|
PR RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY
|
Professional
|
Both
|
$1,793.00
|
|
|
Service Code
|
HCPCS 35266
|
| Min. Negotiated Rate |
$534.11 |
| Max. Negotiated Rate |
$1,354.03 |
| Rate for Payer: Aetna Commercial |
$1,112.48
|
| Rate for Payer: Aetna Medicare |
$863.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,112.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,195.50
|
| Rate for Payer: BCBS Complete |
$571.20
|
| Rate for Payer: BCBS MAPPO |
$830.21
|
| Rate for Payer: BCBS Trust/PPO |
$534.11
|
| Rate for Payer: BCN Commercial |
$1,232.44
|
| Rate for Payer: BCN Medicare Advantage |
$830.21
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cash Price |
$1,434.40
|
| Rate for Payer: Cofinity Commercial |
$1,112.48
|
| Rate for Payer: Cofinity Commercial |
$1,195.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$830.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$871.72
|
| Rate for Payer: Meridian Medicaid |
$571.20
|
| Rate for Payer: Nomi Health Commercial |
$996.25
|
| Rate for Payer: PACE SWMI |
$830.21
|
| Rate for Payer: PHP Commercial |
$1,162.29
|
| Rate for Payer: PHP Medicare Advantage |
$830.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$544.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,165.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,354.03
|
| Rate for Payer: Priority Health Medicare |
$830.21
|
| Rate for Payer: Priority Health Narrow Network |
$1,354.03
|
| Rate for Payer: Priority Health SBD |
$1,354.03
|
| Rate for Payer: UHC Dual Complete DSNP |
$830.21
|
| Rate for Payer: UHC Medicare Advantage |
$830.21
|
| Rate for Payer: UHCCP Medicaid |
$544.00
|
| Rate for Payer: UMR Bronson Commercial |
$824.78
|
|
|
PR RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY
|
Professional
|
Both
|
$3,792.00
|
|
|
Service Code
|
HCPCS 35286
|
| Min. Negotiated Rate |
$580.64 |
| Max. Negotiated Rate |
$2,464.80 |
| Rate for Payer: Aetna Commercial |
$1,190.75
|
| Rate for Payer: Aetna Medicare |
$924.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,190.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,279.61
|
| Rate for Payer: BCBS Complete |
$609.67
|
| Rate for Payer: BCBS MAPPO |
$888.62
|
| Rate for Payer: BCBS Trust/PPO |
$1,167.01
|
| Rate for Payer: BCN Commercial |
$1,329.21
|
| Rate for Payer: BCN Medicare Advantage |
$888.62
|
| Rate for Payer: Cash Price |
$3,033.60
|
| Rate for Payer: Cash Price |
$3,033.60
|
| Rate for Payer: Cofinity Commercial |
$1,190.75
|
| Rate for Payer: Cofinity Commercial |
$1,279.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$888.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$933.05
|
| Rate for Payer: Meridian Medicaid |
$609.67
|
| Rate for Payer: Nomi Health Commercial |
$1,066.34
|
| Rate for Payer: PACE SWMI |
$888.62
|
| Rate for Payer: PHP Commercial |
$1,244.07
|
| Rate for Payer: PHP Medicare Advantage |
$888.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$580.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,464.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,446.56
|
| Rate for Payer: Priority Health Medicare |
$888.62
|
| Rate for Payer: Priority Health Narrow Network |
$1,446.56
|
| Rate for Payer: Priority Health SBD |
$1,446.56
|
| Rate for Payer: UHC Dual Complete DSNP |
$888.62
|
| Rate for Payer: UHC Medicare Advantage |
$888.62
|
| Rate for Payer: UHCCP Medicaid |
$580.64
|
| Rate for Payer: UMR Bronson Commercial |
$1,744.32
|
|
|
PR RPR CLOACAL ANOMALY SACROPERINEAL
|
Professional
|
Both
|
$6,583.00
|
|
|
Service Code
|
HCPCS 46744
|
| Min. Negotiated Rate |
$741.73 |
| Max. Negotiated Rate |
$6,315.54 |
| Rate for Payer: Aetna Commercial |
$4,602.99
|
| Rate for Payer: Aetna Medicare |
$3,572.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,602.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$4,946.50
|
| Rate for Payer: BCBS Complete |
$2,381.65
|
| Rate for Payer: BCBS MAPPO |
$3,435.07
|
| Rate for Payer: BCBS Trust/PPO |
$741.73
|
| Rate for Payer: BCN Commercial |
$5,150.66
|
| Rate for Payer: BCN Medicare Advantage |
$3,435.07
|
| Rate for Payer: Cash Price |
$5,266.40
|
| Rate for Payer: Cash Price |
$5,266.40
|
| Rate for Payer: Cofinity Commercial |
$4,602.99
|
| Rate for Payer: Cofinity Commercial |
$4,946.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3,435.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3,606.82
|
| Rate for Payer: Meridian Medicaid |
$2,381.65
|
| Rate for Payer: Nomi Health Commercial |
$4,122.08
|
| Rate for Payer: PACE SWMI |
$3,435.07
|
| Rate for Payer: PHP Commercial |
$4,809.10
|
| Rate for Payer: PHP Medicare Advantage |
$3,435.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,268.24
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,278.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6,315.54
|
| Rate for Payer: Priority Health Medicare |
$3,435.07
|
| Rate for Payer: Priority Health Narrow Network |
$6,315.54
|
| Rate for Payer: Priority Health SBD |
$6,315.54
|
| Rate for Payer: UHC Dual Complete DSNP |
$3,435.07
|
