|
PR SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP
|
Professional
|
Both
|
$10,237.00
|
|
|
Service Code
|
HCPCS 61619
|
| Min. Negotiated Rate |
$998.33 |
| Max. Negotiated Rate |
$7,677.75 |
| Rate for Payer: Aetna Commercial |
$2,087.25
|
| Rate for Payer: Aetna Medicare |
$1,619.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,087.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,243.02
|
| Rate for Payer: BCBS Complete |
$1,048.25
|
| Rate for Payer: BCBS MAPPO |
$1,557.65
|
| Rate for Payer: BCN Commercial |
$2,978.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,557.65
|
| Rate for Payer: Cash Price |
$8,189.60
|
| Rate for Payer: Cash Price |
$8,189.60
|
| Rate for Payer: Cofinity Commercial |
$2,087.25
|
| Rate for Payer: Cofinity Commercial |
$2,243.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,557.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,635.53
|
| Rate for Payer: Meridian Medicaid |
$1,048.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,713.41
|
| Rate for Payer: Nomi Health Commercial |
$1,869.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7,677.75
|
| Rate for Payer: PACE SWMI |
$1,557.65
|
| Rate for Payer: PHP Commercial |
$2,180.71
|
| Rate for Payer: PHP Medicare Advantage |
$1,557.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$998.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,503.87
|
| Rate for Payer: Priority Health Medicare |
$1,557.65
|
| Rate for Payer: Priority Health SBD |
$2,503.87
|
| Rate for Payer: Priority Health Tiered Network |
$2,503.87
|
| Rate for Payer: Railroad Medicare Medicare |
$1,557.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,479.24
|
| Rate for Payer: UHC Core |
$2,479.24
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,557.65
|
| Rate for Payer: UHC Exchange |
$2,479.24
|
| Rate for Payer: UHC Medicaid |
$998.33
|
| Rate for Payer: UHCCP Medicaid |
$998.33
|
| Rate for Payer: UMR Bronson Commercial |
$4,709.02
|
|
|
PR SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 97535
|
| Min. Negotiated Rate |
$23.20 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$41.49
|
| Rate for Payer: Aetna Medicare |
$32.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.58
|
| Rate for Payer: BCBS Complete |
$23.20
|
| Rate for Payer: BCBS MAPPO |
$30.96
|
| Rate for Payer: BCN Commercial |
$33.04
|
| Rate for Payer: BCN Medicare Advantage |
$30.96
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$44.58
|
| Rate for Payer: Cofinity Commercial |
$41.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.06
|
| Rate for Payer: Nomi Health Commercial |
$37.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.50
|
| Rate for Payer: PACE SWMI |
$30.96
|
| Rate for Payer: PHP Commercial |
$43.34
|
| Rate for Payer: PHP Medicare Advantage |
$30.96
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$30.96
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$30.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.12
|
| Rate for Payer: UHC Core |
$30.12
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$30.96
|
| Rate for Payer: UHC Exchange |
$30.12
|
| Rate for Payer: UMR Bronson Commercial |
$26.68
|
|
|
PR SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX
|
Professional
|
Both
|
$105.00
|
|
|
Service Code
|
HCPCS 92060
|
| Min. Negotiated Rate |
$48.30 |
| Max. Negotiated Rate |
$95.12 |
| Rate for Payer: Aetna Commercial |
$81.26
|
| Rate for Payer: Aetna Medicare |
$63.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.32
|
| Rate for Payer: BCBS MAPPO |
$60.64
|
| Rate for Payer: BCN Commercial |
$95.12
|
| Rate for Payer: BCN Medicare Advantage |
$60.64
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cash Price |
$84.00
|
| Rate for Payer: Cofinity Commercial |
$81.26
|
| Rate for Payer: Cofinity Commercial |
$87.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$63.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$66.70
|
| Rate for Payer: Nomi Health Commercial |
$72.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.75
|
| Rate for Payer: PACE SWMI |
$60.64
|
| Rate for Payer: PHP Commercial |
$84.90
|
| Rate for Payer: PHP Medicare Advantage |
$60.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$81.38
|
| Rate for Payer: Priority Health Medicare |
$60.64
|
| Rate for Payer: Priority Health SBD |
$81.38
|
| Rate for Payer: Priority Health Tiered Network |
$81.38
|
| Rate for Payer: Railroad Medicare Medicare |
$60.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.57
|
| Rate for Payer: UHC Core |
$77.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$60.64
|
| Rate for Payer: UHC Exchange |
$77.57
|
| Rate for Payer: UMR Bronson Commercial |
$48.30
|
|
|
PR SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF
|
Professional
|
Both
|
$1,875.00
|
|
|
Service Code
|
HCPCS 30520
|
| Min. Negotiated Rate |
$391.07 |
| Max. Negotiated Rate |
$1,406.25 |
| Rate for Payer: Aetna Commercial |
$786.61
|
| Rate for Payer: Aetna Commercial |
$786.61
|
| Rate for Payer: Aetna Medicare |
$610.50
|
| Rate for Payer: Aetna Medicare |
$610.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$786.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$786.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$845.31
|
| Rate for Payer: BCBS Complete |
$410.62
|
| Rate for Payer: BCBS Complete |
$410.62
|
| Rate for Payer: BCBS MAPPO |
$587.02
|
| Rate for Payer: BCBS MAPPO |
$587.02
|
| Rate for Payer: BCN Commercial |
$1,006.42
|
| Rate for Payer: BCN Commercial |
$1,006.42
|
| Rate for Payer: BCN Medicare Advantage |
$587.02
|
| Rate for Payer: BCN Medicare Advantage |
