|
PR SUTURE NERVE REQ SECONDARY/DELAYED SUTURE
|
Professional
|
Both
|
$208.00
|
|
|
Service Code
|
HCPCS 64872
|
| Min. Negotiated Rate |
$63.47 |
| Max. Negotiated Rate |
$207.51 |
| Rate for Payer: Aetna Commercial |
$133.38
|
| Rate for Payer: Aetna Medicare |
$103.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.34
|
| Rate for Payer: BCBS Complete |
$66.64
|
| Rate for Payer: BCBS MAPPO |
$99.54
|
| Rate for Payer: BCN Commercial |
$171.81
|
| Rate for Payer: BCN Medicare Advantage |
$99.54
|
| Rate for Payer: Cash Price |
$166.40
|
| Rate for Payer: Cash Price |
$166.40
|
| Rate for Payer: Cofinity Commercial |
$133.38
|
| Rate for Payer: Cofinity Commercial |
$143.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.52
|
| Rate for Payer: Meridian Medicaid |
$66.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$109.49
|
| Rate for Payer: Nomi Health Commercial |
$119.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$156.00
|
| Rate for Payer: PACE SWMI |
$99.54
|
| Rate for Payer: PHP Commercial |
$139.36
|
| Rate for Payer: PHP Medicare Advantage |
$99.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$199.55
|
| Rate for Payer: Priority Health Medicare |
$99.54
|
| Rate for Payer: Priority Health SBD |
$199.55
|
| Rate for Payer: Priority Health Tiered Network |
$199.55
|
| Rate for Payer: Railroad Medicare Medicare |
$99.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$207.51
|
| Rate for Payer: UHC Core |
$207.51
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$99.54
|
| Rate for Payer: UHC Exchange |
$207.51
|
| Rate for Payer: UHC Medicaid |
$63.47
|
| Rate for Payer: UHCCP Medicaid |
$63.47
|
| Rate for Payer: UMR Bronson Commercial |
$95.68
|
|
|
PR SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE
|
Professional
|
Both
|
$319.00
|
|
|
Service Code
|
HCPCS 64874
|
| Min. Negotiated Rate |
$94.79 |
| Max. Negotiated Rate |
$309.13 |
| Rate for Payer: Aetna Commercial |
$199.07
|
| Rate for Payer: Aetna Medicare |
$154.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$199.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$213.93
|
| Rate for Payer: BCBS Complete |
$99.53
|
| Rate for Payer: BCBS MAPPO |
$148.56
|
| Rate for Payer: BCN Commercial |
$256.96
|
| Rate for Payer: BCN Medicare Advantage |
$148.56
|
| Rate for Payer: Cash Price |
$255.20
|
| Rate for Payer: Cash Price |
$255.20
|
| Rate for Payer: Cofinity Commercial |
$199.07
|
| Rate for Payer: Cofinity Commercial |
$213.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$148.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$155.99
|
| Rate for Payer: Meridian Medicaid |
$99.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$163.42
|
| Rate for Payer: Nomi Health Commercial |
$178.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$239.25
|
| Rate for Payer: PACE SWMI |
$148.56
|
| Rate for Payer: PHP Commercial |
$207.98
|
| Rate for Payer: PHP Medicare Advantage |
$148.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$298.46
|
| Rate for Payer: Priority Health Medicare |
$148.56
|
| Rate for Payer: Priority Health SBD |
$298.46
|
| Rate for Payer: Priority Health Tiered Network |
$298.46
|
| Rate for Payer: Railroad Medicare Medicare |
$148.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$309.13
|
| Rate for Payer: UHC Core |
$309.13
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$148.56
|
| Rate for Payer: UHC Exchange |
$309.13
|
| Rate for Payer: UHC Medicaid |
$94.79
|
| Rate for Payer: UHCCP Medicaid |
$94.79
|
| Rate for Payer: UMR Bronson Commercial |
$146.74
|
|
|
PR SUTURE PHARYNX WOUND/INJURY
|
Professional
|
Both
|
$642.00
|
|
|
Service Code
|
HCPCS 42900
|
| Min. Negotiated Rate |
$184.25 |
| Max. Negotiated Rate |
$608.59 |
| Rate for Payer: Aetna Commercial |
$380.91
|
| Rate for Payer: Aetna Medicare |
$295.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$409.33
|
| Rate for Payer: BCBS Complete |
$193.46
|
| Rate for Payer: BCBS MAPPO |
$284.26
|
| Rate for Payer: BCN Commercial |
$499.48
|
| Rate for Payer: BCN Medicare Advantage |
$284.26
|
| Rate for Payer: Cash Price |
$513.60
|
| Rate for Payer: Cash Price |
$513.60
|
| Rate for Payer: Cofinity Commercial |
$380.91
|
| Rate for Payer: Cofinity Commercial |
