|
PR OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ
|
Professional
|
Both
|
$1,581.00
|
|
|
Service Code
|
HCPCS 69300
|
| Min. Negotiated Rate |
$304.16 |
| Max. Negotiated Rate |
$1,934.63 |
| Rate for Payer: Aetna Commercial |
$599.15
|
| Rate for Payer: Aetna Medicare |
$465.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$599.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$643.87
|
| Rate for Payer: BCBS Complete |
$319.37
|
| Rate for Payer: BCBS MAPPO |
$447.13
|
| Rate for Payer: BCBS Trust/PPO |
$1,934.63
|
| Rate for Payer: BCN Commercial |
$958.30
|
| Rate for Payer: BCN Medicare Advantage |
$447.13
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cash Price |
$1,264.80
|
| Rate for Payer: Cofinity Commercial |
$599.15
|
| Rate for Payer: Cofinity Commercial |
$643.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$447.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$469.49
|
| Rate for Payer: Meridian Medicaid |
$319.37
|
| Rate for Payer: Nomi Health Commercial |
$536.56
|
| Rate for Payer: PACE SWMI |
$447.13
|
| Rate for Payer: PHP Commercial |
$625.98
|
| Rate for Payer: PHP Medicare Advantage |
$447.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$304.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,027.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$691.63
|
| Rate for Payer: Priority Health Medicare |
$447.13
|
| Rate for Payer: Priority Health Narrow Network |
$691.63
|
| Rate for Payer: Priority Health SBD |
$691.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$447.13
|
| Rate for Payer: UHC Medicare Advantage |
$447.13
|
| Rate for Payer: UHCCP Medicaid |
$304.16
|
| Rate for Payer: UMR Bronson Commercial |
$727.26
|
|
|
PR OVARIAN CYSTECTOMY UNI/BI
|
Professional
|
Both
|
$2,385.00
|
|
|
Service Code
|
HCPCS 58925
|
| Min. Negotiated Rate |
$164.83 |
| Max. Negotiated Rate |
$1,550.25 |
| Rate for Payer: Aetna Commercial |
$991.29
|
| Rate for Payer: Aetna Medicare |
$769.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,065.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$991.29
|
| Rate for Payer: BCBS Complete |
$519.32
|
| Rate for Payer: BCBS MAPPO |
$739.77
|
| Rate for Payer: BCBS Trust/PPO |
$164.83
|
| Rate for Payer: BCN Commercial |
$1,126.89
|
| Rate for Payer: BCN Medicare Advantage |
$739.77
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cofinity Commercial |
$991.29
|
| Rate for Payer: Cofinity Commercial |
$1,065.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$739.77
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$776.76
|
| Rate for Payer: Meridian Medicaid |
$519.32
|
| Rate for Payer: Nomi Health Commercial |
$887.72
|
| Rate for Payer: PACE SWMI |
$739.77
|
| Rate for Payer: PHP Commercial |
$1,035.68
|
| Rate for Payer: PHP Medicare Advantage |
$739.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$494.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,550.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,148.85
|
| Rate for Payer: Priority Health Medicare |
$739.77
|
| Rate for Payer: Priority Health Narrow Network |
$1,148.85
|
| Rate for Payer: Priority Health SBD |
$1,148.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$739.77
|
| Rate for Payer: UHC Medicare Advantage |
$739.77
|
| Rate for Payer: UHCCP Medicaid |
$494.59
|
| Rate for Payer: UMR Bronson Commercial |
$1,097.10
|
|
|
PROVENTIL HFA 90 MCG/ACTUATION AEROSOL INHALER
|
Facility
|
OP
|
$149.10
|
|
|
Service Code
|
NDC 00085113204
|
| Hospital Charge Code |
17934
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$55.17 |
| Max. Negotiated Rate |
$134.19 |
| Rate for Payer: Aetna American Axle |
$96.92
|
| Rate for Payer: Aetna Commercial |
$126.74
|
| Rate for Payer: Aetna Medicare |
$74.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.92
|
| Rate for Payer: BCBS Complete |
$59.64
|
| Rate for Payer: Cash Price |
$119.28
|
| Rate for Payer: Cofinity Commercial |
$104.37
|
| Rate for Payer: Cofinity Commercial |
$128.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$104.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.28
|
| Rate for Payer: Healthscope Commercial |
$134.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$104.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.74
|
| Rate for Payer: PHP Commercial |
$126.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.92
|
| Rate for Payer: Priority Health SBD |
$93.93
|
| Rate for Payer: UMR Bronson Commercial |
$55.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.82
|
|
|
PROVENTIL HFA 90 MCG/ACTUATION AEROSOL INHALER
|
Facility
|
OP
|
$116.90
|
|
|
Service Code
|
NDC 00254100752
|
| Hospital Charge Code |
17934
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.25 |
