|
PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL
|
Professional
|
Both
|
$2,080.00
|
|
|
Service Code
|
HCPCS 35875
|
| Min. Negotiated Rate |
$343.36 |
| Max. Negotiated Rate |
$1,560.00 |
| Rate for Payer: Aetna Commercial |
$724.93
|
| Rate for Payer: Aetna Medicare |
$562.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$779.03
|
| Rate for Payer: BCBS Complete |
$360.53
|
| Rate for Payer: BCBS MAPPO |
$540.99
|
| Rate for Payer: BCN Commercial |
$864.49
|
| Rate for Payer: BCN Medicare Advantage |
$540.99
|
| Rate for Payer: Cash Price |
$1,664.00
|
| Rate for Payer: Cash Price |
$1,664.00
|
| Rate for Payer: Cofinity Commercial |
$779.03
|
| Rate for Payer: Cofinity Commercial |
$724.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$540.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$568.04
|
| Rate for Payer: Meridian Medicaid |
$360.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$595.09
|
| Rate for Payer: Nomi Health Commercial |
$649.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,560.00
|
| Rate for Payer: PACE SWMI |
$540.99
|
| Rate for Payer: PHP Commercial |
$757.39
|
| Rate for Payer: PHP Medicare Advantage |
$540.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$343.36
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$929.66
|
| Rate for Payer: Priority Health Medicare |
$540.99
|
| Rate for Payer: Priority Health SBD |
$929.66
|
| Rate for Payer: Priority Health Tiered Network |
$929.66
|
| Rate for Payer: Railroad Medicare Medicare |
$540.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,064.76
|
| Rate for Payer: UHC Core |
$1,064.76
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$540.99
|
| Rate for Payer: UHC Exchange |
$1,064.76
|
| Rate for Payer: UHC Medicaid |
$343.36
|
| Rate for Payer: UHCCP Medicaid |
$343.36
|
| Rate for Payer: UMR Bronson Commercial |
$956.80
|
|
|
PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF
|
Professional
|
Both
|
$2,902.00
|
|
|
Service Code
|
HCPCS 35876
|
| Min. Negotiated Rate |
$546.13 |
| Max. Negotiated Rate |
$2,176.50 |
| Rate for Payer: Aetna Commercial |
$1,157.24
|
| Rate for Payer: Aetna Medicare |
$898.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,157.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,243.60
|
| Rate for Payer: BCBS Complete |
$573.44
|
| Rate for Payer: BCBS MAPPO |
$863.61
|
| Rate for Payer: BCN Commercial |
$1,376.92
|
| Rate for Payer: BCN Medicare Advantage |
$863.61
|
| Rate for Payer: Cash Price |
$2,321.60
|
| Rate for Payer: Cash Price |
$2,321.60
|
| Rate for Payer: Cofinity Commercial |
$1,157.24
|
| Rate for Payer: Cofinity Commercial |
$1,243.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$863.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$906.79
|
| Rate for Payer: Meridian Medicaid |
$573.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$949.97
|
| Rate for Payer: Nomi Health Commercial |
$1,036.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,176.50
|
| Rate for Payer: PACE SWMI |
$863.61
|
| Rate for Payer: PHP Commercial |
$1,209.05
|
| Rate for Payer: PHP Medicare Advantage |
$863.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$546.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,480.70
|
| Rate for Payer: Priority Health Medicare |
$863.61
|
| Rate for Payer: Priority Health SBD |
$1,480.70
|
| Rate for Payer: Priority Health Tiered Network |
$1,480.70
|
| Rate for Payer: Railroad Medicare Medicare |
$863.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,698.47
|
| Rate for Payer: UHC Core |
$1,698.47
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$863.61
|
| Rate for Payer: UHC Exchange |
$1,698.47
|
| Rate for Payer: UHC Medicaid |
$546.13
|
| Rate for Payer: UHCCP Medicaid |
$546.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,334.92
|
|
|
PR THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN
|
Professional
|
Both
|
$1,324.00
|
|
|
Service Code
|
HCPCS 34490
|
| Min. Negotiated Rate |
$336.54 |
| Max. Negotiated Rate |
$1,135.30 |
| Rate for Payer: Aetna Commercial |
$713.36
|
| Rate for Payer: Aetna Medicare |
$553.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$713.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$766.60
|
| Rate for Payer: BCBS Complete |
$353.37
|
| Rate for Payer: BCBS MAPPO |
$532.36
|
| Rate for Payer: BCN Commercial |
$844.58
|
| Rate for Payer: BCN Medicare Advantage |
$532.36
|
| Rate for Payer: Cash Price |
$1,059.20
|
| Rate for Payer: Cash Price |
$1,059.20
|
| Rate for Payer: Cofinity Commercial |
$713.36
|
| Rate for Payer: Cofinity Commercial |
$766.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$532.36
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$558.98
|
| Rate for Payer: Meridian Medicaid |
$353.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$585.60
|
| Rate for Payer: Nomi Health Commercial |
$638.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$993.00
|
| Rate for Payer: PACE SWMI |
$532.36
|
| Rate for Payer: PHP Commercial |
$745.30
|
| Rate for Payer: PHP Medicare Advantage |
$532.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$336.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$908.24
|
| Rate for Payer: Priority Health Medicare |
$532.36
|
| Rate for Payer: Priority Health SBD |
$908.24
|
| Rate for Payer: Priority Health Tiered Network |
$908.24
|
| Rate for Payer: Railroad Medicare Medicare |
