|
PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR
|
Professional
|
Both
|
$2,561.00
|
|
|
Service Code
|
HCPCS 57265
|
| Min. Negotiated Rate |
$558.91 |
| Max. Negotiated Rate |
$1,792.70 |
| Rate for Payer: Aetna Commercial |
$1,160.51
|
| Rate for Payer: Aetna Medicare |
$866.05
|
| Rate for Payer: BCBS Complete |
$586.86
|
| Rate for Payer: BCBS MAPPO |
$866.05
|
| Rate for Payer: BCBS Trust/PPO |
$1,697.43
|
| Rate for Payer: BCN Commercial |
$1,277.89
|
| Rate for Payer: BCN Medicare Advantage |
$866.05
|
| Rate for Payer: Cash Price |
$2,048.80
|
| Rate for Payer: Cash Price |
$2,048.80
|
| Rate for Payer: Cofinity Commercial |
$1,247.11
|
| Rate for Payer: Cofinity Commercial |
$1,160.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$866.05
|
| Rate for Payer: Healthscope Commercial |
$1,039.26
|
| Rate for Payer: Healthscope Whirlpool |
$1,039.26
|
| Rate for Payer: Meridian Medicaid |
$586.86
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$909.35
|
| Rate for Payer: PACE SWMI |
$866.05
|
| Rate for Payer: PHP Medicare Advantage |
$866.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$558.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,792.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1,238.00
|
| Rate for Payer: Priority Health Medicare |
$866.05
|
| Rate for Payer: Priority Health Narrow Network |
$1,238.00
|
| Rate for Payer: UHC Medicare Advantage |
$892.03
|
|
|
PR CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT
|
Professional
|
Both
|
$387.00
|
|
|
Service Code
|
HCPCS 36598
|
| Min. Negotiated Rate |
$22.15 |
| Max. Negotiated Rate |
$669.36 |
| Rate for Payer: Aetna Commercial |
$46.95
|
| Rate for Payer: Aetna Medicare |
$35.04
|
| Rate for Payer: BCBS Complete |
$23.26
|
| Rate for Payer: BCBS MAPPO |
$35.04
|
| Rate for Payer: BCBS Trust/PPO |
$669.36
|
| Rate for Payer: BCN Commercial |
$177.39
|
| Rate for Payer: BCN Medicare Advantage |
$35.04
|
| Rate for Payer: Cash Price |
$309.60
|
| Rate for Payer: Cash Price |
$309.60
|
| Rate for Payer: Cofinity Commercial |
$50.46
|
| Rate for Payer: Cofinity Commercial |
$46.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.04
|
| Rate for Payer: Healthscope Commercial |
$42.05
|
| Rate for Payer: Healthscope Whirlpool |
$42.05
|
| Rate for Payer: Meridian Medicaid |
$23.26
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$36.79
|
| Rate for Payer: PACE SWMI |
$35.04
|
| Rate for Payer: PHP Medicare Advantage |
$35.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$22.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$270.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$55.85
|
| Rate for Payer: Priority Health Medicare |
$35.04
|
| Rate for Payer: Priority Health Narrow Network |
$55.85
|
| Rate for Payer: UHC Medicare Advantage |
$36.09
|
|
|
PR COCCYGECTOMY PRIMARY
|
Professional
|
Both
|
$1,913.00
|
|
|
Service Code
|
HCPCS 27080
|
| Min. Negotiated Rate |
$329.72 |
| Max. Negotiated Rate |
$1,339.10 |
| Rate for Payer: Aetna Commercial |
$678.36
|
| Rate for Payer: Aetna Medicare |
$506.24
|
| Rate for Payer: BCBS Complete |
$346.21
|
| Rate for Payer: BCBS MAPPO |
$506.24
|
| Rate for Payer: BCBS Trust/PPO |
$530.94
|
| Rate for Payer: BCN Commercial |
$754.03
|
| Rate for Payer: BCN Medicare Advantage |
$506.24
|
| Rate for Payer: Cash Price |
$1,530.40
|
| Rate for Payer: Cash Price |
$1,530.40
|
| Rate for Payer: Cofinity Commercial |
$728.99
|
| Rate for Payer: Cofinity Commercial |
$678.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$506.24
|
| Rate for Payer: Healthscope Commercial |
$607.49
|
| Rate for Payer: Healthscope Whirlpool |
$607.49
|
| Rate for Payer: Meridian Medicaid |
$346.21
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$531.55
|
| Rate for Payer: PACE SWMI |
$506.24
|
| Rate for Payer: PHP Medicare Advantage |
$506.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$329.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,339.10
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$787.93