| Max. Negotiated Rate |
$105.21 |
| Rate for Payer: Aetna American Axle |
$75.98
|
| Rate for Payer: Aetna Commercial |
$99.36
|
| Rate for Payer: Aetna Medicare |
$58.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.98
|
| Rate for Payer: BCBS Complete |
$46.76
|
| Rate for Payer: Cash Price |
$93.52
|
| Rate for Payer: Cofinity Commercial |
$100.53
|
| Rate for Payer: Cofinity Commercial |
$81.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$81.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.52
|
| Rate for Payer: Healthscope Commercial |
$105.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.36
|
| Rate for Payer: PHP Commercial |
$99.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.98
|
| Rate for Payer: Priority Health SBD |
$73.65
|
| Rate for Payer: UMR Bronson Commercial |
$43.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.68
|
|
|
PROVENTIL HFA 90 MCG/ACTUATION AEROSOL INHALER
|
Facility
|
IP
|
$116.90
|
|
|
Service Code
|
NDC 00254100752
|
| Hospital Charge Code |
17934
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$51.44 |
| Max. Negotiated Rate |
$105.21 |
| Rate for Payer: Aetna American Axle |
$75.98
|
| Rate for Payer: Aetna Commercial |
$99.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$75.98
|
| Rate for Payer: Cash Price |
$93.52
|
| Rate for Payer: Cofinity Commercial |
$100.53
|
| Rate for Payer: Cofinity Commercial |
$81.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$81.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.52
|
| Rate for Payer: Healthscope Commercial |
$105.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$81.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$87.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$99.36
|
| Rate for Payer: PHP Commercial |
$99.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.98
|
| Rate for Payer: Priority Health SBD |
$73.65
|
| Rate for Payer: UMR Bronson Commercial |
$51.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$87.68
|
|
|
PROVENTIL HFA 90 MCG/ACTUATION AEROSOL INHALER
|
Facility
|
IP
|
$149.10
|
|
|
Service Code
|
NDC 00085113204
|
| Hospital Charge Code |
17934
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$65.60 |
| Max. Negotiated Rate |
$134.19 |
| Rate for Payer: Aetna American Axle |
$96.92
|
| Rate for Payer: Aetna Commercial |
$126.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$96.92
|
| Rate for Payer: Cash Price |
$119.28
|
| Rate for Payer: Cofinity Commercial |
$104.37
|
| Rate for Payer: Cofinity Commercial |
$128.23
|
| Rate for Payer: Cofinity Medicare Advantage |
$104.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.28
|
| Rate for Payer: Healthscope Commercial |
$134.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$104.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$111.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$126.74
|
| Rate for Payer: PHP Commercial |
$126.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$96.92
|
| Rate for Payer: Priority Health SBD |
$93.93
|
| Rate for Payer: UMR Bronson Commercial |
$65.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$111.82
|
|
|
PR OVINE, UP TO 999 USP UNITS
|
Professional
|
Both
|
$2.00
|
|
|
Service Code
|
HCPCS J3471
|
| Min. Negotiated Rate |
$0.48 |
| Max. Negotiated Rate |
$1.30 |
| Rate for Payer: Aetna Commercial |
$0.67
|
| Rate for Payer: Aetna Medicare |
$0.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.72
|
| Rate for Payer: BCBS Complete |
$0.80
|
| Rate for Payer: BCBS MAPPO |
$0.50
|
| Rate for Payer: BCBS Trust/PPO |
$0.50
|
| Rate for Payer: BCN Commercial |
$0.48
|
| Rate for Payer: BCN Medicare Advantage |
$0.50
|
| Rate for Payer: Cash Price |
$1.60
|
| Rate for Payer: Cash Price |
$1.60
|
| Rate for Payer: Cofinity Commercial |
$0.67
|
| Rate for Payer: Cofinity Commercial |
$0.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.52
|
| Rate for Payer: Nomi Health Commercial |
$0.60
|
| Rate for Payer: PACE SWMI |
$0.50
|
| Rate for Payer: PHP Commercial |
$0.70
|
| Rate for Payer: PHP Medicare Advantage |
$0.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.30
|
| Rate for Payer: Priority Health Medicare |
$0.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.50
|
| Rate for Payer: UHC Medicare Advantage |
$0.50
|
| Rate for Payer: UMR Bronson Commercial |
$0.92
|
|
|
PR PACKING STRIPS, NON-IMPREG
|
Professional
|
Both
|
$6.00
|
|
|
Service Code
|
HCPCS A6407
|
| Min. Negotiated Rate |
$2.06 |
| Max. Negotiated Rate |
$3.90 |
| Rate for Payer: BCBS Complete |
$2.40
|
| Rate for Payer: BCN Commercial |
$2.06
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.90
|
| Rate for Payer: UMR Bronson Commercial |
$2.76
|
|
|
PR PALATOPHARYNGOPLASTY
|
Professional
|
Both
|
$2,472.00