$587.02
|
| Rate for Payer: Cash Price |
$1,500.00
|
| Rate for Payer: Cash Price |
$2,605.60
|
| Rate for Payer: Cash Price |
$1,500.00
|
| Rate for Payer: Cash Price |
$2,605.60
|
| Rate for Payer: Cofinity Commercial |
$786.61
|
| Rate for Payer: Cofinity Commercial |
$845.31
|
| Rate for Payer: Cofinity Commercial |
$786.61
|
| Rate for Payer: Cofinity Commercial |
$845.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$587.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$587.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$616.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$616.37
|
| Rate for Payer: Meridian Medicaid |
$410.62
|
| Rate for Payer: Meridian Medicaid |
$410.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$645.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$645.72
|
| Rate for Payer: Nomi Health Commercial |
$704.42
|
| Rate for Payer: Nomi Health Commercial |
$704.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,406.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,442.75
|
| Rate for Payer: PACE SWMI |
$587.02
|
| Rate for Payer: PACE SWMI |
$587.02
|
| Rate for Payer: PHP Commercial |
$821.83
|
| Rate for Payer: PHP Commercial |
$821.83
|
| Rate for Payer: PHP Medicare Advantage |
$587.02
|
| Rate for Payer: PHP Medicare Advantage |
$587.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$947.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$947.74
|
| Rate for Payer: Priority Health Medicare |
$587.02
|
| Rate for Payer: Priority Health Medicare |
$587.02
|
| Rate for Payer: Priority Health SBD |
$947.74
|
| Rate for Payer: Priority Health SBD |
$947.74
|
| Rate for Payer: Priority Health Tiered Network |
$947.74
|
| Rate for Payer: Priority Health Tiered Network |
$947.74
|
| Rate for Payer: Railroad Medicare Medicare |
$587.02
|
| Rate for Payer: Railroad Medicare Medicare |
$587.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,102.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,102.01
|
| Rate for Payer: UHC Core |
$1,102.01
|
| Rate for Payer: UHC Core |
$1,102.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$587.02
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$587.02
|
| Rate for Payer: UHC Exchange |
$1,102.01
|
| Rate for Payer: UHC Exchange |
$1,102.01
|
| Rate for Payer: UHC Medicaid |
$391.07
|
| Rate for Payer: UHC Medicaid |
$391.07
|
| Rate for Payer: UHCCP Medicaid |
$391.07
|
| Rate for Payer: UHCCP Medicaid |
$391.07
|
| Rate for Payer: UMR Bronson Commercial |
$862.50
|
| Rate for Payer: UMR Bronson Commercial |
$1,498.22
|
|
|
PR SEQUESTRECTOMY FOREARM &/WRIST
|
Professional
|
Both
|
$2,325.00
|
|
|
Service Code
|
HCPCS 25145
|
| Min. Negotiated Rate |
$320.35 |
| Max. Negotiated Rate |
$1,743.75 |
| Rate for Payer: Aetna Commercial |
$652.38
|
| Rate for Payer: Aetna Medicare |
$506.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$652.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$701.06
|
| Rate for Payer: BCBS Complete |
$336.37
|
| Rate for Payer: BCBS MAPPO |
$486.85
|
| Rate for Payer: BCN Commercial |
$803.74
|
| Rate for Payer: BCN Medicare Advantage |
$486.85
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cash Price |
$1,860.00
|
| Rate for Payer: Cofinity Commercial |
$652.38
|
| Rate for Payer: Cofinity Commercial |
$701.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$486.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$511.19
|
| Rate for Payer: Meridian Medicaid |
$336.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$535.53
|
| Rate for Payer: Nomi Health Commercial |
$584.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,743.75
|
| Rate for Payer: PACE SWMI |
$486.85
|
| Rate for Payer: PHP Commercial |
$681.59
|
| Rate for Payer: PHP Medicare Advantage |
$486.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$320.35
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$859.17
|
| Rate for Payer: Priority Health Medicare |
$486.85
|
| Rate for Payer: Priority Health SBD |
$859.17
|
| Rate for Payer: Priority Health Tiered Network |
$859.17
|
| Rate for Payer: Railroad Medicare Medicare |
$486.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$901.29
|
| Rate for Payer: UHC Core |
$901.29
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$486.85
|
| Rate for Payer: UHC Exchange |
$901.29
|
| Rate for Payer: UHC Medicaid |
$320.35
|
| Rate for Payer: UHCCP Medicaid |
$320.35
|
| Rate for Payer: UMR Bronson Commercial |
$1,069.50
|
|
|
PR SEQUESTRECTOMY SHAFT/DISTAL HUMERUS
|
Professional
|
Both
|
$2,287.00
|
|
|
Service Code
|
HCPCS 24134
|
| Min. Negotiated Rate |
$448.37 |
| Max. Negotiated Rate |
$1,715.25 |
| Rate for Payer: Aetna Commercial |
$919.45
|
| Rate for Payer: Aetna Medicare |
$713.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$919.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$988.07
|
| Rate for Payer: BCBS Complete |
$470.79
|
| Rate for Payer: BCBS MAPPO |
$686.16
|
| Rate for Payer: BCN Commercial |
$1,143.86
|
| Rate for Payer: BCN Medicare Advantage |
$686.16
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cash Price |
$1,829.60
|
| Rate for Payer: Cofinity Commercial |
$919.45
|
| Rate for Payer: Cofinity Commercial |
$988.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$686.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$720.47
|
| Rate for Payer: Meridian Medicaid |
$470.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$754.78
|
| Rate for Payer: Nomi Health Commercial |
$823.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,715.25
|
| Rate for Payer: PACE SWMI |
$686.16
|
| Rate for Payer: PHP Commercial |