| Rate for Payer: UHC Medicare Advantage |
$3,435.07
|
| Rate for Payer: UHCCP Medicaid |
$2,268.24
|
| Rate for Payer: UMR Bronson Commercial |
$3,028.18
|
|
|
PR RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT
|
Professional
|
Both
|
$1,983.00
|
|
|
Service Code
|
HCPCS 26540
|
| Min. Negotiated Rate |
$400.45 |
| Max. Negotiated Rate |
$1,288.95 |
| Rate for Payer: Aetna Commercial |
$877.95
|
| Rate for Payer: Aetna Medicare |
$681.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$877.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$943.47
|
| Rate for Payer: BCBS Complete |
$474.81
|
| Rate for Payer: BCBS MAPPO |
$655.19
|
| Rate for Payer: BCBS Trust/PPO |
$400.45
|
| Rate for Payer: BCN Commercial |
$1,041.86
|
| Rate for Payer: BCN Medicare Advantage |
$655.19
|
| Rate for Payer: Cash Price |
$1,586.40
|
| Rate for Payer: Cash Price |
$1,586.40
|
| Rate for Payer: Cofinity Commercial |
$877.95
|
| Rate for Payer: Cofinity Commercial |
$943.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$655.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$687.95
|
| Rate for Payer: Meridian Medicaid |
$474.81
|
| Rate for Payer: Nomi Health Commercial |
$786.23
|
| Rate for Payer: PACE SWMI |
$655.19
|
| Rate for Payer: PHP Commercial |
$917.27
|
| Rate for Payer: PHP Medicare Advantage |
$655.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$452.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,288.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,082.86
|
| Rate for Payer: Priority Health Medicare |
$655.19
|
| Rate for Payer: Priority Health Narrow Network |
$1,082.86
|
| Rate for Payer: Priority Health SBD |
$1,082.86
|
| Rate for Payer: UHC Dual Complete DSNP |
$655.19
|
| Rate for Payer: UHC Medicare Advantage |
$655.19
|
| Rate for Payer: UHCCP Medicaid |
$452.20
|
| Rate for Payer: UMR Bronson Commercial |
$912.18
|
|
|
PR RPR COMPONENT INFLATABLE PENILE PROSTHESIS
|
Professional
|
Both
|
$1,505.00
|
|
|
Service Code
|
HCPCS 54408
|
| Min. Negotiated Rate |
$507.58 |
| Max. Negotiated Rate |
$2,176.77 |
| Rate for Payer: Aetna Commercial |
$1,013.82
|
| Rate for Payer: Aetna Medicare |
$786.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,013.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,089.48
|
| Rate for Payer: BCBS Complete |
$532.96
|
| Rate for Payer: BCBS MAPPO |
$756.58
|
| Rate for Payer: BCBS Trust/PPO |
$2,176.77
|
| Rate for Payer: BCN Commercial |
$1,141.06
|
| Rate for Payer: BCN Medicare Advantage |
$756.58
|
| Rate for Payer: Cash Price |
$1,204.00
|
| Rate for Payer: Cash Price |
$1,204.00
|
| Rate for Payer: Cofinity Commercial |
$1,013.82
|
| Rate for Payer: Cofinity Commercial |
$1,089.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$756.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$794.41
|
| Rate for Payer: Meridian Medicaid |
$532.96
|
| Rate for Payer: Nomi Health Commercial |
$907.90
|
| Rate for Payer: PACE SWMI |
$756.58
|
| Rate for Payer: PHP Commercial |
$1,059.21
|
| Rate for Payer: PHP Medicare Advantage |
$756.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$507.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$978.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,260.13
|
| Rate for Payer: Priority Health Medicare |
$756.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,260.13
|
| Rate for Payer: Priority Health SBD |
$1,260.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$756.58
|
| Rate for Payer: UHC Medicare Advantage |
$756.58
|
| Rate for Payer: UHCCP Medicaid |
$507.58
|
| Rate for Payer: UMR Bronson Commercial |
$692.30
|
|
|
PR RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS
|
Professional
|
Both
|
$5,809.00
|
|
|
Service Code
|
HCPCS 33500
|
| Min. Negotiated Rate |
$426.34 |
| Max. Negotiated Rate |
$3,775.85 |
| Rate for Payer: Aetna Commercial |
$1,999.62
|
| Rate for Payer: Aetna Medicare |
$1,551.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,999.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,148.84
|
| Rate for Payer: BCBS Complete |
$1,030.35
|
| Rate for Payer: BCBS MAPPO |
$1,492.25
|
| Rate for Payer: BCBS Trust/PPO |
$426.34
|
| Rate for Payer: BCN Commercial |
$2,235.70
|
| Rate for Payer: BCN Medicare Advantage |
$1,492.25
|
| Rate for Payer: Cash Price |
$4,647.20
|
| Rate for Payer: Cash Price |
$4,647.20
|
| Rate for Payer: Cofinity Commercial |
$1,999.62
|
| Rate for Payer: Cofinity Commercial |
$2,148.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,492.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,566.86
|
| Rate for Payer: Meridian Medicaid |
$1,030.35
|
| Rate for Payer: Nomi Health Commercial |
$1,790.70
|
| Rate for Payer: PACE SWMI |
$1,492.25
|
| Rate for Payer: PHP Commercial |
$2,089.15
|
| Rate for Payer: PHP Medicare Advantage |
$1,492.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$981.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,775.85
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,437.36
|
| Rate for Payer: Priority Health Medicare |
$1,492.25
|
| Rate for Payer: Priority Health Narrow Network |