|
|
|
Service Code
|
HCPCS 42145
|
| Min. Negotiated Rate |
$442.83 |
| Max. Negotiated Rate |
$1,606.80 |
| Rate for Payer: Aetna Commercial |
$874.78
|
| Rate for Payer: Aetna Medicare |
$678.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$940.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$874.78
|
| Rate for Payer: BCBS Complete |
$464.97
|
| Rate for Payer: BCBS MAPPO |
$652.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,006.94
|
| Rate for Payer: BCN Commercial |
$1,011.07
|
| Rate for Payer: BCN Medicare Advantage |
$652.82
|
| Rate for Payer: Cash Price |
$1,977.60
|
| Rate for Payer: Cash Price |
$1,977.60
|
| Rate for Payer: Cofinity Commercial |
$874.78
|
| Rate for Payer: Cofinity Commercial |
$940.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$652.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$685.46
|
| Rate for Payer: Meridian Medicaid |
$464.97
|
| Rate for Payer: Nomi Health Commercial |
$783.38
|
| Rate for Payer: PACE SWMI |
$652.82
|
| Rate for Payer: PHP Commercial |
$913.95
|
| Rate for Payer: PHP Medicare Advantage |
$652.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$442.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,606.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,240.32
|
| Rate for Payer: Priority Health Medicare |
$652.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,240.32
|
| Rate for Payer: Priority Health SBD |
$1,240.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$652.82
|
| Rate for Payer: UHC Medicare Advantage |
$652.82
|
| Rate for Payer: UHCCP Medicaid |
$442.83
|
| Rate for Payer: UMR Bronson Commercial |
$1,137.12
|
|
|
PR PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS
|
Professional
|
Both
|
$7,598.00
|
|
|
Service Code
|
HCPCS 48160
|
| Min. Negotiated Rate |
$809.36 |
| Max. Negotiated Rate |
$5,573.98 |
| Rate for Payer: Aetna Commercial |
$4,176.69
|
| Rate for Payer: Aetna Medicare |
$3,799.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,176.69
|
| Rate for Payer: BCBS Complete |
$3,039.20
|
| Rate for Payer: BCBS Trust/PPO |
$809.36
|
| Rate for Payer: BCN Commercial |
$2,480.87
|
| Rate for Payer: Cash Price |
$6,078.40
|
| Rate for Payer: Cash Price |
$6,078.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,938.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,573.98
|
| Rate for Payer: Priority Health Narrow Network |
$5,573.98
|
| Rate for Payer: Priority Health SBD |
$5,573.98
|
| Rate for Payer: UMR Bronson Commercial |
$3,495.08
|
|
|
PR PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST
|
Professional
|
Both
|
$3,447.00
|
|
|
Service Code
|
HCPCS 48548
|
| Min. Negotiated Rate |
$484.98 |
| Max. Negotiated Rate |
$2,988.93 |
| Rate for Payer: Aetna Commercial |
$2,176.52
|
| Rate for Payer: Aetna Medicare |
$1,689.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,176.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,338.95
|
| Rate for Payer: BCBS Complete |
$1,125.41
|
| Rate for Payer: BCBS MAPPO |
$1,624.27
|
| Rate for Payer: BCBS Trust/PPO |
$484.98
|
| Rate for Payer: BCN Commercial |
$2,437.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,624.27
|
| Rate for Payer: Cash Price |
$2,757.60
|
| Rate for Payer: Cash Price |
$2,757.60
|
| Rate for Payer: Cofinity Commercial |
$2,338.95
|
| Rate for Payer: Cofinity Commercial |
$2,176.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,624.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,705.48
|
| Rate for Payer: Meridian Medicaid |
$1,125.41
|
| Rate for Payer: Nomi Health Commercial |
$1,949.12
|
| Rate for Payer: PACE SWMI |
$1,624.27
|
| Rate for Payer: PHP Commercial |
$2,273.98
|
| Rate for Payer: PHP Medicare Advantage |
$1,624.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,071.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,240.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,988.93
|
| Rate for Payer: Priority Health Medicare |
$1,624.27
|
| Rate for Payer: Priority Health Narrow Network |
$2,988.93
|
| Rate for Payer: Priority Health SBD |
$2,988.93
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,624.27
|
| Rate for Payer: UHC Medicare Advantage |
$1,624.27
|
| Rate for Payer: UHCCP Medicaid |
$1,071.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,585.62
|
|
|
PR PANCREATORRHAPHY INJURY
|
Professional
|
Both
|
$3,272.00
|
|
|
Service Code
|
HCPCS 48545
|
| Min. Negotiated Rate |
$525.66 |
| Max. Negotiated Rate |
$2,412.02 |
| Rate for Payer: Aetna Commercial |
$1,755.16
|
| Rate for Payer: Aetna Medicare |
$1,362.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,755.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,886.14
|
| Rate for Payer: BCBS Complete |
$909.14
|
| Rate for Payer: BCBS MAPPO |