$532.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,135.30
|
| Rate for Payer: UHC Core |
$1,135.30
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$532.36
|
| Rate for Payer: UHC Exchange |
$1,135.30
|
| Rate for Payer: UHC Medicaid |
$336.54
|
| Rate for Payer: UHCCP Medicaid |
$336.54
|
| Rate for Payer: UMR Bronson Commercial |
$609.04
|
|
|
PR THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC
|
Professional
|
Both
|
$2,659.00
|
|
|
Service Code
|
HCPCS 34401
|
| Min. Negotiated Rate |
$777.24 |
| Max. Negotiated Rate |
$2,596.31 |
| Rate for Payer: Aetna Commercial |
$1,655.61
|
| Rate for Payer: Aetna Medicare |
$1,284.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,655.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,779.16
|
| Rate for Payer: BCBS Complete |
$816.10
|
| Rate for Payer: BCBS MAPPO |
$1,235.53
|
| Rate for Payer: BCN Commercial |
$1,960.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,235.53
|
| Rate for Payer: Cash Price |
$2,127.20
|
| Rate for Payer: Cash Price |
$2,127.20
|
| Rate for Payer: Cofinity Commercial |
$1,655.61
|
| Rate for Payer: Cofinity Commercial |
$1,779.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,235.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,297.31
|
| Rate for Payer: Meridian Medicaid |
$816.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,359.08
|
| Rate for Payer: Nomi Health Commercial |
$1,482.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,994.25
|
| Rate for Payer: PACE SWMI |
$1,235.53
|
| Rate for Payer: PHP Commercial |
$1,729.74
|
| Rate for Payer: PHP Medicare Advantage |
$1,235.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$777.24
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,107.79
|
| Rate for Payer: Priority Health Medicare |
$1,235.53
|
| Rate for Payer: Priority Health SBD |
$2,107.79
|
| Rate for Payer: Priority Health Tiered Network |
$2,107.79
|
| Rate for Payer: Railroad Medicare Medicare |
$1,235.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,596.31
|
| Rate for Payer: UHC Core |
$2,596.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,235.53
|
| Rate for Payer: UHC Exchange |
$2,596.31
|
| Rate for Payer: UHC Medicaid |
$777.24
|
| Rate for Payer: UHCCP Medicaid |
$777.24
|
| Rate for Payer: UMR Bronson Commercial |
$1,223.14
|
|
|
PR THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF
|
Professional
|
Both
|
$2,178.00
|
|
|
Service Code
|
HCPCS 36831
|
| Min. Negotiated Rate |
$360.82 |
| Max. Negotiated Rate |
$1,633.50 |
| Rate for Payer: Aetna Commercial |
$760.60
|
| Rate for Payer: Aetna Medicare |
$590.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$760.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$817.36
|
| Rate for Payer: BCBS Complete |
$378.86
|
| Rate for Payer: BCBS MAPPO |
$567.61
|
| Rate for Payer: BCN Commercial |
$906.82
|
| Rate for Payer: BCN Medicare Advantage |
$567.61
|
| Rate for Payer: Cash Price |
$1,742.40
|
| Rate for Payer: Cash Price |
$1,742.40
|
| Rate for Payer: Cofinity Commercial |
$760.60
|
| Rate for Payer: Cofinity Commercial |
$817.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$567.61
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$595.99
|
| Rate for Payer: Meridian Medicaid |
$378.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$624.37
|
| Rate for Payer: Nomi Health Commercial |
$681.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,633.50
|
| Rate for Payer: PACE SWMI |
$567.61
|
| Rate for Payer: PHP Commercial |
$794.65
|
| Rate for Payer: PHP Medicare Advantage |
$567.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$360.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$975.17
|
| Rate for Payer: Priority Health Medicare |
$567.61
|
| Rate for Payer: Priority Health SBD |
$975.17
|
| Rate for Payer: Priority Health Tiered Network |
$975.17
|
| Rate for Payer: Railroad Medicare Medicare |
$567.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,101.04
|
| Rate for Payer: UHC Core |
$1,101.04
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$567.61
|
| Rate for Payer: UHC Exchange |
$1,101.04
|
| Rate for Payer: UHC Medicaid |
$360.82
|
| Rate for Payer: UHCCP Medicaid |
$360.82
|
| Rate for Payer: UMR Bronson Commercial |
$1,001.88
|
|
|
PR THROMBECTOMY,ARTERIOVENOUS FISTULA
|
Professional
|
Both
|
$1,967.00
|
|
|
Service Code
|
HCPCS 36870
|
| Min. Negotiated Rate |
$786.80 |
| Max. Negotiated Rate |
$1,475.25 |
| Rate for Payer: Aetna Medicare |
$983.50
|
| Rate for Payer: BCBS Complete |
$786.80
|
| Rate for Payer: Cash Price |
$1,573.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,475.25
|
| Rate for Payer: UMR Bronson Commercial |
$904.82
|
|
|
PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX
|
Professional
|
Both
|
$641.00
|
|
|
Service Code
|
HCPCS 37211
|
| Min. Negotiated Rate |
$215.77 |
| Max. Negotiated Rate |
$693.06 |
| Rate for Payer: Aetna Commercial |
$457.88
|
| Rate for Payer: Aetna Medicare |
$355.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$492.05
|
| Rate for Payer: BCBS Complete |
$226.56
|
| Rate for Payer: BCBS MAPPO |
$341.70
|
| Rate for Payer: BCN Commercial |
$563.71
|
| Rate for Payer: BCN Medicare Advantage |
$341.70
|
| Rate for Payer: Cash Price |
$512.80
|
| Rate for Payer: Cash Price |
$512.80
|
| Rate for Payer: Cofinity Commercial |
$492.05
|
| Rate for Payer: Cofinity Commercial |
