|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Facility
|
IP
|
$934.00
|
|
|
Service Code
|
CPT 64625
|
| Hospital Charge Code |
64625
|
| Min. Negotiated Rate |
$410.96 |
| Max. Negotiated Rate |
$840.60 |
| Rate for Payer: Aetna American Axle |
$607.10
|
| Rate for Payer: Aetna Commercial |
$793.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$653.80
|
| Rate for Payer: Cofinity Commercial |
$803.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$653.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$747.20
|
| Rate for Payer: Healthscope Commercial |
$840.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$653.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$700.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$793.90
|
| Rate for Payer: PHP Commercial |
$793.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health SBD |
$588.42
|
| Rate for Payer: UMR Bronson Commercial |
$410.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$700.50
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Facility
|
OP
|
$934.00
|
|
|
Service Code
|
CPT 64625
|
| Hospital Charge Code |
64625
|
| Min. Negotiated Rate |
$186.83 |
| Max. Negotiated Rate |
$6,013.44 |
| Rate for Payer: Aetna American Axle |
$607.10
|
| Rate for Payer: Aetna Commercial |
$793.90
|
| Rate for Payer: Aetna Medicare |
$1,989.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$607.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2,391.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2,391.60
|
| Rate for Payer: BCBS Complete |
$1,076.79
|
| Rate for Payer: BCBS MAPPO |
$1,913.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,913.28
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$653.80
|
| Rate for Payer: Cofinity Commercial |
$803.24
|
| Rate for Payer: Cofinity Medicare Advantage |
$653.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$747.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,913.28
|
| Rate for Payer: Healthscope Commercial |
$840.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$653.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$700.50
|
| Rate for Payer: Mclaren Medicaid |
$1,025.52
|
| Rate for Payer: Mclaren Medicare |
$1,913.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,008.94
|
| Rate for Payer: Meridian Medicaid |
$1,076.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,200.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$793.90
|
| Rate for Payer: Nomi Health Commercial |
$4,017.89
|
| Rate for Payer: PACE Medicare |
$1,817.62
|
| Rate for Payer: PACE SWMI |
$1,913.28
|
| Rate for Payer: PHP Commercial |
$793.90
|
| Rate for Payer: PHP Medicare Advantage |
$1,913.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,025.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,013.44
|
| Rate for Payer: Priority Health Medicare |
$1,913.28
|
| Rate for Payer: Priority Health Narrow Network |
$4,810.75
|
| Rate for Payer: Priority Health SBD |
$588.42
|
| Rate for Payer: Railroad Medicare Medicare |
$1,913.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$205.51
|
| Rate for Payer: UHC Core |
$3,604.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,913.28
|
| Rate for Payer: UHC Exchange |
$186.83
|
| Rate for Payer: UHC Medicare Advantage |
$1,913.28
|
| Rate for Payer: UHCCP Medicaid |
$1,025.52
|
| Rate for Payer: UMR Bronson Commercial |
$345.58
|
| Rate for Payer: VA VA |
$1,913.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$700.50
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Professional
|
Both
|
$934.00
|
|
|
Service Code
|
HCPCS 64625
|
| Hospital Charge Code |
64625
|
| Min. Negotiated Rate |
$125.67 |
| Max. Negotiated Rate |
$1,208.22 |
| Rate for Payer: Aetna Commercial |
$249.80
|
| Rate for Payer: Aetna Medicare |
$193.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.44
|
| Rate for Payer: BCBS Complete |
$131.95
|
| Rate for Payer: BCBS MAPPO |
$186.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,208.22
|
| Rate for Payer: BCN Commercial |
$690.50
|
| Rate for Payer: BCN Medicare Advantage |
$186.42
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$268.44
|
| Rate for Payer: Cofinity Commercial |
$249.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.74
|
| Rate for Payer: Meridian Medicaid |
$131.95
|
| Rate for Payer: Nomi Health Commercial |
$223.70
|
| Rate for Payer: PACE SWMI |
$186.42
|
| Rate for Payer: PHP Commercial |
$260.99
|
| Rate for Payer: PHP Medicare Advantage |
$186.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$332.13
|
| Rate for Payer: Priority Health Medicare |
$186.42
|
| Rate for Payer: Priority Health Narrow Network |
$332.13
|
| Rate for Payer: Priority Health SBD |
$332.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.42
|
| Rate for Payer: UHC Medicare Advantage |
$186.42
|
| Rate for Payer: UHCCP Medicaid |
$125.67
|
| Rate for Payer: UMR Bronson Commercial |
$429.64
|
|
|
PR RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN
|
Professional
|
Both
|
$934.00
|
|
|
Service Code
|
HCPCS 64625
|
| Min. Negotiated Rate |
$125.67 |
| Max. Negotiated Rate |
$1,208.22 |
| Rate for Payer: Aetna Commercial |
$249.80
|
| Rate for Payer: Aetna Medicare |
$193.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$268.44
|
| Rate for Payer: BCBS Complete |
$131.95
|
| Rate for Payer: BCBS MAPPO |
$186.42
|
| Rate for Payer: BCBS Trust/PPO |
$1,208.22
|
| Rate for Payer: BCN Commercial |
$690.50
|