|
| Rate for Payer: Priority Health Medicare |
$506.24
|
| Rate for Payer: Priority Health Narrow Network |
$787.93
|
| Rate for Payer: UHC Medicare Advantage |
$521.43
|
|
|
PR COCHLEAR DEVICE/SOFT BAND FITTING FEE
|
Professional
|
Both
|
$500.00
|
|
|
Service Code
|
HCPCS 00593
|
|
Hospital Revenue Code
|
990
|
| Min. Negotiated Rate |
$200.00 |
| Max. Negotiated Rate |
$350.00 |
| Rate for Payer: BCBS Complete |
$200.00
|
| Rate for Payer: Cash Price |
$400.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$350.00
|
|
|
PR COCM BY RHC/FQHC 60 MIN MO
|
Professional
|
Both
|
$347.00
|
|
|
Service Code
|
HCPCS G0512
|
| Min. Negotiated Rate |
$138.80 |
| Max. Negotiated Rate |
$536.22 |
| Rate for Payer: Aetna Commercial |
$148.37
|
| Rate for Payer: BCBS Complete |
$138.80
|
| Rate for Payer: BCBS Trust/PPO |
$536.22
|
| Rate for Payer: BCN Commercial |
$212.08
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Cash Price |
$277.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$242.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$270.00
|
| Rate for Payer: Priority Health Narrow Network |
$270.00
|
|
|
PR CO DIFFUSING CAPACITY
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 94729
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$280.00 |
| Rate for Payer: Aetna Commercial |
$70.83
|
| Rate for Payer: Aetna Commercial |
$70.83
|
| Rate for Payer: Aetna Medicare |
$52.86
|
| Rate for Payer: Aetna Medicare |
$52.86
|
| Rate for Payer: BCBS Complete |
$61.20
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: BCBS MAPPO |
$52.86
|
| Rate for Payer: BCBS MAPPO |
$52.86
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCBS Trust/PPO |
$280.00
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Commercial |
$82.58
|
| Rate for Payer: BCN Medicare Advantage |
$52.86
|
| Rate for Payer: BCN Medicare Advantage |
$52.86
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$122.40
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cofinity Commercial |
$70.83
|
| Rate for Payer: Cofinity Commercial |
$70.83
|
| Rate for Payer: Cofinity Commercial |
$76.12
|
| Rate for Payer: Cofinity Commercial |
$76.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$52.86
|
| Rate for Payer: Healthscope Commercial |
$63.43
|
| Rate for Payer: Healthscope Commercial |
$63.43
|
| Rate for Payer: Healthscope Whirlpool |
$63.43
|
| Rate for Payer: Healthscope Whirlpool |
$63.43
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55.50
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$55.50
|
| Rate for Payer: PACE SWMI |
$52.86
|
| Rate for Payer: PACE SWMI |
$52.86
|
| Rate for Payer: PHP Medicare Advantage |
$52.86
|
| Rate for Payer: PHP Medicare Advantage |
$52.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$107.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.91
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$75.91
|
| Rate for Payer: Priority Health Medicare |
$52.86
|
| Rate for Payer: Priority Health Medicare |
$52.86
|
| Rate for Payer: Priority Health Narrow Network |
$75.91
|
| Rate for Payer: Priority Health Narrow Network |
$75.91
|
| Rate for Payer: UHC Medicare Advantage |
$54.45
|
| Rate for Payer: UHC Medicare Advantage |
$54.45
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST
|
Professional
|
Both
|
$3,765.00
|
|
|
Service Code
|
HCPCS 44151
|
| Min. Negotiated Rate |
$1,369.38 |
| Max. Negotiated Rate |
$3,767.73 |
| Rate for Payer: Aetna Commercial |
$2,857.51
|
| Rate for Payer: Aetna Medicare |
$2,132.47
|
| Rate for Payer: BCBS Complete |
$1,437.85
|
| Rate for Payer: BCBS MAPPO |
$2,132.47
|
| Rate for Payer: BCBS Trust/PPO |
$1,395.77
|
| Rate for Payer: BCN Commercial |
$3,131.45
|
| Rate for Payer: BCN Medicare Advantage |
$2,132.47
|
| Rate for Payer: Cash Price |
$3,012.00
|
| Rate for Payer: Cash Price |
$3,012.00
|
| Rate for Payer: Cofinity Commercial |
$3,070.76
|
| Rate for Payer: Cofinity Commercial |
$2,857.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,132.47