$457.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$341.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$358.79
|
| Rate for Payer: Meridian Medicaid |
$226.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$375.87
|
| Rate for Payer: Nomi Health Commercial |
$410.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$480.75
|
| Rate for Payer: PACE SWMI |
$341.70
|
| Rate for Payer: PHP Commercial |
$478.38
|
| Rate for Payer: PHP Medicare Advantage |
$341.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$215.77
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$606.20
|
| Rate for Payer: Priority Health Medicare |
$341.70
|
| Rate for Payer: Priority Health SBD |
$606.20
|
| Rate for Payer: Priority Health Tiered Network |
$606.20
|
| Rate for Payer: Railroad Medicare Medicare |
$341.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$693.06
|
| Rate for Payer: UHC Core |
$693.06
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$341.70
|
| Rate for Payer: UHC Exchange |
$693.06
|
| Rate for Payer: UHC Medicaid |
$215.77
|
| Rate for Payer: UHCCP Medicaid |
$215.77
|
| Rate for Payer: UMR Bronson Commercial |
$294.86
|
|
|
PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX
|
Professional
|
Both
|
$1,124.00
|
|
|
Service Code
|
HCPCS 37213
|
| Min. Negotiated Rate |
$129.08 |
| Max. Negotiated Rate |
$843.00 |
| Rate for Payer: Aetna Commercial |
$273.88
|
| Rate for Payer: Aetna Medicare |
$212.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.32
|
| Rate for Payer: BCBS Complete |
$135.53
|
| Rate for Payer: BCBS MAPPO |
$204.39
|
| Rate for Payer: BCN Commercial |
$336.64
|
| Rate for Payer: BCN Medicare Advantage |
$204.39
|
| Rate for Payer: Cash Price |
$899.20
|
| Rate for Payer: Cash Price |
$899.20
|
| Rate for Payer: Cofinity Commercial |
$273.88
|
| Rate for Payer: Cofinity Commercial |
$294.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$204.39
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$214.61
|
| Rate for Payer: Meridian Medicaid |
$135.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$224.83
|
| Rate for Payer: Nomi Health Commercial |
$245.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$843.00
|
| Rate for Payer: PACE SWMI |
$204.39
|
| Rate for Payer: PHP Commercial |
$286.15
|
| Rate for Payer: PHP Medicare Advantage |
$204.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$362.00
|
| Rate for Payer: Priority Health Medicare |
$204.39
|
| Rate for Payer: Priority Health SBD |
$362.00
|
| Rate for Payer: Priority Health Tiered Network |
$362.00
|
| Rate for Payer: Railroad Medicare Medicare |
$204.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$417.57
|
| Rate for Payer: UHC Core |
$417.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$204.39
|
| Rate for Payer: UHC Exchange |
$417.57
|
| Rate for Payer: UHC Medicaid |
$129.08
|
| Rate for Payer: UHCCP Medicaid |
$129.08
|
| Rate for Payer: UMR Bronson Commercial |
$517.04
|
|
|
PR THROMBOLYSIS CEREBRAL IV INFUSION
|
Professional
|
Both
|
$1,451.00
|
|
|
Service Code
|
HCPCS 37195
|
| Min. Negotiated Rate |
$241.57 |
| Max. Negotiated Rate |
$1,273.46 |
| Rate for Payer: Aetna Commercial |
$1,244.65
|
| Rate for Payer: Aetna Medicare |
$725.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,244.65
|
| Rate for Payer: BCBS Complete |
$253.65
|
| Rate for Payer: BCN Commercial |
$310.13
|
| Rate for Payer: Cash Price |
$1,160.80
|
| Rate for Payer: Cash Price |
$1,160.80
|
| Rate for Payer: Meridian Medicaid |
$253.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,088.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$241.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,273.46
|
| Rate for Payer: Priority Health SBD |
$1,273.46
|
| Rate for Payer: Priority Health Tiered Network |
$1,273.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$683.42
|
| Rate for Payer: UHC Core |
$683.42
|
| Rate for Payer: UHC Exchange |
$683.42
|
| Rate for Payer: UHC Medicaid |
$241.57
|
| Rate for Payer: UHCCP Medicaid |
$241.57
|
| Rate for Payer: UMR Bronson Commercial |
$667.46
|
|
|
PR THROMBOLYSIS CORONARY INTRAVENOUS INFUSION
|
Professional
|
Both
|
$657.00
|
|
|
Service Code
|
HCPCS 92977
|
| Min. Negotiated Rate |
$68.22 |
| Max. Negotiated Rate |
$492.75 |
| Rate for Payer: Aetna Commercial |
$68.22
|
| Rate for Payer: Aetna Medicare |
$328.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.22
|
| Rate for Payer: BCBS Complete |
$262.80
|
| Rate for Payer: BCN Commercial |
$83.66
|
| Rate for Payer: Cash Price |
$525.60
|
| Rate for Payer: Cash Price |
$525.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$492.75
|
| Rate for Payer: UMR Bronson Commercial |
$302.22
|
|
|
PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH
|
Professional
|
Both
|
$817.00
|
|
|
Service Code
|
HCPCS 92975
|
| Min. Negotiated Rate |
$326.80 |
| Max. Negotiated Rate |
$612.75 |
| Rate for Payer: Aetna Commercial |
$505.09
|
| Rate for Payer: Aetna Medicare |
$408.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$505.09
|
| Rate for Payer: BCBS Complete |
$326.80
|
| Rate for Payer: BCN Commercial |
$547.78
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Cash Price |
$653.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$612.75
|
| Rate for Payer: UMR Bronson Commercial |
$375.82
|
|
|
PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX
|
Professional
|
Both