| Rate for Payer: BCN Medicare Advantage |
$186.42
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cash Price |
$747.20
|
| Rate for Payer: Cofinity Commercial |
$249.80
|
| Rate for Payer: Cofinity Commercial |
$268.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$186.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$195.74
|
| Rate for Payer: Meridian Medicaid |
$131.95
|
| Rate for Payer: Nomi Health Commercial |
$223.70
|
| Rate for Payer: PACE SWMI |
$186.42
|
| Rate for Payer: PHP Commercial |
$260.99
|
| Rate for Payer: PHP Medicare Advantage |
$186.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$125.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$607.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$332.13
|
| Rate for Payer: Priority Health Medicare |
$186.42
|
| Rate for Payer: Priority Health Narrow Network |
$332.13
|
| Rate for Payer: Priority Health SBD |
$332.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$186.42
|
| Rate for Payer: UHC Medicare Advantage |
$186.42
|
| Rate for Payer: UHCCP Medicaid |
$125.67
|
| Rate for Payer: UMR Bronson Commercial |
$429.64
|
|
|
PR RAD RESCJ CAPSL TISS&HTRTPC B1 ELBW CONTRCT RLS
|
Professional
|
Both
|
$2,668.00
|
|
|
Service Code
|
HCPCS 24149
|
| Min. Negotiated Rate |
$768.29 |
| Max. Negotiated Rate |
$1,820.71 |
| Rate for Payer: Aetna Commercial |
$1,522.51
|
| Rate for Payer: Aetna Medicare |
$1,181.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,522.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,636.13
|
| Rate for Payer: BCBS Complete |
$806.70
|
| Rate for Payer: BCBS MAPPO |
$1,136.20
|
| Rate for Payer: BCBS Trust/PPO |
$873.28
|
| Rate for Payer: BCN Commercial |
$1,732.85
|
| Rate for Payer: BCN Medicare Advantage |
$1,136.20
|
| Rate for Payer: Cash Price |
$2,134.40
|
| Rate for Payer: Cash Price |
$2,134.40
|
| Rate for Payer: Cofinity Commercial |
$1,522.51
|
| Rate for Payer: Cofinity Commercial |
$1,636.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,136.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,193.01
|
| Rate for Payer: Meridian Medicaid |
$806.70
|
| Rate for Payer: Nomi Health Commercial |
$1,363.44
|
| Rate for Payer: PACE SWMI |
$1,136.20
|
| Rate for Payer: PHP Commercial |
$1,590.68
|
| Rate for Payer: PHP Medicare Advantage |
$1,136.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$768.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,734.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,820.71
|
| Rate for Payer: Priority Health Medicare |
$1,136.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,820.71
|
| Rate for Payer: Priority Health SBD |
$1,820.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,136.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,136.20
|
| Rate for Payer: UHCCP Medicaid |
$768.29
|
| Rate for Payer: UMR Bronson Commercial |
$1,227.28
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW <5CM
|
Professional
|
Both
|
$1,847.00
|
|
|
Service Code
|
HCPCS 24077
|
| Min. Negotiated Rate |
$662.86 |
| Max. Negotiated Rate |
$1,576.46 |
| Rate for Payer: Aetna Commercial |
$1,329.67
|
| Rate for Payer: Aetna Medicare |
$1,031.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,329.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,428.90
|
| Rate for Payer: BCBS Complete |
$696.00
|
| Rate for Payer: BCBS MAPPO |
$992.29
|
| Rate for Payer: BCBS Trust/PPO |
$712.15
|
| Rate for Payer: BCN Commercial |
$1,512.46
|
| Rate for Payer: BCN Medicare Advantage |
$992.29
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cash Price |
$1,477.60
|
| Rate for Payer: Cofinity Commercial |
$1,329.67
|
| Rate for Payer: Cofinity Commercial |
$1,428.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$992.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,041.90
|
| Rate for Payer: Meridian Medicaid |
$696.00
|
| Rate for Payer: Nomi Health Commercial |
$1,190.75
|
| Rate for Payer: PACE SWMI |
$992.29
|
| Rate for Payer: PHP Commercial |
$1,389.21
|
| Rate for Payer: PHP Medicare Advantage |
$992.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$662.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,200.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,576.46
|
| Rate for Payer: Priority Health Medicare |
$992.29
|
| Rate for Payer: Priority Health Narrow Network |
$1,576.46
|
| Rate for Payer: Priority Health SBD |
$1,576.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$992.29
|
| Rate for Payer: UHC Medicare Advantage |
$992.29
|
| Rate for Payer: UHCCP Medicaid |
$662.86
|
| Rate for Payer: UMR Bronson Commercial |
$849.62
|
|
|
PR RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM+
|
Professional
|
Both
|
$3,117.00
|
|
|
Service Code
|
HCPCS 24079
|
| Min. Negotiated Rate |
$856.47 |
| Max. Negotiated Rate |
$2,029.85 |
| Rate for Payer: Aetna Commercial |
$1,720.75
|
| Rate for Payer: Aetna Medicare |
$1,335.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,720.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,849.16
|
| Rate for Payer: BCBS Complete |
$899.29
|
| Rate for Payer: BCBS MAPPO |
$1,284.14
|
| Rate for Payer: BCBS Trust/PPO |
$918.19
|
| Rate for Payer: BCN Commercial |
$1,935.66
|
| Rate for Payer: BCN Medicare Advantage |
$1,284.14
|
| Rate for Payer: Cash Price |
$2,493.60
|
| Rate for Payer: Cash Price |
$2,493.60
|
| Rate for Payer: Cofinity Commercial |
$1,720.75
|
| Rate for Payer: Cofinity Commercial |
