|
PR RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY
|
Professional
|
Both
|
$1,386.00
|
|
|
Service Code
|
HCPCS 50575
|
| Min. Negotiated Rate |
$449.64 |
| Max. Negotiated Rate |
$1,116.86 |
| Rate for Payer: Aetna Commercial |
$906.72
|
| Rate for Payer: Aetna Medicare |
$703.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$906.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$974.39
|
| Rate for Payer: BCBS Complete |
$472.12
|
| Rate for Payer: BCBS MAPPO |
$676.66
|
| Rate for Payer: BCBS Trust/PPO |
$838.41
|
| Rate for Payer: BCN Commercial |
$1,016.45
|
| Rate for Payer: BCN Medicare Advantage |
$676.66
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cash Price |
$1,108.80
|
| Rate for Payer: Cofinity Commercial |
$906.72
|
| Rate for Payer: Cofinity Commercial |
$974.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$676.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$710.49
|
| Rate for Payer: Meridian Medicaid |
$472.12
|
| Rate for Payer: Nomi Health Commercial |
$811.99
|
| Rate for Payer: PACE SWMI |
$676.66
|
| Rate for Payer: PHP Commercial |
$947.32
|
| Rate for Payer: PHP Medicare Advantage |
$676.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$449.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$900.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,116.86
|
| Rate for Payer: Priority Health Medicare |
$676.66
|
| Rate for Payer: Priority Health Narrow Network |
$1,116.86
|
| Rate for Payer: Priority Health SBD |
$1,116.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$676.66
|
| Rate for Payer: UHC Medicare Advantage |
$676.66
|
| Rate for Payer: UHCCP Medicaid |
$449.64
|
| Rate for Payer: UMR Bronson Commercial |
$637.56
|
|
|
PR ROBOTIC SURGICAL SYSTEM
|
Professional
|
Both
|
$61.00
|
|
|
Service Code
|
HCPCS S2900
|
| Min. Negotiated Rate |
$24.40 |
| Max. Negotiated Rate |
$486.56 |
| Rate for Payer: Aetna Commercial |
$318.14
|
| Rate for Payer: Aetna Medicare |
$30.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.14
|
| Rate for Payer: BCBS Complete |
$24.40
|
| Rate for Payer: BCBS Trust/PPO |
$486.56
|
| Rate for Payer: BCN Commercial |
$50.51
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Cash Price |
$48.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.65
|
| Rate for Payer: UMR Bronson Commercial |
$28.06
|
|
|
PR ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID
|
Professional
|
Both
|
$80.00
|
|
|
Service Code
|
HCPCS 95852
|
| Min. Negotiated Rate |
$3.62 |
| Max. Negotiated Rate |
$1,012.22 |
| Rate for Payer: Aetna Commercial |
$7.25
|
| Rate for Payer: Aetna Medicare |
$5.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.79
|
| Rate for Payer: BCBS Complete |
$3.80
|
| Rate for Payer: BCBS MAPPO |
$5.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,012.22
|
| Rate for Payer: BCN Commercial |
$25.41
|
| Rate for Payer: BCN Medicare Advantage |
$5.41
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cash Price |
$64.00
|
| Rate for Payer: Cofinity Commercial |
$7.25
|
| Rate for Payer: Cofinity Commercial |
$7.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.68
|
| Rate for Payer: Meridian Medicaid |
$3.80
|
| Rate for Payer: Nomi Health Commercial |
$6.49
|
| Rate for Payer: PACE SWMI |
$5.41
|
| Rate for Payer: PHP Commercial |
$7.57
|
| Rate for Payer: PHP Medicare Advantage |
$5.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$7.24
|
| Rate for Payer: Priority Health Medicare |
$5.41
|
| Rate for Payer: Priority Health Narrow Network |
$7.24
|
| Rate for Payer: Priority Health SBD |
$7.24
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.41
|
| Rate for Payer: UHC Medicare Advantage |
$5.41
|
| Rate for Payer: UHCCP Medicaid |
$3.62
|
| Rate for Payer: UMR Bronson Commercial |
$36.80
|
|
|
PR ROPRTJ > 1 MO AFTER ORIGINAL OPRATION
|
Professional
|
Both
|
$578.00
|
|
|
Service Code
|
HCPCS 35700
|
| Min. Negotiated Rate |
$94.36 |
| Max. Negotiated Rate |
$1,875.47 |
| Rate for Payer: Aetna Commercial |
$195.44
|
| Rate for Payer: Aetna Medicare |
$151.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$195.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$210.02
|
| Rate for Payer: BCBS Complete |
$99.08
|
| Rate for Payer: BCBS MAPPO |
$145.85
|
| Rate for Payer: BCBS Trust/PPO |
$1,875.47
|
| Rate for Payer: BCN Commercial |
$215.51
|
| Rate for Payer: BCN Medicare Advantage |
$145.85
|
| Rate for Payer: Cash Price |
$462.40
|
| Rate for Payer: Cash Price |
$462.40
|
| Rate for Payer: Cofinity Commercial |
$195.44
|
| Rate for Payer: Cofinity Commercial |
$210.02
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$145.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$153.14
|
| Rate for Payer: Meridian Medicaid |
$99.08
|
| Rate for Payer: Nomi Health Commercial |
$175.02
|
| Rate for Payer: PACE SWMI |
$145.85
|
| Rate for Payer: PHP Commercial |
$204.19
|
| Rate for Payer: PHP Medicare Advantage |
$145.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$94.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$375.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$235.07
