medicaid |
$414.29
|
| Rate for Payer: UHCCP Medicaid |
$414.29
|
| Rate for Payer: UMR Bronson Commercial |
$751.64
|
|
|
PR REAORT VALV W CP BYPASS
|
Professional
|
Both
|
$8,285.00
|
|
|
Service Code
|
HCPCS 33400
|
| Min. Negotiated Rate |
$3,314.00 |
| Max. Negotiated Rate |
$6,213.75 |
| Rate for Payer: Aetna Medicare |
$4,142.50
|
| Rate for Payer: BCBS Complete |
$3,314.00
|
| Rate for Payer: Cash Price |
$6,628.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6,213.75
|
| Rate for Payer: UMR Bronson Commercial |
$3,811.10
|
|
|
PR RECMPL WND LID,NOS,EAR <1 CM
|
Professional
|
Both
|
$621.00
|
|
|
Service Code
|
HCPCS 13150
|
| Min. Negotiated Rate |
$248.40 |
| Max. Negotiated Rate |
$465.75 |
| Rate for Payer: Aetna Medicare |
$310.50
|
| Rate for Payer: BCBS Complete |
$248.40
|
| Rate for Payer: Cash Price |
$496.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$465.75
|
| Rate for Payer: UMR Bronson Commercial |
$285.66
|
|
|
PR RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX
|
Professional
|
Both
|
$3,569.00
|
|
|
Service Code
|
HCPCS 69310
|
| Min. Negotiated Rate |
$661.37 |
| Max. Negotiated Rate |
$2,676.75 |
| Rate for Payer: Aetna Commercial |
$1,326.22
|
| Rate for Payer: Aetna Medicare |
$1,029.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,326.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,425.20
|
| Rate for Payer: BCBS Complete |
$694.44
|
| Rate for Payer: BCBS MAPPO |
$989.72
|
| Rate for Payer: BCN Commercial |
$1,669.73
|
| Rate for Payer: BCN Medicare Advantage |
$989.72
|
| Rate for Payer: Cash Price |
$2,855.20
|
| Rate for Payer: Cash Price |
$2,855.20
|
| Rate for Payer: Cofinity Commercial |
$1,326.22
|
| Rate for Payer: Cofinity Commercial |
$1,425.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$989.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,039.21
|
| Rate for Payer: Meridian Medicaid |
$694.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,088.69
|
| Rate for Payer: Nomi Health Commercial |
$1,187.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,676.75
|
| Rate for Payer: PACE SWMI |
$989.72
|
| Rate for Payer: PHP Commercial |
$1,385.61
|
| Rate for Payer: PHP Medicare Advantage |
$989.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$661.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,649.86
|
| Rate for Payer: Priority Health Medicare |
$989.72
|
| Rate for Payer: Priority Health SBD |
$1,649.86
|
| Rate for Payer: Priority Health Tiered Network |
$1,649.86
|
| Rate for Payer: Railroad Medicare Medicare |
$989.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,847.25
|
| Rate for Payer: UHC Core |
$1,847.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$989.72
|
| Rate for Payer: UHC Exchange |
$1,847.25
|
| Rate for Payer: UHC Medicaid |
$661.37
|
| Rate for Payer: UHCCP Medicaid |
$661.37
|
| Rate for Payer: UMR Bronson Commercial |
$1,641.74
|
|
|
PR RECONSTRUCTION NAIL BED W/GRAFT
|
Professional
|
Both
|
$460.00
|
|
|
Service Code
|
HCPCS 11762
|
| Min. Negotiated Rate |
$111.61 |
| Max. Negotiated Rate |
$345.00 |
| Rate for Payer: Aetna Commercial |
$228.59
|
| Rate for Payer: Aetna Medicare |
$177.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$228.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$245.65
|
| Rate for Payer: BCBS Complete |
$117.19
|
| Rate for Payer: BCBS MAPPO |
$170.59
|
| Rate for Payer: BCN Commercial |
$283.35
|
| Rate for Payer: BCN Medicare Advantage |
$170.59
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cash Price |
$368.00
|
| Rate for Payer: Cofinity Commercial |
$228.59
|
| Rate for Payer: Cofinity Commercial |
$245.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$170.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$179.12
