|
PR TENOTOMY PERCUTANEOUS TOE SINGLE TENDON
|
Professional
|
Both
|
$406.00
|
|
|
Service Code
|
HCPCS 28010
|
| Min. Negotiated Rate |
$126.31 |
| Max. Negotiated Rate |
$361.45 |
| Rate for Payer: Aetna Commercial |
$256.13
|
| Rate for Payer: Aetna Medicare |
$198.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.24
|
| Rate for Payer: BCBS Complete |
$132.63
|
| Rate for Payer: BCBS MAPPO |
$191.14
|
| Rate for Payer: BCN Commercial |
$318.21
|
| Rate for Payer: BCN Medicare Advantage |
$191.14
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cash Price |
$324.80
|
| Rate for Payer: Cofinity Commercial |
$256.13
|
| Rate for Payer: Cofinity Commercial |
$275.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$200.70
|
| Rate for Payer: Meridian Medicaid |
$132.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$210.25
|
| Rate for Payer: Nomi Health Commercial |
$229.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.50
|
| Rate for Payer: PACE SWMI |
$191.14
|
| Rate for Payer: PHP Commercial |
$267.60
|
| Rate for Payer: PHP Medicare Advantage |
$191.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$340.15
|
| Rate for Payer: Priority Health Medicare |
$191.14
|
| Rate for Payer: Priority Health SBD |
$340.15
|
| Rate for Payer: Priority Health Tiered Network |
$340.15
|
| Rate for Payer: Railroad Medicare Medicare |
$191.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$361.45
|
| Rate for Payer: UHC Core |
$361.45
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$191.14
|
| Rate for Payer: UHC Exchange |
$361.45
|
| Rate for Payer: UHC Medicaid |
$126.31
|
| Rate for Payer: UHCCP Medicaid |
$126.31
|
| Rate for Payer: UMR Bronson Commercial |
$186.76
|
|
|
PR TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES
|
Professional
|
Both
|
$893.00
|
|
|
Service Code
|
HCPCS 27606
|
| Min. Negotiated Rate |
$162.52 |
| Max. Negotiated Rate |
$669.75 |
| Rate for Payer: Aetna Commercial |
$333.95
|
| Rate for Payer: Aetna Medicare |
$259.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$333.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$358.88
|
| Rate for Payer: BCBS Complete |
$170.65
|
| Rate for Payer: BCBS MAPPO |
$249.22
|
| Rate for Payer: BCN Commercial |
$411.33
|
| Rate for Payer: BCN Medicare Advantage |
$249.22
|
| Rate for Payer: Cash Price |
$714.40
|
| Rate for Payer: Cash Price |
$714.40
|
| Rate for Payer: Cofinity Commercial |
$333.95
|
| Rate for Payer: Cofinity Commercial |
$358.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$249.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$261.68
|
| Rate for Payer: Meridian Medicaid |
$170.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$274.14
|
| Rate for Payer: Nomi Health Commercial |
$299.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$669.75
|
| Rate for Payer: PACE SWMI |
$249.22
|
| Rate for Payer: PHP Commercial |
$348.91
|
| Rate for Payer: PHP Medicare Advantage |
$249.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$439.70
|
| Rate for Payer: Priority Health Medicare |
$249.22
|
| Rate for Payer: Priority Health SBD |
$439.70
|
| Rate for Payer: Priority Health Tiered Network |
$439.70
|
| Rate for Payer: Railroad Medicare Medicare |
$249.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$484.78
|
| Rate for Payer: UHC Core |
$484.78
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$249.22
|
| Rate for Payer: UHC Exchange |
$484.78
|
| Rate for Payer: UHC Medicaid |
$162.52
|
| Rate for Payer: UHCCP Medicaid |
$162.52
|
| Rate for Payer: UMR Bronson Commercial |
$410.78
|
|
|
PR TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES
|
Professional
|
Both
|
$785.00
|
|
|
Service Code
|
HCPCS 27605
|
| Min. Negotiated Rate |
$110.55 |
| Max. Negotiated Rate |
$588.75 |
| Rate for Payer: Aetna Commercial |
$225.88
|
| Rate for Payer: Aetna Medicare |
$175.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$225.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$242.74
|
| Rate for Payer: BCBS Complete |
$116.08
|
| Rate for Payer: BCBS MAPPO |
$168.57
|
| Rate for Payer: BCN Commercial |
$277.38
|
| Rate for Payer: BCN Medicare Advantage |
$168.57
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cash Price |