$2,437.36
|
| Rate for Payer: Priority Health SBD |
$2,437.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,492.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,492.25
|
| Rate for Payer: UHCCP Medicaid |
$981.29
|
| Rate for Payer: UMR Bronson Commercial |
$2,672.14
|
|
|
PR RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT
|
Professional
|
Both
|
$852.00
|
|
|
Service Code
|
HCPCS 36576
|
| Min. Negotiated Rate |
$115.87 |
| Max. Negotiated Rate |
$1,186.03 |
| Rate for Payer: Aetna Commercial |
$232.58
|
| Rate for Payer: Aetna Medicare |
$180.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$249.94
|
| Rate for Payer: BCBS Complete |
$121.66
|
| Rate for Payer: BCBS MAPPO |
$173.57
|
| Rate for Payer: BCBS Trust/PPO |
$1,186.03
|
| Rate for Payer: BCN Commercial |
$507.25
|
| Rate for Payer: BCN Medicare Advantage |
$173.57
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cash Price |
$681.60
|
| Rate for Payer: Cofinity Commercial |
$232.58
|
| Rate for Payer: Cofinity Commercial |
$249.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$173.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$182.25
|
| Rate for Payer: Meridian Medicaid |
$121.66
|
| Rate for Payer: Nomi Health Commercial |
$208.28
|
| Rate for Payer: PACE SWMI |
$173.57
|
| Rate for Payer: PHP Commercial |
$243.00
|
| Rate for Payer: PHP Medicare Advantage |
$173.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$115.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$553.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$288.78
|
| Rate for Payer: Priority Health Medicare |
$173.57
|
| Rate for Payer: Priority Health Narrow Network |
$288.78
|
| Rate for Payer: Priority Health SBD |
$288.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$173.57
|
| Rate for Payer: UHC Medicare Advantage |
$173.57
|
| Rate for Payer: UHCCP Medicaid |
$115.87
|
| Rate for Payer: UMR Bronson Commercial |
$391.92
|
|
|
PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT
|
Professional
|
Both
|
$5,993.00
|
|
|
Service Code
|
HCPCS 39540
|
| Min. Negotiated Rate |
$552.10 |
| Max. Negotiated Rate |
$3,895.45 |
| Rate for Payer: Aetna Commercial |
$1,119.68
|
| Rate for Payer: Aetna Medicare |
$869.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,119.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,203.24
|
| Rate for Payer: BCBS Complete |
$579.70
|
| Rate for Payer: BCBS MAPPO |
$835.58
|
| Rate for Payer: BCBS Trust/PPO |
$676.75
|
| Rate for Payer: BCN Commercial |
$1,257.37
|
| Rate for Payer: BCN Medicare Advantage |
$835.58
|
| Rate for Payer: Cash Price |
$4,794.40
|
| Rate for Payer: Cash Price |
$4,794.40
|
| Rate for Payer: Cofinity Commercial |
$1,119.68
|
| Rate for Payer: Cofinity Commercial |
$1,203.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$835.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$877.36
|
| Rate for Payer: Meridian Medicaid |
$579.70
|
| Rate for Payer: Nomi Health Commercial |
$1,002.70
|
| Rate for Payer: PACE SWMI |
$835.58
|
| Rate for Payer: PHP Commercial |
$1,169.81
|
| Rate for Payer: PHP Medicare Advantage |
$835.58
|
| Rate for Payer: Priority Health Choice Medicaid |
$552.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,895.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,380.08
|
| Rate for Payer: Priority Health Medicare |
$835.58
|
| Rate for Payer: Priority Health Narrow Network |
$1,380.08
|
| Rate for Payer: Priority Health SBD |
$1,380.08
|
| Rate for Payer: UHC Dual Complete DSNP |
$835.58
|
| Rate for Payer: UHC Medicare Advantage |
$835.58
|
| Rate for Payer: UHCCP Medicaid |
$552.10
|
| Rate for Payer: UMR Bronson Commercial |
$2,756.78
|
|
|
PR RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC
|
Professional
|
Both
|
$1,712.00
|
|
|
Service Code
|
HCPCS 39541
|
| Min. Negotiated Rate |
$509.28 |
| Max. Negotiated Rate |
$1,482.73 |
| Rate for Payer: Aetna Commercial |
$1,216.14
|
| Rate for Payer: Aetna Medicare |
$943.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,216.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,306.90
|
| Rate for Payer: BCBS Complete |
$629.58
|
| Rate for Payer: BCBS MAPPO |
$907.57
|
| Rate for Payer: BCBS Trust/PPO |
$509.28
|
| Rate for Payer: BCN Commercial |
$1,356.57
|
| Rate for Payer: BCN Medicare Advantage |
$907.57
|
| Rate for Payer: Cash Price |
$1,369.60
|
| Rate for Payer: Cash Price |
$1,369.60
|
| Rate for Payer: Cofinity Commercial |
$1,216.14
|
| Rate for Payer: Cofinity Commercial |
$1,306.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$907.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$952.95
|
| Rate for Payer: Meridian Medicaid |
$629.58
|
| Rate for Payer: Nomi Health Commercial |
$1,089.08
|
| Rate for Payer: PACE SWMI |
$907.57
|
| Rate for Payer: PHP Commercial |
$1,270.60
|
| Rate for Payer: PHP Medicare Advantage |
$907.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$599.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,112.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,482.73
|
| Rate for Payer: Priority Health Medicare |