|
| Rate for Payer: Meridian Medicaid |
$117.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$187.65
|
| Rate for Payer: Nomi Health Commercial |
$204.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$345.00
|
| Rate for Payer: PACE SWMI |
$170.59
|
| Rate for Payer: PHP Commercial |
$238.83
|
| Rate for Payer: PHP Medicare Advantage |
$170.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$259.34
|
| Rate for Payer: Priority Health Medicare |
$170.59
|
| Rate for Payer: Priority Health SBD |
$259.34
|
| Rate for Payer: Priority Health Tiered Network |
$259.34
|
| Rate for Payer: Railroad Medicare Medicare |
$170.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$332.25
|
| Rate for Payer: UHC Core |
$332.25
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$170.59
|
| Rate for Payer: UHC Exchange |
$332.25
|
| Rate for Payer: UHC Medicaid |
$111.61
|
| Rate for Payer: UHCCP Medicaid |
$111.61
|
| Rate for Payer: UMR Bronson Commercial |
$211.60
|
|
|
PR RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC
|
Professional
|
Both
|
$4,106.00
|
|
|
Service Code
|
HCPCS 23420
|
| Min. Negotiated Rate |
$578.08 |
| Max. Negotiated Rate |
$3,079.50 |
| Rate for Payer: Aetna Commercial |
$1,187.21
|
| Rate for Payer: Aetna Medicare |
$921.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,187.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,275.81
|
| Rate for Payer: BCBS Complete |
$606.98
|
| Rate for Payer: BCBS MAPPO |
$885.98
|
| Rate for Payer: BCN Commercial |
$1,630.81
|
| Rate for Payer: BCN Medicare Advantage |
$885.98
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cash Price |
$3,284.80
|
| Rate for Payer: Cofinity Commercial |
$1,187.21
|
| Rate for Payer: Cofinity Commercial |
$1,275.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$885.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$930.28
|
| Rate for Payer: Meridian Medicaid |
$606.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$974.58
|
| Rate for Payer: Nomi Health Commercial |
$1,063.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,079.50
|
| Rate for Payer: PACE SWMI |
$885.98
|
| Rate for Payer: PHP Commercial |
$1,240.37
|
| Rate for Payer: PHP Medicare Advantage |
$885.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$578.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,586.87
|
| Rate for Payer: Priority Health Medicare |
$885.98
|
| Rate for Payer: Priority Health SBD |
$1,586.87
|
| Rate for Payer: Priority Health Tiered Network |
$1,586.87
|
| Rate for Payer: Railroad Medicare Medicare |
$885.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,699.21
|
| Rate for Payer: UHC Core |
$1,699.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$885.98
|
| Rate for Payer: UHC Exchange |
$1,699.21
|
| Rate for Payer: UHC Medicaid |
$578.08
|
| Rate for Payer: UHCCP Medicaid |
$578.08
|
| Rate for Payer: UMR Bronson Commercial |
$1,888.76
|
|
|
PR RECONSTRUCTION TOE POLYDACTYLY
|
Professional
|
Both
|
$850.00
|
|
|
Service Code
|
HCPCS 28344
|
| Min. Negotiated Rate |
$168.27 |
| Max. Negotiated Rate |
$637.50 |
| Rate for Payer: Aetna Commercial |
$343.11
|
| Rate for Payer: Aetna Medicare |
$266.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$343.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$368.71
|
| Rate for Payer: BCBS Complete |
$176.68
|
| Rate for Payer: BCBS MAPPO |
$256.05
|
| Rate for Payer: BCN Commercial |
$424.78
|
| Rate for Payer: BCN Medicare Advantage |
$256.05
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cash Price |
$680.00
|
| Rate for Payer: Cofinity Commercial |
$343.11
|
| Rate for Payer: Cofinity Commercial |