$409.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$284.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$298.47
|
| Rate for Payer: Meridian Medicaid |
$193.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$312.69
|
| Rate for Payer: Nomi Health Commercial |
$341.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$481.50
|
| Rate for Payer: PACE SWMI |
$284.26
|
| Rate for Payer: PHP Commercial |
$397.96
|
| Rate for Payer: PHP Medicare Advantage |
$284.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$184.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$608.59
|
| Rate for Payer: Priority Health Medicare |
$284.26
|
| Rate for Payer: Priority Health SBD |
$608.59
|
| Rate for Payer: Priority Health Tiered Network |
$608.59
|
| Rate for Payer: Railroad Medicare Medicare |
$284.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$581.33
|
| Rate for Payer: UHC Core |
$581.33
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$284.26
|
| Rate for Payer: UHC Exchange |
$581.33
|
| Rate for Payer: UHC Medicaid |
$184.25
|
| Rate for Payer: UHCCP Medicaid |
$184.25
|
| Rate for Payer: UMR Bronson Commercial |
$295.32
|
|
|
PR SUTURE POSTERIOR TIBIAL NERVE
|
Professional
|
Both
|
$2,038.00
|
|
|
Service Code
|
HCPCS 64840
|
| Min. Negotiated Rate |
$564.24 |
| Max. Negotiated Rate |
$1,694.69 |
| Rate for Payer: Aetna Commercial |
$1,163.83
|
| Rate for Payer: Aetna Medicare |
$903.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,163.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,250.68
|
| Rate for Payer: BCBS Complete |
$592.45
|
| Rate for Payer: BCBS MAPPO |
$868.53
|
| Rate for Payer: BCN Commercial |
$1,459.09
|
| Rate for Payer: BCN Medicare Advantage |
$868.53
|
| Rate for Payer: Cash Price |
$1,630.40
|
| Rate for Payer: Cash Price |
$1,630.40
|
| Rate for Payer: Cofinity Commercial |
$1,163.83
|
| Rate for Payer: Cofinity Commercial |
$1,250.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$868.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$911.96
|
| Rate for Payer: Meridian Medicaid |
$592.45
|
| Rate for Payer: Molina Medicare/Medicaid |
$955.38
|
| Rate for Payer: Nomi Health Commercial |
$1,042.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,528.50
|
| Rate for Payer: PACE SWMI |
$868.53
|
| Rate for Payer: PHP Commercial |
$1,215.94
|
| Rate for Payer: PHP Medicare Advantage |
$868.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$564.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,694.69
|
| Rate for Payer: Priority Health Medicare |
$868.53
|
| Rate for Payer: Priority Health SBD |
$1,694.69
|
| Rate for Payer: Priority Health Tiered Network |
$1,694.69
|
| Rate for Payer: Railroad Medicare Medicare |
$868.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,686.84
|
| Rate for Payer: UHC Core |
$1,686.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$868.53
|
| Rate for Payer: UHC Exchange |
$1,686.84
|
| Rate for Payer: UHC Medicaid |
$564.24
|
| Rate for Payer: UHCCP Medicaid |
$564.24
|
| Rate for Payer: UMR Bronson Commercial |
$937.48
|
|
|
PR SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY
|
Professional
|
Both
|
$1,960.00
|
|
|
Service Code
|
HCPCS 27385
|
| Min. Negotiated Rate |
$375.31 |
| Max. Negotiated Rate |
$1,470.00 |
| Rate for Payer: Aetna Commercial |
$759.58
|
| Rate for Payer: Aetna Medicare |
$589.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$759.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$816.26
|
| Rate for Payer: BCBS Complete |
$394.08
|
| Rate for Payer: BCBS MAPPO |
$566.85
|
| Rate for Payer: BCN Commercial |
$925.74
|
| Rate for Payer: BCN Medicare Advantage |
$566.85
|
| Rate for Payer: Cash Price |
$1,568.00
|
| Rate for Payer: Cash Price |
$1,568.00
|
| Rate for Payer: Cofinity Commercial |
$759.58
|
| Rate for Payer: Cofinity Commercial |
$816.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$566.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$595.19
|
| Rate for Payer: Meridian Medicaid |
$394.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$623.53
|
| Rate for Payer: Nomi Health Commercial |
$680.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,470.00
|
| Rate for Payer: PACE SWMI |