|
| Rate for Payer: Priority Health Medicare |
$145.85
|
| Rate for Payer: Priority Health Narrow Network |
$235.07
|
| Rate for Payer: Priority Health SBD |
$235.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$145.85
|
| Rate for Payer: UHC Medicare Advantage |
$145.85
|
| Rate for Payer: UHCCP Medicaid |
$94.36
|
| Rate for Payer: UMR Bronson Commercial |
$265.88
|
|
|
PR ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ
|
Professional
|
Both
|
$1,703.00
|
|
|
Service Code
|
HCPCS 33530
|
| Min. Negotiated Rate |
$327.17 |
| Max. Negotiated Rate |
$1,106.95 |
| Rate for Payer: Aetna Commercial |
$672.73
|
| Rate for Payer: Aetna Medicare |
$522.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$672.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$722.94
|
| Rate for Payer: BCBS Complete |
$343.53
|
| Rate for Payer: BCBS MAPPO |
$502.04
|
| Rate for Payer: BCBS Trust/PPO |
$357.13
|
| Rate for Payer: BCN Commercial |
$748.66
|
| Rate for Payer: BCN Medicare Advantage |
$502.04
|
| Rate for Payer: Cash Price |
$1,362.40
|
| Rate for Payer: Cash Price |
$1,362.40
|
| Rate for Payer: Cofinity Commercial |
$672.73
|
| Rate for Payer: Cofinity Commercial |
$722.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$527.14
|
| Rate for Payer: Meridian Medicaid |
$343.53
|
| Rate for Payer: Nomi Health Commercial |
$602.45
|
| Rate for Payer: PACE SWMI |
$502.04
|
| Rate for Payer: PHP Commercial |
$702.86
|
| Rate for Payer: PHP Medicare Advantage |
$502.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$327.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,106.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$814.75
|
| Rate for Payer: Priority Health Medicare |
$502.04
|
| Rate for Payer: Priority Health Narrow Network |
$814.75
|
| Rate for Payer: Priority Health SBD |
$814.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.04
|
| Rate for Payer: UHC Medicare Advantage |
$502.04
|
| Rate for Payer: UHCCP Medicaid |
$327.17
|
| Rate for Payer: UMR Bronson Commercial |
$783.38
|
|
|
PR ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO
|
Professional
|
Both
|
$316.00
|
|
|
Service Code
|
HCPCS 35390
|
| Min. Negotiated Rate |
$99.26 |
| Max. Negotiated Rate |
$601.21 |
| Rate for Payer: Aetna Commercial |
$205.29
|
| Rate for Payer: Aetna Medicare |
$159.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$205.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$220.61
|
| Rate for Payer: BCBS Complete |
$104.22
|
| Rate for Payer: BCBS MAPPO |
$153.20
|
| Rate for Payer: BCBS Trust/PPO |
$601.21
|
| Rate for Payer: BCN Commercial |
$225.76
|
| Rate for Payer: BCN Medicare Advantage |
$153.20
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cash Price |
$252.80
|
| Rate for Payer: Cofinity Commercial |
$220.61
|
| Rate for Payer: Cofinity Commercial |
$205.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$153.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$160.86
|
| Rate for Payer: Meridian Medicaid |
$104.22
|
| Rate for Payer: Nomi Health Commercial |
$183.84
|
| Rate for Payer: PACE SWMI |
$153.20
|
| Rate for Payer: PHP Commercial |
$214.48
|
| Rate for Payer: PHP Medicare Advantage |
$153.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$205.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$246.23
|
| Rate for Payer: Priority Health Medicare |
$153.20
|
| Rate for Payer: Priority Health Narrow Network |
$246.23
|
| Rate for Payer: Priority Health SBD |
$246.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$153.20
|
| Rate for Payer: UHC Medicare Advantage |
$153.20
|
| Rate for Payer: UHCCP Medicaid |
$99.26
|
| Rate for Payer: UMR Bronson Commercial |
$145.36
|
|
|
PR ROUT FOOT CARE PER VISIT
|
Professional
|
Both
|
$27.00
|
|
|
Service Code
|
HCPCS S0390
|
| Min. Negotiated Rate |
$10.80 |
| Max. Negotiated Rate |
$31.70 |
| Rate for Payer: Aetna Commercial |
$25.38
|
| Rate for Payer: Aetna Medicare |
$13.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$25.38
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Trust/PPO |
$31.70
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Cash Price |
$21.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.55
|
| Rate for Payer: UMR Bronson Commercial |
$12.42
|
|
|
PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB
|
Professional
|
Both
|
$4,028.00
|
|
|
Service Code
|
HCPCS 59610
|
| Min. Negotiated Rate |
$92.98 |
| Max. Negotiated Rate |
$3,564.47 |
| Rate for Payer: Aetna Commercial |
$3,294.70
|
| Rate for Payer: Aetna Medicare |
$2,557.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,294.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,540.57
|
| Rate for Payer: BCBS Complete |
$2,452.58
|
| Rate for Payer: BCBS MAPPO |
$2,458.73
|
| Rate for Payer: BCBS Trust/PPO |
$92.98
|
| Rate for Payer: BCN Commercial |
$3,361.90
|
| Rate for Payer: BCN Medicare Advantage |
$2,458.73
|
| Rate for Payer: Cash Price |
$3,222.40
|
| Rate for Payer: Cash Price |