$368.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$256.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$268.85
|
| Rate for Payer: Meridian Medicaid |
$176.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$281.65
|
| Rate for Payer: Nomi Health Commercial |
$307.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$637.50
|
| Rate for Payer: PACE SWMI |
$256.05
|
| Rate for Payer: PHP Commercial |
$358.47
|
| Rate for Payer: PHP Medicare Advantage |
$256.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$454.08
|
| Rate for Payer: Priority Health Medicare |
$256.05
|
| Rate for Payer: Priority Health SBD |
$454.08
|
| Rate for Payer: Priority Health Tiered Network |
$454.08
|
| Rate for Payer: Railroad Medicare Medicare |
$256.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$487.23
|
| Rate for Payer: UHC Core |
$487.23
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$256.05
|
| Rate for Payer: UHC Exchange |
$487.23
|
| Rate for Payer: UHC Medicaid |
$168.27
|
| Rate for Payer: UHCCP Medicaid |
$168.27
|
| Rate for Payer: UMR Bronson Commercial |
$391.00
|
|
|
PR RECONSTRUCTION VENA CAVA ANY METHOD
|
Professional
|
Both
|
$2,471.00
|
|
|
Service Code
|
HCPCS 34502
|
| Min. Negotiated Rate |
$903.33 |
| Max. Negotiated Rate |
$2,753.62 |
| Rate for Payer: Aetna Commercial |
$1,901.66
|
| Rate for Payer: Aetna Medicare |
$1,475.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,901.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,043.58
|
| Rate for Payer: BCBS Complete |
$948.50
|
| Rate for Payer: BCBS MAPPO |
$1,419.15
|
| Rate for Payer: BCN Commercial |
$2,274.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,419.15
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cash Price |
$1,976.80
|
| Rate for Payer: Cofinity Commercial |
$1,901.66
|
| Rate for Payer: Cofinity Commercial |
$2,043.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,419.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,490.11
|
| Rate for Payer: Meridian Medicaid |
$948.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,561.07
|
| Rate for Payer: Nomi Health Commercial |
$1,702.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,853.25
|
| Rate for Payer: PACE SWMI |
$1,419.15
|
| Rate for Payer: PHP Commercial |
$1,986.81
|
| Rate for Payer: PHP Medicare Advantage |
$1,419.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$903.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,445.69
|
| Rate for Payer: Priority Health Medicare |
$1,419.15
|
| Rate for Payer: Priority Health SBD |
$2,445.69
|
| Rate for Payer: Priority Health Tiered Network |
$2,445.69
|
| Rate for Payer: Railroad Medicare Medicare |
$1,419.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,753.62
|
| Rate for Payer: UHC Core |
$2,753.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,419.15
|
| Rate for Payer: UHC Exchange |
$2,753.62
|
| Rate for Payer: UHC Medicaid |
$903.33
|
| Rate for Payer: UHCCP Medicaid |
$903.33
|
| Rate for Payer: UMR Bronson Commercial |
$1,136.66
|
|
|
PR RECTAL SESATION TONE & COMPLIANCE TEST
|
Professional
|
Both
|
$95.00
|
|
|
Service Code
|
HCPCS 91120
|
| Min. Negotiated Rate |
$38.00 |
| Max. Negotiated Rate |
$713.11 |
| Rate for Payer: Aetna Commercial |
$562.84
|
| Rate for Payer: Aetna Commercial |
$562.84
|
| Rate for Payer: Aetna Medicare |
$365.50
|
| Rate for Payer: Aetna Medicare |
$47.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$562.84
|
| Rate for Payer: BCBS Complete |
$38.00
|
| Rate for Payer: BCBS Complete |
$292.40
|
| Rate for Payer: BCN Commercial |
$713.11
|
| Rate for Payer: BCN Commercial |
$713.11
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$584.80
|
| Rate for Payer: Cash Price |