|
| Rate for Payer: Healthscope Commercial |
$2,558.96
|
| Rate for Payer: Healthscope Whirlpool |
$2,558.96
|
| Rate for Payer: Meridian Medicaid |
$1,437.85
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,239.09
|
| Rate for Payer: PACE SWMI |
$2,132.47
|
| Rate for Payer: PHP Medicare Advantage |
$2,132.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,369.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,635.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,767.73
|
| Rate for Payer: Priority Health Medicare |
$2,132.47
|
| Rate for Payer: Priority Health Narrow Network |
$3,767.73
|
| Rate for Payer: UHC Medicare Advantage |
$2,196.44
|
|
|
PR COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS
|
Professional
|
Both
|
$4,521.00
|
|
|
Service Code
|
HCPCS 44150
|
| Min. Negotiated Rate |
$965.20 |
| Max. Negotiated Rate |
$3,240.31 |
| Rate for Payer: Aetna Commercial |
$2,451.03
|
| Rate for Payer: Aetna Medicare |
$1,829.13
|
| Rate for Payer: BCBS Complete |
$1,236.33
|
| Rate for Payer: BCBS MAPPO |
$1,829.13
|
| Rate for Payer: BCBS Trust/PPO |
$965.20
|
| Rate for Payer: BCN Commercial |
$2,693.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,829.13
|
| Rate for Payer: Cash Price |
$3,616.80
|
| Rate for Payer: Cash Price |
$3,616.80
|
| Rate for Payer: Cofinity Commercial |
$2,633.95
|
| Rate for Payer: Cofinity Commercial |
$2,451.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,829.13
|
| Rate for Payer: Healthscope Commercial |
$2,194.96
|
| Rate for Payer: Healthscope Whirlpool |
$2,194.96
|
| Rate for Payer: Meridian Medicaid |
$1,236.33
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,920.59
|
| Rate for Payer: PACE SWMI |
$1,829.13
|
| Rate for Payer: PHP Medicare Advantage |
$1,829.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,177.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,164.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,240.31
|
| Rate for Payer: Priority Health Medicare |
$1,829.13
|
| Rate for Payer: Priority Health Narrow Network |
$3,240.31
|
| Rate for Payer: UHC Medicare Advantage |
$1,884.00
|
|
|
PR COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR
|
Professional
|
Both
|
$4,607.00
|
|
|
Service Code
|
HCPCS 44158
|
| Min. Negotiated Rate |
$565.81 |
| Max. Negotiated Rate |
$3,924.13 |
| Rate for Payer: Aetna Commercial |
$2,978.19
|
| Rate for Payer: Aetna Medicare |
$2,222.53
|
| Rate for Payer: BCBS Complete |
$1,498.00
|
| Rate for Payer: BCBS MAPPO |
$2,222.53
|
| Rate for Payer: BCBS Trust/PPO |
$565.81
|
| Rate for Payer: BCN Commercial |
$3,261.43
|
| Rate for Payer: BCN Medicare Advantage |
$2,222.53
|
| Rate for Payer: Cash Price |
$3,685.60
|
| Rate for Payer: Cash Price |
$3,685.60
|
| Rate for Payer: Cofinity Commercial |
$2,978.19
|
| Rate for Payer: Cofinity Commercial |
$3,200.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,222.53
|
| Rate for Payer: Healthscope Commercial |
$2,667.04
|
| Rate for Payer: Healthscope Whirlpool |
$2,667.04
|
| Rate for Payer: Meridian Medicaid |
$1,498.00
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,333.66
|
| Rate for Payer: PACE SWMI |
$2,222.53
|
| Rate for Payer: PHP Medicare Advantage |
$2,222.53
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,426.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,224.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,924.13
|
| Rate for Payer: Priority Health Medicare |
$2,222.53
|
| Rate for Payer: Priority Health Narrow Network |
$3,924.13
|
| Rate for Payer: UHC Medicare Advantage |
$2,289.21
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,798.00
|
|
|
Service Code
|
HCPCS 44140
|
| Min. Negotiated Rate |
$855.83 |
| Max. Negotiated Rate |
$2,658.60 |
| Rate for Payer: Aetna Commercial |
$1,783.45
|
| Rate for Payer: Aetna Medicare |
$1,330.93
|
| Rate for Payer: BCBS Complete |
$898.62
|
| Rate for Payer: BCBS MAPPO |
$1,330.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,330.93
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$1,783.45