$3,222.40
|
| Rate for Payer: Cofinity Commercial |
$3,294.70
|
| Rate for Payer: Cofinity Commercial |
$3,540.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,458.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,581.67
|
| Rate for Payer: Meridian Medicaid |
$2,452.58
|
| Rate for Payer: Nomi Health Commercial |
$2,950.48
|
| Rate for Payer: PACE SWMI |
$2,458.73
|
| Rate for Payer: PHP Commercial |
$3,442.22
|
| Rate for Payer: PHP Medicare Advantage |
$2,458.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,335.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,618.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,564.47
|
| Rate for Payer: Priority Health Medicare |
$2,458.73
|
| Rate for Payer: Priority Health Narrow Network |
$3,564.47
|
| Rate for Payer: Priority Health SBD |
$3,564.47
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,458.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,458.73
|
| Rate for Payer: UHCCP Medicaid |
$2,335.79
|
| Rate for Payer: UMR Bronson Commercial |
$1,852.88
|
|
|
PR ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC
|
Professional
|
Both
|
$4,323.00
|
|
|
Service Code
|
HCPCS 59618
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,821.11 |
| Rate for Payer: Aetna Commercial |
$3,531.37
|
| Rate for Payer: Aetna Medicare |
$2,740.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,531.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,794.90
|
| Rate for Payer: BCBS Complete |
$2,628.76
|
| Rate for Payer: BCBS MAPPO |
$2,635.35
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$3,361.90
|
| Rate for Payer: BCN Medicare Advantage |
$2,635.35
|
| Rate for Payer: Cash Price |
$3,458.40
|
| Rate for Payer: Cash Price |
$3,458.40
|
| Rate for Payer: Cofinity Commercial |
$3,531.37
|
| Rate for Payer: Cofinity Commercial |
$3,794.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,635.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,767.12
|
| Rate for Payer: Meridian Medicaid |
$2,628.76
|
| Rate for Payer: Nomi Health Commercial |
$3,162.42
|
| Rate for Payer: PACE SWMI |
$2,635.35
|
| Rate for Payer: PHP Commercial |
$3,689.49
|
| Rate for Payer: PHP Medicare Advantage |
$2,635.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,503.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,809.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,821.11
|
| Rate for Payer: Priority Health Medicare |
$2,635.35
|
| Rate for Payer: Priority Health Narrow Network |
$3,821.11
|
| Rate for Payer: Priority Health SBD |
$3,821.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,635.35
|
| Rate for Payer: UHC Medicare Advantage |
$2,635.35
|
| Rate for Payer: UHCCP Medicaid |
$2,503.58
|
| Rate for Payer: UMR Bronson Commercial |
$1,988.58
|
|
|
PR RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST
|
Professional
|
Both
|
$2,539.00
|
|
|
Service Code
|
HCPCS 50840
|
| Min. Negotiated Rate |
$785.76 |
| Max. Negotiated Rate |
$4,261.27 |
| Rate for Payer: Aetna Commercial |
$1,573.92
|
| Rate for Payer: Aetna Medicare |
$1,221.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,573.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,691.38
|
| Rate for Payer: BCBS Complete |
$825.05
|
| Rate for Payer: BCBS MAPPO |
$1,174.57
|
| Rate for Payer: BCBS Trust/PPO |
$4,261.27
|
| Rate for Payer: BCN Commercial |
$1,769.99
|
| Rate for Payer: BCN Medicare Advantage |
$1,174.57
|
| Rate for Payer: Cash Price |
$2,031.20
|
| Rate for Payer: Cash Price |
$2,031.20
|
| Rate for Payer: Cofinity Commercial |
$1,573.92
|
| Rate for Payer: Cofinity Commercial |
$1,691.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,174.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,233.30
|
| Rate for Payer: Meridian Medicaid |
$825.05
|
| Rate for Payer: Nomi Health Commercial |
$1,409.48
|
| Rate for Payer: PACE SWMI |
$1,174.57
|
| Rate for Payer: PHP Commercial |
$1,644.40
|
| Rate for Payer: PHP Medicare Advantage |
$1,174.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$785.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,650.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,950.91
|
| Rate for Payer: Priority Health Medicare |
$1,174.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,950.91
|
| Rate for Payer: Priority Health SBD |
$1,950.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,174.57
|
| Rate for Payer: UHC Medicare Advantage |
$1,174.57
|
| Rate for Payer: UHCCP Medicaid |
$785.76
|
| Rate for Payer: UMR Bronson Commercial |
$1,167.94
|
|
|
PR RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS
|
Professional
|
Both
|
$9,690.00
|
|
|
Service Code
|
HCPCS 33411
|
| Min. Negotiated Rate |
$995.85 |
| Max. Negotiated Rate |
$6,298.50 |
| Rate for Payer: Aetna Commercial |
$4,304.28
|
| Rate for Payer: Aetna Medicare |
$3,340.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,304.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,625.50
|
| Rate for Payer: BCBS Complete |
$2,207.88
|
| Rate for Payer: BCBS MAPPO |
$3,212.15
|
