|
PR BIOPSY PANCREAS OPEN
|
Professional
|
Both
|
$1,557.00
|
|
|
Service Code
|
HCPCS 48100
|
| Min. Negotiated Rate |
$571.48 |
| Max. Negotiated Rate |
$2,117.43 |
| Rate for Payer: Aetna Commercial |
$1,190.74
|
| Rate for Payer: BCBS Complete |
$600.05
|
| Rate for Payer: BCBS Trust/PPO |
$2,117.43
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Cash Price |
$1,245.60
|
| Rate for Payer: Meridian Medicaid |
$600.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$571.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,089.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,560.49
|
| Rate for Payer: Priority Health Narrow Network |
$1,560.49
|
| Rate for Payer: Priority Health SBD |
$1,560.49
|
| Rate for Payer: UMR Bronson Commercial |
$716.22
|
|
|
PR BIOPSY PENIS DEEP STRUCTURES
|
Professional
|
Both
|
$552.00
|
|
|
Service Code
|
HCPCS 54105
|
| Min. Negotiated Rate |
$136.11 |
| Max. Negotiated Rate |
$1,906.11 |
| Rate for Payer: Aetna Commercial |
$272.65
|
| Rate for Payer: BCBS Complete |
$142.92
|
| Rate for Payer: BCBS Trust/PPO |
$1,906.11
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Cash Price |
$441.60
|
| Rate for Payer: Meridian Medicaid |
$142.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$386.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$339.88
|
| Rate for Payer: Priority Health Narrow Network |
$339.88
|
| Rate for Payer: Priority Health SBD |
$339.88
|
| Rate for Payer: UMR Bronson Commercial |
$253.92
|
|
|
PR BIOPSY PENIS SEPARATE PROCEDURE
|
Professional
|
Both
|
$301.00
|
|
|
Service Code
|
HCPCS 54100
|
| Min. Negotiated Rate |
$77.32 |
| Max. Negotiated Rate |
$1,453.88 |
| Rate for Payer: Aetna Commercial |
$153.72
|
| Rate for Payer: BCBS Complete |
$81.19
|
| Rate for Payer: BCBS Trust/PPO |
$1,453.88
|
| Rate for Payer: Cash Price |
$240.80
|
| Rate for Payer: Cash Price |
$240.80
|
| Rate for Payer: Meridian Medicaid |
$81.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$210.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.45
|
| Rate for Payer: Priority Health Narrow Network |
$193.45
|
| Rate for Payer: Priority Health SBD |
$193.45
|
| Rate for Payer: UMR Bronson Commercial |
$138.46
|
|
|
PR BIOPSY PROSTATE INCISIONAL ANY APPROACH
|
Professional
|
Both
|
$468.00
|
|
|
Service Code
|
HCPCS 55705
|
| Min. Negotiated Rate |
$168.70 |
| Max. Negotiated Rate |
$1,436.98 |
| Rate for Payer: Aetna Commercial |
$340.09
|
| Rate for Payer: BCBS Complete |
$177.14
|
| Rate for Payer: BCBS Trust/PPO |
$1,436.98
|
| Rate for Payer: Cash Price |
$374.40
|
| Rate for Payer: Cash Price |
$374.40
|
| Rate for Payer: Meridian Medicaid |
$177.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$168.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$327.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$423.11
|
| Rate for Payer: Priority Health Narrow Network |
$423.11
|
| Rate for Payer: Priority Health SBD |
$423.11
|
| Rate for Payer: UMR Bronson Commercial |
$215.28
|
|
|
PR BIOPSY SALIVARY GLAND INCISIONAL
|
Professional
|
Both
|
$523.00
|
|
|
Service Code
|
HCPCS 42405
|
| Min. Negotiated Rate |
$146.12 |
| Max. Negotiated Rate |
$400.41 |
| Rate for Payer: Aetna Commercial |
$298.24
|
| Rate for Payer: BCBS Complete |
$153.43
|
| Rate for Payer: BCBS Trust/PPO |
$192.83
|
| Rate for Payer: Cash Price |
$418.40
|
| Rate for Payer: Cash Price |
$418.40
|
| Rate for Payer: Meridian Medicaid |
$153.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$146.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$366.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$400.41
|
| Rate for Payer: Priority Health Narrow Network |
$400.41
|
| Rate for Payer: Priority Health SBD |
$400.41
|
| Rate for Payer: UMR Bronson Commercial |
$240.58
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK DEEP
|
Professional
|
Both
|
$902.00
|
|
|
Service Code
|
HCPCS 21925
|
| Min. Negotiated Rate |
$245.59 |
| Max. Negotiated Rate |
$631.40 |
| Rate for Payer: Aetna Commercial |
$488.62
|
| Rate for Payer: BCBS Complete |
$257.87
|
| Rate for Payer: BCBS Trust/PPO |
$280.06
|
| Rate for Payer: Cash Price |
$721.60
|