$960.62
|
| Rate for Payer: PHP Medicare Advantage |
$686.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$448.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,222.76
|
| Rate for Payer: Priority Health Medicare |
$686.16
|
| Rate for Payer: Priority Health SBD |
$1,222.76
|
| Rate for Payer: Priority Health Tiered Network |
$1,222.76
|
| Rate for Payer: Railroad Medicare Medicare |
$686.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,304.58
|
| Rate for Payer: UHC Core |
$1,304.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$686.16
|
| Rate for Payer: UHC Exchange |
$1,304.58
|
| Rate for Payer: UHC Medicaid |
$448.37
|
| Rate for Payer: UHCCP Medicaid |
$448.37
|
| Rate for Payer: UMR Bronson Commercial |
$1,052.02
|
|
|
PR SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS 99050
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Commercial |
$23.50
|
| Rate for Payer: Aetna Medicare |
$20.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.50
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCN Commercial |
$20.37
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$24.80
|
| Rate for Payer: Priority Health SBD |
$24.80
|
| Rate for Payer: Priority Health Tiered Network |
$24.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.00
|
| Rate for Payer: UHC Core |
$28.00
|
| Rate for Payer: UHC Exchange |
$28.00
|
| Rate for Payer: UMR Bronson Commercial |
$18.40
|
|
|
PR SESAMOIDECTOMY FIRST TOE SPX
|
Professional
|
Both
|
$916.00
|
|
|
Service Code
|
HCPCS 28315
|
| Min. Negotiated Rate |
$198.30 |
| Max. Negotiated Rate |
$687.00 |
| Rate for Payer: Aetna Commercial |
$404.67
|
| Rate for Payer: Aetna Medicare |
$314.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$404.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$434.87
|
| Rate for Payer: BCBS Complete |
$208.22
|
| Rate for Payer: BCBS MAPPO |
$301.99
|
| Rate for Payer: BCN Commercial |
$496.98
|
| Rate for Payer: BCN Medicare Advantage |
$301.99
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cash Price |
$732.80
|
| Rate for Payer: Cofinity Commercial |
$404.67
|
| Rate for Payer: Cofinity Commercial |
$434.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$301.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$317.09
|
| Rate for Payer: Meridian Medicaid |
$208.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$332.19
|
| Rate for Payer: Nomi Health Commercial |
$362.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$687.00
|
| Rate for Payer: PACE SWMI |
$301.99
|
| Rate for Payer: PHP Commercial |
$422.79
|
| Rate for Payer: PHP Medicare Advantage |
$301.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$198.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$531.27
|
| Rate for Payer: Priority Health Medicare |
$301.99
|
| Rate for Payer: Priority Health SBD |
$531.27
|
| Rate for Payer: Priority Health Tiered Network |
$531.27
|
| Rate for Payer: Railroad Medicare Medicare |
$301.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$568.34
|
| Rate for Payer: UHC Core |
$568.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$301.99
|
| Rate for Payer: UHC Exchange |
$568.34
|
| Rate for Payer: UHC Medicaid |
$198.30
|
| Rate for Payer: UHCCP Medicaid |
$198.30
|
| Rate for Payer: UMR Bronson Commercial |
$421.36
|
|
|
PR SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE
|
Professional
|
Both
|
$1,730.00
|
|
|
Service Code
|
HCPCS 26185
|
| Min. Negotiated Rate |
$349.11 |
| Max. Negotiated Rate |
$1,297.50 |
| Rate for Payer: Aetna Commercial |
$707.47
|
| Rate for Payer: Aetna Medicare |
$549.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$707.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.26
|
| Rate for Payer: BCBS Complete |
$366.57
|
| Rate for Payer: BCBS MAPPO |
$527.96
|
| Rate for Payer: BCN Commercial |
$863.01
|
| Rate for Payer: BCN Medicare Advantage |
$527.96
|
| Rate for Payer: Cash Price |
$1,384.00
|
| Rate for Payer: Cash Price |
$1,384.00
|
| Rate for Payer: Cofinity Commercial |
$707.47
|
| Rate for Payer: Cofinity Commercial |
$760.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$527.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$554.36
|
| Rate for Payer: Meridian Medicaid |
$366.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$580.76
|
| Rate for Payer: Nomi Health Commercial |
$633.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,297.50
|
| Rate for Payer: PACE SWMI |
$527.96
|
| Rate for Payer: PHP Commercial |
$739.14
|
| Rate for Payer: PHP Medicare Advantage |
$527.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$349.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$922.52
|
| Rate for Payer: Priority Health Medicare |
$527.96
|
| Rate for Payer: Priority Health SBD |
$922.52
|
| Rate for Payer: Priority Health Tiered Network |
$922.52
|
| Rate for Payer: Railroad Medicare Medicare |
$527.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$953.99
|
| Rate for Payer: UHC Core |
$953.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$527.96
|
| Rate for Payer: UHC Exchange |
$953.99
|
| Rate for Payer: UHC Medicaid |
$349.11
|
| Rate for Payer: UHCCP Medicaid |
$349.11
|
| Rate for Payer: UMR Bronson Commercial |
$795.80
|
|
|
PR SGMDSC FLX DIRED SBMCSL NJX ANY SBST
|
Professional
|
Both
|
$670.00
|
|
|
Service Code
|
HCPCS 45335
|
| Min. Negotiated Rate |
$39.83 |
| Max. Negotiated Rate |
$502.50 |
| Rate for Payer: Aetna Commercial |
$81.70
|
| Rate for Payer: Aetna Medicare |
$63.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$87.80
|
| Rate for Payer: BCBS Complete |
$41.82
|
| Rate for Payer: BCBS MAPPO |