$76.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$71.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$548.25
|
| Rate for Payer: UMR Bronson Commercial |
$336.26
|
| Rate for Payer: UMR Bronson Commercial |
$43.70
|
|
|
PR RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC
|
Professional
|
Both
|
$1,847.00
|
|
|
Service Code
|
HCPCS 0184T
|
| Min. Negotiated Rate |
$490.58 |
| Max. Negotiated Rate |
$5,565.88 |
| Rate for Payer: Aetna Commercial |
$771.30
|
| Rate for Payer: Aetna Medicare |
$923.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$771.30
|
| Rate for Payer: BCBS Complete |
$738.80
|
| Rate for Payer: BCN Commercial |
$5,565.88
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,385.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,238.26
|
| Rate for Payer: Priority Health SBD |
$1,238.26
|
| Rate for Payer: Priority Health Tiered Network |
$1,238.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$490.58
|
| Rate for Payer: UHC Core |
$490.58
|
| Rate for Payer: UHC Exchange |
$490.58
|
| Rate for Payer: UMR Bronson Commercial |
$849.62
|
|
|
PR REGION IV LOCAL ANESTH,UPPER/LOWER EXT
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS 01995
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.75 |
| Rate for Payer: Aetna Medicare |
$2.50
|
| Rate for Payer: BCBS Complete |
$2.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.75
|
| Rate for Payer: UMR Bronson Commercial |
$2.30
|
|
|
PR REIMPLANTATION ANOMALOUS PULMONARY ARTERY
|
Professional
|
Both
|
$6,904.00
|
|
|
Service Code
|
HCPCS 33788
|
| Min. Negotiated Rate |
$917.18 |
| Max. Negotiated Rate |
$5,178.00 |
| Rate for Payer: Aetna Commercial |
$1,928.53
|
| Rate for Payer: Aetna Medicare |
$1,496.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,928.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,072.45
|
| Rate for Payer: BCBS Complete |
$963.04
|
| Rate for Payer: BCBS MAPPO |
$1,439.20
|
| Rate for Payer: BCN Commercial |
$2,258.34
|
| Rate for Payer: BCN Medicare Advantage |
$1,439.20
|
| Rate for Payer: Cash Price |
$5,523.20
|
| Rate for Payer: Cash Price |
$5,523.20
|
| Rate for Payer: Cofinity Commercial |
$2,072.45
|
| Rate for Payer: Cofinity Commercial |
$1,928.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,439.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,511.16
|
| Rate for Payer: Meridian Medicaid |
$963.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,583.12
|
| Rate for Payer: Nomi Health Commercial |
$1,727.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5,178.00
|
| Rate for Payer: PACE SWMI |
$1,439.20
|
| Rate for Payer: PHP Commercial |
$2,014.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,439.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$917.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,428.56
|
| Rate for Payer: Priority Health Medicare |
$1,439.20
|
| Rate for Payer: Priority Health SBD |
$2,428.56
|
| Rate for Payer: Priority Health Tiered Network |
$2,428.56
|
| Rate for Payer: Railroad Medicare Medicare |
$1,439.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,729.85
|
| Rate for Payer: UHC Core |
$2,729.85
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,439.20
|
| Rate for Payer: UHC Exchange |
$2,729.85
|
| Rate for Payer: UHC Medicaid |
$917.18
|
| Rate for Payer: UHCCP Medicaid |
$917.18
|
| Rate for Payer: UMR Bronson Commercial |
$3,175.84
|
|
|
PR REINSERTION SPINAL FIXATION DEVICE
|
Professional
|
Both
|
$5,150.00
|
|
|
Service Code
|
HCPCS 22849
|
| Min. Negotiated Rate |
$782.35 |
| Max. Negotiated Rate |
$3,862.50 |
| Rate for Payer: Aetna Commercial |
$1,629.56
|
| Rate for Payer: Aetna Medicare |
$1,264.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,629.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,751.17