$628.00
|
| Rate for Payer: Cofinity Commercial |
$225.88
|
| Rate for Payer: Cofinity Commercial |
$242.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$168.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$177.00
|
| Rate for Payer: Meridian Medicaid |
$116.08
|
| Rate for Payer: Molina Medicare/Medicaid |
$185.43
|
| Rate for Payer: Nomi Health Commercial |
$202.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$588.75
|
| Rate for Payer: PACE SWMI |
$168.57
|
| Rate for Payer: PHP Commercial |
$236.00
|
| Rate for Payer: PHP Medicare Advantage |
$168.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$110.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$296.51
|
| Rate for Payer: Priority Health Medicare |
$168.57
|
| Rate for Payer: Priority Health SBD |
$296.51
|
| Rate for Payer: Priority Health Tiered Network |
$296.51
|
| Rate for Payer: Railroad Medicare Medicare |
$168.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$323.99
|
| Rate for Payer: UHC Core |
$323.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$168.57
|
| Rate for Payer: UHC Exchange |
$323.99
|
| Rate for Payer: UHC Medicaid |
$110.55
|
| Rate for Payer: UHCCP Medicaid |
$110.55
|
| Rate for Payer: UMR Bronson Commercial |
$361.10
|
|
|
PR TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX
|
Professional
|
Both
|
$1,216.00
|
|
|
Service Code
|
HCPCS 27306
|
| Min. Negotiated Rate |
$207.25 |
| Max. Negotiated Rate |
$912.00 |
| Rate for Payer: Aetna Commercial |
$420.13
|
| Rate for Payer: Aetna Medicare |
$326.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$420.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$451.48
|
| Rate for Payer: BCBS Complete |
$217.61
|
| Rate for Payer: BCBS MAPPO |
$313.53
|
| Rate for Payer: BCN Commercial |
$526.86
|
| Rate for Payer: BCN Medicare Advantage |
$313.53
|
| Rate for Payer: Cash Price |
$972.80
|
| Rate for Payer: Cash Price |
$972.80
|
| Rate for Payer: Cofinity Commercial |
$420.13
|
| Rate for Payer: Cofinity Commercial |
$451.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$313.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$329.21
|
| Rate for Payer: Meridian Medicaid |
$217.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$344.88
|
| Rate for Payer: Nomi Health Commercial |
$376.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$912.00
|
| Rate for Payer: PACE SWMI |
$313.53
|
| Rate for Payer: PHP Commercial |
$438.94
|
| Rate for Payer: PHP Medicare Advantage |
$313.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$207.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$563.21
|
| Rate for Payer: Priority Health Medicare |
$313.53
|
| Rate for Payer: Priority Health SBD |
$563.21
|
| Rate for Payer: Priority Health Tiered Network |
$563.21
|
| Rate for Payer: Railroad Medicare Medicare |
$313.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$595.10
|
| Rate for Payer: UHC Core |
$595.10
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$313.53
|
| Rate for Payer: UHC Exchange |
$595.10
|
| Rate for Payer: UHC Medicaid |
$207.25
|
| Rate for Payer: UHCCP Medicaid |
$207.25
|
| Rate for Payer: UMR Bronson Commercial |
$559.36
|
|
|
PR TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON
|
Professional
|
Both
|
$870.00
|
|
|
Service Code
|
HCPCS 27307
|
| Min. Negotiated Rate |
$239.84 |
| Max. Negotiated Rate |
$833.95 |
| Rate for Payer: Aetna Commercial |
$488.64
|
| Rate for Payer: Aetna Medicare |
$379.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$488.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$525.11
|
| Rate for Payer: BCBS Complete |
$251.83
|
| Rate for Payer: BCBS MAPPO |
$364.66
|
| Rate for Payer: BCN Commercial |
$628.45
|
| Rate for Payer: BCN Medicare Advantage |
$364.66
|
| Rate for Payer: Cash Price |
$696.00
|
| Rate for Payer: Cash Price |
$696.00
|
| Rate for Payer: Cofinity Commercial |
$488.64
|
| Rate for Payer: Cofinity Commercial |
$525.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$364.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$382.89
|
| Rate for Payer: Meridian Medicaid |
$251.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$401.13
|
| Rate for Payer: Nomi Health Commercial |