$60.97
|
| Rate for Payer: BCN Commercial |
$100.60
|
| Rate for Payer: BCN Medicare Advantage |
$60.97
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cash Price |
$536.00
|
| Rate for Payer: Cofinity Commercial |
$81.70
|
| Rate for Payer: Cofinity Commercial |
$87.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$60.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.02
|
| Rate for Payer: Meridian Medicaid |
$41.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$67.07
|
| Rate for Payer: Nomi Health Commercial |
$73.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$502.50
|
| Rate for Payer: PACE SWMI |
$60.97
|
| Rate for Payer: PHP Commercial |
$85.36
|
| Rate for Payer: PHP Medicare Advantage |
$60.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$122.57
|
| Rate for Payer: Priority Health Medicare |
$60.97
|
| Rate for Payer: Priority Health SBD |
$122.57
|
| Rate for Payer: Priority Health Tiered Network |
$122.57
|
| Rate for Payer: Railroad Medicare Medicare |
$60.97
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.99
|
| Rate for Payer: UHC Core |
$115.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$60.97
|
| Rate for Payer: UHC Exchange |
$115.99
|
| Rate for Payer: UHC Medicaid |
$39.83
|
| Rate for Payer: UHCCP Medicaid |
$39.83
|
| Rate for Payer: UMR Bronson Commercial |
$308.20
|
|
|
PR SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ
|
Professional
|
Both
|
$774.00
|
|
|
Service Code
|
HCPCS 45338
|
| Min. Negotiated Rate |
$69.44 |
| Max. Negotiated Rate |
$580.50 |
| Rate for Payer: Aetna Commercial |
$143.42
|
| Rate for Payer: Aetna Medicare |
$111.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$154.12
|
| Rate for Payer: BCBS Complete |
$72.91
|
| Rate for Payer: BCBS MAPPO |
$107.03
|
| Rate for Payer: BCN Commercial |
$178.28
|
| Rate for Payer: BCN Medicare Advantage |
$107.03
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Cash Price |
$619.20
|
| Rate for Payer: Cofinity Commercial |
$143.42
|
| Rate for Payer: Cofinity Commercial |
$154.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$107.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.38
|
| Rate for Payer: Meridian Medicaid |
$72.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$117.73
|
| Rate for Payer: Nomi Health Commercial |
$128.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$580.50
|
| Rate for Payer: PACE SWMI |
$107.03
|
| Rate for Payer: PHP Commercial |
$149.84
|
| Rate for Payer: PHP Medicare Advantage |
$107.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$217.22
|
| Rate for Payer: Priority Health Medicare |
$107.03
|
| Rate for Payer: Priority Health SBD |
$217.22
|
| Rate for Payer: Priority Health Tiered Network |
$217.22
|
| Rate for Payer: Railroad Medicare Medicare |
$107.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$211.69
|
| Rate for Payer: UHC Core |
$211.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$107.03
|
| Rate for Payer: UHC Exchange |
$211.69
|
| Rate for Payer: UHC Medicaid |
$69.44
|
| Rate for Payer: UHCCP Medicaid |
$69.44
|
| Rate for Payer: UMR Bronson Commercial |
$356.04
|
|
|
PR SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE
|
Professional
|
Both
|
$624.00
|
|
|
Service Code
|
HCPCS 45337
|
| Min. Negotiated Rate |
$63.69 |
| Max. Negotiated Rate |
$468.00 |
| Rate for Payer: Aetna Commercial |
$132.49
|
| Rate for Payer: Aetna Medicare |
$102.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$132.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.37
|
| Rate for Payer: BCBS Complete |
$66.87
|
| Rate for Payer: BCBS MAPPO |
$98.87
|
| Rate for Payer: BCN Commercial |
$168.81
|
| Rate for Payer: BCN Medicare Advantage |
$98.87
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cash Price |
$499.20
|
| Rate for Payer: Cofinity Commercial |
$132.49
|
| Rate for Payer: Cofinity Commercial |
$142.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.81
|
| Rate for Payer: Meridian Medicaid |
$66.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$108.76
|
| Rate for Payer: Nomi Health Commercial |
$118.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$468.00
|
| Rate for Payer: PACE SWMI |
$98.87
|
| Rate for Payer: PHP Commercial |
$138.42
|
| Rate for Payer: PHP Medicare Advantage |
$98.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$205.68
|
| Rate for Payer: Priority Health Medicare |
$98.87
|
| Rate for Payer: Priority Health SBD |
$205.68
|
| Rate for Payer: Priority Health Tiered Network |
$205.68
|
| Rate for Payer: Railroad Medicare Medicare |
$98.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$204.54
|
| Rate for Payer: UHC Core |
$204.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$98.87
|
| Rate for Payer: UHC Exchange |
$204.54
|
| Rate for Payer: UHC Medicaid |
$63.69
|
| Rate for Payer: UHCCP Medicaid |
$63.69
|
| Rate for Payer: UMR Bronson Commercial |
$287.04
|
|
|
PR SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION
|
Professional
|
Both
|
$376.00
|
|
|
Service Code
|
HCPCS 45349
|
| Min. Negotiated Rate |
$111.83 |
| Max. Negotiated Rate |
$355.56 |
| Rate for Payer: Aetna Commercial |
$231.66
|
| Rate for Payer: Aetna Medicare |
$179.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.95
|
| Rate for Payer: BCBS Complete |
$117.42
|
| Rate for Payer: BCBS MAPPO |
$172.88
|
| Rate for Payer: BCN Commercial |
$291.81
|
| Rate for Payer: BCN Medicare Advantage |
$172.88
|
| Rate for Payer: Cash Price |
$300.80
|
| Rate for Payer: Cash Price |
$300.80
|
| Rate for Payer: Cofinity Commercial |
$231.66
|
| Rate for Payer: Cofinity Commercial |