|
| Rate for Payer: BCBS Complete |
$821.47
|
| Rate for Payer: BCBS MAPPO |
$1,216.09
|
| Rate for Payer: BCN Commercial |
$2,176.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,216.09
|
| Rate for Payer: Cash Price |
$4,120.00
|
| Rate for Payer: Cash Price |
$4,120.00
|
| Rate for Payer: Cofinity Commercial |
$1,629.56
|
| Rate for Payer: Cofinity Commercial |
$1,751.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,216.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,276.89
|
| Rate for Payer: Meridian Medicaid |
$821.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,337.70
|
| Rate for Payer: Nomi Health Commercial |
$1,459.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,862.50
|
| Rate for Payer: PACE SWMI |
$1,216.09
|
| Rate for Payer: PHP Commercial |
$1,702.53
|
| Rate for Payer: PHP Medicare Advantage |
$1,216.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$782.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,117.59
|
| Rate for Payer: Priority Health Medicare |
$1,216.09
|
| Rate for Payer: Priority Health SBD |
$2,117.59
|
| Rate for Payer: Priority Health Tiered Network |
$2,117.59
|
| Rate for Payer: Railroad Medicare Medicare |
$1,216.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,299.06
|
| Rate for Payer: UHC Core |
$2,299.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,216.09
|
| Rate for Payer: UHC Exchange |
$2,299.06
|
| Rate for Payer: UHC Medicaid |
$782.35
|
| Rate for Payer: UHCCP Medicaid |
$782.35
|
| Rate for Payer: UMR Bronson Commercial |
$2,369.00
|
|
|
PR RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE
|
Professional
|
Both
|
$1,074.00
|
|
|
Service Code
|
HCPCS 26593
|
| Min. Negotiated Rate |
$405.34 |
| Max. Negotiated Rate |
$1,048.56 |
| Rate for Payer: Aetna Commercial |
$808.56
|
| Rate for Payer: Aetna Medicare |
$627.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$808.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$868.90
|
| Rate for Payer: BCBS Complete |
$425.61
|
| Rate for Payer: BCBS MAPPO |
$603.40
|
| Rate for Payer: BCN Commercial |
$973.55
|
| Rate for Payer: BCN Medicare Advantage |
$603.40
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cash Price |
$859.20
|
| Rate for Payer: Cofinity Commercial |
$808.56
|
| Rate for Payer: Cofinity Commercial |
$868.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$603.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$633.57
|
| Rate for Payer: Meridian Medicaid |
$425.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$663.74
|
| Rate for Payer: Nomi Health Commercial |
$724.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$805.50
|
| Rate for Payer: PACE SWMI |
$603.40
|
| Rate for Payer: PHP Commercial |
$844.76
|
| Rate for Payer: PHP Medicare Advantage |
$603.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$405.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,040.69
|
| Rate for Payer: Priority Health Medicare |
$603.40
|
| Rate for Payer: Priority Health SBD |
$1,040.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,040.69
|
| Rate for Payer: Railroad Medicare Medicare |
$603.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,048.56
|
| Rate for Payer: UHC Core |
$1,048.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$603.40
|
| Rate for Payer: UHC Exchange |
$1,048.56
|
| Rate for Payer: UHC Medicaid |
$405.34
|
| Rate for Payer: UHCCP Medicaid |
$405.34
|
| Rate for Payer: UMR Bronson Commercial |
$494.04
|
|
|
PR RELEASE/RECESSION HAMSTRING PROXIMAL
|
Professional
|
Both
|
$2,396.00
|
|
|
Service Code
|
HCPCS 27097
|
| Min. Negotiated Rate |
$410.66 |
| Max. Negotiated Rate |
$1,797.00 |
| Rate for Payer: Aetna Commercial |
$841.61
|