$1,309.82
|
| Rate for Payer: BCBS Trust/PPO |
$525.66
|
| Rate for Payer: BCN Commercial |
$1,966.44
|
| Rate for Payer: BCN Medicare Advantage |
$1,309.82
|
| Rate for Payer: Cash Price |
$2,617.60
|
| Rate for Payer: Cash Price |
$2,617.60
|
| Rate for Payer: Cofinity Commercial |
$1,755.16
|
| Rate for Payer: Cofinity Commercial |
$1,886.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,309.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,375.31
|
| Rate for Payer: Meridian Medicaid |
$909.14
|
| Rate for Payer: Nomi Health Commercial |
$1,571.78
|
| Rate for Payer: PACE SWMI |
$1,309.82
|
| Rate for Payer: PHP Commercial |
$1,833.75
|
| Rate for Payer: PHP Medicare Advantage |
$1,309.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$865.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,126.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,412.02
|
| Rate for Payer: Priority Health Medicare |
$1,309.82
|
| Rate for Payer: Priority Health Narrow Network |
$2,412.02
|
| Rate for Payer: Priority Health SBD |
$2,412.02
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,309.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,309.82
|
| Rate for Payer: UHCCP Medicaid |
$865.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,505.12
|
|
|
PR PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC
|
Professional
|
Both
|
$2,535.00
|
|
|
Service Code
|
HCPCS 60505
|
| Min. Negotiated Rate |
$576.38 |
| Max. Negotiated Rate |
$2,267.07 |
| Rate for Payer: Aetna Commercial |
$1,786.29
|
| Rate for Payer: Aetna Medicare |
$1,386.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,786.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,919.59
|
| Rate for Payer: BCBS Complete |
$940.00
|
| Rate for Payer: BCBS MAPPO |
$1,333.05
|
| Rate for Payer: BCBS Trust/PPO |
$576.38
|
| Rate for Payer: BCN Commercial |
$2,042.19
|
| Rate for Payer: BCN Medicare Advantage |
$1,333.05
|
| Rate for Payer: Cash Price |
$2,028.00
|
| Rate for Payer: Cash Price |
$2,028.00
|
| Rate for Payer: Cofinity Commercial |
$1,786.29
|
| Rate for Payer: Cofinity Commercial |
$1,919.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,333.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,399.70
|
| Rate for Payer: Meridian Medicaid |
$940.00
|
| Rate for Payer: Nomi Health Commercial |
$1,599.66
|
| Rate for Payer: PACE SWMI |
$1,333.05
|
| Rate for Payer: PHP Commercial |
$1,866.27
|
| Rate for Payer: PHP Medicare Advantage |
$1,333.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$895.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,647.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,267.07
|
| Rate for Payer: Priority Health Medicare |
$1,333.05
|
| Rate for Payer: Priority Health Narrow Network |
$2,267.07
|
| Rate for Payer: Priority Health SBD |
$2,267.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,333.05
|
| Rate for Payer: UHC Medicare Advantage |
$1,333.05
|
| Rate for Payer: UHCCP Medicaid |
$895.24
|
| Rate for Payer: UMR Bronson Commercial |
$1,166.10
|
|
|
PR PARATHYROID AUTOTRANSPLANTATION ADD-ON
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS 60512
|
| Min. Negotiated Rate |
$153.15 |
| Max. Negotiated Rate |
$663.02 |
| Rate for Payer: Aetna Commercial |
$311.15
|
| Rate for Payer: Aetna Medicare |
$241.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$311.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$334.37
|
| Rate for Payer: BCBS Complete |
$160.81
|
| Rate for Payer: BCBS MAPPO |
$232.20
|
| Rate for Payer: BCBS Trust/PPO |
$663.02
|
| Rate for Payer: BCN Commercial |
$350.87
|
| Rate for Payer: BCN Medicare Advantage |
$232.20
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cofinity Commercial |
$311.15
|
| Rate for Payer: Cofinity Commercial |
$334.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$232.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$243.81
|
| Rate for Payer: Meridian Medicaid |
$160.81
|
| Rate for Payer: Nomi Health Commercial |
$278.64
|
| Rate for Payer: PACE SWMI |
$232.20
|
| Rate for Payer: PHP Commercial |
$325.08
|
| Rate for Payer: PHP Medicare Advantage |
$232.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$153.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$315.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$387.18
|
| Rate for Payer: Priority Health Medicare |
$232.20
|
| Rate for Payer: Priority Health Narrow Network |
$387.18
|
| Rate for Payer: Priority Health SBD |
$387.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$232.20
|
| Rate for Payer: UHC Medicare Advantage |
$232.20
|
| Rate for Payer: UHCCP Medicaid |
$153.15
|
| Rate for Payer: UMR Bronson Commercial |
$223.10
|
|
|
PR PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS
|
Professional
|
Both
|
$3,507.00
|
|
|
Service Code
|
HCPCS 60500
|
| Min. Negotiated Rate |
$624.73 |
| Max. Negotiated Rate |
$3,645.80 |
| Rate for Payer: Aetna Commercial |
$1,256.71
|
| Rate for Payer: Aetna Medicare |
$975.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,256.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,350.49
|
| Rate for Payer: BCBS Complete |
$655.97
|
| Rate for Payer: BCBS MAPPO |
$937.84
|
| Rate for Payer: BCBS Trust/PPO |
$3,645.80
|
| Rate for Payer: BCN Commercial |
$1,419.12
|
| Rate for Payer: BCN Medicare Advantage |
$937.84
|
| Rate for Payer: Cash Price |
$2,805.60
|
| Rate for Payer: Cash Price |
$2,805.60
|
| Rate for Payer: Cofinity Commercial |
$1,256.71
|
| Rate for Payer: Cofinity Commercial |
$1,350.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$937.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$984.73
|
| Rate for Payer: Meridian Medicaid |
$655.97
|
| Rate for Payer: Nomi Health Commercial |
$1,125.41
|
| Rate for Payer: PACE SWMI |
$937.84
|
| Rate for Payer: PHP Commercial |
$1,312.98
|
| Rate for Payer: PHP Medicare Advantage |
$937.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$624.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,279.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,572.42
|
| Rate for Payer: Priority Health Medicare |
$937.84
|
| Rate for Payer: Priority Health Narrow Network |
$1,572.42
|
| Rate for Payer: Priority Health SBD |
$1,572.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$937.84
|
| Rate for Payer: UHC Medicare Advantage |
$937.84
|
| Rate for Payer: UHCCP Medicaid |
$624.73
|
| Rate for Payer: UMR Bronson Commercial |
$1,613.22
|
|
|
PR PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR
|
Professional
|
Both
|
$3,879.00
|
|
|
Service Code
|
HCPCS 60502
|
| Min. Negotiated Rate |
$839.01 |
| Max. Negotiated Rate |
$2,521.35 |
| Rate for Payer: Aetna Commercial |
$1,691.48
|
| Rate for Payer: Aetna Medicare |
$1,312.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,691.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,817.71
|
| Rate for Payer: BCBS Complete |
$880.96
|
| Rate for Payer: BCBS MAPPO |
$1,262.30
|
| Rate for Payer: BCBS Trust/PPO |
$1,254.71
|
| Rate for Payer: BCN Commercial |
$1,902.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,262.30
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Cofinity Commercial |
$1,691.48
|
| Rate for Payer: Cofinity Commercial |
$1,817.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,262.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,325.42
|
| Rate for Payer: Meridian Medicaid |
$880.96
|
| Rate for Payer: Nomi Health Commercial |
$1,514.76
|
| Rate for Payer: PACE SWMI |
$1,262.30
|
| Rate for Payer: PHP Commercial |
$1,767.22
|
| Rate for Payer: PHP Medicare Advantage |
$1,262.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$839.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,521.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,110.91
|
| Rate for Payer: Priority Health Medicare |
$1,262.30
|
| Rate for Payer: Priority Health Narrow Network |
$2,110.91
|
| Rate for Payer: Priority Health SBD |
$2,110.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,262.30
|
| Rate for Payer: UHC Medicare Advantage |
$1,262.30
|
| Rate for Payer: UHCCP Medicaid |
$839.01
|
| Rate for Payer: UMR Bronson Commercial |
$1,784.34
|
|
|
PR PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH
|
Professional
|
Both
|
$1,930.00
|
|
|
Service Code
|
HCPCS 57285
|
| Min. Negotiated Rate |
$444.32 |
| Max. Negotiated Rate |
$2,721.80 |
| Rate for Payer: Aetna Commercial |
$889.00
|
| Rate for Payer: Aetna Medicare |
$689.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$889.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$955.34
|
| Rate for Payer: BCBS Complete |
$466.54
|
| Rate for Payer: BCBS MAPPO |
$663.43
|
| Rate for Payer: BCBS Trust/PPO |
$2,721.80
|
| Rate for Payer: BCN Commercial |
$1,014.98
|
| Rate for Payer: BCN Medicare Advantage |
$663.43
|
| Rate for Payer: Cash Price |
$1,544.00
|
| Rate for Payer: Cash Price |
$1,544.00
|
| Rate for Payer: Cofinity Commercial |
$889.00
|
| Rate for Payer: Cofinity Commercial |
$955.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$663.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$696.60
|
| Rate for Payer: Meridian Medicaid |
$466.54
|
| Rate for Payer: Nomi Health Commercial |
$796.12
|
| Rate for Payer: PACE SWMI |
$663.43
|
| Rate for Payer: PHP Commercial |
$928.80
|
| Rate for Payer: PHP Medicare Advantage |
$663.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$444.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,254.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,035.25