| Rate for Payer: BCBS Trust/PPO |
$995.85
|
| Rate for Payer: BCN Commercial |
$4,794.41
|
| Rate for Payer: BCN Medicare Advantage |
$3,212.15
|
| Rate for Payer: Cash Price |
$7,752.00
|
| Rate for Payer: Cash Price |
$7,752.00
|
| Rate for Payer: Cofinity Commercial |
$4,304.28
|
| Rate for Payer: Cofinity Commercial |
$4,625.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,212.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,372.76
|
| Rate for Payer: Meridian Medicaid |
$2,207.88
|
| Rate for Payer: Nomi Health Commercial |
$3,854.58
|
| Rate for Payer: PACE SWMI |
$3,212.15
|
| Rate for Payer: PHP Commercial |
$4,497.01
|
| Rate for Payer: PHP Medicare Advantage |
$3,212.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,102.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6,298.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$5,233.15
|
| Rate for Payer: Priority Health Medicare |
$3,212.15
|
| Rate for Payer: Priority Health Narrow Network |
$5,233.15
|
| Rate for Payer: Priority Health SBD |
$5,233.15
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,212.15
|
| Rate for Payer: UHC Medicare Advantage |
$3,212.15
|
| Rate for Payer: UHCCP Medicaid |
$2,102.74
|
| Rate for Payer: UMR Bronson Commercial |
$4,457.40
|
|
|
PR RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND
|
Professional
|
Both
|
$6,847.00
|
|
|
Service Code
|
HCPCS 33406
|
| Min. Negotiated Rate |
$820.45 |
| Max. Negotiated Rate |
$4,510.40 |
| Rate for Payer: Aetna Commercial |
$3,707.27
|
| Rate for Payer: Aetna Medicare |
$2,877.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,707.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,983.93
|
| Rate for Payer: BCBS Complete |
$1,901.70
|
| Rate for Payer: BCBS MAPPO |
$2,766.62
|
| Rate for Payer: BCBS Trust/PPO |
$820.45
|
| Rate for Payer: BCN Commercial |
$4,128.35
|
| Rate for Payer: BCN Medicare Advantage |
$2,766.62
|
| Rate for Payer: Cash Price |
$5,477.60
|
| Rate for Payer: Cash Price |
$5,477.60
|
| Rate for Payer: Cofinity Commercial |
$3,707.27
|
| Rate for Payer: Cofinity Commercial |
$3,983.93
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,766.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,904.95
|
| Rate for Payer: Meridian Medicaid |
$1,901.70
|
| Rate for Payer: Nomi Health Commercial |
$3,319.94
|
| Rate for Payer: PACE SWMI |
$2,766.62
|
| Rate for Payer: PHP Commercial |
$3,873.27
|
| Rate for Payer: PHP Medicare Advantage |
$2,766.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,811.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,450.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,510.40
|
| Rate for Payer: Priority Health Medicare |
$2,766.62
|
| Rate for Payer: Priority Health Narrow Network |
$4,510.40
|
| Rate for Payer: Priority Health SBD |
$4,510.40
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,766.62
|
| Rate for Payer: UHC Medicare Advantage |
$2,766.62
|
| Rate for Payer: UHCCP Medicaid |
$1,811.14
|
| Rate for Payer: UMR Bronson Commercial |
$3,149.62
|
|
|
PR RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE
|
Professional
|
Both
|
$8,127.00
|
|
|
Service Code
|
HCPCS 33410
|
| Min. Negotiated Rate |
$920.83 |
| Max. Negotiated Rate |
$5,282.55 |
| Rate for Payer: Aetna Commercial |
$3,270.77
|
| Rate for Payer: Aetna Medicare |
$2,538.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,270.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,514.85
|
| Rate for Payer: BCBS Complete |
$1,679.61
|
| Rate for Payer: BCBS MAPPO |
$2,440.87
|
| Rate for Payer: BCBS Trust/PPO |
$920.83
|
| Rate for Payer: BCN Commercial |
$3,639.18
|
| Rate for Payer: BCN Medicare Advantage |
$2,440.87
|
| Rate for Payer: Cash Price |
$6,501.60
|
| Rate for Payer: Cash Price |
$6,501.60
|
| Rate for Payer: Cofinity Commercial |
$3,270.77
|
| Rate for Payer: Cofinity Commercial |
$3,514.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,440.87
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,562.91
|
| Rate for Payer: Meridian Medicaid |
$1,679.61
|
| Rate for Payer: Nomi Health Commercial |
$2,929.04
|
| Rate for Payer: PACE SWMI |
$2,440.87
|
| Rate for Payer: PHP Commercial |
$3,417.22
|
| Rate for Payer: PHP Medicare Advantage |
$2,440.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,599.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5,282.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,971.67
|
| Rate for Payer: Priority Health Medicare |
$2,440.87
|
| Rate for Payer: Priority Health Narrow Network |
$3,971.67
|
| Rate for Payer: Priority Health SBD |
$3,971.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,440.87
|
| Rate for Payer: UHC Medicare Advantage |
$2,440.87
|
| Rate for Payer: UHCCP Medicaid |
$1,599.63
|
| Rate for Payer: UMR Bronson Commercial |
$3,738.42
|
|
|
PR RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL
|
Professional
|
Both
|
$5,033.00
|
|
|
Service Code
|
HCPCS 62143
|
| Min. Negotiated Rate |
$685.22 |
| Max. Negotiated Rate |
$3,271.45 |
| Rate for Payer: Aetna Commercial |