|
$1,659.00
|
|
|
Service Code
|
HCPCS 37212
|
| Min. Negotiated Rate |
$187.87 |
| Max. Negotiated Rate |
$1,244.25 |
| Rate for Payer: Aetna Commercial |
$397.97
|
| Rate for Payer: Aetna Medicare |
$308.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$397.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$427.67
|
| Rate for Payer: BCBS Complete |
$197.26
|
| Rate for Payer: BCBS MAPPO |
$296.99
|
| Rate for Payer: BCN Commercial |
$492.50
|
| Rate for Payer: BCN Medicare Advantage |
$296.99
|
| Rate for Payer: Cash Price |
$1,327.20
|
| Rate for Payer: Cash Price |
$1,327.20
|
| Rate for Payer: Cofinity Commercial |
$397.97
|
| Rate for Payer: Cofinity Commercial |
$427.67
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$296.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$311.84
|
| Rate for Payer: Meridian Medicaid |
$197.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$326.69
|
| Rate for Payer: Nomi Health Commercial |
$356.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,244.25
|
| Rate for Payer: PACE SWMI |
$296.99
|
| Rate for Payer: PHP Commercial |
$415.79
|
| Rate for Payer: PHP Medicare Advantage |
$296.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$187.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$529.63
|
| Rate for Payer: Priority Health Medicare |
$296.99
|
| Rate for Payer: Priority Health SBD |
$529.63
|
| Rate for Payer: Priority Health Tiered Network |
$529.63
|
| Rate for Payer: Railroad Medicare Medicare |
$296.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$605.66
|
| Rate for Payer: UHC Core |
$605.66
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$296.99
|
| Rate for Payer: UHC Exchange |
$605.66
|
| Rate for Payer: UHC Medicaid |
$187.87
|
| Rate for Payer: UHCCP Medicaid |
$187.87
|
| Rate for Payer: UMR Bronson Commercial |
$763.14
|
|
|
PR THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC
|
Professional
|
Both
|
$3,819.00
|
|
|
Service Code
|
HCPCS 32659
|
| Min. Negotiated Rate |
$456.89 |
| Max. Negotiated Rate |
$2,864.25 |
| Rate for Payer: Aetna Commercial |
$949.98
|
| Rate for Payer: Aetna Medicare |
$737.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,020.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$949.98
|
| Rate for Payer: BCBS Complete |
$479.73
|
| Rate for Payer: BCBS MAPPO |
$708.94
|
| Rate for Payer: BCN Commercial |
$1,092.57
|
| Rate for Payer: BCN Medicare Advantage |
$708.94
|
| Rate for Payer: Cash Price |
$3,055.20
|
| Rate for Payer: Cash Price |
$3,055.20
|
| Rate for Payer: Cofinity Commercial |
$1,020.87
|
| Rate for Payer: Cofinity Commercial |
$949.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$708.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$744.39
|
| Rate for Payer: Meridian Medicaid |
$479.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$779.83
|
| Rate for Payer: Nomi Health Commercial |
$850.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,864.25
|
| Rate for Payer: PACE SWMI |
$708.94
|
| Rate for Payer: PHP Commercial |
$992.52
|
| Rate for Payer: PHP Medicare Advantage |
$708.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$456.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,028.87
|
| Rate for Payer: Priority Health Medicare |
$708.94
|
| Rate for Payer: Priority Health SBD |
$1,028.87
|
| Rate for Payer: Priority Health Tiered Network |
$1,028.87
|
| Rate for Payer: Railroad Medicare Medicare |
$708.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,291.08
|
| Rate for Payer: UHC Core |
$1,291.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$708.94
|
| Rate for Payer: UHC Exchange |
$1,291.08
|
| Rate for Payer: UHC Medicaid |
$456.89
|
| Rate for Payer: UHCCP Medicaid |
$456.89
|
| Rate for Payer: UMR Bronson Commercial |
$1,756.74
|
|
|
PR THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS
|
Professional
|
Both
|
$4,593.00
|
|
|
Service Code
|
HCPCS 32652
|
| Min. Negotiated Rate |
$1,001.10 |
| Max. Negotiated Rate |
$3,444.75 |
| Rate for Payer: Aetna Commercial |
$2,099.90
|
| Rate for Payer: Aetna Medicare |
$1,629.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,099.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,256.61
|
| Rate for Payer: BCBS Complete |
$1,051.15
|
| Rate for Payer: BCBS MAPPO |
$1,567.09
|
| Rate for Payer: BCN Commercial |
$2,455.05
|
| Rate for Payer: BCN Medicare Advantage |
$1,567.09
|
| Rate for Payer: Cash Price |
$3,674.40
|
| Rate for Payer: Cash Price |
$3,674.40
|
| Rate for Payer: Cofinity Commercial |
$2,099.90
|
| Rate for Payer: Cofinity Commercial |
$2,256.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,567.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,645.44
|
| Rate for Payer: Meridian Medicaid |
$1,051.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,723.80
|
| Rate for Payer: Nomi Health Commercial |
$1,880.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,444.75
|
| Rate for Payer: PACE SWMI |
$1,567.09
|
| Rate for Payer: PHP Commercial |
$2,193.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,567.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,001.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,311.92
|
| Rate for Payer: Priority Health Medicare |
$1,567.09
|
| Rate for Payer: Priority Health SBD |
$2,311.92
|
| Rate for Payer: Priority Health Tiered Network |