$566.85
|
| Rate for Payer: PHP Commercial |
$793.59
|
| Rate for Payer: PHP Medicare Advantage |
$566.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$375.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$989.59
|
| Rate for Payer: Priority Health Medicare |
$566.85
|
| Rate for Payer: Priority Health SBD |
$989.59
|
| Rate for Payer: Priority Health Tiered Network |
$989.59
|
| Rate for Payer: Railroad Medicare Medicare |
$566.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,019.59
|
| Rate for Payer: UHC Core |
$1,019.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$566.85
|
| Rate for Payer: UHC Exchange |
$1,019.59
|
| Rate for Payer: UHC Medicaid |
$375.31
|
| Rate for Payer: UHCCP Medicaid |
$375.31
|
| Rate for Payer: UMR Bronson Commercial |
$901.60
|
|
|
PR SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS
|
Professional
|
Both
|
$5,859.00
|
|
|
Service Code
|
HCPCS 33322
|
| Min. Negotiated Rate |
$847.10 |
| Max. Negotiated Rate |
$4,394.25 |
| Rate for Payer: Aetna Commercial |
$1,775.18
|
| Rate for Payer: Aetna Medicare |
$1,377.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,775.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,907.65
|
| Rate for Payer: BCBS Complete |
$889.46
|
| Rate for Payer: BCBS MAPPO |
$1,324.76
|
| Rate for Payer: BCN Commercial |
$2,046.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,324.76
|
| Rate for Payer: Cash Price |
$4,687.20
|
| Rate for Payer: Cash Price |
$4,687.20
|
| Rate for Payer: Cofinity Commercial |
$1,775.18
|
| Rate for Payer: Cofinity Commercial |
$1,907.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,324.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,391.00
|
| Rate for Payer: Meridian Medicaid |
$889.46
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,457.24
|
| Rate for Payer: Nomi Health Commercial |
$1,589.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,394.25
|
| Rate for Payer: PACE SWMI |
$1,324.76
|
| Rate for Payer: PHP Commercial |
$1,854.66
|
| Rate for Payer: PHP Medicare Advantage |
$1,324.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$847.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,200.97
|
| Rate for Payer: Priority Health Medicare |
$1,324.76
|
| Rate for Payer: Priority Health SBD |
$2,200.97
|
| Rate for Payer: Priority Health Tiered Network |
$2,200.97
|
| Rate for Payer: Railroad Medicare Medicare |
$1,324.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,469.70
|
| Rate for Payer: UHC Core |
$2,469.70
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,324.76
|
| Rate for Payer: UHC Exchange |
$2,469.70
|
| Rate for Payer: UHC Medicaid |
$847.10
|
| Rate for Payer: UHCCP Medicaid |
$847.10
|
| Rate for Payer: UMR Bronson Commercial |
$2,695.14
|
|
|
PR SUTURE/REPAIR TESTICULAR INJURY
|
Professional
|
Both
|
$1,294.00
|
|
|
Service Code
|
HCPCS 54670
|
| Min. Negotiated Rate |
$241.54 |
| Max. Negotiated Rate |
$970.50 |
| Rate for Payer: Aetna Commercial |
$496.74
|
| Rate for Payer: Aetna Medicare |
$385.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$496.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$533.81
|
| Rate for Payer: BCBS Complete |
$253.62
|
| Rate for Payer: BCBS MAPPO |
$370.70
|
| Rate for Payer: BCN Commercial |
$617.49
|
| Rate for Payer: BCN Medicare Advantage |
$370.70
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cash Price |
$1,035.20
|
| Rate for Payer: Cofinity Commercial |
$496.74
|
| Rate for Payer: Cofinity Commercial |
$533.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$370.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$389.24
|
| Rate for Payer: Meridian Medicaid |
$253.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$407.77
|
| Rate for Payer: Nomi Health Commercial |
$444.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$970.50
|
| Rate for Payer: PACE SWMI |
$370.70
|
| Rate for Payer: PHP Commercial |
$518.98
|
| Rate for Payer: PHP Medicare Advantage |
$370.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$672.66
|
| Rate for Payer: Priority Health Medicare |
$370.70
|
| Rate for Payer: Priority Health SBD |
$672.66
|
| Rate for Payer: Priority Health Tiered Network |
$672.66
|
| Rate for Payer: Railroad Medicare Medicare |