| Rate for Payer: Aetna Medicare |
$653.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$841.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$904.42
|
| Rate for Payer: BCBS Complete |
$431.19
|
| Rate for Payer: BCBS MAPPO |
$628.07
|
| Rate for Payer: BCN Commercial |
$1,045.76
|
| Rate for Payer: BCN Medicare Advantage |
$628.07
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cash Price |
$1,916.80
|
| Rate for Payer: Cofinity Commercial |
$841.61
|
| Rate for Payer: Cofinity Commercial |
$904.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$628.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$659.47
|
| Rate for Payer: Meridian Medicaid |
$431.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$690.88
|
| Rate for Payer: Nomi Health Commercial |
$753.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,797.00
|
| Rate for Payer: PACE SWMI |
$628.07
|
| Rate for Payer: PHP Commercial |
$879.30
|
| Rate for Payer: PHP Medicare Advantage |
$628.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$410.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,117.89
|
| Rate for Payer: Priority Health Medicare |
$628.07
|
| Rate for Payer: Priority Health SBD |
$1,117.89
|
| Rate for Payer: Priority Health Tiered Network |
$1,117.89
|
| Rate for Payer: Railroad Medicare Medicare |
$628.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,191.12
|
| Rate for Payer: UHC Core |
$1,191.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$628.07
|
| Rate for Payer: UHC Exchange |
$1,191.12
|
| Rate for Payer: UHC Medicaid |
$410.66
|
| Rate for Payer: UHCCP Medicaid |
$410.66
|
| Rate for Payer: UMR Bronson Commercial |
$1,102.16
|
|
|
PR RELEASE TARSAL TUNNEL
|
Professional
|
Both
|
$1,426.00
|
|
|
Service Code
|
HCPCS 28035
|
| Min. Negotiated Rate |
$219.18 |
| Max. Negotiated Rate |
$1,069.50 |
| Rate for Payer: Aetna Commercial |
$446.73
|
| Rate for Payer: Aetna Medicare |
$346.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$446.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.07
|
| Rate for Payer: BCBS Complete |
$230.14
|
| Rate for Payer: BCBS MAPPO |
$333.38
|
| Rate for Payer: BCN Commercial |
$551.76
|
| Rate for Payer: BCN Medicare Advantage |
$333.38
|
| Rate for Payer: Cash Price |
$1,140.80
|
| Rate for Payer: Cash Price |
$1,140.80
|
| Rate for Payer: Cofinity Commercial |
$446.73
|
| Rate for Payer: Cofinity Commercial |
$480.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$333.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.05
|
| Rate for Payer: Meridian Medicaid |
$230.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$366.72
|
| Rate for Payer: Nomi Health Commercial |
$400.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,069.50
|
| Rate for Payer: PACE SWMI |
$333.38
|
| Rate for Payer: PHP Commercial |
$466.73
|
| Rate for Payer: PHP Medicare Advantage |
$333.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$219.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$589.82
|
| Rate for Payer: Priority Health Medicare |
$333.38
|
| Rate for Payer: Priority Health SBD |
$589.82
|
| Rate for Payer: Priority Health Tiered Network |
$589.82
|
| Rate for Payer: Railroad Medicare Medicare |
$333.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$617.73
|
| Rate for Payer: UHC Core |
$617.73
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$333.38
|
| Rate for Payer: UHC Exchange |
$617.73
|
| Rate for Payer: UHC Medicaid |
$219.18
|
| Rate for Payer: UHCCP Medicaid |
$219.18
|
| Rate for Payer: UMR Bronson Commercial |
$655.96
|
|
|
PR RELEASE THENAR MUSCLE
|
Professional
|
Both
|
$1,634.00
|
|
|
Service Code
|
HCPCS 26508
|
| Min. Negotiated Rate |
$408.96 |
| Max. Negotiated Rate |
$1,225.50 |