$1,849.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,284.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,348.35
|
| Rate for Payer: Meridian Medicaid |
$899.29
|
| Rate for Payer: Nomi Health Commercial |
$1,540.97
|
| Rate for Payer: PACE SWMI |
$1,284.14
|
| Rate for Payer: PHP Commercial |
$1,797.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,284.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$856.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,026.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,029.85
|
| Rate for Payer: Priority Health Medicare |
$1,284.14
|
| Rate for Payer: Priority Health Narrow Network |
$2,029.85
|
| Rate for Payer: Priority Health SBD |
$2,029.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,284.14
|
| Rate for Payer: UHC Medicare Advantage |
$1,284.14
|
| Rate for Payer: UHCCP Medicaid |
$856.47
|
| Rate for Payer: UMR Bronson Commercial |
$1,433.82
|
|
|
PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>
|
Professional
|
Both
|
$3,940.00
|
|
|
Service Code
|
HCPCS 25078
|
| Min. Negotiated Rate |
$754.87 |
| Max. Negotiated Rate |
$2,561.00 |
| Rate for Payer: Aetna Commercial |
$1,512.06
|
| Rate for Payer: Aetna Medicare |
$1,173.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,512.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,624.90
|
| Rate for Payer: BCBS Complete |
$792.61
|
| Rate for Payer: BCBS MAPPO |
$1,128.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,058.71
|
| Rate for Payer: BCN Commercial |
$1,706.95
|
| Rate for Payer: BCN Medicare Advantage |
$1,128.40
|
| Rate for Payer: Cash Price |
$3,152.00
|
| Rate for Payer: Cash Price |
$3,152.00
|
| Rate for Payer: Cofinity Commercial |
$1,512.06
|
| Rate for Payer: Cofinity Commercial |
$1,624.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,128.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,184.82
|
| Rate for Payer: Meridian Medicaid |
$792.61
|
| Rate for Payer: Nomi Health Commercial |
$1,354.08
|
| Rate for Payer: PACE SWMI |
$1,128.40
|
| Rate for Payer: PHP Commercial |
$1,579.76
|
| Rate for Payer: PHP Medicare Advantage |
$1,128.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$754.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,561.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,789.16
|
| Rate for Payer: Priority Health Medicare |
$1,128.40
|
| Rate for Payer: Priority Health Narrow Network |
$1,789.16
|
| Rate for Payer: Priority Health SBD |
$1,789.16
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,128.40
|
| Rate for Payer: UHC Medicare Advantage |
$1,128.40
|
| Rate for Payer: UHCCP Medicaid |
$754.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,812.40
|
|
|
PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>
|
Professional
|
Both
|
$3,509.00
|
|
|
Service Code
|
HCPCS 26118
|
| Min. Negotiated Rate |
$213.95 |
| Max. Negotiated Rate |
$2,280.85 |
| Rate for Payer: Aetna Commercial |
$1,361.20
|
| Rate for Payer: Aetna Medicare |
$1,056.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,361.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,462.78
|
| Rate for Payer: BCBS Complete |
$719.70
|
| Rate for Payer: BCBS MAPPO |
$1,015.82
|
| Rate for Payer: BCBS Trust/PPO |
$213.95
|
| Rate for Payer: BCN Commercial |
$1,547.65
|
| Rate for Payer: BCN Medicare Advantage |
$1,015.82
|
| Rate for Payer: Cash Price |
$2,807.20
|
| Rate for Payer: Cash Price |
$2,807.20
|
| Rate for Payer: Cofinity Commercial |
$1,361.20
|
| Rate for Payer: Cofinity Commercial |
$1,462.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,015.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,066.61
|
| Rate for Payer: Meridian Medicaid |
$719.70
|
| Rate for Payer: Nomi Health Commercial |
$1,218.98
|
| Rate for Payer: PACE SWMI |
$1,015.82
|
| Rate for Payer: PHP Commercial |
$1,422.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,015.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$685.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,280.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,613.60
|
| Rate for Payer: Priority Health Medicare |
$1,015.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,613.60
|
| Rate for Payer: Priority Health SBD |
$1,613.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,015.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,015.82
|
| Rate for Payer: UHCCP Medicaid |
$685.43
|
| Rate for Payer: UMR Bronson Commercial |
$1,614.14
|
|
|
PR RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL
|
Professional
|
Both
|
$4,271.00
|
|
|
Service Code
|
HCPCS 27075
|
| Min. Negotiated Rate |
$572.15 |
| Max. Negotiated Rate |
$3,174.27 |
| Rate for Payer: Aetna Commercial |
$2,683.90
|
| Rate for Payer: Aetna Medicare |
$2,083.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,683.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,884.19
|
| Rate for Payer: BCBS Complete |
$1,405.65
|
| Rate for Payer: BCBS MAPPO |
$2,002.91
|
| Rate for Payer: BCBS Trust/PPO |
$572.15
|
| Rate for Payer: BCN Commercial |
$3,031.75
|
| Rate for Payer: BCN Medicare Advantage |
$2,002.91
|
| Rate for Payer: Cash Price |
$3,416.80
|
| Rate for Payer: Cash Price |
$3,416.80
|
| Rate for Payer: Cofinity Commercial |
$2,683.90
|
| Rate for Payer: Cofinity Commercial |
$2,884.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,002.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,103.06
|
| Rate for Payer: Meridian Medicaid |