$907.57
|
| Rate for Payer: Priority Health Narrow Network |
$1,482.73
|
| Rate for Payer: Priority Health SBD |
$1,482.73
|
| Rate for Payer: UHC Dual Complete DSNP |
$907.57
|
| Rate for Payer: UHC Medicare Advantage |
$907.57
|
| Rate for Payer: UHCCP Medicaid |
$599.60
|
| Rate for Payer: UMR Bronson Commercial |
$787.52
|
|
|
PR RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY
|
Professional
|
Both
|
$1,301.00
|
|
|
Service Code
|
HCPCS 27675
|
| Min. Negotiated Rate |
$221.89 |
| Max. Negotiated Rate |
$845.65 |
| Rate for Payer: Aetna Commercial |
$640.25
|
| Rate for Payer: Aetna Medicare |
$496.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$640.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$688.03
|
| Rate for Payer: BCBS Complete |
$339.95
|
| Rate for Payer: BCBS MAPPO |
$477.80
|
| Rate for Payer: BCBS Trust/PPO |
$221.89
|
| Rate for Payer: BCN Commercial |
$730.08
|
| Rate for Payer: BCN Medicare Advantage |
$477.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cash Price |
$1,040.80
|
| Rate for Payer: Cofinity Commercial |
$640.25
|
| Rate for Payer: Cofinity Commercial |
$688.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$477.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$501.69
|
| Rate for Payer: Meridian Medicaid |
$339.95
|
| Rate for Payer: Nomi Health Commercial |
$573.36
|
| Rate for Payer: PACE SWMI |
$477.80
|
| Rate for Payer: PHP Commercial |
$668.92
|
| Rate for Payer: PHP Medicare Advantage |
$477.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$323.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$845.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$765.84
|
| Rate for Payer: Priority Health Medicare |
$477.80
|
| Rate for Payer: Priority Health Narrow Network |
$765.84
|
| Rate for Payer: Priority Health SBD |
$765.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$477.80
|
| Rate for Payer: UHC Medicare Advantage |
$477.80
|
| Rate for Payer: UHCCP Medicaid |
$323.76
|
| Rate for Payer: UMR Bronson Commercial |
$598.46
|
|
|
PR RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM
|
Professional
|
Both
|
$1,928.00
|
|
|
Service Code
|
HCPCS 63707
|
| Min. Negotiated Rate |
$618.13 |
| Max. Negotiated Rate |
$1,625.96 |
| Rate for Payer: Aetna Commercial |
$1,244.10
|
| Rate for Payer: Aetna Medicare |
$965.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,244.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,336.94
|
| Rate for Payer: BCBS Complete |
$649.04
|
| Rate for Payer: BCBS MAPPO |
$928.43
|
| Rate for Payer: BCBS Trust/PPO |
$1,181.28
|
| Rate for Payer: BCN Commercial |
$1,528.13
|
| Rate for Payer: BCN Medicare Advantage |
$928.43
|
| Rate for Payer: Cash Price |
$1,542.40
|
| Rate for Payer: Cash Price |
$1,542.40
|
| Rate for Payer: Cofinity Commercial |
$1,244.10
|
| Rate for Payer: Cofinity Commercial |
$1,336.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$928.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$974.85
|
| Rate for Payer: Meridian Medicaid |
$649.04
|
| Rate for Payer: Nomi Health Commercial |
$1,114.12
|
| Rate for Payer: PACE SWMI |
$928.43
|
| Rate for Payer: PHP Commercial |
$1,299.80
|
| Rate for Payer: PHP Medicare Advantage |
$928.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$618.13
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,253.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,625.96
|
| Rate for Payer: Priority Health Medicare |
$928.43
|
| Rate for Payer: Priority Health Narrow Network |
$1,625.96
|
| Rate for Payer: Priority Health SBD |
$1,625.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$928.43
|
| Rate for Payer: UHC Medicare Advantage |
$928.43
|
| Rate for Payer: UHCCP Medicaid |
$618.13
|
| Rate for Payer: UMR Bronson Commercial |
$886.88
|
|
|
PR RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM
|
Professional
|
Both
|
$6,028.00
|
|
|
Service Code
|
HCPCS 63709
|
| Min. Negotiated Rate |
$726.54 |
| Max. Negotiated Rate |
$3,918.20 |
| Rate for Payer: Aetna Commercial |
$1,464.38
|
| Rate for Payer: Aetna Medicare |
$1,136.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,464.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,573.66
|
| Rate for Payer: BCBS Complete |
$762.87
|
| Rate for Payer: BCBS MAPPO |
$1,092.82
|
| Rate for Payer: BCBS Trust/PPO |
$1,064.00
|
| Rate for Payer: BCN Commercial |
$1,809.54
|
| Rate for Payer: BCN Medicare Advantage |
$1,092.82
|
| Rate for Payer: Cash Price |
$4,822.40
|
| Rate for Payer: Cash Price |
$4,822.40
|
| Rate for Payer: Cofinity Commercial |
$1,464.38
|
| Rate for Payer: Cofinity Commercial |
$1,573.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,092.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,147.46
|
| Rate for Payer: Meridian Medicaid |
$762.87
|
| Rate for Payer: Nomi Health Commercial |
$1,311.38
|
| Rate for Payer: PACE SWMI |
$1,092.82
|
| Rate for Payer: PHP Commercial |
$1,529.95
|
| Rate for Payer: PHP Medicare Advantage |