$2,311.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,567.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,948.50
|
| Rate for Payer: UHC Core |
$2,948.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,567.09
|
| Rate for Payer: UHC Exchange |
$2,948.50
|
| Rate for Payer: UHC Medicaid |
$1,001.10
|
| Rate for Payer: UHCCP Medicaid |
$1,001.10
|
| Rate for Payer: UMR Bronson Commercial |
$2,112.78
|
|
|
PR THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX
|
Professional
|
Both
|
$2,636.00
|
|
|
Service Code
|
HCPCS 60522
|
| Min. Negotiated Rate |
$829.21 |
| Max. Negotiated Rate |
$2,420.58 |
| Rate for Payer: Aetna Commercial |
$1,734.66
|
| Rate for Payer: Aetna Medicare |
$1,346.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,734.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,864.11
|
| Rate for Payer: BCBS Complete |
$870.67
|
| Rate for Payer: BCBS MAPPO |
$1,294.52
|
| Rate for Payer: BCN Commercial |
$2,025.28
|
| Rate for Payer: BCN Medicare Advantage |
$1,294.52
|
| Rate for Payer: Cash Price |
$2,108.80
|
| Rate for Payer: Cash Price |
$2,108.80
|
| Rate for Payer: Cofinity Commercial |
$1,734.66
|
| Rate for Payer: Cofinity Commercial |
$1,864.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,294.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,359.25
|
| Rate for Payer: Meridian Medicaid |
$870.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,423.97
|
| Rate for Payer: Nomi Health Commercial |
$1,553.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,977.00
|
| Rate for Payer: PACE SWMI |
$1,294.52
|
| Rate for Payer: PHP Commercial |
$1,812.33
|
| Rate for Payer: PHP Medicare Advantage |
$1,294.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$829.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,196.10
|
| Rate for Payer: Priority Health Medicare |
$1,294.52
|
| Rate for Payer: Priority Health SBD |
$2,196.10
|
| Rate for Payer: Priority Health Tiered Network |
$2,196.10
|
| Rate for Payer: Railroad Medicare Medicare |
$1,294.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,420.58
|
| Rate for Payer: UHC Core |
$2,420.58
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,294.52
|
| Rate for Payer: UHC Exchange |
$2,420.58
|
| Rate for Payer: UHC Medicaid |
$829.21
|
| Rate for Payer: UHCCP Medicaid |
$829.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,212.56
|
|
|
PR THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX
|
Professional
|
Both
|
$3,637.00
|
|
|
Service Code
|
HCPCS 60520
|
| Min. Negotiated Rate |
$626.86 |
| Max. Negotiated Rate |
$2,727.75 |
| Rate for Payer: Aetna Commercial |
$1,307.10
|
| Rate for Payer: Aetna Medicare |
$1,014.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,307.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,404.65
|
| Rate for Payer: BCBS Complete |
$658.20
|
| Rate for Payer: BCBS MAPPO |
$975.45
|
| Rate for Payer: BCN Commercial |
$1,577.61
|
| Rate for Payer: BCN Medicare Advantage |
$975.45
|
| Rate for Payer: Cash Price |
$2,909.60
|
| Rate for Payer: Cash Price |
$2,909.60
|
| Rate for Payer: Cofinity Commercial |
$1,307.10
|
| Rate for Payer: Cofinity Commercial |
$1,404.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$975.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,024.22
|
| Rate for Payer: Meridian Medicaid |
$658.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,072.99
|
| Rate for Payer: Nomi Health Commercial |
$1,170.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,727.75
|
| Rate for Payer: PACE SWMI |
$975.45
|
| Rate for Payer: PHP Commercial |
$1,365.63
|
| Rate for Payer: PHP Medicare Advantage |
$975.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$626.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,710.66
|
| Rate for Payer: Priority Health Medicare |
$975.45
|
| Rate for Payer: Priority Health SBD |
$1,710.66
|
| Rate for Payer: Priority Health Tiered Network |
$1,710.66
|
| Rate for Payer: Railroad Medicare Medicare |
$975.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,859.00
|
| Rate for Payer: UHC Core |
$1,859.00
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$975.45
|
| Rate for Payer: UHC Exchange |
$1,859.00
|
| Rate for Payer: UHC Medicaid |
$626.86
|
| Rate for Payer: UHCCP Medicaid |
$626.86
|
| Rate for Payer: UMR Bronson Commercial |
$1,673.02
|
|
|
PR THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX
|
Professional
|
Both
|
$4,065.00
|
|
|
Service Code
|
HCPCS 60521
|
| Min. Negotiated Rate |
$689.48 |
| Max. Negotiated Rate |
$3,048.75 |
| Rate for Payer: Aetna Commercial |
$1,440.81
|
| Rate for Payer: Aetna Medicare |
$1,118.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,440.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,548.33
|
| Rate for Payer: BCBS Complete |
$723.95
|
| Rate for Payer: BCBS MAPPO |
$1,075.23
|
| Rate for Payer: BCN Commercial |
$1,674.71
|
| Rate for Payer: BCN Medicare Advantage |
$1,075.23
|
| Rate for Payer: Cash Price |
$3,252.00
|
| Rate for Payer: Cash Price |
$3,252.00
|
| Rate for Payer: Cofinity Commercial |
$1,440.81
|
| Rate for Payer: Cofinity Commercial |
$1,548.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,075.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,128.99
|
| Rate for Payer: Meridian Medicaid |
$723.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,182.75
|
| Rate for Payer: Nomi Health Commercial |
$1,290.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,048.75