$370.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$714.69
|
| Rate for Payer: UHC Core |
$714.69
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$370.70
|
| Rate for Payer: UHC Exchange |
$714.69
|
| Rate for Payer: UHC Medicaid |
$241.54
|
| Rate for Payer: UHCCP Medicaid |
$241.54
|
| Rate for Payer: UMR Bronson Commercial |
$595.24
|
|
|
PR SUTURE SCIATIC NERVE
|
Professional
|
Both
|
$2,575.00
|
|
|
Service Code
|
HCPCS 64858
|
| Min. Negotiated Rate |
$678.41 |
| Max. Negotiated Rate |
$2,069.03 |
| Rate for Payer: Aetna Commercial |
$1,404.91
|
| Rate for Payer: Aetna Medicare |
$1,090.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,404.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,509.75
|
| Rate for Payer: BCBS Complete |
$712.33
|
| Rate for Payer: BCBS MAPPO |
$1,048.44
|
| Rate for Payer: BCN Commercial |
$1,772.82
|
| Rate for Payer: BCN Medicare Advantage |
$1,048.44
|
| Rate for Payer: Cash Price |
$2,060.00
|
| Rate for Payer: Cash Price |
$2,060.00
|
| Rate for Payer: Cofinity Commercial |
$1,404.91
|
| Rate for Payer: Cofinity Commercial |
$1,509.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,048.44
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,100.86
|
| Rate for Payer: Meridian Medicaid |
$712.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,153.28
|
| Rate for Payer: Nomi Health Commercial |
$1,258.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,931.25
|
| Rate for Payer: PACE SWMI |
$1,048.44
|
| Rate for Payer: PHP Commercial |
$1,467.82
|
| Rate for Payer: PHP Medicare Advantage |
$1,048.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$678.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,059.10
|
| Rate for Payer: Priority Health Medicare |
$1,048.44
|
| Rate for Payer: Priority Health SBD |
$2,059.10
|
| Rate for Payer: Priority Health Tiered Network |
$2,059.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,048.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,069.03
|
| Rate for Payer: UHC Core |
$2,069.03
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,048.44
|
| Rate for Payer: UHC Exchange |
$2,069.03
|
| Rate for Payer: UHC Medicaid |
$678.41
|
| Rate for Payer: UHCCP Medicaid |
$678.41
|
| Rate for Payer: UMR Bronson Commercial |
$1,184.50
|
|
|
PR SUTURE TRACHEAL WOUND/INJURY CERVICAL
|
Professional
|
Both
|
$1,637.00
|
|
|
Service Code
|
HCPCS 31800
|
| Min. Negotiated Rate |
$411.09 |
| Max. Negotiated Rate |
$1,227.75 |
| Rate for Payer: Aetna Commercial |
$831.04
|
| Rate for Payer: Aetna Medicare |
$644.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$831.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$893.06
|
| Rate for Payer: BCBS Complete |
$431.64
|
| Rate for Payer: BCBS MAPPO |
$620.18
|
| Rate for Payer: BCN Commercial |
$1,055.72
|
| Rate for Payer: BCN Medicare Advantage |
$620.18
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cash Price |
$1,309.60
|
| Rate for Payer: Cofinity Commercial |
$831.04
|
| Rate for Payer: Cofinity Commercial |
$893.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$620.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$651.19
|
| Rate for Payer: Meridian Medicaid |
$431.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$682.20
|
| Rate for Payer: Nomi Health Commercial |
$744.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,227.75
|
| Rate for Payer: PACE SWMI |
$620.18
|
| Rate for Payer: PHP Commercial |
$868.25
|
| Rate for Payer: PHP Medicare Advantage |
$620.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$411.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$994.18
|
| Rate for Payer: Priority Health Medicare |
$620.18
|
| Rate for Payer: Priority Health SBD |
$994.18
|
| Rate for Payer: Priority Health Tiered Network |
$994.18
|
| Rate for Payer: Railroad Medicare Medicare |
$620.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,219.43
|
| Rate for Payer: UHC Core |
$1,219.43
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$620.18
|
| Rate for Payer: UHC Exchange |
$1,219.43
|
| Rate for Payer: UHC Medicaid |
$411.09
|
| Rate for Payer: UHCCP Medicaid |
$411.09
|
| Rate for Payer: UMR Bronson Commercial |
$753.02
|
|
|
PR SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC
|
Professional
|
Both
|
$1,721.00
|
|
|
Service Code
|
HCPCS 31805
|
| Min. Negotiated Rate |
$506.94 |
| Max. Negotiated Rate |
$1,441.54 |
| Rate for Payer: Aetna Commercial |
$1,055.29
|
| Rate for Payer: Aetna Medicare |
$819.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,055.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,134.04
|
| Rate for Payer: BCBS Complete |
$532.29
|
| Rate for Payer: BCBS MAPPO |
$787.53
|
| Rate for Payer: BCN Commercial |
$1,217.57
|
| Rate for Payer: BCN Medicare Advantage |
$787.53
|
| Rate for Payer: Cash Price |
$1,376.80
|
| Rate for Payer: Cash Price |
$1,376.80
|
| Rate for Payer: Cofinity Commercial |
$1,055.29
|
| Rate for Payer: Cofinity Commercial |
$1,134.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$787.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$826.91
|
| Rate for Payer: Meridian Medicaid |
$532.29
|
| Rate for Payer: Molina Medicare/Medicaid |
$866.28
|
| Rate for Payer: Nomi Health Commercial |
$945.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,290.75
|
| Rate for Payer: PACE SWMI |
$787.53
|
| Rate for Payer: PHP Commercial |
$1,102.54
|
| Rate for Payer: PHP Medicare Advantage |
$787.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$506.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,146.58
|
| Rate for Payer: Priority Health Medicare |
$787.53
|
| Rate for Payer: Priority Health SBD |
$1,146.58
|
| Rate for Payer: Priority Health Tiered Network |
$1,146.58
|
| Rate for Payer: Railroad Medicare Medicare |
$787.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,441.54
|
| Rate for Payer: UHC Core |
$1,441.54
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$787.53
|
| Rate for Payer: UHC Exchange |
$1,441.54
|
| Rate for Payer: UHC Medicaid |
$506.94
|
| Rate for Payer: UHCCP Medicaid |
$506.94
|
| Rate for Payer: UMR Bronson Commercial |
$791.66
|
|
|
PR SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS
|
Professional
|
Both
|
$59.00
|
|
|
Service Code
|
HCPCS 99058
|
| Min. Negotiated Rate |
$23.60 |
| Max. Negotiated Rate |
$44.25 |
| Rate for Payer: Aetna Commercial |
$28.30
|
| Rate for Payer: Aetna Medicare |
$29.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.30
|
| Rate for Payer: BCBS Complete |
$23.60
|
| Rate for Payer: BCN Commercial |
$42.65
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Cash Price |
$47.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$28.93
|
| Rate for Payer: Priority Health SBD |
$28.93
|
| Rate for Payer: Priority Health Tiered Network |
$28.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$33.52
|
| Rate for Payer: UHC Core |
$33.52
|
| Rate for Payer: UHC Exchange |
$33.52
|
| Rate for Payer: UMR Bronson Commercial |
$27.14
|
|
|
PR SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS
|
Professional
|
Both
|
$62.00
|
|
|
Service Code
|
HCPCS 99051
|
| Min. Negotiated Rate |
$20.02 |
| Max. Negotiated Rate |
$46.50 |
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Medicare |
$31.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.02
|
| Rate for Payer: BCBS Complete |
$24.80
|
| Rate for Payer: BCN Commercial |
$20.37
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Cash Price |
$49.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.50
|
| 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 |
$28.52
|
|
|
PR SYMPATHECTOMY CERVICAL
|
Professional
|
Both
|
$1,781.00
|
|
|
Service Code
|
HCPCS 64802
|
| Min. Negotiated Rate |
$560.62 |
| Max. Negotiated Rate |
$1,513.07 |
| Rate for Payer: Aetna Commercial |
$1,156.07
|
| Rate for Payer: Aetna Medicare |
$897.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,156.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,242.35
|
| Rate for Payer: BCBS Complete |
$588.65
|
| Rate for Payer: BCBS MAPPO |
$862.74
|
| Rate for Payer: BCN Commercial |
$1,302.72
|
| Rate for Payer: BCN Medicare Advantage |
$862.74
|
| Rate for Payer: Cash Price |
$1,424.80
|
| Rate for Payer: Cash Price |
$1,424.80
|
| Rate for Payer: Cofinity Commercial |
$1,242.35
|
| Rate for Payer: Cofinity Commercial |
$1,156.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$862.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$905.88