$248.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.52
|
| Rate for Payer: Meridian Medicaid |
$117.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$190.17
|
| Rate for Payer: Nomi Health Commercial |
$207.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$282.00
|
| Rate for Payer: PACE SWMI |
$172.88
|
| Rate for Payer: PHP Commercial |
$242.03
|
| Rate for Payer: PHP Medicare Advantage |
$172.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$111.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$355.56
|
| Rate for Payer: Priority Health Medicare |
$172.88
|
| Rate for Payer: Priority Health SBD |
$355.56
|
| Rate for Payer: Priority Health Tiered Network |
$355.56
|
| Rate for Payer: Railroad Medicare Medicare |
$172.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$350.09
|
| Rate for Payer: UHC Core |
$350.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$172.88
|
| Rate for Payer: UHC Exchange |
$350.09
|
| Rate for Payer: UHC Medicaid |
$111.83
|
| Rate for Payer: UHCCP Medicaid |
$111.83
|
| Rate for Payer: UMR Bronson Commercial |
$172.96
|
|
|
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<
|
Professional
|
Both
|
$194.00
|
|
|
Service Code
|
HCPCS 11310
|
| Min. Negotiated Rate |
$23.22 |
| Max. Negotiated Rate |
$145.50 |
| Rate for Payer: Aetna Commercial |
$48.25
|
| Rate for Payer: Aetna Medicare |
$37.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.85
|
| Rate for Payer: BCBS Complete |
$24.38
|
| Rate for Payer: BCBS MAPPO |
$36.01
|
| Rate for Payer: BCN Commercial |
$53.01
|
| Rate for Payer: BCN Medicare Advantage |
$36.01
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cash Price |
$155.20
|
| Rate for Payer: Cofinity Commercial |
$48.25
|
| Rate for Payer: Cofinity Commercial |
$51.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$36.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.81
|
| Rate for Payer: Meridian Medicaid |
$24.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.61
|
| Rate for Payer: Nomi Health Commercial |
$43.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$145.50
|
| Rate for Payer: PACE SWMI |
$36.01
|
| Rate for Payer: PHP Commercial |
$50.41
|
| Rate for Payer: PHP Medicare Advantage |
$36.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$61.53
|
| Rate for Payer: Priority Health Medicare |
$36.01
|
| Rate for Payer: Priority Health SBD |
$61.53
|
| Rate for Payer: Priority Health Tiered Network |
$61.53
|
| Rate for Payer: Railroad Medicare Medicare |
$36.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.75
|
| Rate for Payer: UHC Core |
$81.75
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$36.01
|
| Rate for Payer: UHC Exchange |
$81.75
|
| Rate for Payer: UHC Medicaid |
$23.22
|
| Rate for Payer: UHCCP Medicaid |
$23.22
|
| Rate for Payer: UMR Bronson Commercial |
$89.24
|
|
|
PR SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 11313
|
| Min. Negotiated Rate |
$49.20 |
| Max. Negotiated Rate |
$237.00 |
| Rate for Payer: Aetna Commercial |
$102.43
|
| Rate for Payer: Aetna Medicare |
$79.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.07
|
| Rate for Payer: BCBS Complete |
$51.66
|
| Rate for Payer: BCBS MAPPO |
$76.44
|
| Rate for Payer: BCN Commercial |
$112.31
|
| Rate for Payer: BCN Medicare Advantage |
$76.44
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$102.43
|
| Rate for Payer: Cofinity Commercial |
$110.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.26
|
| Rate for Payer: Meridian Medicaid |
$51.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$84.08
|
| Rate for Payer: Nomi Health Commercial |
$91.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.00
|
| Rate for Payer: PACE SWMI |
$76.44
|
| Rate for Payer: PHP Commercial |
$107.02
|
| Rate for Payer: PHP Medicare Advantage |
$76.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$130.35
|
| Rate for Payer: Priority Health Medicare |
$76.44
|
| Rate for Payer: Priority Health SBD |
$130.35
|
| Rate for Payer: Priority Health Tiered Network |
$130.35
|
| Rate for Payer: Railroad Medicare Medicare |
$76.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.95
|
| Rate for Payer: UHC Core |
$171.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$76.44
|
| Rate for Payer: UHC Exchange |
$171.95
|
| Rate for Payer: UHC Medicaid |
$49.20
|
| Rate for Payer: UHCCP Medicaid |
$49.20
|
| Rate for Payer: UMR Bronson Commercial |
$145.36
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 11305
|
| Min. Negotiated Rate |
$20.87 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Aetna Commercial |
$43.76
|
| Rate for Payer: Aetna Medicare |
$33.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.03
|
| Rate for Payer: BCBS Complete |
$21.91
|
| Rate for Payer: BCBS MAPPO |
$32.66
|
| Rate for Payer: BCN Commercial |
$43.59
|
| Rate for Payer: BCN Medicare Advantage |
$32.66
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$43.76
|
| Rate for Payer: Cofinity Commercial |
$47.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.29
|
| Rate for Payer: Meridian Medicaid |
$21.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$35.93
|
| Rate for Payer: Nomi Health Commercial |
$39.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: PACE SWMI |
$32.66
|
| Rate for Payer: PHP Commercial |
$45.72
|
| Rate for Payer: PHP Medicare Advantage |
$32.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$20.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$50.59
|
| Rate for Payer: Priority Health Medicare |
$32.66
|
| Rate for Payer: Priority Health SBD |
$50.59
|
| Rate for Payer: Priority Health Tiered Network |