|
| Rate for Payer: PACE SWMI |
$1,075.23
|
| Rate for Payer: PHP Commercial |
$1,505.32
|
| Rate for Payer: PHP Medicare Advantage |
$1,075.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$689.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,815.95
|
| Rate for Payer: Priority Health Medicare |
$1,075.23
|
| Rate for Payer: Priority Health SBD |
$1,815.95
|
| Rate for Payer: Priority Health Tiered Network |
$1,815.95
|
| Rate for Payer: Railroad Medicare Medicare |
$1,075.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,988.59
|
| Rate for Payer: UHC Core |
$1,988.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,075.23
|
| Rate for Payer: UHC Exchange |
$1,988.59
|
| Rate for Payer: UHC Medicaid |
$689.48
|
| Rate for Payer: UHCCP Medicaid |
$689.48
|
| Rate for Payer: UMR Bronson Commercial |
$1,869.90
|
|
|
PR THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL
|
Professional
|
Both
|
$3,287.00
|
|
|
Service Code
|
HCPCS 60260
|
| Min. Negotiated Rate |
$618.55 |
| Max. Negotiated Rate |
$2,465.25 |
| Rate for Payer: Aetna Commercial |
$1,289.52
|
| Rate for Payer: Aetna Medicare |
$1,000.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,289.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,385.76
|
| Rate for Payer: BCBS Complete |
$649.48
|
| Rate for Payer: BCBS MAPPO |
$962.33
|
| Rate for Payer: BCN Commercial |
$1,633.38
|
| Rate for Payer: BCN Medicare Advantage |
$962.33
|
| Rate for Payer: Cash Price |
$2,629.60
|
| Rate for Payer: Cash Price |
$2,629.60
|
| Rate for Payer: Cofinity Commercial |
$1,289.52
|
| Rate for Payer: Cofinity Commercial |
$1,385.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$962.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,010.45
|
| Rate for Payer: Meridian Medicaid |
$649.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,058.56
|
| Rate for Payer: Nomi Health Commercial |
$1,154.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,465.25
|
| Rate for Payer: PACE SWMI |
$962.33
|
| Rate for Payer: PHP Commercial |
$1,347.26
|
| Rate for Payer: PHP Medicare Advantage |
$962.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,771.15
|
| Rate for Payer: Priority Health Medicare |
$962.33
|
| Rate for Payer: Priority Health SBD |
$1,771.15
|
| Rate for Payer: Priority Health Tiered Network |
$1,771.15
|
| Rate for Payer: Railroad Medicare Medicare |
$962.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,921.88
|
| Rate for Payer: UHC Core |
$1,921.88
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$962.33
|
| Rate for Payer: UHC Exchange |
$1,921.88
|
| Rate for Payer: UHC Medicaid |
$618.55
|
| Rate for Payer: UHCCP Medicaid |
$618.55
|
| Rate for Payer: UMR Bronson Commercial |
$1,512.02
|
|
|
PR THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH
|
Professional
|
Both
|
$2,252.00
|
|
|
Service Code
|
HCPCS 60271
|
| Min. Negotiated Rate |
$603.64 |
| Max. Negotiated Rate |
$1,862.57 |
| Rate for Payer: Aetna Commercial |
$1,258.01
|
| Rate for Payer: Aetna Medicare |
$976.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,258.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,351.89
|
| Rate for Payer: BCBS Complete |
$633.82
|
| Rate for Payer: BCBS MAPPO |
$938.81
|
| Rate for Payer: BCN Commercial |
$1,585.08
|
| Rate for Payer: BCN Medicare Advantage |
$938.81
|
| Rate for Payer: Cash Price |
$1,801.60
|
| Rate for Payer: Cash Price |
$1,801.60
|
| Rate for Payer: Cofinity Commercial |
$1,258.01
|
| Rate for Payer: Cofinity Commercial |
$1,351.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$938.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$985.75
|
| Rate for Payer: Meridian Medicaid |
$633.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,032.69
|
| Rate for Payer: Nomi Health Commercial |
$1,126.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,689.00
|
| Rate for Payer: PACE SWMI |
$938.81
|
| Rate for Payer: PHP Commercial |
$1,314.33
|
| Rate for Payer: PHP Medicare Advantage |
$938.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$603.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,718.76
|
| Rate for Payer: Priority Health Medicare |
$938.81
|
| Rate for Payer: Priority Health SBD |
$1,718.76
|
| Rate for Payer: Priority Health Tiered Network |
$1,718.76
|
| Rate for Payer: Railroad Medicare Medicare |
$938.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,862.57
|
| Rate for Payer: UHC Core |
$1,862.57
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$938.81
|
| Rate for Payer: UHC Exchange |
$1,862.57
|
| Rate for Payer: UHC Medicaid |
$603.64
|
| Rate for Payer: UHCCP Medicaid |
$603.64
|
| Rate for Payer: UMR Bronson Commercial |
$1,035.92
|
|
|
PR THYROIDECTOMY TOTAL/COMPLETE
|
Professional
|
Both
|
$3,203.00
|
|
|
Service Code
|
HCPCS 60240
|
| Min. Negotiated Rate |
$529.09 |
| Max. Negotiated Rate |
$2,402.25 |
| Rate for Payer: Aetna Commercial |
$1,101.43
|
| Rate for Payer: Aetna Medicare |
$854.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,101.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,183.62
|
| Rate for Payer: BCBS Complete |
$555.54
|
| Rate for Payer: BCBS MAPPO |
$821.96
|
| Rate for Payer: BCN Commercial |
$1,379.41
|
| Rate for Payer: BCN Medicare Advantage |
$821.96
|
| Rate for Payer: Cash Price |
$2,562.40
|
| Rate for Payer: Cash Price |
$2,562.40
|
| Rate for Payer: Cofinity Commercial |