|
| Rate for Payer: Meridian Medicaid |
$588.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$949.01
|
| Rate for Payer: Nomi Health Commercial |
$1,035.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,335.75
|
| Rate for Payer: PACE SWMI |
$862.74
|
| Rate for Payer: PHP Commercial |
$1,207.84
|
| Rate for Payer: PHP Medicare Advantage |
$862.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$560.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,513.07
|
| Rate for Payer: Priority Health Medicare |
$862.74
|
| Rate for Payer: Priority Health SBD |
$1,513.07
|
| Rate for Payer: Priority Health Tiered Network |
$1,513.07
|
| Rate for Payer: Railroad Medicare Medicare |
$862.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,456.80
|
| Rate for Payer: UHC Core |
$1,456.80
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$862.74
|
| Rate for Payer: UHC Exchange |
$1,456.80
|
| Rate for Payer: UHC Medicaid |
$560.62
|
| Rate for Payer: UHCCP Medicaid |
$560.62
|
| Rate for Payer: UMR Bronson Commercial |
$819.26
|
|
|
PR SYMPATHECTOMY LUMBAR
|
Professional
|
Both
|
$329.00
|
|
|
Service Code
|
HCPCS 64818
|
| Min. Negotiated Rate |
$151.34 |
| Max. Negotiated Rate |
$1,371.96 |
| Rate for Payer: Aetna Commercial |
$945.66
|
| Rate for Payer: Aetna Medicare |
$733.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,016.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$945.66
|
| Rate for Payer: BCBS Complete |
$481.52
|
| Rate for Payer: BCBS MAPPO |
$705.72
|
| Rate for Payer: BCN Commercial |
$1,181.21
|
| Rate for Payer: BCN Medicare Advantage |
$705.72
|
| Rate for Payer: Cash Price |
$263.20
|
| Rate for Payer: Cash Price |
$263.20
|
| Rate for Payer: Cofinity Commercial |
$1,016.24
|
| Rate for Payer: Cofinity Commercial |
$945.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.72
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$741.01
|
| Rate for Payer: Meridian Medicaid |
$481.52
|
| Rate for Payer: Molina Medicare/Medicaid |
$776.29
|
| Rate for Payer: Nomi Health Commercial |
$846.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$246.75
|
| Rate for Payer: PACE SWMI |
$705.72
|
| Rate for Payer: PHP Commercial |
$988.01
|
| Rate for Payer: PHP Medicare Advantage |
$705.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$458.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,371.96
|
| Rate for Payer: Priority Health Medicare |
$705.72
|
| Rate for Payer: Priority Health SBD |
$1,371.96
|
| Rate for Payer: Priority Health Tiered Network |
$1,371.96
|
| Rate for Payer: Railroad Medicare Medicare |
$705.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,367.50
|
| Rate for Payer: UHC Core |
$1,367.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$705.72
|
| Rate for Payer: UHC Exchange |
$1,367.50
|
| Rate for Payer: UHC Medicaid |
$458.59
|
| Rate for Payer: UHCCP Medicaid |
$458.59
|
| Rate for Payer: UMR Bronson Commercial |
$151.34
|
|
|
PR SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI
|
Professional
|
Both
|
$2,233.00
|
|
|
Service Code
|
HCPCS 50540
|
| Min. Negotiated Rate |
$653.91 |
| Max. Negotiated Rate |
$2,028.93 |
| Rate for Payer: Aetna Commercial |
$1,360.13
|
| Rate for Payer: Aetna Medicare |
$1,055.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,360.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,461.63
|
| Rate for Payer: BCBS Complete |
$686.61
|
| Rate for Payer: BCBS MAPPO |
$1,015.02
|
| Rate for Payer: BCN Commercial |
$1,708.57
|
| Rate for Payer: BCN Medicare Advantage |
$1,015.02
|
| Rate for Payer: Cash Price |
$1,786.40
|
| Rate for Payer: Cash Price |
$1,786.40
|
| Rate for Payer: Cofinity Commercial |
$1,360.13
|
| Rate for Payer: Cofinity Commercial |
$1,461.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,015.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,065.77
|
| Rate for Payer: Meridian Medicaid |
$686.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,116.52
|
| Rate for Payer: Nomi Health Commercial |
$1,218.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,674.75
|
| Rate for Payer: PACE SWMI |
$1,015.02
|
| Rate for Payer: PHP Commercial |
$1,421.03
|
| Rate for Payer: PHP Medicare Advantage |