$1,405.65
|
| Rate for Payer: Nomi Health Commercial |
$2,403.49
|
| Rate for Payer: PACE SWMI |
$2,002.91
|
| Rate for Payer: PHP Commercial |
$2,804.07
|
| Rate for Payer: PHP Medicare Advantage |
$2,002.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,338.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,776.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,174.27
|
| Rate for Payer: Priority Health Medicare |
$2,002.91
|
| Rate for Payer: Priority Health Narrow Network |
$3,174.27
|
| Rate for Payer: Priority Health SBD |
$3,174.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,002.91
|
| Rate for Payer: UHC Medicare Advantage |
$2,002.91
|
| Rate for Payer: UHCCP Medicaid |
$1,338.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,964.66
|
|
|
PR RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER
|
Professional
|
Both
|
$1,646.00
|
|
|
Service Code
|
HCPCS 26260
|
| Min. Negotiated Rate |
$278.41 |
| Max. Negotiated Rate |
$1,230.42 |
| Rate for Payer: Aetna Commercial |
$1,032.82
|
| Rate for Payer: Aetna Medicare |
$801.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,032.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,109.89
|
| Rate for Payer: BCBS Complete |
$545.93
|
| Rate for Payer: BCBS MAPPO |
$770.76
|
| Rate for Payer: BCBS Trust/PPO |
$278.41
|
| Rate for Payer: BCN Commercial |
$1,171.85
|
| Rate for Payer: BCN Medicare Advantage |
$770.76
|
| Rate for Payer: Cash Price |
$1,316.80
|
| Rate for Payer: Cash Price |
$1,316.80
|
| Rate for Payer: Cofinity Commercial |
$1,032.82
|
| Rate for Payer: Cofinity Commercial |
$1,109.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$770.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$809.30
|
| Rate for Payer: Meridian Medicaid |
$545.93
|
| Rate for Payer: Nomi Health Commercial |
$924.91
|
| Rate for Payer: PACE SWMI |
$770.76
|
| Rate for Payer: PHP Commercial |
$1,079.06
|
| Rate for Payer: PHP Medicare Advantage |
$770.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$519.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,069.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,230.42
|
| Rate for Payer: Priority Health Medicare |
$770.76
|
| Rate for Payer: Priority Health Narrow Network |
$1,230.42
|
| Rate for Payer: Priority Health SBD |
$1,230.42
|
| Rate for Payer: UHC Dual Complete DSNP |
$770.76
|
| Rate for Payer: UHC Medicare Advantage |
$770.76
|
| Rate for Payer: UHCCP Medicaid |
$519.93
|
| Rate for Payer: UMR Bronson Commercial |
$757.16
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>
|
Professional
|
Both
|
$1,757.00
|
|
|
Service Code
|
HCPCS 21016
|
| Min. Negotiated Rate |
$87.70 |
| Max. Negotiated Rate |
$1,541.85 |
| Rate for Payer: Aetna Commercial |
$1,292.03
|
| Rate for Payer: Aetna Medicare |
$1,002.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,292.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,388.45
|
| Rate for Payer: BCBS Complete |
$680.12
|
| Rate for Payer: BCBS MAPPO |
$964.20
|
| Rate for Payer: BCBS Trust/PPO |
$87.70
|
| Rate for Payer: BCN Commercial |
$1,474.83
|
| Rate for Payer: BCN Medicare Advantage |
$964.20
|
| Rate for Payer: Cash Price |
$1,405.60
|
| Rate for Payer: Cash Price |
$1,405.60
|
| Rate for Payer: Cofinity Commercial |
$1,292.03
|
| Rate for Payer: Cofinity Commercial |
$1,388.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$964.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,012.41
|
| Rate for Payer: Meridian Medicaid |
$680.12
|
| Rate for Payer: Nomi Health Commercial |
$1,157.04
|
| Rate for Payer: PACE SWMI |
$964.20
|
| Rate for Payer: PHP Commercial |
$1,349.88
|
| Rate for Payer: PHP Medicare Advantage |
$964.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$647.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,142.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,541.85
|
| Rate for Payer: Priority Health Medicare |
$964.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,541.85
|
| Rate for Payer: Priority Health SBD |
$1,541.85
|
| Rate for Payer: UHC Dual Complete DSNP |
$964.20
|
| Rate for Payer: UHC Medicare Advantage |
$964.20
|
| Rate for Payer: UHCCP Medicaid |
$647.73
|
| Rate for Payer: UMR Bronson Commercial |
$808.22
|
|
|
PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM
|
Professional
|
Both
|
$896.00
|
|
|
Service Code
|
HCPCS 21015
|
| Min. Negotiated Rate |
$412.16 |
| Max. Negotiated Rate |
$6,178.65 |
| Rate for Payer: Aetna Commercial |
$897.45
|
| Rate for Payer: Aetna Medicare |
$696.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$897.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$964.43
|
| Rate for Payer: BCBS Complete |
$475.70
|
| Rate for Payer: BCBS MAPPO |
$669.74
|
| Rate for Payer: BCBS Trust/PPO |
$6,178.65
|
| Rate for Payer: BCN Commercial |
$1,023.29
|
| Rate for Payer: BCN Medicare Advantage |
$669.74
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cash Price |
$716.80
|
| Rate for Payer: Cofinity Commercial |
$897.45
|
| Rate for Payer: Cofinity Commercial |
$964.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$669.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$703.23
|
| Rate for Payer: Meridian Medicaid |
$475.70
|
| Rate for Payer: Nomi Health Commercial |
$803.69
|
| Rate for Payer: PACE SWMI |
$669.74
|
| Rate for Payer: PHP Commercial |
$937.64
|
| Rate for Payer: PHP Medicare Advantage |