$1,101.43
|
| Rate for Payer: Cofinity Commercial |
$1,183.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$821.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$863.06
|
| Rate for Payer: Meridian Medicaid |
$555.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$904.16
|
| Rate for Payer: Nomi Health Commercial |
$986.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,402.25
|
| Rate for Payer: PACE SWMI |
$821.96
|
| Rate for Payer: PHP Commercial |
$1,150.74
|
| Rate for Payer: PHP Medicare Advantage |
$821.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$529.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,495.75
|
| Rate for Payer: Priority Health Medicare |
$821.96
|
| Rate for Payer: Priority Health SBD |
$1,495.75
|
| Rate for Payer: Priority Health Tiered Network |
$1,495.75
|
| Rate for Payer: Railroad Medicare Medicare |
$821.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,619.99
|
| Rate for Payer: UHC Core |
$1,619.99
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$821.96
|
| Rate for Payer: UHC Exchange |
$1,619.99
|
| Rate for Payer: UHC Medicaid |
$529.09
|
| Rate for Payer: UHCCP Medicaid |
$529.09
|
| Rate for Payer: UMR Bronson Commercial |
$1,473.38
|
|
|
PR THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT
|
Professional
|
Both
|
$2,469.00
|
|
|
Service Code
|
HCPCS 60252
|
| Min. Negotiated Rate |
$751.68 |
| Max. Negotiated Rate |
$2,330.31 |
| Rate for Payer: Aetna Commercial |
$1,566.92
|
| Rate for Payer: Aetna Medicare |
$1,216.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,566.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,683.85
|
| Rate for Payer: BCBS Complete |
$789.26
|
| Rate for Payer: BCBS MAPPO |
$1,169.34
|
| Rate for Payer: BCN Commercial |
$1,978.48
|
| Rate for Payer: BCN Medicare Advantage |
$1,169.34
|
| Rate for Payer: Cash Price |
$1,975.20
|
| Rate for Payer: Cash Price |
$1,975.20
|
| Rate for Payer: Cofinity Commercial |
$1,566.92
|
| Rate for Payer: Cofinity Commercial |
$1,683.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,169.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,227.81
|
| Rate for Payer: Meridian Medicaid |
$789.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,286.27
|
| Rate for Payer: Nomi Health Commercial |
$1,403.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,851.75
|
| Rate for Payer: PACE SWMI |
$1,169.34
|
| Rate for Payer: PHP Commercial |
$1,637.08
|
| Rate for Payer: PHP Medicare Advantage |
$1,169.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$751.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,145.35
|
| Rate for Payer: Priority Health Medicare |
$1,169.34
|
| Rate for Payer: Priority Health SBD |
$2,145.35
|
| Rate for Payer: Priority Health Tiered Network |
$2,145.35
|
| Rate for Payer: Railroad Medicare Medicare |
$1,169.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,330.31
|
| Rate for Payer: UHC Core |
$2,330.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,169.34
|
| Rate for Payer: UHC Exchange |
$2,330.31
|
| Rate for Payer: UHC Medicaid |
$751.68
|
| Rate for Payer: UHCCP Medicaid |
$751.68
|
| Rate for Payer: UMR Bronson Commercial |
$1,135.74
|
|
|
PR THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT
|
Professional
|
Both
|
$3,256.00
|
|
|
Service Code
|
HCPCS 60254
|
| Min. Negotiated Rate |
$944.87 |
| Max. Negotiated Rate |
$2,948.08 |
| Rate for Payer: Aetna Commercial |
$1,973.97
|
| Rate for Payer: Aetna Medicare |
$1,532.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,973.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,121.28
|
| Rate for Payer: BCBS Complete |
$992.11
|
| Rate for Payer: BCBS MAPPO |
$1,473.11
|
| Rate for Payer: BCN Commercial |
$2,496.38
|
| Rate for Payer: BCN Medicare Advantage |
$1,473.11
|
| Rate for Payer: Cash Price |
$2,604.80
|
| Rate for Payer: Cash Price |
$2,604.80
|
| Rate for Payer: Cofinity Commercial |
$1,973.97
|
| Rate for Payer: Cofinity Commercial |
$2,121.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,473.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,546.77
|
| Rate for Payer: Meridian Medicaid |
$992.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,620.42
|
| Rate for Payer: Nomi Health Commercial |
$1,767.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,442.00
|
| Rate for Payer: PACE SWMI |
$1,473.11
|
| Rate for Payer: PHP Commercial |
$2,062.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,473.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$944.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,706.92
|
| Rate for Payer: Priority Health Medicare |
$1,473.11
|
| Rate for Payer: Priority Health SBD |
$2,706.92
|
| Rate for Payer: Priority Health Tiered Network |
$2,706.92
|
| Rate for Payer: Railroad Medicare Medicare |
$1,473.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,948.08
|
| Rate for Payer: UHC Core |
$2,948.08
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,473.11
|
| Rate for Payer: UHC Exchange |
$2,948.08
|
| Rate for Payer: UHC Medicaid |
$944.87
|
| Rate for Payer: UHCCP Medicaid |
$944.87
|
| Rate for Payer: UMR Bronson Commercial |
$1,497.76
|
|
|
PR THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC
|
Professional
|
Both
|
$5,617.00
|
|
|
Service Code
|
HCPCS 60270
|
| Min. Negotiated Rate |
$783.63 |
| Max. Negotiated Rate |
$4,212.75 |
| Rate for Payer: Aetna Commercial |