$437.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$652.50
|
| Rate for Payer: PACE SWMI |
$364.66
|
| Rate for Payer: PHP Commercial |
$510.52
|
| Rate for Payer: PHP Medicare Advantage |
$364.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$239.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$671.79
|
| Rate for Payer: Priority Health Medicare |
$364.66
|
| Rate for Payer: Priority Health SBD |
$671.79
|
| Rate for Payer: Priority Health Tiered Network |
$671.79
|
| Rate for Payer: Railroad Medicare Medicare |
$364.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$833.95
|
| Rate for Payer: UHC Core |
$833.95
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$364.66
|
| Rate for Payer: UHC Exchange |
$833.95
|
| Rate for Payer: UHC Medicaid |
$239.84
|
| Rate for Payer: UHCCP Medicaid |
$239.84
|
| Rate for Payer: UMR Bronson Commercial |
$400.20
|
|
|
PR TENOTOMY SHOULDER AREA 1 TENDON
|
Professional
|
Both
|
$1,784.00
|
|
|
Service Code
|
HCPCS 23405
|
| Min. Negotiated Rate |
$366.36 |
| Max. Negotiated Rate |
$1,338.00 |
| Rate for Payer: Aetna Commercial |
$750.37
|
| Rate for Payer: Aetna Medicare |
$582.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$806.37
|
| Rate for Payer: BCBS Complete |
$384.68
|
| Rate for Payer: BCBS MAPPO |
$559.98
|
| Rate for Payer: BCN Commercial |
$936.70
|
| Rate for Payer: BCN Medicare Advantage |
$559.98
|
| Rate for Payer: Cash Price |
$1,427.20
|
| Rate for Payer: Cash Price |
$1,427.20
|
| Rate for Payer: Cofinity Commercial |
$750.37
|
| Rate for Payer: Cofinity Commercial |
$806.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$559.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$587.98
|
| Rate for Payer: Meridian Medicaid |
$384.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$615.98
|
| Rate for Payer: Nomi Health Commercial |
$671.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,338.00
|
| Rate for Payer: PACE SWMI |
$559.98
|
| Rate for Payer: PHP Commercial |
$783.97
|
| Rate for Payer: PHP Medicare Advantage |
$559.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$366.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,001.31
|
| Rate for Payer: Priority Health Medicare |
$559.98
|
| Rate for Payer: Priority Health SBD |
$1,001.31
|
| Rate for Payer: Priority Health Tiered Network |
$1,001.31
|
| Rate for Payer: Railroad Medicare Medicare |
$559.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,081.11
|
| Rate for Payer: UHC Core |
$1,081.11
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$559.98
|
| Rate for Payer: UHC Exchange |
$1,081.11
|
| Rate for Payer: UHC Medicaid |
$366.36
|
| Rate for Payer: UHCCP Medicaid |
$366.36
|
| Rate for Payer: UMR Bronson Commercial |
$820.64
|
|
|
PR TERBUTALINE SULFATE INJ
|
Professional
|
Both
|
$40.00
|
|
|
Service Code
|
HCPCS J3105
|
| Min. Negotiated Rate |
$0.19 |
| Max. Negotiated Rate |
$30.00 |
| Rate for Payer: Aetna Commercial |
$3.97
|
| Rate for Payer: Aetna Medicare |
$3.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4.26
|
| Rate for Payer: BCBS MAPPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$0.28
|
| Rate for Payer: BCN Commercial |
$0.19
|
| Rate for Payer: BCN Medicare Advantage |
$2.96
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Commercial |
$3.97
|
| Rate for Payer: Cofinity Commercial |
$4.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.26
|
| Rate for Payer: Nomi Health Commercial |
$3.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PACE SWMI |
$2.96
|
| Rate for Payer: PHP Commercial |
$4.14
|
| Rate for Payer: PHP Medicare Advantage |
$2.96
|
| Rate for Payer: Priority Health Medicare |
$2.96
|
| Rate for Payer: Railroad Medicare Medicare |
$2.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.47
|
| Rate for Payer: UHC Core |
$2.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.96
|
| Rate for Payer: UHC Exchange |
$2.47
|
| Rate for Payer: UMR Bronson Commercial |
$18.40
|
|
|
PR TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION
|
Professional
|
Both
|
$452.00
|
|
|
Service Code
|
HCPCS 95923
|
| Min. Negotiated Rate |
$114.83 |
| Max. Negotiated Rate |
$339.00 |
| Rate for Payer: Aetna Commercial |
$153.87
|
| Rate for Payer: Aetna Medicare |