$50.59
|
| Rate for Payer: Railroad Medicare Medicare |
$32.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$69.62
|
| Rate for Payer: UHC Core |
$69.62
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$32.66
|
| Rate for Payer: UHC Exchange |
$69.62
|
| Rate for Payer: UHC Medicaid |
$20.87
|
| Rate for Payer: UHCCP Medicaid |
$20.87
|
| Rate for Payer: UMR Bronson Commercial |
$76.36
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM
|
Professional
|
Both
|
$206.00
|
|
|
Service Code
|
HCPCS 11306
|
| Min. Negotiated Rate |
$25.99 |
| Max. Negotiated Rate |
$154.50 |
| Rate for Payer: Aetna Commercial |
$54.28
|
| Rate for Payer: Aetna Medicare |
$42.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.33
|
| Rate for Payer: BCBS Complete |
$27.29
|
| Rate for Payer: BCBS MAPPO |
$40.51
|
| Rate for Payer: BCN Commercial |
$56.94
|
| Rate for Payer: BCN Medicare Advantage |
$40.51
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cash Price |
$164.80
|
| Rate for Payer: Cofinity Commercial |
$54.28
|
| Rate for Payer: Cofinity Commercial |
$58.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$40.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$42.54
|
| Rate for Payer: Meridian Medicaid |
$27.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$44.56
|
| Rate for Payer: Nomi Health Commercial |
$48.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.50
|
| Rate for Payer: PACE SWMI |
$40.51
|
| Rate for Payer: PHP Commercial |
$56.71
|
| Rate for Payer: PHP Medicare Advantage |
$40.51
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$66.08
|
| Rate for Payer: Priority Health Medicare |
$40.51
|
| Rate for Payer: Priority Health SBD |
$66.08
|
| Rate for Payer: Priority Health Tiered Network |
$66.08
|
| Rate for Payer: Railroad Medicare Medicare |
$40.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.91
|
| Rate for Payer: UHC Core |
$88.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$40.51
|
| Rate for Payer: UHC Exchange |
$88.91
|
| Rate for Payer: UHC Medicaid |
$25.99
|
| Rate for Payer: UHCCP Medicaid |
$25.99
|
| Rate for Payer: UMR Bronson Commercial |
$94.76
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM
|
Professional
|
Both
|
$244.00
|
|
|
Service Code
|
HCPCS 11307
|
| Min. Negotiated Rate |
$32.80 |
| Max. Negotiated Rate |
$183.00 |
| Rate for Payer: Aetna Commercial |
$68.55
|
| Rate for Payer: Aetna Medicare |
$53.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.67
|
| Rate for Payer: BCBS Complete |
$34.44
|
| Rate for Payer: BCBS MAPPO |
$51.16
|
| Rate for Payer: BCN Commercial |
$72.26
|
| Rate for Payer: BCN Medicare Advantage |
$51.16
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cash Price |
$195.20
|
| Rate for Payer: Cofinity Commercial |
$68.55
|
| Rate for Payer: Cofinity Commercial |
$73.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.72
|
| Rate for Payer: Meridian Medicaid |
$34.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.28
|
| Rate for Payer: Nomi Health Commercial |
$61.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$183.00
|
| Rate for Payer: PACE SWMI |
$51.16
|
| Rate for Payer: PHP Commercial |
$71.62
|
| Rate for Payer: PHP Medicare Advantage |
$51.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$32.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$83.87
|
| Rate for Payer: Priority Health Medicare |
$51.16
|
| Rate for Payer: Priority Health SBD |
$83.87
|
| Rate for Payer: Priority Health Tiered Network |
$83.87
|
| Rate for Payer: Railroad Medicare Medicare |
$51.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$114.44
|
| Rate for Payer: UHC Core |
$114.44
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$51.16
|
| Rate for Payer: UHC Exchange |
$114.44
|
| Rate for Payer: UHC Medicaid |
$32.80
|
| Rate for Payer: UHCCP Medicaid |
$32.80
|
| Rate for Payer: UMR Bronson Commercial |
$112.24
|
|
|
PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM
|
Professional
|
Both
|
$259.00
|
|
|
Service Code
|
HCPCS 11308
|
| Min. Negotiated Rate |
$38.13 |
| Max. Negotiated Rate |
$194.25 |
| Rate for Payer: Aetna Commercial |
$79.93
|
| Rate for Payer: Aetna Medicare |
$62.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.90
|
| Rate for Payer: BCBS Complete |
$40.04
|
| Rate for Payer: BCBS MAPPO |
$59.65
|
| Rate for Payer: BCN Commercial |
$80.90
|
| Rate for Payer: BCN Medicare Advantage |
$59.65
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cash Price |
$207.20
|
| Rate for Payer: Cofinity Commercial |
$79.93
|
| Rate for Payer: Cofinity Commercial |
$85.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$59.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$62.63
|
| Rate for Payer: Meridian Medicaid |
$40.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$65.61
|
| Rate for Payer: Nomi Health Commercial |
$71.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.25
|
| Rate for Payer: PACE SWMI |
$59.65
|
| Rate for Payer: PHP Commercial |
$83.51
|
| Rate for Payer: PHP Medicare Advantage |
$59.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$38.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$93.89
|
| Rate for Payer: Priority Health Medicare |
$59.65
|
| Rate for Payer: Priority Health SBD |
$93.89
|
| Rate for Payer: Priority Health Tiered Network |
$93.89
|
| Rate for Payer: Railroad Medicare Medicare |
$59.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$129.66
|
| Rate for Payer: UHC Core |
$129.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$59.65
|
| Rate for Payer: UHC Exchange |
$129.66
|
| Rate for Payer: UHC Medicaid |