|
| Rate for Payer: Cofinity Commercial |
$1,916.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,330.93
|
| Rate for Payer: Healthscope Commercial |
$1,597.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,597.12
|
| Rate for Payer: Meridian Medicaid |
$898.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,397.48
|
| Rate for Payer: PACE SWMI |
$1,330.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,330.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$855.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,349.54
|
| Rate for Payer: Priority Health Medicare |
$1,330.93
|
| Rate for Payer: Priority Health Narrow Network |
$2,349.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,370.86
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Professional
|
Both
|
$3,798.00
|
|
|
Service Code
|
HCPCS 44140
|
| Hospital Charge Code |
44140
|
| Min. Negotiated Rate |
$855.83 |
| Max. Negotiated Rate |
$2,658.60 |
| Rate for Payer: Aetna Commercial |
$1,783.45
|
| Rate for Payer: Aetna Medicare |
$1,330.93
|
| Rate for Payer: BCBS Complete |
$898.62
|
| Rate for Payer: BCBS MAPPO |
$1,330.93
|
| Rate for Payer: BCBS Trust/PPO |
$1,076.15
|
| Rate for Payer: BCN Commercial |
$1,952.76
|
| Rate for Payer: BCN Medicare Advantage |
$1,330.93
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$1,783.45
|
| Rate for Payer: Cofinity Commercial |
$1,916.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,330.93
|
| Rate for Payer: Healthscope Commercial |
$1,597.12
|
| Rate for Payer: Healthscope Whirlpool |
$1,597.12
|
| Rate for Payer: Meridian Medicaid |
$898.62
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,397.48
|
| Rate for Payer: PACE SWMI |
$1,330.93
|
| Rate for Payer: PHP Medicare Advantage |
$1,330.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$855.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,349.54
|
| Rate for Payer: Priority Health Medicare |
$1,330.93
|
| Rate for Payer: Priority Health Narrow Network |
$2,349.54
|
| Rate for Payer: UHC Medicare Advantage |
$1,370.86
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
OP
|
$3,798.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,519.20 |
| Max. Negotiated Rate |
$3,798.00 |
| Rate for Payer: Aetna Commercial |
$3,418.20
|
| Rate for Payer: ASR ASR |
$3,684.06
|
| Rate for Payer: BCBS Complete |
$1,519.20
|
| Rate for Payer: BCBS Trust/PPO |
$2,944.59
|
| Rate for Payer: BCN Commercial |
$2,944.59
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$3,570.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,038.40
|
| Rate for Payer: Healthscope Commercial |
$3,798.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,684.06
|
| Rate for Payer: Mclaren Commercial |
$3,418.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,228.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,456.18
|
| Rate for Payer: Priority Health Narrow Network |
$2,696.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,342.24
|
|
|
PR COLECTOMY PARTIAL W/ANASTOMOSIS
|
Facility
|
IP
|
$3,798.00
|
|
|
Service Code
|
CPT 44140
|
| Hospital Charge Code |
44140
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,658.60 |
| Max. Negotiated Rate |
$3,798.00 |
| Rate for Payer: Aetna Commercial |
$3,418.20
|
| Rate for Payer: ASR ASR |
$3,684.06
|
| Rate for Payer: BCBS Trust/PPO |
$2,944.59
|
| Rate for Payer: BCN Commercial |
$2,944.59
|
| Rate for Payer: Cash Price |
$3,038.40
|
| Rate for Payer: Cofinity Commercial |
$3,570.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,038.40
|
| Rate for Payer: Healthscope Commercial |
$3,798.00
|
| Rate for Payer: Healthscope Whirlpool |
$3,684.06
|
| Rate for Payer: Mclaren Commercial |
$3,418.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Multiplan/Beech St/PHCS |
$3,228.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,658.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,342.24
|
|
|
PR COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH
|
Professional
|
Both