$1,015.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$653.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,861.19
|
| Rate for Payer: Priority Health Medicare |
$1,015.02
|
| Rate for Payer: Priority Health SBD |
$1,861.19
|
| Rate for Payer: Priority Health Tiered Network |
$1,861.19
|
| Rate for Payer: Railroad Medicare Medicare |
$1,015.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,028.93
|
| Rate for Payer: UHC Core |
$2,028.93
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,015.02
|
| Rate for Payer: UHC Exchange |
$2,028.93
|
| Rate for Payer: UHC Medicaid |
$653.91
|
| Rate for Payer: UHCCP Medicaid |
$653.91
|
| Rate for Payer: UMR Bronson Commercial |
$1,027.18
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN
|
Professional
|
Both
|
$366.00
|
|
|
Service Code
|
HCPCS 98015
|
| Min. Negotiated Rate |
$134.08 |
| Max. Negotiated Rate |
$274.50 |
| Rate for Payer: Aetna Medicare |
$183.00
|
| Rate for Payer: BCBS Complete |
$146.40
|
| Rate for Payer: BCN Commercial |
$134.08
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Cash Price |
$292.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$169.32
|
| Rate for Payer: Priority Health SBD |
$169.32
|
| Rate for Payer: Priority Health Tiered Network |
$169.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.26
|
| Rate for Payer: UHC Core |
$189.26
|
| Rate for Payer: UHC Exchange |
$189.26
|
| Rate for Payer: UMR Bronson Commercial |
$168.36
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN
|
Professional
|
Both
|
$167.00
|
|
|
Service Code
|
HCPCS 98013
|
| Min. Negotiated Rate |
$66.80 |
| Max. Negotiated Rate |
$125.25 |
| Rate for Payer: Aetna Medicare |
$83.50
|
| Rate for Payer: BCBS Complete |
$66.80
|
| Rate for Payer: BCN Commercial |
$68.21
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Cash Price |
$133.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$125.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$77.49
|
| Rate for Payer: Priority Health SBD |
$77.49
|
| Rate for Payer: Priority Health Tiered Network |
$77.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$86.61
|
| Rate for Payer: UHC Core |
$86.61
|
| Rate for Payer: UHC Exchange |
$86.61
|
| Rate for Payer: UMR Bronson Commercial |
$76.82
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN
|
Professional
|
Both
|
$248.00
|
|
|
Service Code
|
HCPCS 98014
|
| Min. Negotiated Rate |
$98.90 |
| Max. Negotiated Rate |
$186.00 |
| Rate for Payer: Aetna Medicare |
$124.00
|
| Rate for Payer: BCBS Complete |
$99.20
|
| Rate for Payer: BCN Commercial |
$98.90
|
| Rate for Payer: Cash Price |
$198.40
|
| Rate for Payer: Cash Price |
$198.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$186.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$114.67
|
| Rate for Payer: Priority Health SBD |
$114.67
|
| Rate for Payer: Priority Health Tiered Network |
$114.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$128.18
|
| Rate for Payer: UHC Core |
$128.18
|
| Rate for Payer: UHC Exchange |
$128.18
|
| Rate for Payer: UMR Bronson Commercial |
$114.08
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN
|
Professional
|
Both
|
$92.00
|
|
|
Service Code
|
HCPCS 98012
|
| Min. Negotiated Rate |
$36.80 |
| Max. Negotiated Rate |
$69.00 |
| Rate for Payer: Aetna Medicare |
$46.00
|
| Rate for Payer: BCBS Complete |
$36.80
|
| Rate for Payer: BCN Commercial |
$43.40
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Cash Price |
$73.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$42.56
|
| Rate for Payer: Priority Health SBD |
$42.56
|
| Rate for Payer: Priority Health Tiered Network |
$42.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.56
|
| Rate for Payer: UHC Core |
$47.56
|
| Rate for Payer: UHC Exchange |
$47.56
|
| Rate for Payer: UMR Bronson Commercial |
$42.32
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN
|
Professional
|
Both
|
$448.00
|
|
|
Service Code
|
HCPCS 98011
|
| Min. Negotiated Rate |
$179.20 |
| Max. Negotiated Rate |
$336.00 |
| Rate for Payer: Aetna Medicare |
$224.00
|
| Rate for Payer: BCBS Complete |
$179.20
|
| Rate for Payer: BCN Commercial |
$180.08
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$336.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$207.85