$38.13
|
| Rate for Payer: UHCCP Medicaid |
$38.13
|
| Rate for Payer: UMR Bronson Commercial |
$119.14
|
|
|
PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<
|
Professional
|
Both
|
$166.00
|
|
|
Service Code
|
HCPCS 11300
|
| Min. Negotiated Rate |
$17.68 |
| Max. Negotiated Rate |
$124.50 |
| Rate for Payer: Aetna Commercial |
$36.80
|
| Rate for Payer: Aetna Medicare |
$28.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.54
|
| Rate for Payer: BCBS Complete |
$18.56
|
| Rate for Payer: BCBS MAPPO |
$27.46
|
| Rate for Payer: BCN Commercial |
$39.66
|
| Rate for Payer: BCN Medicare Advantage |
$27.46
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cash Price |
$132.80
|
| Rate for Payer: Cofinity Commercial |
$36.80
|
| Rate for Payer: Cofinity Commercial |
$39.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$28.83
|
| Rate for Payer: Meridian Medicaid |
$18.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.21
|
| Rate for Payer: Nomi Health Commercial |
$32.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$124.50
|
| Rate for Payer: PACE SWMI |
$27.46
|
| Rate for Payer: PHP Commercial |
$38.44
|
| Rate for Payer: PHP Medicare Advantage |
$27.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$46.03
|
| Rate for Payer: Priority Health Medicare |
$27.46
|
| Rate for Payer: Priority Health SBD |
$46.03
|
| Rate for Payer: Priority Health Tiered Network |
$46.03
|
| Rate for Payer: Railroad Medicare Medicare |
$27.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.40
|
| Rate for Payer: UHC Core |
$60.40
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.46
|
| Rate for Payer: UHC Exchange |
$60.40
|
| Rate for Payer: UHC Medicaid |
$17.68
|
| Rate for Payer: UHCCP Medicaid |
$17.68
|
| Rate for Payer: UMR Bronson Commercial |
$76.36
|
|
|
PR SHOE LIFTS ELEVATION HEEL /I
|
Professional
|
Both
|
$67.00
|
|
|
Service Code
|
HCPCS L3334
|
| Min. Negotiated Rate |
$15.28 |
| Max. Negotiated Rate |
$67.49 |
| Rate for Payer: Aetna Commercial |
$62.81
|
| Rate for Payer: Aetna Medicare |
$48.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.49
|
| Rate for Payer: BCBS Complete |
$26.80
|
| Rate for Payer: BCBS MAPPO |
$46.87
|
| Rate for Payer: BCN Commercial |
$44.87
|
| Rate for Payer: BCN Medicare Advantage |
$46.87
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cash Price |
$53.60
|
| Rate for Payer: Cofinity Commercial |
$62.81
|
| Rate for Payer: Cofinity Commercial |
$67.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$46.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.56
|
| Rate for Payer: Nomi Health Commercial |
$56.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$50.25
|
| Rate for Payer: PACE SWMI |
$46.87
|
| Rate for Payer: PHP Commercial |
$65.62
|
| Rate for Payer: PHP Medicare Advantage |
$46.87
|
| Rate for Payer: Priority Health Medicare |
$46.87
|
| Rate for Payer: Railroad Medicare Medicare |
$46.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.28
|
| Rate for Payer: UHC Core |
$15.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$46.87
|
| Rate for Payer: UHC Exchange |
$15.28
|
| Rate for Payer: UMR Bronson Commercial |
$30.82
|
|
|
PR SHORTENING TENDON EXTENSOR HAND/FINGER EACH
|
Professional
|
Both
|
$1,244.00
|
|
|
Service Code
|
HCPCS 26477
|
| Min. Negotiated Rate |
$391.49 |
| Max. Negotiated Rate |
$1,014.63 |
| Rate for Payer: Aetna Commercial |
$780.84
|
| Rate for Payer: Aetna Medicare |
$606.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$839.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$780.84
|
| Rate for Payer: BCBS Complete |
$411.06
|
| Rate for Payer: BCBS MAPPO |
$582.72
|
| Rate for Payer: BCN Commercial |
$948.65
|
| Rate for Payer: BCN Medicare Advantage |
$582.72
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cash Price |
$995.20
|
| Rate for Payer: Cofinity Commercial |
$839.12
|
| Rate for Payer: Cofinity Commercial |
$780.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$582.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$611.86
|
| Rate for Payer: Meridian Medicaid |
$411.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$640.99
|
| Rate for Payer: Nomi Health Commercial |
$699.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$933.00
|
| Rate for Payer: PACE SWMI |
$582.72
|
| Rate for Payer: PHP Commercial |
$815.81
|
| Rate for Payer: PHP Medicare Advantage |
$582.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$391.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,014.08
|
| Rate for Payer: Priority Health Medicare |
$582.72
|
| Rate for Payer: Priority Health SBD |
$1,014.08
|
| Rate for Payer: Priority Health Tiered Network |
$1,014.08
|
| Rate for Payer: Railroad Medicare Medicare |
$582.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,014.63
|
| Rate for Payer: UHC Core |
$1,014.63
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$582.72
|
| Rate for Payer: UHC Exchange |
$1,014.63
|
| Rate for Payer: UHC Medicaid |
$391.49
|
| Rate for Payer: UHCCP Medicaid |
$391.49
|
| Rate for Payer: UMR Bronson Commercial |
$572.24
|
|
|
PR SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS
|
Professional
|
Both
|
$327.00
|
|
|
Service Code
|
HCPCS 95926
|
| Min. Negotiated Rate |
$126.02 |
| Max. Negotiated Rate |
$245.25 |
| Rate for Payer: Aetna Commercial |
$168.87
|
| Rate for Payer: Aetna Medicare |
$131.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.47
|
| Rate for Payer: BCBS MAPPO |
$126.02
|
| Rate for Payer: BCN Commercial |
$209.65
|
| Rate for Payer: BCN Medicare Advantage |
$126.02
|
| Rate for Payer: Cash Price |
$261.60
|