$1,092.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$726.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,918.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,927.95
|
| Rate for Payer: Priority Health Medicare |
$1,092.82
|
| Rate for Payer: Priority Health Narrow Network |
$1,927.95
|
| Rate for Payer: Priority Health SBD |
$1,927.95
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,092.82
|
| Rate for Payer: UHC Medicare Advantage |
$1,092.82
|
| Rate for Payer: UHCCP Medicaid |
$726.54
|
| Rate for Payer: UMR Bronson Commercial |
$2,772.88
|
|
|
PR RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY
|
Professional
|
Both
|
$5,844.00
|
|
|
Service Code
|
HCPCS 62120
|
| Min. Negotiated Rate |
$1,110.49 |
| Max. Negotiated Rate |
$3,798.60 |
| Rate for Payer: Aetna Commercial |
$2,704.67
|
| Rate for Payer: Aetna Medicare |
$2,099.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,704.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,906.51
|
| Rate for Payer: BCBS Complete |
$1,413.02
|
| Rate for Payer: BCBS MAPPO |
$2,018.41
|
| Rate for Payer: BCBS Trust/PPO |
$1,110.49
|
| Rate for Payer: BCN Commercial |
$3,072.31
|
| Rate for Payer: BCN Medicare Advantage |
$2,018.41
|
| Rate for Payer: Cash Price |
$4,675.20
|
| Rate for Payer: Cash Price |
$4,675.20
|
| Rate for Payer: Cofinity Commercial |
$2,704.67
|
| Rate for Payer: Cofinity Commercial |
$2,906.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,018.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,119.33
|
| Rate for Payer: Meridian Medicaid |
$1,413.02
|
| Rate for Payer: Nomi Health Commercial |
$2,422.09
|
| Rate for Payer: PACE SWMI |
$2,018.41
|
| Rate for Payer: PHP Commercial |
$2,825.77
|
| Rate for Payer: PHP Medicare Advantage |
$2,018.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,345.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,798.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,594.84
|
| Rate for Payer: Priority Health Medicare |
$2,018.41
|
| Rate for Payer: Priority Health Narrow Network |
$3,594.84
|
| Rate for Payer: Priority Health SBD |
$3,594.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,018.41
|
| Rate for Payer: UHC Medicare Advantage |
$2,018.41
|
| Rate for Payer: UHCCP Medicaid |
$1,345.73
|
| Rate for Payer: UMR Bronson Commercial |
$2,688.24
|
|
|
PR RPR EPIGASTRIC HERNIA INCARCERATED
|
Professional
|
Both
|
$1,488.00
|
|
|
Service Code
|
HCPCS 49572
|
| Min. Negotiated Rate |
$595.20 |
| Max. Negotiated Rate |
$967.20 |
| Rate for Payer: Aetna Medicare |
$744.00
|
| Rate for Payer: BCBS Complete |
$595.20
|
| Rate for Payer: Cash Price |
$1,190.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$967.20
|
| Rate for Payer: UMR Bronson Commercial |
$684.48
|
|
|
PR RPR EPIGASTRIC HERNIA REDUCIBLE SPX
|
Professional
|
Both
|
$1,171.00
|
|
|
Service Code
|
HCPCS 49570
|
| Min. Negotiated Rate |
$468.40 |
| Max. Negotiated Rate |
$761.15 |
| Rate for Payer: Aetna Medicare |
$585.50
|
| Rate for Payer: BCBS Complete |
$468.40
|
| Rate for Payer: Cash Price |
$936.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$761.15
|
| Rate for Payer: UMR Bronson Commercial |
$538.66
|
|
|
PR RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH
|
Professional
|
Both
|
$607.00
|
|
|
Service Code
|
HCPCS 27664
|
| Min. Negotiated Rate |
$233.45 |
| Max. Negotiated Rate |
$1,815.77 |
| Rate for Payer: Aetna Commercial |
$459.08
|
| Rate for Payer: Aetna Medicare |
$356.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$459.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$493.34
|
| Rate for Payer: BCBS Complete |
$245.12
|
| Rate for Payer: BCBS MAPPO |
$342.60
|
| Rate for Payer: BCBS Trust/PPO |
$1,815.77
|
| Rate for Payer: BCN Commercial |
$535.10
|
| Rate for Payer: BCN Medicare Advantage |
$342.60
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cofinity Commercial |
$459.08
|
| Rate for Payer: Cofinity Commercial |
$493.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$342.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$359.73
|
| Rate for Payer: Meridian Medicaid |
$245.12
|
| Rate for Payer: Nomi Health Commercial |
$411.12
|
| Rate for Payer: PACE SWMI |
$342.60
|
| Rate for Payer: PHP Commercial |
$479.64
|
| Rate for Payer: PHP Medicare Advantage |
$342.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$233.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$394.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$561.78
|
| Rate for Payer: Priority Health Medicare |
$342.60
|
| Rate for Payer: Priority Health Narrow Network |
$561.78
|
| Rate for Payer: Priority Health SBD |
$561.78
|
| Rate for Payer: UHC Dual Complete DSNP |
$342.60
|
| Rate for Payer: UHC Medicare Advantage |
$342.60
|
| Rate for Payer: UHCCP Medicaid |
$233.45
|
| Rate for Payer: UMR Bronson Commercial |
$279.22
|
|
|
PR RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH
|
Professional
|
Both
|
$859.00
|
|
|
Service Code
|
HCPCS 27665
|
| Min. Negotiated Rate |
$272.21 |
| Max. Negotiated Rate |
$1,815.77 |
| Rate for Payer: Aetna Commercial |
$535.79
|
| Rate for Payer: Aetna Medicare |