| Rate for Payer: Cash Price |
$721.60
|
| Rate for Payer: Meridian Medicaid |
$257.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$245.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$631.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$580.10
|
| Rate for Payer: Priority Health Narrow Network |
$580.10
|
| Rate for Payer: Priority Health SBD |
$580.10
|
| Rate for Payer: UMR Bronson Commercial |
$414.92
|
|
|
PR BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL
|
Professional
|
Both
|
$498.00
|
|
|
Service Code
|
HCPCS 21920
|
| Min. Negotiated Rate |
$99.47 |
| Max. Negotiated Rate |
$625.34 |
| Rate for Payer: Aetna Commercial |
$205.43
|
| Rate for Payer: BCBS Complete |
$104.44
|
| Rate for Payer: BCBS Trust/PPO |
$625.34
|
| Rate for Payer: Cash Price |
$398.40
|
| Rate for Payer: Cash Price |
$398.40
|
| Rate for Payer: Meridian Medicaid |
$104.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$99.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$348.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$236.43
|
| Rate for Payer: Priority Health Narrow Network |
$236.43
|
| Rate for Payer: Priority Health SBD |
$236.43
|
| Rate for Payer: UMR Bronson Commercial |
$229.08
|
|
|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP
|
Professional
|
Both
|
$822.00
|
|
|
Service Code
|
HCPCS 25066
|
| Min. Negotiated Rate |
$240.26 |
| Max. Negotiated Rate |
$1,010.64 |
| Rate for Payer: Aetna Commercial |
$479.14
|
| Rate for Payer: BCBS Complete |
$252.27
|
| Rate for Payer: BCBS Trust/PPO |
$1,010.64
|
| Rate for Payer: Cash Price |
$657.60
|
| Rate for Payer: Cash Price |
$657.60
|
| Rate for Payer: Meridian Medicaid |
$252.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$575.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$569.37
|
| Rate for Payer: Priority Health Narrow Network |
$569.37
|
| Rate for Payer: Priority Health SBD |
$569.37
|
| Rate for Payer: UMR Bronson Commercial |
$378.12
|
|
|
PR BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL
|
Professional
|
Both
|
$477.00
|
|
|
Service Code
|
HCPCS 25065
|
| Min. Negotiated Rate |
$101.81 |
| Max. Negotiated Rate |
$333.90 |
| Rate for Payer: Aetna Commercial |
$208.50
|
| Rate for Payer: BCBS Complete |
$106.90
|
| Rate for Payer: BCBS Trust/PPO |
$140.53
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Cash Price |
$381.60
|
| Rate for Payer: Meridian Medicaid |
$106.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$101.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$333.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$241.54
|
| Rate for Payer: Priority Health Narrow Network |
$241.54
|
| Rate for Payer: Priority Health SBD |
$241.54
|
| Rate for Payer: UMR Bronson Commercial |
$219.42
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP
|
Professional
|
Both
|
$925.00
|
|
|
Service Code
|
HCPCS 27614
|
| Min. Negotiated Rate |
$269.02 |
| Max. Negotiated Rate |
$1,061.35 |
| Rate for Payer: Aetna Commercial |
$544.43
|
| Rate for Payer: BCBS Complete |
$282.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,061.35
|
| Rate for Payer: Cash Price |
$740.00
|
| Rate for Payer: Cash Price |
$740.00
|
| Rate for Payer: Meridian Medicaid |
$282.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$269.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$647.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$638.82
|
| Rate for Payer: Priority Health Narrow Network |
$638.82
|
| Rate for Payer: Priority Health SBD |
$638.82
|
| Rate for Payer: UMR Bronson Commercial |
$425.50
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Facility
|
OP
|
$437.00
|
|
|
Service Code
|
CPT 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$160.12 |
| Max. Negotiated Rate |
$4,536.73 |
| Rate for Payer: Aetna American Axle |
$284.05
|
| Rate for Payer: Aetna Commercial |
$371.45
|
| Rate for Payer: Aetna Medicare |
$1,498.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1,801.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1,801.41
|
| Rate for Payer: BCBS Complete |
$827.79
|
| Rate for Payer: BCBS MAPPO |
$1,441.13
|
| Rate for Payer: BCBS Trust/PPO |