$669.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$453.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$582.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,070.64
|
| Rate for Payer: Priority Health Medicare |
$669.74
|
| Rate for Payer: Priority Health Narrow Network |
$1,070.64
|
| Rate for Payer: Priority Health SBD |
$1,070.64
|
| Rate for Payer: UHC Dual Complete DSNP |
$669.74
|
| Rate for Payer: UHC Medicare Advantage |
$669.74
|
| Rate for Payer: UHCCP Medicaid |
$453.05
|
| Rate for Payer: UMR Bronson Commercial |
$412.16
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>
|
Professional
|
Both
|
$2,420.00
|
|
|
Service Code
|
HCPCS 22905
|
| Min. Negotiated Rate |
$149.00 |
| Max. Negotiated Rate |
$2,033.41 |
| Rate for Payer: Aetna Commercial |
$1,731.28
|
| Rate for Payer: Aetna Medicare |
$1,343.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,731.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,860.48
|
| Rate for Payer: BCBS Complete |
$901.53
|
| Rate for Payer: BCBS MAPPO |
$1,292.00
|
| Rate for Payer: BCBS Trust/PPO |
$149.00
|
| Rate for Payer: BCN Commercial |
$1,936.14
|
| Rate for Payer: BCN Medicare Advantage |
$1,292.00
|
| Rate for Payer: Cash Price |
$1,936.00
|
| Rate for Payer: Cash Price |
$1,936.00
|
| Rate for Payer: Cofinity Commercial |
$1,731.28
|
| Rate for Payer: Cofinity Commercial |
$1,860.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,292.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,356.60
|
| Rate for Payer: Meridian Medicaid |
$901.53
|
| Rate for Payer: Nomi Health Commercial |
$1,550.40
|
| Rate for Payer: PACE SWMI |
$1,292.00
|
| Rate for Payer: PHP Commercial |
$1,808.80
|
| Rate for Payer: PHP Medicare Advantage |
$1,292.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$858.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,573.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,033.41
|
| Rate for Payer: Priority Health Medicare |
$1,292.00
|
| Rate for Payer: Priority Health Narrow Network |
$2,033.41
|
| Rate for Payer: Priority Health SBD |
$2,033.41
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,292.00
|
| Rate for Payer: UHC Medicare Advantage |
$1,292.00
|
| Rate for Payer: UHCCP Medicaid |
$858.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,113.20
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM
|
Professional
|
Both
|
$2,134.00
|
|
|
Service Code
|
HCPCS 22904
|
| Min. Negotiated Rate |
$288.98 |
| Max. Negotiated Rate |
$1,605.45 |
| Rate for Payer: Aetna Commercial |
$1,353.67
|
| Rate for Payer: Aetna Medicare |
$1,050.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,353.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,454.69
|
| Rate for Payer: BCBS Complete |
$706.51
|
| Rate for Payer: BCBS MAPPO |
$1,010.20
|
| Rate for Payer: BCBS Trust/PPO |
$288.98
|
| Rate for Payer: BCN Commercial |
$1,533.96
|
| Rate for Payer: BCN Medicare Advantage |
$1,010.20
|
| Rate for Payer: Cash Price |
$1,707.20
|
| Rate for Payer: Cash Price |
$1,707.20
|
| Rate for Payer: Cofinity Commercial |
$1,353.67
|
| Rate for Payer: Cofinity Commercial |
$1,454.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,010.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,060.71
|
| Rate for Payer: Meridian Medicaid |
$706.51
|
| Rate for Payer: Nomi Health Commercial |
$1,212.24
|
| Rate for Payer: PACE SWMI |
$1,010.20
|
| Rate for Payer: PHP Commercial |
$1,414.28
|
| Rate for Payer: PHP Medicare Advantage |
$1,010.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$672.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,387.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,605.45
|
| Rate for Payer: Priority Health Medicare |
$1,010.20
|
| Rate for Payer: Priority Health Narrow Network |
$1,605.45
|
| Rate for Payer: Priority Health SBD |
$1,605.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,010.20
|
| Rate for Payer: UHC Medicare Advantage |
$1,010.20
|
| Rate for Payer: UHCCP Medicaid |
$672.87
|
| Rate for Payer: UMR Bronson Commercial |
$981.64
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM
|
Professional
|
Both
|
$2,940.00
|
|
|
Service Code
|
HCPCS 21935
|
| Min. Negotiated Rate |
$124.38 |
| Max. Negotiated Rate |
$1,911.00 |
| Rate for Payer: Aetna Commercial |
$1,319.47
|
| Rate for Payer: Aetna Medicare |
$1,024.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,319.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,417.94
|
| Rate for Payer: BCBS Complete |
$689.51
|
| Rate for Payer: BCBS MAPPO |
$984.68
|
| Rate for Payer: BCBS Trust/PPO |
$124.38
|
| Rate for Payer: BCN Commercial |
$1,491.44
|
| Rate for Payer: BCN Medicare Advantage |
$984.68
|
| Rate for Payer: Cash Price |
$2,352.00
|
| Rate for Payer: Cash Price |
$2,352.00
|
| Rate for Payer: Cofinity Commercial |
$1,319.47
|
| Rate for Payer: Cofinity Commercial |
$1,417.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$984.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,033.91
|
| Rate for Payer: Meridian Medicaid |
$689.51
|
| Rate for Payer: Nomi Health Commercial |
$1,181.62
|
| Rate for Payer: PACE SWMI |
$984.68
|
| Rate for Payer: PHP Commercial |
$1,378.55
|
| Rate for Payer: PHP Medicare Advantage |
$984.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$656.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,911.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,566.27
|
| Rate for Payer: Priority Health Medicare |