$119.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$165.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$153.87
|
| Rate for Payer: BCBS MAPPO |
$114.83
|
| Rate for Payer: BCN Commercial |
$175.79
|
| Rate for Payer: BCN Medicare Advantage |
$114.83
|
| Rate for Payer: Cash Price |
$361.60
|
| Rate for Payer: Cash Price |
$361.60
|
| Rate for Payer: Cofinity Commercial |
$165.36
|
| Rate for Payer: Cofinity Commercial |
$153.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$114.83
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$120.57
|
| Rate for Payer: Molina Medicare/Medicaid |
$126.31
|
| Rate for Payer: Nomi Health Commercial |
$137.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$339.00
|
| Rate for Payer: PACE SWMI |
$114.83
|
| Rate for Payer: PHP Commercial |
$160.76
|
| Rate for Payer: PHP Medicare Advantage |
$114.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$162.11
|
| Rate for Payer: Priority Health Medicare |
$114.83
|
| Rate for Payer: Priority Health SBD |
$162.11
|
| Rate for Payer: Priority Health Tiered Network |
$162.11
|
| Rate for Payer: Railroad Medicare Medicare |
$114.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$198.26
|
| Rate for Payer: UHC Core |
$198.26
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$114.83
|
| Rate for Payer: UHC Exchange |
$198.26
|
| Rate for Payer: UMR Bronson Commercial |
$207.92
|
|
|
PR TESTOSTERONE CYPIONAT 100 MG
|
Professional
|
Both
|
$10.00
|
|
|
Service Code
|
HCPCS J1070
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$7.50 |
| Rate for Payer: Aetna Medicare |
$5.00
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.50
|
| Rate for Payer: UMR Bronson Commercial |
$4.60
|
|
|
PR TESTOSTERONE CYPIONAT 200 MG
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS J1080
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$25.50 |
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: BCBS Complete |
$13.60
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: UMR Bronson Commercial |
$15.64
|
|
|
PR TESTOSTERONE CYPIONATE 1 ML
|
Professional
|
Both
|
$6.00
|
|
|
Service Code
|
HCPCS J1060
|
| Min. Negotiated Rate |
$2.40 |
| Max. Negotiated Rate |
$4.50 |
| Rate for Payer: Aetna Medicare |
$3.00
|
| Rate for Payer: BCBS Complete |
$2.40
|
| Rate for Payer: Cash Price |
$4.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.50
|
| Rate for Payer: UMR Bronson Commercial |
$2.76
|
|
|
PR TESTOSTERONE ENANTHATE INJ
|
Professional
|
Both
|
$34.00
|
|
|
Service Code
|
HCPCS J3130
|
| Min. Negotiated Rate |
$13.60 |
| Max. Negotiated Rate |
$25.50 |
| Rate for Payer: Aetna Medicare |
$17.00
|
| Rate for Payer: BCBS Complete |
$13.60
|
| Rate for Payer: Cash Price |
$27.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.50
|
| Rate for Payer: UMR Bronson Commercial |
$15.64
|
|
|
PR TESTOSTERONE PELLET 75 MG
|
Professional
|
Both
|
$126.00
|
|
|
Service Code
|
HCPCS S0189
|
| Min. Negotiated Rate |
$50.40 |
| Max. Negotiated Rate |
$106.79 |
| Rate for Payer: Aetna Commercial |
$100.93
|
| Rate for Payer: Aetna Medicare |
$63.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$100.93
|
| Rate for Payer: BCBS Complete |
$50.40
|
| Rate for Payer: BCN Commercial |
$106.79
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.50
|
| Rate for Payer: UMR Bronson Commercial |
$57.96
|
|
|
PR TESTOSTERONE UNDECANOATE 1MG
|
Professional
|
Both
|
$5.00
|
|
|
Service Code
|
HCPCS J3145
|
| Min. Negotiated Rate |
$2.06 |
| Max. Negotiated Rate |
$3.75 |
| Rate for Payer: Aetna Commercial |
$2.85
|
| Rate for Payer: Aetna Medicare |
$2.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.07
|
| Rate for Payer: BCBS MAPPO |
$2.13
|
| Rate for Payer: BCBS Trust/PPO |
$2.10
|
| Rate for Payer: BCN Commercial |
$2.06
|
| Rate for Payer: BCN Medicare Advantage |
$2.13
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Cash Price |
$4.00
|
| Rate for Payer: Cofinity Commercial |
$2.85
|
| Rate for Payer: Cofinity Commercial |
$3.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.24
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.34
|
| Rate for Payer: Nomi Health Commercial |
$2.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.75
|