|
$2,698.00
|
|
|
Service Code
|
HCPCS 44147
|
| Min. Negotiated Rate |
$209.74 |
| Max. Negotiated Rate |
$3,370.25 |
| Rate for Payer: Aetna Commercial |
$2,563.30
|
| Rate for Payer: Aetna Medicare |
$1,912.91
|
| Rate for Payer: BCBS Complete |
$1,289.12
|
| Rate for Payer: BCBS MAPPO |
$1,912.91
|
| Rate for Payer: BCBS Trust/PPO |
$209.74
|
| Rate for Payer: BCN Commercial |
$2,801.10
|
| Rate for Payer: BCN Medicare Advantage |
$1,912.91
|
| Rate for Payer: Cash Price |
$2,158.40
|
| Rate for Payer: Cash Price |
$2,158.40
|
| Rate for Payer: Cofinity Commercial |
$2,563.30
|
| Rate for Payer: Cofinity Commercial |
$2,754.59
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,912.91
|
| Rate for Payer: Healthscope Commercial |
$2,295.49
|
| Rate for Payer: Healthscope Whirlpool |
$2,295.49
|
| Rate for Payer: Meridian Medicaid |
$1,289.12
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,008.56
|
| Rate for Payer: PACE SWMI |
$1,912.91
|
| Rate for Payer: PHP Medicare Advantage |
$1,912.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,227.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,888.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,370.25
|
| Rate for Payer: Priority Health Medicare |
$1,912.91
|
| Rate for Payer: Priority Health Narrow Network |
$3,370.25
|
| Rate for Payer: UHC Medicare Advantage |
$1,970.30
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY
|
Professional
|
Both
|
$3,352.00
|
|
|
Service Code
|
HCPCS 44145
|
| Min. Negotiated Rate |
$122.04 |
| Max. Negotiated Rate |
$2,881.06 |
| Rate for Payer: Aetna Commercial |
$2,187.47
|
| Rate for Payer: Aetna Medicare |
$1,632.44
|
| Rate for Payer: BCBS Complete |
$1,100.81
|
| Rate for Payer: BCBS MAPPO |
$1,632.44
|
| Rate for Payer: BCBS Trust/PPO |
$122.04
|
| Rate for Payer: BCN Commercial |
$2,394.52
|
| Rate for Payer: BCN Medicare Advantage |
$1,632.44
|
| Rate for Payer: Cash Price |
$2,681.60
|
| Rate for Payer: Cash Price |
$2,681.60
|
| Rate for Payer: Cofinity Commercial |
$2,350.71
|
| Rate for Payer: Cofinity Commercial |
$2,187.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,632.44
|
| Rate for Payer: Healthscope Commercial |
$1,958.93
|
| Rate for Payer: Healthscope Whirlpool |
$1,958.93
|
| Rate for Payer: Meridian Medicaid |
$1,100.81
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,714.06
|
| Rate for Payer: PACE SWMI |
$1,632.44
|
| Rate for Payer: PHP Medicare Advantage |
$1,632.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,048.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,346.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,881.06
|
| Rate for Payer: Priority Health Medicare |
$1,632.44
|
| Rate for Payer: Priority Health Narrow Network |
$2,881.06
|
| Rate for Payer: UHC Medicare Advantage |
$1,681.41
|
|
|
PR COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY
|
Professional
|
Both
|
$5,044.00
|
|
|
Service Code
|
HCPCS 44146
|
| Min. Negotiated Rate |
$166.94 |
| Max. Negotiated Rate |
$3,661.89 |
| Rate for Payer: Aetna Commercial |
$2,774.70
|
| Rate for Payer: Aetna Medicare |
$2,070.67
|
| Rate for Payer: BCBS Complete |
$1,399.38
|
| Rate for Payer: BCBS MAPPO |
$2,070.67
|
| Rate for Payer: BCBS Trust/PPO |
$166.94
|
| Rate for Payer: BCN Commercial |
$3,043.48
|
| Rate for Payer: BCN Medicare Advantage |
$2,070.67
|
| Rate for Payer: Cash Price |
$4,035.20
|
| Rate for Payer: Cash Price |
$4,035.20
|
| Rate for Payer: Cofinity Commercial |
$2,981.76
|
| Rate for Payer: Cofinity Commercial |
$2,774.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,070.67
|
| Rate for Payer: Healthscope Commercial |
$2,484.80
|
| Rate for Payer: Healthscope Whirlpool |
$2,484.80
|
| Rate for Payer: Meridian Medicaid |
$1,399.38
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,174.20
|
| Rate for Payer: PACE SWMI |
$2,070.67
|
| Rate for Payer: PHP Medicare Advantage |
$2,070.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,332.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,530.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,661.89