|
| Rate for Payer: Priority Health Medicare |
$663.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,035.25
|
| Rate for Payer: Priority Health SBD |
$1,035.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$663.43
|
| Rate for Payer: UHC Medicare Advantage |
$663.43
|
| Rate for Payer: UHCCP Medicaid |
$444.32
|
| Rate for Payer: UMR Bronson Commercial |
$887.80
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1
|
Professional
|
Both
|
$115.00
|
|
|
Service Code
|
HCPCS 11055
|
| Min. Negotiated Rate |
$9.80 |
| Max. Negotiated Rate |
$242.22 |
| Rate for Payer: Aetna Commercial |
$19.86
|
| Rate for Payer: Aetna Medicare |
$15.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.34
|
| Rate for Payer: BCBS Complete |
$10.29
|
| Rate for Payer: BCBS MAPPO |
$14.82
|
| Rate for Payer: BCBS Trust/PPO |
$242.22
|
| Rate for Payer: BCN Commercial |
$105.06
|
| Rate for Payer: BCN Medicare Advantage |
$14.82
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cash Price |
$92.00
|
| Rate for Payer: Cofinity Commercial |
$19.86
|
| Rate for Payer: Cofinity Commercial |
$21.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.56
|
| Rate for Payer: Meridian Medicaid |
$10.29
|
| Rate for Payer: Nomi Health Commercial |
$17.78
|
| Rate for Payer: PACE SWMI |
$14.82
|
| Rate for Payer: PHP Commercial |
$20.75
|
| Rate for Payer: PHP Medicare Advantage |
$14.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.75
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.77
|
| Rate for Payer: Priority Health Medicare |
$14.82
|
| Rate for Payer: Priority Health Narrow Network |
$20.77
|
| Rate for Payer: Priority Health SBD |
$20.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$14.82
|
| Rate for Payer: UHC Medicare Advantage |
$14.82
|
| Rate for Payer: UHCCP Medicaid |
$9.80
|
| Rate for Payer: UMR Bronson Commercial |
$52.90
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4
|
Professional
|
Both
|
$122.00
|
|
|
Service Code
|
HCPCS 11056
|
| Min. Negotiated Rate |
$14.06 |
| Max. Negotiated Rate |
$569.29 |
| Rate for Payer: Aetna Commercial |
$28.45
|
| Rate for Payer: Aetna Medicare |
$22.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.57
|
| Rate for Payer: BCBS Complete |
$14.76
|
| Rate for Payer: BCBS MAPPO |
$21.23
|
| Rate for Payer: BCBS Trust/PPO |
$569.29
|
| Rate for Payer: BCN Commercial |
$120.70
|
| Rate for Payer: BCN Medicare Advantage |
$21.23
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cash Price |
$97.60
|
| Rate for Payer: Cofinity Commercial |
$28.45
|
| Rate for Payer: Cofinity Commercial |
$30.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.29
|
| Rate for Payer: Meridian Medicaid |
$14.76
|
| Rate for Payer: Nomi Health Commercial |
$25.48
|
| Rate for Payer: PACE SWMI |
$21.23
|
| Rate for Payer: PHP Commercial |
$29.72
|
| Rate for Payer: PHP Medicare Advantage |
$21.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.35
|
| Rate for Payer: Priority Health Medicare |
$21.23
|
| Rate for Payer: Priority Health Narrow Network |
$29.35
|
| Rate for Payer: Priority Health SBD |
$29.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.23
|
| Rate for Payer: UHC Medicare Advantage |
$21.23
|
| Rate for Payer: UHCCP Medicaid |
$14.06
|
| Rate for Payer: UMR Bronson Commercial |
$56.12
|
|
|
PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4
|
Professional
|
Both
|
$147.00
|
|
|
Service Code
|
HCPCS 11057
|
| Min. Negotiated Rate |
$17.89 |
| Max. Negotiated Rate |
$131.45 |
| Rate for Payer: Aetna Commercial |
$36.13
|
| Rate for Payer: Aetna Medicare |
$28.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.82
|
| Rate for Payer: BCBS Complete |
$18.78
|
| Rate for Payer: BCBS MAPPO |
$26.96
|
| Rate for Payer: BCBS Trust/PPO |
$18.83
|
| Rate for Payer: BCN Commercial |
$131.45
|
| Rate for Payer: BCN Medicare Advantage |
$26.96
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cash Price |
$117.60
|
| Rate for Payer: Cofinity Commercial |
$36.13
|
| Rate for Payer: Cofinity Commercial |
$38.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.31
|
| Rate for Payer: Meridian Medicaid |
$18.78
|
| Rate for Payer: Nomi Health Commercial |
$32.35
|
| Rate for Payer: PACE SWMI |
$26.96
|
| Rate for Payer: PHP Commercial |
$37.74
|
| Rate for Payer: PHP Medicare Advantage |
$26.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$95.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.37
|
| Rate for Payer: Priority Health Medicare |
$26.96
|
| Rate for Payer: Priority Health Narrow Network |
$38.37
|
| Rate for Payer: Priority Health SBD |
$38.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$26.96
|
| Rate for Payer: UHC Medicare Advantage |
$26.96
|
| Rate for Payer: UHCCP Medicaid |