| Rate for Payer: PACE SWMI |
$2.13
|
| Rate for Payer: PHP Commercial |
$2.98
|
| Rate for Payer: PHP Medicare Advantage |
$2.13
|
| Rate for Payer: Priority Health Medicare |
$2.13
|
| Rate for Payer: Railroad Medicare Medicare |
$2.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.07
|
| Rate for Payer: UHC Core |
$2.07
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$2.13
|
| Rate for Payer: UHC Exchange |
$2.07
|
| Rate for Payer: UMR Bronson Commercial |
$2.30
|
|
|
PR TETANUS IMMUNIZATION, IM
|
Professional
|
Both
|
$46.00
|
|
|
Service Code
|
HCPCS 90703
|
| Min. Negotiated Rate |
$18.40 |
| Max. Negotiated Rate |
$34.50 |
| Rate for Payer: Aetna Medicare |
$23.00
|
| Rate for Payer: BCBS Complete |
$18.40
|
| Rate for Payer: Cash Price |
$36.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$34.50
|
| Rate for Payer: UMR Bronson Commercial |
$21.16
|
|
|
PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN
|
Professional
|
Both
|
$58.00
|
|
|
Service Code
|
HCPCS 97530
|
| Min. Negotiated Rate |
$26.68 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$44.72
|
| Rate for Payer: Aetna Medicare |
$34.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$44.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.05
|
| Rate for Payer: BCBS MAPPO |
$33.37
|
| Rate for Payer: BCN Commercial |
$35.72
|
| Rate for Payer: BCN Medicare Advantage |
$33.37
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cash Price |
$46.40
|
| Rate for Payer: Cofinity Commercial |
$48.05
|
| Rate for Payer: Cofinity Commercial |
$44.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$33.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$35.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.71
|
| Rate for Payer: Nomi Health Commercial |
$40.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.50
|
| Rate for Payer: PACE SWMI |
$33.37
|
| Rate for Payer: PHP Commercial |
$46.72
|
| Rate for Payer: PHP Medicare Advantage |
$33.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$33.37
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$33.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$34.56
|
| Rate for Payer: UHC Core |
$34.56
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$33.37
|
| Rate for Payer: UHC Exchange |
$34.56
|
| Rate for Payer: UMR Bronson Commercial |
$26.68
|
|
|
PR THERAPEUTIC APHERESIS PLASMA PHERESIS
|
Professional
|
Both
|
$895.00
|
|
|
Service Code
|
HCPCS 36514
|
| Min. Negotiated Rate |
$49.84 |
| Max. Negotiated Rate |
$671.25 |
| Rate for Payer: Aetna Commercial |
$104.02
|
| Rate for Payer: Aetna Medicare |
$80.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$111.79
|
| Rate for Payer: BCBS Complete |
$52.33
|
| Rate for Payer: BCBS MAPPO |
$77.63
|
| Rate for Payer: BCN Commercial |
$137.94
|
| Rate for Payer: BCN Medicare Advantage |
$77.63
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cash Price |
$716.00
|
| Rate for Payer: Cofinity Commercial |
$104.02
|
| Rate for Payer: Cofinity Commercial |
$111.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$77.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$81.51
|
| Rate for Payer: Meridian Medicaid |
$52.33
|
| Rate for Payer: Molina Medicare/Medicaid |
$85.39
|
| Rate for Payer: Nomi Health Commercial |
$93.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$671.25
|
| Rate for Payer: PACE SWMI |
$77.63
|
| Rate for Payer: PHP Commercial |
$108.68
|
| Rate for Payer: PHP Medicare Advantage |
$77.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$148.34
|
| Rate for Payer: Priority Health Medicare |
$77.63
|
| Rate for Payer: Priority Health SBD |
$148.34
|
| Rate for Payer: Priority Health Tiered Network |
$148.34
|
| Rate for Payer: Railroad Medicare Medicare |
$77.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$168.47
|
| Rate for Payer: UHC Core |
$168.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$77.63
|
| Rate for Payer: UHC Exchange |
$168.47
|
| Rate for Payer: UHC Medicaid |
$49.84
|
| Rate for Payer: UHCCP Medicaid |
$49.84
|
| Rate for Payer: UMR Bronson Commercial |
$411.70
|
|
|
PR THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS
|
Professional
|
Both
|
$35.00
|
|
|
Service Code
|
HCPCS 97150