| Rate for Payer: Aetna Commercial |
$818.11
|
| Rate for Payer: Aetna Medicare |
$634.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$818.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$879.16
|
| Rate for Payer: BCBS Complete |
$429.41
|
| Rate for Payer: BCBS MAPPO |
$610.53
|
| Rate for Payer: BCN Commercial |
$1,018.87
|
| Rate for Payer: BCN Medicare Advantage |
$610.53
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cash Price |
$1,307.20
|
| Rate for Payer: Cofinity Commercial |
$818.11
|
| Rate for Payer: Cofinity Commercial |
$879.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$610.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$641.06
|
| Rate for Payer: Meridian Medicaid |
$429.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$671.58
|
| Rate for Payer: Nomi Health Commercial |
$732.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,225.50
|
| Rate for Payer: PACE SWMI |
$610.53
|
| Rate for Payer: PHP Commercial |
$854.74
|
| Rate for Payer: PHP Medicare Advantage |
$610.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$408.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,089.14
|
| Rate for Payer: Priority Health Medicare |
$610.53
|
| Rate for Payer: Priority Health SBD |
$1,089.14
|
| Rate for Payer: Priority Health Tiered Network |
$1,089.14
|
| Rate for Payer: Railroad Medicare Medicare |
$610.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,108.24
|
| Rate for Payer: UHC Core |
$1,108.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$610.53
|
| Rate for Payer: UHC Exchange |
$1,108.24
|
| Rate for Payer: UHC Medicaid |
$408.96
|
| Rate for Payer: UHCCP Medicaid |
$408.96
|
| Rate for Payer: UMR Bronson Commercial |
$751.64
|
|
|
PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR
|
Professional
|
Both
|
$1,398.00
|
|
|
Service Code
|
HCPCS 33223
|
| Min. Negotiated Rate |
$232.17 |
| Max. Negotiated Rate |
$1,048.50 |
| Rate for Payer: Aetna Commercial |
$483.24
|
| Rate for Payer: Aetna Medicare |
$375.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$483.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$519.31
|
| Rate for Payer: BCBS Complete |
$243.78
|
| Rate for Payer: BCBS MAPPO |
$360.63
|
| Rate for Payer: BCN Commercial |
$603.55
|
| Rate for Payer: BCN Medicare Advantage |
$360.63
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Cash Price |
$1,118.40
|
| Rate for Payer: Cofinity Commercial |
$483.24
|
| Rate for Payer: Cofinity Commercial |
$519.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$360.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$378.66
|
| Rate for Payer: Meridian Medicaid |
$243.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$396.69
|
| Rate for Payer: Nomi Health Commercial |
$432.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,048.50
|
| Rate for Payer: PACE SWMI |
$360.63
|
| Rate for Payer: PHP Commercial |
$504.88
|
| Rate for Payer: PHP Medicare Advantage |
$360.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$649.05
|
| Rate for Payer: Priority Health Medicare |
$360.63
|
| Rate for Payer: Priority Health SBD |
$649.05
|
| Rate for Payer: Priority Health Tiered Network |
$649.05
|
| Rate for Payer: Railroad Medicare Medicare |
$360.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$723.56
|
| Rate for Payer: UHC Core |
$723.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$360.63
|
| Rate for Payer: UHC Exchange |
$723.56
|
| Rate for Payer: UHC Medicaid |
$232.17
|
| Rate for Payer: UHCCP Medicaid |
$232.17
|
| Rate for Payer: UMR Bronson Commercial |
$643.08
|
|
|
PR RELOCATION OF SKIN POCKET FOR PACEMAKER
|
Professional
|
Both
|
$1,186.00
|
|
|
Service Code
|
HCPCS 33222
|
| Min. Negotiated Rate |
$197.88 |
| Max. Negotiated Rate |