$212.36
|
| Rate for Payer: BCN Medicare Advantage |
$1,441.13
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$305.90
|
| Rate for Payer: Cofinity Commercial |
$375.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.60
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,441.13
|
| Rate for Payer: Healthscope Commercial |
$393.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$305.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.75
|
| Rate for Payer: Mclaren Medicaid |
$788.30
|
| Rate for Payer: Mclaren Medicare |
$1,441.13
|
| Rate for Payer: Meridian Medicaid |
$827.79
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,513.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,657.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$371.45
|
| Rate for Payer: PACE Medicare |
$1,369.07
|
| Rate for Payer: PACE SWMI |
$1,441.13
|
| Rate for Payer: PHP Commercial |
$371.45
|
| Rate for Payer: PHP Medicare Advantage |
$1,441.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$788.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,536.73
|
| Rate for Payer: Priority Health Medicare |
$1,441.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,629.38
|
| Rate for Payer: Priority Health SBD |
$275.31
|
| Rate for Payer: Railroad Medicare Medicare |
$1,441.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$176.13
|
| Rate for Payer: UHC Dual Complete DSNP |
$1,441.13
|
| Rate for Payer: UHC Exchange |
$160.12
|
| Rate for Payer: UHC Medicare Advantage |
$1,484.36
|
| Rate for Payer: UMR Bronson Commercial |
$161.69
|
| Rate for Payer: VA VA |
$1,441.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.75
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$104.16 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$210.61
|
| Rate for Payer: BCBS Complete |
$109.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Meridian Medicaid |
$109.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$245.11
|
| Rate for Payer: Priority Health Narrow Network |
$245.11
|
| Rate for Payer: Priority Health SBD |
$245.11
|
| Rate for Payer: UMR Bronson Commercial |
$201.02
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Facility
|
IP
|
$437.00
|
|
|
Service Code
|
CPT 27613
|
| Hospital Charge Code |
27613
|
| Min. Negotiated Rate |
$192.28 |
| Max. Negotiated Rate |
$393.30 |
| Rate for Payer: Aetna American Axle |
$284.05
|
| Rate for Payer: Aetna Commercial |
$371.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$284.05
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cofinity Commercial |
$305.90
|
| Rate for Payer: Cofinity Commercial |
$375.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$349.60
|
| Rate for Payer: Healthscope Commercial |
$393.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$305.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$327.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$371.45
|
| Rate for Payer: PHP Commercial |
$371.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.90
|
| Rate for Payer: Priority Health SBD |
$275.31
|
| Rate for Payer: UMR Bronson Commercial |
$192.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$327.75
|
|
|
PR BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL
|
Professional
|
Both
|
$437.00
|
|
|
Service Code
|
HCPCS 27613
|
| Min. Negotiated Rate |
$104.16 |
| Max. Negotiated Rate |
$2,976.66 |
| Rate for Payer: Aetna Commercial |
$210.61
|
| Rate for Payer: BCBS Complete |
$109.37
|
| Rate for Payer: BCBS Trust/PPO |
$2,976.66
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Cash Price |
$349.60
|
| Rate for Payer: Meridian Medicaid |
$109.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$104.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$305.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$245.11
|
| Rate for Payer: Priority Health Narrow Network |
$245.11
|
| Rate for Payer: Priority Health SBD |
$245.11
|
| Rate for Payer: UMR Bronson Commercial |
$201.02
|
|
|
PR BIOPSY SOFT TISSUE NECK/THORAX
|
Professional
|
Both
|
$448.00
|
|
|
Service Code
|
HCPCS 21550
|
| Min. Negotiated Rate |
$62.73 |
| Max. Negotiated Rate |
$313.60 |