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$23.29
|
| Rate for Payer: Aetna Medicare |
$18.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.03
|
| Rate for Payer: BCBS Complete |
$14.00
|
| Rate for Payer: BCBS MAPPO |
$17.38
|
| Rate for Payer: BCN Commercial |
$18.03
|
| Rate for Payer: BCN Medicare Advantage |
$17.38
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cash Price |
$28.00
|
| Rate for Payer: Cofinity Commercial |
$25.03
|
| Rate for Payer: Cofinity Commercial |
$23.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$17.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$18.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$19.12
|
| Rate for Payer: Nomi Health Commercial |
$20.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.25
|
| Rate for Payer: PACE SWMI |
$17.38
|
| Rate for Payer: PHP Commercial |
$24.33
|
| Rate for Payer: PHP Medicare Advantage |
$17.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$17.38
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$17.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$16.28
|
| Rate for Payer: UHC Core |
$16.28
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$17.38
|
| Rate for Payer: UHC Exchange |
$16.28
|
| Rate for Payer: UMR Bronson Commercial |
$16.10
|
|
|
PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM
|
Professional
|
Both
|
$45.00
|
|
|
Service Code
|
HCPCS 96372
|
| Min. Negotiated Rate |
$14.35 |
| Max. Negotiated Rate |
$33.75 |
| Rate for Payer: Aetna Commercial |
$19.55
|
| Rate for Payer: Aetna Medicare |
$15.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.01
|
| Rate for Payer: BCBS MAPPO |
$14.59
|
| Rate for Payer: BCN Commercial |
$14.35
|
| Rate for Payer: BCN Medicare Advantage |
$14.59
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cash Price |
$36.00
|
| Rate for Payer: Cofinity Commercial |
$19.55
|
| Rate for Payer: Cofinity Commercial |
$21.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.05
|
| Rate for Payer: Nomi Health Commercial |
$17.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$33.75
|
| Rate for Payer: PACE SWMI |
$14.59
|
| Rate for Payer: PHP Commercial |
$20.43
|
| Rate for Payer: PHP Medicare Advantage |
$14.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$19.75
|
| Rate for Payer: Priority Health Medicare |
$14.59
|
| Rate for Payer: Priority Health SBD |
$19.75
|
| Rate for Payer: Priority Health Tiered Network |
$19.75
|
| Rate for Payer: Railroad Medicare Medicare |
$14.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.15
|
| Rate for Payer: UHC Core |
$22.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$14.59
|
| Rate for Payer: UHC Exchange |
$22.15
|
| Rate for Payer: UMR Bronson Commercial |
$20.70
|
|
|
PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES
|
Professional
|
Both
|
$55.00
|
|
|
Service Code
|
HCPCS 97110
|
| Min. Negotiated Rate |
$25.30 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$37.40
|
| Rate for Payer: Aetna Medicare |
$29.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$40.19
|
| Rate for Payer: BCBS MAPPO |
$27.91
|
| Rate for Payer: BCN Commercial |
$29.70
|
| Rate for Payer: BCN Medicare Advantage |
$27.91
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cash Price |
$44.00
|
| Rate for Payer: Cofinity Commercial |
$37.40
|
| Rate for Payer: Cofinity Commercial |
$40.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29.31
|
| Rate for Payer: Molina Medicare/Medicaid |
$30.70
|
| Rate for Payer: Nomi Health Commercial |
$33.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.25
|
| Rate for Payer: PACE SWMI |
$27.91
|
| Rate for Payer: PHP Commercial |
$39.07
|
| Rate for Payer: PHP Medicare Advantage |
$27.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$27.91
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$27.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.15
|
| Rate for Payer: UHC Core |
$27.15
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27.91
|
| Rate for Payer: UHC Exchange |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$25.30
|
|
|
PR THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT
|
Professional
|
Both
|
$235.00
|
|
|
Service Code
|
HCPCS 62329
|
| Min. Negotiated Rate |