$984.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,566.27
|
| Rate for Payer: Priority Health SBD |
$1,566.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$984.68
|
| Rate for Payer: UHC Medicare Advantage |
$984.68
|
| Rate for Payer: UHCCP Medicaid |
$656.68
|
| Rate for Payer: UMR Bronson Commercial |
$1,352.40
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>
|
Professional
|
Both
|
$2,598.00
|
|
|
Service Code
|
HCPCS 21936
|
| Min. Negotiated Rate |
$38.98 |
| Max. Negotiated Rate |
$2,164.69 |
| Rate for Payer: Aetna Commercial |
$1,832.76
|
| Rate for Payer: Aetna Medicare |
$1,422.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,832.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,969.53
|
| Rate for Payer: BCBS Complete |
$954.31
|
| Rate for Payer: BCBS MAPPO |
$1,367.73
|
| Rate for Payer: BCBS Trust/PPO |
$38.98
|
| Rate for Payer: BCN Commercial |
$2,064.17
|
| Rate for Payer: BCN Medicare Advantage |
$1,367.73
|
| Rate for Payer: Cash Price |
$2,078.40
|
| Rate for Payer: Cash Price |
$2,078.40
|
| Rate for Payer: Cofinity Commercial |
$1,832.76
|
| Rate for Payer: Cofinity Commercial |
$1,969.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,367.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,436.12
|
| Rate for Payer: Meridian Medicaid |
$954.31
|
| Rate for Payer: Nomi Health Commercial |
$1,641.28
|
| Rate for Payer: PACE SWMI |
$1,367.73
|
| Rate for Payer: PHP Commercial |
$1,914.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,367.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$908.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,688.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,164.69
|
| Rate for Payer: Priority Health Medicare |
$1,367.73
|
| Rate for Payer: Priority Health Narrow Network |
$2,164.69
|
| Rate for Payer: Priority Health SBD |
$2,164.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,367.73
|
| Rate for Payer: UHC Medicare Advantage |
$1,367.73
|
| Rate for Payer: UHCCP Medicaid |
$908.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,195.08
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>
|
Professional
|
Both
|
$2,313.00
|
|
|
Service Code
|
HCPCS 27616
|
| Min. Negotiated Rate |
$804.71 |
| Max. Negotiated Rate |
$1,928.07 |
| Rate for Payer: Aetna Commercial |
$1,613.98
|
| Rate for Payer: Aetna Medicare |
$1,252.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,613.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,734.42
|
| Rate for Payer: BCBS Complete |
$844.95
|
| Rate for Payer: BCBS MAPPO |
$1,204.46
|
| Rate for Payer: BCBS Trust/PPO |
$928.75
|
| Rate for Payer: BCN Commercial |
$1,853.06
|
| Rate for Payer: BCN Medicare Advantage |
$1,204.46
|
| Rate for Payer: Cash Price |
$1,850.40
|
| Rate for Payer: Cash Price |
$1,850.40
|
| Rate for Payer: Cofinity Commercial |
$1,613.98
|
| Rate for Payer: Cofinity Commercial |
$1,734.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,204.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,264.68
|
| Rate for Payer: Meridian Medicaid |
$844.95
|
| Rate for Payer: Nomi Health Commercial |
$1,445.35
|
| Rate for Payer: PACE SWMI |
$1,204.46
|
| Rate for Payer: PHP Commercial |
$1,686.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,204.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$804.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,503.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,928.07
|
| Rate for Payer: Priority Health Medicare |
$1,204.46
|
| Rate for Payer: Priority Health Narrow Network |
$1,928.07
|
| Rate for Payer: Priority Health SBD |
$1,928.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,204.46
|
| Rate for Payer: UHC Medicare Advantage |
$1,204.46
|
| Rate for Payer: UHCCP Medicaid |
$804.71
|
| Rate for Payer: UMR Bronson Commercial |
$1,063.98
|
|
|
PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM
|
Professional
|
Both
|
$2,051.00
|
|
|
Service Code
|
HCPCS 23077
|
| Min. Negotiated Rate |
$240.38 |
| Max. Negotiated Rate |
$1,732.67 |
| Rate for Payer: Aetna Commercial |
$1,468.35
|
| Rate for Payer: Aetna Medicare |
$1,139.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,468.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,577.92
|
| Rate for Payer: BCBS Complete |
$766.90
|
| Rate for Payer: BCBS MAPPO |
$1,095.78
|
| Rate for Payer: BCBS Trust/PPO |
$240.38
|
| Rate for Payer: BCN Commercial |
$1,650.26
|
| Rate for Payer: BCN Medicare Advantage |
$1,095.78
|
| Rate for Payer: Cash Price |
$1,640.80
|
| Rate for Payer: Cash Price |
$1,640.80
|
| Rate for Payer: Cofinity Commercial |
$1,468.35
|
| Rate for Payer: Cofinity Commercial |
$1,577.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,095.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,150.57
|
| Rate for Payer: Meridian Medicaid |
$766.90
|
| Rate for Payer: Nomi Health Commercial |
$1,314.94
|
| Rate for Payer: PACE SWMI |
$1,095.78
|
| Rate for Payer: PHP Commercial |
$1,534.09
|
| Rate for Payer: PHP Medicare Advantage |
$1,095.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$730.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,333.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,732.67
|
| Rate for Payer: Priority Health Medicare |
$1,095.78
|
| Rate for Payer: Priority Health Narrow Network |
$1,732.67
|
| Rate for Payer: Priority Health SBD |
$1,732.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,095.78
|
| Rate for Payer: UHC Medicare Advantage |