$1,636.78
|
| Rate for Payer: Aetna Medicare |
$1,270.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,636.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,758.93
|
| Rate for Payer: BCBS Complete |
$822.81
|
| Rate for Payer: BCBS MAPPO |
$1,221.48
|
| Rate for Payer: BCN Commercial |
$2,039.24
|
| Rate for Payer: BCN Medicare Advantage |
$1,221.48
|
| Rate for Payer: Cash Price |
$4,493.60
|
| Rate for Payer: Cash Price |
$4,493.60
|
| Rate for Payer: Cofinity Commercial |
$1,636.78
|
| Rate for Payer: Cofinity Commercial |
$1,758.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,221.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,282.55
|
| Rate for Payer: Meridian Medicaid |
$822.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$1,343.63
|
| Rate for Payer: Nomi Health Commercial |
$1,465.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4,212.75
|
| Rate for Payer: PACE SWMI |
$1,221.48
|
| Rate for Payer: PHP Commercial |
$1,710.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,221.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$783.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$2,211.22
|
| Rate for Payer: Priority Health Medicare |
$1,221.48
|
| Rate for Payer: Priority Health SBD |
$2,211.22
|
| Rate for Payer: Priority Health Tiered Network |
$2,211.22
|
| Rate for Payer: Railroad Medicare Medicare |
$1,221.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,415.82
|
| Rate for Payer: UHC Core |
$2,415.82
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$1,221.48
|
| Rate for Payer: UHC Exchange |
$2,415.82
|
| Rate for Payer: UHC Medicaid |
$783.63
|
| Rate for Payer: UHCCP Medicaid |
$783.63
|
| Rate for Payer: UMR Bronson Commercial |
$2,583.82
|
|
|
PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/
|
Professional
|
Both
|
$1,365.00
|
|
|
Service Code
|
HCPCS 15155
|
| Min. Negotiated Rate |
$418.97 |
| Max. Negotiated Rate |
$1,280.59 |
| Rate for Payer: Aetna Commercial |
$859.99
|
| Rate for Payer: Aetna Medicare |
$667.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$859.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$924.16
|
| Rate for Payer: BCBS Complete |
$439.92
|
| Rate for Payer: BCBS MAPPO |
$641.78
|
| Rate for Payer: BCN Commercial |
$1,100.54
|
| Rate for Payer: BCN Medicare Advantage |
$641.78
|
| Rate for Payer: Cash Price |
$1,092.00
|
| Rate for Payer: Cash Price |
$1,092.00
|
| Rate for Payer: Cofinity Commercial |
$859.99
|
| Rate for Payer: Cofinity Commercial |
$924.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$641.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$673.87
|
| Rate for Payer: Meridian Medicaid |
$439.92
|
| Rate for Payer: Molina Medicare/Medicaid |
$705.96
|
| Rate for Payer: Nomi Health Commercial |
$770.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,023.75
|
| Rate for Payer: PACE SWMI |
$641.78
|
| Rate for Payer: PHP Commercial |
$898.49
|
| Rate for Payer: PHP Medicare Advantage |
$641.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$418.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$1,007.28
|
| Rate for Payer: Priority Health Medicare |
$641.78
|
| Rate for Payer: Priority Health SBD |
$1,007.28
|
| Rate for Payer: Priority Health Tiered Network |
$1,007.28
|
| Rate for Payer: Railroad Medicare Medicare |
$641.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,280.59
|
| Rate for Payer: UHC Core |
$1,280.59
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$641.78
|
| Rate for Payer: UHC Exchange |
$1,280.59
|
| Rate for Payer: UHC Medicaid |
$418.97
|
| Rate for Payer: UHCCP Medicaid |
$418.97
|
| Rate for Payer: UMR Bronson Commercial |
$627.90
|
|
|
PR TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM
|
Professional
|
Both
|
$368.00
|
|
|
Service Code
|
HCPCS 15156
|
| Min. Negotiated Rate |
$86.05 |
| Max. Negotiated Rate |
$276.00 |
| Rate for Payer: Aetna Commercial |
$182.39
|
| Rate for Payer: Aetna Medicare |
$141.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$196.00
|
| Rate for Payer: BCBS Complete |
$90.35
|
| Rate for Payer: BCBS MAPPO |
$136.11
|
| Rate for Payer: BCN Commercial |
$224.09
|
| Rate for Payer: BCN Medicare Advantage |
$136.11
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cash Price |
$294.40
|
| Rate for Payer: Cofinity Commercial |
$182.39
|
| Rate for Payer: Cofinity Commercial |
$196.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.92
|
| Rate for Payer: Meridian Medicaid |
$90.35
|
| Rate for Payer: Molina Medicare/Medicaid |
$149.72
|
| Rate for Payer: Nomi Health Commercial |
$163.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$276.00
|
| Rate for Payer: PACE SWMI |
$136.11
|
| Rate for Payer: PHP Commercial |
$190.55
|
| Rate for Payer: PHP Medicare Advantage |
$136.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$205.10
|
| Rate for Payer: Priority Health Medicare |
$136.11
|
| Rate for Payer: Priority Health SBD |
$205.10
|
| Rate for Payer: Priority Health Tiered Network |
$205.10
|
| Rate for Payer: Railroad Medicare Medicare |
$136.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$270.34
|
| Rate for Payer: UHC Core |
$270.34
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$136.11
|
| Rate for Payer: UHC Exchange |
$270.34
|
| Rate for Payer: UHC Medicaid |
$86.05
|
| Rate for Payer: UHCCP Medicaid |
$86.05
|
| Rate for Payer: UMR Bronson Commercial |
$169.28
|
|