$415.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$535.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$575.77
|
| Rate for Payer: BCBS Complete |
$285.82
|
| Rate for Payer: BCBS MAPPO |
$399.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,815.77
|
| Rate for Payer: BCN Commercial |
$619.16
|
| Rate for Payer: BCN Medicare Advantage |
$399.84
|
| Rate for Payer: Cash Price |
$687.20
|
| Rate for Payer: Cash Price |
$687.20
|
| Rate for Payer: Cofinity Commercial |
$535.79
|
| Rate for Payer: Cofinity Commercial |
$575.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$399.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$419.83
|
| Rate for Payer: Meridian Medicaid |
$285.82
|
| Rate for Payer: Nomi Health Commercial |
$479.81
|
| Rate for Payer: PACE SWMI |
$399.84
|
| Rate for Payer: PHP Commercial |
$559.78
|
| Rate for Payer: PHP Medicare Advantage |
$399.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$272.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$558.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$657.44
|
| Rate for Payer: Priority Health Medicare |
$399.84
|
| Rate for Payer: Priority Health Narrow Network |
$657.44
|
| Rate for Payer: Priority Health SBD |
$657.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$399.84
|
| Rate for Payer: UHC Medicare Advantage |
$399.84
|
| Rate for Payer: UHCCP Medicaid |
$272.21
|
| Rate for Payer: UMR Bronson Commercial |
$395.14
|
|
|
PR RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH
|
Professional
|
Both
|
$1,088.00
|
|
|
Service Code
|
HCPCS 27659
|
| Min. Negotiated Rate |
$307.57 |
| Max. Negotiated Rate |
$1,861.44 |
| Rate for Payer: Aetna Commercial |
$608.25
|
| Rate for Payer: Aetna Medicare |
$472.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$608.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$653.64
|
| Rate for Payer: BCBS Complete |
$322.95
|
| Rate for Payer: BCBS MAPPO |
$453.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,861.44
|
| Rate for Payer: BCN Commercial |
$689.52
|
| Rate for Payer: BCN Medicare Advantage |
$453.92
|
| Rate for Payer: Cash Price |
$870.40
|
| Rate for Payer: Cash Price |
$870.40
|
| Rate for Payer: Cofinity Commercial |
$608.25
|
| Rate for Payer: Cofinity Commercial |
$653.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$453.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$476.62
|
| Rate for Payer: Meridian Medicaid |
$322.95
|
| Rate for Payer: Nomi Health Commercial |
$544.70
|
| Rate for Payer: PACE SWMI |
$453.92
|
| Rate for Payer: PHP Commercial |
$635.49
|
| Rate for Payer: PHP Medicare Advantage |
$453.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$307.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$707.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$730.22
|
| Rate for Payer: Priority Health Medicare |
$453.92
|
| Rate for Payer: Priority Health Narrow Network |
$730.22
|
| Rate for Payer: Priority Health SBD |
$730.22
|
| Rate for Payer: UHC Dual Complete DSNP |
$453.92
|
| Rate for Payer: UHC Medicare Advantage |
$453.92
|
| Rate for Payer: UHCCP Medicaid |
$307.57
|
| Rate for Payer: UMR Bronson Commercial |
$500.48
|
|
|
PR RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR
|
Professional
|
Both
|
$5,557.00
|
|
|
Service Code
|
HCPCS 46740
|
| Min. Negotiated Rate |
$93.51 |
| Max. Negotiated Rate |
$3,889.19 |
| Rate for Payer: Aetna Commercial |
$2,821.20
|
| Rate for Payer: Aetna Medicare |
$2,189.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,821.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,031.73
|
| Rate for Payer: BCBS Complete |
$1,468.27
|
| Rate for Payer: BCBS MAPPO |
$2,105.37
|
| Rate for Payer: BCBS Trust/PPO |
$93.51
|
| Rate for Payer: BCN Commercial |
$3,167.61
|
| Rate for Payer: BCN Medicare Advantage |
$2,105.37
|
| Rate for Payer: Cash Price |
$4,445.60
|
| Rate for Payer: Cash Price |
$4,445.60
|
| Rate for Payer: Cofinity Commercial |
$2,821.20
|
| Rate for Payer: Cofinity Commercial |
$3,031.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,105.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,210.64
|
| Rate for Payer: Meridian Medicaid |
$1,468.27
|
| Rate for Payer: Nomi Health Commercial |
$2,526.44
|
| Rate for Payer: PACE SWMI |
$2,105.37
|
| Rate for Payer: PHP Commercial |
$2,947.52
|
| Rate for Payer: PHP Medicare Advantage |
$2,105.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,398.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,612.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,889.19
|
| Rate for Payer: Priority Health Medicare |
$2,105.37
|
| Rate for Payer: Priority Health Narrow Network |
$3,889.19
|
| Rate for Payer: Priority Health SBD |
$3,889.19
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,105.37
|
| Rate for Payer: UHC Medicare Advantage |
$2,105.37
|
| Rate for Payer: UHCCP Medicaid |
$1,398.35
|
| Rate for Payer: UMR Bronson Commercial |
$2,556.22
|
|
|
PR RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL
|
Professional
|
Both
|
$5,147.00
|
|
|
Service Code
|
HCPCS 46742
|