$1,095.78
|
| Rate for Payer: UHCCP Medicaid |
$730.38
|
| Rate for Payer: UMR Bronson Commercial |
$943.46
|
|
|
PR RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>
|
Professional
|
Both
|
$6,657.00
|
|
|
Service Code
|
HCPCS 27364
|
| Min. Negotiated Rate |
$1,008.98 |
| Max. Negotiated Rate |
$4,327.05 |
| Rate for Payer: Aetna Commercial |
$2,026.16
|
| Rate for Payer: Aetna Medicare |
$1,572.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,026.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,177.37
|
| Rate for Payer: BCBS Complete |
$1,059.43
|
| Rate for Payer: BCBS MAPPO |
$1,512.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,166.03
|
| Rate for Payer: BCN Commercial |
$2,283.59
|
| Rate for Payer: BCN Medicare Advantage |
$1,512.06
|
| Rate for Payer: Cash Price |
$5,325.60
|
| Rate for Payer: Cash Price |
$5,325.60
|
| Rate for Payer: Cofinity Commercial |
$2,026.16
|
| Rate for Payer: Cofinity Commercial |
$2,177.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,512.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,587.66
|
| Rate for Payer: Meridian Medicaid |
$1,059.43
|
| Rate for Payer: Nomi Health Commercial |
$1,814.47
|
| Rate for Payer: PACE SWMI |
$1,512.06
|
| Rate for Payer: PHP Commercial |
$2,116.88
|
| Rate for Payer: PHP Medicare Advantage |
$1,512.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,008.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,327.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,390.11
|
| Rate for Payer: Priority Health Medicare |
$1,512.06
|
| Rate for Payer: Priority Health Narrow Network |
$2,390.11
|
| Rate for Payer: Priority Health SBD |
$2,390.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,512.06
|
| Rate for Payer: UHC Medicare Advantage |
$1,512.06
|
| Rate for Payer: UHCCP Medicaid |
$1,008.98
|
| Rate for Payer: UMR Bronson Commercial |
$3,062.22
|
|
|
PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM
|
Professional
|
Both
|
$2,876.00
|
|
|
Service Code
|
HCPCS 25077
|
| Min. Negotiated Rate |
$256.75 |
| Max. Negotiated Rate |
$1,869.40 |
| Rate for Payer: Aetna Commercial |
$1,119.42
|
| Rate for Payer: Aetna Medicare |
$868.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,119.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,202.96
|
| Rate for Payer: BCBS Complete |
$584.62
|
| Rate for Payer: BCBS MAPPO |
$835.39
|
| Rate for Payer: BCBS Trust/PPO |
$256.75
|
| Rate for Payer: BCN Commercial |
$1,300.37
|
| Rate for Payer: BCN Medicare Advantage |
$835.39
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cofinity Commercial |
$1,119.42
|
| Rate for Payer: Cofinity Commercial |
$1,202.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$835.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.16
|
| Rate for Payer: Meridian Medicaid |
$584.62
|
| Rate for Payer: Nomi Health Commercial |
$1,002.47
|
| Rate for Payer: PACE SWMI |
$835.39
|
| Rate for Payer: PHP Commercial |
$1,169.55
|
| Rate for Payer: PHP Medicare Advantage |
$835.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$556.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,869.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,321.00
|
| Rate for Payer: Priority Health Medicare |
$835.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,321.00
|
| Rate for Payer: Priority Health SBD |
$1,321.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$835.39
|
| Rate for Payer: UHC Medicare Advantage |
$835.39
|
| Rate for Payer: UHCCP Medicaid |
$556.78
|
| Rate for Payer: UMR Bronson Commercial |
$1,322.96
|
|
|
PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM
|
Facility
|
IP
|
$2,876.00
|
|
|
Service Code
|
CPT 25077
|
| Hospital Charge Code |
25077
|
| Min. Negotiated Rate |
$1,265.44 |
| Max. Negotiated Rate |
$2,588.40 |
| Rate for Payer: Aetna American Axle |
$1,869.40
|
| Rate for Payer: Aetna Commercial |
$2,444.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,869.40
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cofinity Commercial |
$2,013.20
|
| Rate for Payer: Cofinity Commercial |
$2,473.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,013.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,300.80
|
| Rate for Payer: Healthscope Commercial |
$2,588.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,013.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,157.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,444.60
|
| Rate for Payer: PHP Commercial |
$2,444.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,869.40
|
| Rate for Payer: Priority Health SBD |
$1,811.88
|
| Rate for Payer: UMR Bronson Commercial |
$1,265.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,157.00
|
|
|
PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM
|
Facility
|
OP
|
$2,876.00
|
|
|
Service Code
|
CPT 25077
|
| Hospital Charge Code |
25077
|
| Min. Negotiated Rate |
$840.63 |
| Max. Negotiated Rate |
$8,813.49 |
| Rate for Payer: Aetna American Axle |
$1,869.40
|
| Rate for Payer: Aetna Commercial |
$2,444.60
|
| Rate for Payer: Aetna Medicare |
$2,916.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,869.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3,505.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3,505.22
|
| Rate for Payer: BCBS Complete |
$1,578.19
|
| Rate for Payer: BCBS MAPPO |
$2,804.18
|
| Rate for Payer: BCBS Trust/PPO |
$1,106.93
|
| Rate for Payer: BCN Commercial |
$1,106.93
|