|
| Rate for Payer: Priority Health Medicare |
$2,070.67
|
| Rate for Payer: Priority Health Narrow Network |
$3,661.89
|
| Rate for Payer: UHC Medicare Advantage |
$2,132.79
|
|
|
PR COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA
|
Professional
|
Both
|
$3,905.00
|
|
|
Service Code
|
HCPCS 44144
|
| Min. Negotiated Rate |
$89.28 |
| Max. Negotiated Rate |
$3,086.86 |
| Rate for Payer: Aetna Commercial |
$2,343.85
|
| Rate for Payer: Aetna Medicare |
$1,749.14
|
| Rate for Payer: BCBS Complete |
$1,177.74
|
| Rate for Payer: BCBS MAPPO |
$1,749.14
|
| Rate for Payer: BCBS Trust/PPO |
$89.28
|
| Rate for Payer: BCN Commercial |
$2,565.56
|
| Rate for Payer: BCN Medicare Advantage |
$1,749.14
|
| Rate for Payer: Cash Price |
$3,124.00
|
| Rate for Payer: Cash Price |
$3,124.00
|
| Rate for Payer: Cofinity Commercial |
$2,343.85
|
| Rate for Payer: Cofinity Commercial |
$2,518.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,749.14
|
| Rate for Payer: Healthscope Commercial |
$2,098.97
|
| Rate for Payer: Healthscope Whirlpool |
$2,098.97
|
| Rate for Payer: Meridian Medicaid |
$1,177.74
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,836.60
|
| Rate for Payer: PACE SWMI |
$1,749.14
|
| Rate for Payer: PHP Medicare Advantage |
$1,749.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,121.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,733.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,086.86
|
| Rate for Payer: Priority Health Medicare |
$1,749.14
|
| Rate for Payer: Priority Health Narrow Network |
$3,086.86
|
| Rate for Payer: UHC Medicare Advantage |
$1,801.61
|
|
|
PR COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT
|
Professional
|
Both
|
$4,118.00
|
|
|
Service Code
|
HCPCS 44143
|
| Min. Negotiated Rate |
$324.38 |
| Max. Negotiated Rate |
$2,893.42 |
| Rate for Payer: Aetna Commercial |
$2,195.95
|
| Rate for Payer: Aetna Medicare |
$1,638.77
|
| Rate for Payer: BCBS Complete |
$1,103.49
|
| Rate for Payer: BCBS MAPPO |
$1,638.77
|
| Rate for Payer: BCBS Trust/PPO |
$324.38
|
| Rate for Payer: BCN Commercial |
$2,404.78
|
| Rate for Payer: BCN Medicare Advantage |
$1,638.77
|
| Rate for Payer: Cash Price |
$3,294.40
|
| Rate for Payer: Cash Price |
$3,294.40
|
| Rate for Payer: Cofinity Commercial |
$2,359.83
|
| Rate for Payer: Cofinity Commercial |
$2,195.95
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,638.77
|
| Rate for Payer: Healthscope Commercial |
$1,966.52
|
| Rate for Payer: Healthscope Whirlpool |
$1,966.52
|
| Rate for Payer: Meridian Medicaid |
$1,103.49
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,720.71
|
| Rate for Payer: PACE SWMI |
$1,638.77
|
| Rate for Payer: PHP Medicare Advantage |
$1,638.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,050.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,882.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,893.42
|
| Rate for Payer: Priority Health Medicare |
$1,638.77
|
| Rate for Payer: Priority Health Narrow Network |
$2,893.42
|
| Rate for Payer: UHC Medicare Advantage |
$1,687.93
|
|
|
PR COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS
|
Professional
|
Both
|
$3,887.00
|
|
|
Service Code
|
HCPCS 44160
|
| Min. Negotiated Rate |
$791.72 |
| Max. Negotiated Rate |
$2,720.90 |
| Rate for Payer: Aetna Commercial |
$1,649.63
|
| Rate for Payer: Aetna Medicare |
$1,231.07
|
| Rate for Payer: BCBS Complete |
$831.31
|
| Rate for Payer: BCBS MAPPO |
$1,231.07
|
| Rate for Payer: BCBS Trust/PPO |
$813.05
|
| Rate for Payer: BCN Commercial |
$1,807.13
|
| Rate for Payer: BCN Medicare Advantage |
$1,231.07
|
| Rate for Payer: Cash Price |
$3,109.60
|
| Rate for Payer: Cash Price |
$3,109.60
|
| Rate for Payer: Cofinity Commercial |
$1,649.63
|
| Rate for Payer: Cofinity Commercial |
$1,772.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,231.07
|
| Rate for Payer: Healthscope Commercial |
$1,477.28
|
| Rate for Payer: Healthscope Whirlpool |