| Min. Negotiated Rate |
$477.58 |
| Max. Negotiated Rate |
$4,488.18 |
| Rate for Payer: Aetna Commercial |
$3,259.15
|
| Rate for Payer: Aetna Medicare |
$2,529.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,259.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3,502.37
|
| Rate for Payer: BCBS Complete |
$1,692.58
|
| Rate for Payer: BCBS MAPPO |
$2,432.20
|
| Rate for Payer: BCBS Trust/PPO |
$477.58
|
| Rate for Payer: BCN Commercial |
$3,656.28
|
| Rate for Payer: BCN Medicare Advantage |
$2,432.20
|
| Rate for Payer: Cash Price |
$4,117.60
|
| Rate for Payer: Cash Price |
$4,117.60
|
| Rate for Payer: Cofinity Commercial |
$3,259.15
|
| Rate for Payer: Cofinity Commercial |
$3,502.37
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,432.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,553.81
|
| Rate for Payer: Meridian Medicaid |
$1,692.58
|
| Rate for Payer: Nomi Health Commercial |
$2,918.64
|
| Rate for Payer: PACE SWMI |
$2,432.20
|
| Rate for Payer: PHP Commercial |
$3,405.08
|
| Rate for Payer: PHP Medicare Advantage |
$2,432.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,611.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,345.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,488.18
|
| Rate for Payer: Priority Health Medicare |
$2,432.20
|
| Rate for Payer: Priority Health Narrow Network |
$4,488.18
|
| Rate for Payer: Priority Health SBD |
$4,488.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$2,432.20
|
| Rate for Payer: UHC Medicare Advantage |
$2,432.20
|
| Rate for Payer: UHCCP Medicaid |
$1,611.98
|
| Rate for Payer: UMR Bronson Commercial |
$2,367.62
|
|
|
PR RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR
|
Professional
|
Both
|
$3,879.00
|
|
|
Service Code
|
HCPCS 46730
|
| Min. Negotiated Rate |
$105.13 |
| Max. Negotiated Rate |
$3,566.44 |
| Rate for Payer: Aetna Commercial |
$2,584.70
|
| Rate for Payer: Aetna Medicare |
$2,006.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,584.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,777.59
|
| Rate for Payer: BCBS Complete |
$1,346.82
|
| Rate for Payer: BCBS MAPPO |
$1,928.88
|
| Rate for Payer: BCBS Trust/PPO |
$105.13
|
| Rate for Payer: BCN Commercial |
$2,905.18
|
| Rate for Payer: BCN Medicare Advantage |
$1,928.88
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Cash Price |
$3,103.20
|
| Rate for Payer: Cofinity Commercial |
$2,584.70
|
| Rate for Payer: Cofinity Commercial |
$2,777.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,928.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2,025.32
|
| Rate for Payer: Meridian Medicaid |
$1,346.82
|
| Rate for Payer: Nomi Health Commercial |
$2,314.66
|
| Rate for Payer: PACE SWMI |
$1,928.88
|
| Rate for Payer: PHP Commercial |
$2,700.43
|
| Rate for Payer: PHP Medicare Advantage |
$1,928.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,282.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,521.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,566.44
|
| Rate for Payer: Priority Health Medicare |
$1,928.88
|
| Rate for Payer: Priority Health Narrow Network |
$3,566.44
|
| Rate for Payer: Priority Health SBD |
$3,566.44
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,928.88
|
| Rate for Payer: UHC Medicare Advantage |
$1,928.88
|
| Rate for Payer: UHCCP Medicaid |
$1,282.69
|
| Rate for Payer: UMR Bronson Commercial |
$1,784.34
|
|
|
PR RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE
|
Professional
|
Both
|
$1,985.00
|
|
|
Service Code
|
HCPCS 54340
|
| Min. Negotiated Rate |
$365.93 |
| Max. Negotiated Rate |
$2,917.27 |
| Rate for Payer: Aetna Commercial |
$729.01
|
| Rate for Payer: Aetna Medicare |
$565.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$729.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$783.42
|
| Rate for Payer: BCBS Complete |
$384.23
|
| Rate for Payer: BCBS MAPPO |
$544.04
|
| Rate for Payer: BCBS Trust/PPO |
$2,917.27
|
| Rate for Payer: BCN Commercial |
$822.94
|
| Rate for Payer: BCN Medicare Advantage |
$544.04
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cash Price |
$1,588.00
|
| Rate for Payer: Cofinity Commercial |
$729.01
|
| Rate for Payer: Cofinity Commercial |
$783.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$544.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$571.24
|
| Rate for Payer: Meridian Medicaid |
$384.23
|
| Rate for Payer: Nomi Health Commercial |
$652.85
|
| Rate for Payer: PACE SWMI |
$544.04
|
| Rate for Payer: PHP Commercial |
$761.66
|
| Rate for Payer: PHP Medicare Advantage |
$544.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$365.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,290.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$910.21
|
| Rate for Payer: Priority Health Medicare |
$544.04
|
| Rate for Payer: Priority Health Narrow Network |
$910.21
|
| Rate for Payer: Priority Health SBD |
$910.21
|
| Rate for Payer: UHC Dual Complete DSNP |
$544.04
|
| Rate for Payer: UHC Medicare Advantage |
$544.04
|
| Rate for Payer: UHCCP Medicaid |
$365.93
|
| Rate for Payer: UMR Bronson Commercial |