| Rate for Payer: BCN Medicare Advantage |
$2,804.18
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cofinity Commercial |
$2,473.36
|
| Rate for Payer: Cofinity Commercial |
$2,013.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$2,013.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,300.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,804.18
|
| Rate for Payer: Healthscope Commercial |
$2,588.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,013.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,157.00
|
| Rate for Payer: Mclaren Medicaid |
$1,503.04
|
| Rate for Payer: Mclaren Medicare |
$2,804.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,944.39
|
| Rate for Payer: Meridian Medicaid |
$1,578.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,224.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,444.60
|
| Rate for Payer: Nomi Health Commercial |
$5,888.78
|
| Rate for Payer: PACE Medicare |
$2,663.97
|
| Rate for Payer: PACE SWMI |
$2,804.18
|
| Rate for Payer: PHP Commercial |
$2,444.60
|
| Rate for Payer: PHP Medicare Advantage |
$2,804.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,503.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,869.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$8,813.49
|
| Rate for Payer: Priority Health Medicare |
$2,804.18
|
| Rate for Payer: Priority Health Narrow Network |
$7,050.79
|
| Rate for Payer: Priority Health SBD |
$1,811.88
|
| Rate for Payer: Railroad Medicare Medicare |
$2,804.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$924.69
|
| Rate for Payer: UHC Core |
$2,014.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,804.18
|
| Rate for Payer: UHC Exchange |
$840.63
|
| Rate for Payer: UHC Medicare Advantage |
$2,804.18
|
| Rate for Payer: UHCCP Medicaid |
$1,503.04
|
| Rate for Payer: UMR Bronson Commercial |
$1,064.12
|
| Rate for Payer: VA VA |
$2,804.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,157.00
|
|
|
PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM
|
Professional
|
Both
|
$2,876.00
|
|
|
Service Code
|
HCPCS 25077
|
| Hospital Charge Code |
25077
|
| Min. Negotiated Rate |
$256.75 |
| Max. Negotiated Rate |
$1,869.40 |
| Rate for Payer: UHCCP Medicaid |
$556.78
|
| Rate for Payer: UMR Bronson Commercial |
$1,322.96
|
| Rate for Payer: Aetna Commercial |
$1,119.42
|
| Rate for Payer: Aetna Medicare |
$868.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,119.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,202.96
|
| Rate for Payer: BCBS Complete |
$584.62
|
| Rate for Payer: BCBS MAPPO |
$835.39
|
| Rate for Payer: BCBS Trust/PPO |
$256.75
|
| Rate for Payer: BCN Commercial |
$1,300.37
|
| Rate for Payer: BCN Medicare Advantage |
$835.39
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cash Price |
$2,300.80
|
| Rate for Payer: Cofinity Commercial |
$1,202.96
|
| Rate for Payer: Cofinity Commercial |
$1,119.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$835.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.16
|
| Rate for Payer: Meridian Medicaid |
$584.62
|
| Rate for Payer: Nomi Health Commercial |
$1,002.47
|
| Rate for Payer: PACE SWMI |
$835.39
|
| Rate for Payer: PHP Commercial |
$1,169.55
|
| Rate for Payer: PHP Medicare Advantage |
$835.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$556.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,869.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,321.00
|
| Rate for Payer: Priority Health Medicare |
$835.39
|
| Rate for Payer: Priority Health Narrow Network |
$1,321.00
|
| Rate for Payer: Priority Health SBD |
$1,321.00
|
| Rate for Payer: UHC Dual Complete DSNP |
$835.39
|
| Rate for Payer: UHC Medicare Advantage |
$835.39
|
|
|
PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM
|
Professional
|
Both
|
$1,677.00
|
|
|
Service Code
|
HCPCS 21557
|
| Min. Negotiated Rate |
$57.48 |
| Max. Negotiated Rate |
$1,469.59 |
| Rate for Payer: Aetna Commercial |
$1,231.12
|
| Rate for Payer: Aetna Medicare |
$955.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,231.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,323.00
|
| Rate for Payer: BCBS Complete |
$645.46
|
| Rate for Payer: BCBS MAPPO |
$918.75
|
| Rate for Payer: BCBS Trust/PPO |
$57.48
|
| Rate for Payer: BCN Commercial |
$1,396.64
|
| Rate for Payer: BCN Medicare Advantage |
$918.75
|
| Rate for Payer: Cash Price |
$1,341.60
|
| Rate for Payer: Cash Price |
$1,341.60
|
| Rate for Payer: Cofinity Commercial |
$1,231.12
|
| Rate for Payer: Cofinity Commercial |
$1,323.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$918.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$964.69
|
| Rate for Payer: Meridian Medicaid |
$645.46
|
| Rate for Payer: Nomi Health Commercial |
$1,102.50
|
| Rate for Payer: PACE SWMI |
$918.75
|
| Rate for Payer: PHP Commercial |
$1,286.25
|
| Rate for Payer: PHP Medicare Advantage |
$918.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$614.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,090.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,469.59
|
| Rate for Payer: Priority Health Medicare |
$918.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,469.59
|
| Rate for Payer: Priority Health SBD |
$1,469.59
|
| Rate for Payer: UHC Dual Complete DSNP |
$918.75
|
| Rate for Payer: UHC Medicare Advantage |
$918.75
|
| Rate for Payer: UHCCP Medicaid |
$614.72
|
| Rate for Payer: UMR Bronson Commercial |
$771.42
|
|