$1,477.28
|
| Rate for Payer: Meridian Medicaid |
$831.31
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,292.62
|
| Rate for Payer: PACE SWMI |
$1,231.07
|
| Rate for Payer: PHP Medicare Advantage |
$1,231.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$791.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,720.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2,174.33
|
| Rate for Payer: Priority Health Medicare |
$1,231.07
|
| Rate for Payer: Priority Health Narrow Network |
$2,174.33
|
| Rate for Payer: UHC Medicare Advantage |
$1,268.00
|
|
|
PR COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY
|
Professional
|
Both
|
$3,760.00
|
|
|
Service Code
|
HCPCS 44141
|
| Min. Negotiated Rate |
$244.07 |
| Max. Negotiated Rate |
$3,172.11 |
| Rate for Payer: Aetna Commercial |
$2,404.28
|
| Rate for Payer: Aetna Medicare |
$1,794.24
|
| Rate for Payer: BCBS Complete |
$1,211.51
|
| Rate for Payer: BCBS MAPPO |
$1,794.24
|
| Rate for Payer: BCBS Trust/PPO |
$244.07
|
| Rate for Payer: BCN Commercial |
$2,636.42
|
| Rate for Payer: BCN Medicare Advantage |
$1,794.24
|
| Rate for Payer: Cash Price |
$3,008.00
|
| Rate for Payer: Cash Price |
$3,008.00
|
| Rate for Payer: Cofinity Commercial |
$2,583.71
|
| Rate for Payer: Cofinity Commercial |
$2,404.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1,794.24
|
| Rate for Payer: Healthscope Commercial |
$2,153.09
|
| Rate for Payer: Healthscope Whirlpool |
$2,153.09
|
| Rate for Payer: Meridian Medicaid |
$1,211.51
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$1,883.95
|
| Rate for Payer: PACE SWMI |
$1,794.24
|
| Rate for Payer: PHP Medicare Advantage |
$1,794.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,153.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,632.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,172.11
|
| Rate for Payer: Priority Health Medicare |
$1,794.24
|
| Rate for Payer: Priority Health Narrow Network |
$3,172.11
|
| Rate for Payer: UHC Medicare Advantage |
$1,848.07
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST
|
Professional
|
Both
|
$6,686.00
|
|
|
Service Code
|
HCPCS 44156
|
| Min. Negotiated Rate |
$175.40 |
| Max. Negotiated Rate |
$4,680.20 |
| Rate for Payer: Aetna Commercial |
$3,056.42
|
| Rate for Payer: Aetna Medicare |
$2,280.91
|
| Rate for Payer: BCBS Complete |
$1,536.93
|
| Rate for Payer: BCBS MAPPO |
$2,280.91
|
| Rate for Payer: BCBS Trust/PPO |
$175.40
|
| Rate for Payer: BCN Commercial |
$3,348.91
|
| Rate for Payer: BCN Medicare Advantage |
$2,280.91
|
| Rate for Payer: Cash Price |
$5,348.80
|
| Rate for Payer: Cash Price |
$5,348.80
|
| Rate for Payer: Cofinity Commercial |
$3,056.42
|
| Rate for Payer: Cofinity Commercial |
$3,284.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,280.91
|
| Rate for Payer: Healthscope Commercial |
$2,737.09
|
| Rate for Payer: Healthscope Whirlpool |
$2,737.09
|
| Rate for Payer: Meridian Medicaid |
$1,536.93
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,394.96
|
| Rate for Payer: PACE SWMI |
$2,280.91
|
| Rate for Payer: PHP Medicare Advantage |
$2,280.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,463.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$4,680.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$4,029.38
|
| Rate for Payer: Priority Health Medicare |
$2,280.91
|
| Rate for Payer: Priority Health Narrow Network |
$4,029.38
|
| Rate for Payer: UHC Medicare Advantage |
$2,349.34
|
|
|
PR COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY
|
Professional
|
Both
|
$5,708.00
|
|
|
Service Code
|
HCPCS 44155
|
| Min. Negotiated Rate |
$187.55 |
| Max. Negotiated Rate |
$3,995.60 |
| Rate for Payer: Aetna Commercial |
$2,726.07
|
| Rate for Payer: Aetna Medicare |
$2,034.38
|
| Rate for Payer: BCBS Complete |
$1,377.90
|
| Rate for Payer: BCBS MAPPO |
$2,034.38
|
| Rate for Payer: BCBS Trust/PPO |
$187.55
|
| Rate for Payer: BCN Commercial |
$2,995.10
|
| Rate for Payer: BCN Medicare Advantage |
$2,034.38
|