| Rate for Payer: Cash Price |
$261.60
|
| Rate for Payer: Cofinity Commercial |
$181.47
|
| Rate for Payer: Cofinity Commercial |
$168.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$126.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$132.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$138.62
|
| Rate for Payer: Nomi Health Commercial |
$151.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$245.25
|
| Rate for Payer: PACE SWMI |
$126.02
|
| Rate for Payer: PHP Commercial |
$176.43
|
| Rate for Payer: PHP Medicare Advantage |
$126.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$193.34
|
| Rate for Payer: Priority Health Medicare |
$126.02
|
| Rate for Payer: Priority Health SBD |
$193.34
|
| Rate for Payer: Priority Health Tiered Network |
$193.34
|
| Rate for Payer: Railroad Medicare Medicare |
$126.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.76
|
| Rate for Payer: UHC Core |
$202.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$126.02
|
| Rate for Payer: UHC Exchange |
$202.76
|
| Rate for Payer: UMR Bronson Commercial |
$150.42
|
|
|
PR SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD
|
Professional
|
Both
|
$297.00
|
|
|
Service Code
|
HCPCS 95927
|
| Min. Negotiated Rate |
$136.62 |
| Max. Negotiated Rate |
$263.44 |
| Rate for Payer: Aetna Commercial |
$210.63
|
| Rate for Payer: Aetna Commercial |
$210.63
|
| Rate for Payer: Aetna Medicare |
$163.48
|
| Rate for Payer: Aetna Medicare |
$163.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$210.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$210.63
|
| Rate for Payer: BCBS MAPPO |
$157.19
|
| Rate for Payer: BCBS MAPPO |
$157.19
|
| Rate for Payer: BCN Commercial |
$263.44
|
| Rate for Payer: BCN Commercial |
$263.44
|
| Rate for Payer: BCN Medicare Advantage |
$157.19
|
| Rate for Payer: BCN Medicare Advantage |
$157.19
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$165.60
|
| Rate for Payer: Cash Price |
$237.60
|
| Rate for Payer: Cofinity Commercial |
$210.63
|
| Rate for Payer: Cofinity Commercial |
$226.35
|
| Rate for Payer: Cofinity Commercial |
$226.35
|
| Rate for Payer: Cofinity Commercial |
$210.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$157.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$165.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$165.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$172.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$172.91
|
| Rate for Payer: Nomi Health Commercial |
$188.63
|
| Rate for Payer: Nomi Health Commercial |
$188.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$155.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.75
|
| Rate for Payer: PACE SWMI |
$157.19
|
| Rate for Payer: PACE SWMI |
$157.19
|
| Rate for Payer: PHP Commercial |
$220.07
|
| Rate for Payer: PHP Commercial |
$220.07
|
| Rate for Payer: PHP Medicare Advantage |
$157.19
|
| Rate for Payer: PHP Medicare Advantage |
$157.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$242.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$242.94
|
| Rate for Payer: Priority Health Medicare |
$157.19
|
| Rate for Payer: Priority Health Medicare |
$157.19
|
| Rate for Payer: Priority Health SBD |
$242.94
|
| Rate for Payer: Priority Health SBD |
$242.94
|
| Rate for Payer: Priority Health Tiered Network |
$242.94
|
| Rate for Payer: Priority Health Tiered Network |
$242.94
|
| Rate for Payer: Railroad Medicare Medicare |
$157.19
|
| Rate for Payer: Railroad Medicare Medicare |
$157.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$202.28
|
| Rate for Payer: UHC Core |
$202.28
|
| Rate for Payer: UHC Core |
$202.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$157.19
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$157.19
|
| Rate for Payer: UHC Exchange |
$202.28
|
| Rate for Payer: UHC Exchange |
$202.28
|
| Rate for Payer: UMR Bronson Commercial |
$136.62
|
| Rate for Payer: UMR Bronson Commercial |
$95.22
|
|
|
PR SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS
|
Professional
|
Both
|
$337.00
|
|
|
Service Code
|
HCPCS 95925
|
| Min. Negotiated Rate |
$140.42 |
| Max. Negotiated Rate |
$252.75 |
| Rate for Payer: Aetna Commercial |
$188.16
|
| Rate for Payer: Aetna Medicare |
$146.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$188.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$202.20
|
| Rate for Payer: BCBS MAPPO |
$140.42
|
| Rate for Payer: BCN Commercial |
$229.08
|
| Rate for Payer: BCN Medicare Advantage |
$140.42
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cash Price |
$269.60
|
| Rate for Payer: Cofinity Commercial |
$188.16
|
| Rate for Payer: Cofinity Commercial |
$202.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$140.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$147.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$154.46
|
| Rate for Payer: Nomi Health Commercial |
$168.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$252.75
|
| Rate for Payer: PACE SWMI |
$140.42
|
| Rate for Payer: PHP Commercial |
$196.59
|
| Rate for Payer: PHP Medicare Advantage |
$140.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$211.25
|
| Rate for Payer: Priority Health Medicare |
$140.42
|
| Rate for Payer: Priority Health SBD |
$211.25
|
| Rate for Payer: Priority Health Tiered Network |
$211.25
|
| Rate for Payer: Railroad Medicare Medicare |
$140.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.91
|
| Rate for Payer: UHC Core |
$212.91
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$140.42
|
| Rate for Payer: UHC Exchange |
$212.91
|
| Rate for Payer: UMR Bronson Commercial |
$155.02
|
|