$17.89
|
| Rate for Payer: UMR Bronson Commercial |
$67.62
|
|
|
PR PARTIAL EXCISION BONE CLAVICLE
|
Professional
|
Both
|
$1,421.00
|
|
|
Service Code
|
HCPCS 23180
|
| Min. Negotiated Rate |
$70.89 |
| Max. Negotiated Rate |
$1,023.82 |
| Rate for Payer: Aetna Commercial |
$893.87
|
| Rate for Payer: Aetna Medicare |
$693.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$893.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$960.58
|
| Rate for Payer: BCBS Complete |
$474.81
|
| Rate for Payer: BCBS MAPPO |
$667.07
|
| Rate for Payer: BCBS Trust/PPO |
$70.89
|
| Rate for Payer: BCN Commercial |
$972.96
|
| Rate for Payer: BCN Medicare Advantage |
$667.07
|
| Rate for Payer: Cash Price |
$1,136.80
|
| Rate for Payer: Cash Price |
$1,136.80
|
| Rate for Payer: Cofinity Commercial |
$893.87
|
| Rate for Payer: Cofinity Commercial |
$960.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$667.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$700.42
|
| Rate for Payer: Meridian Medicaid |
$474.81
|
| Rate for Payer: Nomi Health Commercial |
$800.48
|
| Rate for Payer: PACE SWMI |
$667.07
|
| Rate for Payer: PHP Commercial |
$933.90
|
| Rate for Payer: PHP Medicare Advantage |
$667.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$452.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$923.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,023.82
|
| Rate for Payer: Priority Health Medicare |
$667.07
|
| Rate for Payer: Priority Health Narrow Network |
$1,023.82
|
| Rate for Payer: Priority Health SBD |
$1,023.82
|
| Rate for Payer: UHC Dual Complete DSNP |
$667.07
|
| Rate for Payer: UHC Medicare Advantage |
$667.07
|
| Rate for Payer: UHCCP Medicaid |
$452.20
|
| Rate for Payer: UMR Bronson Commercial |
$653.66
|
|
|
PR PARTIAL EXCISION BONE FIBULA
|
Professional
|
Both
|
$2,385.00
|
|
|
Service Code
|
HCPCS 27641
|
| Min. Negotiated Rate |
$426.85 |
| Max. Negotiated Rate |
$1,550.25 |
| Rate for Payer: Aetna Commercial |
$846.99
|
| Rate for Payer: Aetna Medicare |
$657.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$846.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$910.20
|
| Rate for Payer: BCBS Complete |
$448.19
|
| Rate for Payer: BCBS MAPPO |
$632.08
|
| Rate for Payer: BCBS Trust/PPO |
$1,539.47
|
| Rate for Payer: BCN Commercial |
$956.83
|
| Rate for Payer: BCN Medicare Advantage |
$632.08
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cash Price |
$1,908.00
|
| Rate for Payer: Cofinity Commercial |
$846.99
|
| Rate for Payer: Cofinity Commercial |
$910.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$632.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$663.68
|
| Rate for Payer: Meridian Medicaid |
$448.19
|
| Rate for Payer: Nomi Health Commercial |
$758.50
|
| Rate for Payer: PACE SWMI |
$632.08
|
| Rate for Payer: PHP Commercial |
$884.91
|
| Rate for Payer: PHP Medicare Advantage |
$632.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$426.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,550.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,005.51
|
| Rate for Payer: Priority Health Medicare |
$632.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,005.51
|
| Rate for Payer: Priority Health SBD |
$1,005.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$632.08
|
| Rate for Payer: UHC Medicare Advantage |
$632.08
|
| Rate for Payer: UHCCP Medicaid |
$426.85
|
| Rate for Payer: UMR Bronson Commercial |
$1,097.10
|
|
|
PR PARTIAL EXCISION BONE HUMERUS
|
Professional
|
Both
|
$1,429.00
|
|
|
Service Code
|
HCPCS 24140
|
| Min. Negotiated Rate |
$460.29 |
| Max. Negotiated Rate |
$1,604.45 |
| Rate for Payer: Aetna Commercial |
$911.95
|
| Rate for Payer: Aetna Medicare |
$707.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$911.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$980.01
|
| Rate for Payer: BCBS Complete |
$483.30
|
| Rate for Payer: BCBS MAPPO |
$680.56
|
| Rate for Payer: BCBS Trust/PPO |
$1,604.45
|
| Rate for Payer: BCN Commercial |
$1,038.44
|
| Rate for Payer: BCN Medicare Advantage |
$680.56
|
| Rate for Payer: Cash Price |
$1,143.20
|
| Rate for Payer: Cash Price |
$1,143.20
|
| Rate for Payer: Cofinity Commercial |
$911.95
|
| Rate for Payer: Cofinity Commercial |
$980.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$680.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$714.59
|
| Rate for Payer: Meridian Medicaid |
$483.30
|
| Rate for Payer: Nomi Health Commercial |
$816.67
|
| Rate for Payer: PACE SWMI |
$680.56
|
| Rate for Payer: PHP Commercial |
$952.78
|
| Rate for Payer: PHP Medicare Advantage |
$680.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$460.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$928.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,088.96