$59.21 |
| Max. Negotiated Rate |
$200.41 |
| Rate for Payer: Aetna Commercial |
$124.69
|
| Rate for Payer: Aetna Medicare |
$96.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$124.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.99
|
| Rate for Payer: BCBS Complete |
$62.17
|
| Rate for Payer: BCBS MAPPO |
$93.05
|
| Rate for Payer: BCN Commercial |
$154.87
|
| Rate for Payer: BCN Medicare Advantage |
$93.05
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cofinity Commercial |
$133.99
|
| Rate for Payer: Cofinity Commercial |
$124.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$93.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$97.70
|
| Rate for Payer: Meridian Medicaid |
$62.17
|
| Rate for Payer: Molina Medicare/Medicaid |
$102.36
|
| Rate for Payer: Nomi Health Commercial |
$111.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$176.25
|
| Rate for Payer: PACE SWMI |
$93.05
|
| Rate for Payer: PHP Commercial |
$130.27
|
| Rate for Payer: PHP Medicare Advantage |
$93.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$59.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$179.89
|
| Rate for Payer: Priority Health Medicare |
$93.05
|
| Rate for Payer: Priority Health SBD |
$179.89
|
| Rate for Payer: Priority Health Tiered Network |
$179.89
|
| Rate for Payer: Railroad Medicare Medicare |
$93.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$200.41
|
| Rate for Payer: UHC Core |
$200.41
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$93.05
|
| Rate for Payer: UHC Exchange |
$200.41
|
| Rate for Payer: UHC Medicaid |
$59.21
|
| Rate for Payer: UHCCP Medicaid |
$59.21
|
| Rate for Payer: UMR Bronson Commercial |
$108.10
|
|
|
PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF
|
Professional
|
Both
|
$485.00
|
|
|
Service Code
|
HCPCS 62272
|
| Min. Negotiated Rate |
$54.10 |
| Max. Negotiated Rate |
$363.75 |
| Rate for Payer: Aetna Commercial |
$114.33
|
| Rate for Payer: Aetna Medicare |
$88.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.86
|
| Rate for Payer: BCBS Complete |
$56.80
|
| Rate for Payer: BCBS MAPPO |
$85.32
|
| Rate for Payer: BCN Commercial |
$139.93
|
| Rate for Payer: BCN Medicare Advantage |
$85.32
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cash Price |
$388.00
|
| Rate for Payer: Cofinity Commercial |
$114.33
|
| Rate for Payer: Cofinity Commercial |
$122.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$85.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$89.59
|
| Rate for Payer: Meridian Medicaid |
$56.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$93.85
|
| Rate for Payer: Nomi Health Commercial |
$102.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.75
|
| Rate for Payer: PACE SWMI |
$85.32
|
| Rate for Payer: PHP Commercial |
$119.45
|
| Rate for Payer: PHP Medicare Advantage |
$85.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$54.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$162.52
|
| Rate for Payer: Priority Health Medicare |
$85.32
|
| Rate for Payer: Priority Health SBD |
$162.52
|
| Rate for Payer: Priority Health Tiered Network |
$162.52
|
| Rate for Payer: Railroad Medicare Medicare |
$85.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$156.06
|
| Rate for Payer: UHC Core |
$156.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$85.32
|
| Rate for Payer: UHC Exchange |
$156.06
|
| Rate for Payer: UHC Medicaid |
$54.10
|
| Rate for Payer: UHCCP Medicaid |
$54.10
|
| Rate for Payer: UMR Bronson Commercial |
$223.10
|
|
|
PR THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC
|
Professional
|
Both
|
$880.00
|
|
|
Service Code
|
HCPCS 64628
|
| Min. Negotiated Rate |
$232.60 |
| Max. Negotiated Rate |
$827.09 |
| Rate for Payer: Aetna Commercial |
$480.32
|
| Rate for Payer: Aetna Medicare |
$372.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$480.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$516.17
|
| Rate for Payer: BCBS Complete |
$244.23
|
| Rate for Payer: BCBS MAPPO |
$358.45
|
| Rate for Payer: BCN Commercial |
$614.51
|
| Rate for Payer: BCN Medicare Advantage |
$358.45
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Cash Price |
$704.00
|
| Rate for Payer: Cofinity Commercial |