| Rate for Payer: Cash Price |
$4,566.40
|
| Rate for Payer: Cash Price |
$4,566.40
|
| Rate for Payer: Cofinity Commercial |
$2,929.51
|
| Rate for Payer: Cofinity Commercial |
$2,726.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,034.38
|
| Rate for Payer: Healthscope Commercial |
$2,441.26
|
| Rate for Payer: Healthscope Whirlpool |
$2,441.26
|
| Rate for Payer: Meridian Medicaid |
$1,377.90
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,136.10
|
| Rate for Payer: PACE SWMI |
$2,034.38
|
| Rate for Payer: PHP Medicare Advantage |
$2,034.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,312.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,995.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,603.69
|
| Rate for Payer: Priority Health Medicare |
$2,034.38
|
| Rate for Payer: Priority Health Narrow Network |
$3,603.69
|
| Rate for Payer: UHC Medicare Advantage |
$2,095.41
|
|
|
PR COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST
|
Professional
|
Both
|
$4,477.00
|
|
|
Service Code
|
HCPCS 44157
|
| Min. Negotiated Rate |
$305.36 |
| Max. Negotiated Rate |
$3,828.30 |
| Rate for Payer: Aetna Commercial |
$2,904.77
|
| Rate for Payer: Aetna Medicare |
$2,167.74
|
| Rate for Payer: BCBS Complete |
$1,461.56
|
| Rate for Payer: BCBS MAPPO |
$2,167.74
|
| Rate for Payer: BCBS Trust/PPO |
$305.36
|
| Rate for Payer: BCN Commercial |
$3,181.78
|
| Rate for Payer: BCN Medicare Advantage |
$2,167.74
|
| Rate for Payer: Cash Price |
$3,581.60
|
| Rate for Payer: Cash Price |
$3,581.60
|
| Rate for Payer: Cofinity Commercial |
$3,121.55
|
| Rate for Payer: Cofinity Commercial |
$2,904.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2,167.74
|
| Rate for Payer: Healthscope Commercial |
$2,601.29
|
| Rate for Payer: Healthscope Whirlpool |
$2,601.29
|
| Rate for Payer: Meridian Medicaid |
$1,461.56
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$2,276.13
|
| Rate for Payer: PACE SWMI |
$2,167.74
|
| Rate for Payer: PHP Medicare Advantage |
$2,167.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,391.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3,133.90
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3,828.30
|
| Rate for Payer: Priority Health Medicare |
$2,167.74
|
| Rate for Payer: Priority Health Narrow Network |
$3,828.30
|
| Rate for Payer: UHC Medicare Advantage |
$2,232.77
|
|
|
PR COLLAGENASE, CLOST HIST INJ
|
Professional
|
Both
|
$65.00
|
|
|
Service Code
|
HCPCS J0775
|
| Min. Negotiated Rate |
$26.00 |
| Max. Negotiated Rate |
$93.81 |
| Rate for Payer: Aetna Commercial |
$87.30
|
| Rate for Payer: Aetna Medicare |
$65.15
|
| Rate for Payer: BCBS Complete |
$26.00
|
| Rate for Payer: BCBS MAPPO |
$65.15
|
| Rate for Payer: BCBS Trust/PPO |
$67.51
|
| Rate for Payer: BCN Commercial |
$66.22
|
| Rate for Payer: BCN Medicare Advantage |
$65.15
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cash Price |
$52.00
|
| Rate for Payer: Cofinity Commercial |
$87.30
|
| Rate for Payer: Cofinity Commercial |
$93.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.15
|
| Rate for Payer: Healthscope Commercial |
$78.18
|
| Rate for Payer: Healthscope Whirlpool |
$78.18
|
| Rate for Payer: Meridian Wellcare - Medicare Advantage |
$68.41
|
| Rate for Payer: PACE SWMI |
$65.15
|
| Rate for Payer: PHP Medicare Advantage |
$65.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.50
|
| Rate for Payer: Priority Health Medicare |
$65.15
|
| Rate for Payer: UHC Medicare Advantage |
$67.10
|
|
|
PR COLLECTION CAPILLARY BLOOD SPECIMEN
|
Professional
|
Both
|
$11.00
|
|
|
Service Code
|
HCPCS 36416
|
| Min. Negotiated Rate |
$1.99 |
| Max. Negotiated Rate |
$1,055.02 |
| Rate for Payer: Aetna Commercial |
$2.72
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS Trust/PPO |
$1,055.02
|
| Rate for Payer: BCN Commercial |
$1.99
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.70
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$13.30
|
| Rate for Payer: Priority Health Narrow Network |
$13.30
|
|