$1,389.15
|
| Rate for Payer: Aetna Medicare |
$1,078.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,389.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,492.82
|
| Rate for Payer: BCBS Complete |
$719.48
|
| Rate for Payer: BCBS MAPPO |
$1,036.68
|
| Rate for Payer: BCBS Trust/PPO |
$2,064.60
|
| Rate for Payer: BCN Commercial |
$2,147.01
|
| Rate for Payer: BCN Medicare Advantage |
$1,036.68
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cash Price |
$4,026.40
|
| Rate for Payer: Cofinity Commercial |
$1,389.15
|
| Rate for Payer: Cofinity Commercial |
$1,492.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,036.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,088.51
|
| Rate for Payer: Meridian Medicaid |
$719.48
|
| Rate for Payer: Nomi Health Commercial |
$1,244.02
|
| Rate for Payer: PACE SWMI |
$1,036.68
|
| Rate for Payer: PHP Commercial |
$1,451.35
|
| Rate for Payer: PHP Medicare Advantage |
$1,036.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$685.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,271.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,815.34
|
| Rate for Payer: Priority Health Medicare |
$1,036.68
|
| Rate for Payer: Priority Health Narrow Network |
$1,815.34
|
| Rate for Payer: Priority Health SBD |
$1,815.34
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,036.68
|
| Rate for Payer: UHC Medicare Advantage |
$1,036.68
|
| Rate for Payer: UHCCP Medicaid |
$685.22
|
| Rate for Payer: UMR Bronson Commercial |
$2,315.18
|
|
|
PR RPLCMT CATH CTR VAD SUBQ PORT/PMP
|
Professional
|
Both
|
$1,024.00
|
|
|
Service Code
|
HCPCS 36578
|
| Min. Negotiated Rate |
$127.59 |
| Max. Negotiated Rate |
$1,318.11 |
| Rate for Payer: Aetna Commercial |
$256.37
|
| Rate for Payer: Aetna Medicare |
$198.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.50
|
| Rate for Payer: BCBS Complete |
$133.97
|
| Rate for Payer: BCBS MAPPO |
$191.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,318.11
|
| Rate for Payer: BCN Commercial |
$636.74
|
| Rate for Payer: BCN Medicare Advantage |
$191.32
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Cash Price |
$819.20
|
| Rate for Payer: Cofinity Commercial |
$256.37
|
| Rate for Payer: Cofinity Commercial |
$275.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$191.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$200.89
|
| Rate for Payer: Meridian Medicaid |
$133.97
|
| Rate for Payer: Nomi Health Commercial |
$229.58
|
| Rate for Payer: PACE SWMI |
$191.32
|
| Rate for Payer: PHP Commercial |
$267.85
|
| Rate for Payer: PHP Medicare Advantage |
$191.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$665.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$321.23
|
| Rate for Payer: Priority Health Medicare |
$191.32
|
| Rate for Payer: Priority Health Narrow Network |
$321.23
|
| Rate for Payer: Priority Health SBD |
$321.23
|
| Rate for Payer: UHC Dual Complete DSNP |
$191.32
|
| Rate for Payer: UHC Medicare Advantage |
$191.32
|
| Rate for Payer: UHCCP Medicaid |
$127.59
|
| Rate for Payer: UMR Bronson Commercial |
$471.04
|
|
|
PR RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$771.00
|
|
|
Service Code
|
HCPCS 36580
|
| Min. Negotiated Rate |
$40.68 |
| Max. Negotiated Rate |
$1,034.41 |
| Rate for Payer: Aetna Commercial |
$82.29
|
| Rate for Payer: Aetna Medicare |
$63.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.43
|
| Rate for Payer: BCBS Complete |
$42.71
|
| Rate for Payer: BCBS MAPPO |
$61.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,034.41
|
| Rate for Payer: BCN Commercial |
$279.53
|
| Rate for Payer: BCN Medicare Advantage |
$61.41
|
| Rate for Payer: Cash Price |
$616.80
|
| Rate for Payer: Cash Price |
$616.80
|
| Rate for Payer: Cofinity Commercial |
$82.29
|
| Rate for Payer: Cofinity Commercial |
$88.43
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$61.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$64.48
|
| Rate for Payer: Meridian Medicaid |
$42.71
|
| Rate for Payer: Nomi Health Commercial |
$73.69
|
| Rate for Payer: PACE SWMI |
$61.41
|
| Rate for Payer: PHP Commercial |
$85.97
|
| Rate for Payer: PHP Medicare Advantage |
$61.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$40.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$501.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$101.58
|
| Rate for Payer: Priority Health Medicare |
$61.41
|
| Rate for Payer: Priority Health Narrow Network |
$101.58
|
| Rate for Payer: Priority Health SBD |
$101.58
|
| Rate for Payer: UHC Dual Complete DSNP |
$61.41
|
| Rate for Payer: UHC Medicare Advantage |
$61.41
|
| Rate for Payer: UHCCP Medicaid |
$40.68
|
| Rate for Payer: UMR Bronson Commercial |
$354.66
|
|
|
PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$2,142.00
|
|
|
Service Code
|
HCPCS 36585
|
| Min. Negotiated Rate |
$195.32 |
| Max. Negotiated Rate |
$1,705.98 |
| Rate for Payer: Aetna Commercial |
$392.97
|
| Rate for Payer: Aetna Medicare |
$304.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$392.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$422.29