| Rate for Payer: Aetna Commercial |
$204.97
|
| Rate for Payer: BCBS Complete |
$105.12
|
| Rate for Payer: BCBS Trust/PPO |
$62.73
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Cash Price |
$358.40
|
| Rate for Payer: Meridian Medicaid |
$105.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$100.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$313.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$238.47
|
| Rate for Payer: Priority Health Narrow Network |
$238.47
|
| Rate for Payer: Priority Health SBD |
$238.47
|
| Rate for Payer: UMR Bronson Commercial |
$206.08
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL
|
Professional
|
Both
|
$585.00
|
|
|
Service Code
|
HCPCS 27040
|
| Min. Negotiated Rate |
$127.59 |
| Max. Negotiated Rate |
$409.50 |
| Rate for Payer: Aetna Commercial |
$264.26
|
| Rate for Payer: BCBS Complete |
$133.97
|
| Rate for Payer: BCBS Trust/PPO |
$289.10
|
| Rate for Payer: Cash Price |
$468.00
|
| Rate for Payer: Cash Price |
$468.00
|
| Rate for Payer: Meridian Medicaid |
$133.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$127.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$409.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$303.33
|
| Rate for Payer: Priority Health Narrow Network |
$303.33
|
| Rate for Payer: Priority Health SBD |
$303.33
|
| Rate for Payer: UMR Bronson Commercial |
$269.10
|
|
|
PR BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM
|
Professional
|
Both
|
$1,396.00
|
|
|
Service Code
|
HCPCS 27041
|
| Min. Negotiated Rate |
$316.44 |
| Max. Negotiated Rate |
$1,090.75 |
| Rate for Payer: Aetna Commercial |
$939.71
|
| Rate for Payer: BCBS Complete |
$479.96
|
| Rate for Payer: BCBS Trust/PPO |
$316.44
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Cash Price |
$1,116.80
|
| Rate for Payer: Meridian Medicaid |
$479.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$457.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$977.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,090.75
|
| Rate for Payer: Priority Health Narrow Network |
$1,090.75
|
| Rate for Payer: Priority Health SBD |
$1,090.75
|
| Rate for Payer: UMR Bronson Commercial |
$642.16
|
|
|
PR BIOPSY SOFT TISSUE SHOULDER DEEP
|
Professional
|
Both
|
$831.00
|
|
|
Service Code
|
HCPCS 23066
|
| Min. Negotiated Rate |
$240.26 |
| Max. Negotiated Rate |
$581.70 |
| Rate for Payer: Aetna Commercial |
$485.10
|
| Rate for Payer: BCBS Complete |
$252.27
|
| Rate for Payer: BCBS Trust/PPO |
$426.87
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Cash Price |
$664.80
|
| Rate for Payer: Meridian Medicaid |
$252.27
|
| Rate for Payer: Priority Health Choice Medicaid |
$240.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$581.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$563.75
|
| Rate for Payer: Priority Health Narrow Network |
$563.75
|
| Rate for Payer: Priority Health SBD |
$563.75
|
| Rate for Payer: UMR Bronson Commercial |
$382.26
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP
|
Professional
|
Both
|
$682.00
|
|
|
Service Code
|
HCPCS 27324
|
| Min. Negotiated Rate |
$267.32 |
| Max. Negotiated Rate |
$1,614.48 |
| Rate for Payer: Aetna Commercial |
$541.89
|
| Rate for Payer: BCBS Complete |
$280.69
|
| Rate for Payer: BCBS Trust/PPO |
$1,614.48
|
| Rate for Payer: Cash Price |
$545.60
|
| Rate for Payer: Cash Price |
$545.60
|
| Rate for Payer: Meridian Medicaid |
$280.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$267.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$477.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$633.72
|
| Rate for Payer: Priority Health Narrow Network |
$633.72
|
| Rate for Payer: Priority Health SBD |
$633.72
|
| Rate for Payer: UMR Bronson Commercial |
$313.72
|
|
|
PR BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL
|
Professional
|
Both
|
$472.00
|
|
|
Service Code
|
HCPCS 27323
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$2,259.54 |
| Rate for Payer: Aetna Commercial |
$230.57
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCBS Trust/PPO |
$2,259.54
|
| Rate for Payer: Cash Price |
$377.60
|
| Rate for Payer: Cash Price |