$889.50 |
| Rate for Payer: Aetna Commercial |
$408.86
|
| Rate for Payer: Aetna Medicare |
$317.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$408.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$439.37
|
| Rate for Payer: BCBS Complete |
$207.77
|
| Rate for Payer: BCBS MAPPO |
$305.12
|
| Rate for Payer: BCN Commercial |
$508.94
|
| Rate for Payer: BCN Medicare Advantage |
$305.12
|
| Rate for Payer: Cash Price |
$948.80
|
| Rate for Payer: Cash Price |
$948.80
|
| Rate for Payer: Cofinity Commercial |
$408.86
|
| Rate for Payer: Cofinity Commercial |
$439.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$305.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$320.38
|
| Rate for Payer: Meridian Medicaid |
$207.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$335.63
|
| Rate for Payer: Nomi Health Commercial |
$366.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$889.50
|
| Rate for Payer: PACE SWMI |
$305.12
|
| Rate for Payer: PHP Commercial |
$427.17
|
| Rate for Payer: PHP Medicare Advantage |
$305.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$197.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$547.29
|
| Rate for Payer: Priority Health Medicare |
$305.12
|
| Rate for Payer: Priority Health SBD |
$547.29
|
| Rate for Payer: Priority Health Tiered Network |
$547.29
|
| Rate for Payer: Railroad Medicare Medicare |
$305.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$596.92
|
| Rate for Payer: UHC Core |
$596.92
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$305.12
|
| Rate for Payer: UHC Exchange |
$596.92
|
| Rate for Payer: UHC Medicaid |
$197.88
|
| Rate for Payer: UHCCP Medicaid |
$197.88
|
| Rate for Payer: UMR Bronson Commercial |
$545.56
|
|
|
PR REM INTERROG ICPMS <30 D PHYS/QHP
|
Professional
|
Both
|
$56.00
|
|
|
Service Code
|
HCPCS 93297
|
| Min. Negotiated Rate |
$25.76 |
| Max. Negotiated Rate |
$89.64 |
| Rate for Payer: Aetna Commercial |
$76.65
|
| Rate for Payer: Aetna Medicare |
$59.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.37
|
| Rate for Payer: BCBS MAPPO |
$57.20
|
| Rate for Payer: BCN Commercial |
$89.64
|
| Rate for Payer: BCN Medicare Advantage |
$57.20
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cash Price |
$44.80
|
| Rate for Payer: Cofinity Commercial |
$82.37
|
| Rate for Payer: Cofinity Commercial |
$76.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$57.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$60.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$62.92
|
| Rate for Payer: Nomi Health Commercial |
$68.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.00
|
| Rate for Payer: PACE SWMI |
$57.20
|
| Rate for Payer: PHP Commercial |
$80.08
|
| Rate for Payer: PHP Medicare Advantage |
$57.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$85.19
|
| Rate for Payer: Priority Health Medicare |
$57.20
|
| Rate for Payer: Priority Health SBD |
$85.19
|
| Rate for Payer: Priority Health Tiered Network |
$85.19
|
| Rate for Payer: Railroad Medicare Medicare |
$57.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$43.74
|
| Rate for Payer: UHC Core |
$43.74
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$57.20
|
| Rate for Payer: UHC Exchange |
$43.74
|
| Rate for Payer: UMR Bronson Commercial |
$25.76
|
|
|
PR REM INTERROG ICPMS/SCRMS <30 D TECH REVIEW
|
Professional
|
Both
|
$239.00
|
|
|
Service Code
|
HCPCS 93299
|
| Min. Negotiated Rate |
$95.60 |
| Max. Negotiated Rate |
$179.25 |
| Rate for Payer: Aetna Medicare |
$119.50
|
| Rate for Payer: BCBS Complete |
$95.60
|
| Rate for Payer: Cash Price |
$191.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$179.25
|
| Rate for Payer: UMR Bronson Commercial |
$109.94
|
|