$913.10
|
|
|
PR RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR
|
Professional
|
Both
|
$7,548.00
|
|
|
Service Code
|
HCPCS 33660
|
| Min. Negotiated Rate |
$1,104.62 |
| Max. Negotiated Rate |
$4,906.20 |
| Rate for Payer: Aetna Commercial |
$2,259.03
|
| Rate for Payer: Aetna Medicare |
$1,753.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,259.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,427.61
|
| Rate for Payer: BCBS Complete |
$1,159.85
|
| Rate for Payer: BCBS MAPPO |
$1,685.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,131.09
|
| Rate for Payer: BCN Commercial |
$2,516.20
|
| Rate for Payer: BCN Medicare Advantage |
$1,685.84
|
| Rate for Payer: Cash Price |
$6,038.40
|
| Rate for Payer: Cash Price |
$6,038.40
|
| Rate for Payer: Cofinity Commercial |
$2,259.03
|
| Rate for Payer: Cofinity Commercial |
$2,427.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,685.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1,770.13
|
| Rate for Payer: Meridian Medicaid |
$1,159.85
|
| Rate for Payer: Nomi Health Commercial |
$2,023.01
|
| Rate for Payer: PACE SWMI |
$1,685.84
|
| Rate for Payer: PHP Commercial |
$2,360.18
|
| Rate for Payer: PHP Medicare Advantage |
$1,685.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,104.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,906.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,750.07
|
| Rate for Payer: Priority Health Medicare |
$1,685.84
|
| Rate for Payer: Priority Health Narrow Network |
$2,750.07
|
| Rate for Payer: Priority Health SBD |
$2,750.07
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,685.84
|
| Rate for Payer: UHC Medicare Advantage |
$1,685.84
|
| Rate for Payer: UHCCP Medicaid |
$1,104.62
|
| Rate for Payer: UMR Bronson Commercial |
$3,472.08
|
|
|
PR RPR INGUN HERNIA SLIDING ANY AGE
|
Professional
|
Both
|
$1,636.00
|
|
|
Service Code
|
HCPCS 49525
|
| Min. Negotiated Rate |
$372.54 |
| Max. Negotiated Rate |
$1,063.40 |
| Rate for Payer: Aetna Commercial |
$750.51
|
| Rate for Payer: Aetna Medicare |
$582.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$806.52
|
| Rate for Payer: BCBS Complete |
$391.17
|
| Rate for Payer: BCBS MAPPO |
$560.08
|
| Rate for Payer: BCBS Trust/PPO |
$515.62
|
| Rate for Payer: BCN Commercial |
$842.48
|
| Rate for Payer: BCN Medicare Advantage |
$560.08
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cofinity Commercial |
$750.51
|
| Rate for Payer: Cofinity Commercial |
$806.52
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$560.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$588.08
|
| Rate for Payer: Meridian Medicaid |
$391.17
|
| Rate for Payer: Nomi Health Commercial |
$672.10
|
| Rate for Payer: PACE SWMI |
$560.08
|
| Rate for Payer: PHP Commercial |
$784.11
|
| Rate for Payer: PHP Medicare Advantage |
$560.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,063.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,034.50
|
| Rate for Payer: Priority Health Medicare |
$560.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,034.50
|
| Rate for Payer: Priority Health SBD |
$1,034.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$560.08
|
| Rate for Payer: UHC Medicare Advantage |
$560.08
|
| Rate for Payer: UHCCP Medicaid |
$372.54
|
| Rate for Payer: UMR Bronson Commercial |
$752.56
|
|
|
PR RPR INGUN HERNIA SLIDING ANY AGE
|
Professional
|
Both
|
$1,636.00
|
|
|
Service Code
|
HCPCS 49525
|
| Hospital Charge Code |
49525
|
| Min. Negotiated Rate |
$372.54 |
| Max. Negotiated Rate |
$1,063.40 |
| Rate for Payer: Aetna Commercial |
$750.51
|
| Rate for Payer: Aetna Medicare |
$582.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$750.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$806.52
|
| Rate for Payer: BCBS Complete |
$391.17
|
| Rate for Payer: BCBS MAPPO |
$560.08
|
| Rate for Payer: BCBS Trust/PPO |
$515.62
|
| Rate for Payer: BCN Commercial |
$842.48
|
| Rate for Payer: BCN Medicare Advantage |
$560.08
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cash Price |
$1,308.80
|
| Rate for Payer: Cofinity Commercial |
$806.52
|
| Rate for Payer: Cofinity Commercial |
$750.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$560.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$588.08
|
| Rate for Payer: Meridian Medicaid |
$391.17
|
| Rate for Payer: Nomi Health Commercial |
$672.10
|
| Rate for Payer: PACE SWMI |
$560.08
|
| Rate for Payer: PHP Commercial |
$784.11
|
| Rate for Payer: PHP Medicare Advantage |
$560.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$372.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,063.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,034.50
|
| Rate for Payer: Priority Health Medicare |
$560.08
|
| Rate for Payer: Priority Health Narrow Network |
$1,034.50
|
| Rate for Payer: Priority Health SBD |
$1,034.50
|
| Rate for Payer: UHC Dual Complete DSNP |
$560.08
|
| Rate for Payer: UHC Medicare Advantage |
$560.08
|
| Rate for Payer: UHCCP Medicaid |
$372.54
|
| Rate for Payer: UMR Bronson Commercial |
$752.56
|
|