|
| Rate for Payer: Priority Health Medicare |
$680.56
|
| Rate for Payer: Priority Health Narrow Network |
$1,088.96
|
| Rate for Payer: Priority Health SBD |
$1,088.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$680.56
|
| Rate for Payer: UHC Medicare Advantage |
$680.56
|
| Rate for Payer: UHCCP Medicaid |
$460.29
|
| Rate for Payer: UMR Bronson Commercial |
$657.34
|
|
|
PR PARTIAL EXCISION BONE METACARPAL
|
Professional
|
Both
|
$1,454.00
|
|
|
Service Code
|
HCPCS 26230
|
| Min. Negotiated Rate |
$254.64 |
| Max. Negotiated Rate |
$945.10 |
| Rate for Payer: Aetna Commercial |
$650.18
|
| Rate for Payer: Aetna Medicare |
$504.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$650.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$698.70
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$485.21
|
| Rate for Payer: BCBS Trust/PPO |
$254.64
|
| Rate for Payer: BCN Commercial |
$741.32
|
| Rate for Payer: BCN Medicare Advantage |
$485.21
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cash Price |
$1,163.20
|
| Rate for Payer: Cofinity Commercial |
$650.18
|
| Rate for Payer: Cofinity Commercial |
$698.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$485.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$509.47
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Nomi Health Commercial |
$582.25
|
| Rate for Payer: PACE SWMI |
$485.21
|
| Rate for Payer: PHP Commercial |
$679.29
|
| Rate for Payer: PHP Medicare Advantage |
$485.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$945.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$779.06
|
| Rate for Payer: Priority Health Medicare |
$485.21
|
| Rate for Payer: Priority Health Narrow Network |
$779.06
|
| Rate for Payer: Priority Health SBD |
$779.06
|
| Rate for Payer: UHC Dual Complete DSNP |
$485.21
|
| Rate for Payer: UHC Medicare Advantage |
$485.21
|
| Rate for Payer: UHCCP Medicaid |
$329.72
|
| Rate for Payer: UMR Bronson Commercial |
$668.84
|
|
|
PR PARTIAL EXCISION BONE OLECRANON PROCESS
|
Facility
|
OP
|
$1,482.00
|
|
|
Service Code
|
CPT 24147
|
| Hospital Charge Code |
24147
|
| Min. Negotiated Rate |
$548.34 |
| Max. Negotiated Rate |
$9,991.56 |
| Rate for Payer: Aetna American Axle |
$963.30
|
| Rate for Payer: Aetna Commercial |
$1,259.70
|
| Rate for Payer: Aetna Medicare |
$3,306.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$963.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,973.75
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,973.75
|
| Rate for Payer: BCBS Complete |
$1,789.14
|
| Rate for Payer: BCBS MAPPO |
$3,179.00
|
| Rate for Payer: BCBS Trust/PPO |
$2,372.99
|
| Rate for Payer: BCN Commercial |
$2,372.99
|
| Rate for Payer: BCN Medicare Advantage |
$3,179.00
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cash Price |
$1,185.60
|
| Rate for Payer: Cofinity Commercial |
$1,037.40
|
| Rate for Payer: Cofinity Commercial |
$1,274.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,037.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,185.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,179.00
|
| Rate for Payer: Healthscope Commercial |
$1,333.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,037.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,111.50
|
| Rate for Payer: Mclaren Medicaid |
$1,703.94
|
| Rate for Payer: Mclaren Medicare |
$3,179.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,337.95
|
| Rate for Payer: Meridian Medicaid |
$1,789.14
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,655.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,259.70
|
| Rate for Payer: Nomi Health Commercial |
$6,675.90
|
| Rate for Payer: PACE Medicare |
$3,020.05
|
| Rate for Payer: PACE SWMI |
$3,179.00
|
| Rate for Payer: PHP Commercial |
$1,259.70
|
| Rate for Payer: PHP Medicare Advantage |
$3,179.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,703.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$963.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$9,991.56
|
| Rate for Payer: Priority Health Medicare |
$3,179.00
|
| Rate for Payer: Priority Health Narrow Network |
$7,993.25
|
| Rate for Payer: Priority Health SBD |
$933.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3,179.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$669.25
|
| Rate for Payer: UHC Core |
$5,042.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,179.00
|
| Rate for Payer: UHC Exchange |
$608.41
|
| Rate for Payer: UHC Medicare Advantage |
$3,179.00
|
| Rate for Payer: UHCCP Medicaid |
$1,703.94
|
| Rate for Payer: UMR Bronson Commercial |
$548.34
|
| Rate for Payer: VA VA |
$3,179.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,111.50
|
|