|
| Rate for Payer: BCBS Complete |
$205.09
|
| Rate for Payer: BCBS MAPPO |
$293.26
|
| Rate for Payer: BCBS Trust/PPO |
$1,150.02
|
| Rate for Payer: BCN Commercial |
$1,705.98
|
| Rate for Payer: BCN Medicare Advantage |
$293.26
|
| Rate for Payer: Cash Price |
$1,713.60
|
| Rate for Payer: Cash Price |
$1,713.60
|
| Rate for Payer: Cofinity Commercial |
$392.97
|
| Rate for Payer: Cofinity Commercial |
$422.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$293.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$307.92
|
| Rate for Payer: Meridian Medicaid |
$205.09
|
| Rate for Payer: Nomi Health Commercial |
$351.91
|
| Rate for Payer: PACE SWMI |
$293.26
|
| Rate for Payer: PHP Commercial |
$410.56
|
| Rate for Payer: PHP Medicare Advantage |
$293.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$195.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,392.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$438.75
|
| Rate for Payer: Priority Health Medicare |
$293.26
|
| Rate for Payer: Priority Health Narrow Network |
$438.75
|
| Rate for Payer: Priority Health SBD |
$438.75
|
| Rate for Payer: UHC Dual Complete DSNP |
$293.26
|
| Rate for Payer: UHC Medicare Advantage |
$293.26
|
| Rate for Payer: UHCCP Medicaid |
$195.32
|
| Rate for Payer: UMR Bronson Commercial |
$985.32
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP
|
Professional
|
Both
|
$1,945.00
|
|
|
Service Code
|
HCPCS 36583
|
| Min. Negotiated Rate |
$211.30 |
| Max. Negotiated Rate |
$1,698.15 |
| Rate for Payer: Aetna Commercial |
$425.80
|
| Rate for Payer: Aetna Medicare |
$330.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$425.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$457.57
|
| Rate for Payer: BCBS Complete |
$221.86
|
| Rate for Payer: BCBS MAPPO |
$317.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,556.37
|
| Rate for Payer: BCN Commercial |
$1,698.15
|
| Rate for Payer: BCN Medicare Advantage |
$317.76
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cash Price |
$1,556.00
|
| Rate for Payer: Cofinity Commercial |
$425.80
|
| Rate for Payer: Cofinity Commercial |
$457.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$317.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$333.65
|
| Rate for Payer: Meridian Medicaid |
$221.86
|
| Rate for Payer: Nomi Health Commercial |
$381.31
|
| Rate for Payer: PACE SWMI |
$317.76
|
| Rate for Payer: PHP Commercial |
$444.86
|
| Rate for Payer: PHP Medicare Advantage |
$317.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$211.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,264.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$523.32
|
| Rate for Payer: Priority Health Medicare |
$317.76
|
| Rate for Payer: Priority Health Narrow Network |
$523.32
|
| Rate for Payer: Priority Health SBD |
$523.32
|
| Rate for Payer: UHC Dual Complete DSNP |
$317.76
|
| Rate for Payer: UHC Medicare Advantage |
$317.76
|
| Rate for Payer: UHCCP Medicaid |
$211.30
|
| Rate for Payer: UMR Bronson Commercial |
$894.70
|
|
|
PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT
|
Professional
|
Both
|
$564.00
|
|
|
Service Code
|
HCPCS 36582
|
| Min. Negotiated Rate |
$181.48 |
| Max. Negotiated Rate |
$2,421.20 |
| Rate for Payer: Aetna Commercial |
$364.99
|
| Rate for Payer: Aetna Medicare |
$283.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$364.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$392.23
|
| Rate for Payer: BCBS Complete |
$190.55
|
| Rate for Payer: BCBS MAPPO |
$272.38
|
| Rate for Payer: BCBS Trust/PPO |
$2,421.20
|
| Rate for Payer: BCN Commercial |
$1,296.46
|
| Rate for Payer: BCN Medicare Advantage |
$272.38
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cash Price |
$451.20
|
| Rate for Payer: Cofinity Commercial |
$364.99
|
| Rate for Payer: Cofinity Commercial |
$392.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$272.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$286.00
|
| Rate for Payer: Meridian Medicaid |
$190.55
|
| Rate for Payer: Nomi Health Commercial |
$326.86
|
| Rate for Payer: PACE SWMI |
$272.38
|
| Rate for Payer: PHP Commercial |
$381.33
|
| Rate for Payer: PHP Medicare Advantage |
$272.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$181.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$366.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$450.99
|
| Rate for Payer: Priority Health Medicare |
$272.38
|
| Rate for Payer: Priority Health Narrow Network |
$450.99
|
| Rate for Payer: Priority Health SBD |
$450.99
|
| Rate for Payer: UHC Dual Complete DSNP |
$272.38
|
| Rate for Payer: UHC Medicare Advantage |
$272.38
|
| Rate for Payer: UHCCP Medicaid |
$181.48
|
| Rate for Payer: UMR Bronson Commercial |
$259.44
|
|
|
PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP
|
Professional
|
Both
|
$1,570.00
|
|
|
Service Code
|
HCPCS 36581
|
| Min. Negotiated Rate |
$115.45 |
| Max. Negotiated Rate |
$2,785.20 |
| Rate for Payer: Aetna Commercial |