$480.32
|
| Rate for Payer: Cofinity Commercial |
$516.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$358.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$376.37
|
| Rate for Payer: Meridian Medicaid |
$244.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$394.30
|
| Rate for Payer: Nomi Health Commercial |
$430.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$660.00
|
| Rate for Payer: PACE SWMI |
$358.45
|
| Rate for Payer: PHP Commercial |
$501.83
|
| Rate for Payer: PHP Medicare Advantage |
$358.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$232.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$713.75
|
| Rate for Payer: Priority Health Medicare |
$358.45
|
| Rate for Payer: Priority Health SBD |
$713.75
|
| Rate for Payer: Priority Health Tiered Network |
$713.75
|
| Rate for Payer: Railroad Medicare Medicare |
$358.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$827.09
|
| Rate for Payer: UHC Core |
$827.09
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$358.45
|
| Rate for Payer: UHC Exchange |
$827.09
|
| Rate for Payer: UHC Medicaid |
$232.60
|
| Rate for Payer: UHCCP Medicaid |
$232.60
|
| Rate for Payer: UMR Bronson Commercial |
$404.80
|
|
|
PR THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG
|
Professional
|
Both
|
$110.00
|
|
|
Service Code
|
HCPCS 96374
|
| Min. Negotiated Rate |
$35.13 |
| Max. Negotiated Rate |
$82.50 |
| Rate for Payer: Aetna Commercial |
$47.07
|
| Rate for Payer: Aetna Medicare |
$36.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$50.59
|
| Rate for Payer: BCBS MAPPO |
$35.13
|
| Rate for Payer: BCN Commercial |
$52.29
|
| Rate for Payer: BCN Medicare Advantage |
$35.13
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cofinity Commercial |
$47.07
|
| Rate for Payer: Cofinity Commercial |
$50.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$36.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.64
|
| Rate for Payer: Nomi Health Commercial |
$42.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$82.50
|
| Rate for Payer: PACE SWMI |
$35.13
|
| Rate for Payer: PHP Commercial |
$49.18
|
| Rate for Payer: PHP Medicare Advantage |
$35.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$48.22
|
| Rate for Payer: Priority Health Medicare |
$35.13
|
| Rate for Payer: Priority Health SBD |
$48.22
|
| Rate for Payer: Priority Health Tiered Network |
$48.22
|
| Rate for Payer: Railroad Medicare Medicare |
$35.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$60.00
|
| Rate for Payer: UHC Core |
$60.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$35.13
|
| Rate for Payer: UHC Exchange |
$60.00
|
| Rate for Payer: UMR Bronson Commercial |
$50.60
|
|
|
PR THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA
|
Professional
|
Both
|
$57.00
|
|
|
Service Code
|
HCPCS 97112
|
| Min. Negotiated Rate |
$26.22 |
| Max. Negotiated Rate |
$89.48 |
| Rate for Payer: Aetna Commercial |
$42.09
|
| Rate for Payer: Aetna Medicare |
$32.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.23
|
| Rate for Payer: BCBS MAPPO |
$31.41
|
| Rate for Payer: BCN Commercial |
$33.04
|
| Rate for Payer: BCN Medicare Advantage |
$31.41
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cash Price |
$45.60
|
| Rate for Payer: Cofinity Commercial |
$45.23
|
| Rate for Payer: Cofinity Commercial |
$42.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$31.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$34.55
|
| Rate for Payer: Nomi Health Commercial |
$37.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$42.75
|
| Rate for Payer: PACE SWMI |
$31.41
|
| Rate for Payer: PHP Commercial |
$43.97
|
| Rate for Payer: PHP Medicare Advantage |
$31.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$89.48
|
| Rate for Payer: Priority Health Medicare |
$31.41
|
| Rate for Payer: Priority Health SBD |
$89.48
|
| Rate for Payer: Priority Health Tiered Network |
$89.48
|
| Rate for Payer: Railroad Medicare Medicare |
$31.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.16
|
| Rate for Payer: UHC Core |
$31.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$31.41
|
| Rate for Payer: UHC Exchange |
$31.16
|
| Rate for Payer: UMR Bronson Commercial |
$26.22
|
|