|
| Rate for Payer: Priority Health SBD |
$207.85
|
| Rate for Payer: Priority Health Tiered Network |
$207.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$232.28
|
| Rate for Payer: UHC Core |
$232.28
|
| Rate for Payer: UHC Exchange |
$232.28
|
| Rate for Payer: UMR Bronson Commercial |
$206.08
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN
|
Professional
|
Both
|
$213.00
|
|
|
Service Code
|
HCPCS 98009
|
| Min. Negotiated Rate |
$85.20 |
| Max. Negotiated Rate |
$159.75 |
| Rate for Payer: Aetna Medicare |
$106.50
|
| Rate for Payer: BCBS Complete |
$85.20
|
| Rate for Payer: BCN Commercial |
$93.27
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Cash Price |
$170.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$159.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$100.34
|
| Rate for Payer: Priority Health SBD |
$100.34
|
| Rate for Payer: Priority Health Tiered Network |
$100.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.14
|
| Rate for Payer: UHC Core |
$112.14
|
| Rate for Payer: UHC Exchange |
$112.14
|
| Rate for Payer: UMR Bronson Commercial |
$97.98
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN
|
Professional
|
Both
|
$342.00
|
|
|
Service Code
|
HCPCS 98010
|
| Min. Negotiated Rate |
$136.80 |
| Max. Negotiated Rate |
$256.50 |
| Rate for Payer: Aetna Medicare |
$171.00
|
| Rate for Payer: BCBS Complete |
$136.80
|
| Rate for Payer: BCN Commercial |
$142.52
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$256.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$158.12
|
| Rate for Payer: Priority Health SBD |
$158.12
|
| Rate for Payer: Priority Health Tiered Network |
$158.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.76
|
| Rate for Payer: UHC Core |
$176.76
|
| Rate for Payer: UHC Exchange |
$176.76
|
| Rate for Payer: UMR Bronson Commercial |
$157.32
|
|
|
PR SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN
|
Professional
|
Both
|
$125.00
|
|
|
Service Code
|
HCPCS 98008
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$93.75 |
| Rate for Payer: Aetna Medicare |
$62.50
|
| Rate for Payer: BCBS Complete |
$50.00
|
| Rate for Payer: BCN Commercial |
$65.87
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Cash Price |
$100.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$93.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$57.79
|
| Rate for Payer: Priority Health SBD |
$57.79
|
| Rate for Payer: Priority Health Tiered Network |
$57.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$64.58
|
| Rate for Payer: UHC Core |
$64.58
|
| Rate for Payer: UHC Exchange |
$64.58
|
| Rate for Payer: UMR Bronson Commercial |
$57.50
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN
|
Professional
|
Both
|
$200.00
|
|
|
Service Code
|
HCPCS 98005
|
| Min. Negotiated Rate |
$68.21 |
| Max. Negotiated Rate |
$150.00 |
| Rate for Payer: Aetna Medicare |
$100.00
|
| Rate for Payer: BCBS Complete |
$80.00
|
| Rate for Payer: BCN Commercial |
$68.21
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$150.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$84.21
|
| Rate for Payer: Priority Health SBD |
$84.21
|
| Rate for Payer: Priority Health Tiered Network |
$84.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$94.12
|
| Rate for Payer: UHC Core |
$94.12
|
| Rate for Payer: UHC Exchange |
$94.12
|
| Rate for Payer: UMR Bronson Commercial |
$92.00
|
|
|
PR SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN
|
Professional
|
Both
|
$271.00
|
|
|
Service Code
|
HCPCS 98006
|
| Min. Negotiated Rate |
$98.90 |
| Max. Negotiated Rate |
$203.25 |
| Rate for Payer: Aetna Medicare |
$135.50
|
| Rate for Payer: BCBS Complete |
$108.40
|
| Rate for Payer: BCN Commercial |
$98.90
|
| Rate for Payer: Cash Price |
$216.80
|
| Rate for Payer: Cash Price |
$216.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$203.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$125.42
|
| Rate for Payer: Priority Health SBD |
$125.42
|
| Rate for Payer: Priority Health Tiered Network |
$125.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.23
|
| Rate for Payer: UHC Core |
$140.23
|
| Rate for Payer: UHC Exchange |
$140.23
|
| Rate for Payer: UMR Bronson Commercial |
$124.66
|
|