$231.36
|
| Rate for Payer: Aetna Medicare |
$179.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$231.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.63
|
| Rate for Payer: BCBS Complete |
$121.22
|
| Rate for Payer: BCBS MAPPO |
$172.66
|
| Rate for Payer: BCBS Trust/PPO |
$2,785.20
|
| Rate for Payer: BCN Commercial |
$1,146.44
|
| Rate for Payer: BCN Medicare Advantage |
$172.66
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cash Price |
$1,256.00
|
| Rate for Payer: Cofinity Commercial |
$231.36
|
| Rate for Payer: Cofinity Commercial |
$248.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$172.66
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$181.29
|
| Rate for Payer: Meridian Medicaid |
$121.22
|
| Rate for Payer: Nomi Health Commercial |
$207.19
|
| Rate for Payer: PACE SWMI |
$172.66
|
| Rate for Payer: PHP Commercial |
$241.72
|
| Rate for Payer: PHP Medicare Advantage |
$172.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,020.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$286.13
|
| Rate for Payer: Priority Health Medicare |
$172.66
|
| Rate for Payer: Priority Health Narrow Network |
$286.13
|
| Rate for Payer: Priority Health SBD |
$286.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$172.66
|
| Rate for Payer: UHC Medicare Advantage |
$172.66
|
| Rate for Payer: UHCCP Medicaid |
$115.45
|
| Rate for Payer: UMR Bronson Commercial |
$722.20
|
|
|
PR RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER
|
Professional
|
Both
|
$1,874.00
|
|
|
Service Code
|
HCPCS 62194
|
| Min. Negotiated Rate |
$326.32 |
| Max. Negotiated Rate |
$1,218.10 |
| Rate for Payer: Aetna Commercial |
$654.26
|
| Rate for Payer: Aetna Medicare |
$507.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$654.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$703.08
|
| Rate for Payer: BCBS Complete |
$342.64
|
| Rate for Payer: BCBS MAPPO |
$488.25
|
| Rate for Payer: BCBS Trust/PPO |
$624.98
|
| Rate for Payer: BCN Commercial |
$734.97
|
| Rate for Payer: BCN Medicare Advantage |
$488.25
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cash Price |
$1,499.20
|
| Rate for Payer: Cofinity Commercial |
$654.26
|
| Rate for Payer: Cofinity Commercial |
$703.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$488.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$512.66
|
| Rate for Payer: Meridian Medicaid |
$342.64
|
| Rate for Payer: Nomi Health Commercial |
$585.90
|
| Rate for Payer: PACE SWMI |
$488.25
|
| Rate for Payer: PHP Commercial |
$683.55
|
| Rate for Payer: PHP Medicare Advantage |
$488.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$326.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,218.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$865.01
|
| Rate for Payer: Priority Health Medicare |
$488.25
|
| Rate for Payer: Priority Health Narrow Network |
$865.01
|
| Rate for Payer: Priority Health SBD |
$865.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$488.25
|
| Rate for Payer: UHC Medicare Advantage |
$488.25
|
| Rate for Payer: UHCCP Medicaid |
$326.32
|
| Rate for Payer: UMR Bronson Commercial |
$862.04
|
|
|
PR RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT
|
Professional
|
Both
|
$2,266.00
|
|
|
Service Code
|
HCPCS 63744
|
| Min. Negotiated Rate |
$468.60 |
| Max. Negotiated Rate |
$1,472.90 |
| Rate for Payer: Aetna Commercial |
$944.87
|
| Rate for Payer: Aetna Medicare |
$733.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,015.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$944.87
|
| Rate for Payer: BCBS Complete |
$492.03
|
| Rate for Payer: BCBS MAPPO |
$705.13
|
| Rate for Payer: BCBS Trust/PPO |
$672.00
|
| Rate for Payer: BCN Commercial |
$1,110.58
|
| Rate for Payer: BCN Medicare Advantage |
$705.13
|
| Rate for Payer: Cash Price |
$1,812.80
|
| Rate for Payer: Cash Price |
$1,812.80
|
| Rate for Payer: Cofinity Commercial |
$1,015.39
|
| Rate for Payer: Cofinity Commercial |
$944.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$705.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$740.39
|
| Rate for Payer: Meridian Medicaid |
$492.03
|
| Rate for Payer: Nomi Health Commercial |
$846.16
|
| Rate for Payer: PACE SWMI |
$705.13
|
| Rate for Payer: PHP Commercial |
$987.18
|
| Rate for Payer: PHP Medicare Advantage |
$705.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$468.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,472.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,192.60
|
| Rate for Payer: Priority Health Medicare |
$705.13
|
| Rate for Payer: Priority Health Narrow Network |
$1,192.60
|
| Rate for Payer: Priority Health SBD |
$1,192.60
|
| Rate for Payer: UHC Dual Complete DSNP |
$705.13
|
| Rate for Payer: UHC Medicare Advantage |
$705.13
|
| Rate for Payer: UHCCP Medicaid |
$468.60
|
| Rate for Payer: UMR Bronson Commercial |
$1,042.36
|
|
|
PR RPLCMT/IRRIGATION VENTRICULAR CATHETER
|
Professional
|
Both
|
$2,725.00
|
|
|
Service Code
|
HCPCS 62225
|
| Min. Negotiated Rate |
$354.86 |
| Max. Negotiated Rate |