$377.60
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$330.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$267.58
|
| Rate for Payer: Priority Health Narrow Network |
$267.58
|
| Rate for Payer: Priority Health SBD |
$267.58
|
| Rate for Payer: UMR Bronson Commercial |
$217.12
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP
|
Professional
|
Both
|
$1,052.00
|
|
|
Service Code
|
HCPCS 24066
|
| Min. Negotiated Rate |
$75.99 |
| Max. Negotiated Rate |
$736.40 |
| Rate for Payer: Aetna Commercial |
$557.74
|
| Rate for Payer: BCBS Complete |
$288.73
|
| Rate for Payer: BCBS Trust/PPO |
$75.99
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Cash Price |
$841.60
|
| Rate for Payer: Meridian Medicaid |
$288.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$274.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$736.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$649.04
|
| Rate for Payer: Priority Health Narrow Network |
$649.04
|
| Rate for Payer: Priority Health SBD |
$649.04
|
| Rate for Payer: UMR Bronson Commercial |
$483.92
|
|
|
PR BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL
|
Professional
|
Both
|
$458.00
|
|
|
Service Code
|
HCPCS 24065
|
| Min. Negotiated Rate |
$105.01 |
| Max. Negotiated Rate |
$320.60 |
| Rate for Payer: Aetna Commercial |
$215.45
|
| Rate for Payer: BCBS Complete |
$110.26
|
| Rate for Payer: BCBS Trust/PPO |
$126.93
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Cash Price |
$366.40
|
| Rate for Payer: Meridian Medicaid |
$110.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$105.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$248.17
|
| Rate for Payer: Priority Health Narrow Network |
$248.17
|
| Rate for Payer: Priority Health SBD |
$248.17
|
| Rate for Payer: UMR Bronson Commercial |
$210.68
|
|
|
PR BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE
|
Professional
|
Both
|
$2,495.00
|
|
|
Service Code
|
HCPCS 62269
|
| Min. Negotiated Rate |
$162.95 |
| Max. Negotiated Rate |
$1,746.50 |
| Rate for Payer: Aetna Commercial |
$336.41
|
| Rate for Payer: BCBS Complete |
$171.10
|
| Rate for Payer: BCBS Trust/PPO |
$567.92
|
| Rate for Payer: Cash Price |
$1,996.00
|
| Rate for Payer: Cash Price |
$1,996.00
|
| Rate for Payer: Meridian Medicaid |
$171.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$162.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,746.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$435.42
|
| Rate for Payer: Priority Health Narrow Network |
$435.42
|
| Rate for Payer: Priority Health SBD |
$435.42
|
| Rate for Payer: UMR Bronson Commercial |
$1,147.70
|
|
|
PR BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE
|
Professional
|
Both
|
$668.00
|
|
|
Service Code
|
HCPCS 54505
|
| Min. Negotiated Rate |
$133.76 |
| Max. Negotiated Rate |
$1,963.16 |
| Rate for Payer: Aetna Commercial |
$269.15
|
| Rate for Payer: BCBS Complete |
$140.45
|
| Rate for Payer: BCBS Trust/PPO |
$1,963.16
|
| Rate for Payer: Cash Price |
$534.40
|
| Rate for Payer: Cash Price |
$534.40
|
| Rate for Payer: Meridian Medicaid |
$140.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$133.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$467.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$335.56
|
| Rate for Payer: Priority Health Narrow Network |
$335.56
|
| Rate for Payer: Priority Health SBD |
$335.56
|
| Rate for Payer: UMR Bronson Commercial |
$307.28
|
|
|
PR BIOPSY THYROID PERCUTANEOUS CORE NEEDLE
|
Professional
|
Both
|
$212.00
|
|
|
Service Code
|
HCPCS 60100
|
| Min. Negotiated Rate |
$48.14 |
| Max. Negotiated Rate |
$172.75 |
| Rate for Payer: Aetna Commercial |
$99.74
|
| Rate for Payer: BCBS Complete |
$50.55
|
| Rate for Payer: BCBS Trust/PPO |
$172.75
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Cash Price |
$169.60
|
| Rate for Payer: Meridian Medicaid |
$50.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$48.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$107.87
|
| Rate for Payer: Priority Health Narrow Network |
$107.87
|
| Rate for Payer: Priority Health SBD |
$107.87
|
| Rate for Payer: UMR Bronson Commercial |
$97.52
|
|