$1,771.25 |
| Rate for Payer: Aetna Commercial |
$710.23
|
| Rate for Payer: Aetna Medicare |
$551.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$710.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.23
|
| Rate for Payer: BCBS Complete |
$372.60
|
| Rate for Payer: BCBS MAPPO |
$530.02
|
| Rate for Payer: BCBS Trust/PPO |
$1,401.05
|
| Rate for Payer: BCN Commercial |
$1,103.00
|
| Rate for Payer: BCN Medicare Advantage |
$530.02
|
| Rate for Payer: Cash Price |
$2,180.00
|
| Rate for Payer: Cash Price |
$2,180.00
|
| Rate for Payer: Cofinity Commercial |
$710.23
|
| Rate for Payer: Cofinity Commercial |
$763.23
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$530.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$556.52
|
| Rate for Payer: Meridian Medicaid |
$372.60
|
| Rate for Payer: Nomi Health Commercial |
$636.02
|
| Rate for Payer: PACE SWMI |
$530.02
|
| Rate for Payer: PHP Commercial |
$742.03
|
| Rate for Payer: PHP Medicare Advantage |
$530.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$354.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,771.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$938.37
|
| Rate for Payer: Priority Health Medicare |
$530.02
|
| Rate for Payer: Priority Health Narrow Network |
$938.37
|
| Rate for Payer: Priority Health SBD |
$938.37
|
| Rate for Payer: UHC Dual Complete DSNP |
$530.02
|
| Rate for Payer: UHC Medicare Advantage |
$530.02
|
| Rate for Payer: UHCCP Medicaid |
$354.86
|
| Rate for Payer: UMR Bronson Commercial |
$1,253.50
|
|
|
PR RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP
|
Professional
|
Both
|
$2,261.00
|
|
|
Service Code
|
HCPCS 69717
|
| Min. Negotiated Rate |
$359.97 |
| Max. Negotiated Rate |
$1,881.80 |
| Rate for Payer: Aetna Commercial |
$710.90
|
| Rate for Payer: Aetna Medicare |
$551.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$710.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$763.95
|
| Rate for Payer: BCBS Complete |
$377.97
|
| Rate for Payer: BCBS MAPPO |
$530.52
|
| Rate for Payer: BCBS Trust/PPO |
$1,881.80
|
| Rate for Payer: BCN Commercial |
$822.45
|
| Rate for Payer: BCN Medicare Advantage |
$530.52
|
| Rate for Payer: Cash Price |
$1,808.80
|
| Rate for Payer: Cash Price |
$1,808.80
|
| Rate for Payer: Cofinity Commercial |
$710.90
|
| Rate for Payer: Cofinity Commercial |
$763.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$530.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$557.05
|
| Rate for Payer: Meridian Medicaid |
$377.97
|
| Rate for Payer: Nomi Health Commercial |
$636.62
|
| Rate for Payer: PACE SWMI |
$530.52
|
| Rate for Payer: PHP Commercial |
$742.73
|
| Rate for Payer: PHP Medicare Advantage |
$530.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$359.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,469.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$822.46
|
| Rate for Payer: Priority Health Medicare |
$530.52
|
| Rate for Payer: Priority Health Narrow Network |
$822.46
|
| Rate for Payer: Priority Health SBD |
$822.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$530.52
|
| Rate for Payer: UHC Medicare Advantage |
$530.52
|
| Rate for Payer: UHCCP Medicaid |
$359.97
|
| Rate for Payer: UMR Bronson Commercial |
$1,040.06
|
|
|
PR RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT
|
Professional
|
Both
|
$4,753.00
|
|
|
Service Code
|
HCPCS 33405
|
| Min. Negotiated Rate |
$683.09 |
| Max. Negotiated Rate |
$3,550.46 |
| Rate for Payer: Aetna Commercial |
$2,915.28
|
| Rate for Payer: Aetna Medicare |
$2,262.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,915.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,132.84
|
| Rate for Payer: BCBS Complete |
$1,498.00
|
| Rate for Payer: BCBS MAPPO |
$2,175.58
|
| Rate for Payer: BCBS Trust/PPO |
$683.09
|
| Rate for Payer: BCN Commercial |
$3,251.17
|
| Rate for Payer: BCN Medicare Advantage |
$2,175.58
|
| Rate for Payer: Cash Price |
$3,802.40
|
| Rate for Payer: Cash Price |
$3,802.40
|
| Rate for Payer: Cofinity Commercial |
$2,915.28
|
| Rate for Payer: Cofinity Commercial |
$3,132.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,175.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,284.36
|
| Rate for Payer: Meridian Medicaid |
$1,498.00
|
| Rate for Payer: Nomi Health Commercial |
$2,610.70
|
| Rate for Payer: PACE SWMI |
$2,175.58
|
| Rate for Payer: PHP Commercial |
$3,045.81
|
| Rate for Payer: PHP Medicare Advantage |
$2,175.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,426.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,089.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,550.46
|
| Rate for Payer: Priority Health Medicare |
$2,175.58
|
| Rate for Payer: Priority Health Narrow Network |
$3,550.46
|
| Rate for Payer: Priority Health SBD |
$3,550.46
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,175.58
|
| Rate for Payer: UHC Medicare Advantage |
$2,175.58
|
| Rate for Payer: UHCCP Medicaid |
$1,426.67
|
| Rate for Payer: UMR Bronson Commercial |
$2,186.38
|
|
